K Number
K090503
Device Name
ZQUIET MOUTHPIECE
Manufacturer
Date Cleared
2009-03-10

(13 days)

Product Code
Regulation Number
872.5570
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The ZQuiet Anti-Snoring device is intended for the treatment of nightime snoring in adults. The ZQuiet mandibular advancement device is intended for the treatment of nighttime snoring in adults.
Device Description
The ZQuiet ® Mouthpiece is an Anti-Snoring device consisting of : - Two trayed plates fitted in front and between the upper and lower teeth and gums . and integrated with each other with the same material as the upper and lower plates. - The device is made of Thermoplastic elastomer . - ◆ May be used as supplied
More Information

Not Found

No
The device description and performance studies do not mention any software, algorithms, or data processing that would indicate the use of AI or ML. It is a physical, mechanical device.

Yes.
The device is intended for the treatment of nighttime snoring, indicating a therapeutic purpose.

No
Explanation: The device is intended for the treatment of nighttime snoring, not for diagnosing it.

No

The device description clearly states it is a physical mouthpiece made of thermoplastic elastomer, which is a hardware component.

Based on the provided information, the ZQuiet Anti-Snoring device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for the "treatment of nighttime snoring in adults." This is a therapeutic purpose, not a diagnostic one.
  • Device Description: The device is a physical mouthpiece designed to be worn intraorally. It does not involve the analysis of biological samples (like blood, urine, or tissue) which is a core characteristic of IVDs.
  • Lack of IVD Characteristics: There is no mention of analyzing samples, detecting biomarkers, or providing diagnostic information.

IVDs are devices used to examine specimens from the human body to provide information for the diagnosis, monitoring, or treatment of a disease or condition. The ZQuiet device does not fit this description.

N/A

Intended Use / Indications for Use

The ZQuiet Anti-Snoring device is intended for the treatment of nightime snoring in adults.

The ZQuiet mandibular advancement device is intended for the treatment of nighttime snoring in adults.

Product codes

LRK

Device Description

The ZQuiet ® Mouthpiece is an Anti-Snoring device consisting of :

  • Two trayed plates fitted in front and between the upper and lower teeth and gums . and integrated with each other with the same material as the upper and lower plates.
  • The device is made of Thermoplastic elastomer .
  • ◆ May be used as supplied

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Adult patients

Intended User / Care Setting

Home and sleep laboratories

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Non-Clinical Performance Data

ZQuiet® Anti-Snoring Device has been evaluated for safety through in vitro tests and animal safety studies.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K061688

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.5570 Intraoral devices for snoring and intraoral devices for snoring and obstructive sleep apnea.

(a)
Identification. Intraoral devices for snoring and intraoral devices for snoring and obstructive sleep apnea are devices that are worn during sleep to reduce the incidence of snoring and to treat obstructive sleep apnea. The devices are designed to increase the patency of the airway and to decrease air turbulence and airway obstruction. The classification includes palatal lifting devices, tongue retaining devices, and mandibular repositioning devices.(b)
Classification. Class II (special controls). The special control for these devices is the FDA guidance document entitled “Class II Special Controls Guidance Document: Intraoral Devices for Snoring and/or Obstructive Sleep Apnea; Guidance for Industry and FDA.”

0

K090503

510(k) Summary 807.92(c)

SPONSOR807.92(a)(1)
Company Name:Sleeping Well, LLC
Company AddressPO Box 1240
Shelburne, VT 05482MAR 10 2009
Telephone:802-985-3013
888-978-4389
Fax:
Contact Person:Daniel A. Webster
Summary Preparation Date:January 20, 2009
DEVICE NAME807.92(a)(2)
Trade Name:ZQuiet® Mouthpiece
Common/Usual Name:Anti-Snoring Device/Mandibular Advancement Device
Classification Name:Device, Anti-snoring
Regulation Number:CFR21 872.5570
Product Code:LRK

PREDICATE DEVICE

Device Class:

807.92(a)(3)

Legally Marketed Equivalent Device Company Tomed Dr. Toussaint GmbH.

