ENS Event | |
|---|---|
12:42 Apr 13, 2015 | |
| Title | Dummy Wire Jammed During Brachytherapy Treatment |
| Event Description | A patient was receiving brachytherapy treatment using a SAVI device that used 11 channels. The patient was treated with 2 channels when the dummy wire jammed in the out position. The patient was prescribed a fractional dose 340 cGy, but received only received 60 cGy.
There are no adverse effects expected to the patient. The prescribing physician has been informed. The licensee has contacted a company to repair the device and has ceased all operations until repairs can be made. A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient. |
| Where | |
|---|---|
| St Vincent Hospital And Health Cent Indianapolis, Indiana (NRC Region 3) | |
| License number: | 13-00133-02 |
| Organization: | St Vincent Hospital And Health Cent |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+2.15 h0.0896 days <br />0.0128 weeks <br />0.00295 months <br />) | |
| Opened: | Will Breeden 14:51 Apr 13, 2015 |
| NRC Officer: | Charles Teal |
| Last Updated: | Apr 13, 2015 |
| 50982 - NRC Website | |
St Vincent Hospital And Health Cent with 10 CFR 35.3045(a)(1) | |
WEEKMONTHYEARENS 509822015-04-13T12:42:00013 April 2015 12:42:00
[Table view]10 CFR 35.3045(a)(1) Dummy Wire Jammed During Brachytherapy Treatment 2015-04-13T12:42:00 | |