LumiraDx SARS-CoV-2 Manual

Ag test strip product insert
Hide thumbs Also See for SARS-CoV-2:

Advertisement

Quick Links

SARS-CoV-2 Ag Test Strip Product Insert
LumiraDx SARS-CoV-2 Ag Test
For Professional Use Only
For use under an Emergency Use Authorization (EUA) Only
For In Vitro Diagnostic Use Only
Rx Use Only
SPEC-32311 Rev 1; ART-00570 Rev 1
LumiraDx SARS-CoV-2 Ag Test
The LumiraDx Severe Acute Respiratory Syndrome (SARS) CoV-2 Antigen (Ag) Test Strips (hereafter
referred to as Test Strips) are to be used with the LumiraDx Platform. The LumiraDx Platform is a point
of care system for professional use which is used for in vitro diagnostic tests. It comprises a portable
LumiraDx Instrument and a LumiraDx Test Strip for the required test. This test is for HEALTHCARE
PROFESSIONAL USE ONLY and allows users to perform tests using small sample volumes and to
view results quickly on the Instrument touchscreen.
Intended use:
The LumiraDx SARS-CoV-2 Ag Test is a rapid microfluidic immunofluorescence assay for use with the
LumiraDx Platform intended for the qualitative detection of the nucleocapsid protein antigen to SARS-
CoV-2 directly from nasal swab specimens collected from individuals suspected of COVID-19 by their
healthcare provider within the first twelve days of symptom onset. Testing is limited to laboratories
certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA), 42 U.S.C 263a, that
meet the requirements to perform moderate, high or waived complexity tests. This test is authorized for
use at the Point of Care (POC), i.e., in patient care settings operating under a CLIA Certificate of Waiver,
Certificate of Compliance, or Certificate of Accreditation.
The LumiraDx SARS-CoV-2 Ag test does not differentiate between SARS-CoV and SARS-CoV-2.
Results are for the identification of SARS-CoV-2 nucleocapsid protein antigen. Antigen is generally
detectable in nasal swab specimens during the acute phase of infection. Positive results indicate the
presence of viral antigens, but clinical correlation with patient history and other diagnostic information
is necessary to determine infection status. Positive results do not rule out bacterial infection or co-
infection with other viruses. The agent detected may not be the definite cause of disease. Laboratories
within the United States and its territories are required to report all positive results to the appropriate
public health authorities.
Negative results, from patients with symptoms onset beyond twelve days, should be treated as
presumptive and confirmation with a molecular assay, if necessary, for patient management, may be
performed. Negative results do not rule out SARS-CoV-2 infection and should not be used as the sole
basis for treatment or patient management decisions, including infection control decisions. Negative
results should be considered in the context of a patient's recent exposures, history and presence of
clinical signs and symptoms consistent with COVID-19.
The LumiraDx SARS-CoV-2 Ag Test is intended for use by trained clinical laboratory personnel and
individuals trained in point of care settings, and proficient in performing tests using the LumiraDx
Instrument.
The LumiraDx SARS-CoV-2 Ag Test is only for use under the Food and Drug Administration's
Emergency Use Authorization.
Document Name:
1 of 21
Document Number:
This document is controlled and released electronically in Grand Avenue. Hard copies are uncontrolled and should not be relied upon for
the most recent version unless formally issued and stamped by QA. Created with S-QMS-TEM-00001
SARS-CoV-2 Ag Test Strip Product Insert
S-COM-DOUT-00112
Date of Revision 2020/08
Revision:
2

Advertisement

Table of Contents
loading
Need help?

Need help?

Do you have a question about the SARS-CoV-2 and is the answer not in the manual?

