MATERIAL SAFETY DATA SHEET



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GE Healthcare Adreview (Iobenguane I 123 Injection) MATERIAL SAFETY DATA SHEET 1. CHEMICAL PRODUCT AND COMPANY IDENTIFICATION Product Name: Adreview Product Code: 2035 Synonyms: Iobenguane I 123 Manufacturer/Distributor: GE Healthcare Medi-Physics, Inc. 3350 North Ridge Avenue Arlington Heights, 60004 Technical Information No.: (800) 654-0118 CHEMTREC Emergency No.: (800) 424-9300 for US / (708) 527-3887 outside US 2. COMPOSITION/INFORMATION ON INGREDIENTS Ingredient : CAS No. % V Iobenguane sulfate (I-123) 87862-25-7 0.008% Sodium dihydrogen phosphate dihydrate 13472-35-0 2.3% Disodium hydrogen phosphate dihydrate 10028-24-7 0.3% Benzyl Alcohol 100-51-6 1.0% Water 7732-18-5 96.3% 3. HAZARD IDENTIFICATION Emergency Overview: Read package insert prior to use. Adreview is a diagnostic radiopharmaceutical for intravenous use only. It emits radiation and must be handled with appropriate safety measures to minimize radiation exposure to clinical personnel and patients. Radiopharmaceuticals should be used by or under the control of physicians who are qualified by specific training and experience in the safe use and handling of radionuclides, and whose training and experience has been approved by the appropriate government agency authorized to license the use of radionuclides. Page 1 of 6

Physical & Chemical Hazard Ratings (0 = no hazard) NFPA: Health 1 Flammability 0 Stability 0 HMIS: Health 1 Flammability 0 Stability 0 Potential Health Effects: Inhalation: Small fraction of Iodine-123 may volatilize which may result asymptomatic physiological uptake by thyroid gland or other tissues. Ingestion: May cause symptomatic physiological uptake by thyroid gland or other tissues. Skin Contact: Not considered an acute health hazard. Eye Contact: Not considered an acute health hazard, but benzyl alcohol may cause irritation. Chronic Exposure: Data on biological effects of ionizing radiation are based on exposures much higher than those permitted occupationally. No effects are expected from exposures received as a result of normal use. Aggravation of Pre-existing Conditions: May cause allergic reaction in individuals sensitive to iodine. 4. FIRST AID MEASURES Eyes: In case of eye contact, immediately flush eyes with water for at least 15 minutes. Notify Radiation Safety Officer immedately. Call a physician if irritation develops. Skin: Wash exposed area with soap and water or other approved decontamination media. Notify Radiation Safety Officer immediately. Call a physician if irritation develops. Ingestion: Notify Radiation Safety Officer immediately. The amount of I-123 in the thyroid gland and other tissues should be assessed and documented. A thyroid blocking agent may need to be administered at the discretion of a physician. Inhalation: Notify Radiation Safety Officer immediately. The amount of I-123 inhaled should be assessed and documented. Note to Physician: Treat symptomatically FIRE FIG 5. FIRE FIGHTING MEASURES Flammable Properties: Not flammable Page 2 of 6

Extinguishing Media: Use extinguishing measures that are appropriate to local circumstances and the surrounding environment. Hazardous Combustion products: Carbon oxides, Nitrogen oxides, Sulfur oxides, Phosphorous oxides, volitilized I-123 Explosion Data: None Protective Equipment and Precautions for Firefighters: As in any fire, wear self-contained breathing apparatus pressure-demand. MSHA/NIOSH (approved or equivalent) and full protective gear. 6. ACCIDENT RELEASE MEASURES Any cleaup of spilled radioactive material shold be conducted under the direction of site radiation safety personnel. Any packages received with leaking internal components should be reported to GE Healthcare Technical Services at (800) 654-0118. Any packages delivered in damaged condiition should be reported to Chemtrec at (800) 424-9300. 7. HANDLING AND STORAGE Handling: Always observe good health physics and hygiene pratices when handling radioactive material. Storage: Store at 15-30º C. Do not freeze or expose to heat. Material should be shielded when not in use. 8. EXPOSURE CONTROLS/PERSONAL PROTECTION Airborne Exposure Limit (I-123): NRC Occupational Concentration Limit: (3 x 10-6 μci/ml) Iobenguane sulfate: Sodium dihydrogen phosphate dihydrate: Disodium hydrogen phosphate dihydrate: Benzyl Alcohol: Engineering Measures: Eyewash station and good general room ventilation Eye/Face Protection: Avoid contact with eyes & face, use eye protection Page 3 of 6

