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Event Notification Report for May 07, 2019

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
05/06/2019 - 05/07/2019

EVENT NUMBERS
54059

Agreement State
Event Number: 54059
Rep Org: KENTUCKY DEPT OF RADIATION CONTROL
Licensee: UNIVERSITY OF KENTUCKY MEDICAL CENTER
Region: 1
City: LEXINGTON   State: KY
County:
License #: 20204922
Agreement: Y
Docket:
NRC Notified By: ANJAN BHATTACHARYYA
HQ OPS Officer: THOMAS KENDZIA
Notification Date: 05/10/2019
Notification Time: 14:55 [ET]
Event Date: 05/07/2019
Event Time: 00:00 [CDT]
Last Update Date: 05/10/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MEL GRAY (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
AGREEMENT STATE REPORT - UNDER ADMINISTRATION OF PRESCRIBED DOSE DURING MEDICAL PROCEDURE

The following was received via a telephone report from the Kentucky Department of Radiation Control:

The Kentucky Department of Radiation Control was notified by the University of Kentucky Medical Center in Lexington, Kentucky, that on 05-07-2019 they had a medical event. During a Sirtex Therapy procedure, which uses Y-90 microspheres, less than 20 percent of the prescribed dose was delivered. Investigation continues.

Kentucky Event Report ID No.: KY190004

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.