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BC-5380

Auto Hematology Analyzer

Operator’s Manual
Copyright

© 2008-2009 Shenzhen Mindray Bio-medical Electronics Co., Ltd. All rights Reserved.
For this Operator’s Manual, the issued Date is 2009-01(Version: 1.1).

Intellectual Property Statement


SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray)
owns the intellectual property rights to this Mindray product and this manual. This manual may
refer to information protected by copyrights or patents and does not convey any license under
the patent rights of Mindray, nor the rights of others.

Mindray intends to maintain the contents of this manual as confidential information. Disclosure
of the information in this manual in any manner whatsoever without the written permission of
Mindray is strictly forbidden.

Release, amendment, reproduction, distribution, rental, adaption and translation of this manual
in any manner whatsoever without the written permission of Mindray is strictly forbidden.

, are the registered trademarks or trademarks owned by Mindray in China


and other countries. All other trademarks that appear in this manual are used only for
editorial purposes without the intention of improperly using them. They are the property of their
respective owners.

Responsibility on the Manufacturer Party


Contents of this manual are subject to changes without prior notice.

All information contained in this manual is believed to be correct. Mindray shall not be liable for
errors contained herein nor for incidental or consequential damages in connection with the
furnishing, performance, or use of this manual.

Mindray is responsible for the effects on safety, reliability and performance of this product, only
if:

„ all installation operations, expansions, changes, modifications and repairs of this product
are conducted by Mindray authorized personnel.

„ the electrical installation of the relevant room complies with the applicable national and
local requirements.

„ the product is used in accordance with the instructions for use.

I
z It is important for the hospital or organization that employs this equipment
to carry out a reasonable service/maintenance plan. Neglect of this may
result in machine breakdown or injury of human health.

z Be sure to operate the analyzer under the situation specified in this manual;
otherwise, the analyzer will not work normally and the analysis results will
be unreliable, which would damage the analyzer components and cause
personal injury.

z This equipment must be operated by skilled/trained clinical professionals.

II
Warranty

THIS WARRANTY IS EXCLUSIVE AND IS IN LIEU OF ALL OTHER WARRANTIES,


EXPRESSED OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY OR
FITNESS FOR ANY PARTICULAR PURPOSE.

Exemptions
Mindray's obligation or liability under this warranty does not include any transportation or other
charges or liability for direct, indirect or consequential damages or delay resulting from the
improper use or application of the product or the use of parts or accessories not approved by
Mindray or repairs by people other than Mindray authorized personnel.

This warranty shall not extend to:

„ any Mindray product which has been subjected to misuse, negligence or accident.

„ any Mindray product from which Mindray's original serial number tag or product
identification markings have been altered or removed.

„ any product of any other manufacturer.

Return Policy

Return Procedure
In the event that it becomes necessary to return this product or part of this product to Mindray,
the following procedure should be followed:

1. Return authorization: Contact the Customer Service Department and obtain a Customer
Service Authorization number. This number must appear on the outside of the shipping
container. Returned shipments will not be accepted if the number is not clearly visible.
Please provide the model number, serial number, and a brief description of the reason for
return.

2. Freight policy: The customer is responsible for freight charges when this product is
shipped to Mindray for service (this includes customs charges) .

3. Return address: Please send the part(s) or equipment to the address offered by the
Customer Service Department.

III
Company Contact
Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
Address: Mindray Building, Keji 12th Road South, Hi-tech Industrial Park,
Nanshan,ShenZhen518057, P. R. China,
Tel: +86 755 26582479 26582888

Fax: +86 755 26582934 26582500

EC-Representative: Shanghai International Holding Corp. GmbH(Europe)

Address: Eiffestraβe 80, Hamburg 20537, Germany

Tel: 0049-40-2513175

Fax: 0049-40-255726

IV
Table of Contents

1 Using This Manual............................................................................................... 1-1


1.1 Introduction............................................................................................................ 1-1
1.2 Who Should Read This Manual............................................................................. 1-2
1.3 How to Find Information ........................................................................................ 1-3
1.4 Conventions Used in This Manual......................................................................... 1-4
1.5 Safety Information ................................................................................................. 1-5
1.6 Symbols ................................................................................................................. 1-7

2 Understanding Your Analyzer ............................................................................ 2-1


2.1 Introduction............................................................................................................ 2-1
2.2 Intended Use ......................................................................................................... 2-2
2.3 Main Structure ....................................................................................................... 2-4
2.4 User Interface ...................................................................................................... 2-12
2.5 Shortcut Button/Menu Item.................................................................................. 2-15
2.6 Software Operation.............................................................................................. 2-16
2.7 Help Information .................................................................................................. 2-28
2.8 Reagents, Controls and Calibrators .................................................................... 2-31

3 Understanding the System Principles............................................................... 3-1


3.1 Introduction............................................................................................................ 3-1
3.2 Aspiration............................................................................................................... 3-2
3.3 Dilution................................................................................................................... 3-3
3.4 WBC Measurement ............................................................................................... 3-5
3.5 HGB Measurement................................................................................................ 3-9
3.6 RBC/PLT Measurement....................................................................................... 3-10
3.7 Wash.................................................................................................................... 3-13

4 Installing Your Analyzer ...................................................................................... 4-1


4.1 Introduction............................................................................................................ 4-1
4.2 Installation Requirements ...................................................................................... 4-2
4.3 Connecting the Analyzer System .......................................................................... 4-4

5 Customizing the Analyzer Software .................................................................. 5-1


5.1 Introduction............................................................................................................ 5-1
5.2 Common User ....................................................................................................... 5-2
5.3 Administrator ....................................................................................................... 5-13

6 Operating Your Analyzer..................................................................................... 6-1


6.1 Introduction............................................................................................................ 6-1

1
Table of Contents

6.2 Initial Checks ......................................................................................................... 6-2


6.3 Startup and Login .................................................................................................. 6-4
6.4 Daily Quality Control.............................................................................................. 6-7
6.5 Sample Collection and Handling ........................................................................... 6-8
6.6 Closed-tube Sampling Analysis........................................................................... 6-12
6.7 Autoloader Sampling Analysis............................................................................. 6-29
6.8 Worklist ................................................................................................................ 6-49
6.9 Shutdown............................................................................................................. 6-55

7 Reviewing Sample Results ................................................................................. 7-1


7.1 Introduction............................................................................................................ 7-1
7.2 Graph Review........................................................................................................ 7-2
7.3 Table Review ....................................................................................................... 7-14
7.4 Data Backup ........................................................................................................ 7-32
7.5 Data Export.......................................................................................................... 7-35
7.6 Auto-Backup ........................................................................................................ 7-38
7.7 Auto-Restore ....................................................................................................... 7-39
7.8 Compare .............................................................................................................. 7-40
7.9 Statistics............................................................................................................... 7-46

8 Using the QC Programs ...................................................................................... 8-1


8.1 Introduction............................................................................................................ 8-1
8.2 L-J Quality Control................................................................................................. 8-2

8.3 X QC Program .................................................................................................. 8-51

8.4 X -R QC Program ............................................................................................. 8-97


8.5 X-B QC Program ............................................................................................... 8-139

9 Using the Calibration Programs ........................................................................ 9-1


9.1 Introduction............................................................................................................ 9-1
9.2 When to Calibrate.................................................................................................. 9-2
9.3 How to Calibrate .................................................................................................... 9-3

10 Maintaining Your Analyzer ................................................................................ 10-1


10.1 Introduction.......................................................................................................... 10-1
10.2 Maintenance ........................................................................................................ 10-2
10.3 System Status.................................................................................................... 10-45
10.4 Version and Config. Information ........................................................................ 10-52
10.5 Self-test.............................................................................................................. 10-54
10.6 Counter .............................................................................................................. 10-64
10.7 Log..................................................................................................................... 10-68

11 Troubleshooting Your Analyzer........................................................................ 11-1

2
Table of Contents

11.1 Introduction.......................................................................................................... 11-1


11.2 Errors Indicated by Error Messages.................................................................... 11-2

12 Appendices ......................................................................................................... A-1


A Index ......................................................................................................................A-1
B Specifications.........................................................................................................B-1
C Communication..................................................................................................... C-1

3
1 Using This Manual

1.1 Introduction

This chapter explains how to use your BC-5380 operator’s manual, which is shipped with
your BC-5380 AUTO HEMATOLOGY ANALYZER and contains reference information about
the BC-5380 and procedures for operating, troubleshooting and maintaining the analyzer.
Read this manual carefully before operating your analyzer and operate your analyzer strictly
as instructed in this manual.

1-1
Using This Manual

1.2 Who Should Read This Manual

This manual contains information written for clinical laboratory professionals to:

„ learn about the BC-5380 hardware and software.

„ customize system settings.

„ perform daily operating tasks.

„ perform system maintenance and troubleshooting.

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Using This Manual

1.3 How to Find Information

This operator’s manual comprises 11 chapters and 3 appendices. Refer to the table below to
find the information you need.

If you want to … See …


learn about the intended use and parameters of the BC-5380 Chapter 2 Understanding
Your Analyzer
learn about the hardware, interface and software of the Chapter 2 Understanding
BC-5380 Your Analyzer
learn about how the BC-5380 works Chapter 3 Understanding the
System Principles
learn about the installation requirements of the BC-5380 Chapter 4 Installing Your
Analyzer

learn about how to define/adjust system settings Chapter 5 Customizing the


Analyzer Software
learn about the process of sample collection and analysis Chapter 6 Operating Your
Analyzer
learn about how to use the BC-5380 to perform your daily Chapter 6 Operating Your
operating tasks Analyzer
review sample results Chapter 7 Reviewing Sample
Results
learn about how to use the quality control programs Chapter 8 Using the QC
Programs
learn about how to calibrate the BC-5380 Chapter 9 Using the
Calibration Programs
learn about how to maintain/service the BC-5380 Chapter 10 Maintaining Your
Analyzer
learn about how to solve the problems of the BC-5380 Chapter 11 Troubleshooting
Your Analyzer
learn about the technical specifications of the BC-5380 Appendix B Specifications
learn about the communication protocol of the BC-5380 Appendix C Communication

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Using This Manual

1.4 Conventions Used in This Manual


This manual uses certain typographical conventions to clarify meaning in the text:

„ all capital letters enclosed in [ ] indicate a key name on the analyzer or external keyboard,
such as [ENTER].

„ bold letters included in “ “ indicate text you can find on the screen, such as “Clean”.

„ bold letters indicate chapter titles, such as Chapter 1 Using This Manual.

All illustrations in this manual are provided as examples only. They may not necessarily
reflect your analyzer setup or data displayed.

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Using This Manual

1.5 Safety Information


The following symbols are used to indicate danger and alert information in this manual.

When you see… Then…


read the statement below the symbol. The statement is
alerting you to a potentially biohazardous condition.

read the statement below the symbol. The statement is


alerting you to an operating hazard that can cause
personnel injury.
read the statement below the symbol. The statement is
alerting you to a possibility of analyzer damage or unreliable
analysis results.
read the statement below the symbol. The statement is
alerting you to information that requires your attention.

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

z If leak happens to the analyzer, the leak liquid is potentially biohazardous.

z Please check the firmness of all the doors and covers before running the
analyzer.

z Make sure all the safety measurements are adopted. Disable any safety
device or sensor is prohibited.

z Please take action to any alarm and problem indication immediately.

z Do not touch the moving parts.

z Contact Mindray or Mindray-authorized distributors in time if any damaged


part is found.

z Be careful when opening/closing and removing/installing the doors, covers


and boards of the analyzer.

z Discard the analyzer according to government regulations.

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Using This Manual

z Please use the analyzer strictly according to this manual.

z Make sure only Mindray-authorized software is installed on the computer.

z Please install the original edition software to prevent the computer from
being infected by virus.

z Please adopt proper measurements to prevent the reagents from being


polluted.

z It is recommended that the anti-virus software should be installed on the


computer and run regularly.

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Using This Manual

1.6 Symbols
You will find the following symbols in this manual:

When you see… Then…


Read the statement below the symbol. The statement is
alerting you to a potentially biohazardous condition.
Read the statement below the symbol. The statement is
alerting you to an operating hazard that can cause
personnel injury.
Read the statement below the symbol. The statement is
alerting you to a possibility of analyzer damage or unreliable
analysis results.
Read the statement below the symbol. The statement is
alerting you to information that requires your attention.

You may find the following symbols of the analyzer system:


When you see… It means…

CAUTION, CONSULT ACCOMPANYING


DOCUMENTS.

BIOLOGICAL RISK

HIGH VOLTAGE

WARNING, LASER BEAM

WARNING, HOT SURFACE

EXERCISE CAUTION WHEN WORKING


AROUND TO AVIOD PRICKING

PROTECTIVE EARTH (GROUND)

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Using This Manual

EARTH (GROUND)

ALTERNATING CURRENT

FOR IN VITRO DIAGNOSTIC USE

BATCH CODE

USE BY

SERIAL NUMBER

CATALOG NUMBER (FOR CONTROLS)

USE BY (YYYY-MM-DD) (FOR CONTROLS)

DATE OF MANUFACTURE

MANUFACTURER

TEMPERATURE LIMITATION

CONSULT INSTRUCTIONS FOR USE

IRRITATING SUBSTANCE

THE FOLLOWING DEFINITION OF THE


WEEE LABEL APPLIES TO EU MEMBER
STATES ONLY: THE USE OF THIS SYMBOL
INDICATES THAT THIS PRODUCT SHOULD
NOT BE TREATED AS HOUSEHOLD
WASTE. BY ENSURING THAT THIS

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Using This Manual

PRODUCT IS DISPOSED OF CORRECTLY,


YOU WILL HELP PREVENT BRINGING
POTENTIAL NEGATIVE CONSEQUENCES
TO THE ENVIRONMENT AND HUMAN
HEALTH. FOR MORE DETAILED
INFORMATION WITH REGARD TO
RETURNING AND RECYCLING THIS
PRODUCT, PLEASE CONSULT THE
DISTRIBUTOR FROM WHOM YOU
PURCHASED THE PRODUCT.
THE DEVICE IS FULLY CONFORMANCE
WITH THE COUNCIL DIRECTIVE
CONCERNING IN VITRO DIAGNOSTIC
MEDICAL DEVICES 98/79/EC.
AUTHORISED REPRESENTATIVE IN THE
EUROPEAN COMMUNITY

1-9
Using This Manual

Figure 1-1 back of the analyzer

(1)

„ Connect only to a properly earth grounded outlet.

„ To avoid electric shock, disconnect power cord prior to removing or replacing fuse.

„ Replace fuse only with the type and rating specified.

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Using This Manual

Figure 1-2 Front of the analyzer (Front Cover Open)

(1)

„ To avoid injury, do not put your hands around the guide channel of the syringe board.

(2)

„ The probe is sharp and may contain biohazardous material. Exercise caution when
working around the probe!

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Using This Manual

Figure 1-3 Left side of the analyzer

(1)

„ To avoid injury, do not put your hands around the guide channel of the syringe board.

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Using This Manual

Figure 1-4 Right side of the analyzer

(1)

„ Laser radiation when opening, avoid direct eye exposure.

1-13
2 Understanding Your Analyzer

2.1 Introduction

BC-5380 AUTO HEMATOLOGY ANALYZE is a quantitative, automated hematology analyzer


and 5-part differential counter for in Vitro Diagnostic Use in clinical laboratories.

2-1
Understanding Your Analyzer

2.2 Intended Use

z The purpose of this analyzer is to identify the normal patient, with all normal
system-generated parameters, and to flag or identify patient results that
require additional studies.

The BC-5380 is a quantitative, automated hematology analyzer and 5-part differential counter
used in clinical laboratories. It provides the following 23 basic parameters, 4 parameters for
research use, 3 histograms and 1 scattergram of blood samples. It supports 2 measurement
modes: CBC and CBC+DIFF.
Parameter Name Abbr. CBC CBC + DIFF
White Blood Cell count WBC * *
Neutrophils percentage Neu% / *
Lymphocytes percentage Lym% / *
Monocytes percentage Mon% / *
Eosinophils percentage Eos% / *
Basophils percentage Bas% / *
Neutrophils number Neu# / *
Lymphocytes number Lym# / *
Monocytes number Mon# / *
Eosinophils number Eos# / *
Basophils number Bas# / *
Abnormal Lymphocytes percentage ALY% (RUO) / *
Large Immature Cells percentage LIC% (RUO) / *
Abnormal Lymphocytes number ALY# (RUO) / *
Large Immature Cells number LIC# (RUO) / *
RBC RBC * *
Hemoglobin Concentration HGB * *
Mean Corpuscular Volume MCV * *
Mean Corpuscular Hemoglobin MCH * *
Mean Corpuscular Hemoglobin MCHC * *
Concentration
Red Blood Cell Distribution Width RDW-CV * *
Coefficient of Variation
Red Blood Cell Distribution Width RDW-SD * *
Standard Deviation
Hematocrit HCT * *
Platelet count PLT * *
Mean Platelet Volume MPV * *

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Understanding Your Analyzer

Platelet Distribution Width PDW * *


Plateletcrit PCT * *
White Blood Cell/Basophils Histogram WBC/BASO / *
Histogram
White Blood Cell Histogram WBC Histogram * /
Red Blood Cell Histogram RBC Histogram * *
Platelet Histogram PLT Histogram * *
Differential Scattergram Diff Scattergram / *

z “*” means the parameter is provided in the mode. “/” means the parameter is
not provided.

z ALY%, LIC%, ALY# and LIC# are parameters for research use only, not for
diagnostic use. For more details about the RUOs, please see 5.3.1 General
Setup Research use only parameter (RUO parameter).

2-3
Understanding Your Analyzer

2.3 Main Structure


The BC-5380 consists of the main unit (analyzer) and accessories.

z Please check the firmness of all the doors, covers and boards before
running the analyzer.

z The analyzer is heavy, to move it by one person may cause injury. It is


advisable for two people move it together when transport is needed, and
make sure you follow the instructions and use the proper tools.

z Installing other software on the analysis system computer, using mobile


storage devices or using the computer for other purposes (e.g. playing
games, logging on the internet, etc.) may lead to virus infection, system
damage and/or data error. Therefore, please make sure the computer is
used for analysis system only.

2-4
Understanding Your Analyzer

Figure 2-1 Front of the analyzer

1 ---- Power/Status indicator 2 ---- [OPEN] key


3 ---- [RUN] key 4 ---- Sample tube
5 ---- Tube rack 6 ---- Autoloader

2-5
Understanding Your Analyzer

Figure 2-2 back of the analyzer

1 --- Network interface 2 --- M-53D diluent inlet


3 --- M-53 cleanser inlet 4 --- M-53LH Lyse inlet
5 --- M-53LEO (II) Lyse inlet 6 --- M-53LEO (I) Lyse inlet
7 --- AC input 8 --- Waste outlet

2-6
Understanding Your Analyzer

Figure 2-3 Front of the analyzer (Front Cover Open)

1 --- Front Cover 2 --- Sampling module


3 --- Sample tube 4 --- Tube rack
5 --- Syringes 6 --- Fluidic valves
7 --- Pressure release valve module

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Understanding Your Analyzer

Figure 2-3 Angle shot of the analyzer (compartment door open)

1 --- Adapter 2 --- Tube holder


3 --- Sample compartment door

2-8
Understanding Your Analyzer

Figure 2-5 Right side of the analyzer (right door open)

1 --- Optical system 2 --- Sampling module


3 --- Metric unit 4 --- Vacuum chamber
5 --- Vacuum pump/Waste pump 6 --- Fluidic valves
7 --- Bath

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Understanding Your Analyzer

Figure 2-6 Left side of the analyzer (left door open)

1 --- Syringes 2 --- Pressure chamber


3 --- Air pumps 4 --- Liquid level detection unit
5 --- Fluidic valves 6 --- Power switch
7 --- Circuit boards

2.3.1 Main Unit (Analyzer)


The main unit is the principal part of the product. It performs the sample analysis and the data
process.

2.3.2 Power/Status Indicator


The Power/Status indicator is located on the middle of the right of the analyzer (front side). It
tells you about the status of the analyzer including ready, running, error, sleep and on/off, etc.

2.3.3 Power Switch


A power switch is on the left side of the analyzer. It starts up or closes down the analyzer.

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Understanding Your Analyzer

z To avoid damage, do not turn on/off the power of the analyzer continually in
a short time.

2.3.4 [RUN] Key


The [RUN] key is located on the middle of the right front side (the right one). You can press
the key to start the selected analysis cycle, dispense diluent or wake up the system from
sleep.

2.3.5 [OPEN] Key


The [OPEN] key is located on middle of the right front side (the left one). You can press the
key to open/close the compartment door.

2.3.6 Network Interface


A network interface is located on the back of the analyzer. It connects the external computer.

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Understanding Your Analyzer

2.4 User Interface


After the starting procedure, you will enter the user interface.

Figure 2-1 user interface

The interface can be divided into several areas as follows according to their functions:

1. Screen title area


The screen title area on the top left corner displays the title of the current screen. The figure
shown above indicates the current screen is “Standby screen”.

2. Analysis status
It indicates the current analysis status and displays in the same way as the Power/Status
indicator on the main unit.
Green icon: it means you can proceed to analyze the sample.
Flickering green icon: it means the analyzer is not ready for analyze yet.
Red icon: it means you can not proceed to analyze the sample but not due to an error
happened. (e.g. the analyzer is in sleep status)
Flickering red icon: it means you can not proceed to analyze the sample and it is due to
an error happened.
Yellow icon: it means you can proceed to analyze the sample under the emergency mode.

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Understanding Your Analyzer

Flickering yellow icon: it means the analyzer is not ready for analyze yet under the
emergency mode.

3. Information area of the next sample


This area displays the information about the sample ID, sample position, sampling mode
(autoloader/closed-tube), blood mode (whole blood/predilute) and measurement mode
(CBC/CBC+DIFF) of the next sample.

4. Status area
The area is on the top right of the screen. There are three items from left to right, namely:

„ LIS/HIS status

Gray icon: disconnected


Color icon: connected
Flickering arrow above the icon: uploading
Flickering arrow below the icon: downloading
The two arrows flickering at the same time: uploading and downloading are processing
at the same time.

„ Connection status between the analyzer and the computer:

Gray icon: The computer is not connected to the analyzer yet.


Gray icon: The computer is connected to the analyzer.

„ Print status:

Gray icon: The printer is not connected to the analyzer yet.


Color icon: The printer is connected to the analyzer.
Flickering icon: The printer is printing.

5. Minimize button
You can click the button to minimize the interface to the taskbar of the operation system.

z Click the interface icon displayed on the taskbar, you can get the display of
the interface back after minimizing it.

6. Function screen area


It displays the selected screen and the corresponding function buttons.

7. System time
It displays the time of the operation system. When you move the mouse to this area, the tips
will pop up to display the current system time. See Chapter 5 Customizing the Analyzer

2-13
Understanding Your Analyzer

Software for ways to modify the time format.

8. Input mode button


It displays the current input mode and you can change the input mode through it. Click the
input mode button to open the input languages menu, and then you can switch to the desired
input language by clicking on the menu.

9. Error message area


When error(s) is reported, the error message area will pop up a help information message
box and displays error messages one by one. The severity levels are discriminated from high
to low by 4 background colors: red, orange, blue, and green. See Chapter 12
Troubleshooting Your Analyzer for details.

10. Operation/status information area


The area displays the information about the current operation of the analyzer/computer, or
the current status of the analyzer/computer.

11. Information area of the user logged on


This area displays the name and access level of the current user.

12. Menu button


You can click the “Menu” button on the left bottom corner to open the system menu. Click a
menu option, a relevant screen or message box will appear if the option is not followed by the
symbol “ ”; whereas a submenu will appear if the option is followed by the symbol “ ”.Click
the submenu, a relevant screen or message box will appear.

13. Shortcut button area


The left side of the screen is the shortcut button area. When clicking a certain button, you can
enter the relevant screen or a message box will pop up.

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Understanding Your Analyzer

2.5 Shortcut Button/Menu Item

Shortcut button/Menu item Shortcut key Function


“Menu” button Alt + M Open the menu
Open the “Diluent” message
“Diluent” button Alt + A
box
“Worklist” button Alt + W Enter the “Worklist” screen
“Graph” button Alt + G Enter the “Graph” screen
“Table” button Alt + L Enter the “Table” screen
“QC” button Alt + Q Enter the “L-J” graph screen
Open the “Logout” message
“Logout" button Alt + O
box
Open the “Shutdown”
“Shutdown” button Alt + D
message box
“Exit” button Alt + X Open the “Exit” message box
Enter the “Count” message
“Count” button Alt + C
box
“STAT” button Alt + S Enter the “STAT” message box
“Menu”Æ”Help”Æ”Help” F1 Open the “help” message box
Open the “Troubleshooting”
Click the “Error Message Area” Alt + F1
message box

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Understanding Your Analyzer

2.6 Software Operation


Please make sure you fully understand the meaning of the following operations or interfaces
before you start operating the software of the analyzer.

2.6.1 Move the Pointer


Move the pointer displayed on the interface by operating the mouse.

2.6.2 Click
Move the pointer to the desired content; left click the mouse then release.

z Repeat the operation if failed to choose the content; check the connection
of the mouse if necessary. If the problem still exists, please contact Mindray
customer service department or your local distributor immediately.

2.6.3 Double Click


Move the pointer to the desired content, left click the mouse twice rapidly then release.

z Repeat the operation if failed to choose the content; check the connection
of the mouse if necessary. If the problem still exists, please contact Mindray
customer service department or your local distributor immediately.

2.6.4 Right Click


Move the pointer to the desired content; right click the mouse then release.

z Repeat the operation if failed to choose the content; check the connection
of the mouse if necessary. If the problem still exists, please contact Mindray
customer service department or your local distributor immediately.

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Understanding Your Analyzer

2.6.5 Scroll Bar


In some screens, the information can not be fully displayed in one sight, then a scroll bar
(horizontal/vertical) will appear. You can scroll the scroll bar in the following ways to check the
rest of the information. A scroll bar is shown below:

„ Click the “arrow button” on the scroll bar.

„ Move the pointer to the slide bar, left click the mouse and hold, then scroll the bar at will.

„ Click the blank area on the scroll bar.

2.6.6 Prompt Information


The software provides the indicating information to the content displayed (e.g. buttons, titles,
etc.)It will display automatically when the pointer moved onto the certain area.

2.6.7 Tab
Tab displays one page of the multi-page information. E.g. you can enter the “Settings” tab of
the “L-J” interface to view and set up the information. The “Settings” tab is shown below.

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Understanding Your Analyzer

2.6.8 Buttons

Common buttons
The system will perform the function after you clicking the certain button. E.g. the system will
print after you clicking the “Print” button as shown below.

Arrow buttons of the combo box


Click the button to display the pull-down list as shown below. The options will be displayed in
the combo list.

Hide it by clicking the arrow button again.

„ When a combo list is open, you can choose the desired item in the list by using the [↑]
and [↓] keys on the keyboard.

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Understanding Your Analyzer

„ When a combo list is open, you can hide it by pressing the [Enter] key on the keyboard
or clicking a certain option. Then, the original content in the combo box will be replaced
by the current chosen one.

„ When a combo list is open, you can hide it by pressing the [Esc] key on the keyboard.
Then, no change to the combo box.

z The scroll bar will appear if the content of the list can not be displayed in
one sight of a screen. You can scroll or use the [PgUp] and [PgDn] keys on
the keyboard to view the information fully.

Arrow button of the date control


The date control is shown below:

After clicking the arrow button on the date control, a date box will pop up.

„ Select the year: click the displayed year, arrows will appear on its right side. Then,
choose the desired year by clicking the arrow button.

„ Select the month:

Method 1: click the arrow button on the both sides of the date box to switch and choose the
desired month.
Method 2: click the displayed month, then click the desired month from the list appeared as
shown below.

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Understanding Your Analyzer

„ Select the day: click the desired day, then the date box will hide. The chosen date
(including year, month and day) will replace the original date of the date control.

„ When the data box popping up, you can hide it by pressing the [Esc] on the keyboard.
Then, no change to the date control.

Radio button
Click the single choice button, a mark appears in the circle, indicating the option is chosen.
E.g. the following figure shows that the “Autoloader-Whole Blood” is chosen whereas the
“Closed-tube-Whole blood” and “Closed-tube-Prediluted Blood” is not chosen.

z Only one single choice button can be chosen in one setting option.

2.6.9 Check Box


Click the check box, a mark appears in the frame, indicating the option is chosen. E.g. chick
the “built-in barcode scan” option, it is chosen as shown below:

Click the “built-in barcode scan” again, the “√” disappeared, it means the option is not
chosen as shown below:

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Understanding Your Analyzer

z More than one check box can be chosen at the same time in one setting
option.

2.6.10 Edit Box


Click the edit box; you can start editing when the cursor appears. You can enter the
characters from the location of the cursor and the cursor moves to the right at the time. Enter
the first name into the edit boxes as shown below:

You can also proceed to the following operations in the edit box:

„ Move the cursor to the left or right by using the [←] and [→] keys on the keyboard.

„ Move the cursor to the left of the initial character or the right or the end character by
pressing the [Home] and [End] key on the keyboard.

„ Delete the character on the right of the cursor by using the [Delete] on the keyboard.

„ Delete the character on the left of the cursor by using the [Backspace] key on the
keyboard.

„ Switch to other edit box by using the [Tab] key on the keyboard.

z Edit boxes of different use require different entered characters.

z You don’t have to enter the separators in the date box and the IP box.

z The scroll bar (horizontal/vertical) will appear if the content of the edit box
can not be displayed in one sight of a screen. You can scroll or use the
[PgUp] and [PgDn] keys on the keyboard to view the information fully.

2.6.11 Information Box


The content in the information box can only be browsed:

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Understanding Your Analyzer

z The scroll bar (horizontal/vertical) will appear if the content of the


information box can not be displayed in one sight of a screen. You can scroll
or use the [PgUp] and [PgDn] keys on the keyboard to view the information
fully.

2.6.12 Combo Box


The combo box consists of an edit box and an arrow button, which is shown below:

See “Arrow button of the combo box” section for details to complete selecting. See “Edit
box” section for details to complete editing if the combo box is editable.

2.6.13 Form
The form contains several cells and check box (sometimes).
Click the certain cell, it is chosen as shown below:

2-22
Understanding Your Analyzer

Then, you can proceed to the following operations:

„ Select the cell by using the [↑], [↓], [←] and [→] keys on the keyboard.

„ Select the initial or end cell of the current row by using the [Home] and [End] keys on the
keyboard.

„ Select the next cell of the current line by using the [Enter] key on the keyboard.

„ Select the next cell of the current row by using the [Tab] key on the keyboard(can not
switch to a new row).

„ Move the mouse to the boundary line between the rows or lists, then left click the mouse
and hold, drawing the line to change the height/width of the row/list, but the height/width
of the whole form remains.

For an editable cell, a cursor will appear in it if it is double clicked. You can enter the
characters from the location of the cursor and the cursor moves to the right at the time. A
edited form is shown below:

You can proceed to the following operations in the cell:

„ Move the cursor to the left or right in the cell by using the [←] and [→] keys on the
keyboard.

„ Move the cursor to the left of the initial character or the right or the end character by
pressing the [Home] and [End] key on the keyboard.

„ Delete the character on the right of the cursor by using the [Delete] on the keyboard.

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Understanding Your Analyzer

„ Delete the character on the left of the cursor by using the [Backspace] key on the
keyboard.

„ Hide the cursor and quit editing by using the [Enter] key on the keyboard.

z If a check box exists in the form, you can operate according to the
instructions of the check box before. The selected check boxes in the forms
will not be cleared when you switching among the screens unless you exit
the software.

z If a check box exists in the form, then when you click the check box, it will
be ticked and the record will also be highlighted.

z If you wish to choose several continuous records in a form, click the initial
record and a “√” mark appears, the click the end of the desired record while
pressing and holding the [Shift] key on the keyboard, then a set of records
are chosen conveniently.

z If you wish to select several consecutive records, click the first record and
then hold and drag the mouse to the last one, and then release the mouse to
select them all.

z The scroll bar (horizontal/vertical) will appear if the content of the form can
not be displayed in one sight of a screen. You can scroll or use the [PgUp]
and [PgDn] keys on the keyboard to browse the information of the form fully.

2.6.14 System Menu


Click the “Menu” button, a system menu with all the first-level options will pop up. If a menu
option is followed by a“ ”mark, there is a submenu of the option.

„ Enter the interface or message box of the relative menu option:

Method 1: click the menu option directly.

2-24
Understanding Your Analyzer

Method 2: move to the desired option by using the [↑] and [↓] keys on the keyboard and then
enter it by using the [Enter] key on the keyboard.

„ Enter the interface or message box of the relative submenu option:

Method 1: click the first-level menu to open the submenu, then click the desired option on it.
Method 2: first, move to the submenu option on the first-level menu by using the [↑] and [↓]
keys on the keyboard and open it by using the [→]or [Enter] key, then move to the desired
option by the [↑] and [↓] keys, at last open the interface or message box by pressing the
[Enter] key.

„ Close the menu:

Method 1: click the “menu” button to close the system menu.


Method 2: close different level of menus one by one by using the [←] or [Esc] key on the
keyboard.

2.6.15 Directory Tree


The directory tree can display the content of all the menus of different levels.

„ A “+”mark indicates the followed menu option has a submenu. Click the menu option, its
submenu will be fully displayed. At the same time, the “+” mark changes to “-”mark(click
the menu option again, its submenu will hide.), and “-” changes to “+” again as shown
below:

„ The menu option without “+” or “-” mark has no submenu. Click the menu option, the

2-25
Understanding Your Analyzer

information will display directly.

„ Use the [↑] and [↓] keys on the keyboard to move the highlight bar to the desired menu
option.

„ Use the [Home] and [End] keys on the keyboard to move the highlight bar to the initial or
ending option.

„ Use the [Enter] key on the keyboard to display the submenu of a menu option. If the
menu option has no submenu, the relative information will display directly.

„ If the submenu of a menu option has displayed, you can hide it by using the [Enter] key
on the keyboard.

z The scroll bar (horizontal/vertical) will appear if the content of the directory
tree can not be displayed in one sight of a screen. You can scroll or use the
[PgUp] and [PgDn] keys on the keyboard to view the information fully.

2.6.16 Message Box


According to different function buttons, message boxes can be divide into “Ok”, “Ok/Cancel”,
“Yes/No”,” Yes/No/Cancel” and special indication message boxes.
A message box consists of the title area, information area and function button. Take the
following “Ok/Cancel” message box for example:

„ After choosing the data you want to delete, click the “Ok” button to close the message
box and completing the deletion; click the “Cancel” button to close the message box
without any operation.

„ Click the button on the right side of the title area to close the message box without

any operation.

2-26
Understanding Your Analyzer

2.6.17 Record Switch Column


The current record and the total number of the records are shown in the form “current
number/ total numbers” in the record switch column. It is shown below:

The “2/79” in the above figure indicates the total number of the records is 79, and the current
record is the second one.

„ If you wish to switch to the previous or the next record, click or button.

„ If you wish to switch to the first or the last record, click or button.

„ Click the edit box of the record switch column, enter the desired number of the record,
and then switch to the relative interface by using the [Enter] key on the keyboard.

2-27
Understanding Your Analyzer

2.7 Help Information


The software provides the help information for operation.

2.7.1 Browse the Help Information


If you wish to browse the help information, chose “Menu”Æ”Help”Æ”Help” option, the
following message box will pop up.

The message box displays the help information of the current screen and the corresponding
menu (highlighted).
If you wish to browse other help information, click the desired menu option then the help
information will display on the right.

Click the button on the top right corner to close the message box.

2.7.2 Search the Help Information


If you wish to search the help information by key words, click “Menu”Æ”Help”Æ”Help” to
display the help information of the current screen and the corresponding menu item(the
highlighted one).

2-28
Understanding Your Analyzer

Then, click the “Search” tab to enter the key words into the search information box.

2-29
Understanding Your Analyzer

After entering the key words, click the “Search” button or press the [Enter] key on the
keyboard to start searching.

z You can stop searching by clicking the “Stop” button. Then, the obtained
result displays.

When the search is finished, all the related menu items will be displayed in the left corner and
the corresponding help information will be displayed at the right side screen.
You can click the menu item to check the corresponding help information.

2.7.3 Print
You can click the “Print” button to print the current displayed help information.

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Understanding Your Analyzer

2.8 Reagents, Controls and Calibrators


Because the analyzer, reagents (diluent, rinse, lyses, probe cleanser and E-Z cleanser),
controls, and calibrators are components of a system, performance of the system depends on
the combined integrity of all components. You should only use the Mindray-specified reagents
(see Appendix B Specifications), which are formulated specifically for the fluidic system of
your analyzer in order to provide optimal system performance. Do not use the analyzer with
reagents from multiple suppliers. In such use, the analyzer may not meet the performance
specified in this manual and may provide unreliable results. All references related to reagents
in this manual refer to the reagents specifically formulated for this analyzer.
Each reagent package must be examined before use. Inspect the package for signs of
leakage or moisture. Product integrity may be compromised in packages that have been
damaged. If there is evidence of leakage or improper handling, do not use the reagent.

z Store and use the reagents as instructed by instructions for use of the
reagents.

z When you have changed the diluent, cleansers or lyses, run a background
to see if the results meet the requirement.

z Pay attention to the expiration dates and open-container stability days of all
the reagents. Be sure not to use expired reagents.

z After installing a new container of reagent, keep it still for a while before use.

2.8.1 Reagents
M-53D Diluent
It applies to Mindray auto hematology analyzer.

M-53LEO (I) Lyse


It applies to Mindray auto hematology analyzer. It rapidly breaks down red blood cell walls. It
4-differentiates WBCs.

M-53LEO (II) Lyse


It applies to Mindray auto hematology analyzer. It rapidly breaks down red blood cell walls. It
4-differentiates WBCs.

M-53LH Lyse
It applies to Mindray auto hematology analyzer. It rapidly breaks down red blood cell walls to
determine the HGB.

M-53 Cleanser

2-31
Understanding Your Analyzer

It applies to Mindray auto hematology analyzer. It is an isotonic, cleaning solution formulated


to clean the fluidic lines and maintain the analyzer daily.

M-53P Probe Cleanser


It applies to Mindray auto hematology analyzer. It is an alkaline cleaning solution formulated
to clean the sampler.

2.8.2 Controls and Calibrators


The controls and calibrators are used to verify accurate operation of and calibrate the
analyzer.
The controls are commercially prepared whole-blood products used to verify that the analyzer
is functioning properly. They are available in low, normal, and high levels. Daily use of all
levels verifies the operation of the analyzer and ensures reliable results are obtained. The
calibrators are commercially prepared whole-blood products used to calibrate the analyzer.
Read and follow the instructions for use to use the controls and calibrators.

2-32
3 Understanding the System
Principles

3.1 Introduction
The measurement methods used in this analyzer are: the Electrical Impedance method for
determining the WBC/BAS, RBC and PLT data; the colorimetric method for determining the
HGB; flow cytometry by laser for determining the WBC data. During each analysis cycle, the
sample is aspirated, diluted and mixed before the determination for each parameter is
performed.

3-1
Understanding the System Principles

3.2 Aspiration
According to different configurations, the analyzer offers two types of sampling mode:
autoloader mode or closed-tube mode, the closed-tube mode supports two types of blood
samples – whole blood samples and prediluted blood samples, and the autoloader mode
supports whole blood samples.
If you are to analyze a whole blood sample under closed-tube mode, the analyzer will
aspirate 16µL of the sample.
If you are to analyze a capillary blood sample under closed-tube mode, you should first
manually dilute the sample (20µL of capillary sample needs to be diluted by 180µL of diluent)
and then present the pre-diluted sample to the analyzer, which will aspirate 80µL(CBC+DIFF)
or 40µL(CBC)of the sample.
If you are to analyze a whole blood sample under autoloader mode, the analyzer will aspirate
16µL of the sample.

3-2
Understanding the System Principles

3.3 Dilution
Then, the sample will be divided into 2 portions and be diluted and processed by different
reagents. After this, they are ready for analysis.
This analyzer can process two types of blood samples – whole blood samples and prediluted
blood samples.

3.3.1 Whole Blood Mode


„ WBC counting/HGB, RBC/PLT dilution flow chart

6µL of Whole blood sample

2.5 mL diluent

52.08µL
About 1:416.7 dilution

0.5 mL M-53LH lyse 2.672mL diluent

About 1:500 dilution for About 1:20000 dilution for


WBC/HGB analysis RBC/PLT analysis

„ WBC differential dilution flow chart

9 µL whole blood sample

1.1 mL M-53LEO(I) lyse

0.14mL M-53LEO(II) lyse

About 1:139 dilution for


WBC analysis

3-3
Understanding the System Principles

3.3.2 Predilute Mode


„ WBC counting/HGB, RBC/PLT dilution flow chart

20 µL capillary blood

180 µL diluent

About 1:10 dilution

40µL

2.46 mL diluent

60µL
About 1:625 dilution

0.5 mL M-53LH lyse 2.44 mL diluent

About 1:750 dilution for About 1:26000 dilution for


WBC/HGB analysis RBC/PLT analysis

„ WBC differential dilution flow chart

20 µL capillary blood

180 µL diluent

About 1:10 dilution

40µL
1.1 mL M-53LEO(I) lyse

0.14 mL M-53LEO(II) lyse

About 1:320 dilution for


WBC analysis

3-4
Understanding the System Principles

3.4 WBC Measurement

3.4.1 Flow Cytometry by Laser

Figure 3-1 WBC Measurement

After a predetermined volume of blood is aspirated and diluted by a certain amount of reagent,
it is injected into the flow cell. Surrounded with sheath fluid (diluent), the blood cells pass
through the center of the flow cell in a single column at a faster speed. When the blood cells
suspended in the diluent pass through the flow cell, they are exposed to a laser beam. The
intensity of scatter light reflects the blood cell size and intracellular density. The low-angle
scattered light reflects cell size, and the high-angle scattered light reflects intracellular density
(nucleus size and density). The optical detector receives this scatter light and converts it into
electrical pulses. Pulse data collected can be used to draw a 2-dimensional distribution
(scattergram). As shown in Figure 3-2 , X-axis represents the intracellular density and Y-axis
the blood cell size. Various types of analysis data can then be obtained from the
scattergrams.

3-5
Understanding the System Principles

Figure 3-2 DIFF channel scattergram

By analyzing the DIFF channel scattergram, the analyzer presents the Lym%, Mon%, Eos%
and Neu%.

3.4.2 Electrical Impedance Method


BASs/WBCs are counted and sized by the Electrical Impedance method. This method is
based on the measurement of changes in electrical resistance produced by a particle, which
in this case is a blood cell, suspended in a conductive diluent as it passes through an
aperture of known dimensions. An electrode is submerged in the liquid on both sides of the
aperture to create an electrical pathway. As each particle passes through the aperture, a
transitory change in the resistance between the electrodes is produced. This change
produces a measurable electrical pulse. The number of pulses generated signals the number
of particles that passed through the aperture. The amplitude of each pulse is proportional to
the volume of each particle.

Figure 3-3 Electrical Impedance method

3-6
Understanding the System Principles

Each pulse is amplified and compared to the internal reference voltage channel, which only
accepts the pulses of a certain amplitude. If the pulse generated is above the WBC/BAS
lower threshold, it is counted as a WBC/BAS. The analyzer presents the WBC/BAS
histogram, whose x-coordinate represents the cell volume (fL) and y-coordinate represents
the number of the cells.

3.4.3 Derivation of WBC-Related Parameters


Based on the analysis of the DIFF channel scattergram and the Lym region, Neu region, Mon
region and Eos region, the analyzer calculates the Lym%, Mon%, Eos% and Neu%. Having
achieved the WBC, the analyzer proceeds to calculate Lym#, Neu#, Mon# and Eos# per the
following equations while Bas# is obtained directly by the Electrical Impedance method and
express them in 109/L.

„ White Blood Cell count


WBC is the number of leukocytes measured directly by counting the leukocytes passing
through the aperture..

„ Basophils number

Bas# is the number of Basophils measured directly by counting the Basophils passing
through the aperture.

„ Basophils percentage

Bas#
Bas% = × 100%
WBC

„ Lymphocytes percentage

Particles in Lym region of Diff channel


Lym% = × 100%
Sum of all particles in Diff channel except those in Ghost region

„ Neutrophils percentage

Particles in Neu region of Diff channel


Neu% = × 100%
Sum of all particles in Diff channel except those in Ghost region

„ Monocytes percentage

Particles in Mon region of Diff channel


Mon % = × 100%
Sum of all particles in Diff channel except those in Ghost region

3-7
Understanding the System Principles

„ Eosinophils percentage

Particles in Eos region of Diff channel


Eos% = × 100%
Sum of all particles in Diff channel except those in Ghost region

„ Lymphocytes number

Lym# = WBC × Lym%

„ Neutrophils number

Neu # = WBC × Neu %

„ Monocytes number

Mon# = WBC × Mon%

„ Eosinophils number

Eos# = WBC × Eos%

3-8
Understanding the System Principles

3.5 HGB Measurement

3.5.1 Colorimetric Method


HGB is determined by the colorimetric method. The WBC/HGB dilution is delivered to the
HGB bath where it is bubble mixed with a certain amount of lyse, which converts hemoglobin
to a hemoglobin complex that is measurable at 525 nm. An LED is mounted on one side of
the bath and emits a beam of monochromatic light, whose central wavelength is 525nm. The
light passes through the sample and is then measured by an optical sensor that is mounted
on the opposite side. The signal is then amplified and the voltage is measured and compared
to the blank reference reading (readings taken when there is only diluent in the bath).

3.5.2 HGB
The HGB is calculated per the following equation and expressed in g/L.

⎛ Blank Photocurrent ⎞
HGB(g/L) = Constant × Ln ⎜⎜ ⎟⎟
⎝ Sample Photocurrent ⎠

3-9
Understanding the System Principles

3.6 RBC/PLT Measurement

3.6.1 Electrical Impedance Method


RBCs/PLTs are counted and sized by the Electrical Impedance method. This method is
based on the measurement of changes in electrical resistance produced by a particle, which
in this case is a blood cell, suspended in a conductive diluent as it passes through an
aperture of known dimensions. An electrode is submerged in the liquid on both sides of the
aperture to create an electrical pathway. As each particle passes through the aperture, a
transitory change in the resistance between the electrodes is produced. This change
produces a measurable electrical pulse. The number of pulses generated signals the number
of particles that passed through the aperture. The amplitude of each pulse is proportional to
the volume of each particle.

Figure 3-4 Electrical Impedance method

Each pulse is amplified and compared to the internal reference voltage channel, which only
accepts the pulses of a certain amplitude. If the pulse generated is above the RBC/PLT lower
threshold, it is counted as a RBC/PLT. The analyzer presents the RBC/PLT histogram, whose
x-coordinate represents the cell volume(fL)and y-coordinate represents the number of the
cells.

3-10
Understanding the System Principles

3.6.2 RBC
„ RBC

RBC (1012/L) is the number of erythrocytes measured directly by counting the erythrocytes
passing through the aperture.

„ Mean Corpuscular Volume

Based on the RBC histogram, this analyzer calculates the mean cell volume (MCV) and
expresses the result in fL.

This analyzer calculates the HCT (%), MCH (pg) and MCHC (g/L) as follows, where the RBC
is expressed in 1012/L, MCV in fL and HGB in g/L.

RBC × MCV
HCT =
10

HGB
MCH =
RBC

HGB
MCHC = × 100
HCT

„ Red Blood Cell Distribution Width Coefficient of Variation

Based on the RBC histogram, this analyzer calculates the CV (Coefficient of Variation, %) of
the erythrocyte distribution width.

„ Red Blood Cell Distribution Width Standard Deviation

RDW-SD (RBC Distribution Width – Standard Deviation, fL) is obtained by calculating the
standard deviation of the red blood cell size distribution.

3.6.3 PLT
„ Platelet count

PLT (109/L) is measured directly by counting the platelets passing through the aperture.

„ Mean Platelet Volume

Based on the PLT histogram, this analyzer calculates the mean platelet volume (MPV, fL).

„ Platelet Distribution Width

Platelet distribution width (PDW) is the geometric standard deviation (GSD) of the platelet
size distribution. Each PDW result is derived from the platelet histogram data and is reported
as 10(GSD).

3-11
Understanding the System Principles

„ PCT

This analyzer calculates the PCT as follows and express it in %, where the PLT is expressed
in 109/L and the MPV in fL.

PLT × MPV
PCT =
10000

3-12
Understanding the System Principles

3.7 Wash
After each analysis cycle, each element of the analyzer is washed.

3-13
4 Installing Your Analyzer

4.1 Introduction

z Installation by personnel not authorized or trained by Mindray may cause


personal injury or damage your analyzer. Do not install your analyzer
without the presence of Mindray-authorized personnel.

Your analyzer is tested before it is shipped from the factory. International symbols and special
handling instructions tell the carrier how to treat this electronic instrument. When you receive
your analyzer, carefully inspect the carton. If you see any signs of mishandling or damage,
contact Mindray customer service department or your local distributor immediately

4-1
Installing Your Analyzer

4.2 Installation Requirements

z Do not install the software and database in the system disk.

4.2.1 Installation Requirements


Check the site for proper space allocation. In addition to the space required for the analyzer
itself, arrange for

„ at least 100 cm on each side, which is the preferred access to perform service
procedures.

„ at least 50 cm behind the back side for cabling and ventilation.

„ enough room on and below the countertop to accommodate the diluent and waste
containers.

4.2.2 Power Requirements

z Connect only to a properly earth grounded outlet.

z Before turning on the analyzer, make sure the input voltage meets the
requirements.

z Using pinboard may bring the electrical interference and the analysis results
may be unreliable. Please place the analyzer near the electrical outlet to
avoid using the plug-board.

z Please use the original electrical wire shipped with the analyzer. Using other
electrical wire may damage the analyzer or cause unreliable analysis
results.

Voltage Input power Frequency

Analyzer A.C. 100V-240V ≤300 VA 50/60 Hz

4-2
Installing Your Analyzer

4.2.3 General Environment


„ Optimal operating temperature: 15 ℃ - 30 ℃

„ Optimal operating humidity: 30 % - 85 %

„ Operating atmospheric pressure: 70 kPa - 106 kPa.

„ The environment should be as free as possible from dust, mechanical vibrations, loud
noises, pollution and electrical interference.

„ It is advisable to evaluate the electromagnetic environment prior to operation of this


analyzer.

„ Do not use this analyzer in close proximity to sources of strong electromagnetic radiation
(e.g. unshielded intentional RF sources), as these may interfere with the proper
operation.

„ Do not place the analyzer near brush-type motors, flickering fluorescent lights, and
electrical contacts that regularly open and close.

„ Do not place the analyzer in direct sunlight or in front of a source of heat or drafts.

„ The environment should be good ventilation.

„ Do not place the analyzer on a slope.

4.2.4 Transport and Installation

z Transport or installation by personnel not authorized or trained by Mindray


may cause personal injury or damage your analyzer. Do not install your
analyzer without the presence of Mindray-authorized personnel.

z To avoid damage during the transportation, the sampling assembly of the


analyzer is fixed with a plastic cable tie and a clamp. Do remove them before
using the analyzer.

The transport and installation shall be conducted by Mindray-authorized personnel. Do not


transport or install the analyzer without contacting Mindray customer service department or
your local distributor.

4-3
Installing Your Analyzer

4.3 Connecting the Analyzer System

z Please make sure the length of the diluent pipe and the waste pipe is not
longer than 1500mm; the length of the lyse pipe and the cleanser pipe is not
longer than 850mm.

Connect the electric lines and fluidic lines as follows:

Figure 4-1 connecting the electric lines

4-4
Installing Your Analyzer

Figure 4-2 Connecting the Fluidic Lines

4-5
5 Customizing the Analyzer Software

5.1 Introduction
The BC-5380 is a flexible laboratory instrument that can be tailed to your work environment.
You can use the “Setup” program to customize the software options as introduced in this
chapter.
The analyzer divides the operators into two levels, common user and administrator. Note that
an administrator can access all the functions open to a common user. This chanter introduces
how to customize your analyzer respectively as a common user level and as an administrator.

5-1
Customizing the Analyzer Software

5.2 Common User

5.2.1 General Setup


When you log in as a common user, click the “Menu” button, and then select the “Setup”, and
then select any setting from the displayed menu to enter the “General Setup” screen.

Date format
Date format can be set at this screen. Note that when the date format setting is changed, all
the displayed and printed date format will be affected, including the draw date, delivery date,
run date, entry date of the work list, reagent expiration date, quality control date, calibration
date, and etc.

„ Entering the “Date format” screen

At the “General Setup” screen, click the “Date Format” button to enter the “Date Format”
screen.

5-2
Customizing the Analyzer Software

„ Selecting date format

Six date formats are available: “YYYY-MM-DD”, “YYYY/MM/DD”, “MM-DD-YYYY”,


“MM/DD/YYYY”, “DD-MM-YYYY” and “DD/MM/YYYY”. To select the desired format, click the
corresponding radio button.

„ Apply

Click the “Apply” button to save all the changes without closing the setup screen.

„ Ok

Click the “Ok” button to save all the settings and close the setup screen.

„ Cancel

Click the “Cancel” button to close the setup screen without saving the changes.

„ Exiting the setup screen

Click another setup button to switch to the corresponding screen.

z You will not lose the new changes by switching to another screen. But the
new changes will only be saved after you click the “Apply” or “Ok” button.

5-3
Customizing the Analyzer Software

Reagents

z Be sure to set the reagent expiration date before the first use of the analyzer
or after a new container of reagent is installed.

You can set the expiration date of the diluent, LEO (I) lyse, LEO (II) lyse, LH lyse and
cleanser at the “Reagent” screen.

„ Entering the “Reagent” screen

At the “General Setup” screen, click the “Reagent” button to enter the “Reagent” screen.

„ Selecting whether to set the expiration date

If you wish to set the expiration date for the reagents, you can click the check box "Exp. Date"
to select it. This option is selected as default.

z If the “Exp. Date” check box is not selected, then the “Reagent Expired” will
not be alarmed.

„ Setting the expiration date

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After selecting the check box of “Exp. Date”, you can click the arrow button of the edit box to
set the expiration date of each reagent by using the date control.

z The range of the expiration date is from the current system date to
2099-12-31.

z You can not edit the open-container expiration date for it is calculated
automatically by the software and displayed in the form of text.

z If the current system date exceeds the displayed expiration date or the
open-container expiration date whichever is earlier, then the “Reagent
Expired” will be alarmed.

z When the reagent is expired, you can check the expiration date of the sealed
container and the open container here to determine which one led to the
expiration alarm.

z When the reagent is expired, you can not run any samples.

If an external barcode scanner is connected, you can click the “Use Barcode Scanner”
check box to enable it. Scan the barcode with the external barcode scanner. If the scan is
successful, the expiration date of the reagent will be displayed in the corresponding box.

z If “Use Barcode Scanner” is selected, then the date control will be


unavailable for you to enter the expiration date manually.

„ Selecting whether to set the lot No.

If you wish to set the lot No. for the reagents, you can click the check box "Lot No." to select it.
This option is selected as default.

„ Setting the lot number

Enter the lot number into “Lot No.” box.

„ Apply

Click the “Apply” button to save all the changes without closing the setup screen.

„ Ok

Click the “Ok” button to save all the settings and close the setup screen.

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„ Cancel

Click the “Cancel” button to close the setup screen without saving the changes.

„ Exiting the setup screen

Click another setup button to switch to the corresponding screen.

z You will not lose the new changes by switching to another screen. But the
new changes will only be saved after you click the “Apply” or “Ok” button.

Auxiliary
„ Entering the “Auxiliary” screen

At the “General Setup” screen, click the “Auxiliary” button to enter the “Auxiliary” screen.

„ Selecting reminder of the predilute mode

If you have activated the reminder and selected the predilute mode, a message box will pop
up to ask for confirmation every time you try to analyze a sample in the predilute mode.

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To activate the reminder, click the “Ask for confirmation” radio button (default). To
deactivate the reminder, click the “Do not ask for confirmation” radio button.

„ Setting the sample ID

Select “Auto Increase” (default) so that the sample ID can increase automatically; select
“Manual entry (by keyboard or bar scanner)” if you want to enter the sample ID manually.

z Even in the “Auto increase” mode, you can still change the sample ID by
re-entering the desired number through keyboard or the bar-code scanner.

Enter the prefix of the sample ID in the edit box of “Prefix”.

z The new setting of the prefix will only be applied to the later sample IDs. It
will not affect the IDs run previously and those already entered in the
worklist.

z If the prefix is entered, and the sample ID entry method is set as “Auto
increase”, then a revisable prefix will be displayed automatically in the
sample ID box every time when you entering/editing the information.

z If the sample ID entry method is set as “Manual entry (by keyboard or bar
scanner)”, then no matter the prefix is set or not, the default sample ID of a
new record in the worklist will be empty.

„ Other settings

If you want to add a new record automatically after the previous one is entered and saved in
the worklist, you can select “Save and jump to next record”.
If you wish to jump to the next record once the current one is validated, you can select the
check box “Validate and jump to next record”. This option is selected as default.
If you wish to switch between different information fields by [Enter] key, you can select the

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check box “Switch between different information fields by [Enter] key”. The default
setting of this option is selected and also support switch by [Tab] key. Click the “Information
fields” button next to the option and the following message box will pop up.

There is a check box in front of each information field; the default setting is all selected. It
means information entries of all demographics are requested. You can click a check box or
some boxes to cancel the selected mark “√”. It means you can jump over the unselected
demographics by pressing [Enter] or [Tab] key, leaving them in blank. However, you can also
re-locate the cursor in the information field by the mouse to re-enter the information.
Click “Ok” to save the entered information and close the message box, then back to the
“Auxiliary” screen.
If you wish to delete the completed record from the worklist after each run, you can click the
check box “Automatically delete completed records from the worklist”, selecting it by a
“√” in the box. The default setting of this option is not selected.

„ Apply

Click the “Apply” button to save all the changes without closing the setup screen.

„ Ok

Click the “Ok” button to save all the settings and close the setup screen.

„ Cancel

Click the “Cancel” button to close the setup screen without saving the changes.

„ Exiting the setup screen

Click another setup button to switch to the corresponding screen.

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z You will not lose the new changes by switching to another screen. But the
new changes will only be saved after you click the “Apply” or “Ok” button.

5.2.2 User/Lab management

User and Password


When you log in as a common user, click the “Menu” button, and then select “Setup”, then
select “User and Password” from the pop up menu to enter the information list of all the
administrators and common users.

„ Change password

The current login user can change his/her password:

1. Highlight the current login user in the list, and then click the “Change password” button,
the following message box will pop up.

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2. Enter the current login password in the edit box “Old password”, and then enter the new
password in the “New password” and “Confirm new password” box.

3. Finish entering; click “Ok”, then a message box will pop up.

4. Click “Ok” to close the message box and back to the previous screen.

z The new password could be empty.

„ Exit

Click the “Close” button to exit the “User and Password” screen.

Lab Information
When you log in as a user of common level, click the “Menu” button, and then select the
“Setup”, and then select “Lab Info.” from the pop-up menu, and then the lab information box
will pop up. You can only browse the information.

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„ Exit

Click the “Cancel” button to exit the “Lab Info.” box.

5.2.3 Shortcut Code


When you log in as a user of common level, click the “Menu” button, and then select the
“Shortcut Code”, and then the shortcut code message box will pop up.

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You can click the “Department”, “Deliverer”, “Diagnosis” and “Gender” button to check the
corresponding shortcut code.

„ Exit

Click the “Close” button to exit the message box.

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5.3 Administrator

5.3.1 General Setup


When you log in as a user of administrator level, click the “Menu” button, and then select the
“Setup”, and then select any setting from the displayed menu to enter the “General Setup”
screen. Besides the authorities of common level, a user of administrator level is enabled the
following authorities.

Auxiliary
„ Entering the “Auxiliary” screen

At the “General Setup” screen, click the “Auxiliary” button to enter the “Auxiliary” screen.

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„ Authority setup

To allow common users to edit the ID of the sample run already in the review screen, you can
select the check box “Edit ID of sample run already”. The default setting of this option is not
selected.
If you wish to enable users of common level the authority of editing/restoring the sample
result, you can select the check box “Edit sample result”. This option is not selected as
default.
If you wish to enable the users of common level the authority of validating the sample result,
you can click the check box “Validate sample”. This option is not selected as default.

„ Apply

Click the “Apply” button to save all the changes without closing the setup screen.

„ Ok

Click the “Ok” button to save the changes and close the setup screen.

„ Cancel

Click the “Cancel” button to close the setup screen without saving the changes.

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„ Exiting the setup screen

Click another setup button to switch to the corresponding screen.

z You will not lose the new changes by switching to another screen. But the
new changes will only be saved after you click the “Apply” or “Ok” button.

Para. Units
Some references/parameters used by the analyzer could in several different units; you can
select the desired unit.

„ Entering the “Para. Units” screen

At the “General Setup” screen, click the “Para. Units” button to enter the “Para. Units”
screen.

Parameters of the same group are displayed together, with the first parameter in black and
the rest in gray.

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„ Unit standard

Click the check box “Select unit system” to select the desired unit standard form the
following seven ones: Customized, China, International (default), USA, Canada, Netherlands
and Britain.

z When selecting different unit standard, the corresponding unit list and unit
option will be displayed differently.

z If “Customized” is selected, then you can modify the unit of each parameter.

z If other option is selected except the “Customized”, then the unit of each
parameter can only be browsed.

„ Para. units Setup

When “Customized” is selected, click the desired parameter, and then click the unit options
provided on the right to select a new unit for the parameter.

z For parameters in a same group, if the unit of any parameter changes, the
units of the rest parameters change accordingly.

z The unit of MCH changes according to MCHC and HGB, the operator can not
modify it.

z If the parameters units change, the format of the data displayed in the list
will change accordingly.

„ Default

When “Customized” is selected, click the “Default” button to have the default units
(International) of all parameters displayed in the corresponding cell.

„ Print

Click the “Print” button to print all the parameters’ units in the current screen.
If you haven’t saved the settings when clicking the “Print” button, a message box will pop up.

Click “Yes” to save the new settings and print them; click “No” to print the content of the

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original settings without saving.

„ Apply

Click the “Apply” button to save all the changes without closing the setup screen.

„ Ok

Click the “Ok” button to save all the settings and close the setup screen.

„ Cancel

Click the “Cancel” button to close the setup screen without saving the changes.

„ Exiting the setup screen

Click another setup button to switch to the corresponding screen.

z You will not lose the new changes by switching to another screen. But the
new changes will only be saved after you click the “Apply” or “Ok” button.

Ref. Range
The “Ref. Range” screen is where you view and set the high and low limits for your patients.
The analyzer flags any parameter value above (H) or below (L) these limits.
This analyzer divides patients into 5 demographic groups: General, Man, Woman, Child and
Neonate. You can also customize another 5 groups. The default setting is “General”. The
recommended limits are provided for your reference only. To avoid misleading parameter
flags, be sure to set the patient limits according to the characteristics of your local population.

„ Entering the “Ref. Range” screen

At the “General Setup” screen, click the “Ref. Range” button to enter the “Ref. Range”
screen.

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„ Set ref. group

Click the “Set ref. group” button, a message box will pop up.

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z You can not modify the names and corresponding information of the five
fixed reference groups in the list.

z You can modify the names, age range (including age value and unit) and
gender of the five customized reference groups.

Double click the “Ref. Group” cell of the five customized reference group to modify the name
of the group.

z The reference group title can not be empty.

z The group title entered can not use General, Man, Woman, Child and
Neonate. The group title can not be the same as existing ones.

Double click the “Age” cell of the customized reference group to modify the age; double click
the age unit cell to open a combo box with different age units for you to choose from: Year,
Month, Day, and Hour.
Double click the “Gender” cell of the customized reference group to open a combo box with
different options for you to choose from: Not defined, Male, Female, Empty.

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Click the check box of “Automatically match the customized ref. group according to age
and gender” to select it. The option is not selected as default.

z If “Automatically match the customized ref. group according to age and


gender” is not selected, then the five fixed ref. groups will be used to match
according to patient’s age and gender automatically.

z If “Automatically match the customized ref. group according to age and


gender” is selected but the customized ref. groups have not been edited,
then the five fixed ref. groups will be used to match according to patient’s
age and gender automatically.

z If “Automatically match the customized ref. group according to age and


gender” is selected and the customized ref. groups have been edited, then
the customized ref. groups will be used to match firstly. If matching is failed,
and then the five fixed ref. group will be used to match according to patient’s
age and gender automatically.

z When the customized ref. groups are used to match, the matching will be
performed from top down according to the customized ref. groups displayed
in the screen.

Click one of the reference groups to highlight it, and then click the “Set to be default ref.
group” button to set the group as the default group when entering the worklist.
Click one of the reference groups to highlight it, and then click the “Default” button to display
the default information including group title, age limit, age unit and gender in the
corresponding cell.
Click “Print” to print out the settings in accordance with the age and gender of the reference
group. If the previous settings are not saved when you click the “Print” button, a message
box will pop up.

Click “Yes” to save the new settings and print them; click “No” to print the content of the
original settings without saving.
Click the “Ok” button to save and refresh the settings and close the “Set ref. group” message
box.

„ Setup the Ref. range

1. Click the “Ref. Group” combo box, and then select the desired group from the options:

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General, Man, Woman, Child, Neonate and Customized 1-5.

2. Drag the scroll bar, and then click the “Upper limit” or “Lower limit” of the parameter you
want to customize.

3. Enter the new data.

z 10 groups of reference range are defined according to 10 reference groups.

z When a reference group is selected, the upper and lower limit of the target
will change accordingly.

z The default reference ranges of the five customized groups are the same as
that of the “General” group.

z The change of the reference range will not affect the previous flagging
setup, but only affect the following analysis.

„ Default

Click the “Default” button to display the default reference range of the current reference
group in the corresponding form.

„ Print

Click “Print” to print the reference ranges of all reference groups.


If the previous settings are not saved when you click the “Print” button, a message box will
pop up.

Click “Yes” to save the new settings and print them; click “No” to print the content of the
original settings without saving.

„ Apply

Click the “Apply” button to save all the changes without closing the setup screen.

„ Ok

Click the “Ok” button to save all the settings and close the setup screen.

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„ Cancel

Click the “Cancel” button to close the setup screen without saving the changes.

„ Exiting the setup screen

Click another setup button to switch to the corresponding screen.

z You will not lose the new changes by switching to another screen. But the
new changes will only be saved after you click the “Apply” or “Ok” button.

Print
„ Entering the “Print” screen

At the “General Setup” screen, click the “Print” button to enter the “Print” screen.

„ Setting the print title

Enter the print title in the “Title” box. The default title is “Hematology Analysis Report”.

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„ Selecting paper type

Click the “Paper type” box, select the desired paper type from the five types: A5 (default), A4,
continuous paper and B6.

„ Setting number of copies

If you want multiple copies of the same patient report to be printed, you can enter the desired
number (1 - 100) into the “Copies” field. The default number is 1.

„ Setting print format

Click the “Format” combo box to display the report format options for you to select from. The
report format in the combo box differs according to the selected paper type. The relationships
are shown in the following list:

Paper type Format Note


Whole page, all para., with graph
Half page, all para., without graph
A4 Half page, compact
Half page, no diff para., with graph
microscopic exam results report
The same as “Half page,
All para., with graph
compact” of A4
A5, continuous The same as “Half page, all
All para., without graph
paper, B6 para., without graph” of A4
The same as “Half page, no
No diff para., with graph
diff para., with graph” of A4

„ Preview

Click the “Preview” button to preview the print report.

z After editing the print setup, you should preview the report before printing
to make sure the setup is correct.

„ Autoprint

The analyzer can auto-print the report in the set format once the analysis result is obtained.
Click “On” to enable the autoprint function; click “Off” to disable the autoprint function. The
default setting is “Off”.

„ Autoprint after validation

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If “Autoprint” is “On”, then the “Autoprint after validation” check box will be activated.
Select the “Autoprint after validation” to autoprint the report only after the sample is
validated; otherwise, the report will be printed once the running is finished.

„ Print Flag

If the Flag information is needed in the printed report, you can select the “Print Flag” check
box .The default setting of this option is not selected.

z If the default report template that you selected can display the flag
information, then the “Print Flag” box here will be available for you to select.

z If the default report template that you selected can not display the flag
information, or the selected template is a customized one, then the “Print
Flag” box here will be unavailable for you to select.

„ Print suspect flags “?”

If the suspect flags “?” are needed in the printed report, you should select the “Print suspect
flags “?”” check box. This option is selected as default.

„ Print ref. range

If the reference range is needed in the printed report, you should select the “Print ref. range”
check box. This option is selected as default.

„ Print ref. range flags

If the ref. range flags (“H” or “L”) are needed in the printed report, you should select the “Print
ref. range flags” check box. This option is selected as default.

z If “Print ref. range” is selected, then the “Print ref. range flags” option will
also be enabled and unavailable for you to edit. The ref. range and the ref.
range flags (“H” or “L”) will be printed in the report together.

z If you want to de-select the “Print ref. range flags” option when “Print ref.
range” is selected (print the ref. range in the report only), please contact
Mindray customer service department or your local distributor.

z If “Print ref. range” is not selected, then you can select whether to print the
ref. range flags (“H” or “L”) in the report at will.

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„ Print result edited flags

If the result edited flags (“E” or “e”) are needed in the printed report, you should select the
“Print result edited flags” check box. This option is selected as default. For details of how to
edit result, please see Edit Result section in 7.2.3 or 7.3.3 Function of the Buttons

„ Print ambient temp. abnormal flags

If the ambient temp. abnormal flags (“T”) are needed in the printed report, you should select
the “Print ambient temp. abnormal flags” check box. This option is selected as default.

„ Setting default printer

Click the “Default printer” check box to display the printers available to the current system,
and then you can select one type from them as the default printer to perform all the print
tasks.

z For operating system of Windows Vista, the right of using network printer is
restricted by users' access level. To enable the network printer, you should
log on the system as administrator, and then right click the shortcut icon of
the terminal software and run it as administrator.

z If you change the default printer here, the default printer of the current
system will also change.

z If you change the default printer in the operation system, then the printer
name in this check box will also change.

„ Apply

Click the “Apply” button to save all the changes without closing the setting screen.

„ Ok

Click the “Ok” button to save all the settings and close the setting screen.

„ Cancel

Click the “Cancel” button to close the setup screen without saving the changes.

„ Exiting the setup screen

Click another setup button to switch to the corresponding screen.

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z You will not lose the new changes by switching to another screen. But the
new changes will only be saved after you click the “Apply” or “Ok” button.

Communication
„ Entering the “Communication” screen

At the “General Setup” screen, click the “Communication” button to enter the
“Communication” screen.

z The settings here are applied to the communication between the analyzer
and the external (i.e. LIS), but not between the analyzer and the terminal
software.

„ Setting IP address

Enter the IP address into the empty (default) “IP address” box.

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„ Setting Port

Enter the port number into the empty (default) “Port” box.

„ Auto-communication

The function is used for automatically transmitting the sample result to the external data
management software or LIS/HIS system.
Click “On” to enable the auto-communication; click “Off” to disable the auto-communication.
The default setting is “Off”.

„ Bidirectional LIS/HIS communication

The function is used for automatically obtaining the sample/patient information from the
LIS/HIS system after the sample ID is entered or scanned, and automatically transmitting the
sample result to the LIS/HIS system.
Click “On” to enable the bidirectional LIS/HIS communication; click “Off” to disable it. The
default setting is “Off”.

„ Apply

Click the “Apply” button to save all the changes without closing the setup screen.

„ Ok

Click the “Ok” button to save all the settings and close the setup screen.

„ Cancel

Click the “Cancel” button to close the setup screen without saving the changes.

„ Exiting the setup screen

Click another setup button to switch to the corresponding screen.

z You will not lose the new changes by switching to another screen. But the
new changes will only be saved after you click the “Apply” or “Ok” button.

Research Use Only Parameter (RUO parameter)


The RUOs include ALY%, LIC%, ALY# and LIC#.

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z The RUO parameters are for research use only, not for diagnostic use.

„ Entering the “RUO” screen

At the “General Setup” screen, click the “RUO” button to enter the “RUO” screen.

„ Setting display

If you wish to display the RUO parameters, select the “Display RUO parameters” check box.
This option is selected as default.
If “Display RUO parameters” is selected and you also wish to display the “*” mark, you can
select the “Display “*” mark” check box. This option is selected as default.
If “Display RUO parameters” and “Display “*” mark” are selected and you also wish to
display declaration (“*” means “research use only, not for diagnostic use”), you can select the
“Display declaration” check box. This option is selected as default.

„ Setting print

If you wish to print the RUO parameters, you can select the “Print RUO parameters” check
box. This option is selected as default.
If “Print RUO parameters” is selected and you also wish to print the “*” mark, you can select

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the “Print “*” mark” check box. This option is selected as default.
If “Print RUO parameters” and “Print “*” mark” are selected and you also wish to print
declaration (“*” means “research use only, not for diagnostic use”), you can select the “Print
declaration” check box. This option is selected as default.

z Any change made to the settings of displaying or printing the RUO


parameters, the “*” mark and the declaration will be applied to all the RUO
parameters (before and after the change is made).

„ Apply

Click the “Apply” button to save all the changes without closing the setup screen.

„ Ok

Click the “Ok” button to save all the settings and close the setup screen.

„ Cancel

Click the “Cancel” button to close the setup screen without saving the changes.

„ Exiting the setup screen

Click another setup button to switch to the corresponding screen.

z You will not lose the new changes by switching to another screen. But the
new changes will only be saved after you click the “Apply” or “Ok” button.

Gain
You can adjust each digital pot at the “Gain” screen. It is not recommended to adjust gains
frequently.

„ Entering the “Gain” screen

At the “General Setup” screen, click the “Gain” button to enter the “Gain” screen.

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z You can not modify the gains of FS, SS and SF.

„ Setting the WBC gain

The WBC gain here is under the Whole Blood Mode.


Click the current value of the “WBC” and enter the new value.

„ Setting the RBC gain

Click the current value of the “RBC” and enter the new value.

„ Setting the WBC(P) gain

The WBC gain here is under the Predilute Mode.


Click the current value of the “WBC (P)” and enter the new value.

„ Setting the HGB gain

You can adjust the HGB blank voltage by adjusting the HGB gain.
You can enter the value directly in the edit box or click the adjusting button to adjust the HGB
gain.

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„ Apply

Click the “Apply” button to save all the changes without closing the setup screen.

„ Ok

Click the “Ok” button to save all the settings and close the setup screen.

„ Cancel

Click the “Cancel” button to close the setup screen without saving the changes.

„ Exiting the setup screen

Click another setup button to switch to the corresponding screen.

z You will not lose the new changes by switching to another screen. But the
new changes will only be saved after you click the “Apply” or “Ok” button.

Auto Maintenance
„ Entering the “Auto Maintenance” screen

Click the “Auto Maintenance” button to enter the “Auto Maintenance” screen.

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„ Setting the “Auto-sleep”

You can set here when to start the auto-maintain procedure after the relevant fluidic operation
stops. Enter the desired time ranging from 15 (default) to 30 minutes into the “Wait” box.

„ Setting “Time-based maintenance”

You can enter the desired time in the “Preset time” or click the adjusting button to set the
preset time for time-based maintenance ranging from [0:00(default) – 23:59].
You can enter the desired time in the “Pre-reminding” or click the adjusting button to set the
pre-reminding time for time-based maintenance. The setting range is [0 minute, 2 hours], the
default time is 1 hour.

„ Apply

Click the “Apply” button to save all the changes without closing the setup screen.

„ Ok

Click the “Ok” button to save all the settings and close the setup screen.

„ Cancel

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Click the “Cancel” button to close the setup screen without saving the changes.

„ Exiting the setup screen

Click another setup button to switch to the corresponding screen.

z You will not lose the new changes by switching to another screen. But the
new changes will only be saved after you click the “Apply” or “Ok” button.

Autoloader
When the autoloader is adopted, you can set the conditions when to stop the autoloader, the
rules to arrange the sample ID and whether to display statistics.

z In order to avoid personal injury and damage to the analyzer, it is


recommended that you set the conditions when to stop the autoloader.

„ Entering the setup screen

At the “General Setup” screen, click the “Autoloader” button to enter the “Autoloader”
screen.

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„ When to stop the autoloader:

To stop the autoloader when there are no diluent and lyses, you can select the “There are no
diluent and lyses” check box. The default setting of this option is not selected.
To stop the autoloader when waste is full, you can select the “Waste is full” check box. The
default setting of this option is not selected.
To stop the autoloader when there is the sample ID reading error, you can select the “Sample
ID reading error” check box. The default setting of this option is not selected.
To stop the autoloader when there are n (editable; default is 3; upper limit is 100) continuous
clog errors, you can select the “There are n continuous clogging” check box. The default
setting of this option is not selected.

z If the condition when to stop the autoloader are not set but the certain error
happens (“sample ID reading error” excluded), the analyzer will only stop
autoloading but the sample analysis will continue.

„ Rules to arrange the sample ID

You can click the “Increases sequentially according to tube position” radio button to have

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Customizing the Analyzer Software

the sample ID increased sequentially even an empty tube position is detected. You can click
the “Increases according to actual tube number” radio button to have the sample ID
increased according to actual tube number (i.e. the empty tube position will be excluded).
The default setting of this option is “increases sequentially according to tube position”.

„ Statistics

Click “On” to enable the statistics after the autoloading is finished every time. Click “Off” to
disable the function (default).

„ Apply

Click the “Apply” button to save all the changes without closing the setup screen.

„ Ok

Click the “Ok” button to save all the changes and close the setup screen.

„ Cancel

Click the “Cancel” button to close the setup screen without saving the changes.

„ Exiting the setup screen

Click another setup button to switch to the corresponding screen.

z You will not lose the new changes by switching to another screen. But the
new changes will only be saved after you click the “Apply” or “Ok” button.

Barcode
You can set the symbology for the analyzer.
Totally 6 code systems are supported by the analyzer, namely, CODE39, CODE93,
CODEBAR, CODE128, UPC/EAN and ITF (chiasmatic 25 code).

„ Entering the setup screen

At the “General Setup” screen, click the “Barcode Info.” button to enter the “Barcode Info.”
screen.

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Customizing the Analyzer Software

„ Setting the code system and digits

Select the check box of the desired code system and enter the digits of the code into the
"Digits" box. For CODE39, CODE93, CODEBAR and CODE128, the digits range is 1-20. For
ITF, the digits range is the evens between 1 to 20.For UPC/EAN, the digits range is controlled
by the analyzer automatically.

z For the code system and digits, the settings should comply with the actual
one.

„ Apply

Click the “Apply” button to save all the changes without closing the setup screen.

„ Ok

Click the “Ok” button to save all the changes and close the setup screen.

„ Cancel

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Customizing the Analyzer Software

Click the “Cancel” button to close the setup screen without saving the changes.

„ Exiting the setup screen

Click another setup button to switch to the corresponding screen.

z You will not lose the new changes by switching to another screen. But the
new changes will only be saved after you click the “Apply” or “Ok” button.

5.3.2 User/Lab management

User and Password


When you log in as a common user, click the “Menu” button, and then select the “Setup”,
then select “User and Password” from the pop up menu to enter the information list of all the
administrators and common users.

„ Creating a user

Do as follows to create a user:

1. Click the “New” button, a message box will pop up.

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Customizing the Analyzer Software

2. Enter the information in each edit box, and then click the authority combo box to select
the new user as “Common User” or “Administrator”.

3. Click “Ok” to save the information of the new user, refresh the user list without closing
the message box, and all the information fields in the message box will be cleared, and
then you can continue to add another new user.

z New user names can be neither empty nor same as existing ones.

„ Editing information of users

Do as follows to edit the information of the users:

1. Click the desired cell, then click the “Edit” button, then a message box will pop up.

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Customizing the Analyzer Software

2. You can change the content of each item in the edit box or change the users’ authority
level by clicking the authority combo box.

3. Click “Ok” button to save the modified users’ information and close the message box,
then the edited record will be highlighted in the list of users.

z Modified user names can be neither empty nor same as existing ones.

z If the current login administrator changes the user level into “common
user”, it takes effect only after logging out and then re-login.

„ Deleting a user

Do as follows to delete a user:

1. Click the desired cell, then click the “Delete” button, a message box will pop up.

2. Click “Ok” to delete the user and close the message box, then the user will be deleted
from the list of users.

z You can not delete the current login user.

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Customizing the Analyzer Software

„ Reset password

You can reset a new password for users who forgot the password to log into the system:

1. Click the desired cell, and then click the “Reset password” button, a message box will
pop up.

2. Enter the new password in the “New password” and “Confirm new password” box.

3. Click “Ok” button to save the new password and close the message box.

z You can not reset the password for the current login user.

„ Change password

Do as follows to change the password of the current user:


1. Highlight the current login user in the list, and then click the “Change password” button,
the following message box will pop up.

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Customizing the Analyzer Software

2. Enter the current login password in the edit box “Old password”, and then enter the new
password in the “New password” and “Confirm password” box.
3. Finish entering; click “Ok”, a message box will pop up.

4. Click “Ok” to close the message box and back to the previous screen.

z The new password could be empty.

„ Exiting “User and Password” screen

Click the “Close” button to exit the message box of “User and Password”.

Lab Information
When you login as a user of administrator level, click the “Menu” button, and then select
“Setup”, and then select “Lab Info.” from the pop-up menu, and then the lab information box
will pop up. All the information fields in the box are activated for you to enter/edit.

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Customizing the Analyzer Software

„ Entering hospital name

Enter the hospital name into the “Hospital name” box.

„ Entering lab name

Enter the lab name into the “Lab name” box.

„ Entering “Responsible by”

Enter the name into the "Responsible by" box.

„ Entering contact information

Enter the contact information (telephone number or E-mail) into the “Contact information”
box.

„ Entering postalcode

Enter the postalcode into the “Postalcode” box.

„ Entering analyzer model

Enter the analyzer model into the “Analyzer model” box.

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Customizing the Analyzer Software

„ Entering analyzer name

Enter the analyzer name into the “Analyzer name” box.

„ Entering installation date

Enter the installation date into the “Installation date” box. The installation date must be
entered and it can not be later than the current system date.

„ Entering contact in service department

Enter the name into the “Contact in service department".

„ Entering contact information of service department

Enter the contact information of service department (telephone number or E-mail) into the
“Contact information of service department” box.

„ Entering remark

Enter the remark into the “Remark” box.

„ Ok

Click the “Ok” button to save the entered/edited information and close the lab information
box.

„ Cancel

Click the “Cancel” button to close the box without saving the changes.

5.3.3 Shortcut Code

You can set the shortcut code for the following items: “Department”, “Deliverer”, “Gender”
and “Diagnosis”.
The shortcut code is used to facilitate the entry of the foregoing items. You can enter the
shortcut code and press the [Enter] key instead of entering the whole item.

z The shortcut code of different items can be the same.

Department
When you log in as a user of common level, click the “Menu” button, and then select the
“Shortcut Code” to enter the shortcut code screen.

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Customizing the Analyzer Software

„ Adding department

Do as follows to add a new department:


1. Click the “New” button, and then a message box will pop up.

2. Enter the information into each field.


3. Click “Ok” to save the information of the new department and refresh the department list
without closing the message box. All the information fields in the message box will be
cleared up, and then you can continue to add other new department.

z New added department name must be entered and it can not be the same as
existing ones.

z The shortcut code of department is not necessary to be entered, but once


you set them, each of the code must be unique.

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„ Editing department

Do as followings to edit the department information:

1. Click the desired form cell and click the “Edit” button, and then the box shown below will
pop up.

2. Enter the information into each field.

3. Click “Ok” to save the information and close the message box, and then the edited
record will be highlighted in the list of department.

z New added department name must be entered and it can not be the same as
existing ones.

z The shortcut code is not necessary to be entered, but once you set them,
each of the code must be unique.

„ Deleting department

Do as follows to delete department:


1. Click the desired cell of the department, then click the “Delete” button, and then a message
box will pop up.

2. Click “Ok” to delete the department and close the message box, and then it will also be
deleted from the list of department.

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Customizing the Analyzer Software

„ Exiting

Click the “Close” button to exit the “Shortcut Code” message box.

Deliverer
At the “Shortcut Code” message box, click the “Deliverer” button to enter its shortcut code
settings.

Add, edit and delete the deliverer as instructed in the Department section.

Diagnosis
At the “Shortcut Code” message box, click the “Diagnosis” button to enter its shortcut code
settings.

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Customizing the Analyzer Software

Add, edit and delete the clinical diagnosis as instructed in the Department section.

Gender
At the “Shortcut Code” message box, click the “Gender” button to enter its shortcut code
settings.

Add, edit and delete the Gender as instructed in the “Department” section.

z The existed shortcut code settings for gender can not be modified.

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6 Operating Your Analyzer

6.1 Introduction
This chapter provides step-by-step procedures for operating your analyzer on a daily basis.
A flow chart indicating the common daily operating process is presented below.

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Operating Your Analyzer

6.2 Initial Checks


Perform the following checks before turning on the analyzer.

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

z Be sure to dispose of reagents, waste, samples, consumables, etc.


according to government regulations.

z The reagents are irritating to eyes, skin and diaphragm. Wear proper
personal protective equipment (e.g. gloves, lab coat, etc.) and follow safe
laboratory procedures when handling them in the laboratory.

z If the reagents accidentally spill on your skin, wash them off with plenty of
water and if necessary, go see a doctor; if the reagents accidentally spill into
your eyes, wash them off with plenty of water and immediately go see a
doctor.

z Keep you clothed, hairs and hands away from the moving parts to avoid
injury.

z You should only use the Mindray-specified reagents. Store and use the
reagents as instructed by instructions for use of the reagents.

z Check if the reagents are connected correctly before using the analyzer.

z After installing a new container of reagent, keep it still for a while before use.

„ Checking the waste container

Check and make sure the waste container is empty.

„ Checking tubing and power connections

Check and make sure the reagents and waste tubing are properly connected and not bent.
Check and make sure the power cord of the analyzer is properly plugged into the power
outlet.

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Operating Your Analyzer

„ Checking the printer (optional)

Check and make sure enough printer paper is installed. Check and make sure the power cord
of the printer is properly plugged into power outlet. Check and make sure the printer is
properly connected to the external computer.

„ Keyboard, mouse and external computer

Check and make sure the network cable of the external computer is connected to the
analyzer properly.
Check and make sure the keyboard and the mouse are well connected to the external
computer.

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Operating Your Analyzer

6.3 Startup and Login


„ Start the analyzer:

1. Place the power switch at the left side of the analyzer in the ON position (I). The power
indicator light will be on.

2. Make sure the indicator light of the analyzer is on.

„ Start the external computer and run the system software.

1. Start the external computer.

2. Turn on the display.

3. After entering the operation system, double click the “BC-5380 Auto Hematology
Analyzer” icon to run the software.

4. After starting the software, the message box will pop up.

5. Enter the correct user name and password in the “Login” message box.

6. Click the “Ok” button to initialize the system.

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Operating Your Analyzer

z Before running the software, make sure the network cable of the external
computer is connected to the analyzer properly. The analyzer starts to
initialize only when the connection are detected.

z If you failed to run the software continuously, please contact Mindray


customer service department or your local distributor immediately.

z After startup, please make sure the data/time of the computer is correct.

z The initial user name and password of administrator are “ADMIN”, which
was set by service engineer.

z 1 to 12 numeric digits can be entered for the user name and the password.
No Chinese character is allowed. There could be no password.

7. During the Initialization, the startup information will be displayed in the operation/status
information area at the bottom of the interface.

8. The whole process lasts 4 to 12 minutes. The time needed for initializing the system
depends on how the analyzer was shut down previously.

9. After the initialization process, you can enter the “Graph” screen to check the
background result.

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Operating Your Analyzer

10. After initialization, if the sample records that are not hidden in the worklist are detected, a
message box will pop up.

Click “Yes” to set the first record not hidden in the worklist as the next sample ready to be run.
Click “No” to hide all the records in the worklist.

z The background test is to detect the particle interference and electrical


interference.

z If the background results exceed the Ref. Range for the first time during
fluidics initialization, then the analyzer will run the background test one
more time.

z The sample ID for the background test is “0”.

z No ref. range or suspect flag is available for background test.

z If error happens during initialization (e.g. the background results exceed the
Ref. Range), the analyzer will alarm. See Chapter 11 Troubleshooting Your
Analyzer for solutions.

z For the background Ref. Range of each parameter, please see Appendix B
Specifications.

z The system opens different functions to the users according to their


authority levels. The user’s authority level depends on the user name and
the password when the user logs in the system.

z You can click “Logout” button to switch to another user. Enter the new user
name and password in the log-in message box, then click “Ok” to re-login
as a new user.

z Running a test when there is an “Abnormal background”, you would get an


unreliable testing result.

z During the starting procedure, to startup the analyzer first or to run the
software first are both acceptable.

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Operating Your Analyzer

6.4 Daily Quality Control


Before running any samples, run the controls. See Chapter 8 Using the QC Programs for
details.

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Operating Your Analyzer

6.5 Sample Collection and Handling

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

z Do not contact the patients’ sample blood directly.

z Do not re-use such disposable product as collection tubes, test tubes,


capillary tubes, etc.

z Be sure to use clean K2EDTA anticoagulant collection tubes, fused silica


glass/plastic test tubes, centrifugal tubes and borosilicate glass capillary
tubes.

z Be sure to use the evacuated blood collection tubes as specified in the


appendix.

z Be sure to use the Mindray-specified disposable products including


evacuated blood collection tube, anticoagulant collection tubes and
capillary tubes etc.

z If you click the “Diluent” button under the “AL-WB” mode, the analyzer will
first switch to the “CT-WB” mode and then dispense the diluent.

6.5.1 Whole Blood Samples

1. Use clean K2EDTA(1.5 - 2.2mg/mL) anticoagulant collection tubes to collect venous


blood samples.

2. Mix the sample according to your laboratory’s protocol.

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Operating Your Analyzer

z Be sure to collect at least 1mL of whole blood sample in the closed-tube


sampling mode and autoloader mode.

z For the whole blood samples to be used for WBC differential or PLT count,
you shall store them at the room temperature and run them within 8 hours
after collection.

z If you do not need the PLT, MCV and WBC differential results, you can store
the samples in a refrigerator (2℃ - 8℃) for 24 hours. You need to warm the
refrigerated samples at room temperature for at least 30 minutes before
running them.

z Be sure to mix any sample that has been prepared for a while before running
it.

6.5.2 Prediluted Samples

z Be sure to use the Ф11×40 (mm) adapter when collecting and handling the
prediluted samples. For details of how to install the adapter, please see 6.6.4
Replacing the adapter.

1. At the shortcut button area, click the “Diluent” button, then the compartment door will
open automatically and a message box will pop up.

2. Present a clean centrifugal tube into the sample compartment with the cap opened.
Press the [RUN] key to dispense 180µL of diluent into the tube. During dispensing the

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Operating Your Analyzer

diluent, a progress bar will display.

z If the current mode is autoloader, the analyzer will switch to the close-tube
mode automatically and then dispense the diluent. Then, the mode will be
switched back to autoloader when exiting.

3. When the dispensing is finished, the compartment door will open automatically and you
can remove the centrifugal tube. Then, the following message box will display.

4. Add 20µL of capillary blood to the diluent, close the tube cap and shake the tube to mix
the sample.

5. After the prediluted sample is prepared, click the “Cancel” button to exit dispensing the
diluent.

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Operating Your Analyzer

6. After exiting, the above message box will close automatically.

7. If more portions of diluent are needed, repeat the procedure 2 and 3.

z You can also dispense 180µL of diluent by pipette into the tube.

z Be sure to keep dust from the prepared diluent.

z After mixing the capillary sample with the diluent, be sure to wait 3 minutes
before running the sample.

z Be sure to run the prediluted samples within 30 minutes after the mixing.

z Be sure to mix any sample that has been prepared for a while before running
it.

z Be sure to evaluate predilute stability based on your laboratory’s sample


population and sample collection techniques or methods.

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Operating Your Analyzer

6.6 Closed-tube Sampling Analysis

z The closed-tube sampling mode requests a closed-tube loader.

6.6.1 Entering Work List Information


Under the closed-tube mode, you can enter the work list information for the next sample
before running it.

z If the analyzer is shut down abnormally, you will lose the worklist
information of the samples that have not been saved yet.

z If you want to complete the worklist information after the analysis, see
Chapter 7 Reviewing Sample Results for details.

Click the “Worklist” button on the shortcut area or click “Menu”, then select “Worklist” to
enter the “Worklist” screen.

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Operating Your Analyzer

Click the “New” button, then a new record will be added at the bottom of the worklist and this
blank record is highlighted. All the fields in the information entry area are displayed in defaults
and are activated.

z The Run Status of a new record is “To Be Run”.

z You can switch between options in the Sample Info./Patients Info area by the
[Tab] key. You can also use the [Enter] key to switch after setting, see details
in General Setup section of Chapter 5 Customizing the Analyzer Software.

z You can skip the options that do not need the entry when switching by [Tab]
or [Enter], see the setup details in General Setup section of Chapter 5
Customizing the Analyzer Software.

„ Entering the sample ID

Enter the sample ID in the “Sample ID” box.

z The sample ID could be letters, numbers and all the keyboard-supported


characters (including special characters).

z The sample ID must be entered and its acceptable length is [1, 20].

z The sample ID must be alphanumeric ended with a numeric. Sample ID


being all “0” will be considered invalid.

„ Selecting analysis mode

Select the loading mode as “closed -tube”, sample mode (“Whole Blood” or “Predilute”)
and the measurement mode (“CBC” or “CBC+DIFF”) from the three pull-down lists
respectively.

z In the “CBC” measurement mode, the analyzer only counts the blood cells
without further differentiating the white blood cells. 13 parameters and
histograms of WBC, RBC and PLT are provided in this mode. In the
“CBC+DIFF” mode, the analyzer counts the blood cells and further
differentiates the white blood cells into 5 sub-populations. 23 basic
parameters, 4 RUO parameters, scattergrams and histograms of
WBC/BASO, RBC and PLT are provided in this mode.

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Operating Your Analyzer

„ Setting ref. group

Select the reference group for the sample from the “Ref. Group” pull-down list. The analyzer
will judge the test results according to the reference range of the Ref. group. When the results
exceed the reference range, the analyzer will flag.

z If you have entered the gender and age of the patient, then the system will
provide a matching Ref. Group automatically.

z If the auto-matching Ref. Group is different from the one that you selected
before (excluding the 5 customized Ref. Groups), then the system will adopt
the auto-matching Ref. Group.

„ Entering the draw time

Select the draw date from the date control; enter the draw time into the time edit box.

„ Entering the delivery time

Select the delivery date from the date control and then enter the delivery time into the time
edit box.

z The delivery date/time can not be earlier than the draw date/time.

z The draw and delivery date/time can not be later than the current system
date/time.

„ Entering the patient ID

Enter the patient ID into the “Patient ID” box.

z In the Uni-directional LIS/HIS mode, after you entering the patient ID and
pressing the [Enter] key, the matched patient information (including “Last
Name”, “First Name”, “Gender”, “Age”, “Birthday”, “Department” and “Bed
No.”) will be displayed in the screen automatically if there is any. You can
also proceed to edit the information.

z In the Bi-directional LIS/HIS mode, the patient information will adopt those
downloaded from the LIS/HIS as default.

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Operating Your Analyzer

„ Entering the patient name

Enter the patient name into the “Last Name” and “First Name” boxes.

„ Entering the patient gender

Enter the gender of the patient into the “Gender” box or select it from the “Gender” pull-down
list.

„ Entering the patient age

The analyzer provides four ways for you to enter the patient age – in years, in months, in
days and in hours. The first way is designed for the adult or pediatric patients older than one
year; the second for the infant patients one month to one year; the third for the neonatal
patients no older than one month and the fourth for the neonatal no older than 24 hours. You
can choose only one of the four ways to enter the patient age.
The “Age” pull-down list provides four ways for you to enter the patient age– in years, in
months, in days and in hours, and you can enter the patient age in the box followed by the
age unit.

„ Entering the birthday

Select the patient birthday from the date control.

z After entering the birthday, the age field will calculate automatically
according to the difference between the current system date and the
“Birthday”, and then a new result of age and the corresponding unit will be
displayed in the age edit box and the unit combo box respectively. Then, the
age box will be unavailable to edit unless the “Birthday” is cleared.

z If the entered birthday is later than the current system, then it is considered
invalid.

„ Entering the name of the department

Enter the name of the department, from which the sample came, into the “Department” box
or select it from the “Department” pull-down list.

„ Entering the Bed No.

Enter the bed No. of the patient into the “Bed No.” box.

„ Entering the name of the deliverer

Enter the name of the deliverer into the “Deliverer” box or select it from the “Deliverer”

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Operating Your Analyzer

pull-down list (if there are previously saved deliverers’ names in the list).

„ Entering the content of clinical diagnosis

Enter the suspect information of diagnosis into the “Clinical Diagnosis” box.

„ Entering the remarks

Enter the remarks in the “Remark” box.

„ Save

When finish entering the work list information, you can click the “Save” button or the shortcut
key [F2] to save all the information.

z The “Sample ID + Mode” of the current record can not be the same as the
unhidden records in the following status: “To Be Run”, “Running” and
“Error”.

6.6.2 Running the Samples

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

z The sample probe tip is sharp and may contain biohazardous materials.
Exercise caution to avoid contact with the probe when working around it.

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Operating Your Analyzer

z Do not re-use such disposable product as collection tubes, test tubes,


capillary tubes, etc.

z Repeat piercing the evacuated blood collection tube may break the rubber
tube cap. The fragments produced may lead to incorrect analysis result. It is
recommended that do not pierce each tube for more than three times.

z Proper reference range shall be selected at the “Setup” screen before


analysis. Otherwise, the results may be flagged erroneously.

z If the sample mode is switched from the “Predilute” to “Whole Blood”, the
analyzer will perform the switching sequence automatically and a progress
bar will be displayed on the screen.

z When running as per the worklist, then the next sample ID will always be the
first unhide (or error) sample to be run in the worklist (in closed-tube mode)
till there is no unhide sample left or the worklist is empty; the ID of the latter
sample will increase by 1 automatically. If you set the method of entry for the
sample ID as “Auto Increase”, the ID of the latter sample will increase by 1
automatically.

z If you do not run as per the worklist, then no actions will be taken to the
records in the worklist.

z If the Bi-directional LIS/HIS mode is selected, then after the sample ID is


entered/scanned and saved, all the corresponding information will be
obtained from the LIS/HIS, and then the analyzer starts running per the
obtained information. Once the running is finished, the result, graph and
sample/patient information will be uploaded to the LIS/HIS.

