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Aeroset Customer Training Guide
Aeroset Customer Training Guide
Abbott Laboratories
Abbott Park, IL 60064
94858-103 — July 2003
NOTES
REVISION STATUS
The AEROSET System is manufactured and/or distributed by Abbott Laboratories, U.S.A.,
Abbott Park, IL, 60064.
REVISION STATUS
All Abbott Laboratories product names and trademarks are owned by or licensed to Abbott Laboratories,
its subsidiaries or affiliates. No use of any Abbott trademark, trade name, trade dress, or product name
may be made without the prior written authorization of Abbott Laboratories, except to identify the
product or services of Abbott Laboratories. All other trademarks, brands, product names, and trade
names are the property of their respective companies. All rights reserved.
Except as permitted above, no license or right, express or implied, is granted to any person under any
patent, trademark, or other proprietary right of Abbott Laboratories. All other trademarks, brands,
product names, and trade names are the property of their respective companies.
The information, documents and related graphics published herein (the “information”) are the sole
property of Abbott Laboratories. Permission to use the information is granted provided that the
copyright notice appears on all copies, use of the information is for operation of ABBOTT products by
Abbott trained personnel or informational use only, the information is not modified in any way, and no
INTRODUCTION
The AEROSET System is a fully automated, random and continuous
access, high throughput clinical chemistry system. The instrument
utilizes a dual pipetting system with a maximum throughput of up to
2,000 tests/hour when running both photometric and potentiometric
assays. The AEROSET System is an open system, which allows the
option of using non-Abbott manufactured reagents. The AEROSET
System processes routine and STAT samples using independent carousel
and FastTrack™ Samplers.
Overview
The AEROSET System Training Program is an integrated, ongoing
approach designed to provide optimum use of the AEROSET System.
The Abbott Customer Service Organization presents information and
provides support to ensure the continuing, successful use of this System.
As a foundation for this process, the goal of the class presentation is to
give the Operator basic tools for effective use of the AEROSET System
in a working environment.
Safety icons in this manual and on the AEROSET System identify poten-
tially dangerous conditions or situations. Operators must recognize the
icons and understand the type and degree of potential hazard. A brief
explanatory message labeled WARNING or CAUTION, depending on
the nature of the hazard, accompanies the icon.
Icon Description
Icon Description
Outline The knowledge and skills you learn during the AEROSET Customer Train-
ing Class are organized into the following Training Manual Modules.
Module 1 System Tour introduces the principal hardware and software components of
the AEROSET System.
Module 2 Basic Run provides an overview of how to order and run a sample.
Module 3 Daily START UP and Checks includes information which explains how to per-
form the Daily Checks and START UP Procedures, and when performance of
these procedures must be done.
Module 4 Run Options examines the various options available to order and run sam-
ples.
Module 5 Result Handling presents the procedures used to review and handle the assay
results reported by the AEROSET System.
Module 7 Quality Control presents the procedures and options for running quality con-
trol samples and management of quality control data.
Module 8 Configuration provides the information you will need to customize the
AEROSET System for your laboratory.
Module 9 ICT™ Unit provides an overview of the design and operation of the Inte-
grated Chip Technology™ (used for ISE measurement).
MODULE 1:
SYSTEM TOUR
CONTENTS
Page
Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Instrument Tour . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
Consumables and Accessories . . . . . . . . . . . . . . . . . . . 1-17
Software Tour . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-29
Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-39
Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-40
Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-41
OBJECTIVES
Upon completion of this Module, you will be able to:
1. Locate and identify the AEROSET System components
2. Identify and state the use of each consumable and accessory
3. Identify and describe the use of each screen area
4. Describe screen navigation
INTRODUCTION
The AEROSET System includes hardware and software components.
This Module will familiarize you with these components as well as
accessories and consumables.
The first section takes you on a tour of the instrument and introduces the
principal hardware components. Your attention is focused on the
identification and location of hardware components, accessories, and
consumables. The tour also includes information which describes sample
progression during a run.
The second section takes you on a tour of the AEROSET System
software. In this section, emphasis is placed on basic knowledge of the
main screen functions and screen operations.
INSTRUMENT TOUR
Overview
The primary components of the AEROSET System include the
following:
1. System Control Center, including:
• Color Touchscreen Monitor
• Keyboard
• Computer (CPU)
• Printer
• Component Stand (optional)
• GPIB Communication Cable
2. Analyzer, including:
• Sampling/Processing Area
• Front Door Area
• Right-Side Panel Area
• Left-Side Panel Area
• Back Panel Area
Analyzer
System Control
Center 125602
Hardware Tour
3 4
125620
Top-Main
Cover
Front-Right
Door
Front-Middle
Door
Left-Side Front-Left
Panel Door
125601
ICT Pump
ICT™ Pump
Access Door
Rear-Right Panel
Right-Side
Panel Rear-Left Panel
125625
B-Line
11 Cuvette Washer
A-Line
10 Mixer Unit
9 Reagent Arm 2
12 ICT Unit
6 Reagent Supply
Center 2
B-Line
A-Line
3 Reaction
Carousel
8 Sample Arm
1 FastTrack Sampler
Sample
Carousel
125672
Analyzer
The components in the Sampling/Processing Area of the Analyzer
perform the functions of identifying and dispensing the samples and
reagents, mixing the sample and reagent mixture, performing optical
readings, measuring electrolytes, and washing cuvettes.
The components of the Sampling/Processing Area are described in the
following table.
• Show Mixers 10 Mixer Unit Contains two pairs of Mixers to mix after the first and second reagents
from the back. are dispensed.
Piezo electric technology provides current to a crystal which causes
the mixer blades to vibrate.
R1 Mixers are toward the front of the Analyzer.
R2 Mixers are toward the back of the Analyzer.
11 Cuvette Washer Contains eight pairs of nozzles which:
• 1st pair - aspirates High-Concentration Waste (sample and reagent
mixture).
• 2nd pair - washes the cuvettes with Alkaline Wash solution.
• 3rd pair - washes the cuvettes with Acid Wash solution.
• 4th/5th pair - washes the cuvettes with water.
• 6th pair - adds water for the water blank reading.
• 7th pair - aspirates out the water.
• 8th pair - dryer tips dry the cuvettes.
• Show unit from 12 ICT™ Unit Uses Integrated Chip Technology™ (ICT™) to measure Na+, K+, and
back. Cl- in serum, plasma, and urine.
The probe aspirates the diluted sample from the cuvette.
The components behind the front doors are described in the following
tables.
High-
Concentration Waste
Pump (A) Probe Wash Pump (B)
ICT Reference
ICT Aspiration Pump Solution Pump 125621
1-Main
Circuit Breaker
4-GPIB
3-Refrigerator Connector
Condensation
Pan
2-Water Supply/
Drainage Panel 125671
Consumables
Sample Cups
The sample cups are used to load calibrators, controls, and patient
samples on the Analyzer. They can be placed in the Calibrator/Control
Carousel, Sample Carousel, Reserved STAT Position, and Sample
Carriers. Volume graduation lines at 1 mL and 2 mL help the Operator
fill sample cups, eliminating the need for precision pipetting.
The following table provides the minimum sample volume required in a
sample cup. The minimum volume required is dependent upon the
largest possible aspiration volume of an assay pair ordered on the
sample.
Largest Assay Pair Volume = Largest defined assay volume ordered on
the A-Line + Largest defined assay volume ordered on the B-Line.
2 mL
1 mL
Reagent Cartridges
The Reagent Cartridges are used in the Reagent Supply Centers to
contain the reagents used during operation. They may also contain
supplies of ICT™ Sample Diluent, diluted Wash Solutions, and Water
Bath Additive.
There are four types of Reagent Cartridges:
• Large, White or Natural (approximately 90 mL)
• Small, White or Natural (approximately 55 mL)
• 20 mL, White or Natural (only available with some prepackaged
reagents, cannot be ordered separately)
• 100 mL, White or Natural (only available with some prepackaged
reagents, cannot be ordered separately)
ICT Calibrators
• Good 7 days after opening at 2- The ICT Calibrators (7% bovine serum albumin base) and ICT Urine
8°C. Calibrators (aqueous base) are used to calibrate the ICT Module. Each
• Point out values on the box. set contains two levels (Low and High). Unopened bottles are stored at
room temperature. Once opened, the bottles must be refrigerated. Refer
to the ICT Calibrator Package Inserts for additional information.
125627
125640
Wash Solutions
125642
Calibrators
• Show MCC’s. A variety of calibrators are used on the AEROSET System. Both serum
and aqueous based materials are used. Refer to the assay-specific
• Show Iron/Mg Calibrators. Package Inserts to identify the calibrators used for each assay.
Point out values on bottles.
Accessories
Sample Carriers
The Sample Carriers are used to hold tubes and cups for use on the
FastTrack™ Sampler. The carriers have bar code labels for
identification on the System. The System comes with two sets of Sample
Carriers labeled 1 - 40. Higher number labels are available. Each carrier
has five positions designed to hold the following types of sample
containers:
• 16 x 100 mm (10 mL) tubes
• 16 x 75 mm (7 mL) tubes
• 13 x 100 mm (7 mL) tubes, with Cup/Tube Adapters
• 13 x 75 mm (5 mL) tubes, with Cup/Tube Adapters
• AEROSET sample cups, with Cup/Tube Adapters
The tubes can be labeled with bar codes for positive identification.
Although sample cups cannot be labeled with bar codes, the cups can be
placed in a bar code labeled tube for sampling and identification.
125605
Cup/Tube Adapters
The Cup/Tube Adapters are used in the Sample Carriers, Sample
Carousel, and Reserved STAT Position when 13 mm diameter tubes or
sample cups are loaded. Sample bar code labels must be positioned
toward the opening of the adapter.
125629
125606
• High
• Low
125641
20 mL Small
125628a
Manuals
Two manuals are provided with the AEROSET System:
• AEROSET System Operations Manual
A complete reference to the operation of the AEROSET
System. During the class, references will be made to
sections in the Operations Manual.
• AEROSET Application Manual / Package Insert Binder
A repository for assay-specific Abbott Clinical Chemistry
Package Inserts and Application Sheets for Abbott
reagents used with the AEROSET System.
Sample Progression
During a run, the Reaction Carousel rotates approximately ¼ turn
counterclockwise every 4.5 seconds. During each cycle, a pair of
samples is dispensed. As the Reaction Carousel continues to rotate,
reagents are added to the samples, the samples and reagents are mixed,
33 photometric readings are taken, etc., until the tests are completed.
(This process takes approximately 9.6 minutes.) The cuvette is then
washed and another pair of samples is dispensed.
Start QC Rules
START UP OPTIONS
SHUTDOWN OPTIONS
REAGENT SCAN
STOP
Print System
ERROR LOG Beep Off SCC
Reset Err Sampling
MAINTENAN
Rgt Area 1
CE UTILITIES
Rgt Area 2
Host
Online Config Rxn Area
Communication
SW Info
Printer Config
Log On
Software Tour
1-29
Information Access Area of the Main
1-30
Display
C/C Carousel
CAL/ Set 1
CONTROL Set 2
Dates Set 3
CAL Details
SUMMARY Stored
Del Prev
Print Options
MODULE 1: SYSTEM TOUR
View
R1-A
R1-B
R1-C
Report
R1-D
R2-A Clear All
R2-B
R2-C
R2-D
Details
QC SUMMARY LJ Graph Datalist
Export Outline
Print
Base
Calibration Import
Export
QC
Save
SmartWash
Delete
Config Rerun Rules
ASSAYS Assay Status Calib Cal Details Details
QC QC Chart Datalist
Status Error Status Export
Screen Display
After Log On, the screen for operating the AEROSET System is
displayed. The Main Display is divided into the following areas:
Status
Area
Display Area
Action
Area
To Access this
Press this Button… Description
Information
Calibrator/Control When selected, displays the configuration of the Calibrator/
Carousel Display and Control Carousel (expected values can be entered). Positions
Configuration 38 - 45 are predefined.
Reagent Supply Display When selected, displays the Reagent Supply Center
and Configuration inventory. The Operator can view the position in which the
reagent is located and the remaining reagent volume, both by
number of tests remaining and by % volume remaining.
Calibration Summary When selected, displays the current calibration absorbance
values and factors for all assays. The data can be saved so that
the averages for a month can be displayed. It also allows for
the deletion of previous calibration curves.
Quality Control When selected, accesses the QC SUMMARY screen in
Summary which the Operator can view a summary of the QC statistics
for all assays and levels. The Operator can also access the
Levey-Jennings Graphs and QC Details from this screen.
Database When selected, displays the DATABASE screens. These
screens are used to create patient sample orders, view
completed results, view Result Error Codes, and access result
handling functions.
Assays Display When selected, displays the ASSAYS screen to enable access
to the ASSAY STATUS screens for each assay. Displayed on
the ASSAY STATUS screen are the current calibration curve,
reagent status, and a summary of the QC statistics. The Assay
Configuration, Levey-Jennings Graph, and Calibration
Details are also accessed from this screen. The assay-specific
button in the ASSAYS screen displays different colors to
indicate assay status:
• Pink - The reagent is expired or empty or the calibration is
expired / unusable.
• Yellow - The reagent is below the alert level or a calibration
error has occurred.
• Black - An assay parameter is defined incorrectly.
• Green - The assay is OK.
Select <Status> on the ASSAY STATUS screen for an
explanation of the cause of the color change to the button.
Action Area
The following table describes the buttons located in the Action Area.
To Perform this
Press this Button… Description
Action
Initiate a run or When selected, accesses the RUN OPTIONS screen. From this
perform System screen, the Operator selects the types of samples to be run and
configuration initiates the run process. Calibrations and Controls are ordered from
this screen. SYSTEM CONFIGURATION is also accessed from
this screen.
PAUSE the System When selected, accesses the RUN OPTIONS screen. From this
during a run screen the Operator can PAUSE the System which temporarily
stops the movement of the Reagent 1 Probes, Sample Probes,
Carousel Sampler, and FastTrack™ Sampler.
WARNING: If a diluted sample has been dispensed, the Sample
! Arm may move after the status has changed to PAUSE. Wait 20
seconds before accessing the Carousel Sampler area.
WARNING: The AEROSET System does not stop the
! movement of the Reagent 2 Probes, ICT™ Unit, Mixers, or
Cuvette Washers so the Assay Read Times are not affected.
CAUTION: The System completes the dispensing and mixing of
! any sample and reagent already aspirated. Confirm the PAUSE
status in the System Status Area and confirm that the R1
indicator on the Local User Interface (LUI) Control Panel is
illuminated before proceeding.
Order and start a When selected, accesses the screen to order a sample in the
STAT sample Reserved STAT Position and initiates the processing.
Initiate the START When selected, allows the Operator to define and initiate the
UP Procedure START UP Procedures.
Initiate the When selected, allows the Operator to define and initiate the
SHUTDOWN SHUTDOWN Procedures.
Procedure
Scan bar code When selected, initiates a scan of the bar codes on the Reagent
labeled Reagent Cartridges in the Reagent Supply Centers.
Cartridges
Stop the System When selected, completely stops a run (all movement and
during a run processing ceases). Any samples in progress are not completed and
remain pending. When the run is reinitiated by selecting <RUN>,
these samples are repipetted.
WARNING: The System attempts to home all robotics
! before movement stops. Confirm the READY status in
the System Status Area before proceeding.
To Perform this
Press this Button… Description
Action
Process progress This cannot be selected to perform an action, but instead displays
display the progress of processes, such as, when multiple reports have been
selected to print, or multiple samples are being sent to the Host
computer. This button displays a green bar and the percent
completed.
Review the When selected, displays the Error Message Log. The background
Error Log color of the Error icon changes to indicate that an error has
occurred and indicates the error level.
• Yellow - Low level error
• Pink - Medium level error
• Red - High level error
The System can also be configured to generate an audible alarm
when an error occurs.
To perform When selected, displays the MAINTENANCE UTILITIES
Maintenance Utilities screens in which components can be moved (using the
Touchscreen) for maintenance and troubleshooting purposes. These
screens also allow software Backup and Restore features.
Define options for When selected, allows clearing of the printer buffer and defines the
Printer A automatic report printing options.
NOTE: The format of the Patient Reports is configured in
the DATABASE screen.
Define options for When selected, allows most of the same options as Printer A.
Printer B
Define options for When selected, allows access to the Host interface functions. The
the Host interface Operator has the ability to enable, disable, and configure the
connections communications with the laboratory Host computer.
Print a copy of the When selected, prints a copy of the currently displayed screen. The
screen Print Screen function is only allowed when the System Status is
READY. The Print Screen icon is disabled when the System is in
RUN, SAMPLING END, PAUSE, CUVETTE FILL, and
SUSPEND status.
Exit the System When selected, exits the System software and returns to the Log
software On dialog window. The Log On dialog window can be used to shut
down the System software prior to Powering OFF or prior to Log
On with another Password.
Display Area
This area of the screen displays the information or actions corresponding
to the button selected in the Information Access Area or Action Area.
For example, if <Cal/Control> is selected, the Calibrator/Control
screen appears in the Display Area.
Status Area
This area displays the System status, date, time, water bath level, and
High-Concentration Waste full indicator.
Date
Time
High-Concentration
Water Bath Level Waste Full Indicator
(Green = OK, Blue = Cold, Pink = Hot) (Visible when full)
The bar color indicates the type of sample currently being analyzed. The
following table describes the colors that appear.
Screen Navigation
There are several ways to access and display information on the
AEROSET System screens. The buttons discussed in the previous
section allow the Operator to access information. This section shows the
other types of access and displays.
Buttons
Pictures or text are displayed on the buttons or icons. When a button or
icon is selected, the frame of the button changes to blue or the button
changes colors.
Tabs
• Use Assay Configuration or Some areas of the software contain many pages. Tabs are shown along
Maintenance Utilities to
the top of the Display Area to access the different pages. An example of
demonstrate.
tabs from the Assay Configuration screen is shown below.
Scroll Bar
• Use Database or Printer/Page Setup A scroll bar appears on some screens when a list is displayed. The
to demonstrate.
Operator can touch the scroll bar or use the keyboard arrow keys to view
all the list items. An example of a scroll bar is shown below.
Combo Box
• Use Patient demographics to The combo box looks exactly like the Drop-down list box and allows the
demonstrate.
Operator to select from the list, but it also allows the Operator to create
new items on the list through keyboard entry.
Checkbox
• Use Startup, Shutdown, or Run On screens where checkboxes appear, multiple items can be selected by
Options to demonstrate.
touching the box to place a checkmark in it. An example checkbox is
shown below.
REVIEW QUESTIONS
1. What is the name of the Control Panel on the Analyzer that allows
movement of the FastTrack™ Sampler and the Reagent Supply
Centers?
2. What are the three solutions that are placed on weight platforms
behind the front-right door?
5. What are the two Wash Solutions used by the Cuvette Washer?
ANSWERS
1. LUI - Local User Interface
2. ICT™ Reference Solution
Alkaline Wash Solution
Acid Wash Solution
3. 1% Alkaline Wash Solution
Saline Diluent
0.5% Acid Wash Solution
Water Bath Additive (R1 only)
ICT Sample Diluent (R1 only)
4. Cup/Tube Adapter
5. Alkaline Wash Solution
Acid Wash Solution
6. Every 4.5 seconds
7. Information Access Area
Action Area
Display Area
Status Area
Run Progress Area
8. <Database>
SUMMARY
In this Module, you have:
• Located and identified each of the AEROSET System components
• Identified and described the use of each consumable and accessory
• Identified and described the use of each screen area and the screen
navigation
NOTES
MODULE 2:
BASIC RUN
CONTENTS
Page
Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Checking Reagent Inventory . . . . . . . . . . . . . . . . . . . . . . . 2-5
Reagent Loading Activity . . . . . . . . . . . . . . . . . . . . . . . . 2-17
Basic Steps to Order and Run a Sample . . . . . . . . . . . . 2-19
Basic Run Activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-29
Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-31
Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-32
Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-33
OBJECTIVES
Upon completion of this Module, you will be able to:
1. Manually order patient samples to run on the FastTrack™
Sampler
2. Load samples
3. Initiate a patient run
4. Recognize the various System messages that are displayed during
processing
5. Identify the screens required to verify reagent inventory
6. Load reagents
INTRODUCTION
You will use this Module to practice the correct procedure for performing
a basic run on the AEROSET System. This Module focuses on the steps
that are necessary to analyze samples on the FastTrack™ Sampler.
Reagent View
The View page of the REAGENTS screen is displayed.
The View page displays the reagents loaded in all sections of both
Reagent Supply Centers and the remaining tests in each. An example of
one reagent is shown below.
