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Cell-Dyn 1600 Operator's Manual: 9140214 Rev H-May 2004
Cell-Dyn 1600 Operator's Manual: 9140214 Rev H-May 2004
Cell-Dyn 1600 Operator's Manual: 9140214 Rev H-May 2004
Introduction Foreword. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i
Proprietary Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i
Pictorial Disclaimer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i
Abbott Instrument Warranty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ii
Abbott Diagnostics Division Customer Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iv
Conventions Used in This Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v
Revision Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii
Reference List of Trademarks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
Parts List. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x
1. System Description
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
System Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Specimen Analyzer Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Data Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Flow Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Lower Left Side Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Rear Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
Upper Right Side Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
Reagent System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9
3. Principles of Operation
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Sample Analysis Cycle Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
WBC Measurement Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
WBC Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
RBC/PLT Measurement Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
RBC Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
4. System Specifications
Physical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-1
Data Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-1
Power Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-2
Operational Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-2
Measurement Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3
Performance Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4
5. Operating Instructions
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-1
Routine Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2
Setup System Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-6
Specimen Collection and Handling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-7
Sample Analysis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-7
Daily Shutdown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-11
Power Off Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-11
Using the Data Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-11
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-13
10. Troubleshooting
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-1
Diagnostics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-1
Troubleshooting Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-5
Appendices
Tables Table T-1: Potential Causes of Erroneous Results with
Automated Cell Counters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T-1
Table T-2: Normal Values for Automated Blood Counters . . . . . . . . . . . . . . . . T-2
Table T-3: Anemia Classification Based on MCV and RDW . . . . . . . . . . . . . . T-3
Table T-4: Progressive Stages of Iron Deficiency . . . . . . . . . . . . . . . . . . . . . . . T-3
Table T-5: Morphophysiologic Classification of Red Cell Disorders . . . . . . . . T-4
Table T-6: Result Abnormalities Caused by Artifacts . . . . . . . . . . . . . . . . . . . . T-4
Proprietary Information
Entire contents copyright 1994, 1998 and 2004 by Abbott Laboratories. Abbott
Laboratories’ software programs are protected by copyright. All rights are reserved.
This software was developed solely for use with Abbott Laboratories equipment and
for in vitro diagnostic applications as specified in the operating instructions. No part
of this document may be reproduced, stored or transmitted in any form or by any
means (electronic, mechanical, photocopied, recorded or otherwise) without the prior
written permission of Abbott Laboratories.
The following U.S. patents are relevant to the CELL-DYN 1600 Instrument or its
components. There are other such patents and patent applications in the United States
and worldwide. 4,745,071 and 5,227,304.
All operating instructions must be followed. In no event shall Abbott be responsible
for failures, errors or other liabilities resulting from customer's noncompliance with
the procedures and precautions outlined herein.
Pictorial Disclaimer
All samples (printouts, graphics, displays or screens, etc.) are for information and
illustration purposes only and shall not be used for clinical or maintenance
evaluations.
3. Any on-site service performed at other times, and all service required
to correct defects or malfunctions not covered by this Warranty (as
noted in the paragraph below) will be billed at Abbott's labor rates
then in effect.
This warranty does not cover defects or malfunctions which:
1. Are not reported to Abbott during the Warranty Period and within one
week of occurrence.
1-877-4ABBOTT
(1-877-422-2688)
Document Control
Revision Date Section(s) Revised Pages Revised and Added
Number(s)
New Release December/1988 N/A N/A
9211352A
9211352B April/1989 Addendum Added Addendum for
CELL-DYN 1600CS
9211352C December/1992 Added cross-reference Part
Number list and name
change from Unipath to
Abbott Laboratories.
92352-01C February/1993 Changed Part Number
9211352 to Abbott List
Number 92352-01.
92352-01D June/1993 All All
92352-01E December/1994 Introduction pp. i, iv, ix, x, xii
1: System Description p. 1-10
3: Principles of Operation p. 3-15
4: System Specifications p. 4-3
7: Quality Control pp. 7-5 and 7-6
12: Closed Sampler p. 12-8
Module
92352-01F April/1996 Introduction pp. vii and viii
1: System Description pp. 1-9 and 1-10
5: Operating Instructions pp. 5-7 through 5-10
6: Calibration pp. 6-7 and 6-8
7: Quality Control pp. 7-5 and 7-6, 7-9, and
7-10
8: Precautions, pp. 8-1 and 8-2
Limitations and Hazards
9: Maintenance pp. 9-7 through 9-10; 9-31
and 9-32
10: Troubleshooting pp. 10-7 through 10-10
12: Closed Sampler pp. 12-5; 12-6; 12-9 through
Module 12-12
This page has been added in order to maintain a record of persons who review this manual on a periodic basis.
Signature Date
Symbols
The CELL-DYN reagents that are used on the CELL-DYN 1600 instrument have
been CE Marked to the European IVD Directive. As a part of the CE Marking process,
symbols are added to the product’s labeling. The symbols listed below are included on
the CELL-DYN reagent labels.
Symbol Definition
Legal Manufacturer
CELL-DYN Reagents
US-Only List No. Rest of World Description Configuration
List No.
08H17-01 99226-01 Diluent, Diff-Screen 4 x 3.8 Liters
08H17-04 99220-01 Diluent, Diff-Screen 1 x 20 Liters
08H17-02 99229-01 Diluent, Diff-Screen 1 x 3.8 Liters
08H18-02 98329-01 Detergent, Diff-Screen 1 x 3.8 Liters
08H18-01 99326-01 Detergent, Diff-Screen 4 x 3.8 Liters
08H18-04 99320-01 Detergent, Diff-Screen 1 x 20 Liters
08H19-02 99435-01 Lytic Agent, Diff-Screen 1 x 960 mL
08H19-01 99420-01 Lytic Agent, Diff-Screen 1 x 3.8 Liters
*To place an order for products that do not have a List Number, to place an order for products that have a List
Number, or if you require technical assistance with your CELL-DYN instrument, contact Abbott Diagnostics
Customer Service at the number provided on page iv.
System Description
Introduction The CELL-DYN® 1600 is a multi-parameter hematology analyzer designed
for in vitro diagnostic use in clinical laboratories. The instrument has two
versions, the CELL-DYN 1600, which accepts specimens from open collection
tubes only, and the CELL-DYN 1600CS, which accepts specimens in either
open or closed collection tubes.
Intended Use The CELL-DYN 1600 generates the following measurements on EDTA
anticoagulated whole blood:
• WBC — White Blood Cell or leukocyte count
• RBC — Red Blood Cell or erythrocyte count
• HGB — Hemoglobin concentration
• PLT — Platelet or thrombocyte count
• LYM — Lymphocyte absolute count
• %LYM — Lymphocyte percent
• GRAN — Granulocyte abslolute count
• %GRAN — Granulocyte percent
• MID — Mid-range absolute count
• %MID — Mid-range percent
• MCV — Mean Cell Volume
• HCT — Hematocrit
• MCH — Mean Cell Hemoglobin
• MCHC — Mean Cell Hemoglobin Concentration
• RDW — Red Cell Distribution Width
• MPV — Mean Platelet Volume
• PCT* — Plateletcrit
• PDW* — Platelet Distribution Width
System Components
The CELL-DYN 1600 is a single unit that includes a specimen analyzer and a
data module.
Specimen Analyzer
The Specimen Analyzer section contains the hardware to aspirate, dilute, and
analyze each whole blood specimen.
Data Module The Data Module section includes the computer, video display monitor,
membrane keypad, disk drive, and printer. The disk drive is described in the
Right Panel section of this chapter. The printers are described in Chapter 11,
Printers.
Touch Plate The Touch Plate is a spring plate located directly behind the sample aspiration
probe. Pressing the touch plate starts the selected run cycle.
Data Module The Data Module contains the video display monitor, central processing unit,
and membrane keypad. CELL-DYN 1600 operations are controlled by
high-speed microprocessors that monitor system status, perform the various
analytical routines used by the instrument, perform diagnostic checks, and
store result data.
Data Storage Results are stored on the disk drive for the most recent 320 cycles. No graphic
data are stored. The 3.5" disk drive is located below the membrane keypad of
the CELL-DYN 1600.
Membrane Keypads
A row of eight unlabeled pressure-sensitive keys is located directly below the
screen. Each key generates an audible tone when pressed and initiates a
function defined by the screen label currently displayed directly above it.
A numeric and special function keypad is located directly below the row of
eight unlabeled keys. Each key generates an audible tone when pressed. This
membrane keypad contains the following numeric and special function keys:
• ENTER Key — stores entered numeric data and advances the cursor
to the next entry location
• Asterisk (*) Key — allows the operator to escape (abort) data entry
before it is completed
• Arrow Keys — a set of four keys used to move the cursor in the
direction depicted by each arrow
• Pound (#) Key — used for service functions only
Flow Panel The major components of the Flow Panel are depicted in Figure 1-2. The
functional description of each component follows.
Wash Block The Wash Block rinses the outside of the sample aspiration probe with
Diluent. Excess Diluent is routed to the waste container.
Rear Panel The components visible on the Rear Panel of the analyzer are depicted in
Figure 1-4. The functional description of each component follows.
Fans Air intake fans cool the internal components of the analyzer. They are
covered with filters that are easily removed, as required, for routine cleaning.
Reset Button This push button restarts the computer in the CELL-DYN 1600.
Brightness Control
This control adjusts the brightness of the video display screen.
Reagent System
Introduction The Reagent System is formulated specifically for the CELL-DYN 1600 series
instrument flow systems in order to provide optimal system performance. Use of
reagents other than those specified in this manual is not recommended as instrument
performance can be affected. Each CELL-DYN 1600 series system is tested at the
factory using the specified reagents, and all performance claims are generated using
these reagents.
CAUTION When a reagent is changed, a normal background should be run to ensure that the
system is primed innediately prior to running any specimens.
The reagent inlet tubes have a cap attached that minimizes evaporation and
contamination during use. However, reagent quality may deteriorate with time.
Therefore, use all reagents within the dating period indicated on the label.
• Act as the diluent for the WBCs, RBCs, PLTs and Hemoglobin
• Maintain the cell volume of each red cell and platelet during the count and
sizing portion of the measurement cycle
• Provide a conductive medium for impedance counting of cells and platelets
• Provide acceptable background counts
Lytic Agent CELL-DYN Lytic Agent is formulated to meet the following requirements:
• Rapidly lyse the red blood cells and minimize the resultant stroma
• Alter the white cell membrane to allow the cytoplasm to slowly diffuse and
to allow the membrane to shrink around the nucleus and any granules that
may be present
• Convert hemoglobin to a modified hemiglobincyanide complex that is
measurable at 540 nm (The quaternary ammonium lysate participates as a
chromagen)
• Provide an optically clear solution that is needed to obtain the zero reference
during the Hemoglobin measurement cycle
• Provide proper meniscus formation in both metering tubes and maintain it
during each run cycle
• Rinse both counting chambers, both metering tubes and the HGB flow cell
with minimal bubble formation
Enzymatic Cleaner CELL-DYN Enzymatic Cleaner is formulated to effectively remove protein build-up
within the instrument.
Installation
Introduction Installation of the CELL-DYN® 1600 should be performed by an Abbott
authorized representative to ensure that all system components are functioning
correctly and to verify system performance. Installation procedures must be
repeated if the analyzer is moved from the original installation site.
Initial Preparation
Inventory The instrument is shipped from the factory as follows:
• Analyzer
• Accessories and the Accessory Kit
• Graphics Printer
• Ticket Printer (optional)
• Reagents, Calibrator, and Controls necessary for installation.
Space Requirements Approximately four (4) linear feet of space is required on the countertop. Allow
sufficient space on the countertop, or below the instrument, for Diluent, Lyse,
and Detergent. Provide space below the instrument for the waste container (if
one is used).
Allow two (2) to four (4) inches of space behind and on the left side of the
analyzer for air flow. A constant circulating internal air stream is required to
cool circuitry and components whenever the power is ON. If possible, allow 24
inches of space above and to either side of the instrument for service access.
Waste Requirements Allow room for a suitable waste container below the unit, or position the
instrument to permit the waste to be routed directly to a drain. The drain must be
suitable for disposal of waste with possible biological and chemical hazard. Be
sure that the waste outlet tube is secured in the drain hole. (Refer to Tube
Installation for installation instructions.)
Power Requirements Be sure that the system is located at the desired site before attempting any
connections. A grounded power outlet is required. A voltage regulator may be
necessary for optimum performance. Insert the power cord into the power cord
connector on the rear panel. Do not turn the power ON.
ATTENTION Check all side and rear panel connectors for particles or foreign material that can
impair electrical contact when connections are made.
Table 2-1
Power Source Requirements
The CELL-DYN 1600 is designed for low power consumption. The instrument
automatically performs an initialization cycle whenever power is turned ON.
During the daily routine operating period, power should be left ON.
Printer Installation
Overview Remove the printer(s) from the shipping container and visually inspect for
damage. Find a suitable location adjacent to the analyzer. Be sure that the printer
power switch is in the OFF position. The printer manuals should be stored in a
convenient location.
NOTE If the printer(s) is placed on top of the instrument, be sure that the paper does
not restrict air flow to the rear analyzer fans.
When used with the CELL-DYN 1600, the graphics printer prints graphic reports
and the ticket printer prints individual preprinted tickets. Depending on the
output desired, one or both printers may be connected to the analyzer.
Self-Test Printouts Run self-test printouts before using the printer for the first time. These self-tests
may be run any time to verify proper printer operation.
NOTE The CELL-DYN 1600 software automatically controls and adjusts most print
conditions for the graphics printer, including page width. Occasionally, a few
settings may need to be changed in the printer's software for correct operation. If
printing is not what you expect, refer to the printer manual for guidance in
making adjustments. If you have additional questions or experience any
problems, call the Abbott Customer Support Center for assistance.
Ticket Printer The ticket printer is used to print result data on 3.25-inch wide, multiple copy,
carbon or carbonless tickets. Each ticket is automatically fed into the printhead,
clamped, printed, and fed out of the printhead. A form sensor ensures that each
ticket is properly positioned prior to clamping.
ATTENTION An improperly installed ribbon cartridge can cause the ribbon to jam in the
printhead drive mechanism.
Self-Test Printouts Plug the power cord into a grounded outlet and turn the toggle switch ON. Insert
a ticket into the guide. A self-test mode checks operation and prints self-test data
at the completion of the check.
6. Attach the Waste Outlet Tube to the Black side panel connector. Place
end of the tube with the cap and sensor into the waste collection
container. Secure the cap. Or, remove the cap from the tube and place the
tube into a drain suitable for collection of waste with possible biological
and chemical hazard. Be sure that the tube is secured to the drain hole.
Locate the Waste Full Sensor plug attached to the cap's electrode wires.
Insert the plug into the WASTE connector located on the left panel.
When the waste tube is placed directly into a drain, insert a "dummy"
plug into the WASTE connector. If a "dummy" plug is not inserted, the
WASTE FULL alert is activated.
1. Locate the lower normally closed valve (black octagon), just above the
Lyse Pump Assembly, and the diluent inlet tube. Carefully stretch the
tube between your hands and insert it into the valve opening. Work the
tube gently back and forth until it is completely inserted into the valve.
