Event Notification Report for September 01, 2023
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
08/31/2023 - 09/01/2023
Power Reactor
Event Number: 56707
Facility: Monticello
Region: 3 State: MN
Unit: [1] [] []
RX Type: [1] GE-3
NRC Notified By: Jake Styrbicky
HQ OPS Officer: Lawrence Criscione
Region: 3 State: MN
Unit: [1] [] []
RX Type: [1] GE-3
NRC Notified By: Jake Styrbicky
HQ OPS Officer: Lawrence Criscione
Notification Date: 09/01/2023
Notification Time: 18:05 [ET]
Event Date: 09/01/2023
Event Time: 09:00 [CDT]
Last Update Date: 09/01/2023
Notification Time: 18:05 [ET]
Event Date: 09/01/2023
Event Time: 09:00 [CDT]
Last Update Date: 09/01/2023
Emergency Class: Non Emergency
10 CFR Section:
26.719 - Fitness For Duty
10 CFR Section:
26.719 - Fitness For Duty
Person (Organization):
Skokowski, Richard (R3DO)
FFD Group, (EMAIL)
Skokowski, Richard (R3DO)
FFD Group, (EMAIL)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
CONTROLLED SUBSTANCE FOUND IN THE PROTECTED AREA
The following information was provided by the licensee via email:
"On 9/1/23 at 0900 hours, site personnel identified a 1 ounce bottle of vanilla extract in the protected area. Alcohol was identified as an ingredient on the ingredients label. It was determined that the alcohol by volume (ABV) for vanilla extract was 35 percent, above the 0.5 percent ABV considered low alcohol content."
The following information was provided by the licensee via email:
"On 9/1/23 at 0900 hours, site personnel identified a 1 ounce bottle of vanilla extract in the protected area. Alcohol was identified as an ingredient on the ingredients label. It was determined that the alcohol by volume (ABV) for vanilla extract was 35 percent, above the 0.5 percent ABV considered low alcohol content."
Agreement State
Event Number: 56706
Rep Org: Wisconsin Radiation Protection
Licensee: Aurora Health Care Metro, Inc.
Region: 3
City: Milwaukee State: WI
County:
License #: 079-1281-01
Agreement: Y
Docket:
NRC Notified By: Kyle Walton
HQ OPS Officer: Lawrence Criscione
Licensee: Aurora Health Care Metro, Inc.
Region: 3
City: Milwaukee State: WI
County:
License #: 079-1281-01
Agreement: Y
Docket:
NRC Notified By: Kyle Walton
HQ OPS Officer: Lawrence Criscione
Notification Date: 09/01/2023
Notification Time: 14:55 [ET]
Event Date: 09/01/2023
Event Time: 00:00 [CDT]
Last Update Date: 09/01/2023
Notification Time: 14:55 [ET]
Event Date: 09/01/2023
Event Time: 00:00 [CDT]
Last Update Date: 09/01/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Skokowski, Richard (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Skokowski, Richard (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - Y-90 UNDERDOSE
The following information was provided by the Wisconsin Radiation Protection (the Department) via email:
"On September 1, 2023, the department received a notification from the licensee's radiation safety officer about a Y-90 Therasphere dose that was not delivered as prescribed to the patient. The procedure occurred the morning of September 1, 2023. The written directive stated that the activity administered should be 1.24 GBq. The estimated activity administered to the patient was 0.715 GBq, 57.7 percent of the prescribed activity. During the administration, it was identified that the spheres required increased pressure to deliver, and that the spillover vial collected a high volume of material. Post-procedure surveys confirmed that a large portion of the material had not been administered to the patient. The patient was notified, and a follow-up procedure is scheduled to deliver the remainder of the dose. The department will follow up with a site visit to investigate the incident."
