ENS 46601

v t e ENS Event
21:00 Feb 7, 2011
Title	Medical Events - Actual Dose Less than Prescribed Dose
Event Description	Nine breast cancer patients were treated with a multi-channel high dose rate afterloader with the incorrect dwell positions input into the afterloader controller. The intended prescription was for 5 mm between dwell positions. The actual input was 2.5 mm between dwell positions. The prescribed dose was for 3400 cGy and the actual dose delivered was approximately 25% less. No adverse clinical effects are expected. The doctors and patients will be notified. * * UPDATE FROM DR. VIVIAN ARTERBERY TO JOHN SHOEMAKER AT 1507 EST ON 03/07/11 * * * There were a total of eleven breast cancer patients involved. Seven of the eleven patients had small areas of unintended target that received unplanned dose. The doctors and patients have been notified. Notified R3DO (Riemer) and FSME (McIntosh) 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.

ENS 46601 +/-
Where
Crittenton Hospital Medical Center Rochester, Michigan (NRC Region 3)
License number:	21-13562-01
Organization:	Crittenton Hospital Medical Center
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+15.08 h0.628 days <br />0.0898 weeks <br />0.0207 months <br />)
Opened:	V. Arterbery 12:05 Feb 8, 2011
NRC Officer:	Mark Abramovitz
Last Updated:	Mar 7, 2011
46601 - NRC Website
v • d • e

v t e Emergency Notification System
Crittenton Hospital Medical Center with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2016-01-11T05:00:00 [Table view]
[ENS list for Crittenton Hospital Medical Center]

Navigation menu