ENS Event | |
|---|---|
04:00 Sep 6, 2024 | |
| Title | |
| Event Description | The following information was provided by the New Jersey Department of Environmental Protection (NJDEP) via email:
The licensee was scheduled to administer a Y-90 SIR-Sphere therapy to a patient. There was a tubing failure, and the administration was suspended. It is estimated that only 59 percent of the prescribed activity was administered. The patient has been re-scheduled. The licensee will follow-up with a full written report. The intended Y-90 SIR-Sphere therapy activity was 13.5 mCi, and the administered activity was 7.99 mCi. The target organ was the liver. The licensee is investigating. The root cause(s) and contributing factors will be addressed in a full report. Follow-up actions are to be determined. NJ Event Report ID number: To be determined. 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 | |
|---|---|
| Virtua Our Lady Of Lourdes Hospital Camden, New Jersey (NRC Region 1) | |
| License number: | 329968 |
| Organization: | Nj Rad Prot And Rel Prevention Pgm |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+10.8 h0.45 days <br />0.0643 weeks <br />0.0148 months <br />) | |
| Opened: | Richard Peros 14:48 Sep 6, 2024 |
| NRC Officer: | Josue Ramirez |
| Last Updated: | Sep 6, 2024 |
| 57309 - NRC Website | |
Virtua Our Lady Of Lourdes Hospital with Agreement State | |
WEEKMONTHYEARENS 573092024-09-06T04:00:0006 September 2024 04:00:00
[Table view]Agreement State Y-90 Underdose 2024-09-06T04:00:00 | |