CIVCO Radiotherapy

What CIVCO Radiotherapy does

CIVCO Radiotherapy, now operating as CQ Medical, is a US-based medical device company founded in 1982 and headquartered in Orange City, Iowa, specializing in patient positioning and immobilization hardware for radiotherapy and adjacent clinical procedures. The company's core product portfolio spans radiotherapy couchtops and overlays, thermoplastics, vacuum cushions, fiducial markers, brachytherapy applicators and positioning devices, and specialized lines including MRSeries (for MRI-guided radiotherapy) and ProtonSeries (for proton therapy). It also offers patient-specific custom devices through the acquired dot decimal brand, the Symphony integrated imaging-treatment-transfer platform, the Curvaform solution for kyphotic patients, the Alta Multipurpose Device compatible with HexaPOD evo RT, and positioning solutions for upright radiotherapy and veterinary oncology. Non-radiotherapy product lines extend into interventional/cardiology/radiology, neuroradiology, and rhinoplasty.

The company sells primarily to hospitals, cancer centers, radiotherapy clinics, OEMs of linear accelerators and proton/MR-linac systems, veterinary clinics, and providers of low-dose radiation therapy for benign conditions. Revenue is generated through hardware sales via a multi-channel model comprising a direct enterprise field sales force, a global distributor network (Find-a-Distributor portal), OEM partnerships where CIVCO/CQ Medical devices are bundled with radiotherapy equipment, and a corporate e-commerce storefront. Pricing is negotiated and not publicly disclosed. Demand generation is supported by CE-accredited education programs, an extensive clinical resource library, conference participation, and a partnership with the non-profit Radiating Hope.

The company operates as a privately held subsidiary under the CQ Medical brand identity, with 101-250 employees and no disclosed venture capital or public-market backing. Recent strategic activity includes a 2026 rebranding to CQ Medical, the acquisition of dot decimal, multiple new product launches (Curvaform, Alta HexaPOD compatibility, LDRT for osteoarthritis), and global expansion of distributor and OEM channels. No AI/ML capabilities, APIs, or software platforms are present in the product portfolio, which remains focused on physical positioning and workflow integration hardware.

Name

CIVCO Radiotherapy

Legal name

CIVCO Radiotherapy

Website

https://civcort.com

Company type

Private

Founded year

1982

Operating status

Operating

Headcount range

101–250 employees

Short description

CIVCO Radiotherapy, now CQ Medical, designs and manufactures patient positioning and immobilization devices for radiotherapy, brachytherapy, interventional, neuroradiology, rhinoplasty, and veterinary applications, serving hospitals, cancer centers, OEMs, and veterinary clinics globally through direct sales, distributors, and OEM partnerships.

Ownership category

akta.pro rank

Product category

Radiotherapy Patient Positioning and Immobilization Devices

NAICS

Surgical Appliance and Supplies Manufacturing (339113)

SIC

Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842)

akta.pro primary industry

Contrast Media Injectors & Radiology Accessories (HLAHABAK)

Keywords

• Radiotherapy patient positioning
• Medical immobilization devices
• Brachytherapy accessories
• Radiation therapy equipment
• Patient positioning systems

Headquarters

HQ city

Orange City

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Hardware or Manufacturing

Cost components

Supply Chain, Operations, Personnel, Technology or R&D, Marketing or Sales

Revenue model

1. Medical Device Manufacturing and Sales: CIVCO Radiotherapy generates revenue through the manufacture and sale of patient positioning, immobilization, and radiation therapy accessories. The company sells directly to healthcare providers and through OEM partnerships and distributor networks.

Go-to-market motion1 record

Distribution channels4 records

Marketing channels6 records

Core offering

CIVCO Radiotherapy (now operating as CQ Medical) designs and manufactures patient positioning and immobilization devices for radiation therapy. Its portfolio includes couchtops, overlays, thermoplastics, vacuum cushions, fiducial markers, brachytherapy accessories, and specialized product lines for MRI-guided (MRSeries) and proton therapy (ProtonSeries), along with the Symphony patient transfer system and dot decimal custom devices. The company sells to hospitals, cancer centers, radiotherapy clinics, OEMs, and veterinary oncology providers globally.

