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COULTER® CYTO-TROL™ Control Cells Kit For In Vitro Diagnostic Use extremely toxic compound. Azide compounds should be flushed with running water while being discarded. These precautions are recommended to avoid deposits in metal piping in which explosive conditions can develop. If skin or eye contact occurs, wash extensively with water. 3. Never pipet by mouth and avoid contact with skin and mucous membranes. 4. CYTO-TROL Control Cells should not be used as a calibrator. 5. The reagents are for flow cytometry use only. 6. Results obtained with flow cytometry may be erroneous if the laser is misaligned or the gates are improperly set. 7. Do not freeze reagents. 8. Avoid microbial contamination of reagents or erroneous results may occur. 9. Harmful if swallowed. 10. After contact with skin, wash immediately with plenty of water. INTENDED USE STORAGE CONDITIONS AND STABILITY The COULTER CYTO-TROL Control Cells Kit is used to assess the activity of monoclonal antibodies by flow cytometry. Do not use reagents beyond the expiration date printed on the kit label. Unopened reagents are stable to the expiration date on the kit label when stored at 2-8°C. Reconstituted CYTO-TROL Control Cells are stable up to 24 hours when stored at 2-8°C. Do not freeze. Bring reagents to 20-25°C prior to use. 6604248 - 50 tests PN 4236083-V SUMMARY AND EXPLANATION CYTO-TROL Control Cells are a lyophilized preparation of human lymphocytes that exhibit surface antigens detectable with monoclonal antibodies. The cells are isolated from peripheral blood and express antigens representative of those found on normal lymphocytes. CYTO-TROL Control Cells are compatible with directly conjugated (FITC, RD1, ECD, PC5) Coulter monoclonal antibodies listed in the Table of Expected Assay Values and Ranges given below. EXPECTED RESULTS *The mean assay values provided for each COULTER monoclonal antibody are derived from triplicate analyses of CYTO-TROL Control Cells performed on calibrated flow cytometers with set parameters and specific laboratory conditions. Your values may vary depending on your laboratory’s operating conditions. The absolute measure of your performance should be based on Coulter’s Interlaboratory Quality Assurance Program (IQAP) peer group analysis of the lot’s mean and CV as compared to that of an individual instrument. Percent positives were determined from cursors set to establish 98% (nominal) nonspecific staining using the Isotypic Control. **Cursor adjustment, which may be performed to separate positive and negative populations when analyzing blood samples with these antibodies, was not performed in this situation. STATEMENT OF WARNINGS WARNING: POTENTIAL BIOHAZARDOUS MATERIAL. Each human donor unit used in preparation of this material was tested by an FDA approved method for the presence of the antibodies to Human Immunodeficency Virus (HIV-1 and HIV-2) and Hepatitis C Virus (HCV) as well as for hepatitis B virus surface antigen and found to be negative (were not repeatedly reactive). 1. Because no test method can offer complete assurance that hepatitis B virus, Human Immunodeficiency Virus (HIV-1 and HIV-2), or other infectious agents are absent, this specimen/reagent should be handled at Biosafety Level 2, as recommended for any potentially infectious human serum or blood specimen in the Centers for Disease Control/National Institutes of Health manual “Biosafety in Microbiological and Biomedical Laboratories,” 1988. 2. The reagents contain sodium azide. Sodium azide under acid conditions yields hydrazoic acid, an Staining Procedure for CYTO-STAT Monoclonal Antibodies: 1. Add 10 µL of monoclonal antibody to 100 µL of reconstituted CYTO-TROL Control Cells. Mix gently. 2. Incubate at room temperature for a minimum of 15 minutes. 3. After incubation, add 1 mL of phosphate buffered saline (pH=7.2), PN 6603369, to each tube. Mix gently. 4. Analyze on a flow cytometer. RECOMMENDED FLOW CYTOMETRY COLLECTION PROCEDURE FOR LYMPHOCYTE MARKERS 1. Ensure the flow cytometer is properly aligned and standardized for light scatter and fluorescence intensities according to manufacturer’s recommendations (refer to Instrument Product Manuals). 2. Collect side scatter [SS] or log side scatter [LSS] vs. forward side scatter [FS] histogram. 3. Set a bitmap by gating on the major population of cells observed (see Figure 1). Figure 1. A two-parameter LSS vs. FS histogram to identify lymphocytes. EVIDENCE OF DETERIORATION If CYTO-TROL Control Cells are not within the expected ranges given on the Table of Expected Assay Values and Ranges or show a loss or shift of light scatter: 1. Review the operating procedure of the instrument. 2. Review operator technique. 3. Assay an unopened vial of CYTO-TROL Control Cells following the package insert. 4. Check for product deterioration which may appear as clouding or clumping of the reagents. REAGENT PREPARATION Do not reconstitute CYTO-TROL Control Cells until ready to use. 1. Reconstitute by pipetting 1 mL of Reconstitution Buffer into a vial of cells. 2. Mix gently by inversion. 3. Allow cells to stabilize for 10 minutes before use. PROCEDURE FOR IMMUNOFLUORESCENCE CELL SURFACE STAINING OF CYTO-TROL CONTROL CELLS WITH COULTER MONOCLONAL ANTIBODY REAGENTS The recommended volume is 100 µL of reconstituted CYTO-TROL Control Cells per test. The use of appropriate Isotypic Controls is recommended to monitor levels of nonspecific staining. NOTE: CYTO-TROL Control Cells are not tested for use in whole blood lysing procedures. Use of COULTER Q-PREP™/IMMUNOPREP™, MULTI-Q-PREP™/IMMUNOPREP or TQ-PREP™/IMMUNOPREP Reagent Systems for red blood cell lysing may produce variations from assigned values. Staining Procedure for Non-CYTO-STAT Monoclonal Antibodies: 1. Substitute 100 µL of reconstituted CYTO-TROL Control Cells for the sample of interest and complete the procedure for immunofluorescence cell surface staining with the applicable non-CYTO-STAT monoclonal antibodies. 2. Analyze on a flow cytometer. 1 of 2 4. Collect log fluorescence for this population of cells. Percent positive cells can be determined by integrating a clear fluorescence peak (single color) or by setting quadrant statistics (dual color). Refer to the flow cytometer reference manual for detailed instructions. With certain low-density markers, some laboratorians may elect to move the cursors set with Isotypic Controls. For best results, analyze on the single-parameter histograms and set the cursors to the appropriate demarcation between the visually positive and negative regions. PRODUCT AVAILABILITY COULTER CYTO-TROL Control Cells Kit PN 6604248 - 50 tests REAGENTS CONTAINED IN KIT CYTO-TROL Control Cells 5 vials (≥3.5 X 106 cells/vial) Reconstitution Buffer 5 x 1 mL/vial Patent No. 5,059,518 For additional information within the US, call 1-800-526-7694. Outside the US, contact your local Coulter Representative. TRADEMARKS COULTER, COULTER CLONE, CYTO-STAT, CYTO-TROL, IMMUNOPREP, MULTI-Q-PREP, Q-PREP, and TQ-PREP are trademarks of Beckman Coulter, Inc. Beckman Coulter, Inc. 4300 N. Harbor Blvd. Fullerton, CA 92835 www.beckmancoulter.com Beckman Coulter Ireland Inc. Mervue Business Park, Mervue, Galway, Ireland (353 91 774068) Printed in USA Made in USA © 2002 Beckman Coulter, Inc. All Rights Reserved. 2 of 2