ENS Event | |
|---|---|
17:15 Jan 14, 2013 | |
| Title | Agreement State Report- Source Stuck in a Transfer Tube |
| Event Description | The following information was received by email:
On Monday, January 14, 2013, the [State of Tennessee] Division of Radiological Health received a report from Methodist University Hospital regarding a stuck HDR source. A patient was to be treated with the high dose rate remote afterloader (Nucletron model 105.999) on January 14th. The radiation source became stuck in the applicator/transfer tube at the beginning of treatment before reaching the patient. The physicists and physician followed the policy and procedure for removal of the source and tubing. The source was placed in a shielded container. A Nucletron engineer was notified by phone and arrived at 1600 CST, but was unable to dislodge the source from the transfer tube. The source and transfer tube will be sent back to Nucletron and replacements have been ordered. A written report is being prepared and will be sent to the Division of Radiological Health. Inspectors from the Memphis field office will follow-up on this incident and will continue to keep NRC informed of the status of our investigation. Tennessee Event: TN-13-013 |
| Where | |
|---|---|
| Methodist University Hospital Memphis, Tennessee (NRC Region 1) | |
| License number: | R-79027-H-15 |
| Organization: | Tennessee Div Of Rad Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+19.5 h0.813 days <br />0.116 weeks <br />0.0267 months <br />) | |
| Opened: | Laura Turner 12:45 Jan 15, 2013 |
| NRC Officer: | Vince Klco |
| Last Updated: | Jan 15, 2013 |
| 48674 - NRC Website | |
Methodist University Hospital with Agreement State | |
WEEKMONTHYEARENS 564072023-02-27T05:00:00027 February 2023 05:00:00
[Table view]Agreement State Medical Event ENS 486742013-01-14T17:15:00014 January 2013 17:15:00 Agreement State Agreement State Report- Source Stuck in a Transfer Tube 2023-02-27T05:00:00 | |