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BCA-1000 用户手册 英文 1041180 2019-09 C.1
BCA-1000 用户手册 英文 1041180 2019-09 C.1
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The User Manual is applicable to Automatic Blood Coagulation Analyzer (model: BCA-1000) (hereinafter
referred to as the Analyzer).
Explanation
Dear users, thanks for purchasing our Automatic Blood Coagulation Analyzer (model: BCA-1000).
Please read the manual carefully before operation as incorrect operation may affect the accuracy and precision of
test results and even cause the damages of the Analyzer or personal injury.
After reading, please reserve the manual properly for reference at any time.
Manufacturer Address:
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95 Yunhe Street, New & High Tech. Development Zone, Changchun, Jilin 130012, the People’s Republic of China
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Production Address:
3333 Yiju Road, New & High Tech. Development Zone Changchun, Jilin 130103, the People’s Republic of China
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Website: http://www.dirui.com.cn
E-mail: dirui@dirui.com.cn
Fax: 0431-85173354
● The Analyzer shall be used by professional medical examination personnel or trained doctors, nurses and testers.
● As the Analyzer has biological and chemical risks, the operator shall be trained and use personal protective
apparatuses to reduce the risk.
● Only trained operators are allowed to conduct dangerous operation, such as moving parts.
● The Analyzer shall be controlled with a special software designated by the company. Installation of other software
or hardware on the computer may affect the normal operation of the Analyzer. Please do not operate other software
during the operation of the Analyzer.
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● As the Analyzer may have dust accumulated on its surface during its long-term storage, its surface shall be
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cleaned with a clean soft cloth or gauze gently and a small amount of detergent can be used if necessary. Please cut
off the power supply first before the cleaning of the Analyzer. Please close the upper cover of the Analyzer when the
Analyzer is not operated.
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● Please do not wipe the surface of the Analyzer with any organic solvent.
● For the usage and storage of relevant samples, reagent, QC solution and calibration solution, please refer to their
manuals.
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● The operator is obligated to follow national and local regulations on discharge and treatment of the reagent, waste
liquid, waste sample and consumables.
● Please treat the waste liquid and the consumables of the Analyzer according to regulations about medical waste,
infectious waste and industrial waste.
● Under an environment with low transportation or storage temperature or relative humidity greater than 70%, the
Analyzer shall be turned on for testing only after it is stored in a normal working environment for 24 hours.
Warning
● The protection measures provided for the Analyzer may become invalid if the Analyzer is not used according to
the manual.
● The Analyzer shall be used under a well-grounded condition, independent power supply shall be used and the
input voltage shall meet the requirements of the Analyzer.
● Do not pull or insert the plug with wet hands as it may cause electric shock.
● Do not tread on, warp or pull the wires and cables as they may break and cause a fire.
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● Before the power supply for the Analyzer is cut off, no personnel except from the professional maintenance
personnel of the company are allowed to open the rear cover plate and side cover plate.
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● If any liquids enter the Analyzer or the internal pipeline has liquid leakage, please turn off the master power
supply for the Analyzer immediately and contact the customer service personnel of the company in a timely
manner.
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● Please do not touch the moving components such as probe and mechanical arm when the Analyzer is operating.
Please do not put your hands in an open component as it may cause personal injury or damages of the Analyzer.
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● The Analyzer shall be regularly maintained in strict accordance with the manual, or the Analyzer may have faults
or its test precision and accuracy of the Analyzer may be affected.
● Please use the Analyzer under conditions regulated in the manual. If not, the Analyzer may not operate normally,
the test results may not be reliable, the components of the Analyzer may be damaged and personal injuries may be
caused.
Dirui declares that it will be responsible for the safety, reliability and performances of the Automatic Blood
Coagulation Analyzer (model: BCA-1000) only if all the following requirements are met.
(1)The installation, commissioning, improvement and repair of the Analyzer are undertaken by professional
personnel of Dirui.
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No further notice will be provided in case of any changes to the software interface.
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User manual
Contents
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1.7.2 Characteristics of photometry .......................................................................................................................................... 1-20
Chapter 2 Installation of the Analyzer ..........................................................................................2-1
2.1 Installation requirements ............................................................................................................................... 2-1
2.1.1 Space requirements............................................................................................................................................................ 2-1
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2.1.2 Environmental requirements.............................................................................................................................................. 2-1
2.1.3 Power requirements ........................................................................................................................................................... 2-2
2.1.4 Requirements for pure water ............................................................................................................................................. 2-2
2.2 Unpacking........................................................................................................................................................ 2-2
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Chapter 5 System Setting ...............................................................................................................5-1
5.1 Item maintenance ........................................................................................................................................... 5-1
5.2 Item parameters .............................................................................................................................................. 5-2
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5.2.1 Analysis parameters........................................................................................................................................................... 5-3
5.2.2 Calibration parameters....................................................................................................................................................... 5-7
5.2.3 Range parameters .............................................................................................................................................................. 5-8
5.3 Combination .................................................................................................................................................. 5-10
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8.2.9 During test ....................................................................................................................................................................... 8-16
8.2.10 Confirmation of test results ........................................................................................................................................... 8-21
8.2.11 Recheck of sample ......................................................................................................................................................... 8-31
8.2.12 Analysis ended............................................................................................................................................................... 8-34
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Chapter 9 System Help ...................................................................................................................9-1
9.1 Use of System Help ......................................................................................................................................... 9-1
Chapter 10 System Maintenance .................................................................................................10-1
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11.2.1 Abnormal data of non-alarm faults ................................................................................................................................ 11-1
11.2.2 Faults of the Analyzer without alarm ............................................................................................................................. 11-1
11.3 Alarm message and solutions ..................................................................................................................... 11-2
Chapter 12 Transportation and storage ......................................................................................12-1
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12.1 Transportation ............................................................................................................................................ 12-1
12.2 Storage ......................................................................................................................................................... 12-1
Appendix A Warranty .................................................................................................................... A-1
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1.1 Overview
The Automatic Blood Coagulation Analyzer (model: BCA-1000) is a desk-type test instrument with an external
computer and it is used for emergency treatment with priority.
The Analyzer has functions including automatic sample dispensing, reagent dispensing, interference shielding,
mixing, preheating, reaction monitoring, rinsing and results calculation, display and printing. It fully imitates and
substitutes manual operation, which not only improves work efficiency, but also reduces test error and improves the
accuracy and precision of test results.
Scope of application: Use clotting assay, chromogenic substrate assay or immunoturbidimetric assay for clinical
determination of prothrombin time (PT), activated partial thromboplastin time (APTT), thrombin time (TT),
fibrinogen (FIB), coagulation factor, etc.
Contraindications: None.
Basic
characteristics
Control accuracy of temperature
Test items
Test methods
±1.0℃
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At most 8 items can be simultaneously tested.
Clotting assay, chromogenic substrate assay, and
immunoturbidimetric assay
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Test speed PT single-item test: 100 samples/ hour
With refrigerated reagent chamber, 20 refrigerated reagent positions
Reagent chamber, reagent
Normal-temperature reagent rack, 3 normal-temperature reagent
position
positions
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Items Indicators
Weight 75kg
Complete machine
Power consumption 450VA
system
Outline dimensions 660mm×475mm×554mm(L×W×H)
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Upper cover 2 Stop button 3~5 Reagent chamber unit indicator lamps 6 Left front door
7~10 Sample chamber unit indicator lamps 11 Right front door 12 Feeding unit indicator lamp
13 Waste collecting unit indicator lamp 14 Feeding unit indicator lamp 15 Machine state indicator lamp
Fig. 1-3-1 Front view of the Analyzer
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1 2 3 4 5
1 Fan 2 Port for waste liquid level sensor 3 Waste liquid outlet 4 Pure water inlet
5 Port for pure water level sensor 6 Observation window
Fig. 1-3-3 Rear view of the Analyzer
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1 Rinsing bath 2 Mechanical arm of probe 3 Normal-temperature reagent position
4 Refrigerated reagent position 5 Sample position 6 Feeding tray
7 Optical unit 8 Channel for cup fall-off 9 Feeding tray 10 Mechanical arm
Fig. 1-3-4 Top view of the Analyzer
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1.3.1.5 Left view of the Analyzer
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1 2 3
1 Detergent Ⅱ bottle (probe outer wall detergent) 2 Detergent shielding case 3 Fan in reagent chamber
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4
3
2
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1
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Three-dimensional
mechanical arm unit
Fluid tube
system
Normal-temperature
reagent rack
Barcode
reader
Reagent
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chamber unit
Sample Power box
chamber unit Optical assembly
Waste unit
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The host of the Analyzer is composed of sample feeding unit, testing unit, control unit, and data processing unit.
The software system of the analyzer is installed on the computer to form the operation unit of the analyzer, and the
analyzer host is the analysis unit. The two parts are connected through a network cable.
1.4.1 Operation Part
The Operation Part is composed of the host, 19 inch LCD, keyboard, mouse and printer.
Host: Windows 7 (×64), Windows 8.1 (×64) and Windows 10 (×64) operating systems and special application
software and database are installed.
Minimum configuration of computer: Above CPU 2.6GHz dual-core, hard disk above 250G, RAM 4G or above,
integrated graphics card or discrete graphics card 500M or above (DirectX function supported), 100M/1000M
ethernet card.
Display: Display the windows, curves and test data of software of the Analyzer. Resolution 1366×768 (minimum)
or above (optimal resolution 1920×1080).
Keyboard: Control the operation of the Analyzer and input data.
Mouse: Operate software.
Printer: Print the tested data and charts.
1.4.2 Analysis Part
The Analysis Part consists of optical unit, sample chamber unit, reagent chamber unit, three-dimensional
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mechanical arm unit, waste collecting unit, feeding unit and fluid tube unit, which are described below.
1.4.2.1 Optical unit
Thermostatic function: The temperature in incubation area and test area is controlled at (37.0±1.0) ℃.
Testing function: It can test the light intensity variation of tested sample in its reaction process when it passes the
reaction area and convert the signal to electrical signal, and then convert the electric signal to digital signal and
transmit it to the upper computer.
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(2)Specifications
8 incubation positions and 8 test positions. The test positions are provided with 3 test wavelengths. Among the test
positions, 4 are provided with 660nm wavelength, 2 are provided with 405nm wavelength and 2 are provided with
575nm wavelength.
Temperature control: Test area: (37.0±1.0) ℃; incubation area: (37.0±1.0) ℃.
(3)Disassembly
The optical unit can be taken from the host by unscrewing the anchor screws on mounting holes. During installation,
the optical unit shall be connected with the base plate of the machine by fastening the locating pins and anchor
screws between them.
1.4.2.2 Sample chamber unit
● When the Analyzer is operating and the sample chamber unit indicator lamp flashes slowly, the sample
rack indicated by the indicator lamp shall not be operated as it may damage the Analyzer.
● The sample shall be steadily fed and sample fluid spill-out is not allowed in the feeding process.
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1 Sample chamber support assembly 2 Sample chamber assembly 3 External barcode reader
Fig. 1-4-2 Sample chamber unit
(1)Structure and functions of sample chamber
information scanning.
(2)Specifications 疗
The sample chamber is mainly composed of support assembly, sample chamber assembly and external barcode
reader assembly. The sample chamber has functions including sample dispensing, positioning and sample
(3)Motion
The sample tubes are loaded to the Analyzer manually. After the sample tubes are inserted to the sample rack with
their barcode facing outward, the sample rack will be loaded to the sample chamber through the guide rail at bottom
of the sample chamber and the barcode reader will scan the sample information and position information in the
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loading process.
(4)State description of indicator lamps
a)If the indicator lamp is off, it means the sample rack is not in the sample chamber and operation is allowed.
b)If the indicator lamp is normally on, it means the sample rack is in the sample chamber and operation is
allowed.
c)If the indicator lamp flashes slowly, it means the sample rack is in use and it is not allowed to operate the sample
rack.
d)If the indicator lamp flashes quickly, it means there is a fault and operation can only be conducted after the fault
is removed.
● The barcode reader used for the Analyzer is of Class 2 laser product. During its use, the users shall not
stare at the laser beam as instructed by the Warning and they can turn head or close eyes.
● Users shall not look at the laser beam constantly in case of damages to their eyes.
● The power supply to the Analyzer shall be disconnected before wiping the barcode reader. Please wear
protective glasses if you have to look directly at the laser source.
● If you do not use, control or adjust the device, or execute each step of operation according to the
stipulation, harmful radiant exposure may be caused.
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● When the reagent chamber unit indicator lamp flashes slowly, it means the reagent rack of this row is in
use. Under this condition, please do not pull the test rack of this row as it may cause personal injury or
damages of the Analyzer.
● When the reagent bottles are put in the reagent rack, the barcode on the reagent bottles shall face outward
to ensure that the barcode reader can read the barcode information.
● If too much condensed water is attached to the reagent rack bar code, the bar code reading may fail.
Please dry the condensed water attached to the bar code before use.
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1 Reagent chamber support assembly 2 Mixing assembly 3 Ventilating slot assembly
4 Reagent chamber assembly 5 Adapter 6 15mL reagent rack
Fig. 1-4-3 Reagent chamber unit
(1)Composition and functions
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The reagent chamber unit is composed of reagent chamber assembly, reagent chamber support assembly, ventilating
slot assembly and mixing assembly. It has functions including reagent feeding and refrigeration, reagent bottle
information scanning and automatic reagent mixing.
(2)Specifications (number of reagent bottles placed)
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Six 15mL reagent bottles can be placed in the first row of the reagent chamber and the bottles with reagent that
should be mixed are placed at the first and second position in the row. Seven 5mL reagent bottles can be placed on
each reagent bottle rack in the second and third rows, totally 20 reagent positions. The bottle specifications and
adapter use are shown below:
Table 1-4-1
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If you place a 5mL reagent bottle in the first column of the reagent rack, you need to place an adapter. Each
analyzer is equipped with 2 adapters. The usage is as follows: hold the upper end of the adapter and placed
downwards as shown in Figure 1-4-3 in any tank of the first column of the reagent rack, and then put in a 5mL
reagent bottle, so that the barcode on the bottle is exposed at the open end of the adapter.
(3)The bar code reader equipped on the analyzer reads the information of the reagent bottle and its position
information when loading the reagent.
(4)State description of indicator lamps
a)If the indicator lamp is off, it means the reagent rack is not in the reagent chamber and operation is allowed.
b)If the indicator lamp is normally on, it means the reagent rack is in the reagent chamber and operation is
allowed.
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c)If the indicator lamp flashes slowly, it means the reagent rack is in use and it is not allowed to operate the
reagent rack.
d)If the indicator lamp flashes quickly, it means there is a fault and operation can only be conducted after the fault
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is removed.
1.4.2.4 Normal temperature reagent position
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Use the original reagent bottle at the normal temperature reagent position and use it according to Figure
1-4-3. Using a non-original reagent bottle or not using it as described above can cause problems such as
probe touch and inaccurate liquid level detection. Excessively high reagent bottles or reagent bottles with
caps can cause damage to the probe.
The normal temperature reagent position is used to store the normal temperature reagents required for the analyzer
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test (such as Detergent I, diluent, etc.). There are 3 positions in the normal temperature reagent position, which
can be used to place the Dirui 50mL, 15mL, and 5mL reagent bottles (15mL and 5mL need to use the matching
adapter) as follows:
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The normal temperature reagent bottle specifications and adapter use for the normal temperature reagent position
are shown in the following table:
Table 1-4-2
The adapter is used as shown in the figure below. First insert one end of the adapter into the normal temperature
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bottle rack, and the other is the opposite. It is recommended to place the 5mL reagent bottle in the middle position
for convenient operation.
Fig. 1-4-3(b)
1.4.2.5 Three-dimensional mechanical arm unit
When the Analyzer is operating, please do not open the upper cover of the Analyzer and do not touch the
three-dimensional mechanical arm as it may cause personal injury or damages of the Analyzer.
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1 Probe Y-axis motion mechanism 2 Probe 3 Mechanical arm Y-axis motion mechanism
4 Mechanical arm mechanism 5 Three-dimensional mechanical arm X-axis motion mechanism
Fig. 1-4-4 Three-dimensional mechanical arm unit
(1)Functions
The probe aspirates a certain amount of sample or reagent in the sample tube and reagent bottle and then dispenses
it to the cuvette. The probe has functions including liquid level detection, reagent heating and touch alarm. The
mechanical arm has functions including mixing the sample and reagent in sample cuvette, taking/ placing/ throwing
the cuvette, as well as alarming for cuvette taking failure.
(2)Specifications
(3)Motion
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The probe can aspirate 5μL ~170μL of sample or 20μL~175μL of reagent.
Connection to power supply: The probe executes the motions including rinsing, dispensing reagent to cuvette and
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dispensing sample to cuvette; the mechanical arm executes motions including cuvette adding, cuvette throwing and
mixing.
Analysis: The probe moves, descends and ascends in the sequence of Reagent bottle → cuvette → sample container
→ cuvette → probe rinsing bath. The probe will be rinsed after each sample or reagent dispensing. The motion of
probe when the analysis is started is same as its motion when power supply is connected. The inner and outer walls
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of the probe will be rinsed above the rinsing bath and the probe blockage will also be checked at the same time.
Reset: The motion of the probe is the same as its motion when power supply is connected. The mechanical arm
executes the cuvette throwing motion in test area, incubation area and on the mechanical arm.
Aspiration of sample and reagent: After the probe detects the fluid level, it will continue to lower for 2.1mm and
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● Please wear latex gloves or non-latex examination gloves when discarding cuvettes to prevent biological
hazards!
● When the Analyzer is operating and the waste collecting unit indicator lamp flashes, the waste box shall
not be pulled out to prevent waste cuvette falling to the Analyzer and causing pollution.
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1 Waste box cover plate 2 Waste box 3 Bijection optocoupler 4 Reflection optocoupler
Fig. 1-4-5 Waste collecting unit
(1)Functions
When the Analyzer is operating, the waste collecting unit will alarm to dump cuvette when a used cuvette is stored
and the quantity of cuvette reaches the upper limit.
(2)Specifications
The waste box can hold more than 200 cuvettes.
(3)Motion
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If the waste box alarms because the quantity of cuvette reaches the upper limit when the Analyzer is operating, the
waste collecting unit indicator lamp will flash quickly. Under this condition, please take out the waste box and dump
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the cuvettes, and then install the waste box back to the Analyzer.
(4)State description of indicator lamps
a)If the indicator lamp is off, it means the waste box is not in the waste collecting unit and operation is allowed.
b)If the indicator lamp is normally on, it means the waste box is in the waste collecting unit and operation is
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allowed.
c)If the indicator lamp flashes slowly, it means the Analyzer is operating and no operation is allowed.
d)If the indicator lamp flashes quickly, it means there is a fault or the waste box is full during the testing process.
Operation should be conducted after the fault is removed or the cuvettes in waste box are dumped.
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● The cuvette shall be kept clean when feeding, or it may affect the test accuracy.
● When the Analyzer is operating and the feeding unit indicator lamp flashes slowly, the drawer indicated by
the indicator lamp shall not be operated as it may damage the Analyzer.
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(1)Functions
It provides and stores cuvettes when the Analyzer is operating and it can load cuvette without being shut down. The
channel for cuvette fall-off is the entrance of waste collecting unit and also the channel for cuvette throwing of
mechanical arm.
(2)Specifications
It can contain two cuvette disks. One cuvette disk can contain 36 cuvettes, so the feeding unit can contain 72
cuvettes.
(3)Motion
When the Analyzer is operating and the feeding unit indicator lamp flashes quickly, pull out the drawer indicated by
the indicator lamp and take out the empty feeding box, and then put the feeding box full of cuvettes into the drawer
and close the drawer. Then, the feeding unit indicator lamp will be constantly on and it means the cuvettes’ loading
is finished.
(4)State description of indicator lamps
a)If the indicator lamp is off, it means the feeding drawer is not in the feeding unit and operation is allowed.
b)If the indicator lamp is normally on, it means the feeding drawer is in the feeding unit and operation is allowed.
c)If the indicator lamp flashes slowly, it means the Analyzer is operating and no operation is allowed.
d)If the indicator lamp flashes quickly, it means there is a fault or the feeding drawer should be changed during
the testing process. Operation should be conducted after the fault is removed or the drawer is full of cuvettes.
1.4.2.8 Liquid tube unit
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simultaneously to dispense diluted Detergent II into the rinsing bath to clean the outer wall of the probe, and the
syringe pump moves to dispense Detergent I into the rinsing bath to clean the inner wall of the probe. Finally,
the syringe rinse the inner and outer walls of the probe with pure water, and the waste liquid flows to the waste
liquid can, and the waste liquid pump discharges the waste liquid into the waste liquid tank.
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c)the probe mechanism aspirates a certain amount of reagent to the cuvette.
d)The probe moves to the rinsing bath, the syringe moves, the probe tip is cleaned first with pure water, the
probe moves to the normal temperature reagent position to aspirate a quantitative Detergent I, then moves to the
rinsing bath and drops to the designated position, the syringe and the syringe pump moves simultaneously to
dispense the diluted Detergent II into the rinsing bath to clean the outer wall of the probe, and the syringe pump
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moves to dispense Detergent I into the rinsing bath to clean the inner wall of the probe. Finally, the syringe
rinses the inner and outer walls of the probe with pure water, and the waste liquid flows to the waste liquid can,
and the waste liquid pump discharges the waste liquid into the waste liquid tank.
e)the Analyzer tests relevant items.
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f)if the fluid tube is blocked during testing or rinsing process, the pressure sensor will detect it and send an alarm.
(4)Disassembly
When installing the liquid level sensor and external pipeline, it shall be noted the snap disk at connector should be
pressed first before pulling out the pure water pipe and waste liquid pipe, or the connector may be damaged. When
connecting the sensor, it shall be noted the float color shall be correct to prevent connection error.
1.5 Symbols
Table 1-5-1
Symbols Meaning
BIOLOGICAL RISKS
ALTERNATING CURRENT
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Symbols Meaning
BATCH CODE
USE BY
SERIAL NUMBER
DATE OF MANUFACTURE
MANUFACTURER
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AUTHORISED REPRESENTATIVE IN THE EUROPEAN COMMUNITY
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The symbol of the crossed out wheeled bin indicates that the product (electrical and electronic equipment)
should not be placed in municipal waste. Please check local regulations for disposal of electronic products.
CATALOGUE NUMBER
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PROTECTIVE EARTH
“ON”(POWER)
“OFF”(POWER)
Temperature limit
Humidity limitation
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Symbols Meaning
The symbols above may be found on the Analyzer, reagent, QC material and calibration material.
1.6 Identifications
(1)
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(2)
(3)
(4)
(5)
(6)
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(1)Clotting assay
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The test principle is optical transmission principle. Analytical techniques above have different analytical methods.
The test principle of the clotting assay is shown in Fig. 1-7-1 and Fig. 1-7-2. After the light from the light source
passes through the sample and shines on the photoelectric sensor, the sample will have reaction and the light
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intensity received by the photoelectric sensor will decrease gradually. The time required when the light intensity
attenuates to 50% is just the clotting time of sample.
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Fig. 1-7-1
Fig. 1-7-2
(2)Chromogenic substrate assay
The test principle of the chromogenic substrate assay is shown in Fig. 1-7-3 and Fig. 1-7-4. After the light from the
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light source passes through the sample and shines on the photoelectric sensor, the sample will have reaction and the
absorbance in sample will increase gradually. The antithrombin III content can be calculated according to the
variation of absorbance.
Fig. 1-7-3
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Fig. 1-7-4
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(3)Immunoturbidimetric assay
The test principle of the immunoturbidimetric assay is shown in Fig. 1-7-5 and Fig. 1-7-6. After the light from the
light source passes through the sample and shines on the photoelectric sensor, the sample will have action and the
absorbance in sample will increase gradually. The content of fibrin degradation products can be calculated
according to the variation of absorbance.
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Fig. 1-7-5
Fig. 1-7-6
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(3)The mechanical arm moves to the feeding position and takes a cuvette to the incubation position.
(4)The probe moves to the diluent position to aspirate diluent (execute this step for items needing dilution) and
moves to the sample position to aspirate sample.
(5)The probe moves to the incubation position to dispense the sample (or diluent+sample) to cuvette and then moves
to the rinsing bath to rinse the inner and outer walls of the probe.
(6)After the incubation, the probe moves to the reagent position to aspirate reagent R1, then moves to the incubation
position to dispense reagent R1 to cuvette and then moves to the rinsing bath to clean the inner and outer walls of the
probe.
(7)After the dispensing of reagent R1, the mechanism arm moves to the incubation position and takes the cuvette for
vibration mixing. After mixing, the cuvette will be put back to the incubation position (multi-reagent) or test
position (single reagent), and the mechanical arm returns back to zero position.
(8)After the incubation, the probe moves to the reagent position to aspirate reagent and moves to the incubation
position to dispense R2, R3 and R4 reagent (until all reagents are dispensed). After each dispensing, it will move to
the rinsing bath to clean the inner and outer walls of the probe.
(9)After the dispensing, the mechanical arm moves to the incubation position and takes the cuvette for vibration
mixing, and then moves to the test position and puts the cuvette at the test position.
(10)The mechanical arm throws the cuvette to waste box after the test.
When several items are tested continuously at a constant pace, it is equal to the overlay of several test processes of a
single item. To prevent conflict in scheduling, the following requirements shall be met.
a)Requirements for continuous test of several items:
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Waste cuvette shall not be discarded when adding a new cuvette.
When adding a new cuvette, the sample to be dispensed and the reagent to be dispensed for other item shall
not be tested at a same time.
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The mechanical arm and probe shall not operate at a same time.
When adding a new cuvette, the reagent to be dispensed shall not have cross contamination with the reagent
for last test item.
b)Reduction of test speed:
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converted into electrical signal and then converted into digital signal after amplification by an amplifier and
analog-digital conversion, i.e. AD value.
The Analyzer has eight test channels for simultaneous testing. They are 4 channels for clotting assay, 2 channels for
chromogenic substrate assay and 2 channels for immunoturbidimetric assay. During the reaction of different items,
they will detect the transmission light intensity of reaction liquid uninterruptedly. In this period, at every 100ms, the
8 test channels will collect the AD value and update them to the upper computer. In the testing process, the cuvette
shall be kept still until the reaction time is up and then the mechanical arm will throw the cuvette to the waste box.
The upper computer will calculate the variation of clotting time or absorbance according to the variation of AD
value in the reaction time period.
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The Analyzer and bundled software can only be installed by Dirui or its authorized personnel.
Please install the Analyzer at places meeting the following requirements, otherwise its performance may not
be guaranteed.
2.1.1 Space requirements
The installation and use of the Analyzer shall meet the following requirements.
Min.500
Analysis Part
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Min. 1000
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Unit: mm
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● If the temperature and the humidity cannot meet the requirements above, an air conditioner shall be used.
However, the instrument may fail to meet all the safety requirements during drying.
● In an operating process, the Analyzer will generate heat and exhaust the heat at the back and side. The
working environment should be kept well ventilated, and a ventilating device should be used if necessary.
But the Analyzer should be protected from direct airflow; otherwise the test accuracy may be affected.
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(2)Safety requirements
a)Use inside room;
b)Height above sea level is not higher than 2000m;.
c)Ambient temperature 5℃~40℃.
d)When temperature is lower than 31℃, the maximum relative humidity is 80%; when temperature is 40℃, the
relative humidity linearity decreases 50%.
e)Power voltage fluctuation is no more than nominal voltage ±10%.
f)Transient overvoltage is facility type (overvoltage type) II.
g)Contamination level is level 2.
h)Waterproof level is IPX0.
i)Material level: Ⅲa.
2.1.3 Power requirements
(1)Supply voltage: 220/230V~ 50/60Hz
(2)Rated power: 450VA
Notes:
During normal operation, the Analyzer has power consumption smaller than the rated maximum power
consumption because:
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● the refrigeration and heating systems do not work continuously after the Analyzer becomes stable. As a
result, the power consumption will decrease.
● the power components of the Analyzer work at different time rather than work simultaneously.
(3)Fuse: F4AL250V 5mm×20mm
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(4)To ensure the reliable operation of the Analyzer, a 10A receptacle shall be used for the Analyzer and three 5A
receptacles shall be used for the display, host and printer.
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● The receptacle connected with the power cable shall be reliably grounded.
● The receptacle connected with power cable shall be placed near the Analyzer and easily disconnected.
● To ensure the reliable operation of the Analyzer, sharing the same receptacle with high-power electrical
appliances (such as air conditioner, refrigerator and oven) should be avoided.
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2.2 Unpacking
2.2.1 Unpacking steps
After the arrival of the Analyzer, please carefully check the package of the Analyzer. If the package is damaged,
please contact Dirui or our local agent. If the package is intact, please unpack the Analyzer by following the steps
below.
(1)Put the box in the direction pointed by the arrow.
(2)Open the box of accessories and check the objects in the box according to the packing list. In case of shortage,
please fill it in the Installation Acceptance Report and contact Dirui or our local agent.
(3)Open the host box with appropriate tools and then inspect the appearance of the Analyzer carefully, and then
check according to the packing list. In case of damages in carrying or shortage of parts, please fill it in the
Installation Acceptance Report and contact Dirui or our local agent.
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Protective gloves should be worn during the removal of the outer packaging of the host to avoid scratching
your hands.
(1)Removal of the wrapping film
Remove the wrapping film from the outer box, and after removal the box is as shown below:
(2)Removal of carton 疗
Fig. 2-2-1 Analyzer host package box with winding film removed
Remove the four straps and carton surrounding boards, pads and cover, as shown below:
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shown below:
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Remove the probe Z-axis screw (be careful not to scratch the instrument during the disassembly process) as
shown below:
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● Be careful not to scratch the analyzer when disassembling or installing the cover plate.
● Do not drop the screws inside the analyzer when loosening or tightening them.
2.2.4 Way of carrying
(1)Take out all reagent bottles, sample containers, detergent (Detergent Ⅰ, Detergent II) bottles and diluent bottles.
(2)Completely exhaust the liquid in syringe pump and other pipelines.
(3)The Z-axis fixing device of the probe should be replaced in reverse order according to Figure 2-2-10 before
handling to avoid damage to the probe.
(4)Keep the Analyzer vertical during carrying and transporting process.
(5)Avoid vibration during carrying, and check and adjust the Analyzer after carrying to make sure it is normal
before use.
As the Analyzer is stationery equipment, it shall not be carried during normal working process and no device
used for lifting and carrying is provided.
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(1)Put the Analyzer at an appropriate position and adjust the levelness of the Analyzer.
(2)Relieve the fixation of probe mechanism and mechanical arm mechanism.
(3)Cap the detergent bottle containing 500mL Detergent II (probe outer wall detergent) and put the bottle in the
Analyzer (please see Fig. 1-3-5 Left view of the Analyzer).
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(4)Open the upper cover of the Analyzer and put a detergent bottle containing 50mL Detergent I (probe inner wall
detergent) at the reagent position at the innermost side of the normal-temperature reagent rack.
(5)Installation of pure water tank
a)After adding 10L deionized water to the pure water tank, assemble the pure water tank assembly and put it at a
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● The drainage system shall be in compliance with the local regulations with regard to sewage discharge and
treatment of medical institutions.
● The height difference between the waste liquid tank and the Analyzer shall be greater than 0.5m.
● The waste liquid may have chemical and biological hazards and the waste liquid discharge pressure shall
be <100kPa.
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Before power connection, it shall be ensure the power switch of the Analyzer is at OFF position.
Insert one end of the power cable of the Analyzer into the power port (2 in Fig. 1-3-6) on the right rear plate of the
Analyzer and connect the other end with the wall receptacle.
2.3.3 Connection of peripheral equipment
(1)Install and connect the computer, display and printer and check
a)Whether the printer driver is installed.
b)The type of printing paper.
(2)Insert one end of the communication cable of the Analyzer into the network port (1 in Fig. 1-3-6) on the right rear
plate of the Analyzer and connect the other end with the network port of the computer host.
2.3.4 Software installation and uninstallation
See 3.1 Software install and uninstall for details.
2.3.5 Commissioning of the Analyzer
Conduct following operations on the system maintenance interface in the sequence below.
(1)Tubing exhaust
specific operation.
(2)Mechanical motion check
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Execute tubing exhaust, fill Detergent Ⅱ in tubing and exhaust the air in tubing. See “10.3.3 Tubing exhaust” for
Execute 20 mechanical motion checks to confirm whether each mechanism operates normally. See “10.3.1
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Mechanical motion check” for specific operation.
(3)Probe rinsing and maintenance
The probe has been rinsed before being delivered out of the factory. However, as the probe has very small inner
diameter, it may be blocked by dust during storage. If the liquid from the probe is discontinuous, not vertical, or
flows in strands, the probe shall be rinsed and maintained. See “10.5.1 Probe cleaning” for specific operation.
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Acceptance Report.
(2)Clinical item test
Edit chemical parameters, register reagent information, test clotting methods PT and FIB, calculate coefficient of
variation and fill the test results in Installation Acceptance Report.
2.3.7 Training for medical personnel
Conduct training on the operation and maintenance of the Analyzer for medical personnel and record the training in
Installation Acceptance Report.
2.3.8 Fill-in of Installation Acceptance Report
Fill in the Installation Acceptance Report completely and send one copy to Dirui or our local agent.
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recommended. If used, please remove the clamping part from the sample rack assembly as shown below.)
Fig. 2-4-1
Standard cup: Φ14mm×37mm (±1 mm)
(2)The tube mouth shall be regular without extrusion deformation.
2.4.1.3 Requirements for use of barcodes
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(1)Barcode type: code 128, code 39, code 93, Ι2of 5, Codebar, UPC/EAN.
(2)Size of barcode label: The narrowest unit size of the barcode is ≥200μm, and the width of the barcode is
required to be ≥12mm. When cutting the barcode, the start blank and end blank shall not be smaller than 3mm, the
recommended size of effective length is ≤40mm, level C is recommended as barcode reflectance level, as shown
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in Fig. 2-4-1.
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Fig. 2-4-2
(3)See Table 2-4-1 for number of digits of different barcodes.
Table 2-4-1
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(2)Pasting of barcodes
The lower edge (excluding the start blank) of the barcode shall be 15mm~20mm from the tube bottom to ensure
correct reading of the barcode. When inserting the tube to the sample position on sample rack, it shall be ensured the
barcode faces the opening of the sample position. The pasting of sample barcodes is shown below.
● The barcode shall not have characters such as ‘’, “ ” and ( ), or it cannot be normally identified.
● The reading window of the barcode reader shall be regularly cleaned.
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Fig. 3-1-1
If you want to change the installation path, click the [Browse…] in the figure above to select the installation path. If
you use the default installation path, click [Next >] and a window confirming the installation will pop up, as shown
in the figure below.
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Fig. 3-1-2
Click [Install] to prepare to install the upper computer software program, as shown below:
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Fig. 3-1-3
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Fig. 3-1-4
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Click [Finish] to finish the software installation, and the icon of the software will be generated on the desktop
automatically.
3.1.2 Software uninstallation
The software can only be uninstalled when the Analyzer is not operating!
Method 1: If you want to delete an application software from current computer, enter the “Program and functions”
of control panel first. Then, select “Automatic Blood Coagulation Analyzer”, click [Uninstall/ change] and an
interface shown below will appear.
Fig. 3-1-5
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Click [Yes] and you will uninstall the software according to prompts.
Fig. 3-1-6
Click [Yes] to keep the database files used by the software. Click [No] to delete the files. Then the following
figures will be shown:
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Figure 3-1-7
Fig. 3-1-8
Method 2: Click “Start”, find out “Dirui Industrial Co., Ltd” in “All programs” and then click “Automatic Blood
Coagulation Analyzer” to uninstall the software of the Analyzer according to prompts.
Method 3: doucle-click “unins000.exe” in the installation path to finish uninstallation.
