ENS 48349

v t e ENS Event
16:00 Sep 20, 2012
Title	Agreement State Report- Patient Underexposure Using Yttrium-90 Theraspheres Treatment
Event Description	New York City was notified by the licensee Radiation Safety Officer of a patient receiving an underdose of Yttrium-90 TheraSpheres for liver treatment. The prescribed dose was 120 gray, but only 11.4 gray was delivered to the patient. A review of the licensee's patient delivery system indicates that about 90% of the prescribed dosage remained in the catheter. 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 48349 +/-
Where
Mount Sinai Medical Center New York City, New York (NRC Region 1)
License number:	75-2909-01
Organization:	New York City Bureau Of Rad Health
Reporting

Agreement State
Time - Person (Reporting Time:+159.28 h6.637 days <br />0.948 weeks <br />0.218 months <br />)
Opened:	Tobias Lickerman 07:17 Sep 27, 2012
NRC Officer:	Vince Klco
Last Updated:	Sep 27, 2012
48349 - NRC Website
v • d • e

v t e Emergency Notification System
Mount Sinai Medical Center with Agreement State
WEEKMONTHYEAR2015-08-13T04:00:00 [Table view]
[ENS list for Mount Sinai Medical Center]

Navigation menu