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        RISHzymeTM for ONCORE
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1.  Troubleshooting    Follow the reagent specific protocol recommendations according to the data sheet  provided  If atypical results occur  contact Biocare s Technical Support at  1 800 542 2002     References    1  Wilkinson DG  In Situ Hybridization  A Practical Approach  Practical Approach  Series   2nd Ed  Oxford  Oxford University Press  1999    2  Nuovo GJ  In Situ Molecular Pathology and Co Expression Analyses  Ist Ed  San  Diego  Academic Press  2013    3  Clinical and Laboratory Standards Institute  CLSI   Protection of Laboratory  Workers from Occupationally Acquired Infections  Approved Guideline Fourth Edition  CLSI document M29 A4 Wayne  PA 2014     EMERGO EUROPE  Molenstraat 15  2513 BH  The Hague  The Netherlands    Fax  925 603 8080    
2. ANNICA    WING Z    RISHzyme    for ONCORE    Enzyme Pretreatment Reagent for  n situ Hybridization    BIOCARE    M E   D C A L    ISO  9001 amp 13485  CERTIFIED    Procedures on the ONCORE Automated Slide Stainer  Control Number  901 6039K 012715    Catalog Number  ORI6039K T120  Description  120 tests  Intended Use     For In Vitro Diagnostic Use   RISHzyme    for ONCORE is a buffered digestive enzyme solution intended for use in  pretreatment of formalin fixed  paraffin embedded  FFPE  tissues in an in situ  hybridization  ISH  procedure performed on Biocare Medical   s ONCORE Automated  Slide Stainer  The clinical interpretation of any staining or its absence should be  complemented by morphological studies and proper controls and should be evaluated  within the context of the patient   s clinical history and other diagnostic tests by a  qualified pathologist     Summary  amp  Explanation    RISHzyme    for ONCORE is a digestive enzyme used in the pretreatment of formalin   fixed paraffin embedded tissues  FFPE  to enhance probe accessibility to nucleic acid  targets  In FFPE tissues  certain in situ hybridization protocols require enzymatic  pretreatment for proper ISH staining  RISHzyme    is an aggressive enzyme and can be  used at room temperature or at 37  C  Certain tissues require this type of aggressive  enzyme digestion prior to heat retrieval for optimal results  When used in combination  with RISH    Retrieval for ONCORE  a synergistic effect on probe accessibi
3. ical  criteria by a qualified pathologist  The clinical interpretation of any positive or negative  staining should be complemented by morphological studies using proper positive and  negative internal and external controls as well as other diagnostic tests     Quality Control    Refer to CLSI Quality Standards for Design and Implementation of  Immunohistochemistry Assays  Approved Guideline Second Edition  I LA28 A2    CLSI Wayne  PA  USA  www clsi org   2011    Precautions    1  This product is intended for in vitro diagnostic  IVD  use    2  This product is classified as non hazardous based on the concentrations and hazards  of the components  in compliance with the Globally Harmonized System of  Classification and Labeling of Chemicals  GHS   the US OSHA Hazard  Communication Standard  HCS   and European Union Classification  Labeling  and  Packaging  CLP  regulations    3  Specimens  before and after fixation  and all materials exposed to them should be  handled as if capable of transmitting infection and disposed of with proper precautions   Avoid contacting the skin and mucous membranes with reagents and specimens  and  follow standard laboratory precautions to prevent exposure to eyes and skin  If reagents  or specimens come in contact with sensitive areas  wash with copious amounts of  water   3    4  Microbial contamination of reagents may result in an increase in nonspecific  staining    5  The SDS is available upon request and is located at http   biocare net     
4. lity to  nucleic acid targets may be achieved  This product is provided as a two component  system and may be prepared at various concentrations  as desired by the user     Known Applications   in situ hybridization  FFPE tissues     Supplied As    RISHzyme    for ONCORE is supplied as two solutions  concentrated enzyme and  buffer with preservative  intended to be mixed prior to use    RISHzyme     ORI6022 G3  3 mL   RISHzyme    Buffer  ORI6023 T30  30 tests  4 vials x 6 7 mL    Reconstitution  Dilution and Mixing    RISHzyme    for ONCORE is provided as an enzyme concentrate with buffer for  dilution  Add 7 drops of RISHzyme    to 1 buffer vial for a 1 25 dilution  Add 3 4  drops of RISHzyme    to 1 buffer vial for an approximate 1 50 dilution     RISHzyme    Buffer incorporates a color coded pH indicator  The end user can  visually inspect the solution and see that the mixture or buffer is at the proper pH  If the  mixed solution is purple  the pH is too high for optimal digestion  If the buffer or  RISHzyme    solution turns orange or yellow  the pH is too low for optimal digestion     Materials and Reagents Required But Not Provided    Reagents and materials  such as RISH    in situ probes  detection kits  chromogens and  ancillary reagents are not provided  Refer to the ONCORE Automated Slide Staining  System User Manual for a complete list of materials and reagents required     Storage and Stability    Store at 2  C to 8  C  Do not use after expiration date printed on 
5. vial  The working  solution is stable for 14 days after addition of RISHzyme    to RISHzyme    Buffer   when stored at 2  C to 8  C     Instructions for Use    Mix RISHzyme    in RISHzyme     Buffer as desired  see Reconstitution  Dilution and  Mixing   Cap the vial and invert several times to thoroughly mix contents  Uncap the  vial and place in the ONCORE reagent tray     The ONCORE will apply reagent as required in the selected protocol  Refer to the  ONCORE Automated Slide Staining System User Manual for detailed instructions on  instrument operation and additional protocol options     taal Biocare Medical    4040 Pike Lane  Concord  CA 94520    Tel  800 799 9499       wo  CE    USA Page 1 of 1    www  biocare net      Limitations    This reagent has been optimized for use with ONCORE RISH    probes  detections and  ancillary reagents  The protocols for a specific application can vary  These include  but  are not limited to fixation  enzymatic digestion  heat retrieval method  incubation  times  and tissue section thickness  Third party ISH probes may be used on the  ONCORE  however  appropriate probe concentration and protocol parameters may  depend upon multiple factors and must be empirically determined by the user   Ultimately  it is the responsibility of the investigator to determine optimal conditions   The clinical interpretation of any positive or negative staining should be evaluated  within the context of clinical presentation  morphology and other histopatholog
    
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