The following report was received via phone and email from the
South Carolina Department of Health and Environmental Control (the Department):
The licensee informed the Department via telephone on June 6, 2025, that a medical event had occurred on June 5, 2025. The licensee reported that a Y-90 microsphere procedure resulted in 71 percent of the prescribed dose being administered to a patient (a difference of 29 percent), and that a spill also occurred during the administration. The licensee is reporting that the spill originated from the delivery system and likely caused the medical event.
The licensee reported that the spill in the administration area was cleaned, and the area was released. The licensee is not reporting any overexposures or ongoing health or safety concerns. The referring physician was notified on June 6, 2025. This event is still under investigation by the Department.
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.
South Carolina Event Report ID Number: TBD
- * * UPDATE ON 06/27/2025 AT 0904 EDT FROM JACOB PRICE TO ROBERT THOMPSON * * *
The following is a summary of information provided by the South Carolina Department of Environmental Services (the Department) via email:
In the initial verbal notification, the licensee indicated that the patient received a dose of 29 percent less than prescribed. The written report submitted on June 6, 2025, indicates that the patient received a dose of 31.6 percent less than prescribed. This event is still under investigation.
South Carolina Event Number: SC250007
Notified R1DO (Arner), NMSS Events (email)
- * * UPDATE ON 09/18/2025 AT 1414 EDT FROM JACOB PRICE TO ERNEST WEST * * *
The following report was received via email from the South Carolina Department of Health and Environmental Control (the Department):
Department inspectors conducted an on-site visit between July 2 and July 3, 2025. Interviews with the licensee's representatives were consistent with the details outlined in the written report. The licensee has provided additional training to the authorized user.
This event/investigation is considered closed.
South Carolina Event Number: SC250007
Notified R1DO (Schussler),
NMSS Events (email)