Professional Documents
Culture Documents
Name_________________________
This document is not intended to replace the information in your Instrument Instructions for
Use Manual (IFU). Information in the Instructions for Use Manual supersedes information in any
other manual.
BECKMAN COULTER, INC. URGES ITS CUSTOMERS TO COMPLY WITH ALL NATIONAL HEALTH AND
SAFETY STANDARDS SUCH AS THE USE OF BARRIER PROTECTION. THIS MAY INCLUDE, BUT IT IS NOT
LIMITED TO, PROTECTIVE EYEWEAR, GLOVES AND SUITABLE LABORATORY ATTIRE WHEN OPERATING
OR MAINTAINING THIS OR ANY OTHER AUTOMATED LABORATORY EQUIPMENT.
TRADEMARKS
The iChem®VELOCITY and iQ®200 Series system are trademarks of Iris Diagnostics
Division of IRIS International, Inc. All other trademarks are the property of their
respective owners
Beckman Coulter and the stylized logo are trademarks of Beckman Coulter, Inc. and are
registered with the USPTO. IRIS is a trademark of Iris International, Inc. and is
registered with the USPTO
All other trademarks, service marks, products or services are trademarks or registered
trademarks of their respective holders.
Made in USA
REVISION STATUS
Routine
Operations
Maintenance &
Troubleshooting
Setup
Additional
Topics
System Overview
Daily Maintenance
Quality Control
Sample Analysis
Auto Release and Result
Verification
Maintenance/ TB Modules Date Initial Facilitator
Sample Flow/ Component
Identification
Weekly Maintenance
Monthly Maintenance
Quarterly Maintenance
As Needed Maintenance
Troubleshooting
Security Access
QC Configuration
Processing Dilutions 2
Body Fluids
Software Overview
Daily Maintenance
Quality Control
Sample Analysis
Auto-Release and
Result Verification
SYSTEM OVERVIEW
OBJECTIVES
Given an operating iRICELL Complete Urinalysis System:
Log On and Log Off the APUI
Be able to identify the iRICELL System Software
Why Is It Important?
This module introduces the basics of the iRICELL Complete Urinalysis
System. A basic hardware overview allows identification of the general
parts of the system. A basic software overview will help identify common
screen elements useful for efficient navigation. The introduction to
System HELP shows you how to access the information contained in the
Operator’s Manuals.
These topics form the building blocks for the rest of your learning journey.
Resources
iChemVELOCITY Operator’s Manual
iQ Operator’s Manual
INFORMATION/PRACTICE
Logoff/Logon to the APUI (Analysis Processing User Interface)
In order to process patient samples, you must log on. Both an Operator ID
and a Password are required. The system administrator will assign these
to you in the lab. For classroom purposes, use BCI as the Operator ID and
bci (lower case) as the Password. Both the Operator ID and Password are
case-sensitive.
Step Action
4 NOTE: Neither the Operator ID “BCI” nor the password “bci” are
present in the system. Upon installation, Operator IDs and
Passwords must be set up.
5 Select
iRICELL Software
Instrument screen
Work List /Found List screens (used to search; toggle between both lists)
Specimen screen
Instrument Screen
Status Area
Information
Area
Task Level
Information
Area
Status Area
iQ Status IChemVELOCITY Status Alarm
Search Select the Search button from the Work List to view
button samples in the Found List. See the next page for search options
Search Screen
Specimen Screen
The Specimen screen displays a graphical representation of the results for each
particle with user-defined thresholds. Values that fall within normal range are
green, results that fall within abnormal range are red, and results that indicate a
review is required are yellow
Information
Area
Particle Concentration
button button
Button Function
Toggle button between Turbo and Full Edit. Turbo Edit not
used with software version 7.0 or higher. All particles are
available for review in Full Edit mode
If Auto-Release is enabled, the first category needing to be
reviewed is displayed in yellow. The Edit button can be
used to edit chemistry results or enter microscopy results. If
the Detailed Audit Trail is enabled, the operator initials that
made the changes will be in the audit trail section of the
chemistry report
Restores the particle classifications to the original
instrument classifications and current instrument settings
Step Action
From the Look in window, select Desktop from the drop down
menu
8 Select Print
NOTE You can also select the printer icon from the manual toolbar
Select the Pages radio button and enter the page number
9
from_____ and to_________ then select OK
15 Close Help
4
2
The iChemVELOCITY is in
3. Using the Auto Classification Categories printed earlier, fill in the table
below:
Category Abbreviation
Non-squamous
epithelial cells
UNCX
WBCC
Yeast
SQEP
Unclassified Casts
DAILY MAINTENANCE
OBJECTIVES
Given an operational iRICELL Complete Urinalysis System and using the
Quick Reference guides, be able to:
Empty and Clean the iChemVELOCITY strip waste container
Discard liquid waste (if applicable)
Clean the Sample Transport Module on both the iChemVELOCITY and
iQ200
Clean the optional Load and Unload trays (if applicable)
Clean iChemVELOCITY and iQ200 instrument surfaces
Add chemistry strips and desiccant to the iChemVELOCITY
Check Lamina and Wash Solution, change if needed
Why Is It Important?
Maintenance should be performed to ensure optimal system performance.
