ENS 45246

v t e ENS Event
04:00 Aug 5, 2009
Title	Agreement State Report - Medical Dose Different than Prescribed
Event Description	During an embolization procedure delivering Yttrium-90 spheres to the liver an interruption occurred resulting in only 35 Gy of the 52 Gy prescribed dose being delivered. The interruption was due to unexpected contamination due to a leaking septum v-vial Contamination was contained in a container and did not enter the patient. The patient and referring physician will be notified. GA report number: 2009-09i. 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 45246 +/-
Where
Emory University Atlanta, Georgia (NRC Region 1)
License number:	GA 153-1
Organization:	Georgia Radioactive Material Pgm
Reporting

Agreement State
Time - Person (Reporting Time:+10.13 h0.422 days <br />0.0603 weeks <br />0.0139 months <br />)
Opened:	Irene Bennett 14:08 Aug 5, 2009
NRC Officer:	Pete Snyder
Last Updated:	Aug 5, 2009
45246 - NRC Website
v • d • e

v t e Emergency Notification System
Emory University with Agreement State
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