Professional Documents
Culture Documents
Operator Manual
Operator Manual
Introduction
Operators Manual
Addendum
Specimen Settings .........................................................................................................A-2
Running QC ...................................................................................................................A-3
QC Statistics ..................................................................................................................A-3
Maintenance Screen ......................................................................................................A-4
Running STAT samples .................................................................................................A-5
Preparing STAT Rack ....................................................................................................A-5
QC Failure ......................................................................................................................A-5
CalChek Failure .............................................................................................................A-6
Reflectance CalChek Failure .........................................................................................A-6
SG/Color/Clarity CalCheck Failure.................................................................................A-6
Test Strip Jam ................................................................................................................A-7
Strip Provider Module Jam .............................................................................................A-7
Strip Conveyor Module Jam ...........................................................................................A-8
Rack Jam .......................................................................................................................A-8
Accessing the Strip Provider Module .............................................................................A-9
Accessing the Strip Conveyor Module .........................................................................A-11
Chapter 1 - Introduction
Intended Use ................................................................................................................... 10
How to use the Operators Manual .................................................................................. 10
Precautions and Warnings .............................................................................................. 11
Tips .............................................................................................................................. 11
Notes ........................................................................................................................... 11
Cautions ...................................................................................................................... 11
Warnings ..................................................................................................................... 11
Biological Warnings ..................................................................................................... 11
Warnings, Precautions, Limitations ................................................................................. 12
Iris Diagnostics Contact Information ............................................................................... 12
Warranty.......................................................................................................................... 13
Limitation of Liability ........................................................................................................ 13
Chapter 3 - Setup
Setup ............................................................................................................................... 35
Settings Screen ............................................................................................................... 36
Accessing a setup screen ........................................................................................ 37
Printing the setup ..................................................................................................... 37
Operator Accounts Settings ............................................................................................ 38
Adding a New Operator ............................................................................................... 39
Deleting an Operator ................................................................................................... 40
Modifying an Operator ................................................................................................. 40
Laboratory Information Settings ...................................................................................... 41
System Configuration Settings ........................................................................................ 42
LIS Interface Settings ...................................................................................................... 44
Enable LIS ................................................................................................................... 44
Communication settings .............................................................................................. 44
Specimen information from LIS ................................................................................... 44
Obtain Patient Demographics Information from LIS ................................................ 44
Demographics .......................................................................................................... 44
Fluid Type – Formed Particles ........................................................................................ 45
Chemistry Settings .......................................................................................................... 46
Editing Chemistry Settings .......................................................................................... 47
Editing chemistry values .......................................................................................... 49
Validating the changes............................................................................................. 51
QC Settings ..................................................................................................................... 52
REF Override Settings .................................................................................................... 53
Specimen Settings .......................................................................................................... 54
Flag Barcode scan failures .......................................................................................... 54
Skip Specimen if ID scan fails ..................................................................................... 54
Release Settings ............................................................................................................. 55
Urine Gating Settings ...................................................................................................... 56
Urine Auto-Release Settings ........................................................................................... 56
Urine Auto-Classify Settings ........................................................................................... 56
Chapter 7 - Results
Reviewing Results........................................................................................................... 85
Work List Screen ............................................................................................................. 85
Sort Work List .......................................................................................................... 86
Delete Specimen...................................................................................................... 87
Un-Delete Specimen ................................................................................................ 87
Correct Specimen ID................................................................................................ 88
Edit Demographics................................................................................................... 88
Print List ................................................................................................................... 89
Re-Report ................................................................................................................ 89
Search...................................................................................................................... 91
Flagged Specimens ..................................................................................................... 94
Review Flagged Specimen button ........................................................................... 95
Delete Flagged Specimen button............................................................................. 95
Chemistry System Flag Messages .............................................................................. 95
CHEMTRANSLATE ................................................................................................. 95
CHEM CONFIRM..................................................................................................... 95
ID_Error ................................................................................................................... 96
Insufficient Sample................................................................................................... 96
Short Sample ........................................................................................................... 96
Processing Failure ................................................................................................... 97
Processing not complete.......................................................................................... 97
Specimen Screen ........................................................................................................ 98
Accessing the Specimen Screen ............................................................................. 98
Specimen Screen Buttons ....................................................................................... 99
Interferences ................................................................................................................... 99
Chapter 9 – Appendix
Performance Characteristics ......................................................................................... 121
Analytical Performance.............................................................................................. 121
Analytes Report Ranges (Includes pH and Specific Gravity) .................................... 121
Bilirubin .................................................................................................................. 121
Urobilinogen ........................................................................................................... 121
Ketones .................................................................................................................. 122
Glucose .................................................................................................................. 122
Protein.................................................................................................................... 122
Blood (Hemoglobin) ............................................................................................... 123
pH .......................................................................................................................... 123
Nitrite...................................................................................................................... 123
Leukocytes ............................................................................................................. 123
Ascorbic Acid ......................................................................................................... 124
Specific Gravity ...................................................................................................... 124
Color and Clarity Report Ranges............................................................................... 124
Colors..................................................................................................................... 124
Clarity ..................................................................................................................... 124
Sensitivity and Measurement Range ............................................................................ 125
Addendum
Since the development of the Operators Manual, changes have been
made to the instrument or the software impacting some sections. This
Addendum lists the changes and corrects the sections from the Operators
Manual. In order to find rapidly the appropriate sections, links have been
inserted for each modification and are displayed in blue, bold and italics.
Specimen Settings
Only one option is displayed on this screen. The Specimen screen allows
the user to control whether barcode scan failures are flagged or not.
Running QC
Use only positions 8, 9, and 10 to run quality control material.
1. Make sure there are enough Test Strips in the Test Strip Provider.
2. Prepare Control Tubes according to the directions on the package
insert.
3. Place the controls in the following positions onto the Control Rack:
QC Statistics
QC statistics are not available for the chemistry quality control results.
Maintenance Screen
Change of terminology for the second button displayed on this screen.
NOTE: Make sure that positions 1 through 7 only are used to load STAT
samples. If a sample tube is placed in positions 8, 9, or 10, they will be
processed as a control.
QC Failure
QC Failure needs to be resolved in order to be able to process patient
samples, see Chapter 5 - Quality Control.
CalChek Failure
Reflectance CalChek Failure
1. Repeat the run using the same lot number.
2. Repeat the run using a new lot number.
3. If the CalCheck failed again, contact Technical Services or your
distributor.
Causes Solutions
A test strip was not transferred 1. Click OK to close the error message
to the Strip Conveyor Module. screen.
The strip remains inside the 2. From the Instrument screen, click on
singulator (see below) or is the Go off line button. The system
partially extracted from the strip status will change to Off Line.
provider module. 3. Press the ON button on the front of
the instrument to turn the power off.
4. Access the Strip Provider Module; see
Accessing the Strip Provider
Module.
5. Locate the strip jam.
6. Using tweezers, gently remove the
jammed strip.
