510(k) Report

510(k) · Cleared

Cleared

Acorn 3D Software (AC-SEG-4009); Acorn 3DP Model (AC-101-XX)

K260322510(k) TraditionalCleared Jun 11, 2026132-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

Mighty Oak Medical · QIH Automated Radiological Image Processing Software

Cleared on Jun 11, 2026 as substantially equivalent to K252103 (Mighty Oak Medical, 2025) after a 132-day review. Its family tree reaches back 16 generations to 1991.

Decided
Jun 11, 2026
Review
132 days
Class
Class II
Product code
QIH
Recalls
None
Predicates
1

Its longest line of descent runs back 16 generations to K904519 (1991). 46 ancestors in all, the oldest K896095 (1990). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2024: 1 other ancestor2023: 1 other ancestor2019: 2 other ancestors2017: 1 other ancestor2016: 1 other ancestor2008: 2 other ancestors2014: 1 other ancestor2004: 2 other ancestors2011: 1 other ancestor1997: 1 other ancestor1993: 2 other ancestors2005: 1 other ancestor2003: 2 other ancestors2001: 4 other ancestors2002: 2 other ancestors2000: 1 other ancestor1994: 1 other ancestor1998: 1 other ancestor1996: 1 other ancestor1991: 1 other ancestor1990: 1 other ancestorReference device: K251532 · Acorn 3D Software (AC-SEG-4009); Acorn 3DP Model (AC-101-XX) · Mighty Oak Medical · 2025Reference device: K141669 · Surgimap · Nemaris, Inc. · 2014Reference device: K213975 · KEOPS Balance Analyzer 3D · S.M.A.I.O · 2022K904519 · Agfa Diagnostic Center (Adc) · Enhanced Imaging Technologies, Inc. · 1991K974597 · Adc Compact (Agfa Diagnostic Center) · Bayer Corp., Agfa Div. · 1998 · recalledK013138 · Adc Compact Plus · Agfa-Gevaert AG · 2001K022881 · Cedara I-Softview · Cedara Software Corp. · 2002 · recalledK071972 · Orthopedic Software for Impax Workstations · Agfa Healthcare Corp. · 2007K080529 · Stereos Workstation · Biospace Med · 2008K090050 · Stereos Workstation · Biospace Med · 2010K101398 · Stereos Workstation · Biospace Med · 2011 · recalled×2: 2 generations cleared close together, K113344 (2012), K130395 (2013) K141137 · Stereos Workstation · Eos Imaging · 2014K160914 · sterEOS Workstation · Eos Imaging, Inc. · 2016K172346 · sterEOS Workstation · Eos Imaging · 2018 · recalledK231917 · VEA Align · Eos Imaging · 2024K240582 · VEA Align; spineEOS · Eos Imaging · 2024K252103 · Acorn 3D Software (AC-SEG-4009); Acorn 3DP Model (AC-101-XX) · Mighty Oak Medical · 20251990200020102020
Other ancestors, by generation 2 generations back: 1 other ancestor3 generations back: 3 other ancestors4 generations back: 3 other ancestors5 generations back: 2 other ancestors6 generations back: 4 other ancestors7 generations back: 2 other ancestors8 generations back: 4 other ancestors9 generations back: 4 other ancestors10 generations back: 3 other ancestors11 generations back: 1 other ancestor12 generations back: 1 other ancestor13 generations back: 2 other ancestors K252103 · Acorn 3D Software (AC-SEG-4009); Acorn 3DP Model (AC-101-XX) · Mighty Oak Medical · 2025K240582 · VEA Align; spineEOS · Eos Imaging · 2024K231917 · VEA Align · Eos Imaging · 2024K172346 · sterEOS Workstation · Eos Imaging · 2018 · recalledK160914 · sterEOS Workstation · Eos Imaging, Inc. · 2016K141137 · Stereos Workstation · Eos Imaging · 2014K130395 · Stereos Workstation · Eos Imaging, Inc. · 2013 · recalledK113344 · Stereos Workstation · Eos Imaging · 2012K101398 · Stereos Workstation · Biospace Med · 2011 · recalledK090050 · Stereos Workstation · Biospace Med · 2010K080529 · Stereos Workstation · Biospace Med · 2008K071972 · Orthopedic Software for Impax Workstations · Agfa Healthcare Corp. · 2007K022881 · Cedara I-Softview · Cedara Software Corp. · 2002 · recalledK013138 · Adc Compact Plus · Agfa-Gevaert AG · 2001K974597 · Adc Compact (Agfa Diagnostic Center) · Bayer Corp., Agfa Div. · 1998 · recalledK904519 · Agfa Diagnostic Center (Adc) · Enhanced Imaging Technologies, Inc. · 1991−15−10−50
  1. Root · 16 generations backK904519 Agfa Diagnostic Center (Adc)Enhanced Imaging Technologies, Inc. · 1991
  2. 12 generations between
  3. 3 generations backK231917 VEA AlignEos Imaging · 2024
  4. 2 generations backK240582 VEA Align; spineEOSEos Imaging · 2024
  5. 1 generation backK252103 Acorn 3D Software (AC-SEG-4009); Acorn 3DP Model (AC-101-XX)Mighty Oak Medical · 2025
  6. This deviceK260322 Acorn 3D Software (AC-SEG-4009); Acorn 3DP Model (AC-101-XX)Mighty Oak Medical · 2026
Show all 16 generations
  1. Root · 16 generations backK904519 Agfa Diagnostic Center (Adc)Enhanced Imaging Technologies, Inc. · 1991
  2. 15 generations backK974597 Adc Compact (Agfa Diagnostic Center)Bayer Corp., Agfa Div. · 1998 · Recalled
  3. 14 generations backK013138 Adc Compact PlusAgfa-Gevaert AG · 2001
  4. 13 generations backK022881 Cedara I-SoftviewCedara Software Corp. · 2002 · Recalled
  5. 12 generations backK071972 Orthopedic Software for Impax WorkstationsAgfa Healthcare Corp. · 2007
  6. 11 generations backK080529 Stereos WorkstationBiospace Med · 2008
  7. 10 generations backK090050 Stereos WorkstationBiospace Med · 2010
  8. 9 generations backK101398 Stereos WorkstationBiospace Med · 2011 · Recalled
  9. 8 generations backK113344 Stereos WorkstationEos Imaging · 2012
  10. 7 generations backK130395 Stereos WorkstationEos Imaging, Inc. · 2013 · Recalled
  11. 6 generations backK141137 Stereos WorkstationEos Imaging · 2014
  12. 5 generations backK160914 sterEOS WorkstationEos Imaging, Inc. · 2016
  13. 4 generations backK172346 sterEOS WorkstationEos Imaging · 2018 · Recalled
  14. 3 generations backK231917 VEA AlignEos Imaging · 2024
  15. 2 generations backK240582 VEA Align; spineEOSEos Imaging · 2024
  16. 1 generation backK252103 Acorn 3D Software (AC-SEG-4009); Acorn 3DP Model (AC-101-XX)Mighty Oak Medical · 2025
  17. This deviceK260322 Acorn 3D Software (AC-SEG-4009); Acorn 3DP Model (AC-101-XX)Mighty Oak Medical · 2026
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−16K904519Agfa Diagnostic Center (Adc)Enhanced Imaging Technologies, Inc.1991—
−15K974597Adc Compact (Agfa Diagnostic Center)Bayer Corp., Agfa Div.19981
−14K013138Adc Compact PlusAgfa-Gevaert AG2001—
−13K022881Cedara I-SoftviewCedara Software Corp.20023
−12K071972Orthopedic Software for Impax WorkstationsAgfa Healthcare Corp.2007—
−11K080529Stereos WorkstationBiospace Med2008—
−10K090050Stereos WorkstationBiospace Med2010—
−9K101398Stereos WorkstationBiospace Med20111
−8K113344Stereos WorkstationEos Imaging2012—
−7K130395Stereos WorkstationEos Imaging, Inc.20131
−6K141137Stereos WorkstationEos Imaging2014—
−5K160914sterEOS WorkstationEos Imaging, Inc.2016—
−4K172346sterEOS WorkstationEos Imaging20181
−3K231917VEA AlignEos Imaging2024—
−2K240582VEA Align; spineEOSEos Imaging2024—
−1K252103Acorn 3D Software (AC-SEG-4009); Acorn 3DP Model (AC-101-XX)Mighty Oak Medical2025—
0 (this device)K260322Acorn 3D Software (AC-SEG-4009); Acorn 3DP Model (AC-101-XX)Mighty Oak Medical2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199010
199110
199320
199410
199610
199710
199810
200010
200140
200220
200320
200420
200510
200820
201110
201410
201610
201710
201920
202310
202410
FIG. 1 — Lineage of K260322, 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
*K252103Acorn 3D Software (AC-SEG-4009); Acorn 3DP Model (AC-101-XX)
Summary page 5
…Acorn 3D Software & 3DP Model 510(k) Product Code Trade Name Manufacturer Predicate Device K252103 QIH, LLZ Acorn 3D Software & 3DP Model Mighty Oak Medical Reference Devices K251532…
Mighty Oak Medical2025—
†K251532Acorn 3D Software (AC-SEG-4009); Acorn 3DP Model (AC-101-XX)Mighty Oak Medical2025—
†K141669SurgimapNemaris, Inc.2014—
†K213975KEOPS Balance Analyzer 3DS.M.A.I.O2022—

