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ITC VerifyNow System Platelet Reactivity Test User Manual

Page 14

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Overview of System Components - 2

Page 10

14439.C 03/2013

VerifyNow System User Manual |

USA

2.1.8

Printer (Accessory)

The printer is an optional accessory to the instrument. The printer enables an operator to print test

results, QC results, and instrument usage statistics. See section 8.8 for instructions on enabling the

printer.

2.2

Test Device

The VerifyNow System uses disposable test devices to conduct the test. There are three types of test

devices relating to the appropriate platelet function test: Aspirin,

PRUTest, and GP IIb/IIIa inhibitors

(specifically for monitoring abciximab or eptifibatide). Test devices are individually sealed in foil pouches

and may be used until the expiration date printed on each kit box and on the foil pouch.

Each single-use test device consists of a sample well, staging well, and four detection wells (Figure

2-5). The instrument automatically draws whole blood into the test device from a sample collection

tube in the sample well. It then heats the blood to 37°C for a period of time specific to each test, and

proceeds with the analysis of the blood in the detection wells.

Figure 2‑5 Test Device

Sample or
WQC Tube

Sample
Well

Detection
Wells

Spot Code

Needle

Sheath

Staging
Well

Finger

Grip

The detection wells of a test device contain a lyophilized preparation of human fibrinogen-coated beads

and platelet agonist. Fibrinogen-coated beads bind to available platelet receptors in the blood sample.

When the activated platelets are exposed to the fibrinogen-coated beads, agglutination occurs in

proportion to the number of available platelet receptors. The instrument measures this agglutination as

an increase in light transmittance through the detection wells.

2.2.1

Spot Code

Each test device is labeled with a spot code. Upon insertion of the test device into the test device

port, the instrument automatically scans the spot code and determines which test is being performed,

whether the particular lot has been used previously, and if the lot expiration date has been reached.

Test devices are calibrated at the factory. No additional calibration is required by the user. Information

about calibration and the device expiration date is contained in the bar code on the pouch of each test

device. The bar code must be scanned whenever a new lot of test devices is to be used.

NOTE: Handle test devices as biohazardous material. Dispose of them in an appropriate manner.