Spincell3 Automated Hematology Analyzer Operation Manual URIT Medical Electronic Co.,Ltd. NOTE 1) Carefully read this manual before first operation. 2) Inspect the electrical requirements of the analyzer before power on, and properly connect the grounding wire. 3) Turn off the power and disconnect the power cord if the analyzer is idle for a long time. 4) Do not run the analyzer if it’s in an abnormal or damaged condition. 5) There is potential biohazard of the reagents and samples; operator should follow proper biosafety practices. Dispose waste reagents and samples in accordance with local, national regulations. CONTENTS Copyright and Declaration....................................................................................................... I Guidance..................................................................................................................................III Chapter 1 System Description............................................................................................... 1 1.1 Overview..................................................................................................................... 1 1.1.1 Function........................................................................................................... 1 1.1.2 Intended Use...................................................................................................1 1.1.3 Front Panel......................................................................................................2 1.1.4 Rear Panel...................................................................................................... 6 1.2 Parameters................................................................................................................. 7 1.3 Structure......................................................................................................................8 1.3.1 Flow System....................................................................................................8 1.3.2 Electrical System............................................................................................8 1.3.3 Display............................................................................................................11 1.4 Accessory..................................................................................................................11 1.5 Sample Volume........................................................................................................ 11 1.6 Reagent Volume for Single Sample..................................................................... 12 1.7 Test Speed................................................................................................................ 12 1.8 Storage...................................................................................................................... 12 1.9 Background Test...................................................................................................... 12 1.10 Carryover................................................................................................................ 12 1.11 Accuracy..................................................................................................................12 1.12 Precision................................................................................................................. 13 1.13 Linearity...................................................................................................................13 1.14 Transport and Storage Specifications................................................................13 1.15 Environment Requirement................................................................................... 14 1.16 Electrical Requirement......................................................................................... 14 1.17 Reagent...................................................................................................................14 1.17.1 Diluent..........................................................................................................14 1.17.2 Lyse.............................................................................................................. 15 1.17.3 Detergent.....................................................................................................15 1.17.4 Probe Detergent.........................................................................................15 1.17.5 Note of Reagent Use.................................................................................15 1.17.6 Reagent Storage.................................................................................... 16 Chapter 2 Principles of Operation....................................................................................... 17 2.1 Principles of Measuring.......................................................................................... 17 2.1.1 Electrical Impedance Method.....................................................................17 2.1.2 HGB Colorimetric Method...........................................................................18 2.2 Reagents Function.................................................................................................. 19 2.3 Calculation of Parameters......................................................................................19 Chapter 3 Installation and Specimen Analysis..................................................................22 I Contents 3.1 Unpacking and Inspection......................................................................................22 3.2 Installation Requirements.......................................................................................22 3.3 Power Supply Inspection........................................................................................23 3.4 Tubing Installation....................................................................................................23 3.4.1 LYSE Tubing Installation............................................................................. 23 3.4.2 DILUENT Tubing Installation......................................................................24 3.4.3 WASTE Tubing Installation.........................................................................24 3.4.4 DETERGENT Tubing Installation.............................................................. 24 3.5 Printer Installation (optional)..................................................................................25 3.6 Keyboard and Mouse Installation......................................................................... 25 3.7 Power Connection................................................................................................... 25 3.8 Startup....................................................................................................................... 25 3.9 Background Test...................................................................................................... 26 3.10 Quality Control....................................................................................................... 27 3.11 Calibration...............................................................................................................27 3.12 Collection of Blood Sample................................................................................. 27 3.12.1 Venous Blood Collection...........................................................................28 3.12.2 Peripheral Blood Collection......................................................................28 3.13 Mode Switch...........................................................................................................28 3.14 Sample Counting and Analysis........................................................................... 28 3.14.1 Information Input........................................................................................ 29 3.14.2 Counting and Analysis.............................................................................. 30 3.14.3 Special Function.........................................................................................31 3.15 Result Analysis...................................................................................................... 32 3.16 Report Output.........................................................................................................33 3.17 Result Modification................................................................................................33 3.18 Shutdown................................................................................................................35 3.19 Data Query............................................................................................................. 35 3.19.1 Selection, Browse, Modification and Output of Data........................... 37 3.19.2 Data Deletion.............................................................................................. 38 3.19.3 Workload Statistics................................................................................ 39 3.20 Special Function.................................................................................................... 39 3.20.1 Precision Counting.....................................................................................39 3.20.1.1 Select Sample Results.......................................................................... 40 3.20.1.2 Check Precision......................................................................................40 3.20.2 Trend Graph................................................................................................41 Chapter 4 Soft Keyboard...................................................................................................... 45 4.1 Soft Keyboard Introduction.................................................................................... 45 4.2 Function.....................................................................................................................46 4.2.1 Data Edit........................................................................................................ 46 4.2.2 Condition Query............................................................................................47 4.2.3 Parameter Limit Setting.............................................................................. 48 4.2.4 L-J QC Edit....................................................................................................49 4.2.5 X-B QC Edit...................................................................................................50 II Contents 4.2.6 X QC Edit.......................................................................................................51 4.2.7 Manual Calibration....................................................................................... 52 4.2.8 Automatic Calibration...................................................................................53 4.2.9 System Setting..............................................................................................54 4.2.10 Service......................................................................................................... 55 Chapter 5 System Setting.....................................................................................................57 5.1 System Maintenance.............................................................................................. 57 5.2 Transfer Setting........................................................................................................58 5.3 Print Setting.............................................................................................................. 59 5.4 Parameter Setting....................................................................................................60 5.5 Date/Time Setting.................................................................................................... 61 5.6 System Version........................................................................................................ 62 Chapter 6 Quality Control..................................................................................................... 63 6.1 Quality Control Options.......................................................................................... 63 6.2 QC Operation........................................................................................................... 64 6.2.1 QC Mode Select........................................................................................... 64 6.2.2 L-J QC............................................................................................................65 6.2.3 X QC...........................................................................................................70 6.2.4 X -R QC.......................................................................................................74 6.2.5 X-B QC...........................................................................................................78 Chapter 7 Calibration.............................................................................................................83 7.1 Preparation for Calibration..................................................................................... 84 7.2 Manual Calibration.................................................................................................. 85 7.3 Auto Calibration........................................................................................................86 Chapter 8 Parameter Limit....................................................................................................88 8.1 Limit Review............................................................................................................. 88 8.2 Limit Modification.....................................................................................................90 8.3 Print............................................................................................................................90 Chapter 9 Maintenance......................................................................................................... 91 9.1 Daily Maintenance................................................................................................... 91 9.2 Weekly Maintenance...............................................................................................92 9.2.1 Surface Maintenance...................................................................................92 9.3 Monthly Maintenance..............................................................................................93 9.4 System Maintenance.............................................................................................. 93 9.4.1 Cauterize Aperture....................................................................................... 94 9.4.2 Flush Aperture.............................................................................................. 94 9.4.3 Drain Cups.................................................................................................... 94 9.4.4 Rinse Cups....................................................................................................95 9.4.5 Rinse Fluidics................................................................................................95 9.4.6 Prime Lyse.....................................................................................................96 9.4.7 Prime Diluent................................................................................................ 97 III Contents 9.4.8 Prime Detergent........................................................................................... 97 9.4.9 Prime Fluidics............................................................................................... 98 9.4.10 Prepare Shipping....................................................................................... 98 9.5 Maintenance before Shipping................................................................................99 Chapter 10 Service.............................................................................................................. 101 10.1 System Check......................................................................................................101 10.1.1 System Status Check..............................................................................101 10.1.2 Valve Check.............................................................................................. 102 10.1.3 Motor Check..............................................................................................104 10.2 System Log...........................................................................................................105 10.2.1 System Log Query Mode........................................................................106 Chapter 11 Troubleshooting................................................................................................110 11.1 Troubleshooting Guidance................................................................................. 