Siemens Clinitek User manual

Operator’s Manual

REF 10379682

Operator’s Manual

134798 Rev. A, 2009 07

Clinitek, Clinitek Status, Multistix, Multistix PRO, Combistix, Uristix, Labstix, Neostix, Clinitest and Chek-Stix are trademarks of Siemens Healthcare Diagnostics.

Presept and Cidex are trademarks of Johnson & Johnson.

Theracide is a trademark of Lafayette Pharmaceuticals, Inc.

Amphyl is a trademark of Linden Corporation.

Kimwipes is a trademark of Kimberly-Clark.

US Pats 5,408,535; 5,477,326; 5,877,863; 6,239,445; D456,082; D489,816

Origin: UK

Siemens Healthcare Diagnostics Inc. Tarrytown, NY 10591-5097 USA

Siemens Healthcare Diagnostics Ltd. Sir William Siemens Sq. Frimley, Camberley, GU16 8QD, UK

The information in this manual was correct at the time of printing. How

ever, Siemens Healthcare Diagnostics continues to and reserves the right to change specifications, equipment, and maintenance procedures at any time without notice.

If this instrument is used in a manner differently than specified in this manual, the protection provided by the equipment may be impaired.

improve products

A Brief Description ............................................................ v

Understanding the Symbols and Display Icons .............. vii

1 Unpacking & Set Up ................................................. 1-1

Unpacking ..................................................................... 1-1

Set Up ........................................................................... 1-2

Analyzer Set Up ............................................... 1-2

Plugging Analyzer In ........................................ 1-2

Installing Batteries ............................................1-2

Interfacing to a Computer ................................. 1-3

Inserting Test Strip Table ..................................1-3

Loading Test Table Insert .................................1-3

Interfacing to the Clinitek Status Connector ..... 1-4

Analyzer Software Upgrades ...........................1-4

Loading the Printer Paper or Label Roll ...........1-5

Warranty Registration.......................................1-6

Powering Up ..................................................................1-7

Powering Down .............................................................1-8

2 Interacting with the Touch Screen .......................... 2-1

Screens .........................................................................2-1

Keyboards .....................................................................2-4

3 Start-Up Wizard ......................................................... 3-1

4 Testing ....................................................................... 4-1

Quick Tests .................................................................... 4-1

Urinalysis Strip Test .......................................... 4-1

Cassette Test....................................................4-8

Full Tests .....................................................................4-13

Urinalysis Strip Test ........................................ 4-13

Cassette Test..................................................4-22

iii

5 Instrument Set Up ..................................................... 5-1

Instrument Set Up ......................................................... 5-1

Language Settings ........................................................ 5-2

Password ......................................................................5-3

Operator and Patient Information .................................. 5-4

Date and Time Settings ...............................................5-14

Test Sequence Number ...............................................5-16

Instrument Settings ..................................................... 5-17

Restore Default Settings ............................................. 5-33

Diagnostics ..................................................................5-34

Sample Interference Notes .........................................5-35

System Information ..................................................... 5-36

6 Recall Results ........................................................... 6-1

Patient Results ..............................................................6-1

Sending Data to a PC ...................................................6-3

7 Troubleshooting........................................................ 7-1

List of Errors and Advisory Messages ...........................7-4

Problem Checklist ......................................................... 7-8

8 Quality Control Testing ............................................ 8-1

9 Cleaning and Maintenance...............................................9-1

Cleaning ........................................................................9-1

Changing Batteries ........................................................9-7

10 Appendices............................................................ 10-1

Appendix A: Local Technical Support Providers

and Distributors ...........................................................10-1

Appendix B: Tables of Results .................................... 10-2

Appendix C: Specifications .........................................10-8

Appendix D: Instrument Default Settings – English ....

Appendix E: System Overview & Principles .............. 10-12

Appendix F: Training & Educational Materials .......... 10-18

Appendix G: Sample Interference Notes ..................10-19

Appendix H: Safety Information ................................10-20

Appendix I: Clinitek Status®+ Intended Use

and Indications for Use .............................................10-22

11 Index..................................................................................... 11-1

10-10

A Brief Description

NOTE: Feature availability may vary by geography due to regulatory registration.

NOTE: Due to software changes, some screens on the instrument may appear slightly different from those in this manual.

What does the analyzer do?

