ENS 50472

v t e 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. * * RETRACTION FROM MARK PENA TO HOWIE CROUCH AT 1458 EDT ON 9/30/15 * * * 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.

ENS 50472 +/- *RETRACTED*
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
v • d • e

v t e Emergency Notification System
Monongalia General Hospital with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2014-09-19T04:00:00 [Table view]
[ENS list for Monongalia General Hospital]

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