ENS 50543

v t e 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.

ENS 50543 +/-
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
v • d • e

v t e Emergency Notification System
Munson Medical Center with 10 CFR 30.50(b)(2)
WEEKMONTHYEAR2014-10-16T13:45:00 [Table view]
[ENS list for Munson Medical Center]

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