Professional Documents
Culture Documents
We welcome you to the role of Operator of the CELL-DYN 1800 System. Your
instrument, which includes state-of-the-art technology, is designed to function
consistently and dependably on a daily basis.
The CELL-DYN 1800 System is backed by dedicated professionals who excel in
engineering, training, and technical expertise. As a valued customer, we will teach
you how to operate, maintain, and troubleshoot your system.
Abbott Laboratories is dedicated to manufacturing the highest quality, most
reliable instrumentation available. We look forward to serving your needs in any
way possible.
Customer Support
If you need information or help in diagnosing a problem, technical assistance is
available by telephone. In the US, this service is available 24 hours a day, seven
days a week by calling Abbott Diagnostics Customer Service at:
1-877-4ABBOTT (1-877-422-2688).
For customer support in Canada, call: 1-800-387-8378
For customer support outside the US and Canada, call your local Customer Service
representative.
For correspondence, the address in the US is:
Abbott Diagnostics Division
Customer Service
200 Abbott Park Road
Abbott Park, IL 60064, USA
Proprietary Statement
The entire contents of this manual are copyrighted 2004, 2006 and 2008 by Abbott
Laboratories. Abbott Laboratories’ software programs are protected by copyright.
All rights are reserved. The software was developed solely for use with Abbott
Laboratories equipment and for in vitro diagnostic applications as specified in the
operating instructions. No part of this media may be reproduced, stored, retrieved,
or transmitted in any form or by any means without the prior written permission of
Abbott Laboratories.
Patent Statement
The following U.S. Patents are relevant to the CELL-DYN 1800 or its components.
There are other such patents and patent applications in the United States and
worldwide: 4,745,071, 5,227,304, 5,958,781, and 6,740,527.
Pictorial Disclaimer
All samples (printouts, graphics, displays or screens, etc.) are for information and
illustration purposes only and shall not be used for clinical or maintenance
evaluations.
UL 61010A-1 Approved
CAN/CSA - C22.2 No. 1010.1-92 Approved
IEC 61010-1 Approved
ETL Listed
Reagent related
Use By
PARAMETER Parameter
SYSTEM System
Miscellaneous
Biological Risk
CE-mark
Date of Manufacture
Manufacturer
8oC
Temperature Limitation (Example shows “Store at 2ºC–8ºC”)
2oC
Instrument Labeling
The following labels are affixed to the CELL-DYN 1800 System:
MODEL
SN
REF REV
MADE IN USA PN 9230010K
ABBOTT
Max-Planck-Ring 2
65205 Wiesbaden
Germany
+49-6122-580 PN 9230751A
ABBOTT LABORATORIES
Diagnostics Division
Abbott Park, IL 60064 USA
Abbott
Diagnostics Division
EC REP ABBOTT
Max-Planck-Ring 2
65205 Wiesbaden
Germany
+49-6122-580 PN 9231514A
CE Mark Label, Rear Panel
9221514A.indd 1 1/16/2008 12:16:45 PM
Biological Risk
PN 9231446
PN 9231477A
PN 9230231
PN 9230231
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i
Customer Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i
Proprietary Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i
Patent Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i
Instrument Disclaimer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ii
Pictorial Disclaimer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ii
Regulatory and Safety Agency Approvals . . . . . . . . . . . . . . . . . . . . . . ii
Abbott Instrument Warranty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii
Trademark Statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iv
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v
Instrument Labeling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii
Hazards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Warning Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Signal Words. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Safety Icons. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Hazard Information and Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
Biohazards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
Handling and Disposing of Biohazardous Material . . . . . . . . . . . . . 8-3
Chemical Hazards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
Electrical Hazards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
Physical and Mechanical Hazards . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7
Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bibliography-1
Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bibliography-1
Clinical Laboratory Guidelines and Standards . . . . . Bibliography-1
Biosafety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bibliography-2
Reference Tables. . . . . . . . . . . . . . . . . . . . . . . . . . . . Bibliography-2
Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bibliography-2
Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Glossary-1
Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Glossary-1
Appendix A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1
CELL-DYN Equipment, Parts, and Accessories . . . . . . . . . . . . . . . A-2
CELL-DYN 1700/1800 Accessory Kit (L/N 03H54-01) . . . . . . . . . A-3
CELL-DYN 1800 Reagent Line Kit (L/N 91072-01) . . . . . . . . . . . A-3
CELL-DYN Reagents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-4
CELL-DYN Controls and Calibrators . . . . . . . . . . . . . . . . . . . . . . . A-4
CELL-DYN Consumables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5
Appendix B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1
Appendix C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1
Error Message Logsheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2
Carryover Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2
CELL-DYN Lyse Reagent Log . . . . . . . . . . . . . . . . . . . . . . . . . C-3
CELL-DYN Diluent Reagent Log . . . . . . . . . . . . . . . . . . . . . . . C-4
CELL-DYN Detergent Reagent Log . . . . . . . . . . . . . . . . . . . . . C-5
Enter Factor Open Mode Whole Blood Calibration
Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-6
Enter Factor Pre-Dilute Mode Whole Blood Calibration
Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-7
CELL-DYN 1800 Pre-Calibration Procedures Check List. . . . . . . . . . . . . . C-8
Appendix D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-1
Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-3
Bar Code Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-4
Understanding the Label’s Code. . . . . . . . . . . . . . . . . . . . . . . . . . . . D-4
Appendix E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-1
Appendix F. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-1
Normal Sample Guideline: The Rule of Three. . . . . . . . . . . . . . . . . F-1
Assay Verification Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-1
Establishing Mean Values for Commercial QC Materials . . . . . . . . . . . . . . F-3
Establishing the Mean. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-3
References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-5
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Index-1
Use or Function
Figure 1.1 CELL-DYN 1800 System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Figure 1.2 Front View, Version A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
Figure 1.3 Front View, Version B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
Figure 1.4 Sampling Section and Flow Panel . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9
Figure 1.5 Lower Left Side Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12
Figure 1.6 Rear Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14
Figure 1.7 Right Side Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15
Figure 1.8 LCD Screen / Membrane Keyboard . . . . . . . . . . . . . . . . . . . . . . . . 1-17
Principles of Operation
Figure 3.1 Regional Alerts and Possible Causes . . . . . . . . . . . . . . . . . . . . . . . 3-31
Operating Instructions
Figure 5.1 LCD Screen / Membrane keyboard . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Figure 5.2 MAIN MENU Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Figure 5.3 MAIN MENU Hierarchy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Figure 5.4 SETUP Menu Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
Figure 5.5 SETUP Menu Hierarchy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
Figure 5.6 SETUP Screen–Printer Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13
Figure 5.7 DATE/TIME Setup Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14
Figure 5.8 AUTO START-UP Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-16
Figure 5.9 AUTO SHUTDOWN Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17
Figure 5.10 PATIENT LIMITS Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18
Figure 5.11 PATIENT LIMITS Menu Hierarchy . . . . . . . . . . . . . . . . . . . . . . . 5-19
Figure 5.12 PATIENT LIMITS Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-20
Figure 5.13 PANIC LIMITS Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-21
Figure 5.14 REAGENT LOG Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-22
Quality Control
Figure 11.1 QUALITY CONTROL Menu. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-6
Figure 11.2 QUALITY CONTROL Menu Hierarchy . . . . . . . . . . . . . . . . . . . . 11-7
Figure 11.3 X-B FILE (Show Graphs) Screen . . . . . . . . . . . . . . . . . . . . . . . . . 11-10
Figure 11.4 X-B FILE (Show Data) Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-11
Figure 11.5 VIEW QC LOG (Low Control) Screen . . . . . . . . . . . . . . . . . . . . 11-12
Figure 11.6 VIEW QC LOG (Normal Control) Screen . . . . . . . . . . . . . . . . . . 11-13
Figure 11.7 VIEW QC LOG (High Control) Screen . . . . . . . . . . . . . . . . . . . . 11-14
Figure 11.8 VIEW QC LOG (Replicates) Screen . . . . . . . . . . . . . . . . . . . . . . 11-15
Figure 11.9 LEVEY-JENNINGS Screen – WBC/PLT Parameters . . . . . . . . . 11-16
Figure 11.10 LEVEY-JENNINGS Screen – RBC Parameters . . . . . . . . . . . . . 11-17
Figure 11.11 VIEW QC LOG (Accept Specimen) Screen. . . . . . . . . . . . . . . . . 11-18
Figure 11.12 PURGE QC LOG Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-19
Figure 11.13 WRITE QC TO DISK Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-20
Figure 11.14 VIEW QC LOG (Delete Specimen) Screen . . . . . . . . . . . . . . . . . 11-21
Figure 11.15 QC TYPE Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-23
Figure 11.16 VIEW QC LOG (Reject Specimen) Screen . . . . . . . . . . . . . . . . . 11-25
Figure 11.17 VIEW QC LOG (Delete Specimen) Screen . . . . . . . . . . . . . . . . . 11-26
Figure 11.18 PURGE QC LOG (Purge Specimen) Screen . . . . . . . . . . . . . . . . 11-27
Figure 11.19 X-B SETUP (Target Value) Screen . . . . . . . . . . . . . . . . . . . . . . . 11-31
Bar Codes
Figure D.1 Bar Code Label Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-10
Figure D.2 Tube Labeling Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-11
Sample Reports
Figure E.1 Sample Data Log Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-1
Figure E.2 Sample QC Log File Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-1
Figure E.3 Sample Specimen Data Report (Normal Specimen). . . . . . . . . . . . . E-2
Figure E.4 Sample Specimen Data Report (Abnormal Specimen). . . . . . . . . . . E-3
Figure E.5 Sample Levey-Jennings Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-4
Figure E.6 Sample Fault Log Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-5
Principles of Operation
Table 3.1 Parameter Reporting Terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Reference Tables
Table B-1: Potential Causes of Erroneous Results with Automated
Cell Counters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1
Table B-2: Reference Intervals (Normal Values) for Automated
Blood Counters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-3
Manual Organization
The major sections of the manual and their contents are as follows:
Front Matter
The pages following the Master Table of Contents contain an Introduction that
includes customer support information, and proprietary, patent, and trademark
statements.
Section 8: Hazards
This section covers possible hazards arising from the operation of the instrument,
as well as decontamination and waste handling procedures.
Bibliography
This section contains a listing of reference sources for the user who wishes more
background information about the system or a topic discussed in this manual.
Glossary
This appendix contains the words and terms used in hematology as they apply to
the CELL-DYN 1800, as well as terms that describe the actual operation, principles
of operation, and components of the instrument.
Appendices
Appendix A
This appendix lists the part numbers of components, accessories, controls,
reagents, and consumables associated with the CELL-DYN 1800 System for user
convenience when placing orders.
Appendix B
This appendix contains a table on potential causes of erroneous results, and a
reference table which relates to default values (Patient Limits).
Appendix C
This appendix contains log and worksheet templates you can copy and use in your
laboratory.
Appendix D
This appendix contains information on installation, setup and use of the optional
bar code scanner.
Index
This section contains an alphabetical listing of subject matter to help users quickly
locate specific information about the system.
Manual Construction
The physical construction of the manual supports its sectional organization.
Section Separators
A large separator tab marks the start of each section.
Menu Name
The menu name is printed in bold, uppercase, sans serif letters; for example,
SETUP menu.
PC Keyboard (Keys)
In some cases, the Operator must utilize the keys on the PC keyboard. Pressing the
F1 through F8 function keys will initiate the action specified by a corresponding
screen label. The alphanumeric keys (including punctuation symbols) may be used
to enter specimen identification in a data entry field. Additional function keys such
as the [ ] Enter key and the [ESC] key may be utilized as well. Special function
keys, such as the arrow keys, may appear as a symbol substituted for the word.
Instructions for special function keys will read; for example “Press the [↑] arrow
key.”
The Print Screen key on the PC keyboard can be used to print the screen as it is
displayed on the LCD. This allows the Operator an option to print the screen when
the [PRINT] key is not available.
NOTE: Press the Print Screen key only when the screen is at a static state.
Pressing the key during an instrument action (e.g., Run cycle) may not
print the screen properly.
Instrument Status
Instrument status is displayed in uppercase, regular letters; for example, READY.
Screen Messages
Screen messages or other screen displays will appear in bold, Courier letters, for
example, Waste Full.
Field names Regular, Mixed-Case, enclosed within carats < > <Spec ID>
PC Keyboard (Keys) Regular, Mixed-Case, enclosed within brackets [ ] [←] or [Esc]
Instrument Status Regular, UPPERCASE READY
BUSY
Instructions: Use this log to provide a permanent record to verify that revised sections(s) and/or page(s) have
been added to this manual.
1. Enter the document control number of the revised section. This number can be found in the footer. Make
an entry for each section you receive and place in the manual.
2. Record the revision date, also found in the footer.
3. Enter the software version of your CELL-DYN 1800 System. This information is displayed on the MAIN
MENU screen.
4. Write your initials or signature to verify that you have placed the revised page(s) in the manual.
5. Enter the date that you added the revised section to the manual.
Overview
The CELL-DYN 1800 is built with an open sampling section. The instrument
aspirates blood from an open specimen tube held up to the sample aspiration probe.
The CELL-DYN 1800 accepts specimens from several types of containers, all of
which are to be prepared with di-potassium EDTA anticoagulant. See the Sampling
Section description later in this section for detailed acceptable container
information.
NOTES
Intended Use
Platelet Parameters
• PLT—Platelet or thrombocyte count
• MPV—Mean Platelet Volume
• PDW†—Platelet Distribution Width
• PCT†—Plateletcrit
Hemoglobin Parameters
• HGB—Hemoglobin concentration
• MCH—Mean Cell Hemoglobin
• MCHC—Mean Cell Hemoglobin Concentration
† Clinical significance has not been established for these parameters; therefore,
they are not reportable in the U.S.
System Components
The printer and bar code scanner, both separate optional components, are described
in Section 12: Printers and in Appendix A: Parts and Accessories, respectively.
NOTE: In this manual, the terms left and right are used as you would use them if
you were facing the instrument. The front is the side you are facing, and
the rear is the side farthest away from you.
4
3
5
Touch Plate
The Touch Plate is a spring-loaded plate located directly behind the sample
aspiration probe. Pressing the Touch Plate starts the selected run cycle.
Touch Plate
The Touch Plate is a spring-loaded plate located directly behind the sample
aspiration probe. Pressing the Touch Plate starts the selected run cycle.
Sampling Section
1 Diluent Normally
Closed Valve
2 Sample Aspiration 1 2
Probe
3 Wash Block 11
4 von Behrens RBC/
PLT Transducer 3
Assembly
5 RBC/PLT Metering
Assembly
6 Start Switch
7 WBC Metering
Assembly
10
8 HGB Flow Cell
Assembly 9 4
9 Pre-Mixing Cup
10 von Behrens WBC
Transducer Assembly
11 Pre-Amplifier Module
12 Vent Lines
12 8 7 5 12
Figure 1.4 Sampling Section and Flow Panel
Specimen Tubes
Any size specimen tube with a cap can be used with the CELL-DYN 1800 Open
System. Specimen tubes must be used in accordance with the manufacturer’s
recommendation. Specimen tubes’ minimum specified volumes must meet or
exceed 50µL. This primarily impacts microtubes.
Probe Assembly
When the Operator holds a specimen tube up to the aspiration probe and presses
the touch plate to activate the run cycle, the probe aspirates a measured amount of
the sample. The probe then raises and rotates until it is positioned above the
Pre-Mixing Cup where the probe ejects a measured amount of the sample into the
Pre-Mixing Cup. The probe then aspirates the diluted solution from the Pre-Mixing
Cup and delivers the solution to the RBC/PLT Mixing Chamber for the second
dilution process.
Wash Block
After each aspiration, the probe assembly moves through the Wash Block which
rinses the outside of the probe with diluent. Used diluent is routed to the waste
container.
A5 A6
B1 B2 B3
Figure 1.5 Lower Left Side Panel
Syringes
The instrument contains three syringes: Lyse, Diluent, and Sample.
• The Lyse Syringe delivers a specific volume of lyse to the WBC Mixing
Chamber for the white cell count and hemoglobin measurement.
• The Diluent Syringe delivers a specific volume of diluent to dilute the blood
in the mixing chambers.
• The Sample Syringe aspirates and dispenses a specific volume of specimen.
Rear Panel
The components visible on the Rear Panel of the instrument are depicted in the
following figure. The functional description of each component follows.
1 Power Cord
Connector
Interface Connectors
1
4 Parallel Interface
Connector
5 Floppy Disk Drive
2 3 4
Figure 1.7 Right Side Panel
PC Keyboard Connector
This port is used to connect the PC Keyboard to the instrument.
Computer Section
The computer section includes the microprocessor, LCD screen, membrane
function keys, and audio.
CELL-DYN 1800 operations are controlled by high-speed microprocessors that
monitor system status, perform the various analytical routines used by the
instrument, perform diagnostic checks, and store result data.
Serial data (ASCII format) may be transferred to an external computer through an
RS-232 connector on the Right Side Panel (COM1). Data transmission may be
done either automatically as samples are processed or by command of the Operator.
Data may be output to an online printer through the Parallel Interface Connector.
Data Storage
1 Current menu/screen
title, status of the
instrument, and 1
Operator prompts,
instructions, error, and
fault messages
2 Display area: analysis
results, setup
selections, and other
Operator information
3 Softkeys perform
functions
2
corresponding to soft
key labels (see 4) on
the LCD screen
4 Softkey labels used to
4
perform actions
relating to current
menu, to go to other
menus, or return to the
previous screen
3
Figure 1.8 LCD Screen / Membrane Keyboard
Audio
An audio device is used to emit a tone when keys are pressed and to alert the
Operator when certain events occur.
Reagent System
Introduction
A specifically formulated reagent system for CELL-DYN 1800 instruments
provides optimal system performance. Use of reagents other than those specified
in this manual is not recommended, as instrument performance can be affected.
Each instrument is tested at the factory using the specified reagents, and all
performance claims are generated using these reagents. For information on
ordering CELL-DYN reagents, refer to Appendix A: Parts and Accessories.
CAUTION: If any reagent has been frozen, it must not
be used.
Diluent
CELL-DYN Diluent is formulated to do the following:
• Act as the diluent for the WBCs, RBCs, PLTs, and HGB
• Maintain the cell volume of each RBC and PLT during the count and sizing
portion of the measurement cycle
• Provide a conductive medium for impedance counting and sizing of cells and
platelets
• Rinse the sample probe and flow systems
Detergent
CELL-DYN 1800 Detergent is formulated to meet the following requirements:
• Provide an optically clear solution that is used to obtain the Zero Reference
during the HGB measurement cycle
• Provide proper meniscus formation in both metering tubes and maintain it
during each run cycle
• Rinse both counting chambers, both metering tubes, and the HGB Flow Cell
with minimal bubble formation
Reagent Storage
Reagents must be stored at room temperature to ensure optimal performance,
except the Enzymatic Cleaner, which should be stored at a temperature between
2ºC and 8ºC (between 36ºF and 46ºF). All reagents should be protected from direct
sunlight, extreme heat, and freezing during storage. Temperatures lower than 0ºC
(32ºF) can cause reagent layering that changes the tonicity and conductivity of the
reagents. If any reagent has been frozen, it must be disposed of according to
federal, state, and local regulations.
Each length of reagent inlet tubing is attached to a cap that minimizes evaporation
and contamination during use. Ensure that all reagent caps are not damaged, and
are securely attached to containers during use. Reagent quality can deteriorate with
time. Therefore, use all reagents before the expiration date on the label.
Reagent Handling
When handling reagents, pay special attention to the following:
• Wear protective gloves when handling reagents.
• Never transfer the contents of a reagent container to an unmarked container
or other reagent container.
• Thoroughly clean all spills. Remove any dried residue in and around the
reagent inlet connectors located on the Left Side Panel of the instrument.
• Dispose of reagents and waste fluids according to federal, state, and local
ordinances.
• Always wash your hands after handling reagents.
Background Count
Always run a Background Count after installing a fresh container of reagent. Refer
to Section 5: Operating Instructions, Subsection: Routine Operation for specific
instructions on how to run a Background Count. Values reported must be within the
following specifications:
• WBC ≤ 0.5 K/µL
• RBC ≤ 0.05 M/µL
• HGB ≤ 0.1 g/dL
• PLT ≤ 10 K/µL
Controls
Day-to-day verification of system calibration is performed using CELL-DYN
controls.
Quality Control is discussed in Section 11: Quality Control.
Calibrator
Calibration of the directly-measured parameters can be performed using
CELL-DYN Calibrator and CELL-DYN 22 Calibrator. Calibration is discussed in
Section 6: Calibration Procedures.
Consumables
NOTES
Overview
NOTES
Initial Preparation
Inventory
Confirm that the CELL-DYN 1800 System shipment contains the following:
• CELL-DYN 1800 System
• Accessory Kit
• Reagents Kit
• Controls and Calibrator
• Enzymatic Cleaner
• Operator’s Manual
• Facilitator’s Guide (optional)
• Installation Guide and Checklist (optional)
• Pre-Install Checklist (optional)
• Printer (optional)
• Bar Code Scanner (optional)
• LIS Interface Specification (optional)
Accessory Kit
Confirm that the Accessory Kit contains the following:
• Power Cord
• Keyboard Cover
• Allen Wrench 3/32"
• Allen Wrench 7/64"
• Aperture Brush
• Reagent Line Kit
• Printer Cable
• Calibrator/Control Mixing and Handling Instructions
• Fuse, SB 2.5 amps 250 V (2)*
• Fuse, SB 5.0 amps 220/240 V (2)*
• Silicon Tubing (S2)
• Waste Dummy Plug
Visually inspect these items for damage. If there is any damage, contact Abbott
Diagnostics Customer Service at one of the numbers listed below:
US: 1-877-4ABBOTT or 1-877-422-2688
Canada: 1-800-387-8378
Customers Outside
the U.S. and Canada: Call your local Hematology Customer Support
Representative
Unpacking
Remove the instrument from the shipping container and visually inspect for
damage. If there is any damage, contact Abbott Diagnostics Customer Service.
CAUTION: The CELL-DYN 1800 System weighs approximately 124 lbs
(56 kg). Obtain assistance when moving or use a mechanical lifting device.
Space Requirements
Select an appropriate location for the CELL-DYN 1800 System. The instrument
requires 1.5 linear feet (18 inches or 46 cm) of countertop space. Allow sufficient
space on the countertop or below the instrument for the diluent, lyse, and detergent
containers. Provide space below the instrument for the waste container (if one is used).
Allow at least 6 inches (15 cm) of space on the right and left sides of the instrument
for air flow. Do not position the instrument so that it is difficult to operate the main
power switch. Make sure there is adequate room around the instrument to perform
necessary procedures or service, and to allow the instrument to be easily
disconnected from its power source.
A constantly circulating internal air stream is required to cool circuitry and
components whenever the power is ON.
NOTE: To ensure the instrument and reagents function properly, it is important to
maintain the temperature between 68°F and 86°F (20°C and 30°C).
Place the instrument:
• On a stable, level surface
• On a nonporous, non-absorbing work surface and flooring which can be
easily cleaned and disinfected using recommended procedures
• Away from direct sunlight
• Away from the path of a cooled air or heated air outlet
• Far from a centrifuge, X-ray equipment, video display terminal, computer, or
copier
• In an area that will not block the ventilation openings.
Place the lyse, diluent, and detergent reagents below the instrument.
CAUTION: Do not use mobile telephones, wireless telephones, mobile
radios, or any other radio-frequency (RF) transmitting devices in the same
room as the instrument.
CAUTION: The waste is under pressure. Be sure that the Waste Outlet
Tube is securely placed in the drain hole or waste box, flow of waste is
unobstructed, and all instrument components are located away from
possible waste overflow.
Power Requirements
Be sure that the system is located at the desired site before attempting any
connections. A grounded power outlet is required. An AC voltage regulator/line
conditioner is required for optimum performance if the local power supply is
subject to fluctuations or irregularities. If required, a suitable line conditioner can
be obtained from a computer supply source. Refer to the Instrument Power Source
Requirements table for instrument power requirements.
Insert the power cord into the power cord connector on the rear panel. Do not turn
the power ON at this time. Proceed with the installation.
CAUTION: Check all connectors for particles or foreign material that can
impair electrical contact when connections are made.
Nominal Line
Operative Range Operating Cycles
Voltage
The CELL-DYN 1800 is designed for low power consumption. During periods of
routine daily operation, power should be left ON. It is recommended that the power
be left ON for brief periods of non-use (overnight and weekends).
Installation
Printer Installation
Overview
The printer must provide Printer Control Language, Release 3 (PCL3) or ESC/P
compatibility. Refer to the printer manual for a detailed description of the printer
components, installation procedures, and operating instructions. To set up the
printer, refer to Section 5: Operating Instructions, Subsection: Setup
Instructions.
1 Printer Port
Self-Test Printouts
Refer to the printer operations manual. Run self-test printouts before using the
printer for the first time. These self-tests may be run any time to verify proper
printer operation.
NOTE: The CELL-DYN 1800 software automatically controls and adjusts most
print conditions for the printer, including page width. Occasionally, a few
settings may need to be changed in the printer’s software for correct
operation. If printing is not what you expect, refer to the printer manual
for guidance in making adjustments. If you have additional questions or
experience any problems, call Abbott Diagnostics Customer Service for
assistance, at 1-877-4ABBOTT (U.S. only). Customers outside the U.S.,
contact your local Hematology Customer Support Representative for
assistance.
Materials Required
• Powder-free gloves, lab coat, safety glasses
• CELL-DYN CN-Free Diff Lyse
• CELL-DYN Diluent
• CELL-DYN Detergent
• Reagent inlet tubing and waste outlet tubing
• Waste container (or appropriate drain) and dummy plug
• KIMWIPES® or other lint-free absorbent pads
A1
A2
A3
A4
A5 A6
B1 B2 B3
Figure 2.2 Reagent Inlet Panel
4. Attach the nonweighted end of the tubing with the Red Diluent label to the
Red Connector. Wipe the outside of the tubing with a damp lint-free pad and
place the weighted end into the container of CELL-DYN Diluent. Secure the
cap. Place the container below the instrument level.
5. Attach the nonweighted end of the tubing with the Blue Lyse label to the Blue
Connector. Wipe the outside of the tubing with a damp lint-free pad and place
the weighted end into the container of CELL-DYN CN-Free Diff Lyse.
Secure the cap. Place the container below the instrument level.
6. Attach the Waste Outlet Tubing to the Black Connector. Place the end of the
tubing with the cap and sensor into the waste collection container. Ensure that
the waste collection container is adequately labeled. Secure the cap, or
remove the cap from the tubing and place the tubing into a drain suitable for
collection of waste with possible biological and chemical hazards. Be sure
that the tubing is secured to the drain hole. Place the waste container below
the instrument level.
1 Waste Sensor
Connector
2 Detergent Connector
(Green)
3 Diluent Connector
(Red)
4 Lyse Connector (Blue)
5 Waste Connector
(Black)
1
2
3
4
5
7. Locate the Waste-Full Sensor Plug attached to the cap’s electrode wires.
Insert the plug into the Waste Sensor connector located on the Reagent Inlet
Panel. When the waste tubing is placed directly into a drain, insert a dummy
plug into the Waste Sensor Connector. If a dummy plug is not inserted, the
Waste Full alert is activated. For information on ordering a Waste
Dummy Plug, refer to Appendix A: Parts and Accessories.
1 Normally Closed
Valve 1
2 Slot 2
3 Side View of Valve
Front Panel
1. On the upper left portion of the flow panel, locate the Diluent Normally
Closed Valve, (black octagon) and the removed diluent tubing.
2. Carefully insert the diluent tubing into the slot at the top of the valve. Work
the tubing firmly back and forth with a flossing motion until it is completely
inserted into the valve and resting on the bottom of the slot. Unless this tubing
is securely seated, the message Diluent Empty may be displayed and the
flow system will not function properly.
3. Confirm that both ends of the diluent tubing are firmly attached to the
connectors.
1 Luer-Lok® Fitting
2 Rod 1
3 Knurl Nuts
4 Holding Clamp 2
5 Counterclockwise
1. Locate the dark-colored plastic cover on the left side of the instrument. Using
the two finger holes in the cover, lift the cover up and pull it out to gain access
to the Diluent Syringe.
2. Remove the two Knurl Nuts on the Holding Clamp by turning them
counterclockwise. Remove the front section of the Holding Clamp. Save the
Knurl Nuts and the block.
3. Locate and unscrew the protective cap attached to the Luer-Lok® Fitting for
shipment.
4. Move the barrel of the syringe upward until it touches the Luer-Lok® thread.
Turn the syringe counterclockwise (as viewed from above) until it is securely
in place. The syringe should be finger-tight—do not overtighten.
5. Replace the front section of the Holding Clamp and secure it with the two
Knurl Nuts removed in step 2 above. Tighten the Knurl Nuts finger-tight
only.
2. Locate the holding screw on the upper right side of the Lower Left Front
Cover; turn it counterclockwise. Remove the screw and save it. The screw
must be reinstalled to ship the instrument. Tilt the right side of the cover to
clear the display cover recess. Grasping the lower front cover with both
hands, slide the cover to the left so that the tab on the left top of the cover
slides out of its clip.
3. Tilt the top of the cover slightly forward to clear the black plastic guides from
the bottom of the unit and lift cover.
4. Slide cover to the left and out, and set aside.
1 2
3 4
1 Diluent Normally
Closed Valve
1
2 Sample Aspiration
Probe
3 Wash Block 11
4 von Behrens RBC/ 2
PLT Transducer
Assembly
5 RBC/PLT Metering
Assembly 3
6 Start Switch
7 WBC Metering
Assembly
8 HGB Flow Cell
10 4
Assembly 9
9 Pre-Mixing Cup
10 von Behrens WBC
Transducer Assembly
11 Pre-Amplifier Module
12 Vent Lines
6
12 8 7 5 12
Figure 2.8 Flow Panel
4. Inspect the flow panel (refer to Figure 2.8) for obvious damage and to ensure
the following:
• Tubing is properly positioned under all solenoid pinch valves.
• WBC and RBC aperture plates are inserted and levers are closed.
• If there is any damage, contact Abbott Diagnostics Customer Service.
When the inspection of the flow panel is complete, close the Display Bezel Cover,
lifting up the lower left edge as it shuts. Lock the Display Bezel Cover by rotating
the Knob clockwise ¼ turn. Swing the Upper Front Cover until it is shut. Turn the
instrument power ON.
StartUp
The CELL-DYN 1800 is designed for low power consumption. Whenever the
power is applied, an initialization cycle is performed to place mechanical and
electrical components in the “home” position, to drain any liquid in the Internal
Waste Bottles and Mixing Chambers to the waste system and, when appropriate, to
place the unit in the INITIALIZED state.
1. Confirm that the instrument, printer, and (optional) bar code scanner power
plugs are inserted into grounded power outlets.
2. Set the printer power switch ON. Confirm that printer paper is installed and
feeding correctly.
3. Set instrument power switch ON. The screen illuminates within 15 to 30
seconds and the message Initializing appears in the status box. When
the cycle is complete, the message Initialized is displayed.
4. To prime the instrument, press the [PRIME/RUN] key. This operation primes
the flow system with reagents and performs a Normal Background count.
Make sure there are no bubbles in the Counting Chambers, no diluent in the
Pre-Mixing Cup, and no leakage in the instrument. Then reattach the Lower
Front Cover and close the Upper Front Cover.
NOTE: If Background Counts remain out of range after three runs, refer to
the Error Messages and Conditions table in Section 10:
Troubleshooting and Diagnostics and follow established
laboratory operating procedures.
Operator ID
An identification number for the current Operator is enterable only when the MAIN
MENU screen is displayed. When the instrument has been Initialized or is in
STANDBY, the MAIN MENU screen is displayed with the cursor flashing at the
<Operator ID> field.
Type a one- to three-digit ID number using the numeric keys on the PC Keyboard,
then press [←] (Enter).
NOTE: An Operator ID number is not required for instrument operation.
Sequence Number
The sequence number displayed below the <Operator ID> field automatically
increments by one each time a run cycle is initiated by pressing the Touch Plate.
The Operator cannot change or enter the sequence number.
NOTES
Relocation
NOTES
Overview
NOTES
Open Mode
Aspiration
The CELL-DYN 1800 aspirates approximately 30 µL (microliters) of whole blood
from an open collection tube that has been held under the Sample Aspiration Probe,
and transfers the sample to the Pre-Mixing Cup.
Dilution
A 7.5-milliliter (mL) volume of diluent is added to the Pre-Mixing Cup to achieve
a dilution ratio of 1:251.
• The diluted sample is then divided into two samples.
• 100 µL of the 1:251 sample dilution are aspirated and mixed with an
additional 5 mL of diluent in the RBC/PLT mixing chamber to create a
dilution ratio of 1:12801. A specimen of the 1:12801 dilution is analyzed to
generate results for the red blood cell and platelet parameters.