Performing the daily maintenance procedures will ensure your system has
an adequate amount of supplies and reagents for processing patient
samples. It is recommended to process QC to verify system performance
before processing patient samples.
Resources
iChemVELOCITY Operator’s Manual
iChemVELOCITY Maintenance Quick Reference Guide
iQ Operator’s Manual
iQ Maintenance Quick Reference Guide
INFORMATION/PRACTICE
DAILY MAINTENANCE ON iChemVELOCITY
Step Action
Remove the waste container and discard used test strips according
2
to local regulations
3 Clean the waste container with Alcohol and then rinse with tap water
1 Remove the drain bottle cap and tubing from the drain bottle
Clean the drain bottle with a mild detergent and water and then
3
rinse with tap water
4 Insert the drain tube into the drain bottle and tighten the cap
Clean under the belts and the pulleys. Do not excessively stretch
3
belts or pulleys
5 Wipe dry
Clean under the belts and the pulleys. Do not excessively stretch
3
belts or pulleys
5 Wipe dry
4 Wipe dry
The iChemVELOCITY Wash Solution comes packaged with the filters (one per
bottle). Replace the Wash Solution Filter with each bottle. The instrument will
display the message “Chemistry Wash level is low”
Step Action
NOTE Wear fresh gloves when changing the Wash Solution filter
The filter located at the end of the tubing needs to be replaced with
NOTE
every container
Remove the old filter by grasping the tube above the filter and pulling
4
the filter straight off and discard according to local regulations
Remove the new filter from its package and push straight onto the
5 tubing of the Wash Solution cap. The filter only fits with the narrow
section attaching into the tube
Insert the tubing with the new filter into the new Wash Solution
6
container and tighten the cap
4 Wipe dry
Clean under the belts and the pulleys. Do not excessively stretch
3
belts or pulleys
5 Wipe dry
Step Action
NOTE Wear fresh gloves when changing the Lamina Solution filter
Wash Cycle
NOTE: If Cleanser is run as part of the Control rack, this procedure does
not need to be performed separately.
Daily Maintenance
2. Record the maintenance performed for the iQ200 in the table below:
Daily Maintenance
3. True or False: The Auto Strip Counter Override button should be used
every time that you empty the strip waste container.
QUALITY CONTROL
OBJECTIVES
Given an operating iRICELL Complete Urinalysis System access to the
System Help, and package inserts from control products, be able to:
Describe proper storage and handling for IRISpec™ CA/CB/CC
Describe proper storage and handling for iQ Control/Focus
Use the Operator’s Manuals for procedures to run the various controls
Process the various controls
Access the control data (results), select various controls
Review control results: data and graphs
Recognize flagged results
Why Is It Important?
Understanding how to store, handle, and use the control products
available ensures reporting out the most accurate results possible to the
clinician.
Resources
iRICELL Complete Urinalysis System
Control package inserts for Control products for processing
iChemVELOCITY Operator’s Manual
iQ Operator’s Manual
INFORMATION/PRACTICE
IRIS iQ Control/Focus
Store iQ Focus and iQ Positive control at _______ºC.
Store iQ Negative controls at ____________ ºC.
True or False: iQ Positive control and Focus material should be shaken
before use.
True or False: iQ Negative should be shaken before use.
Focus and Daily controls should be processed every ______hours.
Step Action
Load the control rack on the right hand side of the sampler with the open
end of the rack facing the instrument (as seen in the picture above)
3
NOTE: Position 10, which has the CC control, should be all the way to the
right
Step Action
Hold the bottle of iQ Focus Material upside down and give five hard sharp shakes
followed by five gentle inversions. Let sit one minute until air bubbles are
2 dispersed. Repeat this step with the iQ Positive control.
Fill a tube with 3mL of Iris System Cleanser and place into position 1 of the iQ
3
control rack
Fill two tubes with 3mL of Iris Diluent and place in positions 2 and 3 of the same iQ
4
Control rack
Fill a tube labeled with a Focus barcode label with 6mL of properly mixed Focus
5
material and place in position 5 of the same iQ Control rack
Fill a labeled (Positive Control Barcode) tube with 3mL of properly mixed Positive
6
control material and place in position 6 of the same iQ control rack
Load the control rack onto the right side of the iQ sampler, and press the Start
8
button on the iQ
Insert Bar
Pos Vol Contents Function
color code
System
1 Gray 3 mL Cleans lines No
Cleanser
2 Gray 3 mL Diluent Rinses cleanser No
3 Gray 3 mL Diluent Rinses cleanser No
4 Empty position
5 Blue 6 mL iQ Focus Focuses camera Yes
6 Orange 3 mL iQ + control Primary lot positive ctrl Yes
7 Blue 3 mL iQ - control Primary lot negative ctrl Yes
8 *Secondary lot positive control
9 *Secondary lot negative control
10 **Empty position
NOTE: Position 8 and 9 are optional and intended to allow the laboratory to
run controls in parallel for new lots. Do not place a tube in positions 10. This
will shut down the system
NOTE: If the iQ control results are out of range, repeat using fresh
aliquots of both iQ Positive and iQ Negative Controls.
Step Action
When control testing is complete, the results will automatically print (if
1
it is set up in settings for QC to release to printer)
From the Instrument screen, locate the Last QC field. If all of the
2 results are within acceptable range, the date and time will display. If
any QC material failed, the Last QC field will display (--)
To see the individual QC runs from the Instrument screen, select the
3
Quality Review button . The Quality Review is displayed
6 Restore button
Double click on the desired QC run or highlight and select the Re-
3
Report button
You may also print from the QC report page by selecting the Print
NOTE
List button
6 Select OK
2. From the Instrument screen, how do you know if the controls did not
pass?_________________________
3. Yes or No: Can patient samples be processed if controls did not pass?
______________________________________
SAMPLE ANALYSIS
OBJECTIVES
Given an operating iRICELL Complete Urinalysis System, access to
System Help, and urine specimens, be able to:
State the aspiration volume for sampling
Identify the different types of cassettes
Identify approved tube types
Process bar coded samples
Manually add a test order
Process a diluted sample
Interpret Data Review and Release Results
Why Is It Important?
The iRICELL System is a quantitative or qualitative, multi-parameter,
automated urinalysis analyzer for in vitro diagnostic use in screening
patient populations found in clinical laboratories. Running samples is a
daily task that occupies much of your time in the lab. Learning how to
process samples efficiently on the iRICELL System saves you time.
Resources
iRICELL System
Urine specimens
Bar code labels
Sample Racks
INFORMATION/PRACTICE
Types of Racks
Types of
Racks
Sample
IChemVELOCITY
Controls
CalChek
Types of
Racks
continued
Dilution Rack
iQ Controls
with
Daily Cleaning &
Focus
Notes:
Primary lot of positive and negative controls
must be processed at the same time
Secondary controls must be run behind
primary controls
Placing a sample in position 10 of the rack
will shut the system down
iQ Calibration
Sample Tube
The following table identifies the validated sample tubes that can be used on the
system:
Type/Manufacture Size Volume Material
Plastic
Greiner bio-one 16X100 mm 12 mL Polystyrene round bottom tube
(PN 160101)
Globe Scientific 16X100 mm 12 mL Polystyrene round bottom tube
(PN 111012)
Alpha Laboratories 16X100 mm 12 mL Polystyrene round bottom tube
(PN X73002)
Iris Plastics 16X100 mm 12 mL Polystyrene tubes (PN 660-
3021) included in the iQ starter
kit
Any Glass 16X100 12 mL Round bottom
Body Fluids
Iris Plastic Body Fluid 10 mL Conical bottom tubes
Tubes ONLY (PN 800-3215)
NOTE: Do not attempt to run body fluids using other tubes. Improper tubes could cause the
system to create a “Short Sample” flag. In addition, it is possible that your specimen could
adhere to the walls of the tubes that have not been approved by Iris Diagnostics. Refer to
current Operator’s Manual>Sample Processing for additional approved sample tubes
Specimen Information
Notes
Use only fresh urine specimens, as defined in CLSI (Clinical and Laboratory
Standards Institute) GP16-A3 Urinalysis and Collection, Transportation, and
1
Preservation of Urine Specimen, Good Laboratory Practices and the Laboratory’s
Procedure Manuals
Collect urine in clean and/or sterile containers. If a specimen is not processed within
2 an hour after collection, cap the container tightly and store 2-8 °C. Bring the
specimen to room temperature before testing
Sample Volume:
Hematuria:
Very viscous or very dense specimens may cause flow errors or clogs and require
dilutions before being run on the iQ200 Series
Step Action
Load barcoded samples into a patient rack with the barcode showing through the
opening of the rack as shown below:
Remove the caps from the patient samples. Keep the caps to place on the tubes at
2
the end of this exercise
Place the rack on the iChemVELOCITY sampler area with the barcodes facing the
4
instrument, and the rack positioned to the back of the sampler area
The system will automatically move the rack forward to the sample aspiration area.
5 Once the samples are aspirated on the iChemVELOCITY, they will transfer to the
iQ and be processed
Once samples are finished processing, remove the rack from the unload area of the
7
iQ
Select the first sample on the Work List by double clicking on the specimen row to
10
open the Specimen screen
From the Manual Order screen, select the rack number to be used by
clicking the button next to the corresponding number
NOTE: The screen defaults to the “0” rack; however, this rack is NOT
available for programming
3 Select the OK & Print button to get a list of the manual orders
Verify that the samples are processing by making sure the status changes
5
on the iChemVELOCITY and iQ from Standby to Measure
Do not take action at this time for any samples with error (alarms). We will
6
review results later
RO-50 of 76 iRICELL Complete Urinalysis Training Modules
Beckman Coulter Professional Development PN: REV B (April 2015)
iRICELL Complete Urinalysis System
Dilution
Diluting a microscopic sample may be required before processing the sample on
the iQ and/or iChemVELOCITY, and it needs to be consolidated with the part of
the sample that did not have an error.
It is recommended that dilutions be performed on grossly bloody, heavily
mucoid, or very dense specimens (in order to avoid clogging the specimen
filter), and short samples.
In order to use the dilution factors entered in the setup, a secondary barcode
label printed in code 128 must be used. An example of the dilution factors
screen is shown below.
To find this information on your system, go to the Instrument screen and select
the Settings button then the Formed Particles button .
