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C-16

SNAP* Feline proBNP

Test Description

The SNAP* Feline proBNP Test is a rapid immunoassay to assess the level of NTproBNP (N-terminal 
pro-brain natriuretic peptide) in Feline serum or EDTA plasma samples. NTproBNP is released by 
the myocardium in response to stress and stretch. A normal result indicates that moderate to severe 
heart disease is unlikely at the time of testing. An abnormal result indicates increased stretch and 
stress on the heart muscle. As NTproBNP levels may be increased in other conditions, such as 
hyperthyroidism, hypertension or severe azotemia, an abnormal result should be evaluated in the 
context of complete evaluation of the patient, including history, physical examination, and complete 
laboratory profile.

Note:

 If the color intensity of the sample spot is equal to or darker than the color intensity of the 

reference spot, the NTproBNP level is abnormal. If the color intensity of the sample spot is lighter 
than the color intensity of the reference spot, the NTproBNP level is normal.

Preparing and Running the SNAP Feline proBNP Test

Important

: Allow all SNAP Feline proBNP test components to equilibrate at room temperature for at 

least 30 minutes. Do not heat.

1.  Enter the patient information on the IDEXX VetLab Station (for more information, see the 

“Analyzing Samples” chapter of the 

IDEXX VetLab Station Operator’s Guide

).

2.  Once the patient’s name appears in the Pending list on the SNAPshot Dx Home screen, tap 

the patient’s name and then tap 

Select

. The Identify Sample screen appears.

3.  Select 

fBNP 

as the SNAP Test Type.

4.  Select the applicable sample type.
5.  Tap 

Optional Prep Instructions

 if you would like to view on-screen sample preparation 

instructions. 
a.  Hold the provided pipette vertically and dispense 

3 drops of sample

 into a disposable 

sample tube.  

b.  Holding the bottle vertically, add 

5 drops of green conjugate

 to the sample tube. 

c.  Cap the sample tube and invert it 4–5 times to mix.

6.  Tap 

Next

 and follow the on-screen instructions to properly prepare the SNAP test:

a.  Place the device on a horizontal surface. 
b.  Add the entire contents of the sample tube to the sample well, being careful not to 

splash the contents outside of the sample well. The sample will flow across the result 
window, reaching the activation circle in 30–60 seconds. Some sample may remain in 
the sample well. 

c.  When color FIRST appears in the activation circle, press the activator firmly until it is 

flush with the device body. 

Note

: Some samples may not flow to the activation circle within 60 seconds. In this case, 

press the activator after the sample has flowed across the result window.

7.  Insert the SNAP device into the SNAPshot Dx Analyzer immediately. The SNAPshot Dx 

Analyzer automatically begins to process the patient sample and the Home screen displays. 
The patient’s name moves from the Pending list to the In Process list. 
When analysis is complete, the patient’s name will move from the In Process list to the Results 
list (you may also receive a “New Results” alert message and/or hear a beep on the IDEXX 
VetLab Station, depending on the option(s) you selected in the New Results Alert tab on the 
IDEXX VetLab Station’s Settings screen). You can then remove the SNAP device from the 
analyzer by gently pushing the SNAP device until you hear a click. The device will slide out of 
the port.

SNAP Test Procedures

Summary of Contents for SNAPshot Dx

Page 1: ...i IDEXX SNAPshot Dx Analyzer Operator s Guide...

Page 2: ...al or industrial property rights covering this document or subject matter in this document The furnishing of this document does not give a license to these property rights except as expressly provided...

Page 3: ...e SNAPshot Dx Analyzer B 1 Overview B 1 Using the Touch Screen B 1 Loading a SNAP Test B 1 Running a SNAP Test B 1 Viewing Test Results B 2 C SNAP Test Procedures C 1 Overview C 1 SNAP Total T4 C 2 SN...

