ULTRA HDL 3K33-20 30-4129/R5 ULTRA HDL This package insert contains information to run the Ultra HDL assay on the ARCHITECT c Systems™ and the AEROSET System. NOTE: Changes Highlighted NOTE: This package insert must be read carefully prior to product use. Package insert instructions must be followed accordingly. Reliability of assay results cannot be guaranteed if there are any deviations from the instructions in this package insert. Customer Support United States: Canada: International: 1-877-4ABBOTT 1-800-387-8378 (English speaking customers) 1-800-465-2675 (French speaking customers) Call your local Abbott representative Symbols in Product Labeling Calibrator Catalog number/List number Concentration Serial number Authorized Representative in the European Community Consult instructions for use Ingredients Manufacturer In vitro diagnostic medical device Temperature limitation Batch code/Lot number Use by/Expiration date Reagent 1 Reagent 2 ABBOTT LABORATORIES Abbott Park, IL 60064, USA ABBOTT Max-Planck-Ring 2 65205 Wiesbaden Germany +49-6122-580 May 2008 ©2005, 2008 Abbott Laboratories 1 NAME REAGENT HANDLING AND STORAGE ULTRA HDL Reagent Handling INTENDED USE Remove air bubbles, if present in the reagent cartridge, with a new applicator stick. Alternatively, allow the reagent to sit at the appropriate storage temperature to allow the bubbles to dissipate. To minimize volume depletion, do not use a transfer pipette to remove the bubbles. CAUTION: Reagent bubbles may interfere with proper detection of reagent level in the cartridge, causing insufficient reagent aspiration which could impact results. The Ultra HDL (UHDL) assay is used for the quantitation of high density lipoprotein (HDL) cholesterol in human serum or plasma. SUMMARY AND EXPLANATION OF TEST Plasma lipoproteins are spherical particles containing varying amounts of cholesterol, triglycerides, phospholipids, and proteins. Phospholipids, free cholesterol, and proteins constitute the outer surface of the lipoprotein particle, while the inner core contains mostly esterified cholesterol and triglyceride. These particles serve to solubilize and transport cholesterol and triglyceride in the bloodstream. The relative proportions of protein and lipid determine the density of these lipoproteins and provide a basis on which to begin their classification.1 The classes are: chylomicron, very-low-density lipoprotein (VLDL), low-density lipoprotein (LDL), and high-density lipoprotein (HDL). Numerous clinical studies have shown that the different lipoprotein classes have very distinct and varied effects on coronary heart disease risk.2 The principle role of HDL cholesterol in lipid metabolism is the uptake and transport of cholesterol from peripheral tissues to the liver through a process known as reverse cholesterol transport (a proposed cardioprotective mechanism).3 Low HDL cholesterol levels are strongly associated with an increased risk of coronary heart disease.4-7 Hence, the determination of serum HDL cholesterol is a useful tool in identifying high-risk patients. The Adult Treatment Panel of the National Cholesterol Education Program (NCEP) recommends that in all adults 20 years of age and over, a fasting lipoprotein profile (total cholesterol, LDL cholesterol, HDL cholesterol, and triglyceride) should be obtained once every five years to screen for coronary heart disease risk.8 Reagent Storage • Unopened reagents are stable until the expiration date when stored at 2 to 8°C. • DO NOT FREEZE. • Protect reagents from direct sunlight. • Reagent stability is 28 days if the reagent is uncapped and onboard. Indications of Deterioration • Quality control results outside of the acceptance criteria defined by your laboratory. • Presence of turbidity. WARNINGS AND PRECAUTIONS Precautions for Users 1. 2. 3. 4. For in vitro diagnostic use. Do not use components beyond the expiration date. Do not mix materials from different kit lot numbers. CAUTION: This product requires the handling of human specimens. It is recommended that all human sourced materials be considered potentially infectious and be handled in accordance with the OSHA Standard on Bloodborne Pathogens.8 Biosafety Level 29 or other appropriate biosafety practices10,11 should be used for materials that contain or are suspected of containing infectious agents. 5. and contain a mixture of 5-chloro-2-methyl-4-isothiazolin3-one and 2-methyl-4-isothiazolin-3-one (3:1), which is a component of ProClin, and are classified per applicable European Community (EC) Directives as: Irritant (Xi). The following are the appropriate Risk (R) and Safety (S) phrases: R43 May cause sensitization by skin contact. S24 Avoid contact with skin. S35 This material and its container must be disposed of in a safe way. S37 Wear suitable gloves. S46 If swallowed, seek medical advice immediately and show this container or label. PRINCIPLES OF PROCEDURE The Ultra HDL assay is a homogeneous method for directly measuring HDL cholesterol concentrations in serum or plasma without the need for off-line pretreatment or centrifugation steps. The method uses a two-reagent format and depends on the properties of a unique detergent. This method is based on accelerating the reaction of cholesterol oxidase (CO) with non-HDL unesterified cholesterol and dissolving HDL cholesterol selectively using a specific detergent. In the first reagent, non-HDL unesterified cholesterol is subject to an enzyme reaction and the peroxide generated is consumed by a peroxidase reaction with DSBmT yielding a colorless product. The second reagent consists of a detergent (capable of solubilizing HDL cholesterol), cholesterol esterase (CE), and chromagenic coupler to develop color for the quantitative determination of HDL cholesterol. Methodology: Accelerator Selective Detergent SPECIMEN COLLECTION AND HANDLING Suitable Specimens REAGENTS Serum and plasma are acceptable specimens. The National Cholesterol Education Program (NCEP) recommends using fasting specimens for a lipoprotein profile. If the specimen is nonfasting, only the values for total cholesterol and HDL cholesterol are usable.12 • Serum: Use serum collected by standard venipuncture techniques into glass or plastic tubes with or without gel barriers. Ensure complete clot formation has taken place prior to centrifugation. When processing samples, separate serum from blood cells or gel according to the specimen collection tube manufacturer’s instructions. Some specimens, especially those from patients receiving anticoagulant or thrombolytic therapy, may take longer to complete their clotting processes. Fibrin clots may subsequently form in these sera and the clots could cause erroneous test results. • Plasma: Use plasma collected by standard venipuncture techniques into glass or plastic tubes. Acceptable anticoagulants are sodium heparin, lithium heparin (with or without gel barrier), and spray-dried EDTA.* Ensure centrifugation is adequate to remove platelets. When processing samples, separate plasma from blood cells or gel according to the specimen collection tube manufacturer’s instructions. *NOTE: Lower HDL cholesterol results obtained from EDTA plasma have been attributed to an osmotic dilution effect. The NCEP has suggested multiplying EDTA plasma results by a factor of 1.03 to correct the EDTA result to a serum equivalent value.13 For total sample volume requirements, refer to the instrument-specific ASSAY PARAMETERS section of this package insert and Section 5 of the instrument-specific operations manual. Reagent Kit 3K33 Ultra HDL is supplied as a liquid, ready-to-use, two-reagent kit which contains: 4 x 84 mL 4 x 32 mL Estimated tests per kit: 1,440 Calculation is based on the minimum reagent fill volume per kit. Reactive Ingredients Cholesterol oxidase (E. coli) Peroxidase (Horseradish) Concentration < 1,000 U/L < 1,300 ppg U/L N, N-bis (4-sulphobutyl)-m-toluidine-disodium (DSBmT) < 1.0 mmol/L Accelerator < 1.0 mmol/L Ascorbic oxidase (Curcubita sp.) < 3,000 U/L Cholesterol esterase (Pseudomonas sp.) < 1,500 U/L 4-Aminoantipyrine < 0.1% Detergent < 2.0% The Ultra HDL reagent is certified as traceable to the HDL cholesterol designated comparison method, covering the NCEP medical decision points, by the CDC-Certified Cholesterol Reference Method Laboratory Network (CRMLN). 2 SPECIMEN COLLECTION AND HANDLING (Continued) QUALITY CONTROL Specimen Storage The following is the recommendation of Abbott Laboratories for quality control. As appropriate, refer to your laboratory standard operating procedure(s) and/or quality assurance plan for additional quality control requirements and potential corrective actions. • Two levels of controls (normal and abnormal) are to be run every 24 hours. • If more frequent control monitoring is required, follow the established quality control procedures for your laboratory. • If quality control results do not meet the acceptance criteria defined by your laboratory, patient values may be suspect. Follow the established quality control procedures for your laboratory. Recalibration may be necessary. • Review quality control results and acceptance criteria following a change of reagent or calibrator lot. Serum and Plasma Temperature Maximum Storage Bibliographic Reference 20 to 25°C 2 days 14 2 to 8°C 7 days 14, 15 3 months 14 -20°C al.14 Guder et suggest storage of frozen specimens at -20°C for no longer than the time interval cited above. However, limitations of laboratory equipment make it necessary in practice for clinical laboratories to establish a range around -20°C for specimen storage. This temperature range may be established from either the freezer manufacturer’s specifications or your laboratory standard operating procedure(s) for specimen storage. NOTE: Stored specimens must be inspected for particulates. If present, mix and centrifuge the specimen to remove particulates prior to testing. RESULTS Refer to the instrument-specific operations manual for information on results calculations. • ARCHITECT System Operations Manual—Appendix C • AEROSET System Operations Manual—Appendix A Representative performance data are given in the EXPECTED VALUES and SPECIFIC PERFORMANCE CHARACTERISTICS sections of this package insert. Results obtained in individual laboratories may vary. PROCEDURE Materials Provided 3K33 Ultra HDL Reagent Kit LIMITATIONS OF THE PROCEDURE Using three homogenous HDL assays, Camps, et al. have reported artificially low HDL results in patients with liver cirrhosis.16 Published studies are not available that define the severity of liver disease necessary to affect lipoprotein and HDL metabolism, or establish other possible patterns of interference with HDL results. When an HDL result is diagnostically critical with concomitant clinically relevant liver disease, use a recognized precipitation or ultracentrifugation HDL-reference method for confirmation. Artificially decreased or increased HDL values in the presence of dyslipidemias have been reported.17,18 Refer to the SPECIMEN COLLECTION AND HANDLING and SPECIFIC PERFORMANCE CHARACTERISTICS sections of this package insert. For the AEROSET System only: Ultra HDL must be run on a separate 7D60-02 Total Bilirubin (TBil) and 7D74-20 line from Triglyceride (Trig). Materials Required but not Provided • 1E68 HDL Calibrator, 6 x 1 mL • Control Material • Saline (0.85% to 0.90% NaCl) for specimens that require dilution Assay Procedure For a detailed description of how to run an assay, refer to Section 5 of the instrument-specific operations manual. Specimen Dilution Procedures The ARCHITECT c Systems and the AEROSET System have automatic dilution features; refer to Section 2 of the instrument-specific operations manual for additional information. Serum and plasma: Specimens with HDL cholesterol values exceeding 180 mg/dL (4.66 mmol/L) are flagged and may be diluted using the Automated Dilution Protocol or the Manual Dilution Procedure. EXPECTED VALUES Reference Range Automated Dilution Protocol If using the Automated Dilution Protocol, the system performs a dilution of the specimen and automatically corrects the concentration by multiplying the result by the appropriate dilution factor. To set up the automatic dilution feature, refer to Section 2 of the instrument-specific operations manual for additional information. Serum/Plasma12 Manual Dilution Procedure Manual dilutions should be performed as follows: • Use saline (0.85% to 0.90% NaCl) to dilute the sample. • The operator must enter the dilution factor in the patient or control order screen. The system uses this dilution factor to automatically correct the concentration by multiplying the result by the entered factor. • If the operator does not enter the dilution factor, the result must be multiplied by the appropriate dilution factor before reporting the result. NOTE: If a diluted sample result is flagged indicating it is less than the linear low limit, do not report the result. Rerun using an appropriate dilution. For detailed information on ordering dilutions, refer to Section 5 of the instrument-specific operations manual. Range (mg/dL) Range (mmol/L) Major risk factor for heart disease < 40 < 1.04 Negative risk factor for heart disease ≥ 60 ≥ 1.55 To convert results from mg/dL to mmol/L, multiply mg/dL by 0.0259. The National Cholesterol Education Program (NCEP) Adult Treatment Panel III Report recommends the classification shown above. Laboratories should follow recommendations for lipid ranges effective in their locale if they differ from those of the NCEP. SPECIFIC PERFORMANCE CHARACTERISTICS Linearity Ultra HDL is linear up to 180 mg/dL (4.66 mmol/L), with recovery within 10% of the predicted value with 95% confidence. Linearity was verified using a modified Clinical and Laboratory Standards Institute (CLSI) protocol NCCLS EP6-A.19 An internal verification study produced linear results up to 221 mg/dL (5.72 mmol/L). CALIBRATION Calibration is stable for approximately 28 days (672 hours) and is required with each change in reagent lot number. Verify calibration with at least two levels of controls according to the established quality control requirements for your laboratory. If control results fall outside acceptable ranges, recalibration may be necessary. For a detailed description of how to calibrate an assay, refer to Section 6 of the instrument-specific operations manual. For information on calibrator standardization, refer to the HDL Calibrator package insert. Limit of Detection and Quantitation The limit of quantitation (LOQ) for Ultra HDL is 5.0 mg/dL (0.13 mmol/L), and the limit of detection (LOD) is 2.5 mg/dL (0.06 mmol/L). The LOD testing for Ultra HDL was performed using a study design based on CLSI protocol NCCLS EP17-A.20 An internal verification study produced an LOD for Ultra HDL of 0.3 mg/dL (0.01 mmol/L). The proportions of false positives (α) and false negatives (β) were less than 5% and the limit of blank (LOB) was 0.2 mg/dL (0.01 mmol/L). The LOQ is the analyte concentration at which the CV = 20%. An internal verification study produced a CV of 9.1% at an HDL cholesterol concentration of 4.4 mg/dL (0.11 mmol/L). 3 SPECIFIC PERFORMANCE CHARACTERISTICS (Continued) Accuracy Accuracy data for Ultra HDL were collected using the HDL Cholesterol Certification Protocol for Manufacturers.23 The data were analyzed using CLSI protocol NCCLS EP21-A.24 Serum results from the Ultra HDL assay on an ARCHITECT c System and an AEROSET System were compared with the designated comparison method (DCM) for HDL cholesterol. Interfering Substances Interference studies were conducted using an acceptance criteria of 5% of the target value. Interference effects were assessed by Dose Response method, at the medical decision levels of the analyte. Lower Decision Level Interfering Substance Ascorbic Acid Interferent Concentration N ARCHITECT Target Observed (mg/dL) (% of Target) AEROSET Mean %Bias -1.6 -1.8 %Total Error 10.9 10.2 2.9 mg/dL (165 μmol/L) 3 35 99 3.9 mg/dL (221 μmol/L) 3 35 99 Method Comparison Conjugated Bilirubin 32.6 mg/dL (557 μmol/L) 3 34 104 63.3 mg/dL (1,082 μmol/L) 3 34 77 Unconjugated Bilirubin 32.4 mg/dL (554 μmol/L) 3 33 105 65.5 mg/dL (1,120 μmol/L) 3 33 107 Correlation studies were performed using CLSI protocol NCCLS EP9-A2.25 Serum results from the Ultra HDL assay on the AEROSET System were compared with those from a commercially available accelerator selective detergent methodology. Serum results from the Ultra HDL assay on an ARCHITECT c System were compared with those from the Ultra HDL assay on an AEROSET System. Hemoglobin Intralipid 1,000 mg/dL (10 g/L) 3 31 102 2,000 mg/dL (20 g/L) 3 31 104 1,000 mg/dL (10 g/L) 3 32 102 2,000 mg/dL (20 g/L) 3 32 115 N Upper Decision Level AEROSET vs. Comparative Method 111 ARCHITECT vs. AEROSET 110 Y - Intercept 0.46 0.61 Interferent Concentration Target Observed N (mg/dL) (% of Target) Correlation Coefficient 0.999 0.999 Slope 0.97 1.00 2.9 mg/dL (165 μmol/L) 3 69 101 %Bias at 35 mg/dL -2 1 3.9 mg/dL (221 μmol/L) 3 69 101 %Bias at 60 mg/dL -2 1 Conjugated Bilirubin 32.0 mg/dL (547 μmol/L) 3 68 102 Range (mg/dL) 12 to 188 12 to 179 63.5 mg/dL (1,086 μmol/L) 3 68 95 Unconjugated Bilirubin 33.9 mg/dL (580 μmol/L) 3 67 102 67.1 mg/dL (1,147 μmol/L) 3 67 102 Interfering Substance Ascorbic Acid Hemoglobin Intralipid 1,000 mg/dL (10 g/L) 3 62 99 2,000 mg/dL (20 g/L) 3 62 100 1,000 mg/dL (10 g/L) 3 75 99 2,000 mg/dL (20 g/L) 3 75 101 Ascorbic acid solutions at the above concentrations were prepared by addition of L-ascorbic acid to human serum pools. Conjugated bilirubin solutions at the above concentrations were prepared by addition of a ditaurobilirubin stock to human serum pools. Unconjugated bilirubin solutions at the above concentrations were prepared by addition of a NIST SRM 916a bilirubin stock to human serum pools. Hemoglobin solutions at the above concentrations were prepared by addition of hemolysate to human serum pools. Intralipid solutions at the above concentrations were prepared by addition of Intralipid to human serum pools. Interferences from medications or endogenous substances may affect results.21 Precision The imprecision of the Ultra HDL assay is total SD ≤ 1.7 mg/dL or total CV ≤ 4%, whichever is greater. Internal verification studies were performed using CLSI protocol NCCLS EP5-A.22 Representative data are summarized below. Control Level 1 N 80 80 Mean (mg/dL) 20.9 78.9 0.76 Within Run Between Run Level 2 SD 0.36 %CV 1.7 1.0 SD 0.23 0.36 %CV 1.1 0.5 0.73 SD 1.07 %CV 5.1 0.9 SD 1.15 1.11 %CV 5.5 1.4 Between Day Total 4 BIBLIOGRAPHY TRADEMARKS 1. Gotto AM. Lipoprotein metabolism and the etiology of hyperlipidemia. Hosp Pract 1988;23(Suppl 1):4–13. 2. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III)—Final Report. National Institutes of Health. National Heart, Lung, and Blood Institute. NIH Publication No. 02-5215. September 2002; I-1–II-22. 3. Badimon JJ, Badimon L, Fuster V. Regression of atherosclerotic lesions by high density lipoprotein plasma fraction in the cholesterol-fed rabbit. J Clin Invest 1990;85(4):1234–41. 4. Castelli WP, Doyle JT, Gordon T, et al. HDL Cholesterol and other lipids in coronary heart disease. The cooperative lipoprotein phenotyping study. Circulation 1977;55(5):767–72. 5. Gordon T, Castelli WP, Hjortland MC, et al. High density lipoprotein as a protective factor against coronary heart disease. Am J Med 1977;62(5):707. 6. Williams P, Robinson D, Bailey A. High density lipoprotein and coronary risk factors in normal men. Lancet 1979;1(8107):72–5. 7. Kannel WB, Castelli WP, Gordon T. Cholesterol in the prediction of atherosclerotic disease; New perspectives based on the Framingham study. Ann Intern Med 1979;90(1):85–91. 8. US Department of Labor, Occupational Safety and Health Administration. 29 CFR Part 1910.1030. Occupational Exposure to Bloodborne Pathogens. 9. US Department of Health and Human Services. Biosafety in Microbiological and Biomedical Laboratories, 5th ed. Washington, DC: US Government Printing Office; January 2007. 10. World Health Organization. Laboratory Biosafety Manual, 3rd ed. Geneva: World Health Organization; 2004. 11. Sewell DL, Bove KE, Callihan DR, et al. Protection of Laboratory Workers from Occupationally Acquired Infections; Approved Guideline―Third Edition (M29-A3). Wayne, PA: Clinical and Laboratory Standards Institute, 2005. 12. Executive summary of the third report of the National Cholesterol Education Program (NCEP) Expert Panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). JAMA 2001;285(19):2486–97. 13. National Cholesterol Education Program. Recommendations on Lipoprotein Measurement, from the Working Group on Lipoprotein Measurement. National Institutes of Health. National Heart, Lung, and Blood Institute. NIH Publication No. 95-3044. September 1995. 14. Guder WG, da Fonseca-Wollheim F, Heil W, et al. The Quality of Diagnostic Samples. Darmstadt, Germany: GIT Verlag; 2001:22–3. 15. US Pharmacopeial Convention, Inc. General notices. In: US Pharmacopeia National Formulary, 1995 ed (USP 23/NF 18). Rockville, MD: The US Pharmacopeial Convention, Inc; 1994:11. 16. Camps J, Simo JM, Guaita S, et al. Altered Composition of Lipoproteins in Liver Cirrhosis Compromises Three Homogenous Methods for HDL-Cholesterol. Clin Chem 1999;45(5):685–88. 17. Roberts WL, Leary ET, Lambert TL, et al. Falsely low direct HDL-cholesterol results in a patient with dysbetalipoproteinemia. Clin Chem 2000;46:560–2. 18. Lackner, KJ, Schmitz G. Beta-VLDL of patients with type III hyperlipoproteinemia interferes with homogenous determination of HDL-cholesterol based on polyethylene glycol-modified enzymes. Clin Chem 1998;44:2546–8. 19. Tholen DW, Kroll M, Astles JR, et al. Evaluation of the Linearity of Quantitative Measurement Procedures: A Statistical Approach; Approved Guideline (EP6-A). Wayne, PA: The National Committee for Clinical Laboratory Standards, 2003. 20. Tholen DW, Linnet K, Kondratovich M, et al. Protocols for Determination of Limits of Detection and Limits of Quantitation; Approved Guideline (EP17-A). Wayne, PA: The National Committee for Clinical Laboratory Standards, 2004. 21. Young DS, Effects of Drugs on Clinical Laboratory Tests, 5th ed. Washington, DC: AACC Press, 2000:3-399–3-414. 22. Kennedy JW, Carey RN, Coolen RB, et al. Evaluation of Precision Performance of Clinical Chemistry Devices; Approved Guideline (EP5-A). Wayne, PA: The National Committee for Clinical Laboratory Standards, 1999. 23. Cholesterol Reference Method Laboratory Network. HDL Cholesterol Certification Protocol for Manufacturers. November 2002. Accessed July 11, 2005 from: http://www.cdc.gov/labstandards/pdf/crmln/ MFRHDLNov2002final.pdf. 24. Krouwer JS, Astles JR, Cooper WG, et al. Estimation of Total Analytical Error for Clinical Laboratory Methods; Approved Guideline (EP21-A). Wayne, PA: The National Committee for Clinical Laboratory Standards, 2003. 25. Krouwer JS, Tholen DW, Garber CC, et al. Method Comparison and Bias Estimation Using Patient Samples; Approved Guideline—Second Edition (EP9-A2). Wayne, PA: The National Committee for Clinical Laboratory Standards, 2002. AEROSET and ARCHITECT are registered trademarks of Abbott Laboratories. c System is a trademark of Abbott Laboratories. All other trademarks, brands, product names, and trade names are the property of their respective companies. Licensed under PCT/JP00/03860 and PCT/JP97/04442. 5 ARCHITECT c SYSTEMS ASSAY PARAMETERS Ultra HDL Serum/Plasma—Conventional and SI Units Configure assay parameters — c 8000 SmartWash Configure assay parameters — General ● General о Calibration о SmartWash о Results о General о Calibration ● SmartWash о Results о Interpretation Assay: UHDL COMPONENT REAGENT / ASSAY WASH Volume Replicates R1 TRIG0 10% Detergent B*** 345 1 Cuvette Trig 10% Detergent B 345 о Interpretation Assay: UHDL Type: Photometric Version: † Number: 1093 ● Reaction definition о Reagent / Sample о Validity checks Reaction mode: End up Primary Secondary Read times Wavelength: 604 / 700 Main: 31 – 33 Last required read: 33 Absorbance range: ___ – ___ Color correction: ___ – ___ Sample blank type: Self Blank: 14 – 16 о Reaction definition ● Reagent / Sample Reagent: UHDL0 Diluent: Saline Diluent dispense mode: Type 0 Diluted Dilution name Sample sample STANDARD : 2.0 ___ _________ : ___ ___ _________ : ___ ___ о Reaction definition Reaction check: R1 200 ___ Type 0 Water Dilution factor ___ = 1:1.00 ___ = ___ = о Reagent / Sample Configure assay parameters — c 16000 SmartWash о General о Calibration ● SmartWash о Results о Interpretation Assay: UHDL COMPONENT REAGENT / ASSAY WASH Volume Replicates R1 AlbG0 Detergent A 345 1 R1 AlbP0 Water 345 1 R1 TRIG0 10% Detergent B 345 1 Cuvette Trig 10% Detergent B 345 о Validity checks Reagent volume: Water volume: Dispense mode: Diluent ___ ___ ___ *** Select “Detergent B” for software prior to version 2.2. R2 67 ___ Type 0 Default dilution ● о о Ultra HDL Serum/Plasma—Conventional Units Configure assay parameters — Results о General о SmartWash ● Results о Interpretation Assay: UHDL Assay number: 1093 Dilution default range: Result units: mg/dL Low-Linearity: 5 High-Linearity: 180 Gender and age specific ranges:* GENDER AGE (UNITS) NORMAL EXTREME Either 0 – 130 (Y) 40 – 60 ● Validity checks None Maximum absorbance variation: ___ о Calibration Configure assay parameters — Calibration о General Assay: ● Calibration о SmartWash о Results UHDL ● Calibrators Calibrator set: UHDL Replicates: 3 о Volumes о Validity checks Calibrator level: Concentration: Blank: Water 0‡ Cal 1: UHDL1 †† ● Volumes Calibrator level Water UHDL1 о Calibrators о Volumes Calibration intervals: Full interval: 672 Calibration type: Adjust type: None о Volumes Blank absorbance range: Span: Span absorbance range: Expected cal factor: Expected cal factor tolerance %: * † ‡ †† Assay: Version: Result units: Decimal places: Correlation factor: Intercept: о Intervals о Intervals Calibrator: UHDL о Calibrators Configure result units [Range 1 – 3] о Calibrators Blank: Cal 1: о Interpretation Calibration method: Linear Sample 2.0 2.0 Diluted sample ___ ___ ● Intervals о Validity checks Ultra HDL Serum/Plasma—SI Units Configure assay parameters — Results Diluent Water ___ ___ ___ ___ о General о SmartWash ● Results о Interpretation Assay: UHDL Assay number: 1093 Dilution default range: Result units: mmol/L Low-Linearity: 0.13 High-Linearity: 4.66 Gender and age specific