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Category:DKT 30 MTL BYPRODUCT
MONTHYEARML20198B3961998-11-0101 November 1998 Forwards Summary of Clinical Evaluation Study of Medtronic Implantable Demand Isotopic Pulse GENERATOR,Laurens-Alcatel Model 9000.Closing Date for Data in Rept Is 981001 ML20199A8331997-11-0101 November 1997 Forwards Summary of Clinical Evaluation Study of Medtronic Implantable Demand Isotopic Pulse Generator, laurens-alcatel Model 9000.Rept Submitted as Update of Summary of Clinical Evaluation Study Submitted 971101 ML20134K8281996-11-0101 November 1996 Forwards Medtronic Implantable Demand Isotopic Pulse Generator Laurens-Alcatel Model 9000 Summary of Clinical Evaluation Study, Dtd Oct 1996 ML20057E4881993-07-16016 July 1993 Amend 22 to License SNM-1156,authorizing Use of Listed Licensed Matl ML20057A9461993-06-0808 June 1993 Considers Encl Application from Medtronic,Inc to Be Abandoned for Nonpayment of Fees ML20147G5191987-08-31031 August 1987 Forwards Corrected Copy of Amend 20 to License SNM-1156 ML20147G4781987-08-26026 August 1987 Corrected Amend 20 of License SNM-1156 for Medtronic Inc, Amending License in Entirety ML20214V2791986-08-11011 August 1986 Forwards Amend 20,renewing License SNM-1156.Attention Directed to Condition 10.B Which Authorizes Temporary Storage at District Ofcs for Period Not to Exceed 30 Days ML20214V2631986-08-11011 August 1986 Amend 20 to License SNM-1156 for Medtronic,Inc,Amending License in Entirety ML20133E2861985-07-19019 July 1985 Insp Findings & Licensee Ack on 850719 of License SNM-1156. Insp Findings:No Violations Observed.Steps Taken to Correct Violations Identified During Last Insp Verified ML20214V2941985-07-0909 July 1985 Ack Receipt of Application for Renewal of License SNM-1156 ML20214V3091985-06-26026 June 1985 Application for Renewal of License SNM-1156.Curriculum Vitae of TE Hawkinson Encl.Fee Paid ML20214V3131982-03-18018 March 1982 Application for Amend to License SNM-1156,adding T Hawkinson as Radiation Safety Officer.Resume of T Hawkinson Encl.Fee Paid ML20214V3251980-11-11011 November 1980 Application for Amend to License SNM-1156,authorizing B Griffin,G Vanderkelen,C Swanson & G Weber as Members of Radiation Safety Committee.Fee Paid ML20214V3751979-09-0606 September 1979 Application for Renewal of License SNM-1156,adding PA Roy as Radiation Safety Officer.Qualifications of PA Roy Encl ML20214V3821977-09-27027 September 1977 Informs That All Persons Handling Medtronic Model 9000 Are Medtronic Employees & Have Been Instructed in Handling & Storage of Device ML20214V3841977-09-0808 September 1977 Application for Amend to License SNM-1156,authorizing Storage of One Medtronic Laurens-Alcatel Model 9000 at Each of Seven District Ofcs ML20214V3991977-02-10010 February 1977 Application for Amend to License SNM-1156,reflecting Accurate Description of Conditions for Use of Sealed Sources of Plutonium & Increasing Possession Limit for Plutonium to 125 G ML20214V3391976-10-0707 October 1976 Application to Amend License SNM-1156,adding K Clow as Radiation Safety Officer.Qualifications of K Clow Encl ML20214V3501976-10-0707 October 1976 Application for Amend to License SNM-1156,incorporating Encl List of Corporate Officers ML20214V3581976-10-0707 October 1976 Application for Amend to License SNM-1156,increasing Number of Hosps Receiving Licenses to Implant Medtronic Model 9000 Pulse Generators to 300 ML20214V4341976-04-0808 April 1976 Application for Amend to License SNM-1156,increasing Possession Limit of Plutonium to 100 G,Deleting DW Douglas & Revising Condition 11 as Listed ML20214V4411975-03-24024 March 1975 Application for Amend to License SNM-1156,allowing Continuation of Clinical Investigation of Alcatel Model 