510(k) Report

510(k) · Cleared

Recalled · Class II · 2020

Artistetm Solution with Sys Vcio

K121295510(k) TraditionalCleared Jun 27, 201258-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

Siemens Medical Solutions USA, Inc. · IYE Accelerator, Linear, Medical

Cleared on Jun 27, 2012 as substantially equivalent to K103606 (Siemens Medical Solutions USA, Inc., 2011) and 3 other predicates after a 58-day review. Its family tree reaches back 13 generations to 1992. 3 later devices descend from it. It has been recalled 5 times.

Decided
Jun 27, 2012
Review
58 days
Class
Class II
Product code
IYE
Recalls
5
Predicates
4

Its longest line of descent runs back 13 generations to K914698 (1992). 102 ancestors in all, the oldest K841997 (1984). 3 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2007: 3 other ancestors2006: 8 other ancestors2005: 5 other ancestors2010: 1 other ancestor2004: 8 other ancestors2003: 4 other ancestors2001: 8 other ancestors2000: 5 other ancestors1999: 3 other ancestors1997: 5 other ancestors2008: 1 other ancestor1995: 3 other ancestors1994: 4 other ancestors1990: 3 other ancestors1988: 1 other ancestor1986: 1 other ancestor2002: 4 other ancestors1996: 5 other ancestors1992: 2 other ancestors1991: 3 other ancestors1998: 5 other ancestors1984: 1 other ancestor1993: 2 other ancestors1989: 3 other ancestors1987: 1 other ancestor2014: 2 descendants cleared2018: 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 · 2000K013112 · Focal Sim · Computerized Medical Systems, Inc. · 2001 · recalledK022036 · Siemens Virtual Simulation (Vsim) · Siemens Medical Solutions USA, Inc. · 2002K031764 · Oncor Avant-Garde with Coherence Workspaces · Siemens Medical Solutions USA, Inc. · 2003 · recalledK060226 · Oncor Expression · Siemens Medical Solutions USA, Inc. · 2006 · recalledK072485 · Artiste MV SA · Siemens Medical Solutions USA, Inc. · 2007 · recalled×2: 2 generations cleared close together, K082775 (2009), K090683 (2009) K102671 · Syngo RT Therapist Connect Workspace, V4.2 · Siemens Medical Solutions USA, Inc. · 2010K103606 · Artiste Solution with Sys_VB50 Update · Siemens Medical Solutions USA, Inc. · 2011 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 13 other ancestors3 generations back: 17 other ancestors4 generations back: 14 other ancestors5 generations back: 10 other ancestors6 generations back: 14 other ancestors7 generations back: 15 other ancestors8 generations back: 2 other ancestors9 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 1 descendant K103606 · Artiste Solution with Sys_VB50 Update · Siemens Medical Solutions USA, Inc. · 2011 · recalledK102671 · Syngo RT Therapist Connect Workspace, V4.2 · Siemens Medical Solutions USA, Inc. · 2010K090683 · Syngo RT Therapist Connect · Siemens Medical Solutions USA, Inc. · 2009 · recalledK082775 · Prescision Option · Siemens Medical Solutions USA, Inc. · 2009K072485 · Artiste MV SA · Siemens Medical Solutions USA, Inc. · 2007 · recalledK060226 · Oncor Expression · Siemens Medical Solutions USA, Inc. · 2006 · recalledK031764 · Oncor Avant-Garde with Coherence Workspaces · Siemens Medical Solutions USA, Inc. · 2003 · recalledK022036 · Siemens Virtual Simulation (Vsim) · Siemens Medical Solutions USA, Inc. · 2002K013112 · Focal Sim · Computerized Medical Systems, Inc. · 2001 · recalledK993923 · 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. · 1992−10−50
  1. Root · 13 generations backK914698 Setup Computer with Software V-1261,62 and 63K.S., Inc. · 1992
  2. 9 generations between
  3. 3 generations backK090683 Syngo RT Therapist ConnectSiemens Medical Solutions USA, Inc. · 2009 · Recalled
  4. 2 generations backK102671 Syngo RT Therapist Connect Workspace, V4.2Siemens Medical Solutions USA, Inc. · 2010
  5. 1 generation backK103606 Artiste Solution with Sys_VB50 UpdateSiemens Medical Solutions USA, Inc. · 2011 · Recalled
  6. This deviceK121295 Artistetm Solution with Sys VcioSiemens Medical Solutions USA, Inc. · 2012
  7. Descendant · cites it directly · 2 of its ownK132935 Artiste Solution with Sys_VC10C and Syngo RT Therapist Workspace…Siemens Medical Solutions USA, Inc. · 2014
  8. Descendant · cites it directly · 1 of its ownK142434 Artiste Solution, Sys_VC10C, Phase 2 Update with the Syngo RT…Siemens Medical Solutions USA, Inc. · 2014 · Recalled
  9. Descendant · 2 generations on · 0 of its ownK182050 Linear Accelerator Control Console Software v13.1.010 Update, syngo…Siemens Medical Solutions USA, Inc. · 2018
Show all 13 generations
  1. Root · 13 generations backK914698 Setup Computer with Software V-1261,62 and 63K.S., Inc. · 1992
  2. 12 generations backK980904 Mucheck Monitor Unit Validation ProgramMedical Dosimetry Services, Inc. · 1998
  3. 11 generations backK990833 Dose Calc, Model VS. 1.02Integrity Medical Software, Inc. · 1999
  4. 10 generations backK993923 Adac PINNACLE3TM Radiation Therapy Planning SystemAdac Laboratories · 2000
  5. 9 generations backK013112 Focal SimComputerized Medical Systems, Inc. · 2001 · Recalled
  6. 8 generations backK022036 Siemens Virtual Simulation (Vsim)Siemens Medical Solutions USA, Inc. · 2002
  7. 7 generations backK031764 Oncor Avant-Garde with Coherence WorkspacesSiemens Medical Solutions USA, Inc. · 2003 · Recalled
  8. 6 generations backK060226 Oncor ExpressionSiemens Medical Solutions USA, Inc. · 2006 · Recalled
  9. 5 generations backK072485 Artiste MV SASiemens Medical Solutions USA, Inc. · 2007 · Recalled
  10. 4 generations backK082775 Prescision OptionSiemens Medical Solutions USA, Inc. · 2009
  11. 3 generations backK090683 Syngo RT Therapist ConnectSiemens Medical Solutions USA, Inc. · 2009 · Recalled
  12. 2 generations backK102671 Syngo RT Therapist Connect Workspace, V4.2Siemens Medical Solutions USA, Inc. · 2010
  13. 1 generation backK103606 Artiste Solution with Sys_VB50 UpdateSiemens Medical Solutions USA, Inc. · 2011 · Recalled
  14. This deviceK121295 Artistetm Solution with Sys VcioSiemens Medical Solutions USA, Inc. · 2012

