IRIS iChem 100 Operator's Manual

1. Introduction

Operators Manual

1. Introduction
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Table of Contents

Table of Contents

Chapter 1 - Introduction

Introduction .......................................................................................................................7
Intended Use ................................................................................................................. 7
How to use the Operator’s Manual.................................................................................... 7
Precautions and Warnings ................................................................................................8
Notes ............................................................................................................................. 8
Cautions ........................................................................................................................8
Warnings .......................................................................................................................8
Biological Warnings....................................................................................................... 8
Warnings, Precautions, Limitations................................................................................... 8
Iris Diagnostics Contact Information .................................................................................9
Warranty............................................................................................................................ 9
Limitation of Liability........................................................................................................ 10

Chapter 2 - System Description

Theory of Operation ........................................................................................................ 12
Features ......................................................................................................................12
Test Strips ...................................................................................................................12
Optics ..........................................................................................................................13
LED Unit................................................................................................................... 13
CMOS Image Sensor............................................................................................... 14
Optics Calibration..................................................................................................... 14
Measurement ........................................................................................................... 14
Instrument Components.................................................................................................. 15
Front ............................................................................................................................ 15
Back............................................................................................................................. 15
Software.......................................................................................................................... 17
Data Entry Fields ......................................................................................................... 17
Toggle Fields............................................................................................................... 17
Function Keys .......................................................................................................... 18
Menu Diagram ............................................................................................................. 18
Main Menu ............................................................................................................... 18
Worklist Menu .......................................................................................................... 18
Run Patient Menu .................................................................................................... 19
Results Menu........................................................................................................... 19
Controls Menu.......................................................................................................... 19
Setup Menu.............................................................................................................. 20
Microscopic Menu .................................................................................................... 20
Service Menu ........................................................................................................... 20
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Table of Contents
Specifications.................................................................................................................. 21
Consumables or Part Replacement ................................................................................ 22

Chapter 3 - Set Up

Setting the Language...................................................................................................... 24
Setting Date and Time .................................................................................................... 25
Setting the Date or Time Format ................................................................................. 26
Changing the Date and Time....................................................................................... 26
Setting the Reporting Units ............................................................................................. 28
Conventional (mg/dL) Units ......................................................................................... 29
Standard International (µmol/ L) units ......................................................................... 29
Qualitative (+) units ..................................................................................................... 29
Customized Units ........................................................................................................ 30
Printing Units ............................................................................................................... 30
Sample Print Layout................................................................................................. 31
Setting the Flagging Criteria............................................................................................ 32
Microscopic ..................................................................................................................... 34
Print a Copy of Microscopic Setup ..............................................................................36
Setting the Test Sequence.............................................................................................. 37
Setting the Log On Identifiers.......................................................................................... 39
Adding a New User...................................................................................................... 40
Editing a User Information ........................................................................................... 41
Deleting a User............................................................................................................ 43
Setting Up the Printer...................................................................................................... 45
Setting Transmitting Results ........................................................................................... 47

Chapter 4 - Specimen Processing

Powering the Instrument On ........................................................................................... 49
Logging On .................................................................................................................. 49
Logging Off.................................................................................................................. 50
Running Single Specimen Analysis ................................................................................ 51
Entering Patient Information ........................................................................................ 51
Sequence Number ................................................................................................... 51
Specimen/Patient ID ................................................................................................ 51
Last Name................................................................................................................ 51
First Name ............................................................................................................... 52
Clarity....................................................................................................................... 52
Specimen Type ........................................................................................................ 53
Analyzing the Urine .....................................................................................................54
Running Batch Specimen Analysis ................................................................................. 57
Creating a Worklist ...................................................................................................... 57
Sequence Number ................................................................................................... 59
Specimen/Patient ID ................................................................................................ 59
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Table of Contents
Last Name................................................................................................................ 59
First Name ............................................................................................................... 59
Clarity....................................................................................................................... 59
Specimen Type ........................................................................................................ 60
Downloading a Worklist............................................................................................... 62
Viewing and Editing a Worklist .................................................................................... 63
Running a Worklist ......................................................................................................65
Printing a Worklist........................................................................................................ 67
Running a Stat ................................................................................................................68

Chapter 5 - Controls

Setting the Control Run Frequency.................................................................................72
Setting a Control File....................................................................................................... 73
Creating a Control File................................................................................................. 73
Editing Control File Information ................................................................................... 75
Deleting Control File Information ................................................................................. 76
Running Controls ............................................................................................................77
To accept the results ...................................................................................................78
To reject the results ..................................................................................................... 78
Control Results................................................................................................................ 79
Viewing Control Results ..............................................................................................79
Printing Control Results...............................................................................................80
Deleting Control Results..............................................................................................80

Chapter 6 - Results

Entering Microscopic Results.......................................................................................... 83
Viewing Results............................................................................................................... 88
Limiting Result Parameters .........................................................................................88
Printing Results............................................................................................................... 90
Transmitting Results .......................................................................................................92
Deleting Results.............................................................................................................. 93

Chapter 7 - Maintenance and Service

Maintenance.................................................................................................................... 95
Recommended Maintenance & Cleaning .................................................................... 95
Daily Maintenance ....................................................................................................... 95
Weekly Maintenance ................................................................................................... 96
Emptying Waste Container ...................................................................................... 96
Cleaning the Belt Assembly..................................................................................... 99
Replacing the Belts................................................................................................ 101
As needed - Replacing the Paper Roll ......................................................................104
Diagnostics.................................................................................................................... 105
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LCD Test ...................................................................................................................105
Printer Test................................................................................................................ 105
Load Drive Test ......................................................................................................... 106
Inc Drive Test ............................................................................................................106
LED Test.................................................................................................................... 106
RGB Test................................................................................................................... 107
Mechanical Tests....................................................................................................... 108
Internal Standard Test............................................................................................... 109
Exit Diagnostics......................................................................................................... 109
Before Calling for Service .............................................................................................110
Maintenance Log........................................................................................................... 111

Chapter 8 - Installation

Shipping Cartons........................................................................................................... 113
Unpacking .....................................................................................................................113
Installation..................................................................................................................... 114
Install the paper roll ...................................................................................................116

Appendix

Table of Results ............................................................................................................118
Bilirubin...................................................................................................................... 118
Urobilinogen ..............................................................................................................118
Ketones .....................................................................................................................118
Ascorbic Acid............................................................................................................. 118
Glucose .....................................................................................................................118
Protein ....................................................................................................................... 118
Blood Hemoglobin ..................................................................................................... 118
Blood (RBCs)............................................................................................................. 118
pH.............................................................................................................................. 119
Nitrite ......................................................................................................................... 119
Leukocytes ................................................................................................................119
Specific Gravity.......................................................................................................... 119
Color.......................................................................................................................... 119
Clarity ........................................................................................................................119
Specimen Type.......................................................................................................... 119
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1. Introduction
1
Introduction
Introduction .......................................................................................................................7
Intended Use ................................................................................................................. 7
How to use the Operator’s Manual.................................................................................... 7
Precautions and Warnings ................................................................................................ 8
Notes ............................................................................................................................. 8
Cautions ........................................................................................................................8
Warnings .......................................................................................................................8
Biological Warnings....................................................................................................... 8
Warnings, Precautions, Limitations................................................................................... 8
Iris Diagnostics Contact Information .................................................................................9
Warranty............................................................................................................................ 9
Limitation of Liability........................................................................................................ 10
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1. Introduction

Introduction

Intended Use

The iChem™100 Urine Chemistry Analyzer is a semi-automated urine chemistry analyzer intended for use only with iChem™ 10 SG Urine Chemistry Strips for the in vitro measurement of the following analytes in urine: glucose, protein, bilirubin, urobilinogen, pH, specific gravity, blood, ketones, nitrite, leukocytes, ascorbic acid, color and user-defined clarity.
This document is the Operators Manual for the iChem100 Urine Analyzer. It is intended to explain system operation in detail and to be used as the basis for training new operators. Retain this manual for future use. It is an information guide and a troubleshooting reference. It explains program settings and gives maintenance instructions.

How to use the Operator’s Manual

This manual contains important information on the functions of the iChem100 distributed by Iris Diagnostics. This manual contains instructions for the operation, maintenance and troubleshooting of the iChem100.
Before operating the iChem100, read this manual carefully.
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1. Introduction

Precautions and Warnings

The Operators Manual includes information and warnings that must be observed by the operator in order to ensure safe operation of the system. Important messages are highlighted with borders and special icons identifying the type of message enclosed.
There are four types of messages: Notes, Cautions, Warnings and Biological Warnings.

Notes

NOTE: Highlights important facts, gives helpful information and tips and clarifies procedures.

Cautions

CAUTION: Electrical caution! Unplug before handling.
CAUTION: Important information on the proper operation of the
iChem100 Urine Analyzer. This information is crucial in preventing instrument damage and maintaining the analyzer.
CAUTION: Laser light caution. A laser is used to read the barcodes. Protect eyes from the laser light.

Warnings

WARNING: Identifies potentially hazardous situations that could result in
serious injury to laboratory personnel.

Biological Warnings

WARNING: Use care when handling urine samples or used test strips.
Always wear gloves to prevent exposure to pathogens. 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.

Warnings, Precautions, Limitations

Do not place the iChem100 in water.
Do not drop or throw the instrument.
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1. Introduction
Operate the instrument on a dry, level surface.
Do not move the instrument while a test is in process.
Plug the instrument into a grounded power source.
Avoid sources of bright light/heat.

Iris Diagnostics Contact Information

Customer opinion and input is extremely important to us. Iris Diagnostics wants to design products that meet your needs. Comments on this manual should be directed to:
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’ obligation under this warranty is limited SOLELY to the repair or replacement, at Iris Diagnostics’ option, of defective parts, F.O.B. warehouse or local Iris Diagnostics office, or as otherwise
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1. Introduction
specified by Iris Diagnostics. Repairs or replacement deliveries shall not interrupt or prolong the term of this warranty. Iris Diagnostics’ warranty does not apply to consumable materials, except as specially stated in writing, nor to products or parts thereof manufactured by the Purchaser.
This limited warranty is made on condition that immediate written notice of any defect be given to Iris Diagnostics and that Iris Diagnostics inspection reveals that the Purchaser’s claim is valid under the terms of this warranty.
I
RIS 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 IS IN LIEU OF ALL OTHER WARRANTIES 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
. SUCH LIMITED WARRANTY
, EXPRESSED OR IMPLIED, INCLUDING
.

