510(k) Report

510(k) · Cleared

Recalled · Class II · 2012

HDR Tandem/Ring Applicator with Rectal Retractor

K011657510(k) TraditionalCleared Aug 27, 200190-day reviewClass II21 CFR 892.5700Recalls 2

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

Mick Radio-Nuclear Instruments, Inc. · JAQ System, Applicator, Radionuclide, Remote-Controlled

Cleared on Aug 27, 2001 as substantially equivalent to K953946 (Nucletron-Oldelft Corp., 1996) after a 90-day review. Its family tree reaches back 2 generations to 1986. 13 later devices descend from it. It has been recalled 2 times.

Decided
Aug 27, 2001
Review
90 days
Class
Class II
Product code
JAQ
Recalls
2
Predicates
1

Its longest line of descent runs back 2 generations to K864210 (1986). 3 ancestors in all. 13 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1993: 1 other ancestor2006: 2 descendants cleared2013: 1 descendant cleared2008: 1 descendant cleared2003: 1 descendant cleared2012: 1 descendant cleared2015: 3 descendants cleared2020: 1 descendant cleared2017: 1 descendant cleared2023: 1 descendant cleared2025: 1 descendant clearedK864210 · Microselectron-HDR (High Dose Rate) · Nucletron-Oldelft Corp. · 1986K953946 · Microselectron-HDR Version 2 · Nucletron-Oldelft Corp. · 19961990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor 1 generation forward: 4 descendants2 generations forward: 7 descendants3 generations forward: 1 descendant4 generations forward: 1 descendant K953946 · Microselectron-HDR Version 2 · Nucletron-Oldelft Corp. · 1996K864210 · Microselectron-HDR (High Dose Rate) · Nucletron-Oldelft Corp. · 19860
  1. Root · 2 generations backK864210 Microselectron-HDR (High Dose Rate)Nucletron-Oldelft Corp. · 1986
  2. 1 generation backK953946 Microselectron-HDR Version 2Nucletron-Oldelft Corp. · 1996
  3. This deviceK011657 HDR Tandem/Ring Applicator with Rectal RetractorMick Radio-Nuclear Instruments, Inc. · 2001
  4. Descendant · cites it directly · 9 of its ownK030110 CT HDR Tandem/Ring Applicator with Rectal RetractorMick Radio-Nuclear Instruments, Inc. · 2003 · Recalled
  5. Descendant · 2 generations on · 2 of its ownK150839 3D Interstitial Ring Applicator Set 60, 3D Interstitial Ring…Varian Medical Systems, Inc. · 2015
  6. Descendant · cites it directly · 2 of its ownK123912 Kobold Fletcher Type Applicator Set, Kobold Henschke Type Applicator…Spencer Fillmore · 2013
  7. Descendant · 2 generations on · 2 of its ownK122840 CT HDR Tandem/Ring Applicator with Rectal Retractor Model 0407Mick Radio-Nuclear Instruments, Inc. · 2012
  8. Descendant · cites it directly · 2 of its ownK063382 HDR CT Compatible Split Ring ApplicatorMick Radio-Nuclear Instruments, Inc. · 2006

Showing 5 of 13 descendants. See all descendants

Descendants cleared per year

2003: 12006: 22008: 12012: 12013: 12015: 32017: 12020: 12023: 12025: 1
2003high 3 (2015) · low 0 (2004)2026

Most influential descendants

Showing 5 of 13 · See all
  • K030110CT HDR Tandem/Ring Applicator with Rectal RetractorMick Radio-Nuclear Instruments, Inc. · 2003 · cites it directly9descendants
  • K1508393D Interstitial Ring Applicator Set 60, 3D Interstitial Ring Applicator Set 90, Ring…Varian Medical Systems, Inc. · 2015 · 2 generations on2descendants
  • K123912Kobold Fletcher Type Applicator Set, Kobold Henschke Type Applicator SetSpencer Fillmore · 2013 · cites it directly2descendants
  • K122840CT HDR Tandem/Ring Applicator with Rectal Retractor Model 0407Mick Radio-Nuclear Instruments, Inc. · 2012 · 2 generations on2descendants
  • K063382HDR CT Compatible Split Ring ApplicatorMick Radio-Nuclear Instruments, Inc. · 2006 · cites it directly2descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K864210Microselectron-HDR (High Dose Rate)Nucletron-Oldelft Corp.1986—
−1K953946Microselectron-HDR Version 2Nucletron-Oldelft Corp.1996—
0 (this device)K011657HDR Tandem/Ring Applicator with Rectal RetractorMick Radio-Nuclear Instruments, Inc.2001—
+1K030110CT HDR Tandem/Ring Applicator with Rectal RetractorMick Radio-Nuclear Instruments, Inc.20031
+2K1508393D Interstitial Ring Applicator Set 60, 3D Interstitial Ring Applicator Set…Varian Medical Systems, Inc.2015—
+1K123912Kobold Fletcher Type Applicator Set, Kobold Henschke Type Applicator SetSpencer Fillmore2013—
+2K122840CT HDR Tandem/Ring Applicator with Rectal Retractor Model 0407Mick Radio-Nuclear Instruments, Inc.2012—
+1K063382HDR CT Compatible Split Ring ApplicatorMick Radio-Nuclear Instruments, Inc.2006—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200310
200620
200810
201210
201310
201530
201710
202010
202310
202510
FIG. 1 — Lineage of K011657, 1986–2025Source: 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 JAQ? 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 JAQ device

