ENS 55766

v t e ENS Event
05:00 Mar 3, 2022
Title	Agreement State - Underdose
Event Description	The following was received from the Commonwealth of Pennsylvania, Department of Environmental Protection (DEP) via e-mail: On March 3, 2022 a patient was receiving a Lutetium-177 (Lutatherar) treatment. During treatment, the vial lost pressure resulting in the inability to deliver the majority of the dose to the patient. Remedial measures were attempted, such as Dermabond and the addition of air, however, the procedure still could not continue, and it was terminated. No contamination was found outside of the delivery box. The prescribed dose was 200 milliCuries and it is estimated that the patient received 1.4 milliCuries. An investigation into the cause of the event is underway by the licensee. No adverse effects to the patient are noted at this time and the patient and prescribing physician have been informed. The DEP will update this event as soon as more information is provided. PA Event Report ID No: PA220009 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 55766 +/-
Where
Reading Hospital Reading, Pennsylvania (NRC Region 1)
License number:	PA-0023
Organization:	Pa Bureau Of Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+30.38 h1.266 days <br />0.181 weeks <br />0.0416 months <br />)
Opened:	John Chippo 11:23 Mar 4, 2022
NRC Officer:	Thomas Herrity
Last Updated:	Mar 4, 2022
55766 - NRC Website
v • d • e

v t e Emergency Notification System
Reading Hospital with Agreement State
WEEKMONTHYEAR2022-03-03T05:00:00 [Table view]
[ENS list for Reading Hospital]

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