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The following information was received via … The following information was received via facsimile:</br>NY-06-003</br>Broken I-125 brachytherapy seed. (NYS DOH Internal Tracking No. 421)</br>New York law prohibits the release of any identities in cases of medical events. Therefore the facility name, etc., is not contained in this report.</br>RSO reported a broken I-125 source from a prostate seed implant on 11/29/05. The cartridge/source jammed in the applicator and a source was ruptured. All fragments were recovered in the rinse of the applicator and the patient did not have any seed fragments implanted. The written report stated: 90 seeds were ordered, 74 were implanted, 16 unused seeds were recovered (15 intact, one ruptured). The Mick applicator is a model 200-TP. The seeds were GE Healthcare Medi-physics supplied by Oncura Inc. The apparent activity per seed was 0.47 mCi. The radiation oncologist who performed the procedure is experienced (500+ cases). He stated that during the procedure the applicator jammed several times and that he was required to remove seeds from the applicator. It was probably during that process that the seed was ruptured and the loose seeds fell to the table. The medical physicist, upon going to the operating room to retrieve the unused seeds identified two seeds had become loose, one of which was damaged (appeared shorter than the others). A radiological survey indicated that no contamination was present on instruments or the area used for the implant. The inner contents of the broken seed, a silver rod, were recovered. Measurements indicate that the activity remained with the rod rather than being spread around/causing contamination. Bioassay measurements, thyroid and urine, were performed on the patient, physicist and RSO, all with negative results. All unused seeds were placed into the decay in storage program.</br>This event did not constitute a misadministration because the number of seeds implanted was as per the treatment plan, and there is no evidence that a leaking (ruptured) seed was implanted. New applicators were ordered and placed into service.tors were ordered and placed into service.
05:00:00, 29 November 2005 +
42,360 +
15:25:00, 22 February 2006 +
05:00:00, 29 November 2005 +
The following information was received via … The following information was received via facsimile:</br>NY-06-003</br>Broken I-125 brachytherapy seed. (NYS DOH Internal Tracking No. 421)</br>New York law prohibits the release of any identities in cases of medical events. Therefore the facility name, etc., is not contained in this report.</br>RSO reported a broken I-125 source from a prostate seed implant on 11/29/05. The cartridge/source jammed in the applicator and a source was ruptured. All fragments were recovered in the rinse of the applicator and the patient did not have any seed fragments implanted. The written report stated: 90 seeds were ordered, 74 were implanted, 16 unused seeds were recovered (15 intact, one ruptured). The Mick applicator is a model 200-TP. The seeds were GE Healthcare Medi-physics supplied by Oncura Inc. The apparent activity per seed was 0.47 mCi. The radiation oncologist who performed the procedure is experienced (500+ cases). He stated that during the procedure the applicator jammed several times and that he was required to remove seeds from the applicator. It was probably during that process that the seed was ruptured and the loose seeds fell to the table. The medical physicist, upon going to the operating room to retrieve the unused seeds identified two seeds had become loose, one of which was damaged (appeared shorter than the others). A radiological survey indicated that no contamination was present on instruments or the area used for the implant. The inner contents of the broken seed, a silver rod, were recovered. Measurements indicate that the activity remained with the rod rather than being spread around/causing contamination. Bioassay measurements, thyroid and urine, were performed on the patient, physicist and RSO, all with negative results. All unused seeds were placed into the decay in storage program.</br>This event did not constitute a misadministration because the number of seeds implanted was as per the treatment plan, and there is no evidence that a leaking (ruptured) seed was implanted. New applicators were ordered and placed into service.tors were ordered and placed into service.
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00:00:00, 22 February 2006 +
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02:19:16, 2 March 2018 +
15:25:00, 22 February 2006 +
85.434 d (2,050.42 hours, 12.205 weeks, 2.809 months) +
05:00:00, 29 November 2005 +
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