Thermo Fisher TaqPath Instructions Manual

TaqPath™ COVID19 HT Kit
INSTRUCTIONS FOR USE
Multiplex realtime RTPCR test intended for the qualitative detection of nucleic acid from SARSCoV2 in highthroughput
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Publication Number MAN0024711
Revision A.0
For In Vitro Diagnostic Use.
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The information in this guide is subject to change without notice.
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Revision history: Pub. No. MAN0024711
Revision Date Description
A.0 29 January 2021 New TaqPath™ COVID19 HT Kit Instructions for Use.
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Contents

CHAPTER 1 TaqPath™ COVID19 HT Kit product information .................. 5
Intended Use ................................................................... 5
Product description ............................................................. 5
Contents and storage ............................................................ 6
Required materials not supplied ................................................... 7
Assay limitations ................................................................ 7
Inuse reagent stability ........................................................... 8
CHAPTER 2 Before you begin ..................................................... 9
Warnings and precautions ........................................................ 9
Sample collection, transport, and storage .......................................... 9
Nucleic acid isolation guidelines ................................................. 10
CHAPTER 3 Perform an Amplitude™ Platform Module 1 run .................. 11
Module 1 overview ............................................................. 11
Module 1 required samples, reagents, and consumables ........................... 11
Procedural guidelines ........................................................... 12
Guidelines for controls ..................................................... 12
Guidelines for sample tubes ................................................. 13
Guidelines for sample inactivation ........................................... 13
Before you begin—Module 1 .................................................... 14
Thaw TaqPath™ COVID19 HT MS2 Phage Control ................................. 14
Load the Tecan™ Fluent™ 1080 Automation Workstation deck ........................ 14
CHAPTER 4 Perform an Amplitude™ Platform Module 2 run .................. 17
Module 2 overview ............................................................. 17
Module 2 required sample input, reagents, and consumables ....................... 17
Before you begin—Module 2 .................................................... 19
Thaw Module 2 reagents ........................................................ 19
Load reagents and consumables on the Tecan™ Fluent™ 780 Automation
Workstation deck ............................................................ 19
TaqPath
COVID19 HT Kit Instructions for Use
3
Contents
CHAPTER 5 Review results (automated workflow) ............................. 21
Automated results process ...................................................... 21
Interpretation of the results ...................................................... 21
APPENDIX A Performance characteristics for Amplitude
HighThroughput COVID-19 Testing Solution ................................... 23
Limit of detection bridging study ................................................. 23
Crosscontamination study ...................................................... 24
Reactivity (Inclusivity) ........................................................... 25
Amplitude™ HighThroughput COVID-19 Testing Solution comparator studies ......... 25
APPENDIX B Amplitude™ Platform system components ...................... 29
Safety ................................................................................. 31
Chemical safety ................................................................ 31
Biological hazard safety ......................................................... 32
APPENDIX C Documentation and support ...................................... 33
Customer and technical support ................................................. 33
Limited product warranty ........................................................ 33
4
TaqPath™ COVID19 HT Kit Instructions for Use
TaqPath™ COVID19 HT Kit product
1

Intended Use

information
Applied Biosystems™ TaqPath™ COVID19 HT Kit is the highthroughput format of the TaqPath COVID19 CEIVD RTPCR Kit. The kit is intended for use with the MagMAX™ Viral/Pathogen II Nucleic Acid Isolation Kit, HighThroughput and is compatible with the Amplitude™ Platform. The kit contains the reagents and controls for a realtime reverse transcription polymerase chain reaction (RTPCR) test intended for the qualitative detection of nucleic acid from SARSCoV2 in upper respiratory specimens (nasopharyngeal and nasal) from individuals suspected of COVID-19.
Results are for the identification of SARS-CoV-2 RNA. The SARS-CoV-2 RNA is generally detectable in upper respiratory specimens during the acute phase of infection. Results should not be used as the sole basis for diagnosis and patient management decisions. Clinical correlation with patient history and other diagnostic and epidemiological information should be used to evaluate the significance of the results in order to assist the clinician or epidemiologist to determine patient infection status and the appropriate treatment regime. Positive results do not rule out bacterial infection or coinfection with other viruses. The agent detected may not be the definite cause of disease. Laboratories may be required to report all positive results to the appropriate Competent Health Authorities. Negative results do not preclude SARSCoV2 infection.
Testing with the TaqPath™ COVID19 HT Kit is intended for use by qualified and trained clinical laboratory personnel specifically instructed and trained in the techniques of realtime PCR and in vitro diagnostic procedures. The TaqPath™ COVID19 HT Kit is intended for use in a qualified laboratory environment according to the sample type.