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 provided by the Wisconsin Radiation Protection (the Department) via email:
"On September 1, 2023, the department received a notification from the licensee's radiation safety officer about a Y-90 Therasphere dose that was not delivered as prescribed to the patient. The procedure occurred the morning of September 1, 2023. The written directive stated that the activity administered should be 1.24 GBq. The estimated activity administered to the patient was 0.715 GBq, 57.7 percent of the prescribed activity. During the administration, it was identified that the spheres required increased pressure to deliver, and that the spillover vial collected a high volume of material. Post-procedure surveys confirmed that a large portion of the material had not been administered to the patient. The patient was notified, and a follow-up procedure is scheduled to deliver the remainder of the dose. The department will follow up with a site visit to investigate the incident."
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: 56708
Rep Org: Texas Dept of State Health Services
Licensee: Tesla INC
Region: 4
City: Austin State: TX
County:
License #: General
Agreement: Y
Docket:
NRC Notified By: Randall Redd
HQ OPS Officer: John Russell
Licensee: Tesla INC
Region: 4
City: Austin State: TX
County:
License #: General
Agreement: Y
Docket:
NRC Notified By: Randall Redd
HQ OPS Officer: John Russell
Notification Date: 09/01/2023
Notification Time: 18:39 [ET]
Event Date: 09/01/2023
Event Time: 00:00 [CDT]
Last Update Date: 09/01/2023
Notification Time: 18:39 [ET]
Event Date: 09/01/2023
Event Time: 00:00 [CDT]
Last Update Date: 09/01/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Gepford, Heather (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
Gepford, Heather (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
AGREEMENT STATE REPORT - LOSS OF STATIC ELIMINATION DEVICE
The following was provided by the Texas Department of State Health Services (the Department) via phone and email:
"On September 1, 2023, the Department was notified by a general licensee that a generally licensed NRD, LLC device containing 10 microcuries (original activity on June 8, 2022) of polonium-210 was lost. This is greater than 10 times the Appendix C value of 0.1 microcuries. The device was to be disposed of after the general licensee switched to another non-radioactive material method of eliminating static. However, the device was believed to have been thrown away in municipal waste before this could happen and was last seen on May 12, 2023. The device is not expected to provide significant dose to anyone.
"The licensee does not believe this device would pose a safety or health risk to the public. Further information will be provided per SA-300."
Texas NMED: TX 230038
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 was provided by the Texas Department of State Health Services (the Department) via phone and email:
"On September 1, 2023, the Department was notified by a general licensee that a generally licensed NRD, LLC device containing 10 microcuries (original activity on June 8, 2022) of polonium-210 was lost. This is greater than 10 times the Appendix C value of 0.1 microcuries. The device was to be disposed of after the general licensee switched to another non-radioactive material method of eliminating static. However, the device was believed to have been thrown away in municipal waste before this could happen and was last seen on May 12, 2023. The device is not expected to provide significant dose to anyone.
"The licensee does not believe this device would pose a safety or health risk to the public. Further information will be provided per SA-300."
Texas NMED: TX 230038
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
Agreement State
Event Number: 56709
Rep Org: Arizona Dept of Health Services
Licensee: Verde Valley Medical Center
Region: 4
City: Sedona State: AZ
County:
License #: 13 - 035
Agreement: Y
Docket:
NRC Notified By: Brian D. Goretzki
HQ OPS Officer: Ernest West
Licensee: Verde Valley Medical Center
Region: 4
City: Sedona State: AZ
County:
License #: 13 - 035
Agreement: Y
Docket:
NRC Notified By: Brian D. Goretzki
HQ OPS Officer: Ernest West
Notification Date: 09/01/2023
Notification Time: 18:53 [ET]
Event Date: 09/01/2023
Event Time: 00:00 [MST]
Last Update Date: 09/01/2023
Notification Time: 18:53 [ET]
Event Date: 09/01/2023
Event Time: 00:00 [MST]
Last Update Date: 09/01/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Gepford, Heather (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Gepford, Heather (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - DOSE MISADMINISTRATION
The following information was provided by the Arizona Department of Health Services (the Department) via email:
"The Department was notified by the licensee that on September 1, 2023, a patient was prescribed 1,800 centigray in 3 fractions using a 2.5 cm diameter vaginal cylinder. After the start of the first fraction of the treatment, the patient notified the Authorized User and Authorized Medical Physicist that she thought the cylinder was in the `wrong place.' The treatment was stopped at 111 seconds into the treatment and the licensee discovered that the cylinder was placed into the rectum instead of the vagina. The treatment utilized a Varian GammaMedplus iX with an approximate 5.2 Ci Ir-192 source. The Department has requested additional information and continues to investigate the 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.
