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Lower risk Medical device recall · FDA · Published November 22, 2019

Elekta Monaco Radiation Planning System Recall: Incorrect Energy Optimization Risk

Elekta recalls Monaco radiation treatment planning software builds 5.40.00, 5.50.00, and 5.51.00 due to incorrect energy optimization during dose calculations. Affected users should contact Elekta for remediation.

🇺🇸 FDA recall #Z-0670-2020Medical 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 specific versions of its Monaco radiation treatment planning software because they use the wrong energy levels when optimizing radiation doses. This could lead to inaccurate treatment planning, potentially affecting patient safety during radiation therapy. Read more at govinfonow.com/recall/66450-elekta-monaco-radiation-planning-system-recall-incorrect-energy-optimization-risk.

Source Summary by GovInfoNow · govinfonow.com/recall/66450-elekta-monaco-radiation-planning-system-recall-incorrect-energy-optimization-risk · Updated August 19, 2026 · FDA enforcement record: FDA #Z-0670-2020

Cite this page

“Elekta Monaco Radiation Planning System Recall: Incorrect Energy Optimization Risk.” GovInfoNow, updated August 19, 2026. https://govinfonow.com/recall/66450-elekta-monaco-radiation-planning-system-recall-incorrect-energy-optimization-risk. Based on FDA recall #Z-0670-2020 (https://api.fda.gov/device/enforcement.json?search=recall_number:%22Z-0670-2020%22&limit=1).

Why it’s dangerous

The Monaco software uses incorrect energy levels when optimizing and calculating radiation doses. This could result in improper radiation treatment planning, potentially affecting the accuracy of radiation therapy for patients.

Who’s affected

Healthcare professionals using Elekta's Monaco radiation treatment planning software with the specified software builds are affected. Patients receiving radiation therapy using these versions may be at risk of inaccurate treatment planning.

How to tell if you have this one

Check if your Monaco software version is 5.40.00, 5.50.00, or 5.51.00. The UDI GTIN numbers are listed in the recall notice for identification.

  • Brand
    Elekta
  • Product
    Elekta Inc recalls Monaco Radiation Treatment Planning System (RTP) System
  • Category
    Medical device
Based on the official FDA remedy

What to do — step by step

  1. Check Software Version

    Identify your Monaco software version by checking the build number in the software interface.

  2. Contact Elekta

    Reach out to Elekta directly for guidance on remediation steps for affected software versions.

Where it went and when

Where it was distributed

Distributed in 6 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: yesINOhio: yesOHPennsylvania: not listedPANew Jersey: not listedNJConnecticut: 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: not listedTNNorth 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: “IA, IN, NY, OH, TX, WI. Internationally distributed to: Australia, Canada, China, Denmark, Germany, Greece, Hong Kong, Italy, Netherlands, Sweden, Switzerland, United Kingdom.” States read from FDA’s own wording; “not listed” means the notice does not name it.

States: Indiana, Iowa, New York, Ohio, Texas, Wisconsin.

Recall timeline

FDA published this recall 26 days after the firm started it.

1. Firm started the recall: Nov 22, 201912. FDA classified it Class II: Dec 12, 201923. Published in FDA’s Enforcement Report: Dec 18, 201932019
  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.

✎ GovInfoNow

Questions people ask

What should I do if I have the affected software?

Contact Elekta directly for remediation steps as there is no immediate action required beyond verification.

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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-0670-2020 (November 22, 2019) — FDA publishes no per-recall page; this is the official machine-readable enforcement record. Search FDA recalls for Z-0670-2020 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