510(k) Report

510(k) · Cleared

Cleared

X-Cube 50, X-Cube 60

K223564510(k) TraditionalCleared Apr 17, 2023139-day reviewClass II21 CFR 892.1550

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

Alpinion Medical Systems Co., Ltd. · IYN System, Imaging, Pulsed Doppler, Ultrasonic

Cleared on Apr 17, 2023 as substantially equivalent to K220857 (Alpinion Medical Systems Co., Ltd., 2022) after a 139-day review. Its family tree reaches back 31 generations to 1993. 6 of the 344 devices in its family, counting itself, have a Class I recall.

Decided
Apr 17, 2023
Review
139 days
Class
Class II
Product code
IYN
Recalls
None
Predicates
1

Its longest line of descent runs back 31 generations to K924432 (1993). 343 ancestors in all, the oldest K863700 (1987). No later device cites it as a predicate yet. 6 of the 344 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year cleared 2021: 1 other ancestor2020: 1 other ancestor2018: 1 other ancestor2016: 5 other ancestors2015: 4 other ancestors2017: 2 other ancestors2013: 17 other ancestors2012: 15 other ancestors2014: 10 other ancestors2010: 14 other ancestors2006: 12 other ancestors2004: 24 other ancestors, 1 with a Class I recall12003: 25 other ancestors2011: 15 other ancestors2009: 7 other ancestors2007: 9 other ancestors2005: 17 other ancestors2002: 21 other ancestors2000: 15 other ancestors, 1 with a Class I recall11999: 14 other ancestors1997: 12 other ancestors2001: 22 other ancestors1998: 13 other ancestors, 3 with a Class I recall31996: 6 other ancestors, 1 with a Class I recall12008: 8 other ancestors1995: 8 other ancestors1994: 8 other ancestors1993: 1 other ancestor1988: 1 other ancestor1991: 1 other ancestor1992: 1 other ancestor1989: 1 other ancestor1987: 1 other ancestorReference device: K221093 · X-Cube 70, X-Cube 90 · Alpinion Medical Systems Co., Ltd. · 2022K924432 · Medison 1500 · Medison Co., Ltd. · 1993K981510 · Sonoace 6000/ Ultramark 400 · Medison America, Inc. · 1998K990970 · Sonoace 6000C Diagnostic Ultrasound System and Transducers, Also Called Ultrasound System and Transducers · Medison America, Inc. · 1999K002185 · Sonoace SA 9900 Diagnostic Ultrasound System · Medison America, Inc. · 2000 · recalledK013627 · Sonoace SA-8000 Diagnostic Ultrasound System · Medison America, Inc. · 2001K032329 · SA 9900 Plus Diagnostic Ultrasound System · Medison America, Inc. · 2003K052911 · Accuvix XQ Diagnostic Ultrasound System · Medison Co., Ltd. · 2005×2: 2 generations cleared close together, K063580 (2006), K070813 (2007) K080800 · Accuvix V20 Diagnostic Ultrasound System · Medison Co., Ltd. · 2008K092159 · Accuvix V20 Diagnostic Ultrasound System · Medison Co., Ltd. · 2009K093849 · Accuvix V10 Diagnostic Ultrasound System · Medison Co., Ltd. · 2010K101455 · Eko 7 Diagnostic Ultrasound System · Medison Co., Ltd. · 2010K103397 · Accuvix XG Diagnostic Ultrasound System · Medison Co., Ltd. · 2011K112339 · Accuvix A30 Diagnostic Ultrasound System · Samsung Medison Co., Ltd. · 2011K122583 · Ugeo G60 Diagnostic Ultrasound System · Samsung Medison Co., Ltd. · 2012K130803 · Ugeo H70C Diagnostic Ultrasound System · Samsung Medison Co., Ltd. · 2013K133329 · Ugeo WS80A Diagnostic Ultrasound System · Samsung Medison Co., Ltd. · 2013×6: 6 generations cleared close together, K141620 (2014), K143089 (2014), K150478 (2015), K151663 (2015), K152962 (2015), K153529 (2016) K162094 · RS80A Diagnostic Ultrasound System · Samsung Medison Co., Ltd. · 2016K163691 · HS70A Diagnostic Ultrasound System · Samsung Medison Co., Ltd. · 2017K172732 · E-CUBE 8 · Alpinion Medical Systems Co., Ltd. · 2017K181277 · E-CUBE 12 · Alpinion Medical Systems Co., Ltd. · 2018K200449 · X-Cube 90 · Alpinion Medical Systems Co., Ltd. · 2020K211300 · X-CUBE 90 · Alpinion Medical Systems Co., Ltd. · 2021K220857 · X-Cube 50, X-Cube 60 · Alpinion Medical Systems Co., Ltd. · 20221990200020102020
