510(k) Report

510(k) · Cleared

Cleared

Myocardial Strain Software Application

K232661510(k) TraditionalCleared Dec 7, 202398-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

Circle Cardiovascular Imaging · LLZ System, Image Processing, Radiological

Cleared on Dec 7, 2023 as substantially equivalent to K120135 (Tomtec Imaging Systems GmbH, 2012) after a 98-day review. Its family tree reaches back 13 generations to 1995. 1 later device descends from it.

Decided
Dec 7, 2023
Review
98 days
Class
Class II
Product code
LLZ
Recalls
None
Predicates
1

Its longest line of descent runs back 13 generations to K935595 (1995). 70 ancestors in all, the oldest K900889 (1990). 1 later device descends from it, 1 citing it directly.

Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor3 generations back: 2 other ancestors4 generations back: 5 other ancestors5 generations back: 5 other ancestors6 generations back: 10 other ancestors7 generations back: 17 other ancestors8 generations back: 11 other ancestors9 generations back: 6 other ancestors 1 generation forward: 1 descendant K120135 · 2D Cardiac Performance Analysis MR 1.0 · Tomtec Imaging Systems GmbH · 2012K090461 · Image-Arena 4.0 and IA Applications 2D Cardiac Performance Analysis 1.0 · Tomtec Imaging Systems GmbH · 2009 · recalledK072090 · Siemens Diagnostic Ultrasound Systems · Siemens Medical Solutions USA, Inc., Ultrasound DI · 2007K071036 · Modification to Acuson X300 Ultrasound System · Siemens Medical Solutions USA, Inc., Ultrasound DI · 2007K061946 · Acuson X300 Diagnostic Ultrasound System · Siemens Medical Solutions USA, Inc. · 2006 · recalledK052894 · Sonoline G60 S Ultrasound System · Siemens Medical Solutions USA, Inc. · 2005 · recalledK050240 · Modification to Acuson CV70 Cardiovascular System · Siemens Medical Solutions USA, Inc. · 2005 · recalledK042770 · Modification to Acuson CV70 Cardiovascular System · Siemens Medical Solutions USA, Inc. · 2004 · recalledK041319 · Sequoia Diagnostic Ultrasound System · Siemens Medical Solutions USA, Inc. · 2004K032114 · Sequoia 8.0 Diagnostic Ultrasound System · Siemens Medical Solutions USA, Inc. · 2003K022567 · Sequoia Signature II Diagnostic Ultrasound System · Acuson Corp. · 2002K973767 · Harmonic Imaging with Contrast · Acuson Corp. · 1997K935595 · Acuson Model 3001 · Acuson Corp. · 1995−10−50
  1. Root · 13 generations backK935595 Acuson Model 3001Acuson Corp. · 1995
  2. 9 generations between
  3. 3 generations backK072090 Siemens Diagnostic Ultrasound SystemsSiemens Medical Solutions USA, Inc., Ultrasound DI · 2007
  4. 2 generations backK090461 Image-Arena 4.0 and IA Applications 2D Cardiac Performance Analysis…Tomtec Imaging Systems GmbH · 2009 · Recalled
  5. 1 generation backK120135 2D Cardiac Performance Analysis MR 1.0Tomtec Imaging Systems GmbH · 2012
  6. This deviceK232661 Myocardial Strain Software ApplicationCircle Cardiovascular Imaging · 2023
  7. Descendant · cites it directly · 0 of its ownK242781 cvi42 Software ApplicationCircle Cardiovascular Imaging, Inc. · 2024
Show all 13 generations
  1. Root · 13 generations backK935595 Acuson Model 3001Acuson Corp. · 1995
  2. 12 generations backK973767 Harmonic Imaging with ContrastAcuson Corp. · 1997
  3. 11 generations backK022567 Sequoia Signature II Diagnostic Ultrasound SystemAcuson Corp. · 2002
  4. 10 generations backK032114 Sequoia 8.0 Diagnostic Ultrasound SystemSiemens Medical Solutions USA, Inc. · 2003
  5. 9 generations backK041319 Sequoia Diagnostic Ultrasound SystemSiemens Medical Solutions USA, Inc. · 2004
  6. 8 generations backK042770 Modification to Acuson CV70 Cardiovascular SystemSiemens Medical Solutions USA, Inc. · 2004 · Recalled
  7. 7 generations backK050240 Modification to Acuson CV70 Cardiovascular SystemSiemens Medical Solutions USA, Inc. · 2005 · Recalled
  8. 6 generations backK052894 Sonoline G60 S Ultrasound SystemSiemens Medical Solutions USA, Inc. · 2005 · Recalled
  9. 5 generations backK061946 Acuson X300 Diagnostic Ultrasound SystemSiemens Medical Solutions USA, Inc. · 2006 · Recalled
  10. 4 generations backK071036 Modification to Acuson X300 Ultrasound SystemSiemens Medical Solutions USA, Inc., Ultrasound DI · 2007
  11. 3 generations backK072090 Siemens Diagnostic Ultrasound SystemsSiemens Medical Solutions USA, Inc., Ultrasound DI · 2007
  12. 2 generations backK090461 Image-Arena 4.0 and IA Applications 2D Cardiac Performance Analysis…Tomtec Imaging Systems GmbH · 2009 · Recalled
  13. 1 generation backK120135 2D Cardiac Performance Analysis MR 1.0Tomtec Imaging Systems GmbH · 2012
  14. This deviceK232661 Myocardial Strain Software ApplicationCircle Cardiovascular Imaging · 2023