Your Clinitek Status portable instrument for reading Siemens Healthcare Diagnostics urinalysis strips and Clinitest immunoassay cassettes. No special training is needed to use this instrument. Several different Siemens urinalysis strips (e.g., Multistix® 10 SG) can be used with the analyzer as well as the Clinitest hCG Pregnancy Test.

The analyzer can be set up to be as simple or sophisticated as you prefer. You may simply insert a dipped urinalysis strip or a Clinitest cassette into the analyzer and the result will be reported (this is called a Quick Test).

Or, you have the option to enter an Operator Name, Patient Name and Patient ID. This added information will be reported along with the test results (this is called a Full Test).

The touch screen displays instructions and prompts you through operation of the analyzer. In addition, you enter information through the touch screen.

analyzer is a

Do I have to calibrate?

You do not have to do anything to calibrate. The instrument performs a system test each time it is turned on. Then, each time a test is run, the instrument automatically calibrates. The white calibration bar (on the test table) provides NIST traceable calibration.

How does it work?

Testing starts (in the Quick Test mode) when either the Strip Test or Cassette Test is selected on the main menu screen.

Touching the Strip Test key prompts you to adjust the test table to accept a urinalysis strip. Then you touch the START key. You have 8 seconds to dip the test strip, blot the edge of the strip and place it on the test strip table. The table is partially pulled into the instrument for calibration and then pulled completely into the instrument to read the test strip.

Touching the Cassette Test key prompts you to adjust the test table to accept a cassette. Then you touch the START key. You have 8 seconds to draw the sample into a pipette and dispense it into the sample well of the cassette. The analyzer automatically calibrates and then pulls the table completely into the instrument where the cassette is read.

In the Full Test mode for either a Strip Test or Cassette Test, you are prompted to enter an Operator Name, Patient Name and/or Patient ID prior to running a test.

A Brief Description

How do I get results?

Results will be displayed on the touch screen and printed (if desired). The results can also be transferred to a computer using a 9-pin null modem serial cable and the RS-232 serial port on the back of the instrument.

The analyzer stores results from 950 patient tests. You are able to recall past patient test results on the analyzer using the Recall Results function.

How is the analyzer powered?

The analyzer can be plugged into an electrical outlet for use on the bench top, or it can be powered by batteries and freely moved from one testing site to another. The batteries fit into an opening on the bottom of the instrument.

the analyzer, use it for your daily Siemens urinalysis and Clinitest immunoassay testing and keep it in good working condition.

As you read through the Operator’s Manual, you will find these symbols:

NOTES: contain useful tips

on using the analyzer. Notes

appear in italicized type.

CAUTION: should be followed carefully to ensure your analyzer operates correctly and is not damaged. Cautions

appear in bold type.

In the Operator’s Manual, you will notice some text is in bold/italic or

bold.

What about this Operator’s Manual?

The Operator’s Manual contains

the directions you need to unpack

Bold text identifies a button (touch sensitive area) on the screen.

Bold/italic text identifies screen names.

Understanding the Symbols and Display Icons

Instrument and Labeling Symbols

This section describes the symbols that appear on the exterior of the Clinitek Status+ analyzer, the power supply provided with the instrument, the carton in which the instrument was delivered and the supplies of reagent strips and cassettes which you will use with the instrument.

Indicates that the input supply is direct current

Identifies that the instrument is type B equipment, which provides a particular degree of protection against electric shock

Class 111

Identifies that the instrument is class 111 type equipment, which is equipment for connection to SELV (Separated Extra Low Voltage), i.e. a power supply

Double insulated product or transformer may also identify class 2 equipment (power supply only)

Identifies that the instrument is listed by Underwriters Laboratories as meeting U.S. and Canadian requirements for safety

The CE mark identifies that the product complies with the applicable directives of the European Union

Manufacturer

European authorized representative

Indicates a power on/off button

Caution, consult accompanying documents

In vitro diagnostic medical device

Consult instructions for use

vii

Understanding the Symbols and Display Icons

Indicates a serial port

This system contains certain toxic or hazardous substances or elements. The environmental protection use period for this system is 50 years. The system can be used safely during its environmental protection use period. The system should be recycled immediately after its environmental protection use period has expired.

100

Temperature limitation (18° 30° C)

Contents sufficient for (n) tests (100)

Use by YYYY MM

Catalog number

Serial number

Batch code

Biohazard

Indicates that this equipment is classified as Waste Electrical and Electronic Equipment under the European WEEE Directive. It must be recycled or disposed of in accordance with applicable local requirements.

