ENS 55587

v t e ENS Event
16:00 Nov 16, 2021
Title	NON-AGREEMENT State Report - Under Dose
Event Description	The following is a synopsis of a report from the licensee: On November 16, 2021 at approximately 1100 (EST) while delivering a Y-90 Thermosphere treatment to the liver, the vial septum failed under pressure. This resulted in not all the dose being delivered to the patient. The prescribed dose was 35.1 millicuries. The delivered dose was 14.4 millicuries. All the delivered dose was to the correct organ. No deleterious effects to the patient are expected. 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 55587 +/-
Where
Community Health Network Indianapolis, Indiana (NRC Region 3)
License number:	13-06009-01
Organization:	Community Health Network
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+24.88 h1.037 days <br />0.148 weeks <br />0.0341 months <br />)
Opened:	Erin Bell 16:53 Nov 17, 2021
NRC Officer:	Thomas Herrity
Last Updated:	Nov 17, 2021
55587 - NRC Website
v • d • e

v t e Emergency Notification System
Community Health Network with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2021-11-16T16:00:00 [Table view]
[ENS list for Community Health Network]

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