ENS 55157

v t e ENS Event
18:00 Mar 26, 2021
Title	Medical Event Report - Underdosage
Event Description	The following was received from the Ohio Radioactive Materials Program via email: On Friday March 26, 2021 at approximately 1400 [EDT], a patient was treated with a single dose of Yttrium-90 Theraspheres. Following the procedure, the licensee determined that 76.1 percent of the prescribed dose was delivered to the patient based upon post treatment surveys of the catheter, tubing and other waste. No contamination was detected on the delivery system or in the room post procedure. No staff members were contaminated and there was no harm to the patient. The patient and referring physician were notified. Ohio NMED Report: OH210002 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 55157 +/-
Where
Cleveland Clinic Foundation Cleveland, Ohio (NRC Region 3)
License number:	02110180013
Organization:	Ohio Bureau Of Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+63.17 h2.632 days <br />0.376 weeks <br />0.0865 months <br />)
Opened:	Michael J Rubadue 09:10 Mar 29, 2021
NRC Officer:	Lloyd Desotell
Last Updated:	Mar 29, 2021
55157 - NRC Website
v • d • e

v t e Emergency Notification System
Cleveland Clinic Foundation with Agreement State
WEEKMONTHYEAR2021-03-26T18:00:00 [Table view]
[ENS list for Cleveland Clinic Foundation]

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