Skin & Body Protection: Disposable latex or nitrile gloves examination glove, lab coat Respiratory Protection: Not required under normal conditions of use. Hygiene Measures: No smoking, eating, drinking or application of cosmetics should be allowed in area where radioactive materials are handled or stored. 9. PHYSICAL AND CHEMICAL PROPERTIES Physical State: Liquid Appearance: Clear Liquid Autoignition Temperature: None Flammable Limits: None Odor: Odorless Boiling Point: 100ºC Solubility: Soluble in water Melting Point: 0ºC Specific Gravity: No data available Viscosity: No data available ph: No data avaliable Vapor Pressure (mm Hg): No data available Evaporation Rate: Not data available Vapor Density: No data available Flash Point: None Radioactivity: 10 mci (370 MBq) at time of calibration Specific Activity: 2 mci/ml (74 MBq/ml) at time of calibration Half-Life: 13.2 hours 10. STABILITY AND REACTIVITY Stability: Stable under specified conditions of use and storage. Conditions to Avoid: None known Incompatible Products: None known Hazardous Decomposition Products: Carbon oxides, Nitrogen oxides, Sulfur oxides, Phosphorous oxides, volitilized I-123 Hazardous Polymerization: Will not occur. Page 4 of 6

11. TOXICOLOGICAL INFORMATION Acute Toxicity: May result in slight to total thyroid disfunction. Carcinogenicity: Suffiencient exposure to ionizing radiation may cause harmful biological effects such as cancer. Reproductive Toxicity: See section 15 California Proposition 65. Target Organ Effects: May result in slight to total thyroid disfunction. Endocrine Disruptor Information: Radioactive forms of iodine will act as an endrocrine disruptor at sufficient dosages. 12. ECOLOGICAL INFORMATION Ecotoxicity: Contains no substances known to be hazardous to the environment or that are not degradable in waste water treatment plants. 13. DISPOSAL CONSIDERATIONS Adreview is considered radioactive waste until the activity has decayed to nondetectable levels. Radioactive waste must be handled in accordance with procedures established by your Radiation Safety Program. Consult local, state and federal regulations for proper disposal. 14. TRANSPORT INFORMATION DOT: Proper Shipping Name: Radioactive Material, n.o.s. Hazard Class: 7 Identification Number: UN2982 15. REGULATORY INFORMATION OSHA Hazard Communication: This product is a pharmaceutical, it is not regulated under the under the OSHA Hazard Communcation Standard (29 CFR 1910.1200) guidelines. CERCLA Reportable Quantites: I-123 = 10 Ci (370 GBq) Releases to the environment which exceed the Reportable Quanity (RQ) must be reported to the National Response Center at (800) 424-8802. Page 5 of 6

SARA Title III: 302 Extremely Hazardous Substances: None 311/312 Hazardous Catagories: Acute, Chronic 313 Toxic Substances subject to annual reporting requirements: None CWA: Not regulated RCRA hazrdous Waste Status: Non-hazardous (See Section 12 for details) California Proposition 65: This product contains a substance (radioactive material) known to the State of California to cause reproductive toxicity. Canada: This MSDS contains all of the information required by the Controlled Products Regulations (CPR). 16. OTHER INFORMATION Revision Date: July 2012 Disclaimer: This information is furnished without warranty, representation, or license of any kind, except that it is accurate to the best of GE Healthcare s knowledge or obtained from sources believed to be accurate. GE Healthcare does not assume any legal responsibility for use or reliance upon same. Customers are encouraged to conduct their own evaluation. Before using any product, read the product insert and label. Adreview is a trademark of GE Healthcare. GE and GE Monogram are trademarks of the General Electric Company. End of MSDS Page 6 of 6