ECAT FOUNDATION - PARTICIPANT INFORMATION Programme and Prices 2021 - External quality Control of diagnostic Assays and Tests
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ECAT FOUNDATION External quality Control of diagnostic Assays and Tests with a focus on Thrombosis and Haemostasis PARTICIPANT INFORMATION Programme and Prices 2021
ECAT FOUNDATION Postal address Visiting address ECAT Foundation ECAT Foundation P.O. BOX 107 Dobbeweg 1 2250 AC Voorschoten 2254 AG Voorschoten The Netherlands The Netherlands Contact details (general) Contact details (financial department) T. +31 71 3030910 T. +31 71 3030911 F. +31 71 3030919 F. +31 71 3030919 E. info@ecat.nl E. finance@ecat.nl W. www.ecat.nl Registration no. at the Chamber of Commerce: 41174102 VAT number: NL802836872B01 IBAN no.: NL38 INGB 0006 9304 71 BIC code: INGBNL2A
INTRODUCTION Dear Participant, It is our pleasure to inform you in this brochure about the ECAT’s external quality programme 2021. The ECAT Foundation is an independent and impartial organisation with the objective to provide an international External Quality Assessment Programme (EQAP) for laboratories working in the field of haemostasis and thrombosis. The ECAT (External quality Control of diagnostic Assays and Tests) provides this international external quality control programme since 1994. It was started as a small-scale quality control programme only in Western Europe. Today more than 1775 laboratories from more than 50 different countries are participating in this worldwide programme. Our primary aim is to contribute to quality assessment and improvement of clinical laboratories operating within the field of thrombosis and haemostasis with respect to the diagnosis and treatment of patients. The ECAT Foundation is based in The Netherlands but provides EQAP for assays and tests in the field of thrombosis and haemostasis on an international scale. The programme is open for every laboratory providing services in the mentioned discipline. In 2021 the ECAT programme includes 35 modules for regular laboratory tests, 1 module for case studies and 1 electronic module for the pre- and post-analytical phase and a quality control programme for the CoaguChek INR monitors. There is also 1 pilot study scheduled (APTT Mixing Study). Via ECAT also 2 interpretative electronic modules on platelet testing of the NASCOLA (United States) are provided as well as 14 modules for molecular biology provided by the DGKL (Germany). We look forward to work with you also in 2021. On behalf of the ECAT team, Dr. Piet Meijer Director Since 25 April 2012 the EQA programme of the ECAT is accredited according to the international standard ISO/IEC 17043:2010 by the Dutch Accreditation Council (RvA). For details see page 20. ECAT Foundation Page 1 of 22 M015 / Release: 081020PM
CONTENT INFORMATION 2021 ..................................................................................................................................................... 3 PROGRAMME CHANGES ........................................................................................................................................................... 3 PRICES ....................................................................................................................................................................................... 3 SUBSCRIPTION INSTRUCTIONS ................................................................................................................................ 4 Instructions and deadline.......................................................................................................................................................... 4 Cancellation .............................................................................................................................................................................. 6 SURVEY SCHEDULE .................................................................................................................................................... 7 PROGRAMME AND PRICES ........................................................................................................................................ 9 ANNUAL SUBSCRIPTION ............................................................................................................................................................ 9 MAIN PROGRAMME ................................................................................................................................................................. 9 LUPUS PROGRAMME ................................................................................................................................................................ 9 ANTICOAGULATION PROGRAMME ......................................................................................................................................... 10 D-DIMER PROGRAMME .......................................................................................................................................................... 10 THROMBIN GENERATION PROGRAMME ................................................................................................................................ 10 PFA PROGRAMME................................................................................................................................................................... 10 THROMBOELASTOGRAHY PROGRAMME ................................................................................................................................ 10 HIT PROGRAMME ................................................................................................................................................................... 10 HOMOCYSTEINE PROGRAMME .............................................................................................................................................. 10 SCREEN PROGRAMME ............................................................................................................................................................ 11 POCT INR QC PROGRAMME .................................................................................................................................................... 