ENS Event | |
|---|---|
16:45 Mar 22, 2012 | |
| Title | Agreement State Report - Equipment Malfunction During Treatment |
| Event Description | The State of Wisconsin provided the following information via e-mail:
On March 22, 2012 at 2:30pm the Wisconsin Radiation Protection Section received a telephone notification that a fire had occurred at the licensee's location while performing a lung perfusion study at 11:45am, utilizing a 60 mCi dose of Tc-99m DTPA. The lung perfusion kit being used was a Biodex Medical Systems model Aerotech 1, lot #: 07811324. Per a discussion with the RSO, a patient was receiving a lung perfusion study when the perfusion kit 'burst into flames.' The Nuclear Medicine Technician (NMT) removed the face mask from the patient and the patient's hair caught on fire and the NMT put the fire out with their hands. The patient was immediately taken to the Emergency Room and the first degree burns on their face and neck have been treated. The area has been secured and surveys are in progress. The licensee will not be conducting any nuclear medicine procedures until the Radiation Protection Section has completed our investigation. WI Event Report ID: WI120002. |
| Where | |
|---|---|
| Shared Medical Technology New Richmond, Wisconsin (NRC Region 3) | |
| License number: | 005-1271-01 |
| Organization: | Wisconsin Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+0.83 h0.0346 days <br />0.00494 weeks <br />0.00114 months <br />) | |
| Opened: | Chris Timmerman 17:35 Mar 22, 2012 |
| NRC Officer: | Pete Snyder |
| Last Updated: | Mar 22, 2012 |
| 47762 - NRC Website | |
Shared Medical Technology with Agreement State | |
WEEKMONTHYEARENS 477622012-03-22T16:45:00022 March 2012 16:45:00
[Table view]Agreement State Agreement State Report - Equipment Malfunction During Treatment 2012-03-22T16:45:00 | |