Receive Summary Emails? Receive Instant Notices. Display in Community Feed. You can adjust your Community Subscriptions in Settings. Remove Subscription Confirm Remove. Sun Apr 01 operators manual. I see some one asked 6 years ago, thought maybe by now there would be one.
Mon Apr 02 Reply from Alex Wright. Add your reply:. Sign in to Reply Submit Reply. Product Details. Failure to do so may result in tests running with an inappropriate reagent.
Refer to the Profile Setup screen to view the material map for the default profile. As positions on the sample tray become complete, new samples may be substituted into these positions. Reagents and samples from cups or original containers are automatically aspirated and dispensed by the needle arm. The tests groupings are user defined and configured under the Setup menu.
The multi-tests grouping can be composed of one or more single tests profile or one or more tests groups test group profile. If the samples on the tray have multiple tests programmed on them, only the selected test will be analyzed and the un- processed tests will remain pending on a sample.
These 2 analysis screens contain multiple windows and associated buttons:. Top left area: the Current Multi-Tests or Single Test window displays the selection to be run in the current analytical session. The main objective of this screen is to activate the Materials map, since the programming of the map is dependent on the Current selection displayed.
The … displayed prior to the test groups names have the following meaning. Multi - Tests session composed of single tests ….
This screen allows the operator to deselect running one or more of the tests, on all samples, included in the Multi-Tests. Clicking the Material List button at the bottom left of the screen opens the list of materials required for the analysis. Middle area: the two windows in the middle of the Selected Pre-Analysis screen refer to screen on pages 3. The round circle on the left divided into 4 quadrants is used to select a region on the sample tray. The current selected quadrant is displayed in yellow and highlighted.
The window to the right displays the status of the 10 samples within the selected quadrant. The color of the circle provides information on the status of the sample.
In addition to the color, the circle may contain a letter or symbol that provides further details about the sample type. The following table contains details about the colors and sample type letters.
No tests Programmed. Light Blue Programmed P Onboard. Programmed but Complete will not be run in this session C Dark Blue. Sample has test Not that match current run N Programmed Lavender. Pending, but will Low Volume be processed in session L Orange. Empty cup in Sample Not position? The circles will be colored and also will contain a symbol. Examples include:. Clicking on a position circle will display the information about that sample. Samples that are detected as short will be flagged in yellow with L.
No further testing will be performed on this sample position during this session. If the sample is replenished, the sample must be moved to a different position on the tray if processing is desired in the current session.
The Loadlist No. To create a new one enter the Loadlist number not currently defined for samples. Refer to section 3. If you modify a loadlist, press the Store Loadlist button to save the changes.
The operator chooses how to program samples according to the desired sample ID entry mode refer to section 3. If barcoded samples are present and barcodes are readable, their corresponding Sample IDs are displayed in the large window.
If this occurs, check the tube position to ensure the barcode label was properly oriented, then click on the Read Bar Code button again. A label ID that cannot be read by the reader may be entered manually by selecting the Loadlist position and pressing the Edit Sample ID button. Refer to section 6. Scroll down the list and select the desired QC liquid to be processed in the current cup position. For the Sample ID 1 to 16 alpha- numeric digits must be entered via the standard keyboard or 1 to 16 numeric digits using the screen keypad.
To return to the Pre-Analysis Screen without accepting the changes, click the Cancel button. No confirmation is requested. Within this screen the operator types the Sample ID required field , and enters the Patient Demographic information optional on the top half of the screen.
If the sample is a Stat sample, the Stat icon should be checked. The Test or the Multi-Tests shown when in Multi-Tests analysis mode to run on the sample is ordered by clicking on the desired selection. If you make a mistake, the scissors icon can be used to delete the test or Multi-Tests from this sample or you can uncheck a selection box. Use the New Sample tubes in folder icon to save this request and present a new blank order entry screen for your next sample. If the current sample has the same test or profile as the previous one, you can use the Prev.
This sequence is repeated for all new samples. The samples entered are displayed and marked with a P Pending. Patient demographics: the upper portion of this window displays the patient demographic information. Loadlist and Position fields display the current Loadlist and position within the list for the displayed sample. The tests programmed on the sample will be displayed in the center portion of the screen. Pending tests will be indicated with a?
