510(k) Report

510(k) · Cleared

Recalled · Class II · 2018

Mosaiq Oncology Information System

K123230510(k) TraditionalCleared Dec 12, 201258-day reviewClass II21 CFR 892.5050Recalls 7

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

Impac Medical Systems, Inc. · IYE Accelerator, Linear, Medical

Cleared on Dec 12, 2012 as substantially equivalent to K112930 (Mim Software, Inc., 2011) after a 58-day review. Its family tree reaches back 10 generations to 1996. 20 later devices descend from it. It has been recalled 7 times.

Decided
Dec 12, 2012
Review
58 days
Class
Class II
Product code
IYE
Recalls
7
Predicates
2

Its longest line of descent runs back 10 generations to K954874 (1996). 38 ancestors in all, the oldest K885054 (1989). 20 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2005: 1 other ancestor2000: 3 other ancestors1995: 2 other ancestors2004: 4 other ancestors2001: 4 other ancestors1999: 1 other ancestor1997: 2 other ancestors2002: 1 other ancestor1998: 1 other ancestor1996: 2 other ancestors1991: 3 other ancestors2003: 1 other ancestor1993: 1 other ancestor1990: 1 other ancestor1989: 1 other ancestor2014: 2 descendants cleared2018: 1 descendant cleared2016: 1 descendant cleared2022: 2 descendants cleared2020: 2 descendants cleared2019: 1 descendant cleared2023: 3 descendants cleared2021: 3 descendants cleared2026: 1 descendant cleared2025: 4 descendants clearedK954874 · Spectef Protocol · GE Medical Systems · 1996K980914 · Emory Cardiac Tool Box · Emory University · 1998K992450 · Emory Cardiac Toolbox* 2.0 Executing on Nuclear Medicine Computers · Emory University · 1999K014033 · Emory Cardiac Toolbox 2.1 Executing on Nuclear Medicine Computers · Syntermed, Inc. · 2002K040141 · Emory Cardiac Toolbox Version 2.6 · Syntermed, Inc. · 2004K052379 · Mim 3.5 (Circa) · Mimvista Corp. · 2005×2: 2 generations cleared close together, K060816 (2006), K062163 (2006) K103785 · Mobile Mim · Mim Software, Inc. · 2011K112930 · Mobile Mim · Mim Software, Inc. · 20111990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor3 generations back: 2 other ancestors5 generations back: 3 other ancestors6 generations back: 6 other ancestors7 generations back: 9 other ancestors8 generations back: 7 other ancestors 1 generation forward: 2 descendants2 generations forward: 2 descendants3 generations forward: 3 descendants4 generations forward: 6 descendants5 generations forward: 3 descendants6 generations forward: 1 descendant7 generations forward: 1 descendant8 generations forward: 1 descendant9 generations forward: 1 descendant K112930 · Mobile Mim · Mim Software, Inc. · 2011K103785 · Mobile Mim · Mim Software, Inc. · 2011K062163 · Mimviewer · Mimvista Corp. · 2006K060816 · Mim 4.0 (Neuro · Mimvista Corp. · 2006 · recalledK052379 · Mim 3.5 (Circa) · Mimvista Corp. · 2005K040141 · Emory Cardiac Toolbox Version 2.6 · Syntermed, Inc. · 2004K014033 · Emory Cardiac Toolbox 2.1 Executing on Nuclear Medicine Computers · Syntermed, Inc. · 2002K992450 · Emory Cardiac Toolbox* 2.0 Executing on Nuclear Medicine Computers · Emory University · 1999K980914 · Emory Cardiac Tool Box · Emory University · 1998K954874 · Spectef Protocol · GE Medical Systems · 1996−10−50+5
  1. Root · 10 generations backK954874 Spectef ProtocolGE Medical Systems · 1996
  2. 6 generations between
  3. 3 generations backK062163 MimviewerMimvista Corp. · 2006
  4. 2 generations backK103785 Mobile MimMim Software, Inc. · 2011
  5. 1 generation backK112930 Mobile MimMim Software, Inc. · 2011
  6. This deviceK123230 Mosaiq Oncology Information SystemImpac Medical Systems, Inc. · 2012
  7. Descendant · cites it directly · 13 of its ownK141572 Mosaiq Oncology Information SystemImpac Medical Systems, Inc. · 2014 · Recalled
  8. Descendant · 2 generations on · 12 of its ownK183034 MOSAIQ Oncology Information SystemElekta, Inc. · 2018 · Recalled
  9. Descendant · 3 generations on · 8 of its ownK203172 MOSAIQ Oncology Information SystemElekta Solutions AB · 2020 · Recalled
  10. Descendant · 4 generations on · 5 of its ownK210645 RayStation 10.1RaySearch Laboratories AB (PUBL) · 2021 · Recalled
  11. Descendant · cites it directly · 5 of its ownK142142 Quality ReportsSun Nuclear Corporation · 2014
Show all 10 generations
  1. Root · 10 generations backK954874 Spectef ProtocolGE Medical Systems · 1996
  2. 9 generations backK980914 Emory Cardiac Tool BoxEmory University · 1998
  3. 8 generations backK992450 Emory Cardiac Toolbox* 2.0 Executing on Nuclear Medicine ComputersEmory University · 1999
  4. 7 generations backK014033 Emory Cardiac Toolbox 2.1 Executing on Nuclear Medicine ComputersSyntermed, Inc. · 2002
  5. 6 generations backK040141 Emory Cardiac Toolbox Version 2.6Syntermed, Inc. · 2004
  6. 5 generations backK052379 Mim 3.5 (Circa)Mimvista Corp. · 2005
  7. 4 generations backK060816 Mim 4.0 (NeuroMimvista Corp. · 2006 · Recalled
  8. 3 generations backK062163 MimviewerMimvista Corp. · 2006
  9. 2 generations backK103785 Mobile MimMim Software, Inc. · 2011
  10. 1 generation backK112930 Mobile MimMim Software, Inc. · 2011
  11. This deviceK123230 Mosaiq Oncology Information SystemImpac Medical Systems, Inc. · 2012

