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IMMULITE 2000/2500 Operators Customer Education and Communications Name Change Addendum
DPC was acquired by Siemens Medical Solutions in July 2006. In January 2007, DPC was merged with Bayer Diagnostics (also acquired by Siemens Medical Solutions) to form Siemens Medical Solutions Diagnostics, a wholly owned subsidiary of Siemens Medical Solutions USA, Inc. As a result, Siemens Diagnostics is updating the user manuals to reflect the name change. The cover and copyright pages of this manual were updated accordingly. Cover and copyright pages with the DPC logo and copyright information are provided for those countries that still use the DPC name. If you have questions about this information, please contact NJCECReleases@dpconline.com.
Document Number: 600849-0001 Revision A, Version 5.xx Date: February 2007 1997 Diagnostic Products Corporation. All rights reserved.
1997 Diagnostic Products Corporation. All rights reserved. This manual, and the software described in this manual, are copyrighted. No part of this manual or the described software may be copied, reproduced, translated or reduced to any electronic medium or machinereadable form without the prior written consent of Diagnostic Products Corporation except that you may make one copy of the program CD solely for back-up purposes. IMMULITE is a registered trademark of Diagnostic Products Corporation. All other products mentioned are trademarks of their respective companies.
Diagnostic Products Corporation Certificate No: UQA0113493 DPC's quality products are manufactured under a quality system that is registered to ISO 13485:2003.
Document Number: 600849-0001 Revision A, Version 5.xx Date: February 2007 1997 Siemens Medical Solutions Diagnostics. All rights reserved.
1997 Siemens Medical Solutions Diagnostics. All rights reserved. This manual, and the software described in this manual, are copyrighted. No part of this manual or the described software may be copied, reproduced, translated or reduced to any electronic medium or machine-readable form without the prior written consent of Siemens Medical Solutions Diagnostics except that you may make one copy of the program CD solely for back-up purposes. IMMULITE is a registered trademark of Siemens Medical Solutions Diagnostics. All other products mentioned are trademarks of their respective companies.
Siemens Medical Solutions Diagnostics Certificate No: UQA0113493 Siemens Diagnostics' quality products are manufactured under a quality system that is registered to ISO 13485:2003.
ii 600849-0001-A IMMULITE 2000/2500 Operator's Manual
Table of Contents
SECTION 1: INTRODUCTION ...................................................................................................1 About this Manual.....................................................................................................................2 Conventions .........................................................................................................................2 Control Naming Conventions ...............................................................................................3 Figures .................................................................................................................................3 Trademarks..........................................................................................................................3 Product Descriptions ................................................................................................................4 Principles of Operation.........................................................................................................4 Operator Tasks ....................................................................................................................4 Output Specifications ...........................................................................................................5 Operating Modes .................................................................................................................6 Pipetting Sequence..............................................................................................................6 System Components............................................................................................................7 Kit Components .................................................................................................................12 Other Test Supplies ...........................................................................................................16 Software Overview .................................................................................................................18 Toolbar...............................................................................................................................18 Menu Bar ...........................................................................................................................20 Contact Information ................................................................................................................23 Technical Service...............................................................................................................23 Placing an Order ................................................................................................................23 SECTION 2: CONFIGURING AND UPDATING THE SYSTEM...............................................25 Configuring the System ..........................................................................................................26 Display Options..................................................................................................................26 Auto Dilutions.....................................................................................................................27 ID Information ....................................................................................................................30 Configuration Settings........................................................................................................30 LIS......................................................................................................................................34 DPC Configuration .............................................................................................................37 DPC Load Scale ................................................................................................................38 Instrument Mode ................................................................................................................38 Reset Load Scale...............................................................................................................39 Test Ranges.......................................................................................................................41 Allergen Ranges ................................................................................................................42 Reflexive Tests ..................................................................................................................43 Panel Configuration ...........................................................................................................50 Units Configuration ............................................................................................................56 Reports ..............................................................................................................................57 Changing Windows Settings...................................................................................................65 Resetting the Date and Time .............................................................................................65 Changing the Sound ..........................................................................................................67
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Updating the System ..............................................................................................................67 SECTION 3: ROUTINE MAINTENANCE .................................................................................69 Daily Maintenance ..................................................................................................................70 Logging off the System ......................................................................................................71 Initializing Diagnostics........................................................................................................72 Cleaning the Sample and Reagent Probes........................................................................73 Restarting the Computer....................................................................................................75 Filling the Reaction Tube Hopper ......................................................................................76 Checking and Filling the Water Bottle................................................................................77 Checking and Filling the Probe Wash................................................................................78 Checking and Filling the Substrate ....................................................................................79 Checking the Waste Containers ........................................................................................80 Priming the Sample and Reagent Pipettors.......................................................................81 Priming the Water Probe (IMMULITE 2000 Only)..............................................................82 Priming the Substrate Probe..............................................................................................83 Weekly Maintenance ..............................................................................................................84 Cleaning the Waste Tube (IMMULITE 2000).....................................................................84 Cleaning the Waste Tube (IMMULITE 2500).....................................................................84 Monthly Maintenance .............................................................................................................86 Checking the Dispense Angle of the Reagent Probe.........................................................86 Cleaning the Fan Filter.......................................................................................................86 Decontaminating the Clot Detection Transducer ...............................................................88 Decontaminating the Bottles and Lines .............................................................................89 Quarterly Maintenance ...........................................................................................................91 Replacing the CO2 Scrubber .............................................................................................91 As Needed Maintenance ........................................................................................................92 Cleaning the Monitor..........................................................................................................92 Cleaning the Trackball .......................................................................................................92 Water Test Procedure (IMMULITE 2000) ..........................................................................92 Water Test Procedure (IMMULITE 2500) ..........................................................................94 Evaluating WATERTEST Results ......................................................................................95 SECTION 4: ENTERING A KIT AND ADJUSTING AN ASSAY..............................................97 Entering a Kit ..........................................................................................................................98 Scanning a 2D Kit Barcode Using a 2D Scanner...............................................................98 Scanning a 2D Kit Barcode Using an Imaging Scanner ....................................................99 Entering Allergens and Allergen Wedges ........................................................................102 Reviewing Kit Information ................................................................................................106 Adjusting an Assay ...............................................................................................................108 Adjustment Printout..........................................................................................................111 Checking Adjustment Validity ..........................................................................................117
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SECTION 5: ENTERING CONTROL INFORMATION AND REVIEWING CONTROL DATA119 Entering New Control Information ........................................................................................120 Additional Control Procedures .........................................................................................124 Qualitative Controls..........................................................................................................124 Controls Reported as Ratios............................................................................................125 Adding a Level .................................................................................................................125 Changing a Level .............................................................................................................126 Editing Control Information ...................................................................................................129 Reviewing Control Data........................................................................................................131 Adding Comments ...........................................................................................................135 Removing Points..............................................................................................................137 Deleting Tests for a Control ..................................................................................................138 Quality Control Management ................................................................................................139 Control Not for On-line QC...............................................................................................139 Single Rule.......................................................................................................................139 Multi Rule .........................................................................................................................139 SECTION 6: ROUTINE OPERATION ....................................................................................143 Daily Maintenance ................................................................................................................144 Maintaining Reagent Wedges, Allergen Wedges and Bead Packs ......................................149 Checking the status of Reagent Wedges and Allergen Wedges .....................................149 Using the Reagent Status Window ..................................................................................150 Replacing Reagent Wedges and Allergen Wedges.........................................................154 Checking the Status of Bead Packs.................................................................................156 Using the Bead Status Window .......................................................................................158 Replacing Bead Packs.....................................................................................................160 Sample Volume and Tube Sizes ..........................................................................................162 Microsampling..................................................................................................................162 Labeling and Loading Sample Tubes ...................................................................................164 Add Controls to the Worklist .................................................................................................166 Running Assays....................................................................................................................168 Using the Consumables Report .......................................................................................169
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Checking the Sample Status ................................................................................................170 Checking the Test Time Remaining .....................................................................................171 Checking the Tests Ordered and Time Remaining...............................................................174 Find Last Tube Location .......................................................................................................175 Viewing the Adjustment Log .................................................................................................176 Viewing Beads and Reagents On Board ..............................................................................178 Viewing Allergens On Board.................................................................................................179 Exporting Data......................................................................................................................180 Saving Files to a CD or DVD ...........................................................................................181 Viewing Results and Sending Data to the LIS ......................................................................188 Restarting the System ..........................................................................................................190 SECTION 7: WORKLIST FUNCTIONS AND PROCEDURES...............................................193 Worklist Overview .................................................................................................................194 Adding Patients to a Worklist................................................................................................195 Barcoded Patient Samples ..............................................................................................195 Damaged or Missing Barcodes........................................................................................198 Ordering STATs ...............................................................................................................201 Adding Adjustors to the Worklist...........................................................................................202 Adding Controls to a Worklist ...............................................................................................204 Barcoded Controls ...........................................................................................................204 Controls without Barcodes ...............................................................................................206 Adding Calibration Verifiers to a Worklist .............................................................................208 Diluting Samples...................................................................................................................210 Diluting Samples Onboard ...............................................................................................210 Specifying Manually Diluted Samples..............................................................................212 Checking Kit Components ....................................................................................................214 Test Entry Options ................................................................................................................215 Selecting Available Tests.................................................................................................215 Selecting a Panel .............................................................................................................216 Assigning Tests to an Entire Rack ...................................................................................217 Assigning a Tube Position ...............................................................................................219 Worklist Management and Display Options..........................................................................220 Displaying a Worklist........................................................................................................220 Printing a Worklist ............................................................................................................221 Modifying a Worklist Entry ...............................................................................................221 Deleting a Worklist Entry..................................................................................................222 Saving and Importing a Worklist ......................................................................................223
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SECTION 8: REVIEWING RESULTS ....................................................................................227 Reviewing Results ................................................................................................................228 Changing the Default Time ..............................................................................................230 Searching for a Result .....................................................................................................232 SECTION 9: REVIEWING AND SENDING LIS RESULTS....................................................235 Reviewing LIS Results..........................................................................................................236 Sending Results to the LIS ...................................................................................................238 Resending Data ...............................................................................................................238 Clearing LIS Data.............................................................................................................238 SECTION 10: GETTING HELP ................................................................................................241 Help ......................................................................................................................................242 Specifications...................................................................................................................242 Navigation ........................................................................................................................242 Menu Options...................................................................................................................243 Context-Sensitivity ...........................................................................................................245 Field-level and Error-level Help........................................................................................246 Locating Routine Procedures...........................................................................................247 Using the Index Feature...................................................................................................248 Using the Search Feature ................................................................................................249 SECTION 11: TROUBLESHOOTING ......................................................................................253 Overview...............................................................................................................................254 The Error Report Screen ......................................................................................................255 Viewing the Error/Event Logs ...............................................................................................256 View Event Log ................................................................................................................256 Day Error Log...................................................................................................................259 Viewing Instrument Temperatures........................................................................................260 Diagnostic Programs ............................................................................................................261 Initializing Diagnostics......................................................................................................261 Diagnostic Program Descriptions.....................................................................................263 Electrical Power Loss ...........................................................................................................266 Probe Replacement .........................................................................................................266 Waste Chute Clean Out Tool................................................................................................268 Detecting and Correcting Clots.............................................................................................270 Sample Clots....................................................................................................................270 Clinging Clots...................................................................................................................271 Quick Reference Assay Troubleshooting Guide...................................................................274 Sandwich Assays.............................................................................................................274 Competitive Assays .........................................................................................................274
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Pre-Treated Assays .........................................................................................................274 Troubleshooting Controls Post Adjustment......................................................................275 SECTION 12: DATA REDUCTION AND THE CHEMILUMINESCENT REACTION ...............277 Internal Calculations .............................................................................................................278 Master Curve/Two-Point Adjustment ....................................................................................279 Calibration Overview........................................................................................................279 Master Curve Generation.................................................................................................279 Two-Point Adjustment......................................................................................................280 Judge Adjustment Validity................................................................................................281 Summary..........................................................................................................................286 Readjustment...................................................................................................................286 Master Cutoff Generation for Qualitative Assays..................................................................287 Measure the Cutoff for an Assay .....................................................................................287 Calculation of Ratios ........................................................................................................288 Chemiluminescent Reaction.................................................................................................289 APPENDIX A: SYSTEM SPECIFICATIONS .............................................................................291 Output...................................................................................................................................291 Fluid Usage ..........................................................................................................................291 Computer..............................................................................................................................292 Dilution Volumes...................................................................................................................292 APPENDIX B: PACKAGE CONTENTS ....................................................................................295 APPENDIX C: INSTALLATION PREPARATIONS ...................................................................297 Overview - Installation Preparation.......................................................................................297 Choosing a Location.............................................................................................................297 Power Requirements .......................................................................................................297 Space Requirements .......................................................................................................297 Temperature Requirements .............................................................................................297 Water Requirements ........................................................................................................298
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APPENDIX D: IMMULITE 2000/2500 CONSUMABLES AND ACCESSORIES ......................299 APPENDIX E: ERROR MESSAGES ........................................................................................303 Error Message Severity and Priority .....................................................................................304 Common Errors and Solutions .............................................................................................305 Flags Associated with Results ..............................................................................................306 List of Error Messages..........................................................................................................307 APPENDIX F: OPERATIONAL PRECAUTIONS .....................................................................409 Precautions Table.................................................................................................................409 APPENDIX G: WORKSHEETS .................................................................................................411 Introduction...........................................................................................................................411 IMMULITE 2000/2500 Adjustment Log ................................................................................412 IMMULITE 2000/2500 Daily & Weekly Maintenance Record ...............................................413 IMMULITE 2000/2500 Monthly & Quarterly Maintenance Record .......................................415 APPENDIX H: PRINTED REPORTS.........................................................................................417 Patient Report.......................................................................................................................418 Patient Report (Allergy) ........................................................................................................419 Chartable Patient Report ......................................................................................................420 Control Report ......................................................................................................................421 Patient Review Report ..........................................................................................................422 Print "ALL" Worklist...............................................................................................................423 Export Report (Without Allergy))...........................................................................................424 Export Report (With Allergy) .................................................................................................425 APPENDIX I: HEPATITIS CONFIRMATORY TESTING .........................................................427 Manual Confirmatory Testing ...............................................................................................428 HBsAg Positive Control....................................................................................................428 Order Hepatitis Confirmatory Tests .................................................................................428 Order Positive Confirmatory Control ................................................................................430 Load and Process Manual Confirmatory Samples on the Instrument..............................430 Reviewing Results of Manual Confirmatory Testing ........................................................431
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APPENDIX J: ICON GLOSSARY.............................................................................................433 APPENDIX K: MISCELLANEOUS DOCUMENT AND PRODUCT INFORMATION ................437 Introduction...........................................................................................................................437 References ...........................................................................................................................437 Limited Warranty ..................................................................................................................440 TABLE OF FIGURES ...............................................................................................................441 INDEX .........................................................................................................................447
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Section 1:
Introduction
In this Section
About this Manual.....................................................................................................................2 Conventions .........................................................................................................................2 Control Naming Conventions ...............................................................................................3 Figures .................................................................................................................................3 Trademarks..........................................................................................................................3 Product Descriptions ................................................................................................................4 Principles of Operation.........................................................................................................4 Operator Tasks ....................................................................................................................4 Output Specifications ...........................................................................................................5 Operating Modes .................................................................................................................6 Pipetting Sequence..............................................................................................................6 System Components............................................................................................................7 Kit Components .................................................................................................................12 Other Test Supplies ...........................................................................................................16 Software Overview .................................................................................................................18 Toolbar...............................................................................................................................18 Menu Bar ...........................................................................................................................20 Contact Information ................................................................................................................23 Technical Service...............................................................................................................23 Placing an Order ................................................................................................................23
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Conventions
To improve readability, the following conventions are used:
Item System messages (on the screen) Keyboard keys Exact letters or numbers the operator must type Names of buttons on the screen Field names Menu options
Convention Used Courier font For example: Kit Adjustment Required Bold For example: Select Enter. Courier font For example: Type 9600 Bold For example: Select the WORKLIST button. Bold For example: . . . in the Accession # field Bold For example: Choose Configurations from the drop-down menu
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Figures
Equipment may vary slightly from the figures shown in this manual. However, unless otherwise noted, the procedures are the same. A Table of Figures follows Appendix K of this manual. See the Table of Contents for the exact page number.
Trademarks
Trademarked names may be used throughout this manual. Rather than using a symbol ( or ) at every occurrence, we state herein that we are using these names only in an editorial fashion, to the benefit of the trademark owner, with no intention of infringement.
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Product Descriptions
The IMMULITE 2000 is a continuous random-access Instrument that performs chemiluminescent immunoassays. The IMMULITE 2500 system performs chemiluminescent immunoassay testing using Logic Driven Incubation to provide dynamic resource allocation that optimizes the use of the Incubators, Wash Stations, and Pipettors. These Instruments use serum, plasma, and/or urine samples for in vitro diagnostic testing and work seamlessly with RealTime Solutions and a Sample Management System (SMS). The Instruments automate the entire testing procedure and accommodate high volume testing (generating up to 200 test results per hour). Primary, secondary, and microsample tubes may be loaded directly on the Instrument. An LIS (Laboratory Information System) interface is optional.
Principles of Operation
The Instrument uses assay-specific antibody or antigen-coated polystyrene beads as the solid phase. A bead is dispensed into a specially designed Reaction Tube, which serves as the vessel for the incubation, wash, and signal development processes. After the sample is incubated with an alkaline phosphatase-labeled reagent, the reaction mixture is separated from the bead by spinning the Reaction Tube at high speed along its vertical axis. The fluid is transferred to a Coaxial Sump Chamber, which is integral to the Bead/Tube Wash Station. Four discrete washes occur within seconds, allowing the Reaction Tubes to be processed sequentially with uniform timing. The bead remains in the Reaction Tube with no residual unbound label. The bound label is then quantified using the dioxetane substrate to produce light. Light is emitted when the chemiluminescent substrate reacts with the alkaline phosphatase label bound to the bead. The amount of light emitted is proportional to the amount of analyte originally present in the sample. This light emission is detected by the Photomultiplier Tube (PMT) and results are calculated for each sample.
Operator Tasks
The procedures performed by the operator when running assays on the Instrument are outlined below. 1. Perform the Daily Probe Cleaning procedure. 2. Select the RUN IMMULITE 2000 or RUN IMMULITE 2500 button on the startup screen. 3. Check the System Status Indicators and fill or empty the reservoirs. 4. Prime the Sample and Reagent Pipettors, the Water Probe, and the Substrate Probe. 5. Scan any Allergen Wedges on the Reagent Carousel using the Imaging Scanner.
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6. Load the Patient Samples, Controls, Adjustors, and Diluents (as necessary) on the Sample Carousel. Note: The materials needed to operate the Instrument are included in the IMMULITE 2000 and IMMULITE 2500 Test Kits. Diluents are only included for pre-diluted assays. 7. Associate the accession numbers with the tests ordered via the Worklist screen. 8. Check that a sufficient quantity of Reagent Wedges and matching Bead Packs are available to process the tests ordered. 9. Select RUN to begin the automated test process.
Output Specifications
The table below shows the output specifications for the IMMULITE 2000 and IMMULITE 2500. For a list of all system specifications, see System Specifications on page 291.
Quantity Up to 200 tests per hour IMMULITE 2000: 35 minutes IMMULITE 2500: 15 minutes Unlimited
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Operating Modes
There are three operating modes: RUN, PAUSE, and STOP.
RUN Mode
When the Instrument is in RUN mode, assays are in progress and the Instrument is operating.
PAUSE Mode
When the Instrument is in PAUSE mode, the pipettors stop. The processing of any new tests is temporarily halted; however, tests already on the Instrument continue processing. There are four different PAUSE modes: All Pause stops all loading and pipetting operations, as well as bead and reagent dispensing. The assays in progress continue to process; however, no new samples are pipetted. Reagent Pause stops the Reagent Carousel, Reagent DRD, and Reagent Pipettor so no new reagent is dispensed. Other parts of the Instrument continue processing assays. Bead Pause stops the Bead Carousel so no new beads are dispensed. Other parts of the Instrument continue processing assays. Sample Pause pauses the Sample Carousel, Sample DRD, and Sample Pipettor so no new sample is dispensed. Other parts of the Instrument continue processing assays. Sample Pause may be delayed up to 36 seconds while the samples currently being processed finish processing.
STOP Mode
When the Instrument is in STOP mode, all mechanical movements are stopped and no new tests are processed. STOP mode is automatically initiated when no new samples have been processed in the last 20 minutes, as long as the Instrument is not connected to an SMS.
Pipetting Sequence
Sample tubes are processed in the following order, based on priorities built into the software. 1. STAT samples 2. Adjustors 3. Controls 4. Labile (e.g., intact PTH) 5. Patients 6. Verifiers
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System Components
The system components are described on the next few pages. Reference the following figures when reading this table: Overhead Views of the Instruments on page 10 and Front View of the Instruments on page 12.
Description A rotating, dehumidified carousel that holds 24 Bead Packs The beads are dispensed individually from these testspecific packs.
Bead Pack Barcode Reads barcodes on the Bead Packs in the Bead Reader Carousel. Note: The Bead Pack Barcode Reader is not visible in the figures. Bead/Tube Wash Station Washes and spins the bead after the immune reaction (to remove any residual unbound reagent and sample) and adds the Luminogenic Substrate.
Imaging Scanner (or Reads kit barcodes. Users of allergy kits must have Hand-held 2D the Imaging Scanner so Allergen Wedges that are Scanner) loaded with Allergen Vials can be scanned. Note: The Scanner is not visible in the figures. Photomultiplier Tube Measures the photon counts. (PMT) Note: The PMT is not visible in the figures. Reaction Tube Hopper Gear Driven Reaction Tube Hopper Reagent and Sample Valves Mechanism that redirects the flow of liquid used by the Sample DRD (Dual Resolution Dilutor) and the Reagent DRD. Holds the empty Reaction Tubes
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Description A rotating carousel that holds 24 Reagent Wedges or Allergen Wedges. Note: To run allergy tests, the Allergen Wedge for the allergy kit must be on the Reagent Carousel, which leaves 23 positions for additional wedges. Reagent Wedges are divided into two or three compartments, holding up to three reagents. Wedges are identified by barcodes, which are read by the Sample/Reagent Barcode Reader. Allergen Wedges are the wedge-shaped frames that hold the Allergen Vials used in Allergy testing. An Allergen Wedge can hold up to six Allergen Vials. Information about an Allergen Wedge is entered into the database by scanning the barcodes on the side of the wedge using the Imaging Scanner. Allergen Wedges also have a barcode on the edge, similar to a Reagent Wedge, so the Sample/Reagent Barcode Reader can identify their position on the Reagent Carousel. Note: Since the Reagent Carousel is refrigerated between 2 8C (35.6 46.4F), Reagent Wedges can be stored on the Instrument. While it is possible to store Allergen vials on the Instrument, it is recommend that they be sealed with a standard cap and stored off the Instrument if they will not be used for an extended period of time.
Reagent DRD (Dual Extracts reagent and water and moves the liquid to the Resolution Dilutor) Reagent Pipettor. Reagent Pipettor Sample Carousel Pipettes reagent onto the bead in the Reaction Tube. A rotating carousel that holds six removable racks. Each rack holds up to 15 specimen or diluent tubes of varying sizes. The barcodes on the tubes are read as the carousel rotates.
Sample Dilution Well Mixes specified quantities of specimen, diluent, and water to form a homogenous mixture. The Sample Probe dispenses the materials into the well for mixing. After the diluted sample is pipetted into the Reaction Tube, the Dilution Well Insert is spun at a high speed, discarding the unused portion of the diluted sample. Sample DRD Extracts sample from the sample tube and moves it to the Sample Pipettor.
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Part Sample Pipettor Sample/Reagent Barcode Scanner Substrate Pump Tube Processor Incubators
Description Pipettes sample onto the bead in the Reaction Tube. Reads barcodes on the tubes in the Sample Carousel and on the Reagent and Allergen Wedges in the Reagent Carousel. Dispenses 200 l of substrate from the Substrate Reservoir into a Reaction Tube. Device where the immune and luminogenic reactions are incubated. Reaction Tubes are continually agitated at 37C (98.6F) during these processes.
Water Pump
Accurately dispenses water into a Reaction Tube at the Bead/Tube Wash Station.
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8 2
W S
16
13
15 14
11
Number 1 2 3 4 5 6 7 8
Component Sample Carousel Reagent Carousel (Covered) Sample Reagent Barcode Scanner Sample Pipettor Reagent Pipettor Bead/Tube Wash Station Tube Processor Bead Carousel
Number 9 10 11 12 13 14 15 16
Component Bead Carousel Cover Substrate and Water Pumps* Substrate Reservoir Reagent DRD Sample DRD Sample Valve Reagent Valve Sample Dilution Well
10
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10 2 11
12A
15 18 12B 14 16 17 13
Number 1 2 3 4 5 6 7 8 9
Component Sample Carousel Reagent Carousel (Covered) Sample Reagent Barcode Scanner Sample Pipettor Reagent Pipettor PMT Incubator Substrate Probe Water Probe
Component Bead Carousel Bead Carousel Cover Water Pumps Substrate Pump Substrate Reservoir Reagent DRD Sample DRD Sample Valve Reagent Valve Sample Dilution Well
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1 7 8
DISTILLED W ATER
LIQUID W ASTE
14 15 13
12 11
10 9
Number 1 2 3 4 5 6 7 8
Component Sample Carousel Reagent Carousel (Covered) Pipettors DRD Priming Accessories Substrate Reservoir Bead Carousel CD/DVD Drive Floppy Drive
Number 9 10 11 12 13 14 15
Component Reaction Tube Hopper Liquid Waste Probe Wash Distilled Water Solid Waste Printer Power Switch
Kit Components
Test Kits include the materials needed to run assays. The components in a kit are listed and described below: Adjustor Antibody (for allergy kits only) Adjustors
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Barcode Labels for Adjustor tubes Bead Packs Control Antibody (for allergy kits only) Controls (for certain kits, including allergy kits) Diluents (for assays requiring a pre-dilution) Kit Barcode Package Insert Reagent Wedges Important Notices
Reagent Wedge
A barcoded Reagent Wedge contains an assay-specific enzyme conjugate. The reagent is pipetted into the Reaction Tube. The Reagent Wedges in allergy kits contain an antiimmunoglobulin reagent used for allergy tests with all allergens. In the software and documentation, this reagent is referred to as universal reagent, e.g., IgE or SPE. A Reagent Wedge is shown below.
TSH
Lot Exp.
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Bead Packs
A Bead Pack contains the assay-specific beads. A single bead is dropped into a Reaction Tube. A sample Bead Pack is shown below:
Adjustors
Each kit contains one or two Adjustors. Kits with two Adjustors have a LOW and a HIGH Adjustor, which contain different concentrations of analyte. The Adjustor can be in either liquid or lyophilized form. Note: For more information regarding the Adjustors, see the package insert.
Controls (QC)
Controls are run to determine if adjustments are valid. They can also be used to verify if the reagent and beads are viable. Some kits, such as infectious disease or allergy kits, require specialized controls that are included in those kits. Controls are available separately for other assays.
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Adjustor Antibody
Allergy kits include an Adjustor Antibody. The Adjustor Antibody must be loaded in an Allergen Wedge and placed on the Instrument when the adjustors for an allergy kit are run. An Adjustor Antibody vial contains 40 tests. Each Adjustor Antibody vial has a corresponding 2D barcode that contains lot-specific information about the Adjustor Antibody. The 2D barcode must be scanned before the Adjustor Antibody vial is loaded into an Allergen Wedge.
Control Antibody
Allergy kits include a Control Antibody. The Control Antibody must be loaded in an Allergen Wedge and placed on the Instrument when running controls on allergy tests. A Control Antibody vial contains 40 tests. Each Control Antibody vial has a corresponding 2D barcode that contains lot-specific information about the Control Antibody. The 2D barcode must be scanned before the Control Antibody vial is loaded into an Allergen Wedge.
Kit Barcode
The 2D Kit Barcode (shown below) is located on the box flap inside the kit. Information specific to the Kit Lot is included in the barcode and must be entered the first time a Kit Lot is used. See Entering a Kit and Adjusting an Assay on page 102 for more information. A sample kit barcode is shown below:
Package Insert
The package insert contains specific information regarding the assay. Be sure to read the package insert before using a new kit.
Important Notices
Important Notices contain information regarding usage of the assay kit components. A sticker on the outside of the kit package alerts the user that an Important Notice is enclosed.
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CAUTION: Immediately clean up any substrate spills using moistened tissues. Spilled substrate may cause the load scale to stick and the Substrate Status Indicator to appear full when the Substrate Reservoir is empty. This could affect results since insufficient substrate may be dispensed causing incorrect patient or control results to be generated.
Diluent Module
Diluent tubes may be barcoded for Instrument identification and used for the on-board dilution of patient samples with analyte concentrations above the calibration range. The diluent is packaged in bulk bottles, along with barcoded labels that are used with 16 x 100 tubes.
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Allergens
To test patient samples for an allergy, a vial containing the appropriate allergen must be placed in an Allergen Wedge on the Reagent Carousel. Vials that contain several allergens are used to test samples for a broader range of allergic reactions. Allergen Vials contain 20 or 40 tests, based on the allergen type. Each Allergen Vial has a 2D barcode that must be scanned like the 2D barcodes from an assay kit.
Allergen Wedges
Allergen Wedges are the wedge-shaped frames that hold the Allergen Vials used in Allergy testing. An Allergen Wedge can hold up to six Allergen Vials. Information about the contents of an Allergen Wedge is entered into the database when the wedge and vial barcodes are scanned with the Imaging Scanner. Allergen Wedges also have a barcode on the edge, like a Reagent Wedge, so their position on the Reagent Carousel can be identified by the Sample/Reagent Barcode Reader.
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Software Overview
The software provides tools to direct instrument operations and manage data. The software also informs the operator of system conditions and provides answers to operator questions. Note: The computer supplied with the Instrument was designed to run the included software. The installation of third-party software programs may adversely affect the proper operation of the Instrument software and/or system. See the Limited Warranty on page 440 for more information. Certain screens appear automatically at the appropriate time, while others can be accessed from either the toolbar or the menu bar. The figure below shows both the toolbar (the buttons along the top and right side) and the menu bar (the items listed on the upper left, above the toolbar).
Toolbar
The toolbar provides quick access to commands or screens used in routine Instrument operation. The command buttons on the horizontal portion of the toolbar provide tools for data management. The buttons on the vertical portion of the toolbar directly affect Instrument operations. This is called the Control Bar. Notice the Status Indicators under the control bar. The indicators show the Instrument fill-levels for water, probe wash, substrate, the Tube Hopper, and liquid and solid waste.
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Use the trackball or your finger to select a button on the toolbar. Note: The operator may touch the screen with either a bare or gloved hand or with an eraser. Fingernails and pens cannot be used. The table below provides description of the horizontal toolbar buttons:
Command HOME
Function Returns to the Home screen. Note: The Home screen is used to check the status of the Reagent Wedges and Bead Packs currently on-board the Instrument. Select Reagents or Beads to view the information.
WORKLIST
Provides access to the Worklist screen, allowing the operator to create or modify a worklist. The Worklist directs the Instrument regarding the test orders to perform for each patient, Adjustor, control, or calibration verifier sample. See Worklist Functions and Procedures on page 193 for more information.) Used to review test results. For more information, see Reviewing Results on page 227. Used to review kit information. Used to review data received from (or being sent to) the Laboratory Information System (LIS). When the system is configured to send data manually to the LIS, results are tagged (for sending) from this screen.
QC
Used to enter control identification information, to specify whether to use the control results for quality control tracking, and to view control results in graphical format. Used to print or configure reports. Disabled at this time. Accesses Help. Initiates a system back-up and ends the working session.
The table below provides a brief description of the vertical, control bar buttons:
Function Starts the Instrument processing. Stops the pipettors from processing any new tests, but allows it to continue to process tests which are already on the Instrument.
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Command STOP
Function Stops the Instrument from processing. All mechanical movements are stopped, completed tests are saved, and tests in progress are terminated. Primes the pipettors to remove air from the fluidic lines. Releases the lock on the Main Cover so it can be opened.
PRIME COVER
Menu Bar
The menu bar is located directly above the toolbar. The menu bar provides another means of accessing screens (besides the toolbar buttons). Additional functions (e.g., exporting data, viewing temperatures) are accessed from the menu bar. To view the drop-down menu and select a command, use the trackball to select on a menu item, move the cursor down the drop-down menu to the desired command, and click the trackball button. The table below provides a brief description of the menu bar items:
Description Provides another means to log off the system. Returns to the Home screen. Accesses the Worklist screen, allowing the operator to create or modify a worklist. See Worklist Functions and Procedures on page 193 for more information. Accesses the Review screen. See Reviewing Results on page 227 for more information. Accesses the Kits screen. See Entering a Kit on page 98 for more information. Accesses the LIS screen. See Reviewing and Sending LIS Results on page 235 for more information. Accesses the Control Entry screen or a graph for reviewing control data. See Entering Control Information and Reviewing Control Data on page 119 for more information. Used to print or configure reports.
QC
Reports
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Description Accesses the HBS Confirmatory Test Entry screen. See Hepatitis Confirmatory Testing on page 427 for more information. The system waits to print patient results until it has enough data for a full page. A partial page of patient results will print if no results are posted after 30 minutes. Formfeed causes the system to print all the data in the print buffer. Note: When Formfeed appears in black, results are available for printing. Select Formfeed to print these results.