• The remainder of the 1:251 sample dilution is mixed with 1.0 mL of lyse
reagent in the WBC Mixing Chamber. The lyse reagent ruptures the
membrane of each red blood cell causing cytoplasm and hemoglobin to be
quickly released. The red blood cell membrane (ghost) that remains is less
than 2 femtoliters (fL).
The lyse reagent also compresses the membrane of each white blood cell
(leukocyte). This causes cytoplasm to slowly diffuse from the cell as the
membrane shrinks around the nucleus and any cytoplasmic granules that may
be present. This dilution is used to measure the number and modified size of
the white blood cells and the amount of hemoglobin released.
Volumetric metering is used in both the WBC Counting Chamber and the RBC
Counting Chamber to ensure that a precise amount of diluted specimen is measured
during each count cycle.
Pre-Dilute Aspiration
In the Pre-Dilute Mode, whole blood is pre-diluted with diluent to a ratio of 1:251
(using 40 µL of sample to 10 mL of diluent) and then poured into the Pre-Mixing
Cup. The sample is then processed in the same manner as stated above. For
directions on preparing pre-diluted solutions, refer to Section 5: Operating
Instructions, Running Specimens—Pre-Dilute Mode.
Cell Measurement
The CELL-DYN 1800 uses two independent measurement methods; they are:
• Electrical Impedance Method for determining WBC, RBC, and PLT data
• Modified Methemoglobin Method for determining HGB1
During each instrument cycle, the sample is aspirated, diluted, and mixed before
each parameter is measured.
Volumetric Metering
An accurate cell count cannot be obtained unless the precise volume of diluted
whole blood that passes through the aperture during the count cycle is known.2
The CELL-DYN 1800 uses a syringe method to regulate the count cycle and to
make sure that a precise volume of sample is analyzed for the measurement.
The WBC and RBC/PLT metering assemblies contain a precision-bore glass tube
fitted with two optical detectors. This tube ensures that a precise amount of diluted
specimen is measured during each count cycle. The exact amount is determined by
the distance between the two optical detectors.
Detergent is used to create a meniscus in the metering tube. The amount of time
required for the meniscus to travel from the upper detector to the lower detector is
called the count time and is measured in seconds. The count portion of the cycle is
initiated when the meniscus reaches the upper detector. The count cycle stops when
the meniscus reaches the lower detector. The count time is displayed on the RUN
screen. The computer monitors the count time to detect any variation from the
expected values. Variation may be caused by debris in the aperture, vacuum
fluctuation, or air bubbles in the metering tube. If significant variation is detected,
the RUN screen displays the message FLOW ERR or CLOG, and no WBC or
RBC/PLT data is displayed. A clog indicates the flow was too slow, most likely
caused by debris in the aperture. Flow errors indicate the flow was too fast, often
caused by bubbles in the metering tube.
LYM %L %L %L %L
MID %M %M %M %M
GRA %G %G %G %G
MCV fL fL fL fL
MCH pg pg fmol pg
RDW % % % %
MPV fL fL fL fL
† Clinical significance has not been established for these parameters. Therefore, they are not reportable in the
U.S.
1 United States
2 Standard International
3 (HGB/MCHC in mmol/L, MCH in fmol)
4 (HCT/PCT in %)
WBC Analysis
Electrical impedance is used to count the White Blood Cells (WBC) as they pass
through the aperture of the von Behrens WBC transducer. As each cell is drawn
through the aperture, a change in electrical resistance occurs generating an
equivalent voltage pulse. The number of pulses sensed during each cycle
corresponds to the number of white cells counted. The amplitude of each pulse is
essentially proportional to the cell volume.
The CELL-DYN 1800 uses electronic sizing to determine three distinct white cell
subpopulations. Cells correlating to lymphocytes are included in the small cell
subpopulation. Cells correlating to granulocytes (neutrophils) are included in the
large cell population. The remaining cells correlating to monocytes, basophils,
eosinophils, blasts, and other precursor white cells are generally included in the
mid-size cell population.
Hemoglobin Analysis
After the WBCs have been counted and sized, the remainder of the lysed dilution
is transferred to the Hemoglobin (HGB) Flow Cell Assembly. In the flow cell, the
CELL-DYN 1800 measures the ability of the dilution to absorb light at a
wavelength of 540 nm (nanometers).
RBC/PLT Analysis
The 1:12801 dilution is pulled through the aperture of the transducer bath where
electrical impedance is used to count the red blood cells (RBC) and platelets (PLT)
as they pass through the aperture.
Results Displayed
Results are calculated and displayed on the RUN screen. Size distribution data for
lyse reagent-modified WBCs and subpopulations, RBCs, and PLTs are displayed
in numeric values on the display screen and as numeric values and histograms on
a hardcopy printed from the RUN menu.
Data Stored
Up to 10,000 run cycles are automatically stored in the Data Log on the hard disk
drive.
Instrument Rinsing
The probe assembly is rinsed internally when diluent is dispensed during sample
dilution, and externally with diluent after each run cycle.
The von Behrens WBC Transducer, and the von Behrens RBC/PLT Transducer are
rinsed with diluent. The HGB flow cell is rinsed with detergent.
NOTES
WBC Measurement
Overview
The electrical impedance method is used to obtain WBC data. Cells are counted
and sized as they pass through the aperture of the von Behrens WBC Transducer.
NOTES
WBC Parameters
WBC Histograms
The White Blood Cell (WBC) data is plotted in histogram format with the WBC
size distribution data on the X-axis and the relative number of cells on the Y-axis.
Results of each count are displayed to the left of the histogram on the RUN screen.
Once the total WBC count is determined, the instrument calculates the absolute
number of cells in each subpopulation by multiplying the WBC count by the
percentage of each subtype. The results are expressed as follows:
• WBC #K/µL (thousands per microliter)
• LYM % (percent)
• GRAN % (percent)
• MID % (percent)
NOTES
RBC/PLT Measurement
Overview
The electrical impedance method is used to obtain RBC/PLT data. Cells are
counted and sized as they pass through the aperture of the von Behrens RBC/PLT
Transducer.
PLT Measurement
Pulses counted in the RBC/PLT dilution between 2 fL and 24 fL are included in the
PLT data. If the raw PLT count is below a predetermined value, the instrument
automatically continues to count PLTs for an extended count period. The results
from the two count periods are averaged. The PLT data is plotted as a histogram.
An algorithm analyzes the histogram to eliminate interference and thus determine
the lower and upper thresholds for the count.
If no interference is detected, the lower and upper thresholds are set at 2 fL and
24 fL, respectively. If interference is detected, the thresholds float to determine the
best separation between the interference and the PLT population. The lower
threshold switches between the 2-fL and the 3-fL regions, and the upper threshold
switches between the 20-fL and the 24-fL regions. Once the thresholds have been
determined, the PLT count is derived from the data between them.
Interference in the upper threshold region is generally caused by microcytic RBCs.
Lower threshold interference is usually caused by electronic noise, cell fragments,
or similar artifacts. Therefore, after the PLT upper threshold has been determined,
the data between it and the RBC lower threshold are re-evaluated.
If the interference in either threshold region exceeds a predetermined limit, the PLT
count is flagged accordingly. The flags are discussed in System-Initiated Messages
and Data Flags later in this section.
NOTES
RBC Parameters
RBC Histograms
The Red Blood Cell (RBC) data is plotted in a histogram format with the RBC size
distribution data on the X-axis, and the relative number of cells on the Y axis.
Results of each count are displayed to the left of the histogram on the RUN screen.
RBC Count
The RBC count is directly measured, and the number of RBCs is expressed as
follows (U.S. units):
RBC = # X M/µL (millions per microliter)
MCV
The Mean Cell Volume (MCV) is the average volume of individual RBCs. The
MCV is derived from the RBC size-distribution data. MCV is reported in
femtoliters (fL).
HCT
The Hematocrit (HCT) is the ratio of RBCs to plasma. The HCT is calculated from
the RBC count and the MCV as follows:
RBC x MCV
HCT = 10
MCH
The Mean Cell Hemoglobin (MCH) is the average amount of hemoglobin
contained in the RBC. The MCH is calculated from the RBC and HGB as follows:
HGB
MCH = x 10
RBC
MCHC
The Mean Cell Hemoglobin Concentration (MCHC) is the ratio of the weight of
HGB to the volume of the average RBC. MCHC is calculated from the HGB and
the HCT as follows:
HGB
MCHC = x 100
HCT
RDW
Red Cell Distribution width (RDW) is a measure of the heterogeneity of the RBC
population. The CELL-DYN 1800 reports RDW as a percent (%) coefficient of
variation. The RDW is derived from the RBC histogram.
NOTES
PLT Parameters
PLT Histogram
Platelet (PLT) data is plotted in a histogram format with PLT size-distribution data
on the X-axis and the relative number of cells on the Y-axis. Results of each count
are displayed to the left of the histogram on the RUN screen.
PLT Count
The PLT Count is derived from the PLT histogram after the data have been
analyzed by the PLT algorithm. The PLT count is expressed as follows
(U.S. units):
PLT = # K/µL (thousands per microliter)
MPV
The Mean Platelet volume (MPV) is derived from the PLT histogram after the PLT
count has been determined. The MPV is reported in femtoliters (fL).
PCT
The Plateletcrit (PCT†), the product of the PLT and MPV, is analogous to the
Hematocrit. PCT is calculated as follows:
PLT x MPV
PCT = 1,000
PDW
Platelet Distribution Width (PDW†) is a measure of the heterogeneity of the PLT.
Each PDW is expressed as geometric standard deviation (GSD). Each PDW xx.x
10 (GSD) result is derived from the platelet histogram data and is reported as 10
(GSD).
† Clinical significance has not been established for this parameter; therefore, it is
not reportable in the U.S.
NOTES
Hemoglobin Measurement
Overview
A modified Methemoglobin method is used for the colorimetric determination of
hemoglobin (HGB). A portion of the lysed, diluted sample from the WBC Mixing
Chamber is used for HGB measurement. A low-energy Light-Emitting Diode
(LED) is used as the light source. A filtered photodetector with a wavelength of
540 nm measures the transmitted light.
NOTES
Introduction
System-initiated messages and data flags appear on the RUN menu and on printed
reports. The CELL-DYN 1800 continuously monitors instrument conditions and
specimen data attributes that can affect instrument operations or sample analysis
results. When an abnormality is present, either in the instrument itself or in the
sample data, a display message or a parameter flag (alert or warning) appears on
the display screen.
Instructions for interpreting all flags, numeric, and histogram data must be
incorporated into your laboratory’s procedure manual and used to determine the
need for further action and/or review of results.
Interfering Substances
It is important to note that there are commonly occurring interfering substances that
can affect the results reported by hematology analyzers. While the
CELL-DYN 1800 has been designed to detect and flag many of these substances,
it may not always be possible to do so. The following indicates the substances that
may interfere with each of the listed parameters.
WBC: Fragile WBCs, neutrophil aggregates, lytic-resistant RBCs, NRBCs, PLT
clumps, cryofibrinogen, cryoglobulin, paraproteins.
RBC: Elevated WBC count, increased numbers of giant PLTs, auto-
agglutination, in vitro hemolysis.
HGB: Elevated WBC count, increased plasma substances (triglycerides,
bilirubin, in vivo hemolysis), lytic-resistant RBCs.
MCV: Elevated WBC count, hyperglycemia, in vitro hemolysis, increased
numbers of giant PLTs.
PLT: WBC fragments, in vitro hemolysis, microcytic RBCs, cryofibrinogen,
cryoglobulins, PLT clumping, increased numbers of giant PLTs.
For additional information on interfering substances, refer to the table provided in
Appendix B: Reference Tables.
For a detailed description of the flags that are generated, refer to
Section 3: Principles of Operation, Subsection: System-Initiated Messages and
Data Flags.
System-Initiated Messages
System-initiated messages are a means by which the CELL-DYN 1800 notifies the
Operator about the status of the system and potential or actual problems. The
messages can be generated when sensors detect certain hardware and fluidic fault
conditions, and when the software identifies problematic quality control and
patient data conditions. These messages are generated by the following instrument
conditions:
• Fault conditions
• Status conditions
• Alarm conditions
When a fault condition is present, the status box displays the current instrument
state and the red Light-Emitting Diode (LED) on the instrument’s front panel is
illuminated. The message field displays the type of fault. The instrument cannot
process specimens and may be inoperable. The Operator must take steps to correct
the situation and re-initialize the system.
When a status condition is present the LED does not illuminate, but information
will appear in the message field. The instrument is still operable, but the Operator
must perform specific tasks associated with the message.
When an alarm condition (e.g. Waste Full) is present, the status box displays
the ALARM message and the red LED is illuminated. The message field will display
an appropriate message. The instrument will not perform specimen processing
functions until the Operator takes corrective action. It will, however, allow the
Operator to perform some other tasks, such as setup and printing reports.
When necessary, data is suppressed. Causes of and detailed steps for correcting
fault, status, and alarm conditions are provided in Section 10: Troubleshooting
and Diagnostics. After correcting a condition, repeat the sample analysis for any
specimen tested during the time period when the messaged condition occurred.
Flag: No display for measured parameters.
Cause: No result is displayed when the measurement count time is unacceptable.
A message pertaining to the probable cause is displayed to the right of the
affected measurement histogram. When the time for fluid to reach either
detector is too long, CLOG is displayed. When the time to reach either
detector is too short, FLOW ERR is displayed.
Action: Press [CLEAR ORIFICE]. Rerun the specimen when the system is in the
READY state. If CLOG appears again, follow the instructions in
Section 9: Service and Maintenance to clean the aperture plates. If FLOW
ERR appears again:
1. Go to the SPECIAL PROTOCOLS menu.
2. Press [REAGENT PRIME] to refill the Flow System.
If results for a parameter exceed the upper end of the Printed Report Range, a
numeric result does not appear on the screen or Specimen Report. Instead, “greater
than” symbols (>>>>) appear.
Alert messages pertaining to specimens, either patient or Quality Control (QC), are
displayed in place of, or next to, the affected result(s). All run, Data Log, or QC
results for the affected parameter(s) are displayed in inverse video and underlined
on the graphics printout. The name of each flag, the location of the flag on the
display, the cause of the flag, and the action to be taken are as follows:
Flag: > > > > “greater than” symbols are displayed instead of a numeric value
for measured parameters.
Cause: The parameter result exceeds the upper end of the Printed Report Range.
Action: Dilute externally and run specimen again. (For specific instructions, refer
to the Error Messages and Conditions table in
Section 10: Troubleshooting and Diagnostics.)
Flag: LRI - Lower Region Interference is displayed after the PLT result.
Cause: LRI is generally non-biologic and can be caused by:
• Debris (dirty aperture)
• Contaminated reagent
• Electronic noise
• Microbubbles
Action: Check the Background Count. Refer to Section 5: Operating
Instructions. If the Background Count exceeds the limits, troubleshoot
accordingly. If the Background Count is within limits, perform another run
on the same specimen. If the flag persists, review a stained smear to
determine the cause of the interference and verify the PLT count by a
different method.
Flag: URI - Upper Region Interference is displayed after the PLT result.
Cause: URI is generally due to biologic interference. The flag can be caused by:
• Microcytic RBCs
• Schistocytes
• Giant platelets
• Sickle cells
• Platelet clumps
NOTE: An irregular platelet histogram can indicate the presence of platelet
clumps.
Action: Review the MCV and the PLT histogram. If the MCV is low and/or the
histogram indicates an overlap (poor separation in the upper discriminator)
in the RBC and PLT populations, review a stained smear to determine the
cause and confirm the PLT count.
Flag: LRI URI–Multiple region interference is displayed after the PLT result.
Cause: Interference is present in both the upper and lower regions of the platelet
histogram.
Action: Use the actions given for LRI and URI flags.
Flag: LYM R1 is displayed between the absolute and percent results of LYM.
Cause: This flag can be caused by:
• Lymphocytosis
• Lymphopenia
• Cryoglobulins
• Shift in WBC cell distribution due to EDTA anticoagulant
equilibration.
Flag: LYM R2 is displayed between the absolute and percent results of LYM.
Cause: This flag can be caused by:
• Lymphocytosis
• Lymphopenia
• Blasts
• Variant lymphocytes
• Plasma cells
• Basophilia
• Shift in WBC cell distribution due to EDTA anticoagulant
equilibration.
Flag: MID R2 or RM is displayed between the absolute and percent results of
MID.
Cause: This flag can be caused by:
• Lymphocytosis
• Lymphopenia
• Blasts
• Variant lymphocytes
• Plasma cells
• Basophilia
• Monocytosis
• Shift in WBC cell distribution due to EDTA anticoagulant
equilibration.
NOTES
Histograms are used to graphically show the average size of cells within a specific
cell population, the distribution of cells around a mean, and the presence of
significant subpopulations. Histograms provide additional information to
specimen results. Histogram review for specimens with flagged results (abnormal
size distribution) gives the technologist another valuable interpretive tool.
Region Alerts help direct technologists to specific regions of the WBC histogram
to determine potential abnormal cell types which may require further analysis
through slide review. Cells not meeting normal criteria trigger an alert (Flag). This
alert appears on the screen and also on the hard copy printout, next to the category
of cell flagged. The CELL-DYN 1800 utilizes five alerts: R0, R1, R2, R3, R4 plus
a multiple alert indicated by RM.
R0
–Region
0
R1
–Region
1
R2
–Region
2 W BC
R3
–Region
3
R4
–Region
4 L
Y M MID GR
AN
NOTES
References
NOTES
This section contains detailed information about the CELL-DYN 1800 System.
The performance data contained in this section was generated at Abbott
Diagnostics Division, Santa Clara, California, U.S.A.
Included in this section are:
• Physical Specifications
• Power Specifications
• Bar Code Specifications
• Operational Specifications
• Measurement Specifications
• Performance Specifications
• Performance Characteristics
Interface specifications are not included in this section but can be obtained by
calling the Abbott Diagnostics Customer Service or by contacting your local
Abbott representative.
NOTES
Physical Specifications
The physical dimensions for the CELL-DYN 1800 are listed in the tables below.
Table 4.1 Physical Dimensions
Dimension Instrument
Dimension Instrument
NOTES
Power Specifications
Power Requirements
Table 4.3 Power Requirements
Operative
Voltage Frequency Max Current BTU/Hr
Range
Consumption
Instrument: Average ≤ 300 watts (1030 BTU per hour)
Maximum ≤ 900 watts (3075 BTU per hour)
Printer: Refer to the printer manual for input power requirements for the
printer.
NOTES
Code 39 1 16
Interleaved 2 of 5* 1 16
Codabar 3 16
Code 128 1 16
(ANSI® standard)
Operational Specifications
Operating Environment
Indoor Use
Laboratory Temperature: 20ºC–30ºC (68ºF–86ºF)
Relative Humidity: 10%–85%, RHNC
Cycle Times
(Ready to Ready)
The cycle times in the normal condition are equal to or less than:
• Auto Start-Up: 250 seconds
• Run: 60 seconds*
• Run-Pre-Dilute Mode: 60 seconds
• Auto-Calibration: 60 seconds
• Auto Shutdown 230 seconds
* A run cycle with a platelet recount is ≤ 90 seconds.
Aspiration Volume
(Whole Blood)
• Open Mode 30 µL
• Pre-Dilute Mode 40 µL
NOTES
Measurement Specifications
Measurement Channel
The CELL-DYN 1800 has two impedance channels, one for WBC impedance
count and one for RBC and PLT.
HGB
• Method: Modified Methemoglobin with autoblank
• Light Source: LED
• Wavelength: 540 nm
• Dilution: One part whole blood in 284 parts diluent and lyse
NOTES
Performance Specifications
Background Counts
Background values must be within the following specifications:
WBC ≤ 0.5 K/µL
RBC ≤ 0.05 M/µL
HGB ≤ 0.1 g/dL
PLT ≤ 10 K/µL
NOTE: Background Specification applies only to WBC, RBC, HGB, and PLT
parameters. There are no background specifications for other parameters.
Any value for a parameter other than the ones listed under Background
Counts should be disregarded.
Linearity
Linearity specifications are determined by analyzing dilutions of a sample of
commercially available control material that contains no interfering substances and
displays no suspect parameter flags. Specifications are determined by taking
multiple measurements on each dilution to minimize the effect of imprecision.
The following table provides useful information concerning system performance
and laboratory requirements under U.S. regulations (Clinical Laboratory
Improvement Amendments of 1988, CLIA-88) and similar requirements in other
countries. In the U.S., CLIA-88 sets the laboratory’s method performance
characteristics validation requirements at any value beyond the limits identified in
the manufacturer’s regulatory submission to the Food and Drug Administration
(FDA); these are represented by the Analytic Measurement Range (AMR) for each
parameter, as established by Abbott.
The Printed Report Ranges (PRR) are the defined limits of the screen display and
printer output. If a result for a parameter exceeds the upper limit of the PRR,
“greater than” symbols (>>>>) appear on the screen or Specimen Report instead of
a numeric result. Refer to Section 10: Troubleshooting and Diagnostics,
Subsection: Index of Error Messages and Conditions, Data Problems for
instructions for diluting specimens when a result(s) is replaced with >>>>.
Because the PRR are wider than the AMR, values can be displayed/printed that are
beyond the limits of the AMR. In order to report patient results beyond the AMR,
your laboratory must perform validation studies of this expanded range (often
called the “Clinically Reportable Range”). Alternatively, your laboratory may
choose to report patient results as greater than or less than the specific AMR upper
or lower limit, respectively, as determined by the Laboratory Director. (see also
Section 3: Principles of Operation, Subsection: Dispersional Data Alerts).
Table 4.5 Linearity Specifications
* From line of identity, whichever value is greater. Applies to actual mean values obtained in reference to the
expected value.
** Derived from polystyrene microspheres.
Carryover
The table below shows carryover percent for WBC, RBC, HGB, and PLT.
Carryover is determined by running specimens with elevated concentrations of
WBCs, RBCs, HGB, and PLTs. Each specimen is run in triplicate followed by three
background cycles. Carryover is calculated using the following formula:
(Background1 - Background3)
Percent Carryover = x 100
(High Specimen Run3 - Background3)
Precision
Samples used to verify precision values should have results that fall within the
laboratory’s reference interval (normal range). These samples must not display any
suspect parameter flags.
Hemogram Parameters
Precision is a check on routine instrument operation. The table below presents the
results of precision specifications for the hemogram parameters for specimens run
in the Open Mode. The stated CV% in these tables represents the instrument
precision from N=20 replicate runs.
Table 4.7 Within-Sample Precision of the Hemogram Parameters
CV%
Parameter Range (95% Confidence
Limit)
%LYM ± 3.1%
%MID ± 1.6%
%GRAN ± 3.5%
Correlation
Evaluation of the correlation of the CELL-DYN 1800 Open Mode is shown in the
table below. This data was computed from regression analysis of data obtained
from studies performed on whole blood samples (a minimum of 100 normal and
100 abnormal) analyzed against a reference instrument using similar technology.
Comparable results were obtained from studies performed on whole blood
specimens (a minimum of 40 normal and abnormal) run in the Pre-Dilute Mode.
Table 4.9 Whole Blood Correlation Results
WBC ≥ 0.98
%LYM ≥ 0.92
%MID ≥ 0.60
%GRAN ≥ 0.92
RBC ≥ 0.98
HGB ≥ 0.98
HCT ≥ 0.98
MCV ≥ 0.98
RDW ≥ 0.92
PLT ≥ 0.98
MPV ≥ 0.92
Bias
Bias in the CELL-DYN 1800 is measured by the correlation coefficient, because
the restricted range of many hematology parameters precludes the use of a fitted
linear-regression equation to ascertain the bias magnitude, such as is recommended
in CLSI/NCCLS document EP9-A2.1 Also note that this restricted range, along
with the known imprecision of the standard comparative methods, places an upper
limit to the degree of correlation that can be expected for several of the measured
parameters.
Mode-to-Mode Bias
The CELL-DYN 1800 can be calibrated to agree with reference values within the
allowable calibration ranges. Both modes of operation, Open and Pre-Dilute, may
be calibrated. Thus, it is possible to compensate for differences between modes due
to differing aspiration pathways or operational sequences. When each mode is
properly calibrated according to the directions given in this manual, bias between
modes is clinically insignificant.
Performance Characteristics
WBC Differential
Assessment of accurracy of instrument WBC differentials compared to manual
microscopy is based upon studies prescribed by CLSI Standard H-20A2 (Reference
leukocyte differential count (proportional) and evaluation of instrumental
methods). As there are more than 3 WBC types apparent microscopically, and the
CELL-DYN 1800 separates WBC types based on size only, the following logic is
used to simplify microscopic findings into the 3-part CELL-DYN 1800
differential:
Table 4.10 CELL-DYN 1800 Microscopy
MID Monocytes
Eosinophils
Basophils
Promonocytes
Blasts
LYM Lymphocytes
Variant lymphocytes
Prolymphocytes
Plasma cells
Smudge cells
The principles of CLSI H20-A are used to generate a Bayesian (truth table) analysis
of the CELL-DYN 1800 differential performance. In this analysis, the
CELL-DYN 1800 differential is the “test” method that is compared to microscopy
as the “reference” method.
The following data are based upon microscopic evaluatio of 277 blood films in a
population where the prevalence of abnormality (morphological plus
distributional) was approximately 53%. Those microscopic WBC differential
results were compared to 3 CELL-DYN 1800 instruments.
• Agreement = 90.3 – 94.2%
• Sensitivity = 89.9 – 93.3%
• Specificity = 90.1 – 96.1%
References
NOTES
Overview
This section discusses the operation of the CELL-DYN 1800 System as follows:
• Instrument Start Up
• Program Operation
• Setup Instructions
• Routine Operation
• Specimen Analysis
• Specimen Collection and Handling
• Using the Data Log
• Shutdown
• Power OFF
Additional system operations information is discussed in the following sections:
Calibration Section 6: Calibration Procedures
Special Protocols Section 9: Service and Maintenance
Troubleshooting Section 10: Troubleshooting and Diagnostics
Quality Control Section 11: Quality Control
NOTES
Instrument Start Up
After initial installation, the CELL-DYN 1800 power switch must be set to ON at
all times, except as specified for maintenance or long periods of non-use. The
instrument has been designed to automatically maintain itself when it is idle. If the
instrument is idle for four hours (or other Operator-definable duration), an
Automatic Shutdown cycle is initiated. The instrument is placed in STANDBY at
the end of the Automatic Shutdown cycle.
Power to the printer may remain ON or OFF at the Operator’s discretion. For
complete instructions on printer operation, refer to Section 12: Printers and the
printer operations manual.
A complete procedure for powering the system ON is given in Section 5:
Operating Instructions, Subsection: Setup Instructions. The procedure to turn
the system OFF is given in Power OFF at the end of this section.
NOTE: The instrument may be started manually or by using the Auto Start-Up
function.
For a description of the screen elements referred to in this section, see the LCD
screen in Figure 1.8 in Section 1: Use or Function, Subsection: System
Components.
6. Prior to running patient specimens, run Background Counts until results are
within appropriate specifications (refer to Running a Background Count
later in this section). If Background Counts remain out of range after three
runs, refer to the Error Messages and Conditions table in Section 10:
Troubleshooting and Diagnostics.
7. Perform a QC Run (See Section 11: Quality Control) before running Patient
Specimens using CELL-DYN 16 Tri-Level or CELL-DYN 22 Tri-Level
control material.
Program Operation
1 Current menu/screen
title, status of the
instrument, and 1
Operator prompts,
instructions, error, and
fault messages
2 Display area:
Analysis results, setup
selections, and other
Operator information
3 Softkeys perform
functions
2
corresponding to soft
key labels (see 4) on
the LCD screen
4 Softkey labels indicate
4
actions relating to the
current menu, or other
menus to go to,
including return to the
previous screen
3
Figure 5.1 LCD Screen / Membrane keyboard
MAIN MENU
When the instrument is powered ON, the MAIN MENU screen is displayed. The
MAIN MENU screen is divided into four sections:
• The upper left corner shows the current version of the instrument software.
• The status box is displayed in the top center of the screen in inverse video.
This box appears on every screen to show the following:
– Menu in use
– Analyzer status
– Other applicable information, such as report or file identity, and any
existing Operator-correctable fault conditions
• The upper right corner shows the current date, time, Operator ID, and the
sequence number.
• The cursor is positioned at the <Operator ID> field when the MAIN MENU
screen is displayed. An Operator ID of up to three digits may be entered. This
Operator ID will be displayed on all other screens and printed on all reports.
MAIN MENU
MAIN MENU
SETUP PRIME/
PATIENT DATA QUALITY CALIBRATION DIAG- HELP/ SPECIAL
RUN LOG CONTROL NOSTICS ERROR PROTOCOLS
RUN
PRINT HELP
PATIENT RETURN
Setup Instructions
6. Print ALERTED PLT Results—The results for a flagged PLT are printed on
the specimen report.
7. Automatic Graphics Printout—A specimen report is automatically printed on
the Graphics Printer.
8. Print Manual Differential Grid for ALERTED Specimens—When this option
is enabled, a specimen report with Manual Differential Grid for ALERTED
specimens only will be printed on the Graphics Printer.
9. Print Manual Differential Grid for NON-ALERTED Specimens—When this
option is enabled, a specimen report with Manual Differential Grid for
NON-ALERTED specimens only will be printed on the Graphics Printer.
NOTE: To enable/disable (ON/OFF), the print options 1–9 available on the
SETUP menu, press the [ ] (Enter) key.
10. Enter Printer Type—This option allows the Operator to select the printer
control language: 1–(ESC/P) format; or 2–PCL-3 format.
11. Number of lines for customized header (0 to 4):—Up to four lines
(78 characters) are accepted per entry.
NOTE: To enter the header text press the [ ] (Enter) key twice. The
cursor will move into the text box at the bottom of the screen. Using
the keys on the PC keyboard, enter a header of up to 78 characters
per line.
12. Print current Date/Time and Software Version—When this option is enabled,
the current date, time, and software version are printed.
In addition to allowing for the selection of Display and Print options, the SETUP
menu also provides access to the following submenus:
[DATE/TIME] Set date and time, and select date format.
[PATIENT LIMITS] Enter, review, and change values in patient limit sets
(1–4) and panic limits.
[REAGENT LOG] Select a specific reagent type: diluent, detergent, or
lyse.
[QC SETUP] Set up control files, replicate files, and the X-B
program.
[COMPUTER SETUP] Configure the instrument for data transmission to an
external computer.
[UNITS SELECTION] Select units of measurement for specimen results.
[HELP/ERROR] View HELP text or errors in the Fault Log.
[MAIN] Return to the MAIN MENU screen.
SETUP MENU
SETUP
3. Press the [↑] or [↓] arrow keys to move through the options and press the
[ ] (Enter) key to toggle between <ON> and <OFF> for the selected print
options (e.g., Print PCT†, PDW†).
4. Use the numeric keys on the PC keyboard to enter the number of lines for the
customized header.
5. Use the alphanumeric keys (Y/N) on the PC keyboard to print the current date
and time or software version.
6. Press [MAIN] to return to the MAIN MENU screen.
NOTE: The default selection on the RUN screen includes display of all
individual parameters except PCT† and PDW.† If PCT† and PDW†
are not displayed, their values will not be transmitted to the LIS.
† Clinical significance for these parameters have not been established, therefore
they are not reportable in the U.S.
2. Move the cursor to the appropriate space on the Time line. Using the numeric
keys on the PC keyboard, enter the hour and minute for automatic start-up of
the instrument.
3. Press [RETURN] to return to the SETUP menu.
Upper and lower alert limits for patient specimen results can be entered, viewed,
and changed as necessary. For a discussion of the alerts displayed on the screen and
printed on the graphics printout when specimen results fall outside the patient
limits or panic limits, refer to Section 3: Principles of Operation, Subsection:
System-Initiated Messages and Data Flags.
PATIENT LIMITS
LEAVE
HELP
PRINT HELP RETURN
LEAVE
HELP
PRINT HELP RETURN
2. Use the [↑] and [↓] arrow keys to move between rows of parameters.
3. Use the [←] and [→] arrow keys to select the desired lower or upper
parameter range.
4. Use the numeric keys on the PC keyboard to change values, pressing the [ ]
(Enter) key to accept the new limits.
5. Press [RETURN] to return to the SETUP menu.
NOTE: Panic Limits are set outside the Patient Limits, but inside the
reportable range, and serve to alert the Operator that results deviate
from the normal range by a significant degree.
2. Use the [↑] and [↓] arrow keys to move between rows of parameters.
3. Use the [←] and [→] arrow keys to select the desired lower or upper
parameter range.
4. Use the numeric keys on the PC keyboard to change values, pressing the [ ]
(Enter) key to accept the new limits.
5. Press [RETURN] twice to return to the SETUP menu.
NOTE: Panic Limits are set outside the Patient Limits, but inside the reportable
range, and serve to alert the Operator that results deviate from the normal
range by a significant degree.
