ENS 45295

v t e ENS Event
17:47 Aug 24, 2009
Title	Potential Medical Event - D90 Dose Less than Prescribed Dose
Event Description	On April 16, 2009, a patient received a permanent prostate implant of I-125 seeds. On August 24, 2009, post-implant dosimetry analysis, performed multiple times using multiple modalities, determined the D90 dose was 46.8% of prescribed dose. The prescribed dose was 145 Gy using 0.577 u/seed and 57 seeds. The referring physician and patient have been notified. The physician will be conducting a corrective implant. The licensee is conducting an investigation and will be determining corrective actions. 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.

ENS 45295 +/-
Where
Allegiance Health Jackson, Michigan (NRC Region 3)
License number:	21-00258-06
Organization:	Allegiance Health
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+21.05 h0.877 days <br />0.125 weeks <br />0.0288 months <br />)
Opened:	Anas Orfali 14:50 Aug 25, 2009
NRC Officer:	Howie Crouch
Last Updated:	Aug 25, 2009
45295 - NRC Website
v • d • e

v t e Emergency Notification System
Allegiance Health with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2009-08-24T17:47:00 [Table view]
[ENS list for Allegiance Health]

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