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510(k) Data Aggregation

    K Number
    K233434
    Date Cleared
    2023-11-14

    (32 days)

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

    K210694

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

    Silent Nite Sleep Appliance with the Glidewell Hinge is indicated to reduce snoring and mild to moderate obstructive sleep apnea (OSA) in adults 18 years of age or older. It is worn while sleeping to support the lower jaw in a forward position prescribed by the dentist. The appliance is removable by the patient.

    Device Description

    The subject device, Silent Nite® Sleep Appliance with the Glidewell Hinge™, is a mandibular advancement device (MAD). It holds the mandible in a protrusive position to increase the patient's ability to exchange air and decrease air turbulence, thus improving airflow during sleep.

    The subject device, Silent Nite® Sleep Appliance with the Glidewell Hinge™, consists of upper and lower trays, and an engaging mechanism made of stainless-steel, which is the Glidewell hinge. Optional orthodontic (elastic) bands are provided as accessories. The trays consist of a soft polyurethane inner layer that provides patient comfort and a hard polyester outer layer for durability. The hinge is adjustable by turning an inner adjustment screw with a hex driver, enabling the amount of mandibular advancement prescribed by the clinician. The design allows for the advancement of the mandible to be adjusted (increased) in 0.25 mm increments up to 10 mm.

    The subject device, Silent Nite® Sleep Appliance with the Glidewell Hinge™, is customized to conform to the patient's upper and lower dentition based on the clinician's prescription. Upon receipt of the prescription, models for the trays are made and used during the thermoforming fabrication of the upper and lower trays.

    AI/ML Overview

    The provided text describes the 510(k) summary for the "Silent Nite® Sleep Appliance with the Glidewell Hinge™ (SNGLHG)". This document focuses on demonstrating substantial equivalence to a predicate device, rather than providing a detailed clinical study report with acceptance criteria and performance data for a novel device. As such, several of the requested categories are not applicable or not explicitly stated in the provided text.

    Here is the information that can be extracted and a note on what is not available:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance CriteriaReported Device Performance
    Maximum and incremental adjustment for the hingeThe device allows for advancement of the mandible in 0.25 mm increments up to 10 mm. Specific performance not quantified against a target value, but stated as a feature.
    Retention strength of the hingeNot explicitly quantified. "Retention strength of the hinge" was a test conducted.
    Laser weld inspectionNot explicitly quantified. "Laser weld inspection" was a test conducted.
    Telescopic rod movement testNot explicitly quantified. "Telescopic rod movement test" was a test conducted.
    Hinge placement/positioning is correctMet: Test samples ensured this criterion was met.
    Device fits and retains to the modelMet: Test samples ensured this criterion was met.
    Hinge is attached well to the traysMet: Test samples ensured this criterion was met.
    Device's final finish is smooth and free of roughness or bursMet: Test samples ensured this criterion was met.

    Note: The document states that the results of verification activities "confirmed that the design of the subject device, meet all the predetermined criteria according to the design specifications." However, the specific quantitative acceptance criteria (e.g., minimum retention strength in Newtons) and the corresponding quantitative performance values are not provided in this summary.

    2. Sample size used for the test set and the data provenance

    • Sample Size: Not explicitly stated. The document mentions "test samples were made using the standard fabrication process," but does not provide the number of units tested for each verification activity.
    • Data Provenance: Not explicitly stated. The tests were "conducted by Prismatik Dentalcraft, Inc." It is assumed to be internal testing. The data is likely retrospective pertaining to the design and manufacturing processes.

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

    • This is not applicable as the verification tests were for design specifications (e.g., mechanical functionality, fit, finish), not for clinical diagnostic accuracy or efficacy requiring expert ground truth establishment in the traditional sense of a clinical study.

    4. Adjudication method for the test set

    • Not applicable for the type of design verification tests performed.

    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done

    • No, a MRMC comparative effectiveness study was not gedaan. The study described is a design verification study, not a clinical efficacy study involving human readers.

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

    • Not applicable. The device is a physical intraoral appliance, not an algorithm or software. The "standalone" concept refers to AI performance, which is not relevant here.

    7. The type of ground truth used

    • The "ground truth" for the design verification tests was based on predetermined design specifications (e.g., specific dimensions, functional requirements, material properties, quality control standards). For example, the device either did or did not achieve the 0.25mm incremental adjustment, or the hinge either passed or failed the laser weld inspection according to predefined criteria.

    8. The sample size for the training set

    • Not applicable. This is a physical device, not an AI/ML model that requires a training set.

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

    • Not applicable.
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