Select the Dilution Codes button to display the dilutions set up for
your system. This information is detailed in Chapter 3 of the iQ Operator’s
Manual.
The dilution barcode is composed of 4 digits, the letters “URN” followed by the
line number of the desired dilution ratio with a leading symbol that identifies it as
a dilution barcode to the instrument. (See example on next page)
First, the chemistry portion of any sample that WILL be diluted should be run
UNDILUTED using an ORANGE rack on the Chemistry (Velocity) portion of the
system. This rack is specially labeled so that it will not be processed by the
Microscopy (iQ) portion of the system. This rack will skip the iQ sampling station
and be transferred automatically to the unloading station for retrieval
Step Action
Utilize the two identically labeled tubes provided. One will have the
UNDILUTED sample (for the iChemVELOCITY) and one empty tube
for making the dilution
Load the dilution rack containing the undiluted sample onto the
2
sampler of the iChemVELOCITY
Using the dilution code screen, select the appropriate dilution label.
3
FOR CLASSROOM PURPOSES ONLY, use any of the dilution labels
Fix the desired dilution barcode label on the second empty tube as
indicated below:
4
This label reads “URN 4”.
According to the software
screen above, the label
used indicates a 1 to 10
dilution was made for this
sample.
Prepare the desired dilution using sample taken from your undiluted
5
specimen and Iris Diluent
6 Load the dilution tube into a regular patient rack (NOT THE
DILUTION RACK)
Load the rack on the iQ module directly and press the Start button
7
on the front of the instrument to run the sample
Once the diluted sample is complete, the results from the undiluted
8 chemistry specimen will automatically combine with the results from
the dilution tube and a collated report will be produced
There will be a dilution indicator in the heading of the report
NOTE 1:X= where X would be the dilution based on the label you placed on
the sample tube
If there are no flags present, the results will automatically be released
9
and printed out
If there are flags present, you must review and accept the results from
10
the Worklist before it prints out
iQ200 only___________________
Both________________________
3. What does the number after the URN on a dilution label indicate?
_________________________________________________________
OBJECTIVES
At the completion of this module, be able to:
Understand Microscopic Analysis Process
Understand Auto-Particle Recognition (APR)
Understand Particle Verification Range (PVR)
Understand Edit Free Release
Understand Auto Release exceptions
Know when a microscope confirmation is needed
Understand Bacterial Grading
Why Is It Important?
Knowledge of instrument functions will enable you to operate the system
more efficiently and determine when you should reclassify results and/or
view the sample under the microscope.
Resources
iChemVELOCITY Operator’s Manual
iQ Operator’s Manual
iQ Image Encyclopedia
INFORMATION/PRACTICE
1
Digital
Image
Capture
2
Particle
Detection
3
Feature
Extraction
(Inputs)
Classifications as follows:
5
Quantitative
Result
Reporting
Results Review
Specimen screen
Chapter 3 iQ page 68
Chemistry
Results
Microscopic Microscopic
Results Review
Indicator
RBC, WBC, and SQEPS are released based on user defined Particle
Verification Range (PVR). The table below is an example:
Specimen screen
Verifying The Work List displays all samples not auto-released. Select the
Results in sample to view the sample in the Specimen screen
Yellow
Selecting the Edit button from the specimen screen will
automatically open the first category that is yellow for that sample
NOTE: Once a category has been opened for review, the particle range
indicator will no longer be yellow from the specimen screen
Once all particles and grading are verified, select the Accept button
to release and print the sample
Always Reclassify:
Renal epithelial
Transitional epithelial
Casts
Microscope The presence of four elements require a manual microscopic review for
Required ID and confirmation:
4. Any cellular cast to ID the cell type if the cell type is questionable
Absence Presence
Flags
Flags will STOP the specimen from being Auto Released. Shown
below are some examples of flags seen on the system.
Additional information on flags can be found in the
Appendix of the iQ Operator’s Manual
CHEMSTRANSLATE
Chem CONFIRM
CHEM N/A (Processing Failure)
CHEM N/A (Processing not complete)
No wash
Strip deviate
Instrument Errors:
Motor errors for SPM, SCS and STM (iQ and iChemVELOCITY)
Instrument Flags:
Pop-up Used as a way for the system to get the operator’s attention for
Messages certain conditions when the user has selected the Accept button on
the results screen. The operator must acknowledge the pop-up in
order to proceed
Potential Carryover
Chem/Micro Correlation
Bacteria Present
Must use the orange dilution rack #23 for samples that will be used to
dilute for microscopy
o Grossly bloody
o Heavy mucoid
o Very dense
o Short samples
Result Verification
Step Action
Remove the caps from the patient samples. Keep the caps to place
2
on the tubes at the end of this exercise
The system will automatically move the rack forward to the sample
5
aspiration area
Once samples are finished processing, remove the rack from the
7
unload area of the iQ
Edit Results
Step Action
From the Work List screen, select the second sample on the
1 Work List by double clicking on the specimen row to open the
Specimen screen
1. Print one specimen that was processed and show facilitator the patient printout
2. True or False: A specimen that has a Chem N/A will not be auto released.
3. Yes or No: You open up the WBC category, and it has 40 images in it. Of the 40
Sample Flow
Component
Identification
Weekly &
Monthly
Maintenance
Quarterly
&
As Needed
Maintenance
Maintenance
Troubleshooting
System
Shutdown and
Restart
OBJECTIVES
Given an operating iRICELL Complete Urinalysis System, be able to:
Identify components of the iChemVELOCITY
Identify component of the iQ200
Why Is It Important?
