Mallickinrodt Gem-Stat User manual
COMPREHENSIVE
SERVICE
MANUAL
Mallinckrodt
Ann
Arbor,
48108-3248
1
(800)
262-3654
313-973-7000
Sensor
Michigan
U.S.A.
or
Systems,
WWEALLINCKROD
Sensor
Inc
Syster
GEM:
Stat
PORTABLE
ELECTROLYTE,
ANALYZER
COMPREHENSIVE
BLOOD
AND
SERVICE
HEMATOCRIT
GAS,
MANUAL
(B
OPERATED
SYSTEM
IF
ABOVE
ACCURACY
IS
95°F
WARNING
NOT
IS
OR
(35°C)
Mallinckrodt
1590
Ann
Arbor,
A
AT
BELOW
GUARANTEED.
Sensor
Eisenhower
MI
48108
(800)
262-3654
(313)
973-7000
TEMPERATURE
(15°C),
60°F
Systems
Place
USA
350140A
No.
Part
1993
May
350138B
**
IMPORTANT
NOTICE
**
This
Voltage)
Appendix 6 is
pages
manual
Models, a 120V,
If
you
have
If
you
have
in
Please
refer
contains
instrument.
the
applicable.
the
this
manual
to
Which
60
120V,
Dual
Appendix 6 now
Model
service
Hz
instrument,
60
Hz
Please
Voltage
with
the
information
Instrument,
Instrument,
appropriate
GEM
for
Stat
for
and a 120/230V,
the
ignore
instructions.
Appendix
you
pages
do
you
two
different
entire
must
that
own?
GEM
50/60
manual
6.
substitute
are
Hz (Dual
EXCEPT
in
Appendix
Stat
some
of
the
6.
This
manual
technicians.
e
Chapter
e
Chapter
installation,
e
Chapter
quality
e
Chapter
operation
component
e
Chapters,
diagnostic
e
Chapter
various
provides
Operators
7,
2,
3,
control
4,
of
messages
6,
systems.
detailed
can
Introduction.
Installation
startup
Operation . Provides
Theory
the
and
Trouble-Shooting.
System
and
optional
procedures
of
Operation.
various
functional
and
Checkout.
GEM
Stat
refer
also
Explains
and
Preparation.
custom
and
an
systems.
systems.
Outlines
recommends
Provides
SCOPE
operating
"GEM
the
to
the
purpose,
Discusses
setup
step
by
step
explanation
Provides
Includes
detailed
block
procedures
appropriate
procedures
and servicing
Operators
Stat
application
storage
procedures.
instructions
of
its
special
information
diagram
and
for
trouble-shooting.
service
to
check
information
Manual".
and
general
requirements,
for
normal
features.
detailed
procedures.
the
operation
relative
performance
for
qualified
specifications.
unpacking,
including
to
the
internal
descriptions
Explains
of
by
the
major
e
Chapter
instructions.
e
Chapter
electrical
layout
e
Chapter
debris
‧
Appendix
Alphanumeric
e
Appendix
via.
RS232
e
Appendix
information
e
Appendix
major
e
Appendix
and
shows
‧
Appendix
pages
instrument.
7,
Mechanical
Contains
8,
Electrical
systems
drawings
9,
in
the
1.
2.
3.
4.
components
§.
how
6.
as
listed
operation.
followed
Cleaning.
fan
filter.
Display
display
Transmission
port.
RS232
and
communication
Electromechanical
and
Printouts,
they
Dual
on
page
See
"Important
Disassembly.
explosion
Circuits.
by an
Provides
Messages.
with
views
Contains
electronic
an
explanation
Reports.
Communication
parameters
systems.
Provides
are
affected
Voltage
Substitute
one
of
the
Notice"
Provides
of
all
Provides
schematics,
component
instructions
Complete
of
Provides
detailed
major
detailed
for
cleaning
list
of
what
they
numerous examples
Specifications.
via
RS232
Specifications.
numerous
by
optional
manual
in
front
setup
pages.
IF
you
of
examples
Substitute
are
manual.
disassembly
subassemblies
electronic
wiring
lists.
display
Lists
items
using
description
diagrams,
blood
from
messages
mean.
Explains
port.
RS232
electromechanical
of
printouts
and
sensor
these
the
115/230V,
and
reassembly
and
complete
of
the
printed
the
instrument
that
may
transmission
connector
specifications
during
pages
normal
faults.
for
the
50/60
parts
major
circuit
board
and
appear
of
pin-out
operation
appropriate
Hz
list.
on
the
reports
for
Information
Mallinckrodt
not
be
copied
without
and
Sensor
or
prior
written
PROPRIETARY
descriptions
Systems.
reproduced
permission
contained
Such
by
any
MATERIAL
herein
information
means,
of
disseminated
Mallinckrodt
are the
and
Sensor
property
descriptions
of
may
or
distributed
Systems.
TABLE
OF
CONTENTS
CHAPTER
1.1
PRODUCT
1.2
OPERATION
1.3
EQUIPMENT
1.4
EOUIPMENT
SEPARATELY.
1.5
OPTIONAL
1.6
DESCRIPTION
GEM
GEM
GEM
GEM
GEM
Reusable
1.7
SPECIFICATIONS
Applicable
Environmental
Environmental
Physical
Power
Quality
Measured
Derived
Miscellaneous
1;
INTRODUCTION
DESCRIPTION
SUMMARY..
SUPPLIED
REOUIRED
OF
Stat
(Product
Statpak
Sampler
Check
crit
requirements
control
GEM
GEM
(Product
(Product
(Product
Check
Case
safety
specifications.
parameters
parameters..
(Product
(Product
standards
conditions
conditions
solutions
Check...
crit
Check
specifications
WITH
FOR
=
THE
GEM
Number
Number
Number
Number
Number
Number
............
....
for
for
specifications.
..
.
EACH
OPERATION,
STAT
4300, 4400, 4500, 4600,
4301)..
4305)
2306)....
operation
storage
..
GEM
COMPO
2309).
84009)
STAT
BUT
INSTRUMENT..
PURCHASED
S.
4700)
D
D
D D
D
ND
&
0
6
0 6%
ER BR
ER
RE
ouumeE
CHAPTER
2.1
STORAGE
2.2
Customers
Customers
2.3
2.4
INSTRUMENT
2.5
2.6
2.7
2.8
2.9
2.10
How
Mandatory
2;
INSTALLATION
INSTRUCTIONS
UNPACKING
INSPECTION
INSTALLING
INSTALLING/CHANGING
GEM
STAT
INSERTING A NEW
GEM
STAT
CUSTOMIZING
to
change
INSTRUCTIONS
with
the
reusable
without
POWER
WARM-UP/HYDRATION
quality
reusable
OF
COMPONENTS..
THE
GEM
FRONT
UP
CARTRIDGE
SYSTEM,
THE
the
hidden
control
AND
PREPARATION
....
carrying
carrying
STAT
PANEL
THE
INSTRUCTIONS.
key
case..
.…
DISPLAYS
PRINTER
.........
"HIDDEN"
status
case.
MODE
.
AND
PAPER
KEY
KEYPAD
..
FUNCTIONS
FUNCTIONS.
POIANA
Mandatory
Date
format.
Counts...
Units
of
measurement
Sample
Analytes
Cal
labeling......................
(Gas/Electrolyte/Hct)
Stats
ID..
for
blood
gas
partial
pressures
.
CHAPTER
8.1
OPERATION
Ready
Standby
QC
3.2
HOW
1.
2.
3.
4.
5.
3.3
OPERATOR
人
Quality
3.4
RECORD
Printing
To
To
3.5
MISCELLANEOUS
Paper
Cartridge
Temperature
Standby
下
3.6
POWER
3.7
CARTRIDGE
3;
OPERATING
SUMMARY
mode...
mode
mode........
TO
Collect
Enter
patient
Aspirate
Interpret
Sample
Derived
Normal
Description
Correcting a calibration
Reasons
How
Control
How
дирйсае
reprint a copy
reprint
feed......
How
How
How
How
How
PROCESS
the
blood
and
the
sample..
the
printout:
printouts
parameters
physiological
PERFORMANCE
to
initiate a 2-point
(QC)......................
to
analyze a QC
KEEPING
QC
records,
status.
to
print
correction
to
temperature
mode.....................
to
enter
to
exit
to
change
INTERRUPTION.
REMOVAL...
A
operator
of
calibration
to
Initiate a 2-point
AND
гесога$.....................
of
the
FUNCTIONS
the
standb:
standby.
INSTRUCTIONS
BLOOD
SAMPLI
identification
with
missing
....
blood
rang
CHECK
failure
failure.
calil
calibration:
solution
REPRINTING:
last
sample
blood
analyses,
cartridge
correct a blood
...
the
date
analysi:
.
status.
and/or
numbers
values
.
.
detection.
or
calibration
sample.
time
records.
CHAPTER
4.1
OVERVIEW
4.2
MAJOR
GEM
GEM
4.3
DESCRIPTION
Sensing
Calibration
Isolated
Heater
Processing
Fluid
4;
THEORY
COMPONENT
Statpak
Stat
instrument
Buffer
Analog-Digital
Thermal
Display
Keypads...........
Power
Pump
Valve
Door
Lock
RS-232
Software
Interface
systems
Hematocrit
Calcium,
Oxygen
system
analog
Block
thermal
and
system
Pump
Valve
...
Actuator
OF
cartridge
.....
amplifier
printer.
assembly
and
circuit
Supply
motor..............
motorin
port
assembly.
and
cartridge
......................
operating
switches...
OF
MAJOR
..
Sodium,
..
power
Internal
System
system
control
System
OPERATION
DESCRIPTION
..
heater
board
block
assembiy.......
lock-out
system
Potassium,
Loop
communication
Carbon
assemb!
solenoid
Dioxide
system
and
pH
+
HA
+4DOLOVONIININIDODIDONNA
oo
CHAPTER
5.1
TROUBLE-SHOOTING
5.2
INOPERATIVE
Instrument
Instrument
Alpha-Numeric
5.3
Printer
Paper
Printer
5.4
5.5
5.6
CRC
RAM
Sample
Valve
5;
TROUBLE-SHOOTING
INSTRUMENT...
inoperative:
inoperative:
display
PRINTER
KEYBOARD
HEATER
ALPHA-NUMERIC
PROBLEMS/FAILURE.....................
inoperative - no
will
not
feed
out
feeds
paper,
PROBLEMS/FAILURE
BLOCK
failed...............
failed
message
error.........
failed
(Also
but
FAILURE
DISPLAY
prints
SUMMARY.
no
visible
display
stays
printing
although
does
on
contains
at
"INSERT
or
it
not
..........
ERROR
print
power
paper
sounds
print.
out
if
paper
.
scattered
CART".
does
not
like
its
MESSAGES
is
installed)
LED
segment:
advanc:
working...
vn
www
5.7
SAMPLING
Sample
Cartridge
Display
Display
5.8
CALIBRATION
Multiple
5.9
QC
QC
Values
QC
Printout
PO2
Multiple
QC
Values
Display
Display
5.10
MISCELLANEOUS
Instrument
Display
Display
Display
Display
PROBLEMS...
will
not
values
reads,
reads,
parameter
PROBLEMS
are
Values
failed
OC
parameter
are
reads,
reads,
will
reads,
reads,
reads,
reads,
aspirate.....
do
not
compare
"OP000000000"
"PA000000000"
PROBLEMS
failures
OR
not
displayed
are
(other
values
displayed
"BAD
"MUST
not
go
"NO
GOOD
"PLEASE
"RECOVERING"
"REMOVE
with
FAILURES......................
Blank
values
failed
and
LOT
NUM"
DO
QC".
PROBLEM
into
Standby
DATA"
WAIT"
CART"
with
the
lab.
and
sample
and
sample
OR
FAILURES......
multiple
on
the
followed
are
within
QC..............
reported
.
(remove
cartridges
instrument
by
a
range).
on
patient
cartridge)
won't
aspirat
won't
aspirate
.
questi
sample
printout
.
CHAPTER
6.1
PURPOSE
6.2
EQUIPMENT
6.3
BASIC
Power-up
Real-Time
Printer
Power
Functional
Diagnostic
Test
CHAPTER
6;
BASIC
REQUIRED.
OPERATION
test.......
clock
test........
fail
test
diagni
1.
Keyboard
2.
Display
3.
Cartridge
4.
Pump
5.
Printer
6.
Thermal
7.
Simulator
keypad
form
7;
MECHANICAL
SYSTEM
OPERATION
TESTS
test
Test.
Test...
Motor
Test.
Test.
Valve
Actuator
Speed
Cartridge
definitions...
DISASSEMBLY
Test
Test.
TEST
=
Test.
OMDNFAAHRAWOWNNNN=]
7.1
OVERVIEW
7.2
TOOLS
7.3
GENERAL
7.4
MAJOR
REQUIRED
FOR
DISASSEMBLY
SUBASSEMBLY
DISASSEMBLY.
PROCEDUR
DIAGRAMS...
7.5
COMPLETE
GEM
STAT
PARTS
LIST...