Showing 5 of 20 descendants. See all descendants

Descendants cleared per year

2014: 22016: 12018: 12019: 12020: 22021: 32022: 22023: 32025: 42026: 1
2014high 4 (2025) · low 0 (2015)2026

Most influential descendants

Showing 5 of 20 · See all
  • K141572Mosaiq Oncology Information SystemImpac Medical Systems, Inc. · 2014 · cites it directly13descendants
  • K183034MOSAIQ Oncology Information SystemElekta, Inc. · 2018 · 2 generations on12descendants
  • K203172MOSAIQ Oncology Information SystemElekta Solutions AB · 2020 · 3 generations on8descendants
  • K210645RayStation 10.1RaySearch Laboratories AB (PUBL) · 2021 · 4 generations on5descendants
  • K142142Quality ReportsSun Nuclear Corporation · 2014 · cites it directly5descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K954874Spectef ProtocolGE Medical Systems1996—
−9K980914Emory Cardiac Tool BoxEmory University1998—
−8K992450Emory Cardiac Toolbox* 2.0 Executing on Nuclear Medicine ComputersEmory University1999—
−7K014033Emory Cardiac Toolbox 2.1 Executing on Nuclear Medicine ComputersSyntermed, Inc.2002—
−6K040141Emory Cardiac Toolbox Version 2.6Syntermed, Inc.2004—
−5K052379Mim 3.5 (Circa)Mimvista Corp.2005—
−4K060816Mim 4.0 (NeuroMimvista Corp.20061
−3K062163MimviewerMimvista Corp.2006—
−2K103785Mobile MimMim Software, Inc.2011—
−1K112930Mobile MimMim Software, Inc.2011—
0 (this device)K123230Mosaiq Oncology Information SystemImpac Medical Systems, Inc.2012—
+1K141572Mosaiq Oncology Information SystemImpac Medical Systems, Inc.201411
+2K183034MOSAIQ Oncology Information SystemElekta, Inc.20182
+3K203172MOSAIQ Oncology Information SystemElekta Solutions AB20201
+4K210645RayStation 10.1RaySearch Laboratories AB (PUBL)20216
+1K142142Quality ReportsSun Nuclear Corporation2014—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198910
199010
199130
199310
199520
199620
199720
199810
199910
200030
200140
200210
200310
200440
200510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201420
201610
201810
201910
202020
202130
202220
202330
202540
202610
FIG. 1 — Lineage of K123230, 1996–2026Source: 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 IYE? 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 IYE device

  1. #1 K252977 Halcyon, Ethos Radiotherapy System (5.0)score 18.8 · 18 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? (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; numbers the summary cites that cannot be its predicate are marked – and kept off the family tree.

TypeNumberDeviceApplicantDecidedRecalls
Kept off the family treeK120067FDA’s K120067 is Mosaiq Oncology Information System
Not matched in our reading of the summary (scans can blur digits), so it is kept off the family tree
Impac Medical Systems, Inc.20123
*K112930Mobile MimMim Software, Inc.2011—

Also cleared against K112930: 5 other devices →

What descends from it? (20)

See all 20

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

NumberDeviceApplicantDecidedDescendants
K141572Mosaiq Oncology Information SystemImpac Medical Systems, Inc.201413
K142142Quality ReportsSun Nuclear Corporation20145

