Event Notification Report for August 11, 2026

MEDICAL EVENT

The following information was provided by the licensee via phone:

This event occurred at Community Health Network, South Hospital in Indiana on 08/04/2026.

On August 04, 2026, at approximately 0830 EDT, while delivering a Y-90 TheraSphere treatment to the liver, air was noted in the delivery lines. Attempts were made to remove the air from the lines to continue with the procedure. The treatment proceeded but resulted in not all the activity being delivered to the patient. The prescribed activity was 2.42 GBq and the delivered activity was 1.67 GBq. The patient was notified and no adverse effects to the patient are expected.

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.

AGREEMENT STATE REPORT - MEDICAL EVENT

The following information was provided by the Florida Bureau of Radiation Control (BRC) via email:

"The BRC received a call from the Cleveland Clinic - Martin Memorial Medical Center at 1551 EDT regarding a mis-dosing medical incident. The incident involved one patient who underwent a procedure to receive a dose of Y-90. Surveys conducted upon completion of the procedure showed that there was a significant amount of Y-90 present in the catheter and tubing used in the procedure indicating the patient did not receive full intended dose. Initial estimates are that roughly 40 percent of the intended dose was delivered to patient. It was confirmed that the dose was delivered to the intended target area successfully. The BRC is awaiting further information regarding the actual intended dose and the actual dose delivered to patient. The BRC will update the incident record accordingly."

Florida Incident Number: FL26-064

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.