Operating Your Analyzer 6-30 NOTE 25 characters are allowed for sample ID maximally (including prefix); the ID must end with a number, and must not be consisted of "0" only. Select mode Click the pull-down lists to select the presentation mode, sample mode and test panel. Enter rack number and tube number Enter the rack number and tube number in the corresponding fields. When you add a new entry again, the default rack number-tube number will increase by 1 (if the previous rack number-tube number reaches the upper limit, then the numbers will both turn to be 1). NOTE The rack number shall be no greater than 100, while the tube number shall be no greater than 10. Enter patient ID Enter the patient ID in the "Patient ID" field. Enter patient name Enter the patient name into the "First Name" and “Last Name” Fields. Enter/Select patient gender Enter the gender of the patient in the "Gender" field or select it from the "Gender" pull-down list. Enter the patient's date of birth Enter the patient's date of birth into the "Date of birth" field, or click the pull-down arrow to select the date of birth from the date control. Enter patient age The analyzer provides four ways for you to enter the patient's age: in years, in months, in days and in hours. The first way is designed for adults or pediatric patients older than one year; the second for infant patients who are one month to one year old; the third for neonatal patients no older than one month and the fourth the neonatal no older than 24 hours. You can choose only one of the four ways to enter the patient age.
Operating Your Analyzer 6-31 Select from “Year(s)”, “Month(s)”, “Day(s)” or “Hour(s)” in the “Age” pull-down list, and then define the corresponding value before the pull-down list. NOTE If the patient's date of birth is entered, his/her age will be calculated automatically, and the age field will gray out and cannot be edited Select ref. group Select the reference group for the sample from the "Ref. Group" pull-down list. Different reference groups have different reference ranges based on which the analyzer gives high and low flags of analysis results. See 5.3.6 Ref. Ranges (Administrator) ("Setup" > "Reference Ranges") for details. NOTE If the patient's gender and age are entered, then the matching ref. group will be automatically displayed. Enter/Select department name Enter the name of the department into the “Department” field or select it from the “Department” pull-down list (if defined in data dictionary. See 5.3.4 for details). Enter/Select ward name Enter the name of the ward into the “Ward” field or select it from the “Ward” pull-down list (if defined in data dictionary. See 5.3.4 for details). Enter/Select Bed No. Enter the bed No. of the patient into the “Bed No.” field or select it from the “Bed No.” pull-down list (if defined in data dictionary. See 5.3.4 for details). Enter/Select sample type Enter the sample type into the “Sample Type” field or select it from the “Sample Type” pull-down list (if defined in data dictionary. See 5.3.4 for details). Enter draw time Enter the date and time when the sample is drawn into the “Draw Time” field or click the pull-down arrow and select from the date control.
Operating Your Analyzer 6-32 Enter order time Enter the when the analysis order is put into the "Order Time" field or click the pull-down arrow and select the time from the date control. NOTE The order time shall not be earlier than the draw time. The draw time and order time shall not be later than the current system time. Enter deliverer name Enter the name of the person who deliver the test order to the laboratory into the "Delivered by" field or select it from the "Delivered by" pull-down list (if defined in data dictionary. See 5.3.4 Data Dictionary ("Setup" > "Data Dictionary") for details). Enter clinical diagnosis Enter the clinical diagnosis result into the "Diagnosis" field or select it from the "Diagnosis" pull-down list (if defined in data dictionary. See 5.3.4 Data Dictionary ("Setup" > "Data Dictionary") for details). If there is too much clinical diagnosis information to be entered, click the ">" button after the "Diagnosis" field, and enter the information in the pop-up dialog box. After you finish entering, click “OK” to save the entry and close the dialog box. Enter comments Enter comments into the "Comments" box or select it from the "Comments" pull-down list (if defined in data dictionary. See 5.3.4 Data Dictionary ("Setup" > "Data Dictionary") for details). If there is too much information to be entered, click the ">" button after the "Comments" field, and enter the information in the pop-up dialog box. After you finish entering, click “OK” to save the entry and close the dialog box. Save After you finish editing the worklist, click "Save" button to save the information. 6.8.2 Sample Analysis Procedure All the samples, controls, calibrators, reagents, wastes and areas contacted by them are potentially biohazardous. Wear proper personal protective equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures
Operating Your Analyzer 6-33 when handling them and the contacted areas in the laboratory. WARNING The sample probe tip is sharp and may contain biohazardous materials. Exercise caution to avoid contact with the probe when working around it. Be sure to avoid reversing the collection tube when loading, otherwise, the collection tube may be broken and biohazard may occur. The breaking of collection tubes may cause personal injury and/or biohazard. Exercise caution when loading the collection tubes to the rack or getting the collection tubes from the rack, be sure not to break the tubes. The pusher will push the rack inside the autoloader. Be sure your hand is away from the rack before starting the autoloader. CAUTION Do not re-use disposable products like collection tubes, test tubes, capillary tubes, etc. Repeated piercing the cap of the evacuated blood collection tube may damage the cap, and the scraps produced may result in inaccurate analysis results. It is recommended that each tube is pierced for no more than 3 times. Be sure that the entered sample ID, rack No., tube No. and the analysis mode are strictly in accordance with the sample to be run. Do not run prediluted samples under the autoloading mode to ensure the correctness of analysis results. Sample aggregation may result in inaccurate analysis result. Check if the sample is aggregated before analysis, if yes, handle per the operation requirements of your laboratory.
