510(k) Report

510(k) · Cleared

Recalled · 2012

Truebeam

K111106510(k) TraditionalCleared Aug 18, 2011120-day reviewClass II21 CFR 892.5050Recalls 5

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 Aug 18, 2011 as substantially equivalent to K092871 (Varian Medical Systems, Inc., 2009) after a 120-day review. Its family tree reaches back 6 generations to 1995. 43 later devices descend from it. It has been recalled 5 times.

Decided
Aug 18, 2011
Review
120 days
Class
Class II
Product code
IYE
Recalls
5
Predicates
1

Its longest line of descent runs back 6 generations to K926449 (1995). 26 ancestors in all, the oldest K864886 (1987). 43 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2008: 1 other ancestor2007: 2 other ancestors2006: 2 other ancestors2004: 3 other ancestors2001: 1 other ancestor2005: 1 other ancestor1999: 1 other ancestor2003: 2 other ancestors2000: 2 other ancestors1987: 1 other ancestor1997: 1 other ancestor1996: 2 other ancestors1991: 1 other ancestor2012: 1 descendant cleared2013: 2 descendants cleared2014: 2 descendants cleared2018: 3 descendants cleared2016: 2 descendants cleared2015: 3 descendants cleared2017: 5 descendants cleared2019: 2 descendants cleared2021: 4 descendants cleared2022: 2 descendants cleared2026: 4 descendants cleared2025: 2 descendants cleared2020: 2 descendants cleared2023: 7 descendants cleared2024: 2 descendants clearedK926449 · Varian Multileaf Collimator, Release 4.0 · Varian Assoc., Inc. · 1995K973889 · Varian Multileaf Collimator with Dynamic Arc Therapy Feature · Varian Medical Systems, Inc. · 1997K990085 · Millennium MLC -120 · Varian Assoc., Inc. · 1999 · recalledK050442 · Millennium Multi-Leaf Collimator · Varian Medical Systems · 2005 · recalledK071992 · High-Definition 120 Multileaf Collimator (HD120 MLC) · Varian Medical Systems · 2007 · recalledK092871 · Trilogy MX · Varian Medical Systems, Inc. · 2009 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 5 other ancestors3 generations back: 4 other ancestors4 generations back: 5 other ancestors5 generations back: 6 other ancestors 1 generation forward: 2 descendants2 generations forward: 3 descendants3 generations forward: 6 descendants4 generations forward: 6 descendants5 generations forward: 5 descendants6 generations forward: 4 descendants7 generations forward: 5 descendants8 generations forward: 4 descendants9 generations forward: 4 descendants10 generations forward: 3 descendants11 generations forward: 1 descendant K092871 · Trilogy MX · Varian Medical Systems, Inc. · 2009 · recalledK071992 · High-Definition 120 Multileaf Collimator (HD120 MLC) · Varian Medical Systems · 2007 · recalledK050442 · Millennium Multi-Leaf Collimator · Varian Medical Systems · 2005 · recalledK990085 · Millennium MLC -120 · Varian Assoc., Inc. · 1999 · recalledK973889 · Varian Multileaf Collimator with Dynamic Arc Therapy Feature · Varian Medical Systems, Inc. · 1997K926449 · Varian Multileaf Collimator, Release 4.0 · Varian Assoc., Inc. · 1995−50+5+10
  1. Root · 6 generations backK926449 Varian Multileaf Collimator, Release 4.0Varian Assoc., Inc. · 1995
  2. 5 generations backK973889 Varian Multileaf Collimator with Dynamic Arc Therapy FeatureVarian Medical Systems, Inc. · 1997
  3. 4 generations backK990085 Millennium MLC -120Varian Assoc., Inc. · 1999 · Recalled
  4. 3 generations backK050442 Millennium Multi-Leaf CollimatorVarian Medical Systems · 2005 · Recalled
  5. 2 generations backK071992 High-Definition 120 Multileaf Collimator (HD120 MLC)Varian Medical Systems · 2007 · Recalled
  6. 1 generation backK092871 Trilogy MXVarian Medical Systems, Inc. · 2009 · Recalled
  7. This deviceK111106 TruebeamVarian Medical Systems, Inc. · 2011
  8. Descendant · cites it directly · 37 of its ownK123291 TruebeamVarian Medical Systems, Inc. · 2012
  9. Descendant · cites it directly · 36 of its ownK123808 AgilityElekta, Ltd. · 2013 · Recalled
  10. Descendant · 2 generations on · 31 of its ownK140528 True Beam, True Beam STX, EdgeVarian Medical Systems, Inc. · 2014 · Recalled
  11. Descendant · 3 generations on · 25 of its ownK143224 TrueBeam-TrueBeam STx-EdgeVarian Medical Systems, Inc. · 2014 · Recalled
  12. Descendant · 4 generations on · 23 of its ownK162472 TrueBeam-TrueBeam STx-EdgeVarian Medical Systems, Inc. · 2017

