ENS 50736

v t e 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.

ENS 50736 +/-
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
v • d • e

v t e Emergency Notification System
Saint Vincents Medical Center with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2015-01-14T18:30:00 [Table view]
[ENS list for Saint Vincents Medical Center]

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