ENS Event | |
|---|---|
08:00 Dec 18, 2025 | |
| Title | Medical Event |
| Event Description | The following information was provided by the Washington State Department of Health (the Department) via email:
On 12/19/2025, at 1647 PST, the Department was notified of a misadministration of a 200 mCi Lu-177 prostate-specific membrane antigen dose for a patient on a research protocol. During the infusion, there was some pressure buildup in the system causing an alarm from the infusion pump. The infusion was halted as a blockage was suspected in the intravenous line. After troubleshooting attempts, it was decided to attempt the manual syringe injection method, but during the manipulations there was concern that the vial's sterility was compromised and the remaining infusion was aborted. Imaging was immediately performed, and it was estimated that only 50-75 mCi was infused. A detailed report will follow within 15 days. Washington Incident Number: WA-25-019 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 | |
|---|---|
| Fred Hutchinson Cancer Center Seattle, Washington (NRC Region 4) | |
| License number: | WN-M0225 |
| Organization: | Wa Office Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+36.83 h1.535 days <br />0.219 weeks <br />0.0504 months <br />) | |
| Opened: | Dane Blakinger 20:50 Dec 19, 2025 |
| NRC Officer: | Josue Ramirez |
| Last Updated: | Dec 19, 2025 |
| 58095 - NRC Website
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Fred Hutchinson Cancer Center with Agreement State | |
WEEKMONTHYEARENS 580952025-12-18T08:00:00018 December 2025 08:00:00
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