title: Multi-site, multi-country evaluation of analytical and operational performance of a low-mid volume chemiluminescent immunoassay analyzer.
abstract: BACKGROUND
  A new automated immunoassay low-mid volume (< or = 250 immunoassays/day) chemiluminescent analyzer, Abbott Architect i1000sR, was evaluated by seven laboratories around the world (4 in Europe, one each in Canada, Japan, and the U.S.A.) to demonstrate equivalent performance for key operating characteristics (e.g., precision, turn around time, limit of detection, functional sensitivity, and linearity).
  
  
  METHODS
  The laboratories followed standard protocols to assess precision, limit of detection (LoD), functional sensitivity, assay linearity, method comparison, and sample carryover. Turn around time for three stat assays (beta-hCG, BNP, and CK-MB) and the time required to complete workloads of 50 and 100 tests with a mixture of 75% routine tests and 25% stat tests was also evaluated.
  
  
  RESULTS
  Total precision was typically < 5% CV for nine immunoassays. Analytical performance met design goals and demonstrated equivalency to package insert data for assays on market and in use for an existing high volume immunoassay system. Stat turn around times were consistent with the fixed analytical time of 15.6 minutes and met the expectations of the laboratories. Measured test throughput ranged from 47 - 54 tests per hour and demonstrated that the analyzer was fit for the intended purpose of supporting a laboratory that performs < or = 250 immunoassays per day.
  
  
  CONCLUSIONS
  A multisite, international analyzer familiarization study is a practical means of confirming that a new instrument meets both a manufacturer's design specifications and users' real world expectations and provides a pragmatic test for the system. The experience of investigators at seven sites around the world indicates that a new fully automated chemiluminescent system is suitable for use.
authors.affiliation: Laboratorium en Trombosedienst, Ziekenhuis Rivierenland, Tiel, Netherlands.
authors.forename: M H
authors.initials: MH
authors.lastname: De Keijzer
authors.forename: S
authors.initials: S
authors.lastname: Perkins
authors.forename: V
authors.initials: V
authors.lastname: Motta
authors.forename: D
authors.initials: D
authors.lastname: Morelli
authors.forename: J P
authors.initials: JP
authors.lastname: Cristol
authors.forename: A M
authors.initials: AM
authors.lastname: Dupuy
authors.forename: Y
authors.initials: Y
authors.lastname: Hong
authors.forename: S
authors.initials: S
authors.lastname: Watanabe
authors.forename: C
authors.initials: C
authors.lastname: Waerdt
authors.forename: R W
authors.initials: RW
authors.lastname: Grunewald
mesh_terms: D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D052279:Creatine Kinase, MB Form / Q000097:blood; D004958:Estradiol / Q000097:blood; D006801:Humans; D007118:Immunoassay / Q000295:instrumentation* / Q000379:methods; D008163:Luminescent Measurements / Q000295:instrumentation* / Q000379:methods; D020097:Natriuretic Peptide, Brain / Q000097:blood; D012372:ROC Curve; D015203:Reproducibility of Results
chemical_list: D018997:Chorionic Gonadotropin, beta Subunit, Human; D020097:Natriuretic Peptide, Brain; D004958:Estradiol; D052279:Creatine Kinase, MB Form