Questions and answers

Summary of Contents for LumiraDx SARS-CoV-2

  • Page 1 The LumiraDx Severe Acute Respiratory Syndrome (SARS) CoV-2 Antigen (Ag) Test Strips (hereafter referred to as Test Strips) are to be used with the LumiraDx Platform. The LumiraDx Platform is a point of care system for professional use which is used for in vitro diagnostic tests. It comprises a portable LumiraDx Instrument and a LumiraDx Test Strip for the required test.
  • Page 2 COVID-19 coughs or exhales. Most estimates of the incubation period for COVID-19 range from 2-14 days The use of a LumiraDx SARS-CoV-2 Ag Test will enable the physician to verify infection quickly, begin proper treatment and to initiate isolation precautions helping prevent further spread of infection.
  • Page 3 COVID-19 under Section 564(b)(1) of the Federal Food, Drug, and Cosmetic Act, 21 U.S.C. § 360bbb-3(b)(1), unless the authorization is terminated or revoked sooner. • This test has been authorized only for the detection of proteins from SARS-CoV-2, not for any other viruses or pathogens. •...
  • Page 4 Do not use the Test Strip if there are any visible signs of damage to the foil pouch such as tears or holes. Sample material: The following samples can be used with the LumiraDx SARS-CoV-2 Ag Test Strip: • Nasal Swab Specimen (NS) The Test device contains: •...
  • Page 5 When indicated by the touchscreen, open the foil pouch just before use and insert the LumiraDx Test Strip into the LumiraDx Instrument. The Instrument will indicate when it is ready for the sample to be applied. The LumiraDx SARS-CoV-2 Ag Test results should be evaluated by a Healthcare Professional in the context of all available clinical and laboratory data.
  • Page 6 After patient swabbing, process the Swab in the Extraction Vial as soon as possible. Do not place the swab back into the swab packaging sleeve after specimen collection. Document Name: SARS-CoV-2 Ag Test Strip Product Insert 6 of 21 Document Number:...
  • Page 7 5 hours of preparation when stored at room temperature. Extracted nasal specimens may be frozen at -80°C and used up to 5 days after freezing. Document Name: SARS-CoV-2 Ag Test Strip Product Insert 7 of 21 Document Number: S-COM-DOUT-00112 Revision: This document is controlled and released electronically in Grand Avenue.
  • Page 8 4. The result will appear on the Instrument touchscreen within 12 minutes of applying the sample and starting the test. The results will be displayed as a positive or negative result SARS-CoV-2-Ag on the Instrument screen. (see Fig 1 and Fig 2).
  • Page 9 Error messages contain an identifying code that may be used for further troubleshooting purposes. Refer to the LumiraDx Platform User Manual if an error message is displayed on the LumiraDx Instrument touch-screen and contact LumiraDx Customer Services on telephone number 1-888-586-4721.
  • Page 10 If the LumiraDx Antigen Quality Controls do not perform as expected, repeat the QC Test and if the problems persists, do not report patient results and contact LumiraDx Customer Services on telephone number 1-888-586-4721.
  • Page 11 The amount of antigen in a sample may decrease as the duration of illness increases. Specimens collected after 12 days are more likely to be negative compared to RT-PCR. • The contents of this kit are for qualitative detection of SARS-CoV-2 antigens from nasal swab specimens only. •...
  • Page 12 Authorized laboratories will collect information on the performance of your product and report to DMD/OHT7-OIR/OPEQ/CDRH (via email: CDRH-EUA-Reporting@fda.hhs.gov) and you (via email: customerservices.US@lumiradx.com) any suspected occurrence of false positive or false negative results and significant deviations from the established performance characteristics of your product of which they become aware.
  • Page 13 Product Insert, with operators blinded to the PCR result. The performance of the LumiraDx SARS-CoV-2 Ag Test was compared to the results from nasal swabs collected into 3ml universal transport medium (UTM) and tested with an EUA PCR method.
  • Page 14 Limit of Detection (LoD) studies determined the lowest detectable concentration of SARS-CoV-2 at which 100% of all (true positive) replicates test positive. The LoD for the LumiraDx SARS-CoV-2 Ag Test was established using limiting dilutions of gamma-irradiated SARS-CoV-2 (BEIResources NR- 52287).
  • Page 15 CoV-2 Ag Test including various microorganisms, viruses and negative matrix. Each organism and virus were tested in the absence or presence of heat inactivated SARS-CoV-2 at 3 x LoD. The final concentration of the organisms and viruses are documented in the Table below (the concentrations of CFU/mL or higher for bacteria and 10 PFU/mL or higher for viruses is recommended).
  • Page 16 CFU/mL No (3/3 negative) To estimate the likelihood of cross-reactivity with SARS-CoV-2 of organisms that were not available for wet testing, in silico analysis using the Basic Local Alignment Search Tool (BLAST) managed by the National Center for Biotechnology Information (NCBI) was used to assess the degree of protein sequence homology.
