Monaco Radiation Treatment Planning System (RTP) System
FDA Recall Z-2409-2019 · Posted None
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Recalling FirmElekta, Inc.
Recall StatusTerminated
Product CodeMUJ
Date Initiated2019-08-23
Date Terminated2024-06-28
Product Quantity49 units
Reason for Recall
Monaco is displaying the Anatomy and Beam shift direction incorrectly on the Monaco Scan and Setup
Reference Report and is DICOM exporting incorrect (Anatomy/Beam) shift directions.
Firm Action
Elekta Inc. notified customers on about 08/23/2019 via "IMPORTANT FIELD SAFETY NOTIFICATION" letter. The letter informed customers that the Monaco is displaying some incorrect shift information on the Scan and Setup Reference Report and is DICOM exporting incorrect shift information.
Instructions included that all shifts should be verified before treatment, that a software fix is planned. Customer were also instructed to post the notice in a place accessible to all users, advise personnel working with the device of the issue, and to complete and return the Acknowledgement Form provided.
Root Cause
Device Design
Distribution Pattern
Distribution within the US to Ohio and Indiana. International distribution to Germany, Greece, Sweden.
Related FDA 510(k) Records
Devices referenced by this recall via K-numbers.
Official Source
View FDA Recall →Source: FDA Enforcement Report / Recall database. Always confirm against the official FDA record.
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