ENS Event | |
|---|---|
04:00 Mar 14, 2008 | |
| Title | Agreement State - Leaking Iodine- 125 Prostate Seeds |
| Event Description | Licensee identified 7 leaking Iodine-125 leftover prostate seeds from two patient doses: 3/11/08, 4 seeds. 3/12/08, 3 seeds. Patients were recalled, but showed no iodine uptake. Licensee phoned [state radiation protection officials].
Seeds are approximately 0.3 micro Curies each. Mills Pharmaceuticals (Core oncology-Oklahoma City) manufactures the seed sources. They are then sent to Medtech Diagnostic Services, Ft Meyers, Florida. Medtech loads the seeds into cartridges and sterilizes order. Medtech then sends the loaded cartridges to Carolinas Medical Center. The state, licensee, and manufacturer are working together to determine where the seeds got damaged, whether at manufacturing, loading, or unloading. Incident Number 08-12.
The state called to correct an editorial error on the original report. The seed activity is 0.36 milli Curies vice 0.3 micro Curies. Notified R1DO(Perry) and FSME(Burgess). |
| Where | |
|---|---|
| Carolinas Medical Center Charlotte, North Carolina (NRC Region 1) | |
| License number: | 060-0014-3 |
| Organization: | Nc Div Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+78.77 h3.282 days <br />0.469 weeks <br />0.108 months <br />) | |
| Opened: | Sharn Jeffries 10:46 Mar 17, 2008 |
| NRC Officer: | Joe O'Hara |
| Last Updated: | Mar 20, 2008 |
| 44069 - NRC Website | |
Carolinas Medical Center with Agreement State | |
WEEKMONTHYEARENS 440692008-03-14T04:00:00014 March 2008 04:00:00
[Table view]Agreement State Agreement State - Leaking Iodine- 125 Prostate Seeds ENS 437262007-10-12T04:00:00012 October 2007 04:00:00 Agreement State Agreement State Report - Leaking I-125 Prostate Brachytherapy Seed ENS 433362007-02-02T17:39:0002 February 2007 17:39:00 Agreement State Agreement State Report - Medical Misadministration 2008-03-14T04:00:00 | |