Tools: Formfeed
Export Data
Accesses the Export Data screen, which is used to export data to a file, the screen, or the printer. See Exporting Data on page 180 for more information. Accesses a screen that shows color-coded tubes on the Sample Carousel. See Checking the Sample Status on page 170 for more information. Accesses the Temperature screen, which is used to view the Instrument temperature and humidity levels. See Viewing Instrument Temperatures on page 260 for more information. Accesses the Daily Error Log. See Day Error Log on page 259 for more information. This screen is used by Siemens Diagnostics only. Accesses details regarding the Beads and Reagents on-board the Instrument. See Viewing Beads and Reagents On Board on page 178 for more information. Use this command to open the Allergens On Board window to view information about allergens on-board the Instrument. See Viewing Allergens On Board on page 179 for more information. Accesses an Adjustment Log showing the Adjustment history. See Viewing the Adjustment Log on page 176 for more information. Allows the user to determine the rack and position where a specified tube was last located. This feature is available for barcoded patient samples only. See Find Last Tube Location on page 175 for more information.
View Day Error Log View Debug Form View Beads Reagents on Board View Allergens On Board
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Configurations: Configure Accesses screens used to configure Instrument settings including Display Options Automatic Dilutions, Instrument Identification, LIS and Configuration Settings screens. See Configuring the System on page 26 for more information. Used to specify reference ranges. See Test Ranges on page 41 for more information. The Allergen Ranges window displays the ranges of Immunoglobulin concentrations for allergic reactions. See Allergen Ranges on page 42 for more information. Used to specify the test to perform when a result is outside a specified range. See Reflexive Tests on page 43 for more information. Used to create or change a panel. See Panel Configuration on page 50 for more information. Used to change the default units for a specific test. See Units Configuration on page 56 for more information. Used to hide patient names on the following screens: Export data (Onscreen, printed, and text) Review LIS Worklist Logoff: Logoff Help: Run Help About Accesses the Help Main Menu. See Getting Help on page 241 for more information. Displays the software version, a general statement regarding the Instrument software, and the EMERGENCY SHUTDOWN button. Used to log off the system.
Reflexive Tests
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Contact Information
Siemens Diagnostics is headquartered in Tarrytown, NY and Los Angeles, CA. Siemens Medical Solutions Diagnostics 511 Benedict Avenue Tarrytown, NY 10591-5097 U.S.A. Siemens Medical Solutions Diagnostics 5210 Pacific Concourse Drive Los Angeles, CA 90045-6900 U.S.A.
Note: To receive technical support, or to place an order, use the appropriate number listed below.
Technical Service
For technical questions, call Siemens Diagnostics Technical Service at the telephone number below: Domestic Customers Tel: 1-800-372-1782 Fax: 1-866-466-8548 International Customers Tel: 1-973-927-2828 Fax: 1-973-927-4101 Note: Those outside the United States should contact a National Distributor for technical assistance.
Placing an Order
To place an order call Siemens Diagnostics or a distributor. Tel: 1-800-372-1782 (Domestic customers only) Fax: 1-310-645-9999 Note: Those outside the United States should contact a National Distributor to place an order.
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Section 2:
In this Section
Configuring the System ..........................................................................................................26 Display Options..................................................................................................................26 Auto Dilutions.....................................................................................................................27 ID Information ....................................................................................................................30 Configuration Settings........................................................................................................30 LIS......................................................................................................................................34 DPC Configuration .............................................................................................................37 DPC Load Scale ................................................................................................................38 Instrument Mode ................................................................................................................38 Reset Load Scale...............................................................................................................39 Test Ranges.......................................................................................................................41 Allergen Ranges ................................................................................................................42 Reflexive Tests ..................................................................................................................43 Panel Configuration ...........................................................................................................50 Units Configuration ............................................................................................................56 Reports ..............................................................................................................................57 Changing Windows Settings...................................................................................................65 Resetting the Date and Time .............................................................................................65 Changing the Sound ..........................................................................................................67 Updating the System ..............................................................................................................67
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Display Options
The Display Options screen allows the operator to specify how text, numbers, times, and dates are displayed. Follow the instructions below to configure this screen. Note: The Instrument must be in Stop mode to make changes to this screen. Log off, and log on again, to make the Display Options changes effective. 1. From the drop-down menu bar, select Configurations followed by Configure. 2. If necessary, select the Display Options button. FIGURE 9: DISPLAY OPTIONS SCREEN
3. In the Time Format box, either: Select 12 Hour to display time using am and pm. Or Select 24 Hour to display time in a 24-hour format. 4. In the Date Format box, select a format for displaying the date. Select MM/DD/YYYY, DD/MM/YYYY, or YYYY/MM/DD. 5. In the Number Format box, either:
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Select 1,234.56 to display one thousand, two hundred thirty-four and fifty-six one hundredth as 1,234.56. Or Select 1.234,56 to display one thousand, two hundred thirty-four and fifty-six one hundredth as 1.234,56. 6. Select the desired Language. 7. Select the Use barcode rack identifier option to display the samples location on the Instrument by the rack letter. Leaving this option blank causes the samples location to display by position. (Position 1 on the carousel shows as Position A on the rack). Note: This option must be selected to use the Find Last Tube Position feature. 8. Select the Hide Names option to hide patient names on the data review screens. Leaving this option blank causes patient names to display on the data review screens. 9. Number of Characters To Trim From Left (or Right) of Accession Number. When the Instrument is connected to an LIS, a letter (or letters) identifying the laboratory may be part of the accession number. To remove this letter (or letters), type the desired number of characters to trim from either the left or right side of the accession number in the appropriate field at the bottom of the screen. 10. Select the Save button to save these settings. Note: If further changes are planned for the ID Information, Configuration Settings, or LIS screens, skip this step and select Save when all changes have been made. Access the desired screen by selecting the corresponding button on the left side of the screen.
Auto Dilutions
The Auto Dilutions screen is used to specify the automatic dilution factor for out-of-assayrange samples. Specify dilution factors for each test according to the instructions below. Note: The Dilution Volumes Specification Table on page 292 shows the amount of sample, water, and diluent used for on-board dilutions. 1. From the drop-down menu bar, select Configurations followed by Configure. 2. Select the Auto Dilutions button.
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The Auto Dilutions screen appears. FIGURE 10: AUTO DILUTIONS SCREEN
3. Select the Test Name field. A list of the test codes for all the tests in the system appears. FIGURE 11: AUTO DILUTIONS SCREEN (SHOWING THE TEST SELECTION LIST)
4. Select a test. The test appears in the Test Name field and the dilution factors appear.
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Note: Tests only appear if the new Kit was entered using the 2D or Imaging Scanner. FIGURE 12: AUTO DILUTIONS SCREEN (SHOWING THE DILUTION FACTOR BUTTONS)
5. Select the 5, 10, 20, 40, or 100 button to generate automatically a 5X, 10X, 20X, 40X, or 100X dilution of the sample. CAUTION: Do not type any value in the Dilution Factor field. Instead, select a dilution from the list. Only those dilution factors listed are supported. FIGURE 13: AUTO DILUTIONS SCREEN (WITH ALL FIELDS COMPLETED)
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Note: Samples that require a dilution factor other than those programmed for on-board dilutions may have a manual dilution factor applied to them. When a manual dilution factor is applied to a sample, all tests ordered on that sample are multiplied by that dilution factor.
ID Information
The ID Information screen is used to enter customer information. The hospital or laboratory name appears on patient and adjustment reports. Follow the instructions below to enter this information. 1. From the drop-down menu bar, select Configurations followed by Configure. 2. Select the ID Information button. The ID Information screen appears. FIGURE 14: ID INFORMATION SCREEN
3. In the Customer Name field, type the hospital or laboratory name. (This name will appear on Adjustment and Patient Reports.) 4. Type the Instrument serial number in the Instrument ID field. 5. Select the Save button.
Configuration Settings
The Configuration Settings screen is used to specify system settings that affect how the Instrument operates in relation to testing and reporting. Follow the instructions below to configure this screen. 1. From the drop-down menu bar, select Configurations followed by Configure. 2. Select the Configuration Settings button.
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The Configuration Settings screen appears. FIGURE 15: CONFIGURATION SETTINGS SCREEN
3. Select the desired options according to the table below: Option Default Sample Tube Type Description The tube type normally used can be selected. Primary tube Blood collection tube in which the serum is separated from the blood cells by a gel barrier. Selecting this configuration causes the probe to stop before penetrating the gel barrier. Refer to the Primary Tube Sample Guide (Part Number 901835) sent with the Instrument for more information. Secondary tube Sample tube in which the serum is aliquotted to a different tube. Selecting this configuration causes the probe to move further into the tube before aspirating the sample. Note: Any changes to the Default Sample Tube Type setting must be made before samples are placed on the system. Otherwise, it is necessary to log off the software and delete the worklist after changing the Default Sample Tube Type.
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Description Choose which report type(s) are to be printed automatically when results are completed. Place an X in the box to select the report(s) to be printed. All reports, individual report(s), or no reports can be chosen. See Printed Reports on page 417 for sample printed reports. Note: Controls must be selected. Otherwise, QC results will not be evaluated against the selected QC rules or ranges. Further, patient results may not be sent to the LIS.
Results Statistics
Testing Options
Mean Displays the mean of the replicates on the Review screen and on the report printout. CV Displays the % CV of the replicates on the Review screen and on the report printout. Reflexive Testing The system will automatically perform another test if the result from the first test falls outside, or within, a specified range. This option must be selected to activate reflexive testing. See Reflexive Tests on page 43 for more information. Auto Dilution Automatically dilutes out-ofassay-range samples. This option must be chosen to activate Auto Dilution. Note: Dilution instructions are entered via the Auto Dilutions window. See Auto Dilutions on page 27 for more information.
Designates when a warning message will appear on the Bead or Reagent Status screens based on the number of tests remaining in a Bead Pack or a Reagent Wedge. For example, if 10 is entered in this field, a warning appears when a Bead Pack or Reagent Wedge has sufficient volume for only nine more tests. Applies to all Bead Packs and Reagent Wedges on board. See Flags Associated with Results on page 306 for more information on flags.
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Description Designates when a warning message will appear in the Reagent Status window based on the number of tests remaining in a 40-test Allergen Vial. For example, if 10 is entered in this field, a warning appears when an Allergen Vial has sufficient volume for only nine more tests. See Flags Associated with Results on page 306 for more information on flags. Designates when a warning message will appear in the Reagent Status window based on the number of tests remaining in a 20-test Allergen Vial. For example, if 2 is entered in this field, a warning appears when an Allergen Vial has sufficient volume for only one more test. See Flags Associated with Results on page 306 for more information on flags. Displays scanned allergy kits. Multiple kits can be selected. Note: Selected reagents are displayed by default in the Available Tests window.
The selections made in this field determine how the results of allergy tests are reported when they are displayed on the screen and printed. Concentration If this selection is marked, the antibody concentration in patient samples will be included in the results for allergy tests. Standard Class If this selection is marked, allergy test results will be based on Standard Class scoring criteria. Extended Class If this selection is marked, allergy test results will be based on Extended Class scoring criteria. Qualitative Only Infectious Disease results will be reported as either Reactive, NonReactive, or Indeterminate. Qualitative and Ratio Infectious Disease results will be reported as a ratio, and as either Reactive, Non-Reactive, or Indeterminate.
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LIS
The LIS Configuration window is used to configure the system to communicate with the LIS. Follow these instructions to enter LIS information in the software. 1. From the drop-down menu bar, select Configurations followed by Configure. 2. Select the LIS button. The LIS Configuration view of the screen is displayed. FIGURE 16: LIS CONFIGURATION VIEW OF THE DISPLAY OPTIONS SCREEN
3. In the LIS Host Query Mode box, select the type of interface used for communication between the Instrument and the LIS. None Uni-Directional Bi-Directional Bi-Directional Query Note: If Bi-Directional Query is selected, the Query Control and Re-Query Patients fields are enabled. 4. In the LIS Allergen Results and Scoring Type box, choose the allergy test result information that should be transmitted to the LIS. Antibody concentration, as well as standard and extended class scoring may be transmitted. Note: For allergy tests, concentration information is always sent to the LIS. 5. Enter the appropriate information in the fields on the left side of the window based upon the explanations in the following table.
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Field Password
Description The LIS Password. Note: Contact your LIS provider for this information. A name identifying the LIS. Note: Contact your LIS provider for this information. A name identifying the Instrument. Note: Contact your LIS provider for this information. The baud rate (line transmission speed) provided by the LIS. Note: Acceptable entries include 1200, 2400, 4800, or 9600 (or 115200 when connected to the SMS).
Receiver ID
Sender ID
Baud Rate
An alphanumeric character identifying the Parity, Bits, and Stop Bits. The serial port number for the LIS connection. The value should be left at 0.
6. Mark the appropriate selections in the window based upon the explanations in the following table: Field Hide Sent Auto Send Patient Results Description Hides results previously sent to the LIS. Automatically sends patient results to the LIS. Results associated with an overdue adjustment, failed control, review range failure, error, and N/A results are not sent. When this option is selected, the Send button on the LIS screen changes to the Auto Send button. Allows results associated with an overdue kit adjustment to be sent to the LIS. Allows results associated with an out-of-range control to be automatically sent to the LIS. Note: Control results are evaluated based on the type of QC rule selected (e.g., Single Rule, Multi Rule) Allows results that are out-of-review range to be automatically sent to the LIS.
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Field Auto Send Control Results Display Controls on LIS Screen Query Controls
Displays control results on the LIS Data Management screen. Control results are not displayed on the LIS Data Management screen unless configured to do so. Provides another method of sending QC orders from the LIS to the Instrument. Note: If the Query Controls checkbox is selected, the Re-Query Controls field is enabled.
Re-Query Patients
(Bi-directional Query must be selected) Allows the LIS to be re-queried when patient tube barcodes are re-read on the Sample Carousel, allowing test requests to be re-sent. A dropdown list allows one of the following functions to be performed on the LIS: No Requery All Orders New Orders only Note: LIS system must be able to support re-query function. Check with your LIS provider.
Re-Query Controls
(Bi-directional Query must be selected) Allows the LIS to be re-queried when controls are reread on the Sample Carousel, allowing test requests to be re-sent. A dropdown list allows one of the following functions to be performed on the LIS: No Requery All Orders New Orders only Note: LIS system must be able to support re-query function. Check with your LIS provider.
Choose how results of Qualitative Infectious disease are to be sent to the LIS. Results can be sent as either: Qualitative Only Ratio Only
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Field
Description Displayed on the LIS Screen as: Choose how results will be displayed on the Instrument LIS screen. Results can be displayed as either: Qualitative Only Qualitative and Ratio Choose how aHB and BcM results are sent to the LIS. Results can be sent as either: Qualitative Only Concentration Only Choose how aHB and BcM results are displayed on the Instrument LIS screen. Results can be displayed as either: Qualitative Only Qualitative and Concentration
7. Select the Save button to save these settings. Note: To put the changes entered in the Configuration window into effect, select the Log Off button and exit the software, then restart the software.
DPC Configuration
The DPC Configuration screen is a password-protected screen used by authorized personnel to change the default mode for sample processing. Contact Technical Service to request a processing mode change. Assays are assigned a priority with regard to the stability of the analyte in the patient sample. The priority number is contained in the kit barcode and is transferred to the database when the kit is scanned. IMMULITE 2000 and IMMULITE 2500 Processing Modes Random Access (default) Batch User Entered Order Note: The order in which samples are processed will vary, depending on the mode selected.
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Random Access
The Instrument pipettes patients in the most efficient order.
Batch
The Instrument pipettes patients in alphabetical order by test code, going from sample to sample.
Instrument Mode
The Instrument Mode screen is a password-protected screen used by Siemens Diagnostics personnel. Contact Technical Service to request a processing mode change. FIGURE 18: PASSWORD PROTECTED SCREEN
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4. Select the Load Scale to be reset, using the Previous or Next arrows. The Name field changes accordingly with all associated data. 5. Once the appropriate Load Scale is chosen, select the Reset Scale button. A Reset Load Scale message appears describing the specific container to be removed. FIGURE 20: RESET LOAD SCALE MESSAGE
6. Remove the container from the appropriate Load Scale, and select OK.
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The Reset Load Scale message appears. FIGURE 21: RESET LOAD SCALE MESSAGE
7. Select OK. The Load Scale starts resetting. FIGURE 22: RESETTING THE LOAD SCALE
The Reset Load Scale confirmation message appears. FIGURE 23: RESET LOAD SCALE CONFIRMATION MESSAGE
8. Place the container back on the Load Scale, and select OK.
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To reset a different container, repeat steps five to nine, or select Cancel to return to the HOME screen. Note: If the Instrument is not in STOP mode, a reminder message appears.
Test Ranges
The Test Ranges screen is used to specify the reference ranges for test results that display in the Patient Review window and print on the chartable patient report. Follow the instructions below to specify reference ranges. Note: Test ranges do not apply to allergens. Allergen ranges can be set up in the Allergen Ranges window. See Allergen Ranges on page 42 for more information. 1. From the menu bar, select Configurations followed by Test Ranges. The Test Ranges window appears. FIGURE 24: TEST RANGES WINDOW
2. Choose a test from the Test Name list. The ranges for the chosen test appear in the range fields. The units of the range values appear at the right side of the window. 3. For the Normal range, enter the Low and High limits in the appropriate fields. 4. In the Range 2 through Range 7 fields, enter the additional ranges to be displayed in the Patient Review window. 5. If the system is configured to send results to the LIS automatically, Low and High values may be entered in the Review Range fields. If a result is outside of the Review Range, it will not be sent to the LIS. If the high and low values of Range 1 (Normal) are within the high and low values of the Review Range, patient results that are outside of Range 1 (Normal) will not be flagged. Refer to the example below:
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Since the result is within the Review Range, it would not be flagged even though it is higher than the Normal Range. Note: To determine whether the system is configured to send results automatically to the LIS, see LIS on page 34. 6. Select the Save button.
Allergen Ranges
The Allergen Ranges window displays the ranges of Immunoglobulin concentrations for allergic reactions. This window may be used to specify the concentration for a class 0/I reaction. The concentration for both standard and extended scoring may be entered. The other ranges displayed in this window cannot be changed. They are entered when the kits 2D barcode is scanned. The ranges in this window appear for allergy tests in the Patient Review screen and on reports. Follow the instructions below to specify the Class 0/I reference ranges for allergy tests. 1. Choose Allergen Ranges from the Configurations menu. The Allergen Ranges window appears. FIGURE 25: ALLERGEN RANGES WINDOW
2. In the Test Name list, choose the allergy kit for which to enter the Class 0/I reference range. Default reference ranges for the kit chosen appear in the Class fields. The units for the range values appear at the right side of the window.
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The classes of allergic reactions are listed on the left side of the window. The class names are aligned between the fields that contain their range values. For example, the first field in the Standard column contains a 0. The field beneath it could contain .20. Class 0 is the name next to these two fields. Therefore, in the Patient Review screen and on reports, a Standard Class 0 result would be displayed for antibody concentrations of 0 to 0.20 IU/mL. 3. Enter the reference range values in the Class 0/I Cutoff fields. Values may be entered for Standard and Extended scoring. 4. Select the Save button.
Reflexive Tests
Follow the instructions below to specify tests to run automatically if a result is either below, within, or above a specified range. Note: Reflexive testing cannot be performed on a manually diluted sample.
3. Select the Reflexive Testing option in the Testing Options box. 4. Select the Save button to save these changes.
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3. Select a Principle Test Selection. This selection determines what tests display in the Principle Test field. The following options are available: Principle Test Selection Immunoassay All Available Immunoassay Configured for Reflex Allergy All Available Allergy Configured for Reflex Description All assays scanned into system Assays configured for Reflexive Testing All allergens and universal reagents scanned into the system Allergens/universal reagent combinations configured for Reflexive Testing
4. Select a Principle Test and Universal Reagent (if applicable). 5. Select a type of New Range.
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Notes: Only one Below range and one Above range can be configured per assay, or allergen and universal reagent combination. The Below and Above ranges cannot overlap. Unlimited Within ranges can be configured if the values do not overlap with the Below and Above ranges. The New Range options for qualitative assays are Non Reactive, Indeterminate, and Reactive. Only one of each may be added.
6. Select the Add Range button. The following screen appears: FIGURE 28: REFLEXIVE TESTING RANGE SCREEN
7. Enter the Reflex Range value(s) based on the type of range that was chosen in step 5. Note: The Reflex Range field is not available for qualitative assays. Proceed to step 8. 8. Select the IMMUNOASSAY or ALLERGY button in the TEST CATEGORIES box. If ALLERGY is selected, select the appropriate Universal Reagents. 9. Select the buttons that correspond to the individual reflexive tests for this range (up to 15 tests per reflexive range). If necessary, use the Next Page and Previous Page buttons to locate additional tests. Note: The Do Not Autosend option will be enabled if a reflexive test matching the principle test is selected. Select the Do Not Autosend option to prevent the results of the principle test and the matching reflexive test from being sent to the LIS. For example, if HCG reflexes to HCG and TSH and Do Not Autosend is selected, only the TSH result will be sent to the LIS. 10. To add a dilution for a reflexive test: Select a test under the Tests Selected heading. Select the DILUTION button. The Dilution Factor window appears. Select the dilution factor.
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11. Select the Save button after selecting all of the necessary reflexive tests. The Reflexive Testing Configuration screen appears showing the Current Ranges for the test. FIGURE 29: REFLEXIVE TESTING CONFIGURATION SCREEN WITH CURRENT RANGES
12. Repeat steps 5 though 11 to configure additional ranges for a Principle Test, or steps 2 through 11 to order reflex tests for a different assay or allergen. 13. To print the contents of the Current Ranges box, select the Print button. 14. Select the Close button to close the Reflexive Testing Configuration screen.
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2. Select Immunoassay - Configured for Reflex or Allergy - Configured for Reflex. 3. Select a Principle Test and Universal Reagent (if applicable). 4. Select the range to edit in the Current Ranges box on the right side of the screen. FIGURE 31: REFLEXIVE TESTING CONFIGURATION SCREEN SHOWING CURRENT RANGES
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5. Select the Edit button. The following screen appears: FIGURE 32: REFLEXIVE TESTING RANGE SCREEN SHOWING A BELOW RANGE
6. Follow these procedures to edit a range, order additional reflexive tests, add a dilution factor, or remove a reflexive test: Editing the Range Update the Reflex Range depending on the selection in step 4. Ordering Additional Reflexive Tests for a Range Select the buttons that correspond to the individual reflexive tests for this range. To switch between assays and allergens, select the IMMUNOASSAY or ALLERGY button in the TEST CATEGORIES box. Adding or Editing a Dilution Factor Select the test under the Tests Selected heading and select the DILUTION button, and select the dilution factor. Removing a Reflex Test Select the test under the Tests Selected heading and select the REMOVE button. 7. Once all edits to this range are complete, select the SAVE button. 8. Repeat steps 2 through 7 to edit additional reflexive testing configurations. 9. To print the contents of the Current Ranges box, select the Print button. 10. Select the Close button to close the Reflexive Testing Configuration screen.
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2. Select Immunoassay - Configured for Reflex or Allergy - Configured for Reflex. 3. Select a Principle Test and Universal Reagent (if applicable).
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4. Select the range to edit in the Current Ranges box on the right side of the screen. FIGURE 34: REFLEXIVE TESTING CONFIGURATION SCREEN SHOWING CURRENT RANGES
6. Select the Yes button. 7. Repeat steps 3 through 6 to delete additional ranges. 8. To print the contents of the Current Ranges box, select the Print button. 9. Select the Close button to close the Reflexive Testing Configuration screen.
Panel Configuration
A panel may be used to group tests that are routinely ordered together. The Panel Configuration window is used to create a panel or edit an existing panel. The operator assigns a panel name and the tests to include in the panel. Up to one hundred tests may be assigned to a panel.
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2. Select the ADD NEW PANEL button. 3. Enter a panel name in the Panel Name field. Note: The panel name can have no more than 10 characters. 4. Select one of the Panel Color buttons (1 15). The color chosen distinguishes the tests belonging to this panel in the Available Panels window.
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5. Select the Test Name button. The Available Tests window appears. FIGURE 36: AVAILABLE TESTS - ALLERGENS ONBOARD
6. Select the ACTIVE KITS or ON BOARD button. If the ACTIVE KITS button is selected, a button for every immunoassay or allergy test scanned onto the Instrument displays in the center of the window. If the ON BOARD button is selected, a button for every immunoassay or allergy test physically residing on the Instrument displays in the center of the window. Immunoassay Select the appropriate immunoassay button. The code for the chosen assay appears in the Tests Selected field. Allergen Select the universal reagent, such as SPE, to be used for the allergy test. Select the appropriate allergen test button. The code for the chosen allergen appears in the Tests Selected field. Note: Two different kinds of allergy controls may be run: Allergy Kit Controls: This type of control tests the performance of the universal allergy kit. These controls are provided with allergy kits. To run these controls, the Specific-IgE Control Antibody provided with that kit must have been entered and loaded. See Entering Allergens and Allergen Wedges on page 102 for more information about using Allergen Vials and Allergen Wedges. Specific-Allergen Controls: These controls test the performance of a particular allergen. Specific-allergen controls are available for the most common allergies. To run these controls, the allergen whose performance is to be tested must be entered and loaded.
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7. Specify replicates of the tests in the panel. If replicates are not to be ordered, proceed to Step 8. Select the test in the Tests Selected field and select the REPLICATES button. The Replicates window appears. FIGURE 37: REPLICATES WINDOW
Change the number of replicates to be performed using the arrow buttons. The number can also be entered using the keyboard. Select the OK button to enter the number displayed and close the Replicates window. Repeat this process for all tests that require replicates. 8. Select the OK button in the Available Tests window to save the entries and close the window. 9. From the Panel Configuration window, specify any dilution factors necessary to apply to the immunoassays in the panel to be created. Select the Dilution Factor button. Select the immunoassay in the Tests Selected field to apply the dilution selected to that test. Repeat these steps for each on-board dilution needed. Note: The Dilution Volumes Specification Table on page 292 shows the amount of sample, water, and diluent used for on-board dilutions. 10. Select the SAVE PANEL button to save the panel created.
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Editing a Panel
Follow the instructions below to edit an existing panel. 1. Choose Panels from the Configurations menu. The Panel Configuration window appears. FIGURE 38: PANEL CONFIGURATION SCREEN
2. Select the EXISTING PANELS button. The Select Panel window appears. FIGURE 39: SELECT PANEL WINDOW
3. Choose the panel from the Panel Name list and then select the ACCEPT button. The chosen panel appears in the Panel Configuration window. Follow the appropriate instructions below for the changes to be made. To add a test to the panel Select the Test Name button. The Available Tests window appears.
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Follow steps 6 through 10 of Creating a New Panel on page 51. To remove a test from the panel In the Panel Configuration window, select the test to remove in the Tests Selected field. To change the dilution factor for an immunoassay In the Panel Configuration window, select the button for the dilution factor needed. Select the test in the Test Selected field to which to apply the dilution. Note: The Dilution Volumes Specification Table on page 292 shows the amount of sample, water, and diluent used for on-board dilutions. 4. Select the SAVE PANEL button in the Panel Configuration window to save the changes entered.
Deleting a Panel
Follow the instructions below to delete an existing panel. 1. Choose Panels from the Configurations menu. The Panel Configuration window appears. FIGURE 40: PANEL CONFIGURATION SCREEN
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The Select Panel window appears. FIGURE 41: SELECT PANEL WINDOW
3. Choose the panel to be deleted from the Panel Name list. 4. Select the ACCEPT button. Information about the chosen panel appears in the Panel Configuration window. 5. Select the DELETE PANEL button. The following message appears:
Units Configuration
The Units Configuration screen allows the operator to change the reporting units for a specific test. To change from the default units, follow the instructions below. Note: Changing the reporting units for a specific assay will cause the software to recalculate all results automatically in the database for that assay, including Quality Control results and reference ranges. Subsequent printouts of Quality Control results, export data, or reprints of patient results will appear with re-calculated results and the updated units. 1. From the menu bar, select Configurations and Units.
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The Units Configuration screen appears. FIGURE 42: UNITS CONFIGURATION SCREEN
2. Select the arrow to the right of Test Name window. The drop-down window appears showing the available tests. 3. Select the test. The units options for this particular test appear, with the current reporting unit selected. Note: Up to four different units may appear. 4. Select the unit. 5. Select the Save button. 6. Select the Done button to close this screen.
Reports
Follow the instructions below to configure reports. 1. Ensure the Instrument is in STOP mode. 2. Select the REPORTS button from the horizontal toolbar or Reports from the Screens drop-down menu bar. FIGURE 43: REPORTS WINDOW
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The Report Settings screen appears. FIGURE 44: REPORT SETTINGS WINDOW
4. To automatically print this report: In short format - select the Short Format option. In chartable format - select the Chartable Format option. 5. Select the SAVE button to save this change. 6. Select the CLOSE button.
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The Report Settings screen appears. FIGURE 46: REPORT SETTINGS WINDOW - CHARTABLE FORMAT
4. Select Chartable Format. 5. Select the Edit Template button. The Design screen appears. FIGURE 47: CHARTABLE PATIENT REPORT TEMPLATE
6. Single click in one of the four corners of the box to resize the Property Toolbox. 7. When the black double arrow appears, drag the box to increase or decrease the box size. Note: Do not close the Property Toolbox. To redisplay it, select the [F4] key. 8. Click on a field label to edit. A text box will surround the field label.
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Note: The Laboratory Name is stored in the database and must be configured separately, as follows. See ID Information on page 30. FIGURE 48: CHARTABLE PATIENT REPORT - EDITING FIELDS
9. Select the appropriate property (e.g., Caption) in the Property Toolbox. 10. Edit the field. 11. Press the [Enter] key. 12. Select the Font section in the Property Toolbox to edit the font type and size. 13. Select the PREVIEW button to view the changes. 14. Select the Print icon while previewing the template to print a sample report. 15. Select the SAVE button to save any changes. Notes: Do not modify the section headings, PageHeader, GroupHeader, Detail, PageFooter, or GroupFooter1. If a field extends beyond the printable range, a red line appears, indicating that each page will print on two pieces of paper. Adjust fields accordingly to avoid this behavior. Enabling or Disabling Fields Follow the instructions below to enable or disable fields and field labels in the chartable patient report. 1. Ensure the Instrument is in STOP mode.
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2. Select the REPORTS button from the horizontal toolbar or Reports from the Screens drop-down menu bar. FIGURE 49: REPORTS WINDOW
3. Select the CONFIGURE REPORT button. The Report Settings screen appears. FIGURE 50: REPORT SETTINGS WINDOW - CHARTABLE FORMAT
4. Select Chartable Format. 5. Select the Edit Template button. The Design screen appears. 6. Select the appropriate field or field label. A text box surrounds the field. 7. Select the Visible field in the Property Toolbox. A drop-down arrow appears. 8. Select the drop-down arrow and select: True - to enable the field. False - to hide the field. Although hidden on the report, the field label displays in the template. 9. Select the PREVIEW button to view the changes. 10. Select the Print icon while previewing the template to print a sample report. 11. Select the SAVE button to save any changes. 12. Repeat steps 1 - 6 as necessary for all fields and field labels.
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Moving Fields Follow the instructions below to arrange field labels and fields. 1. Ensure the Instrument is in STOP mode. 2. Select the REPORTS button from the horizontal toolbar or Reports from the Screens drop-down menu bar. FIGURE 51: REPORTS WINDOW
3. Select the CONFIGURE REPORT button. The Report Settings screen appears. FIGURE 52: REPORT SETTINGS WINDOW - CHARTABLE FORMAT
4. Select Chartable Format. 5. Select the Edit Template button. The Design screen appears. 6. Select the appropriate field or field label. 7. Click on a field or field label to move it to the appropriate position. Note: To select multiple fields, press and hold the [CTRL] key while clicking on fields/field labels, or select and drag a selection box around the fields/field labels. 8. While pressing the mouse button, drag the field or field label to the new location. 9. Release the mouse button. The field label displays in the new location 10. To change the size of a field or field label, select the field and click and drag the black squares to resize the field. 11. Select the PREVIEW button to view the changes.
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12. Select the Print icon while previewing the template to print a sample report. 13. Select the SAVE button to save any changes. Note: Text and data in fields will word wrap in the report. Avoid overlapping fields on the template. Overlapping fields may result in overlapping text and data in the chartable patient report. Manually Printing the Chartable Patient Report Follow the instructions below to manually print the chartable patient report. This feature allows the operator to test-print the chartable patient report without waiting for it to automatically print. 1. Ensure the Instrument is in STOP mode. 2. Select the REPORTS button from the horizontal toolbar or Reports from the Screens drop-down menu bar. 3. Select the PRINT REPORT button. The Patient Report Search screen appears. FIGURE 53: PATIENT REPORT SEARCH WINDOW
4. Enter the Accession Number. 5. Select the Patient Name from the dropdown list. Note: The report cannot be printed if all tests are not resulted for the selected accession number and patient. 6. Enter any additional information to appear on the report in the Comment field. 7. Select the PRINT button. Restoring the Template Follow the instructions below to delete the customized template and overwrite it with the Siemens Diagnostics-provided template. 1. Select the REPORTS button from the horizontal toolbar or the Reports option from the Screens drop-down menu bar. 2. Select the CONFIGURE REPORT button.
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The Report Settings screen appears. FIGURE 54: REPORT SETTINGS WINDOW - CHARTABLE FORMAT
4. Select the YES button to restore the Siemens Diagnostics-provided template, or select the NO button to cancel.
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The Control Panel screen appears showing the Control Panel icons. Note: DO NOT change the Regional Settings on the Control Panel. 3. Double-click the Date/Time icon.
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Note: If necessary, select the Date & Time tab. FIGURE 56: DATE/TIME PROPERTIES SCREEN (DATE & TIME TAB)
4. Select the arrow to the right of the month field and highlight the current month. 5. If the year is incorrect, use the up and down arrow buttons to the right of the year field to display the current year. 6. On the calendar, select the current date. 7. Type the current time in the time field. If the time zone at the Current time zone prompt is incorrect, continue with the instructions below for setting the time zone. 8. If the time zone at the Current time zone prompt is correct, select the OK button to close the Date/Time Properties screen. 9. Select the x at the upper right corner of the Control Panel screen. The Control Panel screen disappears.
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The following screen appears. FIGURE 57: DATE/TIME PROPERTIES SCREEN (TIME ZONE TAB)
2. Select the down arrow to the right of the time zone. A list of time zones appear. 3. Select the time zone. 4. Select the OK button to close the Date/Time Properties screen. 5. Select the x at the upper right corner of the Control Panel screen. The Control Panel screen disappears.
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Section 3:
Routine Maintenance
In this Section
Daily Maintenance ..................................................................................................................70 Logging off the System ......................................................................................................71 Initializing Diagnostics........................................................................................................72 Cleaning the Sample and Reagent Probes........................................................................73 Restarting the Computer....................................................................................................75 Filling the Reaction Tube Hopper ......................................................................................76 Checking and Filling the Water Bottle................................................................................77 Checking and Filling the Probe Wash................................................................................78 Checking and Filling the Substrate ....................................................................................79 Checking the Waste Containers ........................................................................................80 Priming the Sample and Reagent Pipettors.......................................................................81 Priming the Water Probe (IMMULITE 2000 Only)..............................................................82 Priming the Substrate Probe..............................................................................................83 Weekly Maintenance ..............................................................................................................84 Cleaning the Waste Tube (IMMULITE 2000).....................................................................84 Cleaning the Waste Tube (IMMULITE 2500).....................................................................84 Monthly Maintenance .............................................................................................................86 Checking the Dispense Angle of the Reagent Probe.........................................................86 Cleaning the Fan Filter.......................................................................................................86 Decontaminating the Clot Detection Transducer ...............................................................88 Decontaminating the Bottles and Lines .............................................................................89 Quarterly Maintenance ...........................................................................................................91 Replacing the CO2 Scrubber .............................................................................................91 As Needed Maintenance ........................................................................................................92 Cleaning the Monitor..........................................................................................................92 Cleaning the Trackball .......................................................................................................92 Water Test Procedure (IMMULITE 2000) ..........................................................................92 Water Test Procedure (IMMULITE 2500) ..........................................................................94 Evaluating WATERTEST Results ......................................................................................95
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Daily Maintenance
Perform the following maintenance procedures on a daily basis. See Worksheets on page 411 for maintenance records that can be copied and used to keep track of maintenance items. Use the figure and table to locate the parts described in the procedures. FIGURE 58: IMMULITE 2000/2500 (FRONT VIEW)
5 2 3 4 6
1 7 8
DISTILLED W ATER
LIQUID W ASTE
14 15 13
12 11
10 9
Number 1 2 3 4 5 6 7 8
Component Sample Carousel Reagent Carousel (Covered) Pipettors DRD Priming Accessories Substrate Reservoir Bead Carousel CD/DVD Drive Floppy Drive
Number 9 10 11 12 13 14 15
Component Reaction Tube Hopper Liquid Waste Probe Wash Distilled Water Solid Waste Printer Power Switch
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Some of the procedures involve checking the Instrument Status Indicator. The Status Indicator (shown below) is located at the bottom of the Control Bar (on the monitor). The indicator displays the status of empty and full levels. FIGURE 59: INSTRUMENT STATUS INDICATOR
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Note: Increasing the number of days data is stored (by selecting the CHANGE DAYS button), may slow the system response time. 6. Select the CONTINUE button. The system logs off.
Initializing Diagnostics
Follow the procedure below to initialize the diagnostic software. Note: Diagnostics can not be run if the Instrument software is running. If necessary, log off of the Instrument software before proceeding. See Logging Off the System on page 71.
1. Double-click the Diagnostics icon from the desktop. FIGURE 60: DIAGNOSTICS MAIN MENU
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2. Once the Instrument initializes, select the Condensed Run Program button. The Load Program screen appears. FIGURE 61: DIAGNOSTIC PROGRAM SCREEN
Note: See the Diagnostic Program Descriptions on page 263 for more information about each diagnostic. 3. Select Home All Motors - 2000 (IMMULITE 2000) or IMM 2500 Home All Motors (IMMULITE 2500), and then RUN. 4. When Home All Motors is complete, select the Load Program button. 5. Select Cover Unlock - 2000 (IMMULITE 2000) or IMM 2500 Cover Unlock (IMMULITE 2500), and then RUN. Note: The cover unlocks automatically during the Daily Probe Cleaning diagnostic. 6. Lift the cover. 7. Select the Load Program button to load the list of diagnostics. 8. Run the appropriate diagnostic.
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2. Select Daily Probe Cleaning - 2000 or IMM 2500 Daily Probe Cleaning followed by the RUN button to home all motors, unlock the cover, and initialize the diagnostic. 3. Lift the cover after it unlocks. FIGURE 62: DAILY PROBE CLEANING SCREEN
4. Load a 12 x 75 sample tube containing 1.5 mL of Probe Cleaning Solution onto the Sample Rack (Position 1-1). Note: Follow the package insert instructions for pipetting the probe solution into the sample tube. 5. Place an empty reaction tube in the Shuttle. FIGURE 63: REACTION TUBE IN SHUTTLE POSITION
6. Select the Lift Cover, Place an Empty Reaction Tube on the Shuttle button to continue.
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Note: After the Instrument cleans and primes the Probes, the cover will unlock automatically. If necessary, lift the cover. 7. Select the Lift the Cover and Press to Observe Dispense Angle button and check the dispense angle of the Sample Probe. 8. Observe the liquid that is dispensed from the Sample Probe. It should be a straight solid stream into blind hole. If not, the Sample Probe may need to be replaced. FIGURE 64: BLIND HOLE IN THE WASH WELL
9. Select the PRESS TO STOP DISPENSE button to end the diagnostic. 10. After Program Complete displays on the screen, verify that the Sample Probe does not touch the inside wall of the blind hole. 11. Remove the sample tube from the Instrument and discard the Probe Cleaning Solution. Note: The reaction tube will be automatically removed by the system. 12. To continue running diagnostics, select Load Program and load the appropriate diagnostic. Otherwise, select the EXIT button, followed by the QUIT button.
2. Select Shut Down or Turn Off Computer. One of the following windows appears.
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3. Select Restart the computer? followed by the Yes button, or Restart depending on which prompt appears. Note: Press CTRL, Alt, and Delete keys simultaneously if prompted by the software after the computer restarts. 4. Press the Enter key at the Log on Information window (a password is not required).
LIQUID WA
STE
76
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2. Reconnect by inserting the valve at the end of the tubing until it clicks into place. 3. Prime at least ten times to remove air from system.
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Note: Do not disconnect the tubing from the valve at the back of the Probe Wash Bottle while the Instrument is in RUN mode. For detailed instructions on disconnecting the Probe Wash Bottle, see Disconnecting and Reconnecting Water and Probe Wash Bottles on page 77. 3. Unscrew the cap and fill with probe wash. 4. Replace the cap and gently slide the Probe Wash Bottle back into place until it is seated properly on the Load Scale. 5. Ensure that the tubing is not constricted so that probe wash can flow freely. 6. Close the front cabinet doors or continue performing maintenance.
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Note: Filling beyond the 1000 tests mark may cause substrate to enter the CO2 scrubber and cause a blockage. See Fluid Usage on page 291 for more information about consumable volumes. FIGURE 72: FILLING THE SUBSTRATE
5. Close the tab on the Substrate bottle and close the cover. CAUTION: Immediately clean up any substrate spills using moistened tissues. Spilled substrate may cause the load scale to stick and the Substrate Status Indicator to appear full when the Substrate Reservoir is empty. This could affect results since insufficient substrate may be dispensed causing incorrect patient or control results to be generated.
Solid Waste
1. Open the front cabinet doors (if necessary). 2. Locate the Solid Waste container. 3. Remove the Solid Waste Container and flip back the Tube Deflector. 4. Remove the biohazard bag filled with used Reaction Tubes and dispose the bag into a biohazard container. 5. Put a new biohazard bag (part number 10-901807) in the solid waste container, spreading out the bag so it lies against the sides of the container. Be sure the bag is fully opened so the used Reaction Tubes can drop to the bottom of the container.
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6. Flip the Tube Deflector forward and replace the container in the system, with the deflector at the back end. 7. Close the front cabinet doors or continue performing maintenance.
Liquid Waste
1. Open the front cabinet doors (if necessary). 2. Locate the Liquid Waste Bottle. 3. Push the dark gray button with one hand to release the valve, while pulling the tube out with the other hand. Remove the Liquid Waste Bottle. FIGURE 73: REMOVING THE LIQUID WASTE BOTTLE
4. Empty the Liquid Waste Bottle and place it on the Instrument. Note: Do not pour waste from the gray connection. Open the white cap to empty the waste. 5. Reconnect by inserting the valve at the end of the waste line tubing until it clicks into place. IMPORTANT: The valve must click into place. Otherwise, liquid waste will back up in the Waste Tubing and overflow onto the floor. 6. Close the front cabinet doors or continue performing maintenance.
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Note: The following procedure primes the Sample and Reagent Pipettors, as well as the Water Probe on the IMMULITE 2500. The Water Probe on the IMMULITE 2000 must be primed separately. 1. Select the COVER button (on the Control Bar) to release the lock. 2. Swivel the monitor out of the way and raise the Main Cover. 3. Press the green PRIME button until priming starts. Alternatively, the PRIME button on the monitor can be used instead of the green PRIME button. 4. Continue priming until there are no bubbles in the DRDs (Dual Resolution Dilutors) or the tubing. FIGURE 74: PRIMING THE SAMPLE AND REAGENT PIPETTORS
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2. Hold the Water Probe over the Reagent Pipettor Drain. FIGURE 75: PRIMING THE WATER PROBE
3. Press and release the green PRIME button. The pump primes four times. 4. Continue to prime until there is a steady stream of water and no air in the tubing. 5. Allow the priming sequence to complete and then place the Water Probe back into the Bead/Tube Wash Station. Be sure that the probe is fully seated. Note: The Reagent Pipettor moves back to its original position.
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Weekly Maintenance
The maintenance procedures described below should be performed on a weekly basis. See Worksheets on page 411 for maintenance records that can be copied and used to keep track of maintenance items.
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7. Load 1 reaction tube into the Shuttle. FIGURE 76: REACTION TUBE IN SHUTTLE POSITION
8. Select the button labeled Load tube in Shuttle. The reaction tube is pushed into the Shuttle. 9. Repeat steps 7-8 for the second tube. 10. Allow the program to complete its running cycle. (Approximate time to completion is 20 minutes.) "Program Complete" appears on the screen. 11. To continue running diagnostics, select Load Program and load the appropriate diagnostic. Otherwise, select the EXIT button, followed by the QUIT button.
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Monthly Maintenance
Maintenance procedures to perform monthly are listed and described below. See Worksheets on page 411 for maintenance records that can be copied and used to keep track of maintenance items.
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4. Pull the side door panel open. The door is held in place magnetically and opens easily. FIGURE 78: PULLING OPEN THE SIDE DOOR PANEL
5. Remove the Fan Filter Guard by unscrewing the top and bottom screws. FIGURE 79: REMOVING THE FAN FILTER GUARD
6. Remove the Fan Filter from the Instrument. Note: If necessary, gently press the silver frame of the Fan Filter to loosen it.
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7. Clean the Fan Filter by holding it under running water and rubbing gently to remove the dust. Note: The Fan Filter can be vacuumed, instead of running it under water. 8. Blot the Fan Filter dry and place it back on the Instrument. 9. Replace the Fan Filter Guard (using the top and bottom screws). 10. Finger tighten the screw that holds the side door panel in place.
CAUTION: In its solid form, Sodium Hydroxide is caustic. When using a Sodium Hydroxide solution, avoid contact with skin or clothing. With either the solid or the solution, take customary laboratory precautions.
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3. Select the Press to Continue button after the tube is in place. Watch the prompts. The Program Complete prompt will indicate when the program is finished. 4. To continue running diagnostics, select Load Program and load the appropriate diagnostic. Otherwise, select the EXIT button, followed by the QUIT button.
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4. As soon as the Water Probe is removed from the Bead/Tube Wash Station, the following prompt is displayed: Disconnect water and probe wash lines. beaker. Press button when ready. Place them into an empty
Note: For detailed instructions on disconnecting the Probe Wash and Water Bottles, see Disconnecting and Reconnecting Water and Probe Wash Bottles on page 77. Complete the prompt instructions and select the Press to Continue button. The pumps will be emptied. 5. When prompted to Please connect Water and Probe Wash lines to the Decontamination container, connect the Water and Probe Wash Lines to the Decontamination Bottle containing 350 ml of prepared Probe Wash. Note: 0.1M NaOH may be used. 6. Select the Press to Continue button. Probe Wash will be pumped through the lines. The following prompt appears: Disconnect water and probe wash lines. beaker. Press button when ready. Place them into an empty
7. Complete the prompt instructions and select the Press to Continue button. The pumps will be emptied and the following prompt appears: Please connect the Water and Probe Wash lines to the bottles. Press button when ready. 8. Follow the instructions and then select the Press to Continue button. The system primes the Water and Probe Wash into the lines. 9. Choose Replace Water Probe when prompted. 10. To continue running diagnostics, select Load Program and load the appropriate diagnostic. Otherwise, select the EXIT button, followed by the QUIT button. 11. Close the front cabinet doors.
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Quarterly Maintenance
Replacing the CO2 Scrubber
Replace the CO2 Scrubber quarterly (every three months), following the instructions below. Blockage of the CO2 Scrubber may affect the dispense of substrate from the reservoir. The location of the scrubber may vary from the figure below. See Worksheets on page 411 for maintenance records that can be copied and used to keep track of maintenance items. 1. Remove the old CO2 Scrubber by pulling the tube away from the holding clips. 2. Write the date on the new CO2 Scrubber. 3. Take the clear plastic end off the new CO2 Scrubber, connect it to its tubing and insert into the tube into the holding clips. Note: To maintain proper airflow and to reduce the chance of developing an obstruction, the bottom end of the CO2 Scrubber tube must not touch the load scale plate. FIGURE 82: SUBSTRATE RESERVOIR AND CO2 SCRUBBER
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As Needed Maintenance
Cleaning the Monitor
Clean the monitor as needed. 1. Turn off the monitor. 2. Wipe the monitor with a damp cloth.
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13. Place the tube into the shuttle. FIGURE 83: REACTION TUBE IN SHUTTLE POSITION
14. Select the Load tube in shuttle button. 15. Place an empty reaction tube into the shuttle and select the Load tube into shuttle button. The following messages display: Loading tube in luminometer Adding Substrate Starting a 5 minute substrate incubation Reading tubes at PMT 16. After 5 minutes, when prompted, select the Test complete press to stop button to stop the diagnostic and generate a printout. The example below shows a sample of the Water Test Results that are generated. Every three lines are specific to the two reaction tubes. Reaction Tube 1 contains Water and Substrate, and Reaction Tube 2 contains Substrate (Blank). Each reaction tube's results are broken down into three categories including Dark CPS, Open CPS, and Attenuated CPS. The Open CPS measurement is used to evaluate the Water Test Results. See Evaluating WATERTEST Results on page 95 for more information. FIGURE 84: IMMULITE 2000 WATERTEST RESULTS PRINTOUT
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13. Select the Load tube in shuttle button. 14. Place an empty reaction tube into the shuttle and select the Load Tube button. The following messages display: Transferring to Luminometer Dispensing Substrate Program Running 15. When the process is complete, a printout is generated.
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The example below shows a sample of the Water Test Results that are generated. Every three lines are specific to the two reaction tubes. Reaction Tube 1 contains Water and Substrate, and Reaction Tube 2 contains Substrate (Blank). Each reaction tube's results are broken down into three categories including Dark CPS, Open CPS, and Attenuated CPS. The Open CPS measurement is used to evaluate the Water Test Results. See Evaluating WATERTEST Results on page 95 for more information. FIGURE 86: IMMULITE 2500 WATERTEST RESULTS PRINTOUT
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Section 4:
In this Section
Entering a Kit ..........................................................................................................................98 Scanning a 2D Kit Barcode Using a 2D Scanner...............................................................98 Scanning a 2D Kit Barcode Using an Imaging Scanner ....................................................99 Entering Allergens and Allergen Wedges ........................................................................102 Reviewing Kit Information ................................................................................................106 Adjusting an Assay ...............................................................................................................108 Adjustment Printout..........................................................................................................111 Checking Adjustment Validity ..........................................................................................117
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Entering a Kit
Before using a new kit, the new Kit Lot must be entered into the system using the hand-held scanner. Once a kit is entered, existing kit information can be reviewed. See Reviewing Kit Information on page 106. Follow the instructions below to enter a new kit. IMPORTANT: Before using a new assay or Kit Lot number, adjustments must be run. See Adjusting an Assay on page 108 for instructions. Scan the Kit Lot barcode BEFORE loading reagents onto the system. Scan the 2D barcode located on the inner flap of the kit box. If allergy kits are used, follow the instructions for scanning a 2D barcode using an Imaging Scanner. Follow the instructions below for the appropriate scanner. Notes: If three different Kit Lots for the same assay are in the database and a fourth Kit Lot for that assay is scanned, a prompt appears to select which existing Kit Lot to delete. If a Kit Lot that is already in the system is re-scanned, a prompt appears asking if the active kit information should be overwritten with the new kit information. If Overwrite is chosen, the slope and intercept for the kit being overwritten will revert back to the slope and intercept of the Master Curve. If the new kit is not adjusted, patient results will be flagged with ADJ. See Flags Associated with Results on page 306 for more information.
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4. Move the scanner at an even rate over the entire barcode. A clicking noise during scanning indicates that the barcode is being read. A high-pitched tone sounds when the scan is successful. If the scan was not successful, a low-pitched tone may sound. Re-scan the barcode until a high-pitched tone is heard. The Kits window appears displaying information about the kit.
4. Hold the scanner button until a tone sounds to indicate that the barcode was read successfully.
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The Kits window appears displaying information about the kit. FIGURE 89: KITS WINDOW
Explanation Select this button to enter a test code and lot number to display information about a particular assay. Select these buttons to display information for the previous kit or next kit in the database. Kit information in the database is displayed for one kit at a time, in alphanumerical order by test code. Select the Allergens button to display information about allergens in the database. The button changes to the Kits button. Select the Kits button to display information about assay kits in the database. The button changes to the Allergens button.
Test Code Kit Lot Bead Lot Reagent Lot Low Adjustor Lot Low Adjustor CPS
Code used to indicate a specific assay Kit Lot Number Bead Lot Number used by the kit Reagent Lot Number used by the kit Lot Number of the low Adjustor The master curve CPS for the low Adjustor
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Field High Adjustor Lot High Adjustor CPS Adjustor Allergen Lot Control Allergen Lot Last Adjustment Next Adjustment Adjustment Status
Explanation Lot Number of the high Adjustor The master curve CPS for the high Adjustor Lot number for the kits Adjustor Antibody. This field is inactive for immunoassay kits. Lot number for the kits Control Antibody. This field is inactive for immunoassay kits. Date of the last adjustment Date a readjustment is due Current kit adjustment status: Over Due the kit adjustment is overdue Adjusted the kit is adjusted Not Adjusted the kit barcode was scanned but the kit was not adjusted
Kit Status
Current kit status: Expired the kit is expired Valid the kit has been adjusted and is not expired New Kit the kit barcode has been scanned but the kit has not been adjusted
Name of the diluent used by the kit Kit expiration date Slope calculated for the last adjustment Intercept calculated for the last adjustment Kit-specific slope ranges used to determine if an adjustment was successful. Scanning the 2D Kit barcode enters kit-specific slope ranges into the database. This field appears in gray when viewing information about an immunoglobulin kit.
Values used together to define the master curve for this Kit Lot.
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LOT
D1L101
102
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IVD
LTD
Allergen Vials are flagged with the 2D barcode label before they are shipped. The 2D barcode contains all the information the system requires to use that vial for allergy tests. FIGURE 91: FLAGGED ALLERGEN VIAL
2.8mL
Follow these instructions to enter an Allergen Wedge. 1. Scan the 2D barcode for each Allergen Vial to be loaded in the Allergen Wedge. The Allergen Kit window appears, displaying information about the allergen. FIGURE 92: ALLERGEN KITS WINDOW
AAD
Exp. DEC 31 09
LOT
F3L101
IVD
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Explanation Select this button to display information about immunoassay kits in the database. The button changes to the Kits button. Select this button to enter an allergen code and lot number to display information about that allergen. Select these buttons to display information for the previous allergen or next allergen in the database. Allergen information in the database is displayed for one allergen at a time, in alphanumerical order by allergen code. Code used to indicate a specific allergen. Allergen Lot Number Current allergen status: Expired the allergen is expired Valid the allergen is not expired
Note: When running an adjustor, one of the Allergen Wedges loaded on the Reagent Carousel must contain one Adjustor Antibody. Be sure to scan the 2D barcode for the Adjustor Antibody just as with any other allergen. 2. Remove the 2D barcode labels from the vials scanned in step 1. Be sure the standard barcodes remain affixed to each vial. 3. Replace the cap on each Allergen Vial with a septum cap, and then place the vial in the Allergen Wedge. Be sure the barcode on each Allergen Vial faces out, so it is visible when the Allergen Wedge is closed. Note: When storing opened Allergen Vials off the Instrument, replace the septum cap with a new standard cap to prevent evaporation. When using the Allergen Vial again, replace the standard cap with a new septum cap. FIGURE 93: ALLERGEN VIAL CAPS
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4. Hold the scanner steady, about five inches from the Allergen Wedge, being sure not to obscure any of the barcodes on the Allergen Wedge or the Allergen Vials. 5. Press and hold the scanner button. 6. Point the scanner beam at the center of the allergen barcodes. The allergen barcodes, the outside Allergen Wedge barcode, and any barcodes behind the empty vial spaces should be read in a single scan. FIGURE 95: SCANNING AN ALLERGEN WEDGE
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The Allergen Wedge Detail window appears. The window displays details about the Allergen Wedge scanned. FIGURE 96: ALLERGEN WEDGE DETAIL WINDOW
Note: If any information in the Allergen Wedge Detail window appears in red, a scanner misread has occurred. Scan the Allergen Wedge again. 7. Select the Close button to close the Allergen Wedge Detail window. A message appears, stating not to swap Allergen Vials. 8. Select OK. Note: If the allergens are changed or the Allergen Vials are rearranged in an Allergen Wedge previously scanned, scan the Allergen Wedge again before loading it on the Instrument. 9. Load the Allergen Wedge on the Reagent Carousel. Note: Select a position on the carousel to load the Allergen Wedge.
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2. Either: Select the Previous Kit or Next Kit buttons to view information for the kits currently entered in the system. Or Select the Find button. The Find Kit window appears.
To view the desired kit information, type the Test Code (located on the 2D Barcode label) and the Kit Lot Number and select the Find Kit button. Note: The kit can also be found by entering just the Test Code. The Kit screen for this kit appears. 3. To toggle back and forth between kit and allergen information, select the Kits and Allergen buttons.
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Adjusting an Assay
Before using a new kit lot, an adjustment must be run. This initial adjustment corrects for any variations in performance between your Instrument and the manufacturer's Instrument. In addition, kits must be readjusted periodically. The adjustment schedule for a kit is indicated in the kit's package insert. The Reagent Status and Bead Status windows indicate if an adjustment is due. See Checking the status of Reagent Wedges and Allergen Wedges on page 149 and Checking the Status of Bead Packs on page 156 for more information. Follow the instructions below to adjust an assay. 1. Remove the Adjustor barcode labels from the kit. 2. Place a label for an A Adjustor on one tube and a label for a B Adjustor on another tube. Note: When a kit contains only one Adjustor, use the A Adjustor label. 3. Remove the Adjustor bottles from the kit and transfer each Adjustor to the corresponding tube. 4. To adjust an allergy assay: Enter the Adjustor Antibody by scanning its 2D barcode. Place the Adjustor Antibody in an Allergen Wedge. Enter the Allergen Wedge using the Imaging Scanner. Load the Allergen Wedge on the Reagent Carousel. See Entering Allergens and Allergen Wedges on page 102 for more information about using Adjustor Antibodies. 5. Select the HOME button to display the Home window. FIGURE 98: HOME SCREEN (TOOLBAR AND MENU BAR)
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6. Select the letter for the Sample Rack in which to load the adjustors. The Sample Carousel rotates so that the rack is accessible. Note: The Instrument must be in PAUSE or STOP mode for the rack to rotate. If the rack does not rotate, open the Sample Carousel door to initiate the Sample Pause mode. 7. Open the Sample Carousel door and grasp the rack using the finger indentations. Pull the rack forward until it slides out of the Sample Carousel. FIGURE 99: LOADING THE SAMPLE CAROUSEL RACK
8. Load the Adjustor tubes on the Sample Rack so the barcodes face out. Notes: Be sure that the bottom of the barcode label is not hidden by the rack. The entire barcode label must be readable. You may not adjust an assay while the previous adjustment for that assay is still running.
9. Slide the rack back into the carousel. Be sure it snaps into position. 10. Close the Sample Carousel door. 11. Select the RUN button. The Sample Carousel is interrogated. 12. When the Sample Carousel has been interrogated completely, select the WORKLIST button. The Worklist window appears. 13. Display the information for the A Adjustor in the Worklist window. The A adjustor is level 01. If adjustors with barcodes have been loaded: Browse the records using the Previous and Next buttons. Locate the record with the adjustor's lot number in the Adjustor Lot # field and 01 in the Adjustor Level field. If the adjustor barcode is damaged or missing: Select the Adjustor button. Select the New button.
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Enter the adjustor lot number and the adjustor level. Associate the tube and its position with the unique sample accession number. See Assigning a Tube Position on page 219 for more information. FIGURE 100: WORKLIST WINDOW (FOR AN ADJUSTOR)
14. Enter the lot number of the kit you are adjusting in the Kit Lot # field. 15. When adjusting an allergy assay, enter the lot number for the Adjustor Antibody loaded in step 4 in the Adj Allergen Lot # field. 16. Select the ACCEPT ADJUSTOR button. If the system is in RUN mode, the next barcoded record appears. Note: The A Adjustor must be accepted first. 17. Repeat steps 13 through 16 to assign a Kit Lot Number to the B Adjustor, if the assay being adjusted has one. The B Adjustor level is 02. 18. Select the Display/Edit button. The Display Worklist window appears.
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19. Select the UPDATE SCREEN button to determine the status of the samples (see the STATUS column in Display Worklist window).
Adjustment Printout
The Adjustment Printout displays interpretive information to aid in the evaluation of adjustments (see the table below). In addition, the Adjustment printout indicates whether or not the adjustment is complete.
Two-Adjustor Assays
Feature Instrument Slope Range Previous Slope Range Assay Average Slope Intercept Guideline Description Plus or minus 20% of the Average Instrument Slope Plus or minus 10% of the previous successful adjustment for a specific kit lot Average slope of all successful adjustments for an assay. Sandwich Assays: 30% of the low Adjustor CPS from the kit barcode Competitive Assays: 2% of Curve Parameter 1
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Single-Adjustor Assay
Feature Description
Previous Assay Adjustment Adjustment index of the last successful adjustment. Index
Adjustment Complete
If the slope for the adjustment does not exceed the rejection limits, the adjustment printout states "Adjustment Complete" at the bottom of the page. Evaluate the adjustment following the guidelines in Section 12. If the CVs of the replicates of the low and high Adjustor are within the acceptable limits, the adjustment states "Adjustment complete". See Sample Adjustment Data (Complete) on page 113 for more information. For any adjustment marked "adjustment complete", review the adjustment guidelines to determine if the adjustment is valid. See Adjustment Validity on page 117 to judge the adjustment validity.
Note: To view an Adjustment Log, showing Adjustment history, choose View Adjustment Log from the Tools drop-down menu. See Viewing the Adjustment Log on page 176 for more information.
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Guideline
Description
Control Results Once control ranges have been established, controls must be run to verify kit adjustment before patient samples are processed. If the controls are out of range: Follow accepted laboratory protocols for investigating QC failure; correct any problems found and run the controls again. If they are still out of range, and no other problem can be identified, re-adjust the kit. If the problem persists, contact Technical Service immediately. See Section 12 for more information on Master Curve generation and for more information on the two-point adjustment process. Slope Initial Adjustment of a new kit lot: The slope should fall within the Instrument Slope Range (plus or minus 20% of the mean slope for that Instrument). Re-adjustment of same kit lot: Within a Kit Lot, the slope calculated during readjustment should fall within 10% of the Previous Slope. See Section 12 for more information. Intercept Check the intercept of adjustment. The absolute value of the intercept should be less than or equal to the intercept guideline. See Intercept of Adjustment on page 283 for further information on evaluation of intercepts.
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Section 5:
In this Section
Entering New Control Information ........................................................................................120 Additional Control Procedures .........................................................................................124 Qualitative Controls..........................................................................................................124 Controls Reported as Ratios............................................................................................125 Adding a Level .................................................................................................................125 Changing a Level .............................................................................................................126 Editing Control Information ...................................................................................................129 Reviewing Control Data........................................................................................................131 Adding Comments ...........................................................................................................135 Removing Points..............................................................................................................137 Deleting Tests for a Control ..................................................................................................138 Quality Control Management ................................................................................................139 Control Not for On-line QC...............................................................................................139 Single Rule.......................................................................................................................139 Multi Rule .........................................................................................................................139
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2. Select the DATA ENTRY button. The Control Entry window appears. FIGURE 107: CONTROL ENTRY WINDOW
3. Select the New Control button. 4. Enter a Name of the control. The name can be no more than six characters in the Name field. 5. Enter the Source and Lot # for the control. 6. Select the Expiration Date.
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A calendar appears.
Note: The default calendar entries are the current month and year. 7. Choose the expiration date for the control from the calendar. Use the month arrow keys to select a month. Use the year arrow keys to select a year. Select a day. Select the OK button. Note: The Expiration Date must be selected from the calendar in the following order: month, year, and day. 8. Select the Add New Tests button. The Available Tests window appears. FIGURE 108: AVAILABLE TESTS - ALLERGENS ONBOARD
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If the ACTIVE KITS button is selected, a button for every immunoassay or allergy test scanned onto the Instrument displays in the center of the window. If the ON BOARD button is selected, a button for every immunoassay or allergy test physically residing on the Instrument displays in the center of the window. Immunoassay Select the appropriate immunoassay button. The code for the chosen assay appears in the Tests Selected field. Allergen Select the universal reagent, such as SPE, to be used for the allergy test. Select the appropriate allergen test button. The code for the chosen allergen appears in the Tests Selected field. Note: Two different kinds of allergy controls may be run: Allergy Kit Controls: This type of control tests the performance of the universal allergy kit. These controls are provided with allergy kits. To run these controls, the Specific-IgE Control Antibody provided with that kit must have been entered and loaded. See Entering Allergens and Allergen Wedges on page 102 for more information about using Allergen Vials and Allergen Wedges. Specific-Allergen Controls: These controls test the performance of a particular allergen. Specific-allergen controls are available for the most common allergies. To run these controls, the allergen whose performance is to be tested must be entered and loaded.
10. Select the OK button. The New Control Level window appears. FIGURE 109: NEW CONTROL LEVEL WINDOW
11. Enter the control level and Select the OK button. The Instrument automatically assigns an accession number to the control level. Note: For a control without a barcode, this accession number must be entered into the Worklist screen to complete the order. See Controls without Barcodes on page 206 for more information about adding controls without barcodes to the worklist. 12. If necessary, overwrite the Instrument-generated accession number (e.g., when an LIS control accession number is in use).
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Note: If the accession number in the software does not match the LIS control accession number, QC data will not be uploaded to the LIS and the QC Levey-Jennings Control Graph. 13. In the upper right corner of the Control Entry window, select one of the acceptance criteria options: Control Not for On-Line QC Use Single Rule Use Multi Rule (not available for allergy controls) Note: See Quality Control Management see page 139 for more information about the acceptance criteria. 14. Based on the acceptance criteria option selected, follow these steps: Control Not for On-Line QC Enter the Mean, SD, and SD Multiplier. Select the Calculate Range button to calculate the Low and High Limits. The SD Multiplier reflects the range for the standard deviation. The default is 2. Use Single Rule Enter the Mean, SD, and SD Multiplier. Select the Calculate Range button to calculate the Low and High Limits. The SD Multiplier reflects the range for the standard deviation. The default is 2. Use Multi Rule Enter the Mean and SD. Select the appropriate rule options. 1(2s) Rule is the default. 15. Select the Save button. Note: A confirmation message appears if the accession number for this level of control was changed. Select Yes to confirm the change, or No to cancel it. The Record Saved window appears. FIGURE 110: RECORD SAVED WINDOW
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Qualitative Controls
To enter information about a qualitative control, follow steps 1 through 16 in the Entering New Control Information section on page 120, and then follow the instructions below. Note: Each level of qualitative control must be entered as a separate control record in the Control Entry window. 1. Enter the level for the control record in the New Control Level window based upon the information in the tables below: For qualitative controls with three levels: For this level Non-Reactive Low Reactive Reactive Enter 1 2 3
For qualitative controls with two levels: For this level Non-Reactive Reactive Enter 1 2
2. At the upper right corner of the Control Entry window, mark the Control Not for On-Line QC selection. 3. In the Mean field, enter 1. 4. In the SD field, enter 1. 5. In the SD Multiplier field, enter 1. 6. In the Low Limit field, enter 0.0. 7. In the High Limit field, enter 1. 8. Select the Save button.
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The Record Saved window appears. FIGURE 111: RECORD SAVED WINDOW
Adding a Level
Follow the instructions below to add a level to an existing control in the Control Entry window. To open the Control Entry window, follow steps 1 and 2 of the Entering New Control Information section on page 120. 1. From the Name list, select the control to which to add a level. 2. From the Test Type list, select the assay for which to add a control level. 3. Select the Add New Level button. The New Control Level window appears. 4. Enter the new level and select OK. 5. At the upper right corner of the Control Entry window, select one of the acceptance criteria options: Control Not for On-Line QC Use Single Rule Use Multi Rule (not available for allergy controls) Note: See Quality Control Management see page 139 for more information about the acceptance criteria. 6. Based on the option selected in step 5, follow these steps: Control Not for On-Line QC Enter the Mean, SD, and SD Multiplier.
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Select the Calculate Range button to calculate the Low and High Limits. The SD Multiplier reflects the range for the standard deviation. The default is 2. Use Single Rule Enter the Mean, SD, and SD Multiplier. Select the Calculate Range button to calculate the Low and High Limits. The SD Multiplier reflects the range for the standard deviation. The default is 2. Use Multi Rule Enter the Mean and SD. Select the appropriate rule options. 1(2s) Rule is the default. 7. Select the Save button. The Record Saved window appears. FIGURE 112: RECORD SAVED WINDOW
Changing a Level
Follow the instructions below to change a level for an existing control in the Control Entry window. To open the Control Entry window, follow steps 1 and 2 of the Entering New Control Information section on page 120. 1. From the Name list, select the control level to change. 2. From the Test Type list, select the assay for which to change the control level.
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3. Select the test name and level in the Current Test field. FIGURE 113: CONTROL ENTRY WINDOW (CURRENT TEST FIELD)
4. Select the Change Level button. The New Control window appears. FIGURE 114: NEW CONTROL LEVEL WINDOW
5. Enter the new control level and then select the OK button. The following message appears: FIGURE 115: CONTROL LEVEL CHANGE ALERT MESSAGE
Note: The test name that appears in the Control Level Change Alert message is determined by the test selected in Step 3. 6. Select the Yes button. Note: A control level cannot be changed to a level that already exists. For example, if a control for levels 4, 5, and 6 was entered, level 6 cannot be changed to level 5.
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7. At the upper right corner of the Control Entry window, select one of the acceptance criteria options: Control Not for On-Line QC Use Single Rule Use Multi Rule(not available for allergy controls) Note: See Quality Control Management see page 139 for more information about the acceptance criteria. 8. Based upon the option selected in step 7, follow these steps: Control Not for On-Line QC Enter the Mean, SD, and SD Multiplier. Select the Calculate Range button to calculate the Low and High Limits. The SD Multiplier reflects the range for the standard deviation. The default is 2. Use Single Rule Enter the Mean, SD, and SD Multiplier. Select the Calculate Range button to calculate the Low and High Limits. The SD Multiplier reflects the range for the standard deviation. The default is 2. Use Multi Rule Enter the Mean and SD. Select the appropriate rule options. 1(2s) Rule is the default. 9. Select the Save button. The Record Saved window appears. FIGURE 116: RECORD SAVED WINDOW
10. Select the OK button. Note: To view tests and ranges for other controls, select the Previous Control and Next Control buttons.
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2. Select the DATA ENTRY button. The Control Entry screen appears. FIGURE 118: CONTROL ENTRY WINDOW (WHEN EDITING A CONTROL)
Note: If the Use Multi Rule option is selected, the last four results appear under the Use Control for QC section. 3. Select the down arrow in the Name field and select the control. 4. Select the down arrow in the Test Type field and select the appropriate assay.
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5. Select the test and level. FIGURE 119: CONTROL ENTRY WINDOW (CURRENT TEST FIELD)
6. Type the new Control Identification information. 7. Select the Save button. Depending on the Control Identification data changed, a window may appear confirming the change. All test types defined for that control are automatically updated. Note: To view other tests and ranges, select the Previous Control or Next Control button.
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2. Select the GRAPHS button. The Controls Graph Selection window appears. FIGURE 121: CONTROLS GRAPH SELECTION WINDOW
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Use the arrow keys to select the appropriate month and year. Select the appropriate date. Select the OK button. Notes: The From date must be selected from the calendar in the following order: month, year, and day. The To date default is todays date. This field can be changed if desired. When the range is 25 days or less, each date appears on the graph; otherwise, some dates are represented by points.
4. Select the down arrow to the right of the first selection field (to the right of the To field) and select the test. 5. Select the down arrow to the right of the next selection field and select the control name. 6. Select the down arrow to the right of the next selection field and select the control level. 7. Select the down arrow to the right of the last selection field and select the Lot Number.
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The Controls Graph window appears, showing the plotted data points and the results used to plot the graph. FIGURE 122: CONTROLS GRAPH
Plotted Graph Portion of the Screen Data points can be a square, a circle, or a triangle. Data points of the same color are from the same Kit Lot. Different colors indicate new Kit Lot numbers. Data points of the same color and shape indicate the controls were run on the same Kit Lot, with the same adjustment. Data points of the same color and a different shape indicate the controls were run on the same Kit Lot, with a different adjustment. Results Portion of the Screen Results highlighted in pink are out of 4SD range and are not included in the graph. The standard deviation is based on the target mean entered in the Control Entry window. Sort data by selecting a column. For example, to sort the data by Z score, select the Z column. Note: Within the date display section, if the selected date range spans two years, each data point in the later year will be dated for the following day. For example, for a date range spanning 2001 and 2002, a QC sample processed on January 2, 2002 appears with a January 3, 2002 date on the QC graph. This issue only occurs in the Date Display on the QC Graph and does not affect the data table and printed reports.
Note: For an explanation of the Controls Graph screen, select the How to read this graph? button.
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8. To review details for an individual data point: Move the pointer over the data point (with the trackball) and right-click. The details of this point appear.
The data corresponding to this data point appears in green on the Results portion of the screen. Select the Yes button to remove this point from the graph (see Removing Points on page 137 for more information). The Point Info window disappears. On the Results portion of the screen, the data corresponding to this point appears in red and the + sign changes to a . On the printout, there is a line through the result corresponding to the removed data point. 9. To copy the graph, print the graph, magnify a portion of the graph, eliminate the graph gridlines, or change the graph title refer to the table below: To: Copy the graph Do this: Select the camera button. Note: The graph can be pasted in the Paint application and saved as a bitmap file. Copy the data Select the scissors button. Note: The data can be pasted and saved in another application (MS Word or MS Excel). Print the graph Select the printer button. Note: It is recommended that operators avoid printing graphs while the Instrument is in RUN mode. Runtime errors may occur if the operator attempts to print QC graphs while the Instrument is performing tests. Magnify part of the screen Select the magnifier button. Next, click and drag the cursor over the area to magnify. Note: To restore the screen to its original size, select the magnifier button again.
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To: View the screen with the vertical grid lines View the screen with the horizontal grid lines Change the graph titles
Do this: Select the vertical lines button. Note: To remove the grid lines, select the vertical lines button again. Select the horizontal lines button. Note: To remove the grid lines, select the horizontal lines button again. Select the graph edit button. In the Titles window, type the title to appear above, below, to the left, or to the right of the graph and select the OK button.
Adding Comments
To add a comment to a result on the Controls Graph screen, follow the instructions below: 1. From the Controls Graph screen, select the Comment field for a particular line of data.
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Creating Comments
To create a comment (when none of the available comments are appropriate), follow the instructions below: 1. From the Controls Graph screen, select the Edit Comments List button. The following window appears. FIGURE 124: EDIT COMMENTS LIST WINDOW
2. Click in the Edit Comments List window, where the comment will appear. (For example, click under the last comment to add the comment to the end of the list.) 3. Select the Add New to List button. New Comment appears in the window to the left of the CLOSE button. 4. Type the new comment and press the [Enter] key.
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Notes: Enter alphanumeric characters only. If a non-alphanumeric character, such as an apostrophe, is entered, it can be edited in the Edit Comments List window.
5. The new comment appears in the Edit Comments List window, above the original highlighted comment, and the top line of the New Comment window defaults to empty. Note: To remove a comment from the list, highlight the comment and select the Remove from List button. 6. Select the CLOSE button to close the Edit Comments List window.
Removing Points
An invalid result can be removed so it is not included in the graph. To remove a result, follow the instructions below: 1. From the Controls Graph screen, select the + sign to the left of the control result to be removed. The data corresponding to this result changes color and the + sign becomes a - sign, indicating this result is not included in the Controls Graph. The graph changes to reflect the change in data, the n value is updated, and the Actual Mean, SD, and CV (%) figures are recalculated. See the Controls Graph (showing results not in the graph). FIGURE 125: CONTROLS GRAPH (SHOWING RESULTS NOT INCLUDED IN THE GRAPH)
Note: To include data previously removed, select the - sign to the left of the result. The sign becomes a + sign, the Actual calculations are updated, and the graph is updated to reflect the new data.
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2. Select the DATA ENTRY button. The Control Entry screen appears. 3. Select the down arrow in the Name field and select the control. 4. Select the down arrow in the Test Type field and select the appropriate assay. 5. Select the Delete Control button. The following window appears.
6. Select Yes to delete all tests for that control. or 7. Select No to delete the highlighted test. The following window appears:
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Single Rule
The Single Rule method uses a single measurement to determine if the control result is acceptable. The mean, standard deviation (SD), and the standard deviation multiplier (SD Multiplier) are entered. The following formula is used to determine the acceptable range. Range = Target Mean (Standard Deviation x Standard Deviation Multiplier) After the test is complete, the Instrument evaluates the Control result. If a control result is within range, the control printout states: Control passed all selected rules. If the system is configured to autosend results to the LIS, patient results will be sent. If a control result is outside of the range, the control printout states Control failed rules and lists the rule which was violated. If the system is configured to autosend results to the LIS, patient results will not be sent.
Multi Rule
The Multi rule options available on the Instrument are based on the Westgard Multi Rule System1 for improving control procedure performance. The Westgard Multi rule System utilizes up to five control rules simultaneously to decrease the probability of false rejections, while increasing the probability of detecting both random and systematic errors. These rules work most efficiently when analyzing three control materials (or levels).
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To utilize the rules, the target mean and standard deviation (SD) are entered on the QC Control Entry screen. Up to five rules may be evaluated for each control result (the number of rules evaluated depends on the number of rules chosen on the Control Entry screen). It is important to note that the same control rules are not automatically applied to all analytes. The Instrument supports the use of different control rules for each analyte (i.e., the rules used for TSH may be different than the rules used for Estradiol, etc). The rules are as follows:
Rule 1 (2s)
Description This is the entry, or initial rule. It compares the QC value to a 2 SD control range. This rule is used as a warning to initiate the evaluation of the control result using subsequent rule(s) (if chosen). If this rule fails, all other selected control rules are evaluated and reported to the operator. Once a QC value exceeds the 1 (2s) rule, the system will compare it to a 3 SD control range (if chosen). Failure of the 3 SD rule will mark the assay out of control. If this rule passes (i.e. result within 3 SD range) subsequent rule(s) will be checked (if chosen). The 2(2s) rule checks for prior, consecutive control value exceeding +/- the same 2 SD control range. Failure of this rule will mark the assay as out of control. If this rule passes, subsequent rule(s) will be checked (if chosen). This rule is evaluated by looking at the most recent result obtained from the same control material (within the same control material). If the range or span of the most recent, prior, consecutive control value compared to the current QC value exceeds 4 SD, the assay will be marked as out of control. If this rule passes, the final rule will be checked (if chosen). This rule fails when 4 consecutive control values exceed 1 SD on the same side (+/-) of the target mean. The assay will be marked as out of control. As with the 2 (2s) rule, this rule is evaluated historically across controls and within the same control material.
1 (3s)
2 (2s)
R (4s)
4 (1s)
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After the test for the control sample is complete, the IMMULITE 2000 system evaluates the result. If a control result is within range for all the rules chosen, the control printout states: Control passed all selected rules. If a control result is outside of range for any of the chosen rules, the control printout states Control failed rules and lists which rule failed. The operator then follows laboratory procedures for an out-of-range control. The information regarding the violated rule may help determine the cause of the problem. Note: When Multi rule options are used, the controls range on QC reports is listed as N/A. See Control Report on page 421 for a sample report.
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Section 6:
Routine Operation
In this Section
Daily Maintenance ................................................................................................................144 Maintaining Reagent Wedges, Allergen Wedges and Bead Packs ......................................149 Checking the status of Reagent Wedges and Allergen Wedges .....................................149 Using the Reagent Status Window ..................................................................................150 Replacing Reagent Wedges and Allergen Wedges.........................................................154 Checking the Status of Bead Packs.................................................................................156 Using the Bead Status Window .......................................................................................158 Replacing Bead Packs.....................................................................................................160 Sample Volume and Tube Sizes ..........................................................................................162 Microsampling..................................................................................................................162 Labeling and Loading Sample Tubes ...................................................................................164 Add Controls to the Worklist .................................................................................................166 Running Assays....................................................................................................................168 Using the Consumables Report .......................................................................................169 Checking the Sample Status ................................................................................................170 Checking the Test Time Remaining .....................................................................................171 Checking the Tests Ordered and Time Remaining...............................................................174 Find Last Tube Location .......................................................................................................175 Viewing the Adjustment Log .................................................................................................176 Viewing Beads and Reagents On Board ..............................................................................178 Viewing Allergens On Board.................................................................................................179 Exporting Data......................................................................................................................180 Saving Files to a CD or DVD ...........................................................................................181 Viewing Results and Sending Data to the LIS ......................................................................188 Restarting the System ..........................................................................................................190
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Daily Maintenance
The first step in routine Instrument operation is to perform the daily maintenance. Follow the instructions below. See Worksheets on page 411 for maintenance records that can be copied and used to keep track of maintenance items. 1. Select the RUN IMMULITE 2000 or RUN IMMULITE 2500 button. FIGURE 128: IMMULITE 2000 STARTUP SCREEN
Note: If the previous operator did not log off the system at the end of the work session, the Start-up screen will not appear. Select the LOG OFF button on the toolbar to log off the system. The system performs an initialization process, which takes a few minutes. Several messages appears briefly. The following window appears:
2. Either: Select the Yes button to delete any open records (without results) and records with errors. Or
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Select the No button to retain all records in the Worklist. When the system initialization is complete, the following window appears:
3. Select the OK button. The Home screen and the toolbar appear. 4. Scan any Allergen Wedges that changed on the Instrument. When scanning an Allergen Wedge, the Allergen Wedge Detail window appears. Confirm that the information is correct and then select OK. Note: More information about preparing and entering Allergen Wedges is available in Section 4 on page 102. See Replacing Wedges and Allergen Wedges on page 154 for more information about loading an Allergen Wedge on the system. FIGURE 129: HOME SCREEN (TOOLBAR AND MENU BAR)
5. Begin the daily maintenance by checking the System Status Indicators (located on the Control Bar) to determine the fill-level for the water bottle, Probe Wash bottle, Substrate bottle, solid waste container, liquid waste container, and the Reaction Tube Hopper. Note: Visually check the containers. If there is a discrepancy between the status indicators and the actual container levels, see Reset Load Scale on page 39.
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The Status Indicator bar shows the approximate volume or quantity of that consumable remaining before the item needs to be filled or emptied. For example, the Status Indicator below shows that the Substrate is low and the Liquid Waste Container is full: FIGURE 130: INSTRUMENT STATUS INDICATOR
6. If necessary, fill the consumables, or empty the waste container(s). Note: See Daily Maintenance on page 70 for detailed instructions. 7. Check the paper supply in the printer and fill if necessary. 8. Next, prime the Sample and Reagent Pipettors. Note: The following procedure primes the Sample and Reagent Pipettors, as well as the Water Probe on the IMMULITE 2500. The Water Probe on the IMMULITE 2000 must be primed separately. 9. Select the COVER button (on the Control Bar) to release the lock. 10. Swivel the monitor out of the way and raise the Main Cover. 11. Press the green PRIME button until priming starts. Alternatively, the PRIME button on the monitor can be used instead of the green PRIME button.
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12. Continue priming until there are no bubbles in the DRDs (Dual Resolution Dilutors) or the tubing. FIGURE 131: PRIMING THE SAMPLE AND REAGENT PIPETTORS
13. Next, prime the Water Probe (IMMULITE 2000 Only). 14. Remove the Water Probe from the Bead/Tube Wash Station. CAUTION: The Reagent Pipettor automatically moves away from the Reagent Pipettor Drain when the Water Probe is lifted. 15. Hold the Water Probe over the Reagent Pipettor Drain. FIGURE 132: PRIMING THE WATER PROBE
16. Press and release the green PRIME button. The pump primes four times. 17. Continue to prime until there is a steady stream of water and no air in the tubing.
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18. Allow the priming sequence to complete and then place the Water Probe back into the Bead/Tube Wash Station. Be sure that the probe is fully seated. Note: The Reagent Pipettor moves back to its original position. 19. Next, prime the Substrate Probe. 20. Remove the Substrate Probe from its holder next to the Bead/Tube Wash Station. CAUTION: The Reagent Pipettor automatically moves away from the Reagent Pipettor Drain when the Substrate probe is lifted. 21. Check for white precipitate at the end of the substrate nozzle. If necessary, gently wipe the nozzle with a clean swab or lint-free, dry tissue. 22. Hold the Substrate Probe over a clean beaker or other external container. Note: Do not prime the Substrate Probe into the Reagent Pipettor Drain. 23. Press and release the green PRIME button. The pump primes four times. 24. Continue to prime until there is a steady stream of substrate and no air in the tubing. 25. Place the Substrate Probe back into its holder. Note: The Reagent Pipettor returns to its original position. 26. Close the Main Cover.
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2. Select the REAGENTS circle. The Reagent Status window appears. FIGURE 134: REAGENT STATUS WINDOW
3. Determine which wedges on the Reagent Carousel need to be replaced using the information in the Reagent Status window. 4. If no wedges need to be replaced, proceed to Checking the Status of Bead Packs on page 156.
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Wedges are displayed alphanumerically by test code, not by their positions on the Reagent Carousel. Each wedge on the Reagent Carousel is represented by a square in the Reagent Status window. On Allergen Wedge squares, Allergen Vial status is indicated in fields labeled 1 through 6, to represent the positions of Allergen Vials in the Allergen Wedges. FIGURE 135: REAGENT STATUS WINDOW
Background color The error status of a Wedge is indicated by the color of its square in the Reagent Status window. Allergen Wedge squares have fields for each Allergen Vial that uses the same color scheme. The color of an Allergen Wedge square reflects that Allergen Wedges highest priority error. The following table contains a list of the background colors and the status associated with each color.
Status No errors Empty position on the Reagent Carousel or in an Allergen Wedge An error condition exists, but the wedge or allergen can still be used. Errors include: the Reagent Wedge has a few tests remaining an Allergen Vial is expired the adjustment is overdue for this kit kit is expired
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Status An error condition exists which prohibits tests from being run. Error conditions include: the kit barcode was not entered on the Instrument the Reagent Wedge is empty an Allergen Vial is empty an Allergen Wedge was not entered on the Instrument the Reagent Wedge barcode could not be read a matching Bead Pack is not on-board the Instrument the kit was never adjusted, but will run
Error messages If an error occurs for a Reagent or Allergen Wedge, it appears in the square for the Wedge in the Reagent Status window. A + sign at the right of the error message indicates that a second error is associated with that Wedge. Two + signs indicate that two or more additional errors exist for that wedge. Details about a Wedge can be viewed in the Reagent Detail and Allergen Wedge Detail windows. These windows include a list of all errors that have occurred for the wedge. Refer to the next section for information about viewing Wedge detail. The table below contains some examples of errors and how they appear in the Reagent Status window.
Examples The Kit is expired and either the Reagent Wedge or Bead Pack has expired or an adjustment is due. The Kit has expired and both the Reagent Wedge and Bead Pack have expired. An adjustment is due and the number of tests remaining is low. The Bead Pack has expired and an adjustment is due. The Reagent Wedge has expired and an adjustment is due.
Kit Expired + + Adjustment Due + Expired Beads + or Expired Matching Beads + Expired Reagent + or Expired Matching Reagent +
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Viewing wedge detail All details for a wedge can be viewed using the Reagent Detail window or Allergen Wedge Detail window. The information in this window includes a list of errors that have occurred for the wedge. To display the Detail window for a wedge while the Instrument is in RUN mode, select the square for the wedge in the Reagent Status window. If the Instrument is in PAUSE or STOP mode, follow these instructions to open the Reagent Detail or Allergen Wedge Detail window. Select the HOME button. Select the REAGENTS circle. The Reagent Status window appears. Select the ROTATE button. The button changes to the REVIEW button. Select the square corresponding to the Reagent Wedge or Allergen Wedge to view. If the square for a Reagent Wedge is selected, the Reagent Detail window appears. If the square for an Allergen Wedge is selected, the Allergen Wedge Detail window appears. Select the Close button to close the window.
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After changing the positions of the Allergen Vials in the Allergen Wedge, re-scan the wedge before loading it on the Reagent Carousel. 3. Remove the Wedge by lifting the narrow end of the Wedge near the center of the Carousel, tilting the Wedge back on its opposite end. 4. Slide the wedge toward the center of the Carousel until the slot clears the tab on the Carousel. The Wedge should lift out easily. Note: When adding an Allergen Wedge, load the wedge with Allergen Vials, scan it using the Imaging Scanner, and follow the steps below to add it to the Reagent Carousel. See Entering Allergens and Allergen Wedges on page 102 for more information.
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5. Place the new Wedge between the carousel dividers with the barcode facing out. FIGURE 138: LOADING A REAGENT WEDGE
6. Tilt the side of the Wedge with the barcode label down so the tab on the Reagent Carousel locks into the Wedge slot under the barcode label. FIGURE 139: SIDES OF THE REAGENT WEDGE FIGURE 140: SIDE OF THE ALLERGEN WEDGE
7. Press down on the narrow side of the Wedge to lock it into place. 8. Push the glide of the Wedge toward the center of the carousel to ensure that it moves freely. 9. Check for bubbles or moisture at the top of the Wedge. If there are bubbles at the top of a Reagent Wedge: Remove the Wedge. Carefully remove the glide. Dry the glide and the areas surrounding it where the probe enters the Wedge. Replace the glide and re-load the Wedge.
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If there is moisture at the top of an Allergen Wedge: Remove the Allergen Wedge. Open the Allergen Wedge. Dry or replace the septum caps on the Allergen Vials and dry any liquid on top of the Allergen Wedge. Close the Wedge and re-load it on the Reagent Carousel. Notes: Kit components can remain on the Instrument until they are empty or expired. Bead Packs and Reagent Wedges expire 90 days after being loaded on the Instrument. Kit components should not be used after the expiration date printed on the kit label. Allergen vials left on board the instrument expire 90 days after opening, due to evaporation. Allergens can evaporate up to 5 l per day when left on the Instrument. To extend the life of infrequently used allergens, remove the vials from the Instrument after each use, cap them with a standard cap, and refrigerate to minimize evaporation. Alternatively, wrap the entire allergen wedge in parafilm, leaving the vials with the septum caps in place and refrigerate. Allergens stored under these conditions (refrigerated and protected from air exposure) may be used until the expiration date printed on the vial label.
10. Close the Reagent Carousel lid. Apply pressure until it clicks into place. 11. Select RUN to update the Reagent Status window. Note: An error message appears in the Reagent Status window if the kit barcode for a loaded Reagent Wedge was not entered. If a loaded Allergen Wedge has not been scanned, a message appears. 12. Select the CLOSE button to close the Reagent Status window and return to the Home screen.
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3. Determine which Bead Packs on the Bead Carousel need to be replaced using the information in the Bead Status window. Note: If no Bead Packs require replacement, proceed to Labeling and Loading Sample Tubes on page 164.
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Status No errors Empty position on the Bead Carousel An error condition exists, but the Bead Pack can still be used. Errors include: the Bead Pack has a few test remaining the adjustment is overdue for this kit
red
An error condition exists which prohibits tests from being run. Error conditions include: the kit barcode was not entered on the Instrument the Bead Pack is empty the Bead Pack barcode could not be read a matching Reagent Wedge is not onboard the Instrument the kit was never adjusted, but it will run
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Error Messages If an error occurs for a Bead Pack, it appears in the square for the Bead Pack in the Bead Status window. A + sign at the right of the error message indicates that a second error is associated with that Bead Pack. Two + signs indicate that two or more additional errors exist for that Bead Pack. Details about a Bead Pack can be viewed in the Bead Detail window. This window includes a list of all errors that have occurred for the Bead Pack. Refer to the next section for information about viewing Bead Pack detail. The following table contains some examples of errors and how they appear in the Bead Status window.
Explanation The Kit is expired and either the Reagent Wedge or Bead Pack is expired or an adjustment is due. The Kit is expired and both the Reagent Wedge and Bead Pack are expired. An adjustment is due and the number of tests remaining is low. The Bead Pack is expired and an adjustment is due. The Reagent Wedge is expired and an adjustment is due.
Kit Expired + + Adjustment Due + Expired Beads + or Expired Matching Beads + Expired Reagent + or Expired Matching Reagent +
Viewing Bead Pack Detail All details for a Bead Pack can be viewed in the Bead Detail window. The information in this window includes a list of errors that have occurred for the Bead Pack. To display the Bead Detail window for a Bead Pack while the Instrument is in RUN mode, select the square for the Bead Pack in the Bead Status window. If the Instrument is in PAUSE or STOP mode, follow these instructions to open the Bead Detail window. Select the HOME button. Select the BEADS circle. The Bead Status window appears. Select the ROTATE button. The button changes to the REVIEW button. Select the square corresponding to the Bead Pack to be viewed. The Bead Detail window appears.
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Select the CLOSE button to close the window. FIGURE 142: BEAD DETAIL WINDOW
Sequential assay detected on board. If you put the instrument in pause mode you will need to close all doors and press RUN in x minutes and xx seconds. Would you like to put the instrument in pause now? [Yes] [No]
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2. Select the square for the Bead Pack to be replaced. The Bead Carousel rotates so that the selected Bead Pack is in front of the black arrow. 3. Remove the Bead Pack to be replaced. Lift the barcoded edge of the Bead Pack and tilt it toward the center of the Bead Carousel. Slide the Bead Pack away from the center of the Carousel until the Bead Pack plunger clears the opening at the center of the Carousel. The Bead Pack should lift out easily. 4. Load the new Bead Pack. Place the Bead Pack between the carousel dividers with the barcode facing out. Tilt the side of the Bead Pack opposite the barcode label down and insert the plunger into the opening at the center of the Carousel. Snap the barcoded side of the Bead Pack into position on the carousel. Be sure it is locked in place. FIGURE 143: LOADING THE BEAD PACK
5. Close the Bead Carousel lid. 6. Select RUN to update the Bead Status window. Notes: An error message appears in the Bead Status window if the kit barcode for the loaded Bead Pack has not been entered. More information about entering kits is available in Section 4. Kit components can remain on the Instrument until they are empty or expired. Bead Packs and Reagent Wedges expire 90 days after being loaded on the Instrument. Kit components should not be used after the expiration date printed on the kit label.
7. Select the CLOSE button to close the Bead Status window and return to the Home screen.
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IMPORTANT: Use of 16 x 100 mm tubes for diluents is mandatory. Using narrower or shorter tubes can cause short-sampling of the diluent under certain conditions. The sample volume required varies with the assay to be run and the number of replicates requested on that sample. The exact sample volume required for each test can be found in the corresponding package insert. An additional 250 l of sample is required for proper instrument operation. If there is insufficient volume, an error message appears and Sample Error appears on the Display Worklist screen.
Microsampling
The Instrument can perform assays using samples whose volumes are less than 250 l. The minimum sample volume for an assay is indicated in the package insert for that assay, and with the microsampling feature, the Instrument can operate properly using at least 50 l of additional sample. A microsample is loaded on the Instrument in a disposable 10 x 50 mm polystyrene sample tube (catalog number LSMT). Each tube is placed in a re-usable Microsample Tube Holder (catalog numbers LMH5 and LMH15), which fits on the Sample Rack. Once the holders are placed on the Sample Carousel and the Instrument is put into Run mode, the samples are ordered the same as primary and secondary tubes. Note: Be sure that Microsample Tube Holders are inserted completely and touch the bottom of the rack. Barcode labels should be checked to verify that the label is not scratched, marred, positioned incorrectly, or rendered unreadable by any marks or spills.
Note: Pipette no more than five tests from a single microsample tube.
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Microsample Tube Holders have permanently affixed barcodes. The 10 x 50 mm sample tubes can be barcoded to allow identification of the specimens. Refer to the next section for information about labeling patient sample tubes. FIGURE 144: MICROSAMPLE TUBE HOLDER
If sample barcode labels are larger than the 10 x 50 mm tubes, assays may be run on microsamples without barcodes. To enter patient information manually on samples without barcodes, see Damaged or Missing Barcodes on page 198.
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Place the bottom edge of the label at least 1/2" (13mm) from the bottom of the tube. FIGURE 146: LABEL POSITIONING
1/2" (13mm)
Note: The Instrument recognizes five barcode symbologies: Code 39, Code-A-Bar, UPC, Code 128, and I-2 of 5 (Interleved). I-2 of 5 includes different dialects; therefore, the system must be configured before running a sample with this barcode. Contact Technical Service or a local distributor regarding this configuration.
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Note: The Instrument will only accept barcodes containing the following valid characters: the numbers 0-9, the letters A-Z, the characters (+), (-), (.), (#), (\), (~), and a blank space ( ). Barcodes containing invalid characters will not be accepted. 2. Select the Sample Rack to load by selecting the letter corresponding to the desired Sample Rack. The Sample Carousel Rack rotates so the rack is accessible. 3. Lift the cover as shown in the next figure. FIGURE 147: LOADING THE SAMPLE CAROUSEL RACK
4. Grasp the Sample Carousel Rack using the finger indentations and pull the rack forward until it slides out. IMPORTANT: Before loading the controls, samples, and diluents, make sure all new kit barcodes have been scanned and check for bubbles or moisture at the top of the tubes. 5. Load the controls, patient samples, and diluents, positioning the tubes so the barcodes face out. Note: Ensure that the bottom of the barcode label is not obscured by the rack. The entire barcode label must be readable. 6. After samples are placed in the Sample Rack, slide it back into the carousel, making sure the rack snaps back into position. 7. Repeat steps 1 through 4 with the next Sample Carousel Rack until all controls, samples, and diluents are loaded onto the Instrument. 8. Close the Sample Carousel door. 9. Select the RUN button to interrogate the Sample Carousel.
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Note: If the Instrument is paused while viewing the Worklist Entry screen, the screen is cleared. 2. Select the Previous and Next buttons to locate the control record to review. Note: If the barcode is damaged or missing, see Controls without Barcodes on page 206. 3. Enter the tests to run on the control sample. Select the TESTS button to open the Available Tests window and select the tests to run. See Selecting Available Tests on page 215 for more information. Tests may be entered one at a time in the Worklist window. To enter a test, enter the code in the TESTS field and then press [Enter]. Continue until all tests are ordered. Note: To run an allergy kit control, enter the Control Antibody in the TESTS field. When running an allergy kit control, do not enter any other tests. Each test added appears in the Tests Ordered field in the Worklist window. Note: To remove a test from the Tests Ordered field, select the test name. The test name turns gray. To activate the test, select the test name. The test name turns black.
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4. If more than one Kit Lot for an assay is onboard the Instrument, enter the Kit Lot number in the Kit Lot # field to run the control for a particular lot of that assay. 5. If a Control Antibody was entered in step 3, enter the lot number for the Control Antibody in the Agn Lot # field. 6. Select the ACCEPT CONTROL button. Information about the next barcoded sample on the Sample Carousel appears in the Worklist window. If the other samples on the Sample Carousel have no barcodes, the fields in the Worklist window are cleared. Note: The ACCEPT CONTROL button must be selected. Otherwise, the worklist entry will be deleted. 7. Select the Display/Edit button. The Display Worklist window appears. FIGURE 149: DISPLAY WORKLIST WINDOW (SHOWING CONTROLS)
8. Select the UPDATE SCREEN button and verify that the controls added appear in the Worklist.
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Running Assays
Follow the instructions below to run the assays. 1. Select RUN to begin processing. As tests are completed, results appear on the Home screen. Note: If there are not enough kit components (Bead Packs, Reagent Wedges, or diluents) on-board to run the tests, or if a barcode label is missing, the Consumables button turns red. See Using the Consumables Report on page 169. FIGURE 150: HOME SCREEN (SHOWING RESULTS)
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2. Load any kit components that are low or missing. Note: The next time the Consumables button is selected or the next time the barcodes are read, the button returns to the original color. 3. Select CLOSE to remove the Consumables Report from the screen. The assays begin processing.
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2. To access the Sample Rack Detail screen, select a rack letter. 3. Select a specific sample tube position (1-15) on a rack to access the detailed sample information on the Sample Rack Detail screen. 4. Select the Update button to display the most current information on the samples. 5. Select the Close button to leave the screen.
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2. The default entry in both the From and To fields is the current date. Follow the instructions in this step to enter a different date range. Click the From field. The calendar view of the Find Sample window appears. FIGURE 154: FIND SAMPLE WINDOW (CALENDAR VIEW)
Use the Month and Year buttons to display the calendar of the first month in the date range. Select the day to begin the date range. The date changes in the From field. Select the To field.
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Use the Month and Year buttons to display the calendar of the last month in the date range. Select the day to end the date range. The date changes in the To field. Select the OK button to accept the entries and close the calendar view of the window. 3. Make any selections in the Accession #, Name, Test Type and Allergen Type fields to enter other details about the sample. Note: Enter a single letter in the Name field to find samples with names that begin with that letter. 4. Select the FIND button. The Records Found window appears displaying information about the samples that match the criteria entered. FIGURE 155: RECORDS FOUND WINDOW
5. To view historical results for a patient or sample: Select a record in the Records Found window. Select the REVIEW button.
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The Review window for this patient or sample appears. FIGURE 156: REVIEW WINDOW
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The sample description next to the numbers (1-15) indicates the sample type. Sample Type Patient Adjustor Control Calibration Verifier Diluent Sample Description Appears as either the accession number or the patients name. (Position 1 in the figure above.) Begins with ~A. (Position 2 in the figure above.) Begins with ~C or can be user-defined. (Position 3 in the figure above.) Begins with ~V. (Position 4 in the figure above.) Begins with ~D. (Position 5 in the figure above.)
2. To select a new sample, select the field to the right of the sample number (1 15). The information on the right side of the screen changes. 3. Select the CLOSE button to return to the previous screen. Note: Select the SAMPLE TUBES button to return to the Sample Status screen.
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3. Enter the unique accession number of the tube to search. 4. Select the FIND button.
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5. To review adjustment data, select an adjustment and select the REVIEW button.
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The Adjustment Review screen appears. FIGURE 160: ADJUSTMENT REVIEW SCREEN
6. Select the PRINT button to print the screen. 7. Select the CLOSE button on the Adjustment Review screen. The Adjustment Log View window appears. 8. Select the CLOSE button to exit the Adjustment Log View screen.
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Exporting Data
Exporting data is useful when troubleshooting a problem. It may be helpful to export: data resulted during a specific time period a particular type of data (patient, Adjustor, etc.) data for a particular test Follow the instructions below to export data. 1. From the drop-down menu, choose Tools and Export Data. The Export Data screen appears. FIGURE 162: EXPORT DATA SCREEN
2. Under START: Click in the Date field and select the start date from the calendar Click in the Time field and select the start time from the clock 3. Under END: Click in the Date field and select the end date from the calendar Click in the Time field and select the end time from the clock 4. Under Data, select the data type (Patient, Adjustor, Control, or Verifier), or choose All to export all data types. 5. Under Test Type, select the test type or choose ALL to export all test types. 6. Under Export Method, choose either: Screen to view the selected data on the screen File to export the selected data to a file
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Printer to print the selected data. See Printed Reports on page 417 for printed samples. 7. If File was chosen as the Export Method, the Save As window appears: Double-click on the directory to store the file. Note: The scroll bar may be needed to view all the directories and files. Type a name in the Filename field and select the Save button. The Save As window disappears and the file name appears under File Information. At the Field Delimeter prompt, select Tab to separate the data with tabs or Comma to separate the data with commas. 8. Select the PERFORM EXPORT button to export the data. Note: Error message Error writing export file, disk full. Please refer to the operators manual may occur during export. This indicates that the floppy disk has run out of sufficient space to complete the operation. Try the export again with a new, unused floppy disk or reformat the current disk.
CAUTION: Formatting a floppy disk erases any information stored on the disk.
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4. Select CD or DVD (depending on the disc format in use) from the upper right corner.
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5. Select Data, followed by Make Data Disc. The Disc Content window appears. FIGURE 164: NERO EXPRESS - DISC CONTENT WINDOW
7. Select the appropriate file(s) to add to the disc. 8. Select the Add button. 9. Continue to select and add files as necessary.
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10. Select the Finished button after adding files. The Disc Content window appears listing the files to be written to disc. FIGURE 165: NERO EXPRESS - DISC CONTENT WINDOW (SHOWING FILES)
11. Confirm all appropriate files are listed. 12. Select the Next button. The Final Burn Settings window appears.
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13. Enter the name of the disc in the Disc name field. 14. Set the Writing speed to 48x (7,200 KB/s). 15. Select the Number of copies to burn. 16. Select the More button. The Final Burn Settings window expands to display more options. Note: The Allow files to be added later (multisession disc) field should NOT be selected.
17. Select the Finalize Disc checkbox. No additional data can be written to the disc once it is finalized. 18. Insert a blank CD/DVD into the burner. 19. From the Final Burn Settings window, select the Burn button. Once the burn process begins, a status window appears.
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Select Burn new CD using Nero StartSmart. Check the Always do the selected action box. Select OK.
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20. Select the OK button. 21. From the Burn Process window, select the Next button. The following window appears. FIGURE 166: NERO EXPRESS
22. Remove the CD/DVD from the burner. 23. Select the Exit button. 24. If prompted to save the project, select the No button.
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3. If desired, specify a period other than Prior 24 Hours by selecting Define Range. Click in the Start Time MM/DD/YYYY field to select a date from a calendar. Click in the Start Time HH:MM:SS field to select a time from a clock. Repeat this process with End Time. 4. To sort the data, choose one of the sort buttons listed below: Accession Number Order Created Name Test Type The sorted LIS screen appears. Note: Select the Print List button to print the list. 5. If the system is not configured to send data automatically: From the LIS screen, select the Hide Sent button to hide data that was already sent to the LIS. Note: The button changes to Show Sent. Select the records to be sent by clicking on them or select the Tag All button to tag all results for transmission to the LIS. Note: If Tag All is chosen, the button changes to Un-Tag All. Select the Send button to transmit the tagged results to the LIS. Note: If the Clear button is selected, it will permanently clear all selected data information from the database.
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8. Select Shut Down or Turn Off Computer. One of the following windows appears.
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9. Select Restart the computer? followed by the Yes button, or Restart depending on which prompt appears. Note: Press CTRL, Alt, and Delete keys simultaneously if prompted by the software after the computer restarts. 10. Press the Enter key at the Log on Information window (a password is not required).
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Section 7:
In this Section
Worklist Overview .................................................................................................................194 Adding Patients to a Worklist................................................................................................195 Barcoded Patient Samples ..............................................................................................195 Damaged or Missing Barcodes........................................................................................198 Ordering STATs ...............................................................................................................201 Adding Adjustors to the Worklist...........................................................................................202 Adding Controls to a Worklist ...............................................................................................204 Barcoded Controls ...........................................................................................................204 Controls without Barcodes ...............................................................................................206 Adding Calibration Verifiers to a Worklist .............................................................................208 Diluting Samples...................................................................................................................210 Diluting Samples Onboard ...............................................................................................210 Specifying Manually Diluted Samples..............................................................................212 Checking Kit Components ....................................................................................................214 Test Entry Options ................................................................................................................215 Selecting Available Tests.................................................................................................215 Selecting a Panel .............................................................................................................216 Assigning Tests to an Entire Rack ...................................................................................217 Assigning a Tube Position ...............................................................................................219 Worklist Management and Display Options..........................................................................220 Displaying a Worklist........................................................................................................220 Printing a Worklist ............................................................................................................221 Modifying a Worklist Entry ...............................................................................................221 Deleting a Worklist Entry..................................................................................................222 Saving and Importing a Worklist ......................................................................................223
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Worklist Overview
A worklist specifies which tests to run for each sample. If the Instrument is connected to an LIS, worklists for patient samples are entered automatically. The operator uses the Worklist screen to: add patients to a worklist if: the system is not connected to an LIS barcodes are damaged or missing specify tests for control and calibration verifier samples adjust assays order dilution samples (onboard and manually) specify STAT samples check kit components Test entry options include the ability to select tests from a list of available tests or panels, assign tests to an entire Sample Rack, or assign a tube position (if the barcode is damaged or missing). Worklist management and display options allow the operator to: display a worklist print a worklist modify a worklist delete worklist entries save a worklist import a previously saved worklist
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Note: If the Instrument is paused while viewing the Worklist Entry screen, the screen is cleared.
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2. Select the Previous and Next buttons to locate the information about the patient sample to add to the Worklist. Note: If the tube has a damaged barcode, follow the instructions under Damaged or Missing Barcodes on page 198 for this sample. 3. If desired, enter the patient's name, ID number, and birth date, and the physician's name in the proper fields. 4. Enter the tests to run on the patient sample. Select the TESTS button to open the Available Tests window and select the tests to run. See Selecting Available Tests on page 215 for more information about using the Available Tests window. Tests may be ordered one at a time in the Worklist window. To enter a test, enter the code in the TESTS field and then press [Enter]. Continue in this manner until all tests are ordered. Each entered test appears in the Tests Ordered field. The TESTS field is cleared for the next entry. Note: To remove a test from the Tests Ordered field, select the test name. The test name turns gray. To activate the test again, select the test name. The test name turns black. 5. To order a test STAT, select the STAT button and then select the test name in the Tests Ordered field. The test name turns red. 6. Select the ACCEPT PATIENT button. Information about the next barcoded sample on the Sample Carousel appears in the Worklist window. If the other samples on the Sample Carousel have no barcodes, the fields in the Worklist window are cleared. 7. Repeat steps 4 through 6 until tests are assigned for each patient sample. Note: To specify another test for a patient already added to the Worklist, either: Or Select the Previous and Next buttons to locate the accession number of the previous entry and then enter the new test. Select the New button and then enter the unique accession number and the new test.
8. Verify that all patient samples have been added to the Worklist.
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Select the Display/Edit button. The Display Worklist window appears. FIGURE 174: DISPLAY WORKLIST WINDOW (SHOWING SAMPLE ERRORS)
In the Sort List By field, select the Patients selection to view patient samples in the Worklist. Select the UPDATE SCREEN button to view the most current information. Be sure the tests added appear in the Worklist.
Description Time remaining for the test to be completed. The sample is on the Instrument, but the test has not started. The sample is not on the Instrument. The test is close to being processed. There is a problem with the Bead, Reagent, or Diluent. There is a problem with the Sample Tube (e.g., not enough sample or clot detected).
Description Time remaining for the test to be completed. Test complete; answer has not been sent to LIS.
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LIS Status Waiting No Sample Sent In-Queue Kit Error Sample Error
Description The sample is on the Instrument, but the test has not started. The sample is not on the Instrument. This record was previously sent to LIS. The test is close to being processed. There is a problem with the Bead, Reagent, or Diluent. There is a problem with the Sample Tube (e.g., not enough sample or clot detected).
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A blank Worklist screen appears. FIGURE 175: WORKLIST WINDOW (FOR A PATIENT SAMPLE)
Note: The sample type is chosen using the PATIENT, ADJUSTOR, CONTROL, or CALIB. VER. (calibration verifier) MANUAL ENTRY OPTIONS buttons. The last option selected is automatically selected the next time the Worklist screen is accessed. 2. If the PATIENT button is not highlighted, select the PATIENT button. 3. If the screen is not blank, select the New button to clear the screen. 4. If desired, select the SKIP NAME or the SKIP DEMOGRAPHICS options. Choose: SKIP NAME SKIP DEMOGRAPHICS To: skip the Name field skip the demographics fields (Patient ID, Birthdate, and Physician)
5. Type the Accession number in the Accession # field. 6. Select the Assign Tube Position button.
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The following screen appears: FIGURE 176: ASSIGN TUBE POSITION SCREEN
7. Under Select Rack To Use, select the letter corresponding to the Sample Rack where the sample is located. 8. Under Select Position To Use, a graphical depiction of the positions on the Sample Rack appears. Standard samples are shown as circles and microsamples are shown as squares. The sample status is indicated by the color of the numbered circle or square. Refer to the key for the status associated with each color. 9. Under Select Position To Use, select the position by clicking on a white circle or square. The position turns red and the rack and position appear at the bottom of the screen. 10. Select OK. The Worklist screen reappears. The tube position (rack and number) appears to the right of the Assign Tube Position button for this sample. 11. If desired, type the patient's name, ID number, and birth date, and the physician's name in the proper fields. 12. In the TESTS field, type the test name and press [Enter]. Note: It may be easier to choose from a list of available tests by selecting the TESTS button. See Selecting Available Tests on page 215 for further instructions. The test name is added to the Tests Ordered window and the TESTS field is cleared for the next entry. Note: To deselect a test, select the test name in the Tests Ordered window. The test name is now gray. To select the test again, select the test name in the Test Ordered window.
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Ordering STATs
1. If this is a STAT sample, select the STAT button and select the test name in the Tests Ordered window. The test name turns red, indicating this test now has a STAT priority and will be run first. 2. Select the ACCEPT PATIENT button.
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2. If the ADJUSTOR button is not highlighted, select the ADJUSTOR button. 3. Select the Previous and Next buttons to locate the information about the adjustor to add to the Worklist. Note: The A (or 01) level of adjustor must be entered first. 4. Enter the Kit Lot Number in the Kit Lot field. 5. To adjust an allergy assay, enter the lot number for the Adjustor Antibody in the Adj Allergen Lot # field. 6. Select the ACCEPT ADJUSTOR button. 7. Repeat steps 2 through 6 for next level of adjustor. 8. Select the Display/Edit button. The Display Worklist window appears. 9. In Sort List By field, click the Adjustors selection.
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The Adjustors appear at the top of the Worklist. FIGURE 178: DISPLAY WORKLIST WINDOW (SORTED BY ADJUSTOR)
The information from Adjustor Barcode Labels appears in the ACCESSION # column of the Worklist. The first two characters (~A), identify the tube as an Adjustor The next three characters identify the test type The next five characters identify the Adjustor lot and level (the first three identify the Adjustor lot and the last two identify the level: 01 for low and 02 for high) Note: If the barcode is damaged or missing, type the Adjustor Lot Number and Adjustor Level. Next, associate the tube and its position with the sample accession number (see Assigning a Tube Position on page 219 for more information).
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Barcoded Controls
Follow the instructions below to add control tests to the Worklist. Note: Load control samples with barcodes, and select the RUN button before proceeding with the steps below. Tests for control samples are not automatically added to the Worklist via the LIS. 1. Select the WORKLIST button on the toolbar. The Worklist window appears. FIGURE 179: WORKLIST WINDOW (FOR A CONTROL SAMPLE)
Note: If the Instrument is paused while viewing the Worklist Entry screen, the screen is cleared. 2. Select the Previous and Next buttons to locate the control record to review. Note: If the barcode is damaged or missing, see Controls without Barcodes on page 206. 3. Enter the tests to run on the control sample. Select the TESTS button to open the Available Tests window and select the tests to run. See Selecting Available Tests on page 215 for more information. Tests may be entered one at a time in the Worklist window. To enter a test, enter the code in the TESTS field and then press [Enter]. Continue until all tests are ordered.
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Note: To run an allergy kit control, enter the Control Antibody in the TESTS field. When running an allergy kit control, do not enter any other tests. Each test added appears in the Tests Ordered field in the Worklist window. Note: To remove a test from the Tests Ordered field, select the test name. The test name turns gray. To activate the test, select the test name. The test name turns black. 4. If more than one Kit Lot for an assay is onboard the Instrument, enter the Kit Lot number in the Kit Lot # field to run the control for a particular lot of that assay. 5. If a Control Antibody was entered in step 3, enter the lot number for the Control Antibody in the Agn Lot # field. 6. Select the ACCEPT CONTROL button. Information about the next barcoded sample on the Sample Carousel appears in the Worklist window. If the other samples on the Sample Carousel have no barcodes, the fields in the Worklist window are cleared. Note: The ACCEPT CONTROL button must be selected. Otherwise, the worklist entry will be deleted. 7. Select the Display/Edit button. The Display Worklist window appears. FIGURE 180: DISPLAY WORKLIST WINDOW (SHOWING CONTROLS)
8. Select the UPDATE SCREEN button and verify that the controls added appear in the Worklist.
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2. If the CONTROL button is not highlighted, select the CONTROL button. 3. Enter the accession number for the particular level of control into the Accession # field. This accession number is the same number that was assigned to a particular level of control when the control information was entered into the system. To retrieve this number: a. Select the QC button, followed by Data Entry. b. Use the Previous Control or Next Control button to locate the control material. c. Copy the accession number that corresponds to the particular level of control, and paste it into the Accession # field of the Worklist screen. Alternatively, make a note of the accession number and type it into the Worklist screen. 4. Press <Enter> on the keyboard. The control name, lot number, and level appear on screen. 5. Select the TESTS button and order the appropriate tests. 6. Select the Assign Tube Position button.
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The following screen appears: FIGURE 182: ASSIGN TUBE POSITION SCREEN
7. Under Select Rack To Use, select the letter corresponding to the Sample Rack where the sample is located. 8. Under Select Position To Use, a graphical depiction of the positions on the Sample Rack appears. Standard samples are shown as circles and microsamples are shown as squares. The sample status is indicated by the color of the numbered circle or square. Refer to the key for the status associated with each color. 9. Under Select Position To Use, select the position by clicking on a white circle or square. The position turns red and the rack and position appear at the bottom of the screen. 10. Select OK. 11. The Worklist screen reappears. The tube position (rack and number) appears to the right of the Assign Tube Position button for this sample. 12. Select the ACCEPT CONTROL button. 13. To add an additional level of control, select the New button and repeat steps 3 to 12 for each level of control.
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3. Type the Kit Lot Number, Verifier Lot Number, and Verifier Level. 4. If available, enter the High Range and the Low Range. 5. Order additional replicates. Select the TESTS button. Select the test from the Available Tests screen. Select the REPLICATES button and order the desired number of replicates. Select the OK button to close the Replicates window. Select the OK button on the Available Tests screen. Note: To deselect a test, select the test name in the Tests Ordered window. The test name is now gray. To select the test again, select the test name. 6. Select the Assign Tube Position button.
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The following screen appears: FIGURE 184: ASSIGN TUBE POSITION SCREEN
Under Select Rack To Use, select the letter corresponding to the Sample Rack where the sample is located. Under Select Position To Use, a graphical depiction of the positions on the Sample Rack appears. The sample status is indicated by the color of the numbered circle or square. Refer to the key for the status associated with each color. Under Select Position To Use, select a position by clicking on the white circle or square. The position turns red and the rack and position appear at the bottom of the screen. Select OK. The Worklist screen reappears. The tube position (rack and number) appears to the right of the Assign Tube Position button for this sample. 7. Select the ACCEPT VERIFIER button. 8. Repeat steps 2 through 7 until tests are assigned for each calibration verifier sample. Note: Calibration verifier reports (as well as other reports) are printed automatically if these options are selected in the Configuration Settings screen.
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Diluting Samples
Dilution of samples may be accomplished onboard (follow instructions below) or they may be mixed manually offline and then placed onto the Instrument. However, do not exceed a combined on-board and manual dilution factor greater than 99,999. See Diluting Samples Onboard on page 210 or Specifying Manually Diluted Samples on page 212 for more information. Note: If a manual dilution was previously assigned, this dilution factor will be included in the automatic dilution factor. Refer to Specifying Manually Diluted Samples on page 212 for further information.
Note: Predilutions are done automatically for assays that require running prediluted patient samples. The Dilution Factor will be 1 on the Display Worklist screen. If a further dilution is necessary, it must be performed manually. See Specifying Manually Diluted Samples on page 212 for more information. 1. To find a patient record: Select the Display/Edit button on the Worklist screen. Select the patient record and select the EDIT RECORD button. The Worklist screen for that patient appears. 2. Select the Dilution button. 3. Select the assay to dilute in the Tests Ordered window.
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The Dilution Factor window appears on the Worklist screen. FIGURE 185: WORKLIST SCREEN SHOWING THE DILUTION FACTOR WINDOW
Note: The barcoded diluent tube must be on the Sample Carousel. 4. Select the X5, X10, X20, X40, or X100 dilution buttons for a 1 in 5, 1 in 10, 1 in 20, 1 in 40, and 1 in 100 dilution, respectively. After the dilution is selected, the Dilution Factor window disappears and the dilution factor appears on the Worklist screen. Note: The Dilution Volumes Specification Table on page 292 shows the amount of sample, water, and diluent used for onboard dilutions. 5. Select the ACCEPT PATIENT button on the Worklist screen. Note: If the diluent barcode cannot be read, the diluent can be entered in the Worklist screen (for a patient sample) by assigning a diluent name in the Accession # field. Then select the Assign Tube Position button to define the sample position. Diluents are identified by the prefix ~D, followed by the corresponding diluent name (e.g., ~DHCG). The diluent name may be found in the Kits screen. Do not assign tests to a diluent tube.
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The Dilution Factor window appears on the Worklist screen. FIGURE 186: WORKLIST SCREEN SHOWING THE DILUTION FACTOR WINDOW
4. Select the X1 button to change the dilution factor to one. The sample will not be diluted.
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The Manual Dilution window appears: FIGURE 187: MANUAL DILUTION WINDOW
4. Type the Manual Dilution Factor and select the OK button. The Manual Dilution Factor appears under Dilution Factor (on the Worklist screen) for all tests ordered on this sample. Notes: If a manual dilution is specified on a panel that has an automatic dilution, the dilution factors are combined. Do not exceed a combined on-board and manual dilution factor greater than 99,999.
5. Select the ACCEPT PATIENT button on the Worklist screen. CAUTION: Do not attempt to enter Manual Dilution factors for samples that are in queue or in progress because the dilution factor is ignored and the result will not be corrected for the manual dilution.
Note: When a patient sample is diluted either manually or onboard, the Instrument will automatically calculate the actual concentration of the patient sample by multiplying the diluted patient sample result by the dilution factor.
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2. If desired, print the report by selecting the Print Report button. 3. Load any needed kit components. 4. Close all Instrument covers. 5. Select RUN to begin processing. Note: The next time the Consumables button is selected or the next time the sample barcodes are read, the button returns to the original color. 6. Close the Consumables Report screen by selecting the CLOSE button.
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Note: Select the ACTIVE KITS buttons to view all kits entered in the database. 2. Add immunoassays to the Worklist. To exclude immunoassays in the Worklist, proceed to step 3. Select the Immunoassay ON BOARD button. A button for every available immunoassay appears in the center of the window. Select the button for each immunoassay to add to the Worklist. The code for the assay chosen appears in the Tests Selected field.
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3. Add allergy tests to the Worklist. To exclude allergy tests in the Worklist, proceed to step 4. Select the Allergy ON BOARD button. A button for every available Allergy test appears in the center of the window. Selections for universal allergy reagents appear below the Test Categories field. Select the universal reagent (e.g., SPE) to use for the allergy test added to the Worklist. Select the button for the allergy test to add to the Worklist. The code for the test chosen appears in the Tests Selected field. Continue selecting universal reagents and tests for each allergy test to add to the Worklist. Note: To remove a test selected in the Available Tests window, select the button for that test. To remove an allergy test, select the universal reagent and then select the button for the allergy test to remove. 4. Specify replicates of the tests added to the Worklist. Proceed to step 5 if replicates are not needed. Select a test in the Tests Selected field and select the REPLICATES button. The Replicates window appears. FIGURE 190: REPLICATES WINDOW
Display the number of replicates to perform using the arrow buttons. The number can also be changed using the keyboard. Select the OK button to enter this number and close the Replicates window. Repeat this process for all tests that require replicates. 5. When finished selecting tests, select the OK button in the Available Tests window to save the entries and close the window. The tests selected appear in the Tests Ordered field in the Worklist window.
Selecting a Panel
Follow the instructions below to select a panel of tests to run for a particular sample. Note: The panels are configured on the Panel Configuration window. See Panel Configuration on page 50 for more information.
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1. From the Worklist screen, select the PANELS button. The Available Panels screen appears showing a list of available panels. FIGURE 191: AVAILABLE PANELS SCREEN
2. Select the desired PANEL button. The tests included in this panel appear in the Tests Ordered window. Note: The color of the test name in the Tests Ordered window corresponds with the panel name. 3. Select other PANEL buttons, if desired. Note: To deselect a panel, select the PANEL button again. 4. Select the OK button. The Worklist screen re-appears.
CAUTION: Do not add additional tests to a Sample Rack while it is running (i.e., between pipetting and incubation). 1. Load the samples on the Sample Rack, place the rack on the Instrument, and select the RUN button.
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2. From the Worklist screen, select the Batch Tests by Rack button. The following screen appears with the available racks highlighted. FIGURE 192: ASSIGN TESTS TO RACK SCREEN
3. Select one or more of the available Sample Racks. Note: To deselect a Sample Rack, select the rack again. 4. Select the tests to run. Either: Type the test name in the field next to the TESTS button and press [Enter]. Continue this process until all tests are ordered. Or Select the TESTS button to select from a list of available tests. See Selecting Available Tests on page 215 for more information. Select the PANELS button and select from a list of available panels. The tests appear in the Tests Selected window. Note: The CLEAR button can be used to clear the entries from the Tests Selected window. 5. Select a dilution to be applied to the rack. For on-board dilutions, select the Dilution button. The Dilution Factor window will appear. Choose the appropriate on-board dilution. For manual dilutions, select the Manual Dilution button. The Manual Dilution Factor window will appear. Enter the dilution factor and select OK. The sample must be diluted by the operator prior to loading onto the system. Note: When a manual dilution factor is entered for a Sample Rack, the entered dilution factor will be applied to all samples in that rack. For a combined on-board and manual dilution, the Instrument combines the dilution factors.
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Note: Do not exceed a combined on-board and manual dilution factor greater than 99,999. 6. Select ACCEPT button when finished.
3. Under Select Rack To Use, select the letter corresponding to the Sample Rack where the sample was placed. 4. Under Select Position To Use, a graphical depiction of the positions on the Sample Rack appears. Standard samples are shown as circles and microsamples are shown as squares. The sample status is indicated by the color of the numbered circles or squares. Select the position by clicking on a white circle or square. The position turns red. 5. Select OK. The Worklist screen reappears. The tube position (rack and number) appears to the right of the Assign Tube Position button for this sample.
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Displaying a Worklist
From the Worklist screen, view all current records by following the instructions below. 1. Select the DISPLAY/EDIT button. The Display Worklist screen appears: FIGURE 194: DISPLAY WORKLIST WINDOW (SHOWING SAMPLE ERRORS)
2. Sort the Worklist by selecting one of the options next to Sort List By. The Display Worklist can be sorted by: Accession Number Entered Order Test Name in alphabetical order Patient Name in alphabetical order Rack Order Adjustors (to display Adjustors first) Controls (to display Controls first)
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Patients (to display Patients first) Calibration Verifiers (to display Calibration Verifiers first) Status (to display samples by current status) Note: The Sample Type column shows either A for Adjustor, C for control, P for patient, or V for calibration verifier. 3. To scroll through the Worklist, select the UP or DOWN buttons.
Printing a Worklist
Either an individual record or the entire Worklist can be printed from the Worklist screen. 1. From the Worklist screen, select the PRINT ALL button. The following window appears: FIGURE 195: PRINT WORKLIST WINDOW
2. Choose a sorting option by selecting one of the Sort Printout By options. 3. Choose the type of record to print by selecting one of the Print options. 4. Select the PRINT button. See Print "ALL" Worklist on page 423 for a printed sample.
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The Worklist screen appears, displaying the selected record. 5. Make any changes and select the ACCEPT PATIENT button. The Display Worklist screen reappears.
3. Select the DELETE RECORD button. The selected records are deleted.
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2. Select the SAVE WORKLIST button. The Export Worklist window appears: FIGURE 198: EXPORT WORKLIST WINDOW
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Note: Use ASCII File when the file is to be imported into another application (Lotus, Excel, etc.). 4. Select the OK button. The Save As window appears.
5. Double-click on the directory where the worklist file should be stored. Note: The scroll bar may be needed to view all the directories. 6. Type a name in the Filename field and select the Save button. The Save As window closes and the Worklist is saved.
Importing a Worklist
Follow the instructions below to import a previously saved worklist. 1. From the Worklist, select DISPLAY/EDIT. The Display Worklist screen appears. FIGURE 199: DISPLAY WORKLIST WINDOW (SHOWING SAMPLE ERRORS)
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2. Select IMPORT WORKLIST. The following window appears. FIGURE 200: IMPORT WORKLIST WINDOW
3. Choose the file format used when the file was saved, either Binary File or ASCII File. 4. Select the OK button. The following window appears:
5. Double-click on the directory where the file is stored. Note: The scroll bar may be needed to view all the directories and files. 6. Double-click on the filename. 7. The name appears in the Filename field. 8. Select the Open button. The window is removed from the Display Worklist screen and the imported Worklist appears.
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Section 8:
Reviewing Results
In this Section
Reviewing Results ................................................................................................................228 Changing the Default Time ..............................................................................................230 Searching for a Result .....................................................................................................232
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Reviewing Results
The results review function is used to review results from a sample previously run. Follow the instructions below to review results. 1. Select the REVIEW button. A blank Review screen appears: FIGURE 201: REVIEW SCREEN
Note: The default time option is Today Only. To change the default time, see Changing the Default Time on page 229. 2. Select one of the option buttons listed below, indicating the result type: All Patient Adjustor Control Verifier (for calibration verifier) Note: The type of data displayed on the Review screen varies depending on whether the result is a patient, control, Adjustor, or calibration verifier. The following Review screen shows the results for the first patient.
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Note: If reference ranges were entered, they are displayed for the first test result, which are highlighted. See Section 2 for information on entering ranges. 3. Use the buttons to view the results or to print a particular patient's results. The buttons on the Review screen are described in the table below: Button PgUp or PgDn Up and Down Previous and Next Print Patient, Adjustor, Control, or Verifier Search Description Displays the previous or next page of results for this patient Scrolls through the results for a particular patient one by one. Displays the previous or next patient's results. Prints all the results for the patient with this Accession number. Refer to Appendix H for samples of print-outs. Allows the operator to search for a specific result. Note: See Searching for a Result on page 232 for more information. The search option is not available if All was chosen in step 2. 4. Select the desired result to view the reference ranges for this test.
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2. Select the desired button according to the information in the table below: Button FROM TO Function Displays the results from a specified time and date. Note: The operator must enter the desired times and dates in the From and To fields (using the calendar and the clock) and select the OK button. TODAY ONLY ALL Displays results for the current date. Displays all the patient control, Adjustor or calibration verifier results (depending on the button chosen in step 2). If ALL was chosen in step 2, all records in the database are displayed.
3. If the TODAY ONLY or ALL button was chosen in step 2, select the OK button. The new default time specification appears to the right of the Time button (on the Review screen). 4. If the FROM TO button was chosen in step 2, click in the mm/dd/yyyy field under From.
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The Select Time Method window appears showing a calendar. FIGURE 203: SELECT TIME METHOD WINDOW (FROM TO)
5. To change: The month: Select the arrows to the left and right of the month for the previous or next month. The year: Select the arrows to the left and right of the year for the previous or next year. The day: Select the date. The date changes. 6. Click in the hh:mm:ss am/pm field under From. A digital clock appears. Note: The time defaults to 12:00:00 am. FIGURE 204: SELECT TIME METHOD (FROM TO) WITH DIGITAL CLOCK DISPLAYED
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7. Select the up and down arrows to change the time (hours, minutes, or seconds) and select the OK button under the clock. The time changes. 8. Repeat steps 1 though 4 for the To date and time fields. Note: The time defaults to 11:59:59 pm. 9. Select the OK button. The new default time specification appears to the right of the Time button (on the Review screen).
2. From the Review screen, select one of the option buttons listed below, indicating the type of result to review. Patient Adjustor Control Verifier (for calibration verifier) Note: A search cannot be performed if ALL is selected. 3. Select the Search button.
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Note: The Search window varies depending on the record type (patient, control, Adjustor, or calibration verifier). FIGURE 206: SEARCH PATIENT BY WINDOW
The Search window above searches for patient results. The search options for Adjustor, control, or calibration verifier results are listed in the table below:
The available search options are: Control Name Control Lot Test Type Allergen Type Test Type Kit Lot Verifier Lot Number Test Type Kit Lot Verifier Level
4. Select the Time button to set the time frame searched (default is current date). 5. Type the search information and select the OK button. The Search Results screen appears, showing the results meeting the search criteria.
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Note: Select the Exact Match option to view the results that identically meet the search criteria. If the Exact Match checkbox is not selected, anything similar to the entered data will be displayed. FIGURE 207: SEARCH RESULTS SCREEN
6. Select a result and choose the OK button. The Review screen for that result appears.
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Section 9:
In this Section
Reviewing LIS Results..........................................................................................................236 Sending Results to the LIS ...................................................................................................238 Resending Data ...............................................................................................................238 Clearing LIS Data.............................................................................................................238
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Note: For the data status, refer to the color key along the bottom of the screen.
Description Time remaining for the test to be completed. Test complete; answer has not been sent to LIS. The sample is on the Instrument, but the test has not started. The sample is not on the Instrument. This record was previously sent to LIS.
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Description The test is close to being processed. There is a problem with the Bead, Reagent or Diluent. There is a problem with the Sample Tube (e.g., not enough sample or clot detected).
2. If desired, select the Show Sent button to show results already sent to the LIS. Note: The button will change to Hide Sent. 3. Sort the LIS data by selecting the Sort By... button. The following screen appears: FIGURE 209: LIS SORT BY SCREEN
4. If desired, specify a period other than Prior 24 Hours by selecting Define Range. Select the MM/DD/YYYY field to access the calendar and select a date. Select the HH:MM:SS xm field to access the clock and select a time. 5. To sort the results, choose one of the sort buttons listed below: Accession Number Order Created Name Test Type Note: Select the Print List button to print the list. To clear the LIS data, see Clearing LIS Data on page 238.
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Resending Data
Results previously sent to the LIS can be resent by following the instructions below: 1. From the LIS screen, select the Show Sent button. The previously sent LIS results appear. 2. Select the results to be sent by clicking on them. 3. Select the Re-Send button to transmit the results to the LIS.
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Note: If Clear Records is selected, all tagged records are permanently deleted from the database. Patient records cannot be recovered. Or Select Cancel to exit without clearing the records.
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Section 10:
Getting Help
In this Section
Help ......................................................................................................................................242 Specifications...................................................................................................................242 Navigation ........................................................................................................................242 Menu Options...................................................................................................................243 Context-Sensitivity ...........................................................................................................245 Field-level and Error-level Help........................................................................................246 Locating Routine Procedures...........................................................................................247 Using the Index Feature...................................................................................................248 Using the Search Feature ................................................................................................249
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Help
Select the HELP button on the toolbar for a description of the operation of the Instrument and its software. Help is a reference guide integrated with the software that includes an overview of the system and complete operating, maintenance, and troubleshooting procedures. This feature provides the operator with answers to screen-specific questions about software functionality and operation. FIGURE 210: HELP BUTTON
Specifications
Help is integrated with Instrument software. Thus, any computer running the Instrument software has the capability to run the Help software.
Navigation
Help is organized much like books in a library. A book icon represents each help topic with sub-topics displayed as chapters within the topic. The toolbar buttons can be used to display all Help topics and allow navigation within Help topics. FIGURE 211: HELP MENUS AND TOOLBAR
1. Select the Help Topics button on the toolbar to display all help topics. The help screen displays help topics in the left pane and information about a highlighted topic in the right pane. To move from topic to topic, select the addition symbol next to the book icon. 2. Select the Back button to move to the previously viewed topic.
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Menu Options
The operator can access different views and display options within the Help using the menu options. FIGURE 213: HELP MENUS AND TOOLBAR
Function Open Allows the user to open a Help file. Print Topic Allows the user to print a Help topic. Exit Allows the user to exit the Help file.
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Function Copy Copy text from the help file to the clipboard. Annotate Associate additional information with a specific topic. When a topic is annotated, a paper clip icon appears next to the topic. Select the paper clip icon to display the annotation text.
Bookmark
Define Allows the user to define an electronic placeholder to allow the user to return to a specific Help topic. Keep Help on Top Determines the visual position of the Help file when other applications are open simultaneously. Default Sets the Help file as always open and visibly in front of all open applications. On Top Sets the Help file as always open and visibly in front of all open applications but inactive. The title bar at the top of the Help file window becomes gray when another application is opened. Not on Top Sets the Help file to open upon user initiation. The Help file minimizes when another application is opened. Display History Window Opens a window that displays the history of the help topics previously viewed. Double-clicking a topic in this window opens that Help topic. Font Change the size of the font for Help topics. Use System Colors Set colors used in the Help file to match those that are used for the PC.
Options
Help
Version Displays current version and copyright statement for Windows Help. About WinHelp 2000 Provides WinHelp product description.
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Context-Sensitivity
Help is designed to provide the operator with assistance when and where it is needed while operating the software. This is called context-sensitivity. The operator can enlist Help to assist with software screens, software commands, and software instructions, and to provide instruction on Instrument operation. To locate help on a software screen while in the software, perform the following steps: 1. While in any software screen, select the HELP button. The appropriate help screen appears.
2. In the Help screen, select the Help Topics button to display a list of help topics. 3. Select the help topic by selecting the addition symbol in front of the book icon to the left of the topic. The sub-topics within that topic appear. 4. Select the sub-topic of interest.
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The information on that sub-topic appears in the right panel of the Help screen. FIGURE 214: HELP SUBTOPIC SMENU
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Help for that particular screen or error message displays. FIGURE 216: CONTEXT-SENSITIVE HELP SCREEN
2. To move the Help screen, select the outer edge of the screen and drag the window to a new destination. 3. To resize (minimize or maximize) the Help screen, select the resize buttons in the top right corner of the screen.
2. In the Help screen, select the Help Topics button to display a list of help topics. 3. Select the help topic by selecting the addition symbol to the front of the book icon to the left of the topic. The sub-topics within that topic appear. 4. Select the sub-topic of interest.
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The information on that sub-topic appears in the right panel of the Help screen. FIGURE 218: HELP ROUTINE PROCEDURES SUBTOPICS MENU
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2. Select the Index tab from the Help screen to display a list of Index contents. FIGURE 220: HELP INDEX TAB SCREEN
3. Select the index topic by clicking the topic. The sub-topics (if applicable) within that topic appear. 4. Select the index topic of interest. The information on that topic appears in the right pane of the Help screen.
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The Find Setup Wizard setup window appears. FIGURE 221: FIND SETUP WIZARD SCREEN (DATABASE)
3. Leave the default selection to minimize database size and select Next to proceed. FIGURE 222: FIND SETUP WIZARD SCREEN (FINISH)
4. Select Finish to complete the setup wizard. The Search database is now ready for use.
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3. In the search window, type a word or phrase (e.g., load). The second window appears with matching words. 4. Select a word or phrase to narrow the search. 5. The results window appears with all topic entries that contain the word or phrase. 6. Select the topic to display. The topic appears in the right pane of the screen with the search results highlighted.
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Section 11:
Troubleshooting
In this Section
Overview...............................................................................................................................254 The Error Report Screen ......................................................................................................255 Viewing the Error/Event Logs ...............................................................................................256 View Event Log ................................................................................................................256 Day Error Log...................................................................................................................259 Viewing Instrument Temperatures........................................................................................260 Diagnostic Programs ............................................................................................................261 Initializing Diagnostics......................................................................................................261 Diagnostic Program Descriptions.....................................................................................263 Electrical Power Loss ...........................................................................................................266 Probe Replacement .........................................................................................................266 Waste Chute Clean Out Tool................................................................................................268 Detecting and Correcting Clots.............................................................................................270 Sample Clots....................................................................................................................270 Clinging Clots...................................................................................................................271 Quick Reference Assay Troubleshooting Guide...................................................................274 Sandwich Assays.............................................................................................................274 Competitive Assays .........................................................................................................274 Pre-Treated Assays .........................................................................................................274 Troubleshooting Controls Post Adjustment......................................................................275
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Overview
Troubleshooting screens include the Error Report, Day Error Log, View Event Log, and Temperature screen. This section also includes the list diagnostic programs. See Section 6 for procedures on viewing the adjustment log, beads and reagents on board, allergens on board, and exporting data. IMPORTANT: When the Instrument detects a jam, the Instrument software program may be minimized. If this occurs, select the x to exit the Instrument software. Re-launch the program by double-clicking the IMMULITE 2000 or IMMULITE 2500 icon from the Windows desktop. Select View Event Log to determine the cause of the jam.
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Note: Move the scroll bar to the right to view the end of a long error message. The buttons on the Error Report screen are explained in the table below:
Function Provides help for correcting the problem that caused the error. When Sound On is selected, the system will beep when the Error screen appears. The button changes to Sound Off. When Sound Off is selected, the system will not beep when the Error screen appears. The button changes to Sound On. Closes the Error screen. Prints the current errors.
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4. Select the CONTINUE button. The system logs off and the Initial screen appears. FIGURE 225: IMMULITE 2000 STARTUP SCREEN
5. Select the View Event Log button. The following screen appears, which is used to specify the type of errors to display. FIGURE 226: VIEW EVENT LOG SPECIFICATION SCREEN
6. Under TIME RANGE, select Whole Event Log to view the entire error history or Selected Time Range to specify a date and time. Note: Error messages are stored for 90 days. If Selected Time Range was chosen: Click in the Start Date field and select the desired date from the calendar
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Click in the Start Time field and select the desired time from the clock. Click in the End Date field and select the desired date from the calendar Click in the End Time field and select the desired time from the clock. 7. Under ERRORS, select All Error Types to view all errors or Selected Range to view specific errors (for example, only Pipettor Tip Jam errors). If Selected Range was chosen, enter the Event Numbers (which appear on the error messages) for the desired errors in the From and To windows. 8. Under SEVERITY, select All Severity Levels to view all errors or Selected Levels to view only a certain level of error. If Selected Levels was chosen, select the WARNINGS, ERRORS, or SEVERE ERRORS button. Note: More than one button can be chosen. Severe errors are errors that affect test results or interrupt Instrument operation. 9. Sort the errors by either Date And Time or Event Number by clicking the desired option under Sort Order. 10. Select the SEARCH button. The View Event Log screen appears listing the errors that meet the criteria chosen on the View Event Log Specification screen. FIGURE 227: DAY ERROR LOG SCREEN
11. Select the Previous Page, Next Page, Home, and End buttons to scroll through the event messages. 12. Select the Print Error Log button to print the Error Log. CAUTION: This log may be hundreds of pages long; selecting the Print Error Log button will print every page. Before printing, refine the search and print only the relevant events. 13. Select the CLOSE button to exit the Event Log.
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2. Use the Previous Page and Next Page buttons to page through the errors. Note: Select the Home and End buttons to move to the beginning and end of the error list respectively. 3. Select CLOSE to close the Day Error Log screen.
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Diagnostic Programs
Diagnostic programs are used to diagnose or correct system problems. After loading a program, instructions appear which are specific to that program.
Initializing Diagnostics
Follow the procedure below to initialize the diagnostic software. Note: Diagnostics can not be run if the Instrument software is running. If necessary, log off of the Instrument software before proceeding. See Logging Off the System on page 71.
1. Double-click the Diagnostics icon from the desktop. FIGURE 230: DIAGNOSTICS MAIN MENU
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2. Once the Instrument initializes, select the Condensed Run Program button. The Load Program screen appears. FIGURE 231: DIAGNOSTIC PROGRAM SCREEN
Note: See the Diagnostic Program Descriptions on page 263 for more information about each diagnostic. 3. Select Home All Motors - 2000 (IMMULITE 2000) or IMM 2500 Home All Motors (IMMULITE 2500), and then RUN. 4. When Home All Motors is complete, select the Load Program button. 5. Select Cover Unlock - 2000 (IMMULITE 2000) or IMM 2500 Cover Unlock (IMMULITE 2500), and then RUN. Note: The cover unlocks automatically during the Daily Probe Cleaning diagnostic. 6. Lift the cover. 7. Select the Load Program button to load the list of diagnostics. 8. Run the appropriate diagnostic.
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Description Displays the current temperatures of the Incubator, Luminometer, Substrate Heater, and Reagent Carousel (in this order) in a small green window at the bottom right corner of the screen. This program is used during manufacturing. Used to prime the Clot Transducer Cavity. Note: This program does not prime the entire fluidics system. This program is used during manufacturing. Unlocks the top cover on the Instrument. Used to carry out the daily probe cleaning maintenance routine for both the Sample and Reagent Probes. The following components are required: Siemens Diagnostics Cleaning Solution, a sample tube, and an empty reaction tube. After loading the program, follow the onscreen instructions.
CAF from exit Clot Prime Clot Test #1 Cover Unlock Daily probe cleaning
Decontamination
Used to carry out a decontamination routine using probe wash (prepared 10X dilution) in the Water and Probe Wash lines. Prior to running the decontamination program, the Home All Motors diagnostic program must be run. Once this is complete, load Decontamination and follow the on-screen instructions.
Empty Incubator Home All Motors Hopper Elevator Test Prime DRDs Reagent Arm Position Test Reagent Probe Angle Dispense
This program is used during manufacturing. Used to initialize the motors before running any diagnostic program Moves the Hopper Elevator and tests the elevator sensor. Primes most of the fluidics lines (Water and Probe Wash) with the exception of the Transducer and the Water Probe. Moves and pauses the Reagent Probe Arm at each of its pipetting positions. Used to check the fluid dispensing from the Reagent Probe. The Reagent Probe is positioned over the Reagent Pipettor Drain and fluid is dispensed.
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Program Name Sample Arm Position Test Sample Probe Angle Dispense
Description Moves and pauses the sample probe arm at each of its pipetting positions. Used to check the fluid dispensing from the Sample Probe. The Sample Probe is positioned over the Sample Pipettor Drain and the fluid is dispensed. Watch the angle of the fluid dispensing from the probe. The fluid should dispense straight down from the probe into the blind hole.
Tests all sensors. Tests all sensors, the Tube Shaker Motor, and the Hopper Elevator Motor. Prior to running this program, the Home All Motors diagnostic program must be run.
Primes the Substrate and Water Probe. Note: The program includes prompts to remove the Substrate and Water Probes from the Bead/Tube Wash Station before each is primed.
SUBSTRATE PRIME
Primes the Substrate Probe. Note: The Substrate Probe must be removed from the Bead/Tube Wash Station before priming.
Transducer Decon
Decontaminates the clot detection mechanism using 0.1M NaOH in a 12 x 75mm sample tube. After loading Transducer Decon, follow the instructions on the screen. Note: A prompt will appear to fill a sample tube with 2.5 mL 0.1M Sodium Hydroxide. This tube must be placed in position 1. CAUTION: In its solid form, Sodium Hydroxide is caustic. When using a Sodium Hydroxide solution, avoid contact with skin or clothing. With either the solid or the solution, take customary laboratory precautions.
Tests the sensors in the Exit Tube Chute. As part of weekly maintenance, this program takes Probe Cleaning Solution from the Sample Carousel and Reagent Wedge and cleans the waste tube from the wash/spin station. See the Weekly Maintenance procedure in Section 3 for more information. Primes the Water Probe. Note: The Water Probe must be removed from the Bead/Tube Wash Station before priming.
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Description Used to test the water for alkaline phosphatase contamination. After loading WATERTEST, follow the on-screen instructions. For detailed instructions (including how to evaluate the results), see Water Test (IMMULITE 2000) on page 92 or Water Test (IMMULITE 2500) on page 94. Note: WATERTEST uses two Reaction Tubes.
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Probe Replacement
If a probe fails the probe angle test, replace the probe following the instructions below. 1. Remove the probe tube retaining clip from the Reagent/Sample arm column. 2. Unscrew the probe from the arm mount, and remove the Probe from the arm. 3. Unscrew the black probe extension from the Manifold Block, turning both the entire probe and extension piece together. 4. Unscrew the probe extension from the probe. The extension piece will be re-used to mount the new probe. Properly discard the old probe. 5. Attach the probe extension to the fitting of the new probe. Hold the probe fitting secure with a 5/16 wrench while turning the extension only. Ensure a secure fit. 6. Attach the probe extension to the Manifold Block by turning both the entire probe and the extension piece together. Note: Take care to prevent twisting or kinking the probe tubing. 7. Insert the probe into the arm mount and tighten securely. Verify the tubing is on the left side of the Sample/Reagent arm.
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8. Attach the probe tubing to the inside of the retaining clip on the Reagent/Sample arm. FIGURE 232: PROBE IN ARM MOUNT
Arm Mount
Retaining Clip
9. Secure the probe tubing with the retaining clip. 10. Properly prime all air from the new probe.
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3. Place a shallow container or an absorbent cloth over the Solid Waste Load Scale, toward the back wall. This will protect the Load Scale and catch any Reaction Tubes. It also prevents falling beads from rolling under the Load Scale. 4. Locate the Waste Chute opening in the upper left-hand corner of the Solid Waste Container area.
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5. Insert the Waste Chute Clean Out Tool or flexible tubing such as Tygon (approximately 15 inches in length and inch in diameter) into the Waste Chute opening from the bottom. FIGURE 234: WASTE CHUTE OPENING
6. Dislodge the jam by using repeated short up and down movements. 7. Remove the tool. The jammed Reaction Tubes and beads will fall onto the shallow container or absorbent pad. 8. Located on top of the Instrument behind the Wash Spin Station is the Waste Chute Cover. Remove the Waste Chute Cover. 9. Using a flashlight, look into the opening for the presence of Reaction Tubes. None should be visible. If tubes are present, manually remove them. 10. To make sure that the blockage was removed, drop an empty Reaction Tube marked with an X down the Solid Waste Chute. The marked Reaction Tube should travel freely down the chute to the tray or cloth in the Solid Waste Container area. 11. If the marked Reaction Tube does not drop through, repeat steps 5 thru 7. 12. Repeat dropping a marked, empty Reaction Tube down the Waste Chute to assure the jam has been cleared.
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Sample Clots
Sample clots occur when the clot remains in the sample. The system successfully draws a slug of air after the clot is detected, indicating the pipettor is not obstructed. 1. Select the WORKLIST button. The Worklist window appears. FIGURE 235: WORKLIST WINDOW (FOR A PATIENT SAMPLE)
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The Display Worklist window appears showing sample errors. FIGURE 236: DISPLAY WORKLIST WINDOW (SHOWING SAMPLE ERRORS)
3. Locate the clotted sample on the worklist. Sample Error displays in the status column. 4. Open the Sample Access door. The system enters Sample Pause mode. Select the rack letter where the clotted sample is located. The rack moves to the front. 5. Remove the Sample Rack from the Instrument. 6. Remove the clotted sample and return the Sample Rack. 7. Close the Sample Access door. 8. Press the RUN button to resume Instrument operation.
Clinging Clots
A clinging clot occurs when the clot is stuck to the Sample Pipettor. The system is unsuccessful when it draws a slug of air, indicating the pipettor is obstructed. No additional samples are pipetted until the clot is removed. Three possibilities can be observed: Gel Clot: The pipettor entered the gel in a gel separator tube. Hanging Clot: A clot is hanging on the end of the pipettor. Air in the System: Air is present in the clot detection module.
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Gel Clots
1. Select the PAUSE button on the control bar. The system enters the PAUSE mode. 2. Select the COVER button to open the Instrument cover. 3. Visually inspect the probe. 4. Replace the probe if it entered the gel barrier of a tube. See Probe Replacement on page 266 for more information. 5. Select the PRIME button on the control bar in the software to prime the DRDs. 6. Locate and remove the clotted sample. 7. Close the cover. 8. Select the RUN button.
Hanging Clots
Follow these steps to remove a hanging clot. CAUTION: Do not insert anything into the probes for cleaning. Permanent damage may occur. 1. Select the CLOSE button on the red error message box. 2. Select the PAUSE button on the control bar. The system enters the PAUSE mode. 3. Select the COVER button to open the Instrument cover. 4. Visually inspect the probe. 5. Use a lint-free wipe to remove the clot with a downward wiping motion. 6. Select the PRIME button on the control bar in the software to prime the DRDs. 7. Locate and remove the sample. 8. Close the Instrument cover.
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Sandwich Assays
Condition No Bead No Sample No Reagent No Substrate Expected Result Error or < lower assay limit < lower assay limit Error; < assay limit; Extremely low results Error and CPS will be < 100 CPS
Competitive Assays
Condition No Bead No Sample No Reagent No Substrate Expected Result Error < Lower assay limit Error; > Upper assay limit Error; CPS will be < 100 CPS
Pre-Treated Assays
Condition No Bead No Sample No Reagent (1) Pretreatment No Reagent (2) No Substrate Expected Result Error < Lower assay limit < Lower assay limit
Error; > upper assay limit Error; CPS will be < 100 CPS
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Slope > 10 % previous adjustment or outside slope range > 10 % previous adjustment or outside slope range
Exceeds limit
Reagent wedge
Controls
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Section 12:
In this Section
Internal Calculations .............................................................................................................278 Master Curve/Two-Point Adjustment ....................................................................................279 Calibration Overview........................................................................................................279 Master Curve Generation.................................................................................................279 Two-Point Adjustment......................................................................................................280 Judge Adjustment Validity................................................................................................281 Summary..........................................................................................................................286 Readjustment...................................................................................................................286 Master Cutoff Generation for Qualitative Assays..................................................................287 Measure the Cutoff for an Assay .....................................................................................287 Calculation of Ratios ........................................................................................................288 Chemiluminescent Reaction.................................................................................................289
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Internal Calculations
This section provides a step-by-step description of the internal calculations performed by the system when determining test results. 1. Since the Instrument's ultra-sensitive assays can produce up to several hundred million counts per second (CPS), the Instrument uses an attenuator disk in front of the photomultiplier tube (PMT) to provide accurate readings over a very broad range of light signals. This attenuator disk has three positions: Closed - completely blocks the PMT Attenuated - positions a neutral density filter in front of the PMT Open - an open, unfiltered position The Instrument's attenuation filter restricts the amount of light striking the PMT, ensuring an accurate count, even if the actual light output from the tube exceeds the PMT's linear range. 2. For each sample, the Instrument takes two one-second readings (dark count in the closed position and a decision count reading in the attenuated position). If the decision count reading indicates the light level is within the working range of the PMT, the attenuator disk moves to the open position; otherwise, it remains in the attenuated position while the sample readings are taken. 3. The Instrument takes five one-second readings. 4. The average of the last 10 dark count readings is subtracted from each of the five readings of the sample tube and the average of the five readings is then calculated. Note: A dark count reading is taken every 18 seconds when a Reaction Tube is in the read position. 5. If the counts were measured attenuated, the mean of the five individual readings is multiplied by the Instrument-specific attenuation factor to estimate what the reading would have been if it could have been taken without the attenuator. CPS (unattenuated)= CPS(attenuated) x attenuation factor 6. To determine analyte concentrations, the Instrument uses the counts together with the adjustment data and the master curve.
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Calibration Overview
Analyte concentration is determined by a stored master curve. This curve is generated by the manufacturer for each lot of reagents and is provided in the kit barcode. Adjustors are then used to correlate the counts per second (CPS) of the customer's Instrument to those of the Instrument used to generate the master curve.
Four-Parameter Logistic
For the four-parameter logistic method, the master curve generated is the equation of the line that best fits the master curve data. Note: The numerical values of the equation's four parameters vary from reagent lot to reagent lot. These values are encoded in the kit barcode label. The average CPS of the low and high Adjustors, which were analyzed at the same time the standards used for the master curve were analyzed, are also encoded in the kit barcode label. The Instrument uses two different forms of the general four-parameter logistic equation: One form for competitive assays One form for immunometric (sandwich) assays The Competitive Assay Equation is: CPS = where: P1 + P1 = P2 = P3 = P4 = maximum CPS (Bo) minimum-maximum CPS (NSB - Bo) intercept of a logit-log plot - slope of the logit-log plot P2 1 + EXP ( - (P3 + P4xLn (Dose)))
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The Immunometric (Sandwich) Assay Equation is: CPS = P2 + P1 - P2 1 + (Dose/P3)P4 where: P1 = P2 = P3 = P4 = maximum CPS minimum CPS (NSB) dose at half the maximum CPS - slope of the logit-log plot
Point-To-Point
In the point-to-point curve model, the calibration curve is generated when each standard is connected point-to-point by a straight line.
Two-Point Adjustment
Since the calibration data used to generate the master curve uses a single instrument, the signal (CPS) for any other laboratory Instrument must match the signal of the Master Curve Instrument to directly use the master curve to calculate results. Because no two photomultiplier tubes (PMT) give exactly the same measured CPS for the same amount of light, the signal of each laboratory Instrument must be adjusted to match that of the Master Curve Instrument for the master curve to be used across all instruments. This is done using the two-point adjustment process. If a full standard curve is run on both the Master Curve and the Customer Instruments, the relationship between the measured CPS from the two instruments (Master Instrument vs. Customer Instrument) is consistently linear. For example, possible data for an assay with six standards is shown in the table below.
Master Curve Instrument CPS 85,176 329,714 1,079,469 5,112,318 10,125,798 25,087,126
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This data is plotted in the graph below: FIGURE 238: CPS GRAPH (MASTER VS. CUSTOMER INSTRUMENT)
This relationship can be used to modify, or adjust, the CPS obtained on the laboratory Instrument to be what they would have been for the same samples run on the master curve Instrument. Since the relationship between the laboratory Instrument and the master curve CPS values is a straight line, only two points are required to characterize the line. These two points are defined by the two Adjustors. Comparing the average CPS of the Adjustors run on the master Instrument (from the kit barcode label) and the CPS run on the customer Instrument during an adjustment, the slope and intercept of the linear relationship are calculated. Using the equation below, the slope and intercept are then used to "adjust" the CPS for any sample to the CPS that would have been observed if the sample was run on the master curve Instrument. Master Curve CPS = CPSunknown x Slope + Intercept The "adjusted" CPS can now be used to calculate the result directly from the master curve. The purpose of the initial adjustment of a new Kit Lot is to correlate the CPS of the laboratory Instrument to that of the Master Curve Instrument. Subsequent readjustments update the correlation for changes in the reagent enzyme activity over time.
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Mean = Sum of the slopes / 10 = .96 2. The acceptable 20% deviation from the mean is calculated as follows: Deviation = Mean x .2 = 0.96 x .2 = .19 3. The range for an acceptable slope is calculated as follows: High Limit = Mean + 20% = .96 + .19 = 1.15 Low Limit = Mean - 20% = 0.96 - 0.19 = 0.77 Range = Mean +/- 20% = 0.77 to 1.15 FIGURE 239: EXAMPLE SLOPE RANGE
This is a visual presentation of example slopes and how they can be interpreted. A In this example, the slope is 1.2 or 0.75; the adjustment is likely valid. Verify that the quality control sample results are not all biased toward either the upper or lower limit of the acceptable QC limits In this example, the slope is 1.3 or 0.6; the adjustment may still be valid depending on several factors. If the QC results are not all close to the same QC limit and the slope for the assay has historically been near the limit of the slope range, the adjustment is likely valid. In this example, a slope less than 0.5 or above 1.8 indicates a problem and the adjustment is not valid. The Instrument will not use a slope in this range (IMMULITE 1000, 2000, 2500 only).
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The low Adjustor CPS refers to the Adjustor CPS information found on the Kit screen or the adjustment printout (not to the CPS measured during adjustment). For example: CPS of low Adjustor = 83,000 Acceptable intercept: 83,000 x 0.30 = 24,900 The guideline maximum intercept is 24,900. FIGURE 240: EXAMPLE INTERCEPT GUIDELINE FOR IMMUNOMETRIC ASSAY
This is a visual presentation of example intercepts and how they can be interpreted. A In this example, the intercept is 27,000 CPS. Since this intercept is within 10% of the guideline limit, this intercept is likely valid. This intercept would be acceptable unless a significant bias was noted on the QC samples. In this example, the intercept is 30,000 CPS; the adjustment may still be valid depending on several factors. This intercept would be acceptable if the QC results at low concentrations are not biased all in the same direction and the intercept for the assay has historically been near the limit. In this example, the intercept is 51,000 CPS or more than twice the guideline limit. This generally indicates an intercept problem and the adjustment may not be valid. A QC sample with a concentration at or near the lower limit of the assay can be used to validate the adjustment. If no such QC sample is available, or QC results are biased, probable causes of increased intercept should be investigated.
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This is a visual presentation of example intercepts and how they can be interpreted. A In this example, the intercept is 1,300,000 CPS. Since this intercept is within 10% of the guideline limit, this intercept is likely valid. This is acceptable unless a significant bias is noted on the QC samples. In this example, the intercept is 1,700,000 CPS. The validity of the adjustment depends on several factors. This intercept is acceptable if the QC results are not all consistently biased in the same direction and the intercept for the assay has historically been near the limit. In this example, the intercept is 2,500,000 CPS, or more than twice the guideline limit. This generally indicates an intercept problem and the adjustment may not be valid. A QC sample with a concentration at or near the upper limit of the assay may be used to validate the adjustment. If no such QC sample is available, or all QC results are consistently biased in the same direction, investigate the probable cause of the increased intercept.
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Summary
1. Controls run immediately after an adjustment should be within acceptable limits. 2. The slope of an adjustment should fall within 20% of the mean slope for that Instrument. 3. The intercept of an adjustment generally falls below a maximum calculated intercept limit. Based on these guidelines, if an adjustment does not appear to be valid, readjustment may be necessary.
Readjustment
Every assay must be periodically readjusted, as indicated in the kit's package insert, to correct for the reagent's normal loss of activity.
Slopes of Readjustment
Slopes of readjustments should fall within 10% of the previous adjustment. Note: Slope variation is caused by normal statistical variation of the assay and a 10-15% loss in enzyme activity over the lifetime of a kit.
Intercepts of Readjustments
Readjustment intercepts should be judged according to the above criteria.
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For assays with a single adjustor, an Adjustment Index is calculated upon adjustment. This is the ratio of the CPS obtained during the adjustment to the CPS of the adjustor on the Master Curve Instrument at DPC, which is found on the kit barcode. Adjustor CPS Adjustor Index = Kit Barcode Adjustor CPS Note: The Adjustor Index is not used in the calculation. Instead, it is calculated as a guideline to the validity of the adjustment. Results obtained with Quality Control samples are still the primary way to judge an adjustment.
Calculation of Ratios
The Instrument can also report qualitative assays by means of a ratio. The Instrument can report the numerical ratio, followed by an indication of R, NR, or I representing reactive, nonreactive, and indeterminate, respectively. Ratios are determined by the following calculations:
Ratio =
CPS of Sample
Ratio =
Cutoff
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If the Ratio is greater than or equal to (1-P3/P1), but less than (1+P2/P1), the result is marked as Indeterminate (I). (1-P3/P1) Ratio (1+P2/P1)
Chemiluminescent Reaction
This section provides a brief overview of the chemiluminescent reaction used in the Instrument. During the initial immune reaction between the reagent antibodies and the analyte in the sample, that component of the reagent labeled with alkaline phosphatase (known as the Conjugate) is bound to the bead within the Reaction Tube. The amount of alkaline phosphatase bound is directly proportional (for a sandwich assay), or inversely proportional (for a competitive assay) to the concentration of the analyte in the patient sample. Once the Reaction Tube is washed, a luminogenic substrate is added to the Reaction Tube. Five minutes later, the Reaction Tube arrives in front of the photomultiplier tube (PMT), where the light generated by the luminogenic reaction is measured. The enzyme-amplified reaction in the system produces a prolonged output of light causing the tube to glow, as indicated in the figure below. FIGURE 242: ENZYME-AMPLIFIED LUMINESCENCE
In the luminogenic reaction (illustrated in the next figure), the substrate (an adamantyl dioxetane phosphate) is dephosphorylated into an unstable intermediate by the alkaline phosphatase bound on the bead. The unstable intermediate rapidly and spontaneously breaks down, emitting a photon of light. The amount of light emitted is directly proportional to the amount of bound alkaline phosphatase. Compared to other means of detection, chemiluminescence provides the highest degree of sensitivity available. In many cases, the sensitivity is orders of magnitude better than that attainable with radioimmunoassays.
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*LUMIGEN PPD: 4-methoxy-4-(3-phosphatephenyl)-spiro-(1,2-dioxetane-3,2adamantane). LUMIGEN is a registered trademark of LUMIGEN, Inc., Southfield, MI. FIGURE 243: CHEMICAL REACTION OF IMMULITE 2000/2500 SUBSTRATE
O O OCH3
UNSTABLE DIOXETANE
O
O O
OCH3
LIGHT (h )
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Output
The Output Specifications Table below shows the expected outputs for the IMMULITE 2000 and IMMULITE 2500.
Quantity Up to 200 tests per hour IMMULITE 2000: 35 minutes IMMULITE 2500: 15 minutes Unlimited
Fluid Usage
The fluid specifications are listed in the table below:
Fluid
Number of Tests Per Full Container may vary depending upon amount of priming performed. Volume Used Per Test is based upon a one-cycle, undiluted assay. Add 3 mL for a twocycle (sequential) assay. If an assay is diluted on-board, add an additional 1 ml.
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Computer
The current specifications for the computer supplied with the IMMULITE 2000/2500 system appear in the table below. These specifications are subject to change without notice.
Description Pentium II with a minimum 800 Mhz 128 megabyte 40-gigabyte user 40-gigabyte back-up 40-gigabyte control 17-inch flat screen monitor with Surface Acoustic Wave touch-screen
Monitor
Note: The computer supplied with the Instrument was designed to run the included software. The installation of third-party software programs may adversely affect the proper operation of the Instrument software and/or analyzer. See the LIMITED WARRANTY for more information.
Dilution Volumes
The Dilution Volumes Specification Table below shows the amount of sample, water, and diluent used for onboard dilutions.
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294
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Choosing a Location
Choose a suitable location for the IMMULITE 2000/2500 System in the laboratory, based on power, space, and temperature requirements.
Power Requirements
Keep the following requirement in mind when choosing a location for the system: Use a dedicated 220-Volt power supply service. CAUTION: Do not place the system near centrifuges, ultrasound or X-ray machinery, NMR scanners, or other sources of magnetic fields.
Space Requirements
Keep the following space requirements in mind when choosing a location for the system: The IMMULITE 2000/2500 must be on a level floor. For proper airflow, leave at least 4 inches of space around the sides and back of the Instrument. The Instrument dimensions are 59.7 inches wide, 29.7 inches deep, and 79 inches high.
Temperature Requirements
Keep the following temperature requirements in mind when choosing a location for the system: The temperature should be between 18 and 32 Celsius. The relative humidity should be less than 80% for a temperature up to 32 Celsius. The IMMULITE 2000/2500 generates 3,413 BTU/hr.
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Water Requirements
Distilled or de-ionized water of consistent quality is required. Water used should meet NCCLS Type 1 reagent water standards at the time of preparation. Prior to using any water, it should be tested for alkaline phosphatase contamination. For detailed instructions (including how to evaluate the results), see Water Test (IMMULITE 2000) on page 92 or Water Test (IMMULITE 2500) on page 94. IMMULITE systems are sensitive to the presence of alkaline phosphatase resulting from microbial contamination of the water or the containers used. Properly maintained commercial water treatment systems commonly used in laboratories generally produce reagent water that meets the requirements of Type 1 water standards at the time of preparation. Often, high quality reagent water becomes contaminated during storage and transport. To ensure water quality on the system: Keep commercial water systems appropriately maintained. Do not use water from a commercial water system while maintenance is being performed. After maintenance, verify water system cleanliness and test the water for alkaline phosphatase contamination. Maintain cleanliness of storage containers, transfer containers, spigots, hoses or other plumbing used to transfer water from its source to the instrument. Limit the length of plumbing between the source and the instrument. Long plumbing lines increase the likelihood of introducing contamination. Note: On rare occasions, non-alkaline phosphatase water contaminants may interfere with individual assays. The Water Testing Procedure used to detect alkaline phosphatase will not detect these contaminants. For assistance, call Technical Service.
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Part Number L2ATC L2ATS2 L2AW1 400920 901863 901864 400790 400925-01 400925-02 10-901807 422023 CON6 400763 500912 501705 901689 901801 902666 902934 901824
Description Allergen Tube Caps* Allergen Tube Septa* Allergen Wedge Set Allergy Imaging Scanner Training Guide Barcode Label Printer Ribbon Barcode Label Stock Barcode Printer Kit Barcode Scanner (Standard) Barcode Scanner (Wedge Allergy Assay) Biohazard Bags* CO2 Scrubber Kit Con6 Multivalent Control Module Decontamination Bottle Dilution Well Insert (2) Distilled Water Bottle (6L) Extension Cable for Monitor Fan Filter Image Drum (OKI 14E) Image Drum (OKI B4200) Ink cartridge - black ink (710C printer)
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Part Number 902058 902058-02 902057-02 901825 902057 901205 400753-54 400753-53 400753-58 400753-55 400753-57 400753-56 400753-59 901728 400271 422013 501706 LMH5 LMH15 LSMC LMST 400755 901729 400767 901836-01
Description Ink cartridge - black ink (810C printer) Ink cartridge - black ink (970C printer) Ink cartridge - color ink (970C printer) Ink cartridge - color ink (710C printer) Ink cartridge - color ink (810C printer) In-Line Filters* Keyboard (English - U.K.) Keyboard (English - U.S.) Keyboard (French) Keyboard (German) Keyboard (Italian) Keyboard (Spanish) Keyboard (Swedish) Keyboard Cover LIS ASTM Specifications LIS Comm Program Liquid Waste Bottle (6L) Microsample Inserts - set of 5 Microsample Inserts - set of 15 Microsample Tube Caps* Microsample Tubes* Monitor Power Cable Paper (1 ream) Power Cord (US) Power Cord (Argentina, Austria, Brazil, Finland, France, Germany, Netherlands, Norway, Sweden) Power Cord (Hong Kong, Singapore, United Kingdom) Power Cord (Australian, New Zealand) Power Cord (Denmark) Power Cord (Switzerland) Power Cord (Chile, Italy)
1 1 1 1 1 1
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Part Number 901836-07 901836-08 901835 400537 L2KPM L2PWSM 400706 422223 LRXT 400726-01 650104 400756 901519 400749 472021 400634 10-901807 400794 400726-01 901865 902665 902933 901427 400754 901720 901721 901722 400918 400909-01 501705
Description Power Cord (Israel) Power Cord (South Africa) Primary Tube Sample Guide Probe Assembly Probe Cleaning Kit Probe Wash (2 Bottles) Probe Wash Bottle (2L) Printer: Okidata 4250 Reaction Tubes Reagent Bottle Assembly (substrate) Sample Rack Letters Sample Racks Scanner Cable Side Tray Software Barcode Label Printer Solid Waste Container Solid Waste Container Biohazard Bags Substrate (2 Bottles) Substrate Reservoir (250 mL) Thermal Cleaning Kit Toner Cartridge (OKI 14E) Toner Cartridge (OKI B4200) Touch Screen Monitor Trackball UPS 1400 VA Output (Approx. 20 minutes) UPS 1800 VA Output (Approx. 25 minutes) UPS 2200 VA Output (Approx. 30 minutes) Waste Chute Clean Out Tool Water Feed Control System Water Supply Bottle
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Priority 0 1 2 3
Severity Daily Error Log White box black print White box blue print White box red print Red box warning icon Red box error icon Red box severe icon
Description Information messages that become apparent on result printouts and appropriate screens (e.g., no reagent on board). Informative messages indicating instrument has taken an automatic action (e.g., reordering a test). Messages indicating Instrument status that will result in a problem if left unattended (e.g., substrate low). Messages indicating Instrument status that needs attention and will imminently result in a problem (e.g., substrate is empty). Circumstances not addressed by priorities 12 and 13 that require immediate attention. Instrument has entered Pause mode and is not longer processing new samples. Instrument shut down; only the Luminometer is active.
11 12 13
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Flag QC HIGH
Description One or more controls have failed for this assay. Result is greater than the operator-specified normal range (i.e., above the first line of the test range). See Test Ranges on page 41 for more information about defining test ranges. Result is less than the operator-specified normal range (i.e., below the first line of the test range). See Test Ranges on page 41 for more information about defining test ranges. Adjustment for this assay failed due to slope limits Adjustment for this assay is overdue for readjustment by more than 24 hours The assay was never adjusted. The kit was overwritten . Unable to calculate the result. The result should be verified. The Kit expired. The Substrate, Luminometer, and/or Incubator temperature was out of range when this result was calculated. Result is less than the operator-specified review range. See Test Ranges on page 41 for more information about defining test ranges. Result is greater than the operator-specified review range. See Test Ranges on page 41 for more information about defining test ranges.
LOW
ADJ
Review Low
Review High
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Check for bubble on sample. Check for unauthorized tube tops (sample cups sitting on top of tubes). Verify a tube is present in the position. If the message persists, call Technical Service.
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381 Large Reagent Door is open during start-up. Close door to continue.
The Large Reagent Door is open. Ensure that the Reagent door is fully closed before start up. If error persists, call Technical Service.
393 Bead Carousel has exceeded 18 second cycle shutting down instrument.
A Bead Carousel movement to home has taken longer than 18 seconds. Call Technical Service.
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Check that the Sample Probe is not bent. If the message persists, call Technical Service.
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Check the movement of Pipettor is not obstructed. Check for caps on sample tubes. Check for unauthorized tube tops (sample cups sitting on top of tubes). Check that the Sample Probe is not bent. If the message persists, call Technical Service.
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542 Reagent Lid Opener jammed - pack lid opener not extending
The Reagent Lid Opener has tried to open a Wedge unsuccessfully. Call Technical Service.
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561 Marked bad and rerunning test trigger reagent dispense error
A tube needs to receive the trigger reagents during the current cycle and the trigger flag was not detected. Call Technical Service.
563 Clot detected in sample tube. Clean exterior of sample probe before resuming operation.
The Instrument has determined that a clot has been detected in the sample tube and is clinging to the outside of the probe. Remove Clinging clot. Look in the mirror by the Sample Probe for air bubbles; if air is detected run Clot Prime diagnostics. If Sample Probe has entered gel barrier, change the probe. If the message persists, call Technical Service.
569 Bar Code was read but tube in place sensor did not see tube
Bar Code was read but tube in place sensor did not see tube Call Technical Service.
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576 Sample Pipettor jammed above Pipettor position shut down - front end
Sample Pipettor jammed above Reaction Tube. All attempts to clear jam errors have failed. Check the movement of Pipettor is not obstructed.
579 Corrective Jam Actions has also jammed going into Pause Mode
The system tried to clear a sample device jam unsuccessfully. See associated error message to determine cause of jam. If the message persists, call Technical Service.
580 Sample Carousel has jammed during bar code read going into pause
Sample Carousel has jammed. Check that the sample tube or diluent tube is seated correctly. Check that the Sample Racks are seated correctly. If the message persists, call Technical Service.
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585 Homing reagent devices resulted in a jam going into pause mode
To clear a Reagent device jam (Error 584) the Instrument attempted to home all reagent devices. However, the homing routine encountered an error. See associated error message to determine the cause of the jam. If the message persists, call Technical Service.
586 Homing reagent devices has resulted in a jam returning to pause mode
Homing routines have failed during re-initialization after Error 585. Check for related error messages and resolve them. If the message persists, call Technical Service.
587 Reagent Carousel has jammed during bar code read going into Pause
Reagent Carousel has jammed during barcode read. Reseat Wedge or carousel tray. Check Wedge Glide for proper installation.
589 Homing sample tube devices resulted in a jam going into pause mode
The system tried to clear a tube/bead device jam unsuccessfully. See associated error message to determine the cause of the jam.
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Returning to
591 Bead Carousel has jammed during bar code read going into pause
Bead Carousel has jammed. Check for mispositioned Bead Pack. If the message persists, call Technical Service.
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Switching to default
Returning to pause
603 Cannot enter run with the bulk exit chute blocked
Sensor(s) indicate that the solid waste chute is blocked. Check for overfilled or incorrectly seated solid waste container. Check for correct biohazard bags. Check the Waste chute for blockage. Check for clear plastic protruding from the upper trap opening and for plastic pieces in the Solid Waste Container. If the message persists, call Technical Service.
Occurs after the Instrument experiences unusual stop mode and a tube may have been left on the transport chain. The tube will fall on the component deck during initialization. Check for associated error message to determine the cause. If the message persists, call Technical Service.
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In pause mode
Bead Carousel has jammed for a third time as it has attempted to clear jams.
In pause mode
Bead Dispenser has jammed for a third time as it has attempted to clear jams.
In pause mode
Tube Indexer has jammed for a third time as it has attempted to clear jams.
In pause mode
Tube Transport has jammed for a third time as it has attempted to clear jams.
615 In pause now. Remove reaction tube in front of the processor shuttle
Processor shuttle has jammed and not recovered. Check for obstruction near the Reagent/Sample pipetting area. If the message persists, call Technical Service.
618 Sample Probe level sense error in Dilution Well. Entering Sample Pause mode.
Instrument did not level sense in the dilution well. Check for a bent probe. Check probe angle. Check that the dilution well insert is seated correctly. If the message persists, call Technical Service.
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619 Third bead pack marked bad in a row. Mode. Entering Bead Pause
Third Bead Pack marked bad in a row. Entering Bead Pause Mode Reseat Bead Pack in Bead Carousel and try again Visually inspect plunger for obstruction Manually dispense a bead if first two steps do not correct. If the message persists, call Technical Service.
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Rerunning
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637 DPRAM semaphore locked up for longer than 18 sec. Entering STOP mode.
Communication between the User and Control sides has been interrupted. Call Technical Service.
Rerunning test.
Wash Spinner has failed to reach appropriate speed while processing test.
641 Cannot enter RUN because wash spinner is not operating correctly.
Wash Spinner has failed to reach appropriate speed during initialization from Stop to Run. Call Technical Service.
646 Fatal Sample Carousel position mismatch, carousel was not read. Please Call Technical Service immediately.
Sample carousel reread triggered by Error 642, 643, 644, 645 or 655 has resulted in another carousel reading error. Check integrity of barcode labels. Manually assign sample identification. If message persists, call Technical Service.
650 Fatal Reagent Carousel position mismatch, carousel was not read. Please Call Technical Service immediately.
Reagent carousel reread triggered by Error 647, 648, 649 or 656 has resulted in another carousel reading error. Check integrity of label. Check position of reagent wedge. If message persists, call Technical Service.
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660 Mismatch between first and second read of the rack ID.
After the second carousel read, there is a mismatch between the rack identifiers for the sample carousel. Check integrity of barcode label. Ensure the rack is seated correctly. If the message persists, call Technical Service.
661 Mismatch between first and second read of the Reagent Pack barcode.
After the second carousel read, there is a mismatch between the Reagent pack barcodes. Check integrity of barcode label. Ensure wedges are seated correctly. If the message persists, call Technical Service.
662 Mismatch between first and second read of the Bead Pack barcode.
After the second carousel read, there is a mismatch between the Bead pack barcodes. Check integrity of barcode label. Ensure Bead Packs are seated correctly. If the message persists, call Technical Service.
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Make sure the Reagent Wedge lid is positioned correctly and that it moves freely. Ensure there are no bubbles in the reagent. Check for a reagent fluid film under the Wedge Glide. Check for splashing on or near the Reagent Probe. Replace the Reagent Wedge with a new one and try again. If the message persists, call Technical Service.
679 Clot detection mechanism failure entering front end shutdown. Contact Technical Service.
Peak clot feedback is less than minimum Call Technical Service.
680 Tube size discrepancy detected scanning Rack 1, rescanning all sample racks.
Instrument has detected a change on the sample rack that was not being rescanned. If the message persists, call Technical Service.
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753 Cannot switch into STAND ALONE mode when not in STOP.
The Control computer received a command to switch to Non-Integrated mode while the analyzer was running or paused. On the analyzer, select the STOP button. From the IMMULITE 2000 Home screen, select Configure from the Configurations menu. Select the Instrument Mode button. Select the Non-Integrated option and select the Save button. Select the Save button. Select the RUN button to begin processing samples. If the message persists, call Technical Service.
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Going to
762 IMMULITE time out waiting for Place Sample SMS Transfer Reply. Going to sample pause.
Sample tube was not placed within the allotted time. The analyzer timed out waiting for a reply from the SMS. On the analyzer, open the Top Cover and remove the sample tubes from Automation Rack on the Sample Carousel. On the analyzer, select the RUN button. If the sample tubes were not run, place them on the SMS and rerun them.
763 IMMULITE time out waiting for Pick Sample Transfer Reply. Going to sample pause.
Sample tube was not picked up by the SMS within the allotted time. The analyzer timed out waiting for a reply from the SMS. On the analyzer, open the Top Cover and remove the sample tubes from Automation Rack on the Sample Carousel. On the analyzer, select the RUN button. If the sample tubes were not run, place them on the SMS and rerun them.
764 Please clear the IMMULITE 2000 of automation tubes. to sample pause.
A fault was detected when the Sample Carousel was interrogated. On the analyzer, open the Top Cover and remove the sample tubes from Automation Rack on the Sample Carousel. On the analyzer, select the RUN button. If the sample tubes were not run, place them on the SMS and rerun them.
Going
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765 Please clear the IMMULITE 2000 of automation tubes. to sample pause.
A fault was detected when the Sample Carousel was interrogated. On the analyzer, open the Top Cover and remove the sample tubes from Automation Rack on the Sample Carousel. On the analyzer, select the RUN button. If the sample tubes were not run, place them on the SMS and rerun them.
Going
766 Please clear the IMMULITE 2000 of automation tubes. to sample pause.
A fault was detected when the Sample Carousel was interrogated. On the analyzer, open the Top Cover and remove the sample tubes from Automation Rack on the Sample Carousel. On the analyzer, select the RUN button. If the sample tubes were not run, place them on the SMS and rerun them.
Going
767 Please clear the IMMULITE 2000 of automation tubes. to sample pause.
A fault was detected when the Sample Carousel was interrogated. On the analyzer, open the Top Cover and remove the sample tubes from Automation Rack on the Sample Carousel. On the analyzer, select the RUN button. If the sample tubes were not run, place them on the SMS and rerun them.
Going
768 Please clear the IMMULITE 2000 of automation tubes. to sample pause.
A fault was detected when the Sample Carousel was interrogated. On the analyzer, open the Top Cover and remove the sample tubes from Automation Rack on the Sample Carousel. On the analyzer, select the RUN button. If the sample tubes were not run, place them on the SMS and rerun them.
Going
769 Please clear the IMMULITE 2000 of automation tubes. to sample pause.
A fault was detected when the Sample Carousel was interrogated. On the analyzer, open the Top Cover and remove the sample tubes from Automation Rack on the Sample Carousel. On the analyzer, select the RUN button. If the sample tubes were not run, place them on the SMS and rerun them.
Going
770 Please clear the IMMULITE 2000 of automation tubes. to sample pause.
A fault was detected when the Sample Carousel was interrogated. On the analyzer, open the Top Cover and remove the sample tubes from Automation Rack on the Sample Carousel. On the analyzer, select the RUN button. If the sample tubes were not run, place them on the SMS and rerun them.
Going
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1003 Test designated bad Pretreatment transfer scheduling issue Test Rerun.
Unable to transfer pre-treatment tube. Test will be reordered. No action required. If this problem, persists, call Technical Service.
1004 Error has forced Error Pause Mode. RUN Button is deactivated until STOP mode is entered.
Incubator 1, Incubator 2, Wash Station 1 or Wash Station 2 has shut down. Instrument is in Error Pause mode and will not enter RUN mode. Wait until all tests on the system complete, then enter STOP mode.
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1007 Please clear the $IM2K$ of automation tubes. Going into sample pause.
SCAS Error - Tube On board Open the top cover and remove the sample tubes from the automation rack on the Sample Carousel. Select the RUN button. If sample tubes were not run, place them on the SMS and rerun them.
1008 Please clear the $IM2K$ of automation tubes. Going into sample pause.
Three tubes on AR. Open the top cover and remove the sample tubes from the automation rack on the Sample Carousel. Select the RUN button. If sample tubes were not run, place them on the SMS and rerun them.
1009 Please clear the $IM2K$ of automation tubes. Going into sample pause.
Auto A - DPR Mismatch #1 Open the top cover and remove the sample tubes from the automation rack on the Sample Carousel. Select the RUN button. If sample tubes were not run, place them on the SMS and rerun them.
1010 Please clear the $IM2K$ of automation tubes. Going into sample pause.
Auto B - DPR Mismatch #1 Open the top cover and remove the sample tubes from the automation rack on the Sample Carousel. Select the RUN button. If sample tubes were not run, place them on the SMS and rerun them.
1011 Please clear the $IM2K$ of automation tubes. Going into sample pause.
Auto C - DPR Mismatch #1 Open the top cover and remove the sample tubes from the automation rack on the Sample Carousel.
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Select the RUN button. If sample tubes were not run, place them on the SMS and rerun them.
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Unexpected Error. An internal timing error for Incubator Belt 2 has caused both incubators to shut down. Instrument will attempt to complete tests in the Luminometer. No new tests will be loaded. Allow the Instrument to complete tests in progress. Call Technical Service.
Unexpected Error. The Luminometer Belt has been asked to move for a longer time than permitted. Te Instrument will shut down. All tests on board are lost. Call Technical Service.
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1070 A beaded tube is marked bad due to a problem with a pretreatment tube.
A beaded tube is marked bad due to a problem with a pre-treatment tube. If the error persists, call Technical Service.
1073 Test Designated bad - the inter-cycle sample movements timed out - Rerun Test
The Sample Diluter did not finish the move within a certain amount of time. If the error persists, call Technical Service.
1074 Test Designated bad - the inter-cycle reagent movements timed out - Rerun Test
The Reagent Diluter did not finish the move within a certain amount of time. If the error persists, call Technical Service.
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1086 Missing the file SAMPSCAN.IML. Sample access monitoring will be turned off.
The program can not find the Sampscan.iml file, and the feature will be turned off. Call Technical Service.
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1274 A Wash Station shut down. Some tests may not complete.
The Wash Station experienced mechanical problems. Allow Instrument to complete tests in progress. Call Technical Service.
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368
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369
Exiting MCP.
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1377 Empty all tubes has failed to complete. Entering Stop Mode.
The Instrument has failed to empty all tubes in the allowable time. The Instrument will not run until this condition is corrected. Attempt to enter Run mode again. If this error persists, call Technical Service.
1380 Programmer Error: HmiAlignIncChain2To Wash was passed invalid parameter value.
An unexpected error has occurred in the software. Do not attempt to run. Call Technical Service.
1382 No empty baffles found on Incubator Belt 2 while homing Wash Transfer 2.
Instrument was unable to home properly because it detected that Incubator 2 was full. Call Technical Service.
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1384 Requested number of primes did not complete due to Wash Spinner 1 failure.
The Wash 1 Spinner failed during a prime. Attempt to re-prime pumps. If error reoccurs, do not run instrument. Call Technical Service.
1385 Requested number of primes did not complete due to a Wash Spinner 2 failure.
The Wash 2 Spinner failed during a prime. Attempt to re-prime the pumps. If the error persists, do not run the Instrument, and call Technical Service.
1386 Requested number of primes did not complete due to a Wash Pump 1 failure.
Wash 1 Pump failed during a prime. Attempt to re-prime the pumps. If the error persists, do not run the Instrument, and call Technical Service.
1387 Requested number of primes did not complete due to a Wash Pump 2 failure.
Wash 2 Pump failed during a prime. Attempt to re-prime the pumps. If the error persists, do not run the Instrument, and call Technical Service.
1388 Requested number of primes did not complete due to Tube Lifter 1 failure.
Tube Lifter 1 failed during a prime. Attempt to re-prime the pumps. If the error persists, do not run the Instrument, and call Technical Service.
1389 Requested number of primes did not complete due to Tube Lifter 2 failure.
Tube Lifter 2 failed during a prime. Attempt to re-prime the pumps. If the error persists, do not run the Instrument, and call Technical Service.
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1392 Wash Stations 1 and 2 both failed. primes did not complete. Requested number of
An error occurred at both wash stations. The instrument cannot run until the errors are corrected. Call Technical Service.
1393 We can not enter RUN because Wash Spinner 1 is not operating correctly.
Wash Spinner 1 has failed during initialization. The instrument will not run until this error is corrected. Call Technical Service.
1394 We can not enter RUN because Wash Spinner 2 is not operating correctly.
Wash Spinner 2 has failed during initialization. The instrument will not run until this error is corrected. Call Technical Service.
1395 Instrument is running with only one wash station. Call Technical Service.
Washstation 1 was shut down as a result of a hardware problem. Call Technical Service.
1396 Instrument is running with only one wash station. Call Technical Service.
Washstation 1 was shut down as a result of a hardware problem Call Technical Service.
1398 Instrument cannot enter RUN because both wash stations are disabled. Call Technical Service.
Both wash stations have been shut down due to hardware problems. You can not run tests if none of the wash stations work. Call Technical Service.
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1481 Exit Resource was not found during wash Station 1 recovery.
Unexpected Error. Instrument is unable to schedule the removal of a tube marked bad, due to an error at Wash Station 1. Instrument shut down. Call Technical Service.
1482 Exit Resource was not found during Wash Station 2 recovery.
Unexpected Error. Instrument is unable to schedule the removal of a tube marked bad, due to an error at Wash Station 2. Instrument shut down. Call Technical Service.
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1907 Tube designated bad Reagent dispense not performed due to conflicting sample draw Test Rerun.
The reagent arm has been scheduled to dispense to Incubator Chain 1 on the same cycle as a sample transfer draw. The Instrument will continue to operate, unless other specific errors are raised. The test will be re-run. Call Technical Service.
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1914 Wash 1 position sensor can not find an empty baffle on Luminometer Belt.
The Tube in Place sensor at the Luminometer Chain near Wash Station 1 can not find an empty baffle. This could be due to a bad TIP sensor. Call Technical Service.
1915 Wash 2 position sensor can not find an empty baffle on Luminometer Belt.
The Tube in Place sensor at the Luminometer Chain near Wash Station 2 can not find an empty baffle. This could be due to a bad TIP sensor. Call Technical Service.
378
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1924 Test designated bad Tube Lifter 1 move failed Test Rerun.
Tube Lifter 1 failed, and a test is marked bad. The Instrument will re-order the test due to a Tube Lifter 1 error.
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1925 Test designated bad Tube Lifter 2 move failed Test Rerun.
Tube Lifter 2 failed, and a test is marked bad. The Instrument will re-order the test due to the Wash Station 2 error.
1926 Test designated bad Tube Lifter 2 not in the up position Test Rerun.
Tube Lifter 2 is not in the expected position, and a test is marked bad. The Instrument will re-order the test due to the Tube Lifter 2 error.
1928 Test designated bad Wash 2 Transfer to Luminometer retry failed Test Rerun.
Wash Transfer 2 has failed to push a tube into the Luminometer Chain, and a test is marked bad. The Instrument will re-order the test lost due to the Wash Station 2 error
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1936 Substrate Pump has failed. Only tests in the Luminometer will complete.
The substrate pump did not dispense the correct amount of fluid enough times that we will enter a front-end shutdown. Allow the Instrument to complete tests in progress. Call Technical Service.
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382
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384
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1984 A test assigned to Wash Station 1 was reordered because of the wash station failure.
Wash Station 1 failed because of a jam. Wash Station 2 is still alive. All tests in the incubator that were to use Wash Station 1 are reordered Call Technical Service.
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1985 A test assigned to Wash Station 2 was reordered because of the wash station failure.
Wash Station 2 failed because of a jam. Wash Station 1 is still alive. All tests in the incubator that were to use Wash Station 2 are reordered Call Technical Service.
10903 A serious error has occurred with the hepatitis confirmatory test feature. Communications to the LIS has been paused. Please do not reactivate LIS communication and contact Technical Service.
Database error occurred while sending a report to LIS. Call Technical Service.
11503 8 adjustors are needed. Less than 8 adjustors have been ordered
One or more of the eight adjustors was deleted or the Instrument was unable to pipette all eight adjustor samples. Adjustment cannot be calculated. Check error log for associated errors that need to be resolved. If the message persists, call Technical Service.
386
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11701 No Unique Record ID passed to update in worklist object. Contact Technical Service
While working in the Worklist screen the operator tried to order a test for which a unique record ID was not generated by the system. Call Technical Service.
11702 There is no accession number passed to the worklist object. Contact Technical Service.
While working in the Worklist screen the operator tried to order a test for which no accession number had been assigned by the system. Call Technical Service.
11703 Attempted to save a record in the worklist but the test is not in the data base
Attempted to save an imported record from a worklist file or the LIS to the Worklist but the test is not in the data base Ensure the kits are in the database. If the message persists, call Technical Service.
11704 This adjustor is already in progress. You need to wait until it is completed to order another one.
The operator attempted to order a second adjustment for the same kit and lot before one ordered had been completed. Wait for initial adjustment to be completed. Check the error log for kit errors that need to be resolved. If the message persists, call Technical Service.
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11705 This control information does not match what is currently on the system. Record cannot be added at this time. Check your information and try again.
This control information does not match what is currently on the system. Record cannot be processed. Verify that control information, such as lot number and expiration date, is entered correctly. If the message persists, call Technical Service.
11805 The instrument is in Panic Mode. Hit Run to try to run again or log off.
The instrument is in Stop Mode due to a mechanical jam or similar error. Check associated error message to determine cause. If the message persists, call Technical Service.
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390
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12308 LIS- Several LIS errors have occurred the past hour. There may be a communication Problem.
Multiple communication errors occurred between the LIS and the IMMULITE 2000 within an hour. Contact your laboratory LIS provider. If the message persists, call Technical Service.
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12311 LIS- LIS cannot accept message after sending message 7 times.
The IMMULITE 2000 unsuccessfully attempted to send a message to the LIS seven times before communication was aborted Contact your laboratory LIS provider. If the message persists, call Technical Service.
12312 LIS- Time-out, 30 seconds expired and no data was received from LIS.
After the initial data was received from the LIS and a response was sent, additional data was not received within 30 seconds and communication was aborted. Contact your laboratory LIS provider. If the message persists, call Technical Service.
12314 LIS- An error occurred sending LIS query request. query aborted.
An unrecognized error occurred when sending a query to the LIS. Contact your laboratory LIS provider. If the message persists, call Technical Service.
Host
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12319 LIS- The LIS has no information for a record when queried.
The IMMULITE 2000 requested information from the LIS regarding a particular sample that the LIS did not have Contact your laboratory LIS provider. If the message persists, call Technical Service.
12320 LIS- An invalid terminator code was received from the LIS.
An invalid or unsupported terminator code was received from the LIS. Contact your laboratory LIS provider. If the message persists, call Technical Service.
12321 LIS- Unique ID does not match retrieved file. Please call Technical Service.
All records are stored on the IMMULITE 2000 with a unique number. A retrieved file was expected to have a particular number and was incorrect. Call Technical Service.
12322 LIS- Record could not be marked sent, record not found.
A sent record could not be found in the database to be sent to the LIS. Call Technical Service.
12323 LIS- Record could not be sent to LIS, record not found.
A tagged record could not be found in the data base to be sent to the LIS. Call Technical Service.
12325 LIS- You can only display 10,000 records at one time.
More than 10,000 records meet the search criteria and the LIS screen cannot display more than 10,000. Call Technical Service.
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12327 LIS: Data is being received from the LIS or already sending data to the LIS.
Contact your laboratory LIS provider. If the message persists, call Technical Service.
IMMULITE is
The LIS is currently receiving data or the IMMULITE is actively sending data to the LIS.
12329 LIS- LIS reports no information for Accession Number in query request.
There was no information for an Accession number in a query. Contact your laboratory LIS provider. If the message persists, call Technical Service.
12330 LIS- An error occurred sending LIS query request. Host query aborted.
An unrecognized error occurred when sending a query to the LIS. Contact your laboratory LIS provider. If the message persists, call Technical Service.
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398
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400
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12600 Kit found but no matching Volume data. Call Technical Service.
Information for this kit is missing from the volume table of the main database. Call Technical Service.
12602 Dark count is excessively high. Result is invalid. Please notify Technical Service
Dark count is excessively high. Call Technical Service.
402
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12605 .
This error will only be seen in conjunction with Event 12604. It allows the software to post the original accession number. See Event 12604.
12606 Multiple racks have been identified with the same rack letter. Please remove all duplicates.
Multiple racks on board with the same rack letter. Remove duplicate racks from sample carousel.
12607 Error occurred while printing. printed. Verify all results have
The printer is not installed or the print spooler is disabled. Make sure that the printer cartridges are full and installed correctly. Check for printer jams. If the message persists, call Technical Service.
13002 One or more accession numbers on the sample carousel contains an invalid character.
Invalid character used in the sample barcode Enter sample ID manually. If the message persists, call Technical Service.
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14012 Unable to set integrated mode on control PC. Technical Service Please Contact
The Control computer was not set to the Integrated mode that was selected on the analyzer. Call Technical Service.
Please Contact
The User computer was not set to the Integrated mode that was selected on the analyzer.
14014 Unable to set non-integrated mode on Control PC. Contact Technical Service. Please
The Control computer was not set to the Integrated mode that was selected on the analyzer. Call Technical Service.
14015 Unable to set non-integrated mode on User PC. Contact Technical Service.
Call Technical Service.
Please
The User computer was not set to the Integrated mode that was selected on the analyzer.
404
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14031 Please check the LIS screen to verify that all records are untagged. Call Technical Service
When switching from Integrated to Non-integrated mode, an error occurred while the LIS result records were being untagged. Call Technical Service.
14032 Changed to non-integrated mode. All result records have been untagged.
When switching between Integrated and Non-integrated modes, all result records are untagged, possibly preventing some records from being sent to the LIS. Go to the LIS screen. Manually tag results and resend. If the message persists, call Technical Service.
15000 (Acc #): Invalid Online Dilution has been ordered for the sample. Test not run.
Invalid dilution ordered. Reorder the dilution using a valid selection. If the message persists, call Technical Service.
15100 Database Error Cannot retrieve the dilution factor. Results may not be valid. Call Technical Service.
While accessing information on the Find/Display screen an error occurred while retrieving a dilution factor from result information. Call Technical Service.
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15101 Adjustor CPS Value equal 0. Please notify Technical Service immediately.
Kit information was correctly scanned into database, or possible database corruption. Call Technical Service.
15102 Error calibrating Substrate Load Scale. Contact Technical Service for assistance.
While trying to calibrate the Substrate Load scale, an error occurred. The value returned is not acceptable and the default value will be used. Call Technical Service.
15103 Error calibrating ProbeWash Load Scale. Contact Technical Service for assistance.
While trying to calibrate the Probe Wash Load scale an error occurred. The value returned is not acceptable and the default value will be used. Call Technical Service.
15104 Error calibrating Water Load Scale. Contact Technical Service for assistance.
While trying to calibrate the Water Load scale an error occurred. The value returned is not acceptable and the default value will be used. Call Technical Service.
15105 Error calibrating Liquid Waste Load Scale. Contact Technical Service for assistance.
While trying to calibrate the Liquid Waste Load scale an error occurred. The value returned is not acceptable and the default value will be used. Call Technical Service.
15106 Error calibrating Solid Waste Load Scale. Contact Technical Service for assistance.
While trying to calibrate the Solid Waste Load scale an error occurred. The value returned is not acceptable and the default value will be used. Call Technical Service.
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15114 Database Error. Qualitative Parameters are not available. Call Technical Service.
Qualitative parameters are not available, contain incorrect data, or a qualitative test has an invalid result. Call Technical Service.
17000 No incubation time data. This is not a valid $IM2K$ Kit Barcode.
The incubation time in the kit barcode is showing zero for the test kit being scanned in on a 2500, which means this is not a valid 2500 kit. Verify that the kit is for the IMMULITE 2000 Instrument. If the problem persists, call Technical Service.
17001 Kit barcode signature incorrect. This is not a valid $IM2K$ Kit Barcode.
The Kit barcode signature is incorrect for the instrument where the kit is being scanned. Trying to scan a 2500 kit on 2000 instrument or visa versa. Verify that the kit is for the IMMULITE 2000 Instrument. If the problem persists, call Technical Service.