Printed on recycled materials

viii

Indicates compliance with RESY packaging standards

Understanding the Symbols and Display Icons

Keep this way up

Fragile, handle with care

Keep dry

Keep away from sunlight and heat

VDE Testing and Certification Institute Germany

Manufacturer’s mark (FRIWO) and manufacturing location (Hong Kong)

Manufacturer’s mark (FRIWO) and manufacturing location (Geratebau, Germany)

Encapsulated safety isolating transformer (short circuit proof)

Positive Temperature Coefficient (PTC) A thermistor device used to protect the transformer from short circuits or overload. This is an auto reset device.

Thermal cut out (TCO) This safety device disconnects the supply voltage to the transformer at a specific temperature. The operation temperature is stated below.

Ingress protection rating protected against the entry of solid objects >1 mm but no protection from liquids.

This symbol indicates a risk of electric shock.

Understanding the Symbols and Display Icons

Display Icons

There are seven icons which display in the top left of the display to show the mode of the instrument. They also appear on the selection area for each function. The icons are:

Instrument Set Up This is displayed when the instrument is being set up to suit the users’ requirements.

Strip Test (e.g., Multistix 10SG) Shown when a test is being carried out using a reagent strip for urinalysis, and when results are displayed following a strip test.

Cassette Test (e.g., Clinitest hCG) Displayed when a cassette test is being carried out and when results are shown after a cassette test.

Results recall Used to show that results are being recalled from the instrument’s memory.

Printer This icon is displayed when results are being printed.

Data transfer to Personal Computer Shows that data, including results, is being transferred to a PC.

Alert Used when an error is being displayed.

There are two icons which may appear in the title bar.

Battery power This has a maximum of four segments which show the level of battery power. It will be shown in the top right corner of the title bar when the instrument is battery powered.

Paper out Appears in the top of the title bar when the printer paper/label roll needs replacing.

Unpacking & Set Up

Unpacking

1 Carefully remove the contents

of the shipping carton. Check the carton and instrument for visible signs of damage; if seen, immediately contact the carrier.

Clinitek Status®+ analyzer

Test table

Do not touch the white

calibration bar.

Test table insert

If you are using a reagent strip that has 4 or fewer test pads, e.g., Uristix® 4, you must use a short test table insert. This has to be ordered separately (for a list of suppliers see Appendix A, Local Technical Support Providers and Distributors).

2 Remove each of the wrappings

and check for the following items:

Power Supply

If the power cord is not the style you need, contact your local representative (for a list of contacts see Appendix A, Local Technical Support Providers and Distributors).

Paper Roll

Depending on the model you have received, there may also be a Warranty Registration Card, Unpacking/Setup Guide, and/or Quick Reference Guide included.

1-1

Unpacking & Set Up

Set Up

Analyzer Set Up

Place the instrument on a level work surface where the temperature and humidity are fairly constant.

Plugging Analyzer In

Plug the appropriate end of the power cord into the power inlet socket located on the rear of the Clinitek Status+ analyzer. Plug the other end of the power cord into an AC electrical wall outlet.

The best temperature for using

the instrument is between 22°C and 26°C (72°F and 79°F). Do not place the analyzer outside or near windows, ovens, hot plates, or radiators.

Only use the power supply

adapter included with the unit.

Installing Batteries

(Optional)

Place the analyzer on its side and remove the battery cover by pressing down on the tab and pulling out. Place the 6 new alkaline AA-size batteries into the analyzer. Replace the battery cover and turn the instrument back onto its base.

1-2

Unpacking & Set Up

Set Up

Inserting Test Strip Table

Insert the test strip table into the analyzer by holding it by the end opposite the white calibration bar and with the white bar facing up. Push the test table into the analyzer, pushing it in just over halfway.

Do not push the test table fully into the analyzer as the test table may become jammed and prevent the use of the analyzer.

Do not touch the white calibration bar.

Loading Test Table Insert

The test table insert adapts for use with a Siemens Healthcare Diagnostics urinalysis strip or Clinitest immunoassay cassette. One side is used for a strip test and the other side is used for a cassette test.

Interfacing to a Computer

The instrument can send results to a computer via the serial port located on the back of the analyzer. This requires a 9-pin null modem

serial cable that can be purchased

separately at an electronics store or from your Siemens Representative (for a list of suppliers see Appendix A, Local Technical Support Providers and Distributors).