17
CHAPTER
8.1
Isolated
Main
Parts
8.2
8.3
ANALOG-DIGITAL
Recent
Unused
Electrode
Analog
Low
Voltage
Microprocessor
Parts
8.4
Device
Numerical
Intelligent
LED
Parts
8.5
8.6
DOOR
Parts
8.7
8.8
REAR
8;
ELECTRICAL
POWER
power
power
DC
Power
Motor
Signal
list
HEATER
changes
circuitry
multiplexer
pass
to
Central
Read-Oniy
Random-access
RS-232
Address
Motor
Printer
Display
Light
Keyboard
System
System
Opto-Isolator
List
DISPLAY
Select
Driver.
list
PRINTER
LOCK,
list
INNER
WALL
PANEL
CIRCUITS
SUPPLY.
supply
Power
Control
for
power
BLOCK
differential
filter
frequency
control
emitting
for
A/D
CIRCUIT
Displays
Alphanumeric
for
display
ELECTRONICS
for
solenoid
supply.
.....
Supply.
fail
detect
Interconnection
AND
to
on
.....
circuitry......
processing
memory
port
bus
interface
control
interface.....
Status
real
board
Decoder.................
SOLENOIDS
ELECTRONIC
ELECTRICAL
circu
Circuitry
supply
TEMPERATURE
(A/D)
A/D
board
the
P.C.
amplifiers
converter
on
...
board
CIRCUIT
......
board
.
uni
(ROM)
memory
............
decoder.
time
DESCRIPTION
and
board
signals..
diode
Signals.
and
driver
..
(LED)
calendar
solid
2...
Display
Display
nes
assembly
DESCRIPT
(K1 8 K2),
board
CIRCUITRY
CIRCUITRY
state
..
(RAI
Drivers...
..
the
Power
BOARD
Supply
CONTRO!
control
clock
............
..
relay
drive..
ns
SOLENOID
.
Board..
14
22
DR
CHAPTER
9.1
BLOOD
Materials
Method
9.2
9;
CLEANING
CLEANING
CLEANING
required
for
Cleaning
FAN
PROCEDURES
PROCEDURES
for
cleaning
up
Blood
FILTER...
..
blood.
APPENDIX
APPENDIX
REPORT
OPERATING
Gases
Sample
Temperature
Calibration
EXAMPLES
Sample
Sample
Sample
Sample
Sample
QC
QC
1-Point
2-Point
Last
Sample
Sample
Raw
Report
Status
Status
2-Point
disabled)...
2-Point
1;
DISPLAY
2;
FORMATS
TRANSMISSION
MODE
only,
labeling..........
SELECTIONS..........
electrolytes
correction.
data
reporting
OF
REPORT
report
report
report
report
report
report
report
CAL
CAL
CAL
report
report
count
after
report
report
CAL
CAL
(electrolytes
(Gases
(Temperature
(labeling
(longest)......
(electrolytes
(gases
report
and
report
report
(Electrolytes
(Gases
(electrolytes
(after
(Flawed
value
report
power
completion
failure
(all
electrodes
(after
several
pl
MESSAGES
OF
TRANSMISSION
DESCRIPTION..
only,
or
both
.
TRANSMISSIONS
only)
only).......
enabled)
only)...
electroly
Corrected)
.
Only)..
and
Electrolytes
only)
several
electrodes
sample
..
message
test)........
operational).
calibration
g
REPORTS
modes.
:
.
with
CAL
…………………………………
had
CAL
failures)
failures)
(no
electrode
..
failures,
STAT
CAL
enabled)..
STAT
0 D À
D
NN
& &
En GC
1
©
©
©
HN
HN
©
©
© ©
=
=
APPENDIX
GENERAL
CONNECTOR
BAUD
DATA
APPENDIX
POWER
3;
RS-232
DESCRIPTION
AND
SIGNAL
RATE,
FORMAT,
TRANSMISSION
4;
ELECTROMECHANICAL
SUPPLIES..
COMMUNICATIONS
DESCRIPTION
AND
HANDSHAKING
PROTOCOL
SPECIFICATION
...
SPECIFICATIONS
ELECTRODE
ELECTRODES)
OXYGEN
HEMATOCRIT
DIFFERENTIAL
HEATER
ANALOG-TO-DIGITAL
CARTRIDGE
PUMP
MICROPROCESSOR
RS232
BATTERY
REAL
PRINTER
ISOLATION
MOTOR/ROTOR
PORT...
TIME
Dielectric
Maximum
Physical
BUFFER
CHANNEL
CHANNEL..
GAIN
BLOCK
BACK
.............
THERMOSETTING..
VALVE
CLOCK
AND
LEAKAGE
withstand
leakage
spacing.
AMPLIFIERS
STAGES,
CONVERSION
STEPPER
SYSTEM...
TIME
voltage
currents
PH,
MOTOR
BASE
CURRENTS...
..
.
(REF,
CA++,
PH,
NA+,
CA++,
K+,
NA+,
CO
Kt
AND
CO?
가
나 가
가
D
D
D
D
D D
D
00
00
00
00 00
600
APPENDIX
GENERAL
PRINTOUT
Gases
Sample
Calibration
MISCELLANEOUS
DATE
STANDBY
Temperature
Cartridge
RECORD
APPENDIX
50/60
IMPORTANT
INNER
REAR
COMPLETE
POWER
POWER
WIRING
KEEPING
HZ
MODEL.
PANEL
SOLENOID
SOLENOID
INNER
INNER
REAR
REAR
5;
PRINTOUTS
INFORMATION
OPTIONS
only,
Electrolytes
labeling............
data
and
TIME
mode
STATUS
PAGES
6;
NOTICE;
PANEL
ΘυΡΡΙΥ
SUPPLY
DIAGRAM
WALL
WALL
PANEL
PANEL
ASSEMBLY...
ASSEMBLY...
GEM
DRIVER
DRIVER
WIRING
SCHEMATIC
WIRING
SCHEMATIC.
ACCESSED
reporting.
FUNCTIONS'
....
...
correc!
report
REPRINTS
AND
TO
HOW
STAT
«ιν
ASSEMBLY
PARTS
...................uin
BOARD
BOARD
DIAGRAM
DIAGRAM.
only,
FROM
or
both
AFFECT
SUBSTITUTE
USE
TO
LIST
SCHE
PARTS
SCHEMATIC..
.....
HIDDEN
ON
IF
APPENDIX
THIS
LIST..
FUNCTION
PRINTOUTS.
USING
THE
MENU..
110/220
PRESSURE
V,
Fig.
2-1,
Fig.
2-2,
Fig. 3-1,
Fig. 3-2,
Fig.
3-3,
Fig. 3-4,
Fig.
3-5,
Fig.
3-6,
Fig.
3-7,
Fig.
3-8,
Fig.
3-9,
Fig.
3-10,
Fig.
3-11,
Fig. 4-1,
Fig. 4-2,
Fig.
4-2,
Fig.
5-1,
Fig.
5-2,
Fig. 6-1,
Fig.
