UIBC
UIBC
UIBC
Unsaturated Iron-Binding Capacity
Order information
Analyzer(s) on which cobas c pack(s)
can be used
04536355190 04536355500 Unsaturated Iron‑Binding Capacity (100 tests) System‑ID 07 3763 1 cobas c 311, cobas c 501/502,
COBAS INTEGRA 400 plus
Materials required (but not provided):
cobas c 311, cobas c 501/502 COBAS INTEGRA 400 plus
12146401216 Fe Standard (1 x 75 mL) Code 566 System‑ID 07 7560 6
12149435122 Precinorm U plus (10 x 3 mL) Code 300 System‑ID 07 7999 7
12149443122 Precipath U plus (10 x 3 mL) Code 301 System‑ID 07 8000 6
05117003190 PreciControl ClinChem Multi 1 (20 x 5 mL) Code 391 System‑ID 07 7469 3
05947626190 PreciControl ClinChem Multi 1 (4 x 5 mL) Code 391 System‑ID 07 7469 3
05117216190 PreciControl ClinChem Multi 2 (20 x 5 mL) Code 392 System‑ID 07 7470 7
05947774190 PreciControl ClinChem Multi 2 (4 x 5 mL) Code 392 System‑ID 07 7470 7
UIBC
Unsaturated Iron-Binding Capacity
Specimen collection and preparation R3 FerroZine: 20 mmol/L; hydroxylamine: 160 mmol/L; pH 2.5
For specimen collection and preparation only use suitable tubes or R1 is in position C and R3 is in position B.
collection containers.
Only the specimens listed below were tested and found acceptable. Storage and stability
Serum. Shelf life at 2‑8 °C: See expiration date on
Plasma: Li‑heparin plasma.
cobas c pack label.
Li‑heparin plasma values are approximately 6 % lower than serum values.
On‑board in use and refrigerated on the 8 weeks
The binding of iron to transferrin is strongly influenced by anions,
specifically bicarbonate.20 In order to avoid drift of UIBC recovery in analyzer:
samples over time the environmental concentration of CO2 in the laboratory Application for serum and plasma
should be kept as constant as possible.
Specimens should be collected in the morning to avoid low results due to cobas c 311 test definition
diurnal variation.21 Assay type 2‑Point End
The sample types listed were tested with a selection of sample collection
tubes that were commercially available at the time of testing, i.e. not all Reaction time / Assay points 10 / 23‑57
available tubes of all manufacturers were tested. Sample collection systems Wavelength (sub/main) 700 / 546 nm
from various manufacturers may contain differing materials which could
affect the test results in some cases. When processing samples in primary Reaction direction Increase
tubes (sample collection systems), follow the instructions of the tube Units µmol/L (µg/dL, mg/L)
manufacturer.
Reagent pipetting Diluent (H2O)
Centrifuge samples containing precipitates before performing the assay.
See the limitations and interferences section for details about possible R1 55 µL 70 µL
sample interferences. R3 25 µL 20 µL
Stability:22,23 4 days at 15‑25 °C
7 days at 2‑8 °C Sample volumes Sample Sample dilution
Materials provided Sample Diluent (H2O)
See “Reagents – working solutions” section for reagents. Normal 20 µL – –
Materials required (but not provided) Decreased 20 µL – –
▪ See “Order information” section Increased 10 µL – –
▪ General laboratory equipment
cobas c 501/502 test definition
Assay
For optimum performance of the assay follow the directions given in this Assay type 2‑Point End
document for the analyzer concerned. Refer to the appropriate operator’s Reaction time / Assay points 10 / 34‑70
manual for analyzer‑specific assay instructions.
Wavelength (sub/main) 700 / 546 nm
The performance of applications not validated by Roche is not warranted
and must be defined by the user. Reaction direction Increase
Calculation Units µmol/L (µg/dL, mg/L)
The systems automatically calculate the analyte concentration of each Reagent pipetting Diluent (H2O)
sample.
R1 55 µL 70 µL
Conversion factors: µmol/L x 5.59 = µg/dL
R3 25 µL 20 µL
µmol/L x 0.0559 = mg/L
Expected values24 Sample volumes Sample Sample dilution
Females: 24.2‑70.1 µmol/L (135‑392 µg/dL) Sample Diluent (H2O)
Males: 22.3‑61.7 µmol/L (125‑345 µg/dL) Normal 20 µL – –
Serum/plasma iron levels are dependent on diet and subject to circadian Decreased 20 µL – –
variation.
