510(k) Report

510(k) · Cleared

Cleared

SubtleMR

K203182510(k) TraditionalCleared Feb 26, 2021122-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

Subtle Medical, Inc. · LLZ System, Image Processing, Radiological

Cleared on Feb 26, 2021 as substantially equivalent to K191688 (Subtle Medical, Inc., 2019) after a 122-day review. Its family tree reaches back 5 generations to 1992. 6 later devices descend from it.

Decided
Feb 26, 2021
Review
122 days
Class
Class II
Product code
LLZ
Recalls
None
Predicates
1

Its longest line of descent runs back 5 generations to K922470 (1992). 6 later devices descend from it, 3 citing it directly.

  1. Root · 5 generations backK922470 Ies, Image Enhancement SystemOpen Mri, Inc. · 1992
  2. 4 generations backK993802 Sharpview Image Enhancement SystemContext Vision AB · 2000
  3. 3 generations backK024028 Sharp View Image Enhancement SystemContext Vision AB · 2003
  4. 2 generations backK172768 ZOOMZetta Medical Technologies, LLC · 2018
  5. 1 generation backK191688 SubtleMRSubtle Medical, Inc. · 2019
  6. This deviceK203182 SubtleMRSubtle Medical, Inc. · 2021
  7. Descendant · cites it directly · 3 of its ownK223623 SubtleMR (2.3.x)Subtle Medical, Inc. · 2023
  8. Descendant · cites it directly · 1 of its ownK230264 Ezra FlashEzra Ai, Inc. · 2023
  9. Descendant · 2 generations on · 0 of its ownK243250 SubtleHD (1.x)Subtle Medical, Inc. · 2025
  10. Descendant · cites it directly · 0 of its ownK242334 Ezra FlashEzra Ai, Inc. · 2025
  11. Descendant · 2 generations on · 0 of its ownK241681 Overjet Image Enhancement AssistOverjet, Inc. · 2024

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2023: 22024: 22025: 2
2023high 2 (2023) · low 0 (2026)2026

Most influential descendants

Showing 5 of 6 · See all
  • K223623SubtleMR (2.3.x)Subtle Medical, Inc. · 2023 · cites it directly3descendants
  • K230264Ezra FlashEzra Ai, Inc. · 2023 · cites it directly1descendant
  • K243250SubtleHD (1.x)Subtle Medical, Inc. · 2025 · 2 generations on0descendants
  • K242334Ezra FlashEzra Ai, Inc. · 2025 · cites it directly0descendants
  • K241681Overjet Image Enhancement AssistOverjet, Inc. · 2024 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K922470Ies, Image Enhancement SystemOpen Mri, Inc.1992—
−4K993802Sharpview Image Enhancement SystemContext Vision AB2000—
−3K024028Sharp View Image Enhancement SystemContext Vision AB2003—
−2K172768ZOOMZetta Medical Technologies, LLC2018—
−1K191688SubtleMRSubtle Medical, Inc.2019—
0 (this device)K203182SubtleMRSubtle Medical, Inc.2021—
+1K223623SubtleMR (2.3.x)Subtle Medical, Inc.2023—
+1K230264Ezra FlashEzra Ai, Inc.2023—
+2K243250SubtleHD (1.x)Subtle Medical, Inc.2025—
+1K242334Ezra FlashEzra Ai, Inc.2025—
+2K241681Overjet Image Enhancement AssistOverjet, Inc.2024—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202320
202420
202520
FIG. 1 — Lineage of K203182, 1992–2025Source: 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 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
*K191688SubtleMR
Summary page 4
…ological Device Class: Class II Product Code: LLZ 510(k) Number: K191688 510(k) Clearance Date: September 16, 2019 510(k) Summary…
Subtle Medical, Inc.2019—

Also cleared against K191688: 3 other devices →

What descends from it? (6)

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

NumberDeviceApplicantDecidedDescendants
K223623SubtleMR (2.3.x)Subtle Medical, Inc.20233
K230264Ezra FlashEzra Ai, Inc.20231
K242334Ezra FlashEzra Ai, Inc.20250

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 4 companies; a new generation was cleared every 3.0 years on median.
  • None of the 5 ancestors has a recall.
  • Of its descendants, K223623 (Subtle Medical, Inc., 2023) has gone furthest, with 3 descendants of its own.
  • 3 other devices also cite its predicate K191688.

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?

SubtleMR is an image processing software that can be used for image enhancement in MRI images. It can be used to reduce image noise for head, spine, neck, abdomen, pelvis, prostate, breast and musculoskeletal MRI, or increase image sharpness for head MRI.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K203182: SubtleMR.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K203182

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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