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Lyophilized Cancellous Chips and Corticocancellous Chips

Lyophilized Human Bone Tissue in the Form of Cancellous or Corticocancellous Chips

Obtained from the morcellation of femoral epiphyses and tibial epiphyses of selected donors.
The cancellous chips are derived from the marrow component of the bone, while the corticocancellous chips are obtained from both the cortical and marrow components.
Lyophilized tissue allows for easier handling in both routine and emergency procedures, as it is always available and can be easily stored at room temperature.

Measures
coarse granulometry: 3–5 mm
medium granulometry: 1–3 mm
fine granulometry: 0.5–1 mm
FEATURES
For each granulometry type, packaging is available in: 0,5 cc/1cc / 3cc / 5cc / 10cc / 20cc / 30cc / 50cc Tissue rehydration must be performed under aseptic conditions. Packages must be stored at room temperature, away from light, excess humidity, and heat sources, until the expiration date. Each package bears an expiry date of 5 YEARS from the date of retrieval. Avoid freezing.
Area of ApPlication

Major Clinical Applications

Used in orthopaedics and maxillofacial surgery as:

  • Filler in pseudoarthrosis
  • Filler in fractures
  • In tumour surgery
  • In vertebral arthrodesis
  • In sinus lift
DESCRIPTION
Corticocancellous 1cc large particle size
Corticocancellous 2cc large particle size
Corticocancellous 5cc large particle size
Corticocancellous 10cc large particle size
Corticocancellous 15cc large particle size
Corticocancellous 30cc large particle size
Corticocancellous 1cc fine particle size
Corticocancellous 2cc fine particle size
Corticocancellous 1cc medium particle size
Corticocancellous 2cc medium particle size
TISSUE CODE
FDMS103
FDMS104
FDMS105
FDMS106
FDMS107
FDMS108
FDMS501
FDMS502
FDMS503
FDMS504
STORAGE
Ambient Temperature
Ambient Temperature
Ambient Temperature
Ambient Temperature
Ambient Temperature
Ambient Temperature
Ambient Temperature
Ambient Temperature
Ambient Temperature
Ambient Temperature

Donor Selection

Homologous tissue comes from carefully selected donors, with careful evaluation of their medical history and thorough physical examination. Standard screening includes: anti-HIV 1/HIV 2, anti-HCV, HBsAg, anti-HBc, anti-HBsAg, anti-Treponema pallidum, anti-HTLVI/ HTLVII, HBV-DNA, HCV-RNA, HIV-1 RNA. On each donor and tissue is also subjected to microbiological screening and, if deemed necessary, additional tests. Tissues are harvested exclusively in the operating room to ensure sterility. The harvested tissue is kept at +2oC /+8oC until processing begins in FBTV’s classified laboratories.

Conservation

Lyophilised tissues are prepared in sterile double packaging, supplied with an instruction leaflet with all the characteristics of the tissue. The packaging is stored at room temperature. Each package is marked with a validity date of 5 years from the date of collection.

Distribution

The tissue is sent in an athermic container, certified to ensure temperature maintenance during transport. Freeze-dried tissue must be stored at room temperature between

+15°C and +30°C, protected from light, excess humidity and heat sources until the expiry date stated on the packaging.

The Bank guarantees proper preservation until receipt of the tissue; in the event of any problems occurring during transport, the user must immediately notify FBTV. All tissues distributed to implantation centres are accompanied by documentation describing: suitability of the donor, origin and characteristics of the tissue, expiry date, serological and microbiological tests performed, method of preservation, specific instructions for preservation and implantation, documentation for follow- up of the implanted tissue.

Each tissue must be used for a single patient.

 

Processing

Results to date show that homologous bone tissue, thanks the techniques of processing techniques, retain their original inductive and conductive properties and can be considered first choice materials. All preparation, handling and storage operations are performed in an environment with facilities in compliance with national regulations.

Laboratory activities take place in environments classified as grade A according to the European Guide to Good Manufacturing Practice (GMP), the classification of the environments is verified with continuous checks in order to minimise the risk of contamination.Accessto classifiedenvironments requires specific clothing to minimise possible contamination from outside and to safeguard the safety of personnel. Entry to the processing rooms is strictly limited t o persons involved in the process or visitors accompanied by internal staff.

The processing of bone segments includes an antibiotic decontamination phase. To guarantee quality and safety, these are performed:

  1. a morphological assessment of the tissue on arrival and

during processing with grading, according to a defined scale;

B.possible decontamination of tissues;

  1. culture tests for aerobic bacteria and anaerobes, mycetes, during all phases of activity.Lyophilised tissues are prepared in sterile double packaging, supplied with an instruction leaflet with all the characteristics of the tissue. The packaging is stored at room temperature. Each package is marked with a validity date of 5 years from the date of collection.
Other Informations

The clinical use of human tissue offers important benefits for recipients. Like any product of human origin, their use is not without risks, although these are rare. A control system is needed to ensure traceability and identification of the tissue at any stage of the process, from donation to recipient. Each tissue is identified with a unique code to allow traceability from origin to destination. Once the tissue is transplanted the code must be attached to the recipient’s medical history. FBTV must be informed when the tissue has been transplanted, through the completion of the “Traceability Card” attached to the tissue. The bank must be informed if the tissue has not been implanted.

If there is suspicion or evidence of a serious adverse reaction or an effect in the recipient possibly related to the safety and quality of the transplanted tissue, the physician should contact immediately and complete the ‘Rapid Notification of Suspected Serious Adverse Events of Suspected Serious Adverse Events” or “Rapid Notification of Suspected Serious Adverse Reactions”.

FBTV is registered on the list of Tissue Banks accredited by the National Transplant Centre; regulated activities include donation, collection, evaluation, preparation, preservation and distribution of homologous tissues. It operates in compliance with international standard ISO 9001:2015 and has a certification process in place to certify that tissues meet predefined safety, traceability and morphological requirements. Homologous tissues procured, processed, stored and distributed meet the requirements of Italian legislation (Law 91/99, Legislative Decree 191/97, Legislative Decree 15/11/2016, Legislative Decree 256 16/12/2016, State/Regions Agreement 66/CSR 8/3/2018) and European Directive 2004/23 and Directives 2006/17/EC, 2006/86/EC, 2012/39/EU, 2015/565/EU, 2015/566/EU. FBTV follows the standards of the main scientific associations: European Association of Tissue Banks (EATB), American Association of Tissue Banks (AATB), and the recommendations of: Good Tissue Practices (Euro-GTP) and the Council of Europe EDQM Guide to the quality and safety of tissues and cells for human application.

    Bibliography

    Tessuti Liofilizzazione

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