110 11.2 Obtaining Technical Assistance.........................................................................111 11.3 Troubleshooting....................................................................................................111 11.3.1 Faults Relate to Reagents...................................................................... 112 11.3.2 Faults Relate to Vacuum.........................................................................112 11.3.3 Faults Relate to 5V Voltage.................................................................... 113 11.3.4 Faults Relate to Test Results................................................................. 113 11.3.5 Faults Relate to Hardware...................................................................... 114 11.3.6 Faults Relate to Temperature.................................................................115 Chapter 12 Precautions, Limitations and Hazards......................................................... 116 12.1 Limitations.............................................................................................................116 12.2 Location Limitations............................................................................................ 116 12.3 Personal Protection and Infection Control...................................................... 117 Appendix A: Instrument Specifications............................................................................. 119 Appendix B: Instrument Icons and Symbols....................................................................122 Appendix C: Communication..............................................................................................123 1. Hexadecimal Format Communication.......................................................................... 123 1.1 Data Link MAC Sublayer Parameters Convention.................................. 123 1.2 Data Link Layer Frame Format........................................................................... 123 1.2.1 Frame Format..................................................................................................... 123 1.2.2 Meaning of Fields or Control Fields................................................................ 123 1.2.3 Convention.................................................................................................. 124 1.3 Message Field Structure...................................................................................... 124 2. ASCII Format Communication...............................................................................125 2.1 Message Transfer Format............................................................................125 2.2 Massage Grammar....................................................................................... 125 2.3 Data Type........................................................................................................125 2.4 Message Type................................................................................................126 3 Communication Operations.....................................................................................131 IV Copyright and Declaration Copyright © URIT Medical Electronic Co.,Ltd. Declaration: All contents in this manual were strictly compiled according to related laws and regulations in local, as well as the specific condition of Spincell3 Automated Hematology Analyzer, covering all the updated information before printing. URIT Medical Electronic Co.,Ltd. is fully responsible for the revision and explanation of the manual, and reserves the right to renovate the relevant contents without separate notification. Some of the demonstration pictures are for reference and subject to real object if any differences. All the information included is protected by copyright. No part of this document may be reproduced, stored or transmitted in any form or by any means unless written authorization by URIT Medical Electronic Co.,Ltd.. All instructions must be followed strictly in operation. In no event should URIT Medical Electronic Co.,Ltd. be responsible for failures, errors and other liabilities resulting from user's noncompliance with the procedures and precautions outlined herein. Limited Responsibility for Quality Warranty: The manual for Spincell3 Automated Hematology Analyzer, defines the rights and obligations between the manufacturer and the customers about the responsibility for quality warranty and after-sales service, also the related agreements on commencement and termination. URIT warrants the Spincell3 sold by the URIT and its authorized agents to be free from defects in workmanship and materials during normal use by the original purchaser. This warranty shall continue for a period of one year since the date of installation. The instrument service life is 10 years. I Copyright and Declaration URIT assumes no liability in the following situations even during the period warranty: 1) Failure due to abuse the instrument or neglect the maintenance. 2) Use reagents and accessories other than manufactured or recommended by URIT. 3) Failure due to the operation which is not under the instructions described in the manual. 4) Replace accessories which are not specified by URIT. Maintain or repair the analyzer by a service agent who is not approved or authorized by URIT. 5) Components have been dismounted, stretched or readjusted. CAUTION: THE ANALYZER IS FOR PROFESSIONAL AND PRESCRIPTION USE ONLY. Technical service and troubleshooting are provided by the Service Department of URIT. Professional technician and sale representative will be sent to offer you timely service when necessary. URIT Medical Electronic Co.,Ltd. No.4 East Alley, Jiuhua Road, Guilin, Guangxi 541001, PR China Tel: +86(773)2288586 Fax: +86(773)2288560 Web: www.urit.com Email: service@uritest.com Wellkang Ltd t/a Wellkang Tech Consulting Suite B 29 Harley Street, LONDON W1G 9QR, UK Version : 07/2015 II Guidance General information for the operation of the analyzer is contained in this manual, which covers the best guidance for a new operator to master the characteristics of the analyzer and operation methods, as well as for daily inquiry. Do peruse before first operation. This manual uses the following warning conventions: WARNING: Denotes a hazard which, if not avoided, could result in moderate to serious injury. CAUTION: Denotes potential hazards that could result in a minor injury, also used for conditions or activities which could interfere with proper function of the analyzer. NOTE: Denotes special operator/service information or standard practices. Do read through this manual before operation, displacement to the analyzer. URIT Medical Electronic Co.,Ltd. is abbreviated as URIT III maintenance, Chapter 1 System Description 1.1 Overview Spincell3 is a multi-parameters, automated hematology analyzer designed for in vitro diagnostic use. It gives accurate test data of human blood cells as the necessary reference of clinical diagnosis. 1.1.1 Function Spincell3 adopts Coulter electrical impedance and colorimetry methods to obtain test data of WBC, RBC, PLT, HGB and other parameters. Meanwhile analyzer gives 3 differentials of WBC and provides histogram informations. 1.1.2 Intended Use The Spincell3 is appropriate to the qualitative and quantitative analysis of the visible components in human beings blood. 1 System Description 1.1.3 Front Panel 6 5 1 7 6 3 4 2 Figure 1-1 Front Panel 1. Status Indicator Run Indicator: Indicates that the analyzer is running a sample. Standby Indicator: Indicates that the analyzer is ready to run a sample. 2. Aspiration Probe Aspirate samples. 3. RUN Key Press the RUN key to startup the aspiration probe and then analyze specimen only in the screens of main menu or Quality Control. At other screens, the RUN key is invalid. 4. Recorder Print the test result. 5. Work Mode Indicator The light indicator means whole blood mode, and dark indicator means pre-diluent mode. 6. Touch Screen 10.4 inch LCD . The screen is divided into 5 areas as shown in Figure 1-2. 2 System Description Prompt Information Mode System Time Test Result Menu Figure 1-2 Screen Prompt Information Display the prompt information. Mode Display the work mode: whole blood mode or pre-diluent mode. System Time Display the system date and time. Test Result Display the test result. Menu Display functional menus which fall into two categories. First category menu is displayed across the bottom of the main menu screen as shown in Figure 1-3. 3 System Description Figure 1-3 Main Menu Screen Func: Direct to second category menus. Info: Direct to next specimen’s information-input window. Rev: Direct to query stored specimens data. Histo: Direct to histogram-modification window of the current specimen. Drain: Dispel the diluent from the aspiration probe, mainly used for pre-diluent mode. Trans: Transmit specimen data to the network. Print: Print the specimen data. Mute: Mute the alert sound. Help: Direct to system help window. Exit: Click “Exit , “Thank you, now turn off power” will appear to instruct the operator to turn off the power switch on the rear panel. Second category menu is shown in Figure 1-4: Figure 1-4 Function Menu Back: Return to the first category menus. Maint.: Direct to maintain screen to perform operations of flush, prime, 4 System Description cautery, etc. Limit: Direct to limit-setting screen to modify the limits of parameters. Stast.: Calculate the workload during a certain time. QC: Direct to quality-control window to process QC. Cal.: Direct to calibration window to calibrate the analyzer. Setup: Direct to setup window to reset parameters Sev.: Direct to service window to process self-check and maintenance. Help: Direct to system help window. 7. Shortcut Key Figure 1-5 Shortcut Key Print: Print the test result. Flush: Flush the WBC and RBC apertures to remove clog. Mode: Switch between whole blood mode and pre-diluent mode. Prime: Start the prime cycle to rinse the flow system. Drain: Dispel the diluent from the aspiration probe, mainly used for pre-diluent mode. 5 System Description 1.1.4 Rear Panel 4 3 1 2 5 13 6 9 11 12 7 10 Figure 1-6 Rear Panel 1. COM1 and COM2 Connect to the standard RS-232 network. 2. PRINTER Connect to the printers. 3. USB Port Connect to USB equipment. 4. PS2 port Connect to the keyboard and mouse. 5. Grounding Terminal It’s used to ground the analyzer. 6. Fan It is for the heat dissipation of power supply. 7. Power Receptacle Connect to the main power cord to the analyzer. 8. Power Switch Turn the power supply on or off. 9. SENSOR Connect to the waste sensor. 6 8 System Description 10. DETERGENT Detergent port connects to the detergent inlet tube. 11. WASTE Waste port connects to the waste outlet tube. 12. LYSE Lyse port connects to the lyse inlet tube. 13. DILUENT Diluent port connects to the diluent inlet tube. 1.2 Parameters Analyzer can automatically analyze the sample data, differentiates WBCs into 3 differentials and displays 21 parameters and 3 histograms of WBC, RBC and PLT. Refer to Table 1-1 for details of 21 parameters. Table 1-1 Abbreviation 21 Parameters Full Name Unit 109cells/L WBC White Blood Cell Count LYM% Lymphocyte Percent % MID% Monocyte Percent % Granulocyte Percent % GRAN% LYM# Lymphocyte Count 109cells/L MID# Monocyte Count 109cells/L Granulocyte Count 109cells/L RBC Red Blood Cell Count 1012cells/L HGB Hemoglobin Concentration g/L HCT Hematocrit (relative volume of erythrocytes) % MCV Mean Corpuscular Volume fL MCH Mean Corpuscular Hemoglobin pg Mean Corpuscular Hemoglobin Concentration g/L GRAN# MCHC RDW_CV RDW_SD Red Blood Cell Distribution Width Repeat Precision Red Blood Cell Distribution Width STDEV % fL 109cells/L PLT Platelet Count MPV Mean Platelet Volume fL PDW Platelet Distribution Width fL 7 System Description PCT Plateletcrit % P_LCR Large Platelet Ratio % P_LCC Large Platelet 109cells/L 1.3 Structure Spincell3 consists of a host, accesories and an external printer (optional). A host mainly includes FPGA board, WBC metering assembly, RBC/PLT metering assembly, flow system and a touch screen etc.. Accesories include power cord and grounding cord. 1.3.1 Flow System The flow system is composed of solenoid valves, a vacuum pump, a force pump, a vacuum chamber and plastic tubes. Solenoid Valve ---These contact two-way or three-way solenoid valves control the flow of reagent. Vacuum Pump --- Pump the waste generated in the processing out to the analyzer, and produce negative pressure. Force Pump --- Provide positive pressure for reverse clean and lyse mixture. Vacuum Chamber --- Generate negative pressure and play the role of temporary waste reservoir. Plastic Tube --- Reagent and waste flow in the plastic tube. 1.3.2 Electrical System 1.3.2.1 ARM Board ARM board is a hardware platform for Linux embedded system, a control center of the analyzer. It is used to receive the information from mouse and keyboard to control the operation of the instrument, to output the information and display it on the LCD screen and print the test report as required. 1.3.2.2 FPGA Board FPGA board is the control center of the analyzer; it controls the following 8 System Description components and their movement: All the valves open and close, reagent aspiration, rinse and waste discharge. Run force pump and vacuum pump to offer power to mix reagent, eliminate clog, aspirate and discharge reagents. Control step motors to aspirate sample and reagent. Control the A/D conversion of WBC, RBC/PLT and HGB; provide previous service for the computer’s data processing; check all optical and electrical switch movements. 1.3.2.3 LMS Board LMS board is a volume measurement board, measuring a volume of blood samples to control the test time. A certain amount of diluted samples are counted after flowing through the ruby aperture. The liquid is measured by a system composed of a detector and measuring tube. When the liquid flows through the start detector, there will be an electrical signal that count is initiated. When the liquid flows through the stop detector, there will be an electrical signal again, that count is completed, as shown in Figure 1-7. In the process, if there are bubbles or other abnormal movements in the flow system, the instrument will alarm. Troubleshooting please refer to the relevant content. Figure1-7 9 System Description 1.3.2.4 Front-end Signal Panel It is used to collect various signals, such as count electrical pulse, light intensity, pressure, temperature, etc., please transfer them to the FPGA board after adjustment. 1.3.2.5 Switch Power Supply It mainly provides DC12V, DC5V voltage to the ARM board, FPGA driver board, and operating voltage to motor, pump, valve, and recorder. 1.3.2.6 Front-end Power Panel To provide the analog voltage and DC high voltage to front-end signal panel. 1.3.2.7 Valve and Motor Driver Board Transform the signals from FPGA board, then drive the valve, motor and pump to work. 1.3.2.8 WBC Metering Assembly WBC metering assembly is composed of a signal collection board, electrodes, a micro-aperture sensor and flow system etc.. Signal Collection Board --- It provides constant current for electrodes. Then amplifies and deals with the collected pulse signals for mainboard. Electrode --- There are two electrodes in WBC metering assembly. One is located within WBC cup, and the other one is outer. Both electrodes are submerged in the conductive liquid, creating an electrical pathway through the micro-aperture. Micro-aperture Sensor --- Micro-aperture sensor is mounted on the front end of WBC cup. Particles pass through the aperture whose diameter is 100μm when processing a sample. Flow System --- The flow system uses negative pressure to aspirate diluent, detergent and sample from each container into metering tube, and discharge waste at the end of the processing. The step motor controlled by mainboard runs to add specific volume lyse into WBC cup, then mix it by the air created by force pump. 10 System Description 1.3.2.9 RBC/PLT Metering Assembly RBC/PLT Metering Assembly is composed of a signal collection board, electrodes, a micro-aperture sensor and flow system etc.. Signal Collection Board --- It provides constant current for electrodes. Then amplifies and deals with the collected pulse signals for mainboard. Electrode --- There are two electrodes in RBC/PLT metering assembly. One is located within RBC/PLT cup, and the other one is outer. Both electrodes are submerged in the conductive liquid, creating an electrical pathway through the micro-aperture. Micro-aperture Sensor --- Micro-aperture sensor is mounted on the front end of RBC/PLT cup. Particles pass through the aperture whose diameter is 68 μm when processing a sample. Flow System --- The flow system uses negative pressure to aspirate diluent, detergent and sample from each container into metering tube, and discharge waste at the end of the processing. 1.3.3 Display Spincell3 uses a 10.4-inch LCD which can display 21 parameters and 3 histograms. 