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AliFax Roller 20 Manual GB
AliFax Roller 20 Manual GB
Table of Contents
1 - Introduction ...................................................... 5
Intended Use ..............................................................................................................................5
How to Use the Operator’s Manual .............................................................................................5
Accessing a Section Using the Bookmark Navigation Pane ..................................................6
Following a Link inside the Manual ........................................................................................6
Warnings and Precautions: Symbols – Definitions ......................................................................7
Notes ....................................................................................................................................7
Cautions ................................................................................................................................7
Warnings ...............................................................................................................................7
Biological Warnings ...............................................................................................................7
Symbols ......................................................................................................................................8
Manufacturer ...............................................................................................................................9
Beckman Coulter Contact Information .........................................................................................9
Terminology ..............................................................................................................................10
Warnings...................................................................................................................................11
3 - Configuration ................................................. 25
Setup Menu ..............................................................................................................................25
Log In ..................................................................................................................................26
Date and Time Menu.................................................................................................................27
Changing the Date ..............................................................................................................27
Changing the Time ..............................................................................................................28
FL Menu ..............................................................................................................................28
Settings Menu ...........................................................................................................................29
Software Version .................................................................................................................30
Print in Run .........................................................................................................................31
Print Expanded....................................................................................................................32
Language Setup ..................................................................................................................33
Wash Time ..........................................................................................................................34
6 - Results ............................................................. 77
Analysis Results........................................................................................................................77
Display ................................................................................................................................77
Printout................................................................................................................................77
Statistical Results Printouts .......................................................................................................78
QC Screen Selections .........................................................................................................78
1 - Introduction
Intended Use
For professional in vitro diagnostic use only.
The Roller 20PN is a fully automated analyzer for the determination of the
Erythrocyte Sedimentation Rate (ESR) in human blood, and provides results in
thirty-five (35) seconds after an initial pre-mix by measuring red blood cell
aggregation; overcoming the variables and limitations of the Westergren method.
Notes
NOTE: Highlights important facts, gives helpful information and tips, and clarifies
procedures.
Cautions
Warnings
Biological Warnings
Symbols
The following is a list of symbols used on the product labeling and their meaning:
Symbol Meaning
Control
Manufacturer
Date of Manufacture
Reference Number
In Vitro Diagnostic
Serial Number
Manufacturer
Alifax S.P.A
SIRE Analytical Systems s.r.l
Via Bella 121/3
33100 Udine, Italy
Telephone:
From U.S. locations +1-800-776-4747 Option 2
Fax: +1-800-239-2864
E-mail: clinsupport@beckman.com
Terminology
Term Meaning
Automatic Wash Wash performed with DI water directly from the Wash
Tank
BCR External Barcode Reader
ESR Erythrocyte Sedimentation Rate
Manual Wash Wash performed using tubes filled with DI water
presented manually to the external probe
FIFO First In First Out
Internal Wash Wash performed using tubes filled with DI water loaded
on the rotor
Sensor 1 Internal Sensor
Sensor 2 External Sensor
Smart Card A pre-programmed card used to load available tests onto
the instrument.
Standard Select this option to run Latex Control Materials on the
instrument
Wash and Sleep Wash procedure performed at the end of a working day.
Wash Tank Container located inside the front door filled with DI
water for automatic wash
Waste Tank Container located inside the front filled with discarded
blood, latex, and DI water
Warnings
The manufacturer does not assume any responsibility for eventual damages to
persons or things due to improper use of the instrument, installation by
unauthorized person(s), use of the instrument while safety interlocks and sensors
are defeated, use of the instrument in a manner other than specified and
operation by untrained individuals.
Report any broken parts to your Iris representative. Use the tools provided with
the system for troubleshooting
Switch OFF the instrument before connecting to any external peripheral, external
barcode reader, and/or RS232 serial cables.
Check the waste tank level before operation; empty the waste tank if filled to
security level. Follow the Laboratory standard safety procedures.
The blood samples must remain capped. Do not uncap and recap them which
could affect the instrument’s performances except if analyzed using the external
manual sampling probe.
Never mix Bleach with Blood in the system. Always run DI water before and after
Bleach.
Do not remove the instrument panels or tamper with the reading sensor. The
service operations must be carried out only by technical personnel authorized by
the manufacturer.
Avoid the use of the instrument near electromagnetic sources, such as cellular
phones, CB’s, radio transmitting units and similar.
2 – System Description
Theory of Operation
The Roller 20PN uses stopped flow kinetic analysis with capillary photometry to
measure the optical density of red blood cell aggregation.
The Roller 20PN has two specimen sampling modes - manual and automated, each
equipped with a sample probe, micro capillary tube and blood aspiration pump.
The instrument is first primed before sample analysis can be performed. Priming
is accomplished by aspirating additional volume of specimen from tubes in
position one and two in the rotor. Once primed, the system will then aspirate a
second time from tube one for the analysis cycle. Each sample is separated by
an air bubble. After analysis, the sample is discarded into the waste tank.
If the internal sampling is selected, up to twenty (20) sample tubes can be loaded
on the rotor. The system performs the measurements automatically.
If the external probe is selected, sample tubes are presented individually for
sampling.
The first result is available after 7 minutes. Thereafter, results are available every
35 seconds per sample. Up to sixty (60) samples can be processed in one hour,
twenty (20) samples in 20 minutes.
Manual Mode
• Priming specimen volume is 100 μL from the first tube
• Analysis specimen volume is 100 μL from the first and all subsequent
tubes
After priming, the first result is available in 35 seconds (analysis). Mixing of the
manual mode sample can be accomplished either internally following the display
screen instructions, or externally by hand, or on a separate mixer.
If the specimen is short for analysis in the manual mode, then priming should be
completed with an alternative available specimen volume before proceeding.
2 1
3
5
3 2 1
4
6
7
Wash Tank
Located inside the front door on the instrument, the Wash Tank is filled with DI
water to perform the manual or automated wash procedures. Following a wash
and latex control procedure, the system checks the photometer and displays its
status. The maximum Washing Tank capacity is 500 mL.
Smart Card
The Smart Card is loaded into the slot located on the top right of the instrument.
Each smart card contains a specified number of tests from 1,000 to 20,000. Any
number of smart cards can be loaded. The system will display the number of
tests available to run. When a smart card is loaded, all the tests on the card will
be downloaded to the instrument. If required, Service can move all the tests from
one instrument to another.
