510(k) Report

510(k) · Cleared

Cleared

AI-Rad Companion Organs RT

K232899510(k) TraditionalCleared Apr 3, 2024198-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

Siemens Medical Solutions U.S.A. · QKB Radiological Image Processing Software For Radiation Therapy

Cleared on Apr 3, 2024 as substantially equivalent to K221305 (Siemens Medical Solutions USA, Inc., 2022) after a 198-day review. Its family tree reaches back 17 generations to 1996. 1 of the 107 devices in its family, counting itself, has a Class I recall. 3 later devices descend from it.

Decided
Apr 3, 2024
Review
198 days
Class
Class II
Product code
QKB
Recalls
None
Predicates
1

Its longest line of descent runs back 17 generations to K954874 (1996). 103 ancestors in all, the oldest K885054 (1989). 3 later devices descend from it, 1 citing it directly. 1 of the 107 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2017: 2 other ancestors2016: 1 other ancestor2013: 2 other ancestors2011: 1 other ancestor2004: 7 other ancestors2002: 6 other ancestors2014: 1 other ancestor2012: 2 other ancestors2010: 1 other ancestor2007: 3 other ancestors2003: 5 other ancestors2000: 9 other ancestors1999: 3 other ancestors, 1 with a Class I recall11991: 5 other ancestors1989: 2 other ancestors2006: 2 other ancestors2005: 5 other ancestors1998: 4 other ancestors1995: 5 other ancestors2008: 1 other ancestor2001: 6 other ancestors1994: 2 other ancestors1993: 2 other ancestors1997: 3 other ancestors1992: 2 other ancestors1996: 3 other ancestors1990: 1 other ancestor2025: 1 descendant cleared2026: 2 descendants clearedReference device: K182888 · MRCAT Pelvis · Philips Medical Systems MR Finland · 2019Reference device: K220783 · syngo.via RT Image Suite · Siemens Medical Solutions USA, Inc. · 2022Reference device: K231765 · Contour ProtégéAI · Mim Software, Inc. · 2023Reference device: K211881 · AI Segmentation · Varian Medical Systems, Inc. · 2021K954874 · Spectef Protocol · GE Medical Systems · 1996K980914 · Emory Cardiac Tool Box · Emory University · 1998K992450 · Emory Cardiac Toolbox* 2.0 Executing on Nuclear Medicine Computers · Emory University · 1999K014033 · Emory Cardiac Toolbox 2.1 Executing on Nuclear Medicine Computers · Syntermed, Inc. · 2002K040141 · Emory Cardiac Toolbox Version 2.6 · Syntermed, Inc. · 2004K052379 · Mim 3.5 (Circa) · Mimvista Corp. · 2005×2: 2 generations cleared close together, K060816 (2006), K062163 (2006) K103785 · Mobile Mim · Mim Software, Inc. · 2011K112930 · Mobile Mim · Mim Software, Inc. · 2011K151913 · MIM-Thin Client (mobile) · Mim Software, Inc. · 2016K172218 · MIM – Y90 Dosimetry · Mim Software, Inc. · 2017K180815 · MIM - SPECTRA Quant · Mim Software, Inc. · 2018K182624 · MIM - MRT Dosimetry · Mim Software, Inc. · 2018K191928 · AccuContour · Xiamen Manteia Technology, Ltd. · 2020K193562 · AI-Rad Companion Organs RT · Siemens Medical Solutions USA, Inc. · 2020K221305 · AI-Rad Companion Organs RT · Siemens Medical Solutions USA, Inc. · 20221990200020102020
