510(k) Report

510(k) · Cleared

Cleared

HI-Art System

K042739510(k) SpecialCleared Nov 3, 200430-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

Tomotherapy Incorporated · MUJ System, Planning, Radiation Therapy Treatment

Cleared on Nov 3, 2004 as substantially equivalent to K033347 (Tomotherapy Incorporated, 2003) after a 30-day review. Its family tree reaches back 6 generations to 1992. 25 later devices descend from it.

Decided
Nov 3, 2004
Review
30 days
Class
Class II
Product code
MUJ
Recalls
None
Predicates
1

Its longest line of descent runs back 6 generations to K914698 (1992). 21 ancestors in all, the oldest K882729 (1988). 25 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2001: 2 other ancestors1998: 4 other ancestors1992: 1 other ancestor1996: 1 other ancestor1994: 3 other ancestors1988: 1 other ancestor1993: 1 other ancestor1990: 1 other ancestor1989: 1 other ancestor2006: 1 descendant cleared2009: 3 descendants cleared2008: 1 descendant cleared2011: 3 descendants cleared2010: 1 descendant cleared2013: 1 descendant cleared2014: 2 descendants cleared2012: 2 descendants cleared2016: 2 descendants cleared2015: 1 descendant cleared2020: 2 descendants cleared2017: 2 descendants cleared2018: 2 descendants cleared2021: 1 descendant cleared2023: 1 descendant clearedK914698 · Setup Computer with Software V-1261,62 and 63 · K.S., Inc. · 1992K980904 · Mucheck Monitor Unit Validation Program · Medical Dosimetry Services, Inc. · 1998K990833 · Dose Calc, Model VS. 1.02 · Integrity Medical Software, Inc. · 1999K993923 · Adac PINNACLE3TM Radiation Therapy Planning System · Adac Laboratories · 2000K013673 · HI-Art System · Tomo Therapy, Inc. · 2002K033347 · Modification to: HI-Art System · Tomotherapy Incorporated · 20031990200020102020
Other ancestors, by generationDescendants, by generation 3 generations back: 5 other ancestors4 generations back: 6 other ancestors5 generations back: 4 other ancestors 1 generation forward: 1 descendant2 generations forward: 2 descendants3 generations forward: 5 descendants4 generations forward: 5 descendants5 generations forward: 6 descendants6 generations forward: 4 descendants7 generations forward: 2 descendants K033347 · Modification to: HI-Art System · Tomotherapy Incorporated · 2003K013673 · HI-Art System · Tomo Therapy, Inc. · 2002K993923 · Adac PINNACLE3TM Radiation Therapy Planning System · Adac Laboratories · 2000K990833 · Dose Calc, Model VS. 1.02 · Integrity Medical Software, Inc. · 1999K980904 · Mucheck Monitor Unit Validation Program · Medical Dosimetry Services, Inc. · 1998K914698 · Setup Computer with Software V-1261,62 and 63 · K.S., Inc. · 1992−50+5
  1. Root · 6 generations backK914698 Setup Computer with Software V-1261,62 and 63K.S., Inc. · 1992
  2. 5 generations backK980904 Mucheck Monitor Unit Validation ProgramMedical Dosimetry Services, Inc. · 1998
  3. 4 generations backK990833 Dose Calc, Model VS. 1.02Integrity Medical Software, Inc. · 1999
  4. 3 generations backK993923 Adac PINNACLE3TM Radiation Therapy Planning SystemAdac Laboratories · 2000
  5. 2 generations backK013673 HI-Art SystemTomo Therapy, Inc. · 2002
  6. 1 generation backK033347 Modification to: HI-Art SystemTomotherapy Incorporated · 2003
  7. This deviceK042739 HI-Art SystemTomotherapy Incorporated · 2004
  8. Descendant · cites it directly · 24 of its ownK060912 Modification to: HI-Art SystemTomotherapy Incorporated · 2006 · Recalled
  9. Descendant · 2 generations on · 13 of its ownK082005 Modification to HI-Art Treatment SystemTomotherapy Incorporated · 2008 · Recalled
  10. Descendant · 3 generations on · 11 of its ownK112776 Tomotherapy Treatment System Fast OptimizerTomotherapy Incorporated · 2011
  11. Descendant · 4 generations on · 10 of its ownK121934 Tomotherapy Treatment SystemAccuray Incorporated · 2012 · Recalled
  12. Descendant · 2 generations on · 9 of its ownK082775 Prescision OptionSiemens Medical Solutions USA, Inc. · 2009

Showing 5 of 25 descendants. See all descendants

Descendants cleared per year

2006: 12008: 12009: 32010: 12011: 32012: 22013: 12014: 22015: 12016: 22017: 22018: 22020: 22021: 12023: 1
2006high 3 (2009) · low 0 (2007)2026