Knowledge of instrument functions will enable you to operate the system
more efficiently and may help you when troubleshooting situations arise.
Using the correct racks and sample containers will help you avoid related
errors, alarms, or flags.
Resources
iChemVELOCITY Operator’s Manual
iQ Operator’s Manual
INFORMATION/PRACTICE
The iRICELL system consists of two instruments. The system is designed
to always have the specimen analyzed by the Chemistry analyzer first.
The chemistry results transmit directly to the iQ PC. If a microscopy is
required, the chemistry results will be held in the Work List. The
microscopy and chemistry results are consolidated at the time the patient
identification barcode is read by the iQ. This allows the two results to be
viewed on the Specimen screen at one time for ease of results verification.
Component Function
Moves the racks from the load station (right side of the
SampleTransport
1 instrument), to the pipetting station (barcode reader), and
Module (STM)
then to the unload station (left side of the instrument)
Located inside the instrument facing the pipetting station.
The barcode scanner reads the sample barcodes and will
2 Barcode Readers query the LIS or the instrument PC for sample
programming to either skip/run based on sample
requirements
Connection between the iChemVELOCITY and the iQ
systems. Sample racks are transferred automatically from
the chemistry system to the microscopic system. When
3 Sample Bridge the chemistry and iQ systems are connected, the samples
must complete their analysis on the chemistry system
before being placed on the iQ. If only microscopy is being
performed, then place the sample directly on the iQ side
Component Function
Component Function
Strip Loader (top)-Holds 300 strips maximum with an on-
Strip Provider board stability of five days. The strips will be delivered
1 Module from the strip loader to the SPM (bottom). When the
(SPM) sampler detects the presence of a test tube, a test strip is
delivered facing up to the Strip Conveyor System
Strip Conveyor Moves the test strips through 8 light reading positions
System (SCS) every 15 seconds:
2
(below strip reader Any face down strip will be turned face up
module) The strips go through a loading and dosing position
Measures the color of each pad of the chemistry test
Strip Reader
strips at different incubation times and uses the
3 Module
information to obtain the analytes semi-quantitative
(SRM)
concentrations
Specific gravity is obtained using a refractometer. Color
Specific Gravity, and Clarity are obtained using a flowcell using white light,
4 Color, and Clarity color sensor to detect the color of the sample, and the
Module (CGM) amplitude of light scattered within the flowcell to
determine clarity of the sample
Sample aspirated
Color Reaction
detected and measured by
Strip Reader Module (SRM)
Component Function
Located in the front of the system. The pipettor mixes the sample
by delivering an air bolus and then aspirates approximately 1 mL
1 Pipetting Station of sample.
NOTE: Urine run on the iRICELL system should not be used
for any other testing
Consists of: Strobe lamp, Microscope, CCD camera, and
Flowcell. The strobe lamp is attached to the microscope. The
strobe lamp flashes are synchronized with the CCD camera.
2 Optic System Each picture captured represents the view of a small quantity of
sample. Each of the pictures represents a precisely measured
volume of un-centrifuged specimen present in the flowcell under
magnification
Waste (not The waste pump discards the fluids into a drain or waste
4
pictured) container
TB-10 of 64 iRICELL Complete Urinalysis Training Modules
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iRICELL Complete Urinalysis System
1
Digital
Image
Capture
2
Particle
Detection
3
Feature
Extraction
4
Particle
Classification
5
Quantitative
Result
Reporting
9. SPM
OBJECTIVES
Given an operational iRICELL System and Quick Reference Guides, be
able to:
Clean the Strip Provider Module (SPM)
Clean the Wash Station Bath
Clean the Strip Conveyor System
Using TSB2012-024, clean the Specific Gravity, Color, and Clarity
Module
Run CalCheck
Perform Backup
Why Is It Important?
Performing routine maintenance including cleaning and calibrations will
keep your instrument in optimal operating condition.
Resources
iChemVELOCITY Operator’s Manual
iChemVELOCITY Quick Reference Guide
iQ Operator’s Manual
iQ Quick Reference Guide
Customer/ Technical Service Bulletin: TSB2012-024
Blank CD
INFORMATION/PRACTICE
Step Action
DO NOT use any liquids inside the SPM. Using Iris Cleaner
NOTE or wet towel/tissue inside the Strip Provider Module will
affect the results of the test strips
Delete ID Errors
Delete ID Errors from the Work List caused by the rack used to clean the Specific
Gravity, Color, Clarity Module.
