Severity
Moderate
FDA Devices recall · Reported August 7, 2019
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 …
Elekta Inc recalled Monaco RTP System, software versions 5.10 and 5.11, Radiation Treatment Planning System - a moderate-severity action.
Monaco RTP System, software versions 5.10 and 5.11, Radiation Treatment Planning System was recalled by Elekta Inc in August 7, 2019. Reason: When creating 3D plans using either MU or Dose weighting modes, if the user changes the number of fractions, …. Check the official notice for the remedy. Verify recall #Z-2091-2019 with the FDA Devices before acting.
The recall
Elekta Inc issued this moderate-severity FDA Devices recall-When creating 3D plans using either MU or Dose weighting modes, if the user changes the number of fractions, ….
Sourced from official FDA Devices enforcement records. Verify recall #Z-2091-2019 with the agency before acting. Full product description, hazard, remedy, and related recalls are below.
This FDA Devices action (record #Z-2091-2019) was formally reported on August 7, 2019, with the manufacturer initiating the action on July 3, 2019. It is classified under Moderate severity (Class II), with a current status of Ongoing. Elekta Inc is listed as the recalling firm, operating out of Maryland Heights, MO. Federal records list the affected scope as 1396 units.
The documented reason for this recall is: 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 data in the federal record shows the product reached: worldwide. Distribution scope directly affects the consumer exposure window and determines whether a recall remains regional or escalates into a nationwide advisory.
Within the same product category the archive holds 6 closely related recalls - clustering in a narrow category often points to a systemic quality-control or supplier issue rather than a one-off defect. Always verify the recall number against the official agency record before acting.
Where this recall sits in its category - 40,422 medical devices recalls on record
Of 101,704 recalls in the database, 24,878 are high severity, 72,426 moderate, and 4,400 low. This recall is classified moderate severity.
Counts reflect market size and reporting activity, not inherent danger, we do not rank products by risk from raw recall volume.
Severity
Moderate
Affected scope
1396 units
Related Recalls
6
0 from same agency
Monaco RTP System, software versions 5.10 and 5.11, Radiation Treatment Planning System
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.
| Attribute | Value |
|---|---|
| Agency | U.S. Food and Drug Administration |
| Severity class | Moderate (Class II) |
| Status | Ongoing |
| Recall number | Z-2091-2019 |
| Date reported | August 7, 2019 |
| Date initiated | July 3, 2019 |
| Recalling firm | Elekta Inc |
| Firm location | Maryland Heights, MO |
| Affected scope | 1396 units |
| Distribution | worldwide |
Profile values are sourced directly from the official FDA Devices enforcement record. Source: U.S. Food and Drug Administration.
What to do with this recall
Match your product against the recall record, then act on the agency remedy.
This page summarizes the official FDA Devices record for research and awareness; it is not legal, medical, or safety advice. Verify with the issuing agency before acting.
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Every figure on PlainRecalls is rendered directly from official FDA, CPSC and NHTSA recall records, no number is typed in by an editor. This recall: FDA Devices, reported August 7, 2019. Severity classes follow each agency's own taxonomy (FDA Class I/II/III; CPSC and NHTSA by hazard type), and related-recall context is computed across the full archive. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of July 2026.