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What are the AATB Guidance documents?

The American Association of Tissue Banks (AATB)'s guidance documents are guidelines for AATB accredited tissue banks to use in conjunction with the Standards for Tissue Banking.

AATB's Standards Committee authors and the Board of Governors approves guidance documents which are part of the Standards for Tissue Banking.

American Association of Tissue Banks' (AATB) guidance documents, including this one, do not establish legally enforceable responsibilities. Instead, these guidelines describe the AATB’s current thinking on this topic. They are intended solely for the use of AATB accredited tissue banks in conjunction with the AATB's Standards for Tissue Banking. They should be viewed only as recommendations, unless specific AATB Standards or regulatory or statutory requirements are cited. The use of the word "should" in these guidance documents means that something is suggested or recommended, but not required. As with other AATB guidance documents, the recommendations included in this document do not represent the sole approach. Alternative approaches can be used.

AATB Guidance Document No. 1

Tissue Donor Physical Assessment Form

Version 2

June 27, 2015

The purpose of this SOP is to describe how to properly complete the two-page AATB Sample Tissue Donor Physical Assessment Form.


AATB Guidance Document No. 2

Prevention of Contamination and Cross-Contamination at Recovery: Practices & Culture Results

Version 2

May 29, 2007

Version 2 of this Guidance Document includes updates for Recovery Site suitability, Zone Recovery, and Sequencing.

AATB Guidance Document No. 3

Current Good Tissue Practice

Version 2

December 2011

The purpose of this Guidance is to communicate AATB's current interpretations of the Rule for those working in a conventional tissue bank.

AATB Guidance Document No. 4

Providing Service to Tissue Donor Families

Version 2

March 9, 2015

This guidance document was originally issued in March 2007 and underwent extensive editing over a year-long period to create version 2. New sections include "evaluation of services," "gifted tissue for research," and "terms to avoid." Updates were made to expand sections such as "definitions," "family needs," and "components of a support services program."

AATB Guidance Document No. 5

Microbiological Process Validation & Surveillance Program

Version 2

July 18, 2016

This Guidance Document provides detailed information to assist tissue banks in development of a comprehensive microbiological surveillance program and describes steps to consider when validating processing of ‘conventional’ allograft tissue (e.g., skin, bone, cartilage, ligaments, tendons, dura mater, amnion, vessels, heart valves, and cellular tissue), similar autograft tissue, and allografts regulated as biologics, medical devices or combination products.

AATB Guidance Document No. 7

Evaluation of Body Cooling at Standard D5.400

Version 2

December 9, 2013

The goal of this document is to provide definitions, examples of source documentation, strategies to document cooling intervals, and to provide guidance for various cautionary situations.

AATB Guidance Document No. 8

Environmental Controls & Monitoring of a Dedicated Tissue Recovery Site

Version 1

September 28, 2016

This guidance document provides a variety of approaches for establishing and maintaining environmental controls and monitoring for any DTRS, and a tissue recovery agency should consider applying these guidelines to each DTRS it maintains.

AATB Guidance Document No. 9

Qualification of Packaging and Validation of Shipping/Transport Procedures

Version 1

October 23, 2017

This document provides instructions for qualifying tissue packaging systems. Requirements for validating packages at relevant points in the handling of tissue include initial use at recovery or acquisition, through interim stages of tissue processing, then to final packaging.

AATB Guidance Document No. 10

Training and Competency

Version 1

December 19, 2017

The purpose of this guidance document is to help meet the requirement of AATB Standard J2.200 and provide tissue banks with a framework for a robust training and competency program.

AATB/EBAA/AOPO Implementation Guidance Document

Uniform DRAI Forms (Donor > 12 yrs old)

Version 2

May 20, 2015

This Implementation Guidance Document outlines expectations and contains useful descriptions and references for the person administering any of the Uniform Donor Risk Assessment Interview (DRAI) forms (i.e., Donor >12 years old, Child Donor ≤12 years old, and Birth Mother). Following these instructions and utilization of support documents (see Support Tools) should promote uniformity in donor screening activities and optimize donation outcomes.

AATB/EBAA/AOPO Implementation Guidance Document

Effective Quality Assurance of the Donor Risk Assessment Interview

Version 2

September 16, 2013

This guidance document describes components and considerations for developing and implementing an effective quality assurance program (QA Program) process for the DRAI.

AATB/NFDA Best Practices for Cooperation among OPOs, Tissue Banks, and Funeral Service Professionals

July 2013

More than 10 years ago, representatives of the National Funeral Directors Association (NFDA) and the American Association of Tissue Banks (AATB) reached an historic agreement on a set of best practices involving organ and tissue donation. The purpose of this effort was to eliminate as many of the impediments to the facilitation of the donation process as possible.

AATB/ICCBBA Interim Guidance Document (IG-028)

For Use of ISBT 128 by North American Tissue Banks

Version 1.4.0

June 2020

The purpose of this document is to provide guidance on the implementation of the ISBT 128 Standard for tissues to those banks that are moving forward with the introduction of ISBT 128.