510(k) Report

510(k) · Cleared

Cleared

TrueBeam, TrueBeam STx, Edge, VitalBeam

K223839510(k) TraditionalCleared May 22, 2023151-day reviewClass II21 CFR 892.5050

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 May 22, 2023 as substantially equivalent to K213977 (Varian Medical Systems, Inc., 2022) after a 151-day review. Its family tree reaches back 13 generations to 1995.

Decided
May 22, 2023
Review
151 days
Class
Class II
Product code
IYE
Recalls
None
Predicates
1

Its longest line of descent runs back 13 generations to K926449 (1995). 38 ancestors in all, the oldest K864886 (1987). No later device cites it as a predicate yet.

  1. Root · 13 generations backK926449 Varian Multileaf Collimator, Release 4.0Varian Assoc., Inc. · 1995
  2. 9 generations between
  3. 3 generations backK162472 TrueBeam-TrueBeam STx-EdgeVarian Medical Systems, Inc. · 2017
  4. 2 generations backK171733 TrueBeam, TrueBeam STx, EdgeVarian Medical Systems, Inc. · 2017
  5. 1 generation backK213977 TrueBeam, TrueBeam STx, Edge, VitalBeamVarian Medical Systems, Inc. · 2022
  6. This deviceK223839 TrueBeam, TrueBeam STx, Edge, VitalBeamVarian Medical Systems, Inc. · 2023
Show all 13 generations
  1. Root · 13 generations backK926449 Varian Multileaf Collimator, Release 4.0Varian Assoc., Inc. · 1995
  2. 12 generations backK973889 Varian Multileaf Collimator with Dynamic Arc Therapy FeatureVarian Medical Systems, Inc. · 1997
  3. 11 generations backK990085 Millennium MLC -120Varian Assoc., Inc. · 1999 · Recalled
  4. 10 generations backK050442 Millennium Multi-Leaf CollimatorVarian Medical Systems · 2005 · Recalled
  5. 9 generations backK071992 High-Definition 120 Multileaf Collimator (HD120 MLC)Varian Medical Systems · 2007 · Recalled
  6. 8 generations backK092871 Trilogy MXVarian Medical Systems, Inc. · 2009 · Recalled
  7. 7 generations backK111106 TruebeamVarian Medical Systems, Inc. · 2011 · Recalled
  8. 6 generations backK123291 TruebeamVarian Medical Systems, Inc. · 2012
  9. 5 generations backK140528 True Beam, True Beam STX, EdgeVarian Medical Systems, Inc. · 2014 · Recalled
  10. 4 generations backK143224 TrueBeam-TrueBeam STx-EdgeVarian Medical Systems, Inc. · 2014 · Recalled
  11. 3 generations backK162472 TrueBeam-TrueBeam STx-EdgeVarian Medical Systems, Inc. · 2017
  12. 2 generations backK171733 TrueBeam, TrueBeam STx, EdgeVarian Medical Systems, Inc. · 2017
  13. 1 generation backK213977 TrueBeam, TrueBeam STx, Edge, VitalBeamVarian Medical Systems, Inc. · 2022
  14. This deviceK223839 TrueBeam, TrueBeam STx, Edge, VitalBeamVarian Medical Systems, Inc. · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K926449Varian Multileaf Collimator, Release 4.0Varian Assoc., Inc.1995—
−12K973889Varian Multileaf Collimator with Dynamic Arc Therapy FeatureVarian Medical Systems, Inc.1997—
−11K990085Millennium MLC -120Varian Assoc., Inc.19992
−10K050442Millennium Multi-Leaf CollimatorVarian Medical Systems20052
−9K071992High-Definition 120 Multileaf Collimator (HD120 MLC)Varian Medical Systems20074
−8K092871Trilogy MXVarian Medical Systems, Inc.20095
−7K111106TruebeamVarian Medical Systems, Inc.20115
−6K123291TruebeamVarian Medical Systems, Inc.2012—
−5K140528True Beam, True Beam STX, EdgeVarian Medical Systems, Inc.20142
−4K143224TrueBeam-TrueBeam STx-EdgeVarian Medical Systems, Inc.20141
−3K162472TrueBeam-TrueBeam STx-EdgeVarian Medical Systems, Inc.2017—
−2K171733TrueBeam, TrueBeam STx, EdgeVarian Medical Systems, Inc.2017—
−1K213977TrueBeam, TrueBeam STx, Edge, VitalBeamVarian Medical Systems, Inc.2022—
0 (this device)K223839TrueBeam, TrueBeam STx, Edge, VitalBeamVarian Medical Systems, Inc.2023—

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
201710
FIG. 1 — Lineage of K223839, 1995–2023Source: 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? (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
*K213977TrueBeam, TrueBeam STx, Edge, VitalBeam
Summary page 7
…aracteristics: The device has the same technological characteristics as the previously cleared TrueBeam device K213977. The indications for use have expanded to include “medically refractory essential tr…
Varian Medical Systems, Inc.2022—

Also cleared against K213977: 1 other device →

What descends from it?

No later submission names this one as a predicate yet.

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

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 28 years and passes through 3 companies; a new generation was cleared every 1.7 years on median.
  • 26 of the 38 ancestors have a recall of any class.
  • 1 other device also cites its predicate K213977.

How does its category compare?

All IYE devices

IYE Accelerator, Linear, Medical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, 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™, TrueBeam STx 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, TrueBeam STx, 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…

Read the full statement (447 words)

The TrueBeam™, TrueBeam STx 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, TrueBeam STx, 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), and medically refractory essential tremor (indicated for adults only).

VitalBeam® is 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.

VitalBeam 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. “K223839: TrueBeam, TrueBeam STx, Edge, VitalBeam.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K223839

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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