C357 Euroimmun 01

Multiparameter test for differential diagnosis of pollen allergies in Southern Europe

Specific IgE antibodies against inhalation allergens that commonly occur in Southern Europe can be detected and differentiated using the new multiparameter immunoblot EUROLINE DPA-Dx Pollen Southern Europe 1 based on defined partial allergens (DPA, allergen components). The detailed profile identifies the precise allergy-causing proteins, distinguishing primary sensitizations from cross reactions and thus aiding therapy decision-making. The test is based on a unique combination of species-specific marker molecules, cross-reactive components and whole extracts, encompassing tree pollens (birch, olive, cypress, hazel, oak), grass pollens (timothy grass, wall pellitory) and the fungus Alternaria alternata. The native extracts provide a general screening for IgE antibodies against the respective pollen/fungus. Combination of the Southern European species-specific marker molecules (e.g. nCup a 1, rOle e 1 and rPar j 2) together with common panallergens (e.g. PR-10 proteins and profilin) enables precise discrimination between a putative primary sensitization and a persistent cross reaction. Positive reactions with species-specific markers are an indication for specific immunotherapy. Positive reactions with panallergens on the other hand indicate cross reactions. Cross-reactive molecules are prevalent among different types of plants, which often results in a high sensitization rate.  An insufficient differentiation between primary sensitization and cross reactions often results in a less effective desensitization during specific immunotherapy. The test also includes a band of cross-reactive carbohydrate determinants (CCD), which aids the differentiation of clinically relevant reactions from unspecific anti-CCD reactions and thus the interpretation of results. With this in-depth profile, true sensitizations can be reliably identified, enabling targeted selection of the most suitable specific immunotherapy and improved prognosis of the therapy success. The test is easy to perform and requires only a small sample volume. The high analytical and clinical value of the profile has been verified in an independent study (publications in preparation). A further large-scale international multicentre study is currently in progress (www.ait2020.com). Automated processing and evaluation are available for the assay.
The new profile is part of the established EUROLINE Allergy range, which encompasses a comprehensive portfolio of component- and extract-based profiles for the diagnosis of food, inhalation and insect venom allergies.

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C354 Advanced instruments crop

Single-sample micro-osmometer

Now available is the newest member of the Advanced family of freezing point osmometers. Osmo1 is suited for clinical laboratories which prefer to directly draw and test small sample volumes. It was specifically designed to address the changing needs of today’s busy laboratories, improve efficiency, reduce sample turnaround time, and replaces the Advanced 3320 instrument.
Intended for sample-limited applications, Osmo1 uses a small 20 μL sample size and can measure the osmolality of body fluids – including whole blood, serum, plasma, urine, feces, sweat, and tissue homogenate. Samples are analysed one at a time, and the entire process is made easy via the operating cradle that allows the test to be run directly from the Ease-Eject Sampler, eliminating any loss of sample.
Osmo1 uses the industry-preferred freezing point depression method to deliver results in just 90 seconds. A versatile piece of laboratory equipment for any laboratory setting, the Osmo1 features a dedicated space to hold the newly re-packaged Micro-Sample Test Kit that now includes the sampler tips, chamber cleaners, and replacement plunger wire conveniently packaged together.
The instrument redesign also includes an interactive touchscreen, an on-board printer, and a 2-D barcode scanner to provide positive sample identification to reduce transcription errors. Data management and transfer can be handled via the on-board printer or by easily exporting the data using the Ethernet connection or multiple USB ports.
Osmo1 can be used in a variety of clinical diagnostics applications including urology/renal function, surgery/critical care, and internal medicine/endocrinology.
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C361 Beckman Coulter

