INTENDED USE
Alinity m EBV is an in vitro polymerase chain reaction (PCR) assay for the quantitation of Epstein-Barr Virus (EBV) DNA in human EDTA plasma on the automated Alinity m System.
Alinity m EBV is intended for use as an aid in the management of EBV in transplant patients. In patients undergoing monitoring of EBV, serial DNA measurements can be used to indicate the need for potential treatment changes and to assess viral response to treatment.
The results from Alinity m EBV must be interpreted within the context of all relevant clinical and laboratory findings. Alinity m EBV is not cleared for use as a screening test for donors of blood, blood products, or human cells, tissues, and cellular and tissue-based products (HCT/Ps) for EBV.
LIMITATIONS OF THE PROCEDURE
- Optimal performance of this test requires appropriate specimen collection and handling (refer to the SPECIMEN COLLECTION AND PREPARATION FOR ANALYSIS section of the package insert).
- Human plasma (K2 EDTA, K3 EDTA, and PPT) specimens may be used with the Alinity m EBV assay. The use of other specimen types or plasma tubes has not been evaluated.
- Debris within plasma specimens (eg, fibrin strands) may interfere with sample processing.
- Diluted specimens must be tested within 2 hours after dilution and should not be frozen.
- The instruments and assay procedures reduce the risk of contamination by amplification product. However, nucleic acid contamination from the calibrators, positive controls, or specimens must be controlled by good laboratory practice and careful adherence to the procedures specified in the package insert.
- Due to the potential for variability in EBV viral load measurements across different EBV assays, it is recommended that the same device be used for the quantitation of EBV viral load when managing individual patients.
- Negative test results do not preclude viral infection or tissue invasive viral disease. Test results must not be the sole basis for patient management decisions.
- Test results are to be interpreted by qualified licensed healthcare professionals in conjunction with clinical signs and symptoms and other relevant laboratory results.
- As with any molecular test, mutations within the target regions of Alinity m EBV could affect primer and/or probe binding resulting in the under-quantitation of virus or failure to detect the presence of virus.
- While elevated EBV viral load may suggest post-transplant lymphoproliferative disorders (PTLD), the diagnosis of PTLD is made based on histological evaluation of tissue biopsy. PTLD may be present without detectable EBV viral load, and an increase in EBV viral load is not necessarily diagnostic of PTLD.
- This test is not intended for use as a screening test for the presence of EBV in blood or blood products and has not been evaluated as a diagnostic test to confirm the presence of EBV infection in an immunocompetent population.