Increased 10 µL – –
Each laboratory should investigate the transferability of the expected values
to its own patient population and if necessary determine its own reference Calibration
ranges.
Calibrators S1: H2O
cobas c systems
S2: Iron Standard
System information
Calibration mode Linear
For cobas c 311/501 analyzers:
UIBCI: ACN 779 Calibration frequency 2‑point calibration
- after reagent lot change
For cobas c 502 analyzer:
- as required following quality control
UIBCI: ACN 8779 procedures
Reagents - working solutions Enter the correction value for the calibration with Iron Standard as
R1 Ferrous chloride: 62 µmol/L; sodium hydrogen carbonate: instrument factor y = ax + b, where a = -1.0 and b = 0.
75 mmol/L; TRIS buffer: 375 mmol/L, pH 8.4; preservative Calibration interval may be extended based on acceptable verification of
calibration by the laboratory.
UIBC
Unsaturated Iron-Binding Capacity
Traceability: This method has been standardized against a primary samples diluted using the rerun function are automatically multiplied by a
reference material (weighed in purified material) through iron. factor of 2.
Quality control Lower limits of measurement
For quality control, use control materials as listed in the "Order information" Lower detection limit of the test
section. 3 µmol/L (16.8 µg/dL, 0.17 mg/L)
In addition, other suitable control material can be used. The lower detection limit represents the lowest measurable analyte level
The control intervals and limits should be adapted to each laboratory’s that can be distinguished from zero. It is calculated as the value lying
individual requirements. Values obtained should fall within the defined 3 standard deviations above that of the lowest standard (standard 1 + 3 SD,
limits. Each laboratory should establish corrective measures to be taken if repeatability, n = 21).
values fall outside the defined limits. Note: The technical limits for this assay are defined as ‑125 μmol/L
Follow the applicable government regulations and local guidelines for (‑700 μg/dL, ‑7 mg/L) for the lower limit and ‑3 μmol/L (‑16.8 μg/dL,
quality control. ‑0.17 mg/L) for the upper limit. This is due to the instrument factor for UIBC
(a = ‑1; see also above chapter "Calibration"). Results under the lower limit
Limitations - interference of the measuring range will be flagged with ">TEST". Results above the
Criterion: Recovery within ± 6 µmol/L of initial values of samples upper limit of the measuring range will be flagged with "<TEST".
≤ 60 µmol/L and within ± 10 % for samples > 60 µmol/L.
Specific performance data
Icterus:25 No significant interference up to an I index of 60 for conjugated
and unconjugated bilirubin (approximate conjugated and unconjugated Representative performance data on the analyzers are given below.
bilirubin concentration: 1026 µmol/L or 60 mg/dL). Results obtained in individual laboratories may differ.
Hemolysis:25 No significant interference up to an H index of 40 Precision
(approximate hemoglobin concentration: 24.8 µmol/L or 40 mg/dL). Precision was determined using human samples and controls in an internal
Contamination with erythrocytes will elevate results, because the analyte protocol with repeatability (n = 21) and intermediate precision (3 aliquots
level in erythrocytes is higher than in normal sera. The level of interference per run, 1 run per day, 21 days). The following results were obtained on the
may be variable depending on the content of analyte in the lysed cobas c 501 analyzer:
erythrocytes.
Repeatability Mean SD CV
Lipemia (Intralipid):25 No significant interference up to an L index of 300.
There is poor correlation between the L index (corresponds to turbidity) and µmol/L (µg/dL) µmol/L (µg/dL) %
triglycerides concentration. PCCC1 39.9 (223) 0.5 (3) 1.2
Anticoagulants: Complexing anticoagulants such as EDTA, oxalate, and
citrate must not be used. PCCC2 56.0 (313) 0.6 (3) 1.1
Drugs: No interference was found at therapeutic concentrations using Human serum A 46.1 (258) 0.6 (3) 1.3
common drug panels.26, 27 Human serum B 102 (570) 0.5 (3) 0.4
Exception: Oxytetracycline causes artificially high UIBC values at the tested
drug level. Human serum C 15.5 (86.6) 0.7 (3.9) 4.3
Pathologically high levels of albumin (7 g/dL) decrease the apparent UIBC
value significantly.
