MCGMS ORGAN TRANSPLANT

ORGANISATION
MOTO

PromotingMOTO
Organ Donation

Dr. Kamaxi Bhate, KEM Hospital Mumbai

THIS IS YOUNG BANK EMPLOYEE

BOTH KIDNEYS FAILED !
He can not survive

without dialysis every

week .

He comes for dialysis

just before going for

work.
This man needs
Kidney!

Patient with liver failure

No medicines will
work for him.
After liver Transplant

IN CASE OF BURNS THERE ARE BIG WOUNDS

SKIN IS REQUIRED FOR SURVIVAL
Big wound

Skin
transplant

Healed wound

Healed
wound

DO YOU KNOW THIS ?

More than ten

million Indians
are blind, out of
that 1/4 th are
Corneal Blind.
Of these Corneal
Blind. 60% are
children below
twelve years of
age!!

HOW DOES ORGAN DONATION

TAKE PLACE ?

After natural Death

Living

Person

for

once

relatives or for others

After Brain Stem Death

own

Which Organs can be donated

after death

Eyes
Skin

Fascia
Bones
Ligaments
Cartilages
Blood Vestals ( Veins and Arteries )
Middle ear Bones

Mainly Donated
In Our Country

Organ donation is possible

Even in case of death at Home

THE ORGANS THAT CAN BE

DONATED BY A LIVING PERSON

Blood
Kidney
Piece of Liver
Piece of Pancreas
Bone Marrow

Bone
Marrow

WHICH ORGANS CAN BE DONATED

AFTER BRAIN STEM DEATH.

Brain Stem Death is diagnosed in ICU patients only

2Eyes
2 Kidneys
1 Liver
1 Pancreas

Entire Skin
All Fascia

2 Lungs
1 Small Intestine

Tendons
Blood Vessels (Veins
and arteries )

1 Vocal Cord
2 Hands
2 Middle ear bones

All Bones
Cartilages

Heart Volvos
Nerves
20 Toes and Fingers

Maximum Organ Donation is Possible after Brain Stem Death

TYPES OF ORGAN DONATION IN INDIA

a. Blood - Living for relatives and for others
b. Kidney - Living person for relatives or
others
c. Eyes - Only After Death

d. Skin - Only After Death

DO YOU KNOW THESE ASPECTS

OF EYE DONATION

What Is Eye Donation?

Who can do Eye donation?
Who needs eye donation ?
Responsibilities of the Health workers
and/or relatives after the death of persons
who want to go for Eye donation

Eye donation can be done only after death

ANATOMY OF THE EYE BALL , BLINDNESS

AND WHO IS BENEFITED BY EYE DONATION
Transparent covering of the eye ball (Cornea)

Cornea

Lance in the eye ball.

Transparent covering
of the eye ball
(Cornea)

Transparent covering of the

eye ball (Cornea) has
become opaque = Blindness

Conjunctiva

35 Million people go corneal blind in developing countries .

Corneal donation helps.

NEED FOR EYE DONATION IN INDIA

In India 3 million people go
Corneal blind

60% of blind people are

children below 12 years.

These children can get eye sight with corneal

transplant, retrieved from eye donation
Do you know, only 1.5 lakh corneas are donated per
year in India !!!

OPAQUE CORNIA
REMOVED

TRANSPERANT DEAD
DONER CORNIA
IMPLANTED

Inform the near by Eye Bank telephonically .

Off the Fan and Keep AC on
Raise the head end of the dead body
Close the eye lids of the dead body and keep wet saline swabs
on the eyes
To prevent any infection keep on putting antibiotic eye drops
every now and then

It takes 20-25 mts to complete the processes of enucleating of

the eye ball
Within 96 hours the process of corneal transplant should be
complete

After the death of person wanting to donate eyes the

process of eye donation should complete in six hours
time

AFTER YOU HAVE USED THEM WILL

YOU KINDLY GIVE THEM TO US

At what ever age even if having spectacles, or after

cataract operation, person can do eye donation

Let Us Give them After We have used them to

Fullest!
There are 125 Million people in India
There are more than 6 thousand deaths per day
If 100 % people donate eyes after death ...........
In only 11 days all coronial blinds in India will get
eye sight!
Even if only 5% people donate eyes in India corneal
Blindness can be overcome in 220 days!!
Let Us All Take Oath of Eye Donation after Death!

