http://www.thehindu.com/2008/09/24/stories/2008092452320100.htm
Ramya Kannan

CHENNAI: A.P. Hithendran’s parents are grieving at the same time they feel a sense of fulfilment.

On Tuesday, S.Ashokan and Pushpanjali, took the bold decision of donating the organs of their brain-dead 16-year-old son.

Hithendran’s heart, kidneys, corneas, and liver were removed by doctors at Apollo Hospital, where he had been admitted, to be used on patients waiting their turn for a fresh lease of life. While the heart is already ticking inside a child at Dr.Cherian’s Frontier Lifeline Hospital, the corneas have gone to Sankara Nethralaya and the kidneys and liver were retained at Apollo.

Hithendran fell from his bike and sustained head injuries while trying to avoid an oncoming bus at Teachers’ Nagar, between Thirukazhkundram and Chengalpattu on Saturday evening. He was not wearing a helmet. Precious minutes lapsed as the boy, who could not be identified immediately by the locals, was brought home to his doctor parents more than 15 minutes after the accident.

“We were such a happy family,” Dr.Ashokan said heaving with sobs. “I thought my son would take care of me.” However, as both parents were doctors, well aware of organ donation, they decided to take a bold step. “We did not want to burn his body. We decided that his organs, at least, should help others. I do not want to know who gets Hithendran’s organs, but I hope they all survive and praise my son.”

http://www.luckylookonline.com/2008/09/blog-post_24.html
http://thamira-pulampalkal.blogspot.com/2008/09/blog-post_24.html
http://nallananban-babu.blogspot.com/2008/09/blog-post_24.html
http://tvtamil.blogspot.com/2008/09/blog-post_24.html
http://pathivubothai.blogspot.com/2008/09/blog-post_24.html
http://vettyofficer.blogspot.com/2008/09/some-good-news-about-chennai-police.html
http://www.tamilvanan.com/content/2008/09/23/hithendran/
http://aammaappa.blogspot.com/2008/09/blog-post_24.html
http://www.ponniyinselvan.in/history-discussion-f26/thyaga-sudar-t26969.html#p110484

http://www.hinduonnet.com/fline/fl1425/14250700.htm

India’s National Magazine
From the publishers of THE HINDU

Vol. 14 :: No. 25 :: Dec. 13 – 26, 1997
For a cadaveric transplant programme

ONE of the objectives of the Transplantation of Human Organs Act, 1994 was to clear the decks legally for the development of a cadaver-based organ transplantation programme. Towards this end, the Act recognised and defined, for the first time in India, the concept of “brain-stem death”.

Since the Act came into force, however, only about 110 kidney transplants from cadavers have been performed in the country, according to Dr. J.V. Thachil, Chief Urologist at the Apollo Hospitals, Chennai, and Dr. J. Amalorpavanathan, Transplant Coordinator at the Government General Hospital, Chennai. Tamil Nadu is the clear leader in the field, with three leading medical institutions in the State accounting for 79 of these. Apollo Hospitals, Chennai, has done 53 cadaveric renal transplants; the Sri Ramachandra Medical College and Research Institute, Chennai, 14; and the Christian Medical College and Hospital, Vellore, 12. In addition, the Government General Hospital, Chennai, has done 8 cadaveric kidney transplants, and K.G. Hospital, Coimbatore, 2.

Leading nephrologists and urologists argue that the continuing commerce in kidneys acts as a disincentive to investments in cadaver-based programmes by capable medical institutions. There are, however, a few hospitals and organisations that are working with the objective of putting in place an effective cadaveric transplant programme and changing social attitudes towards organ donation.

Apollo Hospitals, Chennai, is way ahead of the rest. It performed the country’s first renal transplant from a brain-dead person in October 1995. Since then the hospital has performed 52 more, making its programme the best cadaveric transplant programme in the country.

