CTBS EXAM 2025 SECTION M; TISSUE
DISTRIBUTION INTERMEDIARIES
QUESTIONS AND ANSWERS
What is expected of an agent that obtains scattered tissue for storage and
subsequent distribution?
To guarantee tissue safety and traceability from reception through storage,
clinical use, additional distribution, or disposal, policies and procedures should
be established.
What are the duties and definitions of a tissue distribution intermediary?
1) When planning, developing, maintaining, or managing the completed tissue
requirements, pertinent Section E sections are applicable.
2) Creating, constructing, defining, or upholding accountability for the finished
tissue label's contents, pertinent Section G provisions apply.
3) carrying out any labelling tasks, such as physically applying a label to
completed tissue; pertinent Section G provisions apply.
4) final tissue release review; pertinent Section F sections apply
When do tissue banking operations go beyond the limited range of tasks that
define an organisation as a tissue distribution intermediary—that is, an agency
that merely collects and holds tissue for subsequent distribution?
Accreditation is contingent upon compliance with all applicable criteria.
What distinguishes tissue distribution intermediaries from tissue dispensing
services in terms of relabelling?
Relabelling tissue is prohibited. Current labels cannot be changed. Unless
previously authorised by the tissue bank processor who applied the first label,
no additional labels may be applied.
, When is tissue further distributed by a tissue distribution intermediary?
The tissue must be sent with any additional enclosures or labelling materials
that go with it.
Will the availability of tissue for transplantation be limited to?
end users (such as doctors, dentists, podiatrists, or other medical professionals),
hospitals, independent medical facilities, tissue banks, tissue dispensing
services, and another tissue distribution middleman for use in recipients
Intermediaries involved in tissue distribution must have protocols outlining how
new tissue requests are evaluated.
Unless expressly permitted in a gift/authorization contract or in an informed
consent record, human tissue transferred for transplantation via tissue
distribution intermediaries cannot be marketed or distributed for veterinary use.
Controls, such as those on the gift/authorization or informed permission
document, must be in place to guarantee that distribution limits are fulfilled.
The transplanting physician will have access to donor risk assessment, tissue
condition(s), and tissue processing details upon request, excluding information
that would compromise donor anonymity.
The tissue distribution intermediary is responsible for maintaining protocols to
guarantee traceability and adequate storage conditions during consignment,
subsequent distribution, or return if tissue is supplied on consignment.
Packages must be examined before shipping to make sure the labels and
external packing are correct.
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