Edition noticeThe cobas c111 instrument is a continuous random-access analyzer intended for the
Manual versionSoftware version Revision dateChanges
1.0July 2006First publication.
2.02.0December 2007Full mode added.
Improved calibration concept.
Additional maintenance and
troubleshooting information.
Additions, improvements, and
corrections.
3.03.0June 2009Inventory, processing sequence,
and ratio functions added.
Improvements and corrections.
Layout upgraded.
in vitro determination of clinical chemistry and electrolyte parameters in serum,
plasma, urine or whole blood (HbA1c). It is optimized for small throughput
workloads of approximately samples per day, utilizing photometric analysis and an
optional unit for ion selective electrodes (ISE).
This manual is for users of the cobas c 111 instrument.
Every effort has been made to ensure that all the information contained in this
manual is correct at the time of printing. However, Roche Diagnostics GmbH reserves
the right to make any changes necessary without notice as part of ongoing product
development.
Any customer modification to the instrument will render the warranty or service
agreement null and void.
Software updates are done by service representatives.
Intended useThe cobas c111 instrument is a continuous random-access analyzer intended for the
in vitro determination of clinical chemistry and electrolyte parameters in serum,
plasma, urine or whole blood (HbA1c).
It is important that the operators read this manual thoroughly before using the
system.
Tr ad e m ar k sThe following trademarks are acknowledged:
COBAS, COBAS C and LIFE NEEDS ANSWERS are trademarks of Roche.
All other trademarks are the property of their respective owners.
Roche Diagnostics
2Operator’s Manual · Version 3.0
cobas c111
CUS
®
Instrument approvalsThe cobas c111 instrument meets the protection requirements laid down in IVD
Directive 98/79/EC and the European Standard EN 591. Furthermore, our
instruments are manufactured and tested according to the following international
standards:
oEN/IEC 61010-1 2
oEN/IEC 61010-2-101 1
The Operator’s manual meets the European Standard EN 591.
Regulatory compliance is demonstrated by the following marks:
nd
Edition
st
Edition
Complies with European Union (EU) Directive 98/79/EC.
Issued by Underwriters Laboratories, Inc. (UL) for Canada and the
US.
Roche Diagnostics
4Operator’s Manual · Version 3.0
cobas c111
Table of contents
Document information 2
Contact addresses 3
Table of contents 5
Preface 7
How to use this manual 7
Online Help system 7
Conventions used in this manual 8
Overview A–17
User interface A–20
Wizards A–21
Daily operation A–22
Maintenance A–34
System status A–35
3 Hardware
Covers and panels A–39
LEDs A–41
Main components A–43
Hardware overview A–44
Technical specifications A–66
5Software
Introduction A–71
Screen layout A–72
Display items A–73
Workflows and wizards A–74
Working with the user interface A–75
Key screens A–84
Color interpretation for LEDs A–122
Buttons A–124
OperationPart B
6 Daily operation
Introduction B–5
Starting the shift B–10
Preparing the system B–12
Analyzing samples B–34
Validating sample results B–51
Performing calibrations B–59
Performing QC B–68
Finishing the shift B–77
Logging off B–88
Switching off the system B–88
Using the barcode scanner B–89
6 Special operations
Deleting sample orders B–93
Deleting sample results B–94
Calibration B–95
Deleting QC results B–96
Lot handling B–98
Exporting data B–104
Importing data B–111
Preparing a new disk B–116
Assigning tests to test tabs B–119
Deleting bottle sets from the Inventory list B–120
Refilling printer paper B–122
Removing condensation water
from the reagent cooler B–124
Replacing the probe B–125
Connecting and disconnecting the
external fluid containers B–127
Adjusting the touchscreen B–130
Cleaning the touchscreen B–131
Daily operation E–17
Replacing ISE fluid bottles E–30
Replacing electrodes E–32
Cleaning the ISE tower off the instrument E–36
14 ISE maintenance
Introduction E–41
ISE maintenance actions E–42
15 ISE troubleshooting
Introduction E–69
Safety E–70
List of ISE flags E–71
Reacting to error messages E–80
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cobas c111
Preface
The cobas c111 instrument is a continuous random-access analyzer intended for the
in vitro determination of clinical chemistry and electrolyte parameters in serum,
plasma, urine or whole blood (HbA1c). It is optimized for small throughput
workloads of approximately samples per day, utilizing photometric analysis and an
optional unit for ion selective electrodes (ISE).
