K Number
K103760
Device Name
TITAN
Manufacturer
Date Cleared
2011-05-05

(133 days)

Product Code
Regulation Number
882.1900
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Titan with DPOAE440 is intended for use in the audiologic evaluation and documentation of ear disorders using Distortion Product Otoacoustic Emissions. The target population for Titan with DPOAE440 includes all ages. The Titan with ABRIS440 is intended for use in the audiologic evaluation and documentation of ear and nerve disorders using auditory evoked potentials from the inner ear, the auditory nerve and the brainstem. The target population for Titan with ABRIS440 is newborns.
Device Description
The instrument is audiometric equipment used for testing middle ear, inner ear and brainstem abnormalities. The Titan is a combination of: - Audiometric device for measurement of aural acoustic impedance (IMP) (Cleared . under K083861) - Audiometric device for measurement of otoacoustic emissions (OAE) . - Audiometric device for measurement of auditory brainstem responses (ABR) ● The Titan can have one of three functions depending on license: The Titan IMP test is intended to change the air pressure in the external auditory canal and measure and graph the mobility characteristics of the tympanic membrane to evaluate the functional condition of the middle ear. The Titan OAE test generates an acoustic stimulus in the ear canal at a moderate intensity level. The stimulus vibrates a thin membrane in the cochlear, and activates the outer hair cells located on the membrane. This activation is propagated back through the middle ear as sound into the ear canal. Microphone(s) detects OAE-related sounds. The Titan ABR test produces a short acoustic stimulus and measures via cutaneous electrodes the auditory evoked potentials from the inner ear, the auditory nerve and the brainstem. The test uses an automatic detection algorithm to determine if an ABR is evoked in response to the short acoustic stimulus. The output of the device is either PASS (ABR detected) or REFER (ABR is not detected). The Titan with DPOAE440 is intended as clinical audiometer. The Titan with ABRIS440 is intended as a screener audiometer.
More Information

KOR0539, K082035

No
The description mentions an "automatic detection algorithm" for the ABR test, but this is a common signal processing technique and does not necessarily indicate AI/ML. There is no mention of AI, ML, deep learning, training data, or performance metrics typically associated with AI/ML models.

No.
The document explicitly states that the device is intended for "audiologic evaluation and documentation of ear disorders" and is "audiometric equipment used for testing middle ear, inner ear and brainstem abnormalities," which are diagnostic rather than therapeutic functions.

Yes
The device is described as audiometric equipment used for "audiologic evaluation and documentation of ear disorders" and abnormalities of the middle ear, inner ear, and brainstem. Its functions, such as measuring otoacoustic emissions (OAE) and auditory brainstem responses (ABR), are designed to detect and characterize specific medical conditions related to hearing and the auditory system.

No

The device description explicitly states that the Titan is a "combination of" audiometric devices for measurement of impedance, OAE, and ABR, and describes physical interactions like changing air pressure, generating acoustic stimuli, and using cutaneous electrodes. This indicates the presence of hardware components beyond just software.

Based on the provided information, this device is not an In Vitro Diagnostic (IVD).

Here's why:

  • IVDs analyze samples taken from the human body. The device description clearly states that the Titan performs tests on the ear and hearing nerves by generating stimuli and measuring responses directly from the patient (acoustic impedance, otoacoustic emissions, auditory evoked potentials). It does not analyze blood, urine, tissue, or any other biological sample removed from the body.
  • The intended use and device description focus on in vivo measurements. The tests described (IMP, OAE, ABR) are all performed directly on the patient's ear and auditory system.

Therefore, the Titan with DPOAE440 and ABRIS440 falls under the category of audiometric equipment used for in vivo diagnostic testing of hearing and auditory pathway function, not in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

The Titan with DPOAE440 is intended for use in the audiologic evaluation and documentation of ear disorders using Distortion Product Otoacoustic Emissions. The target population for Titan with DPOAE440 includes all ages.