Operating Your Analyzer 6-34 NOTE Proper reference range shall be selected at the "Setup" screen before analysis. Otherwise, the results may be flagged erroneously. If the 2-way LIS/HIS mode is selected, then after the sample ID is entered/scanned and saved, all the corresponding information will be obtained from the LIS/HIS, and then the analyzer starts running per the obtained information. Once the running is finished, the result, graph and sample/patient information will be uploaded to the LIS/HIS. If abnormal power interruption occurs after analysis is started, you should remove the racks manually and open the front cover to see if there are dropped tubes to be removed. Running without following the worklist and without automatic scan of sample ID and rack No. 1. When it is ready to run a sample (i.e. the analyzer indicator is green), tap the "Mode" button at the “Count” screen, the "Mode" dialog box will pop up. 2. Select "AL-WB"; do not select the following options: "Run as per worklist", “Auto-Scan rack No.” and "Auto-Scan sample ID". NOTE When the analyzer is not connected with the PC, the "Run as per
Operating Your Analyzer 6-35 worklist" button is gray, the function is deactivated. The selection status of "2-Way LIS/HIS" check box is determine by the communication setup at the PC end, you cannot select/deselect it on the analyzer. 3. Select the desired analysis mode, enter the starting sample ID, rack No. and tube No. 4. Place the tubes into the corresponding tube positions according to the starting rack No. and tube No. entered. 5. Place the racks with tubes on the right tray of the autoloader, with the back of the carrier (where the “MINDRAY” mark is located) facing the analyzer. 6. Tap "OK" button to close the mode dialog box, and then tap the "Start Count" button on the “Count” screen, the analyzer will automatically start to run in order from the preset starting position. During this process, the analyzer indicator is flickering in green. 7. After every analysis cycle, the results will be displayed on the analysis result area and saved to the sample database. 8. When the analyses are finished, a statistical result dialog box will pop up. NOTE You can choose to select or deselect "Display statistics after autoloading finishes" at the "Autoloader" setup screen. If the results of “Rack Vacancy” and/or “ID reading errors” on the statistical result dialog box are not 0, you can tap the "Detail…" button to check the sample ID, analysis time and sample position of the corresponding samples.
Operating Your Analyzer 6-36 9. Tap "OK" button to close the dialog box, the analyzer indicator will return to green. 10. When the autoloading analyses are finished, all the tube racks are moved to the left tray of the autoloader automatically, and then you can remove the racks of tubes safely. NOTE If “Run as per worklist”, "Automatic scan of sample ID" and "Automatic scan of rack No." are not selected, then no running and other actions will be taken to the records in the worklist. If more racks are needed when running the samples, you should load the rack from the right of the autoloader while removing the completed rack from the left of the autoloader in time. Running following the worklist but without automatic scan of sample ID and rack No. 1. Make sure the analyzer and the PC are properly connected. 2. When it is ready to run a sample (i.e. the analyzer indicator is green), tap the "Mode" button at the “Count” screen, the "Mode" dialog box will pop up. 3. Select "AL-WB", and select "Run as per worklist", do not select “Auto-Scan rack No.” or “Auto-Scan sample ID”.
Operating Your Analyzer 6-37 NOTE When the analyzer is not connected with the PC, the "Run as per worklist" button is gray, the function is deactivated. The selection status of "2-Way LIS/HIS" check box is determine by the communication setup at the PC end, you cannot select/deselect it on the analyzer. 4. Mark sample ID on the prepared sample tubes manually according to the sample information in the worklist, and place the tubes into the corresponding tube positions. 5. Place the racks with tube on the right tray of the autoloader, with the back of the carrier (where the “MINDRAY” mark is located) facing the analyzer. 6. Tap "OK" button to close the mode dialog box, and then tap the "Start Count" button on the “Count” screen, the analyzer will automatically start to run in order of the tube positions. During this process, the analyzer indicator is flickering in green. 7. After every analysis cycle, the results will be displayed on the analysis result area and saved to the sample database. 8. When the analyses are finished, a statistical result dialog box will pop up. NOTE You can choose to select or deselect "Display summary after autoloading finishes" at the "Autoloader" setup screen. If the results of “Rack Vacancy” and/or “ID reading errors” on the statistical result dialog box are not 0, you can tap the "Detail…" button to check the sample ID, analysis time and sample position of the
Operating Your Analyzer 6-38 corresponding samples. 9. Tap "OK" button to close the dialog box, the analyzer indicator will return to green. 10. When the autoloading analyses are finished, all the tube racks are moved to the left tray of the autoloader automatically, and then you can remove the racks of tubes safely. NOTE For the unhidden samples whose status is “Ready” or “Error” in the worklist (of the autoloading sampling mode), the analyzer will run the samples according to the order of sample positions. In the "Mode" dialog box, the entry of the grayed fields (sample ID, rack No., tube No. and analysis mode) comes from the first (tube position) unhidden sample in autoloading mode whose status is ready or error. When "Run as per worklist", if the current tube is excluded in the worklist, the analyzer will still jump it without running. If more racks are needed when running the samples, you should load the rack from the right of the autoloader while removing the completed rack from the left of the autoloader in time. Running without following the worklist but with automatic scan of sample ID and rack No. 1. When it is ready to run a sample (i.e. the analyzer indicator is green), tap the "Mode" button at the “Count” screen, the "Mode" dialog box will pop up.