1.4 Accessory The accessories of the analyzer include power cord, grounding cord, external printer (optional), etc.. And the printer should be supplied or authorized by manufacturer. 1.5 Sample Volume Whole Blood Mode for Venous Blood: Venous Blood 10 μL Pre-diluent Mode for Peripheral Blood: Capillary Blood 20 μL Whole Blood Mode for Peripheral Blood: Capillary Blood 10 μL 11 System Description 1.6 Reagent Volume for Single Sample Diluent: 31mL Detergent: 8mL Lyse: 0.7mL NOTE: Reagent consumption is various according to the software version. 1.7 Test Speed Spincell3 is able to process at least 60 samples per hour. 1.8 Storage Spincell3 equipped with a memorizer which can store at least 100,000 samples data. 1.9 Background Test WBC≤0.2×109/L;RBC≤0.02×1012/L;HGB≤1g/L;PLT≤10×109/L 1.10 Carryover WBC≤0.5%;RBC≤0.5%;HGB≤0.5%;HCT≤0.5%;PLT≤0.5% 1.11 Accuracy The accuracy of analyzer should be complied with Table 1-2. Table 1-2 Accuracy Acceptable Limits(%) Parameter WBC ≤±2.0% RBC ≤±1.5% HGB ≤±1.5% MCV ≤±0.5% HCT ≤±1.0% PLT ≤±4.0% 12 System Description 1.12 Precision The precision of analyzer should be complied with Table 1-3. Table 1-3 Precision Parameter Acceptable Limits (CV/%) Precision Range WBC ≤2.0% 4.0×109/L ~ 15.0×109/L RBC ≤1.5% 3.00×1012/L ~6.00×1012/L HGB/ ≤1.5% 100 g/L ~180g/L HCT ≤1.0% 35%~50% MCV ≤0.5% 76fL ~110fL PLT ≤4.0% 100×109/L ~500×109/L 1.13 Linearity The linearity of analyzer should be conformed to Table 1-4. Table 1-4 Linearity Parameter WBC Linearity Range Acceptable Limits 0×109/L~10.0×109/L 10.1×109/L ~99.9×109/L 0×1012/L ~1.00×1012/L RBC HGB ≤±5% ≤±0.05×1012/ L 1.01×1012/L ~9.99×1012/L ≤±5% 0 g/L ~70 g/L ≤±2g/L 71 g/L ~300 g/L ≤±2% 0×109/L ~100×109/L PLT ≤±0.3×109/L 101×109/L ~999×109/L 1.14 Transport and Storage Specifications 1) Temperature: -10℃~55℃ 2) Relative Humidity: ≤95%RH 3) Barometric Presssure: 50kPa~106kPa 13 ≤±10×109/L ≤±10% System Description 1.15 Environment Requirement 1) Temperature: 15℃~35℃ 2) Relative Humidity: ≤90%RH 3) Barometric Pressure: 60kPa~106kPa 1.16 Electrical Requirement 1) Power Supply: AC 100V~240V 2) Frequency: 50/60Hz 3) Power: 100VA-180VA 4) Fuse: 250V/3A 1.17 Reagent Reagent is configured specifically for the Spincell3 in order to provide optimal system performance. Delivery inspection of reagents has been done strictly according to product standards. Spincell3 indices are derived in the condition of using specified reagents. Thus using non- manufacturer reagents may lead to measurement errors even malfunctions. Reagents must be stored at room temperature to ensure optimal performance. All reagents should be protected from direct sunlight, extreme heat, and freeze during storage. Temperatures below 0℃ may cause reagent layering so that changes its chemical properties and conductivity. Reagent inlet tubes have a cap attached which can minimizes evaporation and contamination during use. However, reagent quality may deteriorate with time. Therefore, use all reagents within the dating period. 1.17.1 Diluent Diluent is a kind of reliable isotonic diluents which can meet the requirements as follows: 1) Dilute WBC, RBC, PLT, HGB. 14 System Description 2) Keep the shape of cells during test process. 3) Offer appropriate background value. 4) Clean WBC and RBC micro-aperture and tubes. 1.17.2 Lyse Lyse is a new-type reagent without NaN3 complex and cyanide which can meets the requirements as follows: 1) Dissolve RBC instantly with minimum ground substance complex. 2) Transform the membrane of WBC to diffuse cytoplasm, and then WBC shrinks to form membrane-bound nuclei. As a result, WBC present in granular shape. 3) Transform the hemoglobin to form hemo-compound which is suitable for the measurement in the condition of 540nm wavelength. 4) Avoid the pollution caused by cyanide. 1.17.3 Detergent Detergent contains the active enzyme which can dissolve the agglomerated protein in the WBC, RBC cups and measurement circuit. 1.17.4 Probe Detergent Probe detergent contains effective oxide to dredge the stubbornly-blocked apertures on the WBC, RBC cups. 1.17.5 Note of Reagent Use 1) Using supporting reagents Appropriate reagent is necessary for normal operation, daily maintenance and accurate results. The reagent used must match with analyzer model. The reasons are as follows: Impedance method is to get the data according to cell pulse size and setting threshold value. Cell pulse size is related to type, concentration and adding amount of lyse as well as hemolysis time. Cell pulse size is related to osmotic pressure of diluents, ion strength and 15 System Description conductivity. Cell pulse size is related to valve voltage, mesh current and pulse gain. 2) Please operate under professional ‘s instruction. 3) Avoid contacting with skin and eyes. If does, rinse with water and seek medical advice immediately. 4) Avoid inhaling reagent gas. 1.17.6 Reagent Storage 1) Please store in a cool place. 2) Seal the cap of the container to avoid evaporation and contamination. 3) Avoid freeze. 4) Reagent should be use within 60days after open, if not, dispose as waste. 16 Chapter 2 Principles of Operation Principles of operation of Spincell3 automated hematology analyzer will be discussed in this chapter. The two independent measurement methods are: 1) The electrical impedance method for determining the quantity and volume of blood cell. 2) The colorimetric method for determining the content of hemoglobin. 2.1 Principles of Measuring The measurement is mainly on the quantity, volume of blood cells and HGB. 2.1.1 Electrical Impedance Method The cells are counted and sized by the electrical impedance method. As Figure 2-1 shows, this method is based on the measurement of changes in electrical current which are produced by a particle, suspended in a conductive liquid, as it passes through an aperture of known dimensions. An electrode is submerged in the liquid on either side of the aperture in order to create an electrical pathway through it. As each particle passes through the aperture, a transitory change in the resistance between the electrodes is produced. This change produces a measurable electrical pulse. The number of pulses generated is indicative of the number of particles that traversed the aperture. The amplitude of each pulse is essentially proportional to the volume of the particle that produced it. Each pulse is amplified and compared to internal reference voltage channels. These channels are delineated by calibrated size discriminators to accept only pulses of a certain amplitude. Thus, the pulses are sorted into various size channels according to their amplitude. 17 Principles of Operation Figure 2-1 Electrical Impedance Method The size channels are basically divided into three categories by a pre-set classification program in the analyzer as follows: WBC 35—450 fL RBC 30—110 fL PLT 2—30 fL According to the volume, WBCs handled by lyse can be subdivided into three Categories: Lymphocyte (LYM), Monocyte (MID) and Granulocyte (GRAN). LYM 35—98 fL MID 99—135 fL GRAN 136—450 fL 2.1.2 HGB Colorimetric Method Lyse added into the blood sample will crack the membrane of red blood cells promptly and transfer into a kind of compound which can absorb the wavelength of 540 nm. Through the comparison of the absorbance between the pure diluent and the sample, the concentration of sample hemoglobin is calculated. 18 Principles of Operation 2.2 Reagents Function In Spincell3, counting system has a high sensitivity of the cell volume. Cells which are suspended in conducting liquid should be protected from physical condense and adhesion. Control the osmotic pressure of conducting liquid (mainly diluent) and keep the structure of cells so as to minimize the volume change. Lyse can dissolve the RBC membrane fleetly and keep the structure of WBC so that the instrument can count and classify cells. 2.3 Calculation of Parameters All parameters of blood sample are expressed in three ways: 1) parameters generated by analyzer directly: WBC,RBC,PLT,HGB ,MCV. 2) parameters generated by histograms: LYM%,MID%,GRAN%,HCT, RDW_CV, RDW_SD, MPV, PDW, P_LCR, P_LCC,. 3) parameters derived from certain formulas: LYM#,MID#,GRAN#,MCH, MCHC,PCT The formulas are as follows: HCT(%)= RBC×MCV/10 MCH(pg)= HGB/RBC MCHC(g/L)= 100×HGB/HCT PCT(%)=PLT×MPV/10000 LYM(%)= 100×AL /(AL+AM+AG) MID (%)= 100×AM /(AL+AM+AG) GRAN(%)= 100×AG/(AL+AM+AG) 19 Principles of Operation WBC histogram is as Figure 2-2: Figure 2-2 WBC Histogram AL: quantity of cells in LYM area. AM: quantity of cells in MID area. AG: quantity of cells in GRAN area. The calculation formulas for absolute value of lymphocyte (LYM#), monocyte (MID#) and granulocyte (GRAN#) are as follows: Lymphocyte(109L) LYM# = LYM%×WBC/100 Monocyte(109L) MID# = MID%× WBC/100 Granulocyte(109L) GRAN# = GRAN%×WBC /100 RBC Distribution Width Repeat Precision(RDW-CV)is derived from RBC histogram, shows the volume distribution differentiation coefficient of RBC, with the unit of %。 RBC Distribution Width Standard Difference (RDW-SD) is derived from RBC histogram,shows the volume distribution standard difference of RBC, with the unit of fL. Platelet Distribution Width (PDW) is derived from PLT histogram , shows the volume distribution of PLT. Mean Platelet Volume (MPV) is derived from PLT distribution histogram, its unit is fL. 20 Principles of Operation P-LCR LD ( 12fL ) UD Figure 2-3 P-LCR P-LCR indicates the ratio of large platelet (≥12 fL). It is derived from PLT histogram. See Figure 2-3. LD,UD is the differentiating line of 2~6 fL and 12~30 fL. These two lines are decided by analyzer automatically. P-LCR is the ratio of particles between 12 fL line and UD to particles between LD and UD. P_LCC: Large platelet,it is the particles between 12 fL line and UD. 21 Chapter 3 Installation and Specimen Analysis Initial installation must be performed by an manufacturer authorized engineer to ensure optimal performance of analyzer. Installation procedures must be repeated conform to this chapter if the analyzer is moved from the original installation site. NOTE: Install analyzer by an unauthorized or untrained person by manufacturer could result in damage to analyzer which is exclusive of the warranty. Never attempt to install and operate the analyzer without an manufacturer authorized representative. 3.1 Unpacking and Inspection Carefully remove the analyzer and accessories from shipping carton, keep the kit stored for further transport or storage. Check the following: 1) Quantity of accessories according to the packing list. 2) Leakage or soakage. 3) Mechanical damage. 4) Bare lead, inserts and accessories. Do contact manufacturer Customer Support Center if any problem occurs. 3.2 Installation Requirements Details please refer to chapter 12 Precautions, Limitations and Hazards WARNING: Not for home use. WARNING: Not for therapy. WARNING: The Power switch is used as disconnect device, the disconnect device shall remain readily operable. Please do not place the instrument in the location where is difficult to operate the disconnect device. CAUTION: Away from direct sunlight. CAUTION: Avoid temperature extreme. 22 Installation and Specimen Analysis CAUTION: Away from centrifuge, X-ray equipment, display or copier. CAUTION: No cell phone, wireless phone and equipments with strong radiation which will interfere with the normal operation of the analyzer. 3.3 Power Supply Inspection Be sure that the system is located at the desired site before attempting any connections. See Table 3-1 for details. Table 3-1 Power Supply Inspection Optimal Voltage AC220V Voltage Range AC(100—240)V Frequency (50/60)Hz WARNING: A grounded power outlet is required to connect directly with the grounding terminal on the rear panel. Be sure to guarantee the security of the work site. CAUTION: A fluctuated voltage would impair performance and reliability of the analyzer. Proper action such as the installation of E.C manostat (not provided by manufacturer) should be taken before operation. CAUTION: Frequent power failure will seriously decrease the performance and reliability of the analyzer. Proper action such as the installation of UPS (not provided by manufacturer) should be taken before operation. 3.4 Tubing Installation There are four tube-connectors on the rear panel: LYSE, DILUENT, DETERGENT and WASTE, each of which is wrapped with a cap to avoid contamination by the manufacturer before shipment. Uncover and set the caps aside carefully for further use on initial installation. 3.4.1 LYSE Tubing Installation Remove the lyse tube with red faucet from reagent kit and attach it to LYSE connector on the rear panel, place the other end into the lyse container. Twist the cap until secure. Place the container on the same level as the analyzer. 23 Installation and Specimen Analysis 3.4.2 DILUENT Tubing Installation Remove diluent tube with blue faucet from reagent kit and attach it to DILUENT connector on rear panel. Place the other end into diluent container. Twist cap until secure. Place the container on the same level as the analyzer. 3.4.3 WASTE Tubing Installation Remove the waste tube with black faucet from reagent kit and attach it to WASTE connector on the rear panel, connect BNC plug with the socket marked “SENSOR” on the rear panel. Twist the tube’s cap clockwise onto the waste container until secure. Place the container on the level at least 50cm lower than the analyzer. 3.4.4 DETERGENT Tubing Installation Remove the detergent tube with yellow faucet from reagent kit and attach it to DETERGENT connector on the rear panel. Place the other end into the detergent container. Twist the cap until secure. Place the container on the same level as the analyzer. CAUTION: keep the tube in loose condition after installation, no distortion or folding. CAUTION: All the tubes should be installed manually. Do NOT utilize any tool. CAUTION: If any damage or leakage occurs in the reagent container, or the reagents have exceeded expiry date, contacts manufacturer Customer Support Centre for replacement. WARNNING: The waste must be handled with biochemical or chemical methods before disposal, or it will cause contamination to the environment. Users have obligation to follow the local and national environmental regulations. 24 Installation and Specimen Analysis 3.5 Printer Installation (optional) Take out the printer from the shipping carton. Inspect the printer carefully according to its manual and Section 3.1 and perform the following procedures: 1) Find a suitable location adjacent to the analyzer. Location of at least 30cm away from analyzer on its right side is recommended. 2) Assemble the printer as directed in the printer manual. 3) Connect the printer and analyzer with printer cable which plug into PRINTER or USB on rear panel of the analyzer according to the type of printer. 4) Be sure that the printer power switch is OFF; plug the end of power cord to power socket. 5) Install printing paper as directed in the manual. 3.6 Keyboard and Mouse Installation Remove keyboard, mouse and mouse pad from the shipping carton, and insert the plugs of keyboard and mouse into the two connector of the line, then connect to the rear panel with “PS/2” port. It is recommended to place the keyboard beneath the display. 3.7 Power Connection Make sure the power switch is OFF (O) and the grounding terminal on the rear panel is well grounded firstly, then connect the analyzer to the main power with the power cable. 3.8 Startup Turn on the power switch on the rear panel, then the status indicator on the front panel will be orange. The analyzer will start self-checking after loading, and automatically aspirate the diluent , detergent and lyse, then rinse the tubing. The main menu screen is displayed after self-checking (See Figure 3-1). 25 Installation and Specimen Analysis Figure 3-1 Main Menu Screen 3.9 Background Test Background test should be performed after startup and before blood sample test, operate as follows: 1) Put the clean empty tube under the aspiration probe. At main menu screen, click the mode switch button on the top of the screen, current mode will be switched to “Pre-diluent” mode, then click “Drain” to discharge the diluent into the tube. 2) At main menu screen, click “Info”, and then modify ID to 0, click “OK” back to save it. 3) Click "Pre-diluent" to switch to “Whole Blood” mode, put the tube containing diluent beneath aspiration probe and ensure the probe touch the bottom of tube. 4) Press RUN key on the front panel, move away the tube after the beep sounds. Then the analyzer starts to count and measure automatically. 5) Counting time of RBC, WBC will be displayed at the lower right corner of screen during counting. Analyzer will alarm and display the error at top left corner if the counting time is too long or too short. Refer to Chapter 11 for 26 Installation and Specimen Analysis problem correction. 6) The acceptable range of background is listed in Table 3-2. Table 3-2 Acceptable Range of Background Parameter WBC RBC HGB PLT Acceptable Range ≤0.2x109/L ≤0.02x1012/L ≤1g/L ≤10x109/L If the background result is out of acceptable range, repeat the above procedures until reach the acceptable results. NOTE: ID number of background test is set to be 0 by the software to make the result not memorized in the analyzer. NOTE: The ID number of blood sample test can NOT be set to 0. 