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INTENDED USE |
Accu-Stat™ THC-COC-OPI-mAMP-PCP-AMP-MDMA,
a simple one-step immunoassay is intended for use in the qualitative
detection of MARIJUANA, COCAINE, OPIATES, METHAMPHETAMINES, PHENCYCLIDINE,
AMPHETAMINE and ECSTASY. metabolites in human urine.
Accu-Stat™ THC-COC-OPI-mAMP-PCP-AMP-MDMA
test provides a preliminary analytical result. A more specific alternative
chemical method must be used in order to obtain a confirmed analytical
result. Gas chromatography, mass spectrometry (GC/MS)
is the preferred confirmatory method. Clinical consideration and
professional judgment should be applied to any drug of abuse test result ,
particularly when preliminary positive results are indicated. The newly
packaged test for U.S. domestic market includes optional confirmation
testing at no additional charge.
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SUMMARY AND
PRINCIPLE OR PROCEDURE |
Accu-Stat™ THC-COC-OPI-mAMP-PCP-AMP-MDMA
test uses solid-phase immunoassay technology for the qualitative detection
of
MARIJUANA,
COCAINE,
OPIATES,
METHAMPHETAMINES,
PHENCYCLIDINE,
AMPHETAMINE and
ECSTASY metabolite in human urine. This test is based on the
competition for the limited antibodies between immobilized drug conjugate
on the membrane and drug or drug metabolite which may be present in the
urine being tested. In the test procedure, a sample of urine is placed in
the sample well and is allowed to migrate downward. When the drug is
present in the urine sample, it competes with drug conjugates which are
immobilized on the membrane for the limited amount of antibodies present
in the dye-antibody conjugate. When sufficient amount of drug or drug
metabolite above the cut-off level is present, it will occupy all the
antibody binding sites, and thus inhibit the binding of dye-antibodies to
the drug conjugate preventing the formation of a line on the membrane. In
addition to the Test line that may appear in the Test window, a Control
line is added in the Control window to confirm the viability of the test.
This Control line should always be seen if the test is conducted properly.
Therefore, the presence of two lines, one in the Test window and the other
in the Control window, indicates a negative result; while the absence of a
line in the Test window indicates a positive results.
Accu-Stat™ THC-COC-OPI-mAMP-PCP-AMP-MDMA
provides only a qualitative test results. To obtain a confirmed analytical
results, more specific alternative methods such as gas chromatography/mass
spectrometer (GC/MS)
must be used.
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MATERIALS
PROVIDED |
- The Accu-Stat™
THC-COC-OPI-mAMP-PCP-AMP-MDMA
test cup contains all the reagents necessary to perform test.
- The test
device contains a membrane coated with drug conjugate and a pad with
antibenzoylecgonine antibody-dye conjugate.
- Instructions
for use.
-
2 contidential numbered ID
tags
-
Transportation pouch with absortment strip.
- Pre-addressed
mailing box
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PRECAUTIONS
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- Accu-Stat™
THC-COC-OPI-mAMP-PCP-AMP-MDMA
test cup should remain in its original sealed pouch until ready for
use.
- Do not use
the test kit after the expiration date.
- Urine
specimens are potentially infectious. Proper handling and disposal
methods should be followed.
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STORAGE AND
STABILITY |
Accu-Stat™ THC-COC-OPI-mAMP-PCP-AMP-MDMA
test cup should be stored at 4-30 C (40-86 F) in its original sealed
pouch.
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SPECIMEN
COLLECTION AND PREPARATION |
Approximately 1 ounce of urine sample is required for each test. Fresh
urine specimens do not require any special handling or pretreatment. If
testing will not be performed immediately, specimens should be
refrigerated (2-8 C) or frozen. Specimens should be brought to room
temperature before testing.
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TEST PROCEDURE |
The test procedure consists of adding the urine sample to the test cup and
watching for the appearance of colored lines in the Test window.
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TEST PROTOCOL
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- For each
test, open one Accu-Stat™ THC-COC-OPI-mAMP-PCP-AMP-MDMA
test cup.