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.
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2. System Description
2
System Description
Theory of Operation ........................................................................................................ 12
Features ......................................................................................................................12
Test Strips ...................................................................................................................12
Optics ..........................................................................................................................13
LED Unit................................................................................................................... 13
CMOS Image Sensor............................................................................................... 14
Optics Calibration..................................................................................................... 14
Measurement ........................................................................................................... 14
Instrument Components.................................................................................................. 15
Front ............................................................................................................................ 15
Back............................................................................................................................. 15
Software.......................................................................................................................... 17
Data Entry Fields ......................................................................................................... 17
Toggle Fields............................................................................................................... 17
Function Keys .......................................................................................................... 18
Menu Diagram ............................................................................................................. 18
Main Menu ............................................................................................................... 18
Worklist Menu .......................................................................................................... 18
Run Patient Menu .................................................................................................... 19
Results Menu........................................................................................................... 19
Controls Menu.......................................................................................................... 19
Setup Menu.............................................................................................................. 20
Microscopic Menu .................................................................................................... 20
Service Menu ........................................................................................................... 20
Specifications.................................................................................................................. 21
Consumables or Part Replacement ................................................................................ 22
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2. System Description

Theory of Operation

The iChem100 is a semi-automated urine chemistry analyzer performing measurements of urine chemical constituents utilizing test strips. The iChem100 is a reflectance densitometer.

Features

The iChem100:
reads and interprets without operator variability
processes and analyzes urine strips with a throughput of 210
samples per hour
enables entry of microscopic results

Test Strips

enables automated urine color determination with up to twelve
programmed choices
reads ascorbic acid for interference detection
allows users to correct or compensate for urine discoloration
allows batch and stat mode for sample processing
The test strips have reagent-impregnated specialty paper pads to perform c
hemical analysis of:
bilirubin
urobilinoge
n
ketones
ascorbic acid
glucose
protein
blood
pH
nitrite
leukocytes
specific gravity
The advantage of this approach is ease of testing. The process requires that an operator dip the urine test strip with its reagent-impregnated pads into and out of a urine sample. This action brings the reagent­impregnated pads into contact with the urine containing the analytes to be
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2. System Description

Optics

tested. Once the test strip has been dipped into the urine, color deve on each of the reagent-impregnated pads in direct proportion to th amount of analyte present in the sample. The test strips have a compensation pad to determine the color of the urine as fo
r color interference on the impregnated reagent pads.
After the test strips are placed on the Test Strip Tray with correct orientation, they are automatically transported to the measurement window and the r the iChem100.
emainder of the operation is performed automatically by
well as correct
e
lops
LED Unit
For the illumination of the measurement, a LED Unit with three differen wavelengths LEDs (450nm, 530nm and 625nm) is used. To increase homogeneity, the LED’s are not placed regularly over the measurement window but are placed mainly towards the outer area of the LED Unit. order to achieve a very high light intensity, one reflector and one anti­reflector are placed beside the LED e
ntire urine test strip is illuminated.
LED Unit Inside View Side View
300-4410 English Rev C 01/2007 Operators Manual 13
line. With this optical design, the
t
In
2. System Description
CMOS Image Sensor
Unlike most of the reflectometers in the market for urine test strip analysis, the iChem100 does not use a photodiode detector to measure the reflected light, but instead utilizes a CMOS (Complementary Metal Oxide Semiconductor) image sensor that captures a color image of each of the test pads. The CMOS image sensor is able to photograph almost the whole length (100mm) of the urine test strip and all of its width. As seen in the figure above, the CMOS image sensor has been placed perpendicular to the measurement level, and since the height of the instrument limits the optical length, a mirror has been used for changing the direction of the beam.
Optics Calibration
Prior to each measurement, the optics assembly is calibrated using a “fixed standard” and it permits a one-point calibration. The iChem100 is also capable of performing an internal, automated two-point calibration if the one-point calibration done before each specimen determination falls outside of the acceptable limits. A secondary “movable standard” is automatically moved into place and readings from it in conjunction with the “fixed standard” are used to perform a two-point calibration. No external calibration strips or procedures are required.
Measurement
Once calibrated, the urine test strip is sequentially illuminated by the LEDs (Red, Blue, Green) that are located at a 30 impregnated reagent pads, and the reflected signals are sent via the mirror through the lens and captured by the CMOS camera. The captured signal is evaluated and a completed result is provided for each of the chemistries.
The iChem100 uses a compensation pad to determine the color of the urine as well as correct for color interference on the impregnated reagent pads. Since the iChem100 is capturing a pixelized image of the blood pad, a special algorithm has been developed using more than a reflectance to differentiate between intact and hemolyzed red blood cells.
º angle to the
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2. System Description

Instrument Components

Front

Back

3
6
4
5
2
7
1
1 - Keyboard 2 - Transport mechanism enclosure 3 - Display screen 4 - Paper roll 5 - Transport belt opening (for placement of strip) 6 - Clarity and specimen type barcode labels 7 - Hand-held barcode reader
5
1 - Power switch 2 - Keyboard/barcode reader cable connection 3 - External printer connection 4 - RS232 connection 5 - Power supply connection
1
2 3
4
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2. System Description
Most user inputs are designed to be via the keyboard or the barcode reader.
The keyboard is used for navigating within a screen, between screens, making selections and entering data inputs.
The barcode reader enables you to enter information via barcoded data into selected entry fields, (e.g., patient identification, specimen identification, color, clarity, etc.).
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2. System Description

Software

Data Entry Fields

Data entry fields are areas in a screen where information is entered. One screen can have several data entry fields, but only one field can be selected and active for entering data at a time. Pressing an alpha or a numeric key will input that character into the data entry field. If you exceed the number of allowable characters in a field, you cannot enter more characters until some characters have been deleted.
To select a data entry field, use the keyboard [] or [] keys to move the cursor up or down in the screen. To move back and forth between left and right columns, use the [Tab] key. The contents of the field will be reverse highlighted to show that they are selected or active.
To delete contents from a data field, select the field using the keyboard’s [] or [] or [Tab] keys, then press the [Delete] key.
To erase contents from data field one character at a time, select the field using the keyboard’s [] or [] or [Tab] keys, then press the [Backspace] key. The last character in the field will be deleted.

Toggle Fields

Toggle fields are fields setup in a circular fashion allowing you to choose one field out of a series of pre-setup fields (e.g., blank, trace, few, moderate, many, etc.). A toggle field will be indicated by a double­headed arrow []. Only one toggle field can be active at a given time.
To select a toggle field, use the keyboard keys [] or [] to move the cursor into the desired field.
To view the choices in a toggle field, use the keyboard keys [] or [] to advance through the selections. To switch back and forth from a left toggle field to a right toggle field, press the [Tab] key.
To confirm or lock in a selection, you may press the [Enter] key or use the keys [] or []. Either one will lock in the selection and advance you to the next field.
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2. System Description
Function Keys
Pressing a function key, [F1] through [F10], will allow you to access the described function associated with it. For example, to choose to run a patient sample, press [F2] while the Main Menu screen is displayed. The function keys will only perform the function that is associated with it in the currently displayed screen.

Menu Diagram

Main Menu
03/10/2006 1:50PM
F1 WORKLIST F5 SETUP
MAIN MENU
F2 RUN PATIENT F6 MICROSCOPIC
F3 RESULTS F7 SERVICE
F4 CONTROLS
Worklist Menu
WORKLIST MENU
F1 CREATE
F2 DOWNLOAD
F3 VIEW/EDIT
F4 RUN
F5 PRINT
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2. System Description
Run Patient Menu
Enter information, then place urine
strip on transport belt. SEQ 003 SPEC/PAT ID LAST NAME FIRST NAME CLARITY SPC TYPE
Results Menu
RUN PATIENT
F1 MAIN MENU
Controls Menu
CONTROLS MENU
LOT# EXP FILE 1 1212UC2006 03/20/2006 FILE 2 1213UC2006 03/20/2006 FILE 3 FREQ 1O Hours
F1 SETP F2 VIEW F3 RUN F4 PRINT F5 DELETE F6 MAIN MENU
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2. System Description
Setup Menu
Microscopic Menu
Service Menu
SERVICE MENU
F1 DATE/TIME F4 DIAGNOSTICS
F2 PRINTER F5 TRANSMIT
F3 LANGUAGE F6 TEST STRIP
F7 MAIN MENU
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2. System Description

Specifications

Technology
Test Strips iChem 10 SG
Throughput 210 Urine Test Strips per hour
Data Storage
Reporting Units
Flagging
Display LCD backlit (8 lines x 40 characters)
Printer Thermal (built-in)
Interfaces
Reflectance Photometry LEDs (450nm, 520nm, 625nm) with Color Image Sensor
2,000 Patient results 300 Quality Control results
Conventional, S.I., Qualitative or Combination
Results requiring confirmatory tests / Microscopic examination Abnormal Quality Control results
RS 232, parallel printer port, 5-pin DIN socket
Physical Specifications
Power 100 to 250 VAC ± 10%, 50/60 Hz
Operating Range
Package
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19.5 x 10.8 x 9.8 in (49.5 x 27.5 x 25 cm)
16.5 lbs (7.5 kg)
59° F to 90° F (15° C to 32° C) 20% to 80% Relative Humidity
iChem100 instrument PC /AT keyboard Hand-held barcode reader (Optional)
2. System Description

