K Number
K213587
Device Name
MyCRO Band
Date Cleared
2022-06-09

(209 days)

Product Code
Regulation Number
882.5970
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Intended for medical purposes for use on infants from 3 to 18 months of age, with moderate-to-severe non-synostotic positional plagiocephaly, including infants with plagiocephalic-, and scaphocephalic-shaped heads by applying mild pressure to prominent regions of an infant's cranium in order to improve cranial symmetry and/or shape. These devices are also indicated for adjunctive use for infants from 3 to 18 months of age synostosis has been surgically corrected, but who still have moderate-to-severe cranial deformities including plagiocephalic-, and scaphocephalic- shaped heads.
Device Description
The Ottobock MyCRO Band is a non-sterile temporary orthosis to aid in the correction of head shape caused by positioning in infants three (3) to eighteen (18) months of age. As such, this device is manufactured to match patient anatomy and may only be used on the patient for which the cranial orthosis was designed. The orthosis uses contact and growth zones to guide the growth of the head. The contact zones define limits for growth, while the growth zones leave space in areas required for forming the natural head shape. An adaptable closure allows for adjustability as the child grows. The orthosis is made of thermoplastic material with a soft, washable lining on the interior.
More Information

No
The summary describes the use of CAD software for modifying scanned images and mentions verification testing of the scanner and manufacturing process, but there is no mention of AI or ML algorithms being used for analysis, decision-making, or automated adjustments within the device or its associated software.

Yes
The "Intended Use / Indications for Use" section explicitly states that the device is "Intended for medical purposes" to improve cranial symmetry and/or shape for infants with moderate-to-severe non-synostotic positional plagiocephaly and for adjunctive use after surgical correction of synostosis, which are therapeutic applications.

No

The device is described as an orthosis used to apply pressure to an infant's cranium to improve cranial symmetry and/or shape. Its purpose is corrective (treatment), not diagnostic.

No

The device description explicitly states it is a "non-sterile temporary orthosis" made of "thermoplastic material with a soft, washable lining," which are physical hardware components. While CAD software is mentioned for manufacturing, the device itself is a physical orthosis.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The described device, the Ottobock MyCRO Band, is a cranial orthosis (a helmet) used to physically reshape an infant's head. It works by applying pressure to the external surface of the head.
  • Lack of Biological Sample Analysis: The device does not analyze any biological samples from the patient. Its function is purely mechanical and external.
  • Intended Use: The intended use clearly states it's for improving cranial symmetry and/or shape by applying pressure to the cranium. This is a physical intervention, not a diagnostic test.

The device is a medical device, specifically an orthosis, but it does not fit the definition of an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

Intended for medical purposes for use on infants from 3 to 18 months of age, with moderate-to-severe non-synostotic positional plagiocephaly, including infants with plagiocephalic-, and scaphocephalic-shaped heads by applying mild pressure to prominent regions of an infant's cranium in order to improve cranial symmetry and/or shape. These devices are also indicated for adjunctive use for infants from 3 to 18 months of age synostosis has been surgically corrected, but who still have moderate-to-severe cranial deformities including plagiocephalic-, and scaphocephalic- shaped heads.

Product codes (comma separated list FDA assigned to the subject device)

MVA, OAN

Device Description

The Ottobock MyCRO Band is a non-sterile temporary orthosis to aid in the correction of head shape caused by positioning in infants three (3) to eighteen (18) months of age. As such, this device is manufactured to match patient anatomy and may only be used on the patient for which the cranial orthosis was designed. The orthosis uses contact and growth zones to guide the growth of the head. The contact zones define limits for growth, while the growth zones leave space in areas required for forming the natural head shape. An adaptable closure allows for adjustability as the child grows. The orthosis is made of thermoplastic material with a soft, washable lining on the interior.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

3-dimensional imaging

Anatomical Site

Cranium / Head

Indicated Patient Age Range

3 to 18 months of age

Intended User / Care Setting

Prescription Use Only

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

Scanner Evaluation utilized a worst-case challenge reference object of known dimensions to assess 3D imaging devices for adequate accuracy, repeatability, and reproducibility. The iFab EasyScan was compared to scanners previously cleared for use as well as internal acceptance criteria.

Verification testing demonstrated software performance, interoperability, and ability to meet internal device specifications. Verification testing included dimensional analysis, fit assessment, and mechanical testing of test samples to evaluate the iFab EasyScan as part of the manufacturing process performance, which was compared to the process used for the predicate device.

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The following non-clinical tests were conducted and successfully met the predetermined acceptance criteria:

  1. Biological evaluation per ISO 10993-1:2018
  2. Cytotoxicity testing per ISO 10993-5:2009
  3. Irritation and Sensitization testing per ISO 10993-10:2010
  4. Scanner evaluation, including repeatability/reproducibility study
  5. Verification testing

All testing passed acceptance criteria and demonstrated that the subject device is substantially equivalent to the predicate device.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K180109 - Orthoamerica Products, Inc., STARband®

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

K201426 - Otto Bock HealthCare LP, MyCRO Band

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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)).

