ENS Event | |
|---|---|
05:00 Jun 4, 2012 | |
| Title | Kentucky Agreement State Report - Medical Event Involving Prostate Seed Implants |
| Event Description | The following information was obtained from the Commonwealth of Kentucky via email:
A prostate seed implant was performed on June 4, 2012. The procedure presented with some complications related to a deficit from a TURP [Transurethral Resection of the Prostate] surgery performed on the patient over 15 years ago. When the procedure was completed cystoscopy identified no seeds in the bladder or urethra. The patient returned for the post implant CT on July 9, 2012. During the post implant visit with the Authorized User, the patient identified he had passed what was thought to be two seeds. Further discussion with the Authorized User identified it was two strands of seeds. The patient flushed one strand into his septic system and will bring the second strand back to the licensee for proper disposal. The post implant CT determined approximately 15 seeds were missing from the implant. It appears the two strands containing these seeds were in the deficit resulting from the earlier TURP surgery. The licensee is preparing a report for submission to the RHB within the next 15 days. Radiation Oncologist (AU): [Deleted] Referring Physician: [Deleted] Implant Date: 6/4/2012 Prescribed dose: 108 Gy to the prostate Post implant CT dosimetry: D-90 = 54% Source: I-125 encapsulated seeds Vendor: IsoAid Model Number: IAI-125A Activity per seed: 0.24 mCi Number of seeds implanted: 85 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 | |
|---|---|
| Hardin Memorial Hospital Elizabethtown, Kentucky (NRC Region 1) | |
| License number: | 202-148-26 |
| Organization: | Kentucky Dept Of Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+875.32 h36.472 days <br />5.21 weeks <br />1.199 months <br />) | |
| Opened: | Michelle Greenwell 16:19 Jul 10, 2012 |
| NRC Officer: | Howie Crouch |
| Last Updated: | Jul 10, 2012 |
| 48086 - NRC Website | |
Hardin Memorial Hospital with Agreement State | |
WEEKMONTHYEARENS 535852018-09-07T04:00:0007 September 2018 04:00:00
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