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Гематологический Анализатор HumaCount (Human) РП
Гематологический Анализатор HumaCount (Human) РП
| User Manual
|
Cat.No. 17401/1
Revision List of the Manual
No. DATE / Rev. REVISION DESCRIPTION
1 01/2004-04 First edition
2 02/2006-01 Reagents
3 03/2008-01 Reformat
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1 INTRODUCTION
This manual is considered as a part of the instrument; it has to be at the operator’s hand as well as at the
maintenance operator’s availability. For accurate installation, use and maintenance, please read the following
instructions carefully. In order to avoid instrument or personal damages, carefully read the ”GENERAL SAFETY
WARNINGS”, describing the suitable operating procedures. In case of breakdowns or any troubles with the
instrument, apply to the local Technical Service.
2 USER WARRANTY
HUMAN warrants that instruments sold by one of its authorised representatives shall be free of any defect in
material or workmanship, provided that this warranty shall apply only to defects which become apparent within
one year from the date of delivery of the new instrument to the purchaser.
The HUMAN representative shall replace or repair any defective item at no charge, except for transportation
expenses to the point of repair.
This warranty excludes the HUMAN representative from liability to replace any item considered as expendable in
the course of normal usage, e.g.: lamps, valves, syringes, glassware, fuses, diskettes, tubing etc.
The HUMAN representative shall be relieved of any liability under this warranty if the product is not used in
accordance with the manufacturer's instructions, altered in any way not specified by HUMAN, not regularly
maintained, used with equipment not approved by HUMAN or used for purposes for which it was not designed.
HUMAN shall be relieved of any obligation under this warranty, unless a completed installation / warranty
registration form is received by HUMAN within 15 days of installation of this product.
This warranty does not apply to damages incurred in shipment of goods. Any damage so incurred shall be re-ported
to the freight carrier for settlement or claim.
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5 DISPOSAL MANAGEMENT CONCEPT
The currently valid local regulations governing disposal must be observed. It is in the responsibility of the user to
arrange proper disposal of the individual components.
All parts which may comprise potentially infectious materials have to be disinfected by suitable validated
procedures (autoclaving, chemical treatment) prior to disposal. Applicable local regulations for disposal have to be
carefully observed.
The Instruments and electronic accessories (without batteries, power packs etc.) must be disposed of according to
the regulations for the disposal of electronic components.
Batteries, power packs and similar power source have to be dismounted from electric/electronic parts and disposed
off in accordance with applicable local regulations.
6 INSTRUMENT DISINFECTION
Analytical instruments for in vitro diagnostic involve the handling of human samples and controls which should be
considered at least potentially infectious. Therefore every part and accessory of the respective instrument which
may have come into contact with such samples must equally be considered as potentially infectious.
Before doing any servicing on the instrument it is very important to thoroughly disinfect all possibly contaminated
parts. Before the instrument is removed from the laboratory for disposal or servicing, it must be
decontaminated/disinfected. Decontamination/disinfection should be performed by a authorised well-trained
personnel, observing all necessary safety precautions. Instruments to be returned have to be accompanied by a
disinfection certificate completed by the responsible laboratory manager. If a disinfection certificate is not
supplied, the returning laboratory will be responsible for charges resulting from non-acceptance of the instrument
by the servicing centre, or from authority’s interventions.
7 NOTICE
Every effort has been made to avoid errors in text and diagrams, however, HUMAN GmbH assumes no
responsibility for any errors which may appear in this publication. It is the policy of HUMAN GmbH to improve
products as new techniques and components become available. HUMAN GmbH therefore has to reserve the right
to change specifications if necessary in the course of such improvements.
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NOTICE
Analytical instruments for in vitro diagnostic application involve the handling of human samples and controls
which should be considered at least potentially infectious. Therefore every part and accessory of the respective
instrument which may have come into contact with such samples must equally be considered as potentially
infectious.
BIOHAZARD
The „BIOHAZARD“ warning label must be affixed to instrument prior to first use with biological material !
Servicing Note:
Before doing any servicing on the instrument it is very important to thoroughly disinfect all possibly contaminated
parts. Before the instrument is removed from the laboratory for disposal or servicing, it must be decontaminated.
Decontamination should be performed by authorised well-trained personnel only, observing all necessary safety
precautions. Instruments to be returned have to be accompanied by a decontamination certificate completed by
the responsible laboratory manager. If a decontamination certificate is not supplied, the returning laboratory will
be responsible for charges resulting from non-acceptance of the instrument by the servicing centre, or from
authority’s interventions.
