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| Entered date | Event description | |
|---|---|---|
| ENS 50585 | 31 October 2014 15:54:00 | The following information was obtained from the State of New York via fax: New York State Department of Health was notified on October 31, 2014 by the Radiation Safety Officer of Materials Testing Laboratories, Inc. of the theft of a moisture/density device from a locked vehicle on Friday October 31, 2014. The device is identified as a Troxler Model 4640, serial no. 722 containing 8 millicuries of Cesium 137. The device was apparently being stored within the locked vehicle. The transport case was tethered to the frame of the vehicle with the cable locked to the hasp of the carrying case. The operator of the device discovered that the back lift gate to the 2009 Chrysler Aspen SUV was opened and the lock was removed from the carrying case. The device was stolen from the transport case. Nothing else in the vehicle was stolen. Local law enforcement have responded and are investigating. New York Event ID No.: NY-14-04 THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf |
| ENS 49931 | 19 March 2014 16:03:00 | The following information was received via facsimile: A patient was prescribed 50 Gray to be delivered to a brain tumor bed via a GliaSite balloon inflated with 200 mCi of I-125 saline solution implanted for 66 hours. Upon removal of the balloon on March 7, 2014, it was discovered that the balloon had not inflated and no dose to the tumor bed had been delivered. A three position stopcock was incorrectly positioned at the time of inflation and the I-125 saline solution was diverted to another syringe rather than to the balloon. All material is accounted for and is being held for DIS. The three position stopcock is not part of the vendor's kit. Corrective Actions: In-service by the vendor scheduled, revision of policies and procedures to include verification of balloon via medical imaging post-infusion, and in-service to staff on new policies and procedures. NYS Incident: #1054 A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient. |
| ENS 41972 | 7 September 2005 12:42:00 | On July 28, 2005, a 100 milliCurie Cs-137 sealed source (New England Nuclear, Model 572, serial number 1623) became lodged near the bottom of a 240 foot shaft The logging probe and source had descended to that depth after breaking loose from the logging cable at the surface of the well. Repeated efforts to retrieve the source failed, Retrieval efforts were discontinued when a 4 foot section of an overshot device twisted off at approximately 210 feet down-hole. The licensee submitted a written description of the event on August 23, 2005 and provided supplemental information on September 1, 2005 and September 2, 2005. Authorization to abandon the well formally approved on September 6, 2005. |