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510(k) Data Aggregation

    K Number
    K181107
    Manufacturer
    Date Cleared
    2018-12-06

    (224 days)

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

    K132268

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

    The Elevo® Kit Snoring Intervention Device is intended for use in stiffening the soft palate tissue, which may reduce the severity of snoring in some individuals.

    Indications for use of the Elevo® Kit Snoring Intervention Device include symptomatic, habitual, and social snoring due to palatal flutter.

    Device Description

    The Elevo® Kit Snoring Intervention Device is comprised of three (3) sterile, absorbable, and barbed, polydioxanone (PDO) sutures and three (3) corresponding disposable, sterile, single use suturing needles. A disposable tension suture (DTS) is attached to the proximal end of each of the barbed PDO suture implants. The proximal end of the DTS is secured to the suturing needle handle during device assembly.

    AI/ML Overview

    This document describes the premarket notification (510(k)) for the Elevo® Kit Snoring Intervention Device, which aims to stiffen the soft palate tissue to reduce snoring. The acceptance criteria and the study proving the device meets these criteria are detailed below, based on the provided text.

    1. Table of Acceptance Criteria and Reported Device Performance

    The device's acceptance criteria are primarily demonstrated through equivalence testing against a predicate device (Pillar™ Palatal Implant System) and a reference device (Quill™ Absorbable Suture), and through clinical safety and efficacy studies with statistically significant results. The "acceptance criteria" here are interpreted as the demonstrated performance that deems the device substantially equivalent to the predicate.

    Acceptance Criteria (Demonstrated Equivalence/Performance)Reported Device Performance (Elevo® Kit Snoring Intervention Device)
    Indications for Use EquivalenceIdentical: "The Elevo® Kit Snoring Intervention Device is intended for use in stiffening the soft palate tissue, which may reduce the severity of snoring in some individuals."
    Material Equivalence (Implant)Absorbable Polydioxanone (PDO). Identified as identical to the Reference Device (Quill™ Synthetic Absorbable Barbed Suture).
    Sterilization Method EquivalenceEthylene Oxide (EtO). Identical to predicate and reference devices.
    Labeling: Sterile, Single Use EquivalenceYes. Identical to predicate and reference devices.
    Outpatient - Office Based Procedure EquivalenceYes. Identical to predicate device.
    BiocompatibilityYes. Stated as biocompatible. Identical to predicate and reference devices.
    Mechanism of Action/Delivery Method EquivalenceDisposable, sterile, single use, handheld suturing needle and proprietary suture implant technique (similar to predicate's handheld pellet delivery needle).
    Tensile Strength (Implant)Comparable to reference device (Quill™ PDO Synthetic Absorbable Barbed Suture), demonstrated by in vitro pull-force testing in bovine material. Specific quantitative results are mentioned as being in Section 12, Table 12-5, but not provided in this excerpt.
    Device Description (General)Designed to stiffen the tissue of the soft palate and reduce dynamic flutter without interfering with normal function. Identical concept to predicate device.
    Anatomic Target LocationNearly identical to predicate device: 5-6 mm distal (posterior) to the soft palate/hard palate junction.
    Clinical SafetyEquivalent to or exceeds predicate device (Pillar™ Palatal Implant System).
    Adverse EventsZero unanticipated adverse events reported. Four anticipated events (dysphagia, sore throat, palpable suture, oral hematoma) observed and prospectively defined as Common Treatment Events.
    Clinical Efficacy (Snoring Severity Reduction)Snoring severity (0-10 VAS by bed partner) reduced by average 25% or more at Day 30, Day 90, and Day 180 post-procedure. (Day 30: 25.9% reduction from 7.81 to 5.79; Day 90: 30.6% reduction from 7.81 to 5.42; Day 180: 30.8% reduction from 7.81 to 5.40). p
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