Reagent Log
[REAGENT LOG] allows the Operator to select a specific reagent type: diluent,
detergent, or lyse. The Reagent Log also allows the Operator to enter, review, or
print the reagent log which consists of the following: package size, lot number,
expiration date, and open date for up to 12 packages per reagent.
REAGENT LOG
LEAVE
PRINT HELP RETURN HELP
LEAVE
PRINT HELP RETURN HELP
The selected log screen is displayed with the cursor positioned on the first
blank line of the log.
3. Using the alphanumeric keys (including punctuation symbols) on the PC
keyboard, enter the package size, lot number, expiration date, and open date.
Press the [ ] (Enter) key after each entry to store the data and to
automatically advance the cursor to the next field on the same line.
Repeat this process until all entries for the Reagent Log are complete.
NOTE: Type the date entries using the same date format as the system’s
main <Date/Time> field—seen in the upper right-hand corner of
the display. For example, if the main Date/Time format is
29 Jan 2000, then enter 29/01/00 for the date entries.
4. Press [PRINT LOG] to print the log.
5. Press [RETURN] to return to the REAGENT LOG menu.
6. Press [RETURN] twice to return to the SETUP menu.
CONFIRM CANCEL
LOAD LOAD
X-B Setup
X-B Setup is used to review or change the X-B (Moving Average) program upper
and lower acceptance limits, target values, and action limits for the red cell indices
(MCV, MCH, and MCHC). Calculated data for each batch (20 specimens) is
compared to an established X-B target and limits to determine if the X-B batch data
is acceptable. To eliminate bias from grossly abnormal specimen results, data
acceptance limits are set, via the X-B SETUP menu, to automatically exclude
these specimens from the program.
NOTE: MCV, MCH, and MCHC from patient specimens are automatically
included when the program is turned on.
NOTE: Use of the X-B Moving Average Program is recommended only for labs
that run at least 100 patient specimens per day.
2. Use the [↑] and [↓] arrow keys to move between rows of parameters.
3. Use the [←] and [→] arrow keys to select the lower/upper limits, target value,
or action limit for the desired parameter.
4. Use the numeric keys on the PC keyboard to change values, pressing the [ ]
(Enter) key to accept the new limits.
5. Press [RETURN] to return to the QC SETUP menu.
6. Press [RETURN] to return to SETUP menu.
NOTE: When the entries are saved, the software checks to see if any entries
would result in the upper limit being less than the lower limit. If this
situation occurs, the limits are automatically reversed.
Lab ID Setup
Lab ID Setup is used to create an identification file for the CELL-DYN user. The
following information can be entered into a laboratory’s ID file: customer ID#,
institution name, address, phone, and laboratory contact.
NOTE: Lab ID Setup must be completed prior to downloading QC data to a
floppy disk.
3. Press [FILE SETUP] to display the File Setup screen which allows the
Operator to edit the lot number and expiration date for the selected control
file, to select which Westgard® Rule will be applied to quality control results,
and to change Range Entry and Means/Limits in each of the four files.
4. Use the [↑] and [↓] arrow keys to move between the lot number, expiration
date, or Westgard® Rules.
3. Use the [←] and [→] arrow keys to select the lower or upper limits for the
selected parameter.
4. Use the numeric keys on the PC keyboard to enter values for the desired
parameter.
NOTE: Press [LOAD FROM DISK] to load control assay data from a
floppy disk into the selected QC file. [CONFIRM LOAD] and
[CANCEL LOAD] are used to load assay values from disk, or to
cancel the load operation, respectively.
Entering Mean/Limits
To enter the parameter and limit values for the selected control file, proceed as
follows:
1. Press [MEAN/LIMITS] in the selected control file’s SETUP menu.
2. Use the [↑] and [↓] arrow keys to move between parameters.
3. Use the [←] and [→] arrow keys to select the mean or limits for the selected
parameter.
4. Use the numeric keys on the PC keyboard to enter values for the desired
parameter.
NOTE: Press [LOAD FROM DISK] to load control assay data from a
floppy disk into the selected QC file. [CONFIRM LOAD] and
[CANCEL LOAD] are used to load assay values from disk, or to
cancel the load operation, respectively.
2. Use the [↑] and [↓] arrow keys to select the desired replicates, and press
[FILE SETUP]. The File Setup screen for the desired replicate file
(REPLIC1 to REPLIC9) is displayed.
NOTE: The <Lot Number> field is automatically displayed. To set the
<Replicate ID> field, press [REP ID].
Computer Setup
Computer setup allows the Operator to configure the instrument for automatic data
transmission to an external (host) computer, or to a Laboratory Information System
(LIS).
Units Selection
Units Selection allows the Operator to select one of the following four units of
measure for specimen results:
1 = FACTORY (United States)
2 = SI UNITS
3 = SI UNITS (HGB/MCHC in mmol/L, MCH in fmol)
4 = SI UNITS (HCT/PCT† in %)
NOTE: Verify reference ranges when changing units of measurement.
The default setting is 1 = FACTORY (United States). SI units are System
International Units.
2. Using the numeric keys on the PC keyboard, enter the number associated
with the desired unit of measure.
3. Press [RETURN] to return to the SETUP menu.
† Clinical significance for these parameters have not been established, therefore
they are not reportable in the U.S.
Help/Error
HELP/ERROR allows the Operator to view and print up to sixteen previous errors
in a Fault Log, or view Help text. Pressing [HELP] allows the Operator to view the
Help text. The [LEAVE HELP] key allows the Operator to return to the previous
screen.
If a Fault Log exists, the [FAULT LOG] key will appear. Pressing [FAULT LOG]
allows the Operator to view the errors in the Fault Log.
Routine Operation
Routine operation of the CELL-DYN 1800 proceeds from the RUN menu, which
is accessed in the MAIN MENU screen. Information and procedures related to the
RUN menu and submenus accessed from it are presented on the following pages.
When the green READY light on the front panel is illuminated and the READY
message appears in the status box of the RUN menu, the instrument is ready for
specimen analysis.
The instrument is not ready to run specimens when the amber-colored BUSY light
is illuminated. This means another activity is taking place, as indicated by the
current status box message.
The upper right corner of the RUN menu displays the following information:
• Current date and time
• Operator ID—identification of the current Operator
• Sequence number—automatically incremented as specimens are run
• Limit set (1 to 4, defaults to 1)—only when Patient is the selected specimen
type
• X-B status—if the X-B program was activated in the SETUP menu
RUN Menu
The [PRIME/RUN] key on the MAIN MENU screen is used to display the RUN
menu. A description of the function of each softkey is given in this section.
Instructions for running specimens and using the Data Log are provided later in this
section. The following softkeys are displayed on the RUN menu:
[CLEAR ORIFICE] / [CLEAR ALARM] (toggles between these two keys)
[PRE-DILUTE]
[SPECIMEN TYPE]
[PARAMETER SELECT]
[PRINT REPORT]
[HELP/ERROR]
[MAIN]
RUN MENU
RUN
Clear Orifice/
Clear Alarm
The [CLEAR ORIFICE] key is the default key that appears on the RUN menu.
When a fault occurs on the instrument, this key changes to [CLEAR ALARM].
[CLEAR ORIFICE] initiates the aperture cleaning sequence that flushes the WBC
and RBC/PLT apertures to remove obstructions. When [CLEAR ORIFICE] is
pressed, the message Clearing Orifice is displayed in the status box.
[CLEAR ALARM] is used to reset the instrument after the Operator has corrected
the problem. When [CLEAR ALARM] is pressed, the message Clearing
Alarm is displayed in the status box.
NOTE: Do not press [CLEAR ALARM] until you have corrected the problem.
Pre-Dilute
[PRE-DILUTE] turns the Pre-Dilute Mode run cycle ON and OFF. The Pre-Dilute
Method is used when the amount of blood sample available is insufficient for
accurate analysis using the normal run cycle. When ON, the Pre-Dilute Mode
message appears directly below the status box. This soft key is highlighted in dark
blue. The Sample Aspiration Probe is raised and placed over the RBC/PLT Mixing
Chamber. This allows the Operator to open the Upper Front Cover and pour a pre-
diluted 40-µL sample to 10-mL diluent solution into the Pre-Mixing Cup (initial
dilution bath). The Operator presses the Touch Plate, and the instrument processes
the sample.
NOTE: For instructions on opening/removing the Front Covers, refer to Section
2: Installation Procedures and Special Requirements, Subsection:
Opening/Removing Front Covers, Version A, or Opening Front Covers,
Version B. The procedure for preparing pre-diluted samples is provided
in Running Specimens—Pre-Dilute Mode later in this section. The
procedure to calibrate in the Pre-Dilute Mode is discussed in detail in
Section 6: Calibration Procedures, Subsection: Pre-Dilute Auto-Cal
Procedure—Calibrator.
Specimen Type
[SPECIMEN TYPE] is used to select the type of specimen that will be run. When
[SPECIMEN TYPE] is pressed, the following soft keys are available:
[PATIENT SPECIMEN]
[QC TYPE]
[NORMAL BACKGRND]
[ELECTRICL BACKGRND]
[HELP/ERROR]
[RETURN]
Patient Specimen
[PATIENT SPECIMEN] is used to run patient specimens. Patient identification
may be entered on the RUN menu after this key is pressed. Results from this run
option are stored in the Data Log. Only patient specimens can be included in the
X-B program.
Normal Background
[NORMAL BACKGRND] is used to select a special run mode and to display the
background results. Normal Background is used to determine the absence of
contaminants and particulates, and the interference of reagents (diluent, detergent,
lyse). Results from this run option are identified by the designation BACKGRD in
the Data Log. A Normal Background will be automatically run as part of the startup
sequence, and should be run immediately prior to running a patient or control
specimen if the system has been idle for fifteen minutes or more.
Electrical Background
[ELECTRICL BACKGRND] is used to select the run mode for Electrical
Background counts. Electrical Backgrounds are used to check for electrical
interference in the system. (Aperture current is turned OFF during this cycle.)
Results from this run option are identified by the designation ELEC BKGD in the
Data Log.
NOTE: Electrical backgrounds are normally only run as part of a troubleshooting
sequence. Refer to Section 10: Troubleshooting and Diagnostics.
Help/Error
[HELP/ERROR] accesses a menu that has a [FAULT LOG] key and [HELP] key.
If a fault is pending, when [HELP/ERROR] is pressed, a list of up to sixteen
previous errors will be displayed. Otherwise, pressing [FAULT LOG] allows the
Operator to view the errors.
Pressing [HELP] allows the Operator to view the Help text. The [↑] and [↓] arrow
keys are used to view additional Help information, if there is more than one screen
of text. Press [LEAVE HELP] to exit the Help information screen.
Return
Press [RETURN] to return to the RUN menu.
Parameter Select
[PARAMETER SELECT] allows the Operator to choose the parameters to be
displayed and printed. The Operator can designate individual or all parameters to
be ON or OFF.
Print Report
[PRINT REPORT] is used to print a copy of the current run data. It is used when
the automatic graphics print feature is set to OFF. (When no paper is in the printer,
the message Printer NOT READY/PRESS HELP/ERROR KEY appears in
the status box.)
Help/Error
[HELP/ERROR] accesses a menu that has a [FAULT LOG] key and [HELP] key.
If a fault is pending when [HELP/ERROR] is pressed, a list of up to sixteen
previous errors will be displayed. Otherwise, pressing [FAULT LOG] allows the
Operator to view the errors.
Pressing [HELP] allows the Operator to view the Help text. The [↑] and [↓] arrow
keys are used to view additional Help information, if there is more than one screen
of text. Press [LEAVE HELP] to exit the Help information screen.
Main
Press [MAIN] to return to the MAIN MENU screen.
Specimen Analysis
This section provides guidelines and instructions for routine specimen analysis.
For more information, refer to Section 3: Principles of Operation, Subsection:
Sample Analysis Cycle Overview.
• Perform Background counts and Quality Control according to laboratory
protocol.
• Specimens must be well-mixed and checked for clots before they are run.
• Always enter specimen identification before performing a specimen analysis
run.
• Specimens can be analyzed whenever READY is displayed in the status box
on the RUN menu.
All performance statements given in this manual were generated from specimens
collected in K2EDTA anticoagulant.
Interfering Substances
It is important to note that there are commonly occurring interfering substances that
can affect the results reported by hematology analyzers. While the
CELL-DYN 1800 has been designed to detect and flag many of these substances,
it may not always be possible to do so. The following indicates the substances that
may interfere with each of the listed parameters.
WBC: Fragile WBCs, neutrophil aggregates, lytic-resistant RBCs, NRBCs, PLT
clumps, cryofibrinogen, cryoglobulin, paraproteins.
RBC: Elevated WBC count, increased numbers of giant PLTs, auto-
agglutination, in vitro hemolysis.
HGB: Elevated WBC count, increased plasma substances (triglycerides,
bilirubin, in vivo hemolysis), lytic-resistant RBCs.
MCV: Elevated WBC count, hyperglycemia, in vitro hemolysis, increased
numbers of giant PLTs.
PLT: WBC fragments, in vitro hemolysis, microcytic RBCs, cryofibrinogen,
cryoglobulins, PLT clumping, increased numbers of giant PLTs.
For additional information on interfering substances, refer to the table provided in
Appendix B: Reference Tables.
For a detailed description of the flags that are generated, refer to Section 3:
Principles of Operation, Subsection: System-Initiated Messages and Data Flags.
Specimen Stability
Well-mixed whole blood specimens, collected in K2EDTA anticoagulant and
analyzed within 8 hours after collection, provide the most accurate results for
hemogram parameters. White blood cell size distribution can shift if specimens are
tested within the first 30 minutes following collection or more than 8 hours after
collection. In particular, specimens tested within 30 minutes may be associated
with false Suspect Population Flags due to WBC population shifts. If flagging does
occur, follow corrective action(s) listed in section 10 before reporting results.
Small shifts may be observed for MCV and MPV within this 30-minute post
collection interval. Please note that published studies indicate that MPV results can
be affected by EDTA for up to 2 hours after collection. Most accurate MPV results
are obtained between 2 and 8 hours after collection.3, 4
The stability of capillary specimens collected in microcollection tubes can vary
depending on the tube manufacturer. Refer to the manufacturer’s package insert for
stability claims.
Specimen Collection
All specimens must be collected per the tube manufacturer’s directions and
disposed of using proper techniques.1, 2 A minimum of 50 µL must be collected for
micro-collection specimens. This ensures an adequate amount of blood for the
30 µL aspiration.
NOTE: Refer to Section 4: Performance Characteristics and Specifications for
minimum specimen volume requirements to ensure accurate results. For
additional information on collecting venous and capillary specimens,
refer to the most current editions of CLSI documents H3 (venipuncture)
and H4 (capillary collection).
Entering an Operator ID
The Operator ID is entered from the MAIN MENU screen. When this screen is
selected, the cursor is positioned in the <Operator ID> entry field.
1. From the RUN screen, press [MAIN].
2. At the cursor prompt in the <Operator ID> field, enter an Operator
identification (of up to three characters) using the numeric keys on the PC
keyboard.
Entering a Specimen ID
The ENTER ID screen is used for entering a specimen identification of up to 16
alphanumeric characters.
Manual Entry
To enter a specimen ID, proceed as follows:
1. From the RUN screen, press [SPECIMEN TYPE].
3. The cursor is placed in the <NEXT ID#> entry field. Use the alphanumeric
keys (including punctuation symbols) on the PC keyboard to enter a
specimen ID of up to 16 characters.
2. Squeeze the trigger handle on the underside of the scanner to activate the red
light beam. Aim the beam to scan horizontally across the entire bar code
length. A successful scan will be indicated by an audible tone.
NOTE: Entering a new specimen ID by scanning a bar code will prepare for
the next specimen by clearing the parameter display and advancing
the sequence number if prior specimen results were displayed.
If the scanner fails to read the bar code label, refer to the Error Messages and
Conditions table in Section 10: Troubleshooting and Diagnostics.
Running Specimens
NOTE: Prior to running Patient Specimens, perform Daily Start-Up Procedures
detailed earlier in this section.
When the READY message is displayed on the RUN screen, the instrument is ready
to run specimens. To run patient specimens, proceed as follows:
1. With the cap tightly secured on the specimen tube, slowly invert the tube 10
to 15 times.
2. Remove the cap from the pre-mixed specimen tube.
3. Place the tube under the aspiration probe and raise the tube so that the end of
the probe is deeply immersed in the specimen.
4. Press the Touch Plate to activate the run.
1 2
3 4
5. When the sample has been aspirated from the tube, the probe will move up
through the Wash Block. Remove the specimen tube and replace the cap.
6. After the cycle is completed, run results are displayed on screen and the
aspiration probe moves into position to accept a new specimen. The current
run data is saved to the Data Log.
NOTE: For an explanation of results that fall outside of acceptable ranges,
see Section 3: Principles of Operation, Subsection: System-
Initiated Messages and Data Flags.
7. If Automatic Graphics Printout has been specified in the SETUP menu, a
report is printed according to the parameters selected during the Setup
Procedure.
8. If Automatic Graphics Printout has not been specified in the SETUP menu,
press [PRINT REPORT] to obtain a copy of the results. The print report
format is the only method to be used for reporting patient results.
NOTE: If the system has been idle for 15 minutes or more, a normal
background should be run immediately prior to running patient
specimens.
4. Press [1/250 DISPENSE] to activate the Dispense Mode. (This key is now
highlighted in dark blue.)
1 2
3 4
The sample aliquot and 10 mL of diluent will be dispensed by the sample probe into
the plastic cup.
WARNING: Potential Biohazard. Consider all specimens and reagents,
controls, calibrators, etc. that contain human blood or serum as potentially
infectious. Use established, good laboratory working practices when
handling specimens. Wear gloves, lab coats, and safety glasses, and follow
other biosafety practices as specified in the OSHA Bloodborne Pathogen
Rule (29 CFR Part 1910.1030) or other equivalent biosafety procedures.
5. Fold the cup once at the upper crease, grip in the middle of the fold, and invert
a minimum of five times to thoroughly mix the blood and diluent. This initial
1:250 dilution is stable for 20 minutes and must be thoroughly remixed by
inversion before pouring it into the Pre-Mixing Cup when the Pre-Diluent
Mode is selected. To exit the SPECIAL PROTOCOLS menu, press MAIN
key.
6. From the MAIN menu, press the [RUN] Key. In the RUN menu, press
[PRE-DILUTE] to activate the Pre-Dilute Mode. The sample aspiration
probe is raised and positioned over the RBC/PLT Mixing Chamber, Pre-
Dilute Mode is displayed on the screen, and the [PRE-DILUTE] key is
highlighted in dark blue indicating that the Pre-Dilute Mode has been
activated.
7. Open the Upper Front Cover.
CAUTION: To prevent damage to the sample aspiration probe, always
confirm that the probe has been raised before attempting to open the Upper
Front Cover.
When READY appears on the screen, mix the folded Counting Cup by
inverting it several times, and carefully pour the specimen into the Pre-
Mixing Cup.
CAUTION: If the a pre-diluted solution is inadvertently poured into the
Pre- Mixing Cup after the dilution is made but before leaving the SPECIAL
PROTOCOLS menu, follow the instructions in Removing a Pre-Diluted
Solution from the Pre-Mixing Cup within this section. Otherwise the flow
sequence of the instrument will be incorrect, resulting in overfilling of the
WBC transducer and carryover of the pre-dilution into the next analysis.
5 6
8. Press the Touch Plate to start the Pre-Dilute cycle. The status box on the RUN
menu displays messages to indicate the various stages of the cycle.
When the cycle is complete, the results are displayed on the screen.
If Automatic Graphics Printout has been specified in the SETUP menu, a
report is printed according to the parameters selected during the setup
procedure. If Automatic Graphics Printout has not been specified in the
SETUP menu, press [PRINT REPORT] to obtain a copy of the results. The
print report format is the only method to be used for reporting patient results.
9. When you have finished running specimens in the Pre-Dilute Mode, close the
Upper Front Cover.
To return to the Open Sample Mode, press [PRE-DILUTE]. The Sample
Probe returns to the down position, and the [PRE-DILUTE] key is no longer
highlighted.
8 9
1 2
3 4
Overview
Specimen results will automatically be saved in the data log when a run is
performed from the RUN menu.
The Data Log stores patient specimen data (including numeric and graphic data) in
a log format. The information is stored chronologically by sequence number. The
sequence number starts at zero (0), increases with each run up to 9,999, and then
resets back to zero (0). Only the last 10,000 run cycles performed on the RUN
screen of the instrument are stored.
When the number of samples in the Data Log reaches 10,000, the Data Log will be
full. From then on, any new specimen run will cause the oldest entry in the log to
be dropped, and data for the new run to be added.
Each data log screen can display results for up to sixteen (16) specimens. Use the
[←] or [→] arrow keys to scroll through the complete list of parameters for all
specimens displayed. Use the [↑] or [↓] arrow keys to scroll through the specimens.
DATA LOG
FAULT LEAVE
LOG HELP
Edit ID
[EDIT ID] is used to change the number of a specific specimen ID among those
displayed on the DATA LOG menu. When the cursor is positioned on a patient
specimen, this key is displayed; otherwise it is blank. After a new specimen ID
number has been typed in, press [ ] (Enter) to accept the entry. Press the [ESC]
key or asterisk [*] key to cancel the entry.
Display Specimen
[DISPLAY SPECIMEN] is used to display the record of the specific specimen
indicated by the position of the cursor. When this key is pressed, the DISPLAY
SPECIMEN menu is displayed and the following keys are available:
[PREVIOUS SPECIMEN]
[NEXT SPECIMEN]
[EDIT DEMOGRAPH]
[TRANSMIT SPECIMEN]
[PRINT REPORT]
[HELP/ERROR]
[RETURN]
Find Specimen
[FIND SPECIMEN] is used to find a specimen using the sequence number,
specimen ID number, or patient name from the DATA LOG menu. When [FIND
SPECIMEN] is pressed, three entries appear in the upper left corner of the
screen—<Sequence #>, <Spec ID>, and <Name>—and the cursor is positioned in
the <Sequence #> field. The Operator can place the cursor in the <Spec ID> field
or <Name> field using the [↑] or [↓] keys. Type in the Sequence #, Spec ID, or
Name and press [ ] (Enter) to find the specimen.
The Operator can also use the [SEARCH FORWARD] and [SEARCH
BACKWARD] to find additional specimens.
Transmit Data
[TRANSMIT DATA] is used to transmit one or more specimen records in the Data
Log to a Laboratory Information System (LIS). Records may be transmitted singly
or in batches as designated by the sequence numbers.
When [TRANSMIT DATA] is pressed, the <Start Sequence #> field appears in the
upper left corner of the screen and the cursor is positioned in this field. The
Operator should enter the sequence number of the first specimen to be transmitted.
If the number is valid, the system accepts the entry and the <End Sequence #> field
appears in the upper left corner of the screen. The Operator should type in the
ending sequence number. If transmitting only one specimen, the system begins
transmitting automatically.
Because specimen records are shown in summary form on the DATA LOG menu,
only the summary data of these records will be transmitted. No histogram data
accompanies the summary data. To transmit histogram data, the Automatic
Transmission of Histograms option in the Computer Setup option of the SETUP
menu must be turned ON (refer to Selecting Display and Print Options earlier in
this section), and the Operator must first press [DISPLAY SPECIMEN] to select
and display an individual specimen, then press [TRANSMIT SPECIMEN].
Print Datalog
[PRINT DATALOG] is used to print one or more specimen records in the Data
Log. When [PRINT DATALOG] is pressed, the <Start Sequence #> field appears
in the upper left corner of the screen and the cursor is positioned in this field. The
Operator should enter the sequence number of the first specimen to be printed. If
the number is valid, the system accepts the entry and <End Sequence #> field
appears in the upper left corner of the screen. The Operator should type in the
ending sequence number.
NOTE: Use the [ESC] key or asterisk [*] to cancel this function and return to the
DATA LOG menu. Use the Backspace key or [←] arrow key to cancel an
entry and retype the sequence number.
Because specimen records are shown in summary form on the DATA LOG menu,
only the summary data of these records will be printed. No histogram data
accompanies the summary data. To print histogram data, the Print Histograms
option in the SETUP menu must be turned ON (refer to Selecting Display and
Print Options earlier in this section), and the Operator must first press [DISPLAY
SPECIMEN] to select and display an individual specimen, then press [PRINT
REPORT].
NOTE: On the DATA LOG screen, the letters B, K, O, or P next to the date
indicate the following:
B = Background Count, K = Flow/Clog errors, O = Open Mode or
P = Predilute Mode.
Help/Error
[HELP/ERROR] accesses a menu that has a [FAULT LOG] key and [HELP] key.
If a fault is pending when [HELP/ERROR] is pressed, a list of up to sixteen
previous errors will be displayed. Otherwise, pressing [FAULT LOG] allows the
Operator to view the errors.
Pressing [HELP] allows the Operator to view the Help text. The [↑] and [↓] arrow
keys are used to view additional Help information, if there is more than one screen
of text. Press [LEAVE HELP] to exit the Help information screen.
Main
[MAIN] is used to return the Operator to the MAIN MENU screen.
Daily Shutdown
The Daily Shutdown procedure consists of rinsing the flow system. Whether or not
this procedure is followed on a daily basis depends on instrument usage and the
laboratory’s procedures. It may not be necessary to perform this procedure every
day because the instrument goes into a STANDBY state automatically if it has been
idle for four hours or some other duration specified by the Operator (see Automatic
Start-Up and Shutdown earlier in this section). Before the instrument enters the
STANDBY state, the flow panel is automatically rinsed.
If desired, the Operator may place the instrument in STANDBY by pressing
[DAILY SHUTDOWN] in the SPECIAL PROTOCOLS menu. When this key is
pressed or when Automatic Shutdown is initiated, the following occurs:
1. The Flow System is rinsed.
2. The timer control, which periodically opens all of the solenoid valves to
prevent pinched tubing, is set.
3. When the instrument enters the STANDBY state, the LCD backlight will turn
off after 15 minutes of non-use.
NOTE: The Operator may turn the backlight on by pressing any key on the
PC keyboard. However, the instrument must be initialized to run
patient specimens.
The Daily Shutdown cycle takes approximately 3–4 minutes.
For a more thorough cleaning of the instrument prior to Daily Shutdown, perform
the Auto Clean procedure (refer to Section 9: Service and Maintenance,
Subsection: Daily Maintenance Procedures.)
NOTES
Power OFF
When the power is required to be OFF, the Operator must perform the same
procedures described in Daily Shutdown within this section.
1. From the MAIN MENU screen, press [SPECIAL PROTOCOLS].
2. Press [DAILY SHUTDOWN].
3. When the Daily Shutdown cycle is complete, turn the instrument power
switch to OFF.
4. To restore power, follow the procedures described in Section 2: Installation
Procedures and Special Requirements, Subsection: StartUp.
NOTES
References
NOTES
Overview
Calibration is a procedure that confirms the accuracy of the CELL-DYN 1800 and
must conform to guidelines established by the regulatory and accrediting agencies
in your locality.
The instrument is initially calibrated at the factory prior to shipment. Calibration
must be confirmed during installation by the Operator. The instrument is
electronically stable and should not require frequent recalibration when it is
operated and maintained according to recommendations in this manual.
The following parameters can be calibrated:
• WBC
• RBC
• HGB
• MCV
• PLT
• MPV (Factory Calibration Only)
When to Calibrate
Scheduled calibration of the CELL-DYN 1800 must conform to the guidelines
established by regulatory agencies.
Calibration must be confirmed on a regular basis according to your laboratory’s
standards and protocols. Built-in Quality Control programs on the
CELL-DYN 1800 are designed to provide continual monitoring and confirmation
of instrument calibration. The laboratory should make the decision to recalibrate
based on the performance of the CELL-DYN 1800 System in these Quality Control
programs. The programs include statistical computations and modified Westgard
Rules for commercial or patient controls and monitoring of patient samples for
RBC parameters using Bull’s Moving Average Program (X-B).
Criteria must be established for calibration verification. Criteria to include:
• when there is a reformulation of a vendor’s reagent or when switching to a
different reagent vendor
• when indicated by quality control data
• following major maintenance or service
• when directed by an Abbott communication
• at least every 6 months
Calibration must be considered the last step in a troubleshooting sequence.
Frequent unnecessary recalibrations can mask an underlying problem with the
instrument’s performance.
NOTES
Calibration Guidelines
General Information
The CELL-DYN 1800 system analyzes two types of samples:
• Whole blood samples
• Pre-diluted samples
Calibration Methods
Calibration is performed using appropriate reference material (Calibrator) or fresh
whole blood. It is accomplished either automatically or manually, depending on the
Operator’s needs or preferences.
The automatic method is carried out using the [AUTO CAL SELECT] key. One
of the following three methods can be utilized to automatically calibrate the
instrument:
• Calibrator
• Fresh Whole Blood
• Polystyrene microspheres
Performed by an authorized Abbott representative only
The manual method requires that the Operator enter the calibration factors directly
using the [ENTER FACTOR] key. The Enter Factor Method may be preferred
when calibrating with whole blood specimens.
Calibration Materials
WARNING: Potential Biohazard. Consider all clinical specimens,
reagents, controls, surfaces, or components that contain or have contacted
blood, serum, or other bodily fluid as potentially infectious. Wear gloves,
lab coats, and safety glasses, and follow other biosafety practices as
specified in the OSHA Bloodborne Pathogen Rule (29 CFR Part
1910.1030) or other equivalent biosafety procedures.1
Commercial Calibration
For commercial calibration, follow the directions given in the package insert. Be
certain to carefully read and follow directions given for mixing and handling.
4. Mean values must be calculated for each parameter for each sample from the
reference assay results. These mean parameter values can then be entered in
the Auto Calibration program as reference values for each sample.
5. If Auto-Cal is not being used, the mean parameter values must be averaged
to obtain the cumulative mean value for each parameter. The worksheet
provided in Appendix C: Sample Logs and Worksheets can be used to assist
with calculation of the reference mean values and can be duplicated as
needed.
Reference Methods
Reference values for a Reference Whole Blood Calibration must be determined
according to the following ICSH recommendations.
HGB
Reference values for hemoglobin may be determined using either the reference
methemoglobin method or a reliably-calibrated hemoglobinometer or hematology
analyzer.
NOTE: DO NOT attempt to calibrate the CELL-DYN 1800 instrument with a
hemoglobin standard designed for the calibration of specific reference
cyanmethemoglobin methods. The instrument uses a modified
methemoglobin method which is not designed to analyze these standards
directly.
MCV
Reference values for the mean cell volume can be determined by calculation from
the reference microhematocrit and RBC measurements or from multiple analyses
on a reliably-calibrated hematology analyzer.
NOTE: Reference microhematocrit values can be determined by multiple
analyses using the CLSI/NCCLS method for Packed Cell Volume (PCV).3
Use only plain (non-anticoagulated) capillary tubes. Be certain to verify
the proper operation of the microhematocrit centrifuge and the timer as
recommended by CLSI/NCCLS.
CALIBRATION MENU
CALIBRATION
NOTES
Calibration Menu
Pre-Dilute
[PRE-DILUTE] is used to prepare the instrument for analyzing pre-diluted
samples by raising the Aspiration Probe to allow the Operator to remove the Front
Cover from the instrument and pour a diluted specimen of calibrator or fresh whole
blood into the Pre-Mixing Cup.
Auto-Cal Select
[AUTO CAL SELECT] is used to display the AUTO-CAL menu, allowing the
Operator to choose a method for calibration of the instrument. (The Operator may
choose Calibrator or Whole Blood. The [MPV LATEX] key is used only by an
authorized Abbott representative.)
Enter Factor
[ENTER FACTOR] is used to display the Enter Whole Blood Factor screen and
allows the Operator to enter calibration factors for each of the five displayed
parameters.
Print
[PRINT] is used to print the current calibration factors as shown on screen.
Help/Error
[HELP/ERROR] accesses a menu that has Softkeys for [FAULT LOG], [HELP]
and [RETURN]. If a fault is pending, when [HELP/ERROR] is pressed a list of
up to sixteen previous errors will be displayed. Otherwise, pressing [FAULT LOG]
allows the operator to view the errors.
Pressing [HELP] allows the operator to view the Help text. The [↑] and [↓] arrow
keys are used to view additional Help information, if there is more than one screen
of text. Press [LEAVE HELP] to exit the Help information screen.
Main
[MAIN] is used to return to the Operator to the MAIN MENU screen.
NOTE: The [ABANDON] key will be displayed once the calibraton is in process.
This can be used to stop the calibration process without deleting the factor
and Mean Factor for specimens already run.
