ENS Event | |
|---|---|
21:00 Jul 11, 2023 | |
| Title | Medical Event - Dose Misadministration |
| Event Description | The following information was provided by the licensee via phone:
On July 11, 2023, at 1700 EDT, an intravascular brachytherapy treatment was delivered to the wrong treatment site. The original dose of 23 Gy was intended for a different part of the vasculature system. The brachytherapy device made by Best Vascular is a Beta-Catch (model # 5ICW-2) containing 3.62 GBq of Sr/Y-90. Physicians expect that there will be no permanent damage to any of the patient's organs. 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 | |
|---|---|
| Henry Ford Hospital Detroit, Michigan (NRC Region 3) | |
| License number: | 21-04109-16 |
| Organization: | Henry Ford Hospital |
| Reporting | |
| 10 CFR 35.3045(a)(2) | |
| Time - Person (Reporting Time:+15.22 h0.634 days <br />0.0906 weeks <br />0.0208 months <br />) | |
| Opened: | Alan Jackson 12:13 Jul 12, 2023 |
| NRC Officer: | Ian Howard |
| Last Updated: | Jul 12, 2023 |
| 56619 - NRC Website | |
Henry Ford Hospital with 10 CFR 35.3045(a)(2) | |
WEEKMONTHYEARENS 566192023-07-11T21:00:00011 July 2023 21:00:00
[Table view]10 CFR 35.3045(a)(2) Medical Event - Dose Misadministration ENS 565122023-05-08T04:00:0008 May 2023 04:00:00 10 CFR 35.3045(a)(2) Potential Medical Event 2023-07-11T21:00:00 | |