Operating Your Analyzer 6-39 2. Select "AL-WB" and select “Auto-Scan rack No.” and/or “Auto-Scan sample ID”, do not select "Run as per worklist". NOTE When the analyzer is not connected with the PC, the "Run as per worklist" button is gray, the function is deactivated. The selection status of "2-Way LIS/HIS" check box is determine by the communication setup at the PC end, you cannot select/deselect it on the analyzer. 3. Select analysis mode on the left, if “Auto-Scan sample ID” is not selected, enter the sample ID; if "automatically scan tube No." is not selected, enter the starting rack No. and tube No. of the sample to be run. If both options are selected, those data cannot be edited. 4. If “Auto-Scan sample ID” is selected, place labels on the tubes properly (see 6.8.4 for how to place labels), and then place them into the corresponding tube positions properly as shown in the figure below.
Operating Your Analyzer 6-40 5. Place the racks with tubes on the right tray of the autoloader, with the back of the carrier (where the “MINDRAY” mark is located) facing the analyzer. 6. Tap "OK" button to close the mode dialog box, and then tap the "Start Count" button on the “Count” screen, the analyzer will automatically scan sample ID and/or rack No. from the preset starting position. During this process, the analyzer indicator is flickering in green. 7. After every analysis cycle, the results will be saved to the Review screen. 8. When the analyses are finished, a statistical result dialog box will pop up.
Operating Your Analyzer 6-41 NOTE You can choose to select or deselect "Display statistics after autoloading finishes" at the "Autoloader" setup screen. If the results of “Rack Vacancy” and/or “ID reading errors” on the statistical result dialog box are not "0", you can click the "Detail…" button to check the sample ID, analysis time and sample position of the corresponding samples. 9. Tap "OK" button to close the dialog box, the analyzer indicator will return to green. 10. When the autoloading analyses are finished, all the tube racks are moved to the left tray of the autoloader automatically, and then you can remove the racks of tubes safely. NOTE If “Auto-Scan sample ID” and/or “Auto-Scan rack No.” are selected, but "Run as per worklist" is not selected, then no running and other actions will be taken to the records in the worklist. If “Auto-Scan sample ID” is selected, but the sample ID scanned is invalid, then "InvalidN" will be the sample ID, N starts from 1 and increases by one each time (starts from 1 again if the analyzer is restarted). If “Auto-Scan rack No.” is selected and the tube No. scanned is invalid, then "??" will be the tube No.. If more racks are needed when running the samples, you should load the rack from the right of the autoloader while removing the completed rack from the left of the autoloader in time. Running following the worklist and with automatic scan of sample ID and rack No. 1. Make sure the analyzer and the PC are properly connected. 2. When it is ready to run a sample (i.e. the analyzer indicator is green), tap the "Mode" button at the "Count" screen, the "Mode" dialog box will pop up.
Operating Your Analyzer 6-42 3. Select the mode as "AL-WB", select “Auto-Scan rack No.” and/or “Auto-Scan sample ID”, and select "Run as per worklist". NOTE When the analyzer is not connected with the PC, the "Run as per worklist" button is gray, the function is deactivated. The selection status of "2-Way LIS/HIS" check box is determine by the communication setup at the PC end, you cannot select/deselect it on the analyzer. 4. If “Auto-Scan sample ID” is selected, place labels on the tubes properly (see 6.8.4 for how to place labels), and then place them into the corresponding tube positions properly as shown in the figure below.
Operating Your Analyzer 6-43 5. Place the racks with tubes on the right tray of the autoloader, with the back of the carrier (where the “MINDRAY” mark is located) facing the analyzer. 6. Tap "OK" button to close the mode dialog box, then tap the "Start Count" button on the “Count” screen, the analyzer will automatically scan sample ID and/or rack No. from the preset starting position. During this process, the analyzer indicator is flickering in green. 7. After every analysis cycle, the results will be saved to the Review screen. 8. When the analyses are finished, a statistical result dialog box will pop up.
Operating Your Analyzer 6-44 NOTE You can choose to select or deselect "Display statistics after autoloading finishes" at the "Autoloader" setup screen. If the results of “Rack Vacancy” and/or “ID reading errors” on the statistical result dialog box are not "0", you can click the "Detail…" button to check the sample ID, analysis time and sample position of the corresponding samples. 9. Tap "OK" button to close the dialog box, the analyzer indicator will return to green. 10. When the autoloading analyses are finished, all the tube racks are moved to the left tray of the autoloader automatically, and then you can remove the racks of tubes safely. NOTE If there is no record of AL-WB mode in the worklist, then the "Run as per worklist" button in the “Count” screen will be displayed in gray. If “Auto-Scan rack No.” is not selected, the system will search for the matching record in the worklist according to the scanned sample ID, and then the rack No. and tube No. will be overwritten. The analysis status of the record will change from “Ready” to “Analyzing”. If “Auto-Scan sample ID” is selected, but the sample ID scanned is invalid, then "InvalidN" will be the sample ID, N starts from 1 and increases by one each time (starts from 1 again if the analyzer is restarted). If “Auto-Scan rack No.” is selected and the tube No. scanned is invalid, then "??" will be the tube No.. If "Automatically delete analyzed sample records from worklist" is selected (Setup > General Setup > Auxiliary > Other), then the completed records will be deleted automatically from the worklist. If more racks are needed when running the samples, you should load the rack from the right of the autoloader while removing the completed rack from the left of the autoloader in time. 6.8.3 Special Functions Stop Running During the analysis process, the "Start Count" button will turn into "Stop Count" button. Tap the "Stop Count" button, the analyzer will stop running after the current sample is analyzer, and the rack of the sample will move to the unloading tray one the left of the autoloader.