11 OTHER SURVEYS ...................................................................................................................................................................... 11 MOLECULAR BIOLOGY ............................................................................................................................................................ 12 SHIPMENT COSTS .................................................................................................................................................................... 12 DETAILED SAMPLE INFORMATION (I) ..................................................................................................................... 13 LIST OF PARAMETERS .............................................................................................................................................. 14 DETAILED SAMPLE INFORMATION (II) .................................................................................................................... 15 PILOT STUDY .............................................................................................................................................................. 16 POCT FOR COAGUCHEK MONITORS ...................................................................................................................... 17 POCT INR QC Programme ....................................................................................................................................................... 18 POCT INR QC Single kits .......................................................................................................................................................... 18 How to order POCT Quality Control Single Kits ....................................................................................................................... 18 GENERAL INFORMATION ECAT FOUNDATION ...................................................................................................... 19 Staff......................................................................................................................................................................................... 19 Members of Supervisory Board ............................................................................................................................................... 19 Website ................................................................................................................................................................................... 19 Survey Manual ........................................................................................................................................................................ 19 Accreditation........................................................................................................................................................................... 20 Products and services from third parties ................................................................................................................................ 20 Confidentiality policy .............................................................................................................................................................. 20 Intellectual property rights and copyrights ............................................................................................................................. 21 Provision of global survey reports ........................................................................................................................................... 21 FINANCES ................................................................................................................................................................... 22 Contact details financial department ..................................................................................................................................... 22 Details ECAT bank account ..................................................................................................................................................... 22 Terms of delivery ..................................................................................................................................................................... 22 ECAT Foundation Page 2 of 22 M015 / Release: 081020PM
INFORMATION 2021 INFORMATION 2021 Below you will find general information about the ECAT EQA Programme 2021. PROGRAMME CHANGES 1. Thromboelastography Programme: (previously ROTEM/TEG Programme) Within the Thromboelastography Programme it will also be possible to participate for the Clot-Pro instrument. 2. Von Willebrand Factor Module: Starting in 2021 the Von Willebrand Factor Module includes 2 different samples (2 vials each) per survey. For this reason there is a significant increase in the module price. See for more details the section “Programme Details 2021”. 3. Emicizumab: A new module for the quantitative measurement of Emicizumab is added to programme. This module is part of the Main programme. There will be two surveys per year, including two samples per survey. See for more details the section “Programme Details 2021”. 4. APTT mixing study Mixing studies represent a simple but very useful tool for the first investigations when APTT prolongations are unexpectedly found. By mixing the patient’s sample with normal (pooled) plasma, they can help to distinguish between factor deficiencies, the presence of specific or unspecific inhibitors or lupus anticoagulant. The purpose of this pilot study is to investigate different analytical methodologies (e.g. ratio patient plasma – normal plasma, incubation yes or no) in relation to the interpretation of the test results. The study includes several samples with different causes for a prolonged APTT. This pilot study is free-of-charge and will take place in May/June 2021. PRICES General price information: The general increase of the prices is approx. 2.5%. This is mainly caused by inflation, increasing costs for staff and distribution of samples. Due to a change in the shipment procedure at DGKL (courier service instead of postal service) an extra annual fee of € 50,= will be charged per registration for one or more Molecular Biology surveys. Printed survey report: Some laboratories still would like to have a printed copy of the report (despite the fact that their report is online available). Due to a continuous increase in costs for printing and postal service we have to further increase the extra annual price for printed reports from € 105.= to € 125.= The annual subscription fee + printed report will be € 250.00. Extra samples: If you would like to receive extra samples of a specific module of the ECAT programme in every survey this needs to be specifically indicated on the website subscription form. The default setting is your current subscription. You can change this number to the required number of sets. The cost for a set of extra samples is 70% of the module price and this will be added to your invoice. We don’t provide single samples, but always send a complete set. For a detailed overview of the prices 2021 see page 9 – 12. ECAT Foundation Page 3 of 22 M015 / Release: 081020PM