Product description

The TaqPath™ COVID19 HT Kit includes the following components:
TaqPath™ COVID19 Module 1 MS2 Phage Control—An internal process control for RNA extraction.
TaqPath™ COVID19 Module 2 Assay Kit—Multiplexed assays that contain three primer/probe sets specific to 3 dierent SARS-CoV-2 genomic regions (ORF1ab, N gene, and S gene) and primers/probes for bacteriophage MS2.
TaqPath™ COVID19 Module 2 IVT RNA Control—An RNA control that contains targets specific to the SARS-CoV-2 genomic regions targeted by the assays.
TaqPath™ COVID19 Module 2 Control Dilution Buer
TaqPath™ HT Module 2 1-Step Multiplex Master Mix (No ROX)
TaqPath™ HT Module 2 Empty 5mL Mixing Tubes
HT Water for Dilution
TaqPath™ COVID19 HT Kit Instructions for Use
5
Chapter 1 TaqPath™ COVID19 HT Kit product information
1

Contents and storage

The TaqPath™ COVID19 HT Kit is compatible with the Amplitude™ Platform. As part of the Amplitude HighThroughput COVID-19 Testing Solution, the Amplitude™ Platform is used with the following products to detect SARS-CoV-2 RNA in human upper respiratory specimens.
TaqPath™ COVID19 HT Kit (Cat. No. A50883)
MagMAX™ Viral/Pathogen II Nucleic Acid Isolation Kit, HighThroughput (Cat. No. A50884)
The results are automatically analyzed with the pre-installed COVID19 Interpretive Software Driver v1.1.0. For more information on the automated results process, see Chapter 5, “Review results (automated workflow)”.
Contents and storage
The TaqPath™ COVID-19 HT Kit contains sucient reagents for 20,000 reactions.
Table 1 TaqPath™ COVID-19 HT Kit (REF. A50883)
Amplitude
Platform
module
Module 1 and
Module 2
Component REF. Quantity Amount Storage
HT Water for Dilution R05846F1 3 3 × 20 mL 15°C to 25°C
[1]
TaqPath™ COVID19 Module 1 MS2 Phage Control (Cat. No. A50749)
Module 1
TaqPath™ COVID19 Module 2 Assay Kit (Cat. No. A50750)
Module 2
TaqPath™ COVID19 Module 2 IVT RNA Control (Cat. No. 966128)
Module 2
TaqPath™ COVID19 Module 2 Control Dilution Buer (Cat. No. A50751)
Module 2
TaqPath™ HT Module 2 1-Step Multiplex Master Mix (No ROX) (Cat. No. A50772)
Module 2
TaqPath™ COVID19 HT
MS2 Phage Control
TaqPath™ COVID19 HT
qPCR Assay
2mL mixing tubes
TaqPath™ COVID19 HT
IVT RNA Control
TaqPath™ HT Control
Dilution Buer
TaqPath™ 1-Step
Multiplex Master Mix (No
ROX)
[2]
100099158 3 6 × 10 mL
100099159 3 6 × 1,600 μL
4339337 3 6 tubes 15°C to 30°C
916128 3 3 × 25 µL ≤–70°C
100099160 3 3 × 750 µL
100032397F4 3 2 × 10 mL
–30°C to
–10°C
–30°C to
–10°C
–30°C to –
10°C
–30°C to –
10°C
6
TaqPath™ COVID19 HT Kit Instructions for Use
Chapter 1
Table 1 TaqPath COVID-19 HT Kit (REF. A50883) (continued)
Amplitude
Platform
module
TaqPath™ HT Module 2 Empty 5mL Mixing Tubes (Cat. No. A50893)
Module 2 5mL mixing tubes 3 25 tubes 15°C to 30°C
[1]
See label for expiration date.
[2]
Empty plastic tubes used for the serial dilution of the TaqPath™ COVID‑19 Module 2 IVT RNA Control in the TaqPath™ COVID‑19 Module 2 Control Dilution Buffer.
Component REF. Quantity Amount Storage

