ENS 40088

v t e ENS Event
16:00 Aug 18, 2003
Title	Patient Exceeded Prescribed Dose.
Event Description	A patient was undergoing an intravascular brachytherapy procedure using a Novoste 40 mm. Sr-90 system with a prescribed dose of 23 gray. Due to difficulties retracting the source train to its shielded position, the exposure time was 5.09 minutes (one minute longer than the planned 4.09 minutes). Preliminary estimates indicate that the delivered dose exceeded the prescribed dose by approximately 25 percent. Novoste was notified and a Novoste representative went to the medical facility to investigate. The Novoste system will be sent to Novoste in Georgia for analysis. The licensee continues to investigate and refine the dose calculations and will submit the required written report as soon as possible. Illinois assigned event number: IL030064.

ENS 40088 +/-
Where
Rush North Medical Center Skokie, Illinois (NRC Region 3)
License number:	IL-01578-01
Organization:	Illinois Dept Of Nuclear Safety
Reporting

Agreement State
Time - Person (Reporting Time:+31.73 h1.322 days <br />0.189 weeks <br />0.0435 months <br />)
Opened:	Joe Klinger 23:44 Aug 19, 2003
NRC Officer:	John Mackinnon
Last Updated:	Aug 19, 2003
40088 - NRC Website
v • d • e

v t e Emergency Notification System
Rush North Medical Center with Agreement State
WEEKMONTHYEAR2003-08-18T16:00:00 [Table view]
[ENS list for Rush North Medical Center]

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