K Number
K093407
Device Name
ZQUIET MOUTHPIECE
Manufacturer
Date Cleared
2010-06-22

(232 days)

Product Code
Regulation Number
872.5570
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The ZQuiet mandibular advancement device is intended for the treatment of nighttime snoring in adults 18 years or older.
Device Description
The ZQuiet anti-snoring device is a single piece anti-snoring device, which moves the lower jaw forward and helps reduce the likelihood of snoring. This is achieved by covering the upper and lower teeth with a resilient non-toxic thermoplastic elastomer compound. The ZQuiet is easy to wear and simple to use. The single shot manufacturing process incorporates a resilient hinge in the molar area to provide a single piece device. The anti-snore device comprises an upper member adapted to engage the maxillary dentition of a human and a lower member adapted to engage the mandibular dentition of the human, the upper and lower members being resiliently hinged together.
More Information

Not Found

No
The device description and performance studies focus on the mechanical function and material safety of a physical mandibular advancement device, with no mention of AI or ML.

Yes.
The device is intended for the treatment of nighttime snoring, which is a medical condition, making it a therapeutic device.

No

Explanation: The device description clearly states its purpose is for "treatment of nighttime snoring," not diagnosis. It's an "anti-snoring device" that physically moves the jaw, indicating a therapeutic function rather than a diagnostic one.

No

The device description clearly describes a physical, single-piece mandibular advancement device made of thermoplastic elastomer, not software.

Based on the provided information, the ZQuiet mandibular advancement 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 appliance that mechanically moves the jaw. It does not involve the examination of specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or treatment.
  • Performance Studies: The performance studies described are focused on the safety and biocompatibility of the materials and the device's physical properties, not on its ability to diagnose or measure a biological parameter.

IVD devices are specifically designed to perform tests on biological samples to provide diagnostic information. The ZQuiet device does not fit this description.

N/A

Intended Use / Indications for Use

The ZQuiet mandibular advancement device is intended for the treatment of nighttime snoring in adults 18 years are older.

Product codes

LRK

Device Description

The ZQuiet anti-snoring device is a single piece anti-snoring device, which moves the lower jaw forward and helps reduce the likelihood of snoring. This is achieved by covering the upper and lower teeth with a resilient non-toxic thermoplastic elastomer compound. The ZQuiet is easy to wear and simple to use. The single shot manufacturing process incorporates a resilient hinge in the molar area to provide a single piece device.

The anti-snore device comprises an upper member adapted to engage the maxillary dentition of a human and a lower member adapted to engage the mandibular dentition of the human, the upper and lower members being resiliently hinged together.

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

adults 18 years are older.

Intended User / Care Setting

Environment of Use: 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)

ZQuiet® Anti-Snoring Device has been evaluated through in vitro tests and animal safety studies. All data is consistent in indicating that this product is safe for use as an antisnoring device. The materials used in the following studies are identical to the material under review Dynaflex G2701-1000-02.

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

Test PerformedStandard/MethodologyResults
Agar Diffusion Test (ISOISO 10993-5: 1999 "Tests for in vitro cytotoxicityPass Not considered cytotoxic
Primary Dermal Irritation in RabbitsFederal Hazardous Substances Act Regulations (16 CFR 1500.41Pass Not a primary dermal irritant
Guinea Pig Closed Patch Sensitization TestISO 10993-10: 2002 Tests for irritation and delayed type hypersensitivityPass No sensitizing properties
Oral Mucosal Irritation StudyISO 10993 – Part 10 – Tests for Irritation and Delayed-Type HypersensitivityUnder conditions of this study, and based on the Irritation Index the test article was considered to be a minimal irritant.

Predicate Device(s)

K090503

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

K093407

JUN 2 2 2010

510(k) Summary

807.92(c)

SPONSOR

807.92(a)(1) Sleeping Well, LLC

Company Address

Company Name:

PO Box 1240

Shelburne, VT 05482 .

Telephone: 802-985-3013 Fax: 888-978-4389

Contact Person:

Daniel A. Webster

ZQuiet® Mouthpiece

Anti-Snoring Device Device, Anti-snoring

CFR21 872.5570

Summary Preparation Date: May 27, 2010

DEVICE NAME

807.92(a)(2)

Trade Name: Common/Usual Name: Classification Name: Regulation Number: Product Code: Device Class:

PREDICATE DEVICE

807.92(a)(3)

Legally Marketed Equivalent Device
CompanyProduct510(k) #
Sleeping Well, LLCZQuiet MouthpieceK090503

LRK

Class II

DEVICE DESCRIPTION

807.92(a)(4)

The ZQuiet anti-snoring device is a single piece anti-snoring device, which moves the lower jaw forward and helps reduce the likelihood of snoring. This is achieved by covering the upper and lower teeth with a resilient non-toxic thermoplastic elastomer compound. The ZQuiet is easy to wear and simple to use. The single shot manufacturing process incorporates a resilient hinge in the molar area to provide a single piece device.

