ENS 55267

v t e ENS Event
05:00 May 18, 2021
Title	Patient Underdose
Event Description	The following was received from the state of Minnesota via email: Only 48.63 Gy was delivered out of the 120 Gy prescribed to the patient [liver]. It appears that 1.8 GBq of the prescribed 2.95 GBq of Y-90 microspheres remained in the delivery device after removal from the patient. Only 1.15 GBq was delivered. Minnesota Event Report ID: MN-21-0003 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 55267 +/-
Where
Mayo Clinic Rochester, Minnesota (NRC Region 3)
License number:	1047 Amendment 21
Organization:	Minnesota Department Of Health
Reporting

Agreement State
Time - Person (Reporting Time:+58.57 h2.44 days <br />0.349 weeks <br />0.0802 months <br />)
Opened:	Tyler Kruse 15:34 May 20, 2021
NRC Officer:	Lloyd Desotell
Last Updated:	May 20, 2021
55267 - NRC Website
v • d • e

v t e Emergency Notification System
Mayo Clinic with Agreement State
WEEKMONTHYEAR2023-08-09T04:00:00 [Table view]
[ENS list for Mayo Clinic]

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