ENS Event | |
|---|---|
15:00 Jul 26, 2005 | |
| Title | Medical Event - Dose Less than Prescribed During Medical Treatment |
| Event Description | A patient being treated for liver cancer was scheduled to be administered two SIR-spheres treatments (SIR-spheres utilizes radioactive micro-spheres that contain yttrium-90). The first treatment was prescribed as 0.46 GBq (GigaBecquerels) of Y-90. Due to difficulty in determining how much of the Y-90 remained in the vial and the injection catheter, the licensee has determined that only 0.25 GBq were administered in the first treatment dose. The patient will be given a second treatment that takes into consideration the actual amount administered on the first treatment.
The licensee notes that the fraction of Y-90 administered differs from the prescribed dose by 46%. The regulatory criteria under 10 CFR 35.3045(a)(1)(iii) states that the reportability criteria is 50% or greater. The licensee has elected to conservatively report this event since it is close to the regulatory criteria. |
| Where | |
|---|---|
| Saint Luke Hospital Bethlehem, Pennsylvania (NRC Region 1) | |
| License number: | 37-07939-01 |
| Organization: | Saint Luke Hospital |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+68.87 h2.87 days <br />0.41 weeks <br />0.0943 months <br />) | |
| Opened: | Tianyou Xue 11:52 Jul 29, 2005 |
| NRC Officer: | Bill Huffman |
| Last Updated: | Jul 29, 2005 |
| 41880 - NRC Website | |
Saint Luke Hospital with 10 CFR 35.3045(a)(1) | |
WEEKMONTHYEARENS 418802005-07-26T15:00:00026 July 2005 15:00:00
[Table view]10 CFR 35.3045(a)(1) Medical Event - Dose Less than Prescribed During Medical Treatment 2005-07-26T15:00:00 | |