Title: RDC Resolution No. 20, of April 10, 2014 Menu: Provides for health regulations for the transport of human biological material. Publication: D.O.U - Federal Official Gazette; Executive Branch, of April 11, 2014 Issuing Agency: Anvisa - National Health Surveillance Agency Scope of the act: Federal - Brazil Practice Area: Blood, other Tissues, Cells and Organs Resolution of the Collegiate Board - RDC nº 20, of April 10, 2014 Provides for health regulations for the transport of human biological material. The Collegiate Directorate of the National Health Surveillance Agency, in the use of the powers conferred on it by the items III and IV, of art. 15 of Law No. 9,782, of January 26, 1999, item II, and §§ 1 and 3 of art. 54 of Internal Regulation approved pursuant to Annex I of ANVISA Ordinance No. 354, of August 11, 2006, republished in the DOU of August 21, 2006, and its updates, in view of the provisions of items III, of art. 2nd, III and IV, of article 7 of Law 9.782, of 1999, and the Program for Improvement of the Regulatory Process of the Agency, established through Ordinance No. 422, of April 16, 2008, in a meeting held in March 25, 2014, adopts the following Resolution of the Collegiate Board and I, the Chief Executive Officer Substitute, I determine its publication: CHAPTER I INITIAL PROVISIONS Section I Purpose Art. 1 This Resolution has the objective of defining and establishing sanitary standards for the transportation of biological material of human origin in its different modalities and forms, without prejudice to the provisions of other current rules peculiar to each material and mode of transport, to ensure safety, minimize risks sanitary conditions and preserve the integrity of the material transported. Section II Scope Art. 2 This Resolution applies to all sender, carrier, recipient and others involved in the transport process of human biological material, without prejudice to the provisions of other current norms peculiar to each material and mode of transport. Single paragraph. The provisions of this Resolution apply as applicable, to import and export procedures export of human biological material, without prejudice to the provisions of other current norms peculiar to each material and mode of transport. Section III Definitions Art. 3 For the purposes of this Resolution, the following definitions are adopted: I - packaging of human biological material: procedure for packaging human biological material with the purpose of transportation, aiming at the protection of material, people and the environment during all stages of the transportation to its final destination; II - Category A: infectious biological material whose exposure may cause disability permanent or deadly disease, endangering human or other animal life flagged as UN 2814 or UN 2900 if it affects only animals. III - Category B: infectious biological material not included in category A, classified as "substance biological test "Category B" UN 3373, inserting into this group samples of patients that are suspected or know how to contain infectious agents that cause disease in humans; IV - Minimum Specimen Human Specimen Category: adapted from English "Exempt Human Specimen", includes biological materials from healthy individuals who have been subjected to professional judgment based on clinical history, symptoms and individual characteristics, as well as local endemic conditions that ensure the minimum likelihood of biological material containing pathogenic microorganisms, even if these materials have not previously been tested for markers of communicable disease by the blood, following the guidelines of the World Health Organization (WHO); V - biological risk classification: level of risk in relation to exposure to biological agents, determined by pathogenesis, mode, relative ease of transmission through biological materials and reversibility of the disease due to the availability of known and effective treatments and preventives; VI - recipient: any legal person, public or private, responsible for receiving the human biological material transported; VII - primary packaging: packaging that is in direct contact with the biological material to be transported, constituting a container, wrap or any other form of protection, removable or not, which is intended to fill, maintain, contain, cover or package the biological material to be transported, also called inner packaging; VIII - secondary packaging: intermediate packaging, placed between the primary packaging and the tertiary packaging, with purposes of containing primary packaging; IX - tertiary packaging: external packaging, used exclusively for cargo protection in operations handling (loading, unloading and transportation) and storage; X - label: identification affixed to the label, without erasures and that does not compromise the information label originals; XI - absorbent material: material placed between the primary and secondary packaging in quantity enough to contain the entire content of biological material in the primary packaging ensuring the integrity of the tertiary packaging; XII - human biological material: tissue or fluid constituting the human organism, such as excrement, fluids bodily, cells, tissues, organs or other fluids of human origin or isolated from them; XIII - refrigerant material: material or substance capable of conserving biological material in a range of temperature, previously specified, during