The following information was provided by the Arizona Department of Health Services (the Department) via email:
"The Department was notified by the licensee that on September 1, 2023, a patient was prescribed 1,800 centigray in 3 fractions using a 2.5 cm diameter vaginal cylinder. After the start of the first fraction of the treatment, the patient notified the Authorized User and Authorized Medical Physicist that she thought the cylinder was in the `wrong place.' The treatment was stopped at 111 seconds into the treatment and the licensee discovered that the cylinder was placed into the rectum instead of the vagina. The treatment utilized a Varian GammaMedplus iX with an approximate 5.2 Ci Ir-192 source. The Department has requested additional information and continues to investigate the 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.
Agreement State
Event Number: 56712
Rep Org: Illinois Emergency Mgmt. Agency
Licensee: G.E. Healthcare
Region: 3
City: Arlington Heights State: IL
County:
License #: IL-01109-01
Agreement: Y
Docket:
NRC Notified By: Gary Forsee
HQ OPS Officer: Brian P. Smith
Licensee: G.E. Healthcare
Region: 3
City: Arlington Heights State: IL
County:
License #: IL-01109-01
Agreement: Y
Docket:
NRC Notified By: Gary Forsee
HQ OPS Officer: Brian P. Smith
Notification Date: 09/05/2023
Notification Time: 13:48 [ET]
Event Date: 09/01/2023
Event Time: 00:00 [CDT]
Last Update Date: 09/05/2023
Notification Time: 13:48 [ET]
Event Date: 09/01/2023
Event Time: 00:00 [CDT]
Last Update Date: 09/05/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Ruiz, Robert (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
Ruiz, Robert (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
AGREEMENT STATE REPORT - MISSING PACKAGES
The following information was provided by the Illinois Emergency Management Agency (the Agency) email:
"The Agency was notified after hours on September 1, 2023, by G.E. Healthcare in Arlington Heights, IL (RML IL-01109-01) to advise of three radiopharmaceutical packages missing in transit. This is in addition to the four previously reported missing shipments [See EN56682, EN56697, and EN56701]. All three were shipped on August 24, 2023, and marked as 'missing' by the common carrier on September 1, 2023. The last known location was the [common carrier] Indianapolis transfer hub on August 24, 2023. Indiana contacted the Illinois Emergency Management Agency and Office of Homeland Security (IEMA-OHS) and reported at least two of these packages were located in an Indiana landfill and were recovered by their responders. [One of the two packages recovered from the landfill is for a previous event, See EN56701]. This investigation is ongoing.
"The radiopharmaceutical packages were offered for shipment on August 24, 2023, for delivery to three customers (Nuclear Medicine Associates in Redding, CA; Cardinal Health in Southfield, MI; and RLS USA INC - New Orleans in Harahan, LA). The Nuclear Medicine Associates package contained three 14.3 mCi vials of I-123; the Cardinal Health package contained one 4.1 mCi vial of In-111 and the RLS package contained one 4.1 mCi vial of In-111. Activities are those at time of shipment. Information available at this time indicates the Nuclear Medicine Associates package and at least one other package containing In-111 [see EN56701] were located at a landfill by State of Indiana officials."
