510(k) Report

510(k) · Cleared

Cleared

Medsynapse Ris Pacs & Medsynapse VNA

K192508510(k) TraditionalCleared Nov 22, 201971-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

Medsynaptic Private, Ltd. · LLZ System, Image Processing, Radiological

Cleared on Nov 22, 2019 as substantially equivalent to K190232 (Fujifilm Corporation, 2019) after a 71-day review. Its family tree reaches back 13 generations to 1991.

Decided
Nov 22, 2019
Review
71 days
Class
Class II
Product code
LLZ
Recalls
None
Predicates
1

Its longest line of descent runs back 13 generations to K913770 (1991). 114 ancestors in all, the oldest K871859 (1987). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2015: 1 other ancestor2011: 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 ancestorReference device: K093247 · Medsynapse Pacs Software · Medsynaptic Private, Ltd. · 2009K913770 · 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 · recalledK190232 · Synapse PACS · Fujifilm Corporation · 2019 · recalled19851990199520002005201020152020
  1. Root · 13 generations backK913770 Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co. · 1991
  2. 9 generations between
  3. 3 generations backK113244 Synapse MPR FusionFujifilm Medical System U.S.A., Inc. · 2011
  4. 2 generations backK160108 Synapse PACSFujifilm Medical Systems U.S.A, Inc. · 2016 · Recalled
  5. 1 generation backK190232 Synapse PACSFujifilm Corporation · 2019 · Recalled
  6. This deviceK192508 Medsynapse Ris Pacs & Medsynapse VNAMedsynaptic Private, Ltd. · 2019
Show all 13 generations
  1. Root · 13 generations backK913770 Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co. · 1991
  2. 12 generations backK963345 Advantage Windows Tissue Volume OptionGE Medical Systems · 1996
  3. 11 generations backK013381 Advanced Lung Analysis-1General Electric Co. · 2001
  4. 10 generations backK022013 Lungcare CT Software PackageSiemens Medical Solutions USA, Inc. · 2002
  5. 9 generations backK033374 Lungcare CT Software Package with Extended FunctionalitySiemens AG Medical Solutions · 2003
  6. 8 generations backK041484 UndecidedSiemens Medical Solutions USA, Inc. · 2004
  7. 7 generations backK053301 Cedara I-Response Cedara Pet/CTCedara Software Corp. · 2006
  8. 6 generations backK071950 Syngo TruedSiemens Medical Solutions USA, Inc. · 2007
  9. 5 generations backK091373 Syngo TruedSiemens Medical Solutions USA, Inc. · 2009
  10. 4 generations backK101228 Mirada XDMirada Medical, Ltd. · 2010
  11. 3 generations backK113244 Synapse MPR FusionFujifilm Medical System U.S.A., Inc. · 2011
  12. 2 generations backK160108 Synapse PACSFujifilm Medical Systems U.S.A, Inc. · 2016 · Recalled
  13. 1 generation backK190232 Synapse PACSFujifilm Corporation · 2019 · Recalled
  14. This deviceK192508 Medsynapse Ris Pacs & Medsynapse VNAMedsynaptic Private, Ltd. · 2019
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K913770Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co.1991—
−12K963345Advantage Windows Tissue Volume OptionGE Medical Systems1996—
−11K013381Advanced Lung Analysis-1General Electric Co.2001—
−10K022013Lungcare CT Software PackageSiemens Medical Solutions USA, Inc.2002—
−9K033374Lungcare CT Software Package with Extended FunctionalitySiemens AG Medical Solutions2003—
−8K041484UndecidedSiemens Medical Solutions USA, Inc.2004—
−7K053301Cedara I-Response Cedara Pet/CTCedara Software Corp.2006—
−6K071950Syngo TruedSiemens Medical Solutions USA, Inc.2007—
−5K091373Syngo TruedSiemens Medical Solutions USA, Inc.2009—
−4K101228Mirada XDMirada Medical, Ltd.2010—
−3K113244Synapse MPR FusionFujifilm Medical System U.S.A., Inc.2011—
−2K160108Synapse PACSFujifilm Medical Systems U.S.A, Inc.20164
−1K190232Synapse PACSFujifilm Corporation201911
0 (this device)K192508Medsynapse 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
201510
FIG. 1 — Lineage of K192508, 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? (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
*K190232Synapse PACS
Summary page 4
…ions system Product code LLZ, Regulation: 892.2050 Class of device: Class II. 2. The legally marketed device to which we are claiming equivalence: K190232, Synapse PACS, FUJIFILM Corporation Common Name: PACS Software Classification Name: System, image processing, radiologi…
Fujifilm Corporation201911
†K093247Medsynapse Pacs SoftwareMedsynaptic Private, Ltd.2009—

Also cleared against K190232: 1 other device →

What descends from it?

No later submission names this one as a predicate yet.

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 28 years and passes through 10 companies; a new generation was cleared every 1.5 years on median.
  • 30 of the 114 ancestors have a recall of any class.
  • 1 other device also cites its predicate K190232.

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. 2019, 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?

Medsynapse RIS PACS Software is intended for use as a fully web based application on an off-the shelf PC which is networked with a Medsynapse RIS PACS server. The Medsynapse RIS PACS software can process medical images from DICOM compliant modalities and non DICOM sources. The Medsynapse RIS PACS software provides toolsets for performing measurements on DICOM images, importing and presenting data from modalities (DICOM and non-DICOM), solving clinical…

Read the full statement (180 words)

Medsynapse RIS PACS Software is intended for use as a fully web based application on an off-the shelf PC which is networked with a Medsynapse RIS PACS server. The Medsynapse RIS PACS software can process medical images from DICOM compliant modalities and non DICOM sources. The Medsynapse RIS PACS software provides toolsets for performing measurements on DICOM images, importing and presenting data from modalities (DICOM and non-DICOM), solving clinical calculations, and creating and distributing structured reports.

It enables the display, comparison and fusion of 3D (MIP/MPR) of CT, MR, PET and SPECT studies. Typical users are radiologists, cardiologists, technologists, sonographers, technicians, nurses and clinicians. MIP, MPR, and Fusion are not intended for Mammography use.

Medsynapse VNA is an open standards based archiving methodology used for storing images in non-proprietary format.

The Medsynapse RIS PACS Software may be used to process 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. “K192508: Medsynapse Ris Pacs & Medsynapse VNA.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K192508

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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