Appendix H - The Use of Biological Specimens

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Appendix H: The Use of Biological Specimens
When conducting research involving the collection of biological specimens--including genetic information, special considerations must
be used. See IRB policy/procedure: Biological Specimens. All human research conducted at DMC sites requires DMC Research
Review Authorization including the use of specimens.
Cell Lines:
1.
How will the specimens/results be
obtained? (Select all that apply)
Embryonic
Fetal
Adult or Child
Other
Tissue banks/repositories
Specimens already in existence at time of submission
Specimens obtained for study purposes only
Discarded/waste specimens
Standard of care labs
Other:
No – go directly to Q#3
2.
Are any specimens collected outside of
the PI’s department?
Yes (list sites):
List site(s) outside of the PI’s
department and include letter(s) of
support with the submission:
Blood
3.
What biological specimens will be
collected and used?
Tissue
Urine
Placenta; dead fetus; fetal materials, cells, tissues, or organs
Other (list specimens):
4.
Specify the following. Use both lay and medical terms (cc’s or ml’s and teaspoons or tablespoons):
a. Method of collection
N/A
– Only
standard
of care
labs will
be used
b. Amount
c. Frequency
5.
Does the total blood volume collected
exceed the allowed amount for minimal
risk blood collection?
No
Yes – Provide justification:
N/A
– Blood
will not be
collected
NOTE: See IRB policy Research Studies
Involving the Collection of Blood Samples at
http://www.irb.wayne.edu/hicpol/blood.htm
a. For blood collection from
children, calculate the blood
volume at 0.8cc/kg being drawn for
smallest child in the study:
6.
How are specimens identified?
NOTE: See IRB Policy for identifier
definition at
www.irb.wayne.edu/hicpol/specim.htm
Appendix H
Coded Identifier (i.e., a code which could be used to identify a participant)
Direct Identifier (e.g., Name, SSN, medical record number) – go directly to Q#7
No identifier (i.e., no one can identify a participant from the information
recorded) – go directly to Q#7
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Form date: 04/2015
a. Will the research team have
access to the link or the direct
identifiers?
Yes
No – provide a letter from the holder of the link stating that the
investigative team will not have access
NOTE: Linkages known to the research
staff must be disclosed in the informed
consent form.
7.
Will any of the specimens be used to
identify sensitive genetic information?
No
Yes
a. Will this identification carry
significant socioeconomic risk?
No
Yes
b. Will there be a link to participant’s
identity?
c. Is the link disclosed in the
consent?
8.
Will the specimens be stored for future
use?
a. Is the future use listed in the
consent?
9.
For studies that involve placenta, dead
fetus, fetal material: cells, tissues, or
organs taken from a dead fetus, will the
research team have access to any
identifiers.?
Appendix H
Risk – the probability of harm, injury, or loss (physical, psychological, social, or
economic) occurring as a result of participation in a research study. Both the
probability and magnitude of possible harm may vary
from minimal to significant. Social risks may arise from actual or potential breaches
of confidentiality or anonymity such as harm to interpersonal relationships, damage
to reputation or social standing, or exposure to legal sanctions. Economic risks may
affect an individual's financial status, employability or insurability.
No – go directly to Q#8
Yes
No
Yes
No – go directly to Q#9
Yes
No
Yes
N/A
No
Yes – informed consent must be obtained from all individuals identified
on those specimens
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Form date: 04/2015
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