ML20212R036

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Amend 3 to License SNM-1621 for Goddard Memorial Hosp, Amending License in Entirety
ML20212R036
Person / Time
Site: 07002223
Issue date: 10/10/1986
From: Johansen J
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
To:
Shared Package
ML20209B053 List:
References
NUDOCS 8702020469
Download: ML20212R036 (2)


Text

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gj +84 L) NUCLEAR REGULATORY COMMISSION [jAGET I OF 2 Paces !

l MATERIALS LICENSE Amendment No. 03 I

Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10, Code of Federal Regulations, Chapter I, Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations heretofore rnade by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, j source, and special nuclear material designated below; to use such material for the purpose (s)and at the place (s) designated below;to I 4

deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the apphcable Part(s). This l license sha',1 be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is :

i subject to all applicable rules, regulations and orders of the Nuclear Regulatory Commission now or hereafter in effect and to any l

conditions specified below. i i

j Licensee i gl In accordance with letter dated i February 19 1986,  ;

gllI-q Goddard Memorial Hospital 3.1; cense number , SNM-1621 is amended in  :

R i

its entirety to read as follows:  !

d g 2.

909 Sumner Street nU

4. Expiration'date j

lg: Stoughton, Massachusetts 02072 October 31, 1991  ;

5. Docket or  :

ML Reference No. 070-02223  ! 3

$j 6. Byproduct, source.and/or 7. Chemical and/or physical 8. Maximum amount that licensee f di special nuclear material form may possess at any one time l,

,. under this hcense g' I A.SealedSource(s) A. 7.5 grams (individual l' ylA. radionuclide g PlutoniumPu-238) (principal sources not to exceed  !

g, 250 milligrams each) '.

6l B. Plutonium (principal B. Sealed Source (s) B. 2.25 grams (individual  :

H radionuclide Pu-238) sources not to exceed i

{j 225 milligrams each) ll f 9. Authorized use l

( 6 6, A. Follow-up, recovery and disposal of Coratomic Model C-101 nuclear-powered cardiac  :

$ pacemakers previously implanted in humans. l Follow-up, recovery and disposal of Cordis Nuclear 0 mini-Stanicor Model 184A 9(B. nuclear-powered cardiac pacemakers previously implanted in humans. ,'

l N g! CONDITIONS ,p R: M N! 10. Licensed material shall be used only at Goddard Memorial Hospital, 909 Sumner /

Street, Stoughton, Massachusetts.

'f 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.

12. The licensee shall report to the U.S. Nuclear Regulatory Commission, Region 1, 4 o E 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 b 5 "-

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

.$ involving a pacemaker system, includin9 the leads. A written report giving I*

30 details of the adverse reaction and/or malfunction shall be submitted within 4 30 days.

O-N l pj d 13. The licensee shall report to the U.S. Nuclear Regulatory Commission, Region I, i

.m-I ATTN: Chief, Nuclear Materials Safety and Safeguards Branch, 631 Park Avenue,  !'

NoE King of Prussia, Pennsylvania 19406,within10daysof1pssofcontactwitha g'-

NW nuclear paccmaker patient.

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1 C Form 374A U.S. NUCLE .EIULATERY COMMISSION wG E 2 OF PAGES I License number b MATERIALS LICENSE SUPPLEMENTARY SHEET SNM-1621

" " [

070-02223 Amendment No. 03 (Continued) CONDITIONS

14. The licensee shall continue patient follow-up and replacement procedures for the nuclear pacemaker during the life of the patient. Procedures for recovery i and authorized disposal of the nuclear pacemaker by return to the manufacturer shall be followed upon the death of the patient.
15. Sealed sources or detector cells containing licensed material shall not be opened or sources removed from detector cells by the licensee.

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16. Thelicenseemaytransportlicensedmat$ria'l'inaccordancewiththeprovisions of 10 CFR Part 71, " Packaging and Transportation of-Radioactive Material".
17. Except as specifically provided otherwise in this license, the licensee shall conduct its program in accordance with the statements, representations, and procedures contained in the documents including any enclosures, listed below.

The Nuclear Regulatory Comission's regulations shall govern unless the state-ments, representations and procedures in the licensee's application and corre-spondence are more restrictive than the regulations. g A. Letter dated February 24, 1981 B. Letter dated February 19, 1986 I

lk I

i l

lE A

h For the U.S. Nuclear Regulatory Commission

^ 10 00T 1986 Originni Signed Py:

! Date By Jenny M. Jemnn

Nuclear Materials Safety and
Safeguards Branch, Region I King of Prussia, Pennsylvania 19406
4

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