5-part differential hematology analyser for small-volume labs

Beckman Coulter Diagnostics has announced achievement of CE Mark of its DxH 520 hematology analyser, designed to help physician office laboratories deliver high-quality results with increased productivity and ease. With as little as two environmentally friendly reagents, the compact 5-part differential system enhances efficiency and resource management through a comprehensive feature set that automates daily tasks. This reduces the amount of time spent on laboratory operations and frees time for patient care. The company used its time-proven flagship DxH 800 hematology solution as the predicate method for the DxH 520 system, establishing a strong correlation throughout the entire DxH line of hematology analysers. This provides a high level of continuity of care for clinical laboratories, regardless of whether they are small- or high-volume facilities. The DxH 520 analyser fills a need for a comprehensive solution that increases productivity while driving down costs for physician office laboratories. It features proprietary dynamic-gating method that improves sample flagging, and reduces slide reviews and technical interpretation, while maintaining effective clinical sensitivity. As an upgrade from a 3-part to a 5-part differential instrument, the DxH 520 analyser gives the clinician more information by which to make decisions when assessing a patient. A robust IT and data-management package helps reduce clerical errors and inefficiencies, and allows for easy retrieval of up to 30,000 patient samples. The system’s small 17 µL aspiration is ideal for puncture samples from infants, geriatric, oncology and critical care patients. Closed tube aspiration capability both simplifies analysis and ensures safety for laboratory technologists by eliminating sample exposure. The easy-to-use interface enables technologists to access any screen in three clicks or less, saving valuable time. The system’s two reagents and on-board cleaner can be replaced in five minutes or less, and its aqueous-based cyanide-, azide- and formaldehyde-free reagents eliminates disposal costs. This is in contrast to competitive systems that use five or more reagents— many of which are primarily composed of organic solvents that require additional costly disposal fees. The analyser’s low-energy requirements – half the power demand of other analysers in its category – further lower operating costs.

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C365 Qiagen new

Multiplex molecular diagnostic platform

Qiagen has announced the launch of QIAstat-Dx in Europe, providing a one-step, fully integrated molecular analysis of common syndromes as tested for in infections, oncology and other diseases. The launch follows the closing of the acquisition of Stat-Dx announced in January 2018 and the successful completion of defined development activities by Stat-Dx.
QIAstat-Dx (formerly Stat-Dx DiagCORE) represents the next-generation in multiplex molecular diagnostic systems that enables fast, cost-effective and flexible syndromic testing with novel Sample-to-Insight solutions powered by Qiagen chemistries. The system, based on the proprietary DiagCORE technology, received CE-IVD marking in January 2018 and already has a significant installed base among early adopters. QIAstat-Dx is now being launched with an upgraded CE-IVD-marked respiratory panel that detects 21 pathogens. The panel is the first test in a deep and broad pipeline of planned assays for QIAstat-Dx which spans infectious diseases, oncology, companion diagnostics and other disease areas. Using Qiagen sample and assay technologies, the system can deliver true Sample-to-Insight processing of even the most challenging samples, opening up opportunities in a broad range of application areas not possible with currently available systems. Samples include tissue samples in pathology, liquid or difficult-to-handle sputum samples in infectious disease, with direct onboard swab processing. The system is the only multiplex syndromic testing system based on real-time PCR (polymerase chain reaction) technology that can process up to 48 targets and is designed with the additional capability to process immunoassays. These features create superior target and application versatility, as well as disease management options. This system enables customers to precisely quantify biological targets, which is specifically important in oncology or transplantation patients and leads to improved treatment decisions. The use of real-time PCR also allows a vast portfolio of current real-time PCR tests to be portable onto the system. The proprietary workflow design with an attractive cost of ownership has the potential to enable laboratories to take a tailored approach to the selective analysis and reporting of tested molecular targets. The flexible approach will represent a significant improvement over currently available systems that offer rigid panel designs, and therefore require co-processing of molecular targets found to be irrelevant in the patient sample, which may complicate reimbursement.
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C359 Fluid metering 2

