Cleared Traditional

K040417 - PILLAR PALATAL IMPLANT SYSTEM

K040417 is an FDA 510(k) clearance for PILLAR PALATAL IMPLANT SYSTEM, manufactured by Restore Medical, Inc.. The device is a Class 2 Dental device with product code LRK cleared through the Traditional 510(k) pathway after a 161-day FDA review.

K040417 · Restore Medical, Inc. · Dental device
Download Printable Device Report (PDF) Official FDA 510(k) Summary (PDF)
Optimized for regulatory review, auditing and printing
Jul 2004
Decision
161d
Days
Class 2
Risk

K040417 is an FDA 510(k) clearance for the PILLAR PALATAL IMPLANT SYSTEM. Classified as Device, Anti-snoring (product code LRK), Class II - Special Controls.

Submitted by Restore Medical, Inc. (Roseville, US). The FDA issued a Cleared decision on July 28, 2004 after a review of 161 days - an extended review cycle.

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: Standard predicate-based submission. Standard predicate reliance. This clearance follows a standard predicate-based equivalence path within the Dental review framework, consistent with the majority of Class II 510(k) submissions.

FDA 510(k) Submission Details - K040417

510(k) Number K040417 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received February 18, 2004
Decision Date July 28, 2004
Days to Decision 161 days
Submission Type Traditional
Review Panel Dental (DE)
Summary Summary PDF
Third-party Review No - reviewed directly by FDA
Combination Product No
PCCP Authorized No
Regulatory Context
Review time vs. panel average
33d slower than avg
Panel avg: 128d · This submission: 161d
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 216
Devices cleared under the same product code (LRK) and FDA review panel - the closest regulatory comparables to K040417.
SOMNOMED MAS RXA
K050592 · Somnomed, Ltd. · Jul 2005
NTI TENSION SUPPRESSION SYSTEM, WITH A SNOREHOOK APPLICATION
K041184 · Nti-Tss, Inc. · May 2005
ANTI-SNORING/SLEEP APNEA DEVICE
K042161 · Rj & VK Bird Pty , Ltd. · Oct 2004
RESTFUL NIGHTS, IST-APPLIANCE
K021569 · Ottawa Dental Laboratory · Mar 2004
RESPIRONICS CUSTOM I ORAL APPLIANCE
K033822 · Respironics, Inc. · Feb 2004
RESPIRONICS CUSTOM II ORAL APPLIANCE
K033823 · Respironics, Inc. · Feb 2004
K040417 · PILLAR PALATAL IMPLANT SYSTEM
Download PDF FDA Summary Restore Medical, Inc.