SmartSpot Q Order Form

	Serial Number
1) Old instrument
1) New instrument
2) Old instrument
2) New instrument

All items display a product catalogue number beneath them, corresponding to the catalog. If you have any uncertainties, please consult the catalogue or reach out to us via email Orders@SmartSpotQ.com

Would you like to enrol in EQA and Verification for Tuberculosis*

EQA for Tuberculosis (All Programs are 3 cycles)

	Number of Instruments	Delivery Number of Shipping Locations
Xpert MTB/RIF Ultra EQA (3 Cycles) SSQ-X-MTBRIF-EQA
Fluorotype MTB MDR EQA SSQ-FL-MTBMDR-EQA
Xpert MTB/XDR EQA (3 Cycles) SSQ-X-MTBXDR-EQA
Liqud Array MTB XDR EQA (3 Cycles) SSQ-LA-MTBXDR-EQA
Genotype MTBDplus EQA (3 Cycles) SSQ-LPA-MTBDRplus-EQA
Genotype MTBDRsl EQA (3 Cycles) SSQ-LPA-MTBDRRsl-EQA
Urine TB LF-LAM SSQ-LFLAM-MTB-EQA
MTBC LAMP SSQ-LAMP-MTBC-EQA
Truenat MTB/RIF SSQ-TN-MTBRIF-EQA
Roche MTB/RIF INH EQA SSQ-R-MTBRIFINH-EQA
BD MTB/RIF INH EQA SSQ-B-MTBRIFINH-EQA

Verification for Tuberculosis

	Number of Instruments	Delivery Number of Shipping Locations
Xpert MTB/RIF Verification (1 Spot) SSQ-X-MTBRIF-VRF-1
Xpert MTB/RIF Ultra Verification (1 Spot) SSQ-X-MTBRIF-VRF-1
Xpert MTB RIF Verification Panel (5 Spots) SSQ-X-MTBRIF-VRF-5
Xpert MTB RIF Ultra Verification (5 Spots) SSQ-X-MTBRIF-VRF-5
Xpert MTB/RIF Ultra Verification (4 Spots) SSQ-X-MTBRIF_ULTRA-VRF
Xpert MTB XDR Verification (25 Spots) VP-DCS25MTB/XDR
Xpert MTB XDR Pre-rollout Verification (12 Spots) SSQ-X-MTBXDR-VRF
MTBC LAMP Verification (8 Spots) SSQ-LAMP-MTBC-VRF-8
Urine TB LF-LAM Monthly QC SSQ-LFLAM-MTB-MQC
Fluorotype XDR Verification (12 Spots) SSQ-F-MTBXDR-VRF
Fluorotype XDR Validation panel (25 Spots) VF-DCS25MTB/XDR
Xpert MTB/RIF XDR verification Panel (4 Spots) SSQ-X-MTBXDR-VRF
BD MTB-RIF-INH Verification Panel (8 Spots) SSQ-B-MTBRIFINH-VRF
Roche MTB-RIF-INH Verification Panel (16 Spots) SSQ-R-MTBRIFINH-VRF
TB LAM Verification Panel SSQ-LFLAM-MTB-VAL

Other Tuberculosis

	Assay Type	Validation Panel Number of Instruments	Verification Panel Number of Instruments	EQA Panel Number of Instruments	Delivery Number of Shipping Locations
Other Molecular Assays (please state)

Would you like to enrol in EQA and Verification for Respiratory Viruses*

EQA for Respiratory Viruses

	Number of Instruments	Delivery Number of Shipping Locations
Xpert SARS-CoV-2 EQA Program (3 Cycles) SSQ-X-COV2-EQA
Molecular SARS-CoV-2 EQA Program (3 Cycles) SSQ-MOL-COV2-EQA
Xpert Cov-2/Flu/RSV EQA Program (3 Cycles) SSQ-X-COV2FLURSV-EQA
Molecular Cov-2/Flu/RSV EQA Program (3 Cycles) SSQ-MOL-COV2FLURSV-EQA

Verification for Respiratory Viruses

	Number of Instruments	Delivery Number of Shipping Locations
SARS-CoV-2 Verification Panel SSQ-X-COV2-VRF-4
SARS-CoV-2 Pre Rollout Verification SSQ-X-COV2-VRF-12
Cov-2/Flu/RSV Verification SSQ-X-COV2FLURSV-VRF-4
Cov-2/Flu/RSV Pre-rollout Verification SSQ-X-COV2FLURSV-VRF-12

Please state if you would like any other Respiratory Viruses assays?

	EQA Enrolment Number of Instruments	Delivery Number of Shipping Locations
Other Molecular Assays (please state)

Would you like to enrol in an EQA and Verification for Blood Virology, Women’s Health & Sexual Health? (HIV, HCV, HBV)*

EQA Blood Virology, Women’s Health, & Sexual Health

	Number of Instruments	Delivery Number of Shipping Locations
Xpert HIV-1 Viral Load EQA Panel SSQ-X-HIV_VL-EQA
Molecular HIV-1 Viral Load EQA Panel SSQ-MOL-HIV_VL-EQA
m-Pima HIV-1/2 Viral Load SSQ-MOL-HIV_VL-EQA
Xpert HIV-1 Qual SSQ-X-HIV_QUALXC-EQA
Abbott RealTime HIV-1 Qua SSQ-MOL-HIV_QUAL-EQA
COBAS Ampliprep/COBAS Taqman HIV-1 Qual SSQ-MOL-HIV_QUAL-EQA
Aptima HIV-1 Qualitative RNA SSQ-MOL-HIV_QUAL-EQA
m-pima HIV-1/2 Detect SSQ-MOL-HIV_QUAL-EQA
COBAS Ampliprep/COBAS Taqman HIV-1/ HIV-2 test SSQ-MOL-HIV_VL-EQA
Aptima HIV-1 Quant Dx SSQ-MOL-HIV_QUAL-EQA
Xpert HCV Viral Load EQA Panel SSQ-X-HCV_VL-EQA
Molecular HCV Viral Load EQA Panel SSQ-MOL-HCV_VL-EQA
Xpert HCV VL Fingerstick EQA Panel SSQ-X-HCV_FS-EQA
Molecular HCV VL Fingerstick EQA Panel SSQ-MOL-HCV_FS-EQA
Xpert HBV Viral Load EQA Panel SSQ-X-HBV_VL-EQA
Molecular HBV Viral Load EQA Panel SSQ-MOL-HBV_VL-EQA

Would you like to enrol in an EQA and Verification Human Papilloma Virus (HPV)?*

EQA and Verification for HPV

	Number of Instruments	Delivery Number of Shipping Locations
Xpert HPV Viral Load EQA Panel (3 Cycle) SSQ-X-HPV_-EQA
Molecular HPV Viral Load EQA Panel (3 Cycle) SSQ-MOL-HPV-EQA
Xpert HPV Viral Load Verification SSQ-X-HPV_VRF-3X4
Molecular HPV Viral Load Verification

Would you like to enrol in an EQA or Verification for (MRSA) Healthcare-associated Infections (HAI's)?*

EQA for Healthcare-associated Infections (HAI's)

	EQA Enrolment Number of Instruments	Delivery Number of Shipping Locations
Xpert Xpert MRSA/SA EQA Panel (3 Cycles) SSTI & NxG & SA Nasal Complete (SSQ-X-MRSA-NxG-EQA)
Xpert Molecular MRSA/SA EQA Panel (3 Cycles) SSTI & NxG & SA Nasal Complete (SSQ-MOL-MRSA_DC-EQA)
Xpert MRSA/SA EQA Panel (3 Cycles) MRSA/SA Blood Culture (SSQ-X-MRSA_BC-EQA)
Molecular MRSA/SA EQA Panel (3 Cycles) MRSA/SA Blood Culture (SSQ-MOL-MRSA_WB-EQA)

Verification for Healthcare-associated Infections (HAI's)

	Number of Instruments	Delivery Number of Shipping Locations
Xpert MRSA/SA Verification Panel SSTI & NxG & SA Nasal Complete (SSQ-X-MRSA-DC-VRF-3X4)
Molecular MRSA/SA Verification Panel SSTI & NxG & SA Nasal Complete (SSQ-MOL-MRSA-DC-VRF-3X4)
Xpert MRSA/SA Verification Panel MRSA/SA Blood Culture (SSQ-X-MRSA-WB-VRF-3X4)
Molecular MRSA/SA Verification Panel MRSA/SA Blood Culture (SSQ-MOL-MRSA-WB-VRF-3X4)

Please state if you would like any other (HAI's) assays?

	EQA Enrolment Number of Instruments	Delivery Number of Shipping Locations
Other Molecular Assays (please state)

Would you like to enrol in an EQA or Verification for CT/NG?*

EQA & Verification for CT/NG

	Number of Instruments	Delivery Number of Shipping Locations
Xpert CT/NG Validation Panel (20 Spots) (SSQ-X-CT/NG-20DCS)
Xpert CT/NG Verification Panel (SSQ-X-CTNG-VRF)
Xpert CT/NG EQA Panel (SSQ-X-CT/NG-EQA)
Molecular CT/NG EQA Panel

Would you like to enrol in Syphilis EQA or Verification?*

Syphilis EQA & Verification Programme

	Number of Instruments	Delivery Number of Shipping Locations
Antibody EQA (3 Cycle) - Syphilis EQA Panel (SSQ-SYP_AB-EQA-Pl)
Antibody Validation Panel- Syphilis 7 high positive, 8 low positive and 15 Negative Plasma Specimens (SSQ-SYP_AB-VAL-30Pl)

Would you like to enrol in C.Diff EQA or Verification?*

C. Diff EQA & Verification Programme

	Number of Instruments	Delivery Number of Shipping Locations
Xpert C.Diff (3 Cycle) - EQA Panel (SSQ-X-C.DIFF-EQA)
C.Diff Validation Panel-
Molecular C.Diff (3 Cycle) - EQA Panel

Would you like to enrol in our PILOT T. Vaginalis Programme*

Please Select what instrument you use in your Lab?

Gene Xpert T. Vaginalis EQA & Verification Programme

	Number of Instruments	Delivery Number of Shipping Locations
Xpert TV- Urine (3 Cycle) - EQA Panel (SSQ-X-TV-EQA-LIQ)
Xpert TV- Swab (3 Cycle) - EQA Panel (SSQ-X-TV-EQA-SWB)
Xpert TV- Swab - Verification Panel 2 Positive and 2 negative Urine Specimens (SSQ-X-TV-EQA-SWB)

Other Instrument T. Vaginalis EQA & Verification Programme

	Number of Instruments	Delivery Number of Shipping Locations
Molecular TV- Urine (3 Cycle) - EQA Panel (SSQ-MOL-TV-EQA-LIQ)
Molecular TV- Swab (3 Cycle) - EQA Panel (SSQ-MOL-TV-EQA-SWB)

Would you like to enrol in any of our Pilot Programmes *

EQA & Verification Pilot programme

	EQA Panel number of Instruments	Verification panel number of Instruments	Delivery Number of Shipping Locations
Xpert Carba R
NGS - MDR and XDR TB

Please feel free to add any comments

SmartSpot Quality Enrolment

Please complete the table below with your information for 2024 so that we can provide you with a formal quotation.