If the instrument runs out of tests while processing, the current batch can be
completed in the automated mode. The number of tests in deficit will be deducted
when a new smart card of tests is loaded.
To ensure adequate tests are always available, the system has a threshold alarm
that will display a warning message when reached. It is possible to adjust the
threshold level via the Availability > Warning Level screen. The Threshold can be
set between 3 and 30,000 remaining tests. When the warning message occurs,
check or order a new smart card. See Display Availability.
Software
This instrument is controlled using the Touch Screen. Each option, function,
process is activated/deactivated by touching the corresponding button.
Button Function
Main Used to access the common functions: measure, wash, empty roller,
and mixer.
Setup Accessible only to Admin level 2 users or technical service.
Used to access some common configuration functions, and specific
functions protected by password.
Availability Used to set the test credit warning alarm, and to display/print the
credits availability.
The Start Up screen displays four (4) touchscreen options allowing the operator
to access directly specific functions:
• Measure
• Wash
• Empty Roller
• Mixer
Levels of Access
Not all the functions inside the menus are freely accessible. The instrument has
three levels of access:
Level Access
Level 1 - OPERATOR No password required. Allows access only to the basic
functions
Level 2 – ADMIN LEVEL Password required.
Allows access to the basic setup functions. When the
instrument is switched off, the instrument is reset to Level 1
Operator.
Level 3 – TECH LEVEL Password required.
This level is reserved only for Iris Technical Service
Personnel.
Main Menu
From the Main Screen, press Main to displays the following options:
Setup Menu
From the Main Screen, press Setup to displays the following options:
Availability Menu
From the Main Screen, press Availability to display the following options:
Warning Level
This function is used to setup the number of tests available remaining at which
the instrument will issue a warning. The tests are loaded on the instrument, see
Smart Card. The instrument will stop running samples when the number of tests
remaining is 0.
Display Availability
This function is used to display and print the number of tests available on the
currently used Smart Card.
Comm Menu
NOTE: This function is password protected and is reserved only for Technical
Service Personnel.
Tech Menu
NOTE: This function is password protected and is reserved only for Technical
Service Personnel.
Installation
The Roller 20PN will be installed by a Beckman Coulter trained representative. If
the installation is performed by other personnel, then the warranty will be void.
Location
The Roller 20PN weighs about 35 pounds and should be installed on a stable
bench with four inches of clearance around all sides to allow for connection of
cables, including hand held bar code reader, power cord and RS232 interface
cable.
Installation Requirements
The instrument should be located in a dry moisture free area away from direct
sunlight to increase operational reliability. Sunlight can interfere with the door
sensor.
Avoid using extension leads and while a dedicated outlet is not required it is
preferable that the system does not share an outlet with devices that create a
voltage imbalance such as centrifuges or refrigerators.
Technical Specifications
Specimen Processing Barcode or manual entry of ID
Up to 20 EDTA whole blood tubes per run
Closed and open tube sampling
Specimen Tubes 13 x 75 mm 4 mL EDTA tubes
Specimen Volume Auto Mode: 1 mL up to 60% of total tube volume
External Mode / Manual mode: 100 μL of blood
Auto Mode Sampling 175 μL closed tube
Measurement Principle Measures the kinetics of red blood cell aggregation by
capillary photometry
Result Storage 6,000 (First In First Out) used for statistics only
3 - Configuration
Setup Menu
NOTE: Only a Level 2 Administrator can modify the user-defined settings. Any
user can view the settings. See Levels of Access.
From the Main Menu, press Setup. The following screen is displayed.
Log In
The Log In screen is used to access administrator settings as well as by
technical service functions.
Level Access
Level 1 - OPERATOR No password required. Allows access only to the basic
functions
Level 2 – ADMIN LEVEL Password required. Enter 1010, left arrow
Allows access to Date / Time setting and Wash Time option.
When the instrument is switched off, the instrument is reset
to Level 1 Operator.
Level 3 – TECH LEVEL Password required.
This level is reserved only for Iris Technical Service
Personnel.
1. From the Setup Menu, press LOGIN. The numerical keyboard is displayed.
2. Enter 1010 password to access the Admin Level, and then press .
3. Press Back to return to the Main Menu.
4. On the Main screen, the logged in user level will be displayed.
If the Admin Password has been entered into the Log in screen then the display
below will be visible to set the date/time.
Settings Menu
From the Setup Menu, select Settings. The following screen is displayed.
Software Version
This function is used to display the instrument software version, and the
processors software versions. The instrument uses five (5) different processors
and not all of them may have the same version installed.
1. From the Setup Menu, select SW version. The following screen is displayed.
Print in Run
If this function is enabled, the instrument will print the IDs and ESR results after
the completion of each sample analysis. If this function is disabled, the
instrument will print the IDs and ESR results after completion of all sample
analyses.
1. From the Setup Menu, select Print in Run. The following screen is
displayed.
Print Expanded
If this function is enabled, the instrument will print the IDs and ESR results with
enlarged (expanded) text. If this function is disabled, the instrument will print the
IDs and ESR results with the default size text.
1. From the Setup Menu, select Print Expanded. The following screen is
displayed.
Language Setup
This function allows the user to select the language for displaying messages and
warnings on the instrument screen.
1. From the Setup Menu, select Language. The following screen is displayed.
Wash Time
CAUTION: This option must be used to avoid residual blood clotting inside
the capillary after completion of the analysis cycle. The recommended time
is 15 minutes.
This option allows setting up the time delay, in minutes, after which an automatic
wash procedure is performed. The countdown starts at the end of the analysis
cycle. This will be set on installation.
NOTE: Log in as the Admin to access the menu to change the washing time.
4 – Specimen Processing
Sample Requirements
Automatic Sampling
• The sample must be of whole blood collected in EDTA anti-coagulant.
• The blood sample must be neither coagulated nor hemolyzed.
• It is recommended to test the sample within 4-6 hours from venipuncture or
within 48 hours if kept at +4 / +8 °C, allowing it to return to room temperature
before testing.
• The minimum blood volume for the sampling (dead volume) is 1.3 mL.
• The minimum blood working volume required for the analysis is about 175
microliters. When running a batch or single run, the first two samples required
an additional 116 microliters withdrawn for priming. In total, 232 microliters
are withdrawn from the first two samples. If there is only one sample, the
amount withdrawn is around 232 microliters.
