|
GENERAL
PRODUCT
SPECIFIC
HER-2/neu
ELISA
EGFr
ELISA
uPA
ELISA
PAI-1 ELISA
TIMP-1
ELISA
VEGF165 ELISA
Ras p21 ELISA
MN/CAIX ELISA
LABORATORY
QUESTIONS
Sample
Preparation
and Stability
Components
Assay
Procedure
Equipment
Shelf
life and
Statistics
GENERAL
Which
Oncogene
Science Biomarker Group
ELISA products
are FDA-cleared?
Only the
IVD (In
Vitro Diagnostic)
ELISA products
are FDA-cleared.
RUO (Research
Use Only)
products
are not.
See list
below.
Product |
Item
No. |
Approval
Status |
| HER-2/neu
ELISA |
06489876 |
In
Vitro
Diagnostic |
| EGFr
ELISA |
06489930 |
Research
Use
Only |
| uPA
ELISA |
06489892 |
Research
Use
Only |
| PAI-1
ELISA |
06489914 |
Research
Use
Only |
| VEGF165 ELISA |
06489957 |
Research
Use
Only |
| TIMP-1
ELISA |
06489973 |
Research
Use
Only |
| Ras p21 ELISA |
06490009 |
Research
Use
Only |
| MN/CAIX ELISA |
06490025 |
Research
Use
Only |
Are
your
ELISA Products
Reimbursable?
Third party
payers will
only reimburse
kits that
are FDA-cleared
for their
intended
use. RUO
assays do
not generally
qualify
for reimbursement.
| Product |
CPT
Code |
NLA* |
| HER-2/neu
ELISA |
83950 |
$89.99 |
| * |
Center for Medicare and Medicaid Services National Limitation
Amount. This reimbursement information is being provided as a service to Siemens Healthcare Diagnostics Inc. customers to assist in accurate reporting and
billing for Siemens Diagnostics tests. This information is based upon
information from coding authorities and/or insurers on how it is
appropriate to bill and report Siemens Diagnostics assays in claims to
third party insurers, such as Medicare. Specifically, this information was
retrieved from the Centers for Medicare and Medicaid Services website at
www.cms.gov, and is subject to change. Siemens Diagnostics makes no
representations or warranties regarding the accuracy or completeness of the
information on this website. There is no guarantee that any test will be
covered and paid. Coverage varies depending upon the health insurer's
policies and the patient's medical condition. It is the responsibility of
the treating physician to indicate the patient's condition, which is the
basis for determining medical necessity and coverage. Actual payment
amounts for covered tests can vary from state to state, and from payor to
payor. Please contact your local Medicare carrier or other health plan for
additional details on local policies and to ensure compliance with specific
plan requirements. |
How
many tests
does a kit
generate?
There are
40 test
determinations
per kit
when samples
are tested
in duplicate.
Generally,
assays use
6 standards
and 3 controls,
each in
duplicate.
Test wells
dedicated
to these
reagents
reduce the
number of
wells available
for samples.
What
sample types
are your
ELISA products
intended
for?
All of the
ELISA products
we offer are intended
for HUMAN
serum and/or
plasmas
samples
only. Our
EGFr ELISA
can also
be run using
cell culture
fluids.
However,
refer to
the Instructions
For Use
(found on
this website)
for the
specific
ELISA product
in question.
PRODUCT
SPECIFIC
Can
urine samples
be run on
the HER-2/neu
ELISA?
Urine samples
are not
validated
for use
in the HER-2/neu
ELISA.
Can
plasma samples
be run on
the HER-2/neu
ELISA?
Yes, the
HER-2/neu
ELISA can
be used
on plasma
samples,
but for
research
purposes
only. The
intended
use of the
HER-2/neu
ELISA for
clinical
purposes
is for measurement
of HER-2/neu
protein
in serum samples
when monitoring
patients
with metastatic
breast cancer.
