510(k) Report

510(k) · Cleared

Cleared

Ezra Plexo Software

K192969510(k) TraditionalCleared Jul 10, 2020261-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

Ezra Ai, Inc. · QIH Automated Radiological Image Processing Software

Cleared on Jul 10, 2020 as substantially equivalent to K173542 (Arterys, Inc., 2018) after a 261-day review. Its family tree reaches back 11 generations to 1991.

Decided
Jul 10, 2020
Review
261 days
Class
Class II
Product code
QIH
Recalls
None
Predicates
1

Its longest line of descent runs back 11 generations to K913770 (1991). 94 ancestors in all, the oldest K871859 (1987). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2007: 3 other ancestors2003: 3 other ancestors2006: 2 other ancestors2005: 3 other ancestors2004: 9 other ancestors2002: 10 other ancestors2001: 10 other ancestors1998: 7 other ancestors1999: 3 other ancestors1997: 4 other ancestors1995: 4 other ancestors1994: 3 other ancestors2000: 6 other ancestors1993: 2 other ancestors1992: 2 other ancestors1987: 1 other ancestor1996: 5 other ancestors1991: 4 other ancestors1990: 1 other ancestor1989: 1 other ancestorK913770 · 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. · 2009K101749 · Syngo Trued Software · Siemens Medical Solutions · 2010K173542 · Arterys Oncology DL · Arterys, Inc. · 20181990200020102020
  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 backK101749 Syngo Trued SoftwareSiemens Medical Solutions · 2010
  5. 1 generation backK173542 Arterys Oncology DLArterys, Inc. · 2018
  6. This deviceK192969 Ezra Plexo SoftwareEzra Ai, Inc. · 2020
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 backK101749 Syngo Trued SoftwareSiemens Medical Solutions · 2010
  11. 1 generation backK173542 Arterys Oncology DLArterys, Inc. · 2018
  12. This deviceK192969 Ezra Plexo SoftwareEzra Ai, Inc. · 2020
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—
−2K101749Syngo Trued SoftwareSiemens Medical Solutions2010—
−1K173542Arterys Oncology DLArterys, Inc.2018—
0 (this device)K192969Ezra Plexo SoftwareEzra Ai, Inc.2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710
198910
199010
199140
199220
199320
199430
199540
199650
199740
199870
199930
200060
2001100
2002100
200330
200490
200530
200620
200730
FIG. 1 — Lineage of K192969, 1991–2020Source: 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 QIH? 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 QIH device

  1. #1 K213998 cvi42 Auto Imaging Software Applicationscore 23.6 · 7 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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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
*K173542Arterys Oncology DL
Summary page 4
…omated radiological image processing software 1.3 Predicate Device Information Device Name Arterys Oncology DL 510(k) Number K173542 Ezra AI Inc. K192969 1 2 De…
Arterys, Inc.2018—

Also cleared against K173542: 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 29 years and passes through 8 companies; a new generation was cleared every 1.5 years on median.
  • 20 of the 94 ancestors have a recall of any class.
  • 1 other device also cites its predicate K173542.

How does its category compare?

All QIH devices

QIH Automated Radiological Image Processing Software: FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, this device’s year, is highlighted.

FDA decisions per year · QIH

94in 2025

2019: 22020: 112021: 192022: 252023: 452024: 642025: 942026 (partial year): 78
2007high 94 (2025) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QIH

150in 2025

2020: 145 days median2021: 125 days median2022: 134 days median2023: 151 days median2024: 141 days median2025: 150 days median2026 (partial year): 130 days median
2007high 151 (2023) · low 125 (2021)2026

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

Recalls per year · QIH

1so far in 2026, the most since 2007

2026 (partial year): 1
2007high 1 (2026) · low 0 (2007)2026

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

Adverse event reports per year · QIH

4in 2025

2024: 22025: 4
2007high 4 (2025) · low 0 (2007)2025

MAUDE reports naming product code QIH, 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
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20170—00
20180—00
20192—00
20201114500
20211912500
20222513400
20234515100
20246414102
20259415004
2026781301—

What is it indicated for?

Ezra Plexo Software is a medical diagnostic application for viewing, manipulation, 3D- visualization, and comparison of MR medical images. The images can be viewed in a number of output formats including volume rendering. Ezra Plexo Software enables visualization of information that would otherwise have to be visually compared disjointedly. Ezra Plexo Software is designed to support the oncological workflow by helping the user to confirm the absence or…

Read the full statement (115 words)

Ezra Plexo Software is a medical diagnostic application for viewing, manipulation, 3D- visualization, and comparison of MR medical images. The images can be viewed in a number of output formats including volume rendering.

Ezra Plexo Software enables visualization of information that would otherwise have to be visually compared disjointedly.

Ezra Plexo Software is designed to support the oncological workflow by helping the user to confirm the absence or presence of lesions, including evaluation, quantification, and documentation of any such lesions.

Note: The clinician retains the ultimate responsibility for making the pertinent diagnosis based on their standard practices and visual comparison of the separate unregistered images. Ezra Plexo Software is a complement to these standard procedures.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K192969: Ezra Plexo Software.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K192969

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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