510(k) Report

510(k) · Cleared

Recalled · Class II · 2019

Merge PACS

K173475510(k) TraditionalCleared Dec 8, 201729-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

Merge Healthcare Incorporated · LLZ System, Image Processing, Radiological

Cleared on Dec 8, 2017 as substantially equivalent to K082144 (Amicas, Inc., 2008) and 1 other predicate after a 29-day review. Its family tree reaches back 12 generations to 1991. 1 later device descends from it. It has been recalled 2 times.

Decided
Dec 8, 2017
Review
29 days
Class
Class II
Product code
LLZ
Recalls
2
Predicates
2

Its longest line of descent runs back 12 generations to K913770 (1991). 116 ancestors in all, the oldest K871859 (1987). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2008: 2 other ancestors2011: 1 other ancestor2006: 4 other ancestors2005: 5 other ancestors2010: 1 other ancestor2007: 3 other ancestors2004: 10 other ancestors2002: 12 other ancestors2003: 7 other ancestors2001: 13 other ancestors1999: 3 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 ancestor2019: 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. · 2011K160108 · Synapse PACS · Fujifilm Medical Systems U.S.A, Inc. · 2016 · recalled1990200020102020
  1. Root · 12 generations backK913770 Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co. · 1991
  2. 8 generations between
  3. 3 generations backK101228 Mirada XDMirada Medical, Ltd. · 2010
  4. 2 generations backK113244 Synapse MPR FusionFujifilm Medical System U.S.A., Inc. · 2011
  5. 1 generation backK160108 Synapse PACSFujifilm Medical Systems U.S.A, Inc. · 2016 · Recalled
  6. This deviceK173475 Merge PACSMerge Healthcare Incorporated · 2017
  7. Descendant · cites it directly · 0 of its ownK192455 Merge PACSMerge Healthcare Incorporated · 2019 · Recalled
Show all 12 generations
  1. Root · 12 generations backK913770 Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co. · 1991
  2. 11 generations backK963345 Advantage Windows Tissue Volume OptionGE Medical Systems · 1996
  3. 10 generations backK013381 Advanced Lung Analysis-1General Electric Co. · 2001
  4. 9 generations backK022013 Lungcare CT Software PackageSiemens Medical Solutions USA, Inc. · 2002
  5. 8 generations backK033374 Lungcare CT Software Package with Extended FunctionalitySiemens AG Medical Solutions · 2003
  6. 7 generations backK041484 UndecidedSiemens Medical Solutions USA, Inc. · 2004
  7. 6 generations backK053301 Cedara I-Response Cedara Pet/CTCedara Software Corp. · 2006
  8. 5 generations backK071950 Syngo TruedSiemens Medical Solutions USA, Inc. · 2007
  9. 4 generations backK091373 Syngo TruedSiemens Medical Solutions USA, Inc. · 2009
  10. 3 generations backK101228 Mirada XDMirada Medical, Ltd. · 2010
  11. 2 generations backK113244 Synapse MPR FusionFujifilm Medical System U.S.A., Inc. · 2011
  12. 1 generation backK160108 Synapse PACSFujifilm Medical Systems U.S.A, Inc. · 2016 · Recalled
  13. This deviceK173475 Merge PACSMerge Healthcare Incorporated · 2017

Most influential descendants

Showing 1 of 1 · See all
  • K192455Merge PACSMerge Healthcare Incorporated · 2019 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K913770Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co.1991—
−11K963345Advantage Windows Tissue Volume OptionGE Medical Systems1996—
−10K013381Advanced Lung Analysis-1General Electric Co.2001—
−9K022013Lungcare CT Software PackageSiemens Medical Solutions USA, Inc.2002—
−8K033374Lungcare CT Software Package with Extended FunctionalitySiemens AG Medical Solutions2003—
−7K041484UndecidedSiemens Medical Solutions USA, Inc.2004—
−6K053301Cedara I-Response Cedara Pet/CTCedara Software Corp.2006—
−5K071950Syngo TruedSiemens Medical Solutions USA, Inc.2007—
−4K091373Syngo TruedSiemens Medical Solutions USA, Inc.2009—
−3K101228Mirada XDMirada Medical, Ltd.2010—
−2K113244Synapse MPR FusionFujifilm Medical System U.S.A., Inc.2011—
−1K160108Synapse PACSFujifilm Medical Systems U.S.A, Inc.20164
0 (this device)K173475Merge PACSMerge Healthcare Incorporated2017—
+1K192455Merge PACSMerge Healthcare Incorporated20194

