4RTNI-2 Kit Request System

4RTNI-2 Site

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M-D-Y

3 weeks from now:

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7 - USA: Massachusetts General Hospital

ATTN: Gabrielle Paquette
149 13th Street Rm 10081T
Charlestown MA, 02129
Phone:
Email: GPAQUETTE@mgh.harvard.edu

4 - USA: Columbia University

ATTN: Masood Manoochehri
Columbia University
622 West 168th Street
Presbyterian Hospital, 19th Floor
Room 19-323
New York, NY 10032
(212) 305-5710
mm2626@cumc.columbia.edu

9 - USA: Johns Hopkins University

ATTN: Claudia Waddell
10751 Falls Road, Suite 250
Lutherville, MD 21093
Phone: 410-616-2825
Email: cwaddel4@jh.edu

10R - USA: Mayo Clinic, Rochester

ATTN: Ruth Kraft
Mayo Clinic ADRC
200 First Street SW FF_02_100ALZ
Rochester, MN 55905
Phone: 507-284-1324
Email: kraft.ruth@mayo.edu

18 - USA: University of California San Diego

ATTN: Michael Skipworth
Altman Clinical and Translational Research Inst.
UCSD Movement Disorder Center
9452 Medical Center Drive, 2W 101 D4
La Jolla, CA 92037
Phone: 858-822-5751
Email: mskipworth@health.ucsd.edu

21 - USA: University of Pennsylvania

ATTN: Nykko Vitali
University of Pennsylvania
3700 Hamilton Walk
Suite B601
Philadelphia, PA 19104

Phone:
Email: vitalin@pennmedicine.upenn.edu

35 - USA: University of California San Francisco

ATTN: Rebecca Snell
University of California, San Francisco
Memory & Aging Center MC1207
675 Nelson Rising Lane, Suite 190
San Francisco, CA 94158
Phone:
Email: Rebecca.Snell@ucsf.edu

202 - CANADA: University of Toronto

ATTN: Kasey Cortez
Toronto Western Hospital
399 Bathurst St.,
Main Pavilion - 14th floor, Room 302
Toronto, ON M5T 2S8
Phone: 416-603-5800 ext. 5914
Email: kasey.cortez@uhn.ca

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4RTNI-2 Baseline Blood Kit with ambient shipping kit Qty

Each 4RTNI-2 Baseline Blood Kit Contains (KIT130.4):

3: EDTA (lavender top) blood collection tube (10 ml) - CT001
2: Sodium heparin (green top) blood collection tube (10 ml) - CT008
1: Serum Determination (red top) blood collection tube (10 ml) - CT006
3: PAXgene™ tube (2.5 ml) - CT004
9: bubble wrap tube pouch - SH032
30: Cryovial tube (2 ml) with lavender cap - CT027
10: Cryovial tube (2 ml) with red cap - CT028
3: Cryovial tube (2 ml) with clear cap - CT014
2: Cryovial tube (2 ml) with blue cap - CT034
4: Disposable graduated transfer pipette (1mL) - CV002
1: Cryovial tube box (holds up to 81 cryovials) -CV021
1: Resealable kit bag - ST002

Labels:
34: Plasma labels for blood collection and aliquot tubes - LB003
3: Buffy coat labels for aliquot tubes - LB003
2: PBMC labels for blood collection tubes - LB003
12: Serumlabels for blood collection and aliquot tubes - LB003
3: RNA labels for blood collection tubes - LB003
5: Kit number labels - LB003
10: Site and RAVE ID labels - LB003

Shipping Supplies for ambient shipment of PBMC (SH008):
1: Small IATA shipping box with insulated cooler - in SH008
1: Small refrigerant pack - in SH008
1: Aqui-Pak 6 tube absorbent pouch or small biohazard bag w/ absorbent tube sleeves - in SH008
1: UN3373 Biological Substance Category B label - in SH008
1: FedEx return airbill - SH002
1: FedEx clinpak - SH001

4RTNI-2 Longitudinal Blood Kit Qty

Each 4RTNI-2 Longitudinal Blood Kit Contains (KIT131.2):

2: EDTA (lavender top) blood collection tube (10 ml) - CT001
20: Cryovial tube (2 ml) with lavender cap - CV027
2: Cryovial tube (2 ml) with clear cap - CV014
1: Cryovial tube (2 ml) with blue cap - CV034
2: Disposable graduated transfer pipette (1mL) - CV002
1: Cryovial tube box (holds up to 25 cryovials) - CV005
1: Resealable kit bag - ST002
1: Kit bag label - LB006