Results for completed tests will be displayed. Press the Detail Icon to view detailed information about the test i. To delete a test that is either pending or completed on a sample, move the cursor to the test and press the Trash Delete Icon. Additional or repeat Tests to be run on the sample are ordered by clicking the Program Test button. This screen would be the one displayed in option 1 above. Samples can be printed by pressing the Printer icon. Pressing the Materials Map Button will display the Liquids necessary to do the testing for this session.
The Materials map displays in a graphical format the liquid positions on the analyzer. This screen displays the status of the reagents currently on-board the system, along with other information. The color of the position circles can be:.
Green: Volume of liquid in position is greater than warning limit and stability ok. Orange: Volume of liquid in position is less than warning limit or either onboard or lot number stability has expired. Red: Analyzer detected a reagent shortage in this position. The analysis will proceed regardless of the color of the reagent position.
The colors are only visual alerts to the user. The operator is able to assess the situation of the ten Sample Tray positions and the Reagent Tray positions. Clicking on one of the colored liquid positions will display details about that liquid. This information includes:.
This level is retained from the last session for which this liquid was used. The system tracks the level by counting down the volume during the testing. This is generally done when a new bottle is placed on board or by the optional barcode reader. If this liquid is used beyond the expiration date, the operator will be alerted with a warning in the Session Error History list.
The Expiration date is predefined in the Liquids screen. The system tracks the time the bottle is on board the analyzer. The On Board Stability time is predefined in the Liquids screen. Expired stability will be displayed in orange on the Materials Map. The operator can track these items offline and does not have to use the features on board. Three operations can be carried out on the Liquid Level settings:.
Volume entry less than 1mL should use a leading 0 i. When the screen is activated, the system also checks and displays information about the status of the rotor station, status of the waste, number of available cuvettes in the rotor and the current volume of the Wash-Reference Emulsion. To start the session with an unused rotor, the operator must check the Start with a New Rotor box.
Pressing the Cancel X will discard any changes you made. Press the Runner icon and the run will begin. Liquid Details: This button will display the liquid setup screen for the current liquid position selected.
Refer to section 4. The optional External Barcode Reader can be used to identify reagent placement and validate the lot number and expiration date.
When the material. The lot number information and expiration is checked and the position to place the reagent onboard the analyzer will blink. Place the vial in the designated location. If the lot number or expiration dates are invalid the system will display a warning box on the screen. You can configure the external barcode reader to automatically reset the default volume and onboard stability for the vial when a label is read. If the vial is then read a second time at this point the volume and timer will be reset if these options are enabled under the external barcode setup.
This screen gives the operator access to the information on the stored loadlists, by being either blank or defined. Clearing a Loadlist has no impact on the samples in the database. The samples that were on the loadlist can still be viewed and printed after a Loadlist is cleared.
OK clears the single selected loadlist; Cancel will cancel the operation. OK clears all of the stored loadlists; Cancel will cancel the operation. Sample ID range 3. Marking or selecting Individual samples. Once one of the four list criteria is chosen you then select which tests to include on the loadlist. Clicking the Pending all button will search the database for all pending tests for the group of samples chosen. Clicking the Pending test selection button will allow you to scroll down the displayed test list and select the desired tests by pressing Select.
If you make a mistake you can remove a. The notation in the Select column will then be removed. Loadlist Creation Process. The first item to define at the top of the screen is the Loadlist Number to Start with. You must enter in a value between in this field. To the right of this field is the entry location for the Number of Samples per loadlist. Enter in a value between You then select one of the 4 ways listed above to use for creating the loadlist. Time Interval — Clicking All Time Interval will create the loadlist without respect to the time that the samples were entered into the database.
Only samples within this range will be placed on the loadlist. If you click the Mark Samples button the following screen will appear. This screen will display all the samples along with their current status in the database. You can scroll down the list and press Select to mark the current individual sample. If you make a mistake, press the Deselect Single to remove the notation in the mark column. Pressing Deselect All will remove the notation in the mark column for all samples. Click the Autolist button to display the automatic loadlist creation screen.
This screen will allow you to create one or more loadlists. You can create the sample IDs for the loadlist using a prefix or suffix. On this screen you must enter in the number of loadlist you want to prepare.
You can create up to 20 loadlists; each loadlist will contain up to 40 samples. In the Fixed String field, enter in a character string to attach to each sample ID.