EYES ARE PRICELESS

DONT BURN THEM AFTER DEATH

LET US PLEDGE OUR EYES TODAY !

WHY SKIN DONATION?

Skin of the dead person is the preferred
option for a patient with the most severe
burns for patient to recover in shorter
duration.
As 80 % of burn victims are women and
children. India 100% mortality is observed in
patients having more than 60% burns ...
Skin from the dead
body is life saving

HOW IS CADAVER
SKIN DONATION DONE

Cadaver skin still is the No.

1 substitute, after death of a
person cadaver skin is
removed in 2 24 hours.
Commonest sights from
where the skin is taken
Additional sights from
where the cadaver skin is
taken

Skin donation should be over in two hours,

but till 12-24 hours skin can be taking

WHAT IS DONE TO THE SKIN

RETRIEVED FROM THE CADAVER

Retrieved skin is rolled through a Meshing

Machine, it creates a pattern of small holes, like the
fishnet stockings.
This skin is taken to
the skin bank, trimmed
into bandage-like strips,
cryogenically preserved.
Cadaver skin can be
stored in a freezer at 4-8
C for up to five years in
85% Glyserol

CADAVER SKIN IS LIFE SAVING

The donated skin can be

used as a temporary dressing
for severe burns.
Helps prevent infection,
reduce pain and maintain
body temperature, prevent loss
of proteins.

CADAVER SKIN GRAFTS HELP

HEALING BIGGER WOUNDS FASTER

Around 1,50,000 new

Cases of Kidney Failure
in India every year

Around 5000 receive

Kidney transplant.

LIVER DISEASE BURDEN

AND TRANSPLANTATION

Around 5 million affected

with liver disease / year

Around 1000 receive

Liver transplant.
These organs can be
retrieved only from
Brain Dead Donor

LIVER TRANSPLANT

Transplanted peace of Liver

MIRACLE OF ORGAN DONATION

FROM BRIAN STEM DEAD

Is there any law about human organ

donation, and brain dead ?
Brain Stem death is a new concept while the heart is
working , breathing has stopped for ever !!

In 1968 the concept of brain stem death was

accepted , Harvard University accepted and US

law of human organ donation was passed.

In India brain stem death was accepted by 1994

it was Human Organ Transplant Act (HOTA) This

law was amended in 2011

There is no age limit for Organ donation There

is no money exchange !

WHAT IS BRAINSTEM DEATH

Cerebrum
Cerebellum
Respiratory Centres are Situated in
Brain Stem . Movement of eyes and pain
centres are situated in Brain stem.
Breathing, eye movement and pain sensation
stops forever after Brain Stem Death but the Heart is beating

CAUSES OF BRAIN STEM DEATH

Trauma
Tumour in
the brain

Bleeding in the brain

Brain Haemorrhage
Blood supply is
blocked

Once there is brain stem death patient called Cadaver

AFTER BRAIN STEM DEATH

As this situation is such

where brain has stopped
working completely but
the Heart is Beating , all
organs are getting blood
supply .
To continue supply of
Oxygen to the organs, so
that they survive longer
the cadaver is put on
Respirator .

Cadaver is
put on
Respirator

HOW IS CADAVER TRANSPLANT

SITUATION IN INDIA
Every day 6000 people die in India for not getting
organs, that means death every fifteen minutes one
death.
Every eleven minutes one more organ
failure is added to list.
Five lakh people die every year for not getting
organs
This is Because cadaver transplants are not done !
Cadaver organs are wasted!!

Brain Stem Death is not

COMA

DIFFERENCE BETWEEN BRAIN

STEM DEATH AND COMA
BRAIN STEM DEATH
Brain Has stopped working
completely
Respiration has completely
stopped, only heart is working
and the body organs are getting
blood supply.
Movements have stopped, there
is no movement even on
stimulation, this is a permanent
state
Body is maintained only on
machines.

COMA

BRAIN HAS NOT STOPPED

WORKING

RESPIRATION CONTINUES

THERE IS BODY MOVEMENT

EYE MOVEMENT , THERE IS
RESPONSE TO STIMULATION.

IT IS A TEMPORARY STATE

PATIENT CAN GET-WELL AND GO

HOME .

