ENS Event | |
|---|---|
06:00 Mar 9, 2020 | |
| Title | Agreement State Report - Lost Iodine-125 Seed |
| Event Description | The following information was received from the state of Utah via email:
Late in the evening on March 9, 2020, an individual in the pathology lab was examining an excised tissue sample that contained one 286 microCurie Iodine-125 seed used in a radioactive seed localization procedure. During the examination, the seed fell out of the tissue sample and went down the sink drain. The individual blocked off the drain, and the licensee waited until the morning of the 10th to remove the sink's p-trap to look for the seed. The licensee was unable to locate the seed, and assumes that the seed is lost. The Division [Utah Division of Radiation Control] will be performing an on-site investigation soon. Utah Report ID number: UT200002 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 | |
|---|---|
| Utah Division Of Radiation Control Salt Lake, Utah (NRC Region 4) | |
| License number: | UT 1800253 |
| Organization: | Utah Division Of Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+34.22 h1.426 days <br />0.204 weeks <br />0.0469 months <br />) | |
| Opened: | Philip Griffin 16:13 Mar 10, 2020 |
| NRC Officer: | Silas Kennedy |
| Last Updated: | Mar 10, 2020 |
| 54578 - NRC Website | |
Utah Division of Radiation Control with Agreement State | ||
| Agreement State Report - Incorrect Radionuclide Administered to a Patient ENS 547902020-07-16T06:00:00016 July 2020 06:00:00 Agreement State Agreement State Report - Misadminstration of Medical Treatment ENS 546542020-04-07T06:00:0007 April 2020 06:00:00 Agreement State Agreement State Report - Irradiator Aperture Failed to Close ENS 545802020-03-10T06:00:00010 March 2020 06:00:00 Agreement State Agreement State Report - Lost and Found Troxler Moisture Density Gauge ENS 545782020-03-09T06:00:0009 March 2020 06:00:00 Agreement State Agreement State Report - Lost Iodine-125 Seed ENS 544932020-01-21T17:15:00021 January 2020 17:15:00 Agreement State Agreement State Report - Found Source 2020-09-16T19:00:00 [Table view] | ||