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.
This event is not reportable because of patient intervention. The patient refused continuing treatment. Notified the R1DO (Caruso) and FSME (Morell). |
| 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 | |
St. Francis Hosptial, Hartford, Ct with 10 CFR 35.3045(a)(1) | |
WEEKMONTHYEARENS 431472007-02-06T12:00:0006 February 2007 12:00:00
[Table view]10 CFR 35.3045(a)(1) Medical Event 2007-02-06T12:00:00 | |