• Samples separation inside the capillary are performed using air bubble.
Manual Sampling
• The minimum blood volume required for the analysis is about 100 microliters;
except for the first sample after a wash from which supplementary 100
microliters are withdrawn for priming.
• Samples separation inside the capillary is performed using air bubble.
Tube Requirements
Tube Dimensions
Test-tubes 13x75 mm like BD Vacutainer® or Greiner Bio-one or with 13 mm
diameter and from 75 to 83 mm high, cap included (like for example the Sarstedt
tubes that measure 11.5x66 mm without cap).
Tube Volume
The sample volume must not exceed 50-60% of the total volume of the test tube.
Tube Caps
Optional Terumo® cap adapter for Terumo Venojet II® tubes
Optional Sarstedt® cap adapter for Sarstedt Monovette® tubes
Sample Mixing
Sample mixing can be programmed in three speeds (60, 32, and 24 RPM) and in
number of rotations from 2 to 1,000 rotations
3. Select the appropriate wash option. The instrument will activate the
corresponding procedure.
Internal Wash
1. After selecting Internal, the instrument will prompt to insert washing tube on
the rotor.
2. Load two (2) wash tubes filled to 3/4 volume with DI water in positions 1 and 2
of the rotor.
3. At the end of the wash cycle, the instrument will display and print a report
indicating the photometer parameters.
4. When a wash procedure is not successful, the instrument will generate a
PHOTOMETER NOT OK error and the washing procedure must be repeated.
Manual Wash
1. After selecting External, the instrument moves the external probe to the
sampling position.
2. Insert the external probe inside the DI water wash tube, and then press Start.
3. Repeat the procedure with a second tube filled to 3/4 volume with DI water.
4. At the end of the wash cycle, the instrument will display and print a report
indicating the photometer status, OK or Not OK. When a wash procedure is
not successful, the instrument will generate a PHOTOMETER NOT OK error
and the washing procedure must be repeated.
Running Samples
Sample Processing Flowchart
Type of Measure
Mode? Select
Barcode Label
on the tube?
YES YES NO
Select Auto.
Scan the barcode Select Manual ID.
Enter the
label using the Enter the Patient
Patient ID using
external Barcode ID from Barcode
autogenerated
Reader Label
values
Measure Selected
External
External with
without
Internal Internal
Internal
Mixing
Mixing
Remove individual
tube from the rotor
Press Measure position as
requested
Internal Measurement
The tube will be loaded on the rotor for automatic sampling with mixing.
External Measurement
The tube will be loaded on the rotor for mixing, and then will be presented to the
external probe for sampling, press External.
NOTE: This measure must be selected if the sample tubes are uncapped, or
when measuring short samples.
NOTE: If the waste tank is full, it must be emptied before starting a new session.
If not, the instrument remains in standby mode until when the waste tank is
emptied.
Proceed with the Patient Identification. See Entering the Patient Identification.
If the sample is not identified by manual input or with a barcode label, a unique
autogenerated ID will be assigned.
2. Press the Manual ID button. The instrument will display the keyboard.
3. Enter the Patient ID, and then press .
4. The instrument will display the patient ID number in the ID field.
Autogenerated Patient ID
The autogenerated code is composed of a numeric sequence made by the
following series of numbers:
Example: 0307920106
1. After selecting the type of measurement, the instrument displays the following
screen.
2. Verify the patient ID with the number on the barcode label or the
autogenerated number. If the wrong patient ID is displayed, press Delete to
erase the ID and re-enter the patient ID using the barcode reader, manual
entry option, or the autogenerated option.
3. If the correct ID is displayed, press OK. The following screen is displayed.
4. Proceed with specimen processing. See Loading the Sample on the Rotor
or Manual Withdrawal Sampling .
Internal Sampling
Loading the Samples on the Rotor
The samples must be loaded on the Rotor when the following measurements are
selected:
• Internal
• Manual with internal mixing
1. Open the tilting door, and then insert the tube in the next available tube
holder according to the screen display.
2. The instrument is equipped with two sensors to detect the presence of the
tube’s cap, and the presence of fingers. If after few seconds the external
sensor still detects the fingers, the instrument will display the following
message: “Remove hands from the instrument”.
3. After loading the sample, the instrument displays the Measure button.
4. If more samples need to be processed, repeat the procedure for the next
tube.
5. When all tubes have been loaded on the rotor, press the Measure button to
proceed with the analysis or the internal mixing.
6. When the analysis is completed, the instrument displays the sample results.
Based on the printer setup, the individual results are printed immediately or
delayed until the end of the analysis cycle.
Manual Sampling
WARNING: When using the manual sampling procedure, it is mandatory to use
protective gloves and all others protective tools, precautions and warnings
necessary in order to avoid the contact with biohazardous material in accordance
with Federal, State, and local regulations.
For the priming procedure, the instrument will mix the blood loaded on the rotor
for half of the total mixing cycles. The minimum number of mixing cycles is not
less than 10.
After the mixing cycle has been completed, the instrument will prompt to remove
the first sample from the rotor for manual priming. See Manual Priming
Procedure.
NOTE: The instrument will start a Priming procedure only if the analysis is
performed after a Washing procedure.
NOTE: If pediatric samples are measured, since they contain a small quantity of
blood, the aspiration for the priming can be performed using a previously
analyzed blood sample or blood sample belonging to an adult.
4. The instrument will move the rotor to the next position and will ask to remove
the next sample to be analyzed. See Manual Sampling Procedure.
2. Open the tilting door, and then remove all the loaded tubes. The instrument
checks as the tubes are removed from the rotor.
When the Washing procedure is completed, the instrument can be switched OFF
using the main power switch located on the back.
5 – Quality Control
Quality Control
The Quality Control program is used to collect QC data and display QC reports
and statistics. These functions are used to obtain data, verify and monitor the
proper system operation.
Control Material
The Latex Controls kit is used to verify system function. The results of the control
simulate three ESR values, one low level (≅5 mm/h), one medium level (≅20
mm/h) and one high level (≅60mm/h).
By comparing the results obtained from the analyzer with those reported on the
kit package, it is very easy to verify that the instrument is reporting reliable
results.
Shelf Life
From production: 6 months.
From the first piercing: 6 weeks.