Calibration Procedures
Pre-Calibration Guidelines
It is advisable to perform calibration at a time when it can be completed without
interruption. The Pre-Calibration Procedures in this subsection help verify proper
instrument performance to ensure a successful calibration. These steps must be
completed just prior to beginning the calibration process itself. If problems are
detected during these checks, do not attempt to calibrate the instrument. If
necessary, call Abbott Diagnostics Customer Service for assistance. After the
problems have been resolved, repeat the Pre-Calibration Procedures to verify
proper performance. Review the following guidelines before beginning any
calibration procedure. A checklist that can be copied is in Appendix C: Sample
Logs and Worksheets.
1. Always ensure that daily, weekly, and monthly scheduled maintenance is
current before calibrating the instrument. Instrument cleanliness is essential
for accurate calibration. Each laboratory must perform any additional
maintenance according to its requirements.
NOTE: Print the current Calibration Factors before starting calibration.
2. Use only recommended specimen tubes. See Section 1: Use or Function,
Subsection: System Components.
3. Use only the recommended CELL-DYN 1800 Reagents and CELL-DYN
Calibrator material. See Section 1: Use or Function, Subsection: Reagent
System.
4. Accurately follow CELL-DYN Calibrator package insert instructions and
ensure that the expiration date has not passed.
5. Confirm that reagent containers have enough reagent to complete calibration
procedures and replace reagent as necessary.
6. Confirm that the waste container is no more than half full—empty it if
necessary as described in Section 2: Installation Procedures and Special
Requirements, Subsection: Waste Disposal Requirements.
7. Confirm that normal Background Counts and instrument precision is within
limits. If the system has been idle for fifteen minutes or more, a normal
background should be run immediately prior to running any calibration
specimens. See Section 4: Performance Characteristics and Specifications,
Subsection: Performance Specifications.
CAUTION: If problems are detected during calibration, DO NOT
ATTEMPT TO CALIBRATE THE INSTRUMENT. If necessary, call the
local Abbott Diagnostics Customer Service for assistance. After any
problems have been resolved, repeat the calibration procedure and perform
Quality Control runs to verify proper performance.
Within-Sample Precision
Precision is a check on routine instrument operation and should always be run prior
to instrument calibration.
Samples used to verify instrument precision should have results that fall within the
laboratory’s reference interval (normal range). These samples should not display
any suspect parameter flags and should be less than four hours old.
7. The CV% will be calculated by the instrument, displayed at the bottom of the
VIEW QC LOG screen, and printed at the bottom of the Replicate File
printout. Confirm that results are within appropriate specifications.
8. If all parameters are within specifications, proceed with calibration. For
results that fall outside of appropriate specifications, refer to Section 10:
Troubleshooting and Diagnostics, Index of Error Messages and
Conditions, or contact Abbott Diagnostics Customer Service for assistance.
2. While referring to the calibrator assay sheet from the selected CELL-DYN
Calibrator kit, use the numerical keys on the PC keyboard to enter a reference
value of up to three digits for each parameter to be calibrated. As each value
is entered, the field accepts the value and the cursor automatically moves to
the next parameter. Use the arrow keys to skip a parameter. The reference or
target value must be within the factory set ranges or the value will not be
accepted.
Reference Check
Measured calibration parameter cannot exceed an allowable percentage from a
reference value.
Precision Check
Measured calibration parameter must fall within an allowable difference from the
lowest value to the highest value, known as the Precision Check limit.
2. Remove the cap from the well-mixed calibrator tube and place the tube under
the aspiration probe. Raise the tube so that the end of the probe is deeply
immersed in the calibrator material.
3. Press the Touch Plate to start the Auto Calibration cycle.
4. When the calibrator has been drawn from the tube, the probe will move up
through the Wash Block. Remove the calibrator tube and replace the cap.
5. The instrument performs RUN 1 and displays the values in the RUN 1
column. If a flow error, a clog, or other fault message appears on the display
screen during the run cycle, press [CLEAR ORIFICE].
NOTE: Do not use the displayed values from an Auto Calibration cycle to
manually calculate new calibration factors.
6. Mix the calibrator according to the directions given in the package insert.
7. Repeat steps 2, 3, and 4 for RUN 2 and RUN 3 measurements Mix the
calibrator between runs.
WARNING: Potential Biohazard. The probe is sharp and potentially
contaminated with infectious material. Avoid any contact with the probe.
> < is displayed in the Factor column and a Mean Factor will not
be calculated and displayed if the instrument fails the Precision
Check. After three qualifying runs, the instrument performs a
Precision Check for each parameter being calibrated before
determining the Factor and Mean Factor for that parameter. Refer
to Calibration Troubleshooting in Section 10: Troubleshooting
and Diagnostics.
2. Remove the cap from the specimen tube and place the tube under the
aspiration probe. Raise the tube so that the end of the probe is deeply
immersed in the specimen.
3. Press the Touch Plate to start the Auto Calibration cycle.
4. When the whole blood sample has been drawn from the tube, the probe will
move up through the Wash Block. Remove the specimen tube and replace the
cap.
5. The instrument performs RUN 1 and displays the values in the RUN 1
column. If a flow error, a clog error, or other fault message appears on the
display screen during the run cycle, press [CLEAR ORIFICE].
NOTE: The Auto Calibration Program automatically compares the results
of the first run of the whole blood specimen with the parameter
Reference Mean Values entered for that specimen to verify that the
difference is within acceptable limits. If any of the runs fails this
Reference Check, the results are highlighted and no calibration
factor will be calculated for that parameter. Refer to Calibration
Troubleshooting in Section 10: Troubleshooting and
Diagnostics.
6. Remix the specimen by inverting the tube 10 to 15 times
7. Repeat steps 2, 3, and 4 for RUN 2 and RUN 3 measurements. Mix the whole
blood specimens between runs.
8. After three qualifying runs, the instrument automatically calculates the
Factor and Mean Factor for each parameter to be calculated.
NOTE: If after three runs the Factor and Mean Factor have not been
calculated, it may be due to one of the following conditions:
> < is displayed in the Factor column and a Mean Factor will not
be calculated and displayed if the instrument fails the Precision
Check. After three qualifying runs, the instrument performs a
Precision Check for each parameter being calibrated before
determining the Factor and Mean Factor for that parameter. Refer
to Calibration Troubleshooting in Section 10: Troubleshooting
and Diagnostics.
10. Press [VIEW QC LOG] then [PRINT QC LOG] to print the Summary
Report for the selected replicate file.
11. Press [RETURN] to return to the MAIN MENU screen, then press
[CALIBRATION] to display the Whole Blood Open Sample Factors screen.
12. Press [PRINT] to obtain a copy of the current calibration factors that will be
used in determining the new Calibration Factors.
13. To determine the New Calibration Factor:
Use the Reference Mean Values determined in steps 3 through 8. Enter this
information in the Enter Factor Calibration Worksheet provided in
Appendix C: Sample Logs and Worksheets to calculate the new Calibration
Factor for each parameter as follows:
Calibrator Calibration:
Calibrator Mean x Current Open Mode New Open Mode
=
CELL-DYN Mean Calibration Factor Calibration Factor
For example, if the Reference Mean Value for WBC is 6.6, the CELL-DYN
Mean for WBC is 7.1, and the current Calibration Factor is 0.98, then:
Use the Reference Mean Values determined in steps 3 through 8. Enter this
information in the Enter Factor Calibration Worksheet provided in
Appendix C: Sample Logs and Worksheets to calculate the new Calibration
Factor for each parameter as follows:
For example, if the Reference Mean Value for WBC is 6.6, the CELL-DYN
Mean for WBC is 7.1, and the current Calibration Factor is 0.98, then:
Overview
The Pre-Dilute Calibration Method prepares the CELL-DYN 1800 to accurately
measure pre-diluted specimens. The procedure for calibrating the Pre-Dilute Mode
and the type of specimens used are similar to the Calibrator and Fresh Whole Blood
Methods described earlier in this section. However, for Pre-Dilute Calibration each
calibration specimen is pre-diluted, using one of the following two methods:
1. Automated Pre-Dilute Method with CELL-DYN Counting Cups using the
[1/250 DILUTION] key from the SPECIAL PROTOCOLS menu.
NOTE: DO NOT use the [1/250 DILUTION] Method to calibrate the
instrument unless you also intend to use the [1/250 DILUTION]
Method to run pre-diluted patient specimens.
2. Manual Method with 40 µL (microliter) end-to-end micropipettes and
CELL-DYN Counting Cups using the [10 mL DISPENSE] key from the
SPECIAL PROTOCOLS menu
NOTE: Use only CELL-DYN Counting Cups. Using other cups may cause
spurious results.
Each of these methods is discussed in this subsection.
Calibrator
To determine calibrator reference values for the Pre-Dilute Calibration Mode, use
the appropriate three-digit reference assay values from the sheet enclosed with the
calibrator material.
6. When the calibrator has been drawn from the tube, the probe will move up
through the Wash Block. Remove the calibrator tube and replace the cap.
7. Hold a clean CELL-DYN Counting Cup under the aspiration probe at a slight
angle so that the fluid dispensed from the probe flows down the side of the
cup to the bottom. If the cup is held straight, the force of the dispensing fluid
may cause fluid to splash out of the cup.
1 Fold at Crease
2 Solution
10. Repeat steps 4 through 8 two more times to obtain a total of three cups of
diluted sample.
NOTE: The pre-diluted solutions are stable for 20 minutes. Therefore, the
Operator must prepare the dilutions as efficiently as possible and
run them as soon as possible.
11. When all of the cups of diluted samples have been prepared, press [MAIN] to
return to the MAIN MENU screen. Proceed with the instructions in
Activating the Pre-Dilute Mode within this section. Then proceed with the
instructions in either Pre-Dilute Auto-Cal Procedure—Calibrator or Pre-
Dilute Enter Factor Procedure—Calibrator within this section.
6. When the sample has been drawn from the tube, the probe will move up
through the Wash Block. Remove the specimen tube and replace the cap.
7. Hold a clean CELL-DYN Counting Cup under the aspiration probe at a slight
angle so that the fluid dispensed from the probe flows down the side of the
cup to the bottom. If the cup is held straight, the force of the dispensing fluid
may cause fluid to splash out of the cup.
1 Fold at Crease
2 Solution
10. Repeat steps 4 through 8 two more times using Specimen #1 and the two
remaining cups labeled #1. Then repeat steps 4 through 8 three more time for
each of the remaining specimens [e.g., 3 cups of specimen #2, 3 cups of
specimen #3, etc.] to obtain a total of 15 diluted samples. Make sure the cups
numbers correspond to the proper specimen number.
NOTE: The pre-diluted solutions are stable for 20 minutes. Therefore, the
Operator must prepare the dilutions as efficiently as possible and
run them as soon as possible.
11. When all of the cups of diluted samples have been prepared, press [MAIN] to
return to the MAIN MENU screen. Proceed with the instructions in
Activating the Pre-Dilute Mode within this section. Then proceed with the
instructions in either Pre-Dilute Auto-Cal Procedure—Fresh Whole Blood
or Pre-Dilute Enter Factor Procedure—Fresh Whole Blood within this
section.
8. Obtain a 40-µL end-to-end micropipette. Hold the micropipette near one end,
but so that both ends are visible. Insert the tip of the other end into the
specimen. Tilt the micropipette at an angle that will allow the calibrator
material to flow completely to the opposite end.
9. Remove the micropipette from the sample and carefully roll the outside of the
micropipette across a lint-free pad slightly dampened with diluent to remove
all excess blood. Gently wipe the outside of the micropipette, if necessary. Do
not remove any of the sample from inside the micropipette while wiping the
outside.
NOTE: The micropipette is calibrated to contain exactly 40 µL of sample.
Check both ends of the micropipette to make sure that it is still
completely full of blood after the outside has been wiped.
10. Drop the filled micropipette immediately into one of the CELL-DYN
Counting Cups containing 10 mL of diluent, which were prepared in the
preceding steps. Fold the cup once at the upper crease (with the micropipette
still inside), grip in the middle of the fold, and invert a minimum of 15 to 20
times to thoroughly mix the blood and diluent. Mix until the fluid inside the
capillary is the same color as the rest of the fluid.
WARNING: Potential Biohazard. Consider all specimens and reagents,
controls, calibrators, etc. that contain human blood or serum as potentially
infectious. Use established, good laboratory working practices when
handling specimens. Wear gloves, lab coats, and safety glasses, and follow
other biosafety practices as specified in the OSHA Bloodborne Pathogen
Rule (29 CFR Part 1910.1030) or other equivalent biosafety procedures.
1 Solution
2 Micropipette
3 Fold at Crease
11. Repeat steps 7 through 10 two more times, using the two remaining cups of
diluent and two new micropipettes, to obtain a total of three diluted samples.
12. Proceed with the instructions in Activating the Pre-Dilute Mode later in this
section. Then proceed with the instructions in either Pre-Dilute Auto-Cal
Procedure—Calibrator or Pre-Dilute Enter Factor Procedure—Calibrator
within this section.
3. Obtain fifteen CELL-DYN Counting Cups and label three cups as #1, three
cups as #2, and the remaining sets of three cups as #3, #4, and #5. (Use only
CELL-DYN Counting Cups, as other cups may cause spurious results.)
4. Select one of the CELL-DYN Counting Cups labeled #1, and hold it at a
slight angle so that the fluid dispensed from the probe flows down the side of
the cup to the bottom. If the cup is held straight, the force of the dispensing
fluid may cause fluid to splash out of the cup.
5. Press [10 mL DISPENSE] to dispense 10 mL (milliliters) of diluent into the
cup.
6. Repeat steps 4 and 5 two or more times using the two remaining cups labeled
#1. Then repeat steps 4 and 5 three more times for each of the remaining four
samples to obtain a total of fifteen cups of diluent. (It may be advisable to
dispense extra 10-mL aliquots of diluent into additional CELL-DYN
Counting Cups in case extra pre-diluted samples need to be made for any
reason.)
NOTE: The pre-diluted solutions that will be prepared in the following
steps are stable for 20 minutes. It would be difficult to prepare the
total of fifteen dilutions (three from each of the five whole blood
samples) within the 20-minute stability period. Therefore, three
dilutions will be prepared of each whole blood sample and the three
will be run in the calibration method of choice (either Auto Cal or
Enter Factor), before the next three dilutions are prepared from the
next whole blood sample.
7. Mix the fresh whole blood specimens by gently inverting the tubes 10–15
times.
8. Obtain a 40-µL end-to-end micropipette. Hold the micropipette near one end,
but so that both ends are visible. Insert the tip of the other end into the sample.
Tilt the micropipette at an angle that will allow the calibrator material to flow
completely to the opposite end.
9. Remove the micropipette from the sample and carefully roll the outside of the
micropipette across a lint-free pad slightly dampened with diluent to remove
all excess blood. Gently wipe the outside of the micropipette, if necessary. Do
not remove any of the sample from inside the micropipette while wiping the
outside.
NOTE: The micropipette is calibrated to contain exactly 40 µL of sample.
Check both ends of the micropipette to make sure that it is still
completely full of blood after the outside has been wiped.
10. Drop the filled micropipette immediately into one of the CELL-DYN
Counting Cups labeled #1 containing 10 mL of diluent, which were prepared
in the preceding steps. Fold the cup once at the upper crease (with the
micropipette still inside), grip in the middle of the fold, and invert a minimum
of 15 to 20 times to thoroughly mix the blood and diluent. Mix until the fluid
inside the capillary is the same color as the rest of the fluid.
WARNING: Potential Biohazard. Consider all specimens and reagents,
controls, calibrators, etc. that contain human blood or serum as potentially
infectious. Use established, good laboratory working practices when
handling specimens. Wear gloves, lab coats, and safety glasses, and follow
other biosafety practices as specified in the OSHA Bloodborne Pathogen
Rule (29 CFR Part 1910.1030) or other equivalent biosafety procedures.
1 Solution
2 Micropipette
3 Fold at Crease
11. Repeat steps 7 through 10 two more times, using the remaining two cups
labeled #1.
Return to this step after the three dilutions have been run. Repeat steps 7
through 10 three more times for the next whole blood sample, using
appropriately labeled cups and new micropipettes. Make sure the cup
numbers correspond to the proper sample number. Proceed with the
instructions in Activating the Pre-Dilute Mode within this section. Then
proceed with the instructions in either Pre-Dilute Auto-Cal Procedure—
Fresh Whole Blood or Pre-Dilute Enter Factor Procedure—Fresh Whole
Blood within this section.
12. When all of the cups of diluted sample have been prepared, press [MAIN] to
return to the MAIN MENU screen.
2. Remove the Upper Front Cover. See Section 2: Installation Procedures and
Special Requirements, Subsection: Inspection and Tubing Installation.
CAUTION: To prevent damage to the Sample Aspiration Probe, always
confirm that the probe has been raised before attempting to remove the
Upper Front Cover.
7. When READY appears in the status box, press the Touch Plate to activate the
Pre-Dilute cycle. The instrument performs RUN 1 measurement and displays
the values in the RUN 1 column.
NOTE: The Auto Calibration program automatically compares the results
of the first run of the whole blood specimen with the parameter
reference values entered for that sample to verify that the difference
is in within acceptable limits. If any of the runs fails this Reference
Check, the results are highlighted and no calibration factor will be
calculated for that parameter.
8. Repeat steps 6 and 7 two more times using the remaining two diluted
counting cups to obtain results for RUN 2 and RUN 3. The Factor and Mean
Factor for each parameter to be calibrated are calculated by the system after
three “successful” runs. The calibration factors are saved and the instrument
is now calibrated.
If after five specimen runs the Factor and Mean Factor have not been
calibrated, it may be due to one of the following conditions:
> < is displayed in the Factor column and a Mean Factor will not be
calculated and displayed if the instrument fails the Precision Check. After
three “good” runs, the instrument performs a Precision Check for each
parameter being calibrated before determining the Factor and Mean Factor
for that parameter. Refer to Section 10: Troubleshooting and Diagnostics,
Subsection: Calibration Troubleshooting.
>>> or <<< is displayed in the Factor column and a Mean Factor is not
calculated if the instrument fails the Allowable Limits used for calculating
the Mean Factor.
7. When READY appears on the screen, press the Touch Plate to activate the
Pre-Dilute cycle. The instrument performs RUN 1 measurement and displays
the values in the RUN 1 column.
For example, if the Reference Mean Value for WBC is 6.6, the CELL-DYN
Mean for WBC is 7.1, and the current Pre-Dilute Calibration Factor is 0.98,
then:
For example, if the Reference Mean Value for WBC is 6.6, the CELL-DYN
Mean for WBC is 7.1, and the current Open Mode Calibration Factor is 0.98,
then:
References
NOTES
Overview
Limitations
The CELL-DYN 1800 is an automated, multiparameter hematology analyzer
designed for in vitro diagnostic use in the clinical laboratory.
• System components have been designed for optimal performance.
Substituting reagents, calibrators, controls, and components manufactured by
other companies may adversely affect instrument performance.
• Follow the recommended maintenance schedules and procedures as outlined
Section 9: Service and Maintenance.
• During the warranty period, all service and repair must be performed by
Abbott-authorized representatives.
Location Requirements
Once the CELL-DYN 1800 has been installed, it must be checked by a trained
Operator to verify system performance and to ensure that all system components
are functioning correctly.
Choosing a location for the instrument is an important consideration, as placement
can affect proper instrument functioning, operating safety, and ease of use.
Location requirements to consider are listed below:
• The location must have non-porous, non-absorbent work surfaces, and
flooring that can be easily cleaned and disinfected using recommended
procedures.
• Place the instrument on a hard, level surface away from:
– Patient areas
– Direct sunlight
– The path of a cooled air or heated air outlet
– Drying ovens, centrifuges, X-ray equipment, computers, video terminals,
copiers, and ultrasonic cleaners
CAUTION: Do not use mobile telephones, wireless telephones, mobile
radios, or any other radio-frequency (RF) transmitting devices in the same
room as the instrument.
NOTES
Section 8 Hazards
Overview
Warning Conventions
Signal Words
Safety Icons
NOTES
General
Automated hematology instruments require the handling of whole blood and blood
components by laboratory personnel. In addition, personnel must conduct
maintenance to ensure proper performance of the instrument. These activities
result in potential contact with infectious substances and other hazards. The
following are warnings, precautions, and standard practices to help prevent injury.
CAUTION: If the instrument is used or modified in a manner not specified
by the manufacturer, the protection provided by the instrument may be
impaired.
Biohazards
WARNING: Potential Biohazard. Consider all clinical specimens,
reagents, controls, surfaces, or components that contain or have contacted
blood, serum, or other bodily fluid as potentially infectious. Wear gloves,
lab coats, and safety glasses, and follow other biosafety practices as
specified in the OSHA Bloodborne Pathogen Rule (29 CFR Part
1910.1030)1 or other equivalent biosafety procedures.
Chemical Hazards
Prevent exposure to chemicals used in the operation and maintenance of the
CELL-DYN 1800 System (including reagents) by using appropriate personal
protective equipment, work procedures, and information on Material Data Safety
Sheets (MSDS). For information or Material Data Safety Sheets (MSDS) contact
Abbott Diagnostics Customer Service at: 1-877-4ABBOTT (1-877-422-2688).
Refer to Section 2: Installation Procedures and Special Requirements for an
installation procedure for chemical containers.
Electrical Hazards
Basic electrical hazard awareness is essential to the safe operation of any
hematology analyzer. To ensure safe operation of the CELL-DYN 1800 System:
• Periodically inspect electrical cabling into and on the instrument for signs of
wear or damage.
• When moving equipment, lift all power cables clear of all system
components.
• Keep liquids away from all electrical connectors (such as electrical outlets)
or communication connectors (such as the LIS connector COM1).
• Keep the floor dry.
• The electrical circuit spacing of the CELL-DYN 1800 System is based on
pollution degree (1) and altitude [up to 2000M (6500 ft)] as per IEC
61010-1. Pollution degree 1 is defined as an environment where there is no
pollution or only dry, non-conductive pollution.
CAUTION: If the instrument is used or modified in a manner not specified
by the manufacturer, the protection provided by the instrument may be
impaired.
NOTES
References
NOTES
Overview
The CELL-DYN 1800 has been designed to require minimal routine maintenance.
The Operator must routinely perform the scheduled maintenance procedures
described in this section in order to ensure optimum performance. Failure to
perform the scheduled maintenance procedures may result in inaccurate or
imprecise analysis of whole blood specimens.
This section describes recommended preventive maintenance procedures and
provides instructions for preparing the instrument for extended periods of
inactivity.
NOTE: After you have performed any maintenance procedure, run Background
Counts (run without specimen) until results are within specifications.
The maintenance schedule outlined on the following page will minimize
operational problems with the CELL-DYN 1800. The recommended intervals are
based on instruments operating in laboratories that process specimens from a
general patient population. These intervals are affected by several factors,
including the following:
• Number of specimens processed
• Work load schedule
• Operating environment
• Patient population being analyzed
Each laboratory must assess its own situation and modify these recommended
intervals as necessary.
A diagram of the analyzer flow panel is included in this section to assist in
component identification and location. To order any parts, accessories, or
consumables, refer to Appendix A: Parts and Accessories.
IMPORTANT: Overdue maintenance is usually indicated by an increase in
imprecision of one or more of the directly-measured parameters. This imprecision
is due to carryover or dilution/sampling inconsistencies. If this occurs on more than
a random basis, perform the appropriate maintenance more frequently than
indicated.
CAUTION: Gloves should be worn during the maintenance procedures.
They should be powder-free before performing the maintenance, as powder
may cause instrument problems.
If you encounter any trouble performing any of these procedures, contact Abbott
Diagnostics Customer Service at 1-877-4ABBOTT (1-877-422-2688).
NOTES
Daily
• Perform Daily Startup (initialize from a STANDBY state)
• Perform Daily Shutdown
Weekly
• Perform Auto Clean
• Clean the Aspiration Probe Exterior
Monthly
• Rinse the Lyse Inlet Line
• Rinse the Reagent Inlet Line
Semiannual
• Clean the Printer
As Required
• Clean the HGB Flow Cell
• Clean the Pre-Mixing Cup
• Empty Instrument Waste
• Clean/Replace the Aperture Plates
• Clean/Replace the Aspiration Probe
• Clean/Replace the Aspiration Probe Wash Block
• Clean/Replace Syringes
• Drain/Clean the Vacuum Accumulator
• Clean the Bar Code Scanner Lens
• Clean the “Y” Fitting
• Supplemental Aperture Cleaning
• Prepare the Instrument for an Extended Period of Non-Use or Shipping
NOTES
The following figure illustrates the CELL-DYN 1800 Flow Panel components that
may be inspected, cleaned, or replaced during normal maintenance procedures.
Valve Function
1-1 RBC/PLT Transducer*
Drain
1-2 RBC/PLT Count
3-2 3-1
1-3 RBC/PLT Metering Tube
Vent 8
1-4 RBC/WBC Isolator Vacuum 9
1-5 RBC/WBC Isolator Drain 3-4
1-6 RBC/WBC Backflush 3-6
2-1 WBC Metering Tube Vent
2-2 Pre-Mix Cup Bubble Mix 3-5
2-3 RBC/PLT Mixing Chamber 3-3
Bubble Mix 1-6
2-4 RBC/PLT Transducer* Fill 4-6 10
2-5 RBC/PLT Mixing Chamber
Drain
1-1
2-6 HGB Reference
2-7 HGB Sample 1 5 1-4
3-1 Probe Wash Normally 2
4-8 1-3
Closed Valve
3-2 Probe Wash Drain Vacuum 1-2
2-1
3-3 RBC/PLT Mixing Chamber
Wash 4-7
3-4 Pre-Mix Cup Fill 4-3 2-2 4
3-5 WBC Transducer* Drain
3-6 WBC Mixing Chamber Vent 4-5 7
2-3
4-3 WBC Count
12 3 2-4 6
4-4 WBC Transducer* Fill
4-5 HGB Sample/WBC Mix 2-5
Chamber Drain 1-5
4-6 Lyse Inlet/WBC Mix 4-4
Chamber Drain 2-7
4-7 WBC Mix Chamber Bubble 2-6
11 11
Mix
4-8 Pre-Mixing Cup Wash/
Sample Transfer
Assembly Name
1 WBC Transducer*
2 Pre-Mixing Cup
3 WBC Metering
4 Start Switch
5 RBC/PLT Transducer*
6 RBC/PLT Metering
7 Vacuum Isolator
8 Pre-Amplifier Module
9 Sample Aspiration Probe
10 Wash Block
11 Vent Lines
12 HGB Flowcell
For additional description of Flow Panel Assembly, see Figure 1.4 Sampling Section and Flow Panel.
Figure 9.1 CELL-DYN 1800 Flow Panel
* von Behrens transducers
NOTES
Decontamination Procedures
The OSHA Bloodborne Pathogen Rule (29 CFR Part 1910.1030)1 requires the
decontamination of laboratory equipment prior to servicing or shipment:
• Decontaminate the instrument by performing the Auto-Clean cycle. This
cycle flushes all of the fluid pathways with reagents to purge any waste from
the fluid pathways. The Sample Aspiration Probe is automatically rinsed
after every cycle. The surfaces of the instrument should be wiped with a
nonabrasive detergent solution to remove any soiling, then wiped with a
tuberculocidal disinfectant, such as a 0.5% sodium hypochlorite solution.
To calculate the percent (%) sodium hypochlorite concentration desired see the
following formula:
A = Percent (%) of sodium hypochlorite solution desired
B = Percent (%) of sodium hypochlorite stock solution (as purchased)
X = Parts of water to be mixed with one part of the sodium hypochlorite stock
solution
B-A
X =
A
Example:
If you need a 0.5% solution of sodium hypochlorite for a cleaning procedure, and
the label on the bottle of bleach states that it is 5.25% sodium hypochlorite, then:
5.25 - .5 X = 9.5
X =
.5
Add 9.5 parts deionized water to 1 part bleach to obtain a 0.5% sodium
hypochlorite solution, or for example, 9.5 mL of deionized water to 1.0 mL of
bleach (5.25% sodium hypochlorite), to obtain a 0.5% solution of sodium
hypochlorite (in the example, 10.5mL).
If the instrument is to be shipped, it must be decontaminated prior to shipment. This
is accomplished by pressing the [CLEAN FOR SHIPPING] key in the SPECIAL
PROTOCOLS menu. Instructions for this procedure are given later in this section
in Preparing the Instrument for Extended Periods of Non-Use or Shipping.
NOTES
Maintenance Log
Many of the preventive maintenance procedures required for the CELL-DYN 1800
are automated and accessed through the SPECIAL PROTOCOLS menu. The
SPECIAL PROTOCOLS menu features the following softkeys and options:
• [DAILY SHUTDOWN] prepares the instrument for short periods of
inactivity (72 hours or less) with power remaining ON, for a prolonged
period of inactivity (up to 2 weeks) with power turned OFF, and for some
maintenance operations. When the Daily Shutdown cycle is complete, the
instrument is placed in STANDBY.
• [LYSE PRIME] primes the instrument with lyse.
• [REAGENT PRIME] primes the instrument with diluent and detergent.
• [AUTO CLEAN] flushes and cleans the entire fluidics system with enzyme
solution.
• [MORE] provides access to additional maintenance functions.
• [HELP/ERROR] displays help information for the selected menu, and
allows the Operator to display any fault in the Fault Log.
• [MAIN] returns the Operator to the MAIN MENU screen.
In the MAIN MENU screen, press [SPECIAL PROTOCOLS] to access the
SPECIAL PROTOCOLS menu. There are three levels in the SPECIAL
PROTOCOLS menu. At the first two levels, the [MORE] key allows the Operator
to access a submenu. At the third level, the [MORE] key returns the Operator to
the main SPECIAL PROTOCOLS menu. A brief description of each soft key,
displayed at the bottom of the SPECIAL PROTOCOLS menu, and its function is
given below.
LEVEL 1
CLN SAMPL CLEAN DIL CLN LYSE PROBE DRAIN MORE HELP/ MAIN
SYRINGE SYRINGE SYRINGE HOME BATHS ERROR*
SYRINGE SYRINGE SYRINGE PROBE REFILL
DOWN DOWN DOWN DOWN BATHS
RESTORE SYRINGE SYRINGE
SYRINGE UP UP
RESTORE RESTORE
SYRINGE SYRINGE
LEVEL 2
HELP RETURN
FAULT LEAVE
LOG HELP
PRINT HELP
PATIENT RETURN
More
[MORE] is used to provide access to the second level of SPECIAL
PROTOCOLS menu subfunction keys.
Help/Error
[HELP ERROR] accesses a menu that has a [FAULT LOG] key, [HELP] key and
[RETURN] key. If a fault is pending, when [HELP/ERROR] is pressed a list of
up to sixteen previous errors will be displayed. Otherwise, pressing [FAULT LOG]
allows the operator to view the errors.
Pressing [HELP] allows the operator to view the Help text. The [→] arrow key is
used to view additional Help information, if there is more than one screen of text.
Press [LEAVE HELP] to exit the Help information screen.
Main
[MAIN] is used to return to the Operator to the MAIN MENU screen.
1/50 Dilution
[1/50 DILUTION] is used to make a 1-to-50 sample dilution (uses 100 µL of
sample and 5 mL of diluent). This function is for Abbott Service Representatives
only.
1/250 Dilution
[1/250 DILUTION] is used to make a 1-to-250 sample dilution when preparing
pre-diluted samples (uses 40 µL of sample and 10 mL of diluent).
10 mL Dispense
[10 mL DISPENSE] is used to dispense 10 mL of diluent when preparing pre-
diluted samples.
More
[MORE] is used to provide access to the main SPECIAL PROTOCOLS menu
subfunction keys.
Help/Error
[HELP ERROR] accesses a menu that has a [FAULT LOG] key, [HELP] key and
[RETURN] key. If a fault is pending, when [HELP/ERROR] is pressed a list of
up to sixteen previous errors will be displayed. Otherwise, pressing [FAULT LOG]
allows the operator to view the errors.
Pressing [HELP] allows the operator to view the Help text. The [→] arrow key is
used to view additional Help information, if there is more than one screen of text.
Press [LEAVE HELP] to exit the Help information screen.
Main
[MAIN] is used to return to the Operator to the MAIN MENU screen.
Materials Required
• Powder-free gloves, lab coat, safety glasses
• CELL-DYN 16 Tri-Level and CELL-DYN 22 Tri-Level Controls
• Reagents
• Printer paper, if needed
Procedure
To perform the Daily Startup Procedure, proceed as follows:
1. Check the reagent levels and replace reagent(s) as needed.
2. Empty waste as needed.
3. Check printer paper supply and add paper, if necessary.
4. Check tubing in the Normally Closed Valves for crimps; correct if necessary.
5. Check that the diluent tubing is properly connected to its inlet.
6. Check that the tubing to the lyse bottle is properly connected.
7. From the MAIN MENU screen press [PRIME/RUN] to begin the startup
cycle. When READY appears in the status box, perform the maintenance
functions, if required.