Product overview

CIVCO Radiotherapy (now operating as CQ Medical) is a comprehensive medical device company offering a platform of patient positioning, immobilization, and imaging solutions for radiation therapy, brachytherapy, and interventional procedures. The product portfolio includes radiotherapy-specific offerings (Functional & Low-Dose RT, .decimal Custom Devices acquired brand, Couchtops & Overlays, Symphony Patient Transfer system, SBRT/SRS solutions, MRSeries and ProtonSeries specialized lines, thermoplastics, and specialty devices like the Alta Multipurpose Device and Curvaform), complemented by Brachytherapy, Interventional/Cardiology/Radiology, Neuroradiology, and Rhinoplasty product lines. The portfolio serves cancer treatment centers, hospitals, and veterinary clinics with both standard and patient-specific custom devices.

Differentiator

Problem solved

Functional benefit

Products and services

• Radiotherapy Patient Positioning and Immobilization Devices

Quantifiable outcome

• CIVCO Radiotherapy is ranked among 17 leading market players in the ultrasound needle guides market by STATS N DATA research.

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature8 records

Partnerships

Two partnerships are on record, tiered core.

• Radiating HopecoreStrategic or Co-development PartnerCQ Medical (CIVCO Radiotherapy) partners with Radiating Hope, a non-profit organization dedicated to expanding access to radiation therapy in underserved regions globally. The partnership involves charitable support and product contributions to help establish radiotherapy capabilities in resource-limited settings, aligning with the company's mission to expand cancer care access.
• dot decimal (Acquired Brand/Product Line)coreTechnology or IntegrationCQ Medical acquired dot decimal, a brand known for patient-specific custom radiotherapy devices. The dot decimal product line is now integrated under the CQ Medical / CIVCO Radiotherapy umbrella, enhancing the company's patient-specific device capabilities and custom device offerings for individualized cancer treatment.

Scale indicators1 record

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• Elekta: A leading global vendor of radiation therapy equipment (linacs, Gamma Knife, brachytherapy afterloaders) and a broad portfolio of radiation oncology software and accessories. CIVCO competes with Elekta-branded positioning/accessory offerings and, via OEM partnerships, complements Elekta's installed base of treatment systems.
• Varian Medical Systems (Siemens Healthineers): Dominant global supplier of linear accelerators, proton therapy systems (ProBeam), and radiation oncology software. Varian/Siemens Healthineers ships integrated patient positioning solutions and is both a competitor for OEM-branded accessories and an OEM partner channel for CIVCO's third-party positioning products.
• Sun Nuclear (Mirion Technologies): Provides radiation therapy quality assurance, dosimetry, and patient positioning/immobilization products. Sun Nuclear competes with CIVCO in select accessories and shares the same radiation oncology buyer base of physicists and dosimetrists.
• Brainlab: Offers treatment planning, image-guided radiation therapy software, and select patient positioning solutions for SRS/SRT and linac-based workflows. Brainlab competes with CIVCO for technology-driven positioning and workflow integration in advanced radiotherapy.
• ViewRay (now part of Elekta): Pioneer of MR-guided radiation therapy systems (MRIdian) — directly addresses the clinical workflow for which CIVCO's MRSeries product line is specialized. ViewRay/Elekta integration intensifies competitive dynamics around MR-linac positioning accessories.

Direct peers

• Qfix: A direct competitor focused on patient positioning and immobilization devices for radiotherapy, including couchtops, thermoplastic masks, and motion-management systems. Qfix competes most directly with CIVCO's radiotherapy positioning portfolio.
• Bionix Radiation Therapy: Specialized manufacturer of patient positioning and immobilization products for radiation therapy, overlapping with CIVCO's couchtops, head & neck, and standard radiotherapy positioning categories.
• Vision RT: Provides surface-guided radiation therapy (AlignRT) and patient positioning/motion-monitoring solutions used alongside linacs. Vision RT is a complementary competitor in the precision radiotherapy positioning value chain and addresses similar clinical goals to CIVCO's positioning devices.
• Candor Denmark: European-based manufacturer of radiotherapy patient positioning and immobilization devices, including couchtops, headrests, and breast/hip positioning systems. A direct regional-adjacent peer in CIVCO's core radiotherapy positioning category.

Emerging players

• .decimal: Patient-specific 3D-printed radiotherapy positioning devices — the original brand acquired by CQ Medical. Now fully under CIVCO, but historically a focused innovator in custom devices for complex treatment plans; relevant as a direct sub-competitor within CIVCO's own portfolio.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCTPl-tXKOjBTXsue1dl7UGA
• Facebookfacebook.com/CivcoRT
• LinkedInlinkedin.com/company/cqmedical

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about CIVCO Radiotherapy