510(k) Report

510(k) · Cleared

Cleared

Akunah REFLECT

K222987510(k) TraditionalCleared May 10, 2023224-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

Akunah Pty, Ltd. · LLZ System, Image Processing, Radiological

Cleared on May 10, 2023 as substantially equivalent to K183105 (Materialise NV, 2019) after a 224-day review. Its family tree reaches back 5 generations to 1993. 1 later device descends from it.

Decided
May 10, 2023
Review
224 days
Class
Class II
Product code
LLZ
Recalls
None
Predicates
1

Its longest line of descent runs back 5 generations to K924630 (1993). 6 ancestors in all, the oldest K924810 (1993). 1 later device descends from it, 1 citing it directly.

Other ancestors, by generationDescendants, by generation 4 generations back: 1 other ancestor 1 generation forward: 1 descendant K183105 · Mimics Medical · Materialise NV · 2019K073468 · Mimics · Materialise NV · 2008K033849 · Simplant System · Materialise NV · 2004K970617 · CT-Modeller System · Materialise NV · 1997K924630 · Surgicad (TM) View (TM) · Surgicad Corp. · 1993−50
  1. Root · 5 generations backK924630 Surgicad (TM) View (TM)Surgicad Corp. · 1993
  2. 4 generations backK970617 CT-Modeller SystemMaterialise NV · 1997
  3. 3 generations backK033849 Simplant SystemMaterialise NV · 2004
  4. 2 generations backK073468 MimicsMaterialise NV · 2008
  5. 1 generation backK183105 Mimics MedicalMaterialise NV · 2019
  6. This deviceK222987 Akunah REFLECTAkunah Pty, Ltd. · 2023
  7. Descendant · cites it directly · 0 of its ownK253674 Blueprint Patient-Specific InstrumentationStryker Corporation (Tornier, S.A.S.) · 2026

Most influential descendants

Showing 1 of 1 · See all
  • K253674Blueprint Patient-Specific InstrumentationStryker Corporation (Tornier, S.A.S.) · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K924630Surgicad (TM) View (TM)Surgicad Corp.1993—
−4K970617CT-Modeller SystemMaterialise NV1997—
−3K033849Simplant SystemMaterialise NV2004—
−2K073468MimicsMaterialise NV2008—
−1K183105Mimics MedicalMaterialise NV2019—
0 (this device)K222987Akunah REFLECTAkunah Pty, Ltd.2023—
+1K253674Blueprint Patient-Specific InstrumentationStryker Corporation (Tornier, S.A.S.)2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K222987, 1993–2026Source: 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 LLZ? 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 LLZ device

  1. #1 K230955 syngo Application Softwarescore 21.5 · 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? (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
*K183105Mimics Medical
Summary page 4
…icate Device Trade Name 510(k) number Decision Date Applicant Mimics Medical (PRIMARY PREDICATE) K183105 March 27, 2019 Materialise NV BLUEPRINTTM Patient Specific K203315…
Materialise NV2019—
†K203315BLUEPRINT™ Patient Specific InstrumentationTornier S.A.S.2021—
†K193560Materialise Shoulder Guide and Models, Materialise SurgiCase Shoulder Planner…Materialise NV2020—

Also cleared against K183105: 16 other devices →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K253674Blueprint Patient-Specific InstrumentationStryker Corporation (Tornier, S.A.S.)20260

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 30 years and passes through 3 companies; a new generation was cleared every 4.1 years on median.
  • None of the 6 ancestors has a recall.
  • Of its descendants, K253674 (Stryker Corporation (Tornier, S.A.S.), 2026) has gone furthest, with 0 descendants of its own.
  • 16 other devices also cite its predicate K183105.

How does its category compare?

All LLZ devices

LLZ System, Image Processing, Radiological: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · LLZ

58in 2025

2007: 762008: 942009: 702010: 512011: 1062012: 822013: 952014: 782015: 642016: 822017: 782018: 1042019: 742020: 812021: 832022: 652023: 872024: 622025: 582026 (partial year): 45
2007high 106 (2011) · low 51 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LLZ

173in 2025

2007: 36 days median2008: 52 days median2009: 62 days median2010: 98 days median2011: 79 days median2012: 87 days median2013: 84 days median2014: 89 days median2015: 90 days median2016: 90 days median2017: 107 days median2018: 105 days median2019: 107 days median2020: 115 days median2021: 116 days median2022: 137 days median2023: 157 days median2024: 131 days median2025: 173 days median2026 (partial year): 110 days median
2007high 173 (2025) · low 36 (2007)2026

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

Recalls per year · LLZ

11in 2025

2007: 202008: 322009: 212010: 172011: 302012: 122013: 642014: 62015: 162016: 122017: 52018: 72019: 22020: 62021: 32022: 42023: 82024: 62025: 112026 (partial year): 14
2007high 64 (2013) · low 2 (2019)2026

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

Adverse event reports per year · LLZ

116in 2025

2007: 1522008: 1542009: 1452010: 1452011: 4542012: 2662013: 1,1302014: 15,6312015: 2112016: 2902017: 1042018: 722019: 882020: 822021: 702022: 282023: 262024: 422025: 116
2007high 15,631 (2014) · low 26 (2023)2025

MAUDE reports naming product code LLZ, 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
2007763620152
2008945232154
2009706221145
2010519817145
20111067930454
2012828712266
20139584641,130
20147889615,631
2015649016211
2016829012290
2017781075104
2018104105772
201974107288
202081115682
202183116370
202265137428
202387157826
202462131642
20255817311116
20264511014—

What is it indicated for?

Akunah Reflect Planning Software is intended to be used as a pre-surgical planner for shoulder arthroplasty, fracture, deformity correction and stabilisation procedures. The software is used to assist in the positioning of shoulder components. Akunah Reflect Planning Software allows surgeons to visualize, measure, reconstruct, and annotate anatomic data. The software leads to the generation of a planning report. The software is to be used for adult patients only and should not be used for diagnostic purposes. Akunah Reflect should be used in conjunction with expert clinical judgement.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K222987: Akunah REFLECT.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K222987

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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