the transport process; XIV - mode of transport: mechanism, alternative or type of transport vehicle used to move the material human biological; XV - sender: any legal person, of a public or private nature, also called a sender or shipper, responsible for preparing and sending human biological material to a recipient, transport; XVI - labeling: procedure for labeling, marking and labeling packages intended for the transport of human biological material; XVII - label: corresponds to the printed or lithographed identification and the words painted or engraved on fire, pressure or self-adhesive, applied directly on containers, packaging, wrappers, wraps, cartridges and any other packaging protector and cannot be removed or altered during transportation and storage; XVIII - technical supervisor: trained and designated professional to perform the activities of implementation, execution and monitoring of biological material transport processes; XIX - transporter: natural or legal person who transports human biological material from a sender to a specified recipient including commercial, public or private and self-loading; XX - validation: set of actions used to prove that operational procedures, processes, activities or systems produce the expected result with exercises conducted according to protocols previously defined and approved, with description of tests and acceptance criteria. CHAPTER II INITIAL PROVISIONS Art. 4 The transportation of human biological material is subject to the established rules and procedures in this Resolution, without prejudice to the provisions of other current rules specific to each material and mode of transport. Art. 5 The transport operations must be registered and standardized through updated written instructions. Single paragraph. Standardized written instructions should be available to all personnel involved in the transportation process and be reviewed annually and / or whenever changes in procedures occur. Art. 6 Any non-conformities during the transportation process must be investigated and registered, including, where applicable, the corrective and preventive measures adopted. Art. 7 The transport of human biological material can be carried out on an outsourced basis, through written instrument that proves the outsourcing, obeying the specifications of the human biological material to be transported. §1 ° The outsourced service provider must be legally constituted and licensed by the supervisory body competent local health authority, pursuant to this Resolution and the federal, state and federal health surveillance rules relevant municipalities. §2 ° The outsourced service provider must have infrastructure, knowledge and adequate training of personnel, under the technical supervision of a professional proven to be able to perform the service satisfactorily requested by the contractor and meet the requirements technical and legal requirements established in this Resolution, without prejudice to the provisions of other rules in force peculiar to each biological material and mode of transport. §3 ° The written instrument that proves the outsourcing must be kept at the disposal of the authorities of competent health surveillance by the parties involved in the respective bilateral instrument. §4 ° Outsourcing of biological material transport activity does not exempt the health service sender of compliance with the technical and legal requirements established in the current legislation, responding jointly with the contractor before the health authorities regarding technical, operational and legal aspects inherent to the activities that they are responsible for. §5 ° In the event of transportation of human biological material, carried out by carriers or institutions government agencies, through authorized or established agreements between the Ministry of Health or a body or entity related, such as public security bodies and the Armed Forces, where licensing is not required health, the transport process can be assessed by the local health surveillance authorities competent if necessary. Article 8 - All documents and records of activities related to the transport of biological material they must be available for supply to the health surveillance bodies, whenever requested. Single paragraph. In the case of outsourced activity, it must be expressly stated in the written instrument that proves the outsourcing which documents and records should be kept by each party involved. Art. 9 The personnel directly involved in each stage of the transport process must receive regular training specific, compatible with the function performed and the nature of the material transported, and whenever it occurs change in procedures, and the effectiveness of this training should be periodically assessed. §1 ° The responsibilities for the preparation, execution and evaluation of the training must be defined in the instrument written document that proves outsourcing, according to the technical guidelines defined by the contractor, maintaining documentary records. §2 ° Whenever there is a change in the procedures, it must be ensured that the team is able to carry out the defined guidelines. §3 ° The provisions of the caput and in §§ 1 and 2 do not apply to the transport of tissues, cells and organs for the purpose of transplantation by transporters or government institutions, through an authorized or established agreement with the Ministry of Health or