2. Locate the upper normally closed valve (black octagon) above the diluent
valve and the detergent inlet tube. Carefully stretch the tube between your
hands and insert it into the valve opening. Work the tube gently back and
forth until it is completely inserted into the valve.
NOTE Performance may be affected if the ground wire is not reconnected before cover
is reinstalled.
ATTENTION The diluent tube MUST be installed before the power is turned ON for the
analyzer to operate correctly.
Power On The CELL-DYN 1600 is designed for low power consumption. Whenever the
power is applied, an initialization cycle is performed to check system status, to
place mechanical components in the "home" position, and when acceptable, to
place the unit in an initialized state.
NOTE An Auto-Startup cycle actuates whenever the [RUN] key is pressed and
INITIALIZED or STANDBY appears in the System Status box. Each Auto-
Startup cycle primes the flow system with reagents and checks the background.
Enter the two digit identification number using the numeric keys on the keypad
below the screen. The Operator ID can be entered ONLY when the MAIN
MENU is displayed.
Any number displayed in place of ON or OFF can be changed using the numeric
keys on the keypad to enter a new number within the stated limits. For example,
the number preceding the "line-feeds per printer page" statement applies to the
graphic printer and indicates the current line-feed selection.
Table 2-2
Main SETUP MENU Screen
3 ON PRINT HISTOGRAMS
13 1 UNITS OF MEASURE:
1. X-B Moving Average Program — When this option is enabled, the X-B
Moving Average Program is activated.
2. Automatic Increment of Specimen ID Number — When this option is
enabled, the specimen ID number entered will automatically increment by
one for the next sample, unless a new ID number is entered.
3. Print Histograms — When this option is enabled, the WBC, RBC, and
PLT histograms are printed with each specimen report.
4. Print MPV, PCT, PDW — When this option is enabled, the MPV, PCT,
and PDW results are printed with each specimen report.
NOTE Clinical significance has not been established for PCT and PDW; therefore, they
are not reportable.
NO Use the Arrow keys on the keypad to move the cursor to the
selection requiring change.
OR
Type the new number that is within the limits shown for the
selection. Repeat this process until all required changes are
complete. Go to the Date/Time Setup procedure.
Keypad Setups
Date/Time Key Date and time are maintained by an internal battery-powered clock. The current
date and time display in the upper right of the screen. The multiple date format
option allows the operator to select the desired date format.
• Date re-entry is not required when a new format option is selected and
the current date is correct.
• The hour clock cannot differentiate between AM and PM. To avoid
confusion, use a 24-hour clock. (For example, 1 for 1 AM and 24 for 12
midnight.)
The date entry is not required when the date is correct and
only the format requires change.
NOTE A slash and/or colon must be entered when setting the date or time.
NO Use the Arrow keys to move the cursor to the numbers that
are to be changed, and type the new limits.
Repeat this process until all the limits are acceptable.
Reagents Log Key [REAGENTS LOG] displays a new screen and labels allowing the operator to
select a specific reagent type: diluent, detergent, or lyse. Additional screens and
labels allow the operator to enter, review or print: container size, lot number,
expiration date, and open date for up to ten containers per reagent.
The selected log screen displays with the cursor positioned on the first
blank line of the log.
3. Enter the Size, Lot#, Expiration Date, and Open Date. This screen only
accepts numbers in the fields on the screen.
Repeat this process until all entries for the reagent log are complete. If
the value entered into a field contains less than the maximum number of
digits allowed for the field, press Enter. The cursor moves to the next
field.
NO Enter the lot number (up to nine digits) and press Enter.
The data is stored and the cursor advances to the next field.
This field accepts only numeric data. If the lot number is less
than nine digits, press Enter to advance the cursor.
4. IS THE EXPIRATION DATE ENTRY ACCEPTABLE?
YES Press Enter.
Go to step 5.
NO Type the expiration date (using MM/DD/YY) from the control
vial or assay sheet.
NO Set the cursor at the rule requiring change, and press Enter.
Repeat this process until all rule selections are acceptable.
Go to step 6.
NO Use the Arrow keys to move the cursor to the first value to be
changed and type the new value.
If the value has less than three digits, press the Enter key to
store the data and advance the cursor.
Repeat this process until all values are entered and acceptable.
Go to step 8.
8. IS A PRINTOUT REQUIRED?
YES Press [PRINT].
NO Go to step 9.
Using [REP FILE SETUP], values for each parameter (up to 18), with
mean/limits, or upper and lower range, can be entered for each file. In addition,
data can be copied from a replicate file into a designated control file.
NOTE Prior to data copy, any run data in the designated control file must be purged
using [PURGE] for that control.
NOTE This field accepts only numeric data. If the lot number is less than 9 digits, press
Enter to advance the cursor.
NO Use the Arrow keys to move the cursor to the first value to be
changed and type the new value.
If the value contains less than three digits, press the Enter key
to store the data and advance the cursor.
Repeat this process until all values are entered and acceptable.
Go to step 8.
NOTE Refer to the Quality Control chapter for the established Replicate Specimen
Mean Values.
8. IS A PRINTOUT REQUIRED?
YES Press [PRINT].
NO Go to step 9.
X-B File Setup Key Calculated data for each batch (20 specimens) is compared to an established X-B
target and limits to determine if the X-B batch data is acceptable. To eliminate
bias from grossly abnormal specimen results, data acceptance limits are set, via
the X-B FILE SETUP screen, to automatically exclude these specimens from the
program.
NO Move the cursor to the first value to be changed and type the
new value.
If the value contains less than 3 digits, press the Enter key to
store the data and advance the cursor.
Repeat this process until all values are entered and acceptable.
Auto-Startup Cycle
The Auto-Startup cycle activates anytime the [RUN] key is pressed and either
INITIALIZED or STANDBY displays in the Status Box. The cycle is designed to
prime the flow system and check the background before specimens are run.
Upon completion of the cycle, the RUN screen displays with the background
check results. A background is run in order to monitor the quantity of particles
present in reagents and the flow system.
At installation, perform multiple run cycles to thoroughly prime and purge any
particles from the flow system. During each cycle, the computer monitors the
time required for each measurement, referred to as the count time. A value for
this time displays in seconds to the right of the histograms. The count time is
used to monitor fluid flow, to detect the presence of partial restrictions in either
aperture and/or the presence of air in either metering tube. Cell sizing can be
affected by either of these conditions.
This completes initial installation power on, system setup, and initial prime
procedures. Calibration is the next procedure when installing an analyzer.
Principles of Operation
Introduction The principles that the CELL-DYN® 1600 uses to measure, count, and calculate
the hematologic parameters are discussed generally in the first section of this
chapter. The parameters are discussed individually and a detailed explanation of
the theory used for parameter derivation in each of two methods is given in the
last section.
The two independent measurement methods used in the CELL-DYN 1600 are:
• the impedance method for determining the WBC, RBC, and PLT data
• the modified cyanmethemoglobin method for determining the
HGB
During each instrument cycle, the sample is aspirated, diluted and mixed
before the measurements for each parameter are performed.
Dilution A 7.5 mL volume of diluent is added in the pre-mix cup to achieve a ratio of
1:251. Whole blood pre-diluted with diluent to a ratio of 1:251 can also be
used as a sample in the Pre-Dilute mode (40 µL of sample to 10 mL of
diluent).
• 100 microliters of the 1:251 sample dilution are aspirated and mixed
with an addition of 5 mL of diluent in the RBC/PLT dilution bath to a
ratio of 1:12801. The 1:12801 dilution is used to analyze the red cell
and the platelet parameters.
• The remainder of the 1:251 dilution is mixed with 1.0 (± 0.25) mL of
lyse reagent in the WBC dilution bath. The lyse reagent changes the
membrane of each red cell causing cytoplasm and hemoglobin to be
quickly released. The red cell membrane (ghost) that remains is less
than 2 femtoliters.
• The lyse reagent also compresses the membrane of each white cell
(leukocyte). This causes cytoplasm to slowly diffuse from the cell as the
membrane shrinks around the nucleus and any cytoplasmic granules
that may be present. This dilution is used to measure the number and
modified size of the white cells and the amount of hemoglobin
released.
• Volumetric metering is used in both the WBC dilution bath and the
RBC dilution bath to ensure that a precise amount of diluted specimen
is measured during each count cycle.
WBC Analysis Electrical impedance is used to count the white blood cells as they pass
through the aperture in the WBC transducer. As each cell is drawn through
the aperture, a change in electrical resistance occurs generating an equivalent
voltage pulse. The number of pulses sensed during each cycle corresponds to
the number of white cells counted. The amplitude of each pulse is directly
proportional to the volume of the cell it represents.
The CELL-DYN 1600 uses electronic sizing to determine three distinct white
cell subpopulations. Cells correlating to lymphocytes are included in the small
cell subpopulation. Cells correlating to granulocytes are included in the large
cell population. The remaining cells correlating to monocytes, eosinophils,
basophils, blasts, and other precursor white cells are generally included in the
mid-size cell population.
RBC/PLT Analysis
The 1:12801 dilution is pulled through the aperture of the transducer bath
where electrical impedance is used to count the red blood cells and platelets
as they pass through the aperture.
Hemoglobin Analysis
After the WBCs have been counted and sized, the remainder of the lysed
dilution is transferred to the HGB flow cell. In the flow cell, the CELL-DYN
1600 measures the ability of the dilution to absorb light at a wavelength of
540 nm. The result is reported as a measured weight per volume of whole
blood; for example, HGB xx.x g/dL refers to xx.x grams of hemoglobin per
deciliter of whole blood.
Results Displayed All data are transferred to the CELL-DYN 1600 computer for processing.
Results are displayed on the video display monitor RUN MENU. Size
distribution data for lyse-modified WBCs and subpopulations, for RBCs and
PLTs are displayed as histograms. The corresponding results from each count
are displayed to the left of each histogram.
Red cell distribution width (RDW) is the coefficient of variation of red cell
heterogeneity determined from the red cell size distribution data.
Each PCT x.xx mL/L result is reported as milliliters per liter. Platelet
distribution width (PDW) is the geometric standard deviation (GSD) of the
platelet size distribution. Each PDW xx.x 10(GSD) result is derived from the
platelet histogram data and is reported as 10(GSD).
Each MCH xx.x pg result is reported in picograms. Each MCHC xx.x g/dL is
reported as grams per deciliter.
Data Storage Up to 320 run cycles are automatically stored in a Data Log on the system
diskette.
Instrument Rinsed After each run cycle, each element of the instrument is rinsed.
Volumetric Metering
An accurate cell count cannot be obtained unless the precise volume of
diluted whole blood that passes through the aperture during the count cycle is
known.1 The CELL-DYN 1600 uses the Volumetric Metering process to
regulate the count cycle and to make sure that a precise volume of sample is
analyzed for the measurement.
The WBC Metering Assembly contains a precision-bore glass tube fitted with
two optical detectors. This tube ensures that a precise amount of diluted
specimen is measured during each count cycle. The exact amount is
determined by the distance between the two optical detectors.
WBC Measurement The 1:251 WBC/HGB dilution is delivered to the WBC dilution bath where it
is bubble mixed with 1.0 (± 0.25) mL of lyse reagent. A metered volume of
the lysed sample is drawn through the aperture by vacuum. The WBCs are
counted by impedance. If the pulse generated is above the WBC lower
threshold, it is counted as a WBC.
The von Behrens plate located in the WBC transducer counting chamber
minimizes the effect of recirculating cells. As cells exit from the aperture, they
tend to swirl around and may re-enter the sensing zone and be counted a
second time. This causes the counts to be falsely elevated.
WBC Parameters
WBC Histograms The WBC data are plotted in a histogram format with the relative number of
cells on the Y axis and the WBC size distribution data on the X axis. Results
of each count are displayed to the left of the histogram on the RUN MENU.
Once the WBC count is determined, the absolute number of cells in each
subpopulation is calculated by multiplying that WBC count by the percentage.
The results are expressed as follows:
• WBC # K / µL
• LYM # K / µL and %
• GRAN # K / µL and %
• MID # K / µL and %
Volumetric Metering
An accurate cell count cannot be obtained unless the precise volume of
diluted whole blood that passes through the aperture during the count cycle is
known.1 The CELL-DYN 1600 uses the Volumetric Metering process to
regulate the count cycle and to make sure that a precise volume of sample is
analyzed for the measurement.
The amount of time required for the meniscus to travel from the upper
detector to the lower detector is called the Count Time and is measured in
seconds. This is displayed on the RUN MENU. The computer monitors the
count time to detect any variation from the expected values. Variation may be
caused by debris in the aperture, vacuum fluctuation or air bubbles in the
metering tube. If significant variation is detected, the RUN MENU displays the
message <CLOG> or <FLOW ERROR>, and no RBC/PLT and differential
data are displayed. A Clog indicates the flow was too slow, most likely caused
by debris in the aperture. Flow errors indicate the flow was too fast, often
caused by bubbles in the metering tube.
RBC/PLT Measurement
The 1:12801 RBC/PLT dilution is delivered to the RBC/PLT dilution bath
where it is bubble mixed. A precise volume of the diluted specimen is drawn
through the aperture by vacuum. The RBCs and PLTs are counted by
impedance. If the pulse generated is above the PLT lower threshold, it is
counted as a PLT. If the pulse generated is above the RBC lower threshold, it
is counted as an RBC.
The von Behrens plate located in the RBC/PLT transducer counting chamber
minimizes the effect of recirculating cells. As cells exit from the aperture, they
tend to swirl around and may re-enter the sensing zone and be counted a
second time. This causes the counts to be falsely elevated.
RBC Parameters
RBC Histograms The RBC data are plotted in a histogram format with the relative number of
cells on the Y axis and the RBC size distribution data on the X axis. Results
of each count are displayed to the left of the histogram.
RBC Count The RBC count is measured directly. The number of RBCs is expressed as
follows:
RBC = # M / µL
MCV The Mean Cell Volume is the average volume of the individual red blood
cells. The MCV is derived from the RBC size distribution data and is
expressed in femtoliters.
HCT The Hematocrit is the ratio of red blood cells to plasma and is expressed as a
percentage of the whole blood volume. The HCT is calculated from the red
blood cell count and the mean cell volume as follows:
MCH The Mean Cell Hemoglobin is the average amount of hemoglobin contained
in the red blood cell expressed as picograms. The MCH is calculated from the
RBC and HGB as follows:
MCH = (HGB/RBC) * 10
MCHC The Mean Cell Hemoglobin Concentration is the ratio of the weight of
hemoglobin to the volume of the average red blood cell expressed in percent.
It is calculated from the HGB and the HCT as follows:
RDW Red Cell Distribution Width is a measure of the heterogeneity of the RBC
population. The CELL-DYN 1600 reports RDW as a percent coefficient of
variation. The RDW is derived from the RBC histogram.
RBC Flagging Refer to the Operational Messages and Data Flagging section of this chapter
for RBC Flagging Information.
PLT Measurement
Introduction Pulses counted in the RBC/PLT dilution between 1 and 35 fL are included in
the PLT data. If the raw PLT count is estimated to be below a predetermined
value, the instrument automatically continues to count PLTs for an extended
count period. The results from the two count periods are averaged. The PLT
data are plotted as a histogram. An algorithm analyzes the histogram to
eliminate interference and thus determine the lower and upper thresholds for
the count.
