ENS Event | |
|---|---|
18:00 Feb 23, 2015 | |
| Title | Medical Under Dose Due to Equipment Malfunction |
| Event Description | A patient was under dosed approximately 21.9% due to an equipment malfunction (SIR-Spheres). The isotope is Yttrium 90, the prescribed dose was 13.23 mCi and the delivered dose was 10.3 mCi. The prescribing physician and patient will be informed. The manufacturer will follow up and investigate the hardware issue and subsequent corrective actions.
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 | |
|---|---|
| Saint Louis University Saint Louis, Missouri (NRC Region 3) | |
| License number: | 24-00196-07 |
| Organization: | Saint Louis University |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+-0.93 h-0.0388 days <br />-0.00554 weeks <br />-0.00127 months <br />) | |
| Opened: | Mark Haenchen 17:04 Feb 23, 2015 |
| NRC Officer: | Jeff Herrera |
| Last Updated: | Feb 23, 2015 |
| 50845 - NRC Website | |
Saint Louis University with 10 CFR 35.3045(a)(1) | |
WEEKMONTHYEARENS 566012023-06-29T17:01:00029 June 2023 17:01:00
[Table view]10 CFR 35.3045(a)(1) Medical Event - Patient Underdose ENS 508452015-02-23T18:00:00023 February 2015 18:00:00 10 CFR 35.3045(a)(1) Medical Under Dose Due to Equipment Malfunction 2023-06-29T17:01:00 | |