Step Action
Repeat steps 2-4 for each of the 20 samples that were used in
4
the previous exercise
To select multiple lines, you can hold the Shift key on the
keyboard and left click the mouse on the last file you want to
NOTE
take an action on. All results should now be selected
(highlighted in blue)
Step Action
Step Action
Step Action
2 Load on the iQ200 sampler, and press the Start button on the iQ
Running iQ Calibration
Step Action
NOTE: Picture above shows the front and back of the rack
4 Let the bottle sit one minute to allow air bubbles to disperse
Perform a backup
The backup screen identifies which files were backed up such as Data, QC,
Settings, and Configurations
Step Action
Open the CD drive, load a blank CD-R into the drive, and close
3
the CD drive
Label the backup CD with the date and the software version
8 NOTE: The software version can be located by selecting the
System Info button from the Maintenance screen
Weekly Maintenance
Clean CGM
Monthly Maintenance
2. Record the maintenance performed for the iQ200 in the table below:
Monthly Maintenance
Calibration
3. Why is the orange dilution rack used for the weekly maintenance of
_________________________________________________________
OBJECTIVES
Given an operating iRICELL System, be able to:
Perform Reflectance CalChek
Perform Specific Gravity, Color, Clarity CalCheck
Clean the Sample Tube Detectors
Clean the Barcode Reader Windows
Clean the Optical Sensors on the Sample Transport Module
Clean the Rinse/Waste Bath
Clean the Sample Filter
Replace Wash Solution
Replace Lamina Solution
Why Is It Important?
Performing “As Needed Maintenance” procedures will help keep your
instrument up and running to avoid unscheduled service calls.
Resources
iChemVELOCITY Operator’s Manual
iChemVELOCITY Quick Reference Guide
iQ Operator’s Manual
iQ Quick Reference Guide
Customer/Technical Service Bulletin: TSB2013-003
INFORMATION/PRACTICE
Step Action
Step Action
Gently invert the tubes one or two times to mix the solution
2
Remove the caps from each tube and place the tubes in the blue
CalChek Calibration rack in the positions listed below:
As Needed Maintenance
Step Action
Using the iChemVELOCITY Maintenance and iQ Quick Reference Guides, locate the
1
as needed maintenance procedures
Quarterly Maintenance
As Needed Maintenance
2. Record the maintenance performed for the iQ200 in the table below:
As Needed Maintenance
TROUBLESHOOTING
OBJECTIVES
At the completion of this module, the learner will understand:
Principles of Troubleshooting
Instrument screen and Chemistry and Hardware flags
Resources for troubleshooting failed Focus, QC, and Calibration
Why Is It Important?
This information will help you in the event you need to troubleshoot a
sample, reagent, or instrument issue.
Resources
iChemVELOCITY Operator’s Manual
iQ Operator’s Manual
INFORMATION/PRACTICE
A Systematic Approach to Troubleshooting
Step Action
Observations: Sights/Sounds
Instrument Issues:
o Maintenance performed or due
o Component replacement performed
o Peripheral issues: printer, keyboard, mouse, touch screen
o Rack damages
Environmental Changes:
o Temperature/humidity
o Power/electrical/static
o Waste issues (drain problem)
Use Resources:
Maintenance log
Another instrument
Assess Severity:
Calibration/Calibration Verification Failures
o CalChek and/or iQ Calibration
QC Failures
o CA, CB, and/or CC
o Positive and/or Negative iQ controls
o Focus
o All tubes or just one
Questionable patient results
o All patients or one patient
o From a specific department or site
Flags
o Instrument Screen Flags
4 Does the flag require a restart, rerun Pos/Neg iQ QC,
rerun iQ Focus, rerun iQ calibrator?
Are there multiple events?
Do you have to contact field service?
Observations
o Is the system stuck in Measure or Error Status?
o Is it the entire system or only one area of the instrument?
Devise a Plan:
Sample
o Calibrator
Pour new calibrator and recalibrate
o QC Material
Pour new QC and run
Patient Samples
o Dilute the sample
o Request a new specimen and repeat
o Validate with microscopic check
5
Supplies
o Load new chemistry strips
o Load a new bottle of Lamina and/or replace the filter
o Load a new bottle of Wash Solution and/or replace the filter
Instrument
o Perform suggested remedy for alarms and flags
o Perform maintenance
Verify system performance as required
o Replace component
Verify system performance as required
Successful?
6 o Good work
Unsuccessful?
o Devise new plan and implement
The Instrument screen displays the flags generated by the iRICELL. Any flag displayed
will also display a Cause/Remedy screen for the flag and force the system Offline. The
flags can only be removed when the issue is resolved.
The Cause/Remedy screen can be printed and/or retrieved by double clicking on the
flag of interest on the Instrument screen
iQ Hardware Errors
Hardware alarms generated by the iQ Series will be displayed on the Instrument screen
as specific alarm numbers and as a Microscopy System Error as well as a red status
light on the front of the iQ.
Specific error locations and descriptions can be viewed by clicking the Maintenance
button , then selecting the Errors button . Check the
information in the Detail for specific part failure information.
Introduction
In this section, we will be creating a series of flags by purposely doing things the
WRONG way. These are operator type errors that you may run into when training new
people or dealing with new operators.
Seeing how these errors are created and then correcting each one later on in this
exercise will give you a better understanding of troubleshooting these types of errors.
