ENS Event | |
|---|---|
05:00 Apr 6, 2021 | |
| Title | Medical Event |
| Event Description | The following was received from the Texas Department of State Health Services via email:
On April 7, 2021, the licensee reported that a significant amount of Y-90 Theraspheres leaked out of the connection between the tubing and the catheter during a therapeutic procedure in which 24 mCi (a prescribed dose of 200 Gy) was to be delivered to the liver. The liquid was observed dripping out of the connection between the patient catheter and tubing onto the towels and drapings. The dose to skin of patient and worker cleaning up is not known because of the apparently large amount of contaminated towels and such. The [Radiation Safety Officer] RSO will attempt to address this and the cause in the coming days as the activity decreases. The RSO reports that both the patient and patient's physician were notified within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />. More information will be provided as it is obtained in accordance with SA-300. Texas Incident #: I-9837 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 | |
|---|---|
| Chi St. Luke'S Health Baylor College Of Medicine Houston, Texas (NRC Region 4) | |
| License number: | L-06661 |
| Organization: | Texas Dept Of State Health Services |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+35.77 h1.49 days <br />0.213 weeks <br />0.049 months <br />) | |
| Opened: | Randall Redd 16:46 Apr 7, 2021 |
| NRC Officer: | Jeffrey Whited |
| Last Updated: | Apr 7, 2021 |
| 55176 - NRC Website | |
Chi St. Luke'S Health Baylor College Of Medicine with Agreement State | |
WEEKMONTHYEARENS 551762021-04-06T05:00:0006 April 2021 05:00:00
[Table view]Agreement State Medical Event 2021-04-06T05:00:00 | |