HUMAN
Gesellschaft für Biochemica und Diagnostica mbH
| Max-Planck-Ring 21 · 65205 Wiesbaden · Germany
| Tel.: +49 61 22/99 88-0 · Fax: +49 61 22/99 88-100
| e-Mail: human@human.de · www.human.de
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Contents
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2 DESCRIPTION OF THE ANALYZER AND THE REAGENT
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2.1.2 Rear Panel
3 5
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2.4 Function of Fluidics
Sample flow prior to counting:
25 μl (50 μl in Prediluted mode) of anti-coagulated whole blood sample is aspirated by the sampling needle, and
4 ml of [DIL] is added into the chamber. 25 μl of primary dilution is aspirated and stored in the needle during the
WBC measurement. The necessary (preset) amount of lysing reagent is added to the primary dilution remaining in
the chamber. After the WBC measurement and a washing process, the instrument makes the second dilution into
the chamber with the sample stored in the needle and with 5 ml of [DIL] reagent.
Dilution rates:
1. Primary dilution: 1:160
2. RBC dilution: 1:32,000
3. WBC dilution: 1:196
Measurement times:
1. WBC counting: 8 seconds
2. HGB measurement: 3 seconds
3. RBC/PLT counting: 8 seconds
• Red The analyzer is performing a measurement process and no new measurement can be started.
2.5.3 Display
The display is a 240 x 128 dots, high contrast, CCFL backlit graphic LCD (Liquid Crystal Display) module.
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3 DESCRIPTION OF THE SOFTWARE
3.1 General
The integrated software controls instrument operations, displays, stores, recalls data, and allows the user to per-
form quality control (QC) and calibration procedures.
Pressing the START/OK button validates newly entered data, or activates/enters the highlighted item.
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4 OPERATING PRINCIPLES
Internal electrode
+ Aperture
Blood cell suspension
External electrode
The impedance method counts and sizes cells by detecting and measuring changes in electrical impedance when a
particle in a conductive liquid passes through a small aperture.
Each cell, passing through the aperture – where a constant DC current flows between the external and internal
electrodes – causes some change in the impedance of the conductive blood cell suspension. These changes are
recorded as increases in the voltage between the electrodes.
The number of pulses correlates to the number of particles (CBC - Counting Blood Cell). The intensity of each pulse
is proportional to the volume of that particle (WBC, RBC, PLT histograms). Pulses are counted only in channels (in
terms of femtoliters, fl) which are between the pre-set lower and upper discriminators.
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4.4 Absolute and Linearity Ranges of Measured Parameters
Within the linearity range, the instrument works according to the specified accuracy. Outside this linearity range,
the system will display the results, but without the specified accuracy.
If the value is over the maximum range, the instrument cannot measure it and the result is marked with an E
(Error) flag. In this case, pre-dilution of the sample is recommended (e.g. very high WBC). For pre-diluted mode, see
section 7.1.5 of this manual.
Linearity ranges of primary parameters in normal measuring mode:
HCT 0...100 - %
MCV 30...150 - fl
MPV 3...30 - fl
5.1 Unpacking
Only trained Service Personnel should perform unpacking. It is recommended to carefully inspect for any damage
or missing items at the time of unpacking.
CAUTION! Before the first operation, let the instrument warm up to room temperature for at least 6 hours; other-
wise the temperature gradient could cause water condensation, which may damage the electronic parts.
Main menu
When the start-up procedure is completed, the MAIN
1.Measure ? MENU is displayed.
2.Database ? Sub-menus are indicated with an ► arrow in the end
3.Maintenance ?
4.Calibration ? of the line. In this case, you can use → key to enter the
5.Quality control ? selected sub-menu.
6.Settings ?
7.Exit ?
CAUTION!
Wait 5 minutes before starting any measuring process. This time is required to reach the optimal working tem-
perature.
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5.8 Reagent Priming
In some cases, a priming cycle must be performed. The instrument will perform the cycle automatically if the fluid
sensors are on, and the instrument detects that there is not enough liquid in the tubing system. Priming cycle
should be run in the following cases:
− At installation
− In case of extended time out of use
− After any component replacement related to the Fluidic System
5.9 Turning the Instrument OFF
The software will prompt you for confirmation. Press 1 and the analyzer will perform a priming cycle to fill the
chamber to avoid dust and salt build-up, and shuts itself down.
