USER MANUAL CS-400 AUTO-CHEMISTRY ANALYZER Instruction: Dear user, thanks for purchasing our CS-400 Auto-Chemistry Analyzer. Please read the user manual carefully in order to operate the instrument correctly. Incorrect operation may affect the precision and accuracy of the test results, or endanger personal safety. Please keep the user manual safely for your any time reference. Note: ● Instrument should be operated by medical inspection specialist, physician, nurse or lab assistant who are specially trained. ● Instrument should be controlled by special software. Please install the software that is appointed by our company. Installation of other software/hardware may interferer normal operation. Don’t operate other software when instrument operating. ● Dust may accumulate on the surface of instrument after long time storage. Soft cloth or gauze can be used for cleaning work, and a little detergent can be used if necessary. Please cut off the power supply before cleaning. When instrument is not used, make sure shut the lid down. ● As to the use and storage method of the sample, reagent, Controls, Calibrator, please refer to the relevant instructions. ● Sample, Controls, Calibrator and waster solution have the potential biochemical infectivity; the detergents are corrosive that may hurt eyes, skin and mucosa. Operator should refer to the safety regulation for lab operation. Protective measure should be taken to operator (Such as lab protective clothes and gloves). ● Avoid contact with eyes and skin, in case of skin contact, flush the area with water, rinse immediately with plenty of water and seek medical advice. ● Operator should comply with the local regulation when draining and dealing with reagent, waste solution, waste sample, consumable etc. Please dispose the waste solution and instrument consumable according to the regulation of medical waste, infective waste and industrial waste. I Warning: ● Instrument should be operated in a good ground condition, and an independent power supply is a must, the input power should be conformed to instrument requirement. ● Don’t pull the electrical wire with wet hand, or there is a risk of electrical shock. ● Doesn’t stamp, twist, drag the wire and cable, or it may cause a fire. ● Please don’t open the back and side cover board before cutting the general power supply except DIRUI Medical special service staff. ● If liquid occurs in instrument interior or there is an internal pipeline leakage, please immediately cut off the general power supply, and contact DIRUI Medical customer service dept. ● Please don’t touch sample probe, reagent probe and stirring rod, etc. when instrument operating, don’t put your hand into the opening part, or it may cause body injury or instrument damage. ● Cut off the power supply before replace light source lamp. Don’t touch the lamp before it is cool to avoid burning. ● Periodic maintenance should be executed strictly according to the user manual. Or it may cause instrument malfunction, and affect the accuracy and precision of test results. ● Make sure that the Auto-Chemistry Analyzer is operated according to the user manual, or the measuring result is not a reliable one, and the damage on instrument may endanger human safety. ● Please don’t place combustible material around the instrument. II Catalogue Chapter 1 Brief Introduction...........................................................................................................................1 1.1 Summary ......................................................................................................................................................1 1.2 Main technical index ...................................................................................................................................1 1.3 Composition of instrument .........................................................................................................................3 1.4 Configuration and function ........................................................................................................................8 1.5 Instrument Symbol ....................................................................................................................................21 Chapter 2 Function and Measuring Principle .............................................................................................22 2.1 Mechanism movement principle ..............................................................................................................22 2.2 Assay mode .................................................................................................................................................24 2.3 Check of measure value ............................................................................................................................57 2.4 ISE testing principle ..................................................................................................................................62 Chapter 3 Instrument Installation ................................................................................................................66 3.1 Installation requirement ...........................................................................................................................66 3.2 Open package .............................................................................................................................................67 3.3 Installation procedure ...............................................................................................................................68 Chapter 4 Accessory Device...........................................................................................................................76 4.1 Sample disk barcode reader .....................................................................................................................76 4.2 Reagent barcode reader ............................................................................................................................77 4.3 Purified water equipment .........................................................................................................................78 Chapter 5 CS-400 Software Operation .........................................................................................................79 5.1 Software interface instruction ..................................................................................................................79 5.2 Software Operation ...................................................................................................................................83 5.3 Instrument standard specification ...........................................................................................................86 Chapter 6 Instrument Operation ..................................................................................................................88 6.1 Overview of operation ...............................................................................................................................88 6.2 Detailed operation .....................................................................................................................................89 Chapter 7 Calibration Information ............................................................................................................122 7.1 Colorimetric calibration..........................................................................................................................122 7.2 ISE calibration .........................................................................................................................................127 Chapter 8 Quality Control ...........................................................................................................................129 8.1 QC registration ........................................................................................................................................129 8.2 QC interval ...............................................................................................................................................133 8.3 Monthly quality control ..........................................................................................................................135 Chapter 9 System Setup ...............................................................................................................................137 9.1 Chemistry parameter ..............................................................................................................................137 9.2 Item combination .....................................................................................................................................145 9.3 Calculated item ........................................................................................................................................146 9.4 Cross contamination................................................................................................................................147 9.5 Report sheet format.................................................................................................................................150 9.6 ISE Setup ..................................................................................................................................................153 9.7 Other setup ...............................................................................................................................................154 9.8 Manual item setup ...................................................................................................................................156 9.9 LIS communication setup .......................................................................................................................156 Chapter 10 System management .................................................................................................................158 10.1 User information....................................................................................................................................158 10.2 Hospital information .............................................................................................................................159 10.3 Other information..................................................................................................................................160 10.4 Workload statistics ................................................................................................................................165 10.5 Database maintenance...........................................................................................................................167 10.6 System log ...............................................................................................................................................168 Chapter 11 System Help ...............................................................................................................................169 11.1 System help application.........................................................................................................................169 Chapter 12 System Maintenance.................................................................................................................170 12.1 System maintenance preparation .........................................................................................................170 12.2 The Application of system maintenance menu....................................................................................171 