  • Page 17 Each organism and virus were tested in the absence or presence of heat inactivated SARS-CoV-2 at 3 x LoD. The final concentration of the organisms and viruses are documented in the Table below (the concentrations of 10...
  • Page 18 SARS-CoV-2. At each dilution, 50 µL samples were added to swabs and the swabs processed for testing on the LumiraDx SARS-CoV-2 Ag Test as per the Product Insert using the procedure appropriate for patient nasal swab specimens.
  • Page 19 1.4 x 10 86220 Point of Care Use The LumiraDx SARS-CoV-2 Ag Test was used by 8 untrained users in 4 sites across the United States. Untrained users tested 132 patients and ran 148 tests. References: 1. World Health Organisation www.who.int...
  • Page 20 Rx Only Prescription Use Only Do Not Re-use Contains sufficient for 12 or 24 or 48 Tests Document Name: SARS-CoV-2 Ag Test Strip Product Insert 20 of 21 Document Number: S-COM-DOUT-00112 Revision: This document is controlled and released electronically in Grand Avenue. Hard copies are uncontrolled and should not be relied upon for...
  • Page 21 1-888-586-4721 or Lumiradx.com For return policy If there is a problem with the LumiraDx SARS-CoV-2 Ag Test Strips you may be asked to return them. Before returning tests please obtain a return authorization number from LumiraDx Customer Services.
  • Page 22 Extracted nasal specimens may be frozen at -80°C and used up to 5 days after freezing. Specimens and extraction buffer must be at room temperature before testing. Check expiration date on outer test kit carton and each individual test package before using. Do not use any test components beyond its expiration date. Refer to the LumiraDx SARS-CoV-2 Ag Test Strip Product Insert for Specimen Collection, Warning and Precautions, and Limitations.
  • Page 23 SARS-CoV-2 Ag and the right-hand image shows a negative sample to the Test Strip. Area when prompted by the result for SARS-CoV-2 Ag. Tap Finish to complete testing or tap Instrument. Comment to leave a comment or to reject the Test, then follow prompts to return to the Home Screen.
  • Page 24 CLIA Certificate of Waiver, Certificate of Compliance, or Certificate of Accreditation. This test has Alert messages include useful information and are highlighted by an orange banner. Error messages been authorized only for the detection of proteins from SARS-CoV-2, not for any other viruses or also include a symbol.
  • Page 25 Inspect the Quality Controls packaging and contents for damage before use. Report any damage to LumiraDx Customer Services and do not use the kit if any damage is observed to the contents. To ensure that you are using the Instrument, the SARS-CoV-2 Ag Test and the Quality Controls correctly, read the appropriate Platform User Manual, SAR-CoV-2 Ag Test Product Insert and this entire pack insert.
  • Page 26 Procedure/Performing a Test: Consult the LumiraDx Platform User Manual for instructions on how to analyse a Quality Control sample. Open the foil pouch of the SARS-CoV-2 Ag Test Strip just before use and insert the Test Strip into the LumiraDx Instrument. The Instrument will indicate when ready for the sample to be applied.
  • Page 27 1. Draw up the Quality Control solution into the Transfer pipette. 2. Apply the Quality Control solution to the already inserted SARS-CoV-2 Ag Test Strip. Hold the pipette over the Sample Application Area of the Test Strip and dispense the Quality Control solution.
  • Page 28 For return policy If there is a problem with the LumiraDx SARS-CoV-2 Ag Quality Controls Pack you may be asked to return them. Before returning tests please obtain a return authorization number from LumiraDx Customer Services. This return authorization number must be on the shipping carton for return. For ordinary returns following purchase, please contact LumiraDx Customer Services for terms and conditions.
  • Page 29 Certificate of Waiver, Certificate of Compliance, or Certificate of Accreditation. This test has been authorized only for the detection of proteins from SARS-CoV-2, not for any other viruses or pathogens. In the USA, this test is only authorized for the duration of the declaration that circumstances exist...
  • Page 30 2020 - © All rights reserved, worldwide. LumiraDx UK Ltd SPEC-32180 Rev1 Dumyat Business Park ART-00410 Rev1 Alloa FK10 2PB, UK Rev Date 2020/06 For product inquires and technical support please contact LumiraDx Customer Services by email: customerservices.US@ lumiradx.com, telephone +1 (617) 621-9775 or at lumiradx.com.
  • Page 32 Platform User Manual...
  • Page 34 Platform User Manual • The LumiraDx Platform is for use with SARS-Cov-2 Ab Test Strips and SARS-Cov-2 Ag Test Strips, under the Food and Drug Administration’s Emergency Use Authorization only. • For In Vitro Diagnostic Use • Rx Only...
  • Page 35: Table Of Contents

