Event Notification Report for February 02, 2021
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
02/01/2021 - 02/02/2021
Non-Agreement State
Event Number: 55080
Rep Org: Curium USPET LLC
Licensee: Curium USPET LLC
Region: 3
City: Noblesville State: IN
County:
License #: 13-35179-02
Agreement: N
Docket:
NRC Notified By: Matthew Trusner
HQ OPS Officer: Thomas Herrity
Licensee: Curium USPET LLC
Region: 3
City: Noblesville State: IN
County:
License #: 13-35179-02
Agreement: N
Docket:
NRC Notified By: Matthew Trusner
HQ OPS Officer: Thomas Herrity
Notification Date: 01/22/2021
Notification Time: 16:43 [ET]
Event Date: 01/21/2021
Event Time: 19:07 [EST]
Last Update Date: 01/22/2021
Notification Time: 16:43 [ET]
Event Date: 01/21/2021
Event Time: 19:07 [EST]
Last Update Date: 01/22/2021
Emergency Class: Non Emergency
10 CFR Section:
30.50(b)(1) - Unplanned Contamination
10 CFR Section:
30.50(b)(1) - Unplanned Contamination
Person (Organization):
HIRONORI PETERSON (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
HIRONORI PETERSON (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
LOW LEVEL CONTAMINATION OF FUTURE PRODUCTION AREA
The following is a synopsis of a phone report received from Curium USPET LLC.
At 1907 EST on January 21, 2021, the Radiation Safety Officer (RSO) at the Curium USPET LLC facility in Noblesville, IN was notified that one hand/foot monitor was alarming. Upon investigation it was determined to be a valid alarm. The area was surveyed and revealed two small areas of Strontium-82 contamination, apparently transferred from shoe cover booties. The total contamination was 640 microCuries, all within the Future Production Area (10,450 sq. ft. area). Decontamination of the area was initiated and completed at 1630 EST on January 22, 2021. The three decontamination workers each received 0.4 mREM dose during the clean-up process. No contamination escaped the Future Production Area room. Source/cause of the contamination is being investigated.
The following is a synopsis of a phone report received from Curium USPET LLC.
At 1907 EST on January 21, 2021, the Radiation Safety Officer (RSO) at the Curium USPET LLC facility in Noblesville, IN was notified that one hand/foot monitor was alarming. Upon investigation it was determined to be a valid alarm. The area was surveyed and revealed two small areas of Strontium-82 contamination, apparently transferred from shoe cover booties. The total contamination was 640 microCuries, all within the Future Production Area (10,450 sq. ft. area). Decontamination of the area was initiated and completed at 1630 EST on January 22, 2021. The three decontamination workers each received 0.4 mREM dose during the clean-up process. No contamination escaped the Future Production Area room. Source/cause of the contamination is being investigated.
Agreement State
Event Number: 55084
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: Loma Linda Medical Center
Region: 4
City: Loma Linda State: CA
County:
License #: 0060-36
Agreement: Y
Docket:
NRC Notified By: Robert Greger
HQ OPS Officer: Brian Lin
Licensee: Loma Linda Medical Center
Region: 4
City: Loma Linda State: CA
County:
License #: 0060-36
Agreement: Y
Docket:
NRC Notified By: Robert Greger
HQ OPS Officer: Brian Lin
Notification Date: 01/26/2021
Notification Time: 17:04 [ET]
Event Date: 01/25/2021
Event Time: 00:00 [PST]
Last Update Date: 01/26/2021
Notification Time: 17:04 [ET]
Event Date: 01/25/2021
Event Time: 00:00 [PST]
Last Update Date: 01/26/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
JAMES DRAKE (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
JAMES DRAKE (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - INCORRECT DOSE DELIVERED TO PATIENT
The following information was received from the state of California via email:
"On January 25, 2021, the Radiation Safety Officers [RSO] discovered and reported to CDPH [California Department of Public Health] that a medical event had occurred on December 28, 2020. The RSO stated that during a routine review of the past month's radiation therapies, they discovered that a Y-90 Nordion TheraSphere treatment performed on 12/28/2020 resulted in a delivered dose that was approximately 33 percent greater than the physician's written directive (550 Gy) signed on 12/15/2020. This higher patient dose was the result of administering the dose on Monday (12/28/2020) that was calibrated for administration on Tuesday (12/29/2020). The licensee will be submitting their 15 day report per 10 CFR 35.3045."
California report no.: 012521
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 received from the state of California via email:
"On January 25, 2021, the Radiation Safety Officers [RSO] discovered and reported to CDPH [California Department of Public Health] that a medical event had occurred on December 28, 2020. The RSO stated that during a routine review of the past month's radiation therapies, they discovered that a Y-90 Nordion TheraSphere treatment performed on 12/28/2020 resulted in a delivered dose that was approximately 33 percent greater than the physician's written directive (550 Gy) signed on 12/15/2020. This higher patient dose was the result of administering the dose on Monday (12/28/2020) that was calibrated for administration on Tuesday (12/29/2020). The licensee will be submitting their 15 day report per 10 CFR 35.3045."
California report no.: 012521
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.