Intermediate precision Mean SD CV
If the patient’s serum iron exceeds the binding capacity of the transferrin, a
negative UIBC value will result. µmol/L (µg/dL) µmol/L (µg/dL) %
In patients treated with iron supplements or metal‑binding drugs, the Precinorm U 23.7 (132) 0.8 (5) 3.5
drug‑bound iron may not properly react in the test, resulting in falsely low
values. Precipath U 41.7 (233) 0.7 (4) 1.7
The physiological function of deferoxamine containing drugs is to bind iron Human serum 3 16.5 (92.2) 0.8 (4.5) 4.7
to facilitate its elimination from the body. Therefore any deferoxamine
concentration interferes with the UIBC assay. Human serum 4 24.3 (136) 0.8 (5) 3.1
In the presence of high ferritin concentrations > 1200 μg/L the assumption The data obtained on cobas c 501 analyzer(s) are representative for
that serum iron is almost completely bound to transferrin is not valid cobas c 311 analyzer(s).
anymore. Therefore, such iron results should not be used to calculate Total Method comparison
Iron Binding Capacity (TIBC) or percent transferrin saturation (% SAT).28
Serum
In very rare cases, gammopathy, in particular type IgM (Waldenström’s
macroglobulinemia), may cause unreliable results.29 UIBC values for human serum and plasma samples obtained on a
cobas c 501 analyzer (y) were compared with those determined using the
For diagnostic purposes, the results should always be assessed in corresponding reagent on a Roche/Hitachi MODULAR P analyzer (x).
conjunction with the patient’s medical history, clinical examination and other
findings. Sample size (n) = 58
ACTION REQUIRED Passing/Bablok30 Linear regression
Special Wash Programming: The use of special wash steps is mandatory
when certain test combinations are run together on cobas c systems. The y = 1.01x + 1.86 µmol/L y = 1.03x + 1.23 µmol/L
latest version of the carry‑over evasion list can be found with the NaOHD- τ = 0.956 r = 0.997
SMS-SmpCln1+2-SCCS Method Sheets. For further instructions refer to the
operator’s manual. cobas c 502 analyzer: All special wash programming The sample concentrations were between 7.50 and 80.1 µmol/L (41.9 and
necessary for avoiding carry‑over is available via the cobas link, manual 448 µg/dL).
input is required in certain cases. The data obtained on cobas c 501 analyzer(s) are representative for
Where required, special wash/carry‑over evasion programming must cobas c 311 analyzer(s).
be implemented prior to reporting results with this test.
COBAS INTEGRA systems
Limits and ranges
Measuring range System information
3-125 µmol/L (16.8‑700 µg/dL, 0.17‑7 mg/L) UIBCI: Test ID 0‑564 on COBAS INTEGRA 400 plus systems
Determine samples having higher concentrations via the rerun function.
Dilution of samples via the rerun function is a 1:2 dilution. Results from
UIBC
Unsaturated Iron-Binding Capacity
UIBC
Unsaturated Iron-Binding Capacity
2 runs per day, 20 days). The following results were obtained on the 11 Kimáková T, Nevolná Z, Vašková J, et al. Retrospective assessment of
COBAS INTEGRA 700 analyzer: specific effects of exposure of workers to PCBs in Slovakia. Ann Agric
Environ Med 2018 Sep 25;25(3):421-427.
Level 1 Level 2
12 Dhindsa S, Ghanim H, Batra M, et al. Effect of testosterone on
Mean 25.0 µmol/L 43.4 µmol/L hepcidin, ferroportin, ferritin and iron binding capacity in patients with
hypogonadotropic hypogonadism and type 2 diabetes. Clin Endocrinol
(140 µg/dL) (242 µg/dL) (Oxf) 2016 Nov;85(5):772-780.
CV repeatability 1.6 % 0.8 % 13 Tomkiewicz-Pajak L, Plazak W, Kolcz J, et al. Iron deficiency and
CV intermediate precision 1.7 % 1.2 % hematological changes in adult patients after Fontan operation. J
Cardiol 2014 Nov;64(5):384-389.
The data obtained on COBAS INTEGRA 700 analyzer(s) are representative 14 Avci Çiçek E, Rota S, Dursun B, et al. Evaluation of serum NGAL and
for COBAS INTEGRA 400 analyzer(s). hepcidin levels in chronic kidney disease patients. Ren Fail
Method comparison 2016;38(1):35-39.
