510(k) Report

510(k) · Cleared

Cleared

cvi42 Auto Imaging Software Application

K213998510(k) TraditionalCleared Jul 28, 2022219-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

Circle Cardiovascular Imaging, Inc. · QIH Automated Radiological Image Processing Software

Cleared on Jul 28, 2022 as substantially equivalent to K082628 (Circle Cardiovascular Imaging, Inc., 2008) and 2 other predicates after a 219-day review. Its family tree reaches back 7 generations to 1995. 7 later devices descend from it.

Decided
Jul 28, 2022
Review
219 days
Class
Class II
Product code
QIH
Recalls
None
Predicates
3

Its longest line of descent runs back 7 generations to K945512 (1995). 23 ancestors in all, the oldest K924605 (1993). 7 later devices descend from it, 6 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2014: 1 other ancestor2008: 1 other ancestor2000: 4 other ancestors2002: 2 other ancestors1999: 2 other ancestors1993: 1 other ancestor2001: 1 other ancestor1994: 1 other ancestor1997: 1 other ancestor1996: 1 other ancestor1995: 1 other ancestor2024: 3 descendants cleared2025: 4 descendants clearedK945512 · HRSW Option for CT Twin Flash · Elscint, Inc. · 1995K970980 · Cardiac Scoring for CT Scanners · Elscint, Inc. · 1997K982004 · CT Coronary Artery Calcification Scoring (Cacs) Option for Advantage Windows · General Electric Co. · 1998K020929 · Smartscore 3.5; Smartscore 4.0; Smartscore 4.5 · GE Medical Systems · 2002K072737 · CSCS-001A Calcium Scoring Package · Toshiba America Medical Systems, In.C · 2007K083446 · Cardiac Function Analysis, Calcium Scoring · Ziosoft, Inc. · 2009K111373 · CT42 Cardiac Computed Tomography (CT) Software · Circle Cardiovascular Imaging, Inc. · 20111990200020102020
  1. Root · 7 generations backK945512 HRSW Option for CT Twin FlashElscint, Inc. · 1995
  2. 6 generations backK970980 Cardiac Scoring for CT ScannersElscint, Inc. · 1997
  3. 5 generations backK982004 CT Coronary Artery Calcification Scoring (Cacs) Option for Advantage…General Electric Co. · 1998
  4. 4 generations backK020929 Smartscore 3.5; Smartscore 4.0; Smartscore 4.5GE Medical Systems · 2002
  5. 3 generations backK072737 CSCS-001A Calcium Scoring PackageToshiba America Medical Systems, In.C · 2007
  6. 2 generations backK083446 Cardiac Function Analysis, Calcium ScoringZiosoft, Inc. · 2009
  7. 1 generation backK111373 CT42 Cardiac Computed Tomography (CT) SoftwareCircle Cardiovascular Imaging, Inc. · 2011
  8. This deviceK213998 cvi42 Auto Imaging Software ApplicationCircle Cardiovascular Imaging, Inc. · 2022
  9. Descendant · cites it directly · 1 of its ownK243038 Salix CentralArtrya Limited · 2025
  10. Descendant · cites it directly · 0 of its ownK251027 cvi42 Coronary Plaque Software ApplicationCircle Cardiovascular Imaging, Inc. · 2025
  11. Descendant · 2 generations on · 0 of its ownK251837 Salix Coronary Plaque (V1.0.0)Artrya Limited · 2025
  12. Descendant · cites it directly · 0 of its ownK241922 MyomicsPhantomics, Inc. · 2025
  13. Descendant · cites it directly · 0 of its ownK242062 1CMR ProMycardium AI Limited · 2024

Showing 5 of 7 descendants. See all descendants

Descendants cleared per year

2024: 32025: 4
2024high 4 (2025) · low 0 (2026)2026

Most influential descendants

Showing 5 of 7 · See all
  • K243038Salix CentralArtrya Limited · 2025 · cites it directly1descendant
  • K251027cvi42 Coronary Plaque Software ApplicationCircle Cardiovascular Imaging, Inc. · 2025 · cites it directly0descendants
  • K251837Salix Coronary Plaque (V1.0.0)Artrya Limited · 2025 · 2 generations on0descendants
  • K241922MyomicsPhantomics, Inc. · 2025 · cites it directly0descendants
  • K2420621CMR ProMycardium AI Limited · 2024 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K945512HRSW Option for CT Twin FlashElscint, Inc.1995—
−6K970980Cardiac Scoring for CT ScannersElscint, Inc.1997—
−5K982004CT Coronary Artery Calcification Scoring (Cacs) Option for Advantage WindowsGeneral Electric Co.1998—
−4K020929Smartscore 3.5; Smartscore 4.0; Smartscore 4.5GE Medical Systems2002—
−3K072737CSCS-001A Calcium Scoring PackageToshiba America Medical Systems, In.C2007—
−2K083446Cardiac Function Analysis, Calcium ScoringZiosoft, Inc.2009—
−1K111373CT42 Cardiac Computed Tomography (CT) SoftwareCircle Cardiovascular Imaging, Inc.2011—
0 (this device)K213998cvi42 Auto Imaging Software ApplicationCircle Cardiovascular Imaging, Inc.2022—
+1K243038Salix CentralArtrya Limited2025—
+1K251027cvi42 Coronary Plaque Software ApplicationCircle Cardiovascular Imaging, Inc.2025—
+2K251837Salix Coronary Plaque (V1.0.0)Artrya Limited2025—
+1K241922MyomicsPhantomics, Inc.2025—
+1K2420621CMR ProMycardium AI Limited2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199310
199410
199510
199610
199710
199920
200040
200110
200220
200810
201410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202430
202540
FIG. 1 — Lineage of K213998, 1995–2025Source: 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 QIH? 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 QIH device

