ENS 48086

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v t e 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.

ENS 48086 +/-
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
v • d • e

v t e Emergency Notification System
Hardin Memorial Hospital with Agreement State
WEEKMONTHYEAR2018-09-07T04:00:00 [Table view]
[ENS list for Hardin Memorial Hospital]

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