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
2002120
200370
2004100
200550
200640
200730
200820
201010
201110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201910
FIG. 1 — Lineage of K173475, 1991–2019Source: 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
*K082144Amicas Pacs, Version 6.0
Summary page 5
…Page 5 === III. PREDICATE DEVICES Trade Name 510(k) Submitter 510(k) Number Primary Predicate Device: AMICAS, Inc. K082144 AMICAS PACS 6.0 Class II Pr…
Amicas, Inc.200813
*K160108Synapse PACS
Summary page 5
…Class II Product Code LLZ Synapse PACS Fujifilm Medical Systems K160108 U.S.A., Inc. Class II Pr…
Fujifilm Medical Systems U.S.A, Inc.20164

Also cleared against K082144: 1 other device →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K192455Merge PACSMerge Healthcare Incorporated20190

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

Recalls of this device

DateClassRecallRoot causeReason
Jul 11, 2019Class IIZ-2062-2019Software Design ChangePotential for prior thumbnails to not display in reverse chronological order and images may not scroll in reverse chronological order when mammography stacked scrolling is enabled. Merge PACS provides image manipulation tools to enable…
Jul 11, 2019Class IIZ-2063-2019Software Design ChangePotential for prior thumbnails to not display in reverse chronological order and images may not scroll in reverse chronological order when mammography stacked scrolling is enabled. Merge PACS provides image manipulation tools to enable…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 26 years and passes through 9 companies; a new generation was cleared every 1.5 years on median.
  • 29 of the 116 ancestors have a recall of any class.
  • Of its descendants, K192455 (Merge Healthcare Incorporated, 2019) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K082144.

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. 2017, 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?

Merge PACS™ is a Picture Archiving and Communication System (PACS) for multi-modality (CT, MR, PT, US, MG, BTO, CR, DR/DX, NM, XA, RF, secondary capture (SC), and other DICOM-compliant modalities) image processing and display, diagnostic reading and reporting, communication, printing, and storage of medical imaging studies and other patient data. Intended clinical users include radiologists, orthopedic and other surgeons, referring physicians…

Read the full statement (338 words)

Merge PACS™ is a Picture Archiving and Communication System (PACS) for multi-modality (CT, MR, PT, US, MG, BTO, CR, DR/DX, NM, XA, RF, secondary capture (SC), and other DICOM-compliant modalities) image processing and display, diagnostic reading and reporting, communication, printing, and storage of medical imaging studies and other patient data. Intended clinical users include radiologists, orthopedic and other surgeons, referring physicians, technologists, and other qualified medical professionals.

Data can be received directly from acquisition modalities, CAD systems, and other image processing systems, or indirectly via importing. Data that is not DICOM-compliant, such as photos, can be converted to DICOM format by Merge PACS.

Merge PACS provides image manipulation tools to enable users to view and compare images such as: linking, MPR, MIP, 3D image fusion/registration of CT, MR, and PET; as well as CVR (Color Volume Rendering), measurements (linear distances, angles, areas, SUV, etc.), and annotations (for example, outline and label regions of interest, label spinal vertebrae).

The Real Time Worklist (RTWL) displays the real-time status of radiology activity and provides customizable workflow management capabilities. Communication of critical results is facilitated and documented through optional, configurable components.

The Patient Dashboard provides a composite view of patient data, both imaging and non-imaging. The optional Reach component provides clinicians with secure, proactive communication and access to clinical reports and images. Multi-tier patient identity matching provides a comprehensive view even when dealing with multiple disparate patient identities.

Order and report information generated by the HIS/RIS and report creation systems are received and displayed via the transmission of HL7 messaging.

Lossless (reversible) and lossy (irreversible) image compression are supported for viewing, storage and communication.

Merge PACS displays full fidelity DICOM images for use in the diagnostic interpretation of mammography using MG or BTO images. Thick slab MIP presentation can be applied to BTO images.

Lossy compressed images and digitized screen film images must not be used for primary diagnosis of mammography studies, and only display monitors that have regulatory clearance for mammography interpretation should be used for the interpretation of mammography studies.

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. “K173475: Merge PACS.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K173475

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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