CT-WB Sampling Analysis


„ Run as per the worklist.

1. When it is ready to run samples (i.e. the analysis status icon and analyzer indicator is
green), shake the whole blood sample as shown below to well mix it.

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Operating Your Analyzer

2. Press the [OPEN] key to open the compartment door, and then present the whole blood
sample into the compartment.

3. Close the compartment door by pushing it.

4. Click the shortcut button “Run”, the “Run” message box will pop up.

5. Click the “CT-WB” button, and then select the “Run as per the worklist” option.

6. Click the “Start” button or press the [Aspirate] key after clicking “Ok” to start the analysis.

7. The sample probe will automatically aspirate the sample. Then, the analyzer will
automatically run the sample while the compartment door will open automatically and the
analysis status icon and analyzer indicator is flickering in green.

8. When the analysis is finished, the analysis status icon and analyzer indicator will return
to lasting green.

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Operating Your Analyzer

9. Run the rest samples as instructed above.

z The sample ID and the measurement mode are determined by the first
unhidden (or error) sample to be run in CT-WB mode in the worklist, and it is
displayed in gray.

z If there is no record of CT-WB mode in the worklist, then the “Run as per the
worklist” button in the “Run” message box will be displayed in gray.

z If you switch to the review screen from other screens, the latest record
information together with its result and graph will be refreshed and then
displayed.

„ Do not run as per the worklist

1. When it is ready to run samples (i.e. the analysis status icon and analyzer indicator is
green), shake the whole blood sample as shown below to well mix it.

2. Press the [OPEN] key to open the compartment door, and then present the whole blood
sample into the compartment.

3. Close the compartment door by pushing it.

4. Click the shortcut button “Run”, the “Run” message box will pop up.

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Operating Your Analyzer

5. Click the “CT-WB” button but do not select the “Run as per the worklist” option.

6. You can enter the starting sample ID of the sample to be run and the analysis mode in
the “Run” message box.

7. Click the “Start” button or press the [Aspirate] key after clicking “Ok” to start the analysis.

8. The sample probe will automatically aspirate the sample. Then, the analyzer will
automatically run the sample while the compartment door will open automatically and the
analysis status icon and analyzer indicator is flickering in green.

9. When the analysis is finished, the analysis status icon and analyzer indicator will return
to lasting green.

10. Run the rest samples as instructed above.

z If you switch to the review screen from other screens, the latest record
information together with its result and graph will be refreshed and then
displayed.

CT-PD Sampling Analysis

z When running sample under the CT-PD mode, be sure to use the Ф11×40
(mm) adapter. For details of how to install the adapter, please see 6.6.4
Replacing the adapter.

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Operating Your Analyzer

„ Run as per the worklist

1. When it is ready to run (i.e. the analysis status icon and analyzer indicator is green),
press the [OPEN] key to open the compartment door, then present the prediluted sample
(uncapped) into the compartment.

2. Close the compartment door by pushing it.

3. Click the shortcut button “Run”, the “Run” message box will pop up.

4. Click the “CT-PD” button and select the “Run as per the worklist” option.

5. Click the “Start” button or press the [RUN] key after clicking “Ok”, then a message box
will pop up.

6. Click “Yes” to close the message box and start running.

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Operating Your Analyzer

z You can disable the pop-up message box before the predilute run, see
General Setup section in chapter 5 Customizing the Analyzer Software for
details.

7. The sample probe will automatically aspirate the sample. Then, the analyzer will
automatically run the sample while the compartment door will open automatically and the
analysis status icon and analyzer indicator is flickering in green.

8. When the analysis is finished, the analysis status icon and analyzer indicator will return to
lasting green.

9. Run the rest samples as instructed above.

z The sample ID and the measurement mode are determined by the first
unhidden (or error) sample to run in CT-PD mode in the worklist, and it is
displayed in gray.

z If there is no record of CT-PD mode in the worklist, then the “Run as per the
worklist” button in the “Run” screen will be displayed in gray.

z If you switch to the review screen from other screens, the latest record
information together with its result and graph will be refreshed and then
displayed.

„ Do not run as per the worklist

1. When it is ready to run (i.e. the analysis status icon and analyzer indicator is green),
press the [OPEN] key to open the compartment door, then present the prediluted sample
(uncapped) into the compartment.

2. Close the compartment door by pushing it.

3. Click the shortcut button “Run”, the “Run” message box will pop up.

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Operating Your Analyzer

4. Click the “CT-PD” button but do not select the “Run as per the worklist” option.

5. You can enter the starting sample ID of the sample to be run and the analysis mode in the
“Run” message box.

6. Click the “Start” button or press the [Aspirate] key after clicking “Ok”, then a message
box will pop up.

7. Click “Yes” to close the message box and start running.

z You can disable the pop-up message box before the predilute run, see
General Setup section in chapter 5 Customizing the Analyzer Software for
details.

8. The sample probe will automatically aspirate the sample. Then, the analyzer will
automatically run the sample while the compartment door will open automatically and the

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Operating Your Analyzer

analysis status icon and analyzer indicator is flickering in green.

9. When the analysis is finished, the analysis status icon and analyzer indicator will return to
lasting green.

10. Run the rest samples as instructed above.

z When the analyzer is running, you can perform any operation (including
new, edit and cancel, etc.) to other “To Be Run” or “Error” samples in the
work list.

z When the analyzer is running, you can switch to Graph/Table Review Screen
to perform operations including data browsing, validating, sample
information editing and printing, etc., and you can also switch to other
screens.

z If “Automatically delete completed records from the worklist.” is selected,


then the completed records will be deleted automatically from the worklist.

z When the analyzer is running, all the functions related to the fluidics
sequence are not available.

z If you switch to the review screen from other screens, the latest record
information together with its result and graph will be refreshed and then
displayed.

6.6.3 Dealing with the Analysis Results

Automatic saving of analysis results


This analyzer automatically saves sample results. When the maximum number has been
reached, the newest result will overwrite the oldest (already backup).The maximum number
of the automatic saving results is 40,000.

Parameter flags
„ If parameter follows a “H” or “L”, it means the analysis result has exceeded the upper or
lower limit of the reference range but still within the display range.

„ If the parameter follows a “?”, it means the analysis result is suspect.

„ If you see *** as opposed to the result, it means the result is either invalid or out of the
display range.

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Operating Your Analyzer

z For the background test, the flags of parameter or flags of abnormal blood
cell differential or morphology are not available.

Flags of abnormal blood cell differential or morphology


The analyzer will flag abnormal or suspect WBC, RBC and PLT according to the scattergrams
and histograms. The flag information is defined in the following table:

Flag Type Flag information


Abnormal WBC scattergram
Abnormal WBC histogram
WBC abnormal
Leucocytosis
Leucopenia
Neutrophilia
Abnormal
Neutropenia
Lymphocytosis
Lymphopenia
WBC
Monocytosis
Eosinophilia
Basophilia

Left Shift?

Immature Granulocyte (IG)?


Suspect
Abnormal/Atypical Lymphocyte?

RBC Lyse Resist?

Erythrocytosis
RBC abnormal distribution
Anisocytosis
Macrocytosis
Abnormal
RBC/HGB Microcytosis
Dimorphologic
Anemia
Hypochromia

Suspect HGB Abn/Interfere?

PLT Abnormal PLT Abnormal Distribution

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Operating Your Analyzer

Thrombocytosis
Thrombopenia
Suspect PLT Clump?

The analyzer will flag abnormal or suspect WBC, RBC and PLT according to the scattergrams
and histograms. The following table shows how the flags affect parameter results:

Whole Blood Predilute


Type Flag
CBC CBC
CBC CBC
+5DIFF +5DIFF

WBC abnormal? × √ × ×

RBC Lyse Resist? × √ × ×

Abnormal WBC scattergram × √ √ √

Abnormal WBC histogram × √ √ √

Left Shift? × √ × ×

Immature Granulocyte (IG)? × √ × ×

Abnormal/Atypical Lymphocyte? × √ × ×
WBC
Leucocytosis √ √ √ √

Leucopenia √ √ √ √

Neutrophilia × √ × ×

Neutropenia × √ × ×

Lymphocytosis × √ × ×

Lymphopenia × √ × ×

Monocytosis × √ × ×

Eosinophilia × √ × ×

Basophilia × √ × ×

RBC/HGB Dimorphologic √ √ × ×

HGB Abn/Interfere? √ √ × ×

Anisocytosis √ √ × ×

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Operating Your Analyzer

Microcytosis √ √ √ √

Macrocytosis √ √ √ √

Erythrocytosis √ √ √ √

Anemia √ √ √ √

Hypochromia √ √ √ √

RBC abnormal distribution √ √ × ×

PLT Clump? √ √ × ×

Thrombocytosis √ √ √ √
PLT
Thrombopenia √ √ √ √

PLT Abnormal Distribution √ √ × ×

z When the PLT value is less than 100 × 109 / L, a manual count by the
microscope is recommended.

6.6.4 Replacing the Adapter


In closed-tube sampling mode, the model of the tubes and the corresponding adapters are
the followings:

„ Ф12×75(mm)(without the cap) evacuated blood collection tube, used for Ф13×75 (mm)
adapter.

„ Ф13×75(mm)(without the cap) evacuated blood collection tube, used for Ф13×75 (mm)
adapter.

„ Ф14×75(mm)(without the cap) evacuated blood collection tube, used for Ф15×75 (mm)
adapter.

„ Ф15×75(mm)(without the cap) evacuated blood collection tube, used for Ф15×75 (mm)
adapter.

„ Ф11×40(mm)centrifugal tube, used for Ф11×40 (mm) adapter.

Different adapters should be replaced according to the model of the tubes.

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Operating Your Analyzer

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Operating Your Analyzer

6.7 Autoloader Sampling Analysis

z The autoloader mode requests an autoloader.

6.7.1 Entering Work List Information


In the autoloader mode, you can enter the work list information for the next sample before
running it.

z If the analyzer is shut down abnormally, you will lose the work list
information of the samples that have not been saved yet.

z If you want to complete the work list information after the analysis, see
Chapter 7 Reviewing Sample Results for details.

Click the “Worklist” button on the shortcut area or click “Menu”, then select “Worklist” to
enter the “Worklist” screen.

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Operating Your Analyzer

Click the “New” button, then a new record will be added at the bottom of the worklist and this
blank record is highlighted. All the fields in the information entry area are displayed in defaults
and are activated.

z The Run Status of a new record is “To Be Run”.

z You can switch between options in the Sample Info./Patients Info area by the
[Tab] key. You can also use the [Enter] key to switch after setting, see the
setup details in General Setup section of Chapter 5 Customizing the
Analyzer Software.

z You can skip the options that do not need the entry when switching by [Tab]
or [Enter], see the setup details in General Setup section of Chapter 5
Customizing the Analyzer Software.

„ Entering the sample ID

Enter the sample ID in the “Sample ID” box.

z The sample ID could be letters, numbers and all the keyboard-supported


characters (including special characters).

z The sample ID must be entered and its acceptable length is [1, 20].

z The sample ID must be alphanumeric ended with a numeric. Sample ID


being all “0” will be considered invalid.

„ Selecting analysis mode

Select the sampling mode as “AL” and the measurement mode as “CBC” or “CBC+DIFF”
from the pull-down lists respectively.

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Operating Your Analyzer

z If the autoloader mode is selected, then the blood sample mode can only be
“whole blood”.

z In the “CBC” measurement mode, the analyzer only counts the blood cells
without further differentiating the white blood cells. 13 parameters and
histograms of WBC, RBC and PLT are provided in this mode. In the
“CBC+DIFF” mode, the analyzer counts the blood cells and further
differentiates the white blood cells into 5 sub-populations. 23 basic
parameters, 4 RUO parameters, scattergrams and histograms of
WBC/BASO, RBC and PLT are provided in this mode.

„ Setting ref. group

Select the reference group for the sample from the “Ref. Group” pull-down list. The analyzer
will judge the test results according to the reference range of the Ref. group. When the results
exceed the reference range, the analyzer will flag.

z If you have entered the gender and age of the patient, then the system will
provide a matching Ref. Group automatically.

z If the auto-matching Ref. Group is different from the one that you selected
before (excluding the 5 customized Ref. Groups), then the auto-matching
Ref. Group will be adopted by the system.

„ Entering the draw time

Select the draw date from the date control; enter the draw time into the time edit box.

„ Entering the delivery time

Select the delivery date from the date control and then enter the delivery time into the time
edit box.

z The delivery date/time can not be earlier than the draw date/time.

z The draw and delivery date/time can not be later than the current system
date/time.

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Operating Your Analyzer

„ Entering the Rack No. and Tube No.

Enter the rack No. and tube No. into the “Rack No.” and “Tube No.” box respectively.

z The entry range of the rack No. is [1, 100]; the entry range of the tube No. is
[1, 10].The rack No. and tube No. can not be empty.

„ Entering the patient ID

Enter the patient ID into the “Patient ID” box.

z In the Uni-directional LIS/HIS mode, after you entering the patient ID and
pressing the [Enter] key, the matched patient information (including “Last
Name”, “First Name”, “Gender”, “Age”, “Birthday”, “Department” and “Bed
No.”) will be displayed in the screen automatically if there is any. You can
also proceed to edit the information.

z In the Bi-directional LIS/HIS mode, the patient information will adopt those
downloaded from the LIS/HIS as default.

„ Entering the patient name

Enter the patient name into the “Last Name” and “First Name” boxes.

„ Entering the patient gender

Enter the gender of the patient into the “Gender” box or select it from the “Gender” pull-down
list.

„ Entering the patient age

The analyzer provides four ways for you to enter the patient age – in years, in months, in
days and in hours. The first way is designed for the adult or pediatric patients older than one
year; the second for the infant patients one month to one year; the third for the neonatal
patients no older than one month and the fourth for the neonatal no older than 24 hours. You
can choose only one of the four ways to enter the patient age.
The “Age” pull-down list provides four ways for you to enter the patient age– in years, in
months, in days and in hours, and you can enter the patient age in the box followed by the
age unit.

„ Entering the birthday

Select the patient birthday from the date control.

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Operating Your Analyzer

z After entering the birthday, the age field will calculate automatically
according to the difference between the “current system date” and the
“birthday”, and then a new result of age and the corresponding unit will be
displayed in the age edit box and the unit combo box respectively.

z If the entered birthday is later than the current system, then it is considered
invalid.

„ Entering the name of the department

Enter the name of the department, from which the sample came, into the “Department” box
or select it from the “Department” pull-down list.

„ Entering the Bed No.

Enter the bed No. of the patient into the “Bed No.” box.

„ Entering the name of the deliverer

Enter the name of the deliverer into the “Deliverer” box or select it from the “Deliverer”
pull-down list (if there are previously saved deliverers’ names in the list).

„ Entering the content of clinical diagnosis

Enter the suspect information of diagnosis into the “Clinical Diagnosis” box.

„ Entering the remarks

Enter the remarks into the “Remark” box.

„ Save

When finish entering the work list information, you can click the “Save” button to save all the
information.

z The “Sample ID + Mode” or “Rack No. +Tube No.” of the current record can
not be the same as the unhide records in the following status: “To Be Run”,
“Running” and “Error”.

z If the Bi-directional LIS/HIS is selected, the terminal software will obtain the
corresponding information from LIS/HIS after you clicking the “Save” button
and display them in the right field.

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Operating Your Analyzer

6.7.2 Running the Samples

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

z The sample probe tip is sharp and may contain biohazardous materials.
Exercise caution to avoid contact with the probe when working around it.

z Do not re-use such disposable product as collection tubes, test tubes,


capillary tubes, etc.

z Repeat piercing the evacuated blood collection tube may break the rubber
tube cap. The fragments produced may lead to incorrect analysis result. It is
recommended that do not pierce each tube for more than three times.

z Be sure that the entered sample ID, rack No., tube No. and the analysis
mode are strictly in accordance with the sample to be run.

z Proper reference range shall be selected at the “Setup” screen before


analysis. Otherwise, the results may be flagged erroneously.

z If the sample mode is switched from the “Predilute” to “Whole Blood”, the
analyzer will perform the switching sequence automatically and a progress
bar will be displayed on the screen.

z If the Bi-directional LIS/HIS mode is selected, then after the sample ID is


entered/scanned and saved, all the corresponding information will be
obtained from the LIS/HIS, and then the analyzer starts running per the
obtained information. Once the running is finished, the result, graph and
sample/patient information will be uploaded to the LIS/HIS.

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Operating Your Analyzer

Without built-in barcode scanner and do not run as per the worklist

1. When it is ready to run (i.e. the analysis status icon and analyzer indicator is green), click
the shortcut button “Run”, the “Run” message box will pop up.

2. Select the “AL-WB” mode in the message box, but do not select the “Run as per the
worklist” and the “Built-in barcode scanner” option.

3. Select the desired analysis mode, enter the starting sample ID, rack No. and tube No.

4. Place the tubes into the corresponding tube positions according to the starting rack No.
and tube No. entered.

5. Place racks loading tubes in ascending order on the level of the right tray of the
autoloader, with the back of “MINDRAY” mark on the carrier facing the analyzer.

6. At the “Run” message box, click the “Start” button or press the [RUN] key after clicking
“Ok”. The analyzer will start the analysis from the starting position as you set. The
analysis status icon and analyzer indicator is flickering in green at the time.

7. After every analysis cycle, the results will be saved to the Review Screen.

8. When the analysis is finished, the following statistics message box will pop up.

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Operating Your Analyzer

z At the Setup screen, you can set whether to display the statistics after the
autoloading is finished every time.

z If there are statistics displayed in the message box, you can click
“Details…” to check the detailed sample ID, run date and sample position
accordingly.

9. Click “Ok” to close the box, and then the analysis status icon and analyzer indicator will
return to lasting green.

10. When finish running, all the racks come to the left tray of the autoloader. Remove them
safely.

z If “Run as per the worklist” and “Built-in barcode scanner” are not selected,
then no running and other actions will be taken to the records in the
worklist.

z If more racks are needed when running the samples, you should load the
rack from the right of the autoloader while removing the completed rack
from the left of the autoloader in time.

Without built-in barcode scanner but run as per the worklist

1. When it is ready to run (i.e. the analysis status icon and analyzer indicator is green), click
the shortcut button “Run”, the “Run” message box will pop up.

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Operating Your Analyzer

2. Select the “AL-WB” mode in the message box, then select the “Run as per the
worklist” but do not select the “Built-in barcode scanner” option.

3. Mark the prepared tubes according to the record in the list. Place the tubes into the
corresponding tube positions.

4. Place racks loading tubes in ascending order on the level of the right tray of the
autoloader, with the back of “MINDRAY” mark on the carrier facing the analyzer.

5. At the “Run” message box, click the “Start” button or press the [RUN] key after clicking
“Ok”. The analyzer will start the analysis according to the tube positions sequentially. The
analysis status icon and analyzer indicator is flickering in green at the time.

6. After every analysis cycle, the results will be saved to the Review Screen.

7. When the analysis is finished, the following statistics message box will pop up.

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Operating Your Analyzer

z At the Setup screen, you can set whether to display the statistics after the
autoloading is finished every time.

z If there are statistics displayed in the message box, you can click
“Details…” to check the detailed sample ID, run date and sample position
accordingly.

8. Click “Ok” to close the box, and then the analysis status icon and analyzer indicator will
return to lasting green.

9. When finish running, all the racks come to the left tray of the autoloader. Remove them
safely.

z For the unhidden (or error) samples to run in the autoloader mode in the
worklist, the analyzer will run the samples according to the sample position.

z In the “Run” message box, the gray-displayed sample ID, rack No., tube No.
and measurement mode are determined by the record in the worklist with
the following features: the earliest, in autoloader mode, unhidden, to be run
(or error).

z If there is no record of AL-WB mode in the worklist, then the “Run as per the
worklist” button in the “Run” screen will be displayed in gray.

z When “Run as per the worklist”, if the current tube is excluded in the
worklist, the analyzer will still skip it without running.

z If “Automatically delete completed records from the worklist.” is selected,


then the completed records will be deleted automatically from the worklist.

z If more racks are needed when running the samples, you should load the
rack from the right of the autoloader while removing the completed rack
from the left of the autoloader in time.

With built-in barcode scanner but do not run as per the worklist

1. When it is ready to run (i.e. the analysis status icon and analyzer indicator is green), click
the shortcut button “Run”, the “Run” message box will pop up.

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Operating Your Analyzer

2. Select the “AL-WB” mode in the message box, then select the “Built-in barcode
scanner” but do not select the “Run as per the worklist” option.

3. Then select the desired analysis mode, enter the starting rack No. and tube No.

4. Place labels on the tubes, then place them into the corresponding tube positions.

5. Place racks loading tubes in ascending order on the level of the right tray of the
autoloader, with the back of “MINDRAY” mark on the carrier facing the analyzer.

6. At the “Run” message box, click the “Start” button or press the [RUN] key after clicking
“Ok”. The analyzer will scan the sample ID from the starting position as you set, then start
the analysis. The analysis status icon and analyzer indicator is flickering in green at the
time.

7. After every analysis cycle, the results will be saved to the Review Screen.

8. When the analysis is finished, the following statistics message box will pop up.

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Operating Your Analyzer

z At the Setup screen, you can set whether to display the statistics after the
autoloading is finished every time.

z If there are statistics displayed in the message box, you can click
“Details…” to check the detailed sample ID, run date and sample position
accordingly.

9. Click “Ok” to close the box, and then the analysis status icon and analyzer indicator will
return to lasting green.

10. When finish running, all the racks come to the left tray of the autoloader. Remove them
safely.

z If “Run as per the worklist” is not selected but “Built-in barcode scanner” is
selected, then no actions will be taken to the records in the worklist during
running in autoloader mode.

z If the “Sample ID” box displays “Invalid”, it means the scanning is invalid.
You can re-enter the sample ID when reviewing the sample results, see
Chapter 7 Reviewing Sample Results for details.

z If more racks are needed when running the samples, you should load the
rack from the right of the autoloader while removing the completed rack
from the left of the autoloader in time.

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Operating Your Analyzer

With built-in barcode scanner and run as per the worklist

1. When it is ready to run (i.e. the analysis status icon and analyzer indicator is green), click
the shortcut button “Run”, the “Run” message box will pop up.

2. Select the “AL-WB” mode in the message box, then select the “Built-in barcode
scanner” and the “Run as per the worklist” option.

3. Place labels on the tubes, then place them into the corresponding tube positions.

4. Place racks loading tubes in ascending order on the level of the right tray of the
autoloader, with the back of “MINDRAY” mark on the carrier facing the analyzer.

5. At the “Run” message box, click the “Start” button or press the [RUN] key after clicking
“Ok”. The analyzer will start scanning sample IDs and running samples according to the
matched sample in the worklist sequentially. The analysis status icon and analyzer
indicator is flickering in green at the time.

6. After every analysis cycle, the results will be saved to the Review Screen.

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Operating Your Analyzer

7. When the analysis is finished, the following statistics message box will pop up.

z At the Setup screen, you can set whether to display the statistics after the
autoloading is finished every time.

z If there are statistics displayed in the message box, you can click
“Details…” to check the detailed sample ID, run date and sample position
accordingly.

8. Click “Ok” to close the box, and then the analysis status icon and analyzer indicator will
return to lasting green.

9. When finish running, all the racks come to the left tray of the autoloader. Remove them
safely.

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Operating Your Analyzer

z If there is no record of AL-WB mode in the worklist, then the “Run as per the
worklist” button in the “Run” screen will be displayed in gray.

z The system will search for the matching record in the worklist according to
the scanned sample ID, and then the rack No. and tube No. will be
overwritten. The run status of the record will be changed from “To Be Run”
to “Running”.

z If no matching record is found in the worklist or a scanning error happens,


the analyzer will skip the sample without running.

z If “Automatically delete completed records from the worklist.” is selected,


then the completed records will be deleted automatically from the worklist.

z If more racks are needed when running the samples, you should load the
rack from the right of the autoloader while removing the completed rack
from the left of the autoloader in time.

6.7.3 Special functions

Stop
During running, the “Run” button at the shortcut buttons area will be replaced by “Stop”. .
Click the “Stop” button, after the previously analyzing cycle is finished, the system stops the
analysis and the current sample carrier will be pushed out.

STAT
If there is STAT sample requires running first during the autoloader sampling analysis.

„ Insert STAT

1. Click the shortcut button “STAT”, the message box will pop up.

2. Click “Yes”. After the previously analyzing of the pierced sample is finished, the analysis
stops and the system switch the autoloader mode to the CT-WB sampling mode and
open the compartment door automatically.

3. Present the whole blood sample into the compartment, push the compartment door to

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Operating Your Analyzer

close it.

4. When the STAT run is ready (i.e. the analysis status icon and analyzer indicator is in
yellow), you can run the STAT sample in ways as the closed tube sampling mode, see
details in Closed Tube Sampling Analysis.

z STAT samples can only be run in CT-WB or CT-PD mode.

z When the current sample is being run, the massage box “Please finish the
current sample then perform STAT operation. Please wait!” will pop up. You
can click the "Ok" button to close it.

z When a STAT is inserted, the system will switch to the worklist screen
automatically and add a new STAT record at the first line of the worklist and
it is displayed in yellow background.

z When a STAT is inserted, the “STAT” button will be replaced by “Cancel”.

z You can start the STAT analysis only by pressing the [RUN] key on the
analyzer.

z After running a STAT sample, you can switch to the graph or table review
screen to edit the corresponding information.

„ Cancel

After the running is finished, you can click the “Cancel” button to cancel the SATA, and then
the analyzer will judge whether to switch to the analysis mode before the inserted STAT
accordingly, and then proceed with autoloading.

z If you click the “Cancel” button when there are unfinished samples left in
the worklist, a message box will pop up and then you can select whether to
delete the unfinished STAT sample.

z After exiting the SATA mode, the background of all the SATA samples will
return to normal color.

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Operating Your Analyzer

6.7.4 Dealing with the Analysis Results

Automatic saving of analysis results


This analyzer automatically saves sample results. When the maximum number has been
reached, the newest result will overwrite the oldest (already backup).The maximum number
of automatic saving results is 40,000.

Parameter flags
„ If the parameter follows a “H” or “L”, it means the analysis result has exceeded the upper
or lower limit of the reference range, but still within the display range

„ If the parameter follows a “?”, it means the analysis result obtained is suspect.

„ If you see *** as opposed to the result, it means the result is either invalid or out of the
display range.

z For the background test, the flags of parameter or flags of abnormal blood
cell differential or morphology are not available.

Flags of abnormal blood cell differential or morphology


The analyzer will flag abnormal or suspect WBC, RBC and PLT according to the scattergrams
and histograms. The flag information is defined in the following table:

Flag Type Flag information


WBC Abnormal WBC scattergram
Abnormal WBC histogram
WBC abnormal
Leucocytosis
Leucopenia
Neutrophilia
Abnormal
Neutropenia
Lymphocytosis
Lymphopenia
Monocytosis
Eosinophilia
Basophilia

Suspect Left Shift?

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Operating Your Analyzer

Immature Granulocyte (IG)?

Abnormal/Atypical Lymphocyte?

RBC Lyse Resist?

Erythrocytosis
RBC abnormal distribution
Anisocytosis
Macrocytosis
Abnormal
RBC/HGB Microcytosis
Dimorphologic
Anemia
Hypochromia

Suspect HGB Abn/Interfere?

PLT Abnormal Distribution


Abnormal Thrombocytosis
PLT
Thrombopenia
Suspect PLT Clump?

The analyzer will flag abnormal or suspect WBC, RBC and PLT according to the scattergrams
and histograms. The following table shows how the flags affect parameter results:

Whole Blood Predilute


Type Flag
CBC CBC
CBC CBC
+5DIFF +5DIFF

WBC WBC abnormal? × √ × ×

RBC Lyse Resist? × √ × ×

Abnormal WBC scattergram × √ √ √

Abnormal WBC histogram × √ √ √

Left Shift? × √ × ×

Immature Granulocyte (IG)? × √ × ×

Abnormal/Atypical Lymphocyte? × √ × ×

Leucocytosis √ √ √ √

Leucopenia √ √ √ √

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Operating Your Analyzer

Neutrophilia × √ × ×

Neutropenia × √ × ×

Lymphocytosis × √ × ×

Lymphopenia × √ × ×

Monocytosis × √ × ×

Eosinophilia × √ × ×

Basophilia × √ × ×

Dimorphologic √ √ × ×

HGB Abn/Interfere? √ √ × ×

Anisocytosis √ √ × ×

Microcytosis √ √ √ √

RBC/HGB Macrocytosis √ √ √ √

Erythrocytosis √ √ √ √

Anemia √ √ √ √

Hypochromia √ √ √ √

RBC abnormal distribution √ √ × ×

PLT Clump? √ √ × ×

Thrombocytosis √ √ √ √
PLT
Thrombopenia √ √ √ √

PLT Abnormal Distribution √ √ × ×

z When the PLT value is less than 100 × 109 / L, a manual count by the
microscope is recommended.

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6.7.5 Barcode Labels

z Blood, scratch and powders of the gloves will affect the accurate barcode
scanning. Be sure there are no blood, scratch and powders on the barcode
labels.

The label must be pasted properly to ensure the accurate barcode scanning. You should
paste the label to the area marked with “X” as shown below.

z Be sure the label parallels the tube cap.

6.7.6 Disassembling the Adapter


When using the tubes of Ф14×75(mm)or Ф15×75(mm)model, you should disassembly the
adapter from the rack to load the tubes.

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Operating Your Analyzer

6.8 Worklist
Click the “Worklist” button on the shortcut area or click “Menu”, then select “Worklist” to
enter the “Worklist” screen.

The upside of the interface is the worklist; the downside is information entry area including
Sample Info. and Patient Info. The bottom of the screen is the function button area.

z The worklist can save a maximum of 2000 records.

z All the information fields in the worklist are entered through the information
entry area except the “No.”, “Run Status” and “Entry Time”.

z If the worklist is empty, all the information fields in the information entry
area are blank and displayed in gray.

z If a record in the worklist is highlighted, the corresponding information of


the record will display in the information entry area.

In the “Worklist” screen, you can perform the following operations to the worklist in the
upside of the screen.

„ Adjusting the position of each column

Click and hold the title of the column then drag the column to the desired position to adjust

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Operating Your Analyzer

the display order.

„ Adjusting the width of each column

Click and hold the boundary line between the two columns, then drag the line to adjust the
width of each column.

„ Adjusting the position of record

1. Right click the highlighted record; then the following shortcut menu will pop up:

2. Click “Top” to set the highlighted record as the first record in the worklist.

3. Click “Up” to move the highlighted record upward by one position.

4. Click “Down” to move the highlighted record downward by one position.

5. Click “Bottom” to set the highlighted record as the last record in the worklist.

If you click a record in the worklist to highlight it, the corresponding information of the record
will display in the information entry area. You can edit each information field in the information
entry area.

z For the record whose “Run Status” is “Running”, you can not edit its
“Sample ID”, “Mode”, “Rack No.” and “Tube No.”(autoloader mode).

z The information entry area of the records whose “Run Status” are
“Finished” will be displayed in gray and unavailable to edit and modify. You
can switch to the Graph review or Table review screen to edit and modify the
corresponding information.

When the mouse is moved just on the function buttons, the name of the button and the
corresponding shortcut key will appear. For example, when moving the mouse on the “Save”
button, the tips will pop up:

The function buttons at the bottom of the “Worklist” screen and their shortcut keys are shown
in the table.

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Operating Your Analyzer

Function button Shortcut key


Save [F2]
New [F3]
Insert [F4]
Delete [Alt+Delete]
Search [F5]
Copy [F6]
Hide [F7]
Print [F8]

„ New

You can click the “New” to add a new sample record, see Entering Work List Information
section of this chapter for details.

„ Insert

1. Click one row of the record to highlight it.

2. Click the “Insert” button to insert a new record before the highlighted record and then the
new added blank row will be highlighted. All the fields in the information entry area are
displayed in defaults and are activated.

3. You can enter the sample/patient information in the information entry area, see Entering
Work List Information section of this chapter for details.

„ Save

After performing the “Edit”, “New” or “Insert” operation, you can click the “Save” button to
save all the information.

„ Delete

1. Click the ”Delete” button, then the “Delete” message box will pop up.

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Operating Your Analyzer

2. Click the radio button “Selected Samples”, “All finished records” or “All records” to
select the records you want to delete.” Selected Samples” are those selected with “√”
marks in the worklist.

3. Click “Ok” to perform the deletion and refresh the worklist.

z The records whose “Run Status” are “Running” can not be deleted.

„ Search

1. Click the ”Search” button, then the “Search” message box will pop up.

2. Click one or more check boxes to define the desired search condition(s).

3. Enter the search content in the edit box of the desired search condition.

4. If you wish to perform the precise search, you can select the “Whole Words Only”
check box; if you wish to perform the fuzzy search (means to search the related records
which contain the content that you entered), you should leave the check box in blank.

5. Click the “Previous”/”Next” button to start searching upwards/downwards from the


highlighted record. The matching record found will be highlighted. Then you can click the
“Previous”/”Next” button to continue searching.

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z If the first/last record is reached, then the searching circle will start again
from the last/first record upwards/downwards.

6. A searching circle will be completed when backing to the initial record. If there is no
matching record found, the prompt message box “No record found!” will pop up at the
screen; otherwise, the prompt message box “Search finished!” will pop up.

7. Click “Ok” button to close the message box.

8. You can repeat procedure 2 to 6 to search for other content; or click the “Close” button to
finish searching and close the message box.

„ Copy

1. Click the desired record in the worklist to highlight it.

2. Click the “Copy” button to add a new record in the worklist and highlight it. The sample ID
of this new added record is empty or will automatically increase by 1 based on the last
sample ID in the worklist, the other information remains the same as the record copied
from. For the autoloader samples, the “Rack No.-Tube No.” of this new copied record will
increase by 1 based on the greatest “Rack No.-Tube No.” existed in the worklist.

„ Hide

1. Select the check box of the desired record in the worklist.

2. Click the “Hide” button to hide the selected record and display it in gray.

z If the selected records include both hidden and unhidden records, when you
click the “Hide” button, all of them will be hidden.

z The records whose “Run Status” are “Running” or “Finished” can not be
hidden.

z You can edit and delete the hidden record.

„ Cancel

1. Select the check box of the hidden record in the worklist.

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2. Click the “Cancel” button to cancel the hide and gray display status of the record.

z If the selected records are all hidden records, the “Hide” button will
replaced by the “Cancel” button.

„ Print

1. Select the check box of the desired record in the worklist.

2. Click the “Print” button, and then a message box will pop up.

3. Click “Ok” to start printing.

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Operating Your Analyzer

6.9 Shutdown

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

z The sample probe is sharp and potentially biohazardous, Exercise caution


to avoid contact with the probe when working around it.

z To ensure stable analyzer performance and accurate analysis results, be


sure to perform the “Shutdown” procedure to shut down the analyzer after it
has been running continuously for 24 hours.

z Be sure to shut down the analyzer strictly as instructed below.

The shutdown procedure includes closing the analyzer and exiting the software. The
following content will introduce the two procedures respectively.

„ Shutting down the analyzer

1. Click the shortcut button “Shutdown”, or select “Menu”Æ“Shutdown”Æ“Shutdown”


option, the following message box will pop up.

2. Click the “Ok” button to shutdown the analyzer.

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Operating Your Analyzer

3. During the shutdown procedure, the shutdown information will be displayed in the
information indicating area at the bottom of the interface.

4. After the shutdown is finished, a message box will pop up.

5. Place the power switch at the left side of the analyzer in the OFF position (O). The
message box will be closed automatically.

6. Empty the waste container and dispose of the waste properly.

z Be sure to dispose of reagents, waste, samples, consumables, etc.


according to government regulations.

z If the analyzer disconnects with the computer, you can not perform the
shutdown procedure.

z When the analyzer is running or performing other fluidics sequence, do not


shutdown the analyzer forcibly.

z If error happens during shutdown procedure, the analyzer will return to the
status before the shutdown procedure is performed, and then alarm. See
Chapter 11 Troubleshooting Your Analyzer for details to remove the error.

z You can click the “Restart” button to restart the analyzer and perform
startup initialization.

z You will not exit the software after the shutdown of the analyzer, and you can
still perform operations that are available without the cooperation of the
analyzer.

„ Exiting the system software

1. Click the shortcut button “Exit”, or select “Menu”Æ“Exit”Æ“Exit” option, the following
message box will pop up.

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Operating Your Analyzer

2. Click the “Ok” button to exit the system software.

z You must shut down the analyzer before exiting the software.

„ Turning off the external computer

1. Close the external computer according to the shutdown procedures of the operation
system.

2. Turn off the display.

z You should exit the terminal software first and then turn off the external
computer according to standard procedures. Otherwise, the database of the
terminal software might be lost!

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7 Reviewing Sample Results

7.1 Introduction
The analyzer automatically saves analysis results. Totally 40,000 results can be saved,
including sample information, parameters, flag prompts, scattergrams and histograms.
You can browse sample results either in the table or graph mode.

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Reviewing Sample Results

7.2 Graph Review


Click the shortcut button “Graph” or click the “Menu” button, and then select the “Review”,
and then select “Graph” to enter the “Graph” review screen:

The “Graph” screen consists of three parts. The upside displays the Sample/Patient Info. The
downside displays the Results, Scattergrams, Histograms, Flags, DIFF Graphs, Microscopic
Exam Results and Blood Type/ESR results in accordance with the Sample/Patient Info. in the
form of tabs including “Data/Graph”, “DIFF”, “Microscopic Exam. and Others”. The bottom
displays the functional buttons available in the current screen.

7.2.1 Sample/Patient Information


You can use the record switch column in the down right of the screen to browse the sample
records one by one.
You can see the Sample/Patient Info. in the upside of the screen. You can edit all the patient
information except the “Operator” and the “Validater”. For details of editing information, see
Editing work list information in Chapter 6 Operating Your Analyzer.

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Reviewing Sample Results

z You can enable users of common level to edit the sample ID by setting in the
“Setup” screen, see chapter 5 Customizing the Analyzer Software for
details.

z You can edit all the information of the sample except the Mode and Run
Time.

7.2.2 Tabs
After selecting a sample record, you can click the tab at the downside of the screen to see the
corresponding information.

Data/Graph
Click the “Data/Graph” tab to see the data/graph information of the record.

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Reviewing Sample Results

z You can select whether to display the four RUOs, the “*” mark and the
corresponding declarations (“*” means “research use only, not for
diagnostic use”) in “Setup” screen, see Chapter 5 Customizing the Analyzer
Software for details.

z When the results of Bas% and Bas# are expressed in “*”, the second
histogram discriminator will not be displayed.

For details of how to edit and restore the result, please see the following Edit Result and
Restore Result section of this chapter.
When moving the mouse to any graph of the scattergram/histogram, an icon of magnifier will
appear. Click the icon, a box of enlarged graph will pop up and you can drag the box at will.

When finish browsing, you can click “X” on the top right of the box to close it.

DIFF
You can click the “DIFF” tab to check the WBC differential information of the record.

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Reviewing Sample Results

z The DIFF tab is unavailable in CBC mode.

z You can select whether to display the four RUOs, the “*” mark and the
corresponding declarations (“*” means “research use only, not for
diagnostic use”) in “Setup”, see Chapter 5 Customizing the Analyzer
Software for details.

z When the results of Bas% and Bas# are expressed in “*”, the second
histogram discriminator will not be displayed.

For details of how to edit and restore the result, please see the following Edit Result and
Restore Result section of this chapter.
When moving the mouse to any graph of the scattergram/histogram, an icon of magnifier will
appear. Click the icon, a box of enlarged graph will pop up and you can drag the box at will.

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Reviewing Sample Results

When finish browsing, you can click “X” on the top right of the box to close it.

Microscopic Exam. and Others


Click the “Microscopic Exam. and Others” tab, you can browse and enter the microscopic
exam and blood type/ESR information of the record.

„ Entering the Microscopic Exam. Information

1. Selecting the Sample Type

Click the “Sample Type” combo box; select the sample type as “Venous blood” (default) or
“Capillary Blood”.

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Reviewing Sample Results

2. Entering the date and time of the microscopic exam

Click the “Microscopic exam. time” edit box, enter the date and time of microscopic exam.

z The Microscopic exam. time can not exceed the current system time.

3. Entering the morphology information of WBC, RBC and PLT

You can enter the morphology information for WBC, RBC and PLT respectively into the
multi-line edit box.

4. Entering the Cell Differential

You can enter the percentage of each cell differential into the edit box next to the 19 cell
differential name respectively.

z You can enter a value within the range [0.0-100.0] and the unit is “%”.

„ Entering the Blood Type information

You can select the blood type of the patient in the “Blood Type/ESR” column. Click the first
combo box next to the blood type, you can select from “Blank”, “A”, “B”, “O” and “AB”; click
the second combo box, you can select from “Blank”, “RH+” and “RH-”.

„ Entering the Blood ESR information

You can enter the blood ESR value into the edit box follows the “ESR”. If the value exceeds
the Ref. Range, the flags “H” or “L” will appear to indicate the value exceeds the upper limit or
lower limit.

You can modify the reference range of Blood ESR by the following steps:

1. Click “Set Reference Range” button, a message box will pop up. Enter the upper limit
and lower limit of the blood ESR in the edit box “Upper limit” and “Lower limit”
respectively.

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Reviewing Sample Results

2. Click the “Ok” button to save the settings and refresh the information.

z You can enter the value up to 3 numeric characters within the range [0,999].

z The upper limit can not be smaller than the lower limit.

z The entered reference range of the Blood ESR is only applied to the current
record, and the default range is [0, 20].

7.2.3 Function of the Buttons


When the mouse is moved just on the function buttons, the name of the button and the
corresponding shortcut key will appear. For example, when moving the mouse on the “Save”
button, the tips will pop up:

The shortcut keys of the function buttons in the graph review screen are shown in the
following table.

Function button Shortcut key


Save F2

Validate F3

Print F4

Edit Result F5

Restore Result F6

Delete Alt + Delete

Auto-refresh
At the graph review screen, when browsing the results, you can select to activate or
deactivate the auto-refresh function to display the latest results.

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Reviewing Sample Results

Click the button at the lower right of the graph review screen to make it raised. Later
on, the graph review screen will refresh automatically to display the latest results and graphs
if any. At the mean time, the graph will be enlarged as shown below.

When the button is raised, all the information fields and buttons at the graph review
screen will be unavailable (displayed in gray) except the records switching column.

Click the button at the lower right of the graph review screen to make it sunk. Later
on, the graph review screen will not refresh even the new results are obtained, but still display
the current sample information, results and graphs that you are now browsing. At the mean
time, the graph will be displayed in normal size as shown below.

When the button is sunk, all the operations are available to the current displayed
records.

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Reviewing Sample Results

z The default status of the button at the graph review screen is sunk.

z The status of the button keeps still when you return to the graph
review screen after exiting.

z When you browsing records at the graph review screen by using the

switching column, the status of the button automatically changes


into suck.

Save
Click the “Save” button to save the modified information on all tabs of the current result.

Print
Click the “Print” button to print the information, result, histogram and scattergram of the
current sample.

z You can set the amount of copies for the printed report in the “Setup”
screen.

z At the “Setup” screen, you can select whether to print the Flag information
in the report.

Delete

1. Click the “Delete” button, a message box will pop up.

2. Click “Ok” to delete the current displayed sample record in the “Graph” screen.

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Reviewing Sample Results

z The “Delete” button and the corresponding deleting operation are not
available to users of common-level.

Validate
Click the “Validate” button to perform the validating operation.

z You can enable the users of common level to validate by setting in the
“Setup” screen. Otherwise, the user name and the pass word of
administrator level are required.

z After validating, you can not edit the Sample/Patient Info. and result.

z You can not validate the background record.

Cancel (validate)
Click the “Cancel” button to cancel the validating operation.

z If the current sample result is validated, the “Validate” button will be


replaced by the “Cancel” button.

z The users of common level is enabled the authority of “Cancel” together


with “Validate” when you setting in the “Setup” screen. Otherwise, the user
name and the pass word of administrator level are required.

z After canceling, you can edit the Sample/Patient Info. and result.

Edit Result
1. Click the “Edit Result” button, then the result of each parameter and WBC DIFF results
will be displayed in an edit box for you to edit.
2. After editing, click the “Save” button to save the change and the edit box disappears.

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Reviewing Sample Results

z You can enable the users of common level to edit result by setting in the
“Setup” screen. Otherwise, the user name and the pass word of
administrator level are required.

z If the result of one parameter is modified, then the result of other related
parameter(s) will be changed accordingly and the high or low/suspect flags
will also be refreshed.

z Only the result of the measurement parameters (WBC, RBC, HGB, HCT and
PLT) and WBC DIFF results can be modified.

z After editing and then saving WBC DIFF results, the absolute value of each
DIFF result will be re-calculated and then refreshed.

z If the sum of the DIFF results does not equal to 100.00% after being edited,
then the message box “The sum of the DIFF results is not 100.00%!” will pop
up when you clicking the “Save” button.

z No matter the sample result is validated or not, as long as it is edited, the


result of the parameter that you modified manually will be flagged with an
“E”. If any parameter result is then changed due to the one that you
modified manually, it will be flagged with an “e”. (“E” or “e” will be displayed
between the parameter result and its unit.)

z You can not edit the results of the background.

Restore Result
1. Click the “Restore Result” button, and then the following message box will pop up.

2. Click “Ok” to restore the result to the original measurement value and remove the result
edited flags (“E” or “e”).

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Reviewing Sample Results

z The users of common level is enabled the authority of “Restore Result”


together with “Edit Result” when you setting in the “Setup” screen.
Otherwise, the user name and the pass word of administrator level are
required.

z Up to 1000 latest measurement results of original value can be saved by the


analyzer.

z You can not restore the results of the background.

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Reviewing Sample Results

7.3 Table Review

Click the shortcut button “Table” or Click the “Menu” button, and then select the “Review”Æ
“Table” to enter the following table review screen.

The “Table” screen consists of three parts. The upside of the screen displays the sample
records in tables. The downside of the screen displays the Result, Sample/Patient Info.,
Microscopic Exam Result and Blood Type/ESR Result of the current sample record in the
form of tabs. The top and bottom of the screen displays the functional buttons available in the
current screen.

7.3.1 Sample Records

You can browse each sample record and its Sample/Patient information in the “Table” screen.

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Reviewing Sample Results

z For the error sample record, the content of each information field is
displayed in red.

z For the printed sample, its cell in the “Print” column displays “P”. For the
unprinted sample, its cell in the “Print” column is blank.

z For the validated sample, its cell in the “Validate” column displays “V”; for
the sample not validated, its cell is blank.

z For the transmitted sample, its cell in the “Transmission” column displays
“T”; for the sample not transmitted, its cell is blank.

In the sample records table area, you can perform the following operations:

„ Selecting the sample table

Click the “Sample List” combo box, then you can select “Samples within today” (default),
“All Samples” and ”Samples found”.
The Review List will display different records according to the different options:

Record option Records displayed

Samples within today Display only the sample records within today

All Samples Display all the saved sample records.

Samples found Display all the sample records met the search requirements.

„ Adjusting the position of each column

Click and hold the title of the column then drag the column to the desired position to adjust
the display order.

„ Ranking the records

1. Right click the “Run Date” title, and then a shortcut menu will pop up:

2. Click “Ascending” to rank the records in ascending order of “Run Date + Time” (i.e. the
latest testing sample ranks last in the list).

3. Click “Descending” to rank the records in descending order of “Run Date + Time” (i.e.
the latest testing sample ranks the first in the list).

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Reviewing Sample Results

z The records in the graph screen will be ranked the same way as the table
screen, in ascending/descending order of “Run Date + Time”.

„ Switching

Double click a record in the list; the screen will switch to the graph review screen of the record
automatically.

7.3.2 Tabs

Result
You can click the “Result” tab to see all the results of the highlighted record.

z You can select whether to display the four RUOs, the “*” mark and the
corresponding declarations (“*” means “research use only, not for
diagnostic use”) in “Setup”, see Chapter 5 Customizing the Analyzer
Software for details.

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Reviewing Sample Results

For details of how to edit and restore the result, please see the following Edit Result and
Restore Result section of this chapter.

Sample/Patient Information
You can click the “Sample/Patient Info.” tab to see the sample information and patient
information of the highlighted record in the list.

For details to edit information, see Editing work list information section in Chapter 6
Operating Your Analyzer.

Microscopic Exam. and Others


Click the “Microscopic Exam. and Others” tab, you can browse and enter the microscopic
exam and blood type/ESR information of the record.

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Reviewing Sample Results

„ Entering the Microscopic Exam. Information

1. Selecting the Sample Type

Click the “Sample Type” combo box, and then select the sample type as “Venous blood”
(default) or “Capillary Blood”.

2. Entering the date and time of the microscopic exam.

Click the “Microscopic exam. time” edit box, enter the date and time of microscopic exam.

z The Microscopic exam. time can not exceed the current system time.

3. Entering the morphology information of WBC, RBC and PLT

You can enter the morphology information for WBC, RBC and PLT respectively into the
multi-line edit box.

4. Entering the Cell Differential

You can enter the percentage of each cell differential into the edit box next to the 19 cell
differential name respectively.

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z You can enter a value within the range [0.0-100.0] and the unit is “%”.