One lesson to be learnt from the Apollo experience is that a cadaveric transplant programme cannot take off unless the paid-donor programme is stopped and independent investments are made in setting up the infrastructure for a cadaveric programme. “What a hospital needs for a cadaveric transplant is a 24-hour laboratory that can do cross-matching as soon as we harvest a kidney from a cadaver,” notes Dr. Thachil. “It must have a physical plan and an infrastructure for transplants; not just doctors, but theatres and nurses in a constant state of preparedness. We have done up to five transplants in a day.”

A kidney can be harvested from brain-dead accident victims and also from victims of brain haemorrhage and cardiac arrest. Apollo has up to 35 persons on a waiting list for cadaver-based kidney transplants. Many of these patients, who are on dialysis, return to their cities and workplaces, and come when the hospital finds a kidney to match their specific needs. Apollo has given six kidneys that it harvested from brain-dead persons to other hospitals for transplantation as it could not find a match for persons on its waiting list.

On November 21, Dr. Thachil performed a renal transplant surgery on a 75-year-old patient from South Africa. Two kidneys harvested from a cadaver were transplanted into the recipient using what is called a “piggy-back technique”. The patient had been on the waiting list for almost four months. Dr. Thachil says: “This man could easily have bought a kidney, but he chose to wait.”

Once a brain-dead person’s relatives have agreed to his or her organs being harvested, the transplant team has to move fast as delays affect the success rate; the best results are obtained when the kidney is harvested while the heart is still beating. The hospital bears the expenses of keeping the person on a life-support system; the organ retrieval costs are passed on to the recipient.

Asking for permission to harvest a brain-dead person’s organs requires sensitivity to the family’s grief. Dr. Thachil says that in 90 per cent of such cases, the relatives have given permission. “We brief the family fully and we tell them that the organ can be taken without any physical disfigurement of the body. Whenever I give a lecture, I tell people: when you die let you soul go to heaven, but leave your organs behind.”

A donor card programme, under which a person may give consent for doctors to harvest his or her organs in the event of death, is at work in its initial stages in Chennai, Bangalore and some other cities. Such programmes are popular in other countries. Moreover, in several countries, the Law of Assumed Consent prevails: the state assumes that it has an accident victim’s consent to harvest his or her organs in the event of death, unless he or she has left a statement expressly forbidding this (see interview with Dr. Christiaan Barnard, Frontline, November 14).

Dr. Thachil, however, believes that such a law may “backfire” in India. “In India you cannot overlook the family’s wishes after a death has occurred. Apollo’s experience has shown that you can have a cadaveric programme and can convince persons on a case-by-case basis.”

AN organisation whose objective is to change social attitudes to organ donation is the Chennai-based Multiple Organ Harvesting Aid Network (MOHAN). MOHAN was launched in January 1997 by Dr. Sunil Shroff, a transplant surgeon who heads the Department of Urology and Renal Transplantation at the Sri Ramachandra Medical College and Research Institute, Chennai. It has begun a donor card scheme to raise awareness about the need to donate ‘solid’ organs (kidney, heart, liver, lungs and pancreas). A person who enrols in the scheme signs a card and thus consents to his organs being harvested after his death. MOHAN has distributed 17,000 donor cards so far.

The SRMC&RI has performed 57 kidney transplants (including 14 cadaveric kidney transplants) since 1995. A team of doctors from the Department of Urology and Renal Transplantation at SRMC&RI conducted a sample survey in Chennai to test social attitudes towards organ donation. The sample was stratified to capture different socio-economic classes and religious groups in Chennai’s population. Individual questionnaires were given to 8,000 persons, of whom 5,008 responded. Their responses indicated that awareness about organ transplants was high; more than half the people who responded expressed “some degree of familiarity” with the concept of brain-death. More than 70 per cent were willing to carry a donor card. The most significant finding was that the proportion of people who were willing to donate their eyes was substantially higher than the proportion of people who were willing to donate solid organs after death.

The survey’s results point to the significant success of the campaign for eye donations. Such a campaign could serve as an example for a similar effort to raise awareness about the need for donating other organs.

NO cadaveric renal transplant has yet been performed in Karnataka. However, the Foundation for Organ Retrieval and Transplant Education, a non-profit trust founded in September 1996, is helping put in place a programme under which people can signify their willingness to allow doctors to harvest their kidneys, liver, pancreas, heart, heart valves and eyes after their death. The programme was begun by Dr. Philip G. Thomas, a transplant surgeon at St. John’s Hospital, Bangalore, and his wife Rebecca Thomas, a trained transplant coordinator who worked at the Centre for Organ Recovery and Education (CORE), Pittsburgh.

FORTE works with the 10 Bangalore hospitals that are authorised by the Karnataka Government to perform cadaveric transplants, and coordinates the donation and transplantation of organs. It has distributed 1,000 donor cards and received consent from 200 persons for the harvest of their organs after death. Nine patients with End-Stage Renal Disease and one heart patient are currently registered with FORTE seeking organ donors.

http://www.hindu.com/2008/09/17/stories/2008091760731000.htm

Ramya Kannan

• He will report to the government directly on all matters
• He will prepare and maintain a computerised waitlist of potential organ recipients
• Will seek reports from hospitals on occurrence of brain death and transplant activities every month

CHENNAI: Following up on the three recent orders to regulate organ donation and transplantation, including cadaver-based transplant, the State government has appointed a Convenor for the Cadaver Transplant Programme in Tamil Nadu.

J. Amalorpavanathan, Reader in Vascular Surgery, Madras Medical College and Vascular Surgeon, Government General Hospital, was appointed to the post, as per a government order issued Tuesday.

In an earlier order issued on September 5 (as reported in The Hindu on September 7), the government committed itself to formulating a detailed procedure for cadaver-based transplant in government and private hospitals. It also promised to appoint a convenor to co-ordinate all activities relating to the programme. Dr.Amalorpavanathan, who is working as the transplant co-ordinator in the government hospital, has been roped in, considering his experience, and his familiarity with the issues relating to cadaver-based transplant.

Appointed in an honorary capacity, the convenor will report to the government directly on all matters relating to cadaver-based transplantation, the order says. He is expected to design and maintain a computerised waitlist of all potential organ recipients for heart, lung, liver and kidneys as received from the participating hospitals of the State. When organs become available, he will allocate them to the participating hospitals as per the guidelines issued by the government. He will also convene a meeting of the Advisory Committee, constituted under the Transplantation of Human Organs Act, once in two months, or as per requirements, to seek guidance on the detailed functioning of the State-level transplant coordination within the framework of the orders.

Among his other tasks are to seek and receive status reports from all participating hospitals on the occurrence of brain death and transplant activities every month and their outcomes; send to the government every month a consolidated status report on the cadaver-based transplantations that took place during the month; and report any violation of the rules and guidelines by any hospital to the Advisory Committee.

With the government focussing on awareness generation to increase the donations, the convenor will also co-ordinate and undertake such activities and motivation programmes for all involved in brain death certification and organ transplantation among the hospitals and the public.

The office of the convenor will be located in the Tower Blocks in the government hospital. Dr. Amalorpavanathan said the office of the Convenor invites suggestions from the participating hospitals at cadavertransplant@gmail.com and organstransplant@gmail.com.

http://sify.com/news/fullstory.php?id=14602228

Before he was caught, handcuffed and thrown into a police cell, Indian kidney racket kingpin Amit Kumar Raut lived life king size thanks to the nearly 200 per cent profit he gained per illegal transplant, according to his reported admission to Nepal Police.

He also denied having any links with the underworld or doing anything illegal.

“I am a doctor by profession,” the unshaken 43-year-old, who holds just a diploma in ayurveda and is not a qualified doctor, told the police after being arrested from a holiday resort in south Nepal on Thursday.

“I did people a service (through the transplants). I ran the Star Max Life Care Hospital in Gurgaon in India’s Haryana State,” Amit Kumar told police in his statement, a news report said on Saturday.

“Transplanting kidneys is my main business. I have been doing this for 15 years.”

