Database updated: 27 October 2026
Safety Information
Medsafe Online Recall Database
Detail of Recall
| Type of Product: | Device |
| Medsafe Reference: | 20181 |
| Brand Name: | Elekta Monaco |
| Model: | 5.10.00 |
| Affected: | |
| Software version: | 5.11 and 5.20 |
| Recalling Organisation: | Elekta Pty Limited - New Zealand Branch Suite 302, Geyser Building, 100 Parnell Road Parnell AUCKLAND 1052 |
| Contact Information: | 0273-544-793 |
| Manufacturer: | Elekta Inc |
| Issue: | When DICOM exporting a 3D Monaco plan and the "Composite Field sequencing" (CFS) checkbox is selected, the Y jaws will snap to the port shape when they should remain where they were defined. This occurs when the port shape used to define or edit the MLC positions extends beyond or inside the actual jaw positions. The defect is triggered when using a workflow for Forward Planning IMRT that involves creating multiple beams for the same gantry angle with a single MLC shape defined for each beam. These beams are then exported using CFS to combine the individual 3D beams into a single IMRT beam sequence |
| Recall action type: | Correction |
| Recall action: | Software to be upgraded |
| Level of recall: | Hospital/Pharmacy/Laboratory |
| Date Commenced: | 23/5/2016 |
