ML20205H675
| ML20205H675 | |
| Person / Time | |
|---|---|
| Issue date: | 08/12/1986 |
| From: | Heltemes C NRC OFFICE FOR ANALYSIS & EVALUATION OF OPERATIONAL DATA (AEOD) |
| To: | Jennifer Davis, Taylor J NRC OFFICE OF INSPECTION & ENFORCEMENT (IE), NRC OFFICE OF NUCLEAR MATERIAL SAFETY & SAFEGUARDS (NMSS) |
| Shared Package | |
| ML20205H679 | List: |
| References | |
| AEOD-C601, NR-460-S-926-S, SSD-91-71, NUDOCS 8608200132 | |
| Download: ML20205H675 (2) | |
Text
.
Dcs
[
o UNITED STATES 8"
1.
NUCLEAR REGULATORY COMMISSION r E WASHINGTON, D. C. 20555 k.....
August 12, 1986 AE00/C601 MEMORANDUM FOR: John G. Davis, Director Office of Nuclear Material Safety and Safeguards James M. Taylor, Director Office of Inspection and Enforcement C. J. Helt$mes, Jr., Director FROM:
Office for Analysis and Evaluation of Operational Data
SUBJECT:
AE0D CASE STUDY REPORT ON THE RUPTURE OF AN 10 DINE-125 BRACHYTHERAPY SOURCE AT THE UNIVERSITY OF CINCINNATI MEDICAL CENTER Attached for your information and action is the AE00 Case Study Report on the Rupture of an Iodine-125 Brachytherapy Source at the University of Cincinnati Medical Center. This report was issued December 27, 1985 for peer review and has been revised based on the comments received during the peer review.
Our study, together with peer review comments, have led us to make the following recommendations:
1.
The Office of Inspection and Enforcement (IE) should send an Information Notice to the affected licensees describing the event at the University of Cincinnati and describing the action taken by the licensee and the source manufacturer (3M Company) to prevent the recurrence of similar events.
2.
The Office of Nuclear Material Safety and Safeguards (NMSS) in conjunction with the appropriate regional office should insure that the 3M Company's license and the license (s) of any other NRC licensees who supply high intensity iodine seeds be amended to require that, in addition to instructions and safety precautions regarding use of the seeds that are normally communicated to purchasers or other users of the seeds, specific instructions and safety precautions for reusing the seeds be communicated. These procedures should include, as a minimum, the recommendation that the removal of the seeds from catheters be done under a fume hood and recommended safety precautions for insuring the prompt detection of a leaking seed, for example, performing comprehensive wipe surveys of tools and the area used for the removal and reloading of the seeds or leak testing the seeds following the removal / reloading operation.
3.
The Office of Nuclear Material Safety and Safeguards (NMSS) should explore the option of addressing the reuse of the high activity iodine-125 seeds during the license issue, renewal, or amendment process and consider requiring licensees who will be using the seeds to submit procedures for handling the seeds to NRC for~ review.
i 8608200132 860812 PDR ORG NEXD
Multiple Addresses AUG 131996 We request that prompt consideration be given to implementing the recommenda-tions.
2 If we' can be of further assistance in this regard or if you have questions on other matters regarding the report, please contact Samuel L. Pettijohn of this office on X24496.
onummesm8%
1 C. J. Henames. 2.
C. J. Heltemes, Jr., Director Office for Analysis and Evaluation of Operational Data
Attachment:
As Stated Distribution:
cc:
D. Ross, RES PDR G. Wayne Kerr, SP y-DCS T. Murley, R-I AE00 CF J. Nelson Grace, R-II AEOD SF J. Keppler, R-III AEOD Library R. Martin, R-IV NAS CF J. Martin, R-V C. J. Heltemes F. J. Hebdon K. Black S. Pettijohn D. Humenansky, OCM V. Stello, ED0 i
J. Roe, DED0 i
T. Rehm, A0/ED0 J. Sniezek, DEDR0GR 1
1 1
I f0FC :NAS
- C/NAS
- DD/A D
- D/AEOD 9f.___::.._____....::............:_..........
g y,...___:......______:.
!NAME:SPeVtijohn:eh: KMBlack FJHe don
- CJ temes
- _. __:.......___.:.....___p 3 :
_4_ _ _ :
. DATE :7/~,4/86
- 7/3I/86
- 7/3t/86
- JP/l //86 0FFICIAL RECORD ~C0fY l
l
.