ENS 50074: Difference between revisions
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| event date = 04/24/2014 EDT | | event date = 04/24/2014 EDT | ||
| last update date = 05/09/2014 | | last update date = 05/09/2014 | ||
| title = Agreement State Report - Second Scheduled Medical Dose Not Delivered Due | | title = Agreement State Report - Second Scheduled Medical Dose Not Delivered Due to Equipment Failure | ||
| event text = The following information was provided by the State of Virginia via facsimile: | | event text = The following information was provided by the State of Virginia via facsimile: | ||
On April 24, 2014, the licensee performed a two part therapy procedure using yttrium-90 microspheres (Sirtex SirSpheres). The procedure was to treat the same lobe of the liver via two different arterial pathways. There were no problems with the first injection, but the second injection failed and none of the yttrium-90 was delivered to the patient. The licensee determined that the failure occurred because of a faulty Surefire Medical catheter. The authorized user decided not to repeat the administration of the second dose but will treat the region with an alternate method. The licensee indicated that the prescribed dosage for the first injection was 11.7 millicuries and that 12.7 millicuries (27,500 rem to the target region of the loft lobe) was delivered. The prescribed dosage for the second injection was 8.3 millicuries (to give a dose of 26,200 rem to the targeted region) but no activity was delivered. This resulted in a medical event for the second injection (or fraction) as well as for the entire procedure. | On April 24, 2014, the licensee performed a two part therapy procedure using yttrium-90 microspheres (Sirtex SirSpheres). The procedure was to treat the same lobe of the liver via two different arterial pathways. There were no problems with the first injection, but the second injection failed and none of the yttrium-90 was delivered to the patient. The licensee determined that the failure occurred because of a faulty Surefire Medical catheter. The authorized user decided not to repeat the administration of the second dose but will treat the region with an alternate method. The licensee indicated that the prescribed dosage for the first injection was 11.7 millicuries and that 12.7 millicuries (27,500 rem to the target region of the loft lobe) was delivered. The prescribed dosage for the second injection was 8.3 millicuries (to give a dose of 26,200 rem to the targeted region) but no activity was delivered. This resulted in a medical event for the second injection (or fraction) as well as for the entire procedure. | ||
Latest revision as of 20:50, 1 March 2018
| Where | |
|---|---|
| Sentara Norfolk General Hospital Norfolk, Virginia (NRC Region 1) | |
| License number: | 710-189-1 |
| Organization: | Virginia Rad Materials Program |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+155.43 h6.476 days <br />0.925 weeks <br />0.213 months <br />) | |
| Opened: | Charles Coleman 15:26 Apr 30, 2014 |
| NRC Officer: | Jeff Rotton |
| Last Updated: | May 9, 2014 |
| 50074 - NRC Website | |