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TM
PERFORMANCE MATERIALS
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Reagents for Sysmex analyzers
Sysmex SF 3000
tWBC + 5 part differential analysis
Application Description Product Nr. Pack size
Diluent Diluid 100 Plus 3961 20 L
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Lysing reagent CyMet 1000 CN Free + 3744 5L
CyMet SF Baso + 3480.5000PC 5L
CyMet SF Diff 1 + 3481.5000PC 5L
CyMet SF Diff 2 3482.0500PE 500 ml
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Cleaning HypoChlorite 1.4% 3941.10000PE 1L
Hematology Control SF Diff Control L/N/H 3693/3694/3695 4.5 ml
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Diluent Diluid 100 Plus 3961 20 L
Lysing reagent CyMet 4500 CN Free 3773.5000PC 5L
Emergency Cleaning Hypochlorite 0.5% 3917 1L
3917.5000 5L
Hematology Control 8 Parameter Control L/N/H 3427/3428/3429 2.5 ml
3463/3464/3465 2.5 ml, pierceable
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3701/3702/3703 4.5 ml
K-Diff Control L/N/H 3455/3456/3457 2.5 ml
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Application Description Product Nr. Pack size
Diluent Diluid 100 Plus 3961 20 L
Lysing reagent CyMet 1000 CN Free 3744 5L
Emergency Cleaning Hypochlorite 0.5% 3917 1L
3917.5000 5L
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Hematology Control 8 Parameter Control L/N/H 3427/3428/3429 2.5 ml
3463/3464/3465 2.5 ml, pierceable
3701/3702/3703 4.5 ml
K-Diff Control L/N/H 3455/3456/3457 2.5 ml
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tWBC + 3 part differential analysis
Application Description Product Nr. Pack size
Diluent Diluid 100 Plus 3961 20 L
Lysing reagent CyMet KX CN Free 3425.0500 500 ml
Emergency Cleaning Hypochlorite 0.5% 3917 1L
controls
3917.5000 5L
Hematology Control 8 Parameter Control L/N/H 3427/3428/3429 2.5 ml
3463/3464/3465 2.5 ml, pierceable
3701/3702/3703 4.5 ml
K-Diff Control L/N/H 3455/3456/3457 2.5 ml
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PERFORMANCE MATERIALS
Consumption of reagents
Type Reagents Consumption per test
K 1000 Diluid 100 Plus 30 ml
CyMet 1000 2 ml
(Hb and WBC lytic reagent)
ProClean Plus required to remove clogs
Hypochlorite
K4500 Diluid 100 Plus 30 ml
CyMet 4500 2 ml
(Hb and WBC lytic reagent)
ProClean Plus required to remove clogs
Hypochlorite
KX-21 Diluid 100 Plus 34 ml
CyMet KX 1 ml
Diluid, CyMet and ProClean are all trademarks of Avantor Performance Materials Inc.
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Extra information CyMet 1000 for Sysmex K1000
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ters are also measured in a separate channel on the K1000. We
have found that there is no reason to have 2 independent
reagents. Both the Hb lyser and the WBC lyser are the same
solution. The J.T.Baker lysing reagent is CyMet 1000, product
number 3744 5L polycube.
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CyMet 1000 replaces both the Stromatolyser 3wp and the Reagent connection to the K1000/K4500.
Sulfolyser. CyMet 1000 should be used in combination with
Diluid 100 Plus.
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10. Put the combined aspirating tube into the cubitainer of instrument. If change of the HGB calibration value is not
CyMet 1000. necessary, press <ENTER> without pressing numeric keys.
Then the cursor will move to the HCT calibration value. Set
11. Perform an AUTO RINSE by pressing the keys <SELECT> the HCT calibration value in the same way.
<C> <4> <ENTER>. If there is a CAP PIERCING UNIT on the
Toa K1000 you must press key <1> after these commands 4. After setting of HCT calibration value by pressing <ENTER>,
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for the OPEN MODE or key <2> for the CLOSED MODE. the built in printer prints date, old calibration values and
new calibration values and the instrument returns to the
12. Within a few minutes the following error message appears ready mode.
on the printout: NO HGB REAGENT REPLENISH & PRESS 1.
Press key <1> and the CyMet 1000 will be aspirated in the Toa Example
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K1000 and the HGB buffer chamber will be filled. If the error CALIBRATION ACCEPTED
message appears again press key <1> to solve this error. 15/10/97 09:20
HGB : 117.0% 119.8%
13. The next error message on the printout will be: NO WBC HCT : 104.0% 105.0%
REAGENT REPLENISH & PRESS 1 Press key <1> and the CyMet
1000 will be aspirated in the Toa K1000 and the WBC buffer NOTICE THAT HGB AND HCT FACTORS CAN BE CHANGED
chamber will be filled. If the error message appears again press WITH STEPS OF MAXIMUM 5%. IF A HIGHER CALIBRATION IS
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key <1> to solve this error. REQUIRED, THIS CAN BE DONE WITH SOME STEPS.
The AUTO RINSE procedure will be completed.
Example
14. Perform another AUTO RINSE procedure by pressing HGB : 100.0% to 108.0%
the keys <SELECT> <C> <4> <ENTER> and check if First enter the value 104.0% and then the second time
the background values are within the specifications 108.0% (2 times 4%)
as mentioned in point 2 of this protocol. When the A calibration of >5% at once will be ignored.
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background values are too high perform another AUTO
RINSE procedure. 5. If it’s necessary to calibrate the other parameters: WBC,
RBC and PLT. Press first <C> <9> <.> <0> to go in the
Note: After priming the background value of WBC may be maintenance menu and then press <SELECT> <C> <8>
increased. This is mainly due to air bubbles in the system. <ENTER>.
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In this case, perform the next handling:
- Press <SELECT> <C> <6> <ENTER>, all counting 6. Press key <2> or < >until C.O.C. appears in the LCD. Press
chambers will be drained. <ENTER> to activate this option.
- Press the <START> BAR to perform a blank count.
- Repeat this a few times. The blank counts will slowly 7. If calibration is required, change only the first WBC, RBC
drop to acceptable values. and PLT calibration values. Calibration values can be
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- If high background values still remain, turn the power changed by pressing numeric keys, followed by <ENTER>.
off and wait for 30 minutes. Turn the power on and the DO NOT change the calibration values with suffix (C) or (P).
K1000 will run an AUTO RINSE procedure.
8. With the option <PRESET DATA> in the <SELECT> <C>
Note: When changing from Cyanide to Cyanide free <8> <ENTER> menu you can print out all calibration data.
reagents a recalibration for the Hb is required.
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Example
15. All Avantor Reagents are now introduced in the Toa K1000. CALIBRATION DATA
Check the priming by analysing five times one EDTA blood WBC : 85.6%
sample. If the WBC and Hb values remain constant the RBC : 104.5%
priming was successful. If these values aren’t constant, PLT : 96.0%
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changed. Input a new setting value with numeric keys and 9. After calibration, when in the ready mode, press <C> <0>
press <ENTER> to set the new calibration value into the to get out of the maintenance menu.
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Sysmex K4500
13. Press AUTORINSE. The next error message appears on the
Priming of K4500 print out: ! ERROR ! WBC REAGENT ERROR REPLENISH AND
1. Take the aspirating tubes from the Sysmex reagent PRESS AUTORINSE KEY TO RETRY.
cubitainers. Don’t lay the tubes on tissues or dusty surfaces.
Place them in clean beakers. 14. Press AUTORINSE. All Avantor reagents are aspirated into
the reagent chambers now.
2. It is important to rinse the outside surface of the aspirating
tubes with distilled or de-ionised water to be aware of any 15. After the Autorinse procedure is finished, the background
kind of reagent contamination. values are printed out. Verify if these values are acceptable
within limits. If not, press AUTORINSE again for another
3. Open the front cover of the instrument by turning the cleaning/priming procedure. Verify the background values.
cover upwards.
Calibration of Toa Sysmex K4500 Analyser
4. Unscrew the screws on the left top and left bottom. These 1. Press the <SELECT> key in the sample analysis mode.
screws lock the left side panel.
2. Then press < >, until menu 4. CALIBRATION.
5. When the left side panel is opened, the internal reagent Example
chambers can be found on top. There are three reagent HGB : 100.0% to 108.0%
reservoirs: the one on the left is the WBC-lyse chamber, the First enter the value 104.0% and then the second time
one in the middle the Hgb-lyse chamber and the larger 108.0% (2-times 4%)
one on the rigth is the diluent reagent chamber. A calibration of >5% at once will be ignored.
6. Unscrew these internal reagent chambers and waste the
reagents inside. 6. Finally press <SELECT>. In the LCD next message will
appear:
7. Screw the reagent chambers on again. Press AUTORINSE. CHANGE SETTINGS Y:ENTER / N: SELECT
The remaining reagents in the aspiration tubes are
aspirated into the reagent chambers. Discard any error on 7. Press <ENTER> or <SELECT>
the LCD screen. Press the C key to deactivate the audio
beep.
