ENS 54004

v t e ENS Event
07:00 Apr 16, 2019
Title	Agreement State Report - Unable to Inject Full Prescribed Dose During Medical Treatment
Event Description	The following was received via e-mail: On April 16, 2019, the Department [Arizona Department of Radiation Control] received notification from the licensee [Banner University Medical Center - Tucson] of a possible medical event involving yttrium-90 radiolabeled glass microspheres (Therasphere). The pre-treatment calibration measured an activity of 2.91 GBq and the post-treatment calibration measured 2.65 GBq. The patient was being treated for a hepatocellular carcinoma in the left hepatic lobe, segment II. The Department has requested additional information and continues to investigate the event." Additional information from call to licensee Radiation Safety Officer: During injection of the prescribed dose to the patient, backpressure during the injection prevented injecting the full dose, with 2.65 GBq of a prescribed dose of 2.91 GBq not delivered (24 percent was delivered). Arizona Incident 19-006 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 54004 +/-
Where
Banner University Medical Center - Tucson Tucson, Arizona (NRC Region 4)
License number:	10-044
Organization:	Arizona Radiation Regulatory Agency
Reporting

Agreement State
Time - Person (Reporting Time:+16.57 h0.69 days <br />0.0986 weeks <br />0.0227 months <br />)
Opened:	Brian D. Goretzki 23:34 Apr 16, 2019
NRC Officer:	Thomas Kendzia
Last Updated:	Apr 17, 2019
54004 - NRC Website
v • d • e

v t e Emergency Notification System
Banner University Medical Center - Tucson with Agreement State
WEEKMONTHYEAR2020-12-11T07:00:00 [Table view]
[ENS list for Banner University Medical Center - Tucson]

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