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Report Adverse events, including problems with test performance or results, to MedWatch by submitting the online FDA Form 3500
(https://www.accessdata.fda.gov/scripts/medwatch/index.cfm?action=reporting.home) or by calling 1-800-FDA-1088
1 | P a g e
FACT SHEET FOR HEALTHCARE PROVIDERS
LYHER Novel Coronavirus (2019-nCoV) IgM/IgG Antibody Combo Test Kit (Colloidal Gold)
Hangzhou Laihe Biotech Co., Ltd June 19, 2020
Coronavirus
Disease 2019
(COVID-19)
This Fact Sheet informs you of the significant known and
potential risks and benefits of the emergency use of the
LYHER Novel Coronavirus (2019-nCoV) IgM/IgG
Antibody Combo Test Kit (Colloidal Gold).
LYHER Novel Coronavirus (2019-nCoV) IgM/IgG
Antibody Combo Test Kit (Colloidal Gold) is authorized
for on the detection of IgG and IgM antibodies to SARS-
CoV-2 in human serum and plasma (dipotassium-EDTA,
lithium-heparin, or sodium-citrate).
What are the symptoms of COVID-19?
Many individuals with confirmed COVID-19 have
developed fever and/or symptoms of acute respiratory
illness (e.g., cough, difficulty breathing). The current
information available to characterize the spectrum of
clinical illness associated with COVID-19 suggests that
symptoms include cough, shortness of breath or difficulty
breathing, fever, chills, muscle pain, headache, sore
throat or new loss of taste or smell. Based on what is
known about the virus that causes COVID-19, signs and
symptoms may appear any time from 2 to 14 days after
exposure to the virus. Based on preliminary data, the
median incubation period is approximately 4-5 days, but
may range 2-14 days.
Public health officials have identified cases of COVID-19
infection throughout the world, including the United
States, which poses risks for public health. Please check
the CDC webpage for the most up to date information.
What do I need to know about COVID-19 testing?
Current information on COVID-19 for healthcare
providers, including case definitions and infection
control, is available at CDC’s webpage, Information for
Healthcare Professionals (see links provided in “Where
can I go for updates and more information” section).
• LYHER Novel Coronavirus (2019-nCoV) IgM/IgG
Antibody Combo Test Kit (Colloidal Gold) can be
ordered by healthcare providers to test human
serum and plasma (dipotassium-EDTA, lithium-
heparin, or sodium-citrate) to detect if there has
been an adaptive immune response to COVID-19,
indicating recent or prior infection.
• LYHER Novel Coronavirus (2019-nCoV) IgM/IgG
Antibody Combo Test Kit (Colloidal Gold) should not
be used to diagnose or exclude acute infection and
should not be used as the sole basis for treatment or
patient management decisions. Direct testing for
SARS-CoV-2 should be performed if acute infection
is suspected.
• LYHER Novel Coronavirus (2019-nCoV) IgM/IgG
Antibody Combo Test Kit (Colloidal Gold) is only
authorized for use in laboratories certified under the
Clinical Laboratory Improvement Amendments of
1988 (CLIA) 42 U.S.C. §263a, that meet
requirements to perform moderate or high
complexity tests.
• Please refer to the Biohit SARS-CoV-2 IgM/IgG
Antibody Test Kit instructions for use for additional
information.
Specimens should be collected with appropriate infection
control precautions. Current guidance for COVID-19
infection control precautions are available at the CDC’s
website (see links provided in “Where can I go for
updates and more information” section).
Use appropriate personal protective equipment when
collecting and handling specimens from individuals
suspected of having COVID-19 as outlined in the CDC
All individuals whose specimens are tested with
this assay will receive the Fact Sheet for
Recipients: LYHER Novel Coronavirus (2019-nCoV)
IgM/IgG Antibody Combo Test Kit (Colloidal Gold).
This test measures human SARS-CoV-2 IgG and IgM
antibodies that are generated as part of the adaptive
human immune response to the virus and is to be
performed only using serum and plasma.
