Phadia 100
Phadia 100
12-3501-20/12
Phadia® 100
User Manual
Phadia 100 User Manual, version 12. This version is valid for Phadia 100
Instrument Version 1.0 and Phadia 100 Instrument Software Version 3.0.
© 2012 Thermo Fisher Scientific Inc and its subsidiaries. All rights reserved.
Manufacturer: Phadia AB,
Rapsgatan 7P, P.O. Box 6460, 751 37 Uppsala, Sweden.
Issued October 1995. Revised May 2012.
ArtNo. 12-3501-20/12
7. Monthly Calibration 7
8. Quality Assurance 8
10. Printouts 10
11. Maintenance 11
13. Repacking 13
14. Accessories 14
15. Index 15
16
Installation
This chapter describes technical
specifications and installation procedure
Instrument 2
Intended Use 2
Principal functionality 2
Instrument Guide 3
Sample Carousel 5
Instrument Lifting Points 5
ImmunoCAP/EliA Well Dispenser 6
USB ports/Diskette Drive 6
TCP/IP connector 6
Washing Solution, Rinse Solution and Waste Bottles 7
ImmunoCAP Carousel 7
ImmunoCAP Waste Container 8
Technical Specification 9
Instrument Specification 9
Solid Phase Specification 13
Parameter Set Up 22
Date/Time 22
Language 23
Default Method 23
Set sIgE Method 24
Contrast 24
Set and Change Passwords 25
Communication Parameters 26
Configure Phadia 100 for TCP/IP 27
Configure computer name 28
Instrument
Intended Use
Phadia 100
Principal functionality
Phadia 100 is designed to be used together with ImmunoCAP and EliA in vitro
diagnostic tests manufactured by Phadia AB. Phadia 100 yields the same
analytical results from samples of the same specimen as Phadia 250, Phadia
1000, Phadia 2500 and Phadia 5000 within stated tolerance limits. The
instrument includes functions for-distribution of samples, ImmunoCAP and EliA
wells, and reagents,-processing of all assay steps for incubation and washing,-
reading of measuring values, calculations of analytical results, calculation of
statistics and result reporting.The algorithms included in the instrument
software used for calculation of analytical results and statistics are the same as
the ones included in Phadia Information Data Manager (IDM).Up to five
instruments can be connected to an external computer and communicate with
IDM software. When the instrument is connected to IDM software the measuring
values are electronically transferred and calculations of analytical results,
calculation of statistics and result reporting is done by IDM software. Phadia
100 is designed to handle approximately 100 tests per working day.
Solid Phase
For the measurement of the antibodies Phadia 100 can process ImmunoCAP or
EliA Wells. All procedures for EliA Wells should be performed as described for
ImmunoCAP.
Instrument Guide 1
1
Instrument Front
ImmunoCAP/
Sample Carousel EliA Well Dispenser
Cover
Printer
Wash Rake
Processing Chamber
ImmunoCAP Carousel
Drainage filter ImmunoCAP/EliA Well
Waste Container
Instrument Rear
Washing Solution,
Rinse Solution and
Waste Bottles
Voltage selector
and Primary fuses
Power on/off
Secondary fuses
Mains Power Inlet
Washing Solution,
Rinse Solution and
Waste Bottles
Voltage selector
and Primary fuses
Power on/off
Secondary fuses
Mains Power Inlet
Lift the instrument by holding under the instrument. Do not lift the instrument
by the areas indicated in the picture. Too much weight on these spots might
damage the instrument.
Sample Carousel
In the sample carousel you place the reagents
and samples in given positions. The positions
are:
1-48 Positions for calibrators, curve
controls, quality controls, samples,
diluent and dilution tubes
A-D Positions for Conjugate
E Position for Development Solution
F Position for FluoroC
G Position for Diluent
H Position for Stop Solution
ImmunoCAP/EliA Well
Dispenser
You load ImmunoCAP/EliA Well carriers in the
ImmunoCAP/EliA Well Dispenser. The
ImmunoCAP/EliA Well Dispenser is placed on
top of the processing chamber. Push the cap
away and push the carrier downwards until you
feel it clicking into place.
You will be prompted which ImmunoCAP/EliA
Well carrier to load when you are in the Load
and Start mode. The instrument will
automatically place ImmunoCAP/EliA Well in
the right position in ImmunoCAP Carousel.
Waste Bottles
You find the Washing Solution, Rinse Solution
and waste bottles to the left of the instrument,
behind the Sample Carousel. When you connect
these bottles to the instrument, please be sure you
connect them in the correct order. The bottles
and tubings from the instrument are marked with
different colours to indicate the correct connec-
tion.
There is a quick-release function on the top of the
nozzles. Press the little button on the nozzle and
the tubing will come off immediately. When you
put the tubing back on the bottle, press the nozzle
on until you hear a clicking sound.
Fill the bottles with 1l of Washing Solution and 1l Rinse Solution for one assay
run. When running ImmunoCAP Specific IgA, ImmunoCAP Specific IgG or
ImmunoCAP Specific IgG4 with a full sample carousel, 1 l of Washing Solution
is not enough. Fill up the bottle with Washing Solution.
ImmunoCAP Carousel
ImmunoCAP Carousel is placed in the processing chamber. You
ImmunoCAP
find the processing chamber in the middle section of the Holder Disc
instrument. The chamber is opened by pressing the lid open
key. To open the lid, the power must be on. The lid cannot be
opened during processing. ImmunoCAP Carousel consists of
two units, the Elution Wells Disc and ImmunoCAP Holder Disc.
Elution Wells
NOTE! ImmunoCAP Holder Disc is fragile and should be Disc
handled as glass. Always replace if dropped on floor.
Technical Specification 1
1
Instrument Specification
Weight Instrument: 46 kg
Total Weight (packaged): 86 kg
Power 550 VA
ImmunoCAP
EliA Well
Installation
NOTE! Do not unpack until the instrument has reached room temperature. If
major temperature differences exist (~10ºC), condensation will occur in the
instrument.
Accessory box
Manual box
1. Remove the metallic clips
at the top of the plywood box
with a screwdriver. Save the
metallic clips.
Contents 1
1
Phadia 100 is delivered in one box containing the instrument and the accessory
box. The contents in the accessory box should be according to the following list.
Accessory Box
Installation Instructions
1. Remove the accessory and the manual 3. Let the instrument rest bottom plate using the Allen
box. on its back on a table with key to unscrew the hexago-
the wooden bottom plate nal screws. Then unscrew
Choose a place with stable ambient tem-
hanging outside the table. the spacers with the 30 mm
perature for the instrument. Do not place it
For doing this, lift the in- wrench. Save the screws and
in sunlight, draft or direct air stream from
strument as instructed in the the spacers in the added plas-
air conditioning. Ensure that there is ap-
part Instrument Lifting tic bag.
proximately 30 cm space around all sides of
Points. Remove the wooden
the instrument.
Table
4. Take the feet and screw them evenly onto the instrument. Do not screw 5. Place the instrument on
the feet too tightly (leave about 8-12 mm of threads visible). a smooth even area. A stable
table is recommended. Level
the instrument using the feet,
Screw the four feet
onto the instrument but do not tighten the feet
too much. The instrument
should be properly levelled a
few millimeters lower on the
side where the Waste Bottle
is placed.
6. Remove the tape from 7. Remove the tape from the Sample Carousel Cover and the tape
1
1
the Pipette Arm. Gently lift around the Rinse Solution, Washing Solution and Waste bottles.
the arm straight up and move
it to the right, away from the
Sample Carousel.
8. Take out the Sample 9. Choose the proper
Carousel from the acces- mains kit to comply with
sory box. Place it on the your mains voltage. You
left side in front of the find the mains kit and the
bottles. The vial holders fuse kit in the accessory box.
and the sample holders
are in their positions.
10. Select the correct mains kit. Place the enclosed fuses in the Remove the voltage selector
Discard the unwanted kit imme- fuse holders and install the fuse switch and select the correct
diately. Remove the warning la- holders in both the left and right mains voltage by turning the
bel covering the fuse/voltage se- hand position. voltage selector. Place the
lector unit on the rear panel of switch in the instrument. Close
the instrument. the cover and make sure that
Open the fuse/voltage selector the selected voltage is visible
cover using a screwdriver. Insert through the window. Connect
the screwdriver at the top centre the main supply using the en-
and apply pressure. closed cord.
11. Turn the power on in order to open the processing chamber. The chamber
is opened by pressing the lid open key.
13. Take out the Immuno- 14. Load the paper roll as described in chapter 11, Main-
CAP Waste Container and tenance.
place it in the left corner at the
front of the Processing Cham- Roll Pin
ber. Make sure that the
ImmunoCAP Waste Con-
tainer is hanging loosely un-
der the instrument.
Cut the end of the paper to
an arrow. Insert the paper
in the printer. Paper should
Paper Roll be directed from the rear to
the front.
15. Fill the Rinse Solution 16. Connect the tubings with
Bottle with purified water and the correct bottles. See colours
the Washing Solution Bottle on bottles and tubings for guid-
with the appropriate Wash- ance.
ing Solution.
Place the two multilingual bio-
For preparation of the Wash- hazard labels on each side of
ing Solution, please read the the waste bottle.
Directions for Use in the
ImmunoCAP Washing Solu-
tion kit.
Parameter Set Up
Date/Time
Language
Default Method
It is possible to choose the method that Phadia 100 displays as a default method
in different functions.
Contrast
Communication Parameters
To enter this menu you need access to the laboratory password. In most cases
you do not need to change the settings for the communication parameters, if you
connect a bar code reader you sometimes need to change the settings. Follow the
steps below when you set the parameters for the bar code reader. To connect a
barcode reader of USB type, please contact your local Phadia representative.
yes.
4. Press yes.
6.7.6.IDM TCP/IP Address
Enter Address:
5. Enter the TCP/IP Address,
6.7.6.IDM TCP/IP Address
then press Enter.
Enter Address:192.168.0.10
Menu Structure
Moving in Menus
2
2
2
To Enter Data 3
3
Select Alternatives 4
Messages 4
Error Messages 5
Status Information 5
Message Information 5
Instrument Panel 7
4
Panel 8
Menus 9
Verification of Instrument Performance 16
ImmunoCAP Specific IgE 0-100 16
5
ImmunoCAP Specific IgE 18
ImmunoCAP Total IgE 19
ImmunoCAP ECP and ImmunoCAP Tryptase 20
ImmunoCAP Specific IgG and ImmunoCAP Specific IgA 22
ImmunoCAP Specific IgG4 23
EliA IgG, EliA IgA, EliA Calprotectin and EliA IgM 25
6
Calculation of CV % values 26
Training Mode 29
Introduction 30
Principles of Operation 32
Workflow 32
Menu Structure
When you switch on the instrument normally "Phadia 100" will be displayed for
about one minute. For version 2.34 and lower, If the instrument has been in use
for a very long time without being switched off, it will take longer time before
it is ready for use. In some cases it might even take 10 or 20 minutes.
For Phadia 100 Ver.3.0, use the menu 6.13.Shutdown and follow the instruc-
tions displayed to safely shut down the instrument. Never switch the instrument
off and then promptly on again! Wait at least 10 seconds before switching it on
again.
When you switch the instrument on, the first menu to be displayed is the menu
that you worked with when the instrument was switched off. You return to
1.Prepare Run by pressing the mode key.
If you want to enter the Prepare Run mode, simply press the yes key. A sentence
with a question mark is answered with yes or no, otherwise you can press the
enter key to confirm and save the data.
To enter another menu item you can either press the no key or you can press a
number key to reach the level represented by that number. For example if you
want to reach the Quality Control mode, you can press the number 4 key.
If you are in a menu you want to leave, press the mode key. Note that in most
cases, when you use the mode key, changes done in the mode you leave will not
be saved. To save any changes press the enter key.
On the following pages the menu tree is described.
Moving in Menus
5
enter a new value delete the old
value and then type the new.
The typed value is saved when
you press enter.
When you enter data you can use the following keys:
enter
+/-
shift + +/-
will save the data you entered
will display a minus
will display a plus
6
del will delete data one step at a time
shift + del will delete the whole line
will move cursor one step to the right
yes
13
no will move cursor one step to the left
shift + enter will display default value (when there is a default value)
mode will step up one menu level
Select Alternatives
When you select data you can use the following keys:
yes selects the displayed alternative
enter selects the displayed alternative
no displays the next alternative
shift + no displays previous alternative
1-9 displays the alternative represented by the typed number
shift + enter displays default value (when there is a default value) and is also
used for shipping
mode abort the selection by moving up one menu level
In some cases the displayed alternatives are words that reach over two keys, in
this case any of the keys can be pressed for that alternative. If there are more than
8 alternatives you can press alt to see the rest of the alternatives.
Messages
You can always use mode to leave the mode you are in and step up to the menu
above.
NOTE! mode will not save any entered data.
Error Messages
2
you press a key (any key).
4
the error number, then turn the
instrument off. Contact your
local Phadia representative for
service.
For further information regarding error messages see chapter 12, Error Handling.
Status Information 5
PROCESS STATUS 02:10:33 34
6
The status key displays infor- Sample WASH ImmunoCAP 1-4
mation about the process tak-
ing place. The information can
be accessed at any time by press-
ing status.
Message Information
temp
process
PC remote lid paper
open 7 8 9 feed
J enter yes no
A S D F G H K L 1 2 3 enter
Press the Press the space Press the alt key to Press the enter You can Use the mode Use the del Press the
shift key for key when you change method in key to confirm answer a key to step up key to delete enter key
capital want spacing the mode where you a function or question with one menu level. the previous to confirm
letters and between enter tests. You also entered text. yes or no. character on a function
special characters on use the alt key to the display. or entered
characters the display. choose letters text.
underneath specific to your
number. language.
Page 2.7
Routine Assay Run
Instrument Panel
6
5
4
3
2
13
2
Routine Assay Run Phadia 100 - User Manual
Panel
The panel consist of the keyboard and the display.
The backlit display contains two rows with 40 characters in each row. The
keyboard contains 51 keys.
The printer is a 40/80 character width printer.
Besides the alphanumeric keys you also have some functional keys. The
functional keys are described on the pages before.
To the right of the display you have some LEDs for power, temperature,
processing and PC remote. If any of the LEDs is lit the function is activated.
Menus
2
1.Prepare Run
1.1.Enter Request
1.2.Print Lists 2
1.3.Load and Start
1.3.1.Load Samples
1.3.2.Load Reagents
1.3.3.Load ImmunoCAP/Load EliA Well
1.3.4.Start Process
3
1.4.Edit Request
4
1.4.1.Edit Sample ID
1.4.1.1.Change Sample ID
1.4.1.2.Change Test
1.4.1.3.Add Test
1.4.1.4.Delete Test
1.4.2.Delete Sample ID
5
1.4.3.Delete Calibrators
1.5.Load Old Run
1.6.ImmunoCAP<->PC
1.6.1.Import Run
6
1.6.2.Export Run
2.Abort Run
2.1.Abort Prepared Run
2.1.1.Delete All Request Data
2.1.2.Remove Single ImmunoCAP/Remove Single EliA Well 13
2.1.3.Remove All ImmunoCAP/Remove All EliA Wells
2.2.Abort Process
3.Data Evaluation
3.1.Print Patient Report
3.1.1.All Samples in a Run
3.1.2.Specific Sample
3.2.Print Laboratory Report
3.2.1.Summary of Runs
3.2.2.Specific Run
3.2.3.Specific Run, Select Calibrators
3.2.4.Specific Run, switch CC
3.2.5.Specific Run, disable CC
3.2.6.Specific Run, disable blank error
3.2.7.Specific Run, disable fatal error
3.3.Export Data
3.4.Import Data
4.Quality Control
4.1.Print Log
4.1.1.Quality control-log
4.1.2.Curve control-log
4.2.Edit Log
4.2.1.Quality control-log
4.2.2.Curve control-log
4.3.Print Calibrators
4.3.1.Specific Calibrators
4.4.Edit Calibrators
4.4.1.Set active Calibrators
4.4.2.Accept Calibrators
4.4.3.Edit Calibrator point
4.5.ImmunoCAP<->PC
4.5.1.Export Quality control-logs
4.5.2.Export Curve control-logs
4.5.3.Export Calibrators
5.Method Setup*
5.1.Add Method
2
5.2.Edit Method
5.2.1.General parameters
5.2.1.1.Name**
2
5.2.1.2.Abbreviated name**
5.2.1.3.Allow Monthly calibration**
5.2.1.4.Cal code on ImmunoCAP/EliA Well
5.2.1.5.Sequence number**
5.2.1.6.Method priority**
5.2.1.7.Diluent**
3
5.2.1.8.Diluent in pos. G
5.2.1.9.Action list number**
5.2.1.10.Reverse Calibrators**
5.2.1.11.Default Cut-off Concentration**
5.2.2.Reagents**
5.2.2.1.Volume**
4
5.2.2.2.Incubation time**
5.2.2.3.Identity**
5.2.3.Reference
5.2.3.1.Curve control
5.2.3.1.1.Add Curve ctrl**
5.2.3.1.2.Edit Curve ctrl
5
5.2.3.1.2.1.Status**
5.2.3.1.2.2.Identity**
5.2.3.1.2.3.Test name**
5.2.3.1.2.4.Replicate**
5.2.3.1.2.5.Concentration**
5.2.3.1.2.6.Expected s
6
5.2.3.1.2.7.Limit s Inner
5.2.3.1.2.8.Limit s Outer
5.2.3.1.2.9.Log start date
5.2.3.1.3.Delete Curve ctrl**
5.2.3.2.Calibrators
5.2.3.2.1.Test name**
5.2.3.2.2.Age until warning
5.2.3.2.3.Max. flagged time**
5.2.3.2.4.Max. reactivate time**
5.2.3.2.5.Max. bad replicates** 13
5.2.3.2.6.Low RU on zero-point**
5.2.3.2.7.Quotient Point
5.2.3.2.8.Add Point**
5.2.3.2.9.Edit Point**
5.2.3.2.10.Delete Point**
5.2.3.3.Blank**
* This menu can be reached if you are logged in with laboratory password.
