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TITAN IV Immunoelectrophoresis Procedure - Helena Laboratories

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<strong>TITAN</strong> <strong>IV</strong> <strong>Immunoelectrophoresis</strong><br />

<strong>Procedure</strong><br />

Cat. No. 9050 and 9061<br />

<strong>Helena</strong><br />

<strong>Laboratories</strong><br />

Titan <strong>IV</strong> <strong>Immunoelectrophoresis</strong> (IEP) is intended for<br />

semiquantitative determinations by immunoelectrophoresis.<br />

SUMMARY<br />

<strong>Immunoelectrophoresis</strong> (IEP) combines two techniques,<br />

electrophoresis and immunodiffusion. In this two-part procedure,<br />

proteins in a serum or urine sample are first separated<br />

according to charge by electrophoresis. Then, antisera<br />

complimentary to the proteins under study are applied to the<br />

plate and allowed to diffuse. When a favorable antigen to<br />

antibody ratio exists, a precipitin arc will form on the plate.<br />

IEP is used for the diagnosis and differential diagnosis of<br />

monoclonal gammopathies when using serum or urine<br />

specimens. 1-4 The method is also used for a number of other<br />

purposes, including screening for circulating immune<br />

complexes, characterization of cryoglobulinemia and<br />

pyroglobulinemia, recognition and characterization of antibody<br />

syndromes, and recognition and characterization of the various<br />

forms of dysgammaglobulinemias. IEP is a reliable and accurate<br />

method for routine protein evaluations, detecting both structural<br />

abnormalities and concentration changes. 1-6<br />

The most common application of IEP is the diagnosis of<br />

monoclonal gammopathies. A monoclonal gammopathy is a<br />

condition in which a single clone of plasma cells produces<br />

elevated levels of a single class and type of immunoglobulin.<br />

The elevated immunoglobulin is referred to as a monoclonal<br />

protein, M-protein, or paraprotein. Monoclonal gammopathies<br />

may indicate a malignancy such as multiple myeloma or<br />

macroglobulinemia. The class (heavy chain) and type (light<br />

chain) must be established since the patient’s prognosis and<br />

treatment may differ depending on the immunoglobulin involved.<br />

Differentiation must also be made between monoclonal and<br />

polyclonal gammopathies. 1-6<br />

A polyclonal gammopathy is a secondary disease state caused<br />

by disorders such as liver disease, collagen disorders,<br />

rheumatoid arthritis, and chronic infection. It is characterized by<br />

the elevation of two or more (often all) immunoglobulins by<br />

several clones of plasma cells. Polyclonal increases are usually<br />

twice normal levels. 1-6<br />

PRINCIPLE<br />

The patient’s serum or urine sample and normal human serum<br />

control are electrophoresed on the agarose plate, separating the<br />

immunoglobulins according to their electrophoretic mobility.<br />

Antisera are then applied to troughs in the plate and allowed to<br />

diffuse into the agarose support medium. When a favorable antigen-to-antibody<br />

ratio exists, a precipitin arc will form on the<br />

plate. Proteins are thus differentiated not only by their<br />

electrophoretic mobility, but also by their diffusion coefficient and<br />

antibody specificity.<br />

Diffusion is halted by rinsing the plate in 0.85% saline. Unbound<br />

protein is washed from the plate by the saline, and the<br />

antigen/antibody precipitin arcs are stained with a protein<br />

sensitive stain. The precipitin arcs formed by the patient sample<br />

and the control are compared for a semi-quantitative protein<br />

analysis.<br />

REAGENTS<br />

1. Titan <strong>IV</strong> IEPlate, Cat. No. 9050, 9061<br />

Ingredients: Each IEP plate contains 1.5% agarose (w/v), in<br />

barbital-sodium barbital buffer with 0.1% sodium azide added<br />

as a preservative.<br />

WARNING: FOR IN-VITRO DIAGNOSTIC USE ONLY. This<br />

product contains sodium azide. Refer to the sodium azide<br />

warning.<br />

Preparation for Use: The plates are ready for use as<br />

packaged.<br />

Storage and Stability: Plates should be stored flat, in the<br />

protective packaging, at 2°C to 8°C and are stable until the<br />

expiration date indicated on the label. DO NOT FREEZE<br />

PLATES OR EXPOSE THEM TO EXCESS<strong>IV</strong>E HEAT.<br />

Signs of Deterioration: The plates should have a smooth,<br />

clear agarose surface. Discard the plates if they appear<br />

cloudy, show bacterial growth, or if they have been exposed to<br />

freezing (a cracked or bubbled surface) or excessive heat (a<br />

dried, thin surface).<br />

2. Antisera for Assay of Immunoglobulins<br />

Antiserum to Human IgG, Cat. No. 9232<br />

Antiserum to Human IgA, Cat. No. 9231<br />

Antiserum to Human IgM, Cat. No. 9234<br />

Antiserum to Human IgD, Cat. No. 9249<br />

Antiserum to Human IgE, Cat. No. 9250<br />

Antiserum to Human Kappa Light Chain, Cat. No. 9262<br />

Antiserum to Human Lambda Light Chain, Cat. No. 9257<br />

Trivalent Antiserum to Human Immunoglobulins (Heavy Chain<br />

Specific for IgG, IgA, IgM), Cat. No. 9236<br />

Antiserum to Human Serum, Cat. No. 9233<br />

Pentavalent antiserum to Human Immunoglobulins<br />

(Specific for IgG, IgA, IgM, IgD, IgE), Cat. No. 9251<br />

Ingredients: Each vial of antiserum contains the specificity as<br />

indicated on the vial. The antisera are prepared in horse,<br />

sheep, goat, donkey or rabbit. Each vial contains 0.1%<br />

sodium azide as a preservative.<br />

WARNING: FOR IN-VITRO DIAGNOSTIC USE ONLY. DO<br />

NOT INGEST. Refer to the sodium azide warning.<br />

Preparation for Use: The antisera are in liquid form and are<br />

ready for use as packaged.<br />

Storage and Stability: The antisera should be stored at 2°C<br />

to 8°C and are stable until the expiration date indicated on<br />

the vial.<br />

Signs of Deterioration: The antisera should be colorless to<br />

light yellow.<br />

3. IEP Normal Human Serum Control, Cat. No. 9010<br />

Ingredients: The control contains pooled normal human<br />

serum with 0.1% sodium azide as a preservative.<br />

WARNING: FOR IN-VITRO DIAGNOSTIC USE ONLY. DO<br />

NOT INGEST. Refer to the sodium azide warning. This<br />

material has been determined negative for Hepatitis B Antigen<br />

(HBsAg), H<strong>IV</strong> I/II and HCV antibodies; however, it should be<br />

handled with the same precautions as those observed when<br />

handling any human serum.<br />

Preparation for Use: The control is in liquid form and is ready<br />

for use as packaged. Before using, add two drops of albumin<br />

marker to the control vial.<br />

Storage and Stability: The control should be stored at 2°C to<br />

8°C and is stable until the expiration date indicated on the vial.<br />

Stability is not affected by the addition of albumin marker.<br />

Signs of Deterioration: The control should be light yellow<br />

and slightly hazy before the addition of marker.


4. Electra ® B 1 Buffer, Cat. No. 5016<br />

Ingredients: Contains barbital-sodium barbital, pH 8.3-8.7.<br />

WARNING: FOR IN-VITRO DIAGNOSTIC USE ONLY. DO<br />

NOT INGEST. The buffer contains barbital which, in sufficient<br />

quantity, can be toxic.<br />

Preparation for Use: Dissolve one package of buffer in one<br />

liter of deionized water. The buffer is ready for use when it is<br />

completely dissolved.<br />

Storage and Stability: The packaged, dry buffer should be<br />

stored at room temperature (15 to 30°C) and is stable until the<br />

expiration date on the package. Buffer solution is stable for<br />

two months at 15 to 30°C.<br />

Signs of Deterioration: Discard packaged buffer if the<br />

material shows signs of dampness or discoloration. Discard<br />

buffer solution if it becomes turbid.<br />

5. Albumin Marker, Cat. No. 9011<br />

Ingredients: The albumin marker is 0.5% bromophenol blue<br />

in aqueous solution.<br />

WARNING: FOR IN-VITRO DIAGNOSTIC USE ONLY. DO<br />

NOT INGEST.<br />

Preparation for Use: Add two drops of Albumin Marker to<br />

each vial of IEP Normal Human Serum Control. The<br />

bromophenol blue binds with the albumin in the control. The<br />

tagged albumin allows verification of protein mobility during<br />

electrophoresis.<br />

Storage and Stability: The marker should be stored at 15<br />

to 30°C and is stable until the expiration date indicated on<br />

the vial.<br />

Signs of Deterioration: Discard if the solution color changes<br />

from the yellow-brown color.<br />

SODIUM AZIDE WARNING<br />

To prevent the formation of toxic vapors, do not mix with acidic<br />

solutions. When discarding, always flush sink with copious<br />

amounts of water. This will prevent the formation of metallic<br />

azides which, when highly concentrated in metal plumbing, are<br />

potentially explosive. In addition to purging pipes with water,<br />

plumbing should occasionally be decontaminated with 10%<br />

NaOH.<br />

SPECIMEN COLLECTION AND HANDLING<br />

Specimen: Fresh human serum or urine are the specimens of<br />

choice. Urine samples should be tested unconcentrated as well<br />

as concentrated (10X to 50X) due to the wide range of light<br />

chain concentrations.<br />

Patient Preparation: No special patient preparation is<br />

necessary.<br />

Interfering Factors:<br />

1. Samples showing evidence of hemolysis should not be used.<br />

2. Inaccurate results may be obtained on specimens left<br />

uncovered, due to evaporation.<br />

3. Microbial contamination of samples will cause protein<br />

denaturation affecting results.<br />

4. Patient age, sex, history and clinical presentation will affect<br />

immunoglobulin levels and must be considered.<br />

Storage and Stability: Serum and urine samples should be<br />

assayed fresh if possible. Samples may be stored at 2 to 8°C for<br />

up to 5 days after collection. Serum and urine refrigerated<br />

samples should be warmed to room temperature and mixed well<br />

prior to testing.<br />

PROCEDURE<br />

Materials Provided by <strong>Helena</strong>:<br />

Cat. No.<br />

Titan <strong>IV</strong> IEPlates, 8 wells, 7 troughs 9050<br />

Titan <strong>IV</strong> IEPlates, 7 wells, 6 troughs 9061<br />

Electra ® B 1 Buffer 5016<br />

IEP Normal Human Serum Control<br />

Albumin Marker<br />

9010<br />

9011<br />

Antiserum to Human IgG 9232<br />

Antiserum to Human IgA 9231<br />

Antiserum to Human IgM 9234<br />

Antiserum to Human IgD 9249<br />

Antiserum to Human IgE 9250<br />

Antiserum to Human Kappa Chain 9262<br />

Antiserum to Human Lambda Chain 9257<br />

Trivalent Antiserum to Human<br />

Immunoglobulins (IgG, IgA, IgM) 9236<br />

Pentavalent antiserum to Human Immunoglobulins<br />

(Specific for IgG, IgA, IgM, IgD, IgE), Cat. No. 9251<br />

Antiserum to Human Serum 9233<br />

Microdispenser and Tubes 6210<br />

<strong>TITAN</strong> GEL Chamber (Zip Zone ® Chamber,<br />

Cat. No. 1283, may be used) 4063<br />

IEP Sponge Wicks, Long 9015<br />

Materials Needed but Not Supplied:<br />

Saline Solution (0.85%)<br />

5% acetic acid<br />

SUMMARY OF CONDITIONS<br />

Plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Titan <strong>IV</strong> IEPlate<br />

Buffer . . . . . . . . B 1 Buffer dissolved in 1.0 L deionized water<br />

Sample Volume. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 µL<br />

Migration Distance . . . . . . . . . . . . . . . Cat. No. 9061, 20 mm<br />

Cat. No. 9050, 35-40 mm<br />

Electrophoresis Time . . . . . . . . . . . . . . . . . . . 40-50 minutes<br />

Voltage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 V<br />

Antisera Volume . . . . . . . . . . . . . . Cat. No. 9050, 75-100 µL<br />

Cat. No. 9061, 150 µL<br />

Incubation Time . . . . . . . . . . . . . . . . . . . . . . . . . 18-24 hours<br />

Incubation Temperature . . . . . . . . . . . . . . . . . . . . 15 to 30°C<br />

Wash Solution . . . . . . . . . . . . . . . . . . . . . . . . . 0.85% Saline<br />

Saline Wash Time. . . . . . . . . . . . . . . . . . . . . . . . 48-72 hours<br />

