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The following information was obtained fro … The following information was obtained from the Commonwealth of Kentucky via facsimile:</br>Kentucky Radiation Health Branch was notified on November 21, 2012 by the (licensee's) Medical Physicist, that a medical event occurred during the final hours of a gynecological radiation implant using Cs-137. The 40 hour procedure was scheduled to end today at 0915 CST. Upon arrival at 0910 to remove the applicators, the patient stated (that) shortly after 0600 she felt something had moved or urination or gel had come out of her. As the Medical Physicist pulled back the patient's gown, she saw the packing from the implant completely out of the patient. The top of the packing was approximately 1cm from the perineum. The sources were quickly removed from the applicators and put in a shielded transport container. The Medical Physicist's initial dose estimate to the skin on the patient's thigh and surrounding area is close to 450 cGy based on the applicator being out for 3 hours. There were a total of 5 sources used, 3 in the tandem all had the same activity (96.11 cGy*cm2/hr) and one in each ovoid, both having an activity of 29.63 cGy*cm2/hr. Radiation survey measurements of the applicators, patient, and room were below background. The RSO, patient, and prescribing physician are aware of the event that occurred and a follow-up is scheduled. The State will continue to keep NRC informed of the status of our investigation.</br>KY Event Report ID# KY120014</br>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.necessarily result in harm to the patient. +
06:00:00, 21 November 2012 +
48,530 +
15:09:00, 21 November 2012 +
06:00:00, 21 November 2012 +
The following information was obtained fro … The following information was obtained from the Commonwealth of Kentucky via facsimile:</br>Kentucky Radiation Health Branch was notified on November 21, 2012 by the (licensee's) Medical Physicist, that a medical event occurred during the final hours of a gynecological radiation implant using Cs-137. The 40 hour procedure was scheduled to end today at 0915 CST. Upon arrival at 0910 to remove the applicators, the patient stated (that) shortly after 0600 she felt something had moved or urination or gel had come out of her. As the Medical Physicist pulled back the patient's gown, she saw the packing from the implant completely out of the patient. The top of the packing was approximately 1cm from the perineum. The sources were quickly removed from the applicators and put in a shielded transport container. The Medical Physicist's initial dose estimate to the skin on the patient's thigh and surrounding area is close to 450 cGy based on the applicator being out for 3 hours. There were a total of 5 sources used, 3 in the tandem all had the same activity (96.11 cGy*cm2/hr) and one in each ovoid, both having an activity of 29.63 cGy*cm2/hr. Radiation survey measurements of the applicators, patient, and room were below background. The RSO, patient, and prescribing physician are aware of the event that occurred and a follow-up is scheduled. The State will continue to keep NRC informed of the status of our investigation.</br>KY Event Report ID# KY120014</br>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.necessarily result in harm to the patient. +
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00:00:00, 21 November 2012 +
202-099-26 +
Modification date"Modification date" is a predefined property that corresponds to the date of the last modification of a subject and is provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a>.
22:23:41, 24 September 2017 +
15:09:00, 21 November 2012 +
0.381 d (9.15 hours, 0.0545 weeks, 0.0125 months) +
06:00:00, 21 November 2012 +
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