K Number
K112752
Device Name
TINNITUS THERAPY SYSTEM ANM T30 CR
Date Cleared
2011-12-16

(86 days)

Product Code
Regulation Number
874.3400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The ANM T30 CR® Tinnitus Therapy System is intended to provide relief from the disturbance of tinnitus while using the system, and with regular use (over several months) may provide relief to the patient when not using the system. The ANM T30 CR® Stimulator is a patient device for home use. The ANM T30 CR® Stimulator is fitted and programmed by a qualified healthcare professional familiar with tinnitus treatment. Stimulation needs to be applied for several hours a day over a period of weeks or months. The target population is adults over 18 years of age.
Device Description
The ANM T30 CR® is a computer-controlled system for tinnitus therapy is provided to the patient by individualized, ambient acoustic tones. The system consists of four components: ANM T30 CR® Programmer (computer) including the tinnitus analysis software ANM T30 CR® SW: The ANM T30 CR® Software is used to measure the tinnitus, adjust the individual therapeutic stimulation signals and program the patient device (ANM T30 CR® Stimulator). ANM T30 CR® Patient Console: The ANM T30 CR® Patient Console is connected to the ANM T30 CR® Programmer and is used by the patient to adjust the parameters specific to his/her tinnitus (frequency and loudness) during tinnitus measurement and stimulation signal adjustment. ANM T30 CR® Stimulator (patient device): The stimulator is used by the patient for the application of the therapeutic stimulation signal. It has a rechargeable battery for the energy supply and electronic components to generate the stimulation signal. ANM T30 CR® Earphones: The ANM T30 CR® Earphones are to be connected either to the ANMT30 CR® Patient Console to measure the tinnitus and adjust the stimulation signal or to the ANM T30 CR® Stimulator to apply the stimulation signal.
More Information

Not Found

No
The description focuses on individualized acoustic tones and a computer-controlled system for generating them, with no mention of AI or ML algorithms for analysis, adaptation, or prediction.

Yes
The device is intended to provide relief from the disturbance of tinnitus with regular use, directly addressing a health condition.

No

The device is described as a "Tinnitus Therapy System" intended to "provide relief from the disturbance of tinnitus," indicating a therapeutic rather than diagnostic purpose. While it includes "tinnitus analysis software" to "measure the tinnitus," this measurement is explicitly for adjusting "individual therapeutic stimulation signals" and programming the patient device, not for diagnosing the condition itself. The primary function outlined is the application of therapeutic stimulation.

No

The device description clearly outlines multiple hardware components including a Patient Console, Stimulator (with battery and electronic components), and Earphones, in addition to the software.

Based on the provided information, the ANM T30 CR® Tinnitus Therapy System is not an In Vitro Diagnostic (IVD).

Here's why:

  • IVDs are used to examine specimens derived from the human body. The ANM T30 CR® system works by providing acoustic stimulation to the patient's ears. It does not analyze blood, urine, tissue, or any other biological sample.
  • The intended use is for tinnitus therapy. The system is designed to provide relief from tinnitus through acoustic stimulation, not to diagnose a condition or provide information about a patient's health status based on laboratory analysis.

The device description and intended use clearly indicate that this is a therapeutic device that delivers acoustic signals to the patient.

N/A

Intended Use / Indications for Use

The ANM T30 CR® Tinnitus Therapy System is intended to provide relief from the disturbance of tinnitus while using the system, and with regular use (over several months) may provide relief to the patient when not using the system.
The ANM T30 CR® Stimulator is a patient device for home use.
The ANM T30 CR® Stimulator is fitted and programmed by a qualified healthcare professional familiar with tinnitus treatment.
Stimulation needs to be applied for several hours a day over a period of weeks or months. The target population is adults over 18 years of age.

