Professional Documents
Culture Documents
Model:
Foreword
This manual is organized in a progressive sequence for easy study and reference. It is an
instructional aid to provide a reference for easy operation and general maintenance of this
analyzer. The manual contains detailed description of the analyzer features and
specifications. It consists of the main analyzer including software, and software on the
operational PC. The analyzer is used with operational PC and printer, and can interact with
the host computer. All the samples and reagents for measurements including samples
obtained from patients are controlled by bar codes enabling the analyzer to perform the
entire process of the analysis automatically. Use of the analyzer with proper knowledge will
ensure quality test results and trouble free analyzer operation and performance.
Assumptions are made that before making an attempt to operate the analyzer, the
operator is familiar with the operation of analyzer and has:
1. Read the Operator’s Manual.
2. Been trained by authorized personnel.
3. Personalized the analyzer, checked and/or modified methods, parameters,
profiles, serum control values etc.
Manufacturer
of the Analyzer
Registered Office:
TRANSASIA BIO-MEDICALS LTD.
Transasia House, 8, Chandivali Studio Rd.
Mumbai-400 072, India.
Production Facility:
TRANSASIA BIO-MEDICALS LTD.
SDF-VI, Unit No. 162, Phase I,
SEEPZ, Andheri (East),
Mumbai-400 096, India.
This chapter provides the user with necessary information on the warning labels. The user is
requested to read before installation of the analyzer.
WARNING ABOUT:
Biohazard
Electric shock
High temperature
Injury
Action to be taken as
directed by the
“OPERATOR’S
MANUAL”
The following warning labels are affixed on the places that are the potentially hazardous.
During operation, do not touch auto sampler unit, reagent container unit, nozzles
and any other moving mechanical parts in the analyzer. During operation, shut
cover all the time.
Never touch patients' samples with bare hands to prevent operator from possible
infection. Handle SPT nozzle, RPT nozzle, reaction cells, wash nozzles, waste
nozzles and MIX paddle in the same way.
Wear medical rubber gloves to keep skin from direct contact with patients'
samples.
Give special consideration to keep skin and mucous membrane from contact with
reagents to prevent operator from possible infection.
Wear medical rubber gloves, goggles, etc. to keep skin and mucous membrane
from contact with reagents.
Read the statements of virtues that came with reagents prior to their use.
The contact with the wastes such as used reaction cells and solutions may cause
infection. Handle them with gloved hands without exception. Follow the national or
local laws and rules when they are thrown out. There are two kinds of liquid
wastes drained from this analyzer, i.e. high- and low-concentrated wastes.
The access to the conductive parts within the analyzer may cause serious electric
shock.
When removing parts, make sure to shut off the power supply.
Leave any maintenance and repair of electrical parts inside the equipment to a
qualified service personnel.
Never leave reagent bottles on the working table (upper surface inside the
analyzer). Careless handling of reagent bottles may cause tumble and leak.
Exchange the halogen lamp for a new one after a lapse of 30 minutes since the
power switch of the analyzer is turned off to avoid danger of burns.
The user is requested to read this instruction before he/she uses the analyzer for the first time and
becomes acquainted with how to operate the analyzer.
Chapter 2 – Installation Conditions
d) Once the analyzer is positioned at customer end then adjust the leveling bolts
such that the castor wheels are just lifted above the ground level. Use level
indicator for ensuring the machine is leveled properly.
e) Do not install the analyzer at the place adjacent to the storage room of
chemicals or the place where any gas is likely to be generated.
c) Ensure that all the necessary electrical cables are correctly connected.
d) Check that the contact conditions of switches and indicators are appropriate
and that the analyzer is ready to be activated correctly. Extreme care must be
taken not to result in misdiagnosis or pose any danger to the analyzer or
human body when the analyzer in conjunction with other equipment.
e) Wipe the nozzle tips of SPT and RPT several times with cloth or alike with
rubbing alcohol before the analyzer is used. At this time, do not forget to put
medical rubber gloves or alike on. Pay attention to prevent bare skins of hands
or arms from being touched by or pricked with the nozzle tip.
5. The following cautions should be exercised after the use of the analyzer:
a) Turn off the power after every operational switch and control is restored to its
6. In the event of trouble, call authorized service engineer for any repair. When
the safety mechanism is damaged, make contact to authorized service
engineer after pulling out the power cable from the main source outlet.
b. Ensure that the analyzer operates normally and correctly, when it is reused
after being kept unused for some time.
8. The following cautions should be taken when using and handling the
reagents:
a) After unpacking the reagents, be sure not to allow dust, dirt or bacteria to come
in touch with the reagent.
b) Do not use reagents that are out of expiration date.
c) Handle a reagent gently to avoid formation of bubbles.
d) Take care not to spill the reagent. If it spills, wipe it off immediately using a wet
cloth.
e) Follow other instructions described in the package insert on each reagent.
f) Some reagents used with the system are strong acids or alkalis. To protect
yourself from injury, observe the following precautions.
WARNING
Some reagents are strong acids or alkalis. Exercise great care so that your
hands and clothing do not come into contact with reagents. If your hands or
clothing come into contact with either reagents, immediately wash them off
with soap and water. If a reagent comes into contact with your eye(s),
immediately rinse with water for at least 15 minutes.
10. The following precautions should be taken for preventing infection due to
sample handling:
CAUTION
Do not touch the samples, mixtures & waste liquids with bare hands. Be
sure to wear gloves to protect yourself from infection. In case any samples
come in contact with your skin, thoroughly rinse the area that came in
contact with the sample & consult a physician. Immediately wipe off any
contaminants from the system.
11. The following precautions should be taken for disposing the bio-hazardous
waste:
CAUTION
Treat the drain water as infectious waste. Collect the drain water in reserve
can & allow it to be disposed of by expert distributors.
12. The follow ing cautions should be exercised w hen replacing the
halogen lamp.
SAFETY SUMMARY
The RESPONS920 is designed to operate safely. When you operate the system in a
safe environment, in accordance with the guidelines and procedures stipulated in this
manual, and there are no known operating hazards.
When a special condition exists you will see a WARNING, BIO HAZARDOUS,
CAUTION or NOTE symbol in this service manual. The following information
explains these symbols.
Explaining Warnings
• Serum
• Urine
• CSF
Sample
• Plasma
• Whole Blood
• Others
• Turbidimetric Immunoassay
Measurement
• Colorimetry (Rate/End Point)
principle
• Ion Selective Electrodes (optional)
• Photometric assays
• Enzyme, lipid, protein, sugar, nitrides, inorganic substances,
complements and others
Applicable analytes
• Turbidimetric assays
• IgG, IgA, IgM, C3, C4, RF, CRP, ASO, Transferrin and others
• ISE Potentiometric Assays (Na, K, Cl, Li)
• Absolute measurement
Test method • Relative measurement
• ISE (optional)
• 50 items max (4 positions can be used for diluents and wash);
On board tests
54 test items with ISE
Programmable • No Limit for Programmed Tests or Calculation Items
parameters
• 1-Point
• 2-Point
Assay modes • Rate-A
• Rate-B
• ISE (optional)
Sample volume • 2-70 µl (adjustable in 0.2 µl step)
Reaction volume • 180µl – 550µl
Reaction • 37 °C
temperature • Temperature stability: ± 0.2 °C
• Depends on the designated cycle time and number of reagents
used
• For 1 step assay (using R1)
o 648 seconds (10 minutes 48 seconds) for a cycle time
Reaction time of 18 seconds
• For 2 step assay (using R1 and R2)
o 1st reaction 306 seconds (5 minutes 6 seconds) + 2nd
reaction 324 seconds (5 minutes 24 seconds) for a
cycle time of 18 seconds
System Warm-up
• 5 minute system warm-up time
Time
• Vertical obstruction detection
Safety mechanism
• Capacitance based liquid level sensing
Noise level • Less than 65 dB
Auxiliary storage
• CD – ROM Drive
medium
• Sample tray
• Outer Most Track: 15 routine samples with/without barcode, STAT
samples, blanks, calibrators, controls
Sample
• Middle Track: 15 routine samples with/without barcode, STAT samples,
placement
blanks, calibrators, controls
• Innermost Track: 9 positions for Blanks, Calibrators, Controls, ISE
Solutions, Samples without barcode, STAT samples
Reagent cooling
• 8-12°C cooled with refrigeration unit
temperature
Reagent • Position ID
identification • Reagent bar-code ID (18 digit barcode readability)
Reagent positions • Total 50 positions which can be used for reagent 1/2
Reagent protection • Reagent cover protection from evaporation, dust, and direct light
• Reusable
• Number of reaction cuvettes: 45
• Dimensions: 5 x 5 mm
Cuvettes • Optical path length: 5 mm (factor to be fed for 10 mm)
• Material: Hard glass
• Volume: 700 µl
• Reaction liquid volume: 550 µl maximum, 180 µl minimum
Wavelength • 8 Wavelengths: 340, 405, 450, 505, 546, 570, 630, 660 nm
Wavelength per
• One or two wavelengths
Chemistry
• OD 0 – 2.5
OD range
• Light path calculated as 10 mm
Resolution • 0.001 OD
• Pre-aligned Halogen lamp (12V/20W)
Light source
Cell blank
• Corrected by water blank measured after cuvette washing
correction
Minimum reaction
• 180 µl
Liquid volume
• Report generation: Patient wise, Test wise, Date wise, Location wise,
Report/list
Abnormal result wise, Doctor name wise
format
• Lists: Abnormal values list, Re-calculated results list, Repeat run list
• Selective Backup of following data is possible: Consumables, Patient,
Patient with Results, Test Parameters, Calibration, Error Log, System
Backup
parameters
• Full Backup
Special • Reagent blank correction
treatment • Sample Blank Correction
• Reference range check by age, gender, sample type
• Panic limit check
• Reaction linearity check
Data check
• Reaction mixture absorbance checks
• Antigen excess/prozone check (by reaction time course analysis
method)
The main unit and accessories are packed in separate cartons. Authorized representative is
responsible for unpacking, installing and initial setting up of the analyzer.
SR.
DESCRIPTION QTY.
NO
1. 20 LTR CAN ASSY FOR DI WATER 1 No.
a CAN ASSY FOR DI WATER 1 No.
CAP FOR 20 LTR DI WATER CAN 1 No.
20 LTRS CAN 1 No.
PHILLIPS CROSS RECESSED FLAT HEAD TAPPING SCREWS ST2.9
2 Nos.
X13L
SPIGOT FOR 20 LTR WATER CAN 1 No.
SS TUBE FOR WATER FILTER 1 No.
SOCKET SET SCREWS WITH FLAT POINT BN 617 M3 x 6 1 No.
25 MICRON FILTER 1 No.
`DI WATER' STICKER FOR 20L CAN 2 Nos.
ADAPTOR FOR LEVEL SENSOR 1 No.
GASKET FOR CAN ADAPTOR 1 No.
b. FLOAT SENSOR ASSY FOR 20 LIT DI WATER CAN 1 No.
CIRCLIP FOR SHAFT "A" TYPE BN 682 FOR SHAFT DIA 16 1 No.
FLOAT SENSOR MTG CAP 1 No.
FLOAT BASED LEVEL SENSOR (RSF56Y100RB) 1 No.
DI WATER CAN FLOAT SENSOR TUBE 1 No.
8. SHIPPER BOX
a. REAR PANEL TO COMPUTER CABLE ASSY. 1 No.
b. POWER CORD 2 PIN 1 No.
c. SAMPLE TUBE WITH BAR CODE LEBELS 10 nos.
300
d. Sample Cups (2 ml HITACHI Cups)
Nos.
e. Calibration Plate 1 No.
TUBING-I FOR WASTE CAN
f. 1 No.
1/2" X 11/16"
TUBING-II FOR WASTE CAN
g. 1 No
1/8" x 1/4"
TUBING FOR BIO-HAZARD CAN
h. 2 Nos.
1/8" x 1/4"
TUBING FOR DI WATER
i. 1 No.
1/8" x 1/4"
TUBING FOR CLEANING SOLUTION CAN
J. 1 No.
1/8" x 1/4"
XL-200 Analyzer Wooden Box : 1160mm X 1163mm X 1000mm : Wt: 170 Kg Approx.
This chapter provides the user with necessary background on the analyzer for its use. The
user is requested to read before starting operation.
This section contains the description of each unit constituting the system.
The outer section and middle section has 15 positions each for the patient samples, blanks,
calibrators or controls. STAT/EMERGENCY samples can be placed on any one of the
positions. Adapters are available for loading the primary tubes of different sizes. Primary
tubes as well as 2ml cups could be placed in the outer section.
The inner section consists of 9 positions for placing blank, control, stat/emergency samples,
standards/calibrators, non- barcoded patient samples and ISE solutions. On this tray, 2ml
Sample cups and 500µl Micro Cups can be placed in the positions as marked on the disk.
Diameter: 15 mm
Length: 101 mm
Extent of label fitting: Refer to below drawing.
Upto 42mm
20mm
For 5 or 7 ml tubes:
Diameter: 12 mm
Length: 75 mm
Extent of label fitting: Refer to below drawing.
Upto 42mm
20mm
The barcode reader reads barcode of the label affixed on the outer surface of the sample
tube.
The barcode reader used is laser type bar code reader.
LLS PCB
The sample & reagent pipette unit (SRPT) consists of an probe (nozzle), up-and-down
movement mechanism, rotating mechanism, liquid level sensor and nozzle down limit
sensor. The sample & reagent pipette is connected to the syringe pump for sample
aspiration via PTFE tube. The sample or reagent on the ASP unit or RGT tray is aspirated
by the pipette and then dispensed into the cuvettes (reaction cells) in the RCT unit. Probe
has smooth finish surface from outside is passivated & polished from inside to minimize
any sample carry over.
When an optional ISE unit is fitted and the ISE measurement is performed, the SRPT
aspirates sample for ISE measurement and dispenses it into the sample port of the ISE
unit.
cleaning of the probe). After the sample & reagent probe has dispensed sample & reagent
1 or reagent 2 into the cuvette, the arm moves to the drain station where the chase volume
is dispensed & then moves to trough position where it is cleaned internally as well as
externally using a jet of DI Water at approx 40º C & 0.8 -1.2 bar pressure.
Cuvette
The reaction tray (RCT) consists of the cuvette ring set and rotating mechanism. RCT is
provided with 45 hard glass cuvettes (5mm * 5mm) on its outer circumference and the
temperature inside is kept at 37ºC (+/- 0.2ºC) constantly. The cuvettes are moved at 18-second
step and a series of process including dispensing, stirring, photometric measurement and
washing is being performed.
Reagent Bottles
The reagent bottles are available in two design:
Large bottle of 50ml
Small bottle of 20 ml.
A picture of the Reagent bottles provided with the Analyzer is shown below:
:
All bottles are screw capped to prevent evaporation of reagents while not in use. Total 30 bottles
can be placed. Bar-code reader affixes bar coded labels on the reagent containers for
identification.
Code128:
All ASCII code characters [numerals (0 – 9), alphabetical
Set A, Set B,
characters (uppercase/lowercase), symbols, control characters]
Set C
Photometer Unit
The Photometer Unit consists of the optical measurement system having narrow bandwidth,
wavelength specific filters with light source.
The absorbance inside the cuvette is measured by using a photometer. Measurement is performed
with any combinations of 2 wavelengths selected among the following 8 wavelengths:
340 nm, 405 nm, 450nm, 505 nm, 546nm, 570 nm, 630 nm, 660 nm.
The photometer consists of an illuminant (halogen lamp), lenses, optical filter and photoreceptor
(photodiode). The light passed thru cuvette (reaction mixture) is split by beam splitter which in turn
passes through wavelength specific filter on to diode. This eliminates several optical interferences
and greatly improves the efficiency of the photometer.
The current generated by each element of the detector array is converted to voltage and amplified
by high gain operational amplifiers. The amplified voltage processed in built Data Acquisition
System & processed data are send to CPU through serial communication.
Paddle
The sample and the primary reagent dispensed into cuvettes are stirred by rotating the paddle at
requested speed of high, low or medium. The paddle is washed in the STIRRER trough with
system water at 370 C – 41 º C(for primary & secondary reagent) and pressure of 0.8-1.2 bar.
The secondary reagent dispensed into the cuvettes is stirred by rotating the paddle at requested
speed of high, low or medium. The paddle is again washed in the STIRRER trough with system
water 40º C and pressure of 0.8-1.2 bar.
The Cuvette Rinsing Unit (CRU) is to wash the insides of cuvettes in which the
measurement of specimen have been completed and allow them to be reused. The CRU
consists of 8 stages
(probes 1 to 6 consist of 2 hollow nozzles, one for dispensing and the other one for aspirating) their
operation is described below:
Probe 1 – Aspirates the bio hazardous waste and dispenses cleaning solution.
Probe 2 to 6 - Aspirates the cuvette contents, and dispenses de-ionised water
Probe 7 - Aspirates the cuvette contents.
Probe 8 - Dries the reaction cuvette
There is one syringe pump of 500 µl capacity for both reagents as well as sample.
The syringe pump of the analyzer is modular type by which aspirates & dispenses volumes
between 2 µl to 300 µl. Sample volumes can be increased in steps of 0.2 µl.
The syringe is located behind the front plate of the analyzer and connected to the probe using
appropriate tubing.
The Liquid Level Sensor are placed inside respective Cans are placed in to DI water, Cleaning
solution, Bio-hazardous waste & normal waste Can. Accordingly, for DI water & cleaning solution,
the float based level sensors will sense the low level of DI water or cleaning solution & respective
LED will lit on the instrument with the beep sound. Similarly, full levels are detected for both the
waste can & respective LED’s are lit accordingly with beep sound. All the LEDS are placed just
near to the tube connection for the same cans.
Waste pump
ISE
Cal B Pump Electrodes
Cal A Pump
The concentration of electrolyte (sodium: Na, potassium: K, chloride: Cl, lithium: Li) contained
in serum, plasma or (sodium: Na, potassium: K, chloride: Cl) urine is measured by the ion
electrode of the ISE unit that is placed on the left-hand side of the analyzer. This unit is
optionally supplied.
