510(k) Report

510(k) · Cleared

Cleared

Nexus DR Digital X-Ray Imaging System (with vSharp)

K193238510(k) SpecialCleared Dec 20, 201925-day reviewClass II21 CFR 892.1680

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

Varex Imaging Corporation · MQB Solid State X-Ray Imager (Flat Panel/Digital Imager)

Cleared on Dec 20, 2019 as substantially equivalent to K190146 (Varex Imaging Corporation, 2019) after a 25-day review. Its family tree reaches back 12 generations to 1981.

Decided
Dec 20, 2019
Review
25 days
Class
Class II
Product code
MQB
Recalls
None
Predicates
1

Its longest line of descent runs back 12 generations to K803130 (1981). 24 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 12 generations backK803130 Multix U. Bucky Table X-Ray UnitSiemens Corp. · 1981 · Recalled
  2. 8 generations between
  3. 3 generations backK172951 Nexus DR Digital X-ray Imaging System (with PaxScan 4343RC and…Varex Imaging Corporation · 2017
  4. 2 generations backK183212 Nexus DR Digital X-ray Imaging System with stitchingVarex Imaging Corporation · 2018
  5. 1 generation backK190146 Nexus DR Digital X-ray Imaging SystemVarex Imaging Corporation · 2019
  6. This deviceK193238 Nexus DR Digital X-Ray Imaging System (with vSharp)Varex Imaging Corporation · 2019
Show all 12 generations
  1. Root · 12 generations backK803130 Multix U. Bucky Table X-Ray UnitSiemens Corp. · 1981 · Recalled
  2. 11 generations backK971452 Multix Top/Pro Radiographic X-Ray TableSiemens Medical Solutions USA, Inc. · 1997 · Recalled
  3. 10 generations backK983732 Thorax FD and Multix FDSiemens Medical Solutions USA, Inc. · 1999 · Recalled
  4. 9 generations backK992794 Stingray DR, Model 1Infimed, Inc. · 1999
  5. 8 generations backK093066 I5 Digital X-Ray Imaging System, Model I5Infimed, Inc. · 2010
  6. 7 generations backK103416 Nexus DRF Digital X-Ray Imaging SystemInfimed, Inc. · 2011
  7. 6 generations backK130318 Nexus DRF Digital X-Ray Imaging System (with Paxscan 4343CB)Varian Medical Systems, X-Ray Products-Infimed · 2013
  8. 5 generations backK161459 Nexus DRTM Digital X-ray Imaging System (with PaxScan 4336Wv4)Varian Medical Systems, X-Ray Products-Infimed · 2016
  9. 4 generations backK171138 Nexus DR Digital X-ray Imaging SystemVarex Imaging Corporation · 2017
  10. 3 generations backK172951 Nexus DR Digital X-ray Imaging System (with PaxScan 4343RC and…Varex Imaging Corporation · 2017
  11. 2 generations backK183212 Nexus DR Digital X-ray Imaging System with stitchingVarex Imaging Corporation · 2018
  12. 1 generation backK190146 Nexus DR Digital X-ray Imaging SystemVarex Imaging Corporation · 2019
  13. This deviceK193238 Nexus DR Digital X-Ray Imaging System (with vSharp)Varex Imaging Corporation · 2019
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K803130Multix U. Bucky Table X-Ray UnitSiemens Corp.19811
−11K971452Multix Top/Pro Radiographic X-Ray TableSiemens Medical Solutions USA, Inc.19978
−10K983732Thorax FD and Multix FDSiemens Medical Solutions USA, Inc.19991
−9K992794Stingray DR, Model 1Infimed, Inc.1999—
−8K093066I5 Digital X-Ray Imaging System, Model I5Infimed, Inc.2010—
−7K103416Nexus DRF Digital X-Ray Imaging SystemInfimed, Inc.2011—
−6K130318Nexus DRF Digital X-Ray Imaging System (with Paxscan 4343CB)Varian Medical Systems, X-Ray Products-Infimed2013—
−5K161459Nexus DRTM Digital X-ray Imaging System (with PaxScan 4336Wv4)Varian Medical Systems, X-Ray Products-Infimed2016—
−4K171138Nexus DR Digital X-ray Imaging SystemVarex Imaging Corporation2017—
−3K172951Nexus DR Digital X-ray Imaging System (with PaxScan 4343RC and PaxScan 4343Rv3)Varex Imaging Corporation2017—
−2K183212Nexus DR Digital X-ray Imaging System with stitchingVarex Imaging Corporation2018—
−1K190146Nexus DR Digital X-ray Imaging SystemVarex Imaging Corporation2019—
0 (this device)K193238Nexus DR Digital X-Ray Imaging System (with vSharp)Varex Imaging Corporation2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198610
198810
199110
199210
199420
199610
199710
199830
200210
FIG. 1 — Lineage of K193238, 1981–2019Source: 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 MQB? 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 MQB device