8. Press <SELECT>. New calibration factors will be printed
8. Unscrew these internal reagent chambers again and automatically.
waste the reagents inside for the second time. All original
reagents are wasted now. 9. To calibrate other factors press <C> <9> <.> <0>. (Service
mode)
9. Screw the reagent chambers on again.
10. Then press <SELECT> and select with the cursor keys
10. Connect Avantor Performance Materials reagents to the menu 6 <SERVICE PROGRAM> and press <ENTER>.
aspiration tubes.
11. Select menu 3 <Service Calibration> with cursor keys and
11. Press AUTORINSE. The following error message appears on press <ENTER>. Press <PRINT>. In this menu the calibration
the print out: ! ERROR ! DILUENT ERROR REPLENISH AND factors for WBC, RBC, HGB, MCV and PLT can be altered.
PRESS AUTORINSE KEY TO RETRY.
12. Change factors if necessary. Go to next factor by pressing
12. Press AUTORINSE. The next error message appears on the <ENTER>
print out: ! ERROR ! HGB REAGENT ERROR REPLENISH AND
PRESS AUTORINSE KEY TO RETRY.
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Sysmex KX-21
Priming of KX-21
1. Take the aspirating tubes from the Sysmex diluent 5. Finally press <SELECT>. In the LCD next message will
cubitainer. Don’t lay the tube on tissues or dusty surfaces. appear:
Place it in a clean beaker. CHANGE SETTINGS
Y:ENTER / N: SELECT
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2. Open the front cover of the instrument at the left side
and turn the cover to the right. The lyse bottle is located 6 Move to Yes with > and < press <ENTER>
behind the front cover. Take the aspirating tube from the
Sysmex lyse bottle. Don’t lay the tube on tissues or dusty 7. Press <SELECT>. New calibration factors will be printed
surfaces. Place it in a clean beaker. automatically.
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NOTICE THAT HGB AND HCT FACTORS CAN BE CHANGED
WITH STEPS OF MAXIMUM 5%.
IF A HIGHER CALIBRATION IS REQUIRED, THIS CAN BE DONE
WITH SOME STEPS.
Example
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HGB: 100.0% to 108.0%
First enter the value 104.0% and then the second time
108.0% (2-times 4%)
A calibration of >5% at once will be ignored.
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1. Diluent (Cellpack)
2. Lyse (Stromatolyser-WH) 9. Then press <SELECT>, <9. SERVICE>, <3. SETTINGS>, <2.
CHANGE>,
3. Press on numeric keyboard <SELECT>. Then select <5. <1. CALIBRATION>.
AUTO RINSE> key.
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10. Using the , and <ENTER> keys, move the cursor to
4. When the instrument gives an alarm, which indicates no the parameter you wish to change. Using the numeric keys
reagents, then connect Avantor reagents to the aspiration and decimal key, enter the calibration value.
tubes.
Sysmex Baker 11. With the cursor on the bottom line, press the key will
Cellpack Diluid 100 Plus change the displayed parameters.
sysmex
Stromatolyser WH Cymet KX-21
12. If you press the <SELECT> key, the change confirmation
5. Then press the <5. AUTO RINSE> key again. Reagents will message will appear in the menu display area
be primed. If you select <CONT>, you can continue to enter the
6. Repeat step 3-times. calibration values.
If you select <SET>, the calibration value will be updates
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7. The lyse can be separately primed by using next steps: and the system will return to the READY screen.
– Press <SELECT>
– Then press <4. REPLACE LYSE> If you select <CANCEL> or press the <SELECT> key, the
system will return to the READY screen without changing
Calibration of Toa Sysmex KX-21 Analyzer the settings.
controls
2. Then press <3> to enter <3. CALIBRATION>. Sysmex HGB (Hemoglobin) Adjustment
Procedure for Sysmex KX-21
3. Press <2> <ENTER> to select
<2. MANUAL CAL.>. In this menu only the calibration Problem Description:
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factors for Hemoglobin (HGB) and Hematocrit (HCT) can Sometimes customers run into Hemoglobin calibration
be altered. problems on the Sysmex KX-21 instruments when switching
from Original Sysmex reagents to JT Baker reagents. Due
4. Set HGB/HCT calibration value by pressing numeric keys to the combination of Diluid 100 Plus and CyMet Kx,
followed by <ENTER>. the Methemoglobin complex is measured differently in
comparison to the original reagents. This sometimes results in
calibration problems, where calibration factors are calculated
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Problem Solution:
In the service manual (page 4-5) a procedure is explained how 13. Adjust VR2 (HGB SAMPLE) on the PCB No. 2135 clockwise
to adjust the HGB reference blank, but more important the HGB to increase the HGB value measured. One full turn
conversion measured electronically. By means of a potential clockwise or counterclockwise will change the HGB value
meter (potmeter) the HGB conversion can be changed (and around 0.7 g/dL.
directly influenced the HGB value measured) in a way that no
calibration has to be done or that a calibration is again possible 14. Aspirate sample 1 and check again the value measured.
within the enterable ranges. Adjust VR2 until the required HGB value is measured.
