Generic Stuff Flashcards

1
Q

What is an ImmunoAssay?

A

An immunoassay (IA) is a biochemical test that measures the presence or concentration of a macromolecule or a small molecule in a solution through the use of an antibody (usually) or an antigen (sometimes). The molecule detected by the immunoassay is often referred to as an “analyte” and is in many cases a protein, although it may be other kinds of molecules, of different sizes and types, as long as the proper antibodies that have the required properties for the assay are developed. Analytes in biological liquids such as serum or urine are frequently measured using immunoassays for medical and research purposes

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2
Q

What are the different ImmunoAssay formats

A

Immunoassays come in many different formats and variations. Immunoassays may be run in multiple steps with reagents being added and washed away or separated at different points in the assay. Multi-step assays are often called separation immunoassays or heterogeneous immunoassays. Some immunoassays can be carried out simply by mixing the reagents and sample and making a physical measurement. Such assays are called homogeneous immunoassays, or less frequently non-separation immunoassays.

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3
Q

Why is a calibrator used in Immunoassays?

A

The use of a calibrator is often employed in immunoassays. Calibrators are solutions that are known to contain the analyte in question, and the concentration of that analyte is generally known. Comparison of an assay’s response to a real sample against the assay’s response produced by the calibrators makes it possible to interpret the signal strength in terms of the presence or concentration of analyte in the sample.

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4
Q

What is the principle behind an immunoassay test

A

Immunoassays rely on the ability of an antibody to recognize and bind a specific macromolecule in what might be a complex mixture of macromolecules. In immunology the particular macromolecule bound by an antibody is referred to as an antigen and the area on an antigen to which the antibody binds is called an epitope.

In some cases, an immunoassay may use an antigen to detect for the presence of antibodies, which recognize that antigen, in a solution. In other words, in some immunoassays, the analyte may be an antibody rather than an antigen.

**In addition to the binding of an antibody to its antigen, the other key feature of all immunoassays is a means to produce a measurable signal in response to the binding. Most, though not all, immunoassays involve chemically linking antibodies or antigens with some kind of detectable label. A large number of labels exist in modern immunoassays, and they allow for detection through different means. Many labels are detectable because they either emit radiation, produce a color change in a solution, fluoresce under light, or can be induced to emit light. **

Immunoassays employ a variety of different labels to allow for detection of antibodies and antigens. Labels are typically chemically linked or conjugated to the desired antibody or antigen.

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5
Q

What is a biobank

A

A biobank is a type of biorepository that stores biological samples (usually human) for use in research. Biobanks have become an important resource in medical research, supporting many types of contemporary research like genomics and personalized medicine.

Biobanks can give researchers access to data representing a large number of people. Samples in biobanks and the data derived from those samples can often be used by multiple researchers for cross purpose research studies. For example, many diseases are associated with single-nucleotide polymorphisms. Genome-wide association studies using data from tens or hundreds of thousands of individuals can identify these genetic associations as potential disease biomarkers. Many researchers struggled to acquire sufficient samples prior to the advent of biobanks.

Biobanks have provoked questions on privacy, research ethics, and medical ethics. Viewpoints on what constitutes appropriate biobank ethics diverge. However, a consensus has been reached that operating biobanks without establishing carefully considered governing principles and policies could be detrimental to communities that participate in biobank programs.

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6
Q

What are good documentation practices

A

GDP is the process that is used to demonstrate conformity to the quality system by ensuring records are legible, accurate, identifiable, traceable, valid and permanent.

  • Use only current, approved and effective revisions of documents for performing work or recording information
  • All handwritten entries, notes, or signatures are to be made with permanent black or blue ball point pen (Post-Its, White-outs or Pencils are not allowed as part of a quality system record
  • All Blank spaces (including required but not completed sections of records and logbooks, unused entries spaces, or blank pages) are to be lined out as “N/A” (non-applicable), initialed and dated.
  • Back-dating or forward-dating records, entries, data or signature is not acceptable.
  • In the event that a date can be read as MM/DD or DD/MM, the month should be spelt out. The preferred dating format for bioMerieux is DDMonYY
  • To make a correction, place a single straight line through the error, write the correct information, sign/initial and date the correction. The original record or entry must be legible through the cross-out. When a cross-out is made, if the reason for the cross-out is not clear (such as a minor typographical error), include the reason for the cross-out.
  • Multiple corrections on a single page or within a single record by one person may be designated to a single signature and date. An asterisk or similar notation (for example, number with a circle) may also be used when space is not available for explanations or comments on a document.
  • When review, verify, or approval signatures are required by a procedure, signatures of approvers shall be accompanied by their functional area, title, or role (whichever is applicable to demonstrate conformity to the procedure). Additionally, it is each employees responsibility to ensure they are trained to a process BEFORE they provide review, verification, or approval signatures. Employees can verify their training by contacting Quality Assurance. If you are asked to approve or verify a record for which you are not trained, please ask your manager to update your training plan.
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7
Q

What contries allow DTC drug advertisements

A

Only two countries allow Direct-To-Consumer drug advertisements (New Zealand and United States).

