Biomonitoring SOP

Att16 Biomonitoring SOPs.pdf

Prospective Birth Cohort Study Involving Environmental Uranium Exposure in the Navajo Nation

Biomonitoring SOP

OMB: 0923-0046

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Division of Laboratory Sciences
Laboratory Protocol
Analytes:

Antimony, Arsenic, Barium, Beryllium, Cadmium,
Cesium, Cobalt, Lead, Manganese, Molybdenum, Platinum,
Strontium, Thallium, Tin, Tungsten, and Uranium

Matrix:

Urine

Method:

Urine Multi-Element ICP-DRC-MS

Method Code:

3018 (15 element panel) and 3018A (total arsenic)

Branch:

Inorganic and Radiation Analytical Toxicology Branch

Prepared By:

Jeffery M Jarrett, MS
author's name

Supervisor:

signature

date

signature

date

Kathleen L. Caldwell, PhD
supervisor's name

Branch Chief:

Robert L Jones PhD
Branch Chief

Adopted:

signature and date

01 October 1994
date

Updated:

June 2011
date

Director's Signature Block:
Reviewed:
signature

date

signature

date

signature

date

signature

date

Laboratory Procedure Manual
Analytes:

Matrix:
Method:

Antimony, Arsenic, Barium, Beryllium,
Cadmium, Cesium, Cobalt, Lead,
Manganese, Molybdenum, Platinum,
Strontium, Thallium, Tin, Tungsten,
and Uranium

Urine
Urine Multi-Element ICP-DRC-MS
Renamed from “Inductively Coupled Plasma-Mass
Spectrometry (ICP-DRC-MS)”

Method No:

Revised:

3018 (15 element panel) and
3018A (total arsenic)
June 13, 2011

As performed by: Inorganic Radionuclides and Toxicology
Division of Laboratory Sciences
National Center for Environmental Health
Contact:

Dr. Kathleen L. Caldwell
Phone: 770-488-7990
Fax:
770-488-4097
Email: [email protected]
James L. Pirkle, M.D., Ph.D.
Director, Division of Laboratory Sciences

Important Information for Users
The Centers for Disease Control and Prevention (CDC) periodically refines these
laboratory methods. It is the responsibility of the user to contact the person listed on the
title page of each write-up before using the analytical method to find out whether any
changes have been made and what revisions, if any, have been incorporated.

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IRAT-DLS Method Code: 3018 and 3018A

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Table of Contents
Cross reference to DLS CLIA and Policy and Procedures . . . . . . . . . .. . . . . . . . . 4
Index of tables and figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
1) Clinical Relevance & Summary of Test Principle
a. Clinical Relevance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
b. Test Principle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
2) Limitations of Method; Interfering Substances and Conditions
a. Interferences Addressed by This Method
i. Argon Chloride (40Ar35Cl) on Arsenic (75As) . . . . . . . . . . . . . . . . . . . . . . . .

8

ii. Tin (114Sn) and Molybdenum Oxide (98Mo16O) on Cadmium (114Cd) . .

8

iii. Matrix Enhancement of Arsenic Signal . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
b. Limitations of Method (Interferences Remaining in Method)
i. Calcium Chloride (40Ca35Cl) on Arsenic (75As) . . . . . . . . . . . . . . . . . . . . . .

9

3) Procedures for Collecting, Storing, and Handling Specimens; Criteria for
Specimen Rejection
a. Procedures for Collecting, Storing, and Handling Specimens . . . . . . . . . . . . . 9
b. Criteria for Specimen Rejection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
c. Transfer or Referral of Specimens; Procedures for Specimen Accountability
and Tracking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . 10
4) Safety Precautions
a. General Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
b. Radiation Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
c. Waste Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
5) Instrument & Material Sources
a. Sources for ICP-MS Instrumentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
b. Sources for ICP-MS Parts & Consumables . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
c. Sources for ICP-MS Maintenance Equipment & Supplies . . . . . . . . . . . . . . . . 19
d. Sources for General Laboratory Equipment & Consumables . . . . . . . . . . . . . . 19
e. Sources for Chemicals, Gases, & Regulators . . . . . . . . . . . . . . . . . . . . . . . . . . 21
6) Preparation of Reagents and Materials
a. Internal Standard Intermediate Mixture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

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IRAT-DLS Method Code: 3018 and 3018A

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b. Diluent and Carrier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
c. Base Urine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
d. ICP-DRC-MS Rinse Solution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
e. Standards and Calibrators
i. Multi-element Intermediate Stock Calibration Standard . . . . . . . . . . . . . . . 28
ii. Multi-element Intermediate Working Calibration Standards. . . . . . . . . . . . . 29
iii. Working Multi-element Calibrators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

29

iv. Multi-element Intermediate Stock Calibration Verification Standard . . . . .

30

v. Multi-element Intermediate Working Calibration Verification Standards . .

31

vi. Internal Quality Control Materials (“Bench” QC) . . . . . . . . . . . . . . . . . . . . .

32

7) Analytical Instrumentation & Parameters
a. Instrumentation & Equipment Setup
i. ICP-DRC-MS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

34

1. Modifications made to ICP-DRC-MS . . . . . . . . . . . . . . . . . . . . . . . . . .

34

2. Configuration of tubing for liquid handling . . . . . . . . . . . . . . . . . . . . . .

35

3. Cones used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

36

4. Gases & Regulators setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

36

5. Chiller / Heat Exchanger. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

37

ii. Computer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

37

iii. Autosampler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

37

b. Parameters for Instrument and Method (see Table 1) . . . . . . . . . . . . . . . . . . . 37
8) Method Procedures
a. Quality Control
i. Types of Quality Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

37

ii. Calibration Verification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

38

b. Daily Analysis of Samples
i. Preparation of the Analytical Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . .

40

ii. Preparation of Samples for Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

42

iii. Specimen Storage and Handling During Testing . . . . . . . . . . . . . . . . . . . .

43

iv. Starting the Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

43

v. Monitoring the Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

43

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IRAT-DLS Method Code: 3018 and 3018A

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vi. Records of Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

45

vii. Transfer of Results to the Laboratory Database . . . . . . . . . . . . . . . . . . . . .

45

viii. Analyst Evaluation of Run Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

47

ix. Submitting Final Work for Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

49

x. Overnight operation (or Any Use of Auto Stop) . . . . . . . . . . . . . . . . . . . . . . . 49
c. Equipment Maintenance
i. ICP-MS Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
ii. Data Backup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
9) Interpretation of the Results
a. Reportable Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
b. Reference Ranges (Normal Values) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
c. Action Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
10) Method Calculations
a. Method Limit of Detection (LOD) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
b. Method Limit of Quantitation (LOQ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
c. QC Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

11) Alternate Methods for Performing Test and Storing Specimens If Test System
Fails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Appendix A (Ruggedness Test Results) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Appendix B (Tables) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

67

References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

1.
2.
3.
4.

5.

6.

7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.

19.

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Cross reference to DLS CLIA and Policy and Procedures policy
Summary of Test Principle and Clinical Relevance
1.a, 1.b
Safety Precautions
4
Computerization; Data System Management
7.a.ii, 8.b.vi, 8.b.vii, 8.b.vix, 8.c,ii
Specimen Collection, Storage, and Handling Procedures; Criteria for Specimen
Rejection
3
Procedures for Microscopic Examinations; Criteria for Rejection of Inadequately
Prepared Slides
- As no microscope used in this process there are no procedures for
microscopic examinations; and as no slides are prepared for this analysis
there is no criteria for rejection of inadequately prepared slides
Preparation of Reagents, Calibrators (Standards), Controls, and All Other
Materials; Equipment and Instrumentation
5, 6, 7, 8
Calibration and Calibration Verification Procedures
8.a.ii
Procedure Operating Instructions; Calculations; Interpretation of Results
8, 9
Reportable Range of Results
9.a
Quality Control (QC) Procedures
8.a.i, 8.b.viii, 10.c
Remedial Action If Calibration or QC Systems Fail to Meet Acceptable Criteria
8.b.viii
Limitations of Method; Interfering Substances and Conditions
2
Reference Ranges (Normal Values)
9.b
Critical Call Results ("Panic Values")
9.c
Specimen Storage and Handling During Testing
8.b.iii
Alternate Methods for Performing Test or Storing Specimens If Test System Fails
11
Test Result Reporting System; Protocol for Reporting Critical Calls (If Applicable)
8.b.vi, 8.b.vii, 8.b.ix, 9.c.
Transfer or Referral of Specimens; Procedures for Specimen Accountability and
Tracking
3.c
References

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IRAT-DLS Method Code: 3018 and 3018A

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List of Tables
Table 1. Instrument and Method Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

67

Table 2. Suggested maximum analyte concentrations for base urine . . . . . . . . . . . 73
Table 3. Concentrations of Analytes in the Multi-Element Intermediate Stock
Standard from High Purity Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Table 4. Preparation of Multi-element Intermediate Working Standards . . . . . . . . . 75
Table 5. Acceptable ways to perform two consecutive analytical runs, bracketing
with bench quality control samples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Table 6. A typical SAMPLE/BATCH window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Table 7. Preparation of Multi-element Intermediate Working Standards . . . . . . . . . 78
Table 8. Range of Reporting and Calibration Verification Requirements . . . . . . . . . 79
Table 9. Boundary Concentrations for Urine Concentrations (µ/L) . . . . . . . . . . . .

80

Table 10. Reference Ranges for Urine Concentrations (from the Third National
Report on Exposure to Environmental Chemicals). All results in µg/L . . . 81
Table 11. References to Total Urine Arsenic Concentrations . . . . . . . . . . . . . . . . . . . 82

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IRAT-DLS Method Code: 3018 and 3018A

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List of Figures
Figure 1.

Configuration of tubing and devices for liquid handling
a. ESI SC4 Autosampler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Figure 2.

Figure 3.

Figure 4.

84

ELAN ICP-DRC-MS Method Screen Shots (12 element panel)
a. Timing Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

85

b. Processing Page. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

86

c. Equations Page. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

87

d. Calibration Page. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

88

e. Sampling Page. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

89

f. Report Page. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

90

ELAN ICP-DRC-MS Method Screen Shots (12 element panel)
a. Timing Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

91

b. Processing Page. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

92

c. Equations Page. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

93

d. Calibration Page. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

94

e. Sampling Page. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

95

f. Report Page. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

96

Appendix B (cont)
a. ESI SC4 Autosampler Screen Shots used (Main page) . . . . . . . . .

97

b. ESI SC4 Autosampler Screen Shots used (“Configure” page) . . . .

98

c. ESI SC4 Autosampler Screen Shots used (“Communication” page)

98

d. ESI SC4 Autosampler Screen Shots (“FAST” page) *As only* . . . .

99

e. ESI SC4 Autosampler Screen Shots (5x12 Rack Setup window) . .

100

f. ESI SC4 Autosampler Screen Shots (50mLTube Rack Setup) . . . .

100

g. ESI SC4 Autosampler Screen Shots (Rinse Station Rack Setup) . .

101

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IRAT-DLS Method Code: 3018 and 3018A

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1) Clinical Relevance & Summary of Test Principle
a. Clinical Relevance:
This method is used to achieve rapid and accurate quantification of fifteen
elements of toxicological and nutritional interest including Antimony (Sb), Arsenic
(As), Barium (Ba), Beryllium (Be), Cadmium (Cd), Cesium (Cs), Cobalt (Co),
Lead (Pb), Manganese (Mn), Molybdenum (Mo), Platinum (Pt), Strontium (Sr),
Thallium (TI), Tin (Sn), Tungsten (W), and Uranium (U). The method may be
used to screen urine when people are suspected to be acutely exposed to these
elements or to evaluate chronic environmental or other non-occupational
exposure. [1-4].
b. Test Principle:
Inductively coupled plasma dynamic reaction cell mass spectrometry (ICP-DRCMS) is a multi-element analytical technique capable of trace level elemental
analysis [1-4]. This ICP-DRC-MS method is used to measure either arsenic, a
15 element panel (Antimony, Barium, Beryllium, Cadmium, Cesium, Cobalt,
Lead, Manganese, Molybdenum, Platinum, Strontium, Thallium, Tin, Tungsten,
and Uranium), or any subgroup of the 15 element panel.
Liquid samples are introduced into the ICP through a nebulizer and spray
chamber carried by a flowing argon stream. By coupling radio-frequency power
into flowing argon, plasma is created in which the predominant species are
positive argon ions and electrons and has a temperature of 6000-8000 K. The
sample passes through a region of the plasma and the thermal energy atomizes
the sample and then ionizes the atoms. The ions, along with the argon, enter the
mass spectrometer through an interface that separates the ICP (at atmospheric
pressure, ~760 torr) from the mass spectrometer (operating at a pressure of 10-5
torr). The ions pass through a focusing region, the dynamic reaction cell, the
quadrupole mass filter, and finally are counted in rapid sequence at the detector
allowing individual isotopes of an element to be determined. The dynamic
reaction cell operates in one of two modes. In ‘standard’ mode the cell is not
pressurized and ions pass through the cell to the quadrupole mass filter
unaffected. In ‘DRC’ mode the cell is pressurized with a gas which will collide or
react with the incoming ions to either eliminate an interfering ion or change the
ion of interest to a new mass which is free from interference. In this method the
instrument is operated in DRC mode when analyzing for cadmium, manganese
and arsenic, but in standard mode when analyzing for all of the other analytes.
For arsenic, the reaction cell is pressurized with a mixture of hydrogen (10%) and
argon (90%) which causes the breakup of the 40Ar35Cl+ ion which would
otherwise interfere with detection of 75As at m/z 75. When analyzing for
cadmium, the reaction cell is pressurized with oxygen. The 98Mo16O+ ions which
would normally interfere with detection of 114Cd at m/z 114 react with the oxygen
in the cell creating 98Mo16O 2 + and 98Mo16O 3 + at masses which no longer
represent an interference to 114Cd analysis. The DRC is also pressurized with

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IRAT-DLS Method Code: 3018 and 3018A

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oxygen gas when analyzing for 55Mn. The 39K16O+ ions which would normally
interfere with the detection of 55Mn at m/z 55 react with the oxygen in the cell and
no longer represent interference to 55Mn analysis. Electrical signals resulting
from the detection of ions are processed into digital information that is used to
indicate first the intensity of the ions and then the concentration of the element.
This method was originally based on the method by Mulligan et al. [5]. The DRC
portions of the method are based on work published by Tanner et al. [2, 3]. Urine
samples are diluted 1+ 9 with 2% (v/v) concentrated nitric acid (and 1.5% ethanol
in the case of arsenic). The diluent for the 15 element panel contains iridium (Ir),
rhodium (Rh) for multi-internal standardization. The diluent for arsenic contains
gallium (Ga) for internal standardization. Nitric acid is used for the purpose of
solubilizing and stabilizing metals in solution. Internal standards are a constant
concentration in all blanks, calibrators and samples. Monitoring the instrument
signal ratio of a metal to its internal standard allows correction for instrument
noise and drift, and sample-to-sample matrix differences. Ethanol is used in the
case of arsenic for the purpose of providing a constant amount of signal
enhancement (carbon effect) across all blanks, calibrators, and samples.
2) Limitations of Method; Interfering Substances and Conditions
a. Interferences Addressed by This Method
i. Breakup of Argon Chloride (40Ar35Cl) Interference on Arsenic (75As) Using
DRC: The dynamic reaction cell of the ELAN ICP-DRC-MS is used in this
method to break apart the argon chloride (40Ar35Cl) interference on arsenic at
m/z 75 [6] which is common to urine analysis by ICP-MS (see Section 1.b for
an explanation of this process).
ii. Correction & Elimination of Interferences (114Sn, 98Mo16O) on Cadmium (114Cd).
1. Mathematical Correction for Tin (114Sn) Interference:
The correction equation (-0.026826*Sn118) is used in the “Equations” tab
of the method to correct the counts observed as m/z 114 to exclude counts
due to 114Sn.
2. Elimination of Molybdenum Oxide (98Mo16O) Interference Using DRC:
The dynamic reaction cell of the ELAN ICP-DRC-MS is used in this
method to eliminate interference from molybdenum oxide (98Mo16O) onto
cadmium at m/z 114 [7]. See Section 1.b for an explanation of this
process.
iii. Elimination of interference (39K16O) on manganese 55Mn using DRC:
The dynamic reaction cell of the ELAN ICP-DRC-MS is used in this method to
reduce the potassium oxide (39K16O) interference on manganese at m/z 55.
See section 1.b for an explanation of this process.
iv. Matrix Enhancement of Arsenic Signal:

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IRAT-DLS Method Code: 3018 and 3018A

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Matrix induced signal enhancement in ICP-MS analysis from carbon on arsenic
has been previously reported in the literature [8, 9]. When arsenic is being
determined by this method, ethanol (1.5% v/v) is added in the diluent and rinse
solutions to “normalize” the arsenic signal enhancement in all blanks,
calibrators, and samples.
b. Limitations of Method (Interferences Remaining in Method)
i. Calcium Chloride (40Ca35Cl) Interference on Arsenic (75As):
It has been determined that a small interference remains at m/z 75 when the
urine matrix contains both high chloride and high calcium levels [6]. Even at
extreme calcium and chloride levels, this interference is has not been found to
be significant (approximately 0.4 µg/L).
ii. Gallium Oxide (71Ga17O) Interference on Strontium (88Sr):
Arsenic only analysis requires Ga to be used as the internal standard and is
added to the diluent at a concentration of 10 ug/L (see section 6.c for the
preparation of diluent). Gallium should not be added to the diluent (for the
purpose of being used as an internal standard for As) when strontium is
measured (15 element panel) due to the formation of 71Ga17O+, which occurs
at the same m/z as 88Sr+. A 5 ug/L solution of Ga in 2% HNO 3 resulted in a
background equivalent concentration (BEC) of 50 ng/L for 88Sr. Based on
these results, the expected increase in 88Sr concentration in a diluted urine
sample is 1 ug/L.
3) Procedures for Collecting, Storing, and Handling Specimens; Criteria for
Specimen Rejection; Specimen Accountability and Tracking
a. Procedures for Collecting, Storing, and Handling Specimens: Specimen handling
conditions, special requirements, and procedures for collection and transport are
discussed in the division (DLS) Policies and Procedures Manual [10]. Copies are
available in branch, laboratory, and special activities specimen-handling offices.
An electronic copy is available at:
http://intranet.nceh.cdc.gov/dls/pdf/policiesprocedures/Policy_and_Procedures_
Manual.DLS.2002mod.pdf. In general,
i. No fasting or special diets are required before collection of urine.
ii. Use sterile, lot screened collectors for specimen acquisition.
iii. Urine specimens should be transported frozen (packed in dry ice during
shipment is preferred when possible).
iv. Once received, store long term at ≤ -20°C until time for analysis. Short-term
storage at 2-4°C is acceptable. Refreeze at ≤ -20°C portions of the sample

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that remain after analytical aliquots are withdrawn. Thawing and refreezing
samples has not been found to compromise sample results.
v. Acceptable containers for analytical aliquots include lot screened
polypropylene (PP) cryovials or tubes (i.e. 5 mL cryogenic vial or 15mL
centrifuge tube).
b. Criteria for Specimen Rejection: Specimen characteristics that may compromise
test results are indicated above. Reasons for rejection of a sample for analysis
include
i. Low volume: Optimal amount of urine is 1.8+ mL. The volume of urine used
for one analysis is 0.5 mL.
ii. Contamination: Improper collection procedures or collection devices can
contaminate the urine by contact with dust, dirt, etc.
In all cases, request a second urine specimen.
c. Transfer or Referral of Specimens; Procedures for Specimen Accountability and
Tracking: Location, status, and final disposition of the specimens will be tracked
at least by paper document in the “Study Folder” (created before analysts receive
the samples). Apart from this specimen tracking form, this folder will also contain
the paper print outs of results from analysis of the specimens. Maintain records
for a minimum of 3 years. Use only numerical identifiers for samples within the
laboratory (e.g., case ID numbers) in order to safeguard confidentiality. Only the
medical supervisor (MS) or project coordinator (PC) i.e. non CDC personnel
should have access to the personal identifiers.
4) Safety Precautions
a. General Safety
i. Observe all safety regulations as detailed in the Division (DLS) Safety Manual.
Additional information can be found in your lab’s chemical hygiene plan.
ii. Observe Universal Precautions when working with urine.
iii. Wear appropriate gloves, lab coat, and safety glasses while handling all
solutions. Consult the laboratory chemical hygiene plan.
iv. Exercise special care when handling and dispensing concentrated nitric acid.
Add acid to water. Nitric acid is a caustic chemical that is capable of causing
severe eye and skin damage. If nitric acid comes in contact with any part
of the body, quickly wash the affected area with copious quantities of
water for at least 15 minutes.

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v. Use secondary containment for containers of biological or corrosive liquids.
vi. The use of the foot pedal on the Micromedic Digiflex™ is recommended
because it reduces analyst contact with work surfaces that have been in
contact urine and also keeps the analyst’s hands free to hold the specimen
cups and autosampler tubes and to wipe off the tip of Micromedic Digiflex™.
vii. Training will be given before operating the ICP-DRC-MS, as there are many
possible hazards including ultraviolet radiation, high voltages, radio-frequency
radiation, and high temperatures. This information is also detailed in the
PerkinElmer ELAN® ICP-DRC-MS System Safety Manual.
viii. Use flash arrestors on oxygen and argon / hydrogen gas cylinders and properly
secure gas cylinders with safety harnesses.
ix. Wipe down all work surfaces at the end of the day with bleach-rite spray or
freshly prepared 10% (v/v) sodium-hypochlorite solution.
b. Radiation Safety: All personnel performing this method must successfully meet
requirements of a CDC-OHS radiation worker (RW) due to the use of natural
uranium in this method and observe all necessary radiation safety considerations
indicated in the CDC Radiation Safety Manual [11].
c. Waste Disposal: Operators of this method should take the CDC-OHS Hazardous
Chemical Waste Management Course (initial and yearly refreshers).
i. Waste to be Placed Into Biohazard Autoclave Bags & Pans:
1. All biological samples and diluted specimens (after analysis run).
2. All disposable plastic and paper which contact urine (autosampler tubes,
gloves, etc.).
3. Used non-glass/quartz ICP-MS consumables (i.e. probes, tubing, cones,
ion lenses).
ii. Waste to be Placed Into Sharps Containers: Pipette Tips, broken glass or
quartz instrument consumables (broken spray chambers, torches, nebulizers,
etc. . .). Large broken glass which will not fit in the sharps container should be
placed in a separate autoclave pan from other waste and labeled as “broken
glass” (see the “Autoclaving” section of the CDC safety policies and practices
manual located in the laboratory).
iii. Liquid Waste

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1. Waste discarded down sink: Only liquid waste from the ICP-DRC-MS
instrument can be discarded at the sink. Flush the sink with copious
amounts of water.
2. Waste to be Picked up by the Radiation Safety Office: Contact the
laboratory radiation inventory person and the CDC Radiation Safety Office
for disposal of any single element uranium standard, intermediate stock
standard, or intermediate working standard solutions.
3. Waste to be Picked up by Hazardous Waste Program: Submit request for
hazardous waste removal of all other liquid waste.

5) Instrument & Material Sources
a. Sources for ICP-MS Instrumentation
i. ICP-MS:
Inductively Coupled Plasma Dynamic Reaction Cell Mass
Spectrometer (ELAN® 6100 DRCPlus or ELAN® DRC II) (PerkinElmer Norwalk,
CT, www.perkinelmer.com).
1. DXi-FAST upgrade: Standard peristaltic pump replaced by DXi_FAST
micro-peristaltic pump / FAST actuator and valve combination unit. For
ELAN DRCII, part # DXI-54-P4-F6.
Refrigerated chiller
ii. Recirculating chiller / heat exchanger for ICP-MS:
®
Plus
(PolyScience 6105PE for ELAN 6100 DRC
instruments) or heat exchanger
(PolyScience 3370 for ELAN® DRC II instruments) (PerkinElmer Norwalk, CT,
www.perkinelmer.com).
iii. Autosampler: ESI SC-4 autosampler (Elemental Scientific Inc., Omaha, NE) or
equivalent.
iv. FAST Sample Introduction System (Elemental Scientific Inc., Omaha, NE).
1. FAST controller
2. FAST actuator: CTFE high-flow valve head like part number SC-0599-1210
(part number includes lines and probes).
b. Sources for ICP-MS Parts & Consumables
NOTE: The minimum number of spares recommended before reordering (if
owning one instrument) are listed as “# Spares =” in the descriptions below.
i. Adapter, PEEK: Securely connects 1.6mm O.D. PFA tubing to 0.03” I.D.
peristaltic tubing. Composed of three PEEK parts.

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1. Female nut for 1.6mm O.D. (1/16”) tubing. Like part P-420 (Upchurch
Scientific, Oak Harbor, WA, www.upchurch.com).
2. PEEK ferrule. Like part P-260x (10pk SuperFlangeless ferrule, Upchurch
Scientific, Oak Harbor, WA, www.upchurch.com).
3. Conical Adapter Body. Like part P-692 (Upchurch Scientific, Oak Harbor,
WA, www.upchurch.com).
ii. Bottles (for rinse solution): Four liter screw-cap polypropylene container with 2
luer connections (like catalog# SC-0305-1, Elemental Scientific Inc., Omaha,
NE., www.elementalscientific.com).
iii. Carboy and cap assembly for waste collection: 10-15 L, polypropylene
widemouth carboy (100 mm neck size) with handles and no spigot (Like part
#7BE-25126, Lab Safety Supply, Janesville, WI, www.lss.com) with cap
assembly
like
part
#
N0690271
(PerkinElmer,
Norwalk,
CT,
www.perkinelmer.com).
iv. Coolant, for Polyscience chiller or heat exchanger: Only PerkinElmer part #
WE01-6558 (PerkinElmer Norwalk, CT, www.perkinelmer.com) is approved for
use by PerkinElmer. # Spares = 6.
v. Cone, sampler (nickel/platinum): PerkinElmer part # WE021140/WE027802
(PerkinElmer Norwalk, CT, www.perkinelmer.com). Part # SC2011-Ni (Testing
has also found Spectron, Ventura, CA, www.spectronus.com cones to be
comparable). # Spares = 4.
vi. Cone, skimmer (nickel/platinum): PerkinElmer part # WE021137/WE027803
(PerkinElmer Norwalk, CT, www.perkinelmer.com). Part # SC2012-Ni (Testing
has also found Spectron, Ventura, CA, www.spectronus.com cones to be
comparable) # Spares = 4.
vii. Connector (for tubing): Use to connect 1/8” I.D. PVC tubing to 0.125” I.D
peristaltic pump tubing. Use part # 3140715 (PerkinElmer Norwalk, CT,
www.perkinelmer.com) or equivalent. # Spares = 4.
viii. Detector, electron multiplier: Like part # N8125001 (PerkinElmer Norwalk, CT,
www.perkinelmer.com). Available direct from manufacturer (part # 14210,
SGE Incorporated, Austin, Texas, http://www.etpsci.com) or various
distributors. # Spares = 1.
ix. FAST accessories
1. Valve: CTFE High-flow valve head for SC-FAST (uses ¼-28 fittings). Like
part # SC-0599-1010 (Elemental Scientific Inc., Omaha, NE.,
www.elementalscientific.com).
2. Stator: CTFE Stator for 6 port SC-FAST high flow valve (¼-28 fittings).
Like part # SC-0599-1010-01 (Elemental Scientific Inc., Omaha, NE.,
www.elementalscientific.com).
3. Rotor: Composite rotor for 6 port SC-FAST high flow valve (¼-28 fittings).
Like part # SC-0599-1010-05 (Elemental Scientific Inc., Omaha, NE.,
www.elementalscientific.com).

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4. Sample Loop:
a. Multielement analysis: 3 mL Teflon, white connector-nuts for high flow
valve head. Like part # SC-0315-30 (Elemental Scientific Inc., Omaha,
NE., www.elementalscientific.com).
b. Arsenic only analysis: Default volume is 1.5mL Teflon sample loop
with white nut connectors for high flow valve head of FAST sample
introduction system. This volume loop can be created by cutting 25%
off the length of a 2mL Teflon sample loop was cut to the 1.5mL length.
Like part # SC-0315-20 (Elemental Scientific Inc., Omaha, NE.,
www.elementalscientific.com). Volumes larger than 1.5mL can be
used, but will require longer loop fill (ESI software) and sample flush
(ELAN software) times, and proportionally larger volumes used in
sample preparation (Table 7 in the Appendix).
5. Probe, Autosampler: Teflon, carbon fiber support, 0.8mm i.d., blue marker,
1/4-28 fittings. Like part number SC-5037-3751 (Elemental Scientific Inc.,
Omaha, NE., www.elementalscientific.com). # Spares = 2.
6. Probe, Carrier Solution: Teflon, carbon fiber support, 0.5mm i.d., orange
marker, 1/4-28 fittings. Like part number SC-5037-3501 (Elemental
Scientific Inc., Omaha, NE., www.elementalscientific.com). # Spares = 2.
7. Tubing, FAST vacuum: Vacuum line for SC-FAST high flow valve,
connects to port #6, black nut for connection to valve head, natural brown
color nut on other end for connection to SC autosampler vacuum port. Like
part
#
SC-0321
(Elemental
Scientific
Inc.,
Omaha,
NE.,
www.elementalscientific.com).
8. Tubing, connects nebulizer to valve: See “Nebulizer, PolyPro-ST micro
flow”
x. Hose, for connection to chiller: Push on hose. I.D. = ½”, O.D. = ¾”. Use part
# PB-8 (per inch, Georgia Valve and Fitting, Atlanta, GA, www.swagelok.com)
or equivalent. Do not normally need spare hose (unless moving instrument
into a new location).
xi. Hose, for exhaust of ELAN: Available as part of ELAN installation kit from
Perkin Elmer (PerkinElmer Norwalk, CT, www.perkinelmer.com). Available
direct from manufacturer as part # S-LP-10 air connector (Thermaflex,
Abbeville, SC, www.thermaflex.net). Equivalent part may be substituted. #
Spares = 10 feet of 4” diameter and 10 feet of 6” diameter hose.
xii. Injector, quartz with ball joint: I.D. = 2.0 mm. PerkinElmer part # WE023948
(PerkinElmer Norwalk, CT, www.perkinelmer.com). Available direct from
manufacturer as part # 400-30 (Precision Glass Blowing, Centennial, CO,
www.precisionglassblowing.com) or from various distributors. # Spares = 2.
xiii. Injector support (for pass-through injector: PerkinElmer part # WE023951
(PerkinElmer Norwalk, CT, www.perkinelmer.com). Available direct from
manufacturer as part # 400-37 (Precision Glass Blowing, Centennial, CO,
www.precisionglassblowing.com) or from various distributors. # Spares = 2.

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xiv. Ion Lens:
PerkinElmer part # WE018034 (PerkinElmer Norwalk, CT,
www.perkinelmer.com). # Spares = 3.
xv. Nebulizer: PolyPro-ST micro flow polypropylene nebulizer with external 1/4-28
threaded connector for liquid delivery, low pressure version or equivalent. Like
part # ES-4040-7010 (Elemental Scientific Inc., Omaha, NE.,
www.elementalscientific.com). # Spares = 1. Different nebulizers may be
used, however, the nebulizer gas flow rate, sample flush time, read delay time,
loop fill time, loop size, urine sample dilution preparation volume, and sampleto-sample carry-over must be evaluated and optimized.
1. Gas connection:
a. Teflon tubing: 4mm o.d., 2.4mm i.d. Teflon tubing (like part # ES2502,
Elemental
Scientific
Inc.,
Omaha,
NE.,
www.elementalscientific.com). # Spares = 1.
b. Adapter kit: Plastic adapters to connect Teflon tubing (2.4mm i.d) to
¼” male Swagelok (compression) port on ICP-DRC-MS. Parts can
be obtained as components in a “gas fittings kit for microflow
nebulizer”, kit part # ES-2501-1000, Elemental Scientific Inc.,
Omaha, NE., www.elementalscientific.com). # Spares = 1.
2. Liquid connection: Connects nebulizer to port #3 of high flow FAST valve
head with green, 1/4- 28 fitting. Like part # SC-0317-0250 (Elemental
Scientific Inc., Omaha, NE., www.elementalscientific.com). # Spares = 2.
xvi. Nut: (for flanged connections of 1.59mm (1/16”) o.d. PFA tubing) Flanged, for
1/16” o.d. tubing, 1/4-28 threads. Use part # P-406x (pkg. of 10, Upchurch
Scientific, Oak Harbor, WA, www.upchurch.com) or equivalent. Use a Tefloncoated Viton o-ring with this nut instead of the stainless steel washer that
comes with part # P-406x). # Spares = 10.
xvii. Nut and Ferrule set, 1/8” Swagelok: Such as part # SS-200-NFSET (stainless
steel) or part # B-200-NFSET (brass) (Georgia Valve and Fitting, Atlanta, GA,
www.swagelok.com) or equivalent. For part numbers listed here a quantity of 1
means 1 nut, 1 front ferrule, and 1 back ferrule. Spares = 20.
xviii. Nut and Ferrule set, 1/4” Swagelok: Such as part # SS-400-NFSET (stainless
steel) or part # B-400-NFSET (brass) (Georgia Valve and Fitting, Atlanta, GA,
www.swagelok.com) or equivalent. For part numbers listed here a quantity of 1
means 1 nut, 1 front ferrule, and 1 back ferrule. Spares = 20.
xix. Oil, Welch Directorr Gold: For roughing pumps. Available direct from
manufacturer as part # 8995G-15 (1 gallon, Welch Rietschle Thomas, Skokie,
IL, www.welchvacuum.com) or from various distributors. Equivalent oil may be
substituted. # Spares = 4.
xx. O-ring: (for sampler cone) PerkinElmer part # N8120511 (pkg. of 5,
PerkinElmer, Shelton, CT, www.perkinelmer.com) or equivalent. # Spares = 20
o-rings.

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xxi. O-ring: (for skimmer cone) PerkinElmer part # N8120512 (pkg. of 5,
PerkinElmer, Shelton, CT, www.perkinelmer.com) or equivalent. # Spares = 20
o-rings.
xxii. O-ring: (for flanged connections of 1.59mm (1/16”) o.d. PFA tubing) Tefloncoated Viton o-ring, i.d. = 1/16", thickness = 1/16”, o.d. = 3/16”. Such as part #
V75-003 (O-rings West, Seattle, WA, www.oringswest.com) or equivalent. #
Spares = 20.
xxiii. O-ring: (for injector support).
1. Internal o-rings: ID = ¼”, OD = 3/8”, thickness = 1/16”. Need 2 o-rings per
injector support setup. PerkinElmer part # N8122008 (PerkinElmer,
Shelton, CT, www.perkinelmer.com) or equivalent (such as part # V75-010,
O-rings West, Seattle, WA, www.oringswest.com). # Spares = 20.
2. External o-rings: ID = 3/8”, OD = 1/2”, thickness = 1/16”. Need 2 o-rings
for each injector support setup.
PerkinElmer part # N8122009
(PerkinElmer, Shelton, CT, www.perkinelmer.com) or equivalent (such as
part # V75-012, O-rings West, Seattle, WA, www.oringswest.com). #
Spares = 20.
xxiv. O-ring: (for inside spray chamber at nebulizer port) Such as part # 120-56
(Precision Glass Blowing, Centennial, CO, www.precisionglassblowing.com).
Additional o-rings can sometimes be obtained free of charge or at reduced
price when acquired while purchasing spray chambers. # Spares = 20.
xxv. O-ring: (for inside of torch mount): Part # WE017284 (PerkinElmer, Shelton,
CT, www.perkinelmer.com). Do not substitute. The PerkinElmer o-ring is
specially metal impregnated to minimize RF leakage though the torch mount.
# Spares = 2.
xxvi. Photon Stop: PerkinElmer part # WE018278 (PerkinElmer, Shelton, CT,
www.perkinelmer.com). # Spares = 1.
xxvii. Plugs, Quick Change for Roughing Pump Oil: These plugs will only work on
the Varian roughing pumps which come standard on ELAN DRC II ICPMS
instruments. These plugs will not fit the Leybold pumps which come standard
on the ELAN DRC Plus instruments. Part # W1011013 (PerkinElmer, Shelton,
CT, www.perkinelmer.com). No spares typically needed.
xxviii. Probes
1. for ESI autosampler: Teflon, carbon fiber support, 0.8mm i.d., blue
marker, 1/4-28 fittings. Like part number SC-5037-3751 (Elemental
Scientific Inc., Omaha, NE., www.elementalscientific.com). # Spares = 2.
2. for carrier solution of FAST sample introduction system: Teflon, carbon
fiber support, 0.5mm i.d., orange marker, 1/4-28 fittings. Like part number
SC-5037-3501
(Elemental
Scientific
Inc.,
Omaha,
NE.,
www.elementalscientific.com). # Spares = 2.
xxix. RF coil.
PerkinElmer part # WE02-1816 (PerkinElmer, Shelton, CT,
www.perkinelmer.com) or equivalent. # Spares = 2.

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xxx. Screw, for Torch Mount: PerkinElmer part # WE011870. (PerkinElmer,
Shelton, CT, www.perkinelmer.com) or equivalent. # Spares = 3.
xxxi. Spray chamber, quartz concentric:
PerkinElmer part # WE025221
(PerkinElmer, Shelton, CT, www.perkinelmer.com) or equivalent. Available
direct from manufacturer as part # 400-20 (Precision Glass Blowing,
Centennial, CO, www.precisionglassblowing.com) or from various distributors.
# Spares = 2.
xxxii. Torch, quartz: PerkinElmer part # N812-2006 (PerkinElmer, Shelton, CT,
www.perkinelmer.com) or equivalent. Available direct from manufacturer as
part
#
400-10
(Precision
Glass
Blowing,
Centennial,
CO,
www.precisionglassblowing.com) or various distibutors. Damaged torches can
often be repaired for substantially lower cost than purchasing a new one by
companies such as Wilmad LabGlass (Buena, NJ, www.wilmad-labglass.com)
or Precision Glass Blowing (Centennial, CO, www.precisionglassblowing.com).
# New Spares = 2.
xxxiii. Tubing and adapter, for SC autosampler rinse station drain: Tygon tubing and
adapter to attach to back of SC autosampler for draining rinse station waste
(like part # SC-0303-002, Elemental Scientific Inc., Omaha, NE.,
www.elementalscientific.com).
xxxiv. Tubing and adapters, for SC autosampler rinse station filling: Teflon tubing
and adapters (to attach to back of SC autosampler for filling rinse stations and
to attach to rinse containers). Like part # SC-0302-0500, Elemental Scientific
Inc., Omaha, NE., www.elementalscientific.com).
xxxv. Tubing and nut, for FAST carrier solution: 0.5mm i.d. Teflon tubing (orange
marker) with red ¼-28 male nut. Connects to high flow FAST valve head, port
#2. Like part # SC-0316-0500 (Elemental Scientific Inc., Omaha, NE.,
www.elementalscientific.com).
xxxvi. Tubing, FAST vacuum: Vacuum line for SC-FAST high flow valve, connects to
port #6, black nut for connection to valve head, natural brown color nut on
other end for connection to SC autosampler vacuum port. Like part # SC-0321
(Elemental Scientific Inc., Omaha, NE., www.elementalscientific.com).
xxxvii. Tubing, main argon delivery to instrument: I.D. = 1/8”, O.D. = ¼”. Such as part
# C-06500-02 (pkg. of 100ft, polypropylene, Fisher Scientific International,
Hampton, NH, www.fishersci.com) or equivalent. # Spares = 50ft.
xxxviii. Tubing, PFA: I.D. = 0.5mm, O.D. = 1.59mm (1/16”). Used to transfer liquid
between rinse solution jug and peristaltic pump tubing
The Perfluoroalkoxy (PFA) copolymer is a form of Teflon®. Such as part #
1548 (20ft length, Upchurch Scientific, Oak Harbor, WA, www.upchurch.com)
or equivalent. # Spares = 20ft.
xxxix. Tubing, peristaltic, 0.045” i.d. (rinse station feed): Standard PVC, 2-stop (red /
red) peristaltic pump tubing, i.d. = 0.045”. PerkinElmer part # N0680375,
(PerkinElmer, Shelton, CT, www.perkinelmer.com) or equivalent. # Spares = 6
packs of 12 tubes.

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xl. Tubing, peristaltic, 0.03” i.d. (carrier solution for ESI autosampler): use either
1. Standard PVC, 2-stop (black / black) peristaltic pump tubing, i.d. = 0.03”.
PerkinElmer
part
#
09908587
(PerkinElmer,
Shelton,
CT,
www.perkinelmer.com) or equivalent. # Spares = 6 packs of 12 tubes.
2. Standard PVC, 3-stop (black/ black/black) peristaltic pump tubing, i.d. 0.76
mm.
Spectron part # SC0056 (Spectron, Ventura, CA,
www.spectronus.com) or equivalent. #Spares = 6 packs of 12 tubes. Use
this type of tubing with ESI DXi micro-peristaltic pump.
xli. Tubing, peristaltic, 0.125” i.d. (spray chamber drain): use either
1. Standard PVC, 2-stop (black / white) peristaltic pump tubing, i.d. = 0.125”
or equivalent. PerkinElmer part # N812-2012 (PerkinElmer, Shelton, CT,
www.perkinelmer.com) or equivalent. # Spares = 6 packs of 12 tubes.
2. Standard Santoprene, 3-stop (grey/ grey/ grey) peristaltic pump tubing, i.d.
1.30 mm.
Spectron part # SC0311 (Spectron, Ventura, CA,
www.spectronus.com) or equivalent. #Spares = 6 packs of 12 tubes. Use
this type of tubing with ESI DXi micro-peristaltic pump.
xlii. Tubing, PVC, i.d. = 1/8”, o.d. = 3/16”. May be used to transfer liquid
1. between spray chamber waste port and peristaltic pump
2. between peristaltic pump and liquid waste jug
Like part # 14-169-7A (pkg. of 50ft, Fisher Scientific International, Hampton,
NH, www.fishersci.com) or equivalent. # Spares = 20ft.
xliii. Tubing, Stainless Steel, o.d. = 1/8”, wall thickness = 0.028”: Used to connect
DRC gas cylinders to ELAN DRC gas ports. Also used to replace plastic
tubing in the DRC gas path within the ELAN. Like part # SS-T2-S-028-20 (20ft,
Georgia Valve and Fitting, Atlanta, GA, www.swagelok.com) or equivalent.
Spares = 20ft.
xliv. Tubing, Teflon, corrugated, ¼” o.d.: Connects to the auxiliary and plasma gas
side-arms of the torch. Part # WE015903 (PerkinElmer, Shelton, CT,
www.perkinelmer.com). # Spares = 2.
xlv. Tubing, vinyl (argon delivery to nebulizer): Vinyl Tubing, 1/8" ID x 1/4" OD.
Like part # EW-06405-02 (Cole Parmer, Vernon Hills, Illinois,
www.coleparmer.com) or equivalent. Equivalent tubing material may be
substituted. # Spares = 10ft.
xlvi. Union Elbow, PTFE ¼” Swagelok: Connects argon tubing to torch auxiliary
gas sidearm on bayonet mount ELAN ICPMS instruments. Like part # T-400-9
(Georgia Valve and Fitting, Atlanta, GA, www.swagelok.com) or equivalent.
Spares = 2.
xlvii. Union Tee, PTFE, ¼” Swagelok: Connects argon tubing to torch plasma gas
sidearm and holds igniter inside torch sidearm on bayonet mount ELAN ICPMS
instruments. Like part # T-400-3 (Georgia Valve and Fitting, Atlanta, GA,
www.swagelok.com) or equivalent. Spares = 2.

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c. Sources for ICP-MS Maintenance Equipment & Supplies
i. Anemometer: Like digital wind-vane anemometer (Model 840032, SPER
Scientific LTD., Scottsdale, AZ, www.sperscientific.com) or equivalent. Use to
verify adequate exhaust ventilation for ICP-MS (check with hoses fully
disconnected).
ii. Pan, for changing roughing pump oil: Like part # 53216 (United States Plastics
Corporation, Lima, OH, www.usplastic.com) or equivalent. # On hand = 1.
iii. Container, to hold acid baths for glassware: Polypropylene or polyethylene
containers with lids (must be large enough for torch, injector, or spray chamber
submersion). May be purchased from laboratory or home kitchen supply
companies. # On hand = 4.
iv. Cotton swabs: Any vendor. For cleaning of cones and glassware.
v. Cutter (for 1/8” o.d. metal tubing): Terry tool with 3 replacement wheels. Like
part # TT-1008 (Chrom Tech, Inc., Saint Paul, MN, www.chromtech.com) or
equivalent.
vi. Getter Regeneration Kit: Part # WE023257 (PerkinElmer, Shelton, CT,
www.perkinelmer.com). Use this as needed (at least annually) to clean the
getter in the pathway of channel A DRC gas.
vii. Magnifying glass: Any 10x + pocket loupe for inspection of cones and other
ICP-MS parts. Plastic body is preferred for non-corrosion characteristics. Like
part # 5BC-42813 (Lab Safety Supply, Janesville, WI, www.labsafety.com).
viii. Screw Driver, for Ion Lens Removal: Screw driver with long, flexible shaft, and
2mm ball-Allen end for removal of ion lens screws (if lens is not in quickrelease mount), part # W1010620. Extra 2mm bits, part # W1010598
(PerkinElmer, Shelton, CT, www.perkinelmer.com).
ix. Toothbrush: Any vendor. For cleaning ion lens and glassware.
x. Ultrasonic bath: Like ULTRAsonik™ Benchtop
Bloomfield, CT, www.neytech.com) or equivalent.

Cleaners

(NEYTECH,

d. Sources for General Laboratory Consumable Supplies
i. Bar Code Scanner: Like Code Reader 2.0 (Code Corporation, Draper, UT,
www.codecorp.com) or equivalent. For scanning sample IDs during analysis
setup. Any bar code scanner capable of reading Code 128 encoding at a 3 mil
label density can be substituted.
ii. Carboy (for preparation of urine quality control pool and waste jug for ICPMS
sample introduction system): Polypropylene 10-L carboy (like catalog # 02960-20C, Fisher Scientific, Pittsburgh, PA, www.fischersci.com) or equivalent.
Carboys with spouts are not advised due to potential for leaking.
iii. Containers for diluent and Rinse Solution: Two liter Teflon™ containers (like
catalog# 02-923-30E, Fisher Scientific, Pittsburgh, PA., www.fishersci.com)
and 4L polypropylene jugs (like catalog# 02-960-10A, Fisher Scientific,

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Pittsburgh, PA, www.fishersci.com) have both been used. Acid rinse before
use. Equivalent containers may be substituted.
iv. Cups for urine collection: Like polypropylene 4.5 oz cup, catalog # 354013
(Becton Dickinson Labware, Franklin Lakes, NJ, www.bd.com) or equivalent.
Each lot of cups used must be lot screened (tested to be free of trace metal
contamination). Clear plastics tend to have lowest trace metal contamination.
v. Gloves: Powder-free, low particulate nitrile (like Best CleaN-DEX™ 100%
nitrile gloves, any vendor). Equivalent nitrile or latex gloves may be
substituted.
vi. Paper towels: For general lab use, any low-lint paper wipes such as
KIMWIPES®EX-L Delicate Task Wipers or KAYDRY®EX-L Delicate Task
Wipers (Kimberly-Clark Professional, Atlanta, GA, www.kcprofessional.com).
For sensitive applications in cleanrooms, a wipe designed for cleanroom use
may be desired such as the Econowipe or Wetwipe (Liberty, East Berlin, CT,
www.liberty-ind.com).
vii. Pipette (for preparation of urine dilutions to be analyzed): Micromedic DigiflexCX Automatic™ pipette equipped with 10.0-mL dispensing syringe, 2 mL
sampling syringe, 0.75-mm tip, and foot pedal (Titertek, Huntsville, AL,
http://www.titertek.com/).
viii. Pipettes (for preparation of intermediate stock working standards & other
reagents): Like Brinkmann Research Pro Electronic pipettes (Brinkmann
Instruments, Inc., Westbury, NY, http://www.brinkmann.com/home/). 5-100 µL
(catalog #4860 000.070), 20-300 µL (catalog #4860 000.089), 50-1000 µL
(catalog #4860 000.097), 100-5000 µL (catalog #4860 000.100). Note: pipette
catalog numbers are without individual chargers. Can purchase individual
chargers (pipette catalog numbers will differ) or a charging stand that will hold
four pipettes (catalog #4860 000.860). When purchasing pipette tips (epTips),
purchase one or more boxes, then “reloads” for those boxes after that: 5-100
µL (box catalog # 22 49 133-4, reload catalog # 22 49 153-9), 20-300 µL (box
catalog # 22 49 134-2, reload catalog # 22 49 154-7), 50-1000 µL (box catalog
# 22 49 135-1, reload catalog # 22 49 155-5), 100-5000 µL (box catalog # 22
49 138-5, reload catalog # 22 49 198-9, bulk bag catalog # 22 49 208-0).
Equivalent pipettes and tips can be substituted.
ix. Tubes for sample analysis (for autosampler): Like polypropylene 15-mL
conical tubes, BD Falcon model #352097 (Becton Dickinson Labware, Franklin
Lakes, NJ, www.bd.com). Equivalent tubes may be substituted which are
shown by lot screening to be free of trace metal contamination. Clear plastics
tend to have lowest trace metal contamination. Blue colored caps have also
been used successfully for this method.
x. Tubes for storage of intermediate working stock standards: Like polypropylene
50-mL conical tubes, BD Falcon model #352098 (Becton Dickinson Labware,
Franklin Lakes, NJ, www.bd.com). For use in storage of intermediate working
stock standards. Equivalent tubes may be substituted which are shown by lot
screening to be free of trace metal contamination. Clear plastics tend to have

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lowest trace metal contamination. Blue colored caps have also been used
successfully for this method.
xi. Vortexer: Like MV-1 Mini Vortexer (VWR, West Chester, PA, www.vwr.com).
Used for vortexing urine specimens before removing an aliquot for analysis.
Equivalent item can be substituted.
xii. Water purification system: Like NANOpure DIamond Ultrapure Water System
(Barnstead International, Dubuque, Iowa, www.barnstead.com). For ultra-pure
water used in reagent and dilution preparations. An equivalent water
purification unit capable of producing >18 Mega-ohm·cm water may be
substituted.
e. Sources of Chemicals, Gases, and Regulators
i. Acid, Hydrochloric acid: Veritas™ double-distilled grade, 30-35% (GFS
Chemicals Inc. Columbus, OH, www.gfschemicals.com). This is referred to as
“concentrated” hydrochloric acid in this method write-up.
For use in
preparation of intermediate working stock standards.
An equivalent
hydrochloric acid product may be substituted, but it must meet or exceed the
purity specifications of this product for trace metals content.
ii. Acid, Nitric acid: Veritas™ double-distilled grade, 68-70% (GFS Chemicals Inc.
Columbus, OH, www.gfschemicals.com). For use in diluent, rinse solution,
intermediate working stock standards, and QC pool preparations. This is
referred to as “concentrated” nitric acid in this method write-up. An equivalent
nitric acid product may be substituted, but it must meet or exceed the purity
specifications of this product for trace metals content.
iii. Ethanol (EtOH): USP dehydrated 200 proof (Pharmco Products, Inc.) or
equivalent.
iv. Argon Gas (for plasma & nebulizer) and Regulator: High purity argon
(>99.999% purity, Specialty Gases Southeast, Atlanta, GA, www.sgsgas.com)
for torch and nebulizer. Minimum tank source is a dewar of liquid argon (180250L). Bulk tank (1500+L is preferred).
1. Regulator for argon (at dewar): Stainless steel, single stage, specially
cleaned regulator with 3000 psig max inlet, 0-100 outlet pressure range,
CGA 580 cylinder connector, and needle valve shutoff on delivery side
terminating in a ¼” Swagelok connector.
Part number
KPRAFPF415A2AG10 (Georgia Valve and Fitting, Atlanta, GA,
www.swagelok.com). An equivalent regulator from an alternate vendor may
be substituted. # Spares = 1.
2. Regulator for argon (between bulk tank and PerkinElmer filter regulator):
Single Stage 316SS Regulator, with 0-300 psi Inlet Gauge, 0-200 psi
Outlet Gauge, Outlet Spring Range, 0-250 psi, ¼” Swagelok Inlet
Connection, ¼ turn Shut off Valve on Outlet with ¼” Swagelok Connection
and Teflon Seals. Part number KPR1GRF412A20000-AR1 (Georgia Valve

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and Fitting, Atlanta, GA, www.swagelok.com). An equivalent regulator from
an alternate vendor may be substituted. # Spares = 1.
3. Regulator for argon (PerkinElmer filter regulator on back of ELAN): Argon
regulator filter kit. Catalog number N812-0508 (PerkinElmer, Shelton, CT,
www.perkinelmer.com).
v. Argon / hydrogen: Argon (90%) / hydrogen (10%) for DRC channel A. Initial
purity of argon = 99.9997+% (“Research grade 5.7”). Initial purity of hydrogen
= 99.9999+% (“Research Grade 6.0”). Mixture is typically purchased in cylinder
size 35 (6”x24”) (Airgas South, Atlanta, GA, www.airgas.com).
1. Regulator for argon / hydrogen: Stainless steel, two stage, specially
cleaned regulator with 3000 psig max inlet, 0-25 outlet pressure range,
CGA 350 cylinder connector, and needle valve shutoff on delivery side
terminating in a ¼” Swagelok connector.
Like part number
KCYADPF412A2AD10 (Georgia Valve and Fitting, Atlanta, GA,
www.swagelok.com). An equivalent regulator from an alternate vendor may
be substituted. # Spares = 1.
2. Flash Arrestor (Stainless steel): Like part # 6104 (Matheson Tri Gas,
Montgomeryville, PA, www.mathesontrigas.com) or equivalent.
vi. Disinfectant, for work surfaces: Bleach-rite spray (any distributor). On-site
dilutions of bleach (1part bleach + 9 parts water) may be substituted, but must
be re-made daily.
vii. Oxygen: Oxygen (“Research Grade Research Grade 5.0”, 99.9999% purity)
for DRC channel B. Typically purchased in cylinder size 300 (9.5” x 54”)
(Airgas South, Atlanta, GA, www.airgas.com).
1. Regulator for oxygen: High purity brass body with monel trim, two stage
regulator. Stainless steel is not used for this application due to safety
concerns of working with oxygen at high pressure [12]. For one regulator,
order the following parts, and ask that they be tested and assembled
(Engineered Specialty Products, Kennesaw, GA, www.espgauges.com).
a. Tescom part # 44-3410S24-555
Regulator body: Brass bar stock, two stage, Monel trim, TFE seats,
Elgiloy diaphragms, Cv=0.05, 3000 psig max inlet, 1-25 psig outlet
range, 1/4 FNPT inlet / outlet / gauge ports, O 2 cleaned to ASTMG93
and CGA4.1.
b. Tescom part # 60500-3000N
Inlet pressure gauge: 2" diameter, 0-3000 psig range , O 2 cleaned, ¼”
MNPT bottom, brass.
c. Tescom part # 60500-0015N
Delivery pressure gauge: 2" diameter, 0-15 psig range , O 2 cleaned, ¼”
MNPT bottom, brass.
d. Tescom part # 63842-540-B

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NPT to CGA Adaptor: ¼” NPT to CGA 540 adapter, brass.
e. Swagelok part # B-200-1-4:
Adapter: Brass male connector, ¼” MNPT to 1/8” Swagelok (Georgia
Valve and Fitting, Atlanta, GA, www.swagelok.com).
An equivalent regulator from an alternate vendor may be substituted.
# Spares = 1.
Like part # 6103 (Matheson Tri Gas,
2. Flash Arrestor (brass):
Montgomeryville, PA, www.mathesontrigas.com) or equivalent.
viii. Standard, Gallium: Like 1,000 mg/L, item # PLGA2-2Y. (SPEX Industries,
Inc., Edison, NJ, www.spexcsp.com). Used as an internal standard in diluent.
Any vendor whose standards are traceable to the National Institute for
Standards and Technology may be substituted. The standard must have low
trace metal contamination. Gallium is only used in the diluent for the
measurement of arsenic (As).
ix. Standard, Iridium: Like 1,000 mg/L iridium, item # PLIR3-2Y (SPEX Industries,
Inc., Edison, NJ, www.spexcsp.com). Used as an internal standard in diluent.
Any vendor whose standards are traceable to the National Institute for
Standards and Technology may be substituted. The standard must have low
trace metal contamination.
x. Standard, Multi-element intermediate stock standard: Item number SM-2107003 (High Purity Standards, Charleston, SC, http://www.hps.net/). This is a
custom mix solution (see Table 3 in Appendix B for concentrations). This
solution is diluted to prepare the intermediate stock working standards, which
are in turn diluted to prepare the working calibrators. This solution can be
prepared in-house from NIST traceable single element stock solutions if
necessary.
xi. Standard, Rhodium: Like 1,000 mg/L, item # PLRH3-2Y. (SPEX Industries,
Inc., Edison, NJ, www.spexcsp.com). Used as an internal standard in diluent.
Any vendor whose standards are traceable to the National Institute for
Standards and Technology may be substituted. The standard must have low
trace metal contamination.
xii. Standard, single element stock standards for preparation of urine quality
control pools: National Institute of Standards and Technology (NIST) Standard
Reference Materials (SRMs) 3103a (As), 3105a (Be), 3113 (Co), 3134 (Mo),
3108 (Cd), 3102a (Sb), 3111a (Cs), 3104a (Ba), 3163 (W), 3128 (Pb), 3140
(Pt), 3158 (TI), and 3164 (U) (National Institute of Standards and Technology
(NIST), Office of Standard Reference Materials, Gaithersburg, MD,
www.nist.gov). Other sources of standards can be used if they are NIST
traceable.
xiii. Triton X-100™ surfactant: Like “Baker Analyzed” TritonX-100™ (J.T. Baker
Chemical Co., www.jtbaker.com). Another source may be substituted, but it
must be free of trace-metal contamination.