organ or institution that is part of the National Transplantation System, the sender being responsible, in this case, comply with the provisions of art. 29 of this Resolution. CHAPTER III PACKAGING AND PACKAGING Art. 10. The human biological material to be transported must be packaged in such a way as to preserve its integrity and stability, as well as the safety of the personnel involved, during the transport process. Art. 11 The biological material conditioning step must be validated, considering the type of biological material and the purpose of transport, with approval by the responsible technical supervisor by conditioning the biological material to be transported. §1 ° If temperature control is necessary, this parameter must be considered in the process of transport validation, in order to guarantee conservation of biological characteristics for the duration of planned transport, with estimated delay margin. §2 ° Any changes in packaging and packaging operations and technical characteristics defined in validation will be evaluated by the technical supervisor as to the need for revalidation, keeping the records documentary. Art. 12. The packaging system must be used according to the specificities of the biological material transported. Single paragraph. The packaging referred to in the caput must be used exclusively for transportation purposes and made up of appropriate material, in accordance with the provisions of this Resolution, without prejudice to the other current norms peculiar to each material and mode of transport and, in the alternative, in the instructions of the packaging manufacturer. Art. 13. For human biological material classified as an infectious substance Category A UN 2814 must be the current normative provisions regarding the PI 620 packaging instruction are applied, without prejudice to the other regulations in force specific to each material and mode of transport. Art. 14. For human biological material classified as Category B UN 3373 biological substance, the following must be the current normative provisions regarding the PI 650 packaging instruction are applied, without prejudice to the other regulations in force specific to each material and mode of transport. Art. 15. For the Human Specimen Category of Minimum Risk, the following minimum requirements must be applied without prejudice to the provisions of other current norms peculiar to each material and method of transport: I - primary packaging, equipped with a device that guarantees leak-proof and impermeable sealing for liquid samples, and in the case of solid or semi-solid samples, resistant container with closure that prevents the material from overflowing. II - rigid, resistant tertiary packaging, of adequate size to the biological material transported, and equipped with a closing device, observing that washable and resistant to disinfectant materials can be reusable. III - secondary packaging of resistant material in order to contain the primary packaging, leak-proof. Single paragraph. For biological samples transported in fragile, breakable inner packaging, hole or crack, it is necessary to observe the following aspects: a) the primary packaging (s) must be arranged in such a way as to avoid shocks between them and / or with the packaging that (s) involves, in order to maintain the integrity of the material transported; and b) for liquid samples, absorbent material must be used as part of the packaging system. in order to absorb the entire contents of the primary packaging (s) in the event of material overflow. Art. 16. For human biological material that does not fall under the classifications of articles 13, 14 and 15 and that are known to be free of infectious agents, or have undergone neutralization / inactivation, which are dry biological materials collected in specific devices, blood and components for transfusion, cells, tissues and organs for transplantation, the provisions of article 15 shall apply for packaging procedures, without prejudice to the other regulations in force specific to each material and mode of transport. Art. 17. To classify the human biological material to be transported, use the diagram of risk classification applied to the transport of human biological material according to the guidelines of the World Health Organization (WHO), in accordance with the Annex to this Resolution, without prejudice to the provisions of other current norms peculiar to each material and mode of transport. Art. 18. In the case of the use of overpacking mechanisms for packaging of packages, it must be ensured that each package is correctly labeled and signaled, in accordance with the provisions of this Resolution, without prejudice to the provisions of other current rules peculiar to each material and mode of transport. Art. 19. Only packages made of materials that can be cleaned, dried and disinfected or sterilization, if technically justified, can be reused, through defined protocols and maintaining records of procedures performed. CHAPTER IV LABELING Art. 20. The labeling must be in accordance with the type, risk classification and conservation of human biological material transported. Art. 21. The information contained in the label and the label must be legible, understandable, expressed in language Portuguese with indelible ink, waterproof and on a background of contrasting color, with proportional dimensions to the size of the packaging, without prejudice to