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{{#Wiki_filter:pi____ | {{#Wiki_filter:pi____ | ||
-_-----_--_-- ------_--__----_-----_--_-w 1 NRC Forr'n d/4 NE y | |||
mcs l | |||
] M84I U.S. NUCLEAR RE!ULATORY COMMISSl; w | |||
Licensee | MATERIALS LICENSE Amendment No. 10 f Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-4 j Code of Federal Regulations, Chapter I, Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations y | ||
In accordance with letter dated | 1, heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess,and transfer byproduct, Ig lj source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to y | ||
1 h; deliver or transfer such material to persons authorized to receive it in accordance with the regulatio l | |||
R license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is R | |||
f subject to all applicable rules, regulations and orders of the Nuclear Regulatory Commission now or hereafter in eff 3( conditions specified below. | |||
g l | |||
Licensee I | |||
3 In accordance with letter dated f | |||
f I | |||
March 25 1987, il | |||
!I-Veterans Administration Medical Center 3 W"5" umber SNM-1605 is amended in J | |||
al Radiation Safety Office (115) its entirety to read as follows: | |||
y 1 | |||
: 5. Docket or | : 5. Docket or | ||
~ | |||
August 31, 1991 | {l | ||
: 2. 50 Irving Street, N.W. | |||
: 7. Chemical and/or physical | E ' | ||
{jj Washington, D.C. | |||
20422 | |||
1 | : 4. Expiration date August 31, 1991 g-4_ | ||
1 | Reference No. ' 070-02199 g. | ||
t. | h{ 6. Byproduct, source, and/or | ||
[A. | : 7. Chemical and/or physical | ||
: 8. Maxunum amount that licensee f | |||
special nuclear material form may passess at any one time i | |||
g: | . under this license fA. Plutonium (principal A. Sealed Source A. 1.25 grams (5 individual f,j i | ||
T 10. | RadionuclidePu-238) sources not to exceed 250 milligrams each) a g | ||
1 g: | |||
1 9. | |||
Authorized use L | |||
1 t. | |||
[A. | |||
Implantation in humans as a component of Coratomic Mocel C-101 or C-101-P nuclear-E 4 | |||
powered cardiac pacemakers for clinical evaluation. | |||
f L | |||
W 1 | |||
CONDITIONS y | |||
1 g: | |||
T | |||
] | |||
10. | |||
Licensed material shall be used only at Veterans Administration Medical Center, 50 E-Irving Street, N.W., Washington, D.C. | |||
[ | [ | ||
h11. The specified possession limit includes all 1.icensed material possessed by the 1 | b h11. The specified possession limit includes all 1.icensed material possessed by the h | ||
I | 1 licensee under this license whether in storage, implanted in patients, or g; | ||
lj | I otherwise in use. | ||
of any nuclear pacemaker patient, and any adverse reaction and/or malfunction | 5: | ||
lj t-h12. The licensee shall report to the U.S. Nuclear Regulatory Commission, Region I, flE ATTN: Chief. Nuclear Materials Safety and Safeguards Branch, 631 Park Avenue, King of Prussia, Pennsylvania 19406, within 24 hours of occurrence, the death h | |||
details of the adverse reaction and/or malfunction shall be submitted within | of any nuclear pacemaker patient, and any adverse reaction and/or malfunction | ||
%[ | |||
involving a pacemaker system, including the leads. A written report giving g | |||
at o details of the adverse reaction and/or malfunction shall be submitted within E | |||
E "' | |||
yo, | 30 days. | ||
, M . 14. The licensee shall continue patient follow-up and replacement procedures for | E o | ||
'bwz | E S | ||
: 13. The licensee shall report to the U.S. Nuclear Regulatory Commission, Region I, | |||
[; | |||
co ATTN: Chief Nuclear Materials Safety and Safeguards Branch, 631 Park Avenue, g | |||
l& | |||
King of Prussia, Pennsylvania 19406, within 10 days of loss of contact with a g_ | |||
yo, nuclear pacemaker patient. | |||
I l | |||
t\\ | |||
rd - | |||
, M. 14. The licensee shall continue patient follow-up and replacement procedures for | |||
( | |||
'bwz the nuclear pacemaker during the life of the patient. | |||
Procedures for recovery (3jlj{[! | |||
and authorized disposal of the nuclear pacemaker by return to the manufacturer l | |||
