ENS 51893: Difference between revisions

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| facility = Mayo Clinic Arizona
| facility = Mayo Clinic Arizona
| Organization = Arizona Radiation Regulatory Agency
| Organization = Arizona Radiation Regulatory Agency
| license number = Az 07-448
| license number = AZ 07-448
| region = 4
| region = 4
| state = Arizona
| state = Arizona
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| event date = 04/27/2016 MST
| event date = 04/27/2016 MST
| last update date = 04/30/2016
| last update date = 04/30/2016
| title = Agreement State Report - Implanted Iodine 125 Seed Not Accounted For
| title = Agreement State Report - Implanted Iodine 125 Seed Not Accounted for
| event text = The following was received from Arizona via email:
| event text = The following was received from Arizona via email:
On April 27th, the licensee [Mayo Clinic Arizona] discovered that one (1) I-125 seed was missing with an approximate activity of 0.3 millicuries.  The breast tissue from a patient was analyzed by the licensees' surgical staff on April 26th and one seed was removed and then brought down to the nuclear medicine department on the morning of the 27th.  The nuclear medicine staff quickly realized that there should have been two seeds, since two seeds were initially implanted.  The licensee's radiation safety staff surveyed both the hospital surgical path area as well as the pathology/histology area and no source was discovered.   
On April 27th, the licensee [Mayo Clinic Arizona] discovered that one (1) I-125 seed was missing with an approximate activity of 0.3 millicuries.  The breast tissue from a patient was analyzed by the licensees' surgical staff on April 26th and one seed was removed and then brought down to the nuclear medicine department on the morning of the 27th.  The nuclear medicine staff quickly realized that there should have been two seeds, since two seeds were initially implanted.  The licensee's radiation safety staff surveyed both the hospital surgical path area as well as the pathology/histology area and no source was discovered.   

Latest revision as of 18:54, 24 November 2018

ENS 51893 +/-
Where
Mayo Clinic Arizona
Phoenix, Arizona (NRC Region 4)
License number: AZ 07-448
Organization: Arizona Radiation Regulatory Agency
Reporting
Agreement State
Time - Person (Reporting Time:+78.88 h3.287 days <br />0.47 weeks <br />0.108 months <br />)
Opened: Brian Goretzki
13:53 Apr 30, 2016
NRC Officer: Daniel Mills
Last Updated: Apr 30, 2016
51893 - NRC Website