ENS 43491

v t e ENS Event
04:00 Jul 11, 2007
Title	Agreement State - Inadvertant Dose to Patient Gallbladder
Event Description	The State provided the following information via facsimile: On July 11 a SIR-Spheres procedure was performed to treat a carcinoma on the liver. After review of the CT images on July 12, the physicist believes that 20% of the dose went to the gallbladder (which sits on top of the liver). The doctor and patient were notified on July 12. Licensee will follow up with patient in future visits to determine if there is any gallbladder damage. This office was notified on July 13. Licensee will submit a written report. Florida is investigating. Typically, a sphere contains 2270 MBq of Y-90. 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 43491 +/-
Where
University Of Florida Gainesville, Florida (NRC Region 1)
License number:	0031-1
Organization:	Florida Bureau Of Rad Control
Reporting

Agreement State
Time - Person (Reporting Time:+59.88 h2.495 days <br />0.356 weeks <br />0.082 months <br />)
Opened:	George Snyder 15:53 Jul 13, 2007
NRC Officer:	Mark Abramovitz
Last Updated:	Jul 13, 2007
43491 - NRC Website
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v t e Emergency Notification System
University Of Florida with Agreement State
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