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Event Notification Report for August 5, 2009

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
08/04/2009 - 08/05/2009

** EVENT NUMBERS **


45237 45244

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Hospital Event Number: 45237
Rep Org: MUNSON MEDICAL CENTER
Licensee: MUNSON MEDICAL CENTER
Region: 3
City: TRAVERSE CITY State: MI
County:
License #:
Agreement: N
Docket:
NRC Notified By: DENNIS SZMANIA
HQ OPS Officer: DONG HWA PARK
Notification Date: 07/30/2009
Notification Time: 15:15 [ET]
Event Date: 07/30/2009
Event Time: 09:00 [EDT]
Last Update Date: 07/30/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
Person (Organization):
ROBERT DALEY (R3DO)
CHRISTEPHER MCKENNEY (FSME)

Event Text

POTENTIAL MEDICAL EVENT INVOLVING NOVOSTE BETA-CATH STRONTIUM BRACHYTHERAPY SYSTEM

The licensee reported that a patient was undergoing brachytherapy treatment of the heart. During the procedure, it was determined that the source was not in the proper position. The sources were retracted and the procedure reattempted. During the reattempt, it was determined that the sources were not going into the proper position. However, the licensee was not able to retract the sources into the Novoste device. The physician removed the catheter and device as an assembly and placed in a safe box. The licensee is does not know the failure mode with any degree of certainty and is sending the device to the manufacturer for evaluation. The cardiologist believes it may have been a kink in the catheter. The patient was notified of the event, and the licensee discussed the issue with NRC Region 3(G. Warren).

The device is a Novoste Beta-Cath, Device number: 86865, and source number: ZB551.

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.

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Power Reactor Event Number: 45244
Facility: CLINTON
Region: 3 State: IL
Unit: [1] [ ] [ ]
RX Type: [1] GE-6
NRC Notified By: MAXWELL KIER
HQ OPS Officer: DONALD NORWOOD
Notification Date: 08/04/2009
Notification Time: 12:46 [ET]
Event Date: 08/04/2009
Event Time: 10:53 [CDT]
Last Update Date: 08/04/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
JOHN GIESSNER (R3DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 97 Power Operation 97 Power Operation

Event Text

LOSS OF EMERGENCY SIRENS

"On August 4, 2009, at approximately 0953 hours (CDT), a severe thunderstorm was experienced causing a loss of 12 of 44 emergency sirens (approximately 27 percent) for Clinton Power Station. At 1053 hours (CDT), since the sirens were not restored to operation within one hour, this event was determined to be a major loss of emergency assessment capability. A total of 15 sirens were out of service at 1054. At 1109 power was restored to 13 of the 15 sirens leaving 2 sirens without power. Currently, 42 of 44 sirens are operational and no estimated return to service has been provided for the remaining sirens.

"DeWitt County, Illinois Emergency Management Agency, and the NRC Resident have been informed of this information."

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Thursday, March 29, 2012