[Histonet] Xylene/substitutes Validation/verification

2011-09-27 Thread Stephanie Rodriguez
Liz,

You are correct. If you bring in an FDA-approved test with NO
modifications, all that is required is verification; you simply have to
verify that the test works in your lab when you follow the recommended
procedure.  Validation, which is required for laboratory-developed tests
as well as laboratory-modified FDA-approved tests, is, indeed, a much
lengthier process.

Stephanie Rodriguez, HTL(ASCP), QIHC
Lead Molecular Technologist-FISH
IHC Technologist III
Phenopath Laboratories
Seattle, WA
(206) 374-9000 



On 9/27/11 9:49 AM, histonet-requ...@lists.utsouthwestern.edu
histonet-requ...@lists.utsouthwestern.edu wrote:

Message: 8
Date: Tue, 27 Sep 2011 10:32:07 -0600
From: Elizabeth Chlipala l...@premierlab.com
Subject: RE: [Histonet] Xylene sensitivity
To: 'Rene J Buesa' rjbu...@yahoo.com, Histonet Listserv (E-mail)
   histonet@lists.utsouthwestern.edu, ShelleyD'Attilio
   sdatt...@stormontvail.org, Loralee AMcMahon
   loralee_mcma...@urmc.rochester.edu
Message-ID:
   14E2C6176416974295479C64A11CB9AE1DECBA0A63@SBS2K8.premierlab.local
Content-Type: text/plain; charset=iso-8859-1

Rene

Rene

Loralee is correct in some aspects and you have addressed this already
with mentioning validation.  This basically has to do with the internal
validation that is required when you bring these kits into the
laboratory.  When you modify a 510K cleared kit or FDA approved kit it
becomes a LDT or Laboratory Developed Test there is significant
additional validation required because by changing the process you have
essentially increased the risk.  Additional validation is required as
defined by CLIA.  The manufacturer of the kit has gone through a process
that essentially has decreased the laboratory risk when then get a kit
FDA cleared or approved, if the lab chooses to modify this kit they
essentially have increased their risk significantly and are required to
do additional validation, more than would be required if you used the kit
as recommended.

I'm thinking that all that is required if you use a cleared or approved
kit is verification and not validation, but I may be incorrect.
Validation is a more intense process.  Patty from Phenopath or Beth
Shepard from Ventana would be able to comment on this process also.

Liz

Elizabeth A. Chlipala, BS, HTL(ASCP)QIHC
Manager
Premier Laboratory, LLC
PO Box 18592
Boulder, CO 80308-1592
(303) 682-3949 office
(303) 682-9060 fax
(303) 881-0763 cell
www.premierlab.com

Ship to address:

1567 Skyway Drive, Unit E
Longmont, CO 80504




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[Histonet] Re: Histonet Digest, Vol 83, Issue 4

2010-10-05 Thread Stephanie Rodriguez
Barb, Eric, all-

We also use a diamond pen/pencil-and they do contain an industrial grade
diamond, so they are quite reasonably priced; I looked one up on the VWR
website (just as a reference, not necessarily an endorsement! :o) and they
run about $20-30 each.  They last a very long time, too-We¹ve had ours for
several years.

We use them for our direct IFs, FISH, anything dark field.

Stephanie


Stephanie Rodriguez, HTL(ASCP), QIHC
Lead Molecular Technologist-FISH
IHC Technologist III
Phenopath Laboratories
Seattle, WA
(206) 374-9000 




On 10/5/10 10:15 AM, histonet-requ...@lists.utsouthwestern.edu
histonet-requ...@lists.utsouthwestern.edu wrote:

 Message: 11
 Date: Tue, 5 Oct 2010 10:53:36 -0400
 From: Gagnon, Eric gagn...@kgh.kari.net
 Subject: [Histonet] Direct immunofluorescence question
 To: histonet@lists.utsouthwestern.edu
 Message-ID:
  f93bd6329fc3ae4c8db116b985fbc31327c3a...@kghmail.kgh.on.ca
 Content-Type: text/plain; charset=iso-8859-1
 
 Barb,
  
 Have you tried a diamond pencil?  Available from a variety of sources, these
 pencils can be used to etch a circle or other shape around the tissue to be
 viewed.  I believe they use lesser-quality industrial diamonds to make the
 tips on the pencils (i.e. not the diamond ring quality). Coming across the
 etched line under the fluorescent microscope produces brightness that helps
 the pathologist find the tissue.
  
