510(k) Report

510(k) · Cleared

Recalled · 2008

ON-Board Imager Device

K040192510(k) SpecialCleared Feb 27, 200430-day reviewClass II21 CFR 892.5050Recalls 2

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

Varian Medical Systems, Inc. · IYE Accelerator, Linear, Medical

Cleared on Feb 27, 2004 as substantially equivalent to K003636 (Varian Medical Systems, Inc., 2001) and 1 other predicate after a 30-day review. Its family tree reaches back 2 generations to 1996. 79 later devices descend from it. It has been recalled 2 times.

Decided
Feb 27, 2004
Review
30 days
Class
Class II
Product code
IYE
Recalls
2
Predicates
2

Its longest line of descent runs back 2 generations to K963624 (1996). 3 ancestors in all. 79 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2001: 1 other ancestor2004: 2 descendants cleared2013: 3 descendants cleared2010: 1 descendant cleared2009: 1 descendant cleared2014: 3 descendants cleared2012: 3 descendants cleared2011: 2 descendants cleared2020: 5 descendants cleared2022: 6 descendants cleared2017: 7 descendants cleared2018: 5 descendants cleared2021: 8 descendants cleared2023: 11 descendants cleared2026: 7 descendants cleared2019: 5 descendants cleared2024: 3 descendants cleared2016: 2 descendants cleared2015: 3 descendants cleared2025: 2 descendants clearedK963624 · Philips Sli Series Linear Accelerator · Philips Medical Systems, Inc. · 1996 · recalledK032996 · Elekta Synergy System · Elekta Oncology Systems, Ltd. · 2003 · recalled1995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 4 descendants2 generations forward: 3 descendants3 generations forward: 6 descendants4 generations forward: 9 descendants5 generations forward: 8 descendants6 generations forward: 11 descendants7 generations forward: 8 descendants8 generations forward: 7 descendants9 generations forward: 6 descendants10 generations forward: 5 descendants11 generations forward: 4 descendants12 generations forward: 4 descendants13 generations forward: 3 descendants14 generations forward: 1 descendant K032996 · Elekta Synergy System · Elekta Oncology Systems, Ltd. · 2003 · recalledK963624 · Philips Sli Series Linear Accelerator · Philips Medical Systems, Inc. · 1996 · recalled0+5+10
  1. Root · 2 generations backK963624 Philips Sli Series Linear AcceleratorPhilips Medical Systems, Inc. · 1996 · Recalled
  2. 1 generation backK032996 Elekta Synergy SystemElekta Oncology Systems, Ltd. · 2003 · Recalled
  3. This deviceK040192 ON-Board Imager DeviceVarian Medical Systems, Inc. · 2004
  4. Descendant · cites it directly · 76 of its ownK042720 ON-Board Imager DeviceVarian Medical Systems · 2004 · Recalled
  5. Descendant · 2 generations on · 61 of its ownK092871 Trilogy MXVarian Medical Systems, Inc. · 2009 · Recalled
  6. Descendant · 3 generations on · 43 of its ownK111106 TruebeamVarian Medical Systems, Inc. · 2011 · Recalled
  7. Descendant · 4 generations on · 37 of its ownK123291 TruebeamVarian Medical Systems, Inc. · 2012
  8. Descendant · 4 generations on · 36 of its ownK123808 AgilityElekta, Ltd. · 2013 · Recalled

Showing 5 of 79 descendants. See all descendants

Descendants cleared per year

2004: 22009: 12010: 12011: 22012: 32013: 32014: 32015: 32016: 22017: 72018: 52019: 52020: 52021: 82022: 62023: 112024: 32025: 22026: 7
2004high 11 (2023) · low 0 (2005)2026

Most influential descendants

Showing 5 of 79 · See all
  • K042720ON-Board Imager DeviceVarian Medical Systems · 2004 · cites it directly76descendants
  • K092871Trilogy MXVarian Medical Systems, Inc. · 2009 · 2 generations on61descendants
  • K111106TruebeamVarian Medical Systems, Inc. · 2011 · 3 generations on43descendants
  • K123291TruebeamVarian Medical Systems, Inc. · 2012 · 4 generations on37descendants
  • K123808AgilityElekta, Ltd. · 2013 · 4 generations on36descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K963624Philips Sli Series Linear AcceleratorPhilips Medical Systems, Inc.19962
−1K032996Elekta Synergy SystemElekta Oncology Systems, Ltd.20033
0 (this device)K040192ON-Board Imager DeviceVarian Medical Systems, Inc.2004—
+1K042720ON-Board Imager DeviceVarian Medical Systems20045
+2K092871Trilogy MXVarian Medical Systems, Inc.20095
+3K111106TruebeamVarian Medical Systems, Inc.20115
+4K123291TruebeamVarian Medical Systems, Inc.2012—
+4K123808AgilityElekta, Ltd.20132

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200420
200910
201010
201120
201230
201330
201430
201530
201620
201770
201850
201950
202050
202180
202260
2023110
202430
202520
202670
FIG. 1 — Lineage of K040192, 1996–2026Source: 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 IYE? 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 IYE device

  1. #1 K252977 Halcyon, Ethos Radiotherapy System (5.0)score 18.8 · 18 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? (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.

