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        CLA-HBS200 Insert - Clarity Diagnostics
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1. STS  4th Edition  2006  Page 524    Manufactured for   Clarity Diagnostics  LLC   Boca Raton  Florida 33487  Technical  Customer Support  877 485 7877  Made in China  Number  1150745701  Effective Date  201x xx xx    
2. ampie Level   N   Mem   SD   CV  SD   CV  SD   CV  SD   CV   1 80 9 37 0 10  1 11  0 00  0 00  0 05  0 55   12  1 24   2 80 13 70 0 22  1 58  0 00  0 00  0 09  0 66   23  1   3 80 17 29 0 35  2 03  0 00  0 00  0 19  1 09  AO  2   Site 2    Within Run Between Operator Between Day  ampie  reve    N   Mean   SD   CV  SD   CV  SD   CV  SD   CV     1 80 9 42 0 07  0 72  0 01  0 12  0 08  0 81  0 10  1 09   2 80 13 98 0 12  0 87  0 00  0 00  0 12  0 85  0 17  1 22   3 80 17 68 0 18  1 03  0 00  0 00  0 31  1 77  0 36  2 05   Site 3  Within Run Between Operator Between Day Total  Sampla Laval N   Mem    SD   CV   SD   CV   SD   CV   SD   CV     1 80 9 41 0 10  1 06  0 00  0 00  0 08  0 81  0 13  1 33   2 80 13 89 0 18  1 32  0 00  0 00  0 00  0 00  0 18  1 32   3 17 42 0 24  1 38  0 04  0 21  0 09  0 50  0 26  1 48                 Sites Combined  ON O    Mean   Within Run Between Operator Between Day Between Site Total  Level SD   CV  SD   CV  SD   CV  SD   CV  SD   CV   1 240 9 40 0 09  0 98  0 00  0 00  0 07  0 73  0 02  0 18  12  1 24   2 240 13 86 0 18  1 31  0 00  0 00  0 08  0 57  0 14  1 00  24  1   3 240 17 46 0 27  1 538  0 00  0 00  0 22  1 24  0 19  1 09  3    Precision study    Fresh venous blood samples were collected into the tubes containing EDTA anticoagulant and adjusted Hb levels from low to high end of the  measurement range  The Hb value was confirmed with Sysmex hematology analyzer  Each hemoglobin level was performed in 30 replicates   Total three lots of test 
3. cartridges were tested for this study  The results are present in the table below     ON     Mean   Within Run Between Run Between Lot Total  Level SD   CV SD   CV SD   CV SD   CV    86  36  7  0 00  0 0  0 07  1 3  0 37  7 2   90          Accuracy  Comparison Study   Approximately 375 clinical specimens collected from adult subjects either via finger stick or venous at 3 clinical sites were tested with the Clarity  HbCheck Hemoglobin Testing System and a predicate device   Total 35 contrived blood specimen with adjusted Hb levels from low to high end of the measurement range were tested at 3 POL sites using the  Clarity HoCheck Hemoglobin Testing System and predicate device   The results are present in the table below   Method Comparison Data Summary     Clarity HbCheck vs  HemoPoint  HB  g dL   N       LIMITATIONS       The following substances do not affect the test results     Substance ___   Amoun _______   Substance id     200 mg dl  1324 umolL Cholesterol  Ascorbic Acid 60 mg dl  342 umol L    Conjugated Bilirubin 20 mg dl  342 umol L   50 mg dl  4420 pmol L Methyldopa   500 mg dl  2425 umol L Pe  i O    0 9 mg l  5 87 ymol L   High concentrations of TRIG and SA can lead to low Hb value  For anticoagulants  only use heparin and EDTA K2  EDTA K3 and EDTA Na2        BIBLIOGRAPHY    1  McPherson  R A  and Pincus  M  R   Henry   s Clinical Diagnosis and Management by Laboratory Methods  22    Edition  2011  Page 1494  2  Alan H B  Wu   TIETZ CLINICAL GUIDE TO LABORATORY TE
4. e fill line and stop    Note  Do not squeeze the tube while collecting the blood  Make sure that the blood covers the air vent  of the tube  if it does not  it will be hard to squeeze the blood out    5  When the blood drop symbol flashes  apply the blood  10 uL  to the sample well  Three  3  dashed lines  will appear on the meter to show the test is in progress    6  Read the results on the screen after 15 seconds    Note  The hematocrit value is calculated using the formula Hct F x Hgb  g dL   with F  2 94  A true  hematocrit test is not determined with this system  The use of this formula is allowed only within the  normal hemoglobin range  means from 12 3 g dL  7 63 mmol L    17 5 g dL  10 86 mmol L       If the Hb result is outside this range  then the estimated hematocrit result will not be calculated and          will appear     INTERPRETATION OF RESULTS    If you get unexpected or questionable results  take the following steps    e Ensure that the test cartridges are not expired    e Compare results to controls with known levels  Repeat the test using a new test cartridge    If the problem still exists  discontinue using the test cartridges  Contact Customer Technical Support at 1 877 485 7877     QUALITY CONTROL    The quality control test should be used to check that the meter and test cartridges are working together properly  Follow the test procedure in  your User s Manual to run a quality control test  Three levels CTRL 0  CTRL 1 and CTRL 2 are shown on the contr