12.3 Maintenance and checkup points and parts........................................................................................180 III 12.4 Maintenance and check up method......................................................................................................183 12.5 ISE device maintenance ........................................................................................................................206 Chapter 13 Alarm Data Processing.............................................................................................................213 13.1 Alarm information type ........................................................................................................................213 13.2 Countermeasure to malfunction do not issue alarm...........................................................................213 13.3 Instrument alarm list.............................................................................................................................214 Chapter 14 Instrument Transportation and Storage .................................................................................244 14.1 Transportation requirement.................................................................................................................244 14.2 Storage requirement ..............................................................................................................................244 14.3 Storage environment .............................................................................................................................244 Addendum A Product Warranty .................................................................................................................245 Addendum B Product Description ..............................................................................................................246 Statement ..........................................................................................................................................................250 IV Chapter 1 Brief Introduction 1.1 Summary CS-400 Auto-Chemistry Analyzer is an instrument with discrete system, reagent open function, emergency priority function as well as an external computer. The instrument is composed of humanized software operation system, intelligent zed optical unit, complicated mechanism system, precision liquid path and accuracy electrical system. The instrument could automatically realize sampling, reagent injection, anti-interference, mixture, pre-temperature, reaction measurement, rinse, calculation, display and print function. The substitution of manual operation for automatic operation could not only enhance the working efficient but also decrease the test error, thus greatly enhance the accuracy and precision of test results. CS-400 Auto-Chemistry Analyzer could carry out the immunology check and biochemical analyze of blood, urine, ascites, cerebrospinal fluid and other body fluid. The instrument could also carry out clinic test, such as: myocardium enzymogram, blood sugar, blood fat, liver function, renal function, immunoglobulin, etc. 1.2 Main technical index Instrument structure: Throughput: Discrete system Constant speed, 400 tests/ hour (800 tests/ hour with ISE) Simultaneous analysis item No.: At most 88 colorimetric items, 3 ISE items (K, Na, Cl). Sample volume: 2 to 35μl, (Stepping 0.1μl) Reagent volume: 20 to 350μl,(Stepping 1μl) Reaction solution volume: 150~450μl Liquid level sensor: Integration of sample probe and reagent probe with touch sensor and sample probe block test function. Stirring: Independent stirring after reagent injecting. Sample disk: 115 samples position (50 routine samples, 34 Calibrators, 20 STAS samples, 8 Controls, 3 Detergents) Reagent disk: Dual disk Disk 1: 45 positions for Reagent 1, Reagent 4, diluents and CS anti-bacterial phosphor-free detergent. Disk 2: 45 positions for Reagent 2, Reagent 3, CS anti-bacterial phosphor-free detergent. Photometer: Grating spectrophotometry system in a range of 340~750nm, wavelength: 340、 380、405、450、480、505、546、570、600、660、700、750nm V Wave length accuracy: ±2nm Light source: 20W /12V Long life quartz halogen lamp (water cooling) Measurement range: 0 to 3.3Abs Reaction disk: 120 pcs of reusable rigid optical plastic reaction cuvette. Reaction cuvette optical diameter: 6mm Reaction cuvette rinse: Automatic Incubation bath temperature: 37℃±0.1℃ Reaction time: 15 minutes at most (optional for 3, 4,5,10 and 15 minutes) Analysis method: Rate assay, end-point assay, 2-point assay. Calibration method: 1-point linearity, 2-point linearity, multi-point linearity, non-linearity method. Reagent bottle volume: 20ml, 70ml Reagent cooling unit: All reagents keep at 5℃ - 15℃, semiconductor refrigeration. Barcode scanning: 3 internal barcode scanner ( scan the barcode on the routine sample, on the R1, R2 disk ) Reagent volume test : Test and report the reagent remaining volume. Power supply: ~220/230V Ambient temperature: 15℃~32℃ Relative humidity: 40% ~ 85% Appearance dimension: 1060×790×1150mm ( length×width×height) Fixing power: 2000VA Weight: About 300Kg 2 50Hz Optimum temperature: 18℃ to 25℃ and reagent 1.3 Composition of instrument 1.3.1 Appearance of instrument 1.3.1.1 Front of instrument ① Model symbol ② Cover ③ Left front door ④ Right front door Figure 1-1 Front of instrument 3 1.3.1.2 Front of opening door ① ISE pipetting syringe ② ISE diluting syringe ③ ISE inner standard solution syringe ④ Alkaline detergent port ⑤ Sample syringe ⑥ R2 syringe Figure 1-2 Front of opening door 4 ⑦ R1 syringe 1.3.1.3 Rear of instrument ① ③ ② ① Power supply inlet ② RS-232 interface ⑤ Purified water inlet ⑥ Vacuum tank waste solution outlet ④ ③ Cooling fan ⑤ ⑥ ⑦ ⑧ ④ Diluted waste solution outlet ⑦ Concentrated waste outlet ⑧ Port of concentrated waste level sensor Figure 1-3 Rear of instrument 5 1.3.1.4 Top of instrument ① ⑦ ⑧ ② ③ ⑨ ④ ⑩ ⑤ 11 ○ ⑥ 12 ○ ① Sample pipetting mechanism ② Cuvette rinsing mechanism ③ Reaction disk ④ R1 stirring mechanism ⑤ R1 reagent pipetting mechanism ⑥ R1 reagent disk ⑦ Pilot lamp of sample disk rotation ⑩ R2 reagent pipetting mechanism ⑧ cooling lip of inner track of sample disk 11 ○ R2 stirring mechanism Figure 1-4 Top of instrument 6 ⑨ Sample disk 12 ○ R2 reagent disk 1.3.1.5 Right of instrument ① ② ③ ④ ① Analytical unit switch (cooling power supply is excluded) ② Pilot lamp of cooling power supply (green) ③ General power supply switch ( breaker) ④ Pilot lamp of power supply ( red) Figure 1-5 Right of instrument 7 1.3.2 System configuration Figure 1-6 System configuration 1.4 Configuration and function CS-400 Auto-Chemistry Analyzer is composed by operating system and analytical system. The two parts is connected by RS-232 serial wire. 1.4.1 Operating system Operating system is composed of host, 17 inch CRT display monitor, keyboard, mouse and printer. Host computer: Windows XP system Special applied software and database. Computer configuration: Basic frequency ≥ 2.8GHz. Hard disk≥ 160G Memory ≥ 1G With RS-232 serial interface, website interface and USB interface. CRT display monitor: Display all kinds of form, curve and test data of CS-400 software. Keyboard: Operation control and data input. Mouse: Carry out software operation Printer: 8 Print out test data and chart. 1.4.2 Analytical system Analytical system is composed of sample disk, sample pipetting mechanism, reagent disk, reagent pipetting mechanism, reaction disk, stirring mechanism, cooling system, rinsing mechanism, optical system etc. 1.4.2.1 Sample disk ! Warning: △ z When instrument operating, be sure to close the cooling lid on the inner track of sample disk and screw the knob. z The sparkling of LED pilot lamp indicates that sample disk is turning or going to turn, do not change sample or touch sample disk at this time, or it may cause body injury or instrument damage. ① ② ① Outer track ② Middle track ⑤ Handgrip of sample disk inner track ⑧ Handgrip of sample disk outer track ③ ④⑤ ⑥ ⑦⑧ ③ Inner track ⑥ Sample disk guide pin ⑨ ④ Sample disk inner track pin ⑦ Locking block of inner/outer disk ⑨ Sample barcode reader Figure 1-7 Sample disk (1) Composition and function Sample disk is composed of outer track, middle track, inner track and LED pilot lamp. The inner track has cooling function, thus the Controls and Calibrator on inner track of disk can be restored in 5℃~15℃. Place the containers (standard cup, micro cup, test tube) which contain Calibrator, sample, Controls on the sample disk, and then the sample disk will send them to the sampling position in the sampling mechanism. (2)Specifications ( Sample No.) (Outer track): For routine samples (1-50)………………………………………….50cups 9 (Middle track): For Calibrator (S1-S17)……………………………………………...17cups For STAT sample (E51-E70)………………………………….…….. 20 cups For detergent (W1-W3)………………………………………………..3 cups (Inner track): For Calibrator (S18-S34)……………………………………………..17 cups For Controls(C1-C8)………………………………………………..8 cups (3)Movement At Power on: Sample disk turns counterclockwise to move routine sample No.1 to the sampling position. At analysis: At start of analysis, sample disk makes the same movement as ―power on‖. During analysis, sample disk turns to the direction allowing a quicker access. At resetting: Make the same movement as at ―power on‖. (4) Mounting / dismounting When mounting the sample disk, be sure to set the sample disk matching with the guide pin. Set the latch on the inner track. Also, be sure to secure the cooling unit lid on the inner track, the outer track can be demounted without removing the inner track. Note:When mounting/demounting the routine sample disk (outer track), be sure to hold the hooks with both hands. In order to change the sample in inner track, be sure that sample probe has stopped sampling or been under the stand-by status and take out the disk cover first. Before operating, please check the disk position. (5) Action check Single-click ― maintenance‖ key, select ― mechanism operation checkup‖, input the check times, single-click ― Execute ‖ button. Alarm is issued when abnormality exists. 1.4.2.2 Sampling mechanism ! Warning: △ ● 10 Please don’t touch the sampling mechanism when operating, or it may cause body injury or instrument damage. ① ② ③ ④ ① Sample probe up and down mechanism ② Sample probe rotation arm ③ Sample probe ④ Rinsing bath of sample probe Figure 1-8 Sampling mechanism (1) Function Assimilates a specified amount of sample from sample container and pipets it into reaction cuvette. The sample probe possesses the liquid level detect function. Alarm is issued when touch occurs in descending process, and alarm is issued also when sample probe is blocked. (2)Specification Sampling mechanism can assimilate 2.0-35.0 ul sample volume, set in 0.1ul stepping. Sample probe will assimilate more than specified amount. Minimum sample volume requires more than 100 ul. (3)Movement At power on: The sample probe comes over above the reaction cup, and then returns above the sample probe rinse bath. At analysis: The sample probe circulates up and down motions as the following sequence:Sample container, reaction cuvette, sample rinsing bath. Automatic sample probe rinsing is carried out when sampling finished. At start of analysis, the sample probe makes the same movement as at power on. In the rinsing bath, the inner and outer walls of the probe are rinsed. Sample probe block test is carried out simultaneously. At resetting: Makes the same movement as at power on. Assimilate sample: sampling is taken when sample probe descent 1.7mm below liquid level. (4) Automatic rinsing Automatic rinsing of probe: After assimilating the sample, the sample probe will return above the rinsing bath to wash the inner and outer walls of probe。