510(k) Report

510(k) · Cleared

Cleared

Siemens Integrated Operating System (Sios)

K994231510(k) TraditionalCleared Aug 10, 2000238-day reviewClass II21 CFR 876.1500

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

Siemens Medical Corp. · ODA Endoscopic Central Control Unit

Cleared on Aug 10, 2000 as substantially equivalent to K981993 (The Olympus Optical Co., 1998) after a 238-day review. Its family tree reaches back 4 generations to 1980. 4 of the 182 devices in its family, counting itself, have a Class I recall. 157 later devices descend from it.

Decided
Aug 10, 2000
Review
238 days
Class
Class II
Product code
ODA
Recalls
None
Predicates
2

Its longest line of descent runs back 4 generations to K801623 (1980). 24 ancestors in all. 157 later devices descend from it, 2 citing it directly. 4 of the 182 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 1997: 2 other ancestors1996: 3 other ancestors1995: 8 other ancestors1994: 1 other ancestor1993: 1 other ancestor1991: 3 other ancestors1992: 1 other ancestor1988: 1 other ancestor2006: 2 descendants cleared2002: 1 descendant cleared2016: 12 descendants cleared, 1 with a Class I recall12008: 5 descendants cleared2015: 7 descendants cleared2007: 1 descendant cleared2009: 3 descendants cleared2010: 5 descendants cleared2013: 10 descendants cleared2011: 5 descendants cleared2018: 11 descendants cleared2022: 10 descendants cleared2019: 7 descendants cleared2014: 11 descendants cleared2012: 4 descendants cleared2017: 6 descendants cleared, 2 with a Class I recall22024: 7 descendants cleared2020: 12 descendants cleared, 1 with a Class I recall12021: 9 descendants cleared2025: 13 descendants cleared2023: 7 descendants cleared2026: 9 descendants clearedK801623 · Cavitron Ultrasonic Surg. Aspir. Cusa · Cavitron Corp. · 1980K962952 · Olympus Ultrasonic Surgical System (Usu) · Olympus Optical, Co. · 1996×2: 2 generations cleared close together, K972114 (1998), K981993 (1998) 19801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 8 other ancestors3 generations back: 8 other ancestors4 generations back: 4 other ancestors 1 generation forward: 2 descendants2 generations forward: 3 descendants3 generations forward: 7 descendants4 generations forward: 25 descendants5 generations forward: 34 descendants6 generations forward: 36 descendants7 generations forward: 22 descendants, 2 with a Class I recall28 generations forward: 14 descendants, 1 with a Class I recall19 generations forward: 5 descendants, 1 with a Class I recall110 generations forward: 4 descendants11 generations forward: 5 descendants K981993 · Olympus Integrated Endosurgery System Endoalpha · The Olympus Optical Co. · 1998K972114 · Olympus Sonosurg System · The Olympus Optical Co. · 1998K962952 · Olympus Ultrasonic Surgical System (Usu) · Olympus Optical, Co. · 1996K801623 · Cavitron Ultrasonic Surg. Aspir. Cusa · Cavitron Corp. · 19800+5+10
  1. Root · 4 generations backK801623 Cavitron Ultrasonic Surg. Aspir. CusaCavitron Corp. · 1980
  2. 3 generations backK962952 Olympus Ultrasonic Surgical System (Usu)Olympus Optical, Co. · 1996
  3. 2 generations backK972114 Olympus Sonosurg SystemThe Olympus Optical Co. · 1998
  4. 1 generation backK981993 Olympus Integrated Endosurgery System EndoalphaThe Olympus Optical Co. · 1998
  5. This deviceK994231 Siemens Integrated Operating System (Sios)Siemens Medical Corp. · 2000
  6. Descendant · cites it directly · 154 of its ownK052202 Axiom Artis - Modular Angiographic SystemSiemens Medical Solutions USA, Inc. · 2006 · Recalled
  7. Descendant · 2 generations on · 80 of its ownK061054 Axiom Aristos FX PlusSiemens Medical Solutions USA, Inc. · 2006 · Recalled
  8. Descendant · 3 generations on · 78 of its ownK062623 Axiom Luminos DRFSiemens Medical Solutions USA, Inc. · 2007 · Recalled
  9. Descendant · 2 generations on · 72 of its ownK073290 Artis Zee and ZeegoSiemens Medical Solutions USA, Inc. · 2008 · Recalled
  10. Descendant · 3 generations on · 69 of its ownK090745 Artis Zee / Zeegos with SW VC14Siemens Medical Solutions USA, Inc. · 2009 · Recalled

