510(k) Report

510(k) · Cleared

Cleared

Monaco RTP System (6.3)

K252002510(k) TraditionalCleared Feb 19, 2026237-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

Elekta Solutions AB · MUJ System, Planning, Radiation Therapy Treatment

Cleared on Feb 19, 2026 as substantially equivalent to K223233 (Elekta Solutions AB, 2023) after a 237-day review. Its family tree reaches back 20 generations to 1991.

Decided
Feb 19, 2026
Review
237 days
Class
Class II
Product code
MUJ
Recalls
None
Predicates
1

Its longest line of descent runs back 20 generations to K913770 (1991). 259 ancestors in all, the oldest K802809 (1981). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2019: 1 other ancestor2018: 1 other ancestor2017: 2 other ancestors2011: 4 other ancestors2013: 2 other ancestors2009: 6 other ancestors2016: 1 other ancestor2012: 2 other ancestors2010: 4 other ancestors2008: 8 other ancestors2007: 12 other ancestors2006: 8 other ancestors2005: 10 other ancestors2004: 18 other ancestors2001: 23 other ancestors2014: 2 other ancestors2003: 14 other ancestors2002: 16 other ancestors2000: 20 other ancestors1999: 11 other ancestors1997: 9 other ancestors1991: 6 other ancestors1987: 3 other ancestors1996: 14 other ancestors1995: 5 other ancestors1993: 4 other ancestors1992: 7 other ancestors1998: 10 other ancestors1994: 7 other ancestors1990: 3 other ancestors1989: 4 other ancestors1986: 1 other ancestor1981: 1 other ancestorK913770 · Advantage V.S. CT/MR Rad Diagnostic Workstation · General Electric Co. · 1991K963345 · Advantage Windows Tissue Volume Option · GE Medical Systems · 1996K013381 · Advanced Lung Analysis-1 · General Electric Co. · 2001K022013 · Lungcare CT Software Package · Siemens Medical Solutions USA, Inc. · 2002K033374 · Lungcare CT Software Package with Extended Functionality · Siemens AG Medical Solutions · 2003K041484 · Undecided · Siemens Medical Solutions USA, Inc. · 2004K053301 · Cedara I-Response Cedara Pet/CT · Cedara Software Corp. · 2006K071950 · Syngo Trued · Siemens Medical Solutions USA, Inc. · 2007K091373 · Syngo Trued · Siemens Medical Solutions USA, Inc. · 2009×2: 2 generations cleared close together, K101228 (2010), K102687 (2010) ×2: 2 generations cleared close together, K130393 (2013), K132045 (2013) K132944 · Advantagesim MD MR Pelvic Organ at Risk Segmentation · Ge Hungary Kft · 2014K151233 · Monaco · Impac Medical Systems, Inc. · 2015 · recalled×2: 2 generations cleared close together, K183037 (2018), K190178 (2019) K202789 · Monaco Rtp System · Elekta Solutions AB · 2021K213787 · Monaco RTP System · Elekta Solutions AB · 2022K223233 · Monaco RTP System · Elekta Solutions AB · 202319801990200020102020
Other ancestors, by generation 4 generations back: 1 other ancestor5 generations back: 1 other ancestor6 generations back: 2 other ancestors7 generations back: 4 other ancestors8 generations back: 14 other ancestors9 generations back: 18 other ancestors10 generations back: 27 other ancestors11 generations back: 33 other ancestors12 generations back: 31 other ancestors13 generations back: 27 other ancestors14 generations back: 30 other ancestors15 generations back: 27 other ancestors16 generations back: 17 other ancestors17 generations back: 6 other ancestors18 generations back: 1 other ancestor K223233 · Monaco RTP System · Elekta Solutions AB · 2023K213787 · Monaco RTP System · Elekta Solutions AB · 2022K202789 · Monaco Rtp System · Elekta Solutions AB · 2021K190178 · Monaco RTP System · Elekta, Inc. · 2019 · recalledK183037 · Monaco RTP System · Elekta, Inc. · 2018 · recalledK151233 · Monaco · Impac Medical Systems, Inc. · 2015 · recalledK132944 · Advantagesim MD MR Pelvic Organ at Risk Segmentation · Ge Hungary Kft · 2014K132045 · Advantagesim MD with CT Atlas-Based Contouring and RE-Planning Options · Ge Hungary Kft · 2013K130393 · Mirada RTX · Mirada Medical, Ltd. · 2013K102687 · Mirada RT · Mirada Medical, Ltd. · 2010K101228 · Mirada XD · Mirada Medical, Ltd. · 2010K091373 · Syngo Trued · Siemens Medical Solutions USA, Inc. · 2009K071950 · Syngo Trued · Siemens Medical Solutions USA, Inc. · 2007K053301 · Cedara I-Response Cedara Pet/CT · Cedara Software Corp. · 2006K041484 · Undecided · Siemens Medical Solutions USA, Inc. · 2004K033374 · Lungcare CT Software Package with Extended Functionality · Siemens AG Medical Solutions · 2003K022013 · Lungcare CT Software Package · Siemens Medical Solutions USA, Inc. · 2002K013381 · Advanced Lung Analysis-1 · General Electric Co. · 2001K963345 · Advantage Windows Tissue Volume Option · GE Medical Systems · 1996K913770 · Advantage V.S. CT/MR Rad Diagnostic Workstation · General Electric Co. · 1991−20−15−10−50
  1. Root · 20 generations backK913770 Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co. · 1991
  2. 16 generations between
