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Category:PRELIMINARY NOTIFICATION OF EVENT OR OCCURRENCE (PNO
MONTHYEARPNO-III-97-084, on 971010,licensee Received Empty Container from Hosp Customer Which Had Radioactive Contamination in Excess of DOT Limits on External Surface of Container. Incident Under Review1997-10-14014 October 1997 PNO-III-97-084:on 971010,licensee Received Empty Container from Hosp Customer Which Had Radioactive Contamination in Excess of DOT Limits on External Surface of Container. Incident Under Review PNO-III-97-058, on 970708,two Packages Exceeding DOT & NRC Radiation Limits Received by Mallinckrodt Nuclear Pharmacies at Two Different Locations.Readings Taken by Licensee Upon Receipt of Packages1997-07-0909 July 1997 PNO-III-97-058:on 970708,two Packages Exceeding DOT & NRC Radiation Limits Received by Mallinckrodt Nuclear Pharmacies at Two Different Locations.Readings Taken by Licensee Upon Receipt of Packages PNO-III-97-045, on 970514,shallow-dose Overexposure to Thumb of Radiation Worker Occurred.Licensee Believes,Employee Became Contaminated While Handling Contaminated Matls W/Faulty Glove.Individual Being Examined by Physician1997-05-16016 May 1997 PNO-III-97-045:on 970514,shallow-dose Overexposure to Thumb of Radiation Worker Occurred.Licensee Believes,Employee Became Contaminated While Handling Contaminated Matls W/Faulty Glove.Individual Being Examined by Physician PNO-III-87-157A, on 880105,licensee Reported Missing Mo-99/ Tc-99m Generator Found.Generator Mixed W/Used Generators Returned to Licensee Facility in State of Mo.Generator Dismantled on 8712221988-01-0505 January 1988 PNO-III-87-157A:on 880105,licensee Reported Missing Mo-99/ Tc-99m Generator Found.Generator Mixed W/Used Generators Returned to Licensee Facility in State of Mo.Generator Dismantled on 871222 PNO-III-87-157, on 871222,licensee Reported Mo-99/Tc-99m Generator Missing.Device Not in Shipment Delivered on 871116.Search of Warehouse Unsuccessful.Region III Will Continue to Monitor Licensee Efforts to Locate Generator1987-12-22022 December 1987 PNO-III-87-157:on 871222,licensee Reported Mo-99/Tc-99m Generator Missing.Device Not in Shipment Delivered on 871116.Search of Warehouse Unsuccessful.Region III Will Continue to Monitor Licensee Efforts to Locate Generator PNO-I-87-021, on 870313,delivery Vehicle Carrying Radioactive Matl from Mallinckrodt,Inc & Medi-Physics Slid Off Road. Radiation Survey Found No Leakage or Radioactive Contamination.Packages Recovered & Taken to Destinations1987-03-13013 March 1987 PNO-I-87-021:on 870313,delivery Vehicle Carrying Radioactive Matl from Mallinckrodt,Inc & Medi-Physics Slid Off Road. Radiation Survey Found No Leakage or Radioactive Contamination.Packages Recovered & Taken to Destinations PNO-III-87-005A, on 870112,addl Info Re Apparent Theft of Two Vials of I-125 Obtained.Individual Arrested on 870108 Stated Vials Obtained at Veterans Admin Jefferson Barracks Hosp on 870106.Hosp Will Provide Investigation Rept1987-01-13013 January 1987 PNO-III-87-005A:on 870112,addl Info Re Apparent Theft of Two Vials of I-125 Obtained.Individual Arrested on 870108 Stated Vials Obtained at Veterans Admin Jefferson Barracks Hosp on 870106.Hosp Will Provide Investigation Rept PNO-III-87-005, on 870108,radioactive Matl May Have Been Stolen from Facility.Police Investigated,Arrested & Charged Individual W/Possession of Drugs & Hazardous Matl.Two Vials Found in Suspect Home.No Detectable Radioactivity Noted1987-01-0909 January 1987 PNO-III-87-005:on 870108,radioactive Matl May Have Been Stolen from Facility.Police Investigated,Arrested & Charged Individual W/Possession of Drugs & Hazardous Matl.Two Vials Found in Suspect Home.No Detectable Radioactivity Noted 1997-07-09
[Table view] Category:TEXT-INSPECTION & AUDIT & I&E CIRCULARS