8. Press [MAIN] to return to the MAIN MENU screen, then [SPECIAL
PROTOCOLS].
9. Run Background Counts (see Section 5: Operating Instructions,
Subsection: Routine Operation) to ensure that all parameters are within
specification limits. If Background Counts remain out of range after three
runs, refer to the Error Messages and Conditions table in Section 10:
Troubleshooting and Diagnostics.
10. Perform QC runs (see Section 11: Quality Control) according to your
laboratory’s standards and protocols. If QC run results are unacceptable,
repeat QC runs. If still unacceptable, refer to Section 10: Troubleshooting
and Diagnostics.
11. Press [MAIN] to return to the MAIN MENU screen.
12. Update the Maintenance Log.
CELL-DYN® 1800 System Operator’s Manual 9-15
9140390B—December 2003
Service and Maintenance
Daily Maintenance Procedures Section 9
Materials Required
• Powder-free gloves, lab coat, safety glasses
Procedure
To perform Daily Shutdown, proceed as follows:
1. From the MAIN MENU screen press [SPECIAL PROTOCOLS].
2. Press [DAILY SHUTDOWN] to begin this cycle. PROCESS ACTIVE
appears on the screen. The Daily Shutdown cycle takes approximately three
minutes.
3. Wait for STANDBY to appear in the status box.
NOTE: When the instrument is in STANDBY the READY indicator light
is flashing.
4. Empty or replace the waste container, as needed.
5. If shutdown time will exceed 72 hours, perform the procedure outlined in
Preparing the Instrument for Extended Periods of Non-Use or Shipping
later in this section.
6. Update the Maintenance Log.
Materials Required
• Powder-free gloves, lab coat, safety glasses
Procedure
To perform prolonged shutdown, perform the Rinsing the Lyse Inlet Line and
Rinsing the Reagent Inlet Tubing procedures described in this section. Complete
the Perform Daily Shutdown Procedure described in this section, then proceed as
follows:
1. Turn the power OFF.
2. Immediately after the power is turned OFF remove the tubing in the
Normally Closed Valve at the top of the Flow Panel under the Upper Front
Cover.
3. Remove the tubing in the Normally Closed Valve on the lower Left side of
the instrument.
CAUTION: Do not forget to reinsert the tubing securely in the Normally
Closed Valves before turning the instrument back ON. Refer to Section 2:
Installation Procedures and Special Requirements, Subsection:
Inspection and Tubing Installation.
1 2
3 4
NOTES
Performing Auto-Clean
The Auto Clean option allows the Operator to drain and clean the entire fluidics
system of the instrument.
Materials Required
• Powder-free gloves, lab coat, safety glasses
• Standard specimen tube containing room temperature, undiluted Enzymatic
Cleaner
Procedure
To perform Auto Clean to drain and clear the entire fluidics system, proceed as
follows:
1. From the MAIN MENU screen press [SPECIAL PROTOCOLS].
2. Press [AUTO CLEAN] to begin the Auto Clean cycle.
3. Remove the cap from a room temperature tube of undiluted Enzymatic
Cleaner, and place the tube under the aspiration probe. Raise the tube so that
the end of the probe is deeply immersed in the Enzymatic Cleaner.
4. Press [START CLEAN]. The enzymatic solution is aspirated and the
message PROCESS ACTIVE is displayed on the screen. (The complete
cycle takes approximately seven minutes.)
5. When the enzymatic solution has been drawn from the tube, the probe will
move up through the Wash Block, and the Remove Specimen message
appears on the display screen.
6. Remove the specimen tube and replace the cap. After the cycle is completed,
the aspiration probe moves into position to accept a new specimen.
1 2 3
4 5 6
7 8 9
10 11
Procedure
To clean the aspiration probe exterior, proceed as follows:
1. With the power ON and the aspiration probe down, carefully wipe the outside
of the probe several times with a lint-free pad that has been dampened with
diluted enzymatic cleaner (one part deionized water to one part enzymatic
cleaner). Then wipe the outside of the probe with a lint-free pad that has been
dampened with deionized water.
CAUTION: Moving the probe while wiping it may require reinitialization.
1 2 3
5
4
NOTES
Materials Required
• Powder-free gloves, lab coat, safety glasses
• Paper towel
• Container of warm, deionized water
Procedure
To rinse the Lyse Inlet line, proceed as follows:
1. Remove the tubing from the Lyse Reagent Container and place the end of the
tubing into a container of warm deionized water. (The Lyse Tubing should
still be attached to the Reagent Inlet Panel.)
2. In the MAIN MENU screen, press [SPECIAL PROTOCOLS].
3. Press [LYSE PRIME] to begin the Lyse Priming cycle which flushes warm
water through the tubing.
NOTE: Disregard any Lyse Empty alarm and proceed to the next step.
4. After the fill cycle is complete, press [CLEAR ALARM], continuing to press
the key several more times after each cycle until enough water is drawn up to
rinse clean the tubing and syringe.
5. After rinsing, remove the lyse tubing from the water and place the wet end on
a paper towel. Press [CLEAR ALARM] again to cycle air through the tubing
and syringe.
6. Remove excess water from the lyse tubing and place the tubing into the Lyse
container. Check for damaged cap. If the cap is broken or cracked, replace it
with a new cap. (See Appendix A: Parts and Accessories, Subsection:
CELL-DYN Equipment, Parts, and Accessories). Press [LYSE PRIME].
1 2 3
4 5 6
7. Observe the Lyse Syringe to ensure that Lyse is flowing into the syringe.
After the fill cycle is complete, press [LYSE PRIME] again. Continue
pressing the key a few more times until enough Lyse is drawn up to fill the
Lyse tubing and syringe.
8. Press [MAIN] to return to the MAIN MENU screen.
9. Press [RUN] followed by [SPECIMEN TYPE] and [NORMAL
BACKGRND].
10. Run Background Counts (see Section 5: Operating Instructions,
Subsection: Routine Operation) until results are within appropriate
specifications. If Background Counts remain out of range after three runs,
refer to the Error Messages and Conditions table in Section 10:
Troubleshooting and Diagnostics.
11. Press [RETURN], followed by [MAIN] to return to the MAIN MENU
screen.
12. Update the Maintenance Log.
7 8 9
10 11 12
Materials Required
• Powder-free gloves, lab coat, safety glasses
• Paper towel
• Container of warm, deionized water
Procedure
To rinse either Reagent Inlet tubing, proceed as follows:
1. Remove the tubing from the Reagent Container and place the end of the
tubing into a container of warm deionized water. (The Reagent Tubing should
still be attached to the Reagent Inlet Panel.)
2. In the MAIN MENU screen, press [SPECIAL PROTOCOLS].
3. Press [REAGENT PRIME] to begin the Reagent Priming cycle which
flushes warm water through the tubing.
NOTE: Disregard any Reagent Empty alarm and proceed to the next step.
4. After the fill cycle is complete, press [CLEAR ALARM], continuing to press
the key several more times after each cycle until enough water is drawn up to
rinse clean the tubing and syringe.
5. After rinsing, remove the reagent tubing from the water and place the wet end
on a paper towel. Press [CLEAR ALARM] again to cycle air through the
tubing and syringe.
6. Remove excess water and replace the tubing into the Reagent container.
Check for damaged cap. Press [REAGENT PRIME].
1 2 3
4 5 6
7. Observe the Reagent Syringe to ensure that Reagent is flowing into the
syringe. After the fill cycle is complete, press [REAGENT PRIME] again.
Continue pressing the key a few more times until enough Reagent is drawn
up to fill the reagent tubing and syringe.
8. Press [MAIN] to return to the MAIN MENU screen.
9. Press [RUN] followed by [SPECIMEN TYPE] and [NORMAL
BACKGRND].
10. Run Background Counts (see Section 5: Operating Instructions,
Subsection: Routine Operation) until results are within appropriate
specifications. If Background Counts remain out of range after three runs,
refer to the Error Messages and Conditions table in Section 10:
Troubleshooting and Diagnostics.
11. Press [RETURN], followed by [MAIN] to return to the MAIN MENU
screen.
12. Update the Maintenance Log.
7 8 9
10 11 12
NOTES
As-Required Maintenance
The procedures provided in this section are intended for CELL-DYN 1800
instrument Operators who can perform detailed maintenance or troubleshooting
procedures relating to clinical laboratory devices and equipment. Abbott
Diagnostics suggests that new or inexperienced users obtain technical assistance
from Abbott Diagnostics Customer Service.
CAUTION: Powder from the use of some gloves may cause instrument
problems. Wear powder-free gloves when performing maintenance
procedures.
Materials Required
• Powder-free gloves, lab coat, safety glasses
• Cleaning solution of 10 mL 5% sodium hypochlorite (bleach) to 10 mL of
warm deionized water
• Hemostats
Procedure
To clean the HGB flow cell, proceed as follows:
1. From the MAIN MENU screen, press [RUN]. Ensure that the instrument has
been initialized, and READY is displayed in the status box.
Open/Remove Front Covers. (See Section 2: Installation Procedures and
Special Requirements, Subsection: Opening/Removing Front Covers,
Version A or Opening Front Covers, Version B).
2. Carefully pour the cleaning solution into the Pre-Mixing Cup.
3. Press [SPECIMEN TYPE].
4. Press [SHIFT] and the [#] key on the PC keyboard at the same time. The
GAIN ADJUST screen is displayed, and the cleaning solution in the Pre-
Mixing Cup is transferred to the WBC bath.
5. When READY is displayed in the status box, locate Valve 2-7 directly
underneath the HGB flow cell. Grip the center of Valve 2-7 (top and bottom
slots on valve plunger) with a pair of Hemostats.
1 2 3
4 5
6. While observing the solution level in the left side of the WBC bath, pull open
Valve 2–7 until 3/4 of the solution has drained out.
7. Close Valve 2–7 and allow the solution to soak for three to five minutes.
8. When the time has elapsed, open Valve 2–7 and drain the remainder of the
solution from the left side of the WBC bath. Close Valve 2-7 when WBC bath
is fully drained.
6 7
9 10
11 12
Materials Required
• Powder-free gloves, lab coat, safety glasses
• Container of deionized water
• Cotton-tipped swabs
Procedure
To clean the Pre-Mixing Cup, proceed as follows:
Open the Upper Front Cover. (See Section 2: Installation Procedures and Special
Requirements, Subsection: Opening/Removing Front Covers, Version A or
Opening Front Covers, Version B)
1. Dip the end of a cotton swab into the cup containing the deionized water.
2. Use the moistened cotton-tipped swab to clean the inside walls of the Pre-
Mixing Cup.
Close the Upper Front Cover.
1 2
3 4 5
6
4 7
Instrument waste is a common name for liquid medical waste that is produced by
a CELL-DYN 1800 instrument during blood analysis.
The waste exits the instrument through the waste outlet tubing attached to the
tubing connector port on the instrument’s left panel. Always replace the waste
container when the WASTE FULL alarm is displayed. The cap sensor is designed
to alarm when liquid is at a sufficient distance from the top; if not emptied, the
container will overflow.
Dispose of waste in accordance with local, state, and federal regulations.
For this option to function properly, it is necessary to insert the Dummy Plug into
the Sensor Connector Port. The Dummy Plug deactivates the Waste Full Sensor.
Materials Required
• Powder-free gloves, lab coat, safety glasses
• Aperture brush (included in the accessory kit)
• Small beaker or cup (50 mL)
• 20 drops of CELL-DYN Enzymatic Cleaner solution added to 20 mL of
warm deionized water OR a solution of 5 mL 5% sodium hypochlorite
(bleach) added to 15 mL of warm deionized water
• Deionized water for rinsing
NOTE: Cleaning solutions are most effective when prepared immediately
before use.
• Microscope (optional)
CAUTION: The aperture plate is a delicate instrument part that requires
special care and handling. Use only the brush provided in the accessory kit,
as other items or brushes can cause damage.
Procedure
To remove the aperture plate, which requires draining the transducer bath, proceed
as follows:
1. From the MAIN MENU screen, press [SPECIAL PROTOCOLS] followed
by [MORE] then [PROBE HOME].
Open the Upper Front Cover, and remove the Lower Front Cover.
(See Section 2: Installation Procedures and Special Requirements,
Subsection: Opening/Removing Front Covers, Version A or Opening
Front Covers, Version B)
2. Press [PROBE DOWN].
3. Locate the von Behrens RBC/PLT Transducer and the von Behrens WBC
Transducer.
1 2
4 5 6
7 8
Procedure
When the aperture plates have been removed, to clean them individually, proceed
as follows:
1. Prepare cleaning solution in a small beaker (see Materials Required).
NOTE: The cleaning solution is most effective when it is prepared each
time this procedure is performed.
2. Immerse the aperture plate in the cleaning solution for about 5 minutes.
3. Remove the aperture plate from the solution and clean debris from both sides
of the plate with an aperture brush dampened in the cleaning solution. Dab
the bristles into the center hole to dislodge any large particles.
4. Thoroughly rinse with a fine stream of deionized water.
5. Gently shake excess water from the plate before reinstalling it as directed in
the next procedure. Do not wipe or blot the aperture plate.
If possible, use a microscope to inspect the plate for debris. If debris remains,
repeat the cleaning procedure or contact Abbott Diagnostics Customer
Service (see Obtaining Technical Assistance or Parts earlier in this section).
1 2 3
4 5
Procedure
To RBC/PLT aperture plate is identified with “R/P” etched in the plate and is
installed in the von Behrens RBC/PLT transducer. To install the RBC/PLT aperture
plate, proceed as follows:
1. Position the RBC/PLT aperture plate so the notch is on the lower portion of
the edge being inserted into the transducer. Slide the aperture plate gently
back into the slot between the two chambers of the von Behrens RBC/PLT
transducer until it is fully inserted and feels secure.
NOTE: It may be necessary to widen the aperture plate slot while inserting
the plate by carefully applying gentle pressure to the impedance
transducer chamber on the right.
2. Swing the red lever all the way to your left to secure the plate in place. (There
will be slight resistance as you move the red lever.) Be sure the aperture plate
is installed before going to the next step.
1 2
Procedure
To WBC aperture plate is identified with “WBC” etched in the plate and is installed
in the von Behrens WBC transducer. To install the WBC aperture plate, proceed as
follows:
1. Position the WBC aperture plate so the notch is on the lower portion of the
edge being inserted into the transducer. Slide the aperture plate gently back
into the slot between the two chambers of the von Behrens WBC transducer
until it is fully inserted and feels secure.
NOTE: It may be necessary to widen the aperture plate slot while inserting
the plate by carefully applying gentle pressure to the impedance
transducer chamber on the right.
2. Swing the red lever all the way to your left to secure the plate in place. (There
will be slight resistance as you move the red lever.)
NOTE: Be sure both the RBC/PLT and the WBC aperture plates are
installed before pressing the [REFILL BATHS] key.
1 2
Procedure
To fill the impedance transducer baths, proceed as follows:
1. Press [REFILL BATHS]. Both transducers are refilled. Check the right-hand
chambers of both transducers to ensure they are completely filled with liquid
and that no air bubbles are visible at the top of the chambers. If air bubbles
do appear, repeat draining and refilling the bath.
NOTE: If a fault or problem due to an aperture clog persists, contact Abbott
Diagnostics Customer Service (see Obtaining Technical
Assistance or Parts earlier in this section).
2. Press [PROBE HOME].
Reattach/close the Front Cover(s). (See Section 2: Installation Procedures
and Special Requirements, Subsection: Opening/Removing Front Covers,
Version A or Opening Front Covers, Version B)
CAUTION: Running specimens with the front cover off causes erratic
results.
1 2 3
4 5
6 7
8 9
Materials Required
• Powder-free gloves, lab coat, safety glasses
• About 20 mL deionized water in a small beaker or container
• 10 drops of CELL-DYN Enzymatic Cleaner solution added to 10mL
deionized water in a small beaker or container (cleaning solution)
• 3/32" Allen wrench
• 10 mL Syringes
• Sample cup
WARNING: Potential Biohazard. The probe is sharp and potentially
contaminated with infectious materials. Avoid contact with the tip of the
probe.
Version A Procedure
To clean the aspiration probe, proceed as follows:
Open the Upper Front Cover (See Section 2: Installation Procedures and Special
Requirements, Subsection: Opening/Removing Front Covers, Version A or
Opening Front Covers, Version B)
1. Locate the silicone tubing attached to the top of the probe. Hold the 1/32"
silicone tubing to steady it and carefully pull up on the 1/16" Straight
Connector until it is free of the short tubing which remains attached to the top
of the probe. Place a sample cup beneath the probe to catch the rinse solution.
NOTE: Do not loosen the Probe Alignment Guide.
2. Fill a syringe with the cleaning solution prepared earlier. Insert the tip of the
syringe into the tubing at the top of the probe, and inject the solution to flush
the probe. Repeat the procedure using deionized water.
3. Hold the 1/32" silicone tubing to steady it and insert the 1/16" straight
connector completely into the 1/32" silicone tubing.
1 2
Figure 9.28 Cleaning the Aspiration Probe Interior Version A (steps 1–3)
4. Close the Upper Front Cover. From the MAIN MENU, press [RUN] followed
by [SPECIMEN TYPE] and [NORMAL BACKGRND].
5. Run Background Counts (see Section 5: Operating Instructions,
Subsection: Routine Operation) until results are within appropriate
specifications. If Background Counts remain out of range after three runs,
refer to the Error Messages and Conditions table in Section 10:
Troubleshooting and Diagnostics.
4 5
Figure 9.29 Cleaning the Aspiration Probe Interior Version A (steps 4–5)
6 7
Figure 9.30 Cleaning the Aspiration Probe Interior Version A (steps 6–8)
Version A Procedure
To remove the aspiration probe, proceed as follows:
1. From the MAIN MENU screen, press [SPECIAL PROTOCOLS].
2. Press [MORE] followed by [PROBE HOME]. Then open the Upper Front
Cover and press [PROBE DOWN] to lower the aspiration probe assembly
and place the probe in an accessible position.
CAUTION: Moving the probe while performing this procedure may
require initialization.
3. Locate the silicone tubing attached to the top of the aspiration probe. Hold
the probe and pull the short 1/32" tubing (attached to the probe) up until it is
free of the metal probe. The 1/16" straight connector should still be attached
to the short tubing.
4. Remove the retainer clip from the metal spacer attached to the probe.
CAUTION: Do not loosen the Allen screw on the Probe Alignment Guide.
The Alignment Guide determines the proper probe alignment and is Factory
Set. Also, do not loosen the Allen screw in the Alignment Guide of the
replacement probe.
1 2 3
4 5
Version A Procedure
To install the aspiration probe, proceed as follows:
1. Hold the probe to steady it and insert the 1/32" Silicone Tubing onto the top
of the Aspiration Probe.
2. Lower the probe through the probe assembly arm and into the top of the Wash
Block.
3. Reattach the retainer clip by snapping the bent side of the clip under the probe
arm.
Close the Upper Front Cover.
4. From the MAIN MENU screen, press [RUN] followed by [SPECIMEN
TYPE] and [NORMAL BACKGRND].
5. Run Background Counts (see Section 5: Operating Instructions,
Subsection: Routine Operation) until results are within appropriate
specifications. If Background Counts remain out of range after three runs,
refer to the Error Messages and Conditions table in Section 10:
Troubleshooting and Diagnostics.
1 2 3
4 5
6. Perform a QC Run (see Section 11: Quality Control) before running patient
specimens using CELL-DYN 16 Tri-Level or CELL-DYN 22 Tri-Level
control material.
7. Press [RETURN], followed by [MAIN] to return to the MAIN MENU
screen.
8. Update the Maintenance Log.
6 7
Version B Procedure
To clean the aspiration probe, proceed as follows:
Open the Upper Front Cover (See Section 2: Installation Procedures and Special
Requirements, Subsection: Opening/Removing Front Covers, Version A or
Opening Front Covers, Version B)
1. Locate the silicone tubing attached to the top of the probe. Remove the 1/16"
straight connector from the retainer clip by pushing the connector to the left.
Hold the 1/32" silicone tubing to steady it and carefully pull up on the 1/16"
Straight Connector until it is free of the short tubing which remains attached
to the top of the probe. Place a sample cup beneath the probe to catch the rinse
solution.
NOTE: Do not loosen the Probe Alignment Guide.
2. Fill a syringe with the cleaning solution prepared earlier. Insert the tip of the
syringe into the tubing at the top of the probe, and inject the solution to flush
the probe. Repeat the procedure using deionized water.
3. Hold the 1/32" silicone tubing to steady it and insert the 1/16" straight
connector completely into the 1/32" silicone tubing. Snap the straight
connector back into the upper part of the clip, under the tubing.
1 2
Figure 9.34 Cleaning the Aspiration Probe Interior Version B (steps 1–3)
4. Close the Upper Front Cover. From the MAIN MENU, press [RUN] followed
by [SPECIMEN TYPE] and [NORMAL BACKGRND].
5. Run Background Counts (see Section 5: Operating Instructions,
Subsection: Routine Operation) until results are within appropriate
specifications. If Background Counts remain out of range after three runs,
refer to the Error Messages and Conditions table in Section 10:
Troubleshooting and Diagnostics.
4 5
Figure 9.35 Cleaning the Aspiration Probe Interior Version B (steps 4–5)
6 7
Figure 9.36 Cleaning the Aspiration Probe Interior Version B (steps 6–8)
Version B Procedure
To remove the aspiration probe, proceed as follows:
1. From the MAIN MENU screen, press [SPECIAL PROTOCOLS].
2. Press [MORE] followed by [PROBE HOME].
Open the Upper Front Cover and press [PROBE DOWN] to lower the
aspiration probe assembly and place the probe in an accessible position.
CAUTION: Moving the probe while performing this procedure may
require initialization.
3. Locate the silicone tubing attached to the top of the aspiration probe. Remove
the 1/16" straight connector from the retainer clip by pushing the connector
to the left. Hold the probe and pull the short 1/32" tubing (attached to the
probe) up until it is free of the metal probe. The 1/16" straight connector
should still be attached to the short tubing.
4. Remove the retainer clip from the metal spacer attached to the probe.
CAUTION: Do not loosen the Allen screw on the Probe Alignment Guide.
The Alignment Guide determines the proper probe alignment and is Factory
Set. Also, do not loosen the Allen screw in the Alignment Guide of the
replacement probe.
1 2 3
4 5
Version B Procedure
To install the aspiration probe, proceed as follows:
1. Hold the probe to steady it and insert the 1/32" Silicone Tubing onto the top
of the Aspiration Probe.
2. Lower the probe through the probe assembly arm and into the top of the Wash
Block.
3. Reattach the retainer clip by snapping the bent side of the clip under the probe
arm. Snap the straight connector back into the upper part of the clip, under
the tubing.
Close the Upper Front Cover.
4. From the MAIN MENU screen, press [RUN] followed by [SPECIMEN
TYPE] and [NORMAL BACKGRND].
5. Run Background Counts (see Section 5: Operating Instructions,
Subsection: Routine Operation) until results are within appropriate
specifications. If Background Counts remain out of range after three runs,
refer to the Error Messages and Conditions table in Section 10:
Troubleshooting and Diagnostics.
1 2 3
4 5
6. Perform a QC Run (see Section 11: Quality Control) before running patient
specimens using CELL-DYN 16 Tri-Level or CELL-DYN 22 Tri-Level
control material.
7. Press [RETURN], followed by [MAIN] to return to the MAIN MENU
screen.
8. Update the Maintenance Log.
6 7
Materials Required
• Powder-free gloves, lab coat, safety glasses
• Container of about 50 mL of deionized water
• CELL-DYN Enzymatic Cleaner (use at room temperature but store at a
temperature between 2°C and 8°C, or between 36°F and 46°F)
• 10 mL Syringe with about 2" of tubing attached
Procedure
To remove the aspiration probe Wash Block, proceed as follows:
Open the Upper Front Cover, turn the power switch to OFF, and unplug the power
cord. Follow steps to remove the aspiration probe. (See Removing the Aspiration
Probe earlier in this section.)
1. Remove the thumbscrew that holds the Wash Block in place.
2. Pull the Wash Block off its mounting.
3. Carefully disconnect the lower line from the lower connector on the Wash
Block. Follow by disconnecting the upper line from the top of the Wash
Block.
1 2
Figure 9.40 Removing the Aspiration Probe Wash Block (steps 1–3)
Procedure
To clean the aspiration probe Wash Block, proceed as follows:
1. Prepare a container of 50 mL of deionized water mixed with five drops of
Enzymatic Cleaner.
2. Immerse the Wash Block in the solution and let it soak for 30 minutes.
3. Draw up about 3 mL of the diluted Enzymatic Cleaning solution into the
syringe with the tubing attached.
4. Remove the Wash Block from the cleaning solution, and attach the end of the
syringe tubing into one of the connectors of the Wash Block. Hold the Wash
Block over the sink with the exposed block’s openings aimed away from you.
Very lightly, dispense some of the solution through the syringe tubing into the
Wash Block until the liquid comes out of the exposed openings. Rinse and
dry the Wash Block.
1 2
3 4
Figure 9.41 Cleaning the Aspiration Probe Wash Block (steps 1–4)
Procedure
To install the aspiration probe Wash Block, proceed as follows:
1. Connect the wash lines to the Wash Block, connecting the lower wash line
first. Place the Wash Block on its mounting, leaving the thumb screw loose.
2. Reattach the fitting to the top of the probe. Replace the aspiration probe by
lowering the probe through the aspiration probe assembly arm and into the
top of the aspiration probe Wash Block.
NOTE: Make certain that the probe drops down through the Wash Block
and can move freely.
3. After the aspiration probe is placed securely and lined up through the Wash
Block, reattach the probe clip by snapping the bent side of the clip under the
probe arm.
4. Push the aspiration probe assembly arm to the right until the arm touches the
hard stop. While pushing the arm against the stop, tighten the thumbscrew on
the Wash Block.
1 2
3 4
Figure 9.42 Installing the Aspiration Probe Wash Block (steps 1–4)
5. Connect the power cord and turn the power switch ON.
6. Close the Upper Front Cover.
7. Update the Maintenance Log.
5 6
Figure 9.43 Installing the Aspiration Probe Wash Block (steps 5–7)
Cleaning/Replacing Syringes
The CELL-DYN 1800 instrument rarely requires syringe replacement. However,
syringe replacement can be required because of accidental breakage or other
unusual circumstance.
If syringe replacement is required, it is important to know the exact location of all
syringes. Syringes from left to right of the left-side panel are identifiable as shown
in the table below.
The syringe replacement procedure is provided on the following pages.
CAUTION: Use caution when performing any maintenance procedure on
the Syringe Panel as moving parts can pinch.
1 Lyse Syringe
(2.5 mL)
2 Diluent Syringe
(10 mL)
3 Sample Syringe
(100 µL)
1 2 3
Materials Required
• Powder-free gloves, lab coat, safety glasses
• A large container of 2–3 inches of deionized water
• KIMWIPES® or other lint-free absorbent pads
• Deionized water
• A small container of diluent to refill the clean syringe
Procedure
To remove the Diluent Syringe, proceed as follows:
1. Add 2 to 3 inches of deionized water to a container large enough to hold and
soak the Diluent Syringe.
2. Locate the dark plastic door on the left side of the instrument. Using the two
finger holes in the plastic door, slide the door up slightly and pull out to
expose the syringes. The Diluent Syringe is the large (10 mL) syringe in the
center.
3. From the MAIN MENU screen, press [SPECIAL PROTOCOLS].
4. Press [MORE], followed by [CLEAN DIL SYRINGE]. The syringe plunger
moves up.
1 2
3 4
5. Remove the Drive Nut at the bottom of the plunger by holding the Calibration
Block with one hand and turning the Drive Nut clockwise (when viewed from
above). Use lint-free pads to absorb excess diluent.
6. Press [SYRINGE DOWN] to move the Drive Ring down, allowing the
syringe to be removed.
7. Completely remove the two Knurl Nuts and front section of the Syringe
Holding Clamp.
8. Hold the syringe by the barrel and turn the Luer-Lok® on the syringe top
clockwise (when viewed from above) to release it from its Luer fitting.
Dispense the diluent into a sink or an appropriate waste container.
CAUTION: Do not pull the syringe toward yourself. Gently pull the
Diluent Syringe straight down until it clears the bracket.
5 6
7 8
Procedure
To clean the Diluent Syringe, proceed as follows:
1. Fill a syringe with deionized water and aspirate the water into the syringe
until it is full.
2. Dry the syringe with lint-free pads.
CAUTION: Do not pull the plunger out of the barrel as it will damage the
syringe seal. If the plunger is pulled out, you must replace the Diluent
Syringe.
1 2
Procedure
1 Luer-Lok®
2 Rod
1
3 Holding Clamp
4 Knurl Nuts 2
5 White Plug
6 Calibration Block
7 Drive Ring
8 Drive Nut
9 Clockwise 3
4
5
6
7
9
8
2. Reinstall the front section of the Syringe Holding Clamp. Secure it with the
Knurl Nuts removed earlier. Install the Knurl Nuts with the larger hole facing
the screw. Tighten the Knurl Nuts finger-tight with the beveled edge towards
the Holding Clamp.
CAUTION: Do not overtighten.
1 2 3
4 5 6
7 8 9
10 11
Materials Required
• Powder-free gloves, lab coat, safety glasses
• Replacement Diluent Syringe
Procedure
To replace the Diluent Syringe, proceed as follows:
1. Remove the Diluent Syringe from the instrument as described in steps 2
through 8 of the Removing the Diluent Syringe procedure.
2. Install the new syringe in its Luer-Lok fitting by turning it counterclockwise
(when viewed from above) until it is finger-tight.
CAUTION: Do not overtighten.
3. Press [SYRINGE UP] so that the Calibration Block rests on top of the Drive
Ring.
4. Reinstall the front section of the Syringe Holding Clamp. Secure it with the
Knurl Nuts removed earlier. Tighten the Knurl Nuts finger-tight with the
beveled edge toward the Holding Clamp.
CAUTION: Do not overtighten.
1 2 3
4 5 6
5. Install the Drive Nut with the spacer (the long narrow end) facing up. Tighten
the large Drive Nut to finger-tight while holding the Calibration Block.
CAUTION: Do not overtighten. A small gap between the plunger holder
and the Drive Nut is normal.
7. Reinstall the dark plastic door on the left side of the panel of the instrument
which covers the syringes.
8. Press [MAIN] to return to the MAIN MENU screen.
9. Press [RUN] followed by [SPECIMEN TYPE] and [NORMAL
BACKGRND]. Using the Touch Plate, run two to three Background Counts.
Watch the syringe action to make sure it fills and dispenses completely. Run
Background Counts (see Section 5: Operating Instructions, Subsection:
Routine Operation) until results are within appropriate specifications. If
Background Counts remain out of range after three runs, refer to the Error
Messages and Conditions table in Section 10: Troubleshooting and
Diagnostics.
7 8 9
10 11 122
Materials Required
• Powder-free gloves, lab coat, safety glasses
• A large container of deionized water
• Replacement Sample Syringe
• 7/64" Allen wrench
Procedure
To remove the sample syringe, proceed as follows:
1. Add 2 to 3 inches of deionized water to a container large enough to hold and
soak the Sample Syringe.
2. Locate the dark plastic door on the left side of the instrument. Using the two
finger holes in the plastic door, slide the door up slightly and pull out to
expose the syringes. The Sample Syringe is the thin (100 µL) syringe on the
right.
3. From the MAIN MENU screen, press [SPECIAL PROTOCOLS].
4. Press [MORE] followed by [CLN SAMPL SYRINGE].
1 2
3 4
5. Using a 7/64" Allen wrench, loosen and remove the Allen screw.
6. Press [SYRINGE DOWN] to move the Drive Ring down, allowing the
syringe to be removed.
7. When the syringe comes to a stop, gently push up on the plunger until it clears
the Drive Ring.
8. Hold the syringe by the glass barrel and turn it clockwise. Pull down to
remove the syringe.
CAUTION: Do not pull the syringe toward yourself. Gently pull the
Sample Syringe straight down until it clears the bracket.
NOTE: If there are saline crystals around the Luer-Lok fitting of the
syringe, soak the entire syringe in deionized water for five minutes.
Then, gently pull the plunger rod completely out of the barrel and
allow both pieces to soak for a few minutes.
CAUTION: Do not touch the tip of the plunger with your hands. Do not
pull or push the plunger when it is dry.
5 6
7 8
Procedure
To clean the Sample Syringe, proceed as follows:
1. Rinse the syringe in clean deionized water. Insert the plunger into the barrel
of the syringe and push it all the way forward. (If the syringe needs to be
replaced, a new syringe may be installed.)
NOTE: Before installing a new Sample Syringe, remove the plunger
adapter by unscrewing it (clockwise) from the bottom of the
plunger. Note the location of the split lockwasher and ensure it is in
place when reinstalling the new syringe. Screw the plunger adapter
from the old syringe into the new syringe.
