ENS 53877

v t e ENS Event
05:00 Feb 13, 2019
Title	Agreement State Report - Administered Dose to Unintended Organs Results or Will Result in Unintended Permanent Damage
Event Description	The following was received from the Pennsylvania Department of Environmental Protection (DEP) Bureau of Radiation Protection via email: On February 13, 2019, the patient was prescribed 31.3 milliCuries (mCi) Yttrium-90 (Y-90) Sirsphere for metastatic colorectal cancer and 31.69 mCi was delivered at time of treatment. From the post Y-90 Bremsstrahlung scan, performed on the day of treatment, it was discovered by the nuclear medicine physician, that some of the Y-90 microspheres also traveled to the stomach and left lobe of liver. The doctor has informed the patient and the patient is being monitored for potential complications. The doctor is working to determine the percentage of the Y-90 that went to stomach and left lobe of liver. No more information is available at this time from the licensee. The DEP will update this event as soon as more information is provided. The DEP will perform a reactive inspection. The licensee reported this to the state per 10 CFR 35.3045 (b). Pennsylvania Report: PA190004 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 53877 +/-
Where
Albert Einstein Healthcare Network Philadelphia, Pennsylvania (NRC Region 1)
License number:	PA-0135
Organization:	Pa Bureau Of Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+54.78 h2.283 days <br />0.326 weeks <br />0.075 months <br />)
Opened:	Joshua Myers 11:47 Feb 15, 2019
NRC Officer:	Thomas Kendzia
Last Updated:	Feb 15, 2019
53877 - NRC Website
v • d • e

v t e Emergency Notification System
Albert Einstein Healthcare Network with Agreement State
WEEKMONTHYEAR2019-02-13T05:00:00 [Table view]
[ENS list for Albert Einstein Healthcare Network]

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