ENS 47983

v t e 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.

ENS 47983 +/-
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
v • d • e

v t e Emergency Notification System
Carolina East Medical Center with Agreement State
WEEKMONTHYEAR2012-05-29T04:00:00 [Table view]
[ENS list for Carolina East Medical Center]

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