The Blood and Tissue Center of Central Texas (BTC) procures approximately 300 donors each year. This number is steadily increasing as BTC increases partnerships with other tissue recovery programs. The Blood and Tissue Center of Central Texas main facility is located in Austin, Texas with satellite offices in Corpus Christi, TX and another facility in Austin, TX. BTC provided hospitals and other healthcare facilities with approximately 11,000 grafts in 2003. BTC is one of the few Tissue Centers that has the capacity to procure, process, and distribute tissue. All donors procured for and by BTC are processed at the main campus located in Austin.
Ensuring our customers a safe and quality tissue graft is the cornerstone of our business. In order to ensure a safe product, BTC has established and adheres to Standard Operating Procedures. In addition to this BTC has maintained accreditation from the American Association Of Tissue Banks (AATB) since the 1986. The Blood and Tissue center complies with guidelines and regulation of the Food and Drug Administration (FDA), the Occupational Health and Safety Agency, (OSHA), and several other state and local health regulatory agencies. The Spring of 2005 will mark the implementation of Current Good Tissue Practices(cGTP) and BTC will be ready to adhere to those practices once implemented.
BTC Staff includes Certified Tissue Bank Specialists with extensive tissue banking experience.
BTC Bank Staff includes professional staff with extensive medical device, biotechnology, and pharmaceutical industry experience.
BTC has a Quality Control Department to oversee storage units, testing requirements, water system maintenance, review of documentation, and internal audits.
With our diversified staff BTC is on the cutting edge of technology and well equipped to handle new trends and regulations affecting the tissue banking industry.
When a death occurs in a hospital, they are required by federal law to report the death to a referral line for donation. In turn, the call is triaged to the donor agencies that are contracted to service that particular hospital with donor services. Referral calls may also originate from a medical examiner, justice of the peace or even a funeral director.
BTC’s highly trained and professional staff operates on an on-call basis 24 hours a day, 7 days a week, 365 days a year. The donor coordinator then does a preliminary screening for medical suitability, based on the information first received from the referral agent.
Every potential donor must pass a thorough Quality Assurance process. Comprehensive medical and social histories are required for every donor. The potential donor is screened for suitability based on medical history, age and other criteria set forth by our Medical Director. If additional information is needed we will consult with physicians, medical staff and family members to acquire the needed information. We will exclude donors, which may be unsuitable due to transmissible diseases, infections, malignancy, toxic exposure, IV drug abuse, HIV, autoimmune disease and any high-risk behavior. We are very careful about the donors we elect to recover, process and distribute. It is our mission to furnish only the safest high quality tissue for transplant.
Once a thorough screening of the potential donor has been accomplished and we are confident this is a suitable donor, a highly trained donor coordinator will then contact the legal next-of-kin to discuss the option of donation. The responsibility of the requestor is to provide as much information as necessary for families to make an informed decision without exerting pressure or bias. In all cases the family decides what will or will not be donated. If we determine that the family is not comfortable with their decision to donate, we will not encourage or coerce the donation rather we support the family, their feelings, and make ourselves available to assist them in any way possible.
Consent may be obtained in person or may be obtained and recorded by telephone.
For families who have not discussed donation in advance, this can be a very difficult time. We encourage everyone to learn the facts about donation, make a personal choice and discuss it with their loved ones so their wishes may be carried out. Our hope is that you will share your life and share your decision.
The proper identification of the agency and person requesting consent.
Proper identification of the donor.
Proper identification and relationship of the consenting person, including name, address and telephone number.
A statement granting permission to have access to the donor’s medical records.
A statement that blood samples and/or tissue samples will be collected from the donor for serology testing for certain transmissible diseases and the need to conduct these tests.
A statement that all information relating to the donor will be held in strict confidence.
A full and specific description of tissues to be recovered in language appropriate for the Next-of-kin.
Families who wish to donate for transplantation only, or who wish to exclude research or cosmetic uses should be able to do so.
A statement that the costs of the donation and recovery activity will not be the responsibility of the donor.
Disclosure of the medical suitability process and the need to protect recipients from disease transmission.
A discussion regarding funeral arrangements, and if donation will impact any of these arrangements and/or plans.
Any additional information required by state and/or local laws and/or regulations.
At all times, questions from any family member(s) should be taken seriously and answered fully. If the requestor does not have the proper information, it is their responsibility to insure that the information is made available to the family in a timely manner.
The standard musculoskeletal recovery consists of the long bones and connective tissue (tendons, ligaments and cartilage) of the lower extremities, the pelvis, and lumbar spine. We have the ability to recover both Saphenous and Femoral veins from the same incision where we have recovered the long bone.
A thin layer of skin may be removed from non-visible areas front and back.
Finally, we may remove the non-beating heart for the heart valves. In all cases only tissue that has been consented for by the family will be removed.
Our policies and procedures require the procurement of tissue be done in an aseptic environment following standards established by the Association of Operating Room Nurses (AORN). Our procurement technicians have gone through extensive training and are current on all of the latest requirements of AATB and FDA.
The procurement team will replace the recovered tissues with prosthetics to allow for all funeral options, including an open casket. BTC works very closely with funeral homes to ensure that all burial issues are handled appropriately. To insure we understand challenges facing the funeral home staff, BTC has two licensed funeral directors on our staff.
Acetabular Reconstruction
Acetabulum Cancellous Block Cancellous, Crushed Femoral Condyles, Hemi or Whole Femur Head
Anterior Cervical Fusion
Unicortical Cloward Dowels from Femoral Condyles Femur Greater Trochanter Femoral Head Tibia, Proximal and Distal
Tricortical from Ilium Crock Dowels Iliac Crest Wedge Ilium , Hemi/whole Matchsticks
Tricortical from Patella Patellar Bone
Anterior Cervical Disc Fusion
Corticocancellous Struts from Proximal Tibia or Distal Femur Fibula, Distal, Proximal or Whole
Fibula Ring from Fibula Shaft Tibial/ Femoral Ring from Tibia/ Femur Shaft
Anterior/ Posterior Cruciate Ligament Repair
Achilles Tendon Fascia lata, various sizes Patella Ligament, from Proximal Tibia Tibialis Tendon Semi Tendinosus/ Gracilis
Anterior Lumbar Interbody Fusion
Femur Ring, from Femur Shaft Femur Ring with Dowel, from Femur Shaft, Dowel areas
Heart Valves: Aortic, Pulmonary Mitral Valve from Heart By-pass: Coronary Artery (Heart) or vascular (Leg) from Saphenous Vein, Femoral Vein or Femoral Artery
Cornea from the eye
Ilium, Bicortical Plates
Dura Mater,Various Sizes Fascia Lata,Various Sizes Pericarium Various Sizes
Ear Reconstruction
Ear Ossicles
Eyelid, and area around the eye From Fascia, Pericardium, Skin
Rib, Rib Cartilage,Various Lengths Bicortical Strips, from Cranium or Ilium Mandible
Fracture Repair (Compound, Comminuted, Impacted)
Bicortical Strips, from Ilium or Cranium Cancellous, Crushed or Chipped Femur, Proximal and Distal Femur Shaft,Various Lengths Tibia, Proximal and Distal Tibia Shaft
Acetabulum Cancellous Blocks Cancellous, Cubed or Crushed Condyles, Whole or Hemi Femur Head Femur, Proximal, with or without Head Acetabulum Femur, Distal Femur, Proximal, with and without Head Tibia, Distal
Humerus, Proximal, with and without Rotator Cuff Humerus, Distal Humerus, Whole
Dura,Various Sizes Fascia lata,Various Sizes Pericardium, Various sizes
Femur, Distal Rib Cartilage,Various Lengths Tibia, Proximal Meniscus
Achilles Tendon with Bone Block Fascia lata,Various Sizes Patellar Ligament, from Proximal Tibia Tibia, Proximal, with Ligament Achilles Tendon Fascia lata, various sizes Meniscus, from Proximal Tibia Patella Ligament, from Proximal Tibia Tibialis Tendons and Semi Tendinosus or Gracilis
Bicortical Strips from Ilium or Cranium Mandible Rib Cartilage
Meniscus, from Proximal Tibia
Rib Cartilage
Cancellous Blocks, from Proximal Tibia, Condyles Cortical Struts Matchsticks
Cancellous, Crushed or Powdered, Mineralized or Demineralized Cortical Bone Powder
Femur Shaft Humerus Shaft Tibia Shaft Fibula Shaft
Crock Dowels,Tricortical, from Ilium or Patella Dowels,Tricortical, from Patella Iliac Crest Wedges Matchsticks
Cancellous Bone Cortical Bone Corticoncellous Bone
BTC continually strives to be pro-active in the tissue industry by taking advantage of the latest available, proven technology. In keeping with those efforts we are currently researching the latest most effective technology such as:
Pathogen inactivation
Micro-decontamination methods
Environmental monitoring procedures
Bio-burden studies
Validation
The primary goal of the BTC is to provide a quality health service to the community. To achieve this goal we strive to meet the highest quality and safety standards recommended by medical and scientific communities. As a result, BTC meets or exceeds all standard set forth by the American Association of Tissue Banks and the Food and Drug Administration.
Quality assurance on all allografts begins well before the tissue is recovered. Tissue bank staff members obtain a very thorough medical and social history screening from the donor’s next-of-kin or the person having the most complete and current knowledge of the potential donor’s medical and social history.
In addition to the extensive screening process, all donor tissues are tested and blood results MUST test negative for the following:
HIV1 and HIV2 antibodies (AIDS screen)
Hepatitis B surface antigen
Hepatitis B Core
Hepatitis C Antibody
Human T-Lymphotropic Virus Type I & II
Syphilis or RPR
NAT HIV1
NAT HCV
NOTE: As other NAT tests become available, BTC will incorporate them into our procedures for serology testing.
Quality Assurance is involved in every process regarding tissue, including recovery, and final distribution. There are many layers of checks and balances to insure the final safety of tissue that is processed and distributed by BTC.
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