Staining Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 min.<br />

Destaining Time . . . . . . . . . . . . . . . . . . . . . . 90-180 minutes<br />

STEP-BY-STEP METHOD<br />

A.Preparation of <strong>TITAN</strong> GEL Chamber<br />

1. Dissolve 1 package of Electra B 1 Buffer in one liter of<br />

deionized water.<br />

2. Pour 100 mL of buffer into<br />

each outer section of the<br />

chamber (total of 200 mL of<br />

buffer used). The buffer can<br />

be reused one time by<br />

reversing the polarity of the<br />

chamber. The IEPlates must then be placed with the<br />

wells on the left side (formerly the anodic side).<br />

3. Place a long IEP Sponge Wick in each buffer-filled<br />

compartment. Allow the sponges to become saturated<br />

with buffer. Place the sponges against the chamber<br />

walls as shown.<br />

4. Cover the chamber until ready to use.<br />

B.Sample Application<br />

1. Remove the Titan <strong>IV</strong> IEPlate(s) from the refrigerator.<br />

Allow the plate(s) to come<br />

to room temperature prior<br />

to use (requires 20-30<br />

minutes).<br />

2. Add two drops of Albumin<br />

Marker to a vial of Normal<br />

Human Serum Control.<br />

3. Remove the lid from the<br />

plate.<br />

4. Apply 4 µL of the control to<br />

every other well in the plate


using a Microdispenser. Take care not to damage the<br />

wells during sample application.<br />

5. Apply 4 µL of the patient sample to every other well.<br />

C.Electrophoresis of the IEPlate(s)<br />

1. Quickly put the plate(s) in the electrophoresis chamber,<br />

agarose side down, with the wells toward the cathode (-<br />

) side of the chamber.<br />

Make sure that the agarose makes good contact with<br />

the sponge wicks. Two plates may be electrophoresed<br />

in one chamber.<br />

2. Put the cover on the electrophoresis chamber and wait<br />

30 to 60 seconds before applying current. This allows<br />

the plate(s) to equilibrate with the buffer.<br />

3. Electrophorese the plate(s) at 100 volts for the<br />

appropriate migration distance. This requires approximately<br />

40 to 50 minutes. Migration distance can be<br />

verified visually by observing the position of the Albumin<br />

Marker.<br />

The migration distances for the plates are as follows:<br />

Cat. No. 9061: 20 mm<br />

Cat. No. 9050: 35-40 mm<br />

D.Antisera Application<br />

1. Remove the plate(s) from the chamber and put them on<br />

a flat surface, agarose side up.<br />

2. Apply the appropriate antiserum to each trough in the<br />

plate using the appropriate volume of antisera as<br />

follows:<br />

Cat. No. 9061, 150 µL/trough<br />

Cat. No. 9050, 75-100 µL/trough<br />

Fill the troughs by placing the tip of a pipette in the end<br />

of the trough farthest from<br />

the sample well. Holding<br />

the pipette in place, slowly<br />

depress the plunger and<br />

dispense the antiserum<br />

into the trough. The<br />

antiserum will flow down<br />

the trough by capillary<br />

action. Severe overfilling<br />

may cause antisera to contaminate other troughs,<br />

yielding erroneous results.<br />

3. Before moving the plates, allow the antisera to absorb<br />

for approximately 3 to 5<br />

minutes.<br />

4. Stack the plates in an<br />

enclosed container with a<br />

moist paper wick.<br />

5. Incubate the plate(s) for<br />

18 to 24 hours at room<br />

temperature (15 to 30°C).<br />

The minimum incubation<br />

time is 18 hours. After<br />

incubation, place the<br />

plates in a 0.85% saline wash to stop the precipitin<br />

reaction.<br />

E. Interpretation of Unstained Plates<br />

1. Place the plate on a light box for viewing. The precipitin<br />

arcs will appear as dense opaque white arcs in the<br />

agarose layer.<br />

2. Compare the patient arcs with the Normal Control in<br />

order to determine the presence or absence of an<br />

abnormal immunoglobulin.<br />

3. For a permanent record, photograph the IEP plate.<br />

Stability of End Product: The dried Titan <strong>IV</strong> IEPlate is stable<br />