shall be followed upon the death of the patient. | shall be followed upon the death of the patient. | ||
l n_________________,.,__s# M J - | |||
~T2_____=___________J | |||
I | ll I | ||
of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material". | : 16. The licensee may transport licensed material in accordance with the provisions of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material". | ||
I | i l | ||
The Nuclear Regulatory Commission's regulations shall govern unless the state- | I | ||
I I | : 17. Except as specifically provided otherwise in this license, the licensee shall I | ||
D. Letter dated September 12, 1978 i | conduct its program in accordance with the. statements, representations, and I | ||
I. Section I. (Items C. and I.) and Section II (Item I.) of Radiation Safety | procedures contained in the documents including any enclosures, listed below. | ||
q | l The Nuclear Regulatory Commission's regulations shall govern unless the state-ments, representations and procedures in the licensee's application and corre-i spondence are more restrictive than the regulations. | ||
I I | |||
A. | |||
Letter with application dated December 15, 1975 I | |||
B. | |||
Letter dated Decerrber 17, 1976 I | |||
C. | |||
Letter dated January 18, 1977 D. | |||
Letter dated September 12, 1978 i | |||
i E. | |||
Letter dated January 22, 1981 1 | |||
F. | |||
Letter dated July 29, 1982 i | |||
G. | |||
Letter dated January 23, 1984 N | |||
H. | |||
Letter dated September 12, 1985 l | |||
I. | |||
Section I. (Items C. and I.) and Section II (Item I.) of Radiation Safety Guide enclosed with {{letter dated|date=September 9, 1985|text=letter dated September 9, 1985}} y | |||
q J. | |||
Letter dated January 29, 1986 i | |||
K. | |||
Letter dated March 9, 1987 i | |||
L. | |||
Letter dated March 25, 1987 1l l | |||
l l | l l | ||
l l | l l | ||
| Line 80: | Line 135: | ||
l l | l l | ||
l 1 | l 1 | ||
Id [,,I,',[ ]$3/ | Id [,,I,',[ ]$3/ | ||
For the U.S. Nuclear Regulatory Commission l | |||
^ | |||
l | r | ||
. -, p. | |||
, y.g ~ | |||
I | l Date By I | ||
Nuclear Materials Safety and l | |||
Safeguards Branch, Region I h | |||
King of Prussia, Pennsylvania 19406 f | |||
I I | |||
P I | |||
i i | i i | ||
l | i l | ||
pel __ _ _ ___U - - - _ - - --_ _- --- - - - | pel __ _ _ ___U - - - _ - - --_ _- --- - - - -m.. -- -m _ _ m_ __ m _ _ _ _ | ||
qI U.S. | |||
EAR RE",1ULATORY COMMISSION g | |||
2 OF k | |||
PAGES | |||
${ N[C Forrn 374A PAGE I''* U g | |||
Lic;nse number | |||
. l~ | |||
MATERIALS LICENSE g,,,,,,, g,f,,,,,,,,[,,f E SUPPLEMENTARY SHEET Y | |||
i 4 | |||
? | |||
Amendment No. 10 | |||
>I (Con nued) | |||
CONDITIONS | |||
,1 q | |||
15. | |||
ealed sources or detector cells containing licensed material shall not be p | |||
( | ( | ||
u \pened or sources removed from detector cells by the licensee. | i u \\pened or sources removed from detector cells by the licensee. | ||
l 16. The | R l | ||
q | : 16. The licensee may transport licensed material in accordance with the provisions of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material". | ||
conduct its program in accordance with the statements, representations, and | q q | ||
f I | |||
i | 17 Except as specifically provided otherwise in this license, the licensee shall | ||
-l conduct its program in accordance with the statements, representations, and procedures contained in the documents including any enclosures, listed below, i | |||
l The Nuclear Regulatory Commission's regulations shall govern unless the state-f: | |||
g ments, representations and procedures in the licensee's application and corre-i I. | |||
spondence are more restrictive than the regulations. | |||
p; y | |||
5 n)' | |||
A. | A. | ||
Letter with application dated December 15, 1975 E | |||
Letter with application dated December 15, 1975 Letter dated December 17, 1976 | l B. | ||
Letter dated December 17, 1976 | |||
[! | |||
g} | l C. | ||
q | Letter dated January 18, 1977 q | ||
Section I. (Items C. and I.) and Section II (Item I.) of Radiation Safety l | D. | ||