7. Re-install the Strip Provider Module in
place; see Accessing the Strip
Provider Module.
8. Reload the rack and press the Start
button to repeat the run.
9. If the problem persists, call Technical
Services.
Causes Solutions
Test strips are misaligned 1. Click OK to close the error message
on the Strip Conveyor screen.
Module, or the wrong type 2. From the Instrument screen, click on the
of strips was used. Go off line button. The system status will
change to Off Line.
3. Press the ON button on the front of the
instrument to turn the power off.
4. Access the Strip Conveyor Module; see
Accessing the Strip Conveyor Module.
5. Locate the strip jam.
6. Using tweezers, gently remove the
jammed strip(s).
7. Re-install the Strip Conveyor Module in
place; see Accessing the Strip
Conveyor Module.
8. Reload the rack and press the Start
button to repeat the run.
9. If the problem persists, call Technical
Services.
Rack Jam
Causes Solutions
If a rack cannot enter the sampling 1. Remove any element causing
position, check the bottom and the the obstruction.
front of the rack to make sure that 2. Clean the rack using warm
nothing is attached causing the water with mild detergent or
obstruction, i.e. barcode label, or alcohol swab.
parafilm. 3. Reload the rack and repeat the
run.
4. If the problem persists, repeat
using another rack.
2. Press the ON button on the front of the instrument to turn the power
off.
3. Open the front door, the right side door and the waste container door.
7. If necessary, using a
screwdriver, loosen the two
screws holding the strip loader
to access the inside of the strip
provider module
CAUTION: Make sure that the two tabs slide inside the two holes located
at the bottom of the splashguard. If the tabs are not inside the holes, rack
jam can occur.
14. Turn the power on by pressing the green button located on the left
side of the chemistry system.
15. Click on the Go On line button. The system status will change to On
Line.
2. Press the ON button on the front of the instrument to turn the power
off.
CAUTION: Make sure that the two tabs slide inside the two holes located
at the bottom of the splashguard. If the tabs are not inside the holes, rack
jam can occur.
15. Turn the power on by pressing the green button located on the left
side of the chemistry system.
16. Click on the Go On line button. The system status will change to On
Line.
Intended Use
The iChem®VELOCITY™ Urine Chemistry System is an automated urine
chemistry system for the in vitro measurement of the following analytes in
urine: bilirubin, urobilinogen, ketones, ascorbic acid, glucose, protein,
blood, pH, nitrite, leukocyte esterase, specific gravity, color, and clarity.
The iChem®VELOCITY™ Urine Chemistry System is intended for use only
with iChem®VELOCITY™ Urine Chemistry Strips.
There are five types of messages: Tips, Notes, Cautions, Warnings and
Biological Warnings.
Tips
This icon indicates that the information is applicable only when an iQ
Series System is linked to the chemistry system.
Notes
NOTE: Highlights important facts, gives helpful information and tips and
clarifies procedures.
Cautions
CAUTION: Electrical caution! Unplug before handling.
Warnings
WARNING: Identifies potentially hazardous situations that could result in
serious injury to laboratory personnel.
Biological Warnings
WARNING: Use care when handling specimens or used test strips.
Always wear gloves to prevent exposure to pathogens; i.e., bloody
specimens. Incorrect or imprecise procedures may result in exposure to
pathogens. This unit must only be used by operators trained in proper
procedures for clinical testing and handling of biohazardous waste.
Iris Diagnostics
Attention: Clinical Support
9172 Eton Avenue
Chatsworth, CA 91311
USA
Telephone
From U.S. and Canada locations +1-800-PRO-IRIS (776-4747)
From outside the U.S. +1-818-709-1244
Fax +1-818-700-9661
E-mail clinsupport@proiris.com
Warranty
Iris Diagnostics, a Division of IRIS International, Inc. (Iris) warrants that
the products manufactured by it or its affiliates and sold hereunder shall
be free from defects in material and/or workmanship, under normal use
and service, for the period expiring twelve (12) months from the
completion of installation, or upon Purchaser’s signature on Iris
Diagnostics Warranty/ Acceptance form, or fifteen (15) months from
shipment, whichever occurs first. No warranty extended by Iris
Diagnostics shall apply to any products which have been modified,
(including any third party software), altered, or repaired by persons other
than those authorized or approved by Iris Diagnostics or to products sold
as “used.”
Iris Diagnostics makes no warranty other than the one set forth herein or
that which may be provided in a separate warranty covering the
applicable product category. such limited warranty is in lieu of all other
warranties, expressed or implied, including but not limited to any
expressed or implied warranty of merchantability or fitness for particular
purposes and such constitutes the only warranty made with respect to the
products.
Limitation of Liability
Iris Diagnostics shall not be liable for any loss of use, revenue or
anticipated profits, or for any consequential or incidental damages
resulting from the sale or use of the products.
Theory of Operation
The iChemVELOCITY is an automated urine chemistry system
performing measurements of urine physical and chemical constituents
utilizing test strips read by Wavelength Reflectance, and specific gravity
using the Refractive Index. Since the iChemVELOCITY also determines
color and clarity, a complete urinalysis is determined automatically. Visual
measurements are no longer necessary.
Test strips are dispensed from the strip provider module, and placed face
up on the strip conveyer system. The sample probe mixes the specimen,
then aspirates an aliquot of urine from the tube and dispenses the sample
onto each reagent pad. The test strip reagent pads and urine
components react causing the color of the test strip to change, and the
color change is measured by the instrument. The test strip is then
transported to the waste container.
Measurements
Analytes
The Optical Unit is composed of three color LEDs and one black and
white CMOS (Complementary Metal Oxide Semiconductor) camera.
Specific Gravity
Specific gravity of urine is obtained using an Abbe refractomer and a
linear photodiode array in place of a human eye to locate the shadow.
The refractive index changes according to the specific gravity of the
sample.
A photodiode array sensor is used to obtain the tone and hue of the urine
sample. The colors are reported as codes representing user-defined
color names.
System Components
Sampler
The sampler moves the test tube racks from the load station (right side of
the instrument) to the pipetting station, and then to the unload station (left
side of the instrument). The test tube racks are presented to the pipetting
station where the presence of a tube is detected whether or not a barcode
label is attached to the tube. The sample is aspirated from the tube for
analysis. The sampler signals when the unload station is full.
Barcode Reader
The barcode reader reads the racks’ identifiers so that patient samples
can be related to positions within a known identity rack. When a barcode
label is attached to a sample tube, the barcode reader reads the label and
provides the patient identification data to the system.
Load and Unload Stations
Six (6) test tube racks (maximum of 60 test tubes) can be placed onto the
load station for measurement. After sampling is completed, the test tube
racks are transferred to the unload station for removal.
The test strips are held in place at each reading position so that the strip
reader can capture a complete image of each strip pad. The strip
conveyor system maintains the bottom surface of the strips at a nominal
temperature of 37 degrees Celsius. After the last reading, the test strip is
discarded into the waste container.