the provisions of other current norms peculiar to each material and method of transport. Sole paragraph: In the case of importation of biological material, the information expressed in Portuguese or English language. Art. 22. The label and the label must remain firmly adhered to the packaging, and cannot be streaked, tampered with or covered by labels, marks or packaging parts. Art. 23. The tertiary packaging must contain, at least, without prejudice to the provisions of other current rules peculiar to each material and mode of transport: I - identification of the sender and recipient, in addition to full addresses and contact telephone numbers; II - appropriate identification of biological material; III- label and marking referring to the type of biological material transported, when applicable; IV- phrases of warnings, when applicable; V- signaling of the mode and direction of opening, when applicable; VI- marking of approved packaging, when applicable and; VII- telephone contacts, available 24 (twenty four) hours, for cases of accidents and incidents. §1 ° The infectious human biological material classified as Category A or Category B must be transported in packaging labeled according to specific rules for air, land and waterway regulations. §2 ° All human biological material classified as Category A must contain in the tertiary transport packaging, the biohazard label according to specific rules for air, land and water transport in force. Art. 24. For transportation that contains dry ice, liquid nitrogen, cryogenic liquid, non-flammable gas or other conservation and preservation material that poses risks during the transportation process, the packaging and signage must be in accordance with current regulations peculiar to the transportation of material considered dangerous. Art. 25. When dealing with human biological material that cannot be subjected to radiation (X-rays), as characteristic must be clearly indicated on the tertiary packaging. CHAPTER V RESPONSIBILITIES Art. 26. The responsibilities of the sender, carrier and recipient must be defined and documented written instrument covering, at the stage of the transport process that is appropriate: I - measures related to the shipping documentation required to transport biological material; II - adoption of biosafety measures; III - guarantee of the necessary conditions for the conservation and stability of biological material; IV - preparation of written instructions according to the activities developed by each party; and V - the definition of the logistics to be used and the communication mechanism between the parties involved. Single paragraph. For the international transport of human biological material, the responsibility for the documentation to be obtained rests with the importer / exporter. Sender Section I Art. 27. The sender must ensure compliance with the requirements provided for in this Resolution, without prejudice to the provisions of other current norms peculiar to each material and mode of transport, for the transport of human biological material, with due advance in relation to the respective air, land or waterway. Art. 28. The sender is responsible for the safe packaging of the material to be transported according to its type and classification. Single paragraph. The identification of the professional who stored the biological material for transport. Art. 29. The sender must provide those involved in the transportation process with technical information regarding the transported material, including procedures and care for the material, biological risk and emergency to be adopted in the event of an accident or fact that exposes the carrier, the population or the environment to human biological material. § 1 In the event that the sender uses the transport company service in his transport process road, rail, waterway or air operator passengers and cargo, which are not subject to the health licensing, the sender will be responsible for verifying the technical conditions under which this part of the process will be carried out and monitoring the delivery and arrival of the material at its destination by means of a written instrument proving outsourcing, without prejudice to the provisions of other current rules peculiar to each material and mode of transport. § 2 The competent health authority may assess, when deemed necessary, the technical health conditions of the transport of human biological material referred to in § 1 °. Art. 30. The sender must inform the recipient about specific information regarding the transportation, the date and the estimated time of arrival at the destination, when applicable, as established in written instrument that proves the relationship between the parties, so that the cargo can be received promptly. Section II From Carrier Art. 31. The carrier must guarantee the necessary infrastructure for the process of transporting biological material considering the respective type and risk classification. Art. 32. During the transportation of human biological material, the carrier must carry a document that allow the traceability of the shipment / cargo transported. Art. 33. The carrier must check the packaging and documentation conditions upon receipt of the material for the transport of human biological material and contact the sender, in case of finding any non-conformity in the packaging and / or documentation, for taking corrective measures applicable in