ENS Event | |
|---|---|
18:30 Jan 14, 2015 | |
| Title | Medical Event Involving a Y-90 Sir-Sphere Under Dose |
| Event Description | Notification of a medical event that occurred on January 14, 2015 at 1330 EST, in which the Y-90 SIR-Sphere dose delivered to the patient's liver was less than the prescribed dose. The intended dose to the patient was 22 mCi, however the catheter disconnected during administration, resulting in a spill on the table which caused the underdose to the patient. It is estimated the patient received only 11.5 mCi or approximately 52% of intended dose and there was no harm to the patient.
The patient and prescribing physician have been informed and a follow-up treatment is planned. There was no contamination or exposure to other personal. 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 | |
|---|---|
| Saint Vincents Medical Center Bridgeport, Connecticut (NRC Region 1) | |
| License number: | 06-00843-03 |
| Organization: | Saint Vincents Medical Center |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+17.5 h0.729 days <br />0.104 weeks <br />0.024 months <br />) | |
| Opened: | Shawn Matthews 12:00 Jan 15, 2015 |
| NRC Officer: | John Shoemaker |
| Last Updated: | Jan 15, 2015 |
| 50736 - NRC Website | |
Saint Vincents Medical Center with 10 CFR 35.3045(a)(1) | |
WEEKMONTHYEARENS 507362015-01-14T18:30:00014 January 2015 18:30:00
[Table view]10 CFR 35.3045(a)(1) Medical Event Involving a Y-90 Sir-Sphere Under Dose 2015-01-14T18:30:00 | |