ENS 55892

v t e ENS Event
07:00 May 10, 2022
Title	Underdose Medical Event
Event Description	The following information was received via e-mail: The City of Hope Radiation Safety Officer contacted LA County Radiation Management (LA County) on May 10, 2022 to report a Medical Event that occurred on the same day at City of Hope in Duarte, CA. The patient was underdosed during a Selective Internal Radiation Therapy (SIRT) treatment for liver cancer that involved the administration of SIR-Spheres yttrium-90 (Y-90) resin microspheres. The prescribed dose to the patient was 10 mCi, but the dose delivered to the patient was only 6.42 mCi due to a leakage caused by a loose tubing connection. City of Hope will conduct an investigation to gain a better understanding of the details of the event." California 5010 Number: 051022 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 55892 +/-
Where
City Of Hope Duarte, California (NRC Region 4)
License number:	0307-19
Organization:	California Radiation Control Prgm
Reporting

Agreement State
Time - Person (Reporting Time:+16.95 h0.706 days <br />0.101 weeks <br />0.0232 months <br />)
Opened:	Robert Greger 23:57 May 10, 2022
NRC Officer:	Donald Norwood
Last Updated:	May 11, 2022
55892 - NRC Website
v • d • e

v t e Emergency Notification System
City Of Hope with Agreement State
WEEKMONTHYEAR2023-11-15T08:00:00 [Table view]
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