ENS Event | |
|---|---|
16:00 Oct 22, 2021 | |
| Title | Agreement State - Equipment Failure |
| Event Description | The following report was received by the Ohio Bureau of Radiation Protection via email:
The licensee reported a Varian Varisource 200 HDR unit failed to indicate the source was fully retracted at the conclusion of patient treatment. The licensee initiated emergency procedures and entered the room. Surveys confirmed the source had fully retracted into the unit and the patient did not receive any additional dose beyond what was prescribed. The unit console has been locked and placed out of service until the manufacturer can inspect and repair the device. Ohio Report Number: OH210008 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. |
| Where | |
|---|---|
| University Of Cincinnati Medical Center Cincinnati, Ohio (NRC Region 3) | |
| License number: | 02110310001 |
| Organization: | Ohio Bureau Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+71.67 h2.986 days <br />0.427 weeks <br />0.0982 months <br />) | |
| Opened: | Michael Rubadue 15:40 Oct 25, 2021 |
| NRC Officer: | Brian P. Smith |
| Last Updated: | Oct 25, 2021 |
| 55542 - NRC Website | |
University Of Cincinnati Medical Center with Agreement State | |
WEEKMONTHYEARENS 555422021-10-22T16:00:00022 October 2021 16:00:00
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