Report Adverse events, including problems with test performance or results, to MedWatch by submitting the online FDA Form 3500
(https://www.accessdata.fda.gov/scripts/medwatch/index.cfm?action=reporting.home) or by calling 1-800-FDA-1088
2 | P a g e
FACT SHEET FOR HEALTHCARE PROVIDERS
LYHER Novel Coronavirus (2019-nCoV) IgM/IgG Antibody Combo Test Kit (Colloidal Gold)
Hangzhou Laihe Biotech Co., Ltd June 19, 2020
Coronavirus
Disease 2019
(COVID-19)
Interim Laboratory Biosafety Guidelines for Handling and
Processing Specimens Associated with Coronavirus
Disease 2019 (COVID-19). These specimens are only
shipped for analysis to laboratories designated by CDC
as qualified for analysis. For additional information, refer
to CDC Interim Guidelines for Collecting, Handling, and
Testing Clinical Specimens from Persons Under
Investigation (PUIs) for Coronavirus Disease 2019
(COVID-19) (see links provided in “Where can I go for
updates and more information” section).
There are no approved available alternative tests. FDA
has issued EUAs for other antibody tests that can be
found at https://www.fda.gov/emergency-preparedness-
and-response/mcm-legal-regulatory-and-policy-
framework/emergency-use-authorization#2019-ncov.
What does it mean if the specimen tests positive for
antibodies against the virus that causes COVID-19?
A positive test result with the LYHER Novel Coronavirus
(2019-nCoV) IgM/IgG Antibody Combo Test Kit
(Colloidal Gold) indicates that antibodies against SARS-
CoV-2 were detected, and the individual has potentially
been exposed to COVID-19.
Antibodies to SARS-CoV-2 are generally detectable in
blood several days following infection. Individuals may
have detectable virus present for several weeks
following seroconversion. A positive result can indicate
recent or past infection but does not exclude recently
infected individuals who are still contagious. It is
unknown how long antibodies to SARS-CoV-2 will
remain present in the body after infection and if they
confer immunity to infection. Incorrect assumptions
of immunity may lead to premature discontinuation
of physical distancing requirements and increase
the risk of infection for individuals, their households
and the public.
False positive results may occur due to cross-reactivity
from pre-existing antibodies or other possible causes.
The LYHER Novel Coronavirus (2019-nCoV) IgM/IgG
Antibody Combo Test Kit (Colloidal Gold) has been
designed to minimize the likelihood of false positive test
results. However, in the event of a false positive result,
risks to individuals could include the following: a
recommendation for isolation of the individual,
monitoring of household or other close contacts for
symptoms, isolation that might limit contact with family or
friends and may increase contact with other potentially
COVID-19 individuals, limits in the ability to work, the
delayed diagnosis and treatment for the true infection
causing the symptoms, unnecessary prescription of a
treatment or therapy, or other unintended adverse
effects. Due to the risk of false positive results,
confirmation of positive results should be
considered – using a second, different antibody
assay that detects the same type of antibodies.
Laboratory test results should always be considered in
the context of clinical observations and epidemiological
data in making patient management decisions.
All laboratories using this test must follow the standard
confirmatory testing and reporting guidelines according
to their appropriate public health authorities.
What does it mean if the specimen tests negative for
antibodies against the virus that causes COVID-19?
A negative test result for this test means that anti-SARS-
CoV-2 specific antibodies were not present in the
specimen above the limit of detection of the assay.
However, individuals tested early after infection may
not have detectable antibody response despite
active infection; in addition, not all patients will
develop a detectable antibody response to SARS-
CoV-2 infection. A negative result should not be
used to rule out COVID-19 infection. Direct testing of
SARS-CoV-2 should be performed if acute infection
is suspected.
The absolute sensitivity of the LYHER Novel
Coronavirus (2019-nCoV) IgM/IgG Antibody Combo Test
Kit (Colloidal Gold) is unknown.
Risks to an individual resulting from a false negative
result include: restriction of activities deemed acceptable
for individuals with evidence of an antibody response to
SARS-CoV-2, lack of monitoring of infected individuals
and their household or other close contacts for
symptoms resulting in increased risk of spread of
Report Adverse events, including problems with test performance or results, to MedWatch by submitting the online FDA Form 3500
(https://www.accessdata.fda.gov/scripts/medwatch/index.cfm?action=reporting.home) or by calling 1-800-FDA-1088
3 | P a g e
FACT SHEET FOR HEALTHCARE PROVIDERS
LYHER Novel Coronavirus (2019-nCoV) IgM/IgG Antibody Combo Test Kit (Colloidal Gold)
Hangzhou Laihe Biotech Co., Ltd June 19, 2020
Coronavirus
Disease 2019
(COVID-19)
COVID-19 within the community, or other unintended
adverse events.
