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Event Notification Report for September 10, 2018

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Event Reports For
9/9/2018 - 9/10/2018

** EVENT NUMBERS **


53574 53577

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Non-Agreement State Event Number: 53574
Rep Org: INDIANA UNIVERSITY IUPUI/IUMC
Licensee: INDIANA UNIVERSITY IUPUI/IUMC
Region: 3
City: INDIANAPOLIS   State: IN
County:
License #: 13-02752-03
Agreement: N
Docket:
NRC Notified By: MICHAEL MARTIN
HQ OPS Officer: BETHANY CECERE
Notification Date: 08/31/2018
Notification Time: 14:28 [ET]
Event Date: 08/31/2018
Event Time: 09:00 [EDT]
Last Update Date: 08/31/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
Person (Organization):
RICHARD SKOKOWSKI (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

DOSE ADMINISTRATION PREVENTED BY KIT MALFUNCTION

A patient was prescribed 86.9 milliCuries Yittrium-90 Theraspheres to the liver, but a malfunction in the kit prevented the Theraspheres from travelling to the dose location. There was no contamination detected on the patient or equipment. The patient was notified and rescheduled for this procedure next week. The manufacturer of the kit was notified and the hospital pulled all kits in that lot.

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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Agreement State Event Number: 53577
Rep Org: PRIME NDT SERVICES
Licensee: PRIME NDT SERVICES
Region: 1
City: RIPLEY   State: WV
County: JACKSON
License #: 37-23370-01
Agreement: N
Docket:
NRC Notified By: DON SHUMWAY
HQ OPS Officer: VINCE KLCO
Notification Date: 09/01/2018
Notification Time: 10:43 [ET]
Event Date: 09/01/2018
Event Time: 00:00 [EDT]
Last Update Date: 09/01/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(ii) - LOST/STOLEN LNM>10X
Person (Organization):
JON LILLIENDAHL (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
DESIREE DAVIS (ILTAB)
This material event contains a "Category 2" level of radioactive material.

Event Text

RADIOGRAPHY CAMERA STOLEN AND THEN RECOVERED

While filling up a licensee company truck at a gas station located in Ripley, West Virginia, an individual stole the company truck and its associated radiography camera (QSA 880; S/N 677846;108 Ci; Iridium-192 source). The licensee notified LLEA (West Virginia State Police) and the vehicle was recovered. The licensee inspected the properly secured equipment and observed no impact to the radiography camera. The licensee stated there was no radiological impact to the public or employees.

THIS MATERIAL EVENT CONTAINS A "CATEGORY 2" LEVEL OF RADIOACTIVE MATERIAL

Category 2 sources, if not safely managed or securely protected, could cause permanent injury to a person who handled them, or were otherwise in contact with them, for a short time (minutes to hours). It could possibly be fatal to be close to this amount of unshielded radioactive material for a period of hours to days. These sources are typically used in practices such as industrial gamma radiography, high dose rate brachytherapy and medium dose rate brachytherapy. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf


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Friday, May 03, 2019