510(k) Report

510(k) · Cleared

Cleared

Anzai AZ-733 Respiratory Gating System

K031385510(k) TraditionalCleared Nov 10, 2003193-day reviewClass II21 CFR 892.5050

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

Anzai Medical Co., Ltd. · LHN System, Radiation Therapy, Charged-Particle, Medical

Cleared on Nov 10, 2003 as substantially equivalent to K983629 (Varian Medical Systems, Inc., 1999) after a 193-day review. Its family tree reaches back 2 generations to 1987. 5 later devices descend from it.

Decided
Nov 10, 2003
Review
193 days
Class
Class II
Product code
LHN
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K864886 (1987). 5 later devices descend from it, 2 citing it directly.

Descendants, by year cleared 2013: 1 descendant cleared2016: 1 descendant cleared2015: 1 descendant cleared2017: 1 descendant cleared2025: 1 descendant clearedK864886 · Respigraph-Respisomnograph-Respicentral · Nims/Respitrace Corp. · 1987K983629 · RPM Respiratory Gating System · Varian Medical Systems, Inc. · 19991990200020102020
Descendants, by generation 1 generation forward: 2 descendants2 generations forward: 2 descendants3 generations forward: 1 descendant K983629 · RPM Respiratory Gating System · Varian Medical Systems, Inc. · 1999K864886 · Respigraph-Respisomnograph-Respicentral · Nims/Respitrace Corp. · 19870
  1. Root · 2 generations backK864886 Respigraph-Respisomnograph-RespicentralNims/Respitrace Corp. · 1987
  2. 1 generation backK983629 RPM Respiratory Gating SystemVarian Medical Systems, Inc. · 1999
  3. This deviceK031385 Anzai AZ-733 Respiratory Gating SystemAnzai Medical Co., Ltd. · 2003
  4. Descendant · cites it directly · 2 of its ownK160432 Anzai Respiratory Gating SystemAnzai Medical Co., Ltd. · 2016
  5. Descendant · 2 generations on · 1 of its ownK170719 Anzai Respiratory Gating SystemAnzai Medical Co., Ltd. · 2017
  6. Descendant · cites it directly · 1 of its ownK131313 Active Breathing CoordinatorAktina Medical Corp. · 2013
  7. Descendant · 3 generations on · 0 of its ownK243900 eMotus Respiratory Motion Management SystemEmpnia, Inc. · 2025
  8. Descendant · 2 generations on · 0 of its ownK151097 Active Breathing CoordinatorAktina Medical Corporation · 2015

Most influential descendants

Showing 5 of 5 · See all
  • K160432Anzai Respiratory Gating SystemAnzai Medical Co., Ltd. · 2016 · cites it directly2descendants
  • K170719Anzai Respiratory Gating SystemAnzai Medical Co., Ltd. · 2017 · 2 generations on1descendant
  • K131313Active Breathing CoordinatorAktina Medical Corp. · 2013 · cites it directly1descendant
  • K243900eMotus Respiratory Motion Management SystemEmpnia, Inc. · 2025 · 3 generations on0descendants
  • K151097Active Breathing CoordinatorAktina Medical Corporation · 2015 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K864886Respigraph-Respisomnograph-RespicentralNims/Respitrace Corp.1987—
−1K983629RPM Respiratory Gating SystemVarian Medical Systems, Inc.1999—
0 (this device)K031385Anzai AZ-733 Respiratory Gating SystemAnzai Medical Co., Ltd.2003—
+1K160432Anzai Respiratory Gating SystemAnzai Medical Co., Ltd.2016—
+2K170719Anzai Respiratory Gating SystemAnzai Medical Co., Ltd.2017—
+1K131313Active Breathing CoordinatorAktina Medical Corp.2013—
+3K243900eMotus Respiratory Motion Management SystemEmpnia, Inc.2025—
+2K151097Active Breathing CoordinatorAktina Medical Corporation2015—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201310
201510
201610
201710
202510
FIG. 1 — Lineage of K031385, 1987–2025Source: 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 LHN? 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 LHN device

  1. #1 K260597 Virtue QAscore 15.4 · 12 generations · 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? (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
*K983629RPM Respiratory Gating System
Summary page 1
…atory Gating System is substantially equivalent to the Varian RPM Respiratory Gating System, which was cleared for marketing by FDA on June 8, 1999 under K983629. B. DEVICE DESCRIPTION The AZ-733 Respiratory Gating System system employs a respiratory sensor which can…
Varian Medical Systems, Inc.1999—

Also cleared against K983629: 6 other devices →

What descends from it? (5)

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

NumberDeviceApplicantDecidedDescendants
K160432Anzai Respiratory Gating SystemAnzai Medical Co., Ltd.20162
K131313Active Breathing CoordinatorAktina Medical Corp.20131

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 16 years and passes through 3 companies; a new generation was cleared every 12.3 years on median.
  • None of the 2 ancestors has a recall.
  • Of its descendants, K160432 (Anzai Medical Co., Ltd., 2016) has gone furthest, with 2 descendants of its own.
  • 6 other devices also cite its predicate K983629.

How does its category compare?

All LHN devices

LHN System, Radiation Therapy, Charged-Particle, Medical: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · LHN

3in 2025

2007: 22008: 32009: 52010: 42011: 12012: 32013: 32014: 42015: 32016: 72017: 42018: 32019: 22020: 42022: 22023: 22024: 12025: 32026 (partial year): 4
2007high 7 (2016) · low 0 (2021)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LHN

190in 2025

2008: 113 days median2009: 69 days median2010: 96 days median2012: 111 days median2013: 70 days median2014: 93 days median2015: 53 days median2016: 120 days median2017: 173 days median2018: 78 days median2020: 74 days median2025: 190 days median2026 (partial year): 194 days median
2007high 194 (2026) · low 53 (2015)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · LHN

1in 2023

2007: 22008: 22014: 22015: 12017: 52018: 22020: 12021: 12022: 22023: 1
2007high 5 (2017) · low 0 (2009)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · LHN

11in 2025

2008: 12009: 52010: 32011: 12012: 12013: 12014: 52015: 22016: 12017: 72018: 82019: 32020: 202021: 242022: 102023: 72024: 22025: 11
2007high 24 (2021) · low 0 (2007)2025

MAUDE reports naming product code LHN, 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
20072—20
2008311321
200956905
201049603
20111—01
2012311101
201337001
201449325
201535312
2016712001
2017417357
201837828
20192—03
2020474120
20210—124
20222—210
20232—17
20241—02
20253190011
202641940—

What is it indicated for?

The AZ-733 Respiratory Gating System is intended to be used with diagnostic x-ray or radiation therapy systems to gate these devices on and off when target points of the patient's respiratory cycle are within preset limits.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K031385: Anzai AZ-733 Respiratory Gating System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K031385

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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