ENS Event | |
|---|---|
04:00 Feb 26, 2025 | |
| Title | Medical Event |
| Event Description | The following is a summary of information provided by the New York City Department of Health via email:
On February 26, 2025, the licensee reported a dose administered differed by more than 20 percent of the prescribed dose. During an administration of Lu-177-PSMA [lutetium-177-prostate specific membrane antigen], the administration was stopped because it was determined that the patient's creatine level was significantly elevated. The administered activity was estimated as 49 mCi, out of an intended/prescribed activity of 162 mCi. New York Identification Number: NYC-25-0226. 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 | |
|---|---|
| Mount Sinai Medical Center New York City, New York (NRC Region 1) | |
| License number: | 75-2909-04 |
| Organization: | New York City Bureau Of Rad Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+631.82 h26.326 days <br />3.761 weeks <br />0.865 months <br />) | |
| Opened: | Erik Finkelstein 10:49 Mar 24, 2025 |
| NRC Officer: | Robert A. Thompson |
| Last Updated: | Mar 24, 2025 |
| 57621 - NRC Website | |
Mount Sinai Medical Center with Agreement State | |
WEEKMONTHYEARENS 576212025-02-26T04:00:00026 February 2025 04:00:00
[Table view]Agreement State Medical Event ENS 519912015-08-13T04:00:00013 August 2015 04:00:00 Agreement State Agreement State Report - Medical Underdose ENS 492682013-01-31T16:38:00031 January 2013 16:38:00 Agreement State Agreement State - Equipment Failure Resulted in No Prescribed Dose Delivered to Patient ENS 483492012-09-20T16:00:00020 September 2012 16:00:00 Agreement State Agreement State Report- Patient Underexposure Using Yttrium-90 Theraspheres Treatment ENS 492662012-09-20T04:00:00020 September 2012 04:00:00 Agreement State Agreement State - Patient Being Treated with Y-90 Theraspheres Received Only 9.5% of a Total Dose 2025-02-26T04:00:00 | |