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Please take a few moments to read the Tissue Bank terms and conditions. If you wish to request tissue for research purposes, please fill out a tissue request form. This is available for download in a variety of formats, and can be returned to us by e-mail, by fax or by post.
The request form includes a copy of the terms and conditions, which should be signed by the individual requesting tissue and by their employer. If you are returning the request form and the terms and conditions separately, please make sure that you indicate clearly which request they relate to.
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Introduction
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I accept samples of human material (the “Material”) on the understanding that they will only be used for research, and that they are provided without warranty as to their properties or fitness for any particular purpose and without any other warranty whatsoever, expressed or implied. Under no circumstances will the Material be used for a project other than the one described in my application nor will they be sold or transferred or supplied to a third party without prior written approval of Imperial College of Science Technology & Medicine (‘the College’) and the Parkinson’s Disease Society (‘the Society’).
I agree to use the Material in accordance with good laboratory practice and the highest standards of skill and care and shall ensure compliance with any applicable laws and regulations governing the transport, keeping and the use of the Material.
I realise that the Tissue Bank does not screen the tissue or fluid that it procures for the presence of any infectious agents. I am aware of the potential risks in handling such material and hereby give assurance that all procedures employed in the handling, storage and use of the supplied material meet standards set by either Clinical Pathology Accreditation (UK) Ltd or the Health and Safety Executive (or an equivalent governing body if applying from outside the UK). I agree to keep the Material secure and to ensure that no-one other than myself and authorised co-workers have access to the Material. I and the Institution where I am based will indemnify and hold harmless the Parkinson’s Disease Society UK and Imperial College of Science Technology and
Medicine against any damages, dispute or injury arising from a failure to maintain such safeguards.
I accept responsibility for gaining approval from the appropriate ethics committee for all work performed on Material that I receive from the Tissue Bank. I note that all procedures used by the Tissue Bank in the procurement, storage and distribution of tissue have been approved by the Wales Multi-Centre Research Ethics Committee (07/MRE09/72).
I will at all times abide by the ethical and legal guidelines relating to the use of postmortem human tissue for research purposes, such as those laid out by The Royal College of Pathologists in "Guidelines for the retention of tissue and organs at postmortem examination, March 2000" (available at http://www.rcpath.org) as well as any other National Health Service and Medical Research Council guidelines and as may be amended from time to time (or an equivalent governing body if applying from outside the UK).
I will provide a short written summary of the work performed on Material supplied by the Tissue Bank one year after I have received the samples as well as on completion of the project. In addition, and upon request by the Parkinson’s Disease Society UK or Imperial College of Science, Technology and Medicine, I shall supply information on the use and fate of the Material that I have received from the Tissue Bank, including the availability of any unused Material.
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If work performed on Material supplied by the Tissue Bank generates ideas, rights, processes or products of potential commercial value, I and the Institution where I am based will enter into a separate agreement with the Parkinson’s Disease Society UK and Imperial College of Science, Technology and Medicine on all relevant intellectual property issues.
I will not sell or transfer to a third party any intellectual property rights arising from work performed on material supplied by the Tissue Bank without written agreement from the Parkinson’s Disease Society UK and Imperial College of Science, Technology and Medicine.
The Material is supplied to me without cost but I agree to bear any shipping and related costs that may be incurred in relation to the sending of the Tissue to me.
I agree to cite the contribution made by the Tissue Bank in the “Materials and Methods” and “Acknowledgements” section of all publications arising from research performed on material that it has supplied and will send copies of such publications to the Tissue Bank manager. The Tissue Bank should be acknowledged in the following manner:
“Tissue (or cerebrospinal fluid) samples were supplied by the Parkinson’s Disease Society Tissue Bank at Imperial College, funded by the Parkinson’s Disease Society of the United Kingdom, registered charity 948776.”
The Tissue Bank shall be entitled to use the contents of such publications for the promotion of the work of the Tissue Bank. Members of the Tissue Bank may request co-authorship when the provision of tissue has required particularly time consuming protocols.
I agree that the unused Tissue shall be immediately returned (i) in the event that I am in breach of any of the conditions of this Agreement, or (ii) at any other time upon the reasonable written request of the Tissue Bank e.g. detection of an infection. If the Tissue Bank so dictates, I shall destroy the Tissue in accordance with current NHS guidelines instead of returning it.
My right to undertake the obligations and give the undertakings detailed in this agreement is confirmed by the signature of an authorised representative of the Institution of which I am an employee.
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