The second item should be used when the instrument is to be shipped. In this case, the instrument will ask you to
connect the cleaning tube kit with 100ml of distilled water. Follow the instructions appearing on the display.
! Message 5001/19300
EXIT (7)
Remove reagent tubing at rear reagent inputs PREPARING FOR SHIPMENT (2)
(Diluent, Lyse and Cleaner) Here, the instrument asks you to remove tubing
connectors, so that they can be drained. Leave waste
connector on.
! Message 5003/19300
Next, the analyzer asks you to remove cleaning tube
Remove cleaning tube kit. Keep reagent inputs kit (waste must still be on).
free.
When finished, the analyzer will ask you to power off
the system.
6.1 Customize
This option shows possible adjustments to operation,
and result display.
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6.3 Setting the Name of the Laboratory
This menu allows entering laboratory information, which will be printed in the header of reports generated by the
instrument.
Set laboratory name
SETTINGS (1)
The name of the laboratory is: LABORATORY (2)
Hematology-1 A maximum of 40 characters can be entered in each
line of four either using an external standard PC (US-
This name will be printed in the header layout) keyboard connected to the instrument, or by
of the printouts scrolling each letter character using the ↑ and ↓
buttons.
Move between character places using ←and → keys.
The next three figures show the reference range settings of Female patient type.
SETTINGS (6)
Patient limits
Female LIMITS (4)
Lyse 0.90 ml FEMALE (3)
WBC 5.0 - 10.0 10^9/l
RBC 4.00 - 5.00 10^12/l Modify the highlighted lower and upper limits with the
HGB 120 - 160 g/l numerical keypad. Confirm with OK.
HCT 36.0 - 48.0 %
MCV 76 - 96 fl
MCH 27.0 - 32.0 pg
If 0.0 - 0.0 is specified as lower and upper limit, the parameter will not be checked for its proper range.
Patient limits
Actual [LYSE] quantity can be modified before each
LYM 1.3 - 4.0 10^9/l measurement by ± 0.2 ml step (see 7.1.7).
MID 0.2 - 0.7 10^9/l
GRA 2.5 - 7.5 10^9/l
In the same submenu the software also allows the user
LY% 25.0 - 40.0 % to set the different veterinary normal ranges and the
MI% 3.0 - 7.0 % quantity of the added [LYSE] .
GR% 50.0 - 75.0 %
If 0.0 - 0.0 is specified as lower and upper limit, the parameter will not be checked for its proper range. Actual
[LYSE] quantity can be modified before each measurement by ± 0.2 ml step (see 7.1.7).
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6.6 Fluid Sensors
Fluid sensors check for presence of the most important reagents: [DIL] , [CLEAN] and [LYSE] .
If any of the fluid sensors get out of order, the analyzer can still continue operating, if the malfunctioning sensor is
manually disabled.
There is a software counter method for waste full checking. The Service Personnel must set the waste container
capacity during installation. The instrument counts the drained waste volume and gives a warning message when
it reaches the set waste container capacity.
The User can reset the waste counter in the MAINTENANCE (3) / EMPTY WASTE CONTAINER (4) sub-menu.
This is strongly recommended to use this method with the following rules:
− Always use the same or higher capacity waste tank that was set during installation. If you want to change
waste tank size, please call your Service Person.
− Empty waste tank when the instrument gives you the warning: “waste is full”.
− If you replace waste tank do not forget to reset the software waste counter.
Paper height
If more than one result is to be printed on one sheet of paper, use Vertical spacing to determine the distance
between the reports.
Printer settings
On the first page of Printer Settings, printer type,
Printer: graphics mode and paper settings can be set.
Seiko DPU414 Select the Printer matching your printer hardware.
Mode:
Normal Wide ? Different Modes result in different printout sizes.
Physical margin: Normal Choose the one matching your needs. The available
Paper: A4 modes depend on the selected printer type. Possible
Unit: inch
Size 8.27 x 11.69 options are: Mini, Small, Normal, Enhanced and Large
for the size, Wide and Narrow for the width and the
optionally Fast mode. Recommended mode is Normal.
Physical Margin is used to correct the printout for a printer having lower printable area. Bigger margin means
bigger physical margin. Alter the ‘normal’ setting only, if the right side of the printed result is missing, or appears in
the next line.
Select Paper, or enter correct Size parameters: either in inches or in cm, specified at Unit.
The second page of printer settings enables changing further margins, vertical spacing of reports, and other
options.
If you set One result per page to Yes, each measurement will be printed on another page.
Printer settings
The third page of printer settings holds the options for
Print ranges: Yes the individual result-printing.
Print flags: Yes If Print Ranges is set to Yes, the upper and lower limits
Print warning flags: No
(if specified in Settings/Limits) will be printed next to
each measured parameter for verification.
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If Print Flags is set to Yes, and any measured value is out of the normal range, or there was any error, those will be
shown on the printout as well. It is recommended to set it to Yes.
If Print warning flags is enabled, any flags that was shown on the result screen will be included with the printout.
User settings
SETTINGS (6)
? 1.Single user mode USER SETTINGS (7)
? 2.Multi user mode MULTI USER MODE (2)
3.Add new user
By selecting item 2, the instrument enters multi-user
mode, and a new item appears on the screen: Add new
user.
User information
SETTINGS (6)
User ID 1 USER SETTINGS (7)
Name ADD NEW USER (3)
Frank Smith____________________
Level Basic To each new user, the software assigns an individual ID.
Active Yes In the next field, a user name of 32 characters can be
Password
specified.
When the name is entered, the level should be defined. The default setting for Active is Yes. Use this option if you
want to disable a user.
The last data to enter is the password, a maximum of 8 alphanumeric characters.
In multi-user mode the Exit menu is changed: a Log-out menu point appears.
Exit
EXIT (7)
1. Shut down When the user logged in has finished working with the
2. Preparing for shipment instrument, it is not necessary to switch off. From the
3. Logout
main menu, selecting EXIT (7) brings up the EXIT menu.
LOGOUT should be used instead of shutdown, as in this
case the log-in screen will be displayed waiting for the
next user to log in
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7 ROUTINE UTILISATION
7.1.1 Sampling
The aspirating tip (a needle with rounded end) is used to draw sample from the tube containing the blood to be
analyzed. It cannot always be seen, as it has two positions:
− Retracted position: inside the instrument (the status LED is either red, yellow or off).
− Aspirating position: in front of the sampling bar; it can be activated only in certain menus associated directly
with the sampling process; status LED is green.
− Invert the closed sample tube 11 times to achieve a homogenous sample. Do not shake!
− Take off the cap of the sample tube.
− Immerse the aspiration needle well into the sample.
− Push the sampling bar or the START/OK button.
The instrument draws 25 μl of sample, and the aspirating needle is retracted while its outer surface is
automatically rinsed with [DIL]. This ensures a low carry-over between samples. Simultaneously, the status LED
turns red.
During aspiration, hold the sampling tube in a stable position (for approx. 1 second) until you see the status LED
flashing and hear the beeps indicating the end of the sampling process.
After these signals, you can remove and recap the sampling tube.
Make sure to immerse the sampling needle well into the sample, otherwise it can cause erroneous sampling,
giving inaccurate results.
Important!
When the needle stops for a while during its movement upwards, the needle must be out of the sample, otherwise
the analyzer makes another aspiration in this state. This extra aspiration can also cause an inaccurate
measurement.
CAUTION!
New calibration will invalidate the previous one. Old values cannot be retrieved, but can be reviewed in the VIEW
CALIBRATIONS menu.
Calibration can be initiated by choosing Calibration in the Main Menu.
After setting the target values, press to validate and start calibration measurements.
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Target values for the calibrated parameters can be set in the following ranges:
Parameter Low limit High limit
RBC 1.00 8.00
HCT 0.1 0.6
MCV 50 120
RDW CV 10 50
PLT 30 800
PCT 0 2
MPV 5 15
PDW CV 5 50
HGB g/l 30 300
WBC 1.0 30.0
Sample information On this screen, the patient age can be entered in years
Sample ID: 1 or in months depending on your selection.
Date: 2003.05.12.
Patient ID: As the requirements vary from lab to lab and is strictly
Name: related to regular laboratory work, the user cannot
Roland Heyer change this option. Contact service for further
Age: 25 years ? Male
Doctor: dr. Hans B. Kern information.
Type in the name using up to 32 alphanumeric characters, (“A-Z”, “0-9”, space, comma, dot and parentheses “()”).
Use arrow keys to move between characters, backspace to delete missed characters.
