ENS 47762

v t e ENS Event
16:45 Mar 22, 2012
Title	Agreement State Report - Equipment Malfunction During Treatment
Event Description	The State of Wisconsin provided the following information via e-mail: On March 22, 2012 at 2:30pm the Wisconsin Radiation Protection Section received a telephone notification that a fire had occurred at the licensee's location while performing a lung perfusion study at 11:45am, utilizing a 60 mCi dose of Tc-99m DTPA. The lung perfusion kit being used was a Biodex Medical Systems model Aerotech 1, lot #: 07811324. Per a discussion with the RSO, a patient was receiving a lung perfusion study when the perfusion kit 'burst into flames.' The Nuclear Medicine Technician (NMT) removed the face mask from the patient and the patient's hair caught on fire and the NMT put the fire out with their hands. The patient was immediately taken to the Emergency Room and the first degree burns on their face and neck have been treated. The area has been secured and surveys are in progress. The licensee will not be conducting any nuclear medicine procedures until the Radiation Protection Section has completed our investigation. WI Event Report ID: WI120002.

ENS 47762 +/-
Where
Shared Medical Technology New Richmond, Wisconsin (NRC Region 3)
License number:	005-1271-01
Organization:	Wisconsin Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+0.83 h0.0346 days <br />0.00494 weeks <br />0.00114 months <br />)
Opened:	Chris Timmerman 17:35 Mar 22, 2012
NRC Officer:	Pete Snyder
Last Updated:	Mar 22, 2012
47762 - NRC Website
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v t e Emergency Notification System
Shared Medical Technology with Agreement State
WEEKMONTHYEAR2012-03-22T16:45:00 [Table view]
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