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The following was received from Louisiana … The following was received from Louisiana via email:</br>On 03/16/2016, the RSO for A&O (Alpha Omega) called in a report of a HDR (high does rate brachytherapy) source being shipped to Texas Oncology PA (TOP) in excess of licensed quantities. The source was 12.8 Ci Ir-192 source intended as a replacement source for the Texas Oncology PA Center 3550 Northeast Loop 285, Paris, TX 75460. License # L04664, Amendment #28, Expiration date: February 28, 2025.</br>(The RSO) was enroute to the facility to return the 12.8 Ci Ir-192 source and replace it with an additional 11.2 Ci Ir-192 source. He stated that the 12.8 Ci source was being retrieved and placed in a storage pig/container by the Service Engineer until it could be packaged and returned by common carrier to A&O 03/16/2016. Their intent was to install the 11.2 Ci source so the TOP facility could receive the source and resume patient care.</br>A&O is a source supplier for Elekta HDR units. Elekta notifies A&O when sources should be shipped/supplied their licensees. The error was the wrong source was inadvertently shipped to TOP. The source received by TOP exceeded the licensed activity limit. The sources were Elekta Model 105.002s. The source S/N16-0505 12.8 Ci of Ir-192 was shipped when the source S/N 16-0504 11.8 Ci of Ir-192 should have been shipped. When TOP received the 12.8 Ci source, they knew it was too 'HOT' to treat patients. They called A&O at (1700 EDT) on 03/15/2016 to report the error. </br>The incorrect source, 12.8 Ci of Ir-192 was returned to A&O by common carrier</br>A&O explained that the mix-up was caused by reference numbers that were switched after the sources were calibrated.</br>Louisiana incident # LA-160005ched after the sources were calibrated.
Louisiana incident # LA-160005 +
05:00:00, 15 March 2016 +
51,799 +
17:28:00, 17 March 2016 +
05:00:00, 15 March 2016 +
The following was received from Louisiana … The following was received from Louisiana via email:</br>On 03/16/2016, the RSO for A&O (Alpha Omega) called in a report of a HDR (high does rate brachytherapy) source being shipped to Texas Oncology PA (TOP) in excess of licensed quantities. The source was 12.8 Ci Ir-192 source intended as a replacement source for the Texas Oncology PA Center 3550 Northeast Loop 285, Paris, TX 75460. License # L04664, Amendment #28, Expiration date: February 28, 2025.</br>(The RSO) was enroute to the facility to return the 12.8 Ci Ir-192 source and replace it with an additional 11.2 Ci Ir-192 source. He stated that the 12.8 Ci source was being retrieved and placed in a storage pig/container by the Service Engineer until it could be packaged and returned by common carrier to A&O 03/16/2016. Their intent was to install the 11.2 Ci source so the TOP facility could receive the source and resume patient care.</br>A&O is a source supplier for Elekta HDR units. Elekta notifies A&O when sources should be shipped/supplied their licensees. The error was the wrong source was inadvertently shipped to TOP. The source received by TOP exceeded the licensed activity limit. The sources were Elekta Model 105.002s. The source S/N16-0505 12.8 Ci of Ir-192 was shipped when the source S/N 16-0504 11.8 Ci of Ir-192 should have been shipped. When TOP received the 12.8 Ci source, they knew it was too 'HOT' to treat patients. They called A&O at (1700 EDT) on 03/15/2016 to report the error. </br>The incorrect source, 12.8 Ci of Ir-192 was returned to A&O by common carrier</br>A&O explained that the mix-up was caused by reference numbers that were switched after the sources were calibrated.</br>Louisiana incident # LA-160005ched after the sources were calibrated.
Louisiana incident # LA-160005 +
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00:00:00, 17 March 2016 +
LA-10025-L01 +
Modification date"Modification date" is a predefined property that corresponds to the date of the last modification of a subject and is provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a>.
23:03:00, 24 November 2018 +
17:28:00, 17 March 2016 +
2.52 d (60.47 hours, 0.36 weeks, 0.0828 months) +
05:00:00, 15 March 2016 +
URL"URL" is a <a href="/Special:Types/URL" title="Special:Types/URL">type</a> and predefined property provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a> to represent URI/URL values.