  1. #1 K233925 Relu Creatorscore 22.5 · 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? (3)

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
*K082628CMR42 Cardiac Mri Imaging System, 2.1.23
Summary page 4
…Regulation Number: 21 CFR 892.2050 III. PREDICATE DEVICES The primary predicate is cmr42 manufactured by Circle Cardiovascular Imaging Inc. under K082628. cvi42, manufactured by Circle Cardiovascular Imaging Inc. under K141480, is used as a secondary predicate device and ct42, manuf…
Circle Cardiovascular Imaging, Inc.2008—
*K141480CVI42
Summary page 4
…DEVICES The primary predicate is cmr42 manufactured by Circle Cardiovascular Imaging Inc. under K082628. cvi42, manufactured by Circle Cardiovascular Imaging Inc. under K141480, is used as a secondary predicate device and ct42, manufactured by Circle Cardiovascular Imaging Inc. under K111373, is used as a…
Circle Cardiovascular Imaging, Inc.2014—
*K111373CT42 Cardiac Computed Tomography (CT) Software
Summary page 4
…ufactured by Circle Cardiovascular Imaging Inc. under K141480, is used as a secondary predicate device and ct42, manufactured by Circle Cardiovascular Imaging Inc. under K111373, is used as a tertiary predicate device. The predicate devices have not been subject to a design-related recall. Circle Cardio…
Circle Cardiovascular Imaging, Inc.2011—

Also cleared against K082628: 4 other devices →

What descends from it? (7)

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

NumberDeviceApplicantDecidedDescendants
K243038Salix CentralArtrya Limited20251
K251027cvi42 Coronary Plaque Software ApplicationCircle Cardiovascular Imaging, Inc.20250
K241922MyomicsPhantomics, Inc.20250
K2420621CMR ProMycardium AI Limited20240
K241312TeraRecon Cardiac.Chambers.MR (1.0.0)Terarecon,Inc.20240
K242781cvi42 Software ApplicationCircle Cardiovascular Imaging, Inc.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 27 years and passes through 6 companies; a new generation was cleared every 2.4 years on median.
  • None of the 23 ancestors has a recall.
  • Of its descendants, K243038 (Artrya Limited, 2025) has gone furthest, with 1 descendant of its own.
  • 4 other devices also cite its predicate K082628.

How does its category compare?

All QIH devices

QIH Automated Radiological Image Processing Software: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · QIH

94in 2025

2019: 22020: 112021: 192022: 252023: 452024: 642025: 942026 (partial year): 78
2007high 94 (2025) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QIH

150in 2025

2020: 145 days median2021: 125 days median2022: 134 days median2023: 151 days median2024: 141 days median2025: 150 days median2026 (partial year): 130 days median
2007high 151 (2023) · low 125 (2021)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · QIH

1so far in 2026, the most since 2007

2026 (partial year): 1
2007high 1 (2026) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · QIH

4in 2025

2024: 22025: 4
2007high 4 (2025) · low 0 (2007)2025

MAUDE reports naming product code QIH, 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
20140—00
20150—00
20160—00
20170—00
20180—00
20192—00
20201114500
20211912500
20222513400
20234515100
20246414102
20259415004
2026781301—

What is it indicated for?

cvi42 Auto is intended to be used for viewing, post-processing, qualitative and quantitative evaluation of cardiovascular magnetic resonance (MR) and computed tomography (CT) images in a Digital Imaging and Communications in Medicine (DICOM) Standard format. It enables a set of tools to assist physicians in qualitative assessment of cardiac images and quantitative measurements of the heart and adjacent vessels; perform calcium scoring; and to confirm the…

Read the full statement (148 words)

cvi42 Auto is intended to be used for viewing, post-processing, qualitative and quantitative evaluation of cardiovascular magnetic resonance (MR) and computed tomography (CT) images in a Digital Imaging and Communications in Medicine (DICOM) Standard format.

It enables a set of tools to assist physicians in qualitative assessment of cardiac images and quantitative measurements of the heart and adjacent vessels; perform calcium scoring; and to confirm the presence or absence of physician-identified lesion in blood vessels.

The target population for cvi42 Auto's manual workflows is not restricted; however, cvi42 Auto's semi-automated machine learning algorithms are intended for an adult population.

cvi42 Auto shall be used only for cardiac images acquired from an MR or CT scanner. It shall be used by qualified medical professionals, experienced in examining and evaluating cardiovascular MR or CT images, for the purpose of obtaining diagnostic information as part of a comprehensive diagnostic decision-making process.

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. “K213998: cvi42 Auto Imaging Software Application.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K213998

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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