HeMoStep Kit:

The first tool to successfully detect and quantify blood contamination in cerebrospinal fluid

High sensitivity, accuracy, and reliability in just 55 minutes.

Welcome to the future of CSF testing! We are thrilled to introduce our groundbreaking method that will revolutionize how you DETECT and QUANTIFY blood contamination in cerebrospinal fluid samples.

With relative frequency, lumbar puncture procedure is complicated by the contamination of CSF with blood cells as result of needle trauma, also known as traumatic tap.

No more confusing diagnoses and analysis complications due to the presence of blood in Cerebrospinal Fluid samples thanks to the HemoStep Kit.

In addition, FlowStep software, developed for use with the kit, has proven to be an automated, efficient and accurate tool for the quantification of blood contamination in cerebrospinal fluid (CSF).

Quantifying blood contamination in CSF by Flow Cytometry

Current methods for the determination of contamination in CSF consist of applying corrective formulas based on the assumption that the ratio of WBCs to RBCs in CSF will be identical to that in blood.

This determination is only correct if neither WBC nor red blood cells are lysed in the CSF during the time between collection of the liquid and the cell count, which is very unusual.

New high-performance method for evaluation of CSF contamination by Flow Cytometry

Quantitative assay measuring blood contamination in CSF

Data Analysis to extract and interpret assay results

Advantages

Our method delivers results with exceptional sensitivity, ensuring you can detect even the slightest traces of blood contamination with precision.

Experience high specificity without known interferents, providing you with confidence in your CSF testing.

HeMoStep seamlessly works with stabilized samples, enhancing the flexibility of your workflow.

Say goodbye to cytotoxic effects and cell losses. Our solution is designed to safeguard your samples.

Streamline your testing process with a protocol that takes just 55 minutes, saving you valuable time without compromising accuracy.

Count on reliable and reproducible results every time you use our method, ensuring consistent outcomes for your research or clinical applications.

Principle of Method

The new method is based on a sandwich bead-based assay that enable the Hb quantification and correlated with the degree of contamination in RBC/µl.

Improved method by flow cytometry

The developed method allows the determination CSF peripheral blood contamination in a <1h protocol circumventing the problems arising from CSF cytotoxicity and minimizes sample usage, which is particularly important in paucicellular samples, by using as sample the supernatant of RBC lysis that is usually discarded.

Quantification of  visibly undetectable contaminations

Expected values of contamination in [RBC/µ] (n=115).

High analytical sensitivity – LoD: [3,15 ng/ml]

The analytical sensitivity of the kit allows it to detect contaminations lower that 1 RBC/µ.

Correct classification between traumatic and non-traumatic LP samples with great accuracy

Expected values of contamination in [Hb ng/ml] in traumatic lumbar puncture (n=34).

Neutrophil absolute counting method detected contamination in 70% of the samples identified as traumatic punctures, while the new method detected peripheral blood contamination in 100% of these samples.

Agreement between methods

High positive linear correlation (r=0.9) with respect to other methods, like granulocyte or RBC count (n=115).

Compatible with stabilized samples

Comparative between same sample stabilized with Transfix (1:20) and without stabilization (fresh).

Comparison of the estimated number of pathological cells by phenotype vs Hb kit in a group (n=13) of infiltrated samples

Samples in which the pathological cells identified could derive from contamintaion, resulting in a false positive for infiltration.

What this kit includes?

Capture Beads

5ml of Capture Beads coated with an Hb-specific monoclonal antibody.

Wash Buffer

25ml wash buffer (10X).

Control +

Positive control. 5 vials of lyophilised RBCs lysate.

Calibration Beads

1ml of calibration beads coated with two different concentrations of Hb.

Standard

Standard

Standard of known concentration. 1 vial of lyophilised RBCs lysate with known [Hb] concentrations.

Detector Antibody

1,2 ml fluorescently conjugated (PE) detector antibody (10μl/test).

FlowStep, the new automation tool for HeMoStep

The FlowStep software, designed specifically for integration with the HeMoStep kit, has proven to be an automated, efficient and accurate solution for the quantification of hematic contamination in cerebrospinal fluid (CSF).

It has a very high correlation with the manual method (r^2= 0.999), optimising reproducibility and decreasing dependence on highly specialised operators.

The implementation of advanced algorithms and automated report generation enables rapid and standardised analysis, increasing efficiency and improving the consistency of results in clinical laboratories.

For more information or to purchase, please contact us.

PRODUCT REFERENCES
Product nameReferenceDescription
HeMoStep Kit
IMS1510

Immunobead assay for quantitatively measure of blood contamination in CSF

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