Journal List > Lab Med Online > v.9(4) > 1142033

Koo, Lim, Kim, Kim, Koo, and Kwon: Evaluation of the Automated Cross-Matching Instrument, ORTHO VISION, for Use in Blood Banks

Abstract

Background

Automated systems are used widely for pre-transfusion tests in blood banks, in an attempt to reduce effort and human error. We evaluated the clinical performance of an automated blood bank system, ORTHO VISION (Ortho-Clinical Diagnostics, Switzerland), for blood cross-matching.

Methods

Saline cross-matching was performed for 93 tests using 56 samples. Coombs cross-matching was performed for 400 tests using 166 samples. Saline cross-matching was compared for the automated ORTHO VISION and manual tube methods. Coombs cross-matching was compared for the automated ORTHO VISION and manual column agglutination technique (CAT) methods. The evaluation of 32 antibody-positive samples using the automated ORTHO VISION and manual CAT methods was compared by performing 97 cross-matching tests. Additionally, the ORTHO VISION efficiency and carryover were evaluated.

Results

The concordance rate of the saline cross-matching results between the manual method and automated ORTHO VISION was 100%. The concordance rate of coombs cross-matching results between manual CAT and automated ORTHO VISION was 97.9%. The concordance rate of cross-matching for antibody positive samples between manual CAT and the automated ORTHO VISION was 97.9%. Coombs cross-matching was efficient using ORTHO VISION, whereas saline cross-matching was efficient using the tube manual method.

Conclusions

ORTHO VISION showed reliable results for cross-matching and was more efficient than manual CAT for coombs cross-matching. Thus, ORTHO VISION can be used for pre-transfusion tests in blood banks.

Figures and Tables

Table 1

Comparison between saline cross-matching conducted using manual tube method and ORTHO VISION

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Table 2

Comparison between coombs cross-matching conducted using manual column agglutination technique and ORTHO VISION

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Abbreviation: CAT, column agglutination technique.

Table 3

Comparison between manual column agglutination technique and ORTHO VISION according to red blood cell alloantibodies

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Table 4

Comparison between saline and coombs cross-matching efficiencies using manual and automated cross-matching methods

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Abbreviations: CAT, column agglutination technique; NA, not applicable.

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ORCID iDs

Gye Cheol Kwon
https://orcid.org/0000-0002-4886-0590

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