Cleared Traditional

K021569 - RESTFUL NIGHTS, IST-APPLIANCE

K021569 is an FDA 510(k) clearance for RESTFUL NIGHTS, manufactured by Ottawa Dental Laboratory. The device is a Class 2 Dental device with product code LRK cleared through the Traditional 510(k) pathway after a 671-day FDA review.

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Mar 2004
Decision
671d
Days
Class 2
Risk

K021569 is an FDA 510(k) clearance for the RESTFUL NIGHTS, IST-APPLIANCE. Classified as Device, Anti-snoring (product code LRK), Class II - Special Controls.

Submitted by Ottawa Dental Laboratory (Crofton, US). The FDA issued a Cleared decision on March 15, 2004 after a review of 671 days - an unusually long review period, suggesting complex equivalence evaluation.

This device falls under the Dental FDA review panel, regulated under 21 CFR 872.5570 - the FDA dental device regulatory framework. The Traditional 510(k) pathway establishes clearance through substantial equivalence to a legally marketed predicate device, without requiring clinical trial data.

Device pattern: High-complexity regulatory submission. Elevated predicate reliance profile. The extended review timeline suggests the FDA required additional documentation before confirming substantial equivalence - a pattern common in complex or first-of-kind Dental submissions.

View all Ottawa Dental Laboratory devices

FDA 510(k) Submission Details - K021569

510(k) Number K021569 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received May 14, 2002
Decision Date March 15, 2004
Days to Decision 671 days
Submission Type Traditional
Review Panel Dental (DE)
Summary Statement
Third-party Review No - reviewed directly by FDA
Regulatory Context
Review time vs. panel average
544d slower than avg
Panel avg: 127d · This submission: 671d
Pathway characteristics
Predicate-based equivalence. No clinical trials required.

LRK Device Classification - Class 2, Special Controls

Product Code LRK Device, Anti-snoring
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 872.5570
What this classification means

Class II devices require demonstration of substantial equivalence to a legally marketed predicate device. This pathway does not require clinical trials - it relies on engineering equivalence and performance data. Most Dental devices follow this clearance model.

Regulatory Peers - LRK Device, Anti-snoring

All 145
Devices cleared under the same product code (LRK) and FDA review panel - the closest regulatory comparables to K021569.
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RESPIRONICS CUSTOM I ORAL APPLIANCE
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RESPIRONICS CUSTOM II ORAL APPLIANCE
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TONGUE STABILIZER DEVICE
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