Bring reagents at Room Temperature before use Sample Fresh serum free of haemolysis; heparinized Plasma Alkaline Phosphatase Kinetic Colorimetric Optimized Method Principle Reaction principle Kinetic determination of ALKALINE PHOSPHATASE according DGKC recommendation: ALP p - Nitrophenylphosphate + H2O p - Nitrophenol + phosphate The Rate of Absorbance increase, determined photometrically at 405 nm, is direct proportional to ALP activity in the sample. *Reagents composition, Contents and Safety warnings 1. Buffer /enzyme reagent DEA* Buffer pH 9.8 1 mol/l Magnesium Chloride 1 mmol/l Sodium Azide < 0.1% * Diethanolamine 2. Coenzyme Reagent p - Nitrophenylphosphate 40 mmol/l The Buffer is classified as Xn = Harmful Content: DIETHANOLAMINE Risk: R41 Risk of serious damage to eyes R48/22 Harmful: danger of serious damage to health by prolonged exposure if swallowed S26 In case of contact with eyes, rinse immediately with plenty of water and seek medical advise S36/37/39 Wear suitable protective clothing, gloves and eye/face protection Storage and Stability of Reagents Store the kit at 2 - 8°C All the components are stable until the stated expiration date if stored tightly closed and refrigerated *Preparation and Stability of Working solution Reagents: liquid and ready to use 1- REAGENT PROCEDURE Mix 4 volumes of Buffer with 1 volume of Substrate Working solution stability: 10 days at 2 - 8° C. 2 - REAGENTS PROCEDURE Ready to use Safety precaution For in vitro diagnostic use only. Do not pipette by mouth. Exercise the normal precautions required for handling laboratory reagents. *Procedure 1. Wavelength: Hg 405 nm 2. Cuvette light path: 1 cm 3. Temperature 25/30/37°C. 4. Adjust the instrument to zero against distilled water One Reagent Procedure Sample 20 µl Two Reagents Procedure Buffer 800 µl Sample 20 µl Working Solution 1 ml Substrate 200 µl Mix, wait 1 minute, read the Absorbance and start the stopwatch simultaneously. Read again after 1, 2 and 3 minutes. Calculate the average absorbance difference per minute (A/min) Calculation ALP (U/I) = A/min x 2759 Reference values 25°C 30°C 37°C Adults 60 - 170 U/l 72 - 205 U/l 94 - 266 U/l Children 151 - 471 U/l 182 - 567 U/l 236 - 736 U/l These values should only be used as a guideline. Each laboratory should establish its Normal Reference Range Performance Characteristics A. LINEARITY LIMIT The reaction is linear up to 2000 U/I For higher value dilute sample 1:2 with normal saline, repeat the test and multiply the value by 2 B. DETECTION LIMIT Values less than 5 U/I give non - reproducible results C. INTRA - ASSAY PRECISION (N = 20 replicates) Mean (U/l) SD CV% Control 1 169 3.36 1.98 Control 2 450 13.87 3.08 D. INTER - ASSAY PRECISION (20 replicates for 3 days) Mean (U/l) SD CV% Control 1 Control 2 169.7 449.7 4.31 7.17 2.54 1.59 E. ACCURACY Comparation between this method (y) and another commercial one (x), gave the following results: N = 20 r = 0.99709 y=1 x + 15.5 F. INTERFERENCES 1. Haemoglobin up to 200 mg/dl does not interfere 2. Bilirubin up to 40 mg/dl does not interfere 3. Triglycerides up to 1500 mg/dl do not interfere 4. Ascorbic acid up to 40 mg/dl does not interfere Quality Control Control sera are recommended to monitor the performance of manual and automated assay procedures. Bibliography 1. Deutsche Gesellschaft for Klinische Chemie (DGKC) Recommendation of the German Society of Clinical Chemistry Standardization of methods for measurement of enzymatic activities in biological fluids. 2. Z. Klin, Chem. & Klin, Biochem, 10, 182 (1972) 3. Kubler W., Symp. D. Deutsch Ges fur Lab. Med 8 (1973) 4. Fischbach F., Zawta B.: Klin. Lab. 38 555 (1992) 5. Szasz G. et al: Z. Kindrheilk, 111, 233 (1971) 6. Kaplan L.A., Pesce A. J.: Clinical Chemistry Mosby Ed. (1996) For in vitro diagnostic use only. The following symbols are used on labels For in vitro diagnostic use Use by (last day of the month) Temperature limitation Batch Code