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Procedure for getting approval for Renal Transplantation in Tamil Nadu

ORGAN TRANSPLANTATION: Procedure for getting approval for Renal Transplantation in Tamil Nadu


  1. An Authorisation Committee was constituted by the Government in G.O.Ms.No.287, Health, dt.5.5.95 for the regulation of removal, storage, and transplantation of human organs for therapeutic purposes and for the prevention of commercial dealings in human organs consisting of the following members namely.
    1. Director of Medical Education, Chennai-10 - Chennai
    2. Director of Medical and Rural Health Services, Chennai-6 - Member
    3. Dean, Madras Medical College, Chennai-3 - Member
    To conduct a renal transplantation the hospital should be approved by the appropriate authority for organ transplantation namely the Director of Medical & Rural Health Services.
  2. The approved Hospital propose the cases for Renal Transplant every week before the Authorization Committee for approval. It is the responsibility of the Hospitals approved for RENAL TRANSPLANTATION to verify the health condition of the Recipients/Donors and correctness of the address and identity of the recipients. They also give undertaking for each case that they have verified, the correctness of identity of recipients and donors and for the genuinity of all the documents they forward to the Authorization Committee. Based on the proposals from the approved Hospitals, the authorization committee verify the Identity / Nativity using Xerox copy of Ration cards / Election Identity cards or any other approved photo identity documents.
  3. As per the orders of the Government, every Friday afternoon, the Authorization Committee meets to conduct the business of verifying the genuinity of Recipients and Donors and based on the satisfaction of all the Committee Members, approval is given to perform the Renal Transplantation. The decision of the Authorization Committee is then sent to the approved hospitals concerned by Fax, every Monday, followed by confirmation letters by post. The cases referred by the approved private hospitals are arranged for the presentation to the Authorization Committee in the order of the receipt of the documents from the private hospitals and according to the number assigned by the Tapal section. Every week representatives of the Chairman and Members of the Committee i.e., a Deputy Director of Medical Education, a Joint/ Deputy Director of Medical Rural Health Services and a Professor from the Madras Medical College will conduct the meeting by rotation, allowing no opporurnity for any individual to influence the Authorization Committee’s decision beforehand as the names of the Members are decided only on Friday mornings.

    As per the Transplantation of Human Organ Act / Government Order No. 341 Health and Family Welfare, dt.29.10.03, to process the Renal Transplantation cases the Nephrologist of the approval hospital should forward the following documents with reference to the recipient as well as donor of the organ.
    1. Processing Fee (Demand Draft): for Rs.1000/- in favour of the Chairman, Authorisation Committee, Kilpauk, Chennai-10.
    2. Form I, II and X Form III (If the Patient and Donor are related like Brother / Sister/ Mother / Father / Son / Daughter)
    3. Patient and Donor: Identification Marks
  4. Declaration: Consultant Nephrologist should explain the complications of the surgery.
  5. Patient and Donor: Proof Nativity
    1. The Patient and Donor should submit their Identity Card / Nativity using attested Xerox Copy of Ration Card/ Election Identity Card or any other approved photo identity document like, Passport or Pass Book with three years of transaction.
    2. The Notary Public should attest Proof Nativity.
  6. Other State / Other Countries
    1. In the case of recipients who are natives of other States or Countries and non-resident in our State, any non-relative donors should normally be from their State/ Country only and should bring clearance from the Authorisation Committee governing their area.
    2. Valid Passport, Visa, High Commission Embassy letters should be enclosed with the application from foreign national patients and donors; the applications are otherwise subject to rejection.
  7. Consent Letter:
    1. Original letter of consent from the spouse of the donor in the affidavit should be enclosed. Joint photographs should fixed in affidavit (Donor and Spouse)
    2. Original letter of consent of the donor in the affidavit, duly signed in the presence of a Magistrate or Notary Public. Donor photograph should be affixed in the affidavit.
    3. Original letter of consent of the patient in the affidavit, duly signed in the presence of a Magistrate or Notary Public. Joint photographs should be affixed in affidavit (Patient and Donor)
    4. The affidavits produced by the Patient, Donor and Spouse of the Donor should be in English and also in the mother tongue of the donor.
    5. Witness signatures should be affixed in the affidavit (at least one of whom is relative of such persons)
    6. Joint photographs should affixed in the affidavit (Patient and Donor) and (Donor and Spouse)
  8. HLA Test:
    1. If the patient and donor are related, the tests for HLA matching should be done by an approved lab which is not attached or affiliated to the Hospital where the transplantation is to be performed.
  9. Registration Copy:
    A copy of Registration Letter issued to the approved institution by DM & RHS, Chennai should be enclosed along with the applications. Only when all the documents submitted are in order, the Patient will be called for counseling to the authorization committee and only after the approval from the committee the concerned hospital should perform the surgery.

Additional Authorization Committees for Organ Transplantation:

In order to avoid the difficulties faced by the patients undergoing transplantation in southern and western districts of Tamilnadu while traveling all the way to Chennai for approval, the Government has made provision for two more additional committees - one at Madurai and another at Coimbatore with the following persons as Members.
  1. Dean of Madurai / Coimbatore Medical College
  2. Joint Director of Medical Services of concerned District
  3. DRO representing the District Collect of the concerned District
However, these subcommittees can deal cases only when the patient, donor and the referred hospitals are all situated in the following revenue districts, surrounding the respective committee.

The Jurisdiction of Madurai and Coimbatore Committees :

These additional committees cannot deal cases when the patient/donor are from other parts of Tamilnadu / Other States / Other Countries
S.No. Chennai Madurai Coimbatore
1. Kancheepuram Dindigul Coimbatore
2. Cuddalore Kanniyakumari Dharmapuri
3. Nagapatinam Madurai Erode
4. Thanjavore Perambalur Karur
5. Tiruvallur Pudukottai Namakkal
6. Tiruvarur Ramanathapuram The Nilgiris
7. Tiruvannamali Sivagangai Salem
8. Vellore Theni at Periyakulam
9. Villupuram Tricy
10. Chennai Tirunelveli
11. Tuticorin
12. Virudhunagar


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