Vivos Therapeutics Receives FDA 510(k) Clearance of its Flagship DNA Oral Appliance for Treatment of Obstructive Sleep Apnea

LITTLETON

Colorado, Jan. 04, 2023

Vivos Therapeutics, Inc. (“Vivos” or the “Company”) (NASDAQ: VVOS), a medical technology company focused on developing innovative treatments for patients suffering from dentofacial abnormalities and/or mild-to-moderate obstructive sleep apnea (OSA) and snoring in adults, today announced a brand new clearance from the U.S. Food and Drug Administration (FDA) for its proprietary DNA appliance (daytime-nighttime appliance).

The FDA 510(k) clearance for the DNA appliance as a Class II device gives rise to a completely new treatment regimen for mild-to-moderate OSA. Making this development even more meaningful is that the DNA device for palatal expansion is Vivos’ longest standing appliance with the widest use among Vivos-trained dentists, which Vivos anticipates will now increase the ease of adoption of the DNA for treating OSA.

Current modalities for the treatment of OSA include:

With the latest FDA clearance achieved, the DNA appliance offers a new treatment regimen (when combined with associated protocols that are a part of The Vivos Method) which opens the airway by expanding the palate and training the tongue to rest in proper position and converts patients to nasal as opposed to oral breathing. Unlike other treatments, The Vivos Method is differentiated in that it addresses the root cause of snoring and/or OSA in many patients. While the appliance is effective by itself, it can also be used in conjunction with other treatment modalities such as, myofunctional therapy or CPAP.

The clinical data submitted to the FDA as part of the clearance process for the DNA included pre- and post-treatment Apnea Hypopnea Index (AHI) scores obtained with no appliance in the mouth, demonstrating that:

• 28% of patients had their OSA resolved
• 63% of patients improved by one AHI classification (i.e., severe to moderate, moderate to mild, or mild to no OSA)
• 86% of patients improved their airway size
• 97% of patients increased the width of their palate which allows the tongue to rest in proper position, thus avoiding a potential airway obstruction

In a study of patient satisfaction with DNA treatment, 97% of patients achieved the desired outcome, while 98% of patients were highly satisfied or very satisfied and likely to recommend the treatment to a friend.

Another benefit of this new treatment is that results are typically long-lasting post treatment and may result in permanent improvement. Unlike treatments with CPAP or MAD, where the AHI measurements must be taken during active use of the device to show improvement, Vivos DNA efficacy measurements were taken without the device in the mouth. Other non-surgical treatments for OSA, such as CPAP and traditional oral appliances, require lifetime nightly use in order to maintain efficacy.

The DNA appliance has been marketed for several years for orthodontic treatment such as expansion of the jaw and positioning of teeth in adults and children and is still available to be used for those applications. The 510(k) clearance for the DNA represents the third FDA clearance Vivos has received for its oral appliances and the first clearance explicitly recognizing Vivos’ proprietary core technology. Previously, the FDA approved Vivos’ mRNA (mandibular Repositioning Nighttime Appliance) and mmRNA (modified mandibular Nighttime Appliance), which are both FDA Class II devices used in the treatment of mild-to-moderate OSA and/or snoring in adults. However, prior FDA clearances were based on those devices’ mandibular advancement feature sets, even though the core Vivos technology was also incorporated into those appliances. Vivos believes its patented appliances and related proprietary protocols offer significant advantages over existing OSA treatments.

“This clearance is the culmination of years of pioneering clinical work,” said Kirk Huntsman, Vivos’ Chairman and Chief Executive Officer. “For the first time, the FDA has formally recognized the benefits of our proprietary core technology in our DNA appliance (without mandibular advancement) as an effective treatment for mild-to-moderate OSA in adults. The FDA now joins other international regulatory bodies in recognizing the efficacy of our patented technology in the reduction and resolution of many of the symptoms of OSA that result from a lack of development of the jaws and oral cavity. We believe the DNA treatment can be life changing for many OSA patients, and we look forward to continued market adoption of our expanded menu of treatments for this debilitating condition.”

About Vivos Therapeutics, Inc.
Vivos Therapeutics, Inc. (NASDAQ: VVOS) is a medical technology company focused on developing and commercializing innovative diagnostic and treatment methods for patients suffering from breathing and sleep issues arising from certain dentofacial abnormalities such as mild-to-moderate obstructive sleep apnea (OSA) and snoring in adults. The Vivos Method represents the first clinically effective nonsurgical, noninvasive, nonpharmaceutical and cost-effective solution for treating mild to moderate OSA. It has proven effective in over 31,000 patients treated worldwide by more than 1,650 trained dentists.

The Vivos Method includes the Vivos Complete Airway Repositioning and/or Expansion (CARE) appliance therapy and associated protocols that alter the size, shape and position of the soft tissues that comprise a patient’s upper airway and/or palate. The Vivos Method opens airway space and may significantly reduce symptoms and conditions associated with mild-to-moderate OSA, such as lowering Apnea Hypopnea Index scores. Vivos also markets and distributes SleepImage diagnostic technology under its VivoScore program for home sleep testing in adults and children. The Vivos Integrated Practice (VIP) program offers dentists training and other value-added services in connection with using The Vivos Method.

For more information, visit www.vivos.com.