(402 days)
Not Found
No
The device description focuses on mechanical components and physical adjustments for mandibular repositioning. There is no mention of software, algorithms, or data processing that would indicate the use of AI/ML.
Yes
The "Intended Use / Indications for Use" section explicitly states that the device is "used to reduce or alleviate the occurrence of snoring and/or for the treatment of mild to moderate obstructive sleep apnea (OSA)." This direct claim of treating a medical condition (OSA) and alleviating symptoms (snoring) identifies it as a therapeutic device.
No
Explanation: The device is described as an "anti-snoring device" and "mandibular repositioner" used for the "treatment of snoring and mild to moderate obstructive sleep apnea (OSA)". Its function is to improve breathing, not to diagnose a condition.
No
The device description clearly states it is an "intraoral device" comprised of physical components made from dental cast alloy and stainless steel springs. It is a physical mandibular repositioner, not a software-only device.
Based on the provided information, the TheraSom-CAST device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use is to reduce snoring and treat mild to moderate obstructive sleep apnea. This is a therapeutic purpose, not a diagnostic one.
- Device Description: The device is a physical, intraoral appliance that mechanically repositions the jaw. It does not involve the analysis of biological samples (blood, urine, tissue, etc.), which is the core function of an IVD.
- Lack of IVD Characteristics: There is no mention of analyzing samples, detecting biomarkers, or providing diagnostic information based on laboratory tests.
IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. The TheraSom-CAST is a medical device used for treatment.
N/A
Intended Use / Indications for Use
The TheraSom-CAST is used to reduce or alleviate the occurrence of snoring and/or for the treatment of mild to moderate obstructive sleep apnea (OSA) in patients 18 years of age or older.
Product codes
LRK, LQZ
Device Description
The TheraSom-CASTTM anti-snoring device is a removable, adjustable intraoral device intended for the treatment of snoring and mild to moderate obstructive sleep apnea (OSA) in adult patients 18 years or older. The device functions as a mandibular repositioner, which acts to improve the patient's ability to breathe without obstruction of the pharyngeal airway. The TheraSom-CAST is customized by molding to conform to the patient's dentition. Like the predicate devices, this device is comprised of an upper and lower component, each fitted over the corresponding dentition and coupled together by a locking mechanism. The locking mechanism of the TheraSom-CAST is formed by stainless steel tension springs connected to the upper and lower components externally on either side of the device. The springs may vary in lengths and may be moved to adjust the relative positions of the upper and lower components so as to set the distance of the mandibular advancement. While the device includes no plastic parts (the upper and lower components are made from dental cast alloy and the springs are formed of stainless steel); this difference in materials and the construction by customized dental cast molding do not introduce any new safety issues.
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
18 years of age or older.
Intended User / Care Setting
Home and in 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
A feasibility study was conducted wherein five (5) participants were assessed with polysomnographic study in a sleep center, with and without the device in place. AHI post-treatment with the device was measured for each patient. Visual screening of gingival health and physical assessment of tooth mobility were performed after use of the device for a period of time of at least 8 months. The patients reported that use of the device at night reduced the symptom of snoring.
Key Metrics
Not Found
Predicate Device(s)
K971794, K955503, K950763, K050592
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
Kli3slb
JAN 0 4 2013
510(k) Summary
This summary of substantial equivalence for the purposes of assessing safety and effectiveness under Section 510(k) of the Federal Food, Drug, and Cosmetic Act is being submitted in accordance with the requirements of 21 CFR 807.92.
| Submitter: | Family Dental Services, P.C. |
|---|---|
| Contact Person: | Thomas E. Meade, D.D.S. |
| Family Dental Services, P.C. | |
| 215 16th Street, S.W. | |
| Albuquerque, New Mexico 87104 | |
| Tel: (505) 263-7172 | |
| Device Name/Trade Name: | TheraSom-CAST™ |
| Classification Name: | Intra Oral Devices for Snoring and Intra Oral Devices for Snoring |
| and Obstructive Sleep Apnea (21 CFR 872.5570) | |
| Panel: | Dental |
| Classification Product Code: | LRK |
| Subsequent Product Code: | LQZ |
Predicate Devices:
| Device Trade Name | Manufacturer | 510(k) Reference
Number | Product
Code |
|--------------------------|----------------------------|----------------------------|-----------------|
| Myerson EMA | Frantz Design, Inc. | K971794 | LRK |
| Adjustable PM Positioner | Jonathan A. Parker, D.D.S. | K955503 | LQZ |
| Lowe Klearway | Dr. Alan A. Lowe, Inc. | K950763 | LRK |
| SomnoMed MAS RXA | SomnoMed, Ltd. | K050592 | LRK |
| Intended Use: | The TheraSom-CAST is used to reduce or alleviate the occurrence
of snoring and/or for the treatment of mild to moderate obstructive
sleep apnea (OSA) in patients 18 years of age or older. | | |
|---------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|--|
| Target Population: | Adult patients who have been medically diagnosed with snoring
and/or mild to moderate OSA. | | |
| Environment of Use: | The device is intended for use by patients at home and in sleep
laboratories | | |
1
Device Description:
Brief Discussion
of Feasibility Study:
The TheraSom-CASTTM anti-snoring device is a removable, adjustable intraoral device intended for the treatment of snoring and mild to moderate obstructive sleep apnea (OSA) in adult patients 18 years or older. The device functions as a mandibular repositioner, which acts to improve the patient's ability to breathe without obstruction of the pharyngeal airway. The TheraSom-CAST is customized by molding to conform to the patient's dentition. Like the predicate devices, this device is comprised of an upper and lower component, each fitted over the corresponding dentition and coupled together by a locking mechanism. The locking mechanism of the TheraSom-CAST is formed by stainless steel tension springs connected to the upper and lower components externally on either side of the device. The springs may vary in lengths and may be moved to adjust the relative positions of the upper and lower components so as to set the distance of the mandibular advancement. While the device includes no plastic parts (the upper and lower components are made from dental cast alloy and the springs are formed of stainless steel); this difference in materials and the construction by customized dental cast molding do not introduce any new safety issues.