Some new drugs sell themselves with impressive safety and efficacy data. For others, well, there are television commercials.

According to a new study, a little over 70 percent of prescription drugs advertised on television were rated as having “low therapeutic value,” meaning they offer little benefit compared with drugs already on the market. The study, appearing in JAMA Open Network, aligns with longstanding skepticism that heavily promoted drugs have high therapeutic value.

“One explanation might be that drugs with substantial therapeutic value are likely to be recognized and prescribed without advertising, so manufacturers have greater incentive to promote drugs of lesser value,” said the authors, which include researchers at Harvard, Yale, and Dartmouth.

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8
Q

What are the main functions of ‘R&D’ and ‘Site Operations’

A

R&D: Objectives include but not limited to, achieving FDA approval of products, supporting the existing range and developing next generation solutions.

Site Operations: Objectives include but not limited to, manufacturing, supporting the growing demand through manufacturing scalability and securing supply.

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9
Q

What is FDA 501(k)

A

One of the three approval processes in United States for Medical devices. The other two are ‘Self Registration’ and ‘PreMarket Approval’

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10
Q

Define Medical Device per USA FDA

A

Medical devices are defined by the US Food and Drug Administration (FDA) as any object or component used in diagnosis, treatment, prevention, or cure of medical conditions or diseases, or affects body structure or function through means other than chemical or metabolic reaction in humans or animals.[2] This includes all medical tools, excluding drugs, ranging from tongue depressors to Computerized Axial Tomography (CAT) scanners to radiology treatments. Because of the wide variety of equipment classified as medical devices, the FDA has no single standard to which a specific device must be manufactured; instead they have created an encompassing guide that all manufacturers must follow. Manufacturers are required to develop comprehensive procedures within the FDA framework in order to produce a specific device to approved safety standards.

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11
Q

What is CCR Title 8 Section 5193

A

California Code of Regulations Title 8 Section 5193: This legislation exists to minimize the occurence of human disease caused by uncontrolled occupational exposure to blood or other potentially infectious materials (OPICMs).

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12
Q

What is the likelihood of transmission for Hepatitis B, Hepatitis C and HIV

A

Hepatitis B: 1 in 3

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13
Q

Which out of Hepatitis B/Hepatitis C has no vaccine and no post-exposure treatment

A

Hepatitis C does not have a vaccine. It causes liver disease.

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14
Q

What to do when a fire breaks out
(from Injury and Illness Prevention Program)

A

1) Yell ‘Fire’
2) If the fire is small, use a fire extinguisher to put out the fire, but MAKE SURE that your back is to an EXIT
3) If the fire is too big or becomes out of control - immediately exit the program and close the door behind, evacuate building and sound the fire alarm on your way out

Note: use the PASS system to fight fires with fire extinguisher:
- pull the pin
- aim low
- squeeze the level above the handle
- sweep from side to side

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15
Q

What do the difference colors in the NFPA diamonds signify ( as well as the nummbers 0 to 4)
Hazard Communiication Program Posting: NFPA Diamonds

A

Red: Flammability
Yelllow: Reactivity
Blue: Health
White: Special

0 = No Hazard
1 = Slight Hazard
2 = Minor Hazard
3 = Major Hazard
4 = Severe Hazard

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16
Q

What are Safety Data Sheets (SDS)

A

Globally Harmonized System of Chemical Classification and Container Labeliing of Chemicals (GHS) is in affect

17
Q

What is a benchtop/tabletop chemical analyzer

A

Bench top clinical chemistry analyzers are machines that run tests to determine the presence or absence of a specified substance in a given sample. These clinical chemistry analyzers are used in low to medium volume laboratories to run medical tests, do quality control testing on household chemicals, such as detergent, analyze food and beverages, and run environmental tests on water. A bench top clinical chemistry analyzer is capable of running a variety of general tests or specialized to just run one or two analyses. There are several different kinds of analysis available in a bench top clinical chemistry analyzer, including random access analysis, batch analysis, and photometric analysis. Important things to look for in a bench top clinical chemistry analyzer include sample size requirement, available tests and reagents, and the analysis speed.

