QIAsymphony SP Protocol Sheet

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QIAsymphony SP Protocol Sheet Complex200_V6_DSP protocol General information For in vitro diagnostic use. Kit Sample material Protocol name Default Assay Control Set QIAsymphony DSP Virus/Pathogen Mini Kit Respiratory and urogenital samples Complex200_V6_DSP ACS_Complex200_V6_DSP_default_IC Editable Eluate volume: 60 µl, 85 µl, 110 µl Required software version Version 4.0 Sample drawer Sample type Sample volume Primary sample tubes Secondary sample tubes Inserts Other Respiratory samples (BAL, dried swabs, transport media, aspirates, sputum) and urogenital samples (urine, transport media) Depends on type of sample tube used; for more information see www.qiagen.com/goto/dsphandbooks See www.qiagen.com/goto/dsphandbooks for more information See www.qiagen.com/goto/dsphandbooks for more information Depends on type of sample tube used; for more information see www.qiagen.com/goto/dsphandbooks Carrier RNA Buffer AVE mix required; use of internal control is optional March 2012 Sample & Assay Technologies

Reagents and Consumables drawer Position A1 and/or A2 Position B1 Reagent cartridge (RC) Buffer ATL (ATL) Tip rack holder 1 17 Disposable filter-tips, 200 µl Tip rack holder 1 17 Disposable filter-tips, 1500 µl Unit box holder 1 4 Unit box holder 1 4 Unit boxes containing sample prep cartridges Unit boxes containing 8-Rod Covers Waste drawer Unit box holder 1 4 Waste bag holder Liquid waste bottle holder Empty unit boxes Waste bag Liquid waste bottle Eluate drawer Elution rack (we recommend using slot 1, cooling position) See www.qiagen.com/goto/dsphandbooks for more information QIAsymphony SP Protocol Sheet: Complex200_V6_DSP page 2 of 8

Required plasticware Three One batch, Two batches, batches, Four batches, 24 samples* 48 samples* 72 samples* 96 samples* Disposable filter-tips, 200 µl Disposable filter-tips, 1500 µl Sample prep cartridges 34 60 86 112 123 205 295 385 18 36 54 72 8-Rod Covers 3 6 9 12 * Use of more than one internal control per batch and performing more than one inventory scan requires additional disposable filter-tips. Use of less than 24 samples per batch decreases the number of disposable tips required per run. There are 32 filter-tips/tip rack. Number of required filter-tips includes filter-tips for 1 inventory scan per reagent cartridge. There are 28 sample prep cartridges/unit box. There are twelve 8-Rod Covers/unit box. Note: Numbers of filter-tips given may differ from the numbers displayed in the touchscreen depending on settings, for example, number of internal controls used per batch. Selected elution volume Selected elution volume (µl)* Initial elution volume (µl) 60 90 85 115 110 140 * The elution volume selected in the touchscreen. This is the minimum accessible volume of eluate in the final elution tube. The initial volume of elution solution required to ensure that the actual volume of eluate is the same as the selected volume. QIAsymphony SP Protocol Sheet: Complex200_V6_DSP page 3 of 8

Preparation of internal control carrier RNA (CARRIER) Buffer AVE (AVE) mixture Volume stock Volume Volume Selected elution carrier RNA internal Buffer AVE Final volume volume (µl) (CARRIER) (µl) control (µl)* (AVE) (µl) per sample (µl) 60 3 9 108 120 85 3 11.5 105.5 120 110 3 14 103 120 * The calculation of the amount of internal control is based on the initial elution volumes. Additional void volume depends on the type of sample tube used; see www.qiagen.com/goto/dsphandbooks for more information. Note: The values displayed in the table are for preparation of internal control carrier RNA (CARRIER) mixture for a downstream assay that requires 0.1 µl internal control/µl eluate. Tubes containing internal control carrier RNA (CARRIER) Buffer AVE (AVE) mixture are placed in a tube carrier. The tube carrier containing the internal control carrier RNA (CARRIER) Buffer AVE (AVE) mixture(s) must be placed in slot A of the sample drawer. Depending on the number of samples to be processed, we recommend using 2 ml tubes (Sarstedt, cat. no. 72.693 or 72.694) or 14 ml 17 x 100 mm polystyrene, round-bottom tubes (Becton Dickinson, cat. no. 352051) for diluting the internal control, as described in the table on page 5. The volume can be split into 2 or more tubes. QIAsymphony SP Protocol Sheet: Complex200_V6_DSP page 4 of 8