2. Draw deionized water into the syringe so that the entire syringe is filled and
the plunger is withdrawn as far as possible. Push the plunger in all the way.
1 2
Procedure
To install the Sample Syringe, proceed as follows:
1. Remove the Sample Syringe from the instrument as described in steps 1
through 8 of the Cleaning/Replacing the Sample Syringe procedure.
Reinstall the syringe into the Luer-Lok® fitting by turning the barrel
counterclockwise (when viewed from above) to finger-tight.
CAUTION: Do not overtighten.
2. Push the plunger adapter into the Drive Ring hole, then press [RESTORE
SYRINGE]. Guide the syringe through the Drive Ring and the Drive Ring
moves up. Adjust the position of the plunger adapter so that the white plunger
head is slightly touching the top of the glass barrel.
3. Using a 7/64" Allen wrench, tighten the Allen screw.
CAUTION: Do not overtighten.
1 2
3 4
5 6 7
8 9
Materials Required
• Powder-free gloves, lab coat, safety glasses
• Large container of deionized water
• Replacement Lyse Syringe
• 7/64" Allen wrench
Procedure
To remove the Lyse syringe, proceed as follows:
1. Add 2 to 3 inches of deionized water to a container large enough to hold and
soak the Lyse Syringe.
2. Locate the dark plastic door on the left side of the instrument. Using the two
finger holes in the plastic door, slide the door up slightly and pull out to
expose the syringes. The Lyse Syringe is the medium (2.5 mL) syringe on the
left.
3. From the MAIN MENU screen, press [SPECIAL PROTOCOLS].
4. Press [MORE] followed by [CLN LYSE SYRINGE].
1 2
3 4
5. Using a 7/64" Allen wrench, loosen and remove the Allen screw.
6. Press [SYRINGE DOWN] to move the Drive Ring down, allowing the
syringe to be removed.
7. When the syringe comes to a stop, gently push up on the plunger until it clears
the Drive Ring.
8. Hold the syringe by the glass barrel and turn it clockwise. Pull down to
remove the syringe.
CAUTION: Do not pull the syringe toward yourself. Gently pull the Lyse
Syringe straight down until it clears the bracket.
5 6
7 8
Procedure
To clean the Lyse Syringe, proceed as follows:
1. Immerse the syringe in the container of deionized water prepared earlier.
Allow the syringe to soak for one or two minutes to dissolve any accumulated
salt deposits. (If the syringe needs to be replaced, a new syringe may be
installed.)
NOTE: Before installing a new Lyse Syringe, remove the Plunger Adapter
by unscrewing it (clockwise) from the bottom of the plunger. Note
the location of the split lockwasher and ensure it is in place when
reinstalling the new syringe. Screw the Plunger Adapter from the
old syringe into the new syringe.
2. While the syringe is still immersed, remove the plunger from the barrel.
Allow the syringe and plunger to soak for five minutes.
CAUTION: Do not touch the tip of the plunger with your hands. Do not
pull or push the plunger when it is dry.
3. Remove the plunger and syringe from the container and thoroughly rinse
each with clean deionized water.
4. Reassemble the syringe by inserting the plunger all the way into the barrel.
1 2
3 4
Procedure
To install the Lyse Syringe, proceed as follows:
1. Remove the Lyse Syringe from the instrument as described in steps 2 through
8 of the Cleaning/Replacing the Lyse Syringe procedure.
2. Reinstall the syringe into the Luer-Lok® fitting by turning the barrel
counterclockwise (when viewed from above) to finger-tight.
CAUTION: Do not overtighten.
1 2 3
4 5 6
7 8 9
10 11
1 2
3 4
Figure 9.63 Checking for Liquid in the Vacuum Accumulator (steps 1–4)
1 2
3 4
Figure 9.64 Draining and Cleaning the Vacuum Accumulator (steps 1–4)
5 6
7 8
Figure 9.65 Draining and Cleaning the Vacuum Accumulator (steps 5–8)
Materials Required
• Powder-free gloves, lab coat, safety glasses
• Cotton-tipped swabs
• Container of about 50 mL of deionized water or denatured alcohol
• Lint-free cloth
Procedure
To clean the Bar Code Scanner Lens, proceed as follows:
1. Dampen a cotton swab with deionized water or denatured alcohol.
2. Gently swab the Bar Code Scanner lens.
3. Dry the lens with a lint-free cloth before scanner use.
NOTE: Do not use cleaning materials that may scratch the lens.
1 2
Figure 9.66 Cleaning the Bar Code Scanner Lens (steps 1–3)
Materials Required
• Powder-free gloves, lab coat, safety glasses
• 25% cleaning solution
• Small beaker
• 10 mL syringes
• Plastic disposable pipettes
Procedure
To clean the “Y” fitting, proceed as follows:
1. From the MAIN MENU screen, press [RUN]. Ensure that the instrument has
been initialized, and READY is displayed in the status box. Press [MAIN] to
return to the MAIN MENU screen.
2. From the MAIN screen, press [SPECIAL PROTOCOLS].
3. Press [MORE].
4. Press [PROBE HOME].
Open/Remove Front Cover(s). (See Section 2: Installation Procedures and
Special Requirements, Subsection: Opening/Removing Front Covers,
Version A or Opening Front Covers, Version B)
5. Carefully remove the liquid inside the Pre-Mixing Cup with a disposable
pipette and discard according to local, state, and federal regulations.
1 2 3
4 5
6 7 8
9 10 112
12 13 14
15 16 17
Materials Required
• Powder-free gloves, lab coat, safety glasses
• Undiluted, unscented household bleach
• Add 9.5 parts deionized water to 1 part bleach to obtain a 0.5% sodium
hypochlorite solution, or for example, 9.5 mL of deionized water to 1.0 mL
of bleach (5.25% sodium hypochlorite), to obtain a 0.5% solution of sodium
hypochlorite.
• Small beaker
Procedure
To perform supplemental aperture cleaning, proceed as follows:
1. From the MAIN MENU screen, press [RUN]. Ensure that the instrument has
been initialized, and READY is displayed in the status box. Press [MAIN] to
return to the MAIN MENU screen.
Open the Upper Front Cover. (See Section 2: Installation Procedures and
Special Requirements, Subsection: Opening/Removing Front Covers,
Version A or Opening Front Covers, Version B)
2. Carefully pour 5 mL of the cleaning solution into the Pre-Mixing Cup.
1 2
3 4 5
6 7
8 9 10
11 12
The instrument is ready to run specimens. It is recommended that the RBC and
WBC count times be recorded for future reference, to monitor protein build-up in
the apertures.
Materials Required
• Powder-free gloves, lab coat, safety glasses
• Cotton gauze pads
• 250 mL containers for rinsing tubing (2)
• Two beakers, each filled with about 150 mL (5 oz) of deionized water
• Disinfectant (cleaning solution); a solution containing 0.5% sodium
hypochlorite. See the formula for mixing this solution under
Decontamination Procedures earlier in this section.
• Warm tap water
• Plastic bags: one each for detergent, diluent, lyse, and waste tubing
assemblies; a fifth bag is needed if the dummy plug is used.
• Packaging or cellophane tape
• Clean paper towels
• Cardboard disk drive protector
Proceed with the cleaning procedures on the following pages.
1 2 3
4 5
1 2
3 4
6. Place each length of tubing in a separate protective plastic bag and close it.
(Keep the waste line and waste sensor line together.) Place the bags in the
accessory kit.
7. Close any open covers and wipe the outer surface of the instrument with the
remainder of the disinfectant cleaning solution.
8. If required, refer to the printer manual for printer storage procedures. Update
the Maintenance Log.
5 6
7 8
NOTES
References
NOTES
Overview
The CELL-DYN 1800 continuously monitors the status of the system and displays
information about the current instrument state in the status box (top center) and in
the message field (third line down) of the display screen. If an alarm condition is
present, ALARM appears in the message field.
The following Diagnostics subsection discusses the DIAGNOSTICS menu
softkeys. The remainder of this section is devoted to the Error Messages and
Conditions table which is alphabetized for quick reference. The Calibration
Troubleshooting section is located at the end of this section.
NOTES
Diagnostics
DIAGNOSTICS MENU
DIAGNOSTICS
LEVEL 2
LEVEL 3
Initialization
[INITIALIZATION] is used to perform an Initialization cycle. During
initialization, all motors are first run through their “home” positions and all
circuitry is checked. When the cycle is completed, the system is Initialized.
[PRIME/RUN] must be pressed to bring the instrument to the READY state.
Raw Data
[RAW DATA] is used to display the raw measurement data for the last specimen
analyzed.
Count Test
[COUNT TEST] is used to run specimens and display count check data without
returning to the RUN menu. This key changes to [PRE-DIL TEST] when Pre-
Dilute Mode has been selected, and to [ELEC BKGD TEST] when Electrical
Background has been selected as the specimen type. The prompt Press Sample
Switch when ready or Press asterisk to cancel this
function is displayed in the upper left corner of the screen. Coded data relating
to specific cycle functions, raw measurement, and flow count time are displayed
for use in troubleshooting or service.
More
[MORE] displays a new menu and new soft keys that allow the Operator to
perform additional diagnostics to assist in troubleshooting. This key performs the
same function on all diagnostics menus: Level 1, Level 2, and Level 3.
More (Level 1)
When [MORE] is pressed at the first level of the DIAGNOSTICS menu, the
second of four DIAGNOSTICS menu screens is displayed. The following keys are
displayed:
• [WBC HISTOGRAM]
• [RBC HISTOGRAM]
• [PLT HISTOGRAM]
• [SMOOTHING OFF] / [SMOOTHING ON] (toggles between choices)
• [MORE]
• [PRINTER OUTPUT]
• [HELP/ERROR]
• [MAIN]
WBC Histogram
[WBC HISTOGRAM] is used to display the lysate-modified white cell count
(numeric) data accumulated in each of 256 size channels. Each line contains data
for 16 channels. For example, line one data is for channels 1 to 16, line two data is
for channels 17 to 32, etc. Each size channel equals 1.758 femtoliters.
RBC Histogram
[RBC HISTOGRAM] is used to display the red blood cell count (numeric) data
accumulated in each of 256 size channels. Each line contains data for 16 channels.
For example, line one data is for channels 1 to 16, line two data is for channels 17
to 32, etc. Each size channel equals 1 femtoliter.
PLT Histogram
[PLT HISTOGRAM] is used to display the platelet count (numeric) data
accumulated in each of 256 size channels. Each line contains data for 16 channels.
For example, line one data is for channels 1 to 16, line two data is for channels 17
to 32, etc. Each size channel equals 0.1367 femtoliters.
NOTE: All three histograms are displayed and printed as numeric data only.
Smoothing Off/On
This key toggles between [SMOOTHING OFF] and [SMOOTHING ON]. This
key is used to change the histogram display status. When smoothing is OFF and a
histogram key is pressed, raw histogram data is shown. When smoothing is ON and
a histogram key is pressed, normalized and threshold-edited histogram data is
shown. The number of the peak channel is also shown.
More (Level 2)
When [MORE] is pressed at the second level of the DIAGNOSTICS menu screen,
the third of four DIAGNOSTICS menu screens is displayed.
The following keys are displayed:
• [PROBE HOME] / [PROBE DOWN] (toggles between choices)
• [PROBE UP] / [PROBE DOWN] (toggles between choices)
• [MORE]
• [PRINTER OUTPUT]
• [HELP/ERROR]
• [MAIN]
Probe Home
[PROBE HOME] is used to check the homing operation of the probe mechanism.
When pressed, this key is highlighted and changes to [PROBE DOWN].
Probe Up
[PROBE UP] is used to check the up and down motion of the probe mechanism.
When pressed, this key is highlighted and changes to [PROBE DOWN].
More (Level 3)
When [MORE] is pressed at the third level of the DIAGNOSTICS menu, the
fourth of four DIAGNOSTICS menu screens is displayed. The following keys are
displayed:
• [SYSTEM STATUS] / [CLEAR ALARM] (toggles between choices)
• [FAULT REPORT]
• [SERVICE HEX CODES]
• [SERVICE DEC CODE]
• [MORE]
• [PRINTER OUTPUT]
• [HELP/ERROR]
• [MAIN]
System Status
[SYSTEM STATUS] displays or prints the current alarm status of the system.
Fault Report
[FAULT REPORT] displays a new screen that allows the Operator or service
personnel to review or print the current fault status. Whenever the message Not
Ready: See Diagnostics is displayed in the System Status Box, it is
directing the Operator to go to the DIAGNOSTICS menu and press this key.
More
When [MORE] is pressed at the fourth level of the DIAGNOSTICS menu, the
Operator is returned to the main DIAGNOSTICS menu.
Help/Error
[HELP ERROR] accesses a menu that has a [FAULT LOG] key and [HELP] key.
If a fault is pending, when [HELP/ERROR] is pressed a list of up to sixteen
previous errors will be displayed. Otherwise, pressing [FAULT LOG] allows the
operator to view the errors.
Pressing [HELP] allows the operator to view the Help text. The [↑] and [↓] arrow
keys are used to view additional Help information, if there is more than one screen
of text. Press [LEAVE HELP] to exit the Help information screen.
Main
[MAIN] is used to return the Operator to the MAIN MENU screen.
NOTES
Troubleshooting
Introduction
Understanding normal instrument operation is essential for identifying and
resolving operational problems. Effective troubleshooting requires a logical, step-
by-step approach to problem solving. Logical troubleshooting can be divided into
three steps as follows:
1. Problem Identification—requires the Operator to investigate not only what
is wrong but also to note what is right. The investigation should identify the
problem area and eliminate areas that are working correctly. Once this step is
done, move to the next step.
2. Problem Isolation—further classifies an instrument problem. These
problems are generally divided into three categories:
• Measurement related to sample analysis
• Software related
• Hardware component related
Typically, hardware and software problems are Operator-correctable with
technical assistance. Measurement problems are generally Operator-
correctable and are further subdivided into problems related to sample
handling, maintenance, or calibration.
3. Corrective Action—involves taking appropriate steps to correct the
problem. If the Operator can correct the problem, with or without technical
assistance, normal operation can quickly resume.
Customer Service
Technical assistance is available in the U.S. 24 hours a day, seven days a week by
calling Abbott Diagnostics Customer Service at:
1-877-4ABBOTT (1-877-422-2688)
For customer support in Canada, call:
1-800-387-8378
For customers outside the U.S. and Canada, call your local Hematology Customer
Support Representative.
For correspondence, the address in the U.S. is:
Abbott Diagnostics Division
Customer Service
200 Abbott Park Road
Abbott Park, IL 60064, USA
Troubleshooting Procedures
The procedures in this section are for troubleshooting purposes only. A specific
procedure must be performed when indicated in this chapter or at the request of
Abbott Diagnostics Customer Service.
Power ON Procedure
The power ON procedure is as follows:
1. Verify that all components are properly installed (for example, syringes, etc.).
2. Verify that all reagents are properly installed.
3. Verify that all necessary cables and power cords are properly connected.
4. Verify that the instrument’s covers are properly installed.
5. If the instrument power has been turned OFF, verify that the fault or error has
been corrected before turning the instrument power back ON.
6. Turn the power switches ON in the following order:
a. Instrument
b. Printer
When the UNINITIALIZED message appears in the status box on the MAIN
MENU screen, prime the instrument. Follow the Startup procedures as defined in
Section 5: Operating Instructions, Subsection: Instrument Start Up.
Replacing Reagents
If a reagent (or reagents) is suspected as the cause of a particular problem, replace
the reagent.
NOTE: To prime the instrument with replaced reagents, See Section 9:
Service and Maintenance, Subsection: Special Protocols Menu.
Replaceable Components
Procedures are given in Section 9: Service and Maintenance for those
components that can be replaced by the Operator.
WARNING: Potential Biohazard. Components can be contaminated
with infectious materials. Wear appropriate personal protective equipment
and follow biosafety practices as specified in the OSHA Bloodborne
Pathogen Rule (29 CFR 1910.1030)1 or equivalent biosafety procedures.
Valve Function
1-1 RBC/PLT Transducer*
Drain 3-2 3-1
1-2 RBC/PLT Count
1-3 RBC/PLT Metering Tube
8
Vent
1-4 RBC/WBC Isolator 9
Vacuum
3-4
1-5 RBC/WBC Isolator Drain 3-6
1-6 RBC/WBC Backflush
2-1 WBC Metering Tube Vent 3-5
2-2 Pre-Mixing Cup Bubble 3-3
Mix 1-6
2-3 RBC/PLT Mixing Chamber
4-6 10
Bubble Mix 1-1
2-4 RBC/PLT Transducer* Fill
2-5 RBC/PLT Mixing Chamber 1 5 1-4
Drain
2-6 HGB Reference 2 1-3
2-7 HGB Sample
4-8
1-2
3-1 Probe Wash Normally 2-1
Closed Valve
3-2 Probe Wash Drain 4-7
Vacuum 4-3 2-2 4
3-3 RBC/PLT Mixing Chamber
Wash 4-5 2-3 7
3-4 Pre-Mixing Cup Fill 12 3 2-4 6
3-5 WBC Transducer* Drain
3-6 WBC Mixing Chamber 2-5
Vent
1-5
4-3 WBC Count 4-4
4-4 WBC Transducer* Fill
2-7
4-5 HGB Sample/WBC Mix 11 11
2-6
Chamber Drain
4-6 Lyse Inlet/WBC Mix
Chamber Drain
4-7 WBC Mixing Chamber
Bubble Mix
4-8 Pre-Mixing Cup Wash/
Sample Transfer
Assembly Name
1 WBC Transducer*
2 Pre-Mixing Cup
3 WBC Metering
4 Start Switch
5 RBC/PLT Transducer*
6 RBC/PLT Metering
7 Vacuum Isolator
8 Pre-Amplifier Module
9 Sample Aspiration Probe
10 Wash Block
11 Vent Lines
12 HGB Flowcell
Data Problems
Background data is unacceptable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-30
“Greater than” symbols (>>>>) appear in place of HGB, WBC, RBC, or PLT results . . . . . . . . . . . . .10-31
Consistently low values (short sample) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-32
GRAN R3 or RM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-33
GRAN R4 or RM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-33
High MCV with high MCHC results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-33
High MCV with low MCHC (or high MCH) results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-34
High PLT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-34
High WBC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-34
Imprecise or inaccurate patient results, even after changing (or installing) reagents. . . . . . . . . . . . . . .10-35
Imprecise results (poor precision) due to inconsistent bubble mixing in the mixing chambers. . . . . . .10-35
Inaccurate HGB readings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-36
Inaccurate patient results with different Operator running the same specimen . . . . . . . . . . . . . . . . . . .10-36
Inaccurate results due to possible undetected crack around orifice of aperture plate . . . . . . . . . . . . . .10-36
Inaccurate WBC/HGB reading due to incorrect/inconsistent injection of lyse. Decreased Lyse = WBC _,
HGB _ Increased Lyse = Inaccurate Diff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-36
Low PLT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-37
Low WBC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-37
LYM R2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-37
MID R2 or RM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-37
MID R3 or RM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-38
QC specimen results exceed acceptable limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-38
Results very erratic after changing lyse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-39
Results are out-of-range immediately after calibrating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-39
Results underlined on printout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-39
Spuriously high HGB, MCH, or MCHC results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-40
Spuriously low HGB, MCH, or MCHC results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-41
Suspect Parameter Flag, LRI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-41
Suspect Parameter Flag, LRI URI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-42
Suspect Parameter Flag, LYM R0 or RM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-42
Suspect Parameter Flag, URI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-42
Suspect Population Flag, LYM R1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-43
Unreliable patient results due to drifting values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-43
WBC and/or HGB data is invalid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-43
Westgard® Rule violation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-44
X-B data are out for MCH and/or MCHC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-44
X-B data are out for MCV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-44
Screen Messages
Alarm Message Condition; Fault LED is illuminated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-45
Clog message is displayed in place of Count Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-46
Detergent Empty message is displayed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-46
Diluent Empty message is displayed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-47
Fault Message Condition displayed in status box on screen; Fault LED is illuminated . . . . . . . . . . . . 10-47
Flow Err message is displayed in place of Count Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-48
Flow Err or Clog message displayed in place of both Count Times (WBC/RBC) . . . . . . . . . . . . . 10-49
Lyse Empty message is displayed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-51
Not Ready: See Diagnostics message is displayed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-52
Pressure Limit Time-out. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-52
Results highlighted on screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-52
Status Condition message appears in message field; Fault LED is not illuminated . . . . . . . . . . . . . . . 10-52
Vacuum Limit Time-out . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-53
Waste Full message is displayed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-53
DATA Problems
Background data is unacceptable
Probable Cause(s) Corrective Action(s)
Contaminated Diluent or Detergent Use a disinfectant solution containing
0.5% sodium hypochlorite for
cleaning and disinfecting the flow
system.
Change reagent and flush system. (See
Section 9: Service and Maintenance,
Subsection: As-Required
Maintenance.)
Leave the power ON.
Repeat system flush with deionized
water.
Change diluent and detergent and
repeat system flush.
Reagents are too cold Allow reagents to warm to room
temperature. (See Section 1: Use or
Function, Subsection: Reagent
Storage.)
Rerun Background Count.
Interference from other electrical Use dedicated power source or line
devices regulator.
Relocate instrument to an area free
from interfering devices.
Press [RUN], [SPECIMEN TYPE],
and [ELECTRICL BACKGRND].
Rerun Background Count.
Verify that electrical background is zero.
Contaminated Transducer bath or Perform AutoClean procedure. (See
Aperture plate Section 9: Service and Maintenance,
Subsection: Weekly Maintenance
Procedures.)
Clean Aperture Plate. (See Section 9:
Service and Maintenance,
Subsection: As-Required
Maintenance.)
Perform Supplemental Aperture
cleaning. (See Section 9: Service and
Maintenance, Subsection:
As-Required Maintenance.)
DATA Problems
Contaminated Lyse (WBC Clean the Lyse Syringe. (See Section 9:
background only) Service and Maintenance, Subsection:
As-Required Maintenance.)
Install fresh Lyse Reagent.
Diluent was frozen Replace with new reagent.
Vacuum Accumulator contaminated Clean the Vacuum Accumulator. (See
Section 9: Service and Maintenance,
Subsection: As-Required
Maintenance.)
“Greater than” symbols (>>>>) appear in place of HGB, WBC, RBC, or PLT results
Probable Cause(s) Corrective Action(s)
Data exceeds absolute or linear range For HGB or RBC, proceed as follows:
for that parameter 1. Dilute a 0.5 mL aliquot of well-
mixed whole blood with 0.5 mL
diluent (1:2 dilution) in a
specimen tube approved for use
on the instrument.
2. Close the container and invert it
10 to 15 times to mix.
3. Run the specimen as usual.
4. Multiply the RBC and HGB result
by 2 to obtain a reportable value.
For WBC or PLT, proceed as follows:
1. Dilute a 0.5 mL aliquot of well-
mixed whole blood as required in
a specimen tube approved for use
on the instrument.
for result,
Volume Volume dil multiply
Blood Diluent by:
DATA Problems
Consistently low values (short sample)
Probable Cause(s) Corrective Action(s)
The specimen tube contains too little Small amounts of blood must be run in
blood for sampling duplicate to confirm results; redraw if
necessary.
Check to see if the sample is being
deposited in the Pre-Mixing Cup.
A blockage of the Sample Aspiration Perform Auto Clean (See Section 9:
Probe has occurred Service and Maintenance,
Subsection: Weekly Maintenance
Procedures.) If problem persists,
repeat Auto Clean procedure.
Check if the delivery is in spurts, or if
a drop remains on the end of the probe.
Clean Sample Aspiration Probe. (See
Section 9: Service and Maintenance,
Subsection: As-Required
Maintenance.)
Drawing in of air somewhere in Check specimens for clots.
tubing or fitting Check probe for blood clots.
Check probe for damage (bent or
crimped).
Clean or replace the Sample
Aspiration Probe.
Check for loose tubing at top of probe.
Pre-Mixing Cup is not draining Clean the Pre-Mixing Cup. (See
Section 9: Service and Maintenance,
Subsection: As-Required
Maintenance.)
Clean the “Y” fitting. (See Section 9:
Service and Maintenance,
Subsection: As-Required
Maintenance.)
Solenoid or One-way Valve from Exercise Solenoid.
diluent may be malfunctioning Call Abbott Diagnostics Customer
Service.
DATA Problems
GRAN R3 or RM
Probable Cause(s) Corrective Action(s)
Shift in WBC cell distribution due to Re-run specimen after 20 minutes of
EDTA anticoagulant equilibration. collection; redraw if necessary.
Granulocytosis If flag persists, check stained smear to
Neutropenia confirm differential.
Eosinophilia Check specimen for clots or
agglutination.
Agranular neutrophils
Bands
GRAN R4 or RM
Probable Cause(s) Corrective Action(s)
Shift in WBC cell distribution due to Re-run specimen after 20 minutes of
EDTA anticoagulant equilibration. collection; redraw if necessary.
Hypersegmented neutrophils If flag persists, check stained smear to
Granulocytosis confirm differential.
Neutropenia Check specimen for clots or
agglutination.
Immature granulocytes
High MCV with high MCHC results
Probable Cause(s) Corrective Action(s)
Electronic malfunction Turn instrument power OFF.
Wait 30 seconds.
Turn instrument power ON.
If required, call Abbott Diagnostics
Customer Service.
DATA Problems
High MCV with low MCHC (or high MCH) results
Probable Cause(s) Corrective Action(s)
Impedance Aperture blockage Press [CLEAR ORIFICE].
Perform Auto-Clean. (See Section 9:
Service and Maintenance,
Subsection: Weekly Maintenance
Procedures.)
Clean Aperture Plate. (See Section 9:
Service and Maintenance,
Subsection: As-Required
Maintenance.)
Perform Supplemental Aperture
Cleaning. (See Section 9: Service and
Maintenance, Subsection:
As-Required Maintenance.)
High PLT
Probable Cause(s) Corrective Action(s)
Microcytic RBCs Check stained smear for possible
RBC inclusion bodies interference or sample abnormality.
WBC fragments Check specimen for hemolysis and
re-run.
Hemolysis
Cryoglobulins
High WBC
Probable Cause(s) Corrective Action(s)
Nucleated RBCs Check stained smear for possible
Platelet clumping interference or sample abnormality.
Resistant RBCs Re-run specimen; redraw if necessary.
Cryoglobulins
Monoclonal antibodies
Heparin therapy
DATA Problems
Imprecise or inaccurate patient results, even after changing (or installing) reagents
Probable Cause(s) Corrective Action(s)
Instrument was not used for a long Always prime the analyzer and run
period of time backgrounds after extended periods of
Contaminated or old reagent used nonuse.
Clean the Flow System. (See
Section 9: Service and Maintenance,
Subsection: As-Required
Maintenance.)
Old reagent mixed with fresh reagent Observe proper handling of reagents
Improper handling of reagent lines by in Section 7: Operational
Operator, causing contamination Precautions and Limitations.
DATA Problems
Inaccurate HGB readings
Probable Cause(s) Corrective Action(s)
Contamination of HGB flow cell due Perform Auto-Clean, twice, if
to sample residue (organic build up) necessary. (See Section 9: Service
and Maintenance, Subsection:
Weekly Maintenance Procedures.)
HGB Flow Cell is rinsed after each
measurement check for proper flow to
and from HGB Flow cell (adequate
draining of Pre-Mixing Cup and no
leaks in lines around HGB Flow Cell).
Clean the HGB Flow Cell. (See
Section 9: Service and Maintenance,
Subsection: Monthly Maintenance
Procedures.)
Inaccurate patient results with different Operator running the same specimen
Probable Cause(s) Corrective Action(s)
Specimen tube shaken, rather than Observe the proper handling of
gently mixed specimens in Section 5: Operating
Instructions.
Inaccurate results due to possible undetected crack around orifice of aperture plate
Probable Cause(s) Corrective Action(s)
Improperly installed Aperture Plate Replace the Aperture Plate. (See
Orifice cracked due to excessive force Section 9: Service and Maintenance,
when installed Subsection: As-Required
Maintenance.)
Other unknown causes
Inaccurate WBC/HGB reading due to incorrect/inconsistent injection of lyse. Decreased Lyse
= WBC _, HGB _ Increased Lyse = Inaccurate Diff
Probable Cause(s) Corrective Action(s)
Sticking Lyse syringes due to dried Verify Lyse reagent.
saline or bubbles in syringe Clean the Lyse Syringe. (See
Improper delivery of lyse reagent Section 9: Service and Maintenance,
Subsection: As-Required
Maintenance.)
Call Abbott Diagnostics Customer
Service.
DATA Problems
Low PLT
Probable Cause(s) Corrective Action(s)
Clotting Check specimen for clotting.
Heparin Check patient therapy.
Platelet clumping Check stained smear for possible
Giant platelets interference or sample abnormality.
Platelet satellitosis Re-run specimen.
Low WBC
Probable Cause(s) Corrective Action(s)
Clotting Check specimen for clotting.
Smudge cells Check stained smear for possible
Uremia, plus immunosuppressants interference or sample abnormality.
Check patient laboratory history.
LYM R2
Probable Cause(s) Corrective Action(s)
Shift in WBC cell distribution due to Re-run specimen after 20 minutes of
EDTA anticoagulant equilibration. collection; redraw if necessary.
Lymphocytosis If flag persists, check stained smear to
Lymphopenia confirm differential.
Blasts Check specimen for clots or
agglutination.
Variant lymphocytes
Basophilia
MID R2 or RM
Probable Cause(s) Corrective Action(s)
Shift in WBC cell distribution due to Re-run specimen after 20 minutes of
EDTA anticoagulant equilibration. collection; redraw if necessary.
Lymphocytosis If flag persists, check stained smear to
Lymphopenia confirm differential.
Blasts Check specimen for clots or
agglutination.
Variant lymphocytes
Plasma cells
Basophilia
Monocytosis
DATA Problems
MID R3 or RM
Probable Cause(s) Corrective Action(s)
Shift in WBC cell distribution due to Re-run specimen after 20 minutes of
EDTA anticoagulant equilibration. collection; redraw if necessary.
Eosinophilia If flag persists, check stained smear to
Blasts confirm differential.
Agranular neutrophils Check specimen for clots or
agglutination.
Plasma cells
Basophilia
Bands
QC specimen results exceed acceptable limits
Probable Cause(s) Corrective Action(s)
Improper mixing or handling of QC Refer to Section 11: Quality Control,
specimen Subsection: Quality Control
Procedures.
Incorrect QC setup Check that expected QC values are
Running a control in an incorrect QC entered correctly. (See Section 11:
file Quality Control, Subsection: Quality
Control Procedures.)
Verify that the control is being run into
the correct control file.
Dilution error Re-run QC specimen. If problem
persists, perform Auto Clean. (See
Section 9: Service and Maintenance,
Subsection: Weekly Maintenance
Procedures.)
Insufficient or no dilution mixing. Open the Upper Front Cover.
Dirty Aperture Plate Press the Touch Plate and observe the
bubble mix in each bath and the Pre-
Mixing Cup.
If required, call Abbott Diagnostics
Customer Service.
DATA Problems
Results very erratic after changing lyse
Probable Cause(s) Corrective Action(s)
Internal temperature beyond the Replace Lyse reagent.
stability limits of Lyse during storage Keep Lyse away from heat.
Lyse is unstable at high temperature Observe proper storage and handling.
If required, call Abbott Diagnostics
Customer Service.
Results are out-of-range immediately after calibrating
Probable Cause(s) Corrective Action(s)
Calibrators and controls degraded due Observe expiration date and storage
to improper storage requirements on label.
Expired controls and calibrators used Observe proper storage and handling
Contaminated calibrators and instructions in Section 7: Operational
controls used Precautions and Limitations.
Rerun with fresh controls.
Results underlined on printout
Probable Cause(s) Corrective Action(s)
Results are outside Operator-entered Confirm background data.
limits. Re-run specimen.
Recheck limits screen. (See Section 5:
Operating Instructions, Subsection:
Program Operation.) For QC, verify
that means and limits are correct in the
QC Setup menu, and adjust if
necessary. Verify that correct control
file number is being used.
If appropriate, view stained smear to
reconfirm count.
If the results exceed the Operator-
entered limit for WBC, RBC, HGB, or
PLT, follow established laboratory
operating procedures.
DATA Problems
Spuriously high HGB, MCH, or MCHC results
Probable Cause(s) Corrective Action(s)
WBC value >50,000 Check stained smear for possible
Lipemic or high protein sample interferences or sample abnormality.
Hyperbilirubinemia Verify Lipemia or abnormal plasma
protein in specimen. Centrifuge an
aliquot of the specimen. Remove the
plasma and replace it with an equal
volume of diluent. Resuspend the red
blood cells. Re-run specimen.
Dirty HGB Flow Cell Clean HGB Flow Cell. (See
Low HGB reference (<1800) Section 9: Service and Maintenance,
Subsection: As-Required
Maintenance.)
