panther: waste and contamination management · • plasma: edta, acd, ppt • serum: sst, serum...
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PANTHER: WASTE AND CONTAMINATION MANAGEMENT
Mr. Todd Richmond – Hologic Marketing
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HOLOGIC
Women’s Health Company
Diagnostics
Cervical Health
Breast / Skeletal health
Global Access Initiative
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PANTHER SYSTEM AND HIV-1 ASSAY
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The Panther system provides the following advantages:
PANTHER SYSTEM
• Random and Continuous Access
• Consolidated menu that combines Viral load, Women’s Health and STI testing
• Ability to run assays simultaneously
• Proven Flexibility, Reliability and Performance
• Small footprint saves space and costs; suited for scalability and redundancy
• Panther serves as a foundation for future capabilities and content
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FULL AUTOMATION FROM SAMPLE-TO-RESULT
Maximize ProductivitySample Preparation
Extraction
Amplification & Detection
ResultsAnalysis
Tota l Automat ion on a S ing le Ins t rument
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REAL-TIME TMA THROUGHPUT AND CAPACITY
0 020
80
140
200
260
320
380
440
500
560
620
680
740
0
100
200
300
400
500
600
700
800
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
NU
MB
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OF
RESU
LTS
NU
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OF
RESU
LTS
NU
MB
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OF
RESU
LTS
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RESU
LTS
TIME (HOURS)TIME (HOURS)TIME (HOURS)TIME (HOURS)
Up to 320 results in 8 Up to 320 results in 8 Up to 320 results in 8 Up to 320 results in 8 hrhrhrhr shiftshiftshiftshift Additional 420 run unassisted into 2Additional 420 run unassisted into 2Additional 420 run unassisted into 2Additional 420 run unassisted into 2ndndndnd shiftshiftshiftshift
First 5 results First 5 results First 5 results First 5 results released released released released
2 2 2 2 hrhrhrhr and 41 minand 41 minand 41 minand 41 min
Up to 750 tests Up to 750 tests Up to 750 tests Up to 750 tests in approx.15 in approx.15 in approx.15 in approx.15 hrhrhrhr
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Limit of Detection Limit of Detection Limit of Detection Limit of Detection (LoD)(LoD)(LoD)(LoD)
Limit of Detection Limit of Detection Limit of Detection Limit of Detection (LoD)(LoD)(LoD)(LoD)
12 copies/mL
Dynamic RangeDynamic RangeDynamic RangeDynamic RangeDynamic RangeDynamic RangeDynamic RangeDynamic Range 30 – 10 million copies/mL
Intended UseIntended UseIntended UseIntended UseIntended UseIntended UseIntended UseIntended Use Monitoring / Diagnosis ‘21 Diagnosis and monitoring
Sample RequirementSample RequirementSample RequirementSample RequirementSample RequirementSample RequirementSample RequirementSample Requirement Reaction volume 0.5 mL
Primary Tube Sampling
• Minimum of 1200 μL plasma / serum
• Plasma: EDTA, ACD, PPT
• Serum: SST, serum tubes
Secondary Tube Sampling
• Minimum of 700 μL plasma / serum required with
Hologic Specimen Aliquot Tube (SAT)
• Dilution for low volume samples with
automated software calculation to neat
concentration
APTIMA HIV-1 QUANT DX ASSAY
7
Monitoring
4.8 IU/mL (Plasma)5.9 IU/mL (Serum)
10 – 9 log10 IU/mL
Reaction volume 0.5 mL
Dual target, multiple probes: pol & LTR
Aptima HIVAptima HIVAptima HIVAptima HIV----1 Quant1 Quant1 Quant1 Quant
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CLINICAL PERFORMACE FROM 3RD PARTY INVESTIGATORS
Weismann et al., Journal of Clinical Microbiology (2018) Oct;56(10)
The Aptima HIV-1 assay provides consistent, trusted results for viral load monitoring with full subtype coverage
50 copies / mL 200 copies / mL
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CLINICAL PERFORMACE FROM 3RD PARTY INVESTIGATORS
0 2 4 6 80
2
4
6
8
RealTime HIV log copies/mL
Aptima HIV log copies/mL N=158
R=0.98
Y = 1,071*X - 0,04817
Reproducibility
Clin
ical
Corr
elat
ion
The Aptima HIV-1 assay provides consistent, trusted results for viral load monitoring with full subtype coverage
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WASTE AND CONTAMINATIONMANAGEMENT
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WASTE MANAGEMENT AND CONTAMINATION
CONTROL
Deactivation Queue
Waste Deflector
Solid Waste Container
Liquid Waste Bottle
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LIQUID WASTE COMPOSITION
MaterialMaterialMaterialMaterial % by volume% by volume% by volume% by volume
TCRTCRTCRTCR 12.20%
SampleSampleSampleSample 9.76%
WashWashWashWash 24.39%
OilOilOilOil 2.44%
AmpAmpAmpAmp 1.22%
EnzymeEnzymeEnzymeEnzyme 0.61%
PromotorPromotorPromotorPromotor 0.61%
DeactivationDeactivationDeactivationDeactivation 48.78%
pHpHpHpH 9
Reportable ComponentReportable ComponentReportable ComponentReportable Component::::MgCl, KCl, Trizma HCl, Trizma Base, Zinc Acetate, Glycerol
Reportable ComponentReportable ComponentReportable ComponentReportable Component::::Triton X, EDTA, Trelahose, HEPES, N-Acetyl-L-Cysteine, KCl, Glycerol
Reportable ComponentReportable ComponentReportable ComponentReportable Component::::Lithium Hydroxide, HEPES, Lauryl Sulfate, Succinic Acid
Reportable ComponentReportable ComponentReportable ComponentReportable Component::::NaOH, Sodium Hypochlorite, Sodium Bicarbonate
Reportable ComponentReportable ComponentReportable ComponentReportable Component::::NaOH, Lauryl Sulfate Sodium, EDTA
Reportable ComponentReportable ComponentReportable ComponentReportable Component::::Polydimethylsiloxane
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DEACTIVATION OF REACTIONS
• BleachBleachBleachBleach
• Denatures nucleic acid
• Effective at low concentrations
• Universally employed as disinfectant
• Guanidinium thiocyanate (GTC)Guanidinium thiocyanate (GTC)Guanidinium thiocyanate (GTC)Guanidinium thiocyanate (GTC)
• Used as a general protein denaturant
• Toxic reagent; requires Hazardous Waste Management
• Traditional method for reaction inactivation
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THANK YOU!
QUESTIONS?