ENS Event | |
|---|---|
14:00 Oct 3, 2024 | |
| Title | |
| Event Description | The following information was provided by the licensee via phone:
A medical event involving Y-90 TheraSpheres occurred on 10/03/2024 at approximately 1000 EDT. A patient received an underdose of about 67 percent due to leakage at a connection point to the catheter. The following additional information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance: The leak appears to be caused from a crooked connection. Modifications are being made to the procedure to review the connections from different angles to assure alignment. 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 | |
|---|---|
| Christiana Hospital Newark, Delaware (NRC Region 1) | |
| License number: | 07-12153-02 |
| Organization: | Christiana Hospital |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+19.27 h0.803 days <br />0.115 weeks <br />0.0264 months <br />) | |
| Opened: | Carol Wen 09:16 Oct 4, 2024 |
| NRC Officer: | Natalie Starfish |
| Last Updated: | Oct 4, 2024 |
| 57362 - NRC Website | |
Christiana Hospital with 10 CFR 35.3045(a)(1) | |
WEEKMONTHYEARENS 573622024-10-03T14:00:0003 October 2024 14:00:00
[Table view]10 CFR 35.3045(a)(1) Medical Event - Y-90 Underdose 2024-10-03T14:00:00 | |