Other ancestors, by generation 2 generations back: 1 other ancestor3 generations back: 1 other ancestor5 generations back: 3 other ancestors6 generations back: 6 other ancestors7 generations back: 16 other ancestors8 generations back: 35 other ancestors9 generations back: 71 other ancestors, 6 with a Class I recall610 generations back: 47 other ancestors11 generations back: 48 other ancestors12 generations back: 40 other ancestors13 generations back: 22 other ancestors14 generations back: 12 other ancestors15 generations back: 10 other ancestors K220857 · X-Cube 50, X-Cube 60 · Alpinion Medical Systems Co., Ltd. · 2022K211300 · X-CUBE 90 · Alpinion Medical Systems Co., Ltd. · 2021K200449 · X-Cube 90 · Alpinion Medical Systems Co., Ltd. · 2020K181277 · E-CUBE 12 · Alpinion Medical Systems Co., Ltd. · 2018K172732 · E-CUBE 8 · Alpinion Medical Systems Co., Ltd. · 2017K163691 · HS70A Diagnostic Ultrasound System · Samsung Medison Co., Ltd. · 2017K162094 · RS80A Diagnostic Ultrasound System · Samsung Medison Co., Ltd. · 2016K153529 · WS80A Diagnostic Ultrasound System · Samsung Medison Co., Ltd. · 2016 · recalledK152962 · HS70A Diagnostic Ultrasound System · Samsung Medison Co., Ltd. · 2015K151663 · RS80A Diagnostic Ultrasound System · Samsung Medison Co., Ltd. · 2015K150478 · A35 Diagnostic Ultrasound System · Samsung Medison Co., Ltd. · 2015K143089 · WS80A Diagnostic Ultrasound System · Samsung Medison Co., Ltd. · 2014K141620 · RS80A Diagnostic Ultrasound System · Samsung Medison Co., Ltd. · 2014K133329 · Ugeo WS80A Diagnostic Ultrasound System · Samsung Medison Co., Ltd. · 2013K130803 · Ugeo H70C Diagnostic Ultrasound System · Samsung Medison Co., Ltd. · 2013K122583 · Ugeo G60 Diagnostic Ultrasound System · Samsung Medison Co., Ltd. · 2012K112339 · Accuvix A30 Diagnostic Ultrasound System · Samsung Medison Co., Ltd. · 2011K103397 · Accuvix XG Diagnostic Ultrasound System · Medison Co., Ltd. · 2011K101455 · Eko 7 Diagnostic Ultrasound System · Medison Co., Ltd. · 2010K093849 · Accuvix V10 Diagnostic Ultrasound System · Medison Co., Ltd. · 2010K092159 · Accuvix V20 Diagnostic Ultrasound System · Medison Co., Ltd. · 2009K080800 · Accuvix V20 Diagnostic Ultrasound System · Medison Co., Ltd. · 2008K070813 · Accuvix V10 Diagnostic Ultrasound System · Medison Co., Ltd. · 2007K063580 · Sonoace X8 Diagnostic Ultrasound System · Medison Co., Ltd. · 2006K052911 · Accuvix XQ Diagnostic Ultrasound System · Medison Co., Ltd. · 2005K032329 · SA 9900 Plus Diagnostic Ultrasound System · Medison America, Inc. · 2003K013627 · Sonoace SA-8000 Diagnostic Ultrasound System · Medison America, Inc. · 2001K002185 · Sonoace SA 9900 Diagnostic Ultrasound System · Medison America, Inc. · 2000 · recalledK990970 · Sonoace 6000C Diagnostic Ultrasound System and Transducers, Also Called Ultrasound System and Transducers · Medison America, Inc. · 1999K981510 · Sonoace 6000/ Ultramark 400 · Medison America, Inc. · 1998K924432 · Medison 1500 · Medison Co., Ltd. · 1993−30−25−20−15−10−50
  1. Root · 31 generations backK924432 Medison 1500Medison Co., Ltd. · 1993
  2. 27 generations between