SUBSCRIPTION INSTRUCTIONS 2021 SUBSCRIPTION INSTRUCTIONS Instructions and deadline Closing date subscription 2021: Friday 20 November 2020 !!! For your subscription 2021 you should use the electronic subscription form on our website. Always complete this subscription form, even when you don’t intend to change your modules! Your subscription profile of 2020 is used as default setting, but you are able to modify the selection and to adjust the number of required sets. The subscription form should be fully completed before it is submitted. After submission no modifications can be made anymore. Instructions: Go to he ECAT website (www.ecat.nl) and select Participant Area (upper menu). Select the option Subscription 2021 (left menu) Select the blue button Subscription 2021. Login with your Labcode and Password ECAT Foundation Page 4 of 22 M015 / Release: 081020PM
SUBSCRIPTION INSTRUCTIONS 2021 Select the button ECAT Subscription Now the subscription form appears (see example below). - In the column Select you can select and deselect modules. - In the column Number of Sets you can indicate the required number of sample sets (Default is your number of last year. For a new selected module the default is 1). For details about the pricing of extra sample sets see page 3. - In the column Amount the total price, excl. VAT appears. At the bottom of the form the total price appears. If you are obliged to pay VAT, this is added to the total amount. - If you want to indicate an Order Number, please enter this in the apropriate field at the bottom of the form (see figure below). This order number will be used on the invoice. - A confirmation e-mail is sent after submission. For this e-mail you can select one of the e-mail addresses currently available in our database. - Before you are able to submit your subscription you have to accept the ECAT terms of delivery (at the bottom of the form – see figure below). - With the PDF button on the bottom of the page you can create a PDF of the subscription form and store and/or print this form. - When the subscription form is completed it should be submitted by selecting the Submit button at the bottom of the form. Only submit when the subscription form has been fully completed! Order number Submit button Accept terms of delivery Confirmation e-mail address PDF button ECAT Foundation Page 5 of 22 M015 / Release: 081020PM
SUBSCRIPTION INSTRUCTIONS 2021 Cancellation If you would like to cancel in 2021 your participation in the ECAT EQA programme you can also use the ECAT subscription application. Follow the instructions described on page 4 to get access to the subscription form. At the bottom of this form you may find a Cancel button (see figure below). Before you cancel, please select an e-mail address to whom the cancellation confirmation should be sent (see figure below). Confirmation e-mail address Cancel button The deadline for cancellation is November 20th 2020. ECAT Foundation Page 6 of 22 M015 / Release: 081020PM
PROGRAMME DETAILS 2021 SURVEY SCHEDULE Survey Sample dispatch date Survey period start Survey period end Survey report available MAIN PROGRAMME 2021 - M1 9 March 16 March 13 April 11 May 2021 - M2 25 May 1 June 29 June 27 July 2021 - M3 24 August 31 August 28 September 26 October 2021 - M4 2 November 9 November 7 December 18 January 2022 LUPUS PROGRAMME 2021 - L1 9 March 16 March 13 April 11 May 2021 - L2 25 May 1 June 29 June 27 July 2021 - L3 24 August 31 August 28 September 26 October 2021 - L4 2 November 9 November 7 December 18 January 2022 ANTICOAGULATION PROGRAMME 2021 - A1 9 March 16 March 13 April 11 May 2021 - A2 25 May 1 June 29 June 27 July 2021 - A3 24 August 31 August 28 September 26 October 2021 - A4 2 November 9 November 7 December 18 January 2022 D-DIMER PROGRAMME 2021 - D1 29 March 7 April 19 April 2021 - D2 14 June 22 June 2 July Beginning of March 2021 2021 - D3 13 September 21 September 1 October 2021 - D4 22 November 30 November 10 December SCREEN PROGRAMME 2021 - S1 29 March 2 April 12 April 2021 - S2 3 May 7 May 17 May 2021 - S3 21 June 25 June 5 July 2021 - S4 2 August 6 August 16 August Beginning of March 2021 2021 - S5 13 September 17 September 27 September 2021 - S6 25 October 29 October 8 November 2021 - S7 6 December 10 December 20 December 2021 - S8 17 January 2022 21 January 2022 31January 2022 THROMBIN GENERATION PROGRAMME 2021 - TG2 25 May 1 June 29 June 27 July 2021 - TG4 2 November 9 November 7 December 18 January 2022 THROMBOELASTOGRAPHY PROGRAMME 2021 - T1 9 March 16 March 13 April 11 May 2021 - T2 25 May 1 June 29 June 27 July 2021 - T3 24 August 31 August 28 September 26 October 2021 - T4 2 November 9 November 7 December 18 January 2022 HIT PROGRAMME 2021 - HIT 24 August 31 August 28 September 26 October HOMOCYSTEINE PROGRAMME 2021 - H1 9 March 16 March 13 April 11 May 2021 - H2 25 May 1 June 29 June 27 July 2021 - H3 24 August 31 August 28 September 26 October 2021 - H4 2 November 9 November 7 December 18 January 2022 ECAT Foundation Page 7 of 22 M015 / Release: 081020PM
