Browse wiki

Jump to navigation Jump to search
The following was received by the CommonweThe following was received by the Commonwealth of Massachusetts via fax:</br>On 8/22/2013, Brigham and Women's Hospital (BWH) was involved in a discrepancy in the contents of a shipment of I-125 brachytherapy seeds. The shipment was labeled to contain 71 seeds (as ordered), plus 4 seeds to be used for QC purposes. Upon opening, in preparation for administration, a count of the sources revealed only 70 of the 71 expected therapy seeds.</br>Immediate recount and subsequent survey & investigation of the area, packaging and container showed no indication of the presence of the 71st seed. There was also no evidence of contamination detected.</br>BWH does not believe the 71st seed was delivered.</br>Meanwhile, the supplier, Bard Brachytherapy, Inc.'s (BBI) investigation indicates that the 71st seed was shipped to BWH.</br>The expected 71st seed was a Bard Brachytherapy, Inc., model 125I containing 0.561 mCi (with an apparent activity of 0.330 mCi), with a reference date of 8/17/2013.</br>THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL</br>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.pdfiaea.org/MTCD/publications/PDF/Pub1227_web.pdf  +
04:00:00, 22 August 2013  +
49,381  +
15:53:00, 24 September 2013  +
04:00:00, 22 August 2013  +
The following was received by the CommonweThe following was received by the Commonwealth of Massachusetts via fax:</br>On 8/22/2013, Brigham and Women's Hospital (BWH) was involved in a discrepancy in the contents of a shipment of I-125 brachytherapy seeds. The shipment was labeled to contain 71 seeds (as ordered), plus 4 seeds to be used for QC purposes. Upon opening, in preparation for administration, a count of the sources revealed only 70 of the 71 expected therapy seeds.</br>Immediate recount and subsequent survey & investigation of the area, packaging and container showed no indication of the presence of the 71st seed. There was also no evidence of contamination detected.</br>BWH does not believe the 71st seed was delivered.</br>Meanwhile, the supplier, Bard Brachytherapy, Inc.'s (BBI) investigation indicates that the 71st seed was shipped to BWH.</br>The expected 71st seed was a Bard Brachytherapy, Inc., model 125I containing 0.561 mCi (with an apparent activity of 0.330 mCi), with a reference date of 8/17/2013.</br>THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL</br>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.pdfiaea.org/MTCD/publications/PDF/Pub1227_web.pdf  +
Has query"Has query" is a predefined property that represents meta information (in form of a <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Subobject">subobject</a>) about individual queries and is provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a>.
00:00:00, 24 September 2013  +
44-0004  +
Modification date"Modification date" is a predefined property that corresponds to the date of the last modification of a subject and is provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a>.
22:21:38, 24 September 2017  +
15:53:00, 24 September 2013  +
33.495 d (803.88 hours, 4.785 weeks, 1.101 months)  +
04:00:00, 22 August 2013  +
Agreement State Report - Missing Brachytherapy Seed  +
URL"URL" is a <a href="/Special:Types/URL" title="Special:Types/URL">type</a> and predefined property provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a> to represent URI/URL values.