510(k) Report

510(k) · Cleared

Recalled · Class II · 2012

Trilogy with External System Gating Interface

K081188510(k) TraditionalCleared Jul 14, 200877-day reviewClass II21 CFR 892.5050Recalls 1

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 Jul 14, 2008 as substantially equivalent to K072916 (Varian Medical Systems, Inc., 2007) after a 77-day review. Its family tree reaches back 5 generations to 1991. 6 later devices descend from it. It has been recalled once.

Decided
Jul 14, 2008
Review
77 days
Class
Class II
Product code
IYE
Recalls
1
Predicates
1

Its longest line of descent runs back 5 generations to K913119 (1991). 7 ancestors in all. 6 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2004: 1 other ancestor2000: 1 other ancestor2009: 1 descendant cleared2010: 1 descendant cleared2011: 1 descendant cleared2013: 1 descendant cleared2016: 1 descendant cleared2018: 1 descendant clearedK913119 · Varian C-Series Clinacs (Clinac 2300C/D) · Varian Assoc., Inc. · 1991 · recalledK033343 · Trilogy Radiotherapy Delivery System · Varian Medical Systems, Inc. · 2003 · recalledK061140 · Trilogy Radiotherapy Delivery System · Varian Medical Systems · 2006K070094 · Trilogy Radiotherapy Delivery System and Trilogy TX Delivery System · Varian Medical Systems, Inc. · 2007 · recalledK072916 · Trilogy System with Rapidarc · Varian Medical Systems, Inc. · 2007 · recalled1990200020102020
  1. Root · 5 generations backK913119 Varian C-Series Clinacs (Clinac 2300C/D)Varian Assoc., Inc. · 1991 · Recalled
  2. 4 generations backK033343 Trilogy Radiotherapy Delivery SystemVarian Medical Systems, Inc. · 2003 · Recalled
  3. 3 generations backK061140 Trilogy Radiotherapy Delivery SystemVarian Medical Systems · 2006
  4. 2 generations backK070094 Trilogy Radiotherapy Delivery System and Trilogy TX Delivery SystemVarian Medical Systems, Inc. · 2007 · Recalled
  5. 1 generation backK072916 Trilogy System with RapidarcVarian Medical Systems, Inc. · 2007 · Recalled
  6. This deviceK081188 Trilogy with External System Gating InterfaceVarian Medical Systems, Inc. · 2008
  7. Descendant · cites it directly · 4 of its ownK100890 Varian High Energy Linear AcceleratorVarian Medical Systems · 2010 · Recalled
  8. Descendant · 2 generations on · 3 of its ownK112839 Varian High Energy Linear AcceleratorVarian Medical Systems · 2011 · Recalled
  9. Descendant · 3 generations on · 2 of its ownK131807 High Energy Linear AcceleratorVarian Medical Systems, Inc. · 2013 · Recalled
  10. Descendant · 4 generations on · 1 of its ownK162476 Varian High Energy Linear AcceleratorVarian Medical Systems, Inc. · 2016
  11. Descendant · 5 generations on · 0 of its ownK181404 Varian High Energy Linear Accelerator, UNIQUE, Varian Multileaf…Varian Medical Systems, Inc. · 2018 · Recalled

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2009: 12010: 12011: 12013: 12016: 12018: 1
2009high 1 (2009) · low 0 (2012)2026

Most influential descendants

Showing 5 of 6 · See all
  • K100890Varian High Energy Linear AcceleratorVarian Medical Systems · 2010 · cites it directly4descendants
  • K112839Varian High Energy Linear AcceleratorVarian Medical Systems · 2011 · 2 generations on3descendants
  • K131807High Energy Linear AcceleratorVarian Medical Systems, Inc. · 2013 · 3 generations on2descendants
  • K162476Varian High Energy Linear AcceleratorVarian Medical Systems, Inc. · 2016 · 4 generations on1descendant
  • K181404Varian High Energy Linear Accelerator, UNIQUE, Varian Multileaf CollimatorVarian Medical Systems, Inc. · 2018 · 5 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K913119Varian C-Series Clinacs (Clinac 2300C/D)Varian Assoc., Inc.19916
−4K033343Trilogy Radiotherapy Delivery SystemVarian Medical Systems, Inc.20033
−3K061140Trilogy Radiotherapy Delivery SystemVarian Medical Systems2006—
−2K070094Trilogy Radiotherapy Delivery System and Trilogy TX Delivery SystemVarian Medical Systems, Inc.20075
−1K072916Trilogy System with RapidarcVarian Medical Systems, Inc.20072
0 (this device)K081188Trilogy with External System Gating InterfaceVarian Medical Systems, Inc.2008—
+1K100890Varian High Energy Linear AcceleratorVarian Medical Systems201011
+2K112839Varian High Energy Linear AcceleratorVarian Medical Systems20111
+3K131807High Energy Linear AcceleratorVarian Medical Systems, Inc.20132
+4K162476Varian High Energy Linear AcceleratorVarian Medical Systems, Inc.2016—
+5K181404Varian High Energy Linear Accelerator, UNIQUE, Varian Multileaf CollimatorVarian Medical Systems, Inc.20181

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200010
200410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200910
201010
201110
201310
201610
201810
FIG. 1 — Lineage of K081188, 1991–2018Source: 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? (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
*K072916Trilogy System with Rapidarc
Summary page 1
…Class II Product Code: 90 IYE/' 3. Predicate Device to claim substantial equivalence: Varian Trilogy Tx Radiotherapy System -K072916 4. Description of the Device: The Trilogy System modifications enable the export of beam information to external…
Varian Medical Systems, Inc.20072

Also cleared against K072916: 5 other devices →

What descends from it? (6)

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

NumberDeviceApplicantDecidedDescendants
K100890Varian High Energy Linear AcceleratorVarian Medical Systems20104
K083414Radionics Xknife HDRT SystemIntegra Radionics, Inc.20090

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

Recalls of this device

DateClassRecallRoot causeReason
Aug 14, 2012Class IIZ-2383-2012Nonconforming Material/ComponentSome X-jaw (lower collimator jaw) carriers were made using the incorrect metal alloy, which can cause the jaw carrier to crack. If both carriers on the same X-jaw crack, the jaw would be able to move freely in the closed direction. The…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 17 years and passes through 3 companies; a new generation was cleared every 9 months on median.
  • 5 of the 7 ancestors have a recall of any class.
  • Of its descendants, K100890 (Varian Medical Systems, 2010) has gone furthest, with 4 descendants of its own.
  • 5 other devices also cite its predicate K072916.

How does its category compare?

All IYE devices

IYE Accelerator, Linear, Medical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2008, this device’s year, is highlighted.

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 Trilogy Tm Radiotherapy Delivery System is indicated for stereotactic radiosurgery and precision radiotherapy for lesions, tumors and conditions anywhere in the body when radiation treatment is indicated.

The External System Gating Interface is indicated for use in exporting beam information to external gating devices.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K081188: Trilogy with External System Gating Interface.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K081188

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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