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 Entered dateEvent description
ENS 415808 April 2005 17:42:00The following information was provided by the State of CA via e-mail (text in quotes): At 12:35 pm (the) manager of the (Saddleback Memorial Hospital) Imaging Department contacted (the CA Radiological Health Branch) to report a therapy misadministration involving HDR and Ir-192. (The hospital manager) knew few details, other than to report that the source was apparently implanted 8 cm short of its desired location. At this time it is not known how much under treatment there was to the tumor site, nor how much exposure there was to healthy tissue. (It has) not been determined if this is a CA SS&D (Sealed Source and Device). (The hospital manager) is obtaining this information and will be reporting it back, via fax, as soon as possible. (The CA Radiological Health Branch) has requested narrative as to flow of events. This form will be updated and forwarded to NRC Ops Center as information comes in.