This manual describes the cobas c111 features and general operational concepts, and
it provides operating, maintenance, and emergency procedures.
How to use this manual
oKeep this Operator’s Manual in a safe place to ensure that it is not damaged and
remains available for use.
oThis Operator’s Manual should be easily accessible at all times.
Online Help system
To help you find information quickly, there is a table of contents at the beginning of
the manual and each chapter. In addition, a complete index can be found at the end.
The cobas c111 instrument has a context-sensitive online Help feature to aid in its
operating. “Context-sensitive” means that wherever you are located within the
cobas c 111 software, choosing Help () displays Help text relating to that area of
the software. The online Help offers a quick and convenient way of finding
information, such as explanations of screens and dialog boxes and on how to perform
particular tasks.
Roche DiagnosticsOperator’s Manual · Version 3.07
Conventions used in this manual
Visual cues are used to help locate and interpret information in this manual quickly.
This section explains the formatting conventions used in this manual.
SymbolsThe following symbols are used:
SymbolUsed for
aStart of procedure
oList item
e
hCall-up (software navigation path)
Color of display item on the screen
Cross-reference
Tip
Safety alert
cobas c111
Electrical and electronic equipment marked with this symbol are
covered by the European directive WEEE.
The symbol denotes that the equipment must not be disposed of in
the municipal waste system.
ButtonsWhen used for identification purposes, a generic form of the buttons is used, without
color or navigation indicators.
ScreenshotsThe screen representations shown in this publication are for illustrative purposes
only. The screens do not necessarily show valid data.
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Abbrev iationsThe following abbreviations are used:
AbbreviationDefinition
C
CfasCalibrator for automated systems
D
DILDiluent
DMData management
DRAMDynamic random access memory
E
e.g.Exempli gratia – for example
EMCElectromagnetic compatibility
ENEuropean standard
I
i.e.Id est – that is to say
IECInternational Electrical Commission
ISEIon selective electrode
L
LEDLight-emitting diode
LISLaboratory information system
LLDLiquid level detection
N
n/aNot applicable
Q
QCQuality control
R
REFReference solution for ISE unit
ROMRead only memory
S
SDStandard deviation
SRAMStatic random access memory
Roche DiagnosticsOperator’s Manual · Version 3.09
cobas c111
Units
AbbreviationDescription
°Cdegree centigrade
µLmicroliter
µmmicrometer
Aampère
cmcentimeter
hhour
Hzhertz
LBpound (weight)
ininch
kgkilogram
kVAkilo volt-ampere
Lliter
mmeter
MBmegabytes
minminute
mLmilliliter
mmmillimeter
nmnanometer
ssecond
Vvolt
VAv o l t - a m p è r e
V ACvolt alternating current
V DCvolt direct current
Wwatt
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cobas c1111Safety
WARNING
CAUTION
NOTICE
WARNING
WARNING
Safety classification
Safety classification
Before you attempt to use the cobas c111 instrument, you must be fully familiar with
the following symbols and their meanings:
Warning
Indicates a hazardous situation which, if not avoided, could result in death or serious
injury.
Caution
Indicates a hazardous situation which, if not avoided, may result in minor or moderate
injury.
Notice
Indicates a hazardous situation which, if not avoided, may result in property damage.
Safety information
Transport
Electrical safety
Before operating the cobas c111 instrument, it is essential that you both read and
understand the safety information listed below.
Read all Roche safety notices carefully and make sure you understand them.
Injury from heavy loads
You may injure your hands, fingers, or back when putting the analyzer in place. Carry the
analyzer according to the transport instructions.
Electrical shock by electronic equipment
Do not attempt to work in any electronic compartment. Installation, service, and repair
must only be performed by authorized and qualified personnel.
Electrical safety
Connect the analyzer to grounded power outlets only (IEC protection class 1). All peripheral devices that are connected to the cobasc111 instrument must comply with safety
standard IEC 60950 for information technology equipment, or with IEC 61010-1, UL 610101 for laboratory use instruments.
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1Safetycobas c111
WARNING
WARNING
WARNING
WARNING
WARNING
Safety information
Optical safety
Loss of sight
The intense light of the LEDs may severely damage you eyes. Do not stare into the LEDs.