NMED report number: IL230023
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 provided by the Illinois Emergency Management Agency (the Agency) email:
"The Agency was notified after hours on September 1, 2023, by G.E. Healthcare in Arlington Heights, IL (RML IL-01109-01) to advise of three radiopharmaceutical packages missing in transit. This is in addition to the four previously reported missing shipments [See EN56682, EN56697, and EN56701]. All three were shipped on August 24, 2023, and marked as 'missing' by the common carrier on September 1, 2023. The last known location was the [common carrier] Indianapolis transfer hub on August 24, 2023. Indiana contacted the Illinois Emergency Management Agency and Office of Homeland Security (IEMA-OHS) and reported at least two of these packages were located in an Indiana landfill and were recovered by their responders. [One of the two packages recovered from the landfill is for a previous event, See EN56701]. This investigation is ongoing.
"The radiopharmaceutical packages were offered for shipment on August 24, 2023, for delivery to three customers (Nuclear Medicine Associates in Redding, CA; Cardinal Health in Southfield, MI; and RLS USA INC - New Orleans in Harahan, LA). The Nuclear Medicine Associates package contained three 14.3 mCi vials of I-123; the Cardinal Health package contained one 4.1 mCi vial of In-111 and the RLS package contained one 4.1 mCi vial of In-111. Activities are those at time of shipment. Information available at this time indicates the Nuclear Medicine Associates package and at least one other package containing In-111 [see EN56701] were located at a landfill by State of Indiana officials."
NMED report number: IL230023
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
Agreement State
Event Number: 56814
Rep Org: Illinois Emergency Mgmt. Agency
Licensee: GE Precision Healthcare
Region: 3
City: Woodstock State: IL
County:
License #: 77-00413-01
Agreement: Y
Docket:
NRC Notified By: Gary Forsee
HQ OPS Officer: Sam Colvard
Licensee: GE Precision Healthcare
Region: 3
City: Woodstock State: IL
County:
License #: 77-00413-01
Agreement: Y
Docket:
NRC Notified By: Gary Forsee
HQ OPS Officer: Sam Colvard
Notification Date: 10/25/2023
Notification Time: 14:52 [ET]
Event Date: 09/01/2023
Event Time: 00:00 [CDT]
Last Update Date: 10/25/2023
Notification Time: 14:52 [ET]
Event Date: 09/01/2023
Event Time: 00:00 [CDT]
Last Update Date: 10/25/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Feliz-Adorno, Nestor (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Deese, Rick (R4DO)
Feliz-Adorno, Nestor (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Deese, Rick (R4DO)
AGREEMENT STATE REPORT - LOST AND FOUND RADIOACTIVE SOURCE
The following was received from the Illinois Emergency Management Agency and Office of Homeland Security (IEMA-OHS)) via email:
"IEMA-OHS was contacted the morning of October 25, 2023, by GE Precision Healthcare (a Wisconsin-licensed service provider) to advise of a Ge-68 source that had been improperly shipped to Illinois. Reportedly, a positron emission tomography-computed tomography (PET/CT) unit, still containing the Ge-68 source, was removed from a medical facility in Washington state and shipped to an unlicensed Illinois facility (MAK Healthcare). The parties involved are seeking the proper removal and return of the source to the Washington licensee. It is our understanding that GE Healthcare intends to send a technician to the Illinois facility on Friday, October 27 to remove or retrieve the sources under reciprocity. Thereafter, the source will be packaged and returned to the licensee in Washington state.
"Illinois staff contacted Washington staff and advised them of the available details. In accordance with SA-300, section 5.6.2, this report is being filed with the Nuclear Regulatory Commission as a 'found source'. The matter may also be reportable under the Illinois equivalent of 10 CFR 20.2203(a)(3)(ii). IEMA-OHS staff will monitor the activities in Illinois to verify source integrity and proper return to appropriately licensed individuals.
"This report will be updated as details become available. At this time, the Ge-68 sealed source is estimated to have a maximum activity of 11 mCi and is either an IPL-model number HEGL-0132 or 0019 or 0020."
Illinois report number: IL230031
See NRC Event Notification number 56818 for a parallel report made by Washington.
