ENS Event | |
|---|---|
05:00 Mar 18, 2014 | |
| Title | Agreement State - Discovered I-125 Source Missing Following Surgery |
| Event Description | The following information was received from the State of Texas via email:
UT Southwestern, RSO called to report that an I-125 seed implant [135 mCi] had been lost during a breast implant procedure on 03/18/14. The treatment staff did not notify Radiation Safety until 03/26/14. The room had been cleaned before Radiation Safety had a chance to search. [The] RSO will provide more details in his written report. Texas Incident #: I-9173
The following information was received from the State of Texas via email: On April 3, 2014, the Agency [Texas Department of Health] contacted the licensee to confirm the activity of the missing I-125 seed. The licensee's Radiation Safety Officer stated the activity was 135 microcuries. Additional information will be provided as it is received in accordance with SA-300. Notified R4DO (Gepford), FSME Events Resource, and ILTAB via email. 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 | |
|---|---|
| Ut Southwest Medical Center Dallas, Texas (NRC Region 4) | |
| License number: | L00384 |
| Organization: | Texas Department Of Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+323.67 h13.486 days <br />1.927 weeks <br />0.443 months <br />) | |
| Opened: | Robert Free 16:40 Mar 31, 2014 |
| NRC Officer: | Steve Sandin |
| Last Updated: | Apr 3, 2014 |
| 49976 - NRC Website | |
Ut Southwest Medical Center with Agreement State | |
WEEKMONTHYEARENS 499762014-03-18T05:00:00018 March 2014 05:00:00
[Table view]Agreement State Agreement State - Discovered I-125 Source Missing Following Surgery 2014-03-18T05:00:00 | |