** Cannot be edited for Phadia AB default methods.
5.2.4.Presentation**
5.2.4.1.X-axis**
5.2.4.1.1.Text**
5.2.4.1.2.Scale**
5.2.4.1.3.Unit**
5.2.4.2.Y-axis**
5.2.4.2.1.Text**
5.2.4.2.2.Scale**
5.2.4.2.3.Unit**
5.2.4.2.4.Fixed scale
5.2.5.Calculation**
5.2.5.1.Calculation type**
5.2.5.2.Normal Weight**
5.2.5.3.Predicted Variance A**
5.2.5.4.Predicted Variance B**
5.2.5.5.Robust Weight**
5.2.5.6.Min. Coeff. of Correlation**
5.2.5.7.Zero-point
5.2.5.8.Lowest concentration
5.2.6.Report Type
5.2.6.1.Cut-off
5.2.6.1.1.Text below reference
5.2.6.1.2.Text above reference
5.2.6.2.Reference curve
5.2.6.2.1.Concentration unit**
5.2.6.2.2.Text below lowest
5.2.6.2.3.Add Class border**
5.2.6.2.4.Edit Class border
5.2.6.2.5.Delete Class border**
5.2.6.2.6.Quantitative Below
5.2.6.2.7.Quantitative Above
5.2.6.2.8.Use Calc Quant Above
5.2.6.3.Cut-off 2 (or ASM class)
5.2.6.3.1.Text below lowest
5.2.6.3.2.Add Class border**
5.2.6.3.3.Edit Class border
5.2.6.3.4.Delete Class border**
5.2.6.4.Extra Reference classes
5.2.6.4.1.Text below lowest
5.2.6.4.2.Add Class border**
5.2.6.4.3.Edit Class border
5.2.6.4.4.Delete Class border**
5.2.6.5.Extra Cut-off 2 (or Extra ASM classes)
5.2.6.5.1.Text below lowest
5.2.6.5.2.Add Class border**
5.2.6.5.3.Edit Class border
5.2.6.5.4.Delete Class border**
5.2.7.Tests
5.2.7.1.Add Test
5.2.7.2.Edit Test
5.2.7.2.1.Test name 2
5.2.7.2.2.Full name
5.2.7.2.3.Replicate
5.2.7.2.4.Report concentration
5.2.7.2.5.Report class
2
5.2.7.2.6.Report cut-off
5.2.7.2.7.Report cut-off 2/Report ASM class
5.2.7.2.8.Report quotient
5.2.7.2.9.Concentration unit**
5.2.7.2.10.Concentration factor**
5.2.7.2.11.Highest concentration**
3
5.2.7.2.12.Decimals for conc <10**
5.2.7.2.13.Use Lot Specific Code**
5.2.7.2.14.Dilution factor
5.2.7.2.15.Dilution method
5.2.7.2.16.Diluent**
5.2.7.2.17.Cut-off concentration*
5.2.7.2.18.Emphasize on reports**
4
5.2.7.2.19.Quant Below undiluted
5.2.7.2.20.Quant Above undiluted
5.2.7.2.21.Quant Below diluted
5.2.7.2.22.Quant Above diluted
5.2.7.2.23.Diluent in pos. G
5.2.7.2.24.Quality Club Index (not used)
5.2.7.2.25.Lower detection limit
5.2.7.3.Delete Test
5.2.7.4.Change Report for All
5.2.8.Unknowns
5.2.8.1.Dilution method
5
5.2.8.2.Dilution factor
6
5.2.8.3.%CV limit**
5.2.9.Quality control
5.2.9.1.Add QC
5.2.9.2.Edit QC
5.2.9.2.1.Status
5.2.9.2.2.Identity
5.2.9.2.3.Test name
5.2.9.2.4.Replicate
5.2.9.2.5.%CV limit resp
5.2.9.2.6.Expected conc 13
5.2.9.2.7.Expected s
5.2.9.2.8.Limit s
5.2.9.2.9.Range minimum
5.2.9.2.10.Range maximum
5.2.9.2.11.Log start date
5.2.9.2.12.Lot number
5.2.9.2.13.Predilution factor
5.2.9.2.14.Instr.dilution factor
5.2.9.2.15.Type of QC
5.2.9.2.16.Order
5.2.9.3.Delete QC
5.3.Delete Method**
5.4.Print Method
5.4.1.Summary of Methods
5.4.2.Specific Method
5.4.3.All Methods
5.5.Export Method
5.5.1.Specific Method
5.5.2.All Methods
5.6.Import Method
6.Install/Service
6.1.Login/Logout
6.1.1.Login
6.1.2.Logout
6.1.3.Change Password
6.2.Test Panels
6.2.1.Add Test Panel
6.2.2.Edit Test Panel
6.2.2.1.Add Test
6.2.2.2.Delete Test
6.2.3.Delete Test Panel
6.2.4.Print Test Panel
6.2.4.1.Summary of Test Panel
6.2.4.2.Specific Test Panel
6.2.4.3.All Test Panels
6.3.Date/Time
6.4.System Parameters
6.4.1.Language
6.4.2.Default Method
6.4.3.Patient Report Options
6.4.3.1.Report Comments
6.4.3.2.Allow Tests from Several Runs
6.4.4.Laboratory Report Options
6.4.4.1.Include Calibration curve
6.4.4.2.Include Calibrator data
6.4.4.3.Unknown Data order
6.4.4.4.Number of Copies
6.4.4.5.Print Lot information
6.4.4.6.Print Action list
6.4.4.7.Print Error list
6.4.5.Operating Mode
* This menu can be reached if you are logged in with laboratory password.
3
6.7.1.Baud rate
6.7.2.Data bits
6.7.3.Stop bits
6.7.4.Parity
6.7.5.Port Usage
4
6.7.6.IDM TCP/IP Address
6.7.7.IDM TCP/IP Port
6.7.8.Computer
6.9.Maintenance
6.9.1.Daily Maintenance
6.9.2.Monthly Maintenance
6.9.3.FluoroC
6.9.3.1.FluoroC Run
5
6.9.3.2.FluoroC Log
6.9.4.System Rinse
6.9.5.Run Blanks
6.9.6.Run Selftest
6.9.7.Weekly Maintenance
6
6.9.8.Semiannual Maintenance
6.10.Training-Mode
6.11.Export Debug Files
6.11.1.Export Debug Log Files 13
6.11.2.Export Debug Run Files
6.11.3.Create Instrument Event Log
6.12.Upgrade
6.13.Shutdown
* This menu can be reached if you are logged in with laboratory password.
To verify the instrument performance before using the instrument in routine runs,
please follow the instructions below.
A number of laboratories have accreditation for running specified tests. To
receive and obtain this accreditation proof regarding the quality of the results is
requested. Below find a suggestion on how to test the performance of different
methods in Phadia100.
This protocol also can be used just to check the performance of a specific method
or Phadia100 instrument. Examples are given below.
Other methods can use a suiting protocol as one of the examples below, for
example to verify Specific IgA the protocol for Specific IgG can be used and to
verify Tryptase the protocol for ECP can be used.
The following general reagents are required:
Development Kit
Washing Solution
Run 1:
• Full calibration curve (0, 0.35, 0.7, 3.5, 17.5, 100 kU IgE/l, in duplicates this
is set as default in the software when a calibration curve is requested).
• ImmunoCAP Specific IgE Control tested for three allergens in duplicate
(define controls according to Chapter 4, Assay Run Editing Functions)
• ImmunoCAP Specific IgE Negative Control tested for the same three
allergens as above, in duplicate
• At least six individual patient samples in duplicate, any allergens
2
4
allergens as above, in duplicate
• At least six individual patient samples (same as in the first run) in duplicate,
same allergens as in the first run
6
• ImmunoCAP Specific IgE Negative Control will give results below 0.35 kUA/l
with allergen ImmunoCAP for all replicates
Run 1:
• Full calibration curve (0.35, 0.7, 3.5, 17.5, 50, 100 kU IgE/l, in duplicates
this is set as default in the software when a calibration curve is requested).
• ImmunoCAP Specific IgE Control tested for three allergens in duplicate
(define controls according to Chapter 4, Assay Run Editing Functions)
• ImmunoCAP Specific IgE Negative Control tested for the same three
allergens as above, in duplicate
• At least six individual patient samples in duplicate, any allergens
Run 2 and 3:
• Curve controls 1 and 2 (single replicate, as default)
• ImmunoCAP Specific IgE Control tested for three allergens in duplicate.
• ImmunoCAP Specific IgE Negative Control tested for the same three
allergens as above, in duplicate
• At least six individual patient samples (same as in the first run) in duplicate,
same allergens as in the first run
3
Specific IgE Control and patient samples
• Total CV (%) for ImmunoCAP Specific IgE Control and patient samples are
< 10%
5
unknown samples and to set replicate of controls as desired.
In order to maintain the instrument's performance, please follow instructions
in chapter 11, Maintenance.
6
ImmunoCAP Total IgE
Run 1:
• Full calibration curve (2, 10, 50, 200, 1000, 5000 kU IgE/l, in duplicates -
this is set as default in the software when a calibration curve is requested)
• ImmunoCAP Total IgE Controls, three levels in duplicate (define controls
according to Chapter 4, Assay Run Editing Functions)
• At least six individual patient samples in duplicate
Run 2 and 3:
• Curve controls 1 and 2 (single replicate, as default)
• ImmunoCAP Total IgE Controls, three levels in duplicate
• At least six individual patient samples in duplicate
ImmunoCAP ECP
ImmunoCAP ECP Calibrators
ImmunoCAP ECP Control
Below you see an example for ImmunoCAP ECP. This is applicable also for 2
ImmunoCAP Tryptase. The reagents differ depending on selected method.
Run 1:
• Full calibration curve (2, 5, 15, 100, 200 µg ECP/l, in duplicates - this is set
as default in the software when a calibration curve is requested)
• ImmunoCAP ECP Control in four replicates (define controls according to
Chapter 4, Assay Run Editing Functions)
2
• At least six individual patient samples in duplicate
Run 2 and 3:
• Curve control 1 (two replicates, as default)
4
• ImmunoCAP ECP Control in four replicates
5
• At least six individual patient samples in duplicate
6
• The mean value for ImmunoCAP ECP Control is within given range
Below you see an example for ImmunoCAP Specific IgG. This is applicable also
for ImmunoCAP Specific IgA. The reagents differ depending on selected
method.
Run 1:
• Full calibration curve (0.02, 0.04, 0.1, 0.3, 1.0, 2.0 mg/l, in duplicates - this
is set as default in the software when a calibration curve is requested)
• All controls, tested in duplicate
• At least six individual patient samples in duplicate
Run 2 and 3:
• Curve controls 1 and 2 (single replicate, as default)
• All controls, tested in duplicate
• At least six individual patient samples (same as in the first run) in duplicate
4
routine.
When method is accepted, remember to set replicate to 1 as default for the
unknown samples and to set replicate of controls as desired.
In order to maintain the instrument's performance, please follow instructions in
chapter 11, Maintenance.
Run 1:
• Full calibration curve (0, 3, 15, 35, 120, 300 µg/l, in duplicates - this is set
as default in the software when a calibration curve is requested)
• All controls, tested in duplicate
• At least six individual patient samples in duplicate
Run 2 and 3:
• Curve controls 1 and 2 (single replicate, as default)
• All controls, tested in duplicate
• At least six individual patient samples (same as in the first run) in duplicate
2
EliA IgG Conjugate
EliA Diluent
EliA ANA Control
EliA IgG Calibrators
3
EliA dsDNA Wells
In addition six individual patient samples per method are required.
Protocol for acceptance of EliA IgG, EliA IgA and EliA IgM
4
Below you see an example for EliA IgG. This is applicable also for EliA IgA and
EliA IgM. The reagents differ depending on selected method.
Run 1:
• Full calibration curve (0, 4, 10, 20, 100, 600 µg/l, in duplicates - this is set
as default in the software when a calibration curve is requested)
• EliA ANA Control, two levels in duplicate on EliA dsDNA Wells (define
controls according to Chapter 4, Assay Run Editing Functions)
• At least six individual patient samples in duplicate on EliA dsDNA Wells
5
6
Criteria for acceptance of Run 1:
• The instrument software accepts the curve
• The mean values for EliA ANA Control are within given range
Run 2 and 3:
• Curve control 1 (two replicates as default)
13
• EliA ANA Control, two level tested in duplicate on EliA dsDNA Wells.
• At least six individual patient samples (same as in the first run) in duplicate
on EliA dsDNA Wells
Calculation of CV % values
For two and four (ImmunoCAP ECP Control/ImmunoCAP Tryptase Control)
replicates in each of three runs the calculations are performed according to
Tables 1 and 2 respectively.
The obtained concentrations are entered into the cells within the double frame.
The mean and variance for each column (run) are calculated as follows:
n
_
Mean = x = 1
n ∑x i
i=1
n
_
∑(x - x )
1
Variance = i
2
n-1
i=1
where
xi = cell value
n = number of values
The mean and variance of the run means are calculated as above and entered as
MTot and VMean. The mean of the variances is also calculated and entered as VWithin.
The coefficients of variation are then obtained according to the formulas below
the tables.
Tables 3 and 4 are examples of typical results.
For your own calculations of CV (%), use the link to the calculation form on the
Start Up page on the Phadia 100 cd.
Mean
1
2 2
Variance
4
Total CV (%) = 100 √VMean + 0.5xVWithin
MTot
Table 2
6
2
3
4
Mean
Variance
13
Examples of calculation
Table 3
Table 4
Training Mode
2
When you unpacked the instrument as described earlier in this chapter, you can
use the Training Mode to learn more about the instrument. You find the Training
Mode if you select the menu 6.10.Training-Mode on your display. As long as you
are in this mode you can use Phadia 100 without changing anything. This is a
copy of the entire software and nothing that you do in this software mode will
affect the actual instrument software. You can practice without risking to change
2
anything in the actual software. In this mode there are asterisks after the menu
3
numbers to remind you that you are working in the Training Mode. Remember
to exit the Training Mode when you are done.
4
5
6
13
Introduction
Phadia Laboratory Systems consists of the Phadia 100 instrument with software
for immunodiagnostic laboratory testing and of ImmunoCAPreagents.
Phadia 100 instrument is designed to handle all the steps from request to result.
It distributes samples, ImmunoCAP and reagents and processes all the steps from
incubation, washing, measuring to calculation and printing of results.
To run a routine assay you start by entering the request, then move on to load
and start the run. The instrument will distribute ImmunoCAP/EliA Wells,
samples and reagents. The instrument also performs incubation, washing and
measuring, all according to the method used.
Monthly Calibration
You can choose to run a calibration curve in your run or use a stored calibration
curve. The stored calibration curve is valid for the specific calibration code for 2
a maximum time of 28 days as long as the curve controls are within the limits.
The calibration code for the stored calibration curve has to correlate with the
code of the components.
Curve Controls
Calculation against stored calibration curves requires the use of reagents with
2
the same calibration code. In these runs curve controls are included to check that
the actual run is on the same response level as the stored curve. Limits for the
response of the curve controls are defined in the software. For more information
see chapter 7, Monthly Calibration.
3
Process
The Phadia Information Data Manager, or IDM, is the operator software of the
6
Phadia instrument. The operator software runs on a Microsoft Windows-based
PC. You can connect up to 5 instruments to the system PC.
The IDM provides features for certain tasks included in the in vitro allergy and
autoimmunity testing procedure. Using the IDM you can import request data 13
from, or export request data to, a connected mainframe computer, create
requests and assay runs, and retrieve test results from the instrument(s).
The IDM also includes features for managing result data, printouts, and Quality
Club™, as well as a login/logout function and facilities for changing IDM
settings and parameters.
Principles of Operation
The instrument is controlled from the panel at the front of the instrument.
You load the reagents and samples in the Sample Carousel to the left of the
instrument. Positions are marked to simplify the loading of the reagents.
You load ImmunoCAP/EliA Well carriers at the top of the middle section of the
instrument.
Each required reagent, sample or ImmunoCAP/EliA Well will be prompted on
the display in the Load and Start mode. You load it and confirm the step with
the instrument.
The Washing Solution, Rinse Solution and Waste bottles are placed just behind
the carousel to the left of the instrument.
The instrument is also equipped with a printer and a diskette drive. You find the
printer to the right in the middle section and the diskette drive at the right on
top of the instrument.
Workflow
Enter Request
Go to Prepare Run mode and select 1.1.Enter Request. Type cal and choose
method. If not all methods are displayed, you can find them if you press alt. If
a calibration curve is not requested, type the sample identities, choose test
(allergen/autoimmunity antigen) respectively method. Curve Controls will
automatically be included in the assay setup, if calibrators are not run.
Controls defined in the method as Active will automatically be added to the
assay setup when the first patient request is entered for that method.
Print List
Select 1.3.Load and Start; the software will guide you through loading of
reagents and samples. Be sure to load the correct reagent/sample in the correct 2
place in the sample carousel. Inspect the surface of all reagents/samples for air
bubbles or film. In case of air bubbles or film, pop them away with a clean pin.
Be extremely careful not to cross-contaminate reagents.
2
Dead volumes of reagents are included in the volume asked for by the software.
Dead volumes of samples are, however, not included. This is because dead
volumes vary a lot between sample tubes. For example of dead volumes of
sample tubes, please see Chapter3, Reagent and Sample Handling. Be sure to
load enough sample.
3
Check the volume of the Washing and Rinse Solution. One liter is needed for
each solution. The prepared Washing Solution is stable for one week when
stored in room temperature. Check also that the tube connections are firmly
pressed down into the bottles. Press down until there is a clicking sound.
4
WARNING! Washing Solution may cause
sensitization by skin contact. Wear protective
gloves!
5
antibody.
Select 1.3.4.Start Process. The instrument will start the process as soon as the
right temperature level is reached (37ºC ± 0.5ºC). The process takes about 2.5
hours and a laboratory report will automatically be printed when the process
is ended.
Maintenance
13
When operating Phadia 100 please take the following notes and warnings into
consideration:
2
WARNING! Washing Solution may cause
sensitization by skin contact. Wear protective
gloves!
4
fluids, which might be infected. When servicing
and maintaining Phadia 100, take precautions to
avoid direct contact with parts that have been in
contact with samples. Wear protective gloves!
6
samples. Wear protective gloves! For disposal
follow local procedures for biohazard material.
A calibration curve must be performed after 28 days or when a new lot number
of conjugate or ImmunoCAP (for Total IgE, ECP, Tryptase) is introduced. For
more information see chapter 7, Monthly Calibration.
PC NOT READY
Instrument is set in PC remote mode, but the PC is not set in "communication
mode".
REMOTE REQUESTS ENTERED
The currently prepared run has been prepared on a remote PC and cannot be
edited in the instrument.
RUN IS LOADED
Loading of reagents, ImmunoCAP/EliA Wells or samples has already been
started and the run cannot be changed.
NO ROOM FOR MORE REQUESTS
The currently prepared run occupies all ImmunoCAP/EliA Wells, sample or
reagent positions.
2
CALIBRATORS ALREADY ADDED
You have already added calibrators to this method and run.
TOO MANY METHODS AT SAME TIME
The number of methods possible to enter was exceeded. Maximal number of
methods that can be entered in one run is four (4).
3
NOT ENOUGH ROOM FOR CALIBRATORS
There is not enough ImmunoCAP/EliA Well or sample positions left to add the
calibrators to the run.
METHOD NOT COMPATIBLE
4
El-G method is not compatible with methods using ImmunoCAP.
5
be a message (which will be
shown for just a few seconds)
telling you that the calibrators
are added to the run.
6
1.1.Enter Request [36]
adding sample identities. If you Enter Sample ID:_
want to enter patient samples
go to Load and Start.
Enter Request
You enter a request by starting with the sample identity and then adding the test
identities. You can enter the identities from the keyboard or with a barcode
reader. If a calibration curve is to be included in the run, you specify the
calibration curve as described in the Calibration Curve Assay.
You will be prompted to select whether or not Quality Controls should be
included with the specified method if Quality Controls are given the status
Manual. Quality Controls with status Active will be added automatically to the
assay run. Status of Quality Controls are set in 5.2.9.1.Add QC.
The method used is the one selected as default (menu level 6.4.2.Default
Method) when the program was installed. You can change the method by
pressing alt when entering the test identities.
If you enter more tests then there are available positions, you will be asked if you
want to skip the whole sample identity or just the tests left for that sample
identity. You can also leave the Enter Request mode before all the positions are
filled by pressing enter. If you press mode, the request will not be saved.
The number of ImmunoCAP/EliA Wells that can be entered in one assay run is
48. This is also the maximum number of samples that can be placed in the sample
carousel.
2
To add Quality Control type qc (if status MANUAL is chosen in the method).
3
confirm each test name.
If you use a barcode reader, 1234 (sIgE)Test:f1_ [45]
each test is entered when you t3, w1, g6
read the barcode.
To change method press alt and choose the method. Then select the tests you
4
want for this method.
If you want to change replicates or dilution factor, please see chapter 4, Assay
Run Editing Functions.
5
for the sample identity, press t3, w1, g6, f1
enter again.
NOTE! If you press the mode key before enter, you will lose the information
entered to the sample identity.
6
6. Now you can enter the 1.1.Enter Request [44]
next sample identity or leave Enter Sample ID:_
this mode.
13
7. When no positions are left 1235 (sIgE)Test:f3 [0]
in the instrument, the next en- NO TEST POS. LEFT. Skip Sample ID?
tered test will induce a ques-
tion.
You can skip the sample identity or just the test that cannot be positioned. Press
yes if you want to skip the sample ID. All the tests entered for this sample ID
will be deleted.
Press no if you do not want to skip the sample ID.
4
When you have entered all the tests for the request, you may want to continue
processing the assay run. The Load and Start procedure is described on the
following pages.
5
6
13
These steps will include the loading of system liquids, reagents, samples,
ImmunoCAP/EliA Wells and finally starting up the run. There will be an
amount and a position given for each component. In some cases you have to
enter the calibration code of the conjugate and ImmunoCAP/EliA Wells. Each
step is confirmed with enter.
2
There is an assay run being processed. You may prepare a new run, but you
cannot load and start.
3
1.3.Load and Start
samples. 1.Load Samples?
Remove the caps on the reagents/samples before placing them in the Sample
Carousel.