The anti-snore device comprises an upper member adapted to engage the maxillary dentition of a human and a lower member adapted to engage the mandibular dentition of the human, the upper and lower members being resiliently hinged together.

DEVICE INTENDED USE / INDICATION FOR USE 807.92(a)(5)

The ZQuiet mandibular advancement device is intended for the treatment of nighttime snoring in adults 18 years are older.

1

Caution: Federal (USA) law restricts this device to sale by or on the order of a licensed Dentist.

Target Population: Adult patients

r

Environment of Use: Home and sleep laboratories

COMPARISON OF TECHNICAL CHARACTERISTICS

807.92(a)(6)

K NumberK090503
Classification NameDevice, Anti-SnoringDevice, Anti-Snoring
Product CodeLRKLRK
Indications for UseThe ZQuiet Anti-Snoring device is
intended for the treatment of
nighttime snoring in adults 18
years or older.The ZQuiet Anti-Snoring device is
intended for the treatment of
nighttime snoring in adults.
Intended as an intraoral
deviceIntended as an intraoral deviceIntended as an intraoral device
Intended to reduce
snoring or help alleviate
snoringIntended to reduce snoring or help
alleviate snoringIntended to reduce snoring or help
alleviate snoring
Indicated for single
patient multi useIndicated for single patient multi
useIndicated for single patient multi
use
Indicated for use at home
or sleep laboratoriesIndicated for use at home or sleep
laboratoriesIndicated for use at home or sleep
laboratories
Prescription devicePrescription devicePrescription device
Non-sterileNon-sterileNon-sterile
Upper and lower trays
One piece designUpper and lower trays
One piece designUpper and lower trays
One piece design
Permits patient to breathe
through the mouthPermits patient to breathe through
the mouthPermits patient to breathe through
the mouth
Placed in user's mouth
each eveningPlaced in user's mouth each
eveningPlaced in user's mouth each
evening
Cleaned dailyCleaned dailyCleaned daily
Easily removed from the
mouthEasily removed from the mouthEasily removed from the mouth
Device materialDynaflex G2701-1000-02Dynaflex G27-0001

2

NONCLINICAL AND CLINICAL TEST

807.92(b)

ZQuiet® Anti-Snoring Device has been evaluated through in vitro tests and animal safety studies. All data is consistent in indicating that this product is safe for use as an antisnoring device. The materials used in the following studies are identical to the material under review Dynaflex G2701-1000-02. The categories of safety tests and the safety test conclusions are as follows:

Test PerformedStandard/MethodologyResults
Agar Diffusion Test (ISOISO 10993-5: 1999 "Tests for
in vitro cytotoxicityPass
Not considered cytotoxic
Primary Dermal Irritation in
RabbitsFederal Hazardous Substances
Act Regulations (16 CFR
1500.41Pass
Not a primary dermal irritant
Guinea Pig Closed Patch
Sensitization TestISO 10993-10: 2002 Tests for
irritation and delayed type
hypersensitivityPass
No sensitizing properties
Oral Mucosal Irritation StudyISO 10993 – Part 10 – Tests
for Irritation and Delayed-
Type HypersensitivityUnder conditions of this study,
and based on the Irritation
Index the test article was
considered to be a minimal
irritant.

CONCLUSION

807.92(b)(3)

ZQuiet Anti-Snoring Device is identical to the predicate device in intended use, and design. The material change has been tested according to ISO 10993 and is found safe for the intended use. The ZQuiet Anti-Snoring Device does not raise any new issues concerning safety and effectiveness.

3

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized eagle or bird-like symbol with three curved lines representing its body. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the symbol.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

1111 . 25 .

JUN 22 2010

Sleeping Well, LLC C/O Yolanda Smith Smith Associates 1468 Harwell Avenue Crofton, Maryland 21114

Re: K093407

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: June 4, 2010 Received: June 4, 2010

Dear Ms. Smith:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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- Ms. Smith

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to

http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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 (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Susan Russo

Anthony D. Watson, B.S., M.S., M.B.A. Director

Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

K.Q93407

Indications for Use

510(k) Number (if known): __ _____

Device Name: . ZQuiet® Mouthpiece

Indications for Use:

The ZQuiet mandibular advancement device is intended for the treatment of nighttime snoring in adults 18 years or older.

Caution: Federal (USA) law restricts this device to sale by or on the order of a physician

Prescription Use X CFR 801 Subpart D)

(Part 21) AND/OR

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 Rose

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

510(k) Number: K093407