Bouix O, Sanchez P, Reifenberg J-M
EFS Pyrénées-Méditerrannée, GHU Caremeau, place Pr.-R.-Debré, CS 68223, 30942 Nimes cedex 9, France.
Transfus Clin Biol. 2007 Aug;14(3):348-51. doi: 10.1016/j.tracli.2007.03.003. Epub 2007 May 4.
Metrological survey of analytic equipment is developing well in French blood bank laboratories, but still the limits of critical parameters affecting the result of basic methods are usually not defined. The aim of this study is to establish experimentally maximum permissible errors for critical physical values involved in microplate ABO-RH1 blood grouping, such as temperature and time of incubation and volumes of reagents and blood samples.
Samples were internal quality controls used routinely in the laboratory. Three set points were defined for each parameter: incubation temperature 18, 22 and 26 degrees C; incubation time 10, 15 and 20 min; reagent sera and sample cells volume 20, 30 and 40 microL; reagent cells volume 15, 20 et 25 microL; plasma sample volume 30, 40 et 50 microL. All equipments (temperature test chamber, chronometer and pipettors) were calibrated using national standards (COFRAC) according to appropriate methods for estimation of uncertainty of measurement. Significant components of uncertainty were taken into account to define a global uncertainty for each measurable quantity.
All tests results from any combination of the above set points (n=81 for each sample tested in triplicate) were consistent with the expected result. Not one undetermined result was observed.
The experimental design of this study allowed us to define accurately maximum permissible errors for major critical parameters involved in microplate ABO-RH1 blood grouping. Hence these values must be applied to metrological survey of the equipment. Further, our study demonstrates the robustness of the method.
法国血库实验室分析设备的计量检测进展良好,但影响基本方法结果的关键参数限值通常尚未明确。本研究的目的是通过实验确定微孔板ABO-RH1血型检测中关键物理值的最大允许误差,如孵育温度、孵育时间、试剂和血样体积。
样本为实验室常规使用的内部质量控制品。为每个参数定义了三个设定点:孵育温度18、22和26摄氏度;孵育时间10、15和20分钟;试剂血清和样本细胞体积20、30和40微升;试剂细胞体积15、20和25微升;血浆样本体积30、40和50微升。所有设备(温度测试箱、计时器和移液器)均根据测量不确定度估计的适当方法采用国家标准(法国认可委员会)进行校准。考虑了不确定度的重要组成部分,以确定每个可测量量的总体不确定度。
上述设定点的任何组合(每个样本一式三份进行测试,共81次)的所有测试结果均与预期结果一致。未观察到一个不确定结果。
本研究的实验设计使我们能够准确确定微孔板ABO-RH1血型检测中主要关键参数的最大允许误差。因此,这些值必须应用于设备的计量检测。此外,我们的研究证明了该方法的稳健性。