510(k) Report

510(k) · Cleared

Cleared

SPY Portable Handheld Imaging (SPY-PHI) System

K192174510(k) TraditionalCleared Nov 15, 201995-day reviewClass II21 CFR 876.1500

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

Novadaq Technologies Ulc. (Now A Part of Stryker) · OWN Confocal Optical Imaging

Cleared on Nov 15, 2019 as substantially equivalent to K190729 (Novadaq Technologies Ulc. (Now A Part of Stryker), 2019) and 2 other predicates after a 95-day review. Its family tree reaches back 9 generations to 1994. 9 later devices descend from it.

Decided
Nov 15, 2019
Review
95 days
Class
Class II
Product code
OWN
Recalls
None
Predicates
3

Its longest line of descent runs back 9 generations to K944261 (1994). 28 ancestors in all, the oldest K860913 (1986). 9 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2019: 2 other ancestors2014: 1 other ancestor2011: 1 other ancestor2008: 1 other ancestor2007: 2 other ancestors2006: 1 other ancestor2004: 1 other ancestor2001: 1 other ancestor1999: 2 other ancestors1997: 2 other ancestors1996: 1 other ancestor1986: 1 other ancestor1995: 1 other ancestor1993: 1 other ancestor1991: 1 other ancestor2020: 2 descendants cleared2023: 2 descendants cleared2025: 2 descendants cleared2026: 3 descendants clearedK944261 · Retina Angiograph · Heidelberg Engineering · 1994K042961 · Spy Intra-Operative Imaging System: SP2000 · Novadaq Technologies, Inc. · 2005 · recalledK060867 · Spy Intraoperative Imaging System · Novadaq Technologies, Inc. · 2006 · recalledK063345 · Spy Imaging System · Novadaq Technologies, Inc. · 2007 · recalled×2: 2 generations cleared close together, K072222 (2007), K073130 (2008) K110480 · Pde Photodynamic Eye · Hamamatsu Photonics K.K. · 2012K133719 · Pde-Neo · Hamamatsu Photonics K.K. · 2014K162885 · SPY Phi Open Field Handheld Fluorescence Imaging System · Novadaq Technologies, Inc. · 2017 · recalled1990200020102020
  1. Root · 9 generations backK944261 Retina AngiographHeidelberg Engineering · 1994
  2. 5 generations between
  3. 3 generations backK110480 Pde Photodynamic EyeHamamatsu Photonics K.K. · 2012
  4. 2 generations backK133719 Pde-NeoHamamatsu Photonics K.K. · 2014
  5. 1 generation backK162885 SPY Phi Open Field Handheld Fluorescence Imaging SystemNovadaq Technologies, Inc. · 2017 · Recalled
  6. This deviceK192174 SPY Portable Handheld Imaging (SPY-PHI) SystemNovadaq Technologies Ulc. (Now A Part of Stryker) · 2019
  7. Descendant · cites it directly · 8 of its ownK200737 SPY Portable Handheld Imaging (SPY-PHI) SystemNovadaq Technologies Ulc. (Now A Part of Stryker) · 2020
  8. Descendant · 2 generations on · 5 of its ownK202244 SPY-PHI System with SPY-PHI Fluorescence Assessment SoftwareNovadaq Technologies Ulc. (Now A Part of Stryker) · 2020
  9. Descendant · 2 generations on · 4 of its ownK230727 SPY Portable Handheld Imaging (SPY-PHI) SystemNovadaq Technologies Ulc (A Part of Stryker) · 2023
  10. Descendant · 3 generations on · 0 of its ownK261037 780 nm SPY Portable Handheld Imaging (SPY-PHI) SystemStryker Endoscopy · 2026
  11. Descendant · 3 generations on · 0 of its ownK253181 SURGIMAGE SIM 1000H Fluorescence Imaging PlatformSurgimage Corporation · 2026
Show all 9 generations
  1. Root · 9 generations backK944261 Retina AngiographHeidelberg Engineering · 1994
  2. 8 generations backK042961 Spy Intra-Operative Imaging System: SP2000Novadaq Technologies, Inc. · 2005 · Recalled
  3. 7 generations backK060867 Spy Intraoperative Imaging SystemNovadaq Technologies, Inc. · 2006 · Recalled
  4. 6 generations backK063345 Spy Imaging SystemNovadaq Technologies, Inc. · 2007 · Recalled
  5. 5 generations backK072222 Spy Fluorescent Imaging SystemNovadaq Technologies, Inc. · 2007 · Recalled
  6. 4 generations backK073130 Spy Fluorescent Imaging SystemNovadaq Technologies, Inc. · 2008
  7. 3 generations backK110480 Pde Photodynamic EyeHamamatsu Photonics K.K. · 2012
  8. 2 generations backK133719 Pde-NeoHamamatsu Photonics K.K. · 2014
  9. 1 generation backK162885 SPY Phi Open Field Handheld Fluorescence Imaging SystemNovadaq Technologies, Inc. · 2017 · Recalled
  10. This deviceK192174 SPY Portable Handheld Imaging (SPY-PHI) SystemNovadaq Technologies Ulc. (Now A Part of Stryker) · 2019