According to the Nepali tabloid Naya Patrika, Amit Kumar told the Metropolitan Police’s crime division, who began interrogating him afresh on Friday, that patients from the US, Canada and European countries used to come to his clinic for transplants.

“I have conducted about 3,000 transplants for patients from these countries,” Amit Kumar reportedly told the police.

He said there were legal complications about kidney transplants. Several States had tight laws preventing such acts.

“In Haryana, the laws are slightly more lenient, which is why I opened my hospital there,” he reportedly said.

Amit Kumar is said to have told police that he used to charge per kidney recipient Rs 3,00,000-4,00,000 for a transplant.

“The poor and unemployed in India are interested in donating their kidneys,” the tabloid quoted him as saying to the police. “I used to pay the donors Rs 25,000 to Rs 100,000.”

However, Amit Kumar insisted that he had not done anything wrong.

“I did not force anyone to donate their kidneys,” he said. “I did not dupe anyone. The kidneys were extracted with the consent of the donors. Therefore, it was not a crime.”

“The sellers were poor Indians and buyers rich foreigners. I acted as the go-between and did people a service. I took money only after offering my services, it can’t be construed as robbery.”

Amit Kumar rejected the allegations that he had links with the underworld.

“I did not take the help of the underworld for my transplant operations,” the father of two said.

“At times I have also worked without profit to transplant poor and unemployed donors’ kidneys.”

Kumar blamed the Indian media for his plight.

“After the media targeted me, the Moradabad authorities filed a case against me in Uttar Pardesh state,” he alleged.

Asked why he was on the run if he had not done anything wrong, Amit Kumar said he was not running away but trying to defend himself.

RESULT OF THE AUTHORISATION COMMITTEE MEETING HELD ON 14.9.2007

S.N

Name of the Hospital

Name of the Patient

Name of the Donor

Approved Or Not Approved

Reason for Not Approved

1

Coimbatore Kidney Center Coimbatore

Mr.R.Thirumani

Mrs.Kousal Rani

Approved

———-

2

Kovai Medical Center Coimbatore

Mr .Kamakhya Patowari

Mr. Swapan Roy

Approved

———-

3

Kovai Medical Center Coimbatore

Mr.K.K.Sathyavan

Mr.T.V.Sudheer

Approved

———-

4

MIOT Hospital Chennai

Mr.Iyamuremye Octavien

Mr.Hashakimana Jacaues

Approved

———-

5

Chennai Kaliappa Hospital,Chennai

Mrs.Vijayalakshmi

Mrs.Suguna

Not Approved

The identity with reference to residential address and photograph are not clearly established.

Donor and her spouse are ignorant about the nature of organ donation.

6

Coimbatore Kidney Center Coimbatore

Ms.Virundha Nair

Mrs.M.Poongodi

Not Approved

The genuiness of the person who has attested the photograph is not proved.

The donor and her spouse are contradicting their statement .

The consequences and the nature of organ donation are not fully known.

7

Chennai Kaliappa Hospital,Chennai

Mrs.Pratima Shou

Mr.Biswambhar Chakraborty

Approved

———-

8

Chennai Kaliappa Hospital,Chennai

Mr.Consain

Mrs.Mary

Not Approved

No Objection Certificate from the Srilankan Embassy is not in proper format.

Chairman

Authorisation Committee

Chennai

To

Coimbatore Kidney Center

738-B Puliakulam Centre

Coimbatore-641 045

Kovai Medical Center And Hospital

Post Box.No.3209

Avanashi Road

Coimbatore 641 014

Chennai Kaliappa Hospital

52,Second Main Road,

Raja Annamalai Puram

Chennai 600 028

MIOT Hospitals

4/112 Mount Poonamalee Road

Manapakkam

Chennai.600 080

RESULT OF THE AUTHORISATION COMMITTEE MEETING HELD ON 7.9.2007

S.N

Name of the Hospital

Name of the Patient

Name of the Donor

Result

Remarks

1

Govt.Stanley Hospital,Chennai

Mr.Shabutheen

Mrs.Nazim Begum

Approved

—————-

2

SHIFA Hospital

Tirunelveli Junction

Mr.Stalin

Mrs.Saroja

Approved

—————-

3

Apollo Hospital

Chennai

Mr.Ram Chandra Chakraborty

Mr.Shankar Nasker

Approved

—————-

4

Apollo Hospital

Chennai

Ms.S.Ash Rena Mani

Mr.T.Dhanakotti Gopal Naidu

Approved

—————-

Chairman

Authorisation Committee

Chennai

To:

Apollo Hospital

21,Greams Lane ,Off Greams Road

Chennai.6

Dr.R.VijayakumarM.D.,D.M..,

Proffessor and Head

Department of Nephrology

Govt.Stanley Hospital,Chennai

Through The Dean

Govt.Stanley Hospital,Chennai

SHIFA Hospital

82 Kailasapuram Middle Street

Tirunelveli Junction

RESULT OF THE AUTHORISATION COMMITTEE MEETING HELD ON 17.8.2007

S.N

Name of the Hospital

Name of the Patient

Name of the Donor

Result

Remarks

1

Apollo Hospital

Chennai

Mr.Ramachandra Chakraborthy

Mr.Shankar Nasker

Not Approved

The Death Certificate of the donor’s parents from the competent authority is not available

2

Kovai Medical Center Coimbatore

Mr.Sabharam Gayan

Mr.Rameswar Bora

Approved

—————

3

Kovai Medical Center Coimbatore

Mr.Gnanasekaran

Mrs.Dhanalakshmi

Approved

—————

4

PSG Hospital Coimbatore

Mr.Vadivel

Mr.Vairavel

Absent

—————

5

Chennai Kaliappa Hospital,Chennai

Mr.Md.Farmuj Ali

Mr.Yakub Ali

Approved

—————

6

Christian Medical College,Vellore

Mr.Lalarenjam Moren Singh

Ms.Keisam Nandrarawz Devi

Approved

—————

Chairman

Authorisation Committee

Chennai

To:

Chennai Kaliappa Hospital

52,Second Main Road,

Raja Annamalai Puram

Chennai 600 028

Kovai Medical Center And Hospital

Post Box.No.3209

Avanashi Road

Coimbatore 641 014

Christian Medical College

IDA Scudder Road

Vellore 632 004

Apollo Hospital

21,Greams Lane ,Off Greams Road

Chennai.6

PSG Hospitals

Avinashi Road

Peelamedu

Coimbatore 641 004

RESULT OF THE AUTHORISATION COMMITTEE MEETING HELD ON 10.8.2007

S.N

Name of the Hospital

Name of the Patient

Name of the Donor

Whether Approved Or Not Approved

Reason for Not Approved

1

Bharathi Raja Hospital

Chennai

Mr.R.Mohan

Mrs.M.Thilagavathy

Approved

————

2

Chennai Kaliappa Hospital,Chennai

Mr.Murugan

Mr.Ebenesar Poonuraj

Approved

————

3

Chennai Kaliappa Hospital,Chennai

Mr.Pradip Kumar

Mr.Bijonchowdury

Approved

————

4

Kovai Medical Center Coimbatore

Mr.Dhananjayan

Mrs.U.K.Usha

Approved

————

5

Coimbatore Kidney Center,

Coimbatore

Mr.Sivan

Mrs.Malar @ Valarmathi

Approved

————

Chairman

Authorisation Committee

Chennai

To

Chennai Kaliappa Hospital

52,Second Main Road,

Raja Annamalai Puram

Chennai 600 028

Kovai Medical Center And Hospital

Post Box.No.3209

Avanashi Road

Coimbatore 641 014

Bharathi Raja Hospital & Research Centre Pvt. Ltd.,

11,Madley Road,T.Nagar

Chennai 600 17

Coimbatore Kidney Center

738-B Puliakulam Centre

Coimbatore-641 045

RESULT OF THE AUTHORISATION COMMITTEE MEETING HELD ON 3.8.2007

S.N

Name of the Hospital

Name of the Patient

Name of the Donor

Result

Remarks

1

Coimbatore Kidney Center Coimbatore

Mr.Sivan

Mrs.Malar @ Valarmathi

Not Approved

Donor does not know the P.O.

Complications

2

Kovai Medical Center

Coimbatore

Mr.Shahulo Hameed

Mr.Biju George

Approved

—————-

3

Kovai Medical Center

Coimbatore

Mr.P.R.Preman

Mrs.Shaji

Approved

—————-

4

Kovai Medical Center

Coimbatore

Mr.Dhananjayan

Mrs.U.K.Usha

Not Approved

Complications have not been explained to the donor

5

Govt.Stanley Hospital

Chennai

Mr.Pandian

Mrs.Shanmugavadivu

Approved

—————-

6

K.G.Hospital

Coimbatore

Mr.Durga Charan Das

Mrs.Anima Sinha

Approved

Subject to the receipt of consent letter from donor’s daughter

7

Chennai Kaliappa Hospital,Chennai

Miss.Varsha Beghel

Mr.Priyatosh Thakur

Approved

—————-

8

Chennai Kaliappa Hospital,Chennai

Mr.Shyamal Kanti Das

Mr.Sandip Paul

Approved

—————-

9

Chennai Kaliappa Hospital,Chennai

Mrs.Pramila Brahma

Mr.Kamendra Basumatary

Approved

—————-

Chairman

Authorisation Committee

Chennai

To:

Chennai Kaliappa Hospital

52,Second Main Road,

Raja Annamalai Puram

Chennai 600 028

Kovai Medical Center And Hospital

Post Box.No.3209

Avanashi Road

Coimbatore 641 014

K.G.Hospital

No.5,Govt.Arts College Road

Coimbatore – 641 018

Coimbatore Kidney Center

738-B Puliakulam Centre

Coimbatore-641 045

Dr.Vijayakumar

Professor and Head

Department of Nephrology

Government Stanley Hospital

Chennai

Through The Dean

Government Stanley Hospital

Chennai

FORM – 8
[(See rule 4(3) (a) and (b)]
We the following members of the Board of medical experts after careful personal examination hereby certify that Shri/Smt/Km……………………………………………………………..aged about…………………..son of/wife of/ daughter of…………………………………………………..resident of ………………………………………………………….is dead on account of permanent and irreversible cessation of all function of the brain stem. The test carried out by us and the findings therein are recorded in the brain stem death Certificates annexed hereto.
Dated……………………………… Signature……………………………………..
1. R.M.P Incharge of the Hospital in which brain-stem death has occurred.

2. R.M.P. nominated from the panel of
names approved by the Appropriate Authority
3. Neurologist / Neuro Surgeon nominated
. from the panel of names approved by
Appropriate Authority.
4. R.M.P. treating the aforesaid deceased person
BRAIN STEM DEATH CERTIFICATE

(A) PATIENT DETAILS :
1. Name of the Patient Mr/Ms. ………………………………………………………….. S.O./D.O./W.O. Mr. …………………………………. ……………….. ………. Sex………………………….. Age ………………….. 2. Home Address …………………………………………………………….
…………………………………………………………….

3. Hospital Number …………………………………………………………… . . …………………………………………………………..

4. Name and Address of next of kin or ……………………………………………………………
person responsible for the patient (if none ……………………………………………………………
exists,this must be specified) ……………………………………………
…………………………………………………………..
………………………………………………………….. 5. Has the patient or next of kin agreed …………………………………………………………..
to any transplant ? ……………………………………………………………
6. In this a police Case ? Yes………………………..No……………………….