Consumables or Part Replacement

REF Number
800-7504 Transport belts
800-7505 External power supply
800-7506 Power Supply Adapter
800-7507 Transport mechanism enclosure
800-7508 Barcode reader and cable
800-7509 Keyboard (English)
800-7510 Keyboard (German)
800-7511 3 Rolls of Thermal Paper
800-7014 Incubation Belt
800-7004 iChem 10 SG Urine Chemistry Strips (US)
800-7005 iChem 10 SG Urine Chemistry Strips (Int'l)
800-3203 Iris System Cleanser
Description
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3. Set Up
3
Set Up
Setting the Language...................................................................................................... 24
Setting Date and Time .................................................................................................... 25
Setting the Date or Time Format ................................................................................. 26
Changing the Date and Time....................................................................................... 26
Setting the Reporting Units ............................................................................................. 28
Conventional (mg/dL) Units ......................................................................................... 29
Standard International (µmol/ L) units ......................................................................... 29
Qualitative (+) units ..................................................................................................... 29
Customized Units ........................................................................................................ 30
Printing Units ............................................................................................................... 30
Sample Print Layout................................................................................................. 31
Setting the Flagging Criteria............................................................................................ 32
Microscopic ..................................................................................................................... 34
Print a Copy of Microscopic Setup ..............................................................................36
Setting the Test Sequence.............................................................................................. 37
Setting the Log On Identifiers.......................................................................................... 39
Adding a New User...................................................................................................... 40
Editing a User Information ........................................................................................... 41
Deleting a User............................................................................................................ 43
Setting Up the Printer...................................................................................................... 45
Setting Transmitting Results ........................................................................................... 47
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3. Set Up

Setting the Language

This screen allows you to select the desired language with which to display screens. The instrument can be set to one of six different languages:
English Deutsch Français Italiano Español Português
1. From the Main Menu, press the [F7] key to access the Service Menu.
2. From the Service Menu, press the [F3] key. The Language Setup screen will be displayed.
3. Use the [] or [] arrow keys to toggle through the six language options.
4. Press the [F1] key to lock in your selection and return to the Service Menu screen, or press the [F2] key to lock in your selection and return to the Main Menu screen.
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3. Set Up

Setting Date and Time

This screen allows you to enter the correct date and time and select the format for the instrument displays and printouts.
1. From the Main Menu, press the [F7] key. The Service Menu screen will be displayed.
F1 DATE/TIME F4 DIAGNOSTICS
F2 PRINTER F5 TRANSMIT
F3 LANGUAGE F6 TEST STRIP
SERVICE MENU
F7 MAIN MENU
2. Press the [F1] key to display the Set Date/Time screen.
SET DATE / TIME
DATE FORMAT mm/dd/yyyy
TIME FORMAT am / pm
DATE 03/23/2006
TIME 10:00 pm
F1 FORMAT F2 SERVICE F3 MAIN MENU
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3. Set Up

Setting the Date or Time Format

1. From the Set Date/Time screen, press the [F1] key to display the Format Date/Time screen.
2. Use the [←] or [] arrow keys to toggle through three date options:
dd.mm.yyyy
mm/dd/yyyy
yyyy/mm/dd
3. Press the [] or [] arrow keys, or the [Enter] key to lock in your selection and move to the next field.
4. Use the [] or [] arrow keys to toggle through the two time options:
24 hour
am/pm
5. Press the [F1] key to return to the Date/Time screen.

Changing the Date and Time

1. From the Date/Time screen, use the [] or [] arrow keys or the [Enter] key to move to the desired field (e.g., DATE, TIME or am/pm).
2. To enter or change the date, select the DATE field, and then enter the correct date using the keyboard numeric keys.
NOTE: You must enter two digits for the month and the day (e.g., 01 for January, etc.)
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3. Set Up
3. To enter or change the time, select the TIME field, and then enter the correct time using the keyboard numeric keys.
NOTE: You must enter two digits for the hour and the minutes (e.g., 01:01 for 1:01, etc.).
4. To change the am/pm selection (if desired), select the am/pm field, use the [] or [] arrow keys to select am or pm.
5. Press the [F2] key to return to the Service Menu screen, or press the [F3] key to return to the Main Menu screen.
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3. Set Up

Setting the Reporting Units

This screen allows you to select the reporting units for the results of the test strips chemistries. You may select from the following options:
Conventional (mg/dL)
S.I. (Standard International—µmol/L and mmol/L)
Qualitative (+)
Customized (a combination of all three)
1. From the Main Menu, press the [F5] key. The Setup Menu will be displayed.
2. From the Setup Menu, press the [F1] key. The Units screen will be displayed.
3. To select either conventional, S.I., or qualitative units exclusively, select the desired unit option using the [] or [] arrow keys, then press the [F1] function key.
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3. Set Up

Conventional (mg/dL) Units

Standard International (µmol/ L) units

Qualitative (+) units

Press the [F1] key to return to the Units screen from any of these display screens.
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3. Set Up

Customized Units

This option allows you to report out chemistry results with units specifically selected for each of the chemistries.
1. From the Units screen, select Customized (mg/dL or µmol/L or +) using the [] or [] arrow keys, then press the [F1] key. The Customized Units screen will be displayed.
2. Toggle through the unit selections for the first chemistry using the []
3. Continue until all unit selections have been made, then press the [F1]

Printing Units

1. From the Units screen, select the desired units and then press the
2. Press the [F1] key to stop printing, if desired. Press the [Pg Up] key
or [] arrow keys. Once the desired units are displayed, press the [] arrow key, or [Tab] key, or the [Enter] key to move to the next chemistry unit field.
key to lock in the selections and return to the Units screen.
[F2] key. The instrument will begin printing the selected units.
to feed the paper into the printer.
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3. Set Up
Sample Print Layout
The figure below displays an example of a unit printout.
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3. Set Up

Setting the Flagging Criteria

This option allows you to adjust flagging criteria for each chemistry to your own patient population. The flagging defaults in the instrument are set to the first positive level for each chemistry test. Any chemistry result at or higher than the selected positive result will be flagged when printed or displayed.
1. From the Setup Menu, press the [F2] key. The Flagging Setup screen will be displayed.
2. Toggle through the result selections for the first chemistry using the [] or [] arrow keys. The field will display all positive reportable results for the units selected. Once your selection is displayed, press the [] arrow key, the [Tab] key, or the [Enter] key to move to the next chemistry unit field.
3. When all flagging selections have been made, press the [F1] key to lock in the selections. The Flag Selection screen, which allows you to determine how each chemistry will be flagged, will be displayed.
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3. Set Up
For example, an asterisk (*) may be used to signal an abnormal result and that an additional confirmation test is required. The use of a number sign (#) may signal that a microscopic examination is required.
4. Toggle through the flagging selections for the first chemistry using the
[] or [] arrow keys. The flagging choices are:
Blank - no flag will be displayed
* - displays an asterisk after the result
# - displays a number sign after the result
5. Once your selection is made, press the [] arrow key, the [Tab] key or the [Enter] key to move to the next field.
6. When all flagging selections have been made, press the [F1] key to lock in the selections and return to the Flagging Setup screen.
Press the [F2] key to lock in the selection and return to the
Setup Menu screen.
Press the [F3] key to lock in the selection and return to the
Main Menu screen.
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3. Set Up

Microscopic

This function provides you with the means to set up your preferences for reporting microscopic exams performed on urine specimens, print out your set up quantifiers, as well as the ability to enter microscopic results.
1. From the Main Menu, press the [F6] key. The Microscopic screen is displayed.
NOTE: Since the setup information becomes the basis for the quantifiers used in reporting microscopic exams, anytime this information is altered, all existing patient data is deleted to avoid reporting the wrong microscopic information. A warning screen will alert you to this prior to allowing you to establish the new microscopic quantifiers.
2. From the Microscopic screen, press the [F2] key to display the following Microscopic Setup screen.
A series of screens similar to this one provide you with the ability to record, display, and print microscopic examinations consistent with reporting results for the specified parameter for your laboratory.
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3. Set Up
For example, shown above is the screen for entering quantifiers for RBC’s. You have six text fields in which to enter the descriptors consistent with your laboratory’s results for RBC’s, e.g., trace, 1+, 1-3 HPF, etc. Each text field will hold up to 10 alphanumeric characters. Once entered, these fields will be the toggle fields used when you select the quantities present in the microscopic exam for RBC’s.
3. To enter a microscopic quantifier for a parameter, type the desired information into the text field, then press the [] or [] arrow keys, the [Tab] key or the [Enter] key to move to the next field. The [Delete] key can be used to delete existing entries in the field allowing the operator to change the information.
4. Once you have entered all the quantitative descriptions desired for the current parameter, press the [F1] key to bring up the next microscopic parameter screen.
5. To enter the quantifiers for the next microscopic parameter, type the desired information into each of its text fields, then press the [] or [] arrow keys, the [Tab] key or the [Enter] key to move to the next field. To go back to the previous parameter, press the [F2] key.
There are a total of 11 parameters listed. Each parameter has up to six fields in which to enter quantitative results. The parameters are as follows:
RBCs (red blood cells)
WBCs (white blood cells)
Bacteria
Epis (Epithelial cells)
Crystals
Yeast
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3. Set Up
Casts
Trich (Trichomonas)
Oval fat (Oval fat bodies)
Mucus
Sperm
6. Continue entering parameter quantifier information until you have entered it for all parameters desired. Press the [F3] key to return to the Microscopic screen or press the [F4] key to return to the Main Menu screen.

