ENS Event | |
|---|---|
05:00 Feb 10, 2015 | |
| Title | Agreement State Report - Medical Event Involving the Administration of Y-90 Microspheres |
| Event Description | The following information was obtained from the Commonwealth of Pennsylvania via facsimile:
Notifications: The Department [Pennsylvania Department of Environmental Protection] was notified of this event on Wednesday, February 11, 2015. It is immediately reportable as per 10 CFR 35.3045(a)(1)(i). Event Description: A patient was receiving Y-90 Sirtex Sirspheres when the administering device failed and a portion of the dose was lost in the apparatus. The patient received 10.4 mCi, or 58% of the prescribed 17.82 mCi dose. Cause of the event: The device came apart during the procedure and the remainder of the dose was contained in the packaging. Actions: The Department plans a reactive inspection. Pennsylvania Event Report ID No: PA150004 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 | |
|---|---|
| Allegheny General Hospital Pittsburgh, Pennsylvania (NRC Region 1) | |
| License number: | PA-0031 |
| Organization: | Pa Bureau Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+53.63 h2.235 days <br />0.319 weeks <br />0.0735 months <br />) | |
| Opened: | Joe Melnic 10:38 Feb 12, 2015 |
| NRC Officer: | Howie Crouch |
| Last Updated: | Feb 12, 2015 |
| 50814 - NRC Website | |
Allegheny General Hospital with Agreement State | |
WEEKMONTHYEARENS 517742016-03-02T05:00:0002 March 2016 05:00:00
[Table view]Agreement State Agreement State Report - Contamination Event with Possible Shallow Dose Exceeding Federal Limits ENS 508142015-02-10T05:00:00010 February 2015 05:00:00 Agreement State Agreement State Report - Medical Event Involving the Administration of Y-90 Microspheres 2016-03-02T05:00:00 | |