6-2,
Fig.
6-3,
Fig.
6-4,
Fig. 6-5,
Fig.
6-6,
Fig. 7-1,
Fig.
7-2,
Fig.
7-3,
Fig. 7-4,
Fig.
7-5,
Fig.
7-6,
Fig.
7-7,
Fig. 7-8,
Fig.
7-9,
Fig.
7-10,
Fig.
7-11,
Fig.
7-12,
Fig.
7-13,
Fig.
7-14,
Fig.
7-15,
Fig.
7-16,
Fig.
8-1,
Fig.
8-2,
Fig.
8-3,
Fig.
8-4,
Front
Panel
Displays
Adding
Make
Immerse
Cancelled
Normal
Sample
2-Point
2-Point
Location
Aspirating
Status
Temperature
GEM
GEM
GEM
Location
Location
Printout,
Power
Printout
Simulated
Simulated
Test
Removing
Removing
Removing
Disconnecting
Removing
Removing
Disconnecting
Removing
Removing
Removing
Inner
Front
Rear
Cover
Cartridge
Printer
Detailed
Power
Power
A/D
Printer
sure
the
the
Sample
Sample
printout
CAL
CAL
of
Lot
solution
Report
Stat
System,
Stat,
major
Stat,
major
of
switch
of
switch
printer
fail
test
diagnostic
auto
sample
result
form
the
the
the
the
the
the
the
the
Panel
Panel
Panel
Assembly
Door
Assembly
Electrical
Supply
Supply
Board
(MSS # 480006)
GEM
Sampler
Message....
Stat
Corrected
printout
Cover
A/D
A/D
the
Printer
Front
Main
Power
Rear
Assembly
Assembly
Assembly
Assembly
Assembly
FIGURES
and
Keypads
Paper.................
Sampler
in
blood
Message
printout..
with
No.
components
components
test...
sample
.......
Main
Assembly
O7
Report.
on
OC
from
printout..
Simple
SW1.
SW3.
Print
test
limits.
Assembly
board
board
Printer
and Inner
Transformer
Supply
Panel
Transformer
.
.
......
........
Block
stop
line
is
then
press
Sensor
OC
Test
problem.
ampule
Block
Insulator
power
.........
Diagram.
(MSS
(MSS # 500018)
..
Se
Diagram
(1
of
2).
(2
of
2).
cable
Panel
cable
and
..................
#500018)
flush
with
the
START
.
Wire
.
Schematic
the
cartridge
keypad
Harness
.
from
Power
Supply..
7-7
Fig.
8-5,
Fig. 8-6
Fig.
8-7,
Fig.
8-8,
Fig.
8-9,
Fig.
8-10,
Fig.
8-11,
Fig.
8-12,
Fig.
8-13,
Fig.
8-14,
Fig.
8-15,
Fig.
8-16,
Fig.
8-17,
Fig.
A5-1,
Fig.
A5-2,
Fig.
A5-3,
Fig.
A5-4,
Fig.
A5-5,
Fig.
A5-6,
A/D
Board
A/D
Board
A/D
Board
Main
Hamess
Display
Display
SW1,
Solenoid
Solenoid
Inner
Inner
Rear
Rear
Board
SW3
Wall
Wall
Panel
Panel
Sample
QC
Reports
2-Point
2-Point
Temperature
Status
Reports
Schematic
(MSS # 480006)
(MSS # 480006)
Schematic
(MSS # 480006)
(MSS + 500023)
Board
(MSS + 500023)
and K1
Driver
Driver
Wiring
Schematic
Wiring
Schematic
Report
CAL
CAL
Wiring
Board
Board
Diagram
Diagram
....
Reports
Reports
Corrected
.
.
(Cal
Schematic
Schematic
..
.
Schematic
Diagram
PCB
Layout
Schematic
Stat
ON)
(Cal
Stat
OFF)
Report
.
(1
(2
(3
..
of
of
of
3)
3)
3)
Table
Table
Table
Table
Table
Table
Table
Table
Table
Table
1-1,
Physical
1-2,
GEM
1-3,
Measured
1-4,
Derived
2-1,
"Hidden
3-1,
Measured
3-2,
Normal
3-3,
Reprint
4-1,
CAL-A
GT
Dao6ostcKeypadioncHons
Specifications,
Stat
Model
Parameters
Parameters
Key”
Defaults
Parameters
expected
Options
and
CAL-B
List
values
..
GEM
and
Power
.
used
to
for
whole
"preset"
Values
TABLES
Stat,
GEM
Reguirements
calculate
Derived
blood
Statpak
parameters
point
CHAPTER
1;
INTRODUCTION
PRODUCT
1.1
The
hematocrit
GEM
disposable
three
The
system
partial
(K+),
Bicarbonate
Saturation
OPERATION
1.2
Insert
1
automatic
system
about
2.
Insert a GEM
cc
DESCRIPTION
GEM
Stat
analyzer.
Sampler.
cartridge.
days,
lonized
whole
or
performs
pressure
(SAT)
the
will
45
minutes)
blood
system
It
Calibration
The
50
analyses,
automatic
(PCOp),
Calcium
(HCOg3),
(iCa++),
Total
are
calculated
SUMMARY
disposable
"warm-up".
let
you
know
Sampler
sample
is a portable,
aspirates
fluids, a waste
cartridge
whichever
Oxygen
Carbon-dioxide
GEM
Statpak
The process
when
into
the
to
the
self-contained
blood
is
calibrations
partial
and
Hematocrit
from
the
it
is
end
instrument,
from a syringe
bag,
and
inserted
comes
pressure
measured
cartridge
is
as
ready.
of
the
into
first.
and
self-checks.
(Hct)
(TCO),
into
simple
(Total
cartridge.
then
blood
the
(PO),
parameters.
as
time
gas,
via a piece
electrodes
instrument
Sodium
are
measured
Base
excess
the
instrument
loading a video
for
this
Present a heparinized
push
the
SAMPLE
electrolyte,
of
tubing---the
are
housed
and
lasts
pH,
Carbon
(Na+),
(BE),
warm-up
Potassium
directly.
and
to
initiate
cassette.
period
button.
and
in
a
for
dioxide
Oxygen
the
The
is
0.5
8.
EQUIPMENT
1.3
The
system
display
Leave
blood
updates
GEM
depleted,
used
and
the
samples
Stat
solutions
Нет
Stat
GEM
Operators
Printer
*
Paper
Refer
will
automatically
print
them
cartridge
can
remaining
show
throughout
simply
throw
are
SUPPLIED
Instrument
Manual
Table
1-2
in
less
inserted
be
shift
collected
for
for
analyzed,
time
changes,
away
it
WITH
complete
aspirate
than
as
and
and
the
in
EACH
two
long
each
sample
24
insert
sealed
the
minutes.
as
yielding
hours
GEM
Quantity
ea.
1
1ea.
rolls
2
Stat
GEM
sample,
72
capacity,
new
a
cartridge,
STAT
process
hours.
eleven
all
day.
a
cartridge.
INSTRUMENT
Part
4X00
380019
2308
model
number
the
During
parameters.
making
When
Since
clean-up
no
Number
*
list.
results,
time,
that
convenient
it
cartridge
the
blood
all
required.
is
then
50
to
up
Status
use
to
is
and
1.4
EQUIPMENT
REQUIRED
FOR
OPERATION
BUT
PURCHASED
Chapter
1;
SEPARATELY
Introduction
ltem
GEM
GEM
GEM
GEM
Heparinized
1.5
OPTIONAL
item
Comprehensive
Carrying
Quality
1.6
DESCRIPTION
GEM
Electronic
Statpak
Check
Sampler
crit
Check
ITEMS
Case
Assurance
Stat
(Product
instrument
e
Measures
e
Derives
«
Hard
identification.
«
Front
analyte.
«
Alphanumeric
prompts,
+
Keyboard
»
Temperature
syringe
Service
Manual
OF
THE
Number
pH,
HCOa,
copy
printout
panel
etc.
allows
or
other
blood
Manual
GEM
STAT
4300,
that
analyzes
PCO2,
TCO»,
POs,
BE,
provided
display
display
Correction
provides
provides
command
collection
.
COMPONENTS
4400, 4500,
blood
Na+,
and
gases,
K+,
O2SAT.
with
each
numeric
instrument
and
data
capability.
Part
Number
4301
2306
4305
2309
device.
Part
Number
380025
840009
380023
4600,
iCa++
4700)
electrolytes,
and
analysis
readout
status
entry.
and
hematocrit.
Het.
for
complete
for
each
information,
sample
measured
keyboard
GEM
Statpak
Disposable
solutions,
e
«
e
e
GEM
Sampler
Disposable
Statpak
(Product
cartridge
and
waste
Disposable
Provides
Self-contained
and
waste
48-hour
(Product
Number
containing
container.
up
to
50
cartridge
container.
standby
attachment
cartridge.
tests
period
Number
allows
that
4301)
electrochemical
or
24
hours
includes
extends
4305)
of
sampling
sensors,
total
cartridge
introduction
sensors,
calibration
blood
of
GEM
calibrating
capability.
use
life
samples
Stat
Service
and
to
Manual;
flush
72
hours.
the
to
and
flush
solutions,
GEM
page
1-
2
Chapter
1;
Introduction
a
GEM
Check
Aqueous
permit
e
«
GEM
crit
Aqueous
quality
e
+
Reusable
An
impact
store
1.7
SPECIFICATIONS
(Product
solutions
system
Low,
Normal,
Designed
Check
solutions
control
and
Low
Designed
Case
(Product
resistant
GEM
the
Number
containing
quality
(Product
checks
Normal
Stat
control
and
to
comply
simulating
of
comply
to
case
instrument.
2306)
checks
High
with
Number
Hct.
values
with
Number
as
defined
known
values
known
provided
values
of
provided
laboratory
2309)
values
laboratory
84009)
by
of
gases
pH,
PCO»,
QC
of
each
in
QC
MIL-D-42048,
PO»,
in
each
requirements.
hematocrit
package.
requirements.
and
electrolytes
Na+,
package.
that
used
to
K+,
and
permit
system
transport
that
iCa++.
and/or
+
Following
Performance
Aspects
chemistry
GEM
Mallinckrodt
the
specification
review
particular
are
such
measurements
Stat
System.
the
application.
Applicable
«
UL-544
IEC-601-1.
+
The
electromechanical
specifications
as
accuracy
should
Sensor
specifications
safety
European
Systems
limits
stated
standards
Standard
model
and
for
specifications
of
the
GEM
and
analyses
be
CAUTION:
warrants
in
this
determine
Medical
GEM
Stat
for
Statpak
Cartridge
repeatability,
determined
the
manual.
the
and
Dental
system
during
GEM
It
is
suitability
Equipment
is
the
GEM
Stat
are
and
dynamic
clinical
Stat
System
the
responsibility
of
the
system
approved
by,
Instrument.
not
included.
range
use
with
to
perform
of
the
for
TUV
Nordeutsland.
of
blood
the
entire
within
user
any
to
GEM
Stat
Service
Manual;
page
1-
3
Chapter
1;
Introduction
Environmental
e
Temperature
・
Relative
Environmental
«
Temperature
«
Relative
Physical
Table
Power
(Power
specifications
Width
De
Height
Weight
1-1,
(in/cm
Physical
requirements
Consumption:
conditions
Range:
Humidity
conditions
Range:
Humidity
in/cm
(in/em
(Ib
specifications,
Range:
Range:
GEM
102
for
60°F
for
-10°F
92.12 / 23.2
18.25 / 46.4
8.38 / 21.3
27.7 / 19.6
Stat,
Watts
operation
to
95°F
5%
to
90%
storage
to
120° F (-23°C
5%
to
95%
GEM
Statpak
nominal)
(15°C
to
35°C)
(non-condensing)
to
49°C)
(non-condensing)
3/51
8.06 / 20.5
5/12.7
1.6/0.7
Table
1-2,
GEM
*
User
switchable.
factory
Quality
and
GEM
Three
of
solution
e
e
e
4300*
4400
4500
4600
4700
Stat
can
Control
Check
levels
pre-analyzed
Low
Normal
High
Model
list
and
On
all
only
be
Solutions
per
package,
Level:
Level:
Lower
Level:
U.S.A.,
Power
other
altered
Specifications
Normal
Higher
Mili
Japan
Japan
Europe
U.K.
Requirements
units,
by
authorized
10
ampules
for
pH,
than
normal
blood
than
operating
each
PCO2,
normal
PO2,
blood
values
blood
115/230
100
100
220
240
frequency
service
personnel.
level.
Na+,
values
values
VAC
VAC
VAC
VAC
VAC
Each
K+,
is
and
50/60
60
50
50
50
determined
ampule
Hz
Hz
Hz
Hz
Hz
contains 3 ml
iCa++.
at
the
GEM
Stat
Service
Manual;
page
1-
4
Two
levels
solution
+
Low
e
Normal
per
package,
pre-analyzed
Level:
Hematocrit
Level:
15
ampules
for
Hematocrit
lower
Hematocrit
(Hct).
than
at
normal
each
level.
normal
blood
Each
blood
value.
Chapter
ampule
value.
1;
Introduction
contains 3 ml
of
Measured
É
pH
PCO2
iCa*+
Table
(mmHg)
PO2
(mmHg)
Na+
(mmol/L)
K+
(mmol/L)
(mmol/L) | lonized
Het
1-3,
Measured
Other
parameters
=.
(%)
_|
parameters
laboratory
Z
Carbon
Oxygen
Sodium
Potassium
Hematocrit
iCa++
instruments
Dioxide
partial
lon
lon
Calcium
is
Calcium
_
pH
partial
concentration
pressure
pressure
concentration
lon
concentration
percentage
Note:
lon
Concentration.
may
measure
other
forms
.80
5
0
100
0.1
0.1
5
to
to
to
to
to
to
to
7.
99
999
200
9.9
5.0
60
of
0.1
0.01
Calcium.
.
0.01
1
1
1
0.1
(display),
(printout)
0.1
Derived
HCOs
TCOz
BE
O2
Table
1-4,
parameters
(mmol/L)
(mmol/L)
(mmol/L)
(%
SAT
Derived
parameters
Bicarbonate
Total
Base
lon
Carbon
concentration
Excess
Saturation
en
concentration
Dioxide
concentration
percent
GEM
3.0
3.0
-30
30
Stat
Service
to
to
to
to
60
+30
99
60
Manual;
page
1-
5
Chapter
1;
Introduction
Miscellaneous
Sample
Sample
Sampling
Response
Measurement
Automatic
Temperature
specifications
Volume:
Requirement:
Throughput:
Time:
Methodologies:
Calibration
Frequencies:
Control:
0.5
ml
Whole
approximately
or
Maximum
110
PO»
pH,
Potentiometric
Het
Two-point
One-point
Electrode
+/-
blood
Lithium
sec.
Na+,
--
Heparin.
11
from
--
Polarographic
K+,
Conductivity
calibration
calibration
chamber
0.29С.
with
25
samples/hour
sample
iCa++,
addition
USP
of
units/ml
introduction
PCOp
every
every
--
60
90
maintained
Sodium
minutes.
seconds.
at
37°C,
Refer
Stat
to
components.
Time
and
Product
Data
Output
Appendix
Date:
Safety:
Port:
4,
"Electromechanical
Internal
powered.
UL
RS-232
Specifications"
24-hour
Listed
under
(See
for
calendar
UL-544,
Appendix
specifications
clock,
IEC
3)
battery
601.
on
GEM
GEM
Stat
Service
Manual;
page
1-
6
da
2.1
CHAPTER
STORAGE
2;
INSTALLATION
INSTRUCTIONS
AND
PREPARATION
a
These
reagent
Keep
desiccant
doors
instructions
cartridge
the
instrument
packets
within
Temperature:
Humidity:
Altitude:
Use a waterproof
Minimize
No
temperature
Under
2.2
UNPACKING
Customers
(Refer
case)
movement
periodic
these
the
to
apply
or
quality
in
its
within
the
following
-109F
5% - 95%
Unaffected
covering
between
adjustments
and
humidity
conditions
INSTRUCTIONS
with
the
reusable
printed
laminated
to
the
instrument
control
original
the
plastic.
limits:
to
+1200F
by
to
protect
high
or
inspections
ranges.
the
life
of
carrying
panel
solutions.
packaging,
In
the
(-230C
altitude
the
packaged
and
low
are
the
GEM
case
the
on
only,
not
to
the
with
plastic
original
to
temperatures
required
Stat
inside
packaging,
+490C).
instrument
if
the
is
indefinite.
cover
disposable
around
to
instrument
of
the
it
can
from
prevent
reusable
the
moisture.
GEM
Statpak
instrument
be
stored
condensation.
is
within
carrying
and
out-
these
Open
1.
2.
Open
Remove
3.
paper
Remove
4.
Customers
Open
=
Remove
2.
box.
Remove
3.
surround
Remove
Remove
Keep
pon
original
of
top
the
the
carrying
Service
the
from
the
instrument
the
without
the
top
of
Operators
the
instrument
the
instrument
the
foam
the
instrument
original
packaging
materials
carton
the
case.
Manual,
carrying
reusable
the
carton.
Manual,
caps
end
from
when
remove
and
Operators
case.
carrying
the
from
carrying
the
from
remain
will
from
protective
materials.
transporting
case
printer
box.
with
instrument.
the
plastic
Always
the
reusable
the
Manual,
case.
paper,
The
the
detachable
and
protective
as
unit
bag.
repackage
instrument.
carrying
cord,
detachable
end
foam
pulled
is
it
instrument
the
case.
line
caps
from
and
cord
that
the
printer
the
from
box.
the
in
2.3
INSPECTION
OF
COMPONENTS
Chapter
2;
Installation
and
Preparation
Inspect
be
clean
the
delivering
Warranty
Department
that
a
If
you
feel
component
Authorization
Mallinckrodt
1590
Ann
Phone:
or
2.4
INSTALLING
Install
cord
the
the
to
back
packing
and
without
does
or
proper
(313)
claim
service
should
(RGA)
Eisenhower
Arbor,
(800)
973-7000
THE
GEM
any
grounded,
panel
case
blemishes.
carrier
within
not
cover
an
Authorized
may
is
necessary,
be
number.
Sensor
MI
48108
262-3654
GEM
Stat
by
properly
of
the
instrument.
and
instrument
10
damage
Agent
be
filed.
repaired
Systems
Place
STAT
simply
placing
If
damage
days.
due
will
contact
or
replaced,
Ship
product
wired
for
external
Although
to
shipping,
assist
Customer
you
to:
it
in
any
outlet
that
damage.
has
occurred,
the
Mallinckrodt
our
you
in
determining
Service.
will
be
convenient
meets
All
components
a
claim
must
Sensor
Customer
issued a Return
i
location.
the
voltage
If
it
Service
the
is
decided
Attach
rating
should
be
filed
Systems
damages
that
Goods
the
stamped
with
so
a
line
on
Place
operation.
whether
space
about 6 inches
pull
leave
Operating
Operating
Do
the
you
no
in
cooling
space
not
place
In
order
GEM
Comfortable
larger
temperature
relative
to
Stat
operate
than
behind
air.
Both
nearby
next
to
humidity
prevent
connected
on a level
operation
the
15
inches
the
are
for
the
heating
surface
unit
while
instrument
located
disposable
or
range:
range:
electrical
to a
properly
such
is
on a counter
sitting
wide
by
to
on
the
cartridges and
cooling
WARNING
shock
hazard
wired
as a cart,
or
standing).
20
inches
reach
the
back
devices.
60°F
to
5%
to
90%
to
grounded
counter,
34" - 54"
deep
power
of
the
95°F
(non-condensing).
operator,
high
The
analyzer
by 12
switch
instrument.
quality
control
(15°C
this
receptacle.
or
bench
(depending
requires
inches
to
device
high.
and
allow
It
is
solutions.
