510(k) Report

510(k) · Cleared

Cleared

KBA3D

K223841510(k) TraditionalCleared May 30, 2023159-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

S.M.A.I.O · LLZ System, Image Processing, Radiological

Cleared on May 30, 2023 as substantially equivalent to K213975 (S.M.A.I.O, 2022) and 2 other predicates after a 159-day review. Its family tree reaches back 13 generations to 1990. 1 later device descends from it.

Decided
May 30, 2023
Review
159 days
Class
Class II
Product code
LLZ
Recalls
None
Predicates
3

Its longest line of descent runs back 13 generations to K896095 (1990). 26 ancestors in all. 1 later device descends from it, 1 citing it directly.

  1. Root · 13 generations backK896095 Images-on-Call Teleradiology SystemDevices & Services Co. · 1990
  2. 9 generations between
  3. 3 generations backK170172 UNiD Spine AnalyzerMedicrea International · 2017
  4. 2 generations backK180091 UNiD Spine AnalyzerMedicrea International · 2018
  5. 1 generation backK213975 KEOPS Balance Analyzer 3DS.M.A.I.O · 2022
  6. This deviceK223841 KBA3DS.M.A.I.O · 2023
  7. Descendant · cites it directly · 0 of its ownK261500 KBA3D (v2.4.0)S.M.A.I.O · 2026
Show all 13 generations
  1. Root · 13 generations backK896095 Images-on-Call Teleradiology SystemDevices & Services Co. · 1990
  2. 12 generations backK962699 Radworks Medical Imaging SoftwareApplicare Medical Imaging, B.V. · 1996
  3. 11 generations backK982862 Radworks Medical Imaging Software with Quality Control ModuleApplicare Medical Imaging, B.V. · 1998
  4. 10 generations backK012211 Efilm WorkstationEfilm Medical, Inc. · 2001 · Recalled
  5. 9 generations backK020995 Efilm Workstation with ModulesEfilm Medical, Inc. · 2002 · Recalled
  6. 8 generations backK032401 OrthoviewOmsbar, Ltd. · 2003
  7. 7 generations backK042816 Traumacad 1.2Orthocrat, Ltd. · 2004
  8. 6 generations backK073714 Traumacad Version 2.0Orthocrat, Ltd. · 2008
  9. 5 generations backK111019 Surgimap (TM) SpineNemaris, Inc. · 2011
  10. 4 generations backK141669 SurgimapNemaris, Inc. · 2014
  11. 3 generations backK170172 UNiD Spine AnalyzerMedicrea International · 2017
  12. 2 generations backK180091 UNiD Spine AnalyzerMedicrea International · 2018
  13. 1 generation backK213975 KEOPS Balance Analyzer 3DS.M.A.I.O · 2022
  14. This deviceK223841 KBA3DS.M.A.I.O · 2023

Most influential descendants

Showing 1 of 1 · See all
  • K261500KBA3D (v2.4.0)S.M.A.I.O · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K896095Images-on-Call Teleradiology SystemDevices & Services Co.1990—
−12K962699Radworks Medical Imaging SoftwareApplicare Medical Imaging, B.V.1996—
−11K982862Radworks Medical Imaging Software with Quality Control ModuleApplicare Medical Imaging, B.V.1998—
−10K012211Efilm WorkstationEfilm Medical, Inc.20011
−9K020995Efilm Workstation with ModulesEfilm Medical, Inc.20022
−8K032401OrthoviewOmsbar, Ltd.2003—
−7K042816Traumacad 1.2Orthocrat, Ltd.2004—
−6K073714Traumacad Version 2.0Orthocrat, Ltd.2008—
−5K111019Surgimap (TM) SpineNemaris, Inc.2011—
−4K141669SurgimapNemaris, Inc.2014—
−3K170172UNiD Spine AnalyzerMedicrea International2017—
−2K180091UNiD Spine AnalyzerMedicrea International2018—
−1K213975KEOPS Balance Analyzer 3DS.M.A.I.O2022—
0 (this device)K223841KBA3DS.M.A.I.O2023—
+1K261500KBA3D (v2.4.0)S.M.A.I.O2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199120
199410
199810
200010
200130
200220
200310
200510
200710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K223841, 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 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? (3)

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
*K213975KEOPS Balance Analyzer 3D
Summary page 4
…LLZ Classification Panel: Radiology Devices Regulation Number: 21 CFR sections 892.2050 C1. PRIMARY PREDICATE DEVICE K213975 KEOPS Balance Analyzer 3D (KBA3D) C2. PREDICATE DEVICES K180091…
S.M.A.I.O2022—
*K180091UNiD Spine Analyzer
Summary page 4
…21 CFR sections 892.2050 C1. PRIMARY PREDICATE DEVICE K213975 KEOPS Balance Analyzer 3D (KBA3D) C2. PREDICATE DEVICES K180091 UNiD Spine Analyzer, Medicrea International K141669 Nemar…
Medicrea International2018—
*K141669Surgimap
Summary page 4
…KEOPS Balance Analyzer 3D (KBA3D) C2. PREDICATE DEVICES K180091 UNiD Spine Analyzer, Medicrea International K141669 Nemaris Surgimap 2.0 C3. REFERENCE DEVICE K210574 NuVasiv…
Nemaris, Inc.2014—
†K210574NuVasive Pulse SystemNu Vasive, Incorporated20211

Also cleared against K213975: 1 other device →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K261500KBA3D (v2.4.0)S.M.A.I.O20260

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 8 companies; a new generation was cleared every 2.7 years on median.
  • 5 of the 26 ancestors have a recall of any class.
  • Of its descendants, K261500 (S.M.A.I.O, 2026) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K213975.

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?

The KBA3D v2.0.0 is intended for assisting healthcare professionals in viewing and measuring images as well as planning spine surgeries. The device allows surgeons and service providers to perform spine related measurements on images, and to plan surgical procedures. The device also includes tools for measuring anatomical components for design and placement of surgical implants. Clinical judgment and experience are required to properly use the software.…

Read the full statement (105 words)

The KBA3D v2.0.0 is intended for assisting healthcare professionals in viewing and measuring images as well as planning spine surgeries. The device allows surgeons and service providers to perform spine related measurements on images, and to plan surgical procedures. The device also includes tools for measuring anatomical components for design and placement of surgical implants. Clinical judgment and experience are required to properly use the software.

The patient population targeted with the use of the KBA3D v2.0.0 software includes patients with mature skeletons requiring imaging measurements and planning of surgical procedures. The Bendini Rod Bending algorithm is intended for patients older than 22 years old.

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. “K223841: KBA3D.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K223841

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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