510(k) Report

510(k) · Cleared

Cleared

Aquilion ONE (TSX-306A/3) V10.4 with Spectral Imaging System

K203225510(k) TraditionalCleared Mar 24, 2021142-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

Canon Medical Systems Corporation · JAK System, X-Ray, Tomography, Computed

Cleared on Mar 24, 2021 as substantially equivalent to K192828 (Canon Medical Systems Corporation, 2020) after a 142-day review. Its family tree reaches back 11 generations to 2012. 7 later devices descend from it.

Decided
Mar 24, 2021
Review
142 days
Class
Class II
Product code
JAK
Recalls
None
Predicates
1

Its longest line of descent runs back 11 generations to K113466 (2012). 12 ancestors in all. 7 later devices descend from it, 1 citing it directly.

  1. Root · 11 generations backK113466 Aquilion OneToshiba Medical Systems Coporation, Japan · 2012 · Recalled
  2. 7 generations between
  3. 3 generations backK183046 Aquilion ONE (TSX-305A/6) V8.9 with AiCECanon Medical Systems Corporation · 2019
  4. 2 generations backK192188 Aquilion ONE (TSX-306A/3) V10.0Canon Medical Systems Corporation · 2019
  5. 1 generation backK192828 Aquilion ONE (TSX-306A/3) V10.0 with Spectral Imaging SystemCanon Medical Systems Corporation · 2020
  6. This deviceK203225 Aquilion ONE (TSX-306A/3) V10.4 with Spectral Imaging SystemCanon Medical Systems Corporation · 2021
  7. Descendant · cites it directly · 6 of its ownK213504 Aquilion ONE (TSX-306A/3) V10.12 with Spectral Imaging System…Canon Medical Systems Corporation · 2022
  8. Descendant · 2 generations on · 3 of its ownK232835 Aquilion ONE (TSX-308A/3) V1.4 with PIQE Reconstruction SystemCanon Medical Systems Corporation · 2024
  9. Descendant · 3 generations on · 2 of its ownK242403 Aquilion ONE (TSX-308A/3) V1.5Canon Medical Systems Corporation · 2024
  10. Descendant · 2 generations on · 1 of its ownK223336 Vitrea Software Package, VSTP-002ACanon Medical Systems Corporation · 2023
  11. Descendant · 4 generations on · 0 of its ownK253596 Aquilion ONE (TSX-308A/TSX-306A) V2.0Canon Medical Systems Corporation · 2026
Show all 11 generations
  1. Root · 11 generations backK113466 Aquilion OneToshiba Medical Systems Coporation, Japan · 2012 · Recalled
  2. 10 generations backK122109 Aquilion One Vision, V4.90Toshiba America Medical Systems, In.C · 2012 · Recalled
  3. 9 generations backK132222 Aquilion One Vision, V6.0Toshibamedical Systems Corporation · 2013 · Recalled
  4. 8 generations backK133497 Aquilion One VisionToshibamedical Systems Corporation · 2014
  5. 7 generations backK142465 Aquilion ONE Vision, v7.0Toshibamedical Systems Corporation · 2015 · Recalled
  6. 6 generations backK151673 Aquilion ONE Vision with FIRST 1.0 (CCRS-001A)Toshibamedical Systems Corporation · 2015 · Recalled
  7. 5 generations backK161009 Aquilion ONE Vision with FIRST 2.0 (CCRS-001B) V7.4Toshibamedical Systems Corporation · 2016
  8. 4 generations backK170177 Aquilion ONE (TSX-305A/3) V8.3 with FIRST 2.1Toshibamedical Systems Corporation · 2017 · Recalled
  9. 3 generations backK183046 Aquilion ONE (TSX-305A/6) V8.9 with AiCECanon Medical Systems Corporation · 2019
  10. 2 generations backK192188 Aquilion ONE (TSX-306A/3) V10.0Canon Medical Systems Corporation · 2019
  11. 1 generation backK192828 Aquilion ONE (TSX-306A/3) V10.0 with Spectral Imaging SystemCanon Medical Systems Corporation · 2020
  12. This deviceK203225 Aquilion ONE (TSX-306A/3) V10.4 with Spectral Imaging SystemCanon Medical Systems Corporation · 2021

