ENS 55199

v t e 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.

ENS 55199 +/-
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
v • d • e

v t e Emergency Notification System
Loyola University Medical Center with Agreement State
WEEKMONTHYEAR2021-08-02T05:00:00 [Table view]
[ENS list for Loyola University Medical Center]

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