510(k) Report

510(k) · Cleared

Recalled · Class II · 2018

Exactrac X-Ray X-Ray

K120789510(k) TraditionalCleared Aug 14, 2012152-day reviewClass II21 CFR 892.5050Recalls 6

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

Brainlab AG · IYE Accelerator, Linear, Medical

Cleared on Aug 14, 2012 as substantially equivalent to K072506 (Brainlab AG, 2007) and 1 other predicate after a 152-day review. Its family tree reaches back 4 generations to 1996. 8 later devices descend from it. It has been recalled 6 times.

Decided
Aug 14, 2012
Review
152 days
Class
Class II
Product code
IYE
Recalls
6
Predicates
2

Its longest line of descent runs back 4 generations to K963624 (1996). 11 ancestors in all, the oldest K864886 (1987). 8 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2007: 1 other ancestor2004: 1 other ancestor2003: 1 other ancestor2001: 2 other ancestors1999: 1 other ancestor1987: 1 other ancestor2020: 3 descendants cleared2021: 1 descendant cleared2022: 1 descendant cleared2023: 1 descendant cleared2024: 1 descendant cleared2026: 1 descendant clearedK963624 · Philips Sli Series Linear Accelerator · Philips Medical Systems, Inc. · 1996 · recalled×2: 2 generations cleared close together, K032996 (2003), K040192 (2004) K042720 · ON-Board Imager Device · Varian Medical Systems · 2004 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 2 other ancestors3 generations back: 3 other ancestors4 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 3 descendants3 generations forward: 2 descendants4 generations forward: 1 descendant K042720 · ON-Board Imager Device · Varian Medical Systems · 2004 · recalledK040192 · ON-Board Imager Device · Varian Medical Systems, Inc. · 2004 · recalledK032996 · Elekta Synergy System · Elekta Oncology Systems, Ltd. · 2003 · recalledK963624 · Philips Sli Series Linear Accelerator · Philips Medical Systems, Inc. · 1996 · recalled0
  1. Root · 4 generations backK963624 Philips Sli Series Linear AcceleratorPhilips Medical Systems, Inc. · 1996 · Recalled
  2. 3 generations backK032996 Elekta Synergy SystemElekta Oncology Systems, Ltd. · 2003 · Recalled
  3. 2 generations backK040192 ON-Board Imager DeviceVarian Medical Systems, Inc. · 2004 · Recalled
  4. 1 generation backK042720 ON-Board Imager DeviceVarian Medical Systems · 2004 · Recalled
  5. This deviceK120789 Exactrac X-Ray X-RayBrainlab AG · 2012
  6. Descendant · cites it directly · 6 of its ownK201276 ExacTrac DynamicBrainlab AG · 2020 · Recalled
  7. Descendant · 2 generations on · 3 of its ownK220338 ExacTrac DynamicBrainlab AG · 2022 · Recalled
  8. Descendant · 3 generations on · 1 of its ownK240431 ExacTrac Dynamic (2.0); ExacTrac Dynamic SurfaceBrainlab AG · 2024
  9. Descendant · 4 generations on · 0 of its ownK254010 ExacTrac Dynamic (2.0.2); ExacTrac Dynamic SurfaceBrainlab SE · 2026
  10. Descendant · 3 generations on · 0 of its ownK231052 ExacTrac Dynamic 1.1.2Brainlab AG · 2023