„ Entering the Blood Type information

You can select the blood type of the patient in the “Blood Type/ESR” column. Click the first
combo box next to the blood type, you can select from “Blank”, “A”, “B”, “O” and “AB”; click
the second combo box, you can select from “Blank”, “RH+” and “RH-”.

„ Entering the Blood ESR information

Enter the blood ESR value in the edit box follows the “ESR”. If the value exceeds the Ref.
Range, the mark “H” or ”L” will appear to indicate the value exceeds the upper limit or the
lower limit.
You can modify the reference range of Blood ESR by the following steps:

1. Click “Set Reference Range” button, and then a message box will pop up. Enter the
upper limit and lower limit of the blood ESR into the edit box “Lower limit” and “Upper
limit” respectively.

2. Click the “Ok” button to save all the settings and refresh the information.

z You can enter the value up to 3 numeric characters within the range [0,999].

z The upper limit can not be smaller than the lower limit.

z The entered reference range of the Blood ESR is only applied to the current
record, and the default range is [0, 20].

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7.3.3 Function of the Buttons


When the mouse is moved just on the function buttons, the name of the button and the
corresponding shortcut key will appear. For example, when moving the mouse on the “Save”
button, the tips will pop up:

The shortcut keys of the function buttons in the table review screen are shown in the following
table:

Function button Shortcut key


Save F2

Validate F3

Print F4

Edit Result F5

Restore Result F6

Batch Validate F7

Search F8

Communication F9

Delete Alt+Delete

Deselect F10

Trend Graph F11

CV F12

Save
Click the “Save” button to save the modified information on all tabs of the current result.

Search
You can search for the specified sample record from all records in the current list as default.

1. Click the “Search” button, and then a “Search” message box will pop up.

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2. You can define the desired searching conditions.

„ Entering the sample ID

Select the check box of “Sample ID”, and then enter the desired sample ID into the “Sample
ID” edit box.

„ Entering the patient name

Select the check boxes of “Last Name” and “First Name”, and then enter the desired patient
name into the boxes.

„ Selecting the run date

Select the check box of “Run Date”, and then select the limits of the run date.

„ Selecting the patient gender

Select the check box of “Gender”, and then click the radio button “Male”, “Female” or
“Empty” to select the patient gender.

„ Entering the patient ID

Select the check box of “Patient No.”, and then enter the desired patient No. into the “Patient
No.” edit box.

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„ Entering the department name

Select the check box of “Department”, and then enter the desired department name in the
“Department” edit box.

„ Entering the bed No.

Select the check box of “Bed No.”, and then enter the desired bed No. into the “Bed No.” edit
box.

„ Entering the deliverer

Select the check box of “Deliverer”, and then enter the desired deliverer into the “Name” edit
box.

„ Selecting the validate status

Select the check box of the “Validate Status”, and then click the radio button “Validated” or
“Not Validated” to select the validate status.

„ Selecting the print status

Select the check box of “Print Status”, and then click the radio button “Printed” or “Not
Printed” to select the print status.

„ Selecting the communicate status

Select the check box of the “Communication Status”, and then click the radio button
“Transmitted” or “Not Transmitted” to select the communication status.

„ Selecting the matching type

Select the check box of “Whole Words Only”, and then the precise search will be performed;
otherwise, the fuzzy search (means to search the related records which contain the content
that you entered) will be preformed.

„ Selecting the case sensitive

Select the check box of “Case Sensitive”, and then the capital letters and small letters in the
edit box will be distinguished when searching; otherwise, the search will be insensitive to the
form the letters (i.e. the capita letters and small letters will not be distinguished).

3. Click “Ok” to perform the search and switch to the “Samples found” list of the “Table”
screen, and the searching results will display..

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z The desired record is searched from all the sample records as default.

Validate
Click the “Validate” button to validate the current highlighted record in the list.

z You can enable the users of common level to validate by setting in the
“Setup” screen. Otherwise, the user name and the password of
administrator level are required.

z After validating, you can not edit the sample/patient information and the
result

z You can not validate the background record.

Batch Validate

1. Click the “Batch Validate” button, and then the following message box will pop up.

2. Click the radio button “Selected Samples” or “Specified Samples” to select the records
you want to validate.” Selected Samples” are those selected with “√” marks in the
review list.

3. Click the “Specified Samples” radio button to specify the starting and finishing time of
the Run Date for the record to be validated.

4. Click “Ok” to start validating.

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z The users of common level is enabled the authority of “Batch Validate”


together with “Validate” when setting in the “Setup” screen. Otherwise, the
user name and the pass word of administrator level are required.

z For the validated record, you can not edit the sample/patient information
and the result.

z The validated record can also be selected in bath validation.

z You can select whether automatically de-select validated records or not.

Cancel (validate)
Click the “Cancel” button to cancel the validating operation.

z If the current highlighted record is validated, the “Validate” button will be


replaced by the “Cancel” button.

z The “Cancel” button is only available to the highlighted record in the list.

z The users of common level is enabled the authority of “Cancel” together


with “Validate” when setting in the “Setup” screen. Otherwise, the user
name and the pass word of administrator level are required.

z After canceling, you can edit the sample/patient Information and the result.

z You can not validate the background record.

Print

1. Click the “Print” button, and then a message box will pop up.

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2. Click the radio button “Selected Samples” or “Specified Samples” to select the record
you want to export.” Selected Samples” are those selected with “√” marks in the review
list.

3. Click the “Specified Samples” radio button to set the starting and finishing run date of
the records to be printed.

4. Click the “Report” or “List” radio button to select the print format.

5. Click “Ok” to start printing.

z You can set the amount of copies of the printed report in the “Setup” screen.

z At the “Setup” screen, you can choose whether to print the Flag prompts in
the report or not.

z You can select whether automatically de-select printed records or not.

Communication
You can do as follows to transmit the sample record to the LIS/HIS system.

1. Click “Transmit” button, the following message box will pop up.

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2. Click the radio button “Selected Samples” or “Specified Samples” to select the record
you want to transmit.” Selected Samples” are those selected with “√” marks in the
review list.

3. Click the “Specified Samples” radio button to specify the starting and finishing time of
the Run Date for the record to be transmitted.

4. Click “Start” to start transmitting.

z Once the transmission starts, if you click the “Com.” button again, then the
foregoing message box will also pop up but the “Start” button will be
replaced by the “Stop” button. You can click the “Stop” button to stop
transmitting once the transmission of the current sample record is done.

z You can select whether to automatically de-select the transmitted records.

z You can select whether to automatically delete the transmitted records.

CV
You can check the reproducibility of the selected sample record.

1. Select the sample record used for calculating the reproducibility.

2. Click the “CV” button to start calculating the reproducibility, and then the result message
box will pop up:

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3. Click the “Calculate Deviation” button, and then a message box will pop up. You can
check the absolute deviation of the 5 WBC related parameters of percent-style.

4. When finish browsing, you can click the “Close” button to exit.

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z At least 3 records should be selected to calculate the reproducibility.

z Up to all records in the review list can be selected to calculate the


reproducibility.

z There is no restriction to the sample records selected to calculate the


reproducibility as long as they are in the review list.

Trend Graph
You can check the trend graph of all the parameters of the selected sample record. Do as
follows:

1. Select the desired sample record.

2. Click the “Trend Graph” button, and then a message box with the trend graph of all
parameters of the selected record will pop up.

z At least 3 records or at most all records in the review list can be selected.

z There is no restriction when selecting the sample records as long as they


are in the review list.

„ Checking data

Method 1: click the certain data group to move the green line to the place, and then you can
check the data of this group.
Method 2: click the arrow buttons on the “Pos./Total” control to move the green line and check
the data of each group.

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Method 3: when the green line is located, you can press the [←] and [→] key on the keyboard
to move the green line and check the data of each group.
Method four: when the green line is located, you can press the [Home] or [End] key on the
keyboard to check the first or the last group of data on the graph.

„ Modifying the range

Method 1: click the arrow buttons next to the range to adjust it. The trend graph will refresh
immediately once the range is changed.
Method 2: click the edit box of the range and enter the value into it. After entering, press the
[Enter] key or switch to other focus to refresh the trend graph.

z The modified range will also be saved after closing the trend graph.

Delete

z The “Delete” button and the corresponding deleting operation are not
available for users of common-level.

1. Select the sample record you want to delete.

2. Click the “Delete” button, and then a message box will pop up.

3. Click “Ok” to delete the selected records.

Edit Result

1. Click the “Edit Result” button, and then in the "Result" tab, you can edit the result of
each parameter and WBC DIFF results in the activated edit box.

2. After editing, click the “Save” button to save the changes.

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z You can enable the users of common level to edit result by setting in the
“Setup” screen. Otherwise, the user name and the pass word of
administrator level are required.

z If the result of one parameter is modified, then the result of other related
parameter(s) will be changed accordingly and the high or low/suspect flags
will also be refreshed.

z Only the result of the measurement parameters (WBC, RBC, HGB, HCT and
PLT) and WBC DIFF results can be modified.

z After editing and then saving WBC DIFF results, the absolute value of each
DIFF result will be re-calculated and then refreshed.

z If the sum of the DIFF results does not equal to 100.00% after being edited,
then the message box “The sum of the DIFF results is not 100.00%!” will pop
up when you clicking the “Save” button.

z No matter the sample result is validated or not, as long as it is edited, the


result of the parameter that you modified manually will be flagged with an
“E”. If any parameter result is then changed due to the one that you
modified manually, it will be flagged with an “e”. (“E” or “e” will be displayed
between the parameter result and its unit.)

z The scattergram of the sample will not be changed even when the
differential result of the WBC is modified.

z You can not edit the results of the background.

Restore Result

1. Click the “Restore Result” button, and then the following message box will pop up.

2. Click “Ok” to restore the result to the original measurement value and remove the result
edited flags (“E” or “e”).

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z The users of common level are enabled the authority of “Restore Result”
together with “Edit Result” when setting in the “Setup” screen. Otherwise,
the user name and the pass word of administrator level are required.

z Up to 1000 latest measurement results of original value can be saved by the


analyzer.

z You can not restore the results of the background.

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7.4 Data Backup

z For operating system of Windows Vista, the right of copying database file is

restricted by users' access level. To enable the data backup function, you

should log on the system as administrator, and then right click the shortcut

icon of the terminal software and run it as administrator.

You can back up the data of the sample base in the external computer. Do as follows:

1. At the table review screen, click the “Menu” button, then select “Review”Æ “Data
Backup” on the pop-up menu, and then a message box will pop up.

2. Click the radio button “Selected Samples” or “Specified Samples” to select the record
you want to backup.” Selected Samples” are those selected with “√” marks in the review
list.

3. Click the “Specified Samples” radio button to specify the starting and finishing time of
the Run Date for the record to be backed up.

4. Click “Ok” button, the following dialog box will pop up.

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5. Select the directory and enter the file name.

6. Click the “Save” button, and then a progress bar will pop up.

7. When the backup is finished, click “Ok” to exit.

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z You can not choose the file format when backing up.

z The backup sample record can not be edited and can only be reviewed in
“History”.

z The histograms and scattergram will be backed up in the folder of “Bmp” at


the selected location.

z You can select whether automatically de-select the backed up records or


not.

z You can select whether to automatically delete the backed up records.

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7.5 Data Export


You can export the data from the sample base to an external computer and then proceed to
edit or save the data:

1. At the “Table” screen, click the “Menu” button, then select “Review”Æ “Data Export” in
the pop-up menu, and then a “Export” message box will pop up.

2. Click the radio button “Selected Samples” or “Specified Samples” to select the records
you want to export.” Selected Samples” are those selected with “√” marks in the review
list.

3. Click the “Specified Samples” radio button to set the starting and finishing run date of
the record to be printed.

4. Click the “Ok” button, and then a message box will pop up.

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5. Select the directory and format and enter name for the exported file.

6. Click the “Save” button, and then a process bar will pop up.

7. After the export is finished, click “Ok” to exit.

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z The default format of the exported files is “.csv” and you can also choose
the “.txt” format.

z The exported sample record will keep the same order as displayed in the
table review screen (run time ascending/descending).

z You can not review the exported files in “History”, but you can perform the
operations including editing and deleting, etc. to the exported files on an
external computer.

z The histograms and scattergram will be exported in the folder of “Bmp” at


the selected location.

z You can select whether automatically de-select exported records or not.

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7.6 Auto-Backup
When the terminal software connects the analyzer for 4 hours, the backup will be performed
automatically. A progress bar will pop up.

The progress bar will close once the backup is finished.

z You can not perform any operation during the process of backup.

z The record in the sample base will also be backed up automatically when
you exiting the application software.

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7.7 Auto-Restore
If the data is damaged in the sample base, but the corresponding auto-backed up data is fine,
then a message box will pop up.

Click “Yes” to close the box and display the auto-backed up data into the sample list.

z If you choose not to restore the auto-backed up data and running no new
samples, then the foregoing message box will still pop up when you run the
program again.

z A progress bar will be displayed on the screen during auto-restoring.

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7.8 Compare
Click the “Menu” button, and then select “Review” Æ “Compare” from the pop-up menu to
enter the following “Compare” screen.

The “Compare” screen consists of three parts. The top of the screen displays the search
conditions: “Patient ID”, “Last Name”, “First Name” and “Run Date”. The middle of the
screen displays the tab of the patient’s test results and the trend graphs. The available
function buttons are also displayed in the screen.

7.8.1 Tabs

Comparison Summary
Click the “Comparison Summary” tab in the screen to check the test results of the patient.

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The result of all parameters will be displayed in the same order as the list review screen. The
result of different parameter will be separated with a blank row.
If a parameter has more than one result, then all the results and the corresponding
information (include “Unit”, “Ref. Range”, “Run Time”, “Sample ID”) will be displayed in
ascending order by run date/time, and each result will be entitled with the parameter name.

z If “Do not Display RUO parameters” is selected in the “Setup” screen, then
the ALY%, LIC%, ALY# and LIC# will not be displayed in the list.

z A blank cell of “Result” means no measurement result.

z The red flags (“?”, “H” or “L”) indicate the result is either out of limit or
suspect.

z The yellow background indicates an edited result.

Result Trend
Click the “Result Trend” tab in the screen to check the trend graphs of the patient.

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You can click the “Select Parameter” combo box at top-left of the screen to select the desired
the trend graph.

z If “Do not Display RUO parameters” is selected in the “Setup” screen, then
the ALY%, LIC%, ALY# and LIC# will not be displayed in the pull-down list
of the combo box.

The x-axis of the “Parameter Trend” shows the No. of the test and the y-axis shows the result
of each test. Up to 30 data points can be displayed in the trend graph. If the matched data are
more than 30 groups, then only the latest 30 ones will be displayed. The data points in the
trend graph are displayed from left to right in the ascending order of “Run Date /Time”. Thus,
the latest data point places the last.

z The scale on the x-axis of the trend graph changes according to the number
of the result.

z The scale on the y-axis of the trend graph changes according to the value of
the result.

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The down side of the tab displays the result of the single parameter in the form of list. The
corresponding No., run date/time and result are displayed in the list.

z The data in the list corresponds with the data point in the trend graph one by
one.

z The red flags (“?”, “H” or “L”) indicate the result is either out of limit or
suspect.

z The yellow background indicates an edited result.

7.8.2 Function of the buttons

Search
You can search for the certain result of the patient by entering the search condition in the top
of the screen.

1. You can define the desired search conditions.

„ Entering the patient ID

Enter the patient ID into the “Patient ID” box.

„ Entering the patient name

Enter the patient name into the “Last Name” and “First Name” boxes.

„ Selecting the Run Date

Use the date control to specify the range for the run date.

z The “Patient ID” must be entered.

z You can leave the "Patient Name" in blank.

z An empty entry of run date indicates the whole database will be searched for
the certain result and there is no restriction to the run date.

2. Click the “Search” button to start searching the specified record and the result will be
displayed in the two tabs. You can switch between the two tags to check the result.

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Re-fill
You can click the “Re-fill” button to clear all the entered search conditions and then re-fill.

Adjust Parameter Order


You can use the “Adjust Parameter Order” function to adjust the following parameter order.

„ The display order of the parameter in the “Comparison Summary” tab and the
parameter order when printing

„ The display order of the parameter in the combo list of the “Result Trend” tab

Do as follows to adjust parameter order:

1. Click the “Adjust Parameter Order” button, then the following box with the list of the
parameter order will pop up

z The right of the parameter list displays the order-adjusting buttons: “Top”,
“Up”, “Down” and “Bottom”.

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2. Click one parameter in the list to highlight it.

„ Click the “Top” button to move the parameter to the top of the list.

„ Click the “Up” button to move the parameter upward by one position.

„ Click the “Down” button to move the parameter downward by one position.

„ Click the “Bottom” button to move the parameter to the bottom of the list

3. Click “Ok” to save the changes and close the box.

Print
When the current tab is “Comparison Summary”, you can click the “Print” button to print all
the contents of the summary.
When the current tab is “Result Trend”, you can click the “Print” button to print the displayed
result trend and the result list.

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7.9 Statistics
You can select or enter the “Statistical Condition” to realize the statistics of the workload.

7.9.1 Calculate Workload


Click the “Menu” button, and then select “Statistics” Æ “Calculate Workload” from the
pop-up menu to enter the following “Workload Summary” screen.

The top of the screen displays the “Statistical Item”, namely, “Department”, “Deliverer”,
“Operator” and “Run Date”. Below the “Statistical Item”, it displays the corresponding
“Statistical Condition”. The corresponding records are displayed in the workload summary
together with the workload statistics. The available function buttons are also displayed in the
screen.

Workload Summary
All the records that match the statistical conditions will be displayed in the Workload
Summary and be included to calculate the total workload. The records of the same category
(i.e. those with the same field in the first column) will be taken to calculate the subtotal
workload. The default information fields in the workload summary are “Department”,
“Deliverer”, “Operator”, “Run Date” and “Sample Load”.

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z The cell of the un-selected “Statistical Item” displays blank.

For several results of the same item, they will be displayed in ascending order by run date. Be
aware that not all the statistics results in the summary are displayed in ascending order by
run date.
In the workload summary, the subtotal workload will be displayed below the records of the
same category, and the total workload will be displayed in the last.

Function of the buttons

Statistics

You can select the desired statistical item and enter the statistical condition to check the
statistics of the workload of the matched record.

1. You can select the desired statistical item by clicking the check box.

2. After selecting the statistical item, the corresponding statistical condition will be activated
for you to enter.

„ Entering the Department

Enter the department into the “Department” box or select it from the “Department” pull-down
list.

„ Entering the Deliverer

Enter the name of the deliverer into the “Deliverer” box or select it from the “Deliverer”
pull-down list.

„ Entering the Operator

Enter the name of the operator into the “Operator” box or select it from the “Operator”
pull-down list.

„ Selecting the Run Date

Use the date control to specify the range for the run date.

z The shortcut code entry is supported.

z When selecting “All”, it means all the available options of this field will be
calculated.

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3. Click the “Statistics” button to start calculating the workload for the matched records,
and then displays the result in the workload summary.

Re-fill

You can click the “Re-fill” button to clear all the entered statistical conditions and then re-fill.

Adjust Column Order

You can use the “Adjust order” function to adjust the column order (including “Department”,
“Deliverer”, “Operator” and “Run Date”) in the workload summary. Do as follows:

1. Click the “Adjust Order” button, then the following box with the list of the column (field)
order will pop up.

z The right of the list displays the order-adjusting buttons, namely, “Top”,
“Up”, “Down” and “Bottom”.

2. Click one field in the list to highlight it.

„ Click the “Top” button to move the field to the top of the list.

„ Click the “Up” button to move the field upward by one position.

„ Click the “Down” button to move the field downward by one position.

„ Click the “Bottom” button to move the field to the bottom of the list

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3. Click “Ok” to save the changes, close the box and back to the “Calculate Workload”
screen. Then, the column order in the workload summary refreshes.

z The statistical result will also be refreshed together with the column order.

Print

1. Click the “Print” button, and then a message box will pop up.

2. Click the “Print Summary” or the “Print statistics only” radio button to select the
content you want to print.

z “Print Summary” means to print out all the records and statistical results in
the workload summary.

z “Print statistics only” means to print out the statistical results only
(including subtotal and total).

3. Click “Ok” to start printing.

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8 Using the QC Programs

8.1 Introduction
Quality Control (QC) consists of strategies and procedures that measure the precision and
stability of the analyzer. The results imply the reliability of the sample results. QC involves
measuring materials with known, stable characteristics at frequent intervals.
Analysis of the results with statistical methods allows the inference that sample results are
reliable. Mindray recommends you run the QC program daily with low, normal and high level
controls. A new lot of controls should be analyzed in parallel with the current lot prior to their
expiration dates. This may be accomplished by running the new lot of controls twice a day for
five days using any empty QC file. The QC files calculate the mean, standard deviation and
coefficient of variation for each selected parameter. The instrument-calculated means of
these ten runs should be within the expected ranges published by the manufacturer.
The analyzer provides 4 QC programs: L-J QC, X QC, X -R QC and X-B QC.

z You should only use the Mindray-specified controls and reagents. Store and
use the controls and reagents as instructed by instructions for use of the
controls and reagents.

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Using the QC Programs

8.2 L-J Quality Control

8.2.1 Editing L-J settings

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

z Only users of administrator-level can edit the L-J settings.

z For the QC files with saved QC results, if any change is made to the target or
the limits, the changed data will be highlighted in yellow, and the change will
be recorded into the system log.

Before analyzing the new lot of controls, you should set a QC file for each lot of controls and
you can edit the QC settings in the QC file by one of the following ways:

„ Manual entry

„ Reading the saved preset values

Manual entry
You can enter the graph screen by one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen; then select “QC”Æ”L-J” on the pop-up menu.

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Using the QC Programs

Enter the “L-J” graph screen.

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Using the QC Programs

1. Click the “Settings” tab to enter the L-J setup screen.

z For details to edit the name of the login user, see chapter 5 Customizing the
Analyzer Software.

2. Select a QC File No. with empty QC information.

z You can select the file No. within the range [1, 60].

3. You can enter the lot No. of the controls by one of the following ways:

„ Manual entry

„ Entering by external barcode scanner

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z The lot No. can not be empty and up to 16 digits can be entered. You can
enter characters, numbers, letters and special characters, but no Chinese
characters are allowed.

z Different QC files can not have the same lot No. and QC mode.

4. Enter the batch expiration date of the controls.

z You must enter the expiration date, and the entry range is [current system
date, 2099-12-31].

5. Select the QC mode.

z Different QC files can not have the same lot No. and QC mode.

6. Select the control level.

z When the QC mode is “AL-WB”, if you wish to run several controls in a


single running, you should select “Built-in barcode scanner”.

7. According to the target list of the corresponding lot No., enter the target and limits into
the edit boxes of the parameters to be included in the QC run.

8. Click the “Save” button to save all the settings of the QC.

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Using the QC Programs

Reading the Saved Preset Values

z If there are the saved preset values (Target and Limits) for the current level,
you can read the preset values into the current QC file. For details of
calculating and saving the preset values, see Section 8.2.3 Reviewing QC
results.

You can enter the graph screen by one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen; then select “QC”Æ”L-J” on the pop-up menu.

Enter the “L-J” graph screen.

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1. Click the “Settings” tab to enter the L-J setup screen.

z For details to edit the name of the login user, see chapter 5 Customizing the
Analyzer Software.

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Using the QC Programs

2. Select a QC File No. with empty QC information.

z You can select the file No. within the range [1, 60].

3. You can enter the lot No. of the controls by one of the following ways:

„ Manual entry

„ Entering by external barcode scanner

z The lot No. can not be empty and up to 16 digits can be entered. You can
enter characters, numbers, letters and special characters, but no Chinese
characters allowed.

z Different QC files can not have the same lot No. and QC mode.

4. Enter the batch expiration date of the controls.

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Using the QC Programs

z You must enter the expiration date, and the entry range is [current system
date, 2099-12-31].

5. Select the QC mode.

z Different QC files can not have the same lot No. and QC mode.

6. Select the control level.

z When the QC mode is “AL-WB”, if you wish to run several controls in a


single running, you should select “Built-in barcode scanner”.

7. Click the “Have Preset Values” button to read the saved preset target and limits
(correspond to the current level) into the current QC file.

z If some parameters to be included in the QC run have no preset values, you


should enter the target and limits for them manually; if you don’t want some
parameters with preset values to be included in the QC run, you can cancel
the target and limits of them manually after read-in the preset values.

8. Click the “Save” button to save all the settings of the QC.

Setting Limits
You can take the following steps to adjust the display format of the limits and the calculation
method of the preset limits.

1. Click the “Set Limits” button, and then the following message box will pop up.

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Using the QC Programs

2. Click “By SD” to display the limits in the form of absolute value; click “By CV” to display
the limits in the form of percentage.

3. If “By SD” is selected, click the “2SD” or “3SD” to select either double or triple standard
deviation to be the limits; if “By CV” is selected, click the “2CV” or “3CV” to select either
double or triple coefficient of variation to be the limits.

4. Click the “Ok” button to save all the settings for the limits.

Print
Click the “Print” button to print the setting information of the current QC file.

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8.2.2 Running controls


After editing the QC information, you can start one of the following QC analyses according to
the selected QC mode.

„ CT-WB

„ CT-PD

„ AL-WB (without built-in barcode scanner)

„ AL-WB (with built-in barcode scanner)

Running Controls (CT-WB)

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

z The sample probe is sharp and potentially biohazardous, Exercise caution


to avoid contact with the probe when working around it.

z The sample may spill from the unclosed collection tubes and cause
biohazard. Exercise caution to the unclosed collection tubes.

z Be sure to avoid reversing the collection tube when loading, otherwise, the
collection tube may be broken and cause biohazard.

z Be sure to place the collection tubes in the right adapter before running,
otherwise, the collection tubes may be broken and cause biohazard.

z Collection tubes broken may cause personal injury and/or biohazard.


Exercise caution when loading the collection tubes to the rack or getting the
collection tubes from the rack, be sure not to break the tubes.

z Keep you clothed, hairs and hands away from the moving parts to avoid
injury.

z The reagents are irritating to eyes, skin and diaphragm. Wear proper
personal protective equipment (e.g. gloves, lab coat, etc.) and follow safe
laboratory procedures when handling them in the laboratory.

z If the reagents accidentally spill on your skin, wash them off with plenty of
water and if necessary, go see a doctor; if the reagents accidentally spill
into your eyes, wash them off with plenty of water and immediately go see a
doctor.

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Using the QC Programs

z Do not re-use such disposable product as collection tubes, test tubes,


capillary tubes, etc.

z Be sure to use the Mindray-specified disposable products including


evacuated blood collection tube, anticoagulant collection tubes and
capillary tubes etc.

z If the sample mode is switched from the “Predilute” to “Whole Blood”, the
analyzer will perform the switching sequence automatically and a progress
bar will be displayed on the screen.

You can enter the graph screen by one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen; then select “QC”Æ”L-J” on the pop-up menu.

Enter the “L-J” graph screen.

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Using the QC Programs

1. Click the “Run” tab to enter the L-J run screen.

z For details to edit the name of the login user, see chapter 5 Customizing the
Analyzer Software.

z Be sure to use the adapter of Ф13x75 (mm) model when running the QC in
CT-WB mode. For details to install the adapter, see Chapter 6 Operating Your
Analyzer.

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Using the QC Programs

2. Select the QC file No. to be run; the screen displays the corresponding file information.

3. Be sure that the level of the control to be run is the same with the current QC file.

4. Be sure that the control to be run is not expired.

5. Prepare the control as instructed by instructions for use of the controls.

6. Run the controls:

1) Make sure the QC mode is “CT-WB” and the analysis status icon and analyzer indicator is
green.
2) Shake the prepared control as shown below to well mix it.

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Using the QC Programs

3) Click the “Start” button.

4) Press the [OPEN] key to open the compartment door.


5) Present the prepared control into the tube holder and then close the compartment door.
6) Press the [Run] key or click the “Run” button on the message box to start running.
7) When the running is finished, the compartment door will open automatically and you can
remove the control.

7. When finish running, the QC results will be displayed in the current screen and be saved
in the QC file automatically.

z Up to 300 QC results can be saved for each QC file.

8. Do the above procedures to continue running the controls if necessary.

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Using the QC Programs

Running Controls (CT-PD)

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

z The sample probe is sharp and potentially biohazardous, Exercise caution


to avoid contact with the probe when working around it.

z The sample may spill from the unclosed collection tubes and cause
biohazard. Exercise caution to the unclosed collection tubes.

z Be sure to avoid reversing the collection tube when loading, otherwise, the
collection tube may be broken and cause biohazard.

z Be sure to place the collection tubes in the right adapter before running,
otherwise, the collection tubes may be broken and cause biohazard.

z Collection tubes broken may cause personal injury and/or biohazard.


Exercise caution when loading the collection tubes to the rack or getting the
collection tubes from the rack, be sure not to break the tubes.

z Keep you clothed, hairs and hands away from the moving parts to avoid
injury.

z The reagents are irritating to eyes, skin and diaphragm. Wear proper
personal protective equipment (e.g. gloves, lab coat, etc.) and follow safe
laboratory procedures when handling them in the laboratory.

z If the reagents accidentally spill on your skin, wash them off with plenty of
water and if necessary, go see a doctor; if the reagents accidentally spill into
your eyes, wash them off with plenty of water and immediately go see a
doctor.

z Do not re-use such disposable product as collection tubes, test tubes,


capillary tubes, etc.

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Using the QC Programs

z Be sure to use the Mindray-specified disposable products including


evacuated blood collection tube, anticoagulant collection tubes and
capillary tubes etc.

You can enter the graph screen by one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen; then select “QC”Æ”L-J” on the pop-up menu.

Enter the “L-J” graph screen.

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Using the QC Programs

1. Click the “Run” tab to enter the L-J run screen.

z For details to edit the name of the login user, see chapter 5 Customizing the
Analyzer Software.

z Be sure to use the adapter of Ф11x40 (mm) model when running the QC in
CT-PD mode. For details to install the adapter, see Chapter 6 Operating Your
Analyzer.

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Using the QC Programs

2. Select the QC file No. to be run; the screen displays the corresponding file information.

3. Be sure that the level of the control to be run is the same with the current QC file.

4. Be sure that the control to be run is not expired.

5. Prepare the control as instructed by instructions for use of the controls.

6. Run the controls:

1) Make sure the QC mode is “CT-PD” and the analysis status icon and analyzer indicator is
green.
2) Click the shortcut button “Diluent”, the compartment door will open automatically. A
message box shown below will pop up.

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Using the QC Programs

3)Present a clean centrifugal tube into the sample compartment with the cap opened. Press
the [RUN] key to dispense 180µL of diluent into the tube. During dispensing the diluent, a
progress bar will display.

z If the current mode is autoloader, the analyzer will switch to the close-tube
mode automatically and then dispense the diluent. Then, the mode will be
switched back to autoloader when exiting.

4)When the dispensing is finished, the compartment door will open automatically and you
can remove the centrifugal tube. Then, the following message box will display.

5) Add 20µL of control to the diluent, close the tube cap and shake the tube to mix the
sample.
6) Click the “Cancel” button to exit the “Diluent” message box.

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Using the QC Programs

7) After the cleaning is finished, close the message box.


8) Click the “Start” button.

9) Present the centrifugal tube into the tube holder with the cap opened and then close the
compartment door.
10) Press the [Run] key or click the “Run” button on the message box to start running.
11) When the running is finished, the compartment door will open automatically and you can
remove the centrifugal tube.

7. When finish running, the QC results will be displayed in the current screen and be saved
in the QC file automatically.

z You can also dispense 180µL of diluent by pipette into the tube.

z Be sure to keep dust from the prepared diluent.

z After mixing the control with the diluent, be sure to wait 3 minutes before
running.

z Be sure to run the prediluted samples within 30 minutes after the mixing.

z Be sure to mix any sample that has been prepared for a while before running
it.

z Be sure to evaluate predilute QC stability based on your laboratory’s sample


population and sample collection techniques or methods.

z Up to 300 QC results can be saved for each QC file.

8. Do the above procedures to continue running the controls if necessary.

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Using the QC Programs

Running Controls (AL-WB without built-in barcode scanner)

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

z The sample probe is sharp and potentially biohazardous, Exercise caution


to avoid contact with the probe when working around it.

z The sample may spill from the unclosed collection tubes and cause
biohazard. Exercise caution to the unclosed collection tubes.

z Be sure to avoid reversing the collection tube when loading, otherwise, the
collection tube may be broken and cause biohazard.

z Collection tubes broken may cause personal injury and/or biohazard.


Exercise caution when loading the collection tubes to the rack or getting the
collection tubes from the rack, be sure not to break the tubes.

z Collection tubes broken may cause personal injury and/or biohazard.


Exercise caution when loading the collection tubes to the autoloader or
getting the collection tubes from the autoloader, be sure not to break the
tubes.

z The pusher will push the rack inside the autoloader. Be sure you hand is
away from the rack before starting the autoloader.

z Keep you clothed, hairs and hands away from the moving parts to avoid
injury.

z The reagents are irritating to eyes, skin and diaphragm. Wear proper
personal protective equipment (e.g. gloves, lab coat, etc.) and follow safe
laboratory procedures when handling them in the laboratory.

z If the reagents accidentally spill on your skin, wash them off with plenty of
water and if necessary, go see a doctor; if the reagents accidentally spill into
your eyes, wash them off with plenty of water and immediately go see a
doctor.

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Using the QC Programs

z Do not re-use such disposable product as collection tubes, test tubes,


capillary tubes, etc.

z Be sure to use the Mindray-specified disposable products including


evacuated blood collection tube, anticoagulant collection tubes and
capillary tubes etc.

You can enter the graph screen by one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen; then select “QC”Æ”L-J” on the pop-up menu.

Enter the “L-J” graph screen.

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Using the QC Programs

1. Click the “Run” tab to enter the L-J run screen.

z For details to edit the name of the login user, see chapter 5 Customizing the
Analyzer Software.

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Using the QC Programs

2. Select the QC file No. to be run; the screen displays the corresponding file information.

3. Be sure that the level of the control to be run is the same with the current QC file.

4. Be sure that the control to be run is not expired.

5. Prepare the control as instructed by instructions for use of the controls.

6. Run the controls:

1) Make sure the QC mode is “AL-WB” and the analysis status icon and analyzer indicator is
green.
2) Click the “Start” button.

3) Present the prepared control into the rack.


4) Place racks loading controls on the level of the right tray of the autoloader, with the back of

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“MINDRAY” mark on the carrier facing the analyzer.


5) Press the [Run] key or click the “Run” button on the message box to start running.
6) When finish running, you can remove the racks from the left of the autoloader.

z Without built-in barcode scanner, only one control can be run in single
running.

7. When finish running, the QC results will be displayed in the current screen and be saved
in the QC file automatically.

z Up to 300 QC results can be saved for each QC file.

8. Do the above procedures to continue running the controls if necessary.

Running Controls (AL-WB with built-in barcode scanner)

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

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Using the QC Programs

z The sample probe is sharp and potentially biohazardous, Exercise caution


to avoid contact with the probe when working around it.

z The sample may spill from the unclosed collection tubes and cause
biohazard. Exercise caution to the unclosed collection tubes.

z Be sure to avoid reversing the collection tube when loading, otherwise, the
collection tube may be broken and cause biohazard.

z Collection tubes broken may cause personal injury and/or biohazard.


Exercise caution when loading the collection tubes to the rack or getting the
collection tubes from the rack, be sure not to break the tubes.

z Collection tubes broken may cause personal injury and/or biohazard.


Exercise caution when loading the collection tubes to the autoloader or
getting the collection tubes from the autoloader, be sure not to break the
tubes.

z The pusher will push the rack inside the autoloader. Be sure you hand is
away from the rack before starting the autoloader.

z Keep you clothed, hairs and hands away from the moving parts to avoid
injury.

z The reagents are irritating to eyes, skin and diaphragm. Wear proper
personal protective equipment (e.g. gloves, lab coat, etc.) and follow safe
laboratory procedures when handling them in the laboratory.

z If the reagents accidentally spill on your skin, wash them off with plenty of
water and if necessary, go see a doctor; if the reagents accidentally spill into
your eyes, wash them off with plenty of water and immediately go see a
doctor.

z Do not re-use such disposable product as collection tubes, test tubes,


capillary tubes, etc.

z Be sure to use the Mindray-specified disposable products including


evacuated blood collection tube, anticoagulant collection tubes and
capillary tubes etc.

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Using the QC Programs

You can enter the graph screen by one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen; then select “QC”Æ”L-J” on the pop-up menu.

Enter the “L-J” graph screen.

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Using the QC Programs

1. Click the “Run” tab to enter the L-J run screen.

z For details to edit the name of the login user, see chapter 5 Customizing the
Analyzer Software.

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Using the QC Programs

2. Select the QC file No. to be run; the screen displays the corresponding file information.

z As long as the QC mode of the select QC file is “AL-WB” and “With Built-in
Barcode Scanner” is also selected, even the lot No. of the current QC file
does not match the lot No. of the control, you can still save each QC result
into the corresponding QC file by the scanned barcode.

3. Be sure that the level of the control to be run is the same with the current QC file.

4. Be sure that the control to be run is not expired.

5. Paste the barcode to the container of the control.

6. Prepare the control as instructed by instructions for use of the controls.

7. Run the controls:

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z For details to paste the barcode, see Chapter 6 Operating Your Analyzer.

z Be sure that the barcode of the lot No. of the controls is readable by the
built-in barcode scanner, for details to set the symbology, see Chapter 5
Customizing the Analyzer Software; for details to test the built-in barcode
scanner, see Chapter 10 Maintenance.

1) Make sure the QC mode is “AL-WB” and the analysis status icon and analyzer indicator is
green.
2) Be sure “Built-in Barcode Scanner” is selected for all the corresponding QC files, and the
barcode labels are pasted to the containers of the controls.
3) Click the “Start” button.

4) Present the prepared control into the rack.


5) Place racks loading controls on the level of the right tray of the autoloader, with the back of
“MINDRAY” mark on the carrier facing the analyzer.
6) Press the [Run] key or click the “Run” button on the message box to start running.
7) When finish running, you can remove the racks from the left of the autoloader.

z With built-in barcode scanner, more than one control can be run together in
a single running.

z When the barcode of the control is scanned by the built-in barcode scanner,
the screen will switch to the corresponding QC file automatically.

z If nothing is scanned or no matching lot No. is found, the analyzer will jump
over the certain control without analyzing, and proceed to the later barcode
scanning and QC analyzing.

8. When finish running, the newest QC results will be displayed in the current screen and
be saved in the QC file automatically.

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Using the QC Programs

z If any control is jumped over without being analyzed, a prompt will pop up
when the analysis cycle is completed. Click the “Ok” button to close the
prompt.

z Up to 300 QC results can be saved for each QC file.

9. Do the above procedures to continue running the controls if necessary.

Browse the QC Result


You can click the arrow button in the bottom of the screen to browse the QC result saved in
the current QC file.

You can click the button or button to switch to the pervious or the next QC result.

You can click the button or button to switch to the earliest or the latest QC result
saved in the QC file.

z The running result of the expired control will begin with an “O” mark.

z The flag prompt “H” or “L” will appear in front of the result that out of the
limits.

z The enlarging function is available to the scattergrams and histograms of


the screen. See details for operation in Chapter 7 Reviewing Sample
Results.

z For the QC files with saved QC results, if any change is made to the target or
the limits, the changed data will be highlighted in yellow.

Print
Click the “Print” button to print the results of the current QC Run screen.

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8.2.3 Reviewing QC Results


After running controls, you can review the QC results in the following two ways:

„ Graph

„ Table

Graph Review

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

You can enter the graph screen by one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen; then select “QC”Æ”L-J” on the pop-up menu.

Enter the “L-J” graph screen.

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1. Select the QC file No. you want to review, and then the screen will display the
corresponding information and the graph.

2. You can drag the scroll bar on the right of the graph to browse the desired graph of the
parameter. You can drag the scroll bar down to the graph horizontally to browse all the
QC results.

Introduction to the “Graph” Screen

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Using the QC Programs

1- The Mean, SD and CV% of all the QC results of each parameter in the current graph.
2- The saving date and time of the QC points located on the green line.
3- The operator who run the QC analysis and obtained the QC points located on the green
line.
4- The QC results of the parameters that correspond to the QC points located on the green
line.
5- The QC points in each graph are displayed from left to right according to the sequence
from the earliest to the latest. The QC points are connected by a line to illustrate the
distribution trend.
6- The QC point corresponds to each QC result. Only the selected QC point displays its value
under the parameter. The black QC point indicates the value is within the limit; the red QC
point indicates the value is out of the limit.
7- When you clicking a QC point in the graph, the QC points of other parameters that saved
together with this one will be marked by a green line.
8- The relative position of the QC point located on the green line and the total QC points
saved currently.

z The outliers are excluded from the calculation of Mean, SD and CV%.

z For the QC files with saved QC results, if any change is made to the target or
the limits, the changed data will be highlighted in yellow.

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Browse the QC Result

You can click the arrow button in the bottom of the screen to browse the QC result saved in
the current QC file.

You can click the button or button to move the green line to the pervious or the

next QC point; you can click the button or button to move the green line to the first
or the last QC point in the graph. When the location of the green line is selected, you can
check the QC results of the QC points located on the green line under each parameter.

New Vial

If the reviewed QC results are obtained by analyzing a new vial of control of the same batch,
you should mark the QC points of the new vial to distinguish the QC results from the old.

1. Move the green line to the first QC point of the new vial.

2. Click the “New Vial” button, and then a blue line appears at the QC point of the new vial.

3. After another new vial of control (of the same batch) is run and its QC results are saved,
you can click the “Cancel” button to cancel the original marking line, and then mark the
current QC points of the new vial according to step 1 and 2.

Data Compare

If you wish to compare the graphs of the certain parameter obtained by running controls of
different lot No., do as follows:

1. Click the “Data Compare” button to start selecting the desired graph.

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2. Select the desired QC file No. into the “File No.” box (3 files can be selected at most).
Then, the graph of the selected QC file will be displayed below together with its lot No.,
QC mode and level.

3. Select the desired parameter into the “Parameter” box.

z Browse the graph here the same way as instructed in the “Graph” screen.
Be aware that, for controls of different level, their graphs will be
distinguished by the color of orange, black and blue.

4. Click the “Print” button to print the current comparison if necessary.

5. Click the “Close” button to exit.

Display Order

Do as follows to adjust the display order of different graphs.

1. Click the “Display Order” button to check the current display order of the graphs.

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2. Click the parameter that you want to adjust.

3. You can click the button or button to move parameter upward or downward;

you can click the button or button to move the parameter to the first or the last

position.

4. Click the “Ok” button to refresh the display order of the graphs.

Save Preset Values

If there are 3 or more than 3 QC results within the limits obtained for the parameters, you can
take the following steps to calculate and save the preset value for each parameter:

1. Click the “Calculate Preset Values” button, and then the screen displays two lines for
you to select the range for calculating the preset values.

2. Click and drag the two lines respectively to locate them at the beginning and the ending
of the range for calculating the preset values.

3. The Mean, SD and CV% (on the right of the graph) will change into the new results
which obtained by calculating the selected range.

4. If you wish to save the new results, you can click the “Save Preset Values” button to
save the current Mean, SD and CV% as the preset values for the corresponding level

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(high/normal/low). Then, the two selecting lines disappear and the Mean, SD and CV%
return to the calculated results of all QC results.

z The calculation and display of the preset values are only available to the
parameter (within the calculation range) which has 3 or more than 3 results
within the limit. Otherwise, the display of the preset values will be empty.

z According to the high, normal and low level of the controls, three sets of
preset values can be saved respectively.

Entering the Reasons for the Outliers

Do as follows to enter the reasons for the outliers:

1. After moving the green line to the desired QC point, you can click the “Outliers” button to
display the QC results, targets and limits of all the parameters located on the green line
(the QC results exceed the limit will be displayed in red) and enter the reasons for the
outliers.

2. You can select the reason form the given ones or enter the reasons (up to 200
characters) into the edit box manually after selecting “Others”.

3. Click the “Ok” button to save the reasons for the outliers and exit.

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z If you enter the reason for the group of QC points whose results are actually
within the limits, then their corresponding QC data both in the QC Graph and
QC Table will be displayed in the color of red. And the data will return in the
color of black if you cancel the reason and then save the changes.

Delete

The administrator can delete the QC results by the following steps:

1. If you wish to delete a single QC result, move the green line to the desired QC result; if
you wish to delete all the data, perform step 2 directly.

2. Click the “Delete” button to select “Current Data” or “All Data”.

3. Click the data you want to delete.

4. Click the “Ok” button and then confirm to delete the selected data.

z The operation of deletion will be recorded in the log.

Print

Click the “Print” button to print all the file information and graphs of the parameters of the
current QC file.

z The green line and the corresponding values of the QC points will not be
printed.

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Table Review

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

You can enter the Table screen in one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen; then select “QC”Æ”L-J” on the pop-up menu.

Enter the “L-J” graph screen.

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1. Click the “Table” tab to enter the L-J table screen.

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2. Select the QC file No. you want to review, and then the screen will display the
corresponding information and the table.

3. You can drag the scroll bar on the right of the table vertically to browse the desired table
of the parameter. You can drag the scroll bar down to the table horizontally to browse all
the QC results.

Introduction to the “Table” Screen

1- The No. of the QC result saved in the QC file (arranged from left to right in the order that
from the earliest to the latest)
2- QC Result
3- QC parameters (displayed in the same order as the Graph screen)
4- QC flag: The flag “H” or “L” will be used to prompt the result that out of the limits
5- The relative position of the highlighted QC point and the total QC points saved currently.

z For the QC files with saved QC results, if any change is made to the target or
the limits, the changed data will be highlighted in yellow.

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Browse the QC Result

You can click the arrow button in the bottom of the screen to browse the QC result saved in
the current QC file.

You can click the button or button to highlight the pervious or the next QC result;

you can click the button or button to highlight the first or the last QC result in the
table.

Delete

The administrator can delete the QC results by the following steps:

1. If you wish to delete a single QC result, click the column contains the desired QC result;
if you wish to delete all the data, perform step 2 directly.

2. Click the “Delete” button to select “Current Data” or “All Data”.

3. Click the data you want to delete.

4. Click the “Ok” button and then confirm to delete the selected data.

z The operation of deletion will be recorded in the log.

Print

You can take the following steps to print the Table:

1. Click the “Print” button, and then you can select “All Data” or “Specified Data” to be
printed.

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2. Click the “All Data” button and then click the “Ok” button to print all the file information
and tables of the parameters of the current QC file; after clicking the “Specified Data”
button, you can select the starting and finishing date (the saved date of the QC results)
for printing, then click the “Ok” button to print the specified data.

Communication

If you wish to transmit the QC data to the external data management software or LIS/HIS, do
as follows:

1. Click the “Communication” button, and then you can select “All Data” or “Specified

Data” to be transmitted.

2. Click the “All Data” button and then click the “Start” button to transmit the information of

the current QC file and QC data. After clicking the “Specified Data” button, you can

specify a date range (the date when the QC result was saved), then click the “Ok” button

to transmit the specified data. The “LIS/HIS connected” icon on the status bar of the

screen will flicker during transmission.

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3. While transmitting, the “Start” button in the pop-up message box will be replaced by

“Stop”. You can click the “Stop” button to stop transmitting.

z If auto-communication is enabled and a sample is ran during the


transmission of the QC data, then only when the QC data transmission
finished will the auto-communication of the sample result starts.

z The QC data saved in the process of transmission will not be transmitted.

Data Backup

z For operating system of Windows Vista, the right of copying database file is

restricted by users' access level. To enable the data backup function, you

should log on the system as administrator, and then right click the shortcut

icon of the terminal software and run it as administrator.

If you wish to backup the information and the result of the current QC file, do as follows:

1. Click the “Data Backup” button, a message box will pop up.

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2. Select the backup directory (the default directory is the folder of “QC Data” under the
installation location of the terminal software).

3. Enter the name for the backup data (the default name is [L-J_QC_date saved_time
saved]).

4. Click the “Save” button to start backing up.

5. When the backup is finished, a message box will pop up, and then click “Ok” to exit.

z The backup data can not be modified. You can review the data in “History”
screen.

z You can click the “Cancel” button to cancel backup when it is in process.

z Be sure to backup data regularly.

Data Export

If you wish to export the information and the result of the current QC file, do as follows:

1. Click the “Data Export” button, and then a message box will pop up.

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2. Select the export directory (the default directory is the folder of “QC Data” under the
installation location of the terminal software).

3. Enter the name for the export data (the default name is [L-J_QC_date saved_time
saved]).

4. Select the format for the export file.(default format: “. CSV”)

5. Click the “Save” button to start exporting.

6. When the export is finished, a message box will pop up, and then click “Ok” to exit.

z You can modify the exported data but can not review the data in the
“History” screen.

z You can click the “Cancel” button to cancel export when it is in process.

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History

z For operating system of Windows Vista, the right of copying database file is

restricted by users' access level. To enable the history function, you should

log on the system as administrator, and then right click the shortcut icon of

the terminal software and run it as administrator.

If you wish to review the backed up data, do as follows:

1. Click the “History” button, and then a message box will pop up.

2. Locate and then select the desired backup data.

3. Click the “Open” button to display the data in “History” screen.

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4. The display format and the function button are the same as the QC Table review screen.
Browse, print, transmit and export the data as instructed in the section of QC Table
Review.

