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Event Notification Report for October 13, 2020

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
10/12/2020 - 10/13/2020

EVENT NUMBERS
54946

Non-Agreement State
Event Number: 54946
Rep Org: IU Health Methodist Hospital
Licensee: Indiana University Health Methodist Hospital
Region: 3
City: Indianapolis   State: IN
County:
License #: 13-02752-03
Agreement: N
Docket:
NRC Notified By: Michael Martin
HQ OPS Officer: Ossy Font
Notification Date: 10/13/2020
Notification Time: 14:49 [ET]
Event Date: 10/13/2020
Event Time: 10:00 [EDT]
Last Update Date: 10/13/2020
Emergency Class: Non Emergency
10 CFR Section:
35.3045(a)(1) - Dose <> Prescribed Dosage
Person (Organization):
STEVE ORTH (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
NON-AGREEMENT STATE REPORT - Y-90 MICROSPHERE UNDERDOSE

The following is a summary from a phone call with the licensee:

A patient at the Indiana University Health Methodist Hospital was prescribed 46.7 mCi of Y-90 Theraspheres to segments 5 and 8 of the liver, but received 54 percent (25.2 mCi) of the prescribed dose. The remaining 46 percent (21.5 mCi) was trapped in the catheter or the line. The patient and the physician were notified and a follow-up treatment has been scheduled for next week.


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.