510(k) Report

510(k) · Cleared

Cleared

Emory Cardiac Toolbox 4.0

K123646510(k) TraditionalCleared Feb 22, 201387-day reviewClass II21 CFR 892.1200

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

Syntermed, Inc. · KPS System, Tomography, Computed, Emission

Cleared on Feb 22, 2013 as substantially equivalent to K071503 (Syntermed, Inc., 2007) and 4 other predicates after an 87-day review. Its family tree reaches back 12 generations to 1991. 1 of the 67 devices in its family, counting itself, has a Class I recall. 3 later devices descend from it.

Decided
Feb 22, 2013
Review
87 days
Class
Class II
Product code
KPS
Recalls
None
Predicates
5

Its longest line of descent runs back 12 generations to K913770 (1991). 63 ancestors in all, the oldest K892358 (1989). 3 later devices descend from it, 2 citing it directly. 1 of the 67 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2012: 1 other ancestor2010: 1 other ancestor2007: 2 other ancestors1999: 6 other ancestors, 1 with a Class I recall12009: 1 other ancestor2008: 2 other ancestors2003: 1 other ancestor2002: 5 other ancestors2001: 7 other ancestors1998: 4 other ancestors2005: 1 other ancestor2000: 5 other ancestors1996: 4 other ancestors1991: 1 other ancestor1989: 1 other ancestor2004: 2 other ancestors1997: 2 other ancestors1995: 3 other ancestors1994: 2 other ancestors2023: 2 descendants cleared2025: 1 descendant clearedReference device: K014033 · Emory Cardiac Toolbox 2.1 Executing on Nuclear Medicine Computers · Syntermed, Inc. · 2002K913770 · Advantage V.S. CT/MR Rad Diagnostic Workstation · General Electric Co. · 1991K960613 · GE Advantage Windows Review Workstation · GE Medical Systems · 1996K020483 · Advantage Workstation 4.1 · GE Medical Systems · 2002 · recalledK023003 · Imagechecker-CT Workstation · R2 Technology, Inc. · 2002×2: 2 generations cleared close together, K032748 (2003), K040305 (2004) K043333 · VITREA2, Version 3.7 Medical Image Processing System · Vital Images, Inc. · 2004 · recalledK052632 · VITREA2 Version 3.8 Medical Image Processing Software · Vital Images, Inc. · 2005 · recalledK061624 · Vitrea, Version 3.9 · Vital Images, Inc. · 2006 · recalledK063548 · Cor Analyzer 1, Version 1.4 · Rcadia Medical Imaging, Ltd. · 2007K072242 · Cor Analyzer II, Model V1.7 · Rcadia Medical Imaging, Ltd. · 2007K110071 · Cor Analyzer · Rcadia Medical Imaging, Ltd. · 20111990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 4 other ancestors2 generations back: 9 other ancestors3 generations back: 12 other ancestors, 1 with a Class I recall14 generations back: 7 other ancestors5 generations back: 5 other ancestors6 generations back: 3 other ancestors7 generations back: 4 other ancestors8 generations back: 3 other ancestors9 generations back: 3 other ancestors10 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 1 descendant K110071 · Cor Analyzer · Rcadia Medical Imaging, Ltd. · 2011K072242 · Cor Analyzer II, Model V1.7 · Rcadia Medical