Events

Recall of Elekta Monaco Radiation Treatment Planning System

According to New Zealand Medicines and Medical Devices Safety Authority, this recall involved a device in New Zealand that was produced by Elekta Inc.

What is this?

A correction or removal action taken by a manufacturer to address a problem with a medical device. Recalls occur when a medical device is defective, when it could be a risk to health, or when it is both defective and a risk to health.

Learn more about the data here
  • Type of Event
    Recall
  • Event ID
    14762
  • Event Initiated Date
    2013-06-06
  • Event Country
    New Zealand
  • Event Source
    NZMMDSA
  • Event Source URL
    https://medsafe.govt.nz/hot/Recalls/RecallSearch.asp
  • Notes / Alerts
    Data from New Zealand is current through July 2018. All of the data comes from the New Zealand Medicines and Medical Devices Safety Authority, except for the categories Manufacturer Parent Company and Product Classification.
    The Parent Company and the Product Classification were added by ICIJ.
    The parent company information is based on 2017 public records. The device classification information comes from FDA’s Product Classification by Review Panel, based on matches of recall data from the U.S. and New Zealand.
  • Extra notes in the data
    Recalling Organisation: Elekta Pty Limited - New Zealand Branch, Level 2, Windsor Court , 128-136 Parnell Road, Parnell, AUCKLAND 1052
  • Reason
    Patients can be scanned either head first or feet first and these cts imported into monaco for radiation treatment planning. the monaco ct sim workflow gives an option to prepare a feet first plan, but monaco imrt workflow does not. although a patient can be scanned feet first and these feet first cts imported into monaco, the user could incorrectly assume that the intensity-modulated radiation therapy (imrt) plan is feet first as well. when the patient is treated, they could be incorrectly positioned in the feet first position which will not match the plan. if the patient is positioned for treatment in the feet first position, the imrt treatment plan will not match what is delivered, potentially resulting in a significant beam geometry error.
  • Action
    Instructions for use to be updated

Device

Elekta Monaco Radiation Treatment Planning System
  • Model / Serial
    Model: , Affected: All versions
  • Manufacturer
    Elekta Inc

Manufacturer

Elekta Inc
  • Manufacturer Parent Company (2017)
    Elekta AB
  • Source
    NZMMDSA