Whole blood control sample systems and method of preparing and using the same
The preparation and use of systems to provide surrogate whole blood controls using coagulation modifiers to simulate human whole blood in coagulation assays are disclosed.
1 . A whole blood control sample system comprising as separate components:
a. at least one lyophilizate comprising:
i. fixed red blood cells sourced from one or more mammalian species;
ii. plasma sourced from one or more mammalian species; and
iii. an anticoagulant selected from the group consisting of sodium citrate, acid-citrate-dextrose, and EDTA;
b. at least one diluent; and
c. at least one activation solution comprising a coagulation activator that is calcium chloride,
wherein at least one of the at least one lyophilizate, the at least one diluent, and the at least one activation solution contains a coagulation modulator,
wherein the at least one lyophilizate and the at least one diluent are substantially free of the coagulation activator, and
wherein the coagulation modulator is a serine protease inhibitor and/or rabbit brain cephalin.
2 . The whole blood control sample system of claim 1 , wherein the coagulation modulator is the serine protease inhibitor.
3 . The whole blood control sample system of claim 2 , wherein the serine protease inhibitor is benzamidine.
4 . The whole blood control sample system of claim 1 , wherein the coagulation modulator is present in the at least one activation solution and is not present in the at least one diluent and the at least one lyophilizate.
5 . The whole blood control sample system of claim 4 , wherein the system comprises two or more activation solutions, with each activation solution having a different coagulation modulator concentration, a single lyophilizate, and a single diluent.
6 . The whole blood control sample system of claim 5 , wherein the system is provided as a kit having two or more aliquots of activation solution, two or more aliquots of lyophilizate and two or more aliquots of diluent.
7 . The whole blood control sample system of claim 5 , wherein the system comprises two activation solutions.
8 . The whole blood control sample system of claim 7 , wherein the system is provided as a kit having two aliquots of activation solution, two aliquots of lyophilizate and two aliquots of diluent.
9 . The whole blood control sample system of claim 1 , wherein the coagulation modulator is present in the at least one lyophilizate and is not present in the at least one diluent and the at least one activation solution.
10 . The whole blood control sample system of claim 9 , wherein the system comprises two or more lyophilizates, with each lyophilizate having a different coagulation modulator concentration, a single diluent, and a single activation solution.
11 . The whole blood control sample system of claim 10 , wherein the system is provided as a kit having two or more aliquots of activation solution, two or more aliquots of lyophilizate and two or more aliquots of diluent.
12 . The whole blood control sample system of claim 10 , wherein the system comprises two lyophilizates.
13 . The whole blood control sample system of claim 12 , wherein the system is provided as a kit having two aliquots of activation solution, two aliquots of lyophilizate and two aliquots of diluent.
14 . The whole blood control sample system of claim 1 , wherein either the at least one lyophilizate or the at least one activation solution includes an effective amount of the rabbit brain cephalin to further modulate clotting time of the whole blood control sample system.
15 . A method of preparing a whole blood control sample system comprising steps of: providing as separate components:
a. at least one lyophilizate comprising:
i. fixed red blood cells sourced from one or more mammalian species;
ii. plasma sourced from one or more species; and
iii. an anticoagulant selected from the group consisting of sodium citrate, acid-citrate-dextrose, and EDTA;
b. at least one diluent;
c. at least one activation solution comprising a coagulation activator that is calcium chloride;
wherein at least one of the at least one lyophilizate, the at least one diluent, and the at least one activation solution contains a coagulation modulator,
wherein the at least one lyophilizate and the at least one diluent are substantially free of the coagulation activator, and
wherein the coagulation modulator is a serine protease inhibitor and/or rabbit brain cephalin;
adjusting a concentration of the coagulation modulator to provide a whole blood control sample having a defined clotting time; and
mixing an aliquot of the at least one lyophilizate with an aliquot of the at least one diluent to rehydrate the at least one lyophilizate and then adding an aliquot of the at least one activation solution to the rehydrated at least one lyophilizate to provide a whole blood control sample.
16 . The method of claim 15 , wherein the coagulation modulator is the serine protease inhibitor.
17 . The method of claim 16 , wherein the serine protease inhibitor is benzamidine.
18 . The method of claim 15 , wherein the coagulation modulator is present in the at least one activation solution.
19 . The method of claim 18 , wherein at least two identical lyophilizate aliquots are provided and at least two activation solutions are provided, wherein each activation solution contains a different coagulation modulator amount so as to provide a different clotting time, when an aliquot of lyophilizate, diluent, and activation solution are combined.
20 . The method of claim 19 , wherein the system contains two identical lyophilizate aliquots, two identical diluents aliquots, and two aliquots of activation solution, each of the two aliquots of activation solution having a different coagulation modulator concentration.
21 . The method of claim 15 , wherein the coagulation modulator is present in the at least one lyophilizate.
22 . The method of claim 21 , wherein at least two identical activation solution aliquots are provided and at least two lyophilizate aliquots are provided, wherein each aliquot of lyophilizate contains a different coagulation modulator amount so as to provide a different clotting time, when an aliquot of lyophilizate, diluent, and activation solution are combined.
23 . The method of claim 22 , wherein the system contains two identical aliquots of activation solution, two identical diluent aliquots, and two lyophilizate aliquots, each of the two lyophilizate aliquots having a different coagulation modulator concentration.