g | Letter dated September 12, 1978 g} | ||
Guide enclosed with letter dated September 9, 1985 | q E. | ||
( | Letter dated January 22, 1981 gj I | ||
( | F. | ||
Letter dated July 29, 1982 pt i | |||
i | G. | ||
4 | Letter dated January 23, 1984 hl I | ||
H. | |||
Letter dated September 12, 1985 I. | |||
l | Section I. (Items C. and I.) and Section II (Item I.) of Radiation Safety f | ||
l g | |||
Guide enclosed with {{letter dated|date=September 9, 1985|text=letter dated September 9, 1985}} g | |||
q J. | |||
l | Letter dated January 29, 1966 pi | ||
6 _____________.,_____________________________________2}} | ( | ||
K. | |||
Letter dated March 9, 1987 gi | |||
( | |||
L. | |||
Letter dated March 25, 1987 b | |||
8 F | |||
4 W | |||
N E | |||
4 k | |||
4 d | |||
bl i | |||
i k | |||
i t | |||
i k | |||
4 i | |||
4 ti 4 | |||
t1 4 | |||
El d | |||
I i | |||
I 4 | |||
i i | |||
[ | |||
4 i | |||
q | |||
,l/ | |||
For the U.S. Nuclear Regulatory Commission g1 m | |||
l d | |||
Date By f | |||
r | |||
, v.a I! | |||
l Nuclear Materials Safety and j'- | |||
h f | |||
q Safeguards Branch, Region I q | |||
King of Prussia, Pennsylvania 1940G p | |||
1 0 | |||
1 l | |||
6 | |||
_____________.,_____________________________________2}} | |||
Latest revision as of 01:57, 4 December 2024
| ML20214H690 | |
| Person / Time | |
|---|---|
| Site: | 07002199 |
| Issue date: | 05/14/1987 |
| From: | Glenn J NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I) |
| To: | |
| Shared Package | |
| ML20214H692 | List: |
| References | |
| NUDOCS 8705270466 | |
| Download: ML20214H690 (2) | |
Text
pi____
-_-----_--_-- ------_--__----_-----_--_-w 1 NRC Forr'n d/4 NE y
mcs l
] M84I U.S. NUCLEAR RE!ULATORY COMMISSl; w
MATERIALS LICENSE Amendment No. 10 f Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-4 j Code 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, Ig lj source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to y
1 h; deliver or transfer such material to persons authorized to receive it in accordance with the regulatio l
R license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is R
f subject to all applicable rules, regulations and orders of the Nuclear Regulatory Commission now or hereafter in eff 3( conditions specified below.
g l
Licensee I
3 In accordance with letter dated f
f I
March 25 1987, il
!I-Veterans Administration Medical Center 3 W"5" umber SNM-1605 is amended in J
al Radiation Safety Office (115) its entirety to read as follows:
y 1
- 5. Docket or
~
{l
- 2. 50 Irving Street, N.W.
E '
{jj Washington, D.C.
20422
- 4. Expiration date August 31, 1991 g-4_
Reference No. ' 070-02199 g.
h{ 6. Byproduct, source, and/or
- 7. Chemical and/or physical
- 8. Maxunum amount that licensee f
special nuclear material form may passess at any one time i
. under this license fA. Plutonium (principal A. Sealed Source A. 1.25 grams (5 individual f,j i
RadionuclidePu-238) sources not to exceed 250 milligrams each) a g
1 g:
1 9.
Authorized use L
1 t.
[A.
Implantation in humans as a component of Coratomic Mocel C-101 or C-101-P nuclear-E 4
powered cardiac pacemakers for clinical evaluation.
f L
W 1
CONDITIONS y
1 g:
T
]
10.
Licensed material shall be used only at Veterans Administration Medical Center, 50 E-Irving Street, N.W., Washington, D.C.
[
b h11. The specified possession limit includes all 1.icensed material possessed by the h
1 licensee under this license whether in storage, implanted in patients, or g;
I otherwise in use.
5:
lj t-h12. The licensee shall report to the U.S. Nuclear Regulatory Commission, Region I, flE ATTN: Chief. Nuclear Materials Safety and Safeguards Branch, 631 Park Avenue, King of Prussia, Pennsylvania 19406, within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> of occurrence, the death h
of any nuclear pacemaker patient, and any adverse reaction and/or malfunction
%[
involving a pacemaker system, including the leads. A written report giving g
at o details of the adverse reaction and/or malfunction shall be submitted within E
E "'
30 days.
