ENS 54782
From kanterella
ENS Event | |
|---|---|
13:15 Jul 14, 2020 | |
| Title | Agreement State Report - Therasphere Procedure Underdose |
| Event Description | The following information was received via E-mail:
On 7/15/2020, at 1340 EDT, the licensee reported that yesterday, 7/14/2020, sometime between 0915 and 0930 EDT, a male patient receiving TheraSphere treatment was underdosed by approximately 30 percent due to a leak in the delivery assembly. This was discovered around half-way through the procedure. No exposure to anyone other than the patient occurred. Contamination has been contained and removed. The prescribed activity was 5.7 GBq and dose was 150 Gy. The actual activity delivered is estimated to be 3.99 GBq and dose was 105 Gy. The patient is scheduled to return next week for follow-up treatment. Florida Incident Number: FL20-080 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 | |
|---|---|
| Adventhealth - Altamonte Springs Altamontesprings, Florida (NRC Region 1) | |
| License number: | 2897-1 |
| Organization: | Florida Bureau Of Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+25.33 h1.055 days <br />0.151 weeks <br />0.0347 months <br />) | |
| Opened: | Matthew Senison 14:35 Jul 15, 2020 |
| NRC Officer: | Donald Norwood |
| Last Updated: | Jul 15, 2020 |
| 54782 - NRC Website | |
Florida Bureau of Radiation Control with Agreement State | |||||
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