The system software analyzes the captured images and quantifies the
reflectance from each pad relative to the reflectance from a neighboring
area of the Munsell standard mask plate, with a known reflectance value.
Fluidics
Sample Probe
The sample probe mixes the specimen inside the sample tube.
Approximately 1mL of sample is aspirated and fills the specific gravity and
color-clarity flowcells. Approximately 10µL of sample is dispensed onto
each pad of the test strip. When dispensing of the specimen is
completed, the sample probe is cleaned with the wash solution. At the
same time, specific gravity, color and clarity measurements are
completed; and the flowcells and tubing are rinsed with the wash solution.
Wash Station
The wash station is used to rinse the outside of the sample probe and to
discard the wash solution.
Waste
Strip Disposal
The system automatically disposes used test strips into a waste container
with a capacity of a least 500 test strips.
Liquid Waste Disposal
Waste fluids are discarded into a drain or a waste container.
On Button
The On button is located on the left of the iChemVELOCITY. Pressing
this button after applying power to the instrument, place the system in
Standby.
Start Button
The START button is located on the left of the iChemVELOCITY.
Pressing this button starts the sample processing after the sample racks
have been loaded onto the iChemVELOCITY sampler.
Racks
Three types of racks are used with the iChemVELOCITY system:
A sample rack,
A control rack,
A CalChek rack
Sample rack
Patient samples are presented to the instrument in test tubes loaded into
sample racks. Ten sample tubes can be loaded onto a sample rack.
Control rack
Chemistry controls: IRISpec CA/CB/CC controls.
Test Strips
The test strips have reagent-impregnated specialty paper pads to perform
chemical analysis of:
• bilirubin
• urobilinogen
• ketones
• ascorbic acid
• glucose
• protein
• blood
• pH
• nitrite
• leukocytes
Test Specifications
iChemVELOCITY Urine Chemistry Strips are packaged in the Starter Kit
with the iChemVELOCITY system. Additional strips may be purchased
from Iris Diagnostics or your authorized distributor. Only
iChemVELOCITY Urine Chemistry Strips may be used. Other
manufacturer strips cannot be read by the instrument.
A maximum of 300 test strips can be stored in the strip provider module.
CAUTION: Do NOT leave the test strips in the module for more than 14
days. If test strips are exposed to the air too long, they may absorb
moisture or collect dust, causing incorrect results. Best practice is to
allow the chamber to empty completely before adding new strips.
CAUTION: Do NOT touch the reagent pad of a test strip; this may cause
incorrect results. Do NOT use expired test strips or any test strip if the
reagent pads show any signs of discoloration, deformation or
deterioration. Read the package insert of the test strips carefully.
Peripherals
Keyboard
The keyboard is used to enter alphanumeric specimen identifiers and
data input.
Mouse
The mouse is used to navigate the software screens.
Touchscreen Monitor
The touchscreen can be used to make selections on the software
screens.
Printer
An external USB port allows the connection of a Windows compatible
printer.
Software Functions
The software provides the following functions:
• Controls the mechanical functions of the iChemVELOCITY for
specimen transport and fluid handling.
• Automatically computes chemistry analyte concentrations, specific
gravity, color and clarity results for each specimen and the results
are auto-reported, unless a system flag is present.
• Controls the User Interface
o Generates, prints, and electronically transmits reports.
o Maintains a list of flagged specimens identifying those
requiring further intervention due to missing IDs or other
analytical or processing situations.
iChemVELOCITY Status
Located on the top left side of the screen, displays:
• Status light indicator: Grey -> OFF
Green -> Standby
Blue -> Measure
Red -> Error
• Identification of the currently logged operator
• Identification of the currently aspirated tube (if any)
• (Rack# - Position#)
• Icon of the highest priority alarm (if any) and short description of
the error condition
Low priority
Medium priority
High priority
View Selector
Located on the top right side of the screen, allows the user to access the
following screens by clicking on the corresponding buttons:
• Specimen screen
• Work List screen
• Instrument screen
Instrument Screen
The Instrument screen is accessed by clicking on the Instrument button
and is composed of the following elements:
iChemVELOCITY
Status Area
Task Level
Information Area
Shift Summary
Field Display Button
Operator Currently logged on operator if Logon
any. Logoff
Last Date/time of the last successful N/A
Reflectance reflectance calibration check.
Check
Last Date/time of the last successful N/A
SG/Color/Clarity specific gravity, color, and clarity
Check calibration check.
Last Chem QC Date/time of the last successful N/A
chemistry quality control.
LIS LIS status. Check LIS
Manual Orders Displays racks enabled in Manual Clear All
Orders.
Manual Orders Give access to Manual Orders Manual Orders
screen
System Status On Line Go Off Line
Off Line (display in red) Go On Line
Alarms
Alarms appear in the Information Area of the screen and display the
detailed list of unresolved alarms, sorted by priority, then date/time.
Button Function
QC Review Access the QC Review screen
QC Statistics Access the QC Statistics screen
Settings Access the Settings screen for user-defined
instrument setup (consult the Setup section for
more information.)
Maintenance Access the Maintenance screen for:
Reflectance Check
Chemistry Service
System Info
Tallies
Errors
Shutdown
Work List
The Work List contains only unreleased results. The Work List screen is
accessed by clicking on the Work List button. The Work List displays the
specimen ID, date and time at which the specimen was processed, rack,
and tube position numbers, and status of each specimen results. Clicking
on a specimen ID and clicking on the Specimens tab, or double-clicking
on the specimen ID opens the Result screen for that specimen.
From the Found List, while Off Line, you can re-report specimen results.
Specimen Results
The Specimen screen shows a summary of the results for the specimen
chosen from the Work List/Found List.
Buttons
Buttons Functions
Delete Flagged Non-recoverable flag. The specimen results will be
Specimen deleted. The cause of the flag needs to be resolved
before the specimen can be run again.
Review Recoverable flag. Allows the user to enter a specimen
Flagged ID or clear a flag.
Specimen
Accept If the Review Flag button was used:
Assigns the new specimen ID, if it had an ID flag.
Clears the specimen’s flags and transmits the
specimen results to the LIS and/or the printer.
If the Delete Flag button was used:
Deletes the specimen results and sends them to the
Un-delete list.
Buttons Functions
Skip Skips the specimen results and display the next results
available from the Work List.
Instrument Closes the Specimen screen and returns to the
Instrument screen.
Iris Logo
The Iris logo is displayed only when the Work List is empty.
Interface
Contact Iris Diagnostics Technical Service Department or your authorized
distributor for information.
Result Storage
A maximum of 10,000 patient results can be stored in memory. Stored
results can be reprinted and/or retransmitted.