Estimated Remaining
Tests
Reagent Supply
Center Position
Reagent
Name
Column Description
Pos Reagent segment and position
* Active reagent
Name Reagent name
Type R1, R2, additive, diluent, acid, or alkaline wash
Exp Date Expiration date
* Past expiration date
Lot Lot number
Ctg Reagent cartridge number
%Volume Alert Reagent low alert by %volume
* Reagent is lower than the configured alert
Remaining Rgt (%) Estimated remaining reagent volume by %volume
* Empty after level sense
Remaining Tests # Estimated remaining reagent volume by number of tests
M Indicates the reagent was manually configured
Reagent Details
Other Reagent Segment tabs in the REAGENTS screen can be selected
to view more details of each Reagent Supply Center segment. An
example of one reagent position is shown below.
Reagent Name
(Brown Text = Bar Coded
Black Text = Manually Configured)
The color of the reagent name indicates whether the reagent was
manually configured (black) or scanned in by the Reagent Supply Center
bar code reader (brown).
Load Reagents
Rules for loading reagent cartridges:
• R1 reagents must always reside in Reagent Supply Center 1.
• R2 reagents must always reside in Reagent Supply Center 2.
• AEROSET System assays are divided into two distinct categories
(A-Line and B-Line) to allow the System to process tests at the
fastest possible throughput.
– A-Line Tests—reagents always reside in segments A, B,
or C.
– B-Line Tests—reagents always reside in segment D
• New cartridges should always be loaded in a higher numbered
position than cartridges of the same reagent already onboard.
• The System always aspirates first from the cartridge in the lowest
numbered position.
• For assays using two reagent cartridges, the R1/R2 pair must be
placed onboard at the same time. Refer to the assay-specific
Package Inserts for specific reagent handling instructions.
• After loading reagents, a reagent scan must be performed to update
the inventory
C
Reagent Supply Center 1
D C
B
A
B
Shaded = A-Line (Outer) A
Unshaded = B-Line (Inner)
Unit Configuration Description of Parameter Rules for Loading Reagents: If Parameter Is...
Parameter ON OFF ON OFF
Priority on Rgt Bar When a reagent scan is When a reagent scan is Place reagents with bar Place reagents with bar
Code performed, bar code performed, manually code labels in any open code labels in any open
labeled reagents defined reagents have position of the position of the appropriate
overwrite (e.g., have priority over bar code appropriate segment. segment.
priority over) labeled reagents. Place reagents without Place reagents without bar
manually defined bar code labels in code labels in manually
reagents configured manually defined defined segment
for the same position. segment positions. positions.
To manually delete the
NOTE: If any reagent information,
reagent configuration select <Clear> on the
is edited and saved Reagent Specific
after the reagent scan Position dialog window.
is complete, this When <Clear> is
reagent becomes selected, reagent type and
manually configured. cartridge size defaults
For example, if the display.
reagent expiration date
was edited to reflect
onboard stability, this
manual configuration
! CAUTION: If a
will be overwritten by different reagent is loaded
a bar coded reagent in a position previously
each time a reagent configured with a
scan is performed. manually defined reagent,
the manual entry must be
deleted before performing
a reagent scan. Failure to
comply could lead to
erroneous results.
Unit Configuration Description of Parameter Rules for Loading Reagents: If Parameter Is...
Parameter ON OFF ON OFF
Multiple Rgt Ctgs Allows for multiple A maximum of two If two or more New reagent cartridges
(e.g., more than two) sets of reagent cartridges with the should be placed in a
reagent cartridges per cartridges/pairs per same reagent name are higher numbered position
assay to be placed on assay will be used by loaded in a Reagent than cartridges already
the System. the System. Supply Center at the onboard. A maximum of
same time, new two reagent cartridges/
cartridges must be pairs per assay are utilized
loaded in a higher by the System.
! CAUTION: numbered position than
If the Multiple Rgt the cartridges already
Ctgs option is onboard. The System
configured ON, the first aspirates from the
Reagent Link option is cartridge in the lowest
not functional— i.e., number position. An
R1 and R2 cartridges Error Log Message is
are not linked. generated each time a
cartridge is empty and
the System transfers to
the next cartridge.
For assays using two
reagent cartridges, the
R1/R2 pair must be
placed on board at the
same time.
Unit Configuration Description of Parameter Rules for Loading Reagents: If Parameter Is...
Parameter ON OFF ON OFF
Reagent Link Allows the R1 and R2 R1 and R2 cartridges The linked reagent pair New reagent cartridges
reagent pair to be are not linked. R1 and (R1/R2) to be used first should be placed in a
linked by position. A R2 are utilized must be placed in the higher numbered position
maximum of two sets independently. lowest available than cartridges already
of reagent cartridges position. After the onboard. R1 and R2 are
per assay are allowed. reagent pair is linked utilized independently.
The lowest R1 by the System, the
position is linked to Operator must verify it
the lowest R2 position is always utilized as a
and the highest R1 pair.
position is linked to
highest R2 position.
Each time a reagent
scan is performed, the
System relinks
! NOTE: The
reagents according to R1/R2 pair must be
position. placed onboard at the
same time.
NOTE: If the
Multiple Rgt Ctgs
option is configured
ON, the Reagent Link
option is not
functional— i.e., R1
and R2 cartridges are
not linked.
Prior to activity, instructor should remove Creat, TP, ALT, Glucose, and ALBP from reagent supply center and
perform a reagent scan.
Introduction:
In the activity, you will determine where to load reagents, how to use the
appropriate adaptors, and how to check reagent inventory.
Objective:
Upon the completion of the reagent loading activity, you will be familiar
with:
• Determining the line a reagent gets loaded on
• Loading reagents using the appropriate adaptors
• Checking reagent inventory
• Reagent scan
• Assay status after reagent scan
Necessary Materials:
Reagents:
• Creatinine
• Total Protein
• ALT
• Glucose
• Albumin P
Additional Materials:
• 20 mL adaptors
• Small adaptors
Procedure:
1. Determine the appropriate line for creatinine.
2. Determine if any adaptors are needed for this reagent.
3. Load the R1 reagent on the appropriate line in any empty reagent
position in the R1 reagent carousel.
4. Load the R2 reagent on the appropriate line in any empty reagent
position in the R2 reagent carousel.
5. Repeat steps one through four for the following reagents:
• Total Protein
• ALT
• Glucose
• Albumin P
6. After completion of loading above reagents, select <RGT SCAN>
in the action area of the screen.
7. Select <OK> to start reagent scan.
8. After reagent scan is complete, select <Assays> in the information
access area.
9. Ensure that the text for the first 14 assays is not black.
10. Select <Reagents> in the information access area.
• Advise customer to check all 11. Review Reagents screens, including Reagent View and Reagent
Reagent Supply Center Tabs. Supply Center Tabs.
Step Action
1 Order patient samples.
2 Review and print the Loadlist.
3 Load samples.
4 Select Run options.
5 Start the run.
When loading samples, ensure that the following conditions are met:
• Prior to loading a tube, verify that the size of the tube is listed as an
acceptable sample container.
• Ensure there is sufficient sample volume to run the ordered tests
plus any anticipated reruns.
– For primary tubes ensure that there is sufficient
sample volume for the assays to be measured, plus
½ inch (13 mm) of sample above the clot, gel
separator, or plasma/red cell interface. If the specimen
volume is less than ½ inch (13 mm), transfer the
specimen into a sample cup.
½ inch
Sample
(13 mm)
Top of clot, gel, of sample
or plasma/red cell
interface
1. Load the samples in the specified Sample Carrier and position. If the
sample tube is bar code labeled, face the label toward the right-hand
side of the Sample Carrier.
NOTE: When the System is configured to read sample bar
code labels, the patient samples may be placed in any
Sample Carrier and position. Refer to Module 8,
Configuration, for information on configuring the System
to read sample bar code labels.
2. Place the Sample Carrier(s) into a Sample Carrier Tray.
3. Place the blue End-of-Run Carrier to the right of the last Sample
Carrier loaded with samples, if the System is configured for auto
return of the FastTrack™ Sampler.
4. Place the Sample Carrier Tray onto the FastTrack Sampler, to the
right of the Sampler Area, so that it is aligned between the gray
positioning marks. The white bump on the track belt should be
centered under the tray.
NOTE: Do not load trays when the red RERUN Indicator
on the Front Display Panel is illuminated.
System Status
The following System status types are displayed during a run:
Processing
Text Color Status
Code
Pink Pending
Pink Waiting for a rerun R
Brown Running
Blue Incomplete, linked to rerun L
Blue Incomplete, replicate r
Blue Complete, but not validated A
Black Validated V
Green Validated (preserved)* V
*When auto SHUTDOWN is performed, there are several possible
options for Clear Database. If the Cal, QC option is selected, SID and C/
P are deleted for complete, incomplete, and validated samples. These
samples are now “preserved samples” and display with green text.
Introduction
• During the activity, point out color In this exercise, you will manually order and run several patient samples
changes on database screen, changes in on the FastTrack™ Sampler following the steps described in this
system status, and lines in Run Progress Module.
Area.
• Instructor will need prepared tubes for
the activity.
Objective
Upon completion of the Basic Run Activity, you will be familiar with:
• Ordering patient samples on the FastTrack Sampler
• Printing a Loadlist
• Loading samples
• Selecting Run options
• Starting a run
• System status types that are displayed during a run
Necessary Materials
Reagents:
• ICT™ Sample Diluent, Albumin, ALT, AST, Calcium, Creatinine,
Glucose, Phosphorus, Total Protein, Urea, and Iron
Other:
• Patient samples
Procedure
5. Select <New>.
6. Repeat steps 4 and 5 to order the following additional samples.
SID Name C/P Assays
502 Trola, Vic 1/2 Glu, AST, ALT, Iron
503 Fresco, Al 1/3 Chem1, Phos
504 Lifeboats, Mandy 1/4 Chem2, TP, AlbP
505 Pendous, Stu 1/5 Chem1, TP, AlbP
506 DeLyon, Dan 2/1 Crea, Urea, Phos
507 Moe, Ali 2/2 Chem1, TP, Crea, Urea
REVIEW QUESTIONS
1. What screen is used to order patient samples and print a Loadlist?
3. What is C/P?
8. What color are the samples in the DATABASE screen while they
are running?
10. When viewing the REAGENTS screen, you note that the remaining
volume of a reagent is displayed in pink. What does this indicate?
ANSWERS
1. The DATABASE screen
2. The RUN OPTIONS screen
3. Carrier and position number
4. By touching the scroll bar to the right of the panel buttons
5. The Loadlist prints sample information and position.
The Order List prints the sample information, position,
and assays ordered.
6. It indicates to the System to stop sampling from the Sample Carriers
and if Auto Rerun is configured it will return the trays to the starting
position and begin sampling any reruns.
7. Bubbles can cause level sense errors or inaccurate test results due to
inaccurate aspiration.
8. Brown
9. The cartridge in position A-9
10. The reagent is expired.
SUMMARY
In this Module, you have:
• Manually ordered patient samples to run on the FastTrack™
Sampler
• Loaded samples
• Initiated a patient run
• Observed the various System status types displayed during
processing
• Identified the screens required to verify reagent inventory
• Loaded reagents
NOTES
MODULE 3:
DAILY START UP
AND CHECKS
CONTENTS
Page
Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
System Log On and Log Off . . . . . . . . . . . . . . . . . . . . . . . 3-5
START UP and SHUTDOWN . . . . . . . . . . . . . . . . . . . . . . . 3-7
Solutions Used for START UP, SHUTDOWN, and
Daily Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-15
Solution Volume Display . . . . . . . . . . . . . . . . . . . . . . . . 3-18
Daily Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-23
Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-32
Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-33
Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-35
OBJECTIVES
Upon completion of this Module, you will be able to:
1. Log On to the AEROSET System
2. Describe and perform START UP Procedures
3. Describe and perform SHUTDOWN Procedures
4. Describe and perform the Daily Check Procedures
INTRODUCTION
To ensure smooth daily work flow, it is important to perform the Daily
Checks and START UP. This Module familiarizes you with these
procedures and how to perform them.
Log On
• guest/xxxx* (numbered password) To Log On to the AEROSET System, perform the following procedure:
• extra/ex_tra*
*Abbott personnel only
1. Type the User Code.
NOTE: Do not press [Enter] after typing the User Code.
• These user codes/passwords are
configured on training instruments
only. They will not be configured on 2. Press [Tab] on the keyboard.
customer’s instrument.
- abbott/Aeroset 3. Type the Password.
- aeroset/user NOTE: Both fields are case sensitive.
Log Off
The Operator must Log Off to enable another Operator to Log On or to
perform the Power OFF Procedure.
1. Close or exit any open screens.
2. Select the Exit icon from the Action Area of the Main
Display.
24 Hour Operation
If the AEROSET System is operational for the entire 24 hour period or
idle for less than eight hours per day, the following START UP and
SHUTDOWN options should be performed daily at the intervals
specified below.
SHUTDOWN (1 min)
These options should be performed once per 24 hour period and require
one minute to complete:
• Clear Database, All Records
NOTE: The capacity of the Database screen is 8,000
sample records or 30,000 results. The Operator will be
notified by an Error Log Message when the capacity is
depleted to 100 records. When the capacity is totally
depleted the Operator will be notified and no additional
orders will be accepted.
When the System is configured to Save by Carrier
ID (no sample bar codes) Sample Carrier/Positions
cannot be reused and must be cleared using this
procedure.
The Delete function on the Database screen will
not clear the Database.
NOTE: If the Cal, QC option or Cal, QC, QC Avg option
is selected instead of the All Records option to Clear
Database, then:
• C/P, SID, and PID are deleted for complete,
incomplete, and validated results; these
samples become preserved samples.
• A search cannot be performed for a preserved
sample.
• Text color on the DATABASE screen is green
for a preserved sample.
• The C/P, SID, and PID of the preserved samples
can be used for new patient samples.
• <Rxn Graph> cannot be selected to view a
reaction graph for a preserved sample.
IDil
. a. Preparation of Water Bath Additive – Transfer the Water Bath Additive to an empty Reagent Cartridge and
place it in an outer segment of Reagent Supply Center 1. Approximately 3 mL is required to perform the
Change Water In Bath option.
. b. Preparation of 1% Alkaline Wash Solution – Mix 10 mL of Alkaline Wash Solution with 990 mL of DI
Water (Type II). Approximately 10 mL is required in each Reagent Cartridge listed in the preceding table.
Approximately 1 mL is required in the sample cup. The prepared solution is stable for 30 days when stored
at room temperature and protected from light. Transfer the solution to empty Reagent Cartridges for place-
ment in the defined position in the Reagent Supply Centers and to a sample cup for placement in the Cal-
ibrator/Control Carousel. Onboard stability for this reagent, when placed in the Reagent Supply
Centers, is 14 days. When placed in the Calibrator/Control Carousel, the stability is one day.
The Reagent Supply Center positions for the 1% Alkaline Wash Solution and 0.5% Acid Wash
Solution are pre-configured on the System Configuration Disk.
d. Preparation of ICT™ Cleaning Fluid – Add 12 mL of Cleaning Fluid Diluent. The prepared solution is sta-
ble for 14 days when stored at 2 - 8×C. Transfer the solution to a sample cup for placement in the Calibra-
tor/Control Carousel. Approximately 200 µL is required in the sample cup. Onboard stability for this
reagent, when placed in the Calibrator/Control Carousel is one day.
ICT Reference 9
Solution
Alkaline Wash 9
Solution
(11)
(12)
(13)
Screen Positions (1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
Figure 3.5: Solution Volume Display
The following table identifies the solutions in screen positions 1 - 10.
These solutions are located in the Reagent Supply Centers and the
volume is indicated in % remaining and by a colored bar. Each color
indicates a different status.
• Green – The volume is sufficient.
• Pink – The expiration date specified in the Reagent Configuration
screen has been exceeded.
• Brown – The volume is below the specified Rgt Lo Alert level.
Position Definition
Procedure:
Procedure
CAUTION: The ICT Reference Solution should not be
! changed when the System status is RUN, PAUSE, or
SAMPLING END because the System is using the
solution at these times and sample results could be
affected.
NOTE: If the “88 - Inventory Empty, ICT Reference
Solution” Error Log Message is generated during a run,
the System automatically switches to PAUSE status. No
additional samples are aspirated but samples already
dispensed continue to process. The Operator can:
• Allow these samples to complete.
• Select <STOP> to change the System status to
READY.
• Select <UNPAUSE> to continue sample aspiration
of photometric assays only.
ICT results completed after the Error Log Message is
generated should be rerun.
NOTE: Refer to Error Log Messages—Supplemental
Information in Section 10, Troubleshooting and
Diagnostics of the AEROSET System Operations
Manual for details on initial recovery from Error Log
Message 88.
1. Ensure the System status is READY prior to loading the ICT
Reference Solution.
2. Open the front-right door of the Analyzer.
3. Remove the used ICT Reference Solution bottle from the tray.
4. Remove the reference pump tubing and associated cap from the
used bottle.
5. Prepare the new ICT reference solution by removing the shipping
cap from the bottle.
6. Insert the ICT reference pump tubing in the new bottle and seat the
cap on the bottle opening. Firmly press down on the cap to secure it
on the opening.
NOTE: Ensure the cap covers the ICT reference solution
bottle threads on the neck of the bottle, and the tubing is
inserted to reach the bottom of the bottle.
CAUTION: Failure to comply could cause aspiration of
! air and erroneous results.
DAILY CHECKS
To ensure proper operation of the AEROSET System, the following
Daily Checks must be performed:
• Demonstrate Daily Checks at • Check 1 mL Syringes
instrument.
• Check Wash Solution Trays
• Check Sample and Reagent Syringes and Solenoid Valves
• Check High-Concentration Waste Container
• Check Refrigerator Condensation Pan
• Check DI Water System
• Check Reagent Inventory
Check 1 mL Syringes
1. Open the front-right door to access the Wash Solution pump 1 mL
syringes.
1mL
Syringes
125686
2. Check each of the syringes in the pump. Visually inspect the syringe
interior, below the plunger tip, for evidence of leakage.
Check for
Leakage
125634
ICT Reference
ICT Aspiration Pump Solution Pump
Figure 3.7: ICT Aspiration Pump and ICT Reference
Solution Pump
2. Inspect the Sample and Reagent Syringes for leaks from the syringe
body.
3. Inspect the three (3) connections of the Sample and Reagent
Syringes for leaks as shown in the following illustration.
3
1
125635
Solenoid
Valves
125675
2
125645
Cable
Refrigerator
Condensation
Pan
Figure 3.8: Refrigerator Condensation Pan
2. Pull the pan out, keeping it level to prevent spills.
3. Empty the water collected in the condensation pan.
NOTE: This water is condensation from the reagent
refrigeration units and is not considered potentially
biohazardous.
4. To replace, align the center of the pan with the center of the large
vent on the rear of the Analyzer.
5. Slide the pan underneath the Analyzer just far enough so that it does
not extend beyond the Analyzer.
REVIEW QUESTIONS
1. How do you Log Off the System to allow another Operator to Log
On?
5. How does the System indicate that one or more of the START UP
or SHUTDOWN options was not completed due to an error?
ANSWERS
1. Select the Exit icon to return to the Log On screen.
2. If the instrument is operational for a 24 hour period or if the
instrument is idle for less than eight hours/day
3. Water Bath Additive
4. Position 43 on the Calibrator/Control Carousel
5. The option is underlined in pink on the START UP OPTIONS or
SHUTDOWN OPTIONS screens.
6. The Maintenance Utilities icon/button in the Action Area
SUMMARY
In this Module, you have:
• Performed the Log On Procedure
• Described and performed the START UP, SHUTDOWN, and
Daily Check Procedures
NOTES
MODULE 4:
RUN OPTIONS
CONTENTS
Page
Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Order Entry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Sample Order Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
Ordering and Running a STAT Sample . . . . . . . . . . . . . 4-16
Editing Patient Sample Orders . . . . . . . . . . . . . . . . . . . . 4-19
Adding Samples During a Run . . . . . . . . . . . . . . . . . . . . 4-20
Activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-25
Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-29
Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-31
Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-32
OBJECTIVES
Upon completion of this Module, you will be able to:
1. Run patient samples with a Host interface download or Host Query
2. Enter patient orders manually to run in the Sample Carousel
3. Order sample replicates
4. Order samples for onboard dilution or to be corrected for manual
dilution
5. Enter patient demographic information
6. Create batch orders
7. Order a patient sample to run in the Reserved STAT Position
8. Edit patient sample orders
9. Add samples during a run
INTRODUCTION
Prior to beginning the Module, In Module 2, you learned about a basic run. In this Module, you will
instructor should ensure that Host learn the various Run options that are available for performing tests on
Configuration Protocol Type is Type the AEROSET System.
1’.
