K Number
K020448
Device Name
STATIC CRANIOPLASTY ORTHOSIS
Date Cleared
2002-04-12

(60 days)

Product Code
Regulation Number
882.5970
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Static Cranioplasty Orthosis is intended for medical purposes to passively hold prominent cranial regions of an infant's skull in order to improve cranial symmetry and/or shape in infants from three to 18 months of age, with nonsynostotic positional plagiocephaly, including infants with plagiocephalic, brachycephalic, and scaphocephalic patterned head shapes.
Device Description
The Static Cranioplasty Orthosis is a cranial orthosis used to treat abnormally shaped craniums in infants three to 18 months of age. This condition is clinically known as positional or Deformational Plagiocephaly. The orthosis contains the protruding aspects of the cranium in a static equilibrium while guiding the growth of the flattened areas of the skull into the created spaces. The Static Cranioplasty Orthosis is only available if prescribed by a physician. The orthosis is custom designed for each patient from a mold of the infant's head. The mold is modified and prepared for fabrication by the treating practitioner using mathematical analyses and plaster modification techniques. Each orthosis is composed of an outer shell of thermoformable plastic, an inner lining of hypoallergenic foam, a strap for securing the orthosis, and a polymer hinge and guiding system to maintain proper alignment of the orthosis. Optimum fit and alignment is insured and monitored by the same clinical practitioner.
More Information

No
The device description and performance studies focus on traditional mechanical and material properties, with no mention of AI/ML algorithms for design, analysis, or treatment planning. The customization process is described as using "mathematical analyses and plaster modification techniques" by the practitioner, not automated AI/ML methods.

Yes
The device is described as treating abnormally shaped craniums and improving cranial symmetry and/or shape, which are therapeutic actions.

No

Explanation: The device is a Static Cranioplasty Orthosis, used for treatment (holding prominent cranial regions to improve symmetry and/or shape), not for diagnosis.

No

The device description explicitly details physical components such as an outer shell of thermoformable plastic, an inner lining of hypoallergenic foam, a strap, and a polymer hinge and guiding system. This indicates it is a physical medical device, not software-only.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health.
  • Device Function: The Static Cranioplasty Orthosis is a physical device worn externally on an infant's head. It works by applying pressure to guide bone growth.
  • Intended Use: The intended use is to physically reshape the skull, not to analyze biological samples for diagnostic purposes.

The device description and intended use clearly indicate it's a therapeutic device used externally, not a diagnostic tool that analyzes samples from the body.

N/A

Intended Use / Indications for Use

The Static Cranioplasty Orthosis is intended for medical purposes to passively hold prominent cranial regions of an infant's skull in order to improve cranial symmetry and/or shape in infants from three to 18 months of age, with nonsynostotic positional plagiocephaly, including infants with plagiocephalic, brachycephalic, and scaphocephalic patterned head shapes.

The Cranial Molding Orthosis is intended for medical purposes to passively hold prominent cranial regions of an infant's cranium in order to improve cranial symmetry and/or shape in infants from three to 18 months of age, with nonsynostotic positional alla or shape in including infants with plagiocephalic, brachycephalic, and scaphocephalic patterned head shapes.

Product codes

MVA

Device Description

The Static Cranioplasty Orthosis is a cranial orthosis used to treat abnormally shaped craniums in infants three to 18 months of age. This condition is clinically known as positional or Deformational Plagiocephaly. The orthosis contains the protruding aspects of the cranium in a static equilibrium while guiding the growth of the flattened areas of the skull into the created spaces. The Static Cranioplasty Orthosis is only available if prescribed by a physician.