time skilled for transportation. Art. 34. The transport vehicle must have adequate hygiene and cleaning conditions, as well as have mechanism that ensures the integrity of the tertiary packaging and the biological material transported. Section III Of the Recipient Art. 35. The recipient must guarantee the opening of the packages in an appropriate place and in a safe manner, in accordance with the risk classification of human biological material, as well as maintaining the integrity of this material according to their specificities. Art. 36. The recipient must check and record the conditions for receiving biological material, communicating to the sender your arrival and the observed non-conformities. Single paragraph. The identification of the professional responsible for receiving must be recorded of the packaging containing the transported human biological material. Section IV Biosafety Art. 37. The transport of human biological material must comply with the rules of biosafety and health of the in order to prevent risks of direct exposure of the professionals involved, transporters, the population and the environment to human biological material. Art. 38. The personnel involved in the transportation process must have Collective Protection Equipment (EPC) and Personal Protective Equipment (PPE), according to the risk involved in handling activities Biological material. Art. 39. The carrier must carry out and maintain updated records of the training of the personnel involved in the process of transport for the correct use of the necessary equipment in situations of emergency, accident or breakdown. Art. 40. All personnel involved in the transport process at risk of direct exposure to human biological material must be vaccinated in accordance with worker health standards. Single paragraph. For the purposes of this Resolution, a professional is considered at risk of direct exposure to human biological material is one that has among its attributions the possibility of manipulating the internal content of the cargo transported. Art. 41. In the event of an accident, breakdown or other fact that exposes the carrier, the population or the environment to the risk of human biological material during transit, the carrier must take the following measures: I- inform the competent local authorities about the fact; II- inform the sender and the recipient of the event; III - dispose of the waste generated according to the information provided by the sender and other protection of the population and the environment, when applicable; IV- document, register and file the measures adopted. CHAPTER VI OF THE FINAL AND TRANSITIONAL PROVISIONS Art. 42. The documentation related to the sending, transport and receipt of human biological material must be filed for at least 5 (five) years or according to specific legislation for each type of material human biological. Art. 43. In addition to the provisions of this Resolution, the transport of human biological material must be carried out in accordance with the applicable legislation of other bodies and entities, including: I- Ministries of Transport (MT); II - National Land Transport Agency (ANTT), in the case of land transport; III - National Agency for Civil Aviation (ANAC), in the case of air transport; IV - National Waterway Transportation Agency (ANTAQ), in the case of waterway transportation. Art. 44. The health services and carriers of biological material covered by this Resolution will have the period of 30 (thirty) days from the date of its publication to promote the adjustments necessary for its fulfillment. Art. 45. New carriers of biological material and those who intend to restart their activities must attend to the requirements of this Resolution, from its publication, prior to its beginning of operation. Art. 46. Failure to comply with the provisions contained in this Resolution constitutes a sanitary infraction, in terms of Law No. 6,437, of August 20, 1977, without prejudice to civil liabilities, administrative and criminal penalties. Art. 47. The omitted or exceptional cases verified in the application of this norm will be considered by the competent health surveillance authority under current legislation. Art. 48. This Resolution of the Collegiate Board takes effect on the date of its publication. IVO BUCARESKY ATTACHMENT RISK CLASSIFICATION APPLIED TO THE TRANSPORT OF HUMAN BIOLOGICAL MATERIAL Human biological sample 1- Is it known that the sample does not contain infectious agents? 2- Has the biological material been subjected to processes of neutralization or inactivation of infectious agents? 3- Does biological material contain only microorganisms not pathogenic to humans? 4- Is it a dry blood sample in absorbent material or similar? 5- Is it biological material for therapeutic purposes in transfusion / transplantation? They are not subject to the transportation regulations for dangerous articles in force. Exempt biological material. Check specific regulations according to each material and transport purpose YES NO or NO KNOWS Can it be classified as Category A Biological Material? Yes or no DO NOT KNOW Infectious Substance Category A Biological sample with MINIMUM probability of the presence of infectious agents YES NO or NO IF YOU KNOW Minimum Risk Human Specimen Biological Substance Category B Adapted: 1) WHO - World Health Organization Regulatory Guide for the Transport of Infectious Substances 2013 - 2014.