Storage conditions
Before use: between 4 to 25°C
From the first piercing: keep refrigerated between 2° to 8°C.
Refrigerated control material should be returned to room temperature before
running on the instrument.
It is recommended to first run the Control Material on the Rotor, and then run the
same Control Material using the External Probe.
Before running the latex controls, run one (1) wash procedure using 2 wash
tubes of DI water, followed by one (1) wash procedure with one tube of 0.5%
Diluted Bleach and the 2nd filled with DI water.
NOTE: Wash tubes must be single use only and should not be refilled and re-
used. Only use Beckman Coulter provided Wash tubes.
NOTE: Starting with a 5% solution of household bleach, dilute the bleach solution
1:10 (one part Bleach and nine parts DI Water) to obtain a final working dilution
of 0.5%.
4. Select Internal, the instrument will prompt to insert the washing tubes on the
rotor.
5. Load one (1) wash tube filled to ¾ volume with 0.5% diluted Bleach in
position 1 of the rotor. Load one (1) wash tube filled to ¾ volume with DI
water in position 2 of the rotor.
6. Close the door; the instrument will start the wash automatically.
7. At the end of the wash cycle, the instrument will display and print a report
indicating the status of the photometer parameters.
8. Continue with latex QC only if Photometer OK is displayed. Otherwise refer
to Washing Errors.
NOTE: Standard menu is for running latex control. The QC menu is for
displaying QC statistics.
2. The instrument will check the rotor status, prompting to remove any tube
present on the rotor.
3. The instrument prompts to select the measurement mode. Select Internal.
4. The system prompts to load the tubes on the rotor. Open the rotor door.
5. The tubes must be loaded in the following order:
Position Tube
1 Wash tube filled to ¾ volume with DI water
2 Low level control tube
3 Medium level control tube
4 High level control tube
5 Wash tube filled to ¾ volume with DI water
NOTE: The Control Identification located on the Barcode Label must match the 3
Latex Levels. The numbers 2, 3, and 4 indicate the tube position on the rotor.
1. Before loading the Control Tubes, the instrument prompts to enter each
Control Identification printed on the barcode label attached on the tube.
2. Using the Barcode Reader:
a. Scan the barcode label on the tube. The ID is displayed inside the ID
field.
b. Verify the ID.
3. Manual entry using the keyboard:
a. Select the Manual option. The screen displays the keyboard.
b. Enter the Latex ID, and then press .
c. Verify the ID.
4. Recall a tri-level ID stored in the database.
a. Select the Memo option. The screen displays the stored Latex ID.
b. If the correct Latex ID is displayed, press OK.
2. Wipe the probe from top to bottom using a dry lint free tissue.
3. Open the rotor door, and then remove the tube in position 1.
4. Close the rotor door, and then insert the external probe all the way inside the
tube.
5. The screen displays Wash. Press Start .
5. The instrument performs a washing procedure. When three (3) beeps sound,
remove and then recap the tube.
6. Wipe the probe from top to bottom using a dry lint free tissue.
QC Results
After the Quality Control measurements are completed, the instrument displays
the obtained values and the expected ranges.
From the Latex Absolute Levels screen, select OK . The Reference values
screen is displayed.
Reviewing QC Results
The printout displayed on the next page is an example of a report after a Latex
Control.
At the end of the procedure, compare the printed results with the expected range
printed in Table 2 on the latex control kit box.
If the results obtained by the analyzer are within the expected range, the
analyzer is correctly calibrated.
If one or more results are not within the expected range printed on the latex
control kit box, re-run the controls. If the results are still out of range, then contact
Customer Service.
Operating parameters
QC Statistics
Results obtained during the latex control procedure are stored by the instrument
for 30 days.
Up to 6,000 ESR sample results are included in the QC statistics. When the total
of stored results reaches 6,000 the first 1,000 are removed from the internal
memory (First In First Out).
QC Screen Selections
The options AVERAGE, CUMULATIVE, and DAILY, allow the user to print the
corresponding distribution of ESR sample results obtained by the instrument.
From the Main Menu, press QC. From the QC Menu, press Normal (1-1) or
press Global (1-2).
Assuming a constant patient population, the average ESR value will remain
relatively constant. As more data points are added each day so the cumulative
average ESR value becomes more statistically significant. Based on population
variances the average ESR value of the laboratories normal range being more
stable than the average ESR value of the reportable or global range.
This graphical printout represents the last 30 days of analysis, and an anomalous
tendency of the daily average with respect to the cumulative average, can be
easily spotted. The data are printed from oldest (top of the graph) to most recent
(bottom of the graph).
Consider the number of daily sample results. The cumulative average line
becomes stable after more than 100 samples, and the daily average moves
around the cumulative trend line. This way, a problem could be immediately
evidenced by a rapid deflection of the trend line of daily and cumulative
averages.
The instrument is able to store 6,000 sample results to calculate the average, so
a large variation on daily statistics will not change in determinant way the
cumulative average. As soon as the instrument reaches 6,000 sample results, it
will discard the first 1,000 (using the First In First Out rule), conserving 5,000
sample results. This prevents the range around the cumulative mean from being
too tight.
From the Main Menu, press QC. From the QC Menu, press Normal (2-1) or
press Global (2-2).
From the Main Menu, press QC. From the QC Menu, press Normal (3-1) or
press Global (3-2).
Assuming a constant patient population, the distribution of ESR values within the
normal range will remain relatively constant. As more data points are added each
day so the cumulative average ESR value becomes more statistically significant.
The variation in the graphical printout can be due to a casual variation in the
number of pathological samples.
The distribution in the medium to high ESR value ranges can vary, while the
distribution within the normal range is constant.
As a general rule, the higher the number of samples, the lower the variations
compared to the cumulative parameters.
From the Main Menu, press QC. From the QC Menu, press Print (4-1).
Using the QC printout, the user can identify instrument trends requiring attention.
The control values are compared to reference values printed on the Latex kit. Up
to 30 days of control results are stored and printed with the most recent at the top
of the printout.
This printout allows the user to estimate the photometer efficiency. Normally, the
instruments are regulated automatically around an absolute value of 3800 during
the wash with DI water. This value tends to move down with time, due to residue
buildup inside the capillary.
From the Main Menu, press QC. From the QC Menu, press Print (5-1).