Product codes

KLW

Device Description

The ANM T30 CR® is a computer-controlled system for tinnitus therapy is provided to the patient by individualized, ambient acoustic tones. The system consists of four components:
ANM T30 CR® Programmer (computer) including the tinnitus analysis software ANM T30 CR® SW: The ANM T30 CR® Software is used to measure the tinnitus, adjust the individual therapeutic stimulation signals and program the patient device (ANM T30 CR® Stimulator).
ANM T30 CR® Patient Console: The ANM T30 CR® Patient Console is connected to the ANM T30 CR® Programmer and is used by the patient to adjust the parameters specific to his/her tinnitus (frequency and loudness) during tinnitus measurement and stimulation signal adjustment.
ANM T30 CR® Stimulator (patient device): The stimulator is used by the patient for the application of the therapeutic stimulation signal. It has a rechargeable battery for the energy supply and electronic components to generate the stimulation signal.
ANM T30 CR® Earphones: The ANM T30 CR® Earphones are to be connected either to the ANMT30 CR® Patient Console to measure the tinnitus and adjust the stimulation signal or to the ANM T30 CR® Stimulator to apply the stimulation signal.
Patient contact parts are manufactured from materials that meet the ISO-10993 biocompatibility requirement contact with intact skin, as tested by their suppliers. The ANM T30 CR® Tinnitus Therapy System meets the applicable general electrical safety requirements of IEC 60601 1, and the requirements of IEC 60601-1-2.

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 over 18 years of age.

Intended User / Care Setting

Home use under the supervision of a qualified healthcare professional.
The ANM T30 CR® Stimulator is a patient device for home use.
The ANM T30 CR® Stimulator is fitted and programmed by a qualified healthcare professional familiar with tinnitus treatment.

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)

Nonclinical verification and validation testing activities were conducted to establish the performance, functionality and reliability characteristics of the device. Testing involved verification of software requirement specifications from risk analysis. The testing shows that the ANM T30 CR® System is as safe, as effective and performs as well as or better than the predicate devices identified in the above Comparison Table.

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

Not Found

Predicate Device(s)

Neuromonics Tinnitus Treatment System, K043274, TinniTech ANMP System, K030791

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 874.3400 Tinnitus masker.

(a)
Identification. A tinnitus masker is an electronic device intended to generate noise of sufficient intensity and bandwidth to mask ringing in the ears or internal head noises. Because the device is able to mask internal noises, it is also used as an aid in hearing external noises and speech.(b)
Classification. Class II. The special control for this device is patient labeling regarding:(1) Hearing health care professional diagnosis, fitting of the device, and followup care,
(2) Risks,
(3) Benefits,
(4) Warnings for safe use, and
(5) Specifications.

0

K112752

DEC 1 6 2011

510(k) Summary 5

| Company Name:
Address: | ANM Adaptive Neuromodulation GmbH
Im Mediapark 6d
50670 Cologne
Germany |
|--------------------------------------|-----------------------------------------------------------------------------------------------------------------------------|
| Telephone:
FAX: | +49 (0)221 454-6300 Ext. 6340
+49 (0)221 454-6302 |
| Contact person: | Dr. Ingrid Rohm
Quality & Regulatory Manager |
| Date summary prepared: | September 9, 2011 |
| Classification Name/
Common Name: | Tinnitus Masker |
| Trade Name: | ANM T30 CR® Tinnitus Therapy System |
| Product Code: | KLW |
| Device Classification: | Class II |
| Predicate Devices: | Neuromonics Tinnitus Treatment System, K043274
(Neuromonics PTY Ltd.)
TinniTech ANMP System, K030791 (Tinnitech Ltd.) |

Device Description:

The ANM T30 CR® is a computer-controlled system for tinnitus therapy is provided to the patient by individualized, ambient acoustic tones. The system consists of four components:

ANM T30 CR® Programmer (computer) including the tinnitus analysis software ANM T30 CR® SW: The ANM T30 CR® Software is used to measure the tinnitus, adjust the individual therapeutic stimulation signals and program the patient device (ANM T30 CR® Stimulator).

ANM T30 CR® Patient Console:

The ANM T30 CR® Patient Console is connected to the ANM T30 CR® Programmer and is used by the patient to adjust the parameters specific to his/her tinnitus (frequency and loudness) during tinnitus measurement and stimulation signal adjustment.

ANM T30 CR® Stimulator (patient device):

The stimulator is used by the patient for the application of the therapeutic stimulation signal. It has a rechargeable battery for the energy supply and electronic components to generate the stimulation signal.

1

ANM T30 CR® Earphones:

The ANM T30 CR® Earphones are to be connected either to the ANMT30 CR® Patient Console to measure the tinnitus and adjust the stimulation signal or to the ANM T30 CR® Stimulator to apply the stimulation signal.

Patient contact parts are manufactured from materials that meet the ISO-10993 biocompatibility requirement contact with intact skin, as tested by their suppliers. The ANM T30 CR® Tinnitus Therapy System meets the applicable general electrical safety requirements of IEC 60601 1, and the requirements of IEC 60601-1-2.

Intended Use:

The ANM T30 CR® Tinnitus Therapy System is intended to provide relief from the disturbance of tinnitus while using the system, and with regular use (over several months) may provide relief to the patient when not using the system.

The ANM T30 CR® Stimulator is a patient device for home use.

The ANM T30 CR® Stimulator is fitted and programmed by a qualified healthcare professional familiar with tinnitus treatment.

Stimulation needs to be applied for several hours a day over a period of weeks or months. The target population is adults over 18 years of age.

Table 5.1: Comparison to Predicate Device:

ANM T30 CR® SystemNeuromonics Tinnitus Treatment SystemTinniTech ANMP System
Intended useThe ANM T30 CR®
Tinnitus Therapy
System is intended to
provide relief from the
disturbance of tinnitus
while using the system,
and with regular use
(over several months)
may provide relief to
the patient when not
using the system.
The ANM T30 CR®
Stimulator is a patient
device for home use.
The ANM T30 CR®
Stimulator is fitted and
programmed by a
qualified healthcare
professional familiar
with tinnitus
treatment.
Stimulation needs to be
applied for several
hours a day over a
period of weeks or
months.
The target population is
adults over 18 years of
age.The Neuromonics Tinnitus
Treatment System is
intended to provide relief
from the disturbance of
tinnitus while using the
system, and with regular
use (over several months)
may provide relief to the
patient when not using the
system.
The Neuromonics Tinnitus
Treatment System is
intended to interact and
intermittently interact with
the patients tinnitus as part
of a tinnitus management
program. The addition of
the music is to aid the
promotion of relaxation
during the tinnitus
interaction process.
The initial hearing and
tinnitus tests are conducted
by a qualified audiologist
familiar with the treatment
of tinnitus; the subsequent
management of the
treatment is carried out by
an appropriate healthcareThe ANMP System is
intended to completely
mask and intermittently
mask tinnitus as part of a
tinnitus management
program. The addition of
the music is to aid the
promotion of relaxation
during the tinnitus masking
process.
The initial hearing and
tinnitus tests are conducted
by a qualified audiologist
familiar with the treatment
of tinnitus; the subsequent
management of the
treatment is carried out by
an appropriate healthcare
professional.
The target population for
the device is adults (18
years and over) who
present with tinnitus that
may or may not be
accompanied with hearing
loss at the higher
frequencies and who are
participating in a tinnitus
ANM T30 CR® SystemNeuromonics Tinnitus Treatment SystemTinniTech ANMP System
professional.management program.
The target population for the device is adults (18 years and over) who present with tinnitus that may or may not be accompanied with hearing loss at the higher frequencies and who are participating in a tinnitus management program.
Physical dimensionsANM T30 CR® Stimulator (1.85" x 1.65" x 0.91") with preprogrammed auditory stimuli delivered through earphonesiPod-like device (4.06" x 2.32" x 0.71") with prerecorded audio stimuli delivered through headphonesThe Philips eXanium 401 mini MP3 mini CD player with earphones is supplied by TinniTech
Size:
3.6" x 4.7" x 1.1" (LxHxD)
Maximum Output CharacteristicsMaximum output is 80 dB(A) (software-controlled).
This maximum can be exceeded only with the consent of a qualified healthcare professional to 115 dB(A). As this maximum output exceeds the OSHA (Standard 1910.95) 8 hour time weighted average for the occupational workplace, warnings are included in the User ManualFixed at 80 dB SPLThe maximum output from the earphones could exceed 85 dBA, the OSHA (Standard 29CFR 1910.95) 8 hour time weighted average for the occupational workplace, and therefore a warning about setting the player volume setting at a comfortable (safe) level is included in the User's Manual and on the player
Frequency Range90 Hz - 13 kHz100 Hz - 12.5 kHz20 Hz - 20 KHz
Audio Signal TechnologyDigitalDigitalDigital
MediumFlash MemorySD Memory CardTwo mini CDs
Energy used2.4V, 2 x rechargeable Ni-MH button, 1.2VLithium polymer, output 6VThe supplied mini disc player, the Philips eXpanium 401 operates from either one AA cell or a 110 VAC mains adapter provided with the player
Transducer (headphones type)Use only earphones supplied with the ANM T30 CR® Tinnitus Therapy System. TheUse only earphones supplied with the Neuromonics device. Other earphones may notUse the earphones provided with the mini disc player
ANM T30 CR® SystemNeuromonics Tinnitus
Treatment SystemTinniTech ANMP System
stimulation sequence
program has been
acoustically aligned
specifically for use with
these earphonessounds that are essential
for treatment
Where usedHome use under the
supervision of a
qualified healthcare
professionalHome use under the
supervision of a qualified
clinicianHome use under the
management of an
appropriate qualified
healthcare professional
SafetyAvoid using the ANM
T30 CR® Tinnitus
Therapy System while
driving or other
activities that require
the patient's full
attentionAvoid using the
Neuromonics device while
driving, cycling, or while
performing any other
activity that requires the
patient's full attentionThe ANMP therapy should
never be undertaken when
tinnitus masking sounds
might prevent the patient
from hearing cues or
warnings of likely harm or
danger