E o
E S
- 13. The licensee shall report to the U.S. Nuclear Regulatory Commission, Region I,
[;
co ATTN: Chief Nuclear Materials Safety and Safeguards Branch, 631 Park Avenue, g
l&
King of Prussia, Pennsylvania 19406, within 10 days of loss of contact with a g_
yo, nuclear pacemaker patient.
I l
t\\
rd -
, M. 14. The licensee shall continue patient follow-up and replacement procedures for
(
'bwz the nuclear pacemaker during the life of the patient.
Procedures for recovery (3jlj{[!
and authorized disposal of the nuclear pacemaker by return to the manufacturer l
shall be followed upon the death of the patient.
l n_________________,.,__s# M J -
~T2_____=___________J
ll I
- 16. The licensee may transport licensed material in accordance with the provisions of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material".
i l
I
- 17. Except as specifically provided otherwise in this license, the licensee shall I
conduct its program in accordance with the. statements, representations, and I
procedures contained in the documents including any enclosures, listed below.
l The Nuclear Regulatory Commission's regulations shall govern unless the state-ments, representations and procedures in the licensee's application and corre-i spondence are more restrictive than the regulations.
I I
A.
Letter with application dated December 15, 1975 I
B.
Letter dated Decerrber 17, 1976 I
C.
Letter dated January 18, 1977 D.
Letter dated September 12, 1978 i
i E.
Letter dated January 22, 1981 1
F.
Letter dated July 29, 1982 i
G.
Letter dated January 23, 1984 N
H.
Letter dated September 12, 1985 l
I.
Section I. (Items C. and I.) and Section II (Item I.) of Radiation Safety Guide enclosed with letter dated September 9, 1985 y
q J.
Letter dated January 29, 1986 i
K.
Letter dated March 9, 1987 i
L.
Letter dated March 25, 1987 1l l
l l
l l
l l
l l
l l
l l
l 1
Id [,,I,',[ ]$3/
For the U.S. Nuclear Regulatory Commission l
^
r
. -, p.
, y.g ~
l Date By I
Nuclear Materials Safety and l
Safeguards Branch, Region I h
King of Prussia, Pennsylvania 19406 f
I I
P I
i i
i l
pel __ _ _ ___U - - - _ - - --_ _- --- - - - -m.. -- -m _ _ m_ __ m _ _ _ _
qI U.S.
EAR RE",1ULATORY COMMISSION g
2 OF k
PAGES
${ N[C Forrn 374A PAGE I* U g
Lic;nse number
. l~
MATERIALS LICENSE g,,,,,,, g,f,,,,,,,,[,,f E SUPPLEMENTARY SHEET Y
i 4
?
Amendment No. 10
>I (Con nued)
CONDITIONS
,1 q
15.
ealed sources or detector cells containing licensed material shall not be p
(
i u \\pened or sources removed from detector cells by the licensee.
R l
- 16. The licensee may transport licensed material in accordance with the provisions of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material".
q q
f I
17 Except as specifically provided otherwise in this license, the licensee shall
-l conduct its program in accordance with the statements, representations, and procedures contained in the documents including any enclosures, listed below, i
l The Nuclear Regulatory Commission's regulations shall govern unless the state-f:
g ments, representations and procedures in the licensee's application and corre-i I.
spondence are more restrictive than the regulations.
p; y
5 n)'
A.
Letter with application dated December 15, 1975 E
l B.
Letter dated December 17, 1976
[!
l C.
Letter dated January 18, 1977 q
D.
Letter dated September 12, 1978 g}
q E.
Letter dated January 22, 1981 gj I
F.
Letter dated July 29, 1982 pt i
G.
Letter dated January 23, 1984 hl I
H.
Letter dated September 12, 1985 I.
Section I. (Items C. and I.) and Section II (Item I.) of Radiation Safety f
l g
Guide enclosed with letter dated September 9, 1985 g
q J.
Letter dated January 29, 1966 pi
(
K.
Letter dated March 9, 1987 gi
(
L.
Letter dated March 25, 1987 b
8 F
4 W
N E
4 k
4 d
bl i
i k
i t
i k
4 i
4 ti 4
t1 4
El d
I i
I 4
i i
[
4 i
q
,l/
For the U.S. Nuclear Regulatory Commission g1 m
l d
Date By f
r
, v.a I!
l Nuclear Materials Safety and j'-
h f
q Safeguards Branch, Region I q
King of Prussia, Pennsylvania 1940G p
1 0
1 l
6
_____________.,_____________________________________2