URIT 12 Operation Manual

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CONTENT
Chapter 1: Introduction..............................1
Chapter 2: Technical Specifications...........5
Chapter 3: Principal of Operation...............6
Chapter 4: Blood Sample Collection..........7
Chapter 5: Appearance and Function........8
Chapter 6: Setting......................................9
Chapter 7: Operation...............................15
Chapter 8: Trouble-shooting....................20
Chapter 10: Meaning of Marks.................25
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Chapter 1: Introduction
URIT-12 Hemoglobin Meter is designe­d for use only with H12 Hemoglobin Test Strip from URIT Medical Electronic Co., Ltd., for the quantitative measurement of hemo­globin in capillary and venous whole blood.
According to the conversion between normal average hemoglobin concentration and haematocrit(HCT), URIT-12 Hemoglo­bin Meter can obtain the hint of HCT base on determined hemoglobin concentration. Hemoglobin is the oxygen-carrying protein in red blood cells. The quantitative measur­ement of hemoglobin is indicated and clini­cally useful in acute illness as well as in general care. The normal range hemoglobi­n values reported in medical literature are gender and age dependent:
Adult males 13.5~18.0 g/dL.
Adult females 12.0~16.0 g/dL.
Infants Ranging from 14.5
~22.5g/dL after birth
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to 11.1~14.1g/dL at 6 months old.
Children Gradually increase
from infant to adult levels.
Low hemoglobin levels may indicate condition such as anemia or hemorrhage. Elevated hemoglobin levels may indicate conditions such as polycythemia. A hemog­lobin test may be used as part of a general screen for many types of patient populatio­ns, including the elderly, children, and women of child-bearing age, and prior to giving or receiving transfusions. Due to diff­erences among patient populations, we recommend that each clinical site establish its own reference ranges.
People use Hemoglobin Meter with the whole blood for local inspection or tending, which is helpful for evaluating patients’ sy­mptom quickly and providing proper treatm-
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ent determination.
When test result is different from clinic­al symptom, repeat test. If there are still so­me problems, validate it by control or com­pare hemoglobin test methods with that of other labs.
Judge the clinical signification of test result by following the doctor’s direction. Prior to any medication, treatment should be provided by doctor based on test result and clinical symptom.
Warning:
Please read this manual carefully befo­re using URIT-12 Hemoglobin Meter.
1. URIT-12 Hemoglobin Meter is for
in vitro diagnostic use only.
2. Insufficient blood sample volume and inadequate mixing of EDTA-treated samples may affect results.
3. URIT-12 Hemoglobin Meter is des­igned for use only with H12 Hemoglobin
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Test Strips from URIT Medical Electronic Co., Ltd. Prior to the first use of test strips, read the manual carefully and input the Lot Code to the meter.
4. As all diagnostic tests, test results should be evaluated according to the speci­fic patient’s condition. Any results demonst­rating the inconsistency with the patient’s clinical status should be repeated or suppl­emented with additional test data.
5. In order to test the hemoglobin ac­curately, please use and maintain the meter correctly. Review this manual before the fir­st time using the meter.
6. While the test is in progress, do not disturb or move the meter or strip, even pr­ess any key.
7. Over strong electromagnetic field will disturb its work. We recommend you to keep the distance between meter and micr­owave oven over 2 meters when you test in the room.
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8. Over high temperature and humidi­ty will affect its working. We recommend you not to use it in the sauna or bathroom.
9. Use it at the temperature of 15℃~ 30℃.
10. When equipment is at work, please do not look directly at light source.
11. Avoid any liquid permeating the m­eter anytime.
Chapter 2: Technical Specifications
Parameter: Hemoglobin in fresh whole blood.
Measuring Principle: Optical reflectance. Strip: H12 Hemoglobin Test Strips. Measuring time: Less than 12 seconds. Haematocrit (HCT) hint: Display in perce-
ntage. Measuring range: 4.0g/dL~24.0g/dL. Res­ults under 4.0g/dL or over 24.0g/dL will dis­play as “Lo” or “Hi” respectively so as to in­dicate the result which is out of range. Display: LCD, test results display in SI.
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Storage function: Save the strip code, memorize and update 250 test results automatically.
Correction function: self-correction. Weight: < 58g (Battery included). Outer dimension: 102mm×50mm×19mm. Power: DC 6V (Two CR2032 Battery). Operating Ranges: 15~30℃;RH≤80% non
-condensing. Ultimate Ranges: -20~55℃;RH<90% non- condensing.
