ENS Event | |
|---|---|
04:00 May 25, 2005 | |
| Title | Agreement State Report |
| Event Description | The State provided the following information via email:
The patient was to receive 2 GigaBecquerel (GBq) (Yttrium-90) from siraspheres. Backpressure from the liver catheter popped the tubing off the 3-way stopcock; approximately 25% of the material was spilled before the tubing could be re-attached. A lower flow rate was used and no further problems were encountered. The spill was contained in the case around the stopcock. Patient received approximately 75% of the material/intended dose. The licensee will send a letter explaining the event. Determination of whether this qualifies as a medical event is the reason for the late NRC notification. Florida continues to investigate. Florida event number: FL05-086 |
| Where | |
|---|---|
| University Of Florida Shands Hospital Gainsville, Florida (NRC Region 1) | |
| License number: | 0031-1 |
| Organization: | Florida Bureau Of Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+340.13 h14.172 days <br />2.025 weeks <br />0.466 months <br />) | |
| Opened: | Charles Adams 08:08 Jun 8, 2005 |
| NRC Officer: | Bill Gott |
| Last Updated: | Jun 8, 2005 |
| 41756 - NRC Website | |
University Of Florida Shands Hospital with Agreement State | |
WEEKMONTHYEARENS 417562005-05-25T04:00:00025 May 2005 04:00:00
[Table view]Agreement State Agreement State Report 2005-05-25T04:00:00 | |