ML20214M545

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Application to Amend License SNM-1605,authorizing Implantation of 10 Cordis Nuclear Omni-Stanicor Model 184A Catalog 307-CO5 Pacemakers
ML20214M545
Person / Time
Site: 07002199
Issue date: 01/18/1977
From: Del Negro A, Fletcher R, Mary Johnson
VETERANS ADMIN. MEDICAL CENTER, WASHINGTON, DC
To:
NRC OFFICE OF NUCLEAR MATERIAL SAFETY & SAFEGUARDS (NMSS)
Shared Package
ML20213D562 List:
References
4033, NUDOCS 8609110166
Download: ML20214M545 (1)


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VETERANS ADMINISTRATION HOSPITAL 50 IRVING STREET NW.

N WASHINGTON, D.C.

20422 January 18, 1977 in c,ty

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SUPJECT: /nendment to License No. SNM-1605 for implantation of !!uclear pov:ered pacemakers

Dear Sir:

Since Washington Veterans Hospital is licensed to implant !!uclear Pace-makers under the License !!o. SR'-LEOS, tre request an amer &ent for cur license that muld permit us to include, up to ten per year, Cordis Muclear Omni-Stanicor Model No. IS4A Catalog Ho. 307-C05. We will follow explicitly the master prutocol, dated October 30, 1974, provided by the Cordis Corporation and approved by your office. You can be assured that all institutional ccmitments previously sutmitted are binding.

Any changes in this initial canitment are enclosed.

If any additional forms or infomation are required, please notify us as soon as possible.

WASHINGTON VETEPR!S HOSPITAL

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By: Maurine P. Johnson, M. D.

Acting Director i/

Physicians responsible for study:

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8609110166 860329 RE01 LIC30 SNM-1605 PDR Show reteran's fall name, VA fle number, and social security number on all cerespnlence.