Technical Specifications
Measurement Reflectance Photometry LEDs (472nm, 525nm,
Principle 630nm) with CMOS camera
Specific gravity via optical refractive index
method
Specimen Barcode or keyboard entry of ID
Processing 60 specimens walk away capability (210
specimens with optional Loading/Unloading
stations)
10-tube rack system with continuous feed
Specimen Volume Minimum volume 2 mL of un-spun urine
Aspiration volume approx ~1mL
Test Strips iChemVELOCITY Urine Chemistry Strips
Test Strip Chamber Maximum capacity of 300 strips
On-board stability 14 days*
Precautions
The entire unit weighs approximately 100 lbs – 45.5 kgs. Choose a place
to set up the unit before completing its assembly.
If the unit must be moved, separate the Sampler from the system before
moving. If these two units come apart while being carried, it may result in
injury or severe damage.
Always keep a distance of at least 5 inches (13 cm) between the rear of
the unit and the wall. If this distance is not maintained, the connecting
tubes and cables may overheat.
Make certain that the power supply for the iChemVELOCITY is from a
dedicated line that provides power to no other instruments or appliances.
If power is not clean and steady, a UPS and/or power conditioner is
recommended.
Place the unit on a stable and level surface free of vibration. Failure to do
so may cause injury or malfunction of the unit.
Do NOT place the unit where it may be affected by water, direct sunlight
or draft. This may yield incorrect results, and the unit may be damaged.
Select a room to set up the unit where the temperature can be controlled
between 68oF (18oC) and 82oF (28oC), and relative humidity non-
condensing in a range of 20% to 80%.
Setup
This section describes the steps necessary to setup and to customize the
system.
Settings Screen
NOTE: Only a Manager can modify the user-defined settings. Any user
can view the settings.
Settings button
• Formed Particles
• REF Override
• Urine Gating
• Urine Auto-Release
• Urine Auto-Classify
Accessing a setup screen
To access a specific setup screen, click on the appropriate button.
Only Managers can make changes to the Settings, but both Managers
and Technologists can view the data.
Printing the setup
To print the instrument settings, click the Print button.
The Operator Accounts screen displays the list of authorized users and
their privilege level (Technologist or Manager). From this screen, users
can be added or deleted.
2. Type the new operator identification in the Operator Identifier field (the
following characters cannot be used: [ ] ‘ and no space insertion)
3. Select the user level by clicking on the corresponding button
(Technologist or Manager).
4. Type the new operator password in the Password field.
5. Retype exactly the new operator password in the Confirm password
field.
6. Click OK to add the new operator to the Operator Accounts screen.
7. Click OK to validate the new operator entry and close the screen.
Deleting an Operator
NOTE: The currently logged in operator cannot delete his/her own user
account.
Modifying an Operator
To modify any information concerning an existing user, first delete the
user from the list, and then add the user with the new information (i.e.,
changing password.)
Enable LIS
Check this box to enable communication with the LIS.
Communication settings
Use the dropdown boxes to select the specific communication settings for
the LIS.
2. Select the demographics options required from the LIS after the
barcode label on the patient specimen is read.
3. Click OK to validate the entries and return to the LIS Interface
screen.
4. When all the settings have been entered, click OK to validate the
entries and return to the Settings screen.
Chemistry Settings
The Chemistry Settings screen allows the user to enter chemistry
specific information, such as short name, long name, reporting units,
confirmation threshold, and abnormal threshold.
The chemistry system present and its reporting units are defined in the
System Configuration Input Settings screen (see System Configuration
Settings). The following lists the short and long names used for each
chemistry analyte:
2. In the Short Name field, enter the chemistry abbreviation that will be
displayed on the Specimen results screen (alphanumeric.)
3. In the Long Name field, enter the chemistry name that will appear on
the final reports (alphanumeric.)
4. In the Units field, enter the reporting units.
5. Choose a Confirmation Threshold, if applicable. A Confirmation
Threshold can be used to prevent Auto-release of specific chemistry
results. If “No Threshold” is selected, chemistry results for that
analyte will not be flagged for review.
• If a threshold value is selected, chemistry results with values
equal to or higher than the confirmation threshold chosen will be
flagged for review. This flag must be cleared before the results
can be released. Abnormal chemistry results can thus be
reviewed before clearing the flag.
• The intent of the Confirmation Threshold is to remind the user to
perform a confirmatory test. In most laboratories, Bilirubin is the
most commonly confirmed test. Most analytes will use “No
Threshold”.
6. The Abnormal Threshold defines the level at which a result is
considered abnormal:
• If No Threshold is selected, no abnormal flags will appear with
results.
NOTE: The outputs for the chemistry system are originally selected
within the System Configuration settings. If any further changes are
desired, use the Edit Map Settings from the Chemistry Settings screen.
Edit Box
Moving a value
Select the desired row, and then click the Move Up or Move Down
button. Results must be in the same reporting order as the package
insert for the strips or flags and QC failures will result.
Changing a value
Select the desired row. The value is displayed in the edit box.
Enter the new value in the edit box, and then click the Change button.
Deleting a value
Select the desired row, and then click the Delete button. Do this only with
the assistance of Iris Clinical Support.
Adding a value
Enter the new values in the edit boxes, and then click the Add button. The
new values are added to the list. Do this only with the assistance of Iris
Clinical Support.
NOTE: Input values must match the values received from the chemistry
module. Do not change the input values without the assistance of Iris
Clinical Support.
QC Settings
The QC screen allows the user to automatically send control results to the
printer, the LIS or both for Chemistry QC. The screen also allows the
user to set up strip lot information and chemistry QC such as name, lot
ID, expiration date and lower and upper limit for each analyte.
NOTE: The lower and upper limits should be selected by using the pull
down buttons only. Do not type any values in the lower and upper limits
fields.
11. After setting up all the controls, exit the screen by clicking OK.
Specimen Settings
The Specimen screen allows the user to flag barcode scan failures, and
to skip the specimen if the barcode reader fails to read the barcode label
located on the sample tube.
Release Settings
The Release screen allows the user to select the destination for the
release of results.
NOTE: Both the Printer and LIS checkboxes can be selected as the
release destinations for results.
Logon
The Logon button is located on the top right side of the Instrument
screen. Until someone is logged on, the Specimen, Worklist and
Instrument buttons are inactive.
Logon button
Specimen Preparation
Use only fresh urine specimens, as defined in CLSI (Clinical and
Laboratory Standards Institute) GP16-A2 Urinalysis and Collection,
Transportation, and Preservation of Urine Specimen, Good Laboratory
Practices and the Laboratory’s Procedure Manuals.
Gross Hematuria
Use manual methods.
Specimen Volume
Specimen volume for analysis by the iChemVELOCITY alone should be
at least 2 mL.
Barcode Labels
Barcodes accepted are Code 128, Code 39, Codabar and Interleaved 2
of 5 (I 2 of 5).
NOTE: Make sure the barcode labels are properly oriented in the rack.
The sample tubes must be placed straight and resting in the middle of the
grommets located in the base of the rack.
If test strips are present inside the Strip Provider Module, they need to be
removed. If the Strip Provider Module is
empty, proceed to the next step.
1. Open the system front and right side
Locking pin
doors to access the Strip Provider
Module.