Press Enter after entering the name, cancel with Esc or , confirm with .
7.1.4.3 Results
At the end of a measuring procedure, the following screen is displayed, including all measured and calculated
parameters as well as the WBC, RBC and PLT histograms.
Results and histograms will be stored automatically in
the memory, without any operator confirmation. (First
panel of two)
If normal ranges are set (not 0.0), parameters will be
verified and marked by:
+ if the value is over,
- if the value is under the range specified.
− If there is any kind of error, or the blank measurement is too high, E error flag will appear at the erroneous
parameter and no results will be displayed (---).
− If there are warnings or errors, a ∗ flag will appear preceding the actual result.
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In the last line of the first result screen, warning flags can be displayed. If the last line is clear, it means that no
errors or warnings were found during measuring cycle. The meaning of each warning flag and the recommended
user action is included in the next table.
Flag Meaning Recommended user action
W WBC three part warning − Repeat the measurement. Possibly [LYSE] problem.
or WBC three part diff. − Check the discriminators in the WBC histogram. If the discriminators are
unsuccessful in the proper place (the populations can be separated visually) then the
results can be accepted.
E No WBC three part − Possibly [LYSE] problem, but in some pathological samples (too high
lymphocytes), it can be happened.
H HGB blank is high, or no − Repeat the blank measurement and accept it.
HGB blank − Possibly [LYSE] or [DIL] problem.
B WBC blank is high, or no − Repeat the blank measurement and accept it.
WBC blank − Possibly [LYSE] or [DIL] problem.
L WBC/RBC limit warning − Check the 1. RBC-LYM discriminator. If it is in the minimum point (or close
to it), accept the results. Otherwise repeat the measurement.
− If the rerun gives very similar results and the discriminator is in a wrong
place then the MID and GRA results are OK, but the WBC and LYM results
can be higher because of the RBCs.
R Too many RBC cut from − Repeat the measurement. Possibly [LYSE] problem.
WBC − If the WBC measuring time is too high (more than 8 sec.) it could be
aperture clogging. In that case perform cleaning and repeat the
measurement.
M* WBC coincidence is too − The results are out of the linearity range. Make a dilution with an external
high. Linearity error. dilutor with a pre-defined dilution range. Do not forget to correct the
results with the defined factor.
D WBC data package errors − Perform cleaning and repeat the measurement (aperture clogging).
− If it is a general problem, please call your Service Personnel.
S WBC time error − The same action as in case of the D warning flag.
C WBC clogging − Aperture clogging. The same action as in case of the D warning flag.
p PLT blank is high, or no − Repeat the blank measurement and accept it.
PLT blank − [DIL] problem. Replace [DIL] , open a new tank.
b RBC blank is high, or no − Repeat the blank measurement and accept it.
RBC blank − [DIL] problem. Replace [DIL] , open a new tank.
l RBC/PLT limit warning − The RBC/PLT valley is too high. It is rather a diagnostic flag. If the
discriminator is in a wrong place (in the PLT or RBC histogram) then
repeat the measurement for a correct PLT result.
k RBC peak warning − Perform cleaning and repeat the measurement (clogging).
− If it is a general problem, change the RBC aperture.
m* RBC/PLT coincidence is − The same action as in case of the M warning flag.
too high. Linearity error.
d RBC/PLT data package − The same action as in case of the D warning flag.
errors
s RBC/PLT time error − The same action as in case of the D warning flag.
c RBC/PLT clogging − The same action as in case of the C warning flag.
*M or m warning flag means that the coincidence is too high so the results are out of the linearity range - see
Section 4.4. In that case, make a predilution with an external dilutor and use the Prediluted mode (see section
7.1.6).
In the next figure, one of the long-format printout patient results with histograms is shown.
The HumaCount 07.03.2003 15:38 #2 Female
At the bottom of the screen,
warning flags are displayed
and the WBC results have the
∗ flag, meaning that the WBC
three-part differential does not
seem to be correct.
In this patient result, the L
warning flag means that the
RBC-LYM discriminator is not
sure and that is why the W
warning flag (WBC three part
warning) appears in the last
line.
At the bottom of the screen, warning flags are displayed and the WBC results have the ∗ flag, meaning that the
WBC three-part differential does not seem to be correct.
In this patient result, the L warning flag means that the RBC-LYM discriminator is not sure and that is why the W
warning flag (WBC three part warning) appears in the last line.
