ML20211K376
| ML20211K376 | |
| Person / Time | |
|---|---|
| Site: | 07003044 |
| Issue date: | 10/21/1986 |
| From: | Mccann G NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III) |
| To: | |
| Shared Package | |
| ML20211K381 | List: |
| References | |
| NUDOCS 8702260593 | |
| Download: ML20211K376 (2) | |
Text
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g NRC Form 374 1
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PAGE OF PAGES g 15 84)
U.S. NUCLEAR REGULATORY COMMISSION U
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MATERIALS LICENSE y
Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10, g
Code of Federal Regulations, Chapter I, Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations y
g heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, y
source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below;to E
deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This i
N license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is N
subject to all applicable rules, regulations and orders of the Nuclear Regulatory Commission now or hereafter in effect and to any g
conditions specified below.
g Licensee N
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1.
The Cleveland Clinic Foundation
- 3. License number SNM-1971 M
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2.
9500 Euclid Avenue g13 l
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- 4. hip (iration,date October 31, 1990
- E Cleveland, OH 44106
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- 5. Docket or y
070-03044 N
g sT Reference No.
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- 6. Byproduct, source, and/or
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- 7. Chemical and/or physical QMaximum amount that licensee N
%may possess at any one time U
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A. Plutonium (Principab/
SealedSource,s['I A. 10 grams (40 lg A
b radionuclide Pu-238)-
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individual sources f
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J not to exceed 250 l
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milligrams each)
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B. Plutonium (Principal)
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B.) Sealed ~Soupces' f:
B. 15 grams (60 g
radionuclide Pu-238)
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milligrams each) l 6 T jjsi
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individual sources N
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C.gSe'aled Sou[cesVi/
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% 'y C. 1.35 grams (6 y
C. Plutonium (Principal Y,s radionuclide Pu-238) '//f
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individual sources y
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not to exceed 225 N
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- 9. Authorized Use N
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A. Implantation in humans as a component of Coratomic Model C-101 nuclear powered cardiac l N
pacemaker for clinical evaluation purposes, j
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B. Implantation in humans as a component of Coratomic Model C-101P nuclear powered cardiac g
pacemaker for clinical evaluation purposes.
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C. Implantation in humans as a component of Cordis Nuclear Omni-stanicor Model 184A g
N nuclear-powered cardiac pacemakers for clinical evaluation purposes.
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CONDITIONS N
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- 10. Licensed material shall be used only at the licensee's facilities located at y
9500 Euclid Avenue, Cleveland, Ohio.
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260593 5
l OCT 21 1986 SN"~MP COPY h k - m _ _ _PDR h\\)
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R Form 374A U.S. NUCLEAR REIULATf.RY COMMISSION 7
7 Lici.nse number l
MATERIALS LICENSE 9NM 1971 Dodeur Referem nmnkt SUPPLEMENTARY SHEET n70 0'4044 l
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- 11. The specified possession limit includes all licensed material possessed by the l
licensee under this license whether in storage, implanted in patients, or otherwise n
in use.
12 The licensee shall report to the U.S. Nuclear Regulatory Commission, Region III, l
ATTN:
Chief Nuclear Materials Safety and Safeguard Branch, 799 Roosevelt Road, y
Glen Ellyn, Illinois 60137, within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> of cccurrence, the death of any nuclear y
pacemaker patient, and any adverse reaction and/or malfunction involving a pacemaker i
system, including the leads. A written report giving details of the adverse reaction I and/or malfunction shall be submitted within 30 days.
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- 13. The licensee shall report,to,the U.S. Nuclear Regulatory Commission, Region III, Chief, Nuclear Materi' l Safety and Safeguard' Branch, 799 Roosevelt Road, ATTN:
a Glen Ellyn, Illinois 60137, within 10 days of loss of ~ contact with a nuclear i
pacemaker patient.
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- 14. The licensee shall continue patient follow-up and replacemenbprocedures for the l
nuclear pacemaker during the life of the patient.
Procedures'for recovery and y
authorized disposal of the nuclear pacemaker by return to the manufacturer shall be y
followed upon theTdeath of the-patient..
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- 15. The licensee shall follow the manufacturer.'s protocol dated March 2, 1983, for the Coratomic, Inic. Model C-101-P~ Nuclear-Power Pacemak'ers.
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- 16. Except as specifically'provided'dth'erwise;in this license, the licensee shall l
i conduct its program in accordance'~with the! statements,' representations, and procedures contained in the!documentsiincluding any enclosures', listed below.
The Nuclear Regulatory Commission's regulations.shall govern'unless the statements, representations and; procedures in the. licensee's. application and correspondence are l
more restrictive than the regulations.
A.
Letters dated February 9,.1976, April 19, 1976, July 9, 1976, May 14, 1981, b
August 10, 1984 and July. 9,1986.
l 5i N
I, 1
5 1
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For the U.S. Nuclear Regulatory Commission R
I Original Signed Date October 21, 1986 By George M. McCann F
Materials Licensing Section, Region III R
P COPY I
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