ENS Event | |
|---|---|
05:00 Nov 29, 2005 | |
| Title | Medical Event Involving Administration of Less than the Prescribed Dose |
| Event Description | On 11/22/05 a female patient undergoing treatment for cervical cancer received the third fraction of a five (5) fraction treatment plan using a HDR Brachytherapy source. Each fraction was scheduled to deliver 600 cGy to the intended treatment site for a total delivered dose of 3000 cGy. During the third treatment, the delivered dose was 200 cGy, instead of 600 cGy, due to a miscalculation in the distance factor. The treating physician does not believe there will be any adverse effects upon the patient. |
| Where | |
|---|---|
| Hosp Oncologico Andres Grillasca Ponce, Puerto Rico (NRC Region 1) | |
| License number: | 52-11832-02 |
| Organization: | Hosp Oncologico Andres Grillasca |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+10.67 h0.445 days <br />0.0635 weeks <br />0.0146 months <br />) | |
| Opened: | Miguel Rios 15:40 Nov 29, 2005 |
| NRC Officer: | Steve Sandin |
| Last Updated: | Nov 29, 2005 |
| 42174 - NRC Website | |
Hosp Oncologico Andres Grillasca with 10 CFR 35.3045(a)(1) | |
WEEKMONTHYEARENS 421742005-11-29T05:00:00029 November 2005 05:00:00
[Table view]10 CFR 35.3045(a)(1) Medical Event Involving Administration of Less than the Prescribed Dose 2005-11-29T05:00:00 | |