ML20247M719

Application for Renewal of License SNM-1499,authorizing Use of Pu-238 in Coratomic Model C-100 Pacemaker

ML20247M719
Person / Time
Site:	07001795
Issue date:	12/08/1987
From:	Selikson M GEORGE WASHINGTON UNIV. MEDICAL CENTER, WASHINGTON
To:	NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
Shared Package
ML20247M641	List: ML20247M635 ML20247M676 ML20247M693 ML20247M719
References
108129, NUDOCS 8904060108
Download: ML20247M719 (3)

Text

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GEORGE WASHINGTON UNIVERSITY MEDICAL CENTER.

Warwick Building l 2300 K Street. N, W, / Washington, D.C 20037 Nuclear Regulatory Commission, Region I

&/ y Nuclear Material Section B,

":04 631 Park Avenue Af King of Prussia, Pennsylvania 19408

' S 22 Gentlemen:

SUBJECT:

Renewal of NRC License # SNM -1499 George Washington University Medical Center hereby requests renewal of its Special Nuclear Materials License authorizing use of nuclear powered pacemakers. Items of requested information from your " notice of expiration." as it appears on our current license # SNM-1499 is as follows:

Item 2 Mailing Address:

The George Washington University Medical Cent A

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2300 K St., N.W.

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A Washington, D.C. 20037 Item 6 By product, source and/or special nuclear material:

I Q g,3 A. Plutonium (Principal Radionuclides Pu-238)

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B. Plutonium (Principal radionuclitle Pu-238) 9 2_ _

Item 7 Chemical and/or physical form:

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A. Scaled Source j octe ca:, p g B. Sealed Sources

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Item 8.. Maximum amount that licensee may possess at any one time under this license:

A. One Source not to exceed 250 milligrams.

B. 0.5 grams (2 individual sources not to exceedg0gliggagg iggt l

t goiO32-03M3038 "0FFICIAL RECORD COPY"N, s90406olos eso311 REG 1 LIC70 IOb128 SNM-1499 PNV lOY Sf

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O Item 9 Authorized use:

A. As a component of a Coratomic Model C-100 nuclear-powered pacemaker for clinical evaluation. This license authorizes possession of the pacemaker for. purposes of explanation, recovery and disposal, but not for reimplantation.

B. Implantation in humans as a component of Coratomic Model C-101 nuclear-powered pacemaken for clinical evaluation.

Itein 16:

. A. Physicians list - reauested changes in commitment - none

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Dr. M rk Selikson Radiation Safety Director MS/bif 11-30-87 lab 129

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(FOR LFMS USE)

INFORMATION FROM LMS

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LICENSE F EE M AN AGEMENT BRANCH, ARM PROGRAM CODE

22160 l

ANO STATUS CODE: 2

REGIONAL LICENSING SECTIONS FEE CATEGORY: EX 7C l

EXP. DATE: 19880228 FEE COMMENTS: _______ h.______________c

E LICENS E F EE T R ANSMITT AL f[,

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REGI.

1.

APPLIC AT ICN ATTACHED APPLI C AN T /LIC ENS E E :

GEORGE W ASHINGTON UNIVERSITY RECEIVED DATE:

371203 00CKE T NO:

7001775 CONTRCL NO.:

10E12 9 LIC ENSE NC. :

S N M-14 79 i

ACTION TYPE:

RENEWAL 2.

FEE ATTACHE 0 8[

AMOUNT:

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CHECK NO.:

3.

COMMENTS SIGNED

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DATE S.

LICENSE FEE MANAGEMENT BRANCd (C ECK WHEN MILESTONE 03

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FEE C ATEGORY AND AMOUNT:

2.

CORRECT FEE PAID.

APPLICATION MAY BE PROCESSED FOR:

, g.g g-AM:NOMENT RENEUL Q.__..______

LICENSE 3.

OTHER SIGNED

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