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6) Preparation of Reagent and Materials.
a. Internal Standard Intermediate Mixture
i. For Urine 15 Element (Ir and Rh): Preparation of single intermediate solution
containing all internal standards will simplify the addition of the internal
standards into the final diluent solution. This solution can be purchased rather
than prepared. To prepare 200 mL of the Intermediate internal standard
solution:
1. Partially fill a 200 mL acid-washed volumetric flask (PP, PMP, or Teflon™)
with >18 Mega-ohm·cm water (approximately 100-150 mL).
2. Carefully add 4 mL of double-distilled, concentrated nitric acid. Mix into
solution.
3. Add 0.8 mL of 10,000 ug/mL Rh standard. If initial Rh standard
concentration is different, adjust volume proportionally.
4. Add 0.8 mL of 10,000 ug/mL Ir standard. If initial Ir standard concentration
is different, adjust volume proportionally.
5. Fill to mark (200mL) and mix thoroughly.
6. Label should include “Internal Standard Intermediate Mixture. 40 ug/mL
Rh, Ir, and. 2% (v/v) HNO3”, “Store at room temperature”, preparation
date, expiration date 1 year from preparation date, and preparer’s initials.
ii. For Arsenic (Ga): Dilution of a Ga standard to be used as an internal standard
in the final diluents solution. This solution can be purchased rather than
prepared. To prepare 200 mL of the Intermediate internal standard solution:
1. Partially fill a 200 mL acid-washed volumetric flask (PP, PMP, or Teflon™)
with >18 Mega-ohm·cm water (approximately 100-150 mL).
2. Carefully add 4 mL of double-distilled, concentrated nitric acid. Mix into
solution.
3. Add 0.8 mL of 10,000 ug/mL Ga standard. If initial Ga standard
concentration is different, adjust volume proportionally.
4. Fill to mark (200mL) and mix thoroughly.
5. Label should include “Internal Standard Intermediate Mixture. 40 ug/mL
Ga, 2% (v/v) HNO3”, “Store at room temperature”, preparation date,
expiration date 1 year from preparation date, and preparer’s initials.
b. Diluent and Carrier
i. Purpose: All samples (blanks, calibrators, QC, or patient samples) are
combined with the diluent during the sample preparation step before analysis.
This is where the internal standards are added which during the analysis will
compensate for instrumental variations on the analyte signal. If using the
FAST sample introduction system, the diluent is also used as the carrier
solution.

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ii. Preparation:
1. Diluent Preparation for 15 element method (not including arsenic)
– NO ETHANOL
a. Contents: An aqueous solution of 10 microgram/L Rh, Ir, and in 2%
(v/v) double-distilled nitric acid.
b. Preparation (4L) & storage: This solution does not have to be made up
in a volumetric flask. The important thing about the concentration of
the internal standards is that they be consistent within all samples in
one run. To prepare different volumes of diluent, add proportionally
larger or smaller volumes of the solution constituents.
i.

Acid-rinse a 4 L container (material may be polypropylene (PP),
polymethylpentene (PMP), or Teflon™).

ii.

Partially fill the 4 L container with >18 megaohm·cm water.

iii.

Carefully add 80 mL double-distilled, concentrated nitric acid and
mix.

iv.

Add 1 mL of the 40 ug/mL Rh, Ir, internal standard solution. If
other concentrations are used, the volume added should be
adjusted proportionally.

v.

Make up to volume (4 L) with >18 megaohm·cm water.

vi.

Store at room temperature and prepare as needed.

vii.

Label should include “10 µg/L Rh, and Ir,”, “2% (v/v) HNO 3 ”, “Store
at room temperature”, preparation date, expiration date (1 year
from prep), and preparer’s initials.

2. Diluent Preparation for urine arsenic method – CONTAINS ETHANOL
a. Contents: An aqueous solution of 10 microgram/L Ga in 2% (v/v)
double-distilled nitric acid and 1.5% (v/v) ethanol.
b. Preparation (4L) & storage: This solution does not have to be made up
in a volumetric flask. The important thing about the concentration of
the internal standards is that they be consistent within all samples in
one run. To prepare different volumes of diluent, add proportionally
larger or smaller volumes of the solution constituents.
i.

Acid-rinse a 4 L container (material may be polypropylene (PP),
polymethylpentene (PMP), or Teflon™).

ii.

Partially fill the 4 L container with >18 megaohm·cm water.

iii.

Carefully add 80 mL double-distilled, concentrated nitric acid and
mix.

iv.

Carefully add 60 mL dehydrated 200 proof ethanol and mix.

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v.

Add 1 mL of the 40 ug/mL Ga internal standard solution. If other
concentrations are used, the volume added should be adjusted
proportionally.

vi.

Make up to volume (4 L) with >18 megaohm·cm water.

vii.

Store at room temperature and prepare as needed.

viii.

Label should include “10 µg/L Ga”, “2% (v/v) HNO 3 ”, “1.5% (v/v)
Ethanol”, “Store at room temperature”, preparation date, expiration
date (1 year from prep), and preparer’s initials.

c. Base Urine
i. Purpose: This urine pool material will be mixed with the intermediate working
calibrators just prior to analysis to matrix-match the calibration curve to the
urine matrix of the unknown samples.
ii. Contents: A mixture of multiple urine sources collected from anonymous
donors are used to approximate an average urine matrix.
iii. Preparation & Storage:
1. Collect urine anonymously by placing screened containers and collection
cups in the restrooms with a sign stating the reason the specimens are
being collected, the name of the investigator to contact for additional
information, and requesting that people provide a urine specimen
(complete details can be found in CDC protocol #3994, ProTrack #
DLSITN0313).
2. Once the urine is collected from donors, it should be analyzed to ensure
that concentrations of the analytes in this method are relatively low, so as
to not interfere with the proper measurement of calibrators (see Table 2 in
Appendix B for suggested maximum base urine concentrations).
3. Once screened, mix the urine collections together in a larger container (i.e.
acid washed polypropylene (PP), polymethylpentene (PMP), or Teflon™)
and stir for 30+ minutes on a large stir plate (acid wash large Teflon™ stir
bar before use).
4. For short term storage, store at 2-4°C. For long-term storage, dispense
into smaller-volume tubes (i.e., 50-mL acid-washed or lot screened
polypropylene tubes) and store at ≤ -20°C.
5. Labels on 50mL tubes should include “Base Urine for Multi-element
Method”, “Store Long Term at
≤ 20° C”, “Store Short Term at 2 -4° C”,
preparation date, expiration date 3 years from prep date, and preparer’s
initials.
d. ICP-DRC-MS Rinse Solution
i. Purpose: Pump this solution into the sample introduction system between
samples to prevent carry-over of the analytes of interest from one sample
measurement to the next.
ii. Preparation:

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1. Intermediate Triton X-100 Solution: To avoid the process of dissolving
pure Triton X-100 on a daily basis, prepare an intermediate 2% Triton X100™ / 5% (v/v) double-distilled, nitric-acid solution for daily use.
a. To prepare 2L of Intermediate Triton X-100 Solution:
i.

Partially fill a 2 L acid-washed bottle (PP, PMP, or Teflon™) with
>18 Mega-ohm·cm water (approximately 1-1.5 L).
Use of
volumetric flask is not required.

ii.

Add 20 mL of Triton X-100™ and stir until completely dissolved.
Use a Teflon™ stir bar and stir plate if necessary (acid wash stir
bar before use).

iii.

Carefully add 100 mL of double-distilled, concentrated nitric acid.

iv.

Fill to 2 L and stir thoroughly.

v.

Label should include “2% Triton X-100™ / 5% (v/v) HNO3”, “Store
at room temperature”, preparation date, expiration date 1 year from
preparation date, and preparer’s initials.

2. Rinse Solution Preparation for 15 element method (not including arsenic)
– NO ETHANOL
a. Contents: A 0.002% Triton X-100™, 5% (v/v) double-distilled nitric
acid solution.
b. Preparation & Storage: To Prepare 4 L of the Final Rinse Solution,
i.

Partially fill a 4 L acid-washed bottle (PP, PMP, or Teflon™ ) with
>18 Mega-ohm·cm water (approximately 2-3 L). Use of volumetric
flask is not required.

ii.

Add 4 mL of the 2% Triton X-100™ / 5% (v/v) double-distilled,
nitric-acid intermediate stock solution and mix well.

iii.

Carefully add 200 mL of double distilled concentrated nitric acid
and mix well.

iv.

Fill to 4 L using >18 Megaohm·cm water.

v.

Store at room temperature and prepare as needed. To prepare
volumes other than specified here, add proportionally larger or
smaller volumes of the solution constituents.

vi.

Label should include “0.002% Triton X-100™ / 5% (v/v) HNO3”,
“Store at room temperature”, preparation date, expiration date one
year from preparation date, and preparer’s initials.

3. Rinse Solution Preparation for arsenic method – INCLUDES ETHANOL
a. Contents: A 0.002% Triton X-100™, 5% (v/v) double-distilled nitric
acid solution and 1.5% (v/v) ethanol.
b. Preparation & Storage: To Prepare 4 L of the Final Rinse Solution,

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i.

Partially fill a 4 L acid-washed bottle (PP, PMP, or Teflon™ ) with
>18 Mega-ohm·cm water (approximately 2-3 L). Use of volumetric
flask is not required.

ii.

Add 4 mL of the 2% Triton X-100™ / 5% (v/v) double-distilled,
nitric-acid intermediate stock solution and mix well.

iii.

Carefully add 200 mL of double distilled concentrated nitric acid
and mix well.

iv.

Carefully add 60 mL dehydrated 200 proof ethanol and mix well.

v.

Fill to 4 L using >18 Megaohm·cm water.

vi.

Store at room temperature and prepare as needed. To prepare
volumes other than specified here, add proportionally larger or
smaller volumes of the solution constituents.

vii.

Label should include “0.002% Triton X-100™ / 5% (v/v) HNO3,
1.5% (v/v) ethanol”, “Store at room temperature”, preparation date,
expiration date one year from preparation date, and preparer’s
initials.

e. Standards and Calibrators
i. Multi-element Intermediate Stock Calibration Standard
1. Purpose: This master solution will be diluted to prepare five intermediate
working calibrators.
2. Contents: An aqueous solution containing all 16 elements of interest (15
element panel analytes, arsenic, and elements for future R&D (see
certificate of analysis), but does not include the internal standards).
Concentrations are listed in Table 3 of the Appendix. Matrix is 2% (v/v)
HNO3 and 1% (v/v) HCl with traces of HF in >18 Mega-ohm·cm water.
3. Preparation (Purchase) & Storage:
a. Purchasing from vendors: Either purchased as a NIST-traceable
custom mixture, or prepared in-house.
Current vendor & preparation process: Currently purchased
from High Purity Standards (Charleston, SC, part number
SM-2107-003).
b. In-house Preparation: Standard may be made in the lab from NISTtraceable single element standards.
c. Storage: Store at room temperature. Label with additional information
such as “store at room temperature”, date received, date opened, and
initials of person to first open.

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ii. Multi-element Intermediate Working Calibration Standards
1. Purpose: Use each day of analysis to prepare the final five working
calibrators that will be placed on the autosampler.
2. Content: Five aqueous dilutions of the multi-element intermediate stock
calibration standard solution in 2% (v/v) double-distilled nitric acid and 1%
(v/v) hydrochloric acid. Final concentrations are listed in Table 4 of the
Appendix.
3. Preparation & Storage: Different volumes may be prepared by adding
proportionally larger or smaller volumes of solution constituents.
a. Cleaning flasks: Acid-rinse three 100-mL, one 200-mL, one 500-mL
PP, and one 2 L PP (or PMP) volumetric flasks. Check their
cleanliness by comparing the counts observed on the ICP-DRC-MS for
1% (v/v) HNO 3 before and after contact with the flasks. Mark each
flask according to intended use. Dedicate to purpose.
b. HNO 3 & HCl Diluent Preparation: In the cleaned 2L flask, add 1-1.5L
>18 Megaohm· cm water, 40 mL high purity concentrated HNO 3 , and
20 mL high purity concentrated HCl. Fill to the mark and mix
thoroughly. Use this diluent to fill the remaining flasks during
preparation of the intermediate working calibration standards.
c. Dilutions & Storage:
i.

Partially fill the 100 mL, 200 mL, and 500 mL flasks with the HNO 3
& HCl diluent (50-75% full).

ii.

Using the volumes listed (Table 4 of the Appendix) pipette the
appropriate volume of the multi-element intermediate stock
calibration standard solution into each of the five volumetric flasks.
Dilute each to the volumetric mark with the HNO 3 & HCl diluent
using a pipette for the final drops. Mix each solution thoroughly.
Final concentrations are listed in Table 4 of the Appendix.

iii.

Once mixed, transfer to acid-cleaned, labeled, 50-mL containers
(PP, PMP, or Teflon™) for storage. Labels should include
information such as “Multi-element Urine Working Calibrators”, “2%
(v/v) HNO3, 1% (v/v) HCl”, date of preparation, expiration date (1
year from date of preparation), “store at room temperature”, initials
of preparer, and concentrations for each element.

iii. Working Multi-element Calibrators
1. Purpose: The working multi-element calibrators will be analyzed in each
run to provide a signal-to-concentration response curve for each analyte in
the method. The concentration of an analyte in a patient urine sample
dilution is determined by comparing the observed signal from the dilution of
the patient urine sample to the response curve from the working multielement calibrators.

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2. Content: Dilutions (1:100) of the corresponding five intermediate working
calibration standards. The dilutions are described in Table 7 of the
Appendix.
3. Preparation & Use: Made immediately prior to analysis when the
intermediate working calibration standards are mixed with base urine
(Section 7.b) and diluent (Section 7.a) using a Digiflex automatic pipetter.
See Table 7 of the Appendix and section 8.b.2 for details of sample
preparation.
iv. Multi-element Intermediate Stock Calibration Verification Standard
1. Purpose: This is the master solution from which all working calibration
verification standards will be prepared. It will be diluted to prepare
intermediate working calibration verification standards which are in turn
diluted and used to verify the accuracy of instrument response to analyte
concentrations greater than the calibration range. This stock solution
contains all elements needed for both the arsenic and the 12 element
panel.
2. Contents: The concentrations of the elements in the intermediate stock
calibration standards are listed in Table 3 of the Appendix. For long shelf
life, these four aqueous solutions have different matrices which are
optimized to the elements in each (this was recommended for the
calibration verification stock standard solutions because the elemental
concentrations were very high compared to the concentrations in the
calibration stock standard solution.
a. Solution A: HNO 3 (10%), HF (0.5%)
b. Solution B: HCl (10%), trace HNO 3
c. Solution C: HCl (1%)
d. Solution D: HCl (2%)
3. Preparation (Purchase) & Storage:
a. Purchasing from vendors:
The intermediate stock calibration
verification standard solutions may be purchased as custom mixtures
from any vendor which prepares multi-element solutions that are
traceable to the National Institute for Standards and Technology
(NIST) for their accuracy.
Current vendor & preparation process: Currently it is
purchased from High Purity Standards (Charleston, SC, part
number SM-2107-012, solutions A, B, C, and D).
b. In-house Preparation: If outside laboratories were not available to
prepare the intermediate stock calibration standard solution, it is also
possible to make it in the laboratory from single element standards
which are NIST traceable.
c. Storage: Due to the uranium content, and in keeping with the
guidance of the CDC radiation safety manual [11], the intermediate

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stock standards must be kept in a lockbox. Store the solutions at room
temperature. Label these bottles from HPS with additional information
such as “store at room temperature”, date received, date opened, and
initials of person to first open.
v. Multi-element Intermediate Working Calibration Verification Standards
1. Purpose: Verification of accuracy of instrument response to analyte
concentrations greater than the calibration range
2. Content:
The intermediate working calibration verification standard
solutions used in this method are aqueous dilutions of the multi-element
intermediate stock calibration verification standard solution in 2% (v/v)
double-distilled nitric acid and 1% (v/v) hydrochloric acid containing all 13
elements of interest (does not include the internal standards). The
concentrations of the 13 elements in the intermediate stock calibration
verification standard are listed in Table 8 in Appendix B.
a. Preparation & Storage: Prepare the Intermediate Calibration
Verification Standards for analysis just as a Intermediate Working
calibrators are prepared, but using volumes and concentrations from
Table 8 in Appendix B.
vi. Internal Quality Control Materials (“Bench” QC)
1. Purpose: Internal (or “bench”) quality control (QC) materials are used to
evaluate the accuracy and precision of the analysis process, and to
determine if the analytical system is “in control” (is producing results that
are acceptably accurate and precise). They are included in the beginning
and at the end of each analytical run.
2. Content: The internal (or “bench”) quality control (QC) materials used in
this method are pooled human urine, acidified to 1-2% (v/v) HNO 3 , and
may have been spiked to reach a desired concentration. The analyte
concentrations in the “low QC” are in the low-normal concentration range.
The analyte concentrations in the “high QC” are in the high-normal
concentration range.
3. Preparation & Storage: Quality control materials can be either prepared by
and purchased from an external laboratory or prepared within the CDC
laboratories. Quality control must always be traceable to the National
Institute for Standards and Technology (NIST). The CDC laboratory
currently prepares its own bench QC materials using the following
procedures:
a. Collection of urine: Collect urine anonymously by placing screened
containers and / or collection cups in the restrooms with a sign stating
the reason the specimens are being collected, the name of the
investigator to contact for additional information, and requesting that
people provide a urine specimen (complete details can be found in
CDC protocol #3994, ProTrack # DLSITN0313). Volume of urine to

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collect is dependent on the desired pool size. This write-up will
assume a 10-L pool size for both the low and high bench QC.
b. Screening Urine: Screen collected samples for metal content before
mixing together to make 2 separate base urine pools (for preparing the
low and high bench QC materials).
Samples can be screened
individually or after combining several together (reduces number of
analyses).
i.

Keep urine refrigerated whenever possible to minimize microbial
growth.

ii.

Because this is only a quick screen of the metal content, the
number of replicates in the urine method can be reduced to one in
order to reduce analysis time.

iii.

Analyte concentrations in the the final urine pool to be spiked for
the low bench QC pool should be in the low-normal population
range. Analyte concentrations in the final urine pool to be spiked
for the high bench QC pool should be less than some pre-selected
target concentration values in the high normal population range.
See the Second National Report on Human Exposure to
Environmental Chemicals for estimations of the normal population
ranges for metals (http://www.cdc.gov/exposurereport/).

c. Combining Collected Urine: Be attentive not to combine only diluted
matrix urine samples into the low pool and only concentrated matrix
urine samples into the high pool. The goal is for combining samples is
to approach an ‘average’ matrix for each pool.
i.

Graduate four acid-washed 10-L carboys (PP or PMP) in 0.5 L
increments (two will be used for decanting into).

ii.

Combine collected urine samples into two separate acid-washed
10-L carboys (PP or PMP), according to their concentrations, for
the low bench and high bench QC pools.

iii.

Mix each urine pool using large acid washed, Teflon™ coated stir
bars and large stir plates. Keep urine refrigerated whenever
possible.

iv.

Acidify each urine pool to 1% (v/v) HNO3 by adding the
appropriate volume of double distilled HNO3. Stir for 30+ min on
large stir plates.

d. Settling out of solids:
i.

Refrigerate the urine (no stirring) for 1-3 days to allow for settling
out of solids.

ii.

For each urine pool, decant the urine into another of the acidwashed 10-L carboys to remove the urine from the solids settled
out on the bottom of the carboy.

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Repeat steps (i) and (ii) until minimal solids are left at the bottom of
the carboy after sitting overnight.

e. Spiking of urine
i.

Analyze a sample of each urine pool. Record these results for
future recovery calculations.

ii.

Use these results to determine target analyte concentrations
possible for the pools

iii.

Calculate the volume of single element standards needed to spike
each pool to the desired concentrations.

iv.

While stirring the pools on large stir plates, spike each pool with
calculated volumes of single element standards (all spiking
standards used must be traceable to NIST).

v.

Continue to stir pools for 30+ minutes after spiking, then reanalyze.

vi.

Repeat steps 4 and 5 until all analytes reach target concentrations
keeping track of the total volume of spiking solution added to each
urine pool.

f. Dispensing and Storage of urine
i.

Container Types: Dispense urine into lot screened containers (i.e.
– 5 or 15 mL polypropylene tubes). If possible, prepare tubes of
QC which have only enough volume for one typical run + 1 repeat
analysis. This allows for one vial of QC to be used per day of
analysis, reducing chances of contamination of QC materials due
to multi-day use.

ii.

Labels: Place labels on vials after dispensing and capping if the
vials are originally bagged separately from the caps. This
minimizes the chance for contamination during the process.
Include at least the name of QC pool (text and bar code), date of
preparation, and a vial number on the labels.

iii.

Dispensing: Dispensing can be accomplished most easily using a
Digiflex automatic pipetter in continuous cycling dispense mode.
This process should be done in a clean environment (i.e. a class
100 cleanroom area or hood).
1. Allow urine pool to reach room temperature before dispensing
(to prevent temperature gradients possibly causing
concentration gradients across the large number of vials being
dispensed and to prevent condensation problems during
labeling of vials). This may require leaving the carboy of urine
at room temperature overnight before dispensing.
2. Replace the tubing attached to the dispensing syringe (left
when looking at front of Digiflex) with a length of clean
Teflon™ tubing long enough to reach into the bottom of the
10L carboy while it is sitting on the stir plate.

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3. Check cleanliness of Digiflex before use by analyzing 1-2%
(v/v) HNO3 which has been flushed through the Digiflex with a
portion of the same solution which has not been through the
Digiflex.
4. Approximately one hour before dispensing begins,
a. With the large stir plate close to the left side of the Digiflex,
begin stirring the urine pool to be dispensed.
b. Also during this time, flush the Digiflex with urine from the
pool to be dispensed. Place the ends of the tubing
attached to both the sample and dispensing syringes into
the carboy of urine so that urine won’t be used up during
this process. Be sure to secure both ends of tubing in the
carboy with Parafilm so they will not come out during the
flushing process.
5. After dispensing the urine into the vials, cap the vials and label
them. Placing labels on vials after capping minimizes the
chance for contamination during the process.
iv.

Homogeneity Testing: After dispensing, check homogeneity of
analyte concentrations in pool aliquots by analysis of every Nth
sample dispensed (where N ~ 20 - 50 depending on the pool size).
Sample more heavily from the beginning and the ending portions
of the tubes dispensed (these are the regions where most
homogeneity problems occur).
Keep samples pulled for
homogeneity analysis in the sequence that they were dispensed
for the purpose of looking for trends in concentrations. Once
dispensed and homogeneity has been shown to be good
throughout the tubes of a pool, store tubes at≤ -20°C and pull
tubes out as needed for analysis.

v.

Storage: Urine pools should be stored long term at ≤ -20°C. Short
term storage (several days) at refrigerator temperature (~ 2-4°C).

7) Analytical Instrumentation & Parameters
(see Section 6 for details on hardware used, including sources)
a. Instrumentation & Equipment Setup:
i. ICP-DRC-MS: Inductively Coupled Plasma Dynamic Reaction Cell Mass
Spectrometer ELAN® 6100 DRCPlus or ELAN® DRC II.
1. Modifications made to ICP-DRC-MS
a. Plastic tubing for between mass flow controllers and dynamic reaction
cell have been replaced with stainless steel. Stainless steel tubing is

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preferred between the reaction gas cylinder / regulator and the back of
the ICP-DRC-MS instrument.
b. A second mass flow controller has been added (channel B) for use
with oxygen.
c. Standard built-in peristaltic pump replaced by DXi-FAST microperistaltic pump / FAST actuator unit.
2. Configuration of tubing for liquid handling:
a. Sample introduction system:
Valve connections must match this
i. SC-FAST valve setup:
description for urine total arsenic analysis. See Appendix B,
Figure 1a.
1. Port 1: 1.5mL sample loop (white nut). See “Loop, for FAST
valve” in section 5.b. for details.
2. Port 2: 0.5 mm ID probe (red nut) for carrier solution. See
“Probes” in section 5.b. for details.
3. Port 3: nebulizer line (green nut) for transfer of liquid to
nebulizer. See “Nebulizers” in section 5.b. for details.
4. Port 4: sample loop (white nut). See “Loop, for FAST valve” in
section 5.b. for details.
5. Port 5: 0.8 mm ID probe (blue nut) for diluted samples. See
“Probes, for ESI autosampler” in section 5.b. for details.
6. Port 6: vacuum line (black nut). See “Tubing, FAST vacuum”
in section 5.b. for details.
ii.

SC autosampler setup for non-FAST applications:
See Appendix B, Figure 1b.

b. Tubing connection between autosampler rinse station and rinse
solution reservoir: Tubing of different inner diameters can be
obtained from Elemental Scientific, their distributors, or custom built
in the lab to optimize the rinse station fill rate between samples.
Rinse station should not go empty at any point.
c. Tubing for autosampler rinse station waste removal: Use minimum
drain tubing to make this connection. If this tube is too long, the
rinse station will not drain properly.
d. Rinse solution jug: Leave one of the caps on the top of the rinse jug
loose to allow air venting into the jug as liquid is removed.
Otherwise the jug will collapse on itself as the liquid is removed and
a vacuum is created inside. Use secondary containment tray and
label appropriately (see solution preparation instructions).

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e. Waste solution jug: Use secondary containment tray and label
appropriately (see solution preparation instructions).
f. Configuration of tubing and probe for carrier solution: Use a
‘peristaltic to Teflon tubing adapter’ (see consumables descriptions
in section 5.b) for connections.
3. Cones used
Nickel and platinum cones have been used.
4. Gases & Regulators setup:
a. Argon: Argon stored as liquid in a dewar (180-250L) or bulk tank.
Gaseous argon used for plasma and nebulizer.
i.

ii.

iii.

Regulator for argon source (if a dewar): Keep the inlet pressure
(headspace pressure of liquid argon dewar) above 100 psi. Set
delivery pressure to 60-100psi to allow for pressure drop across
tubing that stretches to the instrument. See Section 6.f. for part
numbers and details.
Step down regulator (if source of argon is a bulk tank): Place this
single stage regulator in the lab so that incoming argon pressure
can be monitored and adjusted. Set delivery pressure to 60-100
psig. See Section 6.f. for part numbers and details.
Regulator at ICP-DRC-MS: Single stage “argon regulator filter
kit” supplied with the ICP-DRC-MS. Set the delivery pressure
depending on the specifications for that model of ELAN ICP-DRCMS instrument (see the PE Hardware Manual). This will be 52±1
psi for instruments having a 0-60psi gauge and 60+1 for
instruments having a 0-100psi gauge. See Section 6.f. for
regulator part numbers.

b. Argon (90%) / hydrogen (10%) mixture for DRC channel A. NOTE:
Only for arsenic analysis.
i.

Regulator for Ar / H 2 gas mixture: Set delivery pressure to 5-7
psig. See Section 6.f. for part numbers and details.

ii.

Flash arrestor: Stainless steel flash arrestor is used on outlet side
of regulator. See Section 6.f. for part numbers and details.

c. Oxygen (99.999+%) gas for DRC channel B.
cadmium and manganese analysis
i.

NOTE:

Only for

Regulator for O 2 gas: Set the delivery pressure = 5-7 psig. See
Section 6.f. for part numbers and details.

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Flash arrestor: Brass flash arrestor is used on outlet side of
regulator. See Section 6.f. for part numbers and details.

5. Chiller / Heat Exchanger: Refrigerated chiller (for ELAN® 6100 DRCPlus
instruments) or heat exchanger (for ELAN® DRC II instruments). For
refrigerated chiller, set temperature control to 18°C.
ii. Computer: Dell Optiplex GX150, GX270, or GX280 have all been used.
Processors used have included Pentium III (1 GHz) through Pentium IV (2.8
GHz). Recommend 512Mb - 1Gb RAM. External hard disk drive for nightly
backups of data connects via USB port. Software used includes Windows XP
Professional, service pack 2 and ELAN v3.3.
iii. Autosampler: ESI SC4 autosampler with (arsenic) or without (multi-element)
FAST sample introduction. Rack calibration, tubing ID for rinse supply,
additional rinse time, probe movement speeds, and probe depth is optimized
per autosampler (see Table 1 in Appendix B for default settings).
b. Parameters for Instrument and Method: See Table 1 in Appendix B for a
complete listing of the instrument and method parameters. Also, see Figures 2a2g and 3a-3g in Appendix B for images of the ELAN method screens (15 element
panel and arsenic respectively).
8) Method Procedures
a. Quality Control: Quality control procedures implemented in this method are
defined by the Division Procedures and Practices Guidelines and include two
types of QC systems which are both subjected to the complete analytical
process.
The data from these materials are then used to estimate
methodological imprecision and to assess the magnitude of any time-associated
trends. The concentrations of these materials should cover the expected
concentration range of the analytes for the method. Before QC materials can be
used to judge patient analytical runs, acceptable QC concentration limits must be
calculated from the concentration results observed in at least 20 characterization
runs. During the 20 characterization runs, previously characterized QCs or pools
with target values assigned by outside laboratories should be included to
evaluate the analysis. The process of limits calculation is performed using the
laboratory database and the SAS division QC characterization program.
i. Types of Quality Control:
1. “Bench QC”: The bench QC pools used in this method comprise two levels
of concentration spanning the “low-normal” and “high-normal” ranges of the
analyte of interest. The intent of bench QC is for the analyst to evaluate
the performance of the analytical system on the day of analysis. The
analyst inserts both the “low” and the “high” bench QC specimens two
times in each analytical run (a set of consecutive assays performed without
interruption) so that judgments may be made on the day of analysis. The

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first analysis of the two bench QC pools is done after the calibration
standards are analyzed but before any patient samples are analyzed (so
that judgments on the calibration curves may be made before analysis of
patient samples). The second analysis of the two bench QC pools is done
at the end of the run (approximately 20 patient samples total). If more
patient samples are analyzed on the same calibration curve after the
second run of the bench QC, both the low-normal and high-normal bench
QC must be reanalyzed before and after the additional samples. For
example, the schemes shown in Table 5 in Appendix B are both
acceptable ways to analyze multiple consecutive “runs”.
2. “Blind QC”: When possible, “blind” QC samples are QC materials placed in
vials, labeled, and processed so that they are indistinguishable from the
subject samples handled by the analyst. Ideally, the supervisor decodes
and reviews the results of the blind specimens without the analyst knowing
of their presence in the runs. When it is not possible to have blind QC
materials processed so that they are indistinguishable by the analyst from
the patient samples, it is acceptable for the analyst to randomly insert into
the run a QC material which only the QC reviewer knows the acceptable
concentration limits for. At least one low-normal concentration and one
high-normal concentration QC material should be kept in the laboratory for
this purpose.
3. External Reference Materials: Materials produced by laboratories outside
of the CDC which have assigned target concentrations can be helpful in
verifying method performance.
Some examples include Standard
Reference Materials (SRM) from the National Institute of Standards and
Technology (NIST) (i.e. SRM 2670a low & 2607a high) and samples from
previous challenges of proficiency testing programs (i.e. Centre de
Toxicologie du Quebec (CTQ)). However, only the results for the bench
and blind QC materials are used to determine if the run results can be
used.
ii. Calibration Verification:
a. Bi-annual tests as defined in the DLS Policy and Procedures manual: CLIA
requires the verification of accuracy of instrument response to analyte
concentration be completed at least every 6 months. NIST traceable
calibrators are analyzed in each run to define this response up to the
concentration of the highest calibrator in the run. To verify accuracy of
instrument response at concentrations higher than the highest calibrator in
each run, analyze a NIST traceable standard with very high concentrations
(see Table 8 in Appendix B for concentrations) at least every 6 months.
Prepare the Calibration Verification Standard for analysis just as a working
calibrator is prepared. Use the “Urine Blank” as the blank when it is analyzed.
If the observed concentrations for the Calibration Verification Standard are not
within 10% of the target value (see Table 8 in Appendix B) the lab supervisor
should be notified and the issue should be investigated. Do not substitute

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external reference materials (i.e. biological samples from a PT program) for
the Calibration Verification Standard when performing this. Solutions needed
for the Calibration Verification checks can be purchased from standards
vendors (i.e.SPEX, High Purity Standards, etc . . .) or prepared in-house from
NIST traceable single element standards.
Always verify that normal
background levels have been re-achieved through adequate rinse time
following analysis of elevated standards for calibration verification.
b. As-needed confirmations (per supervisor discretion): When a sample result is
greater than the highest calibrator in the run, the supervisor may request that
the result be confirmed in an analysis run which includes a standard or
external reference material with equivalent (within 10%) or greater
concentration than the sample. In order to avoid needless contamination of
the instrument with high concentrations of analytes, the analyst should use the
lowest appropriate calibration verification solution concentrations to meet the
need.
For infrequent verification needs, the calibration verification stock solutions
can be used to prepare verification standards to appropriate concentrations.
This will, however, introduce elevated concentrations of all elements in the
method to the sample introduction system. Frequent measurement of these
very high concentrations can result in high background levels in the instrument
which are difficult to rinse out and which may limit the ability to measure low
concentrations.
For frequent verification needs (i.e. when certain studies have many elevated
results on particular elements) or when a concentration higher than those
shown in Table 8 in Appendix B needs to be verified, use NIST-traceable
single element stock standards to prepare single element verification
standards. This will limit the exposure of the instrument to elevated
concentrations
of
only
the
elements
needing
verification.
An external reference material (i.e. historical proficiency testing sample) can
be substituted in place of the Calibration Verification Standard sample in these
situations IF
i.

The target value has been assigned by an external source (i.e.
NIST, or the proficiency testing program).

ii.

The concentration of the external reference material is within 10%
or is higher than the concentration of the material you need it to
confirm.

iii.

There is confidence that there is no contamination of previously
used external reference material.

iv.

A note to file is made that this was done.

v.

If the observed concentrations are not within 10% of the target
value the lab supervisor should be notified and the issue should be
investigated.

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Always verify that normal background levels have been re-achieved through
adequate rinse time following analysis of calibration verification standard 3 or
higher (including samples with those concentrations).
b. Daily Analysis of Samples
i. Preparation of the Analytical Equipment
For further details on any part of this description, see the ITN Daily Startup
SOP for ELAN ICPMS instruments.
1. Power on the computer, printer, and autosampler, and log into the
operating system.
2. Peristaltic pump: Set up the peristaltic pump tubing with proper tension for
the sample rinse station.
3. Software: Starting the ESI software before starting the ELAN software may
improve stability of software.
4. Daily Pre-Ignition Maintenance Checks: Perform daily maintenance checks
as described in the IRAT Daily Startup SOP for ELAN instruments (i.e., Ar
supply pressure, interface components cleanliness and positioning,
interface pump oil condition, vacuum pressure, etc.). Make appropriate
notes in the Daily Maintenance Checklist and Instrument Log Book.
5. Start the Plasma: In the INSTRUMENT window of the software (or on the
front of the ELAN), press the “Start” button to ignite the plasma.
6. Aspirate rinse (multi-element method) or carrier (arsenic method) solution:
Send Probe to Rinse Station (multi-element method) or manually place
carrier probe into carrier solution (arsenic method).
7. Start the peristaltic pump: Start the peristaltic pump by pressing the
appropriate arrow in the DEVICES window (make sure that the rotational
direction is correct for the way the tubing is set up in the peristaltic pump).
Set the pump speed to a slow speed in the DEVICES window during warmup.
8. Warm-up time: Allow approximately 30 to 45 minutes warm-up time for the
ICP-DRC-MS after igniting the plasma. This warm-up time is for the RF
generator. There will be another “Stability time” for the DRC later in this
procedure.
9. Optimizations and Daily Performance Check: After this warm-up time,
perform a daily performance check and any optimizations necessary (as
described in the ITN Daily Startup SOP for ELANs). Include Be (m/z 9) in
the daily performance check. Fill in the Daily Maintenance Checklist
according to the optimization procedures performed.
a. Magnesium (24Mg) may have high RSDs due to the use of Triton-X100
in the rinse solution. Avoid this problem by either temporarily using
non-Triton-containing rinse solution during the daily check, or repeating
the daily check multiple times in succession with no rinse time
between.

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Saving the Files: Save new tuning (mass calibration) parameters
to the file “default.tun.” Save new optimization parameters (i.e.,
detector voltages, autolens values, nebulizer gas flow rate) to the
file “default.dac.”

10. Software setup for Analysis:
a. Workspace (files & folders): Click on “Open Workspace” from the
“File” menu. Select the workspace file “CDC_urine multi-element.wrk”
(or one customized for user preferences). Select “Review Files” from
the “File” menu. Verify & set up the correct files and data directories
for your analysis (See Table 1 in Appendix B).
b. Samples / Batch Window: Update the window to reflect the current
sample set. The only fields which need to be filled in include the
autosampler location, sample identification (id), measurement action,
method, sample flush time, sample flush speed, read delay time, read
delay & analysis speed, wash time, wash speed. Use a bar code
scanner to input data whenever possible. See Table 1 in Appendix B
for times and speeds. Save the Sample window file and re-use it on
other days by simply replacing the sample IDs for the patient samples.
1. DRC Stability Time: Best analyte-to-internal standard ratio
stability is obtained after 1-1.5 hrs of analysis of urine samples
using the DRC method. Analyze enough “dummy” urine
sample dilutions prior to any DRC analysis run to fill 1-1.5
hours of analysis time (not necessary if analyzing only a
subgroup of the method containing no DRC analytes). If
analyzing the full set of method analytes, 10 samples will be
sufficient. See Table 5 in Appendix B for example of setup in
the Samples / Batch window.
2. Urine vs. Aqueous Method Files:
a. The difference: There are two method files for this one
method (see Table 1 in Appendix B). It is necessary to use
both to accomplish each run because the current
PerkinElmer software will not allow for more than one blank
per method file. The ONLY DIFFERENCE between these
two files is on the Sampling tab where one lists the
autosampler positions of the urine blank and urine
calibrators (the “urblk” method file) and the other lists the
autosampler position of the aqueous blank (the “aqblk”
method file).
b. Use: The ONLY TIME when it matters which of these files
is used is when the measurement action includes “Run
blank” or “Run standards”. When the measurement action
is only ‘run sample’, it does not matter whether the “urblk”
or “aqblk” method file is used. Analysts typically follow the

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pattern below, however, for the sake of consistency and as
a reminder of which blank must be used for which type of
sample. See Table 6 in Appendix B.
i. The “urblk” method file: Use to analyze the initial urine
blank (blank for the calibration curve), the urine
calibrators, and the urine blank checks (urblkchk1 &
urblkchk2) at the very beginning of the run. The urine
blank method defines the autosampler location of the
urine blank and the urine calibration standards.
ii. The “aqblk” method file must be used to analyze all QC
materials and patient samples. The aqueous blank
method defines the aqueous blank in autosampler
location.
3. Notation of Dilutions: To designate an extra dilution of a
sample, edit the sample ID to reflect the level of dilution being
performed (i.e., A 1:2 dilution of sample 1 would be reflected in
the sample ID “sample 1 (2x dilution)”. This sample ID will be
edited during the data-import process to the database so that
it is recognized as the appropriate sample. Do not use the
ELAN® software to automatically correct for sample dilutions.
Extra dilution is performed on urine samples whose
concentration is greater than the concentrations listed in Table
8 in Appendix B (linearity of the method has been documented
up to these concentrations).
ii. Preparation of Samples for Analysis (See Table 7 in Appendix B)
1.

Thaw the frozen urine specimens; allow them to reach ambient
temperature.

2.

DRC stability “dummy urine matrix”. Prepare 50+mL of standard 2 or
standard 3 to be analyzed for 1-1.5 hr before the beginning of the run.
This can be prepared using 50mL polypropylene tubes or a wide-mouth
bottle (which can be put on the autosampler in place of one of the tube
trays).

3.

Set up a series of 15-mL polypropylene tubes corresponding to the
number of blanks, standards, QCs, and patient samples to be analyzed.

4.

Prepare the following solutions in the 15-mL falcon tubes using the
Micromedic Digiflex™ (see Table 3 in Appendix B for a summary).
a. Aqueous Blank: Prepare two aqueous blanks consisting of 1,000 µL of
>18 Mega-ohm·cm water and 9,000 µL of diluent. One will be the
actual aqueous blank and the other will be a backup (“Aqueous Blank
Check”) in case the original aqueous blank gets contaminated.
b. Urine Blank: Prepare two urine blank dilutions consisting of 900 µL of
base urine (same material used to prepare the urine calibration
standards), 100 µL of >18 Mega-ohm·cm water, and 9,000 µL of

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diluent. One of these urine blanks will be the blank for the calibration
standards; the other will be analyzed twice after standard 5 as
UrBlkChk1 and UrBlkChk2, respectively. Results from the UrBlkChks
will be used to determine the method limit of detection.
c. Calibrators: Prepare the working calibration standards as 100 µL of
the appropriate aqueous intermediate working calibration standard,
900 µL of base urine, and 9,000 µL of diluent.
d. Patient & QC Samples: Before taking an aliquot for analysis, mix the
sample so that no particulates remain on the bottom of the tube.
Prepare urine sample dilutions as 4,500 µL of diluent and 500 µL of the
urine sample.
e. Cap all of the blanks, standards, and samples and mix them well.
Uncap them and place them in the autosampler of the ELAN® ICPMS
in the order that was entered in the Samples / Batch window of the
ELAN software.
iii. Specimen Storage and Handling During Testing: Specimens may be left at
room temperature during analysis in case confirmation analyses must be
made. Take stringent precautions to avoid external contamination by the
metals to be determined. Specimens may be stored short term at refrigerated
temperatures, but should be stored long term (>4 weeks) at ≤ -20 °C.
iv. Starting the Analysis: To begin analysis, highlight (click and drag with the
mouse) the table rows of the samples that should be included in the run, and
then click on “Analyze Batch.”
v. Monitoring the Analysis: Initiate work in a timely manner so that the run may
be monitored. Make every effort to complete analysis within the work day so
that the entire run can be monitored. If it is not possible to complete the
analysis by the end of the work day, the run may be left to complete itself
unattended as long as appropriate planning is made for either overnight
operation or Auto Stop (see below).
Monitor the analysis for the following:
1. DRC stability (analyte / internal standard ratio stability)
After the analysis of the DRC stability “dummy” samples, these results can
be reviewed to determine if sufficient stability of the analyte-to-internal
standard ratio was reached before beginning analysis. Importing data into
an MS Excel template file is useful to visualizing magnitude of drift.
2. Proper operation of the instrument.
3. Contaminated blanks.
4. Linear calibration curves.
a. Typical correlation coefficients will be 0.999 to 1.000.
b. The ELAN software generates a “simple linear” calibration curve (using
a least squares calculation) for each of the 13 elements in this method.

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The curves are generated using the results from analysis of the urine
blank and the 5 external urine calibrators whose concentrations are
defined in the Calibration tab of the Method file. Specifically, the
software plots the “net intensity” (y-axis) versus the analyte
concentration (x-axis). The “net intensity” is the blank subtracted ratio
of the measured intensity for the analyte to the measured intensity of
the associated internal standard and is calculated as follows:

net int ensity =

Analyte Meas Intensity sample
Internal Std Meas. Intensity sample

−

Analyte Meas Intensity Blank
Internal Std Meas Intensity Blank

`
5. Bench QC results within the acceptable limits.
If an analyte result for the beginning QC material(s) falls outside of the 99%
limits, then the following steps are recommended:
a. If a particular calibration standard is obviously in error, remake a new
dilution at the Digiflex of that working calibrator, reanalyze it, and
reprocess the sample analyses using this new result as part of the
calibration curve.
b. Prepare a fresh dilution of the failing QC material and reanalyze it.
c. Prepare fresh dilutions at the Digiflex of all of the calibration standards
(working urine multi-element standards) and reanalyze the entire
calibration curve using the freshly prepared standards.
If these three steps do not result in correction of the out-of-control values
for QC materials, consult the supervisor for other appropriate corrective
actions. Do not report analytical results for runs that are not in statistical
control.
6. Good precision among replicates.
7. Consistent measured intensities of the internal standards.
Some sample-to-sample variations are to be expected. However the
intensities should be within a few percent of one another, and should
fluctuate around an average value (not drift continuously in one direction).
8. Elevated patient results. After any sample having a concentration greater
than the third calibration verification standard (see CV3 in Table 8 of
Appendix B), verify the instrument background levels have returned to
normal before proceeding in analysis to the next sample, adding additional
rinsing time if necessary. If this cannot be done in real-time, the sample
analyzed immediately after the elevated sample should be repeated for
confirmation (within 10% of the original result) prior to reporting. Report
the first analytically verified result.

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vi. Records of Results: Run results will be documented daily in both electronic
and paper form.
1. Electronic Records:
a. Transfer of Results to the Laboratory Information System / Database:
Transfer data electronically between computers or software to reduce
errors. When keyboard entry must be used, proofread transcribed
data after entry.
b. Long-Term Storage of ELAN software files: Files used and produced
by the ELAN software in analyzing samples will be backed up long
term on compact disk and kept a minimum of three years.
2. Paper Records: The paper copy of the results from the run should be put
into the study folder(s) and should include
a. A summary of the calibration curve statistics.
b. A printout of analysis of each measurement made during the run.
c. Optional, but helpful, is a printout of the DRC stability check
measurements in graphical form.
d. On the front sheet of the printed records, write the following
i.

Analyst initials

ii.

Instrument ID

iii.

Date of Analysis

iv.

Run # for the day on this instrument

v.

Study ID and Group Number

vi.

Database batch ID (Not known until the run is imported into the
database)

Every analytical run
vii. Transfer of Results to the Laboratory Database:
performed for the analysis of patient samples should be entered into the
laboratory results database unless the run is not useable for obvious reasons
(i.e. the run is stopped for some reason before ending QC is analyzed, no
internal standard spiked into the diluent, etc. . . ).
1. Data Export Process (from ELAN® software to .TXT file): If the data file
was not created during the initial analysis, reprocess the data of interest
either with “original conditions” option, or by loading the files and folders
used during the analysis. In the ELAN® ICP-DRC-MS software, select
“Review Files” from the “File” menu. From this window, you must open the
files and directories that were used when collecting the data of the run that
you wish to export. (If the analysis has just ended, all of these files and
directories will still be open.) NOTE: A second copy of the ELAN®
software can be run as an Edit/Reprocess copy without affecting an
ongoing analysis by the first copy of the software running in Windows.
After you open the relevant files, go to the “Report” page in the METHOD

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window. Deselect the box that prints a paper copy of data and select the
box that sends data to a file. Select the “Report Options Template” named
“CDC_Database Output.rop” and type in a report filename using a format
such as “2005-0714a_group55.txt” to designate data from analysis of
group 55 from July 14, 2005, run #1. Under “Report Format”, choose the
“Use Separator” option, and under the “File Write” section choose
“Append.” Finally, reprocess the data of interest. (See PerkinElmer
ELAN® ICPMS Software Manual.) Make sure you apply the aqueous
blank to all sample and quality control material analyses.
2. Data Import Process (from .TXT file to Microsoft Access™ database):
a. Move the .TXT file to the appropriate subdirectory on the network drive
where exported data are stored. Directories for data storage are
named according to instrument \ year \ month\, such as
I:\Instruments\ELANDRC2A\2005\07\.
b. Using the ITN Database Frontends, import the instrument file into the
database. On the GoTo window, click on “Add Sample Results to
Database”, then “Import Instrument Data File”.
c. Enter the appropriate information to identify the instrument, assay,
analysis date & time, run number, analyst, calibrator lot number and
prep date used (use the “IS Lot Number” field) and study. If other than
default values for Method LOD, High Calibrator, Rep Delta Limit, and
units were used in the run, document what was used by clicking on the
“View/Set Batch Parameters” button, changing the appropriate values,
and then clicking “Back”.
d. Press the “Import” button, then browse to the correct network folder to
select the file which contains the results from the run. Select the file
and click “OK”.
e. In the “Import Instrument Results” table, pressing the “Find X’s” button
will show only those samples whose sample ID is not recognized as a
valid QC pool ID or sample ID for this study. (Sample IDs are set up
when the study is logged into the database.) Corrections to sample
IDs and dilution factors can be made in this table (e.g., correction of
transcription errors and adjustment for level of dilution). If samples
were diluted for analysis, both the sample ID and the dilution factor
need to be edited in this table before the values are transferred to the
database (the Replace command under the Edit window is helpful in
this case). When corrections to sample IDs are made, press the
“Check IDs” button to re-evaluate the sample IDs. Any sample or
analyte row marked “Not Recognized” will not be transferred to the
database when the “Transfer” button is pressed. Once transferred
into the database, the data should be evaluated for QC pass / fail, then
set with the with the appropriate settings for QC accept / reject, final
value status, and comment(s). See the database programmers for
more detail on working in the database.

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viii. Analyst Evaluation of Run Results:
1. Bench Quality Control: After completing a run, and importing the results
into the database, export the QC results to the SAS program where the run
will be judged to be in or out of control. The QC limits are based on the
average and standard deviation of the beginning and ending analyses of
each of the bench QC pools, so it will not be possible to know if the run is
officially accepted or rejected until it is completed.
a. Quality Control Rules: The SAS program applies the division QC rules
to the data as follows:
i.

If both QC run means (low & high bench QC) are within 2Sm limits
and individual results are within 2Si limits, then accept the run.

ii.

If 1 of the 2 QC run means is outside a 2Sm limit - reject run if:
1. Extreme Outlier – Run mean is beyond the characterization
mean +/- 4Sm
2. 1 3S Rule - Run mean is outside a 3Sm limit
3. 2 2S Rule - Both run means are outside the same 2Sm limit
4. 10 X-bar Rule – Current and previous 9 run means are on
same side of the characterization mean

iii.

