ENS 42275

v t e ENS Event
18:00 Jan 19, 2006
Title	Agreement State Report - Lost Iodine Seed
Event Description	Thirteen I-125 seeds were implanted in a patient on 1/11/2006 and removed on 1/18/2006. After removal, seeds were transferred to Hot Lab at which time it was discovered that one of the seeds [1.43 millicuries I-125] was missing. All seeds were moved from patient. A search was conducted of the O.R., the patient and the traverse route. The seed has not been found at this time. The licensee stated that a doctor rinsed the item containing the sources in the sink in the O.R., and that it is possible that the missing source was rinsed down the drain. Florida is investigating. Incident Number: FL06-012 THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks.

ENS 42275 +/-
Where
Sarasota Memorial Hospital Sarasota, Florida (NRC Region 1)
License number:	2219-1
Organization:	Florida Bureau Of Radiation Control
Reporting

Agreement State
Time - Person (Reporting Time:+-0.97 h-0.0404 days <br />-0.00577 weeks <br />-0.00133 months <br />)
Opened:	Steve Furnace 17:02 Jan 19, 2006
NRC Officer:	Bill Gott
Last Updated:	Jan 19, 2006
42275 - NRC Website
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v t e Emergency Notification System
Sarasota Memorial Hospital with Agreement State
WEEKMONTHYEAR2006-01-19T18:00:00 [Table view]
[ENS list for Sarasota Memorial Hospital]

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