2. Pull the knob to disengage the
module, and then pull the locking pin
to open the top access door. Knob
3. Remove and discard all chemistry
test strips present inside the module.
4. Close the top door and then pull the
knob to re-engage the Strip Provider Module in place.
5. Close the front and left side doors.
6. When the Strip Provider Module is empty, proceed as indicated
below.
Test Strip Loader
Strip Provider Module Empty
1. Pull out the Test Strip Loader.
2. Remove and discard the old desiccants and
replace with the new ones provided with the
chemistry strip vial.
3. Load the urine chemistry strips inside the Test
Strip Loader as indicated on the Test Strip
Loader (Iris logo facing the back of the
loader.)
4. Push the Test Strip Loader back inside
the system.
5. Rotate the Test Strip Loader 180
degrees so that the chemistry strips drop
inside the Strip Provider Module. Rotate the Test Strip Loader back
180 degrees so that the desiccants are facing the Strip Provider
Module (down).
Manual Orders
When an LIS is not available for any reason, this function allows the user
to manually enter a Work List for chemistry.
2. Click on the Manual Orders button located on the lower left side of the
Instrument screen. The Manual Orders screen will be displayed.
3. When the specimen information is entered, place the sample tube into
the corresponding position of the selected sample rack.
4. Repeat for each specimen to be run for the selected sample rack.
5. If more than one rack is to be run, select a new rack number and then
enter the specimen information.
Running Samples
NOTE: If a QC run fails, the system will not allow the operator to run
specimens. The QC run should be repeated and be successful before
running patient specimens.
Quality Control
NOTE: If a QC run fails, the system will not allow the operator to run
specimens. The QC run should be repeated and be successful before
running patient specimens.
Control Material
The condition and accuracy of the system can be checked by performing
Control Measurements using Urine Control CA/CB/CC (REF 800-7702).
The iChemVELOCITY supports the use of three (3) control solutions (CA,
CB and CC) to validate the positive responses for each urine chemistry.
Handling QC Material
These products should be refrigerated for long-term storage. After
opening, these products should be stored between 2° to 8°C
(refrigeration). Consult the package insert for more information.
Control Frequency
All controls should be run at least once every 24 hours or as specified in
the Laboratory’s QC Procedure manual.
Running QC
Items required: Urine Control CA/CB/CC (REF 800-7702), Control Rack,
sample tubes, protective gloves.
7. Make sure there are enough Test Strips in the Test Strip Provider.
8. Prepare Control Tubes according to the directions on the package
insert.
9. Place the controls in the following positions onto the Control Rack:
Re-Report button
Select a row and click Re-Report. The Re-Report screen appears.
Remove
The Remove button allows a manager to remove a known human error.
The user with manager status logged in at the time is documented and
the reason for removal should be documented.
1. Select the result to be removed and then click the Remove button.
The Comment screen will appear.
2. A comment must be entered before validation of the removal by
clicking the OK button.
3. After selecting OK, the status will be changed to reflect the fact that
the result has been removed and is no longer included in the
statistics. During the process of removing QC data, the Remove
button changes to Restore to allow restoring the removed QC data.
Search button
The Search button allows access to the Quality Search screen. The
user can search the QC database using specific criteria.
Select the specific criteria for the Search, and then click OK to display the
results.
Save Button
This option allows the operator to save QC results for long term storage in
HTML format, which can be opened and saved on virtually any computer.
Saving all QC Results
1. Click Instrument.
2. Click Quality Review. The QC Review screen is displayed.
QC Statistics
QC statistics are not available for the chemistry quality control results.
Auto-Calibration
A fixed internal standard, located within the Strip Reader Module, is used
to perform an auto-calibration each time the system is powered. If the
auto-calibration is successful, the system goes into Ready mode.
CalChek Reagents
Specific Gravity CalChek solutions
Three (3) SG CalChek solutions are straw in color and have specific
gravities of 1.002, 1.030, and 1.060.
Color CalChek solutions
Four (4) color controls are colorless, straw, normal yellow, and normal
amber. All color controls are non-turbid.
Clarity CalChek solutions
Three (3) clarity controls are all straw in color, with the following clarities:
hazy, slightly cloudy, and cloudy.
CalCheks Frequency
CalCheks should be performed monthly on the iChemVELOCITY system.
If the instrument was moved, a CalChek should be performed to make
sure that the instrument is properly calibrated.
Running CalChek
Reflectance CalChek
The Reflectance is the measure of LED illumination light reflected from
the chemistry pads.
In this mode, the instrument directs the operator to remove all chemistry
test strips from the Strip Provider Chamber and to place all five CalChek
Strips into the Strip Provider chamber. The CalChek strips are
automatically loaded into position in the Strip Reader Module and the
dosing step is bypassed. The measured reflectance values are
compared to an acceptance range and if the values fall within that range,
the CalChek is verified and found acceptable.
NOTE: Since the test strips remaining inside the test strip chamber must
be discarded, it is recommended to perform a reflectance CalChek when
the chamber is empty.
1. Click on the Instrument button on the top right side of the main
screen.
2. Click on the Maintenance button located at the bottom of the
Instrument screen. The Maintenance screen is displayed.
4. If needed, access the test strip provider. Remove and discard all
chemistry test strips present inside the chamber.
5. Pull the test strip loader out of
the system. Load the CalChek
strips inside the test strip
loader, and then push the test
strip loader back inside the
system. Rotate the
test strip loader Test Strip
180 degrees to Loader
transfer the strips Test Strip
to the test strip Provider
provider.
6. Verify that the Lot ID number and the expiration date from the
CalChek strip container match the data from the screen. Modify if
necessary.
Reviewing Results........................................................................................................... 85
Work List Screen ............................................................................................................. 85
Sort Work List .......................................................................................................... 86
Delete Specimen...................................................................................................... 87
Un-Delete Specimen ................................................................................................ 87
Correct Specimen ID................................................................................................ 88
Edit Demographics................................................................................................... 88
Print List ................................................................................................................... 89
Re-Report ................................................................................................................ 89
Search...................................................................................................................... 91
Flagged Specimens ..................................................................................................... 94
Review Flagged Specimen button ........................................................................... 95
Delete Flagged Specimen button............................................................................. 95
Chemistry System Flag Messages .............................................................................. 95
CHEMTRANSLATE ................................................................................................. 95
CHEM CONFIRM..................................................................................................... 95
ID_Error ................................................................................................................... 96
Insufficient Sample................................................................................................... 96
Short Sample ........................................................................................................... 96
Processing Failure ................................................................................................... 97
Processing not complete.......................................................................................... 97
Specimen Screen ........................................................................................................ 98
Accessing the Specimen Screen ............................................................................. 98
Specimen Screen Buttons ....................................................................................... 99
Reviewing Results
Unreleased results can be reviewed using the Work List Screen.
Released results can be reviewed using the Found List Screen.