What is an EUA?
The United States FDA has made this test available
under an emergency access mechanism called an
Emergency Use Authorization (EUA). The EUA is
supported by the Secretary of Health and Human
Service’s (HHS’s) declaration that circumstances exist to
justify the emergency use of in vitro diagnostics (IVDs)
for the detection and/or diagnosis of the virus that
causes COVID-19.
An IVD made available under an EUA has not
undergone the same type of review as an FDA-approved
or cleared IVD. FDA may issue an EUA when certain
criteria are met, which includes that there are no
adequate, approved, available alternatives, and based
on the totality of scientific evidence available, it is
reasonable to believe that this IVD may be effective.
The EUA for this test is in effect for the duration of the
COVID-19 declaration justifying emergency use of IVDs,
unless terminated or revoked (after which the test may
no longer be used).
Where can I go for updates and more
information?
CDC webpages:
General: https://www.cdc.gov/COVID19
Healthcare Professionals:
https://www.cdc.gov/coronavirus/2019-nCoV/guidance-
hcp.html
Information for Laboratories:
https://www.cdc.gov/coronavirus/2019-nCoV/guidance-
laboratories.html
Laboratory Biosafety:
https://www.cdc.gov/coronavirus/2019-nCoV/lab-biosafety-
guidelines.html
Isolation Precautions in Healthcare Settings:
https://www.cdc.gov/coronavirus/2019-ncov/infection-
control/control-recommendations.html
Specimen Collection:
https://www.cdc.gov/coronavirus/2019-nCoV/guidelines-
clinical-specimens.html
Infection Control: https://www.cdc.gov/coronavirus/2019-
ncov/infection-control/index.html
FDA webpages:
General: www.fda.gov/novelcoronavirus
EUAs:(includes links to recipient fact sheet and
manufacturer’s instructions) https://www.fda.gov/medical-
devices/emergency-situations-medical-devices/emergency-
use-authorizations
Hangzhou Laihe Biotech Co.
Hangzhou, Zhejiang China

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  • 1. Report Adverse events, including problems with test performance or results, to MedWatch by submitting the online FDA Form 3500 (https://www.accessdata.fda.gov/scripts/medwatch/index.cfm?action=reporting.home) or by calling 1-800-FDA-1088 1 | P a g e FACT SHEET FOR HEALTHCARE PROVIDERS LYHER Novel Coronavirus (2019-nCoV) IgM/IgG Antibody Combo Test Kit (Colloidal Gold) Hangzhou Laihe Biotech Co., Ltd June 19, 2020 Coronavirus Disease 2019 (COVID-19) This Fact Sheet informs you of the significant known and potential risks and benefits of the emergency use of the LYHER Novel Coronavirus (2019-nCoV) IgM/IgG Antibody Combo Test Kit (Colloidal Gold). LYHER Novel Coronavirus (2019-nCoV) IgM/IgG Antibody Combo Test Kit (Colloidal Gold) is authorized for on the detection of IgG and IgM antibodies to SARS- CoV-2 in human serum and plasma (dipotassium-EDTA, lithium-heparin, or sodium-citrate). What are the symptoms of COVID-19? Many individuals with confirmed COVID-19 have developed fever and/or symptoms of acute respiratory illness (e.g., cough, difficulty breathing). The current information available to characterize the spectrum of clinical illness associated with COVID-19 suggests that symptoms include cough, shortness of breath or difficulty breathing, fever, chills, muscle pain, headache, sore throat or new loss of taste or smell. Based on what is known about the virus that causes COVID-19, signs and symptoms may appear any time from 2 to 14 days after exposure to the virus. Based on preliminary data, the median incubation period is approximately 4-5 days, but may range 2-14 days. Public health officials have identified cases of COVID-19 infection throughout the world, including the United States, which poses risks for public health. Please check the CDC webpage for the most up to date information. What do I need to know about COVID-19 testing? Current information on COVID-19 for healthcare providers, including case definitions and infection control, is available at CDC’s webpage, Information for Healthcare Professionals (see links provided in “Where can I go for updates and more information” section). • LYHER Novel Coronavirus (2019-nCoV) IgM/IgG Antibody Combo Test Kit (Colloidal Gold) can be ordered by healthcare providers to test human serum and plasma (dipotassium-EDTA, lithium- heparin, or sodium-citrate) to detect if there has been an adaptive immune response to COVID-19, indicating recent or prior infection. • LYHER Novel Coronavirus (2019-nCoV) IgM/IgG Antibody Combo Test Kit (Colloidal Gold) should not be used to diagnose or exclude acute infection and should not be used as the sole basis for treatment or patient management decisions. Direct testing for SARS-CoV-2 should be performed if acute infection is suspected. • LYHER Novel Coronavirus (2019-nCoV) IgM/IgG Antibody Combo Test Kit (Colloidal Gold) is only authorized for use in laboratories certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) 42 U.S.C. §263a, that meet requirements to perform moderate or high complexity tests. • Please refer to the Biohit SARS-CoV-2 IgM/IgG Antibody Test Kit instructions for use for additional information. Specimens should be collected with appropriate infection control precautions. Current guidance for COVID-19 infection control precautions are available at the CDC’s website (see links provided in “Where can I go for updates and more information” section). Use appropriate personal protective equipment when collecting and handling specimens from individuals suspected of having COVID-19 as outlined in the CDC All individuals whose specimens are tested with this assay will receive the Fact Sheet for Recipients: LYHER Novel Coronavirus (2019-nCoV) IgM/IgG Antibody Combo Test Kit (Colloidal Gold). This test measures human SARS-CoV-2 IgG and IgM antibodies that are generated as part of the adaptive human immune response to the virus and is to be performed only using serum and plasma.
  • 2. Report Adverse events, including problems with test performance or results, to MedWatch by submitting the online FDA Form 3500 (https://www.accessdata.fda.gov/scripts/medwatch/index.cfm?action=reporting.home) or by calling 1-800-FDA-1088 2 | P a g e FACT SHEET FOR HEALTHCARE PROVIDERS LYHER Novel Coronavirus (2019-nCoV) IgM/IgG Antibody Combo Test Kit (Colloidal Gold) Hangzhou Laihe Biotech Co., Ltd June 19, 2020 Coronavirus Disease 2019 (COVID-19) Interim Laboratory Biosafety Guidelines for Handling and Processing Specimens Associated with Coronavirus Disease 2019 (COVID-19). These specimens are only shipped for analysis to laboratories designated by CDC as qualified for analysis. For additional information, refer to CDC Interim Guidelines for Collecting, Handling, and Testing Clinical Specimens from Persons Under Investigation (PUIs) for Coronavirus Disease 2019 (COVID-19) (see links provided in “Where can I go for updates and more information” section). There are no approved available alternative tests. FDA has issued EUAs for other antibody tests that can be found at https://www.fda.gov/emergency-preparedness- and-response/mcm-legal-regulatory-and-policy- framework/emergency-use-authorization#2019-ncov. What does it mean if the specimen tests positive for antibodies against the virus that causes COVID-19? A positive test result with the LYHER Novel Coronavirus (2019-nCoV) IgM/IgG Antibody Combo Test Kit (Colloidal Gold) indicates that antibodies against SARS- CoV-2 were detected, and the individual has potentially been exposed to COVID-19. Antibodies to SARS-CoV-2 are generally detectable in blood several days following infection. Individuals may have detectable virus present for several weeks following seroconversion. A positive result can indicate recent or past infection but does not exclude recently infected individuals who are still contagious. It is unknown how long antibodies to SARS-CoV-2 will remain present in the body after infection and if they confer immunity to infection. Incorrect assumptions of immunity may lead to premature discontinuation of physical distancing requirements and increase the risk of infection for individuals, their households and the public. False positive results may occur due to cross-reactivity from pre-existing antibodies or other possible causes. The LYHER Novel Coronavirus (2019-nCoV) IgM/IgG Antibody Combo Test Kit (Colloidal Gold) has been designed to minimize the likelihood of false positive test results. However, in the event of a false positive result, risks to individuals could include the following: a recommendation for isolation of the individual, monitoring of household or other close contacts for symptoms, isolation that might limit contact