  3. 3 generations backK200449 X-Cube 90Alpinion Medical Systems Co., Ltd. · 2020
  4. 2 generations backK211300 X-CUBE 90Alpinion Medical Systems Co., Ltd. · 2021
  5. 1 generation backK220857 X-Cube 50, X-Cube 60Alpinion Medical Systems Co., Ltd. · 2022
  6. This deviceK223564 X-Cube 50, X-Cube 60Alpinion Medical Systems Co., Ltd. · 2023
Show all 31 generations
  1. Root · 31 generations backK924432 Medison 1500Medison Co., Ltd. · 1993
  2. 30 generations backK981510 Sonoace 6000/ Ultramark 400Medison America, Inc. · 1998
  3. 29 generations backK990970 Sonoace 6000C Diagnostic Ultrasound System and Transducers, Also…Medison America, Inc. · 1999
  4. 28 generations backK002185 Sonoace SA 9900 Diagnostic Ultrasound SystemMedison America, Inc. · 2000 · Recalled
  5. 27 generations backK013627 Sonoace SA-8000 Diagnostic Ultrasound SystemMedison America, Inc. · 2001
  6. 26 generations backK032329 SA 9900 Plus Diagnostic Ultrasound SystemMedison America, Inc. · 2003
  7. 25 generations backK052911 Accuvix XQ Diagnostic Ultrasound SystemMedison Co., Ltd. · 2005
  8. 24 generations backK063580 Sonoace X8 Diagnostic Ultrasound SystemMedison Co., Ltd. · 2006
  9. 23 generations backK070813 Accuvix V10 Diagnostic Ultrasound SystemMedison Co., Ltd. · 2007
  10. 22 generations backK080800 Accuvix V20 Diagnostic Ultrasound SystemMedison Co., Ltd. · 2008
  11. 21 generations backK092159 Accuvix V20 Diagnostic Ultrasound SystemMedison Co., Ltd. · 2009
  12. 20 generations backK093849 Accuvix V10 Diagnostic Ultrasound SystemMedison Co., Ltd. · 2010
  13. 19 generations backK101455 Eko 7 Diagnostic Ultrasound SystemMedison Co., Ltd. · 2010
  14. 18 generations backK103397 Accuvix XG Diagnostic Ultrasound SystemMedison Co., Ltd. · 2011
  15. 17 generations backK112339 Accuvix A30 Diagnostic Ultrasound SystemSamsung Medison Co., Ltd. · 2011
  16. 16 generations backK122583 Ugeo G60 Diagnostic Ultrasound SystemSamsung Medison Co., Ltd. · 2012
  17. 15 generations backK130803 Ugeo H70C Diagnostic Ultrasound SystemSamsung Medison Co., Ltd. · 2013
  18. 14 generations backK133329 Ugeo WS80A Diagnostic Ultrasound SystemSamsung Medison Co., Ltd. · 2013
  19. 13 generations backK141620 RS80A Diagnostic Ultrasound SystemSamsung Medison Co., Ltd. · 2014
  20. 12 generations backK143089 WS80A Diagnostic Ultrasound SystemSamsung Medison Co., Ltd. · 2014
  21. 11 generations backK150478 A35 Diagnostic Ultrasound SystemSamsung Medison Co., Ltd. · 2015
  22. 10 generations backK151663 RS80A Diagnostic Ultrasound SystemSamsung Medison Co., Ltd. · 2015
  23. 9 generations backK152962 HS70A Diagnostic Ultrasound SystemSamsung Medison Co., Ltd. · 2015
  24. 8 generations backK153529 WS80A Diagnostic Ultrasound SystemSamsung Medison Co., Ltd. · 2016 · Recalled
  25. 7 generations backK162094 RS80A Diagnostic Ultrasound SystemSamsung Medison Co., Ltd. · 2016
  26. 6 generations backK163691 HS70A Diagnostic Ultrasound SystemSamsung Medison Co., Ltd. · 2017
  27. 5 generations backK172732 E-CUBE 8Alpinion Medical Systems Co., Ltd. · 2017
  28. 4 generations backK181277 E-CUBE 12Alpinion Medical Systems Co., Ltd. · 2018
  29. 3 generations backK200449 X-Cube 90Alpinion Medical Systems Co., Ltd. · 2020
  30. 2 generations backK211300 X-CUBE 90Alpinion Medical Systems Co., Ltd. · 2021
  31. 1 generation backK220857 X-Cube 50, X-Cube 60Alpinion Medical Systems Co., Ltd. · 2022
  32. This deviceK223564 X-Cube 50, X-Cube 60Alpinion Medical Systems Co., Ltd. · 2023

