510(k) Report

510(k) · Cleared

Recalled · Class II · 2025

Synapse PACS

K160108510(k) TraditionalCleared Feb 3, 201615-day reviewClass II21 CFR 892.2050Recalls 4

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

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

Cleared on Feb 3, 2016 as substantially equivalent to K112439 (Fujifilm Medical System U.S.A., Inc., 2011) and 1 other predicate after a 15-day review. Its family tree reaches back 11 generations to 1991. 8 later devices descend from it. It has been recalled 4 times.

Decided
Feb 3, 2016
Review
15 days
Class
Class II
Product code
LLZ
Recalls
4
Predicates
2

Its longest line of descent runs back 11 generations to K913770 (1991). 111 ancestors in all, the oldest K871859 (1987). 8 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2011: 1 other ancestor2006: 3 other ancestors2005: 5 other ancestors2010: 1 other ancestor2007: 3 other ancestors2004: 10 other ancestors2003: 7 other ancestors2001: 13 other ancestors1999: 3 other ancestors2002: 11 other ancestors2000: 9 other ancestors1998: 7 other ancestors1995: 4 other ancestors1997: 4 other ancestors1996: 5 other ancestors1994: 3 other ancestors1992: 2 other ancestors1993: 2 other ancestors1991: 4 other ancestors1987: 1 other ancestor1990: 1 other ancestor1989: 1 other ancestor2017: 3 descendants cleared2019: 3 descendants cleared2025: 1 descendant cleared2026: 1 descendant clearedK913770 · Advantage V.S. CT/MR Rad Diagnostic Workstation · General Electric Co. · 1991K963345 · Advantage Windows Tissue Volume Option · GE Medical Systems · 1996K013381 · Advanced Lung Analysis-1 · General Electric Co. · 2001K022013 · Lungcare CT Software Package · Siemens Medical Solutions USA, Inc. · 2002K033374 · Lungcare CT Software Package with Extended Functionality · Siemens AG Medical Solutions · 2003K041484 · Undecided · Siemens Medical Solutions USA, Inc. · 2004K053301 · Cedara I-Response Cedara Pet/CT · Cedara Software Corp. · 2006K071950 · Syngo Trued · Siemens Medical Solutions USA, Inc. · 2007K091373 · Syngo Trued · Siemens Medical Solutions USA, Inc. · 2009K101228 · Mirada XD · Mirada Medical, Ltd. · 2010K113244 · Synapse MPR Fusion · Fujifilm Medical System U.S.A., Inc. · 20111990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 2 other ancestors3 generations back: 3 other ancestors4 generations back: 12 other ancestors5 generations back: 23 other ancestors6 generations back: 22 other ancestors7 generations back: 17 other ancestors8 generations back: 15 other ancestors9 generations back: 3 other ancestors10 generations back: 2 other ancestors 1 generation forward: 4 descendants2 generations forward: 3 descendants3 generations forward: 1 descendant K113244 · Synapse MPR Fusion · Fujifilm Medical System U.S.A., Inc. · 2011K101228 · Mirada XD · Mirada Medical, Ltd. · 2010K091373 · Syngo Trued · Siemens Medical Solutions USA, Inc. · 2009K071950 · Syngo Trued · Siemens Medical Solutions USA, Inc. · 2007K053301 · Cedara I-Response Cedara Pet/CT · Cedara Software Corp. · 2006K041484 · Undecided · Siemens Medical Solutions USA, Inc. · 2004K033374 · Lungcare CT Software Package with Extended Functionality · Siemens AG Medical Solutions · 2003K022013 · Lungcare CT Software Package · Siemens Medical Solutions USA, Inc. · 2002K013381 · Advanced Lung Analysis-1 · General Electric Co. · 2001K963345 · Advantage Windows Tissue Volume Option · GE Medical Systems · 1996K913770 · Advantage V.S. CT/MR Rad Diagnostic Workstation · General Electric Co. · 1991−10−50
  1. Root · 11 generations backK913770 Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co. · 1991
  2. 7 generations between
  3. 3 generations backK091373 Syngo TruedSiemens Medical Solutions USA, Inc. · 2009
  4. 2 generations backK101228 Mirada XDMirada Medical, Ltd. · 2010
  5. 1 generation backK113244 Synapse MPR FusionFujifilm Medical System U.S.A., Inc. · 2011
  6. This deviceK160108 Synapse PACSFujifilm Medical Systems U.S.A, Inc. · 2016
  7. Descendant · cites it directly · 3 of its ownK190232 Synapse PACSFujifilm Corporation · 2019 · Recalled
  8. Descendant · 2 generations on · 1 of its ownK243647 Synapse PACS (7.5)FUJIFILM Healthcare Americas Corporation · 2025
  9. Descendant · cites it directly · 1 of its ownK173475 Merge PACSMerge Healthcare Incorporated · 2017 · Recalled
  10. Descendant · 3 generations on · 0 of its ownK261713 Synapse PACS (7.6.0)FUJIFILM Healthcare Americas Corporation · 2026
  11. Descendant · 2 generations on · 0 of its ownK192508 Medsynapse Ris Pacs & Medsynapse VNAMedsynaptic Private, Ltd. · 2019
Show all 11 generations
  1. Root · 11 generations backK913770 Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co. · 1991
  2. 10 generations backK963345 Advantage Windows Tissue Volume OptionGE Medical Systems · 1996
  3. 9 generations backK013381 Advanced Lung Analysis-1General Electric Co. · 2001
  4. 8 generations backK022013 Lungcare CT Software PackageSiemens Medical Solutions USA, Inc. · 2002
  5. 7 generations backK033374 Lungcare CT Software Package with Extended FunctionalitySiemens AG Medical Solutions · 2003
  6. 6 generations backK041484 UndecidedSiemens Medical Solutions USA, Inc. · 2004
  7. 5 generations backK053301 Cedara I-Response Cedara Pet/CTCedara Software Corp. · 2006
  8. 4 generations backK071950 Syngo TruedSiemens Medical Solutions USA, Inc. · 2007
  9. 3 generations backK091373 Syngo TruedSiemens Medical Solutions USA, Inc. · 2009
  10. 2 generations backK101228 Mirada XDMirada Medical, Ltd. · 2010
  11. 1 generation backK113244 Synapse MPR FusionFujifilm Medical System U.S.A., Inc. · 2011
  12. This deviceK160108 Synapse PACSFujifilm Medical Systems U.S.A, Inc. · 2016