Print a Copy of Microscopic Setup

1. From the Microscopic screen, press the [F3] key to print a copy of the microscopic parameters.
2. Press the [F1] key to stop printing, if desired.
All printouts will include:
Header information (see
Up the Printer
The printout identifier:
Microscopic Setup.
Each parameter with up to six
quantifiers.
.)
Setting
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3. Set Up

Setting the Test Sequence

This screen allows you to display and print the individual chemistry tests in a specific order. The default test setup sequence is shown below.
1. From the Setup Menu, press the [F3] key to display the Test Sequence Setup screen.
2. To change the sequence order of any of the chemistries, select the field next to the chemistry and using the keyboard, enter a number from 1 to 11.
3. Once your selection is made, press the [] arrow key, the [Tab] key or the [Enter] key to move to the next field.
If a test result is not to be displayed or printed, do not enter a
number next to that test parameter.
You may not use the same number in more than one field. To do
so will result in an error when you go to lock in the selections.
4. When all test selections have been numbered, press the [F1] key to lock in the selections and display the default reporting order for the microscopic examination.
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5. To change the sequence order of any of the microscopic parameters, select the field next to the microscopic results and using the keyboard, enter a number between 1 and 13.
6. Once your selection is made, press the [] or [] arrow keys, the [Tab] key or the [Enter] key to move to the next desired parameter field.
If a result is not to be displayed or printed, do not enter a number
next to that test parameter.
You may not use the same number in more than one field. To do
so will result in an error when you go to lock in the selections.
7. When all desired test selections have been numbered, press the [F1] key to return to the Test Sequence Setup screen displaying the chemistry parameters.
Press the [F2] key to return to the Setup Menu screen.
Press the [F3] key to return to the Main Menu screen.
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3. Set Up

Setting the Log On Identifiers

This function allows you to record the operator who performed an analysis along with the results of the specimen by requiring users to log onto the instrument.
If Log On Required is selected, a user must “Log On” to operate the instrument. The instrument will automatically display the “Log On” screen before allowing the operator to access the Main Menu.
If Log On Not Required is selected, the instrument will go directly to the Main Menu screen when turned on.
NOTE: A generic “Log On” will permit operation of the instrument should the operator forget their password.
1. From the Setup Menu, press [F4] to access the Log On Setup screen.
2. To require “Log On” to the iChem100 instrument, select Log On Required on the Log On Setup screen.
3. Once the “Log On Required” is highlighted, press either [F1] or [F2] and the instrument will automatically take you to the Enter Log On ID screen.
4. Type iris (all lowercase) in the “Enter Log On ID” field and press [F1]. The instrument will take you to the Main Menu screen.
If you enter the password incorrectly, an error message will appear advising you to re-enter the password.
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3. Set Up

Adding a New User

This option allows you to add a “Log On ID” to be used when logging on to the analyzer. A “Log On ID” must be specific for an operator and must be in lowercase only, last and first names can include uppercase. Up to 24 users can be entered. The software will check to insure that an identifier is not currently in use by another operator. If a desired identifier is already in use, you will be notified, the “Log On ID” field will be blanked and you will be asked to enter a new identifier
1. From the Main Menu, press [F5] to access the Setup Menu.
2. Press [F4] to access the Log On Setup screen.
3. Press [F1] to display the Log On Setup Change or Delete screen.
4. Use the [] arrow key to advance to the first empty position. Press [F2] to display the Log On ID Setup—Add/Change screen.
5. Enter the operator’s last name in the “Last Name” text field (up to 15 alpha characters). Press the [Enter] key or use the [] or [] arrow keys to advance to the next field.
6. Enter the operator’s first name in the “First Name” text field (up to 10 alpha characters). Press the [Enter] key or use the [] or [] arrow keys to advance to the next field.
7. Enter a personal identifier in the “Log On ID” text field (between 4 and 10 lower case alphanumeric characters). Press the [Enter] key or use the [] or [] arrow keys to advance to the next field.
8. Re-enter the personal identifier in the “Verify Log On ID” text field.
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9. Press any [F] key displayed on the screen. The software will automatically accept the Log On ID identifier unless:
the entered “Log On” identifier and the Verify Log On Identifier
do not match
the entered “Log On” identifier is already in use
no information was entered, or insufficient information was
entered
In these cases, a screen will appear identifying the error and it will allow you to either:
[F1] return to the previous screen to correct the deficiency,
[F2] disregard and return to the Setup menu without the “Log
On” ID being setup,
[F3] disregard and return to the Main Menu without the “Log
On” ID being setup.
10. Press the [F1] key to return to the Log On Setup screen.
11. Press the [F2] key to return to the Setup Menu screen, or press the
[F3] key to return to the Main Menu screen.

Editing a User Information

1. If an operator is “Logged On”, he/she must “Log Off” and log back on:
a. From the Main Menu, press [F8] to display the Enter Log ON
ID screen.
b. Type iris as a generic Log On ID and then press the [F1] key.
2. From the Main Menu, press [F5] to display the Setup Menu screen, then [F4] to display the Log On Setup screen, and then press [F1] to display the Log On Setup Change or Delete screen.
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3. Press the [F1] key if the desired operator name is not displayed on this screen. This will advance you to the next screen of operator names.
A total of 24 positions are available.
4. Once the desired operator name is displayed on the screen, use the [] or [] arrow keys or the [Enter] key to select it.
5. Press the [F2] key. A message will appear warning that all results will be deleted.
WARNING: All stored results will be deleted from memory
6. Press the [F1] key to continue. This will display the Log On ID Setup—Add/Change screen.
7. To change any of the information shown, use the [] or [] arrow keys to move to the desired text field to highlight it.
8. Enter the change desired using the keyboard keys.
NOTE: If you make an entry in the “Log On ID” field, you must make the same entry in the “Verify Log On ID” field.
9. Press the [F1] key to lock in the changes made and return to the Log On Setup screen.
10. Press the [F2] key to lock in the changes made and return to the Setup Menu screen, or press the [F3] key to log in the changes made and return to the Main Menu screen.
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Deleting a User

1. If an operator is Logged On using their own identifier, they must Log Off and log back on using the generic “iris” (all lower case) “Log On ID”.
2. Press [F5] to display the Setup Menu screen, then [F4] to display the
Log On Setup screen, and finally press [F1] to display the Log On Setup Change or Delete screen. This screen will allow you to delete
one or more “Log On” identifiers.
3. Press the [F1] key if the desired operator name is not present on this screen. This will advance you to the next screen of operator names.
4. Use the [] or [] arrow keys or the [Enter] key to select the user.
5. If you wish to delete the selected (highlighted) operator information, press the [F3] key. A message will appear warning that all results will be deleted.
6. If you press the [F1] key, the Log On Setup Delete screen will be displayed.
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3. Set Up
7. If you press the [F2] key the Log On Setup screen will be displayed, or pressing the [F3] key the Main Menu screen will displayed.
8. If you selected the [F1] option above, use the [] or [] arrow keys or the [Enter] key to select (highlight) your choice.
9. If you select YES and press the [F1] key, the instrument will delete the existing operator information and return you to the Log On Setup Change or Delete screen.
If you select NO and press the [F1] key, the instrument will return you to the Log On Setup Change or Delete screen without deleting the operator information.
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3. Set Up

Setting Up the Printer

1. To set up the printer functions, press the [F7] key with the Main Menu screen active, then press the [F2] key with the Service Menu screen active. The Printer Setup screen will be displayed.
This screen allows you to configure certain printer functions as well as configure the printout header.
2. The printer can be set to print using one of three options:
Internal—printing will be on the instrument printer only
External (Letter)—printing will be sent to an external printer that
uses letter size paper
External (A4) – printing will be sent to an external printer that uses
A4 size paper
3. Use the [] or [] arrow keys to toggle through the options, then use the [] or [] arrow keys, or the [Enter] key to lock in the selection and move to the next field.
4. The Print Cycle can be set to print:
After each Analysis/Run—printer will print results after each
analysis or “worklist” run
Print Function only—printer will print results only when the Print
Function keys are selected
5. Use the [] or [] arrow keys to toggle through the options, then use the [] or [] arrow keys, or the [Enter] key to lock in the selection and move to the next field.
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6. The Operator print function allows the laboratory to print, if desired, the name or number of the operator performing the tests with the corresponding results using one of three options:
Number—printer will print the operator identifier number on each
printout
Name—printer will print the operator name on each printout
Blank—printer will not print operator ID or name on printout
The remaining fields on this screen allow you to create the print header to be displayed and printed when results are sent to the printer.
7. Four lines with up to 30 alphanumeric characters each may be entered. Once you have entered the desired information, use the [] or [] arrow keys, or the [Enter] key to lock in the selection and move to the next line.
8. Press the [F1] key to lock in your selection and return to the Service Menu screen, or press the [F2] key to lock in your selection and return to the Main Menu screen.
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Setting Transmitting Results

This function provides you with the ability to configure when to transmit data to your host computer.
1. From the Main Menu screen, press the [F7] key, then press the [F5] key. The Transmit Setup screen will be displayed.
2. The instrument can be set to transmit using one of two options:
After each Analysis/Run - data will be transmitted to the host
computer after each analysis/run
Transmit Function Only - data will be transmitted only when the
transmit function [F3] is accessed from the Results screen.
3. To setup the Transmit option, use the [] or [] arrow keys to toggle through the two options, then use the [] or [] arrow keys, or the [Enter] key to lock in the selection and move to the next field.
4. Press the [F1] key to return to the Service Menu screen, or press the [F2] key to return to the Main Menu screen.
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4. Specimen Processing
4
Specimen Processing
Powering the Instrument On ........................................................................................... 49
Logging On .................................................................................................................. 49
Logging Off.................................................................................................................. 50
Running Single Specimen Analysis ................................................................................ 51
Entering Patient Information ........................................................................................ 51
Sequence Number ................................................................................................... 51
Specimen/Patient ID ................................................................................................ 51
Last Name................................................................................................................ 51
First Name ............................................................................................................... 52
Clarity....................................................................................................................... 52
Spec Type................................................................................................................ 53
Analyzing the Urine .....................................................................................................54
Running Batch Specimen Analysis ................................................................................. 57
Creating a Worklist ...................................................................................................... 57
Sequence Number ................................................................................................... 59
Specimen/Patient ID ................................................................................................ 59
Last Name................................................................................................................ 59
First Name ............................................................................................................... 59
Clarity....................................................................................................................... 59
Spec Type................................................................................................................ 60
Downloading a Worklist............................................................................................... 62
Viewing and Editing a Worklist .................................................................................... 63
Running a Worklist ......................................................................................................65
Printing a Worklist........................................................................................................ 67
Running a Stat ................................................................................................................68
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4. Specimen Processing

Powering the Instrument On

When powered on, the instrument will perform an internal systems check and then go directly to the screen shown below, unless “Log On Required” has been previously selected.
iChem100
URINE CHEMISTRY ANALYZER
F1 MAIN MENU
Boot Program: Meter Program:
2.01.01 2.01.01
Press [F1] to proceed to the Main Menu screen. Prior to displaying the Main Menu screen, the display will ask whether you have emptied the waste container or not. Press [F1] if not emptied or [F2] if emptied, and the Main Menu screen will be displayed.
NOTE: Anytime the transport mechanism enclosure is removed while the instrument is on, you will be alerted that it is ajar and you must indicate whether the waste container was emptied or not. Once it is back in place, the incubation belt will run for approximately 110 seconds to clear any strips that may be on the belts and then the Main Menu screen will appear.

