510(k) Report

510(k) · Cleared

Cleared

HeartFlow Analysis

K250902510(k) TraditionalCleared Jul 18, 2025114-day reviewClass II21 CFR 870.1415

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

HeartFlow, Inc. · PJA Coronary Vascular Physiologic Simulation Software

Cleared on Jul 18, 2025 as substantially equivalent to K213857 (HeartFlow, Inc., 2022) and 1 other predicate after a 114-day review. Its family tree reaches back 12 generations to 1991.

Decided
Jul 18, 2025
Review
114 days
Class
Class II
Product code
PJA
Recalls
None
Predicates
2

Its longest line of descent runs back 12 generations to K913770 (1991). 75 ancestors in all, the oldest K871859 (1987). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2021: 1 other ancestor2009: 1 other ancestor2006: 2 other ancestors2019: 1 other ancestor2007: 2 other ancestors2005: 2 other ancestors2004: 4 other ancestors2003: 3 other ancestors1999: 4 other ancestors2018: 1 other ancestor2002: 5 other ancestors2001: 7 other ancestors2000: 3 other ancestors1997: 4 other ancestors1995: 3 other ancestors1993: 3 other ancestors2016: 2 other ancestors1998: 4 other ancestors1996: 5 other ancestors1987: 1 other ancestor1994: 4 other ancestors2014: 1 other ancestorK913770 · Advantage V.S. CT/MR Rad Diagnostic Workstation · General Electric Co. · 1991K960613 · GE Advantage Windows Review Workstation · GE Medical Systems · 1996K020483 · Advantage Workstation 4.1 · GE Medical Systems · 2002 · recalledK023003 · Imagechecker-CT Workstation · R2 Technology, Inc. · 2002×2: 2 generations cleared close together, K032748 (2003), K040305 (2004) K043333 · VITREA2, Version 3.7 Medical Image Processing System · Vital Images, Inc. · 2004 · recalledK052632 · VITREA2 Version 3.8 Medical Image Processing Software · Vital Images, Inc. · 2005 · recalledK061624 · Vitrea, Version 3.9 · Vital Images, Inc. · 2006 · recalledK071331 · Vitrea Version 4.0 · Vital Images, Inc. · 2007 · recalledK122429 · Vessel Analysis and Autoplaque for Ors Visual · Object Research Systems (Ors), Inc. · 2012K213857 · HeartFlow Analysis · HeartFlow, Inc. · 20221990200020102020
  1. Root · 12 generations backK913770 Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co. · 1991
  2. 8 generations between
  3. 3 generations backK071331 Vitrea Version 4.0Vital Images, Inc. · 2007 · Recalled
  4. 2 generations backK122429 Vessel Analysis and Autoplaque for Ors VisualObject Research Systems (Ors), Inc. · 2012
  5. 1 generation backK213857 HeartFlow AnalysisHeartFlow, Inc. · 2022
  6. This deviceK250902 HeartFlow AnalysisHeartFlow, Inc. · 2025
Show all 12 generations
  1. Root · 12 generations backK913770 Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co. · 1991
  2. 11 generations backK960613 GE Advantage Windows Review WorkstationGE Medical Systems · 1996
  3. 10 generations backK020483 Advantage Workstation 4.1GE Medical Systems · 2002 · Recalled
  4. 9 generations backK023003 Imagechecker-CT WorkstationR2 Technology, Inc. · 2002
  5. 8 generations backK032748 VITREA2, Version 3.4 Medical Image Processing SoftwareVital Images, Inc. · 2003 · Recalled
  6. 7 generations backK040305 VITREA2 Version 3.5Vital Images, Inc. · 2004
  7. 6 generations backK043333 VITREA2, Version 3.7 Medical Image Processing SystemVital Images, Inc. · 2004 · Recalled
  8. 5 generations backK052632 VITREA2 Version 3.8 Medical Image Processing SoftwareVital Images, Inc. · 2005 · Recalled
  9. 4 generations backK061624 Vitrea, Version 3.9Vital Images, Inc. · 2006 · Recalled
  10. 3 generations backK071331 Vitrea Version 4.0Vital Images, Inc. · 2007 · Recalled
  11. 2 generations backK122429 Vessel Analysis and Autoplaque for Ors VisualObject Research Systems (Ors), Inc. · 2012
  12. 1 generation backK213857 HeartFlow AnalysisHeartFlow, Inc. · 2022
  13. This deviceK250902 HeartFlow AnalysisHeartFlow, Inc. · 2025
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K913770Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co.1991—
−11K960613GE Advantage Windows Review WorkstationGE Medical Systems1996—
−10K020483Advantage Workstation 4.1GE Medical Systems20022
−9K023003Imagechecker-CT WorkstationR2 Technology, Inc.2002—
−8K032748VITREA2, Version 3.4 Medical Image Processing SoftwareVital Images, Inc.20032
−7K040305VITREA2 Version 3.5Vital Images, Inc.2004—
−6K043333VITREA2, Version 3.7 Medical Image Processing SystemVital Images, Inc.20041
−5K052632VITREA2 Version 3.8 Medical Image Processing SoftwareVital Images, Inc.20052
−4K061624Vitrea, Version 3.9Vital Images, Inc.20061
−3K071331Vitrea Version 4.0Vital Images, Inc.20071
−2K122429Vessel Analysis and Autoplaque for Ors VisualObject Research Systems (Ors), Inc.2012—
−1K213857HeartFlow AnalysisHeartFlow, Inc.2022—
0 (this device)K250902HeartFlow AnalysisHeartFlow, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710
199330
199440
199530
199650
199740
199840
199940
200030
200170
200250
200330
200440
200520
200620
200720
200910
201410
201620
201810
201910
202110
FIG. 1 — Lineage of K250902, 1991–2025Source: 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 PJA? 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 PJA device

