510(k) Report

510(k) · Cleared

Cleared

Affirm Contrast Biopsy

K202294510(k) SpecialCleared Oct 5, 202053-day reviewClass II21 CFR 892.1710

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

Hologic, Inc. · IZH System, X-Ray, Mammographic

Cleared on Oct 5, 2020 as substantially equivalent to K103512 (Hologic, Inc., 2011) after a 53-day review. Its family tree reaches back 4 generations to 1995.

Decided
Oct 5, 2020
Review
53 days
Class
Class II
Product code
IZH
Recalls
None
Predicates
1

Its longest line of descent runs back 4 generations to K941191 (1995). 7 ancestors in all, the oldest K921962 (1992). No later device cites it as a predicate yet.

  1. Root · 4 generations backK941191 Real Time StereotixGE Medical Systems · 1995 · Recalled
  2. 3 generations backK040125 Senographic StereoGe Medical Systems, Inc. · 2004
  3. 2 generations backK071542 Digital Stereoloc IILorad, A Hologic Co. · 2007
  4. 1 generation backK103512 Affirm Breast Biopsy Guidance SystemHologic, Inc. · 2011
  5. This deviceK202294 Affirm Contrast BiopsyHologic, Inc. · 2020
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K941191Real Time StereotixGE Medical Systems19952
−3K040125Senographic StereoGe Medical Systems, Inc.2004—
−2K071542Digital Stereoloc IILorad, A Hologic Co.2007—
−1K103512Affirm Breast Biopsy Guidance SystemHologic, Inc.2011—
0 (this device)K202294Affirm Contrast BiopsyHologic, Inc.2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199210
200310
200410
FIG. 1 — Lineage of K202294, 1995–2020Source: 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 IZH? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin 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
*K103512Affirm Breast Biopsy Guidance System
Summary page 5
…Class II Review Panel: Radiology Submitter/510(k) Holder: Hologic, Inc. Clearance: K103512 (cleared January 07, 2011) Identification of the Legally Marketed Reference Device: Trade Name: Cont…
Hologic, Inc.2011—
†K123873Contrast Enhanced Digital MammographyHologic, Inc.20131
†K161575Affirm Lateral Arm Upright Biopsy AccessoryHologic20161

Also cleared against K103512: 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 25 years and passes through 4 companies; a new generation was cleared every 8.9 years on median.
  • 1 of the 7 ancestors has a recall of any class.
  • 2 other devices also cite its predicate K103512.

How does its category compare?

All IZH devices

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

FDA decisions per year · IZH

1in 2021

2007: 32008: 12010: 22011: 12012: 22013: 22015: 12016: 32019: 12020: 12021: 1
2007high 3 (2007) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · IZH

64in 2016

2007: 30 days median2016: 64 days median
2007high 64 (2016) · low 30 (2007)2026

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

Recalls per year · IZH

2in 2008

2008: 2
2007high 2 (2008) · low 0 (2007)2026

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

Adverse event reports per year · IZH

15in 2025

2007: 112008: 52009: 142010: 72011: 52012: 182013: 92014: 72015: 82016: 92017: 122018: 252019: 392020: 72021: 92022: 42023: 82024: 52025: 15
2007high 39 (2019) · low 4 (2022)2025

MAUDE reports naming product code IZH, 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
2007330011
20081—25
20090—014
20102—07
20111—05
20122—018
20132—09
20140—07
20151—08
201636409
20170—012
20180—025
20191—039
20201—07
20211—09
20220—04
20230—08
20240—05
20250—015
20260—0—

What is it indicated for?

Affirm® Contrast Biopsy is indicated as an optional accessory for the Selenia Dimensions 2D Full Field Digital Mammography System and 3Dimensions system. It is designed to allow the accurate location of lesions in the breast in three dimensions, using information extracted from stereotactic pairs of two-dimensional images. It is intended to provide guidance for interventional purposes (such as biopsy, pre-surgical localization or treatment devices).…

Read the full statement (167 words)

Affirm® Contrast Biopsy is indicated as an optional accessory for the Selenia Dimensions 2D Full Field Digital Mammography System and 3Dimensions system. It is designed to allow the accurate location of lesions in the breast in three dimensions, using information extracted from stereotactic pairs of two-dimensional images. It is intended to provide guidance for interventional purposes (such as biopsy, pre-surgical localization or treatment devices).

Contrast Enhanced Digital Mammography (CEDM) is an extension of the existing indication for diagnostic mammography with the Selenia Dimensions system and 3Dimensions system. Biopsy targeting can be done on captured contrast enhanced images (scout and stereo pair). The CEDM application shall enable contrast enhanced breast imaging using a dual energy technique. This imaging technique can be used as an adjunct following mammography and/or ultrasound exams to localize a known or suspected lesion. Affirm® Contrast Biopsy is intended for patients recommended for biopsy who have had a suspicious finding on previous contrast enhanced imaging or have lesions that may be occult under other modalities.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K202294: Affirm Contrast Biopsy.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K202294

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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