Chapter 3: Principal of Operation
The hemoglobin meter utilizes optical reflectance for determination of the total hemoglobin. The test strip is inserted into the meter when prompted, a background blank reading is automatically determined. A drop of whole blood is applied to the test
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spot on the strip, blood immediately disper­ses within the membrane, contacting the reagent, then reaction product could absor­b spectrum in the range of 500nm-600nm. The meter’s optical detector automatically measure the change in membrane reflecta­nce. The intensity of reflectance is inversely proportional to the hemoglobin concentrati­on. The meter calculates and displays the total hemoglobin concentration in gram/de­ciliter (g/dL) in 12 seconds based on a mat­hematical conversion.
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Chapter 4: Blood Sample Collection
1. Fresh capillary or EDTA-anticoagulate­d venous whole blood may be used.
2. If an EDTA-treated sample is refrigera­ted, allow it to come to room temperature prior to use. EDTA-treated blood samples should be mixed using end to end inversio­ns at least 8 times prior to use, and should be tested within 24 hours.
3. For fresh venous whole blood samples, collect approximately 0.1mL into an antico­agulant-free plastic syringe.
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Chapter 5: Appearance and function
1. Appearance:
The meter is composed of keys, LCD, circuitry board, optical system, strip holder, cover and battery. See the picture of appe­arance as below:
2. Function: Power switch: Turn meter on and confirm
key (turning meter off is confirmation)
▲key: up ▼key: down
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Strip holder: hold strips SET key: set function (under the strip hold-
er, refer to Chapter 6)
Chapter 6: Setting
1. Meter Options Setting
Before the first time using URIT-12 Hemoglobin Meter, the user must enter the following settings:
• Time and date format.
• Current time and date.
2. Entering Settings
Step 1: Lift the test strip holder off the met­er. Step 2: Turn the meter on by pressing the Power switch key. Wait until the meter dis­plays the Lot Code, time and date.
Now the meter can be customized for time and date format, current time and dat­e.
3. Time and Date Format:
The user can select both display time
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and date in a 12-hour AM/PM time clock with mm/dd date format or in a 24-hour time clock with dd/mm date format.
Note: The date format only contains day and month, not including year. Step 1: Press the SET key once, the date and time will display. Press and hold the SET key again until the time and date flash.
Step 2: Press the ▲ or ▼ key to select date
format.
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Step 3: Pressing the SET key as step 1 and 2 to enter the current time and date. If ente­ring the current time and date is not requir­ed, and then turn the meter off to confirm the selected time and date format.
Note: Once confirmed, the time and date format will be changed for all stored test results.
4. Entering Current Time and Date:
The user must enter the current time and date for correct stamping of test results. If proceeding from Select Time and Date Format instructions above, go directly to Step 2. Otherwise, start from Step 1. Step 1: Press and hold the SET key until the time and date flash. Press the SET key again. Step 2: The hour (with AM/PM if 12 hr form-
at selected) will flash. Press the ▲ or ▼
key to enter the hour. Press the SET key to confirm.
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Step 3: The minute will now flash. Press the
▲ or ▼ key to enter the minute. Press the
SET key to confirm. Step 4: The first date selection will flash (m- m or dd). Press the ▲ or ▼ key to enter the first date selection. Press the SET key to confirm. Step 5: The second date selection will flash (dd or mm). Press the ▲ or ▼ key to enter the second date selection. Press the SET key to confirm. Step 6: Turn the meter off to confirm the entering time and date.
Note: Once confirmed, the reporting un-
it will be changed for all stored test results.
Once selection of meter settings has been completed, replace the strip holder onto meter.
5. Saving Test Results
URIT-12 Hemoglobin Meter automatic­ally stores 250 test results with a date and
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time. If the storage is more than 250 test results, the oldest test result would be auto­matically erased. Test results are stored in ascending chronological order: The first te­st result on the screen (sequence 001) is the newest test result, and the last one (up to sequence 250) is the oldest test result. A test result will store automatically when the meter shuts off (both by pressing the key or automatic shutoff after two minutes of inact­ivity).
6. Viewing Saved Test Results
Step 1: Turn the meter on by pressing the Power switch key. Wait until the meter dis­plays the Lot Code, time and date. Press the ▲ key to display the test result and its sequence number (a flashing MEM will display to the lower left of the test result). After releasing the key, the test result with its time and date, and a flashing MEM will display.
Step 2: Continue pressing the ▲ or ▼ key
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to scroll through test results. Step 3: Turