510(k) Report

510(k) · Cleared

Cleared

Ikoengelo, Version 2

K083591510(k) SpecialCleared Dec 29, 200825-day reviewClass II21 CFR 892.5840

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

Ikoetech, LLC · KPQ System, Simulation, Radiation Therapy

Cleared on Dec 29, 2008 as substantially equivalent to K013531 (Impac Medical Systems, Inc., 2001) and 1 other predicate after a 25-day review. Its family tree reaches back 2 generations to 1992. 19 later devices descend from it.

Decided
Dec 29, 2008
Review
25 days
Class
Class II
Product code
KPQ
Recalls
None
Predicates
2

Its longest line of descent runs back 2 generations to K923851 (1992). 5 ancestors in all. 19 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1997: 1 other ancestor2000: 1 other ancestor1995: 1 other ancestor2011: 2 descendants cleared2012: 3 descendants cleared2014: 4 descendants cleared2015: 1 descendant cleared2021: 3 descendants cleared2022: 2 descendants cleared2018: 1 descendant cleared2019: 1 descendant cleared2023: 1 descendant cleared2026: 1 descendant clearedK923851 · Acqsim Simulator/Localizer · Philips Medical Systems (Cleveland), Inc. · 1992K013531 · Qwiksim Virtual Simulation System; Version 2.00 · Impac Medical Systems, Inc. · 20011990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 2 other ancestors 1 generation forward: 3 descendants2 generations forward: 4 descendants3 generations forward: 3 descendants4 generations forward: 3 descendants5 generations forward: 2 descendants6 generations forward: 1 descendant7 generations forward: 1 descendant8 generations forward: 1 descendant9 generations forward: 1 descendant K013531 · Qwiksim Virtual Simulation System; Version 2.00 · Impac Medical Systems, Inc. · 2001K923851 · Acqsim Simulator/Localizer · Philips Medical Systems (Cleveland), Inc. · 19920+5
  1. Root · 2 generations backK923851 Acqsim Simulator/LocalizerPhilips Medical Systems (Cleveland), Inc. · 1992
  2. 1 generation backK013531 Qwiksim Virtual Simulation System; Version 2.00Impac Medical Systems, Inc. · 2001
  3. This deviceK083591 Ikoengelo, Version 2Ikoetech, LLC · 2008
  4. Descendant · cites it directly · 9 of its ownK111311 Segmentation Assistant for Prostate-Auto ContouringOmisa Inc. (Segasist Technologies) · 2011
  5. Descendant · 2 generations on · 7 of its ownK132944 Advantagesim MD MR Pelvic Organ at Risk SegmentationGe Hungary Kft · 2014
  6. Descendant · 3 generations on · 6 of its ownK151233 MonacoImpac Medical Systems, Inc. · 2015 · Recalled
  7. Descendant · 4 generations on · 5 of its ownK183037 Monaco RTP SystemElekta, Inc. · 2018 · Recalled
  8. Descendant · cites it directly · 5 of its ownK112778 Smart Segmentation-Knowledge Based ContouringVarian Medical Systems · 2011

Showing 5 of 19 descendants. See all descendants

Descendants cleared per year

2011: 22012: 32014: 42015: 12018: 12019: 12021: 32022: 22023: 12026: 1
2011high 4 (2014) · low 0 (2013)2026

Most influential descendants

Showing 5 of 19 · See all
  • K111311Segmentation Assistant for Prostate-Auto ContouringOmisa Inc. (Segasist Technologies) · 2011 · cites it directly9descendants
  • K132944Advantagesim MD MR Pelvic Organ at Risk SegmentationGe Hungary Kft · 2014 · 2 generations on7descendants
  • K151233MonacoImpac Medical Systems, Inc. · 2015 · 3 generations on6descendants
  • K183037Monaco RTP SystemElekta, Inc. · 2018 · 4 generations on5descendants
  • K112778Smart Segmentation-Knowledge Based ContouringVarian Medical Systems · 2011 · cites it directly5descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K923851Acqsim Simulator/LocalizerPhilips Medical Systems (Cleveland), Inc.1992—
−1K013531Qwiksim Virtual Simulation System; Version 2.00Impac Medical Systems, Inc.2001—
0 (this device)K083591Ikoengelo, Version 2Ikoetech, LLC2008—
+1K111311Segmentation Assistant for Prostate-Auto ContouringOmisa Inc. (Segasist Technologies)2011—
+2K132944Advantagesim MD MR Pelvic Organ at Risk SegmentationGe Hungary Kft2014—
+3K151233MonacoImpac Medical Systems, Inc.20159
+4K183037Monaco RTP SystemElekta, Inc.20186
+1K112778Smart Segmentation-Knowledge Based ContouringVarian Medical Systems2011—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199510
199710
200010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201120
201230
201440
201510
201810
201910
202130
202220
202310
202610
FIG. 1 — Lineage of K083591, 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.

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  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin the report
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What was it cleared against? (2)

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
*K013531Qwiksim Virtual Simulation System; Version 2.00
Summary page 1
…leared Version 1.0: IMPAC Medical Systems, Inc. QwikSIM Virtual Simulation System, 5 10(k) #: K013531. Predicate Device for Current Submitted Version 2.0: ADAC Laboratories…
Impac Medical Systems, Inc.2001—
*K973233Image Fusion and Review System
Summary page 1
…or Current Submitted Version 2.0: ADAC Laboratories Image Fusion and Review System, 510(k) #: K973233. Device Description: The IKOEngelo version 2.0 device is a software system upgraded from…
Adac Laboratories1997—

Also cleared against K013531: 1 other device →

What descends from it? (19)

See all 19

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

NumberDeviceApplicantDecidedDescendants
K111311Segmentation Assistant for Prostate-Auto ContouringOmisa Inc. (Segasist Technologies)20119
K112778Smart Segmentation-Knowledge Based ContouringVarian Medical Systems20115
K111332Clarity Obp SystemElekta, Ltd.20122

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 16 years and passes through 3 companies; a new generation was cleared every 9.0 years on median.
  • 1 of the 5 ancestors has a recall of any class.
  • Of its descendants, K111311 (Omisa Inc. (Segasist Technologies), 2011) has gone furthest, with 9 descendants of its own.
  • 1 other device also cites its predicate K013531.

How does its category compare?

All KPQ devices

KPQ System, Simulation, Radiation Therapy: FDA decisions, review times, recalls and adverse event reports over 20 years. 2008, this device’s year, is highlighted.

FDA decisions per year · KPQ

1in 2014

2007: 12008: 12009: 12010: 12013: 12014: 1
2007high 1 (2007) · low 0 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KPQ

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

Recalls per year · KPQ

1in 2014

2007: 62008: 32009: 12012: 12013: 12014: 1
2007high 6 (2007) · low 0 (2010)2026

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

Adverse event reports per year · KPQ

1in 2020

2007: 172008: 122009: 72010: 102011: 122012: 112013: 12014: 32019: 12020: 1
2007high 17 (2007) · low 0 (2015)2025

MAUDE reports naming product code KPQ, 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
20071—617
20081—312
20091—17
20101—010
20110—012
20120—111
20131—11
20141—13
20150—00
20160—00
20170—00
20180—00
20190—01
20200—01
20210—00
20220—00
20230—00
20240—00
20250—00
20260—0—

What is it indicated for?

The IKOEngelo TM System is indicated for use by radiation oncologists, medical physicists, and medical dosimetrists for tumor and normal tissue contour delineation to support the radiotherapy treatment planning process. The resulting information may then be exported to a treatment planning system for dose calculation.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K083591: Ikoengelo, Version 2.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K083591

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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