9000 Isotopic Pulse Generator Until 760524 ML20214V4441974-09-0505 September 1974 Application for Renewal of License SNM-1156,revising Membership of Radiation Safety Committee ML20214V4531973-05-10010 May 1973 Informs That Medtronic Agrees to Amend License SNM-1156 to Limit Model 9000 Isotopic Pulse Generators Transferred During Study Program ML20214V4591973-03-23023 March 1973 Forwards Medtronic Laurens-Alcatel Model 9000 Isotopic Pulse Generator,Clinical Investigation Plan ML20214V4681973-03-21021 March 1973 Medtronic Laurens-Alcatel Model 9000 Isotopic Pulse Generator,Clinical Investigation Plan ML20214V4731973-03-0505 March 1973 Application for Amend to Licenses SNM-1156 & 22-13456-01, Authorizing Possession & Use of Radioactive Matls at Animal Research Facility in Minneapolis,Mn & Performance of NDT of radioisotope-fueled Implantable Cardiac Pacemakers ML20214V4831972-08-29029 August 1972 Application for Amend to License SNM-1156,authorizing Storage of Radioactive Matl at Location Designated on Encl Drawing.W/O Drawing ML20214V4951972-02-28028 February 1972 Application for Amend to License SNM-1156,adding Third Source Storage Area as Shown in Encl & Deleting E Cheatham & Adding Lr Bolduc as Chairman of Radiation Safety Committee. W/O Encl ML20214V5071971-09-14014 September 1971 Application for Amend to License SNM-1156,deleting Ref to Possession Limit for Gipsie Generators & Reflecting Listed Changes in Corporate Officers ML20214V5181971-08-18018 August 1971 Application for Amend to License SNM-1156,authorizing Transfer of Pu-238 Sealed Sources to Production Facility in Fridley,Mn ML20214V5291971-05-14014 May 1971 Application for Amend to License SNM-1156,authorizing Listed Changes to Radiation Safety Committee ML20214V5451970-10-23023 October 1970 Application for Amend to License SNM-1156,authorizing Use of SNM at Plant in Minneapolis,Mn & Possession & Use of 2.5 Ci Pu-238 in Thermoelectric Generators ML20214V5671970-05-26026 May 1970 Application for Amend to License SNM-1156,authorizing Possession & Use of SNM at Plant in Minneapolis,Mn & Increasing Max Surface Radiation Level of Pu-238 Generator from 100 to 500 Mrem/H ML20214V5861970-05-0404 May 1970 Submits Addl Info in Support of Application for Amend to License SNM-1156,per Medtronic,Inc Request.Qc Procedures Listed ML20214V6001970-02-13013 February 1970 Forwards Proprietary Drawings of Betacel Battery for Review in Connection W/Application for License.W/O Encl ML20214V6291969-08-0707 August 1969 Application for License to Handle Encapsulated Pu-238 at Plant in Minneapolis,Mn 1998-11-01
[Table view] Category:LICENSE
MONTHYEARML20057E4881993-07-16016 July 1993 Amend 22 to License SNM-1156,authorizing Use of Listed Licensed Matl ML20153D0701991-12-27027 December 1991 Matls Licensing Package for Amend 21 to License SNM-1156 for Medtronic,Inc ML20147G4781987-08-26026 August 1987 Corrected Amend 20 of License SNM-1156 for Medtronic Inc, Amending License in Entirety ML20214V2631986-08-11011 August 1986 Amend 20 to License SNM-1156 for Medtronic,Inc,Amending License in Entirety 1993-07-16
[Table view] Category:SNM & AMEND TO LICENSE (DKT 70S)
MONTHYEARML20057E4881993-07-16016 July 1993 Amend 22 to License SNM-1156,authorizing Use of Listed Licensed Matl ML20153D0701991-12-27027 December 1991 Matls Licensing Package for Amend 21 to License SNM-1156 for Medtronic,Inc ML20147G4781987-08-26026 August 1987 Corrected Amend 20 of License SNM-1156 for Medtronic Inc, Amending License in Entirety ML20214V2631986-08-11011 August 1986 Amend 20 to License SNM-1156 for Medtronic,Inc,Amending License in Entirety 1993-07-16
[Table view] Category:TEXT-LICENSE APPLICATIONS & PERMITS