TypeNumberDeviceApplicantDecidedRecalls
*K003636Portalvision
Summary page 1
…II Product Code: 90 IYE 3. Predicate Devices to claim substantial equivalence: a. Varian Medical Systems'Portal Vision, K003636 b. Elekta Synergy, K032996 4. Description of the Device: Portal Vision has been modified to add a kilovoltage x-…
Varian Medical Systems, Inc.2001—
*K032996Elekta Synergy System
Summary page 1
…Product Code: 90 IYE 3. Predicate Devices to claim substantial equivalence: a. Varian Medical Systems'Portal Vision, K003636 b. Elekta Synergy, K032996 4. Description of the Device: Portal Vision has been modified to add a kilovoltage x- ray source and digital imaging sy…
Elekta Oncology Systems, Ltd.20033

Also cleared against K003636: 5 other devices →

What descends from it? (79)

See all 79

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

NumberDeviceApplicantDecidedDescendants
K042720ON-Board Imager DeviceVarian Medical Systems200476
K132847I2CIon Beam Applications S.A.20130
K101038Rad II Simulator, Rad II KV Imager, Dual Rad II KV ImagerAcceletronics Digital Imaging, LLC20100
K041519Modification to: on-Board Imager DeviceVarian Medical Systems, Inc.20040

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Jan 3, 2008Not classifiedZ-1442-2008Software designIf used with a third party radiation therapy treatment planning software system, mistreatment may occur because of a misalignment.
Apr 18, 2007Not classifiedZ-1195-2007Device DesignPatient positioning errors may occur because of mechanical variations during product installation.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 8 years and passes through 3 companies; a new generation was cleared every 6.9 years on median.
  • 2 of the 3 ancestors have a recall of any class.
  • Of its descendants, K042720 (Varian Medical Systems, 2004) has gone furthest, with 76 descendants of its own.
  • 5 other devices also cite its predicate K003636.

How does its category compare?

All IYE devices

IYE Accelerator, Linear, Medical: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · IYE

12in 2025

2007: 232008: 142009: 202010: 232011: 112012: 282013: 182014: 202015: 202016: 212017: 232018: 212019: 192020: 202021: 192022: 122023: 182024: 92025: 122026 (partial year): 14
2007high 28 (2012) · low 9 (2024)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · IYE

170in 2025

2007: 44 days median2008: 69 days median2009: 63 days median2010: 74 days median2011: 94 days median2012: 106 days median2013: 88 days median2014: 100 days median2015: 108 days median2016: 97 days median2017: 94 days median2018: 58 days median2019: 83 days median2020: 67 days median2021: 86 days median2022: 172 days median2023: 129 days median2024: 239 days median2025: 170 days median2026 (partial year): 120 days median
2007high 239 (2024) · low 44 (2007)2026

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

Recalls per year · IYE

1in 2025

2007: 782008: 492009: 222010: 272011: 732012: 202013: 112014: 142015: 82016: 72017: 72018: 72019: 22020: 42021: 52022: 32023: 72024: 12025: 12026 (partial year): 4
2007high 78 (2007) · low 1 (2024)2026

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

Adverse event reports per year · IYE

101in 2025

2007: 1552008: 1142009: 1742010: 2462011: 2802012: 1282013: 962014: 1242015: 1002016: 972017: 1252018: 852019: 912020: 742021: 682022: 662023: 1282024: 812025: 101
2007high 280 (2011) · low 66 (2022)2025

MAUDE reports naming product code IYE, 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
2007234478155
2008146949114
2009206322174
2010237427246
2011119473280
20122810620128
201318881196
20142010014124
2015201088100
20162197797
201723947125
20182158785
20191983291
20202067474
20211986568
202212172366
2023181297128
20249239181
2025121701101
2026141204—

What is it indicated for?

The On-Board Imager device is used for verification of correct patient position in relation to isocenter and verification of the treatment fields in relation to anatomical and/or fiducial landmarks.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K040192: ON-Board Imager Device.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K040192

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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