The orthosis is custom designed for each patient from a mold of the infant's head. The mold is modified and prepared for fabrication by the treating practitioner using mathematical analyses and plaster modification techniques. Each orthosis is composed of an outer shell of thermoformable plastic, an inner lining of hypoallergenic foam, a strap for securing the orthosis, and a polymer hinge and guiding system to maintain proper alignment of the orthosis. Optimum fit and alignment is insured and monitored by the same clinical practitioner.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Cranial / Skull

Indicated Patient Age Range

three to 18 months of age

Intended User / Care Setting

Physician (prescription required) / Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

The effectiveness of the Static Cranioplasty Orthosis has been established through clinical trials identical to those conducted using the predicate device. The effects of treatment with cranial orthoses on infants have concluded that the devices are significantly effective in correcting abnormal head shape, without evidence of relapse following treatment. Treatment with cranial orthoses is reported to improve the results of surgical correction of severe cases, often eliminating the need for further surgical intervention. Results from a pilot study conducted using the Static Cranioplasty Orthosis have determined that the device is significantly effective in realigning the asymmetrical craniums of infants, and no abnormal reactions or relapses were recorded during the study or during long term follow-ups. Statistical analyses of data collected during pretreatment and post-treatment assessments support these findings. The Static Cranioplasty Orthosis performed almost uniformly to the predicate device during respective trials, with minor differences attributed to normal inconsistencies in data collection and deviation within normal scientifically acceptable parameters.

The safety of the cranial orthoses is established under standard biocompatibility assessments for each material used. These assessments reveal that the device and the materials used are not expected to adversely affect the infants under the intended conditions of wear. The materials are not reported to cause skin irritation or any toxic effects. Further, the product is designed to avoid improper migration or harmful levels of pressure. The interior of the device is smooth and poses no significant threat to the child during application within the normal scope of its intended use.

Key Metrics

Not Found

Predicate Device(s)

K964992

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 882.5970 Cranial orthosis.

(a)
Identification. A cranial orthosis is a device that is intended for medical purposes to apply pressure to prominent regions of an infant's cranium in order to improve cranial symmetry and/or shape in infants from 3 to 18 months of age, with moderate to severe nonsynostotic positional plagiocephaly, including infants with plagiocephalic-, brachycephalic-, and scaphocephalic-shaped heads.(b)
Classification. Class II (special controls) (prescription use in accordance with § 801.109 of this chapter, biocompatibility testing, and labeling (contraindications, warnings, precautions, adverse events, instructions for physicians and parents)).

0

Ko 20448

510(K) Summary of Effectiveness and Safety

The following summary is provided in pursuant to Section 513(I)(3)(A) of the Federal Food, Drug, and Cosmetic Act.

Applicant Information A.

Submitter: Eastern Cranial Affiliates, 1569 20th Ave., Whitestone, New York, 11357, Phone: (516) 906-6687, Email: eca@wans.net

Contact: Joseph F. Terpenning, CO, The Terpenning Group, LLC, 2525 N. 10th St, #804, Arlington, VA 22201, Email Terpenn@wans.net , Phone 703-516-4340

  • Summary Date: January 27, 2002 .

Device Name and Classification B.

  • Proprietary Name: Static Cranioplasty Orthosis .
  • . Common Name: Cranial Orthosis
  • Classification Name: Cranial Orthosis ●
  • Predicate Device: DOC™ Band, Cranial Orthosis, K964992, classified . under 21 CFR § 882.5970

C. Device Description

The Static Cranioplasty Orthosis is a cranial orthosis used to treat abnormally shaped craniums in infants three to 18 months of age. This condition is clinically known as positional or Deformational Plagiocephaly. The orthosis contains the protruding aspects of the cranium in a static equilibrium while guiding the growth of the flattened areas of the skull into the created spaces. The Static Cranioplasty Orthosis is only available if prescribed by a physician.

The orthosis is custom designed for each patient from a mold of the infant's head. The mold is modified and prepared for fabrication by the treating practitioner using mathematical analyses and plaster modification techniques. Each orthosis is composed of an outer shell of thermoformable plastic, an inner lining of hypoallergenic foam, a strap for securing the orthosis, and a polymer hinge and guiding system to maintain proper alignment of the orthosis. Optimum fit and alignment is insured and monitored by the same clinical practitioner.

