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1.  allow the determination of the gene load  For further information  please refer to  section 9 2 Quantitation   4  Kit Contents  DNA extraction buffer 2 vials  1 5m   Vibrio cholera 0139 Reaction Mix 1 vial  480ul   1 vial  12ul  1 vial  400ul  1 vial  301  Analysis sensitivity  5X 10   copies ml   LOQ  1X10  1X 10   copies ml   Note  Analysis sensitivity depends on the sample volume  elution volume  nucleic acid extraction  methods and other factors  If you use the DNA extraction buffer in the kit  the analysis sensitivity is  the same as it declares  However  when the sample volume is dozens or even hundreds of times  greater than elution volume by some concentrating method  it can be much higher   5  Storage   e All reagents should be stored at  20  C  Storage at  4  C is not recommended    e All reagents can be used until the expiration date indicated on the kit label    e Repeated thawing and freezing   gt 3x  should be avoided  as this may reduce the sensitivity of   the assay    e Cool all reagents during the working steps    e Reaction mix should be stored in the dark   6  Additionally Required Materials and Devices   e Biological cabinet   e Real time PCR system   e Desktop microcentrifuge for    eppendorf    type tubes  RCF max  16 000 x g    e Vortex mixer   e Real time PCR reaction tubes plates   e Cryo container   e Pipets  0 5ul     10001    e Sterile filter tips for micro pipets   e Sterile microtubes   e Disposable gloves  powderless   e Biohazard waste contai
2.  higher   5  Storage  e All reagents should be stored at  20  C  Storage at  4  C is not recommended   e All reagents can be used until the expiration date indicated on the kit label   e Repeated thawing and freezing   gt 3x  should be avoided  as this may reduce the sensitivity of the  assay   e Cool all reagents during the working steps   e Reaction mix should be stored in the dark   6  Additionally Required Materials and Devices  e Biological cabinet  e Real time PCR system  e Desktop microcentrifuge for    eppendorf    type tubes  RCF max  16 000 x g   e Vortex mixer  e Real time PCR reaction tubes plates  e Cryo container  e Pipets  0 5ul     10001   e Sterile filter tips for micro pipets  e Sterile microtubes  e Disposable gloves  powderless  e Biohazard waste container  e Refrigerator and Freezer  e Tube racks       7  L  warnings and Precaution  e Carefully read this instruction before starting the procedure   e For in vitro diagnostic use only   e This assay needs to be carried out by skilled personnel   e Clinical samples should be regarded as potentially infectious materials and  should be prepared in a laminar flow hood   e This assay needs to be run according to Good Laboratory Practice   e Do not use the kit after its expiration date   e Avoid repeated thawing and freezing of the reagents  this may reduce the sensitivity of the test   e Once the reagents have been thawed  vortex and centrifuge briefly the tubes before use   e Quickly prepare the reaction mix on 
3.  to severe dehydration and death if treatment  is not promptly given  Vomiting also occurs in most patients   Most persons infected with V  cholerae do not become ill  although the bacterium is present in their  faeces for 7 14 days  When illness does occur  about 80 90  of episodes are of mild or moderate  severity and are difficult to distinguish clinically from other types of acute diarrhoea  Less than 20   of ill persons develop typical cholera with signs of moderate or severe dehydration   Cholera remains a global threat and is one of the key indicators of social development  While the  disease no longer poses a threat to countries with minimum standards of hygiene  it remains a  challenge to countries where access to safe drinking water and adequate sanitation cannot be  guaranteed  Almost every developing country faces cholera outbreaks or the threat of a cholera  epidemic   Vibrio cholera O139real time PCR kit contains a specific ready to use system for the detection of the  Vibrio cholera 0139 using PCR  polymerase chain reaction  in the real time PCR system  The  master contains reagents and enzyme for the specific amplification of the Vibrio cholera 0139 DNA   Fluorescence is emitted and measured by the real time systems    optical unit during the PCR  The  detection of amplified Vibrio cholera 0139 DNA fragment is performed in fluorimeter channel  530nm with the fluorescent quencher BHQ1  An external positive control defined as 1x10    copies ml  is supplied which