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Double-click the icon of Analyzer application software (hereinafter referred to as software), or click
“Start”, find the software in the “Program” window and click it to enter the “Login” window, and the interface is as
shown below:
Fig. 3-2-1
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Fig. 3-2-2
Input the correct user name and password (the initial user name is admin and the initial password is 1), click [Login]
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or Enter to enter the main window of the software, and the interface is as shown below:
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Fig. 3-2-3
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After successful login, the interface displays Offline Status , showing that the software is not connected
with the Analyzer. You can browse the windows in the functions area and switch between users at this time.
On the “Login” interface, if a wrong user name and password are input, login failure will appear, and the interface is
as shown below:
Fig. 3-2-4
An interface shown below will appear if a wrong user name or password is input for consecutive three times and you
should click [Yes] to exit the program.
Fig. 3-2-5
at the upper right part of the software main window to connect the Analyzer. It
will show “Standby” on the status bar if it is online. At this time, you can send a test command to the Analyzer.
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After software login, if the Analysis Part is not connected with power or the data cable is not connected and the icon
does not change after clicking , it means online failed. Under this condition, please conduct online again
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Fig. 3-2-6
(3)Exit system: On the software main window, click in the shortcut keys area to enter an “Exit system”
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Fig. 3-2-7
Click [Yes] on the “Exit system” window to exit the software system.
● When the testing doctor has a rest, it is recommended to exit the software to prevent nonusers destroying
the software or modifying data. Users are recommended to back up the database regularly to prevent
accidental data loss.
● After the initial user name and password are input and first-time login is finished, set the user name,
password, and user group in the “User Settings” of sub module “User Permission” in “System” for next
login.
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Software interface is composed of status bar, functions area, working area and buttons area.
(1)Status bar: It is located at the lowermost part of the main window and displays the status of the Analyzer in real
time, as shown in the figure below.
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Fig. 3-3-1
Description of detailed functions:
: Connection status of the printer. If the icon shows a red ×, it means the printer is not connected. If a blue √,
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: Communication status with LIS. If the icon shows a red ×, it means LIS is not turned on. If a blue √, it
means LIS has normal communication.
: Communication status with the Analyzer. If the icon shows a red ×, it means the Analyzer is offline or has
communication interruption. If a blue √, it means the Analyzer is normally online.
: Alarm icon. The icon shows a green exclamation mark in the status bar if there is no alarm message. If
there is an alarm message, the icon will flicker (red or yellow). By clicking the shortcut key F7 or the alarm icon, the
operator can check and set the alarm message and then handle the abnormity according to the prompts.
(2)Functions area: The operator can select the functions by clicking the functions, as shown in the figure below. The
navigation menu is a two-level menu, with lower part being the main menu and upper part being the submenu after
clicking the main menu.
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Fig. 3-3-2
(3)Working area: Enter the region for specific operation and click the relevant function button to enter the window
of the working area. If clicking “Samples” in the functions area and selecting “Register” in the submenu, an
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Fig. 3-3-3
(4)Buttons (auxiliary buttons) area: It facilitates to the operation of users, as shown below:
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Fig. 3-3-4
: Instrument logo icon, clicking it can return back to the main interface.
: Information of current user, clicking the man-like icon can switch between users.
: Help
: Minimize
: Exit
3.3.2 Functions of keyboard
(1)Num-lock key (NumLock) 疗
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It can be used to check whether the numeric keypad turned on.
(2)Caps-lock key (CapsLock)
It can be used to switch the input of capital and lower-case letters.
(3)Common shortcut key
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Fig. 3-4-1
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Non-modal window: Other windows can still be operated before this type of window is not closed. For example, the
“Register” window in “Samples”, as shown in the figure below.
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Fig. 3-4-2
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(2)Scroll bar
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Fig. 3-4-3
The scroll bar is used to adjust the display range of contents in a list box. The scroll bar is generally divided into
vertical scroll bar (at the right corner of the list box) and transverse scroll bar (at the lower corner of the list box), as
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shown in figure above.
To check the contents displayed in a list box, you can click or drag .
(3)Operation of drop-down list box
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You can click the at the right side of the drop-down list box to open or close the list box. Using a drop-down list
box can display more information. Once a required item is selected, the selected item will be displayed at the
uppermost and the drop-down list box will disappear.
3.4.5 Radio button and check box
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Radio button: It means only one function will be selected among several functions. For example, after selecting
“Check Results” in the “Result Query” window, you can only select “Intraday” or “Results within three days” but
cannot select them both, as shown in the figure below.
Fig. 3-4-4
Check box: It means two (or above) functions can be selected simultaneously. The check boxes under in
the “Result Query” interface are shown in the figure below.
Fig. 3-4-5
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Click the “System” option in the functions area to enter the system management submenu as shown below:
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Fig. 4-1
Add: After the completion of setting, click [Add] and relevant information will be displayed in the working area at
the right side.
Modify: Select the information to be modified in the working area at the right side, input the information at the left
side and then click [Modify].
Delete: Select the information to be deleted in the working area at the right side and then click [Delete].
After the completion of these setting, the information will be listed in the drop-down list box of “Patient Info” and
the sample info interface in the “Register” interface.
4.1.1 Hospital information
Click “Hospital Info” in the “Info Management” window to set the sending department, sending doctor, section and
ward, and the display is as shown below:
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Fig. 4-1-1
4.1.1.1 Sending department
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Click “Sending Dept.” to add, delete or modify the sending department name and mnemonic.
(1)Sending department: Input the sending department name in the input box.
(2)Mnemonic: Input the mnemonic of sending department in the input box. The mnemonic can help users input the
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information quickly. For example, the mnemonic of sending department can be set as wgk or in figures, like 001. In
the information input area, you can input wgk or 001 and then press Enter to input the information of the sending
department automatically, rather than input the name of the sending department.
4.1.1.2 Sending doctor
Click “Sending Doctor” to add, delete or modify the doctor name and the department, and the display is as shown
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Fig. 4-1-2
(1)Sending doctor: Input the sending doctor name in the input box.
(2)Sending department: Select the sending department from the pull-down menu.
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(3)Mnemonic: Input the mnemonic of the sending doctor in the input box. The mnemonic can help users input the
information quickly.
4.1.1.3 Section
Click the “Section” option to add, delete or modify a section, and the display is as shown below:
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Fig. 4-1-3
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(1)Section: Input the section name in the input box.
(2)Mnemonic: Input the mnemonic of the section in the input box. The mnemonic can help users input the
information quickly.
4.1.1.4 Ward
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Click the “Ward” option to add, delete or modify a ward, and the display is as shown below:
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Fig. 4-1-4
(1)Ward: Input the ward name in the input box.
(2)Mnemonic: Input the mnemonic of the ward in the input box. The mnemonic can help users input the information
quickly.
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Fig. 4-1-5
(1)Registration type: Input the registration type name in the input box.
(2)Mnemonic: Input the mnemonic of registration type in the input box. The mnemonic can help users input the
information quickly.
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4.1.2.2 Nationality
Click “Nationality” to add, delete or modify a nationality, and the display is as shown below:
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Fig. 4-1-6
(1)Nationality: Input the nationality name in the input box.
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(2)Mnemonic: Input the mnemonic of the nationality in the input box. The mnemonic can help users input the
information quickly.
4.1.2.3 Charges category
Click “Charges category” to add, delete or modify a charge category, as shown in the figure below.
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Fig. 4-1-7
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(1)Charge category: Input the charge category name in the input box.
(2)Mnemonic: Input the mnemonic of the charge category in the input box. The mnemonic can help users input the
information quickly.
4.1.3 Other information
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Click “Other Info” in the “Info Management” window to set the clinical diagnosis, item unit and remarks.
4.1.3.1 Clinical diagnosis
Click “Clinical Diagnosis” to add, delete or modify a clinical diagnosis, as shown in the figure below.
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Fig. 4-1-8
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(1)Clinical diagnosis: Input the clinical diagnosis name in the input box.
(2)Mnemonic: Input the mnemonic of the clinical diagnosis in the input box. The mnemonic can help users input the
information quickly.
4.1.3.2 Item units
Click “Item Units” to add, delete or modify an item unit, and the display is as shown below:
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Fig. 4-1-9
Item units: Input the item unit in the input box. After the information is added successfully, the information will be
listed in the drop-down list of “Analysis Parameters” in the “Item Parameters” interface.
4.1.3.3 Remarks
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Click the “Remark” option to add, delete or modify a remark to the report, and the display is as shown below:
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Fig. 4-1-10
(1)Remark: Input the remark name in the input box.
(2)Mnemonic: Input the mnemonic of the remark in the input box. The mnemonic can help users input the
information quickly.
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Except from the administration permission, other users cannot see the “User Management” module.
Click the “User Management” option in the “System” window to browse user information, add a new user, modify
and delete user info, check a user group, conduct permission setting of a new user group and conduct common
function setting.
4.3.1 User management
Click “User Settings” in the “User Management” window to check, delete or modify user information and add a new
user, and the display is as shown below:
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Fig. 4-3-1
Input the user name, mnemonic, password, confirm password (the two passwords shall be the same and they are
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case sensitive), and select the permission of the operator from the pull-down menu of user group.
(1)Add user: after the above information is set, click [Add] to add a new user, and the user added is displayed in the
user list on the right.
(2)Modify user: click to select the added user to modify the information other than the user name, and click [Modify]
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after the information is modified to complete the modification to the info about the selected user.
(3)Delete user: to delete user information, click to select user information in the workspace on the right, and then
click [Delete].
4.3.2 Permission setting
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Click tag “Permission Setting” in the “User Management” window to view the user group and set permission, and
the display is as shown below:
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Fig. 4-3-2
The interface displays such 3 user groups as administration, operation and query:
(1)The administration permission is only allowed to modify the user group of operation and query; not allowed to
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Fig. 4-3-3
Click on the choice box in front of the “Title” bar, then click [Save], and the selected common functions are
displayed in the menu on the left side of the interface as shown below:
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Fig. 4-3-4
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Click the “Setup” option in the navigation area to enter in the system setting submenu as shown below:
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Fig. 5-1
There item maintenance setting, item parameter setting, combination setting, printing setting, communication
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setting, other information, reagent setting and software interface setting are available.
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Fig. 5-1-1
(1)Item information:
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a)Category: select the coagulation item from the pull-down menu.
b)Item No.: item numbers are not allowed to be modified.
c)Abbr.: item abbreviations are not allowed to be modified.
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d)Barcode number: input the barcode number into the input box.
e)Full name: input the full name of the item in the input box; the full name can be empty and it can also be
repeated with existing information.
f)Printing Sequence: set the order of the items in the print report; the default printing order is the same as the item
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Users cannot directly add new items in the item maintenance interface. For new items to be added, please
contact customer service personnel or suppliers.
After the parameters on each page are edited, the operator must click [Save] to save the parameters.
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for light intensity to reduce from 100% to 70% can be defined as the sample solidification time.
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Fig. 5-2-3
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Fig. 5-2-4
b)Immunoturbidimetric method
This method is applicable to the determination of the concentration of fibrin degradation products in the sample,
including the detection of FDP and D-Dimer. When the latex reagent is just added in the sample, the latex
particles in the latex reagent aggregate after being combined with the antigen in the sample. The sample turbidity
becomes larger and absorbance is gradually increased. During the calculation, the absorbance difference dOD
between time t1 and t2 is defined and then the sample concentration is calculated based on dOD in absorbance in
accordance with the calibration curve shown in the diagram. The calculation process is similar to the
chromogenic substrate method.
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Fig. 5-2-5
Fig. 5-2-7
(1)Set analysis parameters:
Click to select the item name to be set from the “Item List” in the workplace on the left.
a)Added sample volume: input the sample volume in the input box (unit: μL).
b)Test diluent: select the diluent abbreviation of diluted sample from the pull-down menu.
c)Retest diluent: select the diluent abbreviation of diluted sample from the pull-down menu during retest.
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d)First dilution: select the abbreviation of diluent for the first dilution from the pull-down menu.
e)Adding volume: volume of diluent added in the first dilution (unit: μL).
f)Re-dilution volume: drawn volume after the sample is diluted for the first time (unit: μL).
g)Second dilution: select the abbreviation of diluent for the second dilution from the pull-down menu.
h)Adding volume: volume of diluent added in the second dilution (unit: μL).
i)Test Methods: solidification method, immunoturbidimetric method or chromogenic substrate method are
available in the pull-down menu.
j)Test channel: i.e. test wavelength; 405, 575 and 660 are available.
k)Test Time: the test time required for testing the item under normal conditions.
l)Decimals: select decimal places from the pull-down menu, and the output result of the test item will be
displayed in the decimal places selected.
m)Item Units: the default unit of the item in the software system See “4.1.3.2 Item units” for the addition and
deletion of item unit.
n)User Unit: the unit displayed on the report when the report is printed.
o)Conversion factor: factor to be multiplied to convert the item unit into user unit.
(2)Process setting:
Click [Set Process] in the interface as shown in Fig. 5-2-7 and the display is as shown below:
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Fig. 5-2-8
There, a new reagent addition process can be added and the existing reagent addition process can be modified or
deleted.
(3)Calculation parameter setting:
Click [Calculate Parameters] in the interface as shown in Fig. 5-2-7 and the display is as shown below:
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Fig. 5-2-9
(4)Dilution setting:
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There, the calculation parameters can be set, modified or resumed.
Click [Dilution Plan] in the interface as shown in Fig. 5-2-7 and the display is as shown below:
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Fig. 5-2-10
There, the item dilution plan can be added, modified and deleted.
5.2.2 Calibration parameters
Click tag “Calibration Parameters” in the “Item Parameters” window to set the calibration concentration and
position assignment, calibration method, concentration conversion, light intensity conversion, times of repetition,
calibration interval, calibration check, and the display is as shown below:
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Fig. 5-2-11
(2)Dilution Method: select manual dilution or automatic dilution from the pull-down menu.
a)When the manual dilution is selected, corresponding concentration needs to be manually input, and it is
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unnecessary to choose the dilution plan;
b)When automatic dilution is selected, it is required to select the dilution plan in the pull-down menu. The system
will automatically calculate the concentration according to the dilution plan.
(3)Calibration method: select logarithmic, linear, or polynomial method from the pull-down menu.
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(4)Times of Rerun: select the number of retests from the pull-down menu and its range shall be 2~10.
(5)Calibration Interval: input the calibration interval in the input box (unit: h)
(6)Calibration Check: click to check Fitting check and Deviation check and set relevant parameters.
5.2.3 Range parameters
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Click tag “Range Parameters” in the “Item Parameters” window to set reference range, linear range and critical
value range, and the display is as shown below:
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Fig. 5-2-12
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(1)Specific reference value: if the patient’s age and sex are different and reference range varies, specific reference
range shall be used. Click to choose “Specific Reference Value” and the display is as shown below:
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Fig. 5-2-13
If a specific reference value is selected, the operator must set the patient’s age and six when registering the
sample. Otherwise, the reference range of the test result will be displayed as the default reference value.
(2)Default reference value: the default reference value is used when the reference range is independent of the
patient’s age and sex. Click to choose “Default Reference Value”. For example, if the default reference range of PT
is 10s~12s, the display is as shown below:
Fig. 5-2-14
(3)Linear Range: refer to the reagent specifications to input the upper and lower limits of reagent linear range. If the
test result exceeds the range, there will be a corresponding color prompt in the “Result Query” interface.
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(4)Danger Value: if the item test result is below a certain value or above a value, endangering the lives of patients,
the user can set the critical value range. After the setting is complete, if the test result is below the lower limit of set
critical value or above the upper limit of the set critical value, a prompt in the corresponding “color” will be given in
the “Test Results” interface.
Range parameter setting requirements: linear range > danger range > reference range.
5.3 Combination
Click tag “Item Profile” in the “Setup” window to set the combination and the display is as shown below:
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Fig. 5-3-1
(1)Combination name: input the name of the combination to be set in the “Combination name” input box, and the
name can be letters, numbers, Chinese characters, characters, but it cannot be repeated, otherwise it cannot be saved.
(2)Add combination: select the items to be included in the combination (abbreviations of selected items are
displayed in red) in the workplace on the right, click [Add] to add the combination and the combination will be
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displayed in the list of combination names on the left. Click to select the combination name, and display colors of all
the items included in this combination will change.
(3)Modify combination: to modify a combination, select the combination item from the combination list on the left,
modify the combination item in the “Item List” on the right (combination name can be modified at the same time),
click [Modify] to save the modified result.
(4)Click “Auto Printing”, “Only samples with patient info are printed”, and “Only print the approved samples” to
automatically print the report after the sample test.
(5)Click [Save] to save the basic information of the report.
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Fig. 5-4-1
(1)Click to select a print format in the list of “Current Print Format”, and then click [Edit template] to edit the
existing template information according to own needs.
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(2)Input relevant information in the input boxes of “Organization first name”, “Organization second name” and
“Report title”.
(3)To use the report endnote, click to select “Print report endnote” and input relevant information in the input boxes
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of “Report Endnote 1” and “Report Endnote 2”. If the endnote is not to be used, “Print report endnote” may not be
checked.
(4)Select the contents of the report by clicking in the “Print options list”. The contents include: prompt, reference
value, item abbreviation, test result, item full name and unit. means selected while means not selected.
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(5)Click “Auto Printing” and “Only samples with patient info are printed” to automatically print the report after the
sample test.
(6)Select the positive sign of the print result, which can be set as “arrow (↑; ↓)” or “high/ low value (H; L)” from the
pull-down menu.
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Fig. 5-5-1
(1)LIS communication
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Enable LIS: select “Enable LIS”, it’s allowed to set the LIS communication interface, and connect correctly to
enable LIS communication function; otherwise, disable the LIS communication function.
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When the Analyzer LIS parameter setting is changed, the parameter setting only takes effect after the
software is restarted. Users can follow the prompts to select automatic restart of the software of the
Analyzer.
(2)Communication setting
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There are two communication modes: one is the network connection, namely, the analyzer achieves LIS
communication through IP address; the other is the serial port connection, namely, the analyzer connects with the
host through RS-232 serial port.
a)When “Network Connection” is selected during communication setting, following parameters need to be set
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The default values for the Analyzer communication protocol are 19200, 8, 1, N. Contact the distributor for
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Fig. 5-6-1
5.6.1 System
Click tag “System” in “Other Info” interface to set the sample test and sample validity.
(1)Click the “Sample Test Setup” to set the sample test mode.
