ML20207U006
| ML20207U006 | |
| Person / Time | |
|---|---|
| Site: | 07002281 |
| Issue date: | 03/13/1986 |
| From: | Buechle T BRYN MAWR HOSP., BRYN MAWR, PA |
| To: | NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I) |
| Shared Package | |
| ML20207T988 | List: |
| References | |
| 105237, NUDOCS 8703240495 | |
| Download: ML20207U006 (3) | |
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THE BRYN MAWR HOSPITAL B R Y N M A W R P A. 19010 March 13, 1986 n
c5 C5 US Nuclear Regulatory Commission m
Region I, Division of Radiation Se m
safety and Safeguards EP b
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631 Park Avenue na King of Prussia, PA 19406
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Dear Sirs:
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RE:
Renewal of License SNM 1637 This letter shall constitute a request for renewal of our license for nuclear pacemakers.
A.
The number of our license is SNM 1637.
B.
Our institution's complete name and mailing address:
The Bryn Mawr Hospital Bryn Hawr Avenue Bryn Mawr, PA 19010 C.
We are requesting authorization for two pacemakers.
These pacemakers are Coratomic Model C-101.
D.
Our principal reason for renewing the pacemaker license is:
to continue to follow two patients with implanted pacemakers.
E.
Physicians on our medical staff who are involved in the pacemaker program include the following additional physician John E.
Strang, MD 864 County Line Road Bryn Mawr, PA 19010 (215) 525-8086 Licensed to practico medicine in:
State of Pennsylvania.
Board Certification:
Internal Medicine.
Position at the hospital:
Senior Attending Cardiologist.
Previous experience with pacemakers:
as a practicing cardiologist, Dr. Strang has had extensive clinical i
experience for severaltyears' in' the treatment and exam-ination of patients with nuclear and other pacemakers.
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"O"lCIAL RECORD COPY" Eli
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1 US Nuclear Regulatory Commission March 13, 1986.
Page 2 F.
Changes in commitments:
none.
No fee is required because our hospital has other NRC l
licenses including 37-07722-04 and 37-07722-07.
Sincerely,
'Pfiomas C. Buechle Vice President - Administration TCD/ms REOFIVED BY LfM';
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THE BRYN MAWR HOSP;Tj L s
BRYN M A W R. P A.19 010 I**
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Maich 13, 1976 e
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John E.
Strang, MD
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i 864 Countiy Line Road l'
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Bryn Mawr, PA 19010 i
Dear pr. Strang:
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We are in the process of renewing our Nuclear Regulatory
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Commission license for pacemakers.
You have been kind enough b'.
in the past to cooperate thoroughly with the hospital in com-
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plying with NRC regulations.
I would appreciate your signing this letter,where indicated, to certify that the following statements are true to the best of your know]cdge:
1.
You are familiar with the NRC-approved protocol for Coratomic pacemakers for the particular patiu4te under your care.
This includes,. as you know,.
notificationtoNRCoflossofcontactwithti.a/
patients.
Your office notifies our hospita3 6 1
a six-month basis of your examination of thesc;t N
t patients.
In this way we are able to keep track of the patient according to the NRC regulations.
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Thiu procedure, as you know, has been reviewed
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with the manufacturer, Coratomic.
2.
With regard to your previous experience wis.h, pace-makers as a practicing cardiologist you have had extensive clinical experience for several years in the treatment and examination of patients with nuclear and other pacemakers.
Sincerely, i
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i Thomas C. Bucchic Vice President - Administration J
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