ENS 53293

v t e 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.

ENS 53293 +/-
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
v • d • e

v t e Emergency Notification System
Summa Health Systems with Agreement State
WEEKMONTHYEAR2017-09-05T04:00:00 [Table view]
[ENS list for Summa Health Systems]

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