510(k) Report

510(k) · Cleared

Cleared

Sleep-in Bone Screw System

K972023510(k) TraditionalCleared Aug 25, 199784-day reviewClass II21 CFR 872.5570

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

Influence, Inc. · LRK Device, Anti-Snoring

Cleared on Aug 25, 1997 as substantially equivalent to K970292 (Influence, Inc., 1997) and 4 other predicates after an 84-day review. Its family tree reaches back 3 generations to 1992. 23 later devices descend from it.

Decided
Aug 25, 1997
Review
84 days
Class
Class II
Product code
LRK
Recalls
None
Predicates
6

Its longest line of descent runs back 3 generations to K920213 (1992). 9 ancestors in all. 23 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1996: 2 other ancestors1995: 3 other ancestors1994: 1 other ancestor2010: 2 descendants cleared2004: 1 descendant cleared1999: 1 descendant cleared2013: 2 descendants cleared2012: 5 descendants cleared2002: 1 descendant cleared2011: 2 descendants cleared2014: 2 descendants cleared2019: 1 descendant cleared2018: 1 descendant cleared2020: 2 descendants cleared2022: 1 descendant cleared2023: 1 descendant cleared2021: 1 descendant clearedK920213 · Mitek Anchor, Mitek Anchor II · Mitek Surgical Products, Inc. · 1992K962372 · Urotac Bone Anchor Inserter · Influence, Inc. · 1996K970292 · IN-Fast Bone Screw System/in-Fast Bone Screw Inserter/in-Fast Bone Screw · Influence, Inc. · 1997 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 3 other ancestors 1 generation forward: 3 descendants2 generations forward: 4 descendants3 generations forward: 7 descendants4 generations forward: 4 descendants5 generations forward: 5 descendants K970292 · IN-Fast Bone Screw System/in-Fast Bone Screw Inserter/in-Fast Bone Screw · Influence, Inc. · 1997 · recalledK962372 · Urotac Bone Anchor Inserter · Influence, Inc. · 1996K920213 · Mitek Anchor, Mitek Anchor II · Mitek Surgical Products, Inc. · 19920+5
  1. Root · 3 generations backK920213 Mitek Anchor, Mitek Anchor IIMitek Surgical Products, Inc. · 1992
  2. 2 generations backK962372 Urotac Bone Anchor InserterInfluence, Inc. · 1996
  3. 1 generation backK970292 IN-Fast Bone Screw System/in-Fast Bone Screw Inserter/in-Fast Bone…Influence, Inc. · 1997 · Recalled
  4. This deviceK972023 Sleep-in Bone Screw SystemInfluence, Inc. · 1997
  5. Descendant · cites it directly · 16 of its ownK981677 Repose Bone Screw SystemInfluence, Inc. · 1999 · Recalled
  6. Descendant · cites it directly · 15 of its ownK101060 Siesta Medical, Inc., Prelude Tongue Suspension SystemSiesta Medical, Inc. · 2010
  7. Descendant · 2 generations on · 14 of its ownK103179 Prelude II Tounge Suspension SystemSiesta Medical, Inc. · 2010
  8. Descendant · 3 generations on · 13 of its ownK110127 Prelude Iii Tongue Suspension SystemSiesta Medical, Inc. · 2011
  9. Descendant · 4 generations on · 6 of its ownK111179 Encore Tongue Suspension System (Monofilament #1 Suspension Suture)…Siesta Medical, Inc. · 2011

Showing 5 of 23 descendants. See all descendants

Descendants cleared per year

1999: 12002: 12004: 12010: 22011: 22012: 52013: 22014: 22018: 12019: 12020: 22021: 12022: 12023: 1
1999high 5 (2012) · low 0 (2000)2026