Change Lyse Reagent.
Low RBC, Cold Agglutinins, Check specimen for clots, recollect if
Microcytic RBCs necessary.
Review a stained smear for possible
interference or sample abnormality.
Re-run specimen.
Low MCV, Giant Platelets, Review a stained smear for possible
Cryoglobulins, Hemolysis interferences or sample abnormality.
Re-run specimen.
Electronic malfunction In the DIAGNOSTICS menu, press
[RAW DATA]. Data will display and
print.
Check the results for HGB error, HGB
sample, and verify that HGB reference
is 2000 ± 200.
If required, call Abbott Diagnostics
Customer Service.
DATA Problems
Spuriously low HGB, MCH, or MCHC results
Probable Cause(s) Corrective Action(s)
Low HGB, microclots Check specimen for clots, and re-run.
High RBC, Cryoglobulins, Giant Review a stained smear for possible
platelets, Hemolysis, High WBC interferences or sample abnormality.
Re-run specimen.
High MCV, Autoagglutination, High Verify specimen age.
WBC, swollen RBCs Recollect, and re-run specimen.
Dirty HGB flow cell Clean HGB Flow Cell. (See
Electronic malfunction Section 9: Service and Maintenance,
Subsection: As-Required
HGB lamp failing
Maintenance.)
In the DIAGNOSTICS menu, press
[RAW DATA]. Data will display and
print.
Turn instrument power OFF.
Wait 30 seconds.
Turn instrument power ON.
If required, call Abbott Diagnostics
Customer Service.
Suspect Parameter Flag, LRI
Probable Cause(s) Corrective Action(s)
Lower Region Interference, usually Perform Auto-Clean. See Section 9:
due to: Service and Maintenance,
Debris Subsection: Weekly Maintenance
Procedures.)
Contaminated reagent
If flag persists, check stained smear to
Electronic noise
confirm PLT count.
Microbubbles
Check normal background. See
Section 5: Operating Instructions,
Subsection: Routine Operation.)
Check that electrical background
results are zero.
Change reagent.
Check for interfering appliances
nearby.
Check for debris in probe, lines,
aperture.
Check for air leak in Diluent line.
DATA Problems
Suspect Parameter Flag, LRI URI
Probable Cause(s) Corrective Action(s)
Multiple region interference, usually Use actions given for LRI and URI
due to: flags.
Interference in both the upper and
lower regions of the platelet
histogram
Suspect Parameter Flag, LYM R0 or RM
Probable Cause(s) Corrective Action(s)
Shift in WBC cell distribution due to Re-run specimen after 20 minutes of
EDTA anticoagulant equilibration. collection; redraw if necessary.
Platelet clumps If flag persists, check stained smear to
Incomplete Lysis of RBCs verify WBC and confirm differential.
Nucleated RBCs Check reagents (See Section 9:
Service and Maintenance,
Giant platelets
Subsection: As-Required
Cryoglobulins Maintenance.)
Small Lymphocytes found in Chronic Massage and reseat tubing in Lyse
Lymphocytic Leukemia (CLL) Normally Closed Valve.
Fibrin clots Check the specimen for clots or
agglutination.
Suspect Parameter Flag, URI
Probable Cause(s) Corrective Action(s)
Upper Region Interference, usually Re-run specimen; redraw if necessary.
due to: If flag persists, check stained smear to
Microcytic RBCs confirm PLT count.
Schistocytes Check Lyse reagent flow and syringe
Giant platelets function.
Sickle cells Check reagents.
Platelet clumps Review the MCV and the PLT
histogram. If the MCV is low and/or
the histogram indicates an overlap in
the RBC and PLT populations, review
a stained smear to determine the cause
and confirm the PLT count.
DATA Problems
Suspect Population Flag, LYM R1
Probable Cause(s) Corrective Action(s)
Shift in WBC cell distribution due to Re-run specimen after 20 minutes of
EDTA anticoagulant equilibration. collection; redraw if necessary.
Lymphocytosis If flag persists, check stained smear to
Lymphopenia confirm differential.
Cryoglobulins Check specimen for clots or
agglutination.
Unreliable patient results due to drifting values
Probable Cause(s) Corrective Action(s)
Improper handling of reagents Observe proper handling of
Impedance count malfunctions specimens. (See Section 5: Operating
Instructions.)
Verify completion of Maintenance
Log Procedures.
Run controls and verify calibration.
Call Abbott Diagnostics Customer
Service.
WBC and/or HGB data is invalid
Probable Cause(s) Corrective Action(s)
No Lyse Reagent was added Prime Lyse Reagent. From the MAIN
MENU screen, press [SPECIAL
PROTOCOLS], then [LYSE PRIME].
Lyse Reagent Syringe malfunction Observe Lyse Syringe for proper
vertical movement.
Check Lyse Syringe for bubbles. If
bubbles are present, clean the syringe.
(See Section 9: Service and
Maintenance, Subsection:
As-Required Maintenance.)
Confirm that lyse dispenses into the
von Behrens WBC Transducer in the
prime cycle.
DATA Problems
Westgard® Rule violation
Probable Cause(s) Corrective Action(s)
Loss of precision Verify QC means and limits with assay
Loss of accuracy values.
Re-run questionable control level.
Perform a precision study and verify
calibration.
X-B data are out for MCH and/or MCHC
Probable Cause(s) Corrective Action(s)
Dirty HGB Flow Cell Clean the HGB Flow Cell. (See
Section 9: Service and Maintenance,
Subsection: As-Required
Maintenance.)
Amount or timing of lyse addition not Verify lyse reagent volume and
optimal replace if necessary. Check the Lyse
Inlet lines for crimps, cracks and
leaks. Prime the lyse reagent.
Rinse the Lyse Inlet Lines. (See
Section 9: Service and Maintenance,
Subsection: Monthly Maintenance
Procedures.)
X-B data are out for MCV
Probable Cause(s) Corrective Action(s)
Dirty aperture Clean the Aperture Plate. (See Section 9:
Service and Maintenance,
Subsection: As-Required
Maintenance.)
Osmolarity change in diluent Replace Diluent lot.
Screen Messages
Clog message is displayed in place of Count Time (continued)
Flow system blockage resulting from Verify correct reagents are installed.
pinched tubing or reagent particles Massage the tubing to remove any
may be in the Flow Panel. crimps, then reseat the tubing. (See
Section 2: Installation Procedures
and Special Requirements,
Subsection: Inspecting the Flow
Panel.)
Check Diluent Syringe installation. If
the situation continues, perform the
maintenance procedures to prepare the
instrument for shipping. (See
Section 9: Service and Maintenance,
Subsection: Preparing the
Instrument for Extended Periods of
Non-Use or Shipping.)
Detergent Empty message is displayed
Probable Cause(s) Corrective Action(s)
Detergent container is empty Install a fresh container of detergent.
Press [CLEAR ALARM].
Run a Background Count.
Incorrect reagent was installed Install proper reagent.
Verify detergent tubing is correctly
installed.
Press [CLEAR ALARM].
Detergent is not being pulled into the Massage the tubing to remove any
flow system crimps, then reseat the tubing. (See
Section 2: Installation Procedures
and Special Requirements,
Subsection: Inspection and Tubing
Installation.)
Check for crimps in the detergent line
from inside the detergent container to
the Reagent Inlet Panel.
Verify that the reagent line is
completely immersed in the reagent.
Press [CLEAR ALARM].
Screen Messages
Diluent Empty message is displayed
Probable Cause(s) Corrective Action(s)
Diluent container is empty Install a fresh container of diluent.
Press [CLEAR ALARM].
Run Background Count.
Incorrect reagent was installed Install proper reagent.
Check diluent tubing for correct
installation.
Press [CLEAR ALARM].
Run Background Count.
Diluent is not being pulled into flow Massage the tubing in the Normally
system Closed Valve to remove any crimps,
then reseat the tubing. (See Section 2:
Installation Procedures and Special
Requirements, Subsection:
Inspection and Tubing Installation.)
Verify that the reagent line is
completely immersed in the diluent.
Check for crimps in the diluent line
from inside the diluent container to the
Reagent Inlet Panel.
Verify that the Diluent Syringe Knurl
Nut is tight.
Press [CLEAR ALARM].
Diluent Syringe is loose Verify Diluent Syringe is mounted
properly.
Press [CLEAR ALARM].
Fault Message Condition displayed in status box on screen; Fault LED is illuminated
Probable Cause(s) Corrective Action(s)
Operator-correctable problems System is inoperable until Operator
takes steps to correct, and then clear
fault condition with softkey.
Screen Messages
Flow Err message is displayed in place of Count Time.
Probable Cause(s) Corrective Action(s)
Air bubbles are trapped in the dilution Press [CLEAR ORIFICE] to
baths backflush the aperture and reset the
maximum count time.
Rerun the specimen. If the situation
occurs repeatedly, go to the
SPECIAL PROTOCOLS menu and
press [MORE], followed by [DRAIN
BATHS] to drain the liquid from each
transducer.
When the process is complete, press
[REFILL BATHS]. This process
removes any bubbles trapped inside
the transducers.
Clean the Aperture Plates. (See
Section 9: Service and Maintenance,
Subsection: As-Required
Maintenance.)
Check the Diluent Syringe and the
tubing in the Diluent Normally Closed
Valve on the Flow Panel.
Normally Closed Valve tubing Remove the tubing in the Normally
pinched or not properly seated Closed Valves on the left side panel
and in the Diluent Normally Closed
Valve in the upper left corner of the
Flow Panel.
Massage the tubing to remove any
crimps.
Reseat the tubing in the valves. (See
Section 2: Installation Procedures
and Special Requirements,
Subsection: Inspection and Tubing
Installation.)
Screen Messages
Flow Err or Clog message displayed in place of both Count Times (WBC/RBC)
Probable Cause(s) Corrective Action(s)
Aperture plates installed in wrong Check aperture plate installation.
baths, and/or installed upside down Confirm that the aperture plate
marked “R/P” is installed in the von
Behrens RBC/PLT Transducer located
to the right of the probe. “WBC” is
installed in the von Behrens WBC
Transducer located to the left of the
probe.
Insufficient wetting of detergent Clear Orifice
reagent to form a good meniscus in Run three Background Counts
the metering tube Perform Auto Clean
If required, call Abbott Diagnostics
Customer Service.
Insufficient liquid in the transducer. Open/Remove Front Covers (See
Air is drawn through the aperture. Section 2: Installation Procedures
and Special Requirements,
Subsection: Opening/Removing
Front Covers, Version A or Opening
Front Covers, Version B) to gain
access to the Flow Panel.
Press the start switch. Observe the
action of the Diluent Syringe and the
fluid flow in and out of each
transducer.
If the syringe action is not complete,
clean the Diluent Syringe. (See
Section 9: Service and Maintenance,
Subsection: As-Required
Maintenance-Cleaning/Replacing
the Diluent Syringe.)
Using a wire puller, exercise solenoids
4–4 (WBC transducer fill) and 2–4
(RBC transducer fill).
If required, call Abbott Diagnostics
Customer Service.
Screen Messages
Flow Err or Clog message displayed in place of both Count Times (WBC/RBC) (continued)
Flow system leak Check the system for leaks or cracks.
Damaged aperture Check the aperture plates under a
microscope using a low-power
objective lens with external light
source. If damage is observed, replace
the aperture plate. (See Section 9:
Service and Maintenance,
Subsection: As-Required
Maintenance.)
Normally Closed Valve tubing Remove the tubing from the Normally
pinched or not seated properly Closed Valves on the left side panel
and Front Panel.
Massage the tubing to remove any
crimps.
Reseat the tubing. (See Section 2:
Installation Procedures and Special
Requirements, Subsection:
Inspection and Tubing Installation.)
Screen Messages
Lyse Empty message is displayed
Probable Cause(s) Corrective Action(s)
Lyse container is empty Install a fresh container of lyse.
Incorrect reagent was installed Install proper reagent.
Verify lyse tubing is mounted
properly.
Press [CLEAR ALARM].
No liquid was detected by the internal Confirm that the end of the lyse tubing
Lyse Sensor is immersed in reagent. When the
container is empty, replace it with a
fresh container of lyse.
Press [CLEAR ALARM].
Check the entire Lyse Inlet Tubing for
crimps.
Run a Background Count.
Lyse syringe not moving properly Verify Lyse Syringe is mounted
properly.
Clean Lyse Syringe. (See Section 9:
Service and Maintenance,
Subsection: As-Required
Maintenance.)
Press [CLEAR ALARM].
Lyse not being pulled into the flow Remove the tubing from the Lyse
system. Normally Closed Valve.
Massage the tubing to remove any
crimps, then reseat the tubing (See
Section 2: Installation Procedures
and Special Requirements,
Subsection: Inspection and Tubing
Installation.)
Press [CLEAR ALARM].
Lyse Inlet Tubing is clogged Rinse the Lyse Inlet Lines. (See
Section 9: Service and Maintenance,
Subsection: Monthly Maintenance
Procedures.)
Press [CLEAR ALARM].
Screen Messages
Not Ready: See Diagnostics message is displayed
Probable Cause(s) Corrective Action(s)
Instrument hardware malfunction In the MAIN MENU screen press
detected during routine operation or [DIAGNOSTICS], then [HELP/
initialization ERROR]. A message pertaining to
the computer-detected malfunction is
displayed with the required operation
action.
If required, call Abbott Diagnostics
Customer Service.
Pressure Limit Time-out
Probable Cause(s) Corrective Action(s)
Pressure Pump Failure Call Abbott Diagnostics Customer
Service.
Pressure Line tubing leak Call Abbott Diagnostics Customer
Service.
Unit is not being Operated within one Call Abbott Diagnostics Customer
of the Specified AC Input Voltage Service.
Ranges (See Section 2: Installation
Procedures and Special
Requirements)
Results highlighted on screen
Probable Cause(s) Corrective Action(s)
Results are outside Operator-entered Confirm background data.
limits Re-run specimen.
Review stained smear to confirm, if
possible.
Check parameter limits screen. (See
Section 5: Operating Instructions,
Subsection: Program Operation.)
Status Condition message appears in message field; Fault LED is not illuminated
Probable Cause(s) Corrective Action(s)
Operator-correctable problems, such System is operable, but Operator must
as: do tasks required by the message, and
Printer offline then clear the condition with softkey.
Out of paper
Drive not ready
Screen Messages
Vacuum Limit Time-out
Probable Cause(s) Corrective Action(s)
Vacuum Pump Failure Call Abbott Diagnostics Customer
Service.
Vacuum Line tubing leak Call Abbott Diagnostics Customer
Service.
Unit is not being Operated within Call Abbott Diagnostics Customer
one of the Specified AC Input Service.
Voltage Ranges (See Section 2:
Installation Procedures and
Special Requirements)
Waste Full message is displayed
Probable Cause(s) Corrective Action(s)
Liquid level in the waste container Remove the Waste Stopper Assembly
has tripped the sensors and empty the container.
Press [CLEAR ALARM].
Make sure the liquid is wiped from
inside the top of the cap, and the top of
the bottle to ensure seal.
Verify waste container is stored below
the instrument.
Waste Sensor Plug is not inserted Reinsert the plug into the receptacle.
completely in the lower Left Side Press [CLEAR ALARM].
Panel receptacle. An audible tone
sounds to alert the Operator.
Defective component Turn instrument power OFF.
Wait 30 seconds.
Turn instrument power ON.
If required, call Abbott Diagnostics
Customer Service.
NOTES
Calibration Troubleshooting
Results from a Calibration Run can be rejected due to a system fault or because the
results were outside a predetermined range.
Alarm Indicators
If the CLEAR ALARM message appears on the display screen, an alarm condition
is present. Action must be taken to clear the alarm before proceeding.
Clearing Alarms
If an alarm condition is present, it may be necessary to repeat the Calibration Run.
See the Index of Error Messages and Conditions earlier in this section for
information on specific alarm conditions.
Fault Indicators
If a fault occurs, one of the following Fault Indicators will appear in the Run
column for that specimen:
“K” indicates a Clog
“FE” indicates a Flow Error
If one of these Fault Indicators appears, the results for that specimen will be
excluded from the Factor and Mean Factor calculations. It may be necessary to
repeat this run.
3. If after five runs the program has not calculated a Factor and Mean Factor,
the Operator should do the following:
• Press [RETURN] to return to the main CALIBRATION menu. Parameters
which have not been calibrated will have the previous calibration method in
the Method column and the previous calibration setting in the Factor column.
Press the appropriate soft key to return to the CALIBRATOR
CALIBRATION menu, or the WHOLE BLOOD CALIBRATION menu.
Use the arrow keys to place the cursor on the parameter(s) to be calibrated
and press [←] (Enter) to select the parameter. Enter a value for that parameter
and rerun the specimens.
• If after five runs the parameter(s) has not been calibrated, obtain technical
assistance by contacting Abbott Diagnostics Customer Service.
NOTES
Printer Troubleshooting
The CELL-DYN 1800 software automatically controls and adjusts most print
conditions. Occasionally, a few settings may need to be changed in the printer
software for correct operation. If print quality is not acceptable, or to solve other
printer problems, refer to the printer manual. If the problem is not resolved, call
Abbott Diagnostics Customer Service.
Incomplete Printout
Reprint current run data from the DATA LOG menu.
Print Quality
Change the print cartridge if the print quality is light.
NOTES
NOTES
References
NOTES
Overview
Quality Control (QC) procedures are used to determine the accuracy and precision
of the CELL-DYN 1800. These procedures, carried out using commercial controls,
allow the user to consistently and accurately evaluate instrument performance,
interpret laboratory data, and ascertain acceptability of analysis results.
The information presented in this section conforms to Abbott’s recommended QC
procedures for Abbott hematology instruments. We suggest that this information be
incorporated into your laboratory’s protocol or procedures manual. Refer to your
laboratory’s standard operating procedures and/or a quality assurance plan to check
for and ensure proper instrument performance and analysis accuracy.
Abbott suggests using a logbook for documenting QC tasks and results and that
you regularly create a backup disk of all QC log files. Refer to Section 9:
Service and Maintenance, Subsection: Maintenance Log.
When to Run QC
QC testing must be conducted according to established regulations and procedures
in your particular state or country. At a minimum, however, it is suggested that QC
testing be conducted as follows:
• After Daily Startup procedures are completed
• To confirm calibration
• When a reagent lot number has been changed
• After maintenance or component replacement
• When a new software version has been installed
• When there is an unusual shift or trend in sample results
• When there is a reason to suspect data or results
QC Methods
The CELL-DYN 1800 offers the following Quality Control (QC) options for
monitoring and validating instrument performance.
Commercial Controls—Numeric data obtained for each parameter is
automatically transmitted to a designated file (Low Control, Normal Control, or
High Control) when that control file is selected.
Replicate Specimen—This option works the same as the Commercial Controls
program. The Replicate Specimen QC option is nonspecific for specimen type, so
that data can be gathered from previously run specimens, additional commercial
control material, precision specimens, and calibration verification data.
X-B Analysis—This QC option is useful for troubleshooting and confirming the
calibration of the red blood cell parameters.
Control Material
Controls usually consist of fixed blood cells with assayed ranges for each measured
parameter. CELL-DYN 16 and CELL-DYN 22 controls provide three levels—
Low, Normal, and High—for each measured parameter.
Abbott recommends using CELL-DYN 16 Tri-Level and CELL-DYN 22
Tri-Level control materials for performing Quality Control procedures on the
CELL-DYN 1800.
Quality Control
QC Setup
This subsection discusses the options available when [QC SETUP] is pressed in
the SETUP menu.
The options used to set up the QC files are available by pressing [SETUP] in the
MAIN MENU screen. The QC SETUP menu allows access to submenus where
the Operator can edit the lot number and expiration date for the selected control
files, and enter means and range values for each parameter specified on screen and
select which Westgard® Rules will be applied to Quality Control results. Parameter
results for any control run that fall outside of these entered limits are displayed in
reverse video and underlined on the printout to alert the Operator.
For details regarding setting up X-B files, Control files, and Replicate Files, see
Section 5: Operating Instructions, Subsection: Quality Control Setup.
Program Operation
CELL-DYN 1800 operations are menu-driven and activated by a membrane
keypad on the front panel of the instrument.
The QUALITY CONTROL menu allows the user to select one of the following 21
files, each one capable of holding data for up to 120 sample runs:
Four Low control files–Numbers 1, 2, 3, and 4
Four Normal control files–Numbers 1, 2, 3, and 4
Four High control files–Numbers 1, 2, 3, and 4
Nine Replicate files
All files, collectively known as the QC Log (QC LOG), are stored on the hard
drive.
QC file data can be downloaded to a floppy disk for submission to external QC
monitoring programs that compare instrument performance between different labs,
allowing you to determine the reliability of your laboratory testing. Refer to Write
QC to Disk later in this section.
QC file summary data currently stored in each file can be displayed and printed.
Each time a QC specimen is run, the number of specimens, mean, standard
deviation, and coefficient of variation for each parameter are calculated and
updated automatically in each file. The standard deviation does not show on the
screen, but does appear on printed reports. The Operator can, at any time, reject any
run with flagged (outside entered limits) data from this calculation. The Operator
can also delete any run from a QC file, or purge the entire QC file. Refer to
Rejecting/Accepting Specimens later in this section.
Westgard® Rules can be applied to the analysis of QC results, with Westgard® Rule
warnings viewable on screen and printed on reports. Levey-Jennings® graphs of
QC results can be printed. Refer to Analyzing Control Results later in this section.
This section provides information about menus and key functions as they relate to
QC procedures. For additional information about keys and their functions, refer to
Section 1: Use or Function, Subsection: System Components.
Overview
The QUALITY CONTROL (QC) menu is accessed from the MAIN MENU
screen. The QUALITY CONTROL screen displays the following (sofkeys) that
take the user to related submenus for performing specialized tasks:
[X-B FILE]
[LOW CONTROL]
[NORMAL CONTROL]
[HIGH CONTROL]
[REPLICATES]
[HELP/ERROR]
[MAIN]
NOTES
The Quality Control files contain specific specimen records that were selected for
inclusion in a particular control or replicate file prior to running those specimens.
The Operator can establish 21 QC files with each file storing a maximum of 120
runs. The QUALITY CONTROL menu allows the Operator to perform the
following functions:
• View the contents of a selected file currently stored in the QC log
• Select a QC file and view a selected sample
• View QC means and limits
• Purge QC files
• Accept and reject specimens from QC files
• Delete specimens from QC files
• Display and print Levey-Jennings graphs
• Write QC files to floppy disks
At the MAIN MENU screen, press [QUALITY CONTROL] to display the
QUALITY CONTROL menu. A brief description of each key, displayed at the
bottom of the QUALITY CONTROL menu, and its function follows.
X-B File
The [X-B FILE] key is used to display and print data and graphs for the MCV,
MCH, and MCHC parameters, including date and time for each batch. The
following functions are available when [X-B FILE] is selected. Refer to X-B
Analysis Program later in this section.
[SHOW DATA] is used to display the X-B data for RBC indices on the X-B Data
display screen. The screen displays the results for X-B batches 1–20, and the lower
and upper limits. The date and time that each batch was completed is also
displayed.
Low Control
[LOW CONTROL] is used to display the Low Control file names and the number
of specimens in each file. It also displays detailed QC information, such as limits,
standard deviation, and coefficient of variation for each parameter for each lot
number when the [VIEW QC LOG] key is pressed.
Normal Control
[NORMAL CONTROL] is used to display the Normal Control file names and the
number of specimens in each file. It also displays detailed QC information, such as
limits, standard deviation, and coefficient of variation for each parameter for each
lot number when the [VIEW QC LOG] key is pressed.
High Control
[HIGH CONTROL] is used to display the High Control file names and the number
of specimens in each file. It also displays detailed QC information, such as limits,
standard deviation, and coefficient of variation for each parameter for each lot
number when the [VIEW QC LOG] key is pressed.
Replicates
[REPLICATES] is used to display the replicated file names and the number of
specimens in each file. It also displays detailed QC information, such as limits,
standard deviation, and coefficient of variation (CV%) for each parameter for each
replicate ID/lot number when the [VIEW QC LOG] key is pressed.
View QC Log
The [VIEW QC LOG] is used to display detailed QC information in the selected
control file. When one of the four selected QC files is highlighted, the Operator
may view up to 10 of the specimens in that file by sequence number. The Operator
has the following options:
• Purge the QC log
• Display and print Levey-Jennings graphs for the QC file
• Accept, reject, or delete the specimen indicated by the flashing cursor
• Print the QC log
• Write QC files to a floppy disk
The following functions are available when a control file or replicate file is
selected.
Levey-Jennings
[LEVEY-JENNINGS] is used to display the LEVEY-JENNINGS menu for the
selected specimen.
[PRINT] is used to print Levey Jennings graphs and Westgard® Rule warnings
WBC/PLT, and RBC parameters.
[HELP/ERROR] is used to access the HELP screen. If a Fault exists, the Fault
Log will appear giving the Operator the option to print the Fault Log. If there are
no faults, the HELP screen will appear.
When [RETURN] is pressed, the Operator is returned to the VIEW QC LOG
menu for the selected control file.
Reject/Accept Specimen
[REJECT SPECIMEN] is used to reject the specimen indicated by the flashing
cursor and places an “R” next to the <Sequence #> field. Specimen results are not
included in the calculation of the mean, standard deviation, or coefficient of
variation. Rejected specimens are also not used in determining Westgard® Rule
warnings or plotted on Levey-Jennings graphs.
When pressed, [REJECT SPECIMEN] changes to [ACCEPT SPECIMEN].
Press [ACCEPT SPECIMEN] to include the specimen in the statistical
calculation and to remove the “R” next to the <Sequence #> field.
Purge QC Log
[PURGE QC LOG] is used to permanently erase data from the control file. After
[PURGE QC LOG] is pressed, the screen label changes to [CONFIRM
PURGE]. Press [CONFIRM PURGE] to complete the purge. Press [CANCEL
PURGE] to cancel the purge, and return to the VIEW QC LOG menu.
NOTE: Once [CONFIRM PURGE] is pressed, data in the file is permanently
erased.
Write QC to Disk
[WRITE QC TO DISK] is used to transfer QC data from a QC file onto a floppy
disk.
From the MAIN MENU screen, press [QUALITY CONTROL]. Insert a blank,
formatted disk in the floppy drive. Select the desired level of control (e.g., [LOW
CONTROL]), and use the [↑] or [↓] arrow keys to select the desired control file.
Press [VIEW QC LOG], followed by [WRITE QC TO DISK].
Pressing [CONFIRM WRITE] transfers the selected control file’s data onto a disk
in the floppy disk drive. [CANCEL WRITE] cancels the data transfer process and
returns the Operator to the VIEW QC LOG menu for the selected control file.
NOTE: The data file will be saved in ASCII format. The ID file will consist of all
five customer-defined header lines, regardless of the number of header
lines selected. Header lines which contain information that should go in
the ID file but should not be printed on the reports should be turned OFF.
Delete Specimen
[DELETE SPECIMEN] is used to delete a specimen indicated by the flashing
cursor from the control file. When [DELETE SPECIMEN] is pressed, the
specimen on screen highlighted by the cursor is deleted from the QC file, and the
softkeys change to [CONFIRM DELETE] and [CANCEL DELETE].
[CONFIRM DELETE] allows the Operator to confirm the Delete Specimen
action. [CANCEL DELETE] cancels the Delete Specimen process and returns the
Operator to the VIEW QC LOG menu for the selected control file.
NOTE: Deleted specimens are not included in statistical calculations. Once
[CONFIRM DELETE] is pressed, selected specimen data is permanently
erased.
Print QC Log
[PRINT QC LOG] is used to print the displayed QC file.
Help/Error
[HELP/ERROR] accesses a menu that has a [FAULT LOG] key and [HELP] key.
If a fault is pending, when [HELP/ERROR] is pressed a list of up to sixteen
previous errors will be displayed. Otherwise, pressing [FAULT LOG] allows the
operator to view the errors.
Pressing [HELP] allows the operator to view the Help text. The [↑] and [↓] arrow
keys are used to view additional Help information, if there is more than one screen
of text. Press [LEAVE HELP] to exit the Help information screen.
Return
When [RETURN] is pressed, the Operator is returned to VIEW QC LOG menu
for the selected control file.
Performing a QC Run
If the system has been idle for fifteen minutes or more, run a background prior to
running any control specimens. Be sure to prepare the control product according to
directions on the package insert.
To perform a QC run, proceed as follows:
1. From the MAIN MENU screen, press [RUN].
2. From the RUN menu, press [SPECIMEN TYPE] followed by [QC TYPE].
NOTE: If a flow error, clog, or other fault message appears on the display
screen during RUN cycle, press [CLEAR ORIFICE] or refer to
Section 10: Troubleshooting and Diagnostics and repeat the run.
9. Verify that control results are within your laboratory’s acceptable limits.
10. If the control results fall within acceptable limits, review the data for shifts or
trends, record the results, and begin to process patient specimens.
NOTE: If one or more result falls outside the laboratory’s acceptable limits,
review Section 10: Troubleshooting and Diagnostics. If the
problem persists, contact Abbott Diagnostics Customer Service.
Do not process patient specimens.
11. Press [PRINT REPORT] if a report of printed results is desired.
12. Press [MAIN] to return to the MAIN MENU screen.
Rejecting/Accepting Specimens
Specimens can be rejected or accepted as needed. For example, one or more runs
can contain data that you do not wish to use in determining the mean, but do not
want to delete. To reject a specimen, proceed as follows:
1. From the MAIN MENU screen, press [QUALITY CONTROL].
2. From the QUALITY CONTROL menu, select the desired level of control
(e.g., [NORMAL CONTROL]. Use the [↑] and [↓] keys to select a specimen
you want to reject.
3. From the selected control file screen, press [VIEW QC LOG].
4. Press [REJECT SPECIMEN].
The letter “R” appears next to a rejected specimen and the key toggles to
[ACCEPT SPECIMEN]. The specimen data remains in the QC Log, but is
not used in QC statistical calculations.
5. Press [ACCEPT SPECIMEN] to include the data.
The “R” disappears, the key toggles to [REJECT SPECIMEN], and the data
is included in the statistical calculations.
Deleting Specimens
To delete unwanted run data for individual samples, such as that from a run
performed with an incorrect control material, or if a control was run in the wrong
file (e.g., Low Control run in a Normal or High Control file), proceed as follows:
1. From the MAIN MENU screen, press [QUALITY CONTROL].
2. From the QUALITY CONTROL menu, select the desired level of control
(e.g., [NORMAL CONTROL]).
3. From the selected control file screen, press [VIEW QC LOG].
CAUTION: Because deleted data cannot be retrieved, make certain you
are deleting the correct specimen. You may also wish to print the file prior
to deleting the sample.
NOTES
Overview
X-B Analysis is an automated means of monitoring instrument performance by
using the known stability of the red blood cell indices.
X-B represents the moving average of hematology values calculated using an
algorithm developed by Dr. Brian Bull. The X-B Analysis uses the Bull Algorithm
to monitor instrument performance by tracking the average red blood cell indices
in the patient population analyzed on the instrument.
The red blood cell indices, MCV, MCH, and MCHC, are known to be stable
because the red blood cell apparently functions best in a very narrow range of size
and hemoglobin content. Therefore, the body exerts tight physiologic control and
varies the number of red blood cells before altering the average volume or
hemoglobin concentration of those red blood cells. Consequently, the average red
blood cell indices of a given patient population will vary no more than 0.5% from
day to day and even year to year, providing the population does not change. The
X-B algorithm provides a means of utilizing this information for quality control on
the CELL-DYN 1800. It has been successfully used to monitor RBC indices by
Laboratories running more than 100 patient specimens per day.
The X-B algorithm analyzes the indices for MCV, MCH, and MCHC on the patient
samples run through the instrument in batches of 20. Current batch data are then
“smoothed” by using the mean from the previous batch in the calculation. As a
result, each newly calculated batch mean includes data from previous batches.
When the X-B Program is ON and Patient is the specimen type selected, the current
status of the X-B Program is displayed on the third line in the upper right corner of
the RUN screen (for example, X-B: N/IN, where N is the number of runs in the
current batch and IN indicates the last batch was within the target and limits for all
three parameters). In the DATA LOG menu, a “B” in front of a sequence number
indicates that the patient specimen is included in the current X-B batch.
Target Value
The Target Value for X-B is similar to the assay value for a commercial control. It
is derived from the patient population analyzed on the instrument.
Action Limit
The Action Limit is the acceptable limit of variation around the Target Value.
Laboratories such as pediatric hospitals and tumor centers with specialized patient
populations may need to verify these Target Values due to “abnormal” patient
populations. Target values may be verified by evaluating approximately 500
samples and comparing the X-B means for those samples to the entered Target
Values. This can be done as follows:
1. Collect data from at least 500 patients. Manually calculate the mean, SD, and
CV% for each index (MCV, MCH, and MCHC). The CV% on 500 samples
for each index should be less than 1.5%. (The 1.5% is one-half the allowable
± 3% action limit.) If the CV% is greater than 1.5%, an additional 500
samples should be evaluated.