Operating Your Analyzer 6-45 STAT During the analysis process, if there are STAT samples to be prioritized, tap the "STAT" button on the “Count” screen, and confirm the operation on the pop-up dialog box. After the current sample has been analyzed, the analyzer will stop the autoloading operation and covert AL to OV mode. When the analysis status icon turns yellow, run the STAT sample under OV mode as instructed in 6.7 Sample Analysis in the OV Mode. After the analysis completes, tap the "Exit STAT" button on the "Count" screen, the sample ID will restore to the next ID before the STAT analysis, then you can proceed with analysis under autoloader mode. Automatic saving of analysis results This analyzer automatically saves sample results. When the maximum number of results that can be saved has been reached, the newest result will overwrite the oldest. Parameter flags If the parameter is followed by a "H" or "L", it means the analysis result has exceeded the upper or lower limit of the reference range, but still within the display range. If the parameter is follow by the suspect flag (the default suspect flag is "R"), it means the analysis result is suspicious. If you see **** as the result, it means the result is invalid or out of the display range. NOTE The results of background check will not be flagged for abnormal parameters, abnormal blood cell differential or morphology. You can change the default flags on the PC. See 5.3.1 General Setup ("Setup" > "General Setup") for reference. Flags of Abnormal Blood Cell Differential or Morphology CAUTION Abnormal cells may not necessarily trigger the flags during the analysis process, it is recommended that reexamination is conducted per the operation instruction of your laboratory. Flag Message Indication Criteria WBC Scattergram Abn. Abnormal distribution of WBC scattergram The distribution of DIFF scattergram and/or BASO scattergram is abnormal
Operating Your Analyzer 6-46 NRBC Scattergram Abn. Abnormal distribution of NRBC scattergram NRBC scattergram is abnormal Neutropenia Neu# low Neu# < 1.00×10^9/L Neutrophilia Neu# high Neu# > 11.00×10^9/L Lymphopenia Lym# low Lym# < 0.80×10^9/L Lymphocytosis Lym# high Lym# > 4.00×10^9/L Monocytosis Mon# high Mon# > 1.50×10^9/L Eosinophilia Eos# high Eos# > 0.70×10^9/L Basophilia Bas# high Bas# > 0.20×10^9/L Leukopenia WBC low WBC < 2.50×10^9/L Leukocytosis WBC high WBC > 18.00×10^9/L NRBC present NRBC detected in the NRBC channel NRBC% > 1% and NRBC# > 0.01 Blasts? Possible presence of blasts Presence of excessive dots in blast sensitive region of the scattergram Abn Lympho/ Blasts？ Possible presence of abnormal lymphocytes or blasts Presence of excessive dots in abnormal lymphocyte/blast sensitive region of the scattergram Immature Gran? Possible presence of immature granulocytes Presence of excessive dots in immature granulocyte sensitive region of the scattergram Left Shift? Possibility of left shift Presence of excessive dots in left shift sensitive region of the scattergram Atypical Lymph? Possible presence of atypical lymphocytes Presence of excessive dots in atypical lymphocyte sensitive region of the scattergram NRBC? Possible presence of NRBC Presence of excessive dots in NRBC sensitive region of the scattergram RBC Lyse resistance? Possibility of RBC lyse resistance Presence of abnormally distributed dots in WBC sensitive region of the WBC scattergram RBC Histogram Abn. Abnormal distribution of RBC histogram The distribution of RBC histogram is abnormal RET Scattergram Abn. Abnormal distribution of RET scattergram The distribution of RET scattergram is abnormal Dimorphic Population Two or more wave crests in the RBC histogram Two or more wave crests in the RBC histogram Reticulocytosis RET high RET% > 5% or RET#>0.20×10^12/L Anisocytosis Anisocytosis RDW-CV> 22 or RDW-SD > 64fL Microcytosis MCV low MCV < 70fL Macrocytosis MCV high MCV > 110fL Hypochromia Hypochromia MCHC<290
Operating Your Analyzer 6-47 Anemia Anemia HGB < 90g/L Erythrocytosis RBC high RBC > 6.5×10^12/L RBC Agglutination？ RBC results possibly inaccurate Calculate and compare special parameters Turbudity/HGB Interference? Hemoglobin abnormal or there is HGB interference Calculate and compare special parameters Iron Deficiency? Possibility of iron deficiency Calculate and compare special parameters Fragments? Possible presence of RBC fragments Presence of abnormally distributed dots in sensitive region of the RET channel PLT Scattergram Abn. Abnormal distribution of PLT scattergram The distribution of PLT scattergram is abnormal PLT Histogram Abn. Abnormal distribution of PLT histogram The distribution of PLT histogram is abnormal Thrombopenia PLT low PLT<60×10^9/L Thrombocytosis PLT high PLT>600×10^9/L PLT Clump? Possibility of PLT clump Calculate and compare special parameters Pancytopenia WBC, RBC and PLT low WBC < 4.0 and RBC < 3.5 and PLT < 100 Lipid Particles? Possible presence of lipid particles Presence of excessive dots in lipid particle sensitive region of the scattergram Infected RBC? Possible presence of infected RBC Presence of excessive dots in infected RBC sensitive region of the scattergram 6.8.4 Barcode Labels CAUTION The following errors may cause misreading of barcodes: The barcode is not stuck upright; Use of unqualified barcodes; There are blood, powder or other contaminators on the surface of the barcode. To ensure good readability of barcodes, do as follows: Stick the barcode correctly, as shown in Figure 1. Use qualified barcodes mentioned in Appendix B.19 Barcode Specifications. Keep the surface of the barcode clean and free of dust.