If no interference is detected, the lower and upper thresholds are set at 2 and
35 fL, respectively. If interference is detected, the thresholds float to
determine the best separation between the interference and the PLT
population. The lower threshold floats in the 1 - 3 fL region, and the upper
threshold floats in the 15 - 35 fL region. Once the thresholds have been
determined, the PLT count is derived from the data between them.
PLT Parameters
PLT Histogram The PLT data are plotted in a histogram format with the relative number of
cells on the Y axis and the PLT size distribution data on the X axis. Results of
each count are displayed to the left of the histogram.
PLT Count The Platelet Count is derived from the PLT histogram after the PLT data
have been analyzed by the platelet algorithm. The PLT count is expressed as
follows:
PLT = # K / µL
MPV The Mean Platelet Volume is derived from the PLT histogram after the PLT
count has been determined. The MPV is expressed in femtoliters.
PCT The Plateletcrit is the product of the PLT and MPV and is analogous to the
hematocrit. It is expressed in percent and is calculated as follows:
PLT Flagging Refer to the Operational Messages and Data Flagging section of this chapter
for PLT flagging information.
Hemoglobin Measurement
Overview The modified cyanmethemoglobin method is used for the colorimetric
determination of hemoglobin. A sample of the lyse diluted sample from the
WBC dilution bath is used for the HGB measurement. A low-energy LED is
used as the light source. A filtered photodetector with a wavelength of 540 nm
measures the transmitted light.
The LED shines through the flow cell and a 540 nm narrow bandwidth filter
onto a photodetector. The hemoglobin concentration is directly proportional
to the absorbance of the sample at 540 nm. After the hemoglobin reading has
been made the HGB flow cell is rinsed with detergent.
The rinse is drained and more detergent is delivered to the flow cell. A zero
or blank reading is then obtained on the detergent to provide a reference to
which the sample signal is compared.
The reference and sample readings are compared to determine the HGB
concentration of the sample. The HGB result is expressed in grams of
hemoglobin per deciliter of whole blood.
HGB Flagging Refer to the Operational Messages and Data Flagging section of this chapter
for HGB flagging information.
Instrument Messages:
Fault Conditions
Status Conditions
Press [MORE].
Press [PRIME REAGENT] to fill the flow system.
Action: Review the MCV and the PLT histogram. If the MCV is low
and/or the histogram indicates an overlap (poor separation in the
upper discriminator) in the RBC and PLT populations, review a
stained smear to determine the cause and confirm the PLT count.
Nucleated RBCs
Platelet clumps
Giant Platelets
Cryoglobulins
Incomplete lysis of red cells
Lymphocytosis
Lymphopenia
Cryoglobulins
Lymphocytosis
Lymphopenia
Blasts/Plasma Cells
Variant lymphocytes
Basophilia
Eosinophilia
Blast/Plasma Cells
Agranular neutrophils
Platelet clumps (occasionally)
Basophilia
Bands
Granulocytosis
Decreased lytic action
Neutropenia
Cause: Flag will be activated if the total WBC count is > 30K/µL and the
mean channel location is above 150 fL, or if the mean channel
location exceeds 287 fL.
Monocytosis
Basophilia
Eosinophilia
Blast/Plasma cells
Increased bands
Granulocytosis
Agranular neutrophils
Variant (atypical) lymphocytes
Neutropenia
Platelet clumps (large)
Abnormal lytic action
References 1. ICSH, The Assignment of Values to Fresh Blood used for Calibrating
Automated Cell Counters, Clinical and Laboratory Hematology 1988,
10:203-212.
System Specifications
CELL-DYN® 1600
Physical Specifications
Table 4-1 Dimensions
Data Module
Data Display 14-inch (diagonal) monochrome video display screen with amber illumination.
It provides alphanumeric display of all data, screen labels, system and
specimen alerts.
Membrane Keypad The membrane keypad consists of pressure sensitive keys, each with an
audible beep indicator.
A numeric and special function keypad is located directly below the row of
eight unlabeled keys. Each key generates an audible tone when pressed. This
membrane keypad contains the following numeric and special function keys:
• Asterisk (*) Key — allows the operator to escape (abort) data entry
before it is completed
• Arrow Keys — a set of four keys used to move the cursor in the
direction depicted by each arrow
• Pound (#) Key — used for service functions only
Graphic Printer An external dot matrix printer provides alphanumeric and graphic reports for
displayed and stored data.
Power Specifications
Range Frequency
90 - 125 VAC 50/60 Hz
195 - 259 VAC 50 Hz
Setting Frequency
120 VAC 50/60 Hz
Power Consumption
Analyzer: 1000 Watts Maximum (3200 BTU per hour)
Operational Specifications
Operating Environment
Temperature: 15ºC to 30ºC (59ºF to 86ºF)
Relative Humidity: 10% to 85%, RHNC
Measurement Specifications
Measurement Channels
Two impedance channels, one for WBC impedance count and one for RBC
and PLT.
HGB
• Method: Modified cyanmethemoglobin with autoblank
• Light Source: LED
• Wavelength: 540 nm
• Dilution: One part whole blood in 250 parts diluent plus 1.0 ±
0.25 mL lyse reagent.
Performance Specifications
Background Counts
Background Counts must be within the following specifications:
NOTE Background specifications apply only to the WBC, RBC, HGB, and PLT
parameters. There are no specifications for other parameters and any values
displayed for them in background mode should be disregarded.
NOTE Results that exceed the linear range must be confirmed by diluting the specimen
until the result falls within the appropriate linear range and then correcting that
result for the dilution in order to obtain a reportable result.
Accuracy The CELL-DYN 1600 system can be calibrated to agree with reference values
within the allowable calibration ranges. Both modes of operation, open and
closed, may be calibrated. Thus, it is possible to compensate for differences
between modes due to differing aspiration pathways or operational sequences.
When each mode is properly calibrated according to directions given in this
manual, bias between the modes is clinically insignificant.
NOTE Any system component change (e.g. recalibration, reagent brand or lot, etc.)
during this period can affect the results.
Operating Instructions
Introduction This chapter discusses the operation of the CELL-DYN® 1600. It is divided into
7 sections:
• Routine Operation
• Setup System Operation
• Specimen Collection and Handling
• Sample Analysis
• Daily Shutdown
• Power Off Procedure
• Using the Data Log
The chapter also includes an overview of the Data Module program. The major
menus in the program that are used for routine operation — Run and the Data
Log — are discussed in this chapter. The remaining parts of the program are
discussed in the following chapters:
Setup Chapter 2
Calibration Chapter 6
Quality Control Chapter 7
Special Protocols Chapter 9
Diagnostics Chapter 10
When the data module is powered ON, the MAIN MENU is displayed. The key
labels displayed across the bottom of this screen are used to access all of the
sub-menus that are available. The MAIN MENU keys are listed below:
[SETUP]
[RUN]
[DATA LOG]
[QC]
[CALIBRATION]
[DIAGNOSTICS]
[HELP]
[SPECIAL PROTOCOLS]
Main Menu Screen The MAIN MENU screen is divided into 4 sections.
• The upper left corner shows the current version of the instrument
software.
• The Status Box is displayed in the top center of the screen in inverse
video. This box appears on every screen to show the following:
– Menu in use
– Analyzer status
– Other applicable information, such as report or file identity, and any
existing fault conditions
• The upper right corner shows the current date, time, operator ID, and the
sequence number. The information in the upper right corner is displayed
on every screen during operation.
The cursor is positioned at the <OPERATOR ID> field when the MAIN
MENU is displayed. An operator ID of up to 3 digits may be entered. This
operator ID will be displayed on all other screens and printed on all reports.
Routine Operation
The [RUN] key on the MAIN MENU is used to display the RUN MENU.
The upper left corner of the RUN MENU screen displays the following fields:
The Status Box is displayed in the top center of the RUN MENU screen. It
contains the following information:
• Menu in use
• Status of the analyzer
– Ready
– Not Ready
– Standby
– Initialized
• Fault messages
• Instructive messages (during the run cycle) such as the following:
– Aspirating
– Dispensing
– Remove specimen
– Counting
– Recount
– Rinsing
The upper right corner of the RUN MENU screen displays the following
information:
Key Labels The key labels displayed across the bottom of the RUN MENU screen are used
to access the menu options that are available. The RUN MENU keys are listed
below:
[CLEAR ORIFICE]
[PRE-DILUTE]
[SPECIMEN TYPE]
[PARAMETER SELECT]
[PRINT TICKET]
[PRINT]
[HELP]
[MAIN]
Clear Orifice [CLEAR ORIFICE] is used to initiate the aperture cleaning sequence that flushes
the WBC and RBC/PLT apertures to remove obstructions. The sequence takes
approximately 35 seconds. When [CLEAR ORIFICE] is pressed, the message
<CLEARING ORIFICE> is displayed in the Status Box.
Pre-Dilute [PRE-DILUTE] turns the pre-dilute mode run cycle ON and OFF. When ON, the
<PRE-DILUTE> message appears in the upper left section of the screen. The
specimen probe is raised and placed over the RBC/PLT dilution bath. This
allows the operator to remove the upper front cover and pour a pre-diluted 1:251
sample into the initial dilution bath. The touch plate is then pressed to start the
pre-dilute run cycle.
Specimen Type
[SPECIMEN TYPE] is used to select the type of specimen that will be run.
When [SPECIMEN TYPE] is pressed, the following keys are available:
[PATIENT SPECIMEN]
[LOW CONTROL]
[NORMAL CONTROL]
[HIGH CONTROL]
[NORMAL BACKGRND]
[ELECTRICL BACKGRND]
[HELP]
[RUN]
Patient Specimen
[PATIENT SPECIMEN] is used to select the RUN MENU for running patient
samples. Patient identification may be entered on the RUN MENU after this key
is pressed. Results from this run option are stored in the Data Log.
QC Control(s)
The 3 QC control keys, [LOW CONTROL], [NORMAL CONTROL], and [HIGH
CONTROL], are used to select one of the 3 control types. Data from these
control runs are automatically stored in the designated QC file.
Normal Backgrnd
[NORMAL BACKGRND] is used to select a special run mode and to display the
background results. Results from this run option are identified by the designation
BACKGRD in the data log and are automatically excluded from the X-B
analysis.
Electricl Backgrnd
[ELECTRICL BACKGRND] is used to select the run mode for electrical
background counts. Electrical backgrounds are used to check for electrical
interference in the system. (Aperture current is turned OFF during this cycle.)
Results from this run option are identified by the designation ELEC BKGD in
the data log and are automatically excluded from the X-B analysis.
Help
[HELP] displays one or more screens of information that provide a brief
explanation of the screen functions and keys. When additional information is
available, the message <MORE> is displayed in the lower right corner. Press
the Right Arrow key to access this information.
Run
Press [RUN] to return to the RUN MENU screen.
Parameter Select [PARAMETER SELECT] allows the operator to choose the parameters to be
displayed and printed.
Print Ticket [PRINT TICKET] is used to print the current screen data on a ticket. It is used
when the automatic ticket print feature is set to OFF. When there is no ticket in
the printer, the message <TICKET> appears above the key labels.
Print [PRINT] is selected to print the current screen data on the graphics printer. It is
used when the automatic graphic print feature is set to OFF. When there is no
paper in the printer, the message <PRINTER> appears above the key labels.
Help [HELP] displays one or more screens of information that provide a brief
explanation of the screen functions and keys. When additional information is
available, the message <MORE> is displayed in the lower right corner. Press
the Right Arrow key to access this information.
Any number displayed in place of ON or OFF can be changed using the numeric
keys on the keypad to enter a new number within the stated limits. For example,
the number preceding the "line-feeds per printer page" statement applies to the
graphic printer and indicates the current line-feed selection.
NO Use the Arrow keys on the keypad to move the cursor to the
selection requiring change.
Type the new number that is within the limits shown for the
selection. Repeat this process until all required changes are
complete. Go to the Date/Time Setup procedure.
The SETUP MENU is also used to enter or review numeric data, such as date,
time, patient specimen limits for alert, control lot number, target and limits
values for control, replicate and X-B program files, etc. Refer to Chapter 2,
Installation, for procedures.
NOTE For additional information on collecting venous and capillary samples, refer to
NCCLS Standards, H3-A31 and H4-A32.
Sample Analysis An overview of sample analysis on the CELL-DYN 1600 is provided in Chapter 3,
Principles of Operation. This section provides guidelines and instructions for the
routine sample analysis.
• Samples should not be run until the instrument has been initialized and daily
QC checks have been performed.
• Samples may be analyzed whenever READY is displayed in the Status Box
on the RUN MENU.
• Samples should be well mixed before they are run.
CAUTION If the System has been idle for 15 minutes or more, a background should be
run immediately prior to running any patient specimens.
Operator ID The operator should enter an Operator ID before running samples. The Operator ID
is displayed on all screens and printed on the graphics report and the ticket report. It
is also retained in the QC logs and the Data Log.
The Operator ID is entered from the MAIN MENU. When this screen is selected, the
cursor is positioned in the <OPERATOR ID> entry field. Type up to 3 digits and
press [ENTER] to save the ID number.
Sample Identification Sample identification information is entered in the upper left corner of the RUN
MENU. These entry fields are made available by pressing [SPECIMEN TYPE]
followed by [PATIENT SPECIMEN].
Alerts and Indicators This section describes information displayed on the screen as the samples are
analyzed and/or when reports are printed.
NOTE This section does not discuss how to interpret parameter flags, which are displayed
after the sample is run. Refer to Chapter 3, Principles of Operation, for detailed
explanations of each flag.
• Results that fall outside the range of the limit set are displayed in inverse
video. These results are underlined on the graphic printout. They are
indicated by an asterisk on a pre-printed ticket.
• Results that exceed the maximum number that can be displayed for that
parameter are indicated by >>>> in place of the result.
The maximum numbers that can be displayed are:
WBC 99.9 HGB 99.9
RBC 9.99 PLT 999
Please refer to Chapter 10, Troubleshooting, Table 10.1 Troubleshooting
Guide, for instructions for handling these specimens.
• If a WBC or RBC/PLT metering fault occurs, results are suppressed for the
affected parameters and the appropriate <CLOG> or <FLOW ERROR>
message is displayed. The upper metering and count times are also displayed.
These messages and times are also printed in the graphics report.
NOTE A complete explanation of metering faults is given in the Operational Messages and
Data/Parameter Flagging sections of Chapter 3, Principles of Operation.
NOTE After the problem has been corrected, press [CLEAR FAULT] to resume operation.
Instrument Start Up The CELL-DYN 1600 power switches should be left ON at all times. The instrument
has been designed to automatically maintain itself when it is idle. If the instrument is
idle for 4 hours, an automatic shutdown cycle is initiated. The instrument is placed
in the STANDBY mode at the end of the automatic shutdown cycle.
Power to the printer may be left ON or OFF at the operator's discretion. Refer to
Chapter 11, Printers, for complete instructions for printer operation.
CAUTION If the System has been idle for 15 minutes or more, a background should be run
immediately prior to running any patient specimens.
2. If the Status Box on the RUN MENU screen displays STANDBY or INITIALIZED,
press [RUN] to initiate the automatic start up cycle. The message <RUN MENU,
READY> displays in the Status Box when the cycle is complete.
