510(k) Report

510(k) · Cleared

Recalled · Class II · 2023

LEONI ORION System

K160518510(k) TraditionalCleared Jul 14, 2016141-day reviewClass II21 CFR 892.5770Recalls 2

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

Leoni Cia Cable System · JAI Couch, Radiation Therapy, Powered

Cleared on Jul 14, 2016 as substantially equivalent to K122413 (Forte Automation Systems, Inc., 2012) after a 141-day review. Its family tree reaches back 2 generations to 2004. 5 later devices descend from it. It has been recalled 2 times.

Decided
Jul 14, 2016
Review
141 days
Class
Class II
Product code
JAI
Recalls
2
Predicates
1

Its longest line of descent runs back 2 generations to K042146 (2004). 5 later devices descend from it, 3 citing it directly.

Descendants, by year cleared 2022: 1 descendant cleared2019: 1 descendant cleared2024: 1 descendant cleared2023: 1 descendant cleared2026: 1 descendant clearedK042146 · Robocouch Patient Support System · Accuray Incorporated · 2004 · recalledK122413 · Patient Positioning System · Forte Automation Systems, Inc. · 2012 · recalled200020052010201520202025
Descendants, by generation 1 generation forward: 3 descendants2 generations forward: 2 descendants K122413 · Patient Positioning System · Forte Automation Systems, Inc. · 2012 · recalledK042146 · Robocouch Patient Support System · Accuray Incorporated · 2004 · recalled0
  1. Root · 2 generations backK042146 Robocouch Patient Support SystemAccuray Incorporated · 2004 · Recalled
  2. 1 generation backK122413 Patient Positioning SystemForte Automation Systems, Inc. · 2012 · Recalled
  3. This deviceK160518 LEONI ORION SystemLeoni Cia Cable System · 2016
  4. Descendant · cites it directly · 2 of its ownK221791 ProBeam 360° Proton Therapy SystemVarian Medical Systems, Inc. · 2022
  5. Descendant · 2 generations on · 1 of its ownK231863 ProBeam 360° Proton Therapy System v2.0 (Multiroom)Varian Medical Systems, Inc. · 2023
  6. Descendant · 2 generations on · 0 of its ownK252815 ProBeam 360 Proton Therapy System v3.0Varian Medical Systems, Inc. · 2026
  7. Descendant · cites it directly · 0 of its ownK231612 Eve Patient Positioner SystemLeo Cancer Care · 2024
  8. Descendant · cites it directly · 0 of its ownK182683 Z-Robot Patient Positioning SystemChinan Biomedical Technology, Inc. · 2019

Most influential descendants

Showing 5 of 5 · See all
  • K221791ProBeam 360° Proton Therapy SystemVarian Medical Systems, Inc. · 2022 · cites it directly2descendants
  • K231863ProBeam 360° Proton Therapy System v2.0 (Multiroom)Varian Medical Systems, Inc. · 2023 · 2 generations on1descendant
  • K252815ProBeam 360 Proton Therapy System v3.0Varian Medical Systems, Inc. · 2026 · 2 generations on0descendants
  • K231612Eve Patient Positioner SystemLeo Cancer Care · 2024 · cites it directly0descendants
  • K182683Z-Robot Patient Positioning SystemChinan Biomedical Technology, Inc. · 2019 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K042146Robocouch Patient Support SystemAccuray Incorporated20043
−1K122413Patient Positioning SystemForte Automation Systems, Inc.20121
0 (this device)K160518LEONI ORION SystemLeoni Cia Cable System2016—
+1K221791ProBeam 360° Proton Therapy SystemVarian Medical Systems, Inc.2022—
+2K231863ProBeam 360° Proton Therapy System v2.0 (Multiroom)Varian Medical Systems, Inc.2023—
+2K252815ProBeam 360 Proton Therapy System v3.0Varian Medical Systems, Inc.2026—
+1K231612Eve Patient Positioner SystemLeo Cancer Care2024—
+1K182683Z-Robot Patient Positioning SystemChinan Biomedical Technology, Inc.2019—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201910
202210
202310
202410
202610
FIG. 1 — Lineage of K160518, 2004–2026Source: 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 JAI? 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 JAI device

  1. #1 K231612 Eve Patient Positioner Systemscore 7.9 · 3 generations · no Class I recall
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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
*K122413Patient Positioning System
Summary page 4
…CFR 892.5770) Product Code: JAI Substantial Equivalence Patient Positioning System by Forte Automation Systems (K122413) Device Description The LEONI ORION System is an electro-mechanical robotic arm capable of…
Forte Automation Systems, Inc.20121

What descends from it? (5)

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

NumberDeviceApplicantDecidedDescendants
K221791ProBeam 360° Proton Therapy SystemVarian Medical Systems, Inc.20222
K231612Eve Patient Positioner SystemLeo Cancer Care20240
K182683Z-Robot Patient Positioning SystemChinan Biomedical Technology, Inc.20190

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

Recalls of this device

DateClassRecallRoot causeReason
Oct 6, 2023Class IIZ-0398-2024Software designUsers of the patient positioning system ORION System can be faced with a sudden short-term acceleration or with an unintended short-distance movement when the movements are again allowed after an unforeseen interruption signal of motion…
Oct 6, 2023Class IIZ-0399-2024Software designUsers of the patient positioning system ORION System can be faced with a sudden short-term acceleration or with an unintended short-distance movement when the movements are again allowed after an unforeseen interruption signal of motion…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 12 years and passes through 3 companies; a new generation was cleared every 8.0 years on median.
  • 2 of the 2 ancestors have a recall of any class.
  • Of its descendants, K221791 (Varian Medical Systems, Inc., 2022) has gone furthest, with 2 descendants of its own.

How does its category compare?

All JAI devices

JAI Couch, Radiation Therapy, Powered: FDA decisions, review times, recalls and adverse event reports over 20 years. 2016, this device’s year, is highlighted.

FDA decisions per year · JAI

1in 2024

2007: 22012: 42013: 12016: 12017: 12019: 12024: 1
2007high 4 (2012) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JAI

61in 2012

2012: 61 days median
2007high 61 (2012)2026

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

Recalls per year · JAI

2in 2023

2007: 12008: 22009: 12010: 22013: 22017: 12023: 2
2007high 2 (2008) · low 0 (2011)2026

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

Adverse event reports per year · JAI

1in 2024

2007: 42008: 22009: 32012: 22013: 52014: 22015: 12016: 22017: 32019: 12024: 1
2007high 5 (2013) · low 0 (2010)2025

MAUDE reports naming product code JAI, 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—14
20080—22
20090—13
20100—20
20110—00
201246102
20131—25
20140—02
20150—01
20161—02
20171—13
20180—00
20191—01
20200—00
20210—00
20220—00
20230—20
20241—01
20250—00
20260—0—

What is it indicated for?

The LEONI Orion System in an electro-mechanical robotic arm for patient positioning in radiotherapy and medical imaging. It is designed for positioning a patient with a high degree of accuracy and repeatability.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K160518: LEONI ORION System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K160518

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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