Operating Your Analyzer 6-48 NOTE If several labels are stuck to one tube, or the label is misplaced, peeled or wrinkled, it may cause autoloading error. To avoid such error, the notes below shall be followed: The label shall be stuck properly, as shown in Figure 1. Do not stick several labels to one tube. The surface of the label shall not be wrinkled, Do not use barcode label which is easily peeled to prevent the label from peeling. Ensure that the tube with barcode label can be taken out from and placed back to the rack easily. To ensure good readability of the barcode, you must place the label right on the region as shown in Figure 1, and place the label correctly as shown in Figure 2. Figure 1 Where to place the barcode label Figure 2 How to place the barcode label
Operating Your Analyzer 6-49 6.9 Working with the Worklist The worklist enables users to create a list of samples, based on which the users can run these samples in batch. Click “Worklist” to go to the following screen. 6.9.1 Introduction The upper part of the screen under the buttons is the list area, while the lower part is information entry area including "Sample Info." and "Patient Info.". NOTE Up to 4000 records can be saved in the worklist. All the information fields in the worklist are entered through the information entry area except the "No.", "Analysis Status" and "Time of Entry". The information entry area displays data of the last selected record (the record marked with an arrow in the first column of the worklist). 6.9.2 Operations In the "Worklist" screen, you can perform the following operations to the worklist in the upper part of the screen.
Operating Your Analyzer 6-50 Create sample records You can click the "New" button to add a new sample record, see Enter Work List Information section of this chapter for details. Edit information Click the desired record in the worklist to select it. Edit desired information of the sample in the information entry area. NOTE For the record whose "Analysis Status" is "Analyzing", you cannot edit its "Sample ID", "Mode", "Rack No." or "Tube No." (autoloading mode) in the information entry area. For the record whose "Analysis Status" is "Finished", its information entry area grays out, and you cannot edit the information. You can go to the report screen to edit the information. Delete sample results 1. Click the "Delete" button, and a dialog box will pop up. 2. Select a radio button: Selected Records All Finished Records All Records NOTE Make sure you have selected the desired record(s) if you want to delete the “Selected Records”.
Operating Your Analyzer 6-51 3. Click "OK" to perform the deletion and renew the worklist. NOTE The records whose "Analysis Status" are "Analyzing" cannot be deleted. Search for record(s) 1. Click the "Search" button, and a dialog box will pop up. 2. Enter at least one condition (“Sample ID”, “Patient ID” and/or “Name”). 3. Click the "Find Previous" or "Find Next" button to start searching upward/downward from the currently selected record. The matching record will be selected and highlighted. 4. Continue to find more records by clicking "Find Previous" or "Find Next" if needed. NOTE If the first/last record is reached, then the searching cycle will start again from the last/first record upwards/downwards. 5. Click “Close” to close the dialog box when you finish searching. Copy records 1. Select the desired record you want to copy in the worklist. 2. Click the "Copy" button to add a new record in worklist. The sample ID of this newly added record is empty or will automatically increase by 1 based on the last sample ID in the worklist (if configured in “Auxiliary” setup), other information remains the same as that of the record you copy from. For the autoloading samples, the "Rack No. "-"Tube
Operating Your Analyzer 6-52 No." of this new record will increase by 1 based on the greatest "Rack No. "-"Tube No." existed in the worklist. Import If you have a file of worklist items, you can import the file so you don’t have to add them one by one. 1. Click the "Import" button. 2. Browse to the file to be imported in the pop-up dialog box. 3. Click "Open" to import all the worklist items included in the file. Export You can export the items in the worklist to a file. 1. Click the "Export" button. 2. Specify the directory to save the exported file in the pop-up dialog box. 3. Click "Save" to save the exported file. Print 1. Select the desired record(s) you want to print. 2. Click the "Print" button to start printing. Check print preview 1. Select the desired record(s) you want to check the print preview. 2. Click the "Preview" button to go to the print preview screen. 3. Click the “Close” button to close print preview screen. Save After editing/adding information, you can click the "Save" button to save the changes.
