ENS 56512

v t e ENS Event
04:00 May 8, 2023
Title	Potential Medical Event
Event Description	The following information was provided by the licensee via phone and email: In accordance with 10 CFR 35.3045, [Henry Ford Hospital is] reporting a potential medical event. On May 8, 2023, a patient was treated with Y-90 TheraSpheres. The total activity prescribed in the written directive was 11.5 mCi to the left lobe of the liver and 11.37 mCi was delivered (99.2 percent). The therapeutic dose was prescribed to be delivered to segment 4 of the left lobe of the liver. During treatment, the position of the catheter was verified and was determined by the physician to be in the correct position. However, post-treatment bremsstrahlung imaging reviewed today on 5/9/2023 indicated some activity was shunted unexpectedly to segments 2 and 3 of the left lobe of the liver. Based on preliminary calculations, this discrepancy could be categorized as a medical event. * * RETRACTION FROM ALAN JACKSON TO BILL GOTT AT 0907 EDT ON 05/10/2023 * * * The following information was provided by the licensee via phone: Since the exposure was due to shunting, the licensee determined that this event is not reportable in accordance with the licensing guide. This event is being retracted. Notified R3DO (Feliz-Adorno), NMSS (Rivera-Capella), and NMSS Events Notification. 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 56512 +/- *RETRACTED*
Where
Henry Ford Hospital Detroit, Michigan (NRC Region 3)
License number:	21-04109-16
Organization:	Henry Ford Hospital
Reporting

10 CFR 35.3045(a)(2)
Time - Person (Reporting Time:+35.67 h1.486 days <br />0.212 weeks <br />0.0489 months <br />)
Opened:	Alan Jackson 15:40 May 9, 2023
NRC Officer:	Ian Howard
Last Updated:	May 10, 2023
56512 - NRC Website
v • d • e

v t e Emergency Notification System
Henry Ford Hospital with 10 CFR 35.3045(a)(2)
WEEKMONTHYEAR2023-07-11T21:00:00 [Table view]
[ENS list for Henry Ford Hospital]

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