510(k) Report

510(k) · Cleared

Cleared

XV Lung Ventilation Analysis Software

K193293510(k) TraditionalCleared May 14, 2020169-day reviewClass II21 CFR 892.1750

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

4Dx Limited · JAK System, X-Ray, Tomography, Computed

Cleared on May 14, 2020 as substantially equivalent to K151919 (Vital Images, Inc., 2015) and 1 other predicate after a 169-day review. Its family tree reaches back 11 generations to 1980.

Decided
May 14, 2020
Review
169 days
Class
Class II
Product code
JAK
Recalls
None
Predicates
2

Its longest line of descent runs back 11 generations to K801623 (1980). 58 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 11 generations backK801623 Cavitron Ultrasonic Surg. Aspir. CusaCavitron Corp. · 1980
  2. 7 generations between
  3. 3 generations backK123529 Artis Q and Q.Zen- Modular Angiographic SystemSiemens Medical Solutions USA, Inc. · 2013 · Recalled
  4. 2 generations backK141574 Artis Zee/Zeego SW VC21Siemens Medical Solutions USA, Inc. · 2014 · Recalled
  5. 1 generation backK181407 Artis zee/zeego & Artis Q/Q.zenSiemens Medical Solution USA, Inc. · 2018 · Recalled
  6. This deviceK193293 XV Lung Ventilation Analysis Software4Dx Limited · 2020
Show all 11 generations
  1. Root · 11 generations backK801623 Cavitron Ultrasonic Surg. Aspir. CusaCavitron Corp. · 1980
  2. 10 generations backK962952 Olympus Ultrasonic Surgical System (Usu)Olympus Optical, Co. · 1996
  3. 9 generations backK972114 Olympus Sonosurg SystemThe Olympus Optical Co. · 1998
  4. 8 generations backK981993 Olympus Integrated Endosurgery System EndoalphaThe Olympus Optical Co. · 1998
  5. 7 generations backK994231 Siemens Integrated Operating System (Sios)Siemens Medical Corp. · 2000
  6. 6 generations backK052202 Axiom Artis - Modular Angiographic SystemSiemens Medical Solutions USA, Inc. · 2006 · Recalled
  7. 5 generations backK073290 Artis Zee and ZeegoSiemens Medical Solutions USA, Inc. · 2008 · Recalled
  8. 4 generations backK090745 Artis Zee / Zeegos with SW VC14Siemens Medical Solutions USA, Inc. · 2009 · Recalled
  9. 3 generations backK123529 Artis Q and Q.Zen- Modular Angiographic SystemSiemens Medical Solutions USA, Inc. · 2013 · Recalled
  10. 2 generations backK141574 Artis Zee/Zeego SW VC21Siemens Medical Solutions USA, Inc. · 2014 · Recalled
  11. 1 generation backK181407 Artis zee/zeego & Artis Q/Q.zenSiemens Medical Solution USA, Inc. · 2018 · Recalled
  12. This deviceK193293 XV Lung Ventilation Analysis Software4Dx Limited · 2020
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K801623Cavitron Ultrasonic Surg. Aspir. CusaCavitron Corp.1980—
−10K962952Olympus Ultrasonic Surgical System (Usu)Olympus Optical, Co.1996—
−9K972114Olympus Sonosurg SystemThe Olympus Optical Co.1998—
−8K981993Olympus Integrated Endosurgery System EndoalphaThe Olympus Optical Co.1998—
−7K994231Siemens Integrated Operating System (Sios)Siemens Medical Corp.2000—
−6K052202Axiom Artis - Modular Angiographic SystemSiemens Medical Solutions USA, Inc.200629
−5K073290Artis Zee and ZeegoSiemens Medical Solutions USA, Inc.200839
−4K090745Artis Zee / Zeegos with SW VC14Siemens Medical Solutions USA, Inc.20097
−3K123529Artis Q and Q.Zen- Modular Angiographic SystemSiemens Medical Solutions USA, Inc.201331
−2K141574Artis Zee/Zeego SW VC21Siemens Medical Solutions USA, Inc.201412
−1K181407Artis zee/zeego & Artis Q/Q.zenSiemens Medical Solution USA, Inc.201859
0 (this device)K193293XV Lung Ventilation Analysis Software4Dx Limited2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198810
198910
199130
199210
199320
199410
1995110
199640
199720
199830
199920
200040
200120
200230
200420
200510
200710
200810
201310
201510
FIG. 1 — Lineage of K193293, 1980–2020Source: 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 JAK? 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 JAK device

  1. #1 K230223 iCAC Devicescore 23.5 · 12 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? (2)