When sampling is finished, the Alkaline detergent is 1 1 assimilated from the position W1 of the sample disk. (5)Operation check Single-click the ―Maintenance‖key, select―mechanism operation checkup and input the check times. Click ―Execute ―. If abnormality exists, instrument will issue alarm. 1.4.2.3 Reagent disk ! Warning: △ ● Please don’t touch the lid of the reagent disk when running or it may cause body injury and instrument damage. ① ② ③ ④ ⑤ ⑥ ⑦ ① Reagent disk cover ② Locking knob of cover ③ Reagent bottle ( on the reagent rack) ④ Track pin of reagent disk ⑤ Handgrip of reagent disk. ⑥ Reagent disk guide pin ⑦ Reagent disk open detector Figure 1-9 Reagent disk (1)Function The reagent disk accommodates reagent bottles and carries the specific reagent, diluents and Anti-bacterial phosphor-free detergent to the pipetting position in pipetting mechanism. Cooling system can keep the reagent disk in a lower temperature to store reagent. There is a barcode reader on the wall of reagent cooling unit, which can scan the barcode on reagent bottle. (2)Specification Reagent disk 1 (R1): R1, R4, diluents and detergent, total 45 bottles. Number 45 position is specially used for Anti-bacterial phosphor-free detergent. Reagent disk 2 (R2): R2, R3, diluents and detergent, total 45 bottles. Number 45 position is specially used 12 for Anti-bacterial phosphor-free detergent. Reagent bottle capacity: 70ml、20ml Single-reagent usage: Single-reagent can be used as Reagent 1 or Reagent 2 that is putted into both two reagent disk. (3)Movement At power on: Turning clockwise, Position 1 of R1 and R2 disks carry each bottle to the reagent pipetting position. At analysis: Initial operation is the same as at power on. Subsequently, the disks rotate in the direction which allows a quicker access. At resetting: Make sure same as at power on. (4)Operation check Single-click the ―Maintenance‖key, select―mechanism operation checkup and input the check times. Click ―Execute―. If abnormality exists, instrument will issue alarm. (5)Mounting/ Dismounting Fix the disk with 2 latches at the center of disk. To remove the disk, loose the latches. For mounting, be sure to set the disk matching with the guide pin and fasten it with the latches. The reagent disk cover must be attached except for replacement of the disk of reagent. During operation, the reagent probe may moves, so avoid detaching the reagent disk cover at this time. Note: If operator open the disk cover during stand-by or running state, alarm occurs. Reagent horizontal scanning will be automatically carried out when cover the reagent disk lid at stand-by status. 1.4.2.4 Reagent pipetting mechanism ! Warning: △ ● Be sure to close the lid of reagent disk when instrument operating, and fasten the knob. 1 3 ① ② ③ ④ ① Reagent probe up and down mechanism ② Rotating arm of reagent probe ③ Reagent probe ④ Rinsing bath of reagent probe Figure 1-10 Reagent pipetting mechanism (1)Function Assimilate a specified amount of reagent from each reagent bottle and pipets it into a reaction cuvette. The reagent probe acts as a sensor at the liquid surface level. The remaining amount of reagent in a bottle is calculated from the descending distance of reagent probe and displayed on the ―reagent info.’ menu. (2)Specification Reagent volume: 20 to 350ul set in 1 ul stepping. (3)Movement At power on:Move toward the reaction cup side once and then returns above the probe rinsing bath. At analysis: Reagent probe circulates the motion as the following sequence: reagent bottle--reaction cuvette—reagent probe rinsing bath. At resetting: Make the same action as at power on. (4)Automatic rinsing Assimilate Anti-bacterial phosphor-free detergent from the position 45 on the reagent disk for three times and infuse it into reaction cuvette for three times and return to the probe rinsing bath to wash inner and outer walls of the probe. (5)Movement check Single-click the ―Maintenance‖key, select―mechanism operation checkup and input the check times. Click ―Execute ―. If abnormality exists, instrument will issue alarm. 14 1.4.2.5 Reaction disk ! Warning: △ ● Please don’t touch the reaction disks during operating, or it may cause mechanical failure. ① ② ③ ④ ⑥ ⑤ ① Reaction cuvette rinsing mechanism ② Reaction disk ③ Fixing screw ④ Fixing knob of reaction disk ⑤ Guide pin and hole ⑥ Reaction cup groupware handgrip Figure 1-11 Reaction disk (1)Function Fasten reaction cuvette by screw, and be sure to keep chemical reaction in constant temperature of 37℃. Each reaction cuvette also serves as a cell for absorbance measurement. (2)Specification Reaction cuvettes No: 20 cuvettes/set * 6 sets ( 120 cuvettes in total) Optical diameter: 6mm Material of reaction cuvette: Optical plastic (3)Operation Always rotates counterclockwise At power on:Rotates and stops at the start position. At this time, the first reaction cuvette is located under the first rinse nozzle. At analysis: Initially operates the same as at power on, then circulates a cycle of half turn and one pitch advance (covering 61 reaction cuvettes) followed by temporary stop. Each full turn takes about 18 seconds. 1 5 At resetting: Make the same action as at power on. (4)Rinsing At position No. 45 of both reagent disks, set a bottle containing Anti-bacterial phosphor-free detergent and open its cap. Carry out ― rinsing reaction cuvette‖ in the ―maintenance‖ window, all the reaction cuvettes will be rinsed. It is usually rinsed by Alkaline detergent in the front-left of instrument, so daily maintenance for reaction cuvettes is unnecessary. (5)Operation check Single-click the ― Maintenance‖ key, select ― mechanism movement checkup‖, and input the check times. Click ― Execute―. If abnormal exist, instrument will issue alarm. (6)Demounting Reaction disk: Remove the rinse mechanism from above the reaction disk and completely loosen the fixing knob at the center. The reaction disk can be lifted out. For mounting, align the guide pin of instrument with the guide hole of the reaction disk and tighten the fixing screw. Reaction cuvette: Remove the cuvette setscrew and pull up the reaction cuvette block by holding the handgrip, and the reaction cuvette can be removed from the reaction disk. Note:Keep reaction cuvette immersed in purified water. Besides, if the instrument will be not used more than 3 days, reaction cuvette should be removed and immersed in purified water. 1.4.2.6 Incubation bath ! Warning: △ ● Keep the cleanness of purified water in incubation bath, or it may effect the test precision. ● When instrument startup or rinsing incubation bath, make sure there is enough Anti-bacterial phosphor-free detergent at No.45 position. (1)Function Keep the reaction solution in the reaction cuvette at a constant temperature. (2)Operation At power on: Automatic exchanges the constant temperature water once, the Anti-bacterial phosphor-free detergent in position No.45 of both reagent disks is added in incubation bath. At analysis: Incubation bath water is circulating. Instrument may automatically supply water when water shortage comes in operation process. Exchange water: In ―maintenance‖ window, select ―rinsing incubation bath‖ , and then the constant temperature water may exchange, and then add 6ml CS anti-bacterial phosphor-free detergent in incubation bath water. Note: After running for 24 hours, instrument may require ―incubation bath water exchange‖, please carry out ― Rinsing incubation bath‖. 16 1.4.2.7 Stirring mechanism ! Warning: △ ● Please don’t touch stirring mechanism When operate, or it may cause body injury or instrument damage. (1) Function Stirring the reaction solution in each reaction cuvette. (2) Operation At power on: Move to the side of reaction cuvette and then stops above the rinsing bath, move to the side of reaction cuvette again, and then stops above the rinsing bath. At analysis: The mechanism descends, rotates, rises and stops between two locations: reaction cuvette and stirring rod rinsing bath. Stirring is carried out after each addition of reagent 1(R1),reagent 2(R2), reagent3(R3), reagent 4(R4). R1 and R4 use Stirring rod mechanism 1. R2 and R3 use Stirring rod mechanism 2. (3) Automatic rinsing Automatic rinsing of stirring rod: when stirring rod descends into stirring rod rinsing bath, mechanism may automatically rotate and washes the stirring rod with purified water. Sampling finishing: Stirring rod is stirring in reaction cuvette in which detergent is added, thus rinse the stirring rod. (4) Operation check Single-click the ―maintenance‖ key, select ― mechanism operation check‖, and input the check times. Click ― Execute‖. If abnormality exists, instrument will issue alarm. 1.4.2.8 Reaction cuvette rinsing mechanism ! Warning: △ ● Please don’t touch the rinsing mechanism when operate, or it may cause body injury or instrument damage ● Avoid directly contact with body, or it may cause infection. Please adopt protective measure. In case of skin contact, flush the area with water, rinse immediately with plenty of water and seek medical advice. (1)Function Eliminates the reaction solution, rinse the reaction cuvette, used for test cell blank injects and eliminates purified water which (2 ) Composition of rinsing nozzle 1 7 C D A B A B B E 测4 4times 次杯空白(1 次通过) cell blank次停止,3 measurement. Rotational Rotational direction of Reaction disk 1 stop, 3 pass. Figure 12 Arrangement of Rinse Nozzles Above figure shows that seven steps are needed when rinsing reaction cuvette. (Four times cell blank test is added) , therefore, to finish rinsing one reaction cuvette, 11 steps are needed. Step 1: Nozzle 1D assimilates reaction solution, then 1C discharges detergent to reaction cuvette. Step 2: Nozzle 2B assimilate detergent from reaction cuvette, then 2A discharges purified water to reaction cuvette. Step 3: Nozzle 3B assimilates the purified water from reaction cuvette, then 3A discharges the purified water to reaction cuvette. Step 4: Nozzle 4B assimilates the purified water from reaction cuvette, and wipes the reaction cuvette at the same time. Step 5: Nozzle 5E discharges the purified water to reaction cuvette. Step 6,7,8,and 9: Carry out the cell blank check measurement at the fifth nozzle. The reaction cuvette with full purified water allows 4 times cell blank measurement. (1 time static measurement, 3 times dynamic measurement when reaction cuvette passed by during reaction disk turning ) Step 10: Nozzle 6F assimilates the purified water, which has carried out the cell blank absorbency check. Step 11: Nozzle 7 F assimilates the remaining water in reaction cuvette, and wipes the reaction cuvette at the same time; Nozzle 7G only discharges the purified water in rinsing process before sampling, rinse the nozzle tip. Distribution of 11 rinsing nozzles: A. For discharging purified water ………………………….2 nozzles B. For assimilating rinse water…………………………….3 nozzles C. For discharging detergent……..…………………………1 nozzle D. For assimilating reaction solution ..……………………. 1 nozzle E. For discharging purified water for cup blank……………1 nozzle F. For aspirating purified water for cup blank……………….2 nozzles 18 G. For discharging purified water ………………………..