Other ancestors, by generationDescendants, by generation 5 generations back: 2 other ancestors6 generations back: 5 other ancestors7 generations back: 12 other ancestors, 1 with a Class I recall18 generations back: 11 other ancestors9 generations back: 14 other ancestors10 generations back: 16 other ancestors11 generations back: 14 other ancestors12 generations back: 12 other ancestors 1 generation forward: 1 descendant2 generations forward: 2 descendants K221305 · AI-Rad Companion Organs RT · Siemens Medical Solutions USA, Inc. · 2022K193562 · AI-Rad Companion Organs RT · Siemens Medical Solutions USA, Inc. · 2020K191928 · AccuContour · Xiamen Manteia Technology, Ltd. · 2020K182624 · MIM - MRT Dosimetry · Mim Software, Inc. · 2018K180815 · MIM - SPECTRA Quant · Mim Software, Inc. · 2018K172218 · MIM – Y90 Dosimetry · Mim Software, Inc. · 2017K151913 · MIM-Thin Client (mobile) · Mim Software, Inc. · 2016K112930 · Mobile Mim · Mim Software, Inc. · 2011K103785 · Mobile Mim · Mim Software, Inc. · 2011K062163 · Mimviewer · Mimvista Corp. · 2006K060816 · Mim 4.0 (Neuro · Mimvista Corp. · 2006 · recalledK052379 · Mim 3.5 (Circa) · Mimvista Corp. · 2005K040141 · Emory Cardiac Toolbox Version 2.6 · Syntermed, Inc. · 2004K014033 · Emory Cardiac Toolbox 2.1 Executing on Nuclear Medicine Computers · Syntermed, Inc. · 2002K992450 · Emory Cardiac Toolbox* 2.0 Executing on Nuclear Medicine Computers · Emory University · 1999K980914 · Emory Cardiac Tool Box · Emory University · 1998K954874 · Spectef Protocol · GE Medical Systems · 1996−15−10−50
  1. Root · 17 generations backK954874 Spectef ProtocolGE Medical Systems · 1996
  2. 13 generations between
  3. 3 generations backK191928 AccuContourXiamen Manteia Technology, Ltd. · 2020
  4. 2 generations backK193562 AI-Rad Companion Organs RTSiemens Medical Solutions USA, Inc. · 2020
  5. 1 generation backK221305 AI-Rad Companion Organs RTSiemens Medical Solutions USA, Inc. · 2022
  6. This deviceK232899 AI-Rad Companion Organs RTSiemens Medical Solutions U.S.A. · 2024
  7. Descendant · cites it directly · 2 of its ownK242745 AI-Rad Companion Organs RTSiemens Healthcare GmbH · 2025
  8. Descendant · 2 generations on · 0 of its ownK261306 AI Contouring (VA10A)Varian Medical Systems · 2026
  9. Descendant · 2 generations on · 0 of its ownK252548 AI-Rad Companion Organs RTSiemens Healthcare GmbH · 2026
Show all 17 generations
  1. Root · 17 generations backK954874 Spectef ProtocolGE Medical Systems · 1996
  2. 16 generations backK980914 Emory Cardiac Tool BoxEmory University · 1998
  3. 15 generations backK992450 Emory Cardiac Toolbox* 2.0 Executing on Nuclear Medicine ComputersEmory University · 1999
  4. 14 generations backK014033 Emory Cardiac Toolbox 2.1 Executing on Nuclear Medicine ComputersSyntermed, Inc. · 2002
  5. 13 generations backK040141 Emory Cardiac Toolbox Version 2.6Syntermed, Inc. · 2004
  6. 12 generations backK052379 Mim 3.5 (Circa)Mimvista Corp. · 2005
  7. 11 generations backK060816 Mim 4.0 (NeuroMimvista Corp. · 2006 · Recalled
  8. 10 generations backK062163 MimviewerMimvista Corp. · 2006
  9. 9 generations backK103785 Mobile MimMim Software, Inc. · 2011
  10. 8 generations backK112930 Mobile MimMim Software, Inc. · 2011
  11. 7 generations backK151913 MIM-Thin Client (mobile)Mim Software, Inc. · 2016
  12. 6 generations backK172218 MIM – Y90 DosimetryMim Software, Inc. · 2017
  13. 5 generations backK180815 MIM - SPECTRA QuantMim Software, Inc. · 2018
  14. 4 generations backK182624 MIM - MRT DosimetryMim Software, Inc. · 2018
  15. 3 generations backK191928 AccuContourXiamen Manteia Technology, Ltd. · 2020
  16. 2 generations backK193562 AI-Rad Companion Organs RTSiemens Medical Solutions USA, Inc. · 2020
  17. 1 generation backK221305 AI-Rad Companion Organs RTSiemens Medical Solutions USA, Inc. · 2022
  18. This deviceK232899 AI-Rad Companion Organs RTSiemens Medical Solutions U.S.A. · 2024

