Browse wiki
Jump to navigation
Jump to search
A patient received a series of 3 vaginal c … A patient received a series of 3 vaginal cylinder HDR treatments on 08/14/07, 08/28/07, and 09/11/07 at the Arnett Cancer Care Center (also known as the Oncology Institute of Greater Lafayette which is the name on their license). The treatment was planned with a source spacing of 5 millimeters. The electronic transfer of source spacing from the planned console to the treatment console did not function properly and the source spacing information was entered into the treatment console manually and inadvertently a source spacing of 2.5 millimeters was used. The dose distribution was different than planned due to the spacing difference, but the overall dose was correct. The prescribed dose per fraction was 700 cGray using an Ir-192 source with 13 dwell positions spaced 5 millimeters apart.</br>The physician has been notified and does not believe that there will be any adverse effects to the patient. At this time the patient has not been notified, but the licensee is attempting to contact her to inform her that the overall dose was delivered differently that planned.</br>The licensee has taken corrective action to set the device default spacing at 5 millimeters and they will be revising their procedures to prevent reoccurrence. An inspection by the NRC Region 3 Inspector (Bob Gattone) on 10/16/07 discovered the source spacing error.</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. +
04:00:00, 14 August 2007 +
43,727 +
11:39:00, 17 October 2007 +
04:00:00, 14 August 2007 +
A patient received a series of 3 vaginal c … A patient received a series of 3 vaginal cylinder HDR treatments on 08/14/07, 08/28/07, and 09/11/07 at the Arnett Cancer Care Center (also known as the Oncology Institute of Greater Lafayette which is the name on their license). The treatment was planned with a source spacing of 5 millimeters. The electronic transfer of source spacing from the planned console to the treatment console did not function properly and the source spacing information was entered into the treatment console manually and inadvertently a source spacing of 2.5 millimeters was used. The dose distribution was different than planned due to the spacing difference, but the overall dose was correct. The prescribed dose per fraction was 700 cGray using an Ir-192 source with 13 dwell positions spaced 5 millimeters apart.</br>The physician has been notified and does not believe that there will be any adverse effects to the patient. At this time the patient has not been notified, but the licensee is attempting to contact her to inform her that the overall dose was delivered differently that planned.</br>The licensee has taken corrective action to set the device default spacing at 5 millimeters and they will be revising their procedures to prevent reoccurrence. An inspection by the NRC Region 3 Inspector (Bob Gattone) on 10/16/07 discovered the source spacing error.</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. +
Has query"Has query" is a predefined property that represents meta information (in form of a <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Subobject">subobject</a>) about individual queries and is provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a>.
00:00:00, 17 October 2007 +
13-32087-01 +
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>.
22:35:53, 24 September 2017 +
11:39:00, 17 October 2007 +
64.319 d (1,543.65 hours, 9.188 weeks, 2.114 months) +
04:00:00, 14 August 2007 +
URL"URL" is a <a href="/Special:Types/URL" title="Special:Types/URL">type</a> and predefined property provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a> to represent URI/URL values.