510(k) Report

510(k) · Cleared

Recalled · Class II · 2016

Horizon Medical Imaging

K043146510(k) TraditionalCleared Jan 4, 200550-day reviewClass II21 CFR 892.2050Recalls 11

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

Mckesson Medical Imaging Company · LLZ System, Image Processing, Radiological

Cleared on Jan 4, 2005 as substantially equivalent to K925965 (Advanced Light Imaging Technologies, Ltd., 1993) and 2 other predicates after a 50-day review. Its family tree reaches back 2 generations to 1993. 27 later devices descend from it. It has been recalled 11 times.

Decided
Jan 4, 2005
Review
50 days
Class
Class II
Product code
LLZ
Recalls
11
Predicates
3

Its longest line of descent runs back 2 generations to K922164 (1993). 6 ancestors in all, the oldest K920319 (1992). 27 later devices descend from it, 5 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2002: 1 other ancestor1993: 1 other ancestor1998: 1 other ancestor1992: 1 other ancestor2015: 2 descendants cleared2005: 2 descendants cleared2014: 2 descendants cleared2008: 2 descendants cleared2007: 1 descendant cleared2019: 2 descendants cleared2012: 2 descendants cleared2011: 2 descendants cleared2017: 1 descendant cleared2018: 2 descendants cleared2021: 2 descendants cleared2025: 2 descendants cleared2020: 1 descendant cleared2023: 1 descendant cleared2022: 2 descendants cleared2024: 1 descendant clearedK922164 · Raytel Digital Imaging Systems · Olicon Imaging Systems, Inc. · 1993K973959 · Olicon Imaging Systems, Inc. 02-Workstation and/or Pacsview Software · Olicon Imaging Systems, Inc. · 19971990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 2 other ancestors 1 generation forward: 5 descendants2 generations forward: 7 descendants3 generations forward: 4 descendants4 generations forward: 4 descendants5 generations forward: 3 descendants6 generations forward: 3 descendants7 generations forward: 1 descendant K973959 · Olicon Imaging Systems, Inc. 02-Workstation and/or Pacsview Software · Olicon Imaging Systems, Inc. · 1997K922164 · Raytel Digital Imaging Systems · Olicon Imaging Systems, Inc. · 19930+5
  1. Root · 2 generations backK922164 Raytel Digital Imaging SystemsOlicon Imaging Systems, Inc. · 1993
  2. 1 generation backK973959 Olicon Imaging Systems, Inc. 02-Workstation and/or Pacsview SoftwareOlicon Imaging Systems, Inc. · 1997
  3. This deviceK043146 Horizon Medical ImagingMckesson Medical Imaging Company · 2005
  4. Descendant · cites it directly · 10 of its ownK051649 Vericis Cardiovascular Image and Information System, Model 4.0Camtronics Medical Systems · 2005 · Recalled
  5. Descendant · cites it directly · 7 of its ownK152186 HealthMyne PACSHealthmyne, Inc. · 2015
  6. Descendant · 2 generations on · 7 of its ownK053133 Syngo Dynamics, Version 5.0Siemens Medical Solutions USA, Inc. · 2005 · Recalled
  7. Descendant · 2 generations on · 6 of its ownK171544 Arterys ViewerArterys, Inc. · 2017
  8. Descendant · 3 generations on · 6 of its ownK111319 Ibis Explorer and Markup SoftwareMedqia · 2011

Showing 5 of 27 descendants. See all descendants

Descendants cleared per year

2005: 22007: 12008: 22011: 22012: 22014: 22015: 22017: 12018: 22019: 22020: 12021: 22022: 22023: 12024: 12025: 2
2005high 2 (2005) · low 0 (2006)2026