4. IVD  Revision No   ZJ0008 EU  C       Issue Date  Jul 1    2015  For Research Use Only In USA  amp  China   Vibrio Cholera 0139 Real Time PCR Kit User Manual     20  C   REF   rassos062   Instrument I  II 2 25      For use with LightCycler1 0 2 0 instrument    eS    1  Intended Use  Vibrio cholera 0139 real time PCR kit is used for the detection of O0139 type Cholera Vivrion in  stool or water samples by using real time PCR systems   2  Principle of Real Time PCR  The principle of the real time detection is based on the fluorogenic 5   nuclease assay  During the PCR  reaction  the DNA polymerase cleaves the probe at the 5    end and separates the reporter dye from the  quencher dye only when the probe hybridizes to the target DNA  This cleavage results in the  fluorescent signal generated by the cleaved reporter dye  which is monitored real time by the PCR  detection system  The PCR cycle at which an increase in the fluorescence signal is detected initially   Ct  is proportional to the amount of the specific PCR product  Monitoring the fluorescence  intensities during Real Time allows the detection of the accumulating product without having to  re open the reaction tube after the amplification   3  Product Description  Cholera is an acute intestinal infection caused by ingestion of food or water contaminated with the  bacterium Vibrio cholerae  It has a short incubation period and produces an enterotoxin that causes a  copious  painless  watery diarrhoea that can quickly lead
5. Water is used as the negative control   2 yl 18y For reasons of unprecise pipetting   Extraction DNA Master Mix always add an extra virtual sample  Mix  op el the master mix completely then spin   Reaction down briefly in a centrifuge   Plate  Tube 2  Pipet 18ul Master Mix with micropipets    l of sterile filter tips to each Real time    PCR Instrument PCR reaction plate tube  Then    separately add 2ul DNA sample   positive and negative controls to different reaction plate tubes  Immediately close the  plate tubes to avoid contamination   3  Spin down briefly in order to collect the Master Mix in the bottom of the reaction tubes   4  Perform the following protocol in the instrument     37  C for 2min Icycle  94  C for 2min Icycle    Selection of fluorescence channels       Target Nucleic Acid    93  C for S5sec  60  C for 30sec     Fluorescence measured at 60  C   10 Threshold setting  Choose Arithmetic as back ground and none as Noise Band method  then  adjust the Noise band just above the maximum level of molecular grade water  and adjust the  threshold just under the minimum of the positive control   11 Calibration for quantitative detection  Input each concentration of standard controls at the end  of run  and a standard curve will be automatically formed   12 Quality control  Negative control  positive control and QS curve must be performed correctly   otherwise the sample results is invalid     Crossing point value  530nm    Molecular Grade Water  Positive Control qual
6. eaction plate tubes  Immediately close the plate tubes to  avoid contamination    3  Spin down briefly in order to collect the Master Mix in the bottom of the reaction tubes    4  Perform the following protocol in the instrument    Selection of fluorescence channels   94  C for 2min Icycle  93  C for 15sec  60  C for Imin     Fluorescence measured at 60  C        Target Nucleic Acid    AOcycles    5    r you use ABI Prism    system  please choose    none    as passive reference and quencher   10  Threshold setting  just above the maximum level of molecular grade water   11 Calibration for quantitative detection  Input each concentration of standard controls at the end of  run  and a standard curve will be automatically formed   12 Quality control  Negative control  positive control and QS curve must be performed correctly   otherwise the sample results is invalid   Ct value  FAM  Molecular Grade Water UNDET  Positive Control qualitative assay  Ec    QS  quantitative detection  Aa coefficient of QS curve lt     0 98    13  Data Analysis and Interpretation  The eae results are possible        Ctvalue          ee  UNDET Below the detection limit or negative       Positive  and the software displays the quantitative value  35 40 Re test  If it is still 35 40  report as 1     For further questions or problems please contact our technical support         Wear Separate coats and glovos  E R FESEARCH USE ONLY  NOT FOR USE IN DIAGNOSTIC OR THERAPEUTIC PROCEDURES     