1. Click the Sort Work List button. The Sort Work List screen appears.
Edit Demographics
If a specific demographic is missing (see Obtain Patient Demographics
Information from LIS), the specimen will be processed and the result will
be flagged on the Specimen screen. Even if the Demographics option
was not required from the LIS, a user will be able to add or edit data to all
demographics fields.
1. Select the specimen results to be edited, and then click on the Edit
Demographics button. The Edit Demographics screen will be
displayed, and the header will include the specimen ID, run date/time,
and rack number/ position.
2. Enter the desired patient demographics, and then click OK. The
patient demographics will be displayed on the Specimen screen,
printed on the printout reports, and transmitted to the LIS.
Print List
Clicking the Print List button prints the entire Work List.
Re-Report
The Re-Report function, enabled on the Found List only, allows the user
to select a destination to re-report specimen results already released.
Search
The Search function allows the user to search the archived specimen
results for specific data.
Search by specimen ID
1. To search specimens within a range:
a. Enter the first specimen ID # in the From edit box.
b. Enter the last specimen ID # in the To edit box.
c. Click OK.
Search by Operator ID
1. To search specimens released by a specific operator:
• Use the pull down button to select the operator ID.
• Click OK.
2. To search specimens released for all operators:
• Leave the field blank to obtain a complete search.
1. Click OK.
Search by Demographics
Flagged Specimens
On the Work List screen, flags will be indicated in the Status column.
To view the flag condition, double-click on the flagged specimen’s row.
The Specimens screen is displayed and the flags are indicated.
Flag
Flags appear in the right side of the Specimen screen. There are two
types of flags: recoverable and non-recoverable.
CHEMTRANSLATE
One or more chemistry names or result received from the
iChemVELOCITY do not match the expected name or result (data
entered in the input settings). DO NOT change chemistry input values
without assistance from Iris Clinical Support or your authorized distributor.
The results presenting this flag are displayed in italics.
Remedies
1. Make sure the displayed results are valid values.
2. Check the setup map for the specific chemistry. Add that value if
valid.
3. If the result is valid, but the map settings were wrong, clear the flag
and accept.
CHEM CONFIRM
One or more of the chemistry results exceeded the user-defined
confirmation threshold. The results that met or exceeded the confirmation
threshold will be displayed in italics on the Results screen.
Remedies
1. Clear the flag.
2. Confirm the results according to Laboratory Protocol.
3. The confirmation results may be added in the Edit Comment box, if
desired.
Insufficient Sample
There was not enough control material in the one of the control tube
present on the control rack.
Remedies
1. Reject the flag to remove the results from the Work List.
2. Refill the control rack with tubes containing at least 2.0 mL of control
material.
3. Re-run the control rack.
Short Sample
There was not enough specimen in the sample tube.
Processing Failure
The system has detected an internal error. If the error is recoverable, the
instrument continues processing strips that are already dosed.
Remedies
1. Reject the flag to remove the results from the Work List.
2. Refill the sample tube(s) with at least 2.0 mL of specimen.
3. Re-run the specimen(s).
Remedies
1. Reject the flag to remove the results from the Work List.
2. Refill the sample tube(s) with at least 2.0 mL of specimen.
3. Re-run the specimen(s).
Specimen Screen
Accessing the Specimen Screen
From the Work List screen, double-click on the specimen’s row or select
the specimen and then click the Specimen button.
Interferences
Certain drugs may cause incorrect clarity results.
High levels of ascorbic acid (Vitamin C) may falsely lower results for
Glucose and Blood.
Maintenance
Precautions
Daily Maintenance
Items Suggested Intervals
Emptying and cleaning the Waste Daily
Container
Discarding Liquid Waste Daily
Cleaning the Sample Transport Daily
Module
Cleaning the Load/Unload Trays Daily
Cleaning the Instrument Surfaces Daily
Consumable Replenishment
Items Suggested Intervals
Replacing Wash Solution After 600 Tests or weekly
Periodic Maintenance
Items Suggested Intervals
Cleaning the Strip Provider Module Weekly or every 1,200
specimens
Perform Reflectance CalChek Monthly see Reflectance
CalChek
Perform SG/CC CalChek Monthly see Specific Gravity,
Color, and Clarity CalChek
Cleaning the Wash Station Bath Monthly
Cleaning the Strip Conveyor Module Monthly
As Needed Maintenance
Items Suggested Intervals
Daily Maintenance
1. Remove the drain bottle cap and tubing from the drain bottle.
2. Discard the liquid waste.
3. Clean the drain bottle with a mild detergent and water, and then rinse
with tap water.
4. Insert the drain tube into the drain bottle and tighten the cap.
1. Moisten a tissue with the alcohol and wipe the Sample Transport
Module to remove any deposits. Check under the belts and the
pulleys.
2. Wipe again using distilled water.
3. Wipe dry.
Consumable Replacement
Replacing Wash Solution
After 600 Tests or weekly
Weekly Maintenance
Cleaning the Strip Provider Module
CAUTION: Access to the Strip Provider Module has changed; see the
Addendum, Accessing the Strip Provider Module
2. Click on the Instrument button on the top right side of the main
screen.
3. Click on the Go off line button. The system status will change to Off
Line.
4. Turn the power off by pressing the green button located on the left
side of the chemistry system.
8. Using a dry paper towel, wipe the inside of the Strip Provider Module
collecting the dust in the paper towel.
CAUTION: Use only DRY paper towel. Using a humid paper towel inside
the Strip Provider Module will affect the results of the test strips.
9. Close the top door and then pull the knob to re-engage the Strip
Provider Module in place.
11. Turn the power on by pressing the green button located on the left
side of the chemistry system.
12. Click on the Go On line button. The system status will change to On
Line.
13. Let the system warm up for 10 minutes before resuming operation.
Monthly Maintenance
Perform Reflectance CalChek
See Reflectance CalChek.
2. Click on the Instrument button on the top right side of the main screen.
3. Click on the Go off line button. The system status will change to Off Line.
4. Turn the power off by pressing the green button located on the left
side of the chemistry system.
CAUTION: Do not insert the cotton swab inside the wash tube; cotton
particles may clog the tubing connectors.
8. Turn the power on by pressing the green button located on the left
side of the chemistry system.
CAUTION: Access to the Strip Conveyor Module has changed; see the
Addendum, Accessing the Strip Conveyor Module.
2. Click on the Instrument button on the top right side of the main
screen.
3. Click on the Go off line button. The system status will change to Off
Line.
4. Turn the power off by pressing the green button located on the left
side of the chemistry system.
6. Loosen the thumbscrew located on the front, bottom left of the safety
shield, then tilt the safety shield to the right.
7. Tilt the wash station to the left until it is in horizontal position. This will
raise the Strip Provider Module.
8. Pull out and then push down the blue latch securing the Strip
Conveyor.
17. Turn the power on by pressing the green button located on the left
side of the chemistry system.
18. Click on the Go On line button. The system status will change to On
Line.
19. Let the system warm up for twenty minutes before use.
As Needed Maintenance
Replacing Wash Solution Filter
Items required: Paper towels and protective gloves.
