<strong>Liquid</strong><strong>autoHDL</strong> TM <strong>Cholesterol</strong><strong>Reagent</strong> <strong>Set</strong>Materials Required but not Provided1. An <strong>autoHDL</strong>/LDL <strong>Cholesterol</strong> Calibrator.2. HDL cholesterol controls3. Automated clinical chemistry analyzer capable of accommodating tworeagentassays.ProcedureBelow is a general example of the <strong>autoHDL</strong> TM test procedure for anautomated analyzer. All analyzer applications should be validated inaccordance with NCEP and CLIA recommendations. 10 For assistance withapplications on automated analyzers, please contact the Technical ServiceDepartment.37°C 37°CSample + <strong>Reagent</strong> 1 ----‣ <strong>Reagent</strong> 2 ----‣ Measurement (Absorb. Difference4ul 300ul 5min. 100ul 5min. between 700nm & 600nm)IIIVHDL-C ResultLimitations1. Anticoagulants containing citrate should not be used.2. Protect the reagents from direct sunlight.3. Store the reagents as per instructions.4. Samples with values greater than 150 mg/dl must be diluted 1:1 withsaline and re-assayed. Multiply the result by two.CalibrationThe <strong>autoHDL</strong>/LDL TM <strong>Cholesterol</strong> Calibrator is required for calibration. Thevalue of the <strong>autoHDL</strong>/LDL TM calibrator was assigned by procedurestraceable to the National Reference System for <strong>Cholesterol</strong> (NRS/CHOL).Refer to <strong>autoHDL</strong>/LDL TM <strong>Cholesterol</strong> Calibrator kit package insert forinstructions. If control results are found to be out of range, the procedureshould be recalibrated.Quality ControlReliability of test results should be routinely monitored with control materialsthat reasonably emulate performance of patient specimens. 10 Quality controlmaterials are intended for use only as monitors of accuracy and precision.The National <strong>Cholesterol</strong> Education Program (NCEP) Lipid StandardizationPanel (LSP) recommends two levels of controls, one in the normal range(35-65 mg/dl) and one near the concentrations for decision making(
<strong>Liquid</strong><strong>autoHDL</strong> TM <strong>Cholesterol</strong><strong>Reagent</strong> <strong>Set</strong>3. Precision: Within Day precision for the <strong>Liquid</strong> <strong>autoHDL</strong> TM <strong>Cholesterol</strong><strong>Reagent</strong> was determined following a modification of NCCLS documentEP5-T2. 15 Within Day precision studies produced the following results:LOW MID HIGHn 20 20 20Mean HDL <strong>Cholesterol</strong> (mg/dl) 38 68 85Standard Deviation (mg/dl) 0.9 1.0 1.2Coefficient of Variation (%) 2.2 1.5 1.4Day to Day precision for the <strong>Liquid</strong> <strong>autoHDL</strong> TM <strong>Cholesterol</strong> <strong>Reagent</strong>was also determined following a modification of NCCLS documentEP5-T2. 15 Day to Day precision studies produced the following results:LOW MID HIGHn 20 20 20Mean HDL <strong>Cholesterol</strong> (mg/dl) 37 66 84Standard Deviation (mg/dl) 0.8 1.5 1.6Coefficient of Variation (%) 2.2 2.3 1.94. Sensitivity: The analytical sensitivity of the <strong>Liquid</strong> <strong>autoHDL</strong> TM<strong>Cholesterol</strong> <strong>Reagent</strong> was determined to be 0.002 absorbance units per1 mg/dl of HDL <strong>Cholesterol</strong>.13. Young, D.S., Effects of Drugs on Clinical Laboratory Tests, 3 rd . Ed., AACCPress, Washington DC, 1990, 3-104 thru 3-106.14. Tietz, N.W., Clinical Guide to Laboratory Tests, W.B. Saunders Co.,Philadelphia, 1986, p.256.15. NCCLS document “Evaluation of Precision Performance of ClinicalChemistry Devices” 2 nd Ed. 1992.Rev. 12/09Manufactured for Pointe Scientific, <strong>Inc</strong>.5449 Research Drive Canton, MI 48188European Authorized Representative:Obelis s.a.Boulevard Général Wahis 531030 Brussels, BELGIUMTel: (32)2.732.59.54 Fax:(32)2.732.60.03 email: mail@obelis.netP803-H7545-01References1. Gotto A.M., Lipoprotein metabolism and the etiology of hyperlipidemia,Hospital practice, 23:Suppl.1,4 (1988).2. Crouse J.R. et al, Studies of low density lipoprotein molecular weight inhuman beings with coronary artery disease, J. Lipid Res., 26:566(1985).3. Badimon J.J., Badimon L., Fuester V., Regression of AtheroscleroticLesions by High-Density Lipoprotein Plasma Fraction in the<strong>Cholesterol</strong>-Fed Rabbit, Journal of Clinical Investigation, 1990;85:1234-41.4. Castelli, W.P., et al, <strong>Cholesterol</strong> and other lipids in coronary heartdisease, Circulation, 55:767 (1977).5. Barr, D.P., Russ E.M., Eder H.A., Protein-lipid relationships in humanplasma, Am. J. Med. 11:480 (1951).6. Gordon, T., et al, High density lipoprotein as a protective factor againstcoronary heart disease, Am. J. Med., 62:707 (1977).7. Williams, P., Robinson D., Baily A., High density lipoprotein andcoronary risk factor, Lancet, 1:72 (1979).8. Kannel W.B., Castelli W.P, Gordon, T., <strong>Cholesterol</strong> in the prediction ofatheriosclerotic disease; New perspectives based on the Framinghamstudy, Am. Intern. Med., 90:85 (1979).9. National Institute on Health publication No. 93-3095, September 1993.10. Warnick G. Russell, Wood Peter D., National <strong>Cholesterol</strong> EducationProgram Recommendations for Measurement of High-DensityLipoprotein <strong>Cholesterol</strong>; Executive Summary Clinical Chemistry, Vol.41,No. 10 (1995).11. Grundy, S.M., et al, Summary of the Second Report of the National<strong>Cholesterol</strong> Education Program (NCEP) Expert Panel on Detection,Evaluation, and Treatment of High Blood <strong>Cholesterol</strong> in Adults (AdultTreatment Panel II), JAMA 1993, 269: 23, 3015-3023.12. National Committee for Clinical Laboratory Standards, NationalEvaluation Protocols for Interference Testing, Evaluation ProtocolNumber 7, Vol.4, No. 8, June 1984.Phone: 734-487-8300 • Toll Free: 800-445-9853 • Fax: 734-483-1592 • www.pointescientific.com