258/A, 3rd Floor, Narayana Nethralaya Building, Narayana Health City, Hosur Road, Bommasandra, Bangalore, Karnataka, India – 560 099 Sample Collection Instructions Use the 20 ml syringe and 21G needle (provided) to draw maternal peripheral blood by standard techniques. Remove needle from the syringe (in sterile environment) and transfer the contents into the Streck tubes immediately. 10 mL of blood in each of 2 Remove the stopper of the Streck tube by either gently rocking the stopper from side to side or by grasping with a simultaneous twisting and pulling action. A “thumb roll” procedure for stopper removal is NOT recommended as tube breakage and injury may result. cell-free DNA Streck Tubes 20-21 guage straight needles No butterflies Fill both tubes completely. Vein collapse may require second venipuncture Complete label 10 mL of blood Streck Tubes + Biohazard Bag + pe Cheek Swab (if obtained) Gently invert each tube at least 10 times immediately after draw. Gel Pack Filled Envelope Including the father's cheek swab is optional but recommended when easily available. A father's cheek swab may increase the chance of result on the first blood draw, especially when fetal fractions are generally lower, as in mothers with elevated weight or early in pregnancy Cardboard Mailer + Requisition Form There is a preservative in the tube that protects the cells during transport. It is critical that this preservative is gently mixed with the entire blood volume by completely inverting the tube ten times. If the sample is not completely and throughly, mixed a fraction of the cells may lyse and release additional maternal DNA into the plasma requiring a second sample Do not eat 30 minutes prior to collection. Rinse mouth with clean water. Cardboard Mailer Do not freeze or refrigerate 10 mL of 37° blood C Streck Tubes Remove cheek brush from tube and rub against inner lining of father’s cheek for 60 seconds. Rinse Mouth 30 minutes prior prior 30 minutes to collection to collection Place the swab in the same tube and then re-attach cap securely to tube. High or low temperatures may cause the cells to lyse and release additional maternal DNA into the plasma, thus diluting the fetal component and requiring a second sample Complete information on tube labels. Complete label + Replace both tubes and the cheek swab in slot provided in the box. Ensure that the Test requisition form and consent form is complete and placed in the plastic bag provided. Cheek Swab (if obtained) 6° C NIPT Box Complete the check list. Do not freeze or refrigerate + + Cardboard Mailer Leave the filled tubes in the box at room temperature till collection for transport. (Temperature range 60C - 360C) + 6° C Requisition Consent Cheek Metallic Envelope Form Requisition Form Form Contact the local Medgenome representative to arrange for shipping to the laboratory. 37° C Swab (if obtained) Toll Free No: 1800 102 8401 NIPT Box Do not store kits in a refrigerator or freezer. Cardboard Mailer www.medgenome.com [email protected] As per “Pre-Natal Diagnostic techniques(Regulation and prevention of Misuse) Rules, 1996” the lab strictly does not determine the sex of the fetus MG NIPT SAMPLE COLL. INST. 19-05-2015 V1 1
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