CEDIA Cyclosporine PLUS High Range Application Ortho Clinical Diagnostics VITROS 5600 Integrated System, VITROS 5,1 FS and 4600 Chemistry Systems

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Microgenics Corporation Part of Thermo Fisher Scientific CEDIA Cyclosporine PLUS High Range Application Ortho Clinical Diagnostics VITROS 5600 Integrated System, VITROS 5,1 FS and 4600 Chemistry Systems Catalog No. 100147 Intended for the Quantitative Determination of Cyclosporine in Human Whole Blood For In Vitro Diagnostic Use Only Intended Use The information provided in this application sheet is intended as a supplement to the package insert. Refer to the package insert for information on intended use, reagent storage, reagent preparation, specimen collection, specimen storage, quality control and additional performance data. Ordering Information Materials available from Microgenics: Item Catalog Number CEDIA Cyclosporine PLUS Assay Reagents 100147 CEDIA Cyclosporine PLUS High Range Calibrator Kit 100012 Cyclosporine High Range Control Level 4 100207 Cyclosporine High Range Control Level 5 100208 To place an order or for technical service contact (North America): Microgenics Corporation, part of Thermo Fisher Scientific 46360 Fremont Boulevard, Fremont, CA 94538 USA U.S. Toll free: (800) 232-3342 / Tel: (510) 979-5001 U.S. Toll free fax: (800) 829-8115 / Fax: (510) 979-5002 EC REP Microgenics GmbH, Spitalhofstrasse 94D-94032 Passau Germany Tel: +49 (0)851-88 6890/Fax: +49 (0)851-88 68910 Page 1 of 5 10015031APPS, Rev 1 02-2011

ADD UDA Template A new UDA template containing protocol *2PT R1-S-R2 is available on ADD DRV5604 forward and should be used for this assay. Please order ADD DRV5604 from Ortho Clinical Diagnostics; it is not available from Microgenics. Reagent Pack Storage Reconstituted reagents are stable for 60 days at 2-8 C when stored in their original container or in UDxx reagent packs. Reconstituted reagents stored in UDxx reagent packs onboard the analyzer are stable for 28 days. Reagent life can be extended by storing the reagent packs in a refrigerator at 2-8 C between use. To split the reconstituted reagent among reagent packs of the same UDxx ID, follow the chart below: Number of packs EA (ml) in ED (ml) in Tests/pack UDxx/A UDxx/B 3 13.7 6.3 74 Note: Once the individual UDxx pack number is selected for use during the protocol programming, it is the only UDxx pack number to use for this protocol. The same pack can be used for both the Low Range and High Range Cyclosporine PLUS assays at the same time (each is calibrated separately). Special Reagent Packs for User Defined Assays (please order from Ortho Clinical Diagnostics; not available from Microgenics) 680 2246 UD01 Packs (Empty) 1 BOX/6PKS 680 2247 UD02 Packs (Empty) 1 BOX/6PKS 680 2248 UD03 Packs (Empty) 1 BOX/6PKS 680 2249 UD04 Packs (Empty) 1 BOX/6PKS 680 2250 UD05 Packs (Empty) 1 BOX/6PKS 680 2251 UD06 Packs (Empty) 1 BOX/6PKS 680 2252 UD07 Packs (Empty) 1 BOX/6PKS 680 2253 UD08 Packs (Empty) 1 BOX/6PKS 680 2254 UD09 Packs (Empty) 1 BOX/6PKS 680 2255 UD10 Packs (Empty) 1 BOX/6PKS Calibration Frequency It is recommended that recalibration occur after reagent pack change, after calibrator lot change, after performance of monthly instrument maintenance and as required following quality control procedure. Sample Preparation Follow the CEDIA Cyclosporine PLUS Assay Sample Preparation as described in the package insert. Page 2 of 5 10015031APPS, Rev 1

Ortho Clinical Diagnostics VITROS 5600, 5,1 FS and 4600 System Parameters CEDIA Cyclosporine PLUS High Range Assay Configure Assay Full Assay Name: _Cyclosporine HR Version Date: 9/15/2010 Short Assay Name: CsAHR Assay Model Type: 2 Point Rate Fluid Type: Wh Blood Template: *2Pt R1 S R2 Cal Model Type: Linear Calibrator Bottles: _2 Reagent Reps per Cal :_2 Reagent Lot Information Edit Dilution Parameters On Board Stability:_28_ Days Diluent: _None _ Standard Dilution Factor:_1.0_ Reagent Lot Num. Kit Lot Reflex Dilution:_OFF_ Dilution Factor: _1.0_ Shelf Exp. Date: Kit Exp Date Reduction Factor: _1.0 Edit Result Parameters Units: ng/ml Reference Interval: 0.0 to 90000000 Significant Digits: _4_ Precision Digits:_3_ Supplementary: 0.0 to _90000000 User Adjusted Parameters Reportable Range: 450 to 2000 Slope: 1.0 Intercept: 0.0 (More Assay Parms) Edit 2 Pt Rate Additional Parameters CuveTip Exp Time: 35_ Temp Sens :_No Initial Abs. Limits: 0.20_ to _2.70_ Second Abs. Limits: 0.20_ to 2.70_ Antigen Excess Factor: 9.0 Edit Protocol Parameters Step Volume Pack ID Seconds Wavelength 1. Reagent 150 ul UDxx /A 2. Incubation 0.0 3. Sample 2.6 ul 4. Incubation 304.0 5. Reagent 66.4 ul UDxx /B 6. Incubation 228.0 7. Read 575 nm 8. Incubation 76.0 9. Read 575 nm Page 3 of 5 10015031APPS, Rev 1

Ortho Clinical Diagnostics VITROS 5600, 5,1 FS and 4600 System Parameters, continued CEDIA Cyclosporine PLUS High Range Assay Edit Calibration Parameters Bottle # Dil Factor Cal Rep Resp Range Calibrator Lot: Cal Kit lot 1 _1.0 0.20 Cal value: _per cal lot 2 _1.0 0.20 Cal Value: _per cal lot (More Cal Parms) Edit Linear or Logit/Log Additional Parameters Monotonicity: _Increase Max Resp High: _3.00 Min. Resp. High: _3.00 Cal Fit Goodness Limit: _0.990_ Max Resp. Low: _ 3.00 Min Resp. Low: _ 3.00 Edit Triple Read Parameters Reportable Conc. Triple Read Limit Reportable Min.: 450 10 Critical Conc.: 1000 8.0 % Reportable Max.: 2000 8.0 % Comments: Please see important assay and analyzer notes on page 2. Page 4 of 5 10015031APPS, Rev 1

VITROS Precision Tests for within-run and total precision, evaluated with packaged reagents, controls and calibrators, yielded the following results (N=80/level): Controls Control 4 Control 5 5600 Mean (ng/ml) 793 1602 Within-Run SD (ng/ml) 11.4 26.5 Within-Run CV (%) 1.4 1.7 Total SD (ng/ml) 25.7 61.0 Total CV (%) 3.2 3.8 5,1 FS/4600* Mean (ng/ml) 816 1649 Within-Run SD (ng/ml) 19.8 25.7 Within-Run CV (%) 2.4 1.6 Total SD (ng/ml) 35.0 74.3 Total CV (%) 4.3 4.5 VITROS Accuracy and Correlation Forty (40) whole blood samples were assayed using the CEDIA Cyclosporine PLUS Assay on the Ortho Clinical Diagnostics VITROS 5600, VITROS 5,1 FS and Hitachi 911 analyzers. A Deming s linear regression analysis yielded the following: 5600 = 1.05 (Hitachi 911) + 26, with a correlation coefficient of 0.995 5,1 FS/4600* = 1.05(Hitachi 911) + 28, with a correlation coefficient of 0.996 *Analytical processing hardware and software algorithms on the VITROS 4600 Chemistry System are desinged to the same specifications as those applied to the VITROS 5,1 Chemistry System. Assay performance on the VITROS 4600 System has been demonstrated to be comparable to that on the VITROS 5,1 FS System. All performance characteristics for the VITROS 5,1 FS System are therefore applicable to the VITROS 4600 System. 2011 Thermo Fisher Scientific, Inc. All rights reserved. VITROS is a trademark of Ortho Clinical Diagnostics. All other trademarks are the property of Thermo Fisher Scientific and its subsidiaries. Page 5 of 5 10015031APPS, Rev 1