Preface This is the third edition of CAN/CSA-Z900.2.1, Tissues for assisted reproduction . It supersedes the previous editions, published in 2012 and 2003. The first edition of this Standard was directly linked to CAN/CSA-Z900.1, in that it contained only the reproductive tissue-specific requirements and referred to CAN/CSA-Z900.1 for all other requirements. The second edition became a stand-alone document in which the relevant content from CAN/CSA-Z900.1 has been incorporated, and adapted as necessary, to apply to reproductive tissues. This third edition of the Standard includes a new Annex on the reimbursement of expenditures. There have also been significant updates regarding the screening and testing of anonymous donors (Clauses 13.2and 17.2) and genetic history and testing (Clause 13.7and Clause 14). This Standard is part of a series of management system standards related to the safety of cells, tissues, and organs for transplantation and assisted reproduction; it was developed from work initiated by Health Canada’s Expert Working Group on Safety of Organs and Tissues for Transplantation. This Standard is a dynamic document, and while it is intended to reflect current scientific knowledge, it does not obviate the need for users to be aware of state-of-the-art developments. CSA Group gratefully acknowledges that the development of this Standard was made possible, in part, by the financial support of Health Canada. This Standard has been developed in compliance with Standards Council of Canada requirements for National Standards of Canada. It has been published as a National Standard of Canada by CSA Group. Scope 1.1 This Standard addresses issues related to the safety of donated tissues used for third-party assisted reproduction. It includes quality system requirements and aspects of safety for potential and actual donors and recipients, any children born as a result of an assisted reproduction procedure, personnel, and others who might be exposed to or affected by the use of reproductive tissues. This Standard is intended to serve as a benchmark and provide minimum requirements for the verification of safe practices in the processing, evaluation, recordkeeping, adverse event reporting, distribution, importation or exportation, and recall of tissues for assisted reproduction. Annex A is intended to provide guidance regarding reimbursements. 1.2 This Standard applies to establishments and individuals involved in the following activities related to tissues for assisted reproduction: a) processing; b) evaluation of the safety and quality of reproductive tissues prior to use; c) assisted reproduction procedures; d) recordkeeping; e) distribution; f) importation or exportation; g) error, accident, and adverse reaction reporting; and h) complaints and recalls. Annex A applies to those establishments and individuals providing reimbursements. 1.3 This Standard is intended to serve as a benchmark and provide minimum requirements for the verification of safe practices in each of the activities listed in Items (a) through (h) in Clause 1.2. Note: Examples of establishments or individuals include the following: a) tissue retrieval organizations; b) sperm banks; c) clinical facility for assisted reproduction; d) centres for assisted reproduction; e) processing facilities; f) cell culture laboratories; g) health care professionals; h) designated importers and exporters; and i) distributors. 1.4 This Standard is not intended to replace detailed specifications and standard operating procedures but is intended to be used in their preparation. 1.5 The requirements in this Standard apply only to reproductive tissues intended for use by third parties (i.e., recipients who are not the donor’s spouse, common law partner, or sexual partner). 1.6 The safety of all donated tissues used for assisted reproduction in Canada, wherever procured, is the responsibility of the reproductive tissue processors and licensed importers. 1.7 In this Standard, \"shall\" is used to express a requirement, i.e., a provision that the user is obliged to satisfy in order to comply with the standard; \"should\" is used to express a recommendation or that which is advised but not required; and \"may\" is used to express an option or that which is permissible within the limits of the standard. Notes accompanying clauses do not include requirements or alternative requirements; the purpose of a note accompanying a clause is to separate from the text explanatory or informative material. Notes to tables and figures are considered part of the table or figure and may be written as requirements. Annexes are designated normative (mandatory) or informative (non-mandatory) to define their application.