If you want to use the fixed string as a prefix, click on the Use as a prefix button. If you do not click on this field, then the fixed string will be appended as a suffix to the ID. The Variable string field will determine the maximum number of sample IDs to create. If you select a variable string of 2, the maximum number of samples will be 99, if you select 3 the maximum number will be The starting number field will vary in length depending upon the variable string field entry.
The number you enter into the Starting Number field will be used for the first sample. The remaining sample IDs will then index by one after this value.
Note: On this screen you determine the number of loadlist to prepare. On the previous screen you entered in the loadlist number to start with along with the number of sample IDs each loadlist will contain. Select the Loadlist and then press the Detail Icon. The sample IDs on this loadlist will be displayed in the left hand column.
To program or change the requested tests, select either a particular sample ID or the first one on the list. To program tests for the selected sample, Press the Program Sample button. Click on the Prev. Prog to All button to program the previous tests request to ALL samples on the loadlist. If you press the Prev. Prog button the previous tests will just be ordered on the current highlighted sample only. Click on the Set Default tests button to program the Default tests to all samples on the loadlist.
Highlight a sample and click on the Detail button to view the current sample. This will display the demographics along with the tests ordered and any completed results for the sample.
This screen displays information about the status of the tests and samples for the analytical runs performed on the system. The top line displays the current test being analyzed and the current phase for the test i. The middle of the screen displays the 4 sample ring quadrants on the left and the 10 sample cups included within the quadrant.
Please refer to section 3. The details results of a sample can be displayed by selecting the sample ring quadrant on the left then selecting the desired cup position and clicking the Details button. If a sample is complete the results will be displayed. The Materials Map button will display the current reagent map for the session. The Session Status button will display the Analysis Session report screen for all samples in the current session.
The Test Execution Status box displays information on the tests in the session. It displays the tests that may be analyzed in this session along with the number of samples programmed, number of reflex tests to be processed, and the number of samples actually completed. Test groups are considered to be individual tests and display that way in the box. The Sample Status for the Session box on the right displays the samples to be processed in this session. This box is divided into 5 columns:.
The status can be indicated by the following symbols. A sample found to be low would stop all further testing on that sample. Note: The bottom row of Icons on the main screen contains one of a reagent bottle. The color of the bottle indicates the status of the reagents in the map. If all the reagents have levels above the warning volume the icon will be displayed in green. While testing is in process if a reagent becomes low the bottle icon will turn orange.
If a reagent runs out during analysis the bottle icon turns red. Pressing the bottle icon will display the current reagent map. When a reagent runs short during analysis the system will continue processing all other tests. When testing is complete the system will display a message box with the following:. One or more reagents are insufficient to complete all samples.
Do you want to Refill? Press Yes to refill and then restart. Press No to close the session. If the Yes option is selected the operator should replenish the reagents that are short and press the runner icon to restart the run.
This can be useful if a reagent runs short during analysis. The Session History Button will normally be dimmed out during analysis. If an error condition occurs during the analysis the button will illuminate. The operator should make note of the button status.
When the button illuminates, the operator should press the button to display the Session History List. The results are transferred to the permanent database when the system goes into standby or the user logs off the system.
If the system is turned off without logging off first then results may not be available upon the system restart. The list will display the Date and Time along with the Error that occurred. The Printing option will print the Session Error History Report followed by a confirmation window Do you really want to print?
If the session has completed, you can return back to the Session History screen by selecting Analysis from the Main screen menu bar and Session History from the Analysis menu. This opens the Analysis: Session Report screen. If this occurs, the condition noted should be corrected. The run can then be resumed by pressing the runner icon. When the rotor waste is full the instrument will beep and automatically pause. When the rotor stack is empty, the instrument will beep and automatically pause.
A reagent shortage detected during analysis will place the system in the Hold condition at the end of the session. At this time the operator has the option to refill the reagents and resume the session.
You will be notified when it is safe to proceed. Stat samples cannot be executed during Automatic Host Transmission. The sample tray is divided into 4 quadrants of 10 sample positions each.
To change to a different quadrant simply click on the desired segment in the circle on the left. Read Barcodes: This button will activate the sample bar code reader and read the sample IDs on the tray. It will then display the samples IDs.
