C268 Siemens crop

High-volume specialty hemostasis analyser

Siemens Healthineers has recently launched the CE-marked Atellica COAG 360 System, a fully automated high-volume coagulation analyser designed to streamline and unify hemostasis testing. The Atellica COAG 360 System is the first analyser to unify five methodologies on one testing platform – clotting (optical and optomechanical), chromogenic, immunologic, high-sensitivity luminescence based immunoassay (LOCI) technology, and platelet aggregation testing. This unification enables laboratories to potentially replace up to three stand-alone systems with just one analyser, saving space, simplifying inventory management, reducing maintenance – reducing the overall cost of ownership. The system also provides intelligent reagent and consumable management – including true continuous loading and unloading, and realtime monitoring – extending walkaway time, providing uninterrupted sample measurement, and enabling faster availability of test results. PSI checks and advanced preanalytics detect underfilled or overfilled samples and accurately identify assay-specific hemolytic, icteric, and lipemic (HIL) interferences using nine pre-defined levels. The dedicated, automated module for the detection of HIL interferences improves consistency and reproducibility of results compared to a visual check of samples. This helps to advance preanalytical protocols and improve the quality of hemostasis test results. By integrating high-sensitivity immunoassay using LOCI technology and platelet aggregation testing, Atellica COAG 360 System provides faster test results for all samples and increases insight into hemostatic disorders. Patented LOCI technology from Siemens Healthineers enables labs to test small volume samples with a high level of precision, while reducing the risk of interference. Additionally using LOCI technology, determination of F1+2 (a coagulation factor that aids in risk assessment of thrombosis and anticoagulant therapy monitoring) is automated with an assay turnaround time of less than 15 minutes – four times faster than the current testing protocol. To support labs in need of fully automated multidisciplinary testing, the Atellica COAG 360 System connects with Aptio Automation. With a rapid throughput on samples requiring multiple specialty tests, the Atellica COAG 360 System complements the fast routine testing throughput of the Sysmex CS-5100 System. The system is now available in Europe.
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C235 Integra latest 01

Manual pipettes

Unlike traditional pipettes which utilize a single rotating plunger to set volumes, the new EVOLVE manual pipette range from INTEGRA features an innovative approach that allows users to set volumes more than ten times faster. Available in single, eight and twelve channel formats, covering a volume range of 0.2 – 5,000 ?l, the ultralightweight, well balanced design of the EVOLVE enhances productivity and comfort even during prolonged pipetting sessions.
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C259 Biohit 01

New generation POC test for stomach-specific biomarkers

Different from the previous test versions, the new GastroPanel Quick test is designed for the point-of-care (POC) measurement of four stomach- specific biomarkers in the blood: pepsinogen I (PGI), pepsinogen II (PGII), gastrin-17 (G-17) and Helicobacter pylori IgG antibodies. In the new test version, sample processing is based on a lateral flow (LF) principle, with quantitative marker detection by double Ab (Ag) sandwich technique. The results are immediately read by the LF reader, which increases the test acceptance among clinicians, who are now capable of making the diagnosis onsite. The main indications of use for the GastroPanel remain unchanged. The test is designed for the diagnosis of (1) H. pylori infection (2) atrophic gastritis (AG), and (3) functional disorders among symptomatic (dyspeptic) patients as well as for screening of asymptomatic subjects for gastric cancer risk. Also the recently introduced interpretation algorithm remains valid, based on eight distinct biomarker profiles, five of which reflecting morphological abnormalities while the other three reflect a functional disorder.
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C270 EKF 01

New connectivity for point-of-care HbA1c analysers

A new connectivity package for EKF’s Quo-Test and Quo-Lab HbA1c analysers enables secure bidirectional communication between these POC analysers and a multitude of central data management systems. Using the industry recognized POCT1-A2 communication protocol, EKF’s connectivity solution unlocks a host of new features aimed at improving security and quality control (QC) for diabetic HbA1c testing. The new connectivity package includes a proprietary connector interface box, cables and a software upgrade. This enables EKF’s HbA1c analysers to automatically transmit patient data to the majority of Lab Information Management Systems (LIMS) or Hospital Information Systems (HIS). Traceability and results recall speed are improved by use of patient ID and increased demographic data (such as family name and date of birth). These can now be recorded through either selecting from a pre-approved list or via the barcode scanner and keyboard. Also ensuring the integrity of results generated at the POC, security and QC are enhanced on Quo-Lab and Quo-Test through user ID and QC lockout functions which are included in the connectivity package. By restricting access to trained users only, the lockout functions minimize the chances of user error and adhere to security protocols in many institutions. Furthermore, unauthorized users will be prevented from accessing patient information. Multiple user-defined QC lockout options are also available to POCT coordinators in order to enforce regular testing of QC materials and ensure compliance. HbA1c, or glycated hemoglobin, is well recognized as a reliable measure for glycemic control and managing patients with diabetes. As HbA1c levels reflect average circulating glucose concentration over a two to three month period, this means that it can offer greater clinical information than a single glucose measurement. Quo-Lab and Quo-Test analysers deliver lab-quality results for HbA1c from 4μL of blood within 4 minutes, enabling the consulting clinician to give immediate feedback to a patient. In addition to ensuring the reliability of results, the new connectivity package also allows the clinician to add commentary to any test result, further enhancing the monitoring and management of diabetes in a point-of-care setting.
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C257 Euroimmun 02

Component-based test for precise diagnosis of peanut allergy

The multiparameter component-based test EUROLINE DPADx Peanut allows differentiation of primary peanut allergy from pollen-associated cross reactions, enabling assessment of the patient’s risk for severe reactions. In the test, specific IgE antibodies against seven defined components from peanut and the major birch pollen allergen Bet v 1 are analysed in parallel using immunoblot technology. Patients who show IgE antibodies to the peanut seed storage proteins Ara h 1, h 2, h 3, h 6 and h 7 or the lipid transfer protein h 9 are likely to have a primary sensitization to peanut and a higher risk of a severe reaction. The severity of the allergy is, moreover, greater when multiple high-risk components are involved. Reactions with the PR 10 protein Bet v 1 (homologue of Ara h 8 from peanut) or the profilin Ara h 5 indicate a pollen-associated cross reaction and are associated with milder symptoms and a lower risk of a severe reaction. The EUROLINE DPA-Dx provides an extremely wide ranging screening in one assay. In suspected cases of peanut allergy, the test identifies reactions arising from a pollen-associated food allergy, which present a lower risk for the patient. The assay requires only a small amount of serum (100 to 400 μl), making it ideal for pediatrics. Automated processing and evaluation are available. Peanut allergy can be one of the most severe forms of allergy, with patients at a high risk of life-threatening systemic reactions, including anaphylactic shock. Even small amounts of peanut can trigger a severe reaction. Classic diagnostics based on allergen extracts cannot, however, differentiate between a primary sensitization against peanut and a pollen-associated food allergy due to a cross reaction. Only component-based diagnostics can deliver this decisive information. Establishing a precise diagnosis facilitates decisionmaking on treatment and disease management. Patients with a sensitization to high-risk components should strictly avoid the allergen source and always carry an emergency set. Patients with only a birch pollen-associated food allergy do not normally have to follow a strict peanut-free diet. If the patient also suffers from birch allergy related symptoms, specific immunotherapy for the birch pollen allergy can be undertaken, which is likely to additionally relieve the peanut-induced symptoms.
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C267 Qiagen from client 01

Mutation assay for MPN diagnosis

Launched in Europe, the CE-IVD marked calreticulin (CALR) mutation assay aids in establishing the diagnosis of myeloproliferative neoplasms (MPN). The new ipsogen CALR RGQ PCR Kit (ipsogen CALR assay) is intended for the detection of CALR mutations in genomic DNA from subjects suspected of MPN. It enables identification of the two majors CALR mutations, Type 1 and Type 2, and detects additional mutations in the CALR exon 9 region. The ipsogen CALR assay simplifies CALR testing by covering various relevant mutations in a real-time PCR-based assay to deliver multiple clinical results in less than a working day. The test runs on QIAGEN’s QIAsymphony and Rotor-Gene (RGQ) platforms, employing the CE-IVD marked Rotor-Gene Q MDx 5Plex HRM Platform real-time cycler with automated analysis and interpretation using the Rotor Gene AssayManager software. Maximum throughput flexibility is achieved by DNA sample processing from peripheral blood using either the manual QIAamp DSP DNA Blood Mini Kit or the fully automated sample processing on the QIAsymphony SP instrument. The new ipsogen CALR RGQ PCR Kit is highly synergistic with the CE-IVD marked ipsogen JAK2 RGQ PCR Kit, for detecting the V617F mutation in the janus kinase 2 (JAK2) gene, as CALR mutations can be detected from the same patient sample. The ipsogen CALR assay is the latest addition to QIAGEN’s ipsogen portfolio of assays for both common and rare leukemia types. MPN are a group of blood cancers characterized by significant symptoms and complications such as thrombosis (blood clots) and a high risk of transformation into acute leukemia. MPN include polycythemia vera (PV), essential thrombocythemia (ET) and various forms of (primary) myelofibrosis (PMF), and affect nearly 250,000 patients in Europe and 300,000 patients in the US. The combined annual incidence rate for MPN worldwide is roughly 2.5 in every 100,000. The importance of CALR mutations in MPN was first described in December 2013 in two important papers published in the New England Journal of Medicine (Klampfl T. et al. and Nangalia J. et al). In April 2014 QIAGEN obtained the exclusive worldwide license rights to intellectual property covering specific mutant alleles of the CALR gene from the Research Centre for Molecular Medicine of the Austrian Academy of Sciences, whose scientists led the team that discovered the presence of CALR mutations in MPN. Earlier this year, mutations in CALR were included in addition to JAK2 mutations as a major diagnostic criterion for MPN in the updated WHO guidelines for the classification of myeloid neoplasms and acute leukemia. Both CALR and JAK2 V617F mutations were recently described in clinical guidelines to have prognostic significance. This emphasizes the outstanding importance of CALR mutations, together with JAK2 mutations, in the diagnosis and prognosis of MPN. QIAGEN also has an exclusive license to intellectual property rights for the detection of the V617F specific mutation in the JAK2 gene for diagnostic purposes. The company’s ipsogen product line includes more than 20 assays in hemato-oncology testing.
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C256 Biosystems 01

