ENS Event | |
|---|---|
05:00 Jan 22, 2014 | |
| Title | Pennsylvania Agreement State Report - Medical Underdose |
| Event Description | The following was received via fax from the Commonwealth of Pennsylvania:
Notifications: Licensee reported this event to the Department's [Pennsylvania Department of Environmental Protection] Southeast Regional Office on January 23, 2014. This is an immediate reporting event under 35.3045(a)(1)(i). Event Description: On January 22, 2014, the licensee experienced a medical event in which 76% of a yttrium-90 (Y -90) TheraSphere liver cancer therapy dose was delivered to the patient. Both the patient and referring physician were notified of the under dose. Cause of the Event: Occlusion. The remaining activity appeared to have precipitated out and remained in the catheter. Actions: Awaiting the required 15 day written report from the licensee. The Department will provide updated information as received. Media attention: None at this time. Event number: PA140005 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 | |
|---|---|
| Thomas Jefferson University Hospitals Philadelphia, Pennsylvania (NRC Region 1) | |
| License number: | Pa-0130 |
| Organization: | Pa Bureau Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+53.93 h2.247 days <br />0.321 weeks <br />0.0739 months <br />) | |
| Opened: | Joseph Melnic 10:56 Jan 24, 2014 |
| NRC Officer: | Nestor Makris |
| Last Updated: | Jan 24, 2014 |
| 49762 - NRC Website | |
Thomas Jefferson University Hospitals with Agreement State | |
WEEKMONTHYEARENS 542302019-08-16T04:00:00016 August 2019 04:00:00
[Table view]Agreement State Agreement State Report - Patient Under-Dosage ENS 497622014-01-22T05:00:00022 January 2014 05:00:00 Agreement State Pennsylvania Agreement State Report - Medical Underdose 2019-08-16T04:00:00 | |