510(k) Report

510(k) · Cleared

Cleared

Elements Viewer

K191014510(k) TraditionalCleared Jan 23, 2020281-day reviewClass II21 CFR 892.2050

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

Brainlab AG · LLZ System, Image Processing, Radiological

Cleared on Jan 23, 2020 as substantially equivalent to K153653 (Brainlab AG, 2016) after a 281-day review. Its family tree reaches back 8 generations to 1990. 3 later devices descend from it.

Decided
Jan 23, 2020
Review
281 days
Class
Class II
Product code
LLZ
Recalls
None
Predicates
1

Its longest line of descent runs back 8 generations to K896095 (1990). 21 ancestors in all. 3 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2009: 1 other ancestor2008: 1 other ancestor2006: 1 other ancestor2007: 1 other ancestor2005: 1 other ancestor2004: 1 other ancestor2003: 1 other ancestor2002: 1 other ancestor2001: 3 other ancestors1999: 1 other ancestor1991: 1 other ancestor2024: 1 descendant cleared2026: 1 descendant cleared2025: 1 descendant clearedReference device: K172418 · OpenSight · Novarad Corporation · 2018K896095 · Images-on-Call Teleradiology System · Devices & Services Co. · 1990K962699 · Radworks Medical Imaging Software · Applicare Medical Imaging, B.V. · 1996K982862 · Radworks Medical Imaging Software with Quality Control Module · Applicare Medical Imaging, B.V. · 1998K012211 · Efilm Workstation · Efilm Medical, Inc. · 2001 · recalledK020995 · Efilm Workstation with Modules · Efilm Medical, Inc. · 2002 · recalledK081304 · Alz Web Pacs, Version 1.0 · Alz, Inc. · 2008K130624 · CONI · Globalmed · 2013K153653 · DICOM Viewer · Brainlab AG · 20161990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor3 generations back: 2 other ancestors4 generations back: 4 other ancestors5 generations back: 1 other ancestor6 generations back: 4 other ancestors8 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 1 descendant K153653 · DICOM Viewer · Brainlab AG · 2016K130624 · CONI · Globalmed · 2013K081304 · Alz Web Pacs, Version 1.0 · Alz, Inc. · 2008K020995 · Efilm Workstation with Modules · Efilm Medical, Inc. · 2002 · recalledK012211 · Efilm Workstation · Efilm Medical, Inc. · 2001 · recalledK982862 · Radworks Medical Imaging Software with Quality Control Module · Applicare Medical Imaging, B.V. · 1998K962699 · Radworks Medical Imaging Software · Applicare Medical Imaging, B.V. · 1996K896095 · Images-on-Call Teleradiology System · Devices & Services Co. · 1990−50
  1. Root · 8 generations backK896095 Images-on-Call Teleradiology SystemDevices & Services Co. · 1990
  2. 7 generations backK962699 Radworks Medical Imaging SoftwareApplicare Medical Imaging, B.V. · 1996
  3. 6 generations backK982862 Radworks Medical Imaging Software with Quality Control ModuleApplicare Medical Imaging, B.V. · 1998
  4. 5 generations backK012211 Efilm WorkstationEfilm Medical, Inc. · 2001 · Recalled
  5. 4 generations backK020995 Efilm Workstation with ModulesEfilm Medical, Inc. · 2002 · Recalled
  6. 3 generations backK081304 Alz Web Pacs, Version 1.0Alz, Inc. · 2008
  7. 2 generations backK130624 CONIGlobalmed · 2013
  8. 1 generation backK153653 DICOM ViewerBrainlab AG · 2016
  9. This deviceK191014 Elements ViewerBrainlab AG · 2020
  10. Descendant · cites it directly · 1 of its ownK232759 Viewer (5.4); Elements Viewer; Mixed Reality Viewer; Smart Layout…Brainlab AG · 2024 · Recalled
  11. Descendant · cites it directly · 0 of its ownK254265 Helion Viewer SuiteVideomed Srl ( a Baxter Healthcare Corp company) · 2026
  12. Descendant · 2 generations on · 0 of its ownK252476 Viewer (5.4); Elements Viewer; Mixed Reality Viewer; Smart Layout…Brainlab AG · 2025

Most influential descendants

Showing 3 of 3 · See all
  • K232759Viewer (5.4); Elements Viewer; Mixed Reality Viewer; Smart Layout; Elements Viewer Smart…Brainlab AG · 2024 · cites it directly1descendant
  • K254265Helion Viewer SuiteVideomed Srl ( a Baxter Healthcare Corp company) · 2026 · cites it directly0descendants
  • K252476Viewer (5.4); Elements Viewer; Mixed Reality Viewer; Smart Layout; Elements Viewer Smart…Brainlab AG · 2025 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K896095Images-on-Call Teleradiology SystemDevices & Services Co.1990—
−7K962699Radworks Medical Imaging SoftwareApplicare Medical Imaging, B.V.1996—
−6K982862Radworks Medical Imaging Software with Quality Control ModuleApplicare Medical Imaging, B.V.1998—
−5K012211Efilm WorkstationEfilm Medical, Inc.20011
−4K020995Efilm Workstation with ModulesEfilm Medical, Inc.20022
−3K081304Alz Web Pacs, Version 1.0Alz, Inc.2008—
−2K130624CONIGlobalmed2013—
−1K153653DICOM ViewerBrainlab AG2016—
0 (this device)K191014Elements ViewerBrainlab AG2020—
+1K232759Viewer (5.4); Elements Viewer; Mixed Reality Viewer; Smart Layout; Elements…Brainlab AG20241
+1K254265Helion Viewer SuiteVideomed Srl ( a Baxter Healthcare Corp company)2026—
+2K252476Viewer (5.4); Elements Viewer; Mixed Reality Viewer; Smart Layout; Elements…Brainlab AG2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199110
199910
200130
200210
200310
200410
200510
200610
200710
200810
200910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
202510
202610
FIG. 1 — Lineage of K191014, 1990–2026Source: 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
*K153653DICOM Viewer
Summary page 4
…ions system (21 CFR 892.2050) Review Panel Radiology Product Code: LLZ Device Class: Class II Predicate Device: K153653 DICOM Viewer Reference Device K172418 OpenSight Date of preparation 23 September 2019…
Brainlab AG2016—
†K172418OpenSightNovarad Corporation2018—

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K232759Viewer (5.4); Elements Viewer; Mixed Reality Viewer; Smart Layout; Elements Viewer Smart…Brainlab AG20241
K254265Helion Viewer SuiteVideomed Srl ( a Baxter Healthcare Corp company)20260

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 30 years and passes through 6 companies; a new generation was cleared every 3.8 years on median.
  • 3 of the 21 ancestors have a recall of any class.
  • Of its descendants, K232759 (Brainlab AG, 2024) has gone furthest, with 1 descendant of its own.

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. 2020, 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?

Viewer is a software device for display of medical images and other healthcare data. It includes

functions for image review, image manipulation, basic measurements and 3D visualization (Multiplanar

reconstructions and 3D volume rendering). It is not intended for primary image diagnosis or the

review of mammographic images.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K191014: Elements Viewer.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K191014

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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