Event Notification Report for May 19, 2022
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
05/18/2022 - 05/19/2022
Agreement State
Event Number: 55892
Rep Org: California Radiation Control Prgm
Licensee: City of Hope
Region: 4
City: Duarte State: CA
County:
License #: 0307-19
Agreement: Y
Docket:
NRC Notified By: Robert Greger
HQ OPS Officer: Donald Norwood
Licensee: City of Hope
Region: 4
City: Duarte State: CA
County:
License #: 0307-19
Agreement: Y
Docket:
NRC Notified By: Robert Greger
HQ OPS Officer: Donald Norwood
Notification Date: 05/10/2022
Notification Time: 23:57 [ET]
Event Date: 05/10/2022
Event Time: 00:00 [PDT]
Last Update Date: 05/11/2022
Notification Time: 23:57 [ET]
Event Date: 05/10/2022
Event Time: 00:00 [PDT]
Last Update Date: 05/11/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
NMSS_EVENTS_NOTIFICATION (EMAIL)
Gaddy, Vincent (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Gaddy, Vincent (R4DO)
AGREEMENT STATE REPORT - UNDERDOSE MEDICAL EVENT
The following information was received via e-mail:
"The City of Hope Radiation Safety Officer contacted LA County Radiation Management (LA County) on May 10, 2022 to report a Medical Event that occurred on the same day at City of Hope in Duarte, CA. The patient was underdosed during a Selective Internal Radiation Therapy (SIRT) treatment for liver cancer that involved the administration of SIR-Spheres yttrium-90 (Y-90) resin microspheres. The prescribed dose to the patient was 10 mCi, but the dose delivered to the patient was only 6.42 mCi due to a leakage caused by a loose tubing connection.
"City of Hope will conduct an investigation to gain a better understanding of the details of the event."
California 5010 Number: 051022
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.
The following information was received via e-mail:
"The City of Hope Radiation Safety Officer contacted LA County Radiation Management (LA County) on May 10, 2022 to report a Medical Event that occurred on the same day at City of Hope in Duarte, CA. The patient was underdosed during a Selective Internal Radiation Therapy (SIRT) treatment for liver cancer that involved the administration of SIR-Spheres yttrium-90 (Y-90) resin microspheres. The prescribed dose to the patient was 10 mCi, but the dose delivered to the patient was only 6.42 mCi due to a leakage caused by a loose tubing connection.
"City of Hope will conduct an investigation to gain a better understanding of the details of the event."
California 5010 Number: 051022
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.
Agreement State
Event Number: 55895
Rep Org: SC Dept of Health & Env Control
Licensee: GEL Laboratories LLC
Region: 1
City: Charleston State: SC
County:
License #: 327
Agreement: Y
Docket:
NRC Notified By: Andrew Roxburgh
HQ OPS Officer: Brian Parks
Licensee: GEL Laboratories LLC
Region: 1
City: Charleston State: SC
County:
License #: 327
Agreement: Y
Docket:
NRC Notified By: Andrew Roxburgh
HQ OPS Officer: Brian Parks
Notification Date: 05/13/2022
Notification Time: 13:46 [ET]
Event Date: 04/13/2022
Event Time: 14:00 [EDT]
Last Update Date: 05/13/2022
Notification Time: 13:46 [ET]
Event Date: 04/13/2022
Event Time: 14:00 [EDT]
Last Update Date: 05/13/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Ferdas, Marc (R1DO)
NMSS_Events_Notification, (EMAIL)
Ferdas, Marc (R1DO)
NMSS_Events_Notification, (EMAIL)
AGREEMENT STATE REPORT - TRITIUM IN EXCESS OF LICENSE LIMIT
The following information was received from the South Carolina Department of Health and Environmental Control [The Department] via e-mail:
"On April 13, 2022, at approximately 1400 EDT, the Department was notified by the licensee that it possibly received two samples that contained Tritium (H-3) that if logged in would have exceeded the license possession limit. The licensee receives samples from various customers for analysis to determine the amount of radioactivity that may be present in the sample. The two samples (drums) contained 50 pounds of concrete cores. These samples were believed to contain 1.57 E4 milliCuries of Tritium. Due to the potential elevated level of Tritium in the samples, the drums were never unpacked, were re-sealed, and returned to the client. The client submitted information indicated that each sample (drum) contained approximately 346 microCuries/gram of Tritium. The licensee calculated that the activity of each sample contained 7.85 Curies of Tritium and totaled 15.7 Curies for both samples. The licensee has submitted the required 30-day written report on May 12, 2022."
The following information was received from the South Carolina Department of Health and Environmental Control [The Department] via e-mail:
"On April 13, 2022, at approximately 1400 EDT, the Department was notified by the licensee that it possibly received two samples that contained Tritium (H-3) that if logged in would have exceeded the license possession limit. The licensee receives samples from various customers for analysis to determine the amount of radioactivity that may be present in the sample. The two samples (drums) contained 50 pounds of concrete cores. These samples were believed to contain 1.57 E4 milliCuries of Tritium. Due to the potential elevated level of Tritium in the samples, the drums were never unpacked, were re-sealed, and returned to the client. The client submitted information indicated that each sample (drum) contained approximately 346 microCuries/gram of Tritium. The licensee calculated that the activity of each sample contained 7.85 Curies of Tritium and totaled 15.7 Curies for both samples. The licensee has submitted the required 30-day written report on May 12, 2022."