ORDER ENTRY
There are three ways to enter orders:
• Manually, in the Order Samples screen
• Downloaded from a Host computer
• Host Order Query
Option Description
STAT
Position
Access
125643
2. Load the samples in the specified carrier and position. If the sample
tube is bar code labeled, face the label toward the center of the
Sample Carousel.
NOTE: When the System is configured to read sample bar
code labels, the patient samples may be placed in any
carrier and position.
Refer to Section 2, Installation Procedures and Special
Requirements of the AEROSET System Operations
Manual for details on configuring the System to read
sample bar code labels.
Remember to use the Cup/Tube Adapter for sample cups.
If sample cups are loaded without the adapter, the
sample cup is not detected and the patient sample is
not run.
Sample Replicates
Enter the number of replicates desired in the Replicates field. Up to 5
replicates can be entered.
Example: If 3 replicates are entered, the System will dispense and
analyze each selected assay 3 times.
Manual Dilution
• Manual dilution field holds 3 digits. Enter a multiplier in the Manual Dil field, if an off-line dilution was
done. The multiplier will be used to correct the final result for all assays
ordered, both photometric and potentiometric.
Example: If a 1:5 dilution was performed, enter a 5 in this field. The
System will multiply the final result by 5 to correct for the dilution.
Onboard Dilution
• Dil 1 and 2 (Dilutions must be The measurement type for each assay can be selected. The options are:
configured for each assay and will
vary. Cannot see dilution on this Option Description
screen— would have to go to assay
file.
Standard The default dilution configured
Dil 1 Dilution Option 1
Dil 2 Dilution Option 2
To define the measurement type for each assay, first select the type and
then select the assay button. The measurement type is visually displayed
as a colored line on the assay button.
If... Then
• The Order Samples screen for • A green line appears under the
this sample is accessed again prior diluted assay indicating a standard
to sample processing dilution.
and
• <OK> is selected on the screen • The System accepts the standard
or dilution and the dilution protocol
is not run.
Patient Demographics
• If age/sex related reference ranges Additional patient information may be entered by selecting <Demog>
used, must enter both on located in the upper right-hand corner of the Order Samples screen
demographic screen. above the panel buttons. The Patient Demographics dialog window
displays.
Option Description
Patient ID Up to 20 alphanumeric characters can be entered.
Sex Select from Unknown, Male, or Female using a Drop-down
list box.
Age Up to 3 digits are allowed for the year; up to 2 digits are
(yyy/mm) allowed for the month.
Birthdate 4 digits are required for the year; up to 2 digits are allowed
for the month and day. Once entered, the System will
automatically calculate the age.
Doctor A maximum of 20 alphanumeric characters can be entered
or a selection can be made from the list in the Drop-down
list box. Entries can be added (up to 32) to the list to appear
in the Drop-down list box.
Location
• To add an entry to the list: Select <Add>.
• To remove an option from the list: Highlight the option
on the list and select <Delete>.
Comment
Batch Ordering
• When Alphanumeric SID IS Batch ordering is used when the same assays will be ordered for more
SELECTED in system than one sample.
configuration, the SID WILL NOT
increment. If Alphanumeric SID is
NOT selected in system
NOTE: Prior to using the Batch option, verify that sequentially
configuration, the SID WILL numbered carrier/positions are available for the number of
increment. SID can be edited if samples in the batch.
desired.
• After touching “OK” to close “Copy 1. Enter the first patient sample order.
Order” dialog box, can use “Next”
to access records to edit SID. On last 2. Select <Copy> in the right-hand column of the Order Samples
copy, touch “OK” or “New”. screen. The Copy Order dialog window is displayed.
• Show that Sample Carousel C/P
does not automatically increment
from 1000/5 to 2000/1.
125696
ACTIVITY
Introduction
• Instructor will need the prepared tubes In this exercise, you will manually order and run several patient samples
for the Run Options module. on the FastTrack™ Sampler and Sample Carousel with the additional
• Point out that run is not started until Run options described in this Module.
step #10.
• Wait for sampling to begin before
ordering the STAT.
Objective
Upon completion of the Run Options Activity, you will be familiar with:
• Ordering patient samples in the Sample Carousel and FastTrack
Sampler
• Creating batch orders
• Editing patient sample orders
• Entering patient demographic information
• Ordering sample replicates
• Ordering samples for onboard dilution
• Ordering a patient sample to run in the Reserved STAT Position
• Adding samples during a run
Necessary Materials
Reagents:
• ICT™ Sample Diluent, Albumin, ALT, AST, Calcium, Creatinine,
Glucose, Phosphorus, Total Protein, Urea, and Iron
Other:
• Patient samples
Procedure
3/2 B12345 Cloth, Terry HAP7865 Birthdate: October Add the ICT panel
1, 1970
3/3 C12345 Gate, Della 555-8888 Doctor: Who Add Phos and run
this sample with 3
replicates
3/5 E12345 Mellow, Marsha 9876543210 Comment: Frozen Add Crea to run as
Sample Dil 2 and Urea to run
as Dil 1
SID Assays
789STAT Chem1
4. Select <Start>.
ANSWERS
1. a. Manually
b. Downloaded from a Host computer
c. Host Order Query
2. RUN OPTIONS screen
3. Five
4. Batch ordering is used when the same assays will be ordered for
more than one sample.
5. Reserved STAT Position
SUMMARY
In this Module, you have:
• Discussed how to run patient samples with a Host interface
download or Host Order Query
• Manually entered patient orders to run in the Sample Carousel
• Ordered sample replicates and samples for onboard dilution or to be
corrected for manual dilution
• Entered patient demographic information
• Created batch orders
• Ordered a patient sample to run in the Reserved STAT Position
• Edited patient sample orders
• Added samples during a run
MODULE 5:
RESULT HANDLING
CONTENTS
Page
Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Reviewing Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Accepting Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14
Validating Samples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15
Printing Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-16
The Limited Run Feature . . . . . . . . . . . . . . . . . . . . . . . . . 5-18
Rerunning Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-21
Reviewing and Selecting Rerun and
Replicate Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-26
Adding Assays to a Completed Sample . . . . . . . . . . . . 5-30
Editing Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-31
Deleting Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-32
Transmitting Results to the Host . . . . . . . . . . . . . . . . . . 5-34
Exporting Results to a Floppy Disk . . . . . . . . . . . . . . . . 5-35
Activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-37
Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-40
Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-42
Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-43
OBJECTIVES
Upon completion of this Module, you will be able to:
1. Review, accept, validate, and delete results in the DATABASE and
RESULT screens
2. Find results, save results, print results, and retransmit results to the
Host computer
3. Describe the Limited Run feature
4. Rerun results and add new assays
5. Edit results
6. Identify the Processing Codes, Result Flags, and Result Error Codes
INTRODUCTION
Alternate Method of Training this This Module provides information on result handling. You will learn how
Module to view, accept, delete, print, rerun, export results, and limit a run.
Show the layout of the
DATABASE and Result Screens
(Reviewing Results Section), then
show the following functions on
the RESULT Screen only.
• Print
• Accept
• Rerun
• Edit
• Select
• Delete
• Add
Next, show the following
functions on the DATABASE
Screen.
• Explain the functions that
are similar to the RESULT
screen contrasting single
result vs. multiple samples or
assays.
• Print
• Accept
• Rerun
• Delete
• Show functions unique to
the DATABASE screen.
• Export
REVIEWING RESULTS
Once a sample is complete, you can review the results. There are two
screens from which results may be viewed:
• DATABASE screen
• RESULT screen
• Sample ID
• Patient Name
• Date and Time Ordered
• Patient ID
• Date and Time Completed
• Assay Name (1 through 100)
• Operator
• Comment
• Doctor Name
• Location
The Processing Code column (left-hand column prior to the C/P column)
displays a single-letter code to indicate the status of the completed
samples. The following Processing Codes may be displayed:
Processing
Status Description
Code
Incomplete An error occurred for one or more of the
sample results. This may also indicate that
I
the sample is an original sample, with rerun
or replicate results.
Accepted All results ordered for the sample
A
completed with no errors.
Validated The sample has been validated. This can be
done by the Operator or the System can
V
auto-validate if configured to do so in the
SYSTEM CONFIGURATION screen.
Rerun A rerun was requested for one or more
R
results on the sample.
Linked This sample is a rerun of an original sample
L
order and is linked to the original sample.
Replicate This sample is a replicate of an original
r sample order and is linked to the original
sample.
The Assay Name columns display the results of the assays ordered for
each sample. If an “*“ is displayed, the result is not complete. If a “C” is
displayed next to the result, an error has occurred for the result. To
review the Result Error Code, access the RESULT screen.
4. Place a checkmark (;) in the box to the left of each desired Sample
Status and Sample Type option to be included in the customized
view.
5. Select <OK> to save the settings.
Sort Options
There are four methods of sorting and displaying the samples in the
DATABASE screen.
• Sort by date and time ordered
• Sort by date and time completed
• Sort by carrier/position (C/P)
• Sort by Sample ID
To select the type of sort desired, perform the following procedure:
1. Select <Database> in the Information Access Area, if the screen is
not currently displayed.
2. Select <Custom> at the bottom of the Display Area. The
Customized View dialog window displays.
ACCEPTING RESULTS
The AEROSET System auto-accepts all results that are completed with
no associated Result Error Codes. The Processing Code “A” displays by
each accepted result in the RESULT screen. If all results on a sample are
auto-accepted, the “A” is also displayed by the sample in the
DATABASE screen.
If a sample has one or more results with an associated Result Error Code,
the Processing Code “I” is displayed by the sample in the DATABASE
screen. The results for this sample will need to be evaluated by the
Operator for acceptance or further action (rerunning, diluting, editing,
etc.)
To review and accept the results, perform the following procedure:
1. Select <Database> in the Information Access Area, if the screen is
not currently displayed.
2. Select the sample to be reviewed.
3. Select <Result> in the right-hand column. The RESULT screen is
displayed.
VALIDATING SAMPLES
After all the results on a sample have been accepted, the sample may be
validated. The AEROSET System may be configured to only allow
validated results to be printed or transmitted to a Host. The System can
also be configured to auto-validate samples when all results are
acceptable.
5. Select <OK>.
6. A “V” is displayed by the sample in the DATABASE screen and the
text turns black to indicate that the sample has been validated.
PRINTING RESULTS
Two forms may be printed, Form 1 and Form 2.
Refer to Appendix B of the AEROSET System Operations Manual for
details.
3. Place a checkmark (;) in the box to the left of the Patient option by
touching the box.
4. Place a checkmark (;) in the box to the left of the Limited option
by touching the box.
RERUNNING RESULTS
An Operator may schedule results to be rerun from both the DATABASE
screen and the RESULT screen. Results can be rerun at the same dilution
or the dilution option can be changed before rerun.
Auto return for a sample does NOT occur if the Auto Return (for
Sample Crsl and/or Track Sampler), Auto Rerun, and Sample
Bar Codes options are all configured ON and the following
conditions also exist:
If... Then
7. To initiate the run, select <RUN> in the Action Area. The RUN
OPTIONS screen displays.
8. Select the options desired, then select <Start> in the upper
right-hand corner of the RUN OPTIONS screen.
Result #
Indicator
4. The Result # indicator in the upper left corner of the screen indicates
how many reruns or replicates were performed and which result is
being viewed. For example, in the screen shown above the Result #
indicator shows 1/2. This indicates that this sample was run twice
and that the original result is displayed.
5. The Drop-down list box to the right of the Result # indicates that the
original result is displayed.
6. To view the rerun result, touch the Drop-down list box and select
Link 1 to view the first rerun (Link 2 = second rerun, Link 3 = third
rerun, etc.).
NOTE: Replicates are displayed in the list box as Orig-1
for the first replicate (Orig-2 = second replicate, Orig-3 =
third replicate, etc.).
Drop-Down
List Box
7. Select the return arrow. The RESULT screen displays with the
original result and the selected rerun or replicate result.
Original Result
Rerun Result
EDITING RESULTS
• Manually edit 1 result at a Whenever a result is edited, the Processing Code “E” (Edited) is
time. displayed for the result. The “E” remains even after the result has been
• Will give an “E” flag on that accepted and validated. To edit a result, perform the following
result on screen, can be procedure:
configured to appear on
printout. “E” flag will be sent
1. Select <Database> in the Information Access Area, if the screen is
to the Host. not currently displayed.
2. Select the desired sample.
3. Select <Result> in the right-hand column. The RESULT screen is
displayed.
4. Touch the desired assay result.
5. Select <Edit> in the right-hand column of the RESULT screen (or
press [E] on the keyboard).
6. A blue box appears around the result to be edited, and a cursor
appears in the Result field.
Result
Field
DELETING RESULTS
ACTIVITY
Introduction
In this exercise, you will order routine and priority samples to generate
results. You will also perform the result handling procedures described in
this Module.
Objective
Upon completion of the Results Handling Activity, you will be familiar
with:
• Reviewing results
• Rerunning results
• Adding assays to a completed sample
• Editing results
• Printing results
• Selecting rerun results
• Accepting and validating results
Necessary Materials
Procedure
Reviewing Results
When the patient samples are completed, perform the following steps:
1. Review the Result Error Codes displayed for Forrest Ranger.
Request a rerun of all assays ordered and place a tube containing
sample into the carrier.
2. The Phosphorus reagent was expired, rerun all the Phosphorus
results.
3. Doctor Betterlate called and wants to add a Glucose to Barry Tone.
4. Marcus Wellbyme called and wants the Glucose result on Terry
Daktul. Review and print the results from the RESULT screen.
5. Doctor Dolittle wants the Na+ on Ted E. Baer rerun.
6. Elmer Sklue was supposed to have a low Glucose result of 35. Edit
the result and reprint a report.
7. Search for the results on the Less girls by name. Print
Form 2 Result Reports for both.
REVIEW QUESTIONS
1. Name the two screens on which results can be viewed.
3. You want to view only the pending samples. List the steps involved,
beginning at the Main Display.
a. ______________________________________________
b. ______________________________________________
4. What would a yellow line under the assay name in the RESULT
screen indicate?
5. What color would the result text be if the result was outside the
defined reference range?
8. You want to resend results to the Host computer. List the steps
involved, beginning at the Main Display.
a. ______________________________________________
b. ______________________________________________
c. ______________________________________________
d. ______________________________________________
NOTES
ANSWERS
1. DATABASE and RESULT screens
2. When a sample has been rerun, the rerun results are displayed with
an “L” to indicate that they are linked to the original results.
3. a. Select <Database>.
b. Deselect all limited view buttons at the bottom of the
DATABASE screen except <Pending>.
4. The result was analyzed using the Dil 2 option.
5. Brown
6. The Limited Run feature allows the Operator to exclude assays
scheduled for a patient sample without changing the order.
7. RESULT screen
8. a. Select <DATABASE>.
b. Select all samples to be resent.
c. Select <On-line>.
d. Select <Send Results>.
SUMMARY
In this Module, you have:
• Reviewed, accepted, validated, and deleted results in the
DATABASE and RESULT screens
• Demonstrated how to find, save, and print results
• Discussed how to retransmit results to the Host computer
• Described the Limited Run feature
• Rerun results and added new assays
• Edited results
• Identified the Processing Codes, Result Flags, and Result Error
Codes
MODULE 6:
CALIBRATION
CONTENTS
Page
Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
Calibration Theory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Calibration Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10
Calibration Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11
Calibrating an Assay . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13
Calibration Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19
Activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-33
Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-36
Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-38
Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-39
MODULE 6: CALIBRATION
OBJECTIVES
Upon completion of this Module, you will be able to:
1. Demonstrate a basic knowledge of kinetic rate and end-point assays
and the different calibration methods
2. Describe the calibration types available
3. State the reasons for calibrating the AEROSET System
4. Order calibrations and load the calibrators
5. Identify the screens and reports used to review calibration results
6. Recognize Calibration Error Codes associated with calibration
failure
INTRODUCTION
Assays must be calibrated before you can run samples on the AEROSET
System. In this Module, you will learn how assays are calibrated.
This Module introduces you to the different types of calibration for
photometric assays, the frequency of calibration, and how to order
calibrations. In addition, basic calibration theory is presented, and you
will learn how to review and manage calibration data.
CALIBRATION THEORY
Calibration can be described as analyzing samples of known
concentrations, recording the absorbance value(s) calculated for each
sample, and plotting the measured absorbance values versus the known
concentration to create a graph for evaluating unknown sample
absorbances. To understand how the AEROSET System calculates the
measured absorbance values used for calibration and to understand how
the System calculates patient results, it is important to know the different
assay types and the different methods of measuring and calculating the
absorbance values.
Assay Types
Two different photometric reaction types are measured on the AEROSET
System.
• End-point - The reaction reaches an equilibrium and at that time
there is little or no further change in the absorbance readings. The
absorbance readings used for calibration and the absorbance
readings used to calculate results are measured during this
equilibrium time.
• Rate - There is a constant change in absorbance over time. Readings
are performed several times during this reaction, and the absorbance
change over time (activity) is calculated and used for calibration and
to calculate results.
• Displayed absorbance data are In addition, at each read point the AEROSET System can measure at one
converted to readings for a 10mm (monochromatic) or two (bichromatic) wavelengths. Most AEROSET
light path length.
System assays are bichromatic. The following table explains how the
absorbance is calculated for each of these types:
Calibration Methods
After the AEROSET System has measured absorbance values for each of
the calibrators, a calibration curve is plotted. The System has eleven
different methods of analyzing the data, known as “Math Models”. The
term “Math Model” defines any mathematical procedure used to analyze
any given data. The procedure may range in complexity from a simple
subtraction to a non-linear least squares best fit. The available methods
are:
• *Abs
• *Factor
• *1-Point Linear (Blank and one calibrator)
• *Multi-Point Linear (Blank and 2 - 8 calibrators)
• Isozyme
• Logit-4
• Logit-5
• Exponent
• *Spline
• Use Factor
• *Use Fac/Blk (Factor and Blank)
NOTE: The calibration type is defined in the Assay
Configuration screens, Calibration page. For further
information, refer to Module 8, Configuration.
The methods marked with an “*” are used for the
currently available Abbott AEROSET System reagent
applications. These six methods are described in the
following paragraphs:
Abs
• An example is Sample Interference Results are obtained from the absorbance data based on comparison to
Indices, Drugs of Abuse the absorbance of water. End-point assays are represented as absorbance,
and rate assays are expressed as rate of absorbance change/minute.
During calibration, sample blank correction is not performed, even when
sample blank is specified for the end-point assay.
Factor
• All enzymes = rates These assays are typically measuring for enzyme activity. Enzyme assays
are measuring a chromophore (NADH, PNP, etc.) that has a specific
response that varies little between different instruments and reagent lots;
therefore, a single factor is used to calculate all results. Only a reagent
blank is performed for calibration. To calculate results, the reagent blank
absorbance is subtracted from the measured absorbance, and the
difference is multiplied by the factor.
Conc = (measured Abs - Rgt Blank Abs) x Factor
NOTE: The single factor used for the Factor method is entered
in the Calibration page of the Assay Configuration screen. For
further information, refer to Module 8, Configuration.
1-Point Linear
• An example is HDL A reagent blank and a single calibrator are measured. A calibration curve
is generated using these two data points.
Multi-Point Linear
• Even though you are doing point-to- On the AEROSET System, the multi-point linear calibration uses a
point, linearity is a best fit line, so it reagent blank (water) and two levels of calibrators. The following table
should still show a linear curve for
studies.
describes the steps used to calculate the calibration curve.
• Linear Rates-show Crea and/or Urea.
Step Action Example
- These assays are multi-point
linear but are rates. Absorbance values are measured Rgt Blk = 0.0023
- Show curve and how it takes a for the reagent blank (water) and (Conc = 0.0)
measurement over time instead the two calibrator levels.
of at an endpoint. Level 1 = 0.1105
1
(Conc = 2.0)
Level 2 = 0.3010
(Conc = 5.1)
For each of the two calibrators, the Level 1
reagent blank absorbance is 0.1105 - 0.0023 = 0.1082
2 subtracted from the measured
absorbance.
Level 2
0.3010 - 0.0023 = 0.2987
The reagent blank absorbance and
the corrected calibrator
absorbances are plotted vs. the
0.2987
concentration.
3 Abs
0.1082
2.0 5.1
Conc
Each point is connected for a
point-to-point line. The calibration Factor 2 = 16.3
factor is calculated for each
0.2987
segment of the line.
4 Factor = 1 / Slope Abs ∆Y
(Slope = ∆Y / ∆X)
0.1082
∆X
2.0 5.1
Factor 1 = 18.5 Conc
The following formula is used to calculate QC and patient sample
concentrations:
Concentration = (Sample Abs - Rgt Blank Abs) x Factor*
* The factor from the appropriate section of the curve is used according
to the measured absorbance value of the sample.
Spline
• Show IgA. The Spline method is a non-linear curve calculation used for data points
• Is a point to point, but cannot easily that lie on a slight curve. On the AEROSET System, the spline
calculate factors. calibration uses a reagent blank (water) and five levels of calibrators.
