510(k) Report

510(k) · Cleared

Recalled · Class II · 2018

True Beam, True Beam STX, Edge

K140528510(k) TraditionalCleared Sep 5, 2014185-day reviewClass II21 CFR 892.5050Recalls 2

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 Sep 5, 2014 as substantially equivalent to K123291 (Varian Medical Systems, Inc., 2012) and 2 other predicates after a 185-day review. Its family tree reaches back 8 generations to 1995. 31 later devices descend from it. It has been recalled 2 times.

Decided
Sep 5, 2014
Review
185 days
Class
Class II
Product code
IYE
Recalls
2
Predicates
3

Its longest line of descent runs back 8 generations to K926449 (1995). 32 ancestors in all, the oldest K864886 (1987). 31 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2013: 1 other ancestor2010: 1 other ancestor2012: 1 other ancestor1999: 1 other ancestor2008: 2 other ancestors1987: 1 other ancestor2007: 2 other ancestors2006: 2 other ancestors2004: 3 other ancestors2001: 1 other ancestor1996: 2 other ancestors2005: 1 other ancestor2003: 2 other ancestors2000: 2 other ancestors1997: 1 other ancestor1991: 1 other ancestor2014: 1 descendant cleared2015: 2 descendants cleared2017: 4 descendants cleared2016: 1 descendant cleared2018: 2 descendants cleared2022: 2 descendants cleared2021: 3 descendants cleared2025: 2 descendants cleared2020: 2 descendants cleared2023: 7 descendants cleared2024: 2 descendants cleared2026: 3 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 · recalledK111106 · Truebeam · Varian Medical Systems, Inc. · 2011 · recalledK123291 · Truebeam · Varian Medical Systems, Inc. · 20121990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 2 other ancestors3 generations back: 2 other ancestors4 generations back: 6 other ancestors5 generations back: 3 other ancestors6 generations back: 4 other ancestors7 generations back: 5 other ancestors 1 generation forward: 2 descendants2 generations forward: 4 descendants3 generations forward: 4 descendants4 generations forward: 4 descendants5 generations forward: 5 descendants6 generations forward: 4 descendants7 generations forward: 4 descendants8 generations forward: 3 descendants9 generations forward: 1 descendant K123291 · Truebeam · Varian Medical Systems, Inc. · 2012K111106 · Truebeam · Varian Medical Systems, Inc. · 2011 · recalledK092871 · 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
  1. Root · 8 generations backK926449 Varian Multileaf Collimator, Release 4.0Varian Assoc., Inc. · 1995
  2. 7 generations backK973889 Varian Multileaf Collimator with Dynamic Arc Therapy FeatureVarian Medical Systems, Inc. · 1997
  3. 6 generations backK990085 Millennium MLC -120Varian Assoc., Inc. · 1999 · Recalled
  4. 5 generations backK050442 Millennium Multi-Leaf CollimatorVarian Medical Systems · 2005 · Recalled
  5. 4 generations backK071992 High-Definition 120 Multileaf Collimator (HD120 MLC)Varian Medical Systems · 2007 · Recalled
  6. 3 generations backK092871 Trilogy MXVarian Medical Systems, Inc. · 2009 · Recalled
  7. 2 generations backK111106 TruebeamVarian Medical Systems, Inc. · 2011 · Recalled
  8. 1 generation backK123291 TruebeamVarian Medical Systems, Inc. · 2012
  9. This deviceK140528 True Beam, True Beam STX, EdgeVarian Medical Systems, Inc. · 2014
  10. Descendant · cites it directly · 25 of its ownK143224 TrueBeam-TrueBeam STx-EdgeVarian Medical Systems, Inc. · 2014 · Recalled
  11. Descendant · 2 generations on · 23 of its ownK162472 TrueBeam-TrueBeam STx-EdgeVarian Medical Systems, Inc. · 2017
  12. Descendant · 3 generations on · 15 of its ownK170817 HalcyonVarian Medical Systems, Inc. · 2017
  13. Descendant · 4 generations on · 14 of its ownK181032 HalcyonVarian Medical Systems, Inc. · 2018
  14. Descendant · 5 generations on · 9 of its ownK192377 Ethos Treatment Management, Ethos Treatment Planning, Ethos…Varian Medical Systems, Inc. · 2020

Showing 5 of 31 descendants. See all descendants

Descendants cleared per year

2014: 12015: 22016: 12017: 42018: 22020: 22021: 32022: 22023: 72024: 22025: 22026: 3
2014high 7 (2023) · low 0 (2019)2026