The ISE unit consists of ISE module, ion electrode, supply and drain pump.
This module unit is fitted with electrodes (Na, K, Cl, Li & Reference) and
controls pumps, measurement of concentration by electrodes and rinsing
(1) ISE module
movement. Communication to the analyzer is carried out through
RS232C.
This unit consists of Na, K, Cl, Reference and Li electrodes.
The Reagent pack for Calibrant-A & Calibrant-B is placed on the top
(2) Ion electrode
cover. Dedicated wash solution are placed in the ASP unit and wash
solution is supplied by the SRPT in the same way as for the sample.
These pumps are performs the infusing of Calibrant-A and Calibrant-B
(3) Supply pump
into ISE module.
(4) Drain pump This pump performs the transferring of liquid in ISE module.
1. Calibrant-A
Calibrant-A is used at the time of one-point calibration.
The one-point calibration is carried out at the same time when the Calibrant-A is
dispensed to wash electrodes every time the sample measurement is performed. 100µl
of Calibrant-A is automatically dispensed into the ISE unit every 30 minutes to prevent
the electrode from drying during standby cycle.
2. Calibrant-B
Calibrant-B is used at the time of two-point calibration.
The two-point calibration should be carried out at the beginning of the day and at least
once every 8 hours or after completion of 50 samples.
3. Cleaning solution
The Cleaning solution needs to be dispensed into the unit to avoid deposition of protein
on the electrodes.
As necessary, 500µl of the wash solution is dispensed into a sample cup and it is placed
on position of the ASP tray.
This function should be carried out twice a day, once in the beginning of the day before
the Calibration and at the end of day. When more than 50 samples of measurement are
carried out, washing must be carried out.
4. Diluent
The diluent is used to dilute urine to one-tenth in concentration. It is placed in a reagent
bottle that is placed in the RGT unit at the user defined position. The necessary volume
for diluting one sample is 200µl. The dilution is carried out using a cuvette in the RCT
unit and therefore one cycle of chemistry analysis is allocated to this processing.
Measurement Volume
In the case of analytic Serum Sample: 70 µl
measurement Urine Sample: 140 µl
Calibrant-A: 180µl, Calibrant-B:
In the case of full calibration
180µl
Calibrant-A: 180µl, Calibrant-B:
180µl
In the case of 1-point calibration
Calibrant-A: 180µl
(Serum cycle)
In the case of 1-point calibration Calibrant-B: 230µl
(Urine cycle) Calibrant-A: 100µl
Time
Cycle Number Analyzer action
(Minute)
12:00 40 Empty cuvette contents + Add DI Water
12:18 41 Empty cuvette contents + Add DI Water
12:36 42 Measure cuvette blank absorbance
12:54 43 Empty Cuvette contents
13:12 44 Drying the cuvette
13:30 45 Start next measurement
a) Receiving Instructions
The analyzer is thoroughly tested before shipment and is packed carefully to
prevent damage during shipping and handling. Please follow these guidelines on
receipt of the analyzer:
1. Check to see that the arrows on the sides of the packages are pointing up. If
the arrows do not point up, make a remark about this on the invoice copy.
2. Visually inspect the outside of the package for rips, dents, or possible shipping
damage. Document any sign of damage on the bill of lading, regardless of
how insignificant it may appear. This is to protect your interests.
3. Notify your service representative that the analyzer system and its components
have arrived.
4. Wait for your local service representative to unpack the system and open the
packages.
5. Follow the unpacking and storage instructions provided on the outside of the
package. Special requirements such as refrigeration are clearly marked on the
outside of the cartons and will be included in the unpacking instructions and
pack inserts.
b) Warranty Information
All analyzers are warranted against defective materials or workmanship for a
period as agreed by ERBA. This warranty does not cover any defect, malfunction
or damage due to:
1. Accident, neglect or willful mistreatment of the product
2. Failure to use, operate, service, or maintain the product in accordance with the
applicable Operator’s Manual and Service Manual
3. Use of reagents or chemicals of corrosive nature
2. Remove the top and side panels of the wooden box as a whole
section by loosening the bolts from the back panel side.
3. Remove the four “Z” brackets, which are holding the analyzer on the
pallet.
4. Move the leveling bolt upwards so that the unit rests on the castor
wheels.
5. Gently lift the analyzer from the pallet to the floor.
6. Gently slide the Probe upwards, making sure you do not damage the
probe, once you have reached the top most position, rotate it and
position it over the trough.
7. Gently slide the Stirrer arm upwards, making sure you do not
damage the paddles, once you have reached the top most position,
rotate it and position it over the trough. Remove the protective
material.
8. Gently slide the CRU arm upwards to the top most position, making
sure you do not damage the probes, and remove the protective
material and clean debris.
9. Remove the buffers that are present in the RGT & ASP areas, as well
around the CRU & Stirrer.
d) Electrical Requirements
A proper grounding is highly essential for safety and proper functioning of the
analyzer.
VOLTAGE AND GROUND REQUIREMENTS
¾ Voltage & frequency: Single-phase continuous stabilized AC 220 volts ±
10%, 50/60Hz or AC 110 volts ± 10%, 50/60Hz supply. The analyzer comes
equipped with a three-pin power cord. The type of cord and plug depends on
the source voltage for the system.
¾ Grounding: It is absolutely necessary that a perfect earthing must be
provided at the power source with all applicable local requirement (Only a
certified grounded, 3 pin power plug should be used.)
¾ Plug points: Four 5Amp sockets must be available near the analyzer (Four
sockets are required, one each for the analyzer, computer, monitor and printer.
It is recommended that two extra sockets be provided near the analyzer, for
use by a measuring equipment or engineering tool if required while servicing
(Example Oscilloscope, Soldering iron etc.). Heavy-duty electrical devices
like Air conditioners, refrigerator's, ovens etc. should not be operated on the
same electrical lines as the Analyzer.
Note:
Failure to properly ground the analyzer bypasses important safety features and
may result in an electrical hazard.
e) Floor Requirements
All Dimensions on
mm
Unpack the Sample tray from the accessories box Hold the sample tray with your
right hand
Gently place the sample tray into the Sample tray container, make sure that the
index pin on the Sample Transport, slides into the index hole provided on the
sample tray.
Unpack the Reagent tray from the accessories box. Hold the Reagent tray with
your right hand. Gently place the Reagent tray into the reagent tray well. Make
sure that the index pin on the Reagent transport slides into the index hole provided
on the Reagent tray. Place the Reagent tray lid over the Reagent Tray. Make sure
that the index pin on the Reagent transport slides into the index hole provided on
the Reagent tray.
Unpack the Float Sensors for the 4 Cans and place them on one side.
From the accessory box remove the 20 liters De-ionized water can, 20 liters
Waste can, 10 liters Bio hazardous waste can and the10 liters Cleaning solution
can, and put them on floor. Place the Float Sensors (Longer Float Sensors with
blue & green sleeves for DI Water and Cleaning Solution Cans respectively &
Smaller Float Sensors with red & yellow sleeves for Bio-hazardous and Waste
Cans respectively).In the small outlet provided on the opposite side of the canister
where tubing for the cans need to be placed.
Fill the De-ionized Water can with 20 liters of fresh de-ionized water. Remove the
tubing’s from the accessory box. Connect one end of the 2 meter. (1/8” x 3/16”
size) Tygon tube to the analyzer outlet marked DI WATER, and connects the
other end into the DI Water can nozzle placed on steel tube. Take another tube of
same size & connect the one end of it to the analyzer outlet marked DI WATER –
LAMP. Connect another end of the tube on canister of DI water can connector
marked as DI WATER LAMP.
Connect the large diameter Tygon tube (3/8” x ½”) to the analyzer outlet marked
WASTE, and connect the other end of the tubing into the 20-litre Waste can
nozzle. Take another tube of size 1/8” x 3/16”. Connect one end of this tube to the
other yellow color connector on analyzer with the other end on connector
provided on waste can.
Connect the (1/8” x 3/16” size) 2 meter length, Tygon tube to the analyzer outlet
with red ring marked BIO HAZARDOUS WASTE, and connect the other end to
the 10 liter Bio hazardous waste can nozzle. Connect the same size tube to the
connector with red ring having marked as ISE. (In case, ISE is not their on
board, this tube can still be kept connected preferably.)
Connect the (2 x 4mm) 2 meter length, silicone tube to the analyzer outlet with
GREEN ring marked DETERGENT, and connect the other end to the 10 liter
Cleaning solution can (make sure that the White Teflon weight provided at the
end of the tube, touches the bottom of the Detergent can)
Fill 10 liters of working cleaning solution into the Cleaning solution Can, (to
prepare Working Cleaning solution: Add 1 bottle of WASH KIT to 10 liters of
De-ionized water.
Note:
Take care that all the above-mentioned tubes reach their respective containers without
any sharp bends or obstructions.
Note:
The waste consist of a natural drain, it is very important that the large
Tygon waste tube from the rear of the analyzer to the Waste can, be
slanting downwards, there should not be any bends, and should slant in
the downwards direction (If not, then this could cause a back flow of
waste solution, out of the manifold air release tube on waste manifold. Or
could result in noisy operation, big gargling sounds being created by the
waste lines.
This section will guide you through the Installation and the Un-installation process of
MultiXL Software. Please read this document before installing the software.
Overview
Prerequisites
PC Pentium IV or Above
HDD 40 GB or above
RAM 1 GB or above
Note:
All memory resident software including anti-virus software should be removed from
memory and screen-savers should be disabled before starting the Application Software.
Delete Microsoft Office Doc Image Writer from the system. The user needs to go to Start
> Settings > Printers and Faxes > Select the MS Office Image Writer and delete it.
Step 1: Click on the folder named “MSDE”. A screen as shown below would appear.
Step 2: Run “setup.exe” from the folder. Following screens would appear in a
sequence.
Please wait till the installation is completed. Hence, this completes the installation of
MSDE on the PC.
Restart PC
After installation of MSDE, please RESTART the PC.
After the PC restarts, please check for the icon on the taskbar. This icon ensures
proper installation of the MSDE software.
Note: Do not proceed with the MultiXL setup until this icon is present on the taskbar.
Step 1: Click on the folder named “MultiXL” from the software installation CD. A screen
as shown below would appear.
Step 2: Click on “setup.exe” to start the installation process. Following screen would be
displayed.
Step 3: Click on “Accept” to continue with the installation. On Accept, following screens
would appear in a sequence.
Step 4: Click on “Next” button and the following screen would appear.
Step 6: The above screen is for confirmation of the installation. Click on “Next>” to
continue. Following would be the further screens appearing.
Step 7: The above screen indicates your MultiXL software installation is completed
successfully. Click on “Close” button on the screen.
Installation of Database
The folder to be referred is “Database Utility”, which consists exe for installing or
restoring the Database.
Step 1: Click on the folder named “Database Utility” from the software installation CD. A
screen as shown below would appear.
Step 3: Default Database folder would be from where the MultiXLDB.exe is running.
Database folder refers to the Database, which is to be used for performing the various
operations.
Step 4: Click on “CHECK DATABASE” to check whether the database is present. For
the First time installation of the software, database won’t be present and the following
screen would appear.
Step 5: Click on “CREATE DATABASE”. It would create the database from the database
path specified on the screen. (Example: In the above screen path is F:\Database
Utility\MultiXL.BKP. After creating successfully following screen would be displayed.
Step 6: The above screen indicates your database installation is completed successfully.
Click on “X” button on the screen to exit the utility screen.
Else if the user wants to delete the already installed database and restore another,
following instructions can be followed
Step 7: Click on “DELETE DATABASE” to delete the existing database. After deletion
following screen would be displayed.
Step 9: On clicking “Yes”, another warning message would be displayed to ensure once
again the deletion of the database. Following screen would be displayed after successful
deletion of the database.
Step 1: Click on the folder named “Database Utility” from the software installation CD. A
screen as shown below would appear.
Step 4: Click on “DELETE DATABASE” to delete the existing database. After deletion,
following screen would be displayed.
Step 6: On clicking “Yes”, another warning message would be displayed to ensure once
again the deletion of the database. Following screen would be displayed after successful
deletion of the database.
Step 7: Click on “BROWSE FILE…” to select the path where the old database is
present. Following screen would appear.
Step 8: Click on “Open” to select the file. Following screen would appear indicating the
new path selected.
Step 9: Click on “CREATE DATABASE” to create the database from the new path. After
creating the database successfully, following screen would be displayed.
Step 10: Click on “CHECK DATABASE” to ensure proper creation of the database.
Note:
User can use the option to take the Backup of the existing database by clicking F12.
Upgrade Database
For upgrading the Database, following are the instructions:
Step 1: Click on the folder named “Database Utility” from the software installation CD. A
screen as shown below would appear.
Step 3: Click on UPGRADE DATABASE to start the upgrade process. On clicking, path
for SQL script would be asked for as shown in the following screen. Select the script file
with extension as .SQL
Step 4: Upgrade process would start and on completion of the upgrade process,
following screen would be displayed.
Following are the instructions to be followed for un-installing the MultiXL software.
Step 2: After clicking “Remove” following confirmation message would appear. Click on
“Yes” to continue with the un-installation.
To Access the software two shortcuts will be created, one on the Desktop and the other
Start/Programs menu with the Globe Icon.
Step 1: Click on any one of the shortcuts provided. After clicking on the icon, following
LOGIN screen is displayed. Enter Login ID and Password as Guest
Step 2: Enter the Login ID and Password. Click on “OK”. Following is the main screen
appearing after the splash screen.
Following is a three dotted button available on most of the screens. This button is to be
clicked either to select / enter data for that field.
For example: In the screenshot below, button is placed near a box with caption ‘Test’. If
this button is clicked, small window opens up for selecting a particular test.
Following is a indication bar available on most of the screens. This provides help /
warning messages to the user.
Chapter 6
Procedure of routine check
This chapter provides the operational procedures for routine check.
C) ISE unit
Before performing measurement with the ISE unit, confirm that
1. Electrode unit (Na, K, Cl, Li and Reference electrodes) whose term of validity
is not expired is installed
2. The Calibrant-A bottle beside the ISE unit is filled with sufficient liquid
3. Cleaning was carried out at the end of the last ISE measurement, and
4. The Calibrant-A is flowing from the side of sample port by executing of ISE
purge.
In the following cases, ISE purge should be carried out 5 times or more:
5. First measurement of ISE.
6. At the time of exchanging of the Calibrant-A.
7. At the time of being pulled up the tube from the Calibrant-A.
Note: As much as possible, the analyzer should be kept on, because 120µL of
Calibrant-A is automatically dispensed into the ISE unit every 30 minutes to
prevent the electrodes from drying. Even under the sleep condition, this
function is performed.
Just after turning on the analyzer, 3-4 times of ISE purge should be carried out.
All electrodes should be fitted to the ISE module, otherwise the liquid of
Calibrant-A is flooded into the inside of analyzer. It may cause serious problem.
Digital
Pressure
Indicator
The de-ionized water should have a resistivity of more than 1 Mega Ohm-cm (or
conductivity less than 1µS/cm). Also the pH of the DI Water should be maintained
between 5.0 - 7.0.
Preparation of detergent solution: Fill the detergent solution can (given with the
Accessories List) with 10 liter of DI water. Pour the concentrated detergent solution
(such as Erba XL Wash) into the can to prepare a 1% detergent solution). Mix well
before use.
6.1.3 Power-on
A) Power-on of main unit
If the main unit is attached the ISE unit, all electrodes and Calibrant-A solution
should be fitted to the ISE unit in advance with the power switch is turned on.
The power switch is located on the side panel of the main unit.
Unpack the USB interface cable from the accessories box, and
connect the USB connector to the serial port 1 of the computer.
Connect the other end to the USB connector, located on LH side
panel of the instrument, as shown in below figure.
D) Spool 32 Error
1. After getting a Spool32 error during run, do not opt to close the application. Let
the run be completed. After the run is over, close the application software and
restart the computer. Start the application software. The report of run results can
be seen in {Reports: Result Reprint} screen
2. Follow the troubleshooting procedure mentioned below (Close all the applications
including analyzer application before starting the following process).
3. Delete the existing printer driver.
4. Start the Windows Explorer. Click on the View menu and then select "Folder
options". On the "Folder options" window, click on the View tab. On this tab,
under the Advance settings window look for the selection for Hidden files and set
the selection to "Show all files" or ‘Do not show hidden files”. Click on <OK> and
close the Windows Explorer. This setting is necessary to view the system files.
5. Insert the CD Rom having Application Software in the CD drive.
6. Click on <Start> on the window desktop Task bar and then click <Run>
7. Type "sfc" and press <OK>. A window for "System File Checker" will open.
8. Select the option "Extract one file from installation disk" on the “System File
Checker” window.
Necessary reagents, diluents and wash solutions for analysis are placed on the
reagent tray.
e) In both the above cases (c and d), the following screen opens up:
¾ This screen is used for adding the Manufacturer and Lot Details for the
Reagent.
¾ Following Table gives a brief explanation on the different fields in the grid:
Field Description
This field is used for selecting the Reagent Manufacturer. The user
Manufacturer
can select the Manufacturer by clicking on the dotted button
Lot No This field is used for entering the lot number of the reagent
This is a display field and shows the Lot Status (Active or Inactive).
Lot Status This field depends on the Expiry Date selected by the user. Expired
Reagents are displayed as Inactive.
Expiry Date The user can select the expiry date of the Reagent
On-board
This field is used for entering the On-board shelf life of the reagent
Stability
This field is used for selecting the On-board Stability unit. Options
Unit
available are Hours and Days
This field is used for selecting whether the Lot No selected is
Reagent Type common for R1 and R2. If R2 is having a different lot number, then
the user should save the details for R1 and add new details for R2.
¾ The user can then select the position wherein he desires to keep the bottle.
¾ The reagent name can be selected from the Reagent field.
¾ Bottle type needs to be selected from the list.
¾ Lot No for the Reagent can be selected from the list of Active lots.
¾ After the above steps are completed, click on the Save Position Detail
button.
Field Description
a) All Scan:
¾ This option is used for scanning the Reagent Level at position(s) where
reagent is defined in the {Utility: Reagent Position}.