Ethanol test in serum, plasma and urine

BioSystems launches a new reagent for measurement of ethanol in serum, plasma and urine. Ethanol is a small molecule found mainly in alcoholic beverages, medical preparation and food. Their consumption is widespread but often abusive. Therefore, ethanol determination is one of the most common diagnostic tests in the toxicology and forensic laboratory and it is used for both medical and legal purposes. Ethanol acts as a central nervous system (CNS) depressant and can cause loss of attention, stupor, coma and possible death. BioSystems introduces this test in dedicated presentation for the A15 and A25 analysers (code 12789: 1 x 10mL + 1 x 7 mL) and for the BA400 analyser (21789: 2 x 20mL + 2 x 7mL). It is calibrated using Ammonia/Ethanol/CO2 Calibrator (BioSystems cod. 18065). The reagent offers an improved detection limit (8 mg/dL) and is optimized to work with the company’s analysers although it can also be adapted to other models. It is recommended to use the Ammonia/Ethanol/CO2 Control level I (cod. 18063) and II (cod. 18064) to verify the accuracy of the measurement procedure.
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waters spons. newsletter editorial Feb. 2017

MassTrak Vitamin D Solution

An LC-MS/MS-based clinical diagnostic solution that is CE marked to the IVDD 98/79/EC for quantitative assessment of vitamin D status in human plasma and serum.
The MassTrak Vitamin D Solution includes: instrumentation with the ACQUITY UPLC I-Class/Xevo TQD IVD System, reagents and consumables, services, and informatics. Obtain accurate, precise, linear, and sensitive results with the Waters MassTrak Vitamin D Solution.

*This kit is for in vitro diagnostic use. Not available for sale in all countries.
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DNA microarray for detection of eleven STIs

A new microarray based on state-of-the-art EUROArray technology provides parallel direct detection of eleven sexually transmitted infections (STIs) in one reaction, namely Chlamydia trachomatis, Neisseria gonorrhoea, Mycoplasma genitalium, Mycoplasma hominis, Ureaplasma urealyticum, Ureaplasma parvum, Hemophilus ducreyi, Treponema pallidum, Trichomonas vaginalis and herpes simplex viruses 1 and 2. STIs are often asymptomatic, but if left untreated they can lead to serious sequelae, for example infertility, fetal damage during pregnancy, and severe postnatal infections in newborns. PCR-based detection allows identification of both manifest and silent infections, and is thus suitable for diagnosis of symptomatic patients as well as for general screening. It offers a huge time advantage over culture and is especially useful for detecting sexually transmitted pathogens that are difficult or impossible to culture, e.g. C. trachomatis, Mycoplasma, Ureaplasma, T. pallidum. Due to amplification of the pathogen DNA, infections with a reduced pathogen number can also be reliably detected. A broad screening of STI pathogens is particularly important in asymptomatic or clinically ambiguous cases and for detecting multiple infections, which are often missed during single parameter testing. The EUROArray procedure is extremely easy to perform and does not require any in-depth molecular biology knowledge. Specific sections of pathogen DNA from patient samples are amplified and fluorescently labelled in one multiplex polymerase chain reaction (PCR). The PCR products are then hybridized to BIOCHIP microarray slides containing immobilized complementary DNA probes and detected by their fluorescence signals. The evaluation, interpretation and archiving of results is fully automated by EUROArrayScan software, and is thus highly standardized and objective. Meticulously designed primers, ready-to-use PCR components and integrated controls all contribute to the reliability of the analysis. The entire EUROArray process from sample to report release is IVD-validated and CE-registered. A human papillomavirus (HPV) microarray based on the same technology, which detects all thirty relevant high- and low-risk HPV subtypes, can be performed in parallel if required. 

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Zika virus assay

The Aptima Zika Virus diagnostic assay is now CE marked in Europe for the detection and diagnosis of the Zika virus in patients at risk of exposure to Zika or with signs and symptoms of the virus. The Aptima Zika Virus assay is a molecular diagnostic test that identifies the presence of Zika RNA in human serum, plasma and urine specimens, that can be used up to 14 days following the onset of symptoms. The Aptima Zika Virus assay is the latest Hologic test designed to run on the company’s Panther system, a market-leading, integrated platform that fully automates all aspects of nucleic acid amplification testing. By reducing hands-on time, the Panther system helps to minimize labour needs and the potential for manual errors. 

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