Good Morning
Another thing to try is different slides.  We have had issues with bad 
batches/lots of slides - even the Fisher Superfrost plus.  Especially if your 
purchasing department buys in quantity and then stores the slides in hot 
warehouses. This seems to  negate the charge on the slides - but in an 
inconsistent way.  You can have bad slides mixed with good ones in the same 
box.  Even if you don't want to change vendors, trying a different kind of 
charged slide would eliminate bad slides as part of the problem.  And just an 
FYI- we do our control slides the same way you do, (and use tap water) so I 
don't think that is your problem. We are using the "cheaper" Fisher Superfrost 
plus slides and they seem to work as well as the full priced ones.  We cut our 
immuno sections at 3um.
I know how frustrating this can be - I feel your pain!
Good luck!
Sue

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu

 

-----Original Message-----
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Deloris Carter
Sent: Friday, July 26, 2013 5:09 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Losing tissue on IHC slides

Hi all,
I'm looking for some troubleshooting help.  In the last couple of months we've 
been having an increasing trend in losing tissue from our IHC slides.  We use a 
Ventana Benchmark XT.  PM is done on it quarterly.  The problem seems to be 
with the patient tissue, not the control tissue.  We use Fisherbrand Superfrost 
Plus slides, picking up the control by dipping the top end of the slide to 
avoid "double dipping".  We use tap water in the waterbaths which I know could 
cause an issue, but that's the way it's always been done here, so there's been 
no change to that part of the procedure. (We did try using DI water, but it 
didn't make any difference.
Tissue still fell off of slides.) We do use DI water to mix the bulk 
reagents.The control slides may sometimes have been cut for a longer than 
recommended time, but that part of the procedure hasn't changed either, same 
process as always.  If we run separate slides for control and patient tissue, 
we get much better results, but still have some tissue loss.  I can't say it's 
all of our tests, but it is a steadily worsening problem.
I'm going through tons of reagent, and I can't seem to nail down the problem.  
Ventana rep said to try DI water, don't double dip, try adhesive slides (which 
didn't really make any difference that we could tell).  I would appreciate any 
suggestions Deloris Carter Shawnee Mission Medical Center 
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