Product 510(k) # Anti-Snoring/Sleep Apnea Device K061688

DEVICE DESCRIPTION

807.92(a)(4)

The ZQuiet ® Mouthpiece is an Anti-Snoring device consisting of :

Class II

  • Two trayed plates fitted in front and between the upper and lower teeth and gums . and integrated with each other with the same material as the upper and lower plates.
  • The device is made of Thermoplastic elastomer .
  • ◆ May be used as supplied

DEVICE INTENDED USE

807.92(a)(5)

The ZQuiet Anti-Snoring device is intended for the treatment of nightime snoring in adults.

92(a)(2)

1

Target Population: Adult patients

and the state of the state of the states

..............................................................................................................................................................................

.

:

Environment of Use: Home and sleep laboratories

COMPARISON OF TECHNICAL CHARACTERISTICS 807.92(a)(6)
DeviceSimilarities
New Device
ZQuiet®Predicate Device
SomnoGuard Series
K NumberK061688
Classification NameDevice, Anti-SnoringDevice, Anti-Snoring
Product CodeLRKLRK
INTENDED USE
Mandibular Advancement
deviceYesYes
Intended as an intraoral
deviceYesYes
Intended to reduce
snoring or help alleviate
snoringYesYes
Indicated for single
patient multi useYesYes
Indicated for use at home
or sleep laboratoriesYesYes
Prescription deviceYesYes
MATERIALS
Device materialThermoplastic elastomerThermoplastic elastomer
Non-sterileYesYes
THEORY OF OPERATION
Advancement of lower
jaw to open upper airwayYesYes
DEVICE DESIGN
Ready-to-UseYesYes
Upper and lower traysYesYes
One piece designYesYes
Ready-to-use deviceYesYes
PATIENT USE
Permits patient to breathe
through the mouthYesYes
Placed in user's mouth
each eveningYesYes
Cleaned dailyYesYes
Easily removed from the
mouthYesYes
DIFFERENCES
Boil and Bite fittingNoYes
Indicated for use with
patients with mild toNoYes

And Antiques and Children

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

,

19

.......

and the consideration of the comments of the comments of

. . . ......

. .

2

Substantial Equivalence Discussion

ZQuiet Anti-Snoring Device is similar to the predicate device in intended use, materials and design and does not raise any new issues concerning safety and effectiveness.

NONCLINICAL AND CLINICAL TEST

807.92(b)

SAFETY and EFFECTIVENESS

BIOCOMPATIBILITY

Non-Clinical Performance Data

ZQuiet® Anti-Snoring Device has been evaluated for safety through in vitro tests and animal safety studies.

CONCLUSION

807.92(b)(3)

20

ZQuiet® Anti-Snoring Device is similar to the predicate device in intended use, materials and design and does not raise any new issues concerning safety and effectiveness.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three stripes forming its wing and body. The eagle is encircled by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Sleeping Well, LLC C/o Mr. Ned Devine Responsible Third Party Official Underwriters Laboratories Incorporated 333 Pfingsten Road Northbrook, Illinois 60062

MAR 1 0 2009

K090503 Trade/Device Name: ZQuiet® Mouthpiece Regulation Number: 21 CFR 872:5570 Regulation Name: Intraoral Devices for Snoring and Intraoral Devices for Snoring and Obstructive Sleep Apnea. Regulatory Class: II Product Code: LRK Dated: February 20, 2009 Received: February 25, 2009

Dear Mr. Devine:

Re:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

4

Page 2 - Mr. Devine

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Surete by Nicholas.

Ginette Y. Michaud, M.D. Acting Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

Indications for Use

510(k) Number (if known): _ 109.0502

Device Name: ZQuiet® Mouthpiece

Indications for Use:

The ZQuiet mandibular advancement device is intended for the treatment of nighttime snoring in adults.

(Part 21 Prescription Use X AND/OR CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Susan Bunner

(Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices

510(k) Number: K070503

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