510(k) Report

510(k) · Cleared

Cleared

syngo. CT Extended Functionalities

K203699510(k) TraditionalCleared Apr 30, 2021133-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

Siemens Medical Solutions USA, Inc. · JAK System, X-Ray, Tomography, Computed

Cleared on Apr 30, 2021 as substantially equivalent to K192402 (Siemens Medical Solutions USA, Inc., 2019) and 1 other predicate after a 133-day review. Its family tree reaches back 13 generations to 1997. 3 of the 205 devices in its family, counting itself, have a Class I recall. 3 later devices descend from it.

Decided
Apr 30, 2021
Review
133 days
Class
Class II
Product code
JAK
Recalls
None
Predicates
2

Its longest line of descent runs back 13 generations to K971684 (1997). 201 ancestors in all, the oldest K837107 (1983). 3 later devices descend from it, 2 citing it directly. 3 of the 205 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2019: 1 other ancestor2015: 3 other ancestors2013: 1 other ancestor2010: 2 other ancestors2017: 1 other ancestor2014: 2 other ancestors2009: 5 other ancestors2008: 4 other ancestors2007: 9 other ancestors1997: 9 other ancestors1983: 1 other ancestor2012: 2 other ancestors2011: 3 other ancestors2006: 12 other ancestors2005: 13 other ancestors2003: 9 other ancestors2002: 14 other ancestors2001: 18 other ancestors1996: 9 other ancestors2004: 16 other ancestors1998: 12 other ancestors1991: 6 other ancestors2000: 11 other ancestors1999: 6 other ancestors1995: 5 other ancestors1994: 5 other ancestors1993: 2 other ancestors1992: 2 other ancestors1987: 1 other ancestor1988: 2 other ancestors1990: 1 other ancestor1989: 1 other ancestor2022: 2 descendants cleared2021: 1 descendant clearedReference device: K123540 · Syngo CT Pulmo 3D · Siemens Medical Systems, Inc. · 2013K971684 · Magnetom Project 047 System (Numaris 3.5 Software) · Siemens Medical Solutions USA, Inc. · 1997 · recalledK032428 · Magnetom Avanto MR System · Siemens Medical Solutions USA, Inc. · 2003 · recalledK041112 · Magnetom Espree System · Siemens Medical Solutions USA, Inc. · 2004 · recalledK052164 · Magnetom Systems with Software Syngo MR 2006A · Siemens Medical Solutions USA, Inc. · 2005K062454 · Magnetom Systems - I-Class and T-Class Releases · Siemens Medi Cal Solutions, Inc. · 2006K072237 · Magnetom Verio · Siemens Medical Solutions USA, Inc. · 2007 · Class I recallK082427 · Syngo MR B17 · Siemens Medical Solutions USA, Inc. · 2008K101347 · Magnetom Aera; Magnetom Skyra · Siemens Medical Solutions USA, Inc. · 2010 · Class I recallK111242 · Magnetom Aera and Magnetom Skyra · Siemens Medical Solutions USA, Inc. · 2011 · recalledK121434 · Software Syngo MR D13A for the Magnetom Systems Aera/Skyra/Avanto/Verio · Siemens Medi Cal Solutions, Inc. · 2012 · Class I recallK130749 · Syngo.MR General; Syngo.MR Cardiology; Syngo.MR Vascular · Siemens Medical Solutions USA, Inc. · 2013K173625 · syngo.CT Clinical Extensions · Siemens Medical Solutions USA, Inc. · 2018K192402 · syngo.CT Extended Functionality · Siemens Medical Solutions USA, Inc. · 201919801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 3 other ancestors3 generations back: 12 other ancestors4 generations back: 22 other ancestors5 generations back: 24 other ancestors6 generations back: 37 other ancestors7 generations back: 42 other ancestors8 generations back: 27 other ancestors9 generations back: 17 other ancestors10 generations back: 2 other ancestors11 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 1 descendant K192402 · syngo.CT Extended Functionality · Siemens Medical Solutions USA, Inc. · 2019K173625 · syngo.CT Clinical Extensions · Siemens Medical Solutions USA, Inc. · 2018K130749 · Syngo.MR General; Syngo.MR