MONTHYEARML20057E4881993-07-16016 July 1993 Amend 22 to License SNM-1156,authorizing Use of Listed Licensed Matl ML20153D0701991-12-27027 December 1991 Matls Licensing Package for Amend 21 to License SNM-1156 for Medtronic,Inc ML20153D1041991-12-0505 December 1991 Application for Amend to License SNM-1156,amending License to Include 1991 Annual Rept,Increase Possession Limit for Plutonium-238 & Confirm T Hawkins as RSO & Chairman of Radiation Safety Committee ML20153D0901991-08-0808 August 1991 Application for Renewal of License SNM-1156,for Medtronic, Inc ML20147G4781987-08-26026 August 1987 Corrected Amend 20 of License SNM-1156 for Medtronic Inc, Amending License in Entirety ML20214V2631986-08-11011 August 1986 Amend 20 to License SNM-1156 for Medtronic,Inc,Amending License in Entirety ML20215H1091986-05-21021 May 1986 Application for Amend to License SNM-1156 Re Change in Mailing Address ML20153D0511986-05-21021 May 1986 Application for Amend to License SNM-1156,re Change in Mailing Address ML20214V3091985-06-26026 June 1985 Application for Renewal of License SNM-1156.Curriculum Vitae of TE Hawkinson Encl.Fee Paid ML20214V3131982-03-18018 March 1982 Application for Amend to License SNM-1156,adding T Hawkinson as Radiation Safety Officer.Resume of T Hawkinson Encl.Fee Paid ML20214V3251980-11-11011 November 1980 Application for Amend to License SNM-1156,authorizing B Griffin,G Vanderkelen,C Swanson & G Weber as Members of Radiation Safety Committee.Fee Paid ML20214V3751979-09-0606 September 1979 Application for Renewal of License SNM-1156,adding PA Roy as Radiation Safety Officer.Qualifications of PA Roy Encl ML20214V3841977-09-0808 September 1977 Application for Amend to License SNM-1156,authorizing Storage of One Medtronic Laurens-Alcatel Model 9000 at Each of Seven District Ofcs ML20214V3991977-02-10010 February 1977 Application for Amend to License SNM-1156,reflecting Accurate Description of Conditions for Use of Sealed Sources of Plutonium & Increasing Possession Limit for Plutonium to 125 G ML20214V3581976-10-0707 October 1976 Application for Amend to License SNM-1156,increasing Number of Hosps Receiving Licenses to Implant Medtronic Model 9000 Pulse Generators to 300 ML20214V3501976-10-0707 October 1976 Application for Amend to License SNM-1156,incorporating Encl List of Corporate Officers ML20214V3391976-10-0707 October 1976 Application to Amend License SNM-1156,adding K Clow as Radiation Safety Officer.Qualifications of K Clow Encl ML20214V4341976-04-0808 April 1976 Application for Amend to License SNM-1156,increasing Possession Limit of Plutonium to 100 G,Deleting DW Douglas & Revising Condition 11 as Listed ML20214V4411975-03-24024 March 1975 Application for Amend to License SNM-1156,allowing Continuation of Clinical Investigation of Alcatel Model 9000 Isotopic Pulse Generator Until 760524 ML20214V4441974-09-0505 September 1974 Application for Renewal of License SNM-1156,revising Membership of Radiation Safety Committee ML20214V4731973-03-0505 March 1973 Application for Amend to Licenses SNM-1156 & 22-13456-01, Authorizing Possession & Use of Radioactive Matls at Animal Research Facility in Minneapolis,Mn & Performance of NDT of radioisotope-fueled Implantable Cardiac Pacemakers ML20214V4831972-08-29029 August 1972 Application for Amend to License SNM-1156,authorizing Storage of Radioactive Matl at Location Designated on Encl Drawing.W/O Drawing ML20214V4951972-02-28028 February 1972 Application for Amend to License SNM-1156,adding Third Source Storage Area as Shown in Encl & Deleting E Cheatham & Adding Lr Bolduc as Chairman of Radiation Safety Committee. W/O Encl ML20214V5071971-09-14014 September 1971 Application for Amend to License SNM-1156,deleting Ref to Possession Limit for Gipsie Generators & Reflecting Listed Changes in Corporate Officers