No host query is performed during this action. Non-barcoded sample IDs except QC cups will be deleted from the list for samples that are currently not active on the rotor being analyzed.
If you are not bi-directionally interfaced, after reading the barcodes click on the desired sample position to display the sample-programming screen. Enter the optional demographic information.
To designate the sample as a stat, click the Stat icon. Select the tests by clicking on the desired test box. Use the down arrow to proceed to the next sample position. When complete press the Confirm button. Restart with BCR: This button can be selected if you are using host query and barcoded samples. Click this button then press the resume icon. The system will read the sample IDs and query the host for the tests to process. This option is not recommended to be used when a mix of barcoded and non-barcoded samples are present on the sample tray.
Non-Barcoded stat samples. Programming Non-Barcoded Samples: Click on the desired sample position to display the sample-programming screen. To program your samples enter the Sample ID along with any of the other optional demographic information. To remove a test from the programmed tests list click on the test name a second time.
If you have additional samples to program click on the New Sample icon. If you are finished programming samples click on the Confirm button. Press the Runner run icon to start the analysis. Positions that cannot be edited will dim the button. The position can then be used to program a new sample onto the tray. This button will be dimmed if the sample tray does not have positions in which the sample is complete. Completed samples will be designated as a green cup position circle with the letter C.
Samples with pending tests to be completed will be designated. Positions that cannot have the ID cleared will dim the button. Program Sample: Opens the tests order screen. Refer to information in section 3. Select the desired liquid and click on the Confirm button to accept. The QC liquid will then be added to the samples on the tray.
Press the Runner icon only to start the run. Please wait for this message to appear. This is an indication that the sample arm will not move toward the sample tray. Prior to this the circle will be displayed in light blue with the status of N. After the next test in the run is started the default tests will be added to the samples and circle will become purple when processing occurs. The current session will be interrupted if the samples have not been pipetted.
If the stat interrupt occurs during a session whereby the reagent only is being pipetted, the system will abort the run to process the stat. If you do not want to abort the current run, wait until the unit begins pipetting sample before requesting the stat interrupt.
Up to sample IDs can be contained in the sample database. The database is handled in a first in first out fifo manner for all samples. Each sample ID can reference up to 30 tests. A subset of the samples in the database is obtained by Extracting results.
The numeric values on the right of the screen i. If you extract, the first value indicates how many samples were extracted and the second value indicates the total number of samples in the entire database.
The results list has several columns:. Each of the samples in the database must have a unique Sample ID. Duplicate IDs are not allowed. If you need to re-use a sample ID, you must delete the original one first. This will allow more tests to be displayed across the database screen. Please refer to the Test Setup Section chapter 4. If a test has a? As the test is completed, the? Tests with errors will be noted instead of a result on the screen.
The Instrument status line also displays the current User logged into the system and the current revision of the software on the analyzer.
Several functions are available from the test results list:. Extract Results Detail Sample Icon. New Sample Delete Samples. Print Samples Transmit to Host. See screen below.
It is possible to combine the above Sample ID criteria with the result criteria checkbox selections on the lower part of the screen. New samples entered into the database while you are in a subset may not be shown on the database. This information would include Demographic data, Results, Errors and Reaction curves. From the Sample Data screen the patient detail icon displays additional demographic information. From the Sample Data screen it is possible to view the reaction curve.
Highlight the desired test and press the detail icon to view the curve. Warnings associated with the test results are displayed in the warning list. Please review these and take appropriate action if necessary before reporting the results. The data can then be viewed using another software program i. Microsoft Excel. The curve as it is presented can be printed using the print icon. Warnings associated with the results are displayed in the warning list.
The reaction change is rounded to 2 decimal places; therefore samples with a small amount of change may display duplicate points within the 5 that are displayed.
The curve is generally composed of 4 sections: Baseline, Acceleration, Deceleration and Endpoint. Optical Readings Delta. Acceleration Baseline. The Baseline readings start after any acquisition delay settings in the test definition. During the baseline the sample and reagents are mixing and this continues until the clot has begun to form.
In the acceleration phase the clot continues to form resulting in an increase in the optical readings. The deceleration phase is the time when the clot formation begins to slow down. For a clotting based assay, once all the fibrinogen has been converted to fibrin the endpoint has been reached and the reading stablizes. Various algorithms are used by the system to select the actual clotting time. Some examples of these include:.