PROGRAMME DETAILS 2021 POCT INR QC PROGRAMME Quarter Sample dispatch date Survey period start Survey period end Survey report available 2021 - Q1 16 February 16 February 31 March 30 April 2021 - Q2 6 April 6 April 30 June 31 July 2021 - Q3 6 July 6 July 30 September 31 October 2021 - Q4 5 October 5 October 31 December 31 January 2022 OTHER SUREYS Survey Period Post Analytical Platelet Function EQA (electronic survey) Spring, Autumn (2 surveys per year) Platelet Dense Granule exercise (electronic survey) Spring, Autumn (2 surveys per year) Case studies on bleeding disorders Autumn (1 survey per year) Pre- and post-analytical electronic surveys in haemostasis Autumn (1 survey per year) MOLECULAR BIOLOGY (via DGKL, Germany) Survey Sample dispatch date Survey period start Survey period end MG1 1/21 10 March 15 March 3 April MG1 2/21 1 September 6 September 25 September MG2 1/21 10 March 15 March 3 April MG2 2/21 1 September 6 September 25 September SQ 1/21 10 March 15 March 10 April SQ 2/21 1 September 6 September 2 October DI 1/21 10 March 15 March 10 April DI 2/21 1 September 6 September 2 October ECAT Foundation Page 8 of 22 M015 / Release: 081020PM
PROGRAMME DETAILS 2021 PROGRAMME AND PRICES # Prices are excluding VAT Annual Subscription The annual subscription fee is mandatory for each participant and will be added to the fee for the selected modules. The following options are available for the annual subscription fee: internet result submission, survey report only via internet as PDF internet result submission, survey report via internet as PDF and a printed copy by postal service ANNUAL SUBSCRIPTION The annual subscription fee is mandatory for each participant. Description Price (Euro) # Product code Annual Subscription Fee (result submission via internet / survey report via internet) 125.00 101 Annual Subscription Fee (result submission via internet / survey report via internet + by post) 250.00 102 NUMBER PRICE PRODUCT DESCRIPTION OF SURVEYS SURVEY CODES (EURO) # CODE MAIN PROGRAMME Thrombophilia - I: Antithrombin (activity and antigen), Protein C (activity [chromogenic and clotting] and antigen), 4 2021-M1 2021-M2 2021-M3 2021-M4 365.00 402 Protein S activity, Protein S antigen (total and free) Thrombophilia - II 4 2021-M1 2021-M2 2021-M3 2021-M4 147.50 417 APC Resistance Coagulation Factor - I Factor VIII (clot and chromogenic activity), 4 2021-M1 2021-M2 2021-M3 2021-M4 180.00 406 IX (clot and chromogenic activity), XI:C and XII:C Coagulation Factor - II 4 2021-M1 2021-M2 2021-M3 2021-M4 180.00 407 Factor II:C, V:C, VII:C and X:C Von Willebrand Factor parameters (antigen, ristocetin cofactor activity, activity, 4 2021-M1 2021-M2 2021-M3 2021-M4 275.00 408 collagen binding, multimers, Factor VIII) ADAMTS13 - I (activity and antigen) 4 2021-M1 2021-M2 2021-M3 2021-M4 192.50 409 ADAMTS13 - II (antibodies) 2 2021-M2 2021-M4 125.00 410 Factor XIII (activity and antigen) 4 2021-M1 2021-M2 2021-M3 2021-M4 137.50 411 Fibrinolysis - I 4 2021-M1 2021-M2 2021-M3 2021-M4 133.50 412 Plasminogen, Antiplasmin Fibrinolysis - II 4 2021-M1 2021-M2 2021-M3 2021-M4 133.50 413 t-PA, PAI-1 Haemophilia Factor VIII (clot and chromogenic activity) 4 2021-M1 2021-M2 2021-M3 2021-M4 232.50 418 Factor IX (clot and chromogenic activity) Factor VIII inhibitor 2 2021-M2 2021-M4 180.00 202 Factor IX Inhibitor 2 2021-M1 2021-M3 180.00 201 Emicizumab 2 2021-M2 2021-M4 180.00 223 LUPUS PROGRAMME Lupus Anticoagulant / Antiphospholipid 4 2021-L1 2021-L2 2021-L3 2021-L4 172.50 404 Antibodies ECAT Foundation Page 9 of 22 M015 / Release: 081020PM
PROGRAMME DETAILS 2021 NUMBER PRICE PRODUCT DESCRIPTION OF SURVEYS SURVEY CODES (EURO) # CODE ANTICOAGULATION PROGRAMME Unfractionated Heparin Monitoring 4 2021-A1 2021-A2 2021-A3 2021-A4 120.50 414 (anti-Xa) Low-Molecular Weight Heparin Monitoring 4 2021-A1 2021-A2 2021-A3 2021-A4 120.50 415 (anti-Xa) Orgaran (anti-Xa) 2 2021-A2 2021-A4 61.50 205 Fondaparinux (anti-Xa) 2 2021-A2 2021-A4 61.50 206 Rivaroxaban (anti-Xa) 2 2021-A2 2021-A4 61.50 207 Apixaban (anti-Xa) 2 2021-A2 2021-A4 61.50 208 Edoxaban (anti-Xa) 2 2021-A2 2021-A4 61.50 221 Argatroban (anti-IIa/dTT) 2 2021-A2 2021-A4 61.50 209 Dabigatran (anti-IIa/dTT) 2 2021-A2 2021-A4 61.50 210 D-DIMER PROGRAMME D-Dimer 4 2021-D1 2021-D2 2021-D3 2021-D4 133.50 405 THROMBIN GENERATION PROGRAMME Thrombin Generation Test 2 2021-TG2 2021-TG4 143.50 203 PFA PROGRAMME PFA-100/200 2 2021-P2 2021-P4 435.00 222 THROMBOELASTOGRAHY PROGRAMME ROTEM delta □ 1 instrument / 1 set of samples ROTEM 305.00 212 4 2021-T1 2021-T2 2021-T3 2021-T4 □ 2 instruments / 2 sets of samples ROTEM 518.50 213 □ 3 instruments / 3 sets of samples ROTEM 732.00 214 ROTEM sigma □ 1 instrument / 1 set of samples ROTEM 305.00 215 4 2021-T1 2021-T2 2021-T3 2021-T4 □ 2 instruments / 2 sets of samples ROTEM 518.50 216 □ 3 instruments / 3 sets of samples ROTEM 732.00 217 TEG □ 1 instrument / 1 set of samples TEG 305.00 218 4 2021-T1 2021-T2 2021-T3 2021-T4 □ 2 instruments / 2 sets of samples TEG 518.50 219 □ 3 instruments / 3 sets of samples TEG 732.00 220 CLOT-PRO □ 1 instrument / 1 set of samples CLOT-PRO 4 2021-T1 2021-T2 2021-T3 2021-T4 305.00 224 □ 2 instruments / 2 sets of samples CLOT-PRO 518.50 225 □ 3 instruments / 3 sets of samples CLOT-PPRO 732.00 226 HIT PROGRAMME HIT - I (immunological testing) 1 2021-HIT 105.00 204 HOMOCYSTEINE PROGRAMME Homocysteine 1 2021-H1 2021-H2 2021-H3 2021-H4 120.50 416 ECAT Foundation Page 10 of 22 M015 / Release: 081020PM
PROGRAMME DETAILS 2021 NUMBER PRICE PRODUCT DESCRIPTION OF SURVEY CODES SURVEYS (EURO) # CODE SCREEN PROGRAMME Screen - I: APTT, PT/INR 2021- 2021- 2021- 2021- 2021- 2021- 2021- 2021- 8 235.00 501 and Fibrinogen S1 S2 S3 S4 S5 S6 S7 S8 Screen - II: Thrombin 2021- 2021- 2021- 2021- 2021- 2021- 2021- 2021- 8 235.00 502 Time, Reptilase Time S1 S2 S3 S4 S5 S6 S7 S8 NUMBER PRICE PRODUCT DESCRIPTION OF (EURO) SURVEYS SURVEY CODES # CODE POCT INR QC PROGRAMME No annual subscription fee applicable if only participating in the POCT INR QC Programme. POCT INR QC Programme 4 2021-Q1 2021-Q2 2021-Q3 2021-Q4 415.00 301 for CoaguChek INR monitors (any type) * Annual shipping costs for countries outside Europe: on request. NUMBER PRICE ORGANISED SURVEY PRODUCT DESCRIPTION OF (EURO) BY PERIOD(S) # CODE SURVEYS OTHER SURVEYS Post Analytical Platelet Function EQA Nascola, USA 2 Spring, Autumn 195.00 701 (electronic survey) Platelet Dense Granule exercise Nascola, USA 2 Spring, Autumn 195.00 704 (electronic survey) Case studies on bleeding disorders ECAT/ (distribution separately from the regular 1 Autumn 102.50 703 INSTAND surveys) Pre- and post-analytical electronic surveys ECAT 1 Autumn 75.00 705 in haemostasis ECAT Foundation Page 11 of 22 M015 / Release: 081020PM
PROGRAMME DETAILS 2021 MOLECULAR BIOLOGY (In co-operation with the DGKL, Germany) NUMBER PRICE PRODUCT SURVEY DESCRIPTION OF SURVEY CODES (EURO) # CODE SURVEY MOLECULAR GENETICS MG1 S FV-Leiden, Prothrombin, MTHFR (C677T, MG1 Set A A1298C), PAI-I 4G5G 2 MG1 1/20 MG1 2/20 ** 601 FXIII V34L, GPIIIa, βFib (g455a), VKORC1 MG1 Set B (G-1639A/C1173T), FXII c46t, FV-H1299R 2 MG1 1/20 MG1 2/20 ** 602 MG1 Set C a1 PI, Apo E, ApoB100, ACE, CETP 2 MG1 1/20 MG1 2/20 ** 603 Aldo B (149,174,334), HFE (H63D, C282Y, MG1 Set D S65C), LCT c-13910t, 2 MG1 1/20 MG1 2/20 ** 604 NOD2 (R702W, G908R, L1007fins C) M. Wilson (ATP7B-C3207A), FSAP (Marburg-I), MG1 Set E ITGA2 Gplalla C807T, Col1A1 SP1, VDR 2 MG1 1/20 MG1 2/20 ** 605 (BsmI/Apal,TaqI) Faktor VII (R353Q), AT3 Cambridge Typ I/II, MG1 Set F CYP3A5*3 2 MG1 1/20 MG1 2/20 ** 606 MOLECULAR GENETICS MG2 TPMT, CYP2C8 (K399R), CYP2C9 *2/*3, UGT1A1 (*28), DPYD *2A (Ex 14 skipping), MG2 Set A BCHE A/K, DPYD *13, DPYD D949V 2 MG2 1/20 MG2 2/20 ** 801 (rs67376798), DPYD 1129 (rs75018182) K-Ras: Codon 12/13/61, BRAF V600E, BRAF MG2 Set B V600K, cKit D816V, NRAS Q61 (rs121913254, 2 MG2 1/20 MG2 2/20 ** 802 rs11554290, rs121913295) MG2 Set C HLA-B27, TNF alpha (238, 308) 2 MG2 1/20 MG2 2/20 ** 803 MG2 Set D CYP2D6, CYP2C19 (*2/*17), CYP2C19*3 2 MG2 1/20 MG2 2/20 ** 804 HLA B*5701, CYP2B6*6, ABCB1 (MDR1) MG2 Set E c.3435>T, CCR5-del-32bp 2 MG2 1/20 MG2 2/20 ** 805 IL28B (C/T Polymorphismus), IL6 (G174C), MG2 Set F CYP3A4*22 2 MG2 1/20 MG2 2/20 ** 806 PRICES MG1 or MG2 ** MG1 or MG2: One set : € 116.00 Three sets: € 256.00 Five sets: € 396.00 Two sets: € 186.00 Four sets: € 326.00 Six sets: € 466.00 DNA SEQUENCING SQ DNA Sequencing (Sequencing and corresponding diagnostic 2 SQ 1/20 SQ 2/20 264.00 901 interpretation) DNA ISOLATION DI DNA Isolation (DNA isolation and FV genotyping) The FV genotyping includes: FV-Leiden (ARG506GLN), FV-H1299R (HIS1299ARG), FV-Cambridge (ARG306THR), 2 DI 1/20 DI 2/20 124.00 902 FV-Hong-Kong (ARG306GLY), FII g20210a, MTHFR C677T, HFE (H63D, C282Y, S65C) Per registration for one or more of the Molecular Biology surveys Extra costs for shipment of Molecular Biology surveys an annual fee of € 50,= will be charged. SHIPMENT COSTS Prices includes delivery of samples by regular postal service. When delivery of samples by courier service is required, additional costs have to be paid. These costs depend on the country of delivery. For questions about delivery by courier service, please contact the ECAT office. Due to a change in the shipment procedure at DGKL (courier service instead of postal service) an extra annual fee of € 50,= will be charged per registration for one or more Molecular Biology surveys. ECAT Foundation Page 12 of 22 M015 / Release: 081020PM
PROGRAMME DETAILS 2021 DETAILED SAMPLE INFORMATION (I) Number of Number of Survey different vials per Description Code samples sample Component per survey code Thrombophilia - I Antithrombin (activity and antigen), Protein C (activity [chromogenic and M 2 2 Plasma, lyophilised clotting] and antigen), Protein S activity, Protein S antigen (total and free) Thrombophilia - II M 2 1 Plasma, lyophilised APC Resistance Coagulation Factor - I Factor VIII (clot and chromogenic activity), IX (clot and chromogenic M 2 2 Plasma, lyophilised activity), XI:C and XII:C Coagulation Factor - II M 2 2 Plasma, lyophilised Factor II:C, V:C, VII:C and X:C Von Willebrand Factor parameters (antigen, ristocetin cofactor activity, activity, collagen binding, multimers, M 2 2 Plasma, lyophilised Factor VIII) ADAMTS13 - I (activity and antigen) M 2 1 Plasma, lyophilised ADAMTS13 - II (antibodies) M 2 1 Plasma, lyophilised Factor XIII (activity and antigen) M 2 1 Plasma, lyophilised Fibrinolysis - I M 2 1 Plasma, lyophilised Plasminogen, Antiplasmin Fibrinolysis - II M 2 1 Plasma, lyophilised t-PA, PAI-1 Haemophilia M 2 1 Plasma, lyophilised Factor VIII / Factor IX (clot and chromogenic activity) Factor VIII inhibitor M 2 1 Plasma, lyophilised Factor IX Inhibitor M 2 1 Plasma, lyophilised Emicizumab M 2 1 Plasma, lyophilised Lupus Anticoagulant / Antiphospholipid Antibodies L 1 2 Plasma, lyophilised Unfractionated Heparin Monitoring (anti-Xa) A 2 1 Plasma, lyophilised Low-Molecular Weight Heparin Monitoring (anti-Xa) A 2 1 Plasma, lyophilised Orgaran (anti-Xa) A 2 1 Plasma, lyophilised Fondaparinux (anti-Xa) A 2 1 Plasma, lyophilised Rivaroxaban (anti-Xa) A 2 1 Plasma, lyophilised Apixaban (anti-Xa) A 2 1 Plasma, lyophilised Edoxaban (anti-Xa) A 2 1 Plasma, lyophilised Argatroban (anti-IIa/dTT) A 2 1 Plasma, lyophilised Dabigatran (anti-IIa/dTT) A 2 1 Plasma, lyophilised D-Dimer D 2 1 Plasma, lyophilised Screen - I S 2 1 Plasma, lyophilised APTT, PT/INR and Fibrinogen Screen - II S 2 1 Plasma, lyophilised Thrombin Time, Reptilase Time Thrombin Generation Test TG 3 1 Plasma, lyophilised PFA-100/200 PFA 2 2 tubes ± additives ROTEM delta T 2 1 Plasma, lyophilised ROTEM sigma T 2 1 Plasma, lyophilised TEG T 2 1 Plasma, lyophilised CLOT-PRO T 2 1 Plasma, lyophilised HIT - I (immunological testing) HIT 2 1 Plasma or serum, lyophilised Homocysteine H 2 1 Plasma, lyophilised POCT INR QC Programme Q 4 1 Plasma, lyophilised Post Analytical Platelet Function EQA (electronic survey) - - - Platelet Dense Granule exercise (electronic survey) - - - Case studies on bleeding disorders 1 1 or 2 Plasma, lyophilised Pre- and post-analytical electronic surveys in haemostasis - - - Molecular Genetics MG1 2 1 DNA preparation, lyophilised Molecular Genetics MG2 2 1 DNA preparation, lyophilised DNA Sequencing 5 1 DNA preparation, lyophilised DNA Isolation 2 1 Full blood, K-EDTA ECAT Foundation Page 13 of 22 M015 / Release: 081020PM