Cardiology; Syngo.MR Vascular · Siemens Medical Solutions USA, Inc. · 2013K121434 · Software Syngo MR D13A for the Magnetom Systems Aera/Skyra/Avanto/Verio · Siemens Medi Cal Solutions, Inc. · 2012 · Class I recallK111242 · Magnetom Aera and Magnetom Skyra · Siemens Medical Solutions USA, Inc. · 2011 · recalledK101347 · Magnetom Aera; Magnetom Skyra · Siemens Medical Solutions USA, Inc. · 2010 · Class I recallK082427 · Syngo MR B17 · Siemens Medical Solutions USA, Inc. · 2008K072237 · Magnetom Verio · Siemens Medical Solutions USA, Inc. · 2007 · Class I recallK062454 · Magnetom Systems - I-Class and T-Class Releases · Siemens Medi Cal Solutions, Inc. · 2006K052164 · Magnetom Systems with Software Syngo MR 2006A · Siemens Medical Solutions USA, Inc. · 2005K041112 · Magnetom Espree System · Siemens Medical Solutions USA, Inc. · 2004 · recalledK032428 · Magnetom Avanto MR System · Siemens Medical Solutions USA, Inc. · 2003 · recalledK971684 · Magnetom Project 047 System (Numaris 3.5 Software) · Siemens Medical Solutions USA, Inc. · 1997 · recalled−10−50
  1. Root · 13 generations backK971684 Magnetom Project 047 System (Numaris 3.5 Software)Siemens Medical Solutions USA, Inc. · 1997 · Recalled
  2. 9 generations between
  3. 3 generations backK130749 Syngo.MR General; Syngo.MR Cardiology; Syngo.MR VascularSiemens Medical Solutions USA, Inc. · 2013
  4. 2 generations backK173625 syngo.CT Clinical ExtensionsSiemens Medical Solutions USA, Inc. · 2018
  5. 1 generation backK192402 syngo.CT Extended FunctionalitySiemens Medical Solutions USA, Inc. · 2019
  6. This deviceK203699 syngo. CT Extended FunctionalitiesSiemens Medical Solutions USA, Inc. · 2021
  7. Descendant · cites it directly · 1 of its ownK214019 syngo.CT Extended FunctionalitySiemens Medical Solutions USA, Inc. · 2022
  8. Descendant · 2 generations on · 0 of its ownK221727 syngo.CT Extended FunctionalitySiemens Medical Solutions USA, Inc. · 2022
  9. Descendant · cites it directly · 0 of its ownK213096 Al-Rad Companion (Pulmonary)Siemens Medical Solutions USA, Inc. · 2021
Show all 13 generations
  1. Root · 13 generations backK971684 Magnetom Project 047 System (Numaris 3.5 Software)Siemens Medical Solutions USA, Inc. · 1997 · Recalled
  2. 12 generations backK032428 Magnetom Avanto MR SystemSiemens Medical Solutions USA, Inc. · 2003 · Recalled
  3. 11 generations backK041112 Magnetom Espree SystemSiemens Medical Solutions USA, Inc. · 2004 · Recalled
  4. 10 generations backK052164 Magnetom Systems with Software Syngo MR 2006ASiemens Medical Solutions USA, Inc. · 2005
  5. 9 generations backK062454 Magnetom Systems - I-Class and T-Class ReleasesSiemens Medi Cal Solutions, Inc. · 2006
  6. 8 generations backK072237 Magnetom VerioSiemens Medical Solutions USA, Inc. · 2007 · Recalled (Class I)
  7. 7 generations backK082427 Syngo MR B17Siemens Medical Solutions USA, Inc. · 2008
  8. 6 generations backK101347 Magnetom Aera; Magnetom SkyraSiemens Medical Solutions USA, Inc. · 2010 · Recalled (Class I)
  9. 5 generations backK111242 Magnetom Aera and Magnetom SkyraSiemens Medical Solutions USA, Inc. · 2011 · Recalled
  10. 4 generations backK121434 Software Syngo MR D13A for the Magnetom Systems…Siemens Medi Cal Solutions, Inc. · 2012 · Recalled (Class I)
  11. 3 generations backK130749 Syngo.MR General; Syngo.MR Cardiology; Syngo.MR VascularSiemens Medical Solutions USA, Inc. · 2013
  12. 2 generations backK173625 syngo.CT Clinical ExtensionsSiemens Medical Solutions USA, Inc. · 2018
  13. 1 generation backK192402 syngo.CT Extended FunctionalitySiemens Medical Solutions USA, Inc. · 2019
  14. This deviceK203699 syngo. CT Extended FunctionalitiesSiemens Medical Solutions USA, Inc. · 2021

