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Product Catalog No: 2512400
Rea TCount
CD4/CD3
&
CD8/CD3
Reagent
Manufactured by
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Rea TCount Reagent
1. INTENDED USE
The Rea TCount reagent is a two color immunofluorescence reagent
for the labeling and identification of helper/inducer (CD3+CD4+) and
cytotoxic/suppressor (CD3+CD8+) T lymphocytes combined with a
precise number of fluorescent counting beads for absolute CD4+,CD8+
and Average CD3+ TCell counts. This reagent is intended for flow
cytometry based analysis in unlysed human whole blood samples.
2. BACKGROUND
The Rea TCount reagent contains fluorescently labeled antibodies that
bind to CD3, CD4, or CD8 antigens found on the surface of circulating
leukocytes.
The CD3 antigen is a complex of at least six proteins known collectively
as the Tcell receptor (TCR) complex. The antibody used in this reagent
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binds to the 20kDa ε chain of this complex.
The CD4 antigen is a 59kDa protein. It interacts with class II molecules
of the major histocompatibility complex and is the primary receptor for
the Human Immunodeficiency Virus (HIV).
Cells that are both CD3+ and CD4+ are identified as helper/inducer
lymphocytes. Decreased CD4+CD3+ cell counts have been associated
with some forms of immunodeficiency. Suppressor/cytotoxic
lymphocytes are the subset of cells that have both CD3 and CD8
receptors. Increased CD8+CD3+ cell counts have been observed in
some cases of immunodeficiency.
3. Rea TCount Reagent
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The Rea TCount reagent consists of a single unit comprising of two
tubes, with dried down reagents formulated in buffered saline, sodium
azide and stabilizers. One tube contains CD4 monoclonal antibody
(clone RPAT4) labeled with Phycoerythrin (PE) and CD3 monoclonal
antibody (clone UCHT1) labeled with PEDyomics649.The other tube
contains CD8 monoclonal antibody (Clone LT8) labeled with
Phycoerythrin (PE) and CD3 monoclonal antibody (clone UCHT1)
labeled with PEDyomics649. The monoclonal antibodies used in the
Rea TCount were assigned these specificities at the 8th International
Workshop on Human Leukocyte Differentiation Antigens. A precise
number of fluorescent counting beads are included in each tube to allow
singleplatform determination of absolute CD4+ and CD8+ Tcell
counts. The Rea TCount reagent is provided in dried form and
dispensed in FACSCountTM compatible sample tubes with each unit
containing one readytouse test.
Precautions
1. Warning: The Rea TCount reagent contains sodium azide. Sodium
azide is harmful if swallowed. Wear suitable protective clothing. If
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swallowed, seek medical advice immediately. Contact with acids
liberates toxic gas. Azides should be flushed with large amounts of
water during disposal to avoid deposits in lead or copper plumbing.
3. The addition of precise volume of blood is critical to obtain correct
results. Use a calibrated pipette and operate according to the
manufacturer’s instructions.
Storage and Handling
1. Store the reagent at room temperature in a dry place. Do not use
the reagent after the expiry date on the label.
2. Do not freeze Rea TCount reagent.
3. The Rea TCount reagent is light sensitive. Do not expose to direct
light either during storage or when mixed with blood.
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4. INSTRUMENT
The blood sample should be collected in a sterile blood collection tube
containing K3EDTA. Follow the collection tube manufacturer’s
guidelines for the minimum volume of blood to be collected.
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The anticoagulated blood must be stored at room temperature (20°C
25°C) and should be stained and analyzed within 24 hours of draw.
6. PROCEDURE
Reagent Provided
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Refer to the ReaFix Fixative solution (10X) package insert for
dilution instructions and warnings.