The Titan with ABRIS440 is intended for use in the audiologic evaluation and documentation of ear and nerve disorders using auditory evoked potentials from the inner ear, the auditory nerve and the brainstem. The target population for Titan with ABRIS440 is newborns.

Product codes (comma separated list FDA assigned to the subject device)

EWO, GWJ

Device Description

The instrument is audiometric equipment used for testing middle ear, inner ear and brainstem abnormalities.

The Titan is a combination of:

  • Audiometric device for measurement of aural acoustic impedance (IMP) (Cleared . under K083861)
  • Audiometric device for measurement of otoacoustic emissions (OAE) .
  • Audiometric device for measurement of auditory brainstem responses (ABR) ●

The Titan can have one of three functions depending on license:

The Titan IMP test is intended to change the air pressure in the external auditory canal and measure and graph the mobility characteristics of the tympanic membrane to evaluate the functional condition of the middle ear.

The Titan OAE test generates an acoustic stimulus in the ear canal at a moderate intensity level. The stimulus vibrates a thin membrane in the cochlear, and activates the outer hair cells located on the membrane. This activation is propagated back through the middle ear as sound into the ear canal. Microphone(s) detects OAE-related sounds.

The Titan ABR test produces a short acoustic stimulus and measures via cutaneous electrodes the auditory evoked potentials from the inner ear, the auditory nerve and the brainstem. The test uses an automatic detection algorithm to determine if an ABR is evoked in response to the short acoustic stimulus. The output of the device is either PASS (ABR detected) or REFER (ABR is not detected).

The Titan with DPOAE440 is intended as clinical audiometer. The Titan with ABRIS440 is intended as a screener audiometer.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Examination of Ear and hearing nerves

Indicated Patient Age Range

Titan with DPOAE440: all ages
Titan with ABRIS440: newborns

Intended User / Care Setting

The Titan is designed to be used only by skilled personnel such as audiologists, ENT surgeons, and doctors, hearing healthcare professionals or personnel with similar level of education. The device should not be used without the necessary knowledge and training to understand its use and how results should be interpreted.

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)

The Titan was tested according to current standards for OAE and ABR and was found to conform to the standards. No clinical tests were performed, but based on the fulfillment of the international standards for OAE and ABR, and the comparison to predicate devices we believe the device is safe and effective.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

KOR0539, K082035

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

K083861

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 882.1900 Evoked response auditory stimulator.

(a)
Identification. An evoked response auditory stimulator is a device that produces a sound stimulus for use in evoked response measurements or electroencephalogram activation.(b)
Classification. Class II (performance standards).

0

Premarket Notification Submission 510(k)

MAY - 5 2011

510(K) SUMMARY OF SAFETY AND EFFECTIVENESS

Titan Titan with DPOAE440 Titan with ABRIS440

SUBMITTER INFORMATION Company Name Company Address

Company Phone Company Fax Company e-mail Contact Person

Date Summary Prepared

DEVICE IDENTIFICATION Trade Name Common Name Classification Name

Product Code Panel Device Class

Interacoustics A/S Drejervaenget 8 Assens, DK-5610, Denmark +45 6371 3555 +45 6371 3522 info@interacoustics.com Erik Nielsen, Director, Quality and Regulatory Affairs Apr. 28 2011

Titan Audiometric equipment Otoacoustic emission device, Evoked response auditory stimulator and measurements EWO / GWJ Ear Nose & Throat / Neurology Class II

SUBSTANTIAL EQUIVALENCE (TITAN WITH DPOAE440) Predicate Device DPOAE20 (Eclipse) Manufacturer Interacoustics 510(k) No. KOROS39 Date Cleared 05/30/2006

SUBSTANTIAL EQUIVALENCE (TITAN WITH ABRIS440) Predicate Device Maico MB 11 Manufacturer MAICO 510(k) No. K082035 Date Cleared 01/29/2009

Section 05 p. 2 - 10

, •

Image /page/0/Picture/15 description: The image shows the Interacoustics logo. The logo consists of a globe-like icon on the left, followed by the word "Interacoustics" in bold, white letters. A registered trademark symbol is present to the right of the word. Below the logo, there is a tagline that is difficult to read due to its small size and resolution.

