510(k) Report

510(k) · Cleared

Cleared

HeartFlow Analysis

K203329510(k) TraditionalCleared Jan 8, 202157-day reviewClass II21 CFR 870.1415

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

HeartFlow, Inc. · PJA Coronary Vascular Physiologic Simulation Software

Cleared on Jan 8, 2021 as substantially equivalent to K190925 (HeartFlow, Inc., 2019) after a 57-day review. Its family tree reaches back 5 generations to 2014. 2 later devices descend from it.

Decided
Jan 8, 2021
Review
57 days
Class
Class II
Product code
PJA
Recalls
None
Predicates
1

Its longest line of descent runs back 5 generations to DEN130045 (2014). 2 later devices descend from it, 1 citing it directly.

  1. Root · 5 generations backDEN130045 Heartflow FfrctHeartflow · 2014
  2. 4 generations backK152733 FFRctHeartFlow, Inc. · 2016
  3. 3 generations backK161772 FFRctHeartFlow, Inc. · 2016
  4. 2 generations backK182035 FFRctHeartFlow, Inc. · 2018
  5. 1 generation backK190925 HeartFlow FFRct AnalysisHeartFlow, Inc. · 2019
  6. This deviceK203329 HeartFlow AnalysisHeartFlow, Inc. · 2021
  7. Descendant · cites it directly · 1 of its ownK213857 HeartFlow AnalysisHeartFlow, Inc. · 2022
  8. Descendant · 2 generations on · 0 of its ownK250902 HeartFlow AnalysisHeartFlow, Inc. · 2025

Most influential descendants

Showing 2 of 2 · See all
  • K213857HeartFlow AnalysisHeartFlow, Inc. · 2022 · cites it directly1descendant
  • K250902HeartFlow AnalysisHeartFlow, Inc. · 2025 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5DEN130045Heartflow FfrctHeartflow2014—
−4K152733FFRctHeartFlow, Inc.2016—
−3K161772FFRctHeartFlow, Inc.2016—
−2K182035FFRctHeartFlow, Inc.2018—
−1K190925HeartFlow FFRct AnalysisHeartFlow, Inc.2019—
0 (this device)K203329HeartFlow AnalysisHeartFlow, Inc.2021—
+1K213857HeartFlow AnalysisHeartFlow, Inc.2022—
+2K250902HeartFlow AnalysisHeartFlow, Inc.2025—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
202510
FIG. 1 — Lineage of K203329, 2014–2025Source: 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 PJA? 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 PJA device

  1. #1 K250902 HeartFlow Analysisscore 13.0 · 12 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin 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
*K190925HeartFlow FFRct Analysis
Summary page 4
…Code: PJA Product Class: Class II (21 CFR 870.1415) 3 Predicates HeartFlow FFRCT v2.Planner (K190925) is the identified predicate for this submission. HeartFlow, Inc.…
HeartFlow, Inc.2019—

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K213857HeartFlow AnalysisHeartFlow, Inc.20221

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 7 years and passes through 2 companies; a new generation was cleared every 1.1 years on median.
  • None of the 5 ancestors has a recall.
  • Of its descendants, K213857 (HeartFlow, Inc., 2022) has gone furthest, with 1 descendant of its own.

How does its category compare?

All PJA devices

PJA Coronary Vascular Physiologic Simulation Software: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, this device’s year, is highlighted.

FDA decisions per year · PJA

1in 2025

2014: 12016: 22018: 12019: 12021: 12022: 22025: 12026 (partial year): 1
2007high 2 (2016) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PJA

Too few PJA 510(k)s in any year since 2007 to give a median.

Recalls per year · PJA

No recall names PJA since 2007.

Adverse event reports per year · PJA

16in 2025

2017: 42018: 122019: 652020: 92021: 22022: 12023: 82024: 142025: 16
2007high 65 (2019) · low 0 (2007)2025

MAUDE reports naming product code PJA, 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
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20141—00
20150—00
20162—00
20170—04
20181—012
20191—065
20200—09
20211—02
20222—01
20230—08
20240—014
20251—016
20261—0—

What is it indicated for?

The HeartFlow Analysis is a coronary physiologic simulation software for the clinical quantitative and qualitative analysis of previously acquired Computed Tomography DICOM data for clinically stable symptomatic patients with coronary artery disease. It provides the calculations of FFRCT, a mathematically derived quantity, computed from simulated pressure, velocity and blood flow information obtained from a 3D computer model generated from static…

Read the full statement (126 words)

The HeartFlow Analysis is a coronary physiologic simulation software for the clinical quantitative and qualitative

analysis of previously acquired Computed Tomography DICOM data for clinically stable symptomatic patients with

coronary artery disease. It provides the calculations of FFRCT, a mathematically derived quantity, computed from

simulated pressure, velocity and blood flow information obtained from a 3D computer model generated from static

coronary CT images. The HeartFlow Analysis is intended to support the functional evaluation of coronary artery disease.

The HeartFlow Analysis is provided to support qualified clinicians to aid in the evaluation and assessment of coronary

arteries. The HeartFlow Analysis is intended to be used by qualified clinicians in conjunction with the patient’s clinical

history, symptoms, and other diagnostic tests, as well as the clinician’s professional judgment.

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. “K203329: HeartFlow Analysis.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K203329

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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