MONTHYEARPNO-III-97-084, on 971010,licensee Received Empty Container from Hosp Customer Which Had Radioactive Contamination in Excess of DOT Limits on External Surface of Container. Incident Under Review1997-10-14014 October 1997 PNO-III-97-084:on 971010,licensee Received Empty Container from Hosp Customer Which Had Radioactive Contamination in Excess of DOT Limits on External Surface of Container. Incident Under Review PNO-III-97-058, on 970708,two Packages Exceeding DOT & NRC Radiation Limits Received by Mallinckrodt Nuclear Pharmacies at Two Different Locations.Readings Taken by Licensee Upon Receipt of Packages1997-07-0909 July 1997 PNO-III-97-058:on 970708,two Packages Exceeding DOT & NRC Radiation Limits Received by Mallinckrodt Nuclear Pharmacies at Two Different Locations.Readings Taken by Licensee Upon Receipt of Packages PNO-III-97-045, on 970514,shallow-dose Overexposure to Thumb of Radiation Worker Occurred.Licensee Believes,Employee Became Contaminated While Handling Contaminated Matls W/Faulty Glove.Individual Being Examined by Physician1997-05-16016 May 1997 PNO-III-97-045:on 970514,shallow-dose Overexposure to Thumb of Radiation Worker Occurred.Licensee Believes,Employee Became Contaminated While Handling Contaminated Matls W/Faulty Glove.Individual Being Examined by Physician PNO-III-87-157A, on 880105,licensee Reported Missing Mo-99/ Tc-99m Generator Found.Generator Mixed W/Used Generators Returned to Licensee Facility in State of Mo.Generator Dismantled on 8712221988-01-0505 January 1988 PNO-III-87-157A:on 880105,licensee Reported Missing Mo-99/ Tc-99m Generator Found.Generator Mixed W/Used Generators Returned to Licensee Facility in State of Mo.Generator Dismantled on 871222 PNO-III-87-157, on 871222,licensee Reported Mo-99/Tc-99m Generator Missing.Device Not in Shipment Delivered on 871116.Search of Warehouse Unsuccessful.Region III Will Continue to Monitor Licensee Efforts to Locate Generator1987-12-22022 December 1987 PNO-III-87-157:on 871222,licensee Reported Mo-99/Tc-99m Generator Missing.Device Not in Shipment Delivered on 871116.Search of Warehouse Unsuccessful.Region III Will Continue to Monitor Licensee Efforts to Locate Generator PNO-I-87-021, on 870313,delivery Vehicle Carrying Radioactive Matl from Mallinckrodt,Inc & Medi-Physics Slid Off Road. Radiation Survey Found No Leakage or Radioactive Contamination.Packages Recovered & Taken to Destinations1987-03-13013 March 1987 PNO-I-87-021:on 870313,delivery Vehicle Carrying Radioactive Matl from Mallinckrodt,Inc & Medi-Physics Slid Off Road. Radiation Survey Found No Leakage or Radioactive Contamination.Packages Recovered & Taken to Destinations PNO-III-87-005A, on 870112,addl Info Re Apparent Theft of Two Vials of I-125 Obtained.Individual Arrested on 870108 Stated Vials Obtained at Veterans Admin Jefferson Barracks Hosp on 870106.Hosp Will Provide Investigation Rept1987-01-13013 January 1987 PNO-III-87-005A:on 870112,addl Info Re Apparent Theft of Two Vials of I-125 Obtained.Individual Arrested on 870108 Stated Vials Obtained at Veterans Admin Jefferson Barracks Hosp on 870106.Hosp Will Provide Investigation Rept PNO-III-87-005, on 870108,radioactive Matl May Have Been Stolen from Facility.Police Investigated,Arrested & Charged Individual W/Possession of Drugs & Hazardous Matl.Two Vials Found in Suspect Home.No Detectable Radioactivity Noted1987-01-0909 January 1987 PNO-III-87-005:on 870108,radioactive Matl May Have Been Stolen from Facility.Police Investigated,Arrested & Charged Individual W/Possession of Drugs & Hazardous Matl.Two Vials Found in Suspect Home.No Detectable Radioactivity Noted 1997-07-09
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'PRELIfrINARY NOTIFICATION OF EVENT OR UNUSUAL OCCURRENCE--PNO-III-87-157 Date 12/22/87 This preliminary notification constitutes EARLY notice of events of POSSIBLE safety or public interest significance. The information is as initially received without verification or evaluation, and is basically all that is known by the Region III staff on this date.