When viewing clot curves some items you should make note of include:. A tight range may indicate no clotting or a low fibrinogen value. Please refer to page 3. It is possible to combine the above Sample ID criteria with the test criteria checkbox selections on the lower part of the screen. It is possible to combine the above Sample ID criteria with the test checkbox selections in the lower part of the screen.
It is possible to combine the above Sample ID criteria with the test checkbox selections on the lower part of the screen.
At the end of each run, a warning message will appear, instructing the operator to check the material and sample levels to ensure there is sufficient residual volume in the containers. Once the check is performed then the results can be manually transmitted to the host. When the sensors are re-enabled, the auto transmission will resume. Specific details about the screens, options, etc. The loadlist can be saved and recalled each time that you need to run QC.
Several different loadlists can be configured on the system. Each loadlist could contain different QC materials. Enter a loadlist number Click the Add QC Liquid button. Press the Runner icon to begin the analysis. Note: At the completion of the run, the completed loadlist will still be stored in memory.
If you do not delete it you can recall it the next time you need to run QC. In this case you would not need to reprogram the sample tray positions. This will open the QC Review screen shown. Under the heading LIQUID ID, the window on the left side of this screen lists all control materials that are configured in the Setup Liquids menu, while the Configured Test window in the middle of the screen lists the tests that are associated with each material.
This is a toggle type button. With the button not clicked you will always display all liquids. With the button clicked you will display only the liquids previously setup. Select the QC liquid in the left box then press the Setup button under the middle window. The next step is to associate tests to the selected QC Liquid. To do this, the operator highlights a test from the Enabled Tests list shown on the left window then clicks on the Arrow icon under the window.
This action causes the selected test to move from the Enabled Tests list to the Configured Tests list shown in the middle window. By repeating this sequence, the control material is associated with up to 15 tests. To remove a test from the Configured Tests list, click the Scissors icon under the window. This action opens first a confirmation window: Removing test removes all tests data…Do you really want to remove the selected test?
The Yes or No selection reminds the operator that removing a test means removing all the results saved for that test. Unit: for each test, the selection of units includes only the ones that are legitimate for that test. Modifying a previously selected unit will not cause a change in Target Mean and SD values. These would need to be updated if the unit type is changed. Target Mean and Target SD: these fields accept any value, which is entered by touching the field and using the external keyboard or the keypad on the screen.
If the QC Range Check box is activated, the control value before rounding see section 7. Patient results will not be flagged if only this box is checked. If this box is checked and QC is out of range, then a flag will be noted on patient samples processed until valid QC results are obtained for all QC materials defined for the test.
The Clear Statistics button deletes, after confirmation, all the results of a particular Test — QC Material combination. Clicking the Printer icon, followed by a confirmation request Do you really want to print? Yes allows the operator to print the test Setup; No will cancel the operation.
Clicking the Confirm button allows the operator to leave this screen and the system goes back to the QC Review screen. When there is an active association between a QC material and tests, the Plot and Statistics, Cumulative Results and Host icons are active. This icon will display a separate database of the last QC results processed on the system. A red exclamation point will be displayed across the icon if there is a QC failure on the system. Results within their range will be displayed in black.
The exclamation point will remain on the icon until the QC failure is cleared from the list. If all QC liquids and tests have no QC outliers the exclamation point will not be displayed. The database displays the following for the QC results: test, QC material, result, unit for result, and any errors. What is the total number of test groups? Multi-Tests b. Single Test 5.
After running samples, some tests ordered on a sample were not run. What would you check? Using steps 5- 12 Set Up the QC files following the chart below. Show facilitator Quality Control Files and Loadlist. What box is selected to narrow quality control liquid list view only those quality controls you use? This should be done at the beginning and end of each shift and as part of daily maintenance Prime required after replacing Wash R Emulsion. Operator requested priming cycle lasts approximately 50 seconds, using 6mL of Wash R Emulsion The ACL auto primes every 30 minutes of inactivity, using approximately 0.
The default is three cycles. One cycle is the minimum that can be run and five the maximum. The default is five 5 rinse cycles with a minimum of one 1 rinse cycle and a maximum of five rinse cycles.