35°C).
must
top
during
on
a
Leave
the
fan
advisable
to
be
to
GEM
Stat
Service
Manual:
page 2 -
2
Chapter
2;
Installation
and
Preparation
STATUS
a
Fig.2-1;
Front
displays
panel
keypads
and
GEM
Stat
Service
Manual;
page
2-3
2.5
INSTRUMENT
FRONT
PANEL
DISPLAYS
AND
Chapter
KEYPAD
2;
Installation
FUNCTIONS
and
Preparation
|
Keypad / Dis!
Numeric
Na+,
PO2,
Alphanumeric
Primary
Sample
Identification
Paper
Enter
Cancel
Window
K+,
Ca++,
Het.
Keypads:
Feed
Displays:
pH,
PCO2
Display
아이오
Displays
Shows
user
Press
Press
Feeds
Used
Aborts
GEM
supplied
to
to
paper.
to
current
values
Stat
information.
aspirate
enter
Patient
Used
confirm
function.
for
each
analyte
status,
Sample
selections
or
to
start
messages
or
Operator
QC
new
and
and
solution.
ID.
roll.
numbers.
Numeric
Secondary
1/STBY
3/QC
7/TEMP
8/MENU
9/PRINT
O/STATUS
Keypads
Keypads:*
(Standby)
(Quality
Control)
(Temperature)
Press
SHIFT
to
keypad
initiate
secondary
Used
to
enter
Initiates
Initiates
Initiates
Displays
Reprints
Prints
then
or
QC
Temperature
Options
last
Status
*
Note:
appropriate
keypad
numeric
exits
Standby
Test
Sample
Report
values.
Mode
Correction
Menu
Report
numeric
functions.
keypad
feature
GEM
Stat
Service
Manual;
page
2-4
2.6
INSTALLING/CHANGING
THE
PRINTER
PAPER
Chapter
2;
Installation
and
Preparation
When
.
Open
side
.
Remove
cardboard
.
Place
and
until
ring).
.
Thread
shown
1
.
Press
located
matically
a
red
and
slide
roll
inch
stripe
feet
of
printer
the
front
remaining
spool
paper
into
"PAPER
over
new
"seats"
paper
in
Figure
the
on
front
complete
appears
paper
doors
located
of
printer
from
the
paper
(just
through
2-2.
Printer
FEED"
panel
the
on
the
remaining,
on
the
the
GEM
Stat.
paper
spindle.
top
of
the
roll
onto
spindle
past
retaining
printer
Feed
mechanism.
keypad
to
paper
as
the
auto-
thread.
Note:
edge
or
enough
and
roll
paper
of
the
for
paper,
5-6
sample
Fig
2-2,
there
Adding
are
approximately
analyses.
Printer
Paper
2
2.7
6.
Close
GEM
т.
Plug
2:
Turn
using
receptacle
into
specifications
The
approximately
will
are
Next
then
cartridge
change
*
both
STAT
GEM
power
the
any
alphanumeric
light,
functioning.
the
"PLEASE
Rocker
printer
POWER
Stat
line
on
via
Power
on
the
suitable
and
10
appearing
display
WAIT"
valve
to
Switch
actuator
"INSERT
doors.
UP
INSTRUCTIONS
cord
into a suitable
rear
rocker
Converter,
back
of
the
power
will
controls
source.
use
of
the
(red
characters)
seconds.
as
all
"8"s.
read
"WAIT
for
approximately
is
CART."
power
indexed
switch
plug
the
Power
(See
Power
During
You
CLOCK1"
to
power
on
back
GEM
Stat
Converter,
Appendix
Converter.)
display
"SELF
can
to
instrument
the
will
TEST"
now
and/or
10
seconds,
SAMPLE
source.
of
the
into
the
then
5,
"Power
display
all
see
if
all
"WAIT
position.
and
functions
GEM
Stat
three
plug
the
Converter"
"SELF-
numeric
of
the
CLOCK2"
during
Instrument”.
pronged
Power
TEST"
display
numeric
which
The
as a circuit
Converter
for
for
segments
segments
momentarily,
time
the
display
breaker.
If
will
GEM
Stat
Service
Manual;
page
2-5
3.
4.
Verify
Verify
do
this
a.
b.
If
the
fan
that
that
the
Fan
in
one
of
two
Hold a piece
instrument.
Hold
your
hand
is
not
operating,
the
date
is
operating
ways:
of
paper
near
and
time
near
the fan
refer
are
quietly
to
correct.
and
the
fan
and
Chapter
Chapter
blowing
and
make
feel
the fan
5,
"Trouble-Shooting".
2;
into
the
sure
pulling.
Installation
GEM
it
is
and
Stat.
pulled
Preparation
You
toward
can
the
Press
DISPLAY
displayed
display
been
set,
correct,
format
If
either
the
date
The
Date
2.8
INSERTING A NEW
It
takes
can
1.
Instrument
about
be
processed.
Examine
exceeded.
SHIFT-MENU
SHOWS
in
the
alphanumeric
will
show
the
display
then
press
hh/mm/ss)
the
date
and
time,
and
Time
and
45
minutes
the
GEM
then
repeatedly
"DATE/TIME?".
mm/dd/yy
will
the
with
or
time
refer
can
the
(month/day/year).
show
"ENTER"
seconds
is
incorrect
to
Section
only
alphanumeric
CARTRIDGE
from
the
Statpak
to
verify
press
Press
display.
dd/mm/yy
key.
incrementing
be
time a new
it
should
3.5
Note:
set
when
that
If
the
(day/month/year).
Time
"Date
display
its
the
MENU
ENTER.
U.S.
should
at 1 second
be
and
there
cartridge
expiration
The
format
If
the
International
now
reset.
Time".
is
no
reads
is
KEY
UNTIL
date
has
Check
be
displayed
intervals.
For
details
cartridge
INSERT
inserted
date has
THE
should
been
CART.
be
set,
the
format
if
the
(in
on
changing
is
in
the
until a sample
not
been
has
date
24
hour
is
2.
Remove
product
of
moisture.
there
If
package
the
GEM
and
the
is
appears
Statpak
packaging
moisture
any
fresh
GEM
pink
from
its
are
completely
CAUTION
inside
(blue
is
Statpak
protective
on
or
bag
normal),
and
do
call
Customer
package.
dry.
Do
not
cartridge
not
use
GEM
Make
use
or
sure
if
there
dessicant
the
cartridge.
Service.
Stat
Service
that
are
Open
Manual;
the
any signs
a
page 2 -
6
2.9
3.
Check
power
4.
Open
knob
5.
Remove
into
one
6.
Close
lock.
GEM
STAT
As
soon
display
period,
chamber
that
the
message
off
and
start
the
hinged
on
the top
the
the
cartridge
You
must
minute
the
door.
