ML20235L392

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Application for Amend to License SNM-1401,deleting W Weisel, RR Watson & Tm Oconnor as Users & Adding RA Duchelle & Re Acevedo as Users
ML20235L392
Person / Time
Site: 07001411
Issue date: 09/15/1987
From: Reitinger T
ST. JOSEPH'S HOSP., MILWAUKEE, WI
To:
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
Shared Package
ML20235L379 List:
References
NUDOCS 8902270506
Download: ML20235L392 (1)


Text

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V 5000 west Chambers 5treet. Milwaukee, WI s3210.111417-3XX)

IlOSPITAL MILWAUKEE l

September 15, 1987 d

United States, Nuclear Regulatory Commission"5 ff Material Licensing Station

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Region 111 799 Roosevelt Road Glen Ellyn, IL 60137 6"

Re: License No. SNM-1401 Docket No. 070-01411

Dear Sirs:

We wish to amend this license as follows:

1.

Please delete Drs. Wilson Weisel, Raymond R. Watson and Thomas M. O'Connor as authorized users, as they are no longer active staff at this hospital.

2.

Dr. John Just remains as an authorized user.

3.

Please add Richard A. Duchelle, M.D., Cardiologist and Ramon E. Acevedo, M.D., Cardiologist as authorized users.

Current license status as requested by Kevin Null of your agency:

A.

Only one (1) Medtronic pulse generator Model 9000, Serial Number 3R00055 which was implanted in 1976, is still under our control.

I B.

This patient has been followed for some time by Cardio Care, New York l

which is a division of Medtronics. They have forwarded copies of bi-monthly pacemaker checks to Dr. Acevedo and Dr. Duchelle who also forwarded copies to the patient's primary care physician.

C.

It is intended that beginning October,1987, this patient will be followed

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directly by Drs. Duchelle and Acevedo.

O D.

As required by Condition 15 of our license, upon death of the patient the nuclear pacemaker will be removed and returned to the manuf2teturer t'

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$3o Sincerely yours,

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(n a:tn Thomas A. Restinger RJfCIOLT 777 p

f W Executive Vice President c: Richard A. Duchelle, M.Dw,.mi,c,,,, n,g m,cai,,n n,n,c iscari mt..m Ramon E. Acevedo, M.D.

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