The Frequency is tracked by date not time Temperature Control Displays the real time, current temperatures and the acceptable limits of the rotor holder, peltier, rotor stack, and rotor transporter. Selecting Needle Positioning completes a quick self-initialization, which moves the arm over the rotor area. The instrument will store errors. The errors display until a new session begins. At that time, the previous session errors are automatically removed and transferred to the File Error History log.
Once Needles are over Rotor Holder area, verify Needle Position, adjust only if needed Refer to As Needed: Needle positioning procedure on page Remove the Rinse Reservoir, clean weekly See Rinse Reservoir cleaning procedure on page 9 Attach a suitable piece of tubing to a syringe 20mL recommended , fill with approximately 20mL reagent grade, deionized water.
Insert the tubing into the waste line opening. Push the deionized water into the waste line opening and ensure the water flows freely through the waste line Repeat the procedure as necessary, to ensure removal of any potential buildup Replace the rinse reservoir Select and confirm with OK. If bubbles are present, pinch the chamber outlet tubing as the pistons are descending and release before the piston reaches the bottom. Repeat until the bubbles are gone 2. There are no blockages or leaks in the liquid flow path and that liquid is flowing freely from the reservoir to the dilutors and from the dilutors to the needles 3.
Remove the rinse reservoir and wash it with 0. Put back in the holder and reinsert back into position. This lowers the sample arm down to the 4 The needles should touch the upper surface of the tool.
To adjust the height, loosen the white knob on the back of the needle arm and move the needle block up or down so that the needles are just touching the surface of the tool When the height is correct, tighten the white knob finger tight to ensure the needle height does not change, the probes should be within the white dots.
NOTE: Alignment is to the rotor see step7 not to this tool. This tool is only for height adjustment Select the icon to raise the needle arm 5 6 7 Use the rotor snap to properly remove the needles adjustment tool and replace with a new clean ACL rotor Select the icon.
This lowers the needle block into the rotor. Recheck each quadrant Select icon to close the rotor holder cover and reinitialize sample arm 14 Step Maintenance Diskette: 1 Action Performance of scandisk and defragmentation operation uses the Hard Drive Maintenance disk received in your Software packet to improve the overall performance of the system Log off, power down instrument, insert Maintenance Disk and power on.
Chapter 5, Section 5. Any standard glass cleaner, without ammonia, can be used to clean the touchscreen. Always spray the glass cleaner on a clean, soft cloth or towel and then clean the touchscreen. What is the default cycle for the needles cleaning cycle? State the recommendations for the following maintenance procedures. Maintenance Procedure 1. Check Wash R-Emulsion 2. Clean Waste Line 3. Clean Needle Procedure 4. Clean Air Filter 5. Align Needles 6.
Verify the Needles Alignment Interval 3. What is the frequency for using the maintenance disk? What is the purpose for this procedure? The calibration procedure is common to all calibrated tests.
Some calibrations are within run In Session and some are performed prior to sample analysis Dedicated , with samples processed off a stored Calibration curve. Refer to the package insert for specifications on reagent preparation, storage and stability. Dedicated: A separate session is done to perform a calibration. The session is initiated by going to the calibration menu. In Session: The calibration is executed the first time with the sample run, and can then be re-used for later sample runs.
If Cal Plasma is present, a new calibration will be performed automatically. If no Cal Plasma is present, the stored calibration is used. Each Rotor: Every time a rotor is loaded with samples the calibration must be done for that assay.
Select Diagnostic 2 3 4 5 Select Priming To ensure there are no bubbles in the lines From the working area select Calibration Select Calibrate From the Tests to Calibrate drop down menu select R-PT Select Materials Map icon, ensure all reagents and liquids are placed on the system as indicated; update volumes and expiration date of the reagents.
What is that value? Where can you find the acceptable r2 value? Can you omit an individual replicate from the calibration? Can you restore omitted replicates? Show your printouts from the Calibration to your facilitator.
View single result details Add text note up to 30 characters Cumulative Results Omit selected result from statistics Columns: F — Flags; Calibration error codes see pg. The data configuration allows the user to select the date range for the QC results to be viewed. To ensure controls are in the proper order. Touch each position in the map to see which level of the control liquid is assigned to that position, or select Loadlist icon.
QC within loadlist 1, will be displayed. Select the Plot and Statistics icon to view a Levy Jennings chart for a control. What is the total number of QC results in each statistic file? How many days of results are viewable on the Levy Jennings chart? What indicates a result is omitted in the Cumulative Results view?
