510(k) Report

510(k) · Cleared

Cleared

syngo.CT Coronary Cockpit

K253786510(k) TraditionalCleared Jun 25, 2026211-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 USA, Inc. · QIH Automated Radiological Image Processing Software

Cleared on Jun 25, 2026 as substantially equivalent to K202280 (Cleerly, Inc., 2020) after a 211-day review. Its family tree reaches back 13 generations to 1991.

Decided
Jun 25, 2026
Review
211 days
Class
Class II
Product code
QIH
Recalls
None
Predicates
1

Its longest line of descent runs back 13 generations to K913770 (1991). 70 ancestors in all, the oldest K871859 (1987). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2009: 1 other ancestor2006: 2 other ancestors2007: 2 other ancestors2005: 2 other ancestors2004: 4 other ancestors2003: 3 other ancestors1999: 4 other ancestors2002: 5 other ancestors2001: 7 other ancestors2000: 3 other ancestors1997: 4 other ancestors1995: 3 other ancestors1993: 3 other ancestors1998: 4 other ancestors1996: 5 other ancestors1987: 1 other ancestor1994: 4 other ancestorsReference device: K173637 · syngo.CT Coronary Analysis; syngo.CT Vascular Analysis · Siemens Medical Solutions USA, Inc. · 2018Reference device: K092747 · Philips Comprehensive Cardiac Analysis (Cca) - Plaque Assessment Tool · Philips Medical Systems (Cleveland), Inc. · 2009K913770 · 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. · 2012K190868 · Cleerly Labs · Cleerly, Inc. · 2019K202280 · Cleerly Labs v2.0 · Cleerly, Inc. · 20201990200020102020
  1. Root · 13 generations backK913770 Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co. · 1991
  2. 9 generations between
  3. 3 generations backK122429 Vessel Analysis and Autoplaque for Ors VisualObject Research Systems (Ors), Inc. · 2012
  4. 2 generations backK190868 Cleerly LabsCleerly, Inc. · 2019
  5. 1 generation backK202280 Cleerly Labs v2.0Cleerly, Inc. · 2020
  6. This deviceK253786 syngo.CT Coronary CockpitSiemens Medical Solutions USA, Inc. · 2026
Show all 13 generations
  1. Root · 13 generations backK913770 Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co. · 1991
  2. 12 generations backK960613 GE Advantage Windows Review WorkstationGE Medical Systems · 1996
  3. 11 generations backK020483 Advantage Workstation 4.1GE Medical Systems · 2002 · Recalled
  4. 10 generations backK023003 Imagechecker-CT WorkstationR2 Technology, Inc. · 2002
  5. 9 generations backK032748 VITREA2, Version 3.4 Medical Image Processing SoftwareVital Images, Inc. · 2003 · Recalled
  6. 8 generations backK040305 VITREA2 Version 3.5Vital Images, Inc. · 2004
  7. 7 generations backK043333 VITREA2, Version 3.7 Medical Image Processing SystemVital Images, Inc. · 2004 · Recalled
  8. 6 generations backK052632 VITREA2 Version 3.8 Medical Image Processing SoftwareVital Images, Inc. · 2005 · Recalled
  9. 5 generations backK061624 Vitrea, Version 3.9Vital Images, Inc. · 2006 · Recalled
  10. 4 generations backK071331 Vitrea Version 4.0Vital Images, Inc. · 2007 · Recalled
  11. 3 generations backK122429 Vessel Analysis and Autoplaque for Ors VisualObject Research Systems (Ors), Inc. · 2012
  12. 2 generations backK190868 Cleerly LabsCleerly, Inc. · 2019
  13. 1 generation backK202280 Cleerly Labs v2.0Cleerly, Inc. · 2020
  14. This deviceK253786 syngo.CT Coronary CockpitSiemens Medical Solutions USA, Inc. · 2026
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K913770Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co.1991—
−12K960613GE Advantage Windows Review WorkstationGE Medical Systems1996—
−11K020483Advantage Workstation 4.1GE Medical Systems20022
−10K023003Imagechecker-CT WorkstationR2 Technology, Inc.2002—
−9K032748VITREA2, Version 3.4 Medical Image Processing SoftwareVital Images, Inc.20032
−8K040305VITREA2 Version 3.5Vital Images, Inc.2004—
−7K043333VITREA2, Version 3.7 Medical Image Processing SystemVital Images, Inc.20041
−6K052632VITREA2 Version 3.8 Medical Image Processing SoftwareVital Images, Inc.20052
−5K061624Vitrea, Version 3.9Vital Images, Inc.20061
−4K071331Vitrea Version 4.0Vital Images, Inc.20071
−3K122429Vessel Analysis and Autoplaque for Ors VisualObject Research Systems (Ors), Inc.2012—
−2K190868Cleerly LabsCleerly, Inc.2019—
−1K202280Cleerly Labs v2.0Cleerly, Inc.2020—
0 (this device)K253786syngo.CT Coronary CockpitSiemens Medical Solutions USA, Inc.2026—

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
FIG. 1 — Lineage of K253786, 1991–2026Source: 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
*K202280Cleerly Labs v2.0
Summary page 5
…ng system Classification Panel: Radiology CFR Section: 21 CFR §892.2050 Device Class: Class II Product Code: LLZ K-Number: K202280 Siemens Medical Solutions USA, Inc. 1…
Cleerly, Inc.2020—
†K173637syngo.CT Coronary Analysis; syngo.CT Vascular AnalysisSiemens Medical Solutions USA, Inc.2018—
†K092747Philips Comprehensive Cardiac Analysis (Cca) - Plaque Assessment ToolPhilips Medical Systems (Cleveland), Inc.2009—

Also cleared against K202280: 2 other devices →

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 35 years and passes through 7 companies; a new generation was cleared every 11 months on median.
  • 15 of the 70 ancestors have a recall of any class.
  • 2 other devices also cite its predicate K202280.

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. 2026, 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?

syngo.CT Coronary Cockpit is an image analysis software package for evaluating cardiac CT angiography volume data sets. Combining automated and semi-automated image processing, visualization and reporting tools, the software package is designed to assist the physician in confirming the presence or absence of coronary lesions and their evaluation, documentation, follow-up as well as treatment planning.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K253786: syngo.CT Coronary Cockpit.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K253786

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Record history
  • FDA decision record loaded Oct 30, 2026
  • Summary read Oct 30, 2026 (extraction version 2d9447fa9ea4)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026