Labels:
22: Plasma labels for blood collection and aliquot tubes - LB003
2: Buffy coat labels for aliquot tubes - LB003
2: Kit number labels - LB003
3: Site and RAVE ID labels - LB003

4RTNI-2 CSF Kit Qty

Each 4RTNI-2 CSF Kit Contains (KIT103366):

20: Cryovial tube (2 ml) with clear cap - CV014
13: Cryovial tube (2 ml) with orange cap - CV017 and CV018
1: Cryovial tube (2 ml) with blue cap - CV034
1: 24G Lumbar puncture tray - LP002
2: Screw-top conical tube with blue cap, individually wrapped (50 ml) - CV056
4: Disposable graduated transfer pipette (1mL) - CV002
1: Cryovial tube box (holds up to 81 cryovials) - CV021
1: Resealable kit bag - ST002 not pictured
1: Kit bag label - LB006 not pictured

Labels:
36: CSF labels for collection and aliquot tubes - LB003 not pictured
4: Kit number labels - LB003 not pictured

Each 4RTNI-2 CSF Kit for UCSF only Contains (KIT10365.8):

20: Cryovial tube (2 ml) with clear cap - CV014
13: Cryovial tube (2 ml) with orange cap - CV017 and CV018
1: Cryovial tube (2 ml) with blue cap - CV034
1: 22G Lumbar puncture tray - LP005
2: Screw-top conical tube with blue cap, individually wrapped (50 ml) - CV056
4: Disposable graduated transfer pipette (1mL) - CV002
1: Cryovial tube box (holds up to 81 cryovials) - CV021
1: Resealable kit bag - ST002 not pictured
1: Kit bag label - LB006 not pictured

Labels:
36: CSF labels for collection and aliquot tubes - LB003 not pictured
4: Kit number labels - LB003 not pictured

4RTNI-2 Frozen Shipping Supply Kit (Batch Shipment) Qty
Can ship up to 4 kits

Each 4RTNI-2 Frozen Shipping Supply Kit Contains (KIT109.2):

4: Large Biohazard bag (SH025) with 250 ml absorbent sheets (SH018)
1: FedEx return airbill - SH002
1: Shipping box/Styrofoam container (large shipper) - SH003
1: Warning label packet (includes Fragile, UN3373 labels) w/ FedEx dry ice sticker - SH048, LB008, LB005
12: Bubble wrap pouch - SH032
1: Resealable kit bag - ST002
1: Kit bag label - LB006

4RTNI-2 PBMC Redraw/Take Home Kit Qty

Each 4RTNI-2 PBMC Redraw/Take Home Kit Contains (KIT10363.1):

2: Sodium heparin (green top) blood collection tube (10 ml) - CT008
1: Small IATA shipping box with insulated cooler -in SH008
1: Small refrigerant pack -in SH008
1: Aqui-Pak 6 tube absorbent pouch or small biohazard bag with absorbent tube sleeves -in SH008
1: UN3373 Biological Substance Category B label -in SH008
1: List of contents card -in SH008
1: FedEx return airbill - SH002
1: FedEx ClinPak - SH001
1: Kit bag label - LB006

Labels:
2: PBMC labels for blood collection tube - LB003
2: Kit number labels - LB003
2: Site and Rave ID Label - LB003

4RTNI-2 EDTA Redraw/Take Home Kit Qty
For DNA/buffy coat redraw

Each 4RTNI-2 EDTA Redraw/Take Home Kit Contains (KIT10364.1):

1: EDTA (lavender top) blood collection tube (10 ml) - CT001
1: Small IATA shipping box with insulated cooler - in SH008
1: Small refrigerant pack - LB003
1: Aqui-Pak 6 tube absorbent pouch or small biohazard bag w/ absorbent tube sleeves - LB003
1: UN3373 Biological Substance Category B label - LB003
1: List of contents card - LB003
1: FedEx return airbill - SH002
1: FedEx Clinic Pak - SH001
1: Kit bag label - LB006

Labels:
1: WBLD label for blood collection tube - LB003
2: Kit number label - LB003
1: Site and RAVE ID label - LB003

4RTNI-2 Ambient Shipping Supply Kit Qty
Ambient shipping kits are included with baseline blood kits