 We circle our DIF's on the back of the slide - it won't wash off and won't
 interfere with reagents this way, but is still visible in a darkened room.
  
 Hope this helps,
 
 Eric Gagnon MLT
 Histology Laboratory
 Kingston General Hospital
 Kingston, Ontario, Canada


_


Message: 1
Date: Mon, 4 Oct 2010 12:49:44 -0500
From: ba...@gundluth.org
Subject: [Histonet] Direct immunofluoresent question
To: histonet@lists.utsouthwestern.edu
Message-ID:
of9419a09e.870a453a-on862577b2.00614e6b-862577b2.0061e...@gundluth.org

Content-Type: text/plain; charset=US-ASCII


Hi all -

The pathologist that reads our direct IF slides likes to have the sections
of tissue circled on the slide so that they are easier to find.  We
currently use black marker on the back of the slide, but find that many
times it smears and are looking for a better solution.

What kind of slides do others use, and if you circle your sections what
marker/pen/etcher do you use?

Any thoughts are greatly appreciated!

Barb Moe
Gundersen Lutheran Medical Center
La Crosse WI


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[Histonet] Re: Histonet Digest, Vol 82, Issue 29

2010-09-21 Thread Stephanie Rodriguez
We use ADT.  I don¹t know where you¹re located, so I don¹t know if that¹s an
option for you, but we¹ve used them for at least 8 years, and they¹ve always
been excellent.

Stephanie


Stephanie Rodriguez, HTL(ASCP), QIHC
Lead Molecular Technologist-FISH
IHC Technologist III
Phenopath Laboratories
Seattle, WA
(206) 374-9000 




On 9/21/10 10:06 AM, histonet-requ...@lists.utsouthwestern.edu
histonet-requ...@lists.utsouthwestern.edu wrote:

 Message: 10
 Date: Tue, 21 Sep 2010 11:12:24 -0400
 From: karen adams kadams...@gmail.com
 Subject: [Histonet] Freezer alarm
 To: Histonet@lists.utsouthwestern.edu
 Message-ID:
  aanlktikma+q4fmapd7krdzgdh_jq2gzp9wux7bv5r...@mail.gmail.com
 Content-Type: text/plain; charset=ISO-8859-1
 
 Good Morning..
 
  Can anyone make a recommendation for an alrm system that will call me
 if the power goes out to our freezer???
 
 
 Thanks!



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[Histonet] Re: Histonet Digest, Vol 80, Issue 26

2010-07-22 Thread Stephanie Rodriguez
As do we.


Stephanie Rodriguez, HTL(ASCP), QIHC
Senior Molecular Technologist-FISH
IHC Technologist III
Phenopath Laboratories
Seattle, WA
(206) 374-9000 




On 7/22/10 10:04 AM, histonet-requ...@lists.utsouthwestern.edu
histonet-requ...@lists.utsouthwestern.edu wrote:

 
 Message: 4
 Date: Thu, 22 Jul 2010 08:18:27 -0700
 From: Tench, Bill bill.te...@pph.org
 Subject: [Histonet] hpv testing on head and neck ca's
 To: histonet@lists.utsouthwestern.edu
 Message-ID: 2820431bf953bb4da3e9e1a5882265fd034a5...@mail1.pph.local
 Content-Type: text/plain; charset=us-ascii
 
 We do p16 on squamous ca of the head and neck region routinely
  
 Bill Tench
 Associate Dir. Laboratory Services
 Chief, Cytology Services
 Palomar Medical Center
 555 E. Valley Parkway
 Escondido, California  92025
 bill.te...@pph.org
 Voice: 760- 739-3037
 Fax: 760-739-2604



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[Histonet] Re: Histonet Digest, Vol 78, Issue 18

2010-05-13 Thread Stephanie Rodriguez
Hi Bernadette,

I don¹t know how complicated it would be for you to send something to the
US, but we run CD56 and all sorts of other hematologic markers on a routine
basis...(we¹re a reference lab, too!)

You can find information about specimen submission and the tests we have
available at our website: www.phenopath.com.

Thanks, and good luck!