Can
the HER-2/neu
ELISA measure
rat HER-2/neu
protein
or mouse
HER-2/neu
protein?
No. Species
specificity
of reagents
in the HER-2/neu
ELISA is
to the human
HER-2/neu
oncoprotein.
Does
the HER-2/neu
ELISA measure
phosphorylated
or non-phosphorylated
versions
of the HER-2/neu
oncoprotein?
The HER-2/neu
ELISA reagents
are directed
to the p105
extracellular
domain (ECD)
of the HER-2/neu
oncoprotein,
and are
not able
to distinguish
phosphorylation
states of
the full
length molecule.
Can
I run an
overnight
HER-2/neu
assay?
No, the
HER-2/neu
Instructions
for Use
describe
a one-day
procedure
only.
What
is measured
in the EGFr
ELISA?
The EGFr
ELISA reagents
are directed
to the p110
extra cellular
domain (ECD)
of the EGFr
oncoprotein.
What
is the clinical
utility
of EGFr
ELISA?
The EGFr
ELISA is
a Research
Use Only
product.
There is
no established
clinical
utility
at this
time.
Does
the HER-2/neu
p105 interfere
with the
EGFr ELISA?
The EGFr
ELISA does
not detect
HER-2/neu
p105. The
EGFr ELISA
has been
challenged
with concentrations
of HER-2/neu
that are
ten-fold
higher than
the upper
end of the
assay dynamic
range with
no interference
detected.
What
is the stability
of EGFr
in frozen
sera, which
has already
been defrosted
once?
Our
evaluation
of freeze/thaw
stability
of EGFr
p110 indicates
that the
molecule
is stable
through
at least
six freeze-thaw
cycles.
What are the normal ranges for the EGFr ELISA?
The levels listed should be used as a guideline only. The determination of normal ranges should be carried out by each laboratory using appropriate samples.
| Sample Type |
Mean Value (ng/mL) |
Range (ng/mL) |
| Serum |
61 |
48–72 |
| EDTA Plasma |
62 |
52–75 |
What are the normal ranges for the uPA ELISA?
The levels listed should be used as a guideline only. The determination of normal ranges should be carried out by each laboratory using appropriate samples.
| SAMPLE GROUP: HEALTHY MALES AND FEMALES (N=118) |
| Mean recovery of uPA |
Recovery range |
| 1192 pg/mL serum |
459–1924 pg/mL serum |
What are the normal ranges for the PAI-1 ELISA?
The levels listed should be used as a guideline only. The determination of normal ranges should be carried out by each laboratory using appropriate samples.
| SAMPLE GROUP: HEALTHY MALES AND FEMALES (N=100) |
| Mean recovery of PAI-1: |
Recovery range: |
| 25.9 ng/mL plasma |
5.6–150 ng/mL plasma |
Has Oncogene Science Biomarker Group performed any comparison studies on what kind of plasma is most suited for the PAI-1 ELISA?
In comparative in-house PAI-1 studies, no differences were seen in results obtained from plasma samples under Heparin, EDTA, or Citrate sample collection conditions. Therefore, the customer should have confidence in their PAI-1 ELISA results no matter what anticoagulant/preservative is used with the plasma samples.
What
is measured
in the TIMP-1
ELISA?
The TIMP-1
ELISA is
intended
for the
quantitation
of total
(free and
complexed)
tissue inhibitor
of metalloproteinase-1
(TIMP-1).
What are the normal ranges for the TIMP-1 ELISA?
The levels listed should be used as a guideline only. The determination of normal ranges should be carried out by each laboratory using appropriate samples.
| TIMP-1 LEVELS IN NORMAL HUMAN EDTA PLASMA (N=35) |
| Range |
Mean |
Mean + 2SD |
95% fall below: |
| 94–250 ng/mL |
150 ng/mL |
220 ng/mL |
216 ng/mL |
What
does the
"165"
represent
in the product
name?
The VEGF165 ELISA is
a research-use-only,
enzyme immunoassay
for the
quantitation
of the 165
amino acid
length human
vascular
endothelial
growth factor
(VEGF165).
This product
is specific
for detecting
VEGF165
Ievels,
the most
prominent
isoform
found in
circulation,
in human
serum and
plasma.
What are the normal ranges for the VEGF165 ELISA?
A number of human serum and plasma samples have been tested to determine sample values. In general, plasma recoveries are significantly lower than serum recoveries when measuring matched samples.
The levels listed below should be used as a guideline only. The determination of normal ranges should be carried out by each laboratory using appropriate samples.
VEGF165 LEVELS IN NORMAL HUMAN MALE SERUM (N=101)
(ND = Nondetectable) |
| Range |
95% fall below: |
| ND-303 pg/mL |
155 pg/mL |
VEGF165 LEVELS IN NORMAL HUMAN FEMALE SERUM (N=121) |
| Range |
95% fall below: |
| ND-835 pg/mL |
163 pg/mL |
VEGF165 LEVELS IN NORMAL HUMAN EDTA PLASMA (N=76) |
| Range |
| ND-60 pg/mL |
Ras p21 ELISA
What is measured in the Ras p21 ELISA?
The Ras p21 ELISA is an enzyme-linked immunoassay used for the quantitation of circulating ras p21 in human serum and plasma.
What are the normal ranges for the Ras p21 ELISA?
A number of human serum and plasma samples have been assayed to determine expected values. Plasma values may be significantly higher than serum values when measuring matched samples. Therefore it is suggested that sample type be kept consistent within a study.
The levels listed in the following tables should be used as a guideline only. The determination of normal ranges should be carried out by each laboratory using appropriate samples.
| Ras p21 IN MATCHED NORMAL FEMALE SERUM AND PLASMA SAMPLES (N=55) < 40 pg/mL = Nondetectable (ND) |
| |
Plasma (pg/mL) |
Serum (pg/mL) |
| Mean |
98.2 |
62.7 |
| SD |
65.3 |
32.3 |
| Mean-2SD |
ND |
ND |
| Mean+2SD |
195.8 |
96.8 |
| Range |
ND-291.2 |
ND-218.4 |
| 95% fall below |
259.2 |
104.1 |
Ras p21 IN MATCHED NORMAL MALE SERUM AND PLASMA SAMPLES (N=54) < 40 pg/mL = Nondetectable (ND) |
| |
Plasma (pg/mL) |
Serum (pg/mL) |
| Mean |
98.7 |
70.8 |
| SD |
62.8 |
29.0 |
| Mean-2SD |
ND |
ND |
| Mean+2SD |
224.4 |
128.8 |
| Range |
53.7-478.0 |
ND-147.3 |
| 95% fall below |
167.0 |
132.2 |
Ras p21 IN MATCHED PROSTATE CANCER SAMPLES (N=18) < 40 pg/mL = Nondetectable (ND) |
| |
Plasma (pg/mL) |
Serum (pg/mL) |
| Mean |
1451.1 |
171.0 |
| SD |
1150.8 |
72.0 |
| Mean-2SD |
ND |
ND |
| Mean+2SD |
3752.8 |
315.0 |
| Range |
91.1-4077.1 |
77.7-323.2 |
| 95% fall below |
2940.9 |
272.2 |
MN/CAIX ELISA
What is measured in the MN/CAIX ELISA?
The MN/CAIX ELISA is an enzyme-linked immunoassay used for the quantitation of MN protein, also known as CA IX, in human serum and plasma.
What are the normal ranges for the MN/CAIX ELISA?
The levels listed in the following tables should be used as a guideline only. The determination of normal ranges should be carried out by each laboratory using appropriate samples.
| MN/CAIX pg/ mL IN NORMAL HUMAN SERUM AND EDTA PLASMA SAMPLES |
| |
Serum (N=34) |
Plasma (N=10) |
| Range |
25–1795.0 |
58–432.0 |
| Mean |
269.0 |
178.0 |
| Mean+2SD |
648.0 |
397.0 |
| 95% fall below |
678.0 |
ND |
| MN/CAIX IN MATCHED NORMAL HUMAN SERUM AND PLASMA SAMPLES (N=10) |
| Sample |
Serum (pg/mL) |
Plasma (pg/mL) |
| 1 |
136.0 |
142.0 |
| 2 |
166.0 |
172.0 |
| 3 |
175.0 |
183.0 |
| 4 |
37.0 |
62.0 |
| 5 |
323.0 |
280.0 |
| 6 |
106.0 |
161.0 |
| 7 |
54.0 |
58.0 |
| 8 |
121.0 |
124.0 |
| 9 |
150.0 |
164.0 |
| 10 |
398.0 |
432.0 |
LABORATORY
QUESTIONS
What
is the most
important
technical
aspect of
the specimen
preparation
for the
assay?
Good specimen
preparation
requires
good pipetting
techniques.
It is important
to have
good pipetting
technique,
calibrated
pipettes
and to have
the correct
pipettes
available
for accurate
dilutions.
For example,
it is not
practical
to use a
250ul variable
pipette
for dispensing
10ul.
Can
the same
sample diluents
be used
for all
of the assays?
No. There
are different
sample diluents
necessary
for each
specific
assay. None
of the components
should be
exchanged
between
kits.
If
I run samples
at a later
date, do
I have to
run standards
again?
Yes.
Results
of the Standards
are necessary
to analyze
data for
each use
of the ELISA.
Are
there special
sample collection
requirements
for the
Oncogene
Science Biomarker Group
ELISAs?
See the
individual
Instructions
for Use
for the
kit in question.
Generally
speaking
there are
no special
sample collection
and handling
requirements.
Testing
with the
ELISAs is
performed
with samples
sent to
laboratories
following
common sample
collection
procedures
in serum.
For
Plasma Samples-
EDTA "Purple
Top"
Tubes are
recommended
For
Serum Samples-
"Red
Top"
tubes are
recommended
uPA
& PAI-1
Assays are
also validated
for Citrate
"Blue
Top" and Coagulation
Tube. Remember,
uPA:PAI-1
Complex
and PAI-1
are only
able to
use plasma
samples,
not serum
samples.
How
long are
diluted
samples
(analyte)
stable?
See the
individual
Instructions
for Use
for the
kit in question.
In some
cases, samples
may be diluted
in Sample
Diluent
the day
before an
assay is
to be performed
and stored
at 4 °C.
Can
hemolyzed
samples
be used?
Measurement
of hemolyzed
samples
should be
avoided.
We do not
recommend
use of samples
of questionable
quality
(hemolyzed,
cloudy,
lipemic,
containing
flocculent
material).
How
long do
you recommend
that frozen
serum/ plasma
samples
thaw and
what are
recommended
storage
volumes
for the
sample aliquots?
Aliquots
of 100 to
1000 uL
are ideal
100 uL aliquots
should take
less than
5 minutes
to thaw
at room
temperature.
Thawed samples
should be
placed on
ice prior
to testing.
What
is the stability
of fresh
serum or
plasma samples
submitted
for an ELISA
test? Should
the serum
or plasma
sample be
submitted
at room
temperature
or frozen?
If the serum
sample is
to be used
within 24-48
hours, it
can be kept
at room
temperature
or on ice
packs at
2-8°C.
For longer
periods,
serum samples
should be
kept frozen
and brought
to room
temperature
before use.
What
is the purpose
of the Substrate
Blank?
The Substrate
Blank reading
will not
be used
in calculating
any data,
as it serves
as a quality
check on
the integrity
of the reagent
and proper
procedure.
It should
not be assigned
in the ELISA
reader software
as a Blank.
It is used
as a check
to determine
that the
substrate
solution
used in
the assay
has not
undergone
any degradation
or contamination.
If the Substrate
Blank is
within specifications,
there has
been no
compromise
of the reagent.
What
components
are included
in an ELISA and
can components
be purchased
individually?
Pre-coated
96 well
microplate,
Standards
for calibration,
Detector
Antibody
and/or Conjugate,
Diluent
buffers,
Substrate
and Platewash
are included
in the kits.
None of
the kit
components
are sold
separately.
A list of
components
provided
in each
kit can
be found
in the Instructions
for Use.
Instructions
for Use
can be downloaded
directly
from the
Product
section
of this
website.
Controls
are available
for our
ELISAs and
are sold
separately.
Do
your
ELISA controls
contain
multiple
analytes?
No, the
control
materials
only contain
the analyte
specific
for the
ELISA with
which it
is used.
I
ran out
of Plate
Wash. Could
I just use
my laboratory
supply of
PBS?
No, it is
not advisable
to use non-supplied
reagents.
If
crystals
can be seen
in the Platewash
Concentrate
is it okay
to still
use the
buffer?
At 4C Platewash
Concentrate
may forms
salt crystals.
The buffer
should be
warmed approximately
45 minutes
prior to
use Place
the bottle
of Platewash
Concentrate
in a 37°C
waterbath
to help
dissolve
the crystals.
Platewash
Concentrate
can be stored
at room
temperature
during the
indicated
shelf life.
How
long is
Platewash
stable after
it has been
diluted?
After diluting
the wash
buffers
into a 1X
solution,
the solution
should be
used within
24 hours
or discarded.
Can
I use the
same Platewash
for all
of the ELISA
assays?
No. Our
ELISA products
employ more
than one
formulation
of Platewash
Concentrate.
Use of the
incorrect
Platewash
may invalidate
results.
Is
there enough
Platewash
Concentrate
to wash
the plate
more than
the required
number of
washes and
run each
microtiter
plate multiple
times through
the wash
cycle?
No. The
Platewash
Concentrate
provided
is sufficient
for performing
the required
number of
washes.
Careful
planning
may enable
a laboratory
to perform
more than
one assay
run with
the same
kit.
What
kind of
special
ancillary
components
are required
for this
test?
Most of
the materials
and equipment
are commonly
found in
the laboratory
but the
following
is a checklist
of items
that are
required
and not
included
in the kits.
(Information
also available
in all Assay
Protocols)
- Dry
heat incubator
capable
of maintaining
37°C
- Pipettors:
2-20 µL,
20-200
µL,
and 200-1000
µL
pipettors
with disposable
tips
- Precision
repeating
pipettor
- Automated
96-well
microtiter
plate
washer
- 12 x
75 mm
culture
tubes
for sample
preparation
- Vortex
mixer
- Microtiter
plate
reader
with proper
wavelength
filter
capable
of measuring
absorbance
in 96-well
plates.
Ideally,
the reader
should
interface
with a
computer
with dedicated
ELISA
software.
- 500-
or 1000-mL
graduated
cylinder
- Reagent
reservoirs
- Deionized
water
- Plastic
wrap or
adhesive
plate
sealers
- Liquid
household
bleach
for inactivating
clinical
specimens
and decontamination
of plate
washer
- Disposable
paper
towels
Can
partial
strips be
run so I
don't waste
an entire
row if I
only want
to run a
few samples?
Partial
strips cannot
be used.
Once you
insert an
antibody
coated 8-well
strip into
the plate
frame, you
will need
to use the
entire strip.
Assays should
be planned
to make
the most
use of a
kit. Standards
and controls
consume
wells for
each assay.
Duplicates
should be
placed into
wells on
different
strips.
Is
there a
point during
the assay
where I
can stop
the assay
without
causing
a shift
in results?
The operating
protocol
for each
ELISA has
been carefully
designed
to provide
reliable
data from
samples
and should
be carefully
followed
for all
steps. Refer to
the Instructions
for Use.
How
much time
do I have
after adding
the stop
reagent
to read
the plate?
Do the ELISA
plates need
to be read
right away?
Yes, the
ELISA plates
should be
read as
soon as
possible.
If the plate
cannot be
read immediately,
it should
be protected
from light
and read
within 30
minutes.
What
if a standard
falls out
of range
and is not
calculating
consistent
with assigned
value?
Problems
with duplicate
agreement
for standards,
controls
and samples
may require
the operator
to repeat
the assay.
Quality
standards
of each
laboratory
will determine
the necessity
of repeat
assays.
Variable
results
are seen
on the edges
of the plate.
What could
be the cause
of this?
Adding cold
reagents
to a plate
may cause
this so-called
edge effect.
Be sure
that all
reagents
are equilibrated
to room
temperature
before addition
to the plate.
We also
suggest
taping down
the edges
of the plate
sealer/plastic
wrap, especially
if the antigen
incubation
is at 37°C.
What
should I
do if my
unknown
sample is
out of range
(higher
than the
highest
concentration
of standard?
The concentration
of analyte
in such
a sample
exceeds
the concentration
of the level
6 standard.
This sample
must be
diluted
to a level
that can
be read
on the standard
curve. See
Instructions
for Use
on further
sample dilutions.
Is
it critical
how long
an ELISA
plate sits
immediately
after tapping
it dry?
Yes, the
timing is
important
because
excessive
drying can
damage the
reagents
on the plate
and therefore
compromise
the assay
results.
We
recommend
proceeding
directly
to the next
step.
Should
plates be
tapped dry
only on
certain
absorbent
surfaces?
Yes! Use
lint free
material
to avoid
introducing
particulate
matter into
the wells.
Use fresh
material
for each
assay wash
step.
How
hard should
a plate
be tapped
for sufficient
drying after
it is washed?
The plate
may be blotted
upside down
with just
a few short
vigorous
slaps. Avoid
jarring
the strips
from the
frame. Strips
may be labeled
with a laboratory
marker on
the outer
finger tab
to avoid
any confusion
if such
an accident
occurs.
Is
there a
checklist
to ensure
a valid
assay run?
- Ask
customer
to see
raw data
including
the standard
curve
fit.
- Check
that the
OD levels
for standards
fall within
the expected
dynamic
range
of the
assay.
- Check
to be
sure that
the correct
wavelength
was used
in the
reader.
- OD values
follow
a trend
consistent
with standard
order
- Check
that CVs
are not
>10%.
Each laboratory
must establish
quality
standards
which
determine
the need
for repeat
testing.
- Check
that the
standard
value
assignments
were input
correctly
into the
ELISA
software
template.
- Check
that the
background
is not
elevated.
- Check
that the
R2 correlation
coefficient
is close
to 1.0
(.999)
What
Software
Packages
are recommended
for use
with the
ELISA readers?
Oncogene
Science Biomarker Group
uses Softmax
Pro, which
is provided
by Molecular
Devices,
Inc.. Bio-Tek
Instruments,
Inc. sells
a software
package
called KC4.
There are
a number
of reliable
ELISA software
packages
available.
Can
a 620nm-wavelength
filter be
used instead
of a 650nm-wavelength
filter for
the Oncogene
Science
Biomarker Group ELISAs?
In cases
where one of our
ELISA requires
a 650nm-wavelength
filter,
a 620nm-wavelength
filter is
acceptable
as long
as the quality
of the OD
readings
and control
results
meet assay
specifications.
How
often do
the Washers
need to
be primed
(cleaned)?
All washers
should be
rinsed every
night as
part of
their daily
QC maintenance.
See the
equipment
manufacturer
recommended
daily and
periodic
maintenance
instructions.