…1 nozzle (3)Operation At power on: Rises when already down At analysis: Rinse the reaction cuvette and carry out the water blank test in the rotational direction of arrangement of rinse nozzle in Figure.1-13. (4)Operation check Single-click the ―maintenance‖ key, select ― mechanism operation check‖, and input the check times. Click ― Execute ‖. If abnormality exist, instrument will issue alarm. (5)Dismounting The rinse mechanism can be shifted from the reaction disk by loosening the fixing screw at the head. 1.4.2.9 Reagent cooling system (1) Composition and function: Cooling system is composed of reagent cooling system and sample cooling system, which could cool the reagent, Controls and Calibrator respectively. (2)Specifications Temperature: 5 -- 15℃ ! Warning: △ ● Even the analyzing system is power off, cooling system is still at working status. The cooling system only stop working when main power supply is cut off. ● The usage and storage of Reagent should be performed strictly according to user manual. 1.4.2.10 Optical system Concave diffraction grating Detector (340-750nm) 12 fixed wavelength Light source lamp Reaction cuvette Figure 1-13 Photometer 1 9 (1) Function When the reaction disk rotates, the absorbance of purified water or reaction solution is measured in each reaction cuvette. As above figure shows. (2)Specification: Carry out photometry with dual-wavelength or single-wavelength at wavelengths: 340nm、380nm、405nm、 450nm、480nm、505nm、546nm、570nm、600nm、660nm、700nm、750nm. Wavelength accuracy: ±2nm Measuring range: 0 -3.3 Abs Spectral bandwidth: FHW 8 to 10nm Detector: Silicon photodiode Light source: 12V, 20W halogen lamp 20 1.5 Instrument Symbol Symbol Meaning To perform as the instruction under the symbol, emphasize the important information and special contents. To perform as the instruction under the mark, or it may cause biological infection AC symbol Only diagnostic use Storage at Batch code Use by Serial number Measurement Control Manufacture by Grounding terminal Table 1-2 Instrument symbol 2 1 Chapter 2 Function and Measuring Principle The function and measuring principle is composed of mechanism movement principle and analyzing assay. 2.1 Mechanism movement principle CS-400 Auto-Chemistry Analyzer consists primarily of the sample disk, sampling mechanism, reagent disk, reagent pipeting mechanism, reaction disk, reaction bath, rinsing mechanism and photometer. Operation of each mechanism is explained according to figure 2-1: After starting, instrument carries out resetting first, rotates the R1 reagent disk and R2 reagent disk to Position 1, then rotate them for 360 degrees, the R1 reagent probe, R2 reagent probe, sample probe, R1 stirring rod, R2 stirring rod are all stopped at the upper side of their rinsing bathes respectively. Upon pressing the start key, the rinse mechanism starts rinsing from reaction cuvette No1. The reaction disk rotates by 22 patches and stops temporarily, and then rotates by 37 patches and stops, sequently, 2 more patches and then stops. This sequence is carried out again to cover one full turn plus 2 patches (18 seconds). Cell blank is measured when the reaction cuvette passes through the photometric unit during rotation of the reaction disk. The measured value of cell blank becomes the reference value for the subsequent absorbance measurement. The liquid in the reaction cuvette is assimilated through the nozzle of rinse mechanism. After rinsing the reaction cuvette for 3 minutes (the reaction disk rotates 10 circles), the sampling mechanism begins to work when reaction disk rotates the 11th turns, and the sample probe moves above of the sample cup and decends into the cup. Since the sample probe comprises a liquid level sensor, the probe stops descending when its tip enters the sample. A set volume of sample is assimilated with the sample pipettor. Next, the sample probe moves to the top of No.1 reaction cup and descends until its tip reaches the bottom of the cuvette, where the sample is discharged. The sample probe further moves to the inside of probe rinsing bath, where its inner and outer walls are washed with purified water. On the other hand, the reagent pipetting mechanism assimilates reagent 1 (with R1 probe), while the reaction disk rotates by 22 patches, stops temporarily and the rotates by 37 patches after the fore mentioned sampling mechanism has discharged the sample into the reaction cuvette. When the reaction disk stops temporarily after the above rotation, reagent 1 is discharged into the reaction cuvette. And when the reaction disk stops temporarily after rotating by 2 patches, the R1 stirring mechanism mixes the sample and reagent. The reagent pipetting mechanism rotates to the top of reagent bottle in the specified channel and descends while assimilates and discharges reagent. A set volume of reagent is assimilated, then the reagent probe moves to the top of reaction cuvette and discharges the reagent, followed by returning to the rinsing bath and washing of its inner and outer walls. Add reagent R1 and start photometry. Measurement is made when each reaction cuvette passes through the optical path during rotation of the reaction disk. The reaction disk rotates15 turns plus 22 patches to the reagent 2 pipetting position, where reagent 2 is added with R2 probe. Reagent 2 is stirred with the R2 stirring mechanism after the reaction disk rotates by 16 turn plus 2 patches and stops temporarily, and then rotates 22 patches and stops temporarily. After 26 turns plus 37 patches , reaction disk comes to the reagent 3 sampling position, and reagent probe 2 assimilates reagent 3. R2 stirring rod begins to work after 2 more patches of reaction cuvette. After 41 turns plus 37 patches , reaction disk comes to the reagent 4 sampling position, and reagent probe 1 assimilates reagent 4. R1 stirring rod begins to work after 2 more patches of reaction cuvette After the lapse of about 15 minutes (60 circles), the first cup measurement is over, and the reaction solution in No. 1 reaction cup is assimilated with the nozzle of cuvette rinsing mechanism, which will discharge cleaning liquid and water into the reaction cup to rinse the cup. The instrument stops and goes to 22 standby status when the last reaction cuvette has been washed, and goes to the the cell blank status. The reagent probe and sample probe will be rinsed respectively by their own detergents added by themselves after every test. Reagent combination (R1, R2, R3, R4) of each item and reaction time (3~15 mins) is set in the ―Analytical parameter‖ form in ―System setup‖ 2.1.1 Operating Position Operating principle of 120 reaction cuvette is showed as below: Reset point Rinsing mechanism Position No. of reaction cuvette. 63,光电检测位 Photoelectric detection 62,R1 stirring 62,R1 stirring rod position 搅拌探针 63,R4 stirring position Sop and wipe Sam. probe Sample probe 60 R1 Pipetting R1, R4 Probe 61 R4 Pipetting Reference position number Reagent probe 2,3 Reagent probe Stirring probe Stirring Figure 2-1 Each mechanism operation position 2.1.2 Analytical flow The analytical flow of CS-400 Auto-Chemistry Analyzer is show in figure 2-2: 2 3 Table 2-1 Analytical flow 2.1.3 Photometric Features This instrument adopts the whole reaction monitoring system, which intermittently measures the absorbance of reaction solution for a reaction time of 15 minutes. The reaction disk rotates 1 turn plus 2 pitches in about 18 seconds and during this time the absorbance is measured for all of 120 reaction cuvettes which go across the optical axis of the photometer. For each reaction cuvette, measurement is made10 times in a reaction time of about 3 minutes. 13 times measurement is made during 4 minutes (13 photo metric point.). 16 times measurement is made during 5 minutes (16 photo metric point33 times measurement is made during 10 minutes (33 photo metric point.) .49 times measurement is made during 15 minutes (49 photo metric point.) CS-400 multi-wavelength photometer condenses the white light emitted from the light source lamp through the lens, passes the condensed light through the reaction cuvette and separates the light with the concave diffraction grating. The separated respective wavelength components are simultaneously received on the 12 fixed detectors and amplified by 12 amplifiers, then logarithmically converted to obtain the absorbance or difference in absorbance. In 2 wavelengths photometry, concentration is measured by the value of the difference of dominant wavelength and complementary wavelength. This means that the photometer features a correcting effect for lipemia, hemolysis and icterus of sample and has a compensating effect for fluctuation in source voltage, thus realizing stable measurement. 2.2 Assay mode The assay mode of Auto-Chemistry Analyzer is based on the Beer-Lambert law that the material selective absorption light The main principle is: When monochromatic light with specific wavelength passes through the cuvette with sample, the monochromatic light absorbency and sample liquid concentration are varies directly as the distance 24 which is passed through sample liquid by light: I A = lg(1/T)= lg( 0 )= ε b c It A - Absorbency of the light when passing through liquid T - Transmitted intensity and incident intensity ratio: transmittance It/I0; I0 - Incident intensity It - Transmitted intensity ε - Molar absorption coefficient of solution(ml×mmol 1×cm 1) ; - - c - Mol concentration of the solution(mmol/ml); b - Solution layer thickness(cm); Solution layer thickness (b): Optical path, which is fixed by instrument. Molar absorption coefficient (ε) is the correlation coefficient of the wavelength, solution and solution temperature. Linear relationship is displayed between solution thickness and absorbency when in stable temperature and single wavelength(ε value is given on the reagent bottle by factory) If the sample liquid adequate distribution, interaction between liquid and incidence monochromatic light only happens during absorbing process. No fluorescence, disperse and photochemical appear. No interaction between substances in the solution while absorbing process. The absorbency possess conducts nature, and this condition conforms to the Beer-Lambert law 2.2.1 Assay mode variety As to how to set the assay parameter and standard liquid parameter, please refer to user manual. Assay mode is showed as table 2-2: 2 5 Method Item Photometry point L– 0– 0– 0 1<L≤49 1-point Assay Cell blank Formula B1 + B 2 + B 3 3 AL + AL−1 2 Note t :time B1 + B 2 + B 3 L– M– 0- 0 1<L<M≤49 2-point Rate Assay 3 ( AM + AM −1 ) − k ( AL + AL −1 ) 2 (minute) between photometry point L、m 1-point & Rate Assay Second half Second half M–N–0–0 1<L≤M<N≤49 L– M – 0 - 0 3≤L<M<N<P≤49 L +2<M Second half B1 + B 2 + B 3 △(AQ- P)-k△(AN -M) 3 3 AL + AL−1 2 B1 + B 2 + B 3 3 ( AN + AN − 1 ) − k ( AM + AM −1 ) 2 B1 + B 2 + B 3 3 N–P–0–0 3≤L<M<N<P≤49 N+2<P First half AL + AL−1 2 B1 + B 2 + B 3 3 B1 + B 2 + B 3 L– 0 – 0 – 0 1<L≤M<N≤49 First half △A(M-L) 3 L– 0 – 0 – 0 1<M<N≤L<P<Q≤49 Rate A Assay with Serum Index Measurem ent. AM + AM −1 AL + AL −1 − 2 2 t B1 + B 2 + B 3 M–N–P–Q 1<M<N≤L<P<Q≤49 M+2<N,P+2<Q Rate A Assay Rate B Assay (mode 2 ) 3 L– M – 0 - 0 1<L<M≤49 L +2<M First half Rate B Assay (mode 1 ) B1 + B 2 + B 3 L– M– 0– 0 1<L<M≤49 2-point assay P-N ( different wavelength from the Half) Two △ A(P-N)–k △ A(M-L) ( same conditions wavelength as the second half) B1 + B 2 + B 3 L– M – 0 – 0 3≤L<M<N<P<Q<R≤49 L +2<M B1 + B 2 + B 3 3 Table 2-2 Assay mode table Explanation of symbols: 26 △A(M-L) 3 L,m,n,p,q,r : Photometric points Rn : Volume of nth reagent ,n=1 to 4 △A(R-Q)– k△A(P-N) SB : Stopped cell blank B1,B2,B3 : Passed cell blanks Ax : Absorbance at photometric point x △A(m-L) : Change in absorbance per minute between photometric points L and M k : Liquid volume correction factor a k= S + ∑ Rj j =1 b S + ∑ Ri i =1 S Rj 、Ri : Sample volume a: No. of reagents with correction (at Al measurement) B: No. of reagents without correction (at Am measurement) Note 1: The 5 th Photometric point won’t be Stirred after adding reagent 2. Stirring when the reaction disk pauses after rotates one circle plus 2 pitches Note 2: liquid in the reaction cuvette should