ENS 42984
ENS Event | |
|---|---|
06:00 Nov 10, 2006 | |
| Title | Shipment of Iodine - 125 Seeds Lost in Transit |
| Event Description | The State provided the following information via email:
On November 10, 2006, [a representative] of Bard Brachytherapy, Inc. (IL-02062-01) called to report that they had been advised by their customer, that a package intended for Milton Hospital, Milton, Massachusetts did not make it to its destination. The package had been offered to their courier, Airnet, the previous evening for next morning delivery. Using the company's package tracking system, it was determined that the shipment (DELETED) had been transferred from Airnet, to the American Airlines' O'Hare Airport Air Freight Hub in Chicago, IL., but no record of its departure existed. Physical searches of the airport facility by the carriers' staff did not immediately locate the package containing the radioactive material. The shipment consisted of 2 leaded pigs of I-125 sealed sources. One pig held 73 'seeds' with an activity of 66 milliCuries, the second held 80 'seeds' with an activity of 72 mCi. The two packages had been combined into an 'over pack' with a total activity of approximately 134 milliCi of I-125. The package was identified as a 'limited quantity' package with a dose rate of less than 0.5 milliR/h at the surface of the container. The box was approximately 15x12x12 inches in size. As of 17:30 CST the package remains missing. The customer, Milton Hospital, notified their local regulatory authority, the Massachusetts Department of Public Health, Radiation Control Program to advise them of the situation. Due to the quantity of I-125 involved, the U.S. NRC Operations Center was advised of this event. As a result, U.S. NRC event 42984 was assigned. Bard is continuing to work with their courier and the carrier to locate the package. At this time American Airlines believes it is still in possession of the package as it does not show the airbill tracking number (DELETED) as arriving at any of its domestic hubs. The radioactive material involved is encapsulated in medical grade stainless steel and is approximately the size of a 0.5 cm length of pencil lead. It is used as a permanent implant to treat cancer of the prostate. Due to the energy of I-125, it posses a very limited external exposure hazard, and then only at very close distances of less then a foot. [The Bard representative] promised to keep the Agency informed of developments as they occurred by contacting the Agency's radiation duty officer. Illinois Report No: IL060058
The package has been located at the airport in Boston, MA. The package is intact and is being returned to the originator in Illinois. Notified the R3DO (Cameron), NMSS (McConnell), and ILTAB (English via E-mail). 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. |
| Where | |
|---|---|
| Bard Brachytherapy Carol Stream, Illinois (NRC Region 3) | |
| License number: | IL-02062-01 |
| Organization: | Illinois Emergency Mgmt. Agency |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+12.47 h0.52 days <br />0.0742 weeks <br />0.0171 months <br />) | |
| Opened: | Daren Perrero 18:28 Nov 10, 2006 |
| NRC Officer: | Bill Huffman |
| Last Updated: | Nov 11, 2006 |
| 42984 - NRC Website
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Bard Brachytherapy with Agreement State | |
WEEKMONTHYEARENS 580442025-11-18T18:18:00018 November 2025 18:18:00
[Table view]Agreement State Lost Sources ENS 579352025-09-08T05:00:0008 September 2025 05:00:00 Agreement State Contamination Detected in Shipping Vial ENS 576972025-05-07T05:00:0007 May 2025 05:00:00 Agreement State Missing Packages ENS 571932024-06-25T05:00:00025 June 2024 05:00:00 Agreement State Broken Brachytherapy Seed ENS 571272024-05-13T05:00:00013 May 2024 05:00:00 Agreement State Lost Brachytherapy Seed ENS 563412023-02-06T06:00:0006 February 2023 06:00:00 Agreement State Lost Brachytherapy Seeds ENS 561812022-10-25T05:00:00025 October 2022 05:00:00 Agreement State Lost Shipments ENS 561452022-09-30T05:00:00030 September 2022 05:00:00 Agreement State Lost Shipment ENS 560832022-08-31T05:00:00031 August 2022 05:00:00 Agreement State Lost I-125 Brachytherapy Seeds ENS 560992022-08-23T05:00:00023 August 2022 05:00:00 Agreement State Loss of I-125 Brachytherapy Seed ENS 560112022-06-29T05:00:00029 June 2022 05:00:00 Agreement State Lost Sources ENS 559512022-06-16T21:00:00016 June 2022 21:00:00 Agreement State Shipment Lost Then Found ENS 538732019-02-13T06:00:00013 February 2019 06:00:00 Agreement State Agreement State Report - Report of Loss of Brachytherapy Seeds ENS 429842006-11-10T06:00:00010 November 2006 06:00:00 Agreement State Shipment of Iodine - 125 Seeds Lost in Transit ENS 411592004-10-29T05:00:00029 October 2004 05:00:00 Agreement State Agreement State Report 2025-09-08T05:00:00 | |