2

.

3

Summary of performance data:

Nonclinical verification and validation testing activities were conducted to establish the performance, functionality and reliability characteristics of the device. Testing involved verification of software requirement specifications from risk analysis. The testing shows that the ANM T30 CR® System is as safe, as effective and performs as well as or better than the predicate devices identified in the above Comparison Table.

Risks to health

With a maximum output of 115 dB(A) the ANM T30 CR® Stimulator could exceed the occupational workplace OSHA standard 29 CFR 1910.95. To avoid possible hearing damage the health care professional only can program the stimulator to allow for acoustic signals above 80 dB(A) for use by tinnitus patients who suffer from impaired hearing.

The User's Manual carries precautions to reduce the acoustic volume or stop the treatment if the auditory stimulation volume is uncomfortable. It also states that stimulation should not been done when undisturbed attention is required.

Hearing Healthcare Professional Diagnosis

The sale and fitting of the ANM T30 CR® system will only be conducted through a Hearing Healthcare Professional.

Benefits

Supported by appropriate counselling and/or tinnitus therapy, relief from tinnitus symptoms may be experienced by using the ANM T30 CR® Stimulator.

4

Image /page/4/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 tail feathers, representing the department's commitment to health, human services, and well-being. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular fashion around the eagle.

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

ANM Adaptive Neuromodulation GmbH c/o Dr. Ingrid Rohm Quality & Regulatory Manager Im Mediapark 6d 50670 Cologne Germany

DEC 1 6 2011

Re: K112752

Trade/Device Name: ANM T30 CR® Tinnitus Therapy System Regulation Number: 21 CFR 874.3400 Regulation Name: Tinnitus Masker Regulatory Class: Class II Product Code: KLW Dated: September 9, 2011 Received: September 21, 2011

Dear Dr. Rohm:

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.

5

Page 2 - Dr. Ingrid Rohm

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/ResourcesforYou/Industry/default.htm.

Sincerely vours.

Melvina R. Evdelman, M.D.

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

6

K//2+52

Indications for Use 4

510(k) Number (if known):

ANM T30 CR® Tinnitus Therapy System Device Name:

Indications For Use:

The ANM T30 CR® Tinnitus Therapy System is intended to provide relief from the disturbance of tinnitus while using the system, and with regular use (over several months) may provide relief to the patient when not using the system.

The ANM T30 CR® Stimulator is a patient device for home use.

The ANM T30 CR® Stimulator is fitted and programmed by a qualified healthcare professional familiar with tinnitus treatment.

Stimulation needs to be applied for several hours a day over a period of weeks or months. The target population is adults over 18 years of age.

Prescription Use _ X (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)

Page 1 of

Anne K. Kane Ph.D.

hsion Sign-Off) ision Sign-On)
sion of Ophthalmic, Neurological and Ear, Nose and Throat Devices

510(k) Number