ENS Event | |
|---|---|
07:00 Mar 27, 2026 | |
| Title | Lost I-125 Seed |
| Event Description | The following information was provided by the Arizona Department of Health Services (the Department) via email:
The Department received notification from the licensee of a lost I-125 seed used for localization. A patient was implanted with a 0.133 millicurie I-125 seed on March 18, 2026, with the placement of the seed verified by x-ray. The patient returned on March 27, 2026, to have the tissue and seed removed. The tissue with seed was verified by x-ray and then sent to pathology, where no seed was [found]. The operating room was surveyed, but the seed was not located. The Department has requested additional information and continues to investigate the event." 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 | |
|---|---|
| Honor Health Dba Deer Valley Medical Center Phoenix, Arizona (NRC Region 4) | |
| License number: | 07-311 |
| Organization: | Arizona Dept Of Health Services |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+83.25 h3.469 days <br />0.496 weeks <br />0.114 months <br />) | |
| Opened: | Brian Goretzki 18:15 Mar 30, 2026 |
| NRC Officer: | Karen Cotton |
| Last Updated: | Mar 30, 2026 |
| 58222 - NRC Website | |
Honor Health Dba Deer Valley Medical Center with Agreement State | |
WEEKMONTHYEARENS 582222026-03-27T07:00:00027 March 2026 07:00:00
[Table view]Agreement State Lost I-125 Seed ENS 556212021-11-30T07:00:00030 November 2021 07:00:00 Agreement State Agreement State - Lost I-125 Seed 2026-03-27T07:00:00 | |