If one of the 4 QC individual results is outside a 2Si limit - reject
run if:
1. R 4S Rule – Within-run ranges for all pools in the same run
exceed 4Sw (i.e., 95% range limit)

Note: Since runs have multiple results per pool for 2 pools, the R 4S
rule is applied within runs only.
Abbreviations:
Si = Standard deviation of individual results (the limits are not shown
on the chart unless run results are actually single
measurements).
Sm = Standard deviation of the run means (the limits are shown on the
chart).
Sw = Within-run standard deviation (the limits are not shown on the
chart).
b. Implications of QC Failures: If the division SAS program declares the
run out of control” for any analyte, use the following to determine the
implications on usability of the data from the run.
i.

For 1 or 2 analytes: ONLY the analytes which were “out of control”
are invalid for reporting from the run. Set all run results for those 1
or 2 analytes as “QC Rejected” in the database.

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For 3 or more analytes: All results, regardless of analyte, are
invalid for reporting from the run.
Set all run results for all
analytes as “QC Rejected” in the database. Note in the batch
comment field why all results were marked QC rejected.

2. Patient Results:
a. Elevated Results:
i.

Boundaries Requiring Confirmatory Measurement:
1. Results Greater than the First Upper Boundary (1UB):
Concentrations observed greater than the “first upper
boundary” (defined in the laboratory database as the “1UB”)
should be confirmed by repeat analysis of a new sample
preparation. The concentration assigned to the 1UB for an
element is determined by study protocol but default
concentrations are in Table 9 in Appendix B. Report the
original result, as long as the confirmation is within 10% of the
original.
Continue repeat analysis until a concentration can
be confirmed.
2. Results Greater Than Highest Calibrator: When a sample
result is greater than the highest calibrator in the run, the
supervisor may request that the result be confirmed in an
analysis run which includes a standard or external reference
material with equivalent (within 10%) or greater concentration
than the sample.
3. Results Greater Than Calibration Verification Tested: Perform
an extra dilution on any urine sample whose concentration is
greater than those listed in Table 8 in Appendix B (the linearity
of the method has been documented up to these
concentrations). See Table 7 in Appendix B for description of
sample
preparation
with
extra
dilution.
4. Uranium Isotope Ratio Measurement for Elevated Uranium
Concentrations: A uranium 235/238 isotope ratio analysis is
performed for all urine uranium samples where the urine total
uranium concentration is greater than the 2UB boundary (see
Table 9 in Appendix B).

ii.

Inadequate Precision in Confirmation of a Measurement: If a
sample is reanalyzed to obtain a confirmation of an initially
elevated result, the confirmation should be within 10% of the
original result.

iii.

Analyst Reporting of Elevated Results: Concentrations observed
greater than the “second upper boundary” (defined in the
laboratory database as the “2UB”) should be reported to the QC
reviewer as an “elevated result”. The concentration assigned to

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the 2UB for an element is determined by study protocol but default
concentrations are in Table 9 in Appendix B. The analyst should
report any patient results confirmed to be greater than the second
upper boundary to the QC reviewer as an “elevated result”. There
is no routine notification for elevated levels for the metals
determined in this method. The protocol for supervisors reporting
elevated results to medical personnel is defined according to the
study protocol.
b. Inadequate Precision Within One Measurement: If the range of the
three replicate readings (maximum replicate concentration value minimum replicate concentration value) for a single sample analysis is
greater than the criteria listed in Table 9 in Appendix B (“>Lim Rep
Delta” in the database) and the range of the three replicate readings is
greater than 10% of the observed concentration, do not use the
measurement for reporting. Repeat the analysis of the sample.
ix. Submitting Final Work for Review: Once results have been imported,
reviewed, and set as final in the database by the analyst,
1. Submit an email to the QC reviewer informing them of the readiness of the
data for final review. The email should include
a. Instrument ID, run Date, run number, study ID, group ID.
b. Any bench QC failures (include reasons if known).
c. Any patient sample result greater than the 2UB boundaries (see Table
9 in Appendix B).
d. Anything out of the ordinary about this analytical work which could
have a bearing on the availability (i.e. insufficient sample to analyze),
accuracy, or precision of the results.
2. Include all items called for by the study folder cover sheet in the study
folder (i.e. printouts from the ICP-MS, bench QC evaluation) together in the
study folder before submitting the folder for review when analysis is
complete.
x. Overnight Operation or Using Auto Stop: Make every effort to complete
analysis within the work day so that the entire run can be monitored. If it is not
possible to complete the analysis by the end of the work day, the run may be
left to complete itself unattended as long as appropriate planning is made for
either overnight operation or Auto Stop.
1. 24 hrs / day operation in DRC mode:
a. To reduce startup time in the mornings, the analyst is encouraged to
operate the ELAN in DRC mode 24hrs/day during the work week. This
eliminates the need for daily 45 minute RF generator warm-up, and
possibly the need for DRC stability time (if the DRC gas is not off for
extended periods of time before analysis). To maintain the instrument
in DRC mode when not analyzing patient samples, setup multiple
sample rows in the Samples / Batch window with autosampler position

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IRAT-DLS Method Code: 3018 and 3018A

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n zero (rinse station of autosampler) and wash time of 1800s (30
minutes).
Repeat this sample row enough times to keep the
instrument in analysis mode overnight (1 sample with 15 minute wash
will take ~ 25 minutes).
2. AutoStop: If 24 hrs / day ELAN operation is not desired, the instrument
can shut the plasma off unattended after analysis. Setup this as follows:
a. On the “Auto Start / Stop” tab of the Instrument window, enable the
Auto Stop feature.
b. Press the “Change” button within the Auto Stop box and set the
Delayed shutdown time to 5 minutes. This will rinse the sample
introduction system of urine matrix before turning off the plasma.
c. It will be necessary to replace the sample peristaltic pump tubing the
next day since it will have been clamped shut overnight.
c. Equipment Maintenance: Analysts are expected to follow a 4-day analysis / 1day maintenance schedule in the laboratory.
i. ICPMS Maintenance: On the maintenance day, perform all maintenance per
the Inorganic Toxicology and Nutrition Branch ELAN ICP-MS Weekly
Maintenance SOP. All equipment maintenance should be documented in the
instrument logbook.
ii. Data Backup: Data on the ELAN computer will be backed up via two backup
routines.
1. Daily Backups to External Hard Drive: Automatic backups of the “elandata”
directory and all subdirectories should be programmed to occur each night
onto an external hard disk.
2. Weekly Backup to CD: Backup all files in the active “elandata” directory
and all subdirectories onto one recordable compact disc during the weekly
maintenance SOP. When the active “elandata” directory on the ICP-DRCMS computer hard drive becomes too large to fit onto a single recordable
compact disk, the oldest data can be removed from the computer to make
it easier to backup the entire directory weekly. This can usually be done
annually.
a. Backup the oldest data on the hard drive to two duplicate compact
disks and verify that the files on the CD are readable
b. Label them with the name of the instrument, the date range of the data,
the current date, your name, and “Copy 1 of 2” or “Copy 2 of 2”
c. After verifying that the CDs are readable, the oldest, backed up data
can be deleted from the ICP-MS computer hard drive.
d. It is best to not store duplicate copies in the same location.
9) Interpretation of the Results
a. Reportable Range: Urine multi-element values are reportable in the range
between the method LOD (see Appendix, Table 8 in Appendix B) and the highest

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IRAT-DLS Method Code: 3018 and 3018A

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concentration verified accurate by bi-annual calibration verification tests (see
Appendix, Table 8 in Appendix B). For example, if a urine cadmium value is less
than the method LOD of 0.042, report it as < 0.042 µg/L). Above the highest
concentration verified, extra dilutions are made of the urine sample to bring the
concentration within the verified range.
b. Reference Ranges (Normal Values): In this method the 95% reference ranges
(see Appendix, Table 10 in Appendix B) for these elements in urine fall within the
range of the calibrators.
c. Action Levels: Due to the uncertainty of the health implications of elevated
concentrations of many of the elements determined with this method, there is no
routine notification for elevated levels of every analyte determined with this
method. The present NRC standard for workplace removal is 15 µg/L of U in
urine [13]. Other action levels for reporting to supervising physicians are
determined on a study-by-study basis.
10) Method Calculations
a. Method Limit of Detection (LODs): The method detection limits for elements in
blood specimens are defined as 3 times s 0, where s 0 is the estimate of the
standard deviation at zero analyte concentration. S 0 is taken as the y-intercept
of a linear or 2nd order polynomial regression of standard deviation versus
concentration (4 concentration levels of the analytes in blood each measured 60
times across at least a 2-month timeframe). Method LODs are re-evaluated
periodically.
b. Method Limit of Quantitation (LOQ): The Division of Laboratory Sciences does
not currently utilize limits of quantitation in regards to reporting limits [10].
c. QC Limits: Quality control limits are calculated based on concentration results
obtained in at least 20 separate runs. It is preferable to perform separate
analyses on separate days and using multiple calibrator lot numbers,
instruments, and analysts to best mimic real-life variability. The statistical
calculations are performed using the SAS program developed for the Division of
Laboratory Sciences (DLS_QC_compute_char_stats.sas).
11) Alternate Methods for Performing Test and Storing Specimens If Test System
Fails:
If the analytical system fails, the analysis may be setup on other ELAN DRC
instruments in the laboratory. If no other instrument is available, store the
specimens at ~4°C until the analytical system can be restored to functionality. If
interruption longer than 4 weeks in anticipated, then store urine specimens at
≤ -20°C.

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Appendix A. Ruggedness Testing Results
Parameter Test #1 (15 Element Panel): Evaluate the impact on analysis results if the
RF Power is increased to 1600W (instrument maximum) or decreased to 1150W (by
20%) for the analytical run.
Test Details:
1. Three different RF power settings were tested in separately prepared, consecutive
runs on the instrument without turning off the plasma. At least 15 minutes
stabilization time was allowed between each run after the RF power was changed.
“Junk urine” samples (20) were analyzed between the beginning and ending QC of
each run. All other method parameters were kept per method.
2. Run #1 (method default, 1450W).
3. Run #2 (Decreased RF power by 20% to 1150W).
4. Run #3 (Increased RF power to instrument maximum, 1600W).

HU-04311_UMP3_e

LU-04310_UMP3_e

Parameter Test 1 Results (Table 1 of 3 for 15 Element Panel). All concentrations in
ug/L. Test performed 3/24/2010 by Denise Tevis using ELAN DRC-2N.
Sample
RF Power Tested
Ba
Be
Cd
Co
ID
Characterized
0.76
0.69
0.32
0.42
Mean
(±2SD Range)
(0.65 - 0.86) (0.59 - 0.79) (0.28 - 0.36) (0.38 - 0.47)
1150W
0.67
0.62
0.28
0.39
(reduced)
1450W
0.70
0.66
0.31
0.32¥
(per method)
1600W
0.75
0.75
0.33
0.42
(increased)
Characterized
5.01
5.28
1.62
1.88
Mean
(±2SD Range)
(4.54 - 5.24) (4.48 - 6.07) (1.47 - 1.78) (1.66 - 2.09)
1150W
4.93
5.75
1.6
1.96
(reduced)
1450W
5.55
5.28
1.75
1.67
(per method)
1600W
4.85
5.82
1.58
1.90
(increased)
¥Data are not statistically different according to the expected precision of the method (QC 3SD =
0.072)

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Appendix A. Ruggedness Testing Results. (continued)

HU-04311_UMP_e

LU-04310_UMP_e

HU-04311_UMP_e

LU-04310_UMP_e

Parameter Test 1 Results (Table 2 of 3 for 15 Element Panel). All concentrations in
ug/L. Test performed 3/23/2011 by Denise Tevis using ELAN DRC-2N.
Sample
RF Power
Cs
Mo
Pb
Pt
ID
Tested
Characterized
2.38
19.3
0.42
0.10
Mean
(±2SD Range) (2.25 - 2.51) (18.6 - 20.0) (0.37 - 0.48)
(0.07 - 0.13)
1150W
2.13¥
17.2*
0.42
0.09
(reduced)
1450W
2.32
18.9
0.41
0.09
(per method)
1600W
2.42
18.8
0.43
0.10
(increased)
Characterized
9.82
136
2.95
0.85
Mean
(±2SD Range) (9.03 - 10.6) (131 - 142) (2.82 - 3.08)
(0.71 - 1.00)
1150W
9.62
136
3.03
0.93
(reduced)
1450W
10.56
133
2.89
1.02#
(per method)
1600W
9.55
135
3.05
1.08#
(increased)
Sample
RF Power
Sb
Tl
W
U
ID
Tested
Characterized
0.19
0.18
0.22
0.014
Mean
(±2SD Range) (0.17 - 0.21) (0.17 - 0.19) (0.19 - 0.24) (0.011 - 0.016)
1150W
0.21
0.16
0.19
0.017α
(reduced)
1450W
0.16
0.19
0.22
0.014
(per method)
1600W
0.20
0.18
0.22
0.017 α
(increased)
Characterized
0.66
0.58
0.94
0.128
Mean
(±2SD Range) (0.60 - 0.71) (0.55 - 0.61) (0.90 - 0.99) (0.115 - 0.141)
1150W
0.69
0.59
0.90
0.153 α
(reduced)
1450W
0.61
0.57
0.93
0.126
(per method)
1600W
0.66
0.60
0.91
0.150 α
(increased)
¥Data are not statistically different; expected precision of the method (QC 3SD = 0.2)
*Data are not statistically different; expected precision of the method (QC 3SD = 1.08)
#Data are not statistically different; expected precision of the method (QC 3SD = 0.22)
α
Data are not statistically different; expected precision of the method (QC 3SD = 0.02)

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Appendix A. Ruggedness Testing Results. (continued)
Parameter Test 1 Results (Table 3 of 3 for 15 Element Panel). All concentrations in
ug/L. Test performed 3/23/2011 by Denise Tevis using ELAN DRC-2N.

Seronorm Trace
Elements Urine§

NYDOH UE09-06‡

NYDOH UE09-05‡

Sample ID

RF Power Tested

Mn

Sn

Characterized Mean
(±2SD Range)

1.37
(1.55 -1.19)

2.2
(2.0-2.8)

1.22

2.9

1450W (per method)

0.98

2.8

1600W (increased)

1.30

3.0

Characterized Mean
(±2SD Range)

31.1
(26.3 -35.9)

61
(55.0 - 67.0)

29.4

67.4

1450W (per method)

23.8

68.5

1600W (increased)

30.0

66.7

Characterized Mean

12.3

54.6

110

(±2SD Range)

(10.9 - 13.7)

(51.9 - 57.3)

(104 -116)

10.4

62.3

113

1450W (per method)

8.46

62.3

111

1600W (increased)

10.5

61.4

111

1150W

1150W

1150W

(reduced)

(reduced)

(reduced)

§Purchased from Sero AS, Billingstad, Norway.
‡ Purchased from Wadsworth Center, New York State Department of Health

Sr

Urine Multi-Element ICP-DRC-MS
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Appendix A. Ruggedness Testing Results. (continued)
Parameter Test #1 (Arsenic): Evaluate the impact on analysis results if the set RF
Power is increased to 1600W (instrument maximum) or decreased to 1150W (by 20%)
for the analytical run.
Test Details:
1. Three different RF power settings were tested in separately prepared, consecutive
runs on the instrument without turning off the plasma. At least 15 minutes
stabilization time was allowed between each run after the RF power was changed.
“Junk urine” samples (40) were analyzed between the beginning and ending QC of
each run. All other method parameters were kept per method.
2. Run #1 (method default, 1450W).
3. Run #2 (Decreased RF power by 20% to 1150W).
4. Run #3 (Increased RF power to instrument maximum, 1600W).
Parameter Test 1 Results (Arsenic). All concentrations in ug/L. Test
performed 3/26/10 by Graylin Mitchell using ELAN DRC-2G.
QC Pool ID

LU-04310_UMP_e

RF Power Tested

As

Characterized Mean
Characterized 2SD Range
Characterized 3SD Range

3.74
3.21 – 4.27
2.95 – 4.53

1150W

(Reduced)

3.72

1450W

(Per Method)

4.10

1600W

(Increased)

3.66

Characterized Mean
Characterized 2SD Range
Characterized 2SD Range
HU-04311_UMP_e

55.8
53.3 – 58.3
52.1 – 59.6

1150W

(Reduced)

55.6

1450W

(Per Method)

58.8

1600W

(Increased)

52.2

Urine Multi-Element ICP-DRC-MS
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Appendix A. Ruggedness Testing Results. (continued)
Parameter Test #2 (cadmium and manganese): Evaluate the impact on analysis results
if the cell gas flow rate is increased or decreased by 20% for the analytical run.
Test Details:
1. Three different cell gas flow rates were tested in separately prepared, consecutive
runs on the instrument without turning off the plasma. Samples were prepared with
diluent containing 400 ppm K and 60 ppb Mo in addition to the internal standards. At
least 15 minutes stabilization time was allowed between each run after the cell gas
flow rate was changed. “Junk urine” samples (20) were analyzed between the
beginning and ending QC of each run
2. Run #1 (method default = 2.3 mL/min)
3. Run #2 (decreased cell gas flow rate by 20% to 1.8 mL/min).
4. Run #3 (increased cell gas flow rate by 20% to 2.75 mL/min).

Seronorm Trace
Elements
HU-04311_UMP3_e LU-04310_UMP3_e
Urine§

Parameter Test 2 Results (Table 1 of 2 for 15 element). All concentrations in ug/L. Test
performed 4/4/11 by Denise Tevis using ELAN DRC-2N.
Cell gas Flow Rate
Sample ID
Cd
Mn
Tested
Characterized Mean
0.32
(±2SD Range)
(0.28 - 0.36)
1.8 mL/min (reduced)

0.29

2.3 mL/min (per method)

0.29

2.75 mL/min (increased)

0.28

Characterized Mean
(±2SD Range)

1.62
(1.47 - 1.78)

1.8 mL/min (reduced)

1.65

2.3 mL/min (per method)

1.62

2.75 mL/min (increased)

1.57

Characterized Mean
(±2SD Range)
1.8 mL/min (reduced)

12.3
(8.70 - 15.9)
11.0

2.3 mL/min (per method)

10.1

2.75 mL/min (increased)
§Purchased from Sero AS, Billingstad, Norway.

10.7

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Appendix A. Ruggedness Testing Results. (continued)

NYDOH UE 10-10‡

NYDOH UE 10-04‡

Parameter Test 2 Results (Table 2 of 2 for 15 element). All concentrations in ug/L.
Test performed 4/4/11 by Denise Tevis using ELAN DRC-2N.
Cell gas Flow Rate
Sample ID
Cd
Mn
Tested
Characterized Mean
24.5
(±2SD Range)
(19.7 - 29.3)
1.8 mL/min (reduced)

27.0

2.3 mL/min (per
method)
2.75 mL/min
(increased)
Characterized Mean
(±2SD Range)

2.1
(1.1 - 3.1)

1.8 mL/min (reduced)

1.82

24.4
26.2

2.3 mL/min (per
1.60
method)
2.75 mL/min
1.78
(increased)
‡ Purchased from Wadsworth Center, New York State Department of Health

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

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58 of 103

Appendix A. Ruggedness Testing Results. (continued)
Parameter Test #2 (Arsenic): Evaluate the impact on analysis results if the cell gas flow
rate is increased or decreased by 20% for the analytical run.
Test Details:
1. Three different cell gas flow rates were tested in separately prepared, consecutive
runs on the instrument without turning off the plasma. At least 15 minutes
stabilization time was allowed between each run after the cell gas flow rate was
changed. “Junk urine” samples (40) were analyzed between the beginning and
ending QC of each run (diluent was prepared to a 1% HCl matrix so ArCl+
interference removal would be challenged).
2. Run #1 (method default = 0.95 mL/min).
3. Run #2 (decreased cell gas flow rate by 20% to 0.76 mL/min).
4. Run #3 (increased cell gas flow rate by 20% to 1.14 mL/min).
Parameter Test 2 Results (Arsenic).
Test performed 5/13/10 by Graylin Mitchell using ELAN DRC2-G.
QC
Pool ID

LU-04310_UMP_e

Cell Gas Flow Rate Tested

As (ug/L)

Characterized Mean
Characterized 2SD Range
Characterized 3SD Range

3.74
3.21 – 4.27
2.95 – 4.53

0.76 mL/min

(Reduced)

0.95 mL/min (Method Default)
1.14 mL/min

(Increased)

Characterized Mean
Characterized 2SD Range
Characterized 2SD Range
HU-04311_UIMP_e

0.76 mL/min

(Reduced)

0.95 mL/min (Method Default)
1.14 mL/min

(Increased)

4.35
4.02
4.03
55.8
53.3 – 58.3
52.1 – 59.6
57.6
54.2
59.2

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Appendix A. Ruggedness Testing Results. (continued)
Parameter Test #3 (DRC elements: cadmium and manganese): Evaluate the impact on
analysis results if the RPq is increased or decreased by 20% for the analytical run.
Test Details:
1. Three RPq settings were tested for cadmium and manganese in separately
prepared, consecutive runs on the instrument without turning off the plasma.
Samples were prepared with diluent containing 400 ppm K and 60 ppb Mo in
addition to the internal standards. At least 15 minutes stabilization time was allowed
between each run after DRC RPq was changed. “Junk urine” samples (20) were
analyzed between the beginning and ending QC of each run.
2. Run #1 (instrument default DRC RPq: 0.45).
3. Run #2 (~20% decrease; DRC RPq: 0.35).
4. Run #3 (~20% increase; DRC RPq: 0.55 ).

LU04310_UMP3_e

0.32

(±2SD Range)
0.35 (reduced)
0.45 (typical)
0.55 (increased)

(0.28 - 0.36)
0.32
0.31
0.29

Characterized Mean

1.62

(±2SD Range)
0.35 (reduced)
0.45 (typical)
0.55 (increased)
Characterized Mean
(±2SD Range)
0.35 (reduced)
0.45 (typical)
0.55 (increased)
Characterized Mean
(±2SD Range)
0.35 (reduced)
0.45 (typical)
0.55 (increased)
Characterized Mean
(±2SD Range)
0.35 (reduced)
0.45 (typical)
0.55 (increased)

(1.47 - 1.78)
1.58
1.48
1.46

NYDOH UE NYDOH UE
09-05‡
09-06‡

Seronorm
Trace
Elements
Urine§

Characterized Mean

HU04311_UMP3_e

Parameter Test 4 Results. All concentrations in ug/L. Test performed 3/30/11 by
Denise Tevis using ELAN DRC-2N.
Sample ID
RPQ Tested
Cd
Mn

§Purchased from Sero AS, Billingstad, Norway.
‡ Purchased from Wadsworth Center, New York State Department of Health

12.3
(8.70 - 15.9)
10.7
11.8
11.0
31.1
(26.3 - 35.9)
29.3
32.1
30.9
1.8
(1.0 - 2.6)
1.28
1.41
1.29

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Appendix A. Ruggedness Testing Results. (continued)
Parameter Test #3 (Arsenic): Evaluate the impact on analysis results if the RPq is
increased or decreased by 20% for the analytical run.
Test Details:
1. Three different RPQ settings were tested for Cadmium in separately prepared,
consecutive runs on the instrument without turning off the plasma. At least 15
minutes stabilization time was allowed between each run after DRC RPQ was
changed. “Junk urine” samples (40) were analyzed between the beginning and
ending QC of each run. The diluent included 1% HCl.
2. Run #1 (previous method default DRC RPQ: 0.75).
3. Run #2 (decreased DRC RPQ 20%: 0.62).
4. Run #3 (increased DRC RPQ 20%: 0.88 ).
5. Additional test Run #4 (increased DRC RPQ: 0. 25).
6. Additional test Run #5 (increased DRC RPQ: 0. 45).
Parameter Test 3 Results (Arsenic).
Test performed 3/18/10 by Gulchekhra Shakirova.
QC
RPQ Tested
Pool ID
Characterized Mean
Characterized 2SD Range
Characterized 3SD Range
LU-04310_UMP_e

HU-04310_UMP_e

As (ug/L)
3.74
3.21 – 4.27
2.95 – 4.53

DRC RPQ: 0.38

3.92

DRC RPQ: 0.48

3.93

DRC RPQ: 0.60

3.71

DRC RPQ: 0.72

3.70

Characterized Mean
Characterized 2SD Range
Characterized 2SD Range

55.8
53.3 – 58.3
52.1 – 59.6

DRC RPQ: 0.38

54.9

DRC RPQ: 0.48

54.9

DRC RPQ: 0.60

55.2

DRC RPQ: 0.72

54.2

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Appendix A. Ruggedness Testing Results. (continued)
Parameter Test #4 (cadmium and manganese): Evaluate the impact on analysis results
if the axial field voltage (AFV) is increased or decreased by 20% for the analytical run.
Test Details:
1. Three different DRC AFV were tested in separately prepared, consecutive runs on
the instrument without turning off the plasma. Samples were prepared with diluent
containing 400 ppm K and 60 ppb Mo in addition to the internal standards. At least
15 minutes stabilization time was allowed between each run after the axial field
voltage was changed. “Junk urine” samples (20) were analyzed between the
beginning and ending QC of each run. The diluent including 60 ug/L Molybdenum.
2. Run #1 (instrument default DRC AFV = 375)
3. Run #2 (decreased DRC AFV by 20% to 300).
4. Run #3 (increased DRC AFV by 17% to 450).

NYDOH UE NYDOH UE
10-06‡
09-06‡

Seronorm
Trace
Elements
Urine§

HULU04311_UMP3_e 04310_UMP3_e

Parameter Test 4 Results. All concentrations in ug/L. Test performed 4/5/11 by
Denise Tevis using ELAN DRC-2N.
Sample ID
AFV Tested
Cd
Mn
Characterized Mean

0.32

(±2SD Range)

(0.28 - 0.36)

300 (reduced)
375 (typical)
450 (increased)

0.32
0.34
0.31

Characterized Mean

1.62

(±2SD Range)

(1.47 - 1.78)

300 (reduced)
375 (typical)
450 (increased)
Characterized Mean
(±2SD Range)
300 (reduced)
375 (typical)
450 (increased)
Characterized Mean
(±2SD Range)
300 (reduced)
375 (typical)
450 (increased)
Characterized Mean
(±2SD Range)
300 (reduced)
375 (typical)
450 (increased)

1.62
1.64
1.61

§Purchased from Sero AS, Billingstad, Norway.
‡ Purchased from Wadsworth Center, New York State Department of Health

Appendix A. Ruggedness Testing Results. (continued)

12.3
(8.70 - 15.90)
10.8
10.7
10.8
31.1
(26.3 - 35.9)
32.0
32.0
31.9
1.4
(0.2 - 2.6)
0.81
0.98
1.02

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Parameter Test #4 (Arsenic): Evaluate the impact on analysis results if the axial field
voltage (AFV) is increased or decreased for the analytical run.
Test Details:
1. Four different DRC AFV were tested in separately prepared, consecutive runs on the
instrument without turning off the plasma. At least 15 minutes stabilization time was
allowed between each run after the axial field voltage was changed. “Junk urine”
samples (40) were analyzed between the beginning and ending QC of each run.
2. Run #1 (method default DRC AFV = 250)
3. Run #2 (increased DRC AFV to 300).
4. Run #3 (decreased DRC AFV to 200).

Parameter Test 4 Results (Arsenic).
Test performed 6/2/10 by Graylin Mitchell using ELAN DRC2-G.
QC
Axial Field Voltage Tested
As (ug/L)
Pool ID
Characterized Mean
3.74
Characterized 2SD Range
3.21 – 4.27
Characterized 3SD Range
2.95 – 4.53
LU-04310_UMP_e

200

(Reduced)

4.51

250

(Typical)

4.37

300

(Increased)

4.08

Characterized Mean
Characterized 2SD Range

55.8
53.3 – 58.3

200

(Reduced)

54.2

250

(Typical)

55.9

300

(Increased)

54.0

HU-04311_UMP_e

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Appendix A. Ruggedness Testing Results. (continued)
Parameter Test #5 (15 Element Panel): Method descriptions and SOP assume
preparation and analysis on same day. Evaluate the impact on analysis results if the
analytical run is prepared to analyze but circumstances do not allow for analysis to
occur until 24 or 48 hours later.
Test Details:
1. Three separate run sets (A, B, and C) were prepared at one sitting from the same
starting materials. Set ‘A’ was analyzed immediately per the assumption of the
method. Set’s ‘B’ and ‘C’ were stored at room temperature for 24 and 48 hours,
respectively before analysis. “Junk urine samples (20) were analyzed between the
beginning and ending QC of each run, making each a normal length run. All other
method parameters were kept per method.
2. On day two, a fresh run set (“D”) was prepared and analyzed immediately for
comparison to results from set “B” (Run 2 of the day. Results not shown).
3. On day three, another fresh run set (“E”) was prepared and analyzed immediately for
comparison to results from set “C” (Run 2 of the day. Results not shown).

HULU04311_UMP 04310_UMP
3_e
3_e

Parameter Test 5 Results (Table 1 of 2 for 15 Element Panel). All concentrations in ug/L.
Test begun 3/23/11 by Denise Tevis using ELAN DRC-2N.
Time from
Sample
Preparation to
Ba
Be
Cd
Co
ID
Analysis
Characterized Mean
0.76
0.69
0.32
0.42
(±2SD Range)
(0.65 - 0.86) (0.59 - 0.79) (0.28 - 0.36) (0.38 - 0.47)
freshly prepared
0.70
0.66
0.32
0.32
24 hours
0.70
0.69
0.31
0.42
48 hours
0.86
0.67
0.31
0.43
Characterized Mean
5.01
5.28
1.62
1.88
(±2SD Range)
(4.54 - 5.24) (4.48 - 6.07) (1.47 - 1.78) (1.66 - 2.09)
freshly prepared
5.55
3.48
1.75
1.67
24 hours
4.66
5.76
1.57
1.94
48 hours
5.12
5.49
1.67
1.84
¥Data are not statistically different according to the expected precision of the method (QC 3SD = 0.072)

Urine Multi-Element ICP-DRC-MS
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Appendix A. Ruggedness Test #5 Results (continued)

HU-04311_UMP_e LU-04310_UMP_e

Parameter Test 5 Results (Table 2 of 3 for 15 Element Panel). All concentrations in ug/L.
Test begun 3/23/11 by Denise Tevis using ELAN DRC-2N.
Time from
Sample
Preparation to
Cs
Mo
Pb
Pt
ID
Analysis

HU-04311_UMP_e LU-04310_UMP_e

Sample
ID

Characterized Mean

2.38

19.3

0.42

0.10

(±2SD Range)

(2.25 - 2.51)

(18.6 - 20.0)

(0.37 - 0.48)

(0.07 - 0.13)

freshly prepared
24 hours
48 hours

2.32
2.35
2.30

18.9
19.2
19.0

0.41
0.44
0.46

0.09
0.11
0.10

Characterized Mean

9.82

136

2.95

0.85

(±2SD Range)

(9.03 - 10.6)

(131 - 142)

(2.82 - 3.08)

(0.71 - 1.00)

freshly prepared
24 hours
48 hours
Time from
Preparation to
Analysis

10.6
9.36
10.0

133
134
132

2.89
3.08
3.04

1.02
1.03
1.12

Sb

Tl

W

U

Characterized Mean

0.19

0.18

0.22

0.014

(±2SD Range)

(0.17 - 0.21)

(0.17 - 0.19)

(0.19 - 0.24)

(0.011 - 0.016)

freshly prepared
24 hours
48 hours

0.16
0.19
0.19

0.19
0.18
0.19

0.22
0.21
0.22

0.014
0.013
0.014

Characterized Mean

0.61

0.58

0.94

0.128

(±2SD Range)

(0.60 - 0.71)

(0.55 - 0.61)

(0.90 - 0.99)

(0.115 - 0.141)

freshly prepared
24 hours
48 hours

0.61
0.65
0.69

0.57
0.60
0.59

0.93
0.90
0.90

0.126
0.128
0.126

* Data are not statistically different according to the expected precision of the method (QC 3SD = 0.02)
¥Data are not statistically different according to the expected precision of the method (QC 3SD = 0.2)
*Data are not statistically different according to the expected precision of the method (QC 3SD = 1.08)
#Data are not statistically different according to the expected precision of the method (QC 3SD = 0.22)

Urine Multi-Element ICP-DRC-MS
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Appendix A. Ruggedness Testing Results. (continued)

Seronorm Trace NYDOH
Elements Urine§ UE09-06‡

NYDOH
UE09-05‡

Parameter Test 5 Results (Table 3 of 3 for 15 Element Panel). All concentrations in
ug/L. Test begun 3/23/11 by Denise Tevis using ELAN DRC-2N.
Sample
Time from Preparation
ID
to Analysis
Mn
Sn
Sr
Characterized Mean
1.37
2.2
(±2SD Range)
(1.55 -1.19)
(2.0-2.8)
freshly prepared
0.98
2.8
24 hours
1.26
2.6
48 hours
1.47
2.6
Characterized Mean
31.1
61
(±2SD Range)
(26.3 -35.9)
(55.0 - 67.0)
freshly prepared
23.8
68.5
24 hours
30.6
62.8
48 hours
31.9
61.4
Characterized Mean

12.3

54.6

110

(±2SD Range)
freshly prepared
24 hours
48 hours

(10.9 - 13.7)
8.47
10.9
10.4

(51.9 - 57.3)
62.3
57.5
58.3

(104 -116)
111
112
114

§Purchased from Sero AS, Billingstad, Norway.
‡ Purchased from Wadsworth Center, New York State Department of Health

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Appendix A. Ruggedness Test #5 Results (continued)
Parameter Test #5 (Arsenic): Method descriptions and SOP assume preparation and
analysis on same day. Evaluate the impact on analysis results if the analytical run is
prepared to analyze but circumstances do not allow for analysis to occur until 24 or 48
hours later.
Test Details:
1. Three separate run sets (A, B, and C) were prepared at one sitting from the same
starting materials. Set ‘A’ was analyzed immediately per the assumption of the
method. Set’s ‘B’ and ‘C’ were stored at room temperature for 24 and 48 hours,
respectively before analysis. “Junk urine samples (20) were analyzed between the
beginning and ending QC of each run, making each a normal length run. All other
method parameters were kept per method.
2. On day two, a fresh run set (“D”) was prepared and analyzed immediately for
comparison to results from set “B” (Run 2 of the day. Results not shown).
3. On day three, another fresh run set (“E”) was prepared and analyzed immediately for
comparison to results from set “C” (Run 2 of the day. Results not shown).

Parameter Test 4 Results (Arsenic).
Test performed 5/26-28/10 by Graylin Mitchell using ELAN DRC2-G.
QC
Axial Field Voltage Tested
As (ug/L)
Pool ID
Characterized Mean
3.74
Characterized 2SD Range
3.21 – 4.27
Characterized 3SD Range
2.95 – 4.53
LU-04310_UMP_e

Fresh Preparation

3.40

After 24 Hours

3.37

After 48 Hours

3.41

Characterized Mean
Characterized 2SD Range

55.8
53.3 – 58.3

Fresh Preparation

54.7

After 24 Hours

53.8

After 48 Hours

53.5

HU-04311_UMP_e

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Appendix B
Table 1. Instrument and Method Parameters. Parameters are the same for arsenic
and the 15 element panel unless otherwise noted.
Instrument: PerkinElmer ELAN DRCPlus or DRC II ICP-MS
Autosampler: ESI SC4 Autosampler with FAST sample introduction system
Optimization Window Parameters
RF power 1.45 KW
Plasma Gas Flow (Ar) 15 L/min
Auxiliary Gas Flow (Ar) 1.2 L/min
Nebulizer Gas Flow (Ar) ~0.90 – 1.0 L/min (optimized as needed for
sensitivity)
Ion Lens Voltage(s) AutoLens (optimized as needed for sensitivity)
QRO, CRO, CPV, Discriminator Optimized per instrument by service engineer, or
Threshold advanced user.
Parameters of x-y alignment, nebulizer gas flow, AutoLens voltages, mass calibration,
and detector voltages are optimized regularly. Optimization file name = default.dac.
Configurations Window Parameters
Cell Gas Changes Pause Times Pressurize Delay (From Standard to DRC) = 30
Exhaust Delay (From DRC to Standard mode) = 30
Flow Delay (Gas changes while in DRC mode) = 30
Channel Delay (channel change in DRC mode) = 30
File Names & Directories
Method file names
Dataset Create a new dataset subfolder each day. Name as
“2011-0718” for all work done on July 18, 2011
Sample File Create for each day’s work
Report file name For sample results printouts
cdc_quant comprehensive_multielement.rop

Tuning
Optimization
Calibration
Polyatomic
Report Options Template
(transferring results to the
database)

For calibration curve information
CDC_Quant Comprehensive (calib curve info).rop
Default.tun
Default.dac
N/A
elan.ply
CDC_Database Output.rop
Report Format Options: select only “Use Separator”
File Write Option: Append
Report File name: include date, instrument, and
group being analyzed in file name (i.e. 20050311b_DRC2A_HM-0364.txt)

Method Parameters
Method Parameters: Timing Page (see Figures 2a and 3a in the Appendix)
Sweeps/reading 70
Readings/replicate 1
Replicates 3
Enable QC Checking Off

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Table 1. Instrument and Method Parameters. Parameters are the same for arsenic
and the 15 element panel unless otherwise noted.
Isotopes Monitored For Arsenic
and Internal Standard (use 71Ga as an internal standard)
Associations 71Ga (70.9249), 75As (74.9216)
(Exact Mass)
For 15 Element Panel
Group 1 (use 103Rh as an internal standard)
9
Be (9.0122), 59Co (58.9332), 88Sr (87.9056) ,98Mo
(97.9055), 103Rh (102.905), 118Sn (117.902), 121Sb
(120.904), 133Cs (132.905), 138Ba (137.905)
Group 2 (use 193Ir as an internal standard)
184
W (183.951), 193Ir (192.963), 195Pt (194.965),
(204.975), 208Pb (207.977), 238U (238.05)

Dwell Times

Scan Mode
DRC channel A Gas
Flow Rate

205

Tl

Group 3 (use 103Rh as an internal standard)
103
Rh (102.905), 114Cd (113.904), 55Mn (54.9381),
30 ms for 59Co, 88Sr,98Mo, 118Sn,103Rh in Standard
mode, 121Sb, 133Cs, 138Ba, 184W, 193Ir, 205Tl, and 208Pb
50 ms for 71Ga , 75As and 55Mn in DRC mode
100 ms for 9Be, 195Pt, 238U, 103Rh in DRC mode, and
114
Cd
Peak Hopping for all isotopes (1 MCA channel)
For Arsenic
10% hydrogen / 90% argon
(5-7 psig delivery pressure)
Typically 0.7 to 1.3 mL/min *
*(optimized per instrument, and periodically verified)

For 15 Element Panel
Not used.
DRC channel B Gas For Arsenic
Flow Rate Not used.
For 15 Element Panel
Oxygen (5-7 psig delivery pressure)
Typically 2.0 – 2.5 mL/min *
* (optimized instrument, and periodically verified)
RPa 0 for all isotopes

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Table 1. Instrument and Method Parameters. Parameters are the same for arsenic
and the 15 element panel unless otherwise noted.
RPq For Arsenic
DRC Mode (As group): Typically* 0.65 - 0.75 for
71
Ga (70.9249), 75As (74.9216). Use the same RPQ
for each.
For 15 Element Panel
Standard Mode: 0.25 for all standard mode isotopes
DRC Mode (Cd and Mn group): default 0.45 *,
typical range 0.35 - 0.55 for 114Cd (113.904) and
55
Mn (54.9381), and 103Rh (102.905) in DRC mode.
Use the same RPQ for each.
(* Optimize per instrument, and periodically verified)
Method Parameters: Processing Page (see Figures 2b and 3b in the Appendix)
Detector mode Pulse
Process Spectral Peak N/A
AutoLens On
Isotope Ratio Mode Off
Enable Short Settling Time Off
Blank subtraction After internal standard
Measurement units Cps
Process Signal Profile N/A
Method Parameters: Equations Page (see Figures 2c and 3c in the Appendix)
Equations On 208Pb, use “+ Pb 206 + Pb 207”
On 238U, use “+ U 235”
On 114Cd, use “- 0.027250 * Sn 118”
Method Parameters: Calibration Page (see Figures 2d and 3d in the Appendix)
Calibration Type External Std.
Curve type Simple Linear
Sample units “µg/L” or “ppb”
Calibration Standard Be: 0.1, 0.3, 1, 3, 10
Concentrations (µg/L) Co: 0.075, 0.225, 0.75, 2.25, 7.5
Sr: 3, 9, 30, 90, 300
Mo: 3, 9, 30, 90, 300
Sn: 0.3, 0.9, 3, 9, 30
Sb: 0.08, 0.24, 0.8, 2.4, 8
Cs: 0.2, 0.6, 2, 6, 20
Ba: 0.2, 0.6, 2, 6, 20
W: 0.06, 0.18, 0.6, 1.8, 6
Pt: 0.025, 0.075, 0.25, 0.75, 2.5
Tl: 0.04, 0.12, 0.4, 1.2, 4
Pb: 0.1, 0.3, 1, 3, 10
U: 0.005, 0.015, 0.05, 0.15, 0.5
Cd: 0.08, 0.24, 0.8, 2.4, 8
Mn: 0.1, 0.3, 1, 3, 10
As: 2, 6, 20, 60, 200
Method Parameters: Sampling Page (see Figures 2e and 3e in the Appendix)

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Table 1. Instrument and Method Parameters. Parameters are the same for arsenic
and the 15 element panel unless otherwise noted.
“Peristaltic Pump Under On
Computer Control”
Autosampler If using ESI autosampler
Tray Autosampler Type: AS-93plus
Port Tray Name: esi.try
Sampling Device
(either use shortcut in
C:\Elandata\Autosampler\AS-93 or
link to file in C:\program files\esi\esi sc\esi.try)
Port: GPIB1
Sampling Device: None
If using other autosampler
Refer to autosampler user guide.
Sample Flush FAST Defaults For Arsenic
6s at 6 rpm (standard ELAN peristaltic pump)
6s at 3rpm (ESI micro-peristaltic pump)
FAST Defaults For 15 Element Panel
6s at 6 rpm (standard ELAN peristaltic pump)
6s at 3rpm (ESI micro-peristaltic pump)
Can be optimized as needed to adequately fill the
FAST loop. As a matter of lab practice, set this time
to equal the loop fill time in the ESI FAST program.
As long as the combined time of sample flush + read
delay is equal to the time required for signal to reach
stability, analytical measurement will be good.
Read Delay Default For Arsenic
24s at 6 rpm (standard ELAN peristaltic pump)
24s at 3rpm (ESI micro-peristaltic pump)
Default For 15 Element Panel
30s at 6 rpm (standard ELAN peristaltic pump)
30s at 3rpm (ESI micro-peristaltic pump)
Can be optimized as needed to reach signal stability
before beginning analysis. As a matter of lab
practice, set this time equal to the total time required
for the signal to reach stability minus the loop fill
time. As long as the combined time of sample flush
+ read delay is equal to the time required for signal
to reach stability, analytical measurement will be
good.

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Table 1. Instrument and Method Parameters. Parameters are the same for arsenic
and the 15 element panel unless otherwise noted.
Wash Default For Arsenic
20s at 6 rpm (standard ELAN peristaltic pump)
20s at 3rpm (ESI micro-peristaltic pump)
Can be optimized to allow for changes in FAST loop
rinsing (must be greater than total time of steps in
FAST program after the initial “on rinse” command).
Default For 15 Element Panel
50s at 6 rpm (standard ELAN peristaltic pump)
50s at 3 rpm (default for entire panel)
Autosampler Locations of Blanks For Arsenic
and Standards For calibration curve (points to urine blank)
CDC_UMP3_DLS3018A_Urine Arsenic_urblk.mth
Urine Blank and Calibration Stds 1 – 5 in
autosampler positions 102 – 107 by default, but can
be customized.
For QC & patient sample analysis (points to aqueous
blank)
CDC_UMP3_DLS3018A_Urine Arsenic_aqblk.mth
Aqueous Blank in autosampler position 119, but can
be customized.
For 15 Element Panel
For calibration curve (points to urine blank)
CDC_UMP3_DLS3018_15 elem_urblk.mth
Urine Blank and Calibration Stds 1 – 5 in
autosampler positions 101 – 106, but can be
customized.
For QC & patient sample analysis (points to aqueous
blank)
CDC_UMP3_DLS3018_15 elem_aqblk.mth
Aqueous Blank in autosampler position 119, but can
be customized.
FAST Parameters: See Figures 4a through 4g in Appendix B for details
Configuration File default.sc
(saved at C:\Program Files\ESI\ESI-SC\)
FAST program For Arsenic
CDC_UMP3_DLS3018A_Urine Arsenic_SCFAST.txt
For 15 Element Panel
Urine 15 element_mthUMP3_DLS3018_SCFAST.txt

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Table 1. Instrument and Method Parameters. Parameters are the same for arsenic
and the 15 element panel unless otherwise noted.

Potential Emergency Response Modifications:
Cadmium: Analyze cadmium in standard mode with rhodium as
the internal standard. Set dwell time to 50ms, DRC
gas flow to 0, and RPq to 0.25.
Arsenic: • Use pure argon in place of 10% hydrogen 90%
argon for the DRC gas. A tee can be setup on
the main argon delivery line for the ICP-MS to
provide this argon for the DRC. No modifications
of the DRC gas flow rate necessary.
•

Analyze arsenic along with the 15-element
method to create a 16-element panel. Diluent
and reagents should not include ethanol. Use
revised QC limits for arsenic (will have “_CT” at
the end of the QC pool name).
Non-FAST sample introduction If the FAST sample introduction system is not
system: available on any instruments, the method can still be
implemented, but these changes will need to be
made in the ELAN (and ESI software if present).
•
•
•
•

Sample Flush: Default is ~90s at 10 rpm. Set so
that solution reaches nebulizer.
Read Delay: Default is 20s at 10rpm. Set for
best reproducibility of replicate measured
intensities.
Wash: Default is 120s at 24rpm. Set to prevent
significant carry-over from one sample to the
next.
If using ESI autosampler without FAST, disable
FAST in the ESI software before running
analysis.

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

Appendix B (continued)
Table 2. Suggested maximum analyte concentrations for base urine.
Analyte
Concentration (µg/L)
Be
0.5
Co
0.25
Mo
30
Sb
0.2
Cs
3
Ba
2
W
0.2
Pt
0.25
Tl
0.2
Pb
0.75
U
0.03
Cd
0.25
Mn
0.1
Sr
80
Sn
3
As
5

73 of 103

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IRAT-DLS Method Code: 3018 and 3018A

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Table 3. Concentrations of Analytes in the Multi-Element Stock Standard from
High Purity Standards.
Stock
Stock
Calibration
Calibration Verification
Analyte
Standard Conc. (mg/L)
Standard Conc. (mg/L)
High Purity Standards
High Purity Standards
Item # SM-2107-029
Item # SM-2107-035
Be
Co
Mo
Sb
Cs
Ba
W
Pt
TI
Pb
U
As
Cd
Sr
Sn
Mn
A
C

200 A
300 A
1800 B
200 A
1000 C
300 B
200 A
700D
50 A
500 A
40 B
6000 A
200A
8000 D
600 A
200 A

10
7.5
300
8
20
20
6
2.5
4
10
0.5
200
8
300
30
10

Solution A: HNO 3 (10%), HF (0.5%)
Solution C: HCl (1%)

B
D

Solution B: HCl (10%), trace HNO 3
Solution D: HCl (5%)

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IRAT-DLS Method Code: 3018 and 3018A

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Appendix B (continued)
Table 4. Preparation of Multi-element Intermediate Working Standards
Standard #
1
2
3
4
5
Volume of
500
200
100
100
100
Flask (mL)
Volume
Spike of
0.050
0.060
0.100
0.300
1.00
Int. Stock
Std. (mL)
Concentrations (ug/L) ‡
‡
Be*
1 (0.1)
3 (0.3) ‡
10 (1.0) ‡
30 (3.0) ‡
100 (10.0) ‡
Co*
0.75 (0.075) ‡ 2.25 (0.225) ‡ 7.5 (0.75) ‡ 22.5 (2.25) ‡
75 (7.5) ‡
‡
‡
‡
‡
Mo*
30 (3.0)
90 (9.0)
300 (30)
900 (90)
3000 (300) ‡
‡
‡
‡
‡
Sb*
0.8 (0.08)
2.4 (0.24)
8 (0.8)
24 (2.4)
80 (8.0) ‡
Cs*
2 (0.2) ‡
6 (0.6) ‡
20 (2.0) ‡
60 (6.0) ‡
200 (20) ‡
‡
‡
‡
‡
Ba*
2 (0.2)
6 (0.6)
20 (2.0)
60 (6.0)
200 (20) ‡
†
‡
‡
‡
‡
W
0.6 (0.06)
1.8 (0.18)
6 (6.0)
18 (1.8)
60 (6.0) ‡
†
‡
‡
‡
‡
Pt
0.25 (0.025)
0.75 (0.075)
2.5 (0.25)
7.5 (0.75)
25 (2.5) ‡
TI†
0.4 (0.04) ‡
1.2 (0.12) ‡
4 (0.4) ‡
12 (1.2) ‡
40 (4.0) ‡
†
‡
‡
‡
‡
Pb
1 (0.1)
3 (0.3)
10 (1.0)
30 (3.0)
100 (10) ‡
†
‡
‡
‡
‡
U
0.05 (0.005)
0.15 (0.015)
0.5 (0.05)
1.5 (0.15)
5 (0.5) ‡
Cd*
0.8 (0.08) ‡
2.4 (0.24) ‡
8 (0.8)‡
24 (2.4) ‡
80 (8.0) ‡
‡
‡
‡
‡
Sr
30 (3.0)
90 (9.0)
300 (30)
900 (90)
3000 (300)‡
‡
‡
‡
‡
Sn
3 (0.3)
9 (0.9)
30 (3.0)
90 (9.0)
300 (30)‡
‡
‡
‡
‡
Mn*
1 (0.1)
3 (0.3)
10 (1.0)
30 (3.0)
100 (10) ‡
As¥
20 (2.0) ‡
60 (6.0) ‡
200 (20) ‡
600 (60) ‡
2000 (200) ‡
* Rh-103 used as internal standard
†
Ir-193 used as internal standard
¥
Ga-71 used as internal standard
‡
A further 1:10 dilution occurs when added to base urine. Enter concentrations in parentheses
into the ELAN software (method window, calibration page).

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IRAT-DLS Method Code: 3018 and 3018A

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Appendix B (continued)
Table 5. Acceptable ways to perform two consecutive analytical runs, bracketing
with bench quality control samples.
Setup 1
Setup 2 (typical)
Run #1
Run #1
Calibration Standards
Calibration Standards
Low Bench QC
Low Bench QC
High Bench QC
High Bench QC
patient samples
patient samples
Low Bench QC
Low Bench QC
High Bench QC
High Bench QC
Run #2
Low Bench QC
High Bench QC
patient samples
Low Bench QC
High Bench QC

Run #2
Calibration Standards
Low Bench QC
High Bench QC
patient samples
Low Bench QC
High Bench QC

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Appendix B (continued)
Table 6. A typical SAMPLE/BATCH window.
AS
Sample ID
Measurements Action
Location*
236
DRCstability1
Run sample
236
DRCstability2
Run sample
236
DRCstability3
Run sample
236
DRCstability4
Run sample
Continue DRC stability samples . . .
236
DRCstability9
Run sample
236
DRCstability10£ Run sample
101
UrBlkChk1
Run blank, standards, and
sample **
113
UrBlkChk2
Run sample
120
Aq Blk Check
Run blank and sample ¥
130
L Bench QC
Run sample
160
H Bench QC
Run sample
301
Sample 1
Run sample
302
Sample 2
Run sample
303
Sample 3
Run sample
129
L Bench QC
Run sample
159
H Bench QC
Run sample

Method
....15elem_urblk.mth
....15elem_urblk.mth
....15elem_urblk.mth
....15elem_urblk.mth
....15elem_urblk.mth
....15elem_urblk.mth
....15elem_urblk.mth
....15elem_urblk.mth
....15elem_aqblk.mth
....15elem_aqblk.mth
....15elem_aqblk.mth
....15elem_aqblk.mth
....15elem_aqblk.mth
....15elem_aqblk.mth
....15elem_aqblk.mth
....15elem_aqblk.mth

* The exact autosampler positions of QCs and patient samples do not have to be those shown
above, but the order in which these are run should be as shown above.
** When executing this row, the ELAN will first analyze the urine blank at AS position 114, then
standards 1-5 at autosampler positions 102-106, then the “UrBlkChk1” sample at A/S position
100. The sampling information about AS positions 102-106 are stored in the “urblk” method file
and can be customized.
¥ When executing this row, the ELAN will first analyze the aqueous blank at AS position 119,
then the “Aq Blk Check” at AS position 120. The sampling information about AS positions 119 is
stored in the “urblk” method file and can be customized.
£ A larger number of DRC stability samples will need to be analyzed to make this stability period
1-1.5 hrs when measuring only arsenic (~55 measurements = 1hour).

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Appendix B (continued)
Table 7. Preparation of samples, working standards, and QC materials for
analysis
Total volume of prepared sample may be changed, from what is presented here.
However, volumes for each component should be adjusted proportionally.
AQ Intermediate
Patient or
Water
Base
Diluent
Working
QC urine
Dilution ID
(µL)
Urine (µL)
(µL)
Standard (µL)
sample (µL)
AQ Blank
1000
9000 *
Urine Blank and
100
900
9000 *
UrBlkChk
Working
Calibration
900
100
9000 *
Standards
Patient Urine or
500
4500
Urine-Based QC
Patient Urine
500
500
9000 *
2x Dilution H
Patient Urine
900
100
9000*
10x Dilution H
* 9000 µL diluent is best dispensed from the Digiflex™ as 2 4500-µL portions (i.e.- When
preparing a Working Calibration Standard dilution, dispense 4500 µL diluent + 100 µL water in
one cycle of Digiflex™, then 4500 µL diluent + 900 µL base urine in the next cycle of the
Digiflex™ to prepare a 10 mL total volume dilution.)
H
Extra dilution is performed on urine samples whose concentration is greater than the
concentrations listed in Table 8 in the Appendix (linearity of the method has been documented
up to these concentrations). Any extra level of dilution can be prepared as long as the 9:10 ratio
of diluent to total dilution volume is maintained. Use of the lowest possible dilution level is
preferred because matrix differences may lead to different observed concentration results as the
sample dilution becomes greater (i.e. 2x dilution is preferred over 10x if 2x is sufficient to dilute
analyte into the documented linearity range).