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−31K924432Medison 1500Medison Co., Ltd.1993—
−30K981510Sonoace 6000/ Ultramark 400Medison America, Inc.1998—
−29K990970Sonoace 6000C Diagnostic Ultrasound System and Transducers, Also Called…Medison America, Inc.1999—
−28K002185Sonoace SA 9900 Diagnostic Ultrasound SystemMedison America, Inc.20001
−27K013627Sonoace SA-8000 Diagnostic Ultrasound SystemMedison America, Inc.2001—
−26K032329SA 9900 Plus Diagnostic Ultrasound SystemMedison America, Inc.2003—
−25K052911Accuvix XQ Diagnostic Ultrasound SystemMedison Co., Ltd.2005—
−24K063580Sonoace X8 Diagnostic Ultrasound SystemMedison Co., Ltd.2006—
−23K070813Accuvix V10 Diagnostic Ultrasound SystemMedison Co., Ltd.2007—
−22K080800Accuvix V20 Diagnostic Ultrasound SystemMedison Co., Ltd.2008—
−21K092159Accuvix V20 Diagnostic Ultrasound SystemMedison Co., Ltd.2009—
−20K093849Accuvix V10 Diagnostic Ultrasound SystemMedison Co., Ltd.2010—
−19K101455Eko 7 Diagnostic Ultrasound SystemMedison Co., Ltd.2010—
−18K103397Accuvix XG Diagnostic Ultrasound SystemMedison Co., Ltd.2011—
−17K112339Accuvix A30 Diagnostic Ultrasound SystemSamsung Medison Co., Ltd.2011—
−16K122583Ugeo G60 Diagnostic Ultrasound SystemSamsung Medison Co., Ltd.2012—
−15K130803Ugeo H70C Diagnostic Ultrasound SystemSamsung Medison Co., Ltd.2013—
−14K133329Ugeo WS80A Diagnostic Ultrasound SystemSamsung Medison Co., Ltd.2013—
−13K141620RS80A Diagnostic Ultrasound SystemSamsung Medison Co., Ltd.2014—
−12K143089WS80A Diagnostic Ultrasound SystemSamsung Medison Co., Ltd.2014—
−11K150478A35 Diagnostic Ultrasound SystemSamsung Medison Co., Ltd.2015—
−10K151663RS80A Diagnostic Ultrasound SystemSamsung Medison Co., Ltd.2015—
−9K152962HS70A Diagnostic Ultrasound SystemSamsung Medison Co., Ltd.2015—
−8K153529WS80A Diagnostic Ultrasound SystemSamsung Medison Co., Ltd.20161
−7K162094RS80A Diagnostic Ultrasound SystemSamsung Medison Co., Ltd.2016—
−6K163691HS70A Diagnostic Ultrasound SystemSamsung Medison Co., Ltd.2017—
−5K172732E-CUBE 8Alpinion Medical Systems Co., Ltd.2017—
−4K181277E-CUBE 12Alpinion Medical Systems Co., Ltd.2018—
−3K200449X-Cube 90Alpinion Medical Systems Co., Ltd.2020—
−2K211300X-CUBE 90Alpinion Medical Systems Co., Ltd.2021—
−1K220857X-Cube 50, X-Cube 60Alpinion Medical Systems Co., Ltd.2022—
0 (this device)K223564X-Cube 50, X-Cube 60Alpinion Medical Systems Co., Ltd.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710
198810
198910
199110
199210
199310
199480
199580
199661
1997120
1998133
1999140
2000151
2001220
2002210
2003250
2004241
2005170
2006120
200790
200880
200970
2010140
2011150
2012150
2013170
2014100
201540
201650
201720
201810
202010
202110
FIG. 1 — Lineage of K223564, 1993–2023Source: 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.

