United States Nuclear Regulatory Commission - Protecting People and the Environment
Home > NRC Library > Document Collections > Reports Associated with Events > Event Notification Reports > 2003 > December 30

Event Notification Report for December 30, 2003

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
12/29/2003 - 12/30/2003

** EVENT NUMBERS **


40413 40417

To top of page
General Information or Other Event Number: 40413
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: SOUTHWEST GENERAL HEALTH CENTER-IRELAND CANCER CENTER
Region: 3
City: MIDDLEBURG HEIGHTS State: OH
County:
License #: 02120180001
Agreement: Y
Docket:
NRC Notified By: MARK LIGHT
HQ OPS Officer: GERRY WAIG
Notification Date: 12/24/2003
Notification Time: 09:34 [ET]
Event Date: 12/22/2003
Event Time: 13:00 [EST]
Last Update Date: 12/24/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
PATRICK LOUDEN (R3)
TOM ESSIG (NMSS)

Event Text

OHIO AGREEMENT STATE REPORT - RADIATION DOSE TO UNINTENDED SITE DURING BRACHYTHERAPHY TREATMENT

On 12/23/2003 at 1600 hours EST the licensee notified the Ohio Department of Health, Bureau of Radiation Protection, of the following information regarding a patient undergoing intravascular brachytheraphy treatment:

"On December 22, 2003 during a treatment with a Novoste Beta-Cath 3.5 French IVB System, the source did not travel the entire way to the treatment site and was 3 centimeters proximal to the treatment site. The immediate cause of the event was a small kink in the delivery catheter which kept the source train from traveling to the correct site, even though the kink was not substantial enough to affect the flow of sterile water used to send/retrieve the sources. The error was discovered the next day during medical physics quality checks and reported to Ohio Department of Health, Bureau of Radiation Protection. An investigation will be performed the week of December 29, 2003."

The dose to the unintended site was identified as 1840 rad (18.4 Gy) from a 0.05378 curie, Sr-90, sealed source. The attending physician has been notified. The intravascular brachytheraphy unit is a Novoste, model TDA-1040, serial number 91828.

The Ohio Department of Health, Bureau of Radiation Protection reference number for this event is 2003-126.

To top of page
Power Reactor Event Number: 40417
Facility: ARKANSAS NUCLEAR
Region: 4 State: AR
Unit: [1] [2] [ ]
RX Type: [1] B&W-L-LP,[2] CE
NRC Notified By: KENN TATE
HQ OPS Officer: CHAUNCEY GOULD
Notification Date: 12/29/2003
Notification Time: 16:49 [ET]
Event Date: 12/29/2003
Event Time: 11:29 [CST]
Last Update Date: 12/29/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
26.73 - FITNESS FOR DUTY
Person (Organization):
Tom Farnholtz (R4)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 100 Power Operation
2 N Y 18 Power Operation 18 Power Operation

Event Text

POSITIVE TEST DURING A RANDOM FITNESS FOR DUTY SCREENING

Non - licensed, non-supervisory employee tested positive for presence of alcohol.

The NRC Resident Inspector was notified.

Page Last Reviewed/Updated Friday, March 30, 2012
Friday, March 30, 2012