Event Notification Report for April 25, 2025
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
04/24/2025 - 04/25/2025
Agreement State
Event Number: 57682
Rep Org: Florida Bureau of Radiation Control
Licensee: Watson Clinic, Lakeland Florida
Region: 1
City: Lakeland State: FL
County:
License #: 0387-2
Agreement: Y
Docket:
NRC Notified By: Jason Nicholson
HQ OPS Officer: Jordan Wingate
Licensee: Watson Clinic, Lakeland Florida
Region: 1
City: Lakeland State: FL
County:
License #: 0387-2
Agreement: Y
Docket:
NRC Notified By: Jason Nicholson
HQ OPS Officer: Jordan Wingate
Notification Date: 04/25/2025
Notification Time: 20:41 [ET]
Event Date: 04/25/2025
Event Time: 18:15 [EDT]
Last Update Date: 04/25/2025
Notification Time: 20:41 [ET]
Event Date: 04/25/2025
Event Time: 18:15 [EDT]
Last Update Date: 04/25/2025
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Ford, Monica (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
Ford, Monica (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
AGREEMENT STATE REPORT - LOST I-125 SEED
The following information was provided by the Florida Bureau of Radiation Control (BRC) via email:
"The BRC received a notification of a lost 0.140 mCi I-125 seed from Watson Clinic at 1815 EDT on April 25, 2025. The sample was previously implanted and lost during a recent surgery. The facility states that they surveyed all locations between the operating room, patient room, and the patient belongings. An X-ray confirmed the material was removed from the patient."
FL Incident Number: FL-25-039
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 Florida Bureau of Radiation Control (BRC) via email:
"The BRC received a notification of a lost 0.140 mCi I-125 seed from Watson Clinic at 1815 EDT on April 25, 2025. The sample was previously implanted and lost during a recent surgery. The facility states that they surveyed all locations between the operating room, patient room, and the patient belongings. An X-ray confirmed the material was removed from the patient."
FL Incident Number: FL-25-039
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
Non-Agreement State
Event Number: 57713
Rep Org: Varian Medical Systems
Licensee: Varian Medical
Region: 1
City: Dover State: DE
County:
License #: 45-30957-01
Agreement: N
Docket:
NRC Notified By: Atul Vaid
HQ OPS Officer: Robert A. Thompson
Licensee: Varian Medical
Region: 1
City: Dover State: DE
County:
License #: 45-30957-01
Agreement: N
Docket:
NRC Notified By: Atul Vaid
HQ OPS Officer: Robert A. Thompson
Notification Date: 05/16/2025
Notification Time: 14:45 [ET]
Event Date: 04/25/2025
Event Time: 00:00 [EDT]
Last Update Date: 05/16/2025
Notification Time: 14:45 [ET]
Event Date: 04/25/2025
Event Time: 00:00 [EDT]
Last Update Date: 05/16/2025
Emergency Class: Non Emergency
10 CFR Section:
20.2201(a)(1)(i) - Lost/Stolen LNM>1000x
10 CFR Section:
20.2201(a)(1)(i) - Lost/Stolen LNM>1000x
Person (Organization):
Dentel, Glenn (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
Gepford, Heather (R4DO)
Dentel, Glenn (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
Gepford, Heather (R4DO)
SOURCE LOST DURING SHIPMENT
The following information was provided by the licensee via phone:
A 0.182 TBq Ir-192 sealed source was lost in shipment by a common carrier. The package, a UN3332 Type A container with overpack, was picked up by the common carrier on April 25, 2025. The carrier's origin and interim sorting facilities have been searched and failed to locate the package. A search is on-going at the carrier's central sorting facility in Memphis, Tennessee. The source was in the process of being shipped to the source supplier in Vinton, LA for disposition.
THIS MATERIAL EVENT CONTAINS A 'Category 3' LEVEL OF RADIOACTIVE MATERIAL
Category 3 sources, if not safely managed or securely protected, could cause permanent injury to a person who handled them, or were otherwise in contact with them, for some hours. It could possibly - although it is unlikely - be fatal to be close to this amount of unshielded radioactive material for a period of days to weeks. These sources are typically used in practices such as fixed industrial gauges involving high activity sources (for example: level gauges, dredger gauges, conveyor gauges and spinning pipe gauges) and well logging. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
The following information was provided by the licensee via phone:
A 0.182 TBq Ir-192 sealed source was lost in shipment by a common carrier. The package, a UN3332 Type A container with overpack, was picked up by the common carrier on April 25, 2025. The carrier's origin and interim sorting facilities have been searched and failed to locate the package. A search is on-going at the carrier's central sorting facility in Memphis, Tennessee. The source was in the process of being shipped to the source supplier in Vinton, LA for disposition.
THIS MATERIAL EVENT CONTAINS A 'Category 3' LEVEL OF RADIOACTIVE MATERIAL
Category 3 sources, if not safely managed or securely protected, could cause permanent injury to a person who handled them, or were otherwise in contact with them, for some hours. It could possibly - although it is unlikely - be fatal to be close to this amount of unshielded radioactive material for a period of days to weeks. These sources are typically used in practices such as fixed industrial gauges involving high activity sources (for example: level gauges, dredger gauges, conveyor gauges and spinning pipe gauges) and well logging. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf