ENS 54522
ENS Event | |
|---|---|
07:00 Feb 11, 2020 | |
| Title | Agreement State Report - Lost Brachytherapy Seed |
| Event Description | The following was received from the state of Arizona via email:
The Department [Arizona Department of Health Services] has received notification from the licensee (Scottsdale Healthcare dba Honorhealth Scottsdale Shea Medical Center) that one brachytherapy seed has been lost. It is assumed that the seed went down the drain of an autopsy table on 02/11/2020. All other seeds are accounted for and stored in the licensee's brachytherapy hot lab. The seed model is Civadot, and the isotope is Palladium-103. The Lot ID from which the seed originated is CSH-201. The calibrated activity of the seed on 12/10/2019 was 0.783 mCi (29.0 MBq). The calculated activity as of 02/12/2020 is 0.058 mCi (2.15 MBq). The Department has requested additional information and continues to investigate the event. Arizona Incident Number: 20-003 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 | |
|---|---|
| Arizona Dept Of Health Services Scottsdale, Arizona (NRC Region 4) | |
| License number: | 07-265 |
| Organization: | Arizona Dept Of Health Services |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+36 h1.5 days <br />0.214 weeks <br />0.0493 months <br />) | |
| Opened: | Brian Goretzki 19:00 Feb 12, 2020 |
| NRC Officer: | Kerby Scales |
| Last Updated: | Feb 12, 2020 |
| 54522 - NRC Website | |
Arizona Department of Health Services with Agreement State | ||
WEEKMONTHYEARENS 557722022-03-07T07:00:0007 March 2022 07:00:00 Agreement State Potentially Radioactive Material Discovered ENS 557302022-02-04T07:00:0004 February 2022 07:00:00 Agreement State Stolen Tritium Exit Signs ENS 549042020-09-16T07:00:00016 September 2020 07:00:00 Agreement State | Agreement State Report - Construction Gauge Run Over by Construction Van ENS 548432020-08-18T07:00:00018 August 2020 07:00:00 Agreement State Agreement State Report - Missing Source Rod Shutter ENS 548112020-08-03T07:00:0003 August 2020 07:00:00 Agreement State Agreement State Report - Missing Shutter on Fixed Gauge ENS 547452020-06-12T07:00:00012 June 2020 07:00:00 Agreement State Agreement State Report - Medical Event ENS 547462020-06-11T07:00:00011 June 2020 07:00:00 Agreement State Agreement State Report - Found Radioactive Material ENS 546732020-04-18T01:00:00018 April 2020 01:00:00 Agreement State Agreement State Report - Possible Medical Event ENS 545222020-02-11T07:00:00011 February 2020 07:00:00 Agreement State Agreement State Report - Lost Brachytherapy Seed ENS 545052020-01-31T07:00:00031 January 2020 07:00:00 Agreement State Agreement State Report - Moisture Density Gauge Run Over by Vehicle ENS 545012020-01-29T07:00:00029 January 2020 07:00:00 Agreement State Agreement State Report - Stolen Source ENS 544122019-11-26T07:00:00026 November 2019 07:00:00 Agreement State Agreement State Report - Possible Found Radioactive Material 2022-03-07T07:00:00 [Table view] | |