Scanning equipment using LED technology is covered by the international standard IEC
60825-1 LED Safety: Class 1.
Mechanical safety
Personal injury or damage to the analyzer due to contact with instrument
mechanism
Do not touch moving parts during instrument operation.
Instrument covers
Personal injury or damage to the analyzer due to contact with instrument
mechanism
Keep all covers closed, operate them as instructed on the screen.
Operation and maintenance
Personal injury or damage to the analyzer due to contact with instrument
mechanism
Do not touch any parts of the instrument other than those specified. During operation and
maintenance of the instrument, proceed according to the instructions.
Biohazardous materials
Infection by biohazardous materials
Contact with samples containing material of human origin may result in infection. All
materials and mechanical components associated with samples of human origin are
potentially biohazardous.
oBe sure to wear protective equipment. Take extra care when working with protective
gloves; these can easily be pierced or cut, which can lead to infection.
oIf any biohazardous material is spilled, wipe it up immediately and apply disinfectant.
oIf waste solution contacts your skin, wash it off immediately with water and apply a dis-
infectant. Consult a physician.
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WARNING
WARNING
WARNING
WARNING
Safety information
Waste
Infection by waste solution
Contact with waste solution may result in infection. All materials and mechanical components associated with the waste systems are potentially biohazardous.
oBe sure to wear protective equipment. Take extra care when working with protective
gloves; these can easily be pierced or cut, which can lead to infection.
oIf any biohazardous material is spilled, wipe it up immediately and apply disinfectant.
oIf waste solution contacts your skin, wash it off immediately with water and apply a dis-
infectant. Consult a physician.
Reagents and other working solutions
Injury through reagents and other working solutions
Direct contact with reagents, cleaning solutions, or other working solutions may cause
personal injury.
When handling reagents, exercise the precautions required for handling laboratory
reagents, observe the cautions given in the package insert, and observe the information
given in the Safety Data Sheets available for Roche Diagnostics reagents and cleaning
solutions.
Skin inflammation caused by reagents
Direct contact with reagents may cause skin irritation, inflammation, or burns.
When handling reagents, be sure to wear protective equipment and observe the cautions
given in the package insert.
Installation
Incorrect results or damage to the analyzer due to wrong installation
Follow the specified installation instructions carefully.
Environmental conditions
Incorrect results or damage to the analyzer due to heat and humidity
Use the instrument indoor only.
e
For details on the required environmental conditions, see Environmental conditions on
page A-66.
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NOTICE
WARNING
NOTICE
WARNING
WARNING
Safety information
Power interruption
Data loss or damage to the system due to voltage drop
By a power failure or momentary voltage drop the operation unit or software of this system
may get damaged or data loss may occur. Use only uninterruptible power supply.
Electromagnetic devices
Malfunction of instrument and incorrect results due to interfering electromagnetic
fields
Devices that emit electromagnetic waves may cause the instrument to malfunction. Do not
operate the following devices in the same room where the system is installed:
Instructions for in vitro diagnostic (IVD) equipment for professional use
The IVD equipment complies with the emission and immunity requirements described in
the particular requirements for IVD medical equipment of the EN/IEC 61326-2-6 standard.
The electromagnetic environment should be evaluated prior to operation of the device.
Class B FCC rule compliance
This equipment has been tested and found to comply with the limits for Class B digital
device, pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interferences when the equipment is operated in a residential area. However, this equipment generates, uses, and can radiate radio frequency
energy and, if not installed and used in accordance with the present manual, may cause
harmful interference to radio communications.
The electromagnetic environment should be evaluated prior to operation of the device.
Malfunction of instrument and incorrect results due to nonapproved parts
Use of nonapproved parts or devices may result in malfunction of the instrument and may
render the warranty null and void. Only use parts and devices approved by Roche Diagnostics.
Third-party software
Malfunction of instrument and incorrect results due to third-party software
Installation of any third-party software that is not approved by Roche Diagnostics may
result in incorrect behavior of the system. Do not install any nonapproved software.