Showing 5 of 43 descendants. See all descendants

Descendants cleared per year

2012: 12013: 22014: 22015: 32016: 22017: 52018: 32019: 22020: 22021: 42022: 22023: 72024: 22025: 22026: 4
2012high 7 (2023) · low 1 (2012)2026

Most influential descendants

Showing 5 of 43 · See all
  • K123291TruebeamVarian Medical Systems, Inc. · 2012 · cites it directly37descendants
  • K123808AgilityElekta, Ltd. · 2013 · cites it directly36descendants
  • K140528True Beam, True Beam STX, EdgeVarian Medical Systems, Inc. · 2014 · 2 generations on31descendants
  • K143224TrueBeam-TrueBeam STx-EdgeVarian Medical Systems, Inc. · 2014 · 3 generations on25descendants
  • K162472TrueBeam-TrueBeam STx-EdgeVarian Medical Systems, Inc. · 2017 · 4 generations on23descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K926449Varian Multileaf Collimator, Release 4.0Varian Assoc., Inc.1995—
−5K973889Varian Multileaf Collimator with Dynamic Arc Therapy FeatureVarian Medical Systems, Inc.1997—
−4K990085Millennium MLC -120Varian Assoc., Inc.19992
−3K050442Millennium Multi-Leaf CollimatorVarian Medical Systems20052
−2K071992High-Definition 120 Multileaf Collimator (HD120 MLC)Varian Medical Systems20074
−1K092871Trilogy MXVarian Medical Systems, Inc.20095
0 (this device)K111106TruebeamVarian Medical Systems, Inc.2011—
+1K123291TruebeamVarian Medical Systems, Inc.2012—
+1K123808AgilityElekta, Ltd.20132
+2K140528True Beam, True Beam STX, EdgeVarian Medical Systems, Inc.20142
+3K143224TrueBeam-TrueBeam STx-EdgeVarian Medical Systems, Inc.20141
+4K162472TrueBeam-TrueBeam STx-EdgeVarian Medical Systems, Inc.2017—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710
199110
199620
199710
199910
200020
200110
200320
200430
200510
200620
200720
200810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201210
201320
201420
201530
201620
201750
201830
201920
202020
202140
202220
202370
202420
202520
202640
FIG. 1 — Lineage of K111106, 1995–2026Source: 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
Get a 510(k) Report

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
*K092871Trilogy MX
Summary page 1
…Product Code: 90 lYE Common/Usual Name: TrueBeam Radiotherapy Delivery System Predicate Device: Trilogy Mx Radiotherapy System and Accessories: K092871 Device Description: The TrueBea mTM Radiotherapy Delivery System is a medical linear accelerator…
Varian Medical Systems, Inc.20095

Also cleared against K092871: 2 other devices →

What descends from it? (43)

See all 43

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

NumberDeviceApplicantDecidedDescendants
K123291TruebeamVarian Medical Systems, Inc.201237
K123808AgilityElekta, Ltd.201336

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

Recalls of this device

DateClassRecallRoot causeReason
Apr 9, 2012Not classifiedZ-1495-2012Device DesignA software anomaly has been identified in TrueBeam when using respiratory gating with patients in the prone position. The gating curve is inverted when a prone patient plan is loaded into TrueBeam.
Apr 9, 2012Not classifiedZ-1617-2012Labeling designVarian received a report involving a Gantry collision and is sending a notification to remind users of the collision protection tools available with TrueBeam and TrueBeam STx, including actions the operator should be aware of.
Jan 30, 2012Not classifiedZ-1175-2012Device DesignAn anomaly has been identified with the respiratory gating software of TrueBeam. When importing breath-hold gating protocols, the gating thresholds can be reset to default values, rather than retaining the thresholds established during…
Dec 12, 2011Not classifiedZ-0691-2012Device DesignVarian has discovered that on 4D Integrated Treatment Console and TrueBeam, the ad-hoc CIAO(Complete Irradiated Area Outline) calculation results in the CIAO generation that is different from the CIAO in RT Chart. The 4DITC algorithm adds…
Oct 31, 2011Not classifiedZ-0364-2012Device DesignAn anomaly has been identified with the TrueBeam and TrueBeam STx systems where, under certain tuning conditions, the electron beam emerging from the bend magnet may have an elongated spot shape.

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 2.4 years on median.
  • 19 of the 26 ancestors have a recall of any class.
  • Of its descendants, K123291 (Varian Medical Systems, Inc., 2012) has gone furthest, with 37 descendants of its own.
  • 2 other devices also cite its predicate K092871.

How does its category compare?

All IYE devices

IYE Accelerator, Linear, Medical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2011, 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?

TrueBeam is intended to provide stereotactic radiosurgery and precision radiotherapy for lesions, tumors, and conditions anywhere in the body where radiation treatment is indicated.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K111106: Truebeam.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K111106

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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