ENS 53940

v t e ENS Event
07:00 Mar 14, 2019
Title	Agreement State - Under-Dosage to Patient
Event Description	The following was received via e-mail: On March 15, 2019, the University of California Los Angeles (UCLA) notified the Radiologic Health Branch that a medical event involving Y-90 TheraSphere had occurred on March 14, 2019. A patient was prescribed 120 Gy to the left lobe of their liver with Y-90 TheraSpheres. However, the authorized user (physician) was only able to deliver 80.9 Gy (67.4 percent of the prescribed dose) due to suspected complications with the delivery system. UCLA's Office of Environment, Health and Safety (EH&S) team will continue to investigate and notify the BTG Radiation Safety Officer (RSO) group to examine the delivery system. The patient was notified of the under-dosage and potential continuation of their treatment. The patient was discharged in a stable condition." CA 5010 No.: 031419 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.

ENS 53940 +/-
Where
Regents Of The University Of California, Los Angeles Los Angeles, California (NRC Region 4)
License number:	1335-19
Organization:	Ca Department Of Public Health
Reporting

Agreement State
Time - Person (Reporting Time:+34.62 h1.443 days <br />0.206 weeks <br />0.0474 months <br />)
Opened:	Donald Oesterle 17:37 Mar 15, 2019
NRC Officer:	Joanna Bridge
Last Updated:	Mar 15, 2019
53940 - NRC Website
v • d • e

v t e Emergency Notification System
Regents Of The University Of California, Los Angeles with Agreement State
WEEKMONTHYEAR2021-01-08T08:00:00 [Table view]
[ENS list for Regents Of The University Of California, Los Angeles]

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