ENS 55107

v t e ENS Event
17:40 Feb 18, 2021
Title	Non-Agreement State Report - Radiopharmeceutical Under Dose
Event Description	The following was received via phone from the licensee: At 1040 MST, on 2/18/21, a patient received less than the prescribed dose of 130 gray to the liver due to the catheter and device connection coming apart. The isotope was Y-90 glass microspheres. The calculated dose to the patient was 62.2 gray (47.9 percent of the prescribed dose). All non-delivered material was collected in the catheter and on absorbent material for decay and return to the manufacturer. The patient was notified of the under dose. 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 55107 +/-
Where
Kootenai Health Coeur D`Alene, Idaho (NRC Region 4)
License number:	11-27307-01
Organization:	Kootenai Health
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+-0.63 h-0.0263 days <br />-0.00375 weeks <br />-8.62974e-4 months <br />)
Opened:	Rhonda Powell 17:02 Feb 18, 2021
NRC Officer:	Bethany Cecere
Last Updated:	Feb 18, 2021
55107 - NRC Website
v • d • e

v t e Emergency Notification System
Kootenai Health with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2021-05-20T17:43:00 [Table view]
[ENS list for Kootenai Health]

Navigation menu