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 |
| 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 | |
Pomona Valley Hospital with Agreement State | |
WEEKMONTHYEARENS 412822004-09-30T08:00:00030 September 2004 08:00:00
[Table view]Agreement State Agreement State Event 2004-09-30T08:00:00 | |