ENS 57350

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v t e ENS Event
07:00 Sep 26, 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 two, approximately 0.050 mCi I-125, seeds on September 20, 2024, with the placement of the seeds verified by x-ray. The patient returned to the hospital on September 26, 2024, to have the tissue, including the seeds, removed. The seeds were then sent to pathology where only 1 seed was found. 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. Arizona License Number- 07-478 Additional information will be provided as it is received in accordance with SA-300. 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

ENS 57350 +/-
Where
Banner University Mc - Phoenix Phoenix, Arizona (NRC Region 4)
License number:	07-478
Organization:	Arizona Dept Of Health Services
Reporting

Agreement State
Time - Person (Reporting Time:+64.2 h2.675 days <br />0.382 weeks <br />0.0879 months <br />)
Opened:	Brian Goretzki 23:12 Sep 28, 2024
NRC Officer:	Karen Cotton-Gross
Last Updated:	Sep 29, 2024
57350 - NRC Website
v • d • e

v t e Emergency Notification System
Banner University Mc - Phoenix with Agreement State
WEEKMONTHYEAR2024-09-26T07:00:00 [Table view]
[ENS list for Banner University Mc - Phoenix]

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ENS Notification