ENS 43147

v t e ENS Event
12:00 Feb 6, 2007
Title	Medical Event
Event Description	A patient was being treated for cancer of the cervix. The planned total dose to the cervix was to be 2046.5 cGy, over a 39 hour4.513889e-4 days <br />0.0108 hours <br />6.448413e-5 weeks <br />1.48395e-5 months <br /> time period. The licensee was using an LDR Selectron Afterloader. Nine cesium-137 sources, activity of each source 16.7 millicuries, were used in the afterloader. The patient started treatment on 02/05/07 at 1235 EST. Today, 02/06/07, between the hours of 0630 - 0717 EST the patient pulled the applicator out approximately 4 centimeters. The patient was given the correct dose to the cervix for 16.09 hours1.041667e-4 days <br />0.0025 hours <br />1.488095e-5 weeks <br />3.4245e-6 months <br /> for a total dose of 844.5 cGy. The patient was given an incorrect dose to the vaginal area for between 30 - 60 minutes. The total dose to the incorrect area is between 50 - 200 (Max) cGy. This incident was not harmful to the patient. The patient's doctor was notified of this incident. The patient will not be retreated. A "Medical Event" may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient. * * RETRACTION AT 11:50 ON 3/7/2007 BY DR E. WILCOX TO M. ABRAMOVITZ * * * This event is not reportable because of patient intervention. The patient refused continuing treatment. Notified the R1DO (Caruso) and FSME (Morell).

ENS 43147 +/- *RETRACTED*
Where
St. Francis Hosptial, Hartford, Ct Hartford, Connecticut (NRC Region 1)
License number:	06-00854-03
Organization:	St. Francis Hospital, Hartford, Ct
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+1.82 h0.0758 days <br />0.0108 weeks <br />0.00249 months <br />)
Opened:	E. Wilcox 13:49 Feb 6, 2007
NRC Officer:	John Mackinnon
Last Updated:	Mar 7, 2007
43147 - NRC Website
v • d • e

v t e Emergency Notification System
St. Francis Hosptial, Hartford, Ct with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2007-02-06T12:00:00 [Table view]
[ENS list for St. Francis Hosptial, Hartford, Ct]

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