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011122e
Services
11/22/1994
Room Temperature
Yes
Documentation
  • Completed serological test results
  • Donor Risk Assessment Interview
  • Donor information, authorizing person, hospital, available reports (example: autopsy), refrigeration times
  • Right tarsal and metatarsal
  • Left tarsal and metatarsal
Freezer 2
11/22/2005
Top Health
5878787
Legacy Donor
11/01/2025
-40° C
Yes
Documentation
  • Relevant donor medical records, including medical history
  • Completed serological test results
  • Serological sample collection sheet
  • Authorization document (informed consent, in the case of living donors)
  • Culture results records
  • Donor Risk Assessment Interview
  • Donor information, authorizing person, hospital, available reports (example: autopsy), refrigeration times
  • Hemodilution form
  • Extracted tissue summary
  • Extraction report
  • List of tissue banks that extracted the donor tissue
  • Donor tissues/organs
  • Physical/medical evaluation of the donated tissue and the donor
  • Deviations in the process, if applicable
  • Registration for the qualification of the extraction site
  • Relevant dates and times of the extraction process, with extraction sequence
  • Supplies sheet used in extraction
  • List of reception of tissues extracted at the receiving bank
  • Donor reference sheet (who took the call from the potential donor, if applicable)
  • Donor approach report, if applicable
  • Medical examiner's report (prosecutor/police), when applicable
  • Right ulna
  • Left ulna
  • Right fibula
  • Left fibula
  • Right humerus
  • Left humerus
  • Right scapula
  • Left scapula
  • Right talus
  • Left talus
  • Rib with right cartilage
  • Rib with left cartilage
  • Right hemipelvis
  • Left hemipelvis
  • Right ilium
  • Left ilium
  • Entire right femur, tibia and patella
  • Entire left femur, tibia and patella
  • Right tarsal and metatarsal
  • Left tarsal and metatarsal
  • Right wrist block
  • Left wrist block
  • Right thoracic limb (humerus, radius, ulna)
  • Left thoracic limb (humerus, radius, ulna)
  • Right block elbow
  • Left block elbow
  • Right pelvic limb (femur, patella, tibia, fibula)
  • Left pelvic limb (femur, patella, tibia, fibula)
  • Left Fascia Lata
  • Right Fascia Lata
  • Right knee block
  • Left knee block
  • Right flexor tendon
  • Left flexor tendon
  • Right extensor tendon
  • Left extensor tendon
  • Right palmaris tendon
  • Left palmaris tendon
  • Right Achilles tendon
  • Left Achilles tendon
  • Achilles tendon with right calcaneus and talus
  • Achilles tendon with left calcaneus and talus
  • Right Achilles tendon with calcaneus
  • Left Achilles tendon with calcaneus
  • Right anterior tibial tendon
  • Left anterior tibial tendon
  • Right semitendinosus tendon
  • Left semitendinosus tendon
  • Right posterior tibial tendon
  • Left posterior tibial tendon
  • Right gracilis tendon
  • Left gracilis tendon
  • Right peroneus longus tendon
  • Left peroneus longus tendon
  • Adipose tissue
  • Other
Freezer 2
01/01/2026
Top Health