510(k) Report

510(k) · Cleared

Recalled · Class II · 2016

Monaco RTP System

K110730510(k) TraditionalCleared Jun 24, 2011100-day reviewClass II21 CFR 892.5050Recalls 6

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 Jun 24, 2011 as substantially equivalent to K091179 (Computerized Medical Systems, Inc., 2009) and 2 other predicates after a 100-day review. Its family tree reaches back 8 generations to 1992. 8 later devices descend from it. It has been recalled 6 times.

Decided
Jun 24, 2011
Review
100 days
Class
Class II
Product code
MUJ
Recalls
6
Predicates
3

Its longest line of descent runs back 8 generations to K914698 (1992). 46 ancestors in all, the oldest K862643 (1987). 8 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2010: 1 other ancestor2008: 1 other ancestor2009: 1 other ancestor2007: 2 other ancestors2003: 4 other ancestors2002: 2 other ancestors2000: 5 other ancestors2001: 4 other ancestors2005: 1 other ancestor1997: 2 other ancestors1995: 1 other ancestor1994: 3 other ancestors1992: 2 other ancestors2004: 1 other ancestor1998: 2 other ancestors1996: 2 other ancestors1990: 1 other ancestor1987: 1 other ancestor1993: 1 other ancestor1989: 1 other ancestor2013: 1 descendant cleared2015: 1 descendant cleared2018: 1 descendant cleared2019: 1 descendant cleared2021: 1 descendant cleared2022: 1 descendant cleared2023: 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 · recalledK071938 · Monaco RTP System · Computerized Medical Systems, Inc. · 2007 · recalledK091179 · Monaco RTP System, Vmat Option · Computerized Medical Systems, Inc. · 2009 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 5 other ancestors3 generations back: 6 other ancestors4 generations back: 6 other ancestors5 generations back: 13 other ancestors6 generations back: 5 other ancestors7 generations back: 1 other ancestor 1 generation forward: 1 descendant2 generations forward: 1 descendant3 generations forward: 1 descendant4 generations forward: 1 descendant5 generations forward: 1 descendant6 generations forward: 1 descendant7 generations forward: 1 descendant8 generations forward: 1 descendant K091179 · Monaco RTP System, Vmat Option · Computerized Medical Systems, Inc. · 2009 · recalledK071938 · Monaco RTP System · Computerized Medical Systems, Inc. · 2007 · recalledK041577 · 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
  1. Root · 8 generations backK914698 Setup Computer with Software V-1261,62 and 63K.S., Inc. · 1992
  2. 7 generations backK980904 Mucheck Monitor Unit Validation ProgramMedical Dosimetry Services, Inc. · 1998
  3. 6 generations backK990833 Dose Calc, Model VS. 1.02Integrity Medical Software, Inc. · 1999
  4. 5 generations backK993923 Adac PINNACLE3TM Radiation Therapy Planning SystemAdac Laboratories · 2000
  5. 4 generations backK032724 PINNACLE3 Radiation Therapy Planning SystemAdac Laboratories · 2003 · Recalled
  6. 3 generations backK041577 PINNACLE3 Radiation Therapy Planning SystemAdac Laboratories · 2004 · Recalled
  7. 2 generations backK071938 Monaco RTP SystemComputerized Medical Systems, Inc. · 2007 · Recalled
  8. 1 generation backK091179 Monaco RTP System, Vmat OptionComputerized Medical Systems, Inc. · 2009 · Recalled
  9. This deviceK110730 Monaco RTP SystemComputerized Medical Systems, Inc. · 2011
  10. Descendant · cites it directly · 7 of its ownK132971 MonacoImpac Medical Systems, Inc. · 2013 · Recalled
  11. Descendant · 2 generations on · 6 of its ownK151233 MonacoImpac Medical Systems, Inc. · 2015 · Recalled
  12. Descendant · 3 generations on · 5 of its ownK183037 Monaco RTP SystemElekta, Inc. · 2018 · Recalled
  13. Descendant · 4 generations on · 4 of its ownK190178 Monaco RTP SystemElekta, Inc. · 2019 · Recalled
  14. Descendant · 5 generations on · 3 of its ownK202789 Monaco Rtp SystemElekta Solutions AB · 2021

Showing 5 of 8 descendants. See all descendants

Descendants cleared per year

2013: 12015: 12018: 12019: 12021: 12022: 12023: 12026: 1
2013high 1 (2013) · low 0 (2014)2026

