ENS Event | |
|---|---|
14:16 Jan 5, 2004 | |
| Title | Agreement State Report: Novoste Strontium-90 Intravasular Brachytherapy (Ivb) Source Discovered Missing. |
| Event Description | Novoste Strontium-90 Intravascular brachytherapy (IVB) source (remote afterloader) was discovered missing on January 5, 2004. Source was last seen but not used on December 17, 2003. Reported by phone by RSO. Source is a small handlheld device - Manufacturer: Novoste, Model: BethCath, Serial No. 92607; Source train Serial No. ZB-520; Original Activity 55.62 millicuries; current activity (date of discovery) 54.64 millicuries; Calibration date: 04/11/2003; Last leak test 10/29/2003. Received at the hospital on November 4, 2003. Last used in a patient on December 5, 2003 (first and last use). Last seen on during a functional test on December 17, 2003 in the Fondren Building, Room F1099 (near cath lab) at the Licensee's main site 6565 Fannin Street, Houston, Texas. The source was not used that day. Two other sources of different activity and length remain in storage. The room and cath lab have been search 4 times by the Licensee's staff. Trash has been surveyed. Hospital staff has been notified of the missing equipment..
Texas Incident No.: I-8089. |
| Where | |
|---|---|
| The Methodist Hospital Houston, Texas (NRC Region 4) | |
| License number: | L00457-000 |
| Organization: | Texas Department Of Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+50.45 h2.102 days <br />0.3 weeks <br />0.0691 months <br />) | |
| Opened: | James H. Ogden 16:43 Jan 7, 2004 |
| NRC Officer: | John Mackinnon |
| Last Updated: | Jan 7, 2004 |
| 40430 - NRC Website | |
The Methodist Hospital with Agreement State | |
WEEKMONTHYEARENS 580822025-12-09T06:00:0009 December 2025 06:00:00
[Table view]Agreement State Equipment Failure ENS 568672023-11-20T06:00:00020 November 2023 06:00:00 Agreement State Equipment Failure ENS 552222021-04-28T06:00:00028 April 2021 06:00:00 Agreement State Medical Event ENS 550332020-12-11T06:00:00011 December 2020 06:00:00 Agreement State Unretractable Source ENS 490892013-06-03T05:00:0003 June 2013 05:00:00 Agreement State Agreement State Report - Source Retraction Failure ENS 486402012-12-04T06:00:0004 December 2012 06:00:00 Agreement State Therapy Source Jammed at the Device Entry Port ENS 479522012-04-10T05:00:00010 April 2012 05:00:00 Agreement State Agreement State Report - Stuck Source in Catheter ENS 457082008-12-10T06:00:00010 December 2008 06:00:00 Agreement State Agreement State Report - Source Stuck in Catheter Tube ENS 409672004-07-28T05:00:00028 July 2004 05:00:00 Agreement State Source Train Did Not Retract ENS 404302004-01-05T14:16:0005 January 2004 14:16:00 Agreement State Agreement State Report: Novoste Strontium-90 Intravasular Brachytherapy (Ivb) Source Discovered Missing. 2025-12-09T06:00:00 | |