ENS 55255

v t e ENS Event
05:00 May 10, 2021
Title	Medical Event
Event Description	The following was received from the Texas Department of State Health Services (the Agency) via email: On May 12, 2021, the Agency was notified by the licensee that a medical event had occurred on May 10, 2021. The event involved a prostate seed treatment using cesium - 131 seeds. The licensee reported that after the implant procedure they discovered that a large portion of the seeds had been implanted in the wrong location. The licensee stated the seeds that were misplaced ended up in mostly fatty tissue and they do not believe any adverse effects will be experienced by the patient. The licensee could not provide specific information on what percent of the prescribe dose had been received by the targeted tissue. The event and its cause is currently under investigation by the licensee. The prescribing physician has been made aware of the event and is notifying the patient. Additional information will be provided as it is received in accordance with SA-300. Texas Incident Number: I-9848 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 55255 +/-
Where
Kell West Regional Hospital Llc Wichita Falls, Texas (NRC Region 4)
License number:	L-05943
Organization:	Texas Dept Of State Health Services
Reporting

Agreement State
Time - Person (Reporting Time:+59.75 h2.49 days <br />0.356 weeks <br />0.0818 months <br />)
Opened:	Art Tucker 16:45 May 12, 2021
NRC Officer:	Jeffrey Whited
Last Updated:	May 12, 2021
55255 - NRC Website
v • d • e

v t e Emergency Notification System
Kell West Regional Hospital Llc with Agreement State
WEEKMONTHYEAR2021-05-10T05:00:00 [Table view]
[ENS list for Kell West Regional Hospital Llc]

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