7. es  carefully remove and  discard supernatant from the tube without disturbing the pellet    2  Add 50ul DNA extraction buffer  close the tube then vortex for 10 seconds  Spin down briefly in a  table centrifuge    3  Incubate the tube for 10 minutes at 100  C    4  Centrifuge the tube at 13000rpm for 5 minutes  The supernatant contains the DNA extracted and  can be used for PCR template    Attention    A  During the incubation  make sure the tube is not open  as the vapor will   volatilize into the air and may cause contamination if the sample is positive    B  The extraction sample should be used in 3 hours or store at  20  C for one month    C  Different DNA extraction kits are available  You may use your own extraction systems or the  commercial kit based on the yield  For the DNA extraction  please comply with the manufacturer   s  instructions    9 2 Quantitation   The kit can be used for quantitative or qualitative real time PCR  A positive control defined as   1x10   copies ml is supplied in the kit    For performance of quantitative real time PCR  Standard dilutions must prepare first as follows    Molecular Grade Water is used for dilution    The step of dilution is not needed for performance of qualitative real time PCR    Take positive control  1 lt 10   copies ml  as the starting high standard in the first tube  Respectively   pipette 36ul of Molecular Grade Water into next three tubes  Do three dilutions as the following   figures   Dilution of Standards  Aul Au
8. ice or in the cooling block   e Set up two separate working areas  1  Isolation of the RNA  DNA and 2  Amplification   detection of amplification products   e Pipets  vials and other working materials should not circulate among working units   e Use always sterile pipette tips with filters       leycle         8  Sample Collection  Storage and transportation   e Collect samples in sterile tubes    e Specimens can be extracted immediately or frozen at  20  C to  80  C    e Transportation of clinical specimens must comply with local regulations for the transport of  etiologic agents   9  Procedure   9 1 DNA Extraction   DNA extraction buffer is supplied in the kit  Please thaw the buffer thoroughly and spin down briefly   in the centrifuge before use  It   s better to use commercial kits for nucleic acid extraction    9 1 1 Stool samples   1  Take about 30mg samples to a 1 5ml tube  add 1 0ml normal saline then vortex vigorously   Centrifuge the tube at 13000rpm for 2 minutes  carefully remove and discard supernatant from the  tube without disturbing the pellet    2  Add 100ul DNA extraction buffer  close the tube then resuspend the pellet with vortex vigorously   Spin down briefly in a table centrifuge    3  Incubate the tube for 10 minutes at 100  C    4  Centrifuge the tube at 13000rpm for 5 minutes  The supernatant contains the DNA extracted and  can be used for PCR template    9 1 2 Water samples   1  Take 1 5 ml water to a tube  Centrifuge the tube at 13000rpm for 2 minut
9. itative assay     QS  quantitative detection  Correlation coefficient of QS curve lt    0 98    13  Data Analysis and Interpretation  The following results are possible     Crossing point value    ee ree ResulyAnalysis    Below the detection limit or negative    40cycles          Positive  and the software displays the quantitative value  35 40 Re test  If it is still 35 40  report as 1     For further questions or problems please contact our technical support       FOR RESEARCH USE ONLY  NOT FOR USE IN DIAGNOSTIC OR THERAPEUTIC PROCEDURES     J  IVD  Revision No   ZJ0009 EU  C       Issue Date  Jul 1    2015  For Research Use Only In USA  amp  China   Vibrio Cholera 0139 Real Time PCR Kit User Manual     20  C  MBS598062   Instrument III  IV YY       For use with ABI Prism  7000 7300 7500 7900 Step One Plus  iCycler iQ    4 iQ    5   Smart Cycler Il Bio Rad CFX 96 Rotor Gene    6000  Mx3000P 3005P MJ Option2 Chromo4   LightCycler  480 Instrument    Ea bed    1  Intended Use  Vibrio cholera 0139 real time PCR kit is used for the detection of O139 type Cholera Vivrion in stool  or water samples by using real time PCR systems   2  Principle of Real Time PCR  The principle of the real time detection is based on the fluorogenic 5   nuclease assay  During the PCR  reaction  the DNA polymerase cleaves the probe at the 5    end and separates the reporter dye from the  quencher dye only when the probe hybridizes to the target DNA  This cleavage results in the  fluorescent signal gene
