ENS Event | |
|---|---|
17:00 Apr 15, 2024 | |
| Title | Lost IODINE-125 Implant Seed |
| Event Description | The following is a synopsis of information provided by the licensee via phone call:
On 4/15/24, a 145 microcurie iodine -125 implant seed was lost. The seed was one of four seeds to be implanted for mammography. During the exam, it was discovered that only three seeds were implanted. Licensee staff verified that the seed was not implanted in the patient. A thorough survey of the room, linens, and trash was performed and did not yield the seed. Licensee staff can not verify that the seed was present in the needle prior to the procedure. The patient and the prescribing physician were made aware of the missing seed. No negative effect on the patient is expected. 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 | |
|---|---|
| George Washington Hospital District Of Columbia, District Of Columbia (NRC Region 1) | |
| License number: | 0830607-01 |
| Organization: | George Washington Hospital |
| Reporting | |
| 10 CFR 20.2201(a)(1)(ii) | |
| Time - Person (Reporting Time:+359.72 h14.988 days <br />2.141 weeks <br />0.493 months <br />) | |
| Opened: | Sarah Mills 16:43 Apr 30, 2024 |
| NRC Officer: | Thomas Herrity |
| Last Updated: | Apr 30, 2024 |
| 57095 - NRC Website
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George Washington Hospital with 10 CFR 20.2201(a)(1)(ii) | |
WEEKMONTHYEARENS 570952024-04-15T17:00:00015 April 2024 17:00:00
[Table view]10 CFR 20.2201(a)(1)(ii) Lost IODINE-125 Implant Seed 2024-04-15T17:00:00 | |