be more than or equal to 150 ul, less than or equal to 450ul. Note 3: Do input 0 if the photometric point is not used. (1) 1-point Assay Absorbance Endpoint assay in which absorbance is measured at a designated photometric point (specific time point when reaction reach balance) after addition of reagents. Figure 2-2 explains the 1-point assay. Cell blanks (B1+B2+B3)/3 R2~R4 R1 S AL + AL − 1 2 SB B1 B2 B3 Time Figure 2-2 1-point Assay (a) Photometric point : 【L】-【0】-【0】-【0】 (1< L ≤ 49) (b) Calculation of absorbance 2 7 The average of absorbance at measurement points Land L-1 is used. AX = AL + AL − 1 2 (c) Calculation of concentration C X = {K × ( AX − B ) + C1 }× IFA + IFB SB: Stopped cup blank R1~R3: Passed cup blank R1~R4: Reagent adding position Cx: Concentration of standby sample C1: Concentration of standard 1 solution(reagent blank) K: Factor B: Absorbance of blank IFA and IFB: Instrument constants, representing slope and intercept (d) Analytical items TP, ALB, etc. (2) 2-point Assay Absorbance Endpoint assay in which measurement is made twice at different points to obtain the difference in absorbance. One point is measured as the action initial, the other point is measured when the action reach endpoint or balance. The difference between the absorbance of two photometric points is used for calculation sample concentration. Figure 2-3 explains the 2-point assay: Cell blanks (B1+B2+B3)/3 R2~R4 Am + Am −1 R1 S AL + AL −1 2 2 SB B1 B2 B3 Time Figure 2-3 2-point Assay (a) Photometric point : 【L】-【M】-【0】-【0】 (1≤ L ≤ 49) 28 (b) Calculation of absorbance The difference between the average of absorbance at measurement point m and m-1 and that at measurement point l and l-1 is used. ( Am + Am − 1) − k ( AL + AL − 1) AX= 2 a S + ∑ Rj k= j −1 b S + ∑ Ri i −1 a: No. of reagents at Al measurement b: No. of reagents at Am measurement (c) Calculation of concentration C X = {K × ( AX − B) + C1 }× IFA + IFB SB: Stopped cup blank R1~R3: Passed cup blank R1~R4: Reagent adding position Ax: the deference between the photometric point M and L Cx concentration of standby sample C1: Concentration of standard 1 solution(reagent blank) K: Factor B: Absorbance of blank IFA and IFB: Instrument constants, representing slope and intercept (d) Analytical items CRE, etc. (3) 2-point Rate Assay Measurement is made twice at different measurement points (The two point are neither measured initial nor endpoint) to determine the change in absorbance per minute in order to calculate sample concentration. For check of reaction limit level, refer to Figure 2-4: Absorbance Reaction limit level Am-1 Cell blanks R2~R4 Am 29 Figure 2-4 2-point Rate Assay (a) Photometric point : 【L】-【M】-【0】-【0】 (1< L <M≤ 49) (b) Calculation of absorbance The difference between the average of absorbance at measurement points M and M-1 and that at measurement points L and L-1, then divide the result by time. ( Am + Am − 1) ( AL + AL − 1) − AX= 2 2 t t: Time (minute) between measurement points L and M (c) Calculation of concentration C X = {K × ( AX − B ) + C1 }× IFA + IFB SB: Stopped cup blank B1~B3: Passed cup blank R1~R4: Reagent adding position Ax: Average change in absorbance per minute between measurement points L and M Cx: Concentration of standby sample C1: Concentration of standard solution 1(reagent blank) K: Factor B: Absorbance of blank IFA and IFB: Instrument constants, representing slope and intercept. (d) Analytical items 30 BUN, CRE etc. (4) Rate A Assay Ordinary Rate Assay. The concentration or activity level is obtained from the change in absorbance between the specified measurement points. Figure 2-5 explains the Rate A Assay. Absorbance S R1 R2~R4 Cell blanks (B1+B2+B3)/3 AL Am Reaction limit level SB B1 B2 B3 Time Figure 2-5 Rate A Assay (a) Photometric point : 【L】-【M】-【0】-【0】 (1<L <M≤ 49) L+2<m) (b) Calculation of absorbance The change in absorbance per minute between measurement point L and M is obtained by the least squares method AX=△A(L-m) (c) Calculation of concentration C X = {K × ( AX − B) + C1 }× IFA + IFB SB: Stopped cup blank B1~B3: Passed cup blank R1~R4: Reagent adding position △A(L-m): Change in absorbance per minute between measurement point L and M Cx: Concentration of standby sample C1: Concentration of standard solution 1(reagent blank) 31 K: Factor B: Absorbance of blank IFA and IFB: Instrument constants, representing slope and intercept. (d) Analytical items AST, ALT, etc. (5) 1-point & Rate Assay Two tests are analyzed by the endpoint assay and rate assay in a single channel. Test A is analyzed by the endpoint assay in the first half of the specified reaction time and test B is analyzed by the rate assay in the second half. Figure 2-6 explains the 1-point & rate assay. Figure 2-6 1-point& Rate Assay (a)Input of ―analytical parameter‖ Correct input of test A and test B is required respectively (Text A): Photometric point : 【L】-【0】-【0】-【0】 Dual tests assay: designate B (Text B) :Photometric point: 【M】-【N】-【P】-【Q】 1<m<n≤L<P<Q≤49 M+2<N,P+2<Q (b) Calculation of absorbance For test A, the average of absorbance at measurement points L and L-1 is used, and used for the test B is the difference obtained by subtracting the change in absorbance per minute between measurement points 32 L and M from that between measurement points N and P AA= AL + AL − 1 2 AB=△Ap×q-k△Am×n a S + ∑ Rj K= j −1 b S + ∑ Ri i −1 a:△A(N-M): No. of reagents. b:△A(Q-P) : No. of reagents. (c) Calculation of concentration. For each of tests A and B, calculation is made according to the following formula. C X = {K × ( AX − B) + C1 }× IFA + IFB SB: Stopped cup blank B1~B3: Passed cup blank Rn: Reagent adding position AA and AB : Each calculated absorbance of tests A and B k: Liquid volume correction factor S: Sample volume Rj、Ri: Volume of each reagent Cx: concentration of standby sample C1: Concentration of standard solution 1(reagent blank) K: Factor AX: Calculated absorbance B: absorbance of standard solution 1(reagent blank) IFA and IFB: Instrument constants, representing slope and intercept. In the rate assay, the change in absorbance per minute is obtained by the least squares method (6) 3-point dual assay Endpoint assay and endpoint assay without sample blank are carried out simultaneously in the same cup. The first half reaction time is used for test A, and the left half is used for test B. Figure 2-7 explains the rate A assay 33 Absorbance with serum index measurement. Cell blank Time Figure 2-7 3-point dual assay (a)Input of analytical Parameters Correct input of test A and test B is required respectively (Test A)Photometric point : 【L】-【0】-【0】-【0】 Dual tests assay: designate B (Test B) Photometric point: 【M】-【N】-【0】-【0】 1< L<M<N≤49 (b) Calculation of absorbance The average value of absorbance at photometric points L and L-1 is for test A, and test B, the difference between the average absorbance at photometric points N and N-1 and that of photometric points Mind M-1. AA = AL + AL − 1 2 AB = ( AN + AN −1 ) − k × ( AM + AM −1 ) 2 a k= S + ∑ Rj j =1 b S + ∑ Ri i =1 a:△ AM : No. of reagent when tested b:△ AN : No. of reagent when tested (c) Calculation of concentration 34 C X = {K × ( A X − B) + C1 }× IFA + IFB SB: Stopped cup blank B1~B3: Passed cup blank Rn: Reagent adding position AA and AB : Each calculated absorbance of tests A and B k: Liquid volume correction factor S: Sample volume Rj、Ri: Volume of each reagent Cx: concentration of standby sample C1: Concentration of standard solution 1(reagent blank) K: Factor AX: Calculated absorbance B: absorbance of standard solution 1(reagent blank) IFA and IFB: Instrument constants, representing slope and intercept. (7) Rate B Assay (mode 1) Two tests are analyzed by the rate assay in a single channel. In the first half of reaction time, test A is measured, and test B is measured in the second half. In the rate B assay, correction is possible with sample blank and for an endogenous reaction. However, the method of correction of such reaction varies with measuring wavelength. So this assay is categorized into modes 1 and 2 for easier explanation. Mode 1 is subdivided depending on whether or not measuring wavelength is the same between test A and B. Figure 2-8 explains the rate B assay (mode 1). 35 Figure 2-8 Rate B Assay (mode 1) When wavelength differs between tests A and B (a) Input of analytical parameters Respective entry is required for each of tests A and B. (Test A) photometric point: 【L】-【M】-【0】-【0】 (Test B ) photometric point: 【N】-【P】-【0】-【0】 3≦L <m<n<p≦49。L+2<m、n+2<p (b) Calculation of absorbance Used for test A is the change in absorbance per minute between measurement point l and m, which is obtained by least squares method. Used for test B is the change in absorbance per minute between measurement points n and p, which is obtained by the same method, but do not carry out blank correction. △AA=△A(M-L) △AB=△A(P-N) (c) Calculation of concentration. For each of tests A and B, calculation is made according to the following formula. C X = {K × ( A X − B) + C1 }× IFA + IFB SB: Stopped cup blank B1~B3: Passed cup blank AA and AB : Each calculated absorbance of tests A and B k: Liquid volume correction factor S: Sample volume Rj、Ri: Volume of each reagent Cx: concentration of standby sample C1: Concentration of standard solution 1(reagent blank) K: Factor AX: Calculated absorbance B: absorbance of standard solution 1(reagent blank) IFA and IFB: Instrument constants, representing slope and intercept. 36 When wavelength is the same between tests A and B (a) Input of analytical parameters Respective entry is required for each of tests A and B. (Test A) photometric point: 【L】-【M】-【0】-【0】 (Test B ) photometric point: 【N】-【P】-【0】-【0】 3≦L<m<n<p≦49。L+2<m、n+2<p (b) Calculation of absorbance Used for test A is the change in absorbance per minute between measurement points l and m, which is obtained by least squares method. Used for test B is the difference obtained by subtracting the above change for test A from the change in absorbance per minute between measurement points n and p, which is obtained by the same method △ AA =△A(L- M) △ AB =△A(P- N)-k×△A(L- M) a k= S + ∑ Rj j =1 b S + ∑ Ri i =1 a: △A(M - L)No. of reagents with correction b: △A(P- Q)No. of reagents without correction (c) Calculation of concentration For each of tests A and B, calculation is made according to the following formula. C X = {K × ( A X − B) + C1 }× IFA + IFB SB: Stopped cup blank B1~B3: Passed cup blank AA and AB : Each calculated absorbance of tests A and B k: Liquid volume correction factor S: Sample volume Rj、Ri: Volume of each reagent Cx: concentration of standby sample C1: Concentration of standard solution 1(reagent blank) 37 K: Factor AX: Calculated absorbance B: absorbance of standard solution 1(reagent blank) IFA and IFB: Instrument constants, representing slope and intercept. (8) Rate B Assay (mode 2) Two tests are analyzed by the rate assay in a single channel. In the first half of reaction time, test A is measured, and test B is measured in the second half. Correction of endogenous reaction is carried out by using the ratio of change in absorbance within a time period after measurement of the first test in the first half of reaction time. Figure 2-9 explains the rate B assay (mode 2). s Figure 2-9 Rate B Assay (mode 2) (a) Input of analytical parameters Respective entry is required for each of tests A and B. (Test A) photometric point: 【L】-【M】-【0】-【0】 Dual tests assay: designate B (Test B ) photometric point: 【N】-【P】-【Q】-【R】 3≦L<m<n<p≦49。