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The following is a summary of the informatThe following is a summary of the information provided by the Washington State Department of Health Office of Radiation Protection (Department) via email:</br>At 1651 PST, the Department was notified of the misadministration of a 200 mCi Lu-177 prostate membrane specific antigen dose for a patient on a research protocol. The dose was administered using an infusion pump. The principal investigator (PI) of the study was present for the administration and verified the dose. The PI is an authorized user on the license. </br>The pump began malfunctioning shortly after the infusion began. There were attempts to reset the pump and change the pump and patient catheter lines, but the situation did not improve. The decision was made to abort the procedure due to the ongoing difficulties. It is believed that the infusion lines failed due to blockage or pressure buildup, which caused the pump to alarm. </br>A small amount of contamination was noted on the infusion pump stand, on a side table that held the infusion lines, as well as near the sink in the room, likely due to initial decontamination efforts. The room was easily decontaminated and reopened.</br>Residuals measured from the remaining vial and tubing totaled approximately 145 mCi. The patient had imaging immediately after the aborted infusion that confirmed some administration of the drug was successful, which was estimated at 55 mCi. This represents 27.5 percent of the prescribed dose injected.</br>The research protocol includes an additional dose. Patient protocols are being reviewed for possible changes.</br>A detailed report will follow within 15 days.</br>WA incident number: WA-25-015</br>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.necessarily result in harm to the patient.  +
00:51:00, 20 November 2025  +
14:10:00, 19 November 2025  +
00:51:00, 20 November 2025  +
The following is a summary of the informatThe following is a summary of the information provided by the Washington State Department of Health Office of Radiation Protection (Department) via email:</br>At 1651 PST, the Department was notified of the misadministration of a 200 mCi Lu-177 prostate membrane specific antigen dose for a patient on a research protocol. The dose was administered using an infusion pump. The principal investigator (PI) of the study was present for the administration and verified the dose. The PI is an authorized user on the license. </br>The pump began malfunctioning shortly after the infusion began. There were attempts to reset the pump and change the pump and patient catheter lines, but the situation did not improve. The decision was made to abort the procedure due to the ongoing difficulties. It is believed that the infusion lines failed due to blockage or pressure buildup, which caused the pump to alarm. </br>A small amount of contamination was noted on the infusion pump stand, on a side table that held the infusion lines, as well as near the sink in the room, likely due to initial decontamination efforts. The room was easily decontaminated and reopened.</br>Residuals measured from the remaining vial and tubing totaled approximately 145 mCi. The patient had imaging immediately after the aborted infusion that confirmed some administration of the drug was successful, which was estimated at 55 mCi. This represents 27.5 percent of the prescribed dose injected.</br>The research protocol includes an additional dose. Patient protocols are being reviewed for possible changes.</br>A detailed report will follow within 15 days.</br>WA incident number: WA-25-015</br>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.necessarily result in harm to the patient.  +
Has query"Has query" is a predefined property that represents meta information (in form of a <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Subobject">subobject</a>) about individual queries and is provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a>.
00:00:00, 19 November 2025  +
WN-M0225  +
Modification date"Modification date" is a predefined property that corresponds to the date of the last modification of a subject and is provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a>.
12:20:03, 28 November 2025  +
14:10:00, 19 November 2025  +
-0.445 d (-10.68 hours, -0.0636 weeks, -0.0146 months)  +
00:51:00, 20 November 2025  +
Medical Event  +
URL"URL" is a <a href="/Special:Types/URL" title="Special:Types/URL">type</a> and predefined property provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a> to represent URI/URL values.