Showing 5 of 9 descendants. See all descendants

Descendants cleared per year

2020: 22023: 22025: 22026: 3
2020high 3 (2026) · low 0 (2021)2026

Most influential descendants

Showing 5 of 9 · See all
  • K200737SPY Portable Handheld Imaging (SPY-PHI) SystemNovadaq Technologies Ulc. (Now A Part of Stryker) · 2020 · cites it directly8descendants
  • K202244SPY-PHI System with SPY-PHI Fluorescence Assessment SoftwareNovadaq Technologies Ulc. (Now A Part of Stryker) · 2020 · 2 generations on5descendants
  • K230727SPY Portable Handheld Imaging (SPY-PHI) SystemNovadaq Technologies Ulc (A Part of Stryker) · 2023 · 2 generations on4descendants
  • K261037780 nm SPY Portable Handheld Imaging (SPY-PHI) SystemStryker Endoscopy · 2026 · 3 generations on0descendants
  • K253181SURGIMAGE SIM 1000H Fluorescence Imaging PlatformSurgimage Corporation · 2026 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K944261Retina AngiographHeidelberg Engineering1994—
−8K042961Spy Intra-Operative Imaging System: SP2000Novadaq Technologies, Inc.20051
−7K060867Spy Intraoperative Imaging SystemNovadaq Technologies, Inc.20061
−6K063345Spy Imaging SystemNovadaq Technologies, Inc.20071
−5K072222Spy Fluorescent Imaging SystemNovadaq Technologies, Inc.20071
−4K073130Spy Fluorescent Imaging SystemNovadaq Technologies, Inc.2008—
−3K110480Pde Photodynamic EyeHamamatsu Photonics K.K.2012—
−2K133719Pde-NeoHamamatsu Photonics K.K.2014—
−1K162885SPY Phi Open Field Handheld Fluorescence Imaging SystemNovadaq Technologies, Inc.20171
0 (this device)K192174SPY Portable Handheld Imaging (SPY-PHI) SystemNovadaq Technologies Ulc. (Now A Part of Stryker)2019—
+1K200737SPY Portable Handheld Imaging (SPY-PHI) SystemNovadaq Technologies Ulc. (Now A Part of Stryker)2020—
+2K202244SPY-PHI System with SPY-PHI Fluorescence Assessment SoftwareNovadaq Technologies Ulc. (Now A Part of Stryker)2020—
+2K230727SPY Portable Handheld Imaging (SPY-PHI) SystemNovadaq Technologies Ulc (A Part of Stryker)2023—
+3K261037780 nm SPY Portable Handheld Imaging (SPY-PHI) SystemStryker Endoscopy2026—
+3K253181SURGIMAGE SIM 1000H Fluorescence Imaging PlatformSurgimage Corporation2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198610
199110
199310
199510
199610
199720
199920
200110
200410
200610
200720
200810
201110
201410
201920

