Event Notification Report for December 21, 2021

EN Revision Imported Date: 12/21/2021

EN Revision Text: AGREEMENT STATE REPORT - LOST PORTABLE TROXLER GAUGE

The following is a summary of information received from the state of George via email:

A portable troxler gauge (Model 3430) with an Am-241/CS-137 was lost by a common carrier. The activity of the source is unknown at this time.

Serial Number: 21711
Am-241 Source Serial Number: 47-16983
Cs-137 Source Serial Number: 75-3259

Georgia Incident Number: 19

** HOO Developed Information **
CS -137 Manufacture Radiological Specification (8mCi plus or minus 10 percent)
Am-241 Manufacture Radiological Specification (40mCi plus or minus 10 percent)

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

EN Revision Imported Date: 12/21/2021

EN Revision Text: NON-AGREEMENT STATE REPORT - MEDICAL UNDERDOSE

The following is a summary of a phone call with the licensee:

A patient was implanted with an I-125 seed of 21.45 millicuries for the radiation therapy. The patient was prescribed to receive radiation therapy to 93.17% of their prostate. Post implant dosimetry indicated that the patient only received a dose to 39.10% of the prostate. There were no unintended health affects as a result of this event.

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.

EN Revision Imported Date: 12/21/2021

EN Revision Text: AGREEMENT STATE REPORT - MISSING THALIUM-201 SHIPMENT

The following information was received from the Massachusetts Radiation Control Program (the Agency) via email:

"Lantheus Medical Imaging, Inc. notified the Agency at 1145 EST on 12/14/2021 that a thalium-201 (73.1 hr half-life) shipment in route to RLS USA, Inc. went missing in transit during vehicle maintenance operations. The vehicle had a flat tire that needed to be replaced. The flat tire occurred the early morning of 12/13/2021 around 0000 EST, but possibly before 0000 EST on the evening of 12/12/2021, [near Pallisades Park, NJ]. During the tire change, the packages were removed from the vehicle in order to complete the maintenance. RLS USA, Inc. reported to Lantheus Medical Imaging, Inc. on the evening of 12/13/2021 that the thallium material was not received. A Tc-99m generator package shipped in the same vehicle was received by RLS USA, Inc. as part of the delivery, but the thalium-201 package was not received.

"The missing package contained 117 mCi of thalium-201 as of 12/12/2021 (Yellow II package, 0.3 TI).

"The reporting requirement is within 30 days and is of 105 CMR 120.281(A)(2), missing licensed radioactive materials in aggregate quantity equal to or greater than 10 times quantity specified in 105 CMR 120.297, Appendix C.

"The Agency considers this event to be open. New York State and New Jersey Agencies were contacted."

* * * UPDATE FROM ROBERT LOCK TO THOMAS KENDZIA AT 1121 EDT ON 12/16/21 * * *

The following information was received from the Agency via e-mail:

"Correction: Lantheus Medical Imaging, Inc. reports that the flat tire on the delivery vehicle occurred at 6:45 PM on 12/12/2021.

"Correction: The event was reported to the Massachusetts Radiation Control Program at 11:45 a.m. on 12/14/2021 (the 11:45 p.m. in the narrative is a typo and should be a.m.).

"MDS performed searches for the package [where the flat tire was changed] and surrounding areas, performed searches at another location on the delivery route (MDS warehouse located in Little Ferry, NJ) and contacted other facilities on the route where other packages were delivered.

"The package continues to be missing."

Notified R1DO (YOUNG), NMSS Events Notification group (email), and ILTAB (email).

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

EN Revision Imported Date: 12/21/2021

EN Revision Text: AGREEMENT STATE REPORT - UNAUTHORIZED DISPOSAL OF RADIOACTIVE MATERIALS

The following information was received by the Alabama Department of Public Health Office of Radiation Control (the Agency) via email:

"On 12/14/21, the Agency spoke with a representative of Alabama Dept. of Agriculture Veterinary Diagnostic Lab in Auburn, Alabama regarding information in a letter related to disposal of an ECD [electron capture detector]. The representative confirmed that the ECD was incinerated by an unauthorized/unlicensed company. The Agency is continuing to investigate. The Veterinary Diagnostic lab does not have a specific license; the Agency has identified it as GL registration no. 15. The device was manufactured by Varian, with source model 02-001972-00, nominal activity of 15 millicuries of nickel-63."

AL incident no.: 21-35

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

EN Revision Imported Date: 12/21/2021

EN Revision Text: OFFSITE NOTIFICATION
The following information was provided by Framatome ANP Richland via email:

"On December 20, 2021, at 0920 PST, Framatome received notification that a sealed source, which had been removed by a waste broker (Qal-Tek), had failed a leak test.

"The source, an acrylic rod type made in June 1986 and containing at that time 5 mCi of Cs-137, had been stored at Framatome in a shielding pig for many years. Leak tests had been performed on the storage pig as required by Framatome's radioactive materials license, most recently on November 12, 2021. The waste broker performed a confirmatory leak test on the storage pig on November 22, 2021 and removed the source from the Framatome site. All leak tests performed by Framatome and the waste broker indicated that there was less than 0.005 microcurie of removable contamination on the outside of the storage pig.

"The source was removed from its storage pig at the waste broker's facility in a controlled environment at which point a sample of the bare source indicated a removable beta activity of 0.015 microcurie. Upon discovering the leak, the waste broker placed the leaking source in a sealed container and decontaminated the inside of the storage pig. The source will be sealed with epoxy to prevent any further leak; being already in the waste stream, no further issue is anticipated from the source.

"This report is furnished to the NRC, concurrent to one sent to the Washington Department of Public Health."

The licensee has notified the State and NRC Region IV.