510(k) Report

510(k) · Cleared

Cleared

Cios Connect

K153147510(k) TraditionalCleared Jan 12, 201674-day reviewClass II21 CFR 892.1650

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

Siemens Medical Solutions USA, Inc. · OWB Interventional Fluoroscopic X-Ray System

Cleared on Jan 12, 2016 as substantially equivalent to K040066 (Siemens Medical Solutions USA, Inc., 2004) and 1 other predicate after a 74-day review. Its family tree reaches back 7 generations to 1991.

Decided
Jan 12, 2016
Review
74 days
Class
Class II
Product code
OWB
Recalls
None
Predicates
2

Its longest line of descent runs back 7 generations to K912470 (1991). 18 ancestors in all, the oldest K860913 (1986). No later device cites it as a predicate yet.

  1. Root · 7 generations backK912470 Philips Diagnost 96Philips Medical Systems, Inc. · 1991 · Recalled
  2. 6 generations backK960266 Siregraph CFSiemens Medical Solutions USA, Inc. · 1996 · Recalled
  3. 5 generations backK970734 Siregragh T.O.P. 33 and Siregraph T.O.P. 40 Universal Fluoroscopic…Siemens Medical Solutions USA, Inc. · 1997
  4. 4 generations backK992660 Urf Digital - OTSiemens Medical Solutions USA, Inc. · 1999 · Recalled
  5. 3 generations backK040675 Axiom Artis USiemens Medical Systems, Inc. · 2004 · Recalled
  6. 2 generations backK051133 Arcadis AvanticSiemens Medical Solutions USA, Inc. · 2005
  7. 1 generation backK132094 Cios AlphaSiemens Medi Cal Solutions, Inc. · 2014 · Recalled
  8. This deviceK153147 Cios ConnectSiemens Medical Solutions USA, Inc. · 2016
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K912470Philips Diagnost 96Philips Medical Systems, Inc.19919
−6K960266Siregraph CFSiemens Medical Solutions USA, Inc.19963
−5K970734Siregragh T.O.P. 33 and Siregraph T.O.P. 40 Universal Fluoroscopic X-Ray SystemsSiemens Medical Solutions USA, Inc.1997—
−4K992660Urf Digital - OTSiemens Medical Solutions USA, Inc.19994
−3K040675Axiom Artis USiemens Medical Systems, Inc.20041
−2K051133Arcadis AvanticSiemens Medical Solutions USA, Inc.2005—
−1K132094Cios AlphaSiemens Medi Cal Solutions, Inc.20148
0 (this device)K153147Cios ConnectSiemens Medical Solutions USA, Inc.2016—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198610
199130
199320
199510
199610
199710
200110
200410
FIG. 1 — Lineage of K153147, 1991–2016Source: 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 OWB? 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 OWB device

  1. #1 K251602 Alphenix, INFX-8000V/B, INFX-8000V/S, V9.6…score 18.3 · 18 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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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
*K040066Siremobile C06
Summary page 5
…Predicate Devices: Primary Predicate: Trade Name: Siremobil C-06 (renamed: Arcadis Varic) 510(k) Number: K040066 Device: Image-intensified Fluoroscopic X-ray system, Mo…
Siemens Medical Solutions USA, Inc.20042
*K132094Cios Alpha
Summary page 5
…Z-0118-06; Z-0123-06; Z-0438/9-06 Secondary Predicate: Trade Name: Cios Alpha 510(k) Number: K132094 Device: Interventional Fluoroscopic X-Ray system Regulation Medical Specialty: Radi…
Siemens Medi Cal Solutions, Inc.20148

Also cleared against K040066: 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 25 years and passes through 4 companies; a new generation was cleared every 2.5 years on median.
  • 13 of the 18 ancestors have a recall of any class.
  • 2 other devices also cite its predicate K040066.

How does its category compare?

All OWB devices

OWB Interventional Fluoroscopic X-Ray System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2016, this device’s year, is highlighted.

FDA decisions per year · OWB

22in 2025

2007: 32008: 42009: 92010: 72011: 62012: 62013: 112014: 152015: 112016: 162017: 202018: 232019: 92020: 162021: 242022: 212023: 122024: 132025: 222026 (partial year): 15
2007high 24 (2021) · low 3 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OWB

148in 2025

2007: 52 days median2008: 135 days median2009: 99 days median2010: 66 days median2011: 79 days median2012: 37 days median2013: 119 days median2014: 158 days median2015: 66 days median2016: 103 days median2017: 76 days median2018: 54 days median2019: 174 days median2020: 53 days median2021: 60 days median2022: 90 days median2023: 152 days median2024: 126 days median2025: 148 days median2026 (partial year): 221 days median
2007high 221 (2026) · low 37 (2012)2026

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

Recalls per year · OWB

42so far in 2026, the most since 2007

2008: 12013: 102014: 92015: 352016: 132017: 132018: 62019: 72020: 82021: 312022: 242023: 222024: 112025: 302026 (partial year): 42
2007high 42 (2026) · low 0 (2007)2026

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

Adverse event reports per year · OWB

14,008in 2025

2007: 12011: 12012: 12013: 272014: 1032015: 2,1342016: 4,0742017: 1,6042018: 1,4492019: 1,5582020: 1,5812021: 1,9812022: 2,9322023: 7,6042024: 7,9422025: 14,008
2007high 14,008 (2025) · low 0 (2008)2025

MAUDE reports naming product code OWB, 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
200735201
2008413510
200999900
201076600
201167901
201263701
2013111191027
2014151589103
20151166352,134
201616103134,074
20172076131,604
2018235461,449
2019917471,558
2020165381,581
20212460311,981
20222190242,932
202312152227,604
202413126117,942
2025221483014,008
20261522142—

What is it indicated for?

The Cios Connect is a mobile x-ray system intended for use in operating room, traumatology, endoscopy, intensive care station, pediatrics, ambulatory patient care and in veterinary medicine. The Cios Connect can operate in six different modes: Digital Radiography, Fluoroscopy, Pulsed Fluoroscopy, Cassette Exposures, Digital Subtraction, and Roadmapping, which are necessary in performing wide variety of clinical procedures, such as intraoperative bile duct display, fluoroscopic display of intra-medullary nail implant in various positions, low dose fluoroscopy in pediatrics, fluoroscopic techniques utilized in pain therapy and positioning of catheters and probes.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K153147: Cios Connect.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K153147

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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