ENS Event | |
|---|---|
07:00 May 3, 2019 | |
| Title | Agreement State Report - Y-90 Underdosage Report |
| Event Description | The following was received via e-mail:
At 1138 PDT on 05/03/2019, the [California Radiation Control Program] received a phone call from the licensee's [Radiation Safety Officer] RSO providing the initial report on a Y-90 radioembolization underdose. Only 76 percent of the planned dose was provided to the organ of interest with the rest having leaked out because of a faulty stopcock assembly. The leak area was contained and cleaned up. All decontamination is complete and the only effect is the underdose to the patient. CA 5010 Number: 050319 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. |
| Where | |
|---|---|
| Santa Clara Hospital San Jose, California (NRC Region 4) | |
| License number: | 0741 |
| Organization: | California Radiation Control Prgm |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+11.62 h0.484 days <br />0.0692 weeks <br />0.0159 months <br />) | |
| Opened: | John Fassell 18:37 May 3, 2019 |
| NRC Officer: | Jeffrey Whited |
| Last Updated: | May 3, 2019 |
| 54048 - NRC Website | |
Santa Clara Hospital with Agreement State | |
WEEKMONTHYEARENS 540482019-05-03T07:00:0003 May 2019 07:00:00
[Table view]Agreement State Agreement State Report - Y-90 Underdosage Report 2019-05-03T07:00:00 | |