ML20214V5181971-08-18018 August 1971 Application for Amend to License SNM-1156,authorizing Transfer of Pu-238 Sealed Sources to Production Facility in Fridley,Mn ML20214V5291971-05-14014 May 1971 Application for Amend to License SNM-1156,authorizing Listed Changes to Radiation Safety Committee ML20214V5451970-10-23023 October 1970 Application for Amend to License SNM-1156,authorizing Use of SNM at Plant in Minneapolis,Mn & Possession & Use of 2.5 Ci Pu-238 in Thermoelectric Generators ML20214V5671970-05-26026 May 1970 Application for Amend to License SNM-1156,authorizing Possession & Use of SNM at Plant in Minneapolis,Mn & Increasing Max Surface Radiation Level of Pu-238 Generator from 100 to 500 Mrem/H ML20214V6291969-08-0707 August 1969 Application for License to Handle Encapsulated Pu-238 at Plant in Minneapolis,Mn 1993-07-16
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,i NZC Form 374______ m ._____. - .. _ __.____________________
NE 1 OF 3 NES !n i
4 (S-a4 U.S. NUCLEAR REGULATSF.Y COMMISSION Amendment No. 20 f MATERIALS LICENSE l f Pursuant to the Atomic Energy Act of 1954,~as amended, the Energy Reorganization Act of 1974 (Public Law 93-438). and ,
y iCode of Federal Regulations, Chapter I, Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations y 1 heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, p 1 source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below to ll i
N k{ license delivershallorbetransfer deemed tosuch containmaterial the conditions tospecified persons in Sectionauthorized 183 of theto receive Atomic EnergyitAct inofaccordance with 1954, as amended, andthe is iregulations o
{f conditions subject tobelow.-
specified all applicable rules, regulations and orders of the Nuclear Regu In accordance with letter dated il June 26, 1985 !I 1 j
i 1. Medtronic, Inc 3. Ucense number SNM-1156 is amended in its entirety to read as follows:
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- 12. 7000 Central Avenue N.E. 1 N
3 1l Minneapolis, MN 55432 4. Expiration date August 31, 1991
- 1 fE p i
- 1! 5. Docket or
- f 070-01209 N!
Reference No. p
- 1 6. Byproduct, source, and/or 7. Chemical and/or physical 8. Maximum amount that licensee
); special nuclear material form may possess at any one time -
under this license
% 6. Byproduct, source, 7. Chemical and/or 8. Maximum amount that 3 and/or special nuclear physical form licensee may possess '
jj material at any one time under this license 1
1 A. Plutonium (Principal A.SealedSource(s) A. 125 grams total, '
radionuclide Pu-238) (Alcatel-Gipsie) no single source l K@ to exceed 1 gram ,
- Pu-238 l
] \
f 9. Authorized Use !
4 i
[ A. Recovery, analysis and storage of explanted nuclear pacemakers. l d i
-1 CONDITIONS i 4 !
4 10. A. Licensed material may be used at the licensee's Rice Creek Facility, 7000 d Central Avenue, Minneapolis, MN and at the licensee's Research Facility, y 1500 Northdale Boulevard, Minneapolis, Minnesota. ;
d d B. The licensee is authorized to store one (1) Medtronic Model 9000 isotopic pulse i H generator at each of the licensee's seven district offices in accordance with !-
1 letters dated September 8, 1977, September 27, 1977 and June 26, 1985. Storage i 3 at district offices shall not exceed 30 days.
y i.
W q 11. Licensed material shall be used by or under the supervision of, individuals 4 designated by the licensee's Radiation Safety Committee, Thomas Hawkinson, Chairman. ;
4 ;
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q i d I 8610020218 860811 REG 3 LIC70 -
SNM-1156 PDR. ik I
, COPY
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NRC Form 374A U.S. NUCLEAR REIULATcHY COMMISSION PAGE OF P8GES Lic:nse number 6 i MATERIALS LICENSE ' '*
SUPPLEMENTARY SHEET 0 -01209 !.