2. If the CV% calculated in step 1 is less than 1.5%, enter the mean as the
Confirmed Target Value.
NOTES
Features exist on the CELL-DYN 1800 that provide information about control
results. If a problem is suspected, the Operator can do the following:
• Observe results for individual control specimens as they are analyzed, select
the desired QC file using the [↑] or [↓] arrow keys, then press [VIEW QC
LOG] in the QUALITY CONTROL menu.
• View modified Westgard® Rule warnings for selected parameters.
• View Levey-Jennings graphs to see if violations of modified Westgard®
Rules have occurred.
Levey-Jennings Graphs
Levey-Jennings graphs are a visual method of viewing quality control result data
for all parameters over time. These graphs allow the Operator to examine the
relationship of control result values to the established means and acceptable limits,
and to look for shifts and trends in results.
All 120 specimens in the QC file will be graphed. Up to 13 parameters can be
displayed on the Levey-Jennings QC report. The parameters include WBC, LYM,
MID, GRAN, PLT, MPV, RBC, MCV, HGB, HCT, RDW, MCH, and MCHC. If the
parameter range for a selected parameter is set to zero resulting in upper and lower
limits that are equal, a graph of that parameter will not appear on the report.
The graph label will include the parameter being graphed and Westgard® Rule
warnings for that parameter. Scale values on the left side of the graph indicate the
mean and upper and lower limits for that parameter stored in the QC file.
CAUTION: QC limits are assumed to be at ±2SD for Westgard® Rule
analysis and for Levey-Jennings graphs. It is crucial to ascertain that the QC
file range entered in the QC RANGE menu represents ±2SD for the
laboratory for each parameter before interpreting Levey-Jennings graphs
and Westgard® Rules.
Values in the QC file which are outside of the graph range will appear as a “+” at
the upper and lower edges of the graph. Refer to Appendix E: Sample Reports.
NOTE: Results from rejected specimens will not appear on the graph.
When a rule is selected (turned ON), a plus sign is displayed to the right of the
parameter. A minus sign is displayed if a rule in not selected (turned OFF).
Violations for a parameter are recorded above the Levey-Jennings graph for that
parameter. Whenever a rule is violated, the number of the rule will be displayed to
the right of the parameter in place of the plus sign.
CAUTION: QC limits are assumed to be at ±2SD for Westgard® Rule
analysis and for Levey-Jennings graphs. It is crucial to ascertain that the QC
file range entered in the QC RANGE menu represents ±2SD for the
laboratory for each parameter before interpreting Levey-Jennings graphs
and Westgard® Rules.
The violations listed above the graphs represent the modified Westgard® Rule
status of the most recent control sample processed.
CAUTION: Do not use the values for mean range provided on the control
assay sheet in conjunction with Westgard® Rules Before using Westgard®
Rule® with commercial controls, establish the SD for each parameter on
your instrument and enter limits based on these SDs.
Rule Violations
Only the directly measured parameters need to be monitored with multiple rules.7
In Laboratory Quality Management, Cembrowski and Carey suggest a protocol for
using the Westgard® Rules in hematology. The following is a synopsis of that
protocol.
Because all three levels of control are typically used to monitor a hematology
analyzer, it is reasonable to consider all three at the same time. In other words,
check for rule violations across the three levels, not just within a particular level. If
the same rule is violated at more than one level, determine whether the violation
indicates a loss of precision or a loss of accuracy and troubleshoot accordingly.
Cembrowski suggests that the results for all three levels first be checked to see if
they are within their 2SD limits. If all three levels meet this criterion, the
instrument is in control.
If any control result exceeds the 2SD limits, check to see if it exceeds the 3SD
limits. If a result exceeds 3SD, there are two possibilities. There is either an
instrument problem or a problem with one particular level of control. Therefore, if
a result exceeds 3SD, run another vial of that control. If the problem persists, then
additional investigation is required.
Check to see if the 2 of 32s or R4s rules have been violated for any level or across
levels. If the problem is confined to one level of control, check for a 22s rule
violation for that level. Again, if the violations are confirmed to one level of
control, use another vial and possibly another lot. Verify and follow all storage,
mixing, and handling instructions provided in the control package insert. Check
expiration dates and data entry. Check to be sure that the control is run into the
correct file, and the means and limits have been entered correctly for the particular
lot number in use.
If a combination of rules has been violated across three levels, determine whether
the violations indicate a loss of precision or a loss of accuracy, and troubleshoot
accordingly. Do not process patient specimens. If necessary, call Abbott
Diagnostics Customer Service (at 1-877-4ABBOTT in the U.S.) for assistance. For
customer support outside the U.S. and Canada, call your Hematology Customer
Support Representative. Refer to the Error Messages and Conditions table in
Section 10: Troubleshooting and Diagnostics.
When the problem has been resolved, Cembrowski suggests that all levels be run
again in duplicate to confirm that the problem has in fact been corrected.
References
NOTES
Section 12 Printers
Overview
This section gives a brief overview of printer specifications, and referral sources
relating to components, installation, operations, and maintenance.
Printer Specifications
IMPORTANT: The CELL-DYN 1800 System has been configured for and tested
with specific printers, such as the printer shipped with the
analyzer. For additional information about specific printer
capability with the CELL-DYN 1800 System, US Customers,
please contact the Customer Service Center at 1-877-4ABBOTT
(1-877-422-2688). Customers outside the US should contact your
local Hematology Customer Service Representative. Use of
printers other than those recommended by Abbott Laboratories
may lead to erroneous printer functionality.
The CELL-DYN 1800 is compatible with printers that support ESC-P or Printer
Control Language Release 3 (PCL-3). Any printer offering ESC-P or PCL-3
compatibility may be used to print reports generated by this instrument.
Reports are printed in standard format for US letter size paper (8 ½ in. by 11 in.).
Additionally, reports can be printed on A4 paper (8.267 in. x 11.69 in., or 210 mm x
297 mm). Before operating the printer, make certain that the printer is adjusted for
the correct size of paper.
Maintenance
Refer to the printer manual for printer maintenance instructions. Avoid spilling
liquids or dropping solid particles in the printer. Ensure there is an adequate supply
of paper in the feeder before using the printer. Depending on the operating
environment, a cover may be desirable during non-use.
NOTES
Bibliography
Bibliography
Biosafety
Occupational Safety and Health Administration, 29 CFR Part 1910.1030.
Department of Labor. Occupational Exposure to Bloodbourne Pathogens.
Reference Tables
Bessman, J D. Automated Blood Counts and Differentials. Baltimore:
Johns Hopkins University Press. 1986.
Cornbleet, J. Spurious Results from Automated Hematology Cell Counters.
Laboratory Medicine, August 1983. 14:509-514.
Theml, H. Pocket Atlas of Hematology. New York: Thieme. 1985.
Glossary
Barnett RN. Clinical Laboratory Statistics. Boston: Little, Brown and Company.
1979.
Brown BA. Hematology: Principles and Procedures. Philadelphia: Lea & Febiger.
1993.
NOTES
Glossary
Glossary
absolute count The concentration of a cell type, expressed as a number per unit volume of
whole blood.
absorbance Use, by an atom or a molecule, of light energy to raise electrons from their
ground state orbitals to orbitals at higher energy levels.
accuracy The level of agreement between the estimate of a value (the result
generated by the method) and the “true” value. Accuracy has no numerical
value; it is measured as the amount of (or degree of) inaccuracy [ICSH].
agglutinin An antibody present in the plasma or suspending media that reacts with an
agglutinogen to cause agglutination.
alarm A warning message for the user, displayed on the LCD screen.
alerted results Measurement data that are flagged to indicate the possible presence of one
or more abnormal cell populations, interfering substances, problematic
conditions detected by the algorithm, or instrument malfunctions.
automated hematology An instrument that accepts whole blood directly for analysis and outputs
analyzer results upon completion.
auto-calibration A selectable activity on the CELL-DYN 1800 system that steps the
Operator through the calibration process and automatically calculates a
calibration factor for each parameter being calibrated.
Background Count A sample analysis run performed without a specimen to check system
performance; often used to determine whether reagents contain excessive
amounts of particulate matter.
blast The first stage of a blood cell lineage which can be morphologically
identified on a stained smear. Normally present in bone marrow, but not in
circulating blood.
blood, whole A homogenous mixture of blood that has not been separated into cellular
and liquid components.
calibration factor A multiplier obtained during calibration that can be applied to raw data to
obtain accurate results.
CBC Acronym for complete blood count. Includes WBC, RBC, HGB, HCT,
MCV, MCH, MCHC, and PLT.
check digit An extra character in the bar code that permits verification of the bar code
label.
CLSI/NCCLS Acronym for the Clinical and Laboratory Standards Institute, formerly
NCCLS (National Committee for Clinical Laboratory Standards).
coagulation The process by which blood thickens into a coherent, viscous mass.
coefficient of variation (CV) A statistical calculation used to describe population heterogeneity. The
expression of the standard deviation as a percentage of the mean.
coincidence correction A statistical analysis process that adjusts the count for coincidence loss. In
the CELL-DYN 1800, analog circuitry automatically applies the
correction.
coincidence passage loss The simultaneous passage of two or more particles through a sensing zone
or orifice. The resulting interruption in the current flow is sensed as a
single pulse causing the loss of one or more cells from the count.
cold agglutinin An antibody in blood that, at low temperatures, aggregates compatible and
incompatible red blood cells. Also called cold hemagglutinin.
confidence limit A range of values within which it is confident (often 95 percent confident)
that the true but unknown population values lie.
control file A file for storage and retrieval of Quality Control run data.
control material A substance having assigned values and used in routine practice for
checking the performance of an analytical process or instrument. These
materials are similar in properties to patient specimens and are analyzed in
the same manner as patient specimens.
corpuscle A living red or white blood cell not aggregated into continuous tissues.
correlation coefficient A statistic that indicates the degree to which two measurements are related,
expressed as a value from -1.0 to +1.0, with +1.0 indicating that results are
in total agreement, and -1.0 indicating that results are exact opposites (i.e.,
4 and -4). A 0.0 value indicates that the two measurements are unrelated.
count data Data measured by the analyzer for the purpose of deriving cell
concentration.
count duration Length of time over which the count measurement occurs, expressed in
seconds.
cryoglobulin Any of several proteins similar to gamma globulins that dissolve at 37°C
(98.6°F).
data log A file or repository that automatically accepts and stores all time-stamped
cycle data.
deionized water Water from which the ions have been removed.
differential Determination of the proportion of the various types of WBCs (normal and
abnormal).
diluent Solution used to dilute blood cells to provide a cell concentration suitable
for measurement.
dilution ratio The factor by which a given sample has been diluted before being counted.
This value is without dimension.
error, random Variation, with no distinct pattern, between successive analysis process
data. Often assumed to be a normal (Gaussian) distribution around a mean.
error, systematic Directional or patterned variation between values obtained and the values
expected.
expiration date The date assigned by the manufacturer after which a product is no longer
acceptable for use. Reagents, controls, and calibrators have expiration
dates affixed during the manufacturing process.
fault Implying a failure. A detected condition that has failed internal acceptance
criteria. Fault indicators activate to alert the Operator.
femotole (fmol) A unit of measure used to express the mean cell hemoglobin amount per
liter.
fibrinogen The major plasma protein that is the substrate for thrombin action to form
fibrin; coagulation factor I.
flag Written or displayed output intended to signal or attract attention. Flags are
generated by the instrument to alert the Operator to instrument
malfunctions that occur during sample processing, or to data abnormalities
detected during data analysis.
flag, dispersional A displayed or printed indication that signals the presence of cell
data alert concentrations and/or values that fall outside the Operator-selectable or
system-defined range.
flag, suspect parameter A displayed or printed indication that signals the presence of a substance
or condition that may affect the accuracy of a parameter’s measurement.
flag, suspect population A displayed or printed indication that signals the suspected presence of red
blood cell abnormalities, such as Anisocytosis, and/or the suspected
presence of abnormal white blood cells, for example, bands, immature
granulocytes, blasts, and variant lymphocytes.
gram (g) The basic unit of mass in the metric system, equal to about 1/28th of an
ounce.
GRAN The identifier for the granulocyte percentage result, which is calculated as
a the percentage of granulocytes in the white blood cells.
hematocrit (HCT) A determination of the ration of the volume of all formal elements in a
sample of blood to the total volume of the blood sample. This test measures
the percentage of packed erythrocytes in a volume of blood.
hemoglobin (HGB) A conjugated protein within the red blood cell that carries oxygen from the
lungs to the tissues, and carbon dioxide from the tissues to the lungs.
hemogram A complete blood count excluding the white blood cell differential.
hemolysis The destruction of red blood cells resulting in the liberation of hemoglobin.
Hertz (Hz) The international unit of frequency, equal to one cycle per second.
HGB The identifier for the hemoglobin result, which is calculated as the mass of
hemoglobin per unit volume of whole blood.
hypochromic Decreased hemoglobin content in the red blood cells. Low MCH and
decreased pigment on a stained smear.
impedance method A process that detects and sizes cells suspended in a conductive medium
as they are drawn through an aperture. Each cell creates a resistance to
current flow that is directly proportional to its own volume. Voltage pulses
indicate the passage and volume of cells.
indices A group of calculated values for red blood cell properties: mean
corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and
mean corpuscular hemoglobin concentration (MCHC).
interfering substances A specimen component or state that affects the accuracy of a parameter’s
measurement.
leukocyte (white blood cell) A type of cell, commonly referred to as a white blood cell (WBC), with
three main subpopulations in circulation: granulocytes, lymphocytes, and
monocytes.
Levey-Jennings graph A QC chart in which control values for a single level for a single parameter
are plotted in runs or days on the horizontal axis, and in parameter
concentration on the vertical axis. Parallel horizontal lines represent the
mean and the various SD intervals. Useful for trend analysis.
linearity The measure of the degree to which a curve approximates a straight line.
It also refers to overall system response (i.e., the final analytical answer
rather than the instrument output).
liter (L) The basic metric unit of capacity equal to 1 cubic decimeter or 61.025
cubic inches (1.0567 liquid quarts or .908 dry quart).
lymphocyte Smallest and second most abundant type of leukocyte in the circulation
with round or slightly indented nucleus and azurophilic granules (not
always present) evident in the cytoplasm; mediates cellular immunity.
lysing agent/lytic agent Causes the cell membranes of red blood cells to rupture and release their
hemoglobin into the solution.
macrocytosis An overall increase in large red blood cells in circulation. Associated with
deficiencies in vitamin B12 and folate, and with certain therapies.
MCH An acronym for mean corpuscular hemoglobin. The identifier for the mean
(mean corpuscular corpuscular hemoglobin which is the average hemoglobin mass in red
hemoglobin) blood cells.
MCV An acronym for mean corpuscular volume. The identifier for the mean
(mean corpuscular volume) corpuscular volume result which is the average volume of red blood cells.
metamyelocyte A cell present in the bone marrow that gives rise to a granulocyte and is not
normally present in circulation. The maturation phase between myelocyte
and band. Considered an immature granulocyte (IG).
metering, volumetric A method of determining the exact volume of a prepared sample that has
been measured.
method, reference A clearly and exactly described technique for a particular determination. A
competent authority must judge whether the technique is sufficiently
accurate and precise determination for it to be used to assess the validity of
other laboratory methods. The accuracy of the reference method must be
established by comparison with a definitive method, if one exists. The
accuracy and degree of imprecision must be stated [CLSI/NCCLS].
microcytosis The overall increase in small red blood cells in circulation. May be
associated with iron deficiency, hereditary hemoglobin disorders,
sideroblastic anemias, chronic disorders, and renal failure.
microhematocrit method The determination of the packed cell volume (PCV) of red blood cells
using a small quantity of whole blood, a capillary tube, and a high-speed
centrifuge.
monocyte White blood cell that is normally formed in lymph tissue; phagocytes.
Monocytes become macrophages as they leave the blood and enter body
tissue.
moving average file A data repository that automatically accepts and stores the data in batch
means as they are calculated. The Operator may review either the data in a
summary log or Levey-Jennings graph format.
moving average program A statistical routine that monitors system performance as specimens are
run.
MPV An acronym for the mean platelet volume result, which is the measure of
the average platelet volume.
myelocyte A cell in bone marrow that gives rise to a granulocyte and is not normally
in circulation. Considered an immature granulocyte.
nucleated red blood cell A nucleated cell present in the bone marrow that gives rise to a red blood
cell and is not normally present in circulation.
packed cell volume The measure of the ratio of the volume occupied by the red blood cells to
the volume of whole blood.
PCT The identifier for the Plateletcrit result which is calculated as the
percentage of the collective volume of platelets relative to the volume of
the sample.
PDW The identifier for the platelet distribution width which is calculated as ten
times the geometric standard deviation of the platelet size distribution.
plasma The fluid part of whole blood as distinguished from the cells.
plateletcrit Measure of the total platelet volume; varies directly with platelet count.
PLT An acronym for platelet or platelet count. The identifier for the platelet
absolute concentration per result calculated as the number of platelets per
unit volume of whole blood.
polymorphonuclear A white blood cell that has a segmented nucleus and contains granules, for
example, a mature granulocyte such as a neutrophil or eosinophil.
promyelocyte A cell present in the bone marrow that gives rise to a granulocyte and is not
normally present in circulation. See also immature granulocyte.
QC file A repository that stores data automatically each time a control specimen is
run, for review and output in a summary or Levey-Jennings plot format.
The mean, SD, and CV calculations are automatically updated each time
data are received.
quality control (external) A system of retrospectively and objectively comparing results from
different laboratories by means of surveys organized by an external
agency. The main objective is to establish between-laboratory and
between-instrument comparability, if possible, with a reference standard
where one exists [ICSH].
quality control (internal) A set of procedures undertaken by the staff of the laboratory for continual
evaluation of the reliability of its work. The procedures determine whether
the test results are reliable enough to be released to the requesting
clinicians. These procedures should include tests on control material and
statistical analysis of patient data [ICSH].
range A measure of the dispersion of values. The difference between the largest
and the smallest of a group of measurements.
RBC An acronym for red blood cell or red blood cell count. The identifier for
the red blood cell result, which is calculated as the coefficient of variation
percentage of the red cell volume distribution.
RDW An acronym for red cell size distribution width. The identifier for red cell
size distribution width result, which is calculated as the coefficient of
variation percentage of the red cell volume distribution.
reagent A solution used to dilute, and in some cases, alter the cells in a whole blood
specimen, in preparation for measurement by the Analyzer.
red blood cell A bioconcave, circular disk approximately 7.5 µm in diameter, with no
nuclei. Red blood cells are mature cells present in greater concentrations
than others in circulating blood (averaging 5 million cells per microliter of
whole blood). Primary function is oxygen delivery to the tissues and
carbon dioxide removal. Also called erythrocytes.
reference interval The normal range established by a testing site. Site variables, such as, the
test method, geographical location, interfering substances, age, and sex
will cause slight variations in reference intervals obtained by different
sites.
The normal range is determined by testing specimens collected from
between 100 and 300 normal healthy individuals and calculating a mean
and ±2SD. Test results for 95% of the normal population will be within this
established range.
reliability The extent to which an experiment, test, or measuring procedure yields the
same results on repeated trials.
reproducibility The ability of a procedure to obtain results during repeat analyses which
closely imitate, within specified limits, the results obtained initially.
sample dilution The mixture of sample and reagent that is analyzed by a hematology
instrument.
sensitivity, analytical The minimal detectable value. The least quantity that can be discriminated
from the background noise [CLSI/NCCLS].
sensitivity, clinical A test’s ability to recognize individuals with the suspected illness for
which the test is being run. A method’s ability to obtain positive results in
correlation with positive results obtained by a reference method. The
percentage or proportion of patients with a well defined clinical disorder
who have test values that exceed the decision limit [CLSI/NCCLS].
sequence number An identifier assigned to each sample aspirated on the instrument. This
identifier is used to identify all of the data of the same sample.
setup data Operator-selectable criteria or entries that customize the system operation
and data output formats.
sickle cells A crescent shaped cell found in the peripheral (circulating) blood;
indicative of sickle cell anemia.
specificity, clinical A test’s ability to recognize individuals without the suspected illness for
which the test is being run. A method’s ability to obtain negative results in
correlation with negative results obtained by a reference method. The
percentage or proportion of patients who do not have a well defined
clinical disorder who have test values that do not exceed the decision limit
[CLSI/NCCLS].
specimen Collected whole blood that is presented to the Analyzer for sampling.
standard deviation (SD) A measure of the dispersion of a group of values around a mean. The
square root of the variance expressed in the same units as the
measurements themselves.
standard deviation index (SDI) A measurement of both the systematic and random error, denoting how
many standard deviations a particular number is from the mean. Used in
external quality control programs to relate the performance of a laboratory
with that of other participating laboratories. A perfect SDI is 0, and it
should always be less than 1.0.
status box The location on the CELL-DYN 1800 screen where messages requiring
Operator attention are displayed.
symbology Specific rules for grouping bars and spaces to form data characters, check
digit calculation, and check digit placement in a bar code.
syringe A device that consists of a hollow barrel fitted with a plunger used to
deliver or inject a precise volume of diluted sample.
Vacutainer® Tube Brand (trademark) name for Becton Dickinson-marketed test tubes which
contain a vacuum for easy blood withdrawal when obtaining blood by
venipuncture. The tubes must contain an anticoagulant (such as EDTA) to
prevent blood coagulation in order to be used with CELL-DYN systems.
WBC An acronym for white blood cell or white blood cell count. The identifier
for white blood cell result is calculated as the number of white blood cells
per unit volume of whole blood.
white blood cell A cellular constituent of circulating blood that is present in lower
concentrations than red blood cells or platelets, averaging 7,000/µL of
whole blood. Primary function is to guard tissues against invasion by
foreign organisms or chemicals. Also called leukocytes.
X-B “X bar B”.The name for the moving average program developed by
(moving average program) Dr. Bull. The X (mathematically X) stands for the mean, and the B stands
for Bull. A statistical program that monitors system performance as
specimens are run. Any result for each monitored parameter (MCV, MCH,
and MCHC) that meets acceptance criteria is automatically included in a
current batch.
To place an order for the products listed on the following pages, or for technical
assistance for the CELL-DYN instrument in the US, call 24 hours a day, seven days
a week to Abbott Diagnostics Customer Service at:
1-877-4ABBOTT (1-877-422-2688).
For customer support in Canada, call:
1-800-387-8378
For customer support outside the U.S. and Canada, call your local Hematology
Customer Support representative.
List numbers are unique indentifiers used when ordering products. List Numbers
and quantities provided in this Operator’s Manual are intended for guidance only
and are subject to change. US Customers, contact Abbott Diagnostics Customer
Support at 1-877-4ABBOTT (1-877-422-2688) for the most current information
regarding list numbers. Customers outside the US, contact your local Hematology
Customer Support Representative.
07H78-01 Keyboard 1
CELL-DYN Reagents
US-Only List Number International List Number Description of Part Configuration
CELL-DYN Consumables
Abbott List Number/Part Number Description of Part Configuration
NOTES
This table provides a detailed list of interfering substances. Note that some of the
substances listed may not interfere with CELL-DYN 1800 results. Refer to the list
of interfering substances provided in this manual in Section 3: Principles of
Operation, Subsection: System-Initiated Messages and Data Flags and in
Section 5: Operating Instructions, Subsection: Specimen Analysis, for the
substances that commonly interfere with CELL-DYN 1800 results.
Table B-1: Potential Causes of Erroneous Results with Automated Cell Counters
Parameter Causes of Spurious Increase Causes of Spurious Decrease
Table B-1: Potential Causes of Erroneous Results with Automated Cell Counters
Mean Cell Volume Autoagglutination Cryoglobulin, cryofibrinogen
(MCV) High white cell count (> 50,000/µL) Giant platelets
Hyperglycemia Hemolysis (in vitro)
Reduced red cell deformability Microcytic red cells
Swollen red cells
Mean Cell High white cell count (> 50,000/µL) Spuriously low hemoglobin
Hemoglobin (MCH) Spuriously high hemoglobin Spuriously high red cell count
Spuriously low red cell count
SOURCE: Cornbleet, J. “Spurious Results from Automated Hematology Cell Counters.” Laboratory Medicine,
1983. August 14: 509-514.
Table B-2: Reference Intervals (Normal Values) for Automated Blood Counters
Adult Male Adult Female Children Children Children
Parameter
>18 Years >18 Years at 1 Month at 2 Years at 10 Years
SOURCES:
• Theml H. Pocket Atlas of Hematology. Stuttgart and New York: Thieme. 1985.
• Bessman J D. Automated Blood Counts and Differentials. Baltimore: Johns Hopkins University Press.
1986.
NOTES:
• mv denotes mean value
• For adult black males and females, normal WBC is 2.9–7.7 K/µL
• For adult black males and females, normal RBC, HGB, and HCT is 5% less
• For children aged 6 months to 18 years, mean MCV value is approximately 75 fL + (0.8 x age in years)
• For newborns, MCV is 88–114 fL and RDW is 14.9–18.7%.
NOTES
The logs and worksheets in this section are templates for you to copy and use in
your laboratory. These include the following:
• Error message logsheet
• Carryover Worksheet
• CELL-DYN Lyse Reagent Log
• CELL-DYN Diluent Reagent Log
• CELL-DYN Detergent Reagent Log
• Enter Factor Open Mode Whole Blood Calibration Worksheet
• Enter Factor Pre-dilute Mode Whole Blood Calibration Worksheet
• Pre-Calibration Procedures Check List
Carryover Worksheet
1 Sample Run 3
2 Background Run 1
3 Background Run 3
5 Row #1 – Row #3
Date:____________________________________
Name:___________________________________
Reference Mean
x Current Open Mode Calibration Factor = New Open Mode Calibration Factor
CELL-DYN 1800 Mean
For example, if the Reference Mean Value for WBC is 6.6, the CELL-DYN Mean for WBC is 7.1, and the
current Calibration Factor is 0.98, then:
WBC ÷ x = 0.70–1.30
RBC ÷ x = 0.80–1.20
HGB ÷ x = 0.50–1.50
MCV ÷ x = 0.70–1.30
PLT ÷ x = 0.70–1.30
* If factor exceeds limits, do not calibrate. Check all calculations Abbott Diagnostics Customer Service for
assistance.
Date:____________________________________
Name:____________________________________
For example, if the Open Mode Mean Value for WBC is 6.6, the CELL-DYN Mean for WBC is 7.1, and the
current Calibration Factor is 0.98, then:
Pre-Dilute
New Pre-Dilute
Open Mode Pre-Dilute Mode
÷ x = Mode Calibra- Range*
Mean Mode Mean Calibration
tion
Factor
WBC ÷ x = 0.70–1.30
RBC ÷ x = 0.80–1.20
HGB ÷ x = 0.50–1.50
MCV ÷ x = 0.70–1.30
PLT ÷ x = 0.70–1.30
* If factor exceeds limits, do not calibrate. Check all calculations Abbott Diagnostics Customer Service for
assistance.
CELL-DYN 1800
Pre-Calibration Procedures Check List
Introduction
It is advisable to perform calibration at a time when it can be completed without interruption. The Pre-
Calibration Procedures help ensure proper instrument performance and a successful calibration. These
steps must be completed just before starting the calibration process. If problems are detected during these
checks, do not attempt to calibrate the instrument. If necessary, call Abbott Diagnostics Customer Service
for assistance. After the problems have been resolved, repeat the Pre-Calibration Procedures to verify
proper performance.
Instrument: _____________________________ Date ________________________________________
Operator: _______________________________
1. ___________ Ensure that all maintenance is current before calibrating the instrument. Refer to
the CELL-DYN 1800 Operator’s Manual Section 9: Service and Maintenance for
further information.
2. ___________ Confirm that reagent containers are at least one half full—replace them as
necessary.
3. ___________ Verify that the CELL-DYN Reagents have not reached the expiration date. Record
the reagent expiration dates and lot numbers in the spaces provided below.
Diluent: Lot # ___________ Expiration Date ____________
Detergent: Lot # ___________ Expiration Date ____________
Lyse Reagent: Lot # ___________ Expiration Date ____________
4. ___________ Verify that the calibrator has not reached the expiration date.
Lot # ___________ Expiration Date ____________
5. ___________ Confirm that the waste container is not more than half full—empty it, if necessary.
6. ___________ Confirm that Normal Background is within limits. Record the background results
below and attach a printout to this document. If the system has been idle for fifteen
minutes or more, a Normal Background should be run immediately prior to running
any calibration specimens.
WBC < 0.5 K/µL ___________________
RBC < 0.05 M/µL ___________________
HGB < 0.1 g/dL ___________________
PLT < 10.0 K/µL ___________________
7. ______ Verify instrument precision by analyzing a fresh, normal whole blood sample 20
times in succession. Run the sample in an empty replicate file and record the CVs
below and attach a file printout to this document. The CVs obtained should be less
than or equal to the CV% limits listed below. Refer to the CELL-DYN 1800
Operator’s Manual Section 5: Operating Instructions and Section 6: Calibration
Procedures for further information on using the replicate files.
NOTES
This section gives a brief overview of what bar coding is, how bar code labels are
used for data entry, and the different types of bar codes that may be used with the
CELL-DYN 1800.
NOTES
Overview
Code 39
Also referred to as code 3 of 9, Code 39 encodes 43 data characters: 0–9, A–Z, six
symbols, and spaces. Every Code 39 character has five bars and four spaces. Of
these nine elements, three are wide and six are narrow, making Code 39 a two-
width code.
Code 128
Code 128 has 106 different printed characters. Each character has three bars and
three spaces comprising 11 modules. Each printed character can have one of three
different meanings, depending on which of three different character sets is used.
Three different start characters tell the reader which of the character sets is initially
being used, and three shift codes permit changing the character set inside a symbol.
Interleaved 2 of 5
Interleaved 2 of 5 encodes the 10 numeric digits 0–9. The name is derived from the
method used to encode two characters that are paired together. Bars represent the
first character, and the interleaved spaces represent the second character. Each
character has two wide elements and three narrow elements, for a total of five
elements.
Codabar
Codabar uses four bars and three spaces to represent the 10 numeric digits 0–9 and
certain special characters. The code is characterized by four unique start/stop codes
and variable intercharacter spacing.
NOTES
Specifications
Bar Code
Symbology Elements per Character Characters
Name
Code 128 Each character has 6 elements: All 128 ASCII characters and all
(ANSI® standard) 3 bars and 3 spaces 128 extended ASCII characters
Min im um
Quiet Zone Maxim um
0.2 inches Label Length
2.0 inches
NOTES
The optional bar code scanner on the CELL-DYN 1800 can read bar code labels
with different symbologies interchangeably. The bar code scanner automatically
identifies the symbology scanned.
All CELL-DYN 1800 supported symbologies may have check characters. Code 39,
Interleaved 2 of 5, and Codabar symbols can be read and printed with or without
check characters. Code 128 always has a check character which is read and printed
in the symbol.
NOTE: If the Operator generates bar code labels to be placed on tubes used on the
CELL-DYN 1800, it is important that the check digit option used in label
generation matches the check digit option enabled during bar code setup.
Refer to the CELL-DYN 1800 Intermec ScanPlus 1800 Trigger-
Activated Hand-Held Bar Code Scanner User’s Guide.
NOTES
References
NOTES
NOTES
This section gives a brief overview of good laboratory practices that may be used
with the CELL-DYN 1800.
NOTES
New lots of control material should be analyzed in parallel with current lots prior
to the expiration date of the current lots. To transition to a new lot of control
material, follow your laboratory’s protocol or proceed as follows:
1. Using empty control files, set up low, normal and high files for the new lot.
When the values for the new lot have been confirmed and updated
information entered, these files can be used for the remainder of the dating
period.
2. Verify the new lot of control material by running each level of control three
times in its respective file. Ensure that the mean values of the three runs for
each measurand fall within the ranges shown on the manufacturer’s assay
sheet.
3. Run each level twice a day for five days to calculate new mean values for
each measurand.
4. Compare the calculated mean values for each level to the recovery range
specified on the manufacturer’s package insert.
5. If the calculated mean falls within the specified range, enter it as the Assay
instead of the value on the manufacturer’s package insert.
NOTES
References
NOTES
Index
Symbols
(>>>>) 3-26
<End Sequence #> 5-71
<NEXT ID#> 5-55
<Sequence #> 11-18
<Start Sequence #> 5-71
<Value field> 6-15
<<< (under range) 10-56
> > > > “greater than” symbols 3-26
>>> (over range) 10-56
“B” 5-70
“greater than” symbols (>>>>) 10-56
“R” 5-70, 11-18
”Greater than” symbols (>>>>) 10-31
NOTES