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Tutogen – Tutoplast – Tutodent 09/06

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<strong>Tutogen</strong> <strong>–</strong> <strong>Tutoplast</strong> <strong>–</strong> <strong>Tutodent</strong> <strong>09</strong>/<strong>06</strong>


For personal use<br />

<strong>Tutogen</strong> <strong>–</strong> <strong>Tutoplast</strong><br />

<strong>Tutoplast</strong> ® certifies<br />

Experience: > 30 years<br />

Applications: > 250.000 / year<br />

Process Proprietary<br />

Processing: Individually, no pooling<br />

Products: 100% tissue<br />

Procedures: Validated<br />

Sterilization: Validated<br />

Viruses: Validated inactivation<br />

Prions: Inactivated<br />

Shelf life: 5 years


For personal use<br />

<strong>Tutogen</strong> <strong>–</strong> <strong>Tutoplast</strong><br />

<strong>Tutoplast</strong> ® certifies<br />

Storage: At room temperature<br />

Quality Evidence: By reference samples<br />

Traceability: Donor to patient<br />

Biomechanics: Preserved<br />

Tissue Engineering: Optimal matrix<br />

Remodeling: Complete<br />

Tissue compatibility: Excellent


For personal use<br />

OSMOTIC<br />

TREATMENT<br />

<strong>Tutogen</strong> <strong>–</strong> <strong>Tutoplast</strong><br />

The <strong>Tutoplast</strong> Process ®<br />

OXIDATIVE<br />

TREATMENT<br />

DELIPIDIZATION<br />

TISSUE DONATION<br />

DEHYDRATION<br />

STERILIZATION<br />

SHAPING,<br />

PACKAGING


For personal use<br />

<strong>Tutogen</strong> <strong>–</strong> <strong>Tutoplast</strong><br />

Tissue Donation<br />

Consent for donation �<br />

Selection criteria<br />

(AATB/FDA) �<br />

Interview with relatives �<br />

Autopsy �<br />

Procurement by<br />

medical professionals �<br />

Serum tests in double CLIA �<br />

Controlled shipment �<br />

Tissue receiving lab


For personal use<br />

<strong>Tutogen</strong> <strong>–</strong> <strong>Tutoplast</strong><br />

Delipidization<br />

� individual processing (no pooling)<br />

� processing of tissue batches<br />

� medical device standards: GMP<br />

� validated process<br />

Ultrasonic treatment to remove<br />

lipids. Enables effective penetration<br />

in subsequent steps.


For personal use<br />

<strong>Tutogen</strong> <strong>–</strong> <strong>Tutoplast</strong><br />

Osmotic treatment<br />

� disrupts cell wall integrity<br />

� exposes intracellular<br />

material for removal or<br />

destruction<br />

� denaturation of proteins<br />

� removal of antigenicity<br />

treatment by saline solutions<br />

of various concentrations


For personal use<br />

<strong>Tutogen</strong> <strong>–</strong> <strong>Tutoplast</strong><br />

Oxidative Treatment<br />

� Removes antigenicity<br />

multiple implantation test<br />

� Inactivates viruses:<br />

Cumulative clearance factors of<br />

• Pseudorabies virus<br />

≥ 11.5 enveloped DNA virus<br />

• Sindbis virus (model Hepatitis C virus)<br />

> 10.8 enveloped RNA virus<br />

• Polio Sabin 1 virus<br />

≥ 12.6 non-enveloped RNA virus<br />

• HIV 1<br />

> 8.3 enveloped RNA virus<br />

Ear bones <strong>–</strong> PLIF - Trachea


For personal use<br />

<strong>Tutogen</strong> <strong>–</strong> <strong>Tutoplast</strong><br />

Dehydration by solvents<br />

� removes water from the tissue<br />

� inactivates viruses<br />

� inactivates prions<br />

experimentally 3 log reduction<br />

� makes the tissue storable<br />

at room temperature<br />

dehydration by multiple<br />

acetone treatment


For personal use<br />

<strong>Tutogen</strong> <strong>–</strong> <strong>Tutoplast</strong><br />

Sizing<br />

� For traditional allografts still<br />

band saws are used<br />

Sawing of processed bone:<br />

precision: ± 1 mm


For personal use<br />

<strong>Tutogen</strong> <strong>–</strong> <strong>Tutoplast</strong><br />

Shaping<br />

� For specialities CNC<br />

machines are used.<br />

Shaping the bone:<br />

precision ±0,1 mm


For personal use<br />

<strong>Tutogen</strong> <strong>–</strong> <strong>Tutoplast</strong><br />

Shaping<br />

• Detail


For personal use<br />

<strong>Tutogen</strong> <strong>–</strong> <strong>Tutoplast</strong><br />

Packaging<br />

� Individual packaging<br />

� Individual labeling<br />

Use of a multifunctional<br />

packaging machine<br />

for moulding, cutting and<br />

sealing


For personal use<br />

<strong>Tutogen</strong> <strong>–</strong> <strong>Tutoplast</strong><br />

Low dose γ -irradiation<br />

� Inactivation of any microbial<br />

contamination in the final<br />

packaging<br />

� Validated sterilization<br />

SAL10 -6<br />

� Validated low dose to<br />

maintains biomechanics<br />

Rack with Co 60 rods in basin<br />

of D 2 O: Tschernonski effect


Thank<br />

You<br />

For<br />

Attention<br />

And<br />

Time<br />

<strong>Tutoplast</strong> cogwheel<br />

For personal use<br />

<strong>Tutogen</strong> <strong>–</strong> <strong>Tutoplast</strong>

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