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510(k) Data Aggregation

    K Number
    K220907
    Manufacturer
    Date Cleared
    2023-06-16

    (444 days)

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

    The iNAP One Sleep Therapy System is indicated for home use in the treatment of obstructive sleep apnea (OSA) in adults in whom positive airway pressure is not the preferred treatment choice.

    Device Description

    The iNAP One Sleep Therapy System consists of six (6) main components. The components include a console (Model R07-A), a saliva container, a saliva absorbent (iNAP DryPad), a flexible polymer tubing (iNAP Tubing Set), soft polymer oral interfaces (iNAP Oral Interface), a Muffler (Optional) and a software application for mobile devices (iNAP Lab+). One additional accessory set (102C) is included, which is a combination of the iNAP Oral Interface and iNAP Tubing Set. The function of iNAP One Sleep Therapy System (Console Model: R07-A) is to develop a negative pressure gradient in user's oral cavity which can be adjusted between -20 to -90 mmHg (-27 to -122 cmH2O) via the App (iNAP Lab+) to achieve or maintain proper vacuum pressure for users.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria for the iNAP One Sleep Therapy System are primarily focused on its pressure setting range, accuracy, and clinical performance in treating Obstructive Sleep Apnea (OSA). The reported device performance is based on the clinical study described.

    Acceptance CriteriaReported Device Performance
    Adjustable Pressure Range-20 to -90 mmHg (-27 to -122 cmH2O)
    Pressure Accuracy±5 mmHg (±6.8 cmH2O)
    Clinical Efficacy for OSAIn a subgroup of 18 subjects treated within the intended pressure range (-20mmHg to -90mmHg):
    • 72.2% (13 subjects) achieved a successful response (treated AHI 50% from baseline and treated AHI 5), baseline AHI, and post-treatment AHI after 28 days of therapy. While PSG is the gold standard for diagnosing OSA and establishing AHI, the document does not specify the number of experts (e.g., sleep specialists, polysomnographic technologists) used to interpret these PSG studies or their specific qualifications.

    4. Adjudication Method for the Test Set

    The document does not describe any specific adjudication method (e.g., 2+1, 3+1) for establishing the ground truth from the PSG results. It can be inferred that the PSG interpretations likely followed standard clinical protocols for sleep studies, which inherently involve expert interpretation.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done, and the effect size of how much human readers improve with AI vs without AI assistance

    There is no mention of a Multi-Reader Multi-Case (MRMC) comparative effectiveness study or any evaluation of human readers improving with AI assistance. The device is a "Sleep Therapy System" that generates negative pressure for OSA treatment, not an AI-assisted diagnostic tool for human readers.

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

    The device itself is a physical therapy system, not an algorithm. Therefore, a "standalone algorithm only" performance evaluation, as might be done for an AI diagnostic tool, is not applicable in this context. The clinical study evaluates the performance of the device in use by patients.

    7. The Type of Ground Truth Used

    The ground truth for evaluating the device's efficacy was established using Polysomnogram (PSG), which is considered the gold standard for diagnosing and quantifying Obstructive Sleep Apnea (OSA). The key metric used was the Apnea-Hypopnea Index (AHI).

    8. The Sample Size for the Training Set

    The document does not mention the existence of a "training set" in the context of machine learning. The clinical study described is an evaluation of the device's performance after its development, not a study to train an algorithm.

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

    As no training set (in the machine learning sense) is mentioned, this question is not applicable. The clinical study serves to demonstrate the safety and effectiveness of the device itself.

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    K Number
    K193460
    Manufacturer
    Date Cleared
    2020-05-26

    (162 days)

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

    The iNAP One Sleep Therapy System is indicated for home use in the treatment of obstructive sleep apnea (OSA) in adults in whom positive airway pressure is not the preferred treatment choice.

    Device Description

    The iNAP One Sleep Therapy System consists of six (6) main components. The components are a console, a saliva container, a saliva absorbent (iNAP DryPad), a flexible polymer tubing (iNAP Tubing Set), a soft polymer oral interface (iNAP Oral Interface) and a software application for mobile devices (iNAP Care). One additional accessory is Oral Interface with Tubing, which is a combination of the Oral Interface and Tubing Set. The function of iNAP One Sleep Therapy System is developing a negative pressure gradient in the user's oral cavity, which is set as -40 mmHg.

    AI/ML Overview

    Please find below the requested information about the acceptance criteria and study proving the device meets these criteria:

    1. Table of Acceptance Criteria and Reported Device Performance

    CategoryAcceptance CriteriaReported Device Performance (iNAP One Sleep Therapy System)
    BiocompatibilityCompliance with ISO 10993-1 series for patient contact materials.All biocompatibility tests (Cytotoxicity, Skin Sensitization, Oral Mucosa Irritation, Pyrogenicity, Leechable & Extractables) passed for all relevant components (Oral Interface, Tubing Set, Oral Interface with Tubing Set).
    Bench TestingSubstantial equivalence to predicate device (Winx) in negative pressure application and maintenance.Substantially equivalent to Winx device in negative pressure application and maintenance.
    AcousticsAcoustic power
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