Procedure: 15. Check the HGB Convert BLANK value again and adjust VR1
1. Run 5 samples with the original Sysmex reagents for if needed (see step 9).
reference purposes.
16. Press [SELECT] key to resume the sequence.
2. Install J.T. Baker reagents on the analyzer following the
normal procedures.
Sysmex Sysmex TM KX-21 and Sysmex TM
3. Run 5 samples (from step 1) with the J.T. Baker reagents. K4500, high WBC Background
For many years we produce reagents for the 3-part differential
4. Calculate new Calibration factors for CBC parameters that instruments from SysmexTM Company. Initially we started
need calibration producing reagents for the K1000, but more and more we
produce reagents for the K-4500 and KX-21.
5. If possible change calibration factors (Note that HGB and
HCT factors can be changed with steps of maximum 5%). If Feedback from some of our distributors show that sometimes
the calibration factor is out of range, go to step 6. distributors run into problems installing JT Baker’s reagents on
the above instruments. Especially when they switch from other
6. Shutdown the analyzer. manufacturer’s reagents to JT Baker’s reagents, they observe
high WBC Background counts after installation and priming.
7. Disconnect the net cable and remove the Top Cover. Take notice that this problem will not occur on all K-4500 and
KX-21 instruments in the field.
8. Switch on the instrument and startup.
The reason for this increase in WBC Background is the result of a
9. Display the Status Display by pressing [SELECT] – [7] chemical process in the Diluid circuit, Diluid lines and the WBC
(Maintenance) – [5] (Status Display). Counting Chamber.
S *System Display* Due to long use of reagents of other manufacturers a small
layer (film) of coating can be introduced in the Diluid circuit of
SEQ. NO. 12 above instruments and especially in the WBC counting
PRESSURE 0.50
VACUUM 250 chamber. After connection of our reagents and performing the
HGB CONVERT 2000 priming protocol, as described in our Distributor’s Catalogue
SENSOR 1 2 3 4 5 6 7 8
Hematology, this layer slowly dissolves, resulting in an increased
background of the WBC’s after the Autorinse cycle.
SV 1 2 3 4 5 6 7 8 9 0
1 2 3 4 5 6 7 8 9 0
1 2 3 4 Next procedure explains how you can solve this high WBC
Background problem:
1. Prepare a dilution of 500ml distilled water and 500ml of
Hypochlorite (3917).
10. Adjust the VR1 on the PCB No. 2135 (located in the Top
middle part of the analyzer) so that the HGB CONVERT 2. Follow the procedure to empty the Diluid reagent reservoir
BLANK value falls within the range 2000+/- 200. (only K4500).
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9. Perform two Autorinses with distilled water. Priming of SF3000:
10. Connect the Diluid 100 Plus to the Diluid Line. Note:Before starting this protocol, please be sure
that you ran fresh human samples with the original
11. Follow the procedure to empty the Diluid reagent Sysmex reagents. These are necessary for reference and
reservoir (only K4500). calibration. Or use Hematology controls for reference.
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12. Perform two Autorinses with Diluid 100 Plus. 1. Take the reagent tubes from the original Sysmex reagents
containers and bottles.
13. Run background counts until background counts for WBC,
RBC, HGB and PLT are acceptable. Sometimes more than 2. It is important to rinse the outside surface of the aspirating
backgrounds are necessary. tubes with distilled water or de-ionised water to avoid
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reagent contamination.
Sysmex SF3000
3. The internal reagent reservoirs are connected to the
Introduction of Priming on the SF3000: Fluidic system of the SF3000 with Fluid Connectors, which
Priming of the Sysmex SF3000 consists of a lot of sequential are used in this protocol to empty all separate reagent
steps that have to be performed to avoid micro-bubbles, reservoirs. Next picture shows an example and the pin
cross-contamination of Sysmex and JT Baker reagents and high connections of a Fluid Connector.
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background counts.
