ENS 51843

v t e ENS Event
14:30 Apr 1, 2016
Title	Medical Event - Dose 75% of Prescribed Dose
Event Description	A patient was receiving a Y-90 Therasphere treatment to the cancer patient's liver. During the infusion, there was resistance in the tubing. The tubing was disconnected, flushed with a saline solution, and then reattached to the transfer system. The company representative was present during the procedure. After the procedure, the residual activity in the waste was determined to be approximately 25 percent of the total activity. The intended dose to the treatment area was 125 Gy with the actual dose being 94.8 Gy. The prescribing physician and the patient will be notified. 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 51843 +/-
Where
Christiana Care Health System Newark, Delaware (NRC Region 1)
License number:	07-12153-02
Organization:	Christiana Care Health System
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+-0.55 h-0.0229 days <br />-0.00327 weeks <br />-7.5339e-4 months <br />)
Opened:	Carol Wen 13:57 Apr 1, 2016
NRC Officer:	Mark Abramovitz
Last Updated:	Apr 1, 2016
51843 - NRC Website
v • d • e

v t e Emergency Notification System
Christiana Care Health System with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2016-04-01T14:30:00 [Table view]
[ENS list for Christiana Care Health System]

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