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 9 companies; a new generation was cleared every 1.5 years on median.
  • 9 of the 46 ancestors have a recall of any class.

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?

Acorn 3D Software is a modular image processing software intended for use as an interface for visualization of medical images, segmentation, anatomical measurements, treatment planning, treatment simulation, and production of an output file. The Acorn 3D Segmentation module is intended for use as a software interface and image segmentation system for the transfer of CT, sCT, or CTA medical images to an output file. Acorn 3D Segmentation is also intended…

Read the full statement (230 words)

Acorn 3D Software is a modular image processing software intended for use as an interface for visualization of medical images, segmentation, anatomical measurements, treatment planning, treatment simulation, and production of an output file.

The Acorn 3D Segmentation module is intended for use as a software interface and image segmentation system for the transfer of CT, sCT, or CTA medical images to an output file. Acorn 3D Segmentation is also intended for measuring and treatment planning. The Acorn 3D Segmentation output can also be used for the fabrication of physical replicas of the output file using additive manufacturing methods, Acorn 3DP Models. The physical replica can be used for diagnostic purposes in the field of musculoskeletal and craniomaxillofacial applications.

The Acorn 3D Alignment and Measurement module contains registration capabilities and measurement functionality based on anatomical reference geometry. It is intended to allow the user to align anatomical structures between datasets, perform spinopelvic measurements on 3D models of anatomy, and plan surgical procedures in pediatric and adult patients.

The Acorn 3D Trajectory Automation module may be used to plan pedicle screw placement in the thoracic and lumbar regions of the spine in pediatric and adult patients.

The Acorn 3D Correction module may be used to plan and simulate aspects of surgical procedures in pediatric and adult patients.

Acorn 3D Software and 3DP Models should be used in conjunction with expert clinical judQment.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K260322: Acorn 3D Software (AC-SEG-4009); Acorn 3DP Model (AC-101-XX).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K260322

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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