ENS Event | |
|---|---|
04:00 May 29, 2012 | |
| Title | Agreement State Report - Prostate Seed Medical Event |
| Event Description | The following report was received via fax:
Patient underwent Iodine 125 surgical prostate seed implants (total dose 145 Gy). Initial post operative X-ray film revealed complete seed count. Day zero computed tomography revealed all seeds inferior to true base and resulted in placement in the penile bulb vs. the prostate gland. There were no instrument malfunctions to include the ultrasound. Urologist notified and in-turn patient was immediately notified. Risk to urethra was discussed. Further investigation to occur from NC RPS [North Carolina Radiation Protection Section] Inspectors on Tuesday, June 12, 2012 awaiting the return of the authorized user/physician. North Carolina incident: 12-37 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. |
| Where | |
|---|---|
| Carolina East Medical Center New Bern, North Carolina (NRC Region 1) | |
| Organization: | Nc Div Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+62.3 h2.596 days <br />0.371 weeks <br />0.0853 months <br />) | |
| Opened: | Randy Crowe 18:18 May 31, 2012 |
| NRC Officer: | Mark Abramovitz |
| Last Updated: | May 31, 2012 |
| 47983 - NRC Website | |
Carolina East Medical Center with Agreement State | |
WEEKMONTHYEARENS 479832012-05-29T04:00:00029 May 2012 04:00:00
[Table view]Agreement State Agreement State Report - Prostate Seed Medical Event 2012-05-29T04:00:00 | |