510(k) Report

510(k) · Cleared

Cleared

Providence Molding Helmet

K030669510(k) AbbreviatedCleared Jul 18, 2003137-day reviewClass II21 CFR 882.5970

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

Northeast Orthotics and Prothetics, Inc. · MVA Orthosis, Cranial

Cleared on Jul 18, 2003 as substantially equivalent to K011433 (Gema, Inc., 2001) after a 137-day review. Its family tree reaches back 1 generation to 2001. 1 later device descends from it.

Decided
Jul 18, 2003
Review
137 days
Class
Class II
Product code
MVA
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K011433 (2001). 1 later device descends from it, 1 citing it directly.

Descendants, by year cleared 2007: 1 descendant clearedK011433 · Ballert Cranial Molding Helmet · Gema, Inc. · 2001200020052010201520202025
Descendants, by generation 1 generation forward: 1 descendant K011433 · Ballert Cranial Molding Helmet · Gema, Inc. · 20010
  1. Root · 1 generation backK011433 Ballert Cranial Molding HelmetGema, Inc. · 2001
  2. This deviceK030669 Providence Molding HelmetNortheast Orthotics and Prothetics, Inc. · 2003
  3. Descendant · cites it directly · 0 of its ownK070694 Ccro (Craniocephalic Custom Remolding Orthosis)Mike Miner · 2007

Most influential descendants

Showing 1 of 1 · See all
  • K070694Ccro (Craniocephalic Custom Remolding Orthosis)Mike Miner · 2007 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K011433Ballert Cranial Molding HelmetGema, Inc.2001—
0 (this device)K030669Providence Molding HelmetNortheast Orthotics and Prothetics, Inc.2003—
+1K070694Ccro (Craniocephalic Custom Remolding Orthosis)Mike Miner2007—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200710
FIG. 1 — Lineage of K030669, 2001–2007Source: 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 MVA? 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 MVA device

  1. #1 K230444 Talee, Talee PostOpscore 11.9 · 12 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? (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.

TypeNumberDeviceApplicantDecidedRecalls
*K011433Ballert Cranial Molding Helmet
Summary page 1
…cmnhi orthosis, cranial band, helmet, Molding helmet 111. Classification Name: Cranial Orthosis, Code MVA CFR 882.5970 XV. FTedicate Device: Ballert Molding Helmet (K 01 1433) v. Pefionnance Standards: None, Spec~alControls required VI. Description; A. The PrPvidence Molding Helmet is a cr…
Gema, Inc.2001—

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K070694Ccro (Craniocephalic Custom Remolding Orthosis)Mike Miner20070

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?

  • Its one ancestor has no recall.
  • Of its descendants, K070694 (Mike Miner, 2007) has gone furthest, with 0 descendants of its own.

How does its category compare?

All MVA devices

MVA Orthosis, Cranial: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · MVA

1in 2024

2007: 22010: 12011: 32014: 32018: 12021: 22022: 32023: 22024: 1
2007high 3 (2011) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MVA

209in 2022

2011: 104 days median2014: 114 days median2022: 209 days median
2007high 209 (2022) · low 104 (2011)2026

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

Recalls per year · MVA

No recall names MVA since 2007.

Adverse event reports per year · MVA

1in 2022

2008: 12009: 12010: 22015: 12016: 12017: 32022: 1
2007high 3 (2017) · low 0 (2007)2025

MAUDE reports naming product code MVA, 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
20072—00
20080—01
20090—01
20101—02
2011310400
20120—00
20130—00
2014311400
20150—01
20160—01
20170—03
20181—00
20190—00
20200—00
20212—00
2022320901
20232—00
20241—00
20250—00
20260—0—

What is it indicated for?

The Providence Molding Helmet is used for treatment of children from three (3) to eighteen (18) months with moderate to severe non-synostotic positional plagiocephaly, including infants with plagiocephalic-, brachycephalic-, and scaphocephalic-shaped heads. The device is prescribed by a physician to apply pressure to prominent regions of an infant’s cranium in order to improve cranial symmetry andor shape.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K030669: Providence Molding Helmet.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K030669

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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