18
Q

What is Astute140 Meter

A

The Astute140® Meter is a bench-top/tabletop analyzer that converts the fluorescent signal from each of the two biomarker assays, TIMP-2 and IGFBP-7, contained within the Test Cartridge into a single numerical result.

19
Q

What is the difference between ‘Research & Development’ and ‘Product Development’

A

The difference between research and development and product development is that research and development is the conception phase in the product life cycle, while product development is the entire process of designing, creating, and marketing new products or existing products with new features.

research & dev = conception phase
product dev = designing, implementing and marketing phase

20
Q

What is MDD (in assays)

A

MDD, the minimum detectable dose of a target, is an estimate of the level that target should have in order to be significantly detected in a given sample. The calculation used depends on the assay target (protein or microRNA).

21
Q

Medical Devices vs Pharmaceuticals

A

While the medical technology and pharmaceutical industries are both essential to health, it is important to acknowledge that the two are extremely different. Medical devices work only if they are used correctly. Their effectiveness relies on the skills and experience of the physician using them, the quality of the hospital, and many other factors. Pharmaceuticals are chemical in nature and are designed to actively interact with the body’s metabolic or immune system. Pharmaceuticals either work or they do not. Effectiveness is relatively straightforward to prove.

Devices are by-and-large mechanical in nature and have an inert effect on the human body. Pharmaceuticals are chemical in nature and are designed to actively interact with the body’s metabolic or immune system. Therefore the risks to the body from pharmaceuticals are of a different order and magnitude than the risks to the body from medical devices.

22
Q

Described about the NephroCheck Test System

A

Overview

The NEPHROCHECK Test System is a single-use cartridge designed to detect biomarkers of acute kidney injury, TIMP-2 and IGFBP-7. The test provides results in 20 minutes.

The test procedure involves the operator applying a fresh or thawed clinical urine sample (mixed with labeled fluorescent conjugate) to the NEPHROCHECK Test Cartridge, then inserting the test cartridge into the Astute140® Meter for incubation, reading, result calculation and result display.

Each NEPHROCHECK Test Cartridge contains RFID cards to ensure kit expiration date and lot-specific information is downloaded. Each cartridge also includes two detection zones (one positive and one negative control) as procedural controls that are run automatically with every sample that confirm that the NEPHROCHECK Test procedure is performed correctly.

NephroCheck Liquid Controls Kit

The NEPHROCHECK Liquid Controls are two levels of external controls used for the quality control monitoring of the NEPHROCHECK Test System. Good laboratory practice suggests that the NEPHROCHECK Liquid Controls be tested:

Every 30 days
With each new lot number of NEPHROCHECK Test Kits
With each new shipment of NEPHROCHECK Test Kits
After Astute140® Meter maintenance or servicing
In accordance with local, state, and/or federal regulations or accreditation requirements

The NEPHROCHECK® Calibration Verification (Cal Vers) Kit

The NEPHROCHECK Calibration Verification (Cal Vers) Materials are five levels of calibration and verification materials used to verify calibration of the NEPHROCHECK Test System. Good laboratory practice suggests that the NEPHROCHECK Calibration Verification Kit be tested:

At least once every six months
After Astute140 Meter maintenance or servicing
In accordance with local, state, and/or federal regulations or accreditation requirements

The Astute140® Electronic Quality Control (EQC) Device

The EQC procedure verifies the calibration of the Astute140 Meter to confirm that the meter is functioning properly, including the following Meter systems: positioning system, optic system and other internal systems.

Astute140 EQC Device components:

Astute140® Electronic Quality Control Device
Astute140® Electronic Quality Control RFID Card

It is recommended that the Astute140® EQC procedure be run daily, in accordance with your local, state, and/or federal regulations or accreditation requirements and standard quality control procedures.

The Astute140 Meter Kit

The Astute140 Meter is a bench-top/tabletop analyzer that converts the fluorescent signal from each of the two biomarker assays, TIMP-2 and IGFBP-7, contained within the Test Cartridge into a single numerical result.

The NEPHROCHECK Test results are available on the Astute140 Meter in approximately 20 minutes.

The Astute140 Meter Kit has multiple quality checks:

Calibrated at factory Internal system checked with each start-up
External quality control procedure checks calibration
Internal sensor ensures proper temperature operating range

More Info Here:
https://www.biomerieux-usa.com/nephrocheck

23
Q

j

A