ENS 49892

v t e 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.

ENS 49892 +/-
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
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Abington Memorial Hospital with Agreement State
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