A feasibility study was conducted wherein five (5) participants were assessed with polysomnographic study in a sleep center, with and without the device in place. AHI post-treatment with the device was measured for each patient. Visual screening of gingival health and physical assessment of tooth mobility were performed after use of the device for a period of time of at least 8 months. The patients reported that use of the device at night reduced the symptom of snoring.
2
2
| Substantial Equivalence
Characteristics | TheraSom-
CAST | Myerson
EMA | Adjustable
PM
Positioner | SomnoMed
MAS | Lowe
Klearway |
|-----------------------------------------------------------------------------|-------------------|----------------|--------------------------------|-----------------|------------------|
| Use | | | | | |
| For intraoral use | Yes | Yes | Yes | Yes | Yes |
| Intended to treat snoring | Yes | Yes | Yes | Yes | Yes |
| Indicated for treatment
of mild to moderate OSA | Yes | Yes | Yes | Yes | Yes |
| Indicated for single,
adult patient multi-use | Yes | Yes | Yes | Yes | Yes |
| Design | | | | | |
| Molded upper and lower
pieces | Yes | Yes | Yes | Yes | Yes |
| Separate upper and
lower components
connected by locking
mechanism | Yes | Yes | Yes | Yes | Yes |
| Side placement of buccal
locking mechanisms | Yes | Yes | Yes | Yes | Yes |
| Metallic buccal locking
mechanisms | Yes | No | Yes | Yes | Yes |
| Coiled spring locking
mechanisms | Yes | No | No | No | No |
| Titrateable, can be
adjusted or re-fit | Yes | Yes | Yes | Yes | Yes |
| Inserted by patient at
night | Yes | Yes | Yes | Yes | Yes |
| Allows for nasal/oral
breathing | Yes | Yes | Yes | Yes | Yes |
| Permits patient to speak
or drink while installed | Yes | Yes | Yes | Yes | Yes |
| Materials | | | | | |
| Upper and lower pieces
constructed from acrylic
material | No | Yes | Yes | Yes | Yes |
| Upper and lower pieces
constructed of dental
alloy material | Yes | No | No | No | No |
:
Comparison of TheraSom-CASTTM to Predicate Devices
3
:
・
3
Substantial Equivalence Discussion
The TheraSom-CAST™ is believed to be substantially equivalent to the referenced predicate devices. The TheraSom-CAST and the predicate devices function as mandibular repositioners which displace the patient's mandible during sleep. The mechanical components of the . TheraSom-CAST and the predicate devices are similar, i.e. they include an upper and lower appliance component and a locking mechanism that is designed to advance the position of the lower component in relation to the upper component, thereby advancing the mandible. As with the predicate devices, the TheraSom-CAST is customized to fit each patient, and the mandibular advancement is adjusted by the dentist or physician at the time of fitting. All the contact surfaces of the TheraSom-CAST are constructed of metal and include no plastics, however this difference does not affect the mode of operation of the device as a mandibular repositioner, and it has not introduced any new safety issues.
CONCLUSION
The construction, intended use and mode of operation of the TheraSom-CAST are substantially similar to the predicate devices, and clinical study data demonstrates that the device is substantially equivalent in effectiveness and safety to the predicate devices.
4
4
Image /page/4/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three stripes representing the three levels of government: federal, state, and local. The eagle is surrounded by the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.
DEPARTMENT OF HEALTH & HUMAN SERVICES
Public Health Service .
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
January 4, 2013
Family Dental Services, P.C. C/O Ms. Deanna L. Baxam Baxam Law Group, Limited Liability Company 2180 Satellite Boulevard, Suite 400 DULUTH GA 30097
Re: K113516
Trade/Device Name: TheraSom-CAST™ 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, LQZ
Dated: November 20, 2012 Received: November 27, 2012
Dear Ms. Baxam:
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
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 vours.
Kwame O. Ulmer
Anthony D. Watson, B.S., M.S., M.B.A. Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
6
Indications for Use
510(k) Number: K | | 35 | (To be assigned)
ં M Device Name: TheraSom-CAST
Indications for Use: The TheraSom-CAST is used to reduce or alleviate the occurrence of snoring and/or for the treatment of mild to moderate obstructive sleep apnea (OSA) in patients 18 years of age or older.
Prescription Use YES (Part 21 CFR 801 Subpart D) AND/OR
Over-The-Counter Use NO (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)
2013.01.04 Susan Runner DDS, MA 07:50:13 -05'00'
(Division Sign-Off) (Division of Anesthesiology, General Hospital Infection Control, Dental Devices
510(k) Number: