UK NEQAS for H&I: SCHEME 2B - CROSSMATCHING BY FLOW CYTOMETRY METHODOLOGY QUESTIONNAIRE Date: Lab Number: Lab Name: Please complete the following information for the methods used by your laboratory for Scheme 2B. If your laboratory makes any changes to these methods during the assessment year, please resubmit this form with the changes. The results of this questionnaire will be collated and made available on the UK NEQAS for H&I website. 1. Cell preparation and controls Cell preparation method: Cells: Volume/tube (l) Cell concentration Diluent Serum: Volume/tube (l) Used as supplied Yes/No: and/or dilutions of Source of negative control: (e.g. NIBSC) Number of negative control replicates: Source of positive control: (e.g. NIBSC) Number of positive control replicates: Number of crossmatch test replicates: 2. Sensitisation stage Temperature (0C): Incubation time (mins): First wash step: Manual Volume/tube (ml) 3. Automated cell washer Wash medium: Temperature (0C) Number of washes: Detection Stage Anti-human IgG reagent: Raised in Manufacturer: Labelled with Goat FITC Whole IgG Sheep Phycoerythrin Fab2 fragment Rabbit Other Dilution: Diluted in: Volume/tube (l) (from working stock) Incubation time (mins) Incubation temp (ºC) Please email the completed form to: ukneqashandi@wales.nhs.uk or return by post/fax to UK NEQAS for H&I, Welsh Blood Service, Ely Valley Road, Talbot Green, Pontyclun CF72 9WB; Fax +44 (0) 1443 622001. Page 1 of 4 NEQ 96, Issue 1 Effective Date 21/12/15 Ref. SOP: 133/NEQ Lab Number: 4. Lab Name: Anti-T cell reagent T-cell reagent manufacturer: Is the anti-human IgG reagent added with the anti-T cell reagent? Yes/No: If No – is there a wash step before adding the anti-T cell reagent? Yes/No: Wash step details: Manual Automated cell washer Volume/tube (ml) Number of washes: Wash Medium Temperature (ºC) Is the anti-T cell reagent added with the anti-B cell reagent: Yes/No: Anti-T cell reagent Labelled with: FITC CD3 Phycoerythrin-cyanine 5 Other: Yes/No: Diluted? If Yes - diluted in: Other Dilution (e.g. 1 in 10) Volume/tube (l) 5. Yes/No: Incubation time (mins) Incubation temp (°C) Anti-B cell reagent B-cell reagent manufacturer: Is the anti-B cell reagent added with the anti-human IgG reagent? Yes/No: If No – is there a wash step before adding the anti-B cell reagent? Yes/No: Wash step details: Manual Automated cell washer Volume/tube (ml) Wash medium Number of washes: Temperature (°C) Anti-B cell reagent Labelled with: Specificity: Phycoerythrin CD19 Diluted? Phycoerythrin-cyanine 5 CD20 If Yes - diluted in: Other: Other: Volume/tube (l) Incubation time (mins) Yes/No: Dilution (e.g. 1 in 10) Incubation temp (°C) Please email the completed form to: ukneqashandi@wales.nhs.uk or return by post/fax to UK NEQAS for H&I, Welsh Blood Service, Ely Valley Road, Talbot Green, Pontyclun CF72 9WB; Fax +44 (0) 1443 622001. Page 2 of 4 NEQ 96, Issue 1 Effective Date 21/12/15 Ref. SOP: 133/NEQ Lab Number: 6. Lab Name: Final Wash Wash step details: Manual Automated cell washer Wash medium: Volume/tube (ml) Number of washes Temperature (°C) Resuspension of cells in: Fiaxative Sheath fluid Phosphate Buffered Saline Other 7. Volume/tube(l) Data Acquisition Make of flow Cytometer: Live gated: Yes/No: Calibration beads used: Yes/No: Used for: Alignment check Type of beads: Laser check Type of beads: Fluorescence check Type of beads: Fluorescence quantitation Type of beads: Events collected per sample tube Minimum Maximum Total Events: T Cells B Cells Parameter used to assess peak performance: Scale used: Median Linear channel Mean Log channel Mode Other: Other: Please email the completed form to: ukneqashandi@wales.nhs.uk or return by post/fax to UK NEQAS for H&I, Welsh Blood Service, Ely Valley Road, Talbot Green, Pontyclun CF72 9WB; Fax +44 (0) 1443 622001. Page 3 of 4 NEQ 96, Issue 1 Effective Date 21/12/15 Ref. SOP: 133/NEQ Lab Number: 8. Lab Name: Data Analysis Parameter used to assess difference in fluorescence of anti-human IgG reagent: Peak Shift Median difference Mean difference Mode difference % shift Other Minimum value for valid positive control sample e.g. 40 channel shift T Cell: B Cell Discriminator value taken to distinguish negative from positive: Discriminator value to distinguish clinically significant binding of human IgG: (if assay used for clinical purpose) 9. Use of crossmatching by flow cytometry (mark all that apply) Clinical / Diagnostic Antibody screening Research / Development Pre-transplant crossmatching Particular areas of use Post-transplant monitoring Other: 10. When reporting the final result, is the description “positive” or “negative” adequate? Yes/No: If No - please say how you would ask centres to report the result so that the result can be assessed across centres: General Comments: Please email the completed form to: ukneqashandi@wales.nhs.uk or return by post/fax to UK NEQAS for H&I, Welsh Blood Service, Ely Valley Road, Talbot Green, Pontyclun CF72 9WB; Fax +44 (0) 1443 622001. Page 4 of 4 NEQ 96, Issue 1 Effective Date 21/12/15 Ref. SOP: 133/NEQ