Information Notice 1999-32, Effect of Year 2000 Issue on Medical Licensees

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Effect of Year 2000 Issue on Medical Licensees
ML993480416
Person / Time
Issue date: 12/17/1999
From: Cool D A
NRC/NMSS/IMNS
To:
Cool D A
References
IN-99-032
Download: ML993480416 (10)


UNITED

STATES

NUCLEAR

REGULATORY

COMMISSION

OFFICE

OF NUCLEAR

MATERIAL

SAFETY

AND SAFEGUARDS

WASHINGTON,

D.C. 20555 December

17, 1999 NRC INFORMATION

NOTICE

99-32:

THE EFFECT

OF THE YEAR 2000 ISSUE ON MEDICAL

LICENSEES

Addressees

All U.S. Nuclear

Regulatory

Commission

medical

licensees.

Purpose

The U.S. Nuclear

Regulatory

Commission (NRC) is issuing

this information

notice

to remind

all addressees

of the potential

problems

their computer

systems

and software

may encounter

as a result

of the change

to the year 2000. It is expected

that recipients

will review

this information

for applicability

to their facilities

and consider

actions, as appropriate, to avoid potential

problems.

However, suggestions

contained

in this information

notice

are not new NRC requirements;

therefore, no specific

action

nor written

response

is required.

Description

of Circumstances:

The Year 2000 (Y2K) problem

pertains

to the potential

inability

of computers

to correctly

recognize

dates beyond

December

31,1999.

This problem

results

from computer

hardware

and/or

software

that uses two-digit

fields

to represent

the year. These systems

may misread

the year 2000 and cause the systems

to fail, generate

faulty

data, or act in an incorrect

manner.

The Y2K problem

has the potential

to interfere

with the proper

operation

of any computer

system, hardware

that is microprocessor-based (embedded

software),

software, or database.

As discussed

in this Information

Notice (IN), "Y2K Ready"

is defined

as a computer

system

or application

that has been determined

to be suitable

for continued

use into the year 2000, even though

the computer

system

or application

is not Y2K Compliant.

A Y2K Readiness

Program

is a plan for a facility

to become

Y2K Ready. "Y2K Compliant"

is defined

as a computer

system

or application

that accurately

processes

date/time

data (including, but not limited

to, calculating, comparing, and sequencing)

from, into, and between

the years 1999 and 2000, and beyond, including

leap-year

calculations.

The Y2K problem

is urgent

because

it has a fixed, non-negotiable

deadline

that is quickly

approaching.

This matter

requires

priority

attention

because

of the limited

time remaining

to assess

the magnitude

of the problem, assess

its associated

risks, and implement

programs

that will achieve

a satisfactory

resolution

of the Y2K problem.

ML993480416 J ---.2 IN 99-32 December

17, 1999 Existing

reporting

requirements

under 10 CFR Part 21 provide

for notification

to NRC of deficiencies, non-conformances, and failures, such as the Y2K problem

in safety-related

systems

Examples

of systems

that may be affected

by the Y2K problem

include:

  • Treatment

planning

systems

  • Dose calibrators
  • Embedded

systems

  • Decay programs
  • Interlocks
  • Radiation

monitoring

systems

  • Dosimeters, dosimetry

programs, and readers

° Communication

systems

° Surveillance

and maintenance

tracking

systems

To alert licensees

and certificate

holders

to the Y2K problem, NRC issued

several

INs:

on Computer

System

Software,"

on December

24, 1996;

of Health

and Human Services

Letter, to Medical

Device

Manufacturers, on the Year 2000 Problem,"

on August

6, 1997;

of The Year 2000 Computer

Problem

on NRC Licensees

and Certificate

Holders,"

on August

12, 1998; 0 IN 99-18, "Update

on NRC's Year 2000 Activities

for Materials

Licensees

and Fuel Cycle Licensees

and Certificate

Holders,"

on June 14, 1999; and 0 IN 99-20, "Contingency

Planning

for the Year 2000 Computer

Problem,"

on June 25, 1999.

