ENS Event | |
|---|---|
04:00 Sep 19, 2014 | |
| Title | Brachytherapy Patient Received 54% of Prescribed Dose |
| Event Description | The authorized user determined that, due to scar tissue from a previous procedure, the patient received only 54% of the intended dose during a I-125 prostate brachytherapy treatment. The patient was implanted with 72 seeds (nominal 0.269 mCi each), some of which were inadvertently implanted in the scar tissue. The authorized user/physician expects no adverse effects on the patient and does not intend to repeat the treatment. The patient has been notified.
The investigation into the event is ongoing.
Upon investigation of the details surrounding the event, it was determined that the patient received greater than 80% of prescribed activity. Therefore, this event no longer meets any regulatory reporting criteria and is being retracted. Notified R1DO (Bower) and NMSS Events Resource via email. 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 | |
|---|---|
| Monongalia General Hospital Morgantown, West Virginia (NRC Region 1) | |
| License number: | 47-16259-01 |
| Organization: | Monongalia General Hospital |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+9.93 h0.414 days <br />0.0591 weeks <br />0.0136 months <br />) | |
| Opened: | Mark Perna 13:56 Sep 19, 2014 |
| NRC Officer: | Howie Crouch |
| Last Updated: | Oct 5, 2015 |
| 50472 - NRC Website | |
Monongalia General Hospital with 10 CFR 35.3045(a)(1) | |
WEEKMONTHYEARENS 504722014-09-19T04:00:00019 September 2014 04:00:00
[Table view]10 CFR 35.3045(a)(1) Brachytherapy Patient Received 54% of Prescribed Dose 2014-09-19T04:00:00 | |