10. l Aui To generate a standard curve on the real time  system  all four dilution standards should be  used and defined as standard with specification  of the corresponding concentrations    Attention    A  Mix thoroughly before next transfer    B  The positive control  1 10   copies ml    contains high concentration of the target DNA    Therefore  be careful during the dilution in order to avoid contamination    9 3 PCR Protocol   The Master Mix volume for each reaction should be pipetted as follows     y VW VY Y      1X10  1X10 1X105 1X 104 copicsian    36y  0 4yl 22 5 ul 0 4ul  Reaction Mix Enzyme Mix Reaction Mix Enzyme Mix  new  36 4ul 22 9   Master Mix Master Mix  4yl 36ul 2 5 ul 22 54   Extraction DNA Master Mix Extraction DNA Master Mix  Reaction Reaction  Plate  Tube Plate  Tube   amp kThis system    l is only for  PCR Instrument OR PCR Instrument Smart Cycler Il    1  The volumes of Reaction Mix and Enzyme Mix per reaction multiply with the number of samples   which includes the number of the controls  standards and sample prepared  Molecular Grade Water is  used as the negative control  For reasons of unprecise pipetting  always add an extra virtual sample   Mix the master mix completely then spin down briefly in a centrifuge    2  Pipet 36pl  22 5ul for SmartCycer II  Master Mix with micropipets of sterile filter tips to each  Real time PCR reaction plate tube  Then separately add 4ul  2 51 for SmartCycer II  DNA sample   positive and negative controls to different r
11. ner   e Refrigerator and Freezer   e Tube racks    PCR Enzyme Mix  Molecular Grade Water  Vibrio cholera 0139 Positive control  1 10    Copies ml        7  Z warnings and Precaution  e Carefully read this instruction before starting the procedure   e For in vitro diagnostic use only   e This assay needs to be carried out by skilled personnel   e Clinical samples should be regarded as potentially infectious materials and  should be prepared in a laminar flow hood   e This assay needs to be run according to Good Laboratory Practice   e Do not use the kit after its expiration date   e Avoid repeated thawing and freezing of the reagents  this may reduce the sensitivity of the test   e Once the reagents have been thawed  vortex and centrifuge briefly the tubes before use   e Quickly prepare the reaction mix on ice or in the cooling block   e Set up two separate working areas  1  Isolation of the RNA  DNA and 2  Amplification   detection of amplification products   e Pipets  vials and other working materials should not circulate among working units   e Use always sterile pipette tips with filters   e Wear separate coats and gloves in each area   8  Sample Collection  Storage and transportation    e Collect samples in sterile tubes    e Specimens can be extracted immediately or frozen at  20  C to  80  C    e Transportation of clinical specimens must comply with local regulations for the transport of  etiologic agents   9  Procedure   9 1 DNA Extraction   DNA extraction buffer is su
12. pplied in the kit  Please thaw the buffer thoroughly and spin down briefly   in the centrifuge before use    9 1 1 Stool samples   1  Take about 50mg samples to a 1 5ml tube  add 1 0ml normal saline then vortex vigorously   Centrifuge the tube at 13000rpm for 2 minutes  carefully remove and discard supernatant from  the tube without disturbing the pellet    2  Add 100ul DNA extraction buffer  close the tube then resuspend the pellet with vortex  vigorously  Spin down briefly in a table centrifuge    3  Incubate the tube for 10 minutes at 100  C    4  Centrifuge the tube at 13000rpm for 5 minutes  The supernatant contains the DNA extracted and  can be used for PCR template    9 1 2 Water samples   1  Take 1 5 ml water to a tube  Centrifuge the tube at 13000rpm for 2 minutes  carefully remove  and discard supernatant from the tube without disturbing the pellet    2  Add 50ul DNA extraction buffer  close the tube then vortex for 10 seconds  Spin down briefly in  a table centrifuge    3  Incubate the tube for 10 minutes at 100  C    4  Centrifuge the tube at 13000rpm for 5 minutes  The supernatant contains the DNA extracted and  can be used for PCR template    Attention    A  During the incubation  make sure the tube is not open  as the vapor will   volatilize into the air and may cause contamination if the sample is positive    B  The extraction sample should be used in 3 hours or store at  20  C for one month    C  Different DNA extraction kits are available  You may use your o
