ENS 55542

v t e ENS Event
16:00 Oct 22, 2021
Title	Agreement State - Equipment Failure
Event Description	The following report was received by the Ohio Bureau of Radiation Protection via email: The licensee reported a Varian Varisource 200 HDR unit failed to indicate the source was fully retracted at the conclusion of patient treatment. The licensee initiated emergency procedures and entered the room. Surveys confirmed the source had fully retracted into the unit and the patient did not receive any additional dose beyond what was prescribed. The unit console has been locked and placed out of service until the manufacturer can inspect and repair the device. Ohio Report Number: OH210008 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.

ENS 55542 +/-
Where
University Of Cincinnati Medical Center Cincinnati, Ohio (NRC Region 3)
License number:	02110310001
Organization:	Ohio Bureau Of Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+71.67 h2.986 days <br />0.427 weeks <br />0.0982 months <br />)
Opened:	Michael Rubadue 15:40 Oct 25, 2021
NRC Officer:	Brian P. Smith
Last Updated:	Oct 25, 2021
55542 - NRC Website
v • d • e

v t e Emergency Notification System
University Of Cincinnati Medical Center with Agreement State
WEEKMONTHYEAR2021-10-22T16:00:00 [Table view]
[ENS list for University Of Cincinnati Medical Center]

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