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Lower risk Medical device recall · FDA · Published July 26, 2021

Elekta Monaco RTP System Software Builds 5.40.00-5.51.10 Recall: Dose Calculation Risk

Elekta recalls Monaco RTP System software builds 5.40.00-5.51.10 due to potential dose calculation errors if couch is removed and added during plan loading. Affected users should contact Elekta for details.

🇺🇸 FDA recall #Z-2406-2021Medical deviceElekta ›
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Contact the company

Recalling firmElekta Inc1450 Beale St Ste 205 · Saint Charles, MO 63303
✎ GovInfoNow plain-language explainer

What happened, in plain English

Elekta is recalling specific software versions of its Monaco RTP System because improper couch handling during treatment planning could lead to incorrect radiation dose calculations. This risk affects medical professionals using the system for radiation therapy. Read more at govinfonow.com/recall/62160-elekta-monaco-rtp-system-software-builds-5-40-00-5.

Source Summary by GovInfoNow · govinfonow.com/recall/62160-elekta-monaco-rtp-system-software-builds-5-40-00-5 · Updated August 19, 2026 · FDA enforcement record: FDA #Z-2406-2021

Cite this page

“Elekta Monaco RTP System Software Builds 5.40.00-5.51.10 Recall: Dose Calculation Risk.” GovInfoNow, updated August 19, 2026. https://govinfonow.com/recall/62160-elekta-monaco-rtp-system-software-builds-5-40-00-5. Based on FDA recall #Z-2406-2021 (https://api.fda.gov/device/enforcement.json?search=recall_number:%22Z-2406-2021%22&limit=1).

Why it’s dangerous

If a treatment couch is removed while a radiation plan is loaded and then added back when the plan is unloaded, the system may calculate radiation doses incorrectly. This could lead to improper radiation delivery during treatment.

Who’s affected

Medical professionals using Elekta's Monaco RTP System for radiation therapy treatment planning. Those with the specific software builds listed are most at risk.

How to tell if you have this one

Check if your Monaco RTP System has software builds 5.40.00, 5.40.01, 5.40.02, or 5.51.10. The unique device identifier (UDI) codes listed in the recall notice also help identify affected units.

  • Brand
    Elekta
  • Product
    Elekta Inc recalls Monaco RTP System, Software Builds 5.40.00, 5.40.01, 5.40.02, and 5.51.10
  • Category
    Medical device
Based on the official FDA remedy

What to do — step by step

  1. Check Software Version

    Verify your Monaco RTP System software version matches the recalled builds (5.40.00, 5.40.01, 5.40.02, or 5.51.10).

Where it went and when

Where it was distributed

Distributed in 7 states, and outside the U.S.

Alaska: not listedAKMaine: not listedMEVermont: not listedVTNew Hampshire: not listedNHWashington: not listedWAIdaho: not listedIDMontana: not listedMTNorth Dakota: not listedNDMinnesota: not listedMNIllinois: not listedILWisconsin: yesWIMichigan: not listedMINew York: yesNYRhode Island: not listedRIMassachusetts: not listedMAOregon: not listedORNevada: not listedNVWyoming: not listedWYSouth Dakota: not listedSDIowa: yesIAIndiana: not listedINOhio: not listedOHPennsylvania: yesPANew Jersey: yesNJConnecticut: not listedCTCalifornia: not listedCAUtah: not listedUTColorado: not listedCONebraska: not listedNEMissouri: not listedMOKentucky: not listedKYWest Virginia: not listedWVVirginia: not listedVAMaryland: not listedMDDelaware: not listedDEArizona: not listedAZNew Mexico: not listedNMKansas: not listedKSArkansas: not listedARTennessee: yesTNNorth Carolina: not listedNCSouth Carolina: not listedSCDistrict of Columbia: not listedDCOklahoma: not listedOKLouisiana: not listedLAMississippi: not listedMSAlabama: not listedALGeorgia: not listedGAHawaii: not listedHITexas: yesTXFlorida: not listedFL

FDA distribution: “Distribution in US - IA, NJ, NY, TN, PA, TX, and WI OUS distribution in Australia, Bahrain, Belgium, Canada, China, Denmark, France, Germany, Hong Kong, Italy, Japan, Korea, Netherlands, Spain, Sweden, Switzerland, Thailand, Turkey and…” States read from FDA’s own wording; “not listed” means the notice does not name it.

States: Iowa, New Jersey, New York, Pennsylvania, Tennessee, Texas, Wisconsin.

Recall timeline

FDA published this recall 44 days after the firm started it.

1. Firm started the recall: Jul 26, 202112. FDA classified it Class II: Sep 2, 202123. Published in FDA’s Enforcement Report: Sep 8, 202132021
  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-2406-2021 (July 26, 2021) — FDA publishes no per-recall page; this is the official machine-readable enforcement record. Search FDA recalls for Z-2406-2021 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