ENS 42618

v t e ENS Event
12:00 Apr 4, 2006
Title	Agreement State - Unplanned Exposure During Training
Event Description	The State provided the following information via email: The Kentucky Radiation Health Branch was notified on April 4, 2006, by [the licensee], Radiation Safety Officer for Varian Medical Systems, 700 Harris Street, Suite 109, Charlottesville, VA, NRC license no. 45-30957-01, of an incident involving an HDR unit at the University of Kentucky Medical Center. A 10.5 Ci [Curie] Ir-192 brachytherapy HDR source assembly (SS&D registry no. CA-1080-S-102-S) on a VariSource Brachytherapy HDR Remote Afterloader (SS&D Registry no. CA-0661-D-103-S) had been extended beyond the shielded source housing by manually turning the over ride handle on the emergency retraction system. The incident occurred during a training exercise simulating an emergency HDR source retraction involving a medical physicist and four (4) medical students. The unit was in the 'Idle' mode which disabled the internal GM and emergency retract system on the HDR unit. The source was recovered by the RSO and two Varian service representatives on April 7, 2006. The state is awaiting official notification of the actual doses received but reported that the highest dose was around 20-30 milliRem.

ENS 42618 +/-
Where
Varian Medical Systems Charlottesville, Virginia (NRC Region 1)
License number:	45-30957-01
Organization:	Kentucky Dept Of Radiation Control
Reporting

Agreement State
Time - Person (Reporting Time:+1488.53 h62.022 days <br />8.86 weeks <br />2.039 months <br />)
Opened:	Curt Pendergrass 12:32 Jun 5, 2006
NRC Officer:	Mark Abramovitz
Last Updated:	Jun 5, 2006
42618 - NRC Website
v • d • e

v t e Emergency Notification System
Varian Medical Systems with Agreement State
WEEKMONTHYEAR2007-07-27T18:15:00 [Table view]
[ENS list for Varian Medical Systems]

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