264AFMAN 24-204(I)/TM 38-250/NAVSUP PUB 505/MCO P4030.19H/ DLAI 4145.311 DECEMBER 2001-Diagnostic specimens and biological products are not subject to the requirements of this manual if they donot contain any material that is or could be classified as an infectious substance.A10.9.1. In addition to the bullet requirements identified above, package infectious substances as specified below.Exceptional cases, such as whole organs, may require special packaging. Guidance for packaging materiel thatrequires temperature control during shipment is contained in DLAI 4145.21/TB MED 284/NAVSUPINST4610.31/AFR 167-9, Preparation of Medical Materiel Requiring Freeze or Chill Environment for Shipment.”A10.9.1.1. Lyophilized substances. Primary receptacles must be flame-sealed glass ampoules or rubber stoppedglass vials fitted with metal seals.A10.9.1.2. Liquid or solid substances shipped at ambient temperatures or higher. Primary receptacles must beglass, metal, or plastic. Provide a positive means of ensuring a leak proof seal, such as a heat seal, skirted stopper,or metal crimp seal. If screw caps are used, they must be reinforced with adhesive tape.A10.9.1.3. Liquid or solid substances shipped refrigerated or frozen (ice, prefrozen packs, or dry ice.) Place ice ordry ice outside the secondary packagings. Provide interior supports to secure the secondary packagings in theiroriginal position after the ice or dry ice has dissipated. If ice is used, the outer packaging must be leak proof. If dryice is used, the outer packaging must permit the release of carbon dioxide gas.A10.9.1.4. Liquid or solid substances shipped in liquid nitrogen. Primary receptacles must be plastic, capable ofwithstanding very low temperatures. The secondary packaging must also withstand very low temperatures and inmost cases will need to be fitted over individual primary receptacles. All requirements for shipment of liquidnitrogen must also be met.A10.9.2. Damaged Packages. Upon discovering damage to the package, which indicates damage to the primarycontainer, the carrier must isolate the container and notify the Director, Center for Disease Control, 1600 CliftonRoad NE, Atlanta GA 30333 (telephone number (404) 633-5313), and the shipper.A10.10. Regulated Medical Waste.Package regulated medical waste in packaging that meet the PG IIperformance level. Additionally, ensure the packaging is:-Rigid, leak resistant, and impervious to moisture.-Of sufficient strength to prevent tearing or bursting under normal conditions of handling and use.-Sealed to prevent leakage during transport.-Puncture-resistant for sharps and sharps with residual fluids, break-resistant, and tightly lidded or stopperedfor fluids in quantities greater than 20 cubic centimeters.
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