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Strep A Package Insert

Strep A Package Insert
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Strep A Package Insert

Product catalog summary
Alere™ i Strep A Package Insert Summary

Intended Use: The Alere™ i Strep A is a rapid molecular diagnostic test designed to detect Group A Streptococcus in throat swab specimens, aiding in the diagnosis of bacterial infections. It is used with the Alere™ i Instrument.

Test Overview: Utilizing isothermal nucleic acid amplification technology, the test provides results in eight minutes or less. Negative results should be confirmed with a bacterial culture.

Principles of the Procedure: The test involves a Sample Receiver, Test Base with reaction tubes, and a Transfer Cartridge, with the Alere™ i Instrument facilitating bacterial lysis, nucleic acid amplification, and result detection.

Materials Provided: The kit includes Test Bases, Sample Receivers, Transfer Cartridges, throat swabs, and control swabs. The Alere™ i Instrument is required but not included.

Precautions: For in vitro diagnostic use only, the test must be used with the Alere™ i Instrument. Follow instructions carefully to avoid false results and handle all components as potentially infectious.

Storage and Stability: Store the kit at 2-30°C and ensure components are at room temperature before use.

Quality Control: Internal controls verify reagent functionality, and external positive and negative controls are recommended for quality assurance.

Specimen Collection and Handling: Use freshly collected throat swabs for optimal performance, testing promptly or storing appropriately if delayed.

Test Procedure: Follow on-screen instructions on the Alere™ i Instrument, ensuring all components are at room temperature and reagent pellets are visible before starting.

Conclusion: The Alere™ i Strep A test provides rapid and reliable detection of Group A Streptococcus, aiding in timely diagnosis and treatment.

Procedures:
  • Test Setup: Use the correct Test Base and insert the Blue Sample Receiver carefully.
  • Sample Preparation: Warm the Sample Receiver, remove the foil seal, and mix the swab in the liquid for 10 seconds.
  • Test Execution: Attach the White Transfer Cartridge, ensuring the orange indicator functions properly.
  • Test Completion: Close the lid to start the test and wait for results.
  • Result Interpretation: Results are displayed as Positive, Negative, or Invalid, with retesting required for invalid results.


Limitations:
  • The test does not distinguish between viable and nonviable organisms.
  • Not established for monitoring treatment of pharyngitis caused by Group A Strep.
  • False negatives may occur due to assay inhibitors or incorrect Sample Receiver usage.


Performance Characteristics:
  • Clinical Study: Conducted at 8 US sites with 481 patients, showing a sensitivity of 95.9% and specificity of 94.6%.
  • Reproducibility: High agreement with expected results across multiple sites and operators.
  • Analytical Sensitivity: The limit of detection was identified for various Group A Strep strains.
  • Analytical Specificity: Tested against 33 microorganisms, showing no cross-reactivity.


Interfering Substances: Various substances were tested and found not to affect test performance at specified concentrations.

Product Overview: The document provides detailed information about the Alere™ i Strep A test, including specifications, performance data, and instructions for use.

Specifications and Performance: Evaluated in CLIA Waiver Studies, the test demonstrated accuracy when used by operators without laboratory experience, showing reliable performance compared to bacterial culture results.

Testing and Results: Testing of various substances, including Mucin and Crest® toothpaste, resulted in false negatives and invalid results at certain concentrations. The test showed 100% detection for low positive samples and 0% for true negatives in untrained user testing.

Control Studies: External controls were tested daily, with high pass rates for both positive and negative controls. Retesting of failed controls produced valid results.

Analytical Flex Studies: These studies confirmed the test's insensitivity to environmental stresses and potential user errors.

Ordering and Support: Provides reorder numbers for test kits and control swabs, along with contact information for technical support.

References: Cites clinical microbiology manuals and guidelines from the American Academy of Pediatrics.

Legal and Trademark Information: Includes legal disclaimers and trademark information related to Alere and its partners.
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Catalog excerpts

Strep A Package Insert-1

Alere"Tl Strep A Package Insert

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Strep A Package Insert-3

Alere'Tl Strep A Package Insert For use with the Alere™ i Instrument For use with throat swab specimens For in vitro use only IJOnly CLIA COMPLEXITY: WAIVED A Certificate of Waiver is required to perform this test in a CLIA Waived setting. To obtain CLIA waiver information and a Certificate of Waiver, please contact your state health department. Additional CLIA waiver information is available at the Centers for Medicare and Medicaid website at www.cms.hhs.gov/CLIA. Failure to follow the instructions or modification to the test system instructions will result in the test no longer meeting the requirements...

