ENS Event | |
|---|---|
05:00 Mar 13, 2026 | |
| Title | Failed Afterloader Device |
| Event Description | The following information was provided by the Illinois Emergency Management Agency (the Agency) via phone and email:
The Agency was contacted [on March 13, 2026,] by the radiation safety officer for OSF Healthcare System (doing business as St. Francis Medical Center) in Peoria, Illinois to report an equipment failure on a Bravos high dose rate (HDR) afterloader device. The failure involved a data communication error between the console and the HDR unit. This was discovered prior to use on patients and, according to the licensee, did not result in any administrations deviating from the written directive. Regardless, this matter is reportable under 32 Illinois Administrative Code 340.1220(c)(2) within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. Inspectors will be on site to gather necessary information on Tuesday, March 17. The licensee advised the manufacturer is already on site correcting the issue and identifying root cause. This report will be updated when additional data becomes available. Illinois Event Number: IL260007 |
| Where | |
|---|---|
| St. Francis Medical Center Peoria, Illinois (NRC Region 3) | |
| License number: | IL-01361-01 |
| Organization: | Illinois Emergency Mgmt. Agency |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+11.22 h0.468 days <br />0.0668 weeks <br />0.0154 months <br />) | |
| Opened: | Gary Forsee 16:13 Mar 13, 2026 |
| NRC Officer: | Brian P. Smith |
| Last Updated: | Mar 13, 2026 |
| 58197 - NRC Website | |
St. Francis Medical Center with Agreement State | |
WEEKMONTHYEARENS 581972026-03-13T05:00:00013 March 2026 05:00:00
[Table view]Agreement State Failed Afterloader Device ENS 574582024-12-04T06:00:0004 December 2024 06:00:00 Agreement State Medical Event ENS 531752018-01-09T06:00:0009 January 2018 06:00:00 Agreement State Illinois Agreement State Report - Medical Event 2026-03-13T05:00:00 | |