  1. #1 K262015 Elucid FFR-IQ (B.1)score 12.1 · 1 generation · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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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
*K213857HeartFlow Analysis
Summary page 6
…software device 3. Predicates This submission leverages Heartflow Analysis (K213857) as the primary predicate and Autoplaque (K122429) as an additional predicate, for validation of the plaque feature. 4. Devic…
HeartFlow, Inc.2022—
*K122429Vessel Analysis and Autoplaque for Ors Visual
Summary page 6
…software device 3. Predicates This submission leverages Heartflow Analysis (K213857) as the primary predicate and Autoplaque (K122429) as an additional predicate, for validation of the plaque feature. 4. Device Description The Heartflow Analysis is an AI-base…
Object Research Systems (Ors), Inc.2012—

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 34 years and passes through 6 companies; a new generation was cleared every 12 months on median.
  • 15 of the 75 ancestors have a recall of any class.

How does its category compare?

All PJA devices

PJA Coronary Vascular Physiologic Simulation Software: FDA decisions, review times, recalls and adverse event reports over 20 years. 2025, this device’s year, is highlighted.

FDA decisions per year · PJA

1in 2025

2014: 12016: 22018: 12019: 12021: 12022: 22025: 12026 (partial year): 1
2007high 2 (2016) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PJA

Too few PJA 510(k)s in any year since 2007 to give a median.

Recalls per year · PJA

No recall names PJA since 2007.

Adverse event reports per year · PJA

16in 2025

2017: 42018: 122019: 652020: 92021: 22022: 12023: 82024: 142025: 16
2007high 65 (2019) · low 0 (2007)2025

MAUDE reports naming product code PJA, 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
20141—00
20150—00
20162—00
20170—04
20181—012
20191—065
20200—09
20211—02
20222—01
20230—08
20240—014
20251—016
20261—0—

What is it indicated for?

The Heartflow Analysis is an AI-based medical device software for the clinical quantitative and qualitative analysis of previously acquired Computed Tomography DICOM data for adult patients (ages 22 years and older) with suspected coronary artery disease. It provides anatomic data, plaque localization and characterization, as well as the calculations of FFRCT, a coronary physiological simulation, computed from simulated pressure, velocity and blood flow…

Read the full statement (144 words)

The Heartflow Analysis is an AI-based medical device software for the clinical quantitative and qualitative analysis of previously acquired Computed Tomography DICOM data for adult patients (ages 22 years and older) with suspected coronary artery disease. It provides anatomic data, plaque localization and characterization, as well as the calculations of FFRCT, a coronary physiological simulation, computed from simulated pressure, velocity and blood flow information obtained from a 3D computer model generated from static coronary CT images. The Heartflow Analysis is intended to support the risk assessment and functional evaluation of coronary artery disease.

The Heartflow Analysis is provided to support qualified clinicians to aid in the evaluation and risk assessment of coronary artery disease. The Heartflow Analysis is intended to be used by qualified clinicians in conjunction with the patient’s clinical history, symptoms, and other diagnostic tests, as well as the clinician’s professional judgment.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K250902: HeartFlow Analysis.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K250902

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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