510(k) Report

510(k) · Cleared

Cleared

Synapse 3D Liver and Kidney Analysis

K142521510(k) TraditionalCleared Dec 1, 201484-day reviewClass II21 CFR 892.2050

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

Fujifilm Meidcal Systems U.S.A.,Inc. · LLZ System, Image Processing, Radiological

Cleared on Dec 1, 2014 as substantially equivalent to K121213 (Vital Images, Inc., 2012) and 1 other predicate after an 84-day review. Its family tree reaches back 12 generations to 1991. 5 later devices descend from it.

Decided
Dec 1, 2014
Review
84 days
Class
Class II
Product code
LLZ
Recalls
None
Predicates
2

Its longest line of descent runs back 12 generations to K913770 (1991). 103 ancestors in all, the oldest K871859 (1987). 5 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2013: 1 other ancestor2009: 1 other ancestor2008: 2 other ancestors2007: 2 other ancestors2006: 4 other ancestors2005: 6 other ancestors2004: 8 other ancestors2003: 7 other ancestors2002: 9 other ancestors2001: 12 other ancestors1997: 5 other ancestors1999: 2 other ancestors1998: 6 other ancestors1996: 5 other ancestors1995: 4 other ancestors1993: 2 other ancestors1987: 1 other ancestor2000: 5 other ancestors1991: 2 other ancestors1988: 2 other ancestors1994: 5 other ancestors2015: 1 descendant cleared2021: 1 descendant cleared2024: 1 descendant cleared2025: 1 descendant cleared2026: 1 descendant clearedReference device: K110186 · Synapse 3D Liver Analysis · Fujifilm Medical System U.S.A., Inc. · 2011Reference device: K120361 · Synapse 3D Base Tools · Fujifilm Medical Systems U.S.A, Inc. · 2012K913770 · 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 · recalledK071331 · Vitrea Version 4.0 · Vital Images, Inc. · 2007 · recalledK072821 · Vitrea 4DCT · Vital Images, Inc. · 2008 · recalledK121213 · Vitreaadvanced · Vital Images, Inc. · 2012 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 7 other ancestors3 generations back: 13 other ancestors4 generations back: 15 other ancestors5 generations back: 17 other ancestors6 generations back: 14 other ancestors7 generations back: 12 other ancestors8 generations back: 8 other ancestors9 generations back: 4 other ancestors 1 generation forward: 1 descendant2 generations forward: 1 descendant3 generations forward: 2 descendants4 generations forward: 1 descendant K121213 · Vitreaadvanced · Vital Images, Inc. · 2012 · recalledK072821 · Vitrea 4DCT · Vital Images, Inc. · 2008 · recalledK071331 · Vitrea Version 4.0 · Vital Images, Inc. · 2007 · recalledK061624 · 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 backK071331 Vitrea Version 4.0Vital Images, Inc. · 2007 · Recalled
  4. 2 generations backK072821 Vitrea 4DCTVital Images, Inc. · 2008 · Recalled
  5. 1 generation backK121213 VitreaadvancedVital Images, Inc. · 2012 · Recalled
  6. This deviceK142521 Synapse 3D Liver and Kidney AnalysisFujifilm Meidcal Systems U.S.A.,Inc. · 2014
  7. Descendant · cites it directly · 4 of its ownK151988 Visible Patient SuiteVisible Patient, Sas · 2015
  8. Descendant · 2 generations on · 3 of its ownK212896 Visible Patient SuiteVisible Patient, Sas · 2021
  9. Descendant · 3 generations on · 1 of its ownK250237 InferOperate SuiteBeijing Infervision Healthcare Medical Technology Co., Ltd. · 2025
  10. Descendant · 4 generations on · 0 of its ownK260973 InferOperate SuiteBeijing Infervision Healthcare Medical Technology Co., Ltd. · 2026
  11. Descendant · 3 generations on · 0 of its ownK233457 RUSHutom, Inc. · 2024
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 backK071331 Vitrea Version 4.0Vital Images, Inc. · 2007 · Recalled
  11. 2 generations backK072821 Vitrea 4DCTVital Images, Inc. · 2008 · Recalled
  12. 1 generation backK121213 VitreaadvancedVital Images, Inc. · 2012 · Recalled
  13. This deviceK142521 Synapse 3D Liver and Kidney AnalysisFujifilm Meidcal Systems U.S.A.,Inc. · 2014

