Bacterial endotoxins tests are used to detect and quantify endotoxins from gram-negative bacteria. Endotoxins are heat-stable lipopolysaccharides in bacterial cell walls. The test uses amoebocyte lysate from horseshoe crabs to detect endotoxins. There are several methods to conduct the test including gel clot formation, turbidity measurement, and chromogenic assays. Proper controls and standard curves must be established to validate the test results. The test is used to ensure medical products and devices are free of endotoxins, which can cause adverse reactions in humans.