K Number
K962516
Date Cleared
1996-09-10

(75 days)

Product Code
Regulation Number
872.5570
Panel
Dental
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The TAP is intended to reduce or alleviate night time snoring
Target population - - Patients who have a problem with snoring.
Environment of Use - - Home and sleep laboratories

Device Description

The TAP anti-snoring device is comprised of -

  • Lower tray fitted over the lower teeth.
  • Upper tray fitted over the upper teeth.
  • Impression material
  • Hook mechanism to attach lower tray to upper tray
AI/ML Overview

The provided document, K962516, is a Non-Confidential Summary of Safety and Effectiveness for the TAP oral appliance, an anti-snoring device. This document is a 510(k) premarket notification summary and primarily focuses on demonstrating substantial equivalence to predicate devices, rather than presenting a performance study with detailed acceptance criteria and results.

Therefore, the input does not contain the information requested to fully answer your prompt, specifically regarding:

  • Acceptance criteria and reported device performance: No specific quantitative acceptance criteria or performance metrics (e.g., reduction in snoring events, decibel reduction) are provided.
  • Study details: There is no description of a clinical study or device performance study with sample sizes, data provenance, ground truth establishment, expert qualifications, or adjudication methods. The document explicitly states under "Performance Testing": "None applicable."
  • MRMC comparative effectiveness study: No such study is mentioned.
  • Standalone performance study: No such study is mentioned.
  • Training set details: No training set or ground truth for a training set is mentioned as there is no algorithm described.

Summary based on the provided text:

Information RequestedDetails from Document
1. Table of acceptance criteria and reported device performanceNo specific acceptance criteria or quantitative device performance metrics are reported. The document demonstrates substantial equivalence to predicate devices. The "Performance Testing" section explicitly states "None applicable." The main performance attributes implicitly assessed by comparison to predicates are: - Intended to reduce snoring (Yes, same as predicates) - Works by holding lower jaw forward (Yes, same as predicates) The "Differences Between Other Legally Marketed Predicate Devices" section states that the differences in design (two-piece construction allowing talking, drinking, and mouth breathing) "do not have a significant effect on the safety or effectiveness of the device." This implies that the device is expected to perform at least comparably to the predicates in reducing snoring, but no specific performance data is provided to qualify this.
2. Sample size used for the test set and data provenanceNot applicable. The document explicitly states "Performance Testing: None applicable." No clinical test set data from prospective or retrospective studies, nor country of origin, is provided.
3. Number of experts used to establish ground truth for test set and qualificationsNot applicable. No test set or ground truth establishment relevant to device performance is described.
4. Adjudication method for the test setNot applicable. No test set requiring ground truth adjudication is described.
5. If a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was done, effect size of human readers improve with AI vs without AI assistanceNot applicable. No MRMC study is mentioned. The device is a physical anti-snoring appliance, not an AI or imaging diagnostic tool, so a MRMC study involving human readers and AI assistance would not be relevant.
6. If a standalone (algorithm only without human-in-the-loop performance) was doneNot applicable. The device is a physical anti-snoring appliance. It is not an algorithm, and therefore, a standalone algorithm performance study is not relevant.
7. The type of ground truth usedNot applicable. No clinical ground truth (e.g., from pathology, outcomes data, expert consensus on snoring reduction results) is presented in this 510(k) summary. The document relies on comparison to predicate devices, assuming their known safety and effectiveness.
8. The sample size for the training setNot applicable. As this is a physical medical device and not an AI/ML algorithm requiring training, there is no mention of a training set.
9. How the ground truth for the training set was establishedNot applicable. There is no training set described.

{0}------------------------------------------------

SEP | 0 |996

Nellcor Puritan Bennett Inc 10252 Valley View Road Eden Prairie MN 55344-3544

12 941.3006 212 8295423 Fa

K962516

Non-Confidential Summary of Safety and Effectivene

page 1 of 3 June 26, 1996

Nellcor Puritan-Bennett, Inc. 10200 Valley View Rd. Eden Prairie, MN 55344

Tel - (612) 941-3006 Fax - (612) 829-5423

Official Contact:Chris Hadland, Director, RA and QA
Proprietary or Trade Name:TAP
Common/Usual Name:Oral Appliance - anti-snoring device
Classification Name:Anti-snoring device
Device:TAP
Predicate Devices:H&M Anti-snoring device - K882303Distar, Inc. - TheraSnore - K926382Dental Services group - PM and Adjustable PM Positioner -K# unknown

Device Description:

The TAP anti-snoring device is comprised of -

    • Lower tray fitted over the lower teeth.
    • Upper tray fitted over the upper teeth.
    • Impression material
    • Hook mechanism to attach lower tray to upper tray

Intended Use:

Indicated Use --The TAP is intended to reduce or alleviate night time snoring
Target population - -Patients who have a problem with snoring.
Environment of Use - -Home and sleep laboratories

Image /page/0/Picture/17 description: The image shows the logo for Nellcor Puritan Bennett. The logo consists of a black square with a white swirl design inside. To the right of the square are the words "NELLCOR", "PURITAN", and "BENNETT" stacked vertically.

{1}------------------------------------------------

Non-Confidential Summary of Safety and Effectiveness (continued)

!

(

page 2 of 3

June 26, 1996

Comparison to Predicate Devices:

AttributeIntendeddeviceH&Manti-snoringPM PositionerTheraSnore
Use
Intended as an intraoral deviceYesYesYesYes
Intended to reduce snoringYesYesYesYes
Indicated for use withpatients who snoreYesYesYesYes
Indicated for single patientmulti - useYesYesYesYes
Indicated for use at home orsleep laboratoriesYesYesYesYes
Design
Rigid tray piecesYesYesYesYes
Heat sensitive impressiblematerial for fitting to teethYesYesYesYes
Separate tray piecesYesNoNoNo
Custom fit for each patientYesYesYesYes
Works by holding lower jaw forwardYesYesYesYes
Can be adjusted or refitYesYesYesYes
Placed in patient mouth eacheveningYesYesYesYes
Cleaned dailyYesYesYesYes
Permits lateral and / or verticaljaw movementYesYesYesYes
AttributeIntendeddeviceH&Manti-snoringPM PositionerTheraSnore
Design (continued)
Upper and lower tray unhookfor easy removal from mouthYesNoNoNo
Permits patient to talk and drinkwith appliance in placeYesNoNoNo
Permits patient to breaththrough mouthYesNoNoNo
Materials
Rigid tray materialYesYesYesYes
Heat sensitive impressionmaterialYesYesYesYes
Performance Testing
None applicableYesYesYesYes

{2}------------------------------------------------

Non-Confidential Summary of Safety and Effectiveness (continued)

page 3 of 3

June 26, 1996

to Predicate Devices: (continued)

Differences Between Other Legally Marketed Predicate Devices

The difference between the intended device and predicates is only in the design of the device.

    • Two piece construction (upper and lower trays) design permits patient to talk, drink and breath through the mouth with the appliance in place.
      These differences do not have a significant effect on the safety or effectiveness of the device.

page 5 of 64

§ 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.”