    2.4 User ID 2.5 Operating mode and first time setup 2.6 The LumiraDx Instrument 2.7 Power supply 2.8 LumiraDx Lot Calibration File installation 2.9 Extended functionality and operating modes Preparation for Testing 3.1 Handling Test Strips 3.2 Inserting and removing Test Strips 3.3 Capillary sample collection and application...
  • Page 36 Cleaning and Disinfecting Software Updates Troubleshooting Maintenance and Disposal Instrument Specifications Ancillary Devices 10.1 LumiraDx Barcode Scanner 10.2 LumiraDx Printer 10.3 LumiraDx USB Memory Stick 10.4 LumiraDx Connect Hub 10.5 LumiraDx Connect App Customer Services 11.1 Warranty References Compliance 13.1 Environmental Practices...
  • Page 37: Symbols

    Symbols On the packaging and on the identification plate of the Instrument you may encounter the following symbols, shown here with their meaning: Temperature limitation Manufacturer In vitro diagnostic medical device This product contains electrical and electronic components that may contain materials which, if disposed with general waste, could be damaging to the environment.
  • Page 38: Instrument Icons And Buttons

    Instrument icons and buttons The icons and buttons that appear on the touch-screen during normal operation of the LumiraDx Instrument are shown here, along with their respective meanings. Indicates the patient’s biological sample. Return to the home screen. Info button - used to reveal additional information, such as test or patient information.
  • Page 39: Abbreviations

    Abbreviations Centers for Disease Control and Prevention Electronic Health Record Health Care Professional Identification Quality Control RFID Radio-Frequency Identification United Kingdom Universal Serial Bus World Health Organization Hospital Information System Laboratory Information System Date of Birth...
  • Page 40: Important Safety Information

    This User Manual and its content is copyright of LumiraDx Group Limited, 2020. © All rights reserved, worldwide. Content should be used for use of the LumiraDx Products only and in line with instructions provided. You may not, except with our express written permission, distribute or commercially exploit the content.
  • Page 42: Overview Of The Lumiradx Platform

    Overview of the LumiraDx Platform The LumiraDx Platform is a point of care system which is used for in vitro diagnostic tests. It comprises a portable LumiraDx Instrument and a LumiraDx Test Strip for the required test. This allows healthcare professionals to perform tests using small sample volumes and to view results quickly on the Instrument touch- screen.
  • Page 43: About This Platform User Manual

    About this Platform User Manual Read this LumiraDx Platform User Manual and the LumiraDx Test Strip Product Inserts carefully and completely before testing for the first time. This Platform User Manual provides the information required to operate and care for the LumiraDx Instrument.
  • Page 44: Introduction

    The LumiraDx Instrument (hereafter referred to as Instrument) is intended for use with the LumiraDx family of Test Strips (hereafter referred to as Test Strips) for the in vitro measurement of various analytes in a range of biological samples by trained healthcare professionals.
  • Page 45: Principles Of Operation

    Each Lot of Test Strips requires a LumiraDx Lot Calibration File, which provides the Instrument with the information required to process the test. The Lot Calibration File is installed by placing the RFID tag in the Test Strip Carton against the RFID reader in the Instrument.
  • Page 46: Storage And Operating Conditions

    The Instrument can be stored or transported at a temperature between -10°C and 50°C (14°F and 122°F). To power on and access the Instrument result history, operate the LumiraDx Instrument at a temperature between 15°C and 30°C (59°F and 86°F), and at a relative humidity between 10 % and 90 % (non-condensing).
  • Page 47: Warnings

    Dispose of all Test Strips used for patient testing safely in accordance with local regulations and procedures. • Follow the test operating conditions in the LumiraDx Test Strip Product Insert. • Follow the information on correct handling of Test Strips in the LumiraDx Test Strip Product Insert. 14 - Introduction...
  • Page 48 • Follow the test operating conditions in the LumiraDx Test Strip Product Insert. • Follow the information on correct handling of Test Strips in the LumiraDx Test Strip Product Insert. Cleaning and disinfecting • Do NOT attempt to put any objects or cleaning materials inside the Test Strip slot.
  • Page 49 Instrument disposal • Do NOT attempt to replace or reinstate the battery. FCC Radiation Exposure This Instrument Complies with FCC’s RF radiation exposure limits set forth for an uncontrolled environment. To maintain compliance follow the instructions below: • The transmitter must not be co-located or operating in conjunction with any other antenna or transmitter.
  • Page 50: Precautions