1

Device Description

The instrument is audiometric equipment used for testing middle ear, inner ear and brainstem abnormalities.

The Titan is a combination of:

  • Audiometric device for measurement of aural acoustic impedance (IMP) (Cleared . under K083861)
  • Audiometric device for measurement of otoacoustic emissions (OAE) .
  • Audiometric device for measurement of auditory brainstem responses (ABR) ●

The Titan can have one of three functions depending on license:

The Titan IMP test is intended to change the air pressure in the external auditory canal and measure and graph the mobility characteristics of the tympanic membrane to evaluate the functional condition of the middle ear.

The Titan OAE test generates an acoustic stimulus in the ear canal at a moderate intensity level. The stimulus vibrates a thin membrane in the cochlear, and activates the outer hair cells located on the membrane. This activation is propagated back through the middle ear as sound into the ear canal. Microphone(s) detects OAE-related sounds.

The Titan ABR test produces a short acoustic stimulus and measures via cutaneous electrodes the auditory evoked potentials from the inner ear, the auditory nerve and the brainstem. The test uses an automatic detection algorithm to determine if an ABR is evoked in response to the short acoustic stimulus. The output of the device is either PASS (ABR detected) or REFER (ABR is not detected).

The Titan with DPOAE440 is intended as clinical audiometer. The Titan with ABRIS440 is intended as a screener audiometer.

Indications for Use

The Titan with DPOAE440 is intended for use in the audiologic evaluation and documentation of ear disorders using Distortion Product Otoacoustic Emissions. The target population for Titan with DPOAE440 includes all ages.

The Titan with ABRIS440 is intended for use in the audiologic evaluation and documentation of ear and nerve disorders using auditory evoked potentials from the inner ear, the auditory nerve and the brainstem. The target population for Titan with ABRIS440 is newborns.

K103760

Section 05 p. 3 - 10

Image /page/1/Picture/18 description: The image shows the logo for Interacoustics. The logo features a stylized globe on the left, followed by the word "Interacoustics" in a bold, sans-serif font. The logo is set against a black background.

leading diagnostic solutions

2

Technological Characteristics

Titan consists of a handheld unit named Titan, Titan Cradle and PC software (Titan Suite, Titan modules/ Titan Applications). The measurements are controlled by the handheld unit. A license system makes it possible within each configuration to select which functionality the user wants to be incorporated in the system.

A connection box (shoulder box) enables different types of accessories to be connected to the platform (depending on the module)

The Titan platform can connect to PC software via a Bluetooth connection.

Image /page/2/Picture/6 description: The image shows a sequence of handwritten alphanumeric characters. The characters are "K103760" and are written in a simple, slightly slanted font. The characters are all connected, and the overall impression is that of a quickly written note.

Section 05 p. 4 - 10

Image /page/2/Picture/8 description: The image shows the Interacoustics logo. The logo consists of a globe-like symbol on the left and the word "Interacoustics" in bold, white letters on a black background. Below the logo, there is a tagline that reads "leading diagnostic solutions".

