ML20248A667

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Forwards Proposed Amend to 10CFR35 Re Reducing Burden on Medical Use Licensees Planning to Use Pd-103 Source for Interstitial Treatment of Cancer
ML20248A667
Person / Time
Issue date: 04/07/1989
From: Beckjord E
NRC OFFICE OF NUCLEAR REGULATORY RESEARCH (RES)
To: Breaux J, Sharp P, Udall M
HOUSE OF REP., ENERGY & COMMERCE, HOUSE OF REP., INTERIOR & INSULAR AFFAIRS, SENATE, ENVIRONMENT & PUBLIC WORKS
References
FRN-54FR13892, RULE-PR-35 AD11-1-13, CCS, NUDOCS 8906080176
Download: ML20248A667 (4)


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- April 7, 1989 The Honorable John B. Breaux, Chairman _

Subcommittee on Nuclear Regulation Committee on Environment and Public Works United States Senate Washington, DC. 20510

Dear Mr. Chairman:

Enclosed for the information of the subcommittee is a copy of a notice of Proposed Rulemaking.to be published in the Federal Reaister. In response to a petition for rulemaking, the Nuclear.

Regulatory Commission'is proposing to amend its. regulations at 10 CFR 35.400 to add palladium-103 as a sealed source in seeds to the list of brachytherapy sources permitted for use in the interstitial treatment of cancer.

The proposed rule would reduce the regulatory burden on medical-use licensees planning to use the sealed source. The proposed

-rule'would not cause additional risk to hospital personnel or the public becauselthe radiation safety and handling instructions for palladium-103 are similar to the instructions for the brachytherapy sources currently listed in Section 35.400.

The notice will be mailed to medical use licensees and other interested individuals-for comment. We. expect the medical community will be very interested in the notice.

Sincerely, Eric S. Beck , Director Office of Nuclear Regulatory Research

Enclosure:

Amendment to 10 CFR Part 35 cc: Senator Alan K. Simpson FULLTEXT ASCil SCAN gate" SUdC 6kpi

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% **..* d April 7,1989 The Honorable Morris K. Udall, Chairman Subcommittee on Energy and the Environment Committee on Interior and Insular Affairs United States House of Representatives Washington, DC. 20515

Dear Mr. Chairman:

Enclosed for the information of the subcommittee is a copy of a notice of Proposed Rulemaking to be published in the Federal Reaister. In response to a petition for rulemaking, the Nuclear Regulatory Commission is proposing to amend its regulations at 10 CFR 35.400 to add palladium-103 as a sealed source in seeds j to the list of brachytherapy sources permitted for use in the '

interstitial treatment of cancer.

The proposed rule would reduce the regulatory burden Theon medical proposed use licensees planning to use the sealed source.

rule would not cause additional risk to hospital personnel or the public because the radiation safety and handling instructions for palladium-103 are similar to the instructions for the brachytherapy sources currently listed in Section 35.400.

The notice will be mailed to medical use We licensees expect the and other medical interested individuals for comment.

community will be very interested in the notice.

Sincerely, w JUp*w Eric S. Beckjo'rd, Director Office of NuclVar Regulatory Research

Enclosure:

Amendment to 10 CFR Part 35 cc: Representative James V. Hansen

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\....+/ April 7,1989 The Honorable Philip R. Sharp, Chairman Subcommittee on Energy and Power Committee on Energy and Commerce United States House of Representative Washington, DC. 20515

Dear Mr. Chairman:

Enclosed for the information of the subcommittee is a copy of a notice of Proposed Rulemaking to be published in the Federal Reaister. In response to a petition for rulemaking, the Nuclear Regulatory Commission is proposing to amend its regulations at 10 CFR 35.400 to add palladium-103 as a sealed source in seeds to the list of brachytherapy sources permitted for use in the interstitial treatment of cancer.

The proposed rule would reduce the regulatory burden on medical use licensees planning to'use the sealed source. The proposed rule would not cause additional risk to hospital personnel or the public because the radiation safety and handling instructions for palladium-103 are similar to the instructions for the brachytherapy sources currently listed in Section 35.400.

The notice will be mailed to medical use licensees and other interested individuals for comment. We expect the medical community will be very interested in the notice.