13. rated by the cleaved reporter dye  which is monitored real time by the PCR  detection system  The PCR cycle at which an increase in the fluorescence signal is detected initially   Ct  is proportional to the amount of the specific PCR product  Monitoring the fluorescence intensities  during Real Time allows the detection of the accumulating product without having to re open the  reaction tube after the amplification   3  Product Description  Cholera is an acute intestinal infection caused by ingestion of food or water contaminated with the  bacterium Vibrio cholerae  It has a short incubation period and produces an enterotoxin that causes a  copious  painless  watery diarrhoea that can quickly lead to severe dehydration and death if treatment  is not promptly given  Vomiting also occurs in most patients   Most persons infected with V  cholerae do not become ill  although the bacterium is present in their  faeces for 7 14 days  When illness does occur  about 80 90  of episodes are of mild or moderate  severity and are difficult to distinguish clinically from other types of acute diarrhoea  Less than 20  of  ill persons develop typical cholera with signs of moderate or severe dehydration   Cholera remains a global threat and is one of the key indicators of social development  While the  disease no longer poses a threat to countries with minimum standards of hygiene  it remains a  challenge to countries where access to safe drinking water and adequate sanitation cannot be  guaran
14. teed  Almost every developing country faces cholera outbreaks or the threat of a cholera  epidemic   Vibrio cholera O139real time PCR kit contains a specific ready to use system for the detection of the  Vibrio cholera 0139 using PCR  polymerase chain reaction  in the real time PCR system  The master  contains reagents and enzyme for the specific amplification of the Vibrio cholera 0139 DNA   Fluorescence is emitted and measured by the real time systems    optical unit during the PCR  The  detection of amplified Vibrio cholera 0139 DNA fragment is performed in fluorimeter channel FAM  with the fluorescent quencher BHQ1  An external positive control defined as 1x10   copies ml is  supplied which allow the determination of the gene load  For further information  please refer to  section 9 2 Quantitation   4  Kit Contents  DNA extraction buffer 2 vials  1 5ml  Vibrio cholera 0139 Reaction Mix 1 vial  950ul  PCR Enzyme Mix 1 vial  121  Molecular Grade Water 1 vial  400ul  Vibrio cholera 0139 Positive control  1x10    Copies ml    1 vial  30pl  Analysis sensitivity  1 X 10   copies ml  LOQ  2X 10   1 X 10   copies ml  Note  Analysis sensitivity depends on the sample volume  elution volume  nucleic acid extraction  methods and other factors  If you use the DNA extraction buffer in the kit  the analysis sensitivity is  the same as it declares  However  when the sample volume is dozens or even hundreds of times greater  than elution volume by some concentrating method  it can be much
15. wn extraction systems or the  commercial kit based on the yield  For the DNA extraction  please comply with the  manufacturer   s instructions    9 2 Quantitation   The kit can be used for quantitative or qualitative real time PCR    For performance of quantitative real time PCR  Standard dilutions must prepare first as   follows  Molecular Grade Water is used for dilution    The step of dilution is not needed for performance of qualitative real time PCR    Take positive control  1 lt 10   copies ml  as the starting high standard in the first tube  Respectively   pipette 36ul of Molecular Grade Water into next three tubes  Do three dilutions as the following   figures   Dilution of Standards      n   Ayl Ayl    Y WV VY Y    1X107 1X10f 1X10  1X 1D 4 copicsia  To generate a standard curve on the real time system  all four dilution standards should be used and  defined as standard with specification of the corresponding concentrations   Attention   A  Mix thoroughly before next transfer   B  The positive control contains high concentration of the target DNA  Therefore  be careful during  the dilution in order to avoid contamination   9 3 PCR Protocol  The Master Mix volume for each reaction should be pipetted as follows     18 ul 0 4yl                 The volumes of Reaction Mix and  Reaction Mx Enzyme Mix Enzyme Mix per reaction multiply with  the number of samples  which includes  18 4 pl the number of the controls  standards  Master Mix and sample prepared  Molecular Grade  
    
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