Operating Your Analyzer 6-53 6.10 Standby When the time for which the analyzer is free from fluidic operations reaches that you have set at the "Setup" screen of the analyzer, a dialog box will pop up, prompting "Entering standby status…". After the preparation, the dialog box closes automatically and the analyzer is in the auto-sleep status. The screen blacks out and prompts "Analyzer in standby status. Tap the screen or press the Aspirate Key to resume!". NOTE Refer to 5.2.4 Maintenance Setup (Administrator) ("Menu" > "Setup" > "Maintenance") for how to edit waiting time before entering the standby mode. If it is time for standby, current operations will pause. After the analyzer entered the standby status, the operations will be continued. To exit the standby status, press the aspirate key and a dialog box of "Exiting standby status..." will pop up. After exiting the standby status, the dialog box will close automatically.
Operating Your Analyzer 6-54 6.11 Shutdown All the samples, controls, calibrators, reagents, wastes and areas contacted by them are potentially biohazardous. Wear proper personal protective equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures when handling them and the contacted areas in the laboratory. WARNING The sample probe tip is sharp and may contain biohazardous materials. Exercise caution to avoid contact with the probe when working around it. CAUTION Do not start up the analyzer immediately after shutdown. Wait at least 10 seconds. NOTE Be sure to shut down the analyzer strictly as instructed below. Shut down the analyzer 1. Tap "Shutdown" from the menu. 2. Tap "Yes". 3. A dialog box will pop up asking you to perform probe cleanser maintenance, present probe cleanser to the sample probe as instructed, and press the aspirate key to start probe cleanser maintenance.
Operating Your Analyzer 6-55 4. After probe cleanser maintenance completes, the touch screen will blacks out and message will be displayed instructing you to power off the analyzer, do accordingly. 5 Empty the waste container and dispose of the waste properly. Exit the terminal software You can either log out and exit the software, or close the software directly. To log out and exit: 1. Click the logout icon on top right of the screen, and a dialog box will pop up. 2. Click “OK” to go back to the login screen. 3. Click on bottom right of the login screen to exit. To close directly: 1. Click on top right of the screen, and a dialog box will pop up. 2. Click “OK” to exit. Close the external computer 1. Close the external computer according to the shutdown procedures of the operation system. 2. Turn off the display.
Operating Your Analyzer 6-56 NOTE You should first exit the terminal software, and then shut down the external computer according to the shutdown procedures of the operation system. Otherwise, the records in the sample database of the terminal software may be lost.
7-1 7 Reviewing Sample Results 7.1 Introduction After every analysis cycle, the analyzer will save the analysis result into the sample base automatically. Up to 100,,000 analysis results can be stored in the sample base of the PC, including 33 report parameters, 14 RUO parameters, scattergrams and histograms. Up to 500 analysis results can be stored in the analyzer. You can review all the analysis results, scattergrams and histograms either in table or graph mode.
Reviewing Sample Results 7-2 7.2 Reviewing Sample Results from SPU 7.2.1 Table Review ("Menu" > "Table Review" The current analysis result is marked with "*" in the first column as shown in the figure above. The position of the current sample result and the total sample results are shown in the form of "Position/Total" down to the screen. Browsing The sample results are sequentially displayed from left to right on the screen, the latest on the utmost right of the table. If the information cannot be displayed in one screen, use the arrow keys below the table to browse. If you want to view the complete information of a sample result, use the arrow keys to the right of the table to browse. Selecting Select/Deselect a single result 1. Tap the heading of the record that you want to select (or deselect). The selected record will be highlighted (see the record No. 6 below).
Reviewing Sample Results 7-3 2. Tap the heading of the selected record again; the highlight will be canceled (see the No. 6 record below). Select/Deselect multiple results 1. Tap the heading of the record that you want to select (or deselect). The selected records will be highlighted (see the record No.5 and No.6 below).The heading of record No.5 is marked with "*" for it's the last record being selected.
Reviewing Sample Results 7-4 2. Tap the heading of the selected records again one by one, and the highlight will be canceled (see the record No.5 and No.6 below). Searching You can use the search function to search for the desired sample record stored in the analyzer by defining conditions. 1. Tap the "Search" button at the "Table Review" screen.
Reviewing Sample Results 7-5 2. Define the Sample ID or range of Date of Analysis. NOTE You can leave the "Sample ID" or "Date of Analysis" in blank and start searching without one of the conditions. 3. Tap "Search". 4. Tap "OK". 5. Tap the "Return" button to back to the "Table Review" screen.
Reviewing Sample Results 7-6 Exporting (Administrator) Users of administrator level can export the sample records to a USB flash drive. 1. Tap the "Export" button at the "Table Review" screen. 2. Select to export “Selected Records” or “All Records”. If you want to export “Selected Records”, make sure the desired records are selected. 3. Make sure the USB flash drive is connected to the analyzer properly. 4. Tap “OK” to export to the USB flash drive. Deleting (Administrator) Users of administrator level can delete records at the “Table Review” screen. 1. Tap the "Delete" button at the "Table Review" screen. 2. Select to export “Selected Records” or “All Records”. 3. Tap “OK”.
Reviewing Sample Results 7-7 4. Tap “Yes” to deleted the records and close the dialog box. Trend Graph Select one or more samples at the “Table Review” screen, and click the “Trend Graph” button, the following screen will pop up. The Trend graph displays the trend of all parameters of the selected samples. The data points of each parameter display from left to right. In the trend graph, black points represent sample data that are within upper and lower limits, while red points represent sample data that are outside upper or lower limits. Click the arrow buttons on the right to view the trend graph of all parameters. If there are more that 25 points in the trend graph, click the arrow button under the graph to view all points. Setting up the limit 1. Click the “Setup” button at the trend graph screen, the following dialog box will pop up for you to set up the limit of each parameter.
Reviewing Sample Results 7-8 2. After setting up the limit, click “OK” to save the change and close the dialog box; or click “Cancel” to close the dialog box without save the change. Returning to the graph review screen Click the “Return” button at the trend graph screen to return to the graph review screen. Transmit When the SPU is connected with the DMU, the “Transmit” button is activated. You can click it to transmit selected sample records to the DMU. 7.2.2 Graph Review Tap the "Graph Review" button at the “Table Review” screen to enter the "Graph Review" screen.
Reviewing Sample Results 7-9 The position of the current sample result and the total sample results are shown in the form of "Position/Total" down to the screen. Browsing Tap "Previous" or "Next" button to browse each sample result. Reviewing RUO Parameters (Administrator) 1. Tap the "RUO Parameters" button.
Reviewing Sample Results 7-10 2. Tap "OK" to go back to the “Graph Review” screen. Reviewing the Special Info. Click the “Special Info.” button at the graph review screen, the following screen will pop up. You can view special information, including error information (number of error messages, error codes and names) at the screen. Switching Screens Tap the "Table Review" button to switch to the “Table Review” screen.
Reviewing Sample Results 7-11 7.3 Reviewing Sample Results from DMU From the “Review” screen, an operator can send, view, print and search sample records, and an administrator can validate records, cancel validation, delete records, export data, archive records lock/unlock the screen view except from using the functions available to operators. Click "Review" to enter the "Review" screen. NOTE Some tabs are not displayed in the default layout. You can use the “View” button to find it and click to display. 7.3.1 Introduction to the Screen Table Area The table displays a list of analyzed samples with basic sample information like sample ID, name, date of analysis, time of analysis, patient ID, validation, print and communication status, flag, error, rack no., tube no., analyzer SN, sample mode, test panel and presentation mode.
Reviewing Sample Results 7-12 Column lock setup You can lock one or more most frequently used columns in this area to make it fixed on the left of the table while dragging the horizontal scroll bar. 1. Right click the heading of any column, and a menu pops up. 2. Select "Column Lock", and a dialog box below will pop up. 3. Select the desired item(s) from the “Available Items” list, and then click “Add” to add it to the “Selected Items” list; Or, Select the desired item(s) from the “Selected Items” list, and then click “Delete” to delete it from the “Selected Items” list. 4. Adjust the order of the columns using the order adjusting buttons if necessary. 5. Click “OK”.
Reviewing Sample Results 7-13 Switch to Report To switch to the “Report” screen of a selected record, right click and select “Switch to report”, or double click the desired record. Graph Area Graph area provides different tabs where you can view different groups or types of results. The tabs include General, WBC, RBC, Result Compare, Microscopic Exam, RUO Parameters, Intraday repeated results, and Patient Info. NOTE You can click on any scattergram or histogram for a zoom-in view of it, and then click elsewhere to exit. General This screen displays all the report parameter results, flag messages, 4 scattergrams (DIFF, BASO, RET, and NRBC) and 2 histograms (RBC and PLT). WBC You can review WBC-related parameter results, WBC flag messages, and 4 scattergrams (DIFF, BASO, RET, and NRBC) from this screen.
Reviewing Sample Results 7-14 RBC You can review the RBC-related parameter results, RBC/RET flag messages and PLT flag messages, 4 scattergrams (RET-EXT, PLT-O, RET and NRBC) and 2 histograms (RBC and PLT) from this screen. Result Compare You can compare the results with the same Patient ID and patient name attained within 6 months. Select "Parameter Compare" (comparative review of all report parameter results), "Trend Graph" (parameter-by-parameter trend graphs) or "Scattergram/Histogram Compare" (comparative review of all histograms and scattergrams) for comparative reviews of different dimensions.
Reviewing Sample Results 7-15 NOTE The “Outliers” message displayed in Delta check area on the right means the delta check function is enabled and the corresponding parameter result is out of the set limit. For Delta check setup, see Auxiliary setup > Delta check setup in 5.3.1 General Setup ("Setup" > "General Setup"). Print You can print the “Parameter Compare” and “Trend Graph” screens by clicking the “Print” button in the corresponding screen. Print Preview You can check the print preview of the “Parameter Compare” and “Trend Graph” screens by clicking the “Print” button in the corresponding screen. Parameter Order To adjust the order of parameters displayed in the “Parameter Compare” and “Trend Graph” screens, click the “Para. Order” button in the corresponding screen, and adjust the order of desired parameter(s) in the pop-up dialog box. Microscopic Exam. You can review information including Time of Microscopic Exam., Microscopic Description, comments, and etc. from this screen. RUO Parameters You can review the results of RUO parameters, WBC, RBC/RET and PLT flag messages, as well as 4 scattergrams (DIFF, BASO, PLT-O, and NRBC) from this screen.
