ENS Event | |
|---|---|
14:00 Aug 18, 2005 | |
| Title | Medical Event |
| Event Description | The licensee reports that a patient was scheduled to receive five Gamma Knife treatments to a single tumor in the head. Two treatments were successfully administered. Prior to the third treatment, it was determined that the shield "jaws' on the Gamma Knife were stuck closed and the Knife was considered inoperable. Consequently, the patient did not receive the final three prescribed treatments.
The licensee has requested repairs on the Gamma Knife from an authorized service representative. The licensee believes that a microphone clip, used to communicate with the patient while under treatment, may have fallen into the Gamma Knife and jammed the "jaws." The licensee plans to continue treatment of the patient pending repair to the Gamma Knife. The licensee also planned to notify the State of Pennsylvania. |
| Where | |
|---|---|
| Lancaster General Hospital Lancaster, Pennsylvania (NRC Region 1) | |
| License number: | 37-11866-04 |
| Organization: | Lancaster General Hospital |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+0.13 h0.00542 days <br />7.738095e-4 weeks <br />1.78074e-4 months <br />) | |
| Opened: | Tony Montagnese 14:08 Aug 18, 2005 |
| NRC Officer: | Bill Huffman |
| Last Updated: | Aug 18, 2005 |
| 41928 - NRC Website | |
Lancaster General Hospital with 10 CFR 35.3045(a)(1) | |
WEEKMONTHYEARENS 432562007-03-23T17:00:00023 March 2007 17:00:00
[Table view]10 CFR 35.3045(a)(1) Potential Overexposure Involving Brachytherapy Source ENS 419282005-08-18T14:00:00018 August 2005 14:00:00 10 CFR 35.3045(a)(1) Medical Event 2007-03-23T17:00:00 | |