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Det finnes imidlertid en rekke unntak som krever endring av fast oppsett slik at raske analysesvar kan utgis. Av overnevnte grunner har vi i behov for et instrument som b\u00e5de er tilstrekkelig sensitivt (for lave konsentrasjoner) og har mulighet for flere analytter i ett og samme run. Samtidig trenger vi et instrument som er robust for jevn rutinebruk b\u00e5de med h\u00f8y kapasitet, og ved analyse av ulike matrikser, og ulike konsentrasjonsniv\u00e5er. Grunnet et EU-direktiv, har vi dessuten satt som krav at instrumentet skal v\u00e6re IVD godkjent. LC-MSMS m\u00e5 v\u00e6re CE-IVD godkjent. V\u00e5re analyser krever CE-IVD instrumentering i henhold til EU direktiv.Leverand\u00f8r m\u00e5 ha ferdig etablerte og dokumenterte internrutiner for CE-IVD som omhandler dokumentasjon og rapportering ved alle typer servicebes\u00f8k som vedlikehold, reparasjoner eller breakdown. M\u00e5 ha plass til minst 4 kolonner i kolonneovnen.M\u00e5 ha autosampler med kapasitet til minst 2 racks som kan brukes til 96-well plate eller 2 ml vials.M\u00e5 ha fixed loop.H\u00f8ytrykkspumpe m\u00e5 kunne levere inntil 1000 bar.LC-MSMS m\u00e5 ha en ionekilde med spesifikk teknologi for \u00e5 ionisere et bredere omr\u00e5de av analytter som gj\u00f8r at i mange tilfeller ikke m\u00e5 bytte mellom ulike ionekilder som ESI, APCI og APPI der analyttene har ulik karakteristikk. Ionekilden gir vesentlig bedre sensitivitet enn den vanlige tradisjonelle elektrosprayen.LC-MSMS skal ha parallell MRM \u2013 og fullscan som gj\u00f8r at man kan kvantifisere p\u00e5 faste MRM overganger, samtidig som det utf\u00f8res fullscan av bakgrunnen. Dette gj\u00f8r at man kan avdekke uregelmessigheter i matriksen til en pr\u00f8ve, derav forurensninger, degraderingskomponenter og/eller metabolitter. P\u00e5 denne m\u00e5ten f\u00e5r operat\u00f8ren vesentlig st\u00f8rre kontroll over pr\u00f8ven som helhet og man kan komfortabelt rapportere pr\u00f8vesvar med trygghet om at det ikke er elementer i pr\u00f8ven som har p\u00e5virket pr\u00f8vesvaret p\u00e5 noen m\u00e5te. I tillegg , dersom pr\u00f8vesvaret ligger utenfor hva operat\u00f8ren erfaringsmessig vet er innenfor normalomr\u00e5det, s\u00e5 vil fullscannet kunne gi svar p\u00e5 eventuelle forurensninger eller annet som har for\u00e5rsaket uregelmessigheten. Dette er spesielt nyttig under metodeutvikling eller feils\u00f8king. LC-MSMS skal ha en funksjon der det trigges et fullscan rett etter at apex\u2019en til en kromatografisk topp (MRM) er evaluert. P\u00e5 denne m\u00e5ten tilf\u00f8res analysen en ekstra sikkerhetsfaktor der man f\u00e5r et fullt massespekter av molekylionet som kan benyttes i MRM vinduet. Dette hjelper til med \u00e5 identifisere uregelmessigheter (matriks) ved den gjeldede pr\u00f8ven. Dette gir en sikrere identifisering av rusmidler.Instrumentet m\u00e5 kunne bestemme buprenofin i serum ned til 1 nmol/L med god respons. Det er ogs\u00e5 et krav om \u00e5 kunne bestemme fosfatidyletanol i fullblod ned til 30 nmol/L. Seksjonen har i dag tre Waters LC-MS/MS instrumenter hvor analysemetoder for legemidler og rusgivende stoffer er innkj\u00f8rt. Grunnet laboratoriets behov for jevn rutinedrift for \u00e5 sikre kontinuerlige, gode tjenester, b\u00f8r tid til oppl\u00e6ring og innkj\u00f8ring med nytt instrument rasjonaliseres. 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LC-MSMS skal ha en funksjon der det trigges et fullscan rett etter at apex\u2019en til en kromatografisk topp (MRM) er evaluert. P\u00e5 denne m\u00e5ten tilf\u00f8res analysen en ekstra sikkerhetsfaktor der man f\u00e5r et fullt massespekter av molekylionet som kan benyttes i MRM vinduet. Dette hjelper til med \u00e5 identifisere uregelmessigheter (matriks) ved den gjeldede pr\u00f8ven. Dette gir en sikrere identifisering av rusmidler.Instrumentet m\u00e5 kunne bestemme buprenofin i serum ned til 1 nmol/L med god respons. Det er ogs\u00e5 et krav om \u00e5 kunne bestemme fosfatidyletanol i fullblod ned til 30 nmol/L.. Det legges til grunn at Waters er den eneste leverand\u00f8ren som av tekniske grunner kan levere iht. kravene. Intensjonskunngj\u00f8ringen er hjemlet i tr\u00e5d med forskrift om offentlig anskaffelse \u00a7 21-5. 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