510(k) Report

510(k) · Cleared

Cleared

Blue Phantom PT

K191821510(k) AbbreviatedCleared Jan 23, 2020199-day reviewClass II21 CFR 892.5050

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

Iba Dosimetry GmbH · LHN System, Radiation Therapy, Charged-Particle, Medical

Cleared on Jan 23, 2020 as substantially equivalent to K032594 (Wellhofer Dosimetrie, 2003) after a 199-day review. Its family tree reaches back 2 generations to 1994.

Decided
Jan 23, 2020
Review
199 days
Class
Class II
Product code
LHN
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K943199 (1994). No later device cites it as a predicate yet.

  1. Root · 2 generations backK943199 Motorized Depth Dose ApparatusMedtec, Inc. · 1994
  2. 1 generation backK032594 One Dimensional Water Phantom, WP 1DWellhofer Dosimetrie · 2003
  3. This deviceK191821 Blue Phantom PTIba Dosimetry GmbH · 2020
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K943199Motorized Depth Dose ApparatusMedtec, Inc.1994—
−1K032594One Dimensional Water Phantom, WP 1DWellhofer Dosimetrie2003—
0 (this device)K191821Blue Phantom PTIba Dosimetry GmbH2020—
FIG. 1 — Lineage of K191821, 1994–2020Source: 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 LHN? 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 LHN device

  1. #1 K260597 Virtue QAscore 15.4 · 12 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
*K032594One Dimensional Water Phantom, WP 1D
Summary page 5
…anel Radiology Classification regulation 21CFR 892.5050 Product Code LHN Predicate Device WP 1D (K032594) 1. Intended Use Intended use of Blue Phantom PT The intended use of Blue Phantom PT is to move detectors in on…
Wellhofer Dosimetrie2003—

What descends from it?

No later submission names this one as a predicate yet.

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 26 years and passes through 3 companies; a new generation was cleared every 16.4 years on median.
  • None of the 2 ancestors has a recall.

How does its category compare?

All LHN devices

LHN System, Radiation Therapy, Charged-Particle, Medical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, this device’s year, is highlighted.

FDA decisions per year · LHN

3in 2025

2007: 22008: 32009: 52010: 42011: 12012: 32013: 32014: 42015: 32016: 72017: 42018: 32019: 22020: 42022: 22023: 22024: 12025: 32026 (partial year): 4
2007high 7 (2016) · low 0 (2021)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LHN

190in 2025

2008: 113 days median2009: 69 days median2010: 96 days median2012: 111 days median2013: 70 days median2014: 93 days median2015: 53 days median2016: 120 days median2017: 173 days median2018: 78 days median2020: 74 days median2025: 190 days median2026 (partial year): 194 days median
2007high 194 (2026) · low 53 (2015)2026

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

Recalls per year · LHN

1in 2023

2007: 22008: 22014: 22015: 12017: 52018: 22020: 12021: 12022: 22023: 1
2007high 5 (2017) · low 0 (2009)2026

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

Adverse event reports per year · LHN

11in 2025

2008: 12009: 52010: 32011: 12012: 12013: 12014: 52015: 22016: 12017: 72018: 82019: 32020: 202021: 242022: 102023: 72024: 22025: 11
2007high 24 (2021) · low 0 (2007)2025

MAUDE reports naming product code LHN, 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—20
2008311321
200956905
201049603
20111—01
2012311101
201337001
201449325
201535312
2016712001
2017417357
201837828
20192—03
2020474120
20210—124
20222—210
20232—17
20241—02
20253190011
202641940—

What is it indicated for?

The intended use of Blue Phantom PT is to move detectors in one dimension within a water tank. It transfers indicated ionization beams (proton beams) at a certain position into electrical signals.

Non-intended use of Blue Phantom PT

The Blue Phantom PT is not meant for measurement orthogonal to the proton beam (inline and crossline measurements).

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. “K191821: Blue Phantom PT.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K191821

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