510(k) Report

510(k) · Cleared

Cleared

AI-Rad Companion Organs RT

K221305510(k) TraditionalCleared Oct 14, 2022162-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

Siemens Medical Solutions USA, Inc. · QKB Radiological Image Processing Software For Radiation Therapy

Cleared on Oct 14, 2022 as substantially equivalent to K193562 (Siemens Medical Solutions USA, Inc., 2020) after a 162-day review. Its family tree reaches back 16 generations to 1996. 1 of the 108 devices in its family, counting itself, has a Class I recall. 5 later devices descend from it.

Decided
Oct 14, 2022
Review
162 days
Class
Class II
Product code
QKB
Recalls
None
Predicates
1

Its longest line of descent runs back 16 generations to K954874 (1996). 102 ancestors in all, the oldest K885054 (1989). 5 later devices descend from it, 2 citing it directly. 1 of the 108 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2017: 2 other ancestors2016: 1 other ancestor2013: 2 other ancestors2011: 1 other ancestor2004: 7 other ancestors2002: 6 other ancestors2014: 1 other ancestor2012: 2 other ancestors2010: 1 other ancestor2007: 3 other ancestors2003: 5 other ancestors2000: 9 other ancestors1999: 3 other ancestors, 1 with a Class I recall11991: 5 other ancestors1989: 2 other ancestors2006: 2 other ancestors2005: 5 other ancestors1998: 4 other ancestors1995: 5 other ancestors2008: 1 other ancestor2001: 6 other ancestors1994: 2 other ancestors1993: 2 other ancestors1997: 3 other ancestors1992: 2 other ancestors1996: 3 other ancestors1990: 1 other ancestor2024: 2 descendants cleared2025: 1 descendant cleared2026: 2 descendants clearedReference device: K213976 · Contour ProtégéAI · Mim Software, Inc. · 2022K954874 · Spectef Protocol · GE Medical Systems · 1996K980914 · Emory Cardiac Tool Box · Emory University · 1998K992450 · Emory Cardiac Toolbox* 2.0 Executing on Nuclear Medicine Computers · Emory University · 1999K014033 · Emory Cardiac Toolbox 2.1 Executing on Nuclear Medicine Computers · Syntermed, Inc. · 2002K040141 · Emory Cardiac Toolbox Version 2.6 · Syntermed, Inc. · 2004K052379 · Mim 3.5 (Circa) · Mimvista Corp. · 2005×2: 2 generations cleared close together, K060816 (2006), K062163 (2006) K103785 · Mobile Mim · Mim Software, Inc. · 2011K112930 · Mobile Mim · Mim Software, Inc. · 2011K151913 · MIM-Thin Client (mobile) · Mim Software, Inc. · 2016K172218 · MIM – Y90 Dosimetry · Mim Software, Inc. · 2017K180815 · MIM - SPECTRA Quant · Mim Software, Inc. · 2018K182624 · MIM - MRT Dosimetry · Mim Software, Inc. · 2018K191928 · AccuContour · Xiamen Manteia Technology, Ltd. · 2020K193562 · AI-Rad Companion Organs RT · Siemens Medical Solutions USA, Inc. · 20201990200020102020
Other ancestors, by generationDescendants, by generation 4 generations back: 2 other ancestors5 generations back: 5 other ancestors6 generations back: 12 other ancestors, 1 with a Class I recall17 generations back: 11 other ancestors8 generations back: 14 other ancestors9 generations back: 16 other ancestors10 generations back: 14 other ancestors11 generations back: 12 other ancestors 1 generation forward: 2 descendants2 generations forward: 1 descendant3 generations forward: 2 descendants K193562 · AI-Rad Companion Organs RT · Siemens Medical Solutions USA, Inc. · 2020K191928 · AccuContour · Xiamen Manteia Technology, Ltd. · 2020K182624 · MIM - MRT Dosimetry · Mim Software, Inc. · 2018K180815 · MIM - SPECTRA Quant · Mim Software, Inc. · 2018K172218 · MIM – Y90 Dosimetry · Mim Software, Inc. · 2017K151913 · MIM-Thin Client (mobile) · Mim Software, Inc. · 2016K112930 · Mobile Mim · Mim Software, Inc. · 2011K103785 · Mobile Mim · Mim Software, Inc. · 2011K062163 · Mimviewer · Mimvista Corp. · 2006K060816 · Mim 4.0 (Neuro · Mimvista Corp. · 2006 · recalledK052379 · Mim 3.5 (Circa) · Mimvista Corp. · 2005K040141 · Emory Cardiac Toolbox Version 2.6 · Syntermed, Inc. · 2004K014033 · Emory Cardiac Toolbox 2.1 Executing on Nuclear Medicine Computers · Syntermed, Inc. · 2002K992450 · Emory Cardiac Toolbox* 2.0 Executing on Nuclear Medicine Computers · Emory University · 1999K980914 · Emory Cardiac Tool Box · Emory University · 1998K954874 · Spectef Protocol · GE Medical Systems · 1996−15−10−50
  1. Root · 16 generations backK954874 Spectef ProtocolGE Medical Systems · 1996
  2. 12 generations between
  3. 3 generations backK182624 MIM - MRT DosimetryMim Software, Inc. · 2018
  4. 2 generations backK191928 AccuContourXiamen Manteia Technology, Ltd. · 2020
  5. 1 generation backK193562 AI-Rad Companion Organs RTSiemens Medical Solutions USA, Inc. · 2020
  6. This deviceK221305 AI-Rad Companion Organs RTSiemens Medical Solutions USA, Inc. · 2022
  7. Descendant · cites it directly · 3 of its ownK232899 AI-Rad Companion Organs RTSiemens Medical Solutions U.S.A. · 2024
  8. Descendant · 2 generations on · 2 of its ownK242745 AI-Rad Companion Organs RTSiemens Healthcare GmbH · 2025
  9. Descendant · 3 generations on · 0 of its ownK261306 AI Contouring (VA10A)Varian Medical Systems · 2026
  10. Descendant · 3 generations on · 0 of its ownK252548 AI-Rad Companion Organs RTSiemens Healthcare GmbH · 2026
  11. Descendant · cites it directly · 0 of its ownK232928 DeepContour (V1.0)Wisdom Technologies., Inc. · 2024
Show all 16 generations
  1. Root · 16 generations backK954874 Spectef ProtocolGE Medical Systems · 1996
  2. 15 generations backK980914 Emory Cardiac Tool BoxEmory University · 1998
  3. 14 generations backK992450 Emory Cardiac Toolbox* 2.0 Executing on Nuclear Medicine ComputersEmory University · 1999
  4. 13 generations backK014033 Emory Cardiac Toolbox 2.1 Executing on Nuclear Medicine ComputersSyntermed, Inc. · 2002
  5. 12 generations backK040141 Emory Cardiac Toolbox Version 2.6Syntermed, Inc. · 2004
  6. 11 generations backK052379 Mim 3.5 (Circa)Mimvista Corp. · 2005
  7. 10 generations backK060816 Mim 4.0 (NeuroMimvista Corp. · 2006 · Recalled
  8. 9 generations backK062163 MimviewerMimvista Corp. · 2006
  9. 8 generations backK103785 Mobile MimMim Software, Inc. · 2011
  10. 7 generations backK112930 Mobile MimMim Software, Inc. · 2011
  11. 6 generations backK151913 MIM-Thin Client (mobile)Mim Software, Inc. · 2016
  12. 5 generations backK172218 MIM – Y90 DosimetryMim Software, Inc. · 2017
  13. 4 generations backK180815 MIM - SPECTRA QuantMim Software, Inc. · 2018
  14. 3 generations backK182624 MIM - MRT DosimetryMim Software, Inc. · 2018
  15. 2 generations backK191928 AccuContourXiamen Manteia Technology, Ltd. · 2020
  16. 1 generation backK193562 AI-Rad Companion Organs RTSiemens Medical Solutions USA, Inc. · 2020
  17. This deviceK221305 AI-Rad Companion Organs RTSiemens Medical Solutions USA, Inc. · 2022