    1.7 Precautions Only operate the LumiraDx Instrument for its intended purpose and in accordance with this Platform User Manual and warnings. If the Instrument is used in a manner not specified in the Platform User Manual, protection provided by the equipment will be impaired. The LumiraDx Instrument (including power supply unit) is designed to operate within the manufacturer specifications.
  • Page 51 Electromagnetic interference • Do not use the Instrument near strong electromagnetic fields, which could interfere with the proper operation of the Instrument. Electromagnetic compatibility • The Instrument has been tested and found to comply with the limits for a Class B digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation.
  • Page 52: Help And Support

    Information about using the LumiraDx Instrument can be found in this Platform User Manual. Information about the Test Strips and test performance can be found in the LumiraDx Test Strip Product Inserts and Quality Control Pack Inserts. Information about LumiraDx Connect Manager and LumiraDx EHR Connect can be found in the LumiraDx Connect User Manual.
  • Page 53: Getting Started

    2 Getting Started 2.1 Unpacking The LumiraDx Instrument package includes the following contents: LumiraDx Instrument LumiraDx Power Supply Unit Platform User Manual Platform Quick Reference Guide (including passwords for Standalone operation) Inspect the Instrument and packaging for damage before use. Report any damage to Customer Services.
  • Page 54: User Id

    Settings will automatically be downloaded to the Instrument if connecting to LumiraDx Connect Manager. Refer to the “Instrument operation” chapter of this Platform User Manual for more information on first time setup. Getting Started - 21...
  • Page 55: The Lumiradx Instrument

    2.6 The LumiraDx Instrument The Instrument is used in conjunction with the LumiraDx family of Test Strips for the in vitro quantification of various analytes in a range of biological samples. Touch-screen RFID reader Door Power connection USB port x2...
  • Page 56: Power Supply

    2.7 Power supply The LumiraDx Instrument contains a rechargeable non-removable battery. If the battery is critically low, the Instrument will prompt to connect the power supply unit. It will take approximately 2 hours to fully charge the battery. The Instrument can be operated while charging the battery.
  • Page 57: Lumiradx Lot Calibration File Installation

    2.8 LumiraDx Lot Calibration File installation LumiraDx Lot Calibration Files are required to provide the Instrument with the information needed to perform diagnostic tests. Every manufactured Lot of Test Strips has a unique Lot Calibration File. This contains information about the test method, the Lot number, the calibration data and expiration date.
  • Page 58: Extended Functionality And Operating Modes

    2.9 Extended functionality and operating modes The LumiraDx Instrument can be used in Standalone mode, or two Connected modes: “Managed” and “EHR Connected” (meaning connected to the organization’s electronic health record). Refer to the LumiraDx Connect User Manual for further information.
  • Page 59: Preparation For Testing

    Discard the Test Strips if they are past the expiration date. If within the expiry date open the Test Strip Carton, take out one Test Strip, and remove it from the foil pouch from the end indicated by the tear triangles. Refer to the LumiraDx Test Strip Product Insert for further information on handling and stability.
  • Page 60 Test Strip contacts Alignment rib Line up black line on Test Strip with black line on Instrument. Test type Sample Application Area Apply sample or Quality Control solution AFTER inserting Test Strip. Note: Test Strip may appear differently. Preparation for Testing - 27...
  • Page 61: Capillary Sample Collection And Application

    Samples can be applied directly from a finger stick or a transfer tube can be used. Details of LumiraDx recommended transfer tubes are available at lumiradx.com and sample application training videos are available at kc.lumiradx.com.
  • Page 62 Collecting a capillary blood sample using a transfer tube To use a transfer tube to collect a blood sample follow the steps described previously to increase the blood flow to the selected finger and use a lancet to produce a blood droplet on the end of the finger.
  • Page 63: Sample Application Using Other Sample Types

    Do NOT touch the Test Strip until the test has finished and the result is displayed. 3.4 Sample application using other sample types Refer to LumiraDx Test Strip Product Inserts for information on available sample types per test, and procedures to transfer other sample types to the Sample Application Area of the Test Strip.
  • Page 64: Instrument Operation

    Platform User Manual are intended only as examples. • You can only hear the sounds on the LumiraDx Instrument when they are turned on. This Platform User Manual presumes that the sounds are turned on. 4.1 Home Screen...
  • Page 65: Settings Menu

    4.2 Settings Menu General user settings menu All users can set display and sound preferences in the Settings menu. Refer to the “Instrument Operation” chapter in this Platform User Manual for instructions. Administrator settings menu The administrator can set date and time. Refer to the “Instrument Operation”...
  • Page 66: Standalone Instrument First Time Setup

