Information Notice 2009-15, Varian Medical Systems Varisource High Dose-Rate Remote Afterloader Events: Source Retraction Problems

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Varian Medical Systems Varisource High Dose-Rate Remote Afterloader Events: Source Retraction Problems
ML092120085
Person / Time
Issue date: 08/28/2009
From: Robert Lewis
NRC/FSME/DMSSA
To:
Poy, Stephen 301-415-7135
References
IN-09-015
Download: ML092120085 (5)


ML092120085 UNITED STATES

NUCLEAR REGULATORY COMMISSION

OFFICE OF FEDERAL AND STATE MATERIALS

AND ENVIRONMENTAL MANAGEMENT PROGRAMS

WASHINGTON, DC 20555

August 28, 2009

NRC INFORMATION NOTICE 2009-15:

VARIAN MEDICAL SYSTEMS VARISOURCE

HIGH DOSE-RATE REMOTE AFTERLOADER

EVENTS: SOURCE RETRACTION PROBLEMS

ADDRESSEES

All U.S. Nuclear Regulatory Commission (NRC) medical use licensees and NRC master

materials licensees authorized to possess or use a Varian Medical Systems VariSource High

Dose Rate Remote Afterloader (VariSource HDR). All Agreement State Radiation Control

Program Directors and State Liaison Officers.

PURPOSE

The NRC is issuing this information notice to alert addressees about recently reported events at

three different locations where service engineers experienced problems with the VariSource

HDR during source retractions. During all of the incidents, the source wire became stuck

outside of the afterloader and required the Varian personnel to use the manual-retract handle to

return the source to a safe-shielded position. The NRC expects recipients to review the

information for applicability to their facilities and to consider actions, as appropriate, to avoid

similar problems. However, suggestions contained in this information notice are not new NRC

requirements; therefore, neither specific action nor written response is required.

The NRC is providing this information notice to the Agreement States for their information and

for distribution to their medical use licensees, as appropriate.

DESCRIPTION OF CIRCUMSTANCES

The NRC received an event report involving VariSource HDR devices at three separate facilities

where service personnel using standard procedures were unable to retract the source into the

shielded tungsten safe, following source replacement. This event report, required in

accordance with Title 10 of the Code of Federal Regulations (10 CFR) Part 30, Rules of

General Applicability to Domestic Licensing of Byproduct Material, and 10 CFR Part 21, Reporting of Defects and Noncompliance, involved three separate cases that occurred

between December 2, 2008, and December 30, 2008. In all cases, the service personnel had

completed a source exchange and were in the process of conducting positional verification

testing of the new source. During the testing, the source wire failed to return to the shielded

tungsten safe, requiring the service personnel to implement the emergency procedures. The

service personnel first attempted to retrieve the source by depressing various emergency

buttons located on the HDR device and device console. When this proved unsuccessful, the service personnel turned the manual-retract handle on the HDR device and successfully

returned the source to the tungsten shield.

Preliminary data suggest that the restrictions on the movement of the source wire occurred

internally within the HDR, caused by buildup of material within one of the components along the

source wire path. Specifically, in two cases, service personnel reported the presence of

compacted black dust in the source guide fixtures near the source drive. None of the incidents

occurred during patient treatment; however, the possibility of this happening in the future

cannot be ruled out.

DISCUSSION

All of the incidents occurred because of an accumulation of dust buildup in the source wire

path. It has been determined that the buildup is composed of dust materials produced from

normal wear within the device. Analysis of the dust particles has shown that the dust is

composed of the same material as the nickel titanium source wire. However, an analysis of the

affected source wires, conducted by visual and mechanical examination, has shown that the

integrity of the wires was not compromised in any of these events.

This information notice reminds licensees to be aware of the potential problem associated with

the accumulation of dust in these devices, leading to source wire constrictions. As a result of

the problems caused by the buildup, Varian implemented special maintenance procedures, including the routine cleaning of any components exhibiting dust buildup on a regular basis.

Initially, Varian service personnel conducted this cleaning at every source exchange; as the

buildup rate of dust has become known, Varian has increased the frequency accordingly.

Varian has released information regarding these events to its customers in Customer Technical

Bulletin CTB-VS-640A. The bulletin reminds customers to review their emergency procedures

in the event that the source wire must be retracted using the manual-retract handle. The

bulletin also asks that customers immediately report any errors that occur upon active wire

retraction with error code 1A, class 2, Active wire drive slippage..., which may indicate that the

HDR is trending toward an internal path constriction.

Furthermore, licensees should be aware of the following:

A user-resettable error code of 1A, class 2, Active wire slippage... should be reported

to the manufacturer, Varian, immediately.

