COBAS AMPLICOR System Laboratory
CONTENTS
- Laboratory Setup
- Pre-PCR Reagent Preparation Supplies
- Pre-PCR Specimen Preparation Supplies
- Post-PCR Amplification and Detection Supplies
- Tips for Optimising Laboratory Workflow
Laboratory Setup
Sample Laboratory Design -- Because the COBAS AMPLICOR Analyser reduces
operator intervention and manual steps in PCR procedures, a simplified laboratory design
is possible. The sample laboratory design outlined below depicts the entire PCR
process.
- Dead-air Box.
- Reagent Refrigerator.
- Biological Safety Hood.
- Standard Clinical Centrifuge and/or Microfuge.
- Dry-heat Temperature Block.
- Specimen Refrigerator.
- Post-PCR Refrigerator.
- Computer.
- Printer.
- COBAS AMPLICOR Analyser.
Pre-PCR Reagent Preparation Supplies
These supplies and equipment should be dedicated to each pre-PCR activity.
Some items are not necessary for all COBAS AMPLICOR Analyser Automated PCR tests.
Reagent Preparation
- If using one room, a dead air box with an optional ultraviolet (UV) light or, if using
two rooms, a clean, dedicated area should be used for reagent preparation.
- Dedicated pipettors with plugged (aerosol-barrier) tips, dedicated positive-displacement
pipettors and tips or a repeat pipettor. RNase-free plugged tips are necessary for
RNA tests such as AMPLICOR HIV-1 MONITOR and AMPLICOR® HCV tests.
- COBAS AMPLICOR Analyser consumables/parts (A-rings, A-ring Holder).
- Vortex Mixer.
- Screw-cap tube racks (to hold Master Mix tubes).
- Refrigerator.
- Laboratory coat.
- Gloves (protective, latex, powder-free).
- Safety glasses.
- Biohazard container.
- 0.5% sodium hypochlorite*, for decontamination, prepared fresh daily.
70% ethanol, for decontamination.
* Commercial liquid household bleach typically contains a concentration of 5.25% sodium
hypochlorite. A 1:10 dilution of bleach will produce 0.5% sodium hypocholorite
solution.
Pre-PCR Specimen Preparation Supplies
These supplies and equipment should be dedicated to Pre-PCR.
Specimen Preparation
- Biological Safety hood.
- Standard clinical tabletop centrifuge and/or microcentrifuge (min. RCF 12,500 x g),
refrigerated high-speed centrifuge (min. RCF 24,000 x g).
- Dedicated pipettors with plugged RNase-free (aerosol-barrier) tips or dedicated
positive-displacement pipettors and tips. RNase-free plugged tips are necessary for RNA
tests such as AMPLICOR HIV-1 MONITOR and AMPLICOR® HCV tests.
- Sterile fine-tipped transfer pipets.
- Serological pipets.
- Vortex mixer.
- Sterile screw cap tubes and rack(s).
- Refrigerator/freezer.
- Dry-heat temperature block(s).
- Timing device.
- COBAS AMPLICOR Analyser parts (A-ring holder).
- Laboratory coat.
- Gloves (protective, latex, powder-free).
- Safety glasses.
- Biohazard container.
- 0.5% sodium hypochlorite*, for decontamination, prepared fresh daily.
70% ethanol, for decontamination.
- Isopropanol, for specimen preparation.
70% ethanol, for specimen preparation.
* Commercial liquid household bleach typically contains a concentration of 5.25% sodium
hypochlorite. A 1:10 dilution of bleach will produce 0.5% sodium hypochlorite solution.
Post-PCR Amplification and Detection Supplies
These supplies and equipment should be dedicated to Post-PCR.
Amplification and Detection
- COBAS AMPLICOR Analyser.
- Optional AMPLILINK Software or Laboratory Information System (LIS).
- Printer and paper.
- COBAS AMPLICOR Analyser consumables/reagents/parts (D-cups, wash buffer, generic
and specific reagents, reagent racks and maintenance supplies).
- Vortex mixer.
- Refrigerator.
- Serological pipets (5 or 10 mL).
- Graduated cylinder (or other suitable container for preparing working wash buffer).
- Laboratory coat (different from the one worn in Pre-PCR).
- Gloves (protective, latex, powder-free).
- Safety glasses.
- Biohazard container.
- 0.5% sodium hypochlorite*, for decontamination, prepared fresh daily.
70% ethanol, for decontamination.
* Commercial liquid household bleach typically contains a concentration of 5.25% sodium
hypochlorite. A 1:10 dilution of bleach will produce 0.5% sodium hypochlorite solution.
Tips for Optimising Laboratory Workflow
These suggestions will help maximize efficiency in the COBAS AMPLICOR
ANALYSER AUTOMATED PCR TEST laboratory.
- To minimize Analyser programming, use preprogrammed profiles and racks.
- Enter A-ring worklists as far in advance as possible.
- Use barcode scanner for easy entry of A-ring ID, specimen ID, reagent rack ID, cassette
ID, QS and control values.
- To automate creation of A-ring orders and results collection, consider connecting the
AMPILINK Software to the COBAS AMPLICOR Analyser.
- Aliquot Master Mix into A-rings and store refrigerated in resealable plastic bags for
the time specified in the Method Manual for the COBAS AMPLICOR Analyser.
- Prepare specimens for the first run of the day during the prior afternoon or evening.
Samples for additional runs should be prepared while the COBAS AMPLICOR
Analyser is in the amplification process.
- Prepare working wash buffer in bulk and store in a container for use within two weeks
(store at room temperature).
- Add working wash buffer to the wash buffer reservoir and empty the waste container at
the end of the day.
- Use the basic run mode for overnight runs, especially for tests with longer
amplification times.
- Identify specific laboratory needs and constraints and use the tips above to improve
workflow.
Laboratory Needs
- Test mix.
- Total number of tests to be run.
- Frequency of testing.
- Results reporting method.
- Labor availability.
- Routine clinical vs. Research laboratory.
Laboratory Considerations
- Hours of operation.
- Systems available.
- First sample availability.
- Frequency of results reporting.
- Workflow restrictions.
- Laboratory organization.
- Labor availability.
- Laboratory space/layout.