Reference: AFA020-01
Applicant: Abbott Laboratories Limited
Application type: Initial
Substance name: 4-(1,1,3,3 tetramethylbutyl)phenol, ethoxylated (4-tert-OPnEO))
EC number: -
CAS number: 9002-93-1 / 9036-19-5
Proposed use: Professional use as a surfactant, in Wash Buffer components used in conjunction with Fluorescence in Situ Hybridisation (FISH) test kits and/or their Laboratory Developed Test (LDT) equivalents, in clinical diagnostic use for medical analysis of human tissue and blood samples to identify characteristic genetic abnormalities related to specific disease conditions.
Broad information on use applied for (conditions of use and function): The Applicant is importing and distributing FISH assay IVD test kits to its professional end users (medical institutions, academic centres, hospitals, laboratories, etc.) in Great Britain (GB). The Applicant is applying on behalf of its GB customers for the end use of the wash buffer as a component of the IVD kit, which may include preparation of wash buffers at end user sites using 4-tert-OPnEO supplied as a kit component. The Applicant currently provides approximately 400 assay types for the GB market.
Fluorescence In Situ Hybridisation (FISH) is a technique that allows the visualisation of specific nucleic acid sequences within a cellular preparation. The Applicant’s FISH assays kits are used for detecting genetic abnormalities, which may include changes in gene and/or chromosome copy number, deletions, translocations and other rearrangements. FISH assay kits are widely utilised in oncology, as well as prenatal and postnatal genetic screening. FISH results may be used to support treatment decisions, such as patient stratification into presumed responder/non-responder groups to determine suitability for prescription of approved therapies; or enrolment in clinical trials, where no approved therapy currently exists.
Technical function:
The FISH method requires a process of probe application, hybridisation, post hybridisation wash (using a wash buffer containing 4-tert-OPnEO), counterstain and then examination. The 4-tert-OPnEO serves solely as a surfactant in the applicant’s products (within the wash buffer). 4-tert-OPnEO performs five parallel functions within this wash buffer as follows:
Key substance properties of 4-tert-OPnEO that allow the system solutions to function according to requirements include: surfactant classification (non-ionic); Hydrophile-Lipophile Balance; surface tension; and cloud point.
The professional laboratory technicians use the wash buffer in low volumes in both the manual or the automated preparation of specimen loaded microscope slides by placing the slides in the wash buffer at two concentrations 0.3% and 0.1% 4-tert-OPnEO to allow for sufficient washing. Slides are assessed after washing under a fluorescent microscope. As the interpretation is qualitative, the ability of the technician to adequately interpret the results is dependent upon the efficiency of the washing process including the wash buffer.
List of descriptors:
Technical Function: Surfactant
Annual tonnage used: 0 – 0.1 Tonne per year
Review period requested: 7.5 years
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