- Remove the
capand urinate directly into the Accu-Stat™ Test cup. Fill the cup to
the one ounce minimum fill mark on the cup. Replace the lid and
tighten firmly, clean any splashes or spills that may be on the
outside of the cup.
- Read the
results after 4 minutes, but within 10 minutes.
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LIMITATIONS
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- The test is
designed for use with unadulterated urine only. Some of the Accu-Stat™
Test Cups include a Specimen Validation or Adulteration strip which
tests the specimen for various known methods of adulteration. If you
have purchased a test which includes Specimen Validation, it will
include an insert describing the test.
- There is a
possibility that factors such as technical or procedural errors, as
well as other substances in the urine sample may interfere with the
test and cause erroneous results.
- This test
detects only the presence of
MARIJUANA,
COCAINE,
OPIATES,
METHAMPHETAMINES,
PHENCYCLIDINE,
AMPHETAMINE and
ECSTASY and/or their metabolites in human urine. A positive test
result does not provide any indication of the level of intoxication or
urinary concentration.
- The test
result read after 10 minutes may not be consistent with the original
reading obtained within the 10 minute reading period.
- The test must
be read within 10 minutes of sample application.
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USER QUALITY
CONTROL |
Control standards (for professional use) are not supplied with this kit;
however, it is recommended that a control be tested as good laboratory
testing practice. For information on how to obtain controls, contact Accu-Stat™’s
Technical Services. Before using a new kit with patient specimens,
positive and negative controls should be tested to confirm the test
procedure, and to verify the tests produce the expected Q.C. results.
The Control line can be considered an internal control. A distinct
reddish-purple Control line should always appear if the test procedure is
performed properly and the test reagents are working. If the Control line
does not appear, the test is invalid and a new test should be performed.
If the problem persists, contact Accu-Stat™ for technical assistance.
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EXPECTED VALUES |
Accu-Stat™ THC-COC-OPI-mAMP-PCP-AMP-MDMA
is qualitative assay. The amount of drugs and metabolites present in the
urine cannot be estimated by the assay. The assay results distinguish
positive from negative samples. A positive results indicates the sample
contains drug metabolites above the cut-off concentration.
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PERFORMANCE
CHARACTERISTICS |
The National Institute on Drug Abuse has suggested that the screening
cut-off for positive samples be 2000 ng/ml for opiates . Accu-Stat™
THC-COC-OPI-mAMP-PCP-AMP-MDMA
test has been shown to detect an average of 2000 ng/ml or more for opiates
or its metabolites in urine. The accuracy of Accu-Stat™ THC-COC-OPI-mAMP-PCP-AMP-MDMA
was evaluated in comparison to a commercially available immunoassay at a
cut-off of 2000 ng/ml. A total of 1021 samples were tested by both
procedures with 97% agreement.
In
a separate study, Accu-Stat™ THC-COC-OPI-mAMP-PCP-AMP-MDMA
was evaluated against specimens confirmed as positive by
GC/MS. Of 78 samples confirmed as positive, 77 samples were positive
when tested with >Accu-Stat™ for 99% agreement.
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SPECIFICITY |
Accu-Stat™ THC-COC-OPI-mAMP-PCP-AMP-MDMA
test detects the cocaine metabolite, benzoylecgonine. The following table
lists compounds that cross react in this test. The results are expressed
as the concentration required to produce a positive result.
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Compound |
Concentration (ng/mL)
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Benzoylecgonine |
1,000
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| Cocaine HCI |
500
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| Ecgonine
HCI |
1,000
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REFERENCES
- Stewart, D.J.,
Inoba, T., Ducassen, M., and Kalow, W. Clin. Pharmacol. Ther. 25;
264-8 (1979).
- Ambre, J. J.
Anal. Toxicol. 9; 241-5 (1985).
- Urine Testing
for Drugs of Abuse,
National Institute for Drug Abuse (NIDA), Research Monograph 73,
1986.
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