What symbol is displayed on the Plot and Statistic when data points are omitted from the Levy Jennings? Can you restore a result once it is omitted? Yes No 6. What does QC invalid mean when printed on a cumulative report or in the cumulative data in a QC file?
Selecting a Multi-test does not automatically order any test. Yes No 2. Does the Barcode Reader alone, detect the presence of a cup or a tube in the sample tray? What causes a materials map position to turn red? Can you re-start a session after adding a reagent liquid to the instrument? Yes No 1.
Do not shake! Avoid foam and bubbles formation. Debubble if necessary Check for bubbles in reagent vials and sample cups, remove if necessary Perform needles cleaning.
Step 1 2 3 4 5 6 Action Place Clean A 0. Refer to the MLT module performance guide to sort the profile. Show your facilitator the D-Dimer Calibration Report and a run of controls. If the D-Dimer controls recovery is not acceptable, what can you check? Control Recovery A. Please explain Why? Selecting the warning icon allow viewing of description of error. Instrument may continue to run, with some limitations depending on problem. Alarm: warns user of problem requiring immediate attention.
Some sub-functions and operations will still be available. Log off instrument, power off and on again; if error persists contact Call Center. Failure: message indicates a problem serious enough to prevent further use of instrument.
Attempt to log off instrument if serious enough may not be able to navigate in software , power off and on again; if error persists contact Call Center. Troubleshooting steps: 1. Gather information what, how, when…. Broadly Categorize QC, sample tray, rotor area, temperature… 4.
Isolate the issue and develop a plan what can I do before calling Call Center? Correct the issue 6. Verify the corrective action run QC, re-calibrate, run samples….
Does a failure prevent you from using the instrument? What can cause the Peltier Temperature to be out of range? What happens if you leave the cover to the rotor stack or holder area open? Define an error code 7, and what action do you take, if encountered? What type of error is error code 14 and 30 when received for the D-Dimer test? Will a result be reported?
What action can be taken, if encountered? Define the following messages: warning, alarm or failure and whether you can continue operating your instrument. Wash-R-Emulsion is a silicon-based suspension, used as an internal and external wash solution for the needles. This minimizes carryover and prevents contamination.
Wash - R- Emulsion is packaged in a plastic container containing mL. A sensor is located within the cap assembly, which monitors liquid level and alerts the user when liquid volume falls below mL. Open and closed bottles are stable until the expiration date stated on the label. When replacing with the same lot number, prime once. The new lot number and expiration date must be entered.
With a change of the thromboplastin lot number. With a change of rotor lot number Alpha characters only if reporting PTbased Fibrinogen. At the request of a Beckman Coulter representative. To follow the requirements of the appropriate regulatory agency.
The consumption of Wash-REmulsion is approximately 0. Note: Opening to the left, allows the cable from the board to Liquid Level Sensor Cap to maintain a parallel line with the back cover of the instrument. At the end of each run, a warning message will appear, instructing the operator to check the material and sample levels to ensure there is sufficient residual volume in all reagent and Wash R bottles. Once the check is performed then the results can be manually transmitted to the host.
When the sensors are re-enabled, the auto transmission will resume. Chapter 3, page 3. Approximately how many mLs of Wash-R-Emulsion triggers a low volume alarm? Where is the volume for Wash-R-Emulsion displayed?
Yes No If not what can you do to transmit the results? If yes, does the user require any action? There is a bridge that separates the reagent and sample until testing, acting as a partial dam or bridge between the two 2 compartments.
The optical readings are then taken based on the acquisition time of the designated test. Each individual cuvette is used for: control plasmas, patient samples or a reference blank. After incubation and mixing, the optical channels take readings while the rotor is spinning. Replace the rotor by depressing the rotor snap and lifting the used rotor out of the analysis compartment.
REM software should be 6. On the ACL ELITE system, rotors are manually moved into the waste bin or discarded immediately into a designated biohazard waste container The rotor waste container is accessed by opening the door in the front right of analyzer. Waste container is removed then replaced after used rotors are disposed.