for an indefinite period of time.<br />

Quality Control: IEP Normal Human Serum Control with<br />

(-)<br />

C<br />

P<br />

C<br />

P<br />

C<br />

P<br />

C<br />

P<br />

C = Control<br />

P = Patient Sample<br />

<strong>TITAN</strong> GEL<br />

40mm<br />

IEPlate<br />

1<br />

2<br />

3<br />

4<br />

5<br />

6<br />

7<br />

(+)<br />

IEPlate (Cat. No. 9050)<br />

ANTISERA<br />

IgG<br />

IgA<br />

IgM<br />

Human Serum<br />

Trivalent<br />

Kappa<br />

Lambda<br />

Albumin Marker added should be used as a control for each<br />

antiserum specificity used.<br />

RESULTS<br />

The formation of a precipitin arc between a well containing test<br />

specimen and a trough containing antiserum indicates the<br />

presence of the protein specific to the antiserum. The lack of a<br />

precipitin arc indicates that a detectable amount of the protein is<br />

not present in the test specimen or that prozoning has occurred.<br />

The size, location, and shape of the precipitin arc, as compared<br />

to the control, are indications of the amount of protein in the test<br />

sample. IEP is a semiquantitative technique.<br />

In general, when protein concentrations are below normal,<br />

precipitin arcs are shortened and located farther from the<br />

antiserum trough compared to the corresponding arc in the<br />

control. When protein concentrations are above normal,<br />

precipitin arcs are thicker and located closer to the antiserum<br />

trough compared to the control.<br />

Further Testing Required:<br />

A. IgM Typing (IgA)<br />

Interpretation of Light Chain reactions associated with<br />

monoclonal IgM is often difficult due to the umbrella effect of<br />

IgG. The following method may be used to depolymerize IgM<br />

(19S) into single molecular units (7S), which diffuse through<br />

the agarose more rapidly. In some instances, this may be<br />

necessary for IgA typing.<br />

Perform this procedure under a fume hood. The vapor<br />

from 2-mercaptoethanol (2-ME) may cause skin irritation.<br />

Avoid contact with skin, eyes and clothing.<br />

1. Materials:<br />

2-mercaptoethanol<br />

10 µL disposable pipettes<br />

100 µL disposable pipettes<br />

Fume hood<br />

2. Make 1:10 dilution, 2-ME to deionized or distilled water.<br />

3. Add 10 µL of diluted 2-MI to 100 µL of patient sample.<br />

4. Assay immediately, running the plate(s) with treated and<br />

untreated patient sample in alternate wells.<br />

B. Correction for Antigen Excess<br />

Antigen excess (prozoning) is an incomplete precipitin<br />

reaction caused by antigen excess (too high an antigen-toantibody<br />

ratio). Prozoning should be suspected if a<br />

precipitin arc appears to “run” into a trough or if a light chain<br />

appears fuzzy when a heavy chain is increased or if an arc<br />

appears to be incomplete. To correct for antigen excess,<br />

use one of the following three methods.<br />

1. After incubation, but before washing in saline, add an<br />

additional 75-100 µL of antisera to the troughs in<br />

question and incubate an additional 18 to 24 hours.<br />

2. Retest the sample using twice the volume of originally<br />

specified antiserum in the trough(s) in question. Add half<br />

the volume and allow the antiserum to diffuse into the<br />

plate, then add the additional half volume.<br />

3. Make a 1:2 dilution of the patient sample with saline and<br />

repeat the entire procedure.<br />

INTERPRETATION OF RESULTS<br />

A sample immunoglobulin profile is illustrated below. The<br />

pattern of precipitin arcs is interpreted comparing the patient<br />

sample to the control. In the figure, the patient serum forms a<br />

dense, bowed arc against IgG antiserum. There appears to be<br />

a diminished IgA level and virtually no IgM in the patient serum<br />

when compared to the IgA and IgM in the control. The<br />

abnormal IgG band is also visible against both Human Serum<br />

and Trivalent antisera. The patient sample reveals a bowed,<br />

abnormal kappa arc and a decreased lambda arc. The


composite is indicative of an “IgG Monoclonal Gammopathy<br />

Kappa type”.<br />

Fig. 1: Titan <strong>IV</strong> IEPlate illustration indicative of an IgG monoclonal<br />