Do
you provide
enough reagents
in the kit
to accommodate
automated
washers
that may
require
more Wash
Buffer Reagent
in the tubing?
Reagents
should be
sufficient
for semi-automated
systems
like the
Bio-Tek
washer.
Washers
that are
"strip
readers"
and are
setup to
only wash
the number
of strips
that have
been run
on the plate
are also
suitable.
Customers
using the
Oncogene
Science Biomarker Group
ELISAs on
automated
ELISA instruments
may find
they do
not have
adequate
volumes
of reagent.
These ELISAs
are intended
to be performed
manually.
How
often should
the gaskets,
o-rings
and airline
filter be
checked
on the plate
washers?
See the
recommendations
of the company
supplying
the washer.
What
chemicals
are used
in the decontamination
protocol?
See the
recommendations
of the company
supplying
the washer.
How
often should
the washer
tubing be
replaced?
See the
recommendations
of the company
supplying
the washer.
What
should be
remembered
when setting
up a Reader
with ELISA
Software
All assays
are read
at a single
wavelength.
- Select
the appropriate
wavelength
filter
for a
particular
assay.
- Click
"No"
for the
options
of Auto
mixing
and Blanking.
Always
set "No"
to Blanks.
- All
assays
are Endpoint
(versus
kinetic).
Click
on Template
and assign
wells
the appropriate
designation
(standard,
sample
control).
- Standard
1 always
defaults
to 0.
Concentrations
for standards
2-6 must
be entered
using
information
from the
package
insert
of each
assay.
Assign
standards
the proper
concentration
(ng/mL,
or pg/mL).
Does
the plate
reader have
any setup
prior to
reading?
What is
required?
Refer to
the specific
manufacturer
instructions
for your
particular
plate reader.
What
are some
possible
causes of
variable
results?
Lack of
Washer maintenance,
poor pipetting
techniques,
contamination
of the plate
by reusing
plate sealers
for subsequent
steps and
reusing
blotting
material
for subsequent
steps. Use
fresh plate
sealers
and paper
towel for
blotting.
Can
I microwave
my Platewash
Concentrate
to dissolve
salts?
Place the
Platewash
Concentrate
in a warm
water bath
to dissolve
salt crystals.
Refer to
the Instructions
for Use.
What
kind of
water should
be used
for this
assay and
to dilute
my Platewash
Concentrate?
Distilled
or Deionized
water
What
is the coefficient
of determination"
R2 "
a measure
of?
R2 is a
measure
of the curve's
quality.
The curve-fitting
algorithm
attempts
to fit a
line as
close to
each of
the measured
standards
points as
possible.
The error
calculated
from standards
points to
the fitted
line is
indicated
as the coefficient
of determination.
The closer
R2 is to
1.0, the
better.
R2 is ideally
.997 or
better.
This is
not unlike
a least
squares
determination.
What
is an acceptable
CV% (coefficient
of variation)
for standards
and patient
samples
(unknowns)?
Acceptable
CVs are
10% or less.
If the CV%
is greater
than 10%
determine
outliers
and mask
those. If
there is
a high CV
number and
only 2 unknowns
were run,
it is necessary
to re-test
the sample
because
determination
of which
sample is
the outlier
is impossible...
Each laboratory
should establish
its own
methods
and specifications
for identifying
and handling
so-called
"outlier"
results.
What
is the lot
numbering
system for
reagent
vials and
kit? Are
there lot
numbers
on each
of the vials
in the kits?
Are the
lot numbers
on the vials
the same
as the lot
numbers
on the kit?
Each component
reagent
vial in
the kit
has a unique
lot number.
The various
components
may all
have different
lot numbers
and dating.
The complete
kit has
a unique
lot number
and expiration
date on
the outer
box label
of the kit.
The kit's
expiration
date is
equivalent
to the shortest
dated component
vial in
the kit
configuration.
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