5. After reviewing, click the “Close” button to exit.

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8.3 X QC Program

8.3.1 Editing X Settings

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

z Only administrators can edit the X QC settings.


z For the QC files with saved QC results, if changing and then saving the
reference range or limits caused the change of target and limits, then the
changed data will be displayed in yellow background and recorded in the
system log.

Before analyzing a new batch of controls, you should set a QC file for each lot of controls and
edit the QC settings in the QC file by one of the following ways:

„ Manual entry

„ Reading the saved preset values.

Manual Entry
You can enter the graph screen by one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen, and then select “QC”Æ” X ” on the pop-up menu.

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Enter the “ X ” graph screen.

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1. Click the “Settings” tab to enter the X setup screen.

z For details to edit the name of the login user, see chapter 5 Customizing the
Analyzer Software.

2. Select a QC File No. with empty QC information.

z You can select the file No. within the range [1, 60].

3. You can enter the lot No. of the controls in one of the following ways:

„ Manual entry

„ Entering by external barcode scanner

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z The lot No. can not be empty and up to 16 digits can be entered. You can
enter characters, numbers, letters and special characters, but no Chinese
characters allowed.

z Different QC files can not have the same lot No. and QC mode.

4. Enter the batch expiration date of the controls.

z You must enter the expiration date, and the entry range is [current system
date, 2099-12-31].

5. Select the QC mode.

z Different QC files can not have the same lot No. and QC mode.

6. Select the control level.

7. According to the target list of the corresponding lot No., enter the target and limits into
the edit boxes of the parameters to be included in the QC run.

8. Click the “Save” button to save all the settings of the QC.

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Reading the Saved Preset Values

z If there are the saved preset values (Target and Limits) for the current level,
you can read-in the preset values into the current QC file. For details of
calculating and saving the preset values, see Section 8.3.3 Reviewing QC
results.

You can enter the graph screen in one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen, and then select “QC”Æ” X ” on the pop-up menu.

Enter the “ X ” graph screen.

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1. Click the “Settings” tab to enter the X setup screen.

z For details to edit the name of the login user, see chapter 5 Customizing the
Analyzer Software.

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2. Select a QC File No. with empty QC information.

z You can select the file No. within the range [1, 60].

3. You can enter the lot No. of the controls in one of the following ways:

„ Manual entry

„ Entering by external barcode scanner

z The lot No. can not be empty and up to 16 digits can be entered. You can
enter characters, numbers, letters and special characters, but no Chinese
characters allowed.

z Different QC files can not have the same lot No. and QC mode.

4. Enter the batch expiration date of the controls.

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z You must enter the expiration date, and the entry range is [current system
date, 2099-12-31].

5. Select the QC mode.

z Different QC files can not have the same lot No. and QC mode.

6. Select the control level.

7. Click the “Have Preset Values” button to read-in the saved preset target and limits
(correspond to the current level) into the current QC file.

z If some parameters to be included in the QC run have no preset values, you


should enter the target and limits for them manually; if you don’t want some
parameters already with preset values to be included in the QC run, you can
cancel the target and limits of those parameters manually after read-in the
preset values.

8. Click the “Save” button to save all the settings of the QC.

Setting Limits
Do as followings to adjust the display format of the limits and the calculation method of the
preset limits.

1. Click the “Set Limits” button, and then the following message box will pop up.

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2. Click “By SD” to display the limits in the form of absolute value; click “By CV” to display
the limits in the form of percentage.

3. If “By SD” is selected, click the “2SD” or “3SD” to select either double or triple standard
deviation to be the limits; if “By CV” is selected, click the “2CV” or “3CV” to select either
double or triple coefficient of variation to be the limits.

4. Click the “Ok” button to save all the settings for the limits.

Print
Click the “Print” button to print the setting information of the current QC file.

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8.3.2 Running Controls


After editing the QC information, you can start one of the following QC analyses according to
the selected QC mode.

„ CT-WB

„ CT-PD

„ AL-WB

Running Controls (CT-WB)

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

z The sample probe is sharp and potentially biohazardous, Exercise caution


to avoid contact with the probe when working around it.

z The sample may spill from the unclosed collection tubes and cause
biohazard. Exercise caution to the unclosed collection tubes.

z Be sure to avoid reversing the collection tube when loading, otherwise, the
collection tube may be broken and cause biohazard.

z Be sure to place the collection tubes in the right adapter before running,
otherwise, the collection tubes may be broken and cause biohazard.

z Collection tubes broken may cause personal injury and/or biohazard.


Exercise caution when loading the collection tubes to the rack or getting the
collection tubes from the rack, be sure not to break the tubes.

z Keep you clothed, hairs and hands away from the moving parts to avoid
injury.

z The reagents are irritating to eyes, skin and diaphragm. Wear proper
personal protective equipment (e.g. gloves, lab coat, etc.) and follow safe
laboratory procedures when handling them in the laboratory.

z If the reagents accidentally spill on your skin, wash them off with plenty of
water and if necessary, go see a doctor; if the reagents accidentally spill into
your eyes, wash them off with plenty of water and immediately go see a
doctor.

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z Do not re-use such disposable product as collection tubes, test tubes,


capillary tubes, etc.

z Be sure to use the Mindray-specified disposable products including


evacuated blood collection tube, anticoagulant collection tubes and
capillary tubes etc.

z If the sample mode is switched from the “Predilute” to “Whole Blood”, the
analyzer will perform the switching sequence automatically and a progress
bar will be displayed on the screen.

You can enter the graph screen in one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen, and then select “QC”Æ” X ” on the pop-up menu.

Enter the “ X ” graph screen.

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1. Click the “Run” tab to enter the X run screen.

z For details to edit the name of the login user, see chapter 5 Customizing the
Analyzer Software.

z Be sure to use the adapter of Ф13x75 (mm) model when running the QC in
CT-WB mode. For details to install the adapter, see Chapter 6 Operating Your
Analyzer.

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2. Select the QC file No. to be run; the screen displays the corresponding file information.

3. Be sure that the level of the control to be run is the same with the current QC file.

4. Be sure that the control to be run is not expired.

5. Prepare the control as instructed by instructions for use of the controls.

6. Run the controls:

1) Make sure the QC mode is “CT-WB” and the analysis status icon and analyzer indicator is
green.
2) Shake the prepared control as shown below to well mix it.

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3) Click the “Start” button.

4) Press the [OPEN] key to open the compartment door.


5) Present the prepared control into the tube holder and then close the compartment door.
6) Press the [Run] key or click the “Run” button on the message box to start running.
7) When the running is finished, the compartment door will open automatically and you can
remove the control.
8) After the analyzing is finished, the QC result of the first analysis will be displayed on the
screen.

9) Mix the control well again, and then to run the control for the second time according to the
prompt.

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z You can click the “Cancel” button in the message box to cancel the second
run and the results obtained in the first run will not be saved as well.

10) When the running is finished, the compartment door will open automatically and you can
remove the control.

7. When finish running, the QC results (values of the two QC runs and the mean X ) will be

displayed in the current screen and be saved in the QC file automatically.

z When the QC result of the second QC run is obtained, the screen will refresh
the displayed histograms and scattergrams according to the second QC
run.

z Up to 300 QC results (mean X ) can be saved for each QC file.

8. Do the above procedures to continue running the controls if necessary.

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Running Controls (CT-PD)

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

z The sample probe is sharp and potentially biohazardous, Exercise caution


to avoid contact with the probe when working around it.

z The sample may spill from the unclosed collection tubes and cause
biohazard. Exercise caution to the unclosed collection tubes.

z Be sure to avoid reversing the collection tube when loading, otherwise, the
collection tube may be broken and cause biohazard.

z Be sure to place the collection tubes in the right adapter before running,
otherwise, the collection tubes may be broken and cause biohazard.

z Collection tubes broken may cause personal injury and/or biohazard.


Exercise caution when loading the collection tubes to the rack or getting the
collection tubes from the rack, be sure not to break the tubes.

z Keep you clothed, hairs and hands away from the moving parts to avoid
injury.

z The reagents are irritating to eyes, skin and diaphragm. Wear proper
personal protective equipment (e.g. gloves, lab coat, etc.) and follow safe
laboratory procedures when handling them in the laboratory.

z If the reagents accidentally spill on your skin, wash them off with plenty of
water and if necessary, go see a doctor; if the reagents accidentally spill into
your eyes, wash them off with plenty of water and immediately go see a
doctor.

z Do not re-use such disposable product as collection tubes, test tubes,


capillary tubes, etc.

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z Be sure to use the Mindray-specified disposable products including


evacuated blood collection tube, anticoagulant collection tubes and
capillary tubes etc.

You can enter the graph screen in one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen, and then select “QC”Æ” X ” on the pop-up menu.

Enter the “ X ” graph screen.

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1. Click the “Run” tab to enter the X run screen.

z For details to edit the name of the login user, see chapter 5 Customizing the
Analyzer Software.

z Be sure to use the adapter of Ф11x40 (mm) model when running the QC in
CT-PD mode. For details to install the adapter, see Chapter 6 Operating Your
Analyzer.

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2. Select the QC file No. to be run; the screen displays the corresponding file information.

3. Be sure that the level of the control to be run is the same with the current QC file.

4. Be sure that the control to be run is not expired.

5. Prepare the control as instructed by instructions for use of the controls.

6. Run the controls :

1) Make sure the QC mode is “CT-PD” and the analysis status icon and analyzer indicator is
green.
2) Click the shortcut button “Diluent”, the compartment door will open automatically. A
message box shown below will pop up.

3)Present a clean centrifugal tube into the sample compartment with the cap opened. Press

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the [RUN] key to dispense 180µL of diluent into the tube. During dispensing the diluent, a
progress bar will display.

z If the current mode is autoloader, the analyzer will switch to the close-tube
mode automatically and then dispense the diluent. Then, the mode will be
switched back to autoloader when exiting.

4)When the dispensing is finished, the compartment door will open automatically and you
can remove the centrifugal tube. Then, the following message box will display.

5) Prepare one more diluent according to procedure 3) to 4).


6) Add 20µL of control to the diluent, close the tube cap and shake the tube to mix the
sample.
7) Click the “Cancel” button to exit the “Diluent” message box.

8) After the cleaning is finished, close the prompt.

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9) Click the “Start” button.

10) Present the centrifugal tube into the tube holder with the cap opened and then close the
compartment door.
11) Press the [Run] key or click the “Run” button on the message box to start running.
12) When the running is finished, the compartment door will open automatically and you can
remove the centrifugal tube.
13) After the analyzing is finished, the QC result of the first analysis will be displayed on the
screen.

14) Add 20µL of control to the other centrifugal tube with diluent, close the tube cap and
shake the tube to mix the sample, and then present the centrifugal tube into the tube holder
with the cap opened to start the second running.

z You can click the “Cancel” button in the message box to cancel the second
run and the results obtained in the first run will not be saved as well.

15) When the running is finished, the compartment door will open automatically and you can
remove the centrifugal tube.

7. When finish running, the QC results (values of the two QC runs and the mean X ) will be

displayed in the current screen and be saved in the QC file automatically.

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z You can also dispense 180µL of diluent by pipette into the tube.

z Be sure to keep dust from the prepared diluent.

z After mixing the control with the diluent, be sure to wait 3 minutes before
running.

z Be sure to run the prediluted samples within 30 minutes after the mixing.

z Be sure to mix any sample that has been prepared for a while before running
it.

z Be sure to evaluate the predilute QC stability based on your laboratory’s


sample population and sample collection techniques or methods.

z Up to 300 QC results can be saved for each QC file.

z When the QC result of the second QC run is obtained, the screen will refresh
the displayed histograms and scattergrams according to the second QC
run.

z Up to 300 QC results (mean X ) can be save for each QC file.

8. Do the above procedures to continue running the controls if necessary.

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Running Controls (AL-WB)

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

z The sample probe is sharp and potentially biohazardous, Exercise caution


to avoid contact with the probe when working around it.

z The sample may spill from the unclosed collection tubes and cause
biohazard. Exercise caution to the unclosed collection tubes.

z Be sure to avoid reversing the collection tube when loading, otherwise, the
collection tube may be broken and cause biohazard.

z Collection tubes broken may cause personal injury and/or biohazard.


Exercise caution when loading the collection tubes to the rack or getting the
collection tubes from the rack, be sure not to break the tubes.

z Collection tubes broken may cause personal injury and/or biohazard.


Exercise caution when loading the collection tubes to the autoloader or
getting the collection tubes from the autoloader, be sure not to break the
tubes.

z The pusher will push the rack inside the autoloader. Be sure your hand is
away from the rack before starting the autoloader.

z Keep you clothed, hairs and hands away from the moving parts to avoid
injury.

z The reagents are irritating to eyes, skin and diaphragm. Wear proper
personal protective equipment (e.g. gloves, lab coat, etc.) and follow safe
laboratory procedures when handling them in the laboratory.

z If the reagents accidentally spill on your skin, wash them off with plenty of
water and if necessary, go see a doctor; if the reagents accidentally spill into
your eyes, wash them off with plenty of water and immediately go see a
doctor.

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z Do not re-use such disposable product as collection tubes, test tubes,


capillary tubes, etc.

z Be sure to use the Mindray-specified disposable products including


evacuated blood collection tube, anticoagulant collection tubes and
capillary tubes etc.

You can enter the graph screen in one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen, and then select “QC”Æ” X ” on the pop-up menu.

Enter the “ X ” graph screen.

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1. Click the “Run” tab to enter the X run screen.

z For details to edit the name of the login user, see chapter 5 Customizing the
Analyzer Software.

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2. Select the QC file No. to be run; the screen displays the corresponding file information.

3. Be sure that the level of the control to be run is the same with the current QC file.

4. Be sure that the control to be run is not expired.

5. Prepare the control as instructed by instructions for use of the controls.

6. Run the controls:

1) Make sure the QC mode is “AL-WB” and the analysis status icon and analyzer indicator is
green.
2) Click the “Start” button.

3) Present the prepared control into the rack.


4) Place racks loading controls on the level of the right tray of the autoloader, with the back of

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“MINDRAY” mark on the carrier facing the analyzer.


5) Press the [Run] key or click the “Run” button on the message box to start running.
6) When the racks are pushed out, you can remove the racks from the left of the autoloader.
7) After the analyzing is finished, the QC result of the first analysis will be displayed on the
screen.

8) Present the prepared control into the rack according to the prompt, and then place racks
loading controls on the level of the right tray of the autoloader, with the back of “MINDRAY”
mark on the carrier facing the analyzer, and then start the second running.

z You can click the “Cancel” button in the message box to cancel the second
run and the results obtained in the first run will not be saved as well.

9) When the racks are pushed out, you can remove the racks from the left of the autoloader.

z Only one control can be run in a single running.

7. When finish running, the QC results (values of the two QC runs and the mean X ) will be

displayed in the current screen and be saved in the QC file automatically.

z When the QC result of the second QC run is obtained, the screen will refresh
the displayed histograms and scattergrams according to the second QC
run.

z Up to 300 QC results (mean X ) can be save for each QC file.

8. Do the above procedures to continue running the controls if necessary.

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Browse the QC Result


You can click the arrow button in the bottom of the screen to browse the QC result saved in
the current QC file.

You can click the button or button to switch to the pervious or the next QC result.

You can click the button or button to switch to the earliest or the latest QC result
saved in the QC file.

z The running result of the expired control will begin with an “O” mark.

z The flag prompt “H” or “L” will appear in front of the mean X that out of
the limits.

z The enlarging function is available to the scattergrams and histograms of


the screen. See details for operation in Chapter 7 Reviewing Sample
Results.

z For the QC files with saved QC results, if any change is made to the target or
the limits, the changed data will be highlighted in yellow.

Print
Click the “Print” button to print the results of the current QC Run screen.

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8.3.3 Reviewing QC Results


After running controls, you can review the QC results in the following two ways:

„ Graph

„ Table

Graph Review

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

You can enter the graph screen in one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen, and then select “QC”Æ” X ” on the pop-up menu.

Enter the “ X ” graph screen.

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1. Select the QC file No. you want to review, and then the screen will display the
corresponding information and the graph.

2. You can drag the scroll bar on the right of the graph to browse the desired graph of the
parameter. You can drag the scroll bar down to the graph horizontally to browse all the
QC results.

Introduction to the “Graph” Screen

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1- The Mean, SD and CV% of all the QC results of each parameter in the current graph.
2- The saving date and time of the QC points located on the green line.
3- The operator who run the QC analysis and obtained the QC points located on the green
line.
4- The QC results of the parameters that correspond to the QC points located on the green
line.
5- The QC points in each graph are displayed from left to right according to the sequence
from the earliest to the latest. The QC points are connected by a line to illustrate the
distribution trend.
6- The QC point corresponds to each QC result. Only the selected QC point displays its value
under the parameter. The black QC point indicates the value is within the limit; the red QC
point indicates the value is out of the limit.
7- When you clicking a QC point in the graph, the QC points of other parameters that saved
together with this one will be marked by a green line.
8- The relative position of the QC point located on the green line and the total QC points
saved currently.

z The value of the QC point is the mean X of each group of QC results.


z The outliers are excluded from the calculation of Mean, SD and CV%.

z For the QC files with saved QC results, if any change is made to the target or
the limits, the changed data will be highlighted in yellow.

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Browse the QC Result

You can click the arrow button in the bottom of the screen to browse the QC result saved in
the current QC file.

You can click the button or button to move the green line to the pervious or the

next QC point; you can click the button or button to move the green line to the first
or the last QC point in the graph. When the location of the green line is selected, you can
check the QC results of the QC points located on the green line under each parameter.

New Vial

If the reviewed QC results are obtained by analyzing a new vial of control of the same batch,
you should mark the QC points of the new vial to distinguish the QC results from the old.

1. Move the green line to the first QC point of the new vial.

2. Click the “New Vial” button, and then a blue line appears at the QC point of the new vial.

3. After another new vial of control (of the same batch) is run and its QC results are saved,
you can click the “Cancel” button to cancel the original marking line, and then mark the
current QC points of the new vial according to step 1 and 2.

Data Compare

If you wish to compare the graphs of the certain parameter obtained by running controls of
different lot No., do as follows:

1. Click the “Data Compare” button to start selecting the desired graph.

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2. Select the desired QC file No. into the “File No.” box (3 files can be selected at most).
Then, the graph of the selected QC file will be displayed below together with its lot No.,
QC mode and level.

3. Select the desired parameter into the “Parameter” box.

z Browse the graph here the same way as instructed in the “Graph” screen.
Be aware that, for controls of different level, their graphs will be
distinguished by the color of orange, black and blue.

4. Click the “Print” button to print the current comparison if necessary.

5. Click the “Close” button to exit.

Display Order

Do as follows to adjust the display order of different graphs.

1. Click the “Display Order” button to check the current display order of the graphs.

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2. Click the parameter that you want to adjust.

3. You can click the button or button to move parameter upward or downward;

you can click the button or button to move the parameter to the first or the last

position.

4. Click the “Ok” button to refresh the display order of the graphs.

Save Preset Values

If there are 3 or more than 3 QC results within the limits obtained for the parameters, you can
take the following steps to calculate and save the preset value for each parameter:

1. Click the “Calculate Preset Values” button, and then the screen displays two lines for
you to select the range for calculating the preset values.

2. Click and drag the two lines respectively to locate them at the beginning and the ending
of the range for calculating the preset values.

3. The Mean, SD and CV% (on the right of the graph) will change into the new results
which obtained by calculating the selected range.

4. If you wish to save the new results, you can click the “Save Preset Values” button to
save the current Mean, SD and CV% as the preset values for the corresponding level

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(high/normal/low).Then, the two selecting lines disappear and the Mean, SD and CV%
return to the calculated results of all QC results.

z The calculation and display of the preset values are only available to the
parameter (within the calculation range) which has 3 or more than 3 results
within the limit. Otherwise, the display of the preset values will be empty.

z According to the high, normal and low level of the controls, three sets of
preset values can be saved respectively.

Entering the Reasons for the Outliers

Do as follows to enter the reasons for the outliers:

1. After moving the green line to the desired QC point, you can click the “Outliers” button to
display the QC results, targets and limits of all the parameters located on the green
line(the QC results exceed the limit will be displayed in red) and enter the reasons for the
outliers.

2. You can select the reason form the given ones or enter the reasons (up to 200
characters) into the edit box manually after selecting “Others”.

3. Click the “Ok” button to save the reasons for the outliers and exit.

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z If you enter the reason for the group of QC points whose results are actually
within the limits, then their corresponding QC data both in the QC Graph and
QC Table will be displayed in the color of red. And the data will return in the
color of black if you cancel the reason and then save the changes.

Delete

The administrator can delete the QC results by the following steps:

1. If you wish to delete a single QC result, move the green line to the desired QC result; if
you wish to delete all the data, perform step 2 directly.

2. Click the “Delete” button to select “Current Data” or “All Data”.

3. Click the data you want to delete.

4. Click the “Ok” button and then confirm to delete the selected data.

z The operation of deletion will be recorded in the log.

Print

Click the “Print” button to print all the file information and graphs of the parameters of the
current QC file.

z The green line and the corresponding values of the QC points will not be
printed.

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Table Review

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

You can enter the Table screen in one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen, and then select “QC”Æ” X ” on the pop-up menu.

Enter the “ X ” graph screen.

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1. Click the “Table” tab to enter the X table screen.

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2. Select the QC file No. you want to review, and then the screen will display the
corresponding information and the table.

3. You can drag the scroll bar on the right of the table vertically to browse the desired table
of the parameter. You can drag the scroll bar down to the table horizontally to browse all
the QC results.

Introduction to the “Table” Screen

1- The No. of the QC result saved in the QC file (arranged from left to right in the order that
from the earliest to the latest)
2- QC Result
3- QC parameters (displayed in the same order as the Graph screen)
4- QC flag: The flag “H” or “L” will be used to prompt the result (mean X ) that out of the limits
5- The relative position of the highlighted QC point and the total QC points saved currently.

z The value of the QC result is the mean X of each group of QC results.


z For the QC files with saved QC results, if any change is made to the target or
the limits, the changed data will be highlighted in yellow.

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Browse the QC Result

You can click the arrow button in the bottom of the screen to browse the QC result saved in
the current QC file.

You can click the button or button to highlight the pervious or the next QC result;

you can click the button or button to highlight the first or the last QC result in the
table.

Delete

The administrator can delete the QC results by the following steps:

1. If you wish to delete a single QC result, click the column contains the desired QC result;
if you wish to delete all the data, perform step 2 directly.

2. Click the “Delete” button to select “Current Data” or “All Data”.

3. Click the data you want to delete.

4. Click the “Ok” button and then confirm to delete the selected data.

z The operation of deletion will be recorded in the log.

Print

You can take the following steps to print the Table:

1. Click the “Print” button, and then you can select “All Data” or “Specified Data” to be
printed.

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2. Click the “All Data” button and then click the “Ok” button to print all the file information
and tables of the parameters of the current QC file; after clicking the “Specified Data”
button, you can select the starting and finishing date (the saved date of the QC results)
for printing, then click the “Ok” button to print the specified data.

Communication

If you wish to transmit the QC data to the external data management software or LIS/HIS, do
as follows:

1. Click the “Communication” button, and then you can select “All Data” or

“Specified Data” to be transmitted.

2. Click the “All Data” button and then click the “Start” button to transmit the

information of the current QC file and QC data. After clicking the “Specified Data”

button, you can specify a date range (the date when the QC result was saved), then

click the “Ok” button to transmit the specified data. The “LIS/HIS connected” icon on

the status bar of the screen will flicker during transmission.

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3. While transmitting, the “Start” button in the pop-up message box will be replaced by

“Stop”. You can click the “Stop” button to stop transmitting.

z If auto-communication is enabled and a sample is ran during the


transmission of the QC data, then only when the QC data transmission
finished will the auto-communication of the sample result starts.

z The QC data saved in the process of transmission will not be transmitted.

Data Backup

z For operating system of Windows Vista, the right of copying database file is

restricted by users' access level. To enable the data backup function, you

should log on the system as administrator, and then right click the shortcut

icon of the terminal software and run it as administrator.

If you wish to backup the information and the result of the current QC file, do as follows:

1. Click the “Data Backup” button, a message box will pop up.

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2. Select the backup directory (the default directory is the folder of “QC Data” under the
installation location of the terminal software).

3. Enter the name for the backup data (the default name is [X_QC_date saved_time
saved]).

4. Click the “Save” button to start backing up.

5. When the backup is finished, a message box will pop up, and then click “Ok” to exit.

z The backup data can not be modified. You can review the data in “History”
screen.

z You can click the “Cancel” button to cancel backup when it is in process.

z Be sure to backup data regularly.

Data Export

If you wish to export the information and the result of the current QC file, do as follows:

1. Click the “Data Export” button, and then a message box will pop up.

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2. Select the export directory (the default directory is the folder of “QC Data” under the
installation location of the terminal software).

3. Enter the name for the export data (the default name is [X_QC_date saved_time
saved]).

4. Select the format for the export file.(default format: “. CSV”)

5. Click the “Save” button to start exporting.

6. When the export is finished, a message box will pop up, and then click “Ok” to exit.

z You can modify the exported data but can not review the data in the
“History” screen.

z You can click the “Cancel” button to cancel export when it is in process.

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History

z For operating system of Windows Vista, the right of copying database file is

restricted by users' access level. To enable the history function, you should

log on the system as administrator, and then right click the shortcut icon of

the terminal software and run it as administrator.

If you wish to review the backed up data, do as follows:

1. Click the “History” button, and then a message box will pop up.

2. Locate and then select the desired backup data.

3. Click the “Open” button to display the data in “History” screen.

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4. The display format and the function button are the same as the QC Table review screen.
Browse, print, transmit and export the data as instructed in the section of QC Table
Review.

5. After reviewing, click the “Close” button to exit.

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8.4 X -R QC Program

8.4.1 Editing the X -R Settings

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

z Only administrators can edit the X -R QC settings.

Before analyzing the new lot of controls, you should set a QC file for each lot of controls and
you can edit the QC settings in the QC file by the following way:

„ Manual entry

Manual Entry
You can enter the graph screen in one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen, and then select “QC”Æ” X -R” on the pop-up
menu.

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Enter the “ X -R” graph screen.

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1. Click the “Settings” tab to enter the X -R setup screen.

z For details to edit the name of the login user, see chapter 5 Customizing the
Analyzer Software.

2. Select a QC File No. with empty QC information.

z You can select the file No. within the range [1, 60].

3. You can enter the lot No. of the controls by one of the following ways:

„ Manual entry

„ Entering by external barcode scanner

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z The lot No. can not be empty and up to 16 digits can be entered. You can
enter characters, numbers, letters and special characters, but no Chinese
characters allowed.

z Different QC files can not have the same lot No. and QC mode.

4. Enter the batch expiration date of the controls.

z You must enter the expiration date, and the entry range is [current system
date, 2099-12-31].

5. Select the QC mode.

z Different QC files can not have the same lot No. and QC mode.

6. Select the control level.

7. Click the “Save” button to save all the settings of the QC.

Print
Click the “Print” button to print the setting information of the current QC file.

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8.4.2 Running Ccontrols


After editing the QC information, you can start one of the following QC analyses according to
the selected QC mode.

„ CT-WB

„ CT-PD

„ AL-WB

Running Controls (CT-WB)

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

z The sample probe is sharp and potentially biohazardous, Exercise caution


to avoid contact with the probe when working around it.

z The sample may spill from the unclosed collection tubes and cause
biohazard. Exercise caution to the unclosed collection tubes.

z Be sure to avoid reversing the collection tube when loading, otherwise, the
collection tube may be broken and cause biohazard.

z Be sure to place the collection tubes in the right adapter before running,
otherwise, the collection tubes may be broken and cause biohazard.

z Collection tubes broken may cause personal injury and/or biohazard.


Exercise caution when loading the collection tubes to the rack or getting the
collection tubes from the rack, be sure not to break the tubes.

z Keep you clothed, hairs and hands away from the moving parts to avoid
injury.

z The reagents are irritating to eyes, skin and diaphragm. Wear proper
personal protective equipment (e.g. gloves, lab coat, etc.) and follow safe
laboratory procedures when handling them in the laboratory.

z If the reagents accidentally spill on your skin, wash them off with plenty of
water and if necessary, go see a doctor; if the reagents accidentally spill into
your eyes, wash them off with plenty of water and immediately go see a
doctor.

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z Do not re-use such disposable product as collection tubes, test tubes,


capillary tubes, etc.

z Be sure to use the Mindray-specified disposable products including


evacuated blood collection tube, anticoagulant collection tubes and
capillary tubes etc.

z If the sample mode is switched from the “Predilute” to “Whole Blood”, the
analyzer will perform the switching sequence automatically and a progress
bar will be displayed on the screen.

You can enter the graph screen in one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen, and then select “QC”Æ” X -R” on the pop-up
menu.

Enter the “ X -R” graph screen.

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1. Click the “Run” tab to enter the X -R run screen.

z For details to edit the name of the login user, see chapter 5 Customizing the
Analyzer Software.

z Be sure to use the adapter of Ф13x75 (mm) model when running the QC in
CT-WB mode. For details to install the adapter, see Chapter 6 Operating Your
Analyzer.

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2. Select the QC file No. to be run; the screen displays the corresponding file information.

3. Be sure that the level of the control to be run is the same with the current QC file.

4. Be sure that the control to be run is not expired.

5. Prepare the control as instructed by instructions for use of the controls.

6. Run the controls:

1) Make sure the QC mode is “CT-WB” and the analysis status icon and analyzer indicator is
green.
2) Shake the prepared control as shown below to well mix it.

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3) Click the “Start” button.

4) Press the [OPEN] key to open the compartment door.


5) Present the prepared control into the tube holder and then close the compartment door.
6) Press the [Run] key or click the “Run” button on the message box to start running.
7) When the running is finished, the compartment door will open automatically and you can
remove the control.
8) After the analyzing is finished, the QC result of the first analysis will be displayed on the
screen.

9) Mix the control well again, and then to run the controls for the second time according to the
prompt.

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z You can click the “Cancel” button in the message box to cancel the second
run and the results obtained in the first run will not be saved as well.

10) When the running is finished, the compartment door will open automatically and you can
remove the control.

7. When finish running, the QC results (values of the two QC runs, mean X and range R)

will be displayed in the current screen and be saved in the QC file automatically.

z When the QC result of the second QC run is obtained, the screen will refresh
the displayed histograms and scattergrams according to the second QC
run.

z Up to 300 QC results (mean X and range R) can be saved for each QC file.

8. Do the above procedures to continue running the controls if necessary.

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Running Controls (CT-PD)

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

z The sample probe is sharp and potentially biohazardous, Exercise caution


to avoid contact with the probe when working around it.

z The sample may spill from the unclosed collection tubes and cause
biohazard. Exercise caution to the unclosed collection tubes.

z Be sure to avoid reversing the collection tube when loading, otherwise, the
collection tube may be broken and cause biohazard.

z Be sure to place the collection tubes in the right adapter before running,
otherwise, the collection tubes may be broken and cause biohazard.

z Collection tubes broken may cause personal injury and/or biohazard.


Exercise caution when loading the collection tubes to the rack or getting the
collection tubes from the rack, be sure not to break the tubes.

z Keep you clothed, hairs and hands away from the moving parts to avoid
injury.

z The reagents are irritating to eyes, skin and diaphragm. Wear proper
personal protective equipment (e.g. gloves, lab coat, etc.) and follow safe
laboratory procedures when handling them in the laboratory.

z If the reagents accidentally spill on your skin, wash them off with plenty of
water and if necessary, go see a doctor; if the reagents accidentally spill into
your eyes, wash them off with plenty of water and immediately go see a
doctor.

z Do not re-use such disposable product as collection tubes, test tubes,


capillary tubes, etc.

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z Be sure to use the Mindray-specified disposable products including


evacuated blood collection tube, anticoagulant collection tubes and
capillary tubes etc.

You can enter the graph screen in one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen, and then select “QC”Æ” X -R” on the pop-up
menu.

Enter the “ X -R” graph screen.

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1. Click the “Run” tab to enter the X -R run screen.

z For details to edit the name of the login user, see chapter 5 Customizing the
Analyzer Software.

z Be sure to use the adapter of Ф11x40 (mm) model when running the QC in
CT-PD mode. For details to install the adapter, see Chapter 6 Operating Your
Analyzer.

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2. Select the QC file No. to be run; the screen displays the corresponding file information.

3. Be sure that the level of the control to be run is the same with the current QC file.

4. Be sure that the control to be run is not expired.

5. Prepare the control as instructed by instructions for use of the controls.

6. Run the controls:

1) Make sure the QC mode is “CT-PD” and the analysis status icon and analyzer indicator is
green.
2) Click the shortcut button “Diluent”, the compartment door will open automatically. A
message box shown below will pop up.

3) Present a clean centrifugal tube into the sample compartment with the cap opened. Press

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the [RUN] key to dispense 180µL of diluent into the tube. During dispensing the diluent, a
progress bar will display.

z If the current mode is autoloader, the analyzer will switch to the close-tube
mode automatically and then dispense the diluent. Then, the mode will be
switched back to autoloader when exiting.

4)When the dispensing is finished, the compartment door will open automatically and you
can remove the centrifugal tube. Then, the following message box will display.

5) Prepare one more diluent according to procedure 3) to 4).


6) Add 20µL of control to the diluent, close the tube cap and shake the tube to mix the
sample.
7) Click the “Cancel” button to exit the “Diluent” message box.

8) After the cleaning is finished, close the prompt.

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9) Click the “Start” button.

10) Present the centrifugal tube into the tube holder with the cap opened and then close the
compartment door.
11) Press the [Run] key or click the “Run” button on the message box to start running.
12) When the running is finished, the compartment door will open automatically and you can
remove the centrifugal tube.
13) After the analyzing is finished, the QC result of the first analysis will be displayed on the
screen.

14) Add 20µL of control to the other centrifugal tube with diluent, close the tube cap and
shake the tube to mix the sample, and then present the centrifugal tube into the tube holder
with the cap opened to start the second running.

z You can click the “Cancel” button in the message box to cancel the second
run and the results obtained in the first run will not be saved as well.

15) When the running is finished, the compartment door will open automatically and you can
remove the centrifugal tube.

7. When finish running, the QC results (values of the two QC runs, mean X and range R)

will be displayed in the current screen and be saved in the QC file automatically.

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z You can also dispense 180µL of diluent by pipette into the tube.

z Be sure to keep dust from the prepared diluent.

z After mixing the control with the diluent, be sure to wait 3 minutes before
running.

z Be sure to run the prediluted samples within 30 minutes after the mixing.

z Be sure to mix any sample that has been prepared for a while before running
it.

z Be sure to evaluate predilute QC stability based on your laboratory’s sample


population and sample collection techniques or methods.

z Up to 300 QC results can be saved for each QC file.

z When the QC result of the second QC run is obtained, the screen will refresh
the displayed histograms and scattergrams according to the second QC
run.

z Up to 300 QC results (mean X and range R) can be saved for each QC file.

8. Do the above procedures to continue running the controls if necessary.

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Running Controls (AL-WB)

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

z The sample probe is sharp and potentially biohazardous, Exercise caution


to avoid contact with the probe when working around it.

z The sample may spill from the unclosed collection tubes and cause
biohazard. Exercise caution to the unclosed collection tubes.

z Be sure to avoid reversing the collection tube when loading, otherwise, the
collection tube may be broken and cause biohazard.

z Collection tubes broken may cause personal injury and/or biohazard.


Exercise caution when loading the collection tubes to the rack or getting the
collection tubes from the rack, be sure not to break the tubes.

z Collection tubes broken may cause personal injury and/or biohazard.


Exercise caution when loading the collection tubes to the autoloader or
getting the collection tubes from the autoloader, be sure not to break the
tubes.

z The pusher will push the rack inside the autoloader. Be sure your hand is
away from the rack before starting the autoloader.

z Keep you clothed, hairs and hands away from the moving parts to avoid
injury.

z The reagents are irritating to eyes, skin and diaphragm. Wear proper
personal protective equipment (e.g. gloves, lab coat, etc.) and follow safe
laboratory procedures when handling them in the laboratory.

z If the reagents accidentally spill on your skin, wash them off with plenty of
water and if necessary, go see a doctor; if the reagents accidentally spill into
your eyes, wash them off with plenty of water and immediately go see a
doctor.

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z Do not re-use such disposable product as collection tubes, test tubes,


capillary tubes, etc.

z Be sure to use the Mindray-specified disposable products including


evacuated blood collection tube, anticoagulant collection tubes and
capillary tubes etc.

You can enter the graph screen in one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen, and then select “QC”Æ” X -R” on the pop-up
menu.

Enter the “ X -R” graph screen.

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1. Click the “Run” tab to enter the X -R run screen.

z For details to edit the name of the login user, see chapter 5 Customizing the
Analyzer Software.

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2. Select the QC file No. to be run; the screen displays the corresponding file information.

3. Be sure that the level of the control to be run is the same with the current QC file.

4. Be sure that the control to be run is not expired.

5. Prepare the control as instructed by instructions for use of the controls.

6. Run the controls:

1) Make sure the QC mode is “AL-WB” and the analysis status icon and analyzer indicator is
green.
2) Click the “Start” button.

3) Present the prepared control into the rack.


4) Place racks loading controls on the level of the right tray of the autoloader, with the back of

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“MINDRAY” mark on the carrier facing the analyzer.


5) Press the [Run] key or click the “Run” button on the message box to start running.
6) When the racks are pushed out, you can remove the racks from the left of the autoloader.
7) After the analyzing is finished, the QC result of the first analysis will be displayed on the
screen.

8) Present the prepared control into the rack according to the prompt, and then place racks
loading controls on the level of the right tray of the autoloader, with the back of “MINDRAY”
mark on the carrier facing the analyzer, and then start the second running.

z You can click the “Cancel” button in the message box to cancel the second
run and the results obtained in the first run will not be saved as well.

9) When the racks are pushed out, you can remove the racks from the left of the autoloader.

z Only one control can be run in a single running.

7. When finish running, the QC results (values of the two QC runs, mean X and range R)

will be displayed in the current screen and be saved in the QC file automatically.

z When the QC result of the second QC run is obtained, the screen will refresh
the displayed histograms and scattergrams according to the second QC
run.

z Up to 300 QC results (mean X and range R) can be saved for each QC file.

8. Do the above procedures to continue running the controls if necessary.

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Browse the QC Result


You can click the arrow button in the bottom of the screen to browse the QC result saved in
the current QC file.

You can click the button or button to switch to the pervious or the next QC result.

You can click the button or button to switch to the earliest or the latest QC result
saved in the QC file.

z The running result of the expired control will begin with an “O” mark.

z If 10 batches of QC results (20 times of QC runs) are obtained, the flag


prompt “H” or “L” will appear in front of the X and R that are out of the
limits.

z The enlarging function is available to the scattergrams and histograms of


the screen. See details for operation in Chapter 7 Reviewing Sample
Results.

Print
Click the “Print” button to print the results of the current QC Run screen.

8.4.3 Reviewing QC Results


After running controls, you can review the QC results in the following two ways:

„ Graph

„ Table

Graph Review

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

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You can enter the graph screen in one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen, and then select “QC”Æ” X -R” on the pop-up
menu.

Enter the “ X -R” graph screen.

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1. Select the QC file No. you want to review, and then the screen will display the
corresponding information and the graph.

2. You can drag the scroll bar on the right of the graph to browse the desired graph of the
parameter. You can drag the scroll bar down to the graph horizontally to browse all the
QC results.

Introduction to the “Graph” Screen

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1- The Mean, SD and CV% of all the QC results of each parameter in the current graph.
2- The saving date and time of the QC points located on the green line.
3- The operator who run the QC analysis and obtained the QC points located on the green
line
4- The QC results of the parameters that correspond to the QC points located on the green
line.
5- The QC points in each graph are displayed from left to right according to the sequence
from the earliest to the latest. The QC points are connected by a line to illustrate the
distribution trend.
6- The QC point corresponds to each QC result. Only the selected QC point displays its value
under the parameter. The black QC point indicates the value is within the limit; the red QC
point indicates the value is out of the limit.
7- When you clicking a QC point in the graph, the QC points of other parameters that saved
together with this one will be marked by a green line.
8- The relative position of the QC point located on the green line and the total QC points
saved currently.

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z The graphs for different parameters will be provided only after 10 batches of
QC results (20 times of QC runs) are obtained.

z The values of the QC point are the mean X and range R of each batch of
QC results.

z The outliers are excluded from the calculation of Mean, SD and CV%.

Browsing the QC Result

You can click the arrow button in the bottom of the screen to browse the QC result saved in
the current QC file.

You can click the button or button to move the green line to the pervious or the

next QC point; you can click the button or button to move the green line to the first
or the last QC point in the graph. When the location of the green line is selected, you can
check the QC results of the QC points located on the green line under each parameter.

New Vial

If the reviewed QC results are obtained by analyzing a new vial of control of the same batch,
you should mark the QC points of the new vial to distinguish the QC results from the old.

1. Move the green line to the first QC point of the new vial.

2. Click the “New Vial” button, and then a blue line appears at the QC point of the new vial.

3. After another new vial of control (of the same batch) is run and its QC results are saved,
you can click the “Cancel” button to cancel the original marking line, and then mark the
current QC points of the new vial according to step 1 and 2.

Data Compare

If you wish to compare the graphs of the certain parameter obtained by running controls of
different lot No., do as follows:

1. Click the “Data Compare” button to start selecting the desired graph.

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2. Select the desired QC file No. into the “File No.” box (3 files can be selected at most).
Then, the graph of the selected QC file will be displayed below together with its lot No.,
QC mode and level.

3. Select the desired parameter into the “Parameter” box.

z Browse the graph here the same way as instructed in the “Graph” screen.
Be aware that, for controls of different level, their graphs will be
distinguished by the color of orange, black and blue.

4. Click the “Print” button to print the current comparison if necessary.

5. Click the “Close” button to exit.

Display Order

Do as follows to adjust the display order of different graphs.

1. Click the “Display Order” button to check the current display order of the graphs.

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2. Click the parameter that you want to adjust.

3. You can click the button or button to move parameter upward or downward;

you can click the button or button to move the parameter to the first or the last

position.

4. Click the “Ok” button to refresh the display order of the graphs.

Entering the Reasons for the Outliers

Do as follows to enter the reasons for the outliers:

1. After moving the green line to the desired QC point, you can click the “Outliers” button to
display the QC results, total mean and average range of all the parameters located on
the green line (the QC results exceed the limit will be displayed in red) and enter the
reasons for the outliers.

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2. You can select the reason form the given ones or enter the reasons (up to 200
characters) into the edit box manually after selecting “Others”.

3. Click the “Ok” button to save the reasons for the outliers and exit.

z If you enter the reason for the group of QC points whose results are actually
within the limits, then their corresponding QC data both in the QC Graph and
QC Table will be displayed in the color of red. And the data will return in the
color of black if you cancel the reason and then save the changes.

Delete

The administrator can delete the QC results by the following steps:

1. If you wish to delete a single QC result, move the green line to the desired QC result; if
you wish to delete all the data, perform step 2 directly.

2. Click the “Delete” button to select “Current Data” or “All Data”.

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3. Click the data you want to delete.

4. Click the “Ok” button and then confirm to delete the selected data.

z The operation of deletion will be recorded in the log.

Print

Click the “Print” button to print all the file information and graphs of the parameters of the
current QC file.

z The green line and the corresponding values of the QC points will not be
printed.

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Table Review

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

You can enter the Table screen in one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen, and then select “QC”Æ” X -R” on the pop-up
menu.

Enter the “ X -R” graph screen.

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1. Click the “Table” tab to enter the X -R table screen.

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2. Select the QC file No. you want to review, and then the screen will display the
corresponding information and the table.

3. You can drag the scroll bar on the right of the table vertically to browse the desired table
of the parameter. You can drag the scroll bar down to the table horizontally to browse all
the QC results.

Introduction to the “Table” Screen

1- The No. of the QC result saved in the QC file (arranged from left to right in the order that
from the earliest to the latest)
2- QC Result
3- QC parameters (displayed in the same order as the Graph screen)
4- QC flag: If 10 batches of QC results (20 times of QC runs) are obtained, the flag “H” or “L”
will be used to prompt the result (mean X ) that out of the limits
5- The relative position of the highlighted QC point and the total QC points saved currently.

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z The total mean, average range and flag prompt for the parameters will be
provided only after 10 batches of QC results (20 times of QC runs) are
obtained.

z The values of the QC result are the mean X and the range R of each batch
of QC results.

Browsing the QC Result

You can click the arrow button in the bottom of the screen to browse the QC result saved in
the current QC file.

You can click the button or button to highlight the previous or the next QC result;

you can click the button or button to highlight the first or the last QC result in the
table.

Delete

The administrator can delete the QC results by the following steps:

1. If you wish to delete a single QC result, click the column contains the desired QC result;
if you wish to delete all the data, perform step 2 directly.

2. Click the “Delete” button to select “Current Data” or “All Data”.

3. Click the data you want to delete.

4. Click the “Ok” button and then confirm to delete the selected data.

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z The operation of deletion will be recorded in the log.

Print

You can take the following steps to print the Table:

1. Click the “Print” button, and then you can select “All Data” or “Specified Data” to be
printed.

2. Click the “All Data” button and then click the “Ok” button to print all the file information
and tables of the parameters of the current QC file; after clicking the “Specified Data”
button, you can select the starting and finishing date (the saved date of the QC results)
for printing, then click the “Ok” button to print the specified data.

Communication

If you wish to transmit the QC data to the external data management software or LIS/HIS, do
as follows:

1. Click the “Communication” button, and then you can select “All Data” or

“Specified Data” to be transmitted.

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2. Click the “All Data” button and then click the “Start” button to transmit the

information of the current QC file and QC data. After clicking the “Specified Data”

button, you can specify a date range (the date when the QC result was saved), then

click the “Ok” button to transmit the specified data. The “LIS/HIS connected” icon on

the status bar of the screen will flicker during transmission.

3. While transmitting, the “Start” button in the pop-up message box will be replaced by

“Stop”. You can click the “Stop” button to stop transmitting.

z If auto-communication is enabled and a sample is ran during the


transmission of the QC data, then only when the QC data transmission
finished will the auto-communication of the sample result starts.

z The QC data saved in the process of transmission will not be transmitted.

Data Backup

z For operating system of Windows Vista, the right of copying database file is

restricted by users' access level. To enable the data backup function, you

should log on the system as administrator, and then right click the shortcut

icon of the terminal software and run it as administrator.

If you wish to backup the information and the result of the current QC file, do as follows:

1. Click the “Data Backup” button, a message box will pop up.

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2. Select the backup directory (the default directory is the folder of “QC Data” under the
installation location of the terminal software).

3. Enter the name for the backup data (the default name is [X-R_QC_date saved_time
saved]).

4. Click the “Save” button to start backing up.

5. When the backup is finished, a message box will pop up, and then click “Ok” to exit.

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z The backup data can not be modified. You can review the data in “History”
screen.

z You can click the “Cancel” button to cancel backup when it is in process.

z Be sure to backup data regularly.

Data Export

If you wish to export the information and the result of the current QC file, do as follows:

1. Click the “Data Export” button, and then a message box will pop up.

2. Select the export directory (the default directory is the folder of “QC Data” under the
installation location of the terminal software).

3. Enter the name for the export data (the default name is [X-R_QC_date saved_time
saved]).

4. Select the format for the export file.(default format: “. CSV”)

5. Click the “Save” button to start exporting.

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6. When the export is finished, a message box will pop up, and then click “Ok” to exit.

z You can modify the exported data but can not review the data in the
“History” screen.

z You can click the “Cancel” button to cancel export when it is in process.

History

z For operating system of Windows Vista, the right of copying database file is

restricted by users' access level. To enable the history function, you should

log on the system as administrator, and then right click the shortcut icon of

the terminal software and run it as administrator.

If you wish to review the backed up data, do as follows:

1. Click the “History” button, and then a message box will pop up.

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2. Locate and then select the desired backup data.

3. Click the “Open” button to display the data in “History” screen.

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4. The display format and the function button are the same as the QC Table review screen.
Browse, print, transmit and export the data as instructed in the section of QC Table
Review.

5. After reviewing, click the “Close” button to exit.

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8.5 X-B QC Program


8.5.1 X-B QC Principles
The X-B analysis is a weighted moving average analysis that uses values obtained from
patient samples. It uses the 3 red cell indices, MCV, MCH and MCHC to indicate the
hematology instrument performance. Effective use of X-B requires randomization of samples
and a normal cross section of patients to prevent skewing of indices.

It is recommended the X-B analysis be activated when the sample volume of your laboratory
is greater then 100 samples per day. The analyzer can save maximum 500 X-B QC results.
When the saved QC results have reached the maximum number, the newest result will
overwrite the oldest.

8.5.2 Editing X-B Settings

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

z Only administrators can edit the X-B QC settings.

Before the X-B analysis, you should finish editing the QC information by one of the following
ways:

„ Manual entry

„ Reading the saved preset values

Manual Entry
You can enter the graph screen in one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen; then select “QC”Æ”X-B” on the pop-up menu.

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Enter the “X-B” graph screen.

1. Click the “Settings” tab to enter the X-B setup screen.

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z For details to edit the name of the login user, see chapter 5 Customizing the
Analyzer Software.

2. In the “Samples/Batch” edit box, you can enter the amount of samples [within the range
20(recommended) to 200] to be included in calculating for an X-B QC point.

