ENS Event | |
|---|---|
04:00 Nov 13, 2013 | |
| Title | Agreement State Report - Brachytherapy Underdose |
| Event Description | The following information was received via fax:
This medical event (ME) was self-identified by the licensee during an audit. A patient who had undergone an iodine-125 (I-125) prostate brachytherapy procedure was reported to have a 'D90' dose of 43% of the written directive. The licensee radiation safety officer and physician are in contact regarding this ME. It is unknown at this time if the patient has been notified. The Department [Pennsylvania Department of Environmental Protection] is waiting for the required 15 day written report from the licensee. The Department will then conduct a reactive inspection. PA Event Number: PA140017 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.
The following information was received via facsimile: Through an internal audit, it was initially thought that a patient who had undergone an iodine-125 (I-125) prostrate brachytherapy treatment in November, 2013 was believed to have had a 'D90' dose of only 43% of the written directive. However, based on a re-assessment by the licensee's Chief Medical Physicist, it appears that greater than 80% of the prostate volume received the prescribed dose. [The] reported medical event is to be retracted. Notified R1DO (Dimitriadis) and FSME Events Resource via E-mail. |
| Where | |
|---|---|
| Lehigh Valley Hospital - Hazleton Hazleton, Pennsylvania (NRC Region 1) | |
| License number: | PA-0106 |
| Organization: | Pa Bureau Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+5747.58 h239.483 days <br />34.212 weeks <br />7.873 months <br />) | |
| Opened: | David Allard 14:35 Jul 10, 2014 |
| NRC Officer: | Mark Abramovitz |
| Last Updated: | Jul 28, 2014 |
| 50267 - NRC Website | |
Lehigh Valley Hospital - Hazleton with Agreement State | |
WEEKMONTHYEARENS 502672013-11-13T04:00:00013 November 2013 04:00:00
[Table view]Agreement State Agreement State Report - Brachytherapy Underdose 2013-11-13T04:00:00 | |