Make sure that there is enough amount to be withdrawn.
4
Check for air bubbles or film on the surface of the reagents/samples. If there are
air bubbles or film, pinch them away. Otherwise the pipette sensor will not
detect the surface properly.
5
Rinse and Waste bottles are WASH/RINSE/WASTE OK?
loaded. Press yes to confirm
this step.
6
gloves!
Make sure the volume is enough and that the tube connection is pressed down
until you hear the clicking sound.
2
confirm this step.
4
run by pressing yes or no.
NO CALIBRATORS AVAILABLE, PRESS ENTER
There are no stored calibrators of the entered code. No result is going to be
calculated. You will be prompted to type the calibration code again. However,
it is possible to continue this run and run calibrators with this code later by
pressing the shift and enter keys at the same time. The result of this run can then
be calculated against that curve.
CALIBRATORS FLAGGED, PRESS ENTER
The active calibrators of this calibration code are marked flagged. Press enter
5
to continue.
13
2
the carrier. A message tells you
that everything is loaded. Press
enter to confirm this step.
3
start processing the assay run. 4.Start Process?
If you press no you will return
to the Load Reagents mode.
4
not occur. Only the service PRESS ENTER TO START A VIAL CHECK
technican can activate a vial
check. Press enter to start it.
If the vial check is ok, continue with step 19, otherwise with step 18.
5
6
Warnings that may prevent entering
2
Perform Monthly Maintenance.
TEMPERATURE SENSORS DIFFER
For corrective actions see Action list.
4
A message tells you that the
PROCESS STARTED
process has started.
19. If there were calibrators added to the run, you will get a message about the
status of the calibration. If status is OK, the calibration curve is stored and
5
available for use in routine runs. If status is NOT OK, the calibration curve is
stored but not available for use in routine runs.
6
you that the process is com-
pleted and a report is printed.
21. Empty Waste bottle and ImmunoCAP waste container after each run.
22. Daily maintenance has to be performed at the end of the day. See
chapter 11, Maintenance, for further instructions.
• The software will guide you through loading of samples and reagents. Be
sure to load samples and reagents in the correct order and in the correct
place in the Sample Carousel.
• Avoid handling and mixing samples close to the instrument, reagents and
other components needed for an assay.
• When mixing samples it is enough to turn the tubes upside down a couple
of times, this also reduces the risk for bubbles in the vials.
• Do not remove the caps of the sample tubes close to the instrument.
• If needed, use a disposable pipette tip to pop air bubbles or film on the
surface of samples. Make sure to change tips between each vial. Perform
this step before loading the reagents into the sample carousel.
• Do not keep the calibrator-, curve control- or conjugate vials open close
to the instrument when loading patient samples.
• Do not use the same disposable gloves when loading samples and the rest
of the reagents.
• To reduce the risk for contamination when loading reagents, unscrew
caps on vials and bottles, place vials and bottles into the sample carousel
and finally, remove the caps. If needed, use a disposable pipette tip to pop
air bubbles or film on the surface of the reagents. Make sure to change
tips between each vial. Perform this step before loading the reagents into
the sample carousel.
• Avoid touching the threads of the caps or vials. Store caps in order to
avoid contamination and mix-ups.
Dead volumes vary a lot between tubes. Here are some examples of tubes and 3
their dead volumes. If your tubes are not within these examples, look at the inner
and outer diameter and height and see the approximate dead volume.
It is very important to know the dead volume of the tubes used. Phadia 100 will
prompt you by the software to place a specific volume of the samples into the
sample carousel. The dead volume is not included in this volume, since it differs
so much between different tubes. If there is just a small volume of the sample, take
the dead volume into consideration.
NOTE! Only tubes with outer diameters between 10 to 16 mm can be used in
Phadia 100. Inner diameter must not be less than 9 mm. Tubes with heights
between 36 to 100 mm can be used.
For tubes with a cap hanging on, the cap must be cut off. Otherwise it will be in
the way of the pipette, creating pipette errors.
On the next page you find a table showing tubes tested for dead volumes on
Phadia 100.
Comment description: Source unknown, these tube brands have not been
identified.
c = conical bottom
cp = small conical point at bottom
f = flat-bottomed
gl = glass
pl = plastic
Instrument dilutions with higher dilution factor than 10 are made in Diameter 3
two steps and require an empty tube - dilution tube- to make the first approximately
step of the dilution in (dilution 1:10). Higher dilution than 1:10 will 10 mm
reduce the sample loading capacity of the instrument. Since every
sample requires two tubes (sample tube and dilution tube) in the sample
carousel.
The tube must have a round bottom and the inner diameter should be
approximately 10 mm. A round bottom is needed in order to have as
little dead volume as possible.
The tubes must be of Ellerman type, plastic laboratory tubes. Ellerman
tubes (10x58 mm) can be ordered from Phadia AB, article number 12-
2450-01.
NOTE! No tubes with double bottom can be used due to risk of bent
pipette.
Instrument dilutions also requires a Diluent. Please see the Directions
for used regarding the choice of diluent. If predilution is selected the
dilution factor can be 1 - 1000. If instrument dilution is selected the
dilution factor can be 1, 2, 5, 10, 20, 50 or 100.
All samples have a dilution factor defined. The concentration will be multiplied
with the dilution factor and presented on the lab report.
Edit Request 2 4
Change Dilution for Sample 3
Change Replicate or Dilution for Test 4
Change Sample ID
Delete Sample ID
Delete Calibrators
5
7
8
3
Select New Method 9
Select Quality Control Manually
Change Test
Add Test
10
11
15
4
Delete Test 18
Add QC
Edit QC
Set status
20
25
26
5
Identity 26
Test name 27
6
Replicate 27
Coefficient of variance limit response 28
Expected concentration 28
Expected standard deviation 29
Limit s 30
Range minimum 31
Range maximum 31
Log start date 32
Lot number 32
Predilution factor 33
Instrument dilution factor 33
Type of Quality Control 33
Order 34
Edit Request
In Edit Request mode you can change sample identity, delete sample identity,
change test name, add test name, delete test name and delete calibrators from
a prepared assay run.
The following steps describes how you change the replicate and dilution for a
sample when you are in Enter Request in the Prepare Run mode.
3
at the same time. In this case all
tests on this sample will be di-
luted.
4
1.1.Enter Request [24]
add a prediluted sample, other- Sample Dilution:PREDILUTED?
wise press no. If yes go to step
4.
Regarding dilutions, see also chapter 3, Reagent and Sample Handling and the
corresponding Directions for Use.
When you are entering a request you can change the dilution factor for a sample
being run in the Specific IgE, Specific IgA, Specific IgG, EliA IgA, EliA IgG or
EliA IgM method by pressing the shift and enter when you have typed the test
name. For a sample being run in Total IgE, ECP or Tryptase methods change
of dilution factor has to be done in 1.4.Edit Request. If the sample is prediluted
you can select a factor between 1 and 1000. The instrument dilution can only
be set to factor 1, 2, 5, 10, 20, 50 or 100.
When you are entering a request you can change the number of replicates and
the dilution for one or several tests within a sample identity.
The following steps describe how you change the replicate and dilution factor
for a test when you are in Enter Request in the Prepare Run mode.
For the methods Total IgE, ECP and Tryptase, which only have one test the
change of the replicate and dilution factor is only possible in menu 1.4.1.2.Change
Test.
Change Sample ID
The following steps describe how you can change the identity of a specific
sample.
3
2. In Enter Request press 4. 1.Prepare Run
1.Enter Request?
4
4. In Edit Sample ID press 1.4.Edit Request
yes. 1.Edit Sample ID?
5
Warnings that may prevent entering
You can use the barcode reader to enter a new sample identity.
Delete Sample ID
The following steps describes how you can delete a sample and all included tests.
3
1.Enter Request?
4
1.Edit Sample ID?
6
There is no sample entered in the prepared run.
Delete Calibrators
The following steps describes how you can delete calibrators from a run.
NO CALIBRATORS TO DELETE
There are no calibrator added to the prepared run.
The following steps describes how you change the method when you are in Enter
Request in the Prepare Run mode.
You can enter tests belonging to different methods.
4
1. Type the sample identity 1.1.Enter Request [24]
and press enter. Enter Sample ID:
4
SELECT METHOD FOR CALIBRATORS
you want by pressing the sIgE tIgE ECP Tryp sIgG sIgA El-G El-A
key below the method
name. If there are more
Q W E R T Y U I O P
than eight methods de-
fined in the software use
alt to display more meth-
ods.
NOTE! Do not forget to press enter one more time to save the tests you entered
6
to the sample identity.
The following steps describes how you choose quality controls with status
Manual when you are in Enter Request in the Prepare Run mode.
NOTE! In each method a maximum of 26 quality controls can be defined. In EliA
method 13 quality controls are predefined and the operator can define the
remaining 13.
You enter the quality controls from 1.1.Enter Request and instead of patient
identity you type qc.
There is a pointer below each quality control that directs you to the right key.
If more than eight methods are defined in the software press alt to display more
methods.
Change Test
In Change Test you can change test name, replicate and dilution factor for a
specific sample.
3
2. In Enter Request press 4. 1.Prepare Run
1.Enter Request?
4
4. In Edit Sample ID press 1.4.Edit Request
yes. 1.Edit Sample ID?
5
Warnings that may prevent entering
3
1.4.1.2.Change Test [1239]
diluted manually before placed Test Dilution:PREDILUTED?
in the instrument.
4
Enter Dilution factor:5_
If the sample is to be diluted in the instrument you can select factor 1, 2, 5, 10,
20, 50 or 100.
If the sample is prediluted you can select a factor between 1 and 1000.
Add Test
The following steps describes how you can add tests to a specific sample.
3
1.Prepare Run
1.Enter Request?
4
press yes. 1.Edit Sample ID?
6
There is no sample entered in the prepared run.
3
NO TEST POS. LEFT. Skip Test?
There is no position left for the ImmunoCAP/EliA Well. If you press yes the test
will be removed.
NO TEST POS. LEFT. Skip Panel?
There are not enough ImmunoCAP/EliA Well positions left. If you press yes the
4
test panel will be removed.
NO SAMPLE POS. LEFT. Skip Test?
There is no position left for sample. If you press yes the test will be removed.
NO SAMPLE POS. LEFT. Skip Panel?
5
There is no position left for sample. If you press yes the test panel will be
removed.
PREDILUTE?
Press yes if the sample is prediluted ten times (this example).
INSTRUMENT DILUTION?
Press yes if the test is to be diluted ten times (this example). The dilution is
carried out by the instrument.
TEST ALREADY ENTERED
6
The test name has already been entered for the sample.
TOO MANY METHODS AT THE SAME TIME
The number of methods possible to enter was exceeded. Maximal number of
methods that can be entered in one run is four (4).
METHOD NOT COMPATIBLE
Adding this method is not possible, there is already a method used that is not
compatible with the method you selected.
INSTRUMENT DILUTION TOO HIGH
The wanted instrument dilution exceeds 100.
ENTERED TEST DOES NOT EXIST
The entered test name is not defined in the currently selected method.
WRONG BAR-CODE IDENTITY
Bar-code was read, but could not be recognized as a test type. Check that
you have not read the EAN code instead of the article bar-code.
Delete Test
The following steps describes how you can delete tests from a specific sample.
3
4
5
6
Add QC
To reach this function, you first have to login with the laboratory password (the
password at delivery is “unicap”).
It is recommended to use the minimum and maximum range values given in the
Directions for Use for the Quality Control, or for EliA on the package certificate.
ACTIVE means that the Quality Control will be added to all assay runs for the
selected method, INACTIVE means that the Quality Control will not be added
and MANUAL means that the Quality Control will be added if you decide so,
when an assay run is prepared.
NOTE! If you are using range minimum and maximum from the Directions for
Use, or for EliA from the package certificate, deactivate this function.
NOTE! If you are using range minimum and maximum from the Directions for
Use, or for EliA from the package certificate, deactivate this function.
NOTE! If you are using range minimum and maximum from the Directions for
Use, or for EliA from the package certificate, deactivate this function.
If you are using ImmunoCAP Specific IgE Negative control as quotient, type 0
for Range minimum.
NOTE! If expected mean value, expected standard deviation and maximal
allowed standard deviation have been defined, the Range minimum will be
overridden.
3
for Range maximum.
NOTE! If expected mean value, expected standard deviation and maximal
allowed standard deviation have been defined, the Range maximum will be
overridden.
4
5.2.9.1.Add QC [sIgE]
mainly for Phadia controls). Lot number: 0.000
Press enter to confirm this step.
5
Dilution factor: 1
tor between 1-100 (1 is de-
fault). Press enter to confirm
this step.
6
5.2.9.1.Add QC [sIgE]
you want, CONCENTRA- Type of QC: CONCENTRATION?
TION, QUOTIENT or
QUALITATIVE, by pressing
no until the desired type is dis-
played. Then press yes.
NOTE! Only use this function if you want to change the default order of the
Quality Controls.
Run at least 20 assay runs to get the mean for the expected value and expected
standard deviation in the Quality Control log. Then you can use these obtained
values to change expected concentration and standard deviation in Edit QC.
Edit QC
In the Edit QC mode it is possible to change status, identity, test name, replicate,
response, expected concetration, standard deviation, limit standard deviation,
range minimum and maximum, log start date and lot number.
To reach this function, you first have to login with the laboratory password (the 4
password at delivery is “unicap”).
3
1. In Prepare Run mode Phadia 100 Ver.3.0 14:10:17
press 5. 1.Prepare Run?
5
press yes. 2.Edit Method?
6
until the desired method is dis- 5.2.Edit Method
played. Then press yes. Please wait...
Set status
You can set the status to ACTIVE, INACTIVE or MANUAL. ACTIVE means
that the Quality Control will be added to all assay runs for the selected method,
INACTIVE means that the Quality Control will not be added and MANUAL
means that the Quality Control will be added if you decide so, when an assay
run is prepared.
Identity
The following step describes how you can change the identity of the Quality
Control.
Test name 4
The following step describes how you can change the test name for the Quality
Control.
4
3.Test name?
5
firm this step.
Replicate
The following step describes how you can change the number of replicates you
want to run. You can set the number of replicates to 1, 2, 3, 4 or 5.
Expected concentration
The following step describes how you can change the expected mean value. It
is also possible to deactivate this function.
After adding a Quality Control it is recommended to run at least 20 assay runs
to get the expected mean value in the Quality Control log.
You find the expected mean value at the end of the Quality Control log.
LOG DATA
3
Calculated mean concentration for LOT NO------MEAN-------s-----%CV---
all QC points with the same lot no
AVMAB 0.68 0.03 5.1
AVMAC 0.75 0.02 2.8
4
1. In Edit QC mode press 6.
5
5.2.9.2.Edit QC [sIgE/sIgE Pos]
1.Status?
6
5.2.9.2.Edit QC [sIgE/sIgE Pos]
old expected mean value. Type Expected value: 3.5
the new expected mean value
or type 0 (zero) to deactivate
the function. Press enter to con-
firm this step.
NOTE! If you are using range minimum and maximum from the Directions for
Use, or for EliA from the package certificate, deactivate this function.
LOG DATA
LOT NO------MEAN-------s-----%CV---
AVMAB 0.68 0.03 5.1
AVMAC 0.75 0.02 2.8
Calculated standard deviation for
all QC points with the same lot no
0354, 090420 10:12, 2.3, 032
NOTE! If you are using range minimum and maximum from the Directions for
Use, or for EliA from the package certificate, deactivate this function.
Limit s
The following step describes how you can change the maximum allowed
standard deviation. It is also possible to deactivate this function.
3
Use, or for EliA from the package certificate, deactivate this function.
Range minimum
The following step describes how you can change the lowest allowed concen-
tration. It is also possible to deactivate this function.
5
2. Press yes. 5.2.9.2.Edit QC [sIgE/sIgE Pos]
9.Range minimum?
6
lowed concentration or type 0
(zero) to deactivate the func-
tion. Press enter to confirm
this step.
If you are using ImmunoCAP Specific IgE Negative control as quotient, type 0
for Range minimum.
NOTE! If expected mean value, expected standard deviation and maximal
allowed standard deviation have been defined, the Range minimum will be
overridden.
Range maximum
The following step describes how you can change the highest allowed concen-
tration. It is also possible to deactivate this function.
If you are using ImmunoCAP Specific IgE Negative control as quotient, type 100
for Range maximum.
NOTE! If expected mean value, expected standard deviation and maximal
allowed standard deviation have been defined, the Range maximum will be
overridden.
Lot number
The following step describes how you can change the lot number (used mainly
for Phadia controls).
Predilution factor
The following step describes how you can change the predilution factor.
3
type a dilution factor between
1-100. If the Quality Control is
not prediluted, type 1. Press
enter to confirm this step.
6
3. Delete or type over the 5.2.9.2.Edit QC [sIgE/sIgE Pos]
old instrument dilution factor. Instr. dilution factor: 10
Type the new instrument dilu-
tion factor. Choose between 1,
2, 5, 10, 20, 50 or 100. Press
enter to confirm this step.
Order
The following step describes how you can change when in the assay run the
Quality Control will be processed.
NOTE! Only use this function if you want to change the default order of the
Quality Controls.
3
4
5
6
It is necessary to fill something in each position for the Wash Rake, otherwise
most of the washing efficiency will be lost in the empty positions.
In the next assay run you will automatically be asked if you want to run tests
requiring ImmunoCAP/EliA Well skipped. You might be asked the question
several times during preparation of the run, but you do not have to run the
sample. You will not be asked the same question in the following runs.
In some cases you may want to load a stored run. This function will make a copy
of requests for one already assayed and stored run, for example if you want to
rerun a whole assay run. Choose the assay run you want to copy and the requests
will be stored. Once the assay run is stored you may edit it. The instrument stores
the last 20 assay runs. The assay runs are identified by a sequence number and 4
the time and date when the run was processed.
3
1. In Prepare Run mode Phadia 100 Ver.3.0 14:10:17
press yes. 1.Prepare Run?
You will return to the Prepare Run mode from where you can continue working
with the selected run.
If you want to abort a prepared run or a run that is being processed select the
Abort Run mode. When you aborted the process you have to remove the
reagents, samples and ImmunoCAP/EliA Well from the instrument.
4
1. In Prepare Run mode Phadia 100 Ver.3.0 14:10:17
press 2. 1.Prepare Run?
4
i.e., not started.
Then you can choose between deleting all request data, remove single
ImmunoCAP/EliA Well or remove all Immuno-CAP/EliA Well.
5
6
There will be a message telling you if the request data is deleted or not.
This is used in case the wrong ImmunoCAP/EliA Well was loaded, and this was
noticed before starting the process.
3
2. Press yes. 2.1.Abort Prepared Run
2.Remove Single ImmunoCAP/Elia Well?
PROCESS IS RUNNING
You cannot remove any ImmunoCAP/EliA Well when an assay run is being
processed.
4
3. Press no to move the
ImmunoCAP carousel to the
2.1.2.Remove Single ImmunoCAP/EliA Well
23: sIgE t17 PRESS ENTER IF REMOVED
5
next position. Press no and
shift at the same time to move
6
the carousel to previous posi-
tion.
You have to remove the ImmunoCAP/EliA Well from the displayed position
manually. Press lid open to open the processing lid.
Find the correct ImmunoCAP/EliA Well and remove it manually.
Close the lid. Now you can press enter.
There will be a message telling you that the ImmunoCAP/EliA Well is removed.
ImmunoCAP/EliA Well will get the status not loaded in the prepared run.
To exit press mode.
NOTE! If there is no ImmunoCAP/EliA Well with status loaded in the prepared
run there will only be a position displayed and enter has no function.
POSITIONING...
The ImmunoCAP Carousel is moving to a new position.
2. Press yes. 4
2.1.Abort Prepared Run
3.Remove all ImmunoCAP/EliA Well?
4
3. Press enter to remove all 2.1.3.Remove all ImmunoCAP/EliA Well
the ImmunoCAP/EliA Well.
5
PRESS ENTER TO REMOVE
The instrument will remove all
ImmunoCAP/EliA Well from
the carousel to the waste con-
tainer.
