510(k) Report

510(k) · Cleared

Cleared

SpectraWAVE Imaging System

K221257510(k) TraditionalCleared Feb 28, 2023302-day reviewClass II21 CFR 892.1560

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

Spectrawave, Inc. · NQQ System, Imaging, Optical Coherence Tomography (Oct)

Cleared on Feb 28, 2023 as substantially equivalent to K192019 (Abbott Medical, 2019) and 1 other predicate after a 302-day review. Its family tree reaches back 3 generations to 2013. 1 of the 9 devices in its family, counting itself, has a Class I recall. 4 later devices descend from it.

Decided
Feb 28, 2023
Review
302 days
Class
Class II
Product code
NQQ
Recalls
None
Predicates
2

Its longest line of descent runs back 3 generations to K123369 (2013). 4 ancestors in all. 4 later devices descend from it, 3 citing it directly. 1 of the 9 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2019: 1 other ancestor2023: 1 descendant cleared2025: 3 descendants clearedK123369 · Ilumien Optis · Lightlab Imaging, Inc. · 2013K141769 · Optis Integrated System, Dragonfly Optis Imaging Catheter · Lightlab Imaging, Inc. · 2014K192019 · Dragonfly OpStar™ Imaging Catheter, AptiVue™ Software version E.5.1 · Abbott Medical · 2019 · Class I recall2010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 3 descendants2 generations forward: 1 descendant K192019 · Dragonfly OpStar™ Imaging Catheter, AptiVue™ Software version E.5.1 · Abbott Medical · 2019 · Class I recallK141769 · Optis Integrated System, Dragonfly Optis Imaging Catheter · Lightlab Imaging, Inc. · 2014K123369 · Ilumien Optis · Lightlab Imaging, Inc. · 20130
  1. Root · 3 generations backK123369 Ilumien OptisLightlab Imaging, Inc. · 2013
  2. 2 generations backK141769 Optis Integrated System, Dragonfly Optis Imaging CatheterLightlab Imaging, Inc. · 2014
  3. 1 generation backK192019 Dragonfly OpStar™ Imaging Catheter, AptiVue™ Software version E.5.1Abbott Medical · 2019 · Recalled (Class I)
  4. This deviceK221257 SpectraWAVE Imaging SystemSpectrawave, Inc. · 2023
  5. Descendant · cites it directly · 1 of its ownK230691 HyperVue™ Imaging SystemSpectrawave, Inc. · 2023
  6. Descendant · cites it directly · 0 of its ownK253101 HyperVue™ Imaging System - IntegratedSpectrawave, Inc. · 2025
  7. Descendant · 2 generations on · 0 of its ownK251198 HyperVue™ SoftwareSpectrawave, Inc. · 2025
  8. Descendant · cites it directly · 0 of its ownK243016 Starlight Imaging CatheterSpectrawave, Inc. · 2025

Class I recalls in this family

Most influential descendants

Showing 4 of 4 · See all
  • K230691HyperVue™ Imaging SystemSpectrawave, Inc. · 2023 · cites it directly1descendant
  • K253101HyperVue™ Imaging System - IntegratedSpectrawave, Inc. · 2025 · cites it directly0descendants
  • K251198HyperVue™ SoftwareSpectrawave, Inc. · 2025 · 2 generations on0descendants
  • K243016Starlight Imaging CatheterSpectrawave, Inc. · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K123369Ilumien OptisLightlab Imaging, Inc.2013—
−2K141769Optis Integrated System, Dragonfly Optis Imaging CatheterLightlab Imaging, Inc.2014—
−1K192019Dragonfly OpStar™ Imaging Catheter, AptiVue™ Software version E.5.1Abbott Medical2019Class I
0 (this device)K221257SpectraWAVE Imaging SystemSpectrawave, Inc.2023—
+1K230691HyperVue™ Imaging SystemSpectrawave, Inc.2023—
+1K253101HyperVue™ Imaging System - IntegratedSpectrawave, Inc.2025—
+2K251198HyperVue™ SoftwareSpectrawave, Inc.2025—
+1K243016Starlight Imaging CatheterSpectrawave, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
201910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
202530
FIG. 1 — Lineage of K221257, 2013–2025Source: 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.

