510(k) Report

510(k) · Cleared

Recalled · 2011

Monaco RTP System

K071938510(k) TraditionalCleared Oct 1, 200780-day reviewClass II21 CFR 892.5050Recalls 5

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

Computerized Medical Systems, Inc. · MUJ System, Planning, Radiation Therapy Treatment

Cleared on Oct 1, 2007 as substantially equivalent to K041577 (Adac Laboratories, 2004) and 4 other predicates after an 80-day review. Its family tree reaches back 6 generations to 1992. 13 later devices descend from it. It has been recalled 5 times.

Decided
Oct 1, 2007
Review
80 days
Class
Class II
Product code
MUJ
Recalls
5
Predicates
5

Its longest line of descent runs back 6 generations to K914698 (1992). 28 ancestors in all, the oldest K862643 (1987). 13 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2003: 2 other ancestors2001: 2 other ancestors2000: 2 other ancestors1997: 2 other ancestors1995: 1 other ancestor1994: 3 other ancestors1992: 2 other ancestors1998: 2 other ancestors1996: 2 other ancestors1990: 1 other ancestor1987: 1 other ancestor1993: 1 other ancestor1989: 1 other ancestor2009: 1 descendant cleared2010: 1 descendant cleared2011: 1 descendant cleared2020: 1 descendant cleared2013: 1 descendant cleared2015: 1 descendant cleared2023: 2 descendants cleared2018: 1 descendant cleared2019: 1 descendant cleared2021: 1 descendant cleared2022: 1 descendant cleared2026: 1 descendant clearedK914698 · Setup Computer with Software V-1261,62 and 63 · K.S., Inc. · 1992K980904 · Mucheck Monitor Unit Validation Program · Medical Dosimetry Services, Inc. · 1998K990833 · Dose Calc, Model VS. 1.02 · Integrity Medical Software, Inc. · 1999K993923 · Adac PINNACLE3TM Radiation Therapy Planning System · Adac Laboratories · 2000K032724 · PINNACLE3 Radiation Therapy Planning System · Adac Laboratories · 2003 · recalledK041577 · PINNACLE3 Radiation Therapy Planning System · Adac Laboratories · 2004 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 4 other ancestors2 generations back: 6 other ancestors3 generations back: 9 other ancestors4 generations back: 3 other ancestors 1 generation forward: 1 descendant2 generations forward: 2 descendants3 generations forward: 2 descendants4 generations forward: 2 descendants5 generations forward: 1 descendant6 generations forward: 1 descendant7 generations forward: 1 descendant8 generations forward: 1 descendant9 generations forward: 1 descendant10 generations forward: 1 descendant K041577 · PINNACLE3 Radiation Therapy Planning System · Adac Laboratories · 2004 · recalledK032724 · PINNACLE3 Radiation Therapy Planning System · Adac Laboratories · 2003 · recalledK993923 · Adac PINNACLE3TM Radiation Therapy Planning System · Adac Laboratories · 2000K990833 · Dose Calc, Model VS. 1.02 · Integrity Medical Software, Inc. · 1999K980904 · Mucheck Monitor Unit Validation Program · Medical Dosimetry Services, Inc. · 1998K914698 · Setup Computer with Software V-1261,62 and 63 · K.S., Inc. · 1992−50+5+10
  1. Root · 6 generations backK914698 Setup Computer with Software V-1261,62 and 63K.S., Inc. · 1992
  2. 5 generations backK980904 Mucheck Monitor Unit Validation ProgramMedical Dosimetry Services, Inc. · 1998
  3. 4 generations backK990833 Dose Calc, Model VS. 1.02Integrity Medical Software, Inc. · 1999
  4. 3 generations backK993923 Adac PINNACLE3TM Radiation Therapy Planning SystemAdac Laboratories · 2000
  5. 2 generations backK032724 PINNACLE3 Radiation Therapy Planning SystemAdac Laboratories · 2003 · Recalled
  6. 1 generation backK041577 PINNACLE3 Radiation Therapy Planning SystemAdac Laboratories · 2004 · Recalled
  7. This deviceK071938 Monaco RTP SystemComputerized Medical Systems, Inc. · 2007
  8. Descendant · cites it directly · 12 of its ownK091179 Monaco RTP System, Vmat OptionComputerized Medical Systems, Inc. · 2009 · Recalled
  9. Descendant · 2 generations on · 8 of its ownK110730 Monaco RTP SystemComputerized Medical Systems, Inc. · 2011 · Recalled
  10. Descendant · 3 generations on · 7 of its ownK132971 MonacoImpac Medical Systems, Inc. · 2013 · Recalled
  11. Descendant · 4 generations on · 6 of its ownK151233 MonacoImpac Medical Systems, Inc. · 2015 · Recalled
  12. Descendant · 5 generations on · 5 of its ownK183037 Monaco RTP SystemElekta, Inc. · 2018 · Recalled

