ENS 51970
ENS Event | |
|---|---|
04:00 May 24, 2016 | |
| Title | Agreement State Report - Medical Underdose to the Left Lobe of Liver |
| Event Description | The following report was received from the New York State Department of Health, Bureau of Environmental Radiation Protection via facsimile:
Radiation safety staff from a hospital called on 5/24/2016 to report a medical event that meets the reportability criterion on the borderline. 79.5 percent of intended dose is believed to have been delivered to the left lobe of the liver of a patient receiving Y90 treatment. The patient had received treatment to the right lobe a month ago. The left lobe was smaller with small vessels. The waste measured after the procedure showed that only about 79 .5 percent had been delivered. The licensee usually is able to administer 95 percent of intended dose in this procedure. We were informed that since the amount retained in the device is about the same, smaller doses tend to show a greater percent in retained in the device. They will send a report within 7 days. NYS NRC Event Report ID No.: NYDOH-16-02 NY State Incident No.: 1146 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 | |
|---|---|
| Not Provided New York (NRC Region 1) | |
| Organization: | New York State Dept. Of Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+203.28 h8.47 days <br />1.21 weeks <br />0.278 months <br />) | |
| Opened: | Janaki Krishnamoorthy 15:17 Jun 1, 2016 |
| NRC Officer: | Jeff Herrera |
| Last Updated: | Jun 1, 2016 |
| 51970 - NRC Website | |
Not Provided with Agreement State | |
WEEKMONTHYEARENS 550062020-11-23T04:00:00023 November 2020 04:00:00
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