Discussion:

NRC is concerned

with the effect

that the Y2K computer

problem

may have on medical

licensees.

In particular

we are concerned

with treatment

planning

systems

used in brachytherapy

and teletherapy

procedures.

The Y2K problem

may cause treatment

planning

systems

to operate

in an incorrect

manner.

For example, the treatment

planning

system

may incorrectly

calculate

the activity

of the source(s)

used in brachytherapy

or teletherapy

procedure.

This could cause an incorrect

treatment

time to be calculated

and lead to a patient

receiving

an overdose

or an underdose

of radiation.

Additionally, some dose calibrators

have been found not to be Y2K Compliant

by the manufacturer.

Addressees

should

contact

their treatment

planning

system

and dose calibrator

vendors

to determine

if their systems

are Y2K Ready.

Further, addressees

should

verify

that their

IN 99-32 December

17, 1999 treatment

planning

systems

and dose calibrators

are Y2K Ready.

The Y2K status

of some medical

equipment

may be found at the U.S. Food and Drug Administration (FDA) website

<http://www.fda.gov/cdrh/yr2000/year2000.html>

or manufacture's

website.

In some cases, manufacturers

have upgrades

available

to correct

the Y2K problems

for these systems, but licensees

need to act to determine

whether

their systems

have Y2K problems

and obtain

the upgrades.

After the transition

to the year 2000, your systems

should

be tested

for proper

operation

before

treating

a patient.

The list below contains

the FDA's potentially

high-risk

device

types that could be subject

to Y2K problems.

The list includes

the section

number

in Title 21 of the U.S. Code of Federal

Regulations

where the generic

device

type is described.

While all of the generic

device

types listed

below are not subject

to NRC jurisdiction, licensees

should

consider

FDA's guidance

that these radiation

or radionuclide

systems

are potentially

at risk for a Y2K problem.

892.5050*

MEDICAL

CHARGED-PARTICLE

RADIATION

THERAPY

SYSTEM*

892.5300*

MEDICAL

NEUTRON

RADIATION

THERAPY

SYSTEM*

892.5700*

REMOTE

CONTROLLED

RAE" ONUCLIDE-APPLICATOR

SYSTEM*

892.5750*

RADIONUCLIDE

RADIATION

1-HERAPY

SYSTEM*

892.5900*

X-RAY RADIATION

THERAPY

SYSTEM*

FDA also has developed

the MedWatch

Reporting

Database.

FDA's MedWatch

reporting

requirements

are stated

below:

Mandatory

Reports:

Any device-related

death or serious

injury

in your facility, you are required

to report

deaths

to FDA and the manufacturer

and injuries

to the manufacturer

only. Please

report

these problems

through

procedures

established

by your facility;

identify

the report

as a Y2K problem.

Voluntary

Reports:

Any date-related

problem

that did not cause death or injury

but caused

unexpected

performance, for example, a malfunction

that could cause death or serious

injury

if the problem

recurred.

We encourage

you to report

any contradiction

between

your device

findings

and those findings

claimed

by the manufacturer.

Please

identify

your report

as a Y2K problem.

How to Report:

By telephone

to 1-800-FDA-1

088 By FAX, use Form 3500 to 1-800-FDA-0178 By Mail, use Form 3500, to MedWatch

Food and Drug Administration, HF-2 5600 Fishers

Lane Rockville, MD 20857-9787 Electronically

at: <http://www.fda.gov/medwatch/index.html>

IN 99-32 December

17, 1999

  • The device

classifications

specified

above, flagged

with an asterisk, include

radiation

treatment

planning

systems

that are accessories

to these device

types.

For additional

Y2K information, visit our website

at <http://www.nrc.gov/NRCfY2K/Y2KNMSS.html>.

The site contains

updates

of NRC's Y2K activities

and provides

useful

links for additional

Y2K information.

This information

notice

requires

no specific

action

or written

response.

If you have any questions

about the information

in this notice, please

contact

the technical

contact

listed

below or the appropriate

regional

office.

Donald

A. Cool, Director

Division

of Industrial

and Medical

Nuclear

Safety

Office

of Nuclear

Material

Safet'

and Safeguards

Contact:

Gary Purdy, NMSS (301) 415-7897 E-mail:

gwpl@nrc.gov

Attachments:

1. Selected

Year 2000 Web Sites 2. List of Recently

Issued

NMSS Information

Notices

3. List of Recently

Issued

NRC Information

Notices

Attachment

1 IN 98-32 December

17, 1998 SELECTED

YEAR 2000 WEBSITES

1. The American

Hospital

Association

conducted

a survey

of hospital

Year 2000 (Y2K) readiness

status.

The results

of the survey

can found at the American

Hospital

Association's

website.

<http://www.aha.org/y2k>

2. The American

Medical

Association

website

has Y2K information

for the medical

community.

<http://www.ama-assn.org/not-mo/y2k/index.htm>

3. The Federal

Communications

Commission

website

provides

information

regarding

the effects

of Y2K on the communications

and broadcasting

industry.

<http://www.fcc.

gov/year2000/>

4. The Food and Drug Administration

has placed

reports

of Y2K-compliant

and non-compliant

medical

devices

on its website.

The reports

are organized

by manufacturer.

<http://www.fda.gov/cdrh/yr2000/year2ooo.html>

5. The General

Accounting

Office

has placed

Y2K reports

on assessment, testing, and contingency

planning

on its website.

<http://www.gao.gov/y2kr.htm>

6. The Health

Care Financing

Administration

has placed

Y2K information

for health

care claim repayments

for Medicare, Medicaid, and Child Health

Insurance

Programs

on its website.

The site also includes

the Y2K status

of health

care facilities, Y2K activities, and Y2K help for health

care facilities.

<http://www.hcfa.gov>

7. The Institution

of Electrical

Engineers

Y2K website

provides

information

on embedded

systems.

The site explains

the use of Y2K risk management

techniques.

<http://www.iee.org.uk>

8. The intraVision

website

provides

links to Oncology/Radiology

commercial

sites.

<http://www.intravsn.com/vendors.shtml>

9. The International

Atomic

Energy

Agency

website

provides

Y2K information

for nuclear

safety, waste management, medical

facilities, and safeguards/physical

protection.

<http://www.iaea.

org/worldatom/program/y2k>

10. The National

Institute

of Standards

and Technology (NIST)

Y2K webpage

includes

Y2K test programs

for small businesses, free software, Y2K standards, Y2K compliance

and testing, Y2K hotlines, and Y2K slide shows.

<http://www.nist.gov/y2k>

At the NIST website

for small businesses, "The Conversion

2000: Y2K JumpStart

Kit" for jump-starting

a Y2K project

is available.

Also, action

planning, assessment, and remediation

project

planning

workshops

are available.

<http://y2khelp.nist.gov>

Attachment

1 IN 99-32 December

17, 1999 11. The North American

Electric

Reliability

Council

website

provides

information

and guidance

on the effect

of the Year 2000 problem

on the electricity

supply

for North America.

<http://www.nerc.com>

12. The U.S. Nuclear

Regulatory

Commission (NRC) website

provides

the status

and findings

of NRC's Y2K program

which includes

nuclear

power plant audits, Information

Notices, Generic

Letters, and Y2K links.

<http://www.nrc.gov/NRC/NEWS/year2000.html>

13. The President's

Council

on Year 2000 Conversion

website

has information

regarding

Y2K and the Federal

government's

efforts

to prepare

its computer

systems, links to information

on Y2K compliance

for critical

sectors

of the economy, and other Y2K resources.

In addition, the Council

has established

a Y2K consumer

information

line at 1-888-USA-4-Y2K,

which provides

free Y2K information

to the public.

<http://y2k.gov>

14. The Radiation

and Health

Physics

website

provides

links to radiation

detection

device

manufacturers

and dosimetry

companies.

<http://www.sph.umich.edu/group/eih/UMSCHPS/commercial/>

15. The Rx2000

website

is devoted

to Y2K medical

issues.

The site has a pay section

and a free section.

Information

found in the free section

includes

a provider

preparedness

model and comparator, Rx2000

list server

and discussion

forum, health

care Y2K articles

and publications, Rx2000

downloadable

presentations, links, and health

care Y2K self-help

materials.

<http://www.rx2000.org>

16. The Small Business

Administration

website

provides

Y2K help for small businesses.

The site includes

Y2K materials, Y2K activities, and links to other sites.

<http://www.sba

govly2k>

17. The United

Kingdom

Year 2000 website

provides

Y2K Information

on software

compliance.

The reports

are organized

by manufacturer.

<http://www.open.gov.

uk/bug2000.htm>

18. The Department

of Veterans

Affairs (VA) website

provides

Y2K information

and contingency

planning

for hospitals

and the status

of VA Y2K efforts.

<http://www.va.gov>

Except

for its own website, the U.S. Nuclear

Regulatory

Commission

makes no claims

regarding

the accuracy

of the information

provided

at these websites.

The list of sites is provided

for use by addressees

as a possible

source

of Y2K information.

Attachment

2 IN 99-32 December

17, 1999 LIST OF RECENTLY

ISSUED

NMSS INFORMATION

NOTICES

Information

Date of Notice

No. Subject

Issuance

Issued

to 99-31 Operational

Controls

to Guard 11/17/99 All NRC licensed

fuel cycleAgainst

Inadvertent

Nuclear

Critically

Failure

of Double

Contingency

Based on Administrative

Controls

Involving

Laboratory

Sampling

and Spectroscopic

Analysis

of Wet Uranium

Waste Authorized

Contents

of Spent Fuel Casks Recall

of Star Brand Fire Protection

Sprinkler

Heads Malfunction

of Source

Retraction

Mechanism

in Cobalt-60

Teletherapy

Treatment

Units Safety

and Economic

Consequences

of Misleading

Marketing

Information

Broad-Scope

Licensees'

Responsibilities

for Reviewing

and Approving

Unregistered

Sealed

Sources

and Devices

Safety

Concerns

Related

to Related

Control

Unit Failures

of the Nucletron

Classic

Model High-Dose-Rate

Remote

Afterloading

Brachytherapy

Devices

11/8/99

10/28/99

9/30/99

9/2/99

8/24/99

7/12/99

7/6/99conversion, enrichment

and fabrication

facilities

All fuel cycle licensees

and certificates

performing

laboratory

analysis

to determine

uranium

content, in support

of administrative

criticality

safety

controls

All power reactor

licensees

and spent fuel storage

licensees

and applicants

All holders

of licenses

for nuclear

power, research

and test reactors, and fuel cycle facilities

All medical

licensees

authorized

to conduct

teletherapy

treatments

All Distributors

and/or

Manufacturers

of Generally

Licensed

Products

All medical

licensees'