Sincerely, S L4.h EricS. Beck /prd, Director Office of Nuclear Regulatory Research

Enclosure:

Amendment to 10 CFR Part 35 cc: Representative Carlos J. Moorhead

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April 7, 1989 IDENTICkL LETTERS TO:

Chairman John B. Breaux, Senate Subcommittee on Nuclear Regulation ec: ' Alan K. Simpson Chairman Philip R. Sharp, House l Subcommittee on Energy and Power cc: Carlos J. Moorhead The Honorable Morris K. Udall, Chairman Subcommittee on Energy and the Environment Committee on Interior and Insular Affairs United States House of Representatives Washington, DC. 20515

Dear Mr. Chairman:

Enclosed for the information of the subcommittee is a copy of a notice of Proposed Rulemaking to be published in the Federal Register. In response to a petition for rulemaking, the Nuclear Regulatory Commission is proposing to amend its regulations at 10 CFR 35.400 to add palladium-103 as a sealed source in seeds to the list of brachytherapy sources permitted for use in the interstitial treatment of cancer.

The proposed rule would reduce the regulatory burden on medical use licensees planning to use the sealed source. The proposed rule would not cause additional risk to hospital personnel or the public because the radiation safety and handling instructions for palladium-103 are similar to the instructions for the brachytherapy sources currently listed in Section 35.400.

The notice will be mailed to medical use licensees and other interested individuals for comment. We expect the medical community will be very interested in the notice.

Sincerely, ORIGINAL SIGNED BY Z

Director Eric Office S.ofBeckjord, Nuclear Regulatory Research

Enclosure:

Distribution:

subj-circ-chron Amendment to EBeckjord, TSpeis, Dross, 10 CFR Part 35 BMorris, ZRosztoczy, Representative James V. Hansen WLabs, JTelford, ATse cc: RDB ng files e9 DD R:RES DJ:E) is EBe4kjord F

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NUCLEAR REGULATORY COMMISSION 10 CFR Part 35 RIN: 3150-ADil Palladium-103 for Interstitial Treatment of Cancer b AGENCY: Nuclear Regulatory Commission.

ACTION: Proposed rule.

SUMMARY

The Nuclear Regulatory Commission (NRC) is proposing to amend its regulations governing the medical uses of byproduct material. The proposed regulation would add palladium-103 as a sealed source in seeds to the list of brachytherapy sources permitted for use in treatment of cancer. Under current NRC' regulations, users must have their licenses amended before they may.use. palladium-103. The proposed rule, developed in response to a petition for rulemaking (PRM-35-7), would reduce the regulatory burden on medical use licensees who plan to use the sealed source. An evaluation of the potential radiation hazards to hospital personnel and the public showed that there would be minimal risk if the sealed source is used in accordance with the manufacturer's radiation safety and handling instructions.

DATE: Comment period expires (30 days from the date of publication in the Federal Register). Comments received after this date will be considered if it is practical to do so, but assurance of consideration cannot be given except to comments received on'or before this date.

ADDRESSES:

Mail written comments to: Secretary, U.S. Nuclear Regulatory Commission, Washington, DC 20555, Attention:

Docketing and Service Branch. Deliver comments to One White Flint North, 11555 Rockville Pike, Rockville, Maryland 20852, between 7:30 am and 4:15 pm weekdays.

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FOR FURTHER:INFORMATION CONTACT: Dr. Anthony N. Tse, Office of Nuclear Pegulatory Research, U.S. Nuclear.Begulatory Commission, Washington, DC 20555, telephone: (301)492-3797.

i SUPPLEMENTARY INFORMATION:

Petition for Rulemaking On November 30, 1988, Theragenics Corporation submitted a petition for rulemaking, PRM-35-7, which was docketed on December 9, 1988. The petitioner requests that the NRC amend its regulations to add palladium-103 as a sealed source in seeds for the int'erstitial treatment of cancer to the list of sealed sources currently. permitted in 10 CFR 35.400 for use in brachytherapy. 'A copy of the petition may be obtained from the

- Regulatory Publications Branch, Division of Freedom of Information and Publications Services, U.S. Nuclear Regulatory Commission, Washington, DC 20555.

