510(k) Report

510(k) · Cleared

Cleared

Synapse PACS (7.5)

K243647510(k) TraditionalCleared Jun 30, 2025216-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

FUJIFILM Healthcare Americas Corporation · QIH Automated Radiological Image Processing Software

Cleared on Jun 30, 2025 as substantially equivalent to K190232 (Fujifilm Corporation, 2019) and 1 other predicate after a 216-day review. Its family tree reaches back 13 generations to 1991. 1 later device descends from it.

Decided
Jun 30, 2025
Review
216 days
Class
Class II
Product code
QIH
Recalls
None
Predicates
2

Its longest line of descent runs back 13 generations to K913770 (1991). 137 ancestors in all, the oldest K871859 (1987). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2022: 1 other ancestor2021: 1 other ancestor2015: 1 other ancestor2012: 1 other ancestor2011: 2 other ancestors2010: 2 other ancestors2006: 4 other ancestors2005: 5 other ancestors1993: 2 other ancestors2007: 4 other ancestors2004: 12 other ancestors1996: 7 other ancestors2003: 10 other ancestors2002: 11 other ancestors2001: 15 other ancestors1999: 3 other ancestors1997: 7 other ancestors1991: 5 other ancestors2000: 10 other ancestors1998: 7 other ancestors1995: 5 other ancestors1987: 1 other ancestor1994: 4 other ancestors1992: 2 other ancestors1990: 1 other ancestor1989: 1 other ancestor2026: 1 descendant clearedK913770 · Advantage V.S. CT/MR Rad Diagnostic Workstation · General Electric Co. · 1991K963345 · Advantage Windows Tissue Volume Option · GE Medical Systems · 1996K013381 · Advanced Lung Analysis-1 · General Electric Co. · 2001K022013 · Lungcare CT Software Package · Siemens Medical Solutions USA, Inc. · 2002K033374 · Lungcare CT Software Package with Extended Functionality · Siemens AG Medical Solutions · 2003K041484 · Undecided · Siemens Medical Solutions USA, Inc. · 2004K053301 · Cedara I-Response Cedara Pet/CT · Cedara Software Corp. · 2006K071950 · Syngo Trued · Siemens Medical Solutions USA, Inc. · 2007K091373 · Syngo Trued · Siemens Medical Solutions USA, Inc. · 2009K101228 · Mirada XD · Mirada Medical, Ltd. · 2010K113244 · Synapse MPR Fusion · Fujifilm Medical System U.S.A., Inc. · 2011K160108 · Synapse PACS · Fujifilm Medical Systems U.S.A, Inc. · 2016 · recalledK190232 · Synapse PACS · Fujifilm Corporation · 2019 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 2 other ancestors3 generations back: 2 other ancestors4 generations back: 5 other ancestors5 generations back: 7 other ancestors6 generations back: 19 other ancestors7 generations back: 27 other ancestors8 generations back: 22 other ancestors9 generations back: 19 other ancestors10 generations back: 15 other ancestors11 generations back: 3 other ancestors12 generations back: 2 other ancestors 1 generation forward: 1 descendant K190232 · Synapse PACS · Fujifilm Corporation · 2019 · recalledK160108 · Synapse PACS · Fujifilm Medical Systems U.S.A, Inc. · 2016 · recalledK113244 · Synapse MPR Fusion · Fujifilm Medical System U.S.A., Inc. · 2011K101228 · Mirada XD · Mirada Medical, Ltd. · 2010K091373 · Syngo Trued · Siemens Medical Solutions USA, Inc. · 2009K071950 · Syngo Trued · Siemens Medical Solutions USA, Inc. · 2007K053301 · Cedara I-Response Cedara Pet/CT · Cedara Software Corp. · 2006K041484 · Undecided · Siemens Medical Solutions USA, Inc. · 2004K033374 · Lungcare CT Software Package with Extended Functionality · Siemens AG Medical Solutions · 2003K022013 · Lungcare CT Software Package · Siemens Medical Solutions USA, Inc. · 2002K013381 · Advanced Lung Analysis-1 · General Electric Co. · 2001K963345 · Advantage Windows Tissue Volume Option · GE Medical Systems · 1996K913770 · Advantage V.S. CT/MR Rad Diagnostic Workstation · General Electric Co. · 1991−10−50
  1. Root · 13 generations backK913770 Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co. · 1991
  2. 9 generations between
  3. 3 generations backK113244 Synapse MPR FusionFujifilm Medical System U.S.A., Inc. · 2011
  4. 2 generations backK160108 Synapse PACSFujifilm Medical Systems U.S.A, Inc. · 2016 · Recalled
  5. 1 generation backK190232 Synapse PACSFujifilm Corporation · 2019 · Recalled
  6. This deviceK243647 Synapse PACS (7.5)FUJIFILM Healthcare Americas Corporation · 2025
  7. Descendant · cites it directly · 0 of its ownK261713 Synapse PACS (7.6.0)FUJIFILM Healthcare Americas Corporation · 2026
Show all 13 generations
  1. Root · 13 generations backK913770 Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co. · 1991
  2. 12 generations backK963345 Advantage Windows Tissue Volume OptionGE Medical Systems · 1996
  3. 11 generations backK013381 Advanced Lung Analysis-1General Electric Co. · 2001
  4. 10 generations backK022013 Lungcare CT Software PackageSiemens Medical Solutions USA, Inc. · 2002
  5. 9 generations backK033374 Lungcare CT Software Package with Extended FunctionalitySiemens AG Medical Solutions · 2003
  6. 8 generations backK041484 UndecidedSiemens Medical Solutions USA, Inc. · 2004
  7. 7 generations backK053301 Cedara I-Response Cedara Pet/CTCedara Software Corp. · 2006
  8. 6 generations backK071950 Syngo TruedSiemens Medical Solutions USA, Inc. · 2007
  9. 5 generations backK091373 Syngo TruedSiemens Medical Solutions USA, Inc. · 2009
  10. 4 generations backK101228 Mirada XDMirada Medical, Ltd. · 2010
  11. 3 generations backK113244 Synapse MPR FusionFujifilm Medical System U.S.A., Inc. · 2011
  12. 2 generations backK160108 Synapse PACSFujifilm Medical Systems U.S.A, Inc. · 2016 · Recalled
  13. 1 generation backK190232 Synapse PACSFujifilm Corporation · 2019 · Recalled
  14. This deviceK243647 Synapse PACS (7.5)FUJIFILM Healthcare Americas Corporation · 2025

