[Histonet] Tissue Contamination

Howard J. Leventhal howard at innovativepathology.com
Thu Aug 29 15:03:02 CDT 2019


I would like to start off by saying that I am a full-time Pathologists'
Assistant with 33 years experience. I started a side company about 15 years
ago to deal with issues such as this. We currently have a heated forceps jar
that by its design greatly reduces the chance of floaters/contaminants.

Even more exciting, we have a hands free, patent pending device coming out
in the Spring 2020 that will near totally if not completely eliminate the
occurrence of contaminants, both at the grossing bench and embedding
station.

Howard

Howard J. Leventhal, M.S., PA(ASCP)
Innovative Pathology Concepts, Inc.
howard at innovativepathology.com
www.innovativepathology.com

-----Original Message-----
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Sent: Wednesday, August 28, 2019 1:00 PM
To: histonet at lists.utsouthwestern.edu
Subject: Histonet Digest, Vol 189, Issue 24

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Today's Topics:

   1. Re: Tissue Contamination (Garrey Faller)
   2. 10% NBF Substitutes (Sandra Cheasty)
   3. Xylene substitutes for clearing agents
      (Hagon, Christopher (Health))
   4. Re: Xylene substitutes for clearing agents (Ingles Claire)
   5. New Job Opportunity - Histology Technician II -	Frederick, MD
      (Mack Lloyd)
   6. Re: Xylene substitutes for clearing agents (Rene J Buesa)
   7. Start Fall with a Histology Position (Andrea Costello)
   8. RELIA Histology Careers Bulletin. 8/28/2019	Opportunities On
      and Off the Bench! (Pam Barker)


----------------------------------------------------------------------

Message: 1
Date: Tue, 27 Aug 2019 13:35:57 -0400
From: Garrey Faller <garreyf at gmail.com>
To: John Garratt <john.garratt at ciqc.ca>
Cc: "Joe W. Walker, Jr." <jwwalker at rrmc.org>,
	"histonet at lists.utsouthwestern.edu"
	<histonet at lists.utsouthwestern.edu>
Subject: Re: [Histonet] Tissue Contamination
Message-ID: <3E9F62C8-500F-44AB-9600-923762959B7A at gmail.com>
Content-Type: text/plain;	charset=utf-8

I agree with the comments made.
How do Histotechs mitigate the risk?
Do they use water? Do they just place the forceps back into the hot
well/holder at the embedder? What is the best way to ensure safe embedding
by the Histotech?

Although rare, contaminants do end up in blocks. The grosser says it?s the
Histotech at fault. The Histotech says it?s the grosser.

I once inspected a lab and I witnessed the use of a microbiology flame
sterilizer to sterilize the Histotech forceps between biopsies.   Never seen
that before. 

Garrey

Sent from my iPhone

> On Aug 27, 2019, at 12:19 PM, John Garratt via Histonet
<histonet at lists.utsouthwestern.edu> wrote:
> 
> With regard to forceps: Do NOT use rat tooth or serrated forceps because
even with rinsing there is potential for micro fragments to be trapped and
carried over to the next sample. This also applies to forceps used at the
tissue embedding stage. It is all about mitigating of risk.
> 
> John
> 
> www.ciqc.ca
> 
> ??????? Original Message ???????
>> On Tuesday, August 27, 2019 8:36 AM, Joe W. Walker, Jr. via Histonet
<histonet at lists.utsouthwestern.edu> wrote:
>> 
>> We utilize small, disposable absorbent pads, which also absorb the
formalin fumes. We obtain ours through Leica/former Surgipath. They work
well and are changed in between cases. Each case utilizes a new scalpel
blade and forceps are rinsed in water between cases. I am not aware of any
cross over of tissues between cases when utilizing these practices.
>> 
>> Joe W. Walker, Jr. MS, SCT(ASCP)
>> Anatomical Pathology Manager
>> joewalker at rrmc.org, www.rrmc.org
>> 
>> -----Original Message-----
>> From: Cartun, Richard via Histonet histonet at lists.utsouthwestern.edu
>> Sent: Monday, August 26, 2019 2:48 PM
>> To: histonet at lists.utsouthwestern.edu
>> Subject: [Histonet] Tissue Contamination
>> 
>> [External Email] This email originated from outside of the organization.
Think before you click: Don?t click on links, open attachments or respond to
requests for sensitive information if the email looks suspicious or you
don?t recognize the sender.
>> 
>> What are people doing to ensure that there is no tissue carry-over on
instruments between cases when grossing? Thank you.
>> 
>> Richard
>> 
>> Richard W. Cartun, MS, PhD
>> Director, Histology & The Martin M. Berman, MD
Immunopathology/Morphologic Proteomics Laboratory Director, Biospecimen
Collection Programs Assistant Director, Anatomic Pathology Hartford Hospital
>> 80 Seymour Street
>> Hartford, CT 06102
>> (860) 972-1596 (Office)
>> (860) 545-2204 (Fax)
>> Richard.cartun at hhchealth.orgmailto:Richard.cartun at hhchealth.org
>> 
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