NOTE Confirm that the count times are also acceptable for 3 consecutive cycles.
WBC: 5.00 ± 1.00 Sec., RBC 7.00 ± 1.00 Sec.
4. Perform the daily Quality Control checks as directed in the following section.
Running Samples 1. Be sure that READY is displayed in the Status Box on the RUN MENU screen.
2. Open the sample tube. Place it under the sample aspiration probe so that the probe
is immersed in the well-mixed sample. Consider all clinical specimens as
potentially infectious. Use established, good laboratory working practice when
handling these samples.
3. Press the touch plate located behind the probe to start the cycle. The Status
Box on the RUN MENU displays messages to indicate the various stages of
the cycle.
4. Remove the sample tube after the beep sounds. The probe moves up through
the wash block for cleaning.
5. When the cycle is complete, the probe moves down into position for the next
sample and the results are displayed on the screen.
6. If automatic report printing has been specified, a report is printed according
to the parameters selected during Setup.
7. Repeat this procedure for subsequent samples.
Daily Shutdown It is not necessary to perform a shutdown procedure daily as the instrument
automatically goes into the STANDBY mode if it has been idle for 4 hours. If
desired, the operator may place the instrument in the STANDBY mode by pressing
[DAILY SHUTDOWN] on the second SPECIAL PROTOCOLS MENU screen.
This causes the equipment to:
2. When the cycle is complete, move the side panel power switch to OFF.
3. Remove the tubing from the lyse pump rotor to prevent pinching.
4. Follow the procedures described in Chapter 2, Installation, when the
power is restored.
Data Log Menu When [DATA LOG] is pressed, the DATA LOG screen is displayed and the
following keys are available:
[FIND SEQ OR SPECIMEN ID]
[EDIT SPECIMEN ID]
[REJECT/ACCEPT SPECIMEN]
[PRINT REPORT FOR 1 SPECIMEN]
[TRANSMIT DATA]
[PRINT DATA SUMMARY]
[HELP]
[MAIN]
Edit Specimen ID [EDIT SPECIMEN ID] is used to edit the Specimen ID # from the DATA LOG
screen. When [EDIT ID] is pressed, the cursor moves to the <SPECIMEN ID>
field and all key labels are blank. Edits are saved by pressing [ENTER].
Reject/Accept Specimen
If the cursor is positioned at a sample identified with a B preceding the sequence
number, the sample results are included (accepted) in the X-B analysis.
When [PRINT REPORT FOR 1 SPECIMEN] is pressed, the following keys are
available:
[GRAPHICS PRINTER]
[TICKET PRINTER]
[HELP]
[RETURN]
Transmit Data
[TRANSMIT DATA] is used to transmit a record to an on-line computer. When
[TRANSMIT DATA] is pressed, the screen prompts the operator to enter the
starting and ending sequence numbers (from the lowest to the highest) for the
desired transmission. Records may be transmitted singly or in batches as
designated by the sequence numbers.
References 1. NCCLS Standard H3-A3, Procedure for the Collection of Diagnostic Blood
Specimens by Venipuncture—Third Edition; Approved Standard (1991).
2. NCCLS Standard H4-A3, Procedure for the Collection of Diagnostic Blood
Specimens by Skin Puncture—Third Edition; Approved Standard (1991).
Calibration
Introduction The CELL-DYN 1600 is calibrated at the factory just before shipment. An
Abbott authorized Field Service Representative assists the operator in confirming
the calibration during instrument installation. Calibration may be performed with
commercial calibrator or fresh whole blood samples. Only the directly measured
parameters WBC, RBC, HGB, MCV, and PLT may be calibrated.
Calibration Guidelines
General Information The CELL-DYN 1600 has 3 modes of operation:
• Open mode
• Closed mode
• Pre-dilute mode
For convenience, the Open mode is calibrated first and the Closed mode and
Pre-dilute mode are then referenced to it. There are several ways to accomplish
the total calibration, depending only on the preference of the user. The following
Calibration Procedural Guidelines section provides a quick reference guide to the
remainder of the chapter.
Calibration Materials
CAUTION Consider all clinical specimens and controls, calibrators, etc. that contain human
blood or serum as potentially infectious. Use established, good laboratory
working practices when handling these samples. Wear gloves, lab coats and
safety glasses and follow other biosafety practices as specified in the OSHA
Bloodborne Pathogen Rule or other equivalent biosafety procedures.
3 calibration materials can be used to calibrate the CELL-DYN 1600:
• CELL-DYN calibrators
A calibrator is the preferred material for calibrating the CELL-DYN
1600. It is most efficiently performed by calibrating the Open mode using
the Auto-Cal method. The Closed mode is then referenced to match the
Open mode using fresh whole blood samples.
NOTE Never use a hemoglobin standard that is designed specifically for use with
cyanmethemoglobin reagents.
• The ICSH recommends that fresh samples be less than 4 hours old.
Sample age must not exceed 8 hours at the conclusion of the calibration
procedure.
• All parameter values should be within the laboratory’s normal range. The
following ranges are programmed for the reference values that may be
entered in the Auto-Cal program. Results exceeding these limits cannot be
entered.
WBC 5.0 — 12.0 K/µL
RBC 3.50 — 5.50 M/µL
HGB 10.0 — 24.0 g/dL
MCV 80 — 100 fL
HCT 30.0 — 50.0 %
PLT 150 — 400 K/µL
NOTE Obtain a reference RBC and HCT value for each calibration specimen. When the
RBC and HCT values are entered, a reference MCV is automatically calculated.
NOTE DO NOT attempt to calibrate the CELL-DYN 1600 with a hemoglobin standard
designed for the calibration of specific reference cyanmethemoglobin methods.
The instrument uses a modified hemiglobincyanide method which is not designed
to analyze these standards directly.
NOTE A worksheet is provided on the following page. This worksheet may be used to
assist with the calculation of the reference means and may be duplicated as
needed.
Pre-Calibration Procedures
It is advisable to perform calibration at a time when it can be completed without
interruption. The Pre-Calibration Procedures in this section verify proper instrument
performance to ensure a successful calibration. These steps must be completed just
before beginning calibration. If problems are detected during these checks, DO NOT
ATTEMPT TO CALIBRATE THE INSTRUMENT. If necessary, call the Customer
Support Center for assistance. After the problems have been resolved, repeat the pre-
calibration procedures to verify proper performance. Review the following
guidelines before beginning any calibration procedure.
• Use specimens that have NO known interfering substances.
• Use specimens that are at room temperature and mixed properly.
• Use only the recommended CELL-DYN reagents -- other brands are
unacceptable. (See Chapter 7, Quality Control.)
• Confirm that reagent containers are at least half full -- replace them as
necessary.
• Prior to calibration, instrument precision should be verified within stated
Absolute Limits. (See Chapter 4, Table 4.5)
• Always perform the Daily, Weekly, and Monthly scheduled maintenance as
directed in Chapter 9, Maintenance, before calibrating the instrument.
Instrument cleanliness is essential for accurate calibration. Therefore, each
laboratory should perform any additional maintenance according to its
requirements.
• Confirm that Normal Background is within limits.
• Confirm that the operator ID number is entered.
CAUTION If the System has been idle for 15 minutes or more, a background should be
run immediately prior to running any patient specimens.
Calibration Logbook
Abbott suggests that you create a logbook for the instrument. This logbook should
contain all necessary calibration documentation and other information that is
pertinent to your instrument. Suggested sections that you may want to include in the
logbook are:
• Laboratory operating procedures
• Quality Control
• Calibration
• Maintenance
• Troubleshooting
• Problem resolution
• Service calls
• Installation documentation
This logbook should be stored near the instrument and be accessible to all operators
and Abbott Service Personnel.
This section will introduce the keys displayed after the Calibration mode is selected.
The function of each key that appears on the CALIBRATION MENU screen is
explained in this section.
Enter Factor [ENTER FACTOR] is used to enable the operator to enter calibration factors
directly (Factor Entry Method).
Pre-dilute [PRE-DILUTE] is used to toggle between selecting and deselecting the pre-dilute
mode and to load corresponding calibration factors for review and possible change.
Auto-Cal Select [AUTO CAL SELECT] is used to display the screen labels for the calibrator, fresh
whole blood, and latex particles calibration methods.
Fresh Blood [FRESH BLOOD] initiates calibration using fresh blood specimens.
Latex Particles [LATEX PARTICLES] a reference value for MPV is not currently available.
Lyse Volume [LYSE VOLUME] selects the menu for lyse volume procedures.
CELL-DYN 1600
Pre-Calibration Procedures Check List
Introduction
It is advisable to perform calibration at a time when it can be completed without interruption. The
Pre-Calibration Procedures help ensure proper instrument performance and a successful
calibration. These steps must be completed just before starting the calibration process. If problems
are detected during these checks, do not attempt to calibrate the instrument. If necessary, call
Abbott Diagnostics Customer Service for assistance. After the problems have been resolved, repeat
the Pre-Calibration Procedures to verify proper performance.
Instrument: _________________________ Date:_________________________
Operator:___________________________
1. ________ Confirm that the Operator ID number is entered.
2. ________ Ensure that all maintenance is current before calibrating the instrument. Refer to the
CELL-DYN 1600 Operator’s Manual Chapter 9: Maintenance for further
information.
3. ________ Confirm that reagent containers are at least half full—replace them as necessary.
4. ________ Verify that the CELL-DYN Reagents have not reached the expiration date. Record the
reagent expiration dates and lot numbers in the spaces provided below.
Diluent: Lot #________________ Expiration Date _________________
Detergent: Lot #________________ Expiration Date _________________
Lytic Agent: Lot #________________ Expiration Date _________________
5. ________ Verify that the calibrator has not reached the expiration date.
Lot #________________ Expiration Date _________________
6. ________ Confirm that the waste container is not more than half full—empty it, if necessary.
7. ________ Confirm that Normal Background is within limits. Record the background results
below and attach a printout to this document. If the system has been idle for fifteen
minutes or more, a Normal Background should be run immediately prior to running
any calibration specimens.
WBC < 0.5 K/µL __________________
RBC < 0.05 M/µL __________________
HGB < 0.2 g/dL __________________
PLT < 10.0 K/µL __________________
8. ________ Verify instrument precision by analyzing a fresh, normal whole blood sample 10
times in succession. Run the sample in an empty replicate file and record the CVs
below and attach a file printout to this document. The CVs obtained should be less
than or equal to the CV% limits listed below. Refer to the CELL-DYN 1600
Operator’s Manual Chapter 5: Operating Instructions, Subchapter: Daily Quality
Control Checks, for further information on using the replicate files.
Parameter CV% Limit CV
WBC < 2.5 __________________
RBC < 1.7 __________________
HGB < 1.2 __________________
MCV < 1.5 __________________
PLT < 6.0 __________________
9. ________ If any problems are detected, document them with your corrective action in the space
provided:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
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Auto-Cal Method
Introduction This method allows the operator to enter reference assay values and run either
whole blood or calibrator with CELL-DYN 1600 reference values. The computer
utilizes the entered results from a minimum of 3 runs to calculate a factor for
each specimen. A mean factor is calculated for all specimens run.
NOTE When MCV is selected, the message <REFERENCE VALUE FOR MCV MAY
BE SUPPLIED BY ENTERING VALUES FOR RBC AND HCT. TO DO SO,
PRESS # AND ENTER VALUES WHEN PROMPTED.> appears in the lower
screen. When [#] is pressed, MCV changes to RBC, allowing the operator to
enter the red cells reference value (using 3 digits). Then <HCT> appears
allowing the operator to enter the hematocrit reference value. The computer
calculated MCV reference value must be within the normal range of 80 to 100 to
be accepted and displayed.
9. Mix the specimen well by inverting it at least 10 times. Do not shake the
specimen.
10. When <READY> appears, place the well-mixed specimen under the
aspirating probe and press the Touch Plate to actuate the auto-calibration
cycle. The analyzer performs RUN 1 measurement and displays the
values in the RUN 1 column.
11. When the cycle is complete, repeat step 10 twice — once for RUN 2
measurement and once for RUN 3 measurement.
NOTE When the value for any run exceeds the computer acceptance criteria, the value is
highlighted indicating the measurement cycle must be repeated. Should this
situation occur repeatedly, press [ABANDON] to stop the auto-calibration
process for this specimen without deleting the mean factor for specimens already
run. If necessary, obtain technical assistance or see Chapter 10, Troubleshooting,
for corrective action.
12. When results for the 3 runs are acceptable, the calibration factor is
calculated using the accepted run data for each parameter selected in steps
4 and 7. The screen displays the calculated factor and mean factor for
each parameter indicating the auto-calibration cycle for this specimen is
complete.
13. Repeat steps 4 through 11 for each calibration specimen.
WARNING Do not press [RESET FACTORS] between specimens. This key is used to delete
the mean factor for all specimens run prior to pressing the key.
14. After all calibration factors are run, press [RETURN]. The main
calibration screen appears. The calibration factors are saved at this point.
15. Press [PRINT] to print the new calibration factors.
16. Press [MAIN] to return to the MAIN MENU screen.
17. Press [RUN] to return to the RUN screen.
18. Run one of the following:
• 3 additional specimens with reference assay values
• 3 levels of controls
NOTE If the results for any parameter are consistently out, repeat calibration or obtain
technical assistance.
NOTE When results for any parameter are consistently out, repeat calibration for that
parameter or obtain technical assistance.
Pre-Dilute Method
Introduction The pre-dilute calibration mode allows the operator to calibrate the CELL-DYN
1600 to adjust for any differences due to dilution when this special mode is
selected. The pre-dilute calibration procedure and specimens are similar to the
whole blood or calibrator method given earlier in this chapter. However, for pre-
dilute calibration each calibration specimen is pre-diluted in the same manner as
unknown patient specimens using CELL-DYN micropipettes 40uL end-to-end
(30mm) with EDTA and 10mL of diluent that is dispensed using [10ml.
DISPENSE] from the SPECIAL PROTOCOLS screen.
6. Repeat this process to obtain a minimum of three vials of diluent for each
specimen to be run for calibration.
7. Press [MAIN] to return to the MAIN MENU screen.
8. Press [CALIBRATION].
9. Press [PRE-DILUTE]. Select the calibration method.
10. Set the cursor to the parameter to be calibrated.
11. Press [ENTER]. The screen changes.
12. Enter the parameter's reference assay value for the calibration specimen
to be run (e.g. <4> <8> <9> for RBC). The reference assay value
always requires 3 digits. The cursor automatically advances to the next
selection.
NOTE When MCV is selected, the following message appears in the lower screen:
<THE REFERENCE VALUE FOR MCV MAY BE SUPPLIED BY ENTERING
VALUES FOR RBC AND HCT. TO DO SO, PRESS # AND ENTER VALUES
WHEN PROMPTED.> When [#] is pressed, MCV changes to RBC, allowing
the operator to enter the red cells reference value (using 3 digits). <HCT>
appears allowing the operator to enter the hematocrit reference value. The
computer calculated MCV reference value must be within the normal range of
80 to 100 to be accepted and displayed.
13. Repeat steps 10 through 12 until all parameters to be calibrated with this
calibration specimen are selected and the corresponding reference values
are entered.
