510(k) Report

510(k) · Cleared

Cleared

HealthOST

K213944510(k) TraditionalCleared Apr 22, 2022126-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

Nanoxai, Ltd. · JAK System, X-Ray, Tomography, Computed

Cleared on Apr 22, 2022 as substantially equivalent to K193267 (Siemens Medical Solutions USA, Inc., 2020) after a 126-day review. Its family tree reaches back 11 generations to 1996. 1 later device descends from it.

Decided
Apr 22, 2022
Review
126 days
Class
Class II
Product code
JAK
Recalls
None
Predicates
1

Its longest line of descent runs back 11 generations to K954678 (1996). 88 ancestors in all, the oldest K837107 (1983). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2012: 1 other ancestor2008: 3 other ancestors2009: 1 other ancestor2006: 5 other ancestors2005: 6 other ancestors2004: 7 other ancestors2002: 3 other ancestors2001: 10 other ancestors1983: 1 other ancestor2007: 2 other ancestors2003: 6 other ancestors2000: 5 other ancestors1999: 2 other ancestors1998: 5 other ancestors1997: 6 other ancestors1996: 4 other ancestors1994: 2 other ancestors1991: 2 other ancestors1995: 2 other ancestors1993: 1 other ancestor1987: 1 other ancestor1988: 2 other ancestors2024: 1 descendant clearedK954678 · Pro Vision · Algotec Systems, Ltd. · 1996K980648 · Pro Vision · Algotec Systems, Ltd. · 1998K992654 · Plug 'N View 3D, Version 1.0 · Voxar Limited · 1999K022692 · Voxelplus Pacs · Mevisys Co., Ltd. · 2002K051528 · Mevis Liveranalyser/Liverviewer Software · Mevis Technology GmbH & Co. KG · 2005K061696 · Iqqa-Liver Software · Edda Technology, Inc. · 2006K071310 · Syngo CT Oncology Software Package · Siemens AG · 2007K083524 · Syngo Dual Energy with Extended Funationally · Siemens Medical Solutions USA, Inc. · 2009K112020 · Syngo.CT Vascular Analysis · Siemens Medi Cal Solutions, Inc. · 2011K123584 · Syngo, CT Bone Reading · Siemens Medical Solutions USA, Inc. · 2013K193267 · Al-Rad Companion (Musculoskeletal) · Siemens Medical Solutions USA, Inc. · 202019801990200020102020
  1. Root · 11 generations backK954678 Pro VisionAlgotec Systems, Ltd. · 1996
  2. 7 generations between
  3. 3 generations backK112020 Syngo.CT Vascular AnalysisSiemens Medi Cal Solutions, Inc. · 2011
  4. 2 generations backK123584 Syngo, CT Bone ReadingSiemens Medical Solutions USA, Inc. · 2013
  5. 1 generation backK193267 Al-Rad Companion (Musculoskeletal)Siemens Medical Solutions USA, Inc. · 2020
  6. This deviceK213944 HealthOSTNanoxai, Ltd. · 2022
  7. Descendant · cites it directly · 0 of its ownK233080 HealthFLDNano-X AI, Ltd. · 2024
Show all 11 generations
  1. Root · 11 generations backK954678 Pro VisionAlgotec Systems, Ltd. · 1996
  2. 10 generations backK980648 Pro VisionAlgotec Systems, Ltd. · 1998
  3. 9 generations backK992654 Plug 'N View 3D, Version 1.0Voxar Limited · 1999
  4. 8 generations backK022692 Voxelplus PacsMevisys Co., Ltd. · 2002
  5. 7 generations backK051528 Mevis Liveranalyser/Liverviewer SoftwareMevis Technology GmbH & Co. KG · 2005
  6. 6 generations backK061696 Iqqa-Liver SoftwareEdda Technology, Inc. · 2006
  7. 5 generations backK071310 Syngo CT Oncology Software PackageSiemens AG · 2007
  8. 4 generations backK083524 Syngo Dual Energy with Extended FunationallySiemens Medical Solutions USA, Inc. · 2009
  9. 3 generations backK112020 Syngo.CT Vascular AnalysisSiemens Medi Cal Solutions, Inc. · 2011
  10. 2 generations backK123584 Syngo, CT Bone ReadingSiemens Medical Solutions USA, Inc. · 2013
  11. 1 generation backK193267 Al-Rad Companion (Musculoskeletal)Siemens Medical Solutions USA, Inc. · 2020
  12. This deviceK213944 HealthOSTNanoxai, Ltd. · 2022

