ENS 51286

v t e ENS Event
07:00 Jul 20, 2013
Title	California Agreement State Report - Historical Medical Events Discovered During State Investigation
Event Description	The following information was provided by the State of California via email: RHB [ California Radiation Heath Branch] personnel noted irregularities in the way brachytherapy was being performed by an authorized user and investigated all facilities where he is authorized to perform brachytherapy. On August 3, 2015, after reviewing files and consulting with the RSO of the facility, it was determined that there had been two medical events that had gone unreported. Both events were prostate Pd-103 implants performed in 2013 and 2014. One treatment resulted in a dose of only 37.6 percent of the target dose to the prostate (139.5 mCi Pd-103) and the second resulted in a dose of 66.9 percent of the target dose to the prostate (189.1 mCi Pd-103). The licensee will submit a follow up report within 15 days. CA 5010 (Date Notified): 072015 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 51286 +/-
Where
Sutter Surgical - Fairfield Fairfield, California (NRC Region 4)
License number:	7602
Organization:	California Radiation Control Prgm
Reporting

Agreement State
Time - Person (Reporting Time:+17887.1 h745.296 days <br />106.471 weeks <br />24.502 months <br />)
Opened:	Gene Forrer 14:06 Aug 4, 2015
NRC Officer:	Jeff Rotton
Last Updated:	Aug 4, 2015
51286 - NRC Website
v • d • e

v t e Emergency Notification System
Sutter Surgical - Fairfield with Agreement State
WEEKMONTHYEAR2013-07-20T07:00:00 [Table view]
[ENS list for Sutter Surgical - Fairfield]

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