14. Grasp the lower edge of the Upper Front Cover and pull it towards you
(out) about 1 inch. Raise it up until it releases from the upper mount
brackets. Set the cover aside or on top of the analyzer. (See Figure 6-1.)
WARNING To prevent aspirating probe damage, always confirm the probe is raised before
attempting to remove the upper front cover.
NOTE The grounding wire may be detached to completely remove the Upper Front
Cover.
15. Mix the calibration specimen well by inverting it at least 10 times. Do not
shake the specimen.
16. Completely fill a CELL-DYN micropipette with well-mixed calibration
specimen.
17. Wipe the outside of the pipette with a lint-free gauze slightly dampened
with diluent to remove excess blood. DO NOT REMOVE THE BLOOD
FROM INSIDE THE PIPETTE.
18. Drop a filled pipette immediately into a vial containing 10mL of diluent.
(This vial was prepared in step 5.)
19. Close the vial at the upper crease and invert a minimum of 15 to 20 times
to thoroughly mix the blood and diluent (see figure 6-2).
NOTE The internal bore size of the CELL-DYN micropipette is designed to allow rapid
mixing of blood and diluent. This initial 1:250 dilution is stable for 20 minutes
and must be thoroughly remixed by inversion before pouring it into the initial
dilution bath when the pre-dilute mode is selected.
20. Open the vial and carefully pour the diluted specimen into the initial
dilution bath.
CAUTION Do not allow the micropipette to fall into the dilution bath.
21. Press the touch plate to actuate the pre-dilute auto-calibration cycle. This
performs the RUN 1 measurement and displays value(s) in the RUN 1
column.
22. When the cycle is complete, repeat steps 15 through 21 twice — once for
RUN 2 measurement and once for RUN 3 measurement.
NOTE When the value for any run exceeds the computer acceptance criteria, the value
is highlighted indicating the measurement cycle must be repeated. Should this
situation occur repeatedly, press [ABANDON] to stop the auto-calibration
process for this specimen without deleting the mean factor for specimens already
run. See Chapter 10, Troubleshooting, or obtain technical assistance.
23. When results for 3 runs are acceptable, the calibration factor for each
parameter selected in steps 10 and 12 is calculated using accepted run
data. The screen displays the factor and mean factor for each parameter
indicating the auto-calibration cycle for this specimen is complete.
NOTE Do not press [RESET FACTORS] between specimens. This key is used to delete
the mean factor for all specimens run prior to pressing the key.
NOTE If results for any parameter are consistently out, repeat the calibration or obtain
technical assistance.
Verification of the volume of lyse dispensed per cycle is required when the lyse
tube under the pump rotor is replaced. It should be reset as needed to maintain
diff-screen result accuracy. For special applications or research, the amount of
lytic reagent dispensed is adjustable within the allowable range of 0.75 or
1.25mL.
NOTE The volume of lyse dispensed is set by the factory at approximately 1.1 mL.
Verification of lyse volume dispensed is done using a new screen and labels that
appear when [LYSE VOLUME] is pressed. A 25mL graduated cylinder is
required for this procedure.
NOTE The following procedure slightly differs from on-screen instructions. Both
procedures can be used for Lyse Volume Dispense Calibration.
NOTE Default dispense volume: The measured volume of diluent in milliliters from
step 3 minus the measured volume of diluent remaining in the cylinder equals
the volume of lyse dispensed during 10 cycles.
11. Enter the default dispense volume in milliliters using the keyboard
numeric keys (9.0 to 11.0).
12. Press [SET VOLUME]. The current set volume appears with the set
volume statement.
13. Type the new desired volume for lyse dispense in milliliters using the keyboard
numeric keys (0.75mL to 1.25mL), based on the current value from step 7.
14. Press [ENTER].
NOTE When no entry is made, no screen labels appear. Press [ENTER] to continue.
NOTE If the two volumes do not agree, repeat this entire procedure or obtain technical
assistance.
NOTE When results for either parameter are consistently out, repeat calibration for that
parameter or obtain technical assistance.
Quality Control
Introduction The CELL-DYN® 1600 offers several Quality Control (QC) options to
monitor and validate instrument performance. The options are:
The QC LOG screen allows the operator to perform the following functions:
• Select 1 of 12 QC files
• Review, edit, or print stored data for each file including
– lot number and expiration date or identification number
– acceptable upper and lower range
– results for all parameters up to 30 runs
– mean
– standard deviation
– coefficient of variation
• Review or print the Levey-Jennings plots, including multi-rule
(modified Westgard) alerts, as applicable
X-B File This key initiates the display of the X-B DISPLAY screen and new labels
allowing the operator to review or print a composite report, including the
batch mean for each X-B parameter — MCV, MCH, and MCHC —
calculated for the last 20 batches. Each stored batch mean is plotted.
Purge
This function permanently erases data from the control file. After [PURGE] is
pressed, the screen label changes to [RESTORE]. Press [RESTORE] to cancel
the purge. Press [RETURN] to complete the purge.
Plot Levey-Jennings
This function plots the data using the Levey-Jennings method and calls the
LEVEY-JENNINGS MENU.
Reject/Accept Specimen
When [REJECT] is selected, it removes a specimen from the statistical
calculations; when [ACCEPT] is selected, it restores a specimen that was
removed.
Delete Specimen
This function deletes a specimen from the control file. After [DELETE
SPECIMEN] is pressed, the screen labels change to [DELETE SPECIMEN]
or [RESTORE SPECIMEN]. Press [DELETE SPECIMEN] to complete the
delete; press [RESTORE SPECIMEN] to cancel the delete.
Transmit Data
This function transmits the control file to an external computer.
Print Data
This function prints the control file data on the graphics printer.
Replicate 1 through 9
This key initiates a new screen and new labels allowing the operator to access
the desired replicate file and display the data. The keys available from the
REPLICATE 1 through 9 MENU are described below.
Plot Levey-Jennings
This function displays the Levey-Jennings plots.
Reject/Accept Specimen
When [REJECT] is selected, it removes a specimen from the statistical
calculations; when [ACCEPT] is selected, it restores a specimen that was
removed.
Delete Specimen
This function deletes a specimen from the control file. After [DELETE
SPECIMEN] is pressed, the screen labels change to [DELETE SPECIMEN]
or [RESTORE SPECIMEN]. Press [DELETE SPECIMEN] to complete the
delete; press [RESTORE SPECIMEN] to cancel the delete.
Transmit Data
This function transmits the control file to an external computer.
Print Data
This function prints the control file data on the graphics printer.
Running Controls
Control Material Abbott recommends using the CELL-DYN control materials for performing
quality control checks on the CELL-DYN 1600. These controls should be run:
NOTE A procedure for using patient samples to verify closed mode performance is
given in the Closed Sample Aspiration Module section of this manual.
To ensure accuracy of the results when commercial control specimens are run:
• Verify values for the new lot of control by running each level as described
in the “Assay Verification” section, along with either replicate QC
specimens or the old control when it is still in date.
• When results for any parameter(s) are flagged (outside of entered limits),
reconfirm calibration for that parameter using specimens with known
reference values. When calibration verification results are acceptable, either
establish a new working mean and limits for each level of the new lot of
control or call Abbott Diagnostics Customer Service.
CAUTION If the System has been idle for 15 minutes or more, a background should be
run immediately prior to running any patient specimens.
Assay Verification New lots of control material should be analyzed in parallel with current lots prior to
their expiration dates. This may be accomplished by running the new lot of controls
twice a day for five days using any empty replicate files. The replicate files calculate
the mean, standard deviation and coefficient of variation for each stored parameter.
The instrument-calculated means of these ten runs should be within the expected
ranges published by the manufacturer.
Replicate files may be set up for the new lot number to easily establish the mean
values. However, the replicate files store only the absolute values for the three-part
differential. If you wish to validate the differential percents (LYM, MID, GRAN),
refer to the instructions given in the next section.
The expected ranges published by manufacturers are generally too broad for
effective quality control.1 Therefore, your laboratory's established means and SDs
for the new controls lots should be edited into the appropriate Quality Control file
when new lots are placed into daily use. As a result, these ranges will now be used
by the system to automatically monitor all parameters for each control run. These
ranges may be determined by evaluating three to six months of data (data from the
Interlaboratory QC Program may be used) for a particular level of control.
(N1 x×SD
(N1 2 2 + (N2 × SD2
SD1
1 ) +) (N
2
(Ni x SDi×2)S
2 x SD2 ) + ...)+...(Ni
2
Average SD =
(N1
(N ++NN2 + ...
+ ...N ) -Ni)
1 - 1
1 2 i
The replicate files store only the absolute values for the three-part differential. To
validate the differential percents, manually record the values from the RUN screen
display or from a printout of each control run. The differential percentage data can
then be used to calculate the mean values. These mean values (absolute values
and/or percent values), in conjunction with the laboratory's established SDs, may be
used to monitor the performance of a given lot of control material.
Westgard Rules
Introduction A control file tests the control result against control limits to determine whether the
CELL-DYN 1600 shows acceptable accuracy and precision. The limits are derived
from the mean and standard deviation of control measurements obtained when the
instrument performance is stable and acceptable. The most common rule used in
hematology quality control is the mean ± 2SD limits. 95% of the control results
should fall within the ± 2SD limits.
Quality control rules detect random or systematic error. Random error may be
defined as an increase in the SD (loss of precision); systematic error may be defined
as a shift in the mean value (loss of accuracy). A multi-rule quality control procedure
combines several control rules to improve the detection of both types of error.
CAUTION Do not use the values for mean range provided on the control assay sheet in
conjunction with Westgard Rules. Before using Westgard Rules with
commercial controls, establish the SD for each parameter on your instrument
and enter limits based on these SDs.
Rule Violations Only the directly measured parameters need to be monitored with multiple
rules.1 In reference 1, (pp. 190-192), Cembrowski suggests a protocol for using
the Westgard Rules in hematology. Following is a synopsis of that protocol.
Cembrowski suggests that the results for all 3 levels first be checked to see if
they are within their 2SD limits. If all 3 levels meet this criterion, the
instrument is in control.
If any control result exceeds the 2SD limits, check to see if it exceeds the 3SD
limits. If a result exceeds 3SD, there is either an instrument problem or a
problem with the particular level of control. Therefore, if a result exceeds
3SD, run another vial of that control. If the problem persists, then additional
investigation is required.
Check to see if either Rule 3 or Rule 4 has been violated for any level or
across levels. If the problem is confined to one level of control, check for a
Rule 2 violation for that level. Again, if the violations are confined to one
level of control, use another vial and, if possible, another lot. Check expiration
dates and data entry. Check to be sure that the control is run into the correct
file.
If a combination of rules has been violated across the 3 levels, determine
whether the violations indicate a loss of precision or a loss of accuracy, and
troubleshoot accordingly. If necessary, call Abbott Diagnostics Customer
Service for assistance.
When the problem has been resolved, Cembrowski suggests that all levels be
run again in duplicate to confirm that it has in fact been corrected.
Specific multi-rules are activated or deactivated for each file via SETUP.
Printed package insert reference mean and limits, the lot number, and the
expiration date for control specimen in each file is also entered via SETUP.
Parameter data obtained for any control run that falls outside of these entered
limits display in inverse video and print underlined to alert the operator.
QC file summary data or Levey-Jennings plot data currently in each file can be
displayed and printed. Each time a QC specimen is run, the mean,
standard deviation, and coefficient of variation for each parameter is
calculated and updated automatically for current run data in each file. The
operator can, at any time, reject any run with flagged (outside entered limits)
data from this calculation. Additionally, the operator can delete any run from
a QC file.
Alerts, calculations, and plots are the same as those stated above for the commercial
control QC program. SETUP is used to activate or deactivate the Westgard Rules
and to enter comparison data.
The red cell indices MCV, MCH, and MCHC are known to be stable because the red
cell apparently functions best in a very narrow range of size and hemoglobin content.
Therefore, the body exerts tight physiologic control and varies the number of red
cells before altering the average volume or hemoglobin concentration of those red
cells. Consequently, the average red cell indices of a given patient population will
vary no more than 0.5% from day to day and even year to year, providing the
population does not change. The X-B algorithm provides a means of utilizing this
information for quality control on the CELL-DYN 1600.
The X-B algorithm analyzes the indices for MCV, MCH, and MCHC on the patient
samples run through the instrument in batches of 20. Current batch data are then
"smoothed" by using the mean from the previous batch multiple times in the
calculation. As a result, each newly calculated batch mean includes data from
previous batches.
When the X-B program is ON and the patient specimen type is selected, the third
line of the RUN screen displays the current X-B program status (e.g. <TYPE:
PATIENT X-B: N/IN>; N is the number in the current batch and IN indicates the
last batch was within the target and limits for all three parameters). In the DATA
LOG, a B in front of a sequence number identifies each patient specimen accepted in
the current X-B batch.
Target Value The Target Value for X-B is similar to the assay value for a commercial control. It is
derived from the patient population analyzed on the instrument.
Action Limit The Action Limit is the acceptable limit of variation around the target value.
• MCV 89.9 fL
• MCH 30.5 pg
• MCHC 33.9 g/dL
To establish setup X-B target values for MCV, MCH, and MCHC:
References 1. Cembrowski GS, Carey RN. Laboratory quality management, pp. 189,
190-192.
2. Bull BS, Jones AR, Gibson M, Twedt D. A method for the
independent assessment of the accuracy of hematology whole blood
calibrators. AJCP (accepted for publication), 1992.
3. Bull BS, Hay KL. Are red blood cell indexes international? Arch
Pathol Lab Med 1985; 109:604-606.
4. Chanarin I, ed. Laboratory hematology, an account of laboratory
techniques. Edinburgh: Churchill Livingston, 1989:3-7.
CAUTION Testing has shown that precision within stated claims is best maintained by
priming the system after a specified idle time. Therefore, if the system has
been idle for 15 minutes or more, a normal background should be run to
ensure that the system is primed immediately prior to running any specimens.
Location Requirements
• An Abbott authorized representative must install the instrument.
• Place the CELL-DYN 1600 Analyzer on a hard, level surface. Locate the
system:
– Away from direct sunlight
– Away from the path of a cooled or heated air outlet
– Away from drying ovens, centrifuges, x-ray equipment, CRTs or
computers, video terminals, copiers, and ultrasonic cleaner.
• Do not place reagent containers above the instrument.
• The following space should be available to ensure proper ventilation:
– Benchtop space: 3 to 4 linear feet plus sufficient space for reagents
– Behind the instrument: 4 to 6 inches of space for proper ventilation
– Adequate space should be provided around the analyzer to perform
necessary maintenance procedures.
• Care should be taken to prevent blocking of the air vents on the sides and the
back of the analyzer.
• Before operating the instrument for the first time, verify that each reagent
line is connected to the appropriate inlet and reagent container.
• Make sure the waste line is connected to the appropriate outlet and routed to
a suitable waste container or drain. If the waste is routed to a waste container,
make sure the waste sensor is properly connected. If the waste is routed to a
drain, make sure a dummy plug is inserted in the waste sensor connector.
WARNING Do not remove any instrument panel that is securely fastened in place by screws.
Electrical shock hazard is increased whenever these panels are removed.
• Replace only the externally accessible, labeled fuse located near the power
cord connector. Use replacement fuse of the specified type and electrical
rating only. Refer to Chapter 10, Troubleshooting, for detailed instructions.
