(mb HAIN LPA) GENOTYPE, MTBDRsl, ver. 2.0, 1 test, 31796A

STD ELAEMBIT507

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Single use
A single-use device, also referred to as a disposable device, is intended for use on one patient during a single procedure. It is not intended to be reprocessed (i.e., cleaned and disinfected or sterilized).
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The order of this product needs to be justified and is only acceptable under certain conditions.
Thermosensitive codes are defined for storage and transportation temperature requirements of the products.

OC subscriptions: included in supply or field order tools (e.g. UniField)
SC subscriptions: included in supply or field tools
OC validations: approved for procurement and use by an OC for international or local orders specifying context and activity in Medical Standard Lists (MSL)

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(mb HAIN LPA) TEST, GENOTYPE MTBDRsl, v2.0

Reserved for TB culture programmes

CAUTION

This test is worded and codified by unit to make the order easier, but it is always packaged in kit of 96.

Definition

Line probe assays (LPA) are a family of DNA strip-based tests that allow users to determine the drug resistance profile of an MTB strain by interpreting a pattern of bands that represent lines of immobilized probes that are bound (or hybridized) to MTB amplicons (DNA amplification products). LPA probes are designed to target the most common mutations associated with resistance to first- and second-line anti-TB agents and specific MTBC wild-type (WT) DNA sequences.

The GenoType MTBDRsl VER 2.0 is a qualitative in vitro test for the identification of the Mycobacterium tuberculosis complex and its resistance to fluoroquinolones (FLQ; e.g. ofloxacin and moxifloxacin) and aminoglycosides/cyclic peptides (AG/CP; injectable antibiotics such as kanamycin, amikacin, capreomycin, and viomycin) from smear-positive or -negative sputum specimens and cultivated samples.

Specifications

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Components

KIT composed of 2 separate elements with different storage conditions:

  • component 1/2 (cardboard box) to be stored between 2° and 8°C
  • component 2/2 (small bag) to be stored at -20°C (deep freeze)

Technical specifications

Kit contains sufficient reagents for analysis of 96 samples.

Kit Component 1 of 2 (store at 2-8°C)

  • ​Membrane strips coated with specific probes (MTBDRsl VER 2.0 STRIPS) 2x48
  • Denaturation Solution (DEN) contains <2% NaOH, dye, 2x960 µl, blue liquid
  • Hybridization Buffer (HYB) contains <10% anionic tenside, dye, 96 ml
  • Stringent Wash Solution (STR) contains >25% of a quaternary ammonium compound, <1% anionic tenside, dye, 96 ml
  • Rinse Solution (RIN) contains buffer, <1% NaCl, <1% nonionic tenside, 3x96 ml
  • Conjugate Concentrate (CON-C) contains streptavidin-conjugated alkaline phosphatase, dye, 960 µl
  • Conjugate Buffer (CON-D) contains buffer, 1% blocking reagent, <1% NaCl, 96 ml
  • Substrate Concentrate (SUB-C) contains <70% dimethyl sulfoxide, <10% 4-nitro blue tetrazolium chloride, <10% 5-bromo-4-chloro-3-indolyl phosphate, 960 µl
  • Substrate Buffer (SUB-D) contains buffer, <1% MgCl2, <1% NaCl, 96 ml
  • Tray, evaluation sheet 4 of each
  • Instructions for use, template 1 of each

Kit Component 2 of 2 (store at –20°C)

  • Amplification Mix A (AM-A GT MTBDRsl VER 2.0) contains buffer, nucleotides, Taq polymerase, 4x240 µl
  • Amplification Mix B (AM-B GT MTBDRsl VER 2.0) contains salts, specific primers, dye, 4x 840 µl

Quality control

In order to control the correct performance of the test and the proper functioning of kit constituents, each strip includes 5 control zones:

  • a Conjugate Control zone (CC) to check the binding of the conjugate on the strip and a correct chromogenic reaction
  • an Amplification Control zone (AC) to check for a successful amplification reaction
  • three Locus Control zones (rpoB, katG, and inhA) checking the optimal sensitivity of the reaction for each of the tested gene loci

A negative control sample for detection of possible contamination events containing water (molecular biology grade) instead of DNA should be part of each test run; the respective test strip should show the bands CC and AC only.

Packaging & Labelling

1 kit = 96 tests

To be Ordered Separately

Material Required but not Included in the Kit/ see checklist molecular biology Hain

Instructions for use

The GenoType MTBDRsl test is based on the DNA STRIP technology. The whole procedure is divided into three steps:

  • DNA extraction from clinical specimens (pulmonary, decontaminated) or cultured material (solid/liquid medium) – the necessary reagents are not included in the kit,
  • a multiplex amplification with biotinylated primers
  • a reverse hybridization.

Visual interpretation of the results.

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Precautions for Use

  • It is essential that all materials (such as pipette tips) coming in contact with the reagents are free from DNases.
  • Do not interchange or pool Amplification Mixes or membrane strips from different kits unless the lots are identical.
  • When handling kit reagents, the following special safety measures must be applied:
    • The denaturation Solution (DEN) contains <2% NaOH and is irritating to eyes and skin (R36/38 and S26-37/39-45).
    • The Substrate Concentrate (SUB-C) contains dimethyl sulfoxide and is irritating (R36/37/38, S23-26-36).

Storage

  • Store all constituents from Kit Component 1 between 2 and 8°C.
  • Store all constituents from Kit Component 2 at –20°C and keep strictly separated from contaminating DNA.
  • Avoid repeated freezing and thawing of AM-A and AM-B; when processing only small sample numbers per run, aliquot AM-A and AM-B.
  • Shelf life: 14 to 15 months
  • Guaranteed minimum remaining shelf life at delivery: 1/3 of total shelf life
  • Do not use the reagents beyond their expiry date.

(Cf Introduction: Thermosensitive products)

Waste management

  • Dispose of unused reagents and waste in accordance with federal, state, and local regulations.
  • Discard used pipette tips immediately after use in a container for biohazardous waste.
  • Discard all used disposables in a container for biohazardous waste to be incinerated.

Classification EC Regulation N° 1272/2008

Not classified as hazardous: AM-A, AM-B, CON-C, CON-D, HCD, PNM, RIN, STR, Strips, SUB-D, SUB-C, HYB

Denaturation solution:

  • Skin irritation, category 2
  • Eye irritation, category 2

Conjugate buffers (CON-C and CON-D) contain biological material and therefore must be considered as potentially infectious

Image

Signal Word

Warning

H315Causes skin irritation
H319Causes serious eye irritation
P280Wear protective gloves/protective clothing/eye protection/face protection
P313Get medical advice/attention.
P305 + P351 + P338IF IN EYES: rinse cautiously with water for several minutes. If the victim wears contact lenses, remove them if possible. Keep rinsing

MSF requirements

Drug susceptibility testing

​Molecular testing requires specific laboratory set up, equipment and trained personnel. Refer to your lab advisor.

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