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Event Notification Report for April 14, 2017

U.S. Nuclear Regulatory Commission Operations Center Event Reports For 04/13/2017 - 04/14/2017 ** EVENT NUMBERS ** 52667 52677 52678 Agreement State Event Number: 52667 Rep Org: NEW YORK STATE DEPT. OF HEALTH Licensee: NOT PROVIDED Region: 1 City: NOT PROVIDED State: NY County: License #: NOT PROVIDED Agreement: Y Docket: NRC Notified By: JANAKI KRISHNOMOORTHY HQ OPS Officer: JEFF ROTTON Notification Date: 04/06/2017 Notification Time: 12:11 [ET] Event Date: 04/05/2017 Event Time: [EDT] Last Update Date: 04/06/2017 Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE Person (Organization): CHRISTOPHER CAHILL (R1DO) NMSS_EVENTS_NOTIFIC (EMAI) Event Text AGREEMENT STATE REPORT - LESS THAN PRESCRIBED DOSE ADMINISTERED TO PATIENT The following information was provided by the State of New York via facsimile: "On 04/05/2017, a patient with metastatic esophageal cancer received right hepatic lobar treatment [to the liver] with Y90 from SIRTEX microspheres. "The intended activity was 32.9 mCi. Drawn activity was 32.7 mCi. The administered activity measured at the end of the procedure was 8.2 mCi [25 percent of intended activity]. "Probable cause stated by the licensee: 'clumping' of microspheres resulting in occlusion of vial 'delivery C' needle provided by the vendor. The licensee plans to (1) request review from the manufacturer of the preparation and handling of the microspheres prior to arrival to the IR suite, (2) Since the patient is already planned for a left lobar treatment, a whole liver treatment will be planned to deliver the deficit dose to the right lobe." NY Event Report ID No. NYDOH-NY-17-06 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. Part 21 Event Number: 52677 Rep Org: ABB INC Licensee: ABB INC Region: 1 City: CORAL SPRINGS State: FL County: License #: Agreement: Y Docket: NRC Notified By: RICHARD LINDO HQ OPS Officer: HOWIE CROUCH Notification Date: 04/13/2017 Notification Time: 14:04 [ET] Event Date: 02/15/2017 Event Time: [EDT] Last Update Date: 04/13/2017 Emergency Class: NON EMERGENCY 10 CFR Section: 21.21(d)(3)(i) - DEFECTS AND NONCOMPLIANCE Person (Organization): MARVIN SYKES (R2DO) MARK JEFFERS (R3DO) PART 21/50.55 REACT (EMAI) Event Text PART 21 REPORT - VENDOR SUPPLIED INCORRECT RELAYS FOR CLASS 1E APPLICATION In 1993, ABB Switchgear Division supplied 12 ABB Ground-Shield ground fault relays to the Point Beach Nuclear Plant that did not meet the seismic qualifications required of Class 1E rated relays. This deviation is for GKT relay model 202L. If you have any questions regarding this notice, please contact ABB Technical Support at 954-752-6700 or 1-800-222-1946. Part 21 Event Number: 52678 Rep Org: EMERSON PROCESS MANAGEMENT Licensee: FISHER CONTROLS INTERNATIONAL LLC Region: 3 City: MARSHALLTOWN State: IA County: License #: Agreement: Y Docket: NRC Notified By: KIM SAGAR HQ OPS Officer: HOWIE CROUCH Notification Date: 04/13/2017 Notification Time: 15:53 [ET] Event Date: 08/30/2016 Event Time: [CDT] Last Update Date: 04/13/2017 Emergency Class: NON EMERGENCY 10 CFR Section: 21.21(d)(3)(i) - DEFECTS AND NONCOMPLIANCE Person (Organization): DON JACKSON (R1DO) MARVIN SYKES (R2DO) MARK JEFFERS (R3DO) JOHN KRAMER (R4DO) PART 21/50.55 REACT (EMAI) Event Text PART 21 NOTIFICATION - IDENTIFIED FISHER 546S ELECTRO-PNEUMATIC TRANSDUCERS STANDARD MOUNTING BRACKETS FAILED SEISMIC TESTING STANDARDS Fisher Controls International LLC issued Fisher Information Notice FIN 2017-02 to inform users that certain identified Model 546NS electro-pneumatic transducers, when mounted on the supplied standard mounting brackets, were determined to be not adequately robust at seismic test levels. Affected customers have been notified. Fisher requests that the recipient of this FIN review it and take appropriate action in accordance with 10 CFR 21. If there are any technical questions or concerns, please contact: Ben Ahrens Quality Manager Emerson Automation Solutions Fisher Controls International LLC 301 South First Avenue Marshalltown, IA 50158 Phone: (641) 754-2249 Benjamin. ahrens@emerson.com

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