Most influential descendants

Showing 5 of 27 · See all
  • K051649Vericis Cardiovascular Image and Information System, Model 4.0Camtronics Medical Systems · 2005 · cites it directly10descendants
  • K152186HealthMyne PACSHealthmyne, Inc. · 2015 · cites it directly7descendants
  • K053133Syngo Dynamics, Version 5.0Siemens Medical Solutions USA, Inc. · 2005 · 2 generations on7descendants
  • K171544Arterys ViewerArterys, Inc. · 2017 · 2 generations on6descendants
  • K111319Ibis Explorer and Markup SoftwareMedqia · 2011 · 3 generations on6descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K922164Raytel Digital Imaging SystemsOlicon Imaging Systems, Inc.1993—
−1K973959Olicon Imaging Systems, Inc. 02-Workstation and/or Pacsview SoftwareOlicon Imaging Systems, Inc.1997—
0 (this device)K043146Horizon Medical ImagingMckesson Medical Imaging Company2005—
+1K051649Vericis Cardiovascular Image and Information System, Model 4.0Camtronics Medical Systems200517
+1K152186HealthMyne PACSHealthmyne, Inc.2015—
+2K053133Syngo Dynamics, Version 5.0Siemens Medical Solutions USA, Inc.20052
+2K171544Arterys ViewerArterys, Inc.2017—
+3K111319Ibis Explorer and Markup SoftwareMedqia2011—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199210
199310
199810
200210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200520
200710
200820
201120
201220
201420
201520
201710
201820
201920
202010
202120
202220
202310
202410
202520
FIG. 1 — Lineage of K043146, 1993–2025Source: 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 LLZ? 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 LLZ device

  1. #1 K230955 syngo Application Softwarescore 21.5 · 11 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? (3)

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
*K925965Picture Archiving and Communication Systems
Summary page 1
…s System (per 21 CFR 892.2050). 5.3 Devices to which Substantial Equivalence is being Claimed 510(k) Number Device Name Manufacturer K925965 Picture Archiving and Advanced Light Imaging Technologies Communication Systems Inc.…
Advanced Light Imaging Technologies, Ltd.1993—
*K973959Olicon Imaging Systems, Inc. 02-Workstation and/or Pacsview Software
Summary page 1
…Light Imaging Technologies Communication Systems Inc. (now McKesson Medical Imaging Company) K973959 02 Workstation and/or Olicon Imaging Systems Inc. (now PACSView software McKesso…
Olicon Imaging Systems, Inc.1997—
*K023557Centricity Pacs Plus
Summary page 1
…y) K973959 02 Workstation and/or Olicon Imaging Systems Inc. (now PACSView software McKesson Medical Imaging Company) 1K023557 Centricity PACS Plus GE Medical Systems Horizon Medical Imaging is based on the above identified FDA cleared P…
GE Medical Systems2002—

Also cleared against K925965: 2 other devices →

What descends from it? (27)

See all 27

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

NumberDeviceApplicantDecidedDescendants
K051649Vericis Cardiovascular Image and Information System, Model 4.0Camtronics Medical Systems200510
K152186HealthMyne PACSHealthmyne, Inc.20157
K081976Impax MA3000 Diagnostic Pacs WorkstationAgfa Healthcare Corporation20084
K070755InterworksAvreo, Inc.20071
K140909Mckesson RadiologyMckesson Medical Imaging Company20140

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Jul 12, 2016Class IIZ-2872-2016Software designThe STAT priority icon was not displayed in the Study List when the study was opened.
Feb 18, 2016Class IIZ-1182-2016Software designMcKesson has identified a design deficiency where under rare circumstances, imported images/studies may re-use a non-unique image directory. This issue may cause incorrect images to be displayed for a patient.
May 29, 2014Class IIZ-1728-2014Software designFirm received a complaint that an unreported study performed that day could not be opened from the archive.
May 5, 2014Class IIZ-2121-2014Software designThe firm has identified a software issue which may cause a discrepancy between the index of images expected by the application, and the actual content of the folder storing the images.
Apr 17, 2014Class IIZ-1617-2014Software Design ChangeHigh priority alert icon was not displayed in the Study List when there are no Stat studies present. However, the High priority alert icon is visible when studies marked as Stat priority exist in the Study List.
Dec 23, 2013Class IIZ-0976-2014Software designImages may be archived to an incorrect or invalid archive location resulting in incorrect images or no images being displayed for a study following retrieval from archive.
Oct 15, 2013Class IIZ-0556-2014OtherWhen merging two patient records into one patient record using McKesson Radiology 12.0, the resulting patient record is missing the Contrast Allergy information for the second patient record.
Sep 4, 2013Class IIZ-2318-2013Software change controlSoftware malfunction may occur resulting in a certain combination of server configurations which has the potential to cause image loss.
May 29, 2012Class IIZ-2238-2012Software designThere is a potential to save reports in RadReport with an Incorrect Final Status.
Feb 2, 2011Not classifiedZ-3035-2011OtherImages for one patient may appear in the study of another patient.
May 7, 2010Not classifiedZ-1735-2010Software designVoice Clip issue: When the user is recording voice clips in Horizon Rad Station, there is a potential for voice clips to be saved to the incorrect study of the same patient.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 12 years and passes through 2 companies; a new generation was cleared every 7.0 years on median.
  • None of the 6 ancestors has a recall.
  • Of its descendants, K051649 (Camtronics Medical Systems, 2005) has gone furthest, with 10 descendants of its own.
  • 2 other devices also cite its predicate K925965.

