ENS 55544

v t e ENS Event
07:00 Oct 25, 2021
Title	Dislodged I-125 Eye Plaque
Event Description	The following information was received from the Arizona Department of Health Services (the Department) via email: On October 25, 2021, the Department received notification that an I-125 eye plaque became dislodged from a patient's eye and fell to the floor. The eye plaque contained 30 Iso-Aid High Activity Advantage seeds with an activity of 1.33 mCi per seed. The patient placed the eye plaque in a lead pouch and then contacted the Authorized User, who was able to take possession of the seeds. The Ophthalmologist that performed the surgery has been notified. The Department has requested additional information and continues to investigate the event. Additional information will be provided as it is received in accordance with SA-300. Arizona Incident No: 21-007

ENS 55544 +/-
Where
Honorhealth Dba Scottsdale Osborn Medical Center Scottsdale, Arizona (NRC Region 4)
License number:	07-177
Organization:	Arizona Dept Of Health Services
Reporting

Agreement State
Time - Person (Reporting Time:+28.05 h1.169 days <br />0.167 weeks <br />0.0384 months <br />)
Opened:	Brian D. Goretzki 11:03 Oct 26, 2021
NRC Officer:	Lloyd Desotell
Last Updated:	Oct 26, 2021
55544 - NRC Website
v • d • e

v t e Emergency Notification System
Honorhealth Dba Scottsdale Osborn Medical Center with Agreement State
WEEKMONTHYEAR2021-10-25T07:00:00 [Table view]
[ENS list for Honorhealth Dba Scottsdale Osborn Medical Center]

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