ENS 46472

v t e ENS Event
14:00 Dec 10, 2010
Title	Medical Event - Treatment Area Different from the Prescribed Area
Event Description	A High Dose Rate brachytherapy treatment with a 5.11 Ci source of Ir-192 was performed on a patient for vaginal cancer. The prescribed procedure was for a tube be inserted into the vaginal area for 120 cm, however, the treatment length of insertion was 132 cm. This was an out-patient procedure, so the patient went home after her treatment. The physician will be notifying the patient of the 12 cm insertion error. 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. * * UPDATE AT 1610 EST ON 12/15/2010 FROM BRETT MILLER TO MARK ABRAMOVITZ * * * The brachytherapy exposure was received by four patients with the 12 cm insertion error. Three patients received three fractions each and the fourth received five fractions. The physicians have been notified except for the fourth patient's physician who will be notified. Notified the R3DO (Kazak) and FSME (O'Sullivan).

ENS 46472 +/-
Where
Henry Ford Macomb Clinton Township, Michigan (NRC Region 3)
License number:	21-11850-01
Organization:	Henry Ford Macomb
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+0.95 h0.0396 days <br />0.00565 weeks <br />0.0013 months <br />)
Opened:	Brett Miller 14:57 Dec 10, 2010
NRC Officer:	John Knoke
Last Updated:	Dec 15, 2010
46472 - NRC Website
v • d • e

v t e Emergency Notification System
Henry Ford Macomb with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2010-12-10T14:00:00 [Table view]
[ENS list for Henry Ford Macomb]

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