gammopathy, kappa type.<br />

BIBLIOGRAPHY<br />

1. Ritzmann, S.E., Editor, Protein Abnormalities, Volume 1.<br />

Physiology of Immunoglobulins: Diagnostic and Clinical<br />

Aspects. Alan R. Liss, Inc., New York, 1982.<br />

2. Ritzmann, S.E. and Daniels, J.C. “Diagnostic Proteinology:<br />

Separation and Characterization of Proteins, Qualitative and<br />

Quantitative Assays”, Chapter 12 in Race, G.J., Laboratory<br />

Medicine, Harper and Rowe, Hagerstown, Maryland, 1979.<br />

3. Ritzmann, S.E. and Daniels, J.C., Editors. Serum Protein<br />

Abnormalities: Diagnostic and Clinical Aspects, 1st Edition,<br />

Little, Brown and Co., Boston, 1975.<br />

4. Roitt, I. Essential Immunology, 3rd Edition, Blackwell Scientific<br />

Pub., London, 1977.<br />

5. Kyle, R.A. and Greipp, P.R. “The Laboratory Investigation of<br />

Monoclonal Gammopathies.” Mayo Clinic Proceedings<br />

53:719-739, 1978.<br />

6. Solomon, A. “Bence Jones Proteins and Light Chains of<br />

Immunoglobulins”. Parts 1 and 2, N. Eng. J. Med 29:17-23,<br />

1976.<br />

Additional References<br />

1. Ritzmann, S.E., Editor, Protein Abnormalities, Vol 2. Pathology<br />

of Immunoglobulins: Diagnostic and Clinical Aspects. Allen R.<br />

Liss, Inc., New York, 1982.<br />

2. Kyle, R.A. Bayrd, E.D., The Monoclonal Gammopathies,<br />

Charles C. Thomas, Springfield, IL, 1976.<br />

3. Kyle, R.A., Multiple Myeloma: Review of 869 Cases. Mayo<br />

Clinic Proceedings 50, 29-40, 1975.<br />

4. Ritzmann, S.E. et al., Bence Jones Proteins: Another Look,<br />

Lab Management, 17-21, September 1981.<br />

Titan <strong>IV</strong> IEPlate System<br />

Cat. No.<br />

The following items are available individually:<br />

Titan <strong>IV</strong> IEPlates, 8 wells, 7 troughs (5 plates) 9050<br />

Titan <strong>IV</strong> IEPlates, 7 wells, 6 troughs (5 plates) 9061<br />

Electra ® B 1 Buffer (10 pkg/box) 5016<br />

IEP Normal Human Serum Control (1 x 2.0 mL) 9010<br />

Albumin Marker (1 x 2.0 mL) 9011<br />

Antiserum to Human IgG (1 x 2.0 mL) 9232<br />

Antiserum to Human IgA (1 x 2.0 mL) 9231<br />

Antiserum to Human IgM (1 x 2.0 mL) 9234<br />

Antiserum to Human IgD (1 x 2.0 mL) 9249<br />

Antiserum to Human IgE (1 x 2.0 mL) 9250<br />

Antiserum to Human Kappa Chain (1 x 2.0 mL) 9262<br />

Antiserum to Human Lambda Chain (1 x 2.0 mL) 9257<br />

Trivalent Antiserum to Human<br />

Immunoglobulins (IgG, IgA, IgM) (1 x 2.0 mL) 9236<br />

Pentavalent antiserum to Human Immunoglobulins<br />

(Specific for IgG, IgA, IgM, IgD, IgE), Cat. No. 9251<br />

Antiserum to Human Serum (1 x 2.0 mL) 9233<br />

Microdispenser and Tubes (1 to 10 µL) 6210<br />

<strong>TITAN</strong> GEL Chamber (Zip Zone ® Chamber,<br />

Cat. No. 1283, may be used) 4063<br />

IEP Sponge Wicks, Long (2/pkg) 9015<br />

For Sales, Technical and Order Information and Service<br />

Assistance, call 800-231-5663 toll free.<br />

<strong>Helena</strong> <strong>Laboratories</strong> warrants its products to meet our published specifications and to be free<br />

from defects in materials and workmanship. <strong>Helena</strong>’s liability under this contract or otherwise<br />

shall be limited to replacement or refund of any amount not to exceed the purchase price<br />

attributable to the goods as to which such claim is made. These alternatives shall be buyer’s<br />

exclusive remedies.<br />

In no case will <strong>Helena</strong> <strong>Laboratories</strong> be liable for consequential damages even if <strong>Helena</strong> has<br />

been advised as to the possibility of such damages.<br />

The foregoing warranties are in lieu of all warranties expressed or implied including, but not<br />

limited to, the implied warranties of merchantability and fitness for a particular purpose.<br />

Shaded areas indicate that the text has been modified, added or deleted.<br />

<strong>Helena</strong><br />

<strong>Laboratories</strong><br />

Beaumont, Texas 77704-0752<br />

Pro 22<br />

1/05(4)

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