L+2<m、n+2<R (b) Calculation of absorbance Used for test A is the change in absorbance per minute between measurement points l and m, which is obtained by the least squares method. Used for test B is the difference obtained by subtracting the change in absorbance per minute between measurement points n and p from that between measurement points q and r, which is obtained by the same method △ AA =△A(L- M) △ AB =△A(P- Q)-k×△A(P- N) 38 a S + ∑ Rj k= j =1 b S + ∑ Ri i =1 a: △A(P- N)No. of reagents b: △A(R- Q)No. of reagents (c) Calculation of concentration For each of tests A and B, calculation is made according to the following formula. C X = {K × ( A X − B) + C1 }× IFA + IFB SB: Stopped cup blank B1~B3: Passed cup blank AA and AB : Each calculated absorbance of tests A and B k: Liquid volume correction factor S: Sample volume Rj、Ri: Volume of each reagent Cx: Concentration of standby sample C1: Concentration of standard solution 1(reagent blank) K: Factor AX: Calculated absorbance B: absorbance of standard solution 1(reagent blank) IFA and IFB: Instrument constants, representing slope and intercept. 2.2.2 Calibration Method (1) Linearity Method (1-point linearity) The absorbance and input K value of blank (or standard 1) is measured to prepare a working curve. Figure 2-10 explains the linear method. 39 Absorbance Concentration Figure 2-10 1-point linearity (a) Calibration Parameter input Calibration type: 【1-point linear】 Calibration point: 【1】 (number of standard sample ) Span point: 【0】 (b) Input K factor in ―calibration result‖ menu Input K factor in the ―calibration result ‖ (c) Calculation of parameters for working curve S1ABS (B): Change in absorbance per minute of blank (standard 1) K: Input value. C1: Concentration of standard 1(reagent blank ), input value. (d) Calculation of concentration C X = {K × ( A X − B) + C1 }× IFA + IFB Cx: Concentration of standby sample AX: Calculated absorbance or change of absorbance per minute. IFA and IFB: Instrument constants, representing slope and intercept. (e) Applicable assay 1-point assay, 2-point rate assay, 2-point assay, 3-point assay, 1-point&rate assay, rate A assay and rate B assay (2) Linearity Method ( 2-point linearity ) 40 Blank (or standard 1) and standard sample (standard 2) are measured to prepare a linear working curve Figure Absorbance 2-11 explains the linear method. Concentration Figure 2-11 2-point linearity (a) Calibration Parameter input Calibration type: 【2-point linearity】 Calibration point: 【2】 (number of standard sample ) Span point: 【2~6】 (b) Calculation of parameters for working curve S1ABS (B): Absorbance or change in absorbance per minute of blank (standard 1) K: Calculated from measured values and input values of blank (standard 1) and standard sample (standard 2) C1: Concentration of standard 1(reagent blank) C2: Concentration of standard 2 A2: Absorbance or change in absorbance per minute of standard 2. K= C 2 − C1 A2 − B (c) Calculation of concentration C X = {K × ( A X − B) + C1 }× IFA + IFB Cx: Concentration of standby sample AX: Absorbance or change in absorbance per minute IFA and IFB: Instrument constants, representing slope and intercept. 41 (d) Applicable assay 1-point assay, 2-point rate assay, 2-point assay, 3-point assay, 1-point&rate assay, rate A assay and rate B assay (3) Linearity Method (Multi-point linearity) Absorbance Blank (or standard 1) and standard samples (standard 2 and standards 6) are measured and linear working curve. Figure 2-12 explains the linear method. Concentration Figure 2-12 Multi-point linearity (a) Calibration Parameter input Calibration type:【 multi-point linearity】 Calibration point: 【3-6 】(number of standard sample) Span point: 【3-6】 (b)Calculation of parameters for working curve S1ABS (B):Linear primary regression intercept for absorbance or change in absorbance per minute of blank (standard) K: Inverse number of working curve slope in the result of linear primary regression. S1ABS and K values can be calculated by the formulas below: S1ABS (B) = A − K = 42 X × Cr Y Y ×10 4 ×10 a X n ( )( X : ∑ Cri − Cr × Ai − A ) i =1 n ( Y : ∑ Cri − Cr ) 2 i =1 ⎛ n ⎞ A : ⎜ ∑ Ai ⎜ / n ⎝ i=1 ⎟ ⎛ n ⎞ Cr : ⎜ ∑ Cri ⎜ / n ⎝ i=1 ⎟ A1,A2: Each measured absorbance in duplicate measurement of standard(1) n: No. of standards (N) ×2 Cri: Concentration of standard (i) (c)Calculation of concentration C X = {K × ( AX − B) + C1 }× IFA + IFB Cx: Concentration of standby sample AX: Absorbance of sample or its change per minute. IFA and IFB: Instrument constants, representing slope and intercept. (d) Applicable assay 1-point assay, 2-point rate assay, 2-point assay, 3-point assay, 1-point&rate assay, rate A assay and rate B assay (4) Logit-log 3P (Non-linearity Method) This is applied to a working curve in which the absorbance converges as the concentration increase. Figure 2-13 explains the non-linearity method. 43 Figure 2-13 Logit-log3P (a) Calibration Parameter input Calibration type: 【Logit-log3P】 Calibration point: 【3-6】(number of standard sample) Span point: 【0】span calibration invalid (b) Calculation of parameters for working curve B: the absorbance or approximate value measure of the absorbance change per minute approaches ∞. when CX K: blank (standard 1) absorbance or value calculate by the approximation formula of the absorbance change per minute subtraction B a: Constants in approximation formula. Automatically calculated. B,K,a are displayed on the Calibration List screen. (c) Calculation of concentration. C X = (C + C1 ) × IFA + IFB AX = B + C= K 1 + aC) 1 ⎧ K − ( AX − B)⎫ ×⎨ ⎬ a ⎩ AX − B ⎭ Cx: Concentration of standby sample C1: Blank concentration. AX: Absorbance of sample or its change per minute. K: Constants in approximation formula. The more Cx approaches ∞, AX approaches B When K<0, AX≤B+K or K>0,When AX≥B+K,C=C1 IFA,IFB Instrument constants, representing slope and intercept. 44 (d) Calculation of SD value ∑ ∑( A N SD = 2 IJ i =1 j =1 ) , 2 − A1 2N − 3 (N=3~6、j=1or 2) (Aij-Ai’): Difference between approximate absorbance Ai’ and measured value Aij or A12. Each standard sample is measured in duplicate so the number as measurement points Aij is 12 at maximum (e) Applicable assay 1-point assay, 2-point rate assay, 2-point assay, Rate A assay. (5) Logit-log4P (Non-linearity method 2) Absorbance It is applied to a working curve in which the absorbance converges as the concentration increases. Figure 2-14 explains the non-linearity method. Concentration Figure 2-14 Logit-log4P (a) ―Calibration Parameter‖ input Calibration type: 【Logit-log4P】 Calibration point: 【4-6】 (number of standard sample) Span point: 【0】 (b) Calculation of parameters for working curve B: approximation for the absorbance or its change per minute when CX approaches ∞. K: blank (standard 1) absorbance or value calculate by the approximation of the absorbance change per minute subtraction B 45 a ,b : Constants in approximation formula. Automatically calculated. B,K,a are displayed on the Calibration List screen. (c) Calculation of concentration. C X = (C + C1 ) × IFA + IFB K 1 + aC b ) AX = B + C = b× 1 ⎧ K − ( AX − B)⎫ ×⎨ ⎬ a ⎩ AX − B ⎭ Cx: Concentration of standby sample C1: Blank concentration. AX: Absorbance of sample or its change per minute. K: Constants in approximation formula. The more Cx approaches ∞, AX approaches B When K<0, AX≤B+K or when K>0,AX≥B+K C1=0 IFA,IFB Instrument constants, representing slope and intercept. (d) Calculation of SD value ∑ ∑( A N SD = 2 i =1 j =1 IJ ) , 2 − A1 2N − 4 (N=4~6、j=1or 2) (Aij-Ai’): Difference between approximate absorbance Ai’ and measured value Aij or A12. Each standard sample is measured in duplicate so the number as measurement points Aij is 12 at maximum (e) Applicable assay 1-point assay, 2-point rate assay, 2-point assay, Rate A assay. (6) Logit-log5P (Non-linear method 3) There is no distinct difference between the working curves prepared by the non-linear method 2 and 3. However, in some cases, the non-linear method 3 allows more accurate approximation because this method has one more calculation because this method has one more calculation parameter than the non-linear method 2. Figure 2-15 explain the non-linear method 3. 46 Absorbance Concentration Figure 2-15 Logit-log5P (a) ―Calibration Parameter‖ input Calibration type : 【Logit-log5P】 Calibration point: 【5-6】( number of standard sample ) Span point: 【0】Span point calibration invalid. (b) Calculation of parameters for working curve B: approximation for the absorbance or its change per minute when CX approaches ∞. K,a,b,c: Constants in approximation formula. Automatically calculated. B,K,a ,b,c :are displayed as S1ABS,K,A,B,C on the Calibration List screen. (c) Calculation of concentration. a+b·lnC+c·C-ln{ AX − B }=0 K − ( A − BX ) Calculate C according to the Newton approximation formula. C X = (C + C1 ) × IFA + IFB K 1 + exp× (− a − b × ln C − c × C ) AX=B+ Cx: Concentration of standby sample C1: Blank concentration. AX: Absorbance of sample or its change per minute. K: Constants in approximation formula. The more Cx approaches ∞, AX approaches B 47 When K<0, AX≤B or when K>0,AX≥B,C=0 IFA,IFB Instrument constants, representing slope and intercept. (d) Calculation of SD value ∑ ∑( A N SD = 2 IJ i =1 j =1 ) , 2 − A1 2N − 4 (N=5~6、j=1 or 2) (Aij-Ai’): Difference between approximate absorbance Ai’ and measured value Aij or A12. Each standard sample is measured in duplicate so the number as measurement points Aij is 12 at maximum (e) Applicable assay 1-point assay, 2-point rate assay, 2-point assay, Rate A assay. (7) Exponential function method (Non-linear method) Absorbance Unlike non-linear methods 1,2 and 3.Exponetial function method prepares a working curve in which the absorbance disperses as the concentration increases. Figure 2-16 explains the exponential function method. Concentration Figure 2-16 Exponential function method (a) Calibration Parameter input Calibration type: 【exponential function】 Calibration point: 【5-6】(number of standard sample) Span point: 【0】Span point calibration invalid. (b) Calculation of parameters for working curve B: approximation formula for the absorbance or its change per minute of blank (standard 1) K,a,b,c: Constants in approximation formula. Automatically calculated. 48 B,K,a ,b,c :are displayed as S1ABS,K,A,B,C on the Calibration List screen. (c) Calculation of concentration. AX=B+K × exp{a × (ln C ) + b ×(ln C ) + c × (ln C ) 2 3 } ⎛ A − B⎞ 2 3 a × (ln C ) + b × (ln C ) + c × (ln C ) -ln ⎜ X ⎜=0 ⎝ K ⎟ Calculate C according to the Newton approximation formula. C X = (C + C1 ) × IFA + IFB Cx: Concentration of standby sample C1, C2~CN: Blank and standard concentration. AX: Absorbance of sample or its change per minute. When K>0, AX≤B or when K<0,AX≥B,C=0 IFA,IFB Instrument constants, representing slope and intercept. (d) Calculation of SD value ∑ ∑( A N SD = 2 i =1 j =1 IJ ) , 2 − A1 2N − 5 (N=5~6、j=1 or 2) (Aij-Ai’): Difference between approximate absorbance Ai’ and measured value Aij or A12. Each standard sample is measured in duplicate so the number as measurement points Aij is 12 at maximum (e) Applicable assay 1-point Assay, 2-point Rate assay, 2-point Assay, Rate A assay. (8) Spline function method (Non-linear method) In this method, line is connected in each section so as to form a curve as a whole. Since each section is smoothed including the error in measured value, more accurate approximation is possible than the polygonal line approximation. Figure 2-17 explains this method. 