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Patent Deposit Accession Form - Cell Culture / Hybridoma

DEPOSITOR INFORMATION

Name of Depositor/Company/Institute
(NB this will be the name that appears on certification)
Contact Name
Depositor Address
Tel No
Fax No
Email Address

BIOHAZARD RISK ASSESSMENT MUST BE ENCLOSED

The deposit is made in accordance with the terms of the Budapest Treaty 1977. I agree to abide by the conditions and regulations regarding the deposit of cell lines to ECACC.

Name
Date
Invoice Address
(if different from above)
Cell line for deposition
Brief description

DETAILS OF CELL CULTURE

Identification/Name in full
Species and strain
Organ/Tissue

HYBRIDOMAS

Immunogen
Immunocyte donor
Immortal partner
Product Specificity
Ig class/subclass
Screening Assay

ADDITIONAL INFORMATION

Full cell line name
Cell products/characteristics
Morphology
Passage No
Growth as suspension/attached line

CELL STORAGE CONDITIONS

Cell concentration
Composition of medium

CULTURE CONDITIONS

Growth medium
% Serum and type
Supplements (& conc)
Temperature
Gaseous phase
Split ratio (attached)
or (suspension) cells/ml

STERILITY CHECKS ALREADY PERFORMED

Bacteria Yes    No
Mycoplasma Yes    No
Fungi Yes    No
Viruses Yes    No

ANY OTHER RELEVANT INFORMATION

A Biohazard Risk Assesment must be completed in order for your samples to be accepted.  ECACC is required to asess the GMO status of all deposits PRIOR to receipt.  Therefore, we will contact all depositors to advise them when we can receive samples.

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Related Information

 

A Guide to the Deposit of Cultures for Patent Purposes at ECACC

Biohazard Risk Assessment


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