Reagents and materials required but not provided
1. Blood collection tube containing K3EDTA
2. Calibrated pipettes
3. Vortex mixer
4. Becton Dickinson FACSCountTM Instrument
(Becton Dickinson Cat No: 337858)
5. Sheath fluid (Becton Dickinson FACSFlow™ Catalog No. 340398
or equivalent)
6. BD FACSCountTM Control kit (Becton Dickinson Cat No: 340166)
7. BD FACSCountTM Reagent Kit to set up controls (Becton
Dickinson Catalog No. 340167)
8. BD FACSCount™ CD4 Software and User’s Guide Assembly
(Becton Dickinson Catalog No. 339011)
Preparation of Control Samples
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Follow Manufacturer’s instructions for setting up the control in the
FACSCountTM Instrument (Use BD FACSCountTM Reagent for setting
the control)
Preparation of the patient samples
1. Blood samples must be collected in a (K3EDTA) vacutainer tube and
be stored no longer than 48 hours at room temperature.
2. Place the samples in the workstation.
3. Take one reagent pair per sample from the foil bag containing the
Rea TCount tubes. Reseal the foil bag and return unused reagent
pairs to the appropriate place. DO NOT refrigerate the reagents.
4. Label the tab of each reagent pair with the sample number found on
the blood tube.
5. Mix blood sample by inverting the tube 5 times.
6. Reverse Pipette 50µL of whole blood into each of the 2 reagent
tubes. Use a new pipette tip for each tube.
7. Cap the tubes and vortex vigorously for 30 seconds each.
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8. Incubate for 60 minutes to 120 minutes at room temperature. Place
reagent pairs in the workstation and close the cover to protect the
reagents from light.
9. Uncap tubes and pipette 450µL of 1X Working ReaFix fixative
solution into each reagent tube. Use a new pipette tip for each tube.
Refer to the ReaFix Fixative solution (10X) package insert for dilution
instructions to prepare 1X working ReaFix Fixative Solution.
10.Recap the tubes and vortex for 15 seconds each.
11. Run the tubes on the FACSCountTM within 24 hours of preparation.
Store samples at room temperature in the workstation until they are
run on the instrument. Vortex upright for 5 seconds before running.
Entering patient information
1. Press [sample].
2. Enter or verify reagent lot code and bead counts as provided on Rea
TCount pouch.
3. Press [confirm]
4. Enter the patient accession number
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Running patient samples
1. Vortex the reagent pair for 15 seconds.
2. Uncap the CD4 tube and place the reagent pair in the sample holder
so the CD4 tube is in the run position.
3. Press [run]
4. Remove reagent pair and recap CD4 tube.
5. Uncap CD8 tube and place so the CD8 tube is in the run position.
6. Press [run]
7. After a successful run the results will print out. If the sample fails
review reported error and refer to BD FACSCountTM guide to rectify
problem.
8. The patient results are displayed on the screen and are automatically
printed.
9. The sample printout contains the following information:
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10. Reagent informationreagent lot code and reference bead
counts entered for the sample run. (This number should match the
reagent lot code for the control run.)
11. Date (mm / dd / yy) and time the patient sample was run
12. Control informationcontrol run results, date controls were run,
reagent lot code entered for the control run, control lot code.
13. Patient accession number
14. Patient results
15. Absolute Counts cells/µl of CD4 & CD8
16. Total CD3 Average
17. CD4/CD8 ratio
18. Remove the reagent pair, recap the CD8 tube and discard in the
biohazard waste container.
19. Repeat above steps until all patient samples have been run.
20. Discard the reagent pair in an appropriate biohazard container.
21. Shut down instrument as per manufacturer’s instructions.
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22. A sample report is generated after every sample run. The sample
report is attached below (Refer Figure 1)
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Figure 1: Patient Sample
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Report
7. LIMITATIONS
8. WARRANTY
This product is warranted only to conform to the quantity and contents
stated on the label at the time of delivery to the customer. There are no
warranties, expressed or implied, that extend beyond the description on
the label of the product. ReaMetrix sole liability is limited to replacement
of the product. Reametrix is not liable for property damage, personal
injury, or economic loss caused by the product.
Note: FACSCountTM is a registered trade name of BectonDickinson.
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Manufactured by ReaMetrix India Pvt. Ltd.
Manufacturing License Number: KTK/25/519/2006
50B, II Phase, Peenya Industrial Area
Peenya, Bangalore 560058, India
Ph: +918028378693/5, Fax: +918041172451
Email: info@reametrix.com,
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www.reametrix.com
Rev No. 3.0, 29Sep09
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