ENS 46381

v t e ENS Event
04:00 May 28, 2008
Title	Two Medical Events Involving Received Dose Less than Prescribed Dose
Event Description	During an on-site NRC Inspection two (2) medical events were identified both involving a delivered dose less than the prescribed dose following implant of Palladium-103 seed for prostate therapy. Specific details as follows: First Medical Event Preplanning date: 5/18/08 Post planning date: 5/18/08 Dose received by prostate volume: 44% Underdose: 56% Prescribed: Palladium-103, 140.42U consisting of 59 seeds, 2.38U/seed Second Medical Event Preplanning date: 7/8/08 Post planning date: 7/8/08 Dose received by prostate volume: 44% Underdose: 56% Prescribed: Palladium-103, 196.80U consisting of 82 seeds, 2.38U/seed Both underdoses are attributed to prostate swelling. The physician reviewing the results concluded that there was no adverse impact on either patient. The licensee will continue reviewing medical records to identify any additional occurrences of this nature. 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 FROM MIREL PALAMARU TO VINCE KLCO ON 1/25/11 AT 1829 EST * * * Based on a post evaluation by the licensee's Radiation Safety Officer and physicians, all delivered dose came within 20% of overall prescribed dose. Thus, this is not considered a medical event. Notified the R3DO (Stone), and FSME (McIntosh).

ENS 46381 +/- *RETRACTED*
Where
Community Hospital Munster, Indiana (NRC Region 3)
Organization:	Community Healthcare System
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+21300.42 h887.518 days <br />126.788 weeks <br />29.177 months <br />)
Opened:	Mirel Palamaru 16:25 Nov 1, 2010
NRC Officer:	John Knoke
Last Updated:	Jan 25, 2011
46381 - NRC Website
v • d • e

v t e Emergency Notification System
Community Hospital with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2010-10-06T04:00:00 [Table view]
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