Rapid self-test for the detection of under active thyroid in blood

Intended Purpose

The THYRO-Check® is a manual qualitative immunochromatographic screening test for the detection of increased TSH (Thyroid Stimulating Hormone) level in finger prick whole blood sample. It can be used at home by lay users for self-testing for the detection of possible hypothyroidism.

General Points

Thyroid disorders are one of the most prevalent medical conditions in the world, particularly for women, with an increasing rate of the population suffering under active thyroid (hypothyroidism).
The symptoms of hypothyroidism include feeling tired and lethargic, weight gain, dry skin and brittle hair, becoming forgetful and sometimes depressed, feeling cold and enduring constipation as well as menstrual irregularities in women.
Thyroid stimulating hormone (TSH), which is secreted by pituitary, regulates and controls the activity of the thyroid gland. Therefore, a raised TSH level indicates an under active thyroid and this is the principle on which Thyro-Check® is based for the detection of the hypothyroidism condition.

Caution: THYRO-Check® should not be performed in case of hormonal thyroid medical treatment.
In early pregnancy, the level of TSH is generally lowered and therefore could lead to underestimated result.

Test Procedure

Prepare everything properly before starting the testing procedure. Place the content of the box on a clean, dry and flat surface (e.g. table). Then perform the test as follows:

  1. Wash your hands thoroughly. Use soap and warm water. Dry your hand with clean towel.
  2. Prepare the test device and capillary pipette: Take them out from the protective pouch (tear at the notch) and place them in the reach of your hands (you will need them later). Discard the desiccant bag.
  3. Prepare the lancet. Hold the lancet without touching the trigger button. Unlock the cap twisting it off ¼ turn until you feel it separates from the lancet and then continue twisting it (2-3 rotations). Don’t pull just twist and discard the cap when finished. ①②
  4. Clean the end of the middle or ring finger with cotton damped with alcohol. Massage the chosen finger towards the tip for 10 to 15 seconds to enhance the blood flow.
  5. Prick the finger: put the lancet firmly against the side of the previously cleaned finger, and press the release trigger button.③ The lancet will automatically retract into the body of the device. Gently massage the finger to create a nice round blood droplet.④
  6. Collect the blood with the capillary pipette: Gently touch the blood droplet with the open end of the capillary pipette. It must be filled until the line indicated on the capillary pipette. Do not press the bulb, it fills by itself. Make another blood droplet if the line is not reached. As far as possible, avoid air bubbles. ⑤
  7. Put the blood collected with the pipette into the sample well of the device, by pressing on the pipette bulb. ⑥
  8. Wait 30-40 sec for the blood being totally absorbed into the sample well.
  9. Add the diluent: Unscrew the blue cap of the diluent dropper vial (leave the white cap tightly screwed) and add the diluent as follows: Hold the diluent dropper vial vertically and slowly add exactly 4 drops in the sample well of the device with an interval of 2-3 seconds between each drop. ⑦
  10. Read the result after 10 minutes. Do not interpret after 15 minutes.

Results Interpretation

The intensity and the colour of the lines do not have any importance for the interpretation of the test results.

Analyze

Result

Summary

Analyze
Ferri-Check ferri1
Result
Positive result
Summary
Two coloured lines appear in the window under the marks T (Test) and C (Control). The intensity of the line T may be clearer than the intensity of the line C. This result means that the TSH level is higher than the norm and therefore a dysfunction of the thyroid so you should consult a doctor.
Analyze
Ferri-Check ferri2
Result
Negative result
Summary
Only one coloured line appears under the mark C (Control). This result means that the TSH level is normal and the thyroid is functioning correctly.
Analyze
Ferri-Check ferri3
Result
Invalid result
Summary
If there is no line appearing in the control zone (C), the test is invalid. In this case, it is not possible to interpret the test and it is recommended to repeat the test using a new THYRO-Check® device and a new blood sample.

Questions and Answers

How does THYRO-Check® work?

THYRO-Check® test uses a couple of antibodies detecting specifically TSH hormone by producing a coloured test line under the T mark of the cassette.
A control line capturing the reagent excess appears as a coloured line under the C mark of the cassette. In case both lines appear, the test indicates that the level of TSH is higher than normal (>5µIU/mL determined against W.H.O.* reference).

*World Health Organisation

In case of hypothyroidism symptoms such as feeling tired, depressed or cold regularly, weight gain, dry skin, brittle hair, enduring constipation or menstrual cycle irregularities in women, it is recommended to perform THYRO-Check® screening test. THYRO-Check® test can be used any time of the day.

The results are accurate as long as the instructions are carefully respected. Nevertheless, the result can be incorrect if THYRO-Check® test gets wet before test performing or if the quantity of blood dispensed in the sample well is not correct. The plastic pipette provided in the box makes sure the collected blood volume is correct.
The results of THYRO-Check® may also be incorrect in the following cases:
– Pregnancy
– New Born
– Obesity
– Primary adrenal insufficiency
– Taking certain drugs such as anti-thyroid agent, rifampicin and amiodarone
– Isolated ACTH (Adreno Cortico Tropic Hormone) deficiency

The colour and intensity of the lines have no importance for result interpretation. The lines should only be homogeneous and complete. The test should be considered as positive regardless of the colour intensity of the test line is (T) even weak.

When this line appears, it only means that the test has been performed well.

No. The test should be read 10 minutes after adding the diluent. The result is reliable up to 15 minutes.

If the result is positive, it means that the TSH level in blood is higher than the norm (5µIU/mL) and that you should consult a doctor to show the test result. Then, the doctor will decide whether additional analysis should be performed.

If the result is negative, it means that the TSH level is below 5µIU/mL and is within the norm. However, if the symptoms persist, it is recommended to consult a doctor.

The THYRO-Check® test is accurate and has been used for more than 20 years by professionals (hospitals, laboratories) in the field. Evaluation reports show an overall agreement of 99.2% [95.2-100.0**] with reference method. Although this test is reliable, false positive or false negative results could be obtained.

** CI 95%: 95% Confidence Interval.