ENS 51651: Difference between revisions
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StriderTol (talk | contribs) (Created page by program invented by StriderTol) |
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| facility = Radamerica | | facility = Radamerica | ||
| Organization = Maryland Dept Of The Environment | | Organization = Maryland Dept Of The Environment | ||
| license number = | | license number = MD0505103 | ||
| region = 1 | | region = 1 | ||
| state = Maryland | | state = Maryland | ||
| Line 16: | Line 16: | ||
| event date = 12/15/2015 EST | | event date = 12/15/2015 EST | ||
| last update date = 01/15/2016 | | last update date = 01/15/2016 | ||
| title = Medical Event - Brachytherapy Source Not Placed | | title = Medical Event - Brachytherapy Source Not Placed in Intended Treatment Location | ||
| event text = This is a preliminary notification by the State of Maryland, Radiological Health Program of a medical event. During both the first and second of four High Dose Rate brachytherapy treatments to one of the patient's lungs occurring on December 15, 2015 and December 21, 2015, the radioactive source was incorrectly placed between 2 and 3 centimeters away from the intended placement location. The radioactive source being used was Iridium 192. The activity level of the radioactive source is unknown at this time. | | event text = This is a preliminary notification by the State of Maryland, Radiological Health Program of a medical event. During both the first and second of four High Dose Rate brachytherapy treatments to one of the patient's lungs occurring on December 15, 2015 and December 21, 2015, the radioactive source was incorrectly placed between 2 and 3 centimeters away from the intended placement location. The radioactive source being used was Iridium 192. The activity level of the radioactive source is unknown at this time. | ||
The placement error was discovered during the third treatment on January 13, 2016. The reason for the placement error involved the use of an incorrect connection between the marker and the catheter. | The placement error was discovered during the third treatment on January 13, 2016. The reason for the placement error involved the use of an incorrect connection between the marker and the catheter. | ||
Latest revision as of 19:03, 24 November 2018
| Where | |
|---|---|
| Radamerica Baltimore, Maryland (NRC Region 1) | |
| License number: | MD0505103 |
| Organization: | Maryland Dept Of The Environment |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+707.4 h29.475 days <br />4.211 weeks <br />0.969 months <br />) | |
| Opened: | Alan Jacobson 16:24 Jan 13, 2016 |
| NRC Officer: | Donald Norwood |
| Last Updated: | Jan 15, 2016 |
| 51651 - NRC Website | |