Imaging, Ltd. · 2007K063548 · Cor Analyzer 1, Version 1.4 · Rcadia Medical Imaging, Ltd. · 2007K061624 · Vitrea, Version 3.9 · Vital Images, Inc. · 2006 · recalledK052632 · VITREA2 Version 3.8 Medical Image Processing Software · Vital Images, Inc. · 2005 · recalledK043333 · VITREA2, Version 3.7 Medical Image Processing System · Vital Images, Inc. · 2004 · recalledK040305 · VITREA2 Version 3.5 · Vital Images, Inc. · 2004K032748 · VITREA2, Version 3.4 Medical Image Processing Software · Vital Images, Inc. · 2003 · recalledK023003 · Imagechecker-CT Workstation · R2 Technology, Inc. · 2002K020483 · Advantage Workstation 4.1 · GE Medical Systems · 2002 · recalledK960613 · GE Advantage Windows Review Workstation · GE Medical Systems · 1996K913770 · Advantage V.S. CT/MR Rad Diagnostic Workstation · General Electric Co. · 1991−10−50
  1. Root · 12 generations backK913770 Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co. · 1991
  2. 8 generations between
  3. 3 generations backK063548 Cor Analyzer 1, Version 1.4Rcadia Medical Imaging, Ltd. · 2007
  4. 2 generations backK072242 Cor Analyzer II, Model V1.7Rcadia Medical Imaging, Ltd. · 2007
  5. 1 generation backK110071 Cor AnalyzerRcadia Medical Imaging, Ltd. · 2011
  6. This deviceK123646 Emory Cardiac Toolbox 4.0Syntermed, Inc. · 2013
  7. Descendant · cites it directly · 1 of its ownK231731 Optional Screen Displays for HeartSee Cardiac P.E.T. Processing…Mcgovern Medical School · 2023
  8. Descendant · 2 generations on · 0 of its ownK243881 HeartSee™ Cardiac P.E.T. Processing Software For Myocardial…Bracco Diagnostics, Inc. · 2025
  9. Descendant · cites it directly · 0 of its ownK223422 Emory Cardiac Toolbox 4.3Syntermed · 2023
Show all 12 generations
  1. Root · 12 generations backK913770 Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co. · 1991
  2. 11 generations backK960613 GE Advantage Windows Review WorkstationGE Medical Systems · 1996
  3. 10 generations backK020483 Advantage Workstation 4.1GE Medical Systems · 2002 · Recalled
  4. 9 generations backK023003 Imagechecker-CT WorkstationR2 Technology, Inc. · 2002
  5. 8 generations backK032748 VITREA2, Version 3.4 Medical Image Processing SoftwareVital Images, Inc. · 2003 · Recalled
  6. 7 generations backK040305 VITREA2 Version 3.5Vital Images, Inc. · 2004
  7. 6 generations backK043333 VITREA2, Version 3.7 Medical Image Processing SystemVital Images, Inc. · 2004 · Recalled
  8. 5 generations backK052632 VITREA2 Version 3.8 Medical Image Processing SoftwareVital Images, Inc. · 2005 · Recalled
  9. 4 generations backK061624 Vitrea, Version 3.9Vital Images, Inc. · 2006 · Recalled
  10. 3 generations backK063548 Cor Analyzer 1, Version 1.4Rcadia Medical Imaging, Ltd. · 2007
  11. 2 generations backK072242 Cor Analyzer II, Model V1.7Rcadia Medical Imaging, Ltd. · 2007
  12. 1 generation backK110071 Cor AnalyzerRcadia Medical Imaging, Ltd. · 2011
  13. This deviceK123646 Emory Cardiac Toolbox 4.0Syntermed, Inc. · 2013

Class I recalls in this family

Most influential descendants

Showing 3 of 3 · See all
  • K231731Optional Screen Displays for HeartSee Cardiac P.E.T. Processing Software - HeartSee…Mcgovern Medical School · 2023 · cites it directly1descendant
  • K243881HeartSee™ Cardiac P.E.T. Processing Software For Myocardial Perfusion and Coronary Flow…Bracco Diagnostics, Inc. · 2025 · 2 generations on0descendants
  • K223422Emory Cardiac Toolbox 4.3Syntermed · 2023 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K913770Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co.1991—
−11K960613GE Advantage Windows Review WorkstationGE Medical Systems1996—
−10K020483Advantage Workstation 4.1GE Medical Systems20022
−9K023003Imagechecker-CT WorkstationR2 Technology, Inc.2002—
−8K032748VITREA2, Version 3.4 Medical Image Processing SoftwareVital Images, Inc.20032
−7K040305VITREA2 Version 3.5Vital Images, Inc.2004—
−6K043333VITREA2, Version 3.7 Medical Image Processing SystemVital Images, Inc.20041
−5K052632VITREA2 Version 3.8 Medical Image Processing SoftwareVital Images, Inc.20052
−4K061624Vitrea, Version 3.9Vital Images, Inc.20061
−3K063548Cor Analyzer 1, Version 1.4Rcadia Medical Imaging, Ltd.2007—
−2K072242Cor Analyzer II, Model V1.7Rcadia Medical Imaging, Ltd.2007—
−1K110071Cor AnalyzerRcadia Medical Imaging, Ltd.2011—
0 (this device)K123646Emory Cardiac Toolbox 4.0Syntermed, Inc.2013—
+1K231731Optional Screen Displays for HeartSee Cardiac P.E.T. Processing Software -…Mcgovern Medical School2023—
+2K243881HeartSee™ Cardiac P.E.T. Processing Software For Myocardial Perfusion and…Bracco Diagnostics, Inc.2025—
+1K223422Emory Cardiac Toolbox 4.3Syntermed2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198910
199110
199420
199530
199640
199720
199840
199961
200050
200170
200250
200310
200420
200510
200720
200820
200910
201010
201210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202320
202510
FIG. 1 — Lineage of K123646, 1991–2025Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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 KPS device

  1. #1 K253564 uMI Panvivo (uMI Panvivo); uMI Panvivo (uMI…score 18.6 · 17 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? (5)

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
*K071503System, Tomography, Computed Emission
Summary page 1
…ms and Windows PC's. Classification Name - System, Tomography, Computed, Emission 3. Medical Device Equivalence: Emory Cardiac Toolbox v3.1 K071503, Emory Cardiac Toolbox v2.0 K992450 (PERFEX), COR Analyzer developed by Rcadia K110071, CORRIDOR 4DM V2010 deve…
Syntermed, Inc.2007—
*K992450Emory Cardiac Toolbox* 2.0 Executing on Nuclear Medicine Computers
Summary page 1
…ification Name - System, Tomography, Computed, Emission 3. Medical Device Equivalence: Emory Cardiac Toolbox v3.1 K071503, Emory Cardiac Toolbox v2.0 K992450 (PERFEX), COR Analyzer developed by Rcadia K110071, CORRIDOR 4DM V2010 developed by INVIA K101279, and Coronary…
Emory University1999—
*K110071Cor Analyzer
Summary page 1
…3. Medical Device Equivalence: Emory Cardiac Toolbox v3.1 K071503, Emory Cardiac Toolbox v2.0 K992450 (PERFEX), COR Analyzer developed by Rcadia K110071, CORRIDOR 4DM V2010 developed by INVIA K101279, and Coronary Flow Reserve (CFR) Quantification (cfrQuant) devel…
Rcadia Medical Imaging, Ltd.2011—
*K101279CORRIDOR4DM V2010 Model: V2010
Summary page 1
…diac Toolbox v3.1 K071503, Emory Cardiac Toolbox v2.0 K992450 (PERFEX), COR Analyzer developed by Rcadia K110071, CORRIDOR 4DM V2010 developed by INVIA K101279, and Coronary Flow Reserve (CFR) Quantification (cfrQuant) developed by University of Texas Medical School at H…
Invia2010—
*K113754CFR Quant
Summary page 1
…V2010 developed by INVIA K101279, and Coronary Flow Reserve (CFR) Quantification (cfrQuant) developed by University of Texas Medical School at Houston K113754. 4. Device Description: Nuclear is evolving. We're evolving with you. vwwsynered4Rm…
University of Texas Medical School AT Houston2012—
†K014033Emory Cardiac Toolbox 2.1 Executing on Nuclear Medicine ComputersSyntermed, Inc.2002—

Also cleared against K071503: 1 other device →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K231731Optional Screen Displays for HeartSee Cardiac P.E.T. Processing Software - HeartSee…Mcgovern Medical School20231
K223422Emory Cardiac Toolbox 4.3Syntermed20230

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.