3.10 Quality Control Quality control should be performed before daily test or on the initial installation. Refer to Chapter 6. 3.11 Calibration manufacturer calibrates the analyzer in factory before shipment. On the initial installation, if the background results and quality control are normal, recalibration is not necessary. If not and there are shifts or trends in some parameters, recalibrate the analyzer referring to Chapter 7. 3.12 Collection of Blood Sample CAUTION: Consider all the clinical specimens, controls and calibrators etc that contain human blood or serum as being potentially infectious, wear lab coats, gloves and safety glasses and follow required laboratory or clinical procedures when handling these materials. CAUTION: Blood collection and disposal should be performed according to the local and national environmental regulations or laboratory’s requirements. CAUTION: Be sure the blood collection clean and contamination-free. All 27 Installation and Specimen Analysis specimens must be properly collected in tubes containing the EDTA (EDTA-K2•2H2O) anticoagulant used by the laboratory. CAUTION: Do not shake the sample tube violently. NOTE: Venous blood can only be stored for 4 hours at room temperature. manufacturer recommends the blood sample be kept at temperature between 2-8℃ for longer storage. 3.12.1 Venous Blood Collection Collecting whole blood sample through vein-puncture and store in a clean sample tube with EDTA-K2•2H2O, which can keep the configuration of WBC, RBC and avoid platelets aggregation. Gently shake the tube 5~10 times to make it well mixed. 3.12.2 Peripheral Blood Collection Capillary blood is usually collected from finger tip. The volume of sample tube is set to be 20μl. CAUTION: Never over-press the finger avoiding collecting tissue liquid into sample tube, tissue liquid will cause error in results. 3.13 Mode Switch In the screen as Figure 3-1 shows, click the mode switch button on the top to switch among Whole Blood Mode for Venous Blood, Mode for Peripheral Blood and Pre-diluent Whole Blood Mode for Peripheral Blood. Corresponding sign on screen will indicate current operating mode. Press the shortcut key “Mode” in front of the analyzer can also switch between whole blood mode and pre-diluent mode. 3.14 Sample Counting and Analysis Sample counting and analysis is processed as following procedures. 28 Installation and Specimen Analysis 3.14.1 Information Input Input information manually Click “Info” at main menu screen, the Info edit window present (shown in Figure 3-2), input or select data. Click “OK” to save the input data and return to the main menu. Click “Cancel” to cancel the input data and return to the main menu. Figure 3-2 Info Edit Window Name: Input alphanumeric characters. Sex: Select male or female. If not selected, default as blank. Age: Input Year, Month and Day. Blood : Select A, B, O, AB, A Rh+, A Rh-, B Rh+, B Rh-, AB Rh+, AB Rh-. O Rh+, O Rh-. If not selected, default as blank. Limit: Select Auto, Man, Woman, Child, Infant, Neonate, General, User 1, User 2, User 3. If Auto is selected, the reference values are listed as Table 3-3. Table 3-3 Reference Value Reference value Age Sex General No input Blank, M, F General ≥16-year Blank Man ≥16-year M Woman ≥16-year F Child ≥1-year and <16-year Blank, M, F Infant ≥1-month and < 1-year Blank, M, F Neonate <1-month Blank, M, F 29 Installation and Specimen Analysis ID: The ID number is in range from 00000000-99999999. If no ID input, the ID of current sample will be automatically added follow the last one. Sample No.: Input the sample barcode number. Bed No.: Input bed No. of patient. Sender: Input sender’s name or code. Dept.: Input department name or code of operator. Checker: Input checker’s name or code. Assessor: Input assessor’s name or code. NOTE: The ID number is set to 0 only under background test. The blood sample ID CAN NOT be 0. 3.14.2 Counting and Analysis Counting and analysis should be performed within 3~5 minutes after blood collection. Pre-diluent Mode for Peripheral Blood 1) Present the empty sample tube under the aspiration probe. At main menu screen, click “Drain”; the diluent will be dispensed into the tube. 2) Remove the tube, add 20μl of the blood sample to the tube, and gently shake the tube to make them well mixed. 3) Present the well-mixed sample under the aspiration probe; make sure the probe touches the tube bottom slightly. 4) Press RUN key on the front panel and remove the sample after hearing beep sound. 5) Process of analysis will take some time, please wait a moment. Whole Blood Mode for Venous Blood 1) Gently shake the tube to well mix the blood sample, then place the sample tube beneath the probe, make sure the probe touches tube bottom slightly. 2) Press RUN key and remove the sample after hearing beep sound. 3) Process of analysis will take some time, please wait a moment. 30 Installation and Specimen Analysis Whole Blood Mode for Peripheral Blood 1) Gently shake the tube to well mix the blood sample, then place the sample tube beneath the probe, 2) Press RUN key and remove the sample tube after hearing beep sound. 3) Process of analysis will take some time, please wait a moment. Test results and histograms of WBC, RBC and PLT will be displayed at main menu screen after counting and analysis (see Figure 3-1). If Auto Rec or Auto Print is ON (set in “system setting” screen), the test results will be printed out automatically. If problems like clog or bubbles occur during the counting and analysis procedures, the analyzer will alarm and give indication at the top left corner of the screen. The test results are invalid. Refer to Chapter 10 for solution. If Auto Rec or Auto Print is ON (set in “system setting” screen), the test results will be printed out automatically. If problems like clog or bubbles occur during the counting and analysis procedures, the analyzer will alarm and give indication at the top left corner of the screen. The test results are invalid. Refer to Chapter 11 for solution. 3.14.3 Special Function There are 2 kinds of alarms: parameter alarm and histogram alarm. 3.14.3.1 Parameter Alarm ”H” or “L” present on the right side of the parameter means the result is out of the range of reference value. “***” means the result is invalid or out of display range. 3.14.3.2 Histogram Alarm If the WBC Histogram is abnormal, R1, R2, R3, R4, RM will be displayed on the right side of the histogram. R1 indicates there is abnormality in the left side of LYM wave peak, which probably caused by incomplete hemolysis of RBC, platelet clump, giant 31 Installation and Specimen Analysis platelet, plasmodium, nucleated RBC, abnormal lymphocyte, proteinic or fat granule. R2 indicates there is abnormality in the area between LYM wave peak and MID wave, which probably caused by pathologic lymphocyte, plasmocyte, atypia lymphocyte, original cell or an increase in eosinophil and basophilia, R3 indicates there is abnormality in the area between MID wave and GRAN wave peak, which probably caused by immature granulocyte, abnormal cell subpopulation, eosinophilia. R4 indicates there is abnormality in the right side of GRAN wave peak, which probably caused by an absolute increase in granulocyte. RM indicates there are two or more preceding alarms. When the histogram of PLT has abnormalities, PM alarm will be shown in the right side. PM indicates there is ill-defined boundary between PLT and RBC, which probably caused by the present of giant platelet, platelet clump, small RBC, cell debris or fibrin. 3.15 Result Analysis Spincell3 provides plenty and convenient result analysis functions. Click “Histo” to modify the test results. Refer to Section 3.18 in this chapter for details. Click “Trans” to transmit the data to network. Click “Print” to print data report of current blood sample by recorder or printer. Click “Mute” to mute or sound the alarm. Click “Help” to get necessary help. ”H” or “L” present on the right side of the parameter means the result is out of the range of reference value. “L” means result is lower than the lower limit while “H” means result is higher than upper limit. 32 Installation and Specimen Analysis If counting time lower than system setting time, the system will alarm “WBC bubble” or “RBC bubble”, at the same time display “B” before test result. If counting time higher than system setting time, the system will alarm “WBC clog” or “RBC clog”, at the same time display “C” before test result. Because of large display of limit sequence, it should be set “None” in System Setting for limit sequence firstly, then “L”, “H”, “B”, “C” will appear. NOTE: If Parameter value is ***, it indicates invalid data. NOTE: If there is a PM alarm of PLT histogram , PDW probably will be ***. NOTE: WBC differential may be incorrect if WBC is lower than 0.5 x109 /L. Microscope examination is recommended. 3.16 Report Output Spincell3 offers recorder and printer which are optional according to customer needs. After blood sample analysis completed, if Auto Print is ON, test report will be printed automatically by recorder or printer; if the Auto Trans is ON, test results will be transmitted to network automatically. The recorder, printer and transmit are set up at Settings window. Refer to Chapter 5 for details. Click “Trans” to transmit data of the current sample to network. Click “Print” to print test report of current sample by recorder or printer. 3.17 Result Modification If the auto-classification of floating limit for WBC, RBC and PLT do not reach clinical or laboratory requirements on special samples, manual classification is feasible. CAUTION: Unnecessary or incorrect manual classification will cause unreliable test results. It is recommended to microscopic exam before clinical use. 33 Installation and Specimen Analysis The procedures are as follows: 1) At main menu screen click “Histo”, then the interface as shown in Figure 3-3 will display. The histogram of WBC has been selected and surrounded by a rectangle of red line, then click “Param” to select WBC, RBC, PLT diagram parameters that needs modification. Figure 3-3 Classification 2) Once the diagram parameter need to be modified is selected, click “Class” to select the desired classification, then the classified line will change from white line to red line. 3) Click “Left” or “Right” to move the classified line, and the value of classified line will be indicated at the lower right of the screen. 4) Click “Back” after modification, the dialog box as shown in Figure 3-4 will display; click “NO” to cancel the modification, while click “YES” to save the modified results. Figure 3-4 Save Dialog Box 34 Installation and Specimen Analysis 3.18 Shutdown Shutdown procedure is performed after daily operation and before turning the analyzer off. Daily maintenance and tubing-clean avoid protein aggregation during non-working and keep system clean. Shutdown procedure is as follows: 1) At main menu screen, click “Exit”, shutdown information will appear (see Figure 3-5). Figure 3-5 If turn off the instrument, click “Yes”. After finishing maintenance, cleaning and shutdown procedures, “Thank you, and now turn off power” will appear to instruct operator to turn off the power switch on rear panel. 2) Tidy the work platform and dispose waste. 3) Click “No” if operator does not want to shutdown analyzer temporarily. NOTE: Wrong operations on shutdown procedure will decrease reliability and performance of the analyzer, any problems derived from that will NOT be guaranteed free by manufacturer. CAUTION: May lead to data loses if turn off the analyzer against procedures. 3.19 Data Query The information, parameters and histograms of test results can be reviewed and printed out by recorder or printer. At main menu screen, click “Rev” to enter query screen as shown in Figure 3-6. Click “Condi” at query screen, then condition query screen will appear as shown in Figure 3-7. Operator can query the results according to Date, Name, Barcode,Dept, Sender and Checker. In Figure 3-7, enter the time interval, click “OK”, and then the samples in this time interval will be shown in the query list. As shown in Figure 3-8. 35 Installation and Specimen Analysis Figure 3-6 Query Figure 3-7 Condition Query 36 Installation and Specimen Analysis Figure 3-8 Data Query 3.19.1 Selection, Browse, Modification and Output of Data At main menu screen, click “Func”,and then click “Rev” to enter query screen. Data of today will be displayed in the list box as Figure 3-6. Select data in the list, and then click “Detail”, that the analyzer enters into detail inquiry window. Condi: Query data that are compliant with specific criteria in certain period. Detail: Select a data in the list, click “Detail”, the parameters result and histograms of selected data will be displayed. Pgprv/Pgnex: If the data is too much to display in one page, the system will display the data in more pages. Click “Pgpre” or “Pgnex” to view more information. Print: Click “Print” to print the selected data. P_All: Click “P_ All” to print all the data in current list by printer. Count: Click “Count” to print all the data saved in list by printer according to counterfoil format. Back: Click “Back” to go back to main menu screen. 37 Installation and Specimen Analysis 3.19.2 Data Deletion If the sample quantity reaches a certain amount and takes up a large save space, operator can delete the data termly if necessary. Data deletion is divided into “Delete” and “Delete All”. (1) Delete All Click “DelAll”, a dialog box as Figure 3-9 will present, input password 9999, then the system will prompt to ask whether you want to delete all, see Figure 3-10, if click “Yes”, then the system will perform all delete operations. Figure 3-9 Password Figure 3-10 Delete All Query Dialog Box (2) Delete Single In the interface as shown in Figure 3-8, select the data and then click “Del”, the dialog box as Figure 3-11 will display. Figure 3-11 Delete Query Dialog Box Select Yes to delete the data. Select No to cancel the deletion. NOTE: Be aware that the data once being deleted, it can NOT be recovered, please operate with caution. 38 Installation and Specimen Analysis 3.19.3 Workload Statistics At main menu screen, click “Func”→ “Stast” to enter Workload statistics window. See Figure 3-12. Operation procedure is as follows: Figure 3-12 Workload Statistics 1) At “From” and “To”, select starting date and ending date in pop-up calendar, then press “OK”. 2) Select one statistic type on left side of the Workload Statistics screen and then all items will be displayed in the middle list box. 3) Select item needed (multi-select is allowed), click “Stast”, and then the desired data will be displayed in list on right. 4) Click “Back” to return to main menu screen. 5) Choose one sender, and click “Print”, then all the items will be print. 3.20 Special Function 3.20.1 Precision Counting At Query screen, operator may check the sample precision. 39 Installation and Specimen Analysis 3.20.1.1 Select Sample Results After data review from condition query, click one result, then press space bar (click “Select” if using touch screen), the result will be selected and in red letters as Figure 3-13. Figure 3-13 Select Samples 3.20.1.2 Check Precision After selecting one sample result as preceding method, press F9 (click “CV” if using touch screen) to enter the CV data screen like as Figure 3-14. “Mean” indicates the parameter average value of selected samples. “CV” indicates the Coefficient of Variance of corresponding parameter. NOTE: The system can only calculate CV automatically when more than one sample results are selected. NOTE: If only one sample result is selected, the “Mean” indicates the sample result itself. 40 Installation and Specimen Analysis Figure 3-14 CV Count 3.20.2 Trend Graph At Query screen, operator may review the sample trend graph. First, select one sample result. After data review from condition query, click one result, and press space bar (click “Select” if using touch screen), the result will be selected to be in red letters like Figure 3-15. 41 Installation and Specimen Analysis Figure 3-15 Select Samples Second, review the trend graph. After selecting one sample result as preceding method, press F8 (click “Trans” if using touch screen) to enter the trend graph screen like Figure 3-16 42 Installation and Specimen Analysis . Figure 3-16 Trend Graph Param.: Click “Param” to review another parameter trend graph; Left: Click “Left”, then the chart pole will shift one grid to the left. See Figure 3-17. Right: Click “Right”, then the chart pole will shift one grid to the right. See Figure 3-18. 43 Installation and Specimen Analysis Figure 3-17 Left Shift Chart Pole Figure 3-18 Right Shift Chart Pole Back: Click “Back” to return to Query screen. 44 Chapter 4 Soft Keyboard Spincell3 adopts t-touch interactive mode. System provides soft keyboard input mode to facilitate the data input and other input operations. Soft keyboard is as Figure 4-1 shown. Figure 4-1 Keyboard The default soft keyboard is in English lowercase mode, click "CAP" key to switch to English uppercase mode, as shown in Figure 4-2. Figure 4-2 Uppercase Mode 4.1 Soft Keyboard Introduction 1. Layout There are 43 keys in soft keyboard: 10 number keys, 26 alphabet keys, backspace key, slash key, space key, CAP key, CH key and EN key. “<--”: Backspace key, delete the character before cursor; “/”: Slash key, enter a slash; “Spc”: Space key,enter a space; “CAP”: Switch between lowercase and uppercase; “CH”: Chinese input method. “EN”: English input method. 45 Soft Keyboard 2. English Character Input First click the target edit box, at this time the top of the target interface is blue, then click soft keyboard, right now the top of the soft keyboard changes from gray to blue. Click “EH” to switch to English characters input mode. User can switch between English uppercase or lowercase by clicking “CAP” and then click the keyboard to input. NOTE: If current input mode is Chinese, clicking "CAP" to switch to English uppercase input mode directly. In English uppercase input mode, Chinese character can not be input. 3. Delete Character First move the cursor behind the character that needs to be deleted, click "<--" to delete the character before the cursor. 4.2 Function The soft keyboard is displayed in the following screens: data edit, condition query, parameters limit setting, control edit, system calibration, system setting and service. 4.2.1 Data Edit The procedure of inputting information in edit box is as follows: 1) Click target edit box, move the cursor on the edit box; 2) Click the soft keyboard, then user can input data through soft keyboard; 3) After data input, click data edit screen to move the cursor to it. Click “OK” to save the operations, click “No” to cancel and exit the data edit screen. See Figure 4-3. 46 Soft Keyboard Figure 4-3 Data Edit 4.2.2 Condition Query Click “Condi” at query screen, condition query and soft keyboard will pop up at the same time, and soft keyboard is warded off by condition query screen. The procedure of inputting information in edit box is as follows: 1) Click target edit box, move the cursor on the edit box; 2) Click the soft keyboard, this moment soft keyboard is warded off by condition query screen, click soft keyboard to input data; 3) After data input, click condition query screen to move the cursor on this screen, click “OK” to query according to input conditions, click “No” to cancel and exit query. See Figure 4-4. 47 Soft Keyboard Figure 4-4 Condition Query 4.2.3 Parameter Limit Setting Enter the parameter setting screen, click "Keyboard", soft keyboard will pop up, if click "Keyboard" again, soft keyboard will be hidden. The procedure of inputting information in edit box is as follows: 1) Click target edit box, move the cursor on edit box; 2) Click soft keyboard, user can input data through soft keyboard; 3) After data input, click parameter limit setting screen to move the cursor on this screen. This moment soft keyboard will be hidden. If click "Keyboard" again, the soft keyboard will pop up; 4) When the focus is on parameter limit setting screen, click “OK” to save, click “Back” to cancel and exit. See Figure 4-5. 48 Soft Keyboard Figure 4-5 Parameter Limit Setting 4.2.4 L-J QC Edit Enter L-J QC Edit screen, click "Keyboard", then soft keyboard will pop up, if click "Keyboard" again, soft keyboard will be hidden. The procedure of inputting information in edit box is as follows: 1) Click target edit box first, move the cursor on the edit box; 2) Click soft keyboard, user can input data through soft keyboard; 3) After data input, click L-J QC edit screen to move the cursor on this screen. This moment soft keyboard will be hidden. If click "Keyboard" again, the soft keyboard will pop up; 4) When the focus is on L-J QC edit screen, click “OK” to save, click “Back” to cancel and exit. See Figure 4-6. 49 Soft Keyboard Figure 4-6 L-J QC Edit 4.2.5 X-B QC Edit Enter X-B QC Edit screen, click "Keyboard", then soft keyboard will pop up, if click "Keyboard" again, soft keyboard will be hidden. The procedure of inputting information in edit box is as follows: 1) Click target edit box first, move the cursor on edit box; 2) Click soft keyboard, then user can input data through soft keyboard; 3) After data input, click X-B QC edit screen to move the cursor on this screen, this moment the soft keyboard will be hidden. If click "Keyboard" again, the soft keyboard will pop up; 4) When the focus is on X-B QC edit screen, click “OK” to save, click “Back” to cancel and exit. See Figure 4-7. 50 Soft Keyboard Figure 4-7 X-B QC Edit 4.2.6 X QC Edit Enter X QC Edit screen, click "Keyboard", then the soft keyboard will pop up, if click "Keyboard" again, soft keyboard will be hidden. The procedure of inputting information in edit box is as follows: 1) Click target edit box first, move the cursor on the edit box; 2) Click soft keyboard, then user can input data through soft keyboard; 3) After data input, click X QC edit screen to move the cursor on this screen, this moment soft keyboard will be hidden. If click "Keyboard" again, the soft keyboard will pop up; 4) When the focus is on X QC edit screen, click “OK” to save, click “Back” to cancel and exit. See Figure 4-8. 51 Soft Keyboard Figure 4-8 X QC Edit 4.2.7 Manual Calibration Enter manual calibration screen, click "Keyboard", then soft keyboard will pop up, if click "Keyboard" again, soft keyboard will be hidden. The procedure of inputting information in edit box is as follows: 1) Click target edit box, move the cursor on the edit box; 2) Click soft keyboard, then user can input data through soft keyboard; 3) After data input, click manual calibration screen to move the cursor on this screen, this moment soft keyboard will be hidden. If click "Keyboard" again, soft keyboard will pop up; 4) When the focus is on manual calibration screen, click “OK” to save, click “Back” to cancel and exit. See Figure 4-9. 52 Soft Keyboard Figure 4-9 Manual Calibration 4.2.8 Automatic Calibration Enter automatic calibration screen, click "Keyboard", soft keyboard will pop up. If click "Keyboard" again, soft keyboard will be hidden. The procedure of inputting information in edit box is as follows: 1) Click target edit box, move the cursor on the edit box; 2) Click soft keyboard, then user can input data through soft keyboard; 3) After data input, click automatic calibration screen to move the cursor on this screen, this moment soft keyboard will be hidden. If click "Keyboard" again, soft keyboard will pop up; 4) When the focus is on automatic calibration screen, click “OK” to save, click “Back” to cancel and exit. See Figure 4-10. 53 Soft Keyboard Figure 4-10 Automatic Calibration 4.2.9 System Setting Enter system setting screen, click "Keyboard", soft keyboard will pop up. If click "Keyboard" again, the soft keyboard will be hidden. The procedure of inputting information in edit box is as follows: 1) Click target edit box, move the cursor on the edit box; 2) Click soft keyboard, then user can input data through soft keyboard; 3) After data input, click system setting screen to move the cursor on this screen, this moment soft keyboard will be hidden. If click "Keyboard" again, the soft keyboard will pop up; 4) When the focus is on system setting screen, click “OK” to save, click “Back” to cancel and exit. See Figure 4-11. 54 Soft Keyboard Figure 4-11 System Setting 4.2.10 Service Enter service screen, click "Keyboard", then soft keyboard will pop up, if click "Keyboard" again, soft keyboard will be hidden. The procedure of inputting information in edit box is as follows: 1) Click target edit box, move the cursor on edit box; 2) Click soft keyboard, then user can input data through soft keyboard. 3) After data input, click service screen to move the cursor on this screen, this moment the soft keyboard will be hidden. If click "Keyboard" again, the soft keyboard will pop up. 4) When the focus is on service screen, click “OK” to save, click “Back” to cancel and exit. See Figure 4-12. 55 Soft Keyboard Figure 4-12 Service 56 Chapter 5 System Setting Spincell3 has 4 options to satisfy different requirements of laboratory and clinical diagnostics. Operator can choose different operating modes according to actual need. At main menu screen, click “Func”. And then click “Setup”. The Setup menu will be displayed as Figure 5-1: Figure 5-1 System Setting 5.1 System Maintenance Warning: Alarm the errors in analyzer. Auto clean: The analyzer will rinse automatically for each set interval. Auto blank: Select ON in Auto-Blank and click “OK”, the analyzer will run a background test automatically when startup the analyzer each time. Auto sleep: The analyzer will enter dormancy status if there is no operation for a period of time 57 System Setting Pre-diluent notice: If the Pre-diluent is ON, each time when operator runs a sample, the system will prompt that whether or not to run the sample under pre-diluent mode. 5.2 Transfer Setting In transfer setting as Figure 5-2, operator can setup the port number, baud rate, data bit, stop bit and parity bit of the communication port. The communication parameters are set before delivery. User should not modify them; otherwise the data can not be transmitted. Auto trans: the test results will be transmitted from the communication port automatically. Encoded: hexadecimal and ASCII. NOTE: Transfer setting should be under the guidance of manufacturer engineer. Figure 5-2 Transfer Setting 58 System Setting 5.3 Print Setting In Print Setting as Figure 5-3, operator can select printer type, print format, auto print, and input hospital name in “print title”. Figure 5-3 Print Setting 59 System Setting 5.4 Parameter Setting In Parameter Setting as Figure 5-4, operator can setup the unit of WBC, RBC, PLT, HGB and MCHC, as well as the language and order of parameters. Figure 5-4 Reference Value Setting 60 System Setting 5.5 Date/Time Setting In Date/Time Setting as Figure 5-5, there are 3 formats of date: YYYY-MM-DD, MM-DD-YYYY, and DD-MM-YYYY. Y indicates Year, M indicates Month, D indicates Day. The selected date format will be displayed. The resetting of the data format will affect the display format of data on blood cell analysis screen. Figure 5-5 Time Setting 61 System Setting 5.6 System Version User can check the software version, printer software version, printer template version, FPGA version, kernel version and library version. If there are problems, the user can provide this information to manufacturer service engineers as Figure 5-6. Figure5-6 System Version NOTE: Above system settings have been set up before delivery. User does not need to reset them generally. If needed, all the operations should under the guidance of manufacturer engineer. 62 Chapter 6 Quality Control Quality control is needed for maintaining the analyzer precision and eliminating system errors. Spincell3 offers four quality control options: L-J QC, X X QC, -R QC and X-B QC. In following conditions, perform quality control with control materials recommended by manufacturer. After daily start-up procedures completed The reagent lot number changed After calibration After maintenance, or component replacement In accordance with the laboratory or clinical QC protocol In suspicion of parameter value To ensure the accuracy of result, commercial controls must be handled as follows: Make sure the controls stored at low temperature and without leakage. Mix the controls according to the manufacturer’s recommendations. Never use controls which are unsealed longer than the period recommended by manufacturer. Never subject controls to extreme heat or vibration. Perform the high, normal and low controls of new lot, and compare the values with last lot to verify the difference. CAUTION: Consider all clinical specimens, controls and calibrators etc. that contain human blood or serum as potentially infectious. Wear lab coats, gloves and safety glasses and follow required laboratorial or clinical procedures when handling these materials. 6.1 Quality Control Options (1) L-J QC L-J QC (Levey-Jennings graph) is a simple and visual QC method. Operator can draw QC value directly on graph after getting the Mean, SD and CV which derived from following formulas: 63 Quality Control n Mean SD (X CV % (2) X -R QC In X -R QC method, X X i 1 i n i Mean) 2 n 1 SD 100 Mean indicates mean value, R indicates range of value. X graph is mainly used to judge that if the mean value falls in required level. R graph is mainly used to judge that if the range of value falls in required level. (3) X QC X QC is the variation of X -R QC; they have the same basic principle. The difference is that the control dot in X graph indicates the mean value of two values other than a single value. On this foundation, analyzer calculates the Mean, SD and CV. (4) X-B QC X-B QC is a moving average method promoted in 1970s. It’s based on the principle that RBC count is varied due to the concentration of dilution, human blood pathology and technical factor, but the hemoglobin content in specific unit is hardly interfered by those preceding factors. According to this characteristic, X-B QC is done by detecting the value of MCV, MCH, and MCHC. 6.2 QC Operation 6.2.1 QC Mode Select In main menu screen, click “Func” and then select ”QC”, dialog box as Figure 6-1 will pop up. 64 Quality Control Figure 6-1 QC Mode Select Spincell3 offers 4 quality control options: L-J QC, X-B QC, X -R QC and X QC. Select QC mode and click “:OK” to enter corresponding QC interface. 6.2.2 L-J QC Select L-J QC mode and click “OK” to enter corresponding screen as Figure 6-2. Figure 6-2 L-J QC 65 Quality Control 6.2.2.1 L-J QC Edit In L-J QC screen click “Edit”, enter QC Edit screen as Figure 6-3. There are 3 different groups and each group has 3 (low, normal and high) levels. Input control lot No., expiry date, assay and limit according to the control description. NOTE: Assay is a standard value which is the reference of quality control. Limit indicates the allowable biased range. but the limit should not be more than 40% of assay, or it cannot be saved in database. NOTE: The expiry date format should be MM-DD-YYYY. Figure 6-3 L-J QC Edit 66 Quality Control 6.2.2.2 L-J QC Run In L-J QC screen click “Run”, enter QC Run screen as Figure 6-4. At QC Run screen, place the control tube under aspiration probe, press RUN key, the analyzer will start to process control sample. L-J QC needs control material. If run a background QC, the system will alarm QC result is invalid. Each time runs the L-J QC, “Run Time” on upper right corner of the Run screen will be updated correspondingly. Lot No. and expiry date can be input in Edit screen. Figure 6-4 L-J QC Run 67 Quality Control 6.2.2.3 L-J QC Review Spincell3 offers 2 ways to review: QC Graph and QC Data. (1) L-J QC Graph Click “Back” in QC Run screen or select corresponding QC mode in QC Mode dialog box, enter the L-J QC screen to review 12 parameters of QC results. See Figure 6-5. Figure 6- 5 L-J QC Graph In L-J QC screen, there are low, normal and high graphs. If select group 1 and low level to run QC, the control dot will present in low 1 graph. It is also true for other types of QC. There are function buttons at the bottom of L-J QC screen. Click “Group” to change the group. Click “Paramr” to change current displayed parameter, for instance, change from WBC to RBC. Click “Level” to shift the classification line in the same group. Click “Left” or “Right” to shift the classification line in same QC graph. Click “Print” to print the current data. 68 Quality Control QC results are arranged in graphs according to storage time. The latest is on the left side and its serial number is 1. QC graph instruction: 1. Graph abscissa indicates QC times, ordinate indicates QC results. 2. QC graph can display 31 dots for each parameter. 3. Every parameter graph’s upper transverse line means assay plus limit. 4. Every parameter graph’s lower transverse line means assay subtract limit. 5. The 3 values on the left side of each parameter’s graph mean: upper limit —— assay plus limit middle line —— assay lower limit —— assay subtract limit If the control dot falls in the area between upper and lower lines of the corresponding graph, it means the dot is in the control range; if not, the dot is not in the control range. (2) L-J QC Data In L-J QC graph screen (see Figure 6-5), click “Data”, operator can review QC data with 12 parameters as Figure 6-6 shows. Figure 6-6 L-J QC Data 69 Quality Control In this screen, click “Group” to change group, click “Left” or “Right” to switch page. Operator could review 31 items at most. Click “Del All” to delete all data. The assay and limit can be input and changed in QC Edit screen. The QC data would be updated after running a new control. 