ENS Event | |
|---|---|
05:00 Apr 19, 2021 | |
| Title | Medical Event |
| Event Description | The following was received from the Illinois Emergency Management Agency (the Agency) via email:
[The licensee] contacted the Agency this afternoon to report a medical underdose of Y-90 that occurred today, April 19, 2021. Although information provided was preliminary, no untoward medical impact is expected to the patient. [The] Radiation Safety Officer for the licensee contacted the Agency at 1515 CDT on April 19, 2021, to report a patient scheduled to receive Y-90 microsphere therapy (Theraspheres) for hepatocellular cancer received only 63 percent of the dose prescribed in the written directive. The Agency understands this to be one of three fractions delivered. Additional data is forthcoming. Reportedly, the underdosing was due to a leakage of Y-90 microspheres in the connection between the Therasphere tubing and the microcatheter. The leakage resulted in area and personnel contamination which was promptly and successfully addressed by on-site radiation safety staff. No skin doses are reported or anticipated. [The Agency] will dispatch staff to the site tomorrow for a reactionary inspection. 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. |
| Where | |
|---|---|
| Loyola University Medical Center Maywood, Illinois (NRC Region 3) | |
| License number: | IL-01131-02 |
| Organization: | Illinois Emergency Mgmt. Agency |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+12.88 h0.537 days <br />0.0767 weeks <br />0.0176 months <br />) | |
| Opened: | Gary Forsee 17:53 Apr 19, 2021 |
| NRC Officer: | Jeffrey Whited |
| Last Updated: | Apr 19, 2021 |
| 55199 - NRC Website | |
Loyola University Medical Center with Agreement State | |
WEEKMONTHYEARENS 581912026-03-11T19:00:00011 March 2026 19:00:00
[Table view]Agreement State Contamination Event ENS 554062021-08-13T05:00:00013 August 2021 05:00:00 Agreement State Medical Event ENS 553932021-08-02T05:00:0002 August 2021 05:00:00 Agreement State Medical Underdose Exceeding 20 Percent ENS 551992021-04-19T05:00:00019 April 2021 05:00:00 Agreement State Medical Event ENS 494842013-10-29T05:00:00029 October 2013 05:00:00 Agreement State Administration of Less than the Prescribed Dose to a Patient ENS 493332013-09-07T05:00:0007 September 2013 05:00:00 Agreement State Agreement State Report - Radiopharmaceutical Package Had External Contamination 2026-03-11T19:00:00 | |