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Appendix B (continued)
Table 8. Range of Reporting and Calibration Verification Concentrations
Standard #
CV-1
CV-2
CV-3
Volume of Flask
100
100
100
(mL)
Volume Spike of Int. Sol A
0.150
0.250
0.500
Stock Std. (mL)
Sol B
0.100
0.500
1.000
Sol C
0.025
0.125
0.250
Sol D
0.050
0.100
0.200
Analyte
Concentration (ug/L)
Be*
300 (30) ‡
500 (50) ‡
1,000 (100) ‡
Co*
450 (45) ‡
750 (75) ‡
1,500 (150) ‡
‡
‡
Mo*
1,800 (180)
9,000 (900)
18,000 (1,800) ‡
‡
‡
Sb*
300 (30)
500 (50)
1,000 (100) ‡
Cs*
250 (25) ‡
1,250 (125) ‡
2,500 (250) ‡
‡
‡
Ba*
300 (30)
1,500 (150)
3,000 (300) ‡
†
‡
‡
W
300 (30)
500 (50)
1,000 (100) ‡
Pt†
350 (35) ‡
700 (70) ‡
1,400 (140) ‡
†
‡
‡
Tl
75 (7.5)
125 (12.5)
250 (25) ‡
†
‡
‡
Pb
750 (75)
1,250 (125)
2,500 (250) ‡
†
‡
‡
U
40 (4)
200 (20)
400 (40) ‡
Cd*
300 (30) ‡
500 (50) ‡
1,000 (100) ‡
‡
‡
Mn
300 (30)
500 (50)
1,000 (100) ‡
‡
‡
Sr
4,000(400)
8,000 (800)
16,000 (1600) ‡
Sn
900 (90) ‡
1,500 (150) ‡
3000 (300) ‡
¥
‡
‡
As
9,000 (900)
15,000 (1,500)
30,000 (3,000) ‡
* Rh-103 used as internal standard
†
Ir-193 used as internal standard
¥
Ga-71 used as internal standard
‡
A further 1:10 dilution occurs when added to base urine.

* If observed results are not within 10% of target, investigate the problem
with the involvement of the lab supervisor.

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Appendix B (continued)
Table 9. Boundary Concentrations for Urine Concentrations (µ/L).
1st Upper
Boundary
(“1UB”) *
0.2
2.83
293.5
0.8
16.5
17.1
1.38
0.2
0.62
7.8
0.277
2.54
4
400
25
100

Analyte
Be
Co
Mo
Sb
Cs
Ba
W
Pt
TI
Pb
U
Cd
Mn
Sr
Sn
As
st

2nd Upper
Boundary
(“2UB”) **
0.4
5.66
587
1.6
33
34.2
2.76
0.4
1.24
15.6
0.554
5.08
8
800
50
200

Range
Maximum
(“Lim Rep Delta”) †
0.3
0.3
4.0
0.2
0.5
0.4
0.2
0.2
0.2
0.3
0.03
0.3
0.2
3
0.5
10

th

* Typically, the 1 upper boundary (1UB) is the 99 percentile of non-weighted, non-creatinine
corrected concentration results from the NHANES 1999-2000 subset groups. Concentrations
observed greater than the “first upper boundary” (defined in the laboratory database as the
“1UB”) should be confirmed by repeat analysis of a new sample preparation. The concentration
assigned to the 1UB for an element is determined by study protocol but default concentrations
are listed in this table. Report the original result, as long as the confirmation is within 10% of the
original. Continue repeat analysis until a concentration can be confirmed.
nd

At the discretion of the
** Typically the 2 upper boundary (2UB) is set to 2x the 1UB.
supervisor, the 1UB may vary per study according to the concerns of the study. Regardless of
the study, report patient results confirmed to be greater than the 2UB to the QC reviewer as an
“elevated result”.
† Range maximum is the range of the three replicate readings for a single sample analysis. This
value is also called the “Lim RepDelta” in the database which handles data for the Inorganic and
Radiation Analytical Toxicology Branch. If the range of replicate readings is greater than the
range maximum, and represents greater than a 10% relative standard deviation for the
measurement, do not use the measurement for reporting.

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Appendix B (continued)
Table 10. Reference Ranges for Urine Concentrations (from the Third National Report
on Exposure to Environmental Chemicals [14] ). All results in µg/L.
Survey
Geometric
Analyte
50th
75th
90th
95th
N
Years
Mean
Be
99-00
≤ 0.13 *
≤ 0.13
≤ 0.13
≤ 0.13
≤ 0.13
2465
01-02
≤ 0.13
≤ 0.13
≤ 0.13
≤ 0.13
≤ 0.13
2690
Co
99-00
0.375
0.400
0.630
0.940
1.32
2465
01-02
0.379
0.410
0.610
0.930
1.27
2690
Mo
99-00
45.9
50.7
84.9
134
178
2257
01-02
45.0
52.4
83.3
124
165
2690
Sb
99-00
0.132
0.130
0.210
0.330
0.420
2276
01-02
0.134
0.130
0.180
0.260
0.340
2690
Cs
99-00
4.35
4.80
7.10
9.60
11.4
2464
01-02
4.81
5.49
7.91
10.4
12.6
2690
Ba
99-00
1.50
1.50
3.00
5.40
6.80
2180
01-02
1.52
1.63
3.12
5.22
7.48
2690
W
99-00
0.093
0.090
0.180
0.320
0.500
2338
01-02
0.082
0.060
0.150
0.300
0.450
2652
Pt
99-00
≤ 0.04 **
≤ 0.04
≤ 0.04
≤ 0.04
≤ 0.04
2465
01-02
≤ 0.04
≤ 0.04
≤ 0.04
≤ 0.04
≤ 0.04
2690
TI
99-00
0.176
0.200
0.280
0.400
0.450
2413
01-02
0.165
0.180
0.270
0.360
0.440
2653
Pb
99-00
0.766
0.800
1.30
2.10
2.90
2465
01-02
0.677
0.600
1.20
2.00
2.60
2690
U
99-00
0.008
0.007
0.013
0.026
0.046
2464
01-02
0.009
0.008
0.014
0.029
0.046
2690
Cd
99-00
0.193
0.232
0.475
0.858
1.20
2257
01-02
0.210
0.229
0.458
0.839
1.20
2690
As †
See Table 11 in Appendix B for urine arsenic reference values.
* Results were lower than the method detection limit of 0.13 ug/L.
** Results were lower than the method detection limit of 0.04 ug/L.
†
Urine As was not included in the Third National Report on Exposure to
Environmental Chemicals.

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

82 of 103

Appendix B (continued)
Table 11. References to Total Urine Arsenic Concentrations
Reference
Group Type Sampled
Concentration (µg/L)
Normal
Stokinger, 1981 [15]
<100
Fowler, 1977 [16]
15
1 – 80
Iffland, 1994 [17]
(Generally < 10)
Elevated
After seafood consumption
300

Iffland, 1994 [17]

Gerhardsson et al., 1996
[18]

200

Copper smelter workers

5 - 952
vs. 5 - 365

Wood treatment workers
vs. comparison group (11)

25.9 – 667

Seafood-preferring population

74.1
378.1

Low-Inhalation exposure
High-Inhalation exposure (12)

50 – 100

High intake of seafood or
increased exposure of inorganic
arsenic from food or air

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

83 of 103

Appendix B (continued)
Table 12.
Analyte

Reference to urine Mn, Sn, or Sr concentrations
Reference

Normal (i.e. non-exposed)
Mn
Health Canada, 2010[19]
Mn
Heitland et al., 2006[20]
Mn
Heitland et al., 2006[20]
Mn
Paschal et al., 1998[21]
Mn
ASTDR[22]
Sr
Heitland et al., 2006[20]
Sr
Heitland et al., 2006[20]
Sr
Usuda et al., 2006
Sn
Heitland et al., 2006[20]
Sn
Heitland et al., 2006[20]
Sn
Paschal et al., 1998[21]
Elevated (exposed)

¥

Concentration (ug/L)

Group Type
Sampled

0.15
0.1
0.087
1.19
1 to 8
154
166
143.9¥
1.2
8.6
6.29

General population
German children
German adults
NHANES III
General population
German children
German adults
Japanese adults
German children
German adults
NHANES III

Mn

Moreno et al., 2010[23]

5.2

Mn

Gil et al., 2011[24]

0.43 +/- 4,00

Mn

Wang et al., 2011[25]

3.15 +/- 3.45

Sr

Moreno et al., 2010[23]

49.2

Sn

Juliao et al., 2007[26]

0.45 +/- 0.93

Children living in a
mine tailings zone
in Mexico
Iron and steel
industry workers in
Spain
e-waste dismantling
workers in China
Children living in a
mine tailings zone
in Mexico
Workers in a
niobium mine in
Brazil

concentration is a geometric mean and measurements were made via ICP-AES

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

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84 of 103

Appendix B (continued): Figures
Figure 1a. Configuration of tubing and devices for liquid handling using FAST
sample introduction.
Below shows the correct connections to the 6-port FAST valve. The two diagrams show
the differences in liquid flow directions when the valve changes from “Load” to “Inject”
This change is internal to the valve. The shift of the valve cannot be seen, but it can be
heard, and felt (with hand on the valve). The light indicators on the actuator body also
indicate the valve position.

The connections to the valve are color-coded (see section 7.a.2).
Enable the FAST program in the ESI software before running the method, but
optimizations can be done in either FAST or non-FAST mode.

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

85 of 103

Optimize
Per Instrument
(DRC mode only)

Appendix B (continued).
Figure 2a. ELAN ICP-DC-MS Method Screen Shots (timing page, 15 element
panel).

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

86 of 103

Appendix B (continued).
Figure 2b. ELAN ICP-DC-MS Method Screen Shots (processing page, 15 element
panel).

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

87 of 103

Appendix B (continued).
Figure 2c. ELAN ICP-DC-MS Method Screen Shots (equation page, 15 element
panel).

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

88 of 103

Appendix B (continued).
Figure 2d. ELAN ICP-DC-MS Method Screen Shots (calibration page, 15 element
panel).

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

89 of 103

Appendix B (continued).
Figure 2e. ELAN ICP-DC-MS Method Screen Shots (sampling page, 15 element
panel).

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

90 of 103

Appendix B (continued).
Figure 2f. ELAN ICP-DC-MS Method Screen Shots (report page, 15 element
panel).

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

91 of 103

Appendix B (continued).
Figure 3a. ELAN ICP-DC-MS Method Screen Shots (timing page, arsenic).

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

92 of 103

Appendix B(continued).
Figure 3b. ELAN ICP-DC-MS Method Screen Shots (processing page, arsenic).

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

93 of 103

Appendix B (continued).
Figure 3c. ELAN ICP-DC-MS Method Screen Shots (equation page, arsenic).

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

94 of 103

Appendix B (continued).
Figure 3d. ELAN ICP-DC-MS Method Screen Shots (calibration page, arsenic).

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

95 of 103

Pump speed shown is for ESI microperistaltic pump.
ELAN standard pump speed is 6 rpm.

Appendix B (continued).
Figure 3e. ELAN ICP-DC-MS Method Screen Shots (sampling page, arsenic).

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

96 of 103

Appendix B (continued).
Figure 3f. ELAN ICP-DC-MS Method Screen Shots (report page, arsenic).

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

97 of 103

Appendix B (continued).
Figure 4a. ESI SC4 Autosampler Screen Shots used (Main page). Additional flush
times and “Max Rinse Time” are default, but can be optimized for best reduction of
elemental carry-over between samples. Tray types can be changed to allow for
different volumes of diluted sample digests. ‘FAST control’ must be enabled before
start of method, but does not need to be used in instrument optimization (pre-analysis)
steps. Rinse and additional flush times for eliminating carry-over from one sample to
the next while using the minimum amount of rinse solution.
A rinse time of -1 causes the rinse station to be skipped.
A rinse time of 0 causes the probe to only dip into the station, but spends no time there.
Additional flush times can be optimized to keep the rinse station full while not using too
much rinse solution. The inner diameter size of the tubing providing the rinse solution to
the rinse station determines how quickly the station will fill. Various sizes are available
for purchase or can be made in the laboratory.

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

98 of 103

Appendix B (continued).
Figure 4b. ESI SC4 Autosampler Screen Shots used (“Configure” page). “High
Speed” option is to only be used for ‘High Speed’ models of the SC4 (look for “HS” in
serial number). Speeds and accel / decel values can be optimized per analyst
preference and to minimize droplet splatter off of probe.

Figure 4c . ESI SC4 Autosampler Screen Shots used (“Communication” page).
Communication ports will differ depending on available ports on instrument control
computer.

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

99 of 103

Appendix B (continued).
Figure 4d. ESI SC4 Autosampler Screen Shots (“FAST” page) *used for Arsenic
only*. Timer A can be optimized to achieve proper filling of loop with diluted sample
digestate. Timers B, C, D, E, and F control rinsing the loop after analysis and can be
optimized for eliminating carry-over from one sample to the next while using the
minimum amount of rinse solution. File should be saved with the name “Urine
Arsenic_methITU001B_HPS2107-003_SCFAST.txt”. It can be found in the directory
C:\Program Files\ESI\ESI-SC\.
Manually clicking the “Load” button prior to starting analysis will ensure the position of
the actuator is always the same at the beginning of the analysis.
Manually clicking the “Vacuum On” button prior to starting the analysis will help initial
sample uptake to be consistent (the vacuum pump may be slow to start for the first
sample if this is not done, possibly resulting in loop filling inconsistencies).

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

100 of 103

Appendix B (continued).
Figure 4e. ESI SC4 Autosampler Screen Shots (5x12 Rack Setup window).
Settings are approximate. To be sure the loop is filled, the probe should go down close
to the bottom of the cup, but not touch. Optimize retraction speed for least droplet
splatter.

Figure 4f. ESI SC4 Autosampler Screen Shots (50mL Tube Rack Setup window).
Settings are approximate. To be sure the loop is filled, the probe should go down close
to the bottom of the cup, but not touch. Optimize retraction speed for least droplet
splatter.

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

101 of 103

Appendix B (continued).
Figure 4g. ESI SC4 Autosampler Screen Shots (Rinse Station Rack Setup
Window). Settings are approximate. Optimize down height for best probe cleaning,
and retraction speed for least droplet splatter.

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A

Page

102 of 103

References
1.

Thomas, R., Practical Guide to ICP-MS (Practical Spectroscopy). 2003, New
York, NY: Marcel Dekker 336.
2.
Tanner, S.D., Baranov, Vladimir I, Theory, Design, and Operation of a Dynamic
Reaction Cell for ICP-MS. Atomic Spectroscopy, 1999. 20(2): p. 45-52.
3.
Tanner, S.D., V.I. Baranov, and D.R. Bandura, Reaction cells and collision cells
for ICP-MS: a tutorial review. Spectrochimica Acta Part B-Atomic Spectroscopy,
2002. 57(9): p. 1361-1452.
4.
PerkinElmer SCIEX Instruments, ELAN DRC II Hardware Guide. 2001, Canada.
5.
Mulligan, K.J., T.M. Davidson, and J.A. Caruso, Feasibility Of The Direct Analysis
Of Urine By Inductively Coupled Argon Plasma Mass-Spectrometry For
Biological Monitoring Of Exposure To Metals. Journal Of Analytical Atomic
Spectrometry, 1990. 5(4): p. 301-306.
6.
Jarrett, J.M., Total Urine Arsenic Biomonitoring Using Inductively Coupled
Plasma Mass Spectrometry with a Dynamic Reaction Cell. 2005, Centers for
Disease Control and Prevention.
7.
Jarrett, J.M., Elimination of Molybdenum Oxide Interference In Urine Cadmium
Analysis Using Inductively Coupled Plasma Reaction Cell Mass Spectrometry.
2004, Centers for Disease Control and Prevention.
8.
Larsen, E.H. and S. Sturup, Carbon-enhanced Inductively Coupled Plasma Mass
Spectrometric Detection of Arsenic and Selenium and Its Application to Arsenic
Speciation. Journal Of Analytical Atomic Spectrometry, 1994. 9: p. 1101-1105.
9.
Amarasiriwardena, C.J., et al., Determination of the total arsenic concentration in
human urine by inductively coupled plasma mass spectrometry: a comparison of
the accuracy of three analytical methods. Analyst, 1998. 123(3): p. 441-445.
10.
Office of Health and Safety in the Division of Laboratory Sciences, Policies and
Procedures Manual. 2002, Division of Laboratory Sciences (DLS), National
Center for Environmental Health, Centers for Disease Control and Prevention,
Public Health Service, Department of Health and Human ServicesCenters for
Disease Control and Prevention, .
11.
Centers for Disease Control and Prevention (CDC) Radiation Safety Committee,
CDC/ATSDR Occupational Health and Safety Manual (Radiation Safety chapter).
Centers for Disease Control and Prevention, Public Health Service, Department
of Health and Human ServicesCenters for Disease Control and Prevention.
12.
Heitland, P. and H.D. Koster, Biomonitoring of 37 trace elements in blood
samples from inhabitants of northern Germany by ICP-MS. Journal of Trace
Elements in Medicine and Biology, 2006. 20(4): p. 253-262.
13.
U.S. Nuclear Regulatory Commission, Regulatory guide 8.22 (revision 1).
Bioassay at uranium mills. 1988: Atlanta, GA.
14.
Centers for Disease Control and Prevention, Third National Report on Human
Exposure to Environmental Chemicals, http://www.cdc.gov/exposurereport. 2005.
15.
Stokinger, H.E., The metals, in Patty’s industrial hygiene and toxicology
G. Clayton and F. Clayton, Editors. 1981, John Wiley and Sons: New York. p. 14932060.
16.
Fowler, B.A., in Toxicology of trace elements
R. Goyer and M. Mehlman, Editors. 1977, John Wiley and Sons: New York. p. p. 79.

Urine Multi-Element ICP-DRC-MS
IRAT-DLS Method Code: 3018 and 3018A
17.

18.

19.
20.
21.
22.

23.

24.

25.

26.

Page

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Iffland, R., Arsenic, in Handbook on metals in clinical and analytical chemistry, H.
Seiler, A. Sigel, and H. Sigel, Editors. 1994, Marcel Dekker, Inc.: New York. p.
238-250.
Gerhardsson, L. and S. Skerfving, Concepts on biological markers and
biomonitoring for metal toxicity, in Toxicology of metals, L. Chang, Editor. 1996,
CRC Press: Boca Raton, Florida. p. 98.
Report on Human Biomonitoring of Environmental Chemicals in Canada. 2010,
Health Canada: Ottawa.
Heitland, P. and H.D. Koster, Biomonitoring of 30 trace elements in urine of
children and adults by ICP-MS. Clinica Chimica Acta, 2006. 365(1-2): p. 310-318.
Paschal, D.C., et al., Trace metals in urine of United States residents: Reference
range concentrations. Environmental Research, 1998. 76(1): p. 53-59.
Agency for Toxic Substances and Disease Registry (ATSDR). 2000.
Toxicological profile for Manganese. Atlanta, G.U.S.D.o.H.a.H.S., Public Health
Service. , Toxicological Profile for Manganese, ATSDR, Editor. 2000. p. 15.
Moreno, M.E., et al., Biomonitoring of metal in children living in a mine tailings
zone in Southern Mexico: A pilot study. International Journal of Hygiene and
Environmental Health, 2010. 213(4): p. 252-258.
Gil, F., et al., Biomonitorization of cadmium, chromium, manganese, nickel and
lead in whole blood, urine, axillary hair and saliva in an occupationally exposed
population. Science of the Total Environment, 2011. 409(6): p. 1172-1180.
Wang, H.M., et al., Urinary heavy metal levels and relevant factors among people
exposed to e-waste dismantling. Environment International, 2011. 37(1): p. 8085.
Juliao, L., et al., Exposure of workers in a mineral processing industry in Brazil.
Radiation Protection Dosimetry, 2007. 125(1-4): p. 513-515.

Division of Laboratory Sciences
Laboratory Protocol
Analytes:

Cadmium, Lead, Manganese, Mercury, and Selenium

Matrix:

Whole Blood

Method:

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS

Method Code:

DLS 3016

Branch:

Inorganic Radionuclides and Analytical Toxicology

Prepared By:

Deanna M. Jones, PhD
author's name

Supervisor:

date

signature

date

Jeffery M. Jarrett, MS
supervisor's name

Branch Chief:

signature

Robert L Jones PhD
Branch Chief

signature and date

Adopted:
date

Updated:
date

Director's Signature Block:
Reviewed:
signature

date

signature

date

signature

date

signature

date

Modifications/Changes: see Procedure Change Log

Procedure Change Log
Procedure: Blood Metals Panel 2 by (BMP2) ICP-DRC-MS
DLS Method Code: 3016

Date

Changes Made

By

4/1/2011

1UB and 2UB for Mn changed from 15
to 25 ug/L and from 30 to 50 ug/L,
respectively.
Limit Rep Delta for Mn changed from
1.0 to 2.0.
Revised matrix of internal standard
intermediate to 1% v/v HNO3.
Changed BMN 1UB (25 ug/L to 20
ug/L) and 2UB (50ug/L to 35 ug/L).
Supporting references added.
Added comment to CV standard
tables regarding use of gravimetric
preparation.

JJ

Rev’d
By
(Initials)
JJ

JJ

JJ

JJ

JJ

JJ

JJ

JJ

JJ

4/1/2011
7/28/2011
8/9/2011
10/7/2011

Date
Rev’d

Laboratory Procedure Manual
Analytes:

Matrix:
Method:

Cadmium, Lead, Manganese,
Mercury, and Selenium
Whole Blood
Blood Metals Panel 2 (BMP2) ICP-DRC-MS

Method No: DLS 3016
Revised:
As performed by: Inorganic Radionuclides and Toxicology
Division of Laboratory Sciences
National Center for Environmental Health
Contact:

Jeffery M. Jarrett, MS
Phone: 770-488-7906
Fax:
770-488-4097
Email: [email protected]
Dr. Jim Pirkle, MD, PhD, Director
Division of Laboratory Sciences

Important Information for Users
The Centers for Disease Control and Prevention (CDC) periodically refines these
laboratory methods. It is the responsibility of the user to contact the person listed on the
title page of each write-up before using the analytical method to find out whether any
changes have been made and what revisions, if any, have been incorporated.

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 1 of 88
Table of Contents

Cross reference to DLS CLIA and Policy and Procedures ........................................ 4
Index of tables ............................................................................................................... 5
List of Figures ............................................................................................................... 6
1) Clinical Relevance & Summary of Test Principle
a. Clinical Relevance ............................................................................................. .. 7
b. Test Principle ...................................................................................................... 10
2) Limitations of Method; Interfering Substances and Conditions
a. Interferences Addressed by This Method ........................................................... 12
i. Argon dimer (40Ar2+) on 80Se+
ii. Argon Nitride (40Ar15N+), Argon Hydroxide (38Ar16O1H+)
iii. Chlorine Oxide (37Cl18O+), Iron Hydride (54Fe1H+)
3) Procedures for Collecting, Storing, and Handling Specimens; Criteria for
Specimen Rejection
a. Procedures for Collecting, Storing, and Handling Specimens ........................... 13
b. Criteria for Specimen Rejection ......................................................................... 14
c. Transfer or Referral of Specimens; Procedures for Specimen Accountability
and Tracking ....................................................................................................... 14
4) Safety Precautions
a. General Safety.................................................................................................... 14
b. Waste Disposal................................................................................................... 15
5) Instrument & Material Sources
a. Sources for ICP-MS Instrumentation .................................................................. 16
b. Sources for ICP-MS Parts & Consumables ....................................................... 16
c. Sources for ICP-MS Maintenance Equipment & Supplies .................................. 21
d. Sources for General Laboratory Equipment & Consumables ............................. 22
e. Sources for Chemicals, Gases, & Regulators..................................................... 23
6) Preparation of Reagents and Materials
a. Internal Standard Intermediate Mixture .............................................................. 26
b. 20% Triton X-100 intermediate solution ............................................................ 26
c. Diluent ................................................................................................................ 27

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 2 of 88

d. DRC Stability Test Solution ................................................................................ 27
e. Base Blood ......................................................................................................... 28
f. ICP-DRC-MS Rinse Solution .............................................................................. 28
g. Single-element Stock Standards for preparation of intermediate stock calibration
standard ............................................................................................................. 29
h. 3 % (v/v) HCl ...................................................................................................... 29
i. Intermediate Stock Calibration Standard ............................................................ 29
j. Intermediate Working Calibration Standard ........................................................ 31
k. Working Calibration Standards ........................................................................... 31
l.

Single-Element Stock Standards For Preparation of Intermediate Stock
Calibration Verification Standard ........................................................................ 32

m. Intermediate Stock Calibration Verification Standard ......................................... 32
n. Intermediate Working Calibration Verification Standard ..................................... 33
o. Internal Quality Control Materials (“Bench” QC) ................................................. 33
7) Analytical Instrumentation & Parameters
a. Instrumentation & Equipment Setup
i. ICP-DRC-MS ................................................................................................... 36
ii. Sample introduction system setup................................................................... 37
iii. Cones .............................................................................................................. 38
iv. Gases & Regulators setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

38

v. Chiller / Heat Exchanger. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

38

vi. Computer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

38

vii. Autosampler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

39

b. Parameters for Instrument and Method (see Table 1) . . . . . . . . . . . . . . . . . . . 39
8) Method Procedures
a. Quality Control
i. Types of Quality Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

39

ii. Calibration Verification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

40

b. Daily Analysis of Samples
i. Preparation of the Analytical Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . .

41

ii. Preparation of Samples for Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

44

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 3 of 88

iii. Specimen Storage and Handling During Testing . . . . . . . . . . . . . . . . . . . .

45

iv. Starting the Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

45

v. Monitoring the Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

45

vi. Records of Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

46

vii. Transfer of Results to the Laboratory Database . . . . . . . . . . . . . . . . . . . . .

47

viii. Analyst Evaluation of Run Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

48

ix. Submitting Final Work for Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

50

x. Overnight operation (or Any Use of Autostop) . . . . . . . . . . . . . . . . . . . . . . . 50
c. Equipment Maintenance
i. ICP-MS Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
ii. Data Backup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
9) Interpretation of the Results
a. Reportable Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
b. Reference Ranges (Normal Values) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
c. Action Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
10) Method Calculations
a. Method Limit of Detection (LOD) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
b. Method Limit of Quantitation (LOQ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
c. QC Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
11) Alternate Methods for Performing Test and Storing Specimens If Test System
Fails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Appendix A (Critical Parameter Test Results)
Critical Parameter Test #1……………………………………………………………………53
Critical Parameter Test #2……………………………………………………..……………..54
Critical Parameter Test #3……………………………………………………………………55
Critical Parameter Test #4……………………………………………………………………57
Critical Parameter Test #5……………………………………………………………………59
Appendix B (Tables referenced in the method) ……………………………..………...60
References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

1.
2.
3.
4.
5.

6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.

Page 4 of 88

Cross reference to DLS CLIA and Policy and Procedures policy
Summary of Test Principle and Clinical Relevance
1) a. b.
Safety Precautions
4) a.b.c.
Computerization; Data System Management
8) b.vi vii ix
Specimen Collection, Storage, and Handling Procedures; Criteria for Specimen
Rejection
3) a.b.
Procedures for Microscopic Examinations; Criteria for Rejection of Inadequately
Prepared Slides
- As no microscope is used in this process there are no procedures for
microscopic examinations and therefore no slide rejection criteria.
Preparation of Reagents, Calibrators (Standards), Controls, and All Other
Materials; Equipment and Instrumentation
5) a. i ii iii b. 6) a. b. c. d. e. 7) a. b. c. d. 8) c. i ii
Calibration and Calibration Verification Procedures
8) ii
Procedure Operating Instructions; Calculations; Interpretation of Results
8) b. i ii iv v x
Reportable Range of Results
9) a.
Quality Control (QC) Procedures
8) a. i
Remedial Action If Calibration or QC Systems Fail to Meet Acceptable Criteria
8) ii 1, ii 2, e.
Limitations of Method; Interfering Substances and Conditions
2) a. b
Reference Ranges (Normal Values)
9) b.
Critical Call Results ("Panic Values")
9) c.
Specimen Storage and Handling During Testing
8) b. iii
Alternate Methods for Performing Test or Storing Specimens If Test System Fails
11)
Test Result Reporting System; Protocol for Reporting Critical Calls (If Applicable)
9) c.
Transfer or Referral of Specimens; Procedures for Specimen Accountability and
Tracking
3) c.
References

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List of Tables

Table 1. Instrument and Method Parameters . . . . . . . . . . . . . . . . . . . . . . . . … 60 - 62
Table 2. Suggested maximum analyte concentrations for base blood and Quality
control material. . . . . . . . . . . ………………………………………………….…62
Table 3. Preparation of Intermediate Stock Calibration Solution from NIST primary
standards. . . . . . . . . . . . . . . . . . . . . . . . . . . …………………………………..62
Table 4. Preparation of Intermediate Stock Calibration Solution from single element
stock calibrator solutions without Pb……………………………………………63
Table 5. Preparation of Intermediate Working Standards……………………………….63
Table 6. Preparation of samples, working standards, and QC materials for analysis..64
Table 7. Preparation and Final Concentrations of Intermediate Stock Calibration
Verification Standards. . . . . . . . ……………………………………………......65
Table 8. Preparation and Final Concentrations of Intermediate Working Calibrator
Verification Standards. . . . . . . . ………………………………………………...65
Table 9. Acceptable ways to perform two consecutive analytical runs, bracketing with
bench quality control samples…………………………………………………...67
Table 10. A typical SAMPLE/BATCH window. . . . . . . . . . . . ………………………….68
Table 11. Boundary Concentrations for Whole Blood Concentrations (g/L)…………..68
Table 12. Reference Ranges for Blood Concentrations………………………………….69

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List of Figures

Figure 1.

Figure 2.

ELAN ICP-DRC-MS Method Screen Shots
a. Timing Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

71

b. Processing Page. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

72

c. Equations Page. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

73

d. Calibration Page. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

74

e. Sampling Page (Aq blank) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

75

f. Sampling Page (BldBlank)………………………………………………

76

g. Report Page. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

77

ESI SC4 Autosampler Screen Shots
a.

Main Page…………………………………………………………………. 78

b.

Configure Page..………………………………………………………….. 79

c.

Communication Page……………………………………………………. 80

d.

FAST Page……………………………………………………………… 81

e.

5x12 Rack Setup window…………………………………………………82

f.

50 mL Tube Rack Setup window………………………………………….83

g.

Rinse Station Rack Setup Window………………………………………84

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1) Clinical Relevance & Summary of Test Principle
a. Clinical Relevance:
Metals ions affect human health in various ways. Some metals (i.e. lead,
cadmium, and mercury) show only deleterious effects on human health. Some
(i.e. selenium and manganese) play an essential role in the human biological
system if within certain concentration ranges, while negative health implications
are observed when concentrations in biological systems are in deficit or excess.
Determination of a person’s level of environmental exposure to chemicals
through direct measurement of the substances or their metabolites in human
specimens such as blood is called biomonitoring. Biomonitoring reduces the
uncertainty of determining levels of exposure over making these determinations
through calculations of estimated dose based on analysis of environmental
samples and assumptions about exposure pathways[1].
Biomonitoring
measurements are the most health-relevant assessments of exposure because
they indicate the amount of the chemical that actually gets into people from all
environmental sources (e.g., air, soil, water, dust, or food) combined, rather than
the amount that may get into them. The laboratory method described here is a
multi-element technique for monitoring the concentrations of cadmium (Cd), lead
(Pb), manganese (Mn), mercury (Hg), and selenium (Se) in whole human blood
for the purpose of biomonitoring.
There is no known biological role of mercury in the human body. The main
sources of mercury intake in humans are fish, dental amalgams, and
occupational exposures[2]. The main organs affected by mercury are the brain
and the kidneys. Exposure of childbearing-aged women is of particular concern
because of the potential adverse neurologic effects of Hg in fetuses. The health
effects of mercury are diverse and depend on the form of mercury encountered
and the severity and length of exposure. The general population may be
exposed to three forms of mercury:
elemental, inorganic, and organic
(predominantly methyl). However, this method tests only for the total amount of
mercury in the blood without regard to chemical form. In the general population,
total blood mercury is due mostly to the dietary intake of organic forms which are
formed through microbial action from inorganic mercury that has deposited in
aquatic environments and bioaccumulated through the food chain (especially into
large predatory fish)[3]. Exposure to inorganic or elemental mercury (e.g. dental
amalgams or occupational exposures) is particularly reflected in urine excretion
rather than blood. Psychic and emotional disturbances are the initial signs of
chronic intoxication by elemental mercury vapors or salts.
Parasthesia,
neuralgias, renal disease, digestive disturbances, and ocular lesions may
develop[4]. Massive exposure over a longer period of time results in violent
muscular spasms, hallucinations, delirium, and death[5].
Except for
methylmercury exposures, blood is considered useful if samples are taken within
a few days of exposure. This is because most forms of mercury in the blood
decrease by one-half every three days if exposure has been stopped. Thus,

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mercury levels in the blood provide more useful information after recent
exposures than after long-term exposures. Several months after an exposure,
mercury levels in the blood and urine are much lower. Table 12 in Appendix B
lists reference concentrations which have been reported in the literature.
There is no known biological role of lead in the human body. Lead, a naturally
occurring metal, has had many different commercial uses from which a person
can be exposed either in the occupational / manufacturing process or by the
manufactured products such as paint (paint chips, or dust and soil contaminated
from deteriorating paint), solder or pipes (only now in older homes), gasoline
(now outlawed for all but specialized applications), glazes on pottery, hobby uses
(e.g. stained glass), commercial products (e.g. batteries, lead-containing jewelry),
home remedy medicines containing lead compounds and non-Western
cosmetics. Soil may contain lead naturally, or from man-made uses of lead such
as paint (near older homes), gasoline (near roadways), mining, manufacturing,
and disposal. The main target for lead toxicity is the nervous system, both in
adults and children. The developing biological systems of children are most
sensitive to the effects of Pb, where effects are being recognized even at blood
lead levels <10 g/dL[6]. In its initial phase, acute lead poisoning is associated
with anorexia, dyspepsia, and constipation followed by diffuse paroxysmal
abdominal pain. Lead exposure may cause encephalopathy, particularly in
children[7]. The alkyl lead species are highly toxic to the central nervous
system[8]. The primary screening method for lead exposure is blood lead, which
primarily reflects recent exposures (excretory half-life in blood is approximately
30 days)[9]. Lead in blood is primarily (99%) in the red blood cells. Table 12 in
Appendix B lists reference concentrations which have been reported in the
literature.
There is no known biological role of cadmium in the human body. The
predominant commercial use of cadmium is in battery manufacturing. Other uses
include pigment production, coatings and plating, plastic stabilizers, and
nonferrous alloys. Since 2001, U.S. cadmium use has declined in response to
environmental concerns. In the United States, for nonsmokers the primary
source of cadmium exposure is from the food supply. People who regularly
consume shellfish and organ meats will have higher exposures. In general, leafy
vegetables such as lettuce and spinach, potatoes and grains, peanuts,
soybeans, and sunflower seeds contain high levels of cadmium due to
bioaccumulation from the soil. Tobacco leaves accumulate high levels of
cadmium from the soil, and smoking is the primary non-occupational source of
cadmium exposure for smokers. Generally, the critical organ for Cd is the
kidney. Kidney dysfunction is one of the most characteristic signs of exposure to
Cd. Workers in an environment with high exposure levels have developed
proteinuria, renal glucosuria, aminoaciduria, hypercalciuria, phosphaturia, and
polyuria. Chronic obstructive lung disease of varying degrees of severities is
frequently seen in Cd workers. Concentration of cadmium in blood of healthy
unexposed adults are in the range 0.1 – 4 g/L[10]. Newborn babies are

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IRAT-DLS Method Code: 3016

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practically free of Cd[11]. Exposure to high concentration of fumes appearing
from heated cadmium metal or compounds has led to acute poisoning and in
some cases to the death of workers[7]. Principal symptoms reported were
respiratory distress due to chemical pneumonitis and edema. It has been
estimated that 8 hrs exposure to 5 gm Cd/m3 will be lethal[7]. Ingestion of high
amounts of Cd may lead to a rapid onset with severe nausea, vomiting, and
abdominal pain. Cadmium levels in blood, urine, feces, liver, kidney, hair, and
other tissues have been used as biological indicators of exposure to cadmium.
Blood cadmium levels are principally indicative of recent exposure(s) to cadmium
rather than whole-body burdens[12-15]. Urine cadmium levels primarily reflect
total body burden of cadmium, although urine levels do respond somewhat to
recent exposure[16]. Table 12 in Appendix B lists reference concentrations
which have been reported in the literature.
Manganese (Mn) is a trace element essential to humans and is associated with
the formation of connective and bony tissue, growth and reproductive functions
and with carbohydrate and lipid metabolism [17]. Manganese is also a known
neurotoxin but little information exists about levels of manganese that cause
toxicity. Symptoms of manganese toxicity are similar to Parkinson’s Disease and
can also include disorientation, memory impairment, anxiety and compulsive
behavior [18]. There is much concern for the levels of manganese in humans
whom are occupationally exposed to it [19-25]. Recently, there are growing
concerns over exposure due to contamination of drinking water with manganese
[26-28] and as a result of methylcyclopentadienyl mangangese tricarbonyl (MMT)
used as an anti-knocking additive in gasoline[29-35]. Populations suffering from
iron deficiencies may be particularly susceptible to manganese toxicity because
iron deficiency may lead to an accumulation of manganese in the central nervous
system [32]. To fully understand the essentiality and toxicity of manganese,
further investigations are needed regarding the levels of manganese in biological
matrices. Group average levels in blood appear to be related to manganese body
burden, while average urinary excretion levels appear to be most indicative of
recent exposures[36]. On an individual basis the correlation between the level of
workplace exposure and the levels in blood or urine has always been found to be
a reliable predictor of exposure[20, 36-38]. Manganese in blood or urine may be
useful in detecting groups with above-average current exposure, but
measurements of manganese in these body fluids in individuals may only be
related to exposure dose after the exposure has ceased. In addition to individual
variability, another factor that limits the usefulness of measuring manganese in
blood, urine, or feces as a measure of excess manganese exposure is the
relatively rapid rate of manganese clearance from the body. Excess manganese
in blood is rapidly removed by the liver and excreted into the bile, with very little
excretion in urine[39, 40]. Thus, levels of manganese in blood or urine are not
expected to be the most sensitive indicators of exposure[41]. Table 12 in
Appendix B lists reference concentrations which have been reported in the
literature.

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Selenium is an essential element that is required to maintain good health but
both selenium deficiency and excessive levels of selenium are associated with
several disorders[42, 43]. Selenium is a naturally occurring mineral element that
is distributed widely in nature in most rocks and soils. Most processed selenium
is used in the electronics industry, but it is also used: as a nutritional supplement;
in the glass industry; as a component of pigments in plastics, paints, enamels,
inks, and rubber; in the preparation of pharmaceuticals; as a nutritional feed
additive for poultry and livestock; in pesticide formulations; in rubber production;
as an ingredient in antidandruff shampoos; and as a constituent of fungicides.
Radioactive selenium is used in diagnostic medicine. In the body, selenium is
incorporated into proteins to make selenoproteins, which are important
antioxidant enzymes. The antioxidant properties of selenoproteins help prevent
cellular damage from free radicals. Free radicals are natural by-products of
oxygen metabolism that may contribute to the development of chronic diseases
such as cancer and heart disease[43, 44]. Other selenoproteins help regulate
thyroid function and play a role in the immune system[45-48]. Human selenium
deficiency is rare in the U.S. but is seen in other countries where soil
concentration of selenium is low[49]. There is evidence that selenium deficiency
may contribute to development of a form of heart disease, hypothyroidism, and a
weakened immune system[50, 51]. There is also evidence that selenium
deficiency does not usually cause illness by itself. Rather, it can make the body
more susceptible to illnesses caused by other nutritional, biochemical or
infectious stresses[52]. Symptoms of very high exposure to selenium, a
condition called selenosis, include gastrointestinal upsets, hair loss, white blotchy
nails, garlic breath odor, fatigue, irritability, and mild nerve damage[42].
Selenium can be detected in the blood, feces, urine, hair, and nails of exposed
individuals, however, field studies have used primarily blood or urine levels to
indicate the degree of selenium exposure[53]. Table 12 in Appendix B lists
reference concentrations which have been reported in the literature.
The laboratory method presented here can be used to achieve rapid and
accurate quantification of five elements of toxicological and nutritional interest
including cadmium (Cd), lead (Pb), mercury, manganese (Mn) and selenium (Se)
in whole human blood. The method may be used to screen blood when people
are suspected to be acutely exposed to these elements or to evaluate chronic
environmental or other non-occupational exposure.
b. Test Principle:
This method directly measures the Cd, Mn, Hg, Pb, and Se content of whole
blood specimens using mass spectrometry after a simple dilution sample
preparation step.
During the sample dilution step, a small volume of whole blood is extracted from
a larger whole blood patient specimen after the entire specimen is mixed
(vortexed) to create a uniform distribution of cellular components. This mixing
step is important because some metals (e.g. Pb) are known to be associated

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IRAT-DLS Method Code: 3016

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mostly with the red blood cells in the specimen and a uniform distribution of this
cellular material must be produced before a small volume extracted from the
larger specimen will accurately reflect the average metal concentration of all
fractions of the larger specimen. Coagulation is the process in which blood forms
solid clots from its cellular components. If steps are not taken to prevent this
process from occurring, i.e. addition of anti-coagulant reagents such as EDTA in
the blood collection tube prior to blood collection, blood will immediately begin to
form clots once leaving the body and entering the tube. These clots prevent the
uniform distribution of cellular material in the blood specimen even after rigorous
mixing, making a representative sub-sample of the larger specimen unattainable.
It is important that prior to or during sample preparation the analyst identify any
sample having clots or micro-clots (small clots). Consequently, blood samples
containing clots should not be analyzed by this method due to the inhomogeneity
issues and expected results from the sample should be documented as not
reportable.
Dilution of the blood in the sample preparation step prior to analysis is a simple
dilution of 1 part sample + 1 part water + 48 parts diluent. The effects of the
chemicals in the diluent are to release metals bound to red blood cells making
them available for ionization, reduce ionization suppression by the biological
matrix, prevent clogging of the sample introduction system pathways by
undissolved biological solids, and allow introduction of internal standards to be
utilized in the analysis step. Tetramethylammonium hydroxide (TMAH, 0.25%
v/v) and Triton X-100 (0.05%) in the sample diluent solubilizes blood
components. Triton X-100 also helps prevent biological deposits on internal
surfaces of the instrument’s sample introduction system and reduce collection of
air bubbles in sample transport tubing. Ammonium pyrrolidine dithiocarbamate
(APDC) in the sample diluent (0.25%) aids in solubilizing metals released from
the biological matrix. Ethyl alcohol in the sample diluent (1%) aids solubility of
blood components and aids in aerosol generation by reduction of the surface
tension of the solution. The internal standards, rhodium, iridium and tellurium,
are at a constant concentration in all blanks, calibrators, QC, and samples.
Monitoring the instrument signal ratio of a metal to its internal standard allows
correction for instrument noise and drift, and sample-to-sample matrix
differences.
Liquid samples are introduced into the mass spectrometer through the inductively
coupled plasma (ICP) ionization source. The liquid diluted blood sample is
forced through a nebulizer which converts the bulk liquid into small droplets in an
argon aerosol. The smaller droplets from the aerosol are selectively passed
through the spray chamber by a flowing argon stream into the ICP. By coupling
radio-frequency power into flowing argon, plasma is created in which the
predominant species are positive argon ions and electrons and has a
temperature of 6000-8000 K. The small aerosol droplets pass through a region
of the plasma and the thermal energy vaporizes the liquid droplets, atomizes the
molecules of the sample and then ionizes the atoms. The ions, along with the

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argon, enter the mass spectrometer through an interface that separates the ICP
(at atmospheric pressure, ~760 torr) from the mass spectrometer (operating at a
pressure of 10-5 torr). The ions first pass through a focusing region, then the
dynamic reaction cell (DRC), the quadrupole mass filter, and finally are
selectively counted in rapid sequence at the detector allowing individual isotopes
of an element to be determined.
Generally, the DRC operates in one of two modes. In ‘vented’ (or ‘standard’)
mode the cell is not pressurized and ions pass through the cell to the quadrupole
mass filter unaffected. In ‘DRC’ mode, the cell is pressurized with a gas for the
purpose of causing collisions and/or reactions between the fill gas and the
incoming ions. In general, collisions or reactions with the incoming ions
selectively occur to either eliminate an interfering ion, change the ion of interest
to a new mass, which is free from interference, or collisions between ions in the
beam and the DRC gas can focus the ion beam to the middle of the cell and
increase the ion signal. In this method, the instrument is operated in DRC mode
when analyzing for manganese, mercury and selenium. For selenium, the DRC
is pressurized with methane gas (CH4, 99.999%) which reduces the signal from
40
Ar2+ while allowing the 80Se+ ions to pass relatively unaffected through the DRC
on toward the analytical quadrupole and detector. Manganese and mercury are
both measured when the DRC is pressurized with oxygen gas (O2, 99.999%).
They are analyzed at the same flow rate of oxygen to the DRC cell to avoid
lengthening analysis time due to pause delays that would be necessary if
different gas flows were used for the two analytes. The oxygen reduces the ion
signal from several interfering ions (37Cl18O+, 40Ar15N+, 38Ar16O1H+, 54Fe1H+) while
allowing the Mn+ ion stream to pass relatively unaffected through the DRC on
toward the analytical quadrupole and detector. In the case of mercury, collisional
focusing of the mercury ions occurs, increasing the observed mercury signal at
the detector by approximately a factor of two (2x).
Once ions pass through the DRC cell and electrically selected for passage
through the analytical quadrupole, electrical signals resulting from the ions
striking the discrete dynode detector are processed into digital information that is
used to indicate the intensity of the ions. The intensity of ions detected while
aspirating an unknown sample is correlated to an elemental concentration
through comparison of the analyte:internal standard signal ratio with that
obtained when aspirating calibration standards. This method was originally
based on the method by Lutz et al.[54] The DRC portions of the method are
based on work published by Tanner et al. [55, 56].
2) Limitations of Method; Interfering Substances and Conditions
a. Interferences Addressed by This Method
i. Reduction of argon dimer (40Ar2+) interference on selenium (80Se+) using ICPDRC-MS: 40Ar2+ is a polyatomic ion formed in the plasma as a result of a

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reaction between the plasma gas (Ar) and itself. The dynamic reaction cell of
the ELAN ICP-DRC-MS is used to reduce ion signals from polyatomic ions via
ion-molecule reaction chemistry [56, 57]. In the reaction cell, methane (CH4)
molecules react with 40Ar2+ ions through a charge transfer reaction. The
products of the reaction are 40Ar+ (ion at a different mass) and 40Ar (neutral).
The background ion signal at m/z 80 is reduced by six orders of magnitude
because of this reaction.
ii. Reduction of argon nitride (40Ar15N+), argon hydroxide (38Ar16O1H+)
interference on manganese (55Mn) using ICP-DRC-MS: 40Ar15N+ and
38
Ar16O1H+ are polyatomic ions formed in the plasma as a result of reactions
between the plasma gas (Ar) and atmospheric gases (N2, O2) or the solvent
(H2O). The dynamic reaction cell of the ELAN ICP-DRC-MS is used to reduce
ion signals from polyatomic ions via ion-molecule reaction chemistry[56, 57].
In the reaction cell, oxygen molecules react with 40Ar15N+ and 38Ar16O1H+ ions
through either charge transfer reactions or oxygen transfer reactions. The
products of the reactions are either neutral molecules and are not detected
(charge transfer), or a new ion with higher mass (oxygen transfer). In either
case, attenuation of the background ion signal at m/z 55 occurs.
iii. Reduction of 37Cl18O+, 39K16O+, 54Fe1H+ interferences on manganese (55Mn)
using ICP-DRC-MS: 37Cl18O+, 39K16O+, 54Fe1H+ are polyatomic ions created in
the plasma as a result of reactions between elements present in the blood
matrix (Cl, K, and Fe) and the solvent (H2O). Due to the high concentrations of
Cl, K, and Fe in the blood matrix the resulting ion signals of 37Cl18O+, 39K16O+,
and 54Fe1H+ interfere with the measurement of 55Mn+ at m/z 55. The dynamic
reaction cell of the ELAN ICP-DRC-MS is used to reduce ion signals from
polyatomic ions via ion-molecule reaction chemistry[56, 57]. In the reaction
cell, oxygen molecules react with 37Cl18O+, 39K16O+, 54Fe1H+ ions through either
charge transfer reactions or oxygen transfer reactions. The products of the
reactions are either neutral molecules and are not detected (charge transfer),
or a new ions with higher mass (oxygen transfer). In either case, attenuation
of the background ion signal at m/z 55 occurs.
3) Procedures for Collecting, Storing, and Handling Specimens; Criteria for
Specimen Rejection; Specimen Accountability and Tracking
a. Procedures for Collecting, Storing, and Handling Specimens: Specimen handling
conditions, special requirements, and procedures for collection and transport are
discussed in the division (DLS) Policies and Procedures Manual [58]. Copies are
available in branch, laboratory, and special activities specimen-handling offices.
An electronic copy is available at:
http://intranet.nceh.cdc.gov/dls/pdf/policiesprocedures/Policy_and_Procedures_
Manual.DLS.2002mod.pdf. In general,
i. No fasting or special diets are required before collection of blood

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ii. Specimen type – whole blood
iii. Optimal amount of specimen is 1-2 ml. Request a minimum volume of 0.4 ml.
Volume for one analytical measurement is 0.1 ml.
iv. Sample collection devices and containers should be verified to be free of
significant contamination (“pre-screened”) before use.
v. Draw the blood through a stainless steel needle into a pre-screened
vacutainer.
vi. Blood specimens should be transported and stored at  4oC. Once received,
they can be frozen at  -20oC until time for analysis. Specimen stability has
been demonstrated for several months at ≤ -20C.
b. Criteria for Specimen Rejection:
include:

The criteria for an unacceptable specimen

i. Contamination: Improper collection procedures, collection devices, or sample
handling can contaminate the blood through contact with dust, dirt, etc.
Manganese is present in the general environment, found often in combination
with iron, and is present in many alloys (especially stainless steel).
ii. Low Volume: Request a minimum volume of 0.4 ml. Volume for one analytical
measurement is 0.1 ml.
In all cases, a second blood specimen should be requested.
c. Transfer or Referral of Specimens; Procedures for Specimen Accountability and
Tracking: Location, status, and final disposition of the specimens will be tracked
at least by paper document in the “Study Folder” (created before analysts receive
the samples). Apart from this specimen tracking form, this folder will also contain
the paper print outs of results from analysis of the specimens. Maintain records
for a minimum of 3 years. Use only numerical identifiers for samples within the
laboratory (e.g., case ID numbers) in order to safeguard confidentiality. Only the
medical supervisor (MS) or project coordinator (PC) i.e. non CDC personnel
should have access to the personal identifiers.
4) Safety Precautions
a. General Safety
i. Observe all safety regulations as detailed in the Division (DLS) Safety Manual.
Additional information can be found in your lab’s chemical hygiene plan.

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Participate in training regarding blood-borne pathogens prior to performing this
method.
ii. Observe Universal Precautions when working with blood.
iii. Wear appropriate gloves, lab coat, and safety glasses while handling all
solutions.
iv. Special care should be taken when handling and dispensing bases and
concentrated acids. Wear powder free gloves, a lab coat, safety glasses, and
face / neck protection. If TMAH or concentrated hydrochloric acid comes
in contact with any part of the body, quickly wash with copious
quantities of water for at least 15 minutes.
v. Use secondary containment for containers holding biological or corrosive
liquids.
vi. Dispose of all biological samples and diluted specimens in a biohazard
autoclave bag at the end of the analysis according to CDC/DLS guidelines for
disposal of hazardous waste.
vii. The use of the foot pedal on the Digiflex™ is recommended because it
reduces analyst contact with work surfaces that have been in contact with
blood and also keeps the analyst’s hands free to hold the specimen cups and
autosampler tubes and to wipe off the tip of Digiflex™.
viii. Training will be given before operating the ICP-DRC-MS, as there are many
possible hazards including ultraviolet radiation, high voltages, radio-frequency
radiation, and high temperatures. This information is also detailed in the
PerkinElmer ELAN® ICP-DRC-MS System Safety Manual.
ix. Transport and store compressed gas cylinders with proper securing
harnesses. For compressed oxygen gas, use regulators which are oil-free and
are equipped with a flash arrestor.
x. Wipe down all work surfaces at the end of the day with bleach-rite spray or
freshly prepared 10% (v/v) sodium-hypochlorite solution.
b. Waste Disposal: Operators of this method should take the CDC-OHS Hazardous
Chemical Waste Management Course (initial and yearly refreshers).
i. Waste to be Placed Into Biohazard Autoclave Bags & Pans:
1. All biological samples and diluted specimens (after analysis run).

