510(k) Report

510(k) · Cleared

Cleared

ZAP-X Radiosurgery System (ZAP-X)

K250392510(k) TraditionalCleared Nov 3, 2025264-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

Zap Surgical Systems, Inc. · IYE Accelerator, Linear, Medical

Cleared on Nov 3, 2025 as substantially equivalent to K211663 (Zap Surgical Systems, Inc., 2021) after a 264-day review. Its family tree reaches back 4 generations to 2015.

Decided
Nov 3, 2025
Review
264 days
Class
Class II
Product code
IYE
Recalls
None
Predicates
1

Its longest line of descent runs back 4 generations to K150873 (2015). No later device cites it as a predicate yet.

  1. Root · 4 generations backK150873 CyberKnife M6 FI Sytem, CyberKnife M6 FM System, CyberKnife M6 FIM…Accuray Incorporated · 2015 · Recalled
  2. 3 generations backK171804 Zap-X Radiosurgery SystemZap Surgical Systems · 2017
  3. 2 generations backK183698 Zap-X Radiosurgery SystemZap Surgical Systems · 2019
  4. 1 generation backK211663 Zap-X Radiosurgical SystemZap Surgical Systems, Inc. · 2021 · Recalled
  5. This deviceK250392 ZAP-X Radiosurgery System (ZAP-X)Zap Surgical Systems, Inc. · 2025
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K150873CyberKnife M6 FI Sytem, CyberKnife M6 FM System, CyberKnife M6 FIM SystemAccuray Incorporated20152
−3K171804Zap-X Radiosurgery SystemZap Surgical Systems2017—
−2K183698Zap-X Radiosurgery SystemZap Surgical Systems2019—
−1K211663Zap-X Radiosurgical SystemZap Surgical Systems, Inc.20212
0 (this device)K250392ZAP-X Radiosurgery System (ZAP-X)Zap Surgical Systems, Inc.2025—
FIG. 1 — Lineage of K250392, 2015–2025Source: 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? (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
*K211663Zap-X Radiosurgical System
Summary page 5
…PREDICATE DEVICES AND REFERENCE DEVICE ZAP-X Radiosurgery System Predicate Device (K211663) Akesis Galaxy Reference Device (K190844)…
Zap Surgical Systems, Inc.20212
†K190844Akesis GalaxyAkesis, Inc.2019—

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 10 years and passes through 3 companies; a new generation was cleared every 2.4 years on median.
  • 2 of the 4 ancestors have a recall of any class.

How does its category compare?

All IYE devices

IYE Accelerator, Linear, Medical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2025, 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 ZAP-X Radiosurgery System is intended to provide treatment planning and image-guided stereotactic radiosurgery and precision radiotherapy for tumors, lesions and conditions in the brain, head and neck when radiation treatment is indicated.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K250392: ZAP-X Radiosurgery System (ZAP-X).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K250392

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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