3. Click the “Open” button of “X-B” to open the X-B QC, and from the time on, all the
samples results will be included to calculate the X-B.

4. Enter the target and Limits for the QC parameters.

z All the targets and limits for the QC parameters shall be entered without
empty.

z When first use, the default setting will provide the Initial values for the
targets and limits of the three QC parameters.

z If the QC data have existed in the QC file, you are not allowed to edit the
target and limits.

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5. Click the “Save” button to save all the settings of the QC.

Reading the Saved Preset Values

z If there are the saved preset values (Target and Limits) for the X-B QC, you
can read-in the preset values into the X-B QC file. For details of calculating
and saving the preset values, see Section 8.5.3 Reviewing QC results.

You can enter the graph screen in one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen; then select “QC”Æ”X-B” on the pop-up menu.

Enter the “X-B” graph screen.

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1. Click the “Settings” tab to enter the X-B setup screen.

z For details to edit the name of the login user, see chapter 5 Customizing the
Analyzer Software.

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2. In the “Samples/Batch” edit box, you can enter the amount of samples [within the range
20(recommended) to 200] to be included in calculating for an X-B QC point.

3. Click the “Open” button of “X-B” to open the X-B QC, and from the time on, all the
samples results will be included to calculate the X-B.

4. Click the “Have Preset Values” button to read-in the saved preset target and limits into
the X-B QC file.

z All the targets and limits for the QC parameters shall be entered without
empty.

z If some QC parameters have no preset values, you should enter the target
and limits for them manually.

z If the QC data have existed in the QC file, you are not allowed to have the
preset values.

5. Click the “Save” button to save all the settings of the QC.

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Setting Limits
Do as followings to adjust the display format of the limits and the calculation method of the
preset limits.

1. Click the “Set Limits” button, and then the following message box will pop up.

2. Click “By SD” to display the limits in the form of absolute value; click “By CV” to display
the limits in the form of percentage.

3. If “By SD” is selected, click the “2SD” or “3SD” to select either double or triple standard
deviation to be the limits; if “By CV” is selected, click the “2CV” or “3CV” to select either
double or triple coefficient of variation to be the limits.

4. Click the “Ok” button to save all the settings for the limits.

Restoring Defaults
When editing the QC settings, if you wish to restore the target and limits to the defaults, you
can click the “Restore Default” button to read-in the defaults to the X-B QC file.

„ The default target for each parameter:

MCV :89.5fL
MCH :30.5pg
MCHC:340g/L

„ The default limits for each parameter:

MCV :2.7 fL
MCH :0.9 pg
MCHC:10 g/L

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z If the QC data have existed in the QC file, you are not allowed to restore
defaults.

Print
Click the “Print” button to print the setting information of the current QC file.

8.5.3 Running Controls

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

After editing the X-B settings, the system will start the X-B run automatically.
After every 20~200 results (determined by the setting) are obtained, the system will perform
the X-B calculation once automatically. You can review the result in X-B graph or X-B table.

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8.5.4 Reviewing QC Results


After the X-B analysis, you can review the QC results in the following two ways:

„ Graph

„ Table

Graph Review

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

You can enter the graph screen in one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen; then select “QC”Æ”X-B” on the pop-up menu.

Enter the “X-B” graph screen.

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You can drag the scroll bar down to the graph horizontally to browse all the QC results.

Introduction to the “Graph” Screen

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1- The Mean, SD and CV% of all the QC results of each parameter in the current graph.
2- The saving date and time of the QC points located on the green line
3- The QC points in each graph are displayed from left to right according to the sequence
from the earliest to the latest. The QC points are connected by a line to illustrate the
distribution trend.
4- The QC results of the parameters that correspond to the QC points located on the green
line.
5- When you clicking a QC point in the graph, the QC points of other parameters that saved
together with this one will be marked by a green line.
6- The QC point corresponds to each QC result. Only the selected QC point displays its value
under the parameter. The black QC point indicates the value is within the limit; the red QC
point indicates the value is out of the limit.
7- The relative position of the QC point located on the green line and the total QC points
saved currently.

z The value of the outlier is the X-B result of each batch of samples.

z The outliers are excluded from the calculation of Mean, SD and CV%.

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Browsing the QC Result

You can click the arrow button in the bottom of the screen to browse the QC result saved in
the current QC file.

You can click the button or button to move the green line to the previous or the

next QC point; you can click the button or button to move the green line to the first
or the last QC point in the graph. When the location of the green line is selected, you can
check the QC results of the QC points located on the green line under each parameter.

Saving Preset Values

If there are 3 or more than 3 QC results within the limits obtained for the parameters, you can
take the following steps to calculate and save the preset value for each parameter:

1. Click the “Calculate Preset Values” button, and then the screen displays two lines for
you to select the range for calculating the preset values.

2. Click and drag the two lines respectively to locate them at the beginning and the ending
of the range for calculating the preset values.

3. The Mean, SD and CV% (on the right of the graph) will change into the new results
which obtained by calculating the selected range.

4. If you wish to save the new results, you can click the “Save Preset Values” button to
save the current Mean, SD and CV% as the preset values for the corresponding level
(high/normal/low). Then, the two selecting lines disappear and the Mean, SD and CV%
return to the calculated results of all QC results.

z The calculation and display of the preset values are only available to the
parameter (within the calculation range) which has 3 or more than 3 results
within the limit. Otherwise, the display of the preset values will be empty.

Delete

The administrator can delete the QC results by the following steps:

1. If you wish to delete a single QC result, move the green line to the desired QC result; if
you wish to delete all the data, perform step 2 directly.

2. Click the “Delete” button to select “Current Data” or “All Data”.

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3. Click the data you want to delete.

4. Click the “Ok” button and then confirm to delete the selected data.

z The operation of deletion will be recorded in the log.

Print

Click the “Print” button to print all the file information and graphs of the parameters of the
current QC file.

z The green line and the corresponding values of the QC points will not be
printed.

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Table Review

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

You can enter the Table screen in one of the following ways:

„ Click the shortcut button “QC”.

„ Click the “Menu” button on the screen; then select “QC”Æ”X-B” on the pop-up menu.

Enter the “X-B” graph screen.

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1. Click the “Table” tab to enter the X-B table screen.

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2. You can drag the scroll bar down to the table horizontally to browse all the QC results.

Introduction to the “Table” Screen

1- QC Result
2- The No. of the QC result saved in the QC file (arranged from left to right in the order that
from the earliest to the latest)
3- QC parameters (displayed in the same order as the Graph screen)
4- QC flag: The flag “H” or “L” will be used to prompt the result that out of the limits
5- The relative position of the highlighted QC point and the total QC points saved currently.

z The value of the QC result is the X-B result of each batch of samples.

Browsing the QC Result

You can click the arrow button in the bottom of the screen to browse the QC result saved in
the current QC file.

You can click the button or button to highlight the previous or the next QC result;

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you can click the button or button to highlight the first or the last QC result in the
table.

Delete

The administrator can delete the QC results by the following steps:

1. If you wish to delete a single QC result, click the column contains the desired QC result;
if you wish to delete all the data, perform step 2 directly.

2. Click the “Delete” button to select “Current Data” or “All Data”.

3. Click the data you want to delete.

4. Click the “Ok” button and then confirm to delete the selected data.

z The operation of deletion will be recorded in the log.

Print

You can take the following steps to print the Table:

1. Click the “Print” button, and then you can select “All Data” or “Specified Data” to be
printed.

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2. Click the “All Data” button and then click the “Ok” button to print all the file information
and tables of the parameters of the current QC file; after clicking the “Specified Data”
button, you can select the starting and finishing date (the saved date of the QC results)
for printing, then click the “Ok” button to print the specified data.

Communication

If you wish to transmit the QC data to the external data management software or LIS/HIS, do
as follows:

1. Click the “Communication” button, and then you can select “All Data” or

“Specified Data” to be transmitted.

2. Click the “All Data” button and then click the “Start” button to transmit the

information of the current QC file and QC data. After clicking the “Specified Data”

button, you can specify a date range (the date when the QC result was saved), then

click the “Ok” button to transmit the specified data. The “LIS/HIS connected” icon on

the status bar of the screen will flicker during transmission.

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3. While transmitting, the “Start” button in the pop-up message box will be replaced by

“Stop”. You can click the “Stop” button to stop transmitting.

z If auto-communication is enabled and a sample is ran during the


transmission of the QC data, then only when the QC data transmission
finished will the auto-communication of the sample result starts.

z The QC data saved in the process of transmission will not be transmitted.

Data Backup

z For operating system of Windows Vista, the right of copying database file is

restricted by users' access level. To enable the data backup function, you

should log on the system as administrator, and then right click the shortcut

icon of the terminal software and run it as administrator.

If you wish to backup the information and the result of the current QC file, do as follows:

1. Click the “Data Backup” button, a message box will pop up.

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2. Select the backup directory (the default directory is the folder of “QC Data” under the
installation location of the terminal software).

3. Enter the name for the backup data (the default name is [X-B_QC_date saved_time
saved]).

4. Click the “Save” button to start backing up.

5. When the backup is finished, a message box will pop up, and then click “Ok” to exit.

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z The backup data can not be modified. You can review the data in “History”
screen.

z You can click the “Cancel” button to cancel backup when it is in process.

z Be sure to backup data regularly.

Data Export

If you wish to export the information and the result of the current QC file, do as follows:

4. Click the “Data Export” button, and then a message box will pop up.

5. Select the export directory (the default directory is the folder of “QC Data” under the
installation location of the terminal software).

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6. Enter the name for the export data (the default name is [X-B_QC_date saved_time
saved]).

7. Select the format for the export file. (Default format: “. CSV”)

8. Click the “Save” button to start exporting.

9. When the export is finished, a message box will pop up, and then click “Ok” to exit.

z You can modify the exported data but can not review the data in the
“History” screen.

z You can click the “Cancel” button to cancel export when it is in process.

History

z For operating system of Windows Vista, the right of copying database file is

restricted by users' access level. To enable the history function, you should

log on the system as administrator, and then right click the shortcut icon of

the terminal software and run it as administrator.

If you wish to review the backed up data, do as follows:

1. Click the “History” button, and then a message box will pop up.

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2. Locate and then select the desired backup data.

3. Click the “Open” button to display the data in “History” screen.

4. The display format and the function button are the same as the QC Table review screen.
Browse, print, transmit and export the data as instructed in the section of QC Table”
Review.

5. After reviewing, click the “Close” button to exit.

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9 Using the Calibration Programs

9.1 Introduction
Calibration is a procedure to standardize the analyzer by determining its deviation, if any,
from calibration references and to apply any necessary correction factors.
There are three calibration programs available on this analyzer: manual calibration, auto
calibration using calibrators and auto calibration using fresh blood samples.
All the parameters or part of the parameters of WBC, RBC, HGB, MCV and PLT can be
calibrated by the calibration procedure.

z Calibration procedures can only be performed by users of the


administrator-level.

z You should only use the Mindray-specified calibrations and reagents. Store
and use the calibrations and reagents as instructed by instructions for use
of the calibrations and reagents.

z The analyzer identifies a sample as a calibration sample only if the analysis


is started from the “Calibration” screen.

z The calculation of reproducibility is included in the calibration procedure.

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9.2 When to Calibrate


This analyzer is calibrated at the factory just before shipment. It is electronically stable and
does not require frequent recalibration if you operate and maintain it as instructed by this
manual. You only need to recalibrate this analyzer if:

„ it is the first time this analyzer has been used (usually done by a Mindray-authorized
representative when installing the analyzer).

„ an analytical component has been changed.

„ you are going to re-use the analyzer after a long-term storage.

„ the quality control results indicate there may be a problem.

z All of the measured parameters must be calibrated before readings of this


analyzer can be used as valid analysis results.

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9.3 How to Calibrate


9.3.1 Preparing Your Analyzer
Do the following pre-calibration procedures before calibration. If problems are detected
during these checks, do not attempt to calibrate the analyzer. If necessary, call Mindray
customer service department or your local distributor for assistance.

1. Check and make sure enough reagents have been prepared for the calibration. You
need to start over the calibration if the reagents run out during the process.

2. Do the background check. If the analyzer alarms for abnormal background results, see
Chapter 12 Troubleshooting Your Analyzer for solutions.

Run a vial of normal control in the CT-WB-CBC+DIFF mode for 11 consecutive times. Enter
the “TABLE” screen to check the reproducibility of the second to eleventh runs and make sure
they meet the following requirements.
Whole Blood Predilute
Parameter Condition Reproducibility Reproducibility
(CV%) (CV%)
9
WBC (4.0-15.0)×10 /L ≤ 2.0% ≤ 4.0%
12
RBC (3.50-6.00)×10 /L ≤ 1.5% ≤3.0%
HGB (110-180)g/L ≤ 1.5% ≤3.0%
MCV (70-120)fL ≤ 1.0% ≤2.0%
9
PLT (150-500)×10 /L ≤ 4.0% ≤8.0%

3. Run a vial of high control three consecutive times and then immediately run the diluent
three consecutive times. Calculate the carryover per the following equation.

First low - level sample result-Third low - level sample result


Carryover(%) = × 100%
Third high - level sample result-Third low - level sample result
The calculated carryovers shall meet the requirements in the following table.
Parameter Carryover
WBC ≤0.5%
RBC ≤0.5%
HGB ≤0.6%
HCT ≤0.5%
PLT ≤1.0%

4. It is recommended that you create a log table for your analyzer. This log table should
contain all necessary information that is pertinent to your analyzer. Suggested items that
you may want to include in the log table are: calibration date, supplier of calibrator, lot

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number, expected results and limits, and result of background check.

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

z The sample probe is sharp and potentially biohazardous, Exercise caution


to avoid contact with the probe when working around it.

z The reagents are irritating to eyes, skin and diaphragm. Wear proper
personal protective equipment (e.g. gloves, lab coat, etc.) and follow safe
laboratory procedures when handling them in the laboratory.

z If the reagents accidentally spill on your skin, wash them off with plenty of
water and if necessary, go see a doctor; if the reagents accidentally spill into
your eyes, wash them off with plenty of water and immediately go see a
doctor.

z Keep you clothed, hairs and hands away from the moving parts to avoid
injury.

z Be sure to dispose of reagents, waste, samples, consumables, etc.


according to government regulations.

z Do not re-use such disposable product as collection tubes, test tubes,


capillary tubes, etc.

z You should only use the Mindray-specified controls and reagents. Store and
use the controls and reagents as instructed by instructions for use of the
controls and reagents.

z Be sure to use the Mindray-specified disposable products including


evacuated blood collection tube, anticoagulant collection tubes and
capillary tubes etc.

z Be sure to use the evacuated blood collection tubes as specified in the


appendix.

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9.3.2 Manual Calibration


Do as follows to calibrate the analyzer:

1. Click “Menu”, select “Calibration” to enter the ”Calibration Factors” screen. The
calibration factors of whole blood mode and predilute mode are displayed at the
“Calibration Factors” screen.

z The login users of common-level can not perform the calibration procedures
but only browse the calibration factors at the current screen. To perform the
calibration, please logout and then login as users of administrator-level.

2. Enter the “Calibration Factors” screen to check the calibration factors and calculate the
new factors per the following equation.

Current calibration factor × Reference value


New calibration factor=
Mean
For example: Supposed the WBC reference value of a calibrator is 8.4, and the current
calibration factor of the whole blood mode is 98.9%
Run the calibrator in the whole blood mode for 11 consecutive times and take the WBC

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results of the 2nd to 11th runs (n=10) to calculate: 8.1, 8.0, 8.1, 8.1, 8.3, 8.3, 8.2, 8.0, 8.1, 8.3.
The obtained CV is 1.5% and Mean is 8.16, which meet the requirements.
The new calibration factor is obtained:
98.90% × 8.4
New calibration factor= =101.81%
8.16
The calculated calibration factors shall be between 75% - 125%.In case of an invalid
calibration factor, try to find out the reason (e.g. calibration material not thoroughly mixed
misoperation, etc.).Then recalibrate the analyzer and recalculate the calibration factors.

z The entered calibration factors shall be between 75.0% - 125.0% (calculate


to two decimal places).

3. Enter the new calibration factors into the factor cell of the parameter that requires
calibration.

4. After the entry, click the “Save” button at the bottom of the screen. If the new calibration
factors are valid and different from the originals, a message box shown below will pop
up.

Click “Yes” to save the news calibration factors and the calibration date of the corresponding
parameter changes to the current system date. Then, close the message box and return to
the “Calibration Factors” screen without any cell being highlighted.
If the new calibration factors are invalid, the message box will pop up.

Click “Ok” to close the message box and the cell of the first invalid calibration factors is
highlighted with the data displayed.

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5. After the calibration factors are modified, a prompt will show if you switch to another
screen without clicking the “Save” button.

„ If the entered calibration factors are valid, the message box will pop up when you exiting
the screen.

Click “Yes” to save the news calibration factors and the calibration date of the corresponding
parameter changes to the current system date and be recorded in the history; then, close the
message box and switch to another screen.

„ If the entered calibration factors are invalid, the message box will pop up when you
switching to another the screen.

Click “Yes” to close the message box and switch to another screen without saving; keep the
original calibration factors and date.

Other Operations
„ Restore

Click the “Restore” button to restore the calibration factors to the values displayed when you
entering the “Calibration Factors” screen.

„ Print

If the calibration factors have not been changed, click the ”Print” button to print the current
calibration factors.

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If the changed calibration factors are invalid, then a message box will pop up when you
clicking the “Print” button.

Click “Ok”, then the cell of the first invalid calibration factors will be highlighted and the data in
the cell will not be cleared.
If the changed calibration factors are valid but have not been saved, then a message box will
pop up when you clicking the “Print” button.

Click “Yes” to close the message box and save the new calibration factors and date, and then
print the new calibration factors; click “No” to close the message box without saving the
calibration factors and date, and then print the saved calibration factors before editing.

9.3.3 Auto Calibration Using Calibrators


Do as follows to calibrate the analyzer with calibrators.

1. Click the “Menu” button, and then select “Calibration” to enter the “Calibration
Factors” screen.

2. At the “Calibration Factors” screen, click the “Calibrator” tab to enter the “Calibrator”
screen.

9-8
Using the Calibration Programs

z Only in the Whole Blood Mode can the calibration using calibrators be ran.

z The default “Exp. Date” is the current system date.

3. Enter the lot No. of the calibrator into the “Lot No.” box.

4. Enter the expiration date. The default “Exp. Date” is the current system date. You can
click the "Exp. Date" box, and then edit the date.

5. Select the parameter to be calibrated from the check box on the first line of the list.

6. Enter the target into the edit box “Target”.

z All the samples, controls, calibrators, reagents, wastes and areas contacted
them are potentially biohazardous. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
when handling them and the contacted areas in the laboratory.

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Using the Calibration Programs

z Only Mindray-specified calibrators shall be used. Mindray will not be


responsible for any error result caused by using other calibrators.

z See the instructions for use of the calibrators for the lot No., expiration date
and the target.

z The lot No. must be entered.

z The expiration date can not be earlier than the current system date.

z The entered expiration date should be either the expiration date printed on
the labeling or the open-container expiration date, whichever is earlier. The
open-container expiration date is calculated as follows: the date that
container is opened + the open-container stability days.

7. Prepare the calibrator as instructed by instructions for use of the calibrators.

8. Click the “Start” button, and then a message box will pop up.

Press the [RUN] key or click the “Run” button to start the calibration and the message box will
close automatically, and then a progress bar will pop up.

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Using the Calibration Programs

z Once you click the “Start” button and press the [RUN] key to start the first
run, the “Start” button will be displayed in gray. Then, you can directly press
the [RUN] key to continue the calibration.

9. After every calibration run, the progress bar will close automatically and the analyzer will
have different responses according to different analysis results.

„ When the current running is done, if there is a parameter whose calibration data is out of
its linear range but still within the display range, then the calibration data will be
displayed in the list and a message box will also pop up.

Click “Ok” to close the message box and delete the data from the table without saving.

„ When the running is done, if there is a parameter whose calibration data is out of the
display rage, then the non-numeric parameter values “***” will be displayed in the list and
a message box will pop up.

Click “Ok” to close the message box and delete the data from the table without saving.

„ The valid results within the linear range will be displayed directly.

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Using the Calibration Programs

z When the valid result is obtained, it will be selected to be included in the


calculation for the calibration factors.

10. If the calibration factors have not been calculated but you switch to another screen, then
a message box will pop up.

Click “Yes” to switch to another screen while aborting the calibration data and closing the
message box. The original calibration factors remain.

11. When the amount of the valid calibration reaches N (N ≥6), the analyzer will
automatically calculate the mean, CV% and new calibration factors with all the selected
data ( the first data is excluded).

You can also select the desired data (5 at least) to calculate the calibration factors. Every time
when you select or de-select a data by clicking the check box, the calibration factors will be
refreshed immediately.

z The out-of-range CV% does not influence the display of the calibration
factors.

z When the amount of the valid calibration data in the list reaches 11, a
message box of “Calibrator calibration done!” will pop up. Then, if you
press the [RUN] key again, the analyzer will beep and does not response.

12. There may be two cases when you switching to another screen:

„ If the calculated calibration factor of any parameter is out of the range [75%-125%] or the
CV% of any parameter exceeds the reproducibility standard, then the calculated
calibration factors of all parameters will not be saved and a message box will also pop
up.

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Using the Calibration Programs

Click “Yes” to close the message box and switch to another screen without changing the
original calibration factors and the calibration date.

„ If the calculated calibration factors of all parameter are within the range [75%-125%] and
the CV% of all parameter are also within the reproducibility standard, then a message
box will pop up.

Click “Yes” to save the new calibration factors while closing the message box and switching
to another screen.

Other Operations
„ Print

If the calibration factors are invalid, then a message box will pop up when you clicking the
“Print” button.

Click “Ok”, then the cell of the first invalid calibration factors will be highlighted and the data in
the cell will not be cleared.

If the calibration factors are valid, then a message box will pop up when you clicking the
“Print” button.

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Using the Calibration Programs

Click “Yes” to close the message box and save the calibration results and the calibration date,
and then print the contents of the current calibration screen; click “No” to close the message
box without saving.

9.3.4 Auto Calibration Using Fresh Blood Samples


Do as follows to calibrate the analyzer with fresh blood samples.

1. Click “Menu”; select “Calibration” to enter the ”Calibration Factors” screen.

2. At the “Calibration Factors” screen, click the “Fresh Blood” tab to enter the “Fresh
Blood” screen.

3. Prepare 3 to 5 normal fresh blood samples as instructed by Chapter 6 Operating Your


Analyzer.

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Using the Calibration Programs

4. Run each of the prepared samples on the reference instrument (or by the reference
method) three times at least. Average the results for your reference values

5. Click the radio button “CT-WB” or “CT-PD” on the screen to select the desired calibration
mode.

z If you run the sample in the “Predilute” mode, and then the blood mode is
switched from the “Predilute” to “Whole Blood”, the analyzer will switch
modes automatically and a progress bar will be displayed on the screen.

z Be sure to use the adapter of Ф11x40 (mm) model when calibrating in CT-PD
mode. For details to install the adapter, see Chapter 6 Operating Your
Analyzer.

6. Select the sample ID of the current sample from the “Current sample ID” pull-down list.

7. Select the parameter to be calibrated from the check box on the first line of the list.

8. Enter the target into the “Target” cells.

9. Prepare the whole blood or predilute fresh blood sample ready for calibration.

10. Click the “Start” button, a message box will pop up.

Press the [Run] key or click the “Run” button, and then the message box will close
automatically and a process bar will pop up.

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Using the Calibration Programs

z Be sure to put an uncapped centrifugal tube into the sample compartment


when calibrating in CT-PD mode.

z After you click the “Start” button and press the [RUN] key to start the first
run, the “Start” button will display in gray. Then, you can press the [RUN]
key to continue the calibration.

11. After the analysis, the progress bar will close and the compartment door will open
automatically. The analyzer will have different responses to different analysis results.

„ If the results are out of the linear range but still within the display range, the message
box will pop up at the same time the results are displayed in the table.

Click “Ok” to close the message box and delete the results from the table without saving.

„ If the results are out of the display rage, the non-numeric parameter values “***” are
obtained and the message box will pop up.

Click “Ok” to close the message box and delete the results from the table without saving.

„ The valid results within the linear range will be displayed directly.

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Using the Calibration Programs

z When the valid result is obtained, it is selected to be included in the


calculation for the calibration factors.

12. When the amount of the valid calibration reaches N (N ≥6), the analyzer will calculate the
Mean, CV% and Calibration Factors of the data selected with “√” automatically ( the first
data is excluded.)

You can select several data to calculate the calibration factors, but after 5 groups of the data
are selected at least can you get the calibration factors. Every time when you select or cancel
a data by clicking the check box, the calibration factors will refresh and display immediately.

z The exceeded CV% does not influence the display of the calibration factors.

z When the amount of calibration data in the table reaches 11, a prompt of
“Fresh blood calibration done!” will pop up; if you press the [RUN] key
again, the analyzer will beep and does not response.

13. Select other calibration samples from the “Current sample ID” pull-down list, run the
samples as instructed in steps 8 to 12 to obtain the calibration factors of each sample.

z If some parameters have been selected to be calibrated, the column of the


parameters will still display in gray when you switch to another blood
sample.

14. There may be several cases when switching to another blood sample:

„ If the calibration factors of the blood sample are invalid or the CV% of any parameter
exceeds the reproducibility standard, a message box will pop up when you switching to
another blood sample.

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Using the Calibration Programs

Click “Yes” to clear the entered target of the current sample, all the calibration data obtained
and each calculated value including calibration factors, then close the message box and
switch to another blood sample.

„ If the calibration factors have not been calculated, the message box will pop up.

Click “Yes” to empty the entered target of the current sample and all the calibration data
obtained, then close the message box and switch to another blood sample.

„ If the calibration factors of the sample are valid and the CV% of all the parameters do not
exceed the reproducibility standard, you can switch to another blood sample directly.

15. After calibration factors of at least 3 fresh blood samples are obtained, click the
“Calculate” button to enter the screen of calibration calculation.

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Using the Calibration Programs

Select or cancel the calibration factors of a blood sample to calculate for the Mean calibration
factors by click the relevant check box.
When the selected calibration factors reaches 3 or more than 3, the CV% will be calculated
over again according to the selected calibration factors.

z The exceeded CV% does not influence the display of the calibration factors.

When the selected calibration factors reaches 3 or more than 3, the mean calibration factors
will be calculated over again according to the selected calibration factors.

16. If the mean calibration factors have not been calculated, when you switch to the fresh
blood screen or switch to another calibration mode, a message box will pop up.

Click “Yes” to abort the calibration data and close the message box, switching to the
corresponding screen or other calibration mode. The original calibration factors and date
remain the same.

17. If the calculated mean calibration factors are valid, when you switch to the fresh blood
screen or switch to another calibration mode, a message box will pop up.

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Using the Calibration Programs

Click “Yes” to save the current mean calibration factors and refresh the calibration factors and
date in the table at the “Calibration Factors” screen. Then, you can switch to another screen
or calibration mode. Click “No” to close the message box and switch to another screen or
calibration mode without saving the mean calibration factors and all the calibration data.

Other Operations
„ Print

Click the “Print” button to print the following data in the form of list, namely, the calibration
factors of the sample in the “Calculated Result” table, the results included in calculating the
calibration factors, the CV% of the calibration factors and the mean calibration factors.

9.3.5 Verifying Calibration Factors


It is recommended that you take the following steps to verify the calibration factors:

1. Run the calibrator at least three times and check whether the means of the obtained
results are within the expected ranges.

2. Run the low, normal and high level controls each for three times at least, and check
whether the means of the obtained results are within the expected ranges.

3. Run at least three fresh blood samples with known reference values, each for six times
at least, and check whether the means of the obtained results are within the expected
ranges.

9-20
10Maintaining Your Analyzer
10.1 Introduction
Preventive and corrective maintenance procedures are required to keep the analyzer in a
good operating condition. This analyzer provides multiple maintenance functions for this
purpose.
This chapter introduces how to use the provided functions to maintain and troubleshoot your
analyzer.

z All the analyzer components and surfaces are potentially infectious, take
proper protective measures for operation or maintenance.

z Performing unauthorized maintenance procedures can damage your


analyzer. Do not perform any maintenance procedures that are not
described in this chapter.

z In case of problems not specified in this manual, contact Mindray customer


service department or your local distributor for assistance.

z Only Mindray-supplied parts can be used for maintenance. For any


questions, contact Mindray customer service department or your local
distributor.

z Exercise caution to avoid contact with the sharp sample probe when
performing maintenance.

10-1
Maintaining Your Analyzer

10.2 Maintenance

10.2.1 Manual Sleep


You can start the sleep function if stop using the analyzer for a long time.

z At the “Motor” and “Valve” tabs of the “Self-test” screen and the “Status”
screen, the analyzer can not sleep.

z If any influential error happens, the analyzer can not sleep.

Click the “Menu” button on the screen, then select “Shutdown”Æ”Sleep” on the pop-up
menu.

The following message box will pop up.

10-2
Maintaining Your Analyzer

Click the “Ok” button to get ready to sleep.

After the preparation is complete, the progress bar closes automatically and the analyzer
enters the sleep status.

z When the analyzer is sleeping, the analysis status icon at the screen
displays in red. The indicator on the analyzer displays in red at the same
time.

z You can not run any sample when the analyzer is sleeping.

z You can perform the operations without the cooperation of the analyzer
when it is sleeping, namely, communication and print etc.

z If any error happens during the process of entering the sleep status, the
analyzer will not sleep but alarm for the error. See Chapter 11
Troubleshooting Your Analyzer for solutions.

10-3
Maintaining Your Analyzer

10.2.2 Exiting Sleep Mode

z Different maintenances will be performed by the analyzer automatically


when exiting the sleep mode, and the exiting time depends on how long the
analyzer was in the sleep mode.

The following two ways are available to wakeup the analyzer.

„ The “Cancel” button

Click the “Menu” button on the screen, then select “Shutdown”Æ”Cancel” on the pop-up
menu.

The following prompt box will pop up.

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Maintaining Your Analyzer

Click the “Ok” button to exit the sleep mode.

After the exiting is complete, the progress bar closes automatically and the analyzer exits the
sleep mode.

„ [RUN] key

Press the [RUN] key on the analyzer to wakeup the analyzer from sleeping.

After the exiting is complete, the progress bar closes automatically and the analyzer exits the
sleep mode.

10-5
Maintaining Your Analyzer

z If any error happens during the process of exiting the sleep status, see
Chapter 11 Troubleshooting Your Analyzer for details to remove the error.

z After waking up from sleeping successfully, the analyzer will return to the
certain status before sleeping. The analysis status icon at the screen
displays in green. The indicator on the analyzer displays in green at the
same time.

10.2.3 Replacing Reagent

z The reagents are irritating to eyes, skin and diaphragm. Wear proper
personal protective equipment (e.g. gloves, lab coat, etc.) and follow safe
laboratory procedures when handling them in the laboratory.

z If the reagents accidentally spill on your skin, wash them off with plenty of
water and if necessary, go see a doctor; if the reagents accidentally spill into
your eyes, wash them off with plenty of water and immediately go see a
doctor.

z After installing a new container of reagent, keep it still for a while before use.

z When you have changed the diluent, cleansers or lyses, run a background
to see if the results meet the requirement.

You should change the reagents when:

„ a new container of reagent is installed.

„ the reagent is contaminated

„ WBC/RBC bubbles are reported.

Click the “Menu” button on the screen, and then select “Service”Æ”Maintenance” on the
pop-up menu.

10-6
Maintaining Your Analyzer

Click the “Replace Reagent” tab to enter the “Replace Reagent” screen.

10-7
Maintaining Your Analyzer

You can replace any of the following reagents:

„ Diluent

„ LEO(I) lyse

„ LEO(II) lyse

„ LH lyse

„ Cleanser

z Keep the diluent container from any strong vibration or collision with other
objects. Otherwise unreliable error messages may be reported.

z While replacing the diluent container, be sure to follow the following steps: 1)
install the supporting board as shown below; 2) insert the cap assembly
(shown in the figure below) into the diluent container vertically, and then
secure the cap. Otherwise unreliable error messages may be reported.

Do as follows to change the reagents:

10-8
Maintaining Your Analyzer

1. Double click the icon of the desired reagent, and then enter the lot No. and expiration
date of the new reagent.

z The check box “Change New Vial” should be selected if you wish to change
a container of reagent. Then, the edit box of “Lot No.” and “Exp. Date” will
be activated for you to enter the new lot No. and expiration date. When
finishing the replacement, the analyzer will save the new lot No. and
expiration date and then automatically modify the open-container expiration
date. The “Change New Vial” check box is selected as default.

z The check box “Change New Vial” should not be selected if you only replace
the reagent in the container. Then, the edit box “Lot No.” and “Exp. Date”
will be unavailable. When finishing the replacement, the analyzer will not
modify the open-container expiration date.

z The expiration date can not be empty.

z 1 to 16 digits can be entered into the box of “Lot No.” and an empty entry is
allowed.

z After the “Use barcode scanner” is selected, you can enter the expiration
date of the reagents by the barcode scanner.

2. Click the “Replace” button to save the entered expiration date and lot No. and start
replacing.

3. After the replacing is completed, the following prompt will pop up.

10-9
Maintaining Your Analyzer

4. Click the “Ok” button to close the message box.

5. Do the above procedures to replace other reagents if necessary.

10.2.4 Cleaning
You should clean the corresponding components under the following circumstances:

„ When the background of WBC and/or HGB relative parameters exceeds the Ref. Range,
you should clean the WBC bath.

„ When the background of RBC and (or) PLT relative parameters exceeds the Ref. Range,
you should clean the RBC bath.

„ When the background of the scattergram has abnormal excessive cells, you should
clean the DIFF Bath.

„ When the background of the scattergram has abnormal excessive cells, or bad
differential of WBC, you should clean the flow cell.

„ When the sample probe is dirty, you should clean the sample probe.

Click the “Menu” button on the screen, and then select “Service”Æ”Maintenance” on the
pop-up menu.

10-10
Maintaining Your Analyzer

Then, click the “Clean” tab to enter the “Clean” screen.

10-11
Maintaining Your Analyzer

You can clean any of the following components:

„ WBC bath

„ RBC bath

„ DIFF bath

„ Flow cell

„ Sample probe

Do as follows to clean:

1. Double click the icon of the desired part to start cleaning.

2. After the cleaning is completed, a message box will pop up.

3. Click the “Ok” button to close the message box.

4. Do the above procedures to clean other components if necessary.

10.2.5 Unclogging
When clogging happens, you should perform the unclogging procedure.

Click the “Menu” button on the screen, and then select “Service”Æ”Maintenance” on the
pop-up menu.

10-12
Maintaining Your Analyzer

Then, click the “Maintain” tab to enter the “Maintain” screen.

10-13
Maintaining Your Analyzer

Take the following steps to unclog:

1. Double click the “Unclog” icon to start unclogging.

2. After the unclogging is completed, a message box will display.

3. Click the “Ok” button to close the message box.

4. Do the above procedures to continue unclogging if necessary.

10.2.6 Zapping Apertures


You should perform this procedure to unclog the aperture.

Click the “Menu” button on the screen, and then select “Service”Æ”Maintenance” on the
pop-up menu.

10-14
Maintaining Your Analyzer

Then, click the “Maintain” tab to enter the “Maintain” screen.

Do as follows to zap apertures:

1. Double click the “Zap Apertures” icon to start zapping.

2. After the zapping is completed, a message box will pop up.

3. Click the “Ok” button to close the message box.

4. Do the above procedures to continue zapping apertures if necessary.

10-15
Maintaining Your Analyzer

10.2.7 Flashing Apertures


You should perform this procedure to flash apertures.

Click the “Menu” button on the screen, and then select “Service”Æ”Maintenance” on the
pop-up menu.

Then, click the “Maintain” tab to enter the “Maintain” screen.

10-16
Maintaining Your Analyzer

Do as follows to flash apertures:

1. Double click the “Flash Apertures” icon to start flashing.

2. After the flashing is complete, a message box will pop up.

3. Click the “Ok” button to close the message box.

4. Do the above procedures to continue flashing apertures if necessary.

10.2.8 Probe Cleanser Soak


You should perform the probe cleanser soak under the following circumstances:

„ When the problems including the background results exceeds the Ref. Range, bad
differential of scattergram and clogging still exist after other maintenances have been

10-17
Maintaining Your Analyzer

adopted.

„ If your analyzer is to run few samples, you should perform this procedure every two
weeks.

Click the “Menu” button on the screen, and then select “Service”Æ”Maintenance” on the
pop-up menu.

Then, click the “Maintain” tab to enter the “Maintain” screen.

10-18
Maintaining Your Analyzer

Take the following steps to perform the probe cleanser soak:

1. Double click the icon of “Probe Cleanser Soak”, and then a message box will pop up.

2. Click “Yes”, and then the following progress bar will pop up and the analyzer is preparing
to soak.

10-19
Maintaining Your Analyzer

3. After the preparation is done, the message box will pop up.

4. Perform the aspiration of the cleanser as instructed. Then, the priming process starts
automatically after the aspiration.

5. When the priming is completed, the progress bar closes and a count-down box will pop
up. The soaking process starts.

10-20
Maintaining Your Analyzer

6. The soaking process will last about 20 minutes. You may click the “Ok” button in the
message box to stop it after five minutes. The cleaning process starts after the soaking
progress is done.

7. After the cleaning is completed, a message box will pop up.

8. Click the “Ok” button to close the message box.

9. Do the above procedures to perform the probe cleanser soak if necessary.

10.2.9 Probe Cleanser Soaking for Single Channel


Probe cleanser soaking for DIFF channel, WBC channel and RBC channel, when the
aperture clogs or the abnormal scattergram occurs, can be used to remove the errors.
Click the “Menu” button on the screen, and then select “Service”Æ”Maintenance” on the
pop-up menu.

10-21
Maintaining Your Analyzer

Then, click the “Maintain” tab to enter the “Maintain” screen.

10-22
Maintaining Your Analyzer

Take the following steps to perform the probe cleanser soak (DIFF bath):
1. Double click the “Soak DIFF Bath” icon, and then a message box will pop up.

2. Click “Yes”, and then the progress bar shown below will pop up and the analyzer is
preparing.

3. When the preparation is done, a message box will pop up.

4. After aspirating the probe cleanser as instructed, the following progress bar will pop up and
the analyzer starts priming automatically.

10-23
Maintaining Your Analyzer

5. When the priming is completed, the progress bar closes and a count-down box will pop up.
The soaking process starts.

6. The soaking process will last about 20 minutes. You may click the “Ok” button in the dialog
box to stop it after five minutes. The cleaning process starts after the soaking progress is
done.

7. After the cleaning is completed, a message box will pop up.

8. Click “Ok” to close the dialog box.

Do the above procedures to perform the probe cleanser soaking for WBC bath and RBC bath
if necessary.

10.2.10 Cleanser Soak


When the background results exceed the Ref. Range after running plenty of samples, you
should perform this procedure.

Click the “Menu” button on the screen, and then select “Service”Æ”Maintenance” on the

10-24
Maintaining Your Analyzer

pop-up menu.

Then, click the “Maintain” tab to enter the “Maintain” screen.

10-25
Maintaining Your Analyzer

Take the following steps to perform the cleanser soak:


1. Double click the “Cleanser Soak” icon, and then the progress bar shown below will pop up
and the analyzer is preparing.

2. When the preparation is done, the progress bar closes and a count-down box will pop up.
The soaking process starts.

3. The soaking process will last about 20 minutes. You may click the “Ok” button in the dialog
box to stop it after five minutes. The cleaning process starts automatically after the soaking
progress is done

4. After the cleaning is completed, a message box will pop up.

10-26
Maintaining Your Analyzer

5. Click “Ok” to close the dialog box.


6. Do the above procedures to perform the cleanser soak if necessary.

z You should perform the cleanser soak regularly to ensure the analyzer
works in good condition.

10.2.11 Fluidics Initialization


After maintaining the fluidic system or replacing a main part of the analyzer, you should
perform this procedure to initialize the fluidic system.

Click the “Menu” button on the screen, and then select “Service”Æ”Maintenance” on the
pop-up menu.

10-27
Maintaining Your Analyzer

Then, click the “Maintain the whole device” tab to enter the screen.

10-28
Maintaining Your Analyzer

Do as follows to perform the fluidics initialization:

1. Double click the icon of “Fluidics initialization”, and then a message box will pop up.

2. Click the “Ok” button to start initialization and “Fluidics initializing…” will be displayed in
the information area down to the screen.

3. After the initialization is complete, a message box will display.

4. Click the “Ok” button to close the message box.

5. Do the above procedures to continue performing the cleanser soak if necessary.

10.2.12 Clean Fluidics


When the background of all parameters exceeds the Ref. Range, you should perform the
procedure.

Click the “Menu” button on the screen, and then select “Service”Æ”Maintenance” on the
pop-up menu.

10-29
Maintaining Your Analyzer

Then, click the “Maintain the whole device” tab to enter the screen.

10-30
Maintaining Your Analyzer

Do as follows to clean fluidics:

1. Double click the icon of “Clean Fluidics”, and then a message box will pop up.

2. Click the “Yes” button to start cleaning and “Fluidics cleaning…” will be displayed in the
information area down to the screen.

3. After the cleaning is complete, a message box will display.

4. Click the “Ok” button to close the message box.

5. Do the above procedures to continue cleaning fluidics if necessary.

10.2.13 Empty Fluidics


Before a short distance transport of the analyzer (transporting time<2h), you should perform
this procedure to empty the fluidic system.

Click the “Menu” button on the screen, and then select “Service”Æ”Maintenance” on the
pop-up menu.

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Maintaining Your Analyzer

Then, click the “Maintain the whole device” tab to enter the screen.

10-32
Maintaining Your Analyzer

Do as follows to empty fluidics:

1. Double click the icon of “Empty Fluidics”, and then a message box will pop up.

2. Click the “Yes” button to start emptying, and a message box shown below will display.

3. Remove all reagent pickup tube assemblies according to the prompt, and then click “OK”
to start emptying the fluidic system.

4. After the emptying is complete, a message box will display. You should turn off the power
switch according to the prompt displayed on the screen.

z After the fluidic system is emptied, you can still use the software.

z In the message box of “Please power off the analyzer!”, you can click the
“Restart” button to restart the analyzer.

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Maintaining Your Analyzer

10.2.14 Prepare to Ship


If the analyzer is not to be used for over one week or needs a long distance transport
(transporting time>2h), you should perform this procedure.

Click the “Menu” button on the screen, and then select “Service”Æ”Maintenance” on the
pop-up menu.

Then, click the “Maintain the whole device” tab to enter the screen.

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Maintaining Your Analyzer

Do as follows to perform the prepare-to-ship procedure:

1. Double click the icon of “Prepare to Ship”, and then a message box will pop up.

2. Click the “Yes” button to perform the packing up and a message box shown below will
display.

10-35
Maintaining Your Analyzer

3. Remove all reagent pickup tube assemblies according to the prompt, and then click the
“OK” button to start emptying the fluidic system.

4. After the emptying is complete, a message box will pop up.

5. Place all reagent pickup tube assemblies into the distilled water, and then click the “Ok”
button to start priming.

6. After the cleaning is done, a message box will display.

7. Remove all reagent pickup tube assemblies from the distilled water according to the
prompt, then click “Ok” to start emptying the fluidic system.

8. After the emptying is complete, a message box will display. You should turn off the
power switch according to the prompt displayed on the screen.

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Maintaining Your Analyzer

z After the prepared to ship procedure is done, you can still use the software.

z In the message box of “Please power off the analyzer”, you can click the
“Restart” button to restart the analyzer.

10.2.15 Auto-clean
When the sample count times reach or over 100, the analyzer will perform the cleaning
procedure automatically once, and a prompt will be displayed on the screen.

z If it is the time to perform the auto-cleaning but the analyzer is running or


error happened; only after the running is completed or the error is removed
will the auto-cleaning starts.

z After the auto-cleaning, probe cleanser soaking and cleanser soaking is


completed, or after the analyzer is shut down, the sample count times will
reset to zero automatically.

10.2.16 Auto-prompt for Probe Cleaner Soak


When the sample count times reach or over 1000(default), the analyzer will ask you for
confirmation to perform the probe cleanser soak.

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Maintaining Your Analyzer

Click “Yes”, and then the progress bar shown below will pop up and the analyzer is preparing.

When the preparation is done, a message box will pop up.

After aspirating the probe cleanser as instructed, the following progress bar will pop up and
the analyzer starts the priming automatically.

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Maintaining Your Analyzer

When the priming is complete, the progress bar closes and a count-down box will pop up.
The soaking process starts.

The soaking process will last about 20 minutes. You may click the “Ok” button in the dialog
box to stop it after five minutes. The cleaning process starts after the soaking progress is
done.

After the cleaning is complete, a dialog box will pop up.

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Maintaining Your Analyzer

Then, click the “Ok” button to close the box.

z At the “Self-test” or “Status” screen, the analyzer does not ask for
confirmation to perform the probe cleanser soak.

z If it is the time to perform the auto prompt for probe cleanser soak but the
analyzer is running or error happened; only after the running is completed
or the error is removed will the auto prompt starts.

z If you cancel the procedure of probe cleanser soaking when it is


auto-prompted, the confirmation prompt will pop up again every time when
you finish running the samples for 50 times.

z After the probe cleanser soaking is complete, the sample count times will
reset to zero automatically.

10.2.17 Prompt for Replacing the Sample Probe


When sample count times reach or over 27000(default value), the analyzer will remind you to
have the sample probe replaced.

Do as the prompt instructed, and then click the “Ok” button to close the message box.

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Maintaining Your Analyzer

z If it is the time to perform the auto-prompt for sample probe replacing but
the analyzer is in running status, then only after the running is completed
will the auto-prompt starts.

z If you do not replace the sample probe after the prompt is popped up, the
prompt will pop up again every time when you finish running the samples
for 100 times.

z When the sample count times reach 30000, the analyzer will stop running
any sample.

10.2.18 Timed Cleanser Soaking


When it is the time for cleanser soaking, the analyzer will ask for confirmation to perform the
procedure.

After you confirmed, the soaking preparation starts.

After the preparation is finished, the progress bar will be closed automatically and a
count-down box will pop up. The soaking process starts.

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Maintaining Your Analyzer

The soaking process will last about 20 minutes. You may click the “OK” button in the
message box to stop it after five minutes. The cleaning process starts automatically after the
soaking progress is done

After the cleaning is complete, a message box will pop up. Click the “OK” button to close the
message box.

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Maintaining Your Analyzer

z At the “Self-test” or “Status” screen, the analyzer does not ask for
confirmation to perform the preset cleanser soak.

z Only when the connecting time of the analyzer and the computer reaches or
over 24hours will the preset cleanser soaking be prompted.

z For details to preset the cleanser soaking time and the prompting time, see
chapter 5 Customizing the Analyzer Software.

z If it is the time to prompt for cleanser soaking but the analyzer is in running
or error status, then only after the running is completed or the error is
removed will the prompt starts accordingly.

z If you cancel the procedure of cleanser soaking when it is prompted, then


the analyzer will perform the cleanser soaking automatically when the
preset time is reached.

z When it reaches the preset time to perform the cleanser soaking but the
analyzer is in running or error status, only after the running is completed or
the error is removed will the cleanser soaking starts accordingly.

z When it reaches the preset time to perform the cleanser soaking but the
analyzer is sleeping, and then the analyzer will wake up automatically and
then proceed to perform the cleanser soaking.

10.2.19 Auto-sleep
When the fluidics system stop working for 15 minutes (default), then the analyzer will enter
the sleeping status automatically.

When the analyzer is in sleeping status, a prompt will display on the screen.

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Maintaining Your Analyzer

z You can set the waiting time for auto-sleeping, see chapter 5 Customizing
the Analyzer Software for details.

z At the “Self-test” or “Status” screen, the analyzer can not sleep.

z If it is the time to auto-sleep but the analyzer is error status, then only after
the error is removed will the auto-sleeping starts accordingly.

z You can perform the operations without the cooperation of the analyzer
when it is sleeping, namely, communication and print etc.

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Maintaining Your Analyzer

10.3 System Status

z If the results of the status testing exceed the normal range, they will be
highlighted by the red background.

10.3.1 Temperature and Pressure


Click the “Menu” button on the screen, and then select “Service”Æ”Status” on the pop-up
menu.

Then, click the “Temperature&Pressure” tab and a message box will pop up.

When the sequence is complete, the message box closes automatically and you will enter the
following screen.

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Maintaining Your Analyzer

You can check the information about the temperature and pressure, and also export or print
the information.

„ Export

1. Click the “Export” button at the bottom of the screen and then select the desired
information from the pop-up message box.

2. Click the “Browse” button, and then a message box will pop up.

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Maintaining Your Analyzer

3. Select the directory and format for the exported file and enter the file name.

4. Click the “Ok” button to save the selected information to the specified location.

5. When the exporting succeeded, click the “OK” button to exit.

z If the exporting failed, you should click the “Ok” button and then try again or
change another exporting directory; if it does not help, please contact
Mindray customer service department or your local distributor.

z The default format of the exported information is “.txt” and you can also
choose the “.csv” format.

„ Print

5. Click the “Print” button at the bottom of the screen and then select the desired
information from the pop-up message box.

