Semantic search
| Entered date | Event description | |
|---|---|---|
| ENS 46586 | 2 February 2011 15:47:00 | This information was provided by the state via email: On 12/23/10, the patient was administered the radiopharmaceutical for a nuclear stress test. Notices were posted in English and Spanish to (advise the patient to) inform the staff if you (the patient) think you are or could be pregnant. The patient was scheduled to return for the resting portion of the study on 12/28/2010. At this time, the patient and the husband raised the possibility of the patient being pregnant. The resting test was canceled and a pregnancy test performed which was positive. The Agency continues to investigate the actions of the licensee and timeliness of reporting of this event. The U.S. NRC and the Arizona Governor's office have been notified of this event. Press coverage is not anticipated. Source: Tc99m; Activity: 30 milliCuries Arizona First Notice: 11-001 * * UPDATE FROM AUBREY GODWIN TO DONG PARK AT 1046 EST ON 2/4/11 * * * This information was provided by the State via email: Doses: The licensee estimates the fetus exposure is 1,300 mRem. Corrective Actions: The licensee now requires a signed statement on pregnancy. Notified FSME EO (Villamar) and R4DO (Howell). |
| ENS 46512 | 27 December 2010 11:13:00 | The following report was received from the State of Arizona via fax: At approximately 12:30 PM December 22, 2010, the Licensee phoned the Agency (Arizona Radiation Regulatory Agency) to report an HDR (High Dose Radiation) misadministration. A breast cancer patient was undergoing treatment with a Nucletron MicroSelectron-HDR. A Savi-8 Accelerated Partial Breast Irradiation Device was connected to the HDR. This is manufactured by Cianno. The source apparently punched through the catheter and moved along the skin surface during the treatment. The patient did not notice the source was outside the tube. The source retracted normally to the shielded position. The physicist estimates that the patient's skin received 5 Gray if the source moved along the skins surface but if the source stuck in one position the patient's skin received 50 Gray. According to the licensee the catheter is easily kinked which can cause this failure. This has happened before but is the first time that this has resulted in an exposure. In the past, the licensee would repair the catheter with heat shrink tubing. The Agency continues to investigate the actions of the licensee. The U.S. NRC and the Arizona Governor's office have been notified of this event. Press coverage is not anticipated. Arizona First Notice: 10-016 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 42124 | 7 November 2005 18:04:00 | The State provided the following information via email: At approximately 8:00 AM November 7, 2005, the Agency was informed that the Licensee had a pickup truck stolen with a Troxler Model 3430 gauge, SN 28101. The theft occurred at approximately 11:00 PM November 4, 2005. The truck is a silver 2002 Nissan. The Troxler gauge was locked in a 16 gauge steel box with a hardened and anti-theft designed lock and hasp. The steel box is bolted to the frame of the truck. The truck license number is Arizona 997MWT. The gauge contains 8 mCi of Cesium-137 and 40 mCi Am:Be-241. Mesa PD is investigating and has issued report number 2005-308-1094 The Licensee is offering a $500.00 reward for the recovery of the truck and sources. A press release is to be made. The Agency continues to look for the source. Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks. |