Facility: Mallinkrodt, Inc. Licensee Emergency Classification:
2703 Wagner Place Notification of an Unusual Event Maryland Heights, Missouri Alert Site Area Emergency License No. 24-04206-01 General Emergency X Not Applicable gh [
Subject:
Missing Molybdenum-99 Generator On December 22, 1987, the licensee reported to Region III (Chicago) that it could not locate a molybdenum-99/ technetium-99m generator which was to have been delivered to a Fort Worth, Texas hospital on November 16, 1987. The generator is used to supply a short-lived radioactive pharmaceutical, technietium-99m, which is used in various diagnostic medical l procedures. (Technetium-99m has a half-life of 6 hours6.944444e-5 days <br />0.00167 hours <br />9.920635e-6 weeks <br />2.283e-6 months <br />; molybdenum-99, which remains in the generator, has a half life of 66 hours7.638889e-4 days <br />0.0183 hours <br />1.09127e-4 weeks <br />2.5113e-5 months <br />.)
The generator was among a shipment delivered to customers at various. locations in Oklahoma and Texas by a courier service's truck. At each location, the fresh generators were delivered and the spent generators picked up for recycling.
The Fort Worth hospital reported on *kvember 16, 1987, that the device had not been delivered. The licensee believes that the generator may have been mixed up with spent generators which were picked up and returned to Maryland Heights. A search of the warehouse l containing some 15,000 spent generators did not locate the missing generator.
l The activity in the generator would have been 941 millicuries on November 16, 1987, and 11 microcuries on December 22, 1987.
l Region III will continue to monitor the licensee's efforts to locate the generator. The j matter will be reviewed during the next routine inspection. Region IV (Dallas) has been
- advised of the missf enerator.
D. Srenia cc /WU CONTACT: (FTS 388-5611) B.Malp Jb (FTS 388-5612) rJ Hind (FTS 388-5510) t l
l DISTRIBUTION:
l H. St. NMBB Phillips E/W Willste Chairman Zech AEOD NRR DTK NMSS l Comm. Roberts ARM 01 l Com. Bernthal EDO AirRights Mail To:
Comm. Carr Com. Rogers PA OGC SLITP 93[ DCS (Original)
D0T (Trans. Only)
SECY OGC-H FAX TO: Nicholson Lane Regions CA INP0 RES Region I GPA NSAC Region II ACRS Licensee Region IV PDR Resident Inspector Region V HQS. Operations Officer 9.T[
I Region III 8712280094 871222 Rev. November 1987
-1 157 DCD D TSlf
- .e i, .~ ; - -- g PRELIMINARY NOTIFICATION OF EVENT OR UNUSUAL OCCURRENCE--PNO-III-87-157 Date 12/22/87 The States of Texas, Oklahoma, and Missouri will- be notified.
Region III received initial notification of the missing generator from the licensee at 10:20.a.m., December 22, 1987. This information is current as of 8 a.m., _ December 23 -1987.
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