D-Dimer Rapid Test

D-Dimer Rapid Test

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D-Dimer Rapid test is an immunoassay designed for the quantitative determination of D-Dimer concentration.

This test can be used as an aid in the assessment and evaluation of suspected DVT and PE patients.

D-Dimer test is performed when there is a suspicion of deep venous thrombosis (DVT) or pulmonary embolism (PE).

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Features

Features & Functions

This test can be used as an aid in the assessment and evaluation of suspected DVT and PE patients.

D-Dimer rapid diagnostic test is performed when there is a suspicion of deep venous thrombosis (DVT) or pulmonary embolism (PE).

  • A negative result practically rules out thrombosis, a positive result can indicate thrombosis but does not rule out other potential aetiologies.
  • The main use is to exclude thromboembolic disease where the probability is low.
  • In patients suspected of disseminated intravascular coagulation, D- Dimer testing may aid in the diagnosis.
  • D-Dimer for DVT / PE : Adult cut off for exclusion of VTE: < 500 ng/mL [0.5mg/L] to help rule out pulmonary embolism

Samples: Plasma or whole blood
Anticoagulant: Sodium citrate
Sample Volume: 120uL
Reaction Time: 7 minutes
Storage: 4 to 30°C
Shelf life: up to 24 months

Performance Characteristics

Key Performance Statistics


Sensitivity 87.0%
Specificity 93.55%
Positive Predictive Value (PPV) 93.1%
Negative Predictive Value (NPV) 87.88%
Limit of Detection
Measuring Range
0.2mg/L [190ng/L]
0.2 – 10mg/L [200 – 10,000ng/l]
Linear Range [CLSI EPA-6] 0.4 – 8.0 mg/L [400- 8,000ng/l]

Clinical Performance

The D-Dimer concentration of samples was determined by Siemens BCS XP according to the CLSI-EP09-A3 guideline, with a cut off concentration of 0.5 mg/L. A total of 120 samples of whole blood and plasma/serum, respectively, with D-dimer level of 0.17-34.25 mg/L were used. The results from the linear regression analysis of the comparison data are shown below.

Positive 27 2
Negative 4 29

[3] Clinical and Laboratory Standards Institute, “Evaluation of the Linearity of Quantitative Measurement Procedures: A Statistical Approach, Approved Guideline. NCCLS Document EP6-A,” NCCLS Doc. EP6-A, vol. 23, no. 16, pp. 1–50, 2003.

[4] CLSI, EP09-A3 Measurement Procedure Comparison and Bias Estimation Using Patient Samples; Approved Guideline—Third Edition This, no. August. 2013.

Precision

Performance claim: < 15%

Intra-assay

Results from 5 devices, 3 lots, 3 concentrations

0.8 mg/L - 9.32% [800ng/L]
2.01mg/L - 6.23% [2010ng/L]
2.96 mg /L - 8.46% [2960ng/L]
Inter-assay

D-dimer 2.0mg/L control 10 test cards of three lots

Intra-assay precision SD=0.186mg/L
Intra Assay precision = SD/r = 9.25%

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