Most influential descendants

Showing 3 of 3 · See all
  • K132935Artiste Solution with Sys_VC10C and Syngo RT Therapist Workspace, V4.3.1 Upgrade Kit…Siemens Medical Solutions USA, Inc. · 2014 · cites it directly2descendants
  • K142434Artiste Solution, Sys_VC10C, Phase 2 Update with the Syngo RT Therapist & RT Oncologist…Siemens Medical Solutions USA, Inc. · 2014 · cites it directly1descendant
  • K182050Linear Accelerator Control Console Software v13.1.010 Update, syngo Radiation Therapy…Siemens Medical Solutions USA, Inc. · 2018 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K914698Setup Computer with Software V-1261,62 and 63K.S., Inc.1992—
−12K980904Mucheck Monitor Unit Validation ProgramMedical Dosimetry Services, Inc.1998—
−11K990833Dose Calc, Model VS. 1.02Integrity Medical Software, Inc.1999—
−10K993923Adac PINNACLE3TM Radiation Therapy Planning SystemAdac Laboratories2000—
−9K013112Focal SimComputerized Medical Systems, Inc.200110
−8K022036Siemens Virtual Simulation (Vsim)Siemens Medical Solutions USA, Inc.2002—
−7K031764Oncor Avant-Garde with Coherence WorkspacesSiemens Medical Solutions USA, Inc.200317
−6K060226Oncor ExpressionSiemens Medical Solutions USA, Inc.200672
−5K072485Artiste MV SASiemens Medical Solutions USA, Inc.200724
−4K082775Prescision OptionSiemens Medical Solutions USA, Inc.2009—
−3K090683Syngo RT Therapist ConnectSiemens Medical Solutions USA, Inc.20094
−2K102671Syngo RT Therapist Connect Workspace, V4.2Siemens Medical Solutions USA, Inc.2010—
−1K103606Artiste Solution with Sys_VB50 UpdateSiemens Medical Solutions USA, Inc.20117
0 (this device)K121295Artistetm Solution with Sys VcioSiemens Medical Solutions USA, Inc.2012—
+1K132935Artiste Solution with Sys_VC10C and Syngo RT Therapist Workspace, V4.3.1…Siemens Medical Solutions USA, Inc.2014—
+1K142434Artiste Solution, Sys_VC10C, Phase 2 Update with the Syngo RT Therapist & RT…Siemens Medical Solutions USA, Inc.20145
+2K182050Linear Accelerator Control Console Software v13.1.010 Update, syngo Radiation…Siemens Medical Solutions USA, Inc.2018—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198410
198610
198710
198810
198930
199030
199130
199220
199320
199440
199530
199650
199750
199850
199930
200050
200180
200240
200340
200480
200550
200680
200730
200810
201010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201420
201810
FIG. 1 — Lineage of K121295, 1992–2018Source: 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
Get a 510(k) Report

What was it cleared against? (4)