A message occurs which tells
2.1.3.Remove all ImmunoCAP/EliA Well
you that ImmunoCAP/EliA
6
ALL IMMUNOCAP/EliA WELL REMOVED
Well has been removed.
NOTE! Make sure that the ImmunoCAP Waste Container is empty before
pressing enter if the ImmunoCAP/EliA Well that you are removing are new and
you want to use them. Otherwise used and new ImmunoCAP/EliA Well will be
mixed in the ImmunoCAP Waste Container. Please, empty the ImmunoCAP
Waste Container.
Abort Process
If you want to abort a run that is being processed, you can select the Abort Run
mode. When you have aborted the process, you have to remove the reagents and
ImmunoCAP/EliA Well from the instrument.
2.2.Abort Run
EMPTY AND RINSE INSTRUMENT
Data Evaluation
Print Patient Report
2
3
2
Print All Samples in a Run 3
5
3
Print Specific Sample 4
4
Disable Curve Control 8
Disable Blank Error 9
Disable Fatal Error 9
Print Lists 11
Run Summary 12
Export Data
Import Data
13
15 5
6
Data Evaluation
In the Data Evaluation mode you can print patient reports, laboratory reports
and export/import data for storage or evaluation. The last 20 assay runs are
automatically stored. The laboratory report and patient reports for these runs
can be printed at any time.
Depending on your instrument, it is possible to save assay runs to a USB
memory, an external USB hard drive or a diskette. Saved assay runs can be
imported later on when you want to make a printout. Save your last 20 assay
runs to a USB memory, an external USB hard drive or a diskette before
importing old runs, as the old runs will overwrite the current runs. The diskette
will be instrument specific and cannot be used in another instrument.
For printouts, see chapter 10.
Patient reports can be printed for a whole assay run or a specific sample in a run.
3
3.Data Evaluation?
5
1.Print Patient Report?
6
Warnings that may prevent entering
NO RUNS EXIST
There is no processed run to print patient reports for.
The assay run is identified with a sequence number and the date and time when
it was processed. The patient report will be printed.
NO SAMPLE IN RUN
The selected run does not contain any unknown sample to print patient reports
from.
NO RUNS EXIST
There is no processed run to print patient reports for.
In this module you can print a summary of processed runs stored in the
instrument, laboratory reports for processed runs and a laboratory report for
processed runs with selected calibrators.
6
press 3. 1.Prepare Run?
NO RUNS EXIST
There is no processed run to print laboratory reports for.
NO RUNS EXIST
There is no processed run to print laboratory reports for.
6. Press yes.
3.2.Print Laboratory Report
3.Specific Run, select Calibrators?
7. Select the assay run you 3.2.3.Specific Run, select Calibrators
want to print by pressing no Run: (34) 090503 08:57?
until the run appears, then press
yes.
5
cannot be used for evaluation.
7. Press yes.
3.2.4.Specific Run,switch CC
Run: (34) 090503 08:57?
8. Press yes for each method
3.2.4.Specific Run, switch CC
you want to switch.
SWITCH CURVE CONTROLS FOR sIgE?
The laboratory report is
printed.
Only disable REAGENT BLANK IS TOO HIGH when you can confirm that the
2
reagent blank is measured correctly by running a 6.9.5.Run Blanks, see chapter
11, Maintenance. 5
This function should be used with caution, as blank errors might lead to
unreliable results, see chapter 12, Error Handling.
3
1. To disable blank error 3.2.Print Laboratory Report
handling, press 6 in Print Labo-
4
1.Summary of Runs?
ratory Report mode.
5
3. Select the assay run for 3.2.6.Specific Run, disable blank error
which you want to disable Run: (34) 090503 08:57?
blank error handling by press-
ing no until the assay run ap-
pears, then press yes.
This function should be used with caution, as these errors might lead to
unreliable results, see chapter 12, Error Handling.
Print Lists
2
1.Prepare Run?
3. Press yes. 5
3
1.Prepare Run
2.Print Lists?
Run Summary
This printout lists processed runs stored in the instrument, with date and time for
run, methods, calibration code and mode. To print the summary of runs select
the option 3.2.1.Summary of Runs on the instrument.
Export Data
Data can be exported to a USB memory, an external USB hard drive or a diskette
and then be evaluated.
3
2. Press yes. Phadia 100 Ver.3.0 14:10:17
3.Data Evaluation?
NO RUNS EXIST
There is no processed run to export data for.
6
6. Select the assay run you 3.3.Export Data
want to export by pressing no Run: (34) 090503 08:57
until the run appears, then press
yes.
Import Data
Data can be imported from a USB memory, an external USB hard drive or a
diskette and then be evaluated.
3
2. Press yes. Phadia 100 Ver.3.0 14:10:17
3.Data Evaluation?
NO DATA ON MEDIA
There is no data stored on the USB memory, external USB hard drive or diskette.
MEDIA IS FOR OTHER INSTRUMENT
The USB memory, external USB hard drive or diskette is labeled with another
instrument Id. Data can only be imported to the same instrument as it was
exported from.
MEDIA ERROR, ABORT?
The USB memory, external USB hard drive or diskette is not formatted or it is
damaged. Change the media. Press no to continue or press yes to abort.
MEDIA NOT INSERTED, ABORT?
Insert a USB memory or a diskette, or connect an external USB hard drive. Press
no to continue or press yes to abort.
Quality Control 2
Print Log 3
Print Quality Control Log 3
Print Curve Control-Log 4
Edit Log 5
Edit Quality Control-Log 5 6
Edit Curve Control-Log 6
Print Calibrators 8
Edit Calibrators 9
Set Active Calibrators 9
Accept Calibrators 10
Edit Calibrator Point 11
Export Quality Control-Logs 12
Export Curve Control Logs 13
Export Calibrators 15
Quality Control
From this mode you can print, edit and export quality control-logs. You can also
deactivate and activate control points from this mode. Deactivated control
points will not be included in the calculation when the average and CV
(coefficient of variation) is calculated for the log. The last 100 determinations
will be stored. Response and acceptance of calibrators can be changed in this
mode. You can also export control and calibrator logs to the IDM software via
a USB memory, an external USB hard drive or a diskette.
How to define a quality control is described in chapter 2, Routine Assay Run.
Print Log
In this mode you can print quality control-logs and curve control-logs.
Edit Log
You can inactivate and activate points in the quality control and curve control
logs.
Print Calibrators
You can print calibration curve and data for selected calibrators.
NO CALIBRATORS EXIST
There are no stored calibrators for the selected method.
Edit Calibrators
You can press and set calibrators to be the active calibrators for a method. You
can also set the acceptance for calibrators to OK, FLAGGED and NOT OK.
There is also a password protected function where you can change the response
of calibrators.
NO CALIBRATORS EXIST
There are no stored calibrators for the selected method.
The selected calibrators will be set as active for the method you pressed.
Accept Calibrators
You can set the acceptance of calibrators to OK, FLAGGED or NOT OK. The
status OK indicates that the calibrators are suitable for evaluating an assay run.
The status FLAGGED indicates that one curve control was not within the limits
in the last run and now the calibration curve is uncertain for use. The status
NOT OK indicates that the calibrators cannot be used for evaluation. The
change of acceptance is permanent.
NO CALIBRATORS EXIST
There are no stored calibrators for the selected method.
NO CALIBRATORS EXIST
There are no stored calibrators for the selected method.
The calibrators are identified by method, date and time for process and
calibration code.
If you want to recall the original response press enter and shift at the same time.
If you want to exit without any changes done press mode. The number of
replicates are displayed.
Export Calibrators
6
Warnings that may prevent entering
Concept 2
General Flow in Phadia 100 2
Acceptance of Calibration Curve Assay Runs 3
Acceptance of Assay Runs 4
Concept
Traditionally a complete set of calibrators has been run in each assay run. The
introduction of this integrated immunoassay instrument, comprising sample
and reagent pipetting, temperature control, washing and fluorometric measure-
ments, has enabled the use of stored calibration curves. The high reproducibility
of the reagents and the automated instrument allow established calibration
curves to be stored and used in following assay runs.
The reduced number of calibrators in each assay run allows more samples to be
run and the reagent cost per sample to be reduced. Also the effort to establish,
check and accept the calibration curve is reduced. The instrument will automati-
cally verify if the calibration curve or the curve controls are within the
preprogrammed limits and report if the curve was accepted in the actual assay
run or not.
NOTE! Accordingly, the calibration curve is run and stored the first time a
calibration code of reagents is to be used. In the following assay run, curve
controls are assayed to check the validity of the stored curve.
• If all replicates of the lowest calibrator point (second lowest in EliA IgG, EliA 7
IgA and Elia IgM) are discarded - The calibration curve will not be evaluated
and not set as active.
• One replicate is discarded - The calibration curve will be evaluated and set
as active.
• Two or three replicates are discarded - The calibration curve will be
evaluated but not set as active.
• More than three replicates are discarded - The calibration curve will not be
evaluated and not set as active.
• If the number of iterations exceeds 150 the calculation stops - The calibra-
tion curve is evaluated and the results will be calculated.
Upper RU Limit
RU
Ideal curve
Lower RU Limit
kU/l
If one curve control is outside the inner limits but inside the outer limits, the
software will recommend the assay to be accepted.
If both curve controls are outside the inner limits in the same direction, i.e.
LOW*-LOW* or HIGH*-HIGH* the acceptance is depending on laboratory
routines and judge of QC samples.
If both curve controls are outside the inner limits in opposite directions or one
of two curve controls are out of the outer limit no results are calculated.
In these cases the calibration curve is flagged.
If one of the curve controls is out of limit in the next run the calibration curve
is deactivated. If curves controls are OK the calibrator curve change status to
OK.
Some methods use one curve control, which is run in duplicate. Other methods
use two curve controls, which are run in single replicate. This means that you
get two calibration curve results in every assay run.
The following results are possible in the first run for methods using two curve
controls:
CC = Curve Control
If the calibration curve was flagged in the first run, the following results are
possible in the second run:
CC = Curve Control
For more infomation about different kinds of errors see chapter 12, Error
Handling.
The following results are possible in the first run for methods using one curve
control in duplicate:
If the calibration curve was flagged in the first run, the following results are
possible in the second run:
Introduction 2
Quality Assurance 3
Internal (day-to-day) Quality Control 4
Criteria for Control Samples 4
Quality Control of Specific IgE Assays 6
Quality control of other allergy, autoimmunity and asthma methods 7
Control Charts 7
Inspection of Control Charts 8
Interpretation of Control Charts 9
Expected Results 15
Quality Costs 16
Introduction
Demands for better quality assessment and performance standards are growing.
Accurate cost-effective and reliable measurements of biochemical markers are
needed for making a good diagnosis.
Therefore health authorities throughout the world are striving to establish
performance and comparability standards. These ambitions require that diag-
nostic testing laboratories continuously assess their performance.
The laboratories performing in vitro tests can fulfill these demands and ensure
that correct results will be obtained by adapting a solid quality assurance
program in the laboratory.
This chapter gives the basis for how to introduce and use such programs in
laboratories using Phadia 100 for in vitro allergy, asthma and auto-immunity
testing.
Quality Assurance
The American Society for Quality Control defines quality assurance as “all those
planned or systematic actions necessary to provide adequate confidence that a
product or service will satisfy given needs”. See Glossary and tables for
statistical quality control. Milwaukee, WI: American Society for Quality
Control, 1983.
Quality assurance of an in vitro allergy, asthma and autoimmunity test
procedure involves the following four steps:
ImmunoCAP Gliadin IgA Control H are human serum pools at a high concentration
level. Ready to use.
ImmunoCAP Gliadin IgA/IgG Control L are human serum pools at a low
concentration level. Ready to use.
ImmunoCAP Gliadin IgG Control H are human serum pools at a high concentra-
tion level. Ready to use.
ImmunoCAP Gliadin IgA/IgG Control LMH are human serum pools at three
different concentration levels; low, medium and high. Ready to use.
ImmunoCAP Tryptase Control is a lyophilized human serum at one concentration
level.
ImmunoCAP Thyroid Peroxidase IgG Antibodies Control NLH are human serum
pools at three different levels; normal, low and high, to be used with ImmunoCAP
Specific IgG together with ImmunoCAP Thyroid Peroxidase ImmunoCAP.
ImmunoCAP Thyroglobulin IgG Antibodies Control NLH are human serum pools
at three different levels; normal, low and high, to be used with ImmunoCAP
Specific IgG together with ImmunoCAP Thyroglobulin ImmunoCAP.
EliA ANA Control positive, negative are human serum pools to be used with EliA
IgG together with ANA tests.
EliA ANCA/GBM Control positive, negative are human serum pools to be used
with EliA IgG together with ANCA/GBM tests. 8
EliA APS Control positive, negative is a human serum to be used with EliA IgG/
IgM/IgA together with APS tests.
EliA CCP Control positive, negative is a human serum to be used with EliA IgG
together with CCP tests.
EliA Celiac Control positive, negative are human serum pools to be used with EliA
IgG together with Celikey/Gliadin tests.
Origin:
• Human samples from allergic/autoimmune (positive) and non-allergic/non-
autoimmune (negative) donors.
Control:
• All sera have been tested by immunoassay and found negative for
hepatitis B surface antigen, hepatitis C and antibodies to HIV virus.
Characterization:
• All selected sera used for IgE testing are tested for total IgE and a broad panel
of relevant allergens. All sera used for IgA/IgG, ECP, Tryptase, and EliA IgG
testing are analyzed with the respective test method.
Phadia Diagnostic Sample Unit:
• All sera are stored in Phadia Diagnostic Sample Unit, which has over 25,000
characterized serum samples. This allows for the pooling of sera for specific
control purposes. It also enhances continuity with our internal quality assur-
ance and uniformity of our products.
Use the minimum- and maximum-range values given in the Directions for Use
for the Quality Control, or for EliA on the package certificate. Run a minimum
of 20 assay runs to get the mean for the expected value and expected standard
deviation in the Quality Control log. Now you can use these obtained values for
expected concentration and standard deviation. It is recommended to use 3 as
the standard deviation limit.
The mean and SD should be recalculated at regular intervals when more data
are collected. For Phadia 100 this is done using the inbuilt software. In this way
the laboratory range for each allergen will be more precise, thus avoiding false
alarms due to erroneous target value and limits. For a stable analytical process,
the mean and SD will not differ much between the recalculations.
The replicates within one assay run should be used to monitor any within-run
trends.
Allergen/Allergéne/ Range/Gamme/
Allergen/Allergen/ Bereich/Område/
Allergene/Alergeno/ Range/Rango/
Allergen/Alergénio Gränsvärde/Intervalo
kUA/l
d1 D. pteronyssinus 9.8 - 18
e1 Cat dander 14 - 25
f14 Soya bean 5.3 - 10
g6 Phleum pratense 14 - 26
m6 Alternaria alternata (A. tenuis) 5.3 - 10
t3 Betula verrucosa 4.8 - 8.9
w1 Ambrosia elatior 10 - 19
Use the minimum- and maximum-range values given in the Directions for Use
for the Quality Control, or for EliA on the package certificate. Run a minimum
of 20 assay runs to get the mean for the expected value and expected standard
deviation in the Quality Control log. Now you can use these obtained values for
expected concentration and standard deviation. It is recommended to use 3 as
the standard deviation limit.
The mean value and SD should be recalculated with regular intervals similar to
ImmunoCAP Specific IgE Control.
The obtained mean value for each control sample of ImmunoCAP Gliadin IgA/
IgG Control LMH and ImmunoCAP Specific IgG Control LMH should fall
within the range given in the package insert. 8
For EliA ANA Control, EliA ANCA/GBM Control, EliA CCP Control, EliA APS
Control and EliA Celiac Control the ranges are given on the package certificate.
For ImmunoCAP Total IgE Control LMH, ImmunoCAP ECP Control,
ImmunoCAP Tryptase Control, ImmunoCAP TG IgG Antibodies Control,
ImmunoCAP TPO IgG Antibodies Control, ImmunoCAP Specific IgE f1
Control, ImmunoCAP Specific IgG/IgG4 i1 Control H, ImmunoCAP Specific
IgG/IgG4 Control L, ImmunoCAP Gliadin IgA Control H, ImmunoCAP Gliadin
IgA/IgG Control L and ImmunoCAP Gliadin IgG Control H the ranges are given
on the vial label.
Control Charts
A control chart is used to detect deviations from “normal” performance.
Consequently there is a need for rules which, if transgressed, inform the
operator that the performance is out of control. The rules are often in the
form of control limits inserted in the control charts.To discover a systematic
error, a control rule should be based on a number of consecutive runs. For
changes occurring occasionally, only the actual run needs to be considered.
+3S D
16
+2S D
15
14
13
12
11
-2 S D
10
-3 S D
+3SD
16
+2SD
15
14
13
12
11
-2 S D
10
-3 S D
A systematic shift is illustrated below. Results change from one level to another.
+3SD
16
+2S D
15
14
13
12
11
-2 S D
10
-3 S D
A systematic drift is observed when control results from consecutive assay runs
gradually move away from the established mean value.
Possible causes are:
• Deterioration of reference reagents, quality control samples or enzyme
reagents
• Incorrect storage temperature
• Drift in system instrumentation 8
+3SD
16
15
+2SD
14
13
12
11
-2 S D
10
-3 S D
Rule 1: 12s means one observation exceeding x ± 2 SD. This provides a “warning”
and need for further inspection of control data in the assay run.
Rule 2: 13s means a run is not accepted if one result is outside x ± 3 SD. This rule
is mainly sensitive to random errors but can also detect large systematic errors.
Rule 3: 22s means a run is not accepted if two consecutive observations are
outside the same limit, either +2 SD or -2 SD. This does not apply only to the
same control sample. A run is rejected if two different control samples in the
same run behave as described above. This rule is sensitive to systematic errors.
Rule 4: R4s means a run is rejected when the difference between two control
samples within a run exceeds 4 SD, e.g., one control is outside +2 SD and the
other is outside -2 SD. This rule is sensitive to random errors.
Quality Club
Control charts give information about the precision and the pattern of variation
within a laboratory, but they give little information about trueness and no
information about the performance of a laboratory in relation to other
laboratories. To obtain such information the same samples are assayed by
laboratories using the same type of testing.
If the internal quality control shows low variation of results on a constant level,
this means the analytical procedure is stable. By comparing the concentration
levels obtained in the external quality assessment program, it is possible to judge
the accuracy of the measurements in the laboratory.
16
8
15
I n te r n a l q u a l it y c o n t r o l E x te r n a l
q u a li ty
14 a sse ssm e nt
13
" T r u e " v a lu e
12
11
10
Once low variation and good accuracy have been established for the analytical
procedure, it is essential to continuously monitor the performance using internal
and external quality control programs in order to maintain high-quality results.
Quality Club is an international quality assessment program for laboratories
using Phadia 100, Phadia 250 or Phadia 1000 for in vitro allergy, asthma and
autoimmunity testing. Today, more than 800 testing laboratories are active club
members. There are four programs in Quality Club which are similar: Specific
IgE and Total IgE, ECP and EliA Autoimmunity. Each program kit contains
reagents and material for four month use. It includes numbered control samples,
result cards, addressed envelopes and Directions for Use. Everything is distrib-
uted to the members.
Quality Club members can register their results directly on the Extranet and also
download reports through the Extranet. All that is needed is a username and a
password. For access to Extranet, please contact Phadia AB.
Monthly Report
Every month, Quality Club members assay the serum from one or two of the
vials in the same way as patient samples and send the results, completed on a
Result Card, to Phadia AB, or register through Extranet. The samples should be
put randomly in the assay and analysed according to the normal routine. In
return, the members receive a detailed, confindental report of their performance
and can compare their test with others. The well-documented information helps
them to monitor performance and secure high standards of accuracy and
reliability.
Specific IgE results for each of the three allergens requested per month are
analysed by use of established statistical methods. The results are presented in
histograms with a class interval depending on the concentration level (see
histogram). Results outside ±3.5 SD are summarized in white bars. Results for
EliA Autoimmunity are presented in the same way as Specific IgE.
Results for Total IgE and ECP for each of the two serum samples are put together
using the same statistical methods as for Specific IgE. The results are presented
in a format similar to Specific IgE in order to facilitate the interpretation.
The monthly report is based on a computer analysis of the assay results. These
results are given as concentrations, percent deviation from common means and
deviation scores. In the histograms, the bars containing these laboratory results
are black.
The use of deviation score makes it possible to compare different allergens and
different concentration levels in spite of only single determinations. It provides
a standardized measure of the deviation of a laboratory in relation to the
performance of the group of laboratories. The deviation score is calculated as
shown below.
Example:
Common mean 28.8
Standard deviation 2.52
Lab result 31.32
Deviation score 31.32 - 28.8
= 1.0
2.52
SD 2,52 kUA/l
20
CV 8,74 %
Summary Reports
In addition valuable summaries, called Summary reports are sent out after each
4-month cycle covering the last three cycles (12 month).
A 12 monthly trend statistics reflecting the long-term method performance in
8
the laboratory is also distributed. These data helps the laboratories to maintain
test procedures or improve them where necessary. They provide timely signals
of system errors, calibration problems or can indicate a need to improve
technican training.
For each laboratory the report is based on at most 36 (12x3) observations for
Specific IgE and EliA Autoimmunity, and 24 (12x2) observations for Total IgE
and ECP.
Any questions regarding the interpretation of the summary reports, please
contact your local sales office or Phadia AB.
3
Deviation Score
2
Allergen 1
1
0
Allergen 2
-1
-2 Allergen 3
-3
-4
200501 200502 200503 200504 200505 200506 200507 200508 200509 200510 200511 200512
Month
Control Charts
The instrument software program uses control charts to monitor internal
quality control. There are two ways to define the limit lines.
When a new quality control sample is used, no expected values obtained in the
laboratory are available. In this case the ranges given in the package insert may
be used.
When about 20 or 30 observations have been collected, the laboratory mean and
SD should be used for the new control limits.
For further information see chapter 6, Assay Run Quality Control or
chapter 10, Printouts.
Quality Club
A special function for Quality Club sample requests and result card printout is
available.
Expected Results
Quality Costs
It is important to understand that the concept of quality costs is broader than the
cost of quality control. Without this basic understanding, the only costs
considered will be the costs associated with day-to-day quality control and
external quality assessment. Keep in mind that without any quality control
efforts the laboratory will have higher-quality costs and products and services
of lower quality. With a solid quality assurance program implemented in the
laboratory, the costs of inadequate quality will decrease and the quality of
products and services will increase.
RJ. Elin described the different components of quality costs in clinical labora-
tories in his book Elements of cost management for quality assurance. College
of American Pathologists 1980; 34: 182-3, 194.
Costs of securing good quality:
• Prevention costs: “expenses for developing, using and improving a planned
quality control program.” Examples are training, calibration and mainte-
nance.
• Appraisal costs: “expenses for the operation and maintenance of an internal
(intra-laboratory) quality assurance program and an external (inter-labora-
tory) quality assurance program.” Examples are inspection and quality
control.
Costs of inadequate quality:
• Internal failure costs: “expenses for reworking and/or discarding an entire
batch of specimen results or an individual specimen due to some element of
improper processing that leads to an erroneous result.” Examples are
repeated runs and repeated work efforts.
• External failure costs: “expenses for the investigation of all inquiries by the
physician or patient consumer as a result of the inability of the laboratory
result (or lack of result) to help solve the patient care problem.” Examples
are complaints, service and repeat requests.
5.Method Setup* 2
5.1.Add Method 4
5.2.Edit Method 5
5.2.1.General Parameters 5
5.2.2.Reagents** 7
5.2.3.Reference 7
5.2.4.Presentation** 11
5.2.5.Calculation** 12
5.2.6.Report type 13
5.2.7.Tests 16
5.2.8.Unknowns 20
5.2.9.Quality control 21
5.3.Delete Method 25
5.4.Print Method 26
5.4.1.Summary of Methods 26
9
5.4.2.Specific Method 26
5.4.3.All Methods 26
5.5.Export Method 27
5.5.1.Specific Method 27
5.5.2.All Methods 28
5.6.Import Method 29
6.2.Test Panels 30
6.2.1.Add Test Panel 30
6.2.2.Edit Test Panel 31
6.2.3.Delete Test Panel 33
6.6.Article Management 34
6.6.1.Add Article 34
6.6.2.Edit Article 35
6.6.3.Delete Article 36
* Functions that are accessible after login with the laboratory password. See page 9.2.
** Functions that are not accessible for the default methods. It is recommended to contact your local Phadia
representative before using them also for own created methods.
5.Method Setup*
5.1.Add Method
5.2.Edit Method
You can select to edit presentations, calculation, report types, tests, unknowns
and Quality Control. These functions are described in the following sections.
NOTE! When you leave Edit Methods the display will ask
SAVE CHANGES TO METHOD?
By pressing yes all changes are stored.
Select 5.2.Edit method, then:
Select Method, confirm with enter.
9
Warnings that may prevent entering
5.2.1.General Parameters
5.2.1.1.Name**
5.2.1.2.Abbreviated name**
Select monthly calibration or not with the yes or no keys. Confirm with yes.
5.2.1.5.Sequence number**
The Sequence number is 1 for ImmunoCAP methods and 2 for EliA Well
methods. Type the sequence number and confirm with enter.
5.2.1.6.Method priority**
If there are more than one method in a run, the Method prority decides in which
order they will be allocated. The lowest number will be allocated first. Type a
number (between 0 and 1000) and confirm with enter.
5.2.1.7.Diluent**
Define the identity of the diluent. Some methods (IgG/IgA) use a special diluent.
5.2.1.8.Diluent in pos. G
Action list number is used to define text in action lists for a certain method.
5.2.1.10.Reverse Calibrators**
The normal is to load calibrators from low to high. If you want the reverse order
select yes.
Type the wanted default cut-off concentration and confirm with enter.
5.2.2.Reagents**
You can set parameters about the volumes, incubation times and the identity of
the reagents.
First step is to select type of reagent; Sample, Conjugate, Development Solution,
or Stop Solution. Confirm with yes.
5.2.2.1.Volume**
5.2.2.2.Incubation time**
5.2.2.3.Identity**
5.2.3.Reference
9
5.2.3.1.Curve control
You can add a new curve control. You will be prompted to enter some
parameter, see 5.2.3.1.2.1-9 Edit Curve Ctrl.
5.2.3.1.2.1.Status**
Define if the curve control should be allocated (active) to new assay runs or not.
You can choose between ACTIVE and INACTIVE. Confirm with yes.
5.2.3.1.2.2.Identity**
5.2.3.1.2.3.Test name**
Type the Test name of the ImmunoCAP, maximum 5 characters, that will be used
together with the curve control, confirm with enter.
5.2.3.1.2.4.Replicate**
5.2.3.1.2.5.Concentration**
5.2.3.1.2.6.Expected s
5.2.3.1.2.7.Limit s Inner
Inner limit of the concentration of the curve control. This factor will be multiplied
with the Expected s. The limit is for both above and below expected concentra-
tion.
Any change will be printed on the laboratory report.
5.2.3.1.2.8.Limit s Outer
Outer limit of the concentration of the curve control. This factor will be
multiplied with the Expected s. The limit is for both above and below expected
concentration.
Any change will be printed on the laboratory report.
Type the log start date in the displayed format (year-month-day). Confirm this
step with enter.
Any change will be printed on the laboratory report.
Select the Curve Control you want to delete by pressing no until it appears, then
press yes.
You will be prompted to
PRESS ENTER TO DELETE CURVE CTRL.
Press enter and the display confirms
CURVE CONTROL DELETED.
5.2.3.2.Calibrators
5.2.3.2.1.Test name**
The Test name of the ImmunoCAP to be used for the calibration curve.
The maximum number of days a curve is allowed to be flagged (too old). When
it has exceeded that number of days it will be set to NOT OK in next assay,
regardless of the result.
It is set to 0 for all default methods and cannot be changed.
If the number of replicates that are flagged by the norm-dose check exceeds this
number, no curve-fit will be done.
5.2.3.2.6.Low RU on zero-point**
You can enable or disable this function. Disable for example when you run EliA
methods in order to avoid Low RU error.
5.2.3.2.7.Quotient Point
Define the default calibrator point to be used for calculating the quotient when
reporting results. Confirm by pressing enter.
5.2.3.2.8.Add Point**
5.2.3.2.9.Edit Point**
Here you can change some parameters for the calibrators. Select which
calibrator, confirm with yes.
You can change concentration**, replicate**, normal response, expected s,
limit s upper RU, limit s lower RU, limit s precision and limit s deviation.
5.2.3.2.10.Delete Point**
5.2.3.3.Blank**
5.2.4.Presentation**
In this function you can change the presentation of results on the X and/or the
Y-axis.
5.2.4.1.X-axis**
Press the yes key to be able to change parameters of the X-axis of the calibration
curve graph.
5.2.4.1.1.Text**
Type the new text (up to 15 characters) and confirm with enter.
5.2.4.1.2.Scale**
Select
LOGARITHMIC
or
LINEAR
scale.
9
5.2.4.1.3.Unit**
5.2.4.2.Y-axis**
Press the yes key to be able to change parameters of the Y-axis of the calibration
curve graph.
5.2.4.2.1.Text**
Type the new text (up to 15 characters) and confirm with enter.
5.2.4.2.2.Scale**
Select
LOGARITHMIC
or
LINEAR
scale
5.2.4.2.3.Unit**
5.2.4.2.4.Fixed scale**
5.2.5.Calculation**
In this function you can change calculation-parameters.
5.2.5.1.Calculation type**
5.2.5.2.Normal Weight**
5.2.5.5.Robust Weight**
5.2.5.7.Zero-point
Here you define a curve with the lower part linear and the upper part curved.
Zero-point switch:
0 = Off
>0 = index for the calibrator where the curve switch from
linear regression to a logistic function.
Zero-point linear points: Number of calibrators to be included in the linear part.
5.2.5.8.Lowest concentration
5.2.6.Report type
In this function you can change the cut-off and the reference curve.
5.2.6.1.Cut-off
9
5.2.6.1.1.Cut-off point**
Type the text you want below the reference, maximum 8 characters. Confirm
with enter.
Type the text you want below the reference, maximum 8 characters. Confirm
with enter.
5.2.6.2.Reference curve
In this function you can edit text for the reference curve and the different classes.
5.2.6.2.1.Concentration unit**
Select class border, type the text for samples with results above.
5.2.6.2.6.Quantitative Below
5.2.6.2.7.Quantitative Above
Select if the text for results above highest calibration point should be calculated
or not. Confirm with enter.
5.2.7.Tests
In this function it is possible to add, edit, and delete tests, and to change report.
5.2.7.1.Add Test
5.2.7.2.Edit Test
Type the test name of the test you want to edit, confirm with enter.
5.2.7.2.1.Test name
5.2.7.2.2.Full name
5.2.7.2.3.Replicate
5.2.7.2.4.Report concentration
5.2.7.2.5.Report class
5.2.7.2.6.Report cut-off
5.2.7.2.8.Report quotient
Select report quotient, YES, YES PERCENT, or NO. Confirm with yes.
Quotient is the ratio between a sample value and the class border.
5.2.7.2.9.Concentration unit**
5.2.7.2.10.Concentration factor**
5.2.7.2.11.Highest concentration**
Select Lot Specific Code or not with the yes or no keys. Confirm with yes.
5.2.7.2.14.Dilution factor
5.2.7.2.15.Dilution method
Select
INSTRUMENT DILUTION or PREDILUTED
Confirm with yes.
5.2.7.2.16.Diluent**
Define the identity of the diluent. Some methods (IgG/IgA) use a special diluent.
5.2.7.2.17.Cut-off concentration*
* This menu can be reached if you are logged in with laboratory password.
** This menu can not be reached for the default methods.
5.2.7.2.18.Emphasize on reports**
Select how the test shall be reported with the yes or no keys. Confirm with yes.
Type in text to be written on lab report. For undiluted tests below the curve.
Type in text to be written on lab report. For undiluted tests above the curve.
Type in text to be written on lab report. For diluted tests below the curve.
Type in text to be written on lab report. For diluted tests above the curve.
5.2.7.2.23.Diluent in pos. G
Not used.
5.2.7.3.Delete Test
Type the test name of the test you want to delete, confirm with enter.
The display tells you
TEST DELETED.
In this function you can change report parameters for all tests within a method,
that have the same parameters.
To make the selection step through and define the parameters from Report
concentration to Report quotient.
After Report quotient you will get a message
XX MATCHING TESTS FOUND, CHANGE?
where XX is the number of matching tests.
If you want to change one or more report paramaters for the matching tests,
press yes. You have to go through all the parameters again, change the one(s)
you want to change, and after pressing yes after Report quotient the display will
confirm
REPORTS CHANGED
NOTE! You can always leave the function by pressing mode.
5.2.8.Unknowns
You can define how to dilute, dilution factor and allowed variation of replicates.
5.2.8.1.Dilution method
Select
INSTRUMENT DILUTION or PREDILUTED
confirm with yes.
5.2.8.2.Dilution factor
5.2.8.3.%CV limit**
Type the largest allowed %CV. This function will be disabled if you type 0.
5.2.9.Quality control
Here you define how you want controls to be handled in an assay. Once a control
is defined as Status ACTIVE in the method, the result will automatically be
logged. A total of 26 Quality Controls can be defined. For EliA all positive
controls are predefined.
Controls have to be defined before requests are typed in. Once preparation of
a run is started, changes in methods are not allowed.
Use the minimum- and maximum-range values given in the Directions for Use
for the Quality Control, or for EliA on the package certificate. Run a minimum
of 20 assay runs to get the mean for the expected value and expected standard
deviation in the Quality Control log. Now you can use these obtained values for
expected concentration and standard deviation. It is recommended to use 3 as
the standard deviation limit.
5.2.9.1.Add QC 9
5.2.9.2.Edit QC
In the Edit mode it is possible to change status, identity, test name, replicate,
response, expected conc. and s, limit s, range minimum and maximum as well
as log start date and number.
5.2.9.2.1.Status
5.2.9.2.2.Identity
It is possible to use the same vial (= same identity) for different tests.
5.2.9.2.3.Test name
5.2.9.2.4.Replicate
5.2.9.2.6.Expected conc
5.2.9.2.7.Expected s
5.2.9.2.8.Limit s
5.2.9.2.9.Range minimum
5.2.9.2.10.Range maximum
Type the the first date you want the QC to be included in the print-out. QC before
that date will not be printed.
Use the format year-month-day.
This function is not present in 5.2.9.1.
5.2.9.2.12.Lot number
5.2.9.2.13.Predilution factor
5.2.9.2.15.Type of QC
5.2.9.2.16.Order
5.2.9.3.Delete QC
5.3.Delete Method
5.4.Print Method
5.4.1.Summary of Methods
Selecting Summary of methods will give you a list of all methods that are defined
in the actual Phadia 100.
5.4.2.Specific Method
Select a method, confirm with yes.
All parameters for the selected method will be printed.
5.4.3.All Methods
Selecting All methods will give you a list of all parameters of all defined methods.
5.5.Export Method
5.5.1.Specific Method
5.5.2.All Methods
After selecting All methods you will be prompted to
INSERT MEDIA AND PRESS ENTER
Press enter.
5.6.Import Method
Select method from the USB memory, the external USB hard drive or the diskette.
NO METHODS EXISTS
There are no methods on the USB memory, external USB hard drive or diskette.
9
"NAME" METHOD NOT SIMILAR, UPDATE?
The selected method on the USB memory, external USB hard drive or diskette
has the same name as a method already used in the instrument, but one or more
parameters in the methods differs. If you press yes the method imported will
overwrite the method in the instrument. If you press no the method is not
imported.
NO DATA ON MEDIA
There is no data stored on the USB memory, external USB hard drive or diskette.
MEDIA ERROR, ABORT?
The USB memory, external USB hard drive or diskette is not formatted or it is
damaged. Change the media. Press no to continue or press yes to abort.
MEDIA NOT INSERTED, ABORT?
Insert a USB memory or a diskette, or connect an external USB hard drive. Press
no to continue or press yes to abort.
6.2.Test Panels
If you want to create an assay run set up for repeated use, you can create test
panels. You can add a maximum of 50 test panels with 46 tests each. A panel
can consist of up to 4 methods. Some test panels comes predefined.
2. In Install/Service mode
press 2.
4. Press yes.
ImmunoCAP 100 Ver.3.0 14:10:17
5. Type the name of the new 6.Install/Service?
test panel (up to five charac-
ters) and press the enter key.
The name cannot be the same 6.Install/Service
as a testname. 2.Test Panels?
6.2.2.1.Add Test
6.2.2.2.Delete Test
Go to 6.2.2.Edit Test Panel (as described in the section Add Test) and follow the
instructions below.
6.6.Article Management
6.6.1.Add Article
If you are working with a bar code reader and you receive a new article, for
example a new allergen you need to add the article package code to the
instrument. You must be logged in with laboratory password if you want to work
with articles.
6.6.2.Edit Article
Go to 6.6.Article Management (as described in the section Add Article) and
follow the instructions below.
6.6.3.Delete Article
Go to 6.6.Article Management (as described in the section Add Article) and
follow the instructions below.
Use this function at troubleshooting, when you need to create an instrument event
log on a USB memory, an external USB hard drive or a diskette.
9
6. Press yes. 6.11.Export Debug Files
3.Create Instrument Event Log?
You may need several diskettes to save all data. The instrument will then display
a message to insert additional diskettes.
Chapter 10 - Printouts
This chapter describes printouts and
results as they are listed by the instrument
10
In this chapter you will find all the reports and lists that can be printed from the
instrument. Each printout is described in detail together with a copy of the
printout.
The following reports and lists can be printed from the instrument:
• Request List
• Consumption List
• Distribution List
• Laboratory Report
• Patient Report
• Calibrators
• Quality Control Log
• Curve Control Log
• Run Summary
• Method Summary
• Action List
• Blank Report
• FluoroC Run Report
• Method Setup
Laboratory Reports and Patient Reports can be customized as described in the
parts Laboratory Report and Patient Report.
Request List
The request list contains all the unknown sample identities and their requested
tests from the latest prepared assay run. To print this list select 1.2.Print Lists,
REQUEST option on the instrument.
REQUEST LIST
Run sequence number
Run number: 18
Date and time of the first entered Run created: 090508 16:15
request
Run origin: Instrument The identity of the unknown
sample requested in the run
Run origin:
Instrument The run was cre- S01
ated in the instru-
ment Name of the method used for the
ImmunoCAP Specific IgE 0-100 requested tests
PC Remote The run was cre-
1 fx1 (f13 f17 f18 f20 f36)
ated on a PC using
an external soft-
1 e3 Horse dander Name of the requested tests
ware such as IDM 1 t1 Box-elder
ImmunoCAP Total IgE
Number of replicates
1 a-IgE Total IgE
10
S02
Consumption List
The consumption list contains all the components with the amounts needed in
the prepared assay run. To print this list select 1.2.Print Lists, CONSUMP
option on the instrument.
CONSUMPTION LIST
Run sequence number
Run number: 18
Date and time of the first entered Run created: 090508 16:15
request Name of the group of
Run origin: Instrument components
Run origin:
CURVE CONTROL Name of the components, listed
Instrument The run was cre- by method and identity
tIgE CC-1 40 μl
ated in the instru-
ment tIgE CC-2 40 μl
Amount needed for each compo-
PC Remote The run was cre- nent in the run
ated on a PC using CALIBRATORS
IDM
sIgE CAL-0.35 80 μl
sIgE CAL-0.70 80 μl
sIgE CAL-3.50 80 μl
sIgE CAL-17.5 80 μl
sIgE CAL-50.0 80 μl
sIgE CAL-100 80 μl
SAMPLE
(not including dead volume, see User Manual)
S01 40 μl
Lot number for QC
S02 22 μl
tIgE QC1 40 μl AWNA9
Quality Controls as added in the
Number of replicates
method setup
ImmunoCAP
sIgE a-IgE 12 Calibration code of ImmunoCAP
tIgE a-IgE 5 A3
The stated reagent volume in-
REAGENT cludes the dead volume. Vials
(including dead volume) used for sIgE conjugate and de-
sIgE - Conjugate 900 μl velopment solution have a dead
tIgE - Conjugate 550 μl A3 volume of approximately 300 µl.