The petitioner enclosed a document from the Food and Drug Administration (FDA) of the Department of Health and Human

-Services that allows the marketing of palladium-103 as a sealed source-in seeds. The petitioner stated that, under current NRC regulations, licensees who are users of palladium-103 must go through'the cumbersome process of having their licenses amended before using the product and that amending 10 CFR 35.400 in the manner suggested would eliminate this cumbersome process.

In supporting the petition, the petitioner submitted several documents, including a letter from the FDA, a safety evaluation ,

report from the State of Georgia, the package insert, and product literature.

The letter from the FDA stated that, under Section 510(k) of the Federal Food, Drug, and Cosmetic Act, as amended, marketing 2

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  1. the device (palladium-103 as a sealed , source in seeds) would be permitted subject to the general controls provisions of the Federal Food,. Drug, and Cc etic Act until such time as the  !

device has been classified as either a Class I, II, or III device under'Section 513.

In March 1986, Theragenics, an " Agreement State" licensee of

.the state of Georgia, submitted information on the radiation safety properties of palladium-103 to Georgia in order to obtain a " Certificate of Registration," Such a certificate is necessary for Theragenics to manut'acture and distribute palladium-103 seeds to specific licensees. The information on these sa#ety properties included the design and construction, prototype testing, conditions of normal use, labelling, external radiation levels, solubility in body fluide, and quality control and assurance. After reviewing the information and determining the adequacy of the radiation safety properties of tne source, the State of Georgia issued a Certificate of Registration to Theragenics on September 22, 1986. This certificate summarized the submitted radiation cafety information and specified additional limitations and conditions on the use of the source.

This certificate was amended in its entirety on June 6, 1988 to include a' minor design improvement made by Theragenics.

Following its determination that the radiation safety properties of the source are adequate, the State of Georgia sent NRC a copy of the certificate to include in the Registry of The NRC Source and Device Designs that is maintained by the NRC.

reviewed the certificate for consistency with other certificates in the Registry and added palladium-103 to the Registry on October 29, 1986, and again in June 1988 to cover the design improvement. This action, in effect, granted a premarketing approval of the sealed source and permitted the use of palladium-103 provided that the user's license was amended to include that sealed source. .

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Conclusion -

The NRC has evaluated the petition and supporting information and proposes to grant the petition. The NRC has determined that the addition of palladium-103 as a sealed source in seeds to the list of sealed sources specified in 10 CFR 35.400 would not cause additional risk to hospital personnel or the public because the radiation safety and handling instructions for palladium-103 are similar to the' instructions for the brachytherapy sources currently listed in Section 35.400. -This action would reduce the regulatory. burden to the users of palladium-103 seeds (about 700

- potential users) as well as to the NRC staff. Mcat users would not have to follow the present requirement of submitting individual license amendment applications in order to be able to use palladium-103 as a sealed source in seeds for the interstitial treatment of cancer (if their license permits the

. use of any brachytherapy sources specified in 10 CFR 35.400).

A user whose license only permits the use of specified brachytherapy sources would still be required to submit a license amendment application. A reduction in the number of license amendment applications would reduce the expenditure of NRC staff resources in reviewing and granting or denying the requested license amendments.

Environmental Impact: Categorical Exclusion The NRC has determined that this proposed regulation is the type of action described in 10 CFR 51.22(c)(2). Therefore, neither an environmental impact statement nor an en'".ronmental assessment has been prepared for this proposed reat!ntion.

Paperwork Reduction Act Statement This proposed rule does not contain a new or amended information collection requirement subject to the Paperwork 4

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Existing Reduction Act of 1980 (44 U.S.C. 3501 et seq.).

requirements were approved by the. Office of Management and Budget, approval number 3150-0010.

Regulatory Analysis The NRC has prepared a draft regulatory analysis on this proposed regulation. The analysis examines the costs and benefits of the alternatives considered by the NRC. The draft regulatory analysis is available for inspection in the NRC Public Document Room, 2120 L Street, Lower Level, NW, Washington, DC.

Single copies of the draft regulatory analysis may be obtained from Dr. Anthony N. Tse (See FOR FURTHER INFORMATION CONTACT heading).

The NRC requests public comments on the draft regulatory analysis. Comments may be submitted to the NRC (See ADDRESSES heading).

