TOLEDO, Ohio (AP) — The accidental disposal of a viable kidney by an experienced nurse during a transplant was a “baffling” act, said a surgeon hired by the University of Toledo Medical Center to review its kidney transplant program following the botched procedure.

The report found no problems with the systems or the culture at the hospital that would have indicated it was at risk for such a mistake, wrote Dr. Marlon Levy, surgical director for transplantation at Baylor All Saints Medical Center in Fort Worth.