Event Notification Report for April 13, 2004
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
04/12/2004 - 04/13/2004
EVENT NUMBERS
40687
General Information or Other
Event Number: 40687
Rep Org: WISCONSIN RADIATION PROTECTION
Licensee: ST NICHOLAS HOSPITAL
Region: 3
City: SHEBOYGAN State: WI
County:
License #: 117-01302-001
Agreement: Y
Docket:
NRC Notified By: LEOLA DEKOCK
HQ OPS Officer: JEFF ROTTON
Licensee: ST NICHOLAS HOSPITAL
Region: 3
City: SHEBOYGAN State: WI
County:
License #: 117-01302-001
Agreement: Y
Docket:
NRC Notified By: LEOLA DEKOCK
HQ OPS Officer: JEFF ROTTON
Notification Date: 04/20/2004
Notification Time: 11:55 [ET]
Event Date: 04/13/2004
Event Time: 15:30 [CDT]
Last Update Date: 04/20/2004
Notification Time: 11:55 [ET]
Event Date: 04/13/2004
Event Time: 15:30 [CDT]
Last Update Date: 04/20/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
DAVID HILLS (R3)
SCOTT MOORE (NMSS)
DAVID HILLS (R3)
SCOTT MOORE (NMSS)
AGREEMENT STATE REPORT - ACCIDENTAL SHIPMENT OF RADIOACTIVE MATERIAL
On 4/13/04, at approximately 3:30 PM CDT, the Wisconsin Radiation Protection section received a telephone call from the New York State Labor Department, Radiological Health Department.
New York State Radiological Health Dept. had just been informed by one of their licensees, Mick Radio-Nuclear Instruments, Inc., that a package had been received from St. Nicholas Hospital, Sheboygan, WI. The company had found 2 radioactive brachytherapy seeds within a Mick applicator which had been returned to their company for repairs. The radioactive seeds were stuck in the Mick applicator. Mick Radio-Nuclear Instruments contacted the shipper of the device, St. Nicholas Hospital, to obtain details identifying the radionuclide. The 2 seeds have been identified as containing I-125, 0.370 milli Curies each on 3/12/04. Mick Radio-Nuclear is not licensed to receive this radioactive material which was inadvertently sent by St. Nicholas Hospital. The package was shipped on 4/8/04 and received on 4/13/04.
The Wisconsin Department of Health and Family Services (DHFS) is reporting this item as a "loss of control of radioactive material to an unlicensed entity" and "potential exposure to the general public." DHFS staff are being dispatched on 4/20/04 to investigate.
The radioactive material is now in the possession of the Radiological Health Department for the state of New York. St. Nicholas Hospital is working on identifying a company in New York that can take possession of the radioactive brachytherapy seeds and return them to the manufacturer.
On 4/13/04, at approximately 3:30 PM CDT, the Wisconsin Radiation Protection section received a telephone call from the New York State Labor Department, Radiological Health Department.
New York State Radiological Health Dept. had just been informed by one of their licensees, Mick Radio-Nuclear Instruments, Inc., that a package had been received from St. Nicholas Hospital, Sheboygan, WI. The company had found 2 radioactive brachytherapy seeds within a Mick applicator which had been returned to their company for repairs. The radioactive seeds were stuck in the Mick applicator. Mick Radio-Nuclear Instruments contacted the shipper of the device, St. Nicholas Hospital, to obtain details identifying the radionuclide. The 2 seeds have been identified as containing I-125, 0.370 milli Curies each on 3/12/04. Mick Radio-Nuclear is not licensed to receive this radioactive material which was inadvertently sent by St. Nicholas Hospital. The package was shipped on 4/8/04 and received on 4/13/04.
The Wisconsin Department of Health and Family Services (DHFS) is reporting this item as a "loss of control of radioactive material to an unlicensed entity" and "potential exposure to the general public." DHFS staff are being dispatched on 4/20/04 to investigate.
The radioactive material is now in the possession of the Radiological Health Department for the state of New York. St. Nicholas Hospital is working on identifying a company in New York that can take possession of the radioactive brachytherapy seeds and return them to the manufacturer.