ML19284A484

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Notice of Violation from Insp on 780927-29.Noncompliance Noted:Failure to Notify NRC of Death of Pacemaker Bearer within 24-h of Death
ML19284A484
Person / Time
Site: 07001349
Issue date: 11/03/1978
From:
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
To:
Shared Package
ML19284A480 List:
References
NUDOCS 7903060581
Download: ML19284A484 (1)


Text

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~ > 573 APPENDIX A NOTICE OF VIOLATION Hospital Pavia License No. SNM-1372 Based on the results of the NRC inspection conducted on September 27, 28, and 29, 1978, it appears that certain of your activities were not conducted in full compliance with NRC requirements as indicated below. '

These items have been categorized as described in our correspondence to you dated December 31, 1974.

A.

Condition 13 of your license requires that the licensee shall report to the Materials Branch, Directorate of Licensing, USSRC, Washington, D. C. 20545, within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> of occurrence, the death of any nuclear pacemaker bearer, and any adverse reaction and/or malfunction involving a pacemaker system, including the leads.

A written report giving details of the adverse reaction and/or malfunction shall be submitted within 30 days.

Contrary to the above, a patient implanted with a plutonium-238 pacemaker died in November, 1977; whereas, the NRC was not notified within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> of the occurrence and a written report giving the details was not provided until Septecber 29, 1978.

This is an infraction.

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