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510(k) Data Aggregation

    K Number
    K091035
    Manufacturer
    Date Cleared
    2009-06-24

    (75 days)

    Product Code
    Regulation Number
    872.5570
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    BRYAN KEROPIAN DDS

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    1. Full Breath Sleep Appliance Lower- This appliance is indicated for the treatment of snoring.
    2. Full Breath Sleep Appliance Lower This appliance is indicated for the treatment of mild to moderate obstructive sleep apnea.
    Device Description

    The Full Breath Soution Lower is a custom fabricated device which is typically done by a professional dental laboratory and delivered by a dentist.

    AI/ML Overview

    There is no information in the provided text about acceptance criteria or a study proving the device meets acceptance criteria. The document is a 510(k) summary and FDA letter for a PREDICATE DEVICE COMPARISON TABLE:
    dental appliance, which focuses on demonstrating substantial equivalence to a predicate device rather than presenting detailed study results against specific acceptance criteria.

    The document indicates that "All the research and data gathered for 510(k) K061228 are applicable for this application for certification," referring to a previously cleared device. However, the details of that prior research and data, including acceptance criteria and study particulars, are not included in the provided text.

    Therefore, I cannot fulfill your request for the tables and details regarding acceptance criteria and a study that proves the device meets them based on the given information.

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    K Number
    K061228
    Manufacturer
    Date Cleared
    2006-05-26

    (24 days)

    Product Code
    Regulation Number
    872.5570
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    BRYAN KEROPIAN DDS

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    1. Full Breath Sleep Appliance With Posterior Tongue Depressor- This appliance is indicated for the treatment of snoring.
    2. Full Breath Sleep Appliance With Posterior Tongue Depressor This appliance is indicated for the treatment of mild to moderate obstructive sleep apnea.
    Device Description

    Not Found

    AI/ML Overview

    The provided text does not contain information about acceptance criteria or a study that proves the device meets specific acceptance criteria. Instead, it is a 510(k) summary and FDA decision letter for a medical device called the "Full Breath Sleep Appliance With Posterior Tongue Depressor."

    Here's what the document does provide:

    • Device Name: Full Breath Sleep Appliance With Posterior Tongue Depressor (and other variations)
    • Applicant: Bryan Keropian DDS
    • Proposed Product Code: LQZ
    • Proposed Device Classification: Jaw Repositioning Device
    • Indications for Use:
      • Treatment of snoring
      • Treatment of mild to moderate obstructive sleep apnea
    • Substantial Equivalence (SE) Claim: The device claims substantial equivalence to several predicate devices for the treatment of mild and moderate OSA, snoring, and bruxism.

    The document focuses on establishing substantial equivalence to previously cleared devices rather than presenting new performance data against specific acceptance criteria. This is common for 510(k) submissions, where the primary goal is to show that a new device is as safe and effective as a legally marketed predicate device.

    Therefore, I cannot populate the requested table or provide information about a study proving acceptance criteria as that data is not present in the provided text.

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    K Number
    K053065
    Manufacturer
    Date Cleared
    2006-01-03

    (63 days)

    Product Code
    Regulation Number
    872.5570
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    BRYAN KEROPIAN DDS

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    1. An oral appliance to be used for the treatment of mild and moderate Obstructive Sleep Apnea.
    2. For the treatment of snoring.
    3. For the prevention of bruxism.
    Device Description

    The Full Breath Sleep Appliance PB & PBB is a custom device fabricated typically by a Professional dental laboratory and delivered by a dentist. This is a simple enhancement to the design of the Quiet Night & Quiet Night MA (K032410). It incorporates the Quiet Night function of control of vertical dimension and mandibular advancement for reduction/elimination of snoring. It also incorporates the posterior trans-palatal bar of the Quiet Night and Quiet Night MA to prevent the tongue from sealing against the palate and thus reduce snoring. It also restrains the tongue from up and back movement. The tongue restraint has resulted in reduced AHI/RDI's, and elevation of the O2 low saturation (nadir) when sleeping.

    AI/ML Overview

    This 510(k) premarket notification for the Full Breath Sleep Appliance (PB and PBB) does not contain a study that establishes acceptance criteria or demonstrates device performance against those criteria. The submission primarily focuses on establishing substantial equivalence to previously cleared predicate devices.

    Here's a breakdown of what can be inferred from the provided text regarding a study, and what information is missing:

    1. A table of acceptance criteria and the reported device performance

    • Acceptance Criteria: Not explicitly stated or defined in the provided document. The 510(k) relies on substantial equivalence to predicate devices, implying that acceptable performance is generally aligned with those devices.
    • Reported Device Performance: The document only makes a qualitative claim: "The tongue restraint has resulted in reduced AHI/RDI's, and elevation of the O2 low saturation (nadir) when sleeping." No quantitative data or metrics are provided to support this claim. Therefore, a table comparing acceptance criteria to reported performance cannot be constructed from this document.

    2. Sample size used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective)

    • This information is not provided in the document. The statement "The tongue restraint has resulted in reduced AHI/RDI's, and elevation of the O2 low saturation (nadir) when sleeping" is a general claim without details of a specific study, sample size, or data provenance.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    • This information is not provided because no specific study with a "test set" and "ground truth" establishment is detailed.

    4. Adjudication method (e.g., 2+1, 3+1, none) for the test set

    • This information is not provided as no specific study or test set is described.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    • This is not applicable to the Full Breath Sleep Appliance. This device is a physical intraoral appliance, not an AI or imaging diagnostic tool that would involve "human readers" or AI assistance in interpretation.

