ENS Event | |
|---|---|
05:00 Feb 27, 2013 | |
| Title | Patient Received Less than Prescribed Dose to Liver |
| Event Description | The following was received via fax from the Commonwealth of Virginia:
On February 27, 2013, a patient was treated with Y-90 microspheres (SIRTeX SIR-Spheres) for a liver lesion. The prescribed activity was 11.3 millicuries. Measurements of the residual activity in the delivery system indicated only 8.4 millicuries was delivered to the patient, resulting in a total dose differing from the prescribed dose by 25.9 percent. Notifications were made to the referring physician and patient. The licensee will submit a written report of the event within 15 days. VA Event Report: VA-13-0003 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 | |
|---|---|
| Carilion Clinic Roanoke, Virginia (NRC Region 1) | |
| License number: | 770-051-1 |
| Organization: | Virginia Rad Materials Program |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+35.37 h1.474 days <br />0.211 weeks <br />0.0484 months <br />) | |
| Opened: | Charles Coleman 16:22 Feb 28, 2013 |
| NRC Officer: | Charles Teal |
| Last Updated: | Feb 28, 2013 |
| 48793 - NRC Website | |
Carilion Clinic with Agreement State | |
WEEKMONTHYEARENS 488262013-03-15T04:00:00015 March 2013 04:00:00
[Table view]Agreement State Agreement State Report - Medical Underdose ENS 487932013-02-27T05:00:00027 February 2013 05:00:00 Agreement State Patient Received Less than Prescribed Dose to Liver 2013-03-15T04:00:00 | |