Most influential descendants

Showing 1 of 1 · See all
  • K242781cvi42 Software ApplicationCircle Cardiovascular Imaging, Inc. · 2024 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K935595Acuson Model 3001Acuson Corp.1995—
−12K973767Harmonic Imaging with ContrastAcuson Corp.1997—
−11K022567Sequoia Signature II Diagnostic Ultrasound SystemAcuson Corp.2002—
−10K032114Sequoia 8.0 Diagnostic Ultrasound SystemSiemens Medical Solutions USA, Inc.2003—
−9K041319Sequoia Diagnostic Ultrasound SystemSiemens Medical Solutions USA, Inc.2004—
−8K042770Modification to Acuson CV70 Cardiovascular SystemSiemens Medical Solutions USA, Inc.20041
−7K050240Modification to Acuson CV70 Cardiovascular SystemSiemens Medical Solutions USA, Inc.20051
−6K052894Sonoline G60 S Ultrasound SystemSiemens Medical Solutions USA, Inc.20051
−5K061946Acuson X300 Diagnostic Ultrasound SystemSiemens Medical Solutions USA, Inc.20061
−4K071036Modification to Acuson X300 Ultrasound SystemSiemens Medical Solutions USA, Inc., Ultrasound DI2007—
−3K072090Siemens Diagnostic Ultrasound SystemsSiemens Medical Solutions USA, Inc., Ultrasound DI2007—
−2K090461Image-Arena 4.0 and IA Applications 2D Cardiac Performance Analysis 1.0Tomtec Imaging Systems GmbH20091
−1K1201352D Cardiac Performance Analysis MR 1.0Tomtec Imaging Systems GmbH2012—
0 (this device)K232661Myocardial Strain Software ApplicationCircle Cardiovascular Imaging2023—
+1K242781cvi42 Software ApplicationCircle Cardiovascular Imaging, Inc.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199010
199210
199420
199550
199620
199730
199810
199950
200070
200130
200240
200330
2004110
200530
200630
200710
200810
201010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
FIG. 1 — Lineage of K232661, 1995–2024Source: 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
*K1201352D Cardiac Performance Analysis MR 1.0
Summary page 5
…0 III. PREDICATE DEVICE The predicate device is 2D Cardiac Performance Analysis MR 1.0 (2D CPA MR) manufactured by TomTec Imaging Systems GmbH and cleared under K120135. The predicate device has not been subject to a design-related recall. Circle Cardiovascular Imaging Inc. Non-Conf…
Tomtec Imaging Systems GmbH2012—

Also cleared against K120135: 2 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
K242781cvi42 Software ApplicationCircle Cardiovascular Imaging, Inc.20240

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 28 years and passes through 5 companies; a new generation was cleared every 11 months on median.
  • 16 of the 70 ancestors have a recall of any class.
  • Of its descendants, K242781 (Circle Cardiovascular Imaging, Inc., 2024) has gone furthest, with 0 descendants of its own.
  • 2 other devices also cite its predicate K120135.

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 Myocardial Strain Software Application is intended for qualitative and quantitative evaluation of cardiovascular magnetic resonance (CMR) images. It provides measurements of 2D LV myocardial function (displacement, velocity, strain, strain rate, time to peak, and torsion); these measurements are used by qualified medical professionals, experienced in examining and evaluating CMR images, for the purpose of obtaining diagnostic information for patients with suspected heart disease as part of a comprehensive diagnostic decision-making process.

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. “K232661: Myocardial Strain Software Application.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K232661

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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