w w w. q i a g e n. c o m dirk heckel, phd diagnostic sample preparation and stabilization qiagen...

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W W W . Q I A G E N . C O M Dirk Heckel, PhD Dirk Heckel, PhD Diagnostic Sample Preparation and Diagnostic Sample Preparation and Stabilization Stabilization QIAGEN GmbH QIAGEN GmbH Standardization of Standardization of Automated Sample Automated Sample Preparation for Preparation for Viral Diagnostics Viral Diagnostics

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Page 1: W W W. Q I A G E N. C O M Dirk Heckel, PhD Diagnostic Sample Preparation and Stabilization QIAGEN GmbH

W W W . Q I A G E N . C O M

Dirk Heckel, PhDDirk Heckel, PhD

Diagnostic Sample Preparation and StabilizationDiagnostic Sample Preparation and Stabilization

QIAGEN GmbHQIAGEN GmbH

Standardization of Standardization of Automated Sample Automated Sample

Preparation for Preparation for Viral DiagnosticsViral Diagnostics

Page 2: W W W. Q I A G E N. C O M Dirk Heckel, PhD Diagnostic Sample Preparation and Stabilization QIAGEN GmbH

W W W . Q I A G E N . C O M

Standardizing sample preparation in 2004

QIAamp DSP Virus kit: CE certified in April 2004 BioRobot M48 for medium throghput in May 2004 BioRobot MDx: CE certification in Q3/04 BioRobot EZ1: for low throughput in Q3/04

Page 3: W W W. Q I A G E N. C O M Dirk Heckel, PhD Diagnostic Sample Preparation and Stabilization QIAGEN GmbH

W W W . Q I A G E N . C O M

Benefits of Standardization by Automation

Automation of generic sample preparation methods can lead to:

Securing of result integrity

Reduction of user errors

Increased process control

Comprehensive process documentation

Medium to High throughput

High level of user convenience

Page 4: W W W. Q I A G E N. C O M Dirk Heckel, PhD Diagnostic Sample Preparation and Stabilization QIAGEN GmbH

W W W . Q I A G E N . C O M

QIAGEN’s solution for required functionality (1)

Sample ID tracking

Secure system setup

Cross contamination free processing

Automatic barcode reading of sample ID Tracking of sample ID from sample input

area to result documentation

Software guidance for system setup Automatic verification of complete and

correct system setup (Load Check)

Usage of filter tips 8-Channel Pipetting Proprietary design of robotic vacuum

chamber (RoboVac)

Page 5: W W W. Q I A G E N. C O M Dirk Heckel, PhD Diagnostic Sample Preparation and Stabilization QIAGEN GmbH

W W W . Q I A G E N . C O M

QIAGEN’s solution for required functionality (2)

High Level of Process control

Walk away automation

Result documentation

Clot Check

Positive sample dispense verification

Liquid detection

Constant verification of key process parameters (e.g. temperature/pressure)

Load check

Robotic arm with lab hand and 8 Channel dispenser head

RoboVac

Heating/Cooling device

Result file including information such assample ID, sample validity, user, instrument, time stamp, maintenance status etc.

Page 6: W W W. Q I A G E N. C O M Dirk Heckel, PhD Diagnostic Sample Preparation and Stabilization QIAGEN GmbH

W W W . Q I A G E N . C O M

Standardization = Verification / Validation

CE-Marking requires performance evaluation of the IvD system

BioRobot MDx DSP system

IvD ReagentsIvD

InstrumentApplication

process

IvD Hardware IvD SoftwareHardware Module VerificationSoftware Unit Level

and Integration Level Verification

Process Verification / HW/SW integration

verificationChemistry Verification

System Verification & Validation

Page 7: W W W. Q I A G E N. C O M Dirk Heckel, PhD Diagnostic Sample Preparation and Stabilization QIAGEN GmbH

W W W . Q I A G E N . C O M

System Verification & Validation

Limit of detection

Linearity and linear range

Accuracy

Precision, intermediate precision, reproducibility

Robustness, whole system failure rate

Cross contamination

Clinical specificity

System Verification & Validation

Page 8: W W W. Q I A G E N. C O M Dirk Heckel, PhD Diagnostic Sample Preparation and Stabilization QIAGEN GmbH

W W W . Q I A G E N . C O M

Limit of detection QIAamp DSP 96 Virus MDx Protocol

all

Input Titer IU/ml n hits %

800 36 36 100,00

600 36 36 100,00

400 36 36 100,00

200 36 36 100,00

100 36 35 97,22

50 36 23 63,89

10 36 6 16,67

NC 18 0 0,00

pos. control 18 18 100,00

95% probit value 123.1

confidence interval 87.8-205.2

all

Input TiterIU/ml n hits %

50 83 83 100,00

35 84 84 100,00

20 84 79 94,05

10 84 67 79,76

5 84 50 59,52

2 84 27 32,14

0,5 84 10 11,90

0 41 0 0,00

pos. control 42 42 100,00

95% Probit value   

25.70

confidence interval 19.37-37.18

LOD HBV = 26 IU/ml

144 c/ml

LOD HIV = 123 IU/ml 70 c/ml

all

Input Titer IU/ml n hits %

160 36 36 100,00

80 36 36 100,00

40 36 36 100,00

20 36 36 100,00

10 36 35 97,22

5 36 23 63,89

0 36 6 16,67

95% probit value 28.2

confidence interval 16,1-195.21

LOD HCV = 28 IU/ml

Page 9: W W W. Q I A G E N. C O M Dirk Heckel, PhD Diagnostic Sample Preparation and Stabilization QIAGEN GmbH

W W W . Q I A G E N . C O M

Linear range (24 replicates at 7 titer levels)

y = 1.0577x - 0.5599

R2 = 0.9987

0

1

2

3

4

5

0 1 2 3 4 5Input (log IU/ml)

Resu

lt (lo

g IU

/ml)

COBAS AMPLICOR HBV MONITOR

y = 0.9054x + 0.3011

R2 = 0.9982

1

2

3

4

5

6

7

1 2 3 4 5 6 7Input (log IU/ml)

Resu

lt (lo

g IU

/ml)

y = 0.8867x + 0.3878

R2 = 0.9972

2

3

4

5

6

7

8

2 3 4 5 6 7 8

Input (log IU/ml)

Res

ult (lo

g IU

/ml)

COBAS TaqMan HCV

LCx HIV RNA Quantitative Assay

Page 10: W W W. Q I A G E N. C O M Dirk Heckel, PhD Diagnostic Sample Preparation and Stabilization QIAGEN GmbH

W W W . Q I A G E N . C O M

0,00

1,00

2,00

3,00

4,00

5,00

6,00

7,00

8,00

log c

/ml

Dilution 1 Dilution 2 Dilution 3 Dilution 4 Dilution 5 Dilution 6 Dilution 7

QIAamp MDx DSP 96 Virus MDx protocol - Intermediate Presision

Day1, System1

Day1, System2

Day2, System1

Day2, System2

Day2, System3

Day3, System2

Day3, System3

Intermediate Precision HIV cont.QIAamp DSP 96 Virus MDx Protocol

Page 11: W W W. Q I A G E N. C O M Dirk Heckel, PhD Diagnostic Sample Preparation and Stabilization QIAGEN GmbH

W W W . Q I A G E N . C O M

Robustness

Comparison of different primary tubes 4 Replicates of 13 individual donors 3 tube types per donor Spiked w/ 1*10^5 IU/ml

Page 12: W W W. Q I A G E N. C O M Dirk Heckel, PhD Diagnostic Sample Preparation and Stabilization QIAGEN GmbH

W W W . Q I A G E N . C O M

Standardizing sample preparation in 2004

QIAamp DSP Virus kit: CE certified in April 2004 BioRobot M48 for medium throghput in May 2004 BioRobot MDx: CE certification in Q4/04 BioRobot EZ1: for low throughput in Q3/04 BioRobot EZ1: CE certification in Q1 2006 BioRobot EZ1: CE certification of Virus Kit in Q2 2006

2005

BioRobot MDx DSP system

BioRobot MDx DSP system