510(k) Report

510(k) · Cleared

Cleared

Cios Select

K153232510(k) SpecialCleared Feb 10, 201693-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 Feb 10, 2016 as substantially equivalent to K963093 (Siemens Medical Solutions USA, Inc., 1996) after a 93-day review. Its family tree reaches back 2 generations to 1991. 6 later devices descend from it.

Decided
Feb 10, 2016
Review
93 days
Class
Class II
Product code
OWB
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K910115 (1991). 5 ancestors in all. 6 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1993: 1 other ancestor1991: 2 other ancestors2021: 2 descendants cleared2018: 1 descendant cleared2022: 2 descendants cleared2025: 1 descendant clearedK910115 · Philips BV-29 Imaging System · Philips Medical Systems, Inc. · 1991 · recalledK963093 · Siremobil Compact · Siemens Medical Solutions USA, Inc. · 1996 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 3 other ancestors 1 generation forward: 2 descendants2 generations forward: 2 descendants3 generations forward: 1 descendant4 generations forward: 1 descendant K963093 · Siremobil Compact · Siemens Medical Solutions USA, Inc. · 1996 · recalledK910115 · Philips BV-29 Imaging System · Philips Medical Systems, Inc. · 1991 · recalled0
  1. Root · 2 generations backK910115 Philips BV-29 Imaging SystemPhilips Medical Systems, Inc. · 1991 · Recalled
  2. 1 generation backK963093 Siremobil CompactSiemens Medical Solutions USA, Inc. · 1996 · Recalled
  3. This deviceK153232 Cios SelectSiemens Medical Solutions USA, Inc. · 2016
  4. Descendant · cites it directly · 5 of its ownK181767 Cios SelectSiemens Medical Solutions USA, Inc. · 2018
  5. Descendant · 2 generations on · 2 of its ownK210309 Cios Select (VA21) Flat PanelSiemens Medical Solutions USA, Inc. · 2021 · Recalled
  6. Descendant · 3 generations on · 1 of its ownK223410 Cios Select (VA21) Flat PanelSiemens Medical Solutions USA, Inc. · 2022
  7. Descendant · cites it directly · 1 of its ownK210307 Cios Select (VA21) Image IntensifierSiemens Medical Solutions USA, Inc. · 2021
  8. Descendant · 4 generations on · 0 of its ownK250241 Cios SelectSiemens Medical Solutions USA, Inc. · 2025

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2018: 12021: 22022: 22025: 1
2018high 2 (2021) · low 0 (2019)2026

Most influential descendants

Showing 5 of 6 · See all
  • K181767Cios SelectSiemens Medical Solutions USA, Inc. · 2018 · cites it directly5descendants
  • K210309Cios Select (VA21) Flat PanelSiemens Medical Solutions USA, Inc. · 2021 · 2 generations on2descendants
  • K223410Cios Select (VA21) Flat PanelSiemens Medical Solutions USA, Inc. · 2022 · 3 generations on1descendant
  • K210307Cios Select (VA21) Image IntensifierSiemens Medical Solutions USA, Inc. · 2021 · cites it directly1descendant
  • K250241Cios SelectSiemens Medical Solutions USA, Inc. · 2025 · 4 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K910115Philips BV-29 Imaging SystemPhilips Medical Systems, Inc.19913
−1K963093Siremobil CompactSiemens Medical Solutions USA, Inc.19962
0 (this device)K153232Cios SelectSiemens Medical Solutions USA, Inc.2016—
+1K181767Cios SelectSiemens Medical Solutions USA, Inc.2018—
+2K210309Cios Select (VA21) Flat PanelSiemens Medical Solutions USA, Inc.20211
+3K223410Cios Select (VA21) Flat PanelSiemens Medical Solutions USA, Inc.2022—
+1K210307Cios Select (VA21) Image IntensifierSiemens Medical Solutions USA, Inc.2021—
+4K250241Cios SelectSiemens Medical Solutions USA, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199120
199310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201810
202120
202220
202510
FIG. 1 — Lineage of K153232, 1991–2025Source: 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 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? (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
*K963093Siremobil Compact
Summary page 5
…Secondary Product Code: JAA 4. Legally Marketed Predicate Device Trade Name: Siremobil Compact 510(k) #: K963093 Clearance Date: September 3, 1996 Classification Name: Image-Intensified Fluoroscopic X-Ray…
Siemens Medical Solutions USA, Inc.19962

Also cleared against K963093: 1 other device →

What descends from it? (6)

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

NumberDeviceApplicantDecidedDescendants
K181767Cios SelectSiemens Medical Solutions USA, Inc.20185
K210307Cios Select (VA21) Image IntensifierSiemens Medical Solutions USA, Inc.20211

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 2 companies; a new generation was cleared every 19.4 years on median.
  • 3 of the 5 ancestors have a recall of any class.
  • Of its descendants, K181767 (Siemens Medical Solutions USA, Inc., 2018) has gone furthest, with 5 descendants of its own.
  • 1 other device also cites its predicate K963093.

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 Select is a mobile x-ray system intended for use in Operation room, Traumatology, Endoscopy, Intensive Care Station, Paediatrics, Ambulatory patient care and in Veterinary Medicine. The Cios Select can operate in four ditferent modes, Digital Radiography, Fluoroscopy and Pulsed Fluoroscopy and Cassette exposure 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 read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K153232: Cios Select.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K153232

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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