ENS Event | |
|---|---|
20:00 Jun 30, 2006 | |
| Title | Agreement State Report - Loss of Seven Pd-103 Prostate Implant Seeds |
| Event Description | At 1853 hrs CST on June 30, 2006, University of Minnesota Medical Center, Fairview Riverside Hospital notified the Minnesota Department of Health that seven Palladium-103 seeds had been lost.
At approximately 1500 hrs on June 30, 2005, the licensee completed a seed implant for prostate cancer. At the completion of that procedure, a scrub tech removed the tray from the area. The physicist reported 39 unused seeds ten of which were most probably on a partially used ribbon. (The licensee was using a MIC applicator.) When the nuclear medicine technologist inventoried the sources, only 29 were present. The facility located two seeds in a sink and a third in the drain of that sink. The Radiation Safety Officer believes that the seven lost sources are in the sewer system. Each seed is 1.2 mCi of Palladium-103. 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 | |
|---|---|
| Fairview Riverside Hospital Minneapolis, Minnesota (NRC Region 3) | |
| License number: | 1035-200-27 |
| Organization: | Minnesota Department Of Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+2.37 h0.0988 days <br />0.0141 weeks <br />0.00325 months <br />) | |
| Opened: | George Johns 22:22 Jun 30, 2006 |
| NRC Officer: | Mark Abramovitz |
| Last Updated: | Jun 30, 2006 |
| 42679 - NRC Website | |
Fairview Riverside Hospital with Agreement State | |
WEEKMONTHYEARENS 426792006-06-30T20:00:00030 June 2006 20:00:00
[Table view]Agreement State Agreement State Report - Loss of Seven Pd-103 Prostate Implant Seeds 2006-06-30T20:00:00 | |