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510(k) Data Aggregation

    K Number
    K143244
    Date Cleared
    2014-12-15

    (33 days)

    Product Code
    Regulation Number
    872.5570
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    The Panthera Anti-Snoring Device

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Panthera Anti-Snoring Device is intended to reduce or alleviate snoring and mild to moderate obstructive sleep apnea (OSA) in adults.

    Device Description

    The Panthera Anti-Snoring Device is a removable intraoral device used for treating snoring and mild to moderate obstructive sleep apnea. It consists of two custom fabricated splints that fit separately over the upper and lower teeth and engage by means of adjustable rods.

    The device functions as a mandibular repositioner, maintaining the lower jaw in a forward position during sleep. This mechanical protrusion acts to increase the patient's pharyngeal space, improving their ability to exchange air during sleep.

    The device is a prescription customized for each patient and has an adjustment mechanism enabling the amount of mandibular advancement to be set by the dentist or physician at the time of fitting the device. The device can be adjusted only by the dentist. The maximum protrusion of the device is 15 mm in 1 mm increments.

    AI/ML Overview

    This document is a 510(k) premarket notification for "The Panthera Anti-Snoring Device." It is a submission to the FDA seeking to demonstrate substantial equivalence to a predicate device, the Narval CC.

    Based on the provided text, the device itself is a physical medical device, not an AI/ML algorithm. Therefore, many of the requested fields related to AI/ML studies (like training/test sets, ground truth methodology, expert adjudication, MRMC studies) are not applicable.

    Here's the information extracted and formatted as requested, with explanations for non-applicable fields:

    1. Table of Acceptance Criteria and Reported Device Performance

    Since this is a physical medical device seeking substantial equivalence, the "acceptance criteria" are generally based on physical and material properties, and the "reported device performance" is a comparison to the predicate. The document doesn't explicitly state numerical acceptance criteria in the way one would for an AI algorithm's performance metrics. Instead, it focuses on demonstrating equivalence in design, materials, and intended use.

    Acceptance Criteria (Implied for Substantial Equivalence to Predicate)Reported Device Performance (Comparison to Narval CC Predicate)
    Intended Use: Reduce/alleviate snoring and mild-to-moderate OSA in adults.Meets: Same intended use.
    Classification: Class II, 21 CFR 872.5570.Meets: Same classification.
    Materials of Construction: Polymeric, biocompatible, durable, flexible, metal-free.Meets: Made from polyamide type 12 (same as predicate), described as highly resilient, durable, biocompatible, flexible, and lightweight.
    Design: CAD/CAM, customized, two splints, interlocking rods for mandibular advancement.Meets: Uses CAD/CAM; enables customization; two splints with triangular protrusion for interlocking rods.
    Principle of Operation: Mandibular repositioner, guides mandible forward to enlarge airway.Meets: Adjustment of splints guides mandible forward, maintaining advancement to enlarge the airway. Vertical opening not fixed.
    Adjustment Mechanism: Interlocking rods, 15 mm protrusive range in 1 mm increments.Meets: Adjusted via interlocking rods, 15 mm protrusive range in 1 mm increments. Rods 21-36 mm.
    Maximum Protrusion: 15 mm in 1 mm increments.Meets: 15 mm in 1 mm increments.
    Sterility: Non-sterile.Meets: Non-sterile.
    Target Population: Adult patients.Meets: Adult patients.
    Usage: Reusable.Meets: Reusable.
    Vertical Opening: Up to 4 mm.Meets: Up to 4 mm.
    Prescription Status: Prescription only.Meets: Prescription only.
    Biocompatibility: Established biocompatibility.Meets: Biocompatibility established due to material similarity with predicate.
    Safety: No new risks introduced compared to predicate.Meets: FMEA performed; materials same as predicate; no new risks identified.
    Effectiveness: At least as safe and effective as predicate.Meets: Asserted to be at least as safe and effective as the predicate.

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

    This device is not an AI/ML algorithm, and no clinical "test set" in the context of algorithm evaluation was used. The submission states, "Panthera dental performed no clinical testing." The demonstration of safety and effectiveness relies on non-clinical testing (physical properties, biocompatibility) and comparison to a legally marketed predicate device.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    Not applicable. No ground truth establishment by experts for a test set was performed as part of this 510(k) submission for a physical device.

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

    Not applicable. No test set requiring expert adjudication was used.

    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

    Not applicable. This is not an AI/ML device and no MRMC study was conducted.

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

    Not applicable. This is a physical medical device, not an algorithm.

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

    Not applicable. "Ground truth" in the context of AI/ML evaluation is not relevant for this physical device submission. The safety and effectiveness are established through material characterization, design specifications, and comparison to the predicate device's established performance.

    8. The sample size for the training set

    Not applicable. This is not an AI/ML algorithm.

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

    Not applicable. This is not an AI/ML algorithm.

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