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
*K103606Artiste Solution with Sys_VB50 Update
Summary page 2
…4.3) and Control Console 13. The technological characteristics and fundamental technology of the ARTISTETM Solution remrain unchanged from the currently cleared device (K1 03606). The syn go® Software Architecture: The sYngoO Suite for Oncology Workspace clinically focused software utilizes the proprieta…
Siemens Medical Solutions USA, Inc.20117
*K052315Simtec IM-Maxx 2 Option
Summary page 1
…o®RTT Connect v4.2, v4,3, sYngo® Oncologist v4,3 syngo® Oncologist v4.2 SIMTEC IM MAXX 2 [(052315 /Sept. 22, AR'I'STETM1 Solution with the 2005 87_VCIO0…
Siemens Medical Solutions USA, Inc.2005—
*K072916Trilogy System with Rapidarc
Summary page 1
…Therapist v4.3 flew feature Radiation Therapy (IMRT) rnARC Varian TrilogyTm System K(072916 / Nov. 9, 2007 ARTISTEITM Solution with the with RapidArc. SYSVCI 0 &…
Varian Medical Systems, Inc.20072
*K052423Magnetom Systems with Syngo Expert - I Option
Summary page 2
…mARC (also called rotational modulated arc thcrapy). IMRT) syngo® Expert I option on 1(052423 /Jan. 13, ARTISTE TM Solution with the MAGNETOM Systems 2006 SYSVClO & syng…
Siemens Medi Cal Solutions, Inc.2006—

Also cleared against K103606: 1 other device →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K132935Artiste Solution with Sys_VC10C and Syngo RT Therapist Workspace, V4.3.1 Upgrade Kit…Siemens Medical Solutions USA, Inc.20142
K142434Artiste Solution, Sys_VC10C, Phase 2 Update with the Syngo RT Therapist & RT Oncologist…Siemens Medical Solutions USA, Inc.20141

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

Recalls of this device

DateClassRecallRoot causeReason
Feb 18, 2020Class IIZ-1677-2020Use errorPotential safety issue with the dose monitoring system safety interlocks which could result in a 10-20% overdose of radiation therapy.
Mar 20, 2019Class IIZ-1204-2019Use errorAdvisory issued not to disable or bypass the AMP function. Disabling or bypassing the AMP function for reasons of comfort is not advisable may lead to patient or user injury due to collision with LINAC equipment disabling the Auto Field…
Feb 14, 2018Class IIZ-1401-2018Software designControl Console software has been updated to reduce the risk for collision when delivering automatically sequenced treatments with automatic movements of the gantry and/or the treatment table.
May 29, 2013Class IIZ-1562-2013Device DesignThe potential for a safety issue, for the image quality degradation, that is addressed by the Customer Safety Advisory Notice when verifying the patient position based on 2D images that were acquired as single-exposure MV or In-Line kView…
Jan 17, 2013Class IIZ-0907-2013Software designSiemens became aware of a potential safety issue when using the "In-session resumption" feature of the syngo RT Therapist (RTT) 4.3 software. The RTT will send again the previously completed beam or segment for delivery to the control…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 20 years and passes through 6 companies; a new generation was cleared every 1.1 years on median.
  • 43 of the 102 ancestors have a recall of any class.
  • Of its descendants, K132935 (Siemens Medical Solutions USA, Inc., 2014) has gone furthest, with 2 descendants of its own.
  • 1 other device also cites its predicate K103606.

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?

The intended use of the SIEMENS branded ARTISTETI, ONCORrM and PRI~hIlJSTMv family of linear accelerator systems is to deliver X-ray photon and electron radiation for the therapeutic treatment of cancer. The linear acceler-ator systems are high-dose and high-dose rate medical linear accelerators optimized for 3D conformal radiation therapy, intensity-modulated radiation therapy (IMRT), moduilated arc therapy (mARC) and precision stereotactic radiation…

Read the full statement (196 words)

The intended use of the SIEMENS branded ARTISTETI, ONCORrM and PRI~hIlJSTMv family of linear accelerator systems is to deliver X-ray photon and electron radiation for the therapeutic treatment of cancer.

The linear acceler-ator systems are high-dose and high-dose rate medical linear accelerators optimized for 3D conformal radiation therapy, intensity-modulated radiation therapy (IMRT), moduilated arc therapy (mARC) and precision stereotactic radiation therapy for lesions, tumors and conditions anywhere in the head and body where radiation therapy is indicated.

The syngo® Suite for Oncologv Worksvaces:

The syngo® workspaces includes a number of syngo®& based, clinically focused advanced software applications that include patient data management, remote user communication within a local network, and the viewing, processing, manipulation, filming, and archiving of medical images.

The syngoO Wr'Therapist Workspace v4.3, contains software applications that permits patient selection/setup, patient positioning verification, treatment delivery/verification, and treatment recording. The syngo®DRT Therapist Workspace v4.3, can be interfaced with third party devices conforming to the DICOM Standard.

The syngo® RT Oncologist Workspace v4.3 permits localization, contouring, segmentation, image review and review and approval of treatment plan parameters. In addition, it includes tools and administrative functions to aid in the diagnosis, staging, and prescription of radiation therapy.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K121295: Artistetm Solution with Sys Vcio.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K121295

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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