510(k) Report

510(k) · Cleared

Cleared

RefleXion Medical Radiotherapy System, Reflexion X2

K252071510(k) TraditionalCleared Dec 18, 2025170-day reviewClass II21 CFR 892.5060

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

Reflexion Medical, Inc. · QVA Fludeoxyglucose F18-Guided Radiation Therapy System

Cleared on Dec 18, 2025 as substantially equivalent to DEN220014 (Reflexion Medical, Inc., 2023) after a 170-day review. Its family tree reaches back 1 generation to 2023.

Decided
Dec 18, 2025
Review
170 days
Class
Class II
Product code
QVA
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to DEN220014 (2023). No later device cites it as a predicate yet.

DEN220014 · RefleXion Medical Radiotherapy System (RMRS) · Reflexion Medical, Inc. · 20232020202220242026
  1. Root · 1 generation backDEN220014 RefleXion Medical Radiotherapy System (RMRS)Reflexion Medical, Inc. · 2023
  2. This deviceK252071 RefleXion Medical Radiotherapy System, Reflexion X2Reflexion Medical, Inc. · 2025
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1DEN220014RefleXion Medical Radiotherapy System (RMRS)Reflexion Medical, Inc.2023—
0 (this device)K252071RefleXion Medical Radiotherapy System, Reflexion X2Reflexion Medical, Inc.2025—
FIG. 1 — Lineage of K252071, 2023–2025Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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 QVA? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin 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
*DEN220014RefleXion Medical Radiotherapy System (RMRS)
Summary page 5
…Product Code: QVA Secondary Product code: IYE, MUJ Panel: Radiology Predicate Device Predicate Device Name: RefleXion Medical Radiotherapy System (RMRS) 510(k) Number: DEN220014 Manufacturer: RefleXion Medical, Inc. Reference Submission (if applicable): DEN220014 RefleXion Medical Inc.…
Reflexion Medical, Inc.2023—

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?

  • Its one ancestor has no recall.

How does its category compare?

All QVA devices

QVA Fludeoxyglucose F18-Guided Radiation Therapy System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2025, this device’s year, is highlighted.

FDA decisions per year · QVA

1in 2025

2023: 12025: 1
2007high 1 (2023) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QVA

Too few QVA 510(k)s in any year since 2007 to give a median.

Recalls per year · QVA

No recall names QVA since 2007.

Adverse event reports per year · QVA

9in 2025

2023: 12025: 9
2007high 9 (2025) · low 0 (2007)2025

MAUDE reports naming product code QVA, 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
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20170—00
20180—00
20190—00
20200—00
20210—00
20220—00
20231—01
20240—00
20251—09
20260—0—

What is it indicated for?

The RefleXion Medical Radiotherapy System is indicated for treatment planning and precise delivery of image-guided radiation therapy, stereotactic radiotherapy, or stereotactic radiosurgery for tumors or other targeted tissues anywhere in the body when radiation treatment is indicated while minimizing the delivery of radiation to vital healthy tissue. The megavoltage X-ray radiation is delivered in a rotational, modulated, image-guided format in…

Read the full statement (214 words)

The RefleXion Medical Radiotherapy System is indicated for treatment planning and precise delivery of image-guided radiation therapy, stereotactic radiotherapy, or stereotactic radiosurgery for tumors or other targeted tissues anywhere in the body when radiation treatment is indicated while minimizing the delivery of radiation to vital healthy tissue. The megavoltage X-ray radiation is delivered in a rotational, modulated, image-guided format in accordance with the physician-approved plan.

The RefleXion Medical Radiotherapy System is also indicated for FDG-guided treatment which includes modeling, planning and precise delivery of FDG-guided radiation therapy, a type of Biology-guided Radiotherapy (BgRT), in five or fewer fractions for adults. It is indicated for tumor volumes in lung and bone subject to potential motion and positional uncertainty that have each been assessed with on-board PET/CT prior to delivery for adequate localization, sufficient FDG metabolic activity, local contrast and consistent biodistribution to meet the RMRS requirements, while minimizing the delivery of radiation to vital healthy tissue. BgRT involves the detection of signals from F18 during active beam delivery as a guide to deliver megavoltage X-ray radiotherapy in a rotational, modulated format in accordance with a physician approved treatment plan.

For complete fludeoxyglucose F18 prescribing information, refer both to the current medical imaging agent labeling and to this device labeling under "FDG Medical Imaging Agent Information”.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K252071: RefleXion Medical Radiotherapy System, Reflexion X2.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K252071

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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