Logging On

The following screen is displayed when you power up of the iChem100 instrument if the Log On Required option has been selected in the Setup Menu. Refer to
1. Press the [F1] key to advance to the Enter Log On ID screen shown
Setting Log On Identifiers.
below.
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4. Specimen Processing
2. Enter your assigned identifier using the keyboard keys. To delete entered characters, press the [Backspace] key.
3. Press the [F1] key to enter your identifier and advance to the Main Menu screen.
03/10/2006 1:50PM

Logging Off

To log off of the instrument, from the Main Menu, press the [F8] key. This will log off the current operator and the Enter Log On ID screen will be displayed. The [F8] LOG OFF does not appear on the Main Menu screen unless “Log On Required” is selected.
MAIN MENU
F1 WORKLIST F5 SETUP
F2 RUN PATIENT F6 MICROSCOPIC
F3 RESULTS F7 SERVICE
F4 CONTROLS F8 LOG OFF
NOTE: If the Enter Log On ID screen reappears with the message “Unacceptable Log On”, re-enter your identifier. If the Main Menu screen still does not appear, refer to Setting Log On Identifiers.
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4. Specimen Processing

Running Single Specimen Analysis

Entering Patient Information

1. From the Main Menu screen, press the [F2] key to display the Run
Patient screen (below) and to activate the urine strip sensor. The
illuminated green LED on the instrument indicates that the sensor is active.
NOTE: If the waste container is nearly full (> 125 strips), you must empty it prior to beginning “Run Patient” analysis.
The Run Patient screen allows you to identify and run a patient specimen. You can identify the sample using a sequence number, a specimen/patient ID, a name, or all three options. Data for only one patient at the time can be entered in this screen.
Sequence Number
The sequence number field is only active for the first specimen run after entering Run Patient. Thereafter, the sequence number is automatically assigned by the software each time a new patient specimen is analyzed.
Specimen/Patient ID
2. If desired, enter specimen or patient ID (up to 15 alphanumeric characters) by using the keyboard or the barcode reader. Press the [Enter] key or use the [] or [] arrow keys to move to the next field.
Last Name
3. If desired, enter the patient last name (up to 15 characters) using the keyboard or the barcode reader. Press the [Enter] key or use the [] or [] arrow keys to move to the next field.
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First Name
4. If desired, enter the patient first name (up to 10 characters) using the keyboard or the barcode reader. Press the [Enter] key or use the [] or [] arrow keys to move to the next field.
Clarity
5. You can enter clarity by either toggling through the list of clarity options found in the software or by using the barcode reader. Barcodes are located at the top left of the instrument.
Using keyboard entry Using barcode entry
Options Blank field
Clear Hazy Slt. Cloudy Cloudy Turbid Bloody Other
Press the [] or [] arrow keys until the desired clarity result appears. Press the [Enter] key or use the [] or [] arrow keys to accept and move to the next field.
Options CLEAR
SLT. CLOUDY CLOUDY BLOODY OTHER
To select clarity using the barcode reader, determine the clarity result and click the barcode reader over its respective barcode.
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Specimen Type
6. You can enter the specimen type by either toggling through the list in the software or by using the barcode reader. Barcodes are located at the top left of the instrument.
Using keyboard entry Using barcode entry
Options Blank field
Random CL catch Cath Peds First am 24 hours Fasting Gluc tol S pubital Other
Press the [] or [] arrow keys until the desired type appears. Press the [Enter] key or use the [] or [] arrow keys to accept and move to the next field.
Options RANDOM
CL CATCH CATH PEDS OTHER
To select specimen type using the barcode reader, click the barcode reader over its respective barcode.
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4. Specimen Processing

Analyzing the Urine

Once all the patient identification information has been entered, proceed to analyzing the urine.
NOTE: The urine specimen should be fresh, well-mixed and un­centrifuged. If refrigerated, allow the specimen to return to room temperature.
1. Dip the urine test strip into the urine, making sure all the test pads are wet.
2. Immediately remove the urine test strip from the urine, dragging the edge of the strip against the side of the container as you remove the strip.
3. Blot the urine test strip by touching the edge of the strip to a paper towel. Do not drag the strip across the paper towel; touch the edge only.
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4. Place the urine test strip on the transport belt of the instrument with the test pads facing up. Slide the strip forward until the strip touches the end stop. A sensor will detect the presence of the strip and the red LED light will be turned on along with the green LED light.
NOTE: If you move the strip away from the sensor prior to being transported, you will be prompted to remove the urine strip from the transport belt and press the [F1] key to continue.
5. Approximately two minutes after the urine strip is transported for analysis the printer will print the results; unless printing has been set to “Print Function Only” (see
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Setting up the printer.)
4. Specimen Processing
To run another specimen, repeat from then
Analyzing the Urine. If no test strip is placed on the transport belt
within ten (10) minutes, the screen will return to the Main Menu screen.
You may return to the Main Menu screen at any time by pressing the [F1] key. However, if the analysis of the strip is not complete, a message will appear requesting that you wait for analysis to finish.
Entering Patient Information,
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4. Specimen Processing

Running Batch Specimen Analysis

Creating a Worklist

The Create Worklist screen allows you to generate a list of specimen samples that will run in a batch mode. To create a worklist, you must enter information in at least one of the identifier fields. An error message will direct you to enter missing information before advancing to the next specimen. The sequence number field is only active for the first specimen in the Create Worklist option. After the first specimen, the instrument will automatically advance one sequence number each time a new patient specimen is entered.
1. From the Main Menu screen, press the [F1] key to display the Worklist Menu screen.
2. From the Worklist Menu screen, press the [F1] key to display the Create Worklist screen.
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4. Specimen Processing
3. The following screen will appear only if a worklist exists. Use the [] or [] arrow keys to select YES or NO.
a. If you select YES and press the [F1] key, the instrument will
delete the existing worklist and advance you to the Create Worklist screen.
b. If you select NO and press the [F1] key, the instrument will return
you to the Worklist Menu screen.
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Sequence Number
4. To reset the sequence number, change it while the initial specimen screen is active or you will need to return to the initial specimen screen in the worklist where the sequence number field will again be active.
Specimen/Patient ID
5. If desired, enter specimen or patient ID (up to 15 alphanumeric characters) by using the keyboard or the barcode reader. Press the [Enter] key or use the [] or [] arrow keys to move to the next field.
Last Name
First Name
Clarity
6. If desired, enter the patient last name (up to 15 characters) using the keyboard or the barcode reader. Press the [Enter] key or use the [] or [] arrow keys to move to the next field.
7. If desired, enter the patient first name (up to 10 characters) using the keyboard or the barcode reader. Press the [Enter] key or use the [] or [] arrow keys to move to the next field.
8. You can enter clarity by either toggling through the list of clarity options found in the software or by using the barcode reader. Barcodes are located at the top left of the instrument.
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4. Specimen Processing
Using keyboard entry Using barcode entry
Options Blank field
Clear Hazy Slt. Cloudy Cloudy Turbid Bloody Other
Press the [] or [] arrow keys until the desired clarity result appears. Press the [Enter] key or use the [] or [] arrow keys to accept and move to the next field.
Options CLEAR
SLT. CLOUDY CLOUDY BLOODY OTHER
To select clarity using the barcode reader, determine the clarity result and click the barcode reader over its respective barcode.
Specimen Type
9. You can enter the specimen type by either toggling through the list in the software or by using the barcode reader. Barcodes are located at the top left of the instrument.
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4. Specimen Processing
Using keyboard entry Using barcode entry
Options Blank field
Random CL catch Cath Peds First am 24 hours Fasting Gluc tol S pubital Other
Press the [] or [] arrow keys until the desired type appears. Press the [Enter] key or use the [↑↑] or [] arrow keys to accept and move to the next field.
10. Once the desired patient identification information has been entered for the current specimen, proceed to the next sample by pressing the [F1] key. A blank Create Worklist screen will be displayed ready for the next sample. The sequence number will automatically advance by one number. Repeat this process until information has been entered for all specimens.
11. You can return to the previous specimen information by pressing the [F2] key.
12. When all specimens have been entered, press the [F3] key to return to the Worklist Menu screen.
Options RANDOM
CL CATCH CATH PEDS OTHER
To select specimen type using the barcode reader, click the barcode reader over its respective barcode.
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4. Specimen Processing

Downloading a Worklist

1. From the Main Menu, press the [F1] key to display the Worklist Menu screen.
2. From the Worklist Menu, press the [F2] key. The Download Worklist screen will be displayed, except when a worklist already
exists; then the following screen will be displayed.
3. If the screen above appears, use the [] or [] arrow keys to select YES or NO.
a. If you select YES and press the [F1] key, the instrument will
delete the existing worklist and display the Download Worklist screen.
b. If you select NO and press the [F1] key, the instrument will return
to the Worklist Menu screen.
c. If there is no existing worklist, the following screen will be
displayed.
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4. Specimen Processing
This screen allows you to generate a list of specimen samples that is downloaded from an interfaced computer or a Laboratory Information System (LIS).
4. The sequence number field is active and may be altered. If you do not alter the sequence number before pressing the [F1] key, the instrument will begin with the number that is present on the screen. To specify a particular sequence number, enter it before downloading the worklist and the instrument will automatically advance one number each time a new patient specimen is downloaded.
5. Press the [F1] key to start the download process. The instrument will notify the interfaced computer that information for the worklist is being requested. After communication between the computer and instrument is established, the worklist transfer begins. The instrument can accept up to 100 patient demographics. The Worklist Menu screen will reappear when the download is complete.
NOTE: For each sample, the instrument must download either a specimen/patient ID or patient name (last and first). If neither is available, the instrument will skip to the next patient specimen.
6. If you do not wish to download a worklist, press the [F2] key to return to the Worklist Menu screen.

