ENS 52460

v t e ENS Event
08:00 Dec 22, 2016
Title	Agreement State Report - Medical Undersose
Event Description	The following report was received via e-mail: On December 22, 2016, UCLA's alternate RSO for UCLA sent an e-mail to an RHB ICE inspector for the Radiologic Health Branch [RHB] to report a medical event, per 10 CFR 35.3045. A patient with metastatic sarcoma of the liver was treated by an authorized user at the medical center with Sirtex SIR-spheres containing yttrium-90 (Y-90) on December 22, 2016. A post treatment dose assessment was completed by radiation safety personnel. The authorized user prescribed 0.2 GBq (5.49 mCi) of Y-90 SIR-spheres to the left lobe of the patient's liver, but only 4.07 mCi or 74.1% was delivered. This underdose of 25.9 % caused a medical event to be reported. The patient was also treated with Y-90 SIR-spheres to the right lobe of the liver in compliance with the physician's written directive. The patient was notified by the physician and UCLA's radiation safety office is investigating the cause of the event. California event: 122216 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 52460 +/-
Where
Regents Of The University Of California, Los Angeles Los Angeles, California (NRC Region 4)
License number:	1335-19
Organization:	California Radiation Control Prgm
Reporting

Agreement State
Time - Person (Reporting Time:+32.5 h1.354 days <br />0.193 weeks <br />0.0445 months <br />)
Opened:	K. Harkness 16:30 Dec 23, 2016
NRC Officer:	Mark Abramovitz
Last Updated:	Dec 23, 2016
52460 - NRC Website
v • d • e

v t e Emergency Notification System
Regents Of The University Of California, Los Angeles with Agreement State
WEEKMONTHYEAR2021-01-08T08:00:00 [Table view]
[ENS list for Regents Of The University Of California, Los Angeles]

Navigation menu