Most influential descendants

Showing 5 of 23 · See all
  • K981677Repose Bone Screw SystemInfluence, Inc. · 1999 · cites it directly16descendants
  • K101060Siesta Medical, Inc., Prelude Tongue Suspension SystemSiesta Medical, Inc. · 2010 · cites it directly15descendants
  • K103179Prelude II Tounge Suspension SystemSiesta Medical, Inc. · 2010 · 2 generations on14descendants
  • K110127Prelude Iii Tongue Suspension SystemSiesta Medical, Inc. · 2011 · 3 generations on13descendants
  • K111179Encore Tongue Suspension System (Monofilament #1 Suspension Suture), Encore Tongue…Siesta Medical, Inc. · 2011 · 4 generations on6descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K920213Mitek Anchor, Mitek Anchor IIMitek Surgical Products, Inc.1992—
−2K962372Urotac Bone Anchor InserterInfluence, Inc.1996—
−1K970292IN-Fast Bone Screw System/in-Fast Bone Screw Inserter/in-Fast Bone ScrewInfluence, Inc.19971
0 (this device)K972023Sleep-in Bone Screw SystemInfluence, Inc.1997—
+1K981677Repose Bone Screw SystemInfluence, Inc.19992
+1K101060Siesta Medical, Inc., Prelude Tongue Suspension SystemSiesta Medical, Inc.2010—
+2K103179Prelude II Tounge Suspension SystemSiesta Medical, Inc.2010—
+3K110127Prelude Iii Tongue Suspension SystemSiesta Medical, Inc.2011—
+4K111179Encore Tongue Suspension System (Monofilament #1 Suspension Suture), Encore…Siesta Medical, Inc.2011—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
199530
199620

Descendants by year cleared

Year clearedDevicesWith a Class I recall
199910
200210
200410
201020
201120
201250
201320
201420
201810
201910
202020
202110
202210
202310
FIG. 1 — Lineage of K972023, 1992–2023Source: 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 LRK? 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 LRK device

  1. #1 K252531 Myosa (S1H, S1, S2, S3, S1M, S2M); Myosa for…score 16.3 · 9 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (6)

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
*K970292IN-Fast Bone Screw System/in-Fast Bone Screw Inserter/in-Fast Bone Screw
Summary page 1
…ion Name: The Sleep-In™ Bone Screw System has not yet been classified. Predicate Devices: Sleep-In™ Bone Screw and Sleep-In™ Bone Inserter: e In-Fast™ Bone Screw System (K970292) e Mitek GII Anchor (K920213) e PM Positioner™ (K953293 & K955503) e Snor-X Mouthguard (K954324) Sleep-In™ Suture Passer: e Prot…
Influence, Inc.19971
*K920213Mitek Anchor, Mitek Anchor II
Summary page 1
…Screw System has not yet been classified. Predicate Devices: Sleep-In™ Bone Screw and Sleep-In™ Bone Inserter: e In-Fast™ Bone Screw System (K970292) e Mitek GII Anchor (K920213) e PM Positioner™ (K953293 & K955503) e Snor-X Mouthguard (K954324) Sleep-In™ Suture Passer: e Protecta-Pass™ Suture Passer (K93…
Mitek Surgical Products, Inc.1992—
*K953293PM Positioner
Summary page 1
…en classified. Predicate Devices: Sleep-In™ Bone Screw and Sleep-In™ Bone Inserter: e In-Fast™ Bone Screw System (K970292) e Mitek GII Anchor (K920213) e PM Positioner™ (K953293 & K955503) e Snor-X Mouthguard (K954324) Sleep-In™ Suture Passer: e Protecta-Pass™ Suture Passer (K932925) \\\DC - 65853/3 - 04…
Jonathan A. Parker, D.D.S.1995—
*K955503Adjustable PM Positioner
Summary page 1
…ied. Predicate Devices: Sleep-In™ Bone Screw and Sleep-In™ Bone Inserter: e In-Fast™ Bone Screw System (K970292) e Mitek GII Anchor (K920213) e PM Positioner™ (K953293 & K955503) e Snor-X Mouthguard (K954324) Sleep-In™ Suture Passer: e Protecta-Pass™ Suture Passer (K932925) \\\DC - 65853/3 - 0461870.01…
Jonathan A. Parker, D.D.S.1996—
*K954324Snor-X Mouth Guard
Summary page 1
…In™ Bone Screw and Sleep-In™ Bone Inserter: e In-Fast™ Bone Screw System (K970292) e Mitek GII Anchor (K920213) e PM Positioner™ (K953293 & K955503) e Snor-X Mouthguard (K954324) Sleep-In™ Suture Passer: e Protecta-Pass™ Suture Passer (K932925) \\\DC - 65853/3 - 0461870.01 Performance Sta…
Snorex, Inc.1995—
Kept off the family treeK932925FDA’s K932925 is Bone Anchor for Soft Tissue Attachment
Our OCR of the scanned summary read K932925, FDA’s number for Bone Anchor for Soft Tissue Attachment (Vesitec Medical, Inc.). Its FDA name has none of the distinctive words the summary uses for the device it names, “Protecta-Pass™ Suture Passer”. Kept off the family tree.
Summary page 1
…ystem (K970292) e Mitek GII Anchor (K920213) e PM Positioner™ (K953293 & K955503) e Snor-X Mouthguard (K954324) Sleep-In™ Suture Passer: e Protecta-Pass™ Suture Passer (K932925) \\\DC - 65853/3 - 0461870.01 Performance Standards: No performance standards applicable to the bone screw syst…
Vesitec Medical, Inc.19942

