ENS Event | |
|---|---|
07:00 Apr 17, 2023 | |
| Title | Lost I-125 Seed |
| Event Description | The following information was provided by the Arizona Department of Health Services (the Department) via email:
On 4/20/2023, the Department was notified by the licensee of one missing I-125 radioactive seed for breast tumor localization. According to the licensee, one IsoAid Advantage I-125 breast localization seed (containing approximately 0.158 mCi of activity) was removed by surgery on 4/17/23 and was verified to be included in the specimen. The specimen with the seed was delivered to pathology on the afternoon of 4/17/23. The seed was removed from the specimen by pathology on 4/17/23. When nuclear medicine came to retrieve the seed, the jar was empty and the licensee was unsuccessful in locating the missing I-125 seed. 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. 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 | |
|---|---|
| Southwest Medical Imaging, Llc Scottsdale, Arizona (NRC Region 4) | |
| License number: | 07-507 |
| Organization: | Arizona Dept Of Health Services |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+82.6 h3.442 days <br />0.492 weeks <br />0.113 months <br />) | |
| Opened: | Brian Goretzki 17:36 Apr 20, 2023 |
| NRC Officer: | Ernest West |
| Last Updated: | Apr 20, 2023 |
| 56482 - NRC Website | |
Southwest Medical Imaging, Llc with Agreement State | |
WEEKMONTHYEARENS 566622023-08-04T07:00:0004 August 2023 07:00:00
[Table view]Agreement State Found Medical Seed ENS 564822023-04-17T07:00:00017 April 2023 07:00:00 Agreement State Lost I-125 Seed 2023-08-04T07:00:00 | |