    4.3 Standalone Instrument First Time Setup For Standalone mode Instruments the language and current date and time will need to be set by the administrator prior to performing a patient test. Other sound and display preferences can be set by any user. Administrator and general user passwords for Standalone operation are provided on a tear out sheet in the Platform Quick Reference...
  • Page 67 3. Set language The language is set to English by default. To set a different language go to ‘Settings’ and tap ‘Language’. Choose a language from the list for the text appearing on the display. The currently set language is ticked. Tap ‘Done’...
  • Page 68: Connected Instrument First Time Setup

    4.4 Connected Instrument First Time Setup Connected system setup should be completed by the administrator on Connect Manager. Refer to the LumiraDx Connect User Manual for further information. Power on by pressing the power button at the rear of the Instrument. You will hear the Instrument powering on and the display will be blank for several seconds before starting up.
  • Page 69 EHR Connected Instruments. This integrates the LumiraDx Instrument with the existing Electronic Health Record for transfer of patient test results. Patient test results can then be viewed within the LIS or HIS.
  • Page 70: Display And Sound Preferences

    4.5 Display and Sound Preferences All users can set display and sound preferences in the Settings menu. Display In the Display menu the brightness of the display can be set. Go to ‘Settings’ and tap ‘Display’. Use the slider to adjust the brightness. Tap ‘Done’...
  • Page 71: Performing A Patient Test

    Instrument. If there are differences in the test method for a particular diagnostic test, the Instrument will prompt at each step of the process. Please refer to the LumiraDx Test Strip Product Insert before performing a new test for specific test information.
  • Page 72 1. Power on and login Power on the Instrument by pressing the power button at the rear of the Instrument. You will hear the Instrument powering on and the display will be a blank black screen for several seconds before starting up. If the display is dimmed tap the touch-screen to wake up the Instrument.
  • Page 73 2. Check date and time Check that the date and time are correct. If not correct, the current date and time will need to be set by the administrator. Refer to “First time setup” in this chapter for more information. 3.
  • Page 74 5. Using the Instrument in EHR Connected mode If the Instrument has an active connection to the EHR, scan the Patient ID using the Barcode Scanner or search for the patient in the HIS or LIS by entering patient details, then tap ‘Search’ Note: If no patient details are available, tap ‘Search’...
  • Page 75 No patient match If the search times out, no patient matches are found, or more than 5 patients matches are found a message will display. Tap ‘proceed’ to proceed with the test without verifying the patient details or tap ‘cancel’ to go back and try a new search.
  • Page 76 Select the intended sample type from the list displayed. Sample type is test type dependent (refer to the LumiraDx Test Strip Product Insert for more information). Note: The Instrument will prompt to install the Lot Calibration File when inserting a new Test Strip Lot.
  • Page 77 9. Confirm test and sample type Check the test and sample type is correct and tap ‘Confirm’ to proceed. Note: A progress bar will indicate if the Instrument is heating the Test Strip. 10. Apply sample The Instrument display will prompt when to apply the sample.
  • Page 78 When the sample is detected the Instrument will sound and a confirmation message will be displayed. Do NOT apply more than one drop of sample. Do NOT touch the Test Strip until the test has finished and the result is displayed.
  • Page 79 12. Test processing The test will start and a progress bar will be displayed whilst the test is processing. Note: Each test type has a different processing time. Do NOT open the door or move the Instrument during the test or an error will occur and the test result will not be saved.
  • Page 80 When the test is complete the result will be displayed on the screen (an example result is shown here). If a LumiraDx Printer is connected to the Instrument, a ‘Print’ option will be available. Tap ‘Print’ to print the test result.
  • Page 81: Quality Control

    4.7 Quality Control The LumiraDx Instrument has a number of built-in QC functions. In addition to these, LumiraDx Quality Controls can be used to meet compliance requirements as required. To perform QC testing with LumiraDx Quality Controls, you will need: •...
  • Page 82: Performing A Quality Control Test