To shield the source, personnel would need to implement emergency procedures, which

may require turning the manual-retract handle.

The VariSource HDR is approved for use with an 11-curie iridium-192 source. With

such a source the exposure rate is 20.7 rem per hour at 50 centimeters. The exposure

rate from an unshielded 10-curie iridium-192 source is 18.8 rem per hour at 50

centimeters (as referenced in the Varian VS2000 SSD).

After an event where the source has become stuck outside of the afterloader, patient

treatments should not resume until repairs are complete.

CONTACT

S

This information notice requires no specific action or written response. If you have any

questions about the information in this notice, please contact one of the technical contacts

listed below or the appropriate regional office.

Robert Lewis, Director /RA/

Division of Materials Safety

and State Agreements

Office of Federal and State Materials

and Environmental Management Programs

Technical Contacts: Stephen Poy, FSME

(301) 415-7135

E-mail: Stephen.Poy@nrc.gov

Enclosure:

List of Recently Issued FSME

Generic Communications

CONTACT

S

This information notice requires no specific action or written response. If you have any

questions about the information in this notice, please contact one of the technical contacts

listed below or the appropriate regional office.

Robert Lewis, Director /RA/

Division of Materials Safety

and State Agreements

Office of Federal and State Materials

and Environmental Programs

Technical Contacts: Stephen Poy FSME

(301) 415-7135

E-mail: Stephen.Poy@nrc.gov

Enclosure:

List of Recently Issued FSME

Generic Communications

ML092120085 OFC

FSME/MSSA

FSME/MSSA

FSME/MSSA

FSME/MSSA

FSME/MSSA

FSME/MSSA

FSME/MSSA

NAME

SPoy

JJankovich

AMcIntosh

ADWhite

JFoster

JLuehman

RLewis

DATE

07/03/09

08/05/09

08/19/09

08/05/09

08/12/09

08/18/09

08/28/09 OFFICIAL RECORD COPY

IN 2009-15 List of Recently Issued Office of Federal and State Material

and Environmental Management Programs Generic Communications

Date

GC No.

Subject

Addressees

03/30/09 IN-2009-07 Withholding of Proprietary

Information from Public Disclosure

All current holders of and potential applicants

for licenses, certificates of compliance, permits, or standard design certifications, as

well as any other persons submitting a request

that information be withheld from public

disclosure under the provisions of Title 10 of

the Code of Federal Regulations (10 CFR)

Section 2.390, Public inspections, exemptions, requests for withholding.

07/27/09 IN-2009-12 Exempt Distribution Licensing

Requirements For Irradiated Gemstones

All holders of NRC exempt distribution licenses

authorized to distribute irradiated gemstones.

Organizations associated with importing, distributing or selling irradiated gemstones or

jewelry containing irradiated gemstones. All

Radiation Control Program Directors and State

Liaison Officers.

07/29/09 IN-2003-22, Supplement 1 Heightened Awareness for Patients

Containing Detectable Amounts of

Radiation from Medical Administrations

All U.S. Nuclear Regulatory Commission (NRC)

medical-use licensees and NRC master

material licensees; all Agreement State

Radiation Control Program Directors and State

Liaison Officers.

04/29/09 RIS-2009-05 Uranium Recovery Policy Regarding: (1)

The Process for Scheduling Licensing

Reviews of Applications for New

Uranium Recovery Facilities and (2) The

Restoration of Groundwater at Licensed

Uranium In-Situ Recovery Facilities

All holders of operating licenses for uranium

recovery facilities and all companies who have

submitted applications to construct new

uranium recovery facilities of all types

(conventional mills, heap leach operations, and

in-situ recovery facilities) or letters of intent to

submit such applications.

05/07/09 RIS-2009-07 Status Update for the Implementation

of NRC Regulatory Authority for Certain

Naturally Occurring and Accelerator- Produced Radioactive Material

All U.S. Nuclear Regulatory Commission

material and fuel cycle licensees. All Radiation

Control Program Directors and State Liaison

Officers.

07/13/09 RIS-2009-09 Use Of Multiple Dosimetry and

Compartment Factors in

Determining Effective Dose Equivalent

from External Radiation Exposures

All U.S. Nuclear Regulatory Commission

licensees, Agreement State Radiation Control

Program Directors, and State Liaison Officers.

Note: This list contains the six most recently issued generic communications, issued by the Office of Federal and State

Materials and Environmental Management Programs (FSME). A full listing of all generic communications may be viewed at

the NRC public website at the following address: http://www.nrc.gov/reading-rm/doc-collections/gen-comm/index.html