Most influential descendants

Showing 5 of 25 · See all
  • K060912Modification to: HI-Art SystemTomotherapy Incorporated · 2006 · cites it directly24descendants
  • K082005Modification to HI-Art Treatment SystemTomotherapy Incorporated · 2008 · 2 generations on13descendants
  • K112776Tomotherapy Treatment System Fast OptimizerTomotherapy Incorporated · 2011 · 3 generations on11descendants
  • K121934Tomotherapy Treatment SystemAccuray Incorporated · 2012 · 4 generations on10descendants
  • K082775Prescision OptionSiemens Medical Solutions USA, Inc. · 2009 · 2 generations on9descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K914698Setup Computer with Software V-1261,62 and 63K.S., Inc.1992—
−5K980904Mucheck Monitor Unit Validation ProgramMedical Dosimetry Services, Inc.1998—
−4K990833Dose Calc, Model VS. 1.02Integrity Medical Software, Inc.1999—
−3K993923Adac PINNACLE3TM Radiation Therapy Planning SystemAdac Laboratories2000—
−2K013673HI-Art SystemTomo Therapy, Inc.2002—
−1K033347Modification to: HI-Art SystemTomotherapy Incorporated2003—
0 (this device)K042739HI-Art SystemTomotherapy Incorporated2004—
+1K060912Modification to: HI-Art SystemTomotherapy Incorporated20064
+2K082005Modification to HI-Art Treatment SystemTomotherapy Incorporated20087
+3K112776Tomotherapy Treatment System Fast OptimizerTomotherapy Incorporated2011—
+4K121934Tomotherapy Treatment SystemAccuray Incorporated20128
+2K082775Prescision OptionSiemens Medical Solutions USA, Inc.2009—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198810
198910
199010
199210
199310
199430
199610
199840
200120

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200610
200810
200930
201010
201130
201220
201310
201420
201510
201620
201720
201820
202020
202110
202310
FIG. 1 — Lineage of K042739, 1992–2023Source: 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 MUJ? 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 MUJ device

  1. #1 K232799 syngo.via RT Image Suitescore 18.6 · 19 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
*K033347Modification to: HI-Art System
Summary page 4
…ame: Radiation Therapy System fax 608.824.2996 . . . Classification Name: Medical Charged Particle Radiation Therapy System Predicate Device: TomoTherapy Hi-Art System . K033347 INTENDED USE The TomoTherapy HI-ART System® is intended to be used as an integrated system for the planning and delivery of inte…
Tomotherapy Incorporated2003—

What descends from it? (25)

See all 25

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K060912Modification to: HI-Art SystemTomotherapy Incorporated200624

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 12 years and passes through 6 companies; a new generation was cleared every 1.8 years on median.
  • 3 of the 21 ancestors have a recall of any class.
  • Of its descendants, K060912 (Tomotherapy Incorporated, 2006) has gone furthest, with 24 descendants of its own.

How does its category compare?

All MUJ devices

MUJ System, Planning, Radiation Therapy Treatment: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · MUJ

10in 2025

2007: 42008: 92009: 162010: 112011: 92012: 82013: 52014: 92015: 132016: 52017: 72018: 72019: 92020: 92021: 112022: 82023: 102024: 92025: 102026 (partial year): 9
2007high 16 (2009) · low 4 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MUJ

186in 2025

2007: 67 days median2008: 63 days median2009: 84 days median2010: 56 days median2011: 103 days median2012: 59 days median2013: 64 days median2014: 108 days median2015: 78 days median2016: 80 days median2017: 30 days median2018: 53 days median2019: 56 days median2020: 104 days median2021: 87 days median2022: 168 days median2023: 140 days median2024: 122 days median2025: 186 days median2026 (partial year): 233 days median
2007high 233 (2026) · low 30 (2017)2026

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

Recalls per year · MUJ

2in 2023

2007: 42008: 102009: 112010: 232011: 172012: 42013: 62014: 22015: 72016: 132017: 42018: 32019: 42020: 22021: 42022: 32023: 22026 (partial year): 2
2007high 23 (2010) · low 0 (2024)2026

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

Adverse event reports per year · MUJ

21in 2025

2007: 242008: 512009: 242010: 782011: 732012: 392013: 332014: 352015: 302016: 272017: 162018: 252019: 252020: 262021: 152022: 222023: 762024: 92025: 21
2007high 78 (2010) · low 9 (2024)2025

MAUDE reports naming product code MUJ, 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
2007467424
20089631051
200916841124
201011562378
201191031773
2012859439
2013564633
20149108235
20151378730
20165801327
2017730416
2018753325
2019956425
20209104226
20211187415
20228168322
202310140276
2024912209
202510186021
202692332—

What is it indicated for?

The TomoTherapy HI-ART System is intended to be used as an integrated system for the planning and delivery of intensity modulated radiation therapy (IMRT) for the treatment of cancer. The HI-ART System provides precise delivery of radiation to tumors while minimizing the delivery of radiation to vital healthy tissue. The HI-ART System's planning station is intended to be used by the physician/oncologist to prescribe a radiation therapy plan for a…

Read the full statement (222 words)

The TomoTherapy HI-ART System is intended to be used as an integrated system for the planning and delivery of intensity modulated radiation therapy (IMRT) for the treatment of cancer. The HI-ART System provides precise delivery of radiation to tumors while minimizing the delivery of radiation to vital healthy tissue.

The HI-ART System's planning station is intended to be used by the physician/oncologist to prescribe a radiation therapy plan for a particular patient The HI-ART System then calculates the treatment plan which the physician reviews and approves.

The HI-ART system's operator station and status console is then intended to be used by the therapist to select and implement the patient's treatment plan. The treatment process will begin by performing a Tomolmage Tm (MVCT) scan (a CT using the onboard linear accelerator as the radiation source). This Tomolmage (MVCT) will confirm that the patient's position is correct for the radiation therapy as well as assist in patient re-positioning when necessary. The Tomolmage (MVCT image) is not for diagnostic use.

When patient positioning is complete, the HI-ART System is then intended to be used by the therapist to treat the patient using the selected treatment plan. The HI-ART System delivers the radiation therapy, or stereotactic radiotherapy or radiosurgery, treatment in accordance with the physician approved plan using IMRT techniques delivered in a helical tomographic pattern.

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. “K042739: HI-Art System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K042739

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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