ENS 54048

v t e 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.

ENS 54048 +/-
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
v • d • e

v t e Emergency Notification System
Santa Clara Hospital with Agreement State
WEEKMONTHYEAR2019-05-03T07:00:00 [Table view]
[ENS list for Santa Clara Hospital]

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