  1. #1 K241853 Titanium Fletcher-Style Applicator Set Defined…score 14.9 · 3 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
*K953946Microselectron-HDR Version 2
Summary page 1
…ents, Inc. 521 Homestead Avenue Mount Vernon, New York 10550 Name of Predicate Devices: (M) Manufacturer K Number Nucletron Corporation Ring Applicator - Complete | K953946 Set Any statement made in conjunction with this submission regarding substantial equivalence to any other product only relates t…
Nucletron-Oldelft Corp.1996—

Also cleared against K953946: 27 other devices →

What descends from it? (13)

See all 13

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

NumberDeviceApplicantDecidedDescendants
K030110CT HDR Tandem/Ring Applicator with Rectal RetractorMick Radio-Nuclear Instruments, Inc.20039
K123912Kobold Fletcher Type Applicator Set, Kobold Henschke Type Applicator SetSpencer Fillmore20132
K063382HDR CT Compatible Split Ring ApplicatorMick Radio-Nuclear Instruments, Inc.20062
K082530Applicators for Afterloading BrachytherapyIsodose Control B.V.20080

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

Recalls of this device

DateClassRecallRoot causeReason
Apr 12, 2012Class IIZ-0760-2013Component design/selectionA medical device used in brachytherapy may become contaminated and can cause infections, toxicity or allergic reactions.
Apr 12, 2012Class IIZ-0759-2013Component design/selectionA medical device used in brachytherapy may become contaminated and can cause infections, toxicity or allergic reactions.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 15 years and passes through 2 companies; a new generation was cleared every 9.7 years on median.
  • None of the 3 ancestors has a recall.
  • Of its descendants, K030110 (Mick Radio-Nuclear Instruments, Inc., 2003) has gone furthest, with 9 descendants of its own.
  • 27 other devices also cite its predicate K953946.

How does its category compare?

All JAQ devices

JAQ System, Applicator, Radionuclide, Remote-Controlled: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · JAQ

6in 2025

2007: 112008: 102009: 102010: 22011: 22012: 72013: 62014: 72015: 112016: 62017: 72018: 72019: 22020: 42022: 12023: 22024: 102025: 62026 (partial year): 2
2007high 11 (2007) · low 0 (2021)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JAQ

91in 2025

2007: 48 days median2008: 34 days median2009: 27 days median2012: 89 days median2013: 100 days median2014: 116 days median2015: 183 days median2016: 154 days median2017: 229 days median2018: 252 days median2020: 62 days median2024: 126 days median2025: 91 days median
2007high 252 (2018) · low 27 (2009)2026

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

Recalls per year · JAQ

1in 2019

2008: 52009: 12010: 22011: 132012: 52013: 12019: 12026 (partial year): 3
2007high 13 (2011) · low 0 (2007)2026

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

Adverse event reports per year · JAQ

3in 2025

2007: 132008: 322009: 352010: 362011: 422012: 342013: 432014: 182015: 72016: 32017: 52018: 22019: 82020: 82021: 52022: 52023: 32024: 12025: 3
2007high 43 (2013) · low 1 (2024)2025

MAUDE reports naming product code JAQ, 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
20071148013
20081034532
20091027135
20102—236
20112—1342
2012789534
20136100143
20147116018
20151118307
2016615403
2017722905
2018725202
20192—18
202046208
20210—05
20221—05
20232—03
20241012601
202569103
20262—3—

What is it indicated for?

The use of sealed Radioisotopes to treat tumors within the body has been documented and published since the turn of the century. Modern era Radiation Therapy has developed delivery systems using isotopes of Cesium, Iridium, Iodine, and Gold to name a few examples. Many tumors now are treated by internal exposure to radiation emitted from sealed radioactive sources. Two common modalities for this are Low Dose Rate and High Dose Rate remote afterloading…

Read the full statement (179 words)

The use of sealed Radioisotopes to treat tumors within the body has been documented and published since the turn of the century. Modern era Radiation Therapy has developed delivery systems using isotopes of Cesium, Iridium, Iodine, and Gold to name a few examples. Many tumors now are treated by internal exposure to radiation emitted from sealed radioactive sources. Two common modalities for this are Low Dose Rate and High Dose Rate remote afterloading (Brachytherapy). One common application of Brachytherapy is in the treatment of cancer of the cervix. This applicator is designed as an accessory to the Varisource System (Varian Associates K952913) and the Gammamed System (K891131/A) which uses a single radioactive source of Iridium-192 to treat cancer in a wide range of body sites. The HDR Tandem/Ring Applicator with Rectal Retractor is placed in the vicinity of the cervix via the vagina just as described for the predicate device (Nucletron Ring Applicator, K953946) and with a rectal retractor and varying intrauterine tube length diameters, clinical needs can be best optimized along with minimization of dose to the rectum.

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. “K011657: HDR Tandem/Ring Applicator with Rectal Retractor.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K011657

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 30, 2026 (extraction version 2d9447fa9ea4)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026