ENS 50267

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v t e 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. * * RETRACTION FROM DAVID ALLARD TO DONALD NORWOOD AT 1641 EDT ON 7/28/2014 * * * 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.

ENS 50267 +/- *RETRACTED*
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
v • d • e

v t e Emergency Notification System
Lehigh Valley Hospital - Hazleton with Agreement State
WEEKMONTHYEAR2013-11-13T04:00:00 [Table view]
[ENS list for Lehigh Valley Hospital - Hazleton]

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