ENS 55310

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v t e ENS Event
05:00 Jun 15, 2021
Title	Medical Event - Underdose
Event Description	The following was received from the Illinois Emergency Management Agency (the Agency) via email: University of Chicago Medical Center contacted the Agency on the afternoon of 6/15/21 to report a medical underdose of Lu-177 that occurred that day. Although information provided was preliminary, no untoward medical impact is expected to the patient. The Radiation Safety Officer (RSO) for the licensee contacted the Agency at approximately 1615 CDT on June 15, 2021, to report that a patient scheduled to receive 200 mCi of Lu-177, Lutathera therapy for neuroendocrine tumors, received only 68 percent of the dose prescribed (136 mCi) in the written directive. The underdosing was reportedly due to leakage in the adaptor/needle connection. No personnel or area contamination occurred. The licensee is still evaluating whether or not the remaining dose will be delivered at a future date. The RSO confirmed the patient and referring physician were notified within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. IEMA inspectors will perform a reactive inspection on June 17, 2021. The reporting requirements for the licensee, as specified in 32 Ill. Adm. Code 335.1080(c) were met, and the licensee is aware of the need for a written report within 15 days. This report will be updated once additional details become available on 6/17/21. Item Number: IL210019 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 55310 +/-
Where
University Of Chicago Hospital Chicago, Illinois (NRC Region 3)
License number:	IL-01678-02
Organization:	Illinois Emergency Mgmt. Agency
Reporting

Agreement State
Time - Person (Reporting Time:+32.17 h1.34 days <br />0.191 weeks <br />0.0441 months <br />)
Opened:	Gary Forsee 13:10 Jun 16, 2021
NRC Officer:	Jeffrey Whited
Last Updated:	Jun 16, 2021
55310 - NRC Website
v • d • e

v t e Emergency Notification System
University Of Chicago Hospital with Agreement State
WEEKMONTHYEAR2021-06-15T05:00:00 [Table view]
[ENS list for University Of Chicago Hospital]

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