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In the left compartment you can find reagent reservoirs for the
Cymet SF Baso (Stromatolyzer FB), CyMet Diff 1 (Stromatolyzer FDI),
CyMet Diff 2 (Stromatolyzer FDII), Cymet 1000 CN Free (Sulfolyzer)
and three reservoirs for the Diluid 100 Plus (Cellpack), PK1, PK2 and
PK3. In total 7 reagent reservoirs have to be emptied.
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Next table shows an overview of all Fluid connectors,
valves and pin numbers that are used in this priming
protocol.
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Item Pin Reagent
Nr
Fluid Connector No. 12 1 CyMet SF Baso
Fluid Connector No. 12 2 CyMet SF Diff 2
Fluid Connector No. 12 3 CyMet SF Diff 1
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Fluid Connector No. 12 4 Diluid 100 Plus (PK3)
Fluid Connector No. 8 3 Diluid 100 Plus (PK1)
Fluid Connector No. 19 4 Diluid 100 Plus (PK2)
Valve 31 CyMet 1000
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4. Open the left cover and locate the reagent reservoir for the
CyMet SF Baso (see picture on previous page). This is the
reservoir on the left. Follow the tubing coming from the
bottom of the reagent reservoir until you reach the Fluid
Connector No.12. Clamp the tubing that is coming from
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5. Perform the same procedure for the CyMet SF Diff 2 (pin2), 15. After finishing step 14, go to the Ready Screen and press
CyMet SF Diff 1 (pin3) and Diluid 100 Plus/ PK3 (pin4) again the “Next No.” icon. Enter [C] [0] and check if you have
connected to Fluid connector 12. Be sure to clamp the deactivated the Service mode. Press [More] twice to see if
tube for Diluid PK3 because of the pressure on the reagent the extra button [Service] is gone. If not repeat step 15.
reservoir.
16. Press [Auto-Rinse] and wait till the sequence ends and
6. Locate the Fluid Connector 8 and 19 to perform the check the background results. If the instrument gives WBC
same procedure for Diluid 100 Plus, PK1 and PK2 reagent and/or Diff errors press [Quit] and repeat the Auto-rinse
reservoirs. Clamp the tubing on time after emptying, sequence until the Backgrounds are ok. Micro-bubbles
otherwise a pressure alarm will follow. Deactivate the alarm cause these Background problems.
by pushing the Clear Alarm button.
7. Locate the reagent reservoirs for the CyMet 1000 (second 17. Run 5 Blanc / Background counts. The WBC should be
reagent reservoir from the right) and follow the Teflon lower than 0.05 and the scatter graph should look like
tubing coming from the reservoir up to Valve no. 31. Don’t the result below. Sometimes it helps to run some Human
clamp the tubing. Use tissues and a beaker to avoid liquid Blood samples between the Blanc / Background counts to
spills after disconnecting. improve the Background counts.
11. Push the “EXEC” button. The instrument will fill all reagent
reservoirs with JT Baker reagents. Again several alarms will
sound. Press the “EXEC” button every time the instrument
asks for it. The instrument will go to the READY state if all
reagent reservoirs are filled with reagents.
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5. Press [Service], [Change] and [Calib.]. You have entered
the screen where all different Calibration factors for all
parameters can be found. The different measurement
modes are shown.
For example:
WBC-Cal = Manual mode
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WBC-SM = Sampler mode
WBC-Cap = Capilary Mode
WBC-V = ?? Mode.
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have to be changed. Use the standard Calibration Method
to calculate new factors. Note: Only the Cal factors for the
Manual mode and Sampler Mode have to be changed.
When both the manual mode and sampler mode are
correctly calibrated towards each other, the same change
in manual mode calibration
factor can be used in sampler mode calibration factor as
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well.
Example:
Reference values Sysmex Reagents:
Manual Mode:
PLT = 280
PLT CAL factor (old) = 98,7%
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Sampler mode:
PLT = 275
PLT SM Factor (old) = 96,5%
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Manual Mode:
PLT = 290
New PLT CAL Factor = 280 / 290 * 98.7%
= 95,3 %
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= 93,2 %
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About Avantor™ Performance Materials
Avantor Performance Materials manufactures and markets high-performance chemistries and materials
around the world under several respected brand names, including the J.T.Baker®, Macron Fine Chemicals™,
Rankem™, Diagnova™, BeneSphera™, and POCH™ brands.
Avantor products are used in a wide range of industries. Our biomedical and life science solutions are
used in academic, industry and quality control laboratories for research, pharmaceutical production and
medical lab testing, while our electronics solutions are used in the manufacturing of semiconductors and
flat panel displays. Based in Center Valley, Pennsylvania (USA), Avantor is owned by an affiliate of New
Mountain Capital, LLC.