ENS 54838
ENS Event | |
|---|---|
14:20 Aug 5, 2020 | |
| Title | Agreement State Report - Ram Packages Switched in Error |
| Event Description | The following email was received from the Massachusetts Radiation Control Program (the agency) via email:
On August 5, 2020, InviCRO reported receiving in error on same day a White I package of 140 mCi Lu-177. Receipt survey recorded a package surface dose rate of 0.2 mRem/hr. The received package activity exceeded their license radioactive material possession limit of 125 mCi. Package held by licensee in secure storage until activity falls below license limit (Lu-177 half-life is 6.7 days). The intended activity as requested by the licensee was 60 mCi. Package ordered through Radiomedix in Texas who forwarded order to supplier (ITM Medical isotopes GmbH) in Germany. Package sent from Germany arrived in [common carrier] US facility and directly forwarded to customer without going through Texas. Agency contacted [common carrier] and Texas Department of State Health Services. Apparent cause was [common carrier] accidentally switching labels/paperwork on two similar Lu-177 packages. The package originally intended for InviCRO was forwarded to a customer licensed in Indiana. Indiana customer (Endocyte) notified by Radiomedix. All US parties identified above are aware of incident. Radiomedix continuing its internal investigation. Agency left detailed voicemail messages (including circumstances, package receipt date and activity) at Indiana Department of Homeland Security and Indiana Department of Health. Agency determined this to be a 30-day reportable event and considers this event currently still open. MA Event Number: 20-4230 |
| Where | |
|---|---|
| Ma Radiation Control Program Boston, Massachusetts (NRC Region 1) | |
| License number: | 55-0692 |
| Organization: | Ma Radiation Control Program |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+218.72 h9.113 days <br />1.302 weeks <br />0.3 months <br />) | |
| Opened: | Tony Carpenito 17:03 Aug 14, 2020 |
| NRC Officer: | Kerby Scales |
| Last Updated: | Aug 14, 2020 |
| 54838 - NRC Website | |
Ma Radiation Control Program with Agreement State | ||
| Agreement State Report - Package Received by Licensee Exceeds Surface Radiation Dose Limits ENS 548382020-08-05T14:20:0005 August 2020 14:20:00 Agreement State Agreement State Report - Ram Packages Switched in Error ENS 548072020-07-01T04:00:0001 July 2020 04:00:00 Agreement State ENS 547592020-06-29T04:00:00029 June 2020 04:00:00 Agreement State ENS 547222020-05-20T19:52:00020 May 2020 19:52:00 Agreement State Agreement State Report - Lost Package in Transit ENS 547132020-05-14T19:04:00014 May 2020 19:04:00 Agreement State ENS 546432020-04-06T04:00:0006 April 2020 04:00:00 Agreement State Agreement State Report - Lost Material in Transit ENS 545262020-02-13T18:45:00013 February 2020 18:45:00 Agreement State ENS 545182020-02-11T19:37:00011 February 2020 19:37:00 Agreement State ENS 544782020-01-14T17:45:00014 January 2020 17:45:00 Agreement State Agreement State Report - Lost Category 1 Shipment ENS 544592019-12-31T21:45:00031 December 2019 21:45:00 Agreement State Agreement State Report - Radioactive Material Delivered to Wrong Address ENS 500702014-04-25T15:15:00025 April 2014 15:15:00 Agreement State Agreement State Report - Recovered Source ENS 405112004-02-10T05:00:00010 February 2004 05:00:00 Agreement State Load of Waste Arriving at a Waste-To-Energy Facility Set Off Radiation Monitors 2020-08-05T14:20:00 [Table view] | ||