510(k) Report

510(k) · Cleared

Recalled · Class II · 2017

DR Systems Zero Download 3D Viewer (Z3D)

K143318510(k) TraditionalCleared Mar 10, 2015111-day reviewClass II21 CFR 892.2050Recalls 2

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

Dr Systems, Inc. · LLZ System, Image Processing, Radiological

Cleared on Mar 10, 2015 as substantially equivalent to K060505 (Barcoview Mis Edinburgh, 2006) after a 111-day review. Its family tree reaches back 1 generation to 2006. 4 later devices descend from it. It has been recalled 2 times.

Decided
Mar 10, 2015
Review
111 days
Class
Class II
Product code
LLZ
Recalls
2
Predicates
1

Its longest line of descent runs back 1 generation to K060505 (2006). 4 later devices descend from it, 1 citing it directly.

Descendants, by year cleared 2018: 1 descendant cleared2021: 1 descendant cleared2025: 1 descendant cleared2026: 1 descendant clearedK060505 · Voxar 3D Enterprise, Model 6.1 · Barcoview Mis Edinburgh · 200620052010201520202025
Descendants, by generation 1 generation forward: 1 descendant2 generations forward: 1 descendant3 generations forward: 2 descendants K060505 · Voxar 3D Enterprise, Model 6.1 · Barcoview Mis Edinburgh · 20060
  1. Root · 1 generation backK060505 Voxar 3D Enterprise, Model 6.1Barcoview Mis Edinburgh · 2006
  2. This deviceK143318 DR Systems Zero Download 3D Viewer (Z3D)Dr Systems, Inc. · 2015
  3. Descendant · cites it directly · 3 of its ownK182290 IBM iConnect AccessMerge Healthcare Incorporated · 2018
  4. Descendant · 2 generations on · 2 of its ownK203104 IBM iConnect AccessMerge Healthcare Incorporated · 2021
  5. Descendant · 3 generations on · 0 of its ownK254237 Cci Pacs Viewer (Pacs-US-001)CliniComp, Intl. · 2026
  6. Descendant · 3 generations on · 0 of its ownK250301 Merge Universal Viewer (MUV)Merge Healthcare Incorporated · 2025

Most influential descendants

Showing 4 of 4 · See all
  • K182290IBM iConnect AccessMerge Healthcare Incorporated · 2018 · cites it directly3descendants
  • K203104IBM iConnect AccessMerge Healthcare Incorporated · 2021 · 2 generations on2descendants
  • K254237Cci Pacs Viewer (Pacs-US-001)CliniComp, Intl. · 2026 · 3 generations on0descendants
  • K250301Merge Universal Viewer (MUV)Merge Healthcare Incorporated · 2025 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K060505Voxar 3D Enterprise, Model 6.1Barcoview Mis Edinburgh2006—
0 (this device)K143318DR Systems Zero Download 3D Viewer (Z3D)Dr Systems, Inc.2015—
+1K182290IBM iConnect AccessMerge Healthcare Incorporated2018—
+2K203104IBM iConnect AccessMerge Healthcare Incorporated2021—
+3K254237Cci Pacs Viewer (Pacs-US-001)CliniComp, Intl.2026—
+3K250301Merge Universal Viewer (MUV)Merge Healthcare Incorporated2025—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201810
202110
202510
202610
FIG. 1 — Lineage of K143318, 2006–2026Source: 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? (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
*K060505Voxar 3D Enterprise, Model 6.1
Summary page 4
…ation Name: Systems, Image processing, Radiological Classification 21 CFR 892.2050, Class II Regulation: Product Code: 90 LLZ Predicate Device: K060505 - Voxar 3D Product Family Device Description: DR Systems Z3D (Zero Download 3D) advanced imaging solution supports…
Barcoview Mis Edinburgh2006—

Also cleared against K060505: 3 other devices →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K182290IBM iConnect AccessMerge Healthcare Incorporated20183

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

Recalls of this device

DateClassRecallRoot causeReason
Aug 14, 2017Class IIZ-3105-2017Process designThe software is not identifying the patient as having atypical hyperplasia, resulting in an incorrect Gail Risk calculation.
Aug 7, 2017Class IIZ-2566-2018Process designThe software is not identifying the patient as having atypical hyperplasia, resulting in an incorrect Gail Risk calculation.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Its one ancestor has no recall.
  • Of its descendants, K182290 (Merge Healthcare Incorporated, 2018) has gone furthest, with 3 descendants of its own.
  • 3 other devices also cite its predicate K060505.

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. 2015, 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?

DR Systems Z3D is intended to provide reading physicians, referring physicians, and other appropriate healthcare professionals tools to aid in interpreting medical images, including: • Displaying DICOM compliant medical image volumes, such as CT, MRI, and PET. • Reformatting images, including creation of MPRs, MIPS, MinIPs, color/monochrome 3D volume rendered images • Manipulating displayed images via control of slice thickness, slice interval…

Read the full statement (136 words)

DR Systems Z3D is intended to provide reading physicians, referring physicians, and other appropriate healthcare professionals tools to aid in interpreting medical images, including:

• Displaying DICOM compliant medical image volumes, such as CT, MRI, and PET.

• Reformatting images, including creation of MPRs, MIPS, MinIPs, color/monochrome 3D volume rendered images

• Manipulating displayed images via control of slice thickness, slice interval, obliquity, perspective, rotation, window/level, crop, zoom, color/monochrome transformations, segmentation, sculpting, straightening the display of curved structures, and creating images perpendicular to a curvilinear path.

• Creating series of DICOM images and individually captured images that can be displayed and stored in a PACS.

• Measuring coronary calcium, which is intended for non-invasive identification and quantification of calcified atherosclerotic plaques in the coronary arteries using tomographic medical image data and clinically accepted calcium scoring algorithms.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K143318: DR Systems Zero Download 3D Viewer (Z3D).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K143318

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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