Most influential descendants

Showing 1 of 1 · See all
  • K233080HealthFLDNano-X AI, Ltd. · 2024 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K954678Pro VisionAlgotec Systems, Ltd.1996—
−10K980648Pro VisionAlgotec Systems, Ltd.1998—
−9K992654Plug 'N View 3D, Version 1.0Voxar Limited1999—
−8K022692Voxelplus PacsMevisys Co., Ltd.2002—
−7K051528Mevis Liveranalyser/Liverviewer SoftwareMevis Technology GmbH & Co. KG2005—
−6K061696Iqqa-Liver SoftwareEdda Technology, Inc.2006—
−5K071310Syngo CT Oncology Software PackageSiemens AG2007—
−4K083524Syngo Dual Energy with Extended FunationallySiemens Medical Solutions USA, Inc.2009—
−3K112020Syngo.CT Vascular AnalysisSiemens Medi Cal Solutions, Inc.2011—
−2K123584Syngo, CT Bone ReadingSiemens Medical Solutions USA, Inc.2013—
−1K193267Al-Rad Companion (Musculoskeletal)Siemens Medical Solutions USA, Inc.2020—
0 (this device)K213944HealthOSTNanoxai, Ltd.2022—
+1K233080HealthFLDNano-X AI, Ltd.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198310
198710
198820
199120
199310
199420
199520
199640
199760
199850
199920
200050
2001100
200230
200360
200470
200560
200650
200720
200830
200910
201210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
FIG. 1 — Lineage of K213944, 1996–2024Source: 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 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
*K193267Al-Rad Companion (Musculoskeletal)
Summary page 4
…Predicate Device: AI-Rad Companion (Musculoskeletal) Premarket Notification K193267 Classification Name Computed tomography x-ray system. Regulation Number…
Siemens Medical Solutions USA, Inc.2020—

Also cleared against K193267: 1 other device →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K233080HealthFLDNano-X AI, Ltd.20240

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 26 years and passes through 9 companies; a new generation was cleared every 2.1 years on median.
  • 19 of the 88 ancestors have a recall of any class.
  • Of its descendants, K233080 (Nano-X AI, Ltd., 2024) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K193267.

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. 2022, 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?

HealthOST is an image processing software that provides qualitative and quantitative analysis of the spine from CT images to support clinicians in the evaluation and assessment of musculoskeletal disease of the spine. The HealthOST software provides the following functionality: -Labelling of T1-L4 vertebrae -Measurement of height loss in each vertebra (T1-L4) -Measurement of the mean Hounsfield Units (HU) in volume of interest within vertebra (T11-L4)…

Read the full statement (117 words)

HealthOST is an image processing software that provides qualitative and quantitative analysis of the spine from CT images to support clinicians in the evaluation and assessment of musculoskeletal disease of the spine. The HealthOST software provides the following functionality:

-Labelling of T1-L4 vertebrae

-Measurement of height loss in each vertebra (T1-L4)

-Measurement of the mean Hounsfield Units (HU) in volume of interest within vertebra (T11-L4)

HealthOST is indicated for use in patients aged 50 and over undergoing CT scan for any clinical indication, that includes at least four vertebrae in the T1-L4 portion of the spine (for vertebral height loss) and T11-L4 (for bone attenuation) portions of the spine.

The device is indicated for FBP-reconstructed images only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K213944: HealthOST.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K213944

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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