ENS 42038: Difference between revisions
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StriderTol (talk | contribs) (Created page by program invented by StriderTol) |
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| facility = Department Of Veterans | | facility = Department Of Veterans | ||
| Organization = Philadelphia Va Medical Center | | Organization = Philadelphia Va Medical Center | ||
| license number = 03-23853- | | license number = 03-23853-01VA | ||
| region = 1 | | region = 1 | ||
| state = Pennsylvania | | state = Pennsylvania | ||
| Line 17: | Line 17: | ||
| event date = 10/03/2005 EDT | | event date = 10/03/2005 EDT | ||
| last update date = 02/03/2006 | | last update date = 02/03/2006 | ||
| title = Medical Event - Some Brachytherapy Seeds Administered | | title = Medical Event - Some Brachytherapy Seeds Administered to Wrong Site | ||
| event text = l am calling per 10 CFR 35.3045 to notify you of a possible medical event at the VA Medical Center, Philadelphia, Pennsylvania. On October 3, 2005 a permanent implant prostate brachytherapy procedure was performed at the medical center. A written directive prescribed 90 Iodine 125 seeds to be implanted in the patient's prostate. | | event text = l am calling per 10 CFR 35.3045 to notify you of a possible medical event at the VA Medical Center, Philadelphia, Pennsylvania. On October 3, 2005 a permanent implant prostate brachytherapy procedure was performed at the medical center. A written directive prescribed 90 Iodine 125 seeds to be implanted in the patient's prostate. | ||
However, 45 of the seeds were implanted mistakenly in bladder. The seeds were recovered from the bladder prior to completion of the procedure in the operating room. | However, 45 of the seeds were implanted mistakenly in bladder. The seeds were recovered from the bladder prior to completion of the procedure in the operating room. | ||
Latest revision as of 19:36, 24 November 2018
| Where | |
|---|---|
| Department Of Veterans Philadelphia, Pennsylvania (NRC Region 1) | |
| License number: | 03-23853-01VA |
| Organization: | Philadelphia Va Medical Center |
| Reporting | |
| 10 CFR 35.3045(a)(3) | |
| Time - Person (Reporting Time:+57.28 h2.387 days <br />0.341 weeks <br />0.0785 months <br />) | |
| Opened: | Paul Yurko 13:17 Oct 5, 2005 |
| NRC Officer: | Pete Snyder |
| Last Updated: | Feb 3, 2006 |
| 42038 - NRC Website | |