ENS Event | |
|---|---|
08:00 Jan 27, 2009 | |
| Title | Medical Event - Actual Dose Less than Prescribed Dose |
| Event Description | Two medical events were discovered on January 27, 2009, for patients treated during 2005 at VA Greater Los Angeles Healthcare System, Los Angeles, California.
These two medical events involved patients who had undergone permanent implant prostate seed brachytherapy using iodine-125 seeds. The resulting seed distributions in the patients were associated with a D90 dose to the treatment site that was less than 80% of the prescribed dose. These patient circumstances are interpreted to meet the definition of a medical event under 10 CFR 35.3045(a)(1)(i). A 15-day written report for the medical events will be submitted to NRC Region III. We have notified our NRC Project Manager (Cassandra Frazier, NRC Region III) of the medical events. A Medical Event may indicate potential problems in a medical facilities use of radioactive materials. It does not necessarily result in harm to the patient. |
| Where | |
|---|---|
| Va National Health Physics Program Los Angeles, California (NRC Region 4) | |
| License number: | 03-23853-01VA |
| Organization: | Va National Health Physics Program |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+31.8 h1.325 days <br />0.189 weeks <br />0.0436 months <br />) | |
| Opened: | Tomas Huston 15:48 Jan 28, 2009 |
| NRC Officer: | Jason Kozal |
| Last Updated: | Jan 28, 2009 |
| 44813 - NRC Website | |
Va National Health Physics Program with 10 CFR 35.3045(a)(1) | |
WEEKMONTHYEARENS 448132009-01-27T08:00:00027 January 2009 08:00:00
[Table view]10 CFR 35.3045(a)(1) Medical Event - Actual Dose Less than Prescribed Dose ENS 415922005-04-09T06:00:0009 April 2005 06:00:00 10 CFR 35.3045(a)(1) Possible Medical Event 2009-01-27T08:00:00 | |