1-3

Unpacking & Set Up

Set Up

Interfacing to the

Clinitek Status Connector

The Clinitek Status connector allows for Ethernet or wireless network connectivity, Quality Control, increased security, bar code scanning, and additional features with the Clinitek Status+ analyzer. This connector provides standard wired and wireless connectivity of the Clinitek Status+ system to your LAN, LIS, HIS, EMR, and allows for centralized control of all satellite Point of Care (POC) Clinitek Status+ analyzers. Refer to the Clinitek Status Connect System Operator’s Guide.

Analyzer Software Upgrades

From time to time Siemens will add new features and make improvements to the Clinitek Status+ instrument software.

These software updates will be available on an electronic memory card which is inserted into the software update socket. This socket is located under the printer cover and is on the left-hand side of the printer when you face the back of the instrument.

Updating the software is a simple procedure. Instructions for updating the software on your instrument will be supplied with the memory card.

1-4

Unpacking & Set Up

Set Up

Loading the Printer Paper or

Label Roll

1. Open the printer cover by pulling up on the tab.

2. Open the paper roll compartment cover by pressing down on its tab and pulling out.

3. Lift the paper holding arm into the open, upright position.

4. Place the new paper roll into the printer paper compartment with the paper unrolling from underneath and toward the compartment wall.

5. Feed the paper up along wall and through the printer. Once you have approximately 4 inches (or 10 cm) of paper through the printer then feed the edge of the paper through the printer cover.

6. Push the paper holding arm down in to the closed position.

paper holding arm

7. Close the printer and paper roll covers by clicking them into position.

The analyzer is set up to automatically print the results (to turn off the automatic print function see Section 5, Instrument Set Up).

The analyzer uses ordinary thermal paper as provided, or label stock (for ordering information see Appendix A, Local Technical Support Providers and Distributors).

1-5

Unpacking & Set Up

Set Up

Warranty Registration

1. Lift the printer cover on the instrument and the serial plate with the instrument’s serial number will be visible.

2. Write the serial number and installation date on the Warranty Registration Card. After the instrument has been successfully installed, complete the information on the Warranty Registration Card and return the card to your local Siemens office (for a contact list see Appendix A, Local Technical Support Providers and Distributors).

1-6

Unpacking & Set Up

Powering Up

Press the on/off button located on the front of the instrument.

This is the first screen displayed. The analyzer will run an automatic system diagnostic test each time it is turned on.

If this is the first time you have turned on the analyzer, you will be led through a Start-Up Wizard, a quick set-up procedure. If you require further instruction regarding the Start-Up Wizard see Section 3, page 3-1.

1-7

Unpacking & Set Up

Powering Down

1. Before turning the analyzer off, always ensure that there is no strip or cassette on the test table and that the table and insert are clean.

2. Press the on/off button for at least 2 seconds. The test table will retract into the analyzer. If there is no strip or cassette on the test table, the door will close and the analyzer will switch off.

If a strip or cassette is still on the test table, the test table will be pushed out and the analyzer will turn off. The test table will remain out. In order to retract the test table into the analyzer, turn the analyzer on, and then off (without a strip or cassette on the test table).

Do not push the test table fully

into the analyzer as the test table may become jammed and prevent

the use of the analyzer.

1-8

Interacting with the Touch Screen

Screens

The touch screen will guide you through the operation of the Clinitek Status®+ analyzer. The screen will display messages, instructions and options to which you respond by touching the appropriate area on the screen.

The first main screen you see is the Select screen. It displays the time and date, and indicates the 5 possible actions:

Instrument Set Up Recall Results QC Test Cassette Test Strip Test

Icon

Title Bar

Each screen that follows the Select screen has an icon, title bar and touch-sensitive active areas.

In some cases, the screen will also display instructions, messages or error messages.

The icon indicates the main section in which you are working (1 of the 5 sections listed on the main Select screen).

Touch Sensitive Area

2-1

Interacting with the Touch Screen

Screens

How to Touch the Screens

The screen needs to be touched lightly in the touch-sensitive area to activate a response.

Where to Touch the Screens

There are three types of areas that respond to touching the screen.

• Round Buttons

• Boxed Areas

• Scroll Arrows

Round Buttons

These buttons typically appear on screens that require a selection among several items. The button with a filled circle is the current selection.

To change your selection, touch an unfilled circle. The newly selected circle (button) will now be highlighted. You then touch the Next button to move to the next screen.

