ENS 40967

v t e ENS Event
05:00 Jul 28, 2004
Title	Source Train Did Not Retract
Event Description	After IVB therapy the source train did not retract due to a kink in the IVB catheter, did not retract to the remote Beta-Cath device. The IVB catheter was immediately withdrawn and placed in the Novoste emergency plexiglass storage safe and then in the IVB storage room. No overexposure was received by the patient or attending staff. Novoste has been notified of the malfunction. The Novoste Beta Cath was returned to the manufacture on August 2, 2004. The IVB manufacturer is Novoste Beth Cath, source Sr-90, 1.71 GBq (46 millicuries). Transfer device Serial No. 92917, and Source train Serial No. ZA543. The device was packaged and returned to the manufacturer on August 2, 2004. This agency did not receive notice of the event within 24-hours Texas Incident No.: I-8155

ENS 40967 +/-
Where
The Methodist Hospital Houston, Texas (NRC Region 4)
License number:	L00457
Organization:	Texas Department Of Health
Reporting

Agreement State
Time - Person (Reporting Time:+514.35 h21.431 days <br />3.062 weeks <br />0.705 months <br />)
Opened:	James Ogden 15:21 Aug 18, 2004
NRC Officer:	Chauncey Gould
Last Updated:	Aug 18, 2004
40967 - NRC Website
v • d • e

v t e Emergency Notification System
The Methodist Hospital with Agreement State
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