RecallDepth

Monaco RTP System, software versions 5.10 and 5.11, Radiation Treatment Planning System

Company
Elekta Inc
Recall Initiated
July 3, 2019
Recall Number
Z-2091-2019
Quantity
1396 units
Firm Location
Maryland Heights, MO

Reason for Recall

When creating 3D plans using either MU or Dose weighting modes, if the user changes the number of fractions, rescales the plan and then changes the wedge angle, the Monitor Units are scaled incorrectly.

Distribution

worldwide

Lot / Code Info

all Monaco Radiation Treatment Planning units installed with software version 5.10 or 5.11

Root Cause

Under Investigation by firm

Action Taken

Elekta began distribution of their Important Field Safety Notice to all affected customers from 07/03/2019 by email. The notice informs users of the specific product and version numbers affected by the issue, and any work-arounds that can be used to avoid the issue. The problem will be resolved in a future Monaco software release.

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