Stephanie Rodriguez, HTL(ASCP), QIHC
Senior Molecular Technologist-FISH
IHC Technologist III
Phenopath Laboratories
Seattle, WA


On 5/13/10 11:14 AM, histonet-requ...@lists.utsouthwestern.edu
histonet-requ...@lists.utsouthwestern.edu wrote:

 Message: 3
 Date: Thu, 13 May 2010 08:01:52 -0700 (PDT)
 From: Bernadette del Rosario badzros...@yahoo.com
 Subject: [Histonet] (no subject)
 To: Histonet@lists.utsouthwestern.edu
 Message-ID: 270439.80623...@web52101.mail.re2.yahoo.com
 Content-Type: text/plain; charset=us-ascii
 
 HELLO..I wonder what reference lab i can send unstained slide for nk cells
 marker like cd 56 etc...im n bahrain..



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[Histonet] Re: Histonet Digest, Vol 78, Issue 12

2010-05-10 Thread Stephanie Rodriguez

We use this clone also.  It is distributed by Invitrogen, but the company
that makes it is CalTag. (Maybe Invitrogen owns them.)  We use AR of ph 9.0
Tris (0.5mM)/EDTA (0.1mM) for 20 min, dilution of 1:2000, and detection of
Dako Flex+.

It is not an IVD, by the way; it¹s still RUO.

Stephanie Rodriguez, HTL(ASCP), QIHC
Senior Molecular Tech/IHC Tech III
Phenopath Laboratories
Seattle, WA



On 5/10/10 10:43 AM, histonet-requ...@lists.utsouthwestern.edu
histonet-requ...@lists.utsouthwestern.edu wrote:

 Message: 2
 Date: Mon, 10 May 2010 13:26:20 +0200
 From: Heather McCleod heather.mcl...@uct.ac.za
 Subject: Re: [Histonet] IgG4 source
 To: Joao Pessoa jphistol...@gmail.com,
  histonet@lists.utsouthwestern.edu
 Message-ID: 4be8097c02cb00035...@gwiasmtp.uct.ac.za
 Content-Type: text/plain; charset=US-ASCII
 
 I have used invitrogen - mouse anti-human IgG4 Clone HP6025  (successfully)
 AR in 1mm EDTA  Dilution 1:400
 Control - tonsil  (or Sjogren's Syndrome)
 
  Joao Pessoa jphistol...@gmail.com 2010/05/07 11:50 PM 
 I need to find a source for an IgG4 antibody for use with IHC studies on
 human FFPE tissue.  Any ideas?  My preference would be for a
 concentrated IVD.
 
 Thanks,
 
 Joao
 Histo Tech
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[Histonet] Re: Histonet Digest, Vol 78, Issue 8

2010-05-07 Thread Stephanie Rodriguez
Tonia,

If you are interested in sending specimens out for validation, our
laboratory currently provides this service for HER2 testing by IHC and FISH.
Information is on our website at www.phenopath.com, under ŒDiagnostic
Services¹ at the top of the home page.

Good luck!

Stephanie Rodriguez, BS, HTL(ASCP), QIHC
Senior Molecular Technologist, FISH
IHC Technologist III
Phenopath Laboratories
Seattle, WA


On 5/7/10 5:47 AM, histonet-requ...@lists.utsouthwestern.edu
histonet-requ...@lists.utsouthwestern.edu wrote:

 Message: 7
 Date: Thu, 6 May 2010 11:38:42 -0700
 From: Morken, Tim timothy.mor...@ucsfmedctr.org
 Subject: RE: [Histonet] Responses to IHC CAP Validation question
 To: tonia.richm...@gracepathology.com
  tonia.richm...@gracepathology.com, McMahon, Loralee A
  loralee_mcma...@urmc.rochester.edu
 Cc: histonet@lists.utsouthwestern.edu
  histonet@lists.utsouthwestern.edu, thisis...@aol.com
  thisis...@aol.com
 Message-ID:
  1aaf670737f193429070841c6b2add4c018766a...@exmbmcb15.ucsfmedicalcenter.org
  
 Content-Type: text/plain; charset=utf-8
 
 Tonia, obviously you have to validate your systems so you need to do some
 validation ahead of time with non-patient samples. You can validate your
 instruments and reagents on tissue arrays (you can even get commercial
 validated arrays for ER, PR and Her2). I suggest Pantomics (www.pantomics.com)
 for excellent quality arrays of all kinds.
 
