Dr L H Hiranandani Hospital has a "round-the-clock" laboratory testing facility catering to both outpatient as well as patients admitted in the hospital with an extremely comprehensive menu of investigations to choose from which includes routine and specialised investigations. The Department of Laboratory Medicine is equipped with the latest state-of-the-art analyzers, which are fully integrated with the Laboratory Informatic System providing for online patient results. The department boasts of consistent and quality results through stringent Quality Control measures and participation in recognised External Proficiency Testing Programmes. The department has been accreditated (M-0135) in the field of medical testing by the National Accreditation Board for Testing and Calibration Laboratories (NABL) for international standard ISO 15189:2012.
Laboratory Quality Policy
"We are committed to provide accurate, timely and reliable test results conforming to national and international standards (ISO 15189:2012 and NABL 112). All laboratory personnel are properly trained and continuously updated with the technical advances for achieving continual improvement. We will strive to improve at every given time, thus ensuring patient satisfaction."
The Biochemistry section is equipped with the latest dry chemistry technology from the Ortho-Clinical Diagnostic.
The Vitros 5.1 FS and Vitros 350 biochemistry analyzers are equipped with primary tube sampling with sample identification via bar code scanner system. The analyzers are capable of handling 1000 and 350 test results per hour respectively with the capacity for processing urgent (STAT) samples along with the batch analysis, thus making critical information available quickly for emergency samples. The patented spreading layer of the microslide technology minimises the interferences from hemolysis, lipemia and bilirubin thus improving the integrity of the result. The Vitros 5.1 FS is equipped with following technology:
- Microsensor Scan for sample interferences (hemolysis, icterus, turbidity)
- Intellicheck™ Technology includes clot and bubble detection, Save-the-Sample Clot Management, liquid level sensing and reagent delivery detection and management The Cobas b221 automated blood gas analyzer from Roche has following salient features:
- Measures Total Bilirubin (useful in the neonatal cases), Ionized Calcium and Lactate levels
- Haemoglobin derivatives such as oxy-Hb, reduced Hb, methemoglobin and carboxy-Hb are measured
- Calculates and provides various important parameters:
- Hydrogen ion concentration
- Bicarbonate concentration
- Base excess and buffer base
- Fractional Oxygen Saturation
- Anion Gap
- Patient Trending – provides for historical trending of patient parameters simultaneously – PO2, PCO2, pH, glucose, lactate, co-oximetry, sodium, potassium, chloride, and ionized calcium – this will help to follow the progress of patient's condition during the course of treatment
- Acid-Base Map – help in precise diagnosis and therapy mentoring; identify metabolic and respiratory acid-base disturbances
The Biorad D-10 Haemoglobin testing system provides comprehensive hemoglobin testing in a compact footprint. This fully automated system measures HbA1c levels for the diabetes monitoring. The features of the system include primary tube sampling with cap piercing, barcode handling for positive sample identification and printed chromatograph. The cation-exchange high performance liquid chromatography (HPLC) technology used for measurement is the reference method for haemoglobinopathy thus ensuring maximum accuracy.
Testing of the various drugs of abuse is available using the qualitative immuno-chromatographic method.
The fully automated haematology analyzers, Beckman Coulter LH 750 and ABX Pentra XL 80, perform complete blood count giving over 26 parameters for every sample within a minute. The analyzers boost of the high-speed auto-sampling with a capacity of over 80 samples per hour each alongwith STAT sampling facility. The equipments have integrated validation station with comprehensive delta-check flagging helping generate interpretative data, thereby warning about abnormalities of blood cells. All such 'flagged' samples are then visualised by the Pathologist to confirm diagnosis. The fully automated coagulometer CA620 analyzer is a complete workstation for haemostasis & coagulation studies.
The section of immunoserology offers an exhaustive menu of investigations covering hormones, infectious disease, oncology, cardiology and anemia.
The immunodiagnostic equipments, Vitros 3600 system and Architect i1000SR, provide marked improvement in quality of results, optimizing assay performance and productivity. The continuous, random access to the sample loading alongwith STAT operation helps in providing results any time. The systems provides for the positive sample identification and results integrity verification as well as extensive immunological menu. Various patented technologies in the systems perform, monitor and verify diagnostic checks throughout sample and assay processing resulting in increased confidence in result reporting. The methodology is chemiluminescence technology and this provides for accurate and highly specific results.
The automated immunoanalyzer Vidas Blue is a compact system for immunoassay using enzyme-linked fluorescent assay (ELFA). The ELISA analyzers are used in the analysis of various hormones and serology markers. The reader facilitates accurate results to ensure good sensitivity & specificity.
In addition to routine tests like Widal, VDRL etc, serological investigations for "difficult to grow" pathogens as Leptospira, Dengue, Rotavirus etc. are performed by enzyme immunoassay and latex agglutination techniques.
The microbiology lab is well equipped with sophisticated systems such as BacT Alert and VITEK 2 automated systems.
The BacT Alert 3D microbial detection system is an automated test system capable of incubating, agitating and continuously monitoring aerobic and anaerobic media inoculated with patient specimens suspected of having bacteremia, fungemia and / or mycobacteremia. The system utilizes barcode technology to assist in specimen and data tracking. The BacT Alert MB configuration is designed to rapidly grow and detect mycobacteria from patient samples.
With an extensive database capable of identifying over 330 species of microorganisms, the VITEK 2 Compact Microbiology System provides same-day identification for 95% of routine organisms. Integrated in the VITEK 2 Compact system is the Advanced Expert System (AES™), software that validates and interprets susceptibility test results, and detects antibiotic resistance mechanisms. The AES Expert System is the most developed software system in this field, and is capable of identifying even emerging and low-level resistance.
Apart from routine isolation & identification for aerobic organisms of all clinical samples, anaerobic, fungal & mycobacterial cultures are also done from the clinical samples.
The active microbiology surveillance of operation theatres & high-risk areas in the hospital forms part of the protocol of the hospital infection control. The hospital infection control committee lays down the policy for use of antibiotics, disinfectants & waste disposal.
Histopathology and Cytopathology
The section offers services for processing of clinical specimens for histopathology as well as reporting of fluids, smears and fine needle aspirations. In addition, 'frozen section' service is provided for urgent diagnosis of surgical cases. All surgical specimens are processed by standard histological technique and reported with diagnosis, grading and staging of tumours according to international guidelines. The section also handles both gynaecological and non-gynaecological specimens sent for cytology. The gynaecological 'PAP smears' is examined for early detection of cervix cancer. Fine needle aspiration cytology (FNAC) is also carried out for all palpable swellings in the body as the first line of investigative workup before a surgical biopsy.
Main Laboratory: 25763365, 25763366, 25763234
Homecare (Blood Collection at Home): 9769023328
Outreach centre address
- Ghatkopar Outreach Centre
Address: D-1, Jirawali Residency, Derasar Lane, Ghatkopar East, Mumbai – 400077 Contact: 9769225216
- JVLR Outreach Centre
Address: 20, Poonam Vihar-B, Ground Floor, Majas Village, JVLR Road, Andheri (E) Contact: 9619870016
- Raheja Vihar Outreach Centre
Address: 102, Anoushka Polyclinic, Crystal Centre, First Floor, Raheja Vihar, Powai Contact: 9619870014