ENS 52050

v t e ENS Event
05:00 May 18, 2016
Title	Agreement State Report - Patient Overdose of Iodine-125 During Medical Treatment
Event Description	The following report was received from the Kentucky Department of Public Health and Safety, Radiation Health Branch via email: The KY Radiation Health Branch [RHB] was notified on 6/28/16 by the RSO at the University of Louisville that a patient received 297.7 cGy (rad), instead of the prescribed 31 cGy (rad). The patient was implanted with a 7.4 MBq (200 uCi) I-125 localization seed for treatment of non-palpable breast cancer on 3/18/16. The seed was to be removed within five days after implant. However, shortly after induction of anesthesia on the day of removal the patient became unstable, surgery was cancelled, the patient was placed in ICU, and the seed wasn't removed until 5/18/16. The dose was calculated by the radiation oncologist with a reference point of 1 cm around the seed. KY RHB has been in contact with the licensee and expects additional information to be provided by the licensee." KY Event Report ID No.: KY160006 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 52050 +/-
Where
University Of Louisville Louisville, Kentucky (NRC Region 1)
License number:	202-029-22
Organization:	Kentucky Dept Of Radiation Control
Reporting

Agreement State
Time - Person (Reporting Time:+1013.25 h42.219 days <br />6.031 weeks <br />1.388 months <br />)
Opened:	Marissa Vega Velez 10:15 Jun 29, 2016
NRC Officer:	Jeff Herrera
Last Updated:	Jun 29, 2016
52050 - NRC Website
v • d • e

v t e Emergency Notification System
University Of Louisville with Agreement State
WEEKMONTHYEAR2025-09-18T05:00:00 [Table view]
[ENS list for University Of Louisville]

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