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Maintaining Your Analyzer

6. Click the “Ok” button to print the selected information.

z The user of common level can not see the “Analyzer Information” option in
the “Print” message box. If you wish to print the analyzer information,
please log out and then log in as user of administrator level.

10.3.2 Voltage and Current


Click the “Menu” button on the screen, and then select “Service”Æ”Status” on the pop-up
menu.

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Maintaining Your Analyzer

Then, click the “Voltage&Current” tab to enter the following screen.


.

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Maintaining Your Analyzer

You can check the information about the voltage and current, and also export or print the
information.

„ Export

1. Click the “Export” button at the bottom of the screen and then select the desired
information from the pop-up message box.

2. Click the “Browse” button, a message box will pop up.

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Maintaining Your Analyzer

3. Select the directory and format for the exported file and enter the file name.

4. Click the “Ok” button to save the selected information to the specified location.

5. When the exporting succeeded, click the “OK” button to exit.

z If the exporting failed, you should click the “Ok” button and then try again or
change another exporting directory; if it does not help, please contact
Mindray customer service department or your local distributor.

z The default format of the exported information is “.txt” and you can also
choose the “.csv” format.

„ Print

1. Click the “Print” button at the bottom of the screen and then select the desired
information from the pop-up message box.

2. Click the “Ok” button to print the selected information.

z The user of common level can not see the “Analyzer Information” option in
the “Print” message box. If you wish to print the analyzer information,
please log out and then log in as user of administrator level.

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Maintaining Your Analyzer

10.4 Version and Config. Information


Click the “Menu” button, select “Service” Æ “Version and Config. Information” on the
menu.

Then you will enter the following screen.

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Maintaining Your Analyzer

You can check the information about the version and configuration, and export or print them.

„ Export

1. Click the “Export” button, and then the following message box will pop up.

2. Select the directory and format for the exported file and enter the file name.

3. Click the “Ok” button to save the selected information to the specified location.

4. When the exporting succeeded, click the “Ok” button to exit.

z If the exporting failed, you should click the “Ok” button and then try again or
change another exporting directory; if it does not help, please contact
Mindray customer service department or your local distributor.

z The default format of the exported information is “.txt” and you can also
choose the “.cvs” format.

„ Print

Click the “Print” button at the bottom of the screen to print the information.

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Maintaining Your Analyzer

10.5 Self-test

10.5.1 Syringe and Sampling Mechanism


Click the “Menu” button on the screen, and then select “Service”Æ”Self-test” on the pop-up
menu.

Then, click the “Syringe and Sampling Mechanism Self-test” tab to enter the following
screen.

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Maintaining Your Analyzer

You can check the status of all items and print the results.

„ Self-test

1. Double click the desired icon to start self-testing.

2. When the self-testing is finished, a message box will pop up to inform you the normal
testing results. Then, click the “Ok” button to close the message box.

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Maintaining Your Analyzer

z If the testing result is abnormal, you should click the “Ok” button and try
again for several times; if it does not help, please contact Mindray customer
service department or your local distributor.

3. Do the above procedures to test other items if necessary.

„ Print

Click the “Print” button at the bottom of the screen to print the latest testing results of all
items.

10.5.2 Autoloader Assembly


Click the “Menu” button on the screen, and then select “Service”Æ”Self-test” on the pop-up
menu.

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Maintaining Your Analyzer

Click the “Autoloader Assembly Self-test” tab to enter the following screen.

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Maintaining Your Analyzer

You can check the status of all the items and print the results.

„ Self-test

1. Double click the desired icon to start self-testing.

2. When the self-testing is finished, a message box will pop up to inform you the normal
testing results. Then, click the “Ok” button to close the message box.

z If the testing result is abnormal, you should click the “Ok” button and try
again for several times; if it does not help, please contact Mindray customer
service department or your local distributor.

3. Do the above procedures to test other items if necessary.

„ Print

Click the “Print” button at the button of the screen to print the latest testing results of all items.

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Maintaining Your Analyzer

10.5.3 Valve
Click the “Menu” button on the screen, and then select “Service”Æ”Self-test” on the pop-up
menu.

Then, click the “Valve” tab to enter the following screen.

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Maintaining Your Analyzer

You can check the status of a single valve or all valves.

„ Single valve

Click the desired Valve No. (e.g. “1”), then identify whether it works well by judging its sound
when opening and closing.

„ All valves

After clicking the “All Valves” button, all valves will be tested according to their No. one by
one. A progress bar will pop up at the same time.

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Maintaining Your Analyzer

z Whether the valve works well or not is identified by judging its sound when
opening and closing

z The current status (open/close) of all valves is displayed in the “Status” box
of the screen. When testing the valves, they open first and then close.

z You can click the “Cancel” button on the progress bar to stop the testing for
all valves.

10.5.4 Others
Click the “Menu” button on the screen, and then select “Service”Æ”Self-test” on the pop-up
menu.

Then, click the “Others” tab to enter the following screen.

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Maintaining Your Analyzer

You can test all above items and print the result.

„ Self-test

Do as follows to test the WBC volumetric tube filter, RBC volumetric tube filter, WBC aperture
voltage, RBC aperture voltage and count time.

1. Double click one desired icon to start self-testing.

2. When the self-testing is finished, a message box will pop up to inform you the result.
Then, you can click the “Ok” button to close the message box.

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Maintaining Your Analyzer

z If the testing result is abnormal, you should click the “Ok” button and try
again for several times; if it does not help, please contact Mindray customer
service department or your local distributor.

3. Do the above procedures to test other items if necessary.

You can do as follows to test the built-in barcode scanner.

1. Double-click the “Built-in Barcode Scanner” button, and a message box will pop up.

2. The test starts and a progress bar will appear. When the test is completed, a message
will pop up.

3. Check the sample ID as prompted in the message box. Then, click the “Ok” button to
close the box.

„ Print

Click the “Print” button at the button of the screen to print the latest testing results of the
items.

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Maintaining Your Analyzer

10.6 Counter
Click the “Menu” button on the screen, and then select “Service”Æ”Counter” on the pop-up
menu.

Then you will enter the following screen.

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Maintaining Your Analyzer

You can check the statistic information of all the above items and the detail statistic
information of some items.

„ Checking the detail information

You can check the detail information for the sample count times, QC times and calibration
times.

You can click the “Detail…” button next to the “Sample Count Times” to display the detail
statistic information about the sample count times.

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Maintaining Your Analyzer

You can click the “Detail…” button next to the “QC Times” to display the detail statistic
information about the QC times.

You can click the “Detail…” button next to the “Calibration Times” to display the detail
statistic information about the calibration times.

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Maintaining Your Analyzer

„ Print

Click the “Print” button at the bottom of the screen to print all the statistic information of the
current screen.

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Maintaining Your Analyzer

10.7 Log

z If you add a new record when the log is full, the newest record will overwrite
the oldest automatically.

z Up to records of one year can be saved in the log.

z Up to 100 characters can be entered for remarks.

10.7.1 Set Parameters


Click the “Menu” button on the screen, and then select “Service”Æ”Log” on the pop-up
menu.

Then, click the “Set Paras” tab to enter the following screen..

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Maintaining Your Analyzer

You can check the log information, enter remark information and also export and print the
information.

Remark

1. Enter the remark information in the “Remark” box of the desired log record.

2. Click the “Save” button at the bottom of the screen to save the remark.

Print
Click the “Print” button at the bottom of the screen. You can select “Date Range” or “No.
Range” to determine the print range.

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Maintaining Your Analyzer

„ Print by date range

1) Enter the starting date and finishing date of the records you want to print.
2) Click “Ok” button to print the selected log.

„ Print by No. range

1) Enter the starting date and finishing date of the log you want to print.
2) Click the “Ok” button to print the selected log.

Detail
Click the “Detail…” button to check the details of the highlighted record.

10.7.2 Other Logs


Click the “Menu” button on the screen, and then select “Service”Æ”Log” on the pop-up
menu.

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Maintaining Your Analyzer

Then, click the “Other Logs” tab to enter the following screen.

You can check the log information, enter remark information and also print the information.

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Maintaining Your Analyzer

Remark

1. Enter the remark information in the “Remark” box of the desired log record.

2. Click the “Save” button at the bottom of the screen to save the remark.

Print
Click the “Print” button at the bottom of the screen. You can select “Date Range” or “No.
Range” to determine the print range.

„ Print by date range

1) Enter the starting date and finishing date of the records you want to print.
2) Click “Ok” button to print the selected log.

„ Print by No. range

1) Enter the starting date and finishing date of the log you want to print.
2) Click the “Ok” button to print the selected log.

Detail
Click the “Detail…” button to check the details of the highlighted record.

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Maintaining Your Analyzer

10.7.3 Error Message

z The error message is only available to the users of administrators-level (or


higher levels).

Click the “Menu” button on the screen, and then select “Service”Æ”Log” on the pop-up
menu.

Then, click the “Error Info.” tab to enter the following screen.

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Maintaining Your Analyzer

You can check the log information, enter remark information and also print the information.

Remark

1. Enter the remark information in the “Remark” box of the desired log record.

2. Click the “Save” button at the bottom of the screen to save the remark.

Print
Click the “Print” button at the bottom of the screen. You can select “Date Range” or “No.
Range” to determine the print range.

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Maintaining Your Analyzer

„ Print by date range

1) Enter the starting date and finishing date of the records you want to print.
2) Click “Ok” button to print the selected log.

„ Print by No. range

1) Enter the starting date and finishing date of the log you want to print.
2) Click the “Ok” button to print the selected log.

Detail
Click the “Detail…” button to check the details of the highlighted record.

10.7.4 All Logs

z The “All Logs” tab displays all the available log information for the current
user.

Click the “Menu” button on the screen, and then select “Service”Æ”Log” on the pop-up
menu.

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Maintaining Your Analyzer

Then, click the “All Logs” tab to enter the following screen.

You can check the log information, enter remark information and also print the information.

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Maintaining Your Analyzer

Remark

1. Enter the remark information in the “Remark” box of the desired log record.

2. Click the “Save” button at the bottom of the screen to save the remark.

Print
Click the “Print” button at the bottom of the screen. You can select “Date Range” or “No.
Range” to determine the print range.

„ Print by date range

1) Enter the starting date and finishing date of the records you want to print.
2) Click “Ok” button to print the selected log.

„ Print by No. range

1) Enter the starting date and finishing date of the log you want to print.
2) Click the “Ok” button to print the selected log.

Detail
Click the “Detail…” button to check the details of the highlighted record.

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11Troubleshooting Your Analyzer
11.1 Introduction
This chapter contains information that is helpful in locating and correcting problems that may
occur during operation of your analyzer.

z This chapter is not a complete service manual and is limited to problems


that are readily diagnosed and/or corrected by the user of the analyzer. If the
recommended solution fails to solve the problem, contact Mindray customer
service department or your local distributor.

11-1
Troubleshooting Your Analyzer

11.2 Errors Indicated by Error Messages


During the operation, if error(s) is detected, the analyzer will beep and display the
corresponding error message in the pop-up message box.
In the error message area, the severity levels are discriminated from high to low by
background colors in the order of red, orange, blue, and green.

„ The red error message means that the analyzer will terminate the current action
immediately and you can not perform any operation.

„ The orange error message means that the analyzer will terminate the current action
immediately.

„ The blue error message means that the analyzer can still proceed with the current action,
but other operations related to the error(s) of this kind will be restricted.

„ The green error message means that the analyzer can still proceed with the current
action and other operations will not be restricted.

The following error message box will pop up.

Figure 12-1 Error messages box

You can see the error name(s) and the corresponding troubleshooting information in the
pop-up message box. The error names are displayed in order.

11-2
Troubleshooting Your Analyzer

You can click the error name in the message box to select (highlight) it and check the
corresponding troubleshooting information in the “Troubleshooting” list under the message
box. The troubleshooting information of the first error will display (default). Follow the
instructions in the message box to remove the error(s)

The following functions are provided in the current message box.

„ Remove Error

Press the "Remove error" button, then the system will remove the error automatically if
possible. If the error(s) still exists, you should follow the instructions of the troubleshooting to
remove the error(s).

„ Silent

Press the “Silent” button to disable the beep.

„ Close the “Error” message box

Click the “Close” button to close the “Error” message box, but the corresponding error
message will display in the error message area. If you click the error message again, the
“Error” message box will be re-opened.

The possible error(s) and the corresponding troubleshooting information are listed below:
Error Name Troubleshooting Information
1. Please turn off the analyzer power directly and restart the
analyzer later.
Voltage error
2. If the error still exists, contact our customer service
department.
Laser diode current abnormal 1. Please turn off the analyzer power directly and restart the
analyzer later.
2. If the error still exists, contact our customer service
department.
1. Click the "Remove error" button to remove this error.
Drive board communication
2. If the error still exists, contact our customer service
error
department.
1. Click the "Remove error" button to remove this error.
Sheath fluid channel clog 2. If the error still exists, contact our customer service
department.
1. Click the "Remove error" button to remove this error.
Syringe action error 2. If the error still exists, contact our customer service
department.
1. Click the "Remove error" button to remove this error.
Sample probe action error 2. If the error still exists, contact our customer service
department.

11-3
Troubleshooting Your Analyzer

1. Click the "Remove error" button to remove this error.


Pressure abnormal 2. If the error still exists, contact our customer service
department.
1. Click the "Remove error" button to remove this error.
Vacuum abnormal 2. If the error still exists, contact our customer service
department.
1. Click the "Remove error" button to remove this error.
DIFF reaction bath temp. error 2. If the error still exists, contact our customer service
department.
1. Make sure the ambient temperature is within the normal
range [15, 30].
2. Analysis results may be incorrect if the ambient
Temperature out of working temperature is out of the normal range.
range 3. If the ambient temperature is within the normal range,
click the "Remove error" button to remove the error.
4. If the error still exists, contact our customer service
department.
1. The ambient temperature is out of the analysis allowable
range [10, 40].
2. Analysis results may be incorrect if the ambient
Temperature out of operating temperature is out of the normal range.
range 3. If the ambient temperature is within the normal range, the
error will be removed automatically.
4. If the error still exists, contact our customer service
department.
1. Click the "Remove error" button to remove this error.
Optical System temp. error 2. If the error still exists, contact our customer service
department.
1. Check if the LEO (I) Lyse is expired. If so, change a new
container of lyse. Then click the "Remove error" button to
prime the analyzer with the LEO (I) lyse.
2. Click the “Remove error” button, and then the “Reagent”
settings screen will pop up. Set the reagent expiration date
LEO(I) Lyse expired as instructed in chapter 5 Customizing the Analyzer
Software, and then click “Ok”.
3. Click the "Remove error" button again; the error will be
removed automatically.
4. If the error still exists after a new container of reagent is
installed, contact our customer service department
1. Check if the LEO (II) Lyse is expired. If so, change a new
container of lyse. Then click the "Remove error" button to
LEO(II) Lyse expired prime the analyzer with the LEO (II) lyse.
2. Click the “Remove error” button, and then the “Reagent”
settings screen will pop up. Set the reagent expiration date

11-4
Troubleshooting Your Analyzer

as instructed in chapter 5 Customizing the Analyzer


Software, and then click “Ok”.
3. Click the "Remove error" button again; the error will be
removed automatically.
4. If the error still exists after a new container of reagent is
installed, contact our customer service department
1. Check if the cleanser is expired. If so, change a new
container of cleanser. Then click the "Remove error" button
to prime the analyzer with the cleanser.
2. Click the “Remove error” button, and then the “Reagent”
settings screen will pop up. Set the reagent expiration date
Cleanser expired as instructed in chapter 5 Customizing the Analyzer
Software, and then click “Ok”.
3. Click the "Remove error" button again; the error will be
removed automatically.
4. If the error still exists after a new container of reagent is
installed, contact our customer service department
1. Check if the diluent is expired. If so, change a new
container of diluent. Then click the "Remove error" button to
prime the analyzer with the diluent.
2. Click the “Remove error” button, and then the “Reagent”
settings screen will pop up. Set the reagent expiration date
Diluent expired as instructed in chapter 5 Customizing the Analyzer
Software, and then click “Ok”.
3. Click the "Remove error" button again; the error will be
removed automatically.
4. If the error still exists after a new container of reagent is
installed, contact our customer service department.
1. Check if the LH Lyse is expired. If so, change a new
container of lyse. Then click the "Remove error" button to
prime the analyzer with the LH lyse.
2. Click the “Remove error” button, and then the “Reagent”
settings screen will pop up. Set the reagent expiration date
LH Lyse Expired as instructed in chapter 5 Customizing the Analyzer
Software, and then click “Ok”.
3. Click the "Remove error" button again; the error will be
removed automatically.
4. If the error still exists after a new container of reagent is
installed, contact our customer service department.
1. Check whether the diluent container is empty.
2. If there is no diluent, install a new container of diluent.
No Diluent Then click the "Remove error" button to prime the analyzer
with the diluent.
3. Enter “Reagent” settings to modify the reagent expiration

11-5
Troubleshooting Your Analyzer

date as instructed in chapter 5 Customizing the Analyzer


Software.
4. If there is still plenty of diluent, or if the error still exists
after a new container of diluent is installed, contact our
customer service department.
1. Check whether the LH lyse container is empty.
2. If there is no LH lyse, change a new container of LH lyse.
Then click the "Remove error" button to prime the analyzer
with the lyse.
3. Enter “Reagent” settings to modify the reagent expiration
No LH lyse
date as instructed in chapter 5 Customizing the Analyzer
Software.
4. If there is still plenty of reagent, or if the error still exists
after a new container of reagent is installed, contact our
customer service department.
1. Check whether the LEO (I) lyse container is empty.
2. If there is no LEO (I) lyse, change a new container of LEO
(I)lyse. Then click the "Remove error" button to prime the
analyzer with the lyse.
3. Enter “Reagent” settings to modify the reagent expiration
No LEO(I) lyse
date as instructed in chapter 5 Customizing the Analyzer
Software.
4. If there is still plenty of reagent, or if the error still exists
after a new container of reagent is installed, contact our
customer service department.
1. Check whether the LEO (II) lyse container is empty.
2. If there is no LEO(II) lyse, change a new container of
LEO(II) lyse. Then click the "Remove error" button to prime
the analyzer with the lyse.
3. Enter “Reagent” settings to modify the reagent expiration
No LEO(II) lyse
date as instructed in chapter 5 Customizing the Analyzer
Software.
4. If there is still plenty of reagent, or if the error still exists
after a new container of reagent is installed, contact our
customer service department.
1. Check whether the cleanser container is empty.
2. If there is no cleanser, change a new container of
cleanser. Then click the "Remove error" button to prime the
analyzer with the cleanser.
No Cleanser 3. Enter “Reagent” settings to modify the reagent expiration
date as instructed in chapter 5 Customizing the Analyzer
Software.
4. If there is still plenty of reagent, or if the error still exists
after a new container of reagent is installed, contact our

11-6
Troubleshooting Your Analyzer

customer service department.


1. Empty the waste container or install a new waste
container.
Waste is full
2. If the error still exists, contact our customer service
department.
1. Close the right side door.
2. Click the "Remove error" button to remove this error.
Right side door open
3. If the error still exists, contact our customer service
department.
1. Close the laser assembly cover.
Optical assembly cover open 2. If the error still exists, contact our customer service
department.
1. Check whether the diluent is contaminated.
2. If it is not contaminated, click the "Remove error" button to
Background abnormal remove the error.
3. If the error still exists, contact our customer service
department.
1. Click the "Remove error" button to remove this error.
2. If the error reports frequently, see Chapter 10
WBC clog Maintenance to dip the WBC bath with the probe cleanser.
3. If the error still exists, contact our customer service
department.
1. Check whether the pickup tube connection looses.
2. If the connection does not loose, click the "Remove error"
WBC bubbles button to remove the error.
3. If the error still exists, contact our customer service
department.
1. Click the "Remove error" button to remove this error.
2. If the error reports frequently, see Chapter 10
RBC clog Maintenance to dip the WBC bath with the probe cleanser.
3. If the error still exists, contact our customer service
department.
1. Check whether the pickup tube connection looses.
2. If the connection does not loose, click the "Remove error"
RBC bubbles button to remove the error.
3. If the error still exists, contact our customer service
department.
1. Adjust the HGB gain by entering the dialog box to set the
voltage within 4.3 - 4.7V, preferably 4.5V as instructed in
HGB detecting abnormal chapter 5 Customizing the Analyzer Software.
2. If the error still exists, contact our customer service
department.
1. Check if the communication cable is well connected.
Network communication error
2. If it is well connected, check whether the communication

11-7
Troubleshooting Your Analyzer

cable is damaged.
3. If the cable is not damaged, click the "Remove error"
button to remove the error.
4. If the error still exists, contact our customer service
department.
1. Click the "Remove error" button to remove this error.
Autoloader board
2. If the error still exists, contact our customer service
communication error
department.
1. Click the "Remove error" button to remove this error.
Mix mechanism action error 2. If the error still exists, contact our customer service
department.
1. Click the "Remove error" button to remove this error.
2. If the error still exists, please try to remove the tube rack
Autoloader mechanism action from the autoloader and then click the “Remove error” button
error again.
3. If the error still exists, contact our customer service
department.
1. Remove the rack(s) from the unloading tray.
Unloading tray is full 2. If the error still exists, contact our customer service
department.
1. Check whether the barcode is pasted incorrectly,
damaged, or illegible.
2. If there is nothing wrong with the barcode, click the
Scanner error
"Remove error" button to check the built-in barcode scanner.
3. If the error still exists, contact our customer service
department.
1. Check if the sample compartment door is unexpectedly
open.
Closed-tube sampler door
2. Click the "Remove error" button to remove this error.
open failed
3. If the error still exists, contact our customer service
department.

11-8
12Appendices
A Index

conditions, 9-2
introduction, 9-1

manual calibration, 9-5

Adapter, 6-48 Calibrators, 2-32

analyzer Cleaning, 10-10

intended use, 2-2 Cleanser, 2-31

name, 2-1 Cleanser expired, 11-5

Aspiration, 3-2 Closed-tube sampler door open failed, 11-8

Auto calibration Closed-tube Sampling Analysis, 6-12

using fresh blood samples, 9-14 Compare, 7-40

Auto calibration using calibrators, 9-8 controls, 2-32

Autoloader mechanism action error, 11-8 CT-PD Sampling Analysis, 6-20

Autoloader Sampling Analysis, 6-29 CT-WB Sampling Analysis, 6-17

With built-in barcode scanner and run as CV, 7-26

per the worklist, 6-40


With built-in barcode scanner but do not D
run as per the worklist, 6-38
Without built-in barcode scanner and do Date format, 5-2
not run as per the worklist, 6-34 Derivation of WBC-Related Parameters, 3-7
Without built-in barcode scanner but run DIFF channel scattergram, 3-6
as per the worklist, 6-36 DIFF reaction bath temp. error, 11-4
Diluent, 2-31
Diluent expired, 11-5

Dilution, 3-3

Background abnormal, 11-7 predilute, 3-4

Barcode Labels, 6-48 whole blood, 3-3

barcode scanner, 5-5 Directory Tree, 2-25

Bas#
definition, 3-7 E
formula, 3-7
Bas% Electrical Impedance Method, 3-6
definition, 3-7 Eos#
formula, 3-7 definition, 3-8
formula, 3-8
Eos%

definition, 3-8

calibration formula, 3-8

A-1
Appendices

error formula, 3-7


drive board com., 11-3
optical system temp., 11-4

sample probe action, 11-3
syringe action, 11-3 Main Structure, 2-4
voltage, 11-3 Maintenance, 10-2
Manual Sleep, 10-2

F MCH
formula, 3-11
flags, 6-24 MCHC
Flow Cytometry by Laser, 3-5 formula, 3-11
Flushing Apertures, 10-16 MCV
definition, 3-11
message layer protocol, C-2

Microscopic Exam.

HCT graph review, 7-6

formula, 3-11 table review, 7-17

Help Information Mix mechanism action error, 11-8

browse, 2-28 Mon#

search, 2-28 definition, 3-8

HGB formula, 3-8

formula, 3-9 Mon%

HGB Measurement, 3-9 definition, 3-7


formula, 3-7



Initial Checks, 6-2
Initialization, 6-5 Network communication error, 11-8
Installation Requirements, 4-2 Neu#
definition, 3-8
formula, 3-8

Neu%
definition, 3-7
Laser radiation, 1-13
formula, 3-7
LEO (I) Lyse, 2-31
No Cleanser, 11-6
LEO (II) Lyse, 2-31
No Diluent, 11-5
LEO(I) Lyse expired, 11-4
No LEO(I) lyse, 11-6
LEO(II) Lyse expired, 11-4
No LEO(II) lyse, 11-6
LH Lyse, 2-31
No LH lyse, 11-6
LH Lyse expired, 11-5
Lym#
definition, 3-8 O
formula, 3-8
Lym% Optical System temp. error, 11-4
definition, 3-7

A-2
Appendices

X-R, 8-97

parameter R
ALY#(RUO), 2-2
ALY%(RUO), 2-2 RBC

Bas#, 2-2 definition, 3-11

Bas%, 2-2 RBC bubbles, 11-7

Eos#, 2-2 RBC clog, 11-7

Eos%, 2-2 RDV-CV

HCT, 2-3 definition, 3-11

HGB, 2-2 RDW-SD

LIC%(RUO), 2-2 definition, 3-11

Lym#, 2-2 Reading the saved preset values

Lym%, 2-2 L-J, 8-6

MCH, 2-2 X, 8-55

MCHC, 2-2 Reagents, 2-31

MCV, 2-2 Record Switch Column, 2-27

Mon#, 2-2 Ref. Range, 5-17

Mon%, 2-2 Remove Error, 11-3

MPV, 2-3 Replacing Reagent, 10-6

Neu#, 2-2 reviewing

Neu%, 2-2 graph, 7-2

PCT, 2-3 table, 7-14

PDW, 2-3 Right side door open, 11-7

PLT, 2-3 Running controls

RBC, 2-2 L-J, 8-11

RDW-CV, 2-2 X, 8-60

RDW-SD, 2-2 X-B, 8-146

WBC, 2-2 X-R, 8-101

PCT, 3-12
PDW, 3-11 S
PLT, 3-11
Power Requirements, 4-2 Scanner error, 11-8
Prediluted samples Self-test, 10-54
collection and handling, 6-9 settings
Print, 5-22 auto maintenance, 5-31
Probe Cleanser, 2-32 communication, 5-26
gain, 5-29
Para. Unit, 5-15

print, 5-22

Quality Control ref. range, 5-17

L-J, 8-2 RUO, 5-27

X, 8-51 Sheath fluid channel clog, 11-3

X-B, 8-139 Shortcut Button, 2-15

A-3
Appendices

Shutdown, 6-55
Special functions, 6-43

Startup and login, 6-4
Vacuum abnormal, 11-4
STAT, 6-43
Validate
Statistics, 7-46
graph review, 7-11
System Status, 10-45
table review, 7-23
Verifying calibration factors, 9-20

Tab, 2-17

Table Review, 7-14
Wash, 3-13
Temperature and Pressure, 10-45
Waste is full, 11-7
Transport and Installation, 4-3
WBC
troubleshooting, 11-1
definition, 3-7
WBC bubbles, 11-7
U WBC clog, 11-7
WBC Measurement, 3-5
Unclogging, 10-12 Worklist, 6-49
User Interface, 2-12
User/Lab Management
administrator, 5-37

common user, 5-9
Zapping Apertures, 10-14

A-4
B Specifications

B.1 Classification
According to the CE classification, the BC-5380 belongs to In vitro diagnostic medical devices
other than those covered by Annex II and devices for performance evaluation.

B.2 Reagents
M-53 Diluent M-53D Diluent
M-53 Lyse M-53LEO(I) Lyse
M-53LEO(II) Lyse
M-53LH Lyse
Cleanser M-53 Cleanser
M-53P Probe Cleanser

B.3 Collection Tube Types


The following types of collection tubes can be used in the closed-tube sampling mode.

„ Ф13X75 (mm) (without the cap) evacuated blood collection tube, used for Whole Blood
Mode

„ Ф12X75 (mm) (without the cap) evacuated blood collection tube, used for Whole Blood
Mode

„ Ф14X75 (mm) (without the cap) evacuated blood collection tube, used for Whole Blood
Mode

„ Ф15X75 (mm) (without the cap) evacuated blood collection tube, used for Whole Blood
Mode

„ Ф11X40 (mm) (1.5ml centrifugal tube), used for Predilute Mode

Note: the height of the evacuated blood collection tube with cap can not be higher than
83mm.
The tubes of the model that are available in autoloader mode can also be used in CT-WB
mode.

B-1
Appendices

B.4 Parameters
Parameter Abbreviation Default Unit
White Blood Cell count WBC 109/L
Neutrophils number Neu# 109/L
Lymphocytes number Lym# 109/L
Monocytes number Mon# 109/L
Eosinophils number Eos# 109/L
Basophils number Bas# 109/L
Abnormal Lymphocytes number ALY# (RUO) 109/L
Large Immature Cells number LIC# (RUO) 109/L
Neutrophils percentage Neu% %
Lymphocytes percentage Lym% %
Monocytes percentage Mon% %
Eosinophils percentage Eos% %
Basophils percentage Bas% %
Abnormal Lymphocytes percentage ALY% (RUO) %
Large Immature Cells percentage LIC% (RUO) %
Red Blood Cell count RBC 1012/L
Hemoglobin Concentration HGB g/L
Hematocrit HCT %
Mean Corpuscular Volume MCV fL
Mean Corpuscular Hemoglobin MCH pg
Mean Corpuscular Hemoglobin MCHC g/L
Concentration
Red Blood Cell Distribution Width RDW-SD fL
Standard Deviation
Red Blood Cell Distribution Width RDW-CV %
Coefficient of Variation
Platelet count PLT 109 / L
Mean Platelet Volume MPV fL
Platelet Distribution Width PDW None
Plateletcrit PCT %
Red Blood Cell Histogram RBC Histogram None
Platelet Histogram PLT Histogram None
White Blood Cell/Basophils WBC/BASO Histogram None
Scattergram
White Blood Cell Histogram WBC Histogram None
4 differential Scattergram Diff Scattergram None

B-2
Appendices

B.5 Sampling Features

B.5.1 Sample Volumes Required for Each Analysis


Whole Blood Mode ≤ 20 µL
Predilute Mode ≤ 20 µL

B.5.2 Throughput
Autoloader mode ≥ 60 samples/ 1 hour
Closed-tube Mode ≥ 50 samples/ 1 hour

B.6 Performance Specifications

B.6.1 Display Range

Parameter Display range


WBC 0-200.0×109/L
RBC 0-18.00.0×109/L
HGB 0-300g/L
PLT 0-2000×109/L
HCT 0%~80%

B.6.2 Normal Background


Parameter Background result
WBC ≤ 0.3 × 109 / L
RBC ≤ 0.03× 1012/ L
HGB ≤1g/L
HCT ≤ 0.5 %
PLT ≤ 10 × 109/ L

B.6.3 Linearity Range


Parameter Linearity range Deviation range (Whole Deviation range
blood mode) (Predilute Mode)
WBC 0.00-99.99×109/L ±0.30×109/L or ±5% ±0.60×109/L or ±6%
RBC 0.00-8.00×1012/L ±0.05×1012/L or ±5% ±0.10×1012/L or ±10%
HGB 0-250g/L ±2g/L or ±2% ±4g/L or ±4%
9 9
PLT 0-1000×10 /L ±10×10 /L or ±8% ±20×109/L or ±16%
(RBC≤7.0)
HCT 0-67% ±2%(HCT value) or ±3% ±4%(HCT value) or ±6%
(deviation percent) (deviation percent)

B-3
Appendices

B.6.4 Reproducibility
These reproducibility requirements apply only to the situation in which a qualified sample has
been run for 11 times and the results of the 2nd to 11th runs are used to calculate the
reproducibilities.
Parameter Condition Whole Blood Predilute
Reproducibility(CV% / Reproducibility(CV% /
absolute deviation d※) absolute deviation d※)
9
WBC (4.0-15.0)×10 /L ≤2.0% ≤4.0%
Neu% 50.0%-60.0% ±4.0(absolute deviation) ±8.0(absolute deviation)
Lym% 25.0%-35.0% ±3.0(absolute deviation) ±6.0(absolute deviation)
Mon% 5.0%-10.0% ±2.0(absolute deviation) ±4.0(absolute deviation)
Eos% 2.0%-5.0% ±1.5(absolute deviation) ±2.5(absolute deviation)
Bas% 0.5%-1.5% ±0.8(absolute deviation) ±1.2(absolute deviation)
12
RBC (3.50-6.00)×10 /L ≤1.5% ≤3.0%
HGB (110-180) g/L ≤1.5% ≤3.0%
MCV (70-120) fL ≤1.0% ≤2.0%
9
PLT (150-500)×10 /L ≤4.0% ≤8.0%
MPV / ≤4.0% ≤8.0%
※:Absolute deviation d = analysis result – average of analysis results

B.6.5Carryover
Parameter Carryover
WBC ≤ 0.5 %
RBC ≤ 0.5 %
HGB ≤ 0.6 %
HCT ≤ 0.5 %
PLT ≤ 1.0 %

B.7 Input/output Device

z Accessory equipment connected to the analogue and digital interfaces must


be complied with the relevant Safety and EMC standards (e.g., IEC 60950
Safety of Information Technology Equipment Standard and CISPR 22 EMC
of Information Technology Equipment Standard (CLASS B)). Any person,
who connects additional equipment to the signal input or output ports and
configures an IVD system, is responsible for ensuring that the system work
normally and complies with the safety and EMC requirements. If you have
any problem, consult the technical services department of your local
representative.

B-4
Appendices

z The external computer must meet the requirements specified in B.7.1.

z If LIS communication is required, the external computer must have two


network interface cards.

B.7.1 External Computer (Optional)


„ PC (IBM compatible)

„ RAM: ≥256 MB

„ Hard disk space: ≥4G

„ Operation system: Windows 2000 Professional + SP4, XP Home/XP Professional + SP2,


Windows Vista Home Basic*32, Windows Vista Ultimate*32

B.7.2 Keyboard (Optional)


101-Key alpha-numeric keyboard

B.7.3 Mouse (Optional)

B.7.4 Bar-code Scanner


External bar-code scanner (optional)
Built-in bar-code scanner

B.7.5 Printer

B.8 Interfaces
One LAN interface

B.9 Power Supply


Voltage Input power Frequency
Analyzer A.C. 100V-240V ≤300 VA 50/60 Hz

B.10 EMC Description


This equipment complies with the emission and immunity requirements of the EN
61326-1:2006 and EN 61326-2-6:2006.

B-5
Appendices

B.11 Sound
Maximal sound: 67.7 dBA

z Be sure to use and store the analyzer in the specified environment.

B.12 Operating Environment


„ Optimal operating temperature: 15 ℃ - 30 ℃

„ Optimal operating humidity: 30 % - 85 %

„ Atmospheric pressure: 70 kPa - 106 kPa.

B.13 Storage Environment


„ Ambient temperature: -10 ℃ - 40 ℃

„ Relative humidity: 10 % - 90 %

„ Atmospheric pressure: 50 kPa - 106 kPa.

B.14 Running Environment


„ Ambient temperature: 10 ℃ - 40 ℃

„ Relative humidity: 10 % - 90 %

„ Atmospheric pressure: 70 kPa - 106 kPa.

B.15 Dimensions and Weight

Height

Depth

Width

B-6
Appendices

Analyzer

Width(mm) ≤590

Height(mm) ≤525

Depth(mm) ≤570

Weight(Kg) ≤58

B.16 Barcode Specifications


See table below for the barcode symbologies and the character length supported by the
built-in barcode scanner. See Chapter 5 Customizing the Analyzer Software for how to set
them.

Code type Code length


CODE 39 1~20
CODE 93 1~20
CODE 128 1~20
CODEBAR 1~20
UPC/EAN Controlled by the built-in barcode
scanner
ITF Evens between 1 and 20

Code height: A≥10mm


Label width: B≤45mm
Clear area: C≥5mm

Wide-to-narrow ratio: between 2.5: 1 and 3.0: 1


Code precision: above 0.127mm
Code quality: According to ANSI MH10.8M standard, the code quality is greater or equal to C
level.

B.17 Contraindications
None

B-7
C Communication
C.1 Introduction of communication protocol of the auto
hematology analyzers

C.1.1 Messages supported by the HL7 interface protocol


The IPU software of the auto hematology analyzers and the LIS system enable the connection
between the analyzer and the computer of the lab through the Ethernet. The analyzer could
send the analysis results to the lab computer and receive the worklist information from it.
This communication protocol is defined based on the HL7 standard. HL7 is the digital data
switching standard used in the medical field. It is firstly defined by America and now adopted
by many countries. The definition is based on HL7 v2.3.1. For details of the HL7, please see
HL7 Interface Standards Version 2.3.1.

C.1.2 Bottom transmitting layer protocol


The IPU software sends messages through TCP connection and the communication
procedures consist of 3 phases:

Connecting

After starting up, the IPU software connects the LIS server actively according to the settings. If
the connecting is failed, it retries; if the connecting is successful, it keeps the connection to
make sure the data can be sent at any time. If the connection is found disconnected during
operating, it retries to connect.

Data transmitting

Besides batch sending the data at the List Review and QC screen, if auto-communication is
enabled, the IPU software will send the message while the new sample results are obtained.
Sending and receiving the message are synchronous both for batch communication and
auto-communication. i.e. when every message is sent, it will wait for the confirmation. If the
confirmation is received within 10s, then a complete message is sent and the next message
will be sent; if the confirmation is not received within the 10s, then it is regarded that the
sending is failed and it will skip to the sending of the next message.
The communication of QC data records is similar to that of the analysis results: send
messages at the QC screen or QC History screen. Wait for the confirmation after sending each
QC data. If the confirmation is received within 10s, then the message has been sent
successfully; if the confirmation is not received within 10s, then it is regarded that the sending
is failed and it will skip to the sending of the next message.
The bidirectional LIS inquiry communication is different from the processes mentioned above.
The IPU software will send an inquiry (including the sample ID) every time it opens the

C-1
Appendices

bidirectional LIS communication, saves worklists or before counting. The LIS will respond with
a HL7 message based on the message it received, and then IPU will fill in the worklist or
perform counting according to the response. If there is no response within 10s after the inquiry
was sent, it is regarded that the inquiry is failed.

Disconnecting

When exiting the IPU software, the connection will be closed actively. When changing the
communication settings, the connection will also be disconnected and then re-connect
according to the new settings.

C.1.3 HL7 message layer protocol

HL7 top message protocol

The data of sample results etc. are transmitted in the form of UTF-8 coding strings.
The message strings are composed as per the HL7 standard. A message consists of several
segments, each segment consists of several fields, a field consists of several components,
and component consists of several sub components. The segment, field, component and sub
component are divided by separators. The structure of the message is shown in Figure 1.

Figure 1 Structure of the message

A part of the HL7 message is shown below:

MSH|^~\&|BC-5380|Mindray|||20080617143943||ORU^R01|1|P|2.3.1||||||UNICODE

C-2
Appendices

PID|1||7393670^^^^MR||Joan^JIang||19900804000000|Female
PV1|1||nk^^001
OBR|1||20071207011|00001^Automated
Count^99MRC||20080508140600|20080508150616|||John||||20080508150000||||||||||HM||||||||
Mindray
OBX|1|IS|08001^Take Mode^99MRC||O||||||F
OBX|2|IS|08002^Blood Mode^99MRC||W||||||F
OBX|3|IS|08003^Test Mode^99MRC||CBC||||||F
OBX|4|IS|01002^Ref Group^99MRC||Woman||||||F
……

HL7 bottom protocol

TCP/IP is a protocol of byte stream. It doesn’t provide the message boundary.HL7 of top
protocol is based on messages. The function of terminating the message is not provided. In
order to determine the message boundary, the bottom protocol of MLLP is used (such
descriptions are also included in HL7 Interface Standards Version 2.3.1.).
Communication level
Messages are transmitted in the following format:
<SB> ddddd <EB><CR>
Among them:
<SB> = Start Block character (1 byte)
ASCII <VT>,i.e., <0x0B>.Do not confuse with the SOH or STX character in ASCII.

ddddd = Data (variable number of bytes)


ddddd is the effective data of HL7 message and expressed in the form of string. For the strings
used in the HL7 interface messages of auto hematology analyzers, the UTF-8 code is used.

<EB> = End Block character (1 byte)


ASCII <FS>,i.e. <0x1C>. Do not confuse with the ETX or EOT character in ASCII.

<CR> = Carriage Return (1 byte)


ASCII carriage return character, i.e. <0x0D>.

C.2 Introduction of HL7

C.2.1 HL7 basic grammar

Message constructing principles

C-3
Appendices

Every HL7 message consists of several segments and ends up with the <CR> character.
Each segment consists of the segment name of three characters and field of changeable
characters, and each field consists of the component and subcomponent. For each message,
the separators of the field, component and subcomponent are defined in the MSH segment.
For example:
MSH|^~\&|BC-5380|Mindray|||20080617143943||ORU^R01|1|P|2.3.1||||||UNICODE
In this message:
The five characters following MSH define the separators to distinguish each field, component
and subcomponent. Although they can be any non-text characters, HL7 standard recommends
the characters in the table below:

Character Meaning
| Field separator
^ Component separator
& Subcomponent separator
~ Repetition separator
\ ESC
The first field of MSH includes every separator. Some field behind are empty because they are
optional and not used by Mindray HL7 interface. Detailed field definition and selection will be
stated in the following contents.
For message of any type, the segments behind MSH appear in the fixed order. The order will
be described in the following contents and the grammar is used to organize the segments
order.
The segment appeared in [] is optional.
The segment appeared in {} can be repeated once or more.

String transferring principles

For the field data of ST, TX, FT, and CF, etc., separators may be contained in the string data
like remark, clinical diagnosis and customized gender etc. When coding, the separators in the
original strings shall be transferred into transferred character sequence; then, restore them
when decoding. The transferring principles are shown in the table:
Transferred character Original character
\F\ Field separator
\S\ Component separator
\T\ Subcomponent separator
\R\ Repetition separator
\E\ Transferred separator
\.br\ <CR>,i.e. end character of segment

C-4
Appendices

Note: “\” in the transferred character sequence represents the transferred separator. Its value
is defined in MSH segment.

C.2.2 HL7 data types

All the data information can be expressed by different types of HL7 fields. Only part of the HL7
standard is used in the communication protocol, see D4 Appendix for details.

C.3 Duplex communication

C.3.1 HL7 message supported

Process of duplex communication

1. The main unit directly sends the test results (or QC data) to LIS as Figure 2 shows.

Figure 2 Test results (QC data) communication process

2. Worklist information searching


Worklist belongs to the Order message. Thus, the corresponding HL7 messages: ORM
(General Order Message) and ORR(General Order Response Message) can be used. The
communication process is shown in Figure 3.

C-5
Appendices

Figure 3 Worklist searching communication process

Mostly used messages:

ORU^R01 message: it is mostly used for the transmission of the test results and QC data.
ORU Observational Results (Unsolicited) Description
MSHMessage header, necessary, including the communication information of message No.,
sending time, message separator and coding method, etc
{
PID Patient basic information, including patient name, gender, patient ID and birthday, etc
[PV1] Patient visit information, including patient type, department, bed No. and charge, etc
{
OBRsample information, including sample No., operator and run time, etc
{[OBX]} test data, including test results and work mode, etc
}
}

ACK^R01 message: it confirms the received ORU^R01 message.


ACK Acknowledgment Description
MSHMessage header
MSAMessage affirm, describing whether the communication message is received successfully

ORM^O01 message: Common order message, all the actions related to order basically use
the message of this type. For example, create a new order or cancel an order. Here, the main
unit requests LIS to re-fill the order message.
ORM General Order Message Description
MSH Message header
{ORC} Common message of Order, including the No. information of the sample searched

ORR^O02 message: affirming of the ORM^O01 message. Here, returning the completed
information of order (i.e. worklist).
ORR^O02 General Order Response Message Description
MSH Message header
MSAMessage affirm
[PIDPatient basic information

C-6
Appendices

[PV1]]Patient visit information


{
ORCCommon message of Order, including the sample No.
[
OBRsample information
{[OBX]}Data of other sample information, including work mode, etc.
]
}

C.3.2 HL7 segment definition involved


Detailed definition of fields contained in each segment will be listed in the table below. The
meaning of each column is explained below.
1. No.: the HL7 message initiates with the segment name of 3 characters. The following each
field will follow a separator, and the No. is the position order of the field.
For example:
PID |1 | |7393670^^^^MR||Joan^JIang||19900804000000|Female
↑ ↑ ↑
Segment name filed 1 filed 3
Note: the MSH message is a little different. The separator following the segment name is
regarded as the first field and used to describe the value of the separators used in the
message.
2. Field name: the logical meaning of the field
3. Data type: the HL7 standard type of the data, the structure will be described in Appendix A;
4. Recommended max length: the HL7 standard recommended length. But, during the actual
transmitting, the length may exceed the length, so the separators should be identified to read
the message when decoding the message.
5. Note: the note for the actual value of the fields
6. Samples: the sample of actual field value

MSH

The MSH(Message Header)segment contains basic information of HL7 message including


separators’ value, message type and coding method etc. It is the first field of every HL7
message.
Message used for example:
MSH|^~\&|BC-5380|Mindray|||20080617143943||ORU^R01|1|P|2.3.1||||||UNICODE
See Table 1 for definition of each field used in MSH segment.

C-7
Appendices

Table 1 MSH field definitions


No. Field Data Recommended Note Samples
Name type max length
1 Field ST 1 Includes the separator of the |
Separator first field after the segment
name; be used to determine
the separator’s value of the
rest parts of the message.
2 Encoding ST 4 Includes component ^~\&
Characters separators, repetition
separators, transferred
separators and subcomponent
separators; the value in the
HL7 message of auto
hematology analyzers is “^~\&”
3 Sending EI 180 Application program of BC-5380
application sending terminal. If the main
unit sends the message; the
value is “BC-5300” or
“BC-5380”.
4 Sending EI 180 Device of sending terminal. If Mindray
Facility the main unit sends the
message, the value is
“Mindray”.
7 Date/Time TS 26 Created time of message (in 20080617143943
Of the format of
Message YYYY[MM[DD[HH[MM[SS]]]]]);
adopts the system time.
9 Message CM 7 Message type; in the format of ORU^R01
Type “message type^event type”.
e.g. ORU^R01
10 Message ST 20 Message control ID; be used 1
Control ID to mark a message uniquely.
11 Processing PT 3 Message processing ID P
ID values:
“P”- sample and worklist
searching information;
“D”- QC setup information;
“T” – QC results information;

C-8
Appendices

In Ack messages, it is
consistent with the previously
received message.
12 Version ID VID 60 HL7 version information; the 2.3.1
value is “2.3.1”.
18 Character ID 10 Character set. UNICODE
Set The value is “UNICODE”, and
the message is expressed by
Unicode string.

MSA

The MSA(Message Acknowledgement) segment contains message confirming information.


Message used for example:
MSA|AA|1
See Table 2 for definition of the fields used.
Table 2 MSA field definitions
No. Field Name Data Recommended Note Samples
type max length
1 Acknowledgment ID 2 Acknowledgement code: AA
Code “AA”- receive, “AE” – error,
“AR”- reject
2 Message Control ST 20 Message control ID; it’s 1
ID consistent with the MSH-10
of the received message.
6 Error Condition CE 100 Error condition (status
code); it also contains error
condition specification
information; see Table 3 for
the value.

Table 3 Error code of MSA-6 field


Status code Status text Description/Remark
(MSA-6) (MSA-3)
Successful: AA
0 Message accepted Successful
Error status AE
code:
100 Segment sequence Segment order in the message is wrong, or
error necessary segment lost

C-9
Appendices

101 Required field Necessary field lost in a segment


missing
102 Data type error Segment data type error, e.g. numbers are replaced
by characters
103 Table value not Table value is not found; not used temporarily
found
Rejection status AR
code:
200 Unsupported Message type is not supported
message type
201 Unsupported event Event code is not supported
code
202 Unsupported Processing ID is not supported
processing id
203 Unsupported Version ID is not supported
version id
204 Unknown key Unknown key identifier, e.g. transmitting the patient
identifier information that is not exited
205 Duplicate key Repeated key words existed
identifier
206 Application record Issues can not be executed at application program
locked saving level, e.g. database is locked
207 Application internal Other interior errors of application program
error

PID

The PID(Patient Identification) segment contains the patient basic information.


Message used for example:
PID|1||7393670^^^^MR||Joan^JIang||19900804000000|Female
See Table 4 for definition of the fields used.

Table 4 PID field definitions


No. Field Data Recommended Note Samples
Name type max length
1 Set ID - SI 4 Sequence NO.; it is used to 1
PID mark the different PID
segments of a message.
3 Patient CX 20 To be used as the patient ID 7393670^^^^MR
Identifier in the message of the sample

C-10
Appendices

List test results, in the form of


“Patient ID^^^^MR”.
To be used as QC lot No. in
the message of QC.
5 Patient XPN 48 Patient name (dividing into Joan^JIang
Name two parts when sending:
“FirstName” and
"LastName"), e.g.
“LastName^FirstName”.
7 Date/Time TS 26 To be used as birthday in the 19900804000000
of Birth message of sample results
To be used as expiration date
in the message of QC
In the form of
YYYY[MM[DD[HH[MM[SS]]]]]
8 Sex IS 1 Gender, string. Female

PV1

The PV1(Patient Visit) segment contains the patient visit information.