6 devices in this family have 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 IYN device

  1. #1 K240850 EPIQ Series Diagnostic Ultrasound Systems…score 32.1 · 24 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
*K220857X-Cube 50, X-Cube 60
Summary page 4
…Ultrasonic Pulsed Echo Imaging System, 21CFR 892.1560, 90-IYO Diagnostic Ultrasound Transducer, 21CFR 892.1570, 90-ITX Predicate Device K220857 X-CUBE 50, X-CUBE 60 Ultrasonic Pulsed Doppler Imaging System Reference K221093 X-CUBE 70, X-CUBE 90 Ultrasonic Pulse…
Alpinion Medical Systems Co., Ltd.2022—
†K221093X-Cube 70, X-Cube 90Alpinion Medical Systems Co., Ltd.2022—

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (6 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.

  • K040050Instatrak System with Multiple Dataset Navigation, Model IT3500Ge Medical Systems Navigation and Visualization IN · 2004 · 9 generations back · ◆ in the 2004 ancestors bar of FIG. 11 Class I recall
  • K994270Instatrak 3000 System with Fluorotrak Module, Model IT3000Visualization Technology, Inc. · 2000 · 9 generations back · ◆ in the 2000 ancestors bar of FIG. 12 Class I recalls
  • K983529Instatrak 3000Visualization Technology, Inc. · 1998 · 9 generations back · ◆ in the 1998 ancestors bar of FIG. 11 Class I recall
  • K982994Skull Base Instatrak SystemVisualization Technology, Inc. · 1998 · 9 generations back · ◆ in the 1998 ancestors bar of FIG. 11 Class I recall
  • K981998Pediatric Instatrak SystemVisualization Technology, Inc. · 1998 · 9 generations back · ◆ in the 1998 ancestors bar of FIG. 11 Class I recall
  • K960330InstatrakVisualization Technology, Inc. · 1996 · 9 generations back · ◆ in the 1996 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 30 years and passes through 4 companies; a new generation was cleared every 8 months on median.
  • 87 of the 343 ancestors have a recall of any class; 6 have a Class I recall.

How does its category compare?

All IYN devices

IYN System, Imaging, Pulsed Doppler, Ultrasonic: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · IYN

57in 2025

2007: 132008: 252009: 182010: 292011: 392012: 432013: 512014: 562015: 542016: 602017: 642018: 592019: 472020: 572021: 462022: 532023: 442024: 502025: 572026 (partial year): 44
2007high 64 (2017) · low 13 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · IYN

124in 2025

2007: 26 days median2008: 18 days median2009: 29 days median2010: 67 days median2011: 46 days median2012: 37 days median2013: 60 days median2014: 39 days median2015: 55 days median2016: 56 days median2017: 83 days median2018: 85 days median2019: 79 days median2020: 72 days median2021: 105 days median2022: 105 days median2023: 115 days median2024: 119 days median2025: 124 days median2026 (partial year): 107 days median
2007high 124 (2025) · low 18 (2008)2026

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

Recalls per year · IYN

10in 2025

2007: 162008: 122009: 82010: 102011: 82012: 32013: 82014: 22015: 32016: 22018: 72020: 42021: 82022: 102023: 42024: 12025: 102026 (partial year): 2, 1 Class I
2007high 16 (2007) · low 0 (2017)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · IYN

610in 2025

2007: 32008: 22009: 92010: 172011: 182012: 202013: 182014: 482015: 1162016: 1452017: 1462018: 852019: 592020: 672021: 2132022: 1862023: 2292024: 2662025: 610
2007high 610 (2025) · low 2 (2008)2025

MAUDE reports naming product code IYN, 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
20071326163
20082518122
2009182989
201029671017
20113946818
20124337320
20135160818
20145639248
201554553116
201660562145
201764830146
20185985785
20194779059
20205772467
2021461058213
20225310510186
2023441154229
2024501191266
20255712410610
2026441072 (1)—

What is it indicated for?

The X-CUBE 50, X-CUBE 60 diagnostic ultrasound systems are intended for use by, or by the order of, and under the supervision of, a licensed physician who is qualified for the evaluation of soft tissue and blood flow in the clinical applications of Fetal; Abdominal(renal & GYN/pelvic); Pediatric; Small Organ(breast, testes, thyroid); Neonatal Cephalic; Adult Cephalic; Trans-rectal; Trans-vaginal; Musculo-skeletal(Conventional)…

Read the full statement (131 words)

The X-CUBE 50, X-CUBE 60 diagnostic ultrasound systems are intended for use by, or by the order of, and under the supervision of, a licensed physician who is qualified for the evaluation of soft tissue and blood flow in the clinical applications of Fetal; Abdominal(renal & GYN/pelvic); Pediatric; Small Organ(breast, testes, thyroid); Neonatal Cephalic; Adult Cephalic; Trans-rectal; Trans-vaginal; Musculo-skeletal(Conventional); Musculo-skeletal(Superficial); Cardiac(adult& pediatric); Peripheral Vessel(PV); and Urology(including prostate).

And, in the imaging modes of 2D(B) mode; Harmonic mode(HAR); M mode; Color M mode; Anatomical M mode; Color Flow Doppler(CF) Mode; Power Doppler(PD) Mode; Directional PD mode; Pulsed Wave Doppler(PWD) Mode; Continuous Wave Doppler(CWD) Mode; High PRF(Pulse Repetition Frequency) Doppler mode; Tissue Doppler Imaging(TDI) Mode; 3D/4D mode.

The X-CUBE 50, X-CUBE 60 are intended to be used in a hospital or medical clinic.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K223564: X-Cube 50, X-Cube 60.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K223564

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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