Cleared Traditional

XV Lung Ventilation Analysis Software (K193293) - FDA 510(k) Clearance

Class II Radiology device cleared through predicate-based substantial equivalence.

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Optimized for regulatory review, auditing and printing
May 2020
Decision
169d
Days
Class 2
Risk

K193293 is an FDA 510(k) clearance for the XV Lung Ventilation Analysis Software. Classified as System, X-ray, Tomography, Computed (product code JAK), Class II - Special Controls.

Submitted by 4Dx Limited (Melbourne, AU). The FDA issued a Cleared decision on May 14, 2020 after a review of 169 days - an extended review cycle.

This device falls under the Radiology FDA review panel, regulated under 21 CFR 892.1750 - the FDA radiology and imaging software oversight framework. The Traditional 510(k) pathway establishes clearance through substantial equivalence to a legally marketed predicate device, without requiring clinical trial data.

Device pattern: Standard predicate-based submission. Standard predicate reliance. This clearance follows a standard predicate-based equivalence path within the Radiology review framework, consistent with the majority of Class II 510(k) submissions.

View all 4Dx Limited devices

Submission Details

510(k) Number K193293 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received November 27, 2019
Decision Date May 14, 2020
Days to Decision 169 days
Submission Type Traditional
Review Panel Radiology (RA)
Summary Summary PDF
Third-party Review No - reviewed directly by FDA
Combination Product No
PCCP Authorized No
Regulatory Context
Review time vs. panel average
62d slower than avg
Panel avg: 107d · This submission: 169d
Pathway characteristics
Predicate-based equivalence.

Device Classification

Product Code JAK System, X-ray, Tomography, Computed
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 892.1750
What this classification means

Class II devices require demonstration of substantial equivalence to a legally marketed predicate device. Clinical trial data may be submitted as supporting evidence to strengthen the substantial equivalence argument. Most Radiology devices follow this clearance model.

Clinical Evidence

ClinicalTrials.gov
NCT02735746 Completed Observational

Novel Lung Imaging in Adults Undergoing Radiation Therapy to Assess for Radiation Pneumonitis

Novel High Fidelity Functional Lung Imaging in Adults Undergoing Radiation Therapy to Assess for Radiation Pneumonitis

60
Patients (est.)
1
Site
Condition studied Lung Cancer; Breast Cancer; Mediastinum Lesion; Radiation Pneumonitis
Eligibility All sexes · 18 Years+
Principal investigator Stephen Shiao, MD, PhD
Sponsor Cedars-Sinai Medical Center
Started 2016-08-21 Primary completion 2025-06-06
Primary outcome
A Pearson correlation of >0.579 between peak expiratory flow as measured by HFFLI analysis of cinefluorograph compared with 4D planning CT
Secondary outcome
Forced expiratory volume 1 (FEV1)
Study completed - no results published. This trial concluded in 2025 but has not posted results to ClinicalTrials.gov. Completed studies without public results are common in industry-sponsored device trials; the data may be referenced in the 510(k) Summary PDF or remain unpublished. Individual participant data will not be shared.
View full study on ClinicalTrials.gov

Regulatory Peers - JAK System, X-ray, Tomography, Computed

All 818
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