ENS 56758: Difference between revisions
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On September 21, 2023, a female patient received the first of three scheduled doses using a vaginal cylinder containing 5 curies of Iridium 192. The cylinder shifted inadvertently during the administration by about 3.5 centimeters outward causing the dose to the intended site to be different than the intended dose. The patient was informed. | On September 21, 2023, a female patient received the first of three scheduled doses using a vaginal cylinder containing 5 curies of Iridium 192. The cylinder shifted inadvertently during the administration by about 3.5 centimeters outward causing the dose to the intended site to be different than the intended dose. The patient was informed. | ||
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. | 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. | ||
| URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2023/ | | URL = https://www.nrc.gov/reading-rm/doc-collections/event-status/event/2023/20231004en.html#en56758 | ||
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Latest revision as of 07:40, 4 October 2023
| Where | |
|---|---|
| Stamford Hospital Stamford, Connecticut (NRC Region 1) | |
| License number: | 06-06697-02 |
| Organization: | Stamford Hospital |
| Reporting | |
| 10 CFR 35.3045(a)(3) | |
| Time - Person (Reporting Time:+131.58 h5.483 days <br />0.783 weeks <br />0.18 months <br />) | |
| Opened: | Peter Mas 15:35 Sep 26, 2023 |
| NRC Officer: | John Russell |
| Last Updated: | Sep 26, 2023 |
| 56758 - NRC Website | |