基于南方医科大学SouthernMedicalUniversity(SMU).docVIP

南方医科大学Southern Medical University (SMU) 实验动物研究方案ANIMAL STUDY PROTOCOL 编号（IACUC）： 研究课题TITLE ： 提交日期 DATE SUBMITTED： 批准日期 APPROVAL DATE：Section A. 人员及培训 PERSONNEL AND TRAINING A1. 课题组负责人（PI） Principal Investigator (Co-Investigators may follow) 姓名Name 职称Titles 单位Unit 邮址E-mail 电话Phone A2.课题组负责人是否亲自操作？Does the PI have direct contact with animals? [ ] 是Yes [ ] 不No A3.动物实验操作人员? Who will perform the experimental manipulations on animals? 姓名Name 职称Title 上岗证号 联系电话/邮箱 Telephone No./ E-mail A4. 操作者是否有相关的操作经验？Are the persons performing the experiments or surgeries with animals experienced with the specific procedures involved? [ ] 是Yes [ ] 不No 说明他们在进行实验之前如何受到相关培训Indicate how they will receive training before the experiments begin。 [ ] 由PI培训Training by PI [ ] 由其它单位或个人培训（姓名）Training by other (Name) Section B. 实验概要EXPERIMENTAL SUMMARY 实验动物管理和使用委员会将确保实验动物品系的适当性及所需最小量来保证实验操作的可靠性。The IACUC is mandated to certify that investigators are using the appropriate species and the minimal number of animals necessary, and that alternative approaches have been considered. This is only possible when the committee is provided with sufficient insight into the goals and strategies for the experiment. B1. 实验目的或预期目标是什么？What are the objectives or underlying hypotheses of the experiments? B2. 你的实验最终如何让患者（人或动物）受益？How might a patient population (human or animal) ultimately benefit from your experiments? B3. 请详述所采用的动物实验程序（涉及动物的实验方法及操作顺序，药物的剂量/给药途径/药物剂型、取样方法和次数等）Provide a complete description of the procedure(s) to be performed using animals (i.e., nature and time sequence of animal related procedures, dose/route/regimen of drug administration, sampling methods and frequencies, etc.): B4. 所需动物及设施信息 of animals requested and experimental facility 品种/品系Species/Strain 性别Sex 年龄Age 重量Weight 数量Quantity 动物等级Animals Grade ♀ CV □清洁CL □SPF □无菌GF ♂ ♀ □普通CV