Key to sensors:
1 – Sensor 1
2 – Sensor 2
Stop sensor ∗
If the photometer signals fall below 3600 or increases above 4000, the
instrument will generate “PHOTOMETER NOT OK” error and will prompt to retry
the washing procedure. In this cases, if is recommended to perform a Wash
Bleach Maintenance, see Wash Maintenance with Bleach.
If the value does not return inside the normal range, call the Technical Services.
6 - Results
Analysis Results
Display
After the sample analysis is completed, the instrument displays the results.
Printout
Based on the printer setup, a printout of results is generated either after each
single analysis, or globally at the end of the analysis cycle. See Print in Run.
Since these results are used as “controls” for statistical purposes, the printouts
can be accessed from the QC Menu.
QC Screen Selections
The options AVERAGE, CUMULATIVE, and DAILY, allow the user to print the
corresponding distribution of ESR sample results obtained by the instrument.
Daily Maintenance
Items Suggested Intervals
Wash Procedure Daily at the beginning of the day
Perform a Wash and Sleep Procedure Daily at the end of the day
with DI water and 0.5% Bleach Solution
Consumable Replenishment
Items Suggested Intervals
Refill the Wash Tank As needed
Daily Maintenance
Wash Procedures
These procedures are designed to ensure that the capillary and the hydraulic
circuitries are maintained clean and free of blood residue.
Since the instrument uses Teflon tubing in which blood, water and latex flows, it
is normal that the internal walls of the capillary tend to become opaque over time.
To ensure the capillary lasts, the instrument provides three different washing
options: Wash with DI, Wash with 0.5% Bleach Solution and Wash and Sleep.
When a wash procedure is not successful, the instrument will generate a
PHOTOMETER NOT OK error and the wash procedure must be repeated.
NOTE: Wash tubes used on the internal mode must be single use only and
should not be refilled and reused.
Wash Options
NOTE: Wash tubes used on the internal mode must be single use only and
should not be refilled and reused.
Wash Menu
NOTE: Wash tubes must be single use only and should not be refilled and re-
used.
NOTE: If the waste tank is full, the system will prompt to empty the waste tank.
The instrument will remain in standby until the Waste Tank is emptied. See
Emptying the Waste Tank.
4. Select the appropriate wash option. The instrument will activate the
corresponding procedure.
Internal Wash
1. After selecting Internal, the instrument will prompt to insert washing tube on
the rotor.
2. Load two (2) wash tubes filled to 3/4 volume with DI water in positions 1 and 2
of the rotor.
3. At the end of the wash cycle, the instrument will display and print a report
indicating the photometer parameters.
Manual Wash
1. After selecting External, the instrument moves the external probe to the
sampling position.
2. Insert the external probe inside the DI water wash tube, and then press Start.
3. Repeat the procedure with a second tube filled to 3/4 volume with DI water.
4. At the end of the wash cycle, the instrument will display and print a report
indicating the photometer status OK or Not OK. When a wash procedure is
not successful, the instrument will generate a PHOTOMETER NOT OK error
and the washing procedure must be repeated.
CAUTION: The first wash must be DI water. Do not start the wash
procedure by placing a tube with Bleach Solution in first position.
NOTE: This procedure can be performed also if the capillary and/or the probe
are obstructed.
NOTE: Starting with a 5% solution of household bleach, dilute the bleach solution
1:10 (one part Bleach and nine parts DI Water) to obtain a final working dilution
of 0.5%.
Items required: Three (3) wash tubes filled ¾ volume with DI water, and 1 wash
tube filled ¾ volume with 0.5% diluted Bleach solution.
NOTE: Wash tubes used on the internal sampling mode must be single use only
and should not be refilled and re-used.
First Wash
1. From the Main Menu or the Main Screen, press Wash.
2. The instrument checks the rotor position, prompting to remove any tube
present on the rotor.
NOTE: If the waste tank is full, the system will prompt to empty the waste tank.
The instrument will remain in standby until the Waste Tank is emptied. See
Emptying the Waste Tank.
4. Select Internal , the instrument prompts to insert two (2) wash tubes filled to
¾ volume with DI water in positions 1 and 2 of the rotor.
Second Wash
1. From the Main Menu or the Main Screen, press Wash.
2. The instrument checks the rotor position, prompting to remove any tube
present on the rotor.
4. Select Internal, the instrument prompts to insert washing tube on the rotor.
5. Load one (1) wash tube filled to ¾ volume 0.5% Bleach in position 1 of the
rotor. Load one (1) wash tube filled to ¾ volume with DI water in position 2 of
the rotor.
6. Close the door; the instrument will start the wash automatically.
7. At the end of the wash cycle, the instrument will display and print a report
indicating photometer status OK or Not OK.
NOTE: Starting with a 5% solution of household bleach, dilute the bleach solution
1:10 (one part Bleach and nine parts DI Water) to obtain a final working dilution
of 0.5%.
Items required: Three (3) wash tubes filled to ¾ volume with DI water, and 1
wash tube filled to ¾ volume with 0.5% diluted Bleach solution.
NOTE: If the waste tank is full, the system will prompt to empty the waste tank.
The instrument will remain in standby until the Waste Tank is emptied. See
Emptying the Waste Tank.
3. After selecting External, the external probe moves to the sampling position.
4. Insert the external probe inside the wash tube, and then press Start .
NOTE: Always perform a wash with 0.5% bleach solution before running Latex
controls. See Running QC.
NOTE: Starting with a 5% solution of household bleach, dilute the bleach solution
1:10 (one part Bleach and nine parts DI Water) to obtain a final working dilution
of 0.5%.
This option must be performed at the end of the working day to keep the
capillary moist overnight. All the hydraulic circuitry remains filled with DI water.
NOTE: If the waste tank is full, the system will prompt to empty the waste tank.
The instrument will remain in standby until the Waste Tank is emptied. See
Emptying the Waste Tank.
3. After selecting External, the external probe moves to the sampling position.
4. Insert the external probe inside the first wash tube of DI water, and then
press Start .
5. Repeat with the second tube filled with 0.5% Bleach solution.
6. Repeat the third tube filled with DI water.
7. The system aspirates approximately 1/3 of the tube content, and then stops
the pump.
8. The external probe retracts inside the instrument.
9. From the Wash screen, press Back.
10. The next time the instrument is switched ON, the liquid remaining in the
external capillary is discarded to the Waste Tank.