UIBC values for human serum and plasma samples obtained on a 15 Chow JK, Werner BG, Ruthazer R, et al. Increased serum iron levels
COBAS INTEGRA 400 analyzer with the COBAS INTEGRA UIBC and infectious complications after liver transplantation. Clin Infect Dis
reagent (y) were compared with those determined using the same reagents 2010 Aug 1;51(3):e16-23.
on a COBAS INTEGRA 800 analyzer (x) and those determined using the
corresponding reagent on a Roche/Hitachi MODULAR P analyzer (x). 16 Fernández-Ruiz M, López-Medrano F, Andrés A, et al. Serum iron
parameters in the early post-transplant period and infection risk in
COBAS INTEGRA 800 analyzer n = 73 kidney transplant recipients. Transpl Infect Dis 2013
Dec;15(6):600-611.
Passing/Bablok30 Linear regression
17 Miya T, Kondo H, Gemma A. Serum iron levels increased by cancer
y = 0.981x - 0.349 µmol/L y = 0.988x - 0.278 µmol/L chemotherapy correlate the chemotherapy-induced nausea and
т = 0.940 r = 0.998 vomiting. Int J Clin Oncol 2018 Dec;23(6):1196-1200.
18 Stookey LL. FerroZine - a new spectrophotometric reagent for iron.
The sample concentrations were between 9.71 and 121 µmol/L (54.3 and Anal Chem 1970;42:779-781.
676 µg/dL).
19 Persijn JP, Van der Slik W, Riethorst A. Determination of serum iron
Roche/Hitachi MODULAR P analyzer n = 69 and latent iron-binding capacity (LIBC). Clin Chim Acta 1971;35:91-98.
Passing/Bablok30 Linear regression 20 Harris WR. Thermodynamics of Anion Binding to Human Serum
y = 1.04x + 3.73 µmol/L y = 1.057x + 2.98 µmol/L Transferrin. Biochemistry 1985;24:7412-7418.
21 Fairbanks VF, Klee GG. Biochemical aspects of hematology. In: Tietz
т = 0.929 r = 0.994 NW, ed. Fundamentals of Clinical Chemistry. 3rd ed. Philadelphia: WB
The sample concentrations were between 6.00 and 87.6 µmol/L (33.5 and Saunders 1987:789-824.
490 µg/dL). 22 Weissman N, Pileggi VJ. Inorganic ions. In: Henry RJ, Cannon DC,
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5 Madu AJ, Ughasoro MD. Anaemia of Chronic Disease: An In-Depth 27 Sonntag O, Scholer A. Drug interference in clinical chemistry:
Review. Med Princ Pract 2017;26(1):1-9. recommendation of drugs and their concentrations to be used in drug
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20;26(2):173-178. 29 Bakker AJ, Mücke M. Gammopathy interference in clinical chemistry
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Abbottabad 2011 Apr-Jun;23(2):36-40. 30 Bablok W, Passing H, Bender R, et al. A general regression procedure
8 Boinska J, Zekanowska E, Kwapisz J. Pro-hepcidin and iron for method transformation. Application of linear regression procedures
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2010 Oct;32(5):483-490. J Clin Chem Clin Biochem 1988 Nov;26(11):783-790.
9 Kasprzak Z, Śliwicka E, Hennig K, et al. Vitamin D, Iron Metabolism, A point (period/stop) is always used in this Method Sheet as the decimal
and Diet in Alpinists During a 2-Week High-Altitude Climb. High Alt Med separator to mark the border between the integral and the fractional parts of
Biol 2015 Sep;16(3):230-235. a decimal numeral. Separators for thousands are not used.
10 Chen CH, Shu KH, Yang Y. Long-term effects of an oral iron chelator, Any serious incident that has occurred in relation to the device shall be
deferasirox, in hemodialysis patients with iron overload. Hematology reported to the manufacturer and the competent authority of the Member
2015;20(5):304-310. State in which the user and/or the patient is established.
UIBC
Unsaturated Iron-Binding Capacity
Symbols
Roche Diagnostics uses the following symbols and signs in addition to
those listed in the ISO 15223‑1 standard:
Contents of kit
Volume for reconstitution
GTIN Global Trade Item Number