  • K991841Hawkeye Option for Dual-Head Variable Angle Gamma CameraGe Medical Systems F.I. Haifa · 1999 · 3 generations back · ◆ in the 1999 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 22 years and passes through 6 companies; a new generation was cleared every 11 months on median.
  • 15 of the 63 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K231731 (Mcgovern Medical School, 2023) has gone furthest, with 1 descendant of its own.
  • 1 other device also cites its predicate K071503.

How does its category compare?

All KPS devices

KPS System, Tomography, Computed, Emission: FDA decisions, review times, recalls and adverse event reports over 20 years. 2013, this device’s year, is highlighted.

FDA decisions per year · KPS

12in 2025

2007: 82008: 172009: 92010: 32011: 72012: 62013: 112014: 112015: 32016: 112017: 112018: 132019: 32020: 122021: 152022: 52023: 122024: 112025: 122026 (partial year): 6
2007high 17 (2008) · low 3 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KPS

65in 2025

2007: 38 days median2008: 25 days median2009: 42 days median2010: 91 days median2011: 28 days median2012: 94 days median2013: 84 days median2014: 92 days median2015: 112 days median2016: 65 days median2017: 104 days median2018: 59 days median2019: 60 days median2020: 72 days median2021: 66 days median2022: 60 days median2023: 63 days median2024: 59 days median2025: 65 days median2026 (partial year): 67 days median
2007high 112 (2015) · low 25 (2008)2026

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

Recalls per year · KPS

16in 2025

2007: 222008: 162009: 142010: 42011: 342012: 132013: 132014: 182015: 52016: 162017: 112018: 12, 3 Class I2019: 5, 5 Class I2020: 82021: 42022: 8, 6 Class I2023: 6, 3 Class I2024: 152025: 162026 (partial year): 6
2007high 34 (2011) · low 4 (2010)2026

Class I (17 since 2007) Class II/III not classified

Adverse event reports per year · KPS

36in 2025

2007: 382008: 112009: 152010: 442011: 562012: 342013: 2402014: 332015: 242016: 102017: 312018: 262019: 1052020: 222021: 102022: 152023: 222024: 232025: 36
2007high 240 (2013) · low 10 (2016)2025

MAUDE reports naming product code KPS, 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
20078382238
200817251611
20099421415
2010391444
20117283456
20126941334
2013118413240
201411921833
20153112524
201611651610
2017111041131
2018135912 (3)26
20193605 (5)105
20201272822
20211566410
20225608 (6)15
202312636 (3)22
202411591523
202512651636
20266676—

What is it indicated for?

The Emory Cardiac ToolboxTM 4.0 software program should be used for the quantification of myocardial perfusion for the display of wall motion and quantification of left-ventricular function parameters from SPECT & PET myocardial perfusion studies (EGSTM), for the 3D alignment of coronary artery models from CT coronary angiography onto the left ventricular 3D epicardial surface, for the assessment of cardiac mechanical dyssynchrony using phase analysis…

Read the full statement (158 words)

The Emory Cardiac ToolboxTM 4.0 software program should be used for the quantification of myocardial perfusion for the display of wall motion and quantification of left-ventricular function parameters from SPECT & PET myocardial perfusion studies (EGSTM), for the 3D alignment of coronary artery models from CT coronary angiography onto the left ventricular 3D epicardial surface, for the assessment of cardiac mechanical dyssynchrony using phase analysis, for generation of the short axis, vertical, and horizontal long axis tomograms from the SPECT raw data using either filtered backprojection (FBP) or iterative reconstruction (MLEM/OSEM), for the quantification of myocardial blood flow and coronary flow reserve, and for the decision support in interpretation (LVX) and automatic structured reporting of the study.

The product is intended for use by trained nuclear technicians and nuclear medicine or nuclear cardiology physicians. The clinician remains ultimately responsible for the final interpretation and diagnosis based on standard practices and visual interpretation of all SPECT and PET data.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K123646: Emory Cardiac Toolbox 4.0.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K123646

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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