1. (1) A licensee authorized to use a remote afterloader unit for medical use shall perform full calibration measurements on each unit:

   1. (a) Before the first medical use of the unit;

   2. (b) Before medical use under the following conditions:

      1. 1. Following replacement of the source or following reinstallation of the unit in a new location outside the facility; and
      2. 2. Following any repair of the unit that includes removal of the source or major repair of the components associated with the source exposure assembly; and
   3. (c) At intervals not exceeding 1 calendar quarter for high dose-rate, medium dose-rate, and pulsed dose-rate remote afterloader units with sources whose half-life exceeds 75 days; and
   4. (d) At intervals not exceeding 1 year for low dose-rate remote afterloader units.

2. (2) To satisfy the requirement of paragraph (1) of this rule, full calibration measurements must include, as applicable, determination of:

   1. (a) The output within ±5 percent;
   2. (b) Source positioning accuracy to within ±1 millimeter;
   3. (c) Source retraction with backup battery upon power failure;
   4. (d) Length of the source transfer tubes;
   5. (e) Timer accuracy and linearity over the typical range of use;
   6. (f) Length of the applicators; and
   7. (g) Function of the source transfer tubes, applicators, and transfer tube-applicator interfaces.
3. (3) A licensee shall use the dosimetry system described in paragraph (1) of Rule 0400-20-07-.68 to measure the output.
4. (4) A licensee shall make full calibration measurements required by paragraph (1) of this rule in accordance with published protocols accepted by nationally recognized bodies.
5. (5) In addition to the requirements for full calibrations for low dose-rate remote afterloader units in paragraph (2) of this rule, a licensee shall perform an autoradiograph of the source(s) to verify inventory and source(s) arrangement at intervals not exceeding 1 calendar quarter.
6. (6) For low dose-rate remote afterloader units, a licensee may use measurements provided by the source manufacturer that are made in accordance with paragraphs (1) through (5) of this rule.
7. (7) A licensee shall mathematically correct the outputs determined in subparagraph (2)(a) of this rule for physical decay at intervals consistent with 1 percent physical decay.
8. (8) Full calibration measurements required by paragraph (1) of this rule and physical decay corrections required by paragraph (7) of this rule must be performed by the authorized medical physicist.
9. (9) A licensee shall retain a record of each calibration in accordance with Rule 0400-20-07-.104.

Authority: T.C.A. §§ 4-5-201, et seq.; 68-202-101, et seq.; and 68-202-201, et seq. Administrative History: Original rule filed February 22, 2012; effective May 22, 2012.