1 device in this family has 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 NQQ device

  1. #1 K251730 LIA Console (542-7)score 16.2 · 20 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? (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
*K192019Dragonfly OpStar™ Imaging Catheter, AptiVue™ Software version E.5.1
Summary page 4
…Product Code: NQQ, ORD, OGZ, IYO Classification: Class II 3. Predicate Devices: • K192019 Dragonfly OpStar™ Imaging Catheter, AptiVue™ Software version E.5.1 • K183599 Infraredx, In…
Abbott Medical2019Class I
*K183599Makoto Intravascular Imaging System, Dualpro IVUS + NIRS Imaging Catheter
Summary page 4
…3. Predicate Devices: • K192019 Dragonfly OpStar™ Imaging Catheter, AptiVue™ Software version E.5.1 • K183599 Infraredx, Inc. Makoto Intravascular Imaging System™, Dualpro™ IVUS+NIRS Imaging Catheter- secondary predicat…
Infraredx, Inc.2019—

Also cleared against K192019: 2 other devices →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K230691HyperVue™ Imaging SystemSpectrawave, Inc.20231
K253101HyperVue™ Imaging System - IntegratedSpectrawave, Inc.20250
K243016Starlight Imaging CatheterSpectrawave, Inc.20250

Has anything in its family been recalled? (1 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.

  • K192019Dragonfly OpStar™ Imaging Catheter, AptiVue™ Software version E.5.1Abbott Medical · 2019 · Direct predicate · ◆ on the line of descent in FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 10 years and passes through 3 companies; a new generation was cleared every 3.3 years on median.
  • 1 of the 4 ancestors has a recall of any class; 1 has a Class I recall.
  • Of its descendants, K230691 (Spectrawave, Inc., 2023) has gone furthest, with 1 descendant of its own.
  • 2 other devices also cite its predicate K192019.

How does its category compare?

All NQQ devices

NQQ System, Imaging, Optical Coherence Tomography (Oct): FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · NQQ

8in 2025

2010: 32011: 22012: 12013: 22014: 22015: 52016: 52017: 12018: 22019: 32020: 22021: 22023: 32024: 22025: 82026 (partial year): 1
2007high 8 (2025) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NQQ

146in 2025

2010: 82 days median2015: 91 days median2016: 91 days median2019: 84 days median2023: 86 days median2025: 146 days median
2007high 146 (2025) · low 82 (2010)2026

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

Recalls per year · NQQ

1in 2011

2010: 12011: 1
2007high 1 (2010) · low 0 (2007)2026

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

Adverse event reports per year · NQQ

2in 2025

2011: 22012: 52013: 32014: 12015: 32016: 22017: 32018: 42019: 62020: 42021: 32022: 42023: 62024: 62025: 2
2007high 6 (2019) · low 0 (2007)2025

MAUDE reports naming product code NQQ, 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
201038210
20112—12
20121—05
20132—03
20142—01
201559103
201659102
20171—03
20182—04
201938406
20202—04
20212—03
20220—04
202338606
20242—06
2025814602
20261—0—

What is it indicated for?

The SpectraWAVE Imaging System is intended for the imaging of coronary arteries and is indicated in patients who are candidates for transluminal interventional procedures. The SpectraWAVE Imaging Catheter is intended for use in vessels 2.0 to 5.2 mm in diameter. The SpectraWAVE Imaging Catheter is not intended for use in a target vessel which has undergone a previous bypass procedure. The NIRS capability of the SpectraWAVE Imaging System is intended for…

Read the full statement (124 words)

The SpectraWAVE Imaging System is intended for the imaging of coronary arteries and is indicated in patients who are candidates for transluminal interventional procedures.

The SpectraWAVE Imaging Catheter is intended for use in vessels 2.0 to 5.2 mm in diameter.

The SpectraWAVE Imaging Catheter is not intended for use in a target vessel which has undergone a previous bypass procedure.

The NIRS capability of the SpectraWAVE Imaging System is intended for the detection of lipid core containing plaques of interest.

The NIRS capability of the SpectraWAVE Imaging System is intended for the assessment of coronary artery lipid core burden.

The NIRS capability of the SpectraWAVE Imaging System is intended for the identification of patients and plaques at increased risk of major adverse cardiac events.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K221257: SpectraWAVE 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/K221257

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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