• Curve is basically symmetrical.
CALIBRATION FREQUENCY
Required Calibration
You must perform a full calibration run when:
• The Abbott AEROSET System is installed.
• The calibration curve has expired.
• A new reagent lot number is used.
• Existing assay file parameters have been updated or changed.
• A new assay file is installed.
• An Abbott Field Service Representative replaces the System
Control Center (SCC) and assay files have not been backed up. It is
recommended that a backup be performed routinely.
• It is required per assay application.
• An ICT™ component is removed and replaced.
• The ICT Reference Solution is replaced.
Optional Calibration
You may need to perform a new calibration run on an assay in the
following situations:
• Assay control values are out of specification.
• Any System component is replaced.
• Any System maintenance procedure is performed.
• Assay-specific calibration checks are not within specification.
CALIBRATION OPTIONS
In addition to full calibration, which renews all data points, three other
options of calibration correction are available for photometric tests. After
correcting the absorbance data, a new calibration curve is generated.
Listed below are the four calibration types.
• Full Calibration
• Blank Calibration
• 1-Point Adjustment
• 2-Point Adjustment
Full Calibration
All data points (reagent blank and calibrators) specified on the
Calibration page of the Assay Configuration screen are reanalyzed and
a new calibration curve is generated.
Other Calibrations
See the AEROSET System Operations Manual for additional
information about Blank Calibrations, 1-Point Adjustments, and 2-Point
Adjustments.
CALIBRATING AN ASSAY
Ordering Calibration
To order a calibration for one or more assays, perform the following
procedure:
1. Select <RUN> in the Action Area. The RUN OPTIONS screen is
displayed.
8. When all desired assays have been selected, select <OK> in the
upper right-hand corner of the SELECT ASSAYS FOR
CALIBRATION screen. The RUN OPTIONS screen is displayed.
NOTE: It is necessary to perform a full calibration on any
assay for which the configured calibrator values have been
edited. This calibration must be performed immediately
after the edits. Refer to Calibrator/Control
Configuration in Section 2, Installation Procedures and
Special Requirements of the AEROSET System
Operations Manual for information on calibration
configuration.
NOTE: To run quality control after calibration, place a
checkmark (; ;) in the box to the left of the QC after Calib
option by touching the box. Controls run automatically
after calibration for the assays selected to calibrate. Also,
select the checkbox under the desired QC levels.
9. Select <Save> in the right-hand column of the RUN OPTIONS
screen to save the calibration order. A confirmation dialog window
is displayed.
System-Initiated Calibration
When the AEROSET System determines that a calibration is required at
the time a patient run is initiated and the Calibration option is not
selected on the RUN OPTIONS screen, the System displays a screen to
inform the Operator of this condition. The Operator must determine if
the calibration is required, based on anticipated or current samples to be
processed.
Procedure for System-Initiated Calibration
1. Select <Start> in the RUN OPTIONS screen to initiate a run. The
System determines that a calibration is required, and a screen is
displayed indicating which calibrations are required.
2. Select <OK>. The SELECT ASSAYS FOR CALIBRATION
screen is displayed. Four options are available.
3. Select the desired option:
Option Description
<OK> All suggested calibrations and automatic
calibrations are performed.
<Cancel> No displayed calibrations or automatic
calibrations are performed.
NOTE: Selecting <Cancel> does NOT
prevent the AEROSET System from
running. <Cancel> refers only to the
Calibration option being displayed.
<DSelect> All assays are deselected. Only automatic
calibrations are performed.
NOTE: After selecting <DSelect> the
Operator must then select <OK>.
Manual Selection Select or deselect the desired assay(s). All selected
calibrations and automatic calibrations are
performed.
4. The Operator must load any necessary calibrators.
CALIBRATION REVIEW
• Go to Activity and complete the After calibration is performed, the AEROSET System verifies the
Procedures and Loading the calibrator results by comparing them to the assay parameter
Calibrators portions. Return to lecture specifications defined on the Calibration page of the Assay
with Calibration Review.
Configuration screen.
• Remind to check QC after cal in Run
Options. The AEROSET System software requires one valid calibrator replicate
• Uses actual absorbance from 1 rep, per required level to compute a curve, unless a greater number is
average absorbance from 2 reps; for 4
or 5 reps it will throw out low and
specified in the assay-specific Package Inserts.
high, and average remaining.
NOTE: Refer to the System Parameters section of the assay-
specific Package Inserts for information on the minimum
number of replicates for a specific assay.
If no System errors occur and the calibration results are within the assay
parameter specifications, the calibration passes. The assay button text in
the ASSAYS screen is green.
If a System error occurs or if the calibration results fall outside the assay
parameter specifications the following occurs:
• The assay button text in the ASSAYS screen is yellow.
• A Calibration Error Code is displayed in the ASSAY STATUS
screen and Error Log.
• The Result Error Code CAL is displayed in the RESULT screen for
any patient sample run after the failed calibration.
2. Select the desired assay name on the screen. The ASSAY STATUS
screen is displayed.
Calibration
Information
8. Scrolls between
the current,
previous, and
stored calibration
curves
5. Calibration Error
Code Display Area
3. Select .
4. The absorbance data and curve of the most recent stored calibration
curve are displayed. The date and time the stored calibration was
performed are displayed in the lower right-hand corner of the
Calibration Information area. The stored calibration curve and the
date and time performed are pink.
2. The absorbance values measured for all the replicates are displayed
on the top half of the Calibration Details screen. The values
displayed have not been corrected for the reagent blank.
NOTE: The bottom half of the Calibration Details screen
displays the stored average data from the CALIBRATION
SUMMARY screens. The graph shows the absorbance of
the stored calibrators. The default view is the blank (BLK)
calibrator. Other calibrator levels may be selected from the
list to the right of the graph. The CALIBRATION
SUMMARY screen is discussed in the next section of this
Module.
NOTE: If the current curve was replaced with a previous
or stored curve, no absorbance values display.
Concentration
Color Status
Black OK
Pink Pending or calibration curve expiration date exceeded
Brown Failed
To view the date and time that each calibration was performed, select
<Dates> in the right-hand column. The calibration dates are displayed.
To return to the view of the calibration data, select <Cal Data> from the
right-hand column.
1. Select the desired assay calibration data to save to the stored average
by selecting the assay name.
• To highlight multiple consecutive assays in the list, select the
first assay name in the list then highlight the remaining assays
by holding [Shift] and pressing [↓] on the keyboard.
• To highlight multiple random assays, hold down [Ctrl] while
selecting the assay names on the screen.
• To highlight all assays, select <All> in the right-hand column.
2. Select <Average> in right-hand column of the CALIBRATION
SUMMARY screen. A confirmation dialog window is displayed.
3. Select <OK>. The selected data are added to the stored average.
NOTE: The Operator must ensure that calibration data are
not added to the stored average more than once.
NOTE: This report prints the information from both the Data
and Dates screens of the CALIBRATION SUMMARY screen.
ACTIVITY
Introduction
In this exercise, you will order calibrations, load the samples, and review
the calibration curves upon completion.
Objectives
Upon completion of the Calibration Activity, you will be familiar with:
• Ordering a full calibration
• Ordering QC to run automatically after calibration
• Loading calibrators and controls
• Reviewing and printing calibration data
• Deleting calibration curves
Necessary Materials
Procedure
1. Select <RUN> in the Action Area.
2. Place a checkmark (;) in the box to the left of the Calibration
option by touching the box.
3. Place a checkmark (;) in the box to the left of the QC after Calib
option by touching the box.
4. Select the Checkbox under the desired QC levels.
5. Touch the Drop-down list box next to Calibration and select the Set
1 option.
6. Select the return arrow to close the list.
7. Select <Order> to the right of the Calibration option.
8. Ensure that the calibration type of Full is selected.
9. Select the following assays: AlbP, ALT, AST, Glu, Iron, TP, Phos,
Crea, Urea, and CA.
10. When all desired assays have been selected, select <OK>.
11. Select <Save> in the right-hand column.
12. Select <OK> on the confirmation dialog window.
13. Select <Cancel> on the RUN OPTIONS screen to exit the screen
without starting the run.
Calibration Review
When the calibrations are complete, perform the following:
1. Print a copy of the current calibration summary.
2. Delete the previous calibration curve data for Phosphorus.
3. Select the current calibration data for all assays calibrated and copy
to the stored average.
REVIEW QUESTIONS
1. What are the six Calibration Methods (Math Models) currently used
for calibration on the AEROSET System?
a. ______________________________________________
b. ______________________________________________
c. ______________________________________________
d. ______________________________________________
e. ______________________________________________
f. ______________________________________________
10. Can the AEROSET run a calibration using calibrators from set 1, 2,
or 3 and patient samples at the same time?
ANSWERS
1. a. Factor
b. Multi-point linear
c. Spline
d. Use Factor/BLK
e. 1-Point Linear
f. Abs
2. Full
3. No, it does not require calibration, but the Operator may choose to
calibrate the assay, if necessary, to resolve the concern.
4. There is a green line below the calibrator name on the button.
5. The ASSAY STATUS screen
6. If the factors from the new and the previous curve vary by more than
the defined FAC limit %.
7. a. CALIBRATION SUMMARY (stored)
b. Calibration Details
8. The assay button text in the ASSAYS screen is yellow, a Calibration
Error Code is displayed in the ASSAY STATUS screen, the CAL
Error Code is displayed in the RESULT screen, the calibration
information in the CALIBRATION SUMMARY screen is
displayed in brown, and a calibration error code is displayed in the
Error Log.
9. The Set 1, Set 2, or Set 3 option must be selected in the RUN
OPTIONS screen.
10. No
SUMMARY
In this Module, you have:
• Demonstrated a basic knowledge of kinetic rate and end-point
assays, and the different calibration methods
• Listed the available calibration options
• Stated the reasons for calibrating the AEROSET System
• Ordered calibrations and loaded the calibrators
• Identified ‘‘the screens and reports used to review calibration results
• Identified Calibration Error Codes associated with calibration
failure
NOTES
MODULE 7:
QUALITY CONTROL
CONTENTS
Page
Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
Ordering Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5
Reviewing QC Results . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-12
Deleting QC Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-27
Printing QC Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-28
QC Summary Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-35
Westgard QC Rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-40
Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-42
Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-44
Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-45
OBJECTIVES
Upon completion of this Module, you will be able to:
1. Identify the different methods of running QC and how to order them
2. Load QC samples and initiate the run
3. Identify the screens and reports used to review QC results
4. State the Westgard QC Rules and how the System uses them to
evaluate QC results
INTRODUCTION
This Module presents the different methods of running Quality Controls
on the AEROSET System. Information is included to explain how to
review QC data and how the AEROSET System can monitor QC data
and apply the Westgard Rules.
ORDERING CONTROLS
To order controls, perform the following procedure:
1. Select <RUN> in the Action Area. The RUN OPTIONS screen is
displayed.
Automatic QC
The AEROSET System can be configured to perform automatic QC at
the following times:
• After reagent lot change
• After reagent cartridge change
2. Select <OK>.
3. Select <Cancel> on the RUN OPTIONS screen to exit the screen
without starting the run.
4. Select <Cal/Control> in the Information Access Area. The
CALIBRATOR/CONTROL screen is displayed.
REVIEWING QC RESULTS
When QC results are completed with no errors, the results are saved and
the QC statistics are adjusted accordingly. The QC values and statistics
can be viewed in the ASSAY STATUS, Levey-Jennings Graph, QC
Data List, and QC SUMMARY screens. The data can be printed on the
Levey-Jennings Graph or QC Data List forms. The QC data can also be
exported to a floppy disk.
Expected concentration and SD can be defined for the QC, and Westgard
Rules can be selected to evaluate the QC. If a Westgard Rule is violated,
an Error Log Message is generated, and the rule displays next to the QC
data in the ASSAY STATUS screen.
Quality Control
Information
Column Description
The QC level (QC1 - QC8) defined in the Assay
QC Configuration screen, QC page and the QC name as
defined in the CALIBRATOR/CONTROL screen
The expected concentration defined in the
Conc CALIBRATOR/CONTROL screen
NOTE: The mean, SD, CV, range, and N are calculated using all
data points except those excluded in the Levey-Jennings Details
screen.
Levey-Jennings Graph
To display the Levey-Jennings Graph screen, select the QC button in
the right-hand column of the ASSAY STATUS screen.
The statistics and graphs are displayed for the first 4 QC levels defined.
To view data for additional control levels select on the screen.
Statistics for all QC values included in the QC files are displayed in the
left-hand section for each level (up to 450 values). The following table
describes the information displayed in the left-hand section:
Item Description
The level defined on the QC page of the Assay
QC1...QC8
Configuration screen
The QC name defined in the CALIBRATOR/
(QC Name)
CONTROL screen
Mean The actual mean of the QC data
SD The actual standard deviation of the QC data
CV The actual coefficient of variation of the QC data
Range The actual range (Max value - Min value) of the QC data
N The number of QC data points for the level (Max = 450)
NOTE: The mean, SD, CV, range, and N are calculated using all
data points except those excluded in the Levey-Jennings Details
screen.
The dates displayed on the top left and right of the graph are the
completion dates of the first and last QC values in the file (up to 450).
The dates displayed on the bottom left and right of the graph area are the
completion dates of the first and last QC values currently displayed in the
graph (up to 31 points). To display a different date range of the graph
select or on the screen to scroll left or right.
Levey-Jennings Details
To display information about a point on the Levey-Jennings Graph,
perform the following steps:
1. Select the Levey-Jennings Graph for the QC level to be viewed by
selecting the area of the screen where the graph displays. The left-
hand section of the selected level is colored blue, and a point on the
graph is also highlighted in blue.
• Details let you exclude a point—will The result value of a point on the Levey-Jennings Graph can be
not actually delete the value. displayed on the Details dialog window. Also, on the Details dialog
• A specified date range can be selected window, a result can be excluded from the calculation of the QC
to calculate and print QC Statistics for statistics. To display the Details dialog window for a point, perform the
QC Summary, Levey-Jennings Graph,
and QC Data List reports. The date
following steps:
range is selected on the QC Summary 1. Select the point for which details are desired.
screen.
2. Select <Details> on the right-hand side of the
Levey-Jennings Graph screen. The Details dialog window is
displayed.
QC Data List
The QC data for an assay are displayed in a list format on the QC Data
List screen. To display the QC Data List screen, select <DataList> on
the right-hand side of the Levey-Jennings Graph screen. The QC Data
List screen displays.
2 3 4
All the QC values for the first 3 QC levels display. To view additional
QC values for the displayed levels or to view additional levels, select the
arrow buttons in the right-hand column of the screen . The following
information displays for each value:
Item Description
1 Result = result value
2 R = “L” or “H” Flag (if the value is outside the defined 2 SD range)
3 ERR = Result Error Code (if an error occurred for the result)
4 Aspirate Date = date and time aspirated
NOTE: The mean, SD, and CV are calculated using all data
points except those excluded on the Levey-Jennings Details
screen.
QC SUMMARY Screen
The QC SUMMARY screen displays the statistics for all assays and all
levels of QC. To view the statistics, select <QC Summary> in the
Information Access Area of the Main Display. The QC SUMMARY
screen displays.
The QC statistics for the first level (defined for each assay) display. To
view the statistics for other levels defined, select to scroll right.
Column Description
Assay The assay name
The name of the QC selected for the level on QC page of
QC1...QC8
the Assay Configuration screen
The expected concentration defined in CALIBRATOR/
Conc
CONTROL screen
Mean The actual mean of the QC data
SD The actual standard deviation of the QC data
CV The actual coefficient of variation of the QC data
Range The actual range (Max value - Min value) of the QC data
The number of included QC data points for the level (Max
N
= 450)
The value of the last QC sample run for the level
NOTE: An “L” or “H” Flag is displayed next to
the result if the value is outside the defined 2 SD
Last range. A Result Error Code is displayed if an error
occurred for the result.
NOTE: If a date range is configured, value is the
last QC sample run in the date range.
NOTE: The mean, SD, CV, range, and N are calculated using all
data points except those excluded in the Levey-Jennings Details
screen.
NOTE: The pink update button will display to alert the Operator
that statistics were changed. Press <Update> to clear the button.
DELETING QC DATA
• Highlight that this procedure will The System holds 450 data points per level for each assay. When the
delete all QC data from all QC levels maximum capacity is reached, the System deletes on a first in/first out
from an assay. basis.
This procedure is used to manually delete all QC data from all QC levels
for an assay. A single QC value cannot be deleted, but can be excluded
from the calculation of the QC statistics. To delete all QC data for an
assay, perform the following procedure:
4. Select <OK>. All QC data from all QC levels defined for the assay
are deleted.
PRINTING QC RESULTS
There are three different report types available for printing QC data. For
examples of these QC reports, refer to Appendix B of the AEROSET
System Operations Manual.
4. Select <Print> in the right column of the screen. The Print Options
dialog window displays.
5. Select <Print> in the right column of the screen. The Print Options
dialog window displays.
8. Select the QC Data List report category from the following list:
• QC Summary
• Levey-Jennings Graph
• QC Data List
NOTE: One, two, or all three reports can be selected.
QC SUMMARY REPORT
Use the following instructions to print a report of the QC summary
statistics.
• Print an example of
Levey-Jennings graph 1. Select <QC Summary> in the Information Access Area of the
and QC Data List Main Display. The QC SUMMARY screen displays.
reports.
2. Select <Print> in the right column of the screen, or select the
desired assays then select <Print>. The Print Options dialog
window displays.
8. Select <OK>.
Exporting QC Data
QC data and statistics can be exported from the Levey-Jennings Graph
screen to a floppy disk. The information is saved on the floppy disk in a
.csv format. A file in this format can be opened and viewed in most
commercially available PC spreadsheet programs (Microsoft Excel,
Lotus 1-2-3 programs, etc.).
QC SUMMARY Screen
Use the following instructions to transfer QC data from the AEROSET
System to a floppy disk, from the QC SUMMARY screen.
1. Select <QC Summary> in the Information Access Area of the
Main Display. The QC SUMMARY screen displays.
2. Select <Export> in the right column of the screen, or select the
desired assays then select <Export>. The Export Options dialog
window displays.
WESTGARD QC RULES
• Total of 10 rules; we use 6. The AEROSET System can be configured to evaluate the QC results
• The ones that use QC for one level with the Westgard QC Rules.
are employed here.
• The remaining cover multiple The following rules are available:
levels.
• 12S rule is the threshold. When Rule Description
configured, this rule must be
12S One control value exceeds ± 2 standard deviations.
violated before any other rules will
be looked at. 13S One control value exceeds ± 3 standard deviations.
22S Two consecutive control values for one level exceed ± 2
standard deviations.
R4S The difference between two consecutive control values
exceeds 4 standard deviations.
41S Four consecutive control values for one level exceed ± 1
standard deviation.
10x Ten consecutive control values for one level lie on one side
of the mean.
The Operator can select which rules will be used for evaluation on a
System-wide basis. Each assay can be configured to use the selected
rules or to not use any rules. Different rules cannot be configured for
each assay.
NOTE: For each data point, only the highest priority rule will be
displayed. The priority is shown in the above table.
If the Westgard Rules will be used for evaluation, the expected mean and
SD must be defined for each assay to be evaluated.
• Instruct class to perform Multi-Skills NOTE: QC data are checked first against the 1-2 SD rule, if
activity from Module 12. enabled. If the data are within 2 SD, the data are considered
• Customer Classroom Only—Instructor “in-control” and are not evaluated against the other QC rules. No
should fill out a pick list.
Westgard rule Error Log Message appears on the ASSAY
• Review issues encountered in Multi-
Skills Activity. STATUS screen when the data are considered “in-control”.
REVIEW QUESTIONS
1. List the four QC ordering options in the RUN OPTIONS screen.
a. __________________________________________________
b. __________________________________________________
c. __________________________________________________
d. __________________________________________________
3. Starting from the Main Display, list the software steps to view the
Levey-Jennings QC graph for the Calcium assay.
a. __________________________________________________
b. __________________________________________________
c. __________________________________________________
4. How does the System indicate that a Westgard Rule has been
violated?
ANSWERS
1. a. QC after Calib
b. Start - QC
c. Interval - QC
d. End - QC
2. A yellow line is displayed on the button in the
CALIBRATOR/CONTROL screen.
3. a. Select <Assays>.
b. Select <Calc>.
c. Select <QC>.
OR
a. Select <QC Summary>.
b. Highlight Calcium.
c. Select <LJ Graph>.
4. An Error Log Message is generated, and the violated rule with the
highest priority is displayed in the QC section of the ASSAY
STATUS screen.
