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Sorted By Test Name - Mayo Medical Laboratories

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Policies - <strong>Mayo</strong> <strong>Medical</strong> <strong>Laboratories</strong><br />

• Standard Method - This test uses a standard method. Its performance characteristics were<br />

determined by <strong>Mayo</strong> Clinic in a manner consistent with CLIA requirements.<br />

• FDA Approved, Cleared, or Exempt (IVD) - This test has been cleared or approved by the U.S. Food<br />

and Drug Administration (or is exempt from FDA review) and is used per manufacturer’s instructions.<br />

Performance characteristics were verified by <strong>Mayo</strong> Clinic in a manner consistent with CLIA<br />

requirements.<br />

• FDA Modified - This test has been modified from the manufacturer's instructions. Its performance<br />

characteristics were determined by <strong>Mayo</strong> Clinic in a manner consistent with CLIA requirements.<br />

• Analyte Specific Reagent (ASR) - This test was developed using an analyte specific reagent. Its<br />

performance characteristics were determined by <strong>Mayo</strong> Clinic in a manner consistent with CLIA<br />

requirements. This test has not been cleared or approved by the U.S. Food and Drug<br />

Administration.<br />

• Laboratory Developed <strong>Test</strong> - This test was developed and its performance characteristics determined<br />

by <strong>Mayo</strong> Clinic in a manner consistent with CLIA requirements. This test has not been cleared or<br />

approved by the U.S. Food and Drug Administration.<br />

• Investigational Use Only (IUO) - This test uses a kit labeled by the manufacturer as "investigational<br />

use only" and it is used per manufacturer's instructions. Its performance characteristics were<br />

determined by <strong>Mayo</strong> Clinic in a manner consistent with CLIA requirements. This test has not been<br />

cleared or approved by the U.S. Food and Drug Administration.<br />

• Research Use Only (RUO) - This test uses a reagent or kit labeled by the manufacturer as "research<br />

use only" and it is used per manufacturer's instructions. Its performance characteristics were<br />

determined by <strong>Mayo</strong> Clinic in a manner consistent with CLIA requirements. This test has not been<br />

cleared or approved by the U.S. Food and Drug Administration.<br />

<strong>Test</strong> Development Process<br />

<strong>Mayo</strong> <strong>Medical</strong> <strong>Laboratories</strong> serves patients and health care providers from <strong>Mayo</strong> Clinic, <strong>Mayo</strong> Health<br />

System, and our reference laboratory clients worldwide. We are dedicated to providing clinically useful,<br />

cost-effective testing strategies for patient care. Development, validation, and implementation of new and<br />

improved laboratory methods are major components of that commitment.<br />

Each assay utilized at <strong>Mayo</strong> Clinic, whether developed on site or by others, undergoes an extensive<br />

validation and performance documentation period before the test becomes available for clinical use.<br />

Validations follow a standard protocol that includes:<br />

• Accuracy<br />

• Precision<br />

• Sensitivity<br />

• Specificity and interferences<br />

• Reportable range<br />

• Linearity<br />

• Specimen stability<br />

• Specimen type comparisons<br />

• Urine preservative studies: stability at ambient, refrigerated, and frozen temperatures and with 7<br />

preservatives; at 1, 3, and 7 days<br />

• Comparative evaluation: with current and potential methods<br />

• Reference values: using medically evaluated healthy volunteers, male and female, across age<br />

groups. The number of observations required for each test is determined by biostatistic analysis.<br />

Unless otherwise stated, reference values provided by <strong>Mayo</strong> <strong>Medical</strong> <strong>Laboratories</strong> are derived from<br />

studies performed in our laboratories. When reference values are obtained from other sources, the<br />

source is indicated in the “Reference Values” field.<br />

• Workload recording<br />

• Limitations of the assay<br />

Page 9 5/26/2011<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 10

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