11. The system is ready for operation.
NOTE: Starting with a 5% solution of household bleach, dilute the bleach solution
1:10 (one part Bleach and nine parts DI Water) to obtain a final working dilution
of 0.5%.
Items required: Three 3 wash tubes. Tube 1 filled to ¾ volume with DI water,
Tube 2 tube filled to ¾ volume with 0.5% Bleach solution, Tube 3 filled to ¾
volume with DI water.
NOTE: Wash tubes used in the internal mode must be single use only and
should not be refilled and re-used.
NOTE: If the waste tank is full, the system will prompt to empty the waste tank.
The instrument will remain in standby until the Waste Tank is emptied. See
Emptying the Waste Tank.
4. After selecting Internal, the instrument will prompt to insert the first two wash
tubes on the rotor.
5. Load one (1) wash tube in positions 1 and one (1) tube filled with 0.5%
Bleach solution in position 2 of the rotor.
6. At the end of the wash cycle, the instrument will display and print a report
indicating the photometer status OK or Not OK.
7. The instrument prompts to remove the two wash tubes loaded in the rotor.
8. The instrument then prompts to insert the third DI water wash tube in position
1 of the rotor.
9. Load the last wash tube in position 1 of the rotor
10. The system aspirates approximately 1/3 of the tube content, and then stops
the pump, keeping the internal probe inside the tube.
11. The system prompts to switch OFF the instrument.
12. The next time the instrument is switched ON, the liquid remaining in the
internal capillary is discarded to the Waste Tank.
13. The system prompts to remove the tube from the rotor.
14. The system is ready for operation.
1. Repeat the procedure with a second tube filled to ¾ volume with DI water.
2. At the end of the wash cycle, the instrument will display and print a report
indicating the photometer parameters.
As Needed Maintenance
Refill the Wash Tank
NOTE: The Washing Tank does not have any liquid level control. It is suggested
to check the level of DI water inside the tank at least once per day, before
running samples.
1. Press the left side of the door where indicated on the picture below, and then
pull the front door until it clicks in open position.
Wash
Tank
NOTE: Starting with a 5% solution of household bleach, dilute the bleach solution
1:10 (one part Bleach and nine parts DI Water) to obtain a final working dilution
of 0.5%.
The system is equipped with an internal sensor to automatically check the level
in the waste tank:
• When the instrument is switched ON,
• At the beginning of each washing procedure,
• At the beginning of every analysis cycle.
When the system detects that the waste tank is full, a prompt is displayed
indicating that the waste tank must be emptied or replaced.
1. Press the left side of the door where indicated on the picture below, and then
pull the front door until it clicks in open position.
Waste
Tank
3. Remove the tubing connection plate from the top of the Waste Tank.
4. Remove the Waste Tank from inside the instrument.
5. Empty the contents of the Waste Tank.
WARNING: Discard the contents of the Waste Tank according to Federal, State
and local procedures for disposal of Biohazardous Materials.
CAUTION: Do not remove or cut the Waste Tank discharge tube. The length is
designed specifically to measure safely the waste level. The safe length must be
at least 45 mm.
1. Open the printer door located on the bottom of the instrument door.
2. Remove the empty cardboard roll.
1. Discard the first 10" - 12" of the paper roll to prevent printer jamming due to
the glue.
2. Place the paper inside the printer with the outside face of the paper upward.
3. Press the [>>] key until the paper advances through the opening at the top of
the printer.
1. From the Main Menu, press Setup. The following screen is displayed.
2. From the Setup Menu, press FL. The instrument prints all parameters. Next
is a sample of a FL printout.
AVAILABILITY
Test availability for the ESR
MOTOR PCB
For technical services only
EXTERNAL CPS
For technical services only
Troubleshooting
Before Calling for Service
• Refer to the troubleshooting section at the end of this chapter.
NOTE: Before calling for Service, please make a note of any error messages
displayed.
Hardware issues
Technical Services - Call the phone number indicated below, and then enter the
Field Service extension number printed on the card affixed to the front of the
instrument
Telephone
From U.S. and Canada locations 1-800-776-4747
1-818-709-1244
Fax 1-800-239-2864
Stay close to the system and be prepared to explain the nature of the problem.
Provide:
• Your name
• Account name
• Telephone number with area code
• Roller 20PN serial number
Describe:
• Error messages
• Operation in process
• Problem
Washing Errors
Photometer Not OK
Causes Remedies
An empty wash tube was inserted. Repeat the procedure with a wash tube
filled to ¾ volume with DI water.
One or both tubes are missing. Repeat the procedure making sure that
both tubes are loaded on the rotor.
The washing reference level is lower Repeat the procedure.
than 2500.
The washing reference level is inside Repeat the procedure.
the reference range (2500-4000), but
not detected on the sample.
The washing reference level is Repeat the procedure.
higher than 4000.
Air bubbles detected during the Repeat the procedure.
washing procedure.
The Wash Tank is empty. See Refill the Wash Tank.
Error Messages
ENDHHHHH
E00HHHHH
Rotor’s home sensor not Contact Technical Services.
E01HHHHH
detected.
Syringe’s home sensor not Contact Technical Services.
E02HHHHH
detected.
Carriage home sensor not Contact Technical Services.
E03HHHHH
detected.
Home sensor not detected Contact Technical Services.
E04HHHHH for peristaltic pump after
three complete rotations.
Home sensor not detected Contact Technical Services.
E05HHHHH
for external probe.
Carriage position 1 sensor Contact Technical Services.
E06HHHHH
not detected.
Carriage position 2 sensor Contact Technical Services.
E07HHHHH
not detected.
Not detected out sensor for Contact Technical Services.
E09HHHHH
external probe.
CPS. Internal Serial Switch off the instrument,
Communication Protocol wait 10 seconds and switch
E14----- error. on again.
If the problem persists,
contact Technical Services.
EXT EEprom. Error during Switch off the instrument,
external Eeprom access. wait 10 seconds and switch
E15----- on again.
If the problem persists,
contact Technical Services.
Service
Probe Replacement
The syringe assembly, like the carriage assembly, moves on “self-lubricating „
sliding guides it is not therefore necessary to lubricate or to add to any kind of oil
or grease to the guides.
WARNING: DO NOT touch the top of the syringe piston, a light pressure could
allow the probe to become loose. The tip of the probe could pierce the glove and
the skin. Operate with extreme caution.
