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| Entered date | Event description | |
|---|---|---|
| ENS 44813 | 28 January 2009 15:48:00 | Two medical events were discovered on January 27, 2009, for patients treated during 2005 at VA Greater Los Angeles Healthcare System, Los Angeles, California. These two medical events involved patients who had undergone permanent implant prostate seed brachytherapy using iodine-125 seeds. The resulting seed distributions in the patients were associated with a D90 dose to the treatment site that was less than 80% of the prescribed dose. These patient circumstances are interpreted to meet the definition of a medical event under 10 CFR 35.3045(a)(1)(i). A 15-day written report for the medical events will be submitted to NRC Region III. We have notified our NRC Project Manager (Cassandra Frazier, NRC Region III) of the medical events. A Medical Event may indicate potential problems in a medical facilities use of radioactive materials. It does not necessarily result in harm to the patient. |