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2. All disposable plastic and paper which contact blood (autosampler tubes,
gloves, etc.).
3. Used non-glass/quartz ICP-MS consumables (i.e. probes, tubing, cones,
ion lenses).
ii. Waste to be Placed Into Sharps Containers: Pipette Tips, broken glass or
quartz instrument consumables (broken spray chambers, torches, nebulizers,
etc. . .). Large broken glass which will not fit in the sharps container should be
placed in a separate autoclave pan from other waste and labeled as “broken
glass” (see the “Autoclaving” section of the CDC safety policies and practices
manual located in the laboratory).
5) Instrument & Material Sources
a. Sources for ICP-MS Instrumentation
i. ICP-MS:
Inductively Coupled Plasma Dynamic Reaction Cell Mass
Spectrometer
(ELAN®
DRC
II)
(PerkinElmer
Norwalk,
CT,
www.perkinelmer.com).
1. DXi-FAST upgrade: Standard peristaltic pump replaced by DXi-FAST
micro-peristaltic pump / FAST actuator and valve combination unit. For
ELAN DRC2, part # DXI-54-P4-F6.
ii. Recirculating chiller / heat exchanger for ICP-MS: Refrigerated chiller
(PolyScience 6105PE for ELAN® 6100 DRCPlus instruments) if unit is to be
placed remotely from ICP-MS or heat exchanger (PolyScience 3370 for ELAN®
DRC II instruments) if unit is to be placed alongside ICP-MS (PerkinElmer
Norwalk, CT, www.perkinelmer.com).
iii. Autosampler:
1. ESI SC4 autosampler: Dual rinse station supplied by two independent
pumps built internal to the autosampler (Elemental Scientific Inc., Omaha,
NE).
2. FAST: Purchase as an option onto the ESI SC4 autosampler (Elemental
Scientific Inc., Omaha, NE).
b. Sources for ICP-MS Parts & Consumables
NOTE: The minimum number of spares recommended before reordering (if
owning one instrument) are listed as “# Spares = ” in the descriptions below.
i. Adapter, PEEK: Securely connects 1.6mm O.D. PFA tubing to 0.03” I.D.
peristaltic tubing. Composed of three PEEK parts.

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
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1. Female nut for 1.6mm O.D. (1/16”) tubing. Like part P-420 (Upchurch
Scientific, Oak Harbor, WA, www.upchurch.com).
2. PEEK ferrule. Like part P-260x (10pk SuperFlangeless ferrule, Upchurch
Scientific, Oak Harbor, WA, www.upchurch.com).
3. Conical Adapter Body. Like part P-692 (Upchurch Scientific, Oak Harbor,
WA, www.upchurch.com).
ii. Bottles (for rinse solution): Four liter screw-cap polypropylene container with 2
luer connections (like catalog# SC-0305-1, Elemental Scientific Inc., Omaha,
NE., www.elementalscientific.com).
iii. Carboy and cap assembly for waste collection: 10-15L, polypropylene widemouth carboy (100 mm neck size) with handles and no spigot (Like part #
7BE-25126, Lab Safety Supply, Janesville, WI, www.lss.com) with cap
assembly
like
part
#
N0690271
(PerkinElmer
Norwalk,
CT,
www.perkinelmer.com).
iv. Coolant, for Polyscience chiller or heat exchanger: Only PerkinElmer part #
WE01-6558 (PerkinElmer Norwalk, CT, www.perkinelmer.com) is approved for
use by PerkinElmer. # Spares = 6.
v. Cone, sampler (nickel): PerkinElmer part # WE021140 (PerkinElmer Norwalk,
CT, www.perkinelmer.com). Part # SC2011-Ni (Testing has also found
Spectron, Ventura, CA, www.spectronus.com cones to be comparable). #
Spares = 4.
vi. Cone, skimmer (nickel): PerkinElmer part # WE021137 (PerkinElmer Norwalk,
CT, www.perkinelmer.com). Part # SC2012-Ni (Testing has also found
Spectron, Ventura, CA, www.spectronus.com cones to be comparable) #
Spares = 4.
vii. Detector, electron multiplier: Like part # N8125001 (PerkinElmer Norwalk, CT,
www.perkinelmer.com). Available direct from manufacturer (part # 14210,
SGE Incorporated, Austin, Texas, http://www.etpsci.com) or various
distributors. # Spares = 1.
viii. FAST accessories
1. Valve: CTFE High-flow valve head for SC-FAST (uses ¼-28 fittings). Like
part # SC-0599-1010 (Elemental Scientific Inc., Omaha, NE.,
www.elementalscientific.com).
2. Stator: CTFE Stator for 6 port SC-FAST high flow valve (¼-28 fittings).
Like part # SC-0599-1010-01 (Elemental Scientific Inc., Omaha, NE.,
www.elementalscientific.com).
3. Rotor: Composite rotor for 6 port SC-FAST high flow valve (¼-28 fittings).
Like part # SC-0599-1010-05 (Elemental Scientific Inc., Omaha, NE.,
www.elementalscientific.com).

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
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4. Sample Loop: 1 mL Teflon, white connector-nuts for high flow valve head.
Like part # SC-0315-10 (Elemental Scientific Inc., Omaha, NE.,
www.elementalscientific.com).
5. Probe, Autosampler: Teflon, carbon fiber support, 0.8mm i.d., blue marker,
1/4-28 fittings. Like part number SC-5037-3751 (Elemental Scientific Inc.,
Omaha, NE., www.elementalscientific.com). # Spares = 2.
6. Probe, Carrier Solution: Teflon, carbon fiber support, 0.5mm i.d., orange
marker, 1/4-28 fittings. Like part number SC-5037-3501 (Elemental
Scientific Inc., Omaha, NE., www.elementalscientific.com). # Spares = 2.
7. Tubing, FAST vacuum: Vacuum line for SC-FAST high flow valve,
connects to port #6, black nut for connection to valve head, natural brown
color nut on other end for connection to SC autosampler vacuum port. Like
part
#
SC-0321
(Elemental
Scientific
Inc.,
Omaha,
NE.,
www.elementalscientific.com).
8. Tubing, connects nebulizer to valve: See “Nebulizer, PolyPro-ST micro
flow”
ix. Hose, for connection to chiller: Push on hose. I.D. = ½”, O.D. = ¾”. Use part
# PB-8 (per inch, Georgia Valve and Fitting, Atlanta, GA, www.swagelok.com)
or equivalent. Do not normally need spare hose (unless moving instrument
into a new location).
x. Hose, for exhaust of ELAN: Available as part of ELAN installation kit from
Perkin Elmer (PerkinElmer Norwalk, CT, www.perkinelmer.com). Available
direct from manufacturer as part # S-LP-10 air connector (Thermaflex,
Abbeville, SC, www.thermaflex.net). Equivalent part may be substituted. #
Spares = 10 feet of 4” diameter and 10 feet of 6” diameter hose.
xi. Injector, quartz: I.D. = 2.0 mm. PerkinElmer part # WE023948 (PerkinElmer
Norwalk, CT, www.perkinelmer.com). Available direct from manufacturer as
part
#
400-30
(Precision
Glass
Blowing,
Centennial,
CO,
www.precisionglassblowing.com) or equivalent from various distributors. #
Spares = 2.
xii. Injector support (for pass-through injector): PerkinElmer part # WE023951
(PerkinElmer Norwalk, CT, www.perkinelmer.com). Available direct from
manufacturer as part # 400-37 (Precision Glass Blowing, Centennial, CO,
www.precisionglassblowing.com) or equivalent from various distributors. #
Spares = 2.
xiii. Ion Lens:
PerkinElmer part # WE018034 (PerkinElmer Norwalk, CT,
www.perkinelmer.com). # Spares = 3.
xiv. Nebulizer, PolyPro-ST micro flow: Polypropylene nebulizer with external 1/428 threaded connector for liquid delivery, low pressure version or equivalent.
Like part # ES-4040-7010 (Elemental Scientific Inc., Omaha, NE.,
www.elementalscientific.com). # Spares = 1.
1. Gas connection:

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a. Teflon tubing: 4mm o.d., 2.4mm i.d. Teflon tubing (like part # ES2502,
Elemental
Scientific
Inc.,
Omaha,
NE.,
www.elementalscientific.com). # Spares = 1.
b. Adapter kit: Plastic adapters to connect Teflon tubing (2.4mm i.d) to
¼” male Swagelok (compression) port on ICP-DRC-MS. Parts can
be obtained as components in a “gas fittings kit for microflow
nebulizer”, kit part # ES-2501-1000, Elemental Scientific Inc.,
Omaha, NE., www.elementalscientific.com). # Spares = 1.
2. Liquid connection: Connects nebulizer to port #3 of high flow FAST valve
head with green, 1/4- 28 fitting. Like part # SC-0317-0250 (Elemental
Scientific Inc., Omaha, NE., www.elementalscientific.com). # Spares = 2.
xv. Nut and Ferrule set, 1/8” Swagelok: Such as part # SS-200-NFSET (stainless
steel) or part # B-200-NFSET (brass) (Georgia Valve and Fitting, Atlanta, GA,
www.swagelok.com) or equivalent. For part numbers listed here a quantity of
1 means 1 nut, 1 front ferrule, and 1 back ferrule. Spares = 20.
xvi. Nut and Ferrule set, 1/4” Swagelok: Such as part # SS-400-NFSET (stainless
steel) or part # B-400-NFSET (brass) (Georgia Valve and Fitting, Atlanta, GA,
www.swagelok.com) or equivalent. For part numbers listed here a quantity of
1 means 1 nut, 1 front ferrule, and 1 back ferrule. Spares = 20.
xvii. Oil, Welch DirecTorr Gold: For roughing pumps. Available direct from
manufacturer as part # 8995G-15 (1 gallon, Welch Rietschle Thomas, Skokie,
IL, www.welchvacuum.com) or from various distributors. Equivalent oil may be
substituted. # Spares = 4.
xviii. O-ring: (for sampler cone) PerkinElmer part # N8120511 (pkg. of 5,
PerkinElmer, Shelton, CT, www.perkinelmer.com) or equivalent. # Spares =
20 o-rings.
xix. O-ring: (for skimmer cone) PerkinElmer part # N8120512 (pkg. of 5,
PerkinElmer, Shelton, CT, www.perkinelmer.com) or equivalent. # Spares =
20 o-rings.
xx. O-ring: (for ELAN DRC II standard injector support).
1. Internal o-rings: ID = ¼”, OD = 3/8”, thickness = 1/16”. Need 2 o-rings per
injector support setup. PerkinElmer part # N8122008 (PerkinElmer,
Shelton, CT, www.perkinelmer.com) or equivalent (such as part # V75-010,
O-rings West, Seattle, WA, www.oringswest.com). # Spares = 20.
2. External o-rings: ID = 3/8”, OD = 1/2”, thickness = 1/16”. Need 2 o-rings
for each injector support setup.
PerkinElmer part # N8122009
(PerkinElmer, Shelton, CT, www.perkinelmer.com) or equivalent (such as
part # V75-012, O-rings West, Seattle, WA, www.oringswest.com). #
Spares = 20.
xxi. O-ring: (for inside of bayonet torch mount): Part # WE017284 (PerkinElmer,
Shelton, CT, www.perkinelmer.com). Do not substitute. The PerkinElmer o-

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
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ring is specially metal impregnated to minimize RF leakage though the torch
mount. # Spares = 2.
xxii. Photon Stop: PerkinElmer part # WE018278 (PerkinElmer, Shelton, CT,
www.perkinelmer.com). # Spares = 1.
xxiii. Plugs, Quick Change for Roughing Pump Oil: These plugs will only work on
the Varian roughing pumps which come standard on ELAN DRC II ICPMS
instruments. These plugs will not fit the Leybold pumps which come standard
on the ELAN DRC Plus instruments. Part # W1011013 (PerkinElmer, Shelton,
CT, www.perkinelmer.com). No spares typically needed.
xxiv. RF coil:
PerkinElmer part # WE02-1816 (PerkinElmer, Shelton, CT,
www.perkinelmer.com) or equivalent. # Spares = 2.
xxv. Spray chamber, quartz concentric:
PerkinElmer part # WE025221
(PerkinElmer, Shelton, CT, www.perkinelmer.com) or equivalent. Available
direct from manufacturer as part # 400-20 (Precision Glass Blowing,
Centennial, CO, www.precisionglassblowing.com) or from various distributors.
# Spares = 2.
a. O-ring: (for inside spray chamber at nebulizer port) Such as part #
120-56
(Precision
Glass
Blowing,
Centennial,
CO,
www.precisionglassblowing.com). Additional o-rings can sometimes
be obtained free of charge or at reduced price when acquired while
purchasing spray chambers. # Spares = 20.
xxvi. Torch, quartz: PerkinElmer part # N812-2006 (PerkinElmer, Shelton, CT,
www.perkinelmer.com) or equivalent. Available direct from manufacturer as
part
#
400-10
(Precision
Glass
Blowing,
Centennial,
CO,
www.precisionglassblowing.com) or various distibutors. Damaged torches can
often be repaired for substantially lower cost than purchasing a new one by
companies such as Wilmad LabGlass (Buena, NJ, www.wilmad-labglass.com)
or Precision Glass Blowing (Centennial, CO, www.precisionglassblowing.com).
# New Spares = 2.
xxvii. Tubing, main argon delivery to instrument: I.D. = 1/8”, O.D. = ¼”. Such as
part # C-06500-02 (pkg. of 100ft, polypropylene, Fisher Scientific International,
Hampton, NH, www.fishersci.com) or equivalent. # Spares = 50ft.
xxviii. Tubing, drains waste liquid from spray chamber :
1. PVC 1/8” i.d., 3/16” o.d tubing used to transfer waste liquid between spray
chamber waste port and peristaltic pump waste tubing and between
peristaltic pump waste tubing and liquid waste carboy. Like part # 14-1697A (pkg. of 50ft, Fisher Scientific International, Hampton, NH,
www.fishersci.com) or equivalent. # Spares = 20ft.
2. Connector: Use to connect 1/8” I.D. PVC tubing to 0.125” I.D peristaltic
pump tubing.
Use part # 3140715 (PerkinElmer Norwalk, CT,
www.perkinelmer.com) or equivalent. # Spares = 4.
xxix. Tubing, peristaltic, 0.03” i.d. (sampling/carrier solution):

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

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1. Standard PVC, 2-stop (black / black) peristaltic pump tubing, i.d. = 0.03”.
PerkinElmer
part
#
09908587
(PerkinElmer,
Shelton,
CT,
www.perkinelmer.com) or equivalent. # Spares = 6 packs of 12 tubes.
Use this type tubing with standard ELAN peristaltic pump.
2. Standard PVC, 3-stop. (blank / black) peristaltic pump tubing, i.d. 0.76 mm.
Spectron part # SC0056 (Spectron, Ventura, CA, www.spectronus.com) or
equivalent. # Spares = 6 packs of 12 tubes. Use this type tubing with ESI
DXi micro-peristaltic pump.
xxx. Tubing, peristaltic, 0.045” i.d. (spray chamber drain):
1. Standard PVC, 2-stop (red / red) peristaltic pump tubing, i.d. = 0.045”.
PerkinElmer
part
#
N0680375,
(PerkinElmer,
Shelton,
CT,
www.perkinelmer.com) or equivalent. # Spares = 6 packs of 12 tubes.
2. Standard Santoprene, 3-stop (grey / grey / grey) peristaltic pump tubing,
i.d. 1.30 mm.
Spectron part # SC0311 (Spectron, Ventura CA,
www.spectronus.com0 or equivalent. # Spares = 6 packs of 12 tubes.
Use this type tubing with ESI DXi micro-peristaltic pump.
xxxi. Tubing, Stainless Steel, o.d. = 1/8”, wall thickness = 0.028”: Used to connect
DRC gas cylinders to ELAN DRC gas ports. Also can be used to replace
plastic tubing in the DRC gas path within the ELAN to minimize gas
leaks/diffusion into gas stream. Like part # SS-T2-S-028-20 (20ft, Georgia
Valve and Fitting, Atlanta, GA, www.swagelok.com) or equivalent. Spares =
20ft.
xxxii. Tubing, Teflon, corrugated, ¼” o.d.: Connects to the auxiliary and plasma gas
side-arms of the torch. Part # WE015903 (PerkinElmer, Shelton, CT,
www.perkinelmer.com). # Spares = 2.
xxxiii. Union Elbow, PTFE ¼” Swagelok: Connects argon tubing to torch auxiliary
gas sidearm. Like part # T-400-9 (Georgia Valve and Fitting, Atlanta, GA,
www.swagelok.com) or equivalent. Spares = 2.
xxxiv. Union Tee, PTFE, ¼” Swagelok: Connects argon tubing to torch plasma gas
sidearm and holds igniter inside torch sidearm. Like part # T-400-3 (Georgia
Valve and Fitting, Atlanta, GA, www.swagelok.com) or equivalent. Spares =
2.
c. Sources for ICP-MS Maintenance Equipment & Supplies
i. Anemometer: Like digital wind-vane anemometer (Model 840032, SPER
Scientific LTD., Scottsdale, AZ, www.sperscientific.com) or equivalent. Use to
verify adequate exhaust ventilation for ICP-MS (check with hoses fully
disconnected).
ii. Pan, for changing roughing pump oil: Like part # 53216 (United States Plastics
Corporation, Lima, OH, www.usplastic.com) or equivalent. # On hand = 1.

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

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iii. Container, to hold acid baths for glassware: Polypropylene or polyethylene
containers with lids (must be large enough for torch, injector, or spray chamber
submersion). May be purchased from laboratory or home kitchen supply
companies. # On hand = 4.
iv. Cotton swabs: Any vendor. For cleaning of cones and glassware.
v. Cutter (for 1/8” o.d. metal tubing): Terry tool with 3 replacement wheels. Like
part # TT-1008 (Chrom Tech, Inc., Saint Paul, MN, www.chromtech.com) or
equivalent.
vi. Getter Regeneration Kit: Part # WE023257 (PerkinElmer, Shelton, CT,
www.perkinelmer.com). Use this as needed (at least annually) to clean the
getter in the pathway of channel A DRC gas.
vii. Magnifying glass: Any 10x + pocket loupe for inspection of cones and other
ICP-MS parts. Plastic body is preferred for non-corrosion characteristics. Like
part # 5BC-42813 (Lab Safety Supply, Janesville, WI, www.labsafety.com).
viii. Toothbrush: Any vendor. For cleaning ion lens and glassware.
ix. Ultrasonic bath: Like ULTRAsonik™ Benchtop
Bloomfield, CT, www.neytech.com) or equivalent.

Cleaners

(NEYTECH,

d. Sources for General Laboratory Consumable Supplies
i. Bar Code Scanner: Like Code Reader 2.0 (Code Corporation, Draper, UT,
www.codecorp.com) or equivalent. For scanning sample IDs during analysis
setup. Any bar code scanner capable of reading Code 128 encoding at a 3 mil
label density can be substituted.
ii. Carboy (for preparation of blood quality control pool and waste jug for ICPMS
sample introduction system): Polypropylene 10-L carboy (like catalog # 02960-20C, Fisher Scientific, Pittsburgh, PA, www.fischersci.com) or equivalent.
Carboys with spouts are not advised due to potential for leaking.
iii. Containers for diluent and Rinse Solution: Two liter Teflon™ containers (like
catalog# 02-923-30E, Fisher Scientific, Pittsburgh, PA., www.fishersci.com)
and 4L polypropylene jugs (like catalog# 02-960-10A, Fisher Scientific,
Pittsburgh, PA, www.fishersci.com) have both been used. Acid rinse before
use. Equivalent containers may be substituted.
iv. Gloves: Powder-free, low particulate nitrile (like Best CleaN-DEX™ 100%
nitrile gloves,any vendor).
Equivalent nitrile or latex gloves may be
substituted.
v. Paper towels: For general lab use, any low-lint paper wipes such as
KIMWIPES®EX-L Delicate Task Wipers or KAYDRY®EX-L Delicate Task
Wipers (Kimberly-Clark Professional, Atlanta, GA, www.kcprofessional.com).
For sensitive applications in cleanrooms, a wipe designed for cleanroom use
may be desired such as the Econowipe or Wetwipe (Liberty, East Berlin, CT,
www.liberty-ind.com).

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

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vi. Pipette (for preparation of blood dilutions to be analyzed): Micromedic DigiflexCX Automatic™ pipette equipped with 10.0-mL dispensing syringe, 2 uL
sampling syringe, 0.75-mm tip, and foot pedal (Titertek, Huntsville, AL,
http://www.titertek.com/).
vii. Pipettes (for preparation of intermediate stock working standards & other
reagents): Like Brinkmann Research Pro Electronic pipettes (Brinkmann
Instruments, Inc., Westbury, NY, http://www.brinkmann.com/home/). 5-100 L
(catalog #4860 000.070), 20-300 L (catalog #4860 000.089), 50-1000 L
(catalog #4860 000.097), 100-5000 L (catalog #4860 000.100). Note: pipette
catalog numbers are without individual chargers. Can purchase individual
chargers (pipette catalog numbers will differ) or a charging stand that will hold
four pipettes (catalog #4860 000.860). When purchasing pipette tips (epTips),
purchase one or more boxes, then “reloads” for those boxes after that: 5-100
L (box catalog # 22 49 133-4, reload catalog # 22 49 153-9), 20-300 L (box
catalog # 22 49 134-2, reload catalog # 22 49 154-7), 50-1000 L (box catalog
# 22 49 135-1, reload catalog # 22 49 155-5), 100-5000 L (box catalog # 22
49 138-5, reload catalog # 22 49 198-9, bulk bag catalog # 22 49 208-0).
Equivalent pipettes and tips can be substituted.
viii. Tubes for sample analysis (for autosampler): Like polypropylene 15-mL
conical tubes, BD Falcon model #352097 (Becton Dickinson Labware, Franklin
Lakes, NJ, www.bd.com). Equivalent tubes may be substituted which are
shown by lot screening to be free of trace metal contamination. Clear plastics
tend to have lowest trace metal contamination. Blue colored caps have also
been used successfully for this method.
ix. Tubes for storage of intermediate working stock standards: Like polypropylene
50-mL conical tubes, BD Falcon model #352098 (Becton Dickinson Labware,
Franklin Lakes, NJ, www.bd.com). For use in storage of intermediate working
stock standards. Equivalent tubes may be substituted which are shown by lot
screening to be free of trace metal contamination. Clear plastics tend to have
lowest trace metal contamination. Blue colored caps have also been used
successfully for this method.
x. Vortexer: Like MV-1 Mini Vortexer (VWR, West Chester, PA, www.vwr.com).
Used for vortexing blood specimens before removing an aliquot for analysis.
Equivalent item can be substituted.
xi. Water purification system: Like NANOpure DIamond Ultrapure Water System
(Barnstead International, Dubuque, Iowa, www.barnstead.com). For ultra-pure
water used in reagent and dilution preparations. An equivalent water
purification unit capable of producing >18 Mega-ohm·cm water may be
substituted.
e. Sources of Chemicals, Gases, and Regulators
i. Acid, Hydrochloric acid: Veritas™ double-distilled grade, 30-35% (GFS
Chemicals Inc. Columbus, OH, www.gfschemicals.com). This is referred to as
“concentrated” hydrochloric acid in this method write-up.
For use in

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 24 of 88

preparation of intermediate working stock standards.
An equivalent
hydrochloric acid product may be substituted, but it must meet or exceed the
purity specifications of this product for trace metals content.
ii. Acid, Nitric acid: Veritas™ double-distilled grade, 68-70% (GFS Chemicals Inc.
Columbus, OH, www.gfschemicals.com). For use in cleaning any bottles,
vials, tubes, and flasks. This is referred to as “concentrated” nitric acid in this
method write-up. An equivalent nitric acid product may be substituted, but it
must meet or exceed the purity specifications of this product for trace metals
content.
iii. Alcohol, Ethyl, USP dehydrated 200 proof (Pharmco Products, Inc.) or
equivalent.
iv. Ammonium pyrrolidine dithiocarbamate, laboratory grade (Fisher Scientific,
Fairlawn, NJ) or equivalent.
v. Argon Gas (for plasma & nebulizer) and Regulator: High purity argon
(>99.999% purity, Specialty Gases Southeast, Atlanta, GA, www.sgsgas.com)
for torch and nebulizer. Minimum tank source is a dewar of liquid argon (180250L). Bulk tank (1500+L is preferred).
1. Regulator for argon (at dewar): Stainless steel, single stage, specially
cleaned regulator with 3000 psig max inlet, 0-100 outlet pressure range,
CGA 580 cylinder connector, and needle valve shutoff on delivery side
terminating in a ¼” Swagelok connector.
Part number
KPRAFPF415A2AG10 (Georgia Valve and Fitting, Atlanta, GA,
www.swagelok.com). An equivalent regulator from an alternate vendor may
be substituted. # Spares = 1.
2. Regulator for argon (between bulk tank and PerkinElmer filter regulator):
Single Stage 316SS Regulator, with 0-300 psi Inlet Gauge, 0-200 psi
Outlet Gauge, Outlet Spring Range, 0-250 psi, ¼” Swagelok Inlet
Connection, ¼ turn Shut off Valve on Outlet with ¼” Swagelok Connection
and Teflon Seals. Part number KPR1GRF412A20000-AR1 (Georgia Valve
and Fitting, Atlanta, GA, www.swagelok.com). An equivalent regulator from
an alternate vendor may be substituted. # Spares = 1.
3. Regulator for argon (PerkinElmer filter regulator on back of ELAN): Argon
regulator filter kit. Catalog number N812-0508 (PerkinElmer, Shelton, CT,
www.perkinelmer.com).
vi. Disinfectant, for work surfaces: Bleach-rite spray (any distributor). On-site
dilutions of bleach (1part bleach + 9 parts water) may be substituted, but must
be re-made daily.
vii. Methane: Methane (Research Grade 5.0, 99.99% purity), for DRC channel A.
Typically purchased in cylinder size 200 (part # ME R200, Airgas South,
Atlanta, GA, www.airgas.com).

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

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1. Regulator for methane: A 2-stage, high purity brass regulator with max
rated inlet pressures of 3,000 psi, max outlet pressures of 15-30 psi (with
gauge maximum at 15-30psi). Like part number Y12-N145A350 (Airgas
South, Atlanta, GA, www.airgas.com). An equivalent regulator from an
alternate vendor may be substituted. # Spares = 1.
2. Flash Arrestor: Like part # 6103 (Matheson Tri Gas, Montgomeryville, PA,
www.mathesontrigas.com) or equivalent.
viii. Oxygen: Oxygen (“Research Grade Research Grade 5.0”, 99.9999% purity)
for DRC channel B. Typically purchased in cylinder size 300 (9.5” x 54”)
(Airgas South, Atlanta, GA, www.airgas.com).
1. Regulator for oxygen: High purity brass body with monel trim, two stage
regulator. Stainless steel is not used for this application due to safety
concerns of working with oxygen at high pressure [59]. For one regulator,
order the following parts, and ask that they be tested and assembled
(Engineered Specialty Products, Kennesaw, GA, www.espgauges.com).
a. Tescom part # 44-3410S24-555
Regulator body: Brass bar stock, two stage, Monel trim, TFE seats,
Elgiloy diaphragms, Cv=0.05, 3000 psig max inlet, 1-25 psig outlet
range, 1/4 FNPT inlet / outlet / gauge ports, O2 cleaned to ASTMG93
and CGA4.1.
b. Tescom part # 60500-3000N
Inlet pressure gauge: 2" diameter, 0-3000 psig range , O2 cleaned, ¼”
MNPT bottom, brass.
c. Tescom part # 60500-0015N
Delivery pressure gauge: 2" diameter, 0-15 psig range , O2 cleaned, ¼”
MNPT bottom, brass.
d. Tescom part # 63842-540-B
NPT to CGA Adaptor: ¼” NPT to CGA 540 adapter, brass.
e. Swagelok part # B-200-1-4:
Adapter: Brass male connector, ¼” MNPT to 1/8” Swagelok (Georgia
Valve and Fitting, Atlanta, GA, www.swagelok.com).
An equivalent regulator from an alternate vendor may be substituted.
# Spares = 1.
2. Flash Arrestor (brass):
Like part # 6103 (Matheson Tri Gas,
Montgomeryville, PA, www.mathesontrigas.com) or equivalent.
ix. Standard, Iridium: Like 1,000 mg/L, item #CGIR1-1 (Inorganic Ventures,
Christiansburg, VA http://www.inorganicventures.com). Used as an internal
standard in diluent. Any vendor whose standards are traceable to the National

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016
Institute for Standards and Technology may be substituted.
must have low trace metal contamination.

Page 26 of 88
The standard

x. Standard, Rhodium: Like 1,000 mg/L, item # PLRH3-2Y. (SPEX Industries,
Inc., Edison, NJ, www.spexcsp.com). Used as an internal standard in diluent.
Any vendor whose standards are traceable to the National Institute for
Standards and Technology may be substituted. The standard must have low
trace metal contamination.
xi. Standard, Tellurium: Like 1,000 mg/L, item #CGTE1-1 (Inorganic Ventures,
Christiansburg, VA http://www.inorganicventures.com).Used as an internal
standard in diluent. Any vendor whose standards are traceable to the National
Institute for Standards and Technology may be substituted. The standard
must have low trace metal contamination.
xii. Standard, single element stock standards for preparation of calibrators and
blood quality control pools: National Institute of Standards and Technology
(NIST) Standard Reference Materials (SRMs): 3108 (Cd), 3132 (Mn), 3128
(Pb), 3133 (Hg), 3149 (Se). (Gaithersburg, MD, www.nist.gov). Other sources
of standards can be used if they are NIST traceable.
xiii. Tetramethylammonium hydroxide, 25% w/w, or equivalent (AlfaAesar, 30 Bond
St., Ward Hill, MA 01835)
xiv. Triton X-100™ surfactant: Like “Baker Analyzed” TritonX-100™ (J.T. Baker
Chemical Co., www.jtbaker.com). Another source may be substituted, but it
must be free of trace-metal contamination.
6) Preparation of Reagents and Materials
a. Internal Standard Intermediate Mixture (20 g/mL Rh, Ir and Te):
i. Purpose: Preparation of single intermediate solution containing all internal
standards simplifies the addition of the internal standard(s) into the final diluent
solution. This solution can be purchased rather than prepared.
ii. Preparation: To prepare 50 mL of the intermediate internal standard solution:
1. Partially fill a 50 mL acid-washed volumetric flask (PP, PMP, or Teflon™)
with 1% v/v HNO3 (approximately 25-40 mL).
2. Add 1 mL of 1,000 g/mL Rh standard, 1 mL of 1,000 g/mL Ir standard,
and 1 mL of 1,000 g/mL Te standard. If initial Rh, Ir, or Te standard
concentration is different, adjust volume proportionally.
3. Fill to mark (50 mL) with 1% v/v HNO3 and mix thoroughly.
4. Label appropriately (e.g. “Internal Standard Intermediate Mixture. 20
g/mL Rh, Ir and Te, 1% v/v HNO3”, preparation date, expiration date 1
year from preparation date, and preparer’s initials).

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
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b. 20% Triton X-100 intermediate solution:
i. Purpose: Addition to diluent and rinse solutions where Triton X-100 acts as a
surfactant. For ease of daily preparation of the diluent and rinse solutions, first
prepare a 20% Triton X-100 solution.
ii. Preparation: To prepare 1 L of 20% Triton x-100®
1. Add 200 ml of Triton X-100 to a pre-acid washed 1L Teflon container
that is partially filled with 18 M-ohm water.
2. Fill to 1 L with 18 M-ohm water and mix until the Triton X-100 has
completely dissolved into solution (overnight). A magnetic stirring plate
can be used to assist mixing by adding an acid-washed Tefloncoated
stirring bar to the bottle.
c. Sample Diluent
i. Purpose: The diluent used in this method is an aqueous solution of 5 g/L
internal standard mixture (Rh, Ir, Te), in 0.25% v/v tetramethyl ammonia
hydroxide (TMAH), 1% ethyl alcohol, 0.01% APDC, and 0.025% v/v Triton X100. This solution will be used in the preparation of all calibrators and
samples during the dilution process just prior to analysis. It is important that all
samples in a run should be made from the same diluent solution so that the
concentration of the internal standards will be the same among all calibrators
and samples in the run. When using a flow-injection component in the sample
introduction system (i.e. the Elemental Scientific SC4-FAST autosampler), the
‘carrier’ solution should be the same as the diluent used for the method.
Larger volumes of these solutions can be prepared by adjusting component
volumes proportionally.
ii. Preparation:
1. Acid rinse a 2 L Teflon container, and partially fill with 18 M-ohm water.
2. Add 0.2 g of APDC , 5 ml of 25% v/v TMAH, 20 ml of ethyl alcohol, and 5
ml of 20% Triton X-100.
3. Dilute to volume (2L) with 18 M-ohm water
4. Spike 500 l of 20 mg/L Rh, Ir, Te to the final diluent.
5. Invert bottle a few times to insure thorough mixing. Allow to sit for several
hours or overnight before using.
6. Label appropriately (e.g. “5 g/L Rh, Ir and Te”, “0.01% APDC in 0.25% v/v
tetramethyl ammonia hydroxide (TMAH), 1% ethanol, and 0.05% v/v Triton
X-100”, preparation date, expiration date (1 year from prep), and preparer’s
initials).
7. Store at room temperature and prepare as needed.
d. DRC Stability Test Solution

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i. Purpose: The DRC Stability Test Solution is a “dummy” blood matrix sample
analyzed for 1-1.5 hr before the beginning of the analytical run.
ii. Preparation:
1. Fill an acid rinsed 1 L Teflon container with 960 mL of Sample Diluent.
2. Add 20 mL of rejected screened human or bovine blood
3. Add 1.5 mL of Intermediate Stock Calibration Standard
4. Store at 4°C and prepare as needed.
e. Base Blood
i. Purpose: This blood pool material will be mixed with the intermediate working
calibrators just prior to analysis to matrix-match the calibration curve to the
blood matrix of the unknown samples.
ii. Contents: A mixture of multiple blood sources collected from anonymous
donors are used to approximate an average blood matrix.
iii. Preparation & Storage:
1. Purchase several bags of whole blood. Bovine blood or human blood can
be used. Human blood should be screened for infectious diseases such as
Hepatitis B and HIV.
2. Screen each individual bag of blood for concentration of analytes of
interest. See Table 2 in Appendix B for minimum acceptable values
3. Once screened, mix the acceptable blood together in a larger container
(i.e. acid washed polypropylene (PP), polymethylpentene (PMP), or
Teflon™) and stir for 30+ minutes on a large stir plate (acid wash large
Teflon™ stir bar before use).
4. For short term storage, store at 2-4°C. For long-term storage, dispense
into smaller-volume tubes (i.e., 2 mL cryovials) and store at ≤ -20°C.
5. Labels on 2 mL cryovials should be labeled appropriately (e.g. “Base Blood
for Blood metals panel 2, Cd, Hg, Mn, Pb, Se”, dispensed date and vial
number).
f. ICP-DRC-MS Rinse Solution
i. Purpose: The rinse solution used in this method is an aqueous solution of
0.25 % v/v TMAH, 1% ethyl alcohol, 0.01% APDC, and 0.05 % Triton X-100,.
This solution will be pumped through the autosampler rinse station, probe, and
sample loop between sample analyses to prevent carry-over of analytes from
one sample measurement to the next.
ii. Preparation: To Prepare 4 L of the Rinse Solution:
1. Partially fill a 4 L acid-washed bottle (PP, PMP, or Teflon™) with >18
Mega-ohm·cm water (approximately 2-3 L). Use of volumetric flask is not
required.
2. Add 0.4 g of APDC
3. Add 10 ml of TMAH

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4. Add 40 ml of ethyl alcohol,
5. Add 10ml of 20% Triton X-100, (See Section 6.b for details on
preparation)
6. Fill to 4 L using >18 Megaohm·cm water.
7. Store at room temperature and prepare as needed. To prepare volumes
other than specified here, add proportionally larger or smaller volumes of
the solution constituents.
8. Invert bottle a few times to ensure thorough mixing. Allow to sit for several
hours or overnight before using.
9. Label appropriately (e.g. “0.25 % v/v TMAH, 1% ethyl alcohol, and 0.05 %
Triton X-100, 0.01% (w/v) APDC”, preparation date, expiration date one
year from preparation date, and preparer’s initials).
g. Single-Element Stock Standards For Preparation of Intermediate Stock
Calibration Standard
i. Purpose: These single-element standards will be used to prepare the
intermediate stock calibration standard.
ii. Contents: Separate, aqueous single-element standards of Cd, Pb, Hg, Se,
and Mn. Concentrations should be 1,000 mg/L or 10,000 mg/L.
iii. Purchase & Storage:
1. Purchasing from vendors: If the intermediate stock calibration standard is
purchased as a special-mix standard, these single-element stock
standards are not required. Purchase only NIST-traceable single-element
standards at the highest purity (don’t contain other metal impurities).
2. Storage: Store at room temperature.
h. 3% (v/v) HCl Diluent:
i. Purpose: 3% HCl is used to dilute single element stock standards into a single
intermediate stock calibration solution and finally to the intermediate working
calibration standards.
ii. Preparation:
1. In a cleaned 2 L flask, add 1-1.5L >18 Megaohm·cm water.
2. Add 60 mL high purity concentrated HCl.
3. Fill to the mark and mix thoroughly.
4. Label appropriately (e.g. “3 % v/v HCl”, preparation date, expiration date
one year from preparation date, and preparer’s initials).
i.

Intermediate Stock Calibration Standard
i. Purpose: This multi-element solution will be used to prepare the five working
calibration standards.

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
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ii. Preparation & Storage: This solution may be purchased as a special-mix
standard or prepared in-house from separate single-element stock standards.
1. Purchasing from vendors:
The intermediate stock calibration
standard may be purchased as custom mixture from any vendor
which prepares multi-element solutions that are traceable to the
National Institute for Standards and Technology (NIST) for their
accuracy.
2. In-house Preparation from NIST single element standards: Different
volumes may be prepared by adding proportionally larger or smaller
volumes of solution constituents.
a. Acid-rinse one 100 mL, PP (or PMP) volumetric flask. Mark the flask
according to intended use. Dedicate to purpose.
b. Partially fill the 100 mL flask with the 3% (v/v) HCl diluent (50-75% full).
c. Add necessary volumes of single-element stock standards to achieve
final concentrations listed in Table 3 of Appendix B.
d. Dilute to the volumetric mark with the 3% (v/v) HCl diluent using a
pipette for the final drops. Mix the flask solution thoroughly. Final
concentrations are listed in Table 3 of Appendix B.
e. Once mixed, transfer to an acid-cleaned, labeled, 50-mL container
(PP, PMP, or Teflon™) for storage. Label appropriately (e.g. “Whole
Blood Metals Panel 2 Intermediate Stock Calibration Standard”, “3%
(v/v) HCl”, date of preparation, expiration date (1 year from date of
preparation), initials of preparer, and concentrations for each element).
3. In-house Preparation from other single element standards: Different
volumes may be prepared by adding proportionally larger or smaller
volumes of solution constituents.
a. Acid-rinse one 100 mL, PP (or PMP) volumetric flask. Mark the flask
according to intended use. Dedicate to purpose.
b. Partially fill the 100 mL flask with the 3% (v/v) HCl diluent (50-75% full).
c. Add necessary volumes of single-element stock standards to achieve
final concentrations listed in Table 4 of Appendix B.
d. Dilute to the volumetric mark with the 3% (v/v) HCl diluent using a
pipette for the final drops. Mix the flask solution thoroughly. Final
concentrations are listed in Table 4 of Appendix B.
e. Once mixed, transfer to an acid-cleaned, labeled, 50-mL container
(PP, PMP, or Teflon™) for storage. Label appropriately (e.g. “Whole
Blood Metals Panel 2 Intermediate Stock Calibration Standard”, “3%
(v/v) HCl”, date of preparation, expiration date (1 year from date of
preparation), initials of preparer, and concentrations for each element).

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
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4. Storage: Store at room temperature. If purchased, label bottle with
additional information such as “store at room temperature”, date received,
date opened, and initials of person to first open.
j. Intermediate Working Calibration Standards
i. Purpose: Used each day of analysis to prepare the final five working
calibrators that will be placed on the autosampler.
ii. Content: Five aqueous dilutions of the intermediate stock calibration standard
solution with a 3% (v/v) hydrochloric acid (HCl) matrix. Final concentrations
are listed in Table 5 of Appendix B.
iii. Preparation & Storage: Different volumes may be prepared by adding
proportionally larger or smaller volumes of solution constituents.
1. Cleaning flasks: Acid-rinse five 100 mL, PP (or PMP) volumetric flasks.
Mark each flask according to intended use. Dedicate to purpose.
2. 3% (v/v) HCl Diluent Preparation: use the same 3% (v/v) HCl prepared in
Section 6.g.
3. Partially fill each 100 mL flask with the 3% (v/v) HCl diluent (50-75% full).
4. Add the correct volume of the Intermediate Stock Standard Calibration
Standard (according to Table 5)
a. If a separate Pb Intermediate Stock Calibrator is used, add the
appropriate volume of this solutions according to Table 5 to the same
flask.
5. Dilute to the volumetric mark with the 3% (v/v) HCl diluent using a pipette
for the final drops. Mix the flask solution thoroughly. Final concentrations
are listed in Table 5 of Appendix B.
6. Once mixed, transfer to acid-cleaned, labeled, 50 mL containers (PP, PMP,
or Teflon™) for storage. Label appropriately (e.g. “Whole Blood Metals
Panel 2 Intermediate Working Calibrators”, “3% (v/v) HCl”, date of
preparation, expiration date (1 year from date of preparation), initials of
preparer, concentration of each element, and Lot # of the stock solution).
7. Pour 10-15 mL of each solution into 15 mL tubes for daily use.
k. Working Calibration Standards
i. Purpose: The working calibration standards will be analyzed in each run to
provide a signal-to-concentration response curve for each analyte in the
method. The concentration of the analyte of interest in a patient blood sample
dilution is determined by comparing the observed signal ratio (element/internal
standard) from the dilution of the patient blood sample to the signal ratio
response curve from the working calibrators.
ii. Content: Dilutions (1:50) of the corresponding five intermediate working
calibration standards. The dilutions are described in Table 6 of Appendix B.

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
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iii. Preparation & Use: Make immediately prior to analysis when the intermediate
working calibration standards are mixed with base blood (Section 6.d) and
diluent (Section 6.c) using a Digiflex automatic pipette. See Table 6 of
Appendix B and Section 8.b.ii for details of sample preparation.
l.

Single-Element Stock Standards For Preparation of Intermediate Stock
Calibration Verification Standard
i. Purpose: These single-element standards will be used to prepare the
intermediate stock calibration verification standard.
ii. Contents: Separate, aqueous single-element standards of Cd, Pb, Hg, Se,
and Mn. Concentrations should be 1,000 mg/L or 10,000 mg/L.
iii. Purchase & Storage:
1. Purchasing from vendors: If the intermediate stock calibration verification
standard is purchased as a special-mix standard, these single-element
stock standards are not required. Purchase only NIST-traceable singleelement standards at the highest purity (don’t contain other metal
impurities).
2. Storage: Store at room temperature.

m. Intermediate Stock Calibration Verification Standard
i. Purpose: This multi-element solution will be used to prepare the three working
calibration verification standards.
ii. Preparation & Storage: This solution may be purchased as a special-mix
standard or prepared in-house from separate single-element stock standards.
1. Purchasing from vendors:
The intermediate stock calibration
verification standard may be purchased as custom mixture from any
vendor which prepares multi-element solutions that are traceable to
the National Institute for Standards and Technology (NIST) for their
accuracy.
2. In-house Preparation: Different volumes may be prepared by
adding proportionally larger or smaller volumes of solution
constituents.
a. Acid-rinse two 50 mL, PP (or PMP) volumetric flask. Mark the flasks
according to intended use. Dedicate to purpose.
b. Partially fill the 50 mL flasks with the 3% (v/v) HCl diluent (50-75% full).
c. Add necessary volumes of single-element stock standards to achieve
final concentrations listed in Table 7 of Appendix B.
d. Dilute to the volumetric mark with the 3% (v/v) HCl diluent using a
pipette for the final drops. Mix the flask solution thoroughly. Final
concentrations are listed in Table 7 of Appendix B.

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e. Once mixed, transfer to an acid-cleaned, labeled, 50-mL containers
(PP, PMP, or Teflon™) for storage. Label appropriately (e.g. “Whole
Blood Metals Panel 2 Intermediate Stock Calibration Verification
Standard (Cd, Mn, Hg)”, and “Whole Blood Metals Panel 2
Intermediate Stock Calibration Verification Standard (Pb)”, “3% (v/v)
HCl”, date of preparation, expiration date (1 year from date of
preparation), initials of preparer, and concentrations for each element).
3. Storage: Store at room temperature. If purchased, label bottle with
additional information such as “store at room temperature”, date received,
date opened, and initials of person to first open.
n. Intermediate Working Calibration Verification Standards:
i. Purpose: Used as needed to on the day of analysis to prepare the necessary
working calibration verification standard(s) that will be placed on the
autosampler.
ii. Content: Three aqueous dilutions of the intermediate stock calibration
verification standard with a 3% (v/v) hydrochloric acid (HCl) matrix. Final
concentrations are listed in Table 8 of Appendix B.
iii. Preparation & Storage: Different volumes may be prepared by adding
proportionally larger or smaller volumes of solution constituents.
1. Cleaning flasks: Acid-rinse three 100 mL, PP (or PMP) volumetric flasks.
Mark each flask according to intended use. Dedicate to purpose.
2. 3% (v/v) HCl Diluent Preparation: use the same 3% (v/v) HCl prepared in
Section 6.g.
3. Partially fill each 100 mL flask with the 3% (v/v) HCl diluent (50-75% full).
4. Add the correct volume of the Intermediate Stock Calibration Verification
Standard (according to Table 8 in Appendix B).
5. Dilute to the volumetric mark with the 3% (v/v) HCl diluent using a pipette
for the final drops. Mix the flask solution thoroughly. Final concentrations
are listed in Table 8 of Appendix B.
6. Once mixed, transfer to acid-cleaned, labeled, 50 mL containers (PP, PMP,
or Teflon™) for storage. Label appropriately (e.g. “Whole Blood Metals
Panel 2 Intermediate Working Calibration Verification Standard #”, “3%
(v/v) HCl”, date of preparation, expiration date (1 year from date of
preparation), initials of preparer, concentration of each element and Lot #
of the stock solution).
7. Pour 10-15 mL of each solution into 15 mL tubes for as-needed use.
o. Internal Quality Control Materials (“Bench” QC)
i. Purpose: Internal (or “bench”) quality control (QC) materials are used to
evaluate the accuracy and precision of the analysis process, and to determine
if the analytical system is “in control” (is producing results that are acceptably

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accurate and precise). They are included in the beginning and at the end of
each analytical run.
ii. Content: Pooled animal or human blood, and may have been spiked with
NIST-traceable elemental standards to reach desired low-normal and highnormal concentrations.
iii. Preparation & Storage: Quality control materials can be either prepared by
purchased from an external laboratory or prepared within the CDC
laboratories. Quality control must always be traceable to the National Institute
for Standards and Technology (NIST). The CDC laboratory currently prepares
its own bench QC materials using the following procedures:
1. Purchase of whole blood: Bags of human blood can be purchased from
various sources such as American Red Cross of Tennessee Blood
services (http://tennesseebloodservices.com/).
Animal blood may be
available from the Wisconsin State Laboratory of Hygiene (WSLH).
2. Screening blood:
Screen bags of blood for analyte of interest
concentration before mixing together to make 2 separate base blood pools
(for preparing the low and high bench QC materials). Samples can be
screened individually
a. Keep blood refrigerated whenever possible to minimize microbial
growth.
b. Because this is only a quick screen of the analyte of interest
concentration, the number of replicates in the blood method can be
reduced to one in order to reduce analysis time.
c. Analyte concentrations in the final blood pool to be spiked for the low
bench QC pool should be in the low-normal population range. Analyte
concentrations in the final blood pool to be spiked for the high bench
QC pool should be less than some pre-selected target concentration
values in the high normal population range. See Table 2 in Appendix
B for recommended concentration ranges.
3. Combining Collected blood: The goal is for combining samples is to
approach an ‘average’ matrix for each pool.
a. Graduate four acid-washed 10 L carboys (PP or PMP) in 0.5 L
increments (two will be used for decanting into).
b. Combine collected blood samples into two separate acid-washed 10 L
carboys (PP or PMP), according to their concentrations, for the low
bench and high bench QC pools.
c. Mix each blood pool using carboy stirrers and large stir plates. Keep
blood refrigerated whenever possible.
4. Spiking of blood
a. Analyze three samples of each blood pool. Record these results for
future recovery calculations.

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b. Use these results to determine target analyte concentrations possible
for the pools
c. Calculate the volume of single element standards needed to spike
each pool to the desired concentrations. See Table 2 in Appendix B
for recommended concentration ranges.
d. While stirring the pools on large stir plates, spike each pool with
calculated volumes of single element standards (all spiking standards
used must be traceable to NIST).
e. Continue to stir pools overnight after spiking, then reanalyze.
f. Repeat steps 4 and 5 until all analytes reach target concentrations
keeping track of the total volume of spiking solution added to each
blood pool.
5. Dispensing and Storage of blood
a. Container Types: Dispense blood into lot screened containers (i.e. – 2
mL polypropylene tubes). If possible, prepare tubes of QC which have
only enough volume for one typical run + 1 repeat analysis. This
allows for one vial of QC to be used per day of analysis, reducing
chances of contamination of QC materials due to multi-day use.
b. Labels: Place labels on vials after dispensing and capping if the vials
are originally bagged separately from the caps. This minimizes the
chance for contamination during the process. Include at least the
name of QC pool (text and bar code), date of preparation, and a vial
number on the labels.
c. Dispensing: Dispensing can be accomplished most easily using a
Digiflex automatic pipetter in continuous cycling dispense mode. This
process should be done in a clean environment (i.e. a class 100
cleanroom area or hood).
1. Allow blood to reach room temperature before dispensing (to
prevent temperature gradients possibly causing concentration
gradients across the large number of vials being dispensed
and to prevent condensation problems during labeling of
vials). This may require leaving the carboy of blood at room
temperature overnight before dispensing.
2. Replace the tubing attached to the dispensing syringe (left
when looking at front of Digiflex) with a length of clean
Teflon™ tubing long enough to reach into the bottom of the 10
L carboy while it is sitting on the stir plate.
3. Check cleanliness of Digiflex before use by analyzing 1-2%
(v/v) HNO3 which has been flushed through the Digiflex with a
portion of the same solution which has not been through the
Digiflex.

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4. Approximately one hour before dispensing begins,
a. With the large stir plate close to the left side of the Digiflex,
begin stirring the blood pool to be dispensed.
b. Also during this time, flush the Digiflex with blood from the
pool to be dispensed. Place the ends of the tubing
attached to both the sample and dispensing syringes into
the carboy of blood so that blood won’t be used up during
this process. Be sure to secure both ends of tubing in the
carboy with Parafilm so they will not come out during the
flushing process.
5. After dispensing the blood into the vials, cap the vials and
label them. Placing labels on vials after capping minimizes the
chance for contamination during the process.
ii.

Homogeneity Testing: After dispensing, check homogeneity of
analyte concentrations in pool aliquots. Keep samples pulled for
homogeneity analysis in the sequence that they were dispensed
for the purpose of looking for trends in concentrations. Once
dispensed and homogeneity has been shown to be good
throughout the tubes of a pool, store tubes at ≤ -20°C and pull
tubes out as needed for analysis.

iii.

Storage: Blood pools should be stored long term at ≤ -20°C. Short
term storage (several days) at refrigerator temperature (~ 2-4°C).

7) Analytical Instrumentation & Parameters
(see Section 5 for details on hardware used, including sources)
a. Instrumentation & Equipment Setup:
i. ICP-DRC-MS: Inductively Coupled Plasma Dynamic Reaction Cell Mass
Spectrometer ELAN® DRC II.
1. Modifications made to ICP-DRC-MS
a. Stainless steel tubing is preferred between the reaction gas cylinder /
regulator and the back of the ICP-DRC-MS instrument.
b. A second mass flow controller will be needed (channel B) that does not
send the DRC gas through a ‘getter’.
c. Standard built-in peristaltic pump replaced by DXi-FAST microperipump / FAST actuator unit.
ii. Sample Introduction Setup Notes and Tips
1. SC-FAST valve setup: Valve connections must match this description.

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a. Port 1: 1mL sample loop (white nut). See “Loop, for FAST valve” in
Section 5.b. for details.
b. Port 2: 0.5 mm ID probe (red nut) for carrier solution. See “Probes” in
Section 5.b. for details.
c. Port 3: nebulizer line (green nut) for transfer of liquid to nebulizer. See
“Nebulizers” in Section 5.b. for details.
d. Port 4: sample loop (white nut). See “Loop” in Section 5.b. for details.
e. Port 5: 0.8 mm ID probe (blue nut) for diluted samples. See “Probes”
in Section 5.b. for details.
f. Port 6: 1/8” i.d. vacuum line (black nut). See “Tubing, FAST vacuum”
in Section 5.b. for details.
2. Tubing connection between autosampler rinse station and rinse solution
reservoir: Tubing of different inner diameters can be obtained from
Elemental Scientific, their distributors, or custom built in the lab to optimize
the rinse station fill rate between samples. Rinse station should not go
empty at any point.
3. Tubing for autosampler rinse station waste removal: Use minimum drain
tubing to make this connection. If this tube is too long, the rinse station will
not drain properly.
4. Rinse solution jug: Leave one of the caps on the top of the rinse jug loose
to allow air venting into the jug as liquid is removed. Otherwise the jug will
collapse on itself as the liquid is removed and a vacuum is created inside.
Use secondary containment tray and label appropriately (see solution
preparation instructions).
5. Waste solution jug: Use secondary containment tray and label
appropriately (see solution preparation instructions).
6. Configuration of tubing and probe for carrier solution: Can use a PEEK
adapter to help with connecting peristaltic tubing to to Teflon tubing.
7. Nebulizer: Changing the nebulizer type will require re-optimization of the
read delay time in the ELAN software. Polypropylene nebulizer type (ESI)
tends to allow for shorter read delay times than quartz concentric
nebulizers.
8. Configuration of tubing for spray chamber waste removal:
a. Chamber-to-peristaltic pump tubing:
i. Spray chambers with threaded connection: Use vendor-supplied
threaded connector on base of chamber, connecting tubing directly
to peristaltic pump tubing through a PEEK adapter or directly.