Showing 5 of 13 descendants. See all descendants

Descendants cleared per year

2009: 12010: 12011: 12013: 12015: 12018: 12019: 12020: 12021: 12022: 12023: 22026: 1
2009high 2 (2023) · low 0 (2012)2026

Most influential descendants

Showing 5 of 13 · See all
  • K091179Monaco RTP System, Vmat OptionComputerized Medical Systems, Inc. · 2009 · cites it directly12descendants
  • K110730Monaco RTP SystemComputerized Medical Systems, Inc. · 2011 · 2 generations on8descendants
  • K132971MonacoImpac Medical Systems, Inc. · 2013 · 3 generations on7descendants
  • K151233MonacoImpac Medical Systems, Inc. · 2015 · 4 generations on6descendants
  • K183037Monaco RTP SystemElekta, Inc. · 2018 · 5 generations on5descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K914698Setup Computer with Software V-1261,62 and 63K.S., Inc.1992—
−5K980904Mucheck Monitor Unit Validation ProgramMedical Dosimetry Services, Inc.1998—
−4K990833Dose Calc, Model VS. 1.02Integrity Medical Software, Inc.1999—
−3K993923Adac PINNACLE3TM Radiation Therapy Planning SystemAdac Laboratories2000—
−2K032724PINNACLE3 Radiation Therapy Planning SystemAdac Laboratories20031
−1K041577PINNACLE3 Radiation Therapy Planning SystemAdac Laboratories20047
0 (this device)K071938Monaco RTP SystemComputerized Medical Systems, Inc.2007—
+1K091179Monaco RTP System, Vmat OptionComputerized Medical Systems, Inc.20095
+2K110730Monaco RTP SystemComputerized Medical Systems, Inc.20116
+3K132971MonacoImpac Medical Systems, Inc.20134
+4K151233MonacoImpac Medical Systems, Inc.20159
+5K183037Monaco RTP SystemElekta, Inc.20186

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710
198910
199010
199220
199310
199430
199510
199620
199720
199820
200020
200120
200320

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200910
201010
201110
201310
201510
201810
201910
202010
202110
202210
202320
202610
FIG. 1 — Lineage of K071938, 1992–2026Source: 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 MUJ? 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 MUJ device

  1. #1 K232799 syngo.via RT Image Suitescore 18.6 · 19 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? (5)

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
*K041577PINNACLE3 Radiation Therapy Planning System
Summary page 1
…ical charged-particle radiation therapy system per 2 1CFR892.5050 Substantial Equivalence: Pinnacle 3 RTP System (K04 1577); XiO RTP System (K032762); Focal Workstation (K0…
Adac Laboratories20047
*K032762Xio Radiation Treatment Planning System
Summary page 1
…per 2 1CFR892.5050 Substantial Equivalence: Pinnacle 3 RTP System (K04 1577); XiO RTP System (K032762); Focal Workstation (K0 131 12); Peregrine RTP Sy…
Computerized Medical Systems, Inc.2003—
*K013112Focal Sim
Summary page 1
…Pinnacle 3 RTP System (K04 1577); XiO RTP System (K032762); Focal Workstation (K0 131 12); Peregrine RTP System (1(993675); Nulcetron Once…
Computerized Medical Systems, Inc.200110
*K993675Peregrine Radiation Therapy Dose Calculation System
Summary page 1
…XiO RTP System (K032762); Focal Workstation (K0 131 12); Peregrine RTP System (1(993675); Nulcetron Oncentra Masterplan (K(031349) Level of Concern & Rationale*: Major…
Nomos Corp.2000—
*K031349OTP 1.2
Summary page 1
…orkstation (K0 131 12); Peregrine RTP System (1(993675); Nulcetron Oncentra Masterplan (K(031349) Level of Concern & Rationale*: Major *Per FDA document "Guidance for the Content of Premarket Submissions for Softwar…
Nucletron Corp.2003—