¾ Rgt. All scan in stand still condition: On clicking the {Status Monitor:
Reagent tray:: Volume scan}, the probe moves to the bottles for scanning
the Rgt. volume and the same is memorized and displayed in < Reagent
tray >.
¾ Rgt. All scan before run: On clicking the {Status Monitor: Sample tray:
Pre-Run Opt: RGT Level Scan: All: Click on Start Button}, the probe
moves to the bottles for scanning the Rgt. volume and the same is
memorized and displayed in < Reagent tray > and the run can be started.
b) Selective Scan:
¾ This option is used for scanning the Reagent Level for the tests
programmed in current group. Diluent & wash solution. Positions are also
scanned, when defined.
¾ Rgt. Selective scan before run: On clicking the {Status Monitor: Sample
tray: Pre-Run Opt: RGT Level Scan. Selective: Click on Start Button}, the
probe moves to the bottles, for which the tests have been programmed, for
scanning the Rgt. volume and the same is memorized and displayed in <
Reagent tray > and the run can be started.
¾ If the user right clicks on the bottle, it displays the consumable name, Reagent
Note:
Reagent name can be assigned to a test from Test Parameters screen. (Refer section 7.2.1)
The analyzer accommodates sample positions for routine samples, STAT Samples, Blanks,
Standards, Calibrators & Controls, on the outer and middle ring in 5ml/7ml/10ml Sample
tubes or 2ml Sample cups or Pediatric cups(500µl) on 10ml Sample tubes or 2ml Sample
cups on 10ml Sample tubes and on the innermost ring in 2ml Sample cups or Pediatric
cups(500µl). When the ASP is with the bar code reader, the sample tubes with caps
removed and bar code labels attached can be placed directly in the sample tray. If 500µl stat
cups have to be used, they need to be placed on 10ml tubes on the sample tray. If 2ml
sample cups are used, they should be kept on 10ml tubes bearing the bar code labels and
then placed on the sample rack either in outer or middle ring. In either case, bar code labels
must be affixed on tubes to identify patient and sample.
b) To define the consumable, click on {Consumables} button on the Main Menu Screen
¾ Enter new Blank name and select the tests associated with the Blank
¾ Click on Save.
¾ Once saved, the user can double click on the blank to enter the Manufacturer Name
¾ Upon clicking ADD from the main screen, the display changes to second screenshot
¾ The user can select the Manufacturer Name, enter the Lot No and enter the
¾ After entering the details, the user can click on SAVE button.
¾ Enter new Standard name and select a test associated with that Standard. Only one
¾ Once saved, the user can double click on the standard to enter the Manufacturer
¾ Upon clicking ADD from the main screen, the display changes to second screenshot
¾ The user can select the Manufacturer, enter the Lot Number for the Standard, Expiry
¾ After entering the details, the user can click on the Save button.
¾ For a test having multiple standards, every standard needs to be defined individually
list.
¾ Enter new Calibrator name and select the tests associated with that Calibrator.
¾ Click on Save.
¾ Once saved, the user can double click on the calibrator to enter the Manufacturer
¾ Upon clicking ADD from the main screen, the display changes to second screenshot
¾ The user can select the Manufacturer; enter the Lot Number for the Calibrator &
¾ After entering the details, the user can click on the Save button.
{Registration Date}: This field is used to enter the date at which the patient was
registered in the hospital.
{Collection Date}: This field is used to enter the date at which the sample was
drawn.
{Sample Remarks}: Remarks about sample can be fed here using up to 50
alphanumeric characters. Previously fed remarks can be selected by pull-down
options. The remarks is printed in the patient report.
{Area}: The location names can be selected or added using the dotted button
adjacent to the Area field. Area name can be added from {Master: Area}
{Ref Doctor}: This is used to select the name of the referral doctor. Alternatively,
if the admin needs to enter the doctors’ details, then he/she can enter from master
screen. One can select the doctor’s list by clicking on the dotted button. On
clicking the dotted button, following screen is displayed. From the list displayed
on screen, user can select the doctor’s name by double clicking on the particular
name for the respective patient.
{Analyst}: This is used to enter the name of the analyst. Alternatively, if the
admin needs to enter the analysts’ details, then he/she can enter from master
screen. One can select the analyst’s list by clicking on the dotted button. On
clicking the dotted button, following screen is displayed.From the list displayed
on screen, user can select the analyst’s name by double clicking on the particular
name for the respective patient.
{Patient Name}: Enter patient name in the field using the keyboard. A maximum
of 30 characters can be fed in this field. Alternatively, patient can be selected
using the dotted button placed next to the Patient Name. Also, if the user desires
to use the same patient with different sample ID, then he/she can double click on
the dotted button and select the patient name for a different Sample ID. Hence one
Patient can have multiple Sample IDs.
{Category}: This field is used to identify the sex of the patient. Select as either
Male / Female / Child / Other.
Note:
For a patient selecting the category is optional. But if the category is not selected
then reference ranges will not be applied and hence the flags H / L will not be
applied. After the run is performed patient category can be updated and on re-
calculation of the results, reference ranges will be applied and hence the H / L
flags will be attached.
{Age}: Enter the numerical age of the patient (in three digits maximum). Choose
age in Days/Months/Years using the pull down option. The patient age is used to
issue H and L flag for the corresponding age range as mentioned in the Test
Parameters (Chapter 7 Section 7.2 Alterations of operational conditions). If
age of a patient is not fed, default normal values are used to issue H and L flags.
{Patient Address}: 50 alphanumeric characters are allowed in this field where
one can enter the address of the patient.
{Patient Tel No:}: This field is used to enter the contact number of the patient.
{Patient Remarks}: Remarks about patient can be fed here using up to 50 alphanumeric
characters. Previously fed remarks can be selected by pull-down options. These remarks
are printed in the patient report.
{Height}: This field is used to enter the height of the patient (in meters).
{Weight}: This field is used to enter the weight of the patient (in kilograms).
Body Mass Index (BMI) for the patient is calculated automatically that is used
for Creatinine Clearance calculation. BMI is calculated by the following
formula:
BMI = (Weight)/(Height)2
{Urine Volume}: Use this field to define the volume of urine collected from a
patient in 24-hour duration. This is an optional parameter and is used in the
calculation item of Creatinine Clearance. This field can be ignored if user does
not want to use Creatinine Clearance calculation item.
If user wants to use Creatinine Clearance calculation item, entry in this field is
necessary and the user should feed the urine volume (in ml) collected in 24
hours in this field.
To add a new patient: Enter new sample ID, Sample Position (if non-barcoded)
and Group Number. It is essential to enter a Sample ID. A position will also be
required if the sample container is not bar-coded. If sample bar code is activated,
the analyzer updates the sample position after scanning the sample bar codes.
Select the Tests and/or Calculation Items for scheduling from the bottom grid.
Alternatively, one can select the Profiles by clicking on the Profile Name. The
Profile Grid & Calculation Item grids are separated from the Tests Grid. Detailed
Information on the Profiles can be found in Chapter 7 Alteration of Operational
Conditions. After making necessary entries click <Save>. Clicking on <Save>
saves the programmed patient details and on <Clear> or else if option of Clear on
Save is selected in system parameter screen then it presents a fresh screen for
programming the next patient where the sample ID and sample positions are
automatically incremented.
To browse through patient records and locate a patient: One can browse
through all the patient data by using the <Previous> or <Next> buttons. During
this browsing, entries are shown only for those patients that have been added or
modified today. To view the patient entries that were made earlier, the user can
select the date (below the Sample Pos field). Alternatively, the user can click on
the dotted button along side sample ID to lookup for Sample IDs.
This screen can be used to remove test requests from the WorkList. There are two
options to achieve this, Clear Schedule and Positions or Delete Sample. Using
these options, the user can either clear the entire patient schedule programmed
along with the positions or delete the patients using the ‘From Position’ and ‘To
Position’ option.
{Clear Schedule: Clear Schedules and Positions} The program deletes the test
requests scheduled for analysis and the positions for the selected positions on
clicking OK button. The samples and patients are not deleted.
{Clear Schedule: Delete Sample} The program deletes the samples for the
selected positions along with demographics and the tests requests scheduled.
(iii) Worklist
Click the <WorkList> icon on the screen of ‘Patient Entry’. The display changes
to the following screen:
On this screen, a list of tests requested for a particular sample is shown. The
WorkList for any group can be viewed by selecting either ‘All’, ‘Patients’,
‘Calibrations’ or ‘Controls’ option. On selecting ‘Patients’ option, only patient
samples are displayed in the work list. On selecting ‘Calibration’, work list will
display Blank, Standards and Calibrators programmed. On selecting ‘Control’,
work list will display controls programmed in the respective group.
Group This field shows the Group number that has been
No. selected
This field shows the Sample position assigned. For
Sample
bar-coded samples, the position is assigned after the
Position
sample barcode scan
Sample This field shows the Sample Id assigned to the
ID patient.
Sample This field indicates whether the Sample type is
Type Serum/ Urine/ CSF/ Whole Blood/ Other type.
Sample This field indicates whether the sample volume is
Vol Type Normal/ Increase/ Decrease
Test This field displays the test name
This field shows the number of repetitions that a test
Replicates
will undergo during run
Sample This field indicates the Sample volume programmed
Volume in test parameters for that particular test.
R1 This field indicates the R1 volume programmed in
Volume test parameters for that particular test.
R2 This field indicates the R2 volume programmed in
Volume test parameters for that particular test.
R1 This field shows the position of R1 for that particular
Position test as defined in Utility- Rgt. Position.
R2 This field shows the position of R2 for that particular
Position test as defined in Utility- Rgt. Position.
The WorkList includes the details of bar-coded samples too even though their
positions may not be known.
b) The lamp and the temperature in the analyzer are stabilized at least 5
minutes after switched on, hence the user needs to wait for 5min after switching
on the instrument. For the same there is a warm-up bar on the Status Monitor.
¾ Auto Rerun
This option is used for automatic re-sending of patient samples on flags.
For a particular test of a patient to be sent for rerun, following are the steps to be
followed:
(i) Auto Rerun option for that test should be selected in Test Parameters
screen
(ii) Prozone Limits, Technical Limits, Panic Limits and Reaction Absorbance
Limit should be checked in Test Parameters screen for the respective test
(iii) Flags can be selected from Setting – Rerun Flags for which rerun
schedule has to be sent.
When Auto-Rerun option is selected, Disk change option will not be available.
¾ Disk Change
To enable the option to change the Sample disk during run, this option is used.
When this option is selected, Auto Rerun option will not be available.
All of the above option can be selected using Select All button and de-selected using
De-Select All button.
f) To start the run (measurement), select the group no and click on Start arrow
button.
g) On start of the run, firstly RCT temperature is checked. If the temperature is not
within the range then run doesn’t proceed. Second Auto span is performed. If auto span
operation fails, again run is stopped. Also if there are any errors occurred on initialization
of the instrument then the run is halted.
¾ The worklist screen is displayed after all the pre-run options are performed
¾ The worklist screen displays the schedule for the group selected.
¾ Required test details such as Reagent Position, Sample Volume, Reagent
Volume defined; when missing / incomplete are highlighted with red background.
¾ The reagent position for which reagent volume is 0 ml is highlighted with yellow
background.
¾ Pending tests and masked tests are displayed in the grid at left bottom of the
screen named as ‘Pending and Masked Schedules’. To reschedule the pending
tests, the corresponding tests should be selected and clicked on RE-SCHEDULE
button. Alternatively, the tests can be selected from the Test list, select Pending
option and click on RE-SCHEDULE button
¾ To reschedule the masked tests, the corresponding tests should be selected and
clicked on RE-SCHEDULE button. Alternatively, the tests can be selected from the
Test list, select Mask option and click on RE-SCHEDULE button
¾ To view the volume details for checking no of tests possible with the available
reagent volume, Volume Details option should be selected. Following screen is
displayed on selecting the Volume Details option.
¾ In the above screen, if reagent volume is defined for various sample types, then
possible tests are displayed individually for each sample type defined from the
available reagent volume. For example in the above screenshot for the test ALB, R1
is defined at position 18, depending on the reagent volume available possible tests is
calculated as Reagent volume divided by the volume define in tests parameter.
i) Click on OK button to start the run. Or else click on CANCEL to abort the run.
j) If the tests details for all the tests are complete i.e. without any tests having
background as red, when OK button is clicked run will be started else run will not
start.
Once the run starts RCT & RGT temperature are displayed. If the RCT / RGT
temperature is within range specified in Settings – System Parameters option,
the temperature is displayed in Green color. When the temperature rises / falls
out of the range, then it is displayed in Red color.
l) Start time of the Run is displayed at top left corner of the screen.
m) During run, Progress of the measurement is displayed at the right hand side of
the screen
n) Results are displayed in the Result grid and errors if any are displayed in Error
grid at the bottom of the screen.
p) During run, the user can monitor the online reaction curve for a test. In order to
view the reaction curve for a test, the user needs to double click on the test name
in the grid in the right-most corner of the screen. Upon double clicking the test
name, the Reaction Curve (till “x” cycles) will be displayed. The pink arrows
indicate the measurement points used for calculating the result.
q) During run, pending tests / mask tests can be re-schedule by clicking on the free
space near the sample positions. On click, worklist is screen is again displayed,
using which the tests can be selected and then RE-SCHEDULE button can be
clicked. (Pending / Mask tests can be scheduled only if the reagent and test
details are available).
r) During run, emergency patients can be added from Patient Entry screen by
selecting the option of ‘Emergency’ for that particular patient, entering the sample
details and patient details.
s) During run, normal patients can be added from Patient Entry screen, entering the
sample details and patient details.
If there are multiple reagent positions defined for a reagent, during run reagent
will be picked from the position whose expiry is nearest, then position number
wise.
During run, non-barcode reagents can be added from Utility – Reagent Position
screen on empty Reagent positions.
a) The analyzer comes to rest when all the results are out.
b) During run, due to occurrence of some critical errors the run can be stopped in between
or paused temporarily / permanently.
¾ Emergency STOP
If the User clicks on the Stop button, then the run stops immediately and the
assemblies initialize.
¾ Pause / Resume Sampling
If the user clicks on the Pause Sampling button, then the sampling is paused but the
results of the processed samples are given out.
User can click on resume to continue the sampling.
d) In case of a mixed run of calibration and patients together, if the calibration fails due to
sample / reagent absent then the patients followed will have the Calc* flag attached to the
result. This flag will be attached to the next batch patient results also if fresh calibration is
not done or previous successful calibration is not selected.
¾ This screen enables the user to view a calibration curve and perform curve related
operations. Lot Number and Concentration for that test are defined in the
¾ After the Calibration Run is completed, absorbance values obtained by the analyzer
are updated in the [Calibration] screen along with the K-Factor. The date and time of
¾ One of the last five calibration curves can also be selected for use in result
calculations. Previous Calibration can be viewed using “Prev” and “Next” Buttons.
For using the calibration on the screen, click on “Set Latest Calibration” button.
¾ In order to view the calibration details for a test, the user needs to select the test from
the grid.
Note:
If there has been some error during calibration (like reagent absent or calibrator absent),
the calibration data for which reagent, blank and calibrator was present is updated
however Unsuccessful Calibration message will be displayed
The user can define this type of calibration for individual chemistries. It consists of
following fields:
Calibration Type: Two options are available in this field. Full and Selective. Full is the
default selection which schedules the entire calibration set again. Selective is used to select
either a blank or a calibrator or standard concentrations from multiple standards & blanks
available and then it uses the Slope method to correct the other Factors.
Consumable List: This list box consists of Blanks and Standards Concentrations. The user
can select the Blank / Standard for which the calibration needs to be done. Accordingly,
after the calibration, all the factors for other concentrations are updated using Slope
Correction (Factor) method.
Schedule: Following is the process to schedule selective calibration
Select the available position from the list box. By default it will display the position at
which it was calibrated if that position is free.
Select the Lot no of the consumable.
Concentration can be kept same or modified as per the requirement.
Same selective calibration can be selected for other tests by just selecting those tests in the
grid
Click on SCHEDULE
Note:
Selective Calibration is available for all Calibration Curves except K-factor only after calibration has
been performed at least once.
{Calib Table: Curve Type}: One of the following twelve methods can be selected from
Test Parameters – Test Details screen for calculation of the measurement results.
Linear (For one standard or two standards)
K-Factor (Use of K-Factor for Enzymes)
Linear (MultiPoint) (Multi Standard)
5P Calibration Logit-Log (Multi Standard)
Exponential (Multi Standard)
Point to Point
Polynomial (Multi Standard)
Cubic Spline (Multi Standard)
Linear: Use this method when a linear response (between absorbance and concentration) is
expected but a calibration is necessary. In this method a two-point calibration involving a
blank and a standard is performed. Joining the sample absorbance to blank absorbance by a
straight line creates the calibration curve. Additionally,
The concentration of the sample is calculated by using the following formula:
If the Blank concentration is entered, then the following formula will be used in the
calculation of Concentration of unknown sample:
K-Factor: Use this method when a linear response between absorbance and concentration
is expected and you do not want to perform a calibration. The result can be obtained by
feeding a theoretical factor. For example rate assays are monitored by measuring the rate of
change in absorbance per minute during the linear phase of the reaction (ΔAbs/min
The results of enzyme determinations are obtained by multiplying the change in absorbance
with a factor. The factor for kinetic assay is calculated by the following formula:
TV x 1000
Factor =
SV x Mol. Extn. Coeff x P
Note:
The factor should be calculated for 10 mm path length and should be entered in the box near
label K - Factor below the graph.
The factor can also be fed for End-point test where Standards are not available.
It is possible to use a reagent blank for Absolute curve type. That is, a blank calibration can
be performed for Absolute curve type. The sample concentration is calculated as follows:
Csample = (Asample - Ablank) * Factor
Where, Csample = Concentration of the sample, Asample = Absorbance for sample,
Ablank = Absorbance for blank, and Factor = Theoretical factor
3. Linear (Multipoint): Use this calibration curve type when linear response between
absorbance and concentration is expected and you want to use multiple standards to
generate the linear curve. For this method, 2 to 10 calibrators can be used (excluding
blank). The linear calibration curve is obtained by fitting a straight line to the available
standard concentrations and absorbance’s using the least square linear regression method.
