510(k) Report

510(k) · Cleared

Recalled · Class II · 2016

Monaco

K132971510(k) TraditionalCleared Nov 20, 201358-day reviewClass II21 CFR 892.5050Recalls 4

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. · MUJ System, Planning, Radiation Therapy Treatment

Cleared on Nov 20, 2013 as substantially equivalent to K110730 (Computerized Medical Systems, Inc., 2011) and 3 other predicates after a 58-day review. Its family tree reaches back 9 generations to 1992. 7 later devices descend from it. It has been recalled 4 times.

Decided
Nov 20, 2013
Review
58 days
Class
Class II
Product code
MUJ
Recalls
4
Predicates
4

Its longest line of descent runs back 9 generations to K914698 (1992). 51 ancestors in all, the oldest K862643 (1987). 7 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2012: 1 other ancestor2010: 1 other ancestor2008: 2 other ancestors2009: 1 other ancestor2003: 4 other ancestors2002: 2 other ancestors2000: 5 other ancestors1999: 1 other ancestor2007: 2 other ancestors2001: 4 other ancestors1991: 1 other ancestor1997: 2 other ancestors2005: 1 other ancestor1996: 2 other ancestors1995: 1 other ancestor1994: 3 other ancestors1992: 2 other ancestors1990: 1 other ancestor1987: 1 other ancestor2004: 1 other ancestor1998: 2 other ancestors1993: 1 other ancestor1989: 1 other ancestor2015: 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 · recalledK110730 · Monaco RTP System · Computerized Medical Systems, Inc. · 2011 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 6 other ancestors3 generations back: 4 other ancestors4 generations back: 5 other ancestors5 generations back: 10 other ancestors6 generations back: 8 other ancestors7 generations back: 5 other ancestors8 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 descendant K110730 · Monaco RTP System · Computerized Medical Systems, Inc. · 2011 · recalledK091179 · 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 · 9 generations backK914698 Setup Computer with Software V-1261,62 and 63K.S., Inc. · 1992
  2. 5 generations between
  3. 3 generations backK071938 Monaco RTP SystemComputerized Medical Systems, Inc. · 2007 · Recalled
  4. 2 generations backK091179 Monaco RTP System, Vmat OptionComputerized Medical Systems, Inc. · 2009 · Recalled
  5. 1 generation backK110730 Monaco RTP SystemComputerized Medical Systems, Inc. · 2011 · Recalled
  6. This deviceK132971 MonacoImpac Medical Systems, Inc. · 2013
  7. Descendant · cites it directly · 6 of its ownK151233 MonacoImpac Medical Systems, Inc. · 2015 · Recalled
  8. Descendant · 2 generations on · 5 of its ownK183037 Monaco RTP SystemElekta, Inc. · 2018 · Recalled
  9. Descendant · 3 generations on · 4 of its ownK190178 Monaco RTP SystemElekta, Inc. · 2019 · Recalled
  10. Descendant · 4 generations on · 3 of its ownK202789 Monaco Rtp SystemElekta Solutions AB · 2021
  11. Descendant · 5 generations on · 2 of its ownK213787 Monaco RTP SystemElekta Solutions AB · 2022
Show all 9 generations
  1. Root · 9 generations backK914698 Setup Computer with Software V-1261,62 and 63K.S., Inc. · 1992
  2. 8 generations backK980904 Mucheck Monitor Unit Validation ProgramMedical Dosimetry Services, Inc. · 1998
  3. 7 generations backK990833 Dose Calc, Model VS. 1.02Integrity Medical Software, Inc. · 1999
  4. 6 generations backK993923 Adac PINNACLE3TM Radiation Therapy Planning SystemAdac Laboratories · 2000
  5. 5 generations backK032724 PINNACLE3 Radiation Therapy Planning SystemAdac Laboratories · 2003 · Recalled
  6. 4 generations backK041577 PINNACLE3 Radiation Therapy Planning SystemAdac Laboratories · 2004 · Recalled
  7. 3 generations backK071938 Monaco RTP SystemComputerized Medical Systems, Inc. · 2007 · Recalled
  8. 2 generations backK091179 Monaco RTP System, Vmat OptionComputerized Medical Systems, Inc. · 2009 · Recalled
  9. 1 generation backK110730 Monaco RTP SystemComputerized Medical Systems, Inc. · 2011 · Recalled
  10. This deviceK132971 MonacoImpac Medical Systems, Inc. · 2013

Showing 5 of 7 descendants. See all descendants

Descendants cleared per year

2015: 12018: 12019: 12021: 12022: 12023: 12026: 1
2015high 1 (2015) · low 0 (2016)2026