Step Action
NOTE: Not all of the areas above will have information for
specific errors
Print out any Cause/Remedy reports and number the print out
3
corresponding to the scenario
Scenario 1
Documentation
Instrument
Screen
Quality Review
Work List/
Specimen
Screen
Observation
Cause/Remedy
Scenario 2
Documentation
Instrument
Screen
Quality Review
Work List/
Specimen
Screen
Observation
Cause/Remedy
Scenario 3
Documentation
Instrument
Screen
Quality Review
Work List/
Specimen
Screen
Observation
Cause/Remedy
Scenario 4
Documentation
Instrument
Screen
Quality Review
Work List/
Specimen
Screen
Observation
Cause/Remedy
Scenario 5
Documentation
Instrument
Screen
Quality Review
Work List/
Specimen
Screen
Observation
Cause/Remedy
Scenario 6
Documentation
Instrument
Screen
Quality Review
Work List/
Specimen
Screen
Observation
Cause/Remedy
Scenario 7
Documentation
Instrument
Screen
Quality Review
Work List/
Specimen
Screen
Observation
Cause/Remedy
Scenario 8
Documentation
Instrument
Screen
Quality Review
Work List/
Specimen
Screen
Observation
Cause/Remedy
2. What flag(s) disappeared from the Instrument screen when the Focus was
processed correctly?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
3. Allow the system to go to Standby. Load and process iQ Calibration correctly.
(Refer to Quick Reference Guide, if needed). What flag(s) was/were cleared
from the Instrument screen?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
4. Allow the system to go to Standby. Load and process an iQ control rack with the
material listed in the table below:
OBJECTIVES
Given an operational iRICELL System, be able to:
Shut down the iRICELL System
Restart the iRICELL System in proper sequence
Why Is It Important?
The system may need to be shut down and restarted during
troubleshooting or as directed by Technical Support.
Following the proper procedures will help avoid damage to the instrument
or corruption of the system’s database.
Resources
iChemVELOCITY Operator’s Manual
iChemVELOCITY Quick Reference Guide
iQ Operator’s Manual
iQ Quick Reference Guide
Customer/ Technical Service Bulletin: TSB2012-24
Blank CD
INFORMATION/PRACTICE
Step Action
Select Yes
For this exercise, you do not need to turn off the main power
NOTE switch of the instruments that are located on the back of the
instrument; however, Technical Support may direct you to do so.
Step Action
a. iQ>>iChemVELOCITY >>Computer
b. iChemVELOCITY>>iQ>>Computer
c. Computer>>iQ>>iChemVELOCITY
a. iQ>>iChemVELOCITY >>Computer
b. iChemVELOCITY>>iQ>>Computer
c. Computer>>iQ>>iChemVELOCITY
d. Computer>>iChemVELOCITY>>iQ
Security
Access
QC Configuration
SECURITY ACCESS
OBJECTIVES
At the completion of this module, be able to:
Create a new user
Delete users
Why Is It Important?
By creating privileges, you will help decide the levels of security access for
those working with you based on their laboratory responsibilities.
Resources
iChemVELOCITY Operator’s Manual
iQ Operator’s Manual
INFORMATION/PRACTICE
Creating a new user
Step Action
From the Screen Level Function Area, select the Settings button
5
Log on to the system using the operator level just created and
13
explore the software
14 Using the steps above, create another operator with a Tech level
Deleting a User
The currently logged operator cannot delete his/her own user account
Step Action
Select Yes to delete the selected operator from the user list
OBJECTIVES
By completion of this exercise, be able to:
Set up a new lot of Chemistry QC
Set up a new lot of Chemistry Strips
Restart the instrument to save the changes to system configuration
Back up the configuration
Perform parallel testing of primary and secondary lots of positive and
negative controls
Why Is It Important?
To avoid unnecessary troubleshooting and ensure the most reliable
results, the system should contain the most current information for
supplies used on the system.
Resources
iChemVELOCITY Operator’s Manual
iQ Operator’s Manual
Blank CD
INFORMATION/PRACTICE
Step Action
Enter the Test Strip Lot ID of the Chemistry strips located on the
4 bottle of strips. Then, use the drop down box to access a
calendar to enter the Expiration date
Enter the Lot Number located on the bottle of CA, and input the
7
expiration date
Once CA, CB, and CC lot numbers and expiration numbers have
10 been entered in the system, select OK to confirm the entries and
OK again to close the Consumables window
11
Go to the Maintenance button and select the Restart
button . Once system restarts, log on using your
Identifier and Password
a. Select Chemistry QC
b. Go off line
2. Do you have to input QC information for the iQ controls? Why or Why not?
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
c. Nothing
Processing
Dilutions 2
Importing and
Exporting
Results
Body Fluids
PROCESSING DILUTIONS 2
OBJECTIVES
Given an operating iRICELL System, be able to:
Split chemistry and microscopy results and rerun
Split chemistry and microscopy results and rerun using manual
programming
Merge and consolidate IDs
Why Is It Important?
When a dilution barcode is missing or not properly attached to the
specimen, it may cause the chemistry and microscopy results to be
separated.
This process is also helpful when you do not have enough specimen to
run through both the chemistry and microscopy side of the system. In this
situation, the chemistry portion is run on the undiluted sample while the
microscopy portion can be processed using a dilution to bring the volume
up to the minimum.