Showing 5 of 8 descendants. See all descendants

Descendants cleared per year

2017: 32019: 32025: 12026: 1
2017high 3 (2017) · low 0 (2018)2026

Most influential descendants

Showing 5 of 8 · See all
  • K190232Synapse PACSFujifilm Corporation · 2019 · cites it directly3descendants
  • K243647Synapse PACS (7.5)FUJIFILM Healthcare Americas Corporation · 2025 · 2 generations on1descendant
  • K173475Merge PACSMerge Healthcare Incorporated · 2017 · cites it directly1descendant
  • K261713Synapse PACS (7.6.0)FUJIFILM Healthcare Americas Corporation · 2026 · 3 generations on0descendants
  • K192508Medsynapse Ris Pacs & Medsynapse VNAMedsynaptic Private, Ltd. · 2019 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K913770Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co.1991—
−10K963345Advantage Windows Tissue Volume OptionGE Medical Systems1996—
−9K013381Advanced Lung Analysis-1General Electric Co.2001—
−8K022013Lungcare CT Software PackageSiemens Medical Solutions USA, Inc.2002—
−7K033374Lungcare CT Software Package with Extended FunctionalitySiemens AG Medical Solutions2003—
−6K041484UndecidedSiemens Medical Solutions USA, Inc.2004—
−5K053301Cedara I-Response Cedara Pet/CTCedara Software Corp.2006—
−4K071950Syngo TruedSiemens Medical Solutions USA, Inc.2007—
−3K091373Syngo TruedSiemens Medical Solutions USA, Inc.2009—
−2K101228Mirada XDMirada Medical, Ltd.2010—
−1K113244Synapse MPR FusionFujifilm Medical System U.S.A., Inc.2011—
0 (this device)K160108Synapse PACSFujifilm Medical Systems U.S.A, Inc.2016—
+1K190232Synapse PACSFujifilm Corporation201911
+2K243647Synapse PACS (7.5)FUJIFILM Healthcare Americas Corporation2025—
+1K173475Merge PACSMerge Healthcare Incorporated20172
+3K261713Synapse PACS (7.6.0)FUJIFILM Healthcare Americas Corporation2026—
+2K192508Medsynapse Ris Pacs & Medsynapse VNAMedsynaptic Private, Ltd.2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710
198910
199010
199140
199220
199320
199430
199540
199650
199740
199870
199930
200090
2001130
2002110
200370
2004100
200550
200630
200730
201010
201110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201730
201930
202510
202610
FIG. 1 — Lineage of K160108, 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
*K112439Synapse Workstation Software Version 3.3.0
Summary page 4
…Product Code: LLZ Regulation Number: 21 CFR 892.2050 Device Class: Class II Panel: Radiology Predicate Devices: • FUJIFILM Synapse Workstation Software (K112439) • Synapse MPR Fusion (K113244) 05 - 1 MEDICA…
Fujifilm Medical System U.S.A., Inc.20112
*K113244Synapse MPR Fusion
Summary page 4
…Number: 21 CFR 892.2050 Device Class: Class II Panel: Radiology Predicate Devices: • FUJIFILM Synapse Workstation Software (K112439) • Synapse MPR Fusion (K113244) 05 - 1 MEDICAL SYSTEMS U.S.A., Inc. Synapse PA…
Fujifilm Medical System U.S.A., Inc.2011—

