2. Precooling: You can put the cooling elements in the transport box when you leave the main hospital, and store them in the transport box approx. 0-4 hours before you put the boxes with the organ in the transport box. Keep the lid on the transport box all the time. We recommend that the organs are stored in the transport box until they are used. Se separate cooling diagram for pre cooling on www.medco.nowww.medco.no Cooling elements directly from the household freezer: You can also take the cooling elements directly from the freezer (- 22C) while taking the organs into the transport box. We recommend that the organs are stored in the transport box until they are used. Se separate cooling diagram for pre cooling on www.medco.nowww.medco.no

3. Keep the lid on while you are keeping the cooling elements in the transport box

4. Remove the protection wrapping ("bubble plastic"). The Peal bag shall be marked with a red sterilization mark, and batch no.

5. The O.T. nurse takes the sterile kidney container out of the sterile bag.

6. Remove the plastic bag from the lid

8. It is highly recommended that you wrap the heart in a wet sterile compress before placing it in the heart fixture.

9. Wrap the heart in wet sterile

14. Press down the lid until it touches the heart, and keep it in the right position

15. When the wrapped heart has been placed in the inner container, fill it to the brim with your cold perfusion fluid.

16. Tighten the lid firmly and dry off any liquid on the surface of the inner container.

17. Place the inner container with the heart into the outer protection box, and snap the lid shut.

20. Here you see the transport box ready to be closed, with heart container, vessel container, cooling elements, and in the room to left, paper and bloodsamples.

21. When ready to transplant the kidney, take it out of the cooler. Then take off the snap lid and slide the sterile inner container carefully into the sterile environment.