ENS Event | |
|---|---|
05:00 Apr 11, 2012 | |
| Title | Agreement State Report - Underdose to Patient Receiving Yttrium-90 Microspheres Treatment |
| Event Description | The following information was sent by the State of Texas via email:
On April 13, 2012, the Agency [Texas Department of Health] was notified by the licensee that a therapy event had occurred on April 11, 2012. A patient was prescribed 105 grays using Yttrium-90 microspheres. The patient received only 77.4 grays. The licensee stated that the reduced exposure was because a flow clamp was not in the fully opened position allowing microspheres to plate out in the flow tube instead of being administered to the patient. The licensee stated that there were no adverse effects on the patient. Additional information will be provided as it is received in accordance with SA-300. Texas Report No: I-8948 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 | |
|---|---|
| University Of Texas Md Anderson Cancer Houston, Texas (NRC Region 4) | |
| License number: | 00466 |
| Organization: | Texas Department Of Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+56.58 h2.358 days <br />0.337 weeks <br />0.0775 months <br />) | |
| Opened: | Art Tucker 13:35 Apr 13, 2012 |
| NRC Officer: | John Knoke |
| Last Updated: | Apr 13, 2012 |
| 47832 - NRC Website | |
University Of Texas Md Anderson Cancer with Agreement State | |
WEEKMONTHYEARENS 478322012-04-11T05:00:00011 April 2012 05:00:00
[Table view]Agreement State Agreement State Report - Underdose to Patient Receiving Yttrium-90 Microspheres Treatment 2012-04-11T05:00:00 | |