Anti D Monoclonal Antibody Reagent (IgM+IgG Blend — Rh Typing)
Lab Supplies

Anti D Monoclonal Antibody Reagent (IgM+IgG Blend — Rh Typing)

Pack Sizes Available

1 x 5ml dropper bottle

Product Description

If there is one test result in blood banking that cannot wait, cannot be approximate, and cannot be re-done after a transfusion has been given — it is the Rh(D) type. Getting this result wrong is not a minor analytical error. It is the kind of error that has life-and-death consequences across both transfusion medicine and obstetrics. The history of Rh incompatibility in medicine, and the decades of work that went into developing reliable Anti-D reagents, is a story about what happens when this result goes wrong and what it takes to make sure it does not. The Anti-D Monoclonal Antibody Reagent is the IgM+IgG blend format — the most complete Anti-D reagent configuration for routine clinical use. The IgM component provides the direct saline agglutination required for rapid slide and tube testing in routine Rh typing. The IgG component provides the sensitivity for detecting weak D-expressing red cells in the antiglobulin phase. Used together as a blend, the reagent delivers both the speed of a direct slide test and the sensitivity of the Coombs phase without requiring separate sequential testing, unless protocol dictates otherwise. The blend is produced from human and murine hybridoma cell lines — multiple clones that together cover the full spectrum of D antigen expression, including partial D variants and category DVI cells. The reagent will cause direct agglutination of D antigen-positive red cells that carry the full D antigen, and indirect agglutination of category DVI cells in the antiglobulin phase. Red cells that show no reaction in either phase are classified as D-negative, subject to the laboratory's Du testing protocol for blood donors. The titre is at minimum 1:128 for Anti-D as per the Tulip Eryscreen combipack confirmed specification — lower than Anti-A and Anti-B (which run at 1:256) because Anti-D detection is intrinsically more demanding and this titre represents the validated clinical performance threshold. The reagent is supplied in a calibrated dropper bottle for consistent drop volume in testing. It is available individually in 5ml and 10ml bottles, in a 1L bulk format for high-throughput blood centres, and as part of the Tulip Eryscreen 3x10ml combipack (Anti-A + Anti-B + Anti-D) — the single-box solution for laboratories that prefer to source all three ABO-D grouping reagents from one supplier and one lot. For blood bank supply distributors and diagnostic reagent importers, Anti-D is the most safety-critical of the three ABO-D grouping reagents and the one for which procurement reliability matters most. A supply interruption in Anti-D stops blood typing. Sara Wellness supplies Anti-D monoclonal blend reagent in the individual bottle and combipack formats, exports with full cold-chain documentation, and maintains adequate stock for consistent repeat supply. Fifteen years in the IVD export business means these supply chains run as they should.

Technical Specifications

  • Antibody Class and Source: IgM+IgG blend; human/murine hybridoma clones (e.g., P3x61, P3x21223B10 for IgM; P3x290, P3x35 for IgG); multi-clone blend covers full D antigen spectrum including partial D and category DVI
  • Specificity and Application: Specific for D antigen (Rho, RH1) on human red blood cells; IgM provides direct saline agglutination; IgG detects weak D in antiglobulin phase; for ABO-D blood grouping (slide, tube, microplate) and Du testing in donors
  • Titre: Anti-D titre ≥1:128 (tube agglutination test — confirmed from Tulip Eryscreen 3x10ml combipack specification); direct agglutination of D-positive cells; indirect agglutination of category DVI cells in AHG phase
  • Storage and Shelf Life: Store at 2-8°C; do not freeze; shelf life 24-36 months; bring to room temperature before use; confirm daily reactivity with D-positive and D-negative red cell controls; perform Du test on all donor samples giving negative direct result
  • Regulatory Status: CE-IVD marked; ISO 13845:2016 compliant; CDSCO registered IVD (India); for in vitro diagnostic use by trained serological operators only; handle all blood-contact materials as potentially infectious; contains sodium azide
FAQ

Frequently asked questions

Anti-D IgM (saline-reactive) produces direct agglutination of D antigen-positive red cells in slide and tube tests within seconds — fast, visual, and simple. Anti-D IgG requires the indirect antiglobulin test (IAT) to detect sensitisation and is used specifically for weak D testing. The Anti-D IgM+IgG blend combines both antibody classes: the IgM component provides the rapid direct slide/tube agglutination for routine Rh typing, while the IgG component provides sensitivity for detecting weak D expression in the antiglobulin phase. The blend is the most comprehensive format for routine clinical use — delivering both speed and sensitivity in a single reagent.

A positive Anti-D result — agglutination of red cells with Anti-D reagent — indicates the presence of the D antigen. The patient or donor is classified as Rh-positive. Approximately 85% of the white population and 94% of the Indian and Black African population are Rh-positive. A negative result — no agglutination — indicates absence of the D antigen. The patient is classified as Rh-negative. For transfusion recipients, Rh-negative patients should receive Rh-negative blood to prevent sensitisation and future transfusion reactions. All negative results in blood donors must be further confirmed by the Du (weak D) test before the unit is labelled as Rh-negative and transfused.

The D antigen is the most common cause of haemolytic disease of the fetus and newborn (HDFN). When an Rh-negative mother carries an Rh-positive fetus, fetal red cells can enter the maternal circulation during delivery, abortion, or invasive procedures. If the mother's immune system recognises and responds to the D antigen, she develops Anti-D antibodies. In a subsequent Rh-positive pregnancy, these maternal IgG Anti-D antibodies cross the placenta and attack fetal red cells, causing HDFN — ranging from mild neonatal jaundice to severe haemolytic anaemia, hydrops fetalis, and death. Accurate Rh D typing of all pregnant women is the foundation of HDFN prevention programmes.

The Tulip Diagnostics Eryscreen combipack (Anti-A + Anti-B + Anti-D, 3x10ml) is confirmed to have Anti-D titre at a minimum of 1:128 in the tube agglutination test against D antigen-positive red cells. Anti-A and Anti-B in the same combipack are specified at a minimum of 1:256. The lower minimum titre for Anti-D compared to Anti-A and Anti-B reflects the inherent difference in D antigen density on red cells compared to ABO antigens, not reduced reagent quality — this specification is consistent with international blood grouping reagent standards.

Anti-D Monoclonal Antibody Reagent is stored at 2 to 8°C. Do not freeze. Shelf life is 24 to 36 months from date of manufacture. The reagent should be brought to room temperature before use. On each day of use, reactivity must be confirmed by testing with known D antigen-positive red cell controls (positive result expected) and D antigen-negative red cell controls (negative result expected). All negative D typing results on blood donor samples must be confirmed by the full weak D (Du) indirect antiglobulin test procedure. Discard any reagent that is turbid, discoloured, or shows signs of contamination.

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