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● When the sample test mode is switched, if the sample is registered on the same day, click [Save] and the
following prompt is given:
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● When the Analyzer is used for test, if no special requirements are provided, users are recommended not to
change the sample test mode of the day.
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b)Sample automatic audit
“Audit the sample(s) whose result is normal only” or “Audit the sample(s) with patient information only” can be
checked. After the selection, the Analyzer can automatically audit all the samples meeting the requirements.
c)Sample validity setting
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Sample validity is calculated from the time when the sample is registered and once it is expired, corresponding
sample is prompted in the “Register” interface.
(2)Click tag “Operate” to execute operation like reset to defaults, online settings, buzzer settings, reagent barcode
scan settings, and backup recovery settings, and the display is as shown below:
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Fig. 5-6-2
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a)Sending limit
Fig. 5-6-3
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Insufficient
Sending prohibited: after “Do not send” is selected, if an alarm of insufficient residual reagent is given for a
certain item, it is forbidden to send the item for testing;
Sending allowed: after “Allow to send” is selected, if an alarm of insufficient residual reagent is given for a
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Sending allowed: after “Allow to send” is selected, if the reagent of a certain item is expired, it is allowed to
send the item for testing.
Calibration liquid expired
Sending prohibited: after “Do not send” is selected, if the calibration liquid of a certain item is expired, it is
forbidden to send the item for testing;
Sending allowed: after “Allow to send” is selected, if the calibration liquid of a certain item is expired, it is
allowed to send the item for testing.
The calibration interval is reached
Yes: after “Do not send” is selected, if the calibration interval for a certain item is reached, it is forbidden to
send the item for testing;
No: after “Allow to send” is selected, if the calibration interval for a certain item is reached, it is allowed to
send the item for testing.
b)QC setting
Check “Auto accumulation” and after QC testing, daily QC results will be automatically accumulated to
monthly QC results.
(4)Shortcut
Click the “Shortcut” tab to decide whether to enable the related settings of shortcut, as shown below:
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Fig. 5-6-4
Fig. 5-6-5
Input the residual amount of reagent in the input box for the alarm that the reagent is insufficient.
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Fig. 5-7-1
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Select the reagent category from the pull-down menu in the “Reagent Info” workplace, input the reagent number,
reagent abbreviation, bar code number, reagent full name and printing order in the input boxes.
Add reagent: after the information of new reagent is edited, click [Add] to add new reagent. The information of
reagent newly added is displayed in the workplace list.
Modify reagent: select the reagent in the workspace list, and click [Modify] after the reagent information is modified
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(reagent type, reagent number, and reagent abbreviation are not allowed to be modified) to save the modified
information.
Delete reagent: select the reagent in the workspace list and click [Delete] according to the prompt to delete the
reagent information.
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Fig. 5-8-1
There, the font size, date format, and language used for the software interface can be set.
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Modification of date format setting becomes valid after restarting the software.
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Click the “Calibration” option in the navigation area to enter in the calibration management submenu as shown
below:
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Fig. 6-1
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There, the calibration information can be registered and calibration results can be checked.
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Fig. 6-1-1
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Click [Manual Registration] in the “Calibration Registration” interface to manually register the calibration
information and the figure below will be displayed:
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Fig. 6-1-2
After the setting, click [Save and exit] to close the current page and return to the calibration registration interface as
shown below:
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Fig. 6-1-3
Fig. 6-1-4
After the calibration information is modified, click [Save] at the lower right corner to modify calibration solution
information.
For the modification of calibration information, only the item rack and position information can be
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modified.
6.1.3 Delete calibration item
Click [Delete] at lower right corner of the “Calibration Registration” interface and the calibration deletion interface
as shown below will pop up:
Fig. 6-1-5
Select the deletion conditions and then click [OK], and the information meeting the conditions is deleted.
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The registered calibration solution items can be deleted one by one, or register again.
6.1.4 Calibration test
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After calibration registration, confirm whether the reagent is placed, whether the residual reagent is sufficient,
whether the execute box is checked, place the calibration solution on the corresponding sample rack, click
Fig. 6-1-6
Click [Test] to start calibration test.
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Fig. 6-2-1
Click [Results Query] in the calibration result interface and the calibration result query window as shown below will
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pop up:
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Fig. 6-2-2
Results can be individually searched according to the calibration time or field, or jointly searched according to the
calibration time and field. Click [OK] after the query conditions are set, and all the records meeting the conditions
will be displayed on the calibration result interface.
If the calibration fails, check if the input parameters, calibrator used and reagents are correct, or operate according to
the alarm message and relevant prompts.
(2)View calibration results
Select a calibration result record from the calibration result interface, click [Detailed Info], and a detailed calibration
information window as shown below will pop up:
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Fig. 6-2-3
Click [Reaction Curve] to view the reaction curve of the calibration results as shown below:
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Fig. 6-2-4
(3)Delete calibration results
Select a calibration result record in the calibration result interface, click [Delete], and a confirmation prompt as
shown below will pop up:
Fig. 6-2-5
Click [Yes] and the selected information is deleted.
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Chapter 7 QC Management
Laboratory quality control is designed to ensure the reliability of the measured result for each sample. The reliability
of measured results covers two aspects: one is the precision, i.e. repeatability of measured results and little change in
the results measured daily in laboratory (QC is mainly used to eliminate or reduce the impact caused by random
error); the other is accuracy, i.e. correctness of measured results and their approach to the true value (QC is mainly
used to eliminate or reduce the impact caused by system error).
Random error: the difference between the measured result and the mean of measured results obtained by infinitely
many measurements of the same measured item under repetitive conditions is called random error.
System error: under repetitive conditions, the difference between the mean of measured results obtained by
infinitely many measurements of the same measured item and the true value of measured item is called system error.
It is an error component of measured results expected not to be zero.
Accuracy: it is a combination of system error and random error of the measured results, indicating the consistent
degree between the measured results and true values.
Precision: it indicates the size random error of measured results. Precision refers to the degree of compliance
between the measured results when multiple measurements are made under certain conditions.
L-J (Levey Jennings) QC chart: QC chart is a chart with QC limits. QC limit is determined by the mean ( X ) and
standard deviation (SD) obtained by repeated measurements of the known specimen (usually control material) by
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the controlled analysis method. X 2SD is the alarm limit while X 3SD is out-of-control limit.
Click the “QC” option in the navigation area to enter into QC management submenu as shown below:
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Fig.7-1
Setting of QC rules, registration of QC items, view of daily QC data and QC chart, and view of monthly QC data and
QC chart can be realized.
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7.1 QC rules
Conduct out-of-control analysis for the measured QC results according to the multi-rule judgment benchmark of
Westgard. The figure below is the multi-rule logic diagram of Westgard:
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1-NS: One QC result exceeds X ±N×SD, where N represents an inputable sample box, and the input requires a
number greater than 0 and less than 10 and only one decimal place after the decimal point.
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(2) Multi-point rule:
2-2S: 2 consecutive QC results simultaneously exceed X +2SD or X -2SD, judged to be out of control, and the
rule is sensitive to system error.
2/3-2S: among 3 consecutive QC results 2 simultaneously exceed X +2SD or X -2SD, judged to be out of
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control.
R-4S: One QC result exceeds X +2SD, the other exceeds X -2SD, judged to be out of control, and the rule is
sensitive to random error.
3-1S: 3 consecutive QC results exceed X +1SD or X -1SD, judged to be out of control, and the rule is sensitive
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to system error.
4-1S: 4 consecutive QC results simultaneously exceed X +1SD or X -1SD, judged to be out of control, and the
rule is sensitive to system error.
7T: 7 consecutive quality control results show an upward or downward trend.
10 X : 10 consecutive quality control results fall on the same side of X , judged to be out of control, and the rule is
sensitive to system error.
12 X : 12 consecutive quality control results fall on the same side of X , judged to be out of control, and the rule is
sensitive to system error.
N X : N consecutive quality control results fall on the same side of X , where N represents an inputable sample
box and the input requires an integer greater than 0 and less than 30.
Click the “QC Rules” in the “QC” window, and the display is as shown below:
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Fig. 7-1-2
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Click the selected item (the abbreviation of selected item is shown as red) from the item list on the left. Select the
appropriate option from the pull-down menu of single-point rule and multi-point rule. Click [Save] to save the
settings.
7.2 QC registration
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Click the “QC Registration” option in the “QC” window, and the display is as shown below:
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Fig. 7-2-1
QC item manual registration, information view and QC registration deletion can be realized in the QC registration
window. QC rules shall be set before QC registration is made.
7.2.1 Manual registration of control material
Manually register the control material information to use a third party’s control material to conduct quality control,
click [Manual Registration] and the display is as shown below:
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Fig. 7-2-2
Input the name and batch number of the QC products in the input box, input or select the expiration date, select the
sample type, QC level, rack and position in the pull-down menu, select the QC item in the item list on the left, input
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corresponding target value, standard deviation, QC interval and reagent batch number of QC items, click [Save] to
save the settings. Click [Save and exit] to save settings and exit from the current interface.
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● When a third party’s QC is used, the software will no longer verify the validity of the information. Please
ensure the correctness of the input data to avoid drawing wrong QC conclusion.
● After the QC item is registered, before a certain QC item is tested, items to be applied with QC test shall be
confirmed, i.e. selecting choice box “ ” in “Execute” line (newly registered QC defaults to ticked execution
mode), such as:
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Fig. 7-2-3
Click to select the deletion conditions, click [OK], and then the information meeting the selected conditions are
deleted; click [Cancel] to exit the interface, and the information is not deleted.
7.2.3 QC test
After QC registration, confirm whether the reagent is placed and whether the residual reagent is sufficient, whether
the execution box is ticked, place the QC solution at corresponding QC registration position, click , select
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“QC” from the “Send test” window and the display is as shown below:
Fig. 7-2-4
Click [Test] to start QC test.
7.3 Daily QC
X
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After QC test, the Analyzer automatically calculates the measured QC target value (mean), standard deviation,
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i
X i 1
Target value: N
Standard deviation:
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Variation coefficient:
Where:
N is the number of measurements,
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Fig. 7-3-1
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QC information displayed on the interface can be viewed in the order of QC product name, QC product batch
number, item abbreviation, sample type, target value, standard deviation and result state. QC results can be
transmitted to LIS system after LIS system is enabled.
If QC is out of control, check if the input parameters, QC products used and reagents are correct, or operate
according to the alarm message and relevant prompts.
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Click [Print] to print QC results of the day and the display is as shown below:
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Fig. 7-3-2
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Fig. 7-3-3
(1)Select real-time QC batch number
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After QC is screened by test date, item type and QC product name, all QC items that meet the conditions will be
displayed in the item list on the left. After items are selected, the QC test results of all QC batches of selected items
will be displayed in the list on the upper right. By default, the software can only draw the real-time QC chart for at
most 2 batch numbers (2 front most batch numbers in the line after screening by conditions) under the same QC
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name, and the QC results must be paired. If the results do not come out in pairs, a real-time QC chart will not be
independently drawn for a single QC result. To change the QC solution batch number of real-time QC chart drawn,
select “Not draw” under the “Drawing” field for unnecessary batch numbers and select a method for necessary
numbers to start drawing.
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(3)Print QC chart
To print QC chart, click [Print] and the QC chart print preview interface as shown below will pop up:
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Fig. 7-3-4
7.4 Monthly QC
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In the monthly QC module, the monthly QC data can be viewed according to the conditions and the QC data can be
added, deleted and printed; QC chart can be viewed and printed.
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7.4.1 Monthly QC data
Click “Monthly QC” in the “QC” window, and by default, the monthly QC data will be displayed as shown below:
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Fig. 7-4-1
The default display of the software is the QC data of a month as of the current system date. The user can screen the
QC data to be viewed according to the test date range and QC product name, and the records meeting the conditions
are displayed in the list.
Click [Print] to preview screened QC records and the display is as shown below:
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Fig. 7-4-2
Click tag “QC Diagram” in the “Monthly QC” window, and the display is as shown below:
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Fig. 7-4-3
Click [Print] to preview the QC chart for selected QC name and batch number and the display is as shown below:
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Fig. 7-4-4
To print a report, connect the printer and click on the top left corner of the preview interface.
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Reference
Operation steps: Window/ button Operation
Index
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message maintenance prompt
(3)Confirm the temperature at Status bar Confirm if the temperature at incubation position and
incubation position and test position test position is (37.0±1.0)°C
4. Confirm the analysis condition
(1)Confirm the item analysis System setting Item maintenance and reagent settings
condition System setting Item parameters
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8.2.4
(2)Set and confirm analysis System setting Combination
parameters
(3)Set item combination
5. Preparation of reagent
(1)Register reagent Reagents Reagent registration and reagent information
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QC registration
7. Sample registration Sample registration Register individual or batch conventional sample,
register individual emergency sample, edit patient 8.2.7
information, modify and delete information
8. Start test
(1)Prepare sample, calibration Place the sample, calibration solution and control
solution and control material Test material at corresponding positions 8.2.8
(2)Send test command Execute “Test” for analysis
11.Review samples Item review Set review conditions and send review test command 8.2.11
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Reference
Operation steps: Window/ button Operation
Index
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(6)Check if the waste liquid tank is drained. If the Analyzer waste liquid device is directly connected to the drainage
system, such operation is unnecessary.
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See 10.5.14 Waste treatment for disposal of waste liquid.
(7)Check if there are foams in syringe pump (liquid leakage or foams will lead to inaccuracy of data).
Deem Detergent Ⅰ, Detergent II as a corrosive liquid. Rinse with plenty of water in case of exposure to skin
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or eyes.
8.2.2 Connect power cable and log in the software
(1)Connect the Analyzer power supply. The switch at the lower right part of analysis division is power supply and
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the switch shall be normally opened when there are reagents in reagent chamber to ensure continuous operation of
cooling system.
(2)Log in the Analyzer application software and execute online command first to carry out a test.
8.2.3 Confirm the state of the Analyzer
8.2.3.1 Confirm the alarm
(1)Text display of alarm information
In case of alarm information, click alarm prompt icon or press “F7”, confirm if there is sample dispensing
stop level or stop level alarm, refer to alarm information solution to deal with the problem. Contact the customer
service staff if the fault cannot be removed.
In case of an alarm at the Analyzer, alarm code, level, contents and time will be displayed. The interface is as shown
below:
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Fig. 8-2-1
If only alarm information of the day is displayed in the alarm information window, click [Alarm History] to check
historical alarm information and the display is as shown below:
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Fig. 8-2-2
In the “Alarm History” interface, alarm information can be viewed according to alarm start date, alarm end date and
alarm level and the number of alarms can be filtered and counted according to the alarm code. Click [Close] to exit
the “Alarm History” window.
(2)Alarm setting
Click [Alarm Setting] in the “Alarm info” interface and the display is as shown below:
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Fig. 8-2-3
Input the alarm code to be searched in the input box of “Alarm No.” and click [Find]. Or find by alarm level. If you
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want to go back to the initial interface after the enable and find operation. Or click [Reset].
All alarm information in the window will be displayed by default. If a certain alarm is not expected to be displayed
in the alarm information interface, you can select not to enable; can set in the enable setting interface.
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If not enable alarm is selected in the alarm setting—enable setting interface, the alarm will not be displayed
in the alarm information interface and the alarm icon will not flicker for prompt, but the alarm information
can be checked in the “Alarm History”.
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Fig. 8-2-4
The user can check the frequency of each alarm code in all alarms in the alarm statistics interface to duly discover
the problem, reduce unnecessary alarms and ensure the test speed.
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Fig. 8-2-5
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After power on each day, tubing exhaust needs executing 2~3 times, analyzer resetting needs about 2
minutes and the temperature in the incubation area and test area is stabilized at (37.0±1.0) ℃ for about
30min. Therefore, before the Analyzer enters in the standby state after startup, browse of window
information, input of item parameters and view of alarm information can be realized and the sample test can
only be carried out after the temperature in the incubation area and test area is stabilized at (37.0±1.0) ℃.
8.2.4 Confirm analysis conditions
Before the test, add analysis item and set reagent first, and then set item parameters (include analysis parameter,
calibration parameter and range parameter).
Refer to the specification or consult relevant manufacturer or retailer for parameter setting, usage, precaution and
preservation of reagent, standard solution and control material used for analysis.
(1)Add item
Before parameters are set, add an item first and conduct item maintenance (add items which are not factory
configuration). Click “Item Maintenance” in the “Setup” window to add, modify or delete coagulation item in the
item maintenance window and see “5.1 Item maintenance” for specific operation.
(2)Set reagent
Before the parameters are set, add the reagents first (add reagents which are not factory configuration). Click
“Reagent” in the “Setup” window to add, modify or delete a reagent in the reagent setting window. See “5.7 Reagent
setting” for specific operation.
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Please use matching reagents produced by Dirui. The Company will not be responsible for inaccurate test
results caused by failure to use matching reagents.
8.2.5.1 Reagent registration
(1)Reagent use and precautions
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a)Loading, use and storage of reagents shall be in strict accordance with the requirements of reagent specification
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to avoid foaming. As the reagent contains surface active agent, violent vibration will lead to foams. During the
test, the probe’s contact with foams is mis-deemed as contact with the reagent, which will lead to inaccurate
intake of the reagent, affecting the test results.
b)Considering the surface tension, please check whether a film of liquid exists at the mouth of or inside the
reagent bottle as you open the reagent bottle cap before loading the reagent. The film of liquid will lead to
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bottles of the same batch in a reagent will cause changes in reagent ingredients or stability, resulting in inaccurate
test results.
(2)Reagent recharge
Click the “Reagents” option in the Function area, as shown below:
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Fig. 8-2-6
In the “Reagents” window click the “Reagent Registration” option, and the interface is as shown below:
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Fig. 8-2-7
In the “Reagent Registration” window click [Reagent Recharge], and the interface is as shown below:
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Fig. 8-2-7(a)
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Connect the card reader to the host computer via the data cable, insert the reagent card into the card reader or
place it on the surface of the card reader. Enter the barcode, click [Recharge], and the “Recharge Record” list
displays the reagent name, batch number, bottle size, and remaining amount. Click to select any of the “Recharge
Record” list, and the detailed information is displayed in the reagent information on the right.
