The cts tissue donation process
1 / 20

The CTS Tissue Donation Process - PowerPoint PPT Presentation

  • Uploaded on

The CTS Tissue Donation Process. Community Tissue Services – Boise, ID. CTS Overview. CTS is a not-for-profit 501 (c)(3) company established in 1964 to provide blood products to the Dayton community

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
Download Presentation

PowerPoint Slideshow about 'The CTS Tissue Donation Process' - otis

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
The cts tissue donation process

The CTS Tissue Donation Process

Community Tissue Services – Boise, ID

Cts overview
CTS Overview

  • CTS is a not-for-profit 501 (c)(3) company established in 1964 to provide blood products to the Dayton community

  • Dayton Regional Tissue Bank established as a Division of CBC in 1986 in response to the needs of local surgeons for allograft tissue

  • Name changed to Community Tissue Services in 1995 to reflect growth into communities across the nation (and internationally)

  • Community-focused, emphasis on quality service and tissue products

  • Currently CTS is the fifth largest tissue bank in the United States

Eye tissue branch organizations
Eye/Tissue Branch Organizations

  • Community Tissue Services – covers the state of Oregon, Southern Washington, and SW Idaho.

  • Idaho Lions Eye Bank – covers all of southern Idaho.

  • Intermountain Donor Service – covers SE Idaho.

  • Northwest Eye and Tissue – covers Northern Idaho

Referral process
Referral Process

  • Refer all deaths to the 1-800 donor hotline.

  • Procurement agency will triage donor suitability with hospital staff.

  • Staff will be told what tissues can be donated.

  • Only designated trained requestor may approach the family for donation.

  • Consent outcome is reported to agency for recovery coordination.

Recovery coordination timelines
Recovery Coordination Timelines

  • Tissue recovery coordination begins immediately after receiving the triage information. We need consent and med/soc prior to recovery.

    • No refrigeration occurred start within 15 hours from death.

    • Refrigeration occurred start within 24 hours from death.

  • Due to shorter recovery timelines, eye and organ donation would have already occurred.

Cts staff involved in recovery
CTS Staff Involved in Recovery

  • Tissue recovery team consists of a coordinator/circulator and two recovery technicians.

  • Technicians are notified by Coordinator to come in for the recovery. Must be able to arrive within 1 hour of the call.

What tissues can be donated
What Tissues can be donated?

  • Skin

    • Posterior back, anterior and posterior legs

  • Bone

    • Humerous, Femur, Tibia, Fibula, Patella, Calcaneous

  • Tendon/Ligament

    • Anterior & posterior tibilalis, gracilis, semitendinosus, patellar, achilles, peroneus

  • Vascular/Cardiac

    • Saphenous vein, Femoral vein/artery, Heart for valves, Pericardium, Costal Cartilage

How long does a recovery take
How long does a recovery take?

  • Depends on the number of tissues that will be recovered

  • Each graft has particular age limits assigned if a donor falls within all graft age limits then all grafts are recovered

  • The average recovery time is 4-8 hours, not including team/donor transportation.

Skin retrieval
Skin Retrieval

  • Consideration of length/width requirements

  • Lubrication

  • Skin traction

  • Depth of graft: 0.012 to 0.018 in.

  • Adjustment of dermatome setting

  • Pressure and speed

  • Blade change

Bone and soft tissue recovery
Bone and Soft Tissue Recovery

  • Initial incisions are made and the skin and fat are dissected away from the underlying muscle.

  • Each graft is recovered separately according to strict sequencing to eliminate the chance of cross contamination.

  • The techs are required to change their gloves and surgical blade between each graft.

  • Each graft is swabbed with two culture swabs and two different medias are inoculated and incubated to promote growth.

  • The grafts are individually bagged, wrapped and labeled.

  • All grafts recovered are then placed in another bag, wrapped, and placed in a shipping container and sent to Dayton for quarantine.

What happens to tissue next
What Happens to Tissue Next?

  • Tissue is frozen and remains in quarantine until all donor screening criteria is complete.

  • Once transplant safety has been determined (thorough QA, QC, and Medical Director review)the tissue is sent to processing and made into surgery-ready grafts.

Processing information
Processing Information

  • Aseptic technique

  • Cut and shaped into grafts

  • Debrided to remove muscle and connective tissue

  • Treated with agents to reduce bacterial and viral bioburden

    • Antibiotics

    • Hydrogen Peroxide

    • Alcohol

    • Sterile water

    • Allowash™

  • Cut and shaped into grafts

  • Packaged for final storage

Storage methods
Storage Methods

  • Room temperature

    • Ambient temperature or cooler

    • Common storage for lyophilized and air dried grafts

  • Wet Ice

    • Zero degrees Celsius

    • Temporary storage for transport

  • Refrigeration

    • 1 to 10 degrees Celsius

    • Storage for fresh tissues

  • Frozen

    • Short term storage up to six months (-20 to -40 degrees C)

    • Long term storage up to five years (-40 degrees C or colder for bone)

Distribution of tissue
Distribution of Tissue

  • Distribution staff receive requests for specific tissue grafts from hospitals & surgical centers

  • Provided to qualified clinicians

  • From tissue bank to dispensing service which is responsible for:

    • Receipt

    • Maintenance

    • Delivery to Clinician

  • Distributed with package insert for handling instructions and information

  • 30,809 tissue grafts from CTS-P recovered donors placed by Distribution in 2009!

Examples of processed tissue grafts bone transplants
Examples of Processed Tissue Grafts – Bone transplants

Crushed Cancellous – Used for space filling

Cancellous Blocks – Used for spinal fusion

Cancellous Cubes-Usedfor reconstructive surgeries

Examples of processed tissue grafts bone transplants1
Examples of Processed Tissue Grafts – Bone transplants

Cortical Struts – Used for spinal fusion or to replace cancerous bone

Fibula Segments and Rings - Used for cervical disk fusion

Examples of processed tissue grafts
Examples of Processed Tissue Grafts

Femur Grafts – Used for hip surgery

  • Connective Tissue

  • Commonly used in orthopedic surgeries (ex: athletic related injuries)

Patella Ligament- Used for ligament repairs (ex: ACL replacement)

Skin grafts
Skin Grafts

  • Thickness of a sunburn peel

  • Biological bandage

    • Reduces infection

    • Helps to maintain temperature & fluid balance

  • Used to treat severe burn victims

    • Just one burn victim can utilize skin grafts from 10 to 15 donors

Example of a skin graft donor site halfway through the initial healing stage

Skin graft being meshed (processing)


Amanda DeRoche CTBS(AATB)