510(k) Report

510(k) · Cleared

Cleared

Smartscore 3.5; Smartscore 4.0; Smartscore 4.5

K020929510(k) TraditionalCleared Apr 3, 200212-day reviewClass II21 CFR 892.1750

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

GE Medical Systems · JAK System, X-Ray, Tomography, Computed

Cleared on Apr 3, 2002 as substantially equivalent to K982004 (General Electric Co., 1998) after a 12-day review. Its family tree reaches back 3 generations to 1995. 1 of the 276 devices in its family, counting itself, has a Class I recall. 272 later devices descend from it.

Decided
Apr 3, 2002
Review
12 days
Class
Class II
Product code
JAK
Recalls
None
Predicates
1

Its longest line of descent runs back 3 generations to K945512 (1995). 272 later devices descend from it, 5 citing it directly. 1 of the 276 devices in this family, counting this one, has a Class I recall.

Descendants, by year cleared 2007: 2 descendants cleared2002: 1 descendant cleared2005: 2 descendants cleared2003: 2 descendants cleared2022: 27 descendants cleared2006: 2 descendants cleared2018: 17 descendants cleared2009: 2 descendants cleared2024: 30 descendants cleared2025: 34 descendants cleared, 1 with a Class I recall12014: 6 descendants cleared2012: 6 descendants cleared2010: 5 descendants cleared2011: 3 descendants cleared2015: 8 descendants cleared2019: 14 descendants cleared2021: 16 descendants cleared2013: 4 descendants cleared2020: 21 descendants cleared2023: 24 descendants cleared2026: 27 descendants cleared2008: 1 descendant cleared2016: 9 descendants cleared2017: 9 descendants clearedK945512 · HRSW Option for CT Twin Flash · Elscint, Inc. · 1995K970980 · Cardiac Scoring for CT Scanners · Elscint, Inc. · 1997K982004 · CT Coronary Artery Calcification Scoring (Cacs) Option for Advantage Windows · General Electric Co. · 19981995200020052010201520202025
Descendants, by generation 1 generation forward: 5 descendants2 generations forward: 6 descendants3 generations forward: 10 descendants4 generations forward: 18 descendants5 generations forward: 42 descendants6 generations forward: 41 descendants7 generations forward: 36 descendants8 generations forward: 31 descendants, 1 with a Class I recall19 generations forward: 26 descendants10 generations forward: 21 descendants11 generations forward: 12 descendants12 generations forward: 12 descendants13 generations forward: 5 descendants14 generations forward: 3 descendants15 generations forward: 2 descendants16 generations forward: 1 descendant17 generations forward: 1 descendant K982004 · CT Coronary Artery Calcification Scoring (Cacs) Option for Advantage Windows · General Electric Co. · 1998K970980 · Cardiac Scoring for CT Scanners · Elscint, Inc. · 1997K945512 · HRSW Option for CT Twin Flash · Elscint, Inc. · 19950+5+10+15
  1. Root · 3 generations backK945512 HRSW Option for CT Twin FlashElscint, Inc. · 1995
  2. 2 generations backK970980 Cardiac Scoring for CT ScannersElscint, Inc. · 1997
  3. 1 generation backK982004 CT Coronary Artery Calcification Scoring (Cacs) Option for Advantage…General Electric Co. · 1998
  4. This deviceK020929 Smartscore 3.5; Smartscore 4.0; Smartscore 4.5GE Medical Systems · 2002
  5. Descendant · cites it directly · 217 of its ownK022919 Smart Breath Respiratory Compensation OptionGE Medical Systems · 2002
  6. Descendant · 2 generations on · 216 of its ownK032915 Advantage 4D OptionGe Medical Systems, LLC · 2003
  7. Descendant · 3 generations on · 200 of its ownK091373 Syngo TruedSiemens Medical Solutions USA, Inc. · 2009
  8. Descendant · 4 generations on · 76 of its ownK101749 Syngo Trued SoftwareSiemens Medical Solutions · 2010
  9. Descendant · 4 generations on · 70 of its ownK101228 Mirada XDMirada Medical, Ltd. · 2010