Development Solution 1250 μl This dead volume is added to the
volume needed for the assay run.
Stop Solution 17300 μl
The dead volume will not be con-
Software version number
Diluent 522 μl sumed.
Distribution List
This printout lists the components and where they are placed in the instrument.
To print this list select 1.2.Print Lists, DISTR option on the instrument.
Run origin:
Instrument The run was created
DISTRIBUTION LIST in the instrument
Run sequence number PC Remote The run was created
on a PC using IDM
Run number: 1
Date and time of the first entered
Run created: 090508 16:15
request
Run origin: Instrument
Calibration Code of conjugate
Laboratory Report
The laboratory report contains the results from one assay run. It is automati-
cally printed after an assay run has been processed. It can also be printed for any
stored assay run by selecting 3.2.2.Specific Run or 3.2.3.Specific Run, select
Calibrators.
You can customize the laboratory report in 6.4.System Parameters as follows:
• Include calibration curve You can decide if you want the stored calibration
curve graph for a run to be printed or not. How-
ever, if calibrators were processed in the run the
calibration curve data will always be printed.
• Include calibrator data You can decide if you want the stored calibrator
data for a run to be printed or not. However, if
calibrators were processed in the run, the calibra-
tor data will always be printed.
• Unknown data order Unknown data can be listed by sample or by
method/test.
• Number of copies You can specify the number of laboratory report
copies to be automatically printed after each run.
You can select any number between 0 and 3.
CURVE DATA
Expected dose and slope are only
ITEM--------VALUE printed if calculation type is other
than cut-off
ED-20 9.00
ED-50 27.0
ED-80 57.8
Slope 265
Response (RU)
100000
○
○
○
○
○
○
○
○
○
○
○
○
○
10000 ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○
○
○
○
Graphic image of the calibration
○
○
○
curve. If a point is rejected, it will
○
○
○
○
○
○
be printed as a cross
○
○
○
1000
This is only printed if calculation
○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○
○
○
○
○
○
○
type is other than cut-off
○
○
○
○
○
○
○
○
○
100
○
○
○
○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○
○
○
○
○
○
○
○
○
○
○
○
○
○
○
CALIBRATOR DATA
NAME-----CONC--RESP--%CV--CALC--%CV 10
Identity of the calibrator point
Coefficient of variation of re-
sponses
Nominal concentration of calibra- CAL-0.00 0.001 20 0.00
tor point 20 0.00
mean 20 0.0 0.00 0.0 Calculated concentration of each
replicate and the mean value
CAL-0.35 0.35 184 0.35
Response of each replicate and 186 0.35
the mean value
mean 185 0.8 0.35 0.8
Coefficient of variation of calcu-
CAL-0.70 0.70 355 0.71 lated concentrations
343 0.69
mean 349 2.5 0.70 2.7
Cont...
Calculated concentration
ImmunoCAP Total IgE
Calibration code: A3/A3
Monthly cal: YES
CALIBRATION INFORMATION
Calibration number: 1
Run date, time: 090509 12:34
Calibration code: A3/A3
Acceptance: OK
Calculation type: Rodbard 5-parameters
Coefficient of variation of calcu-
CURVE CONTROLS lated concentrations, if more than
one replicate
Identity of the curve control
NAME----RESP--%CV--CONC--%CV-JUDGED
Curve Controls:
Response and mean value of each
CC-1 160 10.1 OK
curve control replicate OK Curve Control within
CC-2 2381 200 OK inner limits
HIGH* Curve Control above
Coefficient of variation of re-
inner limits
sponses, if more than one repli- QUALITY CONTROLS LOW* Curve Control below
cate
inner limits
NAME----RESP--%CV--CONC--%CV-JUDGED HIGH Curve Control above
Calculated concentration and outer limits
mean value QC-1 3037 258 OK LOW Curve Control below
(a-IgE) outer limits
At the end of the laboratory report Lot Information will be printed. All
registered bar-codes will be written next to all reagents and samples. If a bar-
code reader is not used there will be an empty line were the lot numbers can be
filled in by hand. This function can be disabled in 6.4.4.5.Print Lot information.
Below you find examples of printouts.
LOT INFORMATION
POS-MTH-TEST-SAMPLE-ImmunoCAP-CONJUGATE-CAL/CC/QC Lot number, ImmunoCAP
Position in ImmunoCAP Carousel [Lot Expiry] [Lot Expiry] [Lot Expiry]
10
LOT INFORMATION
POS-MTH-TEST-SAMPLE-EliA Well-CONJUGATE-CAL/CC/QC Lot number, EliA Well
[Lot Expiry Code] [Lot Expiry] [Lot Expiry]
Position in ImmunoCAP Carousel
Lot Specific Code EliA
1 E1-G Gcal CC-1 BFN0309/10! 0000000 BFVA0 09/04!
Method requested for the patient 2 E1-G Gcal CC-1 BFN0309/10! 0000000 BFVA0 09/04!
sample 3 E1-G jo ANAPos 2S BFVA0 09/04!
4 E1-G dn ANAPos BFVA0 09/03 27 BFVA0 09/04! Lot number, CAL/CC/QC
Name of the requested test
ITEM Lot Expiry Lot number, Conjugate
Patient sample identity Development solution 939D1 10/10 The exclamation mark indicates
Stop solution 11/05
that the reagent is expired
Diluent (EliA Diluent)BFWA0 08/12!
If an error has occured information and recommended actions are printed at the
end of the Laboratory Report in order to help the operator to identify and
eliminate the error. For more information, see chapter 12, Error Handling.
Patient Report
The patient report lists the results for one patient. To get this printout select
3.1.1.All Samples in a Run or 3.1.2.Specific Sample on the instrument.
You can customize the patient report in 6.4.System Parameters as follows:
• Report comments You can write a text that will be printed on the top
of each patient report. The text can be up to three
lines of 40 characters each.
PATIENT REPORT
The customized text can be up to
three lines of 40 characters each
Laboratory XYZ
Address:...
Telephone:...
Calibrators
This printout lists the data of one stored calibration curve. If the calculation type
is other than cut-off, the calibration curve graph is also printed along with some
curve quality coefficients. To print this list select 4.3.1.Specific Calibrators.
CALIBRATORS
Acceptance of the calibration re-
Method name sult:
ImmunoCAP OK Calibration curve
The sequence number used for Specific IgE 0-100 accepted
the calibration curve within the FLAGGED Calibration curve
method Calibration number: 23 flagged
Run date, time: 090508 16:15 NOT OK Calibration curve
not accepted
Date and time of the run when Calibration code: 1P
the calibration curve was pro- Acceptance: OK
cessed Calculation type: Rodbard 5-parameters Calculation type defined by
method
Calibration code of the stored CURVE DATA
curve An error message is printed here
if a Calibration Curve Error has
ITEM--------VALUE occured
ED-20 9.00
ED-50 27.0 10
ED-80 57.8
Slope 265
Expected dose and slope are only
printed if calculation type is other
than cut-off Response (RU)
100000
○
○
○
○
○
○
○
○
○
○
○
○
○
10000 ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○
○
○
○
○
○
○
○
○
○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○
○
○
○
○
○
○
○
100
○
○
○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○
○
○
○
○
○
○
○
○
○
○
○
○
○
○
Cont...
CALIBRATOR DATA
NAME-----CONC--RESP--%CV--CALC--%CV
QUALITY CONTROL
•
•
• •
• •
•
0.70 • • •• •
Graphic presentation of the
•
• logged data for the selected
•
lotnumber. Each replicate is in-
cluded. Inactivated points are not
10
included. The format of the graph
0.55 depends on limits defined in the
• method.
LOG DATA
Date and time when each point
was logged Concentration of each logged
RUN DATE,TIME---LOT NO---CAL CODE--CONCENTRATION
point, in this example two repli-
Lot number of each logged point 090512 11:14 AVMAB 1F 0.72 0.65 cates
as stated on QC vial 090513 11:18 AVMAB 1T 0.66 0.68
090514 12:58 AVMAB 1T 0.61 0.69
090515 13:02 AVMAB 2T 0.70 0.69 Calibration code of used conju-
The asterisc indicates that a point gate for each logged point
090516 11:05 AVMAB 2T 0.73 0.69
has been inactivated and is not
plotted in the graph or included
090517 12:33 AVMAC 2T 0.72 0.75
in the mean, standard deviation
090518 12:53* AVMAC 2T <0.35 0.78
or % CV 090519 12:43 AVMAC 2T 0.77 0.74
Calculated mean concentration LOT NO------MEAN-------s-----%CV--- If a start date for the print is
and standard deviation for all QC AVMAB 0.68 0.03 5.1 defined, it is noted here
points with the same lot no AVMAC 0.75 0.02 2.8
QUALITY CONTROL
Method name
Elia IgG
Identity of the QC
LOG DATA
Lot number of each logged QC RUN DATE, TIME---LOT NO--CAL CODE--LIMIT-JUDGE Calibration code of used conju-
point gate for each logged point
090508 9:15 BFU7B A0 >1.00 OK
Date and time of the run 03460, 090508 19:03, 2.3, 032
CURVE CONTROL
Method name
ImmunoCAP
Specific IgE 0-100 Identity of the curve control
0.40
•
090512 090514 090516 090518
LOG DATA
Concentration of each replicate
Date and time when each point RUN DATE,TIME--CAL CODE--CONCENTRATION in each logged point
was logged
090512 11:14 1F 0.72 Calibration code of used conju-
090513 11:18 1T 0.73 gate for each logged point
The asterisk indicates that a point
090514 12:58 1T 0.82
has been inactivated and is not
090515 13:02 2T 0.60
plotted in the graph or included
in the mean, standard deviation
090516 11:05 2T 0.81
or % CV 090517 12:33 2T 0.54
090518 12:53* 2T <0.35
090519 12:43 2T 0.77 Mean, standard deviation and
% CV for all active points in the
mean 0.71 log
Software version number s 0.05
%CV 14.8 If a start date for the print is
defined, it is noted here
Instrument serial number
0354, 090520 10:12, 2.3, 032
Date and time of printout Method version number
Run Summary
This printout lists processed runs stored in the instrument, with date and time
for assay run, methods, calibration code and mode. To print the Run Summary
select 3.2.1.Summary of Runs on the instrument.
RUN SUMMARY
Software version number 136 090505 12:45 tIgE 86 MC Cal Calibrators included
ECP Cal MC Monthly Calibration
Concept. A monthly
Instrument serial number calibration run with
0354, 090508 10:12, 2.3, 032
curve controls
Date and time of printout
Method Summary
This printout lists the names of the methods defined in the system. To print the
Method Summary select 5.4.1.Summary of Methods on the instrument.
METHOD SUMMARY
Action List
The instrument will automatically print this list every time a Preparation Error
occurs. Action Lists can also be included in Laboratory Reports, FluoroC Run
Reports and Bland Reports if errors have occured. For more information about
Action Lists, see chapter 12, Error Handling.
Blank Report
The instrument will print this list every time an error has occured during the
Blank Check before an assay run is started. A Blank Report is also printed when
a Blank Check is run from 6.9.5.Run Blanks or when a Selftest, in which the
Blank Check is included, is performed from 6.9.6.Selftest. For more information 10
on how to run a Blank Check or a Selftest, see chapter 11, Maintenance.
Source:
Before assay The Blank run was
BLANK REPORT done before start of
run
Date and time of the Blank run Other The Blank run was
Run date, time: 090508 9:57 done separately
Remarks and an Action List are Source: Other
printed here if an error has
occured
Reagent Blank: 21.5 RU Measured values of Reagent
Rinse Blank: 12.6 RU Blank, Rinse Blank and Dark Blank
Software version number Dark Blank: 8.9 RU
If an error has occured, information and recommended actions are printed at the
end of the Blank Report in order to help the operator to identify and eliminate
the error. For more information, see chapter 12, Error Handling.
FLUOROC RUN
Date and time of the FluoroC run FluoroC voltage and mean value
Measurement status: Run date, time: 090508 11:58 Coefficient of variation for
Measurement status: OK FluoroC
OK The measurement was Target value: DW (12500 RU)
accomplished
NOT OK The measurement could RESULTS-----------Value--Acceptance The rinse blank for the FluoroC
not be accomplished FluoroC voltage 1: 3923.0 mV run
FluoroC voltage 2: 3932.3 mV
FluoroC voltage 3: 3946.1 mV Judgement of acceptance can be
Target value stated on FluoroC FluoroC Mean voltage: 3933.8 mV OK or NOT OK
vial FluoroC %CV: 0.30 % OK
Rinse Blank voltage: 4.0 mV OK The final FluoroC mean voltage
An Action List is printed here if subtracted with Rinse blank
an error has occured Final FluoroC voltage: 3929.8 mV
Final FluoroC RU: 12280.5 RU
Deviation from target: -1.8 % OK The final FluoroC voltage con-
Software version number verted to RU
0354, 090508 12:12, 2.3, 032
Instrument serial number Deviation from target should not
exceed ±4%
Date and time of printout
Method version number
If an error has occured information and recommended actions are printed at the
end of the FluoroC Run Report in order to help the operator to identify and
eliminate the error. For more information, see chapter 12, Error Handling.
Method Setup
All the method data can be printed for each method defined in the system. To
print the method data select the option 5.4.2.Specific Method or 5.4.3.All
Methods on the instrument.
For USA; the methods ImmunoCAP ECP and ImmunoCAP Specific IgG4 are for
investigational use only. The performance characteristics of these products have
not been established.
Cont...
BLANK
Subtraction of reagent blank:
Subtract: YES YES The reagent blank is
Parameters for graphic presenta- subtracted
PRESENTATION NO The reagent blank is
tion of the calibration curve
not subtracted
X-axis text: Concentration
X-axis scale: LOGARITHMIC
X-axis unit: kU/l
Y-axis text: Response
Y-axis scale: LOGARITHMIC
Y-axis unit: RU
CALCULATION
Cont...
TESTS
Choice of presentation for test
List of all tests included in the NAME--FULL NAME-------REPL--REPORT-- results
method
c1 Penicilloyl G 1 Conc Class
c2 Penicilloyl V 1 Conc Class
Abbreviated name of test c206 ACTH 1 Conc Class
c207 Protamine 1 Conc Class
d1 D. pteronyssinus 1 Conc Class
d2 D. farinae 1 Conc Class
e1 Cat epithelium and dander1 Conc Class
e2 Dog epithelium 1 Conc Class
e205 Horse serum proteins 1 Conc Class
e206 Rabbit serum proteins 1 Conc Class
e211 Rabbit, urine proteins 1 Conc Class
e3 Horse dander 1 Conc Class
10
e5 Dog dander 1 Conc Class
e84 Hamster epithelium 1 Conc Class
f13 Peanut 1 Conc Class
f14 Soya bean 1 Conc Class
f17 Hazel nut 1 Conc Class
f2 Milk 1 Conc Class
f24 Shrimp 1 Conc Class
f245 Egg 1 Conc Class
f256 Walnut 1 Conc Class
f26 Pork 1 Conc Class
f3 Fish (cod) 1 Conc Class
f342 Olive 1 Conc Class
f4 Wheat 1 Conc Class
f79 Gluten 1 Conc Class
f96 Avocado 1 Conc Class
g6 Timothy 1 Conc Class
i206 Cockroach, American 1 Conc Class
m3 Aspergillus fumigatus 1 Conc Class
m6 Alternaria alternata 1 Conc Class
t19 Acacia 1 Conc Class
t203 Horse chestnut 1 Conc Class
t3 Common silver birch 1 Conc Class
t9 Olive 1 Conc Class
w1 Common ragweed 1 Conc Class
w206 Camomile 1 Conc Class
w21 Wall pellitory (P.judaica)1 Conc Class
w8 Dandelion 1 Conc Class
Chapter 11 - Maintenance
This chapter describes the maintenance of
Phadia 100
Maintenance
Daily Maintenance
2
3
2
Daily Rinse 3
Emptying of the Waste Bottle 4
Emptying of ImmunoCAP Waste Container 4
Cleaning of the Processing Chamber 4
Weekly Maintenance 6
Monthly Maintenance 7
Monthly Maintenance Procedure 7
Lubrication of O-rings 9
Cleaning of the Sample Carousel 10
Outside Cleaning 10
Restart the Instrument 10
5
Semiannual Maintenance 11
Replace Washing and Rinse Tubings 11
Replace Drainage Filter 12
Unscheduled Maintenance 13
Actions Before Shutdown and Startup 13
6
Selftest 13
Blank Run 15
11
FluoroC Run 17
Load Printer Paper 19
Replace Fuses 20
Replace broken Bottle Holders on the Sample Carousel 21
Replace broken Tube Holders on the Sample Carousel 22
6.9.4.System Rinse 24
Maintenance
Daily Maintenance
2
• Daily Rinse
• Emptying of the Waste Bottle
• Emptying of ImmunoCAP Waste Container
• Cleaning of the Processing Chamber
Daily Rinse
Daily rinse is done in order to prevent from blockage, growth and carry over.
Perform it at the end of each day you have used Phadia 100.
Disconnect the Washing Solution Bottle by using the quick release. Replace the
Washing Solution Bottle with a beaker filled with approximately 300 ml
purified water. Unscrew the cap from the Washing Solution Bottle and connect
it to the quick release. Put the wash tubing in the beaker with purified water.
1. In Install/Service mode
press the number 9 key.
6.Install/Service
6
11
1.Login/Logout?
When the maintenance is completed, empty the Waste Bottle and the beaker.
NOTE! Do not unscrew the cap from the bottles if the tubings are still
connected. This can lead to insufficient distribution of Washing and Rinse
Solution due to twisted tubings inside the instrument. Never put the wash tubing
into the Rinse Solution Bottle.
do not empty it, it may lead to loose ImmunoCAP/EliA Wells in the Processing
Chamber.
available, leave to dry upside down, preferably not on paper (paper dust can be
fluoroscent).
Wipe off the Processing Chamber with a tissue. If a lot of water remains in the
Processing Chamber, highten the instrument by unscrewing the feet a few
millimeters on the printer side. It is important to keep the Processing Chamber
clean and dry.
Wipe off the underside of the Processing Lid with purified water in order to secure
the ImmunoCAP/ELiA Well transfer.
Install the Elution Wells Disc and ImmunoCAP Holder Disc. Make sure not to
exchange the Elution Wells Disc between instruments.
2
NOTE! Before closing the Processing Lid, check that the wash rake is well above
the ImmunoCAP Carousel, otherwise it might break something inside. The wash
rake can be moved manually.
5
6
11
Weekly Maintenance
The weekly maintenance is done in order to clean the Washing Solution, Rinse
Solution and Waste Bottles and the beaker used in daily maintenance to prevent
blockage, growth and carry over.
In general, it is the same procedure as the daily maintenance, but with one
important additional item: Disconnect the Washing Solution, Rinse Solution and
Waste Bottle by using the quick release. Empty and rinse the bottles and the
beaker three times with purified water.
NOTE! Do not unscrew the cap from the bottles if the tubings are still connected.
This can cause problems with insufficient distribution of Washing and Rinse
Solutions due to twisted tubings inside the instrument.
Fill the Washing Solution and Rinse Solution Bottles with approximately 300 ml
purified water and connect them to Phadia 100. Also connect the Waste Bottle
to the instrument.
4. When the weekly mainte- EMPTY AND CLEAN WASH AND RINSE BOTTLES
nance procedure is finished, PRESS ENTER TO CONFIRM THE ACTION
empty and clean the Washing
Solution and Rinse Solution
Bottles. Press the enter key to
confirm this step.
Monthly Maintenance
2
• Monthly Maintenance Procedure
• Lubrication of o-rings
• Cleaning of the Sample Carousel
• Outside cleaning
• Deletion of instrument log files
To perform Monthly Maintenance you need ImmunoCAP Maintenance Solution
Kit (10-9476-01). For preparing the Maintenance Solution add one ampule (23
ml) of Maintenance Concentrate to 1500 ml purified water. Mix gently in a glass
beaker. Please read and follow the warnings and instructions carefully. Monthly
Maintenance is also used as a corrective action, see Action List.
5
Maintenance Solution protective gloves should be used.
