ENS Event | |
|---|---|
04:00 Jun 5, 2015 | |
| Title | Agreement State Report - Loss Of I-125 Seed |
| Event Description | {{#Wiki_filter:The following report was provided by the Maine Radiation Control Program via email:
Maine Medical Center (MMC) reported the loss of an I-125 localization seed (39209B-5-12) that contained an activity of 3.4 MBq (92 �Ci). The seed was discovered lost during an inventory performed on 6/5/2015. The seed was still in the inventory log, but was not physically present. A nuclear medicine technologist searched the hot laboratory, mammography, and ultrasound areas, but the seed was not found. MMC continued to search for the seed for several weeks. There is no evidence that the seed was implanted into a patient. MMC believes that the seed was inadvertently placed into the trash in the hot laboratory. Corrective actions included providing additional training to personnel. Maine Event Report: ME150003 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 | |
|---|---|
| Maine Medical Center Portland, Maine (NRC Region 1) | |
| License number: | Me-05611 |
| Organization: | Maine Radiation Control Program |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+1135.37 h47.307 days <br />6.758 weeks <br />1.555 months <br />) | |
| Opened: | Jean Geslin 11:22 Jul 22, 2015 |
| NRC Officer: | Jeff Herrera |
| Last Updated: | Jul 22, 2015 |
| 51248 - NRC Website | |
Maine Medical Center with Agreement State | |
WEEKMONTHYEARENS 527932017-06-07T15:40:0007 June 2017 15:40:00
[Table view]Agreement State Agreement State Report - Dose to Patient Was Less than Prescribed Dose ENS 512482015-06-05T04:00:0005 June 2015 04:00:00 Agreement State Agreement State Report - Loss of I-125 Seed 2017-06-07T15:40:00 | |