Display
WARM-UP/HYDRATION
as
the
shows
calibration
and
left
of
protective
insert
of
removing
solutions
Turn
should
door
"WARM-UP
solution
for
display
over from
cartridge
the
door
cover
compartment,
the
knob
read
is
locked,
44:38",
"B"
30
minutes.
GEM
door
counterclockwise
from
cartridge
the
do
not
counterclockwise
"WARMUP
the
(Cal. B solution)
reads
"INSERT
Stat
power-up,
on
the front
the
aligning
of
GEM
Statpak
it
according
CAUTION:
into
the
GEM
protective
leak
system
and
This
cover
from
the
MM:SS".
MODE
goes
into
begins a count-down.
is
soaking
period
Chapter
CART".
Section
the
instrument
and
pulling
and
to
Stat
instrument
to
ensure
cartridge.
and
the
door
the
warm-up
pumped
hydrates
2;
Installation
If it
does
2.7.
by
the
door
immediately
the
labeling.
within
that
calibration
will
automatically
mode.
During
into
the
electrode
the
electrodes.
and
Preparation
not,
turn
turning
down.
insert
The
the
warm-up
the
the
it
After
soaking
calibration
1.
After
the
that
Chapter
which
Cal. B solution
seconds
equilibrium).
The
№
stored.
Air
is
Cal. A solution
Po
seconds.
The
The
ou
determine
Air
is
Cal. B solution
øn
aspirated
successful
a
GEM
5,
"Trouble-Shooting".
the
electrodes
involves
is
(during
electrical
flushed
electrical
stored
flushed
response
through
is
response
values
sensor
through
or
until
warm-up,
ready
is
Stat
for
the
pumped
which
pumped
for
response
is
pumped
next
to
30
minutes,
following:
into
the
time
the
of
all
sensors
to
clear
the
into
the
of
all
sensors
the
Cal. B and
line
to
clear
the
into
the
automatic
GEM
the
process
the
system
electrode
sensors
to
chamber.
electrode
to
Cal. A measurements
slopes.
chamber.
chamber
calibration
display
Stat
samples.
chamber
come
the
Cal. B solution
chamber
Cal. A solution
and
occurs.
reads,
this
If
performs a two
and
held
to
chemical
and
held
values
remains
until
"READY
case,
the
not
is
point
for
and
thermal
values
for
are
are
used
sample
37°C’,
refer
90
are
90
stored.
to
is
indicating
to
GEM
Stat
Service
Manual;
page 2 -
7
2.10
CUSTOMIZING
The
GEM
system.
Stat
The
has
name
THE
SYSTEM,
"Hidden
and
default
"HIDDEN"
Key
Functions"
setting
of
these
KEY
that
allow
functions
Chapter
FUNCTIONS
the
2;
Installation
user
are
shown
to
customize
in
and
Preparation
the
Table
2-1.
Mandatory
Mandatory
Sample
Analytes
Measurement
Date
Counts
Calibration
Table
2-1,
How
to
1.
Mandatory
On
Off
ID
QC OFF ON
Label
Format
Statistics
"Hidden
change
Press
the
Press 8 to
Press 9 to
When
SS
Quality
Forces
blood
Allows
solutions.
Units
Key"
Defaults
the
hidden
these
OPTION
all
options
Control
user
sample
samples
TON
OFF ON
Gases/Lytes/Hct
mmH
U.S.
OFF ON
OFF
key
status
keypads
MENU.
scroll
change
to
on a cartridge.
in
the
Options.
the
Option
are
set
analyze
to
be
tested
sequence:
Setting.
as
desired,
at
least
one
with
SHIFT,
press
QC
or
without
OFF
Gases/Hct,
kPa
INTL
ON
IDENT,
ENTER.
solution
prior
first
having
or
SHIFT,
to
running
run
Lytes/Hct
6 to
access
the
QC
first
Mandatory
On
Off
Date
Format
U.S.
INTL
ID
Requests a patient
not
Does
number
System
changed.
until
Date
Date
request
may
will
will
print
will
print as
an
be
entered
retain
as
previously
month/day/year.
day/month/year.
and
ID
operator
number
optionally
ID
prior
entered
number
aspirating
to
by
pressing
patient
prior
GEM
the
and
Stat
to
every
sample.
"IDENT"
operator
Service
Manual;
analysis.
ID
The
keypad.
numbers
ID
page 2 -
8
Counts
(Used
On
Off
for
functional
Raw
V/F
electrode
diagnose
Raw
V/F
diagnostic
counts
signals
a
counts
for
problem.
all
channels
are
digitized.
will
not
tests,
refer
be
printed.
to
Chapter
digitized
Turn
this
Chapter
will
feature
2;
6)
be
printed
Installation
ON
only
and
each
if
you
Preparation
time
the
need
to
Units
Sample
Analyte
of
Measurement
kPa
mmHg
Labeling
On
Off
selection
Toggling
"Printouts").
Gases/Lytes/Hct
Gases/Hct
Lytes/Het
for
Blood
Blood
gas
measurements
|
Blood
gas
measurements
"Art 1 Ven2"
you
enter
you
enter
Appendix 6 “Printouts”,
System
labeled.
with
will
be
"1"
the
sample
"2"
the
printout
will
not
prompt
(Gases/Lytes/Hct)
the
"9"
key
Prints
and
Prints
Prints
and displays
and
Gas
displayed
)
for
selects
and
hematocrit.
displays
Partial
will
be
will
be
upon
printout
will
Arterial
displays
values
values
be
one
will
labeled
of 3
Pressures
reported
reported
pressing
be
of
Venous
combinations.
values
for
blood
for
electrolytes
the
labeled
"Venous"
label.
for
blood
gases
in
kilo-pascal
in
millimeters
SAMPLE
"Arterial"
at
the
Printout
(See
gases,
and
hematocrit
and
hematocrit
units.
of
mercury.
keypad.
at
the
top.
(See
will
Appendix
electrolytes,
If
top.
not be
6.
only.
only.
If
Cal
Stats
On
Off
Calibration
setting.
later
desired.
Calibration
each
One-Point
electrode
Calibration
slope
statistics
Therefore,
point
in
the
Refer
to
statistics
statistics
the
cartridge
Section
Cal.
and
for
each
system
will
every
drift
will
life
3.4.
print
following
30
minutes.
values
not
cartridge
the
as
print.
is
can
be
operated
calibration
each
well
as
(See
Appendix
stored
statistics
hourly
The
information
measured
regardless
with
the
can
GEM
Stat
Two-Point
will
bag
values.
6,
"Printouts")
of
the
Cal
Stat
be
printed
Service
Manual;
Cal.
and
include
Cal
Stat
off,
then
out
if
page 2 -
ata
9
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