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Unrated Medical device recall · FDA · Published August 23, 2019

Elekta Monaco Radiation Planning Software Shows Wrong Anatomy Data

Elekta recalls Monaco radiation treatment software versions 5.50.00 and 5.51.00 due to incorrect anatomy and beam shift display in reports, which could lead to improper radiation targeting.

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Contact the company

Recalling firmElekta, Inc.400 Perimeter Center Ter NE Ste 50 · Atlanta, GA 30346-1227
✎ GovInfoNow plain-language explainer

Elekta is recalling its Monaco radiation treatment planning software versions 5.50.00 and 5.51.00 because it displays incorrect anatomy and beam shift directions in reports. This could cause improper radiation targeting during treatment, potentially affecting patient safety. Read more at govinfonow.com/recall/67109-elekta-monaco-radiation-planning-software-shows-wrong-anatomy-data.

Source Summary by GovInfoNow · govinfonow.com/recall/67109-elekta-monaco-radiation-planning-software-shows-wrong-anatomy-data · Updated October 5, 2026 · FDA enforcement record: FDA #Z-2409-2019

Cite this page

“Elekta Monaco Radiation Planning Software Shows Wrong Anatomy Data.” GovInfoNow, updated October 5, 2026. https://govinfonow.com/recall/67109-elekta-monaco-radiation-planning-software-shows-wrong-anatomy-data. Based on FDA recall #Z-2409-2019 (https://api.fda.gov/device/enforcement.json?search=recall_number:%22Z-2409-2019%22&limit=1).

The FDA announced on 2019-08-23 that Elekta, Inc. voluntarily recalled its Monaco Radiation Treatment Planning System (RTP) System because the software displays incorrect anatomy and beam shift directions. The agency stated the hazard involves incorrect DICOM exports of these shift directions.

How to tell if you have it

  • Monaco Radiation Treatment Planning System (RTP) System
  • Software Build: 5.50.00 & 5.51.00
  • UDI GTIN: (01)00858164002244(10) 5.50.00, (01)00858164002268(10) 5.51.00
  • UPC: 00858164002244
  • UPC: 00858164002268

The hazard

The Monaco Radiation Treatment Planning System (RTP) System displays the Anatomy and Beam shift direction incorrectly on the Monaco Scan and Setup Reference Report. It also DICOM exports incorrect (Anatomy/Beam) shift directions.

Context

GovInfoNow's records show Elekta, Inc. has issued 39 other recalls since 2017-06-19. Recent Elekta recalls include the 2026-05-21 MOSAIQ Oncology System Software Recall for treatment plan loading risks, the 2026-04-03 Geneva Brachytherapy Applicator Recall for IU tube detachment risks, and the 2026-03-19 Leksell Vantage Arc System Recall for shifting coordinates during procedures. Other recent recalls of similar products include the 2026-02-06 Hitachi Proton Beam Therapy System Recall for positioning software anomaly risk, the 2025-11-28 RayStation/RayPlan Software Recall for radiation dose calculation errors, and the 2025-11-28 RayStation/RayPlan 10B Software Recall for radiation dose calculation risk.

How to tell if you have this one

Check if you have the Monaco Radiation Treatment Planning System software versions 5.50.00 or 5.51.00. The software build numbers are listed in the product description.

  • Brand
    Elek: The brand name from the manufacturer title is
  • Product
    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

    Verify your Monaco software version by checking the build number in the product description.

Where it went and when

Where it was distributed

Distributed in Indiana and Ohio, 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: not listedWIMichigan: not listedMINew York: not listedNYRhode Island: not listedRIMassachusetts: not listedMAOregon: not listedORNevada: not listedNVWyoming: not listedWYSouth Dakota: not listedSDIowa: not listedIAIndiana: 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: not listedTXFlorida: not listedFL

FDA distribution: “Distribution within the US to Ohio and Indiana. International distribution to Germany, Greece, Sweden.” States read from FDA’s own wording; “not listed” means the notice does not name it.

States: Indiana, Ohio.

Recall timeline

FDA terminated this recall 4.8 years after the firm started it.

1. Firm started the recall: Aug 23, 201912. FDA classified it Class II: Aug 27, 201923. Published in FDA’s Enforcement Report: Sep 4, 201934. FDA terminated the recall: Jun 28, 2024420192024
  1. Firm started the recall
  2. FDA classified it Class II
  3. Published in FDA’s Enforcement Report
  4. FDA terminated the recall

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-2409-2019 (August 23, 2019) — FDA publishes no per-recall page; this is the official machine-readable enforcement record. Search FDA recalls for Z-2409-2019 to see it in context.
  • Plain-language summary written by qwen3:4b on October 5, 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