ENS Event | |
|---|---|
06:00 Jan 21, 2013 | |
| Title | Agreement State Report - Lost I-125 Seed |
| Event Description | On January 21, 2013, a patient was undergoing a radioactive procedure using a 275 microCurie I-125 seed as well as a resection procedure for a breast tumor. The seed was implanted on the surface of the skin and taped into place. During post-surgical clean-up after the resection procedure was performed, the iodine seed was lost. It is believed it was removed with the tape and thrown away as medical waste.
After discovery of the loss, the patient, her car, her home and her clothing were surveyed with negative results. The surgical suite and all bedding and gowns used were surveyed with negative results. The surgical waste had already been removed by the time the suite was surveyed. The licensee believes the seed is in the local landfill and has considered it to be lost. 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. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf |
| Where | |
|---|---|
| Nebraska Medical Center Omaha, Nebraska (NRC Region 4) | |
| License number: | 018801 |
| Organization: | Ne Div Of Radioactive Materials |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+82.12 h3.422 days <br />0.489 weeks <br />0.112 months <br />) | |
| Opened: | Bryan Miller 16:07 Jan 24, 2013 |
| NRC Officer: | Howie Crouch |
| Last Updated: | Jan 24, 2013 |
| 48697 - NRC Website | |
Nebraska Medical Center with Agreement State | |
WEEKMONTHYEARENS 486972013-01-21T06:00:00021 January 2013 06:00:00
[Table view]Agreement State Agreement State Report - Lost I-125 Seed 2013-01-21T06:00:00 | |