How does its category compare?

All LLZ devices

LLZ System, Image Processing, Radiological: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · LLZ

58in 2025

2007: 762008: 942009: 702010: 512011: 1062012: 822013: 952014: 782015: 642016: 822017: 782018: 1042019: 742020: 812021: 832022: 652023: 872024: 622025: 582026 (partial year): 45
2007high 106 (2011) · low 51 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LLZ

173in 2025

2007: 36 days median2008: 52 days median2009: 62 days median2010: 98 days median2011: 79 days median2012: 87 days median2013: 84 days median2014: 89 days median2015: 90 days median2016: 90 days median2017: 107 days median2018: 105 days median2019: 107 days median2020: 115 days median2021: 116 days median2022: 137 days median2023: 157 days median2024: 131 days median2025: 173 days median2026 (partial year): 110 days median
2007high 173 (2025) · low 36 (2007)2026

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

Recalls per year · LLZ

11in 2025

2007: 202008: 322009: 212010: 172011: 302012: 122013: 642014: 62015: 162016: 122017: 52018: 72019: 22020: 62021: 32022: 42023: 82024: 62025: 112026 (partial year): 14
2007high 64 (2013) · low 2 (2019)2026

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

Adverse event reports per year · LLZ

116in 2025

2007: 1522008: 1542009: 1452010: 1452011: 4542012: 2662013: 1,1302014: 15,6312015: 2112016: 2902017: 1042018: 722019: 882020: 822021: 702022: 282023: 262024: 422025: 116
2007high 15,631 (2014) · low 26 (2023)2025

MAUDE reports naming product code LLZ, 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
2007763620152
2008945232154
2009706221145
2010519817145
20111067930454
2012828712266
20139584641,130
20147889615,631
2015649016211
2016829012290
2017781075104
2018104105772
201974107288
202081115682
202183116370
202265137428
202387157826
202462131642
20255817311116
20264511014—

What is it indicated for?

Horizon Medical Imaging is a medical image and information management system that is intended to receive, transmit, store, retrieve, display, print and process digital medical images, digital medical video, and associated medical information from various medical imaging systems. The medical modalities of these medical imaging systems include, but are not limited to, all modalities supported by ACRJNEMA DICOM 3.0 (specifically including mammographic…

Read the full statement (211 words)

Horizon Medical Imaging is a medical image and information management system that is intended to receive, transmit, store, retrieve, display, print and process digital medical images, digital medical video, and associated medical information from various medical imaging systems.

The medical modalities of these medical imaging systems include, but are not limited to, all modalities supported by ACRJNEMA DICOM 3.0 (specifically including mammographic images).

Horizon Medical Imaging is intended to connect to a variety of storage systems and printers via DICOM and other computer industry standard interfaces and protocols.

Lossy compressed mammographic images and digitized film screen images must not be reviewed for primary image interpretations. Mammographic images may only be interpreted using an FDA approved monitor that offers at least 5 megapixel resolution and meets other technical specifications reviewed and approved by FDA. Horizon Medical Imaging will simply perform normal image manipulations for grayscale and image contrast on mammographic images and will not perform image processing on mammographic images.

Horizon Medical Imaging is indicated for use by trained medical professionals including, but not limited to, radiologists, physicians, and medical technologists. Horizon Medical Imaging is also indicated for use in soft-copy diagnostic interpretation of medical images and video by physicians trained in such practice (specifically including soft-copy diagnostic interpretation of mammographic images).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K043146: Horizon Medical Imaging.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K043146

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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