ENS Event | |
|---|---|
07:00 Jul 30, 2014 | |
| Title | Agreement State Report - Patient Received Less than Prescribed Dose |
| Event Description | The following report was received from the California Department of Public Health via email:
[The licensee reported to the State of California that a] patient [was] receiving Y-90 treatment to the right lobe of liver with Theraspheres. (10CFR35.1000). The prescribed dose was 100-150 Gray, actual dose received was 63.4 Gray. The targeting vessel was 'flowing slowly' causing Theraspheres to 'settle out' prior to reaching target. Preliminary findings suggest that the underdose was due to the physical condition of patient, not through any fault of the medical physicist or licensee. No adverse outcomes are expected for the patient. Medical physicist and physicians [are] evaluating whether or not retreatment is necessary. California Report Number: 073014. 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 | |
|---|---|
| The Regents Of The University Of Ca Irvine Orange, California (NRC Region 4) | |
| License number: | 0278-30 |
| Organization: | California Radiation Control Prgm |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+30.12 h1.255 days <br />0.179 weeks <br />0.0413 months <br />) | |
| Opened: | Donald Oesterle 13:07 Jul 31, 2014 |
| NRC Officer: | John Shoemaker |
| Last Updated: | Jul 31, 2014 |
| 50330 - NRC Website | |
The Regents Of The University Of Ca Irvine with Agreement State | |
WEEKMONTHYEARENS 503302014-07-30T07:00:00030 July 2014 07:00:00
[Table view]Agreement State Agreement State Report - Patient Received Less than Prescribed Dose 2014-07-30T07:00:00 | |