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If you click [Recharge] and failure is prompted, you can restart the software and recharge again.
(3)Scan reagent information for registration
When the analyzer is not using the reagent rack, open the reagent chamber door and pull out the reagent rack.
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The reagent bottle is placed on the reagent rack and the reagent rack is pushed into the reagent chamber. The
Analyzer scans the information of reagents on the reagent rack. After the scanning, the scanned reagent information
is displayed in the reagent information list.
When the bar code is scanned for registration, ensure that the Analyzer is online and under standby state.
(4)Manual registration of reagent information (in standby or offline mode)
Select or input a rack number, position, reagent name, bottle specification, residual volume, date of manufacture,
validity, open-bottle date, open-bottle life, batch number and other information in the “Manual Registration” area,
click [Save] to complete manual registration of reagent information and the display is as shown below:
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Fig. 8-2-8
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(5)Print reagent information
Click [Print] and the rack number, position, reagent name, lot number, bottle size, remaining amount, expiration
date, and open-bottle expiration date are displayed in “Reagent info table”. The interface is as shown below:
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Fig. 8-2-9
Description:
a)Expiry date is the date displayed on the reagent kit package;
b)Open-bottle life is calculated from open-bottle date and open-bottle life;
Click “ ” to print the current list and click “ ” to return to the reagent registration menu.
(6)Remaining volume scan
After placing a reagent, click [Volume Scan] in the “Reagent Registration” window; the analyzer performs scan of
remaining reagent volume. The scanned remaining reagent volume is displayed on the list of the “Reagent
Registration” interface.
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Fig. 8-2-10
Select a query date range, and click [Stats] to do statistics for total reagent consumption and daily average
consumption of all test items according to the date.
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The daily average consumption is equal to the total consumption within the statistical period divided by the
actual number of days when the reagent is consumed.
8.2.6 Registration of calibration item and QC item
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b)Click to check the item to be calibrated in the “Execute” bar, and means selected while means not
selected.
c)Delete calibration: to delete a registered calibration item, click [Delete] and select the deletion mode in the
window popping up to delete the calibration information.
Refer to “6.1 Calibration registration” for details of registration of calibration items.
After changing a reagent batch number, it’s suggested to execute calibration once.
(2)Register of QC item
Click “QC Registration” in the “QC” window and complete QC registration and setting by manual mode, then the
QC information will be displayed on the QC registration list area.
Refer to “7.2 QC registration” for details of registration of QC items.
8.2.7 Register of sample
When registering in sample barcode mode, please push the sample rack smoothly. Pushing the sample rack
too quickly may cause sample spill, contamination of the sample and failure of barcode scanning.
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For sample registration through scanning a barcode, the operator shall put samples into the sample rack, and then the
scanning device will work when the rack enters into sample chamber and feed back the barcode information to the
upper computer for registration (It is recommended that the sample rack be used from left to right. When the
sample scan fails and the sample code shows “??”, please re-confirm whether the sample barcode is dirty or
placed incorrectly, delete the sample of the sample rack, and push it smoothly). For manual registration of samples,
the operator shall fill in data of samples on the sample registration interface for sample management, select test
items, and click “Register”.
8.2.7.1 Register of single sample
Click “Register” in the “Samples” window, and the display is as shown below.
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Fig. 8-2-11
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related barcode will be shown in the input box of “barcode number”; if the barcode scanning function is not to be
used or when the barcode data cannot be worked out, the operator can input an effective barcode in the input box
of “barcode number”. The input box of “barcode number” with “??” means that no effective data of a barcode is
obtained during scanning the sample barcode. The barcode is ranged 1~20 bits.
(2)Test Type: select Routine or STAT from the radio buttons.
(3)Rack number and position
Select sample rack number from the pull-down menu of “Rack No.” within 1~4; and select position number from
the pull-down menu of “Position” within 1~10.
(4)Type of sample and cuvette
a)Sample Type: select the sample type for test from the pull-down menu.
b)Cup type: select the cup type for test from the pull-down menu. The available kinds of cups include standard
cup and tube.
(5)Times of Rerun: input the rerun times of the same sample in the input box. The default is 1 time, and maximum is
100 times.
(6)Selection of test items: click the selected item and the color will change as shown in the figure below.
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Fig. 8-2-12
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(7)Dilution: decide whether to have analysis after dilution of sample, manually dilute and then input a dilution ratio,
or select automatic dilution, and then the Analyzer will conduct dilution during sample test.
If to use Auto-dilute function, set the dilution scheme in “Dilution Plan” on the “Analysis Parameters” interface.
Select the sample on the “Register” interface and click “Dilution Setup” behind Auto-dilute, then the detailed item
information will pop up as shown in the figure below. Click [OK] after selecting the dilution scheme, and then the
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background color of completed items will change.
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Fig. 8-2-13
(8)Combination: click to select the completed profiles. Refer to “5.3 Combination” for details of Combination
setting.
(9)Other information
Select or input a sending department, sampling time, sending time, clinical diagnosis and remarks in the pull-down
menu.
Refer to “4.1 Information management” for the details for setting the data.
(10)Edit is over, then click [Register] to save the data. The registered information will be displayed on the browsing
area at right side. Click the information bar in the browsing area to view the data of registered samples.
(11)Notes to other buttons
a)[Previous]: during sample registration, click this button to shift the sample with its number minus by one.
b)[Next]: during sample registration, click this button to shift the sample with its number plus by one.
c)[Patient Info]: for samples with patient info, either patient information or sample information can be registered
firstly.
d)[Samples List]: the sample registration condition will be displayed right after the registration is over as in the
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User manual
figure below, and the user can print or export the information in the sheet.
Fig. 8-2-14
e)Color setting: the user can change the color of items and samples on the sample registration window randomly
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by right-clicking the “Color Settings” option on the right view area, and then the window will be displayed as the
figure below.
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Fig. 8-2-15
Select color from the pull-down menu, then click [Save] to save the setting. Click [Restore Default] to restore the
default color setting of the system. The colors of options are allowed to be repeated.
8.2.7.2 Batch sample registration
For registration of many samples to the same test items, the batch registration function can be used where the
position of samples shall postpone as per the current positions.
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User manual
Fig. 8-2-16
(1)Select “Batch Registration Number”: set “Sample number” as the start sample number in the main window for
sample registration, and input number of samples to be tested in the input box.
(2)Select “End Sample Number”: set “Sample number” as the start sample number in the main window for sample
registration, and input end sample number in the input box, and the end sample number shall be greater than or equal
to the start sample number.
(3)After batch edit is over, click the [Register] button. If the samples of batch registration repeat a sample of single
registration, the Analyzer will prompts that the batch registration failed.
[Register].
8.2.7.3 Register of patient information
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(4)Click [Close] and exit the window, however, the batch registration will not be performed without clicking
Click [Patient Info] in the “Register” window and the system will shift to the patient information input interface as
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shown in the figure below.
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Fig. 8-2-17
(1)Select the sample number by clicking [Previous] and [Next].
(2)Select or input the patient name, sex, nationality, age, unit, registration type, charges category, case number,
section, ward and bed from the pull-down menus. Use mnemonic for registration, and click [Save] after inputting
information.
● Patient name is necessary for editing patient information; otherwise the registration cannot proceed.
● The default doctor is the current operator. Without sending the test sample, the test time defaults to blank;
with sending the test sample, the test time defaults to that of sending the test (Y/M/D h: m: s).
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Fig. 8-2-18
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Input the samples number or range of sample numbers in the input box, then click [Delete] to delete the specified
● The registered samples that have not been sent for testing are available to be modified or deleted during
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standby or test process.
● Samples under testing or in the to-be-tested status are only available to be deleted under standby mode.
The registered samples that have been audited cannot be deleted directly but can be deleted only after the
audit is cancelled on the “Result Query” interface.
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a)Place detergent
Place Detergent Ⅰ in the first position of the normal-temperature reagent rack.
Detergent II is placed in the left inner part of the Analyzer.
b)Place calibration solution
Place calibration solution in the relating position of the sample rack as per specified on the “Calibration
Parameters” window.
c)Place control material
Place control material in the relating position of the sample rack as per specified on the “QC Registration”
window.
d)Place sample
Place samples in the relating position of the sample rack as per routine or STAT sample positions specified on the
“Register” window.
The control material and calibration solution should be measured by standard cup.
(2)Start test
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Fig. 8-2-19
Click and tick a test type and input information, and then click [Test] to start the test.
8.2.9 During test
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During test, if upper cover of the Analyzer is open, the test process will pause. The uncompleted test items
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shall be sent for testing again after resetting.
(1)Monitor system
When the Analyzer is under operation, the sample rack, reagent chamber, reaction unit, test samples, instrument
state, and feeding mechanism are under real-time monitoring.
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Click “Sys. Monitoring” in the function area, and then the display is as shown below.
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Fig. 8-2-20
a)Click “Sample Rack” to view the real-time status of the rack as shown in the figure below.
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Fig. 8-2-21
The lower part of the window is sample rack status area, and each sample rack has 10 sample positions. If the
Analyzer tests the sample rack in the corresponding position, the sample rack number and relating sample status
will be displayed on the status area. Click the samples of the rack with the mouse, then the sample rack number,
position and sample barcode will be displayed in the above.
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Fig. 8-2-22
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Reagent chamber interface includes three fixed positions and three sample racks (1×3+1×6+2×7 positions in
total), and each reagent position is for different kinds of reagents.
It is available to view the temperature of reagent chamber on this interface.
Click the reagent position with the mouse, then the relating information will be displayed, including reagent
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number, reagent rack number, position, type, batch number and test times left.
Reagent status: the status is shown by different colors.
Normal: the reagent is enough for test, in green color.
Insufficient: the volume left is less than the setting volume, in yellow color.
Expired: when the reagent passed the open-vial life or shelf life, in red color.
Non-registered: no reagent is registered in this position, in white color.
Unused: reagent has been registered in this position but has not been enabled on “Reagent Registration”
interface, in blue color.
c)Click “Reaction Unit” to view the real-time status of the reaction unit.
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Fig. 8-2-23
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The reaction unit involves incubation area and test area (incubation area is on the left while test area is on the
right).
The incubation and test temperature are shown in this figure. Click the cuvette to be viewed, and relating test
information will be displayed on the right sides of the window.
The status of current cuvette will be displayed in the status box at right side by characters, and the different
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statuses of cuvette will be displayed on the monitoring diagram on the left wide through different colors at the
same time.
Has cuvette: a cuvette is placed in the reaction unit, in grayish color.
No cuvette: no cuvette is placed on the reaction unit, in white color.
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Fig. 8-2-24
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User manual
e)Click “Machine Status” to view status of each system of the Analyzer. As shown in the figure below:
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Fig. 8-2-25
The instrument status can be read only when the Analyzer is online.
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f)Click “Feeding Mechanism” to view the status of the feeding mechanism of the Analyzer. As shown in the
figure below:
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Fig. 8-2-26
It is available to monitor the loading/use status of feeding box of the feeding mechanism.
(2)Test process
Sample adding sequence: add samples successively by sample numbers, from smallest to largest; and for several
items of the same sample, add samples successively in order of initial letter, from smallest to largest.
(3)Pause or continue
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User manual
If to suspend sample adding or to supplement reagent, click shortcuts or ; and if to continue the
During test, click , and the Analyzer will stop action immediately.
(5)Add sample
a)Add new sample
During test, the registration of other samples can be executed on the “Register” window, and after registration,
click , input the sample number of the added test in the test sending interface, and then click [Test] to
send the command for adding a test.
b)Add new items for existing sample number
Click [Add item] on the “Result Query” interface, and select the sample number range, dilution or Not, and
sample name on the “Add item” window, and then click [Add]. Click , input the sample number of
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the added test in the test sending interface, and then click [Test] to send command of adding test.
Select the sample of items to be added from sample list at the right side of the “Register” interface and also
the items to be added, then click [Register], and send the command of adding a test by clicking ,
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inputting the sample number of the added test in the test sending interface, and then clicking [Test].
It is available to add items to an existing sample number under standby mode or during test.
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● The test results are affected by samples with hemolysis, lipemia and icterus.
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● The sample shall be clear and free of clots, otherwise the probe will be blocked, causing reverse
consequence to test results.
● Some substances of the samples, like medicine or aseptic, will affect the test results.
● Don’t keep the sample open for a long term, or it will volatilize and the test results will be affected.
● Incorrect parameter setting will affect the test result.
● Any violation against the user manual during “Maintenance” may pollute or damage the Analyzer and
further affect the test results.
● We do not suggest users modify or add the test results. The Company disclaims any due responsibilities.
Click “Results” in the function area, and then the display is as shown below.
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Fig. 8-2-27
Click “Result Query” to view, delete, modify, audit, print report and add items of the test results.
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(1)Intraday results
Click (default) on the “Result Query” window to view the intraday
results. All intraday sample information will be displayed on the workspace list as shown in the figure below.
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Fig. 8-2-28
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The window displays sample information on the left and item info and test results on the right.
● If cuvette has no sample or reagent, the probe cannot aspirate sample or reagent normally, and the test
result may be incorrect: “S” means no sample, “R” means no reagent, and “!” means there is neither sample
nor reagent, and the result is marked with color.
● If the item which needs calibration is not calibrated, it’s not allowed to send the test; if allowing to send
testing without calibration is set, testing can be done normally.
a)View original results
The “Result Query” interface does not display original results of items.
b)View calibration/QC results quickly
View calibration results quickly
Select one sample on the left list and the item on the right list of “Result Query” interface, then right-click
mouse and select “Display calibration result (Y)” to open the relating calibration result interface, next all
successful calibration results of the item will be displayed on the interface as shown in the figure below.
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Fig. 8-2-29
View QC results quickly
Select one sample on the left list and the item on the right list of “Result Query” interface, then right-click
mouse and select “Display QC result” to open the relating QC result interface, next all QC results of the same
date of test result are screened and displayed on the interface as shown in the figure below.
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Fig. 8-2-30
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c)Audit
If to audit samples, select the record information and click [Audit/Cancel Audit]. Select test date, and input
sample number in the input box of sample number range as per the regulations shown below.
Input single sample number for operation of single sample such as 1; and input multiple numbers for operation of
multiple samples and separate them with English character ‘,’ or ‘-’ wherein ‘,’ stands for and ‘-’ stands for to,
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for example, 1,3-5 means to operate 1#, and 3#~5#. Then click [Audit] to complete the audit as shown in the
figure below.
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Fig. 8-2-31
Click [Close] to exit the “Audit” window.
● When ticking “Only audit sample with complete patient info”, the sample must have a patient name and
all the items have test results so that they can be audited.
● The start sample number of batch validation should be less than or equal to the end sample number.
● User cannot modify or delete the validated samples but can be modify the results only after the audit is
cancelled.
d)Cancel audit
If to cancel the sample audit, click [Audit/Cancel audit], select test date, and input sample number in the input box
of sample number range as per the regulations same to that for audit.
e)Preview and printing of report
Click [Print] and the figure below will be displayed.
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Fig. 8-2-32
Click [Print] on the “Print” window.
Select “Print only audited patients” to print the audited samples instead of samples that have not been printed,
otherwise, all samples within the setting range will be printed.
Select “Skip printed samples” to skip over the printed samples before, otherwise all samples within the setting
range will be printed.
Click [Close] to exit the “Print” window.
f)Add items
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The start sample number of printing should be less than or equal to the end sample number.
For registered samples, the coagulation items can be added no matter whether there are test results. Click [Add
item] in the “Result Query” window to enter in the item adding window, and the display is as shown below.
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Fig. 8-2-33
Select test date and sample number range (as per regulations same to that for audit), then click the abbreviation of
items to be added in the list. Click [Add] to complete the process.
If to send test of added items, click , select test type, and select start sample number and send the test
by clicking [Test].
g)Modification of results
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User manual
If to modify a certain sample result, click the test result of the sample in the test results area, then the position will
become grey, next input modified result, and press “Enter” to save the modification.
For the items with modified results, there will be relating marks below the “Modification” character.
If to remove the modification mark, right click at the blank space at right side of history query interface (Fig.
8-2-28) and remove the tick of “Mark modified test results (W)”, then the “Modification” character will not
display.
The user with the administration and operation permission can modify test results within 3 days. The user
with the query permission can only view test results.
h)Deletion of results
If to delete a test item, click the results to be deleted on the “Result Query” window and select [Delete item], and
the dialog box for deleting item will be shown as in the figure below.
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Fig. 8-2-34
Select test date, sample number range and the items to be deleted, and then click [Delete] to delete the record.
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Fig. 8-2-35
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Select a test date range from the pull-down menu of “Date Tested”. If to send the results of all test, select “All”
and click [Send], then all required test results will be transferred to LIS system. It is also allowed to send results
under custom mode. First select “User Defined”, and select routine or emergency, then determine the sample
number range and click [Send], then all required test results will be transferred to LIS system.
If LIS function is not used, the [LIS Transfer] button will not be displayed.
(2)Results within three days
Click on the “Result Query” window to view the results within three
days. The specified operations are same to “(1) Intraday results”.
(3)Historical results query
Click “Results” in the functions area, then click “History Query” to enter into the historical results query window as
shown in the figure below.
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Fig. 8-2-36
a)Historical data query
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Query conditions comprises patient name, test date, sex, sample number range, nationality, barcode, section, bed
number, sending department, sending doctor, testing doctor, audit doctor, case number, treatment type, and clinic
diagnosis. Input query conditions in the input box or select them from the pull-down menu, then click [Query] and
the specified record will be displayed in the frame of result list.
Click [Print] to print the acquired reports of historical test results.
b)Historical results comparison
Click the “Results Comparison” option in the “History Query” interface, and the display is as shown below:
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Fig. 8-2-37
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The query can be conducted through two means, i.e., case number and barcode:
Select “By case number” in “Query Conditions”, input case number of query samples, and select the test date
range of samples in the pull-down menu of “Date Tested”.
Select “By barcode” in “Query Conditions”, input barcode of query samples, and select the test time range of
samples in the pull-down menu of “Date Tested”.
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Click [Query], then a new window will pop up, select result statistics based on single or multiple items. Click
[OK], then the results will be displayed in the list box.
Next click [Print] to print the query results.
(4)Result statistics
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Click “Results” in the functions area, then click “Result Stats” to enter into sample results statistics window.
a)Repeatability stats
Click “Repeatability Stats” in the “Result Stats” window as shown in the figure below.
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Fig. 8-2-38
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If to conduct statistics on repeatability of a certain sample, click “Stats by single sample”, input or select test date
range, sample number, abbreviation and repetitive times, then click [Stats], and the results will be displayed in the
statistics column at the lower part of the window. It is available to view the maximum, minimum, range, mean,
SD and variable coefficient for the convenience of confirming the repeatability of the Analyzer.
If to print the statistics results report, click [Print].
The repeatability stats cannot be conducted if no repeatability tests of at least 3 times have been conducted
for a single sample.
If to conduct repeatability stats for multiple samples on “Repeatability Stats” window, click “Stats by multiple
samples” and the figure below will be displayed.
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Fig. 8-2-39
Select a test time range, sample number range, abbreviation, then click [Stats], and the results will be displayed in
the statistics column at the lower part of the window. It is available to view the maximum, minimum, range, mean,
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SD and variable coefficient for the convenience of confirming the repeatability of the Analyzer.
If the results number of a test item within a test date and sample number range is less than 3, when clicking
[Stats], it’s prompted that “The results number of the current selected item is less than 3; please select again”.
If to print the statistics results report, click [Print].
b)Statistics of positive rate in results
Click “Result PR Stats” in the “Result Stats” window as shown in the figure below.
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Fig. 8-2-40
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Input a test date range and sample number range in statistics condition.
Select either “Items with test results only” or “Items with reference range only” or both the two means to make
statistics to the required sample test results.
Click [Stats], and select the statistics items of the sample in the popup window, then click [OK], and the statistics
result will be displayed in the list box.
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Click [Print] to print the results.
c)Item statistics
Click “Item Stats” in the “Result Stats” window, and select a test date range from the statistics condition and click
[Stats], then the figure below will be displayed.
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Fig. 8-2-41
Click [Print] to enter into the printing preview interface, then click to print the item statistics report.
d)Workload stats
Click “Workload Stats” in the “Result Stats” window as shown in the figure below.
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Fig. 8-2-42
Click “Results” in the functions area, then click “Item Recheck”, and the figure below will be displayed.
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Fig. 8-2-43
Click [Set Condition] and the figure below will be displayed.
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Fig. 8-2-44
Select the relating recheck conditions where means being selected, then click [OK]. After sample test, the
Analyzer will add the required sample information to the recheck window.
For recheck test with satisfied conditions, the sample volume is that for the initial test, and the test results will be
displayed in the recheck result row of test result interface.
(2)Register of manual recheck
a)Register of manual recheck for single sample
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If to recheck samples after initial test, select “Recheck” of the sample result column on the “Result Query”
window as displayed as the figure below.
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Fig. 8-2-45
On the “Item Recheck” window, the recheck samples will automatically be displayed in the recheck list. As
shown in the figure below:
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Fig. 8-2-46
Use recheck sample rack
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Select samples to be rechecked, set the rack number and position for recheck in “Recheck info” and decide to
dilute or not, select a dilution plan, then click [Save] and the recheck information setting is over, and changed
rack number and position of the recheck items will be displayed on the list of the recheck area.
Use original sample rack
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Select samples to be rechecked, set the original sample rack number and position in “Recheck info” and decide
to dilute or not, select a dilution plan, then click [Save] and the recheck information setting is over, and rack
number and position of the recheck items will be displayed on the list of the recheck area.
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It is recommended to use the original sample rack for a large volume of recheck to save the preparation time
of test.
b)Register of manual recheck for batched sample
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Click [Batch Registration] on the “Item Recheck” window and the figure below will be displayed.
Fig. 8-2-47
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User manual
Select the sample number range and the items to be rechecked, then click [Register] and the samples will be
added into the recheck list. Refer to “8.2.11 (2) a)-Register of manual recheck for single sample” for other
operations.
(3)Recheck test
After recheck registration, click to select “Recheck test”, and then click [Test].
Check whether the reagent chamber door is closed, and remove the sample rack. Check whether the probe is
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polluted and bent. Check whether the platform of the Analyzer is contaminated or clean.
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In case of any doubts to the functions and operations during use, the operator can click or press “F1” to open
system help.
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User manual
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Tube brush Used for cleaning the incubation bath
Forceps Clean the reagent chamber
Company, otherwise if they are replaced by others, the probe, rinsing bath or pipelines may not be clean, which may
impact the accuracy and precision of the test results. The company will not be responsible for any inaccuracy due to
failure to use detergent as specified.
There are two kinds of detergent used for the coagulation analyzer:
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(1)Detergent I (detergent of probe inner wall): put Detergent I in position 1 of the normal temperature reagent rack
and the probe will aspirate Detergent I and move to the rinsing bath to clean the probe inner wall during
maintenance.
(2)Detergent II (detergent of probe outer wall): put Detergent II in the “Detergent II” position at left rear part of the
Analyzer, and the probe will aspirate detergent II and move to the rinsing bath to clean the probe outer wall during
maintenance.
Click in the auxiliary buttons area, and each mechanism of the analyzer automatically returns to the
resetting point. Stop is allowed during resetting. But you cannot execute tests or other maintenance operation until
instrument standby.
The analyzer reset action should be performed when the alarm message indicates that the operator should perform
a reset, or after a stop in the middle, or when performing a probe single-step motion adjustment.
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User manual
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Fig. 10-3-1
During maintenance of the Analyzer, if to suspend the maintenance action, click in the middle of prompt
column on the software window to terminate the maintenance; however, it is not allowed to suspend some
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maintenance actions, and other actions can proceed only after the current maintenance is over. In case of any
abnormal mechanism during maintenance, an alarm prompt will be displayed on the “Alarm info” window.
10.3.1 Mechanical motion check
Click “As required” on the “Maintenance” window, and select “Mechanical Motion Check” from the list, then the
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Fig. 10-3-2
Input test times in the input box of “Number of Checks” and click [Execute], then the Analyzer will reset first, and
enter into mechanical motions check process automatically in case of no errors. During mechanical motions check,
observe whether the position of mechanism is normal and the execute operation is correct. In case of abnormal
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User manual
condition, stop the mechanical motions check immediately, and conduct troubleshooting as per the alarm
information.
10.3.2 Tubing drainage
Click “As required” on the “Maintenance” window, and select “Tubing Drainage” from the “Integral Maintenance”
list, and then the figure below will be displayed.
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Fig. 10-3-3
Remove the water supply pipe, pure water float switch and large hole filter net from the pure water tank and take
the pipe out of the Detergent II bottle. Click [Execute], and the Analyzer will reset automatically, then conduct pipe
emptying check in case of no error. If there are any abnormal conditions, take troubleshooting measures as per the
alarm information.
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Fig. 10-3-4
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User manual
Click [Execute], and the Analyzer will reset automatically, then conduct pipeline exhausting check in case of no
error. If there are any abnormal conditions, take troubleshooting measures as per the alarm information.
10.3.4 Vertical check for probe
Click “As required” on the “Maintenance” window, and select “Probe Vertical Check” from the list, then the figure
below will be displayed.
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Fig. 10-3-5
Click [Execute] and the analyzer enters the single step check action flow. Click [Step 1], [Step 2] and [Step 3] to
proceed with the next action in order. Click to stop this maintenance action. Click , and the
analyzer will automatically enter the standby state.
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Fig. 10-3-6
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User manual
Tick “Probe Horizontal Check”, click [Execute], it’s prompted that “Please execute only if the upper cover is
opened”, open the upper cover of the analyzer, click [Yes] on the prompt interface, and the analyzer enters the
single step check action flow. Click [Step 1], [Step 2] and [Step 3] to proceed with the next action in order. Click
to stop this maintenance action. Click , and the analyzer will automatically enter the standby
state.
10.3.6 Check clamp position
Click “As required” on the “Maintenance” window, and select “Clamp Position Check” from the list, then the figure
below will be displayed.
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医
Fig. 10-3-7
瑞
Tick “Clamp Position Check”, click [Execute], it’s prompted that “Please execute only if the upper cover is
opened”, open the upper cover of the analyzer, click [Yes] on the prompt interface, and the analyzer automatically
performs resetting and clamp position check. During the check process, observe whether the clamp is at right
positions and the action position is correct. In case of abnormal condition, stop the check immediately, and conduct
troubleshooting as per the alarm information.
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10-5
User manual
Fig. 10-3-8
疗
Click [Execute], and the Analyzer will reset automatically, then conduct photometer check and list the check results
in the list at the right side in case of no error. If there are any abnormal conditions, stop the check immediately and
take troubleshooting measures as per the alarm information.
10.3.8 Probe rinse
医
On the “Maintenance” window, click the “Daily Maintenance” option, select “Probe Rinse” from the list, and the
interface is as shown below:
瑞
迪
Fig. 10-3-9
Click [Execute], and the analyzer is reset automatically; after correct resetting, probe rinse is performed; while the
probe is rinsed, observe whether the probe aspirates Detergent I (probe inner wall detergent), Detergent II (probe
outer wall detergent) and pure water, and whether the probe rinse operation is performed in the correct way. When
any abnormality occurs, the check is stopped. Handle according to the corresponding alarm message.
10.3.9 Reagent shaking check
On the “Maintenance” window, click the “Daily Maintenance” option, select “Reagent Shaking Check” from the
list, as shown below:
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User manual
Fig. 10-3-10
Click [Execute], and the analyzer is reset automatically. After that, carry out Reagent Shaking Check, and notice
On the “Maintenance” window, click the “Weekly Maintenance” option, and select “Tubing Automatic Rinse”
医
from the list, as shown below:
瑞
迪
Fig. 10-3-11
Click [Execute], and the analyzer is reset automatically. After that, carry out Tubing Automatic Rinse. When any
abnormality occurs, the check is stopped. Handle according to the corresponding alarm message.
10.3.11 Waste Liquid Tube Rinse
On the “Maintenance” window, click the “Monthly Maintenance” option, and select “Waste Liquid Tube Rinse”
from the list, as shown below:
10-7
User manual
Fig. 10-3-12
Click [Execute], and the analyzer is reset automatically. After that, carry out Waste Liquid Tube Rinse. When any
疗
abnormality occurs, the check is stopped. Handle according to the corresponding alarm message.
day):
(○: Clean and check regularly ●: Replace and add regularly)
Table 10-4-1 List of Parts to be Cleaned, Checked and Replaced Regularly
迪
Cycle
No Items Reference
Appropriate
Daily Weekly Monthly
time
1 Incubation and test position ○ 10.5.2
4 Waste box ○ ——
10-8
User manual
Cycle
No Items Reference
Appropriate
Daily Weekly Monthly
time
10 Cooling fan and dust cover ○ 10.5.8
11 Printing paper, colored tape, ink and toner
● Specifications
(Note a) cartridge
12
Pure water unit ● Specifications
(Note b)
13 Pure water tank ○ 10.5.5
Notes:
a)The Analyzer can be equipped with stylus, ink-jet or laser printer, and user can select consumables as per
the type of printer.
b)If the conductivity is pure water is more than 1μs/cm, please contact the seller of the pure water unit for
troubleshooting.
10.4.2 Spare parts for regular replacement and maintenance
Please prepare the following parts all the time for repairing the Analyzer at any time in case of faults. The parts are
shown in Table 10-4-2.
No.
1
Part name
Remarks
Appropriate amount
医
2 Printing paper Used for printing Appropriate amount
● Don’t spill water, reagent detergent or other solutions on the machine or electric parts of the Analyzer in
case of any damages.
● Don’t touch probe or mechanical arm during operation of the Analyzer in case of infection or injury.
● During operation, the operators shall take preventive measures like wear protective gloves, glasses,
working suits in case of infection due to touch with polluted area or solution or skin injury due to contact
with corrosive liquid. The operator shall rinse with water and take disinfection measures after contact with
the polluted or corrosive liquid due to carelessness.
● During maintenance process, please check whether there are hazards caused by inefficiency of hoses or
parts filled with solution.
10.5.1 Probe cleaning
The inner/outer wall of the probe may have plasma, reagent or dip, or is easy to be blocked after long term of use, as
a result the test results of the Analyzer may be affected.
(1)Cleaning of probe tip surface
a)Turn off the power of the Analyzer.
b)Remove the probe to upper side of the rinsing bath.
c)Wipe the surface of the probe with swab dipped in alcohol.
d)After cleaning, no crystals are allowed on the probe surface.
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User manual
Don’t put a large amount of alcohol near the Analyzer during use providing the alcohol is inflammable.
(2)Cleaning of blocked probe
If the Analyzer has the alarm of “probe blocked” or the liquid from the probe is discontinuous or flows in strands,
the probe shall be cleared.
a)Turn off the power of the Analyzer;
b)Remove the probe by using the accompanying tools;
c)Connect the contact at the end of probe unblocking tooling with the contact on the probe, take a clean cuvette,
and inject Detergent II; then put the probe into the detergent in the cuvette and pull the piston of the syringe to
aspirate the detergent; finally expel the detergent after 5 min. If failed to unblock the probe, soak the probe in hot
water for 5 min, and pull/push the injector piston repeatedly.
d)After step c), if the probe still cannot exhaust fluid, the blockage is very serious, then use the probe unblocking
needle to penetrate the probe tip for cleaning again.
Afterwards, repeat step c) with nozzle cleaning tooling.
e)After the cleaning is completed, the probe is restored to its original state in reverse order. Turn on the
analyzer power switch, click [Machine Maintenance] in the “Maintenance” window, select “Tubing Exhaust”,
and click [Execute] to perform the pipe exhaust operation once.
(3)Cleaning of rinse tank
疗
a)If the rinse tank is polluted, use the tube brush dipped in Detergent II to rinse;
b)Then inject Detergent II of about 10mL into the rinse tank; and pour pure water of about 100mL in each rinse
tank for flushing.
After flushing, the dirt in the rinsing bath can be removed, and the bacteria can be inhibited to grow and breed.
医
Generally, the cleaning process shall be conducted once every month. The dirt of the Analyzer discovered during
use shall be cleared promptly.
10.5.2 Rinsing of incubation and test position
The dust of incubation and test position shall be cleared timely after long term of use or those positions may become
瑞
results.
(4)Turn on the switch of the analyzer, and execute the photometer check once. For detailed operation refer to
“10.3.7 Check photometer”.
Don’t put a large amount of alcohol near the Analyzer during use providing the alcohol is inflammable.
10.5.3 Reagent chamber cleaning
(1)Refrigerating reagent chamber
After test each day, clean the refrigerating reagent chamber by wiping with gauze that is picked up by forceps.
(2)Normal-temperature reagent rack
Place Detergent Ⅰ and diluent in the normal temperature reagent rack. If some detergent and/or diluent are stuck to
the normal temperature reagent rack, wipe the position with alcohol-dipped gauze that is picked up by forceps.
10.5.4 Sample chamber cleaning
When the sample chamber is dirty, wipe it with alcohol-dipped gauze that is picked up by forceps in case that there
is difficulty or jamming during pushing sample rack into the sample channel.
10.5.5 Pure water tank cleaning
The pure water is placed outside of the instrument, and shall be connected with the Analyzer through pipeline. The
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User manual
pure water of the Analyzer shall be prepared by external pure water device and added into the pure water tank. Any
dust or foreign matters falling into the pure water tank during replacing the pure water will block the pure water
pipeline, affect normal operation of the Analyzer, and further affect the accuracy of test results. At this time the pure
water tank and pure water filter net should be cleaned in a timely manner.
10.5.6 Pure water tank large hole filter cleaning
(1)Turn off the power switch on the right side of the analyzer, unscrew the pure water tank cap counterclockwise,
and take out the pure water float switch and the large hole filter in the tank, as shown in the figure below:
Fig. 10-5-1
疗
(2)Prepare containers such as a bucket to hold water. After unplugging the large-hole filter joint, rinse the
large-hole filter repeatedly with the distilled water on the front and back sides until the surface of the large-hole
filter is cleaned.
(3)Install the large-hole filter and the pure water float switch back to the original position, and turn on the power
医
switch on the right side of the analyzer.
(4)Perform pipeline exhaust operation once: Click “Machine Maintenance” in the “System Maintenance” window,
select “Tubing Exhaust”, and click “Execute”.
10.5.7 Detergent II filter cleaning
瑞
(1)Turn off the power switch on the right side of the analyzer, open the detergent cover door on the left side of the
analyzer, take out the Detergent II bottle, unscrew the bottle cap counterclockwise, and take out the pipe and filter
in the bottle, as shown below:
迪
Fig. 10-5-2
(2)Prepare containers such as a bucket to hold water. After unplugging the large-hole filter joint, rinse the
large-hole filter repeatedly with the distilled water on the front and back sides until the surface of the large-hole
filter is cleaned.
(3)Install the filter and pipeline back into place and turn on the power switch on the right side of the analyzer.
Detergent II filter should be cleaned once a month.
10.5.8 Cleaning of cooling fan and dust cover
Providing the cooling fan and dust cover will have dust on its surface after long term of use, so they should be
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User manual
Use pure water to clean surface of syringe pump instead of alcohol or other organic solution.
10.5.10 Overheating protection device check
The incubation/testing assembly have an overheating protection device. It should be checked once a year in order
疗
to ensure normal operation of the analyzer.
Insert the temperature sensor into the incubation hole, and read the temperature 3 minutes later. If the temperature
is over high or over low, please contact the customer service personnel.
10.5.11 Liquid level protection device
医
To ensure normal operation of the analyzer, the liquid level protection device should be checked once a year. If
there is an abnormal result, please contact the customer service personnel.
(1)Unscrew the cap of the pure water tank, and take the float out, as shown below:
瑞
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User manual
(2)Unscrew the cap of the waste liquid tank, and take the float out, as shown below:
疗
医
瑞
Take the following measures to maintain the Analyzer before maintenance or treatment, or not used for long:
(1)Take out all reagent bottles and samples, and discharge the calibration solution and QC solution.
(2)Empty the pipeline in “Maintenance” as detailed in “10.2.6 Pipeline emptying”.
(3)Remove all the connection cables and store carefully, avoiding twisting and damaging them.
(4)Remove all the connection hoses and store carefully.
(5)Cover the analyzer with the dust-proof hood, so as to keep the surface of the analyzer clean.
10.5.13 Cleaning and maintenance of the Analyzer
Clean the surface of the analyzer regularly to keep it tidy. Wipe the surface with a wet and soft cloth or gauze,
dipped in detergent of small amount if necessary. Don’t wipe it with any organic solvent in case of damages to the
case.
The operator shall pay attention to the following matters during cleaning.
(1)Take proper disinfection measures in case of hazardous substance leaked on the surface or inside the equipment.
(2)Don’t use the detergent or sanitizer with possibility of danger due to chemical reaction with parts or materials in
equipment.
(3)In case of doubts about the compatibility between the sanitizer or detergent and parts or materials in equipment,
please consult the manufacturer or its agent.
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User manual
● Please handle the waste liquid of the Analyzer to prevent potential biological and chemical pollution.
● The waste cuvette shall not be abandoned together with household refuses.
疗
医
瑞
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User manual
Examples
1. The Analyzer is not maintained correctly and 1. Maintain the Analyzer regularly as per the User Manual.
regularly. 2. Replace reagent, and save and use the reagent correctly.
2. The reagent is going bad, having chemicals 3. Keep the conductivity of pure water at 1μs/cm.
Poor dissolved or mixing with impurities.
4. Replace the reagent.
迪
The above conditions are only examples, and the data abnormities during test shall be analyzed as per the
specific causes.
11.2.2 Faults of the Analyzer without alarm
The Analyzer fault and solutions without alarms are shown in Table 11-2-2.
11-1
User manual
疗
communication setting interface, and check
Current LIS is not connected; whether LIS is enabled;
0-1 Caution level
cannot perform sample application c. If LIS is not enabled, please select enable
LIS and test the connection;
d. If the connection test failed, please check
the connecting device or check whether LIS
医
server is on or not and whether it can work
normally.
a. Check whether LIS server has related
Sample No.{0} LIS application sample info;
0-2 Caution level
failed b. Check whether sample placement is
correct.
瑞
11-2
User manual
0-25
Caution level
Caution level
adding time calculation start
point-second asiprated sample
volume
疗
Procedure analysis failed: Cannot
perform analysis when sequencing
a. Attempt: start software again, and test
again.
11-3
User manual
疗
0-42 Caution level reaction end time failed; method 3 configure analytical parameters, and test
parameters are not proper or again
reaction is abnormal
Sample No.{1}, item {0}, test
repeat times {2}: searching a. Check the testing process, correctly
0-43 Caution level reaction end time failed; method 3 configure analytical parameters, and test
医
threshold setting is over low again
compared to the test process
Sample No.{1}, item {0}, test
a. Check the testing process, correctly
repeat times {2}: searching
0-44 Caution level configure analytical parameters, and test
reaction end time failed; internal
again
parameters used invalid method
瑞
Sample No.{1}, item {0}, test a. Check the testing process, correctly
0-45 Caution level repeat times {2}: time 1 step-type configure analytical parameters, and test
curve ratio check failed again
Sample No.{1}, item {0}, test a. Check the testing process, correctly
0-46 Caution level repeat times {2}: time 2 step-type configure analytical parameters, and test
迪
11-4
User manual
疗
again
Sample No.{1}, item {0}, test
a. Check the testing process, correctly
repeat times {2}: step-type curve;
0-62 Caution level configure analytical parameters, and test
there is a over smooth area, more
again
than 1s
Sample No.{1}, item {0}, test a. Check the testing process, correctly
医
0-63 Caution level repeat times {2}: FBG reliability is configure analytical parameters, and test
low again
Sample No.{1}, item {0}, test a. Check the testing process, correctly
0-64 Caution level repeat times {2}:fall dramatically, configure analytical parameters, and test
threshold error again
瑞
Sample No.{1}, item {0}, test a. Check the testing process, correctly
0-65 Caution level repeat times {2}:fall dramatically, configure analytical parameters, and test
ratio error again
Sample No. {1}, item {0}, test
a. Check the testing process, correctly
repeat times {2}: step-type curve;
0-66 Caution level configure analytical parameters, and test
there is a relatively smooth area,
again
迪
11-5
User manual
疗
0-80 Caution level configure analytical parameters, and test
repeat times {2}: no linearity
again
Current communication is
0-81 Caution level abnormal; please disconnect and a.please disconnect and then connect again!
then connect again
{0}error occurred; may affect a. Check the testing process, correctly
医
0-82 Caution level testing Please contact the configure analytical parameters, and test
after-sales engineer again
The fitting degree is below the
0-83 Caution level a. Please calibrate again.
system default.
Test result exceeded the lower
0-84 Caution level a. Please set the computer parameters again.
瑞
11-6
User manual
疗
when the probe is reset b. Please contact maintenance personnel if the
fault cannot be eliminated or other fault
appears.
a. Call out the system maintenance window,
please execute "Reset" first, and then execute
Probe cleaning timeout when the "Mechanical Motion Check".
2-504 Stop level
医
probe is reset b. Please contact maintenance personnel if the
fault cannot be eliminated or other fault
appears.
a. Call out the system maintenance window,
please execute "Reset" first, and then execute
Probe control board, timeout of
"Mechanical Motion Check".
瑞
11-7
User manual
疗
2-550 Stop level
is reset b. Please contact maintenance personnel if the
fault cannot be eliminated or other fault
appears.
a. Call out the system maintenance window,
please execute "Reset" first, and then execute
医
Timeout of scanning of X-axis "Mechanical Motion Check".
2-551 Stop level
tooth fork when the gripper is reset b. Please contact maintenance personnel if the
fault cannot be eliminated or other fault
appears.
a. Call out the system maintenance window,
please execute "Reset" first, and then execute
瑞
11-8
User manual
appears.
a. Call out the system maintenance window,
please execute "Reset" first, and then execute
Timeout of reset of temperature "Mechanical Motion Check".
2-600 Stop level
control board b. Please contact maintenance personnel if the
迪
11-9
User manual
appears.
a. Call out the system maintenance window,
please execute "Reset" first, and then execute
"Mechanical Motion Check".
2-751 Caution level Pipeline air exhausting timeout
b. Please contact maintenance personnel if the
迪
11-10
User manual
appears.
a. Check whether the barcode is damaged.
b. Draw out the reagent rack with scanning
Scanning of channel barcode of error and re-scan the barcode.
2-891 Caution level
sample rack 1 failed c. Please contact maintenance personnel if the
迪
11-11
User manual
疗
3-4 Stop level b. Please contact maintenance personnel if the
failed
fault cannot be eliminated or other fault
appears.
a. Call out the system maintenance window,
and execute "Reset".
Y-axis motor of probe failed to
3-5 Stop level b. Please contact maintenance personnel if the
leave zero point
医
fault cannot be eliminated or other fault
appears.
a. Call out the system maintenance window,
and execute "Reset".
Zeroing of Y-axis motor of probe
3-6 Stop level b. Please contact maintenance personnel if the
failed
fault cannot be eliminated or other fault
瑞
appears.
a. Call out the system maintenance window,
and execute "Reset".
Syringe pump motor failed to
3-7 Stop level b. Please contact maintenance personnel if the
leave zero point
fault cannot be eliminated or other fault
迪
appears.
a. Call out the system maintenance window,
and execute "Reset".
Zeroing of syringe pump motor
3-8 Stop level b. Please contact maintenance personnel if the
failed
fault cannot be eliminated or other fault
appears.
a. Call out the system maintenance window,
and execute "Reset".
Syringe motor failed to leave zero
3-11 Stop level b. Please contact maintenance personnel if the
point
fault cannot be eliminated or other fault
appears.
a. Call out the system maintenance window,
and execute "Reset".
3-12 Stop level Zeroing of syringe motor failed b. Please contact maintenance personnel if the
fault cannot be eliminated or other fault
appears.
a. Call out the system maintenance window,
and execute "Reset".
Checking of X-axis forward code
3-14 Stop level b. Please contact maintenance personnel if the
disk of probe failed
fault cannot be eliminated or other fault
appears.
11-12
User manual
疗
stop level failed b. Please contact maintenance personnel if the
fault cannot be eliminated or other fault
appears.
a. Call out the system maintenance window,
please execute "Reset" first, and then execute
Sample-adding Positioning of Y axis of probe "Mechanical Motion Check".
3-21
医
stop level failed b. Please contact maintenance personnel if the
fault cannot be eliminated or other fault
appears.
a. Call out the system maintenance window,
please execute "Reset" first, and then execute
Sample-adding Opening of solenoid valve V1 "Mechanical Motion Check".
瑞
3-23
stop level failed b. Please contact maintenance personnel if the
fault cannot be eliminated or other fault
appears.
a. Call out the system maintenance window,
please execute "Reset" first, and then execute
迪
11-13
User manual
3-32
Sample-adding
stop level
Closing of solenoid valve V5
failed 疗 a. Call out the system maintenance window,
please execute "Reset" first, and then execute
"Mechanical Motion Check".
b. Please contact maintenance personnel if the
fault cannot be eliminated or other fault
医
appears.
a. Call out the system maintenance window,
please execute "Reset" first, and then execute
Sample-adding Opening of solenoid valve V6 "Mechanical Motion Check".
3-33
stop level failed b. Please contact maintenance personnel if the
fault cannot be eliminated or other fault
瑞
appears.
a. Call out the system maintenance window,
please execute "Reset" first, and then execute
Sample-adding Closing of solenoid valve V6 "Mechanical Motion Check".
3-34
stop level failed b. Please contact maintenance personnel if the
迪
11-14
User manual
疗
a. Call out the system maintenance window,
and execute "Reset".
Zeroing of Z-axis motor of gripper
4-2 Stop level b. Please contact maintenance personnel if the
failed
fault cannot be eliminated or other fault
appears.
a. Call out the system maintenance window,
医
and execute "Reset".
Y-axis motor of gripper failed to
4-11 Stop level b. Please contact maintenance personnel if the
leave zero point
fault cannot be eliminated or other fault
appears.
a. Call out the system maintenance window,
and execute "Reset".
瑞
11-15
User manual
疗
a. Call out the system maintenance window,
please execute "Reset" first, and then execute
Gripper failed to release the "Mechanical Motion Check".
4-61 Stop level
cuvette b. Please contact maintenance personnel if the
fault cannot be eliminated or other fault
appears.
医
a. Check whether the reagent mixing motor is
stuck
b. Call out the system maintenance window,
Reagent mixing motor's leaving please execute "Reset" first, and then execute
4-65 Caution level
zero failed "Mechanical Motion Check".
c. Please contact maintenance personnel if the
瑞
Reagent mixing motor zeoring please execute "Reset" first, and then execute
4-66 Caution level
failed "Mechanical Motion Check".
c. Please contact maintenance personnel if the
fault cannot be eliminated or other fault
appears.
a. Call out the system maintenance window,
please execute "Reset" first, and then execute
Clamping jaw's adding cuvette was "Mechanical Motion Check".
4-70 Caution level
skipped b. Please contact maintenance personnel if the
fault cannot be eliminated or other fault
appears.
Sample-adding Clamping jaw control board a.Power up the instrument again
4-71
stop level FLASH erasure failed b.Replace the clamping jaw control board
a. Call out the system maintenance window,
Peltier cooling timeout, no
and execute "Reset".
temperature drop after the test area
5-1 Caution level b. Please contact maintenance personnel if the
has been refrigerated for a period
fault cannot be eliminated or other fault
of time.
appears.
a. Call out the system maintenance window,
Excessively high AD value of and execute "Reset".
5-4 Caution level temperature sensor in reagent b. Please contact maintenance personnel if the
collection chamber. fault cannot be eliminated or other fault
appears.
11-16
User manual
疗
the instrument is in standby state.
b. Call out the system maintenance window,
Sample-adding
5-9 Waste liquid tank filled and execute "Reset".
stop level
c. Please contact maintenance personnel if the
fault cannot be eliminated or other fault
appears.
医
a. Call out the system maintenance window,
and execute "Reset".
Float of waste liquid tank floating
5-10 Stop level b. Please contact maintenance personnel if the
abnormally
fault cannot be eliminated or other fault
appears.
a. Measure ambient temperature firstly.
瑞
11-17
User manual
疗
a. Call out the system maintenance window,
and execute "Reset".
Excessively low AD value of
5-21 Caution level b. Please contact maintenance personnel if the
environment temperature sensor
fault cannot be eliminated or other fault
appears.
Sample-adding
5-22 Insufficient detergent on outer wall a. Add detergent on outer wall
医
stop level
a. Call out the system maintenance window,
Receiving communication message and execute "Reset".
5-23 Caution level from liquid level detection board b. Please contact maintenance personnel if the
failed fault cannot be eliminated or other fault
appears.
瑞
appears.
a. Please operate it according to the
instructions.
b. Call out the system maintenance window,
Sample-adding Sample rack 1 drawn out during
5-29 and execute "Reset".
stop level the test
c. Please contact maintenance personnel if the
fault cannot be eliminated or other fault
appears.
a. Please operate it according to the
instructions.
b. Call out the system maintenance window,
Sample-adding Sample rack 2 drawn out during
5-30 and execute "Reset".
stop level the test
c. Please contact maintenance personnel if the
fault cannot be eliminated or other fault
appears.
a. Please operate it according to the
instructions.
b. Call out the system maintenance window,
Sample-adding Sample rack 3 drawn out during
5-31 and execute "Reset".
stop level the test
c. Please contact maintenance personnel if the
fault cannot be eliminated or other fault
appears.
11-18
User manual
疗
Reagent rack 1 drawn out during
and execute "Reset".
c. Please contact maintenance personnel if the
fault cannot be eliminated or other fault
appears.
a. Please operate it according to the
医
instructions.
b. Call out the system maintenance window,
Sample-adding Feeding box 1 drawn out during
5-36 and execute "Reset".
stop level the test
c. Please contact maintenance personnel if the
fault cannot be eliminated or other fault
appears.
瑞
11-19
User manual
疗
fault cannot be eliminated or other fault
appears.
a. Call out the system maintenance window,
and execute "Reset".
Error of dark current AD value of
8-10 Stop level b. Please contact maintenance personnel if the
photocell for test channel 2
fault cannot be eliminated or other fault
医
appears.
a. Call out the system maintenance window,
and execute "Reset".
Error of dark current AD value of
8-11 Stop level b. Please contact maintenance personnel if the
photocell for test channel 3
fault cannot be eliminated or other fault
appears.
瑞
11-20
User manual
疗
fault cannot be eliminated or other fault
appears.
a. Call out the system maintenance window,
and execute "Reset".
AD value of photocell for test
8-23 Stop level b. Please contact maintenance personnel if the
channel 7 reached full range
fault cannot be eliminated or other fault
医
appears.
a. Call out the system maintenance window,
and execute "Reset".
AD value of photocell for test
8-24 Stop level b. Please contact maintenance personnel if the
channel 8 reached full range
fault cannot be eliminated or other fault
appears.
瑞
11-21
User manual
疗
channel 8 beyond the normal range
and execute "Reset".
c. Please contact maintenance personnel if the
fault cannot be eliminated or other fault
appears.
a. Call out the system maintenance window,
医
and execute "Reset".
Excessively high temperature of
12-2 Caution level b. Please contact maintenance personnel if the
the test area
fault cannot be eliminated or other fault
appears.
a. Call out the system maintenance window,
and execute "Reset".
瑞
12-4 Caution level temperature rise after the test area b. Please contact maintenance personnel if the
has been heated for some time fault cannot be eliminated or other fault
appears.
11-22
User manual
12.1 Transportation
The transportation of Analyzer is specified in the contract, during which fierce collision, rain and exposure to sun
shall be prevented; also the Analyzer shall not be placed together with corrosive materials.
(1)Ensure that the liquid in the syringe pump and other pipes is drained before transport.
(2)During all moving and transporting processes, the analyzer must be kept in an upright direction.
12.2 Storage
The packed Analyzer shall be stored in an indoor space that is clean, ventilated and free of chemicals and corrosive
gas, and with ambient temperature of -40℃~55℃ and relative humidity of no more than 93%.
(1)Avoid direct sunlight in the storage process.
(2)During storage, ensure that the liquid in the analyzer syringe pump and other pipes is drained.
(3)Ensure that the analyzer is in an upright direction during storage.
疗
医
瑞
迪
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User manual
疗
医
瑞
迪
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User manual
Appendix A Warranty
Dear users,
Thanks for using Automatic Blood Coagulation Analyzer (model: BCA-1000). Our company offers the following
services:
(1)Technical consultation at any time
(2)One-year free warranty for the complete machine from the date of purchase; and free repair service for any fault
caused due to design/manufacturing defects within the warranty period
(3)Paid services in the following cases:
a)The product out of warranty
b)Product damage due to an accident or improper use
c)Product damage due to non-compliance with the User Manual
d)Product damage due to repair without permission of our company
(4)With the development of technologies, our company will also provide update service of the Analyzer.
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Address: 3333 Yiju Road, New & High Tech. Development Zone Changchun, Jilin 130103, the People’s Republic
of China
International Customer Service Hotline: +86 400 808 7597
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International Customer Service E-mail: service@dirui.com.cn
Domestic Customer Service Hotline: 400 811 6695 400 811 6605
Domestic Fax: 0431-85100405
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Forward
Please read and understand the interface manual carefully before to ensure correct user of the system.
The objects of the use instructions are the personnel who develop LIS (laboratory information system) and other
personnel who need understand the HL7 interface. The interface manual is used to guide the developer to develop
the LIS interface to realize the communication between the LIS and the Analyzer system. The developing personnel
shall master the knowledge of LIS&HL7 standards and network programming abilities. The communication
protocol for network layer is TCP/IP and for application layer is HL7, and the version is 2.3.1. It is suggested to use
Visual C++, Delphi and other development tools on Windows platform.
1. Summary of interface
HL7 is the standard health information transmission agreement, and the agreement for electronic transmission
between different medical applications. HL7 integrates the interface standard formats of the application software of
different manufacturers, and it allows the data interaction among heterogeneous systems of different mechanism
institutes. The concept is defined in America firstly, and now it is accepted in many other countries.