Valveless 400 μl dispensing pump

Fluid Metering, Inc.(FMI) introduces their new 400 μl dispensing pump ideal for medical, analytical and biotech Instrumentation. Having the identical compact design dimensions as their STH & STF OEM pump lines, the STF1-9 expands dispense and metering capabilities of previous STH designs by 100% while maintaining 0.5% precision. The STF1-9 is available in nine drive configurations ranging from 200 μl through 400 μl in 50 μl increments. Each drive model (STF1, STF2 … STF9) has an adjustable displacement of ±25 μl. A supplied adjustment tool rotates an eccentric bushing to precisely make micro-volume adjustments. There are also four standard pump head options available to provide a fluid path with maximum chemical and dispense volume/ flow rate compatibility. Fluid Metering’s STF1-9 utilizes FMI’s CeramPump valveless fluid transfer technology. One moving part accomplishes both the pumping and valveless functions within the pump, thereby eliminating valves present in other reciprocating pump designs. Sapphire- hard ceramic internal components are both chemically inert and dimensionally stable, resulting in a pump that will transfer fluid, in micro-volume amounts, at a precision of 0.5% or better for millions of maintenance-free cycles.
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C373 Nova Biomedical image 1

Hemoglobin and hematocrit meter system

The latest addition to the StatStrip line of handheld, hospital meters, the StatStrip Hemoglobin and Hematocrit Meter System (StatStrip Hb/ Hct), has gained CE mark certification and is now available in all CE regulated countries. StatStrip Hb/Hct is the only point-of-care (POC) meter to measure hemoglobin and hematocrit for accurate anemia screening and blood loss monitoring. StatStrip Hb/Hct provides measured hemoglobin and hematocrit results, which are more accurate than calculated results, with excellent correlation to laboratory reference methods. With a fingerstick capillary sample and results in 40 seconds, StatStrip Hb/Hct provides the real-time accuracy that helps improve clinical decision making in a variety of healthcare settings. These include blood banks and temporary blood collection locations, dialysis centres, primary care clinics, hospitals, and oncology clinics. For example, in blood banks, StatStrip Hb/Hct provides safe and effective blood donor screening and avoids false deferrals. For patients receiving dialysis, StatStrip Hb/Hct helps maintain Hb target levels and also monitor erythropoiesis stimulating agents (ESAs) to the lowest effective dose. In emergency care settings and in hospitals, StatStrip Hb/Hct can aid in rapidly evaluating blood loss, initiating treatments more quickly, and monitoring critically ill patients who are at risk for low hemoglobin and hematocrit. In oncology clinics, StatStrip Hb/Hct can help proactively identify patents at high risk for chemotherapy-induced anemia and direct treatment accordingly. StatStrip Hb/Hct’s single-use biosensors do not require calibration or coding, and testing is as easy as glucose self-testing. StatStrip Hb/Hct helps reduce costs by eliminating the need for blood drawing supplies, venous phlebotomy, and laboratory testing. Wired and wireless connectivity for data integration with patient records are available. Compact and lightweight, StatStrip Hb/Hct is less than half the size and weight of other POC systems that measure only hemoglobin.
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C368 Shimadzu

nSMOL for fast and precise mAb Bioanalysis

Shimadzu’s new nSMOL Antibody BA reagent kit offers a unique and standardized workflow for the quantitation of monoclonal antibody drugs by LC-MS/MS in blood or other biological samples. The technique, called nano- Surface and Molecular-Orientation Limited (nSMOL) proteolysis, has been designed to minimize sample complexity while maintaining the specificity of the protein substrate for LC–MS/MS quantitation in therapeutic drug monitoring of mAbs. nSMOL proteolysis is an entirely novel solid-solid proteolysis method engineered to deliver highly efficient and quantitative detection of CDR (Complementarity-Determining Region) peptides while decreasing the peptide numbers of the analytical target without antibody denaturation.

For more information on Shimadzu’s total solution for biopharmaceutical lab please visit: www.shimadzu.eu/nsmol-antibody-ba-kit and https://www.youtube.com/watch?v=KoOarzAQg68

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C370 Diasource

Free 25OH Vitamin D ELISA kit

Free 25OH Vitamin D kit is a CE marked ELISA kit available worldwide from Diasource ImmunoAssays SA (Belgium). Recent posters and publications clearly show that Free 25OH Vitamin D is a better marker than Total 25OH Vitamin D in healthy pregnant women, in women taking hormonal contraceptives and in diabetic patients with impaired kidney function. This kit allows a direct measurement of the Free 25OH Vitamin D, so no calculations are needed based on Total 25OH Vitamin D -, Albumin – and VDBP (vitamin D binding protein) concentrations, and this without sample pre-treatment. The assay is calibrated against Rate Dialysis, which is the golden standard method for the measurement of free hormones, and uses only 10 microliters of serum.
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C367 Beckman

