ENS 54745

v t e ENS Event
07:00 Jun 12, 2020
Title	Agreement State Report - Medical Event
Event Description	The following was received from the Arizona Department of Health Services (the Department) via email: On June 12, 2020, the Department received notification from the licensee of a possible medical event involving an I-125 eye plaque. A patient was implanted with an eye plaque on June 4, with a prescribed dose of 85 Gy. On June 8, the patient had a stroke and was admitted to St. Joseph's Medical Center. Once the patient was able to be transported, they were transported back to the Mayo Clinic Hospital on June 9. It was then determined that the patient was not strong enough to endure the procedure for removing the eye plaque. The eye plaque was finally removed on June 11 and the final dose to the tumor was 123.5 Gy or 145.3 percent of the prescription. The Department has requested additional information and continues to investigate the event. Arizona Incident 20-010 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 54745 +/-
Where
Arizona Dept Of Health Services Phoenix, Arizona (NRC Region 4)
License number:	07-448
Organization:	Arizona Dept Of Health Services
Reporting

Agreement State
Time - Person (Reporting Time:+37.13 h1.547 days <br />0.221 weeks <br />0.0509 months <br />)
Opened:	Brian Goretzki 20:08 Jun 13, 2020
NRC Officer:	Jeffrey Whited
Last Updated:	Jun 13, 2020
54745 - NRC Website
v • d • e

v t e Emergency Notification System
Arizona Department of Health Services with Agreement State
WEEKMONTHYEAR		Agreement State Report - Construction Gauge Run Over by Construction Van 2022-03-07T07:00:00 [Table view]
[ENS list for Arizona Department of Health Services]

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