Class I recalls in this family

Most influential descendants

Showing 3 of 3 · See all
  • K214019syngo.CT Extended FunctionalitySiemens Medical Solutions USA, Inc. · 2022 · cites it directly1descendant
  • K221727syngo.CT Extended FunctionalitySiemens Medical Solutions USA, Inc. · 2022 · 2 generations on0descendants
  • K213096Al-Rad Companion (Pulmonary)Siemens Medical Solutions USA, Inc. · 2021 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K971684Magnetom Project 047 System (Numaris 3.5 Software)Siemens Medical Solutions USA, Inc.19974
−12K032428Magnetom Avanto MR SystemSiemens Medical Solutions USA, Inc.20034
−11K041112Magnetom Espree SystemSiemens Medical Solutions USA, Inc.20044
−10K052164Magnetom Systems with Software Syngo MR 2006ASiemens Medical Solutions USA, Inc.2005—
−9K062454Magnetom Systems - I-Class and T-Class ReleasesSiemens Medi Cal Solutions, Inc.2006—
−8K072237Magnetom VerioSiemens Medical Solutions USA, Inc.2007Class I
−7K082427Syngo MR B17Siemens Medical Solutions USA, Inc.2008—
−6K101347Magnetom Aera; Magnetom SkyraSiemens Medical Solutions USA, Inc.2010Class I
−5K111242Magnetom Aera and Magnetom SkyraSiemens Medical Solutions USA, Inc.20113
−4K121434Software Syngo MR D13A for the Magnetom Systems Aera/Skyra/Avanto/VerioSiemens Medi Cal Solutions, Inc.2012Class I
−3K130749Syngo.MR General; Syngo.MR Cardiology; Syngo.MR VascularSiemens Medical Solutions USA, Inc.2013—
−2K173625syngo.CT Clinical ExtensionsSiemens Medical Solutions USA, Inc.2018—
−1K192402syngo.CT Extended FunctionalitySiemens Medical Solutions USA, Inc.2019—
0 (this device)K203699syngo. CT Extended FunctionalitiesSiemens Medical Solutions USA, Inc.2021—
+1K214019syngo.CT Extended FunctionalitySiemens Medical Solutions USA, Inc.2022—
+2K221727syngo.CT Extended FunctionalitySiemens Medical Solutions USA, Inc.2022—
+1K213096Al-Rad Companion (Pulmonary)Siemens Medical Solutions USA, Inc.2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198310
198710
198820
198910
199010
199160
199220
199320
199450
199550
199690
199790
1998120
199960
2000110
2001180
2002140
200390
2004160
2005130
2006120
200790
200840
200950
201020
201130
201220
201310
201420
201530
201710
201910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202110
202220
FIG. 1 — Lineage of K203699, 1997–2022Source: 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.

3 devices in this family have a Class I recall. 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? (2)

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
*K192402syngo.CT Extended Functionality
Summary page 5
…Page 1 of 7 III. Predicate Device Primary Predicate Device Trade Name: syngo.CT Extended Functionality 510(k) Number: K192402 Clearance Date: 09/20/2019 Classification Name: Computed Tomography X-ray System Classification Panel: Radiology CFR…
Siemens Medical Solutions USA, Inc.2019—
*K183271AI-Rad Companion (Pulmonary)
Summary page 5
….1750 Device Class: Class II Product Code: JAK Secondary Predicate Device Trade Name: AI-Rad Companion (Pulmonary) 510(k) Number: K183271 Clearance Date: 07/26/2019 Classification Name: Computed Tomography X-ray System Classification Panel: Radiology CFR Se…
Siemens Medical Solutions USA, Inc.2019—
†K123540Syngo CT Pulmo 3DSiemens Medical Systems, Inc.2013—

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K214019syngo.CT Extended FunctionalitySiemens Medical Solutions USA, Inc.20221
K213096Al-Rad Companion (Pulmonary)Siemens Medical Solutions USA, Inc.20210

Has anything in its family been recalled? (3 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K121434Software Syngo MR D13A for the Magnetom Systems Aera/Skyra/Avanto/VerioSiemens Medi Cal Solutions, Inc. · 2012 · 4 generations back · ◆ on the line of descent in FIG. 12 Class I recalls
  • K101347Magnetom Aera; Magnetom SkyraSiemens Medical Solutions USA, Inc. · 2010 · 6 generations back · ◆ on the line of descent in FIG. 12 Class I recalls
  • K072237Magnetom VerioSiemens Medical Solutions USA, Inc. · 2007 · 6 generations back · ◆ on the line of descent in FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 24 years and passes through 2 companies; a new generation was cleared every 1.1 years on median.
  • 43 of the 201 ancestors have a recall of any class; 3 have a Class I recall.
  • Of its descendants, K214019 (Siemens Medical Solutions USA, Inc., 2022) has gone furthest, with 1 descendant 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?

syngo.CT Extended Functionality is intended to provide advanced visualization tools to prepare and process medical images for diagnostic purpose. The software package is designed to support technicians and physicians in qualitative and quantitative measurements and in the analysis of clinical data that was acquired and reconstructed by Computed Tomography (CT) scanners, and possibly other medical imaging modalities (e.g. MR scanners). An interface shall…

Read the full statement (100 words)

syngo.CT Extended Functionality is intended to provide advanced visualization tools to prepare and process medical images for diagnostic purpose. The software package is designed to support technicians and physicians in qualitative and quantitative measurements and in the analysis of clinical data that was acquired and reconstructed by Computed Tomography (CT) scanners, and possibly other medical imaging modalities (e.g. MR scanners).

An interface shall enable the connection between the syngo.CT Extended Functionality software package and the interconnected CT Scanner system.

Resulting images created with the syngo.CT Extended Functionality software package can be used to assist trained technicians or physicians in diagnosis.

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. “K203699: syngo. CT Extended Functionalities.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K203699

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