(A) PRE-CONDITIONS:

1. Diagnosis : Did the patient suffer from any illness or accident that led to irreversible brain damage? Specify details ………………………………………………………………………………….
………………………………………………………………………………………………………………………….
Date and time of accident/onset of illness ………………………………………………………………….
Date and onset of no-responsible coma …………………………………………………………………….
2. Finding of Board of Medical Experts : (i) The following reversible causes of coma have been excluded:

Intoxication (Alcohol)
Depressant Drugs
Relaxants (Neuromuscular blocking agents)

First Medical Examination Second Medical Examination

1st 2nd 1st 2nd
Primary hypothermia
Hypovolaemic shock
Metabolic or endocrine disorders
Tests for absent of brain stem functions
2) Coma
3) Cessation of spontaneous breathing.
4) Pupillary Size
5) Pupillary light reflexes
6) Doll’s head eyes movement
7) Corneal reflexes (Both Sizes)
8) Motor response in any cranial nerve distribution, any responses to simulation of face limb of trunk
9) Gag reflex,
10) Cough (Tracheal)
11) Eye movements on caloric testing bilaterally
12) Apnoea tests as specified
13) Were any respiratory movements seen?

Date and Time of first testing ………………………………………………………………
Date and Time of second testing ………………………………………………………………

This to certify that the patient has been carefully examined twice after an interval of about six hours and on the basis of findings recorded above,
Mr/Mrs……………………………………………………….. is declared brain-stem dead.
1. Medical Administrator Incharge of the hospital 2. Authorised Specialist
3. Neurologist/ Neuro Surgeon 4. Medical officer treating patient.
NB. I. The minimum time interval between the first testing and second testing will be six hours.
II. No.2 and No.3 will bo co-opted by the administrator incharge of the hospital from the panel of experts approved by the appropriate authority.

FORM 9
(See rule 4(3) (b))

 

 

 

I, Mr/Mrs………………………………son of / wife of…………………..resident of………………………
hereby authorise removal of the organ/organs namely…………………………….for therapeutic
purposes from the dead body of my son/daughter .
Mr/Ms………………………………………………………aged…………………….whose brain stem
death has been duly certified in accordance with the law
Signature…………………………

 

 

Name………………………………

 

Place……………………………….

Date………………………………….

 

 

FORM -10

 

 

APLICATION FOR APPROVALFOR TRANSPLANTATION LIVE DONOR OTHER THANNEAR RELATIVE
Whereas I …………………………………………….S/O, D/O, W/O, L/O………………………..aged
residing………………………………………………………….have been informed by my doctor that I am suffering from…………………..and may be benefitted by transplantation ……………………. into my body.
and whereas I …………………………………………………………………………….. S.O. D.O. W.O………………………………….. aged ……………… residing at……………………………………by reason of affection and attachment because :
…………………………………………………………………………………………………………………………….
…………………………………………………………………………………………………………………………….
(reason to be filled in)

would like to donate my………………………………to……………………….we……………………………

 

(donor)
and……………………………………..hereby apply to authorisation committee for permission (Recipient)

for such transplantation to be carried out.

We solemnly affirm that the above decision has been taken without any undue pressure, inducement, influence or allurement and that all-possible consequences and options of organ transplantation have been explained to us.
…………………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………………..

 

Signature and address of prospectiveSignature and address of prospective

donorrecipien

 

FORM 11
APPLICATION FOR REGISTRATION OF HOSPITAL TO CARRY OUT ORGAN TRANSPLANTATION

 

ToThe Appropriate Authority for organ transplantation …………………………
(State of Union Territory)

We hereby apply to be recognised as an institution to carry out organs transplantation. The required data about the facilities available in the hospital are as follows:-

(A) HOSPITAL

 

 

1. Name …………………………………………………………………………
2. Location …………………………………………………………………………
3. Govt./pvt. …………………………………………………………………………
4. Teaching/Non Teaching …………………………………………………………………………
5.Approached by:

 

 

Road: Yes No

 

Rail : Yes No

 

Air : Yes No

 

 

6. Total bed strength : …………………………………………………………………………
7.Name of the disciplines in the hospital : . ……………………………….. ……………..
8. Annual budget : …………………………………………………………………………
9. Patient turn-over/year : …………………………………………………………………………

 

(B)SURGICAL TEAM : 

