ENS 43908

v t e ENS Event
05:00 Jan 15, 2008
Title	Massachusetts Agreement State Report - Missing Brachytherapy Seeds
Event Description	The Licensee's RSO reports that a total of five (5) I-125 brachytherapy seeds, each containing 0.395 millicuries (assayed January 15, 2008) (total activity of 1.975 millicuries) are missing. The Licensee's RSO reports that the seeds were likely lost during or after a procedure performed in the Licensee's operating room on January 15, 2008. The seeds were discovered to be missing on January 16, 2008 and the seeds likely were disposed of in regular trash. The Licensee's RSO reports that the missing seeds are Oncura Echo seed Model 6733 seeds. The Licensee continues to search and survey for the seeds. 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 43908 +/-
Where
Lahey Clinic Foundation Burlington, Massachusetts (NRC Region 1)
License number:	44-0015
Organization:	Ma Radiation Control Program
Reporting

Agreement State
Time - Person (Reporting Time:+35.78 h1.491 days <br />0.213 weeks <br />0.049 months <br />)
Opened:	Josh Daehler 16:47 Jan 16, 2008
NRC Officer:	Jeff Rotton
Last Updated:	Jan 16, 2008
43908 - NRC Website
v • d • e

v t e Emergency Notification System
Lahey Clinic Foundation with Agreement State
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