Event Notification Report for January 12, 2024
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
01/11/2024 - 01/12/2024
Agreement State
Event Number: 56924
Rep Org: Minnesota Department of Health
Licensee: ERP Iron Ore, LLC Plant 2
Region: 3
City: Bovey State: MN
County:
License #: 5118
Agreement: Y
Docket:
NRC Notified By: Lynn Fortier
HQ OPS Officer: Ernest West
Licensee: ERP Iron Ore, LLC Plant 2
Region: 3
City: Bovey State: MN
County:
License #: 5118
Agreement: Y
Docket:
NRC Notified By: Lynn Fortier
HQ OPS Officer: Ernest West
Notification Date: 01/12/2024
Notification Time: 14:28 [ET]
Event Date: 01/12/2024
Event Time: 00:00 [CST]
Last Update Date: 01/12/2024
Notification Time: 14:28 [ET]
Event Date: 01/12/2024
Event Time: 00:00 [CST]
Last Update Date: 01/12/2024
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Szwarc, Dariusz (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
CNSC (Canada), - (EMAIL)
Szwarc, Dariusz (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
CNSC (Canada), - (EMAIL)
AGREEMENT STATE REPORT - LOST FIXED GAUGE
The following information was provided by the Minnesota Department of Health (MDH) via email:
"The MDH was notified on 1/12/2024, by PPL Group LLC, a representative for ERP Iron Ore, LLC Plant 2, of a missing/lost fixed gauge from the licensee's location listed above. PPL Group LLC contracted a waste broker to dispose of the registered generally licensed devices located at the plant. The completed inventory indicates that one device is missing. The missing device is a Berthold model LB74400-CR, serial number 0240/12 containing a 50 mCi Cs-137 source (assay date of 3/20/2014).
"MDH will do an inspection next week and will continue to keep the NRC informed of the status of our investigation."
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 Minnesota Department of Health (MDH) via email:
"The MDH was notified on 1/12/2024, by PPL Group LLC, a representative for ERP Iron Ore, LLC Plant 2, of a missing/lost fixed gauge from the licensee's location listed above. PPL Group LLC contracted a waste broker to dispose of the registered generally licensed devices located at the plant. The completed inventory indicates that one device is missing. The missing device is a Berthold model LB74400-CR, serial number 0240/12 containing a 50 mCi Cs-137 source (assay date of 3/20/2014).
"MDH will do an inspection next week and will continue to keep the NRC informed of the status of our investigation."
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: 56926
Rep Org: Louisiana Radiation Protection Div
Licensee: Ochsner Clinic Foundation
Region: 4
City: New Orleans State: LA
County:
License #: LA-0002-L01, Amendment Number 98
Agreement: Y
Docket:
NRC Notified By: James Pate
HQ OPS Officer: Ernest West
Licensee: Ochsner Clinic Foundation
Region: 4
City: New Orleans State: LA
County:
License #: LA-0002-L01, Amendment Number 98
Agreement: Y
Docket:
NRC Notified By: James Pate
HQ OPS Officer: Ernest West
Notification Date: 01/14/2024
Notification Time: 19:21 [ET]
Event Date: 01/12/2024
Event Time: 00:00 [CST]
Last Update Date: 01/14/2024
Notification Time: 19:21 [ET]
Event Date: 01/12/2024
Event Time: 00:00 [CST]
Last Update Date: 01/14/2024
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Gaddy, Vincent (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Gaddy, Vincent (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - Y-90 INCOMPLETE DOSE
The following information was provided by the Louisiana Department of Environmental Quality (LA DEQ) via email:
"This medical event was reported [to the LA DEQ] on January 13, 2024, at 2259 [CST]. On January 12, 2024, the licensee was performing a Y-90 brachytherapy medical procedure. A tubing failure (catheter) resulted in an incomplete dosing of the patient. The catheter became blocked up with the undelivered radiopharmaceutical Y-90. The Y-90 was contained within the administrating device's tubing. There was no spill involved. The Y-90 being used was TheraSphere from Boston Scientific.
"Approximately 23 percent of the radiopharmaceutical Y-90 was delivered to the patient. No effect on the individual was determined. The remainder of the prescribed dose will be administered to the patient at a later date."
LA DEQ Event Report ID: LA20240001
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 Louisiana Department of Environmental Quality (LA DEQ) via email:
"This medical event was reported [to the LA DEQ] on January 13, 2024, at 2259 [CST]. On January 12, 2024, the licensee was performing a Y-90 brachytherapy medical procedure. A tubing failure (catheter) resulted in an incomplete dosing of the patient. The catheter became blocked up with the undelivered radiopharmaceutical Y-90. The Y-90 was contained within the administrating device's tubing. There was no spill involved. The Y-90 being used was TheraSphere from Boston Scientific.
"Approximately 23 percent of the radiopharmaceutical Y-90 was delivered to the patient. No effect on the individual was determined. The remainder of the prescribed dose will be administered to the patient at a later date."
LA DEQ Event Report ID: LA20240001
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.