ENS Event | |
|---|---|
08:00 Feb 19, 2009 | |
| Title | Improperly Packaged Radioactive Material |
| Event Description | The following was provided by the state via email:
A single Cs-131 Brachytherapy seed was put back into the 'mick' cartridge by Banner Baywood Medical Center in Mesa, AZ, - the medical customer and end-user - and then returned to the manufacturer, IsoRay, a Washington State seed manufacturing licensee. When the shipping container, holding the mick container, arrived at IsoRay, contamination was found on the inside of the shipping container but not on the outside. There was no damage to the shipping container. While unpacking the seed, a technician noticed there was visible damage to the seed. The tech monitored the packing material and found contamination. The RSO determined that a few microcuries of radioactive material leaked onto the packing material. The remaining millirem of material was in the damaged source and the pig. No material was missing. IsoRay called Washington State, Office of Radiation Protection, and reported the event that day. There was no contamination found at the customer's site. IsoRay's Radiation Safety Officer reported that the seed had been visibly damaged, as if sheared. This may have happened when it was returned to the mick container or when the mick cartridge was re-inserted into the pig. Since all the contamination was inside the shipping container, it is doubtful that any personnel exposure was received. The cartridge was a Mick Radio-Nuclear Instruments, Inc catalog number 0216-DS. The SS&D registration for the seed is WA-1220-S-101-S." Incident Number: WA-09-006 |
| Where | |
|---|---|
| Isoray Richland, Washington (NRC Region 4) | |
| License number: | WN-L0213-1 |
| Organization: | Wa Division Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+315.58 h13.149 days <br />1.878 weeks <br />0.432 months <br />) | |
| Opened: | Anine Grumbles 11:35 Mar 4, 2009 |
| NRC Officer: | Steve Sandin |
| Last Updated: | Mar 4, 2009 |
| 44889 - NRC Website | |
Isoray with Agreement State | |
WEEKMONTHYEARENS 520092016-06-14T07:00:00014 June 2016 07:00:00
[Table view]Agreement State Agreement State Report - Lost and Found Brachytherapy Seeds ENS 517092016-02-04T08:00:0004 February 2016 08:00:00 Agreement State Agreement State - Lost Shipment of Cs-131 Brachytherapy Seeds ENS 448892009-02-19T08:00:00019 February 2009 08:00:00 Agreement State Improperly Packaged Radioactive Material ENS 439552008-02-01T08:00:0001 February 2008 08:00:00 Agreement State Agreement State Report - Depleted Cesium-131 Seeds Lost from Damaged Package During Shipment ENS 428762006-10-04T13:30:0004 October 2006 13:30:00 Agreement State Washington Agreement State Report - Two Damaged Shipping Packages Containing Cesium-131 Cancer Therapy Seeds. 2016-06-14T07:00:00 | |