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
*K151919Vitrea CT Lung Density Analysis Software
Summary page 4
…Tomography X-ray System Class II Classification Class: JAK Product Code: 3. Legally Marketed Primary Predicate Device Predicate 510(k) number: K151919 Name of Device: Vitra CT Lung Density Analysis Software Manufacturer: Vital Images, Inc.…
Vital Images, Inc.2015—
*K181407Artis zee/zeego & Artis Q/Q.zen
Summary page 4
…ass II Product Code: JAK Decision Date: 10/10/2015 4. Legally Marketed Secondary Predicate Device Predicate 510(k) number: K181407 Name of Device: Artis zee/zeego & Artis Q/Q.zen Manufacturer: Siemens Medical Solution USA, I…
Siemens Medical Solution USA, Inc.201859

Also cleared against K151919: 2 other devices →

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 40 years and passes through 7 companies; a new generation was cleared every 1.9 years on median.
  • 13 of the 58 ancestors have a recall of any class.
  • 2 other devices also cite its predicate K151919.

How does its category compare?

All JAK devices

JAK System, X-Ray, Tomography, Computed: FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, this device’s year, is highlighted.

FDA decisions per year · JAK

27in 2025

2007: 142008: 262009: 152010: 72011: 162012: 282013: 172014: 302015: 302016: 252017: 292018: 242019: 282020: 302021: 202022: 302023: 272024: 262025: 272026 (partial year): 21
2007high 30 (2014) · low 7 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JAK

141in 2025

2007: 27 days median2008: 42 days median2009: 31 days median2010: 92 days median2011: 155 days median2012: 121 days median2013: 132 days median2014: 200 days median2015: 140 days median2016: 129 days median2017: 96 days median2018: 114 days median2019: 94 days median2020: 112 days median2021: 145 days median2022: 131 days median2023: 139 days median2024: 141 days median2025: 141 days median2026 (partial year): 167 days median
2007high 200 (2014) · low 27 (2007)2026

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

Recalls per year · JAK

17in 2025

2007: 112008: 162009: 292010: 512011: 342012: 232013: 112014: 102015: 282016: 442017: 332018: 102019: 52020: 82021: 152022: 92023: 92024: 202025: 172026 (partial year): 23
2007high 51 (2010) · low 5 (2019)2026

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

Adverse event reports per year · JAK

219in 2025

2007: 762008: 1202009: 1052010: 1192011: 2052012: 1922013: 4142014: 3082015: 4542016: 3652017: 3382018: 5432019: 2332020: 1772021: 2612022: 1992023: 3102024: 2122025: 219
2007high 543 (2018) · low 76 (2007)2025

MAUDE reports naming product code JAK, 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
200714271176
2008264216120
2009153129105
201079251119
20111615534205
20122812123192
20131713211414
20143020010308
20153014028454
20162512944365
2017299633338
20182411410543
201928945233
2020301128177
20212014515261
2022301319199
2023271399310
20242614120212
20252714117219
20262116723—

What is it indicated for?

The XV Ventilation Lung Analysis Software is software-based image processing technology that analyzes cinefluorograph images and a CT (can be a previously acquired CT that is representative of the patient’s present lung envelope), to quantify ventilation of pulmonary tissue for use in adult patients. The XV Ventilation Lung Analysis Software provides reproducible quantification of ventilation for pulmonary tissue, which is essential for providing…

Read the full statement (251 words)

The XV Ventilation Lung Analysis Software is software-based image processing technology that analyzes cinefluorograph images and a CT (can be a previously acquired CT that is representative of the patient’s present lung envelope), to quantify ventilation of pulmonary tissue for use in adult patients.

The XV Ventilation Lung Analysis Software provides reproducible quantification of ventilation for pulmonary tissue, which is essential for providing quantitative support for diagnosis and follow up examinations. For use by referral from a pulmonary specialist or equivalent, the Device can be used to provide the physician with additional clinical data in the diagnosis and documentation of inhomogeneities and defects in pulmonary ventilation. Quantification and statistics are provided in the form of a Report, including:

• The tidal volume (i.e. total lung ventilation), presented as a single value;

• Visualization of lung ventilation with color-defined specific ventilation ranges overlaid on the CT slices;

• The heterogeneity of lung ventilation, presented as three values, which quantifies the regional variability of the ventilation; and

• Ventilation graph/ histogram of the classified lung voxel’s relative frequencies showing the frequency distribution of regional specific ventilation measured across the entire lung, including ventilation defect percentage which shows the volume of lung with low ventilation.

The clinical study used to validate the Device was limited to patients selected to undergo Radiation Therapy (most commonly for breast cancer and esophageal cancer). In this study these patients were examined using the Device at four time-points over a 13-month period (twice prior and twice following radiation therapy).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K193293: XV Lung Ventilation Analysis Software.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K193293

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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