ENS 41282

v t e ENS Event
08:00 Sep 30, 2004
Title	Agreement State Event
Event Description	Pomona Valley Hospital reported in a December 9, 2004 letter to the State that seven I-125 seeds had been lost. The State received this letter December 14, 2004, & LA County received the letter December 21, 2004. Pomona reported that on October 14, 2004 while packaging excess I-125 seeds for return to the manufacturer, the dosimetrist discovered a shortage of seven seeds from a prostate implant done on Sept 30, 2004. They resurveyed the operating room & waste containers, but could not find the sources. They think the seeds were accidentally washed down the drain when the top part of the Mick Applicator cartridge was washed. They are obtaining additional information, such as the activity of the seeds. However, these seeds are normally about 0.3-0.4 mCi each, so seven seeds would be more than the one mCi I-125 that requires immediate reporting. They are reporting this as a loss that required immediate notification, but based on the information currently available, it appears unlikely that the loss could have resulted in exposure to persons in unrestricted areas. CA 5010 Number: 122204

ENS 41282 +/-
Where
Pomona Valley Hospital Pomona, California (NRC Region 4)
License number:	0764-19
Organization:	California Radiation Control Prgm
Reporting

Agreement State
Time - Person (Reporting Time:+2000.68 h83.362 days <br />11.909 weeks <br />2.741 months <br />)
Opened:	Kathleen Kaufman 17:41 Dec 22, 2004
NRC Officer:	Chauncey Gould
Last Updated:	Dec 22, 2004
41282 - NRC Website
v • d • e

v t e Emergency Notification System
Pomona Valley Hospital with Agreement State
WEEKMONTHYEAR2004-09-30T08:00:00 [Table view]
[ENS list for Pomona Valley Hospital]

Navigation menu