Event Notification Report for September 21, 2001
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
09/20/2001 - 09/21/2001
General Information or Other
Event Number: 38302
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: MEDI-PHYSICS INC., dba NYCOMED AMERSHAM
Region: 4
City: San Diego State: CA
County:
License #: 5796-37
Agreement: Y
Docket:
NRC Notified By: ROBERT GREGER
HQ OPS Officer: STEVE SANDIN
Licensee: MEDI-PHYSICS INC., dba NYCOMED AMERSHAM
Region: 4
City: San Diego State: CA
County:
License #: 5796-37
Agreement: Y
Docket:
NRC Notified By: ROBERT GREGER
HQ OPS Officer: STEVE SANDIN
Notification Date: 09/21/2001
Notification Time: 15:30 [ET]
Event Date: 09/21/2001
Event Time: 11:00 [PDT]
Last Update Date: 09/21/2001
Notification Time: 15:30 [ET]
Event Date: 09/21/2001
Event Time: 11:00 [PDT]
Last Update Date: 09/21/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
BILL JONES (R4)
SUSAN FRANT (NMSS)
BILL JONES (R4)
SUSAN FRANT (NMSS)
AGREEMENT STATE REPORT INVOLVING RAD CONTAMINATION DURING TRANSPORT
"On August 24th at approximately 9:00 a.m. at the Medi-Physics facility located at 4877 Mercury Street.
"A courier for Medi-Physics brought back some empty ammo containers from the morning deliveries. The containers were wiped upon receipt and it was discovered that one of the containers had removable contamination on the top of the container. From our phone conversation it appears that the level of removable contamination was approximately 300,000 DPM/ 100 cm2. The material was identified as Technetium-99. Medi-Physics will be submitting a letter with the details to my attention. The RSO at the hospital was contacted and he completed a survey to check for contamination at their facility. It is not known at this time the results of that survey. The courier's feet and the pedals of the vehicle also showed elevated levels of contamination."
This information was reported to the San Diego Office on 9/21/01 at approximately 1100PDT. CA Event Report Identification XCA 85.
"On August 24th at approximately 9:00 a.m. at the Medi-Physics facility located at 4877 Mercury Street.
"A courier for Medi-Physics brought back some empty ammo containers from the morning deliveries. The containers were wiped upon receipt and it was discovered that one of the containers had removable contamination on the top of the container. From our phone conversation it appears that the level of removable contamination was approximately 300,000 DPM/ 100 cm2. The material was identified as Technetium-99. Medi-Physics will be submitting a letter with the details to my attention. The RSO at the hospital was contacted and he completed a survey to check for contamination at their facility. It is not known at this time the results of that survey. The courier's feet and the pedals of the vehicle also showed elevated levels of contamination."
This information was reported to the San Diego Office on 9/21/01 at approximately 1100PDT. CA Event Report Identification XCA 85.
General Information or Other
Event Number: 38303
Rep Org: NV DIV OF RAD HEALTH
Licensee: SUNRISE DIAGNOSTIC CENTER
Region: 4
City: LAS VEGAS State: NV
County:
License #: 03-12-0395-02
Agreement: Y
Docket:
NRC Notified By: STAN MARSHALL
HQ OPS Officer: STEVE SANDIN
Licensee: SUNRISE DIAGNOSTIC CENTER
Region: 4
City: LAS VEGAS State: NV
County:
License #: 03-12-0395-02
Agreement: Y
Docket:
NRC Notified By: STAN MARSHALL
HQ OPS Officer: STEVE SANDIN
Notification Date: 09/21/2001
Notification Time: 17:25 [ET]
Event Date: 09/21/2001
Event Time: 00:00 [PDT]
Last Update Date: 09/21/2001
Notification Time: 17:25 [ET]
Event Date: 09/21/2001
Event Time: 00:00 [PDT]
Last Update Date: 09/21/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
JOHN PELLET (R4)
ERIC LEEDS (NMSS)
JOHN PELLET (R4)
ERIC LEEDS (NMSS)
AGREEMENT STATE REPORT INVOLVING POTENTIAL MEDICAL MISADMINISTRATION
"Malfunction of Leksell Gamma Knife patient table. Possible misadministration to patient. Licensee is preparing a written report with more detail, corrective action, etc.
"Patient being treated in a Gamma Knife unit rolled up against the table and table was unable to automatically retract from the Gamma Knife 'cave.' Licensee personnel were able to enter the room and manually remove the patient and table from the 'cave.' Personnel exposure estimated to be between 3 mr and 20 mr. Gamma Knife manufacturer (Leksell) has also been notified."
Event Report ID No. NV-01-004. Event location Las Vegas, NV.
"Malfunction of Leksell Gamma Knife patient table. Possible misadministration to patient. Licensee is preparing a written report with more detail, corrective action, etc.
"Patient being treated in a Gamma Knife unit rolled up against the table and table was unable to automatically retract from the Gamma Knife 'cave.' Licensee personnel were able to enter the room and manually remove the patient and table from the 'cave.' Personnel exposure estimated to be between 3 mr and 20 mr. Gamma Knife manufacturer (Leksell) has also been notified."
Event Report ID No. NV-01-004. Event location Las Vegas, NV.