ENS 56309

v t e ENS Event
18:45 Jan 11, 2023
Title	Medical Event - Patient Underdose
Event Description	The following information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance: On January 11, 2023, a patient was administered a Y-90 Therasphere treatment to segments 5 and 8 of the liver. The prescribed dose was intended to be 1.377 GBq. The patient only received a dose of 0.903 GBq. At the time of notification, the licensee suspects that a low flow rate caused an occlusion in the catheter, resulting in less than the prescribed dose of Y-90 being administered to the patient. There were no reported adverse effects for the patient. 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 56309 +/-
Where
Georgetown Hospital Washington, District Of Columbia (NRC Region 1)
License number:	08-30577-01
Organization:	Georgetown Hospital
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+13.68 h0.57 days <br />0.0814 weeks <br />0.0187 months <br />)
Opened:	Matt Williams 08:26 Jan 12, 2023
NRC Officer:	Mike Stafford
Last Updated:	Jan 12, 2023
56309 - NRC Website
v • d • e

v t e Emergency Notification System
Georgetown Hospital with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2023-01-11T18:45:00 [Table view]
[ENS list for Georgetown Hospital]

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