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| Start date | Reporting criterion | Title | Event description | System | LER | |
|---|---|---|---|---|---|---|
| ENS 56662 | 4 August 2023 07:00:00 | Agreement State | Found Medical Seed | The following information was provided by the Arizona Department of Health Services (The Department) via email: The Department was notified by the licensee that on 8/4/2023, a person walked into their facility to report a box with a radioactive material label was sitting on top of a trash can outside of their facility with their name on it. The licensee determined that the box contained (1) Isoaid I-125 seed (0.150 mCi) that had been picked up by (Common Carrier) the day before (8/3) at 4:09pm. The licensee inspected the package and determined that the package was still sealed and intact. The Department has requested additional information and continues to investigate the event. Arizona Event No.: 23-014 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 56482 | 17 April 2023 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: 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 |