6.9.2.Monthly Maintenance
6
11
Take out the ImmunoCAP Holder Disc and discard the four CheckCAP. Take
out the Elution Wells Disc and the Drainage Filter and place them in Mainte-
nance Solution. Leave them in the Maintenance Solution for 30 minutes. Press
enter to confirm this step.
NOTE! The ImmunoCAP Holder Disc is fragile and should be handled as glass.
NOTE! Do not unscrew the caps from the bottles if the tubings are still
connected. This can cause problems with insufficient distribution of Washing
and Rinse Solution due to twisted tubings inside the instrument.
After the 30 minutes incubation time in the Maintenance Solution, rinse the
ImmunoCAP Holder Disc and Elution Wells Disc thoroughly with purified
water. Dry them carefully, preferably with compressed air. If not available,
2
leave to dry upside down, preferably not on paper (paper dust can be fluoroscent).
Rinse the Drainage Filter with purified water.
Wipe off the Processing Chamber and the Processing Lid with a tissue moistened
with Maintenance Solution.
NOTE! See semiannual maintenance for information how to remove the
drainage filter.
Reinstall the Drainage Filter, the Elution Wells Disc and the ImmunoCAP
Holder Disc in the Processing Chamber.
NOTE! Before closing the processing lid, check that the wash rake is well above
the ImmunoCAP Carousel, otherwise it might break something inside. The
wash rake can be moved manually.
Lubrication of O-rings 5
The lubrication of the o-rings is important in order to secure the connection and
make it smooth.
Bottles. Lubrication
Lubricate the O-rings on the Points
bottle connections of the rinse
and waste bottle tubings, and
the connection on the Washing
Solution Bottle with vacuum
grease (12-3505-12). Use only
a small amount of vacuum
grease to avoid the lubricant
from entering the bottles. Press
enter to confirm this step.
Cleaning of the
Sample Carousel
Remove the Sample Carousel. Place it in
prepared Maintenance Solution. Leave it in
the Maintenance Solution for 30 minutes.
Rinse the Sample Carousel thoroughly with Optical
tap water and dry it with a paper tissue. Sensors
Wipe off the compartment with a tissue,
moistened with prepared Maintenance Solu-
tion.
NOTE! Be careful not to damage the optical
sensors located in the compartment.
Outside Cleaning
Wipe off the instrument with a tissue, moistened with prepared Maintenance
Solution. Do not forget to wipe off the area where the bottles are placed.
Semiannual Maintenance
2
• Replacement of the Wash and Rinse tubings
• Replacement of the Drainage Filter.
6
quick release. Unscrew the caps from the bottles.
11
WARNING! Washing Solution may cause
sensitization by skin contact. Wear protective
gloves!
Unscrew the nut under each cap and pull the tubing from the nipple.
Push a new tubing on firmly and screw the nut back in position.
Screw the caps back on the bottles before you connect them to the instrument.
Replace Drainage
Filter
At the bottom of the Processing Chamber
there is a drainage filter (12-3500-75) that
prevents particles from entering valves. It
is advisable to replace it every six months.
Press lid open and open the Processing
Lid.
Pull out the drainage filter from the Pro-
cessing Chamber using a pair of forceps
or pliers. Replace it with a new drainage
filter. In case waste does not disappear
from the processing chamber the drain-
age filter can be changed more often.
Unscheduled Maintenance
2
• Actions before Shutdown and Startup
• Selftest
• Blank Run
• FluoroC Run
• Loading of Printer Paper
• Changing of Fuses
• System Rinse
5
to be processed twice. The first rinse has to run with purified water, followed by
a run without any liquid at all.
Wipe off any remaining liquid from the Processing Chamber.
Before starting up again, perform a monthly maintenance and a selftest.
Selftest 6
11
To run a selftest you need Development Solution and Stop Solution. Make sure
that the Washing Solution and Rinse Solution Bottles are filled and connected to
the instrument.
3. In Install/Service mode
select the number 9 key. 6.Install/Service
1.Login/Logout?
After the selftest is finished the instrument will automatically print a Blank
Report where you can see the result of the selftest. If you have received a section
on the printout with remarks you have a Blank Error. An action list will then be
printed at the end of the report, with instructions on how to eliminate the error.
For more information on how to eliminate the error, see chapter 12, Error
Handling.
BLANK REPORT
Reagent Blank:
090513 11:13
Other
14.2 RU
2
Rinse Blank: 12.3 RU
Dark Blank: 7.9 RU
Blank Run
The Blank Run checks the cuvette and reagents. The Blank Run is included in
6.9.6.Run Selftest.
To perform a Blank Run you need Development Solution and Stop Solution.
5
Make sure that the Washing solution and Rinse Solution Bottles are filled and
connected to the instrument.
gloves!
After the Blank Run is finished the instrument will automatically print a Blank
Report where you can see the result of the Blank Run. If you have received a
section on the printout with remarks you have a Blank Error. An action list will
then be printed at the end of the report, with instructions on how to eliminate
the error. For more information on how to eliminate the error, see chapter 12,
Error Handling.
Example of a Blank Report:
BLANK REPORT
FluoroC Run
The FluoroC run is used for service and trouble shooting, and checks the
performance of the fluorometer.
To run FluoroC you need FluoroC Solution and Stop Solution. The FluoroC vial
must be at room temperature before the run. Use only new FluoroC vials in each
run.
Make sure that the Washing Solution and Rinse Solution Bottles are filled and
connected to the instrument. 2
WARNING! Washing Solution may cause
sensitization by skin contact. Wear protective
gloves!
The FluoroC run takes approximately seven minutes regardless of the warm-up
time.
5
2. Press the yes key. Phadia 100 Ver.3.0 07:55:06
6.Install/Service?
6.9.Maintenance
select the number 3 key. 1.Daily Maintenance?
FluoroC target
value (on the vial)
After the FluoroC run is finished the instrument will automatically print a
FluoroC Run Report. On the report you can see the result of the FluoroC run.
If you have received a NOT OK on the printout for FluoroC %CV, Rinse Blank
voltage, or Deviation from target, you have a FluoroC error. Follow the short
instructions on the action list on the printout to eliminate the error.
For further information on how to eliminate the error, see chapter 12, Error
Handling.
Example of a FluoroC Run Report:
FLUOROC RUN
RESULTS------------Value--Acceptance
FluoroC voltage 1: 3923.0 mV
FluoroC voltage 2: 3932.3 mV
FluoroC voltage 3: 3946.1 mV
FluoroC Mean voltage: 3933.8 mV
FluoroC %CV: 0.30 % OK
Rinse Blank voltage: 4.0 mV OK
2
View from above with
Printer lid open
6
Paper roll
Paper holder
3. When the paper is visible 11
in the paper collection area of
the paper holder, push it for-
ward.
Extra paper rolls (ArtNo. 12-3501-05) are included in the accessories box.
NOTE! Make sure that the paper roll is inserted in the right direction.
Replace Fuses
Extra primary and secondary fuses are included in the accessory box.
NOTE! Replace only with fuses of specified type and rating.
Primary Fuses
Secondary Fuses
2
the fuse holder. Put the screw-
driver in the vertical slot in the
fuse holder and turn it counter-
clockwise.
Sample Carousel
Fig.1
2. Place a new Bottle holder
in the position where the bro-
ken one was placed.
Fig.2
Fig.3
Fig.4
Fig.5
Fig.6
2
Fig.7
Fig.8
6
11
Fig.10
Fig.11
6.9.4.System Rinse
A completed assay run ends with a System Rinse automatically. If the process
have been aborted by a processing error, you have to perform 6.9.4.System
Rinse.
Make sure that there is enough Rinse and space in the Waste Bottle (it normally
should if it was enough at the start of the assay run).
When the System Rinse is done finish off as after a completed assay run.
Please, copy this form and make a note every time you perform maintenance.
5
6
11
Introduction 2
Start Up Errors and Start Up Warnings 3
Start Up Errors 3
Start Up Warnings 3
Explanation of Actions 56
Mechanical and Electrical Malfunction 62
No Power On 62
No Display Text 62
Communication Errors 62
No Print Out 63
Bad Print Out 63
Leakage 63
12
Introduction
This chapter describes the different errors you might receive while operating
Phadia 100. During operation Phadia 100 continuously checks that the system
is working properly. If an abnormality is found, it results in an error or warning.
Many of these errors can be avoided if maintenance of
Phadia 100 is done carefully according to chapter 11, Maintenance, and reagents
are handled according to chapter 3, Reagent and Sample Handling.
There are six types of errors:
• Start up errors and warnings
• Operator interaction messages
• Preparation errors
• Processing errors
• Assay result errors
• Mechanical and electrical malfunction
Depending on the error type the operator will be provided with different kinds
of information regarding the error and how to eliminate it. In some cases the
instrument will stop the process until the error is eliminated. In other cases the
assay run will be aborted and the instrument will not produce any results.
Sometimes the instrument will produce results for the assay run, but it is up to
the operator to decide if the results are to be used.
Before contacting your local Phadia representative, please make a note of the
complete error message including the error code. Also note the instrument serial
number and software version number.
When the system is started, a number of checks are made to ensure that
everything is running correctly. If an abnormality is found, it results in a Start
up error or a Start up warning.
Start Up Errors
Errors are normally issued for serious malfunctions when there is no meaning of
continuing the start up. If an error is displayed, the system halts and the operator
is instructed to call for service. Start by switching
Phadia 100 off, wait 10 seconds and switch the instrument on again.
If the error returns make a note of the error code and contact your local Phadia
representative.
Example of a start up error:
STARTUP ERROR #1201
Startup was aborted. Call service...
Start Up Warnings
If the malfunction is of a less serious type, a warning is issued. The operator is
instructed to note the warning and then press any key. Example of a start up
warning:
STARTUP WARNING #2301
Note warning, then press Any key...
These types of messages can be shown when operating Phadia 100 using the
keyboard. Common sources of problems are disk access, that a specific file on
the harddisk cannot be read or written or that there is a problem accessing the
USB memory, external USB hard drive or diskette.
Example of an operator interaction message:
3.4.Import Data
E010: MEDIA NOT INSERTED, ABORT?
12
Preparation Errors
These errors may occur during the preparation of an assay run. An Action List
with short instructions will be printed every time a message is displayed.
Example of a preparation error:
Follow the instructions and perform the necessary steps to eliminate the error.
If needed you will find more detailed information in this chapter. When the error
is eliminated you will be able to continue assay preparation.
Corrective actions:
Follow instructions in Action List in order to identify or eliminate the errors.
Ensure that Washing Solution and Rinse Solution are properly prepared. The
Washing Solution Concentration is of big importance for several tests. Always
prepare according to Directions for Use. Always use purified water when
preparing Washing Solution and Rinse Solution.
Check that Rinse Solution is loaded in Rinse bottle and Washing Solution is
loaded in Washing Solution Bottle. Shake both Washing and Rinse Solution
bottle, the bottle with Washing Solution will foam.
If the error remains contact your local Phadia representative.
INTERNAL ERROR
There is an internal system error. It is not possible to start the assay run.
Contact your local Phadia representative.
BLANK REPORT
The blank check errors are specified underneath Remarks on the Blank Report.
At the end of the Blank Report you find the action list with instructions on how
12
to eliminate the errors.
0354, 090507 10:12, 2.3, 032
Four different blank check errors can occur:
NORMAL VALUES
For ImmunoCAP between 10 - 20 RU and for EliA between 15 - 35 RU.
Corrective actions:
Follow instructions in Action List in order to identify or eliminate the errors.
Clean and dry (not with Paper tissue) Elution Wells Disc, see Chapter 11,
Cleaning of the process chamber.
Avoid mixing up the Development Solution vial cap and the Conjugate vial cap.
Small amounts of Conjugate coming in contact with the Development Solution
affects the background signal of the Development Solution. Residues of
conjugate on the vial cap is enough to affect the Development Solution function
next time it will be used.
Perform Monthly Maintenance as corrective action before next run in order to
clean the instrument. Monthly Maintenance should be done even if the regular
Monthly Maintenance has been done recently. Something has happened during
the run and the instrument needs to be cleaned, like after Rinse Solution and
Washing Solution distribution problems, lack of maintenance or vacuum
problems. After going trough all other actions on the list first and thereby
eliminate the error it could be that Monthly Maintenance can be skipped this
time.
If the error remains contact your local Phadia representative.
Ensure that Washing Solution and Rinse Solution are properly prepared. The
Washing Solution Concentration is of big importance for several tests. Always
prepare according to Directions for Use. Always use purified water when
preparing Washing Solution and Rinse Solution.
If the error remains contact your local Phadia representative.
Processing Errors
Processing Errors may occur during processing of the assay run. The amount of
Processing Errors and the affected positions in the ImmunoCAP Carousel are printed
underneath PROCESS ERRORS on the Laboratory Report. You find a list of the
errors underneath ERROR LIST. The Error List is followed by an Action List with
short instructions on how to eliminate the errors.
You may receive more than one Processing Error on the Error List. The short
instructions will then be combined into one Action List.
PROCESS ERRORS
The number of errors in the speci-
The positions in the ImmunoCAP POS-METHOD-TEST--SAMPLE ID----#ERROR fied position is printed here
Carousel which are affected by
the errors are printed here 01 sIgE a-IgE CAL-0.35 1
15 sIgE t3 32418 2
Example of an Error List and an Action List printed at the end of a Laboratory Report:
A question mark (?) is printed on the Laboratory Report indicating that a
Processing Error has occured for the calibrator, curve control, Quality Control
or sample.
SAMPLES
-TEST---RESP---CONC---CLASS---QUOT--
32418
ImmunoCAP Specific IgE (kUA/l)
t3 1591? 7.09 3
The question mark indicates
which result the processing error SEE ACTION LIST FOR CORRECTIVE ACTIONS
has affected
DISTRIBUTION LIST
Run number: 1
12
Run created: 090507 14:29
Process started: 090507 15:23
Process ended: 090507 17:51
Run origin: Instrument
SAMPLE CAROUSEL
A sIgG Conjugate
E Development solution
G IgA/IgG diluent Diluent
H Stop solution
01 sIgG CAL-0.02 Cal
02 sIgG CAL-0.04 Cal
03 sIgG CAL-0.1 Cal
04 sIgG CAL-0.3 Cal
05 sIgG CAL-1.0 Cal
06 sIgG CAL-2.0 Cal
Cont...
09 32418 Sample
10 33279 Sample The position in the Sample Car-
11 34703 Sample ousel in which the component
12 34703 Empty Instr 10 involved in the error is placed.
Corrective actions:
A solution to this problem can be to install an uninterruptable power supply unit
(UPS).
#17.01-17.08
Sub code see Stepper Motor table
Corrective actions:
Follow instructions in Action List in order to identify or eliminate the errors.
If the error remains contact your local Phadia representative.
#17.09
Contact your local Phadia representative.
Caused by:
Wrong positioning of tube or reagent vial. Touching the pipette arm.
Sample Carousel Cover in wrong position.
Pipette Wash Position
25.9x (x=1,2)
For x see Stepper Motor table.
Caused by:
Something blocking the Wash Position.
Corrective actions:
Follow instructions in Action List in order to identify or eliminate the errors.
Rerun the results that have not been reported. Check that sample volume is
enough including the sample tube dead volume, otherwise new patient sample
is needed. Use 1.1.Enter requests and put in the requests that have not been
reported.
Contact your local Phadia representative.
#30.00
Corrective actions:
Follow instructions in Action List in order to identify or eliminate the errors.
Wipe off the pipette tip carefully with a tissue. Remove the cover from the Pipette
Arm by pulling it from the back. Wipe off any fluid around the connection
between the tubing and the Pipette with a tissue.
Rerun the results that have not been reported. Check that sample volume is
enough including the sample tube dead volume, otherwise new patient sample
is needed. Use 1.1.Enter requests and put in the requests that have not been
reported.
If the error remains contact your local Phadia representative.
#30.03
Corrective actions:
Contact your local Phadia representative.
#31.00
Corrective actions:
Follow instructions in Action List in order to identify or eliminate the errors.
Rerun the results that have not been reported. Check that sample volume is
enough including the sample tube dead volume, otherwise new patient sample
is needed. Use 1.1.Enter requests and put in the requests that have not been
reported.
If the error remains contact your local Phadia representative.
#31.03
Corrective actions:
Contact your local Phadia representative.
#32.00 12
Corrective actions:
Follow instructions in Action List in order to identify or eliminate the errors.
Rerun the results that have not been reported. Check that sample volume is
enough including the sample tube dead volume, otherwise new patient sample
is needed. Use 1.1.Enter requests and put in the requests that have not been
reported.
If the error remains contact your local Phadia representative.
#32.03
Corrective actions:
Contact your local Phadia representative.
#33.00
Corrective actions:
Follow instructions in Action List in order to identify or eliminate the errors.
Rerun the results that have not been reported. Check that sample volume is
enough including the sample tube dead volume, otherwise new patient sample
is needed. Use 1.1.Enter requests and put in the requests that have not been
reported.
If the error remains contact your local Phadia representative.
#33.03
Corrective actions:
Contact your local Phadia representative.
#34.00
Corrective actions:
Follow instructions in Action List in order to identify or eliminate the errors.
Rerun the results that have not been reported. Check that sample volume is
enough including the sample tube dead volume, otherwise new patient sample
is needed. Use 1.1.Enter requests and put in the requests that have not been
reported.
If the error remains contact your local Phadia representative.
#34.03
Corrective actions:
Contact your local Phadia representative.
WARN #51.00
Corrective actions:
Follow instructions in Action List in order to identify or eliminate the errors.
If the error remains contact your local Phadia representative.
FATAL #51.01
Corrective actions:
Check fuse 905 and replace it.
Follow instructions in Action List in order to identify or eliminate the errors.
If the error remains contact your local Phadia representative.
Ensure that Washing Solution and Rinse Solution are properly prepared. The
Washing Solution Concentration is of big importance for several tests. Always
prepare according to Directions for Use. Always use purified water when
preparing Washing Solution and Rinse Solution.
Check that Rinse Solution is loaded in Rinse bottle and Washing Solution is
loaded in Washing Solution Bottle. Shake both Washing and Rinse Solution
bottle, the bottle with Washing Solution will foam.
If the error remains contact your local Phadia representative.
DATA
This error is caused by a malfunction during transfer of data in the internal
communication. An error message is printed underneath #ERROR in the section
PROCESS ERRORS on the Laboratory Report:
PROCESS ERRORS
POS-METHOD-TEST--SAMPLE ID----#ERROR DATA is printed here to indicate
The position in the ImmunoCAP an error
Carousel which is affected by
the error is printed here 01 GliG AGcal CAL-0.02 DATA
25 sIgE t3 32418 2
No data has been received by the reporting software. There will be no results
calculated and printed. If the data error concerns the curve controls the
calibration curve will still be valid and stored with status OK.
For Phadia 100 Ver.3.0, use the menu 6.13.Shutdown and follow the instruc-
tions displayed to safely shut down the instrument. Switch Phadia 100 off, wait
10 seconds and switch it on again. Rerun the results that have not been reported.
If the error remains contact your local Phadia representative.
Assay Result Errors may occur during the processing of an assay run. They are
divided into six different groups:
Calibration Curve Errors
Curve Control Errors
Quality Control Errors
Blank Errors
LOW RU Errors
FluoroC Errors
The Assay Result Errors are printed on different places on the reports depending
on the error group. At the end of the reports you find the Action Lists with
instructions on how to eliminate the errors.
You may receive more than one Assay Result Error or Assay Result Errors
together with Processing Errors. The instructions will then be combined into one
Action List.
Follow the instructions and perform the necessary steps. Do not empty the
instrument before you perform the actions listed on the Action List since this
might complicate identification of the cause of the error. A more detailed
information on each Assay Result Error is provided in this chapter.
Assay Result Errors are sometimes caused by one or more Processing Errors that
have occured during the assay run. Eliminating the Processing Errors can then
automatically lead to elimination of the Assay Result Errors.
Upper RU limit
RU
Ideal curve
Lower RU Limit
kU/l
If the Calibration Curve is outside the limits, the CV is too high or the Calibration
Curve is too old, you get NOT OK after Acceptance underneath Calibration
Information on the Laboratory Report.
