ML20214B902

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Application for Amend to License SNM-1690,permitting Implant of Ceratomic Pacemaker C-101P
ML20214B902
Person / Time
Site: 07002427
Issue date: 01/09/1984
From: Wise R
KENNEDY MEMORIAL HOSPS., CHERRY HILL, STRATFORD &
To: Vacca P
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
Shared Package
ML20214B865 List:
References
23228, NUDOCS 8705200465
Download: ML20214B902 (2)


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'84 Jm go p9;3g Revt 421M/2.0293S Lines 2A NRC BHD WSH RCA JAN 09 1446 ATTNI MR3. PATRICIA VACCA UROENT REQUEST TO AMEND OUR r"ACEMAKER LICENSE NO. SNM1317 TO PERMIT IMPLANT OF CERATONIC PACEMAKER C-101P.

PATIENT PRESENTLY IN HOSPITAL.

USE OF PACEMAKER WILL BE BY PHYSICIAN PRESENTLY LICENSED AND WILL DC IN ACCORDANCE WITH CERATCMIC PROTOCALL. APPROVED MARCH 2 1963.

CONFIRMATION LETTER AND AMENDED FEE TO FOLLOW.

PLEASE CALL THE UNDERSIGNED AD (609) 435-2420 AS SOON AS POSSIBLE.

91NCERELY ROBERT P.

WISE ADMINISTRATOR KCNNEDY MEMORIAL HOSPITAL STRADFORD DIVISION b"I O

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y-Rcv: 02fM/2.02935 Line: 24 NRC DHD WSH RCA JAN 09 1446 ATTN: MRS., PATFllCI A_ VACC /'t.

UROENT REQUEST TO AMEND OUR PACEMAKER LICENSE NO. SNM1319 TO PERMIT IMPLANT OF CERATONIC PACEMAKER C-101P.

PATIENT PRESENTLY IN HOSPITAL.

USE OF PACEMAKER WILL DE DY PHYSICIAN PREGENTLY i.ICENSED AND WILL DE IN ACCORDANCE WITH CERATOMIC PROTOCALL, APPROVED etARCH 2 1983.

CONFIRMATION LETTER AND AMENDED FEE TO FOLLOW.

PLEASE CALL THE UNDERSIONED AD (609) 435-2420 AS SOON AS POSSIBLE.

SINCERELY RODERT P.

WISE ADMINISTRATOR I

KENNEDY MEMORIAL HOSPITAL l

STRADFORD DIVISION l

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Phone: 784-4000 0 n enft 10Y50 Gh5$a LOG @ OCI ATES, P. A.

hg bD fROFESSIONA LAUREL ROAD. STRATFoRD NEW JERSEY 08084 M($

s DEPARTMENT of radiology 2

NUCLEAR MEDICINE AND ULTRASOUND

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MILTON METZMAN. D.o.

PAUL J. CHASE, D.G.

October 28, 198si.

MARVIN A. KUPERSMIT, o.o.

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ELAINE WoLK. M.D.

STEVEN ALLEN, D.o.

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U.S. Nuclear Regulatory Commission f'N License Management Branch

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Division of Fuel Cycle and Material Safety Washington, D.C.,

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RE:

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k Gentlemen:

We hereby request renewal of the above captioned special nubear material license which covers the implantation of nuclear-powered cardiac pacemakers in humans.

We request the same possession limit.

There have been no changes in personnel from those presently licensed.

To date we.have implanted 3 patients.

There have been no adverse reactions or malfunctions of the pacemaker system or leads.

All 3 patients are alive and continue under medical care.

Each i

patient has been instructed regarding possible future replacement of the pacemaker and the recovery of the pacemaker in case of death.

This application is intended to supplement previous correspor dence l

with your office as outlined in condition #16 of the present l

license.

We understand that there is no fee for this renewal.

If this is i

incorrect or you require additional information please contact l

the undersigned.

l Sincerely, r

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Benjamin M. Galkin, CRP Consultant Physicist cci Mr. Pirolli 4t' eg=

f La Dr. Lemmon l' faia H]ig Dr. Papa l

Dr. Chase.

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