    This Platform User Manual describes the basic Quality Control test method for the LumiraDx platform. If there are differences in the test method for a particular QC test, the Instrument will prompt at each step of the process. Please refer to the LumiraDx Test Strip Product Insert before performing a new QC test for specific information.
  • Page 83 (Refer to “First time setup” in this chapter for more information). 3. Prepare Quality Control Prepare the Quality Control according to the LumiraDx Quality Control Pack Insert. 4. Tap Quality Control Tap the ‘Quality Control’ button on the home screen.
  • Page 84 6. Open door and Insert Test Strip The Instrument display will prompt to open the door and insert a Test Strip. Remove a Test Strip from its packaging and hold with the blue label side facing upward. Line up the black alignment rib on the Test Strip with the black line on the Instrument.
  • Page 85 8. Select Quality Control level Select the intended Quality Control from the list displayed. Please refer to the LumiraDx Quality Control Pack Insert for more information. Note: The Instrument will prompt when to apply the Quality Control solution to the Test Strip.
  • Page 86 Apply the Quality Control sample directly to the circular Sample Application Area on top of the Test Strip. The solution must cover the entire application area. Refer to LumiraDx Quality Control Pack Inserts for additional information on testing with LumiraDx Quality Controls.
  • Page 87 11. Immediately close door to continue The Instrument display will display a prompt to close the door. The test will start and a progress bar will be displayed whilst the test is processing. Note: Pay attention to the countdown for closing the door to avoid test errors.
  • Page 88 13. Review QC result When the QC test is complete the result will be displayed on the screen. An example result is shown here, which shows that the correct result has been obtained for all assays for this QC level. Review the result then tap ‘Finish’...
  • Page 89 15. Complete remaining QC levels Multiple QC levels may be required depending on test type. Refer to the LumiraDx Quality Control Pack Insert for more information on QC levels. Repeat steps in “Performing a Quality Control test” to test any additional QC levels.
  • Page 90 Quality Control test statuses are sorted by ‘Recent Tests’ meaning test lots for which patient tests or Quality Control tests have been performed recently. ‘Other Tests’ are test lots which have not had a patient test or QC test performed for more than 90 days. Note: QC statuses can also be filtered by test type.
  • Page 91 If a user attempts to perform a patient test using a lot for which a mandatory Quality Control test is due, the Instrument will display an alert message and prompt the user to perform a Quality Control test. 58 - Instrument Operation...
  • Page 92: Result History

    4.9 Result History The LumiraDx Instrument can save 1000 patient or QC test results, together with respective time, date and comments. If the Instrument memory is full, the oldest result is automatically deleted. 1. Power on and login 2. Tap Result History To view Patient or QC test results, tap ‘Result History’.
  • Page 93 Any patient or QC test result can be printed from the test result details screen by tapping ‘Print’ when a LumiraDx Printer is connected to an Instrument USB port. EHR Connected Instruments will indicate whether a test result has been sent to the electronic health record.
  • Page 94 The Result History list will indicate whether test results have been sent to the EHR or not with ‘sent’ and ‘not sent’. Instrument Operation - 61...
  • Page 95: Onboard Quality Control

    4.10 Onboard Quality Control In addition to the system checks performed by the Instrument during start up and within the test procedure, some LumiraDx Tests also run an onboard quality control assay alongside the patient test. When a test has completed and the OBC test has passed, the test result will be displayed as normal.
  • Page 96 A test which fails the OBC will appear in the ‘Invalid’ filter of the Results History. Instrument Operation - 63...
  • Page 97: Cleaning And Disinfecting

    Do NOT attempt to put any objects or cleaning materials inside the Test Strip slot. Always use LumiraDx approved wipes to disinfect the Instrument. Details of LumiraDx approved wipes can be found at lumiradx.com. Avoid USB ports and power inlet.
  • Page 98 CDC Always wear gloves to disinfect the Instrument. Always use LumiraDx approved wipes to disinfect the Instrument. Alcohol wipes alone are not sufficient to disinfect the Instrument. Use the wipe until the surface of the Instrument is visibly wet. Allow surface to remain wet for 5 minutes.
  • Page 99: Software Updates

    USB memory sticks and should be installed on each Instrument by the administrator. Installing the latest updates will help ensure that the LumiraDx Instrument operates with optimum performance and that the latest features are available. This section describes the steps required to complete the software update.
  • Page 100: Troubleshooting

