K Number
K972061
Device Name
TOA
Date Cleared
1997-08-21

(79 days)

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

The TOA is intended to reduce or alleviate night time snoring and obstructive sleep apnea, OSA.

Device Description

The TOA 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

Here's an analysis of the provided text regarding the TOA Anti-snoring device, focusing on acceptance criteria and supporting studies, formatted as requested:

1. Table of Acceptance Criteria and Reported Device Performance

The document does not explicitly state acceptance criteria in the typical sense of numerical thresholds that the new device must meet to demonstrate safety and effectiveness. Instead, it relies on substantial equivalence to predicate devices. The "Performance Testing" section in the comparison table is the closest equivalent to reporting on device performance relative to a defined metric.

Metric/AttributeAcceptance Criteria (Implied by Predicate)Reported Device Performance (TOA)
Reduction in Apnea-Hypopnea Index (AHI) in patients72% (based on NPB TAP predicate)72%
AHI performance comparable to CPAPYes (based on NPB TAP predicate)Yes
Intended as intraoral deviceYesYes
Intended to reduce/alleviate snoringYesYes
Indicated for mild to moderate OSAYesYes
Indicated for single patient multi-useYesYes
Indicated for home/sleep labsYesYes
Rigid tray piecesYesYes
Heat sensitive impermissible materialYesYes
Separate tray piecesYesYes
Custom fitYesYes
Works by holding lower jaw forwardYesYes
Can be adjusted or refitYesYes
Placed in mouth each eveningYesYes
Cleaned dailyYesYes
Permits lateral/vertical jaw movementYes (TOA, NPB TAP)Yes
Upper/lower tray unhook for easy removalYes (TOA, NPB TAP)Yes
Permits talking and drinkingYes (TOA, NPB TAP)Yes
Permits breathing through mouthYes (TOA, NPB TAP)Yes
Rigid tray materialYesYes
Heat-sensitive impression materialYesYes
None applicable under Section 514 (Performance Testing)YesYes

2. Sample Size for Test Set and Data Provenance

The provided summary does not contain information about a specific test set or clinical study conducted for the TOA device itself to establish the 72% AHI reduction. The 72% figure appears to be directly copied from the performance claimed by the predicate device, NPB TAP (K962516), implying that if the TOA device is "substantially equivalent" in design and intended use, its performance would also be substantially equivalent.

Therefore, there is no direct information on:

  • Sample size used for a test set.
  • Data provenance (country of origin, retrospective/prospective).

3. Number of Experts Used to Establish Ground Truth for the Test Set and Their Qualifications

Since no specific study for the TOA device is described, there's no information on experts used to establish ground truth or their qualifications. The performance metric of "reduced AHI" is a quantifiable physiological measurement typically derived from polysomnography studies, not expert consensus in the way a diagnostic image might be.

4. Adjudication Method for the Test Set

Not applicable, as no specific test set or study for the TOA device is described.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done

No, an MRMC comparative effectiveness study was not done or described in this submission. The device is not a diagnostic tool where "human readers" would be involved in interpreting outputs. It's a therapeutic device for a physiological condition.

6. If a Standalone (i.e. algorithm only without human-in-the loop performance) was done

This is not applicable to an anti-snoring oral appliance. The device itself is the intervention, not an algorithm.

7. The Type of Ground Truth Used

The "ground truth" for the reported performance (72% AHI reduction) would be physiological measurements from polysomnography (PSG) studies that quantify snoring events and apneas/hypopneas. However, this "ground truth" data is attributed to the predicate device (NPB TAP), not presented as directly generated by a study on the TOA device.

8. Sample Size for the Training Set

Not applicable. The TOA is a physical medical device, not an AI/algorithm-based system that requires a "training set."

9. How the Ground Truth for the Training Set was Established

Not applicable, as there is no training set for this type of device.

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

W. Keith Thornton, D.D.S. 6131 Luther Lane, Suite 208 Dallas, TX 75225

K972061..

