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01 WI-00132 Sample Collection Instructions - English

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www.harmonytest.com © 2014 Ariosa Diagnostics, Inc. All Rights Reserved. ARIOSA, the Ariosa Logo, ARIOSA DIAGNOSTICS, the Ariosa Diagnostics Logo, HARMONY PRENATAL TEST and HARMONY are trademarks or registered trademarks of Ariosa Diagnostics, Inc. in the U.S.A. and other countries. All other trademarks are the property of their respective owners. WI-00132-081614-Rev6.0 5 8-10mL 4 3 2 1 Harmony Prenatal Test Sample Collection Instructions 24 HOURS Collect specimen by venipuncture directly into the tube (use only the tubes provided). Recommend using a 21 gauge straight needle. Fill both tubes with blood. Enter draw date on Test Requisition Form (TRF). a) Clearly write the patient’s full name and date of birth on tube barcodes. b) Patient information on the tube (barcode, patient’s name, date of birth) must match the barcode, patient name, and date of birth on the test requisition form. c) Place barcode labels lengthwise in the center of the blood tubes. d) Store and ship filled collection tubes at room temperature. DO NOT refrigerate or freeze the filled collection tubes. DO NOT refrigerate or freeze the gel pack. Fill tube to capacity, do not underfill or overfill. Tubes with low blood volume cannot be accepted for processing. Immediately invert both tubes tubes 8 to 10 times each. a) Insert collection tubes into the absorbent sleeve. b) Place the tubes into the biohazard bag and then seal. a) Ship samples within 24 hours of collection. b) Affix the FedEx airway bill (or other pre-approved carrier) pouch to the outside of the FedEx Clinical Pak. Insert the airway bill into the pouch. c) Package up to 4 shipper kits inside FedEx ClinPak, then seal the pouch closed. Ensure patient information is not visible. c) Fold the gel pack over the biohazard bag. d) Place all contents into the silver protective pouch and seal. e) Place the silver pouch and matching test requisition form into the Harmony shipper box and close. 8-10x Collect Blood Add Barcode Labels to Tubes/Fill Out TRF Package Ship Mix Blood Sample GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK CAUTION: Failure to comply with these sample collection, labeling and shipping instructions may result in degraded samples that are not suitable for performance of the test. These instructions are subject to the terms and conditions on the outer packaging box. Name: ________ DOB: __________ April 18, 1979 AD12345680-PAT AD12345680-PAT GEL PACK GEL PACK GEL PACK GEL PACK Two blood collection tubes One absorbent sleeve One biohazard bag One gel pack One silver protective pouch Store kits and contents at room temperature Do not freeze or refrigerate Do not use expired kits/tubes Always store kits and gel packs at room temperature. DO NOT place test requisition form into the biohazard bag Failure to comply with these labeling instructions may result in rejected samples. One outer packaging box GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK GEL PACK
Transcript
Page 1: 01 WI-00132 Sample Collection Instructions - English

www.harmonytest.com© 2014 Ariosa Diagnostics, Inc. All Rights Reserved. ARIOSA, the Ariosa Logo, ARIOSA DIAGNOSTICS, the Ariosa Diagnostics Logo, HARMONY PRENATAL TEST and HARMONY are trademarks or registered trademarks of Ariosa Diagnostics, Inc. in the U.S.A. and other countries. All other trademarks are the property of their respective owners. WI-00132-081614-Rev6.0

5

8-10mL

4

3

21

Harmony Prenatal Test Sample Collection Instructions

24HOURS

Collect specimen by venipuncture directly into the tube (use only the tubes provided). Recommend using a 21 gauge straight needle. Fill both tubes with blood. Enter draw date on Test Requisition Form (TRF).

a) Clearly write the patient’s full name and date of birth on tube barcodes.

b) Patient information on the tube (barcode, patient’s name, date of birth) must match the barcode, patient name, and date of birth on the test requisition form.

c) Place barcode labels lengthwise in the center of the blood tubes.

d) Store and ship filled collection tubes at room temperature.

DO NOT refrigerate or freeze the filled collection tubes.

DO NOT refrigerate or freeze the gel pack.

Fill tube to capacity, do not underfill or overfill. Tubes with low blood volume cannot be accepted for processing. Immediately invert both tubes tubes 8 to 10 times each.

a) Insert collection tubes into the absorbent sleeve.

b) Place the tubes into the biohazard bag and then seal.

a) Ship samples within 24 hours of collection.

b) Affix the FedEx airway bill (or other pre-approved carrier) pouch to the outside of the FedEx Clinical Pak. Insert the airway bill into the pouch.

c) Package up to 4 shipper kits inside FedEx ClinPak, then seal the pouch closed. Ensure patient information is not visible.

c) Fold the gel pack over the biohazard bag.

d) Place all contents into the silver protective pouch and seal.

e) Place the silver pouch and matching test requisition form into the Harmony shipper box and close.

8-10x

Collect Blood

Add Barcode Labels to Tubes/Fill Out TRF

Package

Ship

Mix Blood Sample

GEL PACKGEL PACK

GEL PACKGEL PACK

GEL PACKGEL PACK

GEL PACKGEL PACK

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CAUTION: Failure to comply with these sample collection, labeling and shipping instructions may result in degraded samples that are not suitable for performance of the test. These instructions are subject to the terms and conditions on the outer packaging box.

Name: ________ DOB: __________April 18, 1979

AD12345680-PAT

AD12345680-PAT

GEL PACK

GEL PACK

GEL PACK

GEL PACK

Two bloodcollection tubes One absorbent sleeve

One biohazard bag One gel pack

One silverprotective pouch

Store kits and contents at room temperatureDo not freeze or refrigerate

Do not use expired kits/tubes

Always store kits and gel packs at room temperature. DO NOT place test requisition form into the biohazard bag

Failure to comply with these labeling instructions may result in rejected samples.

One outerpackaging box

GEL PACK

GEL PACKGEL PACK

GEL PACK

GEL PACKGEL PACK

GEL PACKGEL PACK

GEL PACKGEL PACK

GEL PACKGEL PACK

GEL PACKGEL PACK

GEL PACKGEL PACK

GEL PACKGEL PACK

GEL PACKGEL PACK

GEL PACKGEL PACK

GEL PACK

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