ENS 57490

v t e ENS Event
17:00 Jan 10, 2025
Title	Medical Event
Event Description	The following was provided by the Utah Division of Waste Management and Radiation Control (the Department) via email: At 1000 MST, on 01/10/25, the Utah Cancer Specialists reported a medical event to the Department. A Patient was undergoing a Lutathera treatment (contains Lu-177). During treatment, the patient was to receive an amino acid infusion prior to the radiopharmaceutical administration, as per standard protocol. Initially, saline was started; however, the saline line remained clamped, preventing the amino acid infusion from commencing. Fifteen minutes after administering the radiopharmaceutical, it was observed that the amino acids had not been infused. Consequently, the Lutathera treatment was paused, the amino acid infusion was initiated, and subsequently, the Lutathera administration was completed. The following additional information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance: The prescribed activity was 200 mCi of Lu-177 to the patient. The dose estimate, which is still being evaluated, falls under 10 CFR 35.3045 Subpart M. Utah Event Report Number: UT250001 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 57490 +/-
Where
Utah Cancer Specialists Salt Lake City, Utah (NRC Region 4)
License number:	UT 1800491
Organization:	Utah Division Of Radiation Control
Reporting

Agreement State
Time - Person (Reporting Time:+-2.97 h-0.124 days <br />-0.0177 weeks <br />-0.00407 months <br />)
Opened:	Tim Butler 14:02 Jan 10, 2025
NRC Officer:	Natalie Starfish
Last Updated:	Jan 10, 2025
57490 - NRC Website
v • d • e

v t e Emergency Notification System
Utah Cancer Specialists with Agreement State
WEEKMONTHYEAR2025-01-10T17:00:00 [Table view]
[ENS list for Utah Cancer Specialists]

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