of broadscope and master

materials

licensees

All U. S. NRC medical

licensees

authorized

to use brachytherapy

sources

in Nucletron

Classic

Model high-dose-rate

remote

afterloaders

99-30 99-2999-28 99-2799-2699-2499-23 Attachment

3 IN 99-32 December

17, 1999 LIST OF RECENTLY

ISSUED

NRC INFORMATION

NOTICES

Information

Date of Notice

No. Subject

Issuance

Issued

to 99-31 Operational

Controls

to Guard 11/17/99 All NRC licensed

fuel cycle99-3099-2999-01, Rev. 199-2899-2799-2699-25Against

Inadvertent

Nuclear

Criticality

Failure

of Double

Contingency

Based on Administrative

Controls

Involving

Laboratory

Sampling

and Spectroscopic

Analysis

of Wet Uranium

Waste Authorized

Contents

of Spent Fuel Casks Degradation

of Prestressing

Tendon

Systems

in Prestressed

Concrete

Constrainments

Recall

of Star Brand Fire Protection

Sprinkler

Heads Malfunction

of Source

Retraction

Mechanism

in Cobalt-60

Teletherapy

Treatment

Units Safety

and Economic

Consequences

of Misleading

Marketing

Information

Year 2000 Contingency

Planning

Activities

11/8/99

10/28/99

10/7/99

9/30/99

9/2/99

8/24/99

8/10/99 conversion, enrichment

and fabrication

facilities

All fuel cycle licensees

and certificates

performing

laboratory

analysis

to determine

uranium

content, in support

of administrative

criticality

safety

controls

All power reactor

licensees

and spent fuel storage

licensees

and applicants

All holders

of operating

licensees

for nuclear

power reactors

All holders

of licenses

for nuclear

power, research

and test reactors, and fuel cycle facilities

All medical

licensees

authorized

to conduct

teletherapy

treatments

All Distributors

and/or

Manufacturers

of Generally

Licensed

Products

All holders

of OLs for nuclear

power plants

and fuel cycle facilities

OL = Operating

License

CP = Construction

Permit

IN 99-32 December

17, 1999

  • The device

classifications

specified

above, flagged

with an asterisk, include

radiation

treatment

planning

systems

that are accessories

to these device

types.

For additional

Y2K information, visit our website

at <http://www.nrc.gov/NRC/Y2K/Y2KNMSS.html>.

The site contains

updates

of NRC's Y2K activities

and provides

useful

links for additional

Y2K information.

This information

notice

requires

no specific

action

or written

response.

If you have any questions

about the information

in this notice, please

contact

the technical

contact

listed

below or the appropriate

regional

office.

Donald

A. Cool, Director

Division

of Industrial

and Medical

Nuclear

Safety

Office

of Nuclear

Material

Safety

and Safeguards

Contact:

Gary Purdy, NMSS (301) 415-7897 E-mail:

gwpl@nrc.gov

Attachments:

1. Selected

Year 2000 Web Sites 2. List of Recently

Issued

NMSS Information

Notices

3. List of Recently

Issued

NRC Information

Notices

DOCUMENT

NAME: G:\Purdy\99-32.in

To receive

a copy of this document, indicate

in the box: "("'= Co win att/encl "F" = Cony w/attencl "N" = No conyOFFICIAL

RECORD

COPY*See previous

concurrence

OFC Section

B/MSlBT

E MSI IMNS NAME GPurdy/LL

JHickey

DCool DATE 12/16/1999

12/ /1999 12/ /1999 IN 99-XX December

XX, 1999 For additional

Y2K information, visit our website

at <http://www.nrc.gov/NRC/Y2KrY2KNMSS.html>.

The site contains

updates

of NRC's Y2K activities

and provides

useful

links for additional

Y2K information.

This information

notice

requires

no specific

action

or written

response.

If you have any questions

about the information

in this notice, please

contact

the technical

contact

listed

below or the appropriate

regional

office.

Donald

A. Cool, Director

Division

of Industrial

and Medical

Nuclear

Safety

Office

of Nuclear

Material

Safety

and Safeguards

Contact:

Gary Purdy, NMSS (301) 415-7897 E-mail:

gwpl@nrc.gov

Attachments:

1. Selected

Year 2000 Web Sites 2. List of Recently

Issued

NMSS Information

Notices

3. List of Recently

Issued

NRC Informationh

Notices

DOCUMENT

NAME: G:\Purdy\last

Y2K IN.wpd

To receive

a copy of this document, indicate

in the box: "C"= Copy w/o attlencl. "E" = Copy w/attlencl."N'

= No copy *See previous

concurrence

UI-I-IIAL

I-UIKU

k;UI-Y -Prootea

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Dy:_OFC Section

B/MSIB

MSIB INS m NAME GPurdy/LL

JHick, DATE 12/9/1999

12/ Jý /1999 12/t/ /1999