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WARNING
CAUTION
WARNING
WARNING
NOTICE
Safety information
Operator qualification
Incorrect results or damage to the analyzer due to wrong operation
Operators are required to have a profound knowledge of relevant guidelines and norms as
well as the information and procedures contained in the Operator’s Manual.
oDo not carry out operation and maintenance unless you have been trained by Roche
Diagnostics.
oCarefully follow the procedures specified in the Operator’s Manual for the operation
and maintenance of the system.
oLeave maintenance that is not described in the Operator’s Manual to trained service
representatives.
oFollow standard laboratory practices, especially when working with biohazard material.
Operation over an extended period of time
Fatigue due to long hours of operation
Looking at the monitor screen over an extended period of time may lead to fatigue of your
eyes or body. Take a rest for 10 to 15 minutes every hour to relax. Avoid spending more
than 6 hours per day looking at the monitor screen.
Cross contamination of sample
Incorrect results due to carryover
Traces of analytes or reagents may be carried over one test to the next. Take adequate
measures (e.g. sample aliquoting) to safeguard additional testing and to avoid potentially
false results.
Insoluble contaminants in sample
Incorrect results and interruption of analysis due to contaminated samples
Insoluble contaminants in samples may cause clogging or pipetting volume shortage and
deterioration in measurement accuracy. When loading samples on the instrument, make
sure that samples contain no insoluble contaminants such as fibrin or dust.
Spillage
Malfunction due to spilled liquid
Any liquid spilled on the instrument may result in malfunction of the instrument. If liquid
does spill on the instrument, wipe it up immediately and apply disinfectant.
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CAUTION
Data security
Data security
Unauthorized access and data loss due to malicious software and hacker attacks
Portable storage media can be infected with and transmit computer malware, which may
be used to gain unauthorized access to data or cause unwanted changes to software.
The cobas c111 is not protected against malicious software and hacker attacks.
The customers are responsible for IT security of their IT infrastructure and for protecting it
against malicious software and hacker attacks. Failure to do so may result in data loss or
render the cobas c111 unusable.
Roche recommends the following precautions:
oAllow connection to authorized external devices only.
oEnsure that all external devices are protected by appropriate security software.
oEnsure that access to all external devices is protected by appropriate security equip-
ment.
oDo not copy or install any software on the cobasc111 unless it is part of the system
software or you are instructed to do so by a Roche service representative.
oIf additional software is required, contact your Roche service representative to ensure
validation of the software in question.
oDo not use the USB ports to connect other storage devices unless you are instructed to
do so by official user documentation or a Roche service representative.
oExercise utmost care when using external storage devices such as USB flash drives,
CDs, or DVDs. Do not use them on public or home computers while connecting to the
cobasc111.
oKeep all external storage devices in a secure place and ensure that they can be
accessed by authorized persons only.
e
For further information, contact your Roche service representative.
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A-10Operator’s Manual · Version 3.0
cobas c1111Safety
WARNING
License notices
License notices
Malfunction of instrument and incorrect results due to software modifications by
the customer
The cobas c111 instrument uses open source software. Among other things, the holders
of the proprietary rights grant licenses under the terms of the GNU General Public Licence
(GPL edition 2 or above) as well as under the GNU Lesser General Public License (LGPL).
The cobas c111 instrument has been designed to be operated with the unmodified software as shipped. The user assumes full responsibility for changing any part of the open
source software, which excludes any liability of Roche Diagnostics Ltd.
This program is distributed without any warranty; without even the implied warranty of
merchantability or fitness for a particular purpose. See the GNU General Public License for
more details (www.gnu.org/copyleft/gpl.html).
The source code of the used open source software is part of MIKRAPs CPUX255LCDNET
board support package and may be obtained from SYSGO (http://www.sysgo.com/products/board-support-packages/).
Legal liability
Roche Diagnostics Ltd. assumes only limited liability when using the cobas c111
instrument in conjunction with the cobas c 111 Development Channel Programming
Software.
For detailed information on this matter refer to the latest version of the Development
Channel Registration Form cobas c111 and the cobas c 111 Development Channel
Operator’s Manual.
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1Safetycobas c111
WARNING
Disposal recommendation
Disposal recommendation
All electrical and electronic products should be disposed of separately from the
municipal waste system. Proper disposal of your old appliance prevents potential
negative consequences for the environment and human health.
Disposal label
Electrical and electronic equipment marked with this symbol are covered by the European
directive on waste electrical and electronic equipment (WEEE) 2002/96/EC.
The symbol denotes that the equipment must not be disposed of in the municipal waste
system.