49 Absorbance Figure 2-17 Spline function method (a) ―Calibration Parameter‖ input Calibration type: 【Spline function】 Calibration point: 【5-6】(number of standard sample) Span point: 【0】Span point calibration invalid. (b) Calculation of parameters for working curve A(1),b(1),c(1),d(1): Constants in approximation formula, l=1~N In the ―calibration‖ menu, S1ABS show as a (1) (intercept of absorbance axis ). (c) Calculation of concentration. ( AX=a(I)+b(I) × (C X − C (1) + c(I)) × CX − C(1) 2 ) + d (I) × (C X - C(1) ) 3 f × (C X − C(I )) = a × (I ) + b × (I ) × (C X − C (I )) + d × (I ) × (C X − C (I )) 2 + d (I ) × (C X Calculate C according to the Newton approximation formula. C X = (C + C1 ) × IFA + IFB Cx: Concentration of standby sample C1~CN: Blank and standard concentration. AX, A2~AN: Absorbance of sample and standard or its change per minute. IFA, IFB Instrument constants, representing slope and intercept. (d) Calculation of SD value 50 − C (I )) 3 − AX ∑ ∑( A N SD = ) 2 i =1 j =1 , 2 − A1 IJ 2N − 4 (N=5~6、j=1 or 2) (Aij-Ai’): Difference between approximate absorbance Ai’ and measured value Aij or A12. Each standard sample is measured in duplicate so the number as measurement points Aij is 12 at maximum (e) Applicable assay 1-Point Assay, 2-Point Rate Assay, 2-Point Assay, Rate A Assay. (9) Polygon method (Non-linear method) The range between standard samples 1 to 6 is subject to approximation in consideration of measured values across them and line is connected in each section so as to form a curve as a whole. Since each section is smoothed including the error in measured value, more accurate approximation is possible than the polygonal line approximation. Figure 2-18 explains the polygonal line method Absorbance Concentration Figure 2-18 Polygon method (a) ―Calibration Parameter‖ input Calibration type: 【polygon】 Calibration point: 【3-6】(number of standard sample) Span point: 【0】Span point calibration invalid. (b) Calculation of parameters for working curve S1ABS is the two measure value (absorbance or it’s change) of STD (1) K= C 2 − C1 A2 − B B: Absorbance or it’s change of standard (1) 51 A2: Absorbance or it’s change of standard (2) C1: standard (1) concentration (input value) C2: standard (2) concentration (input value) (c) Calculation of concentration. C X = {K N × ( AX − AN ) + C N }× IFA + IFB (e) Applicable assay 1-Point Assay, 2-Point Rate Assay, 2-Point Assay, Rate A assay. (10) Isozyme Method A2 STD(2) A3 STD(3) AF Sample STD(4) B’ STD(1) C1 STD(3) A4’ STD(4) B A3’ AM’ Sample A4 absorbance absorbance In a sample in which 2 different isozymes coexist, a reagent containing inhibitor may fail to completely suppress the activity of either isozyme alone. In this case, isozyme activity is determined from total activity and activity residual rate. Each working curve for total activity and isozyme activity are prepared by using 2 channels. If the activity of a specific isozyme of the coexistent two can be suppressed completely by using monoclonal antibody, etc. this calibration method is unnecessary. As figure 2-19, 2-20 shows: CF C2 concentration Figure 2-19 Isozyme Method STD(1) C1 CM’ concentration Figure2-20 Isozyme Method (a) calibration principle Isozymes method uses 2 reagent position. The total activity Cf is supposed to be calculated first with a certain reagent in the isozyme P position. Calculate the activity Cm or Cn of isozymes M or N with a reagent which can suppress N or M substance. The isozymes M inhibitor testing isozymes M. Generally speaking isozymes N inhibitor cannot suppress the activity of isozymes N completely, and the activity of isozymes M is suppressed in a degree at the meantime. The isozymes Method uses 2 channels to test the total activity and standard cost of isozymes M,N, K value is tested by total activity channel, both two channels are used. 52 M and N activity residual rate of M and N is calculated by inhibitor (ratio between absorbance of standard 3 and standard 4 in two channel.).Calculate the total activity and isozymes M activity upon above method. The activity of isozymes N is observed by calculation. (b) Input of parameters: Reagent and standard samples. Reagent: Reagent for measurement of total activity, reagent for measurement of isozyme activity. Standard sample: Standard sample F (containing both isozymes M and N), standard sample M (containing isozyme M), standard sample N (containing isozyme N) Reagent position: isozymes M and N are placed in different positions (d) Entry on Chemistry parameters screen. Make entry for each of the isozyme P and Q channels as shown in below Table: Con. and Pos.of F Activity (Isozyme P) (Isozyme Q) Calibrator (concentration) Calibrator(1) Calibrator(2) Calibrator(3) Calibrator(4) Con.and Pos. of M isozyme (Isozyme Q) (position) (concentration) (position) Blank concentration …………………….. [S1] Blank concentration……………..[S1] Concentration value of calibrator F………[S2] 0…………………………………….0 0 …………………[S3] (Isozyme M Calibrator) 0………..[S3](Isozyme M Calibrator) 0………………….[S4] (Isozyme N Calibrator) 0………. [S4](Isozyme N Calibrator) Table 2-3 S1 to S4 are calibrator code numbers of calibrator 1 to calibrator 4 respectively. Enter the same calibrator code number in both channels for each of calibrator 1,3,4. Set standard sample of isozyme M at position Calibrator 3 and that of isozyme N at position Calibrator (4). It is unnecessary to enter the concentrations of calibrator 3,4,2 for the isozyme Q channel. The channel number M of isozyme M is specified in the isozyme P channel. But it need not be specified on the isozyme Q side. Unless M is entered, Isozyme parameter error alarm occurs to disable analysis (c) Working curve for total activity measurement channel (isozyme P) K factor is calculated by the following formula: K= C 2 − C1 A2 − B B: Absorbance of blank (standard 1) or its change per minute A2: Absorbance of standard sample F (standard 2) or its change per minute 53 C1: Activity of blank (standard 1 ) C2:Activity of standard sample F(standard 2 ) (d) Calculation of activity for total activity measurement channel (isozyme P) CF={K·(AF-B)-C1}·IFA-IFB C3={K·(A3-B)-C1}·IFA-IFB C4={K·(A4-B)-C1}·IFA-IFB CF 、C3 、C4: is sample, activity of standard 3, standard4; Ap 、A3 、A4: is absorbance or change of the absorbance per minute of standard 3 , standard 4;IFA,IFB Instrument constants, representing slope and intercept. (e) Calculation of activity for isozyme measurement channel (Q) CM’={K·(AM’-B’)-C1}·IFA-IFB C3’’={K·(A3’- B’)-C1}·IFA-IFB C4’={K·(A4’- B’)-C1}·IFA-IFB CM’: Isozyme M activity of sample;AM’: Isozyme absorbance of sample or its change per minute;C3’ 、 C4’:each inhibited activity of standard 3 and 4;A3’、A4’分 Each inhibited absorbance of standard 3 and 4 or its change per minute;B: Absorbance of blank or its change per minute IFA,IFB Instrument constants, representing slope and intercept. (f) Calculation of activity residual rate α= {K × (A 3 '-B) + C1}× IFA + IFB {K × (A 3 - B ) + C1}× IFA + IFB β= {K × (A 4 '-B) + C1}× IFA + IFB {K × (A 4 - B ) + C1}× IFA + IFB when C1=0, IFA=1,IFB=0 α= A3, -B, A3-B β= A4, -B, A4-B (g) Calculation of isozyme M activity Cm CM’=α×CM+β×CN 54 CM= CF-CN= CF - C M − α × C M β β×CM=β×CF -CM’+α×CM (α-β)×CM= CM-β×CF CM= C M '− β × CF (α − β ) (h) Applicable assay 1-Point Assay, 2-Point Rate Assay, 2-Point Assay, Rate A Assay. Note: Suggest operator use 6 calibrators in Logit-log5P, exponential, spline non-linear calibration. 2.2.3 Calibration points According to the number of calibration points, calibration can be effected in different ways. Blank calibration: Only reagent blank (standard 1 ) is calibrated. Span calibration: Only one standard solution other than the reagent blank is calibrated. 2-point calibration: Reagent blank and a single standard solution are calibrated. Full-point calibration: All standard solutions specified on the Chemistry Parameters screen are calibrated. These are selectively usable so as to meet your analytical purpose. Each calibration is explained below. (1) Blank Calibration Only reagent blank (standard 1) is calibrated. The previously measured working curve is corrected for a change in absorbance or absorbance change rate (through calculation of S1ABS). Table 2-4 lists the calculation method for each calibration type. (a) S1ABS calculation Calibration type SIABS calculation 2 point linearity (A11+ A12)/2 Multi-point linearity {(AU+ A12)/2-(AU’+ A12’)/2}+SIABS’ Isozyme P (A11+ A12)/2 Isozyme Q (A11+ A12)/2 Logit-Log 3P {(A11+ A12)/2-(A11’+ A12’)/2}+SIABS’ Logit-Log 4P {(A11+ A12)/2-(A11’+ A12’)/2}+SIABS’ Logit-Log 5P (A11+ A12)/2 Exponential function (A11+ A12)/2 Spline function {(A11+ A12)/2- SIABS’}+a(I) Polygon method (A11+ A12)/2 Table 2-4 S1ABS Calculation A11、 A12:1st and 2nd absorbance values of standard (1) measured presently. 55 A11’, A12’:1 st and 2 nd absorbance values of standard (1) measured previously. SIABS’:Previous SIABS value a(I):I=1~N,N representing the number of standard solution and factor of the curve(refer to 5.3.3(8) Logit-Log 5P method) This calibration method needs be specified for each test on the calibration test selection screen of Routine job Menu. Note*:Only blank calibration can be carried out in case 1 is entered for the number of standard solutions (K factor method) (b)Applicable calibration types Linear (2-point), Linear (multi-point), Linear (1-point: K factor), Isozyme P, Isozyme Q, Logit-log 3P, Logit-log4P, Logit-log 5P, Exponential, Spline (2) Span Calibration Only one standard solution other than reagent blank is calibrated. The standard solution which corresponds to the span point entered on the Chemistry Parameters screen is measured and the previously measured working curve is corrected for its slope. Table 2-5 lists the calculation method for each calibration type. This calibration method need be specified for each test on the Calibration Test Selection screen. (a) K factor and S1ABS calculation Calibration type K factor calculation S1ABS Two-point calibration (C2-C1)/(A2-S1ABS) Previous value Full-point calibration (C2-C1)/(AN-S1ABS) Previous value Table 2-5 S1ABS, K value calculation C2:Concentration of standard (2) C1:Concentration of standard (1) CN:Concentration of standard N (N represents span point) A2:Average of measured absorbance values of standard (2) AN:Average of measured absorbance values of standard (N) (b) Applicable assay Linear (2-point), Linear (multi-point), (3) 2-point calibration Reagent blank and a single standard solution are calibrated. The standard solution and reagent blank, which correspond to the span points entered on the Chemistry Parameters screen, are measured and the previously measured working curve is corrected for S1ABS and slope. Table 2-6 explains the calculation method. (a) K factor and S1ABS calculation 56 Calibration type S1ABS Calculation K factor calculation Two-point linearity (A11+ A12)/2 (C2-C1)/(A2-S1ABS) Full-point linearity (AU+ A12)/2 (CN-C1)/(AN-S1ABS) Table 2-6 S1ABS, K value calculation st A11、 A12:1 and 2nd absorbance values of standard (1) measured presently. C2:Concentration of standard (2) C1:Concentration of standard (1) CN:Concentration of standard N (N represents span point) A2:Average of measured absorbance values of standard (2) AN:Average of measured absorbance values of standard (N) A1: Average of measured absorbance values of standard(1) (b) Applicable assay Linear (2-point), Linear (multi-point), (4) Full-point Calibration All standard solutions (including reagent blank) specified on the ―Chemistry Parameters‖ screen are calibrated. After this calibration, all working curve parameters S1ABS,K,a,b and c displayed on the Calibration List screen are updated. (a) Calculation formula The calculation varies from the calibration methods. (b)Applicable calibration types Linearity (multi-point),Isozyme P, Isozyme Q, Logit-log 3P, Logit-log 4P, Exponential, Spline 2.3 Check of measure value Various checks are performed to enhance the reliability of measured results. Below are check description 2.3.1 Calibration check (1) Blank level check In calibration, a warning –level alarm is issued if the measured absorbance of blank is not within the input range of standard 1 absorbance. In this case, the result of measurement and alarm (S1ABS) are printed out. To avoid check, enter-“ -3.3~3.3” . (2) Discrete check A warning level alarm is issued if the difference of the two times measured absorbance value is larger than the set value. In calibration, each Calibrator (include reagent blank: Calibrator 1) is tested twice. 