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C H A P T E R

IMMULITE® and IMMULITE 1000


7.11 Arthur L. Babson

The IMMULITE® system is manufactured and distributed Typical Assay Protocol


by Siemens Healthcare Diagnostics. IMMULITE, a bench-
top instrument, is illustrated in Fig. 1(a). It is a continuous, The operator loads samples in barcoded sample cups into
random-access, automated immunoassay analyzer designed the loading chain of the IMMULITE instrument fol-
around a proprietary assay tube called a test unit that allows lowed by up to five barcoded, assay-specific test units in
for thorough and efficient washing of an integral antibody- or any order. All subsequent steps are performed automati-
antigen-coated bead by rapidly spinning the tube on its verti- cally by the IMMULITE immunoassay system. The
cal axis. All assays use an alkaline phosphatase enzyme label IMMULITE dispenses the sample, selects and dispenses
that is quantified with a sensitive chemiluminescent substrate. the reagent, incubates, separates bound from free, dis-
The assay menu includes 105 analytes and more than 5400 penses substrate, and reads signal, all automatically as
instruments were placed in 70 countries around the world. follows:
In 2001 IMMULITE was discontinued with the intro-
duction of IMMULITE 1000 (Fig. 1(b)), basically the ll Sample and alkaline phosphatase-labeled reagent are
same instrument but with a new casework incorporating added to a test unit.
the computer and touch-screen monitor, as well as bulk ll The reaction is incubated for 30 min at 37 °C and
fluids with automatic fluid-level indicators resulting in a shaken every 10 s.
consolidated footprint. ll The bead is washed.

FIGURE 1  (a) The IMMULITE system. (b) IMMULITE 1000 (The color version of this figure may be viewed at www.immunoassayhandbook.com).

© 2013 David G. Wild. Published by Elsevier Ltd. All rights reserved. 571
http://dx.doi.org/10.1016/B978-0-08-097037-0.00044-0
572 The Immunoassay Handbook

FIGURE 2  The IMMULITE system, schematic.

ll Chemiluminescent substrate is added. fewer keystrokes. Onboard sample dilution is provided for
ll The reaction is incubated for 10 min at 37 °C. selected assays, with positive sample identification using
ll The luminescence is read. secondary sample tubes. Remote diagnostics connect the
system via modem to DPC for faster technical support.
Time to first result is 42 min and the maximum through- Ten languages are supported: English, French, Italian,
put is 120 samples per hour. Throughput varies somewhat German, Spanish, Portuguese, Polish, Turkish, Russian,
with assay mix and is reduced by sequential assays that and Chinese.
require two 30 min incubations.

Assay Principle
Product Features
Both competitive assays for haptens and sandwich assays
The layout of IMMULITE is illustrated schematically in for large molecules are run with either antibody- or anti-
Fig. 2. Access to a chain transporting samples and test gen-coated beads. Alkaline phosphatase is the label for all
units to the various stations of the instrument is continu- assays. The patented axial centrifugal separation of bound
ously available to the operator. Stat samples can be placed and free label provides low background signal.
at the head of the queue without interrupting instrument
operation. The pipettor and reagent carousel can be
paused to allow for the addition of reagents at any time Calibration
without interrupting those tests in progress. Up to 12 dif-
ferent reagents can be onboard at any time. Each analyte has a stored master calibration curve in the
Rapid and thorough washing of the coated bead cap- external system computer which is described by a mathe-
tured in the test unit is achieved by spinning of the tube on matical equation relating photon counts to concentration.
its longitudinal axis. Excess sample, reagent, and wash Monthly calibration with two calibrators adjusts the rela-
solution are captured in a coaxial waste sump, which is tionship for the specific instrument and lot of reagents in
integrated into the test unit (Fig. 3). use.
Following washing of the bead, the chemiluminescent
substrate is added and after an additional 10 min incuba-
tion the signal is read by a photon counting PMT. Antibodies
IMMULITE 1000 uses Microsoft Windows 2000 oper-
ating software for fast system processing, and the The IMMULITE system uses both polyclonal and mono-
­touch-screen monitor provides easier software access and clonal antibodies.
CHAPTER 7.11  IMMULITE® and IMMULITE 1000 573

FIGURE 3  The IMMULITE assay protocol.

Signal Generation
and Detection
After addition of the substrate, the test units enter a sec-
tion of the instrument that excludes ambient light and
allows for a 10 min incubation at 37 °C for development of
the luminescent signal.
The action of bound alkaline phosphatase on adamantyl
dioxetane phosphate creates the unstable adamantyl diox-
etane anion. Breakdown of this unstable anion creates a
prolonged “glow” of light (see Fig. 4).
FIGURE 4  Action of alkaline phosphatase in the IMMULITE system. When each tube reaches the read station in front of the
photomultiplier tube, photon counts are measured for 1 s
through a 2A neutral density filter which attenuates the
signal by a factor of 100. If counts are below a certain level
the attenuator is automatically removed. This automatic
Separation attenuation increases the dynamic range of the photomul-
tiplier tube 100-fold. Counts are measured for 12 consecu-
Separation is a key feature of the IMMULITE system tive 1 s intervals.
(Fig. 3). After incubation the test units are automatically
transferred to the spin-wash station. The tube is spun rap-
idly on its longitudinal axis and the slight draft angle of the Data Processing
tube allows for instantaneous and complete transfer of
sample and excess reagent from the tube to a coaxial sump After discarding highest and lowest counts for each tube
chamber around the top of the test unit. Several 200 µL the average counts per second are converted to analyte
volumes of wash water are added to the tube to wash the concentration by means of the stored calibration curves.
bead and the test unit is spun again after each wash leaving The IMMULITE instrument has sufficient storage capac-
the tube containing the bead totally free of unbound alka- ity to save data should any interruption of the communica-
line phosphatase label. tion with the external computer occur.
574 The Immunoassay Handbook

Interfacing to Laboratory Babson, A.L., Olson, D.R., Palmieri, T., et al: The IMMULITE assay tube: a new
approach to heterogeneous ligand assay. Clin. Chem. 37, 1521–1522 (1991).

Information System Witherspoon, L.R., Babson, A.L. and Olson, D.R. IMMULITE Chemiluminescent
Immunoassay System. In: Immunoassay Automation: An Updated Guide to Systems.
(ed Chan, D.W.) 102–130 (Academic Press, San Diego, 1996).
The IMMULITE software allows for uploading all results
to a laboratory information system.

Further Reading
Babson, A.L. The Cirrus IMMULITE automated immunoassay system. J. Clin.
Immunoassay 14, 83–88 (1991).
Babson, A.L. An automated random-access immunoassay system. Am. Clin. Lab.
Feb., 12 (1992).

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