ENS 57393

v t e ENS Event
04:00 Oct 22, 2024
Title	Medical Underdose
Event Description	The following information was provided by the Pennsylvania Department Bureau of Radiation Protection (the Department) via email: On October 23, 2024, the licensee informed the Department of a medical event involving a treatment with SirSpheres. It is reportable per 10 CFR 35.3045. On October 22, 2024, a patient was receiving a SirSphere treatment. During the course of administration of the Y-90 spheres, the microcatheter became blocked, and the procedure was stopped. The remaining dose/waste was assessed, and it was calculated that the patient received approximately 30 mCi out of a prescribed 50 mCi. This represents an approximate 40 percent underdose. The authorized user (AU) was satisfied with that amount, believing it to be therapeutic and does not expect any harmful effects to the patient. Both the patient and AU were notified. The Department will perform a reactive inspection. More information will be provided as received. Event Report ID No: PA240020 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 57393 +/-
Where
Geisinger Health System Danville, Pennsylvania (NRC Region 1)
License number:	PA-0006
Organization:	Pa Bureau Of Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+27.95 h1.165 days <br />0.166 weeks <br />0.0383 months <br />)
Opened:	John S. Chippo 07:57 Oct 23, 2024
NRC Officer:	Karen Cotton-Gross
Last Updated:	Oct 23, 2024
57393 - NRC Website
v • d • e

v t e Emergency Notification System
Geisinger Health System with Agreement State
WEEKMONTHYEAR2024-10-22T04:00:00 [Table view]
[ENS list for Geisinger Health System]

Navigation menu