ranges:* GENDER AGE (UNITS) NORMAL EXTREME Either 0 – 130 (Y) 1.04 – 1.55 о Validity checks (hours) о Intervals _____ – _____ Blank – Blank _____ – _____ 0.00 0 UHDL † mg/dL 0 [Range 0 – 4] 1.0000 0.0000 о Calibration ● Validity checks Configure result units Assay: Version: Result units: Decimal places: Correlation factor: Intercept: User defined. Due to differences in instrument systems and unit configurations, version numbers may vary. Displays the number of decimal places defined in the decimal places parameter field. Refer to concentration specified on calibrator labeling. 6 UHDL † mmol/L 2 [Range 0 – 4] 1.0000 0.0000 AEROSET SYSTEM ASSAY PARAMETERS Ultra HDL Serum/Plasma—Conventional Units Ultra HDL Serum/Plasma—SI Units Assay Configuration: Outline Page Assay Name Assay # UHDL 93 Quantitative Ranges Min Text Min Panic-L * 0.0* 0.0 5 Reference Ranges* Age L-Reference-H 40 60 L-Linear Range-H 0.0 0.0 0.0 0.0 0 Year 0 Year 0 Year Qualitative Ranges Assay Configuration: Outline Page Line A-Line** Male – – – – 0.0 0.0 0.0 0.0 Panic-H 0.0 180 0.0 0.0 0.0 0.0 Max 0.0* Assay Name Assay # UHDL 93 Quantitative Ranges Min Text Min Panic-L * 0.0* 0.0 0.13 Reference Ranges* Age Max Text * Female – 0.0 – 0.0 – 0.0 – 0.0 Line A-Line** L-Reference-H 1.04 1.55 L-Linear Range-H 0.0 0.0 0.0 0.0 0 Year 0 Year 0 Year N/A Qualitative Ranges Male – – – – 0.0 0.0 0.0 0.0 Panic-H 0.0 4.66 0.0 0.0 0.0 0.0 Max 0.0* Max Text * Female – 0.0 – 0.0 – 0.0 – 0.0 N/A Assay Configuration: Base Page Assay Configuration: Base Page Reaction Mode Wavelength-Prim/Sec Read time-Main/Flex AbsMaxVar END UP 604 / 700 31 – 33 / 0 – 0 0.0 Sample Blank Test Blank Read Time Abs Window Abs Limits UHDL ( 93 ) 14 – 16 0–0 0.0 – 0.0 S.Vol DS.Vol D.Vol W.Vol Standard 2.0 0.0 0 0 Rgt Name/Pos Dil 1 2.0 0.0 0 0 Diluent: _______ – __* Dil 2 2.0 0.0 0 0 Type# 0 Rgt Name/Pos R.Vol W.Vol Type# Reagent 1 UHDL061 – ___* 200 0 0 Reagent 2 UHDL052 – ___* 67 0 0 Reaction Check Read Time – A/B Range Minimum ___________ 1–1/1–1 0.0 – 0.0 0.0 Factor/Intercept Decimal Places Units 1.0 / 0.0 0 mg/dL Reaction Mode Wavelength-Prim/Sec Read time-Main/Flex AbsMaxVar END UP 604 / 700 31 – 33 / 0 – 0 0.0 Sample Blank Test Blank Read Time Abs Window Abs Limits UHDL ( 93 ) 14 – 16 0–0 0.0 – 0.0 S.Vol DS.Vol D.Vol W.Vol Standard 2.0 0.0 0 0 Rgt Name/Pos Dil 1 2.0 0.0 0 0 Diluent: _______ – __* Dil 2 2.0 0.0 0 0 Type# 0 Rgt Name/Pos R.Vol W.Vol Type# Reagent 1 UHDL061 – ___* 200 0 0 Reagent 2 UHDL052 – ___* 67 0 0 Reaction Check Read Time – A/B Range Minimum ___________ 1–1/1–1 0.0 – 0.0 0.0 Factor/Intercept Decimal Places Units 1.0 / 0.0 2 mmol/L Assay Configuration: Calibration Page Calib Mode Linear Blank/Calib Replicates 3/3 Sample S.Vol BLK Water 2.0 C1 UHDL 1 2.0 Extrapolation % 0 DS.Vol D.Vol 0.0 0 0.0 0 Assay Configuration: Calibration Page Interval (H) 672 Span Span Abs Range BLK – 1 0.0 – 0.0 W.Vol Blk Abs Range 0 0.0 – 0.0 0 Cal Deviation 0.0 FAC Limit (%) 10 Calib Mode Linear Blank/Calib Replicates 3/3 Sample S.Vol BLK Water 2.0 C1 UHDL 1 2.0 Assay Configuration: SmartWash Page Extrapolation % 0 DS.Vol D.Vol 0.0 0 0.0 0 Interval (H) 672 Span Span Abs Range BLK – 1 0.0 – 0.0 W.Vol Blk Abs Range 0 0.0 – 0.0 0 Cal Deviation 0.0 FAC Limit (%) 10 Assay Configuration: SmartWash Page Rgt Probe Rgt Probe Reagent ALBG061 ALBP061 Wash AlkW AlkW Vol 345 345 Assay Name — Wash — Vol — Cuvette Reagent ALBG061 ALBP061 Wash AlkW AlkW Vol 345 345 Assay Name — Wash — Vol — Cuvette Sample Probe Sample Probe Wash — Wash — Refer to Assay Configuration in Section 2 of the AEROSET System Operations Manual for information regarding assay parameters. * User defined or instrument defined. ** Ultra HDL must be run on a separate line from 7D60-02 Total Bilirubin (TBil) and 7D74-20 Triglyceride (Trig). 7 8