1

Intended Use D.

The Static Cranioplasty Orthosis is intended for medical purposes to passively hold prominent cranial regions of an infant's skull in order to improve cranial symmetry and/or shape in infants from three to 18 months of age, with nonsynostotic positional plagiocephaly, including infants with plagiocephalic, brachycephalic, and scaphocephalic patterned head shapes.

Comparison to Predicate Device E.

The Static Cranioplasty Orthosis and the predicate device are very similar with respect to production, instructions for use, materials, safety and effectiveness, and special controls. The most significant difference between the two products is the type of thermoformable polymer used for the Static Cranioplasty Orthosis. This device utilizes Durr Plex, an optically clear polymer that allows the practitioner and the parent immediate feedback as to the condition of the child's underlying skin, thus providing an early arrest of any potential skin insults. The material is handled in an identical manner to the polymer used in the predicate device, incorporating all of the safety and standards of practice. The proposed indications of use are analogous to those presented by the predicate device, and biocompatibility, function, and effectiveness further parallel those of the predicate device.

F. Performance Data

The effectiveness of the Static Cranioplasty Orthosis has been established through clinical trials identical to those conducted using the predicate device. The effects of treatment with cranial orthoses on infants have concluded that the devices are significantly effective in correcting abnormal head shape, without evidence of relapse following treatment. Treatment with cranial orthoses is reported to improve the results of surgical correction of severe cases, often eliminating the need for further surgical intervention. Results from a pilot study conducted using the Static Cranioplasty Orthosis have determined that the device is significantly effective in realigning the asymmetrical craniums of infants, and no abnormal reactions or relapses were recorded during the study or during long term follow-ups. Statistical analyses of data collected during pretreatment and post-treatment assessments support these findings. The Static Cranioplasty Orthosis performed almost uniformly to the predicate device during respective trials, with minor differences attributed to normal inconsistencies in data collection and deviation within normal scientifically acceptable parameters.

The safety of the cranial orthoses is established under standard biocompatibility assessments for each material used. These assessments reveal that the device and the materials used are not expected to adversely affect the infants under the intended conditions of wear. The materials are not reported to cause skin irritation or any toxic effects. Further, the product is designed to avoid improper migration or harmful levels of pressure. The interior of the device is smooth and poses no significant threat to the child during application within the normal scope of its intended use.

2

G. Summary

The safety and effectiveness data submitted to the FDA establishes that the Static Cranioplasty Orthosis is safe and effective for its intended use and is substantially equivalent to applicable predicate devices.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR 1 2 2002

Eastern Cranial Affiliates C/O Joseph F. Terpenning, C.O. The Terpenning Group, L.L.C. 2525 N. Tenth St., #804 Arlington, Virginia 22201

Re: K020448

Trade/Device Name: Cranial Molding Orthosis Regulation Number: 21 CFR 890.5970 Regulation Name: Cranial Orthosis Regulatory Class: Class II Product Code: MVA Dated: January 27, 2002 Received: February 11, 2002

Dear Mr. Terpenning:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food. Drug. and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

Image /page/3/Picture/11 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized image of an eagle or bird with three curved lines forming its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the bird. The text is in all capital letters and is evenly spaced around the circle.

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Page 2 - Mr. Joseph F. Terpenning, C.O.

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours.

R. Mark A. Mallemm

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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510(k) Number (if known):K020448
Device Name:Cranial Molding Orthosis

Indications For Use:

Indications for Use

The Cranial Molding Orthosis is intended for medical purposes to passively hold prominent cranial regions of an infant's cranium in order to improve cranial symmetry and/or shape in infants from three to 18 months of age, with nonsynostotic positional alla or shape in including infants with plagiocephalic, brachycephalic, and scaphocephalic patterned head shapes.

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Optional Format 3-10-98)

KO20448

Mark N Millburn
for Division of Corporations

Page

Division Sign-Off) Division of General, Restorative and Neurological Devices

510(k) Number _