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202020
202320
202520
202630
FIG. 1 — Lineage of K192174, 1994–2026Source: 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 OWN? 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 OWN device

  1. #1 K231854 1788 4K Camera System with Advanced Imaging…score 25.0 · 24 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? (3)

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
*K190729SPY Portable Handheld Imaging (SPY-PHI) System
Summary page 4
…ging SPY Elite Intraoperative (SPY-PHI) System Perfusion Assessment System 510(k) Number K190729; K162885 K182907 Submitter/510(k) Holder Name Novadaq Technologies ULC. Novadaq Technologies UL…
Novadaq Technologies Ulc. (Now A Part of Stryker)2019—
*K162885SPY Phi Open Field Handheld Fluorescence Imaging System
Summary page 4
…SPY Elite Intraoperative (SPY-PHI) System Perfusion Assessment System 510(k) Number K190729; K162885 K182907 Submitter/510(k) Holder Name Novadaq Technologies ULC. Novadaq Technologies ULC.…
Novadaq Technologies, Inc.20171
*K182907SPY Elite Intraoperative Perfusion Assessment System
Summary page 4
…(SPY-PHI) System Perfusion Assessment System 510(k) Number K190729; K162885 K182907 Submitter/510(k) Holder Name Novadaq Technologies ULC. Novadaq Technologies ULC.…
Novadaq Technologies Ulc. (Now A Part of Stryker)2019—

What descends from it? (9)

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

NumberDeviceApplicantDecidedDescendants
K200737SPY Portable Handheld Imaging (SPY-PHI) SystemNovadaq Technologies Ulc. (Now A Part of Stryker)20208

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 2.2 years on median.
  • 16 of the 28 ancestors have a recall of any class.
  • Of its descendants, K200737 (Novadaq Technologies Ulc. (Now A Part of Stryker), 2020) has gone furthest, with 8 descendants of its own.

How does its category compare?

All OWN devices

OWN Confocal Optical Imaging: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · OWN

3in 2025

2011: 12012: 32013: 22014: 52015: 52016: 22017: 52018: 12019: 72020: 72021: 42022: 42023: 62024: 12025: 32026 (partial year): 7
2007high 7 (2019) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OWN

196in 2025

2012: 87 days median2014: 208 days median2015: 163 days median2017: 87 days median2019: 81 days median2020: 81 days median2021: 104 days median2022: 41 days median2023: 69 days median2025: 196 days median2026 (partial year): 63 days median
2007high 208 (2014) · low 41 (2022)2026

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

Recalls per year · OWN

1in 2024

2022: 32024: 1
2007high 3 (2022) · low 0 (2007)2026

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

Adverse event reports per year · OWN

197in 2025

2015: 12016: 42017: 122018: 112019: 592020: 1052021: 3122022: 3462023: 1642024: 1652025: 197
2007high 346 (2022) · low 0 (2007)2025

MAUDE reports naming product code OWN, 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
20070—00
20080—00
20090—00
20100—00
20111—00
201238700
20132—00
2014520800
2015516301
20162—04
2017587012
20181—011
2019781059
20207810105
202141040312
20224413346
20236690164
20241—1165
202531960197
20267630—

What is it indicated for?

Upon intravenous administration of SPY AGENT™ GREEN (Indocyanine green for injection, USP) the SPY-PHI System is used with SPY AGENT™ GREEN to perform intraoperative fluorescence angiography. The SPY-PHI System is indicated for use in adult and pediatric patients one month of age and older.

The SPY-PHI System is indicated for fluorescence imaging of blood flow and tissue perfusion before, during, and after: vascular, gastrointestinal, organ transplant, and plastic, micro- and reconstructive surgical procedures.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K192174: SPY Portable Handheld Imaging (SPY-PHI) System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K192174

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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