Most influential descendants

Showing 5 of 7 · See all
  • K151233MonacoImpac Medical Systems, Inc. · 2015 · cites it directly6descendants
  • K183037Monaco RTP SystemElekta, Inc. · 2018 · 2 generations on5descendants
  • K190178Monaco RTP SystemElekta, Inc. · 2019 · 3 generations on4descendants
  • K202789Monaco Rtp SystemElekta Solutions AB · 2021 · 4 generations on3descendants
  • K213787Monaco RTP SystemElekta Solutions AB · 2022 · 5 generations on2descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K914698Setup Computer with Software V-1261,62 and 63K.S., Inc.1992—
−8K980904Mucheck Monitor Unit Validation ProgramMedical Dosimetry Services, Inc.1998—
−7K990833Dose Calc, Model VS. 1.02Integrity Medical Software, Inc.1999—
−6K993923Adac PINNACLE3TM Radiation Therapy Planning SystemAdac Laboratories2000—
−5K032724PINNACLE3 Radiation Therapy Planning SystemAdac Laboratories20031
−4K041577PINNACLE3 Radiation Therapy Planning SystemAdac Laboratories20047
−3K071938Monaco RTP SystemComputerized Medical Systems, Inc.20075
−2K091179Monaco RTP System, Vmat OptionComputerized Medical Systems, Inc.20095
−1K110730Monaco RTP SystemComputerized Medical Systems, Inc.20116
0 (this device)K132971MonacoImpac Medical Systems, Inc.2013—
+1K151233MonacoImpac Medical Systems, Inc.20159
+2K183037Monaco RTP SystemElekta, Inc.20186
+3K190178Monaco RTP SystemElekta, Inc.20195
+4K202789Monaco Rtp SystemElekta Solutions AB2021—
+5K213787Monaco RTP SystemElekta Solutions AB2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710
198910
199010
199110
199220
199310
199430
199510
199620
199720
199820
199910
200050
200140
200220
200340
200410
200510
200720
200820
200910
201010
201210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201510
201810
201910
202110
202210
202310
202610
FIG. 1 — Lineage of K132971, 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? (4)

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
*K110730Monaco RTP System
Summary page 3
…ived clearance in 2009, when Volumetric Modulated Arc Therapy (VMAT) planning capability was added (K091 179) and again when Dynamic Conformal Arc planning was added (KI 110730). The Monaco system accepts patient diagnostic imaging data and "source" dosimetry data fr-om a linear accelerator. The system th…
Computerized Medical Systems, Inc.20116
*K080601Ergo++ Version 1.7
Summary page 2
…ed use and safety and effectiveness. I. Monaco RTP System IMPAC Medical Systems, Inc. KI 10730 2. ERGO-+- IMPAC Medical Systems, Inc. K080601I 3. Eclipse Treatment Planning System Varian Medical Systems, Inc. K102011I 4. Oncentra Nulcetron Corpo…
3D Line Medical Systems S.R.L.20082
*K102011Eclipse Treatment Planning System
Summary page 2
…s, Inc. KI 10730 2. ERGO-+- IMPAC Medical Systems, Inc. K080601I 3. Eclipse Treatment Planning System Varian Medical Systems, Inc. K102011I 4. Oncentra Nulcetron Corporation K 12 1448 MONACO INTENDED USE/INDICATIONS FOR USE The Monaco system is us…
Varian Medical Systems, Inc.20105
*K121448Oncentra, Oncentra External Beam, Oncentra Brachy
Summary page 2
…Systems, Inc. K080601I 3. Eclipse Treatment Planning System Varian Medical Systems, Inc. K102011I 4. Oncentra Nulcetron Corporation K 12 1448 MONACO INTENDED USE/INDICATIONS FOR USE The Monaco system is used to make treatment plans for patients with prescriptions fo…
Elekta Inc. D/B/A Nucletron Corporation20123

What descends from it? (7)

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

NumberDeviceApplicantDecidedDescendants
K151233MonacoImpac Medical Systems, Inc.20156

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

Recalls of this device

DateClassRecallRoot causeReason
Dec 21, 2016Class IIZ-1009-2017Nonconforming Material/ComponentIncorrect Enhanced Dynamic Wedge (EDW) or Virtual Wedge (VW) Calculations.
Nov 17, 2016Class IIZ-0668-2017Software designContours are not handled correctly if the CT dataset contains slices with DICOM Z coordinates of xx.x50mm.
Dec 19, 2014Class IIZ-1237-2015OtherIncorrect CT to ED when using the Monaco Image Statistics Tool.
Aug 18, 2014Class IIZ-2581-2014Software designIncorrect Delivery of Composite VMAT Fields - When DICOM is exporting an arc plan (VMAT, Dynamic Conformal or 3D Static Arcs) and using the Composite Field Sequencing (CFS) feature, the DICOM exported plan will not match the approved…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 21 years and passes through 6 companies; a new generation was cleared every 1.9 years on median.
  • 17 of the 51 ancestors have a recall of any class.
  • Of its descendants, K151233 (Impac Medical Systems, Inc., 2015) has gone furthest, with 6 descendants of its own.

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. 2013, 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 and electron 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. “K132971: Monaco.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K132971

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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