Also cleared against K970292: 3 other devices →

What descends from it? (23)

See all 23

3 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K981677Repose Bone Screw SystemInfluence, Inc.199916
K101060Siesta Medical, Inc., Prelude Tongue Suspension SystemSiesta Medical, Inc.201015
K040417Pillar Palatal Implant SystemRestore Medical, Inc.20040

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?

  • The line of descent spans 5 years and passes through 2 companies; a new generation was cleared every 8 months on median.
  • 2 of the 9 ancestors have a recall of any class.
  • Of its descendants, K981677 (Influence, Inc., 1999) has gone furthest, with 16 descendants of its own.
  • 3 other devices also cite its predicate K970292.

How does its category compare?

All LRK devices

LRK Device, Anti-Snoring: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · LRK

14in 2025

2007: 12008: 32009: 32010: 82011: 102012: 102013: 92014: 112015: 62016: 102017: 72018: 102019: 132020: 52021: 102022: 112023: 52024: 62025: 142026 (partial year): 10
2007high 14 (2025) · low 1 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LRK

107in 2025

2008: 109 days median2009: 88 days median2010: 195 days median2011: 134 days median2012: 142 days median2013: 233 days median2014: 219 days median2015: 117 days median2016: 157 days median2017: 170 days median2018: 200 days median2019: 150 days median2020: 80 days median2021: 126 days median2022: 154 days median2023: 156 days median2024: 254 days median2025: 107 days median2026 (partial year): 63 days median
2007high 254 (2024) · low 80 (2020)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · LRK

1in 2025

2009: 22025: 12026 (partial year): 1
2007high 2 (2009) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · LRK

653in 2025

2008: 12009: 112010: 72011: 692012: 4452013: 722014: 492015: 282016: 182017: 322018: 612019: 562020: 242021: 492022: 402023: 502024: 1852025: 653
2007high 653 (2025) · low 0 (2007)2025

MAUDE reports naming product code LRK, 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
20071—00
2008310901
2009388211
2010819507
201110134069
2012101420445
20139233072
201411219049
20156117028
201610157018
20177170032
201810200061
201913150056
2020580024
202110126049
202211154040
20235156050
202462540185
2025141071653
202610631—

What is it indicated for?

The Sleep-In™ Bone Screw System is intended for anterior advancement of the tongue base by means of a bone screw threaded with suture. It is indicated for the treatment of obstructive sleep apnea (OSA) and/or snoring.

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. “K972023: Sleep-in Bone Screw System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K972023

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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