510(k) Report

510(k) · Cleared

Cleared

ProBeam 360° Proton Therapy System v2.0 (Multiroom)

K231863510(k) TraditionalCleared Oct 6, 2023105-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. · LHN System, Radiation Therapy, Charged-Particle, Medical

Cleared on Oct 6, 2023 as substantially equivalent to K221791 (Varian Medical Systems, Inc., 2022) after a 105-day review. Its family tree reaches back 6 generations to 1996. 1 later device descends from it.

Decided
Oct 6, 2023
Review
105 days
Class
Class II
Product code
LHN
Recalls
None
Predicates
1

Its longest line of descent runs back 6 generations to K963624 (1996). 13 ancestors in all, the oldest K872369 (1988). 1 later device descends from it, 1 citing it directly.

  1. Root · 6 generations backK963624 Philips Sli Series Linear AcceleratorPhilips Medical Systems, Inc. · 1996 · Recalled
  2. 5 generations backK032996 Elekta Synergy SystemElekta Oncology Systems, Ltd. · 2003 · Recalled
  3. 4 generations backK040192 ON-Board Imager DeviceVarian Medical Systems, Inc. · 2004 · Recalled
  4. 3 generations backK042720 ON-Board Imager DeviceVarian Medical Systems · 2004 · Recalled
  5. 2 generations backK133191 Probeam Proton Therapy SystemVarian Medical Systems · 2014 · Recalled
  6. 1 generation backK221791 ProBeam 360° Proton Therapy SystemVarian Medical Systems, Inc. · 2022
  7. This deviceK231863 ProBeam 360° Proton Therapy System v2.0 (Multiroom)Varian Medical Systems, Inc. · 2023
  8. Descendant · cites it directly · 0 of its ownK252815 ProBeam 360 Proton Therapy System v3.0Varian Medical Systems, Inc. · 2026

Most influential descendants

Showing 1 of 1 · See all
  • K252815ProBeam 360 Proton Therapy System v3.0Varian Medical Systems, Inc. · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K963624Philips Sli Series Linear AcceleratorPhilips Medical Systems, Inc.19962
−5K032996Elekta Synergy SystemElekta Oncology Systems, Ltd.20033
−4K040192ON-Board Imager DeviceVarian Medical Systems, Inc.20042
−3K042720ON-Board Imager DeviceVarian Medical Systems20045
−2K133191Probeam Proton Therapy SystemVarian Medical Systems20141
−1K221791ProBeam 360° Proton Therapy SystemVarian Medical Systems, Inc.2022—
0 (this device)K231863ProBeam 360° Proton Therapy System v2.0 (Multiroom)Varian Medical Systems, Inc.2023—
+1K252815ProBeam 360 Proton Therapy System v3.0Varian Medical Systems, Inc.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198810
200110
200410
200810
201010
201210
201610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K231863, 1996–2026Source: 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
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
*K221791ProBeam 360° Proton Therapy System
Summary page 4
…rapy, Charged-Particle, Medical Regulation Number: §892.5050 Product Code: LHN III. Predicate Device ProBeam 360° Proton Therapy System v1.0 (K221791) IV. Reference Device ProBeam Proton Therapy System v2.0 (K133191) V. Device Description The ProBeam 3…
Varian Medical Systems, Inc.2022—
†K133191Probeam Proton Therapy SystemVarian Medical Systems20141

Also cleared against K221791: 1 other device →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K252815ProBeam 360 Proton Therapy System v3.0Varian Medical Systems, Inc.20260

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 27 years and passes through 4 companies; a new generation was cleared every 6.9 years on median.
  • 9 of the 13 ancestors have a recall of any class.
  • Of its descendants, K252815 (Varian Medical Systems, Inc., 2026) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K221791.

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. 2023, 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?

ProBeam 360° Proton Therapy System provides protons for precision radiotherapy of lesions, tumors, and conditions anywhere in the body where radiation treatment is indicated.

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. “K231863: ProBeam 360° Proton Therapy System v2.0 (Multiroom).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K231863

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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