Class I recalls in this family

Most influential descendants

Showing 5 of 5 · See all
  • K232899AI-Rad Companion Organs RTSiemens Medical Solutions U.S.A. · 2024 · cites it directly3descendants
  • K242745AI-Rad Companion Organs RTSiemens Healthcare GmbH · 2025 · 2 generations on2descendants
  • K261306AI Contouring (VA10A)Varian Medical Systems · 2026 · 3 generations on0descendants
  • K252548AI-Rad Companion Organs RTSiemens Healthcare GmbH · 2026 · 3 generations on0descendants
  • K232928DeepContour (V1.0)Wisdom Technologies., Inc. · 2024 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−16K954874Spectef ProtocolGE Medical Systems1996—
−15K980914Emory Cardiac Tool BoxEmory University1998—
−14K992450Emory Cardiac Toolbox* 2.0 Executing on Nuclear Medicine ComputersEmory University1999—
−13K014033Emory Cardiac Toolbox 2.1 Executing on Nuclear Medicine ComputersSyntermed, Inc.2002—
−12K040141Emory Cardiac Toolbox Version 2.6Syntermed, Inc.2004—
−11K052379Mim 3.5 (Circa)Mimvista Corp.2005—
−10K060816Mim 4.0 (NeuroMimvista Corp.20061
−9K062163MimviewerMimvista Corp.2006—
−8K103785Mobile MimMim Software, Inc.2011—
−7K112930Mobile MimMim Software, Inc.2011—
−6K151913MIM-Thin Client (mobile)Mim Software, Inc.2016—
−5K172218MIM – Y90 DosimetryMim Software, Inc.2017—
−4K180815MIM - SPECTRA QuantMim Software, Inc.2018—
−3K182624MIM - MRT DosimetryMim Software, Inc.2018—
−2K191928AccuContourXiamen Manteia Technology, Ltd.2020—
−1K193562AI-Rad Companion Organs RTSiemens Medical Solutions USA, Inc.2020—
0 (this device)K221305AI-Rad Companion Organs RTSiemens Medical Solutions USA, Inc.2022—
+1K232899AI-Rad Companion Organs RTSiemens Medical Solutions U.S.A.2024—
+2K242745AI-Rad Companion Organs RTSiemens Healthcare GmbH2025—
+3K261306AI Contouring (VA10A)Varian Medical Systems2026—
+3K252548AI-Rad Companion Organs RTSiemens Healthcare GmbH2026—
+1K232928DeepContour (V1.0)Wisdom Technologies., Inc.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198920
199010
199150
199220
199320
199420
199550
199630
199730
199840
199931
200090
200160
200260
200350
200470
200550
200620
200730
200810
201010
201110
201220
201320
201410
201610
201720

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202420
202510
202620
FIG. 1 — Lineage of K221305, 1996–2026Source: 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 QKB device

  1. #1 K191928 AccuContourscore 32.8 · 14 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
*K193562AI-Rad Companion Organs RT
Summary page 5
…Device Product Name: AI-Rad Companion Organs RT Common Name: Medical Imaging Software 510(k) Number: K193562 Clearance Date: November 6, 2020 Classification Name: Picture Archiving and Communication Sy…
Siemens Medical Solutions USA, Inc.2020—
†K213976Contour ProtégéAIMim Software, Inc.2022—

What descends from it? (5)

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

NumberDeviceApplicantDecidedDescendants
K232899AI-Rad Companion Organs RTSiemens Medical Solutions U.S.A.20243
K232928DeepContour (V1.0)Wisdom Technologies., Inc.20240

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.

  • K991841Hawkeye Option for Dual-Head Variable Angle Gamma CameraGe Medical Systems F.I. Haifa · 1999 · 6 generations back · ◆ in the 1999 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 26 years and passes through 7 companies; a new generation was cleared every 1.6 years on median.
  • 31 of the 102 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K232899 (Siemens Medical Solutions U.S.A., 2024) has gone furthest, with 3 descendants of its own.

How does its category compare?

All QKB devices

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

FDA decisions per year · QKB

6in 2025

2018: 12020: 42021: 92022: 72023: 72024: 62025: 62026 (partial year): 9
2007high 9 (2021) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QKB

170in 2025

2020: 244 days median2021: 120 days median2022: 162 days median2023: 111 days median2024: 173 days median2025: 170 days median2026 (partial year): 179 days median
2007high 244 (2020) · low 111 (2023)2026

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

Recalls per year · QKB

No recall names QKB since 2007.

Adverse event reports per year · QKB

No MAUDE report names QKB since 2007.

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
20181—00
20190—00
2020424400
2021912000
2022716200
2023711100
2024617300
2025617000
202691790—

What is it indicated for?

AI-Rad Companion Organs RT is a post-processing software intended to automatically contour DICOM CT imaging data using deep-learning-based algorithms. Contours that are generated by AI-Rad Companion Organs RT may be used as input for clinical workflows including external beam radiation therapy treatment planning. AI-Rad Companion Organs RT must be used in conjunction with appropriate software such as Treatment Planning Systems and Interactive Contouring…

Read the full statement (121 words)

AI-Rad Companion Organs RT is a post-processing software intended to automatically contour DICOM CT imaging data using deep-learning-based algorithms.

Contours that are generated by AI-Rad Companion Organs RT may be used as input for clinical workflows including external beam radiation therapy treatment planning. AI-Rad Companion Organs RT must be used in conjunction with appropriate software such as Treatment Planning Systems and Interactive Contouring applications, to review, edit, and accept contours generated by AI-Rad Companion Organs RT.

The output of AI-Rad Companion Organs RT in the format of RTSTRUCT objects are intended to be used by trained medical professionals.

The software is not intended to automatically detect or contour lesions. Only DICOM images of adult patients are considered to be valid input.

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. “K221305: AI-Rad Companion Organs RT.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K221305

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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