With a little diagnostic experience, the User can accept the results, because just a very small part of the RBC is in
the LYM channel. (The discriminator is in the minimum point of the dotted RBC line) Similarly, the MID population
seems to be correct, thus the results can be accepted.
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Second panel of the result screen including the PLT
distribution curve and measuring times.
Note: The instrument is capable of measuring two kinds of prediluted mode 1+3 and 1+10. The user cannot
change these modes. Contact service for further information.
The results are corrected with the predilution factor (1+3) automatically.
Prediluted mode has its own calibration factors. To calibrate the instrument for this mode, see the Calibration
settings section of this manual.
To disable Prediluted mode, you must re-enter Measure local menu and deselect its box.
Measure local menu <MEASURE LOCAL MENU>
1. Cleaning MAINTENANCE (3)
2. Priming ?
3. Drain chamber From the Measure local menu, you can also access
some parts of the maintenance menu. There you can
make priming, cleaning, or draining of the chamber.
Quality control measurements can only be made after an optimal blank measurement result has been accepted
(all parameters were in the 1st range).
QUALITY CONTROL (5)
QC MEASURE (2)
After selecting target values (or targeted level), select
this menu to do a QC measurement. After the
measurement has been completed, the following result
screen will be displayed. It is similar to the normal
measurement, but in the first line there is Quality
Control as an ID.
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7.2.1 QC Database
The database of measured and stored QC results can be displayed at any time in table or graphic (Levy-Jennings)
formats. The QC measurement results will have subsequent ID numbers.
CAUTION! Any change in the QC material settings is followed by deletion of the QC database, so it is strongly
recommended to print them out before modification.
The analyzer makes graphic figures of the primary parameters (WBC, RBC, HGB, HCT, MCV and PLT).
QUALITY CONTROL (5)
VIEW QC DIAGRAM (4)
Assigned values (target value and accepted range) as well as averages, standard deviations (StDev) and coefficients
of variation (CVar) are calculated based on the QC measurements and are displayed together with Levy-Jennings
charts. The dotted lines show the acceptable range.
7.4 Printouts
When required, the following items can be sent to an external printer by pressing the function key button.
1. Database result(s) (table format).
2. Database (specified patient results with histograms).
3. QC result (Levy-Jennings chart).
4. QC result(s) (table format).
5. Last measured blank result.
6. Last measured patient result (with histograms).
7. Last measured QC result.
8. Device Information and Device Statistics.
9. Self test result.
10. Set parameters.
Different printout formats of typical patient-result printouts are shown in the next figures (the appropriate
printout format can be selected in SETTINGS/PRINTER SETTINGS submenu – see 0).
Normal
range
In this printout normal ranges (limits), flags and warning flags are all enabled. The printing modes of these
parameters can be selected within PRINTER SETTINGS submenu.
If normal ranges are set, flags are enabled, and patient values are over or below the limits specified, the result out
of the range is marked with an +/- mark.
Normal printout format without histograms (Text only):
Hematology-1
07.03.2003 15:38 #2 Female
This printout format is similar to the previous one, but
it does not include the histograms. The laboratory
name has moved into the first line.
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SmpID Date PatID
DATABASE (2)
?7 2003.05.02 14:56 20000502a12 VIEW DATABASE (1)
¦8 2003.05.04 14:59 HR0058AS4
? High05 2003.05.04 15:06 PWF55A Pressing ← or → button accesses the remaining, non-
? 08 2003.05.04 15:08 LNK23-B visible parameter results. With ↑ or ↓ button you can
? 12A7 2003.05.04 15:15 MK4FED
¦ UF6A8 2003.05.04 16:00 550462L scroll between the results one-by-one. Pressing the 3
? HEM2 2003.05.04 17:26 HEMA0034A and 9 buttons has the same effect as PageUp and
¦ PR02 2003.05.04 17:29 ZZ3ZH
PageDown scrolling keys.
Select patient results by pressing the OK button. Its box
will be filled.
From the database table screen, WBC, RBC and PLT histograms can be displayed by pressing . By pressing the
key, the second panel with PLT results can be accessed.
Step-by-step browsing among histograms of the selected tests is made by pressing LEFT and RIGHT ARROW
function key buttons.( and )
DATABASE (2)
Backup data BACKUP DATABASE (2)
BACKUP ONE
Day to back up: DAY (1)
2003.05.24.
Specify the day whose
records you wish to
backup to backup.