  1. #1 K201528 Yushan X-Ray Flat Panel Detector with DROCscore 21.5 · 12 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
*K190146Nexus DR Digital X-ray Imaging System
Summary page 4
…tem Regulation: 21 CFR 892.1680 Classification Name: Stationary X-ray System Class: II Primary Product Code: MQB 510(k) Number: K190146 Device Description: The Nexus DR• Digital X-ray Imaging System (with vSharp™) is a high resolution digital imaging system desi…
Varex Imaging Corporation2019—

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 38 years and passes through 5 companies; a new generation was cleared every 1.1 years on median.
  • 8 of the 24 ancestors have a recall of any class.

How does its category compare?

All MQB devices

MQB Solid State X-Ray Imager (Flat Panel/Digital Imager): FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · MQB

8in 2025

2007: 132008: 82009: 152010: 112011: 242012: 222013: 212014: 322015: 212016: 222017: 312018: 162019: 222020: 192021: 212022: 312023: 102024: 82025: 82026 (partial year): 3
2007high 32 (2014) · low 8 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MQB

127in 2025

2007: 22 days median2008: 15 days median2009: 57 days median2010: 116 days median2011: 102 days median2012: 80 days median2013: 105 days median2014: 102 days median2015: 81 days median2016: 92 days median2017: 30 days median2018: 30 days median2019: 30 days median2020: 28 days median2021: 48 days median2022: 48 days median2023: 30 days median2024: 187 days median2025: 127 days median2026 (partial year): 245 days median
2007high 245 (2026) · low 15 (2008)2026

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

Recalls per year · MQB

1in 2025

2007: 152008: 362009: 192010: 142011: 102012: 82013: 62017: 12018: 42019: 12020: 42021: 12025: 12026 (partial year): 1
2007high 36 (2008) · low 0 (2014)2026

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

Adverse event reports per year · MQB

141in 2025

2007: 252008: 302009: 342010: 392011: 1012012: 2672013: 1592014: 292015: 212016: 262017: 202018: 842019: 452020: 92021: 262022: 132023: 512024: 912025: 141
2007high 267 (2012) · low 9 (2020)2025

MAUDE reports naming product code MQB, 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
200713221525
20088153630
200915571934
2010111161439
20112410210101
201222808267
2013211056159
201432102029
20152181021
20162292026
20173130120
20181630484
20192230145
2020192849
20212148126
20223148013
20231030051
20248187091
202581271141
202632451—

What is it indicated for?

The Varex Nexus DR Digital X-ray Imaging System is a high resolution digital imaging system intended to replace conventional film techniques, or existing digital systems, in multipurpose or dedicated applications specified below. The Nexus DR Digital X-ray Imaging System enables an operator to acquire, display, process, export images to portable media, send images over a network for long term storage and distribute hard-copy images with a laser printer.…

Read the full statement (130 words)

The Varex Nexus DR Digital X-ray Imaging System is a high resolution digital imaging system intended to replace conventional film techniques, or existing digital systems, in multipurpose or dedicated applications specified below. The Nexus DR Digital X-ray Imaging System enables an operator to acquire, display, process, export images to portable media, send images over a network for long term storage and distribute hard-copy images with a laser printer. Image processing algorithms enable the operator to bring out diagnostic details difficult to see using conventional imaging techniques. Images can be stored locally for temporary storage. The major system components include an image receptor, computer, monitor and imaging software.

The Varex Nexus DR Digital X-ray Imaging System is intended for use in general radiographic examinations and applications (excluding fluoroscopy, angiography, and mammography).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K193238: Nexus DR Digital X-Ray Imaging System (with vSharp).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K193238

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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