510(k) Report

510(k) · Cleared

Recalled · Class II · 2017

Proton Therapy System - Proteus 235 (Proteus One, Proteus Plus, Proteus TK2)

K152224510(k) TraditionalCleared Aug 9, 2016368-day reviewClass II21 CFR 892.5050Recalls 7

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

Ion Beam Application S.A. · LHN System, Radiation Therapy, Charged-Particle, Medical

Cleared on Aug 9, 2016 as substantially equivalent to K132919 (Ion Beam Applications S.A., 2014) and 1 other predicate after a 368-day review. Its family tree reaches back 6 generations to 1988. 4 later devices descend from it. It has been recalled 7 times.

Decided
Aug 9, 2016
Review
368 days
Class
Class II
Product code
LHN
Recalls
7
Predicates
2

Its longest line of descent runs back 6 generations to K872369 (1988). 14 ancestors in all. 4 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2014: 1 other ancestor2010: 2 other ancestors2006: 2 other ancestors2001: 1 other ancestor2008: 1 other ancestor2000: 1 other ancestor2017: 2 descendants cleared2025: 1 descendant cleared2026: 1 descendant clearedK872369 · Loma Linda Univ. Proton Beam Therapy System · Loma Linda University Medical Center · 1988K983024 · Proton Therapy System · Ion Beam Applications S.A. · 2001×2: 2 generations cleared close together, K053641 (2006), K060695 (2006) K062891 · Proton Therapy System · Indiana University Cyclotron Facility · 2006K120676 · S-250 Proton Beam Radiation Therapy System · Mevion Medical Systems · 2012 · recalled1990200020102020
  1. Root · 6 generations backK872369 Loma Linda Univ. Proton Beam Therapy SystemLoma Linda University Medical Center · 1988
  2. 5 generations backK983024 Proton Therapy SystemIon Beam Applications S.A. · 2001
  3. 4 generations backK053641 Iba Proton Therapy System-Proteus 235Ion Beam Applications S.A. · 2006
  4. 3 generations backK060695 Iba Proton Therapy System - Proteus 235Ion Beam Applications S.A. · 2006 · Recalled
  5. 2 generations backK062891 Proton Therapy SystemIndiana University Cyclotron Facility · 2006
  6. 1 generation backK120676 S-250 Proton Beam Radiation Therapy SystemMevion Medical Systems · 2012 · Recalled
  7. This deviceK152224 Proton Therapy System - Proteus 235 (Proteus One, Proteus Plus…Ion Beam Application S.A. · 2016
  8. Descendant · cites it directly · 2 of its ownK172848 MEVION S250i Proton Beam Radiation Therapy DeviceMevion Medical Systems · 2017 · Recalled
  9. Descendant · 2 generations on · 1 of its ownK250986 S250-FIT Proton Beam Radiation Therapy Device (S250-FIT)Mevion Medical Systems, Inc. · 2025
  10. Descendant · 3 generations on · 0 of its ownK253406 S250-FIT Proton Beam Radiation Therapy Device (S250-FIT)Mevion Medical Systems, Inc. · 2026
  11. Descendant · cites it directly · 0 of its ownK163500 IBA Proton Therapy System- Proteus 235 (Proteus One, Proteus Plus…Ion Beam Applications S.A. · 2017 · Recalled

Most influential descendants

Showing 4 of 4 · See all
  • K172848MEVION S250i Proton Beam Radiation Therapy DeviceMevion Medical Systems · 2017 · cites it directly2descendants
  • K250986S250-FIT Proton Beam Radiation Therapy Device (S250-FIT)Mevion Medical Systems, Inc. · 2025 · 2 generations on1descendant
  • K253406S250-FIT Proton Beam Radiation Therapy Device (S250-FIT)Mevion Medical Systems, Inc. · 2026 · 3 generations on0descendants
  • K163500IBA Proton Therapy System- Proteus 235 (Proteus One, Proteus Plus, Proteus TK2, Proteus…Ion Beam Applications S.A. · 2017 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K872369Loma Linda Univ. Proton Beam Therapy SystemLoma Linda University Medical Center1988—
−5K983024Proton Therapy SystemIon Beam Applications S.A.2001—
−4K053641Iba Proton Therapy System-Proteus 235Ion Beam Applications S.A.2006—
−3K060695Iba Proton Therapy System - Proteus 235Ion Beam Applications S.A.20062
−2K062891Proton Therapy SystemIndiana University Cyclotron Facility2006—
−1K120676S-250 Proton Beam Radiation Therapy SystemMevion Medical Systems201212
0 (this device)K152224Proton Therapy System - Proteus 235 (Proteus One, Proteus Plus, Proteus TK2)Ion Beam Application S.A.2016—
+1K172848MEVION S250i Proton Beam Radiation Therapy DeviceMevion Medical Systems20175
+2K250986S250-FIT Proton Beam Radiation Therapy Device (S250-FIT)Mevion Medical Systems, Inc.2025—
+3K253406S250-FIT Proton Beam Radiation Therapy Device (S250-FIT)Mevion Medical Systems, Inc.2026—
+1K163500IBA Proton Therapy System- Proteus 235 (Proteus One, Proteus Plus, Proteus…Ion Beam Applications S.A.201711