Infection Control
• Consider all clinical specimens and controls, calibrators, etc., that contain
human blood or serum as potentially infectious. Use established, good,
laboratory working practices when handling these samples. Wear gloves, lab
coats and safety glasses and follow other biosafety practices as specified in
the OSHA Bloodborne Pathogen Rule or other equivalent biosafety
procedures.
• Do not smoke, eat or drink in areas where test samples are handled. Do not
pipette by mouth.
Decontamination Procedures
• Decontaminate the instrument by performing the Auto-Clean cycle. This
cycle flushes all of the fluid pathways with reagents to purge any waste
from the fluid pathways. (The Open Sample Aspiration Probe and the CS
Needle are automatically rinsed after every cycle.) The surfaces of the
instrument should be wiped with a non-abrasive detergent solution to
remove any soiling. This should be followed with a wipe with a 10%
chlorine bleach solution.
• If the instrument is to be shipped, it must be decontaminated prior to
shipment. This is accomplished by the [PREPARE SHIPPING] key in the
SPECIAL PROTOCOLS MENU. Instructions are given in the Non-
Scheduled Maintenance section of Chapter 9, Maintenance.
Blood Samples
• Decontaminate and dispose of all specimens and potentially contaminated
materials in accordance with local, state, and federal regulations.
• Waste liquid is a possible source of biological and chemical hazard. Handle
with extreme care during the disposal process.
• Refer to the Sample Collection and Handling section in Chapter 5,
Operating Instructions, for precautions and limitations pertaining to sample
collection and handling. This section also includes information on
interfering substances.
Spills
Clean up spills of potentially infectious materials in accordance with established
biosafety practices. A generally accepted procedure for clean up of such spills is
to absorb the spill with toweling or other absorbent material, wipe the area with a
detergent solution and then wipe the area with an appropriate hospital disinfectant
such as 10% chlorine bleach.
Printer Precautions
The printhead can get very hot during extended periods of printing. Allow it to
cool before touching.
Maintenance
Introduction The CELL-DYN® 1600 analyzer is designed to require minimal routine
maintenance. For example:
WARNING Consider all clinical specimens and controls, calibrators, etc. that contain human
blood or serum as potentially infectious. Use established, good laboratory
working practices when handling these samples. Wear gloves, lab coats and
safety glasses and follow other biosafety practices as specified in the OSHA
Bloodborne Pathogen Rule or other equivalent biosafety procedures.
NOTE When the cycle is complete, the analyzer should be left with the power ON. If so,
reduce the screen brightness (by using the knob on the right side panel) to reduce
the risk of burning the screen. If the instrument will not be used again within 24
hours, turn the power OFF.
WARNING Do not forget to reinsert the tubes securely in the normally closed valves and
under the lyse pump rotor (see Chapter 2, Installation) before turning the analyzer
back ON.
4. Record this maintenance in your maintenance log.
Materials Required
CELL-DYN Enzymatic Cleaner (at room temperature)
Procedure
1. At the MAIN MENU, press [SPECIAL PROTOCOLS]. A new screen and
new labels appear.
2. Press [AUTO CLEAN] to begin this cycle.
3. Place the vial of undiluted enzymatic cleaner concentrate under the sample
probe.
4. Press [START CLEAN]. <Process Active> appears on the screen. The
complete cycle takes approximately 11 minutes.
5. When the cycle completes, press [MAIN] to return to the MAIN MENU.
6. Run background counts until acceptable results are obtained for all
background parameters.
7. Run commercial controls or QC specimens to confirm the proper
performance before running any unknown specimens.
8. Record this maintenance in your maintenance log.
Materials Required
CELL-DYN Enzymatic Cleaner (at room temperature)
Gauze pad/Lint-free wipe
Distilled water
Procedure
During each run cycle, the wash block rinses whole blood from the outside of the
aspiration probe. However, routinely clean and disinfect the outside of the probe
to ensure it moves freely through the wash block. This procedure can be done at
any time (at least weekly) or in conjunction with other routine cleaning
procedures.
1. With the power ON and aspiration probe down, carefully wipe the outside
of the probe several times with a gauze dampened with diluted enzymatic
cleaner.
2. Wipe the outside of the probe with a gauze dampened with distilled water.
OR
Run a background to rinse the probe.
Materials Required
CELL-DYN Enzymatic Cleaner (at room temperature)
Red top Vacutainer® tube (with no anticoagulant)
Lint-free towel
Procedure
1. Insert the tip of the enzymatic cleaner into the Vacutainer tube and fill it
3/4 full with cleaner.
2. Wipe the top of the Vacutainer tube with a lint-free towel to remove any
excess cleaner and insert the stopper.
NOTE Enzymatic cleaner is extremely slippery and any cleaner on the stopper or the top
of the Vacutainer tube can cause the stopper to come off.
3. At the MAIN MENU, press [SPECIAL PROTOCOLS]. A new screen and
new labels appear.
4. Confirm that the stopper is securely inserted on the Vacutainer tube
containing the cleaner. Invert the tube and insert it into the closed sampler
holder.
5. Press [START CLEAN]. <Process Active> displays on the screen. The
Closed Sampler Auto Clean procedure takes approximately 8 minutes.
6. At the beep, remove the sample from the closed sampler holder.
7. When the cycle completes, press [MAIN] to return to the MAIN MENU.
8. Run background counts until acceptable results are obtained for all
background parameters.
9. Run commercial controls or QC specimens to confirm proper performance
before running any unknown specimens.
10. Record this maintenance in your maintenance log.
Materials Required
CELL-DYN Enzymatic Cleaner (at room temperature) or 5% sodium hypochlorite
Cotton tip applicator
Lint-free towel
Procedure
The closed sampler holder can be cleaned automatically via [CLEAN SAMPLER]
from the SPECIAL PROTOCOLS screen. This key also aspirates liquid and spilled
blood or cleaning fluid from inside the holder. A cotton tip applicator can also be
used to clean the inside of the tube holder.
WARNING The tube holder contains a needle that presents a potential for injury when the
operator places his or her fingers or hand in the path of the needle.
1. Swing the closed sampler holder arm to the side for better visibility of the
well.
2. Insert the tip of the enzymatic cleaner into the inner well and fill it 3/4 full
with cleaner.
3. At the MAIN MENU, press [SPECIAL PROTOCOLS]. A new screen and
new labels appear.
4. Press [MORE] twice.
5. Press [CLEAN SAMPLER]. <Process Active> appears on the screen.
NOTE Look for two parallel streams of diluent that flush the inner well.
6. Moisten a cotton tip applicator with enzymatic cleaner. Insert the tip into the
inner well and clean the inner surface.
7. Press [CLEAN SAMPLER]. <Process Active> appears on the screen.
8. When the cycle completes, press [MAIN] to return to the MAIN MENU.
9. Record this maintenance in your maintenance log.
Materials Required
Medium size beaker
Deionized water
Procedure
Replace the lyse pump tubing with the spare lyse pump replacement tubing at least
every three months to ensure that it does not become pinched or restricted.
NOTE If lyse pump tubing is replaced, verify lyse volume. Refer to Calibration,
Chapter 6.
IMPORTANT When the power is going to be turned OFF for 72 hours or longer, refer to Daily
Maintenance Procedures, To prepare for prolonged shutdown for additional steps.
1. Remove the lyse tubing from the lyse reagent container and place it into a
container of warm deionized water.
2. At the MAIN MENU, press [SPECIAL PROTOCOLS]. A new screen and
new labels appear.
3. Press [MORE] twice.
4. Press [LYSE PRIME] to begin the lyse priming cycle.
5. Press [LYSE PRIME] again a few times to perform multiple "lyse prime"
cycles, which rinses the tubing with warm water.
6. Remove the lyse tubing from the water and press [LYSE PRIME] to cycle
air through the tube.
A. To continue operation immediately:
1. Reinsert the tube into the lyse reagent and press [CLEAR
ALARM]. Watch the lyse Inlet tubing to verify lyse flow.
Materials Required
Lint-free towels
Procedure
Rear cover fan filters are used to clean air passing through each of the rear fans.
Clean them monthly to maintain a constant and unrestricted air flow. More frequent
cleaning is required if the unit is located in a dusty area.
NOTE Some older model fan filters press off by lightly pressing and rotating the fan filter
counterclockwise until it releases from the bracket notches holding it in place.
4. Remove the filters and run a medium pressure stream of warm water over
each one.
5. Blot dry each filter with lint-free towels.
Procedure Frequency
Accumulator 1. When the alarm indicates that the accumulator is
Draining and wet.
Cleaning 2. When background counts exceed specification.
Preparing the 1. Shipping the instrument.
analyzer for a 2. Storing the instrument.
prolonged period of 3. Prolonged period of non-use.
non-use or shipping
4. When the entire plumbing system is suspected as
the source of bacterial or fungal contamination.
Materials Required
50% cleaning solution (5 mL of 5% sodium hypochlorite added to 5 mL of warm
water)
Small beaker
Procedure
This procedure is used to remove very stubborn restrictions in the RBC and WBC
apertures, or when there is a marked increase in the RBC and/or WBC count
times that cannot be solved by normal auto cleaning. If this procedure does not
solve the problem, remove and clean the aperture plates.
1. Ensure that the instrument is in the RUN mode and <READY> is
displayed in the Status Box.
2. Remove the upper front cover.
3. Carefully pour the 50% cleaning solution into the pre-mix cup.
4. Carefully pour 5 mL of 5% sodium hypochlorite into the RBC bath.
5. Replace the upper front cover.
6. Wait two minutes to allow the pre-mix cup to soak.
7. After the soak period, press [SPECIMEN TYPE].
8. Press # key on the keyboard. The GAIN ADJUST screen displays. The
cleaning solution in the pre-mix cup is transferred to the WBC bath. Both
baths are bubble mixed. Wait another 2 minutes for the baths to soak.
9. Press the open probe touch plate to run three consecutive count cycles to
aspirate the cleaning solution through the RBC and WBC apertures. If a
<FLOW ERROR> or <CLOG> message displays, ignore it and
continue to run the three counts.
NOTE DO NOT use [CLEAR ORIFICE] because it will drain the cleaning solution from
the cups.
Materials Required
CELL-DYN Enzymatic Cleaner (at room temperature) or 5% sodium hypochlorite
Sample vial
Small beaker (50 mL)
Camel hair aperture brush (included in the accessory kit)
Deionized water
Procedure
1. Remove the upper and lower front covers. Locate the RBC/PLT bath to
the right of the probe. Locate the WBC bath to the left of the pre-mix cup.
(See Figure 9-1.)
4. Swing the red tagged plate holder (which holds the plates securely in place)
to the right. (See Figure 9-2.)
OR
NOTE Diluted enzyme cleaner or sodium hypochlorite are most effective when they are
prepared fresh each time this procedure is done.
8. Place each aperture plate into the beaker of cleaning solution prepared in step 7.
Completely immerse each plate in the cleaning solution.
9. Allow the plates to soak for AT LEAST 5 minutes and NO LONGER than 15
minutes.
10. Clean debris from each aperture plate by rotating the camel hair aperture brush
provided in the accessory kit.
CAUTION Use only the brush provided. Use of other items or brushes will damage the
aperture plate.
11. Remove each aperture plate from the cleaning solution and thoroughly rinse it
with a fine stream of deionized water. Do not dry the aperture plates.
1. Position the "RBC/PLT" aperture plate so the notch is on the lower portion
of the edge being inserted into the bath.
2. Insert the aperture plate into the slot between the two sections of the
RBC/PLT dilution bath. Push the plate in until it is completely seated in
the bath.
3. With the correct aperture plate placement, swing the red lever to your left
to secure the plate in place. (There will be a slight resistance as you
replace the red lever.)
NOTE Be sure both the RBC/PLT and the WBC aperture plates are installed before
filling the baths.
NOTE Be sure both the RBC/PLT and the WBC aperture plates are installed before
filling the baths.
3. Run background counts until acceptable results are obtained for all
background parameters.
4. Run commercial controls or QC specimens to confirm proper performance
before running any unknown specimen.
5. Record this maintenance in your maintenance log.
Materials Required
Large basin
Deionized water
Procedure
1. Obtain a large basin or suitable container to hold and soak the syringe.
Add 2 to 3 inches of warm tap water to the container.
2. Confirm the analyzer is turned ON and the unit is INITIALIZED or
READY.
3. Slide the door on the left side of the analyzer to expose the syringes. The
diluent syringe is the large (10 mL) syringe. The sample syringe is the
small (100 µL) syringe.
4. At the MAIN MENU, press [SPECIAL PROTOCOLS]. A new screen and
new labels appear.
5. Press [CLEAN DIL SYRINGE]. The diluent syringe plunger moves up.
6. Remove the large thumb nut at the bottom of the plunger by holding the
calibration block with one hand and turning the large thumb nut clockwise
(when viewed from above). (See Figure 9-3.)
CAUTION The plunger moves down, up, and down before stopping.
8. Loosen the small thumb nuts on the syringe holder block by turning them
counterclockwise 2 complete turns. Pull the holder block away from the
syringe to prevent breakage of the luer lock connector. Gently pull the
syringe glass barrel towards you to ensure that it is completely free of the
front and back sections of the syringe holder block.
9. Completely remove the small thumb nuts and front section of the holder
block.
10. Hold the syringe by the glass barrel and TURN IT CLOCKWISE (when
viewed from above) to release it from its luer lock fitting.
(See Figure 9-3.)
WARNING Do not pull down, on, or otherwise move the plunger. Never push or pull on the
plunger when the syringe is dry.
14. Remove the plunger from the barrel while the syringe is still immersed in
warm water. Let the barrel and plunger soak in warm water for 5 minutes.
Remove and rinse thoroughly with deionized water. Remove excess water
by shaking, do not wipe.
15. Reassemble the syringe by:
• inserting the plunger tip into the barrel
• inserting the white plug into the barrel
• installing the spring clip on the barrel with the small prongs facing up
NOTE When installing the clip, wedge the larger end of the clip on the lip of the barrel
and the small end against the white plug.
16. Replace the syringe into the luer lock fitting by turning it counterclockwise
(when viewed from above) until it is finger-tight. Do not overtighten.
17. Replace the front section of the syringe holder block. Secure it with the
thumb nuts removed earlier. Install the thumb nut with the smaller
diameter facing upward. Tighten the thumb nuts finger-tight with the
beveled edge towards the holder. Do not overtighten.
18. Press [CLEAN DIL SYRINGE] to move the plunger up. Secure it in the
plunger holder with the large thumb nut removed earlier. Install the thumb
nut with the smaller diameter facing up. Tighten the large thumb nut to
finger-tight while holding the calibration block. Do not overtighten.
NOTE A small gap between the plunger holder and the thumb nut is normal.
NOTE Bubbles may be present during the first filling. If they do not disappear, press
[MORE] twice, then press [REAGENT PRIME] to clear the bubbles.
21. Return to the MAIN MENU and run 2 to 3 background counts. Watch the
syringe action to make sure it fills and dispenses completely.
22. Run commercial controls or QC control specimens to confirm proper
performance before running any unknown specimens.
23. Record this maintenance in your maintenance log.
Materials Required
Large basin
Deionized water
Procedure
1. At the MAIN MENU, press [SPECIAL PROTOCOLS]. A new screen
and new labels appear.
