ENS 41375

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v t e ENS Event
05:00 Feb 4, 2005
Title	Medical Event
Event Description	At 0900 hours0.0104 days <br />0.25 hours <br />0.00149 weeks <br />3.4245e-4 months <br /> on 2/4/05, a Nuclear Medicine Technician attempted to inject 32.7 milliCuries of Tc-99m into an implanted single lumen port located near the left breast of a female patient. The patient was scheduled for a red blood cell study. After injecting 21.1 mCi, the Tech noticed resistance and could not deliver the rest of the dose. A scan of the patient indicated the material was not metabolizing, and a localized spot was identified near the port. The Nuclear Medicine Physician, after reading the scan, determined that the dose had been delivered to a volume of 15-30 cubic centimeters of tissue around the port. The Radiation Safety Officer estimated that the committed absorbed dose to this tissue volume is on the order of 52.7 to 83.2 Rad, using MIRD dosimetry. The patient was notified by the Nuclear Medicine Physician, and the physician has indicated that there will be no deleterious effects on the patient. The NRC Operations Center was called at 1800 hours0.0208 days <br />0.5 hours <br />0.00298 weeks <br />6.849e-4 months <br /> on 2/4/05, as of this time it is not certain if the internal line was crimped by the patient or the event was caused by failure of the port. * * * RETRACTION OF REPORT ON 02/09/05 AT 1058 EST BY KEN PRICE TO MACKINNON * * * * Retracting report after discussion with NRC Region 1 Penny Lanzisera. The licensee is retracting this report because it has been determined not to be a reportable event. R1DO (Jim Trapp) and NMSS (Sandra Wastler) notified.

ENS 41375 +/- *RETRACTED*
Where
University Of Connecticut Medical Ctr Farmington, Connecticut (NRC Region 1)
License number:	06-13022-02
Organization:	University Of Connecticut Health Ct
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+13 h0.542 days <br />0.0774 weeks <br />0.0178 months <br />)
Opened:	Ken Price 18:00 Feb 4, 2005
NRC Officer:	Bill Gott
Last Updated:	Feb 9, 2005
41375 - NRC Website
v • d • e

v t e Emergency Notification System
University Of Connecticut Medical Ctr with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2005-02-04T05:00:00 [Table view]
[ENS list for University Of Connecticut Medical Ctr]

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