ML20248B864

Amend 1 to License SNM-1910 for North Kansas City Memorial Hosp,Amending License in Entirety

ML20248B864
Person / Time
Site:	07002974
Issue date:	02/25/1988
From:	Graden K NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To:
Shared Package
ML20248B868	List: ML20248B864 ML20248B900 ML20248B912 ML20248B928 ML20248B949 ML20248B968 ML20248C012
References
NUDOCS 8904110078
Download: ML20248B864 (2)

Text

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l NRC F"orm 374 1

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p 80

. U.S. NUCLENI REGULATORY COMMISSION PAGE OF PAGES MATERIALS LICENSE Amendment No. 01 l

Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10, I

y Code of Federal Regulations, Chapter I, Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations l l

heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, I

source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to 8

deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s) This b

license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is I

subject to all applicable rules, regulations and orders of the Nuclear Regulatory Commission now or hereafter in effect and to any E

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conditions specified below.

Licensee N

I In accordance with letter. dated i

I October 2, 1987 1

1 1.

North Kansas City Memorial

3. License number SNM-1910 is amended in l

i Hospital its entirety.to read as follows:

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l S k i p 'date l

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2800 Hospital Drive i

4. f!xpirItion February 28, 1993 i

8 North Kansas City, MO 64116-3281',

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0-02974/SNM-1720/070-02521 g

6. Byproduct, source, and/or eb,

7. Chemical and/or physical QMaximum amount that licensee i

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special nuclear material form e, $may possess at any one time 5

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/N d'nder this license E

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N N{ A ' Sealed source

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5 A. Plutonium (Principa,1 p

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radionuclides Pu-238'J'-

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sto exceed P.25 l

m s m -( -[Isa

.Cmilligrams i

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9. Authorized Use s

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F To be used as a componeritWfna-Cofdis ]uclearf0mni-Stanicor M6' el 184A d

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nuclear-powered cafdiac pacsmaker cfdt{ f)jriith evaluhtionpurfbses. This license E

authorizes possesslorbof thilp'a'cEnisk'et orkp'tir})p'ssiYof explantation, recovery l

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disposal, but not f6bimp15ntation o&Eiriip& W#

.lantation.

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N gf CONDITIONS 1

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Licer. sed material shall b{e used<only~ at the licensee'l! facilities located R

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at North Kansas City Memorial Ho5pital,J2800\\ Hospital Drive, North Kansas City, l

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j Missouri.

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11. 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.

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12. The licensee shall not receive or transfer in any single transaction,1 gram or more p

1 of plutonium-238 contained in nuclear-powered pacemakers without notifying the g

i Division of Safeguards, U.S. Nuclear Regulatory Commission, Washington, D.C. 20555, p

and, in addition, completing and distributing Form NRC-741 as required by Section l

70.54 of 10 CFR Part 70.

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l 8904110078 880225 l \\k REG 3 LIC70 PNV W

l SNM-1910 g

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n _< m m -m m---- m m m --- m mmmmm--m- -mm-mm-mm m m mm m mm m m m mm mmm m m mm-9 NAC Form 374A U.S. NUCLEAR REGULATORY COMMISSION PAGE 2

OF 2 PAGES License number l

MATERIALS LICENSE oocket or nererence number SUPPLEMENTARY SHEET l

070-02974 y

P Amendment No. 01 I

13. The licensee shall report to the Material Licensing Section, U.S. Nuclear Regulatory f Commission, 799 Roosevelt Road, Glen Ellyn, Illinois 60137 within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> of I

occurrence, the death of any nuclear pacemaker patient, and any adverse reaction N

l and/or malfunction involving a pacemaker system, including the leads. A written report giving details of the adverse reaction and/or malfunction shall be submitted within 30 days.

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14. The licensee shall report to the Material Licensing Section, U.S. Nuclear Regulatory i

Commission, 799 Roosevelt Road, Glen Ellyn, Illinois 60137 within 10 days, loss of N

contact with a nuclear pacemaker patient.

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m=n, The licensee shall continue, patie'nt follovi-uplandf replacement procedures for the i

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nuclear pacemaker during,the life of the patient; and;the procedures for recovery I

and authorized disposahof/the nuclear pacemaker byTeturn to the manufacturer shall I

be followed upon thejath of the patient.

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16.

Except as specifically provided otherwise in this license,[,tih,e licensee shall y

conduct its programlin accordance with the statement.s, representations, and g

procedures contained in th'eJdocuments including'anyl enclosures, listed below.

N The Nuclear Regulatory Commission \\s regulations,shall govern [ijnless the statements, E

representations and proceduresj in/the 11 cense'e'sf application nd correspondence are l

more restrictive'than the regulations.7_

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Letters dated.FebEu'ary 10,'1977c (withj attachnients), March'10,1977 and N

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October 2, 1987, p 'V, ' * ! f ' ;;; ;

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l For the U.S. Nuclear Regulatory Commission p

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j Original Signed j

Date: February 25, 1988 By Kathy J. Graden j

j Materials Licensing Section, Region 111

.]

COPY

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