510(k) Report

510(k) · Cleared

Cleared

MPXA-2000

K222036510(k) TraditionalCleared Mar 22, 2023254-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

Medipixel, Inc. · QIH Automated Radiological Image Processing Software

Cleared on Mar 22, 2023 as substantially equivalent to K112807 (Medis Medical Imaging Systems BV, 2012) after a 254-day review. Its family tree reaches back 5 generations to 1990. 1 later device descends from it.

Decided
Mar 22, 2023
Review
254 days
Class
Class II
Product code
QIH
Recalls
None
Predicates
1

Its longest line of descent runs back 5 generations to K896095 (1990). 18 ancestors in all. 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2005: 1 other ancestor2003: 1 other ancestor1999: 2 other ancestors2004: 1 other ancestor2001: 1 other ancestor1998: 1 other ancestor1995: 2 other ancestors1994: 1 other ancestor1992: 2 other ancestors1991: 1 other ancestor2026: 1 descendant clearedK896095 · Images-on-Call Teleradiology System · Devices & Services Co. · 1990K962699 · Radworks Medical Imaging Software · Applicare Medical Imaging, B.V. · 1996K982862 · Radworks Medical Imaging Software with Quality Control Module · Applicare Medical Imaging, B.V. · 1998K993761 · Cardiovascular Measurement System - View · Medis Medical Imaging Systems BV · 1999K112807 · X-Ray Vva · Medis Medical Imaging Systems BV · 20121990200020102020
  1. Root · 5 generations backK896095 Images-on-Call Teleradiology SystemDevices & Services Co. · 1990
  2. 4 generations backK962699 Radworks Medical Imaging SoftwareApplicare Medical Imaging, B.V. · 1996
  3. 3 generations backK982862 Radworks Medical Imaging Software with Quality Control ModuleApplicare Medical Imaging, B.V. · 1998
  4. 2 generations backK993761 Cardiovascular Measurement System - ViewMedis Medical Imaging Systems BV · 1999
  5. 1 generation backK112807 X-Ray VvaMedis Medical Imaging Systems BV · 2012
  6. This deviceK222036 MPXA-2000Medipixel, Inc. · 2023
  7. Descendant · cites it directly · 0 of its ownK252634 Imagine® Enterprise SuiteSoftlink International Private Limited · 2026

Most influential descendants

Showing 1 of 1 · See all
  • K252634Imagine® Enterprise SuiteSoftlink International Private Limited · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K896095Images-on-Call Teleradiology SystemDevices & Services Co.1990—
−4K962699Radworks Medical Imaging SoftwareApplicare Medical Imaging, B.V.1996—
−3K982862Radworks Medical Imaging Software with Quality Control ModuleApplicare Medical Imaging, B.V.1998—
−2K993761Cardiovascular Measurement System - ViewMedis Medical Imaging Systems BV1999—
−1K112807X-Ray VvaMedis Medical Imaging Systems BV2012—
0 (this device)K222036MPXA-2000Medipixel, Inc.2023—
+1K252634Imagine® Enterprise SuiteSoftlink International Private Limited2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199110
199220
199410
199520
199810
199920
200110
200310
200410
200510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K222036, 1990–2026Source: 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.

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 K213998 cvi42 Auto Imaging Software Applicationscore 23.5 · 7 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
*K112807X-Ray Vva
Summary page 4
…CATE DEVICE [21 CFR 807.92(a)(3)] The identified predicate devices within this submission are shown as follows: Proprietary Name QAngio XA (X-RAY VVA, K112807) Common/Usual Name: Radiological Image Processing Software Product Code LLZ Medipixel, Inc.…
Medis Medical Imaging Systems BV2012—

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K252634Imagine® Enterprise SuiteSoftlink International Private Limited20260

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 33 years and passes through 4 companies; a new generation was cleared every 6.5 years on median.
  • 1 of the 18 ancestors has a recall of any class.
  • Of its descendants, K252634 (Softlink International Private Limited, 2026) has gone furthest, with 0 descendants of its own.

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. 2023, 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?

MPXA-2000 is indicated for use in clinical settings where validated and reproducible quantified results are needed to support the calculations in X-ray angiographic images of the coronary arteries, for use on individual patients with coronary artery disease (CAD). MPXA-2000 is indicated for use in adult patient only. When the quantified results provided by MPXA-2000 are used in a clinical setting on X-ray images of an individual patient, they can be used…

Read the full statement (120 words)

MPXA-2000 is indicated for use in clinical settings where validated and reproducible quantified results are needed to support the calculations in X-ray angiographic images of the coronary arteries, for use on individual patients with coronary artery disease (CAD). MPXA-2000 is indicated for use in adult patient only.

When the quantified results provided by MPXA-2000 are used in a clinical setting on X-ray images of an individual patient, they can be used to support the clinical decisions making for the diagnosis of the patient or the evaluation of the treatment applied. In this case, the results are explicitly not to be regarded as the sole, irrefutable basis for clinical diagnosis, and they are only intended for use by the responsible clinicians.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K222036: MPXA-2000.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K222036

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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