ENS 53127

v t e ENS Event
06:00 Dec 15, 2017
Title	Agreement State Report - Underdose
Event Description	The following information was received from the State of Illinois: The University of Chicago Medical Center reported an underdose of Y90 Theraspheres today [12/19/17] to a patient. 53.4 % of dose was delivered with 46.6% stuck in catheter. 21 mCi was ordered and 11.21 was delivered. CT scan verified dose administered in correct location. On 12/18/17, it was still undetermined why remaining dose hung up in catheter. Additional dose [is] being ordered to complete the therapy as a fractionated dose. The licensee is investigating why the catheter became blocked. A 15 day written report will follow. Illinois Incident: IL177059 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.

ENS 53127 +/-
Where
University Of Chicago Hospital Chicago, Illinois (NRC Region 3)
License number:	IL-01678-02
Organization:	Illinois Emergency Mgmt. Agency
Reporting

Agreement State
Time - Person (Reporting Time:+107.08 h4.462 days <br />0.637 weeks <br />0.147 months <br />)
Opened:	Gibb Vinson 17:05 Dec 19, 2017
NRC Officer:	Vince Klco
Last Updated:	Dec 19, 2017
53127 - NRC Website
v • d • e

v t e Emergency Notification System
University Of Chicago Hospital with Agreement State
WEEKMONTHYEAR2021-06-15T05:00:00 [Table view]
[ENS list for University Of Chicago Hospital]

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