Disposal of external components
External components such as the scanner and the ISE power supply, which are marked
with the crossed-out wheeled bin symbol, are covered by the European Directive
2002/96/EC (WEEE).
These items must be disposed of via designated collection facilities appointed by government or local authorities.
For more information about disposal of your old products, contact your city office, waste
disposal service or your local service representative.
Disposal of the instrument
The instrument must be treated as biologically contaminated hazardous waste. Final disposal must be organized in a way that does not endanger waste handlers. As a rule, such
equipment must be sterile before it is passed on for final disposal.
For more information contact your local service representative.
Constraint
It is left to the responsible laboratory organization to determine whether control unit
components are contaminated or not. If contaminated, treat in the same way as the
instrument.
Roche Diagnostics
A-12Operator’s Manual · Version 3.0
cobas c1111Safety
A
B
Safety labels
Safety labels
Read all safety labels on the instrument and equipment.
The following illustration shows where on the instrument labels are displayed.
A This label on the electrode block of the ISE unit indicates that
there is a danger of hazardous situations arising within the vicinity
of this label, which may result in death or serious injury. The relevant laboratory procedures on safe use must be observed.
(You will find this label only if an ISE unit is installed.)
Figure A-1Safety labels on the cobasc111 instrument
In addition to safety labels on the instrument, there are safety notes in the
corresponding parts of the Operator’s Manual.
These safety notes give more detailed information about potentially hazardous
situations that may arise during daily operation or when carrying out maintenance
procedures.
When working with the instrument, be sure to observe both the safety labels on the
instrument and the safety notes in the Operator’s Manual.
B This label on the main cover indicates that there are potential bio-
hazards within the vicinity of this label, which may result in death
or serious injury.
The relevant laboratory procedures on safe use must be observed.
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Safety labels
Roche Diagnostics
A-14Operator’s Manual · Version 3.0
cobas c1112 Introduction to the instrument
Table of co ntents
Introduction to the instrument
What you need to know before you start
In this chapter, you will find basic information on the features that are relevant for
working with the cobas c111 instrument.
System status ..............................................................................................................A-35
Chapter
2
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2 Introduction to the instrumentcobas c111
Tab l e o f c o nt en ts
Roche Diagnostics
A-16Operator’s Manual · Version 3.0
cobas c1112 Introduction to the instrument
WARNING
Overview
Overview
The cobas c111 instrument is a continuous random-access analyzer intended for the
in vitro determination of clinical chemistry and electrolyte parameters in serum,
plasma, urine or whole blood (HbA1c). It is optimized for small throughput
workloads of approximately samples per day, utilizing photometric analysis and an
optional unit for ion selective electrodes (ISE).
Only trained personnel working in a professional laboratory environment may
operate the cobas c111 instrument.
Incorrect results or damage to the analyzer due to wrong operation
Operators are required to have a profound knowledge of relevant guidelines and norms as
well as the information and procedures contained in the Operator’s Manual.
oDo not carry out operation and maintenance unless you have been trained by Roche
Diagnostics.
oCarefully follow the procedures specified in the Operator’s Manual for the operation
and maintenance of the system.
oLeave maintenance that is not described in the Operator’s Manual to trained service
representatives.
oFollow standard laboratory practices, especially when working with biohazard material.
FeaturesAs part of the cobas family of instruments, the cobas c 111 instrument offers small
laboratories the following advantages:
oHigh analytical performance
The same bulk reagents, 12-wavelength photometer and disposable cuvettes
generate results that are highly correlated to other cobas instruments.
oEfficient operation
Cooled, exchangeable reagent disks ensure economical reagent use; disposable
cuvette segments allow for easy cuvette loading and removal.
oHigh reliability, low maintenance
Innovative "low impact" instrument design and software-driven preventive
maintenance improves up-time and reduces maintenance costs.
oAdaptable user interface
The built-in color touchscreen, process-driven software, and reagent and sample
barcode entry adapts to users of different skills and access levels.
oHigh safety standards
Built-in safety devices, such as level detection, tube bottom detection, cuvette
quality control, and ISE clot detection anticipate potential hazards during
operation.
oFlexible sampling
Eight on-board sample positions accommodate virtually any type of sample
carrier, and enable continuous sample placing and removal during operation.
oData management
Bidirectional RS-232 and USB ports, on-board thermal printer, and drivers offer
the latest in data management capabilities.
