ENS 47832

v t e ENS Event
05:00 Apr 11, 2012
Title	Agreement State Report - Underdose to Patient Receiving Yttrium-90 Microspheres Treatment
Event Description	The following information was sent by the State of Texas via email: On April 13, 2012, the Agency [Texas Department of Health] was notified by the licensee that a therapy event had occurred on April 11, 2012. A patient was prescribed 105 grays using Yttrium-90 microspheres. The patient received only 77.4 grays. The licensee stated that the reduced exposure was because a flow clamp was not in the fully opened position allowing microspheres to plate out in the flow tube instead of being administered to the patient. The licensee stated that there were no adverse effects on the patient. Additional information will be provided as it is received in accordance with SA-300. Texas Report No: I-8948 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 47832 +/-
Where
University Of Texas Md Anderson Cancer Houston, Texas (NRC Region 4)
License number:	00466
Organization:	Texas Department Of Health
Reporting

Agreement State
Time - Person (Reporting Time:+56.58 h2.358 days <br />0.337 weeks <br />0.0775 months <br />)
Opened:	Art Tucker 13:35 Apr 13, 2012
NRC Officer:	John Knoke
Last Updated:	Apr 13, 2012
47832 - NRC Website
v • d • e

v t e Emergency Notification System
University Of Texas Md Anderson Cancer with Agreement State
WEEKMONTHYEAR2012-04-11T05:00:00 [Table view]
[ENS list for University Of Texas Md Anderson Cancer]

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