2. Press [CLN SAMPL SYRINGE].
3. Unscrew the bottom of the sample syringe by turning the bottom of the
plunger counterclockwise (when viewed from above). (See Figure 9-4.)
4. Gently push up on the plunger until it clears the black stage.
5. Unscrew the collar of the syringe by turning the entire syringe clockwise
(when viewed from above).
6. If there are saline crystals around the collar of the syringe, soak the entire
syringe in warm water for 5 minutes. Then, gently pull the plunger rod
completely out of the barrel and allow both pieces to soak for a few
minutes.
WARNING Do not touch the tip of the plunger with your hands.
7. Rinse the syringe in deionized water and reassemble. If the syringe needs
to be replaced, a new syringe may be installed. For complete instructions,
see the next section.
NOTE Do not push or pull on the plunger when the syringe is dry.
6. When the syringe is operating properly and there are no air bubbles, press
[MORE] twice. A new screen and new labels appear.
Materials Required
Syringe
Sample cup
Deionized water
Cleaning solution (5 mL of 5% sodium hypochlorite added to 5 mL of water)
Procedure
1. With the power ON, remove the upper cover. Press [RUN] to lower the
probe.
2. Hold the 1/32" silicone tubing and carefully pull up on the 1/16" straight
connector until it is free of the probe. (See Figure 9-5.)
3. Remove the silicone tubing from the top of the aspiration probe.
4. Using a syringe filled with cleaning solution, flush the probe from the top.
Make sure a sample cup is placed beneath the probe to catch the rinse
solution.
5. Using a syringe filled with deionized water, rinse the probe several times
from the top.
6. Reinsert the tubing into the probe and connector.
7. Run commercial controls or QC specimens to confirm proper performance
before running any unknown specimens.
8. Record this maintenance in your maintenance log.
Materials Required
Syringe cup (10 to 20cc with at least 3" long silicon tubing attached to tip)
Cleaning solution (equal parts of 5% sodium hypochlorite and water)
Wire solenoid valve-puller
Deionized water
Procedure
1. From the MAIN MENU screen, press [SPECIAL PROTOCOLS].
2. Press [DRAIN BATHS].
3. Remove the front panels.
4. Locate the HGB flow cell (located at the bottom left corner) and trace the
lower black tubing ending at the T-fitting.
NOTE Do not tug on or place any undue stress on the other end of the black tubing’s
entrance point into the flow cell.
5. Disconnect the tubing on the right side of the T-fitting and attach a
cleaning solution-filled syringe to the open end of the T-fitting. (See Fig-
ure 9-6.)
6. Attach the wire puller to pinch valve #26.
7. While holding the syringe base with your left hand, pull open valve #26
with your left index finger.
8. With the right hand push in the syringe plunger.
9. Inject at least 3/4 of the solution into the flow cell.
10. Alternately move the syringe plunger in and out several times to ensure
optimum rinsing action. Close valve #26. Leave the solution in the flow cell for 3
to 5 minutes.
11. Remove the syringe.
12. Drain the solution from the flow cell by pulling open valve #26.
13. Using deionized water, perform the same syringe injection procedure
(steps 7 through 12) to flush out the solution thoroughly.
Pinch Valve 26
Insert Syringe Here Detach Here Wire Puller
NOTE DO NOT use hypodermic needles as they may puncture the fitting and tubing.
7. Using the syringe, flush water through all three sides of the fitting, verifying that
water flows freely from all three outlets. Rinse off fitting with water and blot dry.
8. Replace tubing to all three sides of the ‘T’ fitting.
9. Run background counts to verify the pre-mix cup is draining completely and there
are no leaks originating from the fitting. Verify that acceptable results are obtained
for all background parameters.
10. Replace front covers.
11. Run and verify commercial controls or QC specimens to confirm proper
performance before running any patient specimens.
12. Record this maintenance in your maintenance log.
Materials Required
Sample vials
OR
2 small beakers
Deionized water
Procedure
1. Locate the vent lines on both sides of the flow panel. Follow them to
where they come to rest on the bottom.
2. Immerse the lines in a beaker or vial of deionized water.
NOTE Because of their location, it will probably be necessary to use two containers of
water.
Materials Required
Large syringe
Large beaker
Deionized water
Procedure
1. Turn the analyzer OFF.
2. Locate and unclamp the accumulator tubing beneath the lyse pump
assembly on the left side of the instrument.
3. Pull the plug and drain the tubing into an empty beaker.
4. Aspirate any remaining fluid from the tubing with an empty syringe.
5. Fill the accumulator with 400 to 500 cc of deionized water with a syringe.
NOTE Due to the size of the syringe it may be necessary to clamp the lines and refill the
syringe several times.
Materials Required
Deionized water
Cardboard disk drive protector
Disinfectant (cleaning solution); 1 part 5% sodium hypochlorite added to 9 parts
deionized water
Large beaker
Plastic bag
Procedure
Salt deposits and reagent residue may damage the flow system if not removed
before the CELL-DYN 1600 is stored (idle for two weeks or longer) or shipped.
1. At the MAIN MENU, press [SPECIAL PROTOCOLS]. A new screen and
new labels appear.
2. Press [MORE] twice.
3. Press [CLEAN FOR SHIPPING]. The prompt screen displays.
4. Follow the screen prompts to rinse the flow system with deionized water.
5. Follow the screen prompts to purge water from the flow system.
6. Remove the lyse pump tubing from the lyse pump rotor.
7. Turn the power OFF.
8. Carefully remove the tubing from the normally closed (black octagon)
valve on the upper left flow panel.
9. Remove each diluent and detergent inlet tube from its normally closed
(black octagon) valve on the lower left side panel.
10. Remove the lower left side panel inlet and outlet tubing. The waste line
should be emptied and rinsed with disinfectant. Place each tube in the
protective bag. Place the bag in the accessory kit. Wipe the surface of the
instrument with disinfectant.
11. Remove the diskette from the disk drive and insert the cardboard disk
drive protector into the drive.
12. Remove the power cord from the outlet receptacle and rear cover connector. Place
it in the accessory kit.
Materials Required
3/32" Allen wrench (provided in the accessory kit)
Replacement probe
Procedure
1. Remove the upper cover.
NOTE Make sure the aspiration probe is down before continuing this procedure. If it is
not down, press [RUN] to lower it.
2. Hold the 1/32" silicone tubing and carefully pull up on the 1/16" straight
connector until it is free of the probe.
3. Remove the probe holder clip.
NOTE On older models, a second Allen screw was used to hold the probe in place. For
these systems, follow steps 3.A. and 3.B.
CAUTION Do not loosen the Allen screw on the probe alignment guide. See Figure 9-5.
A. Use the 3/32" Allen wrench provided in the accessory kit to loosen
the #4 Allen screw in the probe holder.
B. Loosen the screws located on top of the wash block that hold the
O-ring in place.
4. Grasp the probe at the top and pull it up until it is free of the wash block.
WARNING If the probe is bent or unable to be removed from the top, hold the probe to
steady it. Remove the collar from the top of the probe. Pull down on the probe
until it is free of the wash block. The probe collar determines the proper probe
alignment and is factory set. Do not loosen the Allen screw in the collar of the
replacement probe.
5. Insert it from the top into the probe holder and wash block.
6. With the collar flush with the probe holder, reinstall the probe holder clip
with the curved portion down.
NOTE For older models, tighten the Allen screw on the probe holder.
7. Hold the probe to steady it and insert the 1/16" straight connector
completely into the 1/32" silicone tubing.
8. Reinstall the upper front cover.
9. Press [MAIN] to return to the MAIN MENU.
10. Run commercial controls or QC specimens to confirm proper
performance before running any unknown specimens.
11. Record this maintenance in your maintenance log.
YEAR DATE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Check Reagent Levels
Check Printer Paper
Check Tubing in NC Valves
DAILY
START-UP Put Lyse Pump Tube under
wheel (if required)
Do Background Check
Run Controls
YEAR DATE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
QUARTERLY Replace Lyse Pump
Supplemental Aperture
Cleaning
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
9-33
Maintenance
Maintenance Chapter 9
Troubleshooting
Introduction This chapter gives instructions for identifying, troubleshooting, and correcting
instrument problems. The CELL-DYN 1600 continuously monitors the status of
the system and displays pertinent information in the status box. If a problem is
detected within the system, the status box displays a message such as <LYSE
EMPTY>, <WASTE FULL>, or <CLOG>. If a problem with the hardware
occurs, the message <NOT READY. SEE DIAGNOSTICS> is displayed.
The first section of this chapter discusses the DIAGNOSTICS MENU keypad
labels. The remainder of the chapter is devoted to the Troubleshooting Guide.
Diagnostics This section describes the keypad labels available from the four DIAGNOSTICS
MENU screens when the instrument is initialized and primed. These keys enable
the operator or service representative to obtain information and execute programs
that assist in troubleshooting and to identify corrective action.
When some keys are pressed, the message <FOR SERVICE USE ONLY> is
displayed. The data these keys provide are meaningful only to trained field
engineers and are not useful to the operator. If these keys are pressed
inadvertently, the system may have to be initialized.
The main DIAGNOSTICS MENU includes the following keys:
[SYSTEM STATUS]
[FAULT REPORT]
[SERVICE HEX CODES]
[SERVICE DEC CODE]
[MORE]
[PRINTER OUTPUT]
[HELP]
[MAIN]
System Status [SYSTEM STATUS] displays a new screen that allows the operator or service
personnel to review or print the current system status.
Fault Report [FAULT REPORT] displays a new screen that allows the operator or service
personnel to review or print the current fault status. Whenever the message
<NOT READY. SEE DIAGNOSTICS> is displayed in the system status box, it
is directing the operator to go to the diagnostics mode and press this key.
Service Hex Codes This screen is not for operator use. It is for service personnel only.
Service Dec Code This screen is not for operator use. It is for service personnel only.
More [MORE] displays a new screen and keypad labels that allow the operator to
perform additional diagnostics to assist in troubleshooting. This key performs the
same function on all diagnostic menus.
Printer Output [PRINTER OUTPUT] allows the operator to print any screen by turning the
printer output on before pressing another screen label. This also toggles the
printer output OFF. The current printer status is displayed in the upper left
section of the screen. This key performs the same functivon on all diagnostic
menus.
Help [HELP] steps the operator through one or more Help screens that define the
screen keypad labels and the procedures to be performed. This key performs the
same function on all menus.
Main [MAIN] takes the operator back to the MAIN MENU and performs the same
function on all diagnostic menus.
Raw Data [RAW DATA] displays the raw measurement data for the last specimen
analyzed.
Count Test [COUNT TEST] is used to run a specimen and to display the count test data.
The user is directed to place the specimen under the probe and to press
[START]. The count test can also be used in the pre-dilute mode.
Code data relating to specific cycle functions, raw measurement data, and flow
count time data are displayed for use in troubleshooting or service.
WBC Histogram [WBC HISTOGRAM] is used to print the lysate-modified white cell count
(numeric) data accumulated in each of 256 size channels. Each line contains data
for 16 channels. For example, line 1 data are for channels 1 to 16, line 2 data are
for channels 17 to 32, etc. Each size channel equals 1.367 femtoliters.
RBC Histogram [RBC HISTOGRAM] is used to print the red cell count (numeric) data
accumulated in each of 256 size channels. Each line contains data for 16
channels. For example, line 1 data are for channels 1 to 16, line 2 data are for
channels 17 to 32, etc. Each size channel equals 1 femtoliter.
PLT Histogram [PLT HISTOGRAM] is used to print the platelet count (numeric) data
accumulated in each of 256 size channels. Each line contains data for 16
channels. For example, line 1 data are for channels 1 to 16, line 2 data are for
channels 17 to 32, etc. Each size channel equals 0.1367 femtoliters.
The histograms are displayed as numeric data and printed as graphic curves on
the graphic printer. Alphanumeric data are printed if a ticket printer is connected
to the graphic printer port.
Smoothing Off [SMOOTHING OFF] is used to change the histogram display status. When
smoothing is OFF and a histogram key is pressed, raw histogram data are shown.
When [SMOOTHING OFF] is pressed while the status is OFF, the status
changes to ON.
When the status is ON and a histogram key is pressed, normalized and threshold-
edited histogram data are shown. The number of the peak channel is also shown.
Probe Home [PROBE HOME] is used to lower the probe to the home position.
Probe Up [PROBE UP] is used to raise the probe to the upper limit.
More [MORE] displays a new screen and keypad labels that allow the operator to
perform additional diagnostics to assist in troubleshooting. This key performs the
same function on all diagnostic menus.
Printer Output [PRINTER OUTPUT] allows the operator to print any screen by turning the
printer output ON before pressing another screen label. This also toggles the
printer output OFF. The current printer status is displayed in the upper left
section of the screen. This key performs the same function on all diagnostic
menus.
Help [HELP] steps the operator through one or more Help screens that define the
screen keypad labels and the procedures to be performed. This key performs the
same function on all menus.
Main [MAIN] takes the operator back to the MAIN MENU and performs the same
function on all diagnostic menus.
Troubleshooting Guide
The Troubleshooting Guide is designed to assist the operator in identifying and
resolving instrument problems. Instructions are also given for obtaining technical
assistance from Abbott Diagnostics Customer Service.
Introduction Good troubleshooting skills are learned by using a logical, step-by-step approach
to problem solving. The first step in the process is understanding normal
instrument operation and preventative maintenance. A good, working knowledge
of the instrument is essential for identifying and resolving operational problems.
Logical troubleshooting may be divided into three steps:
1. Problem Identification
2. Problem Isolation
3. Corrective Action
Step 1, Problem Identification, is not only identifying what is wrong but also
noting what is right. The investigation should identify the problem area and
eliminate areas that are working correctly. Once this is done, the troubleshooting
process moves quickly to the next step.
Troubleshooting Guide
NOTE: Generally, conditions that are instrument- or reagent-
related will occur on all samples, including controls. Therefore,
it is important to confirm instrument performance by
rerunning controls and/or additional patient specimens.
> > > > appears in Wash block and Perform the probe removal and replacement
place of RBC or probe misaligned. procedure described in Chapter 9: Maintenance.
PLT result. Confirm the probe is properly installed and aligned.
Obtain technical assistance.
Abnormal or Dirty HGB flow cell. Perform the hemoglobin flow cell manual cleaning
erratic HGB, procedure as described in Chapter 9: Maintenance.
MCH, and/or
MCHC results.
Cold reagents—less than Allow reagents to warm. Rerun background check. If the
59°F or 15°C. background data are not acceptable, go to the next probable
cause.
Flow system blockage Remove the detergent inlet tube from the flow panel normally
resulting from a pinched closed valve. Roll the tube between your fingers to unpinch it.
tube in the diluent or Reinsert the tube in the valve. Repeat this process for the
detergent normally diluent tube. If the situation occurs repeatedly, perform the
closed valve, or reagent maintenance procedures to prepare the unit for shipping. Use
particles may be in the a 1:4 ratio of 5% sodium hypochlorite to water.
flow panel.
Detergent is not being Exercise the tubing in normally closed valves. (Refer to Tube
pulled into flow system. and Diluent Syringe Installation in Chapter 2, Installation.)
