ENS Event | |
|---|---|
04:00 May 28, 2008 | |
| Title | Two Medical Events Involving Received Dose Less Than Prescribed Dose |
| Event Description | During an on-site NRC Inspection two (2) medical events were identified both involving a delivered dose less than the prescribed dose following implant of Palladium-103 seed for prostate therapy. Specific details as follows:
First Medical Event Preplanning date: 5/18/08 Post planning date: 5/18/08 Dose received by prostate volume: 44% Underdose: 56% Prescribed: Palladium-103, 140.42U consisting of 59 seeds, 2.38U/seed Second Medical Event Preplanning date: 7/8/08 Post planning date: 7/8/08 Dose received by prostate volume: 44% Underdose: 56% Prescribed: Palladium-103, 196.80U consisting of 82 seeds, 2.38U/seed Both underdoses are attributed to prostate swelling. The physician reviewing the results concluded that there was no adverse impact on either patient. The licensee will continue reviewing medical records to identify any additional occurrences of this nature. 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.
Based on a post evaluation by the licensee's Radiation Safety Officer and physicians, all delivered dose came within 20% of overall prescribed dose. Thus, this is not considered a medical event. Notified the R3DO (Stone), and FSME (McIntosh). |
| Where | |
|---|---|
| Community Hospital Munster, Indiana (NRC Region 3) | |
| Organization: | Community Healthcare System |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+21300.42 h887.518 days <br />126.788 weeks <br />29.177 months <br />) | |
| Opened: | Mirel Palamaru 16:25 Nov 1, 2010 |
| NRC Officer: | John Knoke |
| Last Updated: | Jan 25, 2011 |
| 46381 - NRC Website | |
Community Hospital with 10 CFR 35.3045(a)(1) | |
WEEKMONTHYEARENS 463662010-10-26T04:00:00026 October 2010 04:00:00
[Table view]10 CFR 35.3045(a)(1) Two Medical Events Involving Received Dose Less than Prescribed Dose ENS 463192010-10-06T04:00:0006 October 2010 04:00:00 10 CFR 35.3045(a)(1) Delivered Dose Potentially Different than the Prescribed Dose ENS 463812008-05-28T04:00:00028 May 2008 04:00:00 10 CFR 35.3045(a)(1) Two Medical Events Involving Received Dose Less than Prescribed Dose 2010-10-06T04:00:00 | |