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200010
200110
200620
200810
201020
201410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201720
202510
202610
FIG. 1 — Lineage of K152224, 1988–2026Source: 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 LHN? 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 LHN device

  1. #1 K260597 Virtue QAscore 15.4 · 12 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
*K132919Gantry Beam Line
Summary page 5
…y System – Proteus 235 (PTS) with the addition of the IBA Compact Beam Production System is substantially equivalent to the previously cleared IBA Proton Therapy System (K132919) and to the S-250 Proton Beam Radiation Therapy system (K120676) from Mevion Medical Systems that includes a super conducting syn…
Ion Beam Applications S.A.20142
*K120676S-250 Proton Beam Radiation Therapy System
Summary page 5
…t Beam Production System is substantially equivalent to the previously cleared IBA Proton Therapy System (K132919) and to the S-250 Proton Beam Radiation Therapy system (K120676) from Mevion Medical Systems that includes a super conducting synchrocyclotron accelerator. The current PTS and its predicate dev…
Mevion Medical Systems201212

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K172848MEVION S250i Proton Beam Radiation Therapy DeviceMevion Medical Systems20172
K163500IBA Proton Therapy System- Proteus 235 (Proteus One, Proteus Plus, Proteus TK2, Proteus…Ion Beam Applications S.A.20170

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

Recalls of this device

DateClassRecallRoot causeReason
Nov 1, 2017Class IIZ-0943-2018Device DesignThe internal configuration of the electrometers and the Real-Time control boards of the Dekimo Scanning Controller is not checked before each patient treatment.
Apr 10, 2017Class IIZ-2097-2017Software designA PBS (Pencil Beam Scanning) irradiation may pause for different reasons. After a pause, irradiation may restart from the beginning instead of recalculating the field based on the already delivered dose.
Mar 21, 2017Class IIZ-1830-2017Software designIn specific circumstances, the user is able to restart an aborted irradiation without having to select the correct partial irradiation data.
Feb 9, 2017Class IIZ-2592-2017Device DesignIt has been observed during testing that there could be clinically non-negligible amount of dark current (a well-known physics effect observed in cyclotron) in Pencil Beam Scanning (PBS) treatment mode when system is not irradiating…
Dec 13, 2016Class IIZ-2684-2017Software designSoftware issue
Sep 16, 2016Class IIZ-2139-2018Finished device change controlIBA is initiating this recall to notify its customers that the use of non-IBA accessories and/or third party equipment or unauthorized modifications to an IBA medical device may pose a safety risk.
Apr 11, 2016Class IIZ-2284-2018Software Manufacturing/Software DeploymentIBA is conducting a voluntary recall to address a PTS (Proton Therapy System) software issue and to reduce the risk related to this issue.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 28 years and passes through 5 companies; a new generation was cleared every 4.5 years on median.
  • 6 of the 14 ancestors have a recall of any class.
  • Of its descendants, K172848 (Mevion Medical Systems, 2017) has gone furthest, with 2 descendants of its own.

How does its category compare?

All LHN devices

LHN System, Radiation Therapy, Charged-Particle, Medical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2016, this device’s year, is highlighted.

FDA decisions per year · LHN

3in 2025

2007: 22008: 32009: 52010: 42011: 12012: 32013: 32014: 42015: 32016: 72017: 42018: 32019: 22020: 42022: 22023: 22024: 12025: 32026 (partial year): 4
2007high 7 (2016) · low 0 (2021)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LHN

190in 2025

2008: 113 days median2009: 69 days median2010: 96 days median2012: 111 days median2013: 70 days median2014: 93 days median2015: 53 days median2016: 120 days median2017: 173 days median2018: 78 days median2020: 74 days median2025: 190 days median2026 (partial year): 194 days median
2007high 194 (2026) · low 53 (2015)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · LHN

1in 2023

2007: 22008: 22014: 22015: 12017: 52018: 22020: 12021: 12022: 22023: 1
2007high 5 (2017) · low 0 (2009)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · LHN

11in 2025

2008: 12009: 52010: 32011: 12012: 12013: 12014: 52015: 22016: 12017: 72018: 82019: 32020: 202021: 242022: 102023: 72024: 22025: 11
2007high 24 (2021) · low 0 (2007)2025

MAUDE reports naming product code LHN, 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
20072—20
2008311321
200956905
201049603
20111—01
2012311101
201337001
201449325
201535312
2016712001
2017417357
201837828
20192—03
2020474120
20210—124
20222—210
20232—17
20241—02
20253190011
202641940—

What is it indicated for?

“The Proton Therapy System - Proteus 235 (brand names: Proteus Plus and Proteus ONE) is a medical device designed to

produce and deliver a proton beam for the treatment of patients with localized tumors and other conditions susceptible to

treatment by radiation. The PTS may include a fixed small beam treatment room dedicated to the treatment of patients

with localized tumors and other conditions susceptible to treatment by radiation localized to the head and neck.”

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K152224: Proton Therapy System - Proteus 235 (Proteus One, Proteus Plus, Proteus TK2).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K152224

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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