Event Notification Report for February 22, 2018
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
02/21/2018 - 02/22/2018
EVENT NUMBERS
53241
Agreement State
Event Number: 53241
Rep Org: GEORGIA RADIOACTIVE MATERIAL PGM
Licensee: CARTERSVILLE MEDICAL CENTER
Region: 1
City: CARTERSVILLE State: GA
County:
License #: 796-1
Agreement: Y
Docket:
NRC Notified By: IRENE BENNETT
HQ OPS Officer: HOWIE CROUCH
Licensee: CARTERSVILLE MEDICAL CENTER
Region: 1
City: CARTERSVILLE State: GA
County:
License #: 796-1
Agreement: Y
Docket:
NRC Notified By: IRENE BENNETT
HQ OPS Officer: HOWIE CROUCH
Notification Date: 03/02/2018
Notification Time: 15:13 [ET]
Event Date: 02/22/2018
Event Time: 00:00 [EST]
Last Update Date: 03/02/2018
Notification Time: 15:13 [ET]
Event Date: 02/22/2018
Event Time: 00:00 [EST]
Last Update Date: 03/02/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
BRICE BICKETT (R1DO)
NMSS_EVENTS_NOTIFICA (EMAI)
BRICE BICKETT (R1DO)
NMSS_EVENTS_NOTIFICA (EMAI)
AGREEMENT STATE REPORT - MEDICAL EVENT
The following information was obtained from the State of Georgia via email:
"On February 19, 2018, a patient was being treated with Y-90 SIR-Spheres. The targeted site was the liver. The prescribed dose was 39 mCi. The procedure appeared to go normally. A follow-up was performed on the same day. The physician thought the scan indicated there was no significant loss of material. On February 22, 2018, another intervention radiologist re-read the scan and noted approximately 30% entered the abdominal wall. On February 23, 2018, the patient was seen and complained of pain and reddening of the skin. The patient went through additional test to determine the cause. The RSO was notified on March 1, 2018 of the incident. The patient, physician, and manufacture were notified of the incident.
"The licensee will submit a more detailed report to determine the root cause, difference between the prescribed and delivered dose, dose to target organ and non-target organ."
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.
The following information was obtained from the State of Georgia via email:
"On February 19, 2018, a patient was being treated with Y-90 SIR-Spheres. The targeted site was the liver. The prescribed dose was 39 mCi. The procedure appeared to go normally. A follow-up was performed on the same day. The physician thought the scan indicated there was no significant loss of material. On February 22, 2018, another intervention radiologist re-read the scan and noted approximately 30% entered the abdominal wall. On February 23, 2018, the patient was seen and complained of pain and reddening of the skin. The patient went through additional test to determine the cause. The RSO was notified on March 1, 2018 of the incident. The patient, physician, and manufacture were notified of the incident.
"The licensee will submit a more detailed report to determine the root cause, difference between the prescribed and delivered dose, dose to target organ and non-target organ."
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.