5. ol solution bottle label  All  three levels of control solutions  CTRL 0  CTRL 1 and CTRL 2   must be tested and all levels must be within the assigned value ranges     ONOaRWNDM       e Test Cartridges e Code Chip e Package Insert    e Safety Lancets e Hb Meter e Alcohol Swab                                  CAUTION  If your quality control test result falls outside the control ranges shown on the control solution bottle label  DO NOT use the system  to test your blood  This may be a sign that the system is not working properly  If you cannot correct the problem  please call  Customer Technical Support at 1 877 485 7877     PERFORMANCE CHARACTERISTICS       Linearity  8 blood samples with adjusted Hb levels from low to high end of measurement range were tested with Clarity HoCheck Hemoglobin Testing  System  Each level of the blood sample was tested in 18 replicates  3 lots of Clarity HoCheck Hemoglobin Test Cartridges were tested  The  results are present in the table below     Cartridge Lot Linearity Equation    Po Rb rangetested ____      Reproducibility and Precision    Clarity HoCheck Hemoglobin Control Solutions with 3 Hb levels were blind labeled with ID number and provided to 3 clinical study sites  Each  level of the control solution was performed with the Clarity HoCheck Hemoglobin Testing System in separated 2 runs by 2 operators each day  for 20 days at each site  Results are present in the tables below     Site 1  Within Run Between Operator Between Day Total  S
6. pied Hemoglobin Test Cartridges    ul  Package Insert  1y HbCheck  For testing Hb in human whole blood     For in vitro diagnostic use only     INTENDED USE    The Clarity HoCheck Hemoglobin Testing System is for the quantitative determination of hemoglobin in non anticoagulated capillary whole  blood or anticoagulated venous whole blood in EDTA   K2  K3  Na2  or sodium heparin  The testing system is designed for point of care use in  primary care settings  Estimation of hematocrit is only for hemoglobin values from 12 3 to 17 5 g dL  123 to 175 g L   This device has not been  evaluated for pediatric subjects    SUMMARY    Hemoglobin is the main transporter of oxygen in red blood cells  Measuring hemoglobin concentrations is useful in the clinical diagnosis of  diseases  such as anemia and polycythemia     PRINCIPLE AND REFERENCE VALUES       Red blood cells in the specimen are lysed to release Hb  which is converted into MHb  The shade of the color produced depends on the  concentration of Hb  Reference values are listed in the table below      13 5     18 g dL  135     180 g L  8 38     11 17 mmol L       12   16 g dL  120   160 g L  7 45     9 93 mmol L    All results below 5 6 g dL or above 23 5 g dL must be confirmed by a suitable laboratory method  Reference ranges for children under the age of 18  have not been validated  Reference ranges may vary between laboratories  Every laboratory should establish its own reference range  as needed          REAGENTS    The concent
7. rations given may vary within manufacturing tolerances     Composition  Sodium deoxycholate 3  w w    Sodium nitrite 1 5  w w  Non reactive Ingredients 95 5  w w    PRECAUTIONS       Use only Clarity HoCheck Hemoglobin Test Cartridges with a Clarity HoCheck Hemoglobin meter    Keep the test cartridges in the closed canister until use    Discard the test cartridges if they are past the expiration date on the canister label    Do not touch the test area of the test cartridges    Discard any discolored or damaged test cartridges    All specimens should be considered potentially hazardous  Handle in the same manner as an infectious agent    Used test cartridges should be discarded according to local regulations after testing    Check the code chip before performing a test  Make sure to use the code chip that is included with the canister of test cartridges  Insert the  code chip into the code chip slot     STORAGE AND STABILITY    Store in the closed canister at the temperature or refrigerate 36 86   F  2 30   C   Avoid direct sunlight  Remove only enough test cartridges for   immediate use  Close the canister immediately and tightly  DO NOT FREEZE  Do not use past the expiration date    Note  Once the canister has been opened  the test cartridges may be used for up to 3 months  In high humidity conditions  the test cartridges  may expire sooner     SPECIMEN COLLECTION AND PREPARATION    e Acceptable specimens include fresh capillary or venous blood    e Fresh blood specimens mus
8. t be collected and tested immediately    e Whole blood with EDTA or heparin may be used  Preserved specimens must be kept in a closed container and must be used within 8 hours  after collection  Mix stored specimens adequately before testing    e To get accurate results  use a capillary transfer tube to collect capillary blood     MATERIALS    Materials Provided  e Capillary Transfer Tubes  Materials Required But Not Provided  e Gauze for Puncture Site e Latex Gloves    DIRECTIONS FOR USE    Please make sure the test cartridge  specimen  and or controls reach the temperature 59     86   F  15 30  C  before testing    Refer to the User   s Manual for detailed instructions    1  Insert the code chip into the meter  To avoid inaccurate results  please make sure the number on the code      chip is the same as the one printed on the test cartridge canister label    2  Remove the test cartridge from the canister  Close the canister immediately after removing the test cartridge    3  When the test cartridge symbol flashes  insert the test cartridge as far as it will go into the meter  Follow  the same direction as the Insert Arrows on the top of the test cartridge  The test cartridge arrows should  be parallel with the two arrows on the cartridge holder    4  Wipe away the first drop of blood  Collect 10 uL of blood by using a capillary transfer tube  Hold the tube  slightly downward  Touch the tip of the tube to the blood drop  Blood will automatically be drawn into the  tube to th
    
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