Event Notification Report for April 18, 2016
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
04/17/2016 - 04/18/2016
Agreement State
Event Number: 51868
Rep Org: ARIZONA RADIATION REGULATORY AGENCY
Licensee: UNIVERSITY MEDICAL CENTER CORPORATION
Region: 4
City: TUCSON State: AZ
County:
License #: AZ 10-044
Agreement: Y
Docket:
NRC Notified By: BRIAN GORETZKI
HQ OPS Officer: JEFF HERRERA
Licensee: UNIVERSITY MEDICAL CENTER CORPORATION
Region: 4
City: TUCSON State: AZ
County:
License #: AZ 10-044
Agreement: Y
Docket:
NRC Notified By: BRIAN GORETZKI
HQ OPS Officer: JEFF HERRERA
Notification Date: 04/18/2016
Notification Time: 18:02 [ET]
Event Date: 04/18/2016
Event Time: 14:00 [MST]
Last Update Date: 04/18/2016
Notification Time: 18:02 [ET]
Event Date: 04/18/2016
Event Time: 14:00 [MST]
Last Update Date: 04/18/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
RAY AZUA (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)
RAY AZUA (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)
AGREEMENT STATE - POSSIBLE PATIENT UNDERDOSAGE OF YTTRIUM-90
The following report was received from the Arizona Radiation Regulatory Agency via email:
"On April 12, 2016, at approximately [1630 MST], the Agency [Arizona Radiation Regulatory Agency] received notification from the licensee of a possible medical event involving Yttrium-90. The patient received approximately 3 [percent] of the prescribed dose. The Agency [Arizona Radiation Regulatory Agency] has requested additional information and continues to investigate the event.
"The U.S. NRC and Governor's office are being notified of this event."
Arizona incident #: 16-004
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.
The following report was received from the Arizona Radiation Regulatory Agency via email:
"On April 12, 2016, at approximately [1630 MST], the Agency [Arizona Radiation Regulatory Agency] received notification from the licensee of a possible medical event involving Yttrium-90. The patient received approximately 3 [percent] of the prescribed dose. The Agency [Arizona Radiation Regulatory Agency] has requested additional information and continues to investigate the event.
"The U.S. NRC and Governor's office are being notified of this event."
Arizona incident #: 16-004
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
Event Number: 52333
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: DUPONT
Region: 4
City: LA PORTE State: TX
County:
License #: GL
Agreement: Y
Docket:
NRC Notified By: GENTRY HEARN
HQ OPS Officer: MARK ABRAMOVITZ
Licensee: DUPONT
Region: 4
City: LA PORTE State: TX
County:
License #: GL
Agreement: Y
Docket:
NRC Notified By: GENTRY HEARN
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 10/31/2016
Notification Time: 09:09 [ET]
Event Date: 04/18/2016
Event Time: 00:00 [CDT]
Last Update Date: 10/31/2016
Notification Time: 09:09 [ET]
Event Date: 04/18/2016
Event Time: 00:00 [CDT]
Last Update Date: 10/31/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
MICHAEL VASQUEZ (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)
MICHAEL VASQUEZ (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)
AGREEMENT STATE REPORT - TWO MISSING TRITIUM EXIT SIGNS
The following report was received via e-mail:
"On October 26, 2016, the Agency was notified that two exit signs had been found missing during inventory. The licensee was contacted and asked to provide additional information including when the discovery was made and activity contained. The licensee's subsequent email revealed that the signs contained 0.426 TBq each of tritium. The signs had been discovered missing in April of 2016. The disposition of these signs is unknown. Additional information will be provided in accordance with SA-300."
Texas event : I-9436
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
The following report was received via e-mail:
"On October 26, 2016, the Agency was notified that two exit signs had been found missing during inventory. The licensee was contacted and asked to provide additional information including when the discovery was made and activity contained. The licensee's subsequent email revealed that the signs contained 0.426 TBq each of tritium. The signs had been discovered missing in April of 2016. The disposition of these signs is unknown. Additional information will be provided in accordance with SA-300."
Texas event : I-9436
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