Message used for example:
PV1|1||nk^^001
See Table 5 for definition of the fields used.

Table 5 PV1 field definitions


No. Field Name Data Recommended Note Samples
type max length
1 Set ID - PV1 SI 4 Sequence NO.; it is used to 1
mark the different PV1
segments of a message.
3 Assigned PL 80 Patient location information; nk^^001
Patient in the form of “Department^
Location ^Bed No.”

OBR

The OBR(Observation Request) segment contains the test report information.


Message used for example:
OBR|1||20071207011|00001^Automated
Count^99MRC||20080508140600|20080508150616|||John||||20080508150000||||||||||HM||||||||
Mindray

C-11
Appendices

See Table 6 for definition of the fields used.

Table 6 OBR field definitions


No. Field Name Data Recommended Note Samples
type max length
1 Set SI 10 Sequence NO.; it is 1
ID - OBR used to indicate the
different OBR
segments of a
message.
2 Placer Order EI 22 To be used as
Number sample ID in the
message of worklist
searching
response, i.e.
ORC^O02
3 Filler Order EI 22 To be used as 20071207011
Number + sample ID in the
message of test
results
To be used as file
No. in the QC
message
4 Universal CE 200 Universal service 00001^Automated
Service ID ID, to identify Count^99MRC
different types of
test results. See
Appendix B for
detailed values.
6 Requested TS 26 Requested 20080508140600
Date/time Date/time
To express the
sampling date and
time.
7 Observation TS 26 Run Time 20080508150616
Date/Time #
10 Collector XCN 60 Sample collector John
Identifier * To indicate the
deliverer
13 Relevant ST 300 Relevant clinical

C-12
Appendices

Clinical Info. information.


It can be used as
the clinical
diagnostic
information in the
patient info.
14 Specimen TS 26 Sample received 20080508150000
Received time
Date/Time * To express the
delivery time.
15 Specimen CM 300 Sample source
Source * Its value in HL7
message on the
auto hematology
analyzers:
“BLDV”- Venous
blood
“BLDC”- Capillary
blood
22 Results TS 26 Results
Rpt/Status report/Status
Chng - Change -
Date/Time + Date/Time
To be used as
validating time.
24 Diagnostic ID 10 Diagnostic ID, the HM
Serv Sect ID value is “HM”,
means Hematology.
28 Result Copies XCN 60 Result copies to
To To indicate the
validater.
32 Principal CM 200 Principal result Mindray
Result interpreter
Interpreter + To be used as
tester in the sample
message
To be used as “set
by” in the QC
message
To be used as

C-13
Appendices

“Operator” in the
QC run message

OBX

The OBX(Observation/Result) segment contains the parameter information of each test


result.
Message used for example:
OBX|6|NM|6690-2^WBC^LN||9.81|10*9/L|4.00-10.00|N|||F||E
See Table 7 for definition of the fields used.

Table 7 OBX field definitions


No. Field Name Data Recommended Note Samples
type max length
1 Set ID - SI 10 Sequence NO.; it is used 6
OBX to mark the different OBX
segments of a message.
2 Value Type ID 3 Data type of test results; NM
the values can be “ST”,
“NM”, “ED” and “IS”, etc.
3 Observation CE 590 Test item mark 6690-2^WBC^LN
Identifier Form:
“ID^Name^EncodeSys”.
The “ID is the test item
mark; “Name” the
description information of
the test item;
“EncodeSys” is the
coding system of the test
item. For the values of the
code of each test item,
please see configuration
file and Appendix B.
Note: “ID” and
“EncodeSys” are used to
identify a unique
parameter, but “Name” is
used for description only.
5 Observation * 65535 Test results data. It can 9.81
Value be numbers, strings,

C-14
Appendices

enumeration values and


binary data, etc., see
Appendix B for their
values (for the binary
data, they are transferred
by the Base64 coding
method, see Appendix C
for details).
6 Units CE 90 Units of test items. ISO 10*9/L
standard units are used.
The units used for
communication are listed
in Appendix B.
7 References ST 90 Reference range; in the 4.00-10.00
Range form of “lower limit-upper
limit”, “< upper limit” or “>
lower limit”.
8 Abnormal ID 5 Result flags: N
Flags “N”- Normal
“A”- Abnormal
“H”- higher than upper
limit
“L”- lower than lower limit
Note: The flag for normal
or abnormal and that for
high or low result may be
displayed in this field at
the same time. In this
case, the two flags should
be connected with a “~”,
e.g.: “H~A”
11 Observ ID 1 Test result status. The F
Result value is “F” - ( Final
Status Result);it means the final
result.
13 User ST 20 Customized contents. It E
Defined stands for reagent
Access expiration and
Checks modification mark, etc.
The form is “mark 1-mark

C-15
Appendices

2”.
There are 3 kinds of
marks in all:
O – Expired reagent
E – Active editing
e – Passive editing

ORC

The ORC(Common Order) segment contains the common information of order.


Message used for example:
ORC|RF||SampleID||IP
See Table 8 for definition of the fields used.

Table 8 ORC field definitions


No. Field Name Data Recommended Note Samples
type max length
1 Order ID 2 Order control word RF
Control In the ORM message the value
is “RF” which means “re-fill the
order request”.
In the ORR message the value
is “AF” which means “affirm the
re-filled order”.
2 Placer EI 22 Placer order number
Order In the ORM message the value
Number is empty; in the ORR message
the value is the sample ID.
3 Filler EI 22 Filler Order Number SampleID
OrderNum In the ORM message the value
is the sample ID; in the ORR
message the value is empty.
5 Order ID 2 Order status IP
Status In the ORM message the value
is “IP” which means “order is
being processed, but results are
not obtained”; in the ORR
message the value is empty.

C-16
Appendices

C.3.3 Example of a complete message


The following two messages demonstrate the communication process of the sample data.

Sample message

MSH|^~\&|BC-5380|Mindray|||20080617143943||ORU^R01|1|P|2.3.1||||||UNICODE
PID|1||7393670^^^^MR||Joan^JIang||19900804000000|Female
PV1|1||nk^^001
OBR|1||20071207011|00001^Automated
Count^99MRC||20080508140600|20080508150616|||John||||20080508150000||||||||||HM||||||||
Mindray
OBX|1|IS|08001^Take Mode^99MRC||O||||||F
OBX|2|IS|08002^Blood Mode^99MRC||W||||||F
OBX|3|IS|08003^Test Mode^99MRC||CBC||||||F
OBX|4|IS|01002^Ref Group^99MRC||Woman||||||F
OBX|5|NM|30525-0^Age^LN||18|yr|||||F
OBX|6|NM|6690-2^WBC^LN||9.81|10*9/L|4.00-10.00|N|||F||E
OBX|7|NM|704-7^BAS#^LN|||10*9/L|0.00-0.10||||F
OBX|8|NM|706-2^BAS%^LN||||0.000-0.010||||F
OBX|9|NM|751-8^NEU#^LN|||10*9/L|2.00-7.00||||F
OBX|10|NM|770-8^NEU%^LN||||0.500-0.700||||F
OBX|11|NM|711-2^EOS#^LN|||10*9/L|0.02-0.50||||F
OBX|12|NM|713-8^EOS%^LN||||0.005-0.050||||F
OBX|13|NM|731-0^LYM#^LN|||10*9/L|0.80-4.00||||F
OBX|14|NM|736-9^LYM%^LN||||0.200-0.400||||F
OBX|15|NM|742-7^MON#^LN|||10*9/L|0.12-0.80||||F
OBX|16|NM|5905-5^MON%^LN||||0.030-0.080||||F
OBX|17|NM|26477-0^*ALY#^LN|||10*9/L|0.00-0.20||||F
OBX|18|NM|13046-8^*ALY%^LN||||0.000-0.020||||F
OBX|19|NM|10000^*LIC#^99MRC|||10*9/L|0.00-0.20||||F
OBX|20|NM|10001^*LIC%^99MRC||||0.000-0.025||||F
OBX|21|NM|789-8^RBC^LN||4.53|10*12/L|3.50-5.00|N|||F
OBX|22|NM|718-7^HGB^LN||65|g/L|110-150|L|||F
OBX|23|NM|787-2^MCV^LN||89.5|fL|80.0-100.0|N|||F
OBX|24|NM|785-6^MCH^LN||14.4|pg|27.0-31.0|L|||F
OBX|25|NM|786-4^MCHC^LN||160|g/L|320-360|L|||F
OBX|26|NM|788-0^RDW-CV^LN||0.133||0.115-0.145|N|||F
OBX|27|NM|21000-5^RDW-SD^LN||50.9|fL|35.0-56.0|N|||F
OBX|28|NM|4544-3^HCT^LN||0.405||0.370-0.480|N|||F
OBX|29|NM|777-3^PLT^LN||212|10*9/L|100-300|N|||F

C-17
Appendices

OBX|30|NM|32623-1^MPV^LN||6.6|fL|7.0-11.0|L|||F
OBX|31|NM|32207-3^PDW^LN||15.4||15.0-17.0|N|||F
OBX|32|NM|10002^PCT^99MRC||1.40|mL/L|1.08-2.82|N|||F
OBX|33|IS|12014^Anemia^99MRC||T||||||F
OBX|34|IS|15180-3^Hypochromia^LN||T||||||F
OBX|35|NM|15001^WBC Histogram. Left Line^99MRC||7||||||F
OBX|36|NM|15002^WBC Histogram. Right Line^99MRC||65||||||F
OBX|37|NM|15003^WBC Histogram. Middle Line^99MRC||30||||||F
OBX|38|ED|15008^WBC Histogram. BMP^99MRC||^Image^BMP^Base64^ … … WBC
Histogram bmp data……||||||F
OBX|39|NM|15051^RBC Histogram. Left Line^99MRC||26||||||F
OBX|40|NM|15052^RBC Histogram. Right Line^99MRC||164||||||F
OBX|41|ED|15056^RBC Histogram. BMP^99MRC||^Image^BMP^Base64^ … … RBC
Histogram bmp data……||||||F
OBX|42|NM|15111^PLT Histogram. Left Line^99MRC||3||||||F
OBX|43|NM|15112^PLT Histogram. Right Line^99MRC||43||||||F
OBX|44|ED|15116^PLT Histogram. BMP^99MRC||^Image^BMP^Base64^……PLT Histogram
bmp data……||||||F
OBX|45|ED|15200^WBC DIFF Scattergram. BMP^99MRC||^Image^BMP^Base64^……WBC
Diff Scattergram bmp data……||||||F
OBR|2||20071207011|00002^Manual Count^99MRC|||||||||||BLDV
OBX|46|NM|747-6^Myeloblasts%. Manual^LN||0.0|%|||||F
OBX|47|NM|783-1^Promyelocytes%. Manual^LN||0.0|%|||||F
OBX|48|NM|749-2^Myelocytes%. Manual^LN||0.0|%|||||F
OBX|49|NM|740-1^Metamyelocyte%. Manual^LN||0.0|%|||||F
OBX|50|NM|764-1^Neuts Band%. Manual^LN||0.0|%|||||F
OBX|51|NM|769-0^Neuts Seg%. Manual^LN||0.0|%|||||F
OBX|52|NM|714-6^Eosinophils%. Manual^LN||0.0|%|||||F
OBX|53|NM|707-0^Basophils%. Manual^LN||0.0|%|||||F
OBX|54|NM|33831-9^Lymphoblasts%. Manual^LN||0.0|%|||||F
OBX|55|NM|6746-2^Prolymphocytes%. Manual^LN||0.0|%|||||F
OBX|56|NM|737-7^Lymphocytes%. Manual^LN||0.0|%|||||F
OBX|57|NM|29261-5^Abnormal Lymphs%. Manual^LN||0.0|%|||||F
OBX|58|NM|33840-0^Monoblasts%. Manual^LN||0.0|%|||||F
OBX|59|NM|13599-6^Promonocytes%. Manual^LN||0.0|%|||||F
OBX|60|NM|744-3^Monocytes%. Manual^LN||0.0|%|||||F
OBX|61|NM|18309-5^NRBCs%. Manual^LN||0.0|%|||||F
OBX|62|NM|31112-6^Reticulocytes%. Manual^LN||0.0|%|||||F
OBX|63|NM|11000^Undefined Cells%. Manual^99MRC||0.0|%|||||F

C-18
Appendices

OBX|64|NM|11001^Other Abnormal Cells%. Manual^99MRC||0.0|%|||||F

Sample response message

Every time a sample result is received, a sample response message composed of two
message segments (MSH and MSA) will be sent. To send a correct response message, take
into consideration that: the MSH-9 field should be ACK^R01 which indicates that it is a sample
response message; If the value in the MSA-2 field is the same with the MSH-10 value of the
analysis result, it indicates that this response message is corresponding to the sent analysis
result. The MSA-2 value in the following example is 1

MSH|^~\&|LIS||||20080617143944||ACK^R01|1|P|2.3.1||||||UNICODE
MSA|AA|1

QC message

The content of the QC message differs from that of the sample analysis result: the MSH-11
value of the QC message is Q which indicates that it is a QC message; each QC message is
corresponding to one QC point in the IPU software which may contain several analysis results.
For example, there is one analysis result in an L-J QC message, while there are two analysis
results and one mean calculation result in an X-R QC message.
A QC messasge is composed of an MSH message head and several analysis results, each of
which contains the PID and OBR segments as the head of the sample message, as well as
several OBX segments to carry parameters and other information. The OBR-4 field of each
analysis result indicates the type of the result (X-R analysis result, X-R mean or L-J analysis
result). See Appendix: Message coding definition for details.
An example of the X-R QC message is shown as follows:

MSH|^~\&|BC-5380|Mindray|||20081120171602||ORU^R01|1|Q|2.3.1||||||UNICODE
PID|1||6666666||||20080807235959
OBR|1||6|00006^XR QCR^99MRC|||20080807142518|||||||||||||||||HM||||||||R&D Engineer
OBX|1|IS|05001^Qc Level^99MRC||M||||||F
OBX|2|IS|08001^Take Mode^99MRC||C||||||F
OBX|3|IS|08002^Blood Mode^99MRC||W||||||F
OBX|4|NM|6690-2^WBC^LN||0.00|10*9/L|||||F
OBX|5|NM|704-7^BAS#^LN||***.**|10*9/L|||||F
OBX|6|NM|706-2^BAS%^LN||**.*|%|||||F
OBX|7|NM|751-8^NEU#^LN||***.**|10*9/L|||||F
OBX|8|NM|770-8^NEU%^LN||**.*|%|||||F
OBX|9|NM|711-2^EOS#^LN||***.**|10*9/L|||||F
OBX|10|NM|713-8^EOS%^LN||**.*|%|||||F

C-19
Appendices

OBX|11|NM|731-0^LYM#^LN||***.**|10*9/L|||||F
OBX|12|NM|736-9^LYM%^LN||**.*|%|||||F
OBX|13|NM|742-7^MON#^LN||***.**|10*9/L|||||F
OBX|14|NM|5905-5^MON%^LN||**.*|%|||||F
OBX|15|NM|789-8^RBC^LN||0.02|10*12/L|||||F
OBX|16|NM|718-7^HGB^LN||0|g/L|||||F
OBX|17|NM|787-2^MCV^LN||***.*|fL|||||F
OBX|18|NM|785-6^MCH^LN||***.*|pg|||||F
OBX|19|NM|786-4^MCHC^LN||****|g/L|||||F
OBX|20|NM|788-0^RDW-CV^LN||**.*|%|||||F
OBX|21|NM|21000-5^RDW-SD^LN||***.*|fL|||||F
OBX|22|NM|4544-3^HCT^LN||0.0|%|||||F
OBX|23|NM|777-3^PLT^LN||4|10*9/L|||||F
OBX|24|NM|32623-1^MPV^LN||**.*|fL|||||F
OBX|25|NM|32207-3^PDW^LN||**.*||||||F
OBX|26|NM|10002^PCT^99MRC||.***|%|||||F
OBX|27|NM|10003^GRAN-X^99MRC||6||||||F
OBX|28|NM|10004^GRAN-Y^99MRC||32||||||F
OBX|29|NM|10005^GRAN-Y(W)^99MRC||20||||||F
OBX|30|NM|10006^WBC-MCV^99MRC||83||||||F
OBX|31|NM|15001^WBC Histogram. Left Line^99MRC||10||||||F
OBX|32|NM|15002^WBC Histogram. Right Line^99MRC||72||||||F
OBX|33|NM|15003^WBC Histogram. Middle Line^99MRC||37||||||F
OBX|34|ED|15008^WBC Histogram. BMP^99MRC||^Image^BMP^Base64^……WBC
histogram data……||||||F
OBX|35|NM|15051^RBC Histogram. Left Line^99MRC||10||||||F
OBX|36|NM|15052^RBC Histogram. Right Line^99MRC||250||||||F
OBX|37|ED|15056^RBC Histogram. BMP^99MRC||^Image^BMP^Base64^……RBC
histogram data……||||||F
OBX|38|NM|15111^PLT Histogram. Left Line^99MRC||3||||||F
OBX|39|NM|15112^PLT Histogram. Right Line^99MRC||24||||||F
OBX|40|ED|15116^PLT Histogram. BMP^99MRC||^Image^BMP^Base64^……PLT histogram
data……||||||F
OBX|41|ED|15200^WBC DIFF Scattergram. BMP^99MRC||^Image^BMP^Base64^……DIFF
scattergram data……||||||F
PID|2||6666666||||20080807235959
OBR|2||6|00006^XR QCR^99MRC|||20080807142640|||||||||||||||||HM||||||||R&D Engineer
OBX|42|IS|05001^Qc Level^99MRC||M||||||F
OBX|43|IS|08001^Take Mode^99MRC||C||||||F
OBX|44|IS|08002^Blood Mode^99MRC||W||||||F

C-20
Appendices

OBX|45|NM|6690-2^WBC^LN||0.00|10*9/L|||||F
OBX|46|NM|704-7^BAS#^LN||***.**|10*9/L|||||F
OBX|47|NM|706-2^BAS%^LN||**.*|%|||||F
OBX|48|NM|751-8^NEU#^LN||***.**|10*9/L|||||F
OBX|49|NM|770-8^NEU%^LN||**.*|%|||||F
OBX|50|NM|711-2^EOS#^LN||***.**|10*9/L|||||F
OBX|51|NM|713-8^EOS%^LN||**.*|%|||||F
OBX|52|NM|731-0^LYM#^LN||***.**|10*9/L|||||F
OBX|53|NM|736-9^LYM%^LN||**.*|%|||||F
OBX|54|NM|742-7^MON#^LN||***.**|10*9/L|||||F
OBX|55|NM|5905-5^MON%^LN||**.*|%|||||F
OBX|56|NM|789-8^RBC^LN||0.02|10*12/L|||||F
OBX|57|NM|718-7^HGB^LN||0|g/L|||||F
OBX|58|NM|787-2^MCV^LN||***.*|fL|||||F
OBX|59|NM|785-6^MCH^LN||***.*|pg|||||F
OBX|60|NM|786-4^MCHC^LN||****|g/L|||||F
OBX|61|NM|788-0^RDW-CV^LN||**.*|%|||||F
OBX|62|NM|21000-5^RDW-SD^LN||***.*|fL|||||F
OBX|63|NM|4544-3^HCT^LN||0.0|%|||||F
OBX|64|NM|777-3^PLT^LN||5|10*9/L|||||F
OBX|65|NM|32623-1^MPV^LN||**.*|fL|||||F
OBX|66|NM|32207-3^PDW^LN||**.*||||||F
OBX|67|NM|10002^PCT^99MRC||.***|%|||||F
OBX|68|NM|10003^GRAN-X^99MRC||28||||||F
OBX|69|NM|10004^GRAN-Y^99MRC||19||||||F
OBX|70|NM|10005^GRAN-Y(W)^99MRC||20||||||F
OBX|71|NM|10006^WBC-MCV^99MRC||60||||||F
OBX|72|NM|15001^WBC Histogram. Left Line^99MRC||10||||||F
OBX|73|NM|15002^WBC Histogram. Right Line^99MRC||72||||||F
OBX|74|NM|15003^WBC Histogram. Middle Line^99MRC||37||||||F
OBX|75|ED|15008^WBC Histogram. BMP^99MRC||^Image^BMP^Base64^……WBC
histogram data……||||||F
OBX|76|NM|15051^RBC Histogram. Left Line^99MRC||10||||||F
OBX|77|NM|15052^RBC Histogram. Right Line^99MRC||250||||||F
OBX|78|ED|15056^RBC Histogram. BMP^99MRC||^Image^BMP^Base64^ ……RBC
histogram data……||||||F
OBX|79|NM|15111^PLT Histogram. Left Line^99MRC||3||||||F
OBX|80|NM|15112^PLT Histogram. Right Line^99MRC||24||||||F
OBX|81|ED|15116^PLT Histogram. BMP^99MRC||^Image^BMP^Base64^ ……PLT histogram
data……||||||F

C-21
Appendices

OBX|82|ED|15200^WBC DIFF Scattergram. BMP^99MRC||^Image^BMP^Base64^ ……DIFF


scattergram data……||||||F
PID|3||6666666
OBR|3||6|00008^XR QCR Mean^99MRC||||||||||||||||||||HM
OBX|83|NM|6690-2^WBC^LN||0.00|10*9/L|||||F
OBX|84|NM|704-7^BAS#^LN||***.**|10*9/L|||||F
OBX|85|NM|706-2^BAS%^LN||**.*|%|||||F
OBX|86|NM|751-8^NEU#^LN||***.**|10*9/L|||||F
OBX|87|NM|770-8^NEU%^LN||**.*|%|||||F
OBX|88|NM|711-2^EOS#^LN||***.**|10*9/L|||||F
OBX|89|NM|713-8^EOS%^LN||**.*|%|||||F
OBX|90|NM|731-0^LYM#^LN||***.**|10*9/L|||||F
OBX|91|NM|736-9^LYM%^LN||**.*|%|||||F
OBX|92|NM|742-7^MON#^LN||***.**|10*9/L|||||F
OBX|93|NM|5905-5^MON%^LN||**.*|%|||||F
OBX|94|NM|789-8^RBC^LN||0.02|10*12/L|||||F
OBX|95|NM|718-7^HGB^LN||0|g/L|||||F
OBX|96|NM|787-2^MCV^LN||***.*|fL|||||F
OBX|97|NM|785-6^MCH^LN||***.*|pg|||||F
OBX|98|NM|786-4^MCHC^LN||****|g/L|||||F
OBX|99|NM|788-0^RDW-CV^LN||**.*|%|||||F
OBX|100|NM|21000-5^RDW-SD^LN||***.*|fL|||||F
OBX|101|NM|4544-3^HCT^LN||0.0|%|||||F
OBX|102|NM|777-3^PLT^LN||5|10*9/L|||||F
OBX|103|NM|32623-1^MPV^LN||**.*|fL|||||F
OBX|104|NM|32207-3^PDW^LN||**.*||||||F
OBX|105|NM|10002^PCT^99MRC||.***|%|||||F
OBX|106|NM|10003^GRAN-X^99MRC||17||||||F
OBX|107|NM|10004^GRAN-Y^99MRC||26||||||F
OBX|108|NM|10005^GRAN-Y(W)^99MRC||20||||||F
OBX|109|NM|10006^WBC-MCV^99MRC||72||||||F

QC response message

The only difference between the QC response message and the analysis result response
message is that the MSH-11 value of the QC response message is Q.
An example of the ACK X-R QC message is shown as follows:

MSH|^~\&|LIS||||20081120171602||ACK^R01|1|Q|2.3.1||||||UNICODE
MSA|AA|1

C-22
Appendices

Bidirectional LIS inquiry message

A bidirectional LIS inquiry message contains a sample ID. After the LIS received the inquiry
message, it will search for the corresponding patient and sample information to provide a
response.
The inquiry message is composed of two message segments: MSH and ORC. The MSH
segment is almost the same with that of the analysis result, except that the MSH-9 value is
ORM^O01. The ORC-3 field should be filled with the receiver code (in this case, the sample ID;
where in the following sample, it is SampleID1). Note that in the autoloading analysis, if there
is a barcode scan error while sending an inquiry message, the sample ID will be “Invalid”.
An example of the inquiry message is shown as follows:

MSH|^~\&|BC-5380|Mindray|||20081120174836||ORM^O01|4|P|2.3.1||||||UNICODE
ORC|RF||SampleID1||IP

Bidirectional LIS inquiry response message

When the LIS received an inquiry message, it needs to send back an inquiry response
message. The first two message segments of the inquiry response message are MSH and
MSA. The MSH-9 field (indicating the type of the segment) is filled with ORR^O02, while the
MSA segment should be filled up as shown in the following example of the inquiry response
message. If the LIS gets searching results for the inquiry, there will be PID, PV1, ORC, OBR
and OBX message segments after the two heading segments to provide the patient and
sample information, in the same way as the sample data message does. The ORC segment is
indispensable for an inquiry response message with searching results, in which the ORC-1
value is AF, and ORC-2 is the filter (the sample ID). Note that the OBR-2 field indicates the
sample ID, which should be the same value as in the ORC-2 field; otherwise, the message will
be regarded as incorrect.
An example of the inquiry response message with searching results is shown as follows:

MSH|^~\&|LIS||||20081120174836||ORR^O02|1|P|2.3.1||||||UNICODE
MSA|AA|4
PID|1||ChartNo^^^^MR||^FName||19810506|NT
PV1|1|nk^^Bn4|||||||||||||||||NewCharge
ORC|AF|SampleID1|||
OBR|1|SampleID1||||20060506||||tester|||Diagnose
content....|20060504||||||||20080821||HM||||Validator||||Operator
OBX|1|IS|08001^Take Mode^99MRC||A||||||F
OBX|2|IS|08002^Blood Mode^99MRC||W||||||F
OBX|3|IS|08003^Test Mode^99MRC||CBC||||||F
OBX|4|IS|01002^Ref Group^99MRC||XXXX||||||F

C-23
Appendices

OBX|5|NM|30525-0^Age^LN||1|hr|||||F
OBX|6|ST|01001^Remark^99MRC||remark content....||||||F

An example of the inquiry response message with no search result is shown as follows, in
which the MSA-2 field indicates the result of the response. In this example, the MSA-2 value is
“AR”, indicating the inquiry was rejected; if it is “AE", then there is an error in the inquiry
process.

MSH|^~\&|LIS||||20081120175238||ORR^O02|1|P|2.3.1||||||UNICODE
MSA|AR|9

C.4 Appendix: Definition of the HL7 data type used

„ CE - Code Element

<identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> ^ <alternate identifier (ST)> ^
<alternate text (ST)> ^ <name of alternate coding system (ST)>

„ CM - Composite

The format is defined by the specific field.

„ CX - Extended composite ID with check digit

<ID (ST)> ^ <check digit (ST)> ^ <code identifying the check digit scheme employed (ID)> ^ <
assigning authority (HD)> ^ <identifier type code (IS)> ^ < assigning facility (HD)>

„ ED – Encapsulate Data

<source application(HD)> ^ <type of data(ID)> ^ <data sub type(ID)> ^ <encoding(ID)


> ^ <data(ST)>

„ EI - Entity Identifier

<entity identifier (ST)> ^ <namespace ID (IS)> ^ <universal ID (ST)> ^ <universal ID type (ID)>

„ FC – Financial Class

<financial class(IS)> ^ <effective date(TS)>

„ HD - Hierarchic designator

<namespace ID (IS)> ^ <universal ID (ST)> ^ <universal ID type (ID)>


Used only as part of EI and other data types.

„ FT - Formatted text

This data type is derived from the string data type by allowing the addition of embedded
formatting instructions. These instructions are limited to those that are intrinsic and
independent of the circumstances under which the field is being used.

C-24
Appendices

„ IS - Coded value for user-defined tables

The value of such a field follows the formatting rules for an ST field except that it is drawn from
a site-defined (or user-defined) table of legal values. There shall be an HL7 table number
associated with IS data types.

„ ID - Coded values for HL7 tables

The value of such a field follows the formatting rules for an ST field except that it is drawn from
a table of legal values. There shall be an HL7 table number associated with ID data types.

„ NM - Numeric

A number represented as a series of ASCII numeric characters consisting of an optional


leading sign (+ or -), the digits and an optional decimal point.

„ PL - Person location

<point of care (IS )> ^ <room (IS )> ^ <bed (IS)> ^ <facility (HD)> ^ < location status (IS )> ^
<person location type (IS)> ^ <building (IS )> ^ <floor (IS )> ^ <location description (ST)>

„ PT - Processing type

<processing ID (ID)> ^ <processing mode (ID)>

„ SI - Sequence ID

A non-negative integer in the form of an NM field. The uses of this data type are defined in the
chapters defining the segments and messages in which it appears.

„ ST – String

„ TS - Time stamp

YYYY[MM[DD[HHMM[SS[.S[S[S[S]]]]]]]][+/-ZZZZ] ^ <degree of precision>

„ XCN - Extended composite ID number and name

In Version 2.3, use instead of the CN data type. <ID number (ST)> ^ <family name (ST)> &
<last_name_prefix (ST) ^ <given name (ST)> ^ <middle initial or name (ST)> ^ <suffix (e.g., JR
or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)> ^ <source table (IS)> ^
<assigning authority (HD)> ^ <name type code (ID)> ^ <identifier check digit (ST)> ^ <code
identifying the check digit scheme employed (ID)> ^ <identifier type code (IS)> ^ <assigning
facility (HD)> ^ <name representation code (ID)>

„ XPN - Extended person name

In Version 2.3, replaces the PN data type. <family name (ST)> ^ <given name (ST)> &
<last_name_prefix (ST)> ^ <middle initial or name (ST)> ^ <suffix (e.g., JR or III) (ST)> ^
<prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (IS)> ^ <name type code (ID) > ^ <name
representation code (ID)>

„ VID - Version identifier

<version ID (ID)> ^ <internationalization code (CE)> ^ <international version ID (CE)>

C-25
Appendices

C.5 Appendix: Message coding definition

1. In the HL7 message, the OBR-4(Universal Serview ID) field is used for identifying the type
of the test results, for example, to identify the results as sample results, microscope exam
results or QC results in the form of “ID^Name^EncodeSys”. The coding values of the field are
listed in the table below.

Table 9 OBR-4 Coding


Data Coding (ID) Name EncodeSys
Analysis result 00001 Automated Count 99MRC
Microscope exam result 00002 Manual Count 99MRC
LJ QC result 00003 LJ QCR 99MRC
X QC result 00004 X QCR 99MRC
XB QC result 00005 XB QCR 99MRC
XR QC result 00006 XR QCR 99MRC
X QC result mean 00007 X QCR Mean 99MRC
XR QC result mean 00008 XR QCR Mean 99MRC

2. Each OBX segment contains one test parameter or information of other data and consists of
the following fields: OBX-2, it indicates the HL7 type of the data contained; OBX-3, it is the
mark of the data in the form of “ID^Name^EncodeSys”; OBX-5, it contains the value of the data;
OBX-6, it contains the unit for the parameter, expressing in the ISO standard.

The HL7 types and coding marks of all the communication data are listed in Table 10. The
units of all the communication data are listed in table 11.

Table 10 HL7 types and coding marks


HL7 Type Coding OBX-3 field example
Data Name EncodeSys
(OBX-2) (ID)
Other data
08001^Take
Take Mode IS 08001 Take Mode 99MRC
Mode^99MRC
08002^Blood
Blood Mode IS 08002 Blood Mode 99MRC
Mode^99MRC
08003^Test
Test mode IS 08003 Test Mode 99MRC
Mode^99MRC
Age NM 30525- Age LN 30525-0^Age^LN

C-26
Appendices

0
01001^Remark^99M
Remark ST 01001 Remark 99MRC
RC
01002^Ref
Ref Group IS 01002 Ref Group 99MRC
Group^99MRC
05001^Qc
QC Level IS 05001 Qc Level 99MRC
Level^99MRC
Analysis results data
WBC NM 6690-2 WBC LN 6690-2^WBC^LN
BAS NM 704-7 BAS# LN 704-7^BAS#^LN
BAS_PER NM 706-2 BAS% LN 706-2^BAS%^LN
NEU NM 751-8 NEU# LN 751-8^NEU#^LN
NEU_PER NM 770-8 NEU% LN 770-8^NEU%^LN
EOS NM 711-2 EOS# LN 711-2^EOS#^LN
EOS_PER NM 713-8 EOS% LN 713-8^EOS%^LN
LYM NM 731-0 LYM# LN 731-0^LYM#^LN
LYM_PER NM 736-9 LYM% LN 736-9^LYM%^LN
MON NM 742-7 MON# LN 742-7^MON#^LN
MON_PER NM 5905-5 MON% LN 5905-5^MON%^LN
26477- 26477-0^*ALY#^LN
ALY NM *ALY# LN
0
13046- 13046-8^*ALY%^LN
ALY_PER NM *ALY% LN
8
LIC NM 10000 *LIC# 99MRC 10000^*LIC#^99MRC
10001^*LIC%^99MR
LIC_PER NM 10001 *LIC% 99MRC
C
RBC NM 789-8 RBC LN 789-8^RBC^LN
HGB NM 718-7 HGB LN 718-7^HGB^LN
MCV NM 787-2 MCV LN 787-2^MCV^LN
MCH NM 785-6 MCH LN 785-6^MCH^LN
MCHC NM 786-4 MCHC LN 786-4^MCHC^LN
RDW_CV NM 788-0 RDW-CV LN 788-0^RDW-CV^LN
21000- 21000-5^RDW-SD^L
RDW_SD NM RDW-SD LN
5 N
HCT NM 4544-3 HCT LN 4544-3^HCT^LN
PLT NM 777-3 PLT LN 777-3^PLT^LN
32623- 32623-1^MPV^LN
MPV NM MPV LN
1
PDW NM 32207- PDW LN 32207-3^PDW^LN

C-27
Appendices

3
PCT NM 10002 PCT 99MRC 10002^PCT^99MRC
10003^GRAN-X^99M
GRAN-X NM 10003 GRAN-X 99MRC
RC
10004^GRAN-Y^99M
GRAN-Y NM 10004 GRAN-Y 99MRC
RC
10005^GRAN-Y(W)^
GRAN-Y(W) NM 10005 GRAN-Y(W) 99MRC
99MRC
10006^WBC-MCV^99
WBCMCV NM 10006 WBC-MCV 99MRC
MRC
Microscope exam data
882-1^Blood
Blood Type ST 882-1 Blood Type LN
Type^LN
WBC 11156- 11156-7^WBC
ST WBC Morphology LN
Morphology 7 Morphology^LN
RBC 6742-1^RBC
ST 6742-1 RBC Morphology LN
Morphology Morphology^LN
11125- 11125-2^PLT
PLT Morphology ST PLT Morphology LN
2 Morphology^LN
Myeloblasts%. 747-6^Myeloblasts%.
Myeloblast NM 747-6 LN
Manual Manual^LN
Promyelocytes%. 783-1^Promyelocytes
Promyelocyte NM 783-1 LN
Manual %. Manual^LN
Myelocytes%. 749-2^Myelocytes%.
Myelocyte NM 749-2 LN
Manual Manual^LN
Metamyelocyte%. 740-1^Metamyelocyt
MetaMyelocyte NM 740-1 LN
Manual e%. Manual^LN
Neuts Band%. 764-1^Neuts Band%.
BandFormNeut NM 764-1 LN
Manual Manual^LN
Neuts Seg%. 769-0^Neuts Seg%.
SegmentNeut NM 769-0 LN
Manual Manual^LN
Eosinophils%. 714-6^Eosinophils%.
Eosinophils NM 714-6 LN
Manual Manual^LN
Basophils%. 707-0^Basophils%.
Basophils NM 707-0 LN
Manual Manual^LN
33831- Lymphoblasts%. 33831-9^Lymphoblas
Lymphoblast NM LN
9 Manual ts%. Manual^LN
Prolymphocytes 6746-2^Prolymphocyt
Prolymphocytes NM 6746-2 LN
%. Manual es%. Manual^LN

C-28
Appendices

Lymphocytes%. 737-7^Lymphocytes
Lymphocytes NM 737-7 LN
Manual %. Manual^LN
Abnormal 29261-5^Abnormal
29261-
AbnLymph NM Lymphs%. LN Lymphs%.
5
Manual Manual^LN
33840- Monoblasts%. 33840-0^Monoblasts
Monoblast NM LN
0 Manual %. Manual^LN
13599- Promonocytes%. 13599-6^Promonocyt
Promonocytes NM LN
6 Manual es%. Manual^LN
Monocytes%. 744-3^Monocytes%.
Monocyte NM 744-3 LN
Manual Manual^LN
18309- NRBCs%. 18309-5^NRBCs%.
NRBCS NM LN
5 Manual Manual^LN
31112- Reticulocytes%. 31112-6^Reticulocyte
Reticulocyte NM LN
6 Manual s%. Manual^LN
11000^Undefined
Undefined
UndefinedCells NM 11000 99MRC Cells%.
Cells%. Manual
Manual^99MRC
11001^Other
OtherAbnormalC Other Abnormal
NM 11001 99MRC Abnormal Cells%.
ells Cells%. Manual
Manual^99MRC
30341-
ESR NM ESR LN
2
Analysis results medium data(WBC, RBC, PLT histogram and scattergram data, etc.)
15000^WBC
WBC Histogram WBC Histogram.
ED 15000 99MRC Histogram
Binary Data Binary
Binaray^99MRC
WBC Histogram 15001^WBC
WBC Histogram.
Left NM 15001 99MRC Histogram. Left
Left Line
Discriminator Line^99MRC
WBC Histogram 15002^WBC
WBC Histogram.
Right NM 15002 99MRC Histogram. Right
Right Line
Discriminator Line^99MRC
WBC Histogram 15003^WBC
WBC Histogram.
Middle NM 15003 99MRC Histogram. Middle
Middle Line
Discriminator Line^99MRC
WBC Histogram 15004^WBC
WBC Histogram.
Original Data NM 15004 99MRC Histogram. Meta
Meta Length
Length Length^99MRC

C-29
Appendices

WBC Histogram 15005^WBC


Left WBC Histogram. Histogram. Left Line
IS 15005 99MRC
Discriminator Left Line Adjusted Adjusted^99MRC
Adjusted Mark
WBC Histogram 15006^WBC
WBC Histogram.
Right Histogram. Right Line
IS 15006 Right Line 99MRC
Discriminator Adjusted^99MRC
Adjusted
Adjusted Mark
WBC Histogram 15007^WBC
WBC Histogram.
Middle Histogram. Middle
IS 15007 Middle Line 99MRC
Discriminator Line
Adjusted
Adjusted Mark Adjusted^99MRC
15008^WBC
WBC Histogram WBC Histogram.
ED 15008 99MRC Histogram.
Bitmap Data BMP
BMP^99MRC
15050^RBC
RBC Histogram RBC Histogram.
ED 15050 99MRC Histogram.
Binary Data Binary
Binary^99MRC
RBC Histogram 15051^RBC
RBC Histogram.
Left NM 15051 99MRC Histogram. Left
Left Line
Discriminator Line^99MRC
RBC Histogram 15052^RBC
RBC Histogram.
Right NM 15052 99MRC Histogram. Right
Right Line
Discriminator Line^99MRC
RBC Histogram RBC Histogram. 15053^RBC
Original Data NM 15053 Binary Meta 99MRC Histogram. Binary
Length Length Meta Length^99MRC
RBC Histogram 15054^RBC
Left RBC Histogram. Histogram. Left Line
IS 15054 99MRC
Discriminator Left Line Adjusted Adjusted^99MRC
Adjusted Mark
RBC Histogram 15055^RBC
RBC Histogram.
Right Histogram. Right Line
IS 15055 Right Line 99MRC
Discriminator Adjusted^99MRC
Adjusted
Adjusted Mark
15056^RBC
RBC Histogram RBC Histogram.
ED 15056 99MRC Histogram.
Bitmap Data BMP
BMP^99MRC
PLT Histogram PLT Histogram. 15100^PLT
ED 15100 99MRC
Binary Data Binary Histogram.

C-30
Appendices

Binary^99MRC
PLT Histogram 15111^PLT
PLT Histogram.
Left NM 15111 99MRC Histogram. Left
Left Line
Discriminator Line^99MRC
PLT Histogram 15112^PLT
PLT Histogram.
Right NM 15112 99MRC Histogram. Right
Right Line
Discriminator Line^99MRC
PLT Histogram PLT Histogram. 15113^PLT
Original Data NM 15113 Binary Meta 99MRC Histogram. Binary
Length Length Meta Length^99MRC
PLT Histogram 15114^PLT
Left PLT Histogram. Histogram. Left Line
IS 15114 99MRC
Discriminator Left Line Adjusted Adjusted^99MRC
Adjusted Mark
PLT Histogram 15115^PLT
PLT Histogram.
Right Histogram. Right Line
IS 15115 Right Line 99MRC
Discriminator Adjusted^99MRC
Adjusted
Adjusted Mark
15116^PLT
PLT Histogram PLT Histogram.
ED 15116 99MRC Histogram.
Bitmap Data BMP
BMP^99MRC
DIFF WBC DIFF 15200^WBC DIFF
Scattergram ED 15200 Scattergram. 99MRC Scattergram.
Bitmap Data BMP BMP^99MRC
Abnormal alarm information
12000^WBC
WBC Abn WBC Abnormal
IS 12000 99MRC Abnormal
scattergram scattergram
scattergram^99MRC
12001^WBC
Abnormal WBC WBC Abnormal
IS 12001 99MRC Abnormal
Histogram histogram
histogram^99MRC
12002^Leucocytosis^
Leucocytosis IS 12002 Leucocytosis 99MRC
99MRC
12003^Leucopenia^9
Leucopenia IS 12003 Leucopenia 99MRC
9MRC
12004^Neutrophilia^9
Neutrophilia IS 12004 Neutrophilia 99MRC
9MRC
12005^Neutropenia^
Neutropenia IS 12005 Neutropenia 99MRC
99MRC

C-31
Appendices

12006^Lymphocytosi
Lymphocytosis IS 12006 Lymphocytosis 99MRC
s^99MRC
12007^Lymphopenia^
Lymphopenia IS 12007 Lymphopenia 99MRC
99MRC
12008^Monocytosis^
Monocytosis IS 12008 Monocytosis 99MRC
99MRC
12009^Eosinophilia^9
Eosinophilia IS 12009 Eosinophilia 99MRC
9MRC
12010^Basophilia^99
Basophilia IS 12010 Basophilia 99MRC
MRC
12011^WBC
WBC abnormal IS 12011 WBC Abnormal 99MRC
Abnormal^99MRC
17790- 17790-7^WBC Left
Left Shift? IS WBC Left Shift? LN
7 Shift?^LN
Immature 34165- Imm 34165-1^Imm
IS LN
Granulocyte? 1 Granulocytes? Granulocytes?^LN
Abnormal/Atypic 15192- 15192-8^Atypical
IS Atypical Lymphs? LN
al Lymphocyte? 8 Lymphs?^LN
RBC Lyse 34525- 34525-6^rstRBC^LN
IS rstRBC LN
Resist? 6
12012^Erythrocytosis
Erythrocytosis IS 12012 Erythrocytosis 99MRC
^99MRC
12013^RBC
RBC abnormal RBC Abnormal
IS 12013 99MRC Abnormal
distribution distribution
distribution^99MRC
15150- 15150-6^Anisocytosis
Anisocytosis IS Anisocytosis LN
6 ^LN
15198- 15198-5^Macrocytes
Macrocytosis IS Macrocytes LN
5 ^LN
15199- 15199-3^Microcytes^
Microcytosis IS Microcytes LN
3 LN
10379- 10379-6^RBC Dual
Dimorphologic IS RBC Dual Pop LN
6 Pop^LN
12014^Anemia^99M
Anemia IS 12014 Anemia 99MRC
RC
15180- 15180-3^Hypochromi
Hypochromia IS Hypochromia LN
3 a^LN
HGB 12015^HGB
IS 12015 HGB Interfere 99MRC
Abn/Interfere? Interfere^99MRC

C-32
Appendices

PLT Abnormal PLT Abnormal 12016^PLT Abnormal


IS 12016 99MRC
Distribution Distribution Distribution^99MRC
12017^Thrombocytos
Thrombocytosis IS 12017 Thrombocytosis 99MRC
is^99MRC
12018^Thrombopenia
Thrombopenia IS 12018 Thrombopenia 99MRC
^99MRC
7796-6^Platelet
PLT Clump? IS 7796-6 Platelet Clump? LN
Clump?^LN

Table 11 Units of communication data


Parameters’ units displayed on the Units of communication data
screen of the BC-5380 (OBX-6)
10^12/L 10*12/L
10^9/L 10*9/L
10^6/uL 10*6/uL
10^4/uL 10*4/uL
10^3/uL 10*3/uL
10^2/uL 10*2/uL
mL/L mL/L
/nL /nL
/pL /pL
g/L g/L
g/dL g/dL
L/L L/L
mmol/L mmol/L
% %
fL fL
um^3 um3
pg pg
fmol fmol
amol amol
Year (age unit) yr
Month (age unit) mo
Day (age unit) d
Hour (age unit) hr

3. Part of the OBX messages adopt the customized enumeration values listed in the following
table.

C-33
Appendices

Data item Enumeration values


Take Mode The values are the following enumerations:
“O” – open vial
“A” – autoloading
“C” – closed vial
Blood Mode The values are the following enumerations:
“W”- whole blood
“P” – prediluted
Test Mode The values are the following enumerations:
“CBC”
“CBC+5DIFF”
Age The values are the numeric data and the units
are the following enumerations:
“yr” - year
“mo” – month
“d” - day
“hr” - hour
Blood Type ABO The values are the following enumerations:
“A”
“B”
“O”
“AB”
Blood Type RH The values are the following enumerations:
“RH+”
“RH-”
Qc Level The values are the following enumerations:
“L”- low
“M”- normal
“H”- high
Adjusting marks of histogram discriminators OBX-2 data type is “IS”; the values are the
and flags following enumerations:
“T”- true
“F”- false

4. Histogram data: according to the software setup, there are several cases for the
communication of the histogram data.
(1)Do not transmit the histogram data.
(2)Transmit histogram data in the form of bitmap. In the OBX segment, the value of the data
type field is “ED”; the value of data is in the form of “^Image^BMP^Base64^……histogram data
in the form of bitmap……”, the “image” herein indicates the image data is transmitted; the

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Appendices

“BMP” is the customized sub-data type, it indicates the BMP bitmap is transmitted; “Base64”
indicates the coding method of the data.
(3)Transmit binary histogram data. In the OBX segment, the value of the data type field is
“ED”; the value of data is in the form of “^Application^Octet-stream^Base64^……histogram
data……”; “Application^Octer-stream” herein is the sub-data of HL7 standard, indicating the
binary data type defined by the application program; “Base64” indicates the coding method of
the data.
Note: to transmit the histogram data in the form of bitmap or binary is determined by the ID
field in the OBX segment.

5. Scattergram data: when transmitting bitmap data, in the OBX segment, the value of the data
type field is “ED”; the value of data is in the form of “^Image^BMP^Base64^……scattergram
data in the form of bitmap……”. The “Image^BMP^Base64” indicates the bitmap data is of
BMP type and coded by Base64.
6. Age communication: the age in the patient information will be transferred as an OBX
message segment composed of an integer and the age unit. If the age in the IPU software is
displayed as “<1”, then the age value in the communication is “0”.

C.6 Appendix: Base64 coding procedures

(1) Select the 3 adjacent bytes (i.e. 24 bit) from the data stream to be coded; from left to right,
divide them into 4 groups of 6-bit; then, ASCII string is obtained by mapping as per the Table
12.
Initial data 15H A3H 4BH
Binary data 00010101 10100011 01001011
6-bit group obtained after dividing 000101 011010 001101 001011
Corresponding coding value 5H 1AH 0DH 0BH
Corresponding character F a N L

Table 12 Base64 mapping

Value/Code Value/Code Value/Code Value/Code


0A 17 R 34 I 51 z
1B 18 S 35 j 52 0
2C 19 T 36 k 53 1
3D 20 U 37 l 54 2
4E 21 V 38 m 55 3
5F 22 W 39 n 56 4

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Appendices

6G 23 X 40 o 57 5
7H 24 Y 41 p 58 6
8I 25 Z 42 q 59 7
9J 26 a 43 r 60 8
10 K 27 b 44 s 61 9
11 L 28 c 45 t 62 +
12 M 29 d 46 u 63 /
13 N 30 e 47 v
14 O 31 f 48 w (pad) =
15 P 32 g 49 x
16 Q 33 h 50 y
(2) Repeat the coding of procedure (1) continuously till finish coding the data stream.
When the data left is less than 3 bytes, 0 is used to complement to the right. If the whole 6-bit
group obtained is composed of 0, then it is mapped to the “=” character. When one byte is left,
then the obtained coding string consists of two “=” characters; when two bytes are left, then the
obtained coding string consists of one “=” character. The two cases are demonstrated below:

① Initial data 0AH


00001010
Data obtained after complementing 00001010 00000000 00000000
6-bit groups obtained after dividing 000010 100000 000000 000000
Corresponding values 02H 20H 00H 00H
Corresponding characters C g = =

② Initial data 0AH 0BH


00001010 00001011
Data obtained after complementing 00001010 00001011 00000000
6-bit groups obtained after dividing 000010 100000 101100 000000
Corresponding values 02H 20H 2CH 00H
Corresponding characters C g s =

C-36
P/N: 3102-20-69187 (1.1)

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