Most influential descendants

Showing 5 of 31 · See all
  • K143224TrueBeam-TrueBeam STx-EdgeVarian Medical Systems, Inc. · 2014 · cites it directly25descendants
  • K162472TrueBeam-TrueBeam STx-EdgeVarian Medical Systems, Inc. · 2017 · 2 generations on23descendants
  • K170817HalcyonVarian Medical Systems, Inc. · 2017 · 3 generations on15descendants
  • K181032HalcyonVarian Medical Systems, Inc. · 2018 · 4 generations on14descendants
  • K192377Ethos Treatment Management, Ethos Treatment Planning, Ethos Radiotherapy System, HalcyonVarian Medical Systems, Inc. · 2020 · 5 generations on9descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K926449Varian Multileaf Collimator, Release 4.0Varian Assoc., Inc.1995—
−7K973889Varian Multileaf Collimator with Dynamic Arc Therapy FeatureVarian Medical Systems, Inc.1997—
−6K990085Millennium MLC -120Varian Assoc., Inc.19992
−5K050442Millennium Multi-Leaf CollimatorVarian Medical Systems20052
−4K071992High-Definition 120 Multileaf Collimator (HD120 MLC)Varian Medical Systems20074
−3K092871Trilogy MXVarian Medical Systems, Inc.20095
−2K111106TruebeamVarian Medical Systems, Inc.20115
−1K123291TruebeamVarian Medical Systems, Inc.2012—
0 (this device)K140528True Beam, True Beam STX, EdgeVarian Medical Systems, Inc.2014—
+1K143224TrueBeam-TrueBeam STx-EdgeVarian Medical Systems, Inc.20141
+2K162472TrueBeam-TrueBeam STx-EdgeVarian Medical Systems, Inc.2017—
+3K170817HalcyonVarian Medical Systems, Inc.2017—
+4K181032HalcyonVarian Medical Systems, Inc.2018—
+5K192377Ethos Treatment Management, Ethos Treatment Planning, Ethos Radiotherapy…Varian Medical Systems, Inc.2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710
199110
199620
199710
199910
200020
200110
200320
200430
200510
200620
200720
200820
201010
201210
201310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201410
201520
201610
201740
201820
202020
202130
202220
202370
202420
202520
202630
FIG. 1 — Lineage of K140528, 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
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What was it cleared against? (3)

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
*K123291Truebeam
Summary page 5
…I Product Code: IYE Common/Usual Name: Medical linear accelerator Predicate Devices: TrueBeam Radiotherapy System and Accessories: K123291 CyberKnife Robotic Radiosurgery System and CyberKnife VSI Systems: K102650…
Varian Medical Systems, Inc.2012—
*K102650Cyberknife Robotic Radiosurgery System
Summary page 5
…rueBeam Radiotherapy System and Accessories: K123291 CyberKnife Robotic Radiosurgery System and CyberKnife VSI Systems: K102650 Agility™ K123808 Device Description: The TrueBeam™ and Edge™ Radiotherapy Delivery Systems are med…
Accuray Incorporated20102
*K123808Agility
Summary page 5
…s: K123291 CyberKnife Robotic Radiosurgery System and CyberKnife VSI Systems: K102650 Agility™ K123808 Device Description: The TrueBeam™ and Edge™ Radiotherapy Delivery Systems are medical linear accel…
Elekta, Ltd.20132

Also cleared against K123291: 1 other device →

What descends from it? (31)

See all 31

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

NumberDeviceApplicantDecidedDescendants
K143224TrueBeam-TrueBeam STx-EdgeVarian Medical Systems, Inc.201425
K151159Leksell Gamma Knife PerfexionElekta Instrument AB20154

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

Recalls of this device

DateClassRecallRoot causeReason
Aug 20, 2018Class IIZ-0004-2019Software designReports have been received of an anomaly that can result in a treatment without intended gating (respiratory tracking/monitoring). This issue occurs when a patient planned with gating is treated on more than one system.
Jun 30, 2016Class IIZ-2668-2016OtherVision RT Ltd received three (3) reports from different sites that discovered the following issue, unintended changes were made to planned couch parameters, specifically the couch rotation parameter, during patient set-up for the Optical…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 19 years and passes through 3 companies; a new generation was cleared every 2.3 years on median.
  • 24 of the 32 ancestors have a recall of any class.
  • Of its descendants, K143224 (Varian Medical Systems, Inc., 2014) has gone furthest, with 25 descendants of its own.
  • 1 other device also cites its predicate K123291.

How does its category compare?

All IYE devices

IYE Accelerator, Linear, Medical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2014, 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 TrueBeam and Edge Systems are intended to provide stereotactic radiosurgery and precision radiotherapy for lesions, tumors, and conditions anywhere in the body where radiation therapy is indicated for adults and pediatric patients. The TrueBeam and Edge Systems may be used in the delivery of radiation for treatment that includes: brain and spine tumors (such as glioma, meningioma, craniopharyngioma, pituitary tumors, spinal cord tumors…

Read the full statement (221 words)

The TrueBeam and Edge Systems are intended to provide stereotactic radiosurgery and precision radiotherapy for lesions, tumors, and conditions anywhere in the body where radiation therapy is indicated for adults and pediatric patients.

The TrueBeam and Edge Systems may be used in the delivery of radiation for treatment that includes: brain and spine tumors (such as glioma, meningioma, craniopharyngioma, pituitary tumors, spinal cord tumors, hemangioblastoma, orbital tumors, ocular tumors, optic nerve tumors, and skull based tumors), head and neck tumors (such as unknown primary of the head and neck, oral cavity, hypopharynx, larynx, oropharynx, nasopharynx, sinonasal, salivary gland, and thyroid cancer), thoracic tumors (such as lung cancer, esophageal cancer, thymic tumors, and mesothelioma), gynecologic tumors (such as ovarian, cervical, endometrial, vulvar, and vaginal), gastrointestinal tumors (such as gastric, pancreatic, hepatobiliary, colon, rectal, and anal carcinoma), genitourinary tumors (such as prostate, bladder, testicular, and kidney), breast tumors, sarcomas, lymphoid tumors (such as Hodgkin’s and non-Hodgkin’s lymphoma), skin cancers (such as squamous cell, basal cell, and melanoma), benign diseases (such as schwannoma, arteriovenous malformation, cavernous malformation, trigeminal neuralgia, chordoma, glomus tumors, and hemangiomas), metastasis (including all parts of the body such as brain, bone, liver, lung, kidney, and skin) and pediatric tumors (such as glioma, ependymoma, pituitary tumors, hemangioblastoma, craniopharyngioma, meningioma, metastasis, medulloblastoma, nasopharyngeal tumors, arteriovenous malformation, cavernous malformation and skull base tumors).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K140528: True Beam, True Beam STX, Edge.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K140528

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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