ENS 55677

v t e ENS Event
08:00 Dec 23, 2021
Title	Underdosing of Patient with YTTRIUM-90 Microspheres
Event Description	The following was received from the state of Washington via email. The patient was scheduled to receive three doses of yttrium-90 microspheres [to the liver], but only the first two doses were successfully administered. However, it appears that only five percent of the final dose was administered, and the rest was caught up in the tubing from the vial. The exact radiation dose administered is not known at this time. The licensee will investigate this event further and provide a written report. Washington State Incident Number: WA-21-027 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 55677 +/-
Where
University Of Washington Seattle, Washington (NRC Region 4)
License number:	WN-C001-1
Organization:	Wa Office Of Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+107.72 h4.488 days <br />0.641 weeks <br />0.148 months <br />)
Opened:	James Killingbeck 19:43 Dec 27, 2021
NRC Officer:	Kerby Scales
Last Updated:	Dec 27, 2021
55677 - NRC Website
v • d • e

v t e Emergency Notification System
University Of Washington with Agreement State
WEEKMONTHYEAR2025-05-02T07:00:00 [Table view]
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