Event Notification Report for December 22, 2020
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
12/21/2020 - 12/22/2020
Agreement State
Event Number: 55033
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: The Methodist Hospital
Region: 4
City: Houston State: TX
County:
License #: L00457
Agreement: Y
Docket:
NRC Notified By: Art Tucker
HQ OPS Officer: Kerby Scales
Notification Date: 12/12/2020
Notification Time: 17:06 [ET]
Event Date: 12/11/2020
Event Time: 00:00 [CST]
Last Update Date: 12/12/2020
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
RAY KELLAR (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
AGREEMENT STATE REPORT - UNRETRACTABLE SOURCE
The following report was received from the Texas Department of State Health Services (the Agency) via email:
"On December 12, 2020, the Agency was notified by the licensee's radiation safety officer (RSO) that on December 11, 2020, they were unable to retract a source string composed of 16 strontium - 90 sources with a total activity of 36 milliCuries to the fully shielded position. The RSO stated they had completed the treatment of a patient using a Best Vascular model A1000 brachytherapy device and Novoste Beta-Cath Delivery System and when they attempted to retract the source to the shielded position, the source stuck just outside the device. The source did retract outside the patient. The source and associated equipment were placed in a shield box and have been placed in storage. The RSO stated neither the patient or individuals operating the device received any additional exposure from the event. The RSO stated the patient received the prescribed dose from the treatment. Additional information will be provided as it is received in accordance with SA-300."
Texas Incident Number: 9816