ENS 44663

v t e ENS Event
05:00 Sep 18, 2008
Title	Treatment Site Dose Less than Prescribed
Event Description	A medical event is reported for one patient treated by the VA New York Harbor Healthcare System in Brooklyn, New York. The event was discovered November 17, 2008. The basis for this event is that the D90 dose to the treatment site was slightly less than 80% of the prescribed dose. The treatment involved permanent implant prostate brachytherapy using Iodine-125 seeds. The patient implant date was September 18, 2008. A supplemental implant procedure was performed to achieve an acceptable D90. Adverse effects on the patient are not expected from this medical event. A 15-day written report of this medical event will be submitted to NRC Region III. We have notified our NRC Project Manager, Cassandra Frazier (NRC Region III) of this event. Department of Veterans Affairs has a Master Materials License (MML) from the NRC: License No. 03-23853-01VA. Permits are issued under the MML to VA facilities. VHA permit number of permittee involved in event: Permit No. 31-62892-03. Address of permittee involved in this event: New York Harbor Healthcare System, 800 Poly Place, Brooklyn, New York, 11209. A Medical Event may indicate potential problems in a medical facilities use of radioactive materials. It does not necessarily result in harm to the patient.

ENS 44663 +/-
Where
New York Healthcare System Brooklyn, New York (NRC Region 1)
License number:	03233853-01VA
Organization:	Va National Health Physics Program
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+1466.88 h61.12 days <br />8.731 weeks <br />2.009 months <br />)
Opened:	Thomas E. Huston 08:53 Nov 18, 2008
NRC Officer:	Bill Huffman
Last Updated:	Nov 18, 2008
44663 - NRC Website
v • d • e

v t e Emergency Notification System
New York Healthcare System with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2008-09-18T05:00:00 [Table view]
[ENS list for New York Healthcare System]

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