State of Cadaver organ donation is pathetic in our country

POSITION OF ORGAN TRANSPLANT IN

THE WEST
25000
20000
Kidneys - Cadaver
kidneys - Living
Liver
Heart

15000
10000
5000
0
1985 1986 1987 1988

1990 1991 1992

SITUATION OF ORGAN DONATION IN

INDIA

In India only fifty Cadaver Transplant Take place

NUMBER OF CADAVERIC DONORS

PER MILLION POPULATION
Japan

0.05

Philippines

0.12
0.75

Korea

2.7

Taiwan

4.3

Singapore

6.1

HK

10.62

Australia

12.18

Germany
United Kingdom

12.96

Canada

13.15
18.1

Italy

20

France
Beligium

21.5
21.65

Portugal

21.7

USA

24.25

Austria

33.68

Spain

10

15

20

25

30

35

Rate of cadaveric donations in India

is <0.16 per million population

CAN WE IMPROVE THE SITUATION OF

CADAVER TRANSPLANT IN OUR COUNTRY

How many Brain Stem deaths are there in our country ?

In any big Hospital of a city there are around 20-22
accident cases per day, and five percent cases are
of Brain stem deaths
There are few experts who could diagnose Brain
stem deaths
There is no awareness about organ donation in the
society.

It is important to create social awareness

About Organ donation !!

Accident Cases
coming to the
Hospital
Out of them 10% Die

In India Accident
rate and Brain
Stem Deaths are
in large number
and still organ
donation is very
low.
WHY ?
There is no
awareness

5% are Brain
Death
Donor

It is necessary to
create
awareness

Accident
cases
coming to
Hospital

WARDS

Cases in
ICU
COMA

Special
Care
Ward

ICU
BRAIN
DEAD

ICU BRAIN DEAD

Team Of doctors
Give Final Report
BD & Certificate

Giving Information of
BD of OD to Family
COUNSELLING for
importance - OD
Giving Necessary
Help to the family

BRAIN STEM DEATH

IDENTIFICATION TEAM

IEC Team &

Counseling Team
with Family
Treatment
Team of
Recipient

ICU
BRAIN
DEAD

Retrieval Group
& transplant Group

BD Certifying
Team
Maintenance of
the cadaver in
ICU

DR. KAMAXI PRATAPSINH BHATE

MR. SUDHEENDRA M. KULKARNI
215 D2 KARMAKHETRA SION KOLIWADA ,
MUMBAI 37 INDIA

1ST MAY 2012

56 YEARS

GOVERNMENT CONTROL

ZTCC

Working from
2000, in Mumbai

Government control
(As per HOTA act-1994)

Organ
Retrieving
Hospitals

Organs
Transplanting
hospitals

Multi-organs
transplant
centres

Maintains list of hospitals registered for

organs retrieval and transplantation.
Maintains waiting list of patients who are
desirous for organs.
carries fair distribution of organs based on
ZTCC waiting list.
waiting list is prepared on the basis of-Age
-Severity of disease
-Prognosis/expected survival after transplant

No hospital can transplant organ without prior information or permission of ZTCC.

SOME FACTS ABOUT ZTCC AND

ORGAN DONATION1.
2.
3.
4.

In Mumbai 29 hospitals are registered under ZTCC

Today's date there are 55000 waiting for OD.
At every 16 minutes, new one is added to the list.
10 die daily from the list without the organ.
Rates of OD-

5. Tamilnadu is the leading state in India in OD. India- 0.16/million

6. New concept of SWAP donation is also
population
USA 22/million
emerging out
population
7 HLA matching is mandatory for all OD except Spain- 36/million
population
Cornea, skin, bones.
In Maharashtra, First tissue bank was started in Tata memorial hospital Mumbai

YOU MUST KNOW THIS

Even If a person has not pledged, relatives can
take the decision to donate eyes/ skin
After Brain Stem death Close -Relatives can take
the decision to donate Organs

Spouse
Son - Daughter
Brother Sister
Any other

CAN ILL PERSON DO ORGAN

DONATION

Diabetic
Hypertension

Person suffering from any other chronic

diseases can do organ donation

WHO WILL NOT BE ABLE TO DO

ORGAN DONATION
Person who dies of

Rabies
HIV / AIDS
Septicaemia
Downing
Cancer
Can not do organ donation

VERY POWERFUL AND

INTELLIGENT KING

Had lot of palaces,

Jewels ....... ,
Wanted all that to
be managed well
after his death.

DECIDED TO MAKE A WILL

Kings Will

KINGS WILL
Kings Will

KINGS WILL
Kings Will

What Lord Shiva could not have done

himself , the organ donor could do !!