Viewing and Editing a Worklist

NOTE: To add clarity and specimen type information to the worklist,
you need to access the View/Edit Worklist screen.
1. From the Worklist Menu screen, press the [F3] key. The View/Edit Worklist screen will be displayed.
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4. Specimen Processing
This screen allows you to review, edit, and/or delete current specimens from the existing worklist. The first specimen’s information in the current worklist will be displayed on the screen.
2. To select a data text field, advance through the fields using the [] or [] keyboard keys until you are in the desired field.
3. To edit the field, press the [Del] key to delete the entire contents of the data field, and re-enter the appropriate information.
4. To delete the specimen and all associated information from the worklist, press the [F3] key. A confirmation message asking you to confirm the deletion will be displayed. Using the [Enter] key:
a. Select YES and then press the [F1] key to delete the specimen;
b. Select NO and then press the [F1] key if you do not wish to delete
the specimen.
5. To move to the next specimen on the worklist, press the [F1] key.
6. To return to the previous specimen on the worklist, press the [F2] key.
7. Once you have finished making any changes to the worklist, press the [F4] key to return you to the Worklist Menu screen.
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4. Specimen Processing

Running a Worklist

1. From the Main Menu screen, press the [F1] key to display the Worklist Menu screen.
2. From the Worklist Menu screen, press the [F4] key to display the Run Worklist screen. The first specimen’s information from the
stored worklist will be displayed, thus identifying the specimen to be run by the operator.
The green LED light on the instrument will be illuminated, indicating that the instrument is activated and waiting for a urine test strip to be placed on the transport mechanism.
NOTE: If the waste container is nearly full (> 125 strips), you must empty it before beginning “Run Patient” analysis.
NOTE: The urine specimen should be fresh, well-mixed and un­centrifuged. If refrigerated, allow the specimen to return to room temperature.
3. Dip the urine test strip into the urine, making sure all the test pads are wet.
4. Immediately remove the urine test strip from the urine, dragging the edge of the strip against the side of the container as you remove the strip.
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4. Specimen Processing
5. Blot the urine test strip by touching the edge of the strip to a paper towel. Do not drag the strip across the paper towel; touch the edge only.
6. Place the urine test strip on the transport belt of the instrument with the test pads facing up. Slide the strip forward until the strip touches the end stop. A sensor will detect the presence of the strip and the red LED light will be turned on along with the green LED light.
NOTE: If you move the strip away from the sensor prior to being transported, you will be prompted to remove the urine strip from the transport belt and press the [F1] key to continue.
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4. Specimen Processing
7. Approximately two minutes after the urine strip is transported for analysis, the printer will print the results; unless printing has been set to “Print Function Only”.
8. Once the strip is transferred to the incubation belt, the transport belt will stop, the green LED light will again come on and the screen will be updated to identify the next specimen to be run. Place the next specimen on the transport belt and the system will repeat the process. Continue until all samples have been tested.
9. After the last specimen has been analyzed from the worklist, the printer will print the results for all of the specimens processed from the worklist, unless printing has been set to “Print Function Only”. Refer to
Setting up the printer.

Printing a Worklist

1. From the Worklist Menu screen, press the [F5] key to print a copy of the worklist.
2. The screen notifies you that the worklist is being transmitted to and printed by the printer (internal or external).
3. To stop the printing process, press the [F1] key. This will return you to the Worklist Menu screen.
4. All printouts begin with a customized header (refer to
printer
Following the header information is the sequence number and specimen information for each of the specimens on the worklist. If the information for a line is not present, the line is skipped.
or the instrument name.)
Setting up the
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4. Specimen Processing

Running a Stat

While you are running a batch of urines in the “Worklist” mode, you can interrupt the batch mode operation to run one or more stat specimens.
1. From the Run Worklist screen, press the [F3] key. The Stat Interrupt screen will be displayed.
When entering the “Run Stat” mode the urine strip sensor will be active and the green LED will be illuminated.
NOTE: If the waste container is nearly full (> 125 strips), you will be required to empty it prior to beginning “Run Patient” analysis.
2. To run a stat specimen, you can enter patient identification information, such as patient ID, first and last name, or you can use the sequence number assigned by the software.
NOTE: The sequence number assigned to the stat specimen will be the next number following the last patient specimen assigned when you created the current “worklist” (e.g., sequence number for last specimen created in current “worklist” was 25, the stat sequence number will be 26).
3. If desired, enter the urine clarity and specimen type, see
Spec Type.
4. Dip the urine test strip into the urine. Make sure all the test pads are wet.
Clarity and
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4. Specimen Processing
5. Immediately remove the urine test strip from the urine, dragging the edge of the strip against the side of the container as you remove the strip.
6. Blot the urine test strip by touching the edge of the strip to a paper towel.
NOTE: Do not drag the strip across the paper towel, touch the edge only.
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4. Specimen Processing
7. Place the urine test strip with the test pads facing up on the transport belt of the instrument until the strip touches the end stop. A sensor will detect the presence of the strip and the red LED light will be turned on along with the green LED light.
NOTE: If you move the strip away from the sensor before it is transported, a message screen will prompt you to remove the urine strip from the transport belt and press the [F1] key to continue.
8. The incubation belt transports the strip to be analyzed and then on to the waste container. At the end of analysis, the internal printer will print the results, unless otherwise setup (see The screen then displays the Stat Interrupt screen, ready for another stat specimen.
9. To run another stat sample, enter the patient information, dip the urine test strip, then place it onto the transport belt as described previously.
10. To return to the worklist interrupted by the Stat, from the Stat Interrupt screen, press the [F1] key to return to the Run Worklist screen.
11. If the stat specimen analysis is not completed, the screen will notify you that the “Urine strip is still on the incubation belts for analysis. Please wait for end of measurement(s).” As soon as the results are printed for the stat(s), the screen will return to the Run Worklist screen, and the next specimen to be run is displayed. The instrument will continue displaying the previously created worklist until all samples have been analyzed.
Setting up the printer.)
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5. Controls
5
Controls
Setting the Control Run Frequency.................................................................................72
Setting a Control File....................................................................................................... 73
Creating a Control File................................................................................................. 73
Editing Control File Information ................................................................................... 75
Deleting Control File Information ................................................................................. 76
Running Controls ............................................................................................................77
To accept the results ...................................................................................................78
To reject the results ..................................................................................................... 78
Control Results................................................................................................................ 79
Viewing Control Results ..............................................................................................79
Printing Control Results...............................................................................................80
Deleting Control Results..............................................................................................80
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5. Controls

Setting the Control Run Frequency

1. From the Main Menu, press the [F4] key to display the Controls Menu screen. This screen allows you to set up new control files, view
or edit file setup information, print, view or delete control file results, or run a control and store the results in the highlighted file. In addition, it allows you to set a reminder to run controls at a specified frequency.
2. From the Controls Menu screen, use the [] or [] arrow keys or the [Enter] key to move to the left field of the frequency fields.
FILE 1 1212UC2006 03/20/2006 FILE 2 1213UC2006 03/20/2006 FILE 3 FREQ 1O Hours
F1 SETP F2 VIEW F3 RUN F4 PRINT F5 DELETE F6 MAIN MENU
3. To specify how often a control is to be run, enter a number between 1 and 30 in the text field. Press the [] arrow key or the [Enter] key to move to the right frequency field.
4. The right frequency field allows the operator to toggle through the following options:
Blank entry field
Hours
Days
Weeks
Months
5. Use the [] or [] arrow keys to select the desired option. The entries will be locked in when exiting the screen.
CONTROLS MENU
LOT# EXP
NOTE: The frequency time applies to all controls. When the designated frequency timing for running controls has been exceeded, the instrument will prompt the user to run control(s). The prompt will appear before each specimen is run in the “Run Patient” mode, or before the first specimen in the “Worklist” mode is run. A control must be run before the timer will reset.
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5. Controls

Setting a Control File

Creating a Control File

1. From the Main Menu, press the [F4] key to display the Controls Menu screen.
2. From the Controls Menu screen, use the [] or [] arrow keys, the [Tab] key or the [Enter] key to select the file to setup.
3. Press the [F1] key to display File # Control Setup screen. This screen allows you to enter a lot number and expiration date for a specific quality control material.
4. Enter the desired lot number in the Lot Number text field (up to 12 alphanumeric characters). Press the [] arrow key or the [Enter] key to move to the next field.
5. Enter the desired expiration date in the Expiration Date text field. Press the [] arrow key or the [Enter] key to move to the next field.
6. Press the [F1] key to lock in the selections made and advance to the
assay portion of the File 1 Control Setup screen.
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5. Controls
7. This screen allows you to enter the appropriate assay information for each of the chemistries. There are two toggle fields for each of the chemistries, a lower and an upper limit.
NOTE: The toggle fields contain values dependent upon which units have been selected in Setup, (i.e., conventional, S.I., or qualitative). Refer to Setting units on Chapter 3 - Setup. A control value that falls outside of the selected values will be flagged with an * when the results are displayed or printed.
8. Use the [] or [] arrow keys to move through the options in each toggle field and select the desired control value for both the upper and lower limit. Use the [] or [] arrow keys, the [Tab] key or the [Enter] key to move between fields.
9. If desired, press the [F1] key to print out a copy of the control file information.
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5. Controls

Editing Control File Information

WARNING: Making edits in a control file will delete all results stored in
memory for this file.
1. From the Main Menu, press the [F4] key to display the Controls Menu screen.
2. From the Controls Menu screen, to select a file to be edited, use the [] or [] arrow keys to move to the desired file number, and then press the [F1] key to display the File Control Setup screen. A message will appear warning that all results for this file will be deleted.
This screen allows you to:
Delete Lot # and Exp?—delete the existing lot number, expiration
date, and run data.
Delete Assay Info, Lot # and Exp?—delete all existing file
information (lot #, exp. date, assay information and run data).
Edit Existing Info?—leave all existing information intact, allowing
the editing of desired parameters only (such as lot numbers), but deleting run data of the selected file.
Print Existing Setup Info?—print existing control set up
information for the selected file.
3. Use the [] or [] arrow keys to move between the choices. Press the [F1] key to lock in the highlighted field selection and perform the action requested.
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5. Controls
4. Make the appropriate modifications and press the [F3] key to lock in the selections and return to the Controls Menu screen.
5. Press the [F4] key to lock in the selections and return to the Main Menu screen.

