ML20211K459

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Forwards Listing of Physicians,Including Qualifications & Associated Info,Involved in Facility Pacemaker Program.Info Part of Application for Renewal of License SNM-1659,per
ML20211K459
Person / Time
Site: 07002213
Issue date: 07/30/1986
From: Aron S
CLEVELAND CLINIC FOUNDATION, CLEVELAND, OH
To:
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
Shared Package
ML20211K381 List:
References
81679, NUDOCS 8702260610
Download: ML20211K459 (4)


Text

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THE CLEVELAND CLINIC FOUNDATION O ~>O O IIt Cll(! Avenlac Clevelaric1,01110 44100 U. L \\.

Stevert J. Atori, Jr., I'li.D.

Ibutiiiraori Sittely 21ti/444 6ti4r>

U.S. Nuclear Regulatory Cormaission, Region III g7

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3g Material Licensing Branch 799 Roosevelt Road Glen Ellyn, Illinois 60137 July 30, 1986 CONTROL NUMBER: 81679 hba Gentlemen:

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Please find attached a listing of physicians (their qualifications and associated information) who are involved in the Cleveland Clinic Foundation's pacemaker program. '1his information is provided as part of our license renewal for Special Nuclear Materials license, Number SNM-1659 as mentioned in our letter of July 9,1986.

Should you have any questions regarding this renewal, please don't hesitate to call me at (216) 444-6645.

Sincerely, Steven J. Aron, Jr., Ph.D.

Radiation Safety Officer Attachments: July 9, 1986 Memo to Dr. Lou Castle July 25, 1986 Memo to Dr. Aron from Dr. Castle cc: Raymundo T. Go, M.D.

Gerald Hoeltge, M.D.

Thomas Seals gg 1 T8)

RECgivED AUG G 1 N 8702260610 86073d REG 3 LIC70 SNPf-1973 PDR

CLEVELAND CLINIC r se.

I INTERDEPARTMENT COMMUNICATIONS osteJuly 9, 3

6 Lon Castle, M.D.

o, pi, y,om_ Steven J.

Aron, Ph.D.

g De pt.

Car.diology Rad _i_ation Safety Officer Subj ect:

Please send the following information so that a renewal application for license SNM-1659 can be sent to the Nuclear Regulatory Commission:

A listing is needed for all physicians involved in CCF's pacemaker program.

The listing should indicate:

N 1.

Physician's name 2.

Office address 3.

Telephone number 4.

State in which licensed to practice medicine 5.

Specialty Brard Certification 6.

Position with CCF 7.

Description of physician's previous experience with pacemakers (not necessarily nuclear pacemakers) 8.

A statement signed by participant physicians certifying that they are familiar with the manufacturer's NRC approved protocol and that they agree to follow that protocol.

Kindly foward this information to me as soon as possible so that we can renew our Special Nuclear Materials license.

The license is dated to expire June 30, 1986.

Thank you for your cooperation.

cc:

Raymundo T.

Go, M.D.

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CLEEVELAND CLINIC r as s INTERDEPARTMENT COMMUNICATIONS Date July 25, 1986 n

Steven J. Aron, Ph.D.

p.pg, 6

Ion W. Castle, M.D.

De pt.

Dndi nt-i nn c:n fot-v ni rne+nr Sutioct: Renewal Application for CCF Special Nuclear Materials License No. SNM-1659 PHYSICIANS CURRENI'LY INVOLVED IN CCF PACENAKER PROGRAM Ion W. Castle, M.D.

9500 Euclid Avenue Cleveland, OH 44106 (216) 444-6792 CCF Staff Physician; Dept. of Cardiology Specialty Board Certification - Cardiology Has performed pacemaker implantations (regular and antitachycardia pacers) since 1971.

Member of N.A.S.P.E. (North American Society for Pacing and Electrophysiology)

Victor A. Morant, M.D.

9500 Euclid Avenue Cleveland, OH 44106' (216) 444-6810 CCF Staff Physician; Dept. of Cardiology Has performed pacemaker implantations (regular and antitachycardia pacers) since 1973.

Member of N.A.S.P.E.

James D. Maloney, M.D.

9500 Euclid Avenue Cleveland, OH 44106 (216) 444-2290 CCF Staff Physician; Dept. of Cardiology Specialty Board Certification - Cardiology Has performed pacemaker implantations (regular and antitachycardia pacers) since 1973.

Member of N.A.S.P.E.

Tony Sinnons, M.D.

9500 Euclid Avenue Cleveland, OH 44106 (216) 444-4293 Clinical Associate; Dept. of Cardiology Specialty Board Certification - Cardiology Has performed pacemaker implantations (regular and antitachycardia pacers) since 1984.

Member of N.A.S.P.E.

Bruce Wilkoff, M.D.

9500 Euclid Avenue Cleveland, OH 44106 (216) 444-1904 Clinical Associate; Dept. of Cardiology Specialty Board Certification - Cardiology Has performed pacemaker implantations (regular and antitachycardia pacers) since 1984.

All of the above-mentioned physicians implant more than fifty pacemakers per year and are all licensed to practice medicine in the state of Ohio.

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CCF Special Nuclear Materials License No. SM4-1659 Renewal Application Infornation Page two This is to advise that I am familiar with the manufacturer's NRC approved protocol, " Human Inplantation Protocol for the Coratanic C-101-P Radioisotope Powered Cardiac Pacer", and I agree to follow this protocol.

Y lon W. Castle, M.D.

Vi'ctor A. Morant,/M.D.

ames D. Malonoff'M.D.

A ad as Tony SiIgr5ns, M.IK

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