Showing 5 of 157 descendants. See all descendants

Descendants cleared per year

2002: 12006: 22007: 12008: 52009: 32010: 52011: 52012: 42013: 102014: 112015: 72016: 122017: 62018: 112019: 72020: 122021: 92022: 102023: 72024: 72025: 132026: 9
2002high 13 (2025) · low 0 (2003)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 157 · See all
  • K052202Axiom Artis - Modular Angiographic SystemSiemens Medical Solutions USA, Inc. · 2006 · cites it directly154descendants
  • K061054Axiom Aristos FX PlusSiemens Medical Solutions USA, Inc. · 2006 · 2 generations on80descendants
  • K062623Axiom Luminos DRFSiemens Medical Solutions USA, Inc. · 2007 · 3 generations on78descendants
  • K073290Artis Zee and ZeegoSiemens Medical Solutions USA, Inc. · 2008 · 2 generations on72descendants
  • K090745Artis Zee / Zeegos with SW VC14Siemens Medical Solutions USA, Inc. · 2009 · 3 generations on69descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K801623Cavitron Ultrasonic Surg. Aspir. CusaCavitron Corp.1980—
−3K962952Olympus Ultrasonic Surgical System (Usu)Olympus Optical, Co.1996—
−2K972114Olympus Sonosurg SystemThe Olympus Optical Co.1998—
−1K981993Olympus Integrated Endosurgery System EndoalphaThe Olympus Optical Co.1998—
0 (this device)K994231Siemens Integrated Operating System (Sios)Siemens Medical Corp.2000—
+1K052202Axiom Artis - Modular Angiographic SystemSiemens Medical Solutions USA, Inc.200629
+2K061054Axiom Aristos FX PlusSiemens Medical Solutions USA, Inc.20063
+3K062623Axiom Luminos DRFSiemens Medical Solutions USA, Inc.200720
+2K073290Artis Zee and ZeegoSiemens Medical Solutions USA, Inc.200839
+3K090745Artis Zee / Zeegos with SW VC14Siemens Medical Solutions USA, Inc.20097

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198810
199130
199210
199310
199410
199580
199630
199720

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200210
200620
200710
200850
200930
201050
201150
201240
2013100
2014110
201570
2016121
201762
2018110
201970
2020121
202190
2022100
202370
202470
2025130
202690
FIG. 1 — Lineage of K994231, 1980–2026Source: 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.

4 devices in this family have a Class I recall. 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 ODA device

  1. #1 K203566 Tablet Applicationscore 6.7 · 9 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; numbers the summary cites that cannot be its predicate are marked – and kept off the family tree.

TypeNumberDeviceApplicantDecidedRecalls
*K981993Olympus Integrated Endosurgery System Endoalpha
Summary page 4
…. The package is substantially equivalent to the following devices: rTangem A "HERMES ™™ Operating Room Control Center and Accessories EndoALPHA '™ Integrated Olympus K981993 8121798 Endosurgery System 510(k) for Siemens Integrated Operating System (SIOS) Page 66 Siemens Medical Systems, Inc. === Page…
The Olympus Optical Co.1998—
Kept off the family treeK081798EndoALPHA Integrated Endosurgery System
Not matched in our reading of the summary (scans can blur digits), so it is kept off the family tree

Also cleared against K981993: 4 other devices →

What descends from it? (157)

See all 157

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

NumberDeviceApplicantDecidedDescendants
K052202Axiom Artis - Modular Angiographic SystemSiemens Medical Solutions USA, Inc.2006154
K020255Riwo Net Operating Operating Control System, Model #5590Richard Wolf Medical Instruments Corp.20021

Has anything in its family been recalled? (4 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K162859Allura Xper FD series and Allura Xper OR Table seriesPhilips Medical Systems Nederland B.V. · 2016 · 7 generations on · ◆ in the 2016 descendants bar of FIG. 112 Class I recalls
  • K163715Allura Xper R9Philips Medical Systems Nederland B.V. · 2017 · 7 generations on · ◆ in the 2017 descendants bar of FIG. 17 Class I recalls
  • K172822Azurion series R1.2Philips Medical Systems Nederland B.V. · 2017 · 8 generations on · ◆ in the 2017 descendants bar of FIG. 19 Class I recalls
  • K200917Azurion R2.1Philips Medical Systems Nederland B.V. · 2020 · 9 generations on · ◆ in the 2020 descendants bar of FIG. 18 Class I recalls

What does this lineage say?

  • The line of descent spans 20 years and passes through 4 companies; a new generation was cleared every 2.0 years on median.
  • None of the 24 ancestors has a recall.
  • Of its descendants, K052202 (Siemens Medical Solutions USA, Inc., 2006) has gone furthest, with 154 descendants of its own.
  • 4 other devices also cite its predicate K981993.

How does its category compare?

All ODA devices

ODA Endoscopic Central Control Unit: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · ODA

1in 2023

2007: 12008: 12009: 12010: 12011: 12012: 12016: 22020: 12021: 12022: 12023: 1
2007high 2 (2016) · low 0 (2013)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · ODA

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

Recalls per year · ODA

No recall names ODA since 2007.

Adverse event reports per year · ODA

3in 2025

2009: 22010: 12011: 22012: 12015: 12017: 12025: 3
2007high 3 (2025) · low 0 (2007)2025

MAUDE reports naming product code ODA, 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
20071—00
20081—00
20091—02
20101—01
20111—02
20121—01
20130—00
20140—00
20150—01
20162—00
20170—01
20180—00
20190—00
20201—00
20211—00
20221—00
20231—00
20240—00
20250—03
20260—0—

What is it indicated for?

The SIOS product is intended to optimize procedures in the operating room by providing consistent pre-operative, intra-operative and post-operative equipment control, image and data handling, and networking capabilities,

The SIOS product is limited to use with the following products:

(1) Wolf Endocam - 3CCD Endocam 5507,

(2) Wolf Light Source - Auto-CP 5131,

(3) Wolf Insufflator - Laparo CO₂ Patu 2332, and

(4) Maquet OR Table - ALPHAMAQUET 1150.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K994231: Siemens Integrated Operating System (Sios).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K994231

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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