510(k) Report

510(k) · Cleared

Cleared

Bolus Compensator

K091911510(k) SpecialCleared Jul 21, 200926-day reviewClass II21 CFR 892.5710

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

.Decimal, Inc. · IXI Block, Beam-Shaping, Radiation Therapy

Cleared on Jul 21, 2009 as substantially equivalent to K071078 (.Decimal, Inc., 2007) after a 26-day review. Its family tree reaches back 4 generations to 2000. 5 later devices descend from it.

Decided
Jul 21, 2009
Review
26 days
Class
Class II
Product code
IXI
Recalls
None
Predicates
1

Its longest line of descent runs back 4 generations to K000137 (2000). 8 ancestors in all, the oldest K880047 (1988). 5 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1996: 1 other ancestor1995: 1 other ancestor1988: 1 other ancestor2001: 1 other ancestor2022: 2 descendants cleared2021: 1 descendant cleared2026: 2 descendants clearedK000137 · Enhanced Compensating Filter · Computerized Medical Systems, Inc. · 2000K021987 · Parcomplast Compensating Filter for Radiation Therapy · S&S Par Scientific · 2002K040804 · .Decimal Tissue Compensator/Intensity Modulator · Southeastern Radiation Products, Inc. · 2004K071078 · .Decimal Range Compensator · .Decimal, Inc. · 20071990200020102020
Other ancestors, by generationDescendants, by generation 3 generations back: 3 other ancestors4 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 2 descendants3 generations forward: 1 descendant K071078 · .Decimal Range Compensator · .Decimal, Inc. · 2007K040804 · .Decimal Tissue Compensator/Intensity Modulator · Southeastern Radiation Products, Inc. · 2004K021987 · Parcomplast Compensating Filter for Radiation Therapy · S&S Par Scientific · 2002K000137 · Enhanced Compensating Filter · Computerized Medical Systems, Inc. · 20000
  1. Root · 4 generations backK000137 Enhanced Compensating FilterComputerized Medical Systems, Inc. · 2000
  2. 3 generations backK021987 Parcomplast Compensating Filter for Radiation TherapyS&S Par Scientific · 2002
  3. 2 generations backK040804 .Decimal Tissue Compensator/Intensity ModulatorSoutheastern Radiation Products, Inc. · 2004
  4. 1 generation backK071078 .Decimal Range Compensator.Decimal, Inc. · 2007
  5. This deviceK091911 Bolus Compensator.Decimal, Inc. · 2009
  6. Descendant · cites it directly · 2 of its ownK214093 VSP Bolus3D Systems · 2022
  7. Descendant · 2 generations on · 1 of its ownK222639 VHA Radiotherapy BolusVha Dean · 2022
  8. Descendant · cites it directly · 1 of its ownK211511 decimal Bolus.Decimal, LLC · 2021
  9. Descendant · 2 generations on · 0 of its ownK252784 eXaSkin PlusAnatomical Geometry S.L. · 2026
  10. Descendant · 3 generations on · 0 of its ownK253025 Ricoh 3D for Healthcare BolusRicoh 3D For Healthcare, LLC · 2026

Most influential descendants

Showing 5 of 5 · See all
  • K214093VSP Bolus3D Systems · 2022 · cites it directly2descendants
  • K222639VHA Radiotherapy BolusVha Dean · 2022 · 2 generations on1descendant
  • K211511decimal Bolus.Decimal, LLC · 2021 · cites it directly1descendant
  • K252784eXaSkin PlusAnatomical Geometry S.L. · 2026 · 2 generations on0descendants
  • K253025Ricoh 3D for Healthcare BolusRicoh 3D For Healthcare, LLC · 2026 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K000137Enhanced Compensating FilterComputerized Medical Systems, Inc.2000—
−3K021987Parcomplast Compensating Filter for Radiation TherapyS&S Par Scientific2002—
−2K040804.Decimal Tissue Compensator/Intensity ModulatorSoutheastern Radiation Products, Inc.2004—
−1K071078.Decimal Range Compensator.Decimal, Inc.2007—
0 (this device)K091911Bolus Compensator.Decimal, Inc.2009—
+1K214093VSP Bolus3D Systems2022—
+2K222639VHA Radiotherapy BolusVha Dean2022—
+1K211511decimal Bolus.Decimal, LLC2021—
+2K252784eXaSkin PlusAnatomical Geometry S.L.2026—
+3K253025Ricoh 3D for Healthcare BolusRicoh 3D For Healthcare, LLC2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198810
199510
199610
200110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202110
202220
202620
FIG. 1 — Lineage of K091911, 2000–2026Source: 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 IXI? 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 IXI device

  1. #1 K253025 Ricoh 3D for Healthcare Bolusscore 12.9 · 7 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
*K071078.Decimal Range Compensator
Summary page 1
…fication Name: IXI 21 CFR892.5710 Class II Predicate Device(s): .decimal Range Compensator (K071078) decimnol 'he benchmark for custom radiation therapy Intended Use: .decimal.'…
.Decimal, Inc.2007—

Also cleared against K071078: 2 other devices →

What descends from it? (5)

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

NumberDeviceApplicantDecidedDescendants
K214093VSP Bolus3D Systems20222
K211511decimal Bolus.Decimal, LLC20211

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 9 years and passes through 4 companies; a new generation was cleared every 2.7 years on median.
  • 1 of the 8 ancestors has a recall of any class.
  • Of its descendants, K214093 (3D Systems, 2022) has gone furthest, with 2 descendants of its own.
  • 2 other devices also cite its predicate K071078.

How does its category compare?

All IXI devices

IXI Block, Beam-Shaping, Radiation Therapy: FDA decisions, review times, recalls and adverse event reports over 20 years. 2009, this device’s year, is highlighted.

FDA decisions per year · IXI

2in 2022

2007: 22009: 32011: 22012: 12013: 32022: 22026 (partial year): 1
2007high 3 (2009) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · IXI

90in 2013

2009: 78 days median2013: 90 days median
2007high 90 (2013) · low 78 (2009)2026

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

Recalls per year · IXI

2in 2013

2008: 12011: 12012: 12013: 2
2007high 2 (2013) · low 0 (2007)2026

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

Adverse event reports per year · IXI

1in 2016

2010: 12011: 282012: 32013: 22014: 12016: 1
2007high 28 (2011) · low 0 (2007)2025

MAUDE reports naming product code IXI, 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
20072—00
20080—10
200937800
20100—01
20112—128
20121—13
201339022
20140—01
20150—00
20160—01
20170—00
20180—00
20190—00
20200—00
20210—00
20222—00
20230—00
20240—00
20250—00
20261—0—

What is it indicated for?

Bolus Compensators are used by radiation therapy professionals for the treatment of cancer patients. They are designed by radiation therapy professionals for a unique patient and are intended to modify the shape of a beam from a radiation therapy source. Each Bolus Compensator must be validated and approved by the radiation therapy professional prior to use on a patient.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K091911: Bolus Compensator.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K091911

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