The waste container can accommodate eleven used rotors. IL does not recommend or support the re-use of previously used or washed rotors. How many rotors will the rotor stack accommodate? Then perform an R-PTe. Then perform an R-PT. How many Reflex rules can be defined? How many conditions can be defined in each single rule? Show facilitator your reflex rules and patient printouts executing these reflex rules.
If the product lot number changes, the new ISI value from the package insert must be entered. MNR number needs to be verified on each lot change of PT reagent as per your laboratory regulating agency.
The new normal range study has been completed and this lot number is ready to be used for reporting patient results. Setup the new information on your instrument; refer to ES and LD modules. This value is imported from the primary test. The value is imported. What two values need verified for correct INR reporting? Use a 10 mL vial. You must use a code that has not been previously defined; use a number greater than This is the area of the test parameters where we define the loading sequence for the test.
In addition, we will re-create the Reagent Aspiration, and Calibration Loading Setup parameters areas. Note: You may not get the same warning message from step 7, continue by selecting confirm Cursor or touch to select Index step 3, for the Std 3 standard 3 , Repeat steps Current parameters for the loading…will be lost… proceed?
Do you confirm this new selection? Do you confirm new selection? Do you confirm the new selection? Do you confirm? Press Yes to save these changes. Lot No. Test will be removed from all profiles.. Select Confirm test? Use for correlations, prior to use in daily analysis and result reporting. Use a 1mL vial. In addition, we will re-create the Reagent Aspiration and Calibration Loading Setup parameters areas.
Show your facilitator or your application specialist the setup files that include: Tests created, Liquids created, Multi-tests created, QC levels, Interference Tables, Loadlists, the results obtained from Calibrating new lots as required and the Correlation Data accumulated. When the heparin — antithrombin complex is formed, two competing reactions take place 1. Factor Xa is neutralized by the heparin-antithrombin complex 2. Residual Factor Xa is quantified with a synthetic chromogenic substrate.
The paranitroaniline released is monitored kinetically at nm and is inversely proportional to the heparin level in the sample In order to reduce the influence from heparin antagonists, such as platelet factor 4 PF4 , dextran sulfate is included in the reaction mixture. Wipe both needles with an alcohol wipe. At the Open Cover? Once the needles move to the rotor holder area, remove the rinse reservoir. Clean thoroughly with Clean A 0.
Press the Stop icon to move the needles back to the rinse reservoir. The possible presence of an inhibitor and its effect may be determined by assaying the Factor using a series of dilutions. The impact of the dilutions on the factor activity can then be observed. The Parallelism test mode is a means to create operator definable dilutions. The instrument will execute all dilutions, perform testing on the dilutions, and will provide evaluation data on the results to assist in determining the presence of an inhibitor.
The software provides multiple checks of the data generated and provides the operator with valuable information to assist in identifying the presence of an inhibitory pattern. Some of the checks include comparison to the original undiluted result and precision data of the additional dilutions.
Performing Factor Parallelism is an optional feature and if executed will provide an operator a definable Flag to alert the operator if a limit has been exceeded. If an inhibitor is suspected, confirmatory testing is suggested. Only one calibration can be performed at a time. Create a multi-test with enabled factor s , Sort this multi-test. Check materials map to ensure all reagents are available, select run.
Note: if the error icon is activated, review error. In Session Calibration means: The calibration is executed the first time with the sample run, and can then be re-used for later sample runs. Select Cal Plasma liquid and assign the calibration value from the Cal Plasma insert sheet in the Used By list for the enabled factor test s. Select Analysis from the Main Menu dropdown and select the Multi-test with the Factor assay s enabled Verify your materials map and ensure you have prepared the Cal Low F for calibration.
Make a dilution of Calibration Plasma into a labeled 0. Show your facilitator the Calibration Report and two patient and applicable parallelism reports. Data base files from a diskette are loaded, then displayed on a similar screen below. After upgrade, modifications and date are listed. Before and After any software upgrades 2. Any Setup changes ie.. Select this to archive patient data. Type in the date range desired. Select this to archive Analytical Reference data.
Type in date range and select Test desired. Follow instructions which are included in the upgrade packet. Used for troubleshooting- software issues Always save data using the. Action Select this to archive QC data. Type in date range and select Liquid and Test desired. Select this to delete data from the data base Select this to archive Calibration data. Select Test desired. Select from these two options: 3 A. Archive Patient Data B. Show your facilitator the Backup file.
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