510(k) Report

510(k) · Cleared

Cleared

Genius AI Detection 2.0

K221449510(k) TraditionalCleared Oct 6, 2022141-day reviewClass II21 CFR 892.2090

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

Hologic, Inc. · QDQ Radiological Computer Assisted Detection/Diagnosis Software For Lesions Suspicious For Cancer

Cleared on Oct 6, 2022 as substantially equivalent to K201019 (Hologic, Inc., 2020) after a 141-day review. Its family tree reaches back 3 generations to 2018. 2 later devices descend from it.

Decided
Oct 6, 2022
Review
141 days
Class
Class II
Product code
QDQ
Recalls
None
Predicates
1

Its longest line of descent runs back 3 generations to DEN180005 (2018). 2 later devices descend from it, 2 citing it directly.

  1. Root · 3 generations backDEN180005 OsteoDetectImagen Technologies, Inc. · 2018
  2. 2 generations backK182373 PowerLook Tomo Detection V2 SoftwareIcad, Inc. · 2018
  3. 1 generation backK201019 Genius AI DetectionHologic, Inc. · 2020
  4. This deviceK221449 Genius AI Detection 2.0Hologic, Inc. · 2022
  5. Descendant · cites it directly · 0 of its ownK243341 Genius AI Detection 2.0Hologic, Inc. · 2025
  6. Descendant · cites it directly · 0 of its ownK230096 Genius AI Detection 2.0 with CC-MLO CorrelationHologic, Inc. · 2023

Most influential descendants

Showing 2 of 2 · See all
  • K243341Genius AI Detection 2.0Hologic, Inc. · 2025 · cites it directly0descendants
  • K230096Genius AI Detection 2.0 with CC-MLO CorrelationHologic, Inc. · 2023 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3DEN180005OsteoDetectImagen Technologies, Inc.2018—
−2K182373PowerLook Tomo Detection V2 SoftwareIcad, Inc.2018—
−1K201019Genius AI DetectionHologic, Inc.2020—
0 (this device)K221449Genius AI Detection 2.0Hologic, Inc.2022—
+1K243341Genius AI Detection 2.0Hologic, Inc.2025—
+1K230096Genius AI Detection 2.0 with CC-MLO CorrelationHologic, Inc.2023—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
202510
FIG. 1 — Lineage of K221449, 2018–2025Source: 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 QDQ? 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 QDQ device

  1. #1 K241831 Transpara (2.1.0)score 15.6 · 5 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? (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
*K201019Genius AI Detection
Summary page 4
…s: Class II Review Panel: Radiology Submitter/510(k) Holder: Hologic, Inc. Clearance: K201019 (cleared November 18, 2020) Device Description: Genius AI Detection is a software device intended to identify potential abnormal…
Hologic, Inc.2020—
†DEN180005OsteoDetectImagen Technologies, Inc.2018—

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K243341Genius AI Detection 2.0Hologic, Inc.20250
K230096Genius AI Detection 2.0 with CC-MLO CorrelationHologic, Inc.20230

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 4 years and passes through 3 companies; a new generation was cleared every 1.9 years on median.
  • None of the 3 ancestors has a recall.
  • Of its descendants, K243341 (Hologic, Inc., 2025) has gone furthest, with 0 descendants of its own.

How does its category compare?

All QDQ devices

QDQ Radiological Computer Assisted Detection/Diagnosis Software For Lesions Suspicious For Cancer: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · QDQ

10so far in 2026, the most since 2007

2018: 22019: 22020: 32021: 52022: 42023: 22024: 72025: 52026 (partial year): 10
2007high 10 (2026) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QDQ

216in 2025

2020: 173 days median2021: 169 days median2022: 131 days median2024: 153 days median2025: 216 days median2026 (partial year): 154 days median
2007high 216 (2025) · low 131 (2022)2026

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

Recalls per year · QDQ

No recall names QDQ since 2007.

Adverse event reports per year · QDQ

No MAUDE report names QDQ 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
20182—00
20192—00
2020317300
2021516900
2022413100
20232—00
2024715300
2025521600
2026101540—

What is it indicated for?

Genius AI Detection is a computer-aided detection and diagnosis (CADe/CADx) software device intended to be used with compatible digital breast tomosynthesis (DBT) systems to identify and mark regions of interest including soft tissue densities (masses, architectural distortions and asymmetries) and calcifications in DBT exams from compatible DBT systems and provide confidence scores that offer assessment for Certainty of Findings and a Case Score. The device intends to aid in the interpretation of digital breast tomosynthesis exams in a concurrent fashion, where the interpreting physician confirms or dismisses the findings during the reading of the exam.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K221449: Genius AI Detection 2.0.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K221449

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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