inforMED
MalfunctionIWI

I-125 SEEDS

Received Sep 30, 1998 · Event occurred Aug 27, 1998

Report 2915056-1998-00002 · MDR key 194220

Device

Generic name

Implantable Radiation Source

Manufacturer

Nycomed Amersham

Model number

*

Catalog number

*

Lot number

W81766 AND W81871

Product problems

  • Migration or Expulsion of Device

Patient

72 YR

  • Therapy/non-surgical treatment, additional

Narrative

Description of Event or Problem

A 72 YEAR-OLD MALE UNDERWENT AN I-125 SEED IMPLANTATION. THE PT UNDERWENT THE IMPLANTATION BECAUSE OF PROSTATE CANCER. NO OTHER MEDICAL HISTORY IS KNOWN. 71 I-125 SEEDS, MODEL #6711, WERE IMPLANTED ON 8/27/98. AN X-RAY WAS TAKEN TO CONFIRM THAT THE SEEDS WERE IN PLACE. UPON COUNTING THE SEEDS, IT WAS DETEMINED THAT THERE WERE ONLY 70 SEEDS AT THE IMPLANTATION SITE. AFTER ANOTHER X-RAY, IT WAS CONFIRMED THAT THE EXTRA SEED HAD MIGRATED TO THE LUNG.