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| Discovered date | Reporting criterion | Title | Description | LER | |
|---|---|---|---|---|---|
| ENS 57231 | 16 July 2024 07:00:00 | Agreement State | Lost I-125 Seed | 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 (1) approximately 0.150 mCi I-125 seed on July 15, 2024. The patient returned to the hospital on July 16, 2024, to have the tissue, including the seed, removed. When the surgeon attempted to locate the seed, they were unable to detect it. The operating room and patient were surveyed but the seed was not located. 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 Number: 24-009 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 | |
| ENS 54007 | 17 April 2019 07:00:00 | Agreement State | Agreement State Report - Tritium Exit Signs Dismantled | The following report was received via e-mail: The Department (Arizona Department of Health Services) received notification from the licensee that they dismantled 24 tritium exit signs by removing the outer glass and aluminum housing, and then releasing the glue that held the glass ampules onto the inner plastic. The licensee said they were attempting to reduce the cost of shipping the signs for disposal. The Department has requested additional information and continues to investigate the event. The Licensee is: Arizona License Number- 07-138 Banner Boswell Medical Center 10401 Thunderbird Blvd Sun City, Arizona 85351 Arizona Incident: 19-005 None of the vials were damaged and the wipe tests were all negative. |