You are being offered the opportunity to donate a Biological Specimen, normally discarded after surgery, for use in medical research. This donation is entirely voluntary, and while you will not be compensated for your donation, the use of your Biological Specimen may further medical research and eventually help others.
Biological Specimen Donation
Tissue Genesis is a for-profit corporation developing technologies for the use of a patient's own regenerative cells in repairing damaged tissue, curing disease, and other therapeutic procedures. Your donated Biological Specimen will be used solely to carry out research, and none of your Biological Specimen will end up as a product, or be given to another person. The Biological Specimen will become the property of Tissue Genesis, and you will no longer have any right to, interest in, or control of your Biological Specimen, or in anything resulting from the use of your donated Biological Specimen, including any resulting intellectual property. By signing above, you consent to the collection of your Biological Specimen by your Physician and donation of your Biological Specimen to Tissue Genesis, and use of your Biological Specimen by Tissue Genesis.
Confidentiality
Tissue Genesis does not need to know your identity to use your donated Biological Specimen, and Tissue Genesis will not receive your identity from your Physician, and only your general health information will accompany the specimen, such as gender, age, and some medical history. Tissue Genesis will not receive a copy of this signed consent.
Florida Donation Notice
If you are donating your Biological Specimen in the State of Florida, we are required to notify you that your donation facility is regulated pursuant to the rules of the Board of Medicine of the State of Florida, as set forth in Rule Chapter 64B8, F.A.C.