The message Reagent with different Install only Abbott-recommended reagents as described in
<DILUENT conductivity was Chapter 2, Installation.
EMPTY> is installed.
displayed. NOTE Stated performance does not apply when other
reagents are installed.
Diluent is not being Exercise the tubing in normally closed valves. (Refer to Tube
pulled into flow system. and Diluent Syringe Installation in Chapter 2, Installation.)
With one hand holding steady the calibration block, confirm
Diluent syringe thumb that the large knurled thumb nut on the bottom of the syringe
nut has vibrated loose. is fully tightened—if not, tighten finger tight.
The message Air bubbles are trapped Press [CLEAR ORIFICE] to backflush the aperture and reset
<FLOW ERR> is in the dilution baths. the clog limit. Rerun the specimen. If the situation occurs
displayed in repeatedly, go to the SPECIAL PROTOCOLS MENU and press
place of Count [DRAIN] to drain the liquid from each bath. When the process
Time. is complete, press [REFILL BATHS]. This process removes
any bubbles trapped inside the baths.
Malfunctioning pinch Raise the upper front cover and remove the lower front cover
valve. to gain access to the flow panel. Examine wash flow panel
pinch valves to determine if each valve's press “T” can be
moved—pushed in or pulled out when the valve is closed.
Obtain technical assistance as required.
Insufficient liquid in the Remove the upper front cover and open the left panel to gain
bath. Air is drawn access to the flow panel and syringe panel. Press the touch
through the aperture. plate. Observe the action of the diluent syringe and the fluid
flow in and out of each bath. If the syringe action is not
complete, perform the diluent syringe cleaning procedure
described in Chapter 9, Maintenance. As required, obtain
technical assistance.
Computer, keypad, Turn the power OFF. Wait 30 seconds. Turn the power
and/or circuitry back ON. If the situation is not corrected, obtain technical
malfunction. assistance.
The message Reagent with different Install only Abbott-recommended reagents as described in
<LYSE conductivity was Chapter 2, Installation.
EMPTY> is installed.
displayed. NOTE Stated performance does not apply when other
reagents are installed.
No liquid was detected Confirm that the end of the lyse tube is immersed in
by the internal lyse reagent. When the container is empty, replace it with a
sensor. fresh container of lyse. Press [CLEAR FAULT].
Lyse pump tubing is Replace lyse pump tubing if there are signs of deterioration
worn out. or if the tubing is over 3 months old.
Power switch is OFF. Move the rear panel power switch to ON.
No voltage or wrong Confirm that the fuse and circuit breaker at facility (site)
voltage at the lab power are acceptable. Confirm that the analyzer's rear panel
receptacle. voltage selector PCB and fuse are correct for the power
provided.
Incoming power Turn power OFF, wait 30 seconds, turn power back ON.
fluctuation.
No screen Cycle in process but not None. Refer to the screen for current status.
labels. complete.
Incomplete data entry. To abandon the unfinished operator entry process and
redisplay the screen labels, press [ENTER].
QC specimen Improper mixing or Refer to Chapter 7, Quality Control, for the proper
results exceed handling of the QC handling of QC specimens.
acceptable specimen.
limits.
Dilution error. Rerun specimen. If the situation occurs again, perform the
Auto-Clean procedure and/or the diluent syringe cleaning
procedures described in Chapter 9, Maintenance.
Printers
Introduction The CELL-DYN 1600 is configured with a graphics printer. The printer is set
up to print reports, including complete graphic information, on continuous
tractor-feed paper.
Graphics Printer This section gives a brief overview of Graphics Printer maintenance and
troubleshooting. Instructions for installation are given in the Printer Installation
section of Chapter 2, Installation. For a detailed description of the printer
components and instructions on changing the ribbon and loading paper, refer to
the manuals that accompany the printer.
The CELL-DYN 1600 software automatically controls and adjusts most print
conditions. Occasionally, a few settings may need to be changed in the printer
software for correct operation. If printing is not what you expect, refer to the
printer manual for guidance in making adjustments. If you have additional
questions or experience any problems, call Abbott Diagnostics Customer
Service for assistance.
Troubleshooting Refer to the printer manuals for a list of the most common printer problems and
how to solve them. If the problem is not resolved, contact Abbott Diagnostics
Customer Service for assistance.
NOTE If, during routine system operation, the message <PRINTER UNAVAILABLE>
is displayed, check to see that the printer cable is securely connected to the data
module, the printer power switch is turned ON, and that the Select indicator is
illuminated. Press [PRINT]. If the message is still displayed, turn the printer
power OFF, wait about 5 seconds, turn the power ON again and press [PRINT].
If the message is still displayed, there may be an internal printer error. Contact
Abbott Diagnostics Customer Service for assistance.
Ticket Printer If ticket printing is desired for the CELL-DYN 1600, a second printer (known as
the Ticket Printer) can be connected to the system at the same time as the
graphics printer. Instructions for the installation of both printers are given in the
Printer Installation section of Chapter 2, Installation. Complete directions for
customizing the printout type and format are given in the Setup System
Operation section of Chapter 2, Installation.
For detailed information about loading paper and changing the ribbon in the
ticket printer, refer to the manuals that accompany the printer. In particular, note
the important safety instructions.
Printing Tickets To print tickets, the printer cable must be connected to the ticket printer
connector on the right side of the data module. (See Figure 2-1 for the location
of these connectors.) Refer to the Customize Printout section in the Setup
System Operation section of Chapter 2, Installation, for instructions for
customizing either type of printout.
Maintenance Every 6 months (or after about 300 hours of operation), use a clean, dry cloth to
dust the area around the carriage shaft and platen. Be sure to remove any loose
particles of paper. Do not use solvents or strong detergents on the cabinet. Be
sure to turn the printer OFF before cleaning.
Troubleshooting Refer to the printer manuals for a list of the most common printer problems and
how to solve them. If the problem is not resolved, contact Abbott Diagnostics
Customer Service for assistance.
NOTE If, during routine system operation, the message <PRINTER UNAVAILABLE>
is displayed on the bulletin line, check to see that the printer cable is securely
connected to the data module, the printer power switch is turned ON, and that
the Select indicator is illuminated. Press [PRINT]. If the message is still
displayed, turn the printer power OFF, wait about 5 seconds, turn the power ON
again and press [PRINT]. If the message is still displayed, there may be an
internal printer error. Contact Abbott Diagnostics Customer Service for
assistance.
CELL-DYN 1600CS
Closed Sample Aspiration Module
NOTE This addendum describes the installation, operation, and maintenance of the
CELL-DYN 1600CS Closed Sample Aspiration Module. To install and
operate this module, the CELL-DYN 1600 must be fully operational. Refer to
the following chapters for more information on the installation, setup, and
operation of the CELL-DYN 1600.
WARNING Consider all clinical specimens and controls, calibrators, etc. that contain
human blood or serum as potentially infectious. Use established, good
laboratory working practices when handling these samples. Wear gloves, lab
coats and safety glasses and follow other biosafety practices as specified in the
OSHA Bloodborne Pathogen Rule or other equivalent biosafety procedures.
System Components
The closed sample aspiration module is mounted on a door that is hinged at
the left and attached to the CELL-DYN 1600 by a thumbscrew on the right
side of the module.
Flow Panel The closed sampler Internal Flow Panel is located on the inside of the module
door. To access the flow panel, unscrew the thumbscrew located on the right
side of the module and swing the door out toward you.
The closed sample aspiration module internal flow panel includes the
following components:
• Two peristaltic pumps located near the bottom of the module door.
Next to each pump is a pump tube holder and two tube stops. The tube
stops are designed to prevent the tube from moving during pump rotor
action.
• Four normally closed valves above the two peristaltic pumps.
• A sample container into which the specimen is pumped after it is
aspirated from the closed collection tube.
1. Locate and remove the Allen wrench provided in the accessory kit.
2. Move the tube guide to the left to gain access to the lower guide clamp
and nut.
10. Insert and remove the new size Vacutainer tube from five to ten times to
confirm that both clamp nuts are tight.
<CLS> appears on line 3 of the upper left RUN MENU. <C> appears after the
Sequence # in the data log and QC files to designate that the specimen was run via
the closed sampler. The CELL-DYN 1600CS is ready to run samples in the closed
sample aspiration module after the power-on initialization and startup cycles.
Run Procedure Follow the same preparation steps to run the closed sample as you would to run an
open sample. Refer to Chapter 5, Operating Instructions, for instructions.
CAUTION If the system has been idle for 15 minutes or more, a normal background should be
run immediately prior to running any patient specimens.
Materials Required
• A minimum of five different fresh whole blood samples. All parameter
values should be within the laboratory's normal range. Refer to sample
requirements for fresh whole blood, Chapter 6, Calibration. Each sample
must have sufficient volume to be run three times in both the open and closed
mode. Therefore, it is advisable to select full 5 mL tubes.
• Calculator
• Mode to Mode Verification & Calibration Worksheet
Procedure 1. Confirm that the background counts are acceptable and precision is
within established limits (see Chapter 4, System Specifications).
2. Confirm calibration of the open mode by running all three levels of
commercial controls. Refer to the calibration procedure in the
operator’s manual if open mode calibration is required.
3. Select two replicate files to be used for the determination of the mean
value for each mode. Purge any existing data in each file.
4. Determine the Open Mode Mean as follows:
A. From the RUN MENU, press [SPECIMEN TYPE] and the number
of the first file.
B. Run each well-mixed sample two times into the file in the open
mode.
C. Go to the QC MENU and choose the same file.
D. Press [PRINT DATA].
5. Determine the Closed Mode Mean as follows:
A. From the RUN MENU, press [SPECIMEN TYPE] and the number
of the second file.
B. Run each well-mixed sample (the same samples as in Step 4) two
times into the file in the closed mode.
C. Go to the QC MENU and choose the same file.
D. Press [PRINT DATA].
6. Use worksheet section #1 to calculate the Mode to Mode Calibration
Bias.
7. Enter the percent Bias for each parameter in worksheet section #2. If
all parameters are within the validation range, document in your
laboratory’s instrument log book that verification has been completed.
Calibration is not necessary and no further action is required. If any
parameters require calibration, continue with the next section.
2. Press [CALIBRATION].
3. Enter the digits: 9 4 0 4 3.
4. Press [PRINT] to obtain a printout of the current Whole Blood
Dilution Factors for the Open Sample and Closed Sample. The
Dilution Factors are provided to adjust for mode to mode variation.
5. Record the Closed Sample Dilution Factors on worksheet section #3.
6. Record the Open Mode means and the Closed Mode means (Step 4)
on worksheet section #3.
7. Use worksheet section #3 to calculate factors for the parameters that
require calibration. Enter the new Closed Sample Dilution Factors.
8. Confirm Closed Mode Calibration as follows:
A. Purge the replicate file in which you ran the closed mode samples.
B. Re-run the same five well-mixed samples at least once each into
this file in the closed mode.
C. Go to QC and choose this file.
D. Print data.
E. Using worksheet section #4, calculate the percent Bias.
F. If the calibration bias exceeds these established limits, verify that all
calculations were correct and that the new factors were entered
correctly. If no errors are detected, call Abbott Diagnostics Customer
Service for assistance.
Quality Control Complete instructions for Quality Control are given in chapter 7.
The following procedure may be used to verify the performance of the Closed
Sampler mode of operation.
Procedure 1. Run a minimum of two levels of control in the Open mode at the beginning
of each eight hours of operation prior to running patient samples. Control
samples must be run in the same manner as patient samples.
2. When control results are within the laboratory's acceptable limits, record the
results and process patient samples in the Open mode.
3. Select three normal patient samples from the Open mode run. Sample results
should fall within the laboratory's normal range.
NOTE Replicate files store only the absolute values for the three-part differential. If you
wish to validate the differential percents (%LYM, %MID, %GRAN), you must
manually record the values directly from the RUN SCREEN or from the printout of
each control run. The differential percentage data taken from the individual control
runs must be used to manually calculate the mean differential percentages.
5. Run the first selected patient sample in the Open mode in the replicate file
configured for sample 1. Run the second and third samples in the Open mode
in their respective files.
6. Run the first normal patient sample in the Closed mode in the replicate file
configured for sample 1. Run the second and third samples in the Closed
mode in their respective files.
7. Verify that the Closed mode results match the Open mode results within the
laboratory's acceptable limits. The following ranges are provided as a
guideline.
WBC ±0.4 LYM ±0.3
8. Results from at least two of the three samples must fall within the established
range for all parameters. When the results are within the established range,
record the difference between the Open and Closed mode results on the
logsheet provided and process patient samples in the Closed mode.
NOTE A Mode to Mode QC Verification logsheet is provided at the end of this section for
recording the differences. This logsheet may be duplicated as needed.
9. If results are outside the established range, contact Abbott Diagnostics Customer
Service for assistance.
Maintenance Complete maintenance instructions are given in Chapter 9. In addition to the Open
Mode maintenance, the following Closed Sampler maintenance should be performed
weekly:
Name: _______________________________
#1
Closed Mode Mean - Open Mode Mean ÷ Open Mode Mean X 100 = % Bias
WBC - ÷ X 100 =
RBC - ÷ X 100 =
HGB - ÷ X 100 =
MCV - ÷ X 100 =
PLT - ÷ X 100 =
#2
Validation Range Calibration Range Calibration Limit Cal?
% Bias Cal Not Required Cal Needed Do Not Cal* Y or N
WBC < ± 2.00% > ± 2.00% But < ± 10% > ± 10%
RBC < ± 1.25% > ± 1.25% But < ± 10% > ± 10%
HGB < ± 1.25% > ± 1.25% But < ± 10% > ± 10%
MCV < ± 1.25% > ± 1.25% But < ± 10% > ± 10%
PLT < ± 3.50% > ± 3.50% But < ± 20% > ± 20%
Name: _______________________________
#3
Open Mode Closed Mode Closed Sample New Closed Sample
Mean ÷ Mean x Dilution Factor* = Dilution Factor Range**
WBC ÷ x = 0.700 - 1.300
RBC ÷ x = 0.800 - 1.200
HGB ÷ x = 0.700 - 1.300
MCV ÷ x = 0.700 - 1.300
PLT ÷ x = 0.700 - 1.300
#4
Closed Mode Open Mode Open Mode
Mean* - Mean ÷ Mean X 100 = % Bias Range**
WBC - ÷ X 100 = < ± 2.00%
RBC - ÷ X 100 = < ± 1.25%
HGB - ÷ X 100 = < ± 1.25%
MCV - ÷ X 100 = < ± 1.25%
PLT - ÷ X 100 = < ± 3.50%
DATE S3:SAMPLE ID NO. WBC RBC HGB MCV PLT MPV LYM MID GRAN %LYM %MID %GRAN TECH
S1:
S2:
S3:
S1:
S2:
S3:
S1:
S2:
S3:
S1:
S2:
S3:
S1:
S2:
S3:
S1:
S2:
S3:
AVG. DIFFERENCE
12-13
CELL-DYN® 1600CS Chapter 12
HYPOPROLIFERATIVE DISORDERS:
NUTRITIONAL DISORDERS:
LYMPHOCYTE ↑ N ↑ ↑ ↓ ↓ >180 fL
HYPERGLYCEMIA N N ↑ ↑ N ↓ -----