Event Notification Report for March 09, 2020
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
03/08/2020 - 03/09/2020
EVENT NUMBERS
54578
Agreement State
Event Number: 54578
Rep Org: UTAH DIVISION OF RADIATION CONTROL
Licensee: NORTHERN UTAH HEALTHCARE CORP DBA COLUMBIA ST MARKS HOSPITAL
Region: 4
City: SALT LAKE State: UT
County:
License #: UT 1800253
Agreement: Y
Docket:
NRC Notified By: PHILIP GRIFFIN
HQ OPS Officer: SILAS KENNEDY
Licensee: NORTHERN UTAH HEALTHCARE CORP DBA COLUMBIA ST MARKS HOSPITAL
Region: 4
City: SALT LAKE State: UT
County:
License #: UT 1800253
Agreement: Y
Docket:
NRC Notified By: PHILIP GRIFFIN
HQ OPS Officer: SILAS KENNEDY
Notification Date: 03/10/2020
Notification Time: 16:13 [ET]
Event Date: 03/09/2020
Event Time: 00:00 [MDT]
Last Update Date: 03/10/2020
Notification Time: 16:13 [ET]
Event Date: 03/09/2020
Event Time: 00:00 [MDT]
Last Update Date: 03/10/2020
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DAVID PROULX (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
DAVID PROULX (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
AGREEMENT STATE REPORT - LOST IODINE-125 SEED
The following information was received from the state of Utah via email:
"Late in the evening on March 9, 2020, an individual in the pathology lab was examining an excised tissue sample that contained one 286 microCurie Iodine-125 seed used in a radioactive seed localization procedure. During the examination, the seed fell out of the tissue sample and went down the sink drain. The individual blocked off the drain, and the licensee waited until the morning of the 10th to remove the sink's p-trap to look for the seed. The licensee was unable to locate the seed, and assumes that the seed is lost. The Division [Utah Division of Radiation Control] will be performing an on-site investigation soon."
Utah Report ID number: UT200002
THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL
Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
The following information was received from the state of Utah via email:
"Late in the evening on March 9, 2020, an individual in the pathology lab was examining an excised tissue sample that contained one 286 microCurie Iodine-125 seed used in a radioactive seed localization procedure. During the examination, the seed fell out of the tissue sample and went down the sink drain. The individual blocked off the drain, and the licensee waited until the morning of the 10th to remove the sink's p-trap to look for the seed. The licensee was unable to locate the seed, and assumes that the seed is lost. The Division [Utah Division of Radiation Control] will be performing an on-site investigation soon."
Utah Report ID number: UT200002
THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL
Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf