ML20235S676

Amend 2 to License SNM-1638 for St Lukes Medical Ctr, Amending License in Entirety

ML20235S676
Person / Time
Site:	07002205
Issue date:	02/01/1988
From:	Matson E NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To:
Shared Package
ML20235S679	List: ML20235S676 ML20235S685 ML20235S688 ML20235S697 ML20235S704 ML20235S713
References
NUDOCS 8903070218
Download: ML20235S676 (2)

Text

W

\\

1

. pmmierraswawsrsmemwwwresenwmm.___m.i

..,c____mmm

.mm..y I

g NRC Nm m

~

PAGE-OF PAGES 1

2 R

4 841 U.S. NUCLEAR REGULAVORY COMMISSION t

Amendment No. 02 MATERIALS LICENSE g

k Pursuant to the Atomic Energy Act of 5954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10, Code of Federal Regulations, Chapter I, Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations p

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

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

I I

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

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

E subject t'o all applicable rules, regulations and orders of the Nuclear Regulatory Commission now or hereafter in effect and to any

. conditions specified below.

g U'*"'"

In accordance with letter dated March 17, 1986 h

1 llI 1.

St. Luke's Medical Center

3. Ucense number SNM-1638 is amended in l

its entirety to read as follows:

i s

W

,3 c k',r2tiop6 ate

(>, r,* Q t 2.

2900 West Oklahoma Avenue

'f E

g

. 4.Mp February 28, 1993 p

I Milwaukee, WI 53215

5. Docket or

%q Reference No.

g.

070-02205 1

e

6. Byproduct, source, and/or

,p*

7. Chemical and/or physical L( Maximum amount that licensee 5' i special nuclear material form -

$may possess at any one time E

n Ga) VN f /

' dader thislicense N

f,e y

5 s g,.>S,ealed Sources'4,n/

g*4.50 grams (20 k-r A. Plutonium (Principaid M[ Q )Qg'Q

', (

individual sourc s A

I radionuclides Pu-238')'

lg 1?t

/

/

i

<3 C,nottoexceed22 6'

(M"Mq?(fAMA j f/

- milligrams each) y gh b gg,/,

q g

)

H

9. Authorized Use QJ ss W$

ef U

b Implantation in huni5ns a%jcom,W~o% lgl.

o 4

,1 y lcC E

Pa p n5nt' isNucleafOmni-SkanicorModel184A I

A.

E nuclear-povered caFdiac pac'emak'eVsifo@Welitiical ebluation @u,rposes.

l v,

W 9 l3

,y fu l

CONDITIONS

• if

-( y\\

j y/},

.o e p

Licensed material shall Telbsed only at St. Luke's Meficil Center, 2900 West Oklahoma k 10.

Avenue, Milwaukee, Wisconsin. q i

h.

V 4, 4, k Mg l

j The specified possession limit incitides*hil?1icensed material possessed by the p

g 11.

licensee under this license whether in storage, implanted in patients or otherwise g

l i

in use.

E E

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

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

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

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

70.54 of 10 CFR Part 70.

g i

l E

I J

13.

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

q 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 E

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

and/or malfunction involving a pacemaker system, including the leads. A written y

report giving details of the adverse reaction and/or malfunction shall be submitted g

within 30 days.

R f

4 g<

f e903070218 080201 COPY I w aw 1_-_--.

a

., v,,.

.-- = -- - = = = = - -- mfEWl1EMETEMEfM5ENETfWWWZENEWHESEBEfW5E*RfBTE1ENE1EME5Ef'ENEfMf1srwm = =

p-ic Iorm h74A

(

N5 U.S. NUCLEAR REGULATORY COMMIS$10N 2 OF 2 PAGES PAGE N

• License numbn l

l MATERIALS LICENSE oocket or nererence nurnber SUPPLEMENTARY SHEET 070-02205 g

Amendment No. 02 l

14.

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

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

I contact with a nuclear pacemaker patient.

R t

l 15.

The licensee shall continue patient follow-up and replacement procedures for the l

l 4

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

n authorized disposal of the nuclear pacemaker by return to the manufacturer shall be g

i followed upon the death of the patient.

I e

B 1

I

[

16.

Except as specifically provided otherwise in this license, the licensee shall j

conduct its program in accordance with (the statements, representations, and l

e procedures contained in the do'cuiferWs i"nbludinglany enclosures, listed below.

b I

The Nuclear Regulatory Condi.sst6n's regulations'1hal,ingovern unless the statements, I

l representations and procscdres in the licensee's application and correspondence are 1

l more restrictive thartlbtSe regulations.

1. g j

m a

y I

Letters dated 6Febroary' 4,1976, May 10,1976, May/-27fj$981andMarch 17, 1986.

g A.

(

X-

/

p,*

'gpg

'4.r,

+~

l 4Af N MF l

4/

R ik ph '

M=9 QX 0,.

y i

c+

5 nd

/

iz.e &

r"'

. 2Iid. [#' #s.

)

N r

p'$m.g %," f ' '

d'(l:Y d,%. (f I

ba' fi)

{Q yn '.

t c

g l

(f) l

.w th _

q.

l

{,

x h lf_ #

%4 l

e l

D, ldh i L/ [

Co

\\.!

o e' %

(ll@:OR Q Q,e{

4_

~/ _

$\\

(Q h

'" b (A

j

%r, i

A /)

ps")

(

N J

E T 4 4 4 $u A

p M

h h

h 4

W 5i i

n R

p 4

i N

i lc I

I

,f I,

For the U.S. Nuclear Regulatory Commission l

4 d

P

'i p

Original Signed h

)

Date: February 1, 1988 By Evelyn R. Matson j

(

Materials Licensing Section, Region III g

COPY 44GLiiVrX5ra2s08.MM rawamemDRw2EwnwaHwwoummmowmow mmmmmmmm,25wwwgr yt a

l

.