Amendment No. 20 :
- 12. A. (1) The source (s) specified in Item (s) 7.A. shall be tested for leakage and/or [
contamination at intervals not to exceed 6 months. Any source received from another person which is not accompanied by a certificate indicating t that a test was perforrJed within 6 months before the transfer shall not be i
~
put into use until tested.
(2) Notwithstanding the periodic leak test required by this condition, any licensed sealed source is exempt from such leak tests when the source contains 100 microcuries or less of beta and/or gamma emitting material or 10 microcuries or less of alpha emitting material.
(3) Notwithstanding the other provisions of this leak test condition, leak tests are not required on: (1) pacemakers ti.mplanted in experimental animals provided that a leak test shall be performed inmediately following removal of the pacemakers from the animals, and (2) on sealed sources containedin'pacemakersthathavebeensterilizedlancpackaged B. The test shall be capable of detecting the presence of 0.005 microcurie of l radioactive material on the test sample. If the test reveals the presence of :
0.005 microcurie or more of removable contamination, the source shall be removed ;
from service and decontaminated, repaired, or disposed of in accordance with Comission regulations. A report shall be filed within 5 days of the date the leak test result is known with the U.S. Nuclear Regulatory Commission, l Region III, 799 Roosevelt Road, Glen Ellyn, Illinois 60137, ATTN: Cnief, l l Nuclear Materials Safety and Safeguards Branch. The report shall specify the ;
l source involved, the test results, and corrective action taken. Records of leak :
l test results shall be kept in units of microcuries and shall be maintained for inspection by the Commission. Records may be disposed of following Commission '
inspection.
C. Tests for leakage and/or contamination shall be performed by the licensee or by other persons specifically licensed by the Comission or an Agreement State to perform such services.
- 13. Sealed sources containing licensed material shall not be opened.
- 14. The specified possession limit includes all licensed material possessed by the licensee under this license whether in storage, implanted in patients, or otherwise
- in use.
- 15. Medtronic, Inc., shall collect, tally and report to the Nuclear Regulatory Commission, the data received from all investigators in accordance with the l ; procedures described in pages 2 and 3 of "Medtronic Laurens-Alcatel Model 9000 Isotopic Pulse Generator CLINICAL INVESTIGATION PLAh" dated March 21, 1973.
- 16. The licensee may transport licensed material in accordance with the provisions of 10 CFR Part 71, " Pac hging and Transportation of Radioactive Material".
l COPY mamamanummunam mumaman.atzmmmw.z
N7C Form 374A U.S. NUCLEAR RE!ULATcRY COMMISSION PAGE 3 o ,. 3 ,,ces I (s-42)
IJcense nurnber I SNM-1156 I MATERIALS LICENSE pocket or aeterence number I SUPPLEMENTARY SHEET 070-01209
!, l Amendment No. 20 I i
- 17. Except for plutonium contained in a medical device designed for individual human i application, no plutonium, regardless of form, shall be delivered to a carrier for shipment by air transport or transported in an aircraft by the licensee l except in packages the design of which the NRC has specifically approved for i transport of plutonium by air. I i
- 18. Except as specifically provided otherwise in this license, the licensee shall I conduct its program in accordance with the statements, representations, and procedures contained in the documents including any enclosures, listed below, l i
The Nuclear Regulatory Commission's regulations shall govern unless the statements, i representations and procedures in the licensee's application and correspondence are I more restrictive than the regul tions. I I
A. Applicatji dated Au' gust , 1969 and supplements dated May , 1970, l October 26,19J0,'May 1, p971, Augustt4'8,,1971, September , 1971, i Febrydry 28 V1972, Augustv29, 1972, Marc)v5, 1973, March 2 1973, Mayv10,1973, Septemberiff,197j4, Marchv24,1975, Apr)lV8,1976, October 7,1976, f ;
1 FebruaryJ10, 1977, Septemberv8, 1977 and Septemberv27, 1977; I B. Application dated September , 1979; I C. Letters dated October 2, 1979, November 1, 1980 and March 8, 1982; and !
D. Letters dated June./T6,1985 (Renewal) and Mayl21,1986. 1 E
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For the U.S. Nuclear Regulatory Commission b P
5 Original Signed E AUb I I 1986 Date By George M. McCann b Materials Licensing Section, Region III COPY (y
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