Abstract:
In 1986, the National Nuclear Energy Agency
(Batan) in Jakarta started the research and development for the setting
up of a tissue bank (Batan Research Tissue Bank/BRTB) by preserving
fresh amnion or fetal membranes by lyophilisation and then sterilising
by gamma irradiation.
During the period of 1990 and 2000, three more
tissue banks were set up, i.e., Biomaterial Centre in Surabaya, Jamil
Tissue Bank in Padang, and Sitanala Tissue Bank in Tangerang. In 1994,
BRTB produced bone allografts. The banks established under the IAEA
program concentrated its work on the production of amnion, bone and soft
tissues allografts, as well as bone xenografts. These tissues
(allografts and xenografts) were sterilised using gamma irradiation
(about 90%) and the rest were sterilized by ETO and those products have
been used in the treatment of patients at more than 50 hospitals in
Indonesia. In 2004, those tissue banks produced 8,500 grafts and 5,000
of them were amnion grafts for eye treatment and wound dressing. All of
those grafts were used for patients as well as for research. In 2006,
the production increased to 9,000 grafts. Although the capacity of those
banks can produce more grafts, we are facing problems on getting raw
materials from suitable donors. To fulfill the demand of bone grafts we
also produced bone xenografts. The impact of the IAEA program in tissue
banking activities in Indonesia can be summarised as follows: to support
the national program on importing substitutes for medical devices. The
price of imported tissues are between US$ 50 and US$ 6,000 per graft.
Local tissue bank can produce tissues with the same quality with the
price for about 10-30% of the imported tissues.
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