If a touched area does not respond as expected, slide your finger across the appropriate selection area.

Use of anything hard or pointed on the touch screen may cause damage.

Round Buttons

In order to proceed, you will always touch the box with a right pointed arrow labeled Next.

In order to go back, you will always touch the box with a left pointed arrow. These “back” option boxes vary in title.

2-2

Interacting with the Touch Screen

Screens

Boxed Areas

These are areas on the screen enclosed in boxes. Simply touch any area within the box to activate that function.

The boxed areas vary in size. The boxes located on the main Select screen are examples of larger areas. Smaller box selections include boxes such as the “Previous” and “Next” boxes found at the bottom of the screen.

Boxed Area

Scroll Arrows

Press the up and down arrows on the right side of the screen to scroll through the list of information on the left side of the screen. Once the information on the left side of the screen is highlighted, touch the Select button to confirm your selection and move to the next screen.

Unavailable

Option

If there are double arrows on the screen, these arrows (when touched) will take you to the top or bottom of the page.

When an option can be selected it will be shown with a thick black frame and will respond when touched. If an option is not available, it will be framed with a thin black line and not respond when touched.

2-3

Interacting with the Touch Screen

Keyboards

Press to switch to

Using the Alpha-Numeric Keyboard

When the screen prompts you to enter information for Operator, Patient’s Name and/or Patient Identification, a keyboard will appear on the screen.

Depending on how your analyzer is set up, either an alphabetic or numeric keyboard will be displayed first. The first keyboard displayed is referred to as “keyboard priority.”

numeric keyboard

Data Entry Box

Back Space/ Erase key

If you require further instruction regarding how to change keyboard priority see Section 5, Instrument Set Up.

To switch between the keyboards, touch the 123 button to get to the numeric keyboard. Touch the ABC button to get to the alphabetic keyboard.

To type in a name, number, birth date, etc., touch the appropriate button. Your selections will appear in the data entry box.

If you switch between keyboards, all values will be retained in the data entry box on both keyboard screens.

2-4

Return to previous screen

Press to switch to alphabetic keyboard

Creates blank space

Confirm data entries

Interacting with the Touch Screen

Keyboards

The maximum number of characters allowed is 32. An audible tone will sound when you have exceeded the maximum number of characters.

Once you have finished entering the information, touch Enter (from either keyboard screen).

2-5

2-6

Start-Up Wizard

The first time your Clinitek Status®+ analyzer is turned on (following an automatic system diagnostic test), it will take you through a quick set up procedure. This procedure will allow you to select the basic functions of the analyzer so you can use the analyzer with your choice of settings.

The Start-Up Wizard will allow you to select the following settings:

Language Date and time Preferred test sequence (e.g., Quick Test or Full

Test)

Type of urinalysis strip Results format

If you require further instruction

regarding how to change the settings see Section 5, Instrument Set Up.

Once you have selected your choices, the analyzer will display a Confirmation screen which allows you to check that your preferences are correct.

3-1

3-2

Testing

Quick Tests

Urinalysis Strip Test

BIOHAZARD Wear personal protective

equipment. Use universal precautions. Refer to Appendix H for recommended precautions when working with biohazardous materials.

Testing is started from the main Select screen.

If you require more information regarding use and storage of test strips, please refer to the strip package insert.

Touch Strip Test to conduct a urinalysis strip test.

The next screen that appears is Prepare Test.

If you would like the steps for

urinalysis testing to be shown on the screen then touch Help.

Make sure the test table insert has the reagent strip holder facing upward.

Also, have the test strip, urine sample and paper towel ready.

Touch the START button.

4-1

Testing

Quick Tests

The next screen that appears is another Prepare Test. This screen prompts you through the steps to prepare the test strip.

A timer displays how much time you have remaining to complete the steps.

You have 8 seconds to complete the following four steps:

1 Dip the reagent strip into the urine sample, wetting all pads. Immediately remove the strip from the urine.

NOTE: Do not dip the automatic identification band or color band in the urine sample.

2 Drag the edge of the strip against the side of the sample container as you remove it.

4-2

+ 114 hidden pages

Siemens Clinitek User manual

Specifications and Main Features

Frequently Asked Questions

User Manual

Table of Contents

A Brief Description

Understanding the Symbols and Display Icons

Unpacking & Set Up

Interacting with the Touch Screen

Start-Up Wizard

Testing