510(k) · Cleared
ClearedOrionXR
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Hoth Intelligence, Inc. · LLZ System, Image Processing, Radiological
Cleared on Sep 14, 2023 as substantially equivalent to K213128 (Xironetic, LLC, 2022) after a 52-day review. Its family tree reaches back 11 generations to 1993.
- Decided
- Sep 14, 2023
- Review
- 52 days
- Class
- Class II
- Product code
- LLZ
- Recalls
- None
- Predicates
- 1
Its longest line of descent runs back 11 generations to K924630 (1993). 51 ancestors in all, the oldest K890348 (1989). No later device cites it as a predicate yet.
- Root · 11 generations backK924630 Surgicad (TM) View (TM)Surgicad Corp. · 1993
- 7 generations between
- 3 generations backK170167 True 3D Viewer SoftwareEchopixel, Inc. · 2017 · Recalled
- 2 generations backK172418 OpenSightNovarad Corporation · 2018
- 1 generation backK213128 IntraOp VSP Software DeviceXironetic, LLC · 2022
- This deviceK232189 OrionXRHoth Intelligence, Inc. · 2023
Show all 11 generations
- Root · 11 generations backK924630 Surgicad (TM) View (TM)Surgicad Corp. · 1993
- 10 generations backK970617 CT-Modeller SystemMaterialise NV · 1997
- 9 generations backK033849 Simplant SystemMaterialise NV · 2004
- 8 generations backK073468 MimicsMaterialise NV · 2008
- 7 generations backK093269 Procedure Rehearsal StudioSimbionix, Ltd. · 2010
- 6 generations backK112387 Procedure Rehearsal Studio (TM)Simbionix, Ltd. · 2011
- 5 generations backK123023 Surgery Rehearsal PlatformSurgical Theater, LLC · 2013
- 4 generations backK142107 Echo True 3D ViewerEchopixel, Inc. · 2015 · Recalled
- 3 generations backK170167 True 3D Viewer SoftwareEchopixel, Inc. · 2017 · Recalled
- 2 generations backK172418 OpenSightNovarad Corporation · 2018
- 1 generation backK213128 IntraOp VSP Software DeviceXironetic, LLC · 2022
- This deviceK232189 OrionXRHoth Intelligence, Inc. · 2023
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −11 | K924630 | Surgicad (TM) View (TM) | Surgicad Corp. | 1993 | — |
| −10 | K970617 | CT-Modeller System | Materialise NV | 1997 | — |
| −9 | K033849 | Simplant System | Materialise NV | 2004 | — |
| −8 | K073468 | Mimics | Materialise NV | 2008 | — |
| −7 | K093269 | Procedure Rehearsal Studio | Simbionix, Ltd. | 2010 | — |
| −6 | K112387 | Procedure Rehearsal Studio (TM) | Simbionix, Ltd. | 2011 | — |
| −5 | K123023 | Surgery Rehearsal Platform | Surgical Theater, LLC | 2013 | — |
| −4 | K142107 | Echo True 3D Viewer | Echopixel, Inc. | 2015 | 1 |
| −3 | K170167 | True 3D Viewer Software | Echopixel, Inc. | 2017 | 1 |
| −2 | K172418 | OpenSight | Novarad Corporation | 2018 | — |
| −1 | K213128 | IntraOp VSP Software Device | Xironetic, LLC | 2022 | — |
| 0 (this device) | K232189 | OrionXR | Hoth Intelligence, Inc. | 2023 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1989 | 1 | 0 |
| 1993 | 3 | 0 |
| 1994 | 2 | 0 |
| 1995 | 2 | 0 |
| 1996 | 1 | 0 |
| 1997 | 1 | 0 |
| 1998 | 3 | 0 |
| 1999 | 1 | 0 |
| 2000 | 4 | 0 |
| 2001 | 4 | 0 |
| 2002 | 2 | 0 |
| 2003 | 6 | 0 |
| 2004 | 6 | 0 |
| 2006 | 2 | 0 |
| 2007 | 1 | 0 |
| 2017 | 1 | 0 |
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 K230955 syngo Application Softwarescore 21.5 · 11 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the 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.
| Type | Number | Device | Decided |
|---|---|---|---|
| * | K213128 | IntraOp VSP Software DeviceSummary page 4…me: Medical image management and processing system Classification and Product Code: 21 CFR 892.2050; LLZ Predicate Device: Xironetic, LLC’s IntraOpVSP Software Device (K213128) Intended Use / Indications for Use OrionXR is a software device for display, manipulation, and evaluation of externally-genera… | 2022 |
What descends from it?
No later submission names this one as a predicate yet.
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 8 companies; a new generation was cleared every 2.1 years on median.
- 21 of the 51 ancestors have a recall of any class.
How does its category compare?
All LLZ devicesLLZ 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
2026 to Oct 25, outlined.
Median 510(k) review, days · LLZ
173in 2025
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · LLZ
11in 2025
Class I (0 since 2007) Class II/III not classified
Adverse event reports per year · LLZ
116in 2025
MAUDE reports naming product code LLZ, not matched to any one device; reports are not rates.
View these four charts as a table
| Year | Decisions | Median 510(k) review, days | Recalls (Class I) | MAUDE reports |
|---|---|---|---|---|
| 2007 | 76 | 36 | 20 | 152 |
| 2008 | 94 | 52 | 32 | 154 |
| 2009 | 70 | 62 | 21 | 145 |
| 2010 | 51 | 98 | 17 | 145 |
| 2011 | 106 | 79 | 30 | 454 |
| 2012 | 82 | 87 | 12 | 266 |
| 2013 | 95 | 84 | 64 | 1,130 |
| 2014 | 78 | 89 | 6 | 15,631 |
| 2015 | 64 | 90 | 16 | 211 |
| 2016 | 82 | 90 | 12 | 290 |
| 2017 | 78 | 107 | 5 | 104 |
| 2018 | 104 | 105 | 7 | 72 |
| 2019 | 74 | 107 | 2 | 88 |
| 2020 | 81 | 115 | 6 | 82 |
| 2021 | 83 | 116 | 3 | 70 |
| 2022 | 65 | 137 | 4 | 28 |
| 2023 | 87 | 157 | 8 | 26 |
| 2024 | 62 | 131 | 6 | 42 |
| 2025 | 58 | 173 | 11 | 116 |
| 2026 | 45 | 110 | 14 | — |
What is it indicated for?
OrionXR is a software device for display, manipulation, and evaluation of externally-generated 3D models of patient anatomy through an Augmented Reality Head Mounted Display (HMD) to assist in visualization, planning and communication of treatment options. OrionXR is indicated for use by qualified healthcare professionals including but not restricted to radiologists, non-radiology specialists, physicians, and technologists. Digital models viewed through…
Read the full statement (107 words)
OrionXR is a software device for display, manipulation, and evaluation of externally-generated 3D models of patient anatomy through an Augmented Reality Head Mounted Display (HMD) to assist in visualization, planning and communication of treatment options.
OrionXR is indicated for use by qualified healthcare professionals including but not restricted to radiologists, non-radiology specialists, physicians, and technologists.
Digital models viewed through the HMD are for informational purposes only and not intended for diagnostic use. OrionXR is not intended to guide surgical instrumentation and it is not to be used for stereotactic procedures or surgical navigation.
OrionXR software is designed for use with performance-tested hardware specified in the User Manual.
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K232189 · printed Nov 6, 2026
Cite this page
510(k) Report. “K232189: OrionXR.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K232189
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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