Also cleared against K041577: 3 other devices →

What descends from it? (13)

See all 13

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

NumberDeviceApplicantDecidedDescendants
K091179Monaco RTP System, Vmat OptionComputerized Medical Systems, Inc.200912

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

Recalls of this device

DateClassRecallRoot causeReason
Jan 13, 2011Not classifiedZ-2598-2011Software designMonaco: When the isocenter location is edited in the IMRT Activity screen, the shift coordinates are not updated in the IMRT Plan report.
Jan 13, 2011Not classifiedZ-2561-2011Software designMonaco: For VMAT plans, the measured dose of radiation delivered is lower than the software calculated dose by about 5% in Monaco Release 2.03.00 and 2.04.00.
Oct 27, 2010Not classifiedZ-2569-2011Software designMonaco: In XiO IMRT (Dynamic MLC Delivery) software, the radiation beam angle is set to zero. If different beam angles are selected via Monaco software, the beam angles will remain at zero.
May 31, 2010Not classifiedZ-2564-2011Software designMonaco: due to a software defect, the Radiological Depth (cm) and SSD to DRP (cm) parameters are reported incorrectly on the Beam Summary Report. This occurs for all Monaco IMRT plans.
Jun 30, 2008Not classifiedZ-2560-2011Software designMonaco: If the user selects Monte Carlo Photon as the Secondary Algorithm (to be used for final dose calculation through segments), and selects SKIP Forward button at any time during stage 2 optimization, the system may only use the…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 15 years and passes through 5 companies; a new generation was cleared every 3.3 years on median.
  • 5 of the 28 ancestors have a recall of any class.
  • Of its descendants, K091179 (Computerized Medical Systems, Inc., 2009) has gone furthest, with 12 descendants of its own.
  • 3 other devices also cite its predicate K041577.

How does its category compare?

All MUJ devices

MUJ System, Planning, Radiation Therapy Treatment: FDA decisions, review times, recalls and adverse event reports over 20 years. 2007, this device’s year, is highlighted.

FDA decisions per year · MUJ

10in 2025

2007: 42008: 92009: 162010: 112011: 92012: 82013: 52014: 92015: 132016: 52017: 72018: 72019: 92020: 92021: 112022: 82023: 102024: 92025: 102026 (partial year): 9
2007high 16 (2009) · low 4 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MUJ

186in 2025

2007: 67 days median2008: 63 days median2009: 84 days median2010: 56 days median2011: 103 days median2012: 59 days median2013: 64 days median2014: 108 days median2015: 78 days median2016: 80 days median2017: 30 days median2018: 53 days median2019: 56 days median2020: 104 days median2021: 87 days median2022: 168 days median2023: 140 days median2024: 122 days median2025: 186 days median2026 (partial year): 233 days median
2007high 233 (2026) · low 30 (2017)2026

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

Recalls per year · MUJ

2in 2023

2007: 42008: 102009: 112010: 232011: 172012: 42013: 62014: 22015: 72016: 132017: 42018: 32019: 42020: 22021: 42022: 32023: 22026 (partial year): 2
2007high 23 (2010) · low 0 (2024)2026

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

Adverse event reports per year · MUJ

21in 2025

2007: 242008: 512009: 242010: 782011: 732012: 392013: 332014: 352015: 302016: 272017: 162018: 252019: 252020: 262021: 152022: 222023: 762024: 92025: 21
2007high 78 (2010) · low 9 (2024)2025

MAUDE reports naming product code MUJ, 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
2007467424
20089631051
200916841124
201011562378
201191031773
2012859439
2013564633
20149108235
20151378730
20165801327
2017730416
2018753325
2019956425
20209104226
20211187415
20228168322
202310140276
2024912209
202510186021
202692332—

What is it indicated for?

The Monaco system is used to create treatment plans for any cancer patient for whom external beam intensity modulated radiation therapy (IMRT) has been prescribed. The system will calculate and display, both on-screen and in hard-copy, either two- or three-dimensional radiation dose distributions within a patient for a given treatment plan set-up.

The Monaco product line is intended for use in radiation treatment planning using generally accepted methods for contouring, image manipulation, simulation, image fusion, plan optimization and QA and plan review.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K071938: Monaco RTP System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K071938

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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