Event Notification Report for January 31, 2024
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
01/30/2024 - 01/31/2024
EVENT NUMBERS
56942
56942
Agreement State
Event Number: 56942
Rep Org: Illinois Emergency Mgmt. Agency
Licensee: Rush University Medical Center
Region: 3
City: Chicago State: IL
County:
License #: IL-01766-01
Agreement: Y
Docket:
NRC Notified By: Whitney Cox
HQ OPS Officer: Natalie Starfish
Licensee: Rush University Medical Center
Region: 3
City: Chicago State: IL
County:
License #: IL-01766-01
Agreement: Y
Docket:
NRC Notified By: Whitney Cox
HQ OPS Officer: Natalie Starfish
Notification Date: 02/01/2024
Notification Time: 15:35 [ET]
Event Date: 01/31/2024
Event Time: 00:00 [CST]
Last Update Date: 02/01/2024
Notification Time: 15:35 [ET]
Event Date: 01/31/2024
Event Time: 00:00 [CST]
Last Update Date: 02/01/2024
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Stoedter, Karla (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Stoedter, Karla (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - MEDICAL UNDERDOSE
The following is a summary of information received by email from the Illinois Office of Nuclear Safety:
On January 31, 2024, a medical administration of Y-90 microspheres at Rush University Medical Center failed to deliver the intended dose. A patient had been prescribed 34.99 mCi (500 Gy) of yttrium-90 (Y-90) Theraspheres intended for a liver treatment. The post-administration survey indicated a delivered dose of only 23.05 mCi (330 Gy), which was a 34 percent underdose. The patient and physician were notified the day of the treatment. There was no adverse impact on the patient and the patient will not need to be retreated. The administering physician reported significant resistance in the initial and subsequent flushes.
IL NMED Item Number: IL240003
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 is a summary of information received by email from the Illinois Office of Nuclear Safety:
On January 31, 2024, a medical administration of Y-90 microspheres at Rush University Medical Center failed to deliver the intended dose. A patient had been prescribed 34.99 mCi (500 Gy) of yttrium-90 (Y-90) Theraspheres intended for a liver treatment. The post-administration survey indicated a delivered dose of only 23.05 mCi (330 Gy), which was a 34 percent underdose. The patient and physician were notified the day of the treatment. There was no adverse impact on the patient and the patient will not need to be retreated. The administering physician reported significant resistance in the initial and subsequent flushes.
IL NMED Item Number: IL240003
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.