ENS 56619

v t e 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.

ENS 56619 +/-
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
v • d • e

v t e Emergency Notification System
Henry Ford Hospital with 10 CFR 35.3045(a)(2)
WEEKMONTHYEAR2023-07-11T21:00:00 [Table view]
[ENS list for Henry Ford Hospital]

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