Event Notification Report for March 10, 2025
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
03/09/2025 - 03/10/2025
EVENT NUMBERS
57601
57601
Non-Agreement State
Event Number: 57601
Rep Org: Carewell Health
Licensee: Carewell Health
Region: 3
City: Royal Oak State: MI
County:
License #: 21-01333-01
Agreement: N
Docket:
NRC Notified By: Dan Lake
HQ OPS Officer: Robert A. Thompson
Licensee: Carewell Health
Region: 3
City: Royal Oak State: MI
County:
License #: 21-01333-01
Agreement: N
Docket:
NRC Notified By: Dan Lake
HQ OPS Officer: Robert A. Thompson
Notification Date: 03/13/2025
Notification Time: 16:46 [ET]
Event Date: 03/10/2025
Event Time: 09:00 [EDT]
Last Update Date: 03/13/2025
Notification Time: 16:46 [ET]
Event Date: 03/10/2025
Event Time: 09:00 [EDT]
Last Update Date: 03/13/2025
Emergency Class: Non Emergency
10 CFR Section:
20.2201(a)(1)(ii) - Lost/Stolen LNM>10x
10 CFR Section:
20.2201(a)(1)(ii) - Lost/Stolen LNM>10x
Person (Organization):
Edwards, Rhex (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Edwards, Rhex (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
LOST AND RECOVERED PET CAMERA
The following is a summary of information provided by the licensee via phone:
The licensee reported that on March 6, 2025, a positron emission tomography (PET) camera with a 1490 microcurie germanium-68 sealed source was inadvertently shipped offsite without first removing the source. The licensee discovered that the source was unaccounted for on March 10, 2025, and concluded that it had been inadvertently shipped offsite with the camera. On March 13, 2025, the licensee's vendor for the camera located the camera in a vendor-contracted warehouse in Cudahy, WI. The vendor warehouse is not a licensed radioactive materials facility. Vendor personnel (field services engineer and health physicist) inspected the camera, which was secured in its storage container with the source in the shielded position, and determined there was no radiological impact. The vendor personnel secured the camera in a locked location at the warehouse and made warehouse personnel aware of the camera's location. The vendor is making arrangements to retrieve the camera.
The licensee plans to notify the NRC Region 3 office. The vendor will be notifying the State of Wisconsin.
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 is a summary of information provided by the licensee via phone:
The licensee reported that on March 6, 2025, a positron emission tomography (PET) camera with a 1490 microcurie germanium-68 sealed source was inadvertently shipped offsite without first removing the source. The licensee discovered that the source was unaccounted for on March 10, 2025, and concluded that it had been inadvertently shipped offsite with the camera. On March 13, 2025, the licensee's vendor for the camera located the camera in a vendor-contracted warehouse in Cudahy, WI. The vendor warehouse is not a licensed radioactive materials facility. Vendor personnel (field services engineer and health physicist) inspected the camera, which was secured in its storage container with the source in the shielded position, and determined there was no radiological impact. The vendor personnel secured the camera in a locked location at the warehouse and made warehouse personnel aware of the camera's location. The vendor is making arrangements to retrieve the camera.
The licensee plans to notify the NRC Region 3 office. The vendor will be notifying the State of Wisconsin.
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