ENS 57127
ENS Event | |
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05:00 May 13, 2024 | |
Title | Lost Brachytherapy Seed |
Event Description | The following was provided by the Illinois Emergency Management Agency (the Agency) via email:
The Agency was contacted on 5/13/24 concerning one lost iodine-125 brachytherapy seed with an activity of approximately 0.267 millicuries. On 5/13/24, Bard Brachytherapy received a package from Northside Hospital - Gwinnett (Lawrenceville, GA), and initially identified a total of seven of the nineteen iodine-125 brachytherapy seeds were missing. Five seeds were found shortly thereafter in the packing material. The common carrier was called to return to the Bard facility and an additional seed was located within the delivery vehicle. Additional searches of the local Schaumburg, IL [common carrier] hub and OHare airport facility were unsuccessful in locating the final seed. The Agency was notified that the final seed was considered lost. The package is reported as having left Lawrenceville, GA and then Norcross, GA before arriving at the Schaumburg, IL facility. Reportedly, the package had no indication of damage from transit. The cause of the loss seed appears to be inadequate packaging when shipped. Illinois event number: IL240013.
The licensees written report was received 5/22/23 and provided no additional information. Exposures to the carrier and other members of the public are not expected to exceed reportable limits. Due to the small size and the proximity required to accumulate a reportable exposure, this incident is not expected to result in public exposures exceeding regulatory limits. The Illinois licensee followed reporting timelines and package receipt procedures. Provided no new information becomes available that would allow identification of the seed, reasonable search efforts have been undertaken and this matter is considered closed. Notified R3DO (Ziolkowski), R1DO (Carfang), NMSS Events Notification (email), ILTAB (email). 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 | |
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Bard Brachytherapy Carol Stream, Illinois (NRC Region 3) | |
License number: | IL-02062-01 |
Organization: | Illinois Emergency Mgmt. Agency |
Reporting | |
Agreement State | |
Time - Person (Reporting Time:+31.08 h1.295 days <br />0.185 weeks <br />0.0426 months <br />) | |
Opened: | Gary Forsee 12:05 May 14, 2024 |
NRC Officer: | Sam Colvard |
Last Updated: | May 22, 2024 |
57127 - NRC Website
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Bard Brachytherapy with Agreement State | |
WEEKMONTHYEARENS 571932024-06-25T05:00:00025 June 2024 05:00:00
[Table view]Agreement State Broken Brachytherapy Seed ENS 571272024-05-13T05:00:00013 May 2024 05:00:00 Agreement State Lost Brachytherapy Seed ENS 563412023-02-06T06:00:0006 February 2023 06:00:00 Agreement State Lost Brachytherapy Seeds ENS 561812022-10-25T05:00:00025 October 2022 05:00:00 Agreement State Lost Shipments ENS 561452022-09-30T05:00:00030 September 2022 05:00:00 Agreement State Lost Shipment ENS 560832022-08-31T05:00:00031 August 2022 05:00:00 Agreement State Lost I-125 Brachytherapy Seeds ENS 560992022-08-23T05:00:00023 August 2022 05:00:00 Agreement State Loss of I-125 Brachytherapy Seed ENS 560112022-06-29T05:00:00029 June 2022 05:00:00 Agreement State Lost Sources ENS 559512022-06-16T21:00:00016 June 2022 21:00:00 Agreement State Shipment Lost Then Found ENS 538732019-02-13T06:00:00013 February 2019 06:00:00 Agreement State Agreement State Report - Report of Loss of Brachytherapy Seeds ENS 429842006-11-10T06:00:00010 November 2006 06:00:00 Agreement State Shipment of Iodine - 125 Seeds Lost in Transit ENS 411592004-10-29T05:00:00029 October 2004 05:00:00 Agreement State Agreement State Report 2024-06-25T05:00:00 | |