Most influential descendants

Showing 5 of 8 · See all
  • K132971MonacoImpac Medical Systems, Inc. · 2013 · cites it directly7descendants
  • K151233MonacoImpac Medical Systems, Inc. · 2015 · 2 generations on6descendants
  • K183037Monaco RTP SystemElekta, Inc. · 2018 · 3 generations on5descendants
  • K190178Monaco RTP SystemElekta, Inc. · 2019 · 4 generations on4descendants
  • K202789Monaco Rtp SystemElekta Solutions AB · 2021 · 5 generations on3descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K914698Setup Computer with Software V-1261,62 and 63K.S., Inc.1992—
−7K980904Mucheck Monitor Unit Validation ProgramMedical Dosimetry Services, Inc.1998—
−6K990833Dose Calc, Model VS. 1.02Integrity Medical Software, Inc.1999—
−5K993923Adac PINNACLE3TM Radiation Therapy Planning SystemAdac Laboratories2000—
−4K032724PINNACLE3 Radiation Therapy Planning SystemAdac Laboratories20031
−3K041577PINNACLE3 Radiation Therapy Planning SystemAdac Laboratories20047
−2K071938Monaco RTP SystemComputerized Medical Systems, Inc.20075
−1K091179Monaco RTP System, Vmat OptionComputerized Medical Systems, Inc.20095
0 (this device)K110730Monaco RTP SystemComputerized Medical Systems, Inc.2011—
+1K132971MonacoImpac Medical Systems, Inc.20134
+2K151233MonacoImpac Medical Systems, Inc.20159
+3K183037Monaco RTP SystemElekta, Inc.20186
+4K190178Monaco RTP SystemElekta, Inc.20195
+5K202789Monaco Rtp SystemElekta Solutions AB2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710
198910
199010
199220
199310
199430
199510
199620
199720
199820
200050
200140
200220
200340
200410
200510
200720
200810
200910
201010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201310
201510
201810
201910
202110
202210
202310
202610
FIG. 1 — Lineage of K110730, 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 18.7 · 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? (3)

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
*K091179Monaco RTP System, Vmat Option
Summary page 2
…s cleared for distribution and are currently being actively marketed in the United States. I1. Monaco RTP System Computerized Medical Systems, Inc. K091 179 2. ERGO++RTP System Computerized Medical Systems, Inc. K080601 3. Eclipse Treatment Planning System Var…
Computerized Medical Systems, Inc.20095
*K080601Ergo++ Version 1.7
Summary page 2
…ed States. I1. Monaco RTP System Computerized Medical Systems, Inc. K091 179 2. ERGO++RTP System Computerized Medical Systems, Inc. K080601 3. Eclipse Treatment Planning System Varian Medical Systems K102011I MONACO INTENDED USE The Monaco system is u…
3D Line Medical Systems S.R.L.20082
*K102011Eclipse Treatment Planning System
Summary page 2
…K091 179 2. ERGO++RTP System Computerized Medical Systems, Inc. K080601 3. Eclipse Treatment Planning System Varian Medical Systems K102011I MONACO INTENDED USE The Monaco system is used to make treatment plans for patients with prescriptions for external beam radiat…
Varian Medical Systems, Inc.20105

Also cleared against K091179: 1 other device →

What descends from it? (8)

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

NumberDeviceApplicantDecidedDescendants
K132971MonacoImpac Medical Systems, Inc.20137

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

Recalls of this device

DateClassRecallRoot causeReason
Aug 18, 2016Class IIZ-2712-2016Unknown/Undetermined by firmIn a specific workflow where contours are edited (enlarged, moved, copied, etc.) and then the contour is deleted on some slices and saved in the same session, it is possible that the deleted contours are still present which would not be…
Jul 2, 2013Class IIZ-2276-2013Device DesignUpgrade installation script is designed to overwrite the same pouch files in the Treatment Couch Library with the original default values.
May 22, 2013Class IIZ-2277-2013Labeling designPatient needs to be positioned as indicated by the treatment plan.
Feb 11, 2013Class IIZ-0841-2013Nonconforming Material/ComponentThe beam is displayed at the "gantry" angle, but the dose is calculated at the "rotation_start" angle.
Jun 21, 2012Class IIZ-2007-2012Software designIncorrect patient shift directions when the Setup reference dialog is printed out when the DICOM coordinates option is enabled for reports.
Mar 5, 2012Not classifiedZ-1365-2012Software designAn unnecessary dose refresh can occur in certain situations which causes inconsistencies in the Beam Doses and the Total Dose.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 19 years and passes through 5 companies; a new generation was cleared every 1.9 years on median.
  • 14 of the 46 ancestors have a recall of any class.
  • Of its descendants, K132971 (Impac Medical Systems, Inc., 2013) has gone furthest, with 7 descendants of its own.
  • 1 other device also cites its predicate K091179.

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. 2011, 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 make treatment plans for patients with prescriptions for external beam radiation therapy. The system calculates dose for photon treatment plans and displays, on-screen and in hard-copy, two- or three-dimensional radiation dose distributions inside patients for given treatment plan set-ups.

The Monaco product line is intended for use in radiation treatment planning. It uses generally accepted methods for:

* contouring

* image manipulation

* simulation

* image fusion

* plan optimization

* QA and plan review

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. “K110730: Monaco RTP System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K110730

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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