Event Notification Report for August 05, 2024

AGREEMENT STATE REPORT - LOST SOURCE

The following information was provided by the Virginia Radioactive Materials Program (the Department) via email:

"On July 26, 2024, at approximately 1440 EDT, the VDH [Virginia Department of Health] Office of Radiological Health was contacted by the radiation safety officer (by phone) from Molecular Imaging Services, Inc. to report a missing Co-57 reference source of 5.257 mCi. On July 25, the licensee discovered that a package that had contained the source was delivered on July 3, and was inadvertently disposed of in the trash. It was not known by the nuclear medicine staff until July 25, that the source had been delivered on July 3 and that their investigation determined that the unopened package was placed in the dumpster by the facility janitor. The licensee has confirmed that the dumpster was picked up on July 6 and has been disposed of in the Prince William County Sanitary Landfill.

"The Department will follow up with an investigation."

Virginia Event Report ID No.: VA240003

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 REPORT - MEDICAL MISADMINISTRATION

The following information was provided by the Colorado Department of Public Health and Environment via email:

"This event in Colorado was originally sent to the wrong NRC email address and it is now being provided to the NRC. This event is being tracked as NMED number 240183.

"A patient was administered a measured dose of 0.613 GBq Y-90 TheraSpheres on 5/13/2024, at 1524 MDT. The desired administration location in the liver received a dose of 0.582 Gbq. Post administration imaging analysis conducted on 5/15/2024, showed an uptake to the stomach wall of 1.5 Sievert."

Notification made per: 10 CFR 35.3045(a)(1)(iii)

Colorado event report ID No.: CO240013

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.