ENS 55248

v t e ENS Event
05:00 May 10, 2021
Title	Dose to Improper Treatment Site
Event Description	The following report was received from the state of Ohio via email: A patient was to receive a prescribed dose of 68.92 milliCuries Y-90 TheraSpheres to the left lobe of the liver on 5/10/2021. It was discovered during post treatment imaging on 5/11/2021 that the dose was delivered to the right lobe. The licensee stated the catheter position was verified prior to treatment and the cause of the event is under investigation. The referring physician and patient have been notified. Ohio Event Number: OH210003 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 55248 +/-
Where
Ohio State University Columbus, Ohio (NRC Region 3)
License number:	02110250037
Organization:	Ohio Bureau Of Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+34.77 h1.449 days <br />0.207 weeks <br />0.0476 months <br />)
Opened:	Michael Rubadue 15:46 May 11, 2021
NRC Officer:	Kerby Scales
Last Updated:	May 11, 2021
55248 - NRC Website
v • d • e

v t e Emergency Notification System
Ohio State University with Agreement State
WEEKMONTHYEAR2023-07-28T04:00:00 [Table view]
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