When you have selected the day or data to be saved, and confirmed it with the key, the instrument will
prompt you for the storage device. (In case “Floppy” is selected for backup, the SW will calculate the number of
necessary floppy disks).
! Message 5104/12210
35 data record(s) will be saved on 1 disk(s).
Insert an empty floppy disk!
STOP! Error 1300/12210 This warning appears, if the disk you inserted had
Cannot write archive data! Check disk! errors on it, or was write-protected.
It may be unformatted, full, or bad! Check the write protection of the disk or if necessary,
Do you want to retry?
insert a new, formatted disk.
35/44
7.7 Maintenance
From this submenu, the User can initiate maintenance procedures such as cleaning, priming, draining and
preparing the analyzer for shipment.
Maintenance MAINTENANCE (3)
1. Cleaning Select the required submenu.
2. Priming ?
3. Drain chamber
4. Empty waste container
5. Diagnostics ?
6. Service
7.7.1 Cleaning
Select item 1 (CLEANING) in the above MAINTENANCE menu.
This action is recommended in case any clogging problem is experienced (C error flag).
This is a relatively strong decontamination process, cleaning out possible dirt or clog from the system using high
voltage electronic pulses, [CLEAN] solution and high-pressure backflush.
7.7.2 Priming
If fluid sensors are on, then the analyzer makes these procedures automatically, otherwise the User must initiate
them activating the appropriate item within this submenu.
7.7.3 Draining
Draining is used to drain the chamber before servicing (e. g. manual cleaning, dismounting of the aperture).
1.
Using a standard screwdriver, ease the tube on the plastic connector, and pull the tube off.
Repeat the same procedure on the other end of the tube.
Now you can pull the plastic holders off the tube. Retain all parts except the old tube.
Using the new pump tube, slide the two grey plastic parts onto the new tube. Make sure they are aligned as shown
on figure 1. Insert the 2 white plastic connectors into the ends of the tube. The new set must look like the tube on
figure 1.
Put the tube back into the pump mechanics, and drive the grey plastic parts into their seats as figure 2 indicates.
(view from the “top” of the pump)
2.
Slide the cassette housing back. There are pins on the cassette, make sure to drive them in their paths.
The cassette must click into its place.
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7.8 Diagnostics
The DIAGNOSTICS submenu provides important information about the analyzer, statistics and the built-in Self test.
Diagnostics MAINTENANCE (3)
1. Device information DIAGNOSTICS (5)
2. Statistics Select the desired item.
3. Self test
Self test results The second and third panels of the result screen include
HGB dark: 0 OK every test result. At the end of the result line, OK, HIGH,
HGB light 17723 OK LOW, or ERROR is displayed, which means that the
Electr. Voltage: 51.2 V OK
current: 879 uA OK actual test result is at the normal range (OK), higher
offset -1.9 mV OK (HIGH), lower (LOW) than the pre-determined limits, or
Ampl. test: 20000 pls OK
peak: 1621 mV OK the result is an error (ERROR).
dev: 53 mV OK
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8 APPENDIX "A": REAGENT SOLUTIONS AND CONSUMPTION
Reagents supplied by Human GmbH are the only ones recommended for use with the analyzer.
1. [DIL] : An isotonic saline solution used to dilute whole blood specimens and to rinse the fluidic
system between measuring procedures.
HC-DILUENT Cat.- No.: 17400/10 (20 litres)
2. [LYSE] : Used to prepare blood hemolysate for WBC and HGB measurement.
HC - [LYSE] Cat.- No.: 17400/20 (1 litre)
Fault statistics: RBC and WBC clogging < 3% of measurements (normal use)
Clog prevention: High-voltage burn and chemical cleaning of the aperture in each measurement cycle
using [CLEAN]
Cleaning procedure: High-voltage burst on the aperture, high-pressure backflush and chemical cleaning of
aperture using [CLEAN]
Quality control: 6 QC levels (profiles) including: average, ± range, SD and CV for all measured and
calculated parameters, 16- and 64-day Levy-Jennings charts, separate QC database
Calibration: Automatic (by calibrator) with 1, 2 or 3 measurements, or factorial (manual) calibration of
WBC, HGB, RBC, PLT, MCV, RDW, MPV, PDW
Automatic and factorial calibration of Prediluted mode
Monitoring of calibration factors by calibration events (not available for Prediluted mode)
On-board CPU: Pentium™ PC
Data storing capacity: 2,000 results, including histograms (8Mbytes DiskOnChip module)
Interfaces: RS 232 (computer) in 150, 300, 600, 1200, 2400, 3600, 4800, 9600, 14400, 19200, 38400,
57600, 115200 baud rate (8 data bit, no parity, 1 stop bit)
Parallel output (printer) in HP PCL4, Epson 9-pin, Epson 24-pin, Canon BJC, Seiko DPU-414
or compatible mode
3.5” floppy disk drive
PC standard external keyboard, USA layout
Display: 240x128 dots graphic, backlit LCD
Keyboard: 24 buttons foil, START bar
Dimensions: 450x310x350 mm
Net weight: 14 kg
Power requirements: 110/230 V; 50/60Hz; 230VA
Installation category: II. (OverVoltage)
Primary mains fuse: T5A/250V
Protect class: I.