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

Recalls of this device

DateClassRecallRoot causeReason
Dec 13, 2018Class IIZ-0821-2019Software change controlThere is a potential that Wedge IDs were not included in the DICOM RT PLAN sent from the TPS, which will cause the field in MOSAIQ to be created with no wedge. Treatment of a field without the planned wedge will receive more dose than the…
Jun 21, 2017Class IIZ-2633-2017Software designRetention of Outdated Information in an Order Set. In the Care Plan Library, double clicking to add or delete a Component/Procedure to an Order Set does not trigger the update of the associated Care Plans.
Jul 15, 2016Class IIZ-2293-2016Software Design ChangeIt is possible that a change to an Order Set will not be saved in the current open Care Plan. This can result in a wrong chemo dose in the order.
Nov 3, 2014Class IIZ-0221-2015Software designA problem can exist in MOSAIQ resulting in the display of incorrect numeric data due to a dose rounding error on printed reports.
May 29, 2014Class IIZ-1869-2014Software designMOSAIQ does not re-calculate the agent volume when the user changes the ordering dose (to other than what was calculated) prior to saving the order.
May 23, 2014Class IIZ-1800-2014Software designWhen using CMA, if the user hovers the mouse pointer exactly above the direction dropdowns and then uses the mouse thumbwheel or touchpad scroll bar, the direction selection might change when the intention was only to move the mouse to a…
Dec 20, 2012Class IIZ-1077-2013Software designA potential safety risk with the MOSAIQ Oncology Information System that has been identified by the manufacturer IMPAC Medical Systems, Inc.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 16 years and passes through 6 companies; a new generation was cleared every 1.8 years on median.
  • 6 of the 38 ancestors have a recall of any class.
  • Of its descendants, K141572 (Impac Medical Systems, Inc., 2014) has gone furthest, with 13 descendants of its own.
  • 5 other devices also cite its predicate K112930.

How does its category compare?

All IYE devices

IYE Accelerator, Linear, Medical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · IYE

12in 2025

2007: 232008: 142009: 202010: 232011: 112012: 282013: 182014: 202015: 202016: 212017: 232018: 212019: 192020: 202021: 192022: 122023: 182024: 92025: 122026 (partial year): 14
2007high 28 (2012) · low 9 (2024)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · IYE

170in 2025

2007: 44 days median2008: 69 days median2009: 63 days median2010: 74 days median2011: 94 days median2012: 106 days median2013: 88 days median2014: 100 days median2015: 108 days median2016: 97 days median2017: 94 days median2018: 58 days median2019: 83 days median2020: 67 days median2021: 86 days median2022: 172 days median2023: 129 days median2024: 239 days median2025: 170 days median2026 (partial year): 120 days median
2007high 239 (2024) · low 44 (2007)2026

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

Recalls per year · IYE

1in 2025

2007: 782008: 492009: 222010: 272011: 732012: 202013: 112014: 142015: 82016: 72017: 72018: 72019: 22020: 42021: 52022: 32023: 72024: 12025: 12026 (partial year): 4
2007high 78 (2007) · low 1 (2024)2026

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

Adverse event reports per year · IYE

101in 2025

2007: 1552008: 1142009: 1742010: 2462011: 2802012: 1282013: 962014: 1242015: 1002016: 972017: 1252018: 852019: 912020: 742021: 682022: 662023: 1282024: 812025: 101
2007high 280 (2011) · low 66 (2022)2025

MAUDE reports naming product code IYE, 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
2007234478155
2008146949114
2009206322174
2010237427246
2011119473280
20122810620128
201318881196
20142010014124
2015201088100
20162197797
201723947125
20182158785
20191983291
20202067474
20211986568
202212172366
2023181297128
20249239181
2025121701101
2026141204—

What is it indicated for?

MOSAIQ® is an oncology information system used to manage workflows for treatment planning and delivery. It supports information flow among healthcare facility personnel and can be used wherever radiotherapy and/or chemotherapy are prescribed. Users can configure MOSAIQ® for Medical Oncology use, Radiation Oncology use, or the two together. It lets users: * Assemble electronic patient charts and treatment plans, order diagnostic tests, and prescribe…

Read the full statement (228 words)

MOSAIQ® is an oncology information system used to manage workflows for treatment planning and delivery. It supports information flow among healthcare facility personnel and can be used wherever radiotherapy and/or chemotherapy are prescribed.

Users can configure MOSAIQ® for Medical Oncology use, Radiation Oncology use, or the two together. It lets users:

* Assemble electronic patient charts and treatment plans, order diagnostic tests, and prescribe medications.

* Generate and keep medication formulary lists and calculate applicable medication dosages for medical oncology.

* Import, view, annotate, adjust, enhance, manage and archive images.

* Compare radiation treatment plans and evaluate dose coverage.

* Design leaf plans for operation with radiotherapy treatment machines that have multileaf collimators.

* Make sure radiation treatment plans imported from treatment planning systems agree with treatment machine constraints. MOSAIQ® reads actual settings from the treatment machine through the machine communication interface. It compares these settings with predefined values. If a mismatch occurs between the planned values and the actual machine settings, the system warns the user.

* View reference images to setup treatment. MOSAIQ® refers to predefined settings to help treatment machine setup, and communicates patient and machine setup instructions.

* Record actual delivered radiation values in an electronic chart to track treatment.

MOSAIQ® is not intended for use in diagnosis. Medical oncology dose calculation functions are designed for use with patients 18 years or older only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K123230: Mosaiq Oncology Information System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K123230

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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