ENS Event | |
|---|---|
06:00 Jan 12, 2024 | |
| Title | Y-90 Incomplete Dose |
| Event Description | The following information was provided by the Louisiana Department of Environmental Quality (LA DEQ) via email:
This medical event was reported [to the LA DEQ] on January 13, 2024, at 2259 [CST]. On January 12, 2024, the licensee was performing a Y-90 brachytherapy medical procedure. A tubing failure (catheter) resulted in an incomplete dosing of the patient. The catheter became blocked up with the undelivered radiopharmaceutical Y-90. The Y-90 was contained within the administrating device's tubing. There was no spill involved. The Y-90 being used was TheraSphere from Boston Scientific. Approximately 23 percent of the radiopharmaceutical Y-90 was delivered to the patient. No effect on the individual was determined. The remainder of the prescribed dose will be administered to the patient at a later date. LA DEQ Event Report ID: LA20240001 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. |
| Where | |
|---|---|
| Ochsner Clinic Foundation New Orleans, Louisiana (NRC Region 4) | |
| License number: | LA-0002-L01, Amendment Number 98 |
| Organization: | Louisiana Radiation Protection Div |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+61.35 h2.556 days <br />0.365 weeks <br />0.084 months <br />) | |
| Opened: | James Pate 19:21 Jan 14, 2024 |
| NRC Officer: | Ernest West |
| Last Updated: | Jan 14, 2024 |
| 56926 - NRC Website | |
Ochsner Clinic Foundation with Agreement State | |
WEEKMONTHYEARENS 569262024-01-12T06:00:00012 January 2024 06:00:00
[Table view]Agreement State Y-90 Incomplete Dose ENS 537852018-12-07T06:00:0007 December 2018 06:00:00 Agreement State Agreement State Report - Potential Overexposure 2024-01-12T06:00:00 | |