If a set of points (x1, y1), (x2, y2), (x3, y3) ……. (xn, yn) is available, the equation of a best-fit
line fitted is given by
Y=a+bX
Where, the intercept a and slope b are obtained by least square linear regression method and
are given by:
a = Y − bX
⎡1 n ⎤
⎢ n ∑ ( X i Yi )⎥ − X .Y
b = ⎣ i =1n ⎦
⎡1 ⎤
( )
⎢n ∑ X i ⎥ − X
2 2
⎣ i −1 ⎦
The slope b is nothing but factor for a linear calibration curve type and therefore the
concentration of the sample is calculated as follows
Csample = (Asample - Ablank) * b
Where, Csample = concentration of the sample,
Asample = Absorbance of the sample,
Ablank = Absorbance of the blank, and
b = Factor = measured slope of the concentration vs. absorbance curve (or measured factor)
by least square linear regression method.
4. 5P Calibration Logit-Log: This calibration curve can be used for multipoint non-
linear curve types. It is necessary to use at least three calibrators (excluding blank) for this
calibration curve type. For this calibration curve type, the following equation is fitted using
least square linear regression:
K
A= B+
1 + exp(− a − b log C − c log C )
Where, A = Absorbance of the standards,
B = Absorbance of the blank,
C = Concentration of the standards
K, a, and b are constants and are evaluated using least square linear regression
method.
Once the constants a, b, and K are known, the concentration of the sample is
obtained by feeding known absorbance in the above equation and finding the root
by Newton-Raphson method.
5. Exponential: This is one of the most frequently used calibration curve type
for multipoint calibration. It is necessary to have at least three calibrators
(excluding blank) to use this calibration curve type. The model for non-linear
exponential calibration curve approximation is given by the following equation:
6. Point to Point: This calibration curve type can be used when one wants to
approximate different segments of concentration vs. absorbance curve by a linear
model. Therefore, this calibration curve is obtained by linear approximation of
different standard concentration segments. It is necessary to have at least three
calibrator concentrations and absorbance available (excluding blank) for this
calibration curve type.
The equation of a straight line passing through two points (x1, y1) and (x2, y2) is
( x − x1 ) ( x2 − x1 )
=
( y − y1 ) ( y 2 − y1 )
If the absorbance of the sample Asample lies between the absorbance of two
standards Am and An, such that Am > Asample > An, the following equation is used
to calculate the concentration of the sample
A − An
C sample = m x( Asample − Am ) + C m
Cm − Cn
If there are n points (x1, y1), (x2, y2), ……(xn, yn), then there is only one unique
equation to define the curve that passes through all the n points. This is known as
Lagrange’s polynomial and is given by:
n ⎛ y − y j ⎞
x = ∑ xi∏ ⎜ ⎟
⎜
j≠i ⎝ y − y ⎟
i =1 i j ⎠
8. Cubic Spline: This calibration curve can be used for multipoint non-linear
curve types. It is necessary to use at least three calibrators (excluding blank) for
this calibration curve. A mathematical description of Cubic Spline is beyond the
scope of this manual. Suitable Mathematics textbooks can be referred to get more
information on this type of curve fitting.
b) Calibration Trace
¾ This screen is used for displaying the Calibration History for a test along with the
graphical representation of calibration data over 30 days at a time.
{Calibration Trace – Test Name}: This field is used for selecting the desired test
whose calibration history needs to be viewed.
{Calibration Trace – Month and Year}: This field is used for selecting the month
and the year for the test whose calibration history needs to be viewed.
Once the test and the month selection are done, the grid displays the different
calibration dates and time along with the absorbance’s for blanks and standards.
Also, a graphical representation of the Blanks and Standards can be viewed.
{Calibration Trace – Blank Abs Scale}: This field is used to change the range of
blank absorbance.
{Calibration Trace – Standard/Calibrator Abs Scale}: This field is used to change
the range of Standard / Calibrator absorbance.
{Calibration Trace – Reset}: This field is used to reset the range for blank, standard
and calibrator absorbance to range according to the minimum and maximum
absorbance of the blanks, standards and calibrators..
{Calibration Trace – Export}: This field is used to export the data and graph
displayed on screen to an excel sheet.
c) Calibration Monitor
¾ If a user wants to view the latest calibration details of all the tests at
the same time, then the user can click on {Reports : Calibration
Monitor} screen. The following screen is displayed as shown below:
¾ The user can export the Calibration data to desired location using the ‘Export’
option.
¾ The user should either rerun the controls again or recalibrate the test and run
the controls.
¾ If a user wants to view screen, then the user can click on {QC/Calibration:
Levy Jennings Chart} screen. The following screen is displayed as shown
below:
(i) Select From Date and To Date. The user can select the same date for viewing
the daily QC or select a range for viewing the Monthly QC.
(ii) To select Test, click on dotted button near the Test box, a small window will open
up through which test can be selected.
(iii) Select Control Level and hence control name for which results and graph should
be displayed. If user had selected From Date and To Date same, all the control results
can be seen. But if the user has selected From Date and To Date different, then only one
control results can be seen at a time.
(iv) Batch no can be selected if the From date and To date are same.
(vi) Once the above selection is done, click on DATA button to view the results for
the selection in the result grids.
(vi) If a single date is selected, then the X-bar Calculation grid signifies the following:
(vii) If the date range selected is from “x” period to “y” period, then the X-bar
Calculation grid signifies the following:
N: Number of days.
Mean: Average of the day’s average done over the period specified.
SD: Standard Deviation for specified period.
%CV: Coefficient of Variation calculated from Mean and SD.
R: Difference between maximum and minimum day’s average (over specified period)
(viii) If the date range selected is from “x” period to “y” period, then the R - Calculation
grid signifies the following:
N: Number of days.
Mean: Average of the day’s range done over the period specified.
SD: Standard Deviation of range for specified period.
%CV: Coefficient of Variation calculated from Mean and SD.
R: Difference between maximum and minimum day’s range (over specified period)
(ix) Click on GRAPH to view the graph for the selection. For display of graph, 2
options are available, Levy Jennings and WestGard. If Levy Jennings option is selected
then all the results will be plotted on the graph lot-wise and if WestGard option is selected
then multi-rules are applied and the results plotted are highlighted if any of the rules is
violated.
(x) User can click on EXPORT button to export the data to an excel sheet.
b) Twin Plot
¾ This feature of Quality Control helps the user to compare the trend in the values
of the different level Controls for any chemistry. It provides a running check on the
linearity of instruments and integrity of calibration. For Twin Plot, two levels of
Control samples with different lot numbers are required. Period and Test Name
¾ If a user wants to view screen, then the user can click on {QC/Calibration:
(i) Select From Date and To Date. The user can select the same date for viewing
the daily graph or select a range for viewing the Monthly graph.
(ii) To select Test, click on dotted button near the Test box, a small window will open
up through which test can be selected.
(iii) Select Control for X and also for Y and then click on Show Lot.
(iv) Select Lot no for that Control X and also for Y from the list displayed.
(vi) Once the above selection is done, click on DATA button to view the results for
both the controls selected.
(vii) Click on GRAPH to view the graph for both the controls selected.. The daily
averages for Control Y are plotted (on the Y-axis) against the daily averages for
Control X (on the X-axis).
(viii) User can click on EXPORT button to export the data to an excel sheet.
¾ The user can select the test results and preview the report before printing
it. The patient reports can be printed for one patient ID at a time or for all
the patients for a particular day.
¾ Four types of Report Formats are available. If the user has clicked on the
Print Lab Details checkbox, then the Laboratory details are also printed. A
screenshot for one of the reports is shown below:
Print Lab Details: This type of format is used when the user needs to print the
Lab details. Refer Section 7.5 System Parameters section for entering the Lab
details.
Hide flags : This type of format is used when the user wants to print the Reports
without printing the associated flags.
Normal: This is a basic type of format available. If all the results are selected,
then the photometric results are displayed in one table, followed by calculation
item, ISE and Offline Results.
Multi Column: This type of format is used when the user needs to print the
results column wise. The results are displayed in a newspaper column format.
Profile: If the user has selected profiles for scheduling tests from Patient Entry
screen, then the user can print Patient Reports as per the various Profiles selected.
Graphical: If the user wishes to view and print the patient results in Graphical
format, then this option can be selected. Figure 2.23 shows the Graphical type of
Patient Report.
Show Location: This type of format is used when the user wants to print the
Reports without printing the Location
Show Analyst: This type of format is used when the user wants to print the
Reports without printing Analyst
Show Sample Remarks: This type of format is used when the user wants to print
the Reports without printing the Sample Remarks
Show Patient Remarks: This type of format is used when the user wants to print
the Reports without printing the Patient Remarks
Preview: This option is used to confirm the selected results before printing.
Following is the window displayed.
¾ This menu enables the user to retrieve and print the results batch wise or
date wise.
Latest Batch: Selecting this radio button will display the results of the
latest batch.
Date wise: Selecting this radio button will display results depending on
the From and To dates selected from the calendar drop down box.
Print Lab Details: If the user needs to print the Lab Details, then he/she
can click on the checkbox provided for printing out the Lab Details.
Total Tests: This field is only for display and shows the total number of
tests performed in a batch or between “x” days.
Send to Host: This button is visible only if the Host Connection in system
parameter is available. This button is used for sending the results to the
LIS (if they were not transmitted during run).
Print: This button is used for printing the Results on printer or PDF
writer.
Export: This button is used for export the Results on an excel sheet.
Report Type: Any of the three options can be selected – Patients,
Controls, Standards. Depending on the option selected, the results will be
displayed on the result grid.
Test: All or any one of the tests can be selected from the list
Sample ID: All or any one of the sample id can be selected from the list
Inv. Selection: Use this button to invert the selection that is made.
Clicking on this button will select the unselected items and vice versa.
Select All: Use this button to select all the results displayed on screen.
b) Test Statistics
¾ One can enter this screen by clicking on {Reports: Test Statistics} button in
Main menu.
{Test}: Select the test/chemistry name to view its statistics. The program displays
the patients/standards/controls that have been run on the analyzer for that
chemistry.
{Report Type}: Using this radio button, select Patient to obtain the details of
patient results for the selected test or select Standard to obtain standard
absorbance for any chemistry or select Controls to obtain results of controls for
the selected test. Within the specified Date Range.
{Date From}: Enter the beginning date for the results to be analyzed.
{Date To}: Enter the ending date for the results to be analyzed.
{Batches}: It is possible to search the results batch wise. Records are displayed
depending on the batch number selected from the drop down box depending on
the From and To Date selected.
{Min Age}: Feed the lower limit age for the age range, if test statistics for a
particular age group are required.
{Max Age}: Feed the upper limit age for the age range, if test statistics for a
particular age group are required.
{Age Unit}: Select the unit of the age fed in the Min Age and Max Age fields.
{Invert Selection}: Use this button to invert the selection that is made. Clicking
on this button will select the unselected items and vice versa.
{Select All}: Use this button to select all the results displayed on screen.
{Print}: This button is used for printing the Test Statistics for the selected Test in
Report format. If the user requires the Laboratory Details to appear as Header on
the Test Statistics report, then he/she can use the Print Lab Details checkbox.
{Export}: This button is used for export the Results on an excel sheet.
{Sr. No. Wise}: Use this button to define a range of results/absorbance for which
you want to obtain the statistics. This range is of serial numbers given to the
results.
{Patient Name Wise}: Use this button to specify patient name for which you
want to obtain the statistics. This range is of serial numbers given to the results.
{N}: This field displays the total number of tests used for calculating the Mean,
SD and %CV for a test.
{Mean}: This field displays the average of the result/absorbance items that have
been selected (checked).
{Std. Dev}: This field displays the Standard Deviation of the result/absorbance
items that have been selected.
{%CV}: This field displays the %CV (coefficient of variation) of the
result/absorbance items that have been selected (tick-marked)
{Range}: This field shows the Range of the results that fall within the selected
criteria. It shows the difference between the minimum and maximum range for
the same
c) Reaction Curve
One can enter this screen by clicking on {Reports: Reaction Curve} button:
¾ This screen can be used to view the reaction course (absorbance vs. cycle
number) for any reaction. The reaction curve can be viewed Sample ID
wise and Test wise for Patient Results OR Sample ID wise and
Consumables wise for Blank, Standard and Control Results. This can be
achieved by double clicking on Sample ID field or Test field in the
appropriate field. The user can also select the reaction curve no. The user
has to click on ‘View’ to view the reaction curve as per selection.
¾ Reaction Curve number is a number assigned by the program during
analysis. The reaction curve number can be obtained from the real-time
printout or from the [Reports: Result Reprint] screen. The absorbance
values for the selected time course are displayed in a tabular format as
well as graphically.
¾ M1S, M1E, M2S, M2E and Extended M2E and also Ap, As, Ap-As for a
particular chemistry are shown on the time course. These points can be
identified by legends placed below the time course.
¾ R2 Addition line is shown with the red arrow.
¾ The time course display also contains the following details regarding that
Reaction Curve:
Result: This field displays the result of the test selected.
Flag: This field displays the flag associated with the Result.
Primary Wavelength: This field displays the primary wavelength used
for measurement of that test.
Secondary Wavelength: This field displays the secondary wavelength
used for measurement of that test.
Assay Type: This field displays the Assay Type used for that test.
Average O.D./Delta Abs/min: This field displays the Average O.D. or
Delta Abs/min value calculated within the specified time intervals for that
test. Average O.D. is displayed for End Point Assays and Delta Abs/min is
displayed for Rate Assays.
Format: This field allows selecting either to display only Ap or only As
or both Ap and As or Ap-As or All.
Column
Description
Name
The following figure shows the Zoomed Reaction Curve. The user can double
click on the Reaction Curve graph to obtain a zoomed view.
a) Click on Shut Down from the main menu, the following screen is displayed.
205
Chapter 7 - Alterations of Operational Conditions
Chapter 7
Alterations of Operational Conditions
This chapter provides the procedures of settings and their alterations of operational conditions including test
parameters, result re-calculation, profile entry, system settings, backup and Carryover pairs.
System
Specification of host communication, Temperature
7.5 Parameters
range and specifications of barcodes are specified.
Settings
Result Re-
7.10 This is used to re-calculate the results.
Calculation
Note:
a. More than one test can share the same Reagent Name.
b. One test can have any number of multiple positions for R1 and R2
respectively.
ABS
Rgt2
ABS2=Final abs
Rgt1
Time
ABS
Rgt 1 Rgt 2
ABS2=Final abs.
ABS2
ABS1
TIME
Figure 7.2.1 – 3 2 – Point Graph
RATE-A: This method is used for kinetic/rate assays where the change in
absorbance per minute is used for result calculation. The slope
(absorbance change per minute) is obtained from the absorbance
recorded between M2Start and M2End using the least square linear
regression method as per the following formula:
⎡1 n ⎤
⎢ n ∑ (Ti Ai )⎥ − T A
ΔA / ΔT = ⎣ ⎦
i =1
⎡1 n 2 ⎤
( )
⎢ n ∑ Ti ⎥ − T
2
⎣ i −1 ⎦
Where, Ti is the time in minute and Ai is the absorbance, n is the number
of points.
ABS ABS
ABS
ABS/MIN
TIME
ABS1/min
ABS2/min
M1Start and M1End: These assay points are used to select the time
points for measurement of initial absorbance for 2POINT and RATE-B
assay types. This absorbance serves as reagent or sample blank. This
initial absorbance (or absorbance change per minute) in these assays is
subtracted from the final absorbance (or absorbance change per minute)
that is measured between M2Start and M2End points. M1Start and
M1End can have values from 1 to 36 for 2POINT and RATE-B assays.
(14) Linearity Limit %: This field is applicable only for Rate-A and Rate-B
assay types and monitors the linearity during the reaction. The user can
feed any value between 1%-30%. If the %Linearity exceeds the specified
value in the Maximum Reaction Linearity, then a LINXX flag is displayed
along with the specified value. For e.g. if the user specified a value of 5%
in the Reaction Linearity field and if the linearity percentage is exceeded,
then flag LIN5 will be issued along with the result.
(15) Unit
Use this option to select unit of measurement for the analyte from a drop
down box. If user does not find the desired unit in the already provided
options, he/she can enter a new unit by going to {Master: Units} screen.
25. pmol/L
26. mIU/L
27. µkat/l
28. (User-defined)
These fields are used to define the Linearity Limit of the reagents. For the
1POINT, 2POINT, Rate-A and Rate-B chemistries, feed the minimum
and maximum concentrations in the Minimum and Maximum
Technical Limit fields respectively.
If Tech Limit Min is violated, a flag “TEC-L” is issued with the result. If
Auto Rerun is set to YES, the sample is automatically sent for an
Increased volume rerun. Similarly, if Tech Limit Max is violated, a flag
“TEC-H” is issued with the result. If Auto Rerun is set to YES, the sample
is automatically sent for a Decreased volume rerun.
Note:
If the Reaction Absorbance Limit field is not zero for RATE ASSAYS, then the Technical
Limit fields will be masked & vice-versa.
direct absorbance and not in terms of delta absorbance per minute. For
increasing direction chemistries, enter the maximum allowed final
absorbance before substrate depletion takes place. For decreasing
direction chemistries, enter the minimum allowed final absorbance
before substrate depletion takes place.
If Technical Limits are not entered and if the Reaction Absorbance Limit is
exceeded during the course of reaction, the last point of the measurement
interval (i.e. M2E) is automatically shifted to the point where this limit has
been exceeded to avoid rerun phenomenon. This new point is
automatically used for calculation of sample concentration. Also, in the
Reaction Curve Screen, the new point would be shown using a dotted line
indicating that the extension logic has been applied.
Note:
a) If no points are available for slope calculation, then Lim0 flag is issued along with the
result.
b) If only one point is available for slope calculation, then Lim1 flag is issued along with
the result.
c) If only 2 points are available for slope calculation, then Lim2 flag is issued along with
the result.
For rate chemistries, if Technical Limits are entered and if any point
between M2S and M2E exceeds the Reaction Absorbance, AbsLim Flag
is attached along with the result. If Auto Rerun is enabled, the test is sent
for a decreased rerun.
For end point chemistries, if final O.D calculated exceeds the Reaction
Absorbance; AbsLim Flag is attached along with the result. If Auto Rerun
is enabled, the test is sent for a decreased rerun.
(24) SET AUTO RERUN: This option is used to set the auto-rerun for
multiple tests – ‘Selective Tests’ or All Tests - at once. Click on “SET
AUTO RERUN”. Following screen will appear:
Click on the desired option to choose Selective test auto rerun or All
test(s) auto rerun. If “Selective” is selected then user can select test(s)
from the list below for setting auto-rerun by clicking on the boxes in the
front of tests. Then click on OK button. If “All test(s)” is selected then
automatically all the tests in the list below will be selected for auto rerun.
Click on OK button to save and apply settings. Click on CLEAR button will
close the window without saving changes.
Y=aX+b
When the results obtained on this analyzer are as expected feed a = 1 and
b = 0.
The following plot shows the relation of results obtained on any two
compatible analyzers: (Here b =0 and a = 1)
b) The user needs to select a Sample Type prior to defining the Sample, Standard
and Reagent Volume for a test. Sample, Standard and Reagent Volumes are different for
different Sample Types.
Usually, the Standard Volume entries will be the same as Normal Serum Volume entries.
However, the Standard Volume entries could be different from Normal Serum Volume
entries when the calibrator is not to be diluted but the sample requires dilution. This
happens usually for esoteric assays for which the standards available are prediluted and
do not require dilution, but the samples need to be diluted.
For example, when the standard is prediluted but sample requires to be diluted 10 times,
the standard volume entries might be like {15, 0} and the normal sample volume entries
will be like {20, 2x}.
{Standard Volume: Sample}: This is the volume of the standard to be aspirated from
the standard container. When the standard is undiluted, the aspirated standard from the
standard container is directly deposited in the reaction cuvette (containing Reagent 1).
When the standard has to be prediluted, the standard from standard container is
deposited in the reaction cuvette (containing diluent).
If the standard needs to be diluted, then Auto Dilution procedure should be adopted. The
Auto Dilution procedure is available in the Schedule QC/Calibration screen under Utility
menu. The software prepares the dilutions automatically from the base concentration
using the Geometric series.
These fields enable the user to specify normal (or default) sample volumes depending on
the selection of sample type. Different Sample Types can share the same Sample
Volumes.
{Normal: Sample}: This is the volume of the sample to be aspirated from the sample
container. When the sample is undiluted, the aspirated sample from the sample
container is directly deposited in the reaction cuvette (with Reagent 1). When the sample
needs to be prediluted, the sample from sample container is deposited in the reaction
cuvette (with diluent).
{Normal: Dilution Ratio}: This enables the user to define a dilution ratio if predilution of
the sample/urine is required. The available range is from 2x to 100x in steps of 1x.
Default will be 1x and this will mean that no predilution will be done. A dilution ratio Nx
means 1 part of sample and (N-1) part of diluent.
{Decrease: Sample}: This is the volume of the sample to be aspirated from the sample
container. When the sample is undiluted, the aspirated sample from the sample
container is directly deposited in the reaction cuvette (with Reagent 1). When the sample
needs to be prediluted, the sample from sample container is deposited in the reaction
cuvette (with diluent).
{Decrease: Dilution Ratio}: This enables the user to define a dilution ratio if predilution
of the sample/urine is required. The available range is from 2x to 100x in steps of 1x.
Default will be 1x and this will mean that no predilution will be done. A dilution ratio Nx
means 1 part of sample and (N-1) part of diluent.
{Increase: Sample}: This is the volume of the sample to be aspirated from the sample
container. When the sample is undiluted, the aspirated sample from the sample
container is directly deposited in the reaction cuvette (with Reagent 1). When the sample
needs to be prediluted, the sample from sample container is deposited in the reaction
cuvette (with diluent).
{Increase: Dilution Ratio}: This enables the user to define a dilution ratio if predilution of
the sample/urine is required. The available range is from 2x to 100x in steps of 1x.
Default will be 1x and this will mean that no predilution will be done. A dilution ratio Nx
means 1 part of sample and (N-1) part of diluent.
(5) RGT1/RGT2 Volume: Assign volume of reagent (in mL) to be aspirated for Reagent 1
and/or Reagent 2. Volume for Reagent 1 is set between 60 and 300 µl and for Reagent
2 between 10 and 300 µl. If a single reagent test is used, then RGT 2 Volume field is not
shown on the screen.
(6) {R1/R2 Reagent Mix Speed}: There are 3 options available to set the Mixer speed
for R1 and R2 in order to mix the reagent and the sample. They are Low, Medium and
High.
(7) COPY VOLUMES: This button is used for copying the volumes from current sample
type to other sample types. Multiple sample type selection for copying volumes is
available.
(8) VIEW VOLUMES: This button is used to view the volumes programmed as per the
different sample types. The following screenshot gives the serum volume details
d) From the above screen, the user can define the Min and Maximum
Range (in Months, Years or Days) and the Range Title. Depending the
Range Title selected the Normal Ranges for Male, Female, Child or Other
would be used accordingly to generate the H and L flags.
Use these fields to enter the expected values range for different sample
types for different assays.
Note:
For correct H and L flags, the patient’s Reference Title and Gender should
be set before the patient’s sample is analyzed.
236
Chapter 7 - Alterations of Operational Conditions
for a normal volume run, the rerun too will be performed using a normal
sample volume. Similarly, if the sample was programmed for Decreased
or Increased volume run, the rerun will be performed using a Decreased
or Increased volumes respectively.
For an automatic rerun to take place due to Panic Limit violation, Auto
Rerun needs to be set to YES. When the sample result violates the Panic
Limit Minimum or Maximum, a flag “PanL” or “PanH” is issued
respectively. The rerun result is flagged “#” to indicate a rerun
VIEW REFERENCE RANGE: This button is used to view the reference ranges
programmed as per the different sample types. The following screenshot gives the
reference range details
237
Chapter 7 - Alterations of Operational Conditions
238
Chapter 7 - Alterations of Operational Conditions
239
Chapter 7 - Alterations of Operational Conditions
b) This screen is used to define the sequence of a test during run or on the test
grid. This function is useful in avoiding forbidden pairs that may come together
during the run. This function will work only for same patients. In order to avoid the
carry over between patients, then use Forbidden Pairs program. There are 2
options available. One is used only for displaying the sequence and the other for
Processing during run.
(i) Sort Ascending/Sort Descending: These buttons are used to sort the Tests in
Ascending or Descending order. Tests will be run in either ascending order of
sequence or descending order of sequence.
(ii) Move Up/Move Down: The user can manually assign the sequence by moving
the desired test up or down. The user needs to select the test and then click on
the Move up or Move down depending on how the order for display or
processing should be done.
Note:
Define Test Process Sequence to reduce / eliminate the carryover effect. For
each sample, the tests will be performed in the order of processing sequence
during run.
c) The user can enter a new formula from the above screen using the
numeric display grid. Once saved, the Calculation formula is displayed in
the Calculation Item screen.
{Calculation Item: Formula}: The user can select the desired formula
from the drop down list. If a new formula is required, then the user can use
the “dotted button” to add a new Calculation formula.
{Calculation Item: Unit}: Select the unit to be printed along with the
Calculation Item.
f) Once, the formula is selected, the user can select the tests
associated with the calculation item. Additionally, the user can also use
g) The user can select the normal ranges or panic limits (if desired) for
the calculation item depending on the sample type selected. Normal
Range options are available for Male, Female, Child or Other types.
b) This screen can be used during patient entry to request all the tests
in a profile by simply clicking at the profile button on the Profile Grid. 2 or
more profiles can be selected for a patient at the same time. If more than
10 Profiles are entered, the user can browse to the next profiles using
Prev / Next arrow buttons.
Item Description
This field is used for displaying the Name of the Laboratory which
Laboratory Name
will appear as Header in Patient Report
This field is used for selecting the default language of the software.
Default Language Available options are English, German and Chinese. Default is
English
Clear Screen upon This field is used for selecting the clearing of screen upon Save
Save operation. Available Options are Yes and No
This option is used if the user wants to print the results during Run.
Printing Mode Available options are Results printing, Patient Report printing and
OFF
This option allows the user to print the patient report once the batch
Patient Report is completed (real time). Default is checked. If the user needs to
print the report offline, he/she can uncheck this option
This option allows the user to print the negative results during run. If
Print Negative
the user does not wish to print negative results on screen, then
Result
he/she may uncheck this option
This field is used to select the availability of Confirmation Message.
Confirmation
Default is checked. If checked, on performing any operation there
Message
will be a confirmation message displayed to confirm the action.
This field is used to select the COM Port of the PC that is used for
Analyzer Port
communicating with the Analyzer. Default port is COM 1
This option is used for determining whether the user wants the
Host Connection
transmission of results to LIS. Default is checked
This field is used to select setting fro test parameters. Three options
are available Open, Semi-Closed and Closed. If Open option is
selected, all the fields on the test parameters can be edited and also
Open Channel Test new tests can be added. If Semi-Closed option is selected, some of
the fields on the test parameters can be edited and also new tests
can be added. If Closed option is selected, none of the fields on the
test parameters can be edited and also new tests can be added.
RCT Temperature This field displays the RCT Temperature in °C. This value is 37 °C.
This field is used to set the allowable fluctuation in RCT
RCT Temperature
Temperature. Default value is 0.2 °C. User can enter the range
Range
between 0 and 0.5.
RGT Temperature This field displays the RGT Temperature in °C. This value is 8 °C.
This field is used to set the allowable fluctuation in RGT
RGT Temperature
Temperature. Default value is 4°C. User can enter the range
Range
between 0 and 4.
This option is used to select the availability of Sample Barcode.
Sample Barcode
Default is checked
This option is used to select the availability of Reagent Barcode.
Reagent Barcode
Default is checked
This option is used to select the availability of ISE. Default is
ISE Module
unchecked
This field is used to enter the Minimum Cell Blank Absorbance. If the
absorbance of the cell blank falls below this limit, then the color of
Minimum Cell Blank the cuvette Absorbance value in the Cell Blank screen will change to
Blue. Default value is 0.03. Value between 0.1 to 0.2 can be
entered.
This field is used to enter the Maximum Cell Blank Absorbance. If
the absorbance of the cell blank falls above this limit, then the color
Maximum Cell Blank of the cuvette Absorbance value in the Cell Blank screen will change
to Red. Default value is 0.1. Value between 0.1 to 0.2 can be
entered.
7.6 Backup
(ii) {Format}: This drop down list is used to select the Mode of
Backup. Available options are XML, Text and Database.
b) On this screen, the user can define the Forbidden pair for a
particular chemistry. 5 options are available:
Item Description
Contaminant
The user can enter the Contaminant Chemistry
Test
Contaminated The user can enter the chemistry that could get
Test contaminated
Note:
a) This field allows the user to select that flags that would appear for
that test should go for a Rerun.
b) If the user deselects a particular flag, then Rerun will not take place
even if the flag is issued along with the result for that test.
c) Click on {Setting: Rerun Flags}, the following screen appears as
follows:
c) The selected User Rights can then be edited using the EDIT button.
The screen on next page gives the options available for the user
b) This screen is useful in recalculating results if any changes are made in the test
parameters or calibration data after analysis. This is particularly useful because one
does not have to rerun a sample if a mistake was made in Test Parameters or the
Calibration Table.
c) To obtain recalculated result, select result date or batch number or test or sample
id. Either of the 3 options Patients / Calibration / Controls can be selected.
d) Once the above selection is done, click on <SHOW> button to view all the
results. Select the result for which re calculation needs to be done. Click on the
<Recalculate> button. The recalculated result and flag are displayed along with the
original result and flag.
7.11 Search
a) One can click on the Search button in the main menu to Search for
Consumables, Test Parameters, Patient Information, Sample Information
and Results.
b) Search for Patients and Sample details can be made using the
above form.
c) Various filters can be applied during Search.
d) The following fields are available:
¾ Search by entering the Patient Name
¾ Search by selecting a Doctor
¾ Search by selecting a Sample Type
¾ Search by entering the Sample ID
¾ Search by Collection Date
(To select the From and To Date, click on the Calendar icon i.e.
first icon near the Collection Date text box to view and select a
particular date. To remove the date selection, click on ‘X’ i.e. the
second icon near the Collection Date text box)
¾ Search by Registration Date
(To select the From and To Date, click on the Calendar icon i.e.
first icon near the Registration Date text box to view and select
a particular date. To remove the date selection, click on ‘X’ i.e.
the second icon near the Registration Date text box)
¾ Advanced Search using 2 or more combinations from above.
e) The above selection can be cleared using RESET button.
f) The results are displayed in the Grid.
a) Search for Patient Results can be made using the above form.
b) Various filters can be applied during Search.
c) The following fields are available:
¾ Search by entering the Patient Name
¾ Search by selecting a Doctor
¾ Search by selecting a Test
¾ Search by entering the Flag associated with the test
¾ Search by Sample Type
¾ Search by entering Sample ID
¾ Search by selecting the Result Date
(To select the From and To Date, click on the Calendar icon i.e.
first icon near the Result Date text box to view and select a
particular date. To remove the date selection, click on ‘X’ i.e. the
second icon near the Result Date text box)
¾ Advanced Search using 2 or more combinations from above.
d) The above selection can be cleared using RESET button.
e) The results are displayed in the Grid.
a) Search for Calib / Control Results can be made using the above
form.
b) Various filters can be applied during Search.
c) This search includes following:
¾ Blank
¾ Standards
¾ Calibrators
¾ Controls
¾ Following Filters are used for the search:
¾ Search by entering the Test Name
¾ Search by selecting Flags
¾ Search by selecting the Result Date
(To select the From and To Date, click on the Calendar icon i.e.
first icon near the Result Date text box to view and select a
particular date. To remove the date selection, click on ‘X’ i.e. the
second icon near the Result Date text box)
¾ Search by Lot No
¾ Advanced Search using 2 or more combinations from above.
d) The above selection can be cleared using RESET button.
e) The results are displayed in the Grid.
a) Search for Test Details can be made using the above form.
b) Various filters can be applied during Search.
c) The user has a choice of searching the entire consumables or
selecting one consumable at a time.
d) The following fields are available:
¾ Search by selecting Primary Wavelength
¾ Search by selecting Secondary Wavelength
¾ Search by selecting Assay Type
¾ Search by selecting Calibration Type
¾ Search by Reaction Direction
¾ Advanced Search using 2 or more combinations from above.
e) The above selection can be cleared using RESET button.
f) The results are displayed in the Grid.
Field
Description
Name
This field is used to select the Date of the Result.
Date
Default Date is Present Date
By clicking on the dotted button, the user can select
Laboratory
the name of the Laboratory from the available list
By clicking on the dotted button, the user can select
the name of the Instrument on which the test was
Instrument
conducted (from the available list) or Add a new
Instrument Name from {Master: Instrument}
By clicking on the dotted button, the user can select
Sample ID
the Sample ID
Sample The user can select the Sample Type from drop down
Type list
This field is for display purpose only and will display
Patient
the name of the Patient once the Sample ID is
Name
selected.
This field is for display purpose only and displays the
Age
patient’s age
Category This field displays the Gender of the patient
The user can select the Test Name from drop down
Test list or a new test name can be added upto 5
characters
Report The user can enter the Report Name of the selected
Name test
Unit The user can enter the Unit for the test
Normal
The user can enter the Lower Limit for the Test
Lower
Limit
Normal
Upper The user can enter the Upper Limit for the Test
Limit
Result The user can enter the result for the Test
The user can enter the Flag associated with the
Flag
Result
Chapter 8
Maintenance
This chapter provides the procedures of the necessary and minimal amount of maintenance in
order to ensure that the analyzer operates correctly and provides the accurate measurement
results.
Note:
Change the reagent bottles from time to time before adding the fresh
reagent.
It is recommended to check and maintain a stock of spares and
consumables.
a) Daily Maintenance
Start of the day
1. Empty Waste Can.
2. Empty Bio Hazardous Waste Can.
3. Fill Deionised Water Can.
4. Fill Cleaning Solution Can.
5. Clean The Analyzer External Surface.
6. Replace Printer Paper If Necessary.
7. Clean The Computer, Trolley, Monitor, Keyboard And Printer External
Surface.
8. Perform Prime, Cuvette Wash and Probe Wash operations & Check Cell
Blanks
9. Verify Reaction Tray & Reagent Tray Temperatures
10. Replenish Or Replace Reagents If Necessary.
End of the day
1. Carry out Probe Wash
2. Carry out Acid and Alkali Wash (Auto Wash) if Latex based chemistries
are used during the day
3. Carry out Water Save operation
4. Empty the ASP Tray and clean the Reagent Table
5. Empty Concentrated and Diluted Waste Can
6. Wipe instrument panel
7. Clean working area/table
b) Weekly Maintenance
1. Clean the Waste Can.
2. Clean the Bio Hazardous Waste Can.
3. Clean and Fill The Deionised Water Can.
4. Clean the Cleaning Solution Can.
5. Clean the Analyzer External Surface.
6. Clean the Computer, Trolley, Monitor, Keyboard And Printer External
Surface.
7. Clean the Area Around The Analyzer, Discard Any Unwanted Item.(
Maintain Proper Room Cleanliness.
8. Clean the Probe.
9. Clean the Stirrer Paddle.
10. Clean the Laundry Probes.
11. Clean the ASP Tray
12. Clean the Reagent Tray.
13. Clean the Syringe.
14. Perform Prime, Cuvette Rinse & Probe Wash Operations. Check for Cell
Blanks
15. Perform Precision Check And Note Down The %CV For an End Point and
Kinetic Test.
c) Quarterly Maintenance
1. Clean the Waste Can.
2. Clean the Bio Hazardous Waste Can.
3. Clean and Fill The Deionised Water Can.
4. Clean the Cleaning Solution Can.
5. Clean the Analyzer External Surface.
6. Clean the Computer, Trolley, Monitor, Keyboard And Printer External
Surface.