1. No.of beds …………………………………………………………………………

2. No. of permanent staff members

with their designations ……………………… ………………
3. No. of temporary staff with their designations ………………………………. …………………. …….. 4. No. of operations done per year …………………………………………………………………………
5. Trained persons available for ………………………………………………………………………..

transplantation (Please specify organ for transplantation)

 

(C) MEDICAL TEAM:
1. No. of beds ……………………………………………………
2. No. of permanent staff members with their designation ………… ………………..
……. ………… ..
3. No. of temporary staff members with their designation …………………………………… ………………
4. Patient turnover per year ……………………………………………………
5. No. of potential transplant candidates admitted per year ………………………… ……………….

 

(D) ANAESTHESIOLOGY

 

1. No. of permanent staff members with

their designation….. ……… …. ……………….. …
2. No. of temporary staff members with

their designations……………………………………………………

3. Name and No.of operations

performed ……………………………………………………
4. Name and No. of equipments available ……………………………………………………

5.Total No. of operation theatres in the

Hospital………………… …………………. ………. 6.No. of emergency operation theatres ……………………………………………………

7. No. of separate transplant operation

theatres …………………………………………………..

 

(E) I.C.U. / H.D.U. FACILITIES :

1. ICU/HDU facilities : Present…………………Not Present…………..

2. No. of I.C.U beds ………………………………………………………..

3.Trained

 

Nurses…………………………………………………………

Technicians…………………………………………………………

 

4. Name and number of equipments

in ICU

(F) OTHER SUPPORTIVE FACILITIES

 

Data about facilities available in hospital.

 

 

(G) LABORATORY FACILITIES :

 

1. No. of permanent staff with their designations

    

2. No. of temporary staff with their designations

    

3. Names of the investigations carried out in the Dept

    

4. Name and number of equipments available

    

    

(H) IMAGING SERVICES

1. No. of permanent staff with their designations

2. No. of temporary staff with their designations

3. Names of the investigations carried out in the Dept

4. Name and number of equipments available

 

(I) HAEMATOLOGY SERVICES

1. No. of permanent staff with their designations

2. No. of temporary staff with their designations

3. Names of the investigations carried out in the Dept

4. Name and number of equipments available

 

 

 

(J) BLOOD BANK FACILITIES: Yes……………………… No………………..

(K) DIALYSIS FACILITIES Yes……………………… No……………..…

(L) OTHER PERSONNEL

 

 

1. Nephorlogist Yes/No

    

2. Neurologist Yes/No

    

3. Neuro-Surgeon Yes/No

    

4. Urologist Yes/No

    

5. G.I. Surgeon Yes/No

    

6. Paediatrician Yes/No

    

7. Physiotherapist Yes/No

    

8. Social Worker Yes/No

    

9. Immunologists Yes/No

    

10. Cardiologist Yes/No

     

     

The above said information is true to the best of my knowledge and I have no objection to any scrutiny of our facility by authorised personnel. A Bank Draft/Cheque of Rs. 1,000/- is being enclosed.
sd/-

 

HEAD OF THE INSTITUTION

 

FORM-12 CERTIFICATE OF REGISTRATION     This is to certify that……………………………….Hospital located at……………………………… has been inspected by the Appropriate Authority and certificate of registration is granted for performing the organ transplantation of the following organs 1……………………………………………. 2. ……………………………………………. 3. …………………………………………… 4. …………………………………………….   This certificate of registration is validfor a period of five years from the date of issue.   Signature……………………………………………… Signature………………………………       FORM-13   (See sub-rule 8(2))   OFFICE OF THE APPROPRIATE AUTHORITY This is with reference to the application, dated…………………………….from……………….. (Name of the hospital) for renewal of certificate of registration for performing organ transplantation under the Act.   After having considered the facilities and standards of the above said hospital the Appropriate Authority hereby renews the certificate of registration of the said hospital for the purpose of performing organ transplantation for a period of five years.   Appropriate Authority………………   Place………………………………………   Date……………………………………….