Regulatory Flexibility Certification As required by the Regulatory Flexibility Act of 1980, 5 U.S.C. 605(b), the Commission certifies that this rule, if adopted, will not have a significant economic impact on a The proposed rule would substantial number of small entities.

add the use of palladium-103 as a sealed source in seeds in 10 CFR 35.400. This action would reduce the regulatory burden on medical use licensees planning to use the sealed source because most users would not have to follow the present requirement of submitting a license amendment application in order to use palladium-103 as a sealed source in seeds for the interstitial treatment of cancer (if the license permits the use of any brachytherapy sources specified in 10 CFR 35.400).

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The NRC has adopted size standards' that classify a hospital as a small entity if its annual gross receipts do not exceed $3.5 million, and a private practice physician as a small entity if the physician's annual gross receipts are $1.0 million or less.

Although come NRC medical use licensees could be considered "small entities," the number is estimated to be a very small percentage of the total number of licensees and does not constitute a substantial number for purposes of the Regulatory Flexibility Act. However, the proposed rule would have a positive economic impact on about 700 licensees.

Backfit Analysis The NRC has determined that a backfit analysis is not required for this proposed regulation because the amendment does not l constitute a backfit as defined in 10 CFR 50.109(a)(1). f List of Subjects in 10 CFR Part 35 Byproduct material, Drugs, Health facilities, Health professions, Incorporation by reference, Medical devices, Nuclear materiale, Occupational safety and health, Penalty, Radiation protection, Reporting and recordkeeping requirements.

For the reasons set out in the preamble and under the authority of the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974, as amended, and 5 U.S.C 553, the NRC is proposing to adopt the following amendment to 10 CFR Part 35.

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1. The authority citation for Part 35 is revised to read as follows:

AUTHORITY:

Secs. 81, 161, 182, 183, 68 Ltat. 935, 948, 953, sec. 201, 08 954, as amended (42 U.S.C. 2111, 2201, 2232, 2233);

Stat. 1242, as amended (42 U.S.C. 5841).

For the purposes of sec. 223, 68 Stat. 958, as amended (42 U.S.C. 2273); 55 35.11, 35.13, 35.20(a) and (b), 35.21(a) and (b), 35.22, 35.23, 35.25, 35.27(a), (c) and (d), 35.31(a), 35.49, 35.50(a)-(d), 35.51(a)-(c), 35.53(a) and (b), 35.59(a)-(c),

(e)(1), (g) and (h), 35.60, 35.61, 35.70(a)-(f), 35.75, 35.80(a)-(e), 35.90, 35.92(a), 35.120, 35.200(b), 35.204(a) and (b), 35.205, 35.220, 35.310(a), 35.315, 35.320, 35.400, 35.404(a), 35.406(a) and (c), 35.410(a), 35.415, 35.420, 35.500, 35.520,:35.605, 35.606, 35.610(a) and (b), 35.615, 35.620,

'35.630(a) and (b), 35.632(a)-(f), 35.634(a)-(e), 35.636(a) and (b), 35.641(a) and (b), 35.643(a) and (b), 35.645(a) and (b),

35.900, 35.910, 35.920, 35.930, 35.932, 35.934, 35.940, 35.941, 35.950, 35.960, 35.961, 35.970, and 35.971 are issued under sec.

161b, 68 Stat. 948, as amended (42 U.S.C. 2201(b)); and 55 35.14, 35.21(b), 35.22(b), 35.23(b),'35.27(a) and (c),

35.29(b), 35.33(a)-(d), 35.36(b),.35.50(e), 35.51(d), 35.53(c),

35.59(d) and (e)(2), 35.59(g) and (i), 35.70(g), 35.80(f),

35.92(b), 35.204(c), 35.310(b), 35.315(b), 35.404(b), 35.406(b) and (d), 35.410(b), 35.415(b), 35.610(c), 35.615(d)(4), ,

35.630(c), 35.632(g), 35.634(f), 35.636(c), 35.641(c), 35.643(c), ,

35.645, and 35.647(c) are issued under sec. 161o, 68 Stat. 950 as

  • mended (42 U.S.C. 2201(o)).

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2. In i 35.400.-paragraph (g) is dded to read as follows:

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s 35.400 Use of sources for brachytherapy.

(g) Palladium-103 as a sealed source in seeds for interstitial l treatment of cancer.

OM day of QtedatRockville, D Maryland,this

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For the Nuclear Regulatory Commission.

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Victor Ste .,

Executive Directo or Operations.

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