ENS Event | |
|---|---|
05:00 Feb 11, 2016 | |
| Title | Agreement State Report - Brachytherapy Device Malfunction Resulting in Underdose |
| Event Description | The following information was received from the State of New Jersey via fax:
One of the hospital's authorized medical physicists reported that a patient was due to receive a therapeutic treatment from the center's HDR [High Dose Rate] unit. During administration of the fraction, there was a device malfunction. The source was safely returned to the shielded position, but the patient did not receive the prescribed dose for the fraction. There was an underdose. The patient and the patient's physician have been informed. The unit is a Nucletron MicroSelectron Model 106.990. Additional details will be forthcoming from the hospital. 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 | |
|---|---|
| Clara Maass Medical Center Belleville, New Jersey (NRC Region 1) | |
| License number: | NJ PI ID # 42 |
| Organization: | Nj Rad Prot And Rel Prevention Pgm |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+10.63 h0.443 days <br />0.0633 weeks <br />0.0146 months <br />) | |
| Opened: | Richard Peros 15:38 Feb 11, 2016 |
| NRC Officer: | Steve Sandin |
| Last Updated: | Feb 11, 2016 |
| 51728 - NRC Website | |
Clara Maass Medical Center with Agreement State | |
WEEKMONTHYEARENS 517282016-02-11T05:00:00011 February 2016 05:00:00
[Table view]Agreement State Agreement State Report - Brachytherapy Device Malfunction Resulting in Underdose ENS 477372012-03-12T04:00:00012 March 2012 04:00:00 Agreement State Agreement State Report - Aborted Fractional Dose Treatment 2016-02-11T05:00:00 | |