7. Clean the Area Around The Analyzer, Discard Any Unwanted Item.(
Maintain Proper Room Cleanliness.
8. Clean the Probe.
9. Clean the Stirrer Paddle.
10. Clean the Laundry Probes.
11. Clean the ASP Tray
12. Clean the Reagent Tray
13. Clean the Syringe.
14. Clean the Analyzer Fans
15. Clean the Sample and Reagent Bar Code Readers
16. Replace the Lamp
17. Clean the Analyzer Internal Surface Free Of Dust
18. Perform Prime, Cuvette Rinse & Probe Wash Operations. Check for Cell
Blanks
19. Perform A Precision Check And Note Down The %Cv For An End Point
And Kinetic Test.
20. Make A Detailed Entry In The Error Log Book, Of The Maintenance
Carried Out And And Site Verifications.
d) Annual Maintenance
1. Clean the Waste Can.
2. Clean the Bio Hazardous Waste Can.
3. Clean and Fill The Deionised Water Can.
4. Clean the Cleaning Solution Can.
5. Replace External Tubings to The Waste, Bio Hazardous Waste, Cleaning
Solution And Deionised Water Cans.
6. Clean the Analyzer External Surface.
7. Clean the Computer, Trolley, Monitor, Keyboard And Printer External
Surface.
8. Clean the Area Around The Analyzer, Discard Any Unwanted Item.(
Maintain Proper Room Cleanliness)
9. Check And Replace If Necessary The Probe.
10. Check And Replace If Necessary The Stirrer Paddle.
11. Replace The Laundry Probes.
12. Replace The Laundry Tubings.
13. Clean The ASP Tray
14. Clean The Reagent Tray.
15. Check And Replace if necessary the Syringe (Dilutor Assembly)
16. Clean the Analyzer Fans.
17. Clean the Sample and Reagent Bar Code Readers
18. Replace the Lamp.
19. Perform Prime, Cuvette Rinse & Probe Wash operations. Check Cell
Blanks
20. Perform A Precision Check And Note Down The %Cv For An End Point
And Kinetic Test.
21. Carry Out A Site Verification For Temperature, Line Voltage, Electrical
Ground, Ventilation, External Interferences, Room Lighting, And
Laboratory Cleanliness Practice, As Described In Chapter “16.1
Servicing A Customer Site”.
22. Make A Detailed Entry In The Error Log Book, Of The Maintenance
Carried Out And Site Verifications.
Note:
Average life of the Lamp is 1000 hours. Replacement of Lamp depends on
its usage and ON Time.
Average use life of water filter is 3 months. Replacement of water filter
depends on quality of DI water used.
a) The user can program various diluents for Serum or Urine from
{Consumables – Diluents} screen. The user can add a new diluent name
by clicking on the dotted button alongside Consumable name.
b) Once the diluent is added, the user can click on the new button to add the
Manufacturer name of the diluent. Lot No. is not mandatory.
c) Similar option is given for adding the Wash solution, which is used when
forbidden pairs are programmed.
Note:
Diluents / Wash solutions can be placed on any position of the Reagent Tray.
When any abnormal conditions are found in the analyzer, the operator is requested to check
the following items:
1. Preparation and preservation methods of reagents;
2. Preparation and preservation methods of sample;
3. Operational procedures of the analyzer, and
4. Maintenance work.
When such an abnormal condition is considered to be caused by an electrical or
mechanical failure, do not try to carry out the inspection of the analyzer's innards by your
own and call for service at our customer service department.
In the event of a trouble, the corresponding alarm message is indicated. Deal with the
trouble referring to in section "List of alarm codes". It is presumed that the trouble will be
solved and the proper operation will be resumed in many cases.
A) Trouble in assay
1. Serial number of analyzer in use;
2. Method code in question;
3. Explanation of encountered trouble;
4. Serial number and lot number of reagent, calibrator and QC sample in use;
5. A few calibration results that were carried out recently;
6. A few measurement results of QC sample that were carried out recently, and
measurement results.
B) Trouble in analyzer
1. Serial number of analyzer in use;
2. Software version numbers in use (PC, Mechanical and Sub-CPU);
3. Explanation of relevant alarm and problem, and any other information about
the analyzer in use and maintenance;
1. Check that the main switch located on the rear side panel of the analyzer
is at "ON" position.
2. Check that the main fuses are not burnt.
3. When the main fuses are checked, turn the main switch off without fail
and then pull out the plug of power supply cable from its receptacle on
the analyzer. Open up the fuse cover and pull the fuses out.
4. Check that the circuit breaker of the power supply system to which the
analyzer is connected is not cut off.
Fuse cover
288
Chapter 8 - Maintenance
There may be two cases that the analytical errors are noticed, i.e., by error flag or unexpected
results. In the following cases, troubleshooting is requested.
1. Error flag is set to the calibration results.
2. Error flag is set to the measurement results of QC sample or normal sample.
3. The measurement results of QC sample are out of range of judgment criteria.
Investigate which situation shown below is applicable to the error in the measurement results
of calibration, QC sample or normal sample. Based on the investigation, further check may be
requested.
4. The resultant values obtained from measurements of a specific method are high for all
samples.
5. The resultant values obtained from measurements of a specific method are low for all
samples.
6. Erroneous results are randomly derived from measurement.
7. Two or more anomalous measurement results are observed:
– from all methods, or
– randomly
A) Preparation of reagent
1. Was there any change of the reagent?
2. Is the term of validity of the prepared reagent still valid?
3. Was the reagent prepared according to the correct procedures?
4. Was the reagent prepared using fresh, non-bacteria contaminated and deionized
water or appropriate diluent?
B) Preparation of QC sample
1. Was the volume used for preparation correct?
2. Does the sample have been preserved as recommended?
3. Is the term of validity of the sample still valid?
4. Was the sample prepared using a pipette calibrated in terms of volume?
5. Is the term of validity of the sample lot still valid?
6. Was the sample prepared using appropriate diluent?
C) Preparation of calibrator
1. Was there any change of the lot number?
2. Was the calibrator prepared using volume correctly?
3. Does the calibrator have been preserved as recommended?
4. Is the term of validity of the calibrator still valid?
289
Chapter 8 - Maintenance
The further checks are requested to track down the cause referring to the following
lists after the above checks have been completed.
8.4.2 High resultant values from a specific method for all samples
Cause Action
Check the preparation of the calibrator.
1. Incorrect calibration Check that the calibration settings are correct.
results The calibration is performed again if necessary.
Check the temperature shown in the [Service
Check: Temperature] picture. Call for service at
2. Too high inside our customer service department when the
temperature of RCT unit indicated temperature deviates from the
specified value of 37 ± 0.2ºC.
3. Improper preparation of
Check the preparation of the reagent.
reagent
4. Improper preparation of
Check the preparation of the calibrator.
calibrator
8.4.3 Low resultant values from a specific method for all samples
Cause Action
1. Expiration of the term of See the statement of virtues that comes together
validity of reagent with the reagent kit for its stability.
2. Improper preparation of
Check the preparation of the reagent.
reagent
See the statement of virtues that comes together
3. Improper preservation of
with the reagent kit for its proper preservation
reagent
method.
5. Improper preparation of
Check the preparation of the calibrator.
calibrator
6. Excessive volume of Check if there is any leakage or drip at junction
reagent dispensed of reagent sampling system.
290
Chapter 8 - Maintenance
Cause Action
1. Fibrin clots formed on
specific sample tube or Clean the SPT nozzle.
sample cup
Check if the tip of water or solution tube is
2. Insufficient water or
positioned below the water or solution level.
solution supply from
Call for service at our customer service
respective external tank
department in case of trouble.
Cause Action
291
Chapter 8 - Maintenance
It may be difficult for the user to deal with the problem, the troubleshooting of which is beyond
this limited extent. In such a case, call for service at our customer service department.
This screen can be used to view all the errors occurred on the analyzer during the test run or
service check. This data is generally useful for servicing/diagnostic purposes.
The period of Error List can be selected using From and To Date Calendar.
Remedial actions for all error conditions are given below in section 8.5.2 Error Messages
for each unit.
Note:
When user clicks on Start Run button on Status Monitor, if any error is detected during
initialization of the instrument then the error message will be displayed in the error grid on
the Screen. In such case, the instrument will hault. The user has to take the corrective action.
Problem may arise, which is not monitored by the computer. Any alarm message may not be
indicated on the display for such a problem. Such a problem includes abrasion of parts,
leakage in the sampling system, etc. When this type of problem occurs, decide whether the
processing of sample is carried on or the measurement is terminated, considering that such
problem may result in a damage to the analyzer or erroneous outcome of measurements.
4. Up/down and
rotation stepper motor
and its connections
4. Up/down and
rotation stepper motor
and its connections
4. Up/down and
rotation stepper motor
and its connections
3. Go to Service
Check: Arm Menu.
Click on <Initialize>
3. Sample arm position button. Push the
in Trough during probe gently to cut
Reagent 1 operation the VOD opto so that
VOD Error will be
generated and Arm
initializes.
4. If the initialization
or VOD generation
fails, call the Service
Engineer
4. Up/down and
rotation stepper motor
and its connections
2. Then switch ON
the instrument; Go to
[Service Check: Arm]
menu; Give
2. Interface board and
<Initialize> and <Arm
its connectors
Up> Execute <Arm
trough to reagent
outer> Execute
commands
4. Up/down and
rotation stepper motor
and its connections
Arm Up error -
Arm 26 @R2 Reagent 2
1. Arm VOD opto, arm 1. Switch OFF the
position
position optos, analyzer; Move SPT
up/down optos and arm up and down by
rotation optos hand and make sure
XL-200 OM VER: 1.2 that
301nothing is
Chapter 8 - Maintenance
obstructing SPT
movement
2. Then switch ON
the instrument; Go to
[Service Check: Arm]
menu; Give
<Initialize> and <Arm
2. Probe assembly Up> Execute <Arm
trough to Reagent
outer> Execute <Arm
Down> Execute
<Arm Up> Execute
commands
3. If the initialization
3. Interface card and or up/down
its connector movement fails, call
Service Engineer
4. Up/down and
rotation stepper motor
and its connections
2. Then switch ON
the instrument; Go to
[Service Check: Arm]
menu; Give
<Initialize> and <Arm
2. Probe assembly Up> Execute
<Trough to R2
cuvette> Execute
<Arm Down>
Execute <Arm Up>
Execute commands
3. If the initialization
3. Interface card and or up/down
its connector movement fails, call
Service Engineer
4. Up/down and
rotation stepper motor
and its connections
3. Go to Service
Check: Arm Menu.
Click on <Initialize>
3. Sample arm position button. Push the
in Reagent tray at R2 probe gently to cut
position the VOD opto so that
VOD Error will be
generated and Arm
initializes.
4. If the initialization
or VOD generation
fails, call the Service
Engineer
1. Check the arm
alignment in [Service
Check]. If it is hitting
1. VOD Opto Sensor
at the edge , then
align the probe using
the calibrate facility.
2. Remove the cover
2. The connectors of the arm and check
and clean VOD opto
Arm VOD error - 3. Go to Service
Cuvette during Check: Arm Menu.
Arm 2B R2!
Reagent 2 Click on <Initialize>
operation 3. Sample arm position button. Push the
in Cuvette during probe gently to cut
Reagent 2 operation the VOD opto so that
VOD Error will be
generated and Arm
initializes.
4. If the initialization
or VOD generation
fails, call the Service
Engineer
1. Check the arm
Arm VOD error - alignment in [Service
Trough during Check]. If it is hitting
Arm 2C !R2 1. VOD Opto Sensor
Reagent 2 at the edge , then
operation align the probe using
the calibrate facility.
2. Remove the cover
2. The connectors of the arm and check
and clean VOD opto
3. Go to Service
Check: Arm Menu.
Click on <Initialize>
3. Sample arm position button. Push the
in Trough during probe gently to cut
Reagent 2 operation the VOD opto so that
VOD Error will be
generated and Arm
initializes.
4. If the initialization
or VOD generation
fails, call the Service
Engineer
4. Up/down and
rotation stepper motor
and its connections
2. Then switch ON
the instrument; Go to
[Service Check: Arm]
menu; Give
<Initialize> and <Arm
Up> Execute <Arm
2. Interface board and
trough to sample
its connectors
outer> Execute
<Sample Outer to R1
Cuvette> Execute
<R1 Cuvette to
Trough> Execute
commands
4. Up/down and
rotation stepper motor
and its connections
Arm Down error 1. Arm VOD opto & 1. Switch OFF and
Arm 35 @S
- Sample arm optos then switch ON
position the instrument.
2. Interface card and
Check if the error
its connector
comes again
4. Go to [Service
Check: Arm] menu;
Give <Initialize> and
<Arm Up> Execute
<Arm trough to
Sample outer>
Execute <Arm
Down> Execute
commands
5. If still it is giving
error, call Service
Engineer
1. Switch OFF the
analyzer; Move SPT
1. Arm VOD opto, arm
arm up and down by
position optos,
hand and make sure
up/down optos and
that nothing is
rotation optos
obstructing SPT
movement
2. Then switch ON
the instrument; Go to
[Service Check: Arm]
menu; Give
<Initialize> and <Arm
Arm Up error - 2. Probe assembly Up> Execute <Arm
Arm 36 @S trough to Sample
Sample position
outer> Execute <Arm
Down> Execute
<Arm Up> Execute
commands
3. If the initialization
3. Interface card and or up/down
its connector movement fails, call
Service Engineer
4. Up/down and
rotation stepper motor
and its connections
4. Up/down and
rotation stepper motor
and its connections
3. Go to Service
Check: Arm Menu.
Click on <Initialize>
3. Sample arm position button. Push the
in Trough during probe gently to cut
sample operation the VOD opto so that
VOD Error will be
generated and Arm
initializes.
4. If the initialization
or VOD generation
fails, call the Service
Engineer
1. Check the arm
alignment in [Service
Check]. If it is hitting
1. VOD Opto Sensor
at the edge , then
align the probe using
the calibrate facility.
2. Remove the cover
2. The connectors of the arm and check
and clean VOD opto
Arm VOD error -
3. Go to Service
Trough during
Arm 3C !DILN! Check: Arm Menu.
Dilution
Click on <Initialize>
operation
3. Sample arm position button. Push the
in Trough during probe gently to cut
sample operation the VOD opto so that
VOD Error will be
generated and Arm
initializes.
4. If the initialization
or VOD generation
fails, call the Service
Engineer
1. Sample is not kept in
1. Place the sample
the sample tube / cup
at the required
at that particular
sample position
position
2. Check the level of
2. Sample tube / cup
Sample and ensure
absent at that
that it is above the
particular position
Sample absent - Dead volume
Arm 3D S*
Pos. XX
3. LLS circuit and its 3. Call Service
connector problem Engineer
5. Arm position in
sample tray
4. Up/down and
rotation stepper motor
and its connections
3. If the initialization
3. Syringe up/down
or aspirate/dispense
motor
movement fails, call
Service Engineer
3. If the initialization
3. Syringe up/down or aspirate/dispense
motor movement fails, call
Service Engineer
3. If the initialization
3. Syringe up/down
or aspirate/dispense
motor
movement fails, call
Service Engineer
3. If the initialization
3. Syringe up/down
or aspirate/dispense
motor
movement fails, call
Service Engineer
3. If the initialization
3. Syringe up/down
or aspirate/dispense
motor
movement fails, call
Service Engineer
2. Check opto
connectors are
connected properly
or not.
1. Switch OFF the
analyzer; Rotate ASP
1. Position opto by hand and make
assembly of ASP sure that nothing is
obstructing the
rotation
Sample tray 2. Then, switch ON
Sample
81 ASP1 Initialize the instrument; Go to
Tray
Rotational error 2. Stepper motor and [Service Check:
its connections Sample Tray]; Give
<Initialize>
command.
3. Interface card and 3. If initialization fails,
its connector call Service Engineer
1. Switch OFF the
analyzer; Rotate ASP
1. Position opto by hand and make
assembly of ASP sure that nothing is
obstructing the
rotation
Sample tray 2. Then, switch ON
Sample
82 ASP2 Rotational error the instrument; Go to
Tray
during run 2. Stepper motor and [Service Check:
its connections Sample Tray]; Give
<Initialize>
command.
3. Interface card and 3. If initialization fails,
its connector call Service Engineer
1. Make sure that
arm assembly is not
down in ASP tray
during service
check for ASP tray
ARM assembly UP i.e service
ASP Interlock
Sample opto & Direction command 1) ASP
8F ASP3 Error during
Tray opto & ARM home initialize 2) ASP
service check
opto tray rotate to “X”
position 2.
Check opto
connectors are
connected properly
or not.
2. Check opto
connectors are
connected
properly or not.
5. RCT alignment
1. Switch OFF the
analyzer; Move CRU
1. CRU Position opto up and down by hand
signal and make sure that
nothing is obstructing
the CRU movement
2. Then switch ON
the instrument; Go to
[Service Check: CRU
2. RCT Position opto
Unit]; Give
signals
CRU Up/Down <Initialize> and
CRU A2 @CRU <Up/down>
error
commands
3. If the initialization
or up/down
3. Interface card and
movement fails,
its connector
otherwise call Service
Engineer
5. RCT alignment
CRU Down
CRU A3 @CRU CRU down opto
Opto Fail 1. Make sure the
down opto is
working i.e CRU
down opto LED is
ON when when
OPTO is open and
XL-200 OM VER: 1.2 319
CRU down opto
LED is OFF when
Chapter 8 - Maintenance
2. Check opto
connectors are
connected properly
or not.
Make sure the up
opto is working i.e
CRU up opto led
is ON when when
OPTO is open and
CRU up opto led
is OFF when CRU
opto is cut by
interrupter. Also
ensure that the
logic low signal is
reaching to CPU
CRU Up Opto
CRU A4 @CRU CRU up opto board when opto is
Fail
open i.e LED is
ON & logic
high(3.3v) signal
reaches the CPU
board when opto is
cut i.e LED is
OFF.
2. Check opto
connectors are
connected properly
or not.