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2 Introduction to the instrumentcobas c111
A
LNM
BD
I
F
E
G
H
O
J
K
C
Overview
Measuring principlesMeasurements are performed by means of an absorbance photometer and optionally
an ISE (ion selective electrode) module that uses ion selective potentiometry.
A first look at the instrument
A Left service flap (covers wash station, ISE
tower, tubing)
B Main cover (covers rotor, reagents, cuvettes,
photometer unit)
C Main switch
D Transfer head (holds probe)
E Rear service flap (covers computer boards,
power supply, degasser)
F Sample area LED
G Sample area (space for 8 sample tubes)
Figure A-2The cobas c 111 instrument
H Touchscreen
IFluid connectors
J Right service flap (covers photometer unit,
sample area)
K Printer panel
L Main cover LED
M Paper slot
N Release button for printer panel
O USB connector (not shown)
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A-18Operator’s Manual · Version 3.0
cobas c1112 Introduction to the instrument
Overview
Principles of operation
The cobas c111 main instrument uses absorption photometry for determining the
amount of absorbance in a fluid. The absorbance is used to calculate the
concentration in the solution.
Loading the sampleThe operator identifies the sample, places it on the instrument, and defines the order.
(If you work with a host system, the order is defined automatically.)
Measuring processThe measuring process for each test consists of forty regular cycles, each lasting 18
seconds. In each of these cycles, a measurement is taken, irrespective of what other
actions take place during this cycle. The application definitions determine what is
done in which cycle, and they also define which results are taken into account for the
result calculation.
With each cycle, a new test can be started.
The basic process works as follows:
1. Checking the cuvette.
A measurement is taken to check the quality of the cuvette.
2. Pipetting reagent (R1) to the cuvette.
After each pipetting action, the system performs a wash cycle to minimize carryover. During this cycle, the probe and tubing are flushed with water and cleaner.
3. Wait.
The fluid needs to reach the prescribed temperature. Such a phase can last several
cycles.
During the wait cycles, activities for other tests are performed.
4. Pipetting the next fluid.
Typically, this would be the sample. The details are defined in the application
definitions.
5. Wait.
6. Pipetting the next fluid.
7. Wait.
8. And so on.
Calculating the resultsThe test result is calculated on the basis of the photometric measurement results.
During this process, various checks are performed to ensure that the whole measuring
process was technically correct. If values are above or below predefined limits, the test
result is flagged.
The results are stored on the system. This includes both the forty measurement results
(raw data) and the calculated test result.
Sequence of processingFor a given sample, the tests are processed in the order defined by the time required
for their processing (number of cycles), starting with the one that takes the longest.
This order can be altered manually by defining a specific process sequence list.
Status of the measuring processAt any stage of the measuring process, the user can check its status on the screen.
Result data managementThe system provides storage space for the results of one working day. For backup
purposes, the results must be exported to an external storage device once a day.
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2 Introduction to the instrumentcobas c111
E
G
F
D
C
B
A
User interface
User interface
The cobas c111 instrument is equipped with a touchscreen, an on-screen keyboard
and four global action buttons. LEDs and acoustic signals let you know when it is safe
to add or remove samples, reagents and other fluids.
With buttons and other display items, “traffic light” color coding is used: Green
means OK, yellow: watch out, you need to do something, and red means that your
intervention is required for processing to continue.
The screens have a clear and consistent layout and are easy to use. The topics are
divided in the proven work areas: Overview for order and fluid handling, Wo rk p la ce
for result handling and details on orders, and Utilities for administration tasks.
e
For details on the user interface, see Chapter 5 Software.
The following is an example of a screen. It contains the full range of display items.
A The status line displays the system status.
B Tab s represent the major work areas.
C The headline characterizes the content or
function of the screen. If the screen is part of
a sequence of screens (wizard), the headline
tells you where you are within this sequence.
D The working area displays the main content
of the screen.
E The buttons vary depending on the content
of the working area and the screen position
within a series of steps (wizard).
Figure A-3Example of a screen
F The Help button leads to concise information
that is relevant to the current screen and
situation.
G The global action buttons represent the
functions that are permanently available:
Start, Stop, Alarm, Line Feed. The LEDs next
to them point to their status.
Roche Diagnostics
A-20Operator’s Manual · Version 3.0
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