ML20214B902
| 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
1 NRC Gild WSil i fn 14:47 01/09/84 EST Connect Time :
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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.
IULIN 1
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