PROGRAMME DETAILS 2021 LIST OF PARAMETERS Parameter Module Survey Code ADAMTS-13 activity ADAMTS13 - I M ADAMTS-13 antigen ADAMTS13 - I M ADMATS-13 antibodies ADAMTS13 - II M Anticardiolipin antibodies (IgG, IgM) Lupus Anticoagulant / Antiphospholipid Antibodies L Antithrombin activivty Thrombophilia - I M Antithrombin antigen Thrombophilia - I M APC Resistance Thrombophilia - II M Apixaban (anti-Xa) Apixaban A APTT (clotting time / ratio) Screen – I S Argatroban (anti-IIa / dTT) Argatroban A CLOT-PRO CLOT-PRO T Dabigatran (anti-IIa / dTT) Dabigatran A D-Dimer D-Dimer D Edoxaban (anti-Xa) Edoxaban A Emicizumab Emicizumab M Factor II:C Coagulation Factor - II M Factor V:C Coagulation Factor - II M Factor VII:C Coagulation Factor - II M Factor VIII (clot and chromogenic) Coagulation Factor - I / Haemophilia M Factor VIII Inhibitor Factor VIII Inhibitor M Factor IX (clot and chromogenic) Coagulation Factor - I / Haemophilia M Factor IX Inhibitor Factor IX Inhibitor M Factor X:C Coagulation Factor - II M Factor XI:C Coagulation Factor - I M Factor XII:C Coagulation Factor - I M Factor XIII activity Factor XIII M Factor XIII antigen Factor XIII M Fibrinogen (Clauss) Screen – I S Fibrinogen (Derived) Screen – I S Fondaparinux (anti-Xa) Fondaparinux A ß2-Glycoprotein I antibodies (IgG, IgM) Lupus Anticoagulant / Antiphospholipid Antibodies L HIT (immunological testing) HIT – I HIT Homocysteine Homocysteine H INR Screen – I S INR POCT POCT INR QC Programme Q Low-Molecular Heparin (anti-Xa) Low-Molecular Heparin Monitoring A Lupus Anticoagulant Lupus Anticoagulant / Antiphospholipid Antibodies L Orgaran (anti-Xa) Orgaran A PAI-1 activity Fibrinolysis - II M PAI-I antigen Fibrinolysis - II M PFA-100/200 PFA-100/200 PFA Plasminogen activity Fibrinolysis - I M Plasmin Inhibitor (antiplasmin) activity Fibrinolysis - I M Protein C acivity (chromogenic / clotting) Thrombophilia - I M Protein C antigen Thrombophilia - I M Protein S activity Thrombophilia - I M Protein S antigen (total and free) Thrombophilia - I M PT (clotting time, percentage) Screen – I S Reptilase Time (clotting time / ratio) Screen – II S Rivaroxaban (anti-Xa) Rivaroxaban A ROTEM delta ROTEM delta T ROTEM sigma ROTEM sigma T TEG TEG T Thrombin Generation Test Thrombin Generation Test TG Thrombin Time (clotting time / ratio) Screen – II S t-PA antigen Fibrinolysis - II M Unfractionated Heparin (anti-Xa) Unfractionated Heparin Monitoring A Von Willebrand Factor antigen Von Willebrand Factor Parameters M Von Willebrand Factor ristocetin cofactor activity Von Willebrand Factor Parameters M Von Willebrand Factor activity Von Willebrand Factor Parameters M Von Willebrand Factor collagen binding Von Willebrand Factor Parameters M Von Willebrand Factor multimers Von Willebrand Factor Parameters M Von Willebrand Factor / Factor VIII Von Willebrand Factor Parameters M ECAT Foundation Page 14 of 22 M015 / Release: 081020PM
PROGRAMME DETAILS 2021 DETAILED SAMPLE INFORMATION (II) Measuring range Number of participants Description (approx.) (approx.) Thrombophilia - I Antithrombin (activity and antigen), Protein C (activity 20 – 120% 395 [chromogenic and clotting] and antigen), Protein S activity, Protein S antigen (total and free) Thrombophilia - II APC Resistance normal / FV Leiden 260 Coagulation Factor - I 0 – 200% 300 Factor VIII (clot and chromogenic activity), IX:C, XI:C and XII:C Coagulation Factor – II 0 – 200% 250 Factor II:C, V:C, VII:C and X:C Von Willebrand Factor parameters 0 – 125% 415 (antigen, activity, collagen binding, multimers, Factor VIII) ADAMTS13 - I (activity and antigen) 0 – 125% 120 ADAMTS13 - II (antibodies) 0 – 10 BU/mL 70 Factor XIII (activity and antigen) 0 – 120% 180 Fibrinolysis - I Plasminogen, Antiplasmin 0 – 120% 155 Fibrinolysis - II t-PA, PAI-1 0 – 50 ng/mL 70 Haemophilia 0 – 100% 110 Factor VIII inhibitor 0 – 15 BU/mL 355 Factor IX Inhibitor 0 – 15 BU/mL 265 Emicizumab therapeutic range New Lupus Anticoagulant / Antiphospholipid Antibodies negative - positive 620 Unfractionated Heparin Monitoring (anti-Xa) 0 – 1.25 IU/mL 160 Low-Molecular Weight Heparin Monitoring (anti-Xa) 0 – 1.25 IU/mL 280 Orgaran (anti-Xa) therapeutic range 130 Fondaparinux (anti-Xa) therapeutic range 130 Rivaroxaban (anti-Xa) therapeutic range 250 Apixaban (anti-Xa) therapeutic range 225 Edoxaban (anti-Xa) therapeutic range 85 Argatroban (anti-IIa, dTT) therapeutic range 55 Dabigatran (anti-IIa, dTT) therapeutic range 195 D-Dimer normal - elevated 665 Thrombin Generation Test normal / abnormal 55 PFA normal - pathological 105 ROTEM delta normal - pathological 85 ROTEM sigma normal - pathological 35 TEG normal - pathological 15 Clot-Pro normal - pathological New HIT - I (immunological testing) negative / positive 465 Homocysteine 0 – 100 µmol/L 50 Screen - I APTT, PT normal – prolonged 290 INR 1.0 – 5.0 Fibrinogen 1.0 – 4.0 g/L Screen - II Thrombin Time, Reptilase Time normal – prolonged 110 POCT INR QC Programme 2 – 4.5 45 Post Analytical Platelet Function EQA (electronic survey) - 115 Platelet Dense Granule exercise (electronic survey) - 15 Case studies on bleeding disorders - 80 Pre- and post-analytical electronic surveys in haemostasis - 55 ECAT Foundation Page 15 of 22 M015 / Release: 081020PM
PROGRAMME DETAILS 2021 Part of the samples used in the surveys is from commercial source. For abnormal samples real patient plasma is used when appropriate. Samples are provided as lyophilized material. Instructions for use of the samples will be given in the Survey Manual and the Survey Instructions. Molecular Biology In co-operation with the DGKL in Germany several EQA programmes related to Molecular Biology are provided. Molecular Diagnostic Testing Twice a year an EQA programme for Molecular Diagnostic Testing is provided. There are two modules on molecular genetic testing (MG1 and MG2), each including 6 sets with different genetic defects to be tested. Within a module the relevant sets for participation should be selected. For details see page 12. The material provided is purified DNA. DNA isolation Twice a year an EQA programme for DNA isolation is provided. Here whole EDTA-blood is provided. These surveys focus on the determination of concentration of DNA, ratio 260/280, method of identification and defined genotypes. DNA sequencing Twice a year an EQA programme for DNA sequencing is provided. Purified DNA is provided. DNA sequencing should be performed and corresponding diagnostic interpretation should be given. Special surveys Electronic post-analytical platelet function survey: In co-operation with the NASCOLA in the United States twice a year a post-analytical survey for platelet function testing is provided. These surveys focus on the interpretation of aggregation patterns in combination with a case description. Platelet Dense-Granual Survey: In co-operation with the NASCOLA in the United States twice per year a platelet dense-granule survey is provided. This is a paper or electronic challenge in which electron microscopy images have to be evaluated. Case studies on bleeding disorders: Case studies on bleeding disorders is a combination of analytical aspects as well as case-based interpretation of the laboratory results. The participant will receive plasma to perform laboratory tests, which can be selected based on a given case description. Genetic testing will be included as an option. In addition a questionnaire on the interpretation of test results has to be completed as well. The scope of this case studies is to investigate the ability of proper interpretation of the clinical case description and the obtained laboratory test results, resulting in the correct diagnosis. Pre- and post-analytical survey: This is an electronic survey in which multiple choice questions with respect to aspects of the pre- and post-analytical phase have to be answered. Comments on the given answers are shown and an overview of the score is given. Disclaimer: The ECAT Foundation is not responsible for either the content or the evaluation of the test results of surveys provided either by the NASCOLA or DGKL. PILOT STUDY APTT mixing study Mixing studies represent a simple but very useful tool for the first investigations when APTT prolongations are unexpectedly found. By mixing the patient’s sample with normal (pooled) plasma, they can help to distinguish between factor deficiencies, the presence of specific or unspecific inhibitors or lupus anticoagulant. The purpose of this pilot study is to investigate different analytical methodologies (e.g. ratio patient plasma – normal plasma, incubation yes or no) in relation to the interpretation of the test results. The study includes several samples with different causes for a prolonged APTT. This pilot study is free-of-charge and will take place in May/June 2021. ECAT Foundation Page 16 of 22 M015 / Release: 081020PM
POINT-OF-CARE TESTING 2021 POCT FOR COAGUCHEK MONITORS Introduction The ECAT Foundation provides an external quality control kit for CoaguChek INR monitors. It can be used for quality control of reference monitors in coagulation clinics, monitors used in hospital settings, medical centres etc. as well as individual monitors of patients. It is possible to evaluate more than one monitor (max. approx. 5) at the same time with one quality control kit. Because of the use of a set of 4 certified plasma samples it is possible to get, within a certain confidence interval, insight in the correctness of INR measurement within the therapeutic interval. The results can be evaluated using an online evaluation tool and the evaluation report per monitor is immediately available. It is advisable to evaluate the performance of each monitor at least twice a year or after the change of a lot number of test strips. Examples of QC kit and evaluation tool Ready-to-use QC kit (excl. test strips): Clear instructions: 4. The control samples must now be mixed well with the water. This should be done as follows: Firmly hold the bottle as shown in the photo opposite. Turn the bottle upside down and back up again by rotating your lower arm. (The bottle must not be shaken, as this will cause foam to appear in the bottle of the control sample. This must be avoided .) Repeat this action 5 times. Repeat this procedure for all control sample bottles. Then leave the bottles to stand for 15 minutes. During this time prepare the CoaguChek monitor for use. Online evaluation tool: (evaluation report immediately available) Clearly structured and informative evaluation report: ECAT Foundation Page 17 of 22 M015 / Release: 081020PM
POINT-OF-CARE TESTING 2021 POCT INR QC 2021 For 2021 the ECAT offers the following options: POCT INR QC Programme Samples are provided as QC kit 4 times per year. Each quarter you will receive a different lot-number of the quality control kit. For evaluation the webtool is available and the reports per monitor are generated immediately. You will receive an overall evaluation report after each quarter. More information about the dispatch date of the kits and survey period can be found on page 8. Information about the cost is given on page 11. Registration POCT INR QC Programme: Registration for this POCT INR QC Programme is included in the online subscription form 2021. POCT INR QC Single kits The single kits can be ordered and evaluated at any time. For evaluation the webtool is available and the reports per monitor are generated immediately. Price (Euro) Product Description Excl. VAT and shipment cost ** code ECAT INR Quality Control single kit 75.00 ECAT11001 ** Shipping and handling costs per order: - within the Netherlands: € 12,50 - within Europe: € 25,= - outside Europe: price on request For orders of more than 25 sets at once a special price can be provided. Orders for these POCT quality control kits will be separately invoiced from the regular EQA programme. How to order POCT Quality Control Single Kits In the POCT section at the ECAT website (POCT → POCT single kit - order form) a special order form can be found for ordering POCT QC kits. This online order form can only be used to order a number of single kits, Product code ECAT11001. ECAT Foundation Page 18 of 22 M015 / Release: 081020PM
GENERAL INFORMATION ECAT FOUNDATION 2021 GENERAL INFORMATION ECAT FOUNDATION The ECAT is an independent and impartial organisation. Its legal entity is a foundation directed by the director, dr. P. Meijer. A Supervisory Board oversees the foundation and also serves as the Scientific Advisory Board. Members of the Supervisory Board are well experienced in the field of thrombosis and haemostasis. Staff Name Position Dr. P. Meijer Director Mrs. M. Van der Voorn Quality Programme Coordinator Dr. M. van Essen Programme Expert Mrs. J. Begieneman Customer Support Mr. C. van den Broek Assistant Quality Programme Coordinator Mrs. A. de Haan Survey Assistant Mrs. W. Hoogenboom Financial Manager Mrs. G. Zandbergen Financial co-worker / Survey Assistant Members of Supervisory Board Name Specialism Position Prof. Dr. M.P.M. de Maat Biochemist/epidemiologists/clinical chemist Chair Drs. F. van den Hurk Financial specialist Member Dr. W. van Gelder Clinical chemist Member Dr. F.J.M. van der Meer Internist Member Dr. J. Ruinemans-Koerts Clinical chemist Member Prof. Dr. J.C.M. Meijers Biochemist Member Website At the ECAT website (www.ecat.nl) there is a specific participant area which contains the result submission facility, survey reports, information and documents. These sections can be accessed with a Login function. Each participant has his own unique username and password. These are provided by the ECAT office at the start of the participation. For laboratories using our quality control for the CoaguChek monitors an evaluation tool is available at our website. This can be accessed by a special login (POCT, followed by Evaluation) from the main menu at our website. This requires a different username and password. Each user has his own unique username and password. These are provided by the ECAT office at the start of the participation. Survey Manual The Survey Manual 2021, which includes detailed instructions how to perform the surveys, will become online available before the start of the first survey. ECAT Foundation Page 19 of 22 M015 / Release: 081020PM
