ML20209B650
| ML20209B650 | |
| Person / Time | |
|---|---|
| Site: | 07001453 |
| Issue date: | 09/18/1986 |
| From: | Austin B WRIGHT STATE UNIV., DAYTON, OH |
| To: | NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III) |
| Shared Package | |
| ML20209B563 | List: |
| References | |
| 82152, NUDOCS 8704280489 | |
| Download: ML20209B650 (2) | |
Text
.
e a
Department of Environmental Health and Safety 513 873 2215 I
Wnght Stato Univorsity Dayton. Ohio 45435
' ? c.,,.,.
September 18, 1986
'gg N'S 29 Regional Licensing Section h/ g7 U.S. Nuclear Regulatory Commi nion 4 e 7'..
799 Roosevelt Rd.
t Glen Ellyn, IL 60137 Madam or Sir:
Please considor this application for amendment of USNRC License No.
SNM-1419 issued to the University for nuclear-poworod cardiac paco-maker patient follow-up.
Please doloto authorization for Licenso item Nos. 6A, 7A, 8A and 9A, which describe components of a Modtronic Model 9000 pacemaker.
This unit was explanted upon patient death and returned to the manufacturer, as previously reported to the Commission.
As indicated in the enclosed, Dr. Paul Kozdl will succeed Dr. Edwin L.
Stanley as the physician involved in patient follow-up activities and will continuo responsibility for programmatic supervision.
Should any questions ariso concerning this appitcation, please do not hesitato to contact me at 513/873-2169.
Sincer y,
/
'; 5., -[/
//
+
j Druco T. Austin, Ph.D.
Consultant University Radiation Safety Officer l
I DTA/sdb t'
W :-
7.; ;......,.,.
d :n... e,,,
L... :
,,,y c
fA., &'
fi. L 4.,
A[eh, N. / p e.
- y ia o s. av fl7042004t19 061223 HCO3 LIC70 H L C I I s/ ' ISEP2 5 bhh UNM-1419 PDR a p :".i re I,' ',~,
con t iG l ^'- U 11,. o m'
o
/
o WRIGHT 1" %.'n' :'
,$25 Soutnern Boulevard
(
Dayton. Ohio 45429 q
wnght State Unners ?/
Dayton ca o 7j," y,
g o
"'g RECEIVED'
[ SEP101986 *g t-September 11, 1986 SArtn (11 DEPARTM!NT s\\
To Whom It 11ay Concern:
'" i As agreed, I will accept the assignment to be the pnysician involved in the pacemaker program.
For the record, my state license number in Onlo is 28570, and I have been licensed since 1965.
My specialty board certification in internal medicino was issued on April 6,1961, 11y offico address is 7076 Corporate Way, Dayton, Ohio 45459; phono
$13/433-1712 or $13/299-7204.
I have been involved in pacemaker testing since 1971 and ran the Pacemaker Clinic at the Cox Heart Instituto, testing mercury battery and lithium as well as nuclear poworod pacemakers.
In 1970, I did research with a nuclear poworod pacemaker, promethium
- 156, and published a paper.
I am familiar with the pacemaker manufacturer's NRC protocol and agree to follow that protocol.
Sincerely,
(
f g[j%
Paul Kordi, fl.D.
f
'I' rn;m
-