3

DescriptionMaico, MB 11Titan with ABRIS 440Equivalence
Indications for useThe Maico MB 11 with
BERAphone and the MB 11
Standard are intended to
generate evoked auditory
brainstem response (ABR) -
based measurements for
newborn hearing screening,
providing a PASS/REFER result.The Titan with ABRIS440 is
intended for use in the audiologic
evaluation and documentation of
ear and nerve disorders using
auditory evoked potentials from
the inner ear, the auditory nerve
and the brainstem.Similar
The wording
is just a little
different
Target populationNewbornsNewbornsSame
Intended userThe User does not require special
technical skills or interpretation
of the results.The User does not require special
technical skills or interpretation of
the results.Same
Anatomical sitesExamination of Ear and hearing
nervesExamination of Ear and hearing
nervesSame
Safety standardsIEC 60601-1IEC 60601-1Same
Performance
standardIEC 60645-7 (Type 2)IEC 60645-7 (Type 2)Same
Device TypeScreening device
(PASS/REFER) resultScreening device
(PASS/REFER) resultSame
System
Configuration1 -channel ABR system operated
through a base unit connected
via a USB port to any standard
computer (Laptop Computer
recommended)1 -channel ABR system operated
through a handheld base unit. The
base unit can be operated stand
alone or PC controlled through USB
or Bluetooth.Similar The
only different
is that Titan
can work as
stand alone
Display information
,Testing sequence along with
current EEG parameters (number
of sweeps, number of artifacts,
SNR, and artifact rejection
system setting)PASS/REFER status, indicated with
value between 0 and 100% where
100% indicates a pass. EEG peak or
RMS value, rejection status,
residual noise and what
transducer(s) are detected.Similar
Some minor
differences in
displayed
information
Electrode quality
checkYESYESSame
Impedance Test
(Quality control)Indicator in three levels.
Red: above 10kOhm
Yellow: between 10 & 8kOhm
Green: below 8kOhmBefore recording:
Electrode impedance is measured if
they are above 10kOhm, below 10
kOhm or below 3 kOhm.Similar
The
difference in
the mid range
is due to
measurement
frequencies
DescriptionMaico, MB 11Titan with ABRIS 440Equivalence
and has
influence on
the results.
The Titan may
require a little
more
carefulness
while placing
electrodes.
Binaural screeningYESYESSame
Pre-amplifier
channels11Same
StimulusChirpsChirpsSame
Please refer
to
comparison
between MB-
11 and
ABRIS440 in
attachment
12-E
Pre-amplifier Gain86 dB64 dBSimilar
Depends on
amplifier
characteristics
as CMMR and
SN ratio. Have
no influence
on measuring
results.
FilteringHW HP 30Hz filters of 1st orderTwo HW HP filters of 1st order:
Cut-off frequencies 7Hz and 45HzSimilar
Both look at
frequencies
above 80Hz
and at that
frequency the
response
from the two
filters are
identical. The
basic purpose
of the filters
DescriptionMaico, MB 11Titan with ABRIS 440Equivalence
are to
eliminate DC
components
MaskingNoneNoneSame
TransducersBERAphone
TDH39
EAR 3A Insert phonesTitan Probe
TDH39
EAR 3A Insert phonesSimilar
The Titan
probe is a
dedicated
probe for
Titan as the
BERAphone is
a dedicated
probe for MB
11
Stimulus rate92.5/s90/sSimilar
Screening level35dBHL35dBHLSame
Screening
measurement180 seconds180 secondsSame

.

Comparison Titan with ABRIS440 and predicate device

K103760

Section 05 p. 5 - 10

.

(1) Interacoustics® toading dlagnostic solullans

4

Section 05 p. 6 - 10

Image /page/4/Picture/4 description: The image shows the Interacoustics logo. The logo consists of a globe-like icon on the left, followed by the word "Interacoustics" in a bold, sans-serif font. Below the word, there is a tagline that reads "leading diagnostic solutions" in a smaller font. The logo is set against a black background.

5

Premarket Notification Submission 510(k)

K103760

Section 05 p. 7 - 10

Image /page/5/Picture/5 description: The image shows the Interacoustics logo. The logo consists of a globe-like icon on the left, followed by the word "Interacoustics" in bold, white letters on a black background. Below the logo, the words "leading diagnostic solutions" are written in a smaller font.

