1. 800-DONORS-7 core.org Advisory Committee on Organ Transplantation Informed Authorization for Vascularized Composite Allograft Kurt Shutterly Chief Operating Officer

2. 800-DONORS-7 core.org Legal Aspects of Donation Authorization –Family Authorization –First Person Authorization Pronouncement of Death Medical Examiner/Coroner Communication

3. 800-DONORS-7 core.org Authorization Requirements for Organ Donation Brain Death and Cardiac Death When to Approach: –Brain Death Pronouncement –Family Decides to Withdraw Support DNR/CMO Patient –Unstable Potential Donor

4. 800-DONORS-7 core.org First Person Authorization Drivers License Living Will Donor Card Authorization Document

5. 800-DONORS-7 core.org Matching the Donor and Recipient for VCA Selection Criteria from TX Center Screening Identification Process Donor/Recipient Match

6. 800-DONORS-7 core.org Providing the Opportunity for Vascularized Composite Allograft (VCA) The “Request for the Gift” –When to approach? –Recipient information –Authorization required First person authorization

7. 800-DONORS-7 core.org Informed Authorization No Additional Costs Funeral Home Viewing –Reconstruction –Prosthesis Recipient Information Media Donor Family Follow Up

8. 800-DONORS-7 core.org Recovery Process Coordination Preparation of Hand and Forearm Perfusion Retrieval Transportation Reconstruction Follow Up

9. 800-DONORS-7 core.org An Organ Procurement Organization’s Experience with VCA Donor Families support VCA Five hand Transplants in 18 months –Ability to do much more National List needed for Allocation Reconstruction and Funeral Home Relations

10. 800-DONORS-7 core.org Post Donor Review It’s all about the “Gift” Funeral Home OR Staff Donor Hospital Transplant Surgeons

11. 800-DONORS-7 core.org Family Meeting

12. 800-DONORS-7 core.org CAMC General Feedback CRNA I was thrilled to take part in this particular CORE case. This is the ultimate gift in my opinion, and I want you and your organization to know that you always have my support. Being able to take part in that groundbreaking case was wonderful and overwhelming. Donor Advisory Group Member I was very excited and thrilled about this unique situation since we had been doing kidney transplants and organ donation for over 20 years Hospital Chaplain I acknowledged her generous gift of life that she shared with another in need and told the mother that this was the first gift of this kind that we had ever had donated from CAMC.

13. 800-DONORS-7 core.org J.A.,female, 27 years Occupation – Student/Mother Cause of Amputation: ischemic gangrene after Nota virus infection 2004 Amputation: both lower and upper limbs Amputation level: distal wrist and fingers Transplant Side: Right wrist

14. 800-DONORS-7 core.org Post Transplant

15. 800-DONORS-7 core.org S.A.,female, 33 years, RHD Occupation – Customer Service Agent Cause of Amputation: ischemic gangrene after Meningococcal septicemia 2003 Amputation: Both upper and lower limbs Amputation level: R & L distal forearm Transplant Side: Bilateral forearm

16. 800-DONORS-7 core.org One Month Post Transplant

17. 800-DONORS-7 core.org