Event Notification Report for May 01, 2010
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
04/30/2010 - 05/01/2010
Other Nuclear Material
Event Number: 45894
Rep Org: WALTER REED ARMY MEDICAL CENTER
Licensee: WALTER REED ARMY MEDICAL CENTER
Region: 1
City: WASHINGTON State: DC
County:
License #: 08-01738-02
Agreement: N
Docket:
NRC Notified By: ANDREW SCOTT
HQ OPS Officer: DONG HWA PARK
Licensee: WALTER REED ARMY MEDICAL CENTER
Region: 1
City: WASHINGTON State: DC
County:
License #: 08-01738-02
Agreement: N
Docket:
NRC Notified By: ANDREW SCOTT
HQ OPS Officer: DONG HWA PARK
Notification Date: 05/03/2010
Notification Time: 11:27 [ET]
Event Date: 05/01/2010
Event Time: 12:49 [EDT]
Last Update Date: 05/03/2010
Notification Time: 11:27 [ET]
Event Date: 05/01/2010
Event Time: 12:49 [EDT]
Last Update Date: 05/03/2010
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
WILLIAM COOK (R1DO)
ANGELA MCINTOSH (FSME)
WILLIAM COOK (R1DO)
ANGELA MCINTOSH (FSME)
MISPLACED RADIOACTIVE MATERIAL
On 5/1/10, at 1249 EDT, a 2 Ci Mo-99 generator was delivered to the Walter Reed Army Medical Facility. An unauthorized person signed for the package and stored it in an improper location. On the evening of 5/1/10, the health physicist did not know the location of the package, because it was supposed to be delivered earlier in the day. The package was located at 0815 EDT on 5/3/10 at the facility. The licensee has now stored the package in proper location and is in process of conducting a dosage calculations for any individuals who may have been in the vicinity of the package where it was improperly stored.
THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL
Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
On 5/1/10, at 1249 EDT, a 2 Ci Mo-99 generator was delivered to the Walter Reed Army Medical Facility. An unauthorized person signed for the package and stored it in an improper location. On the evening of 5/1/10, the health physicist did not know the location of the package, because it was supposed to be delivered earlier in the day. The package was located at 0815 EDT on 5/3/10 at the facility. The licensee has now stored the package in proper location and is in process of conducting a dosage calculations for any individuals who may have been in the vicinity of the package where it was improperly stored.
THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL
Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
General Information or Other
Event Number: 46026
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: MOHAMED MEGAHY, M.D., Ltd
Region: 3
City: MARYVILLE State: IL
County:
License #: IL-02032-01
Agreement: Y
Docket:
NRC Notified By: DAREN PERRERO
HQ OPS Officer: DONG HWA PARK
Licensee: MOHAMED MEGAHY, M.D., Ltd
Region: 3
City: MARYVILLE State: IL
County:
License #: IL-02032-01
Agreement: Y
Docket:
NRC Notified By: DAREN PERRERO
HQ OPS Officer: DONG HWA PARK
Notification Date: 06/18/2010
Notification Time: 14:23 [ET]
Event Date: 05/01/2010
Event Time: 00:00 [CDT]
Last Update Date: 06/18/2010
Notification Time: 14:23 [ET]
Event Date: 05/01/2010
Event Time: 00:00 [CDT]
Last Update Date: 06/18/2010
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
MICHAEL KUNOWSKI (R3DO)
ANGELA MCINTOSH (FSME)
MICHAEL KUNOWSKI (R3DO)
ANGELA MCINTOSH (FSME)
AGREEMENT STATE REPORT - POTENTIAL DOSE TO EMBRYO OR FETUS
The State of Illinois provided the following information via email:
"On June 17, 2009, the [Illinois Emergency Management] Agency was contacted with a request to make a dose estimate to a fetus as a result of administration of radioiodine to a patient who was later found to be pregnant. Subsequently when additional information was requested to determine the appropriate parameters, the [Illinois Emergency Management] Agency was advised that the administration had occurred 3 years earlier and that the child had been delivered after a full term pregnancy and was receiving thyroid hormone therapy. The physician indicated that on May 1, 2007 a patient was given 102.9 milliCi of I-131 as a treatment for recurrence of cancer associated with a previous thyroidectomy conducted in 2006. The physician had previously treated the patient with I-131 in 2006 following surgery and had conducted patient interviews/training regarding administration of I-131 at that time, so that when she represented herself for an additional treatment dose, he had been lead to believe she understood the contraindications. The doctor stated that he was told no when he asked if she was pregnant. No independent test was conducted. On June 11, 2007, he was contacted by the physician's obstetrician who advised that she was at 32 weeks gestation as of June 11, 2007. This would infer she was 25-27 weeks (6 month) pregnant at the time of the second administration a month earlier.
"Calculations were performed by the [Illinois Emergency Management] Agency for a thyroid patient following ANSI Std. N13.54-2008 which lead to an estimated dose to the fetus of 86 Rad. This event remains open pending submission of the required report from the physician and follow up by the [Illinois Emergency Management] Agency."
IL Event No.: IL 10044
The State of Illinois provided the following information via email:
"On June 17, 2009, the [Illinois Emergency Management] Agency was contacted with a request to make a dose estimate to a fetus as a result of administration of radioiodine to a patient who was later found to be pregnant. Subsequently when additional information was requested to determine the appropriate parameters, the [Illinois Emergency Management] Agency was advised that the administration had occurred 3 years earlier and that the child had been delivered after a full term pregnancy and was receiving thyroid hormone therapy. The physician indicated that on May 1, 2007 a patient was given 102.9 milliCi of I-131 as a treatment for recurrence of cancer associated with a previous thyroidectomy conducted in 2006. The physician had previously treated the patient with I-131 in 2006 following surgery and had conducted patient interviews/training regarding administration of I-131 at that time, so that when she represented herself for an additional treatment dose, he had been lead to believe she understood the contraindications. The doctor stated that he was told no when he asked if she was pregnant. No independent test was conducted. On June 11, 2007, he was contacted by the physician's obstetrician who advised that she was at 32 weeks gestation as of June 11, 2007. This would infer she was 25-27 weeks (6 month) pregnant at the time of the second administration a month earlier.
"Calculations were performed by the [Illinois Emergency Management] Agency for a thyroid patient following ANSI Std. N13.54-2008 which lead to an estimated dose to the fetus of 86 Rad. This event remains open pending submission of the required report from the physician and follow up by the [Illinois Emergency Management] Agency."
IL Event No.: IL 10044