17009 Error occurred while loading tests onto the STAT loader queue.
A communications error occurred in the user software. The Instrument will re-send the message.
17010 Error occurred while loading tests onto the routine loader queue.
A communications error occurred in the user software. The Instrument will re-send the message.
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17011 Could not find volume table data for this kit.
The Test Type and Kit Lot number could not be found in the database where the test volumes are stored. Rescan the Kit, and if the problem persists, call Technical Service.
17012 There is a problem with the registry on this system. Please contact Technical Services.
The program is trying to determine the Instrument type (2000 or 2500) by reading the registry and cannot find the information. The registry information is written during installation of version 4.0 or higher. Reinstall program, and if the problem persists, call Technical Service.
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Precautions Table
Operational precautions are included throughout this manual. The table below provides a comprehensive list of all the precautions to take for optimal Instrument operation.
Precaution Barcode labels on specimen tubes must face out when in a Sample Rack. Do not use specimen tubes that exceed 100 mm in height or are less than 12 mm in diameter. Do not use a Bead Pack if the barcode label was damaged or removed. Use only IMMULITE 2000 system reagents with the IMMULITE 2000, and IMMULITE 2500 system reagents with the IMMULITE 2500. Do not reuse IMMULITE 2000 or IMMULITE 2500 Reagent Wedges. Do not use a Reagent Wedge if the barcode label was damaged or removed Read and carefully follow the package insert instructions supplied with each kit prior to use. Water used in the Water Bottle must be alkaline phosphatase-free. Note: The chemiluminescent substrate used in the Instrument is very sensitive to alkaline phosphatase. High non-specific background counts may occur if impure water is used. Use only the specially designed IMMULITE 2000/2500 Reaction Tubes. The Reaction Tubes must be disposed of after single use. Diluents should not be used beyond the indicated expiration date. To prevent damage to the Dilution Well, the polypropylene Dilution Well Insert must be in place before performing dilutions. Do not block the fan vents on the sides and back panel of the Instrument. The Instrument must be connected to a dedicated 220V power service.
Kits Water
Reaction Tubes
Dilutions
Ventilation Electrical
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Precaution The Water and Substrate Probes must be removed from their stations before priming. Do not use a Microsample Tube Holder with a damaged or dirty barcode label. Solid and liquid waste may contain biohazardous material. Follow Universal Precautions when handling.
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Appendix G: Worksheets
Introduction
This section includes the following worksheets: IMMULITE 2000/2500 Adjustment Log IMMULITE 2000/2500 Daily and Weekly Maintenance Record IMMULITE 2000/2500 Monthly and Quarterly Record These items can be copied and used as needed.
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Monthly Maintenance List Clean Water Bottle and Probe Wash bottle Decontaminate the Lines Transducer Decontamination Reagent Probe Angle Clean the Fan Filter Operator Initials Supervisor Initials
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
Quarterly Maintenance List Replace CO2 Scrubber Operator Initials Supervisor Initials
Replacement Date 1
Replacement Date 2
Replacement Date 3
Replacement Date 4
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Patient Report
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Control Report
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Appendix I:
In this Section
Manual Confirmatory Testing ...............................................................................................428 HBsAg Positive Control....................................................................................................428 Order Hepatitis Confirmatory Tests .................................................................................428 Order Positive Confirmatory Control ................................................................................430 Load and Process Manual Confirmatory Samples on the Instrument..............................430 Reviewing Results of Manual Confirmatory Testing ........................................................431
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The HBS Confirmatory Test Entry screen appears. FIGURE 244: HBS CONFIRMATORY TEST ENTRY SCREEN
2. Enter the Original Sample ID by: Scanning the patient sample tube barcode label or Manually entering the number into the Original Sample ID field. 3. Enter the Confirmatory Sample ID by: Scanning the Confirmatory Sample ID barcode label or Manually entering the number into the Original Sample ID field. [maximum 4 numerical characters] All Blocked and Unblocked fields for Undiluted and Diluted samples, and Positive Confirmatory Controls will automatically populate. 4. Select the HBS Kit Lot number from the drop-down list. This list displays the number of tests remaining for each kit lot on board the Instrument, and is refreshed each time the screen is opened. Note: This is the lot number of the HBS kit used for testing. Do not enter the kit lot of the HBsAg Confirmatory Kit. 5. Select the ORDER button for the appropriate sample type(s) to be run (undiluted, diluted or both). Orders are only created for sample types for which the ORDER button is selected. Note: Use the CANCEL button to cancel an order before selecting the ACCEPT button. 6. Select the ACCEPT button. The HBS confirmatory test orders are sent to the Worklist and the fields are cleared.
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6. Select the CLOSE button to exit the HBS Confirmatory Test Entry screen.
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The confirmatory test samples print automatically (qualitative or qualitative and ratio results); however, no results are automatically sent to the LIS. Reflexive testing is not performed on HBS confirmatory samples.
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Appendix J:
Icon Glossary
IVD Symbols are International representations of information and/or instructions on the Instrument's labeling. The following table displays the International symbols that appear on the Instrument's labeling and their definitions.
Description
Do not re-use
Batch code
Catalog number
Serial number
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Description
Sterilized using ethylene oxide Sterilized using steam or dry heat Biological risk
Non-sterile
Do not re-sterilize
Keep dry
Temperature limitation
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Description
Manufactured by
Representative
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Introduction
This section includes this manual's references list, the product warranty, the IMMULITE 2000 Clearance Certificate, and the IMMULITE 2500 Clearance Certificate.
References
1. Babson AL. The DPC Cirrus IMMULITE automated immunoassay system. J Clin Immunoassay 1991;14:83-8. 2. Babson AL, Olson DR, Palmieri T, Ross AF, Becker DM, Mulqueen PJ. The IMMULITE assay tube: a new approach to heterogeneous ligand assay. Clin Chem 1991;37:1521-2. Additional Information Consult clinchem.org for information about the fundamentals of data reduction and immunoassay references. Consult westgard.com for detailed QC information.
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Limited Warranty
LIMITED WARRANTY. Siemens Diagnostics warrants that the Software will substantially conform to specifications and to the documentation, provided that it is used on the computer hardware and with the operating system for which it is designed. Siemens Diagnostics also warrants the disks on which the Software is recorded to be free from defects in material and workmanship under normal use for a period of ninety (90) days from the date of purchase. Siemens Diagnostics warrants that the items delivered hereunder are of good material and workmanship, and are free from defects in design and manufacture. Siemens Diagnostics' responsibility is limited to repairing or replacing any item or part, for a period of one (1) year after delivery to the original purchaser. Defects caused by improper operating conditions, misuse, negligence, or alteration of the product void this warranty. Siemens Diagnostics shall not be liable for any direct, indirect, incidental, or consequential damages arising out of possession or use of the items. Consumables, as defined in the appropriate Siemens Diagnostics Price List for Instrument-Related Parts. Racks and Consumables, are not covered by this Warranty. CUSTOMER REMEDIES. Siemens Diagnostics' entire liability and your exclusive remedy shall be replacement of the Software that does not meet Siemens Diagnostics' Limited Warranty and which is returned to Siemens Diagnostics. The Limited Warranty is void if failure of the Software has resulted from accident, abuse, or misapplication. NO OTHER WARRANTIES. Because software is inherently complex and may not be completely free of errors, you are advised to verify your work. The software and related documentation are provided "as is". Siemens Diagnostics disclaims all other warranties, either express or implied, including but not limited to implied warranties of merchantability and fitness for a particular purpose, with respect to the software and the accompanying written materials. Siemens Diagnostics shall not be liable for any direct, indirect, incidental, or consequential damages arising out of possession or use of this product. WARSOFT-A
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Table of Figures
Figure 1: IMMULITE 2000 (Overhead View).................................................................10 Figure 2: IMMULITE 2500 (Overhead View).................................................................11 Figure 3: IMMULITE 2000/2500 (Front View) ............................................................... 12 Figure 4: Reagent Wedge ............................................................................................. 13 Figure 5: Reagent Wedge Compartments .................................................................... 13 Figure 6: Bead Pack .....................................................................................................14 Figure 7: 2D Kit Barcode...............................................................................................15 Figure 8: Home Screen (Toolbar and Menu Bar).......................................................... 18 Figure 9: Display Options screen .................................................................................. 26 Figure 10: Auto Dilutions screen ................................................................................... 28 Figure 11: Auto Dilutions screen (showing the Test Selection list) ............................... 28 Figure 12: Auto Dilutions screen (showing the Dilution Factor buttons) ....................... 29 Figure 13: Auto Dilutions screen (with all fields completed).......................................... 29 Figure 14: ID Information screen................................................................................... 30 Figure 15: Configuration Settings screen...................................................................... 31 Figure 16: LIS Configuration view of the Display Options screen ................................. 34 Figure 17: Password Protected screen .........................................................................38 Figure 18: Password Protected screen .........................................................................38 Figure 19: Reset Load Scale screen.............................................................................39 Figure 20: Reset Load Scale message .........................................................................39 Figure 21: Reset Load Scale message .........................................................................40 Figure 22: Resetting the Load Scale.............................................................................40 Figure 23: Reset Load Scale confirmation message .................................................... 40 Figure 24: Test Ranges window....................................................................................41 Figure 25: Allergen Ranges window .............................................................................42 Figure 26: Configuration Settings screen...................................................................... 43 Figure 27: Reflexive Testing Configuration screen ....................................................... 44 Figure 28: Reflexive Testing Range screen .................................................................. 45 Figure 29: Reflexive Testing Configuration screen with Current Ranges ..................... 46 Figure 30: Reflexive Testing Configuration screen ....................................................... 47 Figure 31: Reflexive Testing Configuration screen showing Current Ranges............... 47 Figure 32: Reflexive Testing Range screen showing a Below Range .......................... 48 Figure 33: Reflexive Testing Configuration screen ....................................................... 49 Figure 34: Reflexive Testing Configuration screen showing Current Ranges............... 50 Figure 35: Panel Configuration window ........................................................................51 Figure 36: Available Tests - Allergens Onboard ........................................................... 52 Figure 37: Replicates Window ......................................................................................53 Figure 38: Panel Configuration screen..........................................................................54 Figure 39: Select Panel Window ...................................................................................54 Figure 40: Panel Configuration screen..........................................................................55 Figure 41: Select Panel Window ...................................................................................56 Figure 42: Units Configuration screen........................................................................... 57 Figure 43: Reports window ........................................................................................... 57 Figure 44: Report Settings window ............................................................................... 58 Figure 45: Reports window ........................................................................................... 58 Figure 46: Report Settings window - Chartable Format ................................................ 59 Figure 47: Chartable Patient Report Template ............................................................. 59 Figure 48: Chartable Patient Report - Editing Fields..................................................... 60
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Figure 49: Reports window ........................................................................................... 61 Figure 50: Report Settings window - Chartable Format ................................................ 61 Figure 51: Reports window ........................................................................................... 62 Figure 52: Report Settings window - Chartable Format ................................................ 62 Figure 53: Patient Report Search window..................................................................... 63 Figure 54: Report Settings window - Chartable Format ................................................ 64 Figure 55: Accessing the Control Panel........................................................................65 Figure 56: Date/Time Properties screen (Date & Time tab).......................................... 66 Figure 57: Date/Time Properties screen (Time Zone tab)............................................. 67 Figure 58: IMMULITE 2000/2500 (Front View) ............................................................. 70 Figure 59: Instrument Status Indicator ..........................................................................71 Figure 60: Diagnostics Main Menu................................................................................ 72 Figure 61: Diagnostic Program screen.......................................................................... 73 Figure 62: Daily Probe Cleaning screen ....................................................................... 74 Figure 63: Reaction Tube in Shuttle Position................................................................ 74 Figure 64: Blind Hole in the Wash Well.........................................................................75 Figure 65: Start Menu (NT) ...........................................................................................75 Figure 66: Start Menu (XP) ...........................................................................................75 Figure 67: Restart Prompt (NT).....................................................................................76 Figure 68: Restart Prompt (XP).....................................................................................76 Figure 69: Filling the Reaction Tube Hopper ................................................................ 76 Figure 70: Disconnecting the Water Bottle....................................................................78 Figure 71: Disconnecting the Probe Wash Bottle ......................................................... 78 Figure 72: Filling the Substrate .....................................................................................80 Figure 73: Removing the Liquid Waste Bottle...............................................................81 Figure 74: Priming the Sample and Reagent Pipettors................................................. 82 Figure 75: Priming the Water Probe.............................................................................. 83 Figure 76: Reaction Tube in Shuttle Position................................................................ 85 Figure 77: Cleaning the Fan Filter.................................................................................86 Figure 78: Pulling Open the Side Door Panel ............................................................... 87 Figure 79: Removing the Fan Filter Guard....................................................................87 Figure 80: Removing the Fan Filter...............................................................................88 Figure 81: Reaction Tube in Shuttle Position................................................................ 90 Figure 82: Substrate Reservoir and CO2 Scrubber ...................................................... 91 Figure 83: Reaction Tube in Shuttle Position................................................................ 93 Figure 84: IMMULITE 2000 WATERTEST Results Printout ......................................... 93 Figure 85: Reaction Tube in Shuttle Position................................................................ 94 Figure 86: IMMULITE 2500 WATERTEST Results Printout ......................................... 95 Figure 87: 2D Kit Barcode Using a 2D Scanner............................................................ 98 Figure 88: Barcode Using an Imaging Scanner ............................................................ 99 Figure 89: Kits window ................................................................................................ 100 Figure 90: Allergen Vial with Corresponding 2D Barcode........................................... 102 Figure 91: Flagged Allergen Vial.................................................................................103 Figure 92: Allergen Kits window..................................................................................103 Figure 93: Allergen Vial Caps ..................................................................................... 104 Figure 94: Loading Vials in an Allergen Wedge .......................................................... 105 Figure 95: Scanning an Allergen Wedge .................................................................... 105 Figure 96: Allergen Wedge Detail window .................................................................. 106 Figure 97: Kits window ................................................................................................ 107 Figure 98: Home Screen (Toolbar and Menu Bar)...................................................... 108 Figure 99: Loading the Sample Carousel Rack .......................................................... 109
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Figure 100: Worklist window (for an Adjustor) ............................................................ 110 Figure 101: Display Worklist window (sorted by Adjustor) .......................................... 111 Figure 102: Sample Adjustment Data (Complete) ...................................................... 113 Figure 103: Sample Adjustment Data (Incomplete) .................................................... 114 Figure 104: Sample Adjustment Data (with Rejection Limits) ..................................... 115 Figure 105: Sample Single Adjustor Assay Data (Complete) ..................................... 116 Figure 106: QC window...............................................................................................120 Figure 107: Control Entry window ...............................................................................120 Figure 108: Available Tests - Allergens Onboard ....................................................... 121 Figure 109: New Control Level window....................................................................... 122 Figure 110: Record Saved window ............................................................................. 123 Figure 111: Record Saved window ............................................................................. 125 Figure 112: Record Saved window ............................................................................. 126 Figure 113: Control Entry window (Current Test field) ................................................ 127 Figure 114: New Control Level window....................................................................... 127 Figure 115: Control Level Change Alert Message ...................................................... 127 Figure 116: Record Saved window ............................................................................. 128 Figure 117: QC window...............................................................................................129 Figure 118: Control Entry window (when Editing a Control) ....................................... 129 Figure 119: Control Entry window (Current Test field) ................................................ 130 Figure 120: QC window...............................................................................................131 Figure 121: Controls Graph Selection window............................................................ 131 Figure 122: Controls Graph......................................................................................... 133 Figure 123: Comment Selection window..................................................................... 136 Figure 124: Edit Comments List window.....................................................................136 Figure 125: Controls Graph (showing results not included in the graph) .................... 137 Figure 126: QC window...............................................................................................138 Figure 127: Westgard Rules Flowchart....................................................................... 140 Figure 128: IMMULITE 2000 Startup screen .............................................................. 144 Figure 129: Home Screen (Toolbar and Menu Bar).................................................... 145 Figure 130: Instrument Status Indicator ...................................................................... 146 Figure 131: Priming the Sample and Reagent Pipettors............................................. 147 Figure 132: Priming the Water Probe.......................................................................... 147 Figure 133: Home Screen (Toolbar and Menu Bar).................................................... 149 Figure 134: Reagent Status window ........................................................................... 150 Figure 135: Reagent Status window ........................................................................... 151 Figure 136: Reagent Detail window ............................................................................ 153 Figure 137: Allergen Wedge Detail window ................................................................ 154 Figure 138: Loading a Reagent Wedge ...................................................................... 155 Figure 139: Sides of the Reagent Wedge ................................................................... 155 Figure 140: Side of the Allergen Wedge ..................................................................... 155 Figure 141: Home Screen (Toolbar and Menu Bar).................................................... 157 Figure 142: Bead Detail window ................................................................................. 160 Figure 143: Loading the Bead Pack............................................................................161 Figure 144: Microsample Tube Holder........................................................................ 163 Figure 145: Patient Sample Tubes.............................................................................. 164 Figure 146: Label Positioning ..................................................................................... 164 Figure 147: Loading the Sample Carousel Rack ........................................................ 165 Figure 148: Worklist window (for a control sample) .................................................... 166 Figure 149: Display Worklist window (showing controls) ............................................ 167 Figure 150: Home screen (showing results) ............................................................... 168
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Figure 151: Consumables Report screen ................................................................... 169 Figure 152: Sample Status screen..............................................................................170 Figure 153: Find Sample window................................................................................ 171 Figure 154: Find Sample window (calendar view) ...................................................... 171 Figure 155: Records Found window ...........................................................................172 Figure 156: Review window ........................................................................................173 Figure 157: Sample Rack Detail window .................................................................... 174 Figure 158: Find Last Tube Location window ............................................................. 175 Figure 159: Adjustment Log View window (showing adjustment data) ....................... 176 Figure 160: Adjustment Review screen ...................................................................... 177 Figure 161: Allergens On Board window..................................................................... 179 Figure 162: Export Data screen .................................................................................. 180 Figure 163: Nero window ............................................................................................182 Figure 164: Nero Express - Disc Content window ...................................................... 183 Figure 165: Nero Express - Disc Content window (showing files) .............................. 184 Figure 166: Nero Express ...........................................................................................187 Figure 167: LIS screen................................................................................................ 188 Figure 168: LIS Sort By screen ...................................................................................189 Figure 169: Start Menu (NT) .......................................................................................190 Figure 170: Start Menu (XP) .......................................................................................190 Figure 171: Restart Prompt (NT).................................................................................191 Figure 172: Restart Prompt (XP).................................................................................191 Figure 173: Worklist window (for manually entering patient samples) ........................ 195 Figure 174: Display Worklist window (Showing Sample Errors) ................................. 197 Figure 175: Worklist window (for a patient sample) .................................................... 199 Figure 176: Assign Tube Position screen ................................................................... 200 Figure 177: Worklist window (for an adjustor sample) ................................................ 202 Figure 178: Display Worklist window (sorted by Adjustor) .......................................... 203 Figure 179: Worklist window (for a control sample) .................................................... 204 Figure 180: Display Worklist window (showing controls) ............................................ 205 Figure 181: Worklist window (for a patient sample) .................................................... 206 Figure 182: Assign Tube Position screen ................................................................... 207 Figure 183: Worklist screen Calibration Verifier)......................................................... 208 Figure 184: Assign Tube Position screen ................................................................... 209 Figure 185: Worklist screen Showing the Dilution Factor window .............................. 211 Figure 186: Worklist screen Showing the Dilution Factor window .............................. 212 Figure 187: Manual Dilution window ........................................................................... 213 Figure 188: Consumables Report screen ................................................................... 214 Figure 189: Available Tests - Allergens Onboard ....................................................... 215 Figure 190: Replicates Window .................................................................................. 216 Figure 191: Available Panels screen........................................................................... 217 Figure 192: Assign Tests to Rack screen ...................................................................218 Figure 193: Assign Tube Position screen ................................................................... 219 Figure 194: Display Worklist window (Showing Sample Errors) ................................. 220 Figure 195: Print Worklist window............................................................................... 221 Figure 196: Selecting Multiple Records on the Worklist.............................................. 222 Figure 197: Display Worklist window (Showing Sample Errors) ................................. 223 Figure 198: Export Worklist window............................................................................ 223 Figure 199: Display Worklist window (Showing Sample Errors) ................................. 224 Figure 200: Import Worklist window ............................................................................225 Figure 201: Review Screen......................................................................................... 228
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Figure 202: Select Time Method window (Today Only) .............................................. 230 Figure 203: Select Time Method window (From To) ................................................... 231 Figure 204: Select Time Method (From To) with Digital Clock Displayed................... 231 Figure 205: Review Screen......................................................................................... 232 Figure 206: Search Patient By window ....................................................................... 233 Figure 207: Search Results screen............................................................................. 234 Figure 208: LIS screen................................................................................................ 236 Figure 209: LIS Sort By screen ...................................................................................237 Figure 210: Help button .............................................................................................. 242 Figure 211: Help Menus and Toolbar.......................................................................... 242 Figure 212: Help Main Menu screen ........................................................................... 243 Figure 213: Help Menus and Toolbar.......................................................................... 243 Figure 214: Help Subtopic smenu...............................................................................246 Figure 215: Help Toolbar Subtopic screen.................................................................. 246 Figure 216: Context-Sensitive Help screen................................................................. 247 Figure 217: Horizontal Toolbar....................................................................................247 Figure 218: Help Routine Procedures Subtopics menu .............................................. 248 Figure 219: Help Routine Procedure screen............................................................... 248 Figure 220: Help Index Tab screen............................................................................. 249 Figure 221: Find Setup Wizard screen (database) ..................................................... 250 Figure 222: Find Setup Wizard screen (finish)............................................................ 250 Figure 223: Help Search Tab screen .......................................................................... 251 Figure 224: Error Report screen ................................................................................. 255 Figure 225: IMMULITE 2000 Startup screen .............................................................. 257 Figure 226: View Event Log Specification screen....................................................... 257 Figure 227: Day Error Log screen...............................................................................258 Figure 228: Day Error Log screen...............................................................................259 Figure 229: Temperatures and Humidity screen......................................................... 260 Figure 230: Diagnostics Main Menu............................................................................261 Figure 231: Diagnostic Program screen...................................................................... 262 Figure 232: Probe in Arm Mount ................................................................................. 267 Figure 233: Solid Waste Container .............................................................................268 Figure 234: Waste Chute Opening.............................................................................. 269 Figure 235: Worklist window (for a patient sample) .................................................... 270 Figure 236: Display Worklist window (Showing Sample Errors) ................................. 271 Figure 237: Examples of Clinging Clots ...................................................................... 272 Figure 238: CPS Graph (Master vs. Customer Instrument) ........................................ 281 Figure 239: Example Slope Range ............................................................................. 283 Figure 240: Example Intercept Guideline for Immunometric Assay ............................ 284 Figure 241: Example Intercept Guideline for Competitive Assay................................ 285 Figure 242: Enzyme-Amplified Luminescence............................................................ 289 Figure 243: Chemical Reaction of IMMULITE 2000/2500 Substrate .......................... 290 Figure 244: HBS Confirmatory Test Entry screen....................................................... 429 Figure 245: Test Entry Screen Information - Manual Confirmatory Testing Only ...... 430 Figure 246: HBS Confirmatory Test Results Report ................................................... 431
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Index
2
2D Scanner scanning kits 98
B
barcodes adjustors 14 controls without barcodes 206 kits 15, 98, 99 patients without barcodes 198 batch by rack 217 bead packs Bead Status window 158 onboard the Instrument 178 overview 14 replacing 160 status 156 bottles decontaminating 89 disconnecting and reconnecting 77
A
about this manual 2 adding adjustors to worklist 202 calibration verifiers 208 controls to worklist 166 levels of control 125 panels 51 patients to worklist 195 adjustments 108 adjustment log 176 printout 111 sample data 114, 117 two-point adjustment 280 validity 117, 281 adjustors 14 adding to worklist 202 antibody 15 barcode labels 14 allergens 17 configuring ranges 42 entering 102 on board 179 ranges 42 replacing wedges 154 status of wedges 149 vials 102 wedges 17, 102 antibody adjustor 15 control 15 as needed maintenance 92 cleaning the monitor 92 assays adjusting 108 tests ordered 174 time to completion 171 troubleshooting guide 274 assigning tests 215, 217 tube position 219 auto dilutions 27
C
calibration overview 279 cancelling on board dilutions 211 capacity 5 chartable patient report 58 disabling fields 60 enabling fields 60 moving fields 62 printing 63 restoring the template 63 checking dispense angle of Reagent Probe 86 kit components 214 reagent and allergen wedges 149 sample status 170 Substrate 79 test time remaining 171 tests ordered 174 Waste Containers 80 Water Bottle 77 chemiluminescent reaction 289 cleaning Fan Filter 86 Monitor 92 Sample and Reagent Probes 73 trackball 92 clearance certificate IMMULITE 2000 440 IMMULITE 2500 440 clearing LIS records 238 Clot Detection Transducer 88
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clots 270 air in the system 273 clinging 271 Clot Detection Transducer 88 gel 272 hanging 272 sample 271 CO2 Scrubber replacement 91 common errors and solutions 305 components kits 12 system 7 computer restarting 75 settings 65 specifications 292 configurations 26 Allergen Ranges 42 Configuration Settings 30 Display Options 26 ID Information 30 LIS 34 Panels 50 Reflexive Tests 43 Reset Load Scale 39 Test Ranges 41 units configuration 56 CONFIGURATIONS Auto Dilutions 27 confirmatory testing manual confirmatory testing 428 consumables report 169 consumables, list 299 contact information orders 23 support 23 Control Not for On-line QC 139 controls 14, 119
adding a level 125 adding to worklist 166 changing a level 126 control antibody 15 Control Not for On-line QC 139 deleting tests 138 editing information 129 entering new information 120 levels 125, 126 loading 164 Multi Rule 139 naming conventions 3 qualitative controls 124 reported as ratios 125 reviewing data 131 Single Rule 139 troubleshooting post adjustment 275 with barcodes 204 without barcodes 206 creating a panel 51 customer support 23
D
daily maintenance 70, 144 maintenance record 413 shutdown 190 damaged or missing barcodes patients 198 data clearing LIS data 238 exporting 180 resending to LIS 238 reviewing control data 131 saving to a CD or DVD 181 viewing and sending to LIS 188 date and time resetting 65 Date and Time 65 declaration of conformity IMMULITE 2000 294 IMMULITE 2500 295 decontaminating bottles and lines 89 deleting panel 55 reflexive test range 49 tests for a control 138 worklist entries 222 diagnostics
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initializing 72 DIAGNOSTICS list of programs 263 diluent 16 loading 164 dilutions 210 Auto Dilutions screen 27 loading diluent 164 manual 212 onboard 210 samples 210 volumes 292 disconnecting Water and Probe Wash Bottles 77 Display Options 26
fan 86 finding tubes 175 flags 306 fluid usage 291 four-parameter logic 279 Front Views of the Instruments 12
H
help 241 contact information 23 searching 249 hepatitis confirmatory testing manually 428
I
ID information 30 Imaging Scanner scanning kits 99 important notices 15 importing worklist 224 in vitro diagnostics (IVD) symbols 433 installation preparation 297 Instrument parts 7 intercept of an adjustment, competitive 285 intercept of an adjustment, sandwich 283 internal calculations 278
E
editing control information 129 panels 54 Reflexive Testing configurations 46 electrical power loss 266 power requirements 297 entering allergens and allergen wedges 102 Kits 97 Entering New Control Information 120 error messages 303 common errors and solutions 305 error log 256 Error Report screen 255 flags 306 list 307 severity 304 event log 256 exporting data 180 to a CD or DVD 181 worklist 223
K
kits 97 barcodes 15, 98, 99 checking components 214 components 12 entering 97 reviewing iInformation 106
L
labeling patient sample tubes 164 Limited Warranty 440 lines decontaminating 89 liquid waste 81 LIS
F
Fan Filter cleaning 86 figures 3 filling Probe Wash Bottle 77 reaction tube hopper 76 Substrate 79 Water Bottle 78 filter
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clearing data 238 configuring 34 resending data 238 reviewing results 236 sending results 238 view and send data 188, 238 load scale resetting 39 loading controls, samples, diluents 164 location of tube 175 Logging Off 71 logs adjustment 176 error 256
operator tasks 4 options test entry 215 output 291 specifications 5 Overhead Views of the Instruments 10
P
package contents 295 package insert 15 panels 50 creating 51 deleting 55 editing 54 selecting 216 parts Instrument 7 patient samples labelling 164 PAUSE 6 pipetting sequence 6 point-to-point method 280 power loss 266 power requirements 297 priming Sample and Reagent Probes 81 Substrate Probe 83 Water Probe 82 principles of operation 4 printing chartable patient report 63 worklists 221 probe wash 16 checking and filling 78 disconnecting and reconnecting 77 probes cleaning 73 priming 81, 82, 83 replacing 266 product description 4
M
maintenance 69 as needed 92 daily 70, 144 monthly 86 records 413, 415 weekly 84 manual confirmatory testing 428 HBsAg Positive Control 428 ordering positive control 430 ordering tests 428 reviewing results 431 manual dilutions 212 master curve 279 generation 279 Menu Bar 20 microsampling 162 modes 6 PAUSE 6 RUN 6 STOP 6 modifying worklist entries 221 Monitor cleaning 92 monthly maintenance record 415 Monthly Maintenance 86 Multi Rule 139
Q
QC See controls qualitative controls 124 Quality Control Management 139 quarterly maintenace record 415 quarterly maintenance 91
O
onboard dilutions 210 cancelling 211 operating modes See modes operational precautions 409
450
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R
racks assigning tests 217 Random Access 38 ranges allergens 42 tests 41 ratios calculating 288 Reaction Tube Hopper, filling 76 readjustment 286 intercepts 286 slopes 286 Reagent Probe checking dispense angle 86 cleaning 73 priming 81 replacing 266 reagent wedges 13 Reagent Status window 150 replacement 154 status 149 reagents wedges on board 178 references 437 Reflexive Testing 43 editing configurations 46 Reflexive Tests deleting ranges 49 setting up 44 replacing bead packs 160 CO2 Scrubber 91 reagent and allergen wedges 154 sample and reagent probes 266 reports 57 chartable patient report 420 patient report (allergy) 419 patient review report 422 print all worklist 423 reports, control report 421 reports, export report (with allergy) 424 reports, export report (without allergy) 425 reports, patient report 418 requirements power 297 space 297 water 298 resending results 238 resetting
load scale 39 restarting computer 75 system 190 results flags 306 reviewing 228 searching for 232 WATERTEST 95 reviewing control data 131 kit information 106 LIS results 236 results 228 routine maintenance 69 as needed 92 daily 70, 144 monthly 86 records 413, 415 weekly 84 routine operation 143 RUN 6 running assays 168
S
Sample Probe cleaning 73 priming 81 replacing 266 Sample Single Adjustor Assay Data (Complete) 117 samples diluting 210 labeling patients 164 loading 164 status 170 tube location 175 tube position 219 tube sizes 162 with barcodes 195 without barcodes 198 saving data 180 data to a CD or DVD 181 worklist 223 scanning kit barcodes 15, 98, 99 searching help 249 results 232 sending results to LIS 238
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shutdown 190 Single Rule 139 Single-Adjustor Assays 112 software menu bar 20 overview 18 toolbar 18 updating 67 solid waste 80 sound 67 space requirements 297 specifications computer 292 dilution volumes 292 fluid usage 291 output 291 system 291 STATs ordering 201 status bead packs 156 reagent and allergen wedges 149 Reagent Status window 150 samples 170 STOP 6 substrate 16 checking and filling 79 Substrate Probe priming 83 support 23 system components 7 configurations 26 specifications 291
setting 66 toolbar 18 Touch Screen cleaning 92 trackball cleaning 92 trademarks 3 troubleshooting 253 assay troubleshooting guide 274 competitive assays 274 controls post adjustment 274 Error Report screen 255 list of errors 307 pre-treated assays 274 sandwich assays 274 Tube Hopper 76 tube location 175 tube position assigning 219 tube sizes 162 Two-Adjustor Assays 111 two-point adjustment 279, 280
U
units 56 updating the system 67 user entered order 38
V
validity adjustments 117, 281 verifiers adding to worklist 208 viewing adjustment log 176 allergens onboard 179 beads and reagents onboard 178 day error log 259 event log 256 Instrument temperatures 260 volume controls 67
T
technical assistance 23 Technical Service 23 temperatures requirements 297 viewing 260 tests assigning to a rack 217 entry 215 ranges 41 reflexive 43 time remaining 171 time test time remaining 171 time zone
W
waste chute clean out tool 268 Waste Containers checking 80 liquid waste 81 solid waste 80 Waste Tube cleaning
452
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IMMULITE 2000 84 IMMULITE 2500 84 Waste Tube Cleaning 84 water requirements 298 Water Bottle checking and filling 77 decontaminating 89 disconnecting and reconnecting 77 Water Probe priming 82 water tests WATERTEST (IMMULITE 2000) 92 WATERTEST (IMMULITE 2500) 94 WATERTEST results 95 weekly maintenance 84 record 413 worklist 193 adding adjustors 202 adding controls 166 adding patients 195 adding verifiers 208 deleting entries 222 display options 220 displaying 220 importing 224 management 220 modifying entries 221 overview 194 printing 221 saving entries 223 worksheets 411 adjustment log 412 maintenance records 413, 415
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