  3. 3 generations backK202789 Monaco Rtp SystemElekta Solutions AB · 2021
  4. 2 generations backK213787 Monaco RTP SystemElekta Solutions AB · 2022
  5. 1 generation backK223233 Monaco RTP SystemElekta Solutions AB · 2023
  6. This deviceK252002 Monaco RTP System (6.3)Elekta Solutions AB · 2026
Show all 20 generations
  1. Root · 20 generations backK913770 Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co. · 1991
  2. 19 generations backK963345 Advantage Windows Tissue Volume OptionGE Medical Systems · 1996
  3. 18 generations backK013381 Advanced Lung Analysis-1General Electric Co. · 2001
  4. 17 generations backK022013 Lungcare CT Software PackageSiemens Medical Solutions USA, Inc. · 2002
  5. 16 generations backK033374 Lungcare CT Software Package with Extended FunctionalitySiemens AG Medical Solutions · 2003
  6. 15 generations backK041484 UndecidedSiemens Medical Solutions USA, Inc. · 2004
  7. 14 generations backK053301 Cedara I-Response Cedara Pet/CTCedara Software Corp. · 2006
  8. 13 generations backK071950 Syngo TruedSiemens Medical Solutions USA, Inc. · 2007
  9. 12 generations backK091373 Syngo TruedSiemens Medical Solutions USA, Inc. · 2009
  10. 11 generations backK101228 Mirada XDMirada Medical, Ltd. · 2010
  11. 10 generations backK102687 Mirada RTMirada Medical, Ltd. · 2010
  12. 9 generations backK130393 Mirada RTXMirada Medical, Ltd. · 2013
  13. 8 generations backK132045 Advantagesim MD with CT Atlas-Based Contouring and RE-Planning OptionsGe Hungary Kft · 2013
  14. 7 generations backK132944 Advantagesim MD MR Pelvic Organ at Risk SegmentationGe Hungary Kft · 2014
  15. 6 generations backK151233 MonacoImpac Medical Systems, Inc. · 2015 · Recalled
  16. 5 generations backK183037 Monaco RTP SystemElekta, Inc. · 2018 · Recalled
  17. 4 generations backK190178 Monaco RTP SystemElekta, Inc. · 2019 · Recalled
  18. 3 generations backK202789 Monaco Rtp SystemElekta Solutions AB · 2021
  19. 2 generations backK213787 Monaco RTP SystemElekta Solutions AB · 2022
  20. 1 generation backK223233 Monaco RTP SystemElekta Solutions AB · 2023
  21. This deviceK252002 Monaco RTP System (6.3)Elekta Solutions AB · 2026
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−20K913770Advantage V.S. CT/MR Rad Diagnostic WorkstationGeneral Electric Co.1991—
−19K963345Advantage Windows Tissue Volume OptionGE Medical Systems1996—
−18K013381Advanced Lung Analysis-1General Electric Co.2001—
−17K022013Lungcare CT Software PackageSiemens Medical Solutions USA, Inc.2002—
−16K033374Lungcare CT Software Package with Extended FunctionalitySiemens AG Medical Solutions2003—
−15K041484UndecidedSiemens Medical Solutions USA, Inc.2004—
−14K053301Cedara I-Response Cedara Pet/CTCedara Software Corp.2006—
−13K071950Syngo TruedSiemens Medical Solutions USA, Inc.2007—
−12K091373Syngo TruedSiemens Medical Solutions USA, Inc.2009—
−11K101228Mirada XDMirada Medical, Ltd.2010—
−10K102687Mirada RTMirada Medical, Ltd.2010—
−9K130393Mirada RTXMirada Medical, Ltd.2013—
−8K132045Advantagesim MD with CT Atlas-Based Contouring and RE-Planning OptionsGe Hungary Kft2013—
−7K132944Advantagesim MD MR Pelvic Organ at Risk SegmentationGe Hungary Kft2014—
−6K151233MonacoImpac Medical Systems, Inc.20159
−5K183037Monaco RTP SystemElekta, Inc.20186
−4K190178Monaco RTP SystemElekta, Inc.20195
−3K202789Monaco Rtp SystemElekta Solutions AB2021—
−2K213787Monaco RTP SystemElekta Solutions AB2022—
−1K223233Monaco RTP SystemElekta Solutions AB2023—
0 (this device)K252002Monaco RTP System (6.3)Elekta Solutions AB2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
198610
198730
198940
199030
199160
199270
199340
199470
199550
1996140
199790
1998100
1999110
2000200
2001230
2002160
2003140
2004180
2005100
200680
2007120
200880
200960
201040
201140
201220
201320
201420
201610
201720
201810
201910
FIG. 1 — Lineage of K252002, 1991–2026Source: 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? (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
*K223233Monaco RTP System
Summary page 5
…21 CFR 892.5050 Product Code MUJ III. Predicate Device Predicate # K223233 Predicate Trade Name Monaco RTP System (6.2) Predicate Product Code…
Elekta Solutions AB2023—

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 35 years and passes through 10 companies; a new generation was cleared every 1.3 years on median.
  • 84 of the 259 ancestors have a recall of any class.

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. 2026, 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, electron, and proton 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 as stated in the FDA summary.

Cite this page

510(k) Report. “K252002: Monaco RTP System (6.3).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K252002

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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