Class I recalls in this family

Most influential descendants

Showing 3 of 3 · See all
  • K242745AI-Rad Companion Organs RTSiemens Healthcare GmbH · 2025 · cites it directly2descendants
  • K261306AI Contouring (VA10A)Varian Medical Systems · 2026 · 2 generations on0descendants
  • K252548AI-Rad Companion Organs RTSiemens Healthcare GmbH · 2026 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−17K954874Spectef ProtocolGE Medical Systems1996—
−16K980914Emory Cardiac Tool BoxEmory University1998—
−15K992450Emory Cardiac Toolbox* 2.0 Executing on Nuclear Medicine ComputersEmory University1999—
−14K014033Emory Cardiac Toolbox 2.1 Executing on Nuclear Medicine ComputersSyntermed, Inc.2002—
−13K040141Emory Cardiac Toolbox Version 2.6Syntermed, Inc.2004—
−12K052379Mim 3.5 (Circa)Mimvista Corp.2005—
−11K060816Mim 4.0 (NeuroMimvista Corp.20061
−10K062163MimviewerMimvista Corp.2006—
−9K103785Mobile MimMim Software, Inc.2011—
−8K112930Mobile MimMim Software, Inc.2011—
−7K151913MIM-Thin Client (mobile)Mim Software, Inc.2016—
−6K172218MIM – Y90 DosimetryMim Software, Inc.2017—
−5K180815MIM - SPECTRA QuantMim Software, Inc.2018—
−4K182624MIM - MRT DosimetryMim Software, Inc.2018—
−3K191928AccuContourXiamen Manteia Technology, Ltd.2020—
−2K193562AI-Rad Companion Organs RTSiemens Medical Solutions USA, Inc.2020—
−1K221305AI-Rad Companion Organs RTSiemens Medical Solutions USA, Inc.2022—
0 (this device)K232899AI-Rad Companion Organs RTSiemens Medical Solutions U.S.A.2024—
+1K242745AI-Rad Companion Organs RTSiemens Healthcare GmbH2025—
+2K261306AI Contouring (VA10A)Varian Medical Systems2026—
+2K252548AI-Rad Companion Organs RTSiemens Healthcare GmbH2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198920
199010
199150
199220
199320
199420
199550
199630
199730
199840
199931
200090
200160
200260
200350
200470
200550
200620
200730
200810
201010
201110
201220
201320
201410
201610
201720

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202510
202620
FIG. 1 — Lineage of K232899, 1996–2026Source: 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.

1 device in this family has 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 QKB device

  1. #1 K191928 AccuContourscore 32.8 · 14 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
*K221305AI-Rad Companion Organs RT
Summary page 5
…QKB 4. Predicate Device Product Name: AI-Rad Companion Organs RT Common Name: Medical Imaging Software 510(k) Number: K221305 Clearance Date: October 14, 2022 Classification Name: Medical Image Management and Processing System Classif…
Siemens Medical Solutions USA, Inc.2022—
†K182888MRCAT PelvisPhilips Medical Systems MR Finland2019—
†K220783syngo.via RT Image SuiteSiemens Medical Solutions USA, Inc.2022—
†K231765Contour ProtégéAIMim Software, Inc.2023—
†K211881AI SegmentationVarian Medical Systems, Inc.2021—

Also cleared against K221305: 1 other device →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K242745AI-Rad Companion Organs RTSiemens Healthcare GmbH20252

Has anything in its family been recalled? (1 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.

  • K991841Hawkeye Option for Dual-Head Variable Angle Gamma CameraGe Medical Systems F.I. Haifa · 1999 · 7 generations back · ◆ in the 1999 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 28 years and passes through 8 companies; a new generation was cleared every 1.5 years on median.
  • 31 of the 103 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K242745 (Siemens Healthcare GmbH, 2025) has gone furthest, with 2 descendants of its own.
  • 1 other device also cites its predicate K221305.

How does its category compare?

All QKB devices

QKB Radiological Image Processing Software For Radiation Therapy: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.

FDA decisions per year · QKB

6in 2025

2018: 12020: 42021: 92022: 72023: 72024: 62025: 62026 (partial year): 9
2007high 9 (2021) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QKB

170in 2025

2020: 244 days median2021: 120 days median2022: 162 days median2023: 111 days median2024: 173 days median2025: 170 days median2026 (partial year): 179 days median
2007high 244 (2020) · low 111 (2023)2026

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

Recalls per year · QKB

No recall names QKB since 2007.

Adverse event reports per year · QKB

No MAUDE report names QKB since 2007.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20170—00
20181—00
20190—00
2020424400
2021912000
2022716200
2023711100
2024617300
2025617000
202691790—

What is it indicated for?

AI-Rad Companion Organs RT is a post-processing software intended to automatically contour DICOM CT and MR predefined structures using deep-leaming-based algorithms. Contours that are generated by AI-Rad Companion Organs RT may be used as input for clinical workflows including external beam radiation therapy treatment planning. AI-Rad Companion Organs RT must be used in conjunction with appropriate software such as Treatment Planning Systems and…

Read the full statement (105 words)

AI-Rad Companion Organs RT is a post-processing software intended to automatically contour DICOM CT and MR predefined structures using deep-leaming-based algorithms.

Contours that are generated by AI-Rad Companion Organs RT may be used as input for clinical workflows including external beam radiation therapy treatment planning. AI-Rad Companion Organs RT must be used in conjunction with appropriate software such as Treatment Planning Systems and Interactive Contouring applications, to review, edit, and accept contours generated by AI-Rad Companion Organs RT.

The output of AI-Rad Companion Organs RT are intended to be used by trained medical professionals.

The software is not intended to automatically detect or contour lesions.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K232899: AI-Rad Companion Organs RT.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K232899

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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