6.2.3 X QC 6.2.3.1 Select X X QC Edit QC mode in the dialog box as Figure 6-1 shows and then click “OK” to enter corresponding screen. Click “Edit”, enter X QC Edit screen as Figure 6-7. Figure 6-7 X QC Edit In X QC Edit screen, click “Group” to switch group; click “Del” to delete the current assay and limit; click “OK” to save the current assay and limit; click “Back” to exit X QC Edit screen. NOTE: The same as L-J QC, the limit should not be more than 40% of assay, or it cannot be saved in database. 70 Quality Control NOTE: The expiry date format should be MM-DD-YYYY. 6.2.3.2 In X X QC Run QC screen click “Run”, enter QC Run screen as Figure 6-8. At this screen, system displays two control results and calculates the mean value automatically. The assay is input in X QC Edit screen. Click “Group” to switch group; click “Back” to exit. Figure 6-8 X QC Run In X QC Run screen, place the control tube under aspiration probe, press RUN key, the analyzer will start to process control sample. If the current group assay is empty, the system will display “No QC reference data, cannot perform QC running”. At this time, operator should back to the Edit screen to input assay and limit. X QC needs control material. If run a background QC, the system will alarm QC result is invalid. 71 Quality Control 6.2.3.3 X QC Review Spincell3 offers 2 ways to review: QC Graph and QC Data. (1) X QC Graph Click “Back” in QC Run screen or select corresponding QC mode in QC Mode dialog box, enter the X QC screen as Figure 6-9 shows. Operator can review 12 parameters of QC results. As a difference to L-J QC Graph, the dot on X QC Graph indicates the mean value of 2 QC results. Figure 6-9 X QC Graph In X QC screen, there are low, normal and high graphs. If select group 1 and low level to run QC, the control dot will present in low 1 graph. It is also true for other types of QC. There are function buttons at the bottom of X QC screen. Click “Group” to change the group. Click “Param” to change current displayed parameter, for instance, change from WBC to RBC. Click “Level” to shift the classification line in the same group. Click “Left” or “Right” to shift the classification line in same QC graph. Click “Print” to print the current data. 72 Quality Control QC results are arranged in graphs according to storage time. The latest is on the left side and its serial number is 1. QC graph instruction: 1. Graph abscissa indicates QC run times, ordinate indicates QC results. 2. QC graph can display 31 dots for each parameter. 3. Every parameter graph’s upper transverse line means assay plus limit. 4. Every parameter graph’s lower transverse line means assay subtract limit. 5. The 3 values on the left side of parameter graph mean: upper limit —— assay plus limit middle line —— assay lower limit —— assay subtract limit If the control dot falls in the area between upper and lower lines of the corresponding graph, it means the dot is in the control range; if not, it is not in the control range. (2) X QC Data In L-J QC graph screen (see Figure 6-9), click “Data”, operator can review QC data with 12 parameters as Figure 6-10 shows. In this screen, click “Group” to change group, click “Left” or “Right” to switch page. Operator could review 31 items data at most. Click “DelAll” to delete all the data. The assay and limit can be input and changed in QC Edit screen. The QC data will be updated after running QC twice. At the same time, the mean value will be displayed. 73 Quality Control Figure 6- 10 X QC Data 6.2.4 X -R QC 6.2.4.1 On X X -R QC Run -R QC screen click “Run”, enter QC Run screen as Figure 6-11. At this screen, system displays two control results and calculates the mean value and range automatically. Click “Group” to switch group; click “Back” to exit. X -R QC needs control material. If run a background QC, the system will alarm QC result is invalid 74 Quality Control Figure 6-11 X -R QC Run 6.2.4.2 X -R QC Review Spincell3 offers two ways to review: QC Graph and QC Data. (1) X -R QC Graph Click “Back” on QC Run screen or select corresponding QC mode in QC Mode dialog box, enter the X -R QC screen as Figure 6-12 shows. Operator can review QC results with 12 parameters. The dot on X -R QC Graph indicates mean value or range of 2 QC results. The system cannot display low, normal and high control graphs simultaneously in one screen, please click “Group” to switch. X -R QC graph is divided into 2 parts: X graph and R graph. X graph displays mean value dots while the R graph displays range dots. There are function buttons at the bottom of X -R QC screen. Click “Group” to change the group. Click “Param” to change current displayed parameter, for instance, change from WBC to RBC. Click “Level” to shift the classification line between in X X and R graphs. Click “Left” or “Right” to shift the classification line or R graph. Click “Print” to print the current data. 75 Quality Control Figure 6-12 X -R QC Graph QC results are arranged in graphs according to storage time. The latest is on the left side and its serial number is 1. X graph instruction: 1. Graph abscissa indicates QC run times, ordinate indicates QC results. 2. QC graph can display 31 dots for each parameter. 3. Every parameter graph’s middle transverse line indicates X —the mean value of QC results. 4. Every parameter graph’s upper transverse line means X upper limit = X +A×R. 5. Every parameter graph’s lower transverse line means X -A×R. 6. The 3 values on the left side of parameter graph mean: upper limit —— X middle line —— X lower limit —— X upper limit= X +A×R lower limit= X -A×R 76 X lower limit= Quality Control R graph instruction: 1. Graph abscissa indicates QC run times, ordinate indicates QC result. 2. QC graph can display 31 dots for each parameter. 3. Every parameter graph’s middle transverse line indicates R—the mean value of QC result range. 4. Every parameter graph’s upper transverse line means R upper limit= B×R. 5. Every parameter graph’s lower transverse line means R lower limit= C×R. 6. The 3 values on the left side of parameter graph mean: upper limit —— R upper limit=B×R middle line —— R lower limit —— R lower limit=C×R If the control dot falls in the area between upper and lower lines of the corresponding graph, it means the dot is in the control range; if not, the dot is not in the control range. (2) In X X -R QC Data -R QC Graph screen (See Figure 6-12), click “Data”, operator can review QC data with 12 parameters as Figure 6-13 shows. On this screen, click “Group” to change group, click “Left” or “Right” to switch page. Operator could review 31 items at most. Click “DelAll” to delete all the data. X -R QC data screen can only display three control results, and each one contains mean and range. The first two lists on this screen are total mean and average range. See Figure 6-13. The QC data would be updated after running new controls twice. 77 Quality Control Figure 6-13 X -R QC Data 6.2.5 X-B QC 6.2.5.1 X-B QC Edit X-B QC Edit is different to others, with which the system only edits three parameters: MCV, MCH, and MCHC. Select X-B QC mode in the dialog box as Figure 6-1 shows. click “OK” to enter the X-B QC screen, then click “Edit” to enter X-B QC Edit screen. See Figure 6-14. At Edit screen, click “Del” to delete current assay and limit; click “OK” to save them; click “Back” to exit. NOTE: Assay is a standard value which is the reference of quality control. Limit indicates the allowable biased range. but the limit should not be more than 40% of assay, or it cannot be saved in database. NOTE: The expiry date format should be MM-DD-YYYY. 78 Quality Control Figure 6-14 X-B QC Edit 6.2.5.2 X-B QC Run X-B QC is a moving average method, which needs no control material. Click “Run” on the X-B QC screen to enter the X-B QC Run screen as Figure 6-15. “X-BQC Run” is for selecting to run X-B QC or not. “Sample num” is for selecting the quantity of samples for each group. For example, if “X-BQC Run” is ON and “Sample num” is 20, the subsequent 20 counts will be X-B QC. Click “OK” to save the current selections. After 20 times of count completed, back to the Run screen and click “COUNT”, system will calculate the QC results and display them in QC Graph and QC Data. 79 Quality Control Figure 6-15 X-B QC Run 6.2.5.3 X-B QC Review Spincell3 offers two ways to review QC result: QC graph and QC data. (1) X-B QC Graph Click “Back” on QC Run screen or select corresponding QC mode in QC Mode dialog box to enter the X-B QC screen as Figure 6-16. Operator can review QC results with 3 parameters. After the count of group samples completed, the results of MCV, MCH, MCHC will be depicted as dots on the graph. For example, the “X-BQC Run” is ON and “Sample num” is 20, then after 20 counts, the system will calculate a X-B QC value and display a corresponding control dot on the graph. X-B QC screen can display graphs of MCV, MCH and MCHC. And the graphs will be updated after each QC counting. The function buttons are basically as the same as other QCs with additional “Pgpre” and “Pgnex”. QC results are arranged in graphs according to storage time. The latest is on the left side and its serial number is 1. 80 Quality Control X-B QC Graph instruction: 1. Graph abscissa indicates QC run times, ordinate indicates QC results. 2. QC graph can display 31 dots for each parameter.. 3. Every parameter graph’s upper transverse line means assay plus limit. 4. Every parameter graph’s lower transverse line means assay subtract limit. 5. The 3 values on the left side of parameter graph mean: upper limit —— assay plus limit middle line —— assay lower limit —— assay subtract limit If the control dot falls in the area between upper and lower lines of the corresponding graph, it means the dot is under control range; if not, it is not under control range. See Figure 6-16. Figure 6-16 X-B QC Graph (2) X-B QC Data In the screen as Figure 6-16, click “Data”, operator can review 3 parameters QC data as Figure 6-17 shows. Click “Left” or “Right” to switch page, operator could review 31 items at most. Click “DelAll” to delete all the data. The Assay and Limit can be input and changed in QC Edit screen. 81 Quality Control The QC data would be updated after running a new control. Figure 6-17 X-B QC Data 82 Chapter 7 Calibration To ensure analyzer’s precision and obtain reliable test results, the parameters (WBC, RBC, PLT, HGB, and MCV) should be calibrated in the following situations: 1) Working environment changes greatly. 2) One or multiple parameters’ test results are moving. 3) Any major component that could affect the measurement is replaced. 4) Requirement of clinic or laboratory. 5) The reagent has been replaced. 6) The analyzer presents deviation when running quality control. MCV, HCT are relative parameters to each other, thus one can be obtained from given value of the other. Only MCV will be calibrated by the analyzer. Usually the manufacturer will give the reference value for MCV, HCT at the same time. CAUTION: Consider all clinical specimens, controls and calibrators etc. that contain human blood or serum as potentially infectious. Wear lab coats, gloves and safety glasses and follow required laboratorial or clinical procedures when handling these materials. CAUTION: Only calibrators recommended by manufacturer can be used to accomplish the calibration. CAUTION: Follow the recommendations provided by manufacturer to store the calibrators. CAUTION: Check if the container is broken or cracked before using the calibrator. CAUTION: Make sure the calibrators are brought to room temperature and well mixed slowly before use. CAUTION: Make sure the calibrators are within the expiry date. CAUTION: Make sure the analyzer has no problem before calibration. CAUTION: Never apply the test data to laboratory or clinic use unless all parameters are accurately calibrated. 83 Calibration 7.1 Preparation for Calibration Before calibration, inspect the analyzer as follow: 1) Ensure the adequate reagents are in shelf life and uncontaminated. 2) Run a background test and make sure the results are qualified. 3) The analyzer is fault –free. 4) Verify the precision of the analyzer. At main menu screen, run normal control 11 times, query the results from second to eleventh in Query screen, make sure the CVs are within the prescribed limits in Table 7-1. Table 7-1 Precision Parameter CV Range WBC ≤2.0% 4.0×109/L ~ 15.0×109/L RBC ≤1.5% 3.00×1012/L ~ 6.00×1012/L HGB ≤1.5% 100 g/L ~ 180g/L HCT/ ≤1.0% 35% ~ 50% MCV ≤0.5% 76fL ~ 110fL PLT ≤4.0% 100×109/L ~ 500×109/L 5) Running with high control in triplicate, then using diluent instead of high control to test 3 times continuously. Carryover(%) is calculated from the following formula. Results must conform to Table 7-2. Table 7-2 Carryover Parameter Result WBC ≤0.5% RBC ≤0.5% HGB ≤0.5% HCT ≤0.5% PLT ≤0.5% 84 Calibration NOTE: If whole blood and capillary blood are both used in daily work, calibration should be done after confirming the sampling mode. NOTE: After confirming the mode, all test should be done in the same mode. NOTE: If any malfunction occurs during measurement, the test results are invalid. Repeat the measurement after troubleshooting. 7.2 Manual Calibration At main menu screen, click “Cal” to enter System Calibration screen. Choose “manual Cal”, click “OK” to enter manual calibration interface. Input assay and values, then click “New Cal” button, the system will calculate the new calibrated value automatically and the date will be updated simultaneously. See Figure 7-1: Figure 7-1 Manual Calibration Click “OK” to save the new calibration values. Click “Print” to print the new calibration values. Click “Back” to exit the System Cal. 85 Calibration Counting principle of new calibration value: New calibration value=(assay/mean value) ×former calibration value If the new calibration value<70%, consider it equals to 70%; if the new calibration value>130%, consider it equals to 130%. NOTE: Calibration coefficient is allowed in the range of 70%~130%, if the test value exceed the limit, this critical value will be selected as the new coefficient for calibration. NOTE: Analyzer can calibrate a certain parameter or all parameters of WBC, RBC, HGB, MCV, MPV, RDW_CV, RDW_SD, PLT and PDW. CAUTION: Data will be lost if exit without pressing “OK” to save. 7.3 Auto Calibration At main menu screen, click “Cal” to enter System Calibration screen, Choose “Auto Cal”, click “OK” to enter auto calibration interface. See Figure 7-2. Figure 7-2 Automatic Calibration 86 Calibration At Auto Calibration Mode, input assay then place the calibrator tube under the aspiration probe, press RUN key, the analyzer starts to count and then displays the results in Value 1 to Value 4 according to the sequence of 4 counts. Analyzer cannot count or display the test value in following conditions: 1) After counting for 5 times, press RUN key, analyzer will prompt that there is no space to process calibration count. 2) If the precision of test result is abnormal, analyzer will prompt “data is abnormal, please re-counting”. 3) After each counting, analyzer will calculate a new calibration value according to reference value and test result and update the calibration date. Click “Print” to print the new calibration values. Counting principle of new calibration value: n X i Mean of the new calibration value: Mean= New calibration value=(assay/mean value) ×former calibration value If the new calibration value<70%, consider it equals to 70%; if the new i=1 n calibration value>130%, consider it equals to 130%. NOTE: Click “OK” after counting and then system will save the values. Click “Back” without clicking “OK”, the value will not be saved. 87 Chapter 8 Parameter Limit To monitor abnormal blood sample measurement, it is essential for the operator to setup normal ranges of the parameter according to laboratorial or clinical requirement. Prompt or indication will be given if the test values exceed the range. The limits of 21 parameters are discussed in this chapter, any results exceeding the range will be marked with H (High) or L (Low). H means the results are higher than the upper limits, while L means the results are lower than the lower limits. CAUTION: The shift in parameter limit may cause changes in abnormal indication of hematology index. Please confirm the necessity for changing. 8.1 Limit Review At Limit Setting screen, operator can input proper parameter limits or use default limits. Default limits are different depending on patient group. Figure 8-1 depicts General group limits. Figure 8-2 depicts User 1 group limits Figure 8-1 General Group 88 Parameter Limit Figure 8-2 User 1 Group Click “Def”, the system prompts the operator to decide whether to recover all the default limits. Select “Yes” to recover parameters of all groups to default limits; select “No” to exit. See Figure 8-3. Figure 8-3 Recover to Default Limit Click “OK” to save current default limits which will be displayed when operator enter Limit Setting screen again. 89 Parameter Limit 8.2 Limit Modification Operate as follows to modify the parameter limit: 1) At main menu screen, click “Func”, then click “Limit” to enter limit setting screen. 2) Click “Group”, the screen displays the lower and upper limits of parameters in current group. 