ENS Event | |
|---|---|
07:00 Mar 23, 2011 | |
| Title | Emergency Retract Mechanism Failure |
| Event Description | The Varian equipment representative provided notification of the following event that occurred at the Grady Memorial Hospital in Atlanta, GA.
A technician was installing a Varisource IX high-dose afterloader when the active wire composed of a 10 Ci Ir-192 source failed to extend. After troubleshooting it was discovered that the wire was stuck on the wedge block which is part of the emergency retract mechanism. The active wire was removed and the emergency retract mechanism was replaced. The technician received 0.2 mrem during the repair work. |
| Where | |
|---|---|
| Varian Medical Systems Charlotsville, Virginia (NRC Region 1) | |
| License number: | 45-30957-01 |
| Organization: | Grady Memorial Hospital |
| Reporting | |
| 10 CFR 30.50(b)(2), Licensed Material Protection Equipment Failure | |
| Time - Person (Reporting Time:+33.33 h1.389 days <br />0.198 weeks <br />0.0457 months <br />) | |
| Opened: | Richard Piccolo 16:20 Mar 24, 2011 |
| NRC Officer: | Charles Teal |
| Last Updated: | Mar 24, 2011 |
| 46695 - NRC Website | |
Varian Medical Systems with 10 CFR 30.50(b)(2) | |
WEEKMONTHYEARENS 505832014-10-29T17:30:00029 October 2014 17:30:00
[Table view]10 CFR 30.50(b)(2) Stuck Source in a Varian High Dose Rate Afterloader ENS 466952011-03-23T07:00:00023 March 2011 07:00:00 10 CFR 30.50(b)(2) Emergency Retract Mechanism Failure ENS 447742009-01-14T05:00:00014 January 2009 05:00:00 10 CFR 30.50(b)(2), 10 CFR 21.21 Part 21 Report Due Potential Issue of Afterloader Source Sticking 2014-10-29T17:30:00 | |