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Alere™ i Strep A is a rapid, instrument-based isothermal test for the qualitative detection of Group A Strep directly from throat swab specimens with results in eight (8) minutes or less. The Alere™ i Instrument has a small footprint and easy to use graphical user interface for convenience. The Alere™ i Strep A kit contains all components required to carry out an assay for Group A Strep on the Alere™ i Instrument. PRINCIPLES OF THE PROCEDURE Alere™ i Strep A utilizes isothermal nucleic acid amplification technology for the qualitative detection of Group A Strep bacterial nucleic acids. It is...

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Materials Required but not Provided 10. Do not use a Transfer Cartridge if it is dropped after aspiration of the sample. If the Transfer Cartridge is dropped, discard the component and continue the test by transferring the sample with a new Transfer Cartridge. Alere™ i Instrument Clean, dry plastic tubes or sheaths for transport and storage of swab specimens. 11. Do not open the Sample Receiver before placing in the instrument. It will prohibit the Elution Buffer from reaching temperature and may impact test performance. PRECAUTIONS 1. For in vitro diagnostic use. 2. For US Customers Only: Federal...

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may cause false positive results. Handle samples according to standard laboratory practices. Clean instruments and surrounding surfaces according to instructions provided in the cleaning section of the instrument User Manual. Refer to Section 1.6, Maintenance & Cleaning, for further information. 18. Do not touch the heads of the Control Swabs. Cross contamination with the Positive Control Swabs may occur due to their high target level and the sensitivity of the assays run on the instrument. 19. Test results should be interpreted in conjunction with other laboratory and clinical data. 20. The...

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Procedural Control Valid displayed on the instrument screen indicates that the assay reagents maintained their functional integrity and the sample did not significantly inhibit assay performance. External Positive and Negative Controls: Good laboratory practice suggests the use of positive and negative controls to ensure that test reagents are working and that the test is correctly performed. Alere™ i Strep A kits contain Positive and Negative Control Swabs. These swabs may be used to demonstrate the ability to generate appropriate positive and negative results by following the assay process....

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The following transport media have been tested and are also acceptable: • ESwab™ Collection Kit, Liquid Amies • BBL™ CultureSwab™ Liquid Amies* • BBL™ CultureSwab™ Liquid Stuart* *These transport media systems preserve the sample on the swab tip via contact with a media-moistened sponge. If immediate testing is not possible, the throat swab can be held in transport media at room temperature (approximately 20°C) or refrigerated at 2-8°C for up to twenty-four (24) hours from the time of sample collection prior to testing. Note: If testing a swab transported in media, the collection swab is to be...

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Alere Loading Application Enter User ID or Scan Step 1_ Turn on the Alere™ i Instrument -press the power button ® on the side of the instrument. Note: If the unit is unattended for one hour, the instrument will go to a black screen power save mode. Touch the screen to return the unit to active display operation. Enter User ID Press V’ after entry. Touch ‘Strep A’ This starts a Strep A test. Enter Patient ID using on screen keyboard or barcode scanner Touch V’. Verify that the ID was entered correctly, then touch V’ to confirm entry. Run Test Influenza A & B Strep A Touch ‘Run Test’ This will...

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Step 2 Open the Lid and Insert Orange Test Base into Orange Test Base holder Insert test base into device. Caution: Do not apply excessive force. Excessive force could damage the instrument. Caution: Do not apply excessive force. Excessive force could damage the instrument. Confirm that the correct test is displayed on the screen. Touch ‘OK’ to proceed. Insert Blue Sample Receiver into the Blue Sample Receiver holder Place sample receiver in holder. Caution: Confirm that the foil seal on the Sample Receiver indicates that it is for use with Alere™ i Strep A. If not, then remove the Sample Receiver...

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Step 4 Wait for the Sample Receiver to Warm Up. Caution: DO NOT REMOVE THE FOIL SEAL UNTIL PROMPTED BY THE INSTRUMENT. DO NOT close the lid or insert the swab sample until prompted by the instrument. When prompted, remove the foil seal and place the patient swab to be tested into the Sample Receiver. Remove seal. Mix swab for 10 seconds and discard the swab. (6:37) Vigorously mix the swab in the liquid for 10 seconds. Press the swab head against the side of the Sample Receiver as you mix it. This helps remove the sample from the swab. Once the swab is removed, touch ‘OK’ to proceed. Remove seal....

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Step 5a Press the White Transfer Cartridge into the Blue Sample Receiver Listen for a click. Press transfer cartridge into receiver (click). Attach cartridge to test base (orange indicator descends) Lift and then connect the Transfer Cartridge to the Test Base Run Test Press transfer cartridge into receiver (click). Attach cartridge to test base (orange indicator descends) When the Transfer Cartridge is properly attached to the Sample Receiver, the orange indicator on the Transfer Cartridge will rise. If the orange indicator does not rise, continue pushing onto the Sample Receiver until it does....

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