510(k) Report

510(k) · Cleared

Cleared

IBM iConnect Access

K203104510(k) TraditionalCleared Jan 26, 2021104-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

Merge Healthcare Incorporated · LLZ System, Image Processing, Radiological

Cleared on Jan 26, 2021 as substantially equivalent to K182290 (Merge Healthcare Incorporated, 2018) after a 104-day review. Its family tree reaches back 6 generations to 1991. 2 later devices descend from it.

Decided
Jan 26, 2021
Review
104 days
Class
Class II
Product code
LLZ
Recalls
None
Predicates
1

Its longest line of descent runs back 6 generations to K904519 (1991). 14 ancestors in all. 2 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2015: 1 other ancestor2006: 1 other ancestor2005: 1 other ancestor2004: 2 other ancestors2000: 1 other ancestor1994: 1 other ancestor2001: 1 other ancestor2025: 1 descendant cleared2026: 1 descendant clearedK904519 · Agfa Diagnostic Center (Adc) · Enhanced Imaging Technologies, Inc. · 1991K974597 · Adc Compact (Agfa Diagnostic Center) · Bayer Corp., Agfa Div. · 1998 · recalledK013138 · Adc Compact Plus · Agfa-Gevaert AG · 2001K022881 · Cedara I-Softview · Cedara Software Corp. · 2002 · recalledK092915 · Cedara Webaccess, Model: 2.4 · Cedara Software Corp. · 2010 · recalledK182290 · IBM iConnect Access · Merge Healthcare Incorporated · 20181990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor3 generations back: 2 other ancestors4 generations back: 3 other ancestors5 generations back: 1 other ancestor6 generations back: 1 other ancestor 1 generation forward: 2 descendants K182290 · IBM iConnect Access · Merge Healthcare Incorporated · 2018K092915 · Cedara Webaccess, Model: 2.4 · Cedara Software Corp. · 2010 · recalledK022881 · Cedara I-Softview · Cedara Software Corp. · 2002 · recalledK013138 · Adc Compact Plus · Agfa-Gevaert AG · 2001K974597 · Adc Compact (Agfa Diagnostic Center) · Bayer Corp., Agfa Div. · 1998 · recalledK904519 · Agfa Diagnostic Center (Adc) · Enhanced Imaging Technologies, Inc. · 1991−50
  1. Root · 6 generations backK904519 Agfa Diagnostic Center (Adc)Enhanced Imaging Technologies, Inc. · 1991
  2. 5 generations backK974597 Adc Compact (Agfa Diagnostic Center)Bayer Corp., Agfa Div. · 1998 · Recalled
  3. 4 generations backK013138 Adc Compact PlusAgfa-Gevaert AG · 2001
  4. 3 generations backK022881 Cedara I-SoftviewCedara Software Corp. · 2002 · Recalled
  5. 2 generations backK092915 Cedara Webaccess, Model: 2.4Cedara Software Corp. · 2010 · Recalled
  6. 1 generation backK182290 IBM iConnect AccessMerge Healthcare Incorporated · 2018
  7. This deviceK203104 IBM iConnect AccessMerge Healthcare Incorporated · 2021
  8. Descendant · cites it directly · 0 of its ownK254237 Cci Pacs Viewer (Pacs-US-001)CliniComp, Intl. · 2026
  9. Descendant · cites it directly · 0 of its ownK250301 Merge Universal Viewer (MUV)Merge Healthcare Incorporated · 2025

Most influential descendants

Showing 2 of 2 · See all
  • K254237Cci Pacs Viewer (Pacs-US-001)CliniComp, Intl. · 2026 · cites it directly0descendants
  • K250301Merge Universal Viewer (MUV)Merge Healthcare Incorporated · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K904519Agfa Diagnostic Center (Adc)Enhanced Imaging Technologies, Inc.1991—
−5K974597Adc Compact (Agfa Diagnostic Center)Bayer Corp., Agfa Div.19981
−4K013138Adc Compact PlusAgfa-Gevaert AG2001—
−3K022881Cedara I-SoftviewCedara Software Corp.20023
−2K092915Cedara Webaccess, Model: 2.4Cedara Software Corp.20104
−1K182290IBM iConnect AccessMerge Healthcare Incorporated2018—
0 (this device)K203104IBM iConnect AccessMerge Healthcare Incorporated2021—
+1K254237Cci Pacs Viewer (Pacs-US-001)CliniComp, Intl.2026—
+1K250301Merge Universal Viewer (MUV)Merge Healthcare Incorporated2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
200010
200110
200420
200510
200610
201510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202510
202610
FIG. 1 — Lineage of K203104, 1991–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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
*K182290IBM iConnect Access
Summary page 5
…LLZ Device Class: Class II Predicate Device Predicate Device: IBM iConnect Access 7.0 (K182290) Device Description IBM iConnect Access provides healthcare professionals with access to diagnostic quality images, reports, an…
Merge Healthcare Incorporated2018—

What descends from it? (2)

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K254237Cci Pacs Viewer (Pacs-US-001)CliniComp, Intl.20260
K250301Merge Universal Viewer (MUV)Merge Healthcare Incorporated20250

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 30 years and passes through 5 companies; a new generation was cleared every 6.7 years on median.
  • 6 of the 14 ancestors have a recall of any class.
  • Of its descendants, K254237 (CliniComp, Intl., 2026) has gone furthest, with 0 descendants of its own.

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. 2021, 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?

The IBM iConnect Access application provides internet access to multi-modality softcopy medical images, reports, and other patient-related information to conduct diagnostic review, planning and reporting through the interactive display and manipulation of medical data. IBM iConnect Access provides healthcare professional tools to aid in interpreting medical images including: • Displaying DICOM compliant medical images and non-DICOM content using XDS •…

Read the full statement (318 words)

The IBM iConnect Access application provides internet access to multi-modality softcopy medical images, reports, and other patient-related information to conduct diagnostic review, planning and reporting through the interactive display and manipulation of medical data. IBM iConnect Access provides healthcare professional tools to aid in interpreting medical images including:

• Displaying DICOM compliant medical images and non-DICOM content using XDS

• Reformatting images, including creation of MPRs, MIPS, MinIPs, color/monochrome 3D volume rendered images

• Manipulating displayed images via control of slice thickness, slice interval, obliquity, perspective, rotation, window/level, crop, zoom, color/monochrome transformations, segmentation, sculpting, straightening the display of curved structures, and creating images perpendicular to a curvilinear path.

• Creating individually captured DICOM images that can be displayed and stored in a PACS

• Measuring coronary calcium, which is intended for non-invasive identification and quantification of calcified atherosclerotic plaques in the coronary arteries using tomographic medical image data and clinically accepted calcium scoring algorithms.

• Creating and outputting digital files suitable for the fabrication of physical replicas, such as 3D printing, using DICOM files as inputs. Physical/3D printed models generated from the digital output files are not for diagnostic use.

The IBM iConnect Access application can be configured to provide either lossless or lossy compressed images for display. The medical professional user must determine the appropriate level of image data compression that is suitable for their purpose.

Lossy compressed mammographic images and digitized film screen images must not be reviewed for primary image interpretations. Mammographic images may only be interpreted using an FDA approved monitor that offers at least 5 MP resolution and meets other technical specifications reviewed and accepted by FDA.

Display monitors used for reading medical images for diagnostic purposes must comply with applicable regulatory approvals and with quality control requirements for their use and maintenance. Use of IBM iConnect Access application on mobile devices such as iPhones and iPads is not intended for diagnostic use.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K203104: IBM iConnect Access.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K203104

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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