GENERAL INFORMATION ECAT FOUNDATION 2021 Accreditation Since 25 April 2012 the EQA programme of the ECAT is accredited according to the international standard ISO/IEC 17043:2010 by the Dutch Accreditation Council (RvA). The following modules of ECATs’ EQAP are part of the accreditation scope: Screen – I Screen - II Thrombophilia - I Thrombophilia - II Lupus Anticoagulant / Antiphospholipid Antibodies D-Dimer Coagulation Factor - I Coagulation Factor - II Von Willebrand Factor module Factor VIII inhibitor Thrombin Generation Test Factor XIII Fibrinolysis - I Fibrinolysis - II Monitoring for Anticoagulation Drugs (UFH, LMWH, Orgaran, Fondaparinux, Rivaroxaban, Apixaban, Argatroban, Dabigatran) Homocysteine It is our intention to add new modules to the scope of the accreditation as soon as possible after the introduction. The latest version of the scope can always be found at our website. Products and services from third parties ICT-related issues Back-up services, web design and Health e.solutions – The maintenance, web and database hosting, Netherlands POCT application. Participant management and survey KPMD – United Kingdom evaluation software, web-based data submission. Sample production Sample production and testing for Affinity Biologicals – Canada homogeneity and stability. Hyphen Biomed – France Technoclone – Austria MCA – The Netherlands Klinikum Augsburg – Germany RCPA - Australia Laboratory testing Reference laboratory for testing of Erasmus Medical Center – The homogeneity and stability. Netherlands Confidentiality policy 1. ECAT is obliged to keep confidential any and all information they acquired from participants within the scope of their registration. 2. Any results from research conducted by ECAT within the scope of the programme offered by ECAT that can be traced to a certain participant shall be confidential and shall only be notified to the relevant participant. 3. If ECAT should, on the basis of a statutory provision or court decision, be obliged to disclose confidential information to a third party designated by the law or the competent court, and ECAT cannot in such case invoke the right of non-disclosure acknowledgement or allowed under the law or by the competent court, ECAT shall not be obliged to pay compensation or damages, and the participant shall not have the right to dissolve the agreement on the basis of any resultant damage. ECAT is obliged to notify affected participants of this action in written. ECAT Foundation Page 20 of 22 M015 / Release: 081020PM
GENERAL INFORMATION ECAT FOUNDATION 2021 (for further details see our general terms delivery which can be found on our website) Intellectual property rights and copyrights 1. ECAT reserves the rights and powers vested in ECAT pursuant to the intellectual property right. 2. The participant shall not be permitted to modify the items delivered or made available, unless the nature of the items delivered or made available should require otherwise or unless agreed otherwise. 3. Any designs, presentations, drawings, films, software or other material or files, whether electronic or otherwise, made by ECAT within the scope of the contract shall remain the property of ECAT, irrespective of whether they were handed over to the participant or to third parties, unless agreed otherwise. 4. Any and all documents provided by ECAT such as reports, advice, agreements, etc. shall exclusively be intended for use by the participant and they may not be reproduced, published or disclosed to third parties by the participant without ECAT’s permission obtained in advance, unless the nature of the documents should dictate otherwise. 5. ECAT reserves the right to use the know-how acquired due to the carrying out of the work for other purposes, insofar as no confidential information is disclosed to third parties. (for further details see our general terms delivery which can be found on our website) Provision of global survey reports ECAT may provide to third parties, like distributors of the ECAT programme or diagnostic companies, global survey reports which only demonstrate the overall statistical analysis without any traceable results to a specific participant. ECAT Foundation Page 21 of 22 M015 / Release: 081020PM
FINANCES 2020 FINANCES You will receive an invoice for your participation as soon as possible in 2021. When the appropriate information is available the invoice will be sent directly by e-mail to the financial department of your hospital/institution. Otherwise the invoice will be sent to the sample or responsible person. Payment should be done by bank transfer. Cheques are not accepted. When the invoice is not paid within 6 weeks after receipt of the invoice, no samples and survey reports will be provided anymore till payment is done. For participants of one of the EMU countries we ask for a VAT number. If the VAT number of your organisation is not available at our Financial Department, the ECAT is legally obliged to add 21% VAT to the invoice. Contact details financial department T. +31 71 3030911 F. +31 71 3030919 finance@ecat.nl Details ECAT bank account Bank office: ING Address: P.O. Box 94780 1090 GT Amsterdam The Netherlands Account no.: 6930471 IBAN no.: NL38 INGB 0006 9304 71 BIC code: INGBNL2A ECAT VAT number: NL802836872B01 Terms of delivery The terms of delivery of the ECAT Foundation can be found on our website. If you want a printed copy, please contact our office ECAT Foundation Page 22 of 22 M015 / Release: 081020PM
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