Calculating the volume of internal control mixture Tube type Microtube 2 ml with cap; microtube 2 ml, PP, SKIRTED, (Sarstedt, cat. no. 72.694) Microtube 2 ml with cap; microtube 2 ml, PP, NON- SKIRTED, (Sarstedt, cat. no. 72.693) Tube 14 ml, 17 x 100 mm polystyrene round-bottom (Becton Dickinson, cat. no. 352051) Name on QIAsymphony touchscreen SAR#72.694 T2.0 ScrewSkirt SAR#72.693 T2.0 Screw BD#352051 FalconPP 17x100 Calculation of internal control carrier RNA (CARRIER) Buffer AVE (AVE) mixture volume per tube (n x 120 µl) + 360 µl* (n x 120 µl) + 360 µl* (n x 120 µl) + 600 µl * Use this equation to calculate the required volume of internal control mixture (n = number of samples; 120 l = volume of internal control carrier RNA (CARRIER) Buffer AVE (AVE) mixture; 360 l = void volume required per tube). For example, for 12 samples (n = 12): (12 x 120 l) + 360 l = 1800 l. Do not fill the tube with more than 1.9 ml (i.e., a maximum of 12 samples per tube). If more than 12 samples will be processed, use additional tubes, ensuring that the void volume is added per tube. Use this equation to calculate the required volume of internal control carrier RNA (CARRIER) Buffer AVE (AVE) mixture (n = number of samples; 120 l = volume of internal control carrier RNA (CARRIER) Buffer AVE (AVE) mixture; 600 l = void volume required per tube). For example, for 96 samples (n = 96): (96 x 120 l) + 600 l = 12120 l. See www.qiagen.com/goto/dsphandbooks for required inserts. Using FIX labware Using liquid-level detection (LLD) for sample transfer allows the use of primary and secondary tubes. However, this requires certain dead volumes in the respective tubes. In order to minimize dead volumes, secondary tubes should be used without liquid-level detection. Specific FIX labware is available (e.g., SAR_FIX_#72.694 T2.0 ScrewSkirt) which can also be selected on the touchscreen of the QIAsymphony SP. This tube/rack type imposes aspiration restrictions. The sample is aspirated at a particular height in the tube that is defined by the volume of sample to be transferred. Therefore, it is essential to make sure that the volume listed in the labware list is used. Labware lists are available for download at www.qiagen.com/goto/dsphandbooks. QIAsymphony SP Protocol Sheet: Complex200_V6_DSP page 5 of 8

Sample tubes that can be used with or without liquid-level detection and required sample volumes are also listed at www.qiagen.com/goto/dsphandbooks. Do not use volumes greater or lower than the required volume since this may lead to errors during sample preparation. Tubes for liquid-level detection and tubes that are not for liquid-level detection can be processed within one batch/run. Preparation of sample material When working with chemicals, always wear a suitable lab coat, disposable gloves, and protective goggles. For more information, consult the appropriate material safety data sheets (MSDSs), available from the product supplier. Urine Urine can be processed without further pretreatment. Transfer the sample to a 2 ml Sarstedt tube (cat. no. 72.693 or 72.694) and place the sample into the tube carrier. Alternatively primary tubes can be used. The required minimum starting volume may vary, depending on the primary tube used. Compatible primary and secondary tube formats, including minimum starting volume required for each protocol, are listed at www.qiagen.com/goto/dsphandbooks. The system is optimized for pure urine samples that do not contain preservatives. To increase sensitivity for bacterial pathogens, samples can be centrifuged. After discarding the supernatant the pellet can be resuspended in at least 300 µl Buffer ATL (ATL) (cat. no. 939016). Transfer 220 µl of the sample to a 2 ml Sarstedt tube (cat. no. 72.693 or 72.694). Place the sample into the tube carrier and process the sample using the Complex200_V6_DSP protocol and the required FIX labware. Isolation of genomic DNA from Gram-positive bacteria DNA purification can be improved for some Gram-positive bacteria by enzymatic pretreatment before transferring the sample to the QIAsymphony SP and starting the Complex200_V6_DSP protocol. 1. Pellet bacteria by centrifugation at 5000 x g for 10 minutes. 2. Suspend the bacterial pellet in 300 µl of the appropriate enzyme solution (20 mg/ml lysozyme or 200 µg/ml lysostaphin in 20 mm Tris HCl, ph 8.0; 2 mm EDTA; 1.2% Triton X-100). 3. Incubate at 37 C for at least 30 minutes (± 2 minutes). 4. Briefly centrifuge the tube to remove drops from the inside of the lid. 5. Transfer the sample to a 2 ml Sarstedt tube (cat. no. 72.693 or 72.694), place the sample in the tube carrier, and continue with the Complex200_V6_DSP protocol using the required FIX labware. QIAsymphony SP Protocol Sheet: Complex200_V6_DSP page 6 of 8