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ii.

Spray chambers without threaded connection: Use push-on
connectors with Teflon tubing available from various vendors or
connect 1/8” i.d. x ¼” o.d. PVC tubing directly to the waste port on
the spray chamber. Connect other end of PVC tubing to the white
/ black peristaltic pump tubing using a tubing connector
(PerkinElmer item # B3140715).
b. Waste Jug-to-peristaltic pump tubing: Connect 1/8” i.d. x ¼” o.d. PVC
tubing to the white / black peristaltic pump tubing using a tubing
connector (PerkinElmer item # B3140715). Place the free end of the
PVC tubing through the lid of the waste jug (be sure it is secure).
Waste jug should be sitting in a secondary containment tray in case of
overflow.
iii. Cones: Platinum or Nickel cones have been used and tested to be
comparable in performance from either PerkinElmer or Spectron.
iv. Gases & Regulators setup:
1. Argon: Argon stored as liquid in a dewar (180-250 L) or bulk tank.
Gaseous argon used for plasma and nebulizer.
a. Regulator for argon source (if a dewar): Keep the inlet pressure
(headspace pressure of liquid argon dewar) above 100 psi. Set
delivery pressure to 90-100psi to allow for pressure drop across tubing
that stretches to the instrument. See Section 5.e for part numbers and
details.
b. Step down regulator (if source of argon is a bulk tank): Place this single
stage regulator in the lab so that incoming argon pressure can be
monitored and adjusted. Set delivery pressure to approximately 85 100 psig. See Section 5.e for part numbers and details.
c. Regulator at ICP-DRC-MS:
Single stage “argon regulator filter kit”
supplied with the ICP-DRC-MS.
Set the delivery pressure to
approximately 80 psi.
2. Methane (99.99%) gas for DRC channel A
a. Regulator for CH4 gas: Set the delivery pressure = 5-7 psig. See
section 5.e for part numbers and details.
3. Oxygen (99.999+%) gas for DRC channel B.
a. Regulator for O2 gas: Set the delivery pressure = 5-7 psig.
Section 5.e for part numbers and details.

See

b. Flash arrestor: Brass flash arrestor is used on outlet side of regulator.
See Section 5.e for part numbers and details.

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v. Chiller / Heat Exchanger: Refrigerated chiller (for ELAN® 6100 DRCPlus
instruments) or heat exchanger (for ELAN® DRC II instruments). For
refrigerated chiller, set temperature control to 18°C.
vi. Computer: Dell Optiplex GX150, GX270, or GX280 have all been used.
Processors used have included Pentium III (1 GHz) through Pentium IV (2.8
GHz). Recommend 512Mb - 1Gb RAM. External hard disk drive for nightly
backups of data connects via USB port. Software used includes Windows XP
Professional, service pack 2 and ELAN v3.3.
vii. Autosampler: ESI SC-FAST series
b. Parameters for Instrument and Method: See Appendix B Table 1 pp 52-54 for a
complete listing of the instrument and method parameters. Also, see Figures 1a1g in Appendix B for images of the ELAN method screens.
8) Method Procedures
a. Quality Control: Quality control procedures implemented in this method are
defined by the Division Procedures and Practices Guidelines and include two
types of QC systems which are both subjected to the complete analytical
process.
The data from these materials are then used to estimate
methodological imprecision and to assess the magnitude of any time-associated
trends. The concentrations of these materials should cover the expected
concentration range of the analytes for the method. Before QC materials can be
used to judge patient analytical runs, acceptable QC concentration limits must be
calculated from the concentration results observed in at least 20 characterization
runs. During the 20 characterization runs, previously characterized QCs or pools
with target values assigned by outside laboratories should be included to
evaluate the analysis. The process of limits calculation is performed using the
laboratory database and the SAS division QC characterization program.
i. Types of Quality Control:
1. “Bench QC”: The bench QC pools used in this method comprise two levels
of concentration spanning the “low-normal” and “high-normal” ranges of the
analyte of interest. The intent of bench QC is for the analyst to evaluate
the performance of the analytical system on the day of analysis. The
analyst inserts both the “low” and the “high” bench QC specimens two
times in each analytical run (a set of consecutive assays performed without
interruption) so that judgments may be made on the day of analysis. The
first analysis of the two bench QC pools is done after the calibration
standards are analyzed but before any patient samples are analyzed (so
that judgments on the calibration curves may be made before analysis of
patient samples). The second analysis of the two bench QC pools is done
at the end of the run (approximately 20 patient samples total). If more
patient samples are analyzed on the same calibration curve after the
second run of the bench QC, both the low-normal and high-normal bench

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QC must be reanalyzed before and after the additional samples. For
example, the schemes shown in Table 9 p.67 are both acceptable ways to
analyze multiple consecutive “runs”.
2. “Blind QC”: When possible, “blind” QC samples are QC materials placed in
vials, labeled, and processed so that they are indistinguishable from the
subject samples handled by the analyst. Ideally, the supervisor decodes
and reviews the results of the blind specimens without the analyst knowing
of their presence in the runs. When it is not possible to have blind QC
materials processed so that they are indistinguishable by the analyst from
the patient samples, it is acceptable for the analyst to randomly insert into
the run a QC material which only the QC reviewer knows the acceptable
concentration limits for. At least one low-normal concentration and one
high-normal concentration QC material should be kept in the laboratory for
this purpose.
3. External Reference Materials: Materials produced by laboratories outside
of the CDC which have assigned target concentrations can be helpful in
verifying method performance. Samples from previous challenges of
proficiency testing programs (i.e. Centre de Toxicologie du Quebec (CTQ))
can be used. However, only the results for the bench and blind QC
materials are used to determine if the run results can be used.
ii. Calibration Verification:
1. Bi-annual tests as defined in the DLS Policy and Procedures manual:
CLIA requires the verification of accuracy of instrument response to analyte
concentration be completed at least every 6 months. NIST traceable
calibrators are analyzed in each run to define this response up to the
concentration of the highest calibrator in the run. To verify accuracy of
instrument response at concentrations higher than the highest calibrator in
each run, analyze a NIST traceable standard with very high concentrations
(see Table 8 p.66 in the Appendix for concentrations) at least every 6
months. Prepare the Calibration Verification Standard for analysis just as a
working calibrator is prepared. Use the “Blank” as the blank when it is
analyzed. If the observed concentrations for the Calibration Verification
Standard are not within 10% of the target value (see Table 8 p.66 in the
Appendix) the lab supervisor should be notified and the issue should be
investigated. Do not substitute external reference materials (i.e. biological
samples from a PT program) for the Calibration Verification Standard when
performing this. Solutions needed for the Calibration Verification checks
can be purchased from standards vendors (i.e.SPEX, High Purity
Standards, etc . . .) or prepared in-house from NIST traceable single
element standards. Always verify that normal background levels have
been re-achieved through adequate rinse time following analysis of
elevated standards for calibration verification.
a. As-needed confirmations (per supervisor discretion): When a sample
result is greater than the highest calibrator in the run, the supervisor

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may request that the result be confirmed in an analysis run which
includes a standard or external reference material with equivalent
(within 10%) or greater concentration than the sample. In order to
avoid needless contamination of the instrument with high
concentrations of analytes, the analyst should use the lowest
appropriate calibration verification solution concentrations to meet the
need.
For infrequent verification needs, the calibration verification stock
solutions can be used to prepare verification standards to appropriate
concentrations. This will, however, introduce elevated concentrations
of manganese to the sample introduction system.
Frequent
measurement of these very high concentrations can result in high
background levels in the instrument which are difficult to rinse out and
which may limit the ability to measure low concentrations.
For frequent verification needs (i.e. when certain studies have many
elevated results) or when a concentration higher than those shown in
Table 8 p.66 needs to be verified, use NIST-traceable single element
stock standards to prepare single element verification standards. This
will limit the exposure of the instrument to elevated concentrations of
only the elements needing verification.
Always verify that normal background levels have been re-achieved
through adequate rinse time following analysis of elevated standards
for calibration verification. An external reference material (i.e. historical
proficiency testing sample) can be substituted in place of the
Calibration Verification Standard sample in these situations IF:
i.

The target value has been assigned by an external source (i.e.
NIST, or the proficiency testing program).

ii.

The concentration of the external reference material is within 10%
or is higher than the concentration of the material you need it to
confirm.

iii.

There is confidence that there is no contamination of previously
used external reference material.

iv.

A note to file is made that this was done.

v.

If the observed concentrations are not within 10% of the target
value the lab supervisor should be notified and the issue should be
investigated.

b. Daily Analysis of Samples
i. Preparation of the Analytical Equipment
For further details on any part of this description, see the IRAT Daily Startup
SOP for ELAN ICPMS instruments.

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1. Power on the computer, printer, peristaltic pump, and autosampler, and log
into the operating system.
2. Peristaltic pump: Set up the peristaltic pump tubing with proper tension for
the sample rinse station.
3. Software: Start the ESI autosampler and ELAN® ICPMS software from
Windows™.
4. Daily Pre-Ignition Maintenance Checks: Perform daily maintenance checks
as described in the IRAT Daily Startup SOP for ELAN instruments (i.e., Ar
supply pressure, interface component cleanliness and positioning, interface
pump oil condition, vacuum pressure, etc.). Make appropriate notes in the
Daily Maintenance Checklist and Instrument Log Book.
5. Start the Plasma: Press the “Start” button in the software or on the
hardware to ignite the plasma.
a. Start the peristaltic pump: Start the peristaltic pump in the software at
12rpm (using a standard 6 roller peristaltic pump) or 5.4rpm if using a
DXi mini-peristaltic pump. Verify the rotational direction is correct.
6. Aspirate liquid: Place the carrier probe into dilute acid or water.
7. Warm-up time: Allow at least 45 minutes warm-up time for the ICP-DRCMS after igniting the plasma. This warm-up time is for the RF generator.
There will be another “Stability time” for the DRC later in this procedure.
8. Daily Performance Check: After this warm-up time, perform a daily
performance check and any optimizations necessary (as described in the
IRAT Daily Startup SOP for ELANs). Fill in the Daily Maintenance
Checklist according to the optimization procedures performed. Extra detail
than can be documented in the checklist should go into the instrument
logbook.
a. Magnesium (24Mg) may have high RSDs due to the use of Triton-X100
in the rinse solution. Avoid this problem by either temporarily using
non-Triton-containing rinse solution during the daily check, or repeating
the daily check multiple times in succession with no rinse time
between.
b. Saving the Files: Save updated tuning and optimization parameters to
the “default.tun” and “default.dac” files, respectively.
9. Software setup for Analysis:
a. Workspace
(files
&
folders):
Open
the
default
(“CDC_WBMP2_methITB006A_.wrk”) or your own personalized
workspace in the ELAN software. Verify & set up the correct files and
data directories for your analysis (See Table 1 pp 60-62 “File Names &
Directories“).
b. Samples / Batch Window: Update software to reflect the current
sample set. The only fields which need to be filled in include the

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autosampler location, sample identification (id), measurement action,
method, sample flush time, sample flush speed, read delay time, read
delay & analysis speed, wash time, wash speed. Use a bar code
scanner to input data whenever possible. See Table 1 pp 60-62 for
times and speeds. Save the Sample window file and re-use it on other
days by simply replacing the sample IDs for the patient samples.
1. DRC Stability Time: Best analyte-to-internal standard ratio
stability is typically obtained after 1-1.5 hrs of repeated
analysis of blood samples using the DRC method. Analyze
enough “dummy” blood sample dilutions prior to any DRC
analysis run to fill 1-1.5 hours of analysis time. See Table 10
p.68 for example of setup in the Samples / Batch window.
2. Blood vs. Aqueous Method Files:
a. The difference: There are two ELAN method files for this
one method (see Table 1 pp 61-62). It is necessary to use
both to accomplish each run because the current
PerkinElmer software will not allow for more than one blank
per method file. The ONLY DIFFERENCE between these
two files is on the Sampling tab where one lists the
autosampler positions of the blood blank and blood
calibrators (the “bldblk” method file) and the other lists the
autosampler position of the aqueous blank (the “aqblk”
method file).
b. Use: The ONLY TIME when it matters which of these files
is used is when the measurement action includes “Run
blank” or “Run standards”. When the measurement action
is only ‘run sample’, it does not matter whether the “bldblk”
or “aqblk” method file is used. Analysts typically follow the
pattern below, however, for the sake of consistency and as
a reminder of which blank must be used for which type of
sample. See Table 10 p.68.
i. The “bldblk” method file: Use to analyze the initial
blood blank (blank for the calibration curve), the blood
calibrators, and the blood blank checks (WB Blank &
WB Blank 2) at the very beginning of the run. The
blood blank method defines the blood blank in
autosampler location 105 and the blood calibration
standards 1-5 in autosampler locations 106-110,
respectively.
ii. The “aqblk” method file must be used to analyze all QC
materials and patient samples. The aqueous blank
method (set up for a ESI SC4 autosampler) defines the
aqueous blank in autosampler location 113.

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3. Notation of Dilutions: To designate an extra dilution of a
sample, edit the sample ID to reflect the level of dilution being
performed (e.g., A 1:2 dilution of sample 1 would be reflected
in the sample ID “sample 1 (2x dilution)”. This sample ID will
be edited during the data-import process to the database so
that it is recognized as the appropriate sample. Do not use
the ELAN® software to automatically correct for sample
dilutions. Extra dilution is performed on blood samples whose
concentration is greater than the concentrations listed in Table
8 in Appendix B (linearity of the method has been documented
up to these concentrations).
c. Method file modifications: This method can also be used to analyze
whole human blood samples for a subset of the listed samples (i.e. Pb
only). To do this delete the unnecessary elements from the method
windows (bldblk and aqbkl) and save the file with a descriptive name
such
as
“WBMP2_DLS3016_bldblk_Pb_only.mth”
and
“WBMP2_DLS3016_aqblk_Pb_only.mth”.
ii. Preparation of Samples for Analysis (See Table 6 in Appendix B)
1.

Thaw the frozen blood specimens; allow them to reach ambient
temperature.

2.

Prepare enough DRC stability sample to be analyzed for 1-1.5 hr before
the beginning of the run.
This can be prepared using 50 mL
polypropylene tubes or a wide-mouth bottle (which can be put on the
autosampler in place of one of the tube trays).

3.

Set up a series of 15 mL polypropylene tubes corresponding to the
number of blanks, standards, QCs, and patient samples to be analyzed.

4.

Prepare the following solutions in the 15 mL falcon tubes using the
Digiflex™ (see Table 6 p.65 for a summary).
a. Aqueous Blank: Prepare two aqueous blanks consisting of 200 L of
>18 Mega-ohm·cm water and 4800 L of diluent. One will be the
actual aqueous blank and the other will be a backup (“Aqueous Blank
Check”) in case the original aqueous blank gets contaminated.
b. Blood Blank (Std 0): Prepare three blood blank dilutions consisting of
100 L of base blood (same material used to prepare the blood
calibration standards), 100 L of > standard zero (3% (v/v) HCl), and
4800 L of diluent. One of these blood blanks will be the blank for the
calibration standards; the other will be analyzed after standard 5 as
BldBlkChk.
c. Calibrators: Prepare the working calibration standards as 100 L of
the appropriate aqueous intermediate working calibration standard,
100 L of base blood, and 4800 L of diluent.

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d. Patient & QC Samples: Before taking an aliquot for analysis, mix the
sample on the vortex for approximately 15 seconds. Prepare blood
sample dilutions as 4,800 L of diluent and 100 L of the blood sample
and 100 L of >18 Mega-ohm·cm water.
e. Cap all of the blanks, standards, and samples and mix them on the
Vortex for approximately 10 seconds. Uncap them and place them in
the autosampler of the ELAN® ICPMS in the order that was entered in
the Samples / Batch window of the ELAN software.
iii. Specimen Storage and Handling During Testing: Specimens may be left at
room temperature during analysis in case confirmation analyses must be
made. Take stringent precautions to avoid external contamination by the
metals to be determined. Specimens may be stored short term at refrigerated
temperatures, but should be stored long term (>4 weeks) at ≤ -20 °C.
NOTE: Samples must be analyzed within 24 hours of preparation to obtain
valid results for selenium. The method has been validated to produce valid
results for other Pb, Cd, Hg, and Mn even 48 hrs after sample preparation.
See critical parameter test #1 in Appendix A for details.
iv. Starting the Analysis: Begin the analysis using the ELAN software.
v. Monitoring the Analysis: It is preferable to initiate work early enough in the day
to permit the entire run to be monitored. If it is not possible to complete the
analysis by the end of the work day, the run may be left to complete itself
unattended as long as appropriate planning is made for either overnight
operation or Auto Stop (see below).
Monitor the analysis for the following:
1. DRC stability (analyte / internal standard ratio stability)
After the analysis of the DRC stability “dummy” samples, the stability of the
analyte / internal standard ratios across these samples indicates the
instrument stability going into the run.
2. Proper operation of the instrument.
3. Contaminated blanks.
4. Linear calibration curves.
a. Typical correlation coefficients will be 0.999 to 1.000.
b. The ELAN software generates a “simple linear” calibration curve (using
a least squares calculation) for manganese in this method. The curves
are generated using the results from analysis of the blood blank and
the 5 external blood calibrators whose concentrations are defined in
the Calibration tab of the Method file. Specifically, the software plots
the “net intensity” (y-axis) versus the analyte concentration (x-axis).
The “net intensity” is the blank subtracted ratio of the measured

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intensity for the analyte to the measured intensity of the associated
internal standard and is calculated as follows:

net int ensity 

Analyte Meas Intensity sample
Internal Std Meas. Intensity sample



Analyte Meas Intensity Blank
Internal Std Meas Intensity Blank

`
c. Points (1-2) may be removed from the calibration curve if necessary to
provide appropriate correlation coefficients. It is preferable, however,
to re-analyze problematic calibration standards rather than dropping
points. Recurring problems with calibration standards should be
resolved expeditiously.
5. Bench QC results within the acceptable limits.
If an analyte result for the beginning QC material(s) falls outside of the 99%
limits, then the following steps are recommended:
a. If a particular calibration standard is obviously in error, remake a new
dilution at the Digiflex of that working calibrator, reanalyze it, and
reprocess the sample analyses using this new result as part of the
calibration curve.
b. Prepare a fresh dilution of the failing QC material and reanalyze it.
c. Prepare fresh dilutions at the Digiflex of all of the calibration standards
(working blood multi-element standards) and reanalyze the entire
calibration curve using the freshly prepared standards.
If these three steps do not result in correction of the out-of-control values
for QC materials, consult the supervisor for other appropriate corrective
actions. Do not report analytical results for runs that are not in statistical
control.
6. Good precision among replicates.
7. Consistent measured intensities of the internal standards.
Some sample-to-sample variations are to be expected. However the
intensities should be within a few percent of one another, and should
fluctuate around an average value (not drift continuously in one direction).
8. Elevated patient results: Confirmation by repeat measurement will be
required for any result greater than the “1st upper boundary” (see Section
8.b.viii.2). A calibration verification check of equal or greater concentration
must be analyzed in the same run as the elevated study sample result if it
is to be used for reporting (see Section 8.a.ii.2).
vi. Records of Results: Run results will be documented daily in both electronic
and paper form.
1. Electronic Records:

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a. Transfer of Results to the Laboratory Information System / Database:
Transfer data electronically between computers or software to reduce
errors. When keyboard entry must be used, proofread transcribed
data after entry.
b. Long-Term Storage of ELAN software files: Files used and produced
by the ELAN software in analyzing samples will be backed up long
term on compact disk and kept a minimum of three years.
2. Paper Records: The paper copy of the results from the run should be put
into the study folder(s) and should include
a. A summary of the calibration curve statistics.
b. A printout of analysis of each measurement made during the run.
c. On the front sheet of the printed records, write the following
i.

Analyst initials

ii.

Instrument ID

iii.

Date of Analysis

iv.

Run # for the day on this instrument

v.

Study ID and Group Number

vi.

Database batch ID (Not known until the run is imported into the
database)

vii. Transfer of Results to the Laboratory Database: Every analytical run
performed for the analysis of patient samples should be entered into the
laboratory results database unless the run is not useable for obvious reasons
(e.g. the run is stopped for some reason before ending QC is analyzed, no
internal standard spiked into the diluent, etc. . . ).
1. Data Export Process (from ELAN® software to .TXT file): If the data file
was not created during the initial analysis, reprocess the data of interest
either with “original conditions” option, or by loading the method file used
during the analysis. Use report options file “CDC_Database Output.rop”
and type in a descriptive report filename using a format such as “20050714a_DRC2F_group55.txt” to designate data from analysis of group 55
from July 14, 2005, run #1 of instrument “DRC2F”. Under “Report Format”,
choose the “Use Separator” option, and under the “File Write” section,
choose “Append.”
2. Data Import Process (from .TXT file to Laboratory Information System):
a. Move the .TXT file created in the data export process to the
appropriate subdirectory on the network drive where exported data are
stored. Directories for data storage are named according to instrument
\ year \ month.
b. Import the instrument file into the LIMS.

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c. Enter the appropriate information to identify the instrument, assay,
analysis date & time, run number, analyst, calibrator lot number and
prep date used (use the “IS Lot Number” field) and study. If other than
default values for Method LOD, High Calibrator, Rep Delta Limit, and
units were used in the run, document accordingly.
d. In the “Import Instrument Results” table, correct sample IDs and
document dilution factors if dilution factor notations were added to the
ID in the ELAN software prior to analysis.
e. Once transferred into the database, the data should be evaluated for
QC pass / fail, then appropriate settings entered for QC accept / reject,
final value status, and comments.
viii. Analyst Evaluation of Run Results:
1. Bench Quality Control: After completing a run, and importing the results
into the LIMS, export the QC results to the SAS program where the
analytes in the run will be judged to be in or out of control. The QC limits
are based on the average and standard deviation of the beginning and
ending analyses of each of the bench QC pools, so it will not be possible to
know if the run is officially accepted or rejected until it is completed.
a. Quality Control Rules: The SAS program applies the division QC rules
to the data as follows:
i.

If both QC run means (low & high bench QC) are within 2Sm limits
and individual results are within 2Si limits, then accept the run.

ii.

If 1 of the 2 QC run means is outside a 2Sm limit - reject run if:
1. Extreme Outlier – Run mean is beyond the characterization
mean +/- 4Sm
2. 1 3S Rule - Run mean is outside a 3Sm limit
3. 2 2S Rule - Both run means are outside the same 2Sm limit
4. 10 X-bar Rule – Current and previous 9 run means are on
same side of the characterization mean

iii.

If one of the 4 QC individual results is outside a 2Si limit - reject
run if:
1. R 4S Rule – Within-run ranges for all pools in the same run
exceed 4Sw (i.e., 95% range limit)

Note: Since runs have multiple results per pool for 2 pools, the R 4S
rule is applied within runs only.
Abbreviations:
Si = Standard deviation of individual results (the limits are not shown
on the chart unless run results are actually single
measurements).

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Sm = Standard deviation of the run means (the limits are shown on the
chart).
Sw = Within-run standard deviation (the limits are not shown on the
chart).
iv.

Implications of QC Failures: If the division SAS program declares
the run out of control”, then all results from the run are invalid for
reporting from the run. Set all run results as “QC Rejected” in the
database.

2. Patient Results:
a. Elevated Results:
i.

Boundaries Requiring Confirmatory Measurement:
1. Results Greater than the First Upper Boundary (1UB):
Concentrations observed greater than the “first upper
boundary” (defined in the laboratory database as the “1UB”)
should be confirmed by repeat analysis of a new sample
preparation. The concentration assigned to the 1UB for an
element is determined by study protocol but default
concentrations are in Table 11 p.69 in the Appendix. Report
the original result, as long as the confirmation is within 10% of
the original.
Continue repeat analysis until a concentration
can be confirmed.
2. Results Greater Than Highest Calibrator: When a sample
result is greater than the highest calibrator in the run, the
supervisor may request that the result be confirmed in an
analysis run which includes a standard or external reference
material with equivalent (within 10%) or greater concentration
than the sample.
3. Results Greater Than Calibration Verification Standard:
Perform an extra dilution on any blood sample whose
concentration is greater than those listed in Table 8 p.66 in the
Appendix (the linearity of the method has been documented up
to these concentrations). See Table 6 p.65 for description of
sample preparation with extra dilution.

ii.

Inadequate Precision in Confirmation of a Measurement: If a
sample is reanalyzed to obtain a confirmation of an initially
elevated result, the confirmation should be within 10% of the
original result.

iii.

Analyst Reporting of Elevated Results: Concentrations observed
greater than the “second upper boundary” (defined in the
laboratory database as the “2UB”) should be reported to the QC
reviewer as an “elevated result”. The concentration assigned to
the 2UB for an element is determined by study protocol but default

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concentrations are in Table 11 of Appendix B. The analyst should
report any patient results confirmed to be greater than the second
upper boundary to the QC reviewer as an “elevated result”. There
is no routine notification for elevated levels for the metals
determined in this method. The protocol for supervisors reporting
elevated results to medical personnel is defined according to the
study protocol.
b. Inadequate Precision Within One Measurement: If the range of the
three replicate readings (maximum replicate concentration value minimum replicate concentration value) for a single sample analysis is
greater than the criteria listed in Table 11 of Appendix B (“>Lim Rep
Delta” in the database) and the range of the three replicate readings is
greater than 10% of the observed concentration, do not use the
measurement for reporting. Repeat the analysis of the sample.
ix. Submitting final work for Review: Once results have been imported, reviewed,
and set as final in the database by the analyst,
1. Submit an email to the QC reviewer informing them of the readiness of the
data for final review. The email should follow requirements specified by the
QC reviewer and will include:
a. Instrument ID, run Date, run number, study ID, group ID.
b. Any bench QC failures (include reasons if known).
c. Any patient sample result greater than the 2UB boundaries (see Table
11 in Appendix B).
d. Anything out of the ordinary about this analytical work which could
have a bearing on the availability (i.e. insufficient sample to analyze),
accuracy, or precision of the results.
2. Include all items called for by the study folder cover sheet in the study
folder (i.e. printouts from the ICP-MS, bench QC evaluation) together in the
study folder before submitting the folder for review when analysis is
complete.
x. Overnight operation or Using Auto Stop: Make every effort to complete
analysis within the work day so that the entire run can be monitored. If it is not
possible to complete the analysis by the end of the work day, the run may be
left to complete itself unattended as long as appropriate planning is made for
either overnight operation or Auto Stop.
1. 24 hrs / day operation in DRC mode:
a. To reduce startup time in the mornings, the analyst is encouraged to
operate the ELAN in DRC mode 24hrs/day during the work week. This
eliminates the need for daily 45 minute RF generator warm-up, and
possibly the need for DRC stability time (if the DRC gas is not off for
extended periods of time before analysis). To maintain the instrument
in DRC mode when not analyzing patient samples, setup multiple

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 51 of 88

sample rows in the Samples / Batch window with autosampler position
in zero (rinse station of autosampler) and wash time of 1800s (30
minutes).
Repeat this sample row enough times to keep the
instrument in analysis mode overnight (1 sample with 15 minute wash
will take ~ 25 minutes).
2. AutoStop: If 24 hrs / day ELAN operation is not desired, the instrument
can shut the plasma off unattended after analysis. Setup this as follows:
a. On the “Auto Start / Stop” tab of the Instrument window, enable the
Auto Stop feature.
b. Press the “Change” button within the Auto Stop box and set the
Delayed shutdown time to 5 minutes. This will rinse the sample
introduction system of blood matrix before turning off the plasma.
c. It will be necessary to replace the sample peristaltic pump tubing the
next day since it will have been clamped shut overnight.
c. Equipment Maintenance: Analysts are expected to follow a 4-day analysis / 1day maintenance schedule in the laboratory.
i. ICPMS Maintenance: On the maintenance day, perform all maintenance per
the IRAT ELAN ICP-MS Weekly Maintenance SOP.
All equipment
maintenance should be documented in the instrument checklist and logbook.
ii. Data Backup: Data on the ELAN computer will be backed up via two backup
routines.
1. Daily Backups to External Hard Drive: Automatic backups of the “elandata”
directory and all subdirectories should be programmed to occur each night
onto an external hard disk using a three-file rotating backup scheme.
2. Weekly Backup to CD: Backup all files in the active “elandata” directory
and all subdirectories onto one recordable compact disc during the weekly
maintenance SOP. When the active “elandata” directory on the ICP-DRCMS computer hard drive becomes too large to fit onto a single recordable
compact disk, the oldest data can be removed from the computer to make
it easier to backup the entire directory weekly. This can usually be done
annually.
a. Backup the oldest data on the hard drive to two duplicate compact
disks and verify that the files on the CD are readable
b. Label them with the name of the instrument, the date range of the data,
the current date, your name, and “Copy 1 of 2” or “Copy 2 of 2”
c. After verifying that the CDs are readable, the oldest, backed up data
can be deleted from the ICP-MS computer hard drive.
d. It is best to not store duplicate copies in the same location.

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 52 of 88

9) Interpretation of the Results
a. Reportable Range: Whole blood metals values are reportable in the range
between the method LOD (see Section 10.a) and the highest concentration
verified accurate by bi-annual calibration verification tests (see Appendix, Table 8
in Appendix B). For example, if a blood metals concentration is less than the
method LOD, report it as < LOD. Above the highest concentration verified, extra
dilutions are made of the blood sample to bring the concentration within the
verified range.
b. Reference Ranges (Normal Values): See Appendix B, Table 12.
c. Action Levels: Concentrations observed greater than the “second upper
boundary” (defined in the laboratory database as the “2UB”) should be reported
to the QC reviewer as an “elevated result”. The concentration assigned to the
2UB for an element is determined by study protocol but default concentrations
are listed in Table 11 in Appendix B. The analyst should report any patient
results confirmed to be greater than the second upper boundary to the QC
reviewer as an “elevated result”. The protocol for supervisors reporting elevated
results to medical personnel is defined according to the study protocol. Levels of
concern for mercury in blood are >100 g/L for children (6 yr and younger) and
>200 g/L for adults. Levels of concern for lead in blood are 25 g/dL for
children (6yr. and younger) and 40 g/dL for adults. Levels of concern for
cadmium in blood is >5 g/L.
10) Method Calculations
a. Method Limit of Detection (LODs): The method detection limits for elements in
blood specimens are defined as 3 times s0, where s0 is the estimate of the
standard deviation at zero analyte concentration. S0 is taken as the y-intercept of
a linear or 2nd order polynomial regression of standard deviation versus
concentration (4 concentration levels of the analytes in blood each measured 60
times across at least a 2-month timeframe). Method LODs are re-evaluated
periodically.
b. Method Limit of Quantitation (LOQ): The Division of Laboratory Sciences does
not currently utilize limits of quantitation in regards to reporting limits [58].
c. QC Limits: Quality control limits are calculated based on concentration results
obtained in at least 20 separate runs. It is preferable to perform separate
analyses on separate days and using multiple calibrator lot numbers,
instruments, and analysts to best mimic real-life variability. The statistical
calculations are performed using the SAS program developed for the Division of
Laboratory Sciences (DLS_QC_compute_char_stats.sas).
11) Alternate Methods for Performing Test and Storing Specimens If Test System
Fails:
If the analytical system fails, the analysis may be setup on other ELAN DRC
instruments in the laboratory. If no other instrument is available, store the
specimens at 4°C until the analytical system can be restored to functionality. If

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 53 of 88

interruption longer than 4 weeks in anticipated, then store blood specimens at ≤ 20°C.

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 54 of 88

Appendix A: Critical Parameter Test Results
Critical Parameter Test #1: This test documents that accurate results are attainable if
something prevents a set of prepared samples from being analyzed immediately (per
method). Samples which have been diluted 1+1+48 for analysis up to one (1) day (~29
hours) previously can still be analyzed. Results are presented in Table 1.
Test Details:
Day 1: Prepare a set of dilutions (calibrators, blanks, reference material, fake samples)
for analysis in triplicate (three separate sets of tubes).Analyze the first set
immediately (normal practice). Cap sets #2 and #3 and leave at room
temperature for later analysis.
Day 2: Prepared run set #4 and analyzed it sequentially with run set #2 using normal
method practices.
Day3: Prepared run set #5 and analyzed it sequentially with run set #3 using normal
method practices.

QMEQAS
10B-06*

QMEQAS
07B-03*

HB08708
_WB2

LB08707
_WB2

Table 1. Ruggedness Testing Results: Evaluating the significance of time from preparation
to analysis on sample stability. Test performed on December 6 – 8, 2010 by Deanna Jones.
Results below are the average of the beginning and ending QC results for each analytical
run.
Time, prep to
ID
Hg (µg/L)
Pb (µg /dL)
Cd (µg /L)
Mn (µg /L) Se (µg /L)
analysis
Target Mean
0.585
2.12
0.488
7.98
0.407
–
0.763
2.03
–
2.21
0.398
–
0.578
6.91
– 9.05
and 2SD Range
0.418
2.03
0.399
6.09
0 hr
0.504
1.99
0.419
7.06
24 hr
0.396
2.04
0.509
7.82
48 hr
Target Mean
6.19
10.1
3.14
14.9
5.89 – 6.48
9.84 – 10.3
2.94 – 3.34
13.5 – 16.4
and 2SD Range
5.86
10.0
3.03
12.5
0 hr
5.46
9.5
2.85
13.6
24 hr
2.64
9.2
2.79
13.5
48 hr
Target Mean
228
213 - 243
and 2SD Range
192
0 hr
202
24 hr
56
48 hr
Target Mean
239
223 - 255
and 2SD Range
212
0 hr
221
24 hr
62
48 hr
*samples purchase from Le centre de toxicology du Quebec (Quebec, Canada)

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 55 of 88

Appendix A: Critical Parameter Test Results (Continued)
Critical Parameter Test #2: This test evaluated the significance of the RF Power setting
of the ICP when analyzing blood samples for whole blood metals. The RF Power
setting per method is 1450W. The reduced and elevated settings tested are 1150W
and 1600W, respectively. Results are presented in Table 2.
Test Details:
1. Prepare a set of dilutions (calibrators, blanks, reference material, dummy samples)
for analysis in triplicate (three separate sets of tubes).
2. Analyze them in three separate runs on the same day, same instrument.
3. Change the RF Power across the runs
4. Allow 15 minutes equilibration time between runs for RF Power to stabilize

QMEQAS08
B-08*

QMEQAS08
B-02*

HB08708_W
B2

LB08707_W
B2

Table 2. Ruggedness Testing Results: Evaluating the significance of RF Power setting on
sample stability. Test performed on December 6 and December 10, 2010 by Deanna Jones.
Results below are the average of the beginning and ending QC results for each analytical run.
ID
RF Power (W)
Hg (µg /L)
Pb (µg /dL)
Cd (µg /L)
Mn (µg /L)
Se (µg /L)
Target Mean
0.585
2.12
0.488
7.98
and 2SD Range 0.407 – 0.763 2.03 – 2.21 0.398 – 0.578 6.91 – 9.05
0.517
2.09
0.432
7.35
1150 W
1450 W
0.512
2.03
0.369
6.76
(per method)
0.529
2.02
0.418
7.17
1600 W
Target Mean
6.19
10.1
3.14
14.9
5.89 – 6.48
9.84 – 10.3
2.94 – 3.34
13.5 – 16.4
and 2SD Range
5.90
10.0
2.93
13.7
1150 W
1450 W
6.23
10.2
2.90
12.8
(per method)
5.99
10.1
3.07
13.3
1600 W
Target Mean
293
273
- 313
and 2SD Range
269
1150 W
1450 W
288
(per method)
314
1600 W
Target Mean
165
154 - 176
and 2SD Range
179
1150 W
1450 W
147
(per method)
146
1600 W
*samples purchase from Le centre de toxicology du Quebec (Quebec, Canada)

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 56 of 88

Appendix A: Critical Parameter Test Results (Continued)
Critical Parameter Test #3: This test evaluated the significance of the dynamic reaction
cell gas flow rate of the reaction gas (oxygen and methane) while analyzing blood
samples for elements analyzed in DRC mode (Hg, Mn, and Se). The cell gas flow rate
for Mn and Hg is methane (CH4) and the per method setting is 1.2 mL/min. The cell gas
flow rate for Se is oxygen (O2) and the per method setting is 0.84 mL/min. The reduced
and elevated settings for O2 are 0.96 mL/min and 1.44 mL/min, respectively. The
reduced and elevated settings for CH4 are 0.7 mL/min and 1.0 mL/min, respectively.
The Results are presented in Tables 3 and 4.
Test Details:
1. Prepare a set of dilutions (calibrators, blanks, reference material, dummy samples)
for analysis in triplicate (three separate sets of tubes).
2. Analyze them in three separate runs on the same day using the same instrument.
3. Change the cell gas flow rate.

HB08708_WB2

LB08707_WB2

Table 3. Ruggedness Testing Results: Evaluating the significance of dynamic reaction cell
gas flow rate on sample stability. Test performed on December 6, 2010 and January 4, 2010
by Deanna Jones. Results below are the average of the beginning and ending QC results for
each analytical run.
Cell Gas
ID
Hg (µg /L)
Pb (µg /dL)
Cd (µg /L)
Mn (µg /L) Se (µg /L)
Flow Rate
Target Mean
0.585
2.12
0.488
7.98
0.407
–
0.763
2.03
–
2.21
0.398
–
0.578
6.91
– 9.05
and 2SD Range
0.96 mL/min O2;
0.457
2.10
0.471
8.49
0.7 mL/min CH4
1.2 mL/min O2;
0.479
2.10
0.438
8.15
0.84 mL/min CH4
1.44 mL/min O2;
0.555
2.11
0.457
8.12
1.0 mL/min CH4
See
Table 4
Target Mean
6.19
10.1
3.14
14.9
5.89 – 6.48
9.84 – 10.3
2.94 – 3.34
13.5 – 16.4
and 2SD Range
0.96 mL/min O2;
4.71
10.0
3.19
14.4
0.7 mL/min CH4
1.2 mL/min O2;
5.45
10.1
2.92
15.2
0.84 mL/min CH4
1.44 mL/min O2;
5.34
10.3
3.04
14.6
1.0 mL/min CH4

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 57 of 88

Appendix A: Critical Parameter Test Results (Continued)

QMEQAS08B-02*

QMEQAS07B-09*

Table 4. Ruggedness Testing Results: Evaluating the significance of dynamic reaction cell
gas flow rate on sample stability. Test performed on December 6, 2010 and January 4, 2010
by Deanna Jones. Results below are the average of the beginning and ending QC results for
each analytical run.
Cell Gas
ID
Hg (µg /L)
Pb (µg /dL)
Cd (µg /L)
Mn (µg /L) Se (µg /L)
Flow Rate
Target Mean
157
146
- 168
and 2SD Range
0.96 mL/min O2;
187
0.7 mL/min CH4
1.2 mL/min O2;
186
0.84 mL/min CH4
1.44 mL/min O2;
191
1.0 mL/min CH4
See
Table 3
Target Mean
293
273 - 313
and 2SD Range
0.96 mL/min O2;
328
0.7 mL/min CH4
1.2 mL/min O2;
334
0.84 mL/min CH4
1.44 mL/min O2;
339
1.0 mL/min CH4
*samples purchase from Le centre de toxicology du Quebec (Quebec, Canada)

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 58 of 88

Appendix A: Critical Parameter Test Results (Continued)
Critical Parameter Test #4: This test evaluated the significance of the RPq value while
analyzing blood samples for Se, Mn and Hg. The RPq value setting per method for Mn
and Hg is 0.6, and for Se it is 0.65. The reduced and elevated RPq values for Mn an Hg
are 0.48 and 0.72, respectively. The reduced and elevated RPq values for Se are 0.52
and 0.78, respectively. The results are presented in Tables 5 and 6.
Test Details:
1. Prepare a set of dilutions (calibrators, blanks, reference material, fake samples) for
analysis in triplicate (three separate sets of tubes).
2. Analyze them in three separate runs on the same day, using the same instrument.
3. Change the RPq value.
Table 5. Ruggedness Testing Results: Evaluating the significance of RPq value on sample
stability. Test performed on December 21, 2010 by Deanna Jones. Results below are the
average of the beginning and ending QC results for each analytical run.

HB08708_WB2

LB08707_WB2

ID

RPq

Hg (µg /L)

Pb (µg /dL)

Cd (µg /L)

Mn (µg /L)

Target Mean
and 2SD Range
0.48 Mn and Hg;
0.52 Se
0.6 Mn and Hg;
0.7 Se
0.72 Mn and Hg;
0.78 Se
Target Mean
and 2SD Range
0.48 Mn and Hg;
0.52 Se
0.6 Mn and Hg;
0.7 Se
0.72 Mn and Hg;
0.78 Se

0.585
0.407 – 0.763

2.12
2.03 – 2.21

0.488
0.398 – 0.578

7.98
6.91 – 9.05

0.455

1.97

0.361

7.86

0.418

2.03

0.399

6.09

0.402

2.07

0.402

7.99

6.19
5.89 – 6.48

10.1
9.84 – 10.3

3.14
2.94 – 3.34

14.9
13.5 – 16.4

5.54

9.4

2.79

14.4

5.86

10.0

3.03

12.5

5.53

9.7

2.88

14.9

Se (µg /L)

See
Table 6

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 59 of 88

Table 6. Ruggedness Testing Results: Evaluating the significance of RPq value on sample
stability. Test performed on December 21, 2010 by Deanna Jones. Results below are the
average of the beginning and ending QC results for each analytical run.
ID

RPq

Hg (µg /L)

Pb (µg /dL)

Cd (µg /L)

Mn (µg /L)

QMEQAS08B-02*

QMEQAS07B-09*

Target Mean
and 2SD Range
0.48 Mn and Hg;
0.52 Se
0.6 Mn and Hg;
0.7 Se
0.72 Mn and Hg;
0.78 Se
See
Table 5
Target Mean
and 2SD Range
0.48 Mn and Hg;
0.52 Se
0.6 Mn and Hg;
0.7 Se
0.72 Mn and Hg;
0.78 Se
*samples purchase from Le centre de toxicology du Quebec (Quebec, Canada)

Se (µg /L)
293
273 – 313
262
250
277
361
337 - 385
347
349
364

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 60 of 88

Appendix A: Critical Parameter Test Results (Continued)
Critical Parameter Test #5: This test evaluated the significance of the Axial Field
Voltage (AFT) while analyzing blood samples for whole blood metals. The Axial Field
Volatge may vary on each instrument. The Axial Field Voltage was increased and
decreased by 20%. The results are presented in Table 7.
Test Details:
1. Prepare a set of dilutions (calibrators, blanks, reference materials, fake samples) for
analysis in triplicate (three separate sets of tubes).
2. Analyze them in three separate runs on the same day, same instrument.
3. Change the AFV value +/- 100 V.

QMEQAS0
9B-08*

QMEQAS
07B-09*

HB08708_
WB2

LB08707_
WB2

Table 7. Ruggedness Testing Results: Evaluating the significance of Axial Field Voltage on
sample stability. Test performed on December 20, 2010 by Deanna Jones. Results below are
the average of the beginning and ending QC results for each analytical run.
Axial Field
ID
Hg (µg /L)
Pb (µg /dL)
Cd (µg /L)
Mn (µg /L) Se (µg /L)
Voltage
Target Mean
0.585
2.12
0.488
7.98
0.407 – 0.763 2.03 – 2.21 0.398 – 0.578 6.91 – 9.05
and 2SD Range
0.511
2.00
40.415
7.77
(decreased)
0.461
2.04
0.394
6.36
(per method)
0.414
2.01
0.376
6.95
(increased)
Target Mean
6.19
10.1
3.14
14.9
5.89 – 6.48
9.84 – 10.3
2.94 – 3.34
13.5 – 16.4
and 2SD Range
5.50
9.8
2.91
14.3
(decreased)
5.62
9.8
2.84
12.0
(per method)
5.75
10.1
2.99
12.8
(increased)
Target Mean
157
146 – 168
and 2SD Range
139
(decreased)
147
(per method)
138
(increased)
Target Mean
548
511 - 585
and 2SD Range
501
(decreased)
556
(per method)
532
(increased)
*samples purchase from Le centre de toxicology du Quebec (Quebec, Canada)

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 61 of 88

Appendix B
Table 1. Instrument and Method Parameters.
Instrument: PerkinElmer ELAN DRC II ICP-MS
ESI SC4 autosampler with (optional) PC3 Peltier cooled spray chamber
Optimization Window Parameters
RF power 1.45 KW
Plasma Gas Flow (Ar) 15 L/min
Auxiliary Gas Flow (Ar) 1.2 L/min
Nebulizer Gas Flow (Ar) ~0.90 – 1.0 L/min (optimized as needed for sensitivity)
Ion Lens Voltage(s) AutoLens (optimized as needed for sensitivity)
QRO, CRO, CPV, Optimized per instrument by service engineer, or advanced
Discriminator Threshold user.
Parameters of x-y alignment, nebulizer gas flow, AutoLens voltages, mass calibration,
and detector voltages are optimized regularly. Optimization file name = default.dac.
Configurations Window Parameters
Cell Gas Changes Pressurize Delay (From Standard to DRC mode) = 60
Pause Times Exhaust Delay (From DRC to Standard mode) = 30
Flow Delay (Gas changes while in DRC mode) = 30
Channel Delay (Gas channel change in DRC mode) = 30
File Names & Directories
Method file names calibration curve (programmed for blood blank)
WBMP2_DLS3016_bldblk.mth
For QC & patient sample analysis
(programmed for aqueous blank)
WBMP2_DLS3016_aqblk.mth
Dataset Create a new dataset subfolder each day. Name as “20110820” for all work done on August 20, 2011
Sample File Create for each day’s work
Report file name For sample results printouts
cdc_quant comprehensive.rop

Tuning
Optimization
Calibration
Polyatomic
Report Options
Template (transferring
results to the database)

For calibration curve information
CDC_Quant Comprehensive (calib curve info).rop
Default.tun
Default.dac
N/A
elan.ply
CDC_Database Output.rop
Report Format Options: select only “Use Separator”
File Write Option: Append
Report File name: include date, instrument, and group
being analyzed in file name (i.e. 2005-0311b_DRC2A_HM0364.txt)

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 62 of 88

Table 1. Instrument and Method Parameters.
Method Parameters
Method Parameters:
Sweeps/reading
Readings/replicate
Replicates
Enable QC Checking
Isotopes Monitored
and Internal Standard
Associations
(Exact Mass)
Dwell Times

Timing Page (see Figures 1a, 2a and 2d in Appendix B)
30
1
3
Off
use 103Rh, 130Te, 193Ir as internal standards
103
Rh (102.905): 55Mn (54.93805)
130
Te(129.907): 202Hg (201.971), 80Se(79.9165)
193Ir(192.963):208Pb(207.977), 114Cd(113.904)
100 ms for 55Mn,202Hg, 80Se, 208Pb, and 114Cd
50 ms for 130Te,103Rh, and 193Ir

Scan Mode Peak Hopping for all isotopes (1 MCA channel)
DRC channel A Gas 99.999% Methane (5-7 psig delivery pressure)
Flow Rate typically 0.84 L/min *
*optimized per instrument, and periodically verified
DRC channel B Gas 99.99% Oxygen (5-7 psig delivery pressure)
Flow Rate typically 1.2 L/min *
*optimized per instrument, and periodically verified
RPa 0 for all isotopes
Typically*
0.6 for 103Rh,55Mn,130Te, and 202Hg.
0.65 for 130Te and 80Se.
RPq
0.25 for 193Ir, 208Pb, and 114Cd
Use the same RPQ for each analyte and its IS.
(* Optimize per instrument, and periodically verified)
Method Parameters: Processing Page (see Figures 1b in Appendix B)
Detector mode Pulse
Process Spectral Peak N/A
AutoLens On
Isotope Ratio Mode Off
Enable Short Settling Off
Time
Blank subtraction After internal standard
Measurement units Cps
Process Signal Profile N/A
Method Parameters: Equations Page (see Figures 1c in Appendix B)
Equations None
Method Parameters: Calibration Page (see Figures 1d in Appendix B)
Calibration Type External Std.
Curve type Simple Linear

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 63 of 88

Table 1. Instrument and Method Parameters.
Sample units “g/L” or “ppb”
Calibration Standard Mn: 1.5, 4.5, 10.5, 15, 30
Concentrations (g/L) Cd, Hg: 0.5, 1.5, 3.5, 5, 10
Pb (µg /dL): 1, 3, 7, 10, 20
Se: 30, 90, 210, 300, 600
Method Parameters: Sampling Page (see Figures 1e and 1f in Appendix B)
“Peristaltic Pump Under On
Computer Control”
Sample Flush 6s at 1.5 rpm
Read Delay 60s at 1.5 rpm
Wash 40s at 1.5 rpm
Autosampler Locations For calibration curve (points to blood blank)
of Blanks and Standards WBMP2_DLS3016_bldblk.mth
Blood Blank and Calibration Stds 1 – 5 in autosampler
positions 105 - 110.
For QC & patient sample analysis (points to aqueous blank)
WBMP2_DLS3016_aqblk.mthn
Aqueous Blank in autosampler position 112 and 113.
Table 2. Suggested maximum analyte concentrations for base blood and Quality
control material
Analyte
Maximum Base Blood
Low QC Spiking
High QC Spiking
Range ( µg /L)
Range ( µg /L)
Concentration (µg/L)
Mn
<8
6 – 10
15 - 20
Hg
<0.5
0.5 – 0.75
5–7
Se
<200
125 – 175
225 – 275
Cd
<0.5
0.4 – 0.5
2.5 – 3.5
Pb ( µg /dL)
<2
1–2
9 - 11
Table 3. Preparation of Intermediate Stock Calibration Solution from NIST primary
standards
Analyte
Cd
Pb
Hg
Mn
Se
Certified value (mg/g)
10.005*
9.987#
9.954^
10.00+
10.11%
Target mass to add (g)
0.0101
0.201
0.0101
0.03
0.594
Target final weight (g)
100.00
Expected final
1.0105
20.0739
1.0054
3.000
60.0534
concentration (µg /g)
* certified value for lot # 060531
#
certified value for lot # 030721
^
certified value for lot # 061204
+
certified value for lot # 050429
%
certified value for lot # 992106

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 64 of 88

Appendix B (continued)
Table 4. Preparation of Intermediate Stock Calibration Solution from single
element stock calibrator solutions without Pb
Analyte
Cd
Se
Hg
Mn
Stock concentration (mg/L)
1000
1000
1000
1000
Spike volume (mL)
0.100
6.00
0.100
0.300
Final Volume (mL)
100
Final concentration ( µg /L)
1.00
60.0
1.00
3.00

Table 5. Preparation of Intermediate Working Standards
Standard #
Volume of Flask
(mL)
Volume Spike of Int.
Stock Std. (mL)

1

2

3

4

5

100

100

100

100

100

0.05

0.15

0.35

0.50

1.00

Concentrations ( µg /L)
1.5
3.5
5
1.5
3.5
5
4.5
10.5
15
3
7
10
90
210
300

10
10
30
20
600

+

Cd
0.5
Hg#
0.5
Mn*
1.5
Pb ( µg /dL)+
1
#
Se
30
+ 193
Ir used as internal standard
#
130Te used as internal standard
* Rh-103 used as internal standard

Appendix B (continued)

Table 6. Preparation of samples, working standards, and QC materials for
analysis
Total volume of prepared sample may be changed, from what is presented here.
However, volumes for each component should be adjusted proportionally.
Dilution ID

Water (L)

Base
Blood
(L)

AQ
Intermedi
ate
Working
Standard

Patient or
QC blood
sample
(L)

Diluent
(L)

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 65 of 88
(L)
50

AQ Blank
100
2400 *
Blood Blank and BldBlkChk
50
50
2400 *
Working Calibration Standards
50
2400 *
Patient blood or
50
50
2400 *
Blood-Based QC
Patient Blood
150
50
4800
2x Dilution H
* 2400 L diluent is best dispensed from the Digiflex™ as 2 1200-L portions (i.e.- When preparing
a Working Calibration Standard dilution, dispense 1200 L diluent + 50 L standard in one cycle of
Digiflex™, then 1200 L diluent + 50 L base blood in the next cycle of the Digiflex™ to prepare a
2.5 mL total volume dilution.)
H
Extra dilution is performed on blood samples whose concentration is greater than the
concentrations listed in Table 8 in Appendix B (linearity of the method has been documented up to
these concentrations). Any extra level of dilution can be prepared as long as the 4.8:5 ratio of
diluent to total dilution volume is maintained. Use of the lowest possible dilution level is preferred
because matrix differences may lead to different observed concentration results as the sample
dilution becomes greater (i.e. 2x dilution is preferred over 10x if 2x is sufficient to dilute analyte into
the documented linearity range).

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 66 of 88

Appendix B (continued)
Table 7. Preparation and Final Concentrations of Intermediate Stock
Calibration Verification Standards. *
Flask # 1
Flask #2
Analytes
Cd
Hg
Mn
Analyte
Pb
Stock
Stock Concentration
Concentration
1000
1000
1000
9.987
(NIST 3128) (mg/g)
(mg/L)
Spike volume
1
1
3
Target Mass (g)
10
(mL)
Final volume
100
100
100
Final volume (mL)
100
(mL)
Final
Final concentration
concentration
10
10
30
999
(mg/L)
(mg/L)
* If standards are made gravimetrically the final concentrations will not exactly
match these and the QC ID used in the laboratory database will need to change to
maintain proper record keeping of analysis result to target concentration.
Table 8. Preparation and Final Concentrations of Intermediate Working
Calibrator Verification Standards
Calibration Verification Standard #
CV1
CV2
CV3
Volume of Flask
100
100
100
Volume of Cd, Hg, Mn, Intermediate Stock
0.25
0.5
1
Calibration Verification Standard (mL)
Volume of Pb Intermediate Stock Calibration
0.1
0.2
0.4
Verification Standard (mL)
Volume of 1000 mg/L Se Stock Calibration
0.05
0.1
0.2
Solution
Final Volume (mL)
100
100
100
Final Concentrations *
CV1
CV2
CV3
Cd ( µg /L)
25
50
100
Hg ( µg /L)
25
50
100
Mn ( µg /L)
75
150
300
Pb ( µg /dL)
100
200
400
Se ( µg /L)
500
1000
2000
* If standards are made gravimetrically the final concentrations will not exactly match
these and the QC ID used in the laboratory database will need to change to maintain
proper record keeping of analysis result to target concentration.

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 67 of 88

Appendix B (continued)
Table 9. Acceptable ways to perform two consecutive analytical runs,
bracketing with bench quality control samples.
Setup 2 (typical)
Setup 1
Run #1
Run #1
Calibration Standards
Calibration Standards
Low Bench QC
Low Bench QC
High Bench QC
High Bench QC
patient samples
patient samples
Low Bench QC
Low Bench QC
High Bench QC
High Bench QC
Run #2
Low Bench QC
High Bench QC
patient samples
Low Bench QC
High Bench QC

Run #2
Calibration Standards
Low Bench QC
High Bench QC
patient samples
Low Bench QC
High Bench QC

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 68 of 88

Appendix B (continued)
Table 10. A typical SAMPLE/BATCH window.
AS
Sample ID
Measurements Action
Method
Location*
233
DRCstability1 Run sample
…DLS3016_bldblk.mth
233
DRCstability2 Run sample
…DLS3016_bldblk.mth
233
DRCstability3 Run sample
…DLS3016_bldblk.mth
233
DRCstability4 Run sample
…DLS3016_bldblk.mth
Continue DRC stability samples . . .
233
DRCstability9 Run sample
…DLS3016_bldblk.mth
233
DRCstability10 Run sample
…DLS3016_bldblk.mth
103
Aq blank
Run sample
…DLS3016_bldblk.mth
104
WB Blank_chk Run sample
…DLS3016_bldblk.mth
111
WB Blank
Run blank, standards, and sample ** …DLS3016_bldblk.mth
112
WB Blank2
Run sample
…DLS3016_bldblk.mth
103
Aq blank
Run blank and sample ¥
…DLS3016_aqblk.mth
113
L Bench QC
Run sample
…DLS3016_aqblk.mth
114
H Bench QC Run sample
…DLS3016_aqblk.mth
301
Sample 1
Run sample
…DLS3016_aqblk.mth
302
Sample 2
Run sample
…DLS3016_aqblk.mth
303
Sample 3
Run sample
…DLS3016_aqblk.mth
115
L Bench QC
Run sample
…DLS3016_aqblk.mth
116
H Bench QC Run sample
…DLS3016_aqblk.mth
* The exact autosampler positions of QCs and patient samples do not have to be those
shown above, but the order in which these are run should be as shown above.
** When executing this row, the ELAN will first analyze the blood blank at AS position 105,
then standards 1-5 at autosampler positions 106-110, then the “WB Blank” sample at A/S
position 111. The sampling information about AS positions 105-110 are stored in the “bldblk”
method file.
¥ When executing this row, the ELAN will first analyze the aqueous blank at AS position
112, then the “Aq blank ” at AS position 103. The sampling information about AS positions
112 is stored in the “aqblk” method file.

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 69 of 88

Appendix B (continued)
Table 11. Boundary Concentrations for Whole Blood Concentrations (/L).
1st Upper
2nd Upper
Range
Analyte
Boundary
Boundary
Maximum
(“Lim Rep Delta”) †
(“1UB”) *
(“2UB”) **
Mn
20
35
2.0
Pb
10.0
10.0
1.0
Cd
5.0
5.0
1.0
Hg
10.0
10.0
1.0
Se
400
400
20
st
th
* Typically, the 1 upper boundary (1UB) is the 99 percentile of non-weighted,
corrected concentration results from the NHANES 1999-2000 subset groups.
Concentrations observed greater than the “first upper boundary” (defined in the
laboratory database as the “1UB”) should be confirmed by repeat analysis of a new
sample preparation. The concentration assigned to the 1UB for an element is
determined by study protocol but default concentrations are listed in this table. Report
the original result, as long as the confirmation is within 10% of the original. Continue
repeat analysis until a concentration can be confirmed.
** Typically the 2nd upper boundary (2UB) is set to 2x the 1UB. At the discretion of the
supervisor, the 1UB may vary per study according to the concerns of the study.
Regardless of the study, report patient results confirmed to be greater than the 2UB to
the QC reviewer as an “elevated result”.
† Range maximum is the range of the three replicate readings for a single sample
analysis. This value is also called the “Lim RepDelta” in the database which handles
data for the Inorganic Radiation and Analytical Toxicology Branch. If the range of
replicate readings is greater than the range maximum, and represents greater than a
10% relative standard deviation for the measurement, do not use the measurement for
reporting.

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 70 of 88

Appendix B (continued)
Table 12. Reference Ranges for Blood Concentrations.
Analyte
Survey Geometric
50th
75th
90th
95th
N
(units)
Years
Mean
99-00
0.412
0.300
0.600
1.00
1.30
7970
Cd (g/L)*
01-02
**
0.300
0.400
0.900
1.30
8945
99-00
0.343
0.300
0.500
1.40
2.30
705
Hg (g/L)*
01-02
0.318
0.300
0.700
1.20
1.90
872
(1-5 yrs)
Hg (g/L)*
99-00
1.02
0.900
2.00
4.90
7.10
1709
(16-49 yrs,
01-02
0.833
0.700
1.70
3.00
4.60
1928
female)
99-00
1.66
1.60
2.40
3.80
4.90
7970
Pb (g/dL)*
01-02
1.45
1.40
2.20
3.40
4.40
8945
Se (g/L) † 157 – 265 g/L [60]
Non-exposed 4 – 14 ( µg /L) [41]
Exposed workers (adults) 3.2 – 101 µg /L [23]
Children receiving long term parenteral nutrition 33.8 – 101 µg /L [61]
Ohio adults (N=49) residing near a refinery (possible Mn emission):
Mean (range) 9.4 (4.2-21.7) µg/L [25]
Mexican infants
Mn ( µg /L)†
Age 1, mean (SD) = 24.3 (4.5) µg/L, median = 23.7 µg/L, N=270
Age 2, mean (SD) = 21.1 (6.2) µg/L, median = 20.3 µg/L, N=430 [62]
Japanese women (N = 1420)
GM 13.2 µg/L overall,
Range of median (max) across 8 regions 12.0-14.3 (25.0-33.4) µg/L [63]
South African children, ages 8-10 years old (n = 49)
Mean (SD) 8.48 (2.45) µg/L, range 4.58-18.20 µg/L. [29]
* From the Third National Report on Exposure to Environmental Chemicals [64]
** Not calculated. Proportion of results below limit of detection (0.3) was too high to
provide a valid result.
†
Blood Se and Mn were not included in the Third National Report on Exposure to
Environmental Chemicals.

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 71 of 88

Figure 1a. ELAN ICP-DC-MS Method Screen Shots (timing page).

Optimize
Per Instrument

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 72 of 88

Appendix B (continued).
Figure 1b. ELAN ICP-DC-MS Method Screen Shots (processing page).

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Appendix B (continued).
Figure 1c. ELAN ICP-DC-MS Method Screen Shots (equation page).

Page 73 of 88

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 74 of 88

Appendix B (continued).
Figure 1d. ELAN ICP-DC-MS Method Screen Shots (calibration page).

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 75 of 88

Appendix B (continued).
Figure 1e. ELAN ICP-DC-MS Method Screen Shots (sampling page, AqBlank
method).

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 76 of 88

Appendix B (continued).
Figure 1f. ELAN ICP-DC-MS Method Screen Shots (sampling page, BldBlank
method).

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Appendix B (continued).
Figure 1g. ELAN ICP-DC-MS Method Screen Shots (report page).

Page 77 of 88

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 78 of 88

Appendix B (continued).
Figure 2a. ESI SC4 Autosampler Screen Shots (Main page). Additional flush times
and “Max Rinse Time” are approximate. Optimize these for best reduction of elemental
carry-over between samples. Tray types can be changed to allow for different volumes
of diluted sample digests. ‘FAST control’ must be enabled before start of method, but
does not need to be used in instrument optimization (pre-analysis) steps. Rinse and
additional flush times for eliminating carry-over from one sample to the next while using
the minimum amount of rinse solution.
A rinse time of -1 causes the rinse station to be skipped.
A rinse time of 0 causes the probe to only dip into the station, but spends no time there.
Additional flush times can be optimized to keep the rinse station full while not using too
much rinse solution. The inner diameter size of the tubing providing the rinse solution to
the rinse station determines how quickly the station will fill. Various sizes are available
for purchase or can be made in the laboratory.

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 79 of 88

Appendix B (continued).
Figure 2b. ESI SC4 Autosampler Screen Shots (“Configure” page). “High Speed”
option is to only be used for ‘High Speed’ models of the SC4 (look for “HS” in serial
number). Speeds and accel / decel values can be optimized per analyst preference and
to minimize droplet splatter off of probe.

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 80 of 88

Figure 2c . ESI SC4 Autosampler Screen Shots (“Communication” page).
Communication ports will differ depending on available ports on instrument control
computer.

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 81 of 88

Appendix B (continued).
Figure 2d . ESI SC4 Autosampler Screen Shots (“FAST” page). Timer A can be
optimized to achieve proper filling of loop with diluted sample digestate. Timers B, C, D,
E, and F control rinsing the loop after analysis and can be optimized for eliminating
carry-over from one sample to the next while using the minimum amount of rinse
solution. File should be saved with the name “Blood Clotted
PbCdHgSe_ITB004A_2008-March-1_SCFAST.txt”. It can be found in the directory
C:\Program Files\ESI\ESI-SC\.
Manually clicking the “Load” button prior to starting analysis will ensure the position of
the actuator is always the same at the beginning of the analysis.
Manually clicking the “Vacuum On” button prior to starting the analysis will help initial
sample uptake to be consistent (the vacuum pump may be slow to start for the first
sample if this is not done, possibly resulting in loop filling inconsistencies).

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 82 of 88

Appendix B (continued).
Figure 2e. ESI SC4 Autosampler Screen Shots (5x12 Rack Setup window).
Settings are approximate. To be sure the loop is filled, the probe should go down close
to the bottom of the cup, but not touch. Optimize retraction speed for least droplet
splatter.

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 83 of 88

Figure 2f. ESI SC4 Autosampler Screen Shots (50mL Tube Rack Setup window).
Settings are approximate. To be sure the loop is filled, the probe should go down close
to the bottom of the cup, but not touch. Optimize retraction speed for least droplet
splatter.

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 84 of 88

Appendix B (continued).
Figure 2g. ESI SC4 Autosampler Screen Shots (Rinse Station Rack Setup
Window). Settings are approximate. Optimize down height for best probe cleaning,
and retraction speed for least droplet splatter.

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016

Page 85 of 88

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IRAT-DLS Method Code: 3016
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Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016
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Klaassen, C., BILIARY-EXCRETION OF MANGANESE IN RATS, RABBITS,
AND DOGS. Toxicology and applied pharmacology, 1974. 29(3): p. 458-468.
Malecki, E., et al., Biliary manganese excretion in conscious rats is affected by
acute and chronic manganese intake but not by dietary fat. The Journal of
nutrition, 1996. 126(2): p. 489-498.
Agency for Toxic Substances and Disease Registry (ATSDR). 2000.
Toxicological profile for Manganese. Atlanta, G.U.S.D.o.H.a.H.S., Public Health
Service. , Toxicological Profile for Manganese, ATSDR, Editor 2000. p. 15.
Agency for Toxic Substances and Disease Registry (ATSDR), Toxicological
Profile for Selenium2003: CDC. 457 p.
Goldhaber, S.B., Trace element risk assessment: essentiality vs. toxicity.
Regulatory Toxicology and Pharmacology., 2003. 38: p. 232-242.
Combs, G.F. and W.P. Gray, Chemopreventive agents. Pharmacology and
Therapeutics, 1998. 79: p. 179-192.
Arthur, J.R., The role of selenium in thyroid hormone metabolism. Can J Physiol
Pharmacol, 1991. 69: p. 1648-1652.
Corvilain, B., et al., Selenium and the thyroid: How the relationship was
established. Am J Clin Nutr, 1993. 57 (2 Suppl): p. 244S-248S.
Levander, O.A., Nutrition and newly emerging viral diseases: An overview. J
Nutr, 1997. 127: p. 948S-950S.
McKenzie, R.C., T.S. Rafferty, and G.J. Beckett, Selenium: an essential element
for immune function. Immunol Today, 1998. 19: p. 342-345.
Ellis, D.R. and D.E. Salt, Plants, selenium and human health. Curr Opin Plant
Biol, 2003. 6: p. 273-279.
Combs, G.F., Food system-based approaches to improving micronutrient
nutrition: the case for selenium. Biofactors, 2000. 12: p. 39-43.
Zimmerman, M.B. and J. Kohrle, The impact of iron and selenium deficiencies on
iodine and thyroid metabolism: biochemistry and relevance to public health.
Thyroid, 2002. 12: p. 867-878.
Beck, M.A., O. Levander, and J. Handy, Selenium deficiency and viral infection.
Journal of Nutrition, 2003. 133: p. 1463S-1467S.
Agency for Toxic Substances and Disease Registry (ATSDR). 2003.
Toxicological profile for Selenium. Atlanta, G.U.S.D.o.H.a.H.S., Public Health
Service., Toxicological profile for Selenium.

Blood Metals Panel 2 (BMP2) by ICP-DRC-MS
IRAT-DLS Method Code: 3016
54.
55.
56.
57.
58.

59.
60.
61.
62.
63.

64.

Page 88 of 88

Lutz, T.M.N., P.M.V.; and Schmidt, B. , Whole Blood Analysis by ICP-MS, in
Applications of Plasma Source Mass Spectrometry1991, Royal Socitey of
Chemistry. p. 96-100.
Tanner, S.D., Baranov, Vladimir I, Theory, Design, and Operation of a Dynamic
Reaction Cell for ICP-MS. Atomic Spectroscopy, 1999. 20(2): p. 45-52.
Tanner, S.D., V.I. Baranov, and D.R. Bandura, Reaction cells and collision cells
for ICP-MS: a tutorial review. Spectrochimica Acta Part B-Atomic Spectroscopy,
2002. 57(9): p. 1361-1452.
Tanner, S.D. and V.I. Baranov, Theory, design, and operation of a dynamic
reaction cell for ICP-MS. Atomic Spectroscopy, 1999. 20(2): p. 45-52.
Office of Health and Safety in the Division of Laboratory Sciences, Policies and
Procedures Manual, 2002, Division of Laboratory Sciences (DLS), National
Center for Environmental Health, Centers for Disease Control and Prevention,
Public Health Service, Department of Health and Human ServicesCenters for
Disease Control and Prevention, .
Heitland, P. and H.D. Koster, Biomonitoring of 37 trace elements in blood
samples from inhabitants of northern Germany by ICP-MS. Journal of Trace
Elements in Medicine and Biology, 2006. 20(4): p. 253-262.
Carson, B.L., H.V.E. III, and J.L. McCann, Selenium, in Toxicology and biological
monitoring of metals in humans., B.L. Carson, H.V.E. III, and J.L. McCann,
Editors. 1986, Lewis Publishers, Inc.: Chelsea, Michigan. p. 213-218.
Fell, J.M.E., et al., Manganese toxicity in children receiving long-term parenteral
nutrition. Lancet, 1996. 347(9010): p. 1218-1221.
Henn, B.C., et al., Early Postnatal Blood Manganese Levels and Children's
Neurodevelopment. Epidemiology, 2010. 21(4): p. 433-439.
Ikeda, M., et al., Cadmium, chromium, lead, manganese and nickel
concentrations in blood of women in non-polluted areas in Japan, as determined
by inductively coupled plasma-sector field-mass spectrometry. International
Archives of Occupational and Environmental Health, 2011. 84(2): p. 139-150.
Centers for Disease Control and Prevention, Third National Report on Human
Exposure to Environmental Chemicals, http://www.cdc.gov/exposurereport, 2005.

Division of Laboratory Sciences
Laboratory Protocol
Analyte:
Matrix:
Method:

Method Code:
Branch:

Prepared By:

Inorganic Hg, methyl Hg, ethyl Hg
Blood
Blood mercury speciation performed by SSID-GC-ICP-DRC-MS
(Species-Specific Isotope Dilution Gas Chromatography Inductively
Coupled Plasma Dynamic Reaction Cell Mass Spectrometry)

DLS-3020
Inorganic and Radiation Analytical Toxicology

__________________

______________________

Printed Name

Supervisor:

Signature

__________________

Branch Chief:

Signature

__________________

Signature

_________
Date

______________________

Printed Name

Adopted:

Date

______________________

Printed Name

_________

_________
Date

__________________
Date

Updated:

__________________
Date

Director's Signature Block:
Reviewed: __________________________________
Signature

Reviewed: __________________________________
Signature

Reviewed: __________________________________
Signature

Reviewed: __________________________________
Signature

_____________
Date

_____________
Date

_____________
Date

_____________
Date

This page is intentionally left blank.

ii

Modifications/Changes:
see Procedure Change Log STARLIMS

iii

This page is intentionally left blank.

iv

Laboratory Procedure Manual
Analyte:
Matrix:
Method:

Method No:

Inorganic mercury, Methyl mercury, Ethyl mercury
Blood
Blood mercury speciation SSID-GC-ICP-DRC-MS
(Species-Specific Isotope Dilution Gas
Chromatography- Inductively Coupled Plasma
Dynamic Reaction Cell Mass Spectrometry)
DLS-3020

Adopted:
Revised:
As performed by:

Contact:

Inorganic and Radiation Analytical Toxicology Branch
Division of Laboratory Sciences
National Center for Environmental Health
Dr. Robert L. Jones
Phone: 770-488-7991
Fax:
770-488-4097
Email:
[email protected]
James L. Pirkle, M.D., Ph.D.
Director, Division of Laboratory Sciences

Important Information for Users
CDC periodically refines these laboratory methods. It is the responsibility of the user to contact the
person listed on the title page of each write-up before using the analytical method to find out whether
any changes have been made and what revisions, if any, have been incorporated.

Blood mercury species SSID-GC-ICP-DRC-MS

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This page is intentionally left blank.

Blood mercury species SSID-GC-ICP-DRC-MS

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Page 3 of 51

Table of Contents
I.

Clinical Relevance and Test Principle ________________________________________ 7
A.

Clinical Relevance ___________________________________________________________7

B. Test Principle _________________________________________________________________7

II.

Safety Precautions _____________________________________________________ 8

III.

Data System Management _______________________________________________ 9

A.

Data Entry and Transfer _______________________________________________________9

B. Routine Computer Hard Drive Maintenance ________________________________________9
C. Electronic Data Backup _________________________________________________________9
1.
2.

Schedule of Data Backups____________________________________________________________ 9
Backup Procedures _________________________________________________________________ 9

1.
2.

Computer Maintenance: ____________________________________________________________ 10
Instrument Maintenance:____________________________________________________________ 10

D.

Documentation of System Maintenance _______________________________________ 10

IV.

Collecting, Storing, and Handling Specimens; Criteria for Rejecting Specimens ___ 10

A.

Specimen Type ____________________________________________________________ 10

B. Specimen Collection, Handling and Storage ______________________________________ 10
C. Criteria for an Unacceptable Specimen __________________________________________ 11

V.

Procedures for Microscopic Examinations _________________________________ 11

VI.

Chemicals, Standards, and Quality Control Material _________________________ 11

A.

Chemicals ________________________________________________________________ 11

B. Isotope Dilution Standards ____________________________________________________ 12
C. Quality Control Material _______________________________________________________ 12

VII.

Instrumentation, Equipment, Software and Supplies _________________________ 12

A.

Instrumentation ___________________________________________________________ 12
1.
2.
3.
4.
5.
6.

Gas Chromatography System ________________________________________________________ 12
ICP-DRC-MS System ________________________________________________________________ 12
Robotic Sample Processing Station ___________________________________________________ 13
Equipment ________________________________________________________________________ 13
Computer Software_________________________________________________________________ 14
Supplies _________________________________________________________________________ 14

VIII.

Standard Procedure __________________________________________________ 15

A.

Preparation of Stock Solutions _______________________________________________ 15

B. Preparation of Working Spike Solution ___________________________________________ 16
1.

Preparation of Working Triple-Spiked Standards Solution __________________________________ 16

C. Preparation of Quality Control Material __________________________________________ 17

Blood mercury species SSID-GC-ICP-DRC-MS
DLS Method Code: 3020
1.
2.

D.

IRAT-DLS
Page 4 of 51

Base pool preparation: ______________________________________________________________ 17
Low and High pool preparation: _______________________________________________________ 17

Sample preparation ________________________________________________________ 17
Preparation of blood samples for digestion: _________________________________________________ 17
2. Digestion: ________________________________________________________________________ 17
3. Derivatization of the digested samples: ________________________________________________ 17

E.

Requirements for Batch Analysis of Samples and QC Material _______________________ 17

F.

GC Instrument Program _______________________________________________________ 18

G.

CombiPal Autosampler Program ______________________________________________ 19

H.

ICP-DRC-MS Instrument Setup _______________________________________________ 21
1.
2.
3.

I.

Programming the DRC Gas Flow Delay Parameter ________________________________________ 21
Programming the ELAN ".mth" file _____________________________________________________ 22
Creating the ELAN Sample Table ".sam" file _____________________________________________ 24

ICP-DRC-MS Performance Checks ______________________________________________ 25
The following performance checks should be recorded in an instruments log book. ________________ 25
1. Daily Performance Check ____________________________________________________________ 25
2. Weekly Performance Check __________________________________________________________ 25
3. Monthly Performance Check _________________________________________________________ 27

J.

ICP-DRC-MS Warm Up ________________________________________________________ 28

K. GC-ICP-DRCII-MS System Startup _______________________________________________ 29
1.

L.
M.

IX.
A.

Entering Sample Names into the ELAN Sample Table _____________________________________ 29

Starting the Run _____________________________________________________________ 30
Instrument Shut Down ______________________________________________________ 32

Post-Run Data Analysis _________________________________________________ 32
Configuration of TotalChrom Integration Method_________________________________ 32

B. Configuration of ELAN ChromLink™ _____________________________________________ 36
C. Data Processing and Analysis __________________________________________________ 37

X.

Recording of Sample and QC Data________________________________________ 42
A.

Transferring the Data to the Branch Database __________________________________ 42

B. QC Data____________________________________________________________________ 43

XI.
A.

Final Data Review _____________________________________________________ 43
Analysis Printouts and Analyst Run Report______________________________________ 43

B. Plotting QC Results __________________________________________________________ 43
C. Supervisor Review ___________________________________________________________ 43

XII.

Replacement and Periodic Maintenance of Key Components __________________ 43

A.

ICP-MS Maintenance _______________________________________________________ 43

B. GC Maintenance ____________________________________________________________ 44

XIII.

Limits of Detection ___________________________________________________ 44

Blood mercury species SSID-GC-ICP-DRC-MS
DLS Method Code: 3020

IRAT-DLS
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XIV.

Reportable Range of Results __________________________________________ 45

XV.

Special Procedure Notes - CDC Modifications _______________________________ 45

XVI.

Quality Control Procedures ____________________________________________ 45

A.

Establish QC limits for each QC pool. ________________________________________ 4645

B. Precision and Accuracy _______________________________________________________ 46
C. Remedial Action If Calibration or QC Systems Fail to Meet Acceptable Criteria __________ 46

XVII.

Reference Ranges ___________________________________________________ 46

XVIII.

Action-Level Results __________________________________________________ 47

XIX.

Specimen Storage and Handling During Testing ___________________________ 47

XX.

Alternate Methods for Performing Test and Storing Specimens If Test System Fails 47

XXI.

Test-Result Reporting System; Protocol for Reporting Critical Calls (If Applicable) 47

XXII.
Transfer or Referral of Specimens; Procedures for Specimen Accountability and
Tracking __________________________________________________________________ 48
XXIII.

References _________________________________________________________ 48

XXIV.

Appendix ___________________________________________________________ 48

A.

Appendix A. Critical Parameters Testing Results. ________________________________ 48
1. Critical Parameter Test #1: Evaluate the significance of the GC injector temperature __________ 48
2. Critical Parameter Test #2: Evaluate the significance of the Combipal-agitator
equilibration/extraction temperature ______________________________________________________ 49
3. Critical Parameter Test #3: Evaluate the significance of the length of extraction of sample from
SPME fiber in GC injector ________________________________________________________________ 49
4. Critical Parameter Test #4: Evaluate the significance of changing GC split ratio. ______________ 50
5. Critical Parameter Test #5: Evaluate the significance of changing GC carrier gas flow rate. ______ 51

Blood mercury species SSID-GC-ICP-DRC-MS

IRAT-DLS

DLS Method Code: 3020

Page 6 of 51

List of Tables
TABLE 8-1: Dilutions Factors for Preparing Working Triple-Spike Standards ________ 1716
TABLE 8-2: GC Settings ___________________________________________________ 1918
TABLE 8-3: CombiPAL Autosampler Settings _________________________________ 2019
TABLE 8-4: Chronos Settings (Baking) __________________________________________ 20
TABLE 8-5: Chronos Settings (Conditioning) __________________________________ 2120
TABLE 8-6: Chronos Parameter Settings (for Run) _____________________________ 2120
TABLE 8-7 ELAN Timing Parameters ________________________________________ 2221
TABLE 8-8: ELAN Analyte Parameters _______________________________________ 2322
TABLE 8-9: ELAN Processing Parameters ____________________________________ 2322
TABLE 8-10: ELAN Sampling Parameters ____________________________________ 2322
TABLE 8-11: ELAN Report Parameters ______________________________________ 2423
TABLE 8-12: Sample Template Data ________________________________________ 2524
TABLE 8-13: ELAN Optimization Parameters _________________________________ 2726
TABLE 8-14: ELAN Samples Table __________________________________________ 2928
TABLE 8-15 Chronos Samples Table ________________________________________ 3130
TABLE 9-1: Integration ___________________________________________________ 3332
TABLE 9-2: Baseline Timed Events _________________________________________ 3433
TABLE 9-3: Replot _______________________________________________________ 3433
TABLE 9-4: Global Information _____________________________________________ 3534
TABLE 9-5: Method Editor - Components Settings _____________________________ 3534
TABLE 9-6: Components Defaults - Identification ______________________________ 3635
TABLE 9-7: Components Defaults - Calibration ________________________________ 3635
TABLE 9-8: TotalChrom™ Navigator - Reprocess Batch ________________________ 4140
TABLE 17-1: Reference ranges for Mercury Species ___________________________ 4746

Blood mercury species SSID-GC-ICP-DRC-MS

IRAT-DLS

DLS Method Code: 3020

I.

Page 7 of 51

CLINICAL RELEVANCE AND TEST PRINCIPLE
A. Clinical Relevance
Mercury (Hg) is widespread in the environment and found in its elemental form (Hg0), inorganic forms
such as mercurous (Hg+), and mercuric (Hg2+) and various organic forms such as methyl mercury (MeHg),
ethyl mercury (EtHg), phenyl mercury (PhHg), and others. The health effects of mercury are diverse and
depend on the form of mercury encountered and the severity and length of exposure. The relative order of
increasing toxicity is: Hg0 < Hg2+ << CH3Hg+ [1]. With large acute exposures to elemental mercury vapor,
the lungs may be injured. At levels below those that can cause lung injury, low-dose or chronic inhalation may
affect the nervous system. Symptoms include weakness, fatigue, loss of weight (with anorexia),
gastrointestinal disturbances, salivation, tremors, and behavioral and personality changes, including
depression and emotional instability [2]. Exposure to inorganic mercury usually occurs by ingestion. The most
significant effect is on the kidneys, where mercury accumulates, leading to tubular necrosis. In addition, there
may be an irritant or corrosive effect on the gastrointestinal tract involving stomatitis, ulceration, diarrhea,
vomiting, and bleeding. Psychomotor and neuromuscular effects also may occur [3].
Methyl mercury is more toxic than inorganic mercury. The effects of methyl mercury include changes in
vision, sensory disturbances in the arms and legs, cognitive disturbances, dermatitis, and muscle wasting.
The critical organ for methyl mercury is the brain. Methyl mercury readily crosses the blood-brain barrier due
to its lipid solubility and accumulates in the brain where it is slowly converted to inorganic mercury. Whether
CNS damage is due to methyl mercury or inorganic mercury, or both, is still controversial [4]. Ethyl mercury is
another organic form of mercury. Very little is actually known about ethyl mercury metabolism in humans,
including whether it has the same potency as a neurotoxin, whether the blood concentration is ever
significant, and even whether it crosses the blood-brain barrier. But the use of thimerosal, which metabolizes
to ethyl mercury and thiosalicylate, as a vaccine preservative makes this subject very important.
In the general population, total blood mercury is due mostly to the dietary intake of organic forms, particularly
methyl mercury and ranges from 0.2 to 5.8µg/L [5]. Urinary mercury mainly comprises inorganic mercury due
generally to dental amalgam containing elemental mercury and occupational exposure and ranges from 0.2
to 10µg/L [5]
The method described in this manual assesses mercury exposure, as defined by exposure to individual
mercury species, by analyzing blood through the use of Solid Phase Micro Extraction (SPME) fiber for
delivering sample to gas chromatography (GC) coupled to inductively coupled plasma-dynamic reaction cellmass spectrometry (ICP-DRC-MS). Blood is chosen as a matrix because it might contain various organic
mercury species as well as inorganic mercury while urine contains mostly inorganic mercury. This hyphenated
method will provide accurate quantification of three mercury blood species: inorganic mercury (Hg2+), methyl
mercury (MeHg), and ethyl mercury (EtHg).
Species Name

Abbreviation

Molecular Structure

Inorganic mercury

InHg

Hg2+

Methyl mercury

MeHg

CH3Hg+

Ethyl mercury

EtHg

C2H5Hg+

B. Test Principle
The quantification of InHg, MeHg, and EtHg is determined by using species-specific isotope dilution
(SSID) method employing gas chromatography (GC) to separate the species followed by introduction into an
ICP-DRC-MS for detection. SSID is a specialized extension of the Isotope Dilution (ID) technique. SSID
measures individual chemical species (inorganic, methyl and ethyl mercury species) in samples using ID
principles. The blood sample is spiked with known amounts of each Hg species that have been enriched with
isotopic variants of the target element of interest.

Blood mercury species SSID-GC-ICP-DRC-MS

IRAT-DLS

DLS Method Code: 3020

Page 8 of 51

The first step of this method involves the addition ("spiking") of enriched isotopes (199Hg2+, CH3200Hg+,
and C2H5200Hg+) to the blood sample. Each Hg species spike is labeled with an enriched Hg isotope such that
its isotopic pattern is unique to the species' chemical identity, i.e., the manner of isotope spiking is "species
specific". Next, the spiked sample is digested in tetramethylammonium hydroxide (TMAH) which disassociates
bound mercury species from proteins, polypeptides and other biomolecules. The digested blood sample with
freed mercury species is chemically reacted ("derivatized") with a reagent* that adds 3-carbon chains (npropyl groups) to the mercury atom of each species molecule without compromising species identity. This
type of chemical derivatization results in loss of ionic charge and reduced polarity; the net effect is to make
each mercury species molecule volatile so it can escape the liquid phase and accumulate in the gas phase
("headspace") directly above the sample. Derivatization is performed inside a partially filled vial sealed with a
rubber septa cap that can be penetrated by a needle.
Solid Phase Microextraction (SPME) is a sampling technique that uses a thin polymer fiber with a
hydrophobic coating; the method described here uses a SPME fiber with a 100 µm coating of
polydimethylsiloxane (PDMS). The SPME assembly consists of the fiber inserted through the inside a 22
gauge stainless steel needle. A key design feature is the fiber can be mechanically withdrawn into the needle
during vial septum penetration and then pushed out to expose the fiber to the headspace. During headspace
exposure (the "extraction" step), the gaseous derivatized Hg species adsorb onto the PDMS coating of the
SPME fiber; when other factors held are constant, the adsorbed mass increases as a function of sample
concentration. After a predetermined time, the SPME fiber is retracted into the injection needle; the needle is
withdrawn from sample vial; it moves to the injector port of the programmable temperature gradient gas
chromatograph (GC) and, on programmatic command, performs a programmed temperature ramp injection
sequence. This action transfers the propylated inorganic, methyl and ethyl Hg species to the head of a 30 m
capillary GC column which, using He as the carrier gas, ramps the column temperature to 280 °C. The order
of chromatographic separation of the Hg species is based on increasing molecular weight:
methylpropylmercury (derivatized methyl Hg), ethylpropylmercury (derivatized ethyl Hg), last peak is
dipropylmercury (derivatized inorganic Hg). Hg species exiting the GC column are seen as chromatographic
peaks detected using an inductively-couple argon plasma (ICP) as the ion source and a quadrupole mass
spectrometer (Q-MS) for mass specific quantification. Species identification is based on chromatographic
retention time; species specific isotope ratios are calculated from integrated peak areas derived from m/z
signals corresponding to 199Hg, 200Hg, 201Hg and 202Hg isotopes. The ICP-MS is equipped with a Dynamic
Reaction Cell (DRC(tm)) for minimizing polyatomic interferences. Operating the ICP-MS in DRC mode has an
added benefit of enhancing Hg signal strength through an effect known as "collisional focusing" [6,7].

II.

SAFETY PRECAUTIONS
Important
Precautionary information that is important to protecting personnel and safeguarding equipment will be
presented inside a box, like this one, throughout the procedure where appropriate.
Follow universal precautions when handling blood samples. Wear gloves, a lab coat, and safety glasses
while handling human blood, plasma, serum, urine, or other bodily fluid or tissue. Place disposable plastic,
glass, and paper (e.g., pipette tips, autosampler tubes, and gloves) that come in contact with human
biological fluids, such as blood, in a biohazard autoclave bag. Keep these bags in appropriate containers until
they are sealed and autoclaved. When work is finished, wipe down all work surfaces where human biological
fluid was handled with a 10% (v/v) sodium hypochlorite solution (or equivalent). Dispose of all biological
samples and diluted specimens in a biohazard autoclave bag at the end of the analysis according to
CDC/DLS guidelines for disposal of hazardous waste.
PerkinElmer provides safety information that should be read before operating the instrument. This
information is found in the PerkinElmer ELAN® 6100 ICP-DRC-MS System Safety Manual. Possible hazards
include ultraviolet radiation, high voltages, radio-frequency radiation, and high temperatures.

Blood mercury species SSID-GC-ICP-DRC-MS

IRAT-DLS

DLS Method Code: 3020

Page 9 of 51

Caution!
Exercise caution when handling and dispensing concentrated nitric and hydrochloric acid. Always
remember to add acid to water. Nitric and hydrochloric acid are caustic chemicals that are capable of
severe eye and skin damage. Wear powder-free gloves, a lab coat, and safety glasses. If nitric or
hydrochloric acid comes in contact with any part of the body, quickly wash the exposed area with copious
quantities of water for at least 15 minutes.

III.

DATA SYSTEM MANAGEMENT
To maintain the integrity of specimen and analytical data generated by this method, eliminate hand entry
of specimen identifiers or analytical results whenever possible, proofread all transcribed data, and regularly
defragment and back up the ICP-MS computer's hard drive.

A. Data Entry and Transfer
Whenever possible, use bar code scanners to enter sample identifiers into the GC-ICP-DRC-MS computer
software to avoid errors associated with the keyboard-entry process and to speed up sample processing.
When bar code scanners cannot be used, proofread transcribed data after entry. Handle or transfer data
electronically when reporting or moving data to other computerized data-handling software. In the Inorganic
and Radiation Analytical Toxicology Branch sample analysis results generated by this method are stored for
long periods in Microsoft Access™ or MS SQL Server (Frontends) database software. The results should
include at least the analysis date, analytical run number, quality-control (QC) results for the run, results of
specimen analysis by specimen identification (ID), and method identifier.

B. Routine Computer Hard Drive Maintenance
Defragment the computer hard drive regularly by using software such as Microsoft Windows® Disk
Defragmenter (located in Start > Programs > Accessories > System Tools) or an equivalent defragmentation
program to maximize computer performance and maintain data integrity for files on the hard drive. An entry
will automatically be made in the Windows™ system event log when this process is done and will provide
documentation of this step.

C. Electronic Data Backup
1. Schedule of Data Backups


Weekly: Full data backups onto one or more recordable compact discs (CD-R) or digital
video discs (DVD).



Daily: Full data backups onto an secondary hard drive.

2. Backup Procedures
Whenever making a backup (daily or weekly) include the directories and subdirectories :


C:\elandata (include all subdirectories)



C:\gc (must include subdirectories "data" and "methods", also include other relevant
directories)

Before making weekly backups, saving a copy of the Windows™ event log in the active
"elandata" directory will ensure archiving of all recent software system events (including

Blood mercury species SSID-GC-ICP-DRC-MS
DLS Method Code: 3020

IRAT-DLS
Page 10 of 51

communications between ICP-DRC-MS and ELAN software, as well as times of hard drive
defragmentation, and other Windows™ system events).
b) Secondary Hard Disk Backups

c)



If available, use the computer’s secondary hard disk to store backup files.



Configure Microsoft Windows® Backup™ (Start > Programs > Accessories > System
Tools) program to do a daily backup of the computer's data directories (see Backup
Procedures)

Compact Disc (CD) Backups


Use the CD writing program installed on the computer to create CD backups (e.g., "Easy
CD Creator"™ by Adaptec, or equivalent software). Select the option that “closes” the CD
at the end of the writing session so the CD cannot be accidentally over-written.



Use CD-R disks only (recordable compact disks), not CD-RW disks (rewritable compact
disks).

d) Backup of Sensitive Data


Make a backup for sensitive data on duplicate, recordable compact disk. Store the two
CD-R disks in two different buildings.

D. Documentation of System Maintenance
1. Computer Maintenance: Record any maintenance of computer hardware, GC or ICP-DRC-MS
software in the instrument logbook. Place other electronic records relating to integrity of the data
and hard drive in the Windows™ event log. Back up the event log on a regular basis by saving a copy
in the active "elandata" directory. The event log will then be backed up along with the ELAN data
when backup CD-R disks and tapes are made.
2. Instrument Maintenance: Document system maintenance in hard copies of data records (i.e., daily
maintenance checklists, PerkinElmer service records, and instrument log book) as well as in
electronic records relating to instrument optimization (default.dac) and tuning (default.tun).

IV.

COLLECTING, STORING, AND HANDLING SPECIMENS; CRITERIA FOR
REJECTING SPECIMENS
A. Specimen Type
Specimen type is whole blood. No special instructions for fasting or special diets are required of patient or
study subjects.

B. Specimen Collection, Handling and Storage
1) The preferred volume of blood specimen is ≥0.5 mL; the minimum volume is 0.25 mL.
2) Acceptable containers for specimen acquisition include pre-screened polyethylene vials and
pre-screened blood collection tubes.
3) Samples should be stored in the dark at –20°C or lower temperature. Long term storage at
–70°C or less is preferred.
4) Specimen handling conditions are outlined in the Division protocol for blood collection and
handling (copies available in Branch, laboratory and Special Activities specimen handling

Blood mercury species SSID-GC-ICP-DRC-MS
DLS Method Code: 3020

IRAT-DLS
Page 11 of 51

offices). Collection, transport, and special requirements are discussed. If more than one
blood collection tube is used to draw blood from a subject, the blood tube for trace metals
tube should be drawn last. Draw the blood through a stainless steel needle into a prescreened blood collection tube. Blood specimens should be transported and stored at ≤
4°C. Once received, they can be frozen at ≤ –20°C until time for analysis. Portions of the
sample that remain after analytical aliquots are withdrawn can be refrozen at ≤ –20°C.
Thawing and refreezing of samples before analysis is discouraged.

C. Criteria for an Unacceptable Specimen
The criteria for an unacceptable specimen are either a low volume (< 0.25 mL) or suspected
contamination due to improper collection procedures or collection devices. Specimen contact with dust
or dirt may compromise test results. In all cases, request a second blood specimen.

V.

PROCEDURES FOR MICROSCOPIC EXAMINATIONS
Not applicable for this procedure.

VI.

CHEMICALS, STANDARDS, AND QUALITY CONTROL MATERIAL
A. Chemicals
1) Deionized (DI) water, ≥18 MΩ cm resistivity.
2) Sodium acetate anhydrous, (CAS# 127-09-3), (C2H3NaO2--MW 82.04), (Sigma-Aldrich,
Milwaukee, WI) or equivalent vendor.
3) Glacial acetic acid, (CAS# 64-19-7), (CH3COOH--MW 60.05), reagent ACS grade (GFS
Chemicals, Powell, OH) or equivalent vendor.
4) Double-distilled Hydrochloric Acid, (CAS# 7647-01-0), (HCl-MW 36.461--37.0%--12.1M) (GFS
Chemicals Inc., Columbus, OH) or equivalent vendor.
5) Double-distilled Nitric Acid (CAS# 7697-37-2), (HNO3-MW 63.013-70.0%--15.8M) (GFS
Chemicals Inc., Columbus, OH) or equivalent vendor
6) Tetramethylammonium hydroxide, 25% w/w in methanol (CAS# 75-59-2), (C4H13NO-MW
91.15), (Alfa Aesar, Ward Hill, MA) or equivalent vendor.
7) Sodium tetra(n-propyl)borate, (CAS# 45067-99-0), (NaPr4B -MW 206.16), (ABCR, Germany)
or equivalent vendor.
8) Bleach (10% sodium hypochlorite solution) from any vendor.
9) Base whole blood, donated or purchased.
10) Inorganic mercury, 1000 mg/L in 10% nitric acid (SPEX, CertiPrep) or equivalent.
11) Methyl mercury chloride, standard solution 1000 mg/L (AlfaAesar) or equivalent.
12) Ethyl mercury chloride, powder (AlfaAesar) or equivalent

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B. Isotope Dilution Standards
1)

199Hg-Isotopically-Enriched Inorganic Mercury (199HgCl2), (Applied Isotope Technologies, Inc. Sunnyvale, CA) P/N 30530 or equivalent.

2)

200Hg-Isotopically-Enriched Methylmercury (CH3200HgCl), (Applied Isotope Technologies, Inc. Sunnyvale, CA) P/N 30521 or equivalent.

3)

201Hg-Isotopically-Enriched

Ethylmercury (CH3CH2HgCl), (Applied Isotope Technologies, Inc. Sunnyvale, CA) P/N 35025 or equivalent.

C. Quality Control Material
Quality control (QC) materials are made from pools of whole blood obtained from a donor source or
purchased from the vendor. See the Preparation of Quality Control Material section for details of preparation.
The control "base" blood and two QC blood pools intended for the mercury speciation assay are designated
as:
QC level

QC Designation ID

Base pool

BB-yy###

Low pool

LB-yy###

High pool

HB-yy###

Where substitutions are: yy = the last two digits of production year and ### = assigned pool identification
number. QC material intended for bench quality control purposes needs to be "characterized" as described in
the section Establish QC limits for each QC pool.

VII.

INSTRUMENTATION, EQUIPMENT, SOFTWARE AND SUPPLIES
A. Instrumentation
1. Gas Chromatography System
1) Gas Chromatograph: Perkin Elmer® Clarus 500, or equivalent system.
2) GC capillary column: Perkin Elmer® Elite-5 30m (meter), 0.25mmID, 0.25µm df (Catalog #
N9316076, Shelton, CT), or equivalent.
3) GC Transfer Line, noncoated capillary column: Perkin Elmer® Fused Silica Tubing 5m,
0.25mmID (Catalog # N9301356, S/N 920620, Shelton, CT) ), or equivalent.
4) GC-ICP-MS Heated Transfer Line accessory: Redshift® (P/N N0777440 for 115V or P/N
N40777361 for 230V, Italy), or equivalent.
5) Solid Phase Micro Extraction (SPME) Fiber Assembly, specifically, Supelco Analytical 100µm
Polydimethylsiloxane (PDMS) Coating (Red - Pack of 3), (Catalog # 57301, Supelco
Analytical, Bellefonte, PA), or equivalent.
2. ICP-DRC-MS System
1) Inductively-coupled plasma mass spectrometer, specifically, the ELAN™ DRCII (PerkinElmer
Instruments, Shelton CT), or equivalent.
2) Platinum (Pt) cones (Catalogue # SC2013-Pt and SC2014-Pt Perkin Elmer Instruments,
Shelton, CT) or equivalent.

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3) Perkin Elmer ICP-MS injector (Perkin Elmer Instruments, Shelton, CT), or equivalent.
3. Robotic Sample Processing Station
1) Robotic Liquid Sample Processing Workstation: LEAP® Technologies CombiPal® twin head
system, or equivalent system (Figure 1).
SPME
Head #1

SPME
Head #2

RAIL #1

RAIL #2

(2) Sample
Tray Holders
Controller
32 Vial SampleTrays
GC Injection Port
Heated
Sample
Agitator
#1

GAS CHROMATOGRAPH

Heated
Sample
Agitator
#2

Figure 1: Twin Head SPME Processing Workstation (LEAP Technologies, Inc.)
The Twin Head SPME CombiPAL (LEAP Technology, Inc.) sample processing workstation, mounted on
top of the GC, has a unique design: features two (2) computer-controlled SPME fiber injection heads
that run on a dual rail system. The two SPME Heads are independently-controlled and perform SPME
fiber equilibration/injection operations in tandem. This configuration allows for increased SPME fiber
equilibration time up to 20 minutes per SPME head while maintaining a sample-to-sample injection cycle
time of 10 minutes. The result is improved SPME efficiency and faster duty rates (6 injections per hour).
4. Equipment
1) Water purification system for providing ultrapure water with a resistivity ≥18 MΩ cm.
2) High-precision analytical balance capable of accurately weighing milligram amounts of
material to the tenth of a milligram or better.
3) A pH meter with one hundredth's of a pH unit readout or better, fitted with glass electrode
(pH probe). Temperature compensation probe for pH meter.

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4) Calibrated hand-held adjustable pipettors that cover the range of accurate liquid delivery
from 5 µL to 5000 µL. Research Pro™ Eppendorf® electronic programmable pipettors
(distributed by Brinkmann Instruments, Westbury NY) or equivalent.
5) Gas regulators for argon, helium and xenon (Airgas, Atlanta, GA) or equivalent.
6) Conventional oven (FREAS Model 605, Thermo scientific, Catalog No. 3166188), or
equivalent.
7) Plastic tent (Captair Pyramid, Erlab, North Andover, MA) or equivalent for preparation of
sodium tetra(n-propyl)borate solution.
5. Computer Software
1) The ELAN Instrument Control version 3.4 with Service Pack 2 (or later version) should be
installed on the computer controlling the ELAN DRC II™.
2) Chromatography data handling software, specifically, TotalChrom™ Workstation, version
6.3.1 or later (PerkinElmer® Instruments, Shelton CT). Install PerkinElmer's TotalChrom
Workstation package on the same computer containing the ELAN Instrument Control
software*. Contact PerkinElmer for installation and configuration of TotalChrom. Or consult
theTotalChrom Workstation User's Guide. This method assumes that version 6.3.1 of
TotalChrom Workstation package is installed.
3) Operating software for CombiPal autosampler, specifically, Chronos (2007-2010 Axel
Semrau GmbH & Co KG)
4) ChromLink™ 2.1 software (PerkinElmer Instruments). The installation of ChromLink™ is
straightforward when using the supplied installation utility.
5) pdFactory Pro (FinePrint Software, LLC, www.fineprint.com) or equivalent software. This
product is used for creating electronic Portable Document Files (pdf) directly from any
Windows® compatible application print dialog box.
6) A custom Microsoft Excel® macro procedure named "Extract TC Data". See Appendix B for
description and macro code.
6. Supplies
1) 200 µL pipette tips, 960 tips per case (Eppendorf® catalogue # 2235137-1, distributed by
Brinkmann Instruments, Westbury NY), or equivalent.
2) 300 µL pipette tips, 960 tips per case (Eppendorf® catalogue # 2235144-3, distributed by
Brinkmann Instruments, Westbury NY), or equivalent.
3) 1000 µL pipette tips, 960 tips per case (Eppendorf® catalogue # 2249044-3, distributed by
Brinkmann Instruments, Westbury NY), or equivalent.
4) 5 mL pipette tips, 500 tips per case (Eppendorf® catalogue # 2235081-1, distributed by
Brinkmann Instruments, Westbury NY), or equivalent.
5) 50-mL acid-cleaned volumetric flasks for triple spiked solution preparation (polypropylene or
Teflon flasks preferred). To acid-wash flasks, rinse with 1.2M hydrochloric acid followed by
rigorous rinsing with DI water. Repeat this process several times depending on prior use of
the containers.
6) 250-mL acid-cleaned volumetric flasks for derivitaizing reagent (NaPr4B) preparation
(polypropylene or Teflon flasks preferred). To acid-wash flasks, rinse with 1.2M hydrochloric
acid followed by rigorous rinsing with DI water. Repeat this process several times depending
on prior use of the containers.

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7) Acid-cleaned 1L PE bottles for buffer solution preparation. To acid-wash flasks, rinse with
1.2M hydrochloric acid followed by rigorous rinsing with DI water. Repeat this process
several times depending on prior use of the containers.
8) 50 mL polypropylene tubes pre-screened for Hg (Becton Dickinson) or equivalent.
9) 15 mL polypropylene tubes pre-screened for Hg (Becton Dickinson) or equivalent.
10) 1.5 mL polypropylene (PP) microcentrifuge tubes (Eppendorf® catalogue # 2236380-8,
distributed by Brinkmann Instruments, Westbury NY), or equivalent.
11) Tube racks for 1.5 mL microcentrifuge tubes (Eppendorf® catalogue # 2236422-7,
distributed by Brinkmann Instruments, Westbury NY), or equivalent.
12) Six or more PAL Tray20mL (part# 65487454, CTC Analytics, PAL system accesories)
13) CombiPal autosampler vials 20 mL, glass, (Microliter Analytical Supplies, Inc. product #162000) or equivalent.
14) Head space caps for 20mL glass vials (Microliter Analytical Supplies, Inc. product #160050M) or equivalent
15) Kay-Dry™ paper towels and Kim-Wipe™ tissues (Kimberly-Clark Corp., Roswell GA, or
equivalent vendor).
16) Teflon™-coated magnetic stirs bars (4). (Catalog Number 58948-974 or equivalent), VWR
Scientific Products, Buffalo Grove, IL.
17) Teflon™-coated magnetic stirs bars. (Catalog Number 58947-140 or equivalent, VWR
Scientific Products, Buffalo Grove, IL).
18) Cotton swabs (Hardwood Products Co. ME, or equivalent vendor).
19) Nitrile, powder-free examination gloves (N-Dex®, Best Manufacturing Co., Menlo, GA, or
equivalent vendor).
20) Biohazard autoclave bags (Curtin-Matheson Scientific, Inc., Florence, KY, or equivalent
vendor).

VIII. STANDARD PROCEDURE
A. Preparation of Stock Solutions
a) NaOAc Buffer Solution (0.1 M sodium acetate anhydrous)
1) Dissolve 16.41g Sodium acetate anhydrous into approximately 1900 mL of DI water in a
2000 mL polypropylene vessel with a magnetic stir bar on a magnetic stir plate, and mix
thoroughly.
2) Measure pH and adjust pH to 4.75 with glacial acetic acid. Make final volume adjustment to
2000mL with DI water.
b) Sodium tetra(n-propyl)borate (NaPr4B, 2% w/v)
1) Place one unopened vial containing 5.00 g of sodium tetra(n-propyl)borate, a squirt bottle of
DI water, and a clean 50 mL conical centrifuge tube inside a glove box or tent. Fully purge
glove box or tent with 100% nitrogen for 5 minutes to remove oxygen.
2) Open the vial containing sodium tetra(n-propyl)borate and add 10-20 mL of DI water with
constant swirling.

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3) Pour the dissolved contents into the clean 50 mL conical centrifuge tube. Wash the reagent
vial with additional DI water to dissolve remaining solids and quantitatively transfer
remaining reagent to the 50 mL tube. Cap the 50mL tube and remove from tent. Once
dissolved, the NaPr4B solution may now be safely used in normal atmosphere.
4) Inside a chemical fume hood, quantitatively transfer reagent solution containing 5.00 g of
NaPr4B to a 250 mL volumetric flask. Dilute to the final volume with DI water. Makes a 2%
(w/v) NaPr4B solution. Store at 4°C.

B. Preparation of Working Spike Solution
Caution!
Mercury compounds are toxic! Take extra care to avoid accidental dermal contact, ingestion or inhalation
of these materials. Wear appropriate personal protective equipment. Above all, wear a laboratory coat and
latex or nitrile gloves. Clean up any spill that might occur according to applicable hazardous material spill
procedures.
Exercise the utmost care in executing all measurements precisely to obtain the best accuracy for the
final concentrations. Use only pipettes, disposable tips and volumetric flasks that have been tested for
accuracy and will deliver liquid volumes with a precision of ±1% or better.
1. Preparation of Working Triple-Spiked Standards Solution
On the day samples will be digested, prepare fresh working spike solution. Take out of the 4°C
refrigerator bottles of vendor-supplied standard solutions of the following: In199Hg, Me200Hg , and
Et201Hg. Allow bottles to come to room temperature. The following intermediate and working
solutions should be prepared by weighing, thus the final concentrations of “spike” material in
working solution should be determined by weight.
a) Intermediate standard solution
1) Pipette 50 µL of In199Hg and Me200Hg standards into separately labeled 1.5 mL centrifuge
tubes. Add 1200 µL of DI water to each and mix thoroughly.
2) Pipette 50 µL of Et201Hg standards into a third 1.5 mL centrifuge tube. Add 150 µL of DI
water to each and mix thoroughly.
b) Working solution (containing mixture of 3 isotope standards):
1) Fill the 50 mL volumetric flask approximately half full with DI water.
2) Pipette 100 µL of each intermediate standard solution (In199Hg, Me200Hg, and Et201Hg) into
the flask. Complete the volume to the 50 mL mark with DI water.
3) The concentration of each isotope standard should be within a range of 0.7–1.3 µg Hg/L.
Note that units of concentration are expressed in terms of elemental Hg (not molecular
mass). Calculate the exact concentration of each isotope standard contained in the Working
Triple-Spike Standard Solution by dividing the starting concentrations (indicated by the
isotope standard’s certificate of analysis) by the dilution factors shown in Table 8-1 (dilution
factors may be adjusted to produce isotope standard concentrations in the range of 0.7–1.3
µg Hg/L) . Make appropriate adjustments to the calculations if volumes are deviate from the
prescribed amounts.