RCT_POSITION_O
CRU AF @CRU CRU Interlock
PTO and
1. Make sure
Error CRU_UP_OPTO and
1) RCT_position
opto is ON and
XL-200 OM VER: 1.2 320
Chapter 8 - Maintenance
CRU_UP_OPTO
is OFF and
CRU_DOWN_OP
TO is ON before
CRU goes down
in RCT when
down command is
executed during
service check.
CRU_DOWN_OPT
2) Ensure RCT
O
position opto is
ON when cru goes
down in RCT
during run.
2. Check opto
connectors are
connected properly
or not.
1. Switch OFF the
analyzer; Rotate
1. Position opto stirrer by hand and
assembly of stirrer make sure that
nothing is obstructing
the rotation
2. Then switch ON
the instrument; Go to
[Service Check:
Stirrer]; Give
Stirrer Up/Down
<Initialize> and
Stirrer B1 @STR1 error for
<Stirrer Up> Execute
Reagent 1 2. Interface card and
<Stirrer Arm Trough
its connector
to R1 Cuvette>
Execute <Down in
Cuvette> Execute
<Stirrer Up> Execute
<R1 Cuvette to
Trough> commands
3. If the initialization
3. Stepper motor or rotation fails, call
Service Engineer
1. Switch OFF the
analyzer; Rotate
Stirrer
1. Position opto stirrer by hand and
Stirrer B2 @STR1 Rotational error
assembly of stirrer make sure that
for Reagent 1
nothing is obstructing
the rotation
2. Then switch ON
the instrument; Go to
[Service Check:
Stirrer]; Give
<Initialize> and
2. Interface card and
<Stirrer Up> Execute
its connector
<Stirrer Arm Trough
to R1 Cuvette>
Execute <R1 Cuvette
to Trough>
commands
3. If the initialization
3. Stepper motor or rotation fails, call
Service Engineer
Make sure
RCT_POSITION_
OPTO is ON when
RCT_POSITION_O
stirrer down in
PTO and
cuvette command
Stirrer Interlock STR_HOME_OPTO
Stirrer BF @STR3 is executed during
Error and
service check
STR_DIRECTION_
2. Check opto
OPTO'
connectors are
connected properly
or not.
1. Switch OFF the
analyzer; Rotate
1. Position opto stirrer by hand and
assembly of stirrer make sure that
nothing is obstructing
the rotation
2. Then switch ON
the instrument; Go to
[Service Check:
Stirrer]; Give
Stirrer Up/Down
<Initialize> and
Stirrer C1 @STR2 error for
<Stirrer Up> Execute
Reagent 2 2. Interface card and
<Stirrer Arm Trough
its connector
to R2 Cuvette>
Execute <Down in
Cuvette> Execute
<Stirrer Up> Execute
<R2 Cuvette to
Trough> commands
3. If the initialization
3. Stepper motor or rotation fails, call
Service Engineer
1. Switch OFF the
analyzer; Rotate
Stirrer
1. Position opto stirrer by hand and
Stirrer C2 @STR2 Rotational error
assembly of stirrer make sure that
for Reagent 2
nothing is obstructing
the rotation
2. Then switch ON
the instrument; Go to
[Service Check:
Stirrer]; Give
<Initialize> and
2. Interface card and
<Stirrer Up> Execute
its connector
<Stirrer Arm Trough
to R2 Cuvette>
Execute <R2 Cuvette
to Trough>
commands
3. If the initialization
3. Stepper motor or rotation fails, call
Service Engineer
1. Switch OFF the
SRAM Memory 1. Interface Board Analyzer and Switch
Controller D1
Error (CPU). it on after few
minutes.
1. Malfunctioning of Check the pressure
pressure unit unit for
Low Pressure
Pressure G1 2. Leakage/Blockage in any leakage or
Level
pressure tubing blockage in
the tubing
1. Malfunctioning of Check the pressure
pressure unit unit for
High Pressure
Pressure G2 2. Leakage/Blockage in any leakage or
Level
pressure tubing blockage in
the tubing
1. Check the
1. Reagent tray cover
placement of
placement
Reagent Cover
2. Check the logic
levels at the
Reagent RGT Cover 2. The logic levels at baseboard
H1 RGT!
the baseboard connectors/connector
Tray Open
connectors connections and
verify for proper
functionality.
3. Connector
connections
1. Check the
1. Cleaning solution
Cleaning solution
Level
Cleaning Low Cleaning Level
I1
Can Solution Level 2. Check the Sensor
2. Sensor output of
Output of Level
Level Sensors
Sensor
1. Check the Waste
Empty Waste 1. Waste Level
Level
Reservoir/Waste
Waste Can J1 2. Check the Sensor
Tank full to 2. Sensor output of
Capacity Output of Level
Level Sensors
Sensor
the tubing
1. Check the DI
1. DI Water Level
DI Water Tank Water Level
DI Water
M1 Level less than 2. Check the Sensor
Can 2. Sensor output of
or equal to 50% Output of Level
Level Sensors
Sensor
1. Goto Service
Check and give
1. PDC Card.
Emergency Stop
PDC
Command.
Photometer N1 Operational
ERROR 2. Switch OFF the
2. Interface Board and Analyzer and Switch
its connector. it on after few
minutes.
1. Goto Service
Check and give
1. PDC Card.
Emergency Stop
PDC
Command.
Photometer N2 Communication
ERROR 2. Switch OFF the
2. Interface Board and Analyzer and Switch
its connector. it on after few
minutes.
1. Reagent Barcode 1. Check the Reagent
Scanner barcode scanner
2. Check the Reagent
Reagent 2. Reagent barcode
Barcode barcode scanner
P1 Barcode scanner connections
Scanner connections
Scanner Status
3. Interface board and
its connections
b) The user can select the date range by changing the From and To Date.
c) The user can select operation (Service, Maintenance, Run or All
operations) during which the errors occurred.
d) All the critical errors due to which run stopped will be displayed with
background color as red and font color as white and showed on the screen.
e) All the errors due to which sampling was paused will be displayed with
background color as green and font color as red and showed on the screen.
f) To print the details on the error, user can click on PRINT button.
g) Error description is displayed along with the date and time and also batch
no if applicable.
Sr.
Flags Cause
No.
1 # This flag is issued to indicate that the result obtained is from a rerun. This flag is issued for all rerun results
When Linearity Extension Logic method is used to reduce the measurement range to match absorbance
2 ~
range setting, this flag should be given
This flag is used to indicate that correlation correction has been used to calculate the final result. That is,
3 F
this flag is issued if in the equation Y = aX + b, a is not equal to 1 or b is not equal to zero.
4 -1SD This flag is issued with control results to indicate that the result is below 1SD limit
5 +1SD This flag is issued with control results to indicate that the result is above 1SD limit
6 -2SD This flag is issued with control results to indicate that the result is below 2SD limit
7 +2SD This flag is issued with control results to indicate that the result is above 2SD limit
8 -3SD This flag is issued with control results to indicate that the result is below 3SD limit
9 +3SD This flag is issued with control results to indicate that the result is above 3SD limit
This flag is issued with patient or control result and indicates that something is wrong with the calibration
10 NOCAL table. The calibration table needs to be checked and corrected to calculate a result (e.g., no calibration is
present or number of standards provided for multipoint calibration is less than
This flag is issued with control result and indicates that the target Mean and SD values have not been
12 ?SD defined in Quality Control screen for the control. Therefore, flags such as “±1SD”, “±2SD”, “±3SD” cannot
be given
13 D This flag is issued with patient results and indicates a Decreased volume run
14 I This flag is issued with patient results and indicates a Increased volume run
This flag is issued with patient and control results when, for the concerned test, the absorbance of the
15 MONO
calibrators are not changing monotonically with the concentration of the calibrators in the calibration table.
This flag is issued with blank, patient, calibrator and control results to indicate that the sample was
16 PD
prediluted
This flag is issued with patient and control serum results to indicate that prozone (antigen excess) has
17 P*
occurred.
Lower technical limit violated. Measured value or absorbance slope is lower than the set minimum
18 TEC-L
technical limit.
Upper technical limit violated. Measured value or absorbance slope is higher than the set maximum
19 TEC-H
technical limit.
1) This flag is issued with patient and control serum results to indicate that the absorbance of the sample
is higher than the absorbance of the highest concentration calibrator in the calibration table for increasing
20 RANGH direction calibration curve.
2) This flag is also issued if the absorbance of the sample is higher than the absorbance of the blank (or
lowest concentration calibrator) in the calibration table for decreasing direction calibration curve.
1) This flag is issued with patient and control serum results to indicate that the absorbance of the sample
RANGL is lower than the absorbance of the blank (or lowest concentration calibrator) in the calibration table for
21 increasing direction calibration curve.
2) This flag is also issued if the absorbance of the sample is lower than the absorbance of highest
concentration calibrator for a decreasing direction calibration curve.
Measured value is larger than upper limit set for normal value range for the corresponding age, sex and
22 H
gender.
Measured value is smaller than lower limit set for normal value range for the corresponding age, sex and
23 L
gender.
Calculation Item calculation does not take place for any of the following reasons
1) Denominator is 0 (zero) in the process of calculation for compensation.
24 CALC! 2) The test to be used for Calculation Item has not been measured yet.
3) Any test to be used for Calculation Item has data/calibration alarms (such as Chk Calib)
4) Any test to be used for Calculation Item errors (S*, R1* etc)
1) The absorbance value between M2S and M2E exceeded the Reaction Absorbance limit.
25 ABSLIM 2) This flag should be issued only for End-Point Chemistries (For Rate-Chemistries, this flag will not be
issued due to extension logic program)
Low Panic value error. This flag is issued with a sample result to indicate that the patient result is lower
26 PANL
than the programmed Panic Limit Min. ISE tests too will be sent for a rerun
High Panic value error. This flag is issued with a sample result to indicate that the patient result is higher
27 PANH
than the programmed Panic Limit Max. ISE tests too will be sent for a rerun
Linearity abnormal (checked only for Rate A and Rate B assays). When the reaction during measurement
28 LINxx points M2S and M2E is non-linear beyond the set limit for linearity of reaction this flag is given and the
percent linearity of reaction is indicated by a two digit number xx after “LIN”.
This flag is applicable for Rate Chemistries, only during the extension logic and when Reaction
29 Lim0
Absorbance Limit is present. If there are no points available for calculation, then this flag is issued
This flag is applicable for Rate Chemistries, only during the extension logic and when Reaction
30 Lim1
Absorbance Limit is present. If there is only one point available for calculation, then this flag is issued
This flag is applicable for Rate Chemistries, only during the extension logic and when Reaction
31 Lim2
Absorbance Limit is present. If there are 2 points available for calculation, then this flag is issued
This flag is issued when the denominator becomes zero during calculation or an overflow error occurs in
32 ???
logarithmic or exponential calculation
33 @TMP This flag is issued when the RCT temperature was out of range while the measurement was in process.
34 TO This flag indicates Time Out while receiving result from the machine.
The user can enter the Maintenance screen by clicking on the {Maintenance}:
8.6.1 Span
1. Manual Span
This screen is useful to view the filter absorbance and voltages at different
wavelengths. It is also used to view the photometer stability at different
wavelengths.
2. Auto Span
This option is useful to check gain of the photometer for all wavelengths.
The gain should be in range 50 – 900. If the gain obtained for any wavelength is
not within the range, it is highlighted with red background else if within range
then with green background.
Note:
If the absorbance of the DI Water placed in front of the cuvette is not between
0.05-0.065 Abs, then corrective measures should be taken.
8.6.2 Wash
1. Prime Wash:
This option is used at the beginning of the day before the Cuvette Rinse
operation. The CKD valve of the Probe is kept ON (depending on the time
set by the user: Max time is 5 minutes) to remove the air trapped inside the
tubings. Also, the valves of the CRU tubings are kept open to remove the air
trapped in them. The following operation occurs after the button is clicked:
1) Machine Initializes
2) CRU goes in DOWN position in the RCT.
3) The CKD Valves for CRU and Probe open sequentially.
4) The priming continues for “x” minutes.
5) After the priming operation is completed, the CRU initializes to home
position.
2. Water Save:
One can perform this action by selecting <Water Save> option in
Maintenance screen & clicking on START button. This option can be used
to fill all the 45 cuvettes with DI water. Overnight filling of the cuvettes
with DI water is helpful in loosening the dirt on the cuvette walls. On
clicking this button, the analyzer first washes all the 45 cuvettes with the
detergent in the detergent can. Then using the Probe, the analyzer fills water
in all the 45 cuvettes. This water remains in the cuvettes until the next run or
cuvette wash/rinse.
Note:
Poor quality DI water should not be used for Water Save, as bacteria
growth can take place inside the cuvettes.
3. Cuvette Rinse:
On selecting <Cuvette Rinse> option, the user can perform a Cuvette
Wash of all 45 cuvettes by clicking on the Start button. This wash is
done using DI Water. At the end of Cuvette Rinse, the cell blanks are
updated automatically and can be seen by clicking on the <Cell Blank>
tab under Maintenance menu:
This menu enables the user to view the cuvette blank absorbance values
(obtained with DI water in the cuvette) at any particular wavelength.
The screen displays the cuvette blank for the requested wavelength.
Wavelength can be selected by the pull-down option provided on the left
side of the screen. The <Next> and <Previous> buttons can also be used to
view the cuvette blanks for the next and previous wavelength. There is also
a Graph option available for display. The cuvette blank table consists of
three sections.
{Cell Blank: Previous abs}: It is the absorbance of the cuvettes with de-
ionized water measured after the second last run or Cuvette Rinse.
{Cell Blank: Graph}: On clicking this button, the user can view a graphical
format of Present Absorbance obtained at different wavelengths and also
can view the graph for Previous absorbance. A comparison of both graphs
can be done using “ALL” option.
The values on the cuvette blank value table display should not exceed 0.1
normally. Cuvette Rinse and/or Auto Wash procedure from [Maintenance]
menu must be performed if the cuvette blanks are higher than the maximum
limit. If the Cuvette O.D.s exceed 0.2 Absorbance, the cuvette should be
replaced with a new cuvette or should be cleaned externally using fresh
water.
4. Auto Wash:
Auto Wash option can be used instead of the Cuvette Rinse option,
when operator wants to use external detergents/solutions to clean the
cuvettes, probe, and stirrer. Usually 0.1 N HCl and 0.1 N NaOH
solutions can be used for this procedure. However, any other detergent
or cleaning solution in appropriate concentration can be used. These
detergents/solutions are not kept in the detergent can but in reagent
bottles on the reagent tray and in sample tubes on the sample tray.
5. Probe Wash
This option enables the operator to wash the Probe with some
cleaning solution at the end of a day’s work or at beginning of
the day.
This screen enables the user to calibrate the Dead Volume for Sample Containers
and Reagent Bottles.
This procedure should be carried out only once. The procedure to carry out the
Dead Volume
Calibration is given below:
The following steps should be done to carry out the Reagent Bottle calibration:
i) User should select the Reagent bottle type from the Dead Volume Calibration
list.
ii) Enter the desired dead volume within the range displayed.
iii) Pipette the exact amount specified for the Dead Volume in the Reagent Bottle.
iv) Place the Reagent bottle according to the bottle type on the position specified
in the list.
v) Click on the calibrate button.
vi) If the reagent volume present in the specified reagent bottle is beyond 1.5 of
the value entered, then message “Calibrated Value Out of Range of Specified
Value” is displayed.
vii) If the calibration is within range then it is automatically stored in the
Software.
The following steps should be done to carry out the Sample Container
Calibration:
i) User should select the Sample Container type from the Dead Volume
Calibration list.
ii) Place the Container according to the container type on the position specified in
the list.
iii) Pipette the exact amount of volume in the Sample container as per the Dead
Volume required.
iv) Click on the Calibrate button.
v) Once the calibration process is completed then it is automatically stored in the
Software.
The following steps should be done to reset the Dead Volume Calibration to
Default:
i. User should click on DEFAULT button.
ii. Select the Container Types from the list for which the Dead volume
calibration needs to be reset.
iii. User can click on OK to reset the selected containers.
Note
If the Application Software is changed, then the Dead Volume Calibration settings is
updated automatically and it can also be updated from the instrument from Service
Check>Read Current command. If any hardware program is changed, then the Dead
Volume Calibration should be repeated again.
The Service Check screen can be used only by a Service Personnel. Only
specific users can be given access rights after permission from the Service
Personnel.
• ARM/STIRRER: This option is used for checking the alignment of the ARM
Probe or Stirrer Assembly. Upon selecting the Arm or Stirrer Option, the
service personnel can check the alignment of the respective assembly in
trough, in sample tray (outer, middle and inner positions), in reagent tray
(outer positions and inner positions), in cuvette & in dilution cuvette. The
operator can check stirrer motor rotation speed at three different options as
shown in picture below:
• SAMPLE TRAY:
Initialize: This option is used to initialize the Sample Tray. (Position # 1)
Pulse: A PULSE button is also given for moving the sample tray step by
step (one pulse gives micro-step change between 2 positions)
Rotate to Position: This option is used for rotating the sample tray to “X”
position depending on the position selected by the service personnel. To
move to next position Sample Tray needs to be initialized.
Barcode Scan: This option is used to perform Sample Barcode Scan. All
the Barcode(s) Read are displayed on the screen (No cross check or
verification of Duplication done). Display remains until user performs
some other operation. To view the same Barcode(s) again user has to click
c) REAGENT TRAY:
Initialize: This option is used to initialize the Reagent Tray. (Position # 1)
Pulse: A PULSE button is given for moving the reagent tray step by step
(between 2 positions).
Rotate to Position: This option is used for used for rotating the reagent
tray to “X” position depending on the position selected by the service
personnel. (Positions are labeled as “01-I”, “01-O” represents position
One-Inner, One-Outer respectively).
Barcode Scan: This option is used to perform Reagent Barcode Scan. All
the Barcode(s) Read are displayed on the screen (No cross check or
verification of Duplication / Checksum / Number of Digits / Invalid
Reagent Code / Invalid Bottle Type are done). Display remains until user
performs some other operation. To view the same Barcode(s) again user
e) CRU UNIT: This function allows the service personnel to check the CRU
Functionality. A CRU RUN CHECK button.
f) SYRINGE:
Initialize: This option initializes the SYRINGE Assembly to home
position.
g) VALVE and PUMP: This option is used for checking the Valve
operations for ARM Trough, ARM PROBE and Stirrer Trough.