Showing 5 of 7 descendants. See all descendants

Descendants cleared per year

2022: 12023: 12024: 32025: 12026: 1
2022high 3 (2024) · low 1 (2022)2026

Most influential descendants

Showing 5 of 7 · See all
  • K213504Aquilion ONE (TSX-306A/3) V10.12 with Spectral Imaging System, Vitrea Software Package…Canon Medical Systems Corporation · 2022 · cites it directly6descendants
  • K232835Aquilion ONE (TSX-308A/3) V1.4 with PIQE Reconstruction SystemCanon Medical Systems Corporation · 2024 · 2 generations on3descendants
  • K242403Aquilion ONE (TSX-308A/3) V1.5Canon Medical Systems Corporation · 2024 · 3 generations on2descendants
  • K223336Vitrea Software Package, VSTP-002ACanon Medical Systems Corporation · 2023 · 2 generations on1descendant
  • K253596Aquilion ONE (TSX-308A/TSX-306A) V2.0Canon Medical Systems Corporation · 2026 · 4 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K113466Aquilion OneToshiba Medical Systems Coporation, Japan20123
−10K122109Aquilion One Vision, V4.90Toshiba America Medical Systems, In.C20121
−9K132222Aquilion One Vision, V6.0Toshibamedical Systems Corporation20132
−8K133497Aquilion One VisionToshibamedical Systems Corporation2014—
−7K142465Aquilion ONE Vision, v7.0Toshibamedical Systems Corporation20151
−6K151673Aquilion ONE Vision with FIRST 1.0 (CCRS-001A)Toshibamedical Systems Corporation20151
−5K161009Aquilion ONE Vision with FIRST 2.0 (CCRS-001B) V7.4Toshibamedical Systems Corporation2016—
−4K170177Aquilion ONE (TSX-305A/3) V8.3 with FIRST 2.1Toshibamedical Systems Corporation20171
−3K183046Aquilion ONE (TSX-305A/6) V8.9 with AiCECanon Medical Systems Corporation2019—
−2K192188Aquilion ONE (TSX-306A/3) V10.0Canon Medical Systems Corporation2019—
−1K192828Aquilion ONE (TSX-306A/3) V10.0 with Spectral Imaging SystemCanon Medical Systems Corporation2020—
0 (this device)K203225Aquilion ONE (TSX-306A/3) V10.4 with Spectral Imaging SystemCanon Medical Systems Corporation2021—
+1K213504Aquilion ONE (TSX-306A/3) V10.12 with Spectral Imaging System, Vitrea Software…Canon Medical Systems Corporation2022—
+2K232835Aquilion ONE (TSX-308A/3) V1.4 with PIQE Reconstruction SystemCanon Medical Systems Corporation2024—
+3K242403Aquilion ONE (TSX-308A/3) V1.5Canon Medical Systems Corporation2024—
+2K223336Vitrea Software Package, VSTP-002ACanon Medical Systems Corporation2023—
+4K253596Aquilion ONE (TSX-308A/TSX-306A) V2.0Canon Medical Systems Corporation2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
201610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
202310
202430
202510
202610
FIG. 1 — Lineage of K203225, 2012–2026Source: 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 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? (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
*K192828Aquilion ONE (TSX-306A/3) V10.0 with Spectral Imaging System
Summary page 5
…306A/3) V10.0 with 21 CFR System, X‐ray, Medical Tomography K192828 02/13/2020 Spectral Imaging §892.1750 Tomography, Sy…
Canon Medical Systems Corporation2020—

What descends from it? (7)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K213504Aquilion ONE (TSX-306A/3) V10.12 with Spectral Imaging System, Vitrea Software Package…Canon Medical Systems Corporation20226

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 9 years and passes through 4 companies; a new generation was cleared every 9 months on median.
  • 6 of the 12 ancestors have a recall of any class.
  • Of its descendants, K213504 (Canon Medical Systems Corporation, 2022) has gone furthest, with 6 descendants of its own.

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. 2021, 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?

This device is indicated to acquire and display cross-sectional volumes of the whole body, to include the head, with the capability to image whole organs in a single rotation. Whole organs include, but are not limited to brain, heart, pancreas, etc. The Aquilion ONE has the capability to provide volume sets of the entire organ. These volume sets can be used to perform specialized studies, using indicated software/hardware, of the whole organ by a trained…

Read the full statement (226 words)

This device is indicated to acquire and display cross-sectional volumes of the whole body, to include the head, with the capability to image whole organs in a single rotation. Whole organs include, but are not limited to brain, heart, pancreas, etc.

The Aquilion ONE has the capability to provide volume sets of the entire organ. These volume sets can be used to perform specialized studies, using indicated software/hardware, of the whole organ by a trained and qualified physician.

FIRST is an iterative reconstruction algorithm intended to reduce exposure dose and improve high contrast spatial resolution for abdomen, pelvis, chest, cardiac, extremities and head applications.

AiCE is a noise reduction algorithm that improves image quality and reduces image noise by employing Deep Convolutional Neural Network methods for abdomen, pelvis, lung, cardiac, brain, inner ear and extremities applications.

The Spectral Imaging System allows the system to acquire two nearly simultaneous CT images of an anatomical location using distinct tube voltages and/or tube currents by rapid KV switching. The X-ray dose will be the sum of the dose at each respective tube voltage and current in a rotation.

Information regarding the material composition of various organs, tissues, and contrast materials may be gained from the differences in X-ray attenuation between these distinct energies.

When used by a qualified physician, a potential application is to determine the course of treatment.

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. “K203225: Aquilion ONE (TSX-306A/3) V10.4 with Spectral Imaging System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K203225

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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