Deleting Control File Information

1. From the Main Menu, press the [F4] key to display the Controls Menu screen.
2. From the Controls Menu screen, use the [] or [] arrow keys to select the desired file number and press the [F1] key. If “File 1” had been selected, a screen similar to the following will be displayed.
F1 CONTINUE F2 CONTROLS F3 MAIN
3. Press the [F1] key if you wish to carry out the desired deletion. The instrument will advance to the File # Control Setup screen when finished.
4. Press the [F2] key to return to the Controls Menu screen without deleting anything.
5. Press the [F3] key to return to the Main Menu screen without deleting anything.
FILE 1 CONTROL SETUP
The results of selected file
Press F1 to delete and continue.
WARNING*
will be deleted.
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5. Controls

Running Controls

1. From the Main Menu screen, press the [F4] key to display the Controls Menu screen.
2. Using the [] or [] arrow keys, select the control file corresponding to the control material you want to run.
3. From the Control Menu screen, press the [F3] key to display the Run Controls screen. The green LED light on the instrument will be illuminated, indicating the instrument is activated and waiting for a urine test strip to be placed on the transport mechanism.
SEQ 001 FILE NUMBER FILE 1
LOT NUMBER 1212UC06 EXP. DATE 03/20/2006
F1 CONTROLS F2 MAIN MENU
This screen allows you to run a specified quality control material and have its results stored in the selected file. The sequence number of the control is displayed at the top of the screen and reflects the number of controls that have been run for this specific control file. The instrument has the capability to store up to 100 runs in each file.
RUN CONTROLS
Please place the urine strip
on transport belts.
NOTE: You cannot run a control material that has not been previously set up in a control file. Refer to Setting a Control File.
4. Dip a urine test strip into the control material corresponding to the control identified on the screen. Place the test strip onto the transport belt with the test pads facing up. Slide the strip forward until the strip touches the end stop.
NOTE: If you move the strip away from the sensor prior to being transported, a message screen will appear requesting that you remove the urine strip from the transport belt and press the [F1] key to continue.
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5. Controls
5. At the end of the analysis, the results will be displayed on the screen for review and acceptance.
NOTE: Results for a parameter that fall outside the identified limits will be flagged with an * on all displays or printouts of those results. The flagging information will be stored along with the results in the control file.

To accept the results

6. Press the [F1] key to accept the displayed results. The results will then be stored in the appropriate control file, and printed on the internal printer, unless printing has been set to “Print Function Only” (refer to display to the Controls Menu screen where you can select a different control material and repeat this process.
Setting up the printer). The instrument will then return the

To reject the results

7. Press the [F2] key to reject the displayed results. Rejecting the results will remove the results from memory and return the display to the Run Controls screen where the control material may be rerun.
8. Press the [F3] key to exit this screen, reject the results and remove them from memory, and return the display to the Main Menu screen.
NOTE: When the control file is full, it will prevent the addition of any more results until the entire file has been cleared. (See Deleting
Control File Information.)
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5. Controls

Control Results

Viewing Control Results

1. From the Main Menu screen, press the [F4] key to display the Control Menu screen.
2. From the Control Menu, use the [] or [] arrow keys to select the file to be viewed. Press the [F2] key to display the View QC Runs screen for the selected file.
This screen allows you to review the quality control results for each of the chemistry parameters.
3. Use the [] or [] arrow keys or the [Tab] key to select a parameter and then press the [F1] key. The screen will display a series of screens allowing you to view all the stored results (along with flagging) for the selected chemistry.
Run # Date Time Opr Results 91 03/23/2006 08:25 1 >1000* 92 03/23/2006 12:30 2 500 93 03/23/2006 22:15 3 500 94 03/23/2006 08:25 21 150 95 03/23/2006 12:30 22 500 96 03/23/2006 22:15 23 500 97 03/23/2006 08:25 11 150 98 03/23/2006 12:25 12 500 F1 NEXT F2 PREV F3 VIEW QC
FILE 1 - VIEW QC RUNS - Glucose
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5. Controls
4. Each screen displays up to 10 results for the designated chemistry. No units are displayed. Each control file holds the results for up to 100 runs. The results are displayed with the run number, date and time run, and the operator’s numerical identifier (if available).
Press the [F1] key to display the next series of results for that
chemistry.
Press the [F2] key to display the previous series of results for
that chemistry.
Press the [F3] key to exit the display screen and return to the
View QC Runs screen where you may select to view another chemistry control.

Printing Control Results

1. From the Main Menu screen, press the [F4] key to display the Control Menu screen.
2. From the Control Menu, use the [] or [] arrow keys to select the control file to be printed, and then press the [F4] key.
All printouts will include:
Header information
Name of file, followed by lot number and expiration date
All results and flagging for each of the chemistry parameters,
the date and time of the run and the operator’s identifier.
3. Press the [F1] key to stop printing, if desired. The printing will stop after print queue is emptied.
4. At the end of printing the screen will return to the Controls Menu screen.

Deleting Control Results

1. In the Controls Menu screen, use the [] or [] arrow keys to select the control file to delete, and then press the [F5] key. A message will appear warning you that you are about to permanently delete all the control results for that file and asking for confirmation.
Press the [F1] key to delete all control results for that file.
When complete, the screen will return to the Controls Menu screen.
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5. Controls
Press the [F2] key to exit the screen without deleting any
results from the selected file. The screen will return to the Controls Menu screen.
Press the [F3] key to exit the screen without deleting any
results from the selected file. The screen will return to the Main Menu screen.
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6. Results
6
Results
Entering Microscopic Results.......................................................................................... 83
Viewing Results............................................................................................................... 88
Limiting Result Parameters .........................................................................................88
Printing Results............................................................................................................... 90
Transmitting Results .......................................................................................................92
Deleting Results.............................................................................................................. 93
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6. Results

Entering Microscopic Results

This function provides you with the ability to recall urine specimens that have already had chemistry analysis, so that you may enter their microscopic analysis information. Specimens for microscopic exam entry or editing can be accessed by date, time, specimen / patient ID, or patient last name.
1. From the Main Menu, press the [F6] key, then press the [F1] key. The Microscopic Entry screen will be displayed.
2. Once you have entered the search criteria for the urine specimens you want to access, press the [F1] key to display the Enter Microscopic screen for the first urine specimen.
This screen will display the patient’s / specimen’s ID number and last name, if entered, along with the date and time of the chemistry analysis. Microscopic entry is completed exclusively with toggle fields. Many of the parameters have the ability to change the descriptors as well as enter a quantifier.
123456789012345 Johnson 0025 03/23/2006 12:07 pm
1. RBCs
2. WBCs
3. Bacteria
4. Epis
5. Crystals
6. Crystals
7. Yeast
8. Casts F1 MORE F4 CHEM F5 MICROSCOPIC F6 MAIN MENU
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6. Results
The parameters allowing for the changing of descriptors are as follows:
123456789012345 Johnson 0025 03/23/2006 12:07 pm
1. RBCs
2. WBCs
3. Bact Rods
4. Epis
5. Crystals
6. Crystals
7. Yeast
8. Casts F1 MORE F4 CHEM F5 MICROSCOPIC F6 MAIN MENU
Descriptors
Sub­category Abbrev.
Full Name
RBCs
WBCs
Bacteria
Epis
Crystals
Yeast
BacChain BactCoci BactRods
Sq Epi Trans Epi Renal Epi
Tri Phos CaOx Ca Carb Ca Phos Uric Acid Leuc Cyst Tyro Amorph Na Urate AmBiurat
YeastBud YeastHyp
Bacterial chains Bacterial cocci Bacterial rods
Squamous epithelials Transitional epithelials Renal epithelials
Triple phosphate Calcium oxalate Calcium carbonate Calcium phosphate Uric Acid Leucine Cystine Tyrosine Amorphous urates/phosphates Sodium urates Ammonium biurate
Budding yeast Hyphaed yeast
Casts
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HyalCast Epi Cast WBC Cast
Hyaline cast Epithelial cast White Blood Cells cast
6. Results
Descriptors
Sub-
Full Name category Abbrev.
Red Blood Cells cast
Granular cast
Fine granular cast
Coarse granular cast
Cellular cast
Broad cast
Fatty cast
Waxy cast
Oval fat body
Fat droplets
Trich
Oval Fat
Mucus
Sperm
RBC Cast Gr Cast FnGrCast CrGrCast CellCast Brd Cast Fat Cast Waxy Cast
Trichomonas
Oval Fat Fat Drop
3. Use the [] or [] arrow keys, the [Enter] key, or the [Tab] key to
move around within the toggle fields to select (highlight) a desired field.
4. Use the [] or [] arrow keys to toggle through the selections. For
example, you wish to change the Bacteria descriptors. With the Bacteria identifier field active, toggle through the bacteria selections, (e.g., BacChain, BactCoci, or BactRods to access the desired descriptor).
NOTE: The quantifier selections for each of the microscopic parameters can be viewed by printing them out (see Print a Copy of
Microscopic Setup).
5. Once you have made your selection, use the [] or [] arrow keys, or
the [Enter] key to lock in your selection and move to the next field.
NOTE: Any microscopic field with an associated quantifier field that is left blank will not be reported or stored under Results.
6. Enter desired information for all parameters on this screen. If necessary, press the [F1] key to move to the next Enter Microscopic screen for additional parameter entries for this specimen.
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6. Results
7. To enter results for the next specimen press the [F3] key. The next
8. To view a specimen’s chemistry results, press the [F4] key while
123456789012345 Johnson 0025 03/23/2006 12:07 pm
1. Trich
2. Crystals
3. Oval Fat
4. Mucus
5. Sperm
6. Color
7. Clarity
8. Spec Type F1 BACK F4 CHEM F5 MICROSCOPIC F6 MAIN MENU
NOTE: This is the only place you can also edit the color, clarity and specimen type for the urine results presented in this screen.
specimen’s fields for entering or editing microscopic results will be displayed. (If there are no microscopic results to be entered or edited for a specimen, press the [F3] key to advance to the next specimen.)
1234567890 Johnson 03/23/2006 12:07
Bili Neg Bld Neg Uro Norm pH 7
Ket 100 Nit Pos A. Acid Neg Leu 75 Gluc 150 S.G. 1.015 Prot Neg
F2 PREV F3 NEXT F4 MICRO F5 MICROSCOPIC F6 MAIN MENU
displaying the specimen’s microscopic entry screen.
NOTE: No editing of chemistry results is allowed. This screen is for viewing the chemistry results for this specimen only.
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6. Results
9. To display the same specimen’s microscopic results again, press the
10. Press the [F5] key to return to the Microscopic Entry screen or press
[F4] key while displaying the specimen’s chemistry results. This will return you to the first Microscopic Entry screen.
the [F6] key to return to the Main Menu screen.
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6. Results