3) Select the lower or upper limit of the parameter that operator wanted to modify, delete the former limit by Backspace key on keyboard, then input the new lower or upper limit. 4) Click “OK”, and then the dialog box as Figure 8-4 shows will pop up, select “Yes” or “No” to save the modification or not. Figure 8- 4 Save the New Setup 8.3 Print Click “Print”, then system will print out limits of all groups in list form automatically. 90 Chapter 9 Maintenance Routine care and regular maintenance are essential to keep optimal performance, minimize system problems and prolong the life span. Procedures and instructions of preventive maintenance are discussed in this chapter. More information is available at manufacturer Customer Support Centre. Preventive maintenance should be performed periodically. Pertinent maintenance is also included in this Chapter according to actual requirement. WARNING: A normative maintenance criterion should be performed strictly to avoid analyzer failure. WARNING: Perform individual protection before instrument maintenance, such as wear glove, respirator and lab coat etc. 9.1 Daily Maintenance Spincell3 is designed with daily auto-maintenance program. As shown in Figure 9-1, operator can select the auto-clean time to maintain the system. Please refer to Table 9-1 for time setting. 91 Maintenance Figure 9-1 System Maintenance Setting Table 9-1 Time Setting 9.2 Run time (hour) Time for auto-clean (hour) >8 4 4< Run time<8 4 Run time< 4 2 Time for auto-clean should be reduced by each year. Weekly Maintenance 9.2.1 Surface Maintenance Clean the smudge on the surface of analyzer, especially the spilled blood on the aspiration probe and surrounding, to remove the protein buildup or debris and reduce the possibility of a blockage. Wipe the outside of the probe and surrounding with gauze soaked by litmusless detergent before cleaning other parts. 92 Maintenance CAUTION: Never use corrosive acids, alkali or volatile organic solvent (such as acetone, aether and chloroforms etc.) to clean the outside of the analyzer. Only litmusless detergent is allowed. 9.3 Monthly Maintenance Monthly maintenance mainly aims at mechanism maintenance, including lubricant motor shaft, X, Y leaders of sampling organ etc.. NOTE: Ensure the power of host is off before monthly maintenance. 9.4 System Maintenance At main menu screen select “Func”, then select “Maint” to enter the screen as Figure 9-2. Figure 9-2 System Maintenance 93 Maintenance Spincell3 offers 10 maintenance functions as follows: Cauterize Aperture Flush Aperture Drain Cups Rinse Cups Rinse Fluidics Prime Lyse Prime Diluent Prime Detergent Prime Fluidics Prepare Shipping 9.4.1 Cauterize Aperture Cauterize Aperture helps to prevent and remove aperture clog. Procedure is as follows: 1. Select “Cauterize Aperture” at Maintain screen. 2. The analyzer starts to perform the function and display the progress bar at the bottom of the screen. 3. After completing, system will back to the Maintain screen. 9.4.2 Flush Aperture Flush Aperture helps to prevent and remove aperture clog associating with Cauterize Aperture. The procedure is as follows: 1. Select “Flush Aperture” in Maintain screen. 2. The analyzer starts to perform the function and display the progress bar at the bottom of the screen. 3. After completing, system will back to the Maintain screen. 9.4.3 Drain Cups Perform this operation to drain diluent out of WBC and RBC cups. 94 Maintenance 9.4.4 Rinse Cups Perform this operation to rinse the aperture to prevent blockage when counting time is too long. The procedure is as follows: 1. Select “Rinse Cups” in Maintain screen. 2. The analyzer starts to perform the function and display the progress bar at the bottom of the screen. 3. After completing, system will back to the Maintain screen. 9.4.5 Rinse Fluidics CAUTION: Consider all clinical specimens, controls and calibrators etc. that contain human blood or serum as potentially infectious. Wear lab coats, gloves and safety glasses and follow required laboratorial or clinical procedures when handling these materials. CAUTION: As probe detergent is corrosive, operator should wear lab coats, gloves and follow required laboratory operation procedures. Probe detergent is a kind of alkalescence detergent. Prime Fluidics is to rinse WBC and RBC cups as well as related tubings with probe detergent. If the analyzer keeps on working day by day, perform Prime Fluidics every 3 days; If not, perform this operation every week. The procedure is as follows: 1) Place the probe detergent container under the aspiration probe. Select “Prime Fluidics” at Maintain screen, then the dialogue box as Figure 9-3 will pop up, select “Yes” to aspirate the detergent, select “No” to back to Maintain screen. Figure 9-3 Prime Fluidics Dialogue Box 2) Remove the detergent after the probe retracting back. Analyzer starts to perform the function and display progress bar at the bottom of the screen. 95 Maintenance 3) After several seconds, the dialogue box as Figure 9-4 will pop up, put the probe detergent container under the aspiration probe again then click “OK”. Figure 9-4 Aspirate Detergent Dialogue Box 4) After completing, system will back to the Maintain screen. 9.4.6 Prime Lyse CAUTION: Consider all clinical specimens, controls and calibrators etc. that contain human blood or serum as potentially infectious. Wear lab coats, gloves and safety glasses and follow required laboratorial or clinical procedures when handling these materials. NOTE: Keep the lyse still for a certain time to ensure it stable. NOTE: After replacing diluent, detergent or lyse, perform background test to make sure the background values are in a acceptable range. Perform this operation in the following conditions, There are bubbles in lyse tubing. Lyse have been contaminated. Replace lyse. The procedure is as follows: 1) Select “Prime Lyse” in Maintain screen. 2) Analyzer starts to perform the function and display the progress bar at the bottom of the screen. 3) After completing, system will back to the Maintain screen. 96 Maintenance 9.4.7 Prime Diluent CAUTION: Consider all clinical specimens, controls and calibrators etc. that contain human blood or serum as potentially infectious. Wear lab coats, gloves and safety glasses and follow required laboratorial or clinical procedures when handling these materials. NOTE: Keep the diluent still for a certain time to ensure it stable. NOTE: After replacing diluent, detergent or lyse, perform background test to make sure the background values are in a acceptable range. Perform this operation in the following conditions, There are bubbles in diluent tubing. Diluent have been contaminated. Replace diluent. The procedure is as follows: 1) Select “Prime Diluent” in Maintain screen. 2) The analyzer starts to perform the function and display the progress bar at the bottom of the screen. 3) After completing, system will back to the Maintain screen. 9.4.8 Prime Detergent CAUTION: Consider all specimens, controls and calibrators etc. that contain human blood or serum as potentially infectious. Wear lab coats, gloves and safety glasses and follow required laboratorial or clinical procedures when handling these materials. NOTE: Keep the detergent still for a certain time to ensure it stable. NOTE: After replacing diluent, detergent or lyse, perform background test to make sure the background values are in acceptable range. In the following conditions, perform this operation: There are bubbles in detergent tubing. Detergent have been contaminated. Replace a new detergent. 97 Maintenance The procedure is as follows: 1) Select “Prime Detergent” in Maintain screen. 2) The analyzer starts to perform the function and display the progress bar at the bottom of the screen. 3) After completing, system will back to the Maintain screen. 9.4.9 Prime Fluidics If background test results are abnormal or clog, bubbles faults are prompted, perform this operation to rinse the apertures and cups. The procedure is as follows: 1) Select “Rinse Fluidics” in Maintain screen. 2) The analyzer starts to perform the function and display the progress bar at the bottom of the screen. 3) After completing, system will back to the Maintain screen. 9.4.10 Prepare Shipping Perform this function before shipping or leave the analyzer unused for a long time. Please refer to section 9.5 for details. The procedure is as follows: 1) Select “Prepare Shipping” in Maintain screen, then the dialogue box as Figure 9-5 will pop up, select “Yes” to perform this operation, select “No” to back to Maintain screen. Figure 9-5 Drain Dialogue Box 2) The analyzer starts to perform the function and display the progress bar at the bottom of the screen. 3) After completing, system will back to the Maintain screen. 98 Maintenance 9.5 Maintenance before Shipping If the analyzer is left unused for more than 3 months or being shipped, please perform following operations for maintenance: 1) Take out the diluent inlet tube which is connecting with diluent port on the rear panel from waste container, discharge the remaining diluient in tube. 2) Take out the lyse inlet tube which is connecting with lyse port on the rear panel from waste container, discharge the remaining lyse in tube. 3) Take out the detergent inlet tube which is connecting with detergent port on the rear panel from waste container, discharge the remaining detergent in tube. 4) Store the remaining reagents according to instructions and avoid supercooling and overheating. Operator should establish and conform to effective storage measures to prevent reagent from degeneration, misusage or misdrinking. 5) Keep the diluent, lyse and detergent inlet tubes hanging in the air. 6) At main menu screen, click “Prime” several times until the top left corner of the screen present “No Diluent”, “No Lyse”, “No Detergent”, then Click “Prime” once again. 7) Insert diluent, lyse and detergent tubes into distilled water. 8) At main menu screen, click “Func”→“Maint”→”Prepare Shipping” to inter the screen as Figure 9-6 shows. 99 Maintenance Figure 9-6 Select Prepare Shipping 1) After completed, take out the diluent, lyse and detergent tubes from distilled water and click “Prepare Shipping” again to drain the reagent in tubes. 2) At main menu screen, click “Exit”, “Thank you, now turn off power” will appear to instruct the operator to turn off the power switch on the rear panel. 3) Pull out outlet tube from the rear panel, clean it with distilled water and save it with plastic bag after dry by airing. 4) Cover the connectors of DILUENT, LYSE, DETERGENT and WASTE on the rear panel with caps which are taken out at initial installation. 5) Disconnect the power cord of analyzer and save it in plastic bag. Place the analyzer and components in plastic bags into the shipping box. 100 Chapter 10 Service Routine care and regular maintenance are essential to keep optimal performance, minimize system problems and prolong the life span. This chapter introduces the Service function, with which operator may monitor the system status, valve and motor status etc.. More information is available at manufacturer Customer Support Centre. CAUTION: Incorrect maintenance may lead to impairment of analyzer. Please maintain the analyzer according to this manual. NOTE: If there is any problem which is not discussed in the manual, please contact the manufacturer Customer Support Centre. 10.1 System Check Click “Func” at main menu screen, select “Sev”, input “2006” in the pop-up dialog box to enter the System Check screen. 10.1.1 System Status Check The System Status Check screen presents the current status information for example temperature, constant-current source voltage, 5V voltage, HGB zero voltage, HGB background voltage, WBC stenopaic voltage, RBC stenopaic etc.. See Figure 10-1. 101 Service Figure 10-1 System Status Check NOTE: At System Status Check screen, operator can view the temperature, vacuum etc. that mention above, but cannot modify. Click “Back” to return to the main menu screen. 10.1.2 Valve Check At Valve Check screen (see Figure 10-2), operator can check if the valves are in normal condition. 102 Service Figure 10-2 Valve Check At Valve Check screen, click valve buttons, the corresponding results will be displayed in result list. See Figure 10-3. 103 Service Figure 10-3 Valve Check Result Click "Back" to return to the main interface of the system. 10.1.3 Motor Check At Motor Check screen, operator can check if the motors are in normal condition. At the screen, click motor buttons, the corresponding result will be displayed in result list. See Figure 10-4. 104 Service Figure 10-4 Motor Check Click "Back" to return to the main interface of the system. 10.2 System Log Click “Func” at main menu screen, select “Sev”, input “6666” in the pop-up dialog box to enter the System Log screen as Figure 10-5 shows: 105 Service Figure 10-5 System Log 10.2.1 System Log Query Mode Data Query Choose the begin date and end date on System Log screen, then click “Rev”, the query results will be displayed in the list box. As shown in Figure 10-6. 106 Service Figure 10-6 Date Query Event Query On System Log screen, cancel Date option in check box in top left corner, then check Event query mode, select intended event in dropdown options. Click “Rev”, results will be displayed in list as Figure 10-7 and Figure 10-8. 107 Service Figure 10-7 Event Query Figure 10-8 Event Query 108 Service After getting the query results, operator can perform following operations: 1) The number of total pages and current page number will be automatically displayed on the list box. 2) If query logs are in a large quantity and cannot be displayed in one page, press Pgprv and Pgnex buttons to view the results in previous or next page. 3) Select a record, click "Del.", then it will be deleted. 4) Press "DelAll", all the records will be deleted. 5) Click "Back" to return to the main screen. 109 Chapter 11 Troubleshooting This Chapter gives instructions for identifying, troubleshooting and correcting faults. If malfunction cannot be solved according to this chapter or more information is needed, please contact manufacturer Customer Support Centre. 11.1 Troubleshooting Guidance The Troubleshooting Guidance is designed to assist the operator to identify and resolve analyzer faults. It also gives instructions on obtaining technical assistance from manufacturer Customer Support Centre. The first step is to understand the normal operation and preventive maintenance of analyzer. Rich experience is essential for troubleshooting. Logical troubleshooting can be divided into 3 steps: Step 1 Fault Identification: Operator should have the ability to identify fault cause and understand proper operation well. Accurate fault identification is essential for troubleshooting. Step 2 Fault Isolation: Fault Isolation means further classifying the problem. Analyzer faults are generally divided into three categories: a) Faults relate to hardware b) Faults relate to software c) Test faults relate to sample analysis Hardware and software faults can only be corrected by a manufacturer authorized engineer. While the test faults relate to sample analysis can be corrected by operator with assistance from manufacturer engineers. Step 3 Corrective Action: Corrective Action means taking appropriate action to correct the fault. If operator is able to correct faults with or without technical assistance from manufacturer engineer, time spent can be reduced greatly. 110 Troubleshooting 11.2 Obtaining Technical Assistance If technical assistance is needed, please contact manufacturer Customer Support Centre. Refer to Copyright and Declaration for Tel. number and fax number User should provide detailed and clear faults description. Requirements are as follows: a) Model; b) Serial number and version number; c) Description of fault and operating environment (for example, the fault happened in which screen and status); d) Lot numbers of reagents (lyse, diluent and detergent etc.); e) Related data and report Familiar faults and corrective actions are also given in this Chapter. Operator can identify the fault cause according to warning information and correct the fault follow Troubleshooting Guide. 11.3 Troubleshooting Familiar faults and corrective actions are listed as follows. If faults still cannot be corrected according to this chapter, or more technical assistance is needed, please contact with manufacturer Customer Support Centre. 111 Troubleshooting 11.3.1 Faults Relate to Reagents Fault Lyse Empty Probable Cause Corrective Action Lyse has been 1. Check that if the lyse has been used up; used up or lyse 2. Perform “Func” → “Maintain” →”Prime Lyse”; inlet tube is 3. If blocked. fault still occurs, please contact with manufacturer. 1. Check that if the diluent has been used up; Diluent Empty Diluent has been 2. Perform “Func” → “Maintain” →”Prime Diluent”; used up. 3. If fault still occurs, please contact with manufacturer. 1. Check that if the detergent has been used up; Detergent Detergent has 2. Perform “Func” → “Maintain” →”Prime Detergent”; Empty been used up; 3. If fault still occurs, please contact with manufacturer. Waste container is Waste Full full or waste sensor is in fault. 