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The following was received from the State The following was received from the State of Texas via email:</br>On March 13, 2020, (the Texas Department of State Health Services) was notified by the Houston Methodist Hospital of a medical event. The patient was to receive 18.4 Gy of therapeutic dose from a Novoste Beta-Cath system Sr-90 source (system serial no. 89670, source train serial no. za925). When the procedure began, the command was sent to the system to deliver the source. The source did not appear within the fluoro field as expected after 10 seconds and the command was sent to the system to retract the source. The source failed to retract. The oncologist manually removed the catheter from the patient and found the source stuck inside. It is now back in the system. The licensee has been reminded that they need to notify the referring physician within 24 hours. An investigation into this event is ongoing. More information will be provided when obtained in accordance with SA-300.</br>Texas Incident Number: 9751</br>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.necessarily result in harm to the patient.  +
05:00:00, 13 March 2020  +
54,585  +
19:28:00, 13 March 2020  +
05:00:00, 13 March 2020  +
The following was received from the State The following was received from the State of Texas via email:</br>On March 13, 2020, (the Texas Department of State Health Services) was notified by the Houston Methodist Hospital of a medical event. The patient was to receive 18.4 Gy of therapeutic dose from a Novoste Beta-Cath system Sr-90 source (system serial no. 89670, source train serial no. za925). When the procedure began, the command was sent to the system to deliver the source. The source did not appear within the fluoro field as expected after 10 seconds and the command was sent to the system to retract the source. The source failed to retract. The oncologist manually removed the catheter from the patient and found the source stuck inside. It is now back in the system. The licensee has been reminded that they need to notify the referring physician within 24 hours. An investigation into this event is ongoing. More information will be provided when obtained in accordance with SA-300.</br>Texas Incident Number: 9751</br>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.necessarily result in harm to the patient.  +
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2.777778e-4 d (0.00667 hours, 3.968254e-5 weeks, 9.132e-6 months)  +
00:00:00, 13 March 2020  +
RAM-L00457  +
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>.
16:48:30, 15 January 2021  +
19:28:00, 13 March 2020  +
0.603 d (14.47 hours, 0.0861 weeks, 0.0198 months)  +
05:00:00, 13 March 2020  +
Agreement State Report - Patient Underdose  +
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