ENS 53444

v t e ENS Event
01:14 Dec 4, 2024
Title	Arizona Agreement State Report - Nucletron High Dose Rate Applicator Malfunctioned During Treatment
Event Description	Below is a summary of multiple emails received from the State: At 1530 hrs. MST on 6/5/18, the State was notified that a patient was undergoing high dose rate treatment (HDR) when the Nucletron HDR applicator malfunctioned. The treatment plan was to deliver the intended fraction using thirteen dwell points but the HDR applicator failed at dwell point 9 of 13. The vendor, Elekta, was notified and they repaired the applicator. The written directive was modified and the patient will be able to complete the treatment.

ENS 53444 +/-
Where
Dignity Health At St. Joseph'S Hospital And Medical Center Phoenix, Arizona (NRC Region 4)
License number:	07-024
Organization:	Arizona Radiation Regulatory Agency
Reporting

Agreement State
Time - Person (Reporting Time:+-56938.79 h-2,372.45 days <br />-338.921 weeks <br />-77.995 months <br />)
Opened:	Brian Goretzki 13:27 Jun 6, 2018
NRC Officer:	Howie Crouch
Last Updated:	Jun 6, 2018
53444 - NRC Website
v • d • e

v t e Emergency Notification System
Dignity Health At St. Joseph'S Hospital And Medical Center with Agreement State
WEEKMONTHYEAR2024-09-16T14:29:00 [Table view]
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