1. Check that if the waste is full; 2. Check that if the sensor is short circuit; 3. If fault still occurs, please contact with manufacturer. 11.3.2 Faults Relate to Vacuum Fault Probable Cause Pressure of Low Vacuum Corrective Action 1. Click “Sev”, input password “2006” to enter vacuum chamber System Check screen, ensure the vacuum items did not reach are in normal condition. standard value in time. 2. If fault still manufacturer. 112 occurs, please contact with Troubleshooting 11.3.3 Faults Relate to 5V Voltage Fault Probable Cause Corrective Action 1. Click “Sev”, input password “2006” to enter 5V Voltage Problem Power supply System Check screen, ensure the 5V Voltage is module is in normal condition. abnormal. 2. If fault still occurs, please contact with manufacturer. 11.3.4 Faults Relate to Test Results Fault Probable Cause Corrective Action 1. Check that if the diluent is overdue or contaminated; 2. Enter Diluent is Maintain screen and perform “Rinse Fluidics”; High contaminated or Background overdue; diluents Maintain screen with probe detergent. Run a Value tube or cups are background test again to check if the fault had contaminated. been cleaned; 3. If fault sill occurs, Perform Prime Fluidics at 4. If fault still occurs, please contact with manufacturer. 1. Click “Sev”, input password “2006” to enter System Check screen, check “HGB_BACK” and HGB Inaccuracy HGB background voltage jump “HGB_ZERO”; 2. If “HGB_BACK” and “HGB_ZERO” are out of range, contact with manufacturer. Readjust the voltage with professional assistance. 113 Troubleshooting 1. Perform “Cauterize Aperture” or “Flush Aperture” Ruby aperture is in Maintain screen, and then run a background WBC Clog clogged; WBC test to check the counting time;. or counting time is RBC Clog abnormal; solenoid valve problem 2. If fault still occurs, perform Prime Fluidics in Maintain screen; 3. If fault still occurs, please contact with manufacturer. 1. Diluent or detergent has WBC bubble or RBC bubble been used up; 2. Loose reagent tubing connection leads to leakage. 1. Check if diluent or detergent has been used up; 2. Check the reagent tubing connection, prevent leakage; 3. Perform Rinse Fluidics in Maintain; 4. If fault still occurs, please contact with manufacturer. 11.3.5 Faults Relate to Hardware Fault Probable Cause 1. Motor connecting wire is loose; Motor sounds is abnormal. 2. Travel switch problem; 3. Motor problem; Corrective Action 1. Click “Sev”, input password “2006” to enter System Check screen, ensure the motor items are in a normal condition; 2. If fault still occurs, please contact with manufacturer. 4. Motor drive circuit problem Counting time is too long or no counting time. 1. Ruby aperture is 1. If the fault still occurs after eliminating aperture clogged; clog, click “Sev”, input password “2006” to enter 2. Valve is not System Check screen, ensure all valves are in a working.. normal condition. 2. If fault still manufacturer. 114 occurs, please contact with Troubleshooting 11.3.6 Faults Relate to Temperature Fault Probable Cause Corrective Action 1. Click “Sev”, input password “2006” to enter System Check screen, verify the temperature in Temperature is System Status Check. 2. If working temperature is out the acceptable Temperature abnormal or is abnormal temperature sensor range: has problems. environment to meet the requirement; 3. If fault 15 ℃ -30 ℃ , still manufacturer. 115 occurs, improve please working contact with Chapter 12 Precautions, Limitations and Hazards Improper operation will lead to errors; even damage to operator or other people. Therefore, a criterion should be designed to perfect the service conditions to reach the optimal performance. 12.1 Limitations 1) The instrument is designed for in vitro diagnostic use. 2) All the relevant personnel for operation, shipment, installation or maintenance etc. should strictly follow the requirements in this manual, otherwise non-standard operation may lead to fault and user will lose the right of free service. 3) Using reagents, controls and calibrators which is not specified by manufacturer may lead to faults even accident. User cannot get free service from manufacturer in this condition. 4) Repairs can only be done with the permission of manufacturer. Please using components specified by manufacturer for replacement. For the problems derived from illegal operation, manufacturer will not offer free service. 5) Please follow the recommended maintenance schedules and procedures outlined in Chapter 9. Fail to comply with the requirement will shorten the life span and affect the test results even cause accident. manufacturer will not offer free service in this condition. 12.2 Location Limitations 1) Initial installation should be done by a qualified engineer authorized by manufacturer. 2) Place the analyzer on a stable and level operating platform. Please pay attention to the following: Away from direct sunlight. Away from the air outlet to avoid temperature extremes. Away from drying oven, centrifuge, x-ray equipment, copiers or 116 Precautions, Limitations and Hazards ultrasonic cleaner. 3) Place the reagent containers at the same level of the analyzer. 4) The installation area of analyzer and reagents is 2m2. Please keeping at least 40cm distance from surrounding objects to ensure ventilation. Adequate space should be left for maintenance and service. 5) Please perform following operations prior to initial use: Ensure liquid connection is proper and stable. Ensure tubes are not bending. Ensure reagents are flowing fluently. Ensure wastes are being drained into a suitable waste container. 6) Do not disconnect any electrical connection while power is ON. Ensure the analyzer is grounded well to prevent electrical interference and ensure safety. CAUTION: Serviceman who is not authorized by manufacturer or unqualified is not allowed to remove the screws on the shell. manufacturer is not liable for the serious consequences caused by illegal operation. 12.3 Personal Protection and Infection Control 1) Follow required laboratorial or clinical procedures during daily operation or maintenance. Wear gloves, lab clothing and safety glasses to avoid direct contact with the samples. 2) Consider all clinical specimens, controls and calibrators etc. that contain human blood or serum as potentially infectious. Wear standard laboratorial clothing, gloves and safety glasses and follow required laboratorial or clinical procedures when handling these materials. Do not smoke, eat or drink in working area. Do not suck or blow the tubing. 3) Blood samples and waste have potential biological and chemical hazard, thus operator should handle with care. Follow relevant local regulations to clean, dispose and discharge the waste. 4) Follow directions to store reagent, calibrators and controls. Reagents should be kept away from temperature extremes. Customer should set up and execute effective safekeeping measurement to prevent expired use, deterioration, misapplication or ingestion. 117 Precautions, Limitations and Hazards CAUTION: Reagent will freeze if being stored below 0℃. Disuse the reagent if is frozen. CAUTION: Keep away from direct sunlight. Seal the cap of the container and minimize the pore size to avoid evaporation and contamination. 118 Appendix A: Instrument Specifications Dimension and Weight Environmental Requirements Dimension: Temperature: 15℃~35℃ 530mm(L)×330mm(W)×460mm(H) Relative Humidity: ≤90%RH Weight: 23kg Barometric Pressure: 60kPa~106kPa Transport and Storage Specifications Power Specifications Temperature: -10℃~55℃ Power Supply: AC 100V~240V Relative Humidity: ≤95%RH Frequency: 50/60Hz Barometric Pressure: 50kPa~106kPa Power: 100VA-180 VA Fuse: 250V/3A Scope of Application Venous blood, peripheral blood of human being Appearance Specifications Display: 10.4-inch LCD Language: English/Simplified Chinese Parameter: 21 parameters and 3 histograms Indicator: Status Indicators/Work Mode Indicators System Alert: Alert message/Alert beep Ports: Power Receptacle Printer Ports RS-232 Port PS/2 Port USB Ports Recorder Specifications Recorder Width: 48mm Paper width: 57.5mm Paper Roll Diameter: 53mm Print Speed: 25mm/s 119 Appendix A Sample Volume Whole Blood Mode for Venous Blood: Venous Blood 10 μL Pre-diluent Mode for Peripheral Blood: Capillary Blood 20 μL Whole Blood Mode for Peripheral Blood: Capillary Blood 10 μL NOTICE: Sample dosages can be different according to analyzer version. Reagent Volume for Single Sample Diluent: 31mL Detergent: 8mL Lyse: 0.7mL NOTICE: Sample dosages can be different according to analyzer version. Background Results WBC≤0.2×109/L;RBC≤0.02×1012/L;HGB≤1g/L;PLT≤10×109/L Carryover WBC≤0.5%;RBC≤0.5%;HGB≤0.5%;HCT≤0.5%;PLT≤0.5% Accuracy Table A-1 Accuracy Specifications Parameter Acceptable Limits(%) WBC ≤±2.0% RBC ≤±1.5% HGB ≤±1.5% MCV ≤±0.5% HCT ≤±1.0% PLT ≤±4.0% Precision Table A-2 Precision Specifications Parameter Acceptable Limits(CV/%) Precision Range WBC ≤2.0% 4.0×109/L ~ 15.0×109/L RBC ≤1.5% 3.00×1012/L ~6.00×1012/L HGB ≤1.5% 100 g/L ~180g/L HCT/ ≤1.0% 35%~50% MCV ≤0.5% 76fL ~110fL PLT ≤4.0% 100×109/L ~500×109/L 120 Appendix A Linearity Table A-3 Linearity Specifications Parameter WBC Linearity Range 0×109/L~10.0×109/L 10.1×109/L ~99.9×109/L 0×1012/L ~1.00×1012/L RBC HGB ≤±0.3×109/L ≤±5% ≤±0.05×1012/ L 1.01×1012/L ~9.99×1012/L ≤±5% 0 g/L ~70 g/L ≤±2g/L 71 g/L ~300 g/L ≤±2% 0×109/L ~100×109/L PLT Acceptable Limits 101×109/L ~999×109/L 121 ≤±10×109/L ≤±10% Appendix B: Instrument Icons and Symbols Caution Caution, risk of electric shock Biohazard Equipotentiality Protective Grounding Protect from heat and radioactive sources Consult Instruction for Use For In Vitro Diagnostic Use Serial Number Manufacturer 122 Appendix C: Communication The system transfers sample data and analyzer information to outer computer through RS-232 COM. Communication can be done automatically after analysis or manually when the analyzer is in idle mode. This appendix explains the settings of communication parameters and data communication formatter for easy operation. Before communication, please ensure the analyzer has connected with outer computer through appropriate COM. Communication can be done in hexadecimal format or ASCII format. 1. Hexadecimal Format Communication 1.1 Data Link MAC Sublayer Parameters Convention Baud Rate: 115200 Parity Digit: None Data Bit: 8 bits Stop Bit: 1 bit 1.2 Data Link Layer Frame Format 1.2.1 Frame Format STX LENGTH Message ETX LRC 1.2.2 Meaning of Fields or Control Fields Name Meaning Value STX Start of Text 0x02 ETX End of Text 0x03 Message Sending Message LENGTH Length (2 bytes) LRC Checksum Determine by Message content. Determine by Message length Determine by the content among STX and ETX, exclude STX. 123 Appendix C 1.2.3 Convention Comply with Big-Enddian format, high byte is prior when transferring. 1.3 Message Field Structure 1.3.1 Message Structure TYPE DATA Field Definition: Field Length 1 TYPE 1 2 DATA xx TYPE Value: Type Value TRANS_CONDITION 0x42 1.3.2 DATA Field Definition DATA Type(1Byte) DATA Content(depends on specific DATA type) TYPE Value of DATA Field: DATA Type Value Definition Receive CON_TRANS 0x01 Request online status Yes TRANS_CON 0x02 Transmit online status Transmit Yes DATA Field Content: If TYPE value of DATA field is TRANS_CON and the opposite party can receive 0x01 message which sent by us, it means online is normal. 124 Appendix C 2. ASCII Format Communication 2.1 Message Transfer Format Message transfer formats are <SB> ddddd <EB><CR>. <SB> means the start of massage and its corresponding ASCII sign is <VT>, namely 0x0B; <EB> means the end of message and its corresponding ASCII sigh is <FS>, namely 0x1C; <CR> means the confirmation of termination and the field mark of different message, namely 0x0D; ddddd is the actual transfer content. It includes several fields, each field will end with <CR>, namely 0x0D. 2.2 Massage Grammar | Field mark ^ Component mark & Child component mark ~ Repeat mark \ Escape character 2.3 Data Type CX extended composite id which checks digit CE code element CM composite CQ composite quantity with units DR datetime range DT data DLN driver’s license number EI entity identifier HD hierarchic designator FN family name FT formatter text 125 Appendix C IS coded value for user-defined tables ID coded values for HL7 tables JCC job code NM numeric PT processing type PL person location ST string SI sequence ID TS time stamp TQ timing quantity TX text data XAD extended address XCN extended composite ID number and name XON extended composite name and ID number for organizations XPN extended person name XTN extended telecommunications number VIDversion identifier 2.4 Message Type The structure of message is as follows: MSH //Message Header { [PID] //Patient Data { OBR // Medical Advice [OBX] //Inspection Result } } 126 Appendix C Definition of MSH (Message Header): Number Field Type Length 1 Field mark ST 1 2 Encoding chars ST 4 3 Sending Application EI 180 4 Sending Facility EI 180 5 Receiving Application EI 180 6 Receiving Facility EI 180 7 DateTime Message TS 26 8 Security ST 40 9 MessageType CM 7 10 Message Control ID ST 20 11 Processing ID PT 3 12 VersinID VID 60 Remark 13 Keep 14 Keep 15 Keep 16 Keep 17 Keep 18 Encoder ST Encoding (with UNICODE) Example: MSH|^~\&|manufacturer|UT-3020|LIS|PC|20100930100436||ORU^R01|m anufacturer-BLD|P|2.3.1||||||UNICODE 127 Appendix C Definition of PID(Patient Data) Field: Number Field Type Length Remark Confirm different fields, 1 Set ID PID SI 4 2 Patient ID EI 20 3 Patient Identifier List CX 20 4 Alternate Patient ID CX 20 5 PatientName XPN 48 6 Mother Maiden Name XPN 48 7 Date/Time of Birth TS 26 8 Sex IS 1 M or F 9 Patient Alias XPN 48 Keep 10 Race CE 80 Keep 11 Patient Address XAD 106 Keep 12 County Code IS 4 Keep 13 Phone Number XTN 40 Keep 13 Phone Number Bus XTN 40 Keep 14 Primary Language CE 60 Keep 15 Marital Status CE 80 Keep 16 Religion CE 80 Keep … generally set 1 Set null Basically, the Latter parts do not need to fill Example: PID|1|1010051|A1123145|15|Jame||19811011|M 128 Appendix C OBR Field: Number Field Type Length Remark Confirm different fields, 1 Set ID OBR SI 4 2 Placer Order Number EI 22 3 Assigned Patient Location EI 22 4 Universal Service ID CE 200 5 Priority ID 2 6 Requested DateTime TS 26 7 ObservationDatetime TS 26 8 Observation DateTime end TS 26 Set null 9 Collection Volume CQ 20 Set null 10 Collector Identifier XCN 60 Set null 11 SPE ActionCode ID 1 Set null 12 Danger Code CE 60 13 Relevant Clinical Info ST 300 14 SPE Received DateTime TS 26 15 SPE Source CM 300 16 Ordering Provider XCN 120 XTN 40 17 OrderCallback Phone Number generally set 1 or null Set null Clinical information, diagnosis or remark etc. Blood, urine or others Set null 18 Placer Field1 ST 60 Inspection applicant 19 Placer Field2 ST 60 Set null 20 Filler Field1 ST 60 Set null … Do not need to fill basically Set null Example: OBR|1|1010051|000001|manufacturer^UT-3020||20101010093020|20101 010093500|||||| Jaundice||BLD|Tom||011 129 Appendix C OBX Field: Number 1 2 3 Field Type Set ID OBX Value Type Observation Length SI 4 ID 3 CE 590 Identifier Remark Confirm different generally use 1 or null NM indicates number type, ST indicates value type Observation Identifier or item ID 4 Observation SubID ST 20 5 Observation value ST 65535 6 Units CE 90 7 References Range ST 90 8 Abnormal Flags ID 5 Value mark: L H N 9 Probability ID 5 Set null 10 Nature of Abnormal ID 2 Test 11 Observe Status ID 12 Date Last Observe TS 13 User Defined ST 1 26 20 Access Checks 14 DateTime 15 Producer ID 16 Responsible TS 28 fields, Test result Set null Observe results and take F as final result Set null Original result, such as absorbance Use for biochemical result Observer 17 Observation CE 60 Method Use for biochemical analyzer A complete ASCII data example: <SB> MSH|^~\&|[CompanyName]|[InstrName]|LIS|PC|[ResultTime]||ORU^R01|[ InstrType]|P|2.3.1||||||UNICODE<CR> PID|[PatType]|[PatID]|[PatBarCode]|[PatBedCode]|[PatName]||[PatBirth]|[ PatSex]<CR> OBR|[SampleType]|[REQID]|[SampleID]|[CompanyName]^[InstrName]||[S 130 Appendix C ampleTime]|[StartTime]||||||[Symptom]||[SanpleType]|[SendDOCName]||[Send DP]<CR> OBX|[ResultType]|[ValueType]|[ItemID]|[ItemName]|[TestResult]|[Unit]|[Co nsultValue]|[Flag]|||F||||[DocDP]|[DOCName]|<CR> OBX|1|NM|[ItemID]^LeftLine||[TestResult]||||||F||||[DocDP]|[DOCName]|<C R> OBX|1|NM|[ItemID]^RightLine||[TestResult]||||||F||||[DOCDP]|[DOCName]| <CR> OBX|1|ED|[ ItemID]||[InstrID]^Histogram^32Byte^HEX^[TestResult]||||||F||| |[DOCDP]|[DOCName]|<CR> <EB> <CR> 3 Communication Operations If choose hexadecimal as transmission mode, the system will send data in hexadecimal format. Likewise, choose ASCII, the system will send data in ASCII format. If automatic transmission is on, then after finishing each analysis, the system will transmit data through COM automatically. If you do not need, please choose off in setting interface. Users can press “Trans.” in main menu screen to transmit data. 131