CAUTION: Wear fresh gloves when changing the Wash Solution filter.
Have a supply of paper towels to catch spills and drips.
5. Remove the old filter by grasping the tube above the filter and
pulling the filter straight off.
6. Remove the new filter from its package and push straight onto the
tube. The filter only goes on one way, with the narrow section
going into the tube.
3. Click on the Go off line button. The system status will change to Off
Line.
4. Turn the power off by pressing the green button located on the left
side of the chemistry system.
1. Clean the Wash Station Bath, see Cleaning the Wash Station Bath.
3. Turn the power off by pressing the green button located on the left
side of the chemistry system.
4. Turn off the power by pressing the main power switch located on the
back of the chemistry system.
1. Turn on power using the Main power switch on the back of the
system.
2. Wait until the Instrument screen is displayed. Make sure the status on
the top left corner of the screen is “OFF”.
3. Press the green ON/OFF button on the front of the system. The status
should change to Standby.
5. After startup, the wash solution bottle located inside the system will
refill automatically.
Run CalChek
See Running CalChek.
Maintenance options:
Tallies
This option allows the user to obtain detailed information concerning the
number of tests and controls run on the iQ Series system for a specific
period of time.
1. Click on the Instrument button on the top right side of the main
screen.
2. Click on the Maintenance button located at the bottom of the
Instrument screen.
3. Click on the Shutdown button. The system will prompt: “Do you want
to shut down the instrument?”
4. Click on the Yes button. Windows will close.
5. Turn off the iChemVELOCITY by pressing the green button at the
front middle top of the system.
Maintenance Log
Performance Characteristics
Analytical Performance
The system demonstrates an agreement > 95% within +/- 1 color block
with respect to results for the same specimens run on a competitive
instrument.
Colors Levels
Limitations
Specimens
Use only fresh urine specimens, as defined in NCCLS (National
Committee on Clinical Laboratory Standards) GP16-A2 Urinalysis and
Collection, Transportation, and Preservation of Urine Specimen, good
laboratory practices and the laboratory’s procedure manuals.
Gross Hematuria
Gross hematuria may cause incorrect results in subsequent samples. Do
not test specimens exhibiting gross hematuria.
Precision
Within Run Precision
Pending final verification.
Day-To-Day Precision
Since biological solutions are traditionally unstable over time a stable
control material, IRISpec CA/CB/CC, was utilized to carry out the Day-To-
Day Precision studies. For each of three instruments IRISpec CA/CB/CC
control materials were analyzed each day using three lot numbers of
iChem VELOCITY Urine Chemistry Strips. The data represents the
aggregate of all three instruments and all three urine chemistry strip lot
numbers.
See Day-To-Day Precision Table below. NOTE: Only one of the three
controls (CA, CB or CC) produces a positive result for a particular
analyte; the remaining two controls will produce a negative result.
Report Agreement ±1
ANALYTE N Report
Concentration Concentration
Bilirubin 343 8.0 mg/dL 100%
Urobilinogen 347 16 mg/dL 100%
Ketones 347 60-80 mg/dL 100%
Ascorbic Acid 345 40 mg/dL 100%
Glucose 343 1100 mg/dL 100%
Protein 343 450 mg/dL 100%
Blood 343 1.43 mg/dL 99.7%
pH 343 >8.0 100%
Nitrite 347 0.5 mg/dL 100%
Leukocytes 347 500 WBC/μL 100%
Percent Coefficient
Mean Standard Deviation
of Variation
IRISpec CA = 1.009 0.00052 0.05%
IRISpec CB = 1.013 0.00063 0.06%
IRISpec CC = 1.008 0.00037 0.04%
CA CB CC
DARK % LIGHT % %
Samples Total AMBER Agreement Total STRAW YELLOW YELLOW Agreement Total STRAW COLORLESS Agreement
Day 1 18 18 100% 18 0 18 0 100% 18 6 12 33%
Day 2 14 14 100% 13 0 13 0 100% 14 3 11 21%
Day 3 18 18 100% 18 0 18 0 100% 18 6 12 33%
Day 4 18 18 100% 18 0 18 0 100% 18 6 12 33%
Day 5 18 18 100% 17 5 12 0 71% 18 6 12 33%
Day 6 18 18 100% 18 0 16 2 89% 18 6 12 33%
Day 7 16 16 100% 17 5 12 0 71% 17 5 12 29%
Day 8 17 17 100% 17 3 14 0 82% 18 6 12 33%
Day 9 16 16 100% 17 0 17 0 100% 16 5 11 31%
Day 10 16 16 100% 17 2 15 0 88% 15 5 10 33%
Day 11 18 18 100% 17 0 17 0 100% 18 7 11 39%
Day 12 14 14 100% 16 2 14 0 88% 16 5 11 31%
Day 13 18 18 100% 18 0 18 0 100% 18 7 11 39%
Day 14 18 18 100% 18 0 18 0 100% 18 6 12 33%
Day 15 18 18 100% 18 0 18 0 100% 18 6 12 33%
Day 16 14 14 100% 14 3 11 0 79% 13 7 6 54%
Day 17 17 17 100% 17 0 17 0 100% 17 6 11 35%
Day 18 17 17 100% 18 0 18 0 100% 17 6 11 35%
Day 19 18 18 100% 18 0 18 0 100% 17 9 8 53%
Day 20 17 17 100% 18 0 17 1 94% 18 9 9 50%
Total 338 338 342 20 319 3 340 122 218
1020 100% 100% 100% 6% 93% 1% 100% 36% 64%
CA CB CC
SLIGHTLY SLIGHTLY SLIGHTLY
Samples Total CLEAR CLOUDY CLOUDY Total CLEAR CLOUDY CLOUDY Total CLEAR CLOUDY CLOUDY
Day 1 18 18 0 0 18 0 14 4 18 18 0 0
Day 2 14 14 0 0 13 0 13 0 14 14 0 0
Day 3 18 17 0 1 18 0 18 0 18 18 0 0
Day 4 18 17 1 0 18 0 18 0 18 18 0 0
Day 5 18 18 0 0 17 3 9 5 18 18 0 0
Day 6 18 16 2 0 18 0 16 2 18 18 0 0
Day 7 16 16 0 0 17 2 15 0 17 17 0 0
Day 8 17 17 0 0 17 6 11 0 18 18 0 0
Day 9 16 16 0 0 17 0 17 0 16 16 0 0
Day 10 16 16 0 0 17 0 17 0 15 15 0 0
Day 11 18 15 3 0 17 0 17 0 18 18 0 0
Day 12 14 14 0 0 16 0 15 1 16 16 0 0
Day 13 18 18 0 0 18 0 17 1 18 18 0 0
Day 14 18 18 0 0 18 0 18 0 18 18 0 0
Day 15 18 18 0 0 18 0 18 0 18 18 0 0
Day 16 14 12 2 0 14 0 13 1 13 13 0 0
Day 17 17 15 2 0 17 0 14 3 17 17 0 0
Day 18 17 16 1 0 18 0 15 3 17 17 0 0
Day 19 18 15 3 0 18 2 13 3 17 17 0 0
Day 20 17 16 1 0 18 2 15 1 18 18 0 0
Total 338 322 15 1 342 15 303 24 340 340 0 0
Urobilinogen
This test is based on the coupling reaction of urobilinogen with a stable
diazonium salt in buffer. A pink to red color proportional to the
urobilinogen concentration is generated.