6

DPOAE20 (Predicate)DPOAE440 (New)Comments
Indications for useThe Interacoustics DPOAE20 system is for use in the audiologic evaluation and documentation of ear disorders using Distortion Product Otoacoustic Emission tone stimuli. The presence of Otoacoustic emissions suggests normal outer hair cell function within cochlea, which in turn suggests normal hearing. OAEs are recorded using an OAE probe which is placed in the ear canal. The OAE response from the ear is recorded and processed by the Eclipse and the DPOAE2O software and then displayed on the computer screen for evaluation.The Titan with DPOAE440 is intended for use in the diagnostic audiologic evaluation and documentation of ear disorders using Distortion Product Otoacoustic Emissions.Similar
The wording is just a little different
Target populationThe patient group includes all agesThe patient group includes all agesSame
Intended userEar, Nose, and Throat doctors, Neurology specialists, Audiologist and other health- professionals concerned with measuring auditory functions.The Titan is designed to be used only by skilled personnel such as audiologists, ENT surgeons, and doctors, hearing healthcare professionals or personnel with similar level of education. The device should not be used without the necessary knowledge and training to understand its use and how results should be interpreted.Same
Evaluation methodDPOAEDPOAESame
Safety standardIEC 60601-1IEC 60601-1Same
EMC standardIEC 60601-1-2IEC 60601-1-2Same
Performance standardIEC 60645-6 (Type 2)IEC 60645-6 (Type 2)Same
DPOAE20 (Predicate)DPOAE440 (New)Comments
Test signalsIEC 60645-1/ANSI S3.6 , IEC
60645-3IEC 60645-1/ANSI S3.6 , IEC
60645-3Same
Stimulus:
Frequency Range500-8000 Hz500 to 10000 HzSimilar
The DPOAE has an
extended range. This is
a technical
improvement due to
better technology and
probes.
Frequency Step50 Hz25 HzSimilar
A technical better
resolution is possible
due to better
technology.
Level30-75 dB SPL ( 70 dB above
6kHz)30 to 80 dB SPL (75 dB SPL
for 6kHz and 65 dB SPL for
8kHz and 10kHz)Similar
The DPOAE has an
extended range. This is
a technical
improvement due to
better technique and
probes.
Level Step1 dB SPL1 dB SPLSame
TransducerDedicated
DPOAE20/TEOAE25 probeDedicated
IOW ProbeSimilar
New transducer due to
the hardware design of
Titan is different from
DPOAE20 hardware.
The transducer has the
same characteristics as
the predicate. The
transducer is not new
compared to the
previous version of
Titan cleared under
K083861
Probe detectionNoneAuto detectionDifferent
The probe unit has
build-in memory for all
probe relevant
calibration values.
Recording
Analysis timeMinimum 2 sec to unlimited
test time.Minimum 2 seconds to
unlimited time
A/D Resolution16 bit, 7.3 Hz resolution24 bit, 5.38 Hz resolutionSimilar
Better resolution due
to better technology
DPOAE20 (Predicate)DPOAE440 (New)Comments
Artifact Reject System-30 -> +30 dB SPL or off.-30 to +30 dB SPL or offSame
Stimulus ToleranceAdjustable between 1 and 10 dBAdjustable between 1 and 10 dBSame
SNR CriteriaAdjustable between 1 and 20 dBAdjustable between 3 and 25 dBSimilar
The limits has be
adjusted to better fit to
real world practice.
This givers higher
evidence for response.
(1 dB is in fact too
small to use as criteria)
Probe check window256 points frequency
response of the ear canal
due to a click stimulus
presented with a rate of 100
Hz at 80 dB SPL1024 points frequency
response of the ear canal
due to a click stimulusSimilar
Better resolution due
to better technology
used
DP-Response
window4096 points frequency
response4096 points frequency
responseSame
Display
General Display gainApplicable during testingApplicable during testingSame
DisplayStimulus level and typeStimulus level and type,
Basic and advanced viewSimilar
A simpler (basic) view
has been introduces
Database
Supported by Interacoustics
OtoAccess™ database.Supported by
Interacoustics OtoAccess™
database.Same
Operating under NOAH is
possible, using IA
NOAHLink.Operating under NOAH is
possible, using IA
NOAHLink.Same

- : -

ı

Image /page/6/Picture/4 description: The image shows a sequence of handwritten characters, which appear to be alphanumeric. The sequence reads 'K103760'. The characters are written in a simple, clear style, with each digit and letter easily distinguishable. The writing is in black against a white background.

