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DETECTABUSE™ "NO VACUUM" GRAVITY SERIES GV-65 METHOD FOR THE ANALYSIS OF
6-MONOACETYLMORPHINE IN URINE, SERUM OR ORAL FLUID BY GC-MS


This method is a preliminary procedure for investigational use only. Although it has performed well in our laboratory, the method must be validated by your laboratory before it is used to report patient values. We would appreciate your comments on its performance and welcome your suggestions for improvements or enhancements.

Revised: January 2003 (* TEA Elution Solvent Stability)

SAMPLE PREPARATION - (Please see Notes and Supplemental Information before proceeding)

1. Add 3.0 mL of sample to a 16 x 100 mm disposable borosilicate glass tube with an inert screw cap top.
2. Add 50 ng of 6-MAM-d3 to each sample (see note a).
3. Pretreat samples by adding 1.0 mL of a saturated solution of Sodium Bisulphite
(see note b) . Prepare by dissolving 25 grams of Sodium Bisulfite in 100 mL of a (1:1) mixture of H2O:0.25M Phosphate Buffer, pH 6.0. Prepare monthly (Store refrigerated). ).
4. Mix gently and incubate samples at 55°C for 15 min.
5. Add 1.0 mL, 1% HCl in Deionized Water.
6. If cloudy or precipitated Centrifuge for 3 minutes at 3000 RPM.

Note: a. When adding an internal standard dissolved in an organic solvent to a sample, the solvent volume must not exceed 3% of the buffered sample volume. Higher solvent concentrations may produce extraction losses.

Note: b. The Sodium Bisulphite reduction step, when combined with the unique derivatization step, eliminates the interference from Codones and Morphones without affecting morphine, codeine or 6-MAM . If this interference is not a concern, this reduction step may be eliminated. The column still must be pretreated with Sodium Bisulphite to activate the cation exchange moiety on the resin.

HARDWARE SETUP - (Please refer to the Detectabuse Hardware Setup Instructions)

COLUMN CONDITIONING

1. Wash column with 1.0 mL of Methanol. Allow to flow by gravity.
2. Add 1.0 mL of a Sodium Bisulfite solution to each column. Allow to flow by gravity.Prepare by dissolving 25 grams of Sodium Bisulfite in 100 mL of a (1:1) mixture of H2O:0.25M Phosphate Buffer, pH 6.0. Prepare monthly.
3. Proceed to Sample Extraction within 60 min. of column conditioning.

SAMPLE EXTRACTION - (Please see Notes at end of this section before proceeding)

1. Pour samples onto preconditioned column. Allow to flow by gravity. Samples will flow through the column at a rate of 1-2 mL/min.
2. Wash column with 3.0 mL of Deionized Water.
3. Wash column with 2.0 mL of Methanol. Allow the columns to flow by gravity.
4. Wash column with 1.0 mL Ethyl Acetate. Allow the columns to flow by gravity. Proceed to Sample Elution.

Note: If liquids do not elute freely by gravity flow, there is probably air trapped within the column bed or frits. Tapping the column mounting plate onto the vacuum box should initiate flow.

SAMPLE ELUTION

1. Sample elution is done outside of the vacuum box.
2. Place the column mounting plate on the elution rack loaded with an appropriate number of 12 x 75 mm or 15 x 85 mm borosilicate glass test tubes. Make sure that the hole pattern on the plate matches the hole pattern on the rack.
3. Add 1.5 mL of n-Butylchloride:Ethyl Acetate (80:20) w/4% Triethylamine (TEA)* to each column and allow solvent to flow through the columns by gravity into the test tubes.
4. Dry under N2 or argon at less than 50°C.

* Elution solvent with 4% TEA, (4 mL TEA is added to 96 mL of n-Butyl Chloride:Ethyl Acetate 80:20) is stable for approximately one week stored in a glass bottle with a Teflon or polypropylene lined cap. Close bottle tightly when not in use. A white residue begins to appear in the dried down eluate when the TEA begins to deteriorate. Artifacts from this process may interfere with "fast" GC/MS methods.

Note: If a sample does not elute freely by gravity flow, there is probably air trapped within the column bed or frits. In most cases, tapping the column will initiate flow. If this does not do the job, use a rubber bulb to gently push a few drops of elution solvent and trapped air into the collection tube. Allow the remainder of solvent to flow by gravity.

DERIVATIZATION - Using TMSI/MBTFA

1. To each dried extract add 70 µL Acetonitrile and 15 µL Trimethylsilylimidizole (TMSI).
2. Mix the tube contents, cap and incubate at room temp. for at least 5 mins.
3. Add 15 µL N-Methyl-bis(trifluoroacetamide) (MBTFA), mix the tube contents, flush with nitrogen or argon, cap the tube or transfer contents into 100 µL reaction vials and seal.
4. Inject 1-2.0 µL.

SUPPLEMENT - When using an automated robotic system all liquids may be allowed to flow unassisted through the column or may be pulled through the column with vacuum or pushed through with positive pressure.
Assisted flow parameters may be set as follows: Column Conditioning - Pass through column in approximately 20 seconds (± 20%).
Sample, Sample Washes, and Elution Solvent - Pass through column in approximately 60 seconds (± 20%).


GC/MS ANALYSIS
GC/MS: Hewlett-Packard equipped with Mass Selective Detector
GC Column: H.P. Ultra 2 Capillary Column (or equivalent), 15 m x 0.25 mm, 0.25 µm film
Acquisition Mode: SIM

Temperature Program:
Injector Temp.: 285°C
Detector Temp.: 295°C
Initial: 110°C, program at 25°C/min. to 300°C
Equil. Time: 1.0 min.
Split Ratio: Splitless
He Flow: 1.0 mL/min. @ 200°C
Septum Purge: 2 mL/min.
Purge Off Time: 1.0 min.
Dwell: 30
Solvent Delay: 5.0 min.
Start Acq.: 5.0 min.
Stop Run: 9.0 min.
MSD SIM PROGRAM
TMSI/MBTFA
DrugIons MonitoredRetention Time
6-Monoacetylmorphine 340, 399, 400 7.33
6-Monoacetylmorphine-d3 290 ,343, 402 7.32
6-Monoacetylmorphine-d6 290, 343, 405 7.31
Retention time and ion spectra will vary somewhat from instrument to instrument.
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