ML20148B141

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Amend 2 to License SNM-1765 for Doylestown Hosp,Amending License in Entirety
ML20148B141
Person / Time
Site: 07002683
Issue date: 08/21/1987
From: Glenn J
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
To:
Shared Package
ML20148B147 List:
References
NUDOCS 8801220661
Download: ML20148B141 (2)


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U.S. NUCLE AR REGULATORY COMMISSION PAGE oF PAGES I

MATERIALS LICENSE Amendment No. 02 Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438). and Title 10, f Code of Federal Resulat?ons, Chapter 1. Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and r y

$l heretofore madelykhe licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byp j

% source, and special nuclear enaterial designated below; to use such material for the purpose (s) and at the place (s) designated below; to deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the app license shall be deemed to centain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as g subject to all applicable rules, regulations and arders of the Nuclear Regulatory Commission now or hereafter in effect and to any i'

4 conditions specified below.

Ucensee D

i In accordance with application aated N

May 1 1987

! l-Doylestown Hospital

3. Ucense n, umber, SNM-1765 is amended in j

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its entirety to read as follows:

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2.

595 West State Street 6

i Doylestown, Pennsylvania 18901

4. Expiration #date August 31, 1992
5. Docket or Reference No.

070-02683

, 6. Byproduct, source, and/or

7. Chemical and/or physical
8. Maximum amount that licensee p

spe :ial nuclear material form

'} may possess at any one time i

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,,,ander this license l

I A. Plutonium (Principal A. Sealed source

')I A. One source of

  • p radionuclide Pu-238) 210 milligrams g

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Authorized use

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Follow-up, recovery and aisposal of Medtronic Nodel 9000 nuclear-powered carciac i

y pacemakers previously implanted in hutrans.

T CONDITIONS p

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l 10.

Licensed material shall be used only at Doylestown Hospital,' 595 West State Street, 6

Doylestown, Pennsylvania.

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11.

The specified possession limit includes all licensed material possessed by the j

licensee under this license whether in storage, implanted in patients, or

'g otherwise in use.

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% 12.

The licensee shall report to the U.S. Nuclear Regulatory Commission, Region I, A.d' ATTN: Chief Nuclear Materials Safety and Safeguards Branch, 631 Park Avenue.

f King of Prussia, Pennsylvania 19406, 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 g

of any nuclear pacemaker patient, and any adverse reaction and/or malfunction f

i involving a pacemaker system, including the leads.

A written report giving

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l details of the adverse reaction and/or malfunction shall be submitted within p

'i 30 days, d

1 f13.

The licensee shall report to the U.S. huclear Regulatory Commission, Region I,

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Chief, Nuclear Materials Safety and Safeguards Branch, 631 Park Avenue, p

T King of Prussia, Pennsylvania 19406, within 10 days of loss of contact with a p

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nuclear pacemaker patient.

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14. The licensee shall continue patient follow-up and replacement procedures for f

f the nuclear pacemaker during the life of the patient.

Procedures for recovery and authorized disposal of the nuclear pacemaker by return to the manufacturer q!

q shall be followed upon the death of the patient.

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l C Form 374A U.S. Ni, AR REIULATORY COMMISSION 2

2 PAGE OF PAGES i

License number b

MATERIALS LICENSE

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oocket er aererence num SUPPLEMENTARY SHEET 070-02683 i

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Amendment No. 02

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l (Continued)

CONDITIONS i

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g 15.

Sealed sources or detector cells containing licensed material shall not be I

q opened or sources removed from source holders or detector cells by the 1

licensee.

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16.

The licensee may transport licensed material in accordance with the provisions p

g of 10 CFR Part 71, "Packaging and Transportation of Radioactive Material".

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17. Except as specifically provided otherwise in this license, the licensee shall 9

i conduct its program in accordance with the statements, representations, and i

procedures contained in the documents including any enclosures, listed below.

l The Nuclear Regulatory Commission's regulations shall govern unless the g

g statements, representations and procedures in the licensee's application g'

g and correspondence ore more restrictive than the regulations.

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N A.

Application transmitted by letter dated July 13, 1977 D

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N B.

Letter dated July 21, 1982

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Letter dated May 1, 1987 h

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l For the U.S. Nuclear Regulatory Commission h

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Original Signed By:

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Jchn E. Glen:2 E}'

i Date AUG 21198/

By N

Nuclear Materials Safety and b

Safeguards Branch, Region I N

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King of Prussia, Pennsylvania 19406 h

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