Section 05 p. 8 - 10

:・

Image /page/6/Picture/6 description: The image shows the logo for Interacoustics, a company that provides leading diagnostic solutions. The logo consists of a stylized globe on the left, followed by the company name in bold, white letters on a black background. Below the company name is the tagline "leading diagnostic solutions" in a smaller font.

7

Section 05 p. 9 - 10

Image /page/7/Picture/4 description: The image shows the logo for Interacoustics, a company that provides diagnostic solutions. The logo consists of a globe-like icon and the company name in a bold, sans-serif font. Below the company name is the tagline "leading diagnostic solutions" in a smaller font.

8

Premarket Notification Submission 510(k)

Test summary

The Titan was tested according to current standards for OAE and ABR and was found to conform to the standards. No clinical tests were performed, but based on the fulfillment of the international standards for OAE and ABR, and the comparison to predicate devices we believe the device is safe and effective.

Conclusion

We have compared the intended use and performance characteristics with the predicate devices. The Titan was tested according to current standards and the differences found between the devices were related to functionality, not in relation to safety and efficiency. The Titan conforms to the current standards.

The Titan with DPOAE440 and Titan with ABRIS440 were found to be substantially equivalent to the predicate devices in technological characteristics and indications for use.

Section 05 p. 10 - 10

Image /page/8/Picture/9 description: The image shows the logo for Interacoustics. The logo consists of a globe-like icon on the left and the word "Interacoustics" in a bold, sans-serif font on the right. The background is black, and the text and icon are white.

Image /page/8/Picture/10 description: The image shows a sequence of characters that appear to be handwritten. The characters are 'K103760', with each digit and letter clearly distinguishable. The handwriting style is casual, with some characters slightly slanted and connected.

9

Image /page/9/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. The logo features a stylized eagle with three lines forming its body and wings. The eagle is facing left. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular pattern around the eagle.

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

Interacoustics A/S c/o Erik Nielsen Director, Quality and Regulatory Affairs Drejervaenget 8 Assens, DK-5610 Denmark

MAY - 5 2011

Re: K103760

Trade/Device Name: · Titan with ABRIS440 and Titan with DPOAE440 Regulation Number: 21 CFR 882.1900 Regulation Name: Evoked Response Auditory Stimulator Regulatory Class: Class II Product Code: GWJ, EWO Dated: April 7, 2011 Received: April 12, 2011

Dear Mr. Nielsen:

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.

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

10

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/CDRH0ffices/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/ReportalProblem/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,

Rithm, h

Malvina B. Eydelman, M.D Director Division of Ophthalmic, Neurological, and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

11

103760

Premarket Notification Submission 510(k)

Indications for Use

Applicant: Interacoustics A/S

510(k) Number (if known): K103760

Device Name: Titan with DPOAE440, Titan with ABRIS440

Indications for Use:

The Titan with DPOAE440 is intended for use in the audiologic evaluation and documentation of ear disorders using Distortion Product Otoacoustic Emissions. The target population for Titan with DPOAE440 includes all ages.

The Titan with ABRIS440 is intended for use in the audiologic evaluation and documentation of ear and nerve disorders using auditory evoked potentials from the inner ear, the auditory nerve and the brainstem. The target population for Titan with ABRIS440 is newborns.

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

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

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(Per 21 CFR

(Division Sign-Off)
Division of Ophthalmic, Neurological and Ear,
Nose and Throat Devices

K103760

510(k) Number

Image /page/11/Picture/17 description: The image shows the Interacoustics logo. The logo consists of a globe-like icon on the left and the word "Interacoustics" in bold, white letters on a black background. Below the logo, there is a tagline that reads "leading diagnostic solutions" in a smaller font size.