Reviewing Sample Results 7-16 Reference results You can view the raw values of all basic parameters in this tab. I-message I-message is a collection of the flags with uncertainty to some extent. This tab shows the degree of certainty of these flags. The values in the “Value” column and along the red vertical lines are the reference values of certainty which can be modified at the algorithm setup screen of the SPU (see 5.2.9 Algorithm Setup (Administrator) ("Menu" > "Setup" > "Alg")). The larger the values is, the more probable
Reviewing Sample Results 7-17 of the flagging message. Those larger than the reference values will be displayed in red. Intraday repeated results If a sample (the records with same sample IDs will be regarded as results of the same sample) is analyzed for several times on the same day, you can review these records from this screen. The table on the right is a list of the sample records, among which the ticked one is the one to be reported. You can select a record in this table, right-click and select to report (by clicking “Match repeated results”) or transmit this record (by clicking “Transmit repeated results”). Patient Info. You can browse the patient information including Date of Analysis, Sample ID, Patient ID, Gender, Date of Birth, Age, Reference Group, Department, Ward, Bed No., Sample Type, Draw Time, Order Time, Ordered by, Operated by, Validated by, Time of Report, Clinical, Comments, etc. 7.3.2 Button Functions Data Communication To communicate selected data: 1. Select one or more sample records you want to transmit from the “Table”. 2. Click the “Communication” button, a dialog box below will pop up.
Reviewing Sample Results 7-18 3. Select the “Selected Data” radio button. 4. Click “Start” to close the dialog box and start the communication. To communicate specified data: 1. Click the “Communication” button, a dialog box below will pop up. 2. Select the “Specified Data” radio button. 3. Specify desired starting and ending date. 4. Click “Start” to close the dialog box and start the communication of records in the specified date range. Validate/Cancel (Administrator) To validate sample record(s) Select the sample record(s) to be validated from the “Table”, and then click the "Validate" button to validate. The check boxes of validated sample(s) will be ticked and the record(s) will be highlighted. A dialog box will pop up asking for Administrator ID and password if the current
Reviewing Sample Results 7-19 user is of operator level. To cancel the validation of sample record(s) Select the validated sample record(s) from the “Table” and then click the "Cancel" button to remove the validation check mark(s) and cancel the highlight. Delete Sample Record(s) (Administrator) 1. Select the sample result(s) to be deleted from the “Table”. 2. Click the “Delete” button, and the following dialog box will pop up. 3. Click “OK” to close the dialog box and delete the record(s). Check the Print Preview 1. Select a record you want to check the print preview from the “Table”. 2. Click the “Preview” button to go to the preview screen. 3. Click “Close” to exit the preview screen. Batch Validation (Administrator) 1. Click the “Batch Validation” button and the following dialog box will pop up. 2. Specify the date on which the sample records you want to validate. 3. Specify the range of the “Sample ID” to be validated if needed. 4. Click “Validate” to validate the specified records and close the dialog box.
Reviewing Sample Results 7-20 Batch Print 1. Click the “Batch Print” button and the following dialog box will pop up. 2. Specify the date on which the sample records you want to print. 3. Specify the range of the “Sample ID” to be printed if needed. 4. Select a radio button to print as “Report” or “Table”. 5. Click “Print” to print the specified records and close the dialog box. Print To print based on default print template Select the sample record(s) you want to print from the “Table”, and then click the "Print" button to print. To print result summary/list 1. Select the sample record(s) you want to print from the “Table”. 2. Click the arrow on bottom of the “Print” button. 3. Select “Print Result Summary” or “Print Result List”.
Reviewing Sample Results 7-21 To check print preview 1. Select the sample record you want to check the print preview from the “Table”. 2. Click the arrow on bottom of the “Print” button. 3. Select “Result Summary Preview” or “Result List Preview”. Search Sample Record(s) 1. Click the “Search” button, and then the following dialog box will pop up. 2. Specify the searching condition(s) by entering or selecting from pull-down list. 3. If you want to filter the searched results, click the "Filter".
Reviewing Sample Results 7-22 4. “Add” “General Parameter Condition” and/or “Custom Parameter Condition” if needed. If more than one condition is added to either group, define the relation between two conditions by selecting “AND” or “OR” in the “Relations” column. 5. If both “General Parameter Condition” and “Custom Parameter Condition” are specified, select “AND” or “OR” from the pull-down list between the two tables to define the logic relation between the two group of conditions. 6. Click the "OK" button to start searching and close the dialog box. The Searching results will be displayed in the table area. NOTE You can delete any condition in the “General Parameter Condition” or “Custom Parameter Condition” by clicking the “Delete” button under the corresponding table. Display All Samples The table area on the review screen displays the sample record of the day by default, if you want to view all sample records, click the “All Samples” button.
Reviewing Sample Results 7-23 Lock Record When connection is established between the SPU and the DMU, the Review Screen of the DMU will display the latest sample result received from the analyzer. You can click the "Lock Record" button to lock the review screen at the current sample result, and the screen will not be refreshed after new sample records come. Data Export (Administrator) 1. Click the “Data Export” button, and the following dialog box will pop up. 2. In the “Export records” area, select “Selected Records”; or select “Specified Records”, and then define the starting and ending of “Date of Analysis”. 3. If needed, select the types of information to be exported in the “Options” area. These may include: Patient Info. Sample Info. Reported Parameter Other Parameter