5. a. Levey-Jennings Graph
b. QC Data List
c. QC Summary
SUMMARY
In this Module, you have:
• Identified the different methods of running QC and how to order
them
• Loaded QC samples and initiated a run
• Identified the screens and reports used to review QC results
• Stated the Westgard QC Rules and how the System uses them to
evaluate QC results
NOTES
MODULE 8:
CONFIGURATION
CONTENTS
Page
Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
Log On Password . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
System Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9
Print Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-19
Host Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-21
Panel Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-23
System Configuration Activity . . . . . . . . . . . . . . . . . . . . 8-24
Assay Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-26
Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-43
Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-44
Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-45
MODULE 8: CONFIGURATION
OBJECTIVES
• Instructor should set up host Upon completion of this Module, you will be able to:
configuration for each
1. Create User Codes and Passwords with different access levels for
instrument.
logging onto the System
2. Define System Configuration options
3. Define Print options
4. Describe the Host Interface options
5. Create assay panels
6. Describe the configuration necessary to define and run an assay
7. Configure the System to evaluate QC results and apply the
Westgard QC Rules
INTRODUCTION
Configuration enables you to customize the AEROSET System to meet
your laboratory requirements.
In this Module, you are introduced to the configuration screens and
options. The AEROSET System Operations Manual will be used to
perform the configuration procedures.
LOG ON PASSWORD
The Log On level determines access to screens and functions. The
ability to “view” or “view and edit” for each level is described in the
• user/user level is following table:
“aeroset/user” on training
instruments user super
System Function
• super/super level is View Edit View Edit
“abbott/aeroset” on Printer A and B NO NO YES YES
training instruments configuration
• user code of guest and daily Result Report Page Set-up NO NO YES YES
numerical password allow System configuration NO NO YES NO
log on at extra level. Hardware options (Bar Code
Numerical password is the Readers, External Robotics,
same as used with IMx® ICT™)
and AxSYM®. Host communication NO NO YES YES
• Must know the password to configuration
delete the log on once it Resetting the Error Log YES Level 2 and 3 YES YES
has been created. No way only
to look up passwords.
Calibration curve data YES NO YES System
• User code is limited to 6 configuration
characters. dependent
• No password is required for Deleting QC YES NO YES YES
user level access. Patient demographics in the NO NO YES System
• Show how to delete RESULT screen configuration
passwords. dependent
Calibrator/Control Carousel NO NO YES YES
• Operator can be viewed in
configuration
database at the end of the
spreadsheet. Reagent configuration NO NO YES YES
Assay counts YES NO YES NO
• 50 total passwords can be
configured. Assay configuration NO NO YES YES
SYSTEM CONFIGURATION
The System Configuration options are configured on two screens:
• RUN OPTIONS screen
Option Description
Priority Patient samples in the Sample Carousel are prioritized
over samples loaded on the FastTrack™ Sampler
when this option is selected. The default is ON
(selected).
Auto Return: Auto Return The System can be configured to automatically return
• Will make the sample samples identified for rerun to the Sample Arm. When
carousel turn 1 extra time configured, all reruns are presented to the Sample Arm
regardless of whether they are:
• When using this function
with FastTrack, the end of • Manually ordered reruns
run carrier (blue) must be • Auto Reruns
used. The default is OFF (unselected).
• Everything that precedes Car’r Allows the Operator to define the carrier
that carrier will be checked numbers that are used when ordering samples
for reruns. to run in the Sample Carousel. Refer to
Ordering Patient Samples in the Sample
• If position on the FastTrack
Carousel in Section 5, Operating Instructions
has already been used, and
of the AEROSET System Operations
another sample in that
Manual.
position needs a rerun, the
Auto Return feature will The default settings are:
NOT engage. See Rerunning • A = 1000
Results on page 5-94 of the • B = 2000
• C = 3000
• D = 4000
• E = 5000
• F = 6000
Option Description
Auto Rerun When selected, the System automatically reorders assays
for those samples that meet user specified criteria (Rerun
Auto Rerun: Rules), on an “assay by assay” basis. To activate the Auto
• To get System to automatically Rerun feature, this option must be selected and assay-
locate and aspirate reruns specific Rerun Rules defined on the Assay Confguration
without operator screen. The default is OFF.
intervention, auto return must NOTE: Samples are not automatically returned
be ON. to the sample arm unless the Auto Return option
is selected on the RUN OPTIONS screen.
NOTE: For information about configuration of
Rerun Rules, refer to the Assay Configuration
section in this Module.
Run Suspend Allows the Operator to configure how long the System
Time waits (in minutes) once a run is complete. While in the
SUSPEND status, an abbreviated run initialization is
used (when the next run is initiated). The default setting
is 10 minutes.
Enable Cal Edits Allows the Operator to edit read values
(i.e., absorbances) for calibrators in the ASSAY
STATUS screen. The default setting is ON.
NOTE: If configured to ON, only a Log On
level of “super” can edit calibrator values.
Smart Sampling When selected, the System determines the assay sampling
order to maximize throughput, and minimize the number
of empty cuvettes. The default is ON.
For information about configuration of the
sampling sequence, refer to System
Configuration in Section 2, Installation
Procedures and Special Requirements of the
AEROSET System Operations Manual.
Saving Mode When selected, the System minimizes sample usage. The
over-aspiration volume is aspirated once for the same
sample, when aspirating more than one assay, rather than
each time an assay is aspirated. The default setting is ON.
NOTE: Over-aspiration is an additional volume
of sample aspirated before the actual sample
volume required for analysis. This prevents the
sample from being diluted with System water in
the probe.
Option Description
1st Carrier for No-Bar Coded 1st Car’r for No- Allows configuration to restrict samples without bar code
Samples: Bcode Smpls (No- labels to specific sample carriers. This option must be
Example: Segregate non-bar coded sam- Bar Coded configured to run samples without bar code labels or with
ples in the Sample Carousel where they Samples) damaged bar code labels. The default setting is 1000.
are more easily tracked. NOTE: Refer to System Configuration (1st
Car’r for No-Bcode Smpls) in this section for
detailed information on available settings and
options.
Example: If set to 5000, the System would allow samples
without bar code labels to be run only in sample carriers
with IDs 5000 or higher.
CAUTION: Reuse of sample carrier positions equal to
! or greater than the setting configured 1st Car’r for
No-Bcode Smpls may result in duplication of
previously assigned sample IDs and generation of
incorrect results. Refer to Loading Patient Samples in
Section 5, Operating Instructions of the AEROSET
System Operations Manual for additional
information about loading samples on the
FastTrack™ Sampler or Sample Carousel.
Cycle Time (0.1): Cycle Time (0.1) Allows the Operator to enter the length of time, in tenths
• (super password) Would never of seconds, for each quarter turn of the Reaction
have any reason to edit this Carousel. The default is 45 (x 0.1 sec = 4.5 seconds).
with Abbott assays. CAUTION: The Abbott applications were determined
If this is changed, you would see multiple ! using a cycle time of 4.5 seconds. If this option is
edited, the timing and results of all assays would be
assay concerns, mainly rate assays affected.
(enzymes) due to their calculation as a
rate of change in absorbance/time. Save by When selected, orders are tracked in the database by
Car’r ID carrier and position. The default setting is ON.
CAUTION: When this option is selected, the
! sample ID must be manually entered to ensure proper
sample identification.
CAUTION: If the Save by Car’r ID option is
! configured ON, a manually entered sample ID is not
verified against the patient bar code label on the tube.
NOTE: If samples have bar code labels and the
Sample Bar Codes option is configured ON, the
Save by Car’r ID option must be OFF
(deselected).
Option Description
Option Description
Option Description
Option Description
SmplSeq • In the desired order, repeat the preceding step for all
(Sampling assays.
Sequence), • To remove an assay from the sampling sequence,
Continued select the assay in the Sampling Sequence column,
then select <Remove> in the right column of the
Sampling Sequence dialog window.
NOTE: When the Smart Sampling option is
selected, assays defined in SmplSeq are not
acknowledged unless ICT™ assays are defined
in SmplSeq. This allows ICT samples to be
aspirated first while still using the Smart
Sampling option.
*The Operator is required to cycle the System power after editing any of
these options.
To configure the RUN OPTIONS and SYSTEM CONFIGURATION
screens:
• Select <RUN> in the Action Area to display the RUN OPTIONS
screen.
• Then, select <SysCfg> to display the SYSTEM
CONFIGURATION screen.
For information about configuration of the System Configuration
options, refer to System Configuration in Section 2, Installation
Procedures and Special Requirements of the AEROSET System
Operations Manual.
PRINT OPTIONS
Printer Configuration
• Pass out copies of Report Printer A should be designated to print Form 1, and Printer B used to
Forms. print Form 2.
• 1st option asks to clear printer The following options are available for Printer A and Printer B
buffer (select config). configuration:
Option Description
Result Printing Three options are available:
Mode • Request: Reports only print manually by request.
• Valid: Reports print automatically when all results are
validated.
• All: Reports print automatically when the results are
completed. The Default for Printer A is All and Printer
B is Request.
• The Multi-Print options are Wait Time for This option is not used for the default report forms
selected on the Database Multi-Print Feature configured in the System.
screen. (Print/Page Setup) (sec)
Enable Calibration When selected, this form prints automatically according
Reports* to the Result Printing Mode.
Enable Control When selected, this form prints automatically according
Reports to the Result Printing Mode.
Enable Patient When selected, this form prints automatically according
Reports to the Result Printing Mode.
*This option is available for Printer A configuration only.
HOST CONFIGURATION
• Offline=A green line through Sample information can be communicated through a Host computer via
computer icon. two methods:
• Computer icon usually blue • Host Download
screen with white box.
• Can temporarily suspend • Host Order Query
communication if you are The following options are configured on the ONLINE
connected and are getting CONFIGURATION screen:
errors.
• When you say “OK to Option Description
suspend”, computer icon goes Protocol Type The types include Offline (default), Type 1, Type 1’, Type
to red screen, black box. 1”, Type 2, Type 3, Type 4, and Type 5.
• When touching icon in the For information about the Protocol Types, refer
suspend mode, prompt says to the AEROSET Host Interface Specifications.
“OK’ then “Resume”. NOTE: When a Host system is not available, the
protocol type should be set to Offline.
Result Determines when the completed results are sent to the
Transmission Host. The options are:
Mode • Request: manual transmission of results specified by
the Operator. All results selected are sent, including
reruns, replicates, and results with Result Error Codes.
REQUEST is the default setting.
• Valid: validated results only
• All: all results are sent as they are completed including
reruns, replicates, and results with Result Error Codes.
Transmit QC When selected, the QC results are transmitted to the Host.
Results
Use Transmission When selected, a check digit is accepted with message
Check Digit transmission to and from the Host to confirm transmission
accuracy. When deselected, only messages are accepted.
Master Control A time is defined which is the minimum amount of time
Time (sec) that the System may remain the master during Host
communications. The default is 6 seconds.
Maximum Wait A time period is defined which is the maximum amount of
Time (sec) time that the System waits for an expected
communication before generating an error. The default
setting is 6 seconds, with a 0-99 second range. However,
greater than 20 seconds is not recommended due to
negative impact to throughput. If no response is detected
during this period, an error is generated in the Error Log.
Option Description
• Transmission Interval (sec) - Transmission The delay time between data messages is defined.
Enters a delay from instrument Interval (sec) The default setting is 0 seconds. The acceptable interval is
for a slow host. 0-99 seconds.
RS-232C Config Allows selection of the Data Bits (L), Stop Bits (S) and
Parity (NP = no parity, EP = even parity, and OP = odd
parity).
The baud rate is also selected. The default settings are 8L-
1S-NP and 9600.
To configure the Host communication:
PANEL CONFIGURATION
• Reinforce must first select an The Panel Configuration option allows the Operator to pre-define groups
empty button before of assays that can be ordered at one time. Up to 100 assay panels can be
configuring a panel. configured on the AEROSET System. The panels are displayed in the
• Panels are displayed on Order Calibration QC and Order screens as well as the Order Samples
Samples screen in the order screen.
entered.
To configure assay panels:
• Each panel must have a unique
number as an identifier. • Select <Database> in the Information Access Area.
• For convenience on these • Select <Order>.
instruments, we’ve started
numbering at 101 since • Select <PanelCfg>.
there are 100 available For information about configuration of assay panels, refer to
assay buttons. Panel Configuration in Section 2, Installation Procedures and
• Show how to clear panel. Special Requirements of the AEROSET System Operations
Manual.
Introduction
Instructor will need to change the follow- In this activity, you will customize the AEROSET System to run in a
ing prior to this activity: Host Query Mode with bar coded samples. You will learn to edit a
• Log on as extra/ex_tra or
sample result print form and edit printer options.
guest/daily numerical
password.
• Save by Carrier ID-Off,
Sample Bar Codes-On.
• Set up Host Configuration for
simulator
Objectives
• Select “Clear Database” on Upon completion of the System Configuration Activity, you will be
SHUTDOWN screen. familiar with:
• Cycle instrument power. • Creating a User Code/Password
• When able to, Log on as • Editing the Printer A and B configuration
abbott/super
• Editing the on-line communication configuration
• Entering an address and editing the assay display order in a sample
result report
Necessary Materials
Other:
• Bar coded sample tubes
Procedure
• Point out that printer 1. Create the following “super” level User Code/Password:
configuration steps in the
• big / tex
activity change default form
from Form 1 to Form 2. 2. On the Printer A Configuration screen make the following edit:
• Deselect the Auto-Print Patient Reports option
3. On the Printer B Configuration screen make the following edits:
• Result Printing Mode > All
• Deselect the Auto-Print Control Reports option
• Select the Auto-Print Patient Reports option
4. Edit the following on-line communication options to:
• Protocol Type > Type 1’
• Result Transmission Mode > All
• Deselect the Transmit QC Results option
• Deselect the Use Transmission Check Digit option
• RS-232 Config > 8L-1S-NP and 9600
5. On the PAGE SETUP screen add IgG assay to Form 2. Place the
assay below the “pack” line in the first available space.
6. Create the following panel:
• Panel Name - Day QC
• Panel Number - 250
• Assays - Na, K, Cl, Glu, Ca, AlbP, TP
7. Load all the bar coded tubes into carriers and initiate the run by
selecting <RUN> in the Action Area. Ensure that only the Patient
option is selected and select <Start>.
ASSAY CONFIGURATION
• Steps for multiple Assay Assay configuration includes the following procedures:
Configuration (can also be
used for single):
• Reagent Configuration
1.Load reagents and scan bar codes. • Calibrator Configuration
2. Configure Cals and Controls • Control Configuration
names.
• Assay Parameter Configuration
3. Enter calibrator values and
control means in the Cal and
Control screen.
4. Configure all pages of Assay file.
Reagent Configuration
No reagent configuration is required for bar code labeled reagent
cartridges supplied by Abbott Laboratories. Select <RGT SCAN> from
the Action Area of the Main Display after the reagent cartridges have
been loaded.
For reagent cartridges without bar code labels, configuration is
performed by selecting <Reagents>, and then selecting the button for the
position in which the reagent will be loaded. The following information
is defined:
Field Description
• First three fields are required. Reagent Name Allows entry of up to 7 characters. This is a required field.
CAUTION: Verify the entered reagent name is identical
! to the reagent name on the Base and SmartWash™
pages of the Assay Configuration screen. If the reagent
name is not identical on the Base and SmartWash pages,
SmartWash will not occur and erroneous results could be
produced.
Reagent Type This is a required field. One of the following is selected:
R1—Reagent 1
R2—Reagent 2
Diluent—sample diluent
AlkW—onboard diluted alkaline wash
AcidW—onboard diluted acid wash
Dtg—optional detergent as a wash solution
Additive—water bath additive
Cartridge Size The size of the cartridge is selected to allow for correct
estimation of the remaining tests. This is a required field.
Exp Date Reagent expiration.
Enter the reagent expiration date. When the expiration date
is reached and a reagent scan is complete, an Error Log
Message displays.
NOTE: The Exp Date field must be configured to
generate an expired (EXP) Result Error Code and
Error Log Message.
Lot # Reagent lot number.
Cartridge # Cartridge serial number, if available.
Rgt (Reagent) An alert will occur when the reagent cartridge volume is
Lo Alert less than the %volume or number of tests defined in this
field.
NOTE: If this option is used, it overrides the alert
configured through System configuration.
For information about configuration of reagents, refer to Reagent
Configuration in Section 2, Installation Procedures and Special
Requirements of the AEROSET Systems Operations Manual.
Unit Configuration
Unit configuration parameters influence reagent loading. The three
parameters are:
• Priority on Rgt Bar Code
• Multiple Rgt Ctgs
• Reagent Link
These parameters can only be edited by an Abbott Representative. The
following chart explains the parameters and their impact on Reagent
loading.
Unit Configuration Description of Parameter Rules for Loading Reagents: If Parameter Is...
Parameter ON OFF ON OFF
Priority on Rgt Bar When a reagent scan is When a reagent scan Place reagents with Place reagents with bar
Code performed, bar code is performed, bar code labels in any code labels in any open
labeled reagents manually defined open position of the position of the appropriate
overwrite (e.g., have reagents have priority appropriate segment. segment.
priority over) manually over bar code labeled Place reagents without Place reagents without bar
defined reagents reagents. bar code labels in code labels in manually
configured for the manually defined defined segment
same position. segment positions. positions.
To manually delete the
reagent information,
NOTE: If any select <Clear> on the
reagent configuration Reagent Specific
is edited and saved Position dialog window.
after the reagent scan is When <Clear> is
complete, this reagent selected, reagent type and
becomes manually cartridge size defaults
configured. For display.
example, if the reagent
expiration date was
edited to reflect ! CAUTION: If a
onboard stability, this
different reagent is loaded
manual configuration
in a position previously
will be overwritten by
configured with a
a bar coded reagent
manually defined reagent,
each time a reagent
the manual entry must be
scan is performed.
deleted before performing
a reagent scan. Failure to
comply could lead to
erroneous results.
Unit Configuration Description of Parameter Rules for Loading Reagents: If Parameter Is...
Parameter ON OFF ON OFF
Multiple Rgt Ctgs Allows for multiple A maximum of two If two or more New reagent cartridges
(e.g., more than two) sets of reagent cartridges with the should be placed in a
reagent cartridges per cartridges/pairs per same reagent name are higher numbered position
assay to be placed on assay will be used by loaded in a Reagent than cartridges already
the System. the System. Supply Center at the onboard. A maximum of
same time, new two reagent cartridges/
cartridges must be pairs per assay are utilized
loaded in a higher by the System.
NOTE: If the numbered position
Multiple Rgt Ctgs than the cartridges
option is configured already onboard. The
ON, the Reagent Link System first aspirates
option is not from the cartridge in
functional— i.e., R1 the lowest number
and R2 cartridges are position. An Error Log
not linked. Message is generated
each time a cartridge
is empty and the
System transfers to the
next cartridge.
For assays using two
reagent cartridges, the
R1/R2 pair must be
placed onboard at the
same time.
Unit Configuration Description of Parameter Rules for Loading Reagents: If Parameter Is...
Parameter ON OFF ON OFF
Reagent Link Allows the R1 and R2 R1 and R2 cartridges The linked reagent New reagent cartridges
reagent pair to be are not linked. R1 pair (R1/R2) to be should be placed in a
linked by position. A and R2 are utilized used first must be higher numbered position
maximum of two sets independently. placed in the lowest than cartridges already
of reagent cartridges available position. onboard. R1 and R2 are
per assay are allowed. After the reagent pair utilized independently.
The lowest R1 position is linked by the
is linked to the lowest System, the Operator
R2 position and the must verify it is
highest R1 position is always utilized as a
linked to highest R2 pair.
position. Each time a
reagent scan is
performed, the System
relinks reagents
! CAUTION:
according to position. The R1/R2 pair must
be placed onboard at
the same time.
NOTE: If the
Multiple Rgt Ctgs
option is configured
ON, the Reagent Link
option is not
functional— i.e., R1
and R2 cartridges are
not linked.
Calibrator/Control Configuration
• Calibrators are defined in positions on the Calibrator/Control
Carousel or in the Sample Carousel.
• Controls can only be configured in the Calibrator/Control
Carousel.
• The calibrator or control name and the target values are defined in
the CALIBRATOR/CONTROL screen accessed by selecting
<Cal/Control> from the Information Access Area.
NOTE: If creating a new assay, calibrator and control
targets cannot be configured until the assay parameter
configuration is complete.
For information about configuration of calibrators and controls, refer to
Calibrator/Control Configuration in Section 2, Installation
Procedures and Special Requirements of the AEROSET Systems
Operation Manual.
Outline Page
NOTE: The fields described in the following chart are used for
all assays unless noted.
Field Description
Assay Name The assay name can be up to 6 characters in length.
Assay Number An assay # (range 1 - 9999) must be defined and must be unique for every assay.
