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Start date | Reporting criterion | Title | Event description | System | LER | |
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ENS 40431 | 22 March 2001 19:30:00 | 10 CFR 35.3045(a)(1) | Medical Event at Douglas City Hospital in Minnesota | Associates and Medical Physics reported 6 related medical events that occurred between 3/22/01 thru 5/14/03 at Douglas City Hospital located in Alexandria, Minnesota. The licensee used Samarium 153 to treat patients for bone pain. The highest intended source strength was 115 milli-curies. The licensee discovered that the patients were actually under-dosed by 34% due to an incorrect dose calibrator setting. There was no significant adverse effects to the patients. Corrective actions were taken to calibrate the dose calibrator. |