510(k) Report

510(k) · Cleared

Cleared

EFAI Bonesuite XR Bone Age Pro Assessment System (BAP-XR-100)

K234042510(k) TraditionalCleared Jun 7, 2024169-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

Ever Fortune.Ai, Co., Ltd. · QIH Automated Radiological Image Processing Software

Cleared on Jun 7, 2024 as substantially equivalent to K200356 (Medo.Ai, 2020) after a 169-day review. Its family tree reaches back 18 generations to 1995. 2 later devices descend from it.

Decided
Jun 7, 2024
Review
169 days
Class
Class II
Product code
QIH
Recalls
None
Predicates
1

Its longest line of descent runs back 18 generations to K935595 (1995). 88 ancestors in all, the oldest K891449 (1989). 2 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2012: 1 other ancestor2007: 1 other ancestor2004: 12 other ancestors2002: 6 other ancestors2009: 1 other ancestor2006: 2 other ancestors2003: 4 other ancestors2001: 4 other ancestors2000: 6 other ancestors1999: 6 other ancestors2005: 4 other ancestors1998: 2 other ancestors1995: 5 other ancestors1991: 1 other ancestor1989: 2 other ancestors1997: 4 other ancestors1996: 1 other ancestor1994: 6 other ancestors1993: 1 other ancestor1992: 1 other ancestor2025: 1 descendant cleared2026: 1 descendant clearedK935595 · Acuson Model 3001 · Acuson Corp. · 1995K973767 · Harmonic Imaging with Contrast · Acuson Corp. · 1997K022567 · Sequoia Signature II Diagnostic Ultrasound System · Acuson Corp. · 2002K032114 · Sequoia 8.0 Diagnostic Ultrasound System · Siemens Medical Solutions USA, Inc. · 2003×3: 3 generations cleared close together, K041319 (2004), K042770 (2004), K050240 (2005) K052894 · Sonoline G60 S Ultrasound System · Siemens Medical Solutions USA, Inc. · 2005 · recalledK061946 · Acuson X300 Diagnostic Ultrasound System · Siemens Medical Solutions USA, Inc. · 2006 · recalled×2: 2 generations cleared close together, K071036 (2007), K072090 (2007) K091286 · Syngo US Workplace · Siemens Medical Solutions USA, Inc. · 2009×2: 2 generations cleared close together, K130159 (2013), K132165 (2013) K171314 · QLAB Advanced Quantification Software · Philips Health Care · 2017K181264 · QLAB Advanced Quantification Software · Philips Ultrasound, Inc. · 2018K191647 · QLAB Advanced Quantification Software · Philips Health Care · 2019K200356 · Medo Aria · Medo.Ai · 20201990200020102020
Other ancestors, by generationDescendants, by generation 6 generations back: 3 other ancestors7 generations back: 4 other ancestors8 generations back: 7 other ancestors9 generations back: 16 other ancestors10 generations back: 14 other ancestors11 generations back: 16 other ancestors12 generations back: 4 other ancestors13 generations back: 3 other ancestors14 generations back: 3 other ancestors 1 generation forward: 2 descendants K200356 · Medo Aria · Medo.Ai · 2020K191647 · QLAB Advanced Quantification Software · Philips Health Care · 2019K181264 · QLAB Advanced Quantification Software · Philips Ultrasound, Inc. · 2018K171314 · QLAB Advanced Quantification Software · Philips Health Care · 2017K132165 · Qlab Quantification Software · Philips Ultrasound, Inc. · 2013 · recalledK130159 · Qlab Quantification Software Heart Model · Philips Health Care · 2013K091286 · Syngo US Workplace · Siemens Medical Solutions USA, Inc. · 2009K072090 · 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. · 1995−15−10−50