Each 4RTNI-2 Ambient Shipping Supply Kit Contains (KIT10387):

1: Small IATA shipping box with insulated cooler - (in SH008)
1: Small refrigerant pack- (in SH008)
1: Aqui-Pak 6 tube absorbent pouch or small biohazard bag w/ absorbent tube sleeves- (in SH008)
1: UN3373 Biological Substance Category B label- (in SH008)
1: List of contents card- (in SH008)
1: FedEx return airbill - SH002
1: FedEx Clin Pak - SH001

4RTNI-2 Supplemental Supply Kit Qty
Limit 1 per site

Each 4RTNI-2 Supplemental Supply Kit Contains (KIT132.4):

3: Cryovial tube boxes (holds up to 81 cryovials) - CV021
12: Bubble wrap pouch - SH032
4: Small Biohazard bag with absorbent sheet -
25: Cryovial tube (2 mL) with red cap - CV028
10: Cryovial tube (2 mL) with blue cap - CV034
25: Cryovial tube (2 mL) with orange cap - CV017 and CV018
50: Cryovial tube (2 mL) with lavender cap - CV027
25: Cryovial tube (2 mL) with clear cap - CV014
5: FedEx return airbill - SH002
1: Needle- Sprotte Needle w/ Introducer 24G x 90mm, 1mm x 30mm - LP010
10: Screw-top conical tubes with blue cap, individually wrapped (50 mL) - CV056
10: EDTA (lavender top) blood collection tube (10 mL) - CT001
5: Serum Determination (Red-Top) Blood Collection Tube (10ml) - CT006
10: PAXgene™ tubes (2.5 mL) - CT004
8: Sodium heparin (green top) blood collection tubes (10 mL) - CT008
5: Disposable graduated transfer pipettes (1mL) - CV002
5: Warning label packets (includes Fragile, Biohazard, UN3373 labels) w/ FedEx dry ice sticker - SH048, SH025, LB008, LB005
4: Resealable bag - ST002
1: Kit bag label - LB006

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81 Cell Cryobox Qty

CV021

Cryovial tubes (2 ml) with purple cap Qty

CV027

Cryovial tubes (2 ml) with red cap Qty

CV028

Cryovial tubes (2 ml) with clear cap

CV014

Cryovial tubes (2 ml) with orange cap

CV017 and CV018

Cryovial tubes (2 ml) with blue cap

CV034

FedEx return airbills Qty

SH002

Shipping container for dry ice shipment
(shipping and styrofoam box)

SH003

LP needle- 24G Sprotte 3.5" needle Qty
(LP010)

Screw-top conical tube with blue cap - 50mL Qty
(Individually Wrapped for CSF)

CV056

Small Biohazard bag with absorbent sheet Qty

SH015

PAXgene™ tube (2.5 ml) Qty

CT004

EDTA (lavender-top ) blood collection tube (10 ml) Qty

CT001

Serum Determination (Red-Top) blood collection tube Qty
(10 ml)

CT006

Sodium heparin (green top) blood collection tube (10 ml) Qty

CT008

Disposable graduated transfer pipette 1mL Qty

CV002

Warning label packet (Fragile, UN3373 labels) w/ FedEx dry ice label Qty

SH048, LB009, LB005

RAVE ID Label

LB003

Our standard shipping time for all orders is 2-3 weeks.
If you need any items from this order expedited, please indicate the earliest date you will need these supplies and write which items need to be expedited in the comment section.

M-D-Y

Our standard shipping time for all orders is 3 weeks.

We can ship this request by: ______

If you need any supplies in this order prior to ______, you must contact the NCRAD coordinator for this study: kimcor@iu.edu

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NCRAD Internal Comments (Not viewable by site)

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Kit Accommodations
Site 9: Johns Hopkins University
- CSF kits: include 22G LP trays, include (2) 15ml conical tubes and (1) 50ml conical tube (KIT10365.71)

Kit Accommodations:
Site 35: University of California San Francisco
- No FedEx Airbills
- 22G LP Trays (Use CSF KIT10365.81)

Kit Accommodations
Site 4: Columbia University
- do not include transfer pipettes
- Use CSF KIT10365.61
- Baseline blood KIT130.5
- Longitudinal blood KIT131.3

Kit Accommodations
Site 202: University of Toronto
- INTERNATIONAL 24g LP trays in CSF kits (CSF KIT10365.9)

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