ENS 49762

v t e 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.

ENS 49762 +/-
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
v • d • e

v t e Emergency Notification System
Thomas Jefferson University Hospitals with Agreement State
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[ENS list for Thomas Jefferson University Hospitals]

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