(Facilitator Note: See NOTE: If a Host computer is connected, the assay number must match the one used
AEROSET System Opera- by the Host.
tions Manual for additional
information on editing an
assay number.)
A Line / B Line Assays are defined to run in the A-Line (outer) or B-Line (inner).
NOTE: This field is not used for ICT, Indices, and Calculated assay files.
• Allows the Operator to enter text (up to 6 characters) to replace the numerical result when
reporting values above the max value entered. The default is blank.
• L-Linear Range-H The values in these fields represent the reportable range of the assay and cause the LL
(Linear Low) and LH (Linear High) Result Error Codes to occur.
NOTE: The Linear Low and Linear High values should be adjusted for the dilution
on assays which dilute the sample as part of the standard protocol to prevent
erroneous flagging, i.e., urine Creatinine.
NOTE: These values are adjusted for the sample dilution.
Base Page
NOTE: The fields described in the following chart are only used
for photometric assays unless noted.
Field Description
Reaction Mode Allows selection of the following options: END UP, END DOWN, RATE
UP, and RATE DOWN.
Wavelength Allows the selection of the primary wavelength and secondary wavelength
(Primary/Secondary) (if required).
Main Read Time The range of read points that will be used for result calculation.
Flex Read Time For rate assays only, to define a range of read points that are earlier than the
Main Read Time, to be used for the calculation of higher results.
AbsMaxVar (End-point The acceptable variation allowed for the absorbance readings within the
assays only) Main Read Time.
Linearity% (Rate assays only) The acceptable % difference when the absorbance change of the first three
reads is compared to the last three reads of the Main Read Time.
Sample Blank Test An assay name is selected for assays with a sample blank. Blank can be a
self blank (sample and reagent) or non-self blank (user defined assay file).
Blank Read Time The range of read points that will be used for measuring the Self Blank
(Sample and Reagent). Enter the read time 1-33.
Abs Window A range of read points is defined for measuring the sample color for color
correction of the Abs Limits.
Abs Limits The expected absorbance limits during the Read Time. When measured
outside the defined limits, the System will use data from the Flex Read
Time or will generate the A#0, A#1, or A#2 Result Error Codes.
S.Vol The sample volume is defined for the Standard, Dil 1, and Dil 2 protocols.
NOTE: The sample volume for ICT™ assays is preset to 15 µL.
DS.Vol The diluted sample volume is the amount that is aspirated from the cuvette
used for onboard dilution and dispensed into a different cuvette for
analysis.
D.Vol The diluent volume is defined, if required, for the Standard, Dil 1, and
Dil 2 protocols.
W.Vol The water volume is defined when a concentrated diluent is used.
Diluent If a sample diluent is required, it is defined in the REAGENTS screen and
then selected from a Drop-down list box on the Base page.
Reagent 1 The Reagent 1 is defined in the REAGENTS screen and then selected
from a Drop-down list box on the Base page.
NOTE: The ICT™ Sample Diluent is selected as Reagent 1 for
ICT assays.
Reagent 2 The Reagent 2, if required, is defined in the REAGENTS screen and then
selected from a Drop-down list box on the Base page.
Field Description
R.Vol The reagent volume is defined for Reagent 1 and Reagent 2 (if required).
Range is 10-345 µL.
NOTE: The reagent volume for ICT assays is preset to 345 µL.
W.Vol The water volume is defined when a concentrated reagent is used. Range is
0-345 µL.
Type # Controls dispense speed and over aspiration volumes. Range is 0 to 6; the
default setting is 0.
Refer to Type Number in Section 2, Installation Procedures and
Special Requirements of the AEROSET System Operations
Manual for details.
Reaction Check Used for immunologic reactions to evaluate a reaction for prozone
phenomenon.
Factor/Intercept The factor and intercept can be used to match results to another system.
NOTE: The factor/intercept is used for all assays except calculated
assays.
NOTE: If a value is entered, the quantitative result is corrected
and reported.
Decimal Places The number of decimal places to report for the result are defined. Range is
0-3.
NOTE: The decimal places are defined for all assays.
Units The result units are defined by selecting from the options in the Drop-down
list box. The Operator may also use the keyboard to enter a result unit not
available in the default list.
NOTE: Units are defined for all assays.
Calibration Page
NOTE: The fields described in the following chart are only used
for photometric assays unless noted.
Field Description
Calib Mode The appropriate calibration curve type is selected.
Factor (for Calib Mode of If the Calibration Mode is defined as Factor, the factor is entered and used for result
Factor only) calculation.
Use Cal Factor from: (for Use If the Calibration Mode is defined as Use Factor or as Use Fac/Blk, the Operator must
Factor and Use Fac/Blk only) select the assay name of the assay calibration data that will be used.
Interval (H) The calibration interval in hours. Up to four digits can be entered.
NOTE: The calibration interval is defined for photometric and ICT™ assays.
Blank/Calib Replicates The number of replicates (up to five) for the blank and the calibrators are entered.
NOTE: The Blank/Calib Replicates are defined for photometric and ICT assays.
Field Description
Fac Limit (%) This option is used to evaluate an assay calibration against the last accepted calibration
for that assay. If the % difference between the first factor of the new calibration and the
first factor of the last accepted calibration is greater than the defined FAC Limit %, a
FAC Calibration Error is generated. The default setting is 0, range 0 to 99. If set to zero,
the FAC Limit check is not performed.
NOTE: For a manually configured assay, the FAC Limit % will default to 10.
Any assays imported from the Import Disks listed below on software version
1.02ER000 will have a FAC Limit % default of 0 and must be edited to 10.
• 4E43-02/4E43-05 Import Disk 1-50/Import Disk >50
• 4E43-08/4E43-09 Import Disk Drugs of Abuse Version 5.00
• 4E43-03/4E43-06 Import Disk Serum Proteins Version 3.0
• 4E43-04/4E43-07 Import Disk - TDM Version 4.00
Assays that are export to the AEROSET library with a defined FAC Limit % and
are subsequently imported from that library file will retain the defined value for
FAC Limit %.
NOTE: This option only displays for Linear, Spline, Exponent, Logit-4, and
Logit-5 Calibration Modes.
NOTE: The FAC Limit % was defined as 10% in all versions of software
preceding version 1.02ER000.
Factor Used to calculate results of a factor assay, the factor is a fixed value and only the reagent
blank is performed for calibration.
NOTE: This option only displays for Factor assays.
2-Point The calibrator used with the blank for 2-point calibration is defined.
1-Point The calibrator used for 1-point calibration is defined.
QC Page
NOTE: The fields described in the following chart are used for
all assays.
Field Description
Count If the Interval-QC option will be used, the number of assays between QC
runs may be defined.
NOTE: The count (sample) interval refers to the total number of
samples aspirated, not the number of samples run for that assay.
Time (min) If the Interval-QC option will be used, the amount of time (minutes)
between QC runs may be defined.
Use QC Rules Select this option to use the defined Westgard Rules.
QC1 - QC8 The control name, position and expected mean is defined in the
CALIBRATOR/CONTROL screen and then is selected from the QC
Name/Mean/Pos Drop-down list box.
SD The value equal to 1 SD for each QC level is entered.
Lot Change If automatic QC option is desired when a new lot is used, select the
checkbox. The QC levels selected on the RUN OPTIONS screen will be
run.
Ctg Change If automatic QC option is desired when cartridge changeover occurs, select
the checkbox. The QC levels selected on the RUN OPTIONS screen will
be run.
SmartWash™ Page
NOTE: The fields described in the following chart are only for
photometric and ICT™ assays.
Field Description
Rgt Probe Reagent interference involving the Reagent Probe is minimized.
Reagent Select the interfering reagent. Up to 16 can be defined. Entered name must match reagent name on
the Base Page for the SMARTWASH to occur.
Wash Select the wash method to wash the inside of reagent probes and mixers.
NOTE: The wash cycle is performed only one time.
Vol Enter the volume of the defined wash solution to be used. Range is 10-345 µL.
Cuvette Reagent interference involving the Reaction Cuvette is minimized.
Assay Name Select the assay that interferes. Up to 10 assays can be defined.
Wash Select the wash method to wash the inside of reaction cuvettes.
NOTE: The wash is performed only one time.
Vol Enter the volume of the defined wash solution to be used. Range is 10-345 µL.
Sample Probe When defined, the Sample Probes are washed immediately before aspirating the sample.
Wash Select the solution to be used to wash the inside of the sample probes.
NOTE: The wash cycle is only performed one time.
REVIEW QUESTIONS
1. What are the two levels of User Code access?
ANSWERS
1. “user” and “super”
2. Select <Add> (press [Enter] if required to make <Add> appear)
3. The Save by Car’r ID option
4. Throughput, empty cuvettes
5. The Printer B icon/button in the Action Area
6. The PAGE SETUP screen, accessed by selecting <Database>,
then <Print>
7. Valid
8. The Order Samples screen, accessed by selecting <Database>,
then <Order>
9. The SYSTEM CONFIGURATION screen, accessed by selecting
<RUN>, <SysCfg>, <QC Rule>
SUMMARY
In this Module, you have:
• Created User Codes and Passwords
• Defined System Configuration options
• Described the Host Interface options
• Created assay panels
• Described the configuration necessary to define and run an assay
• Configured the System to evaluate QC results and apply the
Westgard QC Rules
NOTES
MODULE 9:
ICT™ UNIT
CONTENTS
Page
Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
ICT™ Fluid Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
Components of the ICT™ Unit . . . . . . . . . . . . . . . . . . . . . 9-6
Reviewing ICT™ Calibration Information . . . . . . . . . . . . 9-8
ICT™ Unit Component Replacement . . . . . . . . . . . . . . . 9-10
Activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-11
Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-13
Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-14
Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-15
OBJECTIVES
Upon completion of this Module, you will be able to:
1. Describe the ICT™ or Integrated Chip Technology™ fluid delivery
2. Identify the components of the ICT Unit
3. View the calibration information displayed for the ICT assays
4. Successfully remove and replace the ICT Module and ICT Probe
INTRODUCTION
An Integrated Chip Technology™ (ICT™) is used to measure
electrolytes on the AEROSET System. This Module familiarizes you
with the components used to measure ICT assays and the ICT fluid
delivery. You will also learn how to review the ICT calibration data.
Component Description
ICT Module The ICT Module is an integrated chip composed of a
Na+, K+, Cl-, and Reference electrode. (The module is
located in the ICT Unit.)
ICT Aspiration A 1 mL syringe drive pump that aspirates samples or ICT
Pump Reference Solution into the ICT Module for
measurement, then moves waste into the water bath/
waste overflow area when measurement is complete.
(This pump is located behind the ICT Pump access door.)
ICT Reference ICT Reference Solution is measured before and after
Solution each sample to create a baseline for checking for
electrode drift. The second read measurement is used to
calculate the sample result. (This Bulk Solution is placed
on a weight platform behind the front-right door.)
ICT Reference A 1 mL syringe drive pump that aspirates ICT Reference
Solution Pump Solution from the bulk bottle, through the ICT Reference
Solution preheater, and into the ICT Reference Solution
cup. Once measurement is complete, this pump aspirates
the ICT Reference Solution from the cup and moves it
into the water bath/waste overflow area. (This pump is
located behind the ICT Pump access door.)
ICT™ Reference This preheater warms the ICT Reference Solution to
Solution Preheater 37°C, before it is used to fill the ICT Reference Solution
cup. (The ICT Reference Solution preheater is a narrow
metal tube located in the water bath.)
ICT™ Reference Preheated ICT Reference Solution is aspirated from this
Solution Cup cup and measured by the ICT Module. (Located beneath
the ICT Probe when the ICT Unit is in the home
position.)
Water Bath/ Waste The liquid waste from the ICT Unit and the ICT
Overflow Reference Solution cup is dispensed into this waste area,
located on the right-hand side of the Reaction Carousel.
The liquid waste is removed from the Analyzer through
the Low-Concentration Waste tubing.
Component Description
ICT Probe The ICT Probe is connected to the ICT Module in the
ICT Unit. This probe aspirates diluted sample from the
Reaction Cuvette or aspirates ICT Reference Solution
from the cup into the ICT Module for processing.
ICT Sample A supply of ICT Sample Diluent must be placed onboard
Diluent in an outer segment of Reagent Supply Center 1 (A, B,
or C) for processing. After 15 µL of sample is dispensed
into a cuvette by the Sample Probe and 345 µL of the
diluent is dispensed by the R1 Reagent Probe, the sample
and diluent are mixed together by the R1 Mixer.
Most functions and areas of this screen are the same as described in
Module 6, Calibration. The areas that are different are described in the
following table:
The data are displayed in the C1 and C2 columns. The mV readings and
slope are displayed rather than the absorbance and factors displayed for
the photometric assays.
ACTIVITY
Introduction
In this activity, you will remove and replace the ICT™ Unit components
and verify the operation of the ICT Unit by visually inspecting the
components and by performing calibration.
Objectives
Upon completion of the ICT Module Activity, you will be familiar with:
• Removing and replacing the ICT Module
• Removing and replacing the ICT Probe
• Aligning the ICT Probe
• Ordering an ICT calibration and loading the calibrators and controls
• Reviewing the ICT calibration information in the ASSAY STATUS
and CALIBRATION SUMMARY screens
Necessary Materials
Reagents:
• ICT Sample Diluent
Other:
• ICT Serum Calibrators
• Quality Control Materials
Procedure
The information for the following steps is found in the AEROSET
System Operations Manual.
Refer to Component Replacement in Section 9, Service and
Maintenance of the AEROSET System Operations Manual to perform
the following procedures:
1. ICT Module Removal - to remove the ICT Module from the ICT
Module.
2. ICT Probe Removal - to remove the ICT Probe from the ICT
Module.
CAUTION: Inspect the top and bottom port of the
! ICT Module for the presence of a black seal. If
missing, verify that the seal is not stuck to the
tubing connector or probe. Verify that
connections are finger-tight. Replace or reseat the
seal if necessary.
3. Replace the ICT™ Probe and ICT Module.
CAUTION: Ensure that the probe and tubing
! connector are screwed in finger-tight only. If they
are screwed in too tightly, the seal may twist and
block flow through the ICT Module.
Refer to Component Replacement in Section 9, Service and
Maintenance of the AEROSET System Operations Manual to perform
the following procedure.
4. ICT Probe Alignment procedure - to check the ICT probe position.
5. Select <RUN> in the Action Area of the Main Display.
6. Select the Calibration and QC after Calib options.
7. Select <Order> next to the Calibration option and ensure that only
Na+, K+, and Cl- are selected.
8. Select <OK> in the Order Assays for Calibration screen.
9. Load the controls and ICT serum calibrators.
10. Select <Start>.
11. When the calibration is complete, review the ASSAY STATUS
screen to ensure that the calibration completed with no errors and
that the controls were within the expected range.
REVIEW QUESTIONS
1. Where is the ICT™ Sample Diluent placed onboard the AEROSET
System?
Blue Line -
Brown Line -
5. Why is it important to calibrate the ICT assays after any ICT Unit
component is removed and replaced?
ANSWERS
1. In Reagent Supply Center 1, in an outer segment
2. By flowing through the ICT Reference Solution preheater (a narrow
metal tubing around the water bath)
3. 15 µL
4. Blue Line - The current calibration slope
Brown Line - The 45% slope limit
5. To ensure that the tubing and probe are correctly connected to the
ICT Module so that there are no bubbles introduced and that the
flow is not blocked by a twisted seal
6. Bubbles In the ICT tubing
SUMMARY
In this Module, you have:
• Described the ICT™ fluid delivery
• Identified the components of the ICT Unit
• Viewed the calibration information displayed for the ICT assays
• Removed and replaced the ICT Module and ICT Probe
NOTES
MODULE 10:
MAINTENANCE
CONTENTS
Page
Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4
Maintenance Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
Weekly Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
Weekly Maintenance Activity . . . . . . . . . . . . . . . . . . . . . 10-7
Monthly Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
Monthly Maintenance Activity . . . . . . . . . . . . . . . . . . . . . 10-9
Quarterly Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . 10-11
Quarterly Maintenance Activity . . . . . . . . . . . . . . . . . . 10-12
Semi-Annual Maintenance . . . . . . . . . . . . . . . . . . . . . . 10-13
Semi-Annual Maintenance Activity . . . . . . . . . . . . . . . 10-14
Annual Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-15
Annual Maintenance Activity . . . . . . . . . . . . . . . . . . . . 10-16
As Needed Maintenance . . . . . . . . . . . . . . . . . . . . . . . . 10-17
As Needed Maintenance Activity . . . . . . . . . . . . . . . . . . 10-18
Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-22
Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-24
Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-25
OBJECTIVES
Upon completion of this Module, you will be able to:
1. List and perform weekly, monthly, quarterly, semi-annual, and
annual Maintenance Procedures
2. Describe the sections of the AEROSET System Maintenance Log
3. Demonstrate the Additional Maintenance Procedures
INTRODUCTION
• Have OPs Manuals available Proper maintenance of your AEROSET System is one of the most
for use with Maintenance important aspects of a complete Quality Assurance program. In Module
procedures. 3, Daily Checks and Start Up, you learned how to perform the Daily
• Have class check off Checks and START UP and SHUTDOWN Procedures.
procedures in the This Module introduces you to the Weekly, Monthly, Quarterly, Semi-
Maintenance Log with the
Annual, and Annual Maintenance Procedures you should perform on the
activity.
System. You will use the AEROSET System Operations Manual to
perform the recommended maintenance procedures.
This Module also discusses the System Backup and Restore Procedures.
This feature is introduced to help you minimize lost data due to a System
(hard disk) failure.
The AEROSET System Maintenance Log is used for recording and
tracking the results of maintenance performed on the AEROSET System.
It is recommended that whenever you complete any of the routine
maintenance procedures, you record the procedure in the AEROSET
System Maintenance Log.
MAINTENANCE SCHEDULE
FREQUENCY PROCEDURE
DAILY CHECKS • Check Reagents/Solutions Inventory
• Perform START UP
• Check 1mL Syringes
• Check Wash Solution Trays
• Check Sample and Reagent Syringes and Solenoid Valves
• Check High-Concentration Waste Container
• Check Refrigerator Condensation Pan
• Check DI Water System
• Perform SHUTDOWN
WEEKLY • Check Sample and Reagent Probes
• Clean Outside of the Sample and Reagent Probes
• Clean Mixers
• Check Tubing from the High-Concentration Waste Drain Hose and
High-Concentration Waste Pump Output T-Fitting
• Clean Touchscreen Display
• Check ICT™ Probe and Tubing
MONTHLY • Check/Clean Reagent Supply Centers
• Clean Carousel Sampler Area and Carousels
• Check Sample and Reagent Dispense Components
• Clean Cuvette Washer Nozzles
• Check Cuvette Washer High-Concentration Waste Nozzle Tubing
• Clean DI Water Filter (if installed)
QUARTERLY • Syringe Seal Tip (1 and 2) and O-ring Replacement (on sample, reagent,
and wash solution syringes)
• Wash Solution Syringe (1mL) Replacement
• ICT Reference Solution (1mL) Replacement
• ICT Aspiration Syringe (1mL) Replacement
• 0.22 Micron Filter Replacement (if applicable)
SEMI-ANNUALLY • Wash Solution Filters Replacement
• ICT Reference Solution Filter Replacement
ANNUALLY • Check Valve Replacement (Wash Solution and Reference Solution
Pumps 1mL Syringes)
WEEKLY MAINTENANCE
The following Weekly Maintenance Procedures must be performed:
• Clean the Outside of the Sample and Reagent Probes
• Clean Mixers
• Clean Touchscreen Display
• Check ICT™ Probe and Tubing
• Check Sample and Reagent Probes
• Check Tubing from the High-Concentration Waste Drain Hose and
High-Concentration Waste Pump Output T-fitting
Objective
Upon completion of the Weekly Maintenance Activity, you will be
familiar with:
• Cleaning the Outside of the Sample and Reagent Probes
• Cleaning the Mixers
• Cleaning the Touchscreen Display
• Checking the ICT™ Probe and Tubing
• Check Sample and Reagent Probes
• Check Tubing from the High-Concentration Waste Drain Hose and
High-Concentration Waste Pump Output T-fitting
Necessary Materials
• AEROSET System Operations Manual
NOTE: The materials required for each procedure are
defined in the AEROSET System Operations Manual.
Procedure
Instructor will need the The information for the following steps is found in the AEROSET
following for demo: System Operations Manual.
- 1% Alk Wash Refer to Weekly Maintenance in Section 9, Service and Maintenance of
- Cotton swabs the AEROSET System Operations Manual to perform the following
- DI water procedures:
- Alcohol
- Kay Dry 1. Clean the outside of the Sample and Reagent Probes.