AUG 21 1997

Non-Confidential Summary of Safety and Effectiveness

page 1 of 3 June 2, 1997

Tel - (214) 691-5621 W. Keith Thornton, D.D.S. 6131 Luther Lane Suite 208 Fax - (214) 691-4934 Dallas, TX 75225

Official Contact:Keith Thornton, D.D.S.
Proprietary or Trade Name:TOA
Common/Usual Name:Oral Appliance - anti-snoring device
Classification Name:Anti-snoring device
Device:TOA
Predicate Devices:Nellcor Puritan Bennett - TAP - K962516
SnoreFree - OSAP - K960673
Distar, Inc. - TheraSnore - K926382

Device Description:

The TOA 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 TOA is intended to reduce or alleviate night time snoringand obstructive sleep apnea, OSA.
Target population --Adult patients
Environment of Use --Home and sleep laboratories

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

Non-Confidential Summary of Safety and Effectiveness (continued)

page 2 of 3

June 2, 1997

Comparison to Predicate Devices: Devices: Devices Comments Comparison

.

: 上一篇:

11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11

AttributeTOANPB TAPK962516OSAPK960673TheraSnoreK92638
Use
Intended as an intraoral deviceYesYesYesYes
Intended to reduce snoring orhelp alleviate snoringYesYesYesYes
Indicated for use with patientswith mild to moderate OSAYesYesYesYes
Indicated for single patientmulti - useYesYesYesYes
Indicated for use at home orsleep laboratoriesYesYesYesYes
Design
Rigid tray piecesYesYesYesYes
Heat sensitive impermissiblematerial for fitting to teethYesYesYesYes
Separate tray piecesYesYesNoNo
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 movementYesYesNoNo
AttributeTOANPB TAPK962516OSAPK960673TheraSnoreK92638
Design (continued)
Upper and lower tray unhookfor easy removal from mouthYesYesNoNo
Permits patient to talk and drinkwith appliance in placeYesYesNoNo
Permits patient to breaththrough mouthYesYesNoNo
Materials
Rigid tray materialYesYesYesYes
Heat sensitive impressionmaterialYesYesYesYes
Performance Testing
None applicable under Section 514YesYesYesYes
reduced AHI in patients72%72%YesYes
AHI performance comparable toCPAPYesYesYesUnknown

page 4 of 30

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

Non-Confidential Summary of Safety and Effectiveness (continued)

page 3 of 3

June 2, 1997

Comparison to Predicate Devices: (continued)

Differences Between Other Legally Marketed Predicate Devices

The difference between the intended device and predicates, except the Nellcor Puritan Bennett - TAP device, is that the intended device is a 2 piece construction. This difference does not have a significant effect on the safety or effectiveness of the device.

page 5 of 30

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Image /page/3/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, with flowing lines representing hair or movement.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

W. Keith Thornton, D.D.S. ·6131 Luther Lane, Suite 208 Dallas, Texas 75225 -

AUG 2 1 1997

Re: K972061 Trade Name: TOA Unclassified Requlatory Class: Product Code: LRK Dated: June 2, 1997 Received: June 3, 1997

Dear Dr. Thornton:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act of the Act. include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. ਜੋ substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory In addition, FDA may publish further announcements action. concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531

{4}------------------------------------------------

Page 2 - Dr. Thornton "

through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or requlations.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA ----finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling requlation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4692. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to
premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Timothy A. Ulatowski

Timothy A. Ülatowski Diredtor Division of Dental, Infection Control, and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

{5}------------------------------------------------

INDICATIONS POR USE

Page 1 of 1

Pursuant to the Notice of February 6, 1996 regarding tisting of Indications for Use on a separate sheet, the following is per that request.

510(k) Number:(To be assigned)
Device Name:TOA Anti-snoring Device
Intended Use :To reduce or alleviate night time snoring and obstructivesleep apnea (OSA)
Environment of use:Home and sleep laboratories
Disposable / Reusable:Single patient - multi- use

Concurrence of CDRH, Office of Device Evaluation (ODE)

or

Susan Runner

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

510(k) Number K972961

Prescription Use
(Per CFR 801.109)

Over-the-counter use _

page 15 of 30

l

§ 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.”