INTROL® TB Panel M114 plus

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SKU:
M114plus
Size:
12 x 1 mL
DataSheet:
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Description

MMQCI INTROL® TB Panel M114plus

Part Number: M114plus

Kit Contains:    12 bottles x 1.0mL

3 each TBWT-04, TBMDR1-04, TB1082MDR2, & TBNEG

INTROL® TB Panel M114 plus DataSheet

INTENDED USE:

INTROL® TB Panel M114plus is intended for use as a quality control to monitor the nucleic acid detection of M. tuberculosis (MTB) and the mutations associated with multi-drug resistant MTB (MDR-TB) on the GeneXpert® System.

The World Health Organization (WHO) reports that about 1.7 billion people, 23% of the world’s population, are estimated to have a latent TB infection, and are thus at risk of developing active TB disease during their lifetime.1 There has been major progress in subsequent years – more than 60 million people have been documented as treated and cured since 2000, and case and death rates have fallen steadily. Nevertheless, worldwide, around 10 million people still fall ill with the disease each year (more adults than children, and more men than women), and TB is one of the top 10 causes of death. It is also the leading cause of death from a single infectious agent, ranking above HIV/AIDS. 2

INTROL® TB Panel M114plus is provided for Research Use Only (RUO). It cannot be cloned, sold, or transferred without the explicit written consent of MMQCI.

PRODUCT SUMMARY and PRINCIPLE:

INTROL® TB Panel M114plus is composed of 3 positive controls and 1 negative control. The positive controls consist of non-infectious, synthetic MTB DNA encapsulated in bacterial cells. The MTB DNA does not include the entire MTB genome. MTB gene segments present among the positive controls are: IS6110, IS1081, hsp65, 16S rRNA, 23S rRNA, inhA, katG, and rpoB. Drug resistance mutations are incorporated in segments inhA, katG, and rpoB, as indicated in Table 1. Not all mutations listed are detected by Xpert MTB assays on the GeneXpert System. The negative control contains buffer and preservative only.

Best practice is to establish a quality control program for every assay performed by the laboratory.3, 4 Routine use of quality controls that are consistent lot to lot and monitor the entire assay assists the laboratory in identifying shifts, trends, and increased frequency of random errors caused by variations in the test system, such as failing reagents and pipetting errors. Early investigation can prevent failed assay runs.

COMPOSITION:

INTROL® TB Panel M114plus is comprised of three bottles each of INTROL® TBWT-04, INTROL® TBMDR1-04, INTROL® TB1081MDR2, and INTROL® TBNEG, 1.0 mL each. INTROL® TBWT-04 and INTROL® TBMDR1-04

contain the following MTB gene segments: IS6110, hsp65, 16S rRNA, 23S rRNA, inhA, katG, and rpoB. INTROL® TB1081MDR2 contains MTB gene segments: IS1081, hsp65, 16S rRNA, 23S rRNA, inhA and rpoB. The MTB gene segments consist of non-infectious, synthetic MTB DNA encapsulated in chemically fixed and killed laboratory bacterial cells suspended in buffer and preservatives. INTROL® TBNEG contains buffer and preservative only. The presence or absence of drug resistance mutations is specified for each bottle in Table 1.

Table 1. Drug Resistance Mutations* found in INTROL® TB Panel M114plus

Control

Drug Resistance Mutation

INTROL® TBWT-04

no mutations/ wildtype (H37Rv)

INTROL® TBMDR1-04

rpoB: F505L, L511P, D516V, H526Y

 

inhA: -15

 

katG: S315T (AGC> ACC)

INTROL® TB1081MDR2

rpoB: S522L, H526D, S531L

inhA Mutant: -8T>C

INTROL® TBNEG

No MTB DNA, no cells

*References citing the mutations can be found at www.tbdreamdb.com

PRECAUTIONS AND WARNINGS:

INTROL® TB Panel M114plus has been tested on the GeneXpert® System only. It cannot be cloned, sold, or transferred without the explicit written consent of MMQCI. This product does not contain any biological material of human origin or infectious microorganisms. Do not freeze.

STORAGE and STABILITY:

Upon receipt and after opening, the material should be stored at 2° – 8°C. Do not freeze.

Unopened controls are stable through the expiration date printed on each bottle when stored at 2° – 8°C. Opened material tightly capped and returned to the refrigerator (2° – 8°C) shortly after use is stable for thirty (30) days from the date of opening.

INSTRUCTIONS FOR USE ON THE GeneXpert® System:

  1. Each bottle contains 0 mL of control material.
  2. Allow controls to come to room
  3. Thoroughly mix controls by vigorously inverting several times immediately before
  4. Before opening bottle, shake down or tap bottle on hard surface to be sure all liquid is out of
  5. Add 0 mL Sample Reagent to each control vial.
  6. Mix by inverting the vial 10
  7. Let the vial sit at room temperature for 15 Invert several times half way through incubation period as you would for a sputum sample.
  8. Open the Xpert® MTB/RIF cartridge lid and transfer 2.0 mL of respective Sample Reagent treated control, using a sterile transfer Close lid.
  9. Transfer cartridge to the GeneXpert
  10. Scan cartridge, enter sample ID and start the

LIMITATIONS:

INTROL® TB Panel M114plus is designed for use with MTB amplification assays that target one or more of the following MTB gene segments: IS6110, IS1081, hsp65, 16S rRNA, 23S rRNA, inhA, katG, and rpoB . Only those segments are present in INTROL® TB Panel M114plus.

EXPECTED VALUES:

Control

Xpert MTB/RIF

Expected result

INTROL® TBWT-04

MTB DETECTED

Rif Resistance NOT Detected

INTROL® TBMDR1-04

MTB DETECTED

Rif Resistance DETECTED

INTROL® TB1081MDR2

MTB DETECTED

Rif Resistance DETECTED

INTROL® TBNEG

MTB NOT DETECTED

 REFERENCES:

  1. WHO report 2018: https://who.int/tb/publications/global_report/en/
  2. “Ten Facts About Tuberculosis,” WHO, September 2018: http://www.who.int/features/factfiles/tuberculosis/en/index.html
  3. ISO 15189: Medical laboratories – Particular requirements for quality and
  4. CAP Molecular Pathology Checklist; Commission on Laboratory Accreditation, Laboratory Accreditation Program, 20000
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2 Reviews

  • 5
    Speedy delivery

    Posted by Nicholas on 7th Jan 2022

    Unexpectedly the delivery was very quick. Very efficient service in a short space of time

  • 5
    INTROL® TB Panel M114 plus

    Posted by MMQC on 11th Jun 2021

    NTROL® TB Panel M114plus is intended for use as a quality control to monitor the nucleic acid detection of M. tuberculosis (MTB) and the mutations associated with multi-drug resistant MTB (MDR-TB) on the GeneXpert® System. The World Health Organization (WHO) reports that about 1.7 billion people, 23% of the world’s population, are estimated to have a latent TB infection, and are thus at risk of developing active TB disease during their lifetime.1 There has been major progress in subsequent years – more than 60 million people have been documented as treated and cured since 2000, and case and death rates have fallen steadily. Nevertheless, worldwide, around 10 million people still fall ill with the disease each year (more adults than children, and more men than women), and TB is one of the top 10 causes of death. It is also the leading cause of death from a single infectious agent, ranking above HIV/AIDS.2 INTROL® TB Panel M114plus is provided for Research Use Only (RUO). It cannot be cloned, sold, or transferred without the explicit written consent of MMQCI.

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