 To validate the actual test, once you start up you will have to do some
 parallel testing by testing in-house and sending paired samples out to be
 tested. Then document the results of each. When you can show concordance of
 results over a set of samples (for most antibodies, 10 or more, 5 pos and 5
 negative) that test can be considered validated. For ER, PR and Her2 you will
 need to have concordance on many more samples (25 - 100). I suggest, if
 possible, taking extra tissue from patient samples and making either tissue
 arrays or sausage arrays to do this testing. It will drastically lower the
 number of slides you have to test in house and to send out to be tested.
 
 It may be possible to partner with another lab to do this testing. As part of
 proficiency testing you can ask other labs for samples (wet tissue or
 unstained slides) to validate your results against theirs. Some labs are
 looking for partners to do this kind of testing. You then each validate each
 others tests.
 
 Tim Morken
 Supervisor, Histology / IPOX
 UCSF Medical Center
 San Francisco, CA
 
 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu
 [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
 tonia.richm...@gracepathology.com
 Sent: Thursday, May 06, 2010 8:28 AM
 To: McMahon, Loralee A
 Cc: histonet@lists.utsouthwestern.edu; thisis...@aol.com
 Subject: RE: [Histonet] Responses to IHC CAP Validation question
 
 
If  you  are a brand new lab, how do you validate IHC if you are no=
yet  receiving patient specimens?  Can the validation be done on cont   rol
 tissues only?
 
 
 
 
Sincerely,
 
 
Tonia Richmond, AS, HT (ASCP)
Chief Operations Officer =aboratory
Grace Pathology
PH:  (501) 765-7367
Email: =]tonia.=chm...@gracepathology.com



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[Histonet] Re: Histonet Digest, Vol 76, Issue 2

2010-03-02 Thread Stephanie Rodriguez
Hi Martha,

We offer this antibody.  Visit our website:  www.phenopath.com or call (206)
374-9000
and ask for Client Services for information on specimen submission.

Thanks,

Stephanie Rodriguez, HTL(ASCP), QIHC
IHC Tech III/Clinical Molecular Tech
Phenopath Laboratories
Seattle, WA


On 3/2/10 7:03 AM, histonet-requ...@lists.utsouthwestern.edu
histonet-requ...@lists.utsouthwestern.edu wrote:

 
 Message: 4
 Date: Mon, 1 Mar 2010 13:56:17 -0500
 From: Martha Ward mw...@wfubmc.edu
 Subject: [Histonet] IgG4
 To: histonet@lists.utsouthwestern.edu
 Message-ID:
  61135f0455d33347b5aae209b903a30433deb...@exchvs2.medctr.ad.wfubmc.edu
  
 Content-Type: text/plain; charset=us-ascii
 
 Hello all,
  
  
 I am looking for a lab that offers this antibody on ffpe tissues.  One
 of my Pathologists is interested in it and has a surgical case she has
 been asked to stain for IgG4.  Thanks in advance for your help!
  
 Martha Ward, MT (ASCP) QIHC
 Assistant Manager, Molecular Diagnostics Lab
 Wake Forest University Baptist Medical Center
 336-716-2104



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[Histonet] Re: Histonet Digest, Vol 73, Issue 26

2009-12-17 Thread Stephanie Rodriguez
Hi Linda,

We routinely run this antibody, and would be happy to perform it for you.
Feel free to contact our Client Services department at the phone number
below regarding specimen submission.

Stephanie Rodriguez, HTL(ASCP), QIHC
IHC Tech III
Phenopath Laboratories
551 N. 34th St  Ste 100
Seattle, WA  98103
(206) 374-9000

 
 Message: 8
 Date: Thu, 17 Dec 2009 09:13:40 -0600
 From: Sebree Linda A lseb...@uwhealth.org
 Subject: [Histonet] hsNFS(INI1) antibody
 To: Histonet histo...@pathology.swmed.edu
 Message-ID:
  8c023b4ab999614ba4791baeb26e27381bf...@uwhc-mail01.uwhis.hosp.wisc.edu
  
 Content-Type: text/plain; charset=us-ascii
 
 Hi,
 
 I'm looking for a reference lab that performs an IHC stain for this
 antigen.  Its used for diagnosing malignant rhabdoid tumor where this
 antigen is lost.  It is expressed in normal tissue.
 
 Thanks,
 
 Linda A. Sebree
 University of Wisconsin Hospital  Clinics
 IHC/ISH Laboratory
 DB1-223 VAH
 600 Highland Ave.
 Madison, WI 53792
 (608)265-6596
 
 
 



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