CALIBRATION INFORMATION
Calibration number: 23
Run date, time: 090507 16:15
Acceptance of the calibration Calibration code: 1P
curve used: Acceptance: NOT OK
OK Calibration curve Calculation type: Rodbard 4-parameters
accepted The Calibration Curve Errors are
FLAGGED Calibration curve CALIBRATOR ABOVE RANGE! printed here
flagged
NOT OK Calibration curve
not accepted
CURVE DATA
ITEM--------VALUE
ED-20 36.3
ED-50 84.8
ED-80 146
Slope 90.4
Response (RU)
100000 Graphic image of the calibration
Rejected calibrator point curve. If a point is rejected, it will
○
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be printed as a cross
○
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○
○
○
○
○
○
○
○
10000
○
○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○
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1000 ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○
○
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100
2.00 5.00 15.0 100 200
Concentration (ug/l)
CALIBRATOR DATA
NAME------CONC--RESP--%CV--CALC--%CV
NAME---------RESP----REMARK---------
Estimated and rejected response
values are printed here.
CAL-15.0 1126 Estimated
CAL-15.0 15721 Rejected
CAL-15.0 16048 Rejected
NO RISING TREND!
What can cause the problem:
Mix up between calibrators in the Sample Carousel, pipetting problem or
alluvion in the nozzles of the Wash Rake. For ImmunoCAP Specific IgA,
12
If the Curve Controls are outside the inner limits, you get HIGH*, HIGH, LOW*
or LOW under Curve Controls on the Laboratory Report.
NAME----RESP--%CV--CONC--%CV--JUDGED
Corrective actions:
Follow instructions in Action List in order to identify or eliminate the errors. For
additional information see Explanation of Actions, number 7, 18, 24, 25, 26, 27.
If the error remains contact your local Phadia representative.
Corrective actions:
No corrective actions proposed.
If the error remains contact your local Phadia representative.
Corrective actions:
No corrective actions proposed, except for EliA methods.
Follow instructions in Action List in order to identify or eliminate the errors. For
additional information see Explanation of Actions, number 7, 18, 24.
If the error remains contact your local Phadia representative.
QUALITY CONTROLS
OK, HIGH or LOW is printed here
NAME----RESP--%CV--CONC--%CV--JUDGED
Make sure that all reagents and samples are in their right positions according
to the Distribution List and contain sufficient fluid according to the Consumption
List.
If the error remains contact your local Phadia representative.
Corrective actions:
No corrective actions proposed in Action List, except for EliA methods.
Follow instructions in Action List in order to identify or eliminate the errors. For
additional information see Explanation of Actions, number 7, 17, 25, 26, 29.
If the error remains contact your local Phadia representative.
Blank Errors
Blank Errors might be detected when the instrument performs a Blank Check.
The Blank Check is also used to test the reagent blank, which is subtracted from
the results obtained in the assay run. The Blank Check tests the quality of the rinse
and the function of the cuvette and fluorometer.
The Blank Errors are specified underneath Remarks on the Laboratory Report.
At the end of the Laboratory Report you find the Action List with instructions on
how to eliminate the errors.
Example from a Laboratory Report:
Avoid mixing up the Development Solution vial cap and the Conjugate vial cap
If Blank Error remain - Contact Phadia representative
LOW RU Errors
LOW RU Errors occur when RU is less than 5, for the whole ImmunoCAP
Carousel or for a single position. If LOW RU is printed instead of results for
samples on the Laboratory Report, it means that you have a LOW RU Error.
This kind of error never occurs for calibrators, curve controls and Quality
Controls.
When a LOW RU Error occurs it will affect the assay run in different ways,
depending on where the error occurs. If the error concerns a calibrator, the
calibration curve will still be judged according to the criterias for curve
acceptance. If the error concerns a curve control, no patient results will be
reported, but the validity of the calibration curve will not be affected. If the error
concerns a sample only the result for that sample is affected.
The Reagent Blank value (RU) is printed underneath Remarks on the Laboratory
Report to help you check the Reagent Blank.
At the end of the Laboratory Report you find the Action List with instructions
on how to eliminate the errors.
12
SAMPLES
-TEST---RESP---CONC---CLASS---QUOT--
LOW RU is printed instead of the
response. No results are pre-
sented 32418
ImmunoCAP Specific IgE (kUA/l)
t3 LOW RU --.-- ----
33279
ImmunoCAP Specific IgE (kUA/l)
w6 1591 7.09 3
LOW RU
Check the Reagent Blank under Remarks on the Laboratory Report. If the
Reagent Blank is higher than expected (>20 RU for ImmunoCAP and >35 RU for
EliA Wells), the error might be caused by insufficiently cleaned Elution Wells
Disc or that Stop Solution has not been pipetted at the end of the run.
If the reagent blank is higher than expected, perform a complete Daily
Maintenance.
Open the Processing Lid and check for any ImmunoCAP or EliA Wells blocking
the movement of the ImmunoCAP Carousel. If there is a misplaced ImmunoCAP
or EliA Well remove it. If the ImmunoCAP or EliA Wells are still in their inner
positions there is a mechanical malfunction.
If you have received LOW RU for all positions, load the assay run again by using
1.5.Load Old Run and rerun the samples.
If you have received LOW RU for some positions, rerun the results that have not
been reported.
FluoroC Errors
12
FluoroC Errors may occur when you have performed a FluoroC run in order to
check the Fluorometer. If you get NOT OK on the FluoroC Run Report, which
is printed after the FluoroC run is finished, it means that you have a FluoroC
Error. At the end of the FluoroC Run Report you find the Action List with
instructions on how to eliminate the errors.
FLUOROC RUN
The Measurement status can be
OK or NOT OK
Run date, time: 090507 9:57
Measurement status: OK
Target value: DW (12500 RU)
RESULTS------------Value--Acceptance
FluoroC voltage 1: 3923.0 mV The FluoroC %CV can be OK or
FluoroC voltage 2: 3932.3 mV NOT OK
FluoroC voltage 3: 3946.1 mV
FluoroC Mean voltage: 3933.8 mV The Rinse Blank voltage can be
FluoroC %CV: 0.30 % OK OK or NOT OK
Rinse Blank voltage: 11.0 mV NOT OK
12
Explanation of Actions
been recapped. Check that the tubings to the bottle filters are connected properly.
See Chapter 11, Semiannual Maintenance.
problems when there has been ImmunoCAP Dispense errors. Always check that
no misplaced ImmunoCAP/EliA Well is in the Processing Chamber after this
error message. Always empty the ImmunoCAP Waste Container after every
run.
12
The operator might on some occasions face practical problems that provide no
information from the instrument. These problems are often of mechanical or
electrical kind. Please read the instructions below before you contact your local
Phadia representative.
No Power On
If you switch Phadia 100 on and the power LED to the right of the display is not
lit up, check that the mains power cord is connected and that the cord is
undamaged. Connect or replace the cord if necessary.
Check that the fuses are not blown. Replace blown fuses, see chapter 11,
Maintenance.
If the error remains contact your local Phadia representative.
No Display Text
If you cannot see any text on the display, check that the power is switched on and
that the power LED is lit. If the power LED is not lit, check that the mains power
cord is connected and that the cord is undamaged. Connect or replace the cord
if necessary.
Check that the fuses are not blown. Replace blown fuses, see chapter 11,
Maintenance.
The contrast setting might be to bright. Press the mode key and keep it pressed
down, then press the enter key. First release the mode key, and then the enter
key. This will set the contrast to default.
If the error remains contact your local Phadia representative.
Communication Errors
Communication errors may occur in communication between the internal PC,
the keyboard, and the process controller. Phadia 100 may also be connected to
an external computer. The communication parameters may not be the same in
Phadia 100 as in the connected equipment.
Check the following parameters:
• Baud rate
• Parity
• Data bits
• Stop bits
No Print Out
If you do not receive a printout, check that the instrument has not run out of
paper. Load a new paper roll if necessary, see chapter 11, Maintenance. If there
is paper in the printer switch Phadia 100 off, wait 10 seconds and switch it on
again.
If the error remains contact your local Phadia representative.
Leakage
If process chamber is overflowing, check the drainage filter. Clean or replace the
drainage filter according to chapter 11, Maintenance.
If the error remains contact your local Phadia representative.
12
Chapter 13 - Repacking
This chapter describes the cleaning report
and the repacking instructions
Repacking 2
Cleaning Report 2
Phadia 100 Cleaning Report 2
Repacking Instructions 3
13
Repacking
Cleaning Report
In order to obtain a good safety against transmission of infectious diseases, please
make a copy of the cleaning report and fill it in every time you send Phadia 100
to another operator or to Phadia AB.
The cleaning report shows the receiver that Phadia 100 was cleaned according to
the manual before it was repackaged and transported.
Perform the cleaning procedure in accordance with Monthly Maintenance in
chapter 11, Maintenance and make notes on the Cleaning Report. If everything
is in order, please write OK in the corresponding squares on the Cleaning Report.
Do not forget to put your signature on the Cleaning Report.
Please, copy this form and use it!
Processing Chamber
ImmunoCAP Carousel
Outside
Phadia 100 Instrument has been cleaned according to the Phadia 100 User Manual and
the accessories box is repacked and included in the Package Box.
Date ________________________________________
Company ________________________________________
Address ________________________________________
City ________________________________________
Country ________________________________________
Signature ________________________________________
Name (block letters) ________________________________________
Repacking Instructions
1. Take out the ImmunoCAP Waste Con- 2. Make sure the Washing Solution, Rinse Solution and
tainer from the Processing Chamber. Empty Waste Bottles are empty.
it and put it in the accessory box.
Remove the Biohazard label from the Waste Container.
Take out the Elution Wells Disc and the
Fasten the Sample Carousel Cover, the Printer Lid and the
ImmunoCAP Holder Disc from the process-
Rinse Solution, Washing Solution and Waste Bottles with
ing chamber and put them in the accessory
tape.
box.
Remove the Sample Carousel from the in-
strument and put it in the accessory box.
4. Put tape around the instrument to re- 5. Place the instrument on a table, resting on its back
duce vibration during tranportation. Start at side. Unscrew the four feet from the bottom and remove
the back, continue over the front and fasten them.
it under the instrument.
Instrument feet
T a b l e
Spacing collars
10. Place the Cleaning Report as well on the package box as inside the box.
Chapter 14 - Accessories
This chapter notes the different
accessories, spare parts and supplement
products to Phadia 100
14
Spare Parts
Bottles (Wash, Rinse, Waste) 12-3500-84
Elution Wells Disc 12-3501-07
ImmunoCAP Holder Disc 12-3501-06
ImmunoCAP Waste Container
(Instrument no. <287) 12-3500-95
ImmunoCAP Waste Container Rev. 2
(Instrument no. >287) 12-3505-19
Mains Kit 100/120V 12-3500-82
Mains Kit 230/240V 12-3500-83
Pipette Arm Cover 12-3500-81
Sample Carousel 12-3500-85
Sample Carousel Cover 12-3500-88
Supplement Products
Phadia Information Data Manager 12-3801-01
Data Cable (Phadia 100-Phadia 100) 12-3500-94
Barcode Reader
A barcode reader can be connected to Phadia 100. The barcode reader must be
able to read codes 39 and 93, be of RS-232 type, have its own power supply, send
decoded data as ASCII-text followed by CR (carriage return) and LF (line feed),
and it must be CE-marked.
To connect a barcode reader of USB type, please contact your local Phadia
representative.
Chapter 15 - Index
15
A Bottle
Cleaning 11.6
Abort Rinse Solution 1.2
Prepared Run 4.39 1.6
Process 4.44 Washing Solution 1.2
1.6
ACCESS DENIED 12.5
Waste 1.2
Accessories 14.2 1.6
Accessory Box 1.15
1.16 C
Accuracy Calibration Code 2.31
Pipette volume 1.10 2.45
Washing solution 1.10
Calibration Curve Error 12.37
Action List 10.17
12.6 CALIBRATION CURVE OLDER
12.14 THAN RECOMMENDED 12.41
Explanations 12.55 CALIBRATOR
Active Calibrators ABOVE RANGE 12.40
BELOW RANGE 12.40
Set 6.9
Add Calibrator Point
Edit 6.11
Article 9.34
Method 9.4 Calibrators
Quality Control 4.20 Accept 6.10
Test 4.15 Delete 4.8
Test Panel 9.30 Edit 6.9
Air Pressure 1.9 Export 6.13
Handling 3.2
ALREADY IN FLUID 12.26 Print 6.8
Article Printout 10.11
Add 9.34 CANNOT CREATE FILE 12.5
Delete 9.36
CANNOT FIND
Edit 9.35
CONJUGATE 12.28
Assay Result Error 12.37 DEVSOL 12.28
DILUENT 12.30
B FLUOROC 12.29
SAMPLE 12.27
Bar Code Reader 2.31 STOP SOL 12.29
14.2 CANNOT LEAVE FLUID 12.27
BENT PIPETTE 12.25 CAN'T FIND FLAG 12.21
Biohazard label 1.13 CAN'T POS FLAG 12.23
1.19
Placement 1.20 CAP CAROUSEL MOTOR
BENT PIPETTE 12.26
BLANK CHECK ERROR 12.11 CAN'T BE POS 12.33
Blank Error 12.49 CAN'T FIND FLAG 12.22
Disable 5.9 CAN'T POS FLAG 12.24
Blank Report 10.17 NOT CALIBRATED 12.20
NOT INITIALIZED 12.20
12.11
OUT OF RANGE 12.23
Blank Run 11.15
Correct setup and handling of the washing and rinse solutions in the Phadia 100 is crucial because improper preparation or contamination can lead to errors such as mixed or insufficient distribution of solutions, which affects the performance and results of diagnostic tests . Washing and rinse solutions must be prepared with purified water and according to specific guidelines to ensure accuracy and prevent cross-contamination . Precautions include ensuring proper bottle connections to avoid twisted tubings and preventing mixing of the solutions . Additionally, protective gloves should be worn as washing solutions may cause skin sensitivities . It's important to use the correct solution in the respective bottles and replace solutions regularly to avoid errors ."}
Neglecting maintenance on the Phadia 100 instrument can result in processing errors and assay result errors. These errors occur when maintenance procedures are not regularly performed, potentially leading to system malfunctions and inaccurate test results . Maintenance is structured to prevent these issues through a schedule that includes daily, weekly, monthly, and semiannual tasks. Daily maintenance involves procedures like rinsing to prevent blockages and cleaning parts that come into contact with human fluids to avoid contamination. Weekly maintenance extends this by cleaning all related bottles thoroughly to avoid carryover of contaminants . Monthly maintenance includes more detailed procedures such as lubrication of o-rings and cleaning the sample carousel, aimed at enhancing the overall functioning of Phadia 100 by preventing wear and ensuring smooth operations . Adhering to the maintenance schedule ensures the instrument operates efficiently and produces reliable results .
To ensure the accuracy and reliability of ImmunoCAP Specific IgE assay results, specific protocols must be followed. First, full calibration curves with specified IgE concentrations (0.35 to 100 kU IgE/l) should be performed in duplicates . For acceptance, each run must include ImmunoCAP Specific IgE controls tested for three allergens in duplicate and a negative control that should provide results below 0.35 kUA/l . The criteria for run acceptance include instrument software validation, mean control values within specified ranges, and pooled coefficients of variation (CV) within runs must be below 6%, with a total CV <10% for both controls and patient samples . Additionally, monitoring of specific allergens with continuous quality control using control charts and external quality assessment programs are recommended to assess accuracy . For internal control, results should fall within the calculated quality control ranges, and regular recalculations of mean and standard deviation are advised for consistent assay performance .
Maintaining accurate calibration in the Phadia 100 is crucial as it ensures the reliability and accuracy of the assay results. The calibration curve, which is established for each lot number, is stored and used in subsequent runs to verify assay performance. The validity of the stored calibration curve is confirmed if the curve controls are within specified limits, with the curve remaining valid for up to 28 days . During assay runs, the instrument automatically assesses whether the calibration curve and controls meet preprogrammed limits. If these checks are passed, the run can be accepted. If both curve controls are outside inner limits in the same direction or one control is out of the outer limit, results are not calculated and the curve is flagged . This process is essential not just for cost efficiency by reducing calibrator usage but also for ensuring assay consistency and accuracy over time . The decision to accept an assay run ultimately lies with the laboratory manager, who must consider other assay performance parameters .
The Action List is used to address assay-related errors on the Phadia 100, particularly insufficient sample volumes, by providing step-by-step corrective instructions. When an error such as a bent pipette is identified, the Action List advises users to check for sufficient volume in reagent vials, proper placement of ImmunoCAP/Wells on the carousel, and if applicable, the Sample Carousel Cover’s position . Additionally, similar instructions apply for errors like LOW RU, where users are advised to rerun samples if necessary and check for missed pipetting . The Action List helps to systematically troubleshoot errors, ensuring issues like air bubbles or inappropriate pipetting are resolved, which could contribute to sample inadequacy . It also warns not to empty the instrument before performing the actions, as this could hinder identifying the error's root cause ."}
Errors related to incorrect positioning in the ImmunoCAP carousel are typically resolved by first checking if the specific position on the carousel is affected. If an error persists after initial checks, contacting a Phadia representative is advised . You should ensure that the Sample Carousel Cover is correctly positioned and that all tubes and vials are properly shaped and filled according to guideline specifications . The Processing Errors and specific actions to resolve them are detailed in the Action List, which should be followed to correct any errors. Do not empty the instrument before performing the actions suggested, as this can hinder the identification of the error cause . Additionally, for mechanical errors such as obstructed carousel movement, visually check the processing chamber for loose ImmunoCAP or EliA Wells and reposition them if necessary .
Editing or removing a sample ID involves entering the Prepare Run mode, selecting Enter Request, and then accessing the Edit Request function. From there, the sample ID can be selected for editing or deletion using specified keys. Confirmations are necessary at multiple points to ensure the right sample is being adjusted or removed. These steps are crucial to prevent unintentional alteration of sample information, which could result in loss of test data, errors in assay results, or incorrect analysis of other samples within the carousel .
Phadia 100 handles and processes samples to prevent errors by using a systematic approach involving maintenance and reagent handling protocols. Before each assay, a Daily Rinse must be performed, and a Consumption list is used to verify sufficient volume of reagents, such as Washing Solution and Rinse Solution, is loaded correctly . The system ensures samples are loaded in the correct order and place within the Sample Carousel, guided by the software . Instrument dilutions proceed using specific tube specifications, avoiding double-bottom tubes to prevent pipette errors . Method compatibility is checked by the instrument, issuing warnings if incompatible methods like ElyA and ImmunoCAP are attempted simultaneously . This systematic approach, combined with operator guidance on dilution factors and sample handling, minimizes errors related to method compatibility and adherence to dilution specifications during assays .
Performing a daily rinse on the Phadia 100 is crucial to prevent blockages, microbial growth, and carry-over between assay runs. The process involves disconnecting the Washing Solution Bottle and replacing it with a beaker containing approximately 300 ml of purified water, then rinsing the system . This task should be done at the end of each day the machine has been used, ensuring that the Waste Bottle is emptied beforehand to avoid overflow . The daily rinse maintains the instrument’s performance and prevents errors, requiring about six minutes to complete. Neglecting this step may result in instrument performance issues and assay errors . Regular maintenance, including the daily rinse, thus secures the operational integrity of Phadia 100 ."
Criteria for acceptance of ImmunoCAP Specific IgE assay runs include completing three separate runs with specific conditions. For the first run, there must be a full calibration curve, ImmunoCAP Specific IgE Control tested for three allergens in duplicate, a negative control tested with the same allergens, and at least six individual patient samples also in duplicate. Acceptance criteria for this run require the software to accept the calibration curve, the mean values for the control to be within the given range, and negative controls to be negative . In Runs 2 and 3, single replicate curve controls are used alongside the same control and negative control protocols as Run 1, with acceptance requiring curve controls to be within range and the runs accepted by the software . Total acceptance of the assay results requires fulfilling the criteria for all three runs, pooled coefficients of variation (CV) within runs of less than 6% for controls and patient samples, and a total CV of less than 10% . Once these criteria are met, clinical results can be deemed valid for reporting ."}