Beckman Coulter achieves CE Mark for its Early Sepsis Indicator

European CE marking has been confirmed for Beckman Coulter’s Early Sepsis Indicator, a hematology-based solution designed to alert emergency department clinicians to the possibility of sepsis or risk of developing sepsis. The first early sepsis warning solution to be offered as part of a routine CBC with differential test, the Early Sepsis Indicator gives physicians a rapid and simple tool that can aid in the fight against sepsis. The new marker will be commercially available on the recently launched DxH 900 hematology analyser. Sepsis is an often-deadly condition that affects 26 million people worldwide every year and is increasing at a rate of 1.5% annually. Timely and accurate detection solutions in the acute-care setting are key components to stopping the progression of sepsis, as patients with less severe sepsis can progress to severe sepsis or septic shock within 72 hours. Up to half of patients with sepsis die. In addition to the human toll, this global crisis places a significant clinical and economic burden on the healthcare system. A clear link exists between the timeliness of treatment and the possibility of death. When antibiotics are administered early to patients with septic shock, the likelihood of death is decreased by 7.6% per hour. Because emergency department personnel are often on the front line of care for people facing critical conditions, giving them a simple and easy tool for detecting sepsis can help make significant strides against this prevailing threat. The fact that this early warning indicator is part of a routine blood test means that clinicians receive results rapidly, with no additional workflow burden to the laboratory or emergency department. The Early Sepsis Indicator uses the DxH 900 hematology analyser’s Coulter technology, which characterizes cells in their nearnative states. The system’s powerful VCS 360 technology can uniquely detect morphological changes in monocytes – cells of the innate immune system that provide a first line of defense against infections. Monocytes play a role in the dysregulated immune response to sepsis, and identifying morphological changes provides insight into possible sepsis earlier than other indicators. The company plans to submit a 510(k) for the Early Sepsis Indicator to the U.S. FDA in the near future. After receiving 510(k) clearance, the Early Sepsis Indicator will be released to the U.S. market.
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C366 Beckman

Hematology analyser provides near native-state cellular characterization

Beckman Coulter recently announced the release of the DxH 900 hematology analyser, giving mid- to high-volume clinical laboratories the ability to perform complete blood count (CBC) and white blood cell differential tests with minimal repeats. The DxH 900 is now available for sale in Europe, the United States, Canada, Australia and New Zealand. The DxH 900 analyser offers advanced technologies to support patient care, by delivering the right results the first time. Foundational to the system are its core technologies, including the enhanced Coulter Principle, VCS 360 and DataFusion. These features offer high-resolution analysis of cells in their near-native states, providing a precise cellular assessment for excellent red blood cell, platelet and white blood cell test results on the first pass. The suite of technologies is intended to help laboratories deliver quality results for fast, accurate clinical decision-making. At the same time, the system includes automated solutions that streamline the number of procedural steps needed to produce those results, offering predictable performance and greater laboratory efficiency. The DxH 900 analyser demonstrates 93% first-pass throughput, providing accurate flagging and reducing the number of slide reviews. This helps to generate reportable results as quickly as possible, reducing the time, supplies and costs that may be required for systems with higher repeat rates. Adding to this is the analyser’s lean reagent portfolio, which includes four reagents compared to eleven reagents required by other analysers. Further, the DxH 900 features one of the smallest footprints in its class, making it highly efficient in utilization of laboratory space. Many of the parameters available with the DxH 900 analyser are designed to directly impact patient care by addressing critical conditions, such as thrombocytopenia, anemia and leukopenia. Beckman Coulter is evaluating a hematology sepsis parameter that is part of a routinely ordered test in the emergency department, where earlier recognition and treatment of sepsis can begin. This test can be performed on the DxH 900 analyser (see below). The DxH 900 hematology analyser complements the recently announced DxH 520 system, and further expands Beckman Coulter’s hematology portfolio.
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