Most influential descendants

Showing 5 of 5 · See all
  • K151988Visible Patient SuiteVisible Patient, Sas · 2015 · cites it directly4descendants
  • K212896Visible Patient SuiteVisible Patient, Sas · 2021 · 2 generations on3descendants
  • K250237InferOperate SuiteBeijing Infervision Healthcare Medical Technology Co., Ltd. · 2025 · 3 generations on1descendant
  • K260973InferOperate SuiteBeijing Infervision Healthcare Medical Technology Co., Ltd. · 2026 · 4 generations on0descendants
  • K233457RUSHutom, Inc. · 2024 · 3 generations on0descendants
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
−3K071331Vitrea Version 4.0Vital Images, Inc.20071
−2K072821Vitrea 4DCTVital Images, Inc.20081
−1K121213VitreaadvancedVital Images, Inc.20121
0 (this device)K142521Synapse 3D Liver and Kidney AnalysisFujifilm Meidcal Systems U.S.A.,Inc.2014—
+1K151988Visible Patient SuiteVisible Patient, Sas2015—
+2K212896Visible Patient SuiteVisible Patient, Sas2021—
+3K250237InferOperate SuiteBeijing Infervision Healthcare Medical Technology Co., Ltd.2025—
+4K260973InferOperate SuiteBeijing Infervision Healthcare Medical Technology Co., Ltd.2026—
+3K233457RUSHutom, Inc.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710
198820
199120
199320
199450
199540
199650
199750
199860
199920
200050
2001120
200290
200370
200480
200560
200640
200720
200820
200910
201310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201510
202110
202410
202510
202610
FIG. 1 — Lineage of K142521, 1991–2026Source: 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.

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? (2)

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
*K121213Vitreaadvanced
Summary page 6
…ssels as well as the approximation of vascular territories is provided using contrst enhanced computed tomographic images. Predicate Devices:  VitreaAdvanced (K121213), Vital Images, Inc.  IQQA-Liver Multimodality software (K131498), EDDA Technology Technological Characteristics The…
Vital Images, Inc.20121
*K131498Iqqa-Liver Multimodality Software
Summary page 6
…ing contrst enhanced computed tomographic images. Predicate Devices:  VitreaAdvanced (K121213), Vital Images, Inc.  IQQA-Liver Multimodality software (K131498), EDDA Technology Technological Characteristics The proposed Synapse 3D Liver and Kidney Analysis and the predicate devices,…
Edda Technology, Inc.2013—
†K110186Synapse 3D Liver AnalysisFujifilm Medical System U.S.A., Inc.2011—
†K120361Synapse 3D Base ToolsFujifilm Medical Systems U.S.A, Inc.2012—

Also cleared against K121213: 2 other devices →

What descends from it? (5)

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

NumberDeviceApplicantDecidedDescendants
K151988Visible Patient SuiteVisible Patient, Sas20154

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 23 years and passes through 5 companies; a new generation was cleared every 11 months on median.
  • 29 of the 103 ancestors have a recall of any class.
  • Of its descendants, K151988 (Visible Patient, Sas, 2015) has gone furthest, with 4 descendants of its own.
  • 2 other devices also cite its predicate K121213.

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. 2014, this device’s year, is highlighted.

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?

Synapse 3D Liver and Kidney Analysis is medical imaging software used with Synapse 3D Base Tools that is intended to provide trained medical imaging professionals, including Physicians and Radiologists, with tools to aid them in reading, interpreting, reporting, and treatment planning. Synapse 3D Liver and Kidney Analysis accepts DICOM compliant medical images. This product is not intended for use with or for the primary diagnostic interpretation of…

Read the full statement (134 words)

Synapse 3D Liver and Kidney Analysis is medical imaging software used with Synapse 3D Base Tools that is intended to provide trained medical imaging professionals, including Physicians and Radiologists, with tools to aid them in reading, interpreting, reporting, and treatment planning. Synapse 3D Liver and Kidney Analysis accepts DICOM compliant medical images. This product is not intended for use with or for the primary diagnostic interpretation of Mammography images.

Addition to Synapse 3D Base Tools, Synapse 3D Liver and Kidney Analysis uses contrast enhanced images of the body and provides custom workflows and UI, and reporting functions for liver and kidney analysis including, liver and peripheral organ segmentation, and tumor segmentation. Also segmentation of intrahepatic and peripheral vessels as well as the approximation of vascular territories is provided using contrast enhanced computed tomographic images.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K142521: Synapse 3D Liver and Kidney Analysis.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K142521

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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