ENS 53241

v t e ENS Event
05:00 Feb 22, 2018
Title	Agreement State Report - Medical Event
Event Description	The following information was obtained from the State of Georgia via email: On February 19, 2018, a patient was being treated with Y-90 SIR-Spheres. The targeted site was the liver. The prescribed dose was 39 mCi. The procedure appeared to go normally. A follow-up was performed on the same day. The physician thought the scan indicated there was no significant loss of material. On February 22, 2018, another intervention radiologist re-read the scan and noted approximately 30% entered the abdominal wall. On February 23, 2018, the patient was seen and complained of pain and reddening of the skin. The patient went through additional test to determine the cause. The RSO was notified on March 1, 2018 of the incident. The patient, physician, and manufacture were notified of the incident. The licensee will submit a more detailed report to determine the root cause, difference between the prescribed and delivered dose, dose to target organ and non-target organ. 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 53241 +/-
Where
Cartersville Medical Center Cartersville, Georgia (NRC Region 1)
License number:	796-1
Organization:	Georgia Radioactive Material Pgm
Reporting

Agreement State
Time - Person (Reporting Time:+202.22 h8.426 days <br />1.204 weeks <br />0.277 months <br />)
Opened:	Irene Bennett 15:13 Mar 2, 2018
NRC Officer:	Howie Crouch
Last Updated:	Mar 2, 2018
53241 - NRC Website
v • d • e

v t e Emergency Notification System
Cartersville Medical Center with Agreement State
WEEKMONTHYEAR2018-02-22T05:00:00 [Table view]
[ENS list for Cartersville Medical Center]

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