Operating temperature: 10 - 35 °C
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10 APPENDIX "C": FLUIDIC SCHEMATICS
V11 DilWash
1
V13 DilNeedle
3
1
2
2 1
V12 DilChamber
DILUENT
2
3
V14 LyseWbc
1 2
LDL
3
Lyse Diluent & Cleaner V5 Cleaner
LDD
Sensor Sensor
3
V15 DilAperture M1
1 2 CLEANER
Hor
M2
Micro Macro Lyse
Ver
1
Pump dimensions:
Macro O16 x 40 mm 8 ml
2
Dil M3 V3 Bubble Micro O1.6 x 40 mm 80 µl
P HGB
Pressure Lyse O9.2 x 40 mm 2.6 ml
Meter RBC/WBC
LYSE
Dilutions:
Puffer 1. 25 µl SA. + 4.0 ml DIL MIX 1:160
Reservoir V1 DrainChamber V2 DrainAperture 2. 25 µl MIX + 5.0 ml DIL RBC 1:32.000
3. 4 ml MIX + 0.9 ml LY. WBC 1:196
2 1
Pump 3
V4 DrainPuffer
1 2
LDx Liquid Detector 2-way Valve 3-way Valve
WASTE Closed = Off 3 1-3 = Off
M1 Stepper Motor Open = On 2-3 = On
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12 APPENDIX “E”: FINDING THE CORRECT [LYSE] VOLUME FOR VETERINARY APPLICATIONS
The software running on the instrument uses some default [LYSE] volumes, pre-set at software installation.
However, the required [LYSE] volume depends on several parameters. [LYSE] volume can be adjusted in the
SETTINGS/LIMITS menu for each species. An additional option to modify [LYSE] quantity by ± 0.2 ml is available
during analysis. (see 7.1.6.)
The manufacturer cannot guarantee that pre-set volumes will always give the best results. It is therefore strongly
recommended that the user oneself shall find the necessary volumes for the veterinary application. This requires
some experiments, but the result validated a user doing vet practice will be worth it.
The two most important parameters influencing lysing are lysing time and [LYSE] quantity. You cannot change the
lysing time, as it is fine-tuned for the [LYSE] supplied by HUMAN GmbH.
Above you could read that [LYSE] of quantity can be adjusted either at patient limits, or right before measurement.
In the following figures, you can see examples of over- or under-lysed samples.
Press ↑ to increase the [LYSE] quantity (+0.1 ml) if the separation between lysed RBCs and WBC populations is
poorly differentiated, resulting in increased WBC and LYM counts.
Under-lysed sample, some RBCs counted The same sample with [LYSE] boost (+0.1 ml)
as WBCs WBC =13.7, good 3-part differential
WBC = 16.9, LYM% high
You can see that a lower amount of [LYSE] will result in a less differentiated curve.
If you increase the [LYSE] quantity it will be more differentiated, and well evaluated.
Press ↓ to decrease the [LYSE] amount (-0.1 ml) if the WBC histogram seems to be shrunk to the left, i.e. the
different WBC populations are overlapped. This can inhibit proper separation of WBC populations.
Over-lysed sample, LYM and GRA overlapped The same sample with [LYSE] decreased (– 0.1 ml)
WBC = 20.6, poor 3-part differential WBC = 21.0, good 3-part differential
An over lysed sample will have all its cells shifted down towards the smaller cells. It is because of too much lysing
reagent shrinking all cells to the size of their nuclei.
With [LYSE] quantity decreased, the cells will not shrink that much, and can be differentiated easily.