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Organ & tissue viability reference

Viability windows, storage and transport temperatures, and which products travel on dry ice — for organs, tissue, cellular products and blood components. Compiled for transport planning, with the conservative published figure quoted wherever sources disagree.

44 entries 11 trigger dry ice UN1845 Class 9 21 CFR 600.15
Read this first

Every chain in this table is one we're certificated to fly.

Refrigerated, ambient, frozen on dry ice, or cryogenic in a liquid-nitrogen dry shipper — AeroAcumen is authorized for all of it, including the Class 9 dangerous goods that stop most small on-demand operators. Four things are worth knowing before you plan a shipment.

1 · No federal maximum

There is no federal maximum cold ischemia time for any organ. OPTN's published figures are patient-facing guidance and say so; Policy 16 sets no maximum time and no numeric organ temperature. Any limit in play is your program's clinical judgment.

2 · Official numbers are the conservative ones

For every organ except kidney, current literature runs ahead of the official figure — in lung's case by several fold. The conservative published number is what belongs in a customer conversation.

3 · Dry ice splits fresh from frozen

The refrigerant, not the tissue type, decides regulatory status. Anything at −18 °C or colder generally rides on dry ice — UN1845, Class 9 — and needs a will-carry operator.

4 · Liquid nitrogen is not dry ice

No cellular therapy product here ships on dry ice; they use LN2 dry shippers, which are unregulated absent free liquid. Treating the two alike is the most common error in this category.