The data transmission format of the interface is established based on HL7 version of 2.3.1.
1.1 HL7 message structure
In the HL7 communication protocol, the Message is the basic unit for exchange between data and system, and each
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message, with its own type, is used to define the trigger event of message type of the message category. A message
consists of several segments and each segment is provided with a name to define it contents and function. A segment
consists of several data fields. The first segment of a message is the message head segment which shows the
program name, message type and the only message ID number for sending and reception, and the composition of the
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following segments is determined by the message type. For example, the PID (Patient Identification Data)
comprises the name, address and social insurance number. A data segment may consist of several elements. Some
messages are further classified according to the event code.
The interface is defined based on HL7v2.3.1, with details shown in HL7 Interface Standards Version 2.3.1.
1.2 HL7 underlying protocol
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TCP/IP is a byte stream protocol which does not provide the message boundary. HL7, the upper layer protocol, is
based on the information, however, it does not provide message termination mechanism. To determine the message
boundary, we use the minimal underlying protocol (described in HL7 Interface Standards Version 2.3.1). The
message starts with a single character and ends with two characters.
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The process diagram to obtain sample application information from LIS server is as below:
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ORU/ACK: non-request observation report/response. ORU^R01 message is mainly used to transmit the laboratory
result in HL7. We use it to transmit sample information, testing result and QC result to LIS.
The transmission information and testing results are:
Patient information (name, sample No., etc.)
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Doctor’s advice (sample type, sending doctor, check doctor, clinical diagnosis, etc.)
Check result
It is a group of messages where each message is related to a sample message (there may exist the testing results of
many items). LIS system can select and use the message as per the demand. In the below is the specific structure:
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ACK^R01: the response of message to ORU. In the below is the specific structure:
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QRY/QCK: inquire the observation result/response. QRY^Q02 message inquires the current date to get the sample
information for LIS system. It has the following structure:
QRY Query Description
MSH Message header
QRD Query definition
QRF Query filter
DSR/ACK: response to QRY message, and the display/response to the observation result. DSR^Q03 message is
used to response the QRY message on the one hand, and on the other hand, it is used to send and display the query
results, or let the LIS send the sample information to the Analyzer. The specific structure is as below:
DSR Display Response Description
MSH Message header
MSA Message confirmation
{DSP} Display data
ACK^Q03: the response of message to DSR message. The specific structure is as below:
ACK Acknowledgment Description
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Message header
Message confirmation
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This section introduces all domains of the message segment in detail. Among them the serial number followed by
#is the required field of HL7. We will not omit the unused fields of the message segment for the purpose of
expanding in the future.
2.2.1MSH Message Header
The first message segment, and all segments of HL7 message is started with MSH segment. The segment is used to
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define the concept, origin, purpose and some grammatical details of the message.
The MSH segment of the interface includes the following domains:
S/N Field name Length Description
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Note: the segment will appear in all messages. For the HL7 message sent from LIS system to the Analyzer, the value
of fields 3 & 4 of the segment are specified by the LIS developer while the fields 5 & 6 are set by the users on the
Analyzer software. The fields 10 & 16 are integers, and other fields are set as character strings.
2.2.2 MSA - message acknowledgment segment
The MSH segment of the interface includes the following domains:
S/N
1#
Field name
Acknowledgment Code
Length
2 疗 Description
Confirmation code, AA means accepted, AE means error, AR
means rejected, OK means data found, and NF means no data
found. OK and NF are only effective under the mode of DSR^Q03.
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2# Message Control ID 20 The message control ID is same to the MSH-10 of the sender.
The test message is the textual description of event in case of error
3 Text Message 80
or rejection. Relative to the field 6, and used to write the error log.
4 Expected Sequence Number 15 Blank and remained. Expected serial number.
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Delayed Acknowledgment
5 1 Blank and remained. Delayed confirmation mode.
Type
6 Error Condition 100 Error condition (status code).
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Note: the message segment may appear in ACK^R01, DSR^Q03 and ACK^Q03. The fields 4 & 6 are integers, and other
fields are set as character strings.
2.2.3. PID Patient Identification
PID segment is mainly used to construct the patient information. The PID segment of the interface includes the following
domains:
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2 Placer Order Number 22
No.
3 Filler Order Number 5 Number of doctor’s advice of the executor, used as the sample No.
4# Universal Service ID 200 Common service identifier.
5 Priority 2 Emergency treatment or no, Y stands for yes, and N for no.
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6 Requested Date/time 26 Blank and remained. Request time/date.
7 Observation Date/Time 26 Observation date/time, used as the check date/time.
8 Observation End Date/Time 26 Blank and remained. Observation end date/time.
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38
39
40
Transport Logistics of
Collected Sample
Collector’s Comment
Transport Arrangement
Responsibility
60
200
60
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Blank and remained. Transport logistics of collected samples.
47 Ordering Provider Address 106 Blank and remained. Address of requester and provider.
Note: the message segment is only suitable for ORU^R01. The sample position fields 1, 3, 9 and 10 and fields 15 & 37 are
integers, and other fields are set as character strings.
If the item QC testing results (the result is 2 for MSH-16) is delivered, the definition of its field is as follows:
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21 Filler Field 2 10
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If the difference between the absolute values of the result and the
mean is larger than or equal to SD and less than 2SD, return to +1SD
(or -1SD);
If the difference between the absolute values of the result and the
mean is larger than or equal to 2SD and less than 3SD, return to
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+2SD (or -2SD);
If the difference between the absolute values of the result and the
mean is larger than or equal to 3SD, return to +3SD (or -3SD).
Result Rpt/Status Change –
22 26 Blank and remained. Result report date/time.
Date/Time
Used as QC rules.
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If the difference between the absolute values of the result and the
mean is larger than or equal to SD and less than 2SD, return to
blank;
23 Charge to Practice 10 If the difference between the absolute values of the result and the
mean is larger than or equal to 2SD and less than 3SD, return to
1-2s;
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If the difference between the absolute values of the result and the
mean is larger than or equal to 3SD, return to 1-3s.
24 Diagnostic Serv Sect ID 10 Blank and remained. Diagnosis ID.
25 Result Status 1 Blank and remained. Result status.
26 Parent Result 200 Blank and remained. Father doctor’s advice result.
27 Quantity/Timing 200 Blank and remained. Quantity/time.
28 Result Copies To 150 Blank and remained. Result copy.
29 Parent 150 Blank and remained. Father doctor’s advice.
30 Transportation Mode 20 Blank and remained. Transmission mode.
31 Reason for Study 300 Blank and remained. Study of cause.
32 Principal Result Interpreter 30 Blank and remained. Key interpreter of results.
33 Assistant Result Interpreter 200 Blank and remained. Assistant interpreter of results.
34 Technician 200 Blank and remained. Technician.
35 Transcriptionist 200 Blank and remained. Transcription.
36 Scheduled Date/Time 26 Blank and remained. Planned date/time.
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Note: the message segment is only suitable for ORU^R01. The sample position fields 1 & 10, module fields and
inner/outer marking fields 11 & 12, and the field 15 are integers; the fields 17, 18 and 19 are floating numbers; and
other fields are set as character strings.
2.2.5. OBX Observation
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OBX is mainly used to transfer the observation information in the report message. If the sample information (the
result is 0 for MSH-16) is delivered, there may be several OBXs for one patient. The OBX segment of the interface
includes the following domains:
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S/N Field Length Description
1 Set ID – OBX 10 Determine different OBX fields.
For the type of values, NM (numeric), used for marking the type of
2 Value Type 3 testing results, refers to the numerical value; and ST (string) is used
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Note: the message segment only appears in ORU^R01. The repeated detection fields 1, 3 and 4 are integers; the
fields 5 & 13 are floating numbers; and other fields are set as character strings.
2.2.6. QRD - query definition segment
The OBX segment of the interface includes the following domains:
S/N Field Length Description
1# Query Date/Time 26 The query time is subject to the system time.
Query format code and method is set as SN (refers to sample
2# Query Format Code 2
numbering method and BC (refers to sample barcode method).
3# Query Priority 1 Query priority, set as D (deferred).
Query ID, referring to different queries, increasing from 1 along with
4# Query ID 10
the query numbers.
5 Deferred Response Type 1 Blank and remained. Delayed response type.
6 Deferred Response Date/Time 26 Blank and remained. Delayed response date/time.
7# Quantity Limited Request 10 Quantity limit rules, set as RD (Records).
Inquirer filtering symbol, if QRD-2 is the SN, the field is used as the
8# Who Subject Filter 30 sample No.; if QRD-2 is the BC, the field is used as the sample
barcode.
9# What Subject Filter 60 Blank and remained. Query content filtering symbol.
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Used as the sample rack and position. The sample rack and position
unit are separated by ^. The sample rack is 4 and the position is 3 in
10# What Department Data Code 8 length.
The sample rack and position should be set to ensure LIS returning at
the original value in DSR^Q03.
Used for dilution or no, Y stands for yes, and N for no. Dilution or
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11 What Data Code Value Qual. 1
not to be returned by LIS in DSR^Q03 message at the original value.
12 Query Results Level 1 Blank and remained. Query result level, set as T (Full results)
Note: the message segment only appears in QRY^Q02. The field 4 is integer, and other fields are set as character
strings.
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Note: the message segment only appears in QRY^Q02. The fields 3 & 4 are to inquire the zero point of current day
and the time of occurrence respectively to set as the time section condition of query. All fields are set as character
strings.
2.2.8. DSP - display data segment
DSP segment is used to give the sample information and detection items of the query, and it is allowed to be
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repeated. DSP is repeated for 3 times; the first DSP delivers the patient information where the following domains
are used:
S/N Field Length Description
1 Set ID - DSP 4 Determine different DSP segments.
The detailed items are same
2 - 31 to that of PID-2 to PID-31 of See details in description of PID segment.
DSP segments.
Note: the message segment only appears in DSR^Q03. The first field is integer while others are detailed in the
description of PID-2~PID-31.
The second DSP delivers the doctor’s advice information where the following domains are used:
S/N Field Length Description
1 Set ID - DSP 4 Determine different DSP segments.
The detailed items are same to that of
2 - 47 See details in description of OBR segment.
OBR-2 to OBR-47 of OBR segments.
Note: the message segment only appears in DSR^Q03. The first field is integer while others are detailed in the description
of OBR-2~OBR-47.
The third DSP delivers the item information whose detailed items and sequence is shown in the table below:
S/N
1
2
Set ID - DSP
Item Count
Field Length
4
4
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Determine different DSP segments.
Number of detection items.
Name of detection items. The detection items are separated by ^
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3 Items 1000 like ALT^ALB^T4&5 and set as character strings. The
immunization items is expressed with a suffix of “&5”.
Note: the message segment only appears in DSR^Q03. The fields 1 & 2 are integers, and other fields are set as
character strings.
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3. Communication examples
3.1 Process of sending detection data
The Analyzer sends the sample information and testing results to LIS server in the unit of sample, namely, a sample
and the detection results are set as a message for sending. LIS server will give response after judging the message.
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Wherein, ORU message includes the segments of MSH, PID, OBR and OBX (if a sample contains several items,
there will be several OBX segments). The MSH is the head segment of messages and shall be included in any
message.
Assuming there is a patient with the information shown in the table below:
Meaning of field Value
Patient name Jack
Case No. 002
Sex Male
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After receiving the message, LIS server will give response after judging the validity and type of the message. In the
below is the response under normal condition:
If LIS server founds error of the received ORU message, the related error code will be set in the MSA segment and
returned, and the Analyzer software will conduct error treatment. For example, the LIS server tests an error with
code of 206 and rejects the error, the ACK message for response is:
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The Analyzer sends the QC testing results to LIS server and delivered it in the unit of a QC test. LIS server will give
response after judging the message. Wherein ORU message contains MSH and OBR segments.
Assuming there is a QC test with the information shown in the table below:
Meaning of field Value
Item No. 1
Item name ALT
QC name Landau low value
QC lot No. 123
QC times
Module number
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1
1
Serum
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Sample rack and position C001,2
QC mean value 40
QC standard deviation 1
Testing result value (concentration) 123.232
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For example, if to inquire and download a sample with barcode number of 12345, sample rack of N003, position of
4, and under non-diluted condition, from LIS server, the QRY^Q02 message is:
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LIS server will response with a DSR^Q03 message after receiving the message, and the sample of response is as
follows:
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If LIS server does not have the samples, the return message is:
If LIS server founds error of the received QRY message, for example, the LIS server tests an error with code of 206
and rejects the error, the response message is:
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After receiving DSR message, the Analyzer will send ACK^Q03 as response confirmation, and the return message
is:
For example, if to inquire and download a sample with sample number of 5, sample rack of N003, position of 4, and
under non-diluted condition, from LIS server, the QRY^Q02 message is:
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LIS server will response with a DSR^Q03 message after receiving the message, and the sample of response is as
follows:
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After receiving DSR message, the Analyzer will send ACK^Q03 as response confirmation, and the return message
is:
Note: during sending the request, the Analyzer includes the sample rack, sample position, dilution information in the
QRD segment of QRY^Q02 message and sends to LIS, and LIS server needs to include the original values of the
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Sample cup
External printer
Sample chamber
Appropriate
time
Appropriate
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instructions of the
printer
manufacturer or seller of the
printer for replacement)
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The analyzer shall comply with the requirements of IEC 61326-1 and IEC 61326-2-6. The requirements for the
electromagnetic compatibility emission test item shall be listed in Table F-1, and the requirements for
electromagnetic compatibility immunity shall be listed in Table F-2, F-3. This product has been tested for
electromagnetic compatibility and meets the standard requirements of “IEC 61326-2-6 Electrical equipment for
measurement, control and laboratory use—EMC requirements, Part 2-6: — In vitro diagnostic (IVD) medical
equipment” and “IEC 61326-1 Electrical equipment for measurement, control and laboratory use—EMC
requirements, Part 1: General requirements”.
The following application requirements shall be strictly observed during use; otherwise it may cause
electromagnetic interference to other devices or reduce the anti-electromagnetic interference capability of the
product, or even lose the basic performance.
This equipment is designed and tested according to Group 1 Class A equipment in IEC/CISPR 11. In a home
environment, this device may cause radio interference and precautions need to be taken.
Portable and mobile RF communications equipment may affect the description of medical electrical equipment:
Portable and mobile RF communications equipment may affect the normal operation of this product, and should
ensure that portable and mobile RF communications equipment and this product to meet specific spatial distance
requirements. See Table F-4 for the requirements.
Caution 1: In addition to the transducers and cables sold by manufacturers of equipment or systems as spare parts
Caution 2: The equipment or system should not be used near or stacked with other equipment. If it must be
approached or stacked, it should be observed and verified that it can operate normally under its configuration.
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Caution 3: It is forbidden to use this device beside strong radiation sources; otherwise it may interfere with the
normal operation of the device.
Table F-1 Guidance and Manufacturer’s Declaration — Electromagnetic Emission
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The product is expected to be used in the electromagnetic environment specified below, and the purchaser or user should
ensure that it is used in this electromagnetic environment
RF Emission The product uses RF energy only for its internal functions. So its
Group 1 radio frequency emission is very low, and it is very unlikely that it
IEC/CISPR 11 will interfere with electronic equipment.
RF Emission
Class A
IEC/CISPR 11
Harmonic emission The product is not for domestic use, and suitable for all facilities of
Not applicable
IEC 61000-3-2 public low-voltage power supply networks which are not
connected directly for domestic use.
Voltage fluctuation /
flicker emission Not applicable
IEC 61000-3-3
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The product is expected to be used in the electromagnetic environment specified below, and the purchaser or user should
ensure that it is used in this electromagnetic environment
(50/60Hz)
frequency magnetic field within the
IEC 61000-4-8 intended installation site shall be
measured to meet the requirements
of lower than compliance level.
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The product is expected to be used in the electromagnetic environment specified below, and the purchaser or user should ensure
that it is used in this electromagnetic environment.
RF radiation
IEC 61000-4-3
3 V/m
80 MHz~2.0 GHz
3 V/m
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P —— the maximum output power rating of the
transmitter provided by the transmitter manufacturer
in watts (W);
d——recommended isolation distance in meters (m).
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The field strength of a fixed RF transmitter is
determined by survey a of the electromagnetic field,
and each frequency range b should be lower than the
compliance level. Interference may occur near
equipment marked with the following symbol
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Note 1: The formula for higher frequency bands should be used at frequencies of 80 MHz and 800 MHz.
Note 2: These guidelines may not be suitable for all situations. Electromagnetic transmission is affected by the absorption and
reflection of buildings, objects, and human bodies.
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a. As for fixed transmitters, such as: wireless (cellular/cordless) telephones and ground mobile radio base stations, amateur
radio, AM FM radio broadcasts, and television broadcasts, theoretically their field strengths cannot be accurately predicted. To
assess the electromagnetic environment of a fixed RF transmitter, the survey of the electromagnetic site should be considered.
If the measured field strength of the product is higher than the above RF compliance level, the product should be observed to
verify that it can operate normally. If abnormal performance is observed, supplemental measures may be necessary, such as
reorienting or positioning the product.
b. In the entire frequency range from 150 kHz to 80 MHz, the field strength should be less than 3 V/m.
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Table F-4 Recommended Isolation Distance between Portable and Mobile RF Communications Equipment and Product
Recommended Isolation Distance between Portable and Mobile RF Communications Equipment and Product
The product is expected to be used in an electromagnetic environment where RF radiation disturbances are controlled.
Depending on the maximum output power of the communications device, the purchaser or user of the product can prevent
electromagnetic interference by maintaining a minimum distance between the portable and mobile RF communications
equipment (transmitter) and the product.
100 12 12 23
For the maximum rated power of transmitters not listed in the above table, the isolation distance, d, in meters (m) is
recommended and can be determined using the formula in the corresponding transmitter frequency column, where P is
maximum rated output power in watts (W) of the transmitter provided by the transmitter manufacturer.
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Note 1: The formula for higher frequency bands should be used at frequencies of 80 MHz and 800 MHz.
Note 2: These guidelines may not be suitable for all situations. Electromagnetic transmission is affected by the absorption and
reflection of buildings, objects, and human bodies.
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