ENS 47093

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v t e ENS Event
16:00 Jul 21, 2011
Title	Agreement State Report - Medical Event Involving Exposure Less than Prescribed
Event Description	The following information was received from the State of Pennsylvania Department of Environmental Protection Bureau of Radiation Protection via e-mail: Event Type: A medical event (ME) where the patient was being treated via [Yttrium - 90] TheraSphere for disease of the liver and received 64% of the intended dose, which is reportable under 10CFR35.3045. Notifications: On July 22, 2011, at 1541 [EDT] the department's [PA Bureau of Radiation Protection] Southeast Regional Office received notification via email about a ME that was identified during a routine internal audit. Event Description: As noted, the event was identified on July 21, 2011, during a routine internal audit by U Penn. The patient was being treated for disease of the liver and received 64% of the intended dose. No harm to the patient is expected. The treating physician notified the patient. No more information is available at this time. Cause of the Event: The cause of the event is currently under investigation by the licensee. Actions: The licensee will be submitting a written report within 15 days. The department [PA Bureau of Radiation Protection] plans to do a reactive inspection. The actual event date is unknown based on the state's report. PA Event Report: PA110019 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 47093 +/-
Where
University Of Pennsylvania Hospital Philadelphia, Pennsylvania (NRC Region 1)
License number:	PA-0131
Organization:	Pa Bureau Of Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+94.08 h3.92 days <br />0.56 weeks <br />0.129 months <br />)
Opened:	David Allard 14:05 Jul 25, 2011
NRC Officer:	Bill Huffman
Last Updated:	Jul 25, 2011
47093 - NRC Website
v • d • e

v t e Emergency Notification System
University Of Pennsylvania Hospital with Agreement State
WEEKMONTHYEAR2011-07-21T16:00:00 [Table view]
[ENS list for University Of Pennsylvania Hospital]

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