Following the start of the new automated conveyor and sorting line, we encountered difficulties that were not evident during the testing phases. Consequently, some tests in the Biochemistry, Autoimmunity, Allergy, and Infectious Serology departments are randomly affected and may experience delays of more than a week. We are working with the different suppliers of the connected analyzers to resolve the identified issues.

1/ List of tests with extended delays due to equipment failures in physical-chemistry :

Test	New technical Temporary Delay

DELTA AMINOLEVULINIC ACID	2 WEEKS
METHYLMALONIC ACID	2 WEEKS
AMPHETAMINES Confirmation	2 WEEKS
ASPERGILLOSIS Serology	6 WEEKS
CANNABINOIDS Screening	1 WEEK
CANNABINOIDS Research, ID, and dosage	1 WEEK
FRACTIONATED CATECHOLAMINES Urine	4 WEEKS
CITRATE	2 1/2 MONTHS
COCAINE Screening	2 WEEKS
COCAINE Research, ID, and dosage	2 WEEKS
COENZYME Q10	2 WEEKS
CORTICOSTERONE	3 WEEKS
11 DESOXYCORTISOL	3 WEEKS
DHT	2 WEEKS
METANEPHRINES	3 WEEKS
METANEPHRINES Urine	5 WEEKS
OPIATES Research, ID, and dosage	2 WEEKS
OXALATE	2 1/2 MONTHS
17 HYDROXY PREGNENOLONE	3 WEEKS
17 ALPHA HYDROXY PROGESTERONE	3 WEEKS
TOTAL TESTOSTERONE Women	2 WEEKS
VITAMIN A1	5 WEEKS
VITAMIN E	5 WEEKS
VITAMIN B1 (THIAMINE PYROPHOSPHATE ): LC-MSMS	5 WEEKS
VITAMIN B6 (PYRIDOXAL 5 PHOSPHATE)	5 WEEKS
VITAMIN K1 (PHYLLOQUINONE)	EUROFINS SUBCONTRACT
ZINC	3 WEEKS

2/ To prioritize urgent tests, mark urgent on the bag if it is an urgent prescription for a test on the extended delay list (see table above) or if it contains the prescription of tests with medically important prognosis (see list below).

List of tests with medically important prognosis :

- ANTI-MPO ANTIBODIES
- ANTI-PR3 ANTIBODIES
- ANTI-GBM ANTIBODIES
- AMINO ACIDS
- BILE ACIDS IN PREGNANT WOMEN
- METHYLMALONIC ACID
- ADAMST 13
- URINARY ALDOSTERONE
- ASPERGILLAR ANTIGEN
- 16S RNA
- BD-GLUCAN
- PRE-OPERATIVE SCREENING
- PRE-THERAPEUTIC SCREENING
- IONIZED CALCIUM
- FREE LIGHT CHAINS
- CORTISOL
- URINARY FREE CORTISOL
- URINARY CORTISONE
- COTININE
- URINARY CREATININE/CREATINURIA
- CYFRA 21-1
- HORMONAL ASSAYS IN CHILDREN
- IMMUNOSUPPRESSANT ASSAYS
- DPD/URACILEMIA/5FU
- ESTRADIOL
- TOTAL hCG
- ALL CSF FOR INFECTIOUS DISEASE TESTS
- NSE
- ARBOVIRUS PCR
- ASPERGILLUS PCR
- PERTUSSIS PCR
- MEASLES PCR
- HSV PCR IN NEWBORNS
- LEPTOSPIROSIS PCR
- PCT
- PREECLAMPSIA
- PREGNENOLONE
- 17OH PROGESTERONE
- QUANTIFERON
- ANTI-VIII MARKER SEARCH
- DRUG SEARCH
- HLA A*02:01 SEARCH
- SCC
- FREE BETA hCG SUBUNIT
- SBP
- PREGNENOLONE SULFATE
- SUSPECTED HIV PRIMARY INFECTION
- SUSPECTED NON-ADHERENCE/THERAPEUTIC ESCAPES/ OVERDOSE IN PHARMACOLOGY
- SERUM MARKER SEARCH FOR TRISOMY
- FREE TESTOSTERONE
- TROPONIN

3/ To also prioritize all your re tests in technique:
- Check the urgent box on the bag
- Note on the FDE: to Cindy Delanoë + initial case number

We remain at your complete disposal.

The International Customer Service Team Cerba
intgb@lab-cerba.com

Dear colleague,

Be informed every week of pre-analytical changes, technique, reagent disruption, nomenclature and pricing of our exams and the relocation steps of the different specialties of the laboratory to the new site in Frépillon.

DELAYS

Following the start-up of the new tube sorting line and the connected automates systems, we have encountered difficulties that were not apparent during the test phases. As a result, some tests on the Biochemistry, Autoimmunity, Allergology and Infectious Serology benches have been affected and may be delayed by more than a week.
The teams are currently working on both sites (Saint-Ouen l'Aumône and Frépillon) to get the situation back to normal as quickly as possible.

Aspergillus - Confirmation technique (IEP) : new temporary delay of 2 weeks following a break in the screening reagent

Citrates and oxalates
Automaton breakdowns impact our turnaround time of 2 and a half months. In order to return to normal, some files are subcontracted to the Biomnis laboratory when pre-analytical conditions are compatible.

Herpes serology - IgM
Following a break in the reagent supply and the introduction of the alternative technique. We hope to be back to normal next week.

REMOVALS IN PROGRESS

- ZINC : new temporary delay of 10 days

-TRYPTASES : back to normal by the end of this week

-VITAMIN B1 and B6 : new temporary delay of 2 weeks

-FLOW CYTOMETRY FOR THE DIAGNOSIS OF MALIGNANT HEMATOPATHIES : new temporary delay of 7 days
-In case of suspicion of acute hematopathies (acute leukemia, high-grade lymphoma), please notify the arrival of the sample at the address pole.hemato@lab-cerba.com in order to obtain a faster result turnaround.

-VITAMIN A AND E : new temporary delay of 2 weeks.

The Cerba International Customer Service Team
intgb@lab-cerba.com

New delais and evolutions

Test

New technical Temporary Delay

List of tests with medically important prognosis :