Applcation Manual ILab 600/650 IL Test TM LDL Cholesterol Kit Configuration P/N 0018256040 4 x 18 mL LDL- Cholesterol R1 4 x 6 mL LDL- Cholesterol R2 P/N 0018482700 6 x 9 mL LDL R1 6 x 3 mL LDL R2 Reagent Preparation P/N 0018256040: the reagents are supplied ready to use. Uncap the containers of LDL Cholesterol R1 and of LDL Cholesterol R2 and place them into ILab reagent tray P/N 0018482700: the reagents are supplied ready to use. Uncap the containers of LDL R1 and of LDL R2 and place them into ILab reagent tray In Use Stability On board:. LDL Cholesterol R1: 30 days; LDL Cholesterol R2: 30 days. Specimen Serun Calibration Use ReferrIL™ LDL Cholesterol calibrator, Cat. No. 0018256100. The calibrator value is specific to the lot and can be found on the vial label. This value is assigned by procedures traceable to the CDC (U.S. Center for Disease Control). Recalibrate every 30 days, when a new lot of reagent is used. Reagent blanking should be performed daily or before patient assays if the reagent is used less frequently. Quality Control Serachem® Level 1 (Cat. No. 0018162412) and SeraChem® Level 2 (Cat. No 0018162512). Calculation of Analytical Results The results concentration is automaticallycalculated by the instrument against the Calibrator. For detailed description, refer to the Instrument settings and to the ILab 600/650 Operator Manual. To convert mg/dL to S.I. units (mmol/L), multiply by 0.0259. Reference Interval 76 - 218 mg/dL (1.97 – 5.65 mmol/L) According to the NCEP (U.S. National Cholesterol Education Program) . LDL-C values equal to or below 130 mg/dL ( 3.37 mmol/L) are considered desirable. LDL-C values between 130-159 mg/dL (3.37-4.12 mmol/L) are considered border line high risk for coronary heart disease. LDL-C values equal to or greater than 160 mg/dL ( 4.14 mmol/L) are considered high risk for coronary heart disease. It is recommended that each laboratory establish its own reference range since ranges may vary with age, diet, gender, and geographical area. References / Literatur / Bibliografía / Bibliographie / Bibliografia / See package insert enclosed in the kit Performance Characteristics Limitation/Interfering Substances No interference from lipemia up to sample absorbances/cm of 3.0 at 660 nm (500 mg/dL or 5.6 mmol/L triglycerides). No interference up to 30 mg/dL ( 510 µmol/L) bilirubin. No interference up to 400 mg/dL ( 0.240 mmol/L) hemoglobin. No interference up to 100 mg/dL ( 1 5.68 mmol/L) ascorbic acid. For a comprehensive review of interfering substances, refer to the publication by Young. Precision Samples/Runs Mean (mg/dL) CV(%) Mean (mg/dL) CV(%) Within Run 5/10 85 0.81 135 0.76 Total 5/10 85 1.08 135 1.18 Method Comparison Note: This assay has not been validated against the CDC (U.S. Center for Disease Control) described reference method for determination of LDL-Cholesterol. Comparison Method (x) homogeneous, direct method Comparison Instrument Hitachi 917 Slope 0.954 y intercept 1.63 Range of x (mg/dL) 49-219 Mean x (mg/dL) 141 Mean y (mg/dL) 136 r 0.9926 SE 4.34 n 122 Linearity no rerun 0-400 mg/dL ( 0- 10.4 mmol/L); with rerun 0-600 mg/dL ( 0- 15.5 mmol/L) Sensitivity milliabsorbance change per 1 mg/dL 1.63; milliabsorbance change per 1 mmol/L 63 Minimun Detection Limit Instrumentation Laboratory SpA – V.le Monza 338 – 20128 Milano (Italy)) Instrumentation Laboratory Company - Lexington, MA 02421-3125 (USA) 50 of 117 Applcation Manual ILab 600/650 IL Test TM LDL Cholesterol 0.34 mg/dL (0.01 mmol/L) Instrument Settings Photometric Test Parameters Test No. Test Name, Test Code Sample Type Reporting Unit, Decimal Points Reation Cycle Twin Analysis Methodology Type, Measuring Point Photometric Methodology Primary/Secondary Wavelenght Sampling Conditions Sampling 1 Sample Vol. Sample/Diluent Vol. Sampling 2 Sample Vol. Sample/Diluent Vol. Sampling 3 Sample Vol. Sample/Diluent Vol. Sampling 4 Diluent Code Diluent Warning Limit First Run Below/Above Normal Range Panic L Panic H Noise Prozone High!, ABS! Sample Volume Reduction Reagent Volumes R1 Code Rgt/Dil. Vol. Stirring Low Vol. Warning Limit Stability (days) R2 Code Rgt/Dil. Vol. Stirring Low Vol. Warning Limit Stability (days) Serum 09 LDL-C, LDL-C Serum mg/dL (mmol/L), 0 (1) Standard OFF End Point, 15/32 2 Wavelength 600/700 3 0/0 2 0/0 *** 0/0 *** N/A N/A Sampling 1 *** *** Sampling 2 Sampling 1 N/A Sampling 2 ** Ranges and Evaluation Criteria Normal Range-Male Normal Range-Female Normal Range-Other Valid Range Hemolysis/Icterus/Lipemia Limit Reaction Slope Absorbance Limit Prozone Limit Non Linear Limit Slope/Intercept Correction Qualitative Report Calibration Conditions Calibration Stability (days) Calibrator, Concentration R-Blank Limit (mAbs) Cal. Reps Range (%) Min Cal. Response (mAbs) Cal. Factor Change (%) M-Point Curve Fit (%) Reagent Blank Auto R-Blank by Bottle * ** *** N/A Serum 76 -218 (2.0 -5.7) 76 -218 (2.0 -5.7) ** 0 - 400 (0.00-10.4) *** Positive Above, 3500 N/A N/A 1/0 OFF 1 Point, Linear, 3 Reps 30 ReferrIL LDL-C, * 2500 *** *** *** N/A ON ON Lot dependent operator definable optional not applicable to this test 01091 270/10, ON *** 30 01092 90/10, ON *** 30 Instrumentation Laboratory SpA – V.le Monza 338 – 20128 Milano (Italy)) Instrumentation Laboratory Company - Lexington, MA 02421-3125 (USA) 51 of 117
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