ProductViability windowStorageTransportShips onNotes
Organs
Heart6 h (OPTN)4–8 °C4–8 °CStatic cold storage / controlled hypothermicFDA device labeling reads “up to 4 hours.” Machine perfusion is used clinically beyond that; no authority states an absolute maximum.
Lung6 h (OPTN); 2–6 h (UNOS)0–4 °C ice0–4 °C; 10 °C controlledStatic cold storage / controlled hypothermicStatic-storage ceiling commonly cited at 8 h. 10 °C storage has been validated to 24 h in peer-reviewed work; quote the conservative figure.
Liver12 h (OPTN)0–4 °C0–4 °CStatic cold storage; machine perfusionMachine-perfusion devices are large — one common unit is roughly 209 lb and 21 cu ft, which exceeds this aircraft's practical envelope.
Kidney — static cold storage36 h (OPTN)2–8 °C2–8 °CStatic cold storageThe least time-critical organ class. 36 h is the practical wall in the literature; clean window is far shorter.
Kidney — machine perfusion24 h (FDA device maximum)4–8 °C / 2–10 °C4–8 °CHypothermic machine perfusionDevice-labeled maximum, not a regulatory limit.
Pancreas12 h (OPTN)~4 °C~4 °CStatic cold storageNo official maximum. Graft-failure risk rises materially past 12 h.
Intestine12 h (OPTN)Not publishedNot publishedStatic cold storagePreservation injury is described within 12 h; bacterial translocation rises sharply past about 9 h.
UterusDeceased-donor median ~5.5 h4 °C4 °CStatic cold storageNo definable human threshold in the literature.
VCA — hand / faceMedian ~6 hNot publishedNot publishedStatic cold storageSkeletal muscle is the binding constraint at under 2 h warm ischemia — tighter than any solid organ.
Tissue
Cornea — hypothermic media14 days2–8 °C≤8 °CWet ice, insulatedOptisol-GS, Life4C, Kerasave, Xtra4, Cornisol all label 14 days.
Cornea — organ culture (EU)28–30 days~31 °CAmbientAmbient — no iceActive-metabolism storage. Not a US practice.
Sclera — sterile~2 years2–30 °C — do not freezeAmbientAmbientGamma-irradiated, supplied in saline.
Heart valve — cryopreserved DRY ICEUp to 5 yearsBelow −150 °C−150 °C or −76 °CLN2 dry shipper or dry iceWhere dry ice is used this becomes a UN1845 Class 9 shipment.
Skin — fresh / viableUnder ~5 days (metabolic decline)+2 to +10 °C+2 to +10 °CRefrigerated / wet iceNo published maximum retrieved; evidence is metabolic, not a labeled limit.
Skin — cryopreserved DRY ICE2 years at −80 °C−80 °C / −40 to −80 °CFrozenDry iceInstructions for use direct removal of the envelope from dry ice on receipt.
Skin — glycerol-preservedUp to 5 years+2 to +10 °CRefrigeratedRefrigeratedGraded glycerol preservation; no frozen chain.
Bone — fresh osteochondral (OCA)28 days after procurement4 °C4 °CRefrigeratedA genuine 28-day clock on a high-value graft — the strongest tissue case for dedicated lift.
Bone — fresh-frozen DRY ICEPer container label; discard 24 h after thaw−40 to −90 °CFrozenDry iceShort-term storage above −40 °C is acceptable under 6 months in some systems.
Bone — freeze-dried / lyophilizedPer label; implant or discard 24 h after openingAmbient — do not freezeAmbientAmbient — no refrigerantFreezing risks seal integrity.
Tendon / ligament — fresh-frozen DRY ICEPer label; discard 24 h after thaw−40 to −90 °CFrozenDry ice onlyLabeling is explicit that dry ice is the only accepted refrigerant.
Amnion — cryopreserved2 years−80 °C, ceiling +4 °CTemperature-controlledTemperature-controlled shipperThe +4 °C ceiling means a refrigerated chain satisfies the labeling.
Amnion — dehydratedUp to 4 years0–38 °C ambientAmbientAmbient — no refrigerantShelf-stable; ordinary cargo.
Nerve — decellularized allograft DRY ICE36 months≤ −40 °C≈ −78.5 °CDry iceLabeling states the graft is shipped on dry ice and supplied frozen. Now a licensed biologic.
Pericardium — solvent-dehydratedPer labelDefers to implant labelAmbientAmbientLabeling specifies shipment at ambient temperature by expedited methods.
Pericardium — photo-oxidized (bovine)Minimum 1 year5–25 °CControlled ambientControlled ambientCarries a low-temperature freeze indicator — dry ice would void the product.
Cellular
CAR-T finished productInfuse within 30 min – 3 h of thaw, product-specific≤ −120 to −150 °C vapor-phase LN2≤ −130 to −150 °CLN2 dry shipperNo CAR-T product in this dataset ships on dry ice. LN2 dry shippers are unregulated when no free liquid is present.
Cord blood (HPC, Cord Blood)Post-thaw 1–4 h, product-specific≤ −150 °C≤ −150 °CLN2 dry shipperSteel canister in an LN2-charged tank or foam sleeve.
Islet cell product6 h from product release15–25 °C15–25 °CInsulated cooler — ambientAmbient shipment; the tightest clock in the cellular category.
HPC — marrow / apheresis, freshNot publishedNot publishedNot publishedHand-carried courierThe donor registry model uses hand-carried couriers as airline carry-on. There is no vendor slot for a charter operator.
Blood products
Whole Blood (ACD / CPD / CP2D)21 days from collection1–6 °C1–10 °CWet ice / gelTransport temperatures under 21 CFR 600.15 are wider than storage temperatures — 4 degrees of headroom.
Whole Blood (CPDA-1)35 days1–6 °C1–10 °CWet ice / gel
Red Blood Cells — additive solution42 days1–6 °C1–10 °CWet ice / gelAS-1, AS-3, AS-5 and AS-7 systems.
Red Blood Cells — irradiated28 days from irradiation, or original dating if shorter1–6 °C1–10 °CWet ice / gel
Red Blood Cells — open system24 h after entering the bag1–6 °C1–10 °CWet ice / gelDeglycerolized or washed product entered in an open system.
Red Blood Cells — frozen (glycerolized) DRY ICE10 years from collection−65 °C or colder−65 °C or colderDry ice or LN2Deglycerolization restarts the 24 h / 14 d clocks.
Platelets5 days at 20–24 °C20–24 °CLabel-drivenAmbient / validated shipperSeven-day dating requires both an FDA-cleared 7-day container and a cleared bacterial detection device.
Cold-stored plateletsUp to 14 days from collection1–6 °C continuouslyLabel-drivenRefrigeratedApheresis only, under an FDA alternative procedure; agitation is optional.
Fresh Frozen Plasma DRY ICE1 year from collection−18 °C or colder−18 °C or colderDry iceInto the freezer within 8 h of collection. Post-thaw hold is 1–6 °C for 24 h.
PF24 / PF24RT24 DRY ICE1 year−18 °C or colder−18 °C or colderDry ice
Cryoprecipitated AHF DRY ICE1 year from collection of source blood−18 °C or colder−18 °C or colderDry iceInto the freezer within 1 h of removal from the refrigerated centrifuge.
Plasma Cryoprecipitate Reduced DRY ICE1 year frozen−18 °C or colder−18 °C or colderDry ice
Liquid Plasma5 days past the Whole Blood dating period1–6 °C1–10 °CWet ice / gel
Thawed Plasma5 days total at 1–6 °C1–6 °CNot specified in 600.15Wet ice / gelThis dating exists through labeling, not through a dedicated CFR row.
Source Plasma — frozen DRY ICE10 years−20 °C or colder−5 °C or colderDry iceStorage and shipping specifications differ in the federal text and cannot be reconciled into one number — carry both.
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Method & limits

How to use this — and how not to.

What this is. A transport-planning reference compiled from published federal regulation, official allocation-body guidance, FDA product labeling and the peer-reviewed literature. Where sources disagree, the conservative figure is shown. Where no authoritative figure could be found, the cell says so rather than carrying an estimate.

What this is not. It is not clinical guidance, not a preservation protocol, and not a representation that AeroAcumen will accept any particular product. Product labeling and your own quality system govern. Confirm every figure against current labeling and your program's protocol before relying on it.

The one regulatory line worth memorizing

Liquid red-cell products are stored at 1–6 °C but may be shipped at 1–10 °C — four degrees of headroom that storage specifications do not give you. 21 CFR §600.15

That headroom is what makes a validated shipper practical on a regional leg. Keep storage and transport temperatures in separate columns of your own paperwork; conflating them is the most common cause of a shipment being rejected on arrival.

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