ENS 52590

v t e ENS Event
05:00 Mar 2, 2017
Title	Agreement State Report - Total Dose Delivered to Patient Differed from Prescribed Dose by More than 20 Percent
Event Description	The following report was received from the Ohio Department of Health via email: On March 3, 2017, The Urology Center, LLC, Ohio Radioactive Material licensee no. 02200310002, reported an incident pursuant to which the total dose delivered differed from the prescribed dose by more than 20 [percent]. The radiant source was brachytherapy seeds surgically inserted to the prostate. The incident occurred on March 2, 2017 and was confirmed on March 3, 2017 by a review of the post procedure CT [computed tomography] scan. The prescribed dose was 110 cGy using I-125 (model AgX100) seeds. The post CT plan shows that the actual dose delivered to the prostate was 27.6 cGy. The physicians do not believe that there are side effects to the rectum, urethra or neurovascular bundle as a result. The patient has been informed. OH NMED Item Number: OH170001 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 52590 +/-
Where
The Urology Center Cincinnati, Ohio (NRC Region 3)
License number:	02200310002
Organization:	Ohio Bureau Of Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+35.48 h1.478 days <br />0.211 weeks <br />0.0486 months <br />)
Opened:	Michael Snee 16:29 Mar 3, 2017
NRC Officer:	Jeff Herrera
Last Updated:	Mar 3, 2017
52590 - NRC Website
v • d • e

v t e Emergency Notification System
The Urology Center with Agreement State
WEEKMONTHYEAR2017-03-02T05:00:00 [Table view]
[ENS list for The Urology Center]

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