ML20236P615

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Application for Renewal of License SNM-1305 to Combine Current License W/License SNM-1305,continue Followup of Patients W/Nuclear Pacemakers & to Retain AA Gage as Physician Responsible for Nuclear Pacermaker Followup
ML20236P615
Person / Time
Site: 07001331
Issue date: 04/30/1987
From: Droske R
VETERANS ADMIN. MEDICAL CENTER, BUFFALO, NY
To:
NRC
Shared Package
ML20236P571 List:
References
120229, NUDOCS 8708120443
Download: ML20236P615 (3)


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3435 Bailey Avenue Buffalo NY 14210 i

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In Rept / Refer To:

  • April 30, 1987

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Nuclear Materials Section Division of Engineering and Technical Program s/[3/

US Nuclear Regulatory Commission Washington, D.C.

20555 Gentlemen:

In response to your letter dated March 2, 1987, we have included the following information for:

(1) renewal to continue follow-up procedures for patients with implanted pacemakers; (2) follow-up of patients with nuclear pacemakers; and (3) two physicians to be added to our license with their signed statement to follow the protocol.

License no.

SNM-1305 expires 6/30/87.

License no.

SNM-1376 expires 4/30/88.N Request is made to: (1) renew license no. SNM-1305 which deals with both Medtronic 9000 and Coratomic C101 nuclear pacers; (2) Combine the above license with license no. SNM-1376 which governs Arco Nuclear NU5 pacers; (3) Continue follow-up of patients with nuclear pacemakers including their explent and return to the manufacturer for proper disposal when indicated; (4) Retain Dr. Andrew A. Gage as the physician responsible for nuclear pacer follow-up; and (5) Add Dr. Jacob Bergsland and Dr. Joseph Caruana as a physician also responsible for nuclear pacer follow-up.

Note that at present only 5 patients with nuclear units are being actively followed in the pscemaker clinic.

These include:

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- Mcdtronic 9000 2)

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l Physicians requested to be addcd to our license:

1) Dr. Jacob Bergsland Cardiothoracic Surgeon i

Chief, Cardiothoracic Surgery, VAMC - Buffalo 3495 Bailey Avenue Buffalo, NY 14215 (716) 834-9200 Licensed to practice in New York and Florida and Norway and Sweden Certified through the American Board of Surgery (1983) and American Board of Thoracic Surgery (1984)

Six years experience working with cardiac pacemakers (1981)

2) Dr. Joseph Caruana General Surgeon Chief, Surgical Service, VAMC - Buffalo 3495 Bailey Avenue Buffalo, NY 14215 (716)834-9200 Licensed to practice in New York State Certified through the American Boa!.i of Surgery (1978)

Ten year exposure to cardiac pacenaking (1977)

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RICHARD S. DROSKE Medical Center Director Enclosures l

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I am familiar with the Manufacturer's NRC-approved protocol and agree to follow that protocol.

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J0st PH A. CARUANA, M. D.

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