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: a symbol on the left and the FDA name on the right. The symbol on the left is a stylized image of a human figure, while the FDA name on the right is written in blue letters. The words "U.S. FOOD & DRUG ADMINISTRATION" are written in a clear, sans-serif font.

June 9, 2022

Otto Bock Healthcare LP % Adrienne Von Foller Regulatory Consulant Strategic Quality Solutions, LLC 1594 E. Monaco Ave Salt Lake City, Utah 84121

Re: K213587

Trade/Device Name: MyCRO Band Regulation Number: 21 CFR 882.5970 Regulation Name: Cranial Orthosis Regulatory Class: Class II Product Code: MVA, OAN Dated: May 11, 2022 Received: May 13, 2022

Dear Adrienne Von Foller:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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

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requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Adam Pierce, Ph.D. Assistant Director DHT5A: Division of Neurosurgical, Neurointerventional and Neurodiagnostic Devices OHT5: Office of Neurological and Physical Medicine Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K213587

Device Name MyCRO Band

Indications for Use (Describe)

Intended for medical purposes for use on infants from 3 to 18 months of age, with moderate-to-severe non-synostotic positional plagiocephaly, including infants with plagiocephalic-, and scaphocephalic-shaped heads by applying mild pressure to prominent regions of an infant's cranium in order to improve cranial symmetry and/or shape. These devices are also indicated for adjunctive use for infants from 3 to 18 months of age synostosis has been surgically corrected, but who still have moderate-to-severe cranial deformities including plagiocephalic-, and scaphocephalic- shaped heads.

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary

Name of 510(k) Owner:Otto Bock HealthCare LP
Address of Submitter:3820 West Great Lakes Drive
Salt Lake City, UT 84120
Telephone: (801) 956-2400
Submitter Contact:Caleb Beck,
Director, Regulatory and Quality Compliance - North America
Adrienne von Foller
Regulatory Affairs Consultant
Strategic Quality Solutions, LLC
Telephone: (801) 916-8188
Email: Adrienne@device2market.com
Date Prepared:June 9, 2022
Submission Type:Traditional 510(k)
Proprietary Name:MyCRO Band
Common Name(s):Cranial orthosis
Classification:21 CFR 882.5970, Cranial orthosis
Device Class:Class II
Device Product Code:MVA, OAN
Predicate Device:K180109 - Orthoamerica Products, Inc., STARband®
Reference Device:K201426 - Otto Bock HealthCare LP, MyCRO Band

Device Description

The Ottobock MyCRO Band is a non-sterile temporary orthosis to aid in the correction of head shape caused by positioning in infants three (3) to eighteen (18) months of age. As such, this device is manufactured to match patient anatomy and may only be used on the patient for which the cranial orthosis was designed. The orthosis uses contact and growth zones to guide the growth of the head. The contact zones define limits for growth, while the growth zones leave space in areas required for forming the natural head shape. An adaptable closure allows for adjustability as the child grows. The orthosis is made of thermoplastic material with a soft, washable lining on the interior.

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Indications for Use

Intended for medical purposes for use on infants from 3 to 18 months of age, with moderate-to-severe non-synostotic positional plagiocephaly, including infants with plagiocephalic-, brachycephalic-, and scaphocephalic-shaped heads by applying mild pressure to prominent regions of an infant's cranium in order to improve cranial symmetry and/or shape. These devices are also indicated for adjunctive use for infants from 3 to 18 months of age whose synostosis has been surgically corrected, but who still have moderate-to-severe cranial deformities including plagiocephalic-, and scaphocephalicshaped heads.

Basis for Substantial Equivalence

The Ottobock MyCRO Band has the following technological characteristics which are the same as the predicate device. These include:

    1. Indications for use
    1. Intended use
    1. Basic principles of operation
    1. Basic design
Comparison of the Subject and Predicate Devices
Device
CharacteristicSubject DeviceReference DevicePredicate Device
Trade NameMyCRO BandSTARband
Common NameCranial Helmet, Cranial OrthosisCranial Helmet, Cranial Orthosis
ManufacturerOtto Bock HealthCare LPOrthomerica Products, Inc.
510(k) NumberK213587K201426K180109
Product CodeMVA, OANMVAOAN, MVA
Intended UseRedirects head growth by maintaining contact over cranial
areas which protrude and by creating voids
over areas of depression or flattening in order to improve
symmetry.Maintains total contact over areas of bossing
or protrusion and creates voids over areas of
depression or flattening to redirect cranial
growth toward greater symmetry.
ContraindicationsNot for use on infants with pre-surgical
craniosynostosis or hydrocephalusNot for use on infants with synostosis or
hydrocephalus
Prescription
required?Prescription Use OnlyPrescription Use Only
Size OptionsPatient-matched sizing by scanning an image of patient's
head shapePatient-matched sizing by scanning an
image of patient's head shape or plaster
mold to make
positive mold of head shape
Software Used for
ShapeCAD software is used to modify the shape of the scanned
image to improve symmetry and shape of the helmet to be
manufacturedCustomized and/or CAD software may be
used to modify the shape of the scanned
image to improve symmetry and shape of the
helmet to be
manufactured
Design
ComponentsPolymer helmet with side opening closure and padded
liningPolymer helmet with side opening
closure and padded lining
Approximate
Weight4 — 6.5 oz6 — 10 oz
Device CharacteristicSubject DeviceReference DevicePredicate Device
Manufacturing ProcessAdditively manufacture the orthosis based upon measurements of the infant's head taken by a compatible 3-dimensional imaging deviceAdditively manufacture the orthosis based upon measurements of the infant's head taken by a compatible 3-dimensional imaging device- Form orthosis from a positive mold of infant's head
  • Positive mold is formed based upon measurements of the infant's head taken by an approved 3-dimensional imaging device from which a 3-dimensional image is made or from a traditional plaster cast
  • The 3-dimensional image is used to produce a positive mold using a 5-axis routing machine |
    | Compatible
    3-Dimensional
    Imaging Devices | Creaform HCP
    Creaform Peel1
    Creaform Peel 3D
    Rodin4D M4D Scan
    TechMed3D BodyScan
    OMEGA Scanner 3D
    Artec Eva
    Artec Eva Lite
    iFab EasyScan | Creaform HCP
    Creaform Peel1
    Creaform Peel 3D
    Rodin4D M4D Scan
    TechMed3D BodyScan
    OMEGA Scanner 3D
    Artec Eva
    Artec Eva Lite | Spectra 3D Scanner
    M4DScan/BodyScan System
    Omega Scanner
    3dMDhead System
    3dMDcranial System
    3dMDflex System
    scanGogh-II
    STARscanner I
    STARscanner II
    SmartSoc System for Android and iOS devices |
    | Testing | Scanner Evaluation utilized a worst-case challenge reference object of known dimensions to assess 3D imaging devices for adequate accuracy, repeatability, and reproducibility. The iFab EasyScan was compared to scanners previously cleared for use as well as internal acceptance criteria.

Verification testing demonstrated software performance, interoperability, and ability to meet internal device specifications. Verification testing included dimensional analysis, fit assessment, and mechanical testing of test samples to evaluate the iFab EasyScan as part of the manufacturing process performance, which was compared to the process used for the predicate device. | Scanner Evaluation utilized a worst-case challenge reference object of known dimensions to assess 3D imaging devices for adequate accuracy, repeatability, and reproducibility. Scanners were compared to those previously cleared for use for the predicate device as well as internal acceptance criteria.

Software Validation demonstrated software performance, interoperability, and ability to meet internal device specifications. In addition to IQ, OQ, and PQ studies, a Fit Assessment was performed using test samples which were additively manufactured from 3D images of representative simulated cranial shapes using a compatible scanner.

Process Validation included dimensional analysis and | Cranial Shape Capture Accuracy Study utilized a representative cranial shape that possesses a predefined shape with known dimensions, which compared proposed device to cast and predicate device. Associated parameters analyzed included coordinate planes (A-P; M-L; P-D) and various radius parameters, squareness, and flatness. |
| Comparison of the Subject and Predicate Devices | | | |
| Device
Characteristic | Subject Device | Reference Device | Predicate Device |
| | | samples to evaluate the
additive manufacturing
process performance, which
was compared to the
process used for the
predicate device. | |
| Biocompatibility | Biocompatibility Testing
• Cytotoxicity
• Sensitization
• Irritation | | Biocompatibility Testing
• Cytotoxicity
• Sensitization
• Irritation |

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In addition, the subject device complies with the special controls for cranial orthoses under 21 CFR 882.5970 for the FDA product classification, including and biocompatibility test requirements.

Summary of Testing

The following non-clinical tests were conducted and successfully met the predetermined acceptance criteria:

    1. Biological evaluation per ISO 10993-1:2018
    1. Cytotoxicity testing per ISO 10993-5:2009
    1. Irritation and Sensitization testing per ISO 10993-10:2010
    1. Scanner evaluation, including repeatability/reproducibility study
    1. Verification testing

Conclusion

The MyCRO Band has identical indications for use as the predicate device in K180109. The fundamental technological characteristics of the MyCRO Band are the previously cleared predicate device. All testing passed acceptance criteria and demonstrated that the subject device is substantially equivalent to the predicate device.

Based on similarities in indications for use, basic design, and the principle of operation, the Ottobock MyCRO Band is substantially equivalent to the previously cleared predicate device.