57 To avoid enter“ 3.3” the check, . Discrete check is performed by the below formula: ≤ Absorbance Discrete Check(ABS) (3) Sensitivity check If the difference of standard absorbance (average between 2 times measure) from Max. concentration standard absorbance (sensitivity) exceeds the permissible absorbance sensitivity value (Sensitivity Limit), a warninglevel alarm is issued. In this case, alarm mark is printed out together with the result of measurement. The working curve of the alarmed analytical item will be renewed, and the K value won’t be renewed. To avoid the check, enter-―0‖. Check the permissible sensitivity by the below formula: A lower STD(N)lim it ≤ − ASTD(1) ≤ upper lim it C STD(N)− C STD(1) (4) K factor check If the fluctuation in factor K value between previous calibration and current calibration is 20% ,a warning level alarm is issued. The working curve and K factor will be renewed and testing can be carried out. Make sure check the reason of alarm. Check the K factor by the below formula: K this − K last × 100% ≤ 20% (K this + K last ) / 2 (5) Drift rate check In calibration, a warning –level alarm is issued if the difference between the calculated absorbance and tested absorbance has exceeded the drift rate set value. The working curve and K factor will be renewed and testing can be carried out. Make sure to check the reason of alarm. To avoid the check, enter―3.3‖. 2.3.2 Absorbance of reaction limited check As to the Rate assay, correct data won’t be obtained when concentration or activity exceeds the quantitative span. Thus, set the upper limit value and lower limit value of the absorbance, print the alarm sign. Input the calibration value on the screen. To avoid the check, enter-0 (decrease) or 3.3 (increase). When 4 or more than 4 tested absorbance value is not accord with the set value of reaction limit absorbance, alarm is issued as figure 2-21 shows: 58 ABS Reaction limit level Time Input photometry range Figure 2-21 2.3.3 Linearity Abnormal Check In the rate assay, relation between absorbance change and time should be Linearity. Thus, check on the linearity is a necessity. Select ―Linearity check‖ in ―Alarm Info.‖, and input the limit check value in corresponding textbox as figure 2-22 shows: Figure 2-22 If not selected, even if input value in textbox, linearity check is not carried out. (1) When number of measurement points (N) more than 9 (N>9) Linearity is checked by dividing the difference in absorbance change between the first and last 6 measurement points by the average absorbance change for all. If the value thus obtained is beyond the limit linearity value, alarm is printed out together with the result of measurement as figure 2-23 shows: Δ Af − Δ Ab ×100>Limit linearity value(%) ΔA 59 Photometry point Time Figure 2-23 Linearity check N≥ 9 (2) When number of measurement points (N) between 4 and 8 (4≤N≤8) Linearity is checked by dividing the difference in absorbance change between the first and last 6 measurement points by the average absorbance change for all. If the value thus obtained is beyond the limit linearity value, alarm is issued as figure 2-24 shows: Δ Af ,− Δ Ab, Δ A, ×100>Limit linearity value(%) Photometry point Time Figure 2-24 Linearity check(4≤ N≤ 8) 2.3.4 Prozone check In immunoreaction, working curve descends if antigen concentration is abnormally high beyond the suitable range (prozone area). This is called prozone or zone phenomenon. This instrument can check whether concentration is in the absorbance decreasing range (post zone). For prozone check, the following 2 methods are available: antigen readdition method in 1-point assay with prozone check and reaction rate method in 2-point assay. To Avoid check, input ―-3.3 lower limit‖ in ―checkup value‖ function box in ―analyze parameter‖ menu. (1) Antigen supplement method: Take 1-point essay for example, measure reagent 1, and take it’s value as reference value. Replace reagent with serum diluents, which contain antigen, add 20ul. Compare the prozone limit value with absorbance difference 60 (before add reagent 2 and after add reagent 2). Input method: Prozone check value (PC value): 【 】 Upper /lower limit: 【】 Analytical method: 【】 Photometric point: 【Q1】 【Q2】 【0】 【0】 1≤Q1≤Q2≤49 PC = Aq 2 + A( q 2 − 1) Aq1 + A( q1 − 1) − k× 2 2 K=total liquid volume when test q1/total liquid volume when test q2 When 1≤Q1≤Q2≤4 or 5≤Q1≤Q2≤16, 17≤Q1≤Q2≤31, 32≤Q1≤Q2≤49 K=1. Absorbance AQ1、AQ2:absorbance of photometric point:Q1,Q2 Time Figure 2-25 Antigen supplement method (2) Reaction speed ratio method: Take 2-point assay for example, the ratio between average reaction speed and reaction speed with serum (prozone check value: PC value), then compare the PC value with prozone limit value. Prozone checkup value(PC value) 【 】 Upper/lower limit: 【】 Analyze method: 【】 photometric point: 【q1】 【q2】 【q3】 【q4】 5≤q1≤q2≤49、5≤q3≤q4≤49 61 PC = ( Aq 4 − Aq 3) /( q 4 − q 3) ×100 ( Aq1 − Aq 2 ) /( q1 − q 2) photometric point: Aq1、Aq2、Aq3、Aq4:absorbance: q1、q2、q3、q4 photometric point q1、q2、q3、q4 test time point:q1、q2、q3、q4 Do not carry out prozone check when following condition occur: ① test point: q1=q2=q3=q4。 ② test for No.1 standard liquid (reagent blank) Absorbance Figure 2-26 explains antigen supplement method: Time Figure 2-26 Reaction speed ratio method 2.4 ISE testing principle 2.4.1 Operation principle Once analysis starts, SIP injection pump aspirates 65UL reference liquid and infuses it into the reference electrode liquid line---sample probe aspirates15uL sample and infuse it into diluting cup---DIL injection pump infuses 450uL diluent---SIP injection pump aspirates the diluted sample and infuses it into electrode liquid line, and test its potential, and the rest of diluted sample will be assimilated by vacuum nozzle---IS injection pump infuses 600uL internal standard liquid into the diluting cup for rinsing it, and the internal standard liquid will be sucked by vacuum nozzle sequently---IS injection pump infuses 450uL internal standard liquid into the diluting cup---SIP injection pump aspirates 65uL reference liquid and infuses it into the reference electrode liquid line first, and then SIP injection pump aspirates it and infuses it into the electrode liquid line, and test its potential---the vacuum nozzle assimilates the redundant internal standard liquid in order to empty the diluting cup for next turn test. 2.4.2 Electric potential generation principle The electric potential is calculate by ―Nernst‖ formula. 62 E = E0 + 2.303× RT × l og(ai) …………………………………………………………(1) nF ai = f × Ci ………………………………………………………………………………. (2) E 0 :Standard electrode potential of tested system R:Gas constant(8.314510 J*mol-1*K-1) T : Absolute temperature(t℃+273.15)(K) F : Faraday constant(9.6485309×104C* mol-1) ai :Ion(i)activity f :Activity coefficient Ci:Concentration n :electric charge of given icon(Cation is positive, Anion is negative) 2.4.3 Test method The following procedure explains the preparation of working curve, the test of internal standard liquid concentration, calculation of concentration, and result revision. 2.4.3.1 Working curve preparation Test low concentration slope liquid (S1) and high concentration slope liquid (S2), set the slope (sensitivity) of K,NA, Cl electrode. SL = E(H ) − E(L) ……………………………(3) C (H ) log C (L) SL:Slope E(H): Electrode potential of high concentration slope liquid E(L):Electrode potential of low concentration slope liquid C(H):Concentration value of high concentration slope liquid (input value 0) C(L): Concentration value of low concentration slope liquid (input value 0) 2.4.3.2 Internal standard liquid concentration test Test the concentration of internal standard liquid when working curve prepared. C (IS ) = C (L) ×10 E ( IS )− E ( L ) SL ………………………………(4) C(IS):Concentration of internal standard liquid E(IS): Electrode potential of internal liquid. 63 2.4.3.3 Concentration calculation. Make internal standard liquid concentration as reference value, calculate basic sample, emergency sample, QC product concentration. The internal standard liquid is tested according to different sample. C (S ) = C (IS ) ×10 E ( S )− E ( IS ) SL ……………………………………….(5) C(S):Sample concentration E(S): Sample electrode 2.4.3.4 Result revision Test Calibrator (S3) after calibration, and the calculate the concentration, make the difference between test concentration and input value as compensation value, and add/ subtract the sample concentration of standby sample. C (VALUE) = C (C ) − C ( X ) ……………………………..(6) C(VALUE): Compensate value C(C): Input value of serum Calibrator concentration C(X):Measure value of serum Calibrator concentration C ' (S ) = IF {C (S ) + C (VALUE )} …………………(7) C’(S):Sample concentration after revision IF: Instrument constant(1.0) 2.4.3.5 Standard specification of ISE Item Specification Sample syringe 15ul Diluent liquid volume 450ul Capacity 80 sample/hour(only for electrolyte test) Range Reagent consumption volume Na 20~200mmol/L(only for serum test) 10~400mmol/L(for urine test) + K 1.0~15.0mmol/L(only for serum test) 1~200mmol/L(for urine test) Cl 20~200mmol/L(only for serum test) 10~400mmol/L(for urine test) Internal standard liquid 1050ul/sample (only for electrolyte continual test) Diluent 450 ul/sample Reference electrode liquid 130 ul/sample Table 2-7 ISE standard specification 64 Note: During operation, if ISE analysis is not taken more than 10 minutes, the internal standard liquid will be pipetted once in order to activate electrode. 65 Chapter 3 Instrument Installation Analyzer has passed all tests before transportation. Packing it gently in order to avoid damage while transportation. To make sure normal operation, install or initialize the CS-400 only by authorized staffs from DIRUI Medical Company. 3.1 Installation requirement Before installation, operator should check the space, power and environment requirement. 3.1.1 Space Requirement To make sure the space of maintenance, please follow the instruction as below: ● Space between left (right) side of analyzer and the wall should ≥ 50cm ● Space between rear panel of analyzer and the wall should ≥ 50cm ● Space in front of analyzer should≥ 100cm ● Make sure there is enough space for waste device and purified water equipment. 3.1.2 Environment requirement Operate or store the analyzer according to the following requirement: ● Working environment: 1 5 ℃~32 ℃ ● Relative humidity: 4 0 % ~85 % ● Atmospheric pressure: 7 6 k P a ~106kP a ● Environment should with no dust, no mechanical vibration, no noise source and power interference ● Do not put the analyzer in the vicinity of brush motor, flicker fluorescent tube and other constant on-off electrical equipment. ● Avoid direct sunlight, do not put the analyzer in front of heat source and wind source 3.1.3 Power requirement: ● Power supply: ~2 20 V, 50 Hz ● Power: 2000 VA ● Circuit breaker: 250V, 20A ●A well grounded power supply socket is a must. (Socket at least with one 15 A and three 5A). Large electrical appliance such as air condition, refrigerator, even cannot use the same electrical wire as analyzer. Instrument is equipped with a three core electrical wire, red wire is live line, blue wire is zero line, and yellow green wire is ground lead. As figure 3-1 shows: 66 HOT Figure 3-1 Note: The unqualified environment may cause test value inaccuracy, analyzer damage and it is also harmful to human body. 250