510(k) Report

510(k) · Cleared

Cleared

eXciteOSA without remote control (3000); eXciteOSA with remote control (6000)

K223446510(k) SpecialCleared Jan 18, 202364-day reviewClass II21 CFR 872.5575

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Signifier Medical Technologies, Ltd. · QNO Neuromuscular Tongue Muscle Stimulator For The Reduction Of Snoring And Obstructive Sleep Apnea

Cleared on Jan 18, 2023 after a 64-day review. The summary cites one number, which could not be confirmed as its predicate (see the table below). 1 later device descends from it.

Decided
Jan 18, 2023
Review
64 days
Class
Class II
Product code
QNO
Recalls
None
Predicates
1

1 later device descends from it, 1 citing it directly.

Descendants, by year cleared 2024: 1 descendant cleared2020202220242026
  1. This deviceK223446 eXciteOSA without remote control (3000); eXciteOSA with remote…Signifier Medical Technologies, Ltd. · 2023
  2. Descendant · cites it directly · 0 of its ownK240328 eXciteOSA without remote control (3000); eXciteOSA with remote…Signifier Medical Technologies, Ltd. · 2024

Most influential descendants

Showing 1 of 1 · See all
  • K240328eXciteOSA without remote control (3000); eXciteOSA with remote control (6000)Signifier Medical Technologies, Ltd. · 2024 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K223446eXciteOSA without remote control (3000); eXciteOSA with remote control (6000)Signifier Medical Technologies, Ltd.2023—
+1K240328eXciteOSA without remote control (3000); eXciteOSA with remote control (6000)Signifier Medical Technologies, Ltd.2024—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
FIG. 1 — Lineage of K223446, 2023–2024Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in QNO? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new QNO device

  1. #1 K240328 eXciteOSA without remote control (3000)…score 7.3 · 1 generation · no Class I recall
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What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary; numbers the summary cites that cannot be its predicate are marked – and kept off the family tree.

TypeNumberDeviceApplicantDecidedRecalls
Kept off the family treeDEN200018FDA’s DEN200018 is eXciteOSA with remote and eXciteOSA without remote
Not matched in our reading of the summary (scans can blur digits), so it is kept off the family tree
Signifier Medical Technologies2021—

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K240328eXciteOSA without remote control (3000); eXciteOSA with remote control (6000)Signifier Medical Technologies, Ltd.20240

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Of its descendants, K240328 (Signifier Medical Technologies, Ltd., 2024) has gone furthest, with 0 descendants of its own.

How does its category compare?

All QNO devices

QNO Neuromuscular Tongue Muscle Stimulator For The Reduction Of Snoring And Obstructive Sleep Apnea: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · QNO

1in 2024

2021: 12023: 12024: 1
2007high 1 (2021) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QNO

Too few QNO 510(k)s in any year since 2007 to give a median.

Recalls per year · QNO

No recall names QNO since 2007.

Adverse event reports per year · QNO

1in 2025

2021: 32022: 32023: 32025: 1
2007high 3 (2021) · low 0 (2007)2025

MAUDE reports naming product code QNO, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20170—00
20180—00
20190—00
20200—00
20211—03
20220—03
20231—03
20241—00
20250—01
20260—0—

What is it indicated for?

eXciteOSA® is a removable tongue muscle stimulation device that delivers neuromuscular stimulation to the tongue in order to reduce mild obstructive sleep apnea (AHI <15) and snoring for patients that are 18 years or older.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K223446: eXciteOSA without remote control (3000); eXciteOSA with remote control (6000).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K223446

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026