Showing 5 of 8 descendants. See all descendants

Descendants cleared per year

2020: 32021: 12022: 12023: 12024: 12026: 1
2020high 3 (2020) · low 0 (2025)2026

Most influential descendants

Showing 5 of 8 · See all
  • K201276ExacTrac DynamicBrainlab AG · 2020 · cites it directly6descendants
  • K220338ExacTrac DynamicBrainlab AG · 2022 · 2 generations on3descendants
  • K240431ExacTrac Dynamic (2.0); ExacTrac Dynamic SurfaceBrainlab AG · 2024 · 3 generations on1descendant
  • K254010ExacTrac Dynamic (2.0.2); ExacTrac Dynamic SurfaceBrainlab SE · 2026 · 4 generations on0descendants
  • K231052ExacTrac Dynamic 1.1.2Brainlab AG · 2023 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K963624Philips Sli Series Linear AcceleratorPhilips Medical Systems, Inc.19962
−3K032996Elekta Synergy SystemElekta Oncology Systems, Ltd.20033
−2K040192ON-Board Imager DeviceVarian Medical Systems, Inc.20042
−1K042720ON-Board Imager DeviceVarian Medical Systems20045
0 (this device)K120789Exactrac X-Ray X-RayBrainlab AG2012—
+1K201276ExacTrac DynamicBrainlab AG20201
+2K220338ExacTrac DynamicBrainlab AG20221
+3K240431ExacTrac Dynamic (2.0); ExacTrac Dynamic SurfaceBrainlab AG2024—
+4K254010ExacTrac Dynamic (2.0.2); ExacTrac Dynamic SurfaceBrainlab SE2026—
+3K231052ExacTrac Dynamic 1.1.2Brainlab AG2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710
199910
200120
200310
200410
200710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202030
202110
202210
202310
202410
202610
FIG. 1 — Lineage of K120789, 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
*K072506Exactrac 5.5
Summary page 1
…ficatian Patient Positioning System with respiratory Gating, Radiation Therapy, Name: Charged-Particle, Medical Predicate Device: ExacTrac 5.5 (K072506) Varian On-Board Imager Device (K042720) Device classification System, Radiation Therapy, Charged-Parti…
Brainlab AG20071
*K042720ON-Board Imager Device
Summary page 1
…adiation Therapy, Name: Charged-Particle, Medical Predicate Device: ExacTrac 5.5 (K072506) Varian On-Board Imager Device (K042720) Device classification System, Radiation Therapy, Charged-Particle, Medical name: Regulatory Class: Class 11 Regulation N…
Varian Medical Systems20045

Also cleared against K072506: 2 other devices →

What descends from it? (8)

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

NumberDeviceApplicantDecidedDescendants
K201276ExacTrac DynamicBrainlab AG20206
K192405Image Guidance System for RadiotherapyJiangsu Rayer Medical Technology Co., Ltd.20200

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

Recalls of this device

DateClassRecallRoot causeReason
Feb 14, 2018Class IIZ-1006-2018OtherThe usage of workflows that deviate from the recommended specifications in the User manual for ExacTrac Patient Positioning System (versions 6.0, 6.1, 6.2, 6.5) with Auxiliary Device Interface (ADI) and Varian Clinac or Varian TrueBeam…
Aug 5, 2015Class IIZ-2440-2015Software in the Use EnvironmentExacTrac 6.0 Patient Positioning System: Display of potentially incorrect Digitally Reconstructed Radiograph (DRR) for x-ray correction and verification.
Mar 6, 2015Class IIZ-1582-2015Software in the Use EnvironmentExacTrac 6.x Patient Positioning System: Potentially incorrect patient positioning when using the ExacTrac Cone Beam CT (CBCT) with a CBCT acquired at a couch angle other than 0.0 degrees.
Feb 16, 2015Class IIZ-1316-2015Software in the Use EnvironmentThe ExacTrac 6.x Patient Positioning System may incorrectly position the patient when using the ExacTrac Cone Beam CT (CBCT) with a TrueBeam-specific optional subvolume-CBCT.
Jun 24, 2014Class IIZ-2146-2014Software designWhen using multiple isocenters (radiation treatment targets) within a single plan, in certain workflow conditions ExacTrac v.6.0.4 might move the patient to an unintended isocenter position, despite displaying the green "OK" icon. If this…
Feb 24, 2014Class IIZ-1513-2014Software designWhen using multiple radiation treatment targets within a single plan, the ExacTrac v.6.0.3 might position the patient to an unintended radiation treatment point. As a result, there is a possibility that the radiation treatment dose may be…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 16 years and passes through 5 companies; a new generation was cleared every 6.9 years on median.
  • 5 of the 11 ancestors have a recall of any class.
  • Of its descendants, K201276 (Brainlab AG, 2020) has gone furthest, with 6 descendants of its own.
  • 2 other devices also cite its predicate K072506.

How does its category compare?

All IYE devices

IYE Accelerator, Linear, Medical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, 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?

ExacTrac is intended to be used to place patients at an accurately defined point within the treatment beam of a medical accelerator for stereotactic radiosurgery or radiotherapy procedures, in order to treat lesions, tumors and conditions anywhere in the body when radiation treatment is indicated. ExacTrac may also be used to monitor the patient position during the treatment.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K120789: Exactrac X-Ray X-Ray.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K120789

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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