Required materials not supplied

Unless otherwise indicated, all materials are available through thermofisher.com. "MLS" indicates that the material is available from fisherscientific.com or another major laboratory supplier.
Item Source
TaqPath™ COVID19 HT Kit product information
Required materials not supplied
1
[1]
Amplitude™ Platform Module 1 and Module 2 equipment
MagMAX™ Viral/Pathogen II Nucleic Acid Isolation Kit, HighThroughput
80% Ethanol
Silicone oil
Amplitude™ HighThroughput Consumable Package 3 Plastics
[1]
See also “Module 1 required samples, reagents, and consumables” on page 11 and “Module 2 required sample input, reagents, and consumables” on page 17.

Assay limitations

The TaqPath™ COVID19 HT Kit performance was established using nasal and nasopharyngeal swab samples only. Specimen types other than nasal and nasopharyngeal swab should not be tested with this assay.
Samples must be collected, transported, and stored using appropriate procedures and conditions. Improper collection, transport, or storage of specimens may hinder the ability of the assay to detect the target sequences.
Chemical inactivation and other known clinically relevant interfering substances and techniques can lead to inappropriate primary samples and interfere with test results.
The Amplitude™ Platform workflow must be performed according to the specified methods described in the user guide for the system.
The quality of the biological samples is essential for the quality of the results generated with this kit.
See the user guide for the Amplitude
Platform (Pub. No. MAN0019842)
[1]
TaqPath™ COVID19 HT Kit Instructions for Use
7
Chapter 1 TaqPath™ COVID19 HT Kit product information
1

Inuse reagent stability

False-negative results may arise from:
Improper sample collection
Degradation of the SARS-CoV-2 RNA during shipping/storage
Specimen collection after SARS-CoV-2 RNA can no longer be found in the specimen matrix
Using unauthorized extraction or assay reagents
The presence of RT-PCR inhibitors
Mutation in the SARS-CoV-2 virus
Failure to follow instructions for use
False-positive results may arise from:
Cross contamination during specimen handling or preparation
Cross contamination between patient samples
Specimen mix-up
RNA contamination during product handling
The impacts of vaccines, antiviral therapeutics, antibiotics, chemotherapeutic or immunosuppressant drugs have not been evaluated. The TaqPath™ COVID19 HT Kit cannot rule out diseases caused by other bacterial or viral pathogens.
Negative results do not preclude infection with SARS-CoV-2 virus and should not be the sole basis of a patient management decision.
Laboratories are required to report all test results to the appropriate public health authorities.
Inuse reagent stability
Reagent
TaqPath™ COVID19 HT MS2 Phage Control
TaqPath™ COVID19 HT qPCR Assay
TaqPath™ COVID19 HT IVT RNA Control
TaqPath™ HT Control Dilution Buer
TaqPath™ 1-Step Multiplex Master Mix (No ROX)
Purified sample RNA
Stability information
Once thawed and placed in the Tecan™ Fluent™ 1080 Automation Workstation reagent carrier (15°C to 30°C), use within 24 hours or store capped at –30°C to –10°C.
Perform a maximum of 5 freeze-thaw cycles.
Once placed in the Tecan™ Fluent™ 780 Automation Workstation reagent carrier (9°C), the assay is stable for 24 hours.
Once placed in the Tecan™ Fluent™ 780 Automation Workstation reagent carrier (9°C), the control is stable for 48 hours.
Once placed in the Tecan™ Fluent™ 780 Automation Workstation reagent carrier (9°C), the dilution buer is stable for 24 hours.
Once placed in the Tecan™ Fluent™ 780 Automation Workstation reagent carrier (9°C), the master mix is stable for 48 hours.
Once extracted, purified sample RNA is stable at 4°C for 48 hours.
For long term storage, store according to the guidelines established by your laboratory.
8
TaqPath™ COVID19 HT Kit Instructions for Use
2

Warnings and precautions

The system and assay should only be used in a qualified laboratory environment according to the sample type by qualified and trained sta to avoid cross-contamination and the risk of erroneous results. For information about operator roles and requirements, see the user guide for your system.
Before using this product, read and understand the information provided in this guide and the user guide for your system.
Read and understand the Safety Data Sheets (SDSs) provided by the chemical manufacturer before you store, handle, or work with any chemicals or hazardous materials. To obtain SDSs, see the "Documentation and Support" section in this document.
Samples and controls should always be treated as if infectious and/or biohazardous in accordance with safe laboratory procedures.
Follow necessary precautions when handling specimens. Use personal protective equipment (PPE) consistent with current guidelines for the handling of potentially infectious samples.
Always use pipette tips with aerosol barriers. Tips that are used must be sterile and free from DNases and RNases.
Do not eat, drink, smoke, or apply cosmetic products in the work areas.
Modifications to assay reagents, assay protocol, or instrumentation are not permitted.
Reagents must be stored and handled as specified in “Contents and storage” on page 6.
Do not use system consumables or reagents after the indicated expiry date.
Dispose of waste in compliance with local regulations.
Before you begin

Sample collection, transport, and storage

CAUTION! Handle all samples and controls as if they are capable of transmitting infectious agents.
Patient samples must be collected according to appropriate laboratory guidelines. The Amplitude Platform can be used with patient samples collected via nasopharyngeal or nasal swab.
Store samples at 2–8°C for up to 72 hours after collection. If a delay in testing is expected, store samples at ≤-70°C.
TaqPath™ COVID19 HT Kit Instructions for Use
9
Chapter 2 Before you begin
2

Nucleic acid isolation guidelines

Nucleic acid isolation guidelines
For information on isolation and purification of viral nucleic acid from human respiratory specimens, see the MagMAX™ Viral/Pathogen II Nucleic Acid Isolation Kit, HighThroughput Instructions for Use (Pub. No. MAN0019941).
10
TaqPath™ COVID19 HT Kit Instructions for Use
Perform an Amplitude™ Platform
3

Module 1 overview

Module 1 run
Module 1 operation is controlled by the Tecan™ FluentControl™ Software, via the Tecan™ Fluent™ 1080 Automation Workstation touchscreen. For more information, see the user guide for the Amplitude Platform (Pub. No. MAN0019842).
During Module 1 operation:
Technicians load prepared sample tube runners, reagents, and consumables on the Tecan Fluent™ 1080 Automation Workstation deck and start runs.
The instrument prepares 4 sample extraction plates containing the following components:
200 µL of sample from the sample tubes
MagMAX™ MVPII HT Proteinase K
TaqPath™ COVID19 HT MS2 Phage Control
Binding Bead Mix
Silicone oil
The Tecan™ Fluent™ 1080 Automation Workstation scans the barcodes on sample tubes and sample extraction plates, then registers the information with the SampleManager LIMS™ Software for sample tracking.

Module 1 required samples, reagents, and consumables

For a complete list of required samples, reagents, and consumables, see the user guide for the Amplitude™ Platform (Pub. No. MAN0019842).
Required samples, reagents, and consumables
Sample input
Barcoded sample tubes in sample carrier racks 376 samples per run
Tips and Plates
KingFisher™ DeepWell 96 Plate with Barcode (sample extraction plates) 4 plates per run
1,000 µL Flexible Channel Arm™ (FCA) Disposable Tips Rack 15 racks per 3 runs
200 µL Flexible Channel Arm™ (FCA) Disposable Tips Rack 3 racks per 6 runs
TaqPath™ COVID19 HT Kit Instructions for Use
Usage
(Reload frequency)
11
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