Also cleared against K112439: 1 other device →

What descends from it? (8)

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

NumberDeviceApplicantDecidedDescendants
K190232Synapse PACSFujifilm Corporation20193
K173475Merge PACSMerge Healthcare Incorporated20171
K171463ASPIRE Bellus IIFujifilm Medical Systems U.S.A, Inc.20170
K163668SuitestensaEbit Srl20170

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

Recalls of this device

DateClassRecallRoot causeReason
Feb 11, 2025Class IIZ-1407-2025Software change controlThe incorrect computed patient age is showing in VX for patients less than 3 months old.
Mar 2, 2021Class IIZ-1348-2021Software designThe wrong patient information may be displayed in the viewer or PowerJacket.
Sep 11, 2020Class IIZ-0878-2021Device DesignThere is a potential for the wrong patient information may be displayed in the viewer or PowerJacket. Additionally, the incorrect max standard uptake values (SUV) for PET ad CT studies may be returned for Siemens Modality.
May 22, 2020Class IIZ-2471-2020Software designLateromedial (LM) and Lateromedial Oblique (LMO) Orientation Markers may be displayed incorrectly on the 3D TOMO slider bar. In addition, the slice location of the image and/or the slice direction could be incorrect as well, and result in…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 25 years and passes through 8 companies; a new generation was cleared every 1.5 years on median.
  • 27 of the 111 ancestors have a recall of any class.
  • Of its descendants, K190232 (Fujifilm Corporation, 2019) has gone furthest, with 3 descendants of its own.
  • 1 other device also cites its predicate K112439.

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. 2016, 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?

FUJIFILM Synapse PACS Software (client) is intended for use, as a web based application, on an off-the-shelf PC meeting or exceeding minimum specifications and networked with FUJIFILM Synapse PACS Software (Server). The FUJIFILM Synapse PACS Software is intended to serve as the primary user interface for the processing of medical images for presentation on displays appropriate to the medical task being performed. The Synapse PACS Software can process…

Read the full statement (182 words)

FUJIFILM Synapse PACS Software (client) is intended for use, as a web based application, on an off-the-shelf PC meeting or exceeding minimum specifications and networked with FUJIFILM Synapse PACS Software (Server). The FUJIFILM Synapse PACS Software is intended to serve as the primary user interface for the processing of medical images for presentation on displays appropriate to the medical task being performed. The Synapse PACS Software can process medical images from the following modality types: plane X-ray radiography, X-ray computed tomography, magnetic resonance imaging, ultrasound, nuclear medicine and images from other DICOM compliant modalities.

The FUJIFILM Synapse PACS Software enables the display, comparison and fusion of 3D (MIP/MPR) of CT, MR, PET and SPECT studies. Typical users are radiologists, technologists and clinicians. These functions (MIP/MPR/Fusion) are not intended for Mammography use.

The FUJIFILM Synapse PACS Software may be used to process FUJIFILM’s DICOM MG “For Processing” images and also for the display, manipulation, and interpretation of lossless compressed or non-compressed mammography images that have been received in the DICOM For Presentation format and displayed on FDA cleared, DICOM compatible displays for mammography.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K160108: Synapse PACS.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K160108

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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