• Expected Values: In normal urine, urobilinogen is usually present at
concentration up to 1 mg/dL. A result of 2 mg/dL represents the
transition from normal to abnormal state and the specimen should be
investigated further for liver disease and hemolytic disorders.
• Sensitivity: 2 mg/dL urobilinogen*
* Pending final verification
• Performance Characteristics: The diazonium-based test is more
specific for urobilinogen than Ehrlich’s reagent based- test. Test strips
cannot determine the absence of urobilinogen, which may be
significant in biliary obstruction.
• Limitations: This test is inhibited by elevated concentrations of
formaldehyde. Food dyes and medications that have an intrinsic red
color in acidic medium such as red beets, azo dyes, phenazopyridine
Ketones
This test is based on Legal’s method in which the test pad contains
sodium nitroprusside and glycine in an alkaline medium. A violet color
proportional to methylketone is generated.
• Expected Values: Detectable amounts of ketone do not appear in
the urine of normal specimens. Positive ketone values may result for
the following conditions: starvation, dietary imbalance, diabetes
mellitus, eclampsia, insulin dosage monitoring, vomiting and other
metabolic disorders.
• Sensitivity: 5 mg/dL ketone
• Performance Characteristics: The test does not measure β-
hydroxybutyric acid and is only slightly sensitive to acetone.
• Limitations: Elevated concentrations of phenylpyruvic acid may
interfere with the test pad and produce a variety of colors. Phthalein
and anthraquinone derivates exhibit a red color in alkaline medium
that this may mask the response. Large amounts of levodopa and
medications containing sulfhydrl groups may produce atypical color
reactions.
Ascorbic Acid
This test is based on Tillman’s reaction in which the presence of ascorbic
acid leads to the decolorization of the test pad from gray-blue to orange.
• Expected values: Ascorbic acid is found in various food supplies
and dietary supplements. Concentrations of ascorbic acid greater that
20 mg/dL can be expected to cause strong interference with glucose,
blood and nitrite.
• Sensitivity: 15 mg/dL ascorbic acid
• Performance Characteristics: The oxidized form, dehydroascorbic
acid, does not react with this test pad.
• Limitations: No interferences are reported.
Glucose
This two-step enzymatic reaction uses glucose oxidase, peroxidase and a
chromogen. Glucose oxidase catalyzes the formation of gluconic acid and
hydrogen peroxide via the oxidation of glucose. Peroxidase then
catalyzes the reaction of hydrogen peroxide with a chromogen via the
Protein
This test is based on the “protein error” of pH indicators on the green
color developed from the presence of protein. This dye-binding test is
particularly strong with albumin.
• Expected Values: Normal urine contains very little protein: usually
less than 10 mg/dL is excreted. Positive protein results are considered
pathological and should be investigated.
• Sensitivity: 10 mg/dL protein
• Performance Characteristics: the test pad detect primarily albumin.
A negative result does not exclude the presence of other protein
molecules such as Bence Jones proteins, globulin and mucoproteins.
• Limitations: Food dyes; such as red beets, and therapeutic
pigments such as; methylene blue and pyridium, may mask the
coloration of the test pad. False positive results may occur in highly
alkaline urines (pH > 9) with high specific gravity. The interference
may come from disinfectants, wetting agents and blood substitutes
(quartenary ammonium compounds, polyvinylpyrolidone,
chlorohexidine). Highly alkaline urine specimen should be acidified
with diluted acetic acid before testing.
Blood
This pseudo-enzymatic test contains organic peroxide and a chromogen.
The peroxidase effect of hemoglobin and myoglobin causes a color
change to green.
pH
This test contains a mixed indicator which assures a marked change in
color between pH 5 and pH 9. Colors range from orange through yellow
and green to cyan.
• Expected Values: The normal pH of urine can vary between pH 5.0
and pH 9.0
• Performance Characteristics: pH values are determined to within
0.5 unit over the range from 5.0 to 9.0.
• Limitations: No interferences are reported.
Nitrite
This test is based on modified Griess reaction in which nitrite in the urine
reacts with amide to form a diazonium compound. The subsequent
coupling reaction yields a pink color in the presence of nitrite. Some Gram
positive and non-nitrite-forming bacteria are not detected in this test.
• Expected Values: Normal urine contains no detectable nitrite.
However, a negative result does not rule out a urinary tract infection.
• Sensitivity: 0.05mg/dL nitrite
• Performance Characteristics: This test is specific for nitrite. Results
may depend on the ability of bacteria to reduce nitrate to nitrite, the
number of bacteria and the retention time of the urine in the bladder.
• Limitations: Food dyes and therapeutic pigments such as red beets
and pyridium may cause false positive responses. A negative
response in the presence of bacteriuria may be caused by the
following: non-nitrite producing microorganisms, low-nitrate diet,
antibiotic therapy, strong diuresis, high levels of ascorbic acid, high
specific gravity or insufficient urinary retention time in the bladder.
Leukocytes
This enzymatic test pad contains an indoxyl ester and a diazonium salt.
Granulocyte esterases react with indoxyl ester and diazonium salt to
generate a violet color.
• Expected Values: Normal urine specimen should not produce a
positive result.
• Sensitivity: 15 WBCs/μL
• Performance Characteristics: Leukocyte test detects the presence
of esterase in the granulocytic white blood cells. The test result is
most frequently accompanied by the presence of bacteria that may or
may not produce a nitrite positive reaction.
• Limitations: False positive results may occur in the presence of
preservatives such as formaldehyde and formalin. High
concentrations of protein, glucose, cephalexin, gentamicin and
specific gravity may diminish the color response. Test results may be
positive in the absence of observable cells if the granulocytes have
lysed. The test can be negative in the presence of visible leukocytes if
they have not lysed and/or are not ganulocytes.
Specific Gravity
Specific gravity is physically determined by refractometry in the Urine
Chemistry System and is not analyzed by strip chemistry.
N Q
Nitrite ......................................... 123,134 QC Failure ........................................ A-5
Notes .................................................. 11 QC Settings ........................................ 52
QC Statistics ................................ 74,A-3
O Quality Control .................................... 69
W
Warnings ............................................ 11
Warnings, Precautions, Limitations .... 12
Warranty............................................. 13
Wash Container ................................. 20
Wash Station ...................................... 19
Waste ................................................. 20
Weekly Maintenance ........................ 106
Within Run Precision ........................ 127
Work List Screen ................................ 85
Work List ............................................ 27