with family or friends and may increase contact with other potentially COVID-19 individuals, limits in the ability to work, the delayed diagnosis and treatment for the true infection causing the symptoms, unnecessary prescription of a treatment or therapy, or other unintended adverse effects. Due to the risk of false positive results, confirmation of positive results should be considered – using a second, different antibody assay that detects the same type of antibodies. Laboratory test results should always be considered in the context of clinical observations and epidemiological data in making patient management decisions. All laboratories using this test must follow the standard confirmatory testing and reporting guidelines according to their appropriate public health authorities. What does it mean if the specimen tests negative for antibodies against the virus that causes COVID-19? A negative test result for this test means that anti-SARS- CoV-2 specific antibodies were not present in the specimen above the limit of detection of the assay. However, individuals tested early after infection may not have detectable antibody response despite active infection; in addition, not all patients will develop a detectable antibody response to SARS- CoV-2 infection. A negative result should not be used to rule out COVID-19 infection. Direct testing of SARS-CoV-2 should be performed if acute infection is suspected. The absolute sensitivity of the LYHER Novel Coronavirus (2019-nCoV) IgM/IgG Antibody Combo Test Kit (Colloidal Gold) is unknown. Risks to an individual resulting from a false negative result include: restriction of activities deemed acceptable for individuals with evidence of an antibody response to SARS-CoV-2, lack of monitoring of infected individuals and their household or other close contacts for symptoms resulting in increased risk of spread of
  • 3. Report Adverse events, including problems with test performance or results, to MedWatch by submitting the online FDA Form 3500 (https://www.accessdata.fda.gov/scripts/medwatch/index.cfm?action=reporting.home) or by calling 1-800-FDA-1088 3 | P a g e FACT SHEET FOR HEALTHCARE PROVIDERS LYHER Novel Coronavirus (2019-nCoV) IgM/IgG Antibody Combo Test Kit (Colloidal Gold) Hangzhou Laihe Biotech Co., Ltd June 19, 2020 Coronavirus Disease 2019 (COVID-19) COVID-19 within the community, or other unintended adverse events. What is an EUA? The United States FDA has made this test available under an emergency access mechanism called an Emergency Use Authorization (EUA). The EUA is supported by the Secretary of Health and Human Service’s (HHS’s) declaration that circumstances exist to justify the emergency use of in vitro diagnostics (IVDs) for the detection and/or diagnosis of the virus that causes COVID-19. An IVD made available under an EUA has not undergone the same type of review as an FDA-approved or cleared IVD. FDA may issue an EUA when certain criteria are met, which includes that there are no adequate, approved, available alternatives, and based on the totality of scientific evidence available, it is reasonable to believe that this IVD may be effective. The EUA for this test is in effect for the duration of the COVID-19 declaration justifying emergency use of IVDs, unless terminated or revoked (after which the test may no longer be used). Where can I go for updates and more information? CDC webpages: General: https://www.cdc.gov/COVID19 Healthcare Professionals: https://www.cdc.gov/coronavirus/2019-nCoV/guidance- hcp.html Information for Laboratories: https://www.cdc.gov/coronavirus/2019-nCoV/guidance- laboratories.html Laboratory Biosafety: https://www.cdc.gov/coronavirus/2019-nCoV/lab-biosafety- guidelines.html Isolation Precautions in Healthcare Settings: https://www.cdc.gov/coronavirus/2019-ncov/infection- control/control-recommendations.html Specimen Collection: https://www.cdc.gov/coronavirus/2019-nCoV/guidelines- clinical-specimens.html Infection Control: https://www.cdc.gov/coronavirus/2019- ncov/infection-control/index.html FDA webpages: General: www.fda.gov/novelcoronavirus EUAs:(includes links to recipient fact sheet and manufacturer’s instructions) https://www.fda.gov/medical- devices/emergency-situations-medical-devices/emergency- use-authorizations Hangzhou Laihe Biotech Co. Hangzhou, Zhejiang China