ARM Trough Valve: Turns ON or OFF the ARM Trough Valve.
ARM Probe Clean Valve: Turns ON or OFF the ARM Probe Clean
Valve.
STIRRER Trough Valve: Turns ON or OFF the Trough Valve of Stirrer.
h) RCT/RGT TEMP: This option is used for displaying the RCT & RGT
Temperature. The RCT Temperature should be within 37 +/-0.2 degrees &
the RGT Temperature within 8-12 degrees.
Appendix-A
Introduction to ISE Module
A-1
Appendix-A - Introduction to ISE Module
The ISE unit consists of ISE module, ion electrode and three pumps, two for supply and other for
waste.
All waste liquid are discharged into the external tank for high concentration waste liquid.
The Module is completely self-contained. All sample and calibrant positioning within the module
is controlled by an integral microprocessor, which assures reliable electrode operation and
maximum lifetime. The electrolyte measurement system’s microprocessor applies proprietary
mathematical algorithms to electrode output voltages, converting them to clinical units of
mmol/L.
A-2
Appendix-A - Introduction to ISE Module
ISE Electrodes
Reagent Pack
A-3
Appendix-A - Introduction to ISE Module
A-4
Appendix-A - Introduction to ISE Module
A-5
Appendix-A - Introduction to ISE Module
Sample Port
RT log(αC )
E = Eo +
nf
Where:
E = the potential of the electrode in sample solution
A-6
Appendix-A - Introduction to ISE Module
Eo = the potential developed under standard conditions
RT/nF = A temperature dependent “constant”, termed the slope
log = Base ten logarithm function
α = Activity coefficient of the measured ion in the solution
C = Concentration of the measured ion in the solution
A-7
Appendix-A - Introduction to ISE Module
The entire double-junction reference electrode is disposable. The reference electrode is filled
with sufficient KCl so that no filling solution must be added during the lifetime of the
electrode. The lifetime of the reference electrode is 6 months or 10,000 samples. No addition
of internal filling solution is required for this electrode.
Electrodes require Calibrant A sampling at 30-minute intervals for reliable operation, but this
is completely controlled by the electrolyte measurement system without any need for operator
intervention.
The electrodes require a 10 times sample dilution for measurement of urine so user has to
keep 10 times diluted (urine sample to urine diluent ratio 1:9) urine sample for the analysis of
electrolytes in urine samples.
2. Calibrant B: Used as the second point in two-point calibration. Calibrant B is pumped into
the sample port by the Calibrant B pump and then positioned in front of the sensors. A
volume of 180 µl is sufficient for each urine sample run.
3. Cleaning Solution: Should be run once a day to prevent protein buildup or at 8 hour
intervals if the ISE module performs more than 50 samples per day. Cleaning Solution may
be aspirated from a sample cup. 500 µl is sufficient for one day's requirements.
4. Urine Diluent: This is required for urine samples. Urine samples must be diluted by a
factor of 10 (urine sample to urine diluent ratio of 1:9) to perform urine measurement. The
operator must keep the urine diluent on the Reagent Tray.
A-8
Appendix-A - Introduction to ISE Module
Before removing the electrodes, they should be cleaned using the cleaning solution and
then running 3 <Purge A> cycles. Enter the Maintenance cycle of the analyzer (by
clicking on the <Maintenance> button in the [Maintenance: ISE] screen) that purges all
fluid from the analyzer fluid path.
A-9
Appendix-A - Introduction to ISE Module
Inject sufficient Calibrant A into the lumen of the K+ and Li+ electrode until fluid fills
the lumen
Cover both ends of the lumen (both sides of K+ and Li+ electrode) with cellophane tape
to hold the Calibrant A in place
Insert the K+ and Li+ electrode into a sealed bag
Reagent Pack
Remove the Reagent pack from the analyzer and discard it
Analyzer Tubing
Remove all the fluidic tubing and thoroughly rinse with DI water.
Analyzer re-activation
Remove all electrodes from sealed bags
Remove cellophane tape from K+ and Li+ electrode
If necessary, soak the reference electrode in warm water until the lumen of the
electrode has been cleared of salt build-up
Place electrodes into the sensor module
Place new reagent pack on analyzer
Use Purge cycle to prime the calibrants
Calibrate the analyzer.
1. Install the NA, K, Cl, Li and Reference Electrodes in position. Depressing the
compression plate will make insertion of last electrode easier.
2. Connect all the tubing following number codes on tubing.
3. Connect the Calibrant A, Calibrant B and Waste motors to the ISE Module, according
to the labels on the ISE Module.
4. Connect the communications cable to the Analyzer I/O Port and connect the power
input connector to the ISE module.
5. Install the Reagent Pack.
6. Rehydrate the electrodes by requesting multiple <PURGE A> cycles from the
[Maintenance: ISE Unit] screen. When the ISE Module transmits a <ISE!> back to the
analyzer (highlighted as Green colored box), Calibrant A has filled all tubing and
sensors. Request 3 Additional <PURGE A> cycles after tubing is primed and allow
the electrodes to be exposed to fluid for 20 minutes before calibrating.
7. Request multiple <PURGE B> cycles from the [Maintenance: ISE Unit] screen. When
the ISE Module transmits a <ISE!> back to the analyzer (highlighted as Green colored
box), Calibrant B has filled all tubing and sensors. Request 3 Additional <PURGE B>
cycles after tubing is primed and allow the electrodes to be exposed to fluid for 20
minutes before calibrating.
8. Rehydrate the electrodes with Calibrant A by requesting multiple <PURGE A> cycles
from the [Maintenance: ISE Unit] screen. When the ISE Module transmits a <ISE!>
back to the analyzer (highlighted as Green colored box), Calibrant A has filled all
tubing and sensors. Request 3 Additional <PURGE A> cycles after tubing is primed
and allow the electrodes to be exposed to fluid for 20 minutes before calibrating.
A-10
Appendix-A - Introduction to ISE Module
Request a <Calibration> from the [Maintenance: ISE Unit] screen.
9. If the request of additional cycles confirms that the electrodes are rehydrated (Slopes
are within range and are reproducible), the system is already to begin analyses.
10. If the results from the module are unacceptable, refer to the section Troubleshooting
Guide for assistance.
Electrode
Electrode Handle
Compression plate
Note:
Don’t mix Calibrant-A solution from old bottle with the new bottle.
After exchanging Calibrant-A, perform ISE priming more than 10 times.
If any water drop is found in the back of Calibrant-A bottle cap, wiped out with clean gauze.
A-11
Appendix-A - Introduction to ISE Module
Important:
1. Install the Reagent Pack and connect it to the ISE module. If the Reagent Pack is already in
place, shake it gently.
2. Dispense the Cleaning solution into the sample cup and place on the ISE2 position of the
sample tray.
3. Go to the [Maintenance] screen by clicking on the <Maintenance> button on the Main Menu
Screen. The display changes to the following screen:
A-12
Appendix-A - Introduction to ISE Module
4. Click on <ISE ON> to switch On the ISE unit.
5. Select <Purge A> and click on <START> to remove air from the liquid column.
Repeat the procedure if required. Each Purge cycle takes about 30 seconds using 100 µl
of Calibrant A for each Purge cycle and 130 µl of Calibrant A solution is used for each
sip.
6. Select <Purge B> and click on <START> to remove air from the liquid column &
tubings. Repeat the procedure if required. Each Purge cycle takes about 30 seconds
using 100 µl of Calibrant B for each Purge cycle
7. After completion of Purge cycle select <Clean> and click on <START> button.100 µl
of Cleaning solution and 180 µl of Cal A is used during the cleaning process. It
requires 130 seconds to complete the cleaning of the electrodes.
8. After cleaning cycle is over, perform 6 to 8 Purge A cycles. Now the system is ready
for calibration.
9. Select <Calibrate> and click on <START> button to start the ISE Calibration.360 µl of
Calibrant B Solution & 360 µl of Calibrant A Solution is used during two-point
calibration. It takes about 75 seconds to complete the Calibration process.
10. After Calibration is completed, electrode calibration slopes are displayed on the screen
at the side. If any error occurs during the calibration process, the error code is also
displayed in the error message grid and if slopes are within range then a box with red
color is displayed. . If slopes are out of range then a box with green color is displayed.
Calibration date and time along with the slope values are updated. To view them select
Calibration, click on SHOW REPORT.
11. If the electrode calibration slopes are in the acceptable range, the electrolyte
measurement system is ready for the sample analysis.
12. For Serum samples 70 µl and for Urine 140 µl (10 times diluted with urine diluent) of
sample is required for the Electrolyte measurement.
The slope is defined as:
EB − E A
Slope =
log (C B C A )
The module’s electronics processor checks these slopes and an error code will be transmitted
if they are outside the required range. Typical slopes are:
Li+ 47-64 mV/dec
Na+ 52-64 mV/dec
K+ 52-64 mV/dec
Cl- 40-55 mV/dec
13. To perform Pump Calibration, select the option PUMP CALIBRATION and click on
START button. 100µl of Cal A solution is dispensed in the sample port. Once the
process is completed successfully, values for all the 3 pumps Cal A, Cal B and Waste
are displayed. If the values are between 1500 and 3000, calibration is displayed OK
with green colored box else it is displayed NOK with red colored box.
14. To perform Bubble Calibration, select the option BUBBLE CALIBRATION and click
A-13
Appendix-A - Introduction to ISE Module
on START button. Bubble calibration allows the module to reestablish a baseline for
detecting air-liquid interface. It can be used as a diagnostic tool to see if the bubble
detector is functioning properly. If the process is successful without any error it s
displayed OK with green colored box else it is displayed NOK with red colored box.
A-14
Appendix-A - Introduction to ISE Module
Serum Sample Cycle: Calibrant A is pumped from electrodes and then sample is pumped
from the sample port to ion selective electrodes. Module acquires sample reading, pumps
Calibrant A to wash the ion selective electrodes and then acquires calibrant reading.
Urine Sample Cycle: Calibrant A is pumped from electrodes, module is rinsed with Calibrant
B and then diluted sample is pumped from sample port to ion selective electrodes. Module
acquires sample reading, pumps Calibrant B to wash the ion selective electrodes and then
acquires calibrant reading and passes back the true patient results which reflects the 10 times
dilution and then finally pumps Calibrant A to wash the ion selective electrodes.
Note:
Electrolyte tests for Urine Samples and photometric tests, which require sample predilution,
should not be performed in the same run. The analyzer could get stalled.
Purge A Cycle: Purges air from Calibrant A fluid lines by pumping Calibrant A from the
reagent pack until Calibrant A fills the lumens of all electrodes. Several cycles may be
required to fully purge air from fluid lines.
Purge B Cycle: Purges air from Calibrant B fluid lines by pumping Calibrant B from the
reagent pack until Calibrant B fills the lumens of all electrodes. Several cycles may be required
to fully purge air from fluid lines.
Maintenance Cycle: Purges all fluid from ISE module to allow removal of electrodes without
fluid spills. This cycle disables the automatic sipping (Standby Cycle).
Cleaning Cycle: The module pumps 100 micro-liters of the cleaning solution from sample
port to the ion selective electrodes, dwells until cleaning is completed, pumps Calibrant A to
wash the ion selective electrodes and then acquires single port calibration reading.
Show Last Slope Calculated: Causes the ISE Module to send the last stored calibration
results.
Standby Cycle: Pumps 130 µl of Calibrant A in front of ISE electrodes every 30 minutes to
keep electrodes moist. The ISE module automatically initiates this cycle.
A-15
Appendix-A - Introduction to ISE Module
Daily Maintenance
Monthly Maintenance
6 Monthly Maintenance
9 Monthly Maintenance
A-16
Appendix-A - Introduction to ISE Module
4. Error Codes
If the ISE module detects an error during any cycle, an error code will be shown immediately
after the result or slope string.
Error codes transmitted are only relevant to the cycle which generated the error. Subsequent
cycles will not be affected by previous error codes, and the ISE module will always report results.
Error codes are transmitted as a consequence of two separate events. In the first instance, an error
code appears embedded in the result string of every calibration and sample analysis. The errors
(or lack of errors) identified by this error code are related to measurement limits exceeded in the
just completed cycle. In the second instance, an error code is transmitted independent of a result
string and relates directly to a failure to complete an assigned task. The errors identified by this
error code are related to fluid positioning and device operation. The two error types are mutually
exclusive within a cycle. Receiving an independent error code precludes receiving a result string.
Receiving a result string means no device errors occurred within the cycle.
The 7 digit error codes are interpreted as follows and displayed in the corresponding cycle.
Digit 1: Air/Hardware
All the Air related errors and hardware errors are represented by this byte.
“S” represents Air in Sample/Urine
“A” represents Air in Calibrant A
“B” represents air in Calibrant B
“C” represents air in Cleaner
“M” represents air in Segment
“P” represents Problem in Pump Cal
“F” represents No Flow
“D” represents Bubble Detector
“R” represents Dallas Read
“W” represents Dallas Write
“T” represents Invalid command
A-17
Appendix-A - Introduction to ISE Module
Digit 3: mV Out for Cal A in Calibration / Sample Mode or mV Out for Cal B in Urine Mode
mV Out for Calibrant A in Clibration cycle / Sample Or for Calibrant B in Urine cycle are
represented numbers 1….9 and alphabets A….F.
Digit 5: mV Noise for Cal A in Calibration / Sample Mode or for Cal B in Urine Mode
mV Noise for Calibrant A in Calibration cycle / Sample cycle or for Calibrant B in Urine cycle are
represented numbers 1….9 and alphabets A….F.
Notice that “0” in any byte location means No Error and above numbers 1 to 7 and A…F
corresponds to:
1. Li
2. Na
3. Na, Li
4. K
5. K, Li
6. K, Na
7. K, Na, Li
8. Cl
9. Cl, Li
A. Cl, Na
B. Cl, Na, Li
C. Cl, K
D. Cl, K , Li
E. Cl, K, Na
F. Cl, K, Na, Li
A-18
Appendix-A - Introduction to ISE Module
A-19
Troubleshooting
5. Trouble shooting
Symptom Problem Correction
System does not 1. No power
respond
2. Communication failure Turn off power, reapply power.
3. RS232 cable is disconnected or
Reconnect or replace cable.
damaged
4. ISE Module connector has been
Replace board.
damaged
5. Component failure on board Replace board
Low Slope Remove electrodes. Inspect o-rings.
1. Misalignment of electrodes
Na or K < 52 Reassemble properly.
mV/decade
Replace Cal B first and retest. If still low
Cl < 40 2. Calibrator solutions
replace Cal A and retest
mV/decade
3. Electrode (low slope) Replace electrodes.
Or
High Slope 4. Air bubble on reference electrode Remove electrode, tap to dislodge
Na or K > 64 membrane bubble, replace, and recalibrate
mV/decade 5. Reference electrode Replace reference electrode and retest
Cl > 55
mV/decade 6. ISE Module or Fluid temperatures Change ISE Module location if ambient
exceed 320 C (high slope) temperature is too great.
Noise Error Flag Replace problem electrode and
1. Electrode.
Single electrode recalibrate
2. Electrical noise spike from a) Find source of spike and eliminate.
environmental source b) Check grounding of ISE module.
3. Component failure on ISE Module
Replace Board.
board
Noise Error Flag Replace reference electrode and
1. Reference Electrode
Multiple recalibrate
electrodes
a) Check for electrical noise coincident
2. Electrical noise spike from
with activation.
environmental source
b) Check grounding of ISE Module
3. Component failure on ISE Module
Replace board.
board.
Drift Error Flag Purge the Cal A and recalibrate the
Single Electrode 1. May occur when new electrode or module. If the electrode is new it may
new Calibrant A is installed initially drift as it rehydrates over the
course of 15 minutes
Appendix B
Troubleshooting
B-20
Troubleshooting
Symptom Problem Correction
2. Electrode Replace the electrode and recalibrate.
Drift Error Flag 1. May occur when new electrode or
Purge Calibrant A and recalibrate
Multiple new Calibrant A is installed
Electrode
Replace reference electrode and
2. Reference electrode
recalibrate
3. Electrical spikes from a) Find source of spike and eliminate
environmental source b) Check the grounding of ISE Module.
4. Component failure on ISE Module
Replace the board
board
Air in Sample 1. Insufficient sample pipetted into Host instrument must deliver 70µl.
ISE Module sample entry port. Increase dispensed sample volume.
2. Fluid leaks Determine source of leak and resolve
a) Electrode not seated properly. Remove
3. Sample not positioned properly electrode. Inspect o-rings and reassemble
b) Replace pump tubing
4. Pump tubing obstructed Replace pump tubing
Air in Sample a) Electrodes are not properly seated or
1. Cal B and Cal A are segmented
and Cal A compressed. Check compression plate,
with air
spring and seal. Remove and reassemble
electrodes
a) Use Cleaning procedure <CLEN> for
module
2. Fibrin or salt is plugging the
b) Remove electrode and clean or replace
electrode flow path.
electrode with plugged flow path.
Reinstall electrodes and recalibrate.
3. Bubble detector is malfunctioning Replace bubble detector.
4. Waste pump is malfunctioning Replace Waste Pump
Appendix B
Troubleshooting
B-21
Troubleshooting
Symptom Problem Correction
a) Use Cleaning procedure <CLEN> for
module
2. Fibrin or salt is plugging the b) Remove electrodes and clean or
electrode flow path. replace electrode with plugged flow path.
Reinstall electrodes and recalibrate.
3. Bubble detector is malfunctioning Replace bubble detector.
4. Waste pump is malfunctioning Replace Waste Pump
Air in Cal A Replace reagent module with new one,
1. Calibrant A
purge and recalibrate
2. Tubing from reagent module is
Reconnect or replace tubing.
disconnected, plugged or crimped
a) Check electrical connections.
3. Calibrant A pump is not working b) Replace pump tubing
properly c) Replace motor
d) Replace pump.
Appendix B
Troubleshooting
B-22
Troubleshooting
Appendix B
Troubleshooting
B-23