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

    • This is not applicable to the Full Breath Sleep Appliance, for the same reasons as point 5.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

    • This information is not provided as no specific study with established ground truth is detailed.

    8. The sample size for the training set

    • This information is not provided. This device is not an AI/machine learning model, and thus does not have a "training set" in that context. If a clinical study was undertaken, it would involve participants to evaluate clinical outcomes, but details of such a study are absent.

    9. How the ground truth for the training set was established

    • This information is not provided as there is no "training set" in the context of an AI/machine learning model.

    Summary of Study Information in the K053065 510(k):

    The provided 510(k) summary for the Full Breath Sleep Appliance is focused on demonstrating substantial equivalence to predicate devices (Quiet Night & Quiet Night MA, Breathe EZ Anti-Snoring Device, Sleepbite, The Silencer) that have already been cleared for similar indications. It does not include detailed clinical study data or a statistical analysis of performance against specific acceptance criteria.

    The only statement related to performance is: "The tongue restraint has resulted in reduced AHI/RDI's, and elevation of the O2 low saturation (nadir) when sleeping." This is a general claim about the device's effect, but no supporting data (e.g., from a clinical trial, sample size, methodology, statistical significance) are presented in the provided text. For a 510(k) submission, particularly for Class II devices, clinical data demonstrating safety and effectiveness may not always be required if substantial equivalence to a predicate device can be established through technological characteristics and indications for use.

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    K Number
    K052862
    Manufacturer
    Date Cleared
    2005-12-30

    (80 days)

    Product Code
    Regulation Number
    872.5570
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    BRYAN KEROPIAN DDS

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    1. AN ORA/ Appliance to be used for the theatment of mild And Moderate Obstructive Sleep ApNCA
    2. For the treatment of SNORING
    3. For the prevENTION OF DRUKIEM.
    Device Description

    The Full Breath Sleep Appliance is a custom fabricated device typically by a professional dental laboratory and delivered by a dentist. This is a simple enhancement to the design of the Quiet Night & Quiet Night MA (K032410). It incorporates the Quiet Night and the NTI (K010867) anterior discluding element for bruxism and control of vertical dimension and anterior mandibular advancerient for reduction/elimination of snoring. It also has the posterior trans-palatal bar to prevent the tongue from sealing against the palate and reducing snoring, and restrains the tongue from up and back movement. The tongue restraint has resulted in reduced AHI/RDI's and reduction of ODI's.

    AI/ML Overview

    This document is a 510(k) summary for the Full Breath Sleep Appliance. The device is intended for the treatment of mild and moderate Obstructive Sleep Apnea, the treatment of snoring, and the prevention of bruxism.

    The key information provided includes:

    • Acceptance Criteria and Device Performance: Not explicitly stated as acceptance criteria in the prompt's sense. However, the device is considered substantially equivalent to predicate devices, implying it meets similar performance expectations. The efficacy is based on its design incorporating features from existing devices known to achieve these indications.
    • Sample Size and Data Provenance: No specific study data, sample size, or provenance (country of origin, retrospective/prospective) is provided in this 510(k) summary. The submission focuses on substantial equivalence to predicate devices rather than new clinical trials.
    • Ground Truth Establishment: Not applicable as no new clinical study validating performance against a ground truth is presented.
    • Expert and Adjudication Methods: Not applicable as no new clinical study validating performance against a ground truth is presented.
    • MRMC Comparative Effectiveness Study: Not performed or reported in this document. The submission is not related to assessing AI assistance.
    • Standalone Performance: Not applicable as this is not a standalone algorithm, but a physical medical device.
    • Type of Ground Truth: Not applicable, as detailed above.
    • Training Set Sample Size and Ground Truth: Not applicable, as this is not an AI/algorithm-based device requiring a training set.

    Summary of Device Performance (Implied by Substantial Equivalence):

    The Full Breath Sleep Appliance (AB and ABB) is described as a simple enhancement to existing predicate devices (Quiet Night & Quiet Night MA - K032410, and NTI - K010867). Its design incorporates the anterior discluding element for bruxism and control of vertical dimension and anterior mandibular advancement for reduction/elimination of snoring, similar to the NTI. It also includes a posterior trans-palatal bar, which is stated to prevent tongue sealing against the palate, reduce snoring, and restrain the tongue from up and back movement, leading to "reduced AHI/RDI's and reduction of ODI's."

    Predicate Device Comparison Table:

    Product Name510(k)Product CodeIndicated UseMethod of Delivery
    Full Breath Sleep Appl.PendingLQZTreatment of Mild & Mod. OSA, Prevent Bruxism, SnoringBy prescription
    Quiet Night Quiet Nt. MAK032410LQZProphylactic treatment of medically diagnosed migraine pain, Prevent BruxismBy prescription
    NTI Tension Suppression SystemK010876LQZProphylactic treatment of medically diagnosed migraine pain, Prevent BruxismBy prescription
    Breathe EZ Anti-Snoring DeviceK022891LRKTreatment of snoring, Prevent BruxismBy prescription
    SleepbiteK103808LRKTreatment of snoring, Prevent BruxismBy Prescription
    Dr. B's MouthpieceK991948LRKTreatment of snoring, Prevent BruxismBy prescription

    Note: The FDA's 510(k) clearance process involves demonstrating substantial equivalence to a legally marketed predicate device, rather than requiring new clinical trials that explicitly define acceptance criteria and studies to meet them in the manner described in the prompt for AI/algorithm-based devices. The "study" in this context is the comparison to existing, approved devices and the rationale for how the new device's design achieves similar intended effects.

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