ENS Event | |
|---|---|
13:45 Oct 16, 2014 | |
| Title | Palladium-103 Brachytherapy Seed Broken |
| Event Description | A Palladium-103 (Pd-103) brachytherapy seed (Theragenics Model 200 nominal activity 1.5 mCi) broke when the Mick shielded magazine was removed from the applicator. An activity of [approximately] 0.5 mCi for the lost portion of the seed was calculated by measuring the remaining portion of the seed. It was not recovered and presumed to have washed down a sink drain. The seed was broken and lost October 15, 2014 around 0945 [EDT]. The incident was discovered around 1645. Surveys of the area for the lost portion returned no radiation above background. Contamination from the seed is remote because the Pd-103 is coated on (adhered to) a graphite pellet. No personnel radiation exposure data available. It is unlikely the person involved received measurable dose.
The process for removing the cartridge at the end of a procedure will be reviewed to reduce the chance of this happening again. The licensee contacted NRC Region 3 DNMS personnel. |
| Where | |
|---|---|
| Munson Medical Center Traverse City, Michigan (NRC Region 3) | |
| License number: | 21-08317-01 |
| Organization: | Munson Medical Center |
| Reporting | |
| 10 CFR 30.50(b)(2), Licensed Material Protection Equipment Failure | |
| Time - Person (Reporting Time:+0.02 h8.333333e-4 days <br />1.190476e-4 weeks <br />2.7396e-5 months <br />) | |
| Opened: | Dennis Aurand 13:46 Oct 16, 2014 |
| NRC Officer: | Jeff Rotton |
| Last Updated: | Oct 16, 2014 |
| 50543 - NRC Website | |
Munson Medical Center with 10 CFR 30.50(b)(2) | |
WEEKMONTHYEARENS 505432014-10-16T13:45:00016 October 2014 13:45:00
[Table view]10 CFR 30.50(b)(2) Palladium-103 Brachytherapy Seed Broken 2014-10-16T13:45:00 | |