Viewing Results

1. Press the [F3] key with the Main Menu screen active to bring up the Results screen.
This screen provides you with the ability to review, print, delete or transmit results on specimens that have already been run and are stored in patient storage. The specimens may be recalled by date, specimen or patient ID, patient last name, and/or operator number.
NOTE: Not all fields for date and time are required. For example, to bring up all specimens for one day, enter the “Start Date” and “End Date”. To bring up all specimens for one day during a particular hour, enter the “Start Date / Time” and the “End Date / Time”.

Limiting Result Parameters

In addition to viewing complete results from the Results screen, it is also possible to limit your results by the following parameters:
To view results… Press the [F1] key after doing this…
by start date enter the desired start date by month, day,
for more than one day to enter both a start date and end date (both
by specimen or patient ID enter the specimen or patient ID by last name enter the patient’s last name by operator number enter the number associated with the operator
year, and time
are required
name and Log On ID
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6. Results
You can also search using more than one field, (e.g., start date and patient ID, start and end date, etc. as shown above). With the desired search fields defined, press the [F1] key to view results.
The instrument will display the results for each specimen of the search through a combination of two screens (one for chemistry results and one for microscopic results.
Use the [F1] key to toggle between these two screens, the [F2] key to view the previous result, the [F3] key to view the next result, and the [F4] key to return to the Results screen.
RESULTS mm / dd / yyyy hh:mm START DATE / TIME 03 / 23 / 2006 12:00 pm END DATE / TIME 03 / 24 / 2006 02:00 pm SPEC/PAT ID 12345678901234 PATIENT LAST NAME OPERATOR LAST NAME
F1 VOIR F2 IMPR F3 TRANSMETTRE F4 SUPPRIMER F5 MENU PRINC
123456789012345 Johnson 0025
Bili Neg Bld ++#
03/23/2006 12:07 pm
Uro Norm pH 6
Ket Neg Nit Pos# A. Acid Neg Leu 75# Gluc ≥1000* S.G. 1.030 Prot ≥500# Color Yellow Clarity Slt Cloudy S. Type Random
F1 MICRO F2 PREV F3 NEXT F4 RESULTS
123456789012345 Johnson 0025
03/23/2006 12:07 pm
RBCs 3-5 Casts WBCs 25-50 Casts Bacteria ++ Trich Epis Oval Fat Crystals Mucus Crystals Sperm Yeast Few
F1 CHEM F2 PREV F3 NEXT F4 RESULTS
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6. Results

Printing Results

1. Press the [F3] key with the Main Menu screen active to bring up the Results screen.
2. Select the results you wish to print by specifying the date, specimen or patient ID, patient last name, or operator number in the search fields.
3. Press the [F2] key to print results. A screen will appear indicating that results are being printed.
4. Press the [F1] key to stop printing, if desired. The printing will stop after the print queue is emptied.
5. At the end of printing, the screen will revert back to the Results screen.
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A
6. Results
An example printout is shown below.
Printed results will include:
Header Information
Date and time of analysis
Sequence Number
Patient First and Last Name, if
available
Specimen or patient ID
Operator, if available
Clarity, if available
Color
Specimen Type
Chemistry results
Microscopic results if available
Midtown County Health
10257 Crescent Blvd. Suite 3
Monroe, Texas 12345
Telephone: 555-555-7755
DATE 03/25/2006 SEQ 0001 TIME 11:36am
Pt Stephen Brown
Spec/Pat ID 1234567890
OP 21
Clarity Cloudy Color Amber Spec Type Random
Bilirubin Neg Urobilinogen Norm Ketones Neg
sc. Acid Neg Glucose 150 mg/dL * Protein Neg Blood 0.03 mg/dL # pH 8 Nitrite Pos Leukocytes 75 WBCs/uL # S. Gravity 1.030 RBCs 5-10 HPF WBCs 25-50 HPF BacChain 2+ Sq Epi 2+ Tri Phos Few YeastBud Moderate
COMMENTS
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6. Results

Transmitting Results

1. Press the [F3] key with the Main Menu screen active to bring up the Results screen.
2. Select the results you wish to transmit by specifying desired date(s), specimen or patient ID, patient last name, or operator number in the search fields.
3. Press the [F3] key to send results to the laboratory information system (LIS). A screen will appear indicating that results are being transmitted. Transmitted results will include:
Date and time of analysis
Sequence number
Patient first and last name, if available
Specimen or patient ID
Operator’s name, if available
Specimen type, if available
Color
Clarity, if available
Chemistry results with flagging
Microscopic results, if available
4. Press the key to stop the transmission, if desired.
5. At the end of transmission, the screen will revert back to the screen.
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[F1]
Results
6. Results

Deleting Results

1. From the Main Menu, press the [F3] key to bring up the Results screen.
2. Select the results you wish to delete by specifying desired date(s), specimen or patient ID, patient last name, or operator number in the search fields.
3. Press the [F4] key to delete results from patient storage.
WARNING: If no entry has been made into any of the search fields, the instrument will delete ALL results from patient storage. You will receive a warning message asking for confirmation to delete results.
Press [F1] confirm the deletion and return to the Results screen.
Press [F2] return to the Results screen without deleting results.
Press [F3] return to the Main Menu screen without deleting
results.
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7. Maintenance & Service
7
Maintenance &
Service
Maintenance.................................................................................................................... 95
Recommended Maintenance & Cleaning .................................................................... 95
Daily Maintenance ....................................................................................................... 95
Weekly Maintenance ................................................................................................... 96
Emptying Waste Container ...................................................................................... 96
Cleaning the Belt Assembly..................................................................................... 99
Replacing the Belts................................................................................................ 101
As needed - Replacing the Paper Roll ......................................................................104
Diagnostics.................................................................................................................... 105
LCD Test ...................................................................................................................105
Printer Test................................................................................................................ 105
Load Drive Test ......................................................................................................... 106
Inc Drive Test ............................................................................................................106
LED Test.................................................................................................................... 106
RGB Test................................................................................................................... 107
Mechanical Tests....................................................................................................... 108
Internal Standard Test............................................................................................... 109
Exit Diagnostics......................................................................................................... 109
Before Calling for Service .............................................................................................110
Maintenance Log........................................................................................................... 111
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7. Maintenance & Service

Maintenance

Recommended Maintenance & Cleaning

Instrument parts that may be cleaned or disinfected:
Main Housing
Transport Mechanism Enclosure
Waste Container
Chassis
Strip Catch Plate
Pulleys
DO NOT wash or rinse:
Keyboard
Printer
Power supply
LCD display screen
Electrical or computer connection

Daily Maintenance

Material needed: Iris System Cleanser (REF 800-3203)
1. Power OFF instrument.
2. Wipe (do not spray) surfaces that come in contact with specimens/ strips with Iris System Cleanser. Rinse with water and dry with a soft cloth or paper towel. Avoid excess moisture.
3. Empty waste container of strips and clean with Iris System Cleanser. Rinse with water and dry with a soft cloth or paper towel. Refer to
Emptying Waste Container.
4. Examine belt assembly and pulleys for debris, damage, belts off track, twisting or spills.
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7. Maintenance & Service

Weekly Maintenance

1. Clean belt assembly. Refer to Cleaning the Belt Assembly.
Emptying Waste Container
Material needed: Iris System Cleanser (REF 800-3203)
1. To empty the waste container, slide the transport mechanism enclosure towards you and away from the instrument.
2. Set the container on the counter or some other flat surface. (An error message may be displayed on the screen.)
3. Remove the lid of the transport mechanism enclosure.
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7. Maintenance & Service
4. Remove the waste container from the enclosure and discard the urine test strips in an appropriate waste container.
5. Clean with Iris System Cleanser, rinse with water and dry with a soft cloth or paper towel.
6. The entire transport mechanism enclosure can be cleaned with Iris System Cleanser and then rinsed with water and dried, or wiped with a damp cloth at this time, if needed.
7. Replace the waste container in the transport mechanism enclosure and replace the lid.
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7. Maintenance & Service
8. Slide the transport mechanism enclosure back on the instrument until you hear a click. This assures you that it is properly positioned for running.
9. Press [F2] if you emptied the waste container, or press [F1] if you did not. The instrument will reset the counter when emptied.
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7. Maintenance & Service
Cleaning the Belt Assembly
Material needed: Iris System Cleanser (REF 800-3203)
1. Press the power switch located at the back right of the instrument to power the instrument off.
2. Remove the transport mechanism enclosure by sliding it towards you and away from the instrument. The belt assembly is now visible.
3. Gently remove belts from transport and incubation pulleys. Wash with soap and water, and then dry them with a soft cloth or paper towel.
NOTE: Do not soak the belts.
4. Wipe the incubation and transport rollers with Iris System Cleanser and dry carefully.
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