Browse wiki
Jump to navigation
Jump to search
The following was received from the State … The following was received from the State of Texas via email:</br>On March 7, 2018 Agency (Texas Department of State Health Services) received notification that a Novoste device jammed with no exposure consequence to the patient. Licensee stated two attempts to complete the therapy procedure had taken place, there was no dose to the patient that would be classified as a medical event. The initial attempt with a beta-rail catheter was not successfully completed. The source train (16, Sr 90) did not move along the beta-rail catheter as expected, the source train was not retracted back into the device robotically. The source train in the Novoste device failed to go into the expected treatment position and stayed in the robotic interventional cardiology device for about 1.5 minutes during the intravascular brachytherapy procedure. The interventional catheter with the indicator source train was removed by the doctor (which he wasn't supposed to do). When the train could not be robotically remove back into the device through the beta rail catheter, the source removal from the patient had to be done manually. The source train was retrieved in 15 seconds and placed back into the Novoste device. The treatment was stopped. The patient was surveyed to confirm no sources in the patient. It was believed the beta catheter developed a kink and could not retract the sources. The second attempt was with a new beta rail catheter and source reset. The treatment continued without any incidents. The source returned to the device without any problems.</br>Incident # 9552vice without any problems.
Incident # 9552 +
06:00:00, 2 March 2018 +
53,250 +
17:20:00, 7 March 2018 +
06:00:00, 2 March 2018 +
The following was received from the State … The following was received from the State of Texas via email:</br>On March 7, 2018 Agency (Texas Department of State Health Services) received notification that a Novoste device jammed with no exposure consequence to the patient. Licensee stated two attempts to complete the therapy procedure had taken place, there was no dose to the patient that would be classified as a medical event. The initial attempt with a beta-rail catheter was not successfully completed. The source train (16, Sr 90) did not move along the beta-rail catheter as expected, the source train was not retracted back into the device robotically. The source train in the Novoste device failed to go into the expected treatment position and stayed in the robotic interventional cardiology device for about 1.5 minutes during the intravascular brachytherapy procedure. The interventional catheter with the indicator source train was removed by the doctor (which he wasn't supposed to do). When the train could not be robotically remove back into the device through the beta rail catheter, the source removal from the patient had to be done manually. The source train was retrieved in 15 seconds and placed back into the Novoste device. The treatment was stopped. The patient was surveyed to confirm no sources in the patient. It was believed the beta catheter developed a kink and could not retract the sources. The second attempt was with a new beta rail catheter and source reset. The treatment continued without any incidents. The source returned to the device without any problems.</br>Incident # 9552vice without any problems.
Incident # 9552 +
Has query"Has query" is a predefined property that represents meta information (in form of a <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Subobject">subobject</a>) about individual queries and is provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a>.
00:00:00, 7 March 2018 +
00457 +
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>.
11:30:05, 16 March 2018 +
17:20:00, 7 March 2018 +
5.472 d (131.33 hours, 0.782 weeks, 0.18 months) +
06:00:00, 2 March 2018 +
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.