ENS Event | |
|---|---|
04:00 Mar 10, 2014 | |
| Title | Agreement State Report - Medical Event Involving Yttium-90 |
| Event Description | The following information was provided by the State of Pennsylvania via email:
Event type: [On March 10, 2014], A medical event involving the administration of yttrium-90 (Y-90) SirSpheres which is reportable under 10CFR35.3045(a)(3). Specifically, the licensee reported that an unintended organ received, as of yet, an undetermined dose during a prescribed treatment. Notifications: On March 10, 2014, the Department [PA Department of Environmental Protection] received notification about this medical event. Event Description: The patient underwent a Y-90 microsphere treatment. A gastric ulcer developed seemingly as a result of spheres migrating to the stomach. Cause of the Event: Non-target flow of microspheres through an aberrant hepatic arterial vasculature supplying the stomach. Actions: Details of the event are being developed. Further information will be given when received. The Department plans to do a reactive inspection. PA Report ID NO: PA-140007 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. |
| Where | |
|---|---|
| Abington Memorial Hospital Abington, Pennsylvania (NRC Region 1) | |
| License number: | PA-0055 |
| Organization: | Pa Bureau Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+29.67 h1.236 days <br />0.177 weeks <br />0.0406 months <br />) | |
| Opened: | Joe Melnic 09:40 Mar 11, 2014 |
| NRC Officer: | Jeff Rotton |
| Last Updated: | Mar 11, 2014 |
| 49892 - NRC Website | |
Abington Memorial Hospital with Agreement State | |
WEEKMONTHYEARENS 498922014-03-10T04:00:00010 March 2014 04:00:00
[Table view]Agreement State Agreement State Report - Medical Event Involving Yttium-90 ENS 494502013-05-07T04:00:0007 May 2013 04:00:00 Agreement State Agreement State Report - Medical Event Involving the Administration of an Under-Dose to a Patient 2014-03-10T04:00:00 | |