Showing 5 of 272 descendants. See all descendants

Descendants cleared per year

2002: 12003: 22005: 22006: 22007: 22008: 12009: 22010: 52011: 32012: 62013: 42014: 62015: 82016: 92017: 92018: 172019: 142020: 212021: 162022: 272023: 242024: 302025: 342026: 27
2002high 34 (2025) · low 0 (2004)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 272 · See all
  • K022919Smart Breath Respiratory Compensation OptionGE Medical Systems · 2002 · cites it directly217descendants
  • K032915Advantage 4D OptionGe Medical Systems, LLC · 2003 · 2 generations on216descendants
  • K091373Syngo TruedSiemens Medical Solutions USA, Inc. · 2009 · 3 generations on200descendants
  • K101749Syngo Trued SoftwareSiemens Medical Solutions · 2010 · 4 generations on76descendants
  • K101228Mirada XDMirada Medical, Ltd. · 2010 · 4 generations on70descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K945512HRSW Option for CT Twin FlashElscint, Inc.1995—
−2K970980Cardiac Scoring for CT ScannersElscint, Inc.1997—
−1K982004CT Coronary Artery Calcification Scoring (Cacs) Option for Advantage WindowsGeneral Electric Co.1998—
0 (this device)K020929Smartscore 3.5; Smartscore 4.0; Smartscore 4.5GE Medical Systems2002—
+1K022919Smart Breath Respiratory Compensation OptionGE Medical Systems2002—
+2K032915Advantage 4D OptionGe Medical Systems, LLC2003—
+3K091373Syngo TruedSiemens Medical Solutions USA, Inc.2009—
+4K101749Syngo Trued SoftwareSiemens Medical Solutions2010—
+4K101228Mirada XDMirada Medical, Ltd.2010—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200210
200320
200520
200620
200720
200810
200920
201050
201130
201260
201340
201460
201580
201690
201790
2018170
2019140
2020210
2021160
2022270
2023240
2024300
2025341
2026270
FIG. 1 — Lineage of K020929, 1995–2026Source: 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.

1 device in this family has a Class I recall. 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 JAK device

  1. #1 K230223 iCAC Devicescore 23.5 · 12 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

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
*K982004CT Coronary Artery Calcification Scoring (Cacs) Option for Advantage Windows
Summary page 1
…ly equivalent to the device listed below: Model: CT Coronary Artery Calcification Scoring (CACS) Manufacturer: General Electric Medical Systems, Milwaukee, W1 510(k) #: K982004 Device Description: SmartScore 3.5/4.0/4.5 are a family of software options that runs on the Advantage Windows (AW) (K960613) wo…
General Electric Co.1998—

Also cleared against K982004: 1 other device →

What descends from it? (272)

See all 272

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

NumberDeviceApplicantDecidedDescendants
K022919Smart Breath Respiratory Compensation OptionGE Medical Systems2002217
K072737CSCS-001A Calcium Scoring PackageToshiba America Medical Systems, In.C200745
K213725CardIQ SuiteGE Medical Systems SCS20224
K050033LucionMevisys Co., Ltd.20053
K032823Medicheart, Model Release 1Medicsight20030

Has anything in its family been recalled? (1 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K250443MAGNETOM Avanto Fit; MAGNETOM Skyra Fit; MAGNETOM Sola Fit; MAGNETOM Viato.MobileSiemens Healthcare GmbH · 2025 · 8 generations on · ◆ in the 2025 descendants bar of FIG. 12 Class I recalls

What does this lineage say?

  • The line of descent spans 7 years and passes through 3 companies; a new generation was cleared every 2.2 years on median.
  • None of the 3 ancestors has a recall.
  • Of its descendants, K022919 (GE Medical Systems, 2002) has gone furthest, with 217 descendants of its own.
  • 1 other device also cites its predicate K982004.

How does its category compare?

All JAK devices

JAK System, X-Ray, Tomography, Computed: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · JAK

27in 2025

2007: 142008: 262009: 152010: 72011: 162012: 282013: 172014: 302015: 302016: 252017: 292018: 242019: 282020: 302021: 202022: 302023: 272024: 262025: 272026 (partial year): 21
2007high 30 (2014) · low 7 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JAK

141in 2025

2007: 27 days median2008: 42 days median2009: 31 days median2010: 92 days median2011: 155 days median2012: 121 days median2013: 132 days median2014: 200 days median2015: 140 days median2016: 129 days median2017: 96 days median2018: 114 days median2019: 94 days median2020: 112 days median2021: 145 days median2022: 131 days median2023: 139 days median2024: 141 days median2025: 141 days median2026 (partial year): 167 days median
2007high 200 (2014) · low 27 (2007)2026

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

Recalls per year · JAK

17in 2025

2007: 112008: 162009: 292010: 512011: 342012: 232013: 112014: 102015: 282016: 442017: 332018: 102019: 52020: 82021: 152022: 92023: 92024: 202025: 172026 (partial year): 23
2007high 51 (2010) · low 5 (2019)2026

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

Adverse event reports per year · JAK

219in 2025

2007: 762008: 1202009: 1052010: 1192011: 2052012: 1922013: 4142014: 3082015: 4542016: 3652017: 3382018: 5432019: 2332020: 1772021: 2612022: 1992023: 3102024: 2122025: 219
2007high 543 (2018) · low 76 (2007)2025

MAUDE reports naming product code JAK, 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
200714271176
2008264216120
2009153129105
201079251119
20111615534205
20122812123192
20131713211414
20143020010308
20153014028454
20162512944365
2017299633338
20182411410543
201928945233
2020301128177
20212014515261
2022301319199
2023271399310
20242614120212
20252714117219
20262116723—

What is it indicated for?

SmartScore 3.5/4.0/4.5 are non-invasive software options that can be used to evaluate calcified plaques in the coronary arteries, which may be a risk factor for coronary artery disease. SmartScore 3.5/4.0/4.5 may be used to monitor the progression/regression of calcium in coronary arteries overtime, which may aid in the prognosis of cardiac disease.

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. “K020929: Smartscore 3.5; Smartscore 4.0; Smartscore 4.5.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K020929

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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