    7 Troubleshooting The LumiraDx Instrument regularly performs internal checks for unexpected and unwanted conditions. These may arise for technical reasons or due to handling errors. If an issue occurs, a message will be displayed on the Instrument touch-screen. Alert messages include useful information and are highlighted by an orange banner. Error messages also include a symbol.
  • Page 101 Example alert message: Description and instruction Tap ‘OK’ to proceed. Connect the power supply unit before the battery runs out. Example error message: Error 002 Description and instruction The Instrument door has been opened while running a test so the test cannot be completed. Dispose of Test Strip, start a new test and follow the instructions on the display.
  • Page 102 Example error message: Error 016 Description and instruction An action (for example closing the Insrument door) has not been completed within a set time period so the test cannot be completed. Dispose of Test Strip, start a new test and follow the instructions on the display.
  • Page 103 The Instrument is not displaying 1. Check that the Instrument is within symbol: range of the LumiraDx Connect Hub or the device running the LumiraDx Connect App. 2. Ensure the LumiraDx Connect Hub is powered on and the green Connect light is on.
  • Page 104 Instrument does not detect the Test Strip If the Test Strip is not detected and no 1. Check that the Test Strip is fully inserted. message is displayed on the touch- screen: 2. Check for damage to the Test Strip. If damaged discard and insert a new Test Strip.
  • Page 105: Maintenance And Disposal

    The LumiraDx Instrument does not require user maintenance and has no serviceable parts. No attempt should be made to open the Instrument. Changes or modifications not expressly approved by LumiraDx UK Ltd could void the user’s authority to operate the Instrument.
  • Page 106: Instrument Specifications

    9 Instrument Specifications Operating temperature 15 °C to 30 °C (59 °F to 86 °F) Storage temperature -10 °C to 50 °C (14 °F to 122 °F) Relative humidity 10 % to 90 % rh (non-condensing) Maximum altitude 3,000 m (9,840 feet) operating 1000 test results with date, time and comments Data storage...
  • Page 107: Ancillary Devices

    In order to configure the LumiraDx Barcode Scanner please contact LumiraDx Customer Services. The LumiraDx Barcode Scanner can be used to scan patient ID details when performing a patient test. It can also be used to scan Quality Control Lot numbers. If using a Connected Instrument, the Barcode Scanner can be used to scan User ID for login.
  • Page 108 LumiraDx Barcode Scanner Cradle Attaching LumiraDx Barcode Scanner cradle to Instrument Detaching LumiraDx Barcode Scanner cradle from Instrument Note: Correct orientation of Barcode Scanner cradle Ancillary Devices - 75...
  • Page 109 LumiraDx Desktop Stand 76 - Ancillary Devices...
  • Page 110: Lumiradx Printer

    10.2 LumiraDx Printer The LumiraDx Printer can be used to print a patient or Quality Control test result onto an adhesive label. Patient and QC tests result can be printed from the Instrument result page following a test, or from the test details page in the Instrument Result History.
  • Page 111 Connecting the printer Printer status light LED Indication Condition Solution Printer On Printer Off Paper Out Fit new paper Thermal head too hot Allow head to cool Battery cut-out (no charge Recharge batteries remaining) Battery low (approx. 20% **** **** **** Recharge batteries charge remaining)
  • Page 112: Lumiradx Usb Memory Stick

    10.3 LumiraDx USB Memory Stick LumiraDx USB Memory Stick used for Instrument software updates. Note: Right side USB port nearest the power button at the rear of the Instrument must be used. Ancillary Devices - 79...
  • Page 113: Lumiradx Connect Hub

    10.4 LumiraDx Connect Hub Refer to LumiraDx Connect User Manual and Connect Hub Pack Insert for information and setup instructions 10.5 LumiraDx Connect App Refer to LumiraDx Connect User Manual for information and setup instructions. 80 - Ancillary Devices...
  • Page 114: Customer Services

    The limited warranty above shall not apply if the customer has subjected the LumiraDx Instrument or Test Strips to physical abuse, misuse, abnormal use, use inconsistent with the LumiraDx Platform User Manual or Product Insert, fraud, tampering, unusual physical stress, negligence or accidents.
  • Page 115: References

    12 References World Health Organization (2009) Guidelines on hand hygiene in healthcare. http://who.int/gpsc/5may/tools/9789241597906/en/ World Health Organization (2016) Guidelines on core components of infection prevention programs at the national and acute healthcare facility level. http:// who.int/gpsc/ipc-components-guidelines/en/ CDC Guideline for Isolation Precautions: Preventing Transmission of infectious Agents in Healthcare Settings 2007.
  • Page 116: Compliance

    Please refer to lumiradx.com for further information. 13.2 Compliance The LumiraDx Platform is for use with SARS-Cov-2 Ab Test Strips and SARS-Cov-2 Ag Test Strips, under the Food and Drug Administration’s Emergency Use Authorization only. The LumiraDx Instrument has been tested and is compliant with: CAN/CSA-C22.2 No.

Table of Contents