Viscous or mucous samples Some samples (e.g., sputum, respiratory aspirates) may be viscous and require liquefaction to enable pipetting. Low-viscosity samples do not require additional preparation. Medium- to highviscosity samples should be prepared as follows: 1. Dilute the sample 1:1 with Sputasol* (Oxoid, cat. no. SR0233) or 0.3% (w/v) DTT. Note: The 0.3% (w/v) DTT solution can be made in advance and stored in aliquots at 20 C. Discard thawed aliquots after use. 2. Incubate at 37 C until the sample viscosity is suitable for pipetting. 3. Transfer at least 300 µl of the sample to a 2 ml Sarstedt tube (cat. no. 72.693 or 72.694). Process the sample using the Complex200_V6_DSP protocol. Dried body fluid and secretion swabs 1. Submerge the dried swab tip in 550 µl Buffer ATL (ATL) (cat. no. 939016), and incubate at 56 C for 15 minutes (± 1 minute), with continuous mixing. If mixing is not possible, vortex before and after incubation for at least 10 seconds. 2. Remove the swab and squeeze out all the liquid by pressing the swab against the inside of the tube. 3. Transfer at least 300 µl of the sample to a 2 ml Sarstedt tube (cat. no. 72.693 or 72.694). Process the sample with the Complex200_V6_DSP protocol. Note: This protocol is optimized for cotton or polyethylene swabs. When using other swabs, it may be necessary to adjust the volume of Buffer ATL (ATL) to ensure that at least 300 µl is available as sample material. * Sputasol (Oxoid, cat. no. SR0233, www.oxoid.com) or dithiothreitol (DTT). This is not a complete list of suppliers. QIAsymphony SP Protocol Sheet: Complex200_V6_DSP page 7 of 8

Respiratory or urogenital swabs Storage media for respiratory or urogenital swabs can be used without pretreatment. If the swab has not been removed, press the swab against the side of the tube to squeeze out the liquid. Any excess mucus in the specimen should be removed at this time by collecting it on the swab. Any residual liquid from the mucus and the swab should then be squeezed out by pressing the swab against the side of the tube. Finally, the swab and the mucus should be removed and discarded. If samples are viscous, perform a liquefaction step (see Viscous or mucous samples above) before transferring the sample to the QIAsymphony SP. If there is not sufficient starting material, pipet Buffer ATL (ATL) into the transport medium to adjust the required minimum starting volume and vortex the sample for 15 30 seconds in the tube (if the transport medium contains the swab perform this step before removing the swab). Transfer the sample to a 2 ml Sarstedt tube (cat. no. 72.693 or 72.694) and place the sample in the tube carrier. Alternatively, primary tubes can be used. The required minimum starting volume may vary, depending on the primary tube used. Compatible primary and secondary tubes, including minimum starting volume required for each protocol, are listed at www.qiagen.com/goto/dsphandbooks. For up-to-date licensing information and product-specific disclaimers, see the respective QIAGEN kit handbook or user manual. QIAGEN handbooks can be requested from QIAGEN Technical Service or your local QIAGEN distributor. Selected handbooks can be downloaded from www.qiagen.com/literature. Material safety data sheets (MSDS) for any QIAGEN product can be downloaded from www.qiagen.com/support/msds.aspx. Trademarks: QIAGEN, QIAsymphony (QIAGEN Group). Registered names, trademarks, etc. used in this document, even when not specifically marked as such, are not to be considered unprotected by law. 2012 QIAGEN, all rights reserved. www.qiagen.com France 01-60-920-930 The Netherlands 0800 0229592 Australia 1-800-243-800 Austria 0800/281010 Belgium 0800-79612 Canada 800-572-9613 China 021-51345678 Denmark 80-885945 Finland 0800-914416 Germany 02103-29-12000 Hong Kong 800 933 965 Ireland 1800 555 049 Italy 800 787980 Japan 03-5547-0811 Korea (South) 1544 7145 Luxembourg 8002 2076 Norway 800-18859 Singapore 65-67775366 Spain 91-630-7050 Sweden 020-790282 Switzerland 055-254-22-11 UK 01293-422-911 USA 800-426-8157 Sample & Assay Technologies