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Unrated Medical device recall · FDA · Published February 28, 2023

Elekta Monaco RTP System Recall: Inaccurate Radiation Treatment Plans

Elekta recalls Monaco RTP System software versions 5.11.00-5.11.03 due to potential inaccurate radiation dose calculations in treatment plans. Affected users should contact Elekta for details.

🇺🇸 FDA recall #Z-1233-2023Medical deviceElekta ›
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Recalling firmElekta Inc1450 Beale St Ste 205 · Saint Charles, MO 63303
✎ GovInfoNow plain-language explainer

What happened, in plain English

Elekta is recalling its Monaco RTP System software versions 5.11.00 through 5.11.03 because these versions may produce inaccurate radiation dose calculations for treatment plans. This could lead to incorrect radiation delivery to patients during cancer therapy. Read more at govinfonow.com/recall/58839-elekta-monaco-rtp-system-recall-inaccurate-radiation-treatment-plans.

Source Summary by GovInfoNow · govinfonow.com/recall/58839-elekta-monaco-rtp-system-recall-inaccurate-radiation-treatment-plans · Updated August 19, 2026 · FDA enforcement record: FDA #Z-1233-2023

Cite this page

“Elekta Monaco RTP System Recall: Inaccurate Radiation Treatment Plans.” GovInfoNow, updated August 19, 2026. https://govinfonow.com/recall/58839-elekta-monaco-rtp-system-recall-inaccurate-radiation-treatment-plans. Based on FDA recall #Z-1233-2023 (https://api.fda.gov/device/enforcement.json?search=recall_number:%22Z-1233-2023%22&limit=1).

Why it’s dangerous

The software may calculate radiation doses incorrectly when re-optimizing treatment plans after adding contours without forced density outside the external structure. This could result in improper radiation delivery to patients during cancer treatment.

Who’s affected

Healthcare professionals using the Monaco RTP System for radiation treatment planning are affected. Patients receiving radiation therapy using these software versions may be at risk.

How to tell if you have this one

Check if you have the Monaco RTP System software versions 5.11.00, 5.11.01, 5.11.02, or 5.11.03. The UDI numbers include (01)00858164002169(10) followed by the software version.

  • Brand
    Elekta
  • Product
    Elekta Inc recalls Monaco RTP System. Used to make treatment plans for patients with prescriptions for external beam radiation therapy
  • Category
    Medical device
Based on the official FDA remedy

What to do — step by step

  1. Contact Elekta

    Reach out to Elekta for specific instructions on how to verify your software version and get the correct remedy.

Where it went and when

Where it was distributed

Distributed nationwide, and outside the U.S.

Alaska: yesAKMaine: yesMEVermont: yesVTNew Hampshire: yesNHWashington: yesWAIdaho: yesIDMontana: yesMTNorth Dakota: yesNDMinnesota: yesMNIllinois: yesILWisconsin: yesWIMichigan: yesMINew York: yesNYRhode Island: yesRIMassachusetts: yesMAOregon: yesORNevada: yesNVWyoming: yesWYSouth Dakota: yesSDIowa: yesIAIndiana: yesINOhio: yesOHPennsylvania: yesPANew Jersey: yesNJConnecticut: yesCTCalifornia: yesCAUtah: yesUTColorado: yesCONebraska: yesNEMissouri: yesMOKentucky: yesKYWest Virginia: yesWVVirginia: yesVAMaryland: yesMDDelaware: yesDEArizona: yesAZNew Mexico: yesNMKansas: yesKSArkansas: yesARTennessee: yesTNNorth Carolina: yesNCSouth Carolina: yesSCDistrict of Columbia: yesDCOklahoma: yesOKLouisiana: yesLAMississippi: yesMSAlabama: yesALGeorgia: yesGAHawaii: yesHITexas: yesTXFlorida: yesFL

FDA distribution: “Nationwide distribution in the US. International distribution to Albania, Algeria, Antigua and Barbuda, Argentina, Australia, Austria, Bahrain, Bangladesh, Belarus, Belgium, Bolivia, Bosnia and Herzegowina, Botswana, Brazil, Bulgaria,…” States read from FDA’s own wording; “not listed” means the notice does not name it.

Distributed nationwide, and outside the U.S.

Recall timeline

FDA published this recall 15 days after the firm started it.

1. Firm started the recall: Feb 28, 202312. FDA classified it Class II: Mar 7, 202323. Published in FDA’s Enforcement Report: Mar 15, 202332023
  1. Firm started the recall
  2. FDA classified it Class II
  3. Published in FDA’s Enforcement Report

Dates from the agency record only; steps without a date are left out.

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Where this comes from

The facts (hazard, remedy, dates, manufacturer) are pulled from the official FDA recall record. The plain-language summary and step-by-step checklist are written by GovInfoNow to make the official notice easier to act on — they don’t replace it.

  • Official source: FDA Recall #Z-1233-2023 (February 28, 2023) — FDA publishes no per-recall page; this is the official machine-readable enforcement record. Search FDA recalls for Z-1233-2023 to see it in context.
  • Plain-language summary written by qwen3:4b on August 19, 2026, from the official record above. Not reviewed by a person — if it conflicts with the FDA notice, the notice is correct. Report an error on this page.
  • GovInfoNow is an independent service and is not a government agency. We republish official FDA recall data; we don’t issue, amend or administer recalls.
GovInfoNow is an independent guide. We are not FDA or any government agency. Always confirm details with the official recall.Data: CPSC · FDA · NHTSA · USDA