Resources
iChemVELOCITY Operator’s Manual
iQ Operator’s Manual
INFORMATION/PRACTICE
Process a barcoded urine specimen and release. From the Work List
screen, select the Search button to find the Specimen ID
used in this exercise
1
NOTE: The Work List changes to the Found List when a search is
performed. It converts back to the Work List when the Search button is
selected again
d Select OK
9 Highlight the microscopy portion of the sample
Merging/Consolidating
Step Action
After the sample gets aspirated and the rack begins to move towards
the bridge, turn the sample around so the barcode is facing the
wrong way
2
NOTE: This should result in the iQ not being able to identify the
microscopy part of the sample
Go to the Work List, the microscopy portion of the run should have
an ID ERROR
3 NOTE: If the chemistry portion of the sample was flagged, it will also
appear in the Work List with the Specimen ID. If there are no errors
on the chemistry portion of the sample, it will automatically be
released and not appear on the Work List
6 Type in the barcode from the sample tube in the pop up box
8 Select OK
a. _____________________________________
b. _____________________________________
c. _____________________________________
d. _____________________________________
e. _____________________________________
3. Explain how you would run a dilution if you do not have any dilution labels
available. _________________________________________________
_________________________________________________________
OBJECTIVES
Given an operating iRICELL System, be able to:
Import results from a CD into the iRICELL
Export results from the iRICELL onto a CD
Why Is It Important?
The system can import specimen results that have been previously
generated on the same or different instrument of the same model from a
CD. Specimen results can be exported for storage or for training
purposes.
Resources
iChemVELOCITY Operator’s Manual
iQ Operator’s Manual
Blank CD
Esoteric CD
INFORMATION/PRACTICE
Importing Results
Step Action
3 Select the red X in the upper right corner to close the window
4 Select the Work List button on the top right of the screen
to navigate to the Work List
Verify the D:/ drive is displayed on the Import Source field of the
6
Select Import Source pop up window
8 NOTE: Select the first sample, scroll down to the last sample, hold the
Shift key on the keyboard, and left click the mouse. All results should
now be highlighted
Select OK
NOTE: The import may take a few minutes. The Import Status
window will display:
9
Number of results to be imported
Number of results successfully imported
Number of results that failed import
Exporting Results
Step Action
In the Select Export Destination field, ensure the D:/ drive is selected
4
NOTE: The window will also display the space required for storing the
data
Select OK
5 NOTE: The import may take a few minutes. The Export Status
window will display:
BODY FLUIDS
OBJECTIVES
Given an operating iRICELL System, be able to:
Run Body Fluid Controls
Run Body Fluid Background
Run Body Fluid Samples
Why Is It Important?
The iRICELL System has an optional iQ Body Fluids Module that creates
a workflow solution for processing body fluid samples. Performing manual
body fluid counts is a daily task that can occupy much of your time in the
lab. Learning how to process body fluids efficiently on the iRICELL System
saves you time.
Resources
iQ Operator’s Manual
iQ Body Fluids Quick Reference Guide
INFORMATION/PRACTICE
Theory of Operation
The iQ Series System auto-identifies, processes, and identifies images
from specimens that are loaded into specific body fluid racks.
Body Fluids specimens are prepared by splitting the specimens into two
aliquots. One aliquot is mixed with iQ ® Body Fluids Lysing Reagent and
the other is mixed with Iris Diluent.
The iQ Body Fluids Module reports the total number of cells in each of the
two aliquots. The cells from the diluted aliquot are called "Total Cells”, and
the cells from the lysed aliquot are called “Nucleated Cells” because the
RBCs have been destroyed. The difference between the "Total Cells" and
the "Nucleated Cells" represents the number of RBCs in the specimen.
The lower linearity is Zero, and the upper linearity of 10,000 cells/ul , but is
extended with the Extended Linearity Procedure.
CSF samples are to have a minimum of 1:5 dilution
Serous Fluids (e.g. Peritoneal, Pericardial, etc..) need to have a minimum
of 1:20 dilution
Body Fluid Start Up Procedure
In order to run Body Fluids, the Body Fluid CD must be in the system
Step Action
To mix iQ Controls:
Hold vial horizontally between the palm back and forth for
7
20-30 seconds
Mix by rapid inversion
Place the BFQC rack on the iQ system and press Start button
10 NOTE: It is recommended to run well-mixed body fluid control
material IMMEDIATELY after performing the dilutions
Step Action
7 Place the BFQC rack on the iQ system and press the Start button
NOTE: Each specimen is run on its own Body Fluids rack while
operating in the iQ Body Fluids Module mode. Use racks 25, 26, and
27 for running samples
Step Action
7 Place the BF sample rack on the iQ and press the Start button
Even though the iQ Body Fluids Module initially counts the number of
Nucleated Cells and Total Cells, the module calculates and reports the
number of RBCs by subtracting the number of cells in the lysed aliquot (in
which the RBCs are destroyed) from the number of cells in the diluted
aliquot
Step Action
Select the specimen results on the Work List, then click the
Specimens button
NOTE: The Specimen screen in the body fluids module displays
the aggregate results from the two sample tubes (lysed and
diluted) within the same BF rack
2. In the table below, identify each position’s contents in a Body Fluid rack:
Position 1
Position 2
Position 3
Position 4
Position 5
3. True or False: A special sample tube is required to process body fluid samples.