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 was received from the Illinois Emergency Management Agency and Office of Homeland Security (IEMA-OHS)) via email:
"IEMA-OHS was contacted the morning of October 25, 2023, by GE Precision Healthcare (a Wisconsin-licensed service provider) to advise of a Ge-68 source that had been improperly shipped to Illinois. Reportedly, a positron emission tomography-computed tomography (PET/CT) unit, still containing the Ge-68 source, was removed from a medical facility in Washington state and shipped to an unlicensed Illinois facility (MAK Healthcare). The parties involved are seeking the proper removal and return of the source to the Washington licensee. It is our understanding that GE Healthcare intends to send a technician to the Illinois facility on Friday, October 27 to remove or retrieve the sources under reciprocity. Thereafter, the source will be packaged and returned to the licensee in Washington state.
"Illinois staff contacted Washington staff and advised them of the available details. In accordance with SA-300, section 5.6.2, this report is being filed with the Nuclear Regulatory Commission as a 'found source'. The matter may also be reportable under the Illinois equivalent of 10 CFR 20.2203(a)(3)(ii). IEMA-OHS staff will monitor the activities in Illinois to verify source integrity and proper return to appropriately licensed individuals.
"This report will be updated as details become available. At this time, the Ge-68 sealed source is estimated to have a maximum activity of 11 mCi and is either an IPL-model number HEGL-0132 or 0019 or 0020."
Illinois report number: IL230031
See NRC Event Notification number 56818 for a parallel report made by Washington.
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
Agreement State
Event Number: 56818
Rep Org: WA Office of Radiation Protection
Licensee: GE Precision Healthcare
Region: 3
City: Woodstock State: IL
County:
License #: 77-00413-01
Agreement: Y
Docket:
NRC Notified By: Mark Hernandez
HQ OPS Officer: Ernest West
Licensee: GE Precision Healthcare
Region: 3
City: Woodstock State: IL
County:
License #: 77-00413-01
Agreement: Y
Docket:
NRC Notified By: Mark Hernandez
HQ OPS Officer: Ernest West
Notification Date: 10/25/2023
Notification Time: 20:24 [ET]
Event Date: 09/01/2023
Event Time: 00:00 [CDT]
Last Update Date: 10/25/2023
Notification Time: 20:24 [ET]
Event Date: 09/01/2023
Event Time: 00:00 [CDT]
Last Update Date: 10/25/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Feliz-Adorno, Nestor (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Deese, Rick (R4DO)
Feliz-Adorno, Nestor (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Deese, Rick (R4DO)
AGREEMENT STATE - LOST AND FOUND RADIOACTIVE SOURCE
The following information was provided by the Washington State Department of Health via email:
"A positron emission tomography-computed tomography (PET/CT) unit with a Ge-68 sealed source (11 millicurie) was removed improperly from a medical facility in WA (Radia Imaging Center) and shipped to an unlicensed facility (MAK Heathcare in Woodstock, IL). Leak tests are in process to verify no spread of contamination. Currently, the plan is to ship the PET/CT scanner back to source manufacturer, Eckhert & Ziegler, in Burbank, CA on Friday, 10/27/2023."
WA Incident Report Number: WA-23-028
See NRC Event Notification number 56814 for a parallel report made by Illinois.
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 provided by the Washington State Department of Health via email:
"A positron emission tomography-computed tomography (PET/CT) unit with a Ge-68 sealed source (11 millicurie) was removed improperly from a medical facility in WA (Radia Imaging Center) and shipped to an unlicensed facility (MAK Heathcare in Woodstock, IL). Leak tests are in process to verify no spread of contamination. Currently, the plan is to ship the PET/CT scanner back to source manufacturer, Eckhert & Ziegler, in Burbank, CA on Friday, 10/27/2023."
WA Incident Report Number: WA-23-028
See NRC Event Notification number 56814 for a parallel report made by Illinois.
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