ENS Event | |
|---|---|
05:00 Jul 16, 2009 | |
| Title | Agreement State Report - Multiple Equipment Issues Associated with Hdr Brachytherapy Unit |
| Event Description | The following is a summary of information received via fax from the State of Wisconsin. For more details contact the Headquarters Operations Officer.
On July 16, 2009, DHS [Department of Health Services] performed a reciprocity inspection at Wheaton Franciscan Healthcare - All Saints for a source exchange of a 10 Ci, Ir-192 source and routine maintenance of a Nucletron Micro Selectron HDR [High Dose Rate] classic remote afterloader brachytherapy device. During the inspection, three items were identified during testing of the HDR unit: 1) HDR control panel did not operate as designed; 2) the HDR/Linac switch was not wired correctly; and 3) Radiation area monitor was operating sporadically. On July 16, 2009, DHS informed the licensee that they would not be able to use the HDR unit for patient treatments until all areas of concerns were corrected. The licensee informed DHS that the HDR unit has NOT been used for any patient treatments since the Department authorized the licensee the HDR unit on August 8, 2008. On July 21, 2009, DHS issued the licensee a Confirmatory Action Letter effective July 17, 2009, that the licensee is not allowed to use the HDR unit for patient treatments until the listed items were corrected The licensee has committed to address all equipment malfunctions prior to treating patients using the Nucleation HDR unit. DHS plans to conduct an inspection prior to patient treatment. The State does not anticipate any media attention. |
| Where | |
|---|---|
| Wheaton Franciscan Healthcare - All Saints Racine, Wisconsin (NRC Region 3) | |
| License number: | 101-1299-01 |
| Organization: | Wisconsin Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+155.48 h6.478 days <br />0.925 weeks <br />0.213 months <br />) | |
| Opened: | Chris Timmerman 16:29 Jul 22, 2009 |
| NRC Officer: | Donald Norwood |
| Last Updated: | Jul 22, 2009 |
| 45222 - NRC Website | |
Wheaton Franciscan Healthcare - All Saints with Agreement State | |
WEEKMONTHYEARENS 481182012-07-19T05:00:00019 July 2012 05:00:00
[Table view]Agreement State Agreement State Report - 15 Prostate Brachytherapy Medical Events ENS 452222009-07-16T05:00:00016 July 2009 05:00:00 Agreement State Agreement State Report - Multiple Equipment Issues Associated with Hdr Brachytherapy Unit 2012-07-19T05:00:00 | |