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Limitations of the Procedure<br />
1. <strong>Anti</strong>coagulants such as heparin, EDTA and citrate do not interfere with the test.<br />
2. Samples that are lipaemic, haemolytic, icteric or contain rheumatoid factors do not impair the<br />
test results.<br />
3. In the case of samples from pregnant women, no interference with the test result was<br />
observed.<br />
4. Samples containing the following potential sources of interference were checked in the test:<br />
<strong>HBs</strong> antigen, ANA as well as antibodies to HCV, HAV, HBC, HBe, EBV and CMV. With the<br />
samples used, no interference was observed with the test result.<br />
5. No interferences were observed with heat-treated samples (30 min, 56 °C).<br />
6. Serum from insufficiently coagulated blood, contain sodium azide or microbial contamination<br />
should not be used. Any particulate components in the sample (e.g. fibrin clots) should be<br />
removed before the test.<br />
7. When using thawed samples, ensure good homogenization of the material prior to use.<br />
8. The pack contains a matched set of reagents. Reagents must not be interchanged with other<br />
kits unless the reagents are from an identical lot (i.e. they must display the required 6-digit lot<br />
numbers printed on the pack and given in the enclosed barcode table). Washing Solution<br />
POD, Stopping Solution POD and Working Chromogen Solution are exceptions to this<br />
requirement. Note that the Working Chromogen Solution must first be prepared from<br />
matched components (do not use Chromogen TMB and Buffer/Substrat TMB from kits with a<br />
different number).<br />
9. Buffer/Substrate TMB, the Working Chromogen Solution and the Stopping Solution POD<br />
must not be allowed to come into contact with heavy metal ions or oxidizing substances (do<br />
not use pipettes with metal parts in contact with the liquid!). Do not perform the substrate<br />
reaction in the proximity of disinfectants containing hypochlorite. If the Working Chromogen<br />
Solution has spontaneously developed a blue colour before transferral into the test plate, this<br />
indicates that the solution is contaminated; in such cases prepare a fresh solution in a clean<br />
container. Skin contact with the above-mentioned solutions is to be avoided.<br />
10. The control sera have been prepared from native human sera. As a result, turbidity may<br />
occur but this has no effect on the test result.<br />
11. The test plate should be protected from vibration during the incubation phase (e.g. placed on<br />
a secured floatation aid, or in a non-circulating water bath); the wells of the plate must be in<br />
contact with the thermostated water. If stabilizers are used to prevent microbial contamination<br />
of the water, care must be taken that neither the surface of the test plate nor the wells come<br />
into contact with these solutions since such contamination can lead to unspecific reactions.<br />
12. With highly reactive samples the dye may precipitate during the stopping reaction. This does<br />
not interfere with the photometric evaluation.<br />
13. Dade Behring has validated use of these reagents on various analyzers to optimize product<br />
performance and meet product specifications. User defined modifications are not supported<br />
by Dade Behring as they may affect performance of the system and assay results. It is the<br />
responsibility of the user to validate modifications to these instructions or use of the reagents<br />
on analyzers other than those included in Dade Behring Application Sheets or these<br />
instructions for use.<br />
14. Results of this test should always be interpreted in conjunction with the patient’s medical<br />
history, clinical presentation and other findings.<br />
OQNE G11 C0541 (906) H/R 8