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TABLE 8-1: Dilutions Factors for Preparing Working Triple-Spike Standards
Mercury Species

Calculation (units = mL)

Dilution Factor

In199Hg

1.2 ÷ 0.05 × 50 ÷ 0.1 =

12000

Me200Hg

1.2 ÷ 0.05 × 50 ÷ 0.1 =

12000

Et201Hg

0.15 ÷ 0.05 × 50 ÷ 0.1 =

1500

C. Preparation of Quality Control Material
Order bovine blood from a proper vendor and characterize for total Hg (use DLS Method ITB001A 3001
"Whole Blood Hg/Pb/Cd" or an equivalent method).
1. Base pool preparation: Bovine blood with the lowest mercury content should be used. Distribute
base blood into pre-labeled 2 ml vials by 1.5 ml aliquots.
2. Low and High pool preparation: Analyze base blood for InHg, MeHg, and EtHg species. On the basis
of this calculation, spike add with each specie to the desiredappropriate volumes of InHg, MeHg, and
EtHg (not enriched) species values to obtain "low" and "high" pools. While maintaining constant
stirring of each pool, aliquot 0.5 mL of blood into a sufficient number of pre-labeled 2 mL vials to
provide QC material for 1000 or more runs. Store aliquoted QC material at a temperature of –70°C
or colder.

D. Sample preparation
Caution!
Work with open vials containing biological samples inside of a biological safety cabinet (BSC). Recap vials
before removing them from BSC. Wear appropriate personal protective equipment (lab coat, safety glasses
and gloves).
Preparation of blood samples for digestion:
1) Pipette 100 µL of blood samples into pre-labeled 1.5 mL tubes.
2) Add 100 µL of Triple Spiked Standards Solution. Recap and vortex each tube before
continuing to the next tube.
3) Add 500 µL of TMAH to all tubes. Cap and vortex.
2. Digestion:
1) Place rack containing capped tubes in an incubator or oven set to 80 ± 3°C for ≥ 20 hours.
3. Derivatization of the digested samples:
1) Aliquot 200 µL of digested samples into pre-labeled 20 mL SPME vials containing a “mini”
stir bar in each vial.
2) Add 7.7 mL of NaOAc Buffer Solution and 250 µL of NaPr4B Derivatization Reagent. Cap the
vial immediately and mix.

E. Requirements for Batch Analysis of Samples and QC Material
Process a predetermined set of samples and QC material for batch analysis. One “batch” run is defined
as the analysis of a contiguous set of samples (typically 20, may be more) bracketed by “Bench QC” material

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at the beginning and end of the set. Each Bench QC level (typically, a “high” and a “low”) should be analyzed
at the beginning and again at the end of the batch run. QC needs to be treated like the unknown samples,
i.e., each QC sample is individually prepared and goes through all the steps as is done for unknown samples.
It is not appropriate to report the QC results coming from the split analysis of a single QC sample if it has
already been processed (i.e., diluted, centrifuged, filtered, digested, derivatized, etc.). Note that this limitation
does not apply to the duplicate use QC material originating from the same original vial as long as they both
are processed identically like unknown samples and on the same day. It is permissible to "piggyback" two
runs in succession that are separated by at least two blanks during a single autosampler load (such as for an
overnight analysis), as long as each run of samples is bracketed by their own uniquely co-prepared bench QC
material.
1) Identify, gather, and thaw a predetermined number of sample tubes/vials containing the
blood samples to be analyzed in a batch run.
2) For each batch of samples run, thaw one tube of low and high bench QC (often identified as
"LB-yyxxx" and "HB-yyxxx"; for explanation of nomenclature, see Quality Control Material
section).
3) Label the necessary number of 1.5 mL microcentrifuge vials with appropriate identification
to ensure that they will be matched to their corresponding unknown samples and QC.
Similarly, label an equal number of 20 mL SPME vials.
4) Use the TMAH digestion procedure for blood samples and QC material.
5) Use the preparation of digested samples for analysis procedure to prepare samples and QC
material.
6) Cap all autosampler vials with the proper fitting septum caps.
The use of a barcode scanning device to electronically record sample identification from barcodes
printed on vial labels should be utilized if available.

F. GC Instrument Program
1) Set the GC analytical run parameters according to Table 8-2. Refer to the Clarus 500 User
Guide for programming specifics.
2) One or more parameters specified in Table 8-2 may be changed, if determined necessary, to
meet analytical performance goals.

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TABLE 8-2: GC Settings
Parameter

Setting

GC injector Temperature

Step #1: 1 min @ 220°C
Step #2: linear ramp to 280°C, hold

Carrier gas flow rate (Helium)

2 mL/min

Oven Temperature

Step #1: 1 min @ 75°C
Step #2: linear ramp to 250°C (at
rate = 45 °C/min)

Total flow ratio

28:1 @ 0.25 min

Transfer line Temperature (Aux auxiliary zone)

250°C

(Aux - auxiliary pneumatics)

OFF (all)

G. CombiPal Autosampler Program
1) CombiPal is initially set up and optimized by LEAP technology service engineers. The settings
can be optimized according to analyst needs (refer to PAL system user manual). The
following procedures present the key steps that are taken to set up the CombiPal
autosampler system for this method.
(a) Using PAL control terminal start at a window displaying "JOB QUEUE". Press the
ESCape key to return to the previous menu. Press function key F1 - "MENU". Rotate
the outer knob to scroll through items in a menu list. To select a highlighted item
press the central knob (ENTER button). Then use the outer knob to scroll through
available options for that item or to change a numeric value. Then press the inner
knob again to ENTER the displayed option.
(b) In the "MENU" window select "Utilities" followed by "Tray" then select "Agitator" and
enter parameters in Table 8-3. Then press "ESC" to get back to "Tray" option scroll
to the right select "Tray" (this "tray" is an option for first "Tray" selection) - enter
parameters
(c) In the "Utilities" window select "Injector" and select "GCInj1" - enter parameters. Also
in the "Utilities" window select "Vial" and select "Standard" - enter parameters in
Table 8-3.

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TABLE 8-3: CombiPAL Autosampler Settings
Parameter

Setting

Tray (Agitator)
Needle Penetration

20.0 mm

Tray type

SMMTray

Offset X, Y, Z

0, 0, 55.5 mm

Stand by Temp

OFF

Actual Temp

25.7°C (changes)

Speed

750 RPM

Agitation Time ON

5s

Agitation Time OFF

2s

Tray (Tray)
Needle Penetration

12.0 mm

Tray type

VT32-20

Offset X, Y, Z

-55.3, -188.1, -2.0 mm

Injector (GCInj)
Needle Penetration

35.0 mm

Vial (Standard)
Needle Penetration

43.0 mm

2) CombiPal is operated by Chronos software. Click on Chronos icon on the operating computer
desktop - Chronos method files used for this method can be accessed through clicking on
"Method Editor" on the Main Menu of Chronos. In the right corner click on tab "Load", which
allows to upload needed method file. There are five method files used in this method: SPME
bakeout LEFT.cam, SPME bakeout RIGHT.cam, SPME conditioning LEFT.cam, SPME
conditioning RIGHT.cam, TWIN SPME_cdc.cam. (The settings can be changed by the analyst
for better separation and analytical response.)
(a) To clean SPME fibers every day before starting a run - SPME bakeout LEFT.cam and
SPME bakeout RIGHT.cam are used. The settings should be as shown in Table 8-4.

TABLE 8-4: Chronos Settings (Baking)
Parameter

Setting

Bakeout Time (s)

420

GC Runtime + Cooling Down (s)

120

Needle Penetration Vial (mm)

34

Fiber Exposure (mm)

12

Needle Penetration (mm)

35

(b) To condition new SPME fibers use - SPME conditioning LEFT.cam and SPME
conditioning RIGHT.cam. The settings should be as shown in Table 8-5.

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TABLE 8-5: Chronos Settings (Conditioning)
Parameter

Setting

Bakeout Time (s)

1800

GC Runtime + Cooling Down (s)

120

Needle Penetration Vial (mm)

34

Fiber Exposure (mm)

12

Needle Penetration(mm)

35

(c) To perform a run, the file “TWIN SPME_cdc.cam” is used. The settings should be as
shown in Table 8-6.

TABLE 8-6: Chronos Parameter Settings (for Run)
Parameter

Setting

Source Tray

Tray1,1

Time

1s

Enrichment Time

1200 s

Desorption Time

420 s

GC Cooling Down

180 s

Needle Penetration Vial

34 mm

Fiber Exposure

12 mm

Needle Penetration Inlet

35 mm

H. ICP-DRC-MS Instrument Setup
To improve workflow efficiency, do the programming steps described in this section before the day of
analysis.
1. Programming the DRC Gas Flow Delay Parameter
A special ELAN DRC™ setting, called "Flow Delay", needs to be changed from its default setting to
avoid the problem of the ELAN software forcing a time delay of several seconds before collecting
data at the start of a chromatographic run when in DRC mode. This setting can only be changed by
entering the ELAN software's Service Mode. This change only needs to be done once per software
installation or upgrade, or if the setting was deliberately changed by a field service engineer. It is a
good idea to inform the service engineer who intends to perform work on the instrument of the
importance of returning the "Flow Delay" to the non-default value of 1.

Important!
While in Service Mode, DO NOT make changes to any setting except for the one change described below.
1) From within the ELAN program and in the window entitled "Instrument Control Session",
choose menu item "Options" > "Service Mode." You will be prompted to enter a Service
Mode password. Enter the password "Elan6000" (omit the quotes and pay attention to

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capitalization) and click OK. If this password is not accepted, you will have to contact a
supervisor or a PerkinElmer service technician.

2) You will be presented with a new tab called "Service" within the Instrument window.
Maximize the window. At the bottom will be a row of tabs, click on "Gas". Look for the
parameter called "Flow Delay (Gas changes while in DRC Mode)". If its setting is a value
other than "1", click on the "Set Pauses..." button. Change the value in the field named
"Flow Change" to 1. Click the "Apply" button then click the "Close" button. Choose menu
item "Options" > "Exit Service Mode."
2. Programming the ELAN ".mth" file
1) If it is not already open, launch the ELAN program and in the window entitled "Instrument
Control Session", choose menu item "File" > "Review Files". Click the "Load" button for
"Method", the first item on the list. Navigate to the folder "C:\elandata\Method" and click on
"GC_Hg.mth" file then click the "Open" button.
2) If the "GC_Hg" file cannot be found, or it has been changed or corrupted in a manner that
makes its use questionable, then cancel the open file dialog box and close the Review Files
window by clicking the "Done" button. Do the following steps; otherwise, proceed to step 3:
(a) Make the active method file the active window (do this by clicking on the tool bar
icon that looks like a notepad with a "Cu" on it). Then click "File" > "New" on the
menu bar and then choose "Data Only" in the New Method window that appears.
Click "OK" then maximize the window. Complete this window with the information in
the Table 8-7.

TABLE 8-7 ELAN Timing Parameters
Parameter

Setting

Sweeps/Reading:

1

Readings/Replicate:

2725

Number of Replicates:

1

Tuning File:

C:\elandata\Tuning\default.tun

Optimization File:

C:\elandata\Optimization\gc_xe_drc.dac

(b) On the first line of the worksheet-like table, click in the cell of row 1 of the "Analyte
(*)" column. Type "Hg" then press "Enter" key. The row will suddenly be filled-in with
mercury's "Begin Mass (amu)" of 201.971 (or something close) and several default
parameters. Right click on "Hg" and a periodic table will appear. Select five Hg
isotopes from mass ~197.9670 to ~201.9710 and click "OK". All five isotopes
should be seen in the "Analyte (*)" column. Tab to next cells and fill in the
information shown in Table 8-8.

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TABLE 8-8: ELAN Analyte Parameters
Parameter

Setting

Analyte:

Hg

Begin Mass (amu):

197.9670* (first row, then proceed to the 4 other
isotopes)

End Mass:



Scan Mode:

Peak Hopping

MCA Channels:

1

Dwell Time:

25

Integration Time:
68125 (automatically determined by software)
*Actual mass may differ by a few hundredth of amu.
(c) Click on the "Processing" tab and enter the following information:

TABLE 8-9: ELAN Processing Parameters
Parameter

Setting

Detector:

Dual

Measurement Unit:

Cps

Process Spectral Peak:

Average

Process Signal Profile:

Average

Apply Smoothing:

Checked

Factor:

5

Auto Lens:

Off

Isotope Ratio Mode:

Off

(d) Skip the "Equation" tab. Click on "Sampling" tab and enter the following information:

TABLE 8-10: ELAN Sampling Parameters
Parameter

Setting

Peristaltic Pump Under Computer Control:

Unchecked

Sampling:

External

(e) (e) Click on the "Report" tab and enter the information in Table 8-11.

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TABLE 8-11: ELAN Report Parameters
Parameter

Setting

Report View | Send to
Printer:

Unchecked

Report Options
Template:

 *

Automatically Generate
NetCDF File:

Checked
C:\elandata\reportoutput\

Report to File | Send to
File:

Unchecked

Report Options
Template:

 *

Report File Name:

 *

Report Format:

 *

File Write Option

 *

*Content of these fields is not important since Send To Printer/File is unchecked.

(f) Choose menu item "File" > "Save As" and navigate to "C:\elandata\Methods\"
folder. Enter "GC_Hg" as the name of the method file and click the "Save" button.
3) The ELAN method "GC_Hg" is now loaded into memory.
3. Creating the ELAN Sample Table ".sam" file
1) If it is not already open, launch the ELAN program and in the window entitled "Instrument
Control Session", choose menu item "File" > "Review Files". Click the "New" button for
"Dataset", the second item on the list. Navigate to the folder "C:\gc\data\" and enter the file
name "Hg" (where yy = last 2 digits of current year, mm = this month, and dd =
date of run, for example, Hg110421 denotes Mercury Speciation run Apr.21, 2011, then
click the "Open" button. The new dataset folder has been created and is now active. Click
on the "DONE" button in the Review Files Window.
2) Clicking on the tool bar icon that looks like three Erlenmeyer flasks. Then choose "File" >
'"New" on the menu bar. A new window will appear entitled "Samples - [Untitled]". Click the
"Batch" tab then click on the "Sample Template" button. A dialog box entitled "Sample
Template Data" will appear. Enter the following information:

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TABLE 8-12: Sample Template Data
Parameter

Setting

Sample ID:

001_ 

Measurement Action (*):

Run Sample

Method:

GC_Hg.mth

Sample type:

Sample

Wash Override (sec)

0

3) Parameters not mention in Table 8-12 can be left blank. Since the CombiPal autosampler
can analyze 64 samples the sample ID can range from" 001_ " to "064_
" .
4) From the menu bar, choose "File" > "Save As" and save the file in the directory "C:\gc\data\"
using the name "Hg.sam" (where yy = last 2 digits of current year, mm = this
month, and dd = date of run).
5) It is a good idea to save a copy of this file as a template, thereby avoiding the need to recreate it every time.

I. ICP-DRC-MS Performance Checks
The following performance checks should be recorded in an instruments log book.
1. Daily Performance Check
1) Daily before samples are analyzed, Aqueous Blanks and 10X dilution of Low Bench QC
should be analyzed to ensure that the instrument is functioning properly. Prepare all the
following using the same technique and supplies as samples, unless stated otherwise.
(a) Aqueous Blank. To prepare, add 200 µL of TMAH into a 20 mL vial. Insert a stir bar
in each tube. To each tube add 7.7 mL of NaOAc Buffer solution and 250 µL of
derivatization reagent (NaPr4B). Cap the vial immediately and gently mix it.
Aqueous Blanks are ready to be analyzed.
(b) 10X Diluted Low Bench QC. To prepare mix 0.1mL of Low Bench QC (LB) in 0.9 mL
NIST 955C L1. This sample is digested and then analyzed exactly the same way as
sample.
2) After SPME-GC-ICP-MS analysis of Aqueous Blank and 10X Diluted Low Bench QC are
complete, open the Aqueous Blank and 10X Diluted Low Bench QC RAW files in
TotalChrome. Examine the Aqueous Blank chromatograph for possible indicators of
contamination. Then look at the 10X Diluted Low Bench QC chromatogram. This
chromatogram should have visible peaks for the mass 202 isotopes of MeHg, EtHg, and
InHg. Their intensities should be three times (3X) greater than the baseline RMS (root mean
square) noise level, otherwise there may not be sufficient sensitivity and the instrument may
need to be optimized (see weekly/monthly performance check section).
2. Weekly Performance Check
1) Visual check of Torch, injector, RF coil, and Cones:
(a) Slide the vacuum chamber and interface away from the torchbox, and visually
check the cleanliness of these components. Notate any cleaning / replacing done

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in the "Daily Maintenance / Performance Checklist". For details on cleaning
procedures refer to IRAT Weekly Maintenance SOP.
(b) Injector: There should not be deposits on the inside of the injector. If there is,
remove and clean with 1-5 % v/v ultrapure nitric acid, a cotton swab. Alternatively,
replace injector with spare and clean dirty one in an overnight soak in 5% v/v nitric
acid (can be ultrasonicated, but is not typically necessary).
(c) Torch: Check for melting or cracking, and cleanliness. If necessary, replace with
spare and soak overnight in 5% v/v nitric acid bath. If torch is only dirty,
replacement / cleaning can be deferred to the regular weekly maintenance day.
(d) RF coil: Check for excessive corrosion (flaking). Replace if necessary.
(e) Sampler cone: Check for excessive buildup of matrix, cracking, or pitting. If
necessary, replace dirty cones with clean spare cones and clean.
2) Replace GC injector septum.
3) Visually check level and condition of oil in roughing pumps. Appropriate level for oil is ~¾
full. If color indicates the need to change oil soon, do so at the next weekly maintenance. Oil
is clear yellow when new. Light brown or “tea colored” is ok to use. Dark brown or “coffee
colored” indicates need to replace.
4) Weekly GC-ICP-MS system is optimized with Xe gas because of its similarities in ionization
potential to Hg.
(a) Start Plasma, soon after the plasma ignites set flow rate of Xe gas mixture (0.1% Xe
in Ar) at 0.01 - 0.25 mL/min on the GC main display to achieve Xe intensity >
350,000 cps (counts per second). In ELAN upload "gc_xe_daily_drc.mth". After gas
signal stabilizes (30-60min) in the "Sample" window press "Analyze Sample" in
"manual" mode. If Xe intensity > 350,000 cps, the instrument is optimized. If not
proceed with the following steps to optimize this instrumental setup. (The proffered
number of counts varies with the instrument.)
(b) In ELAN upload "gc_xe_xy_drc.mth". Also in ELAN program and in the window
entitled "Instrument Control Session", choose menu item "File" > "Review Files".
Click the "Load" button for "Optimization", the sixth item on the list. Navigate to the
folder "C:\elandata\Optimize" and click on "gc_xe_drc.dac" file then click the "Open"
button.
(c) SmartTune™ is used for DRC Mode optimization. Optimization parameters can be
selected from "edit list". Appropriate method file in "method" section to be selected.
The optimization for maximum Xe intensity should be performed (see IRAT
Optimization SOP).
(d) After recommended parameters were optimized save the optimized file as
"gc_xe_drc.dac". The current optimized values will appear automatically and will be
similar to the ones in Table 8-13.
(e) After optimization for maximum Xe intensity navigate to the folder
"C:\elandata\Method" and click on "gc_xe_daily_drc.mth" file then click the "Open"
button. Record this data.

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TABLE 8-13: ELAN Optimization Parameters
Parameter

Setting

Parameter

Setting

Nebulizer Gas Flow
(NEB):

1.5

Cell Path Voltage Std

- 14†

Auxiliary Gas Flow:

1.2

Rpa

0

Plasma Gas Flow:

15

Rpq

.5†

Lens Voltage:

4.75*

Cell Gas A

0.3

ICP RF Power:

1450

Cell Gas B

0

Analog Stage Voltage:

-1950*

DRC Mode NEB

1.5

Pulse Stage Voltage:

950*

DRC Mode QRO

- 16.90†

Quadrupole Rod Offset
Std

0

DRC Mode CRO

- 1.90†

Cell Rode Offset Std

23

DRC Mode CPV

- 51†

Discriminator Threshold

17

Axial Field Voltage

150†

†Suggested starting values only. Optimum parameters will depend on the outcome of
the optimization procedure.

3. Monthly Performance Check
1) Before starting make sure the plasma is turned off and transfer line temperature (AUX
button on GC main menu) should be lowered to 25°C (this is the lowest temperature the
set-up allows for). Disconnect the transfer line from ICP-MS.
2) Carefully examine the end of capillary in transfer line: make sure the end is open, no
melting, cracks, smooth surface, and no condensation. Replace if not in a good condition.
Additionally if the chromatographic peaks are progressively broadening may consider
replacing GC capillary. If this does not solve the problem, consider replacing GC column.
3) Connect spray chamber with the nebulizer to ICP-MS. Place the probe into the rinse solution.
Clamp the sample tubing in the peristaltic pump. Start the peristaltic pump at a low to midrange speed (i.e. 7 - 24 rpm). Allow at least 45 minutes warm-up time for the ICP-MS after
igniting the plasma. This warm-up time is for the RF generator.
4) After this warm-up time, perform a "daily performance check". Note: for this method the
standard IRAT Daily Startup SOP for ELANs is used monthly (since it requires changing
instrument set up). This monthly procedures makes sure that ICP-MS part of this
hyphenated method is functioning properly.
(a) Daily Performance Test
 Open your daily performance workspace, which should contain the following
files.
 Method file: Daily Performance_cdc.mth (the same as the Perkin Elmer file, with
the addition of the analyte Be at mass 9, and with the autosampler setup under
the sampling page).
 Dataset: "Daily Performance"
 Sample file: "daily_performance_cdc.sam"
 Report Template: "daily.rop"

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 Tuning File: default.tun
 Optimization file: default.dac
 Calibration file: none needed
 Polyatomic file: "elan.ply"
(b) Place a tube of "Daily Performance Testing Solution" into the row specified in the
sample window (batch tab). Select row one in the sample window (batch tab), and
click "Analyze Batch".
(c) Inspect the daily performance report as follows:
 Intensities and Oxides: Intensities should be above the Perkin Elmer
specification at 3 % oxides. Intensities are in the "Meas. Intens. Mean" column.
Oxides are given as a fraction under the "Net Intens. Mean" column on the "CeO"
row.

Instrument

Mg

DRC II (per 1 ppb)

>6,000cps

In
> 30,000cps

U
>20,000cps

Oxides
0.03 (3%)

 Compare against historical information in the instrument log.
Precision ("Net Intens. RSD"):
6100 : < 2-3% for Be*, Mg, Rh, and Pb.
DRC Plus and DRC II instruments: < 2-3% for Be*, Mg, In, and U.
Background counts:
DRC II : < 2 cps for masses 8.5 and 220
Doubly Charged species:
Typical "Meas. Intens. Mean" for Ba++ is ? < 0.03.
(d) If the results of the daily performance test fail to meet the PerkinElmer criteria,
optimization tests will need to be run (see SOP "ICP-MS Optimization")

J. ICP-DRC-MS Warm Up
1) Launch the ELAN ICP-DRC-MS Software and note whether all graphical indicators of
instrument readiness are green. If not, take the appropriate actions described in the
instrument's software and hardware manual.
2) Perform necessary maintenance checks as described in Chapter 5 of the ELAN 6100
Hardware Guide (e.g., argon supply, interface components, cleanliness, positioning, and
interface pump oil condition). Note the base vacuum pressure in the INSTRUMENT window
of the software. (Before igniting the plasma, the vacuum is typically about 8 x 10 -6 torr.)
Keep a record any maintenance procedures along with the base vacuum pressure in the
Daily Maintenance Checklist notebook.
3) In the INSTRUMENT window of the ELAN software, click the "Front Panel" tab and click the
plasma "Start" button to ignite the plasma. In the same window, the ignition sequence bar
(blue progress bar) will start to expand from the right, indicating the approximate time
before plasma ignition. The plasma may at first flicker but it should establish a more or less
steady intensity after 5-10 seconds.
On a rare occasion, the plasma may ignite emitting an orange, violently flickering light,
and electrical discharge noises will be heard. In this case, immediately shut off the
plasma by pressing the yellow "Stop" button on the ICP-DRC-MS instrument's front

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control panel. Wait 30 seconds then investigate the cause of the plasma misfire. A more
common occurrence is that the plasma may extinguish itself a few seconds after
ignition. Promptly reignite by pressing the "Start" button on the ICP-DRC-MS
instrument's front control panel. Usually, the plasma will stay lit after the second try. If
not, investigate the cause of this instability (refer to the ELAN DRC II Hardware Guide).

4) Soon after the plasma ignites perform daily performance.
5) Fill in the Daily Maintenance Checklist Book according to the completed optimization
procedures. If a tuning (mass-calibration) procedure was done, save it to the file
"default.tun," and also in a separate file containing the analysis date "default_MMDDYY.tun"
(where MM=month, DD=day, and YY=year).

K. GC-ICP-DRCII-MS System Startup
1. Entering Sample Names into the ELAN Sample Table
1) Click on the tool bar icon that looks like three Erlenmeyer flasks. If the current Samples
window is not this run's sample file, then choose "File" > "Open" on the menu bar and
navigate to and open this run's current data folder in "C:\gc\data\". Click on the file named
"Hg.sam" (yy = year, mm = digit month, dd = date) and open it. The Samples
window will be the one created in the section Creating the ELAN Sample Table ".sam" file.
2) Fill in the name of each sample by double-clicking after the "_" (underscore) in the cell
"sample ID". Type in the sample name and press "Enter" on the keyboard. In this manner,
enter the name of blanks, quality control, and sample that will analyzed in the run. If
barcodes are used on the sample labels, use the barcode scanner attached to the ICP-DRCMS computer to scan the sample ID from the barcode on each sample before placing it into
position in CombiPal autosampler tray.
3) Filling out the Samples table (Table 8-14).

TABLE 8-14: ELAN Samples Table
A/S Loc.

Batch ID

Sample ID

Measurement
Action

Method

…

Wash Speed
(+/- rpm)

1

001_ Aq.Blk

Run Sample

0

1

002_ Aq.Blk

Run Sample

0

2

003_ LB 10X

Run Sample

0

2

004_ LB 10X

Run Sample

0

3

005_ LB-yyxxx

Run Sample

0

3

006_ HB-yyxxx

Run Sample

0

4

007_ Sample

Run Sample

0

4

008_ Sample

Run Sample

0

…rows for 18 samples and SRM material were omitted for brevity
16

031_LB-yyxxx

Run Sample

0

16

032_HB-yyxxx

Run Sample

0

In the example table above, a run of 20 samples is shown so the last vial ends up being placed
in A/S Location #16 (this location corresponds to autosampler location which is defined in
Chronos, since there are two autosampler trays two #16 are used - "Left" and "Right". It is not
necessary to put A/S loc in ELAN - only for analysts benefit).

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The numbers preceding the underscore character correspond to the order of injection. These
numbers will later help the analyst find individual chromatograms based on injection number
instead looking for specific sample names during post-run data processing in TotalChrom.
4) When the sample table entries are verified to be correct choose "File" > "Save".
5) Print the ELAN Sample table by choosing the "File" > "Print Setup" > "Reports". In the
ensuing dialog box, select the preferred printer and click "OK". Next, choose "File" > "Print"
and then click the "Print" button. Refer to the printout of the ELAN Sample table for the
correct vial positions when loading samples into the CombiPal autosampler tray.

L. Starting the Run
1) Create daily data folder in C:\GC\Data under the name Hgyymmdd (i.e., Hg110422)
2) Launch ELAN Instrument Control program if it is not already up. Do not launch or start any
other programs at this time.
3) Check that the correct ELAN method is loaded and active in the window "Instrument Control
Session". If it is not correct, load the correct Method file. Check under the Sampling tab that
"Peristaltic pump under computer control" is unchecked, and the pull-down menu
"Sampling" indicates "External".
4) Check that the correct Sample file in the window "Instrument Control Session" is active. If it
is not correct, load the correct Sample file.
5) Load created dataset file "Hgyymmdd"
6) Check that the GC methods are correctly programmed.
7) Check that CombiPal autosampler methods are correctly programmed.
8) This step offers the advantage that the ELAN data files will be converted in real time to
TotalChom™ ".raw" files that have names containing a date-time stamp corresponding to
actual time of injection.
(a) Launch TotalChrom Navigator. In the resulting TotalChrom Navigator window,
choose menu item "Apps" > "ChromLink" (alternatively, you may launch ChromLink™
from the operating system "Start" > "Programs" menu).
(b) In the ChromLink™ program window, choose the menu item "Configuration" > "Mass
Details" and check the Nominal Name and Mass for mercury isotopes. If it is
missing or the ELAN tune ("default.tun") file was re-optimized earlier then
ChromLink™ needs to be configured (see Configuration of ELAN ChromLink™ on
page 35 for details). To save time, the analyst may choose to close the TotalChom™
Navigator and ChromLink™ windows and skip step 6 in its entirety. Data file
conversion via ChromLink™ can easily be done during post-run data reprocessing.
(c) In the ChromLink program window, click on the "Browse" button just right of the
"ELAN ChromLink file location" field. Navigate to the current working folder, doubleclick on it then click the "OK" button so that ChromLink knows where to save its
processed files.
(d) Otherwise, refer to step (b) of Data Processing and Analysis on page 37 for details
on proper setting of the ELAN ChromLink™ window's parameter fields. In the ELAN
ChromLink window, click the button "Start Processing ELAN Data Files" to put
ChromLink in watch mode so it will process each data for each injection in real
time. A new dialog box will open and indicate it is ready to convert data and waiting
for the first file.

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9) Launch Chronos program, which communicates with CombiPal autosampler and ELAN
software.
(a) In the main menu click on "Sample List" then upload analysis method for SPME
fiber cleaning "baking".
(b) Upload "SPME bakeout LEFT.cam" (to clean the left fiber) then select "Create
Schedule". The Schedule window will appear with time intervals required for the
measurement. Click "RUN" on the main menu, the run window appears and click
"run" again to proceed with the fiber cleaning.
(c) Repeat step (b) to clean right fiber and use "SPME bakeout RIGHT.cam"
(d) After fiber cleaning and daily performance check the QC and samples are ready for
analysis using SPME fibers. On the "Main Menu" select "Sample List" then click
"Load List". Upload Dual SPME .csl file. This file communicates with Left and Right
fibers. The table similar to the one below (Table 8-15) will appear. The table should
have Analysis Method "C:\Chronos\Methods\TWIN SPME_cdec.CAM" uploaded.

TABLE 8-15 Chronos Samples Table
Analysis Method

Source
Vial

Incubation
Time (s)

Enrichment
Time (s)

Desorption
Time (s)

GC cooling
down (s)

C:\Chronos\Metho
ds\TWIN
SPME_cdec.CAM

1

1

1200

420

180

1

1

1200

420

180

2

1

1200

420

180

2

1

1200

420

180

Rows for source vials 3 to 31 are omitted..
32

1

1200

420

180

32

1

1200

420

180

(e) "Source Vial" column shows which autosampler position will be first analyzed.
There are two racks (left and right) with vial position 1 to 32. Left rack gets
analyzed by Left SPME fiber and Right rack gets analyzed by Right SPME fiber.
There are two numbers "1" in the source vial column. First one always corresponds
to Left rack/Left fiber.
(f) Chronos communicates to autosmpler though "source vial" position, the analyst has
to make sure sample in ELAN correspond to location seen by Chronos. Example: if
the analyst wants to analyze slots 1-5 on both racks (total of 10 samples) the rows
below 10 should be deleted. To delete select the rows and click "Remove
Samples".
10) Check that the DRC gas is indeed flowing by making the ELAN's Instrument window active
and clicking on the Diagnostics tab. Inspect the Cell Gas A or B, its value should be
fluctuating at the current value ± 0.01 mL/min. If it is not, see section Turning on the
Reaction Cell Gas for details to turn on the DRC gas flow.
11) Check that all blanks, QC, and sample vials are loaded into their correct positions in the
CombiPal autosampler tray as designated by the ELAN Sample window (or its printout) and
in position seen by Chronos.

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12) Before samples are analyzed, daily performance check should be analyzed to ensure that
the instrument is functioning properly.
(a) Click on the ELAN "Instrument Control Session" window to make it active. Highlight
the samples and click the "Analyze Batch" button. A Run Progress box will appear
indicating that the ELAN software is now waiting for a signal from the Chronos that
indicates the occurrence of an injection.
(b) In Chronos: to analyze sample select "Create Schedule" then press "RUN" on main
menu and "RUN" again on the run window.
(c) View the chromatograms in TotalChrom and in the real time window of ELAN to
ensure that there are no problems with the analysis. After the Aqueous Blanks and
10X LB been analyzed the run can be started.
13) Open the ELAN "Instrument Control Session" Real-Time window by clicking the tool bar
button that looks like a Gaussian distribution (the blue chromatographic peak). After the
Real-Time window opens, click on the drop-down menu and select "Signal". Real-time data
will now be displayed.
14) CombiPal autosampler will seek the first vial and make an injection. A blue bar in the
ELAN's progress box will now indicate that data is being collected. The system can now run
unattended.
15) Check the progress of the run after 2 or 3 injections. Note the chromatograms appearing in
the ELAN's Real Time window. Adjust the signal scale in the Real Time window, as
necessary. Compare the positions and peak heights of each mercury species. It helps to
visually compare it to a printed reference chromatogram. If abnormalities in retention time,
peak height, or peak shape are readily apparent, the analyst may need to stop the
autosampler and abort the run in the Chrionos program and then ELAN. Correct the
problem(s) and restart the run.

Important
Remember to disable the ELAN's Auto Stop feature before re-enabling it otherwise the ELAN may perform
an auto shutoff prematurely.

M. Instrument Shut Down
1) The autosampler will stop after all samples have been analyzed.
2) Shut off ICP-DRC-MS plasma.
3) At the controller computer, visit the ELAN Instrument Control Session application and open
the "Dataset" window. Confirm that all samples ran successfully and that the corresponding
data for each sample is listed in this window.
4) Remove the QC and sample vials from the GC tray. Discard them according to CDC
biohazard waste disposal guidelines.

IX.

POST-RUN DATA ANALYSIS
A. Configuration of TotalChrom Integration Method
The following information is presented as a starting point to help the analyst develop robust integration
method parameters that will work best for most chromatography data. Many of these parameters will work

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just fine as presented below. However, the separation chemistry of GC columns can vary due to frequency of
use, column replacement, or because of individual sample "oddities". Some parameters may need to be
adjusted from time to time to maximize the ability of TotalChom™ to properly integrate peaks and identify
components with minimum operator intervention. Therefore, the analyst should pay particular attention to the
chromatograms produced in every run and make necessary adjustments as warranted. The analyst should be
familiar with the TotalChrom's frequently used integration functions, which are described in Chapter 18 of
TotalChrom Workstation User's Guide: Volume II.
1) The creation of a new method file in TotalChrom is done the first time TotalChrom is setup,
or it will need to be recreated if the file "Hg.mth" cannot be found or has been corrupted. In
the TotalChrom Navigator window, choose the menu item "Build" > "Method." In the next
dialog box, click the "Create a new method" radio button and click "OK." The default method
will load into the method editor.
2) Click on the "Components" item in the menu bar in Method Editor. If the menu item "Delete
All Components" is not grayed out, select it and click "OK" when prompted to "Delete all
components, calibration levels, and calibration replicates".
3) Choose the menu Item "Process" > "Integration". Click on the "Integration" tab in the
"Process" window. Enter the information shown in Table 9-1. These values are to be used
as a starting point, but the analyst may make appropriate changes to one or more of the
integration parameters as necessary.

TABLE 9-1: Integration
Basic Parameters

Advanced Parameters
Value

Value

Bunching Factor :

1

Peak Separation Criteria

Noise Threshold :

115

Width ratio :

0.2

Area Threshold :

577

Valley to peak ratio :

0.01

Exponential Skim Criteria
Peak height ratio :

5.000

Adjusted height ratio :

4.000

Valley height ratio :

3.000

4) Click on the "Baseline Timed Events" tab. Enter the information shown below in Table 9-2.
The analyst may make appropriate changes to one or more of the Baseline Timed Events as
may prove necessary.

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TABLE 9-2: Baseline Timed Events
Defined Events
Time

Event

Value

Code

0.000

Set Area Threshold

125

AT

0.000

Set Noise Threshold

25

NT

0.000

Smooth Peak Ends On

5

+SM

2.222

Set Bunching Factor

4

BF

Level

5) Click on the "Optional Reports" tab. Uncheck the box for "Keep temporary files".
6) Click on the "Replot" tab. Enter the information shown in Table 9-3. The analyst may make
appropriate changes to one or more of the Replot parameters as may prove necessary.

TABLE 9-3: Replot
Plots

Miscellaneous

Generate a separate
replot :

checked

Start plot at end of
delay :

checked

Number of pages:

1

Gradient overlay :

not checked*

Retention Labels :

Top of Plot*

Draw baselines :

checked*

Component Labels :

Actual time

Timed Events :

checked*

Scaling Type :

Absolute
Scaling

Plot Title :

Chromatogram

X axis label :

Time [min]

Scaling Parameters

Y axis label :
Scale Factor :
1.000000*
*These parameters maybe altered to suit the analyst.

Response [mV]

7) It is unnecessary to click on the "User Programs" tab because it is not used. Close the
Process window by clicking on the "OK" button.
8) In the Method Editor window, choose the menu item "Components" > "Global Information."
Click on the "Integration" tab in the "Process" window. Enter the information shown in Table
9-4:

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TABLE 9-4: Global Information
Volume units :

µL

Unidentified Peak
Quant.

Quantitation units :

ng

Calibration factor :

1.000e+06

Sample Volume :

1.000

Always use calib. Factor
:

selected

Void time (min) :

0.000

Calibration

RRT Calculation

External Standard

selected

Reject outliers during
calibration :

not checked

Use first peak in run as
RRT reference:

selected

Sample Amount
Options
Correct amounts for
calibration standards :

not checked

Convert unknown
samples to
concentration units:

checked

9) The "LIMS Results" tab is not used. Click the "OK" button to close the window. The
parameters in Table 9-4 are starting points. The analyst may make appropriate changes to
one or more of the Global Information parameters as may prove necessary.
10) In the Method Editor window, choose the menu item "Components" > "New Component." The
white list box in the left portion of the window will be empty. Click in the empty field labeled
"Name" and type "Hg0". Press the tab key and enter "1.614" in the field labeled "Retention
time". Select the radio button labeled "Peak" if it is not already selected. Leave the other
fields and check boxes unaltered. Click the "New Component" button. Enter each of the
component names and parameters listed in TABLE 9-5.

TABLE 9-5: Method Editor - Components Settings
Retention
Time

Absolute
window

Relative
window

Find tallest peak in window

Hg0

1.614

2

3

No

InHg

3.470

0

3

No

MeHg

2.640

0

3

Yes

Ethg

3.176

0

3

Yes

Name

11) Click the "New Component" button before starting a new component. After entering the last
component, click the "OK" button. The values for Retention Time, Absolute Window and
Relative Window serve as starting points. The analyst may alter these values as actual
chromatographic results may dictate.

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12) In the Method Editor window, choose the menu item "Components" > "Defaults." Click on
the "Identification" tab". Enter the information shown in Table 9-6.

TABLE 9-6: Components Defaults – Identification
Parameter

Setting

Parameter

Setting

Component Type :

Peak

Reference :

blank

Absolute window :

0

Internal Standard :

blank

Relative window :

3

Find tallest peak :

Not checked

13) Click on the "Calibration" tab in Components Defaults Window. Enter the information shown
in Table 9-7.

TABLE 9-7: Components Defaults – Calibration
Parameter

Setting

Amount

Calibration Type :

Use Calibration Factor

1.0000E-6

Scaling :

None

Weighing :

None

Response :

Area

14) The "User Values/LIMS" tab is not used. Close the "Components Defaults" window by clicking
the "OK" button.
15) In the Method Editor window, Choose "File" > "Save As." A window appears inviting you to
enter any information pertinent to this method which will be saved with the method. Enter
your name and the date this method was created. Click "OK" and a "TotalChrom File-SaveAs" dialog box opens. Navigate the directory tree to get to the folder C:\GC\Methods ).
Double-click on this folder. In the "File name:" field, enter "Hg-Template.mth". If there is
already a file in that folder with the same name, highlight that file and right-click the mouse.
Choose "Rename" and give the file a new name (e.g. add "backup" to the name). Now, you
can click the "Save" button. Close the "Method Editor" window.

B. Configuration of ELAN ChromLink™
ELAN ChromLink™ should be configured after initial installation of the program or when the ELAN
tune ("default.tun") file is re-optimized, and when there is available at least one recent ELAN NetCDF
file (with the ".nc" extension) containing data for the mass of interest that was collected since last
update of the "default.tun" file.
1) Launch TotalChrom Navigator. In the resulting TotalChrom Navigator window, choose menu
item "Apps" > "ChromLink" (alternatively, you may launch ChromLink™ from the operating
system Start > Programs menu).
(a) Inside the ELAN ChromLink window, click on menu item "Configuration" > "Default
TotalChrom Method". Click on the "Browse..." button and navigate to the directory
C:\gc\methods\. Select "Hg-TC.mth" and click the "Open" button.
"C:\gc\methods\Hg-TC.mth" will now be the ChromLink™ default method. Click "OK"
to close the "Default TotalChrom Method" window.

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(b) Inside the ELAN ChromLink window, click on the "Set" button. A window entitled
"Operating Mode" will open. Inside the ELAN ChromLink window, click on the "Set"
button. A window entitled "Operating Mode" will open. Click on the "Automatic process all ELAN NetCDF files in specified location" radio button. The lower radio
buttons will gray out. Click the "OK" button to close the window.
(c) Click on the "Browse" button by the "ELAN NetCDF file - location/file to be
converted" space. Choose the path "C:\Elandata|reportOutput". The location/file
to be converted will now read "C:\Elandata|reportOutput\*.nc".
(d) Click on the "Browse..." button for "ELAN NetCDF Chromlink file location (sequence
and raw files generated by Chromlink)" field. An open file dialog box will open;
choose the file to which all the data should be place (usually the data file that was
created that day).
(e) Click on the "Start Processing ELAN Data Files" button. A window entitled
"Processing ELAN Data" will appear.
2) At this time, ChromLink™ may be closed by selecting "File" > "Exit." Click "OK" at the dialog
box asking if you want to quit ChromLink™.
3) In addition to configuring ChromLink™ itself, it is necessary to alter one value in the "seed"
method file that ChromLink™ uses to set a select number of parameters to certain default
values. This step only needs to be done once following the installation of ChromLink™.
(a) In the TotalChrom Navigator window, choose the menu item "Build" > "Sequence"
and a dialog box called "Startup" will appear. Click on the radio button labeled "Load
sequence stored on disk" then click the "OK" button. Navigate to the folder on the C
drive that contains the ChromLink™ program file (usually in C:\PenExe\ChromLink
but if it is not there, check under the C:\Program Files directory). Click on the
sequence file "seed.seq" to highlight it (if this file is missing, reinstall ChromLink™).
Click the "Open" button. A spreadsheet style sequence table will present itself in a
window called "Sequence Information - Channel A". There will be a minimized
window for channel B data; ignore this window.
(b) Choose menu item "File" > "Save." Close the Sequence Editor window by choosing
"File" > "Exit" from the menu bar.

C. Data Processing and Analysis
Refer to Figure 1 "Post-Run Data Processing Work Flow Diagram" (page 38) for a summary
representation of the important aspects of post-run data processing.
1) Open Microsoft Windows® File Explorer and open the current working GC data directory
(e.g., C:\GC\Data\). Select all files ending with the .rst and .idx and
"delete" them to the Microsoft Windows® Recycling Bin.
2) If it is not already open, launch TotalChrom.
3) If ChromLink was not run in real-time data collection mode during the run as described in
step 6 under Starting the Run (see page 29), then do the following:
(a) In the TotalChrom Navigator window, choose menu item "App" > "ChromLink."
Choose the menu item "Configuration" > "Mass Details" and check the Nominal
Name and Mass for mercury. If it is missing or altered then ChromLink™ needs to
be configured (see Configuration of ELAN ChromLink™ on page 32 for details).
(b) Check that the Mode field indicates "Automatic - Process all NetCDF files in
specified location". If it does not, click the Set button to the right of this field and in

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the resulting "Operating Mode" dialog box, click the "Automatic - process all ELAN
NetCDF files in specified location" radio button, then click the OK button. Next,
check that the Field labeled "ELAN NetCDF file - location/file to be converted"
indicates the correct data folder. This should be "C:\elandata\Reportoutput\*.nc". If
it is not, click the Browse button to the right of it and navigate to that folder. Doubleclick on that folder then click the "OK" button to close the front most dialog box.
Last, click the Browse button to the right of the field labeled "ELAN ChromLink file
location..." In the dialog box "Select TotalChrom Data Location", navigate to the
folder containing the run data and double-click on it. Click the OK button to close
that dialog box. In the ELAN ChromLink window, click the button "Start Processing
ELAN Data Files" to start processing of the run data. A new dialog box will open and
provide current information on the status of the data conversion.
(c) When data conversion by ChromLink is completed within a minute or two, a
message in the step field will indicate "Successfully Finished". Click the Close
button. At this point, you may close the ELAN ChromLink application by choosing
"File" > "Exit" or clicking on the window "x" box. In the resulting "OK to quit?"
confirmation dialog box, click the "OK" button.
4) In the TotalChrom Navigator window, choose the menu item "Build" > "Method." Click the
"Load method stored on disk" radio button and click "OK." In the TotalChrom File-Open"
dialog box, find C:\GC\Methods folder and open the "GC_Hg.mth" file. The template method
file should now be loaded.
If, instead of loading the method file, an error message appears stating that the file is
unavailable because it is in use and asks if you would like to open it in Read-Only mode,
click the "No" button. Cancel the Open-File dialog box. Exit the Graphic Method Editor. In the
Navigator window, choose menu item "Admin" > "CAM Administrator." A window will appear
with two panes. In the left pane, click on the "+" sign in front of "TotalChrom Servers" to
expand it. Click on the computer icon on the next line that just appeared to highlight it. In the
right pane, under the heading "Resource/Instrument", select the first item. If there is more
than one item, select every item by shift-clicking on each item. Every item should now be
highlighted. Choose "Edit" > "Remove Locks" (or press the Delete key on the keyboard). Next,
click on the "+" sign in front of "Users" to expand it. Click to highlight your TotalChrom user
name that appeared. In the right pane, under the heading "Resource/Instrument", select
every item and Choose "Edit" > "Remove Locks." This action serves to unlock files and make
them available for editing. If in the future, TotalChrome™ complains that files cannot be
edited because they are locked, use CAM Administrator to unlock them. Choose "File" >
"Exit" to quit CAM Administrator. Start again at the beginning of this step to open the Method
Editor.

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Figure 1: Post-Run Data Processing Work Flow Diagram

5) Choose "File" > "Save As." At the next window you will be invited to enter information about
the method. You may enter pertinent information but this is optional. Click the "OK" button
and a TotalChrom File-Save-As" dialog box opens. Navigate the directory tree to get to the
folder that contains the ELAN data files for this run (typically in the folder C:\GC\Data\ ).
Double-click on this folder. In the "File name:" field, enter the same name as it exactly
appears for the folder that will contain it (i.e. Hg convention where yy=2-digit
year, mm=2-digit month, dd=2-digit date). Click the "Save" button then close the "Method
Editor" window.
6) In the TotalChrom Navigator window, choose the menu item "Build" > "Graphic Edit." A
TotalChrom File-Open" dialog box appears, but click on cancel to close it. On the Graphic
Method Editor's menu bar, choose "File" > "Open" and navigate the file-open dialog box to
the folder containing the method file created in the preceding step. Click on that file and
click the "Open" button. Return to the Graphic Method Editor's menu bar and choose "File" >
"New Data File." Navigate to C:\GC\Data\ and double-click on the folder containing the run
data. Find and click on a data file (indicated by the ".raw" extension) that corresponds to the

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"-LB0972". When this file appears in the File Name field, click the "Open" button. If a
message box appears with the warning "Unable to open this file: default.mth", click "OK" to
clear the message (you do not have to go to CAM Administration to unlock it). Do the same if
another message warning box appears (i.e. click "OK" again to clear it). You should be in the
"Graphic Method Editor - " window and see a chromatogram.
7) Under the menu item "Calibration" > "Show Windows" there should be a check mark beside
"Show Windows." Retention window bars (looks like "H" style error bars) will be present
when it is checked. Each retention time window bar should be located above the
chromatographic baseline and contain an identified peak within its bounds. If there are any
bars at the bottom of the chromatogram located below the baseline, choose menu item
"Calibration" > "Edit Components." Click on the first mercury species peak that falls outside
its retention time window to select it. In the group of data fields located on the right side of
the window, click on the "Name" dropdown arrow (located on the right side of the data entry
field) and choose the appropriate species by nameIt is usually not necessary to alter the
retention time window's "Absolute" and "Relative" window parameters, but you may do so if
experience dictates that a change will be beneficial. Click the "Next" or "Prev" button. Repeat
these steps for each mercury species peak that was not properly identified because it was
outside its retention time window. When the editing of peak retention time windows is
complete, click on the menu bar item "Return". Next, choose "File" > "Save" followed by "File
> Exit".
8) "In the TotalChrom Navigator window, choose the menu item "Build" > "Sequence" and a
dialog box called "Startup" will appear. Click on the radio button labeled "Load sequence
stored on disk" then click the "OK" button. The following steps should be used to create the
sequence used for reprocessing.
(a) Navigate to the folder containing the run data and click on the sequence file (ends
with ".seq") corresponding to the run (named "Hgyymmdd.seq" where where yy=2digit year, mm=2-digit month, dd=2-digit date ). Click the "Open" button. A
spreadsheet style sequence table will present itself in a window called "Sequence
Information - Channel A". There will be a minimized window for channel B data,
ignore this window. Look for the "Method" column and click on the first cell in row 1
in this column. Right click the mouse and a contextual menu will appear; choose
"Browse". In the resulting File-Select dialog box, navigate and choose the method
file (ending in ".mth") created earlier. Click on the Select button. The path and name
of the new method file will replace the default information in this cell. Right click
this cell again and choose Fill Down. The new file name information will fill down to
every cell in the "Method" column. Look for the "Rpt Fmt File" column and follow the
same process that was followed with the "Method" column. Instead of choosing the
method file (ending in ".mth") choose the report file (ending in ".rpt). If the report
file is not listed, click on the "default.rpt" file. In the bar that contains the file's path,
change the "default" to "Hgyymmdd." Right click this cell again and choose Fill
Down. The new file name information will fill down to every cell in the "Rpt Fmt File"
column.
9) In the TotalChrom Navigator window, choose the menu item "Reprocess" > "Batch." A new
window appears entitled "Batch Reprocessing". Choose menu item "File" > "Sequence" and
another window appears entitled "From Sequence". Locate the top field labeled "Sequence
file" and look for a button with an open folder icon immediately to the right of the field. Click
this button and navigate, if necessary, to the folder containing the run's sequence files. Click
on the sequence file and click the "Open button." Upon return to the previous window, set
Start Analysis to "Peak Detection" and End Analysis to "Quantitiation". Set Batch Printer to
"pdfFactory Pro". Change Batch Execution to "ndlb-168462" or anything other than
"Interactive". Check "overwrite existing result files" and select "Update existing raw file
header with new sequence". All other parameters should remain unchanged. The
parameters are shown in TABLE 9-8.

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10) Click the "OK" button. Reprocessing of the chromatographic raw data will commence. The
bottom panel in the window will update with each file's name as it is processed. When
processing is done, this panel will be clear of files. Close this window.

TABLE 9-8: TotalChrom™ Navigator - Reprocess Batch
Parameter Name

Parameter Setting

Starting Row

:

1

Ending Row

:



Channel A

:

Checked

Channel B

:

Not Checked

Start Analysis

:

Peak Detection

End Analysis

:

Quantitation

Batch Execution

:

”ndlab-168462” or equivalent

Batch Printer

:

pdfFactoryPro

Batch Plotter

:

None

Enable Optional Reports in Method
Use Method is Result File

:

Not Checked
Grayed Out

Overwrite Existing Result Files

:

Checked

Raw File Treatment

:

Update existing raw file header with new
sequence

11) In the TotalChrom Navigator window, choose the menu item "Reprocess" > "Results." A new
window should open called "Reprocess Results". If you get an error message telling you that
you can only open this in read-only mode, then unlock the files (follow the procedure
described in step 4 of this section). Select from the menu "File" > "Open." In the open file
dialog box, click on the "Files of type:" dropdown menu and select "IDX files (*.idx)". Navigate
to the folder containing this run's data and click on the newest file (in the format of
"Hg--
File Typeapplication/pdf
AuthorDavid J.Kyle
File Modified2015-10-29
File Created2012-08-20

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