510(k) Report

510(k) · Cleared

Cleared

Cadstream Version 3.1

K041020510(k) TraditionalCleared Jul 7, 200478-day reviewClass II21 CFR 892.1000

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

Confirma, Inc. · LNH System, Nuclear Magnetic Resonance Imaging

Cleared on Jul 7, 2004 as substantially equivalent to K031779 (Confirma, Inc., 2003) and 3 other predicates after a 78-day review. Its family tree reaches back 5 generations to 1996.

Decided
Jul 7, 2004
Review
78 days
Class
Class II
Product code
LNH
Recalls
None
Predicates
4

Its longest line of descent runs back 5 generations to K954678 (1996). 16 ancestors in all, the oldest K941223 (1994). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2002: 1 other ancestor2001: 3 other ancestors2000: 2 other ancestors1999: 1 other ancestor1996: 1 other ancestor1998: 1 other ancestor1995: 1 other ancestor1994: 1 other ancestorK954678 · Pro Vision · Algotec Systems, Ltd. · 1996K980648 · Pro Vision · Algotec Systems, Ltd. · 1998K992654 · Plug 'N View 3D, Version 1.0 · Voxar Limited · 1999K020546 · Fusion 7D · Mirada Solutions, Ltd. · 2002K031779 · Cadstream · Confirma, Inc. · 20031990199520002005
Other ancestors, by generation 1 generation back: 3 other ancestors2 generations back: 4 other ancestors3 generations back: 3 other ancestors4 generations back: 1 other ancestor K031779 · Cadstream · Confirma, Inc. · 2003K020546 · Fusion 7D · Mirada Solutions, Ltd. · 2002K992654 · Plug 'N View 3D, Version 1.0 · Voxar Limited · 1999K980648 · Pro Vision · Algotec Systems, Ltd. · 1998K954678 · Pro Vision · Algotec Systems, Ltd. · 1996−50
  1. Root · 5 generations backK954678 Pro VisionAlgotec Systems, Ltd. · 1996
  2. 4 generations backK980648 Pro VisionAlgotec Systems, Ltd. · 1998
  3. 3 generations backK992654 Plug 'N View 3D, Version 1.0Voxar Limited · 1999
  4. 2 generations backK020546 Fusion 7DMirada Solutions, Ltd. · 2002
  5. 1 generation backK031779 CadstreamConfirma, Inc. · 2003
  6. This deviceK041020 Cadstream Version 3.1Confirma, Inc. · 2004
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K954678Pro VisionAlgotec Systems, Ltd.1996—
−4K980648Pro VisionAlgotec Systems, Ltd.1998—
−3K992654Plug 'N View 3D, Version 1.0Voxar Limited1999—
−2K020546Fusion 7DMirada Solutions, Ltd.2002—
−1K031779CadstreamConfirma, Inc.2003—
0 (this device)K041020Cadstream Version 3.1Confirma, Inc.2004—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
199510
199610
199810
199910
200020
200130
200210
FIG. 1 — Lineage of K041020, 1996–2004Source: 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 LNH? 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 LNH device

  1. #1 K213693 MAGNETOM Vida with syngo MR XA50Ascore 23.0 · 18 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? (4)

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
*K031779Cadstream
Summary page 1
…lent to the devices listed below: Model: CADstreamTM Version 2.0 Manufacturer: Confirma, Inc. 510 (k) Number: K031779 Model: MICS Intervention Aid and MICS Intervention Aid PC- software pac…
Confirma, Inc.2003—
*K020289Mics Intervention Aid, Catalog # Mics-Mia and Mics-Mias
Summary page 1
…tware package used to support stereotactic localization device Manufacturer: Machnet BV 510 (k) Number: K020289 Model: Software to support Stereotactic Localization Device (SLD) inclu…
Machnet BV2002—
*K000832Sterotactic Localization Device (SLD)
Summary page 1
…ce (SLD) included in Phillips GYROSCAN NT system Manufacturer: Phillips Medical Systems 510 (k) Number: K000832 Model: Software to support MR Breast Biopsy Device included in Siemens…
Philips Medical Systems North America, Inc.2000—
*K010773Breast Biopsy Device/Magnetom Systems
Summary page 1
…Biopsy Device included in Siemens MAGNETOM system Manufacturer: Siemens Medical Systems 510 (k) Number: K010773 4. Device Description: The CADstream device relies on the assumption that pixels having similar MR signal intensi…
Siemens Medical Solutions USA, Inc.20011

Also cleared against K031779: 2 other devices →

What descends from it?

