ENS Event | |
|---|---|
04:00 Sep 5, 2017 | |
| Title | Agreement State Report - Delivered Dosage Different from Prescribed |
| Event Description | The following is an excerpt from a report received from the State of Ohio via email:
The criteria for a medical event supported by ODH (Ohio Department of Health) is if the 90% prostate volume receives less than 80% of the prescribed dose or more than 120% of the prescribed dose. Upon generating the post treatment plans for nine patients, the Dosimetry staff discovered that four were below 80%. Summary of Prostate Implant Incidents: Case #. Implant Date, Discovery Date, Prescribed Dose (Gy), Estimated D90 (Gy) 1. 9/05/2017, 3/26/2018, 110 Gy, 58.15 Gy 2. 9/28/2017, 3/26/2018, 145 Gy, 100.19 Gy 3. 2/13/2017, 3/26/2018, 110 Gy, 81.28 Gy 4. 2/19/2017, 3/26/2018, 145 Gy, 103.7 Gy Manufacturer: Theragenics Model Number: AgX100 Radionuclide: I-125 Item Number: OH180002 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 | |
|---|---|
| Summa Health Systems Akron, Ohio (NRC Region 3) | |
| License number: | 2120780022 |
| Organization: | Ohio Bureau Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+4883.98 h203.499 days <br />29.071 weeks <br />6.69 months <br />) | |
| Opened: | Michael Rubadue 15:59 Mar 27, 2018 |
| NRC Officer: | David Aird |
| Last Updated: | Mar 27, 2018 |
| 53293 - NRC Website | |
Summa Health Systems with Agreement State | |
WEEKMONTHYEARENS 532932017-09-05T04:00:0005 September 2017 04:00:00
[Table view]Agreement State Agreement State Report - Delivered Dosage Different from Prescribed 2017-09-05T04:00:00 | |