1. Turn the instrument OFF using the power switch located on the back of the
instrument.
2. Press the left side of the door where indicated on the picture below, and then
pull the front door until it clicks in open position.
4. Turning counterclockwise, unscrew the fixing screw located on the left of the
bracket. See picture below.
6. Turning counterclockwise, remove the cap of the piston to access the inside
of the piston. See picture below.
WARNING: Discard the old probe according to Federal, State and local
procedures for disposal of Biohazardous Materials.
9. Remove the transparent cap protecting the new probe. Insert the new probe
inside the green tool. See picture below.
10. Insert the green tool (supplied) inside the piston. Turn the tool clockwise to
attach the new probe. Do not overnight the probe to avoid damaging the
thread.
11. Remove the green tool from the piston, and reserve for future use.
Fuse Replacement
The fuse box is located on the back of the instrument, next to the Main switch.
Decontamination Procedure
The following procedure must be performed before:
Item required:
• Protective glasses.
• Protective gloves.
• Absorbing paper towels.
• Biohazard bag for waste disposal.
NOTE: Make a copy of the Decontamination Form for each usage. Fill the form
according to the procedure.
Decontamination Form
This form must be filled by the Laboratory before shipping the instrument.
Not
OK
OK
Switch the instrument ON.
Perform an Internal washing procedure
1. Perform a first wash using two tubes filled with DI water.
2. Perform a second wash using one tube filled with water and one tube
filled with 0.5% diluted Bleach solution.
Perform a Manual washing procedure
1. Perform a first wash using two tubes filled with DI water.
2. Perform a second wash using one tube filled with DI water and one tube
filled with 0.5% diluted Bleach solution.
Empty and thoroughly clean the Waste tank
To avoid leaving any blood residual inside the tank.
WARNING: Discard the contents of the Waste Tank according to
Federal, State and local procedures for disposal of Biohazardous
Materials.
Notes:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
DATE
NAME
SIGNATURE
Maintenance Log
8 - Appendix
Limitations
1. The erythrocyte sedimentation rate is a phenomenon confined to fresh blood
and transient(2), not a hematic matrix component (at corpuscular / molecular
level). The procedures used to determine the ESR cannot be calibrated as
they are susceptible to a variety of errors (temperature, hematocrit,
erythrocyte mean corpuscular volume, plasma viscosity, etc.)(2). Based on the
acquired experience, TEST1 family instruments (TEST1, Roller 20PN), are
limitedly affected by these variables. For this reason it is possible to observe
instrument performances deviations compared to other procedures if the
above variables are not taken into account.
It is then highly recommended to perform other tests together with the ESR in
the diagnosis of cancer since a normal ESR value is not enough to exclude
that the patient is not affected by this pathology.
4. The above instrument performances have been obtained using test tubes
with a capacity of 3 ml and 13x75 mm size with K3EDTA anticoagulant. The
References
1. E. Heverin (Galway-Mayo Institute of Technology, Ireland): ”Comparison of
the Westergren method versus the TEST1 technique for determining the
Erythrocyte Sedimentation Rate”, May 2002, private communication
3. Sox HC, Liang MH: “The Erythrocyte Sedimentation Rate”, Annals of Internal
Medicine 1986; 105:515-523.
Index
Cumulative Distribution Printout from Normal Samples
A ............................................................................ 74
D
Access
Levels ...................................................................... 21
Accessing a Section ....................................................7
Daily Distribution from Samples ............................. 75
Agreement .............................................................124
Daily Distribution Printout from Normal Samples .. 76
Analysis Results .......................................................81
Daily Maintenance .................................................. 83
Analytical performances ........................................124
Date
As Needed Maintenance .......................................101
Changing ................................................................. 29
Autogenerated Patient ID ........................................43
Date and Time Menu .............................................. 29
Automatic Sampling.................................................36
Definitions ................................................................. 8
Automatic Wash ......................................................99
Display
Availability
Results .................................................................... 81
Display .................................................................... 24
Display Availability .................................................. 24
Availability Menu .....................................................23
Distributor for the United States ............................ 10
Average Printout from Normal Samples ..................72
Average Printout from Wash Procedures ................80
Average Statistics from Samples .............................71 E
B
Empty the Waste Tank .......................................... 103
Emptying the Roller ................................................ 51
Entering Control ID ................................................. 61
Barcode Reader Patient ID ......................................41
Entering Control ID XE "Loading Latex QC Tubes on the
Before Calling for Service.......................................110
Rotor" ................................................................ 56
Biological Warnings ...................................................8
Entering the Control Identification ................... 57, 62
Bookmark Pane ..........................................................7
Entering the Patient Identification ......................... 41
Error Messages ..................................................... 112
C Errors
Washing ................................................................ 111
Card External Barcode Reader Patient ID ........................ 41
Smart ...................................................................... 19 External Probe
Cautions .....................................................................8 Running QC ............................................................. 60
Changing the Date ...................................................29 External Retractable Probe ..................................... 18
Changing the Time ...................................................29
F
Clean Instrument Surfaces.......................................90
Cleaning the External Probe ....................................50
Comm Menu ............................................................24
FL Menu .......................................................... 29, 106
Consumable Replenishment ....................................83
Following a Link......................................................... 7
Contact Information ................................................10
Frequency
Control
Control .................................................................... 53
Handling ................................................................. 54
Front View ............................................................... 16
Control Frequency ...................................................53
Fuse Replacement ................................................. 120
Control Identification
Entering ............................................................ 57, 62
Control Material ......................................................53
Control Run ..............................................................90
Cumulative Distribution from Samples....................73
G M
Global Average Printout from Samples ...................72 Main Menu.............................................................. 22
Global Daily Distribution Printout from Samples....76 Maintenance
As needed ............................................................. 101
H
Maintenance Log .................................................. 123
Maintenance, Daily ................................................. 83
Manual ...................................................................... 7
Handling Control Material .......................................54
Manual Patient ID Entry .......................................... 42
Hardware issues ....................................................110
Manual Sampling .................................................... 36
How to Use the Operator’s Manual...........................6
Manual Mode.......................................................... 15
Manual Measurement ............................................ 40
I Manual Measurement without Mixing ................... 40
Manual Priming Procedure ..................................... 47
Installation ...............................................................25 Manual Sampling .................................................... 47
Installation Requirements .......................................25 Manual Sampling Completion ................................. 50
Instrument applications issues ..............................110 Manual Sampling Procedure ................................... 49
Instrument, Clean Surfaces......................................90 Manual Wash .......................................................... 99
Intended Use .............................................................6 Manual Wash and Sleep ......................................... 90
Internal Automated Mode .......................................15 Manual Wash with Bleach ...................................... 88
Internal Components ...............................................18 Manual Wash with Bleach Solution before Controls60
Internal Measurement.............................................40 Manufacturer .......................................................... 10
Internal Sample Mixing ............................................47 Material
Internal Sampling .....................................................45 Control .................................................................... 53
Internal Wash ..........................................................98 Measure mode
Internal Wash and Sleep ..........................................92 Selecting ................................................................. 40
Internal Wash with Bleach .......................................84 Measurement