No later submission names this one as a predicate yet.

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?

  • The line of descent spans 8 years and passes through 4 companies; a new generation was cleared every 1.3 years on median.
  • 3 of the 16 ancestors have a recall of any class.
  • 2 other devices also cite its predicate K031779.

How does its category compare?

All LNH devices

LNH System, Nuclear Magnetic Resonance Imaging: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · LNH

26in 2025

2007: 122008: 192009: 172010: 122011: 162012: 222013: 192014: 172015: 192016: 202017: 182018: 292019: 262020: 322021: 272022: 302023: 302024: 262025: 262026 (partial year): 24
2007high 32 (2020) · low 12 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LNH

122in 2025

2007: 35 days median2008: 53 days median2009: 70 days median2010: 94 days median2011: 81 days median2012: 89 days median2013: 108 days median2014: 108 days median2015: 140 days median2016: 108 days median2017: 98 days median2018: 128 days median2019: 62 days median2020: 121 days median2021: 87 days median2022: 74 days median2023: 124 days median2024: 104 days median2025: 122 days median2026 (partial year): 126 days median
2007high 140 (2015) · low 35 (2007)2026

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

Recalls per year · LNH

8in 2025

2007: 252008: 122009: 72010: 172011: 112012: 52013: 22014: 132015: 12, 2 Class I2016: 12018: 712019: 52020: 42021: 412022: 132023: 10, 1 Class I2024: 42025: 8, 5 Class I2026 (partial year): 43
2007high 71 (2018) · low 0 (2017)2026

Class I (8 since 2007) Class II/III not classified

Adverse event reports per year · LNH

1,263in 2025

2007: 1142008: 1672009: 1942010: 1652011: 1822012: 1702013: 1072014: 1192015: 1132016: 1352017: 1212018: 1582019: 1582020: 982021: 842022: 1382023: 1592024: 2812025: 1,263
2007high 1,263 (2025) · low 84 (2021)2025

MAUDE reports naming product code LNH, 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
2007123525114
2008195312167
200917707194
2010129417165
2011168111182
201222895170
2013191082107
20141710813119
20151914012 (2)113
2016201081135
201718980121
20182912871158
201926625158
202032121498
202127874184
2022307413138
20233012410 (1)159
2024261044281
2025261228 (5)1,263
20262412643—

What is it indicated for?

CADstreamTM is a Computer Aided Detection (CAD) system intended for use in analyzing magnetic resonance imaging (MRI) studies. CADstream automatically registers serial patient image acquisitions (in 2D or 3D) to minimize the impact of patient motion, segments and labels tissue types based on enhancement characteristics (parametric image maps, referred to as angiogenesis maps), and performs other user-defined post-processing functions (image subtractions…

Read the full statement (236 words)

CADstreamTM is a Computer Aided Detection (CAD) system intended for use in analyzing magnetic resonance imaging (MRI) studies. CADstream automatically registers serial patient image acquisitions (in 2D or 3D) to minimize the impact of patient motion, segments and labels tissue types based on enhancement characteristics (parametric image maps, referred to as angiogenesis maps), and performs other user-defined post-processing functions (image subtractions, multiplanar reformats, maximum intensity projections).

CADstream also can be used to provide accurate and reproducible measurements of the longest diameters and volume of segmented tissues, including automated determination of volumes of interest (VOI), calculation of the longest diameter in X, Y and Z dimensions, the areas of VOI, the volume measurements of VOI (reported in cc), and 3D renderings of VOI.

The system includes an optional remote image viewer (CADalystTM), optimized for viewing breast MR studies processed by CADstream.

CADstreamTM includes software to support the use of breast interventional coils and MR stereotactic localization devices to perform breast interventional procedures (SureLocTM). Using information from MR images regarding the coordinates of a user-specified region of interest, and fiducial coordinates, the software provides an automatic calculation of the location and depth of the targeted region of interest, such as a lesion or suspected lesion.

When interpreted by a skilled physician, this device provides information that may be useful in screening and diagnosis. Patient management decisions should not be made based solely on the results of CADstream analysis.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K041020: Cadstream Version 3.1.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K041020

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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