Page 4: ...the SNAP Ports F 1 Cleaning the Screen F 1 Cleaning the Incubator Wells F 1 Calibration F 1 G Troubleshooting G 1 Differences in Results G 1 Wrong SNAP Device Removed G 1 Touch Screen Not Responsive G...

Page 5: ...nalyzer DO NOT use any of the following liquids abrasives or aerosol sprays on or near the analyzer as they may damage the outer case and may influence the results Organic solvents Ammonia based clean...

Page 6: ...sup rieure de temp rature Temperaturobergrenze Limite superiore di temperatura Limite superior de temperatura Serial Number Num ro de s rie Seriennummer Numero di serie N mero de serie Consult instruc...

Page 7: ...os Caution consult accompanying documents Attention consulter les documents joints Achtung Begleitdokumente beachten Attenzione consultare la documentazione allegata Precauci n consultar la documentac...

Page 8: ...gle report determine disease progression with parameter trending capabilities and more By connecting the SNAPshot Dx Analyzer to the IDEXX VetLab Station you can Automatically review patients prior re...

Page 9: ...ature should be 19 C 27 C 66 F 81 F and relative humidity should be 30 85 2 Unpack the analyzer using the following steps a Remove the analyzer power supply and Ethernet cable from the box and then fr...

Page 10: ...cable from Step 1 to the Ethernet port on the back of the SNAPshot Dx Analyzer 3 Power on the IDEXX VetLab Station Once the IDEXX VetLab Station is at its Home screen power on the SNAPshot Dx Analyze...

Page 11: ...zer ensure you disconnect the power cord from the wall outlet power strip BEFORE you disconnect it from the analyzer Connecting Disconnecting the Power Cord It is important that you follow these instr...

Page 12: ...t s name is moved from the In Process list to the Results list Running a SNAP Test For detailed instructions on running a specific SNAP test see the SNAP Test Procedures chapter in this guide IMPORTAN...

Page 13: ...If you do not see the patient s name in the Results list tap the page up and page down arrows to view additional patient names 3 Tap View Results to display the Test Results screen To View the Test Re...

Page 14: ...tests that the SNAPshot Dx Analyzer supports You can use the information in this section to Read a description of each SNAP test Learn how to prepare each test for analysis the process varies by test...

Page 15: ...ot been validated for equine samples Important Before performing a dilution always run an undiluted patient sample first Samples should only be diluted when the undiluted sample result is 7 0 g dL 90...

Page 16: ...remains at 300 L even if you are running a diluted sample Preparing a 1 2 Dilution 1 part sample 1 part saline 1 Using the purple handheld pipette dispense 65 L of sample serum or plasma into a dispos...

Page 17: ...nonthyroidal illness NTI should have their NTI addressed Dogs with T4 results in the low normal range may be hypothyroid In dogs with low or low normal T4 results and with consistent clinical signs c...

Page 18: ...tation Operator s Guide 2 Once the patient s name appears in the Pending list on the SNAPshot Dx Home screen tap the patient s name and then tap Select The Identify Sample screen appears 3 Select Cort...

Page 19: ...h the contents outside of the sample well The sample will flow across the result window reaching the activation circle in 30 60 seconds Some sample may remain in the sample well c When color FIRST app...

Page 20: ...22 g dL 496 8 607 2 nmol L Equivocal Cushing s syndrome possible 22 g dL 607 2 nmol L Consistent with Cushing s syndrome perform high dose dexamethasone suppression test to discriminate between PDH an...

Page 21: ...tless or ill administer maintenance prednisone in tapering dose for 2 weeks If dog is clinically healthy do not start prednisone but start low maintenance dose of mitotane in 2 weeks 1 g dL 27 6 nmol...

Page 22: ...ial or Other 7 Tap Next and follow the on screen instructions to properly prepare the sample a Use the gray handheld pipette provided in the SNAPshot Dx sample prep kit to transfer 100 L of sample int...

Page 23: ...still suspected and patient is anicteric Retest at a later time days to weeks if liver dysfunction is still suspected and patient is anicteric Consistent with decreased hepatic function 25 mol L Decre...

Page 24: ...Place the device on a horizontal surface b Add the entire contents of the sample tube to the sample well being careful not to splash the contents outside of the sample well The sample will flow acros...

Page 25: ...Place the device on a horizontal surface b Add the entire contents of the sample tube to the sample well being careful not to splash the contents outside of the sample well The sample will flow acros...

Page 26: ...sample tube c Cap the sample tube and invert it 4 5 times to mix 6 Tap Next and follow the on screen instructions to properly prepare the SNAP test a Place the device on a horizontal surface b Add th...

Page 27: ...e tube b Holding the bottle vertically add 4 drops of conjugate to the sample tube c Cap the sample tube and invert it 4 5 times to mix 6 Tap Next and follow the on screen instructions to properly pre...

Page 28: ...of conjugate to the sample tube c Cap the sample tube and invert it 4 5 times to mix 6 Tap Next and follow the on screen instructions to properly prepare the SNAP test a Place the device on a horizont...

Page 29: ...applicable sample type 5 Tap Optional Prep Instructions if you would like to view on screen sample preparation instructions a Hold the provided pipette vertically and dispense 3 drops of sample into a...

Page 30: ...t name 5 If desired select a different Unit System option US SI or French SI 6 Tap Next 7 If desired update the time settings a Tap the arrows above or below the hour minutes text boxes to increase or...

Page 31: ...ap to select the patient you want to remove from the Pending list 4 Tap Delete in the Delete From Pending box To Delete a Patient from the In Process List You can also delete a patient from the In Pro...

Page 32: ...s prepare samples properly This chapter provides instructions for preparing quality samples the recommended order of draw and more See the table on pages E 2 E 4 for a list of the different sample typ...

Page 33: ...utes serum 120 seconds at a minimum of 12 000 RCF SNAP 4Dx Plus Test 3 drops serum allow to clot for 20 minutes plasma gently invert collection tube for 30 seconds whole blood gently invert collection...

Page 34: ...Citrate Note If drawing citrate first it is important to draw and discard a small volume of blood before dispensing the sample into a citrate tube 3 EDTA 4 Plasma lithium heparin with or without gel...

Page 35: ...in can be stored in the refrigerator for up to one week the storage temperature guidelines can be found in the SNAP test package insert s For longer storage serum or plasma can be frozen 20 C or colde...

Page 36: ...other fluids on in the analyzer Cleaning the SNAP Ports Dust and animal hair can lead to analyzer failures Keep dust and animal hair from entering the analyzer by keeping the SNAP insertion area clean...

Page 37: ...SNAPshot Dx Analyzer was developed to read any color in the sample spots as positive as outlined in the product insert Do other clinical findings support the results What other tests or procedures mig...

Page 38: ...nalyzer has experienced are recorded in the analyzer s event log These issues are expressed as codes which are used by IDEXX Technical Support to diagnose problems with the analyzer To View the Event...

Page 39: ...sert inside the box so that the top of the analyzer is exposed through the center hole see graphic 10 Place the small cardboard insert into the recessed area on the top of the analyzer see graphic 11...

Page 40: ...n the SNAPshot Dx test type menu can be run on the analyzer We recommend that you work through your non bar coded inventory using the visual read work flow and the IDEXX VetLab Station feature for rec...

Page 41: ...External power supply adapter model XP Power PDM60US24 Input 100 240 V AC 50 60 Hz 1500 mA Output 24 V DC 2500 mA Consumption Operating maximum 60 W typical 44 W System Description Type Digital Imagi...

Page 42: ...rt idexx com Finland 358 0 9 7252 2253 France 33 0 810 433 999 Germany 49 0 69 153 253 290 Ireland 353 0 1 562 1211 Italy 39 02 87 10 36 76 Japan 0120 71 4921 Latin America CAG LAO2012 idexx com Luxem...

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