Internal Wash with Bleach Solution before Controls55 Manual.................................................................... 40
Iris Diagnostics .........................................................10 Internal ................................................................... 40
Issues, Hardware ...................................................110 Measuring Range .................................................. 124
Issues, instrument application ...............................110 Menu
Availability .............................................................. 23
L Comm ..................................................................... 24
Date and Time ........................................................ 29
FL 29, 106
Language Setup .......................................................34
Main........................................................................ 22
Latex Controls
Setup....................................................................... 22
QC statistics ............................................................ 77
Tech ........................................................................ 24
Latex Individual Control Printout.............................68
Mixing
Latex Priming ...........................................................65
Internal Sample ...................................................... 47
Latex Statistic Report ...............................................78
Sample .................................................................... 37
Levels of Access .......................................................21
Limitation of Liability ...............................................14
Limitations .............................................................124
Link ............................................................................7
N
Loading Latex QC Tubes on the Rotor ............... 56, 61 Normal Samples
Loading the Samples on the Rotor ..........................45 Average printout .................................................... 72
Loading the Tubes on the Rotor ........................ 58, 63 Cumulative distribution printout ............................ 74
Location ...................................................................25 Daily distribution printout ...................................... 76
Log In ................................................................. 28, 38 Notes ......................................................................... 8
O R
Operator’s Manual Rear View ................................................................ 17
How to Use ............................................................... 6 References ............................................................ 126
Refill the Wash Tank ............................................. 101
P
Repeatability ......................................................... 124
Replace the Printer Paper ..................................... 105
Replacement
Patient ID
Fuse ...................................................................... 120
Autogenerated ....................................................... 43
Probe .................................................................... 115
Manual Entry .......................................................... 42
Replenishment, Consumable .................................. 83
with external barcode reader................................. 41
Report
Patient Identification
Latex Statistic .......................................................... 78
Entering .................................................................. 41
Reproducibility ...................................................... 124
Verifying ................................................................. 44
Requirements
Perform a Wash and Sleep Procedure .....................90
Installation .............................................................. 25
Photometer Not OK ...............................................111
Sample .................................................................... 36
Precautions
Tube ........................................................................ 37
and Warnings ........................................................... 8
Results
Priming
Analysis ................................................................... 81
Manual ................................................................... 47
Display .................................................................... 81
Latex ....................................................................... 65
Printout................................................................... 81
Print Expanded ........................................................33
QC ........................................................................... 66
Print in Run ..............................................................32
Reviewing QC .......................................................... 67
Printer Paper
Results Printouts
Replace ................................................................. 105
Statistical ................................................................ 82
Printout
Reviewing QC Results.............................................. 67
Latex Individual control .......................................... 68
Roller
Results .................................................................... 81
Emptying ................................................................. 51
Printouts
Rotor
Statistical results .................................................... 82
Loading tubes ......................................................... 63
Probe
Loading tubes on the ........................................ 45, 58
Cleaning the external ............................................. 50
Rotor with 20 Positions ........................................... 18
External .................................................................. 18
Running Latex QC on the External Probe ................ 64
Probe Replacement ...............................................115
Running QC on the Rotor ........................................ 54
Running QC using the External Probe ..................... 60
Q Running Samples ..................................................... 39
S
QC
Reviewing Results ................................................... 67
Running Latex on external probe ........................... 64
Sample Mixing......................................................... 37
Running on the Rotor ............................................. 54
Sample Requirements ............................................. 36
using the external probe ........................................ 60
Samples
QC Results ................................................................66
Average statistic ..................................................... 71
QC Screen Selections ...............................................70
Cumulative distribution .......................................... 73
QC Statistics .............................................................69
Daily distribution .................................................... 75
from samples .......................................................... 71
Global average printout.......................................... 72
QC Statistics from Latex Controls ............................77
Global daily distribution printout ........................... 76
Quality Control ........................................................53
Sampling
Quality Control Printout
Automatic ............................................................... 36
Wash procedures ................................................... 79
V
Settings Menu ..........................................................30
Setup
Language ................................................................ 34
Verifying the Patient Identification ......................... 44
Setup Menu ....................................................... 22, 27
Shelf Life
Control.................................................................... 54
Smart Card ...............................................................19
W
Software ..................................................................21 Warning Level ......................................................... 23
Software Version .....................................................31 Warnings ............................................................. 8, 12
Stability of Samples ...............................................124 Warnings and Precautions ........................................ 8
Starting the Instrument ...........................................20 Warranty ................................................................. 14
Statistical Results Printouts .....................................82 Wash
Statistics Automatic ............................................................... 99
QC ........................................................................... 69 Manual.................................................................... 99
Storage conditions Internal ................................................................... 98
Control.................................................................... 54 Wash and Sleep
Surfaces, Clean Instrument......................................90 Manual.................................................................... 90
Switching the Instrument Off ..................................52 Internal ................................................................... 92
Switching the Instrument ON ..................................38 Perform................................................................... 90
Symbols.................................................................. 8, 9 Wash Procedures .................................................... 95
Average printout .................................................... 80
T
Wash Procedures Quality Control Printout ............ 79
Wash Tank............................................................... 18
Refill ...................................................................... 101
Tallies .....................................................................106
Wash Time .............................................................. 35
Tank
Washing Errors ...................................................... 111
Wash....................................................................... 18
Waste Tank ............................................................. 18
Waste ..................................................................... 18
Empty.................................................................... 103
Tech Menu ...............................................................24
Technical Specifications ...........................................26