  1. Root · 18 generations backK935595 Acuson Model 3001Acuson Corp. · 1995
  2. 14 generations between
  3. 3 generations backK181264 QLAB Advanced Quantification SoftwarePhilips Ultrasound, Inc. · 2018
  4. 2 generations backK191647 QLAB Advanced Quantification SoftwarePhilips Health Care · 2019
  5. 1 generation backK200356 Medo AriaMedo.Ai · 2020
  6. This deviceK234042 EFAI Bonesuite XR Bone Age Pro Assessment System (BAP-XR-100)Ever Fortune.Ai, Co., Ltd. · 2024
  7. Descendant · cites it directly · 0 of its ownK262390 BoneXpertVisiana · 2026
  8. Descendant · cites it directly · 0 of its ownK250914 MediAI-BACrescom Co., Ltd. · 2025
Show all 18 generations
  1. Root · 18 generations backK935595 Acuson Model 3001Acuson Corp. · 1995
  2. 17 generations backK973767 Harmonic Imaging with ContrastAcuson Corp. · 1997
  3. 16 generations backK022567 Sequoia Signature II Diagnostic Ultrasound SystemAcuson Corp. · 2002
  4. 15 generations backK032114 Sequoia 8.0 Diagnostic Ultrasound SystemSiemens Medical Solutions USA, Inc. · 2003
  5. 14 generations backK041319 Sequoia Diagnostic Ultrasound SystemSiemens Medical Solutions USA, Inc. · 2004
  6. 13 generations backK042770 Modification to Acuson CV70 Cardiovascular SystemSiemens Medical Solutions USA, Inc. · 2004 · Recalled
  7. 12 generations backK050240 Modification to Acuson CV70 Cardiovascular SystemSiemens Medical Solutions USA, Inc. · 2005 · Recalled
  8. 11 generations backK052894 Sonoline G60 S Ultrasound SystemSiemens Medical Solutions USA, Inc. · 2005 · Recalled
  9. 10 generations backK061946 Acuson X300 Diagnostic Ultrasound SystemSiemens Medical Solutions USA, Inc. · 2006 · Recalled
  10. 9 generations backK071036 Modification to Acuson X300 Ultrasound SystemSiemens Medical Solutions USA, Inc., Ultrasound DI · 2007
  11. 8 generations backK072090 Siemens Diagnostic Ultrasound SystemsSiemens Medical Solutions USA, Inc., Ultrasound DI · 2007
  12. 7 generations backK091286 Syngo US WorkplaceSiemens Medical Solutions USA, Inc. · 2009
  13. 6 generations backK130159 Qlab Quantification Software Heart ModelPhilips Health Care · 2013
  14. 5 generations backK132165 Qlab Quantification SoftwarePhilips Ultrasound, Inc. · 2013 · Recalled
  15. 4 generations backK171314 QLAB Advanced Quantification SoftwarePhilips Health Care · 2017
  16. 3 generations backK181264 QLAB Advanced Quantification SoftwarePhilips Ultrasound, Inc. · 2018
  17. 2 generations backK191647 QLAB Advanced Quantification SoftwarePhilips Health Care · 2019
  18. 1 generation backK200356 Medo AriaMedo.Ai · 2020
  19. This deviceK234042 EFAI Bonesuite XR Bone Age Pro Assessment System (BAP-XR-100)Ever Fortune.Ai, Co., Ltd. · 2024

Most influential descendants

Showing 2 of 2 · See all
  • K262390BoneXpertVisiana · 2026 · cites it directly0descendants
  • K250914MediAI-BACrescom Co., Ltd. · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−18K935595Acuson Model 3001Acuson Corp.1995—
−17K973767Harmonic Imaging with ContrastAcuson Corp.1997—
−16K022567Sequoia Signature II Diagnostic Ultrasound SystemAcuson Corp.2002—
−15K032114Sequoia 8.0 Diagnostic Ultrasound SystemSiemens Medical Solutions USA, Inc.2003—
−14K041319Sequoia Diagnostic Ultrasound SystemSiemens Medical Solutions USA, Inc.2004—
−13K042770Modification to Acuson CV70 Cardiovascular SystemSiemens Medical Solutions USA, Inc.20041
−12K050240Modification to Acuson CV70 Cardiovascular SystemSiemens Medical Solutions USA, Inc.20051
−11K052894Sonoline G60 S Ultrasound SystemSiemens Medical Solutions USA, Inc.20051
−10K061946Acuson X300 Diagnostic Ultrasound SystemSiemens Medical Solutions USA, Inc.20061
−9K071036Modification to Acuson X300 Ultrasound SystemSiemens Medical Solutions USA, Inc., Ultrasound DI2007—
−8K072090Siemens Diagnostic Ultrasound SystemsSiemens Medical Solutions USA, Inc., Ultrasound DI2007—
−7K091286Syngo US WorkplaceSiemens Medical Solutions USA, Inc.2009—
−6K130159Qlab Quantification Software Heart ModelPhilips Health Care2013—
−5K132165Qlab Quantification SoftwarePhilips Ultrasound, Inc.20131
−4K171314QLAB Advanced Quantification SoftwarePhilips Health Care2017—
−3K181264QLAB Advanced Quantification SoftwarePhilips Ultrasound, Inc.2018—
−2K191647QLAB Advanced Quantification SoftwarePhilips Health Care2019—
−1K200356Medo AriaMedo.Ai2020—
0 (this device)K234042EFAI Bonesuite XR Bone Age Pro Assessment System (BAP-XR-100)Ever Fortune.Ai, Co., Ltd.2024—
+1K262390BoneXpertVisiana2026—
+1K250914MediAI-BACrescom Co., Ltd.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198920
199110
199210
199310
199460
199550
199610
199740
199820
199960
200060
200140
200260
200340
2004120
200540
200620
200710
200910
201210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202510
202610
FIG. 1 — Lineage of K234042, 1995–2026Source: 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 QIH? 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 QIH device

  1. #1 K213998 cvi42 Auto Imaging Software Applicationscore 23.5 · 7 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
*K200356Medo Aria
Summary page 4
…uct Code QIH Regulatory Class II 3. Predicate Device Proprietary Name Medo Aria Premarket Notification K200356 EFAI BAPXR Traditional 510(k) 1 Classification Name…
Medo.Ai2020—

What descends from it? (2)

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K262390BoneXpertVisiana20260
K250914MediAI-BACrescom Co., Ltd.20250

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 29 years and passes through 7 companies; a new generation was cleared every 11 months on median.
  • 22 of the 88 ancestors have a recall of any class.
  • Of its descendants, K262390 (Visiana, 2026) has gone furthest, with 0 descendants of its own.

How does its category compare?

All QIH devices

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

FDA decisions per year · QIH

94in 2025

2019: 22020: 112021: 192022: 252023: 452024: 642025: 942026 (partial year): 78
2007high 94 (2025) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QIH

150in 2025

2020: 145 days median2021: 125 days median2022: 134 days median2023: 151 days median2024: 141 days median2025: 150 days median2026 (partial year): 130 days median
2007high 151 (2023) · low 125 (2021)2026

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

Recalls per year · QIH

1so far in 2026, the most since 2007

2026 (partial year): 1
2007high 1 (2026) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · QIH

4in 2025

2024: 22025: 4
2007high 4 (2025) · low 0 (2007)2025

MAUDE reports naming product code QIH, 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
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20170—00
20180—00
20192—00
20201114500
20211912500
20222513400
20234515100
20246414102
20259415004
2026781301—

What is it indicated for?

EFAI BONESUITE XR BONE AGE PRO ASSESSMENT SYSTEM (EFAI BAPXR) is designed to

view and quantify bone age from 2D Posterior Anterior (PA) view of left-hand radiographs using

deep learning techniques to aid in the analysis of bone age assessment of patients between 2 to 16

years old for pediatric radiologists. The results should not be relied upon alone by pediatric

radiologists to make diagnostic decisions. The images shall be with left hand and wrist fully visible

within the field of view, and shall be without any major bone destruction, deformity, fracture,

excessive motion, or other major artifacts.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K234042: EFAI Bonesuite XR Bone Age Pro Assessment System (BAP-XR-100).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K234042

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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