Most influential descendants

Showing 1 of 1 · See all
  • K261713Synapse PACS (7.6.0)FUJIFILM Healthcare Americas Corporation · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K913770Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co.1991—
−12K963345Advantage Windows Tissue Volume OptionGE Medical Systems1996—
−11K013381Advanced Lung Analysis-1General Electric Co.2001—
−10K022013Lungcare CT Software PackageSiemens Medical Solutions USA, Inc.2002—
−9K033374Lungcare CT Software Package with Extended FunctionalitySiemens AG Medical Solutions2003—
−8K041484UndecidedSiemens Medical Solutions USA, Inc.2004—
−7K053301Cedara I-Response Cedara Pet/CTCedara Software Corp.2006—
−6K071950Syngo TruedSiemens Medical Solutions USA, Inc.2007—
−5K091373Syngo TruedSiemens Medical Solutions USA, Inc.2009—
−4K101228Mirada XDMirada Medical, Ltd.2010—
−3K113244Synapse MPR FusionFujifilm Medical System U.S.A., Inc.2011—
−2K160108Synapse PACSFujifilm Medical Systems U.S.A, Inc.20164
−1K190232Synapse PACSFujifilm Corporation201911
0 (this device)K243647Synapse PACS (7.5)FUJIFILM Healthcare Americas Corporation2025—
+1K261713Synapse PACS (7.6.0)FUJIFILM Healthcare Americas Corporation2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710
198910
199010
199150
199220
199320
199440
199550
199670
199770
199870
199930
2000100
2001150
2002110
2003100
2004120
200550
200640
200740
201020
201120
201210
201510
202110
202210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K243647, 1991–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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? (2)

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
*K190232Synapse PACS
Summary page 5
…21 CFR 807.92(a)(3) Predicate # Predicate Trade Name (Primary Predicate is listed first) Product Code K190232 Synapse PACS LLZ K221677…
Fujifilm Corporation201911
*K221677Synapse 3D Base Tools v6.6
Summary page 5
…irst) Product Code K190232 Synapse PACS LLZ K221677 Synapse 3D Base Tools v6.6 LLZ Device Descripti…
Fujifilm Corporation2022—

Also cleared against K190232: 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
K261713Synapse PACS (7.6.0)FUJIFILM Healthcare Americas Corporation20260

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 34 years and passes through 10 companies; a new generation was cleared every 1.5 years on median.
  • 32 of the 137 ancestors have a recall of any class.
  • Of its descendants, K261713 (FUJIFILM Healthcare Americas Corporation, 2026) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K190232.

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. 2025, 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?

FUJIFILM Synapse PACS Software is intended for use as a web-based application on an off-the shelf PC which meets or exceeds minimum specifications and is networked with a FUJIFILM Synapse PACS server. The FUJIFILM Synapse PACS Software can process medical images from DICOM compliant modalities and non-DICOM sources. FUJIFILM Synapse PACS Software provides toolsets for: * Performing measurements on DICOM images * Regional segmentation * Importing and…

Read the full statement (206 words)

FUJIFILM Synapse PACS Software is intended for use as a web-based application on an off-the shelf PC which meets or exceeds minimum specifications and is networked with a FUJIFILM Synapse PACS server.

The FUJIFILM Synapse PACS Software can process medical images from DICOM compliant modalities and non-DICOM sources.

FUJIFILM Synapse PACS Software provides toolsets for:

* Performing measurements on DICOM images

* Regional segmentation

* Importing and presenting data from modalities (DICOM and non-DICOM),

* Solving clinical calculations

* Creating and distributing structured reports

FUJIFILM Synapse PACS Software is intended to serve as the primary user interface for the processing of medical images for presentation on displays appropriate to the medical task being performed. It enables the display, comparison, fusion, and volume rendering of studies to aid in reading, interpreting, reporting, and treatment planning.

Typical users are radiologists, cardiologists, technologists, sonographers, technicians, nurses, and clinicians.

MIP, MPR Fusion, and volume rendering are not intended for mammography use. FUJIFILM Synapse PACS Software can be used to process FUJIFILM's DICOM MG "For Processing" images and also for the display, manipulation, and interpretation of lossless compressed or non-compressed mammography images that have been received in the DICOM For Presentation format and displayed on FDA-cleared, DICOM compatible displays for mammography.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K243647: Synapse PACS (7.5).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K243647

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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