2. Clean the Mixers.
3. Clean the Touchscreen Display.
4. Check the ICT Probe and Tubing.
5. Check sample and reagent probes for damage and protein buildup
6. Check tubing from the High-Concentration Waste Drain Hose and
High-Concentration Waste Pump Output T-fitting.
MONTHLY MAINTENANCE
The following Monthly Maintenance Procedures must be performed:
• Clean/Check Reagent Supply Centers
• Clean Carousel Sampler Area and Carousels
• Check Sample and Reagent Dispense Components
• Clean Cuvette Washer Nozzles
• Check Cuvette Washer High-Concentration Waste Nozzle Tubing
• Clean DI Water Filter (if installed)
Introduction
In this exercise, you will perform the Monthly Maintenance Procedures.
Objective
Upon completion of the Monthly Maintenance Activity, you will be
familiar with:
• Cleaning and checking the Reagent Supply Centers
• Cleaning the Carousel Sampler Area and Carousels
• Checking the Sample and Reagent Dispense Components
• Cleaning the Cuvette Washer Nozzles
• Check Cuvette Washer High-Concentration Waste Nozzle Tubing
• Clean DI Water Filter (if installed)
Necessary Materials
• AEROSET System Operations Manual
NOTE: The materials for each procedure are defined in
the AEROSET System Operations Manual.
Procedure
Instructor will need the The information for the following steps is found in the AEROSET
following for demo: System Operations Manual.
- Lint-free towels Refer to Monthly Maintenance in Section 9, Service and Maintenance
- 10% bleach of the AEROSET System Operations Manual to perform the following
- DI water
procedures:
- Flathead screwdriver
- Phillips™ screwdriver 1. Clean and check the Reagent Supply Centers.
- Nozzle cleaning wire
- Teri 2-ply wipers 2. Clean the Carousel Sampler area and carousels.
• Cleaning cuvette washer — 3. Check the sample and reagent dispense components.
sometimes there’s a tight
suction between the platform 4. Clean the Cuvette Washer Nozzles.
that the black knob is on and 5. Check the Cuvette Washer High-Concentration Waste Nozzle
its base.
Tubing.
• Do not touch the dryer tips
with ungloved hands. 6. Clean DI Water Filter (if installed).
• Demo how to check if cuvette
washer nozzles are aligned.
QUARTERLY MAINTENANCE
The following Quarterly Maintenance Procedures must be performed:
• Syringe Seal Tip and O-Ring replacement on sample, reagent, and
wash solution syringes
• 1 mL Wash Solution Syringe replacement
• 1 mL ICT™ Reference Solution Syringe replacement
• 1 mL ICT Aspiration Syringe replacement
• 0.22 Micron Filter replacement (if applicable)
Introduction
In this exercise, you will perform the Quarterly Maintenance Procedures.
Objective
Upon completion of the Quarterly Maintenance Activity, you will be
familiar with:
• Replacing the Syringe Seal Tip and O-Ring on sample, reagent, and
wash solution syringes
• Replacing the 1 mL wash solution syringes
• Replacing the 1 mL ICT™ reference solution syringe
• Replacing the 1 mL ICT aspiration syringe
• 0.22 Micron Filter replacement (if applicable)
Necessary Materials
• AEROSET System Operations Manual
NOTE: The materials for each procedure are defined in
the AEROSET System Operations Manual.
SEMI-ANNUAL MAINTENANCE
Instructor will need the The following Semi-Annual Maintenance Procedures must be
following for demo: performed:
- absorbant towels • Wash Solution Filters Replacement
• ICT™ Reference Solution Filter Replacement
Introduction
In this exercise, you will perform the Semi-Annual Maintenance
Procedures.
Objective
Upon completion of the Semi-Annual Maintenance Activity, you will be
familiar with:
• Replacing Wash Solution Filters
• Replacing the ICT™ Reference Solution Filter
Necessary Materials
• AEROSET System Operations Manual
NOTE: The materials for each procedure are defined in
the AEROSET System Operations Manual.
Procedure
The information for the following steps is found in the AEROSET
System Operations Manual.
Refer to Component Replacement in Section 9, Service and
Maintenance of the AEROSET System Operations Manual to perform
the following procedures:
1. Wash Solution Filters Replacement
2. ICT Reference Solution Filter Replacement
ANNUAL MAINTENANCE
Instructor will need the The following Annual Maintenance Procedures must be performed:
following for demo:
• Check Valve Replacement (Wash Solution and Reference Solution
- Beaker (large enough to Pump 1 mL Syringes)
accommodate 1 mL syringes with
check valves)
- DI water
- absorbant towel
Introduction
In this exercise, you will perform the Annual Maintenance Procedures.
Objective
Upon completion of the Annual Maintenance Activity, you will be
familiar with:
• Replacing Check Valves
Necessary Materials
• AEROSET System Operations Manual
NOTE: The materials for each procedure are defined in
the AEROSET System Operations Manual.
Procedure
The information for the following steps is found in the AEROSET
System Operations Manual.
Refer to Component Replacement in Section 9, Service and
Maintenance of the AEROSET System Operations Manual to perform
the following procedures:
1. Check Valve Replacement
AS NEEDED MAINTENANCE
The following maintenance procedures should be performed when
needed to ensure proper operation of the AEROSET System:
• Format a Floppy Disk
• Backup System Configuration Files
• Restore System Configuration Files
• Library Utility and Maintenance
• Clean Reagent Bar Code Reader Windows
• Clean Cuvettes
System Backup
• Time estimates for System The AEROSET System hard disk provides storage for System
backup and restore are given in configuration, assay configuration, assay calibration, quality control, and
Section 9 of the Ops Manual. robotics adjustment data. When the hard disk fails, the System Backup
• Restore from disk. and Restore functions provide an alternative to rerunning all assay
• Make sure to cycle power after calibrations, repositioning all the robotics, and reconfiguring the System.
restoring. System backup is recommended after any of the following:
• Requires use of 2 formatted
• New assay installation and calibration
HD disks.
- Format using • Values for a new lot of multiconstituent calibrators are entered
DOS v5.0 or higher or Windows • QC means are adjusted or edited for a new lot of controls
95 or higher.
- Use preformatted disks. • Changes are made to System configuration files
• Robotic adjustments are made by the Customer or Field Service
Representative
• In addition to the unscheduled System backups listed above, the
Customer should determine an interval for System backup to
capture QC or calibration data.
The AEROSET System Backup Procedure provides a means to transfer
System and assay files onto floppy disks. The files are divided among
five separate Backup and Restore options with each option requiring one
formatted floppy disk. The following table describes the files saved to
each disk:
Option Description
Config • Log On/Password Data • Print Form 1
• Reagent Information • Comments
• Doctor’s Names • Print Form 2
• Calibrator and Control • Panels
Information • System Configuration
• Patient Locations Information
Assay 1 - 50 Assay configuration files 1 - 50 (includes calibration data)
Assay > 50 Assay configuration files 51 - 100 (includes calibration data)
Robotics Robotics positioning information and maintenance utilities
information
Library System Library files (Storage on the hard disk)
For further information and details about using the System Backup and
Restore options, refer to As Needed Maintenance Procedures in
Section 9, Service and Maintenance of the AEROSET System
Operations Manual.
Clean Cuvettes
A cuvette may become dirty due to build-up over time with usage or if
the water is allowed to dry in the cuvettes repeatedly. The Cuvette Wash
Procedure during a run, or during START UP or SHUTDOWN may not
be able to completely clean the cuvette. If any of the following errors
occur and are isolated to specific cuvettes, it may be necessary to
manually clean the affected cuvette(s).
• RL%, A#0, A#1, or A#2 Result Error Codes for samples without
increased concentration
• Sample results are low or high
NOTES
REVIEW QUESTIONS
1. What solution is used to clean the Sample and Reagent Probes
during Weekly Maintenance?
3. When observing the Wash ICT™ with IRef Procedure what should
not be seen?
6. To remove the cover from the ___________ Arm, you must access
the MAINTENANCE UTILITIES screen to move it over the
cuvette dispensing position.
7. Abbott recommends performing System Backup Procedures after:
a. _____________________________________________
b. _____________________________________________
c. _____________________________________________
d. _____________________________________________
e. _____________________________________________
f. ________________________________________________
8. What type of disk must be used for a System Backup option?
10. How often should sample, reagent, and wash solution syringe seal
tips and O-rings be replaced?
12. If you suspect that a check valve is not functioning properly, what
can be done to check the function of the check valve?
ANSWERS
1. 1% Alkaline Wash Solution
2. Alcohol
3. Bubbles in the tubing or drips from the ICT™ Probe
4. To avoid dripping water from the bottom the Reagent Supply
Center segments into the open Reagent Cartridges
5. To remove spilled or splashed control or sample material to
minimize the biohazard
6. R2-B
7. a. New assay installation and calibration
b. Values for a new lot of multiconstituent calibrators are entered
c. QC means are adjusted or edited for a new lot of controls
d. Changes are made to System configuration files
e. Robotic adjustments are made by the Customer or Field Service
Representative
f. Customer determined interval for System backup to capture QC
or calibration data
8. A formatted floppy disk
9. a. Ensure that the bottom of the syringe barrel is in the groove in
the syringe holder.
b. Ensure that the plunger flange is below the U-shaped bracket.
10. Quarterly
11. c. spacer
12. Check the inlet and outlet ports with water. Ensure that water can
not be drawn in through the outlet port, and water can not be
expelled through the inlet port.
SUMMARY
In this Module, you have:
• Performed the Weekly, Monthly, Quarterly, Semi-Annual, and
Annual Maintenance Procedures
• Described the sections of the AEROSET System Maintenance
Log
• Demonstrated the System Backup Procedures
NOTES
MODULE 11:
COMPONENT
REPLACEMENT AND
TROUBLESHOOTING
CONTENTS
Page
Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-3
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4
Error Codes and Messages . . . . . . . . . . . . . . . . . . . . . . . 11-5
Power OFF Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . 11-11
MAINTENANCE UTILITIES Screen . . . . . . . . . . . . . . . . 11-13
Component Replacement . . . . . . . . . . . . . . . . . . . . . . . 11-20
Component Replacement Activity . . . . . . . . . . . . . . . . 11-22
Review Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-23
Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-24
Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-25
OBJECTIVES
Upon completion of this Module, you will be able to:
1. Identify the different Error Log Messages and Codes that are
displayed by the AEROSET System
2. Demonstrate the correct Power OFF Procedure
3. Identify and use the various pages of the MAINTENANCE
UTILITIES screen to:
• Set the System date and time
• Check temperatures
• Track component usage
• Control robotic movements
• Check photometer performance
• Verify cuvette integrity
• Verify Bar Code Reader performance
4. Successfully remove and replace the following components:
• Sample Probes and tubing
• Reagent Probes and tubing
• Cuvette Washer Dryer Tips
• Mixer
• Cuvette Segment
• Cuvette pair
• Sample Carousel Tube Bottom Holder
• Source lamp
INTRODUCTION
The first section presents the different types of Error Log Messages and
codes that are displayed by the AEROSET System. This section focuses
on where each type of error is displayed and how to find the information
needed to resolve the issue that caused the generation of the code or
message.
The second section presents the correct Power OFF Procedure that
should be used prior to performing some troubleshooting and component
replacement procedures.
The third section describes the various pages of the MAINTENANCE
UTILITIES screen which allow the Operator to set the System date and
time, track specific component usage, and manually move robotics for
maintenance and troubleshooting purposes.
The last section overviews the replacement of System components.
Component replacement may be required, periodically due to normal
use, or as a troubleshooting procedure.
Result Flags
• Ensure Ops Manuals are Result Flags are displayed for patient and control results on the screens
available for use with the Error indicated in the table below. They can also be printed on the patient and
Codes and Messages section.
control reports.
Type of
Screen “L” “H”
Result
Patient DATABASE and Indicates that the Indicates that the
RESULT result is less than result is greater
the defined than the defined
Reference-L Reference-H
Quality DATABASE, Indicates that the Indicates that the
Control RESULT, QC result is greater QC result is greater
ASSAY STATUS, than than
Levey-Jennings –2 SD from the +2 SD from the
Graph, QC Details, mean mean
and QC SUMMARY
• Have the class look up The Result Error Codes and their priority are listed with appropriate
a Result Error Code probable causes and corrective action in Section 10, Diagnostics and
and note the priority, Troubleshooting of the AEROSET System Operations Manual.
probable cause, and
corrective action. An example of the RESULT screen with both Result Flags and Result
Error Codes is displayed below.
The Calibration Error Codes are listed with appropriate probable causes
and corrective action in Section 10, Diagnostics and Troubleshooting of
the AEROSET System Operations Manual.
An example of the ASSAY STATUS screen with a Calibration Error
Code is displayed below.
Calibration
Error Code
An example of the ERROR LOG screen after [F1] has been pressed is
displayed below.
Error Code
Number
2. Select the Exit icon from the Action Area of the Main
Display.
3. Select <OK> . The Log On screen is displayed.
Rotary Power
Control Switch Action
Setting
AUTO Once the Power OFF sequence is complete, the
power is automatically disconnected from the
Analyzer and System Control Center (SCC)
components without any further intervention by
the Operator. However, the Main Circuit Breaker
Switch remains ON unless the Operator manually
moves the switch to the OFF position.
ON Turn the switch to the OFF position to complete
the Power OFF sequence.
WARNING: Power is still supplied to the refrigerated
compartments on the AEROSET System.
6. To completely Power OFF the System, turn the Main Circuit
Breaker Switch to the OFF position.
System Page
Component 4 5
Tracking
SCC Page
1
2
Sampling Page
• Carousels — if
doesn’t see bar
code, gets a line. 1
• If button has the
2
word “adj”, when
touched, the word
“adj” will pop-up 3
on the button on
the right.
• If “adj” is touched, 4
will get pop-up
“CW” = clockwise,
or “CCW” = 5
counterclockwise.
(or up and down)
SW (Software) Page
• Current date is also displayed.
• Check sums to check on
install of new software
version.
COMPONENT REPLACEMENT
Review each component to be replaced and the reasons for doing so, then demo the replacement
procedures using the Ops Manual.
Objective
Upon completion of the Component Replacement Activity, you will be
familiar with:
• Removing and replacing the Sample Probes and Sample Probe
tubing
• Removing and replacing the Reagent Probes and Reagent Probe
tubing
• Removing and replacing the Mixers
• Removing and replacing the Cuvette Pairs
• Removing and replacing the Sample Carousel Tube Bottom Holders
• Removing and replacing the Source Lamp
• Removing and replacing Poppet Valves
Necessary Materials
• AEROSET System Operations Manual
Procedure
The information for the following steps is found in the AEROSET
System Operations Manual.
Refer to Component Replacement in Section 9, Service and
Maintenance of the AEROSET System Operations Manual to perform
the following procedures:
1. Remove and replace one of the Sample Probes.
2. Remove and replace one of the Reagent Probes.
3. Remove and replace one of the Mixers.
4. Remove and replace one of the Cuvette Pairs.
5. Remove and replace one of the Sample Carousel Tube Bottom
Holders.
6. Remove and replace the Source Lamp.
7. Remove and replace Poppet Valves.
REVIEW QUESTIONS
1. If more than one Result Error Code is generated for a result, on
which screen are all the codes displayed?
3. How does the System indicate that a cuvette has failed the Integrity
Check and may need to be changed?
ANSWERS
1. The Reaction Graph screen
2. “bye”
3. An Error Log Message is generated and the cuvette position is
displayed with a red background on the Cuvette Integrity screen in
MAINTENANCE UTILITIES.
4. The lamp housing cover was not correctly seated.
5. Any six of the following:
a. Setting the date and time
b. Defining the Automatic Power ON, START UP, and
SHUTDOWN
c. Component tracking
d. Assay counts
e. System Software Backup and Restore
f. Formatting a floppy disk
g. Library Maintenance
h. Manually moving robotics
i. Scan bar codes
j. View cuvette integrity
k. View electronic A/D data for the photometer and ICT™
Unit
l. View the current software version
6. Poppet Valves
7. 61mm
SUMMARY
In this Module, you have:
• Identified the different Error Messages and Codes that are displayed
by the System
• Demonstrated the correct Power OFF Procedure
• Successfully removed and replaced the AEROSET System
components
• Identified and used the various pages of the MAINTENANCE
UTILITIES screen
NOTES
MODULE 12:
ACTIVITIES
CONTENTS
Page
Introduction
In this activity, you will combine the basic operations procedures that
have been presented in the Basic Run, Run Options, Result Handling,
Calibration, and Quality Control Modules.
Objective
Upon completion of the Multiple Skills Activity, you will be familiar
with:
• Performing a basic run
• Ordering a calibration
• Ordering controls
• Limiting a run
• Rerunning results
• Editing results
• Selecting rerun results
• Validating results
• Printing results
Necessary Materials
Other:
• Patient samples, Multiconstituent Calibrators, and QC material
2. Select <Order>.
7. Select <RUN> to display the RUN OPTIONS screen and make the
following selections:
a. Run the patient samples
b. Limit the run to analyze all assays except Phosphorus
c. Run Start-QC for all assays
d. Run End-QC
2. Load and initiate the run using the appropriate procedure for the
System status of your instrument.
Adding a Calibration
1. Review the Start-QC results for Albumin.
3. Calibrate the Albumin assay and select the QC after Calib option.
Rerunning Results
1. Confirm that Albumin calibration is complete.
2. Request that all the Albumin results on the patient samples be rerun.
3. Ensure that the samples are still onboard and available for sampling.
4. Initiate the run using the appropriate procedure for the System status
of your instrument.
Reviewing Results
When all results are complete, perform the following steps:
1. Select the rerun results on Albumin.
2. The sample used for the Calcium result on Al Lergy was manually
diluted 1:2, but you forgot to enter the Manual Dilution factor when
ordering the sample. Multiply the answer by 2 and edit the result.
Introduction
• Instructor will need to change The purpose of this exercise is to simulate a typical day in the laboratory.
query mode to sample bar This involves completing common activities such as performing START
codes, clear database, and UP and Daily Checks, ordering tests, and ordering controls. You are
cycle power. Ensure host responsible for organizing workflow, evaluating QC values, and
simulators are properly obtaining results for routine and STAT samples. These realistic
configured and functioning. challenges allow you to integrate the information you have learned.
As with any typical day in the laboratory, not everything will go as
expected. Controls may be out of range, and you may have to rerun
samples. Fortunately, the skills and knowledge you learned in earlier
Modules will allow you to overcome these challenges successfully.
Objective
Upon completion of the Lab Day Activity, you will be familiar with:
• Performing a basic run
• Ordering a calibration
• Ordering quality control
• Rerunning results
• Selecting rerun results
• Validating results
• Printing results
Necessary Materials
Other:
• Patient samples, Multiconstituent Calibrators, and QC material
Instrument Set-up
Confirm or edit the following configuration parameters:
1. SYSTEM CONFIGURATION screen:
• Select the Auto Validate option
3. Ensure that all assays are ready to run. If any assay buttons on the
ASSAYS screen are not green, evaluate and resolve the issue
(calibrate, add reagent, etc.).
2. Determine the cause of any values that are out of range and rerun the
Start-QC, if necessary.
2. Load the samples and initiate the run using the appropriate
procedure for the System status of your instrument.
2. Dr. Dolittle wants the glucose rerun on the STAT sample. To rerun
a sample in the Reserved STAT Position, perform the following
steps:
a. Request the rerun on the DATABASE or RESULT screen as
usual.
b. Ensure the correct sample is still loaded in the Reserved STAT
Position.
c. Select <STAT> from the Information Access Area.
d. Enter the bar code number into the Sample ID field on the
ORDER ASSAYS FOR STAT screen. (Do not order any
assays.)
e. Select <Start> in the right-hand column.
Reviewing Results
When the patient samples are completed, perform the following:
1. Select the rerun result for the STAT sample and validate the sample.
GLOSSARY
Glossary
1-Point Adjustment A calibration type that uses the absorbance data for a single calibrator to adjust
the calibration curve.
2-Point Adjustment A calibration type that uses the absorbance data for the reagent blank and a
calibrator to adjust the calibration curve.
Absorbance Limit Configured range of absorbance values that are considered acceptable for
measurement purposes. Values outside this range are not used for calculation.
Absorbance Limit Check A calibration data check that evaluates the absorbance or change in absorbance
obtained during sample measurement. If the absorbance or change in
absorbance is outside the specified range a Result Error Code is generated.
Absorbance Mode A calibration mode in which results are based on the absorbance of water and
are represented as absorbance in the case of an end-point assay or as absorbance
change (rate of absorbance change per minute) in the case of a rate assay.
Acid Wash Solution Used to clean Reagent and Sample Probes and Reaction Cuvettes.
Action Area Right hand column area of the Main Display that displays action area buttons.
A-Line Assay configuration that defines the reagent location as the outer segments (A,
B, or C) of the Reagent Supply Center.
Alkaline Wash Solution Used to clean Reagent and Sample Probes and Reaction Cuvettes.
Auto Rerun A function that allows the Operator to configure the System to automatically
reorder assays for those samples that meet user specified criteria on an “assay
by assay” basis.
Auto Return A System configuration designed to automatically return samples identified for
rerun to the Sample Arm.
Blank Correction A calibration type performed that uses reagent blank data only to adjust the
calibration curve.
B-Line Assay configuration that defines the reagent location as the inner segment (D)
of the Reagent Supply Center.
Calculated Absorbance The rate of change of absorbance calculated using the Linear Least Squares
method.
Calibration, Automatic A calibration that occurs automatically after a Reagent Cartridge change,
reagent lot change, or at the end of a calibration interval.
Calibration, Exponent A calibration mode for assays in which the absorbance or absorbance change
diverges as the concentration increases.
Calibration, Linear Mode A calibration mode in which a reagent blank and one type of calibrator are
(1-Point Method) measured, and a calibration curve is generated using these two data points.
Calibration, Linear Mode A calibration mode in which a reagent blank and two to eight calibrators of
(Multi-Point Method) different concentrations are measured, and a calibration curve is generated
using these data points.
Calibration, Logit-4 A calibration mode for assays in which the absorbance or absorbance change
increases as the concentration increases.
Calibration, Logit-5 A calibration mode for assays in which the absorbance or absorbance change
increases as the concentration increases. Uses one more parameter than Logit-4.
Calibration, Use Fac/Blk A calibration mode in which the concentration or activity is calculated using the
(Factor and Blank) factor and reagent blank from a calibration curve generated for another assay.
Calibration, Use Factor A calibration mode in which the concentration or activity is calculated using the
(Factor Only) factor from a calibration curve generated for another test. Reagent blank
measurement is required even if the calibration curve of another assay is used.
Calibrator/Control A carousel (located in the Carousel Sampler) that has the capacity of 45
Carousel positions for calibrators and controls.
Carousel Sampler A sampler system on the AEROSET System which contains the Sample
Carousel, Reserved STAT Position, and Calibrator/Control Carousel.
CE (CE Marking) Meets applicable New Approach Directives of the European Union.
Checkbox A screen operation that utilizes a box to the left of an item. By selecting the box,
an item is selected with a check mark.
Color Correction Performed on the absorbance data (in the absorbance window) to correct for
sample color.
Cuvette Washer A series of nozzles including a drying nozzle that wash and dry the cuvettes.
Display Area Area of the Touchscreen that displays the information or actions, corresponding
to the button selected, in the Information Access Area or Action Area.
Drop-down List Box A screen operation that shows a single item. Other choices can be seen by
selecting the button on the right side of the Drop-down list box.
Drying Tip Placed on the end of the Cuvette Washer nozzle that is used to dry the cuvette
before a sample is dispensed.
END RATIO Ratio of absorbances (A/B) used as a reaction check for Prozone.
END SUB Difference between absorbances (A-B) used as a reaction check for Prozone.
End-Point Assay An assay in which the concentration is calculated using the absorbance data
obtained in the Main Read Time specified on the Base page of the ASSAY
CONFIGURATION screen.
Extrapolated Calculation For the calculation of patient samples with concentrations higher than the
calibrators, the calibration curve may be extrapolated.
Factor Mode A calibration mode in which only the reagent blank is measured, and a user
defined factor is used to calculate results.
FastTrack™ Sampler The Track Sampler on the AEROSET System has the capacity of holding up to
200 samples.
FlexRate™ Method To extend the linear range of an enzymatic assay and reduce the necessity of a
rerun, data points in the Flex Read Time are used for high-activity and high-
concentration samples (data is identified by "FLX").
Full Calibration A calibration type performed for all data points specified for the reagent blank
and calibrators.
Hazards Situations that could cause physical harm to a user or damage to the Analyzer or
laboratory environment.
Host An auxiliary computer system that can communicate with the AEROSET
System.
Host Interface Operation The act of communication between the AEROSET System and a Host computer
system.
Host Interface Status Display (via the Touchscreen) in which the Host interface status can be
Display checked.
ICT Reference Solution Used to rinse the ICT Module between samples and used as a baseline when
calculating ICT results.
ICT Reference Solution Holds the ICT Reference Solution. A sensor detects the remaining volume by
Bottle monitoring weight changes and issues a warning when the volume is less than
the specified level.
ICT Reference Solution Preheats the ICT Reference Solution in the stainless steel tube located in the
Preheater water bath before it is used to fill the ICT Reference Solution cup.
ICT Reference Solution Fills and drains the ICT Reference Solution into the ICT Reference Solution
Pump cup.
ICT Unit Moves the isothermal block equipped with the ICT Module to the ICT
Reference Solution cup and to the Reaction Cuvettes.
ICT™ (Integrated Chip Method in which Na+, K+, and Cl- are measured potentiometrically.
Technology)
ICT™ Aspiration Pump Aspirates the 300 µL of ICT Reference Solution or diluted sample into the ICT
Module using a syringe pump.
ICT™ Cleaning Fluid Used to clean the ICT Probe and the ICT Module.
Information Access Area Area at the bottom of the Main Display that contains buttons to select
information, configuration, and databases.
Integrated Chip Solid state Ion-Selective Electrodes utilizing indirect potentiometry for
Technology™ (ICT) determinations of Na+, K+, and Cl-.
Isozyme Mode A calibration mode in which the isozyme activity is calculated from samples
which contain two types of isozymes.
Keyboard Computer component used for entering information into the AEROSET System
Control Center (SCC).
LED Light emitting diode. Used on the AEROSET System to indicate the status of
the Carousel Sampler and FastTrack Sampler systems.
Levey-Jennings Graphs Control graphs that are used to monitor mean and range of control measurement
values from run to run.
Line Balance™ (LB) A function that improves throughput with efficient utilization of cuvette pairs,
Function minimizing the single-test measurement cycles.
Linearity % A check of a rate assay to ensure that the reaction remains linear during the
Main Read Time. This parameter is used to check for substrate depletion.
Liquid Level Sensing Detection of liquid level; measured by the change in capacitance.
Local User Interface (LUI) Used for manually controlling the FastTrack Sampler and the Reagent Supply
Centers.
Main Circuit Breaker Turns the power ON/OFF for the entire System.
Switch
Main Display Main portion (bottom and right-hand frame) of the Touchscreen user interface.
MaxAbsVar The stability of the reaction of an end-point assay during the Main Read Time.
On-line Configuration System parameters that can be configured to allow the AEROSET System to
communicate with a Host system. For example, communication type, baud rate,
message length, etc.
Optimum Sampling A function that maximizes the processing speed when the SmartWash™
Sequence™ (OSS) Feature is in use. It rearranges the sampling sequence so that the number of
Function empty Reaction Cuvettes is minimized.
Panel A function where multiple tests can be ordered quickly by touching only one
button instead of all the individual assay buttons.
Panic Value High (PVH) Result code that notifies Operator that the result generated is higher than the
configured High Panic Value.
Panic Value Low (PVL) Result code that notifies Operator that the result generated is lower than the
configured Low Panic Value.
Photometric timing Represents the elapsed time at each of the 33 photometric points with the first
photometric point defined at 0 seconds.
Probe Guard A function of the AEROSET System that stops the lowering of the probe when
an obstacle is detected.
Prozone Reaction Check In immune reactions, if the antigen concentration in the sample greatly exceeds
the antibody concentration in the reagent, the result is falsely low due to
antibody depletion.
Qualitative Ranges A function that reports test results using conditional text (+/-, Pos/Neg) instead
of numerical values.
Quality Control The process of tracking and analyzing historical results via standardized
graphing techniques.
Rate Assay An assay in which activity is calculated using the change of absorbance in the
Main Read Time specified on the Base page of the ASSAY CONFIGURATION
screen.
RATE Linearity The linearity of the absorbance change within the read time.
RATE RATIO A ratio of absorbance changes (A/B) used as a reaction check for Prozone.
RATE SUB Differences between absorbance changes (A-B) used as a reaction check for
Prozone.
Reaction Carousel Carousel that can hold 330 Reaction Cuvettes, and rotates approximately a
quarter turn, counterclockwise, every cycle. Reactions take place here.
Reagent Arm Holds the Reagent Probe. Moves reagent from each Reagent Supply Center to
the Reaction Carousel.
Reagent Segments Sections (4) of each Reagent Supply Center in which the reagent is placed.
Reagent Supply Center Dual carousel which holds the Reagent Cartridges. There are two Reagent
Supply Centers on the AEROSET System.
Reserved STAT Position A single fixed position in the Carousel Sampler for running STAT samples.
Result Error Code Error codes of the AEROSET System reported with the result.
Rotary Power Control Turns the power ON/OFF for units other than the reagent refrigerator.
Switch
Run Progress Area Area of the Main Display that shows the progress of analysis.
Sample Arm Holds the Sample Probes. Carries the Sample Probes from the FastTrack™
Sampler or Sample Carousel to the Reaction Carousel.
Sample Blank Test Measurement used for correcting the absorbance data obtained during the Main
Read Time. There are two kinds of Sample Blank Tests (self blank and non-self
blank).
Sample Blank Test, Sample Blank Test used to eliminate the effect of endogenous substances.
Non-Self Blank Performed in a second Reaction Cuvette.
Sample Blank Test, Self Sample Blank Test used to correct the absorbance for sample coloring due to
Blank lipemia, hemolysis, bilirubin, etc. Performed in the same Reaction Cuvette.
Sample Carousel A carousel (located in the Carousel Sampler) that has a capacity of 30 samples.
Sample Carrier A carrier that can hold up to five samples. Used in the FastTrack Sampler.
Sample Carrier Tray A tray that can hold up to 10 Sample Carriers. Used in the FastTrack Sampler.
Sample Cup A type of sample container that can be used in the FastTrack and Carousel
Samplers.
Scroll Box A screen operation that displays several tests or other items by scrolling with a
scroll bar.
Single Selection Button A circular button that allows for selection of one button or the other, but not
both, and will not allow both to remain unchecked. Also known as radio button.
SmartWash™ Feature A wash process to wash the Reagent Probes, Sample Probes, and Reaction
Cuvettes completely when combinations of assays which can cause test-to-test
interference are processed.
Solenoid Valve Six valves located at the top of the Sample and Reagent Syringe Drives.
Status Area Area of the Main Display that displays the System status, date and time, water
bath level, and High-Concentration Waste Full Indicator.
System Control Center Contains hardware (computer, keyboard, printer, and monitor) and software.
(SCC)
System Control Center A stand which holds the computer, monitor, keyboard, and printer.
Stand
Tab A screen operation that when selected opens the corresponding page.
Test Limiting Function A function that allows the Operator to exclude some tests, previously scheduled
for the patient sample, without changing the order.
Timer Functions The AEROSET System can be configured to Power ON, initiate START UP, or
perform SHUTDOWN operations automatically at a programmed time of day
for each day of the week.
Touchscreen Screen that allows the user to make a selection by touching the screen.
Warranty Continues for a period of one year, commencing twenty-one days from the date
of shipment to the original purchaser, or until title is transferred from the
original purchaser, whichever occurs first (the "Warranty Period").
Water Bath Incubator that surrounds the Reaction Cuvettes and maintains the reaction
temperature.
Water Bath Additive A solution added when the bath water is changed to inhibit bacterial growth and
prevent bubble formation.
Westgard Multi-Rule A series of statistical control rules for interpreting control data that keep the
probability for false rejections low and improve the probability for error
detection. Can be adapted to existing Levey-Jennings graphs by addition of one
or two sets of control limits.
APPENDIX:
HAZARDS
CONTENTS
Page
Hazard Types . . . . . . . . . . . . . . . . . . . . . . . . . . . . Appendix-3
Biosafety Hazards . . . . . . . . . . . . . . . . . . . . . . . . Appendix-4
Chemical Hazards . . . . . . . . . . . . . . . . . . . . . . . . Appendix-8
Electrical Hazards . . . . . . . . . . . . . . . . . . . . . . . Appendix-10
Mechanical Hazards . . . . . . . . . . . . . . . . . . . . . . Appendix-11
Physical Hazards . . . . . . . . . . . . . . . . . . . . . . . . Appendix-13
HAZARD TYPES
Classifications of hazards covered include the following types:
• Biosafety
• Chemical
• Electrical
• Mechanical
• Physical
• Laser
BIOSAFETY HAZARDS
Persons who use the AEROSET System, and persons who are in the
vicinity of the System, must be aware that the following activities
involve the actual or potential presence of a biological hazard:
• Handling samples, reagents, calibrators, and controls
• Cleaning spills
• Handling and disposing of waste
• Moving the System
• Performing maintenance procedures
• Performing decontamination procedures
• Performing component replacement procedures
Warning Label
WARNING: Potential Biohazard. Appears on the AEROSET
System and in this manual to identify potentially infectious
areas.
Required Precautions
Consider all clinical specimens, reagents, controls, etc., that contain
human blood, and surfaces or components that have come into contact
with human blood and the above materials as potentially infectious.
Observe the following precautions when encountering potentially
biohazardous conditions:
• Wear gloves, lab coats, and safety glasses.
• Follow other biosafety practices as specified in the OSHA
Bloodborne Pathogen Rule (29 CFR Part 1910.1030) or other
equivalent biosafety procedures.
Handling Probes
The probes are sharp and potentially contaminated with infectious
materials. Avoid contact with the tip of the probes.
Cleaning Spills
Clean spills of potentially infectious materials in accordance with
established biosafety practices. A generally accepted procedure for
cleaning such spills is to:
1. Absorb the spill with absorbent material.
Decontamination Procedures
Probes Avoid contact with probes. Flush the probes with a disinfectant solution, such as
0.1% sodium hypochlorite.
During maintenance procedures, clean the outside of the probes with alkaline wash
solution. Refer to Section 9, Service and Maintenance for instructions.
If probes will be reused, place in a disinfectant solution a minimum of 30 minutes
before reinstallation.
AEROSET System Surfaces and Wipe the surface or component with a detergent solution then wipe the unit with an
Components appropriate disinfectant, such as 0.5% sodium hypochlorite (10% solution of
chlorine bleach containing at least 5% sodium hypochlorite). Allow to air dry at
least 10 minutes.
High-concentration Waste Rinse the container with a detergent solution then rinse the container with an
Container/Hose appropriate disinfectant, such as 0.5% sodium hypochlorite (10% solution of
chlorine bleach containing at least 5% sodium hypochlorite).
Liquid Material Before shipment, servicing, or relocation, remove all samples, reagents, controls,
calibrators, consumable solutions, and disposables from the AEROSET System.
Related Information
Refer to Section 9, Service and Maintenance of the AEROSET System
Operations Manual for additional instructions for cleaning and
maintaining AEROSET System components.
CHEMICAL HAZARDS
Operators may be exposed to hazardous chemicals when handling
reagents, calibrators, controls, or bulk solutions. Operator exposure to
hazardous chemicals is minimized by following instructions provided in
the assay-specific Package Inserts and product-specific Material Safety
Data Sheets (MSDS). Exposure levels are further reduced by the
“hands-off” design features of the instrument when it is used properly.
Warning Label
CAUTION: Chemical Hazard. Identifies a potential
! chemical hazard.
Precautions
In general, observe the following precautions when handling chemicals:
• Consult Material Safety Data Sheets for safe use instructions and
precautions.
• Avoid contact with skin and eyes. If contact with material is
anticipated, wear impervious gloves and protective eye wear and
clothing.
• Always maintain good housekeeping. Do not eat, drink, or store
food and beverages in areas where chemicals are used.
• If irritation or signs of toxicity occur after exposure, seek medical
attention.
Hazard symbols that appear on AEROSET System product labeling are
accompanied by Risk (R) and Safety (S) numbers and represent specific
risk and safety phrases as defined by European Community Directives.
The risk and safety phrases describe precautions to be used when
working with a particular chemical or chemical mixture. For all (R) and
(S) numbers that appear on product labeling, refer to the corresponding
phrases indicated in the Package Insert.
For products containing sodium azide, do not autoclave. Sodium azide
has been reported to form lead on copper pipes in laboratory plumbing.
These azides can explode upon percussion, such as hammering. To
prevent formation of lead or copper azide, flush drains thoroughly with
water after disposing of solutions containing sodium azide.
ELECTRICAL HAZARDS
The AEROSET System does not pose uncommon electrical hazards to
Operators if it is installed and operated without alteration, and is
connected to a power source that meets required specifications. Refer to
Electrical Specifications in Section 4, Performance Characteristics and
Specifications for details.
Basic electrical hazard awareness is essential to the safe operation of any
system. Elements of electrical safety include, but are not limited to the
following:
• Periodically inspect electrical cabling into and on the AEROSET
System for signs of wear and damage.
• Turn the instrument OFF before disconnecting the power cord and
before servicing any electrical or internal components.
• In the event of a blown fuse or thrown circuit breaker, determine the
cause and correct the problem before attempting to resume
operation of the equipment.
• Keep liquids away from all connectors of electrical or
communication components. Unplug the instrument before
clean-up of major liquid spills.
• Do not touch any switches or outlets with wet hands.
• Keep the floor dry and clean under and around the AEROSET
System.
• Use only approved power cords and electrical accessories, such as
those supplied with the instrument, to protect against electric shock.
Connect power cords only to properly grounded outlets.
• It is recommended that a ground fault circuit interrupter be used
when working in a wet environment.
• Only qualified personnel should perform electrical servicing.
MECHANICAL HAZARDS
The AEROSET System is a fully automated, dual pipetting system that
operates under computer control. As with most automated equipment,
there is potential for injury and bodily harm from moving mechanical
components whenever the instrument is in operation. The AEROSET
System minimizes mechanical hazards by providing guards to protect
against accidental contact with moving components, and encoding the
software with safety features.
The AEROSET System requires accurate positioning of all samples,
reagents, calibrators, controls, and consumables on the Analyzer by the
Operator. It is very important that sample cups and reagent cartridges are
correctly positioned before executing any program. Although the Sample
and Reagent Arms are equipped with Probe Rebound™ technology
features to stop the lowering of the probes when an obstacle is detected
in its path, it is never acceptable to reach into the Analyzer’s working
area when the instrument is in an operating mode. Should Operator
intervention be necessary during a run, the run should be interrupted
according to instructions defined in Stop in Section 5, Operating
Instructions.
Operators of the AEROSET System are potentially exposed to the
following moving mechanical components:
• Sample and reagent arms, including probes
• FastTrack™ Sampler
• Carousel Sampler
• Reagent Supply Centers
• Reaction Carousel
• Mixer unit
• Cuvette washer
• ICT™ unit
PHYSICAL HAZARDS
Follow safe practices in the following situations to avoid physical injury.
Trip Hazard
The AEROSET System is equipped with a power cord and various
computer connectors. To avoid a tripping hazard to Operators, ensure
cords in high traffic areas are properly stowed.
NOTES
I O
Onboard Dilution 4-13
ICT Calibration Information 9-8
Operation
ICT Calibrators 1-21
24 Hour 3-8
ICT Cleaning Fluid 1-22
Partial Day 3-10
ICT Fluid Delivery 9-5
Order and Run a Sample 2-19
ICT Reference Solution 1-22
Order Entry 4-5
ICT Sample Diluent 1-21
Download Order From Host Computer 4-6
ICT Unit Component Replacement 9-10
Host Order Query 4-7
ICT Unit Components 9-6
Manual Order Entry 4-5
Information Access Area 1-32
Order Samples Screen 4-12
Instrument Tour 1-5
Ordering
Inventory
Calibration 6-13
Reagents 2-9
Controls 7-5
Patient Samples 2-19
L Samples 2-19
Levey-Jennings Stat Sample 4-16
Details 7-17
Graph 7-15 P
Limited Run Feature 5-17
Panel Configuration 8-23
Deselecting 5-20
Password 8-5, 8-6, 8-7
Limiting Assays in a Run 5-18
Patient Demographics 4-13
Loading
Physical Hazards Appendix-13
A-Line Tests 2-11
Exposure to Heavy Objects Appendix-13
B-Line Tests 2-11
Exposure to Hot Objects Appendix-13
Bulk Solutions 3-20
Exposure to Laser Light Appendix-13
Calibrators 6-16
Trip Hazard Appendix-13
Controls 7-8
Power OFF Procedure 11-11
Reagents 2-11
Print Options (QC) Dialog Window 7-30
Log Off 3-6
Printer Configuration 8-19
Log On 3-5, 8-5
Printing
Log On Screen 8-6, 8-8
Calibration Summary 6-32
Current 6-32
M Stored 6-32
Maintenance Levey-Jennings Graph Report 7-29
Annual 10-15 Loadlist 2-22
NOTES