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Event Notification Report for April 09, 2024

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
04/08/2024 - 04/09/2024

EVENT NUMBERS
5706957070
Non-Agreement State
Event Number: 57069
Rep Org: Vartanian Medical, PLLC
Licensee: Vartanian Medical, PLLC
Region: 3
City: Farmington Hills   State: MI
County:
License #: 21-356-97-01
Agreement: N
Docket:
NRC Notified By: Jonathan Olsen
HQ OPS Officer: Karen Cotton-Gross
Notification Date: 04/09/2024
Notification Time: 16:12 [ET]
Event Date: 04/09/2024
Event Time: 12:40 [EDT]
Last Update Date: 04/09/2024
Emergency Class: Non Emergency
10 CFR Section:
35.3045(a)(1) - Dose <> Prescribed Dosage
Person (Organization):
Edwards, Rhex (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
MEDICAL EVENT - UNDERDOSE

The following information is an event summary via phone call from Vartanian Medical, PLLC:

On April 9, 2024, at 1240 EDT, a patient received only 73 percent of the intended dose of Y-90 TheraSpheres during a radioembolization. The prescribed dose was 3000 Gy and the dose received was approximately 2200 Gy. The physician described the cause of the event to be due to a smaller catheter needle used for treatment, which impeded the requisite flow.

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.



Power Reactor
Event Number: 57070
Facility: Browns Ferry
Region: 2     State: AL
Unit: [1] [2] [3]
RX Type: [1] GE-4,[2] GE-4,[3] GE-4
NRC Notified By: Mayden Hogsed
HQ OPS Officer: Rodney Clagg
Notification Date: 04/10/2024
Notification Time: 11:23 [ET]
Event Date: 04/09/2024
Event Time: 14:09 [CDT]
Last Update Date: 04/10/2024
Emergency Class: Non Emergency
10 CFR Section:
26.719 - Fitness For Duty
Person (Organization):
Miller, Mark (R2DO)
FFD Group, (EMAIL)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 100 Power Operation
2 N Y 100 Power Operation 100 Power Operation
3 N Y 100 Power Operation 100 Power Operation
Event Text
FITNESS FOR DUTY

The following information was provided by the licensee via email and phone call:

"A non-licensed employee supervisor had a confirmed positive during a random fitness-for-duty test. The employee's access to the plant has been terminated.

"The NRC Senior Resident Inspector has been notified."