ENS 57231
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ENS Event | |
|---|---|
07:00 Jul 16, 2024 | |
| Title | Lost I-125 Seed |
| Event Description | The following information was provided by the Arizona Department of Health Services (the Department) via email:
The Department received notification from the licensee of a lost I-125 seed used for localization. A patient was implanted with (1) approximately 0.150 mCi I-125 seed on July 15, 2024. The patient returned to the hospital on July 16, 2024, to have the tissue, including the seed, removed. When the surgeon attempted to locate the seed, they were unable to detect it. The operating room and patient were surveyed but the seed was not located. 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. Arizona Incident Number: 24-009 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 |
| Where | |
|---|---|
| Banner Boswell Medical Center Sun City, Arizona (NRC Region 4) | |
| License number: | 07-138 |
| Organization: | Arizona Dept Of Health Services |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+29.93 h1.247 days <br />0.178 weeks <br />0.041 months <br />) | |
| Opened: | Brian Goretzki 12:56 Jul 17, 2024 |
| NRC Officer: | Adam Koziol |
| Last Updated: | Jul 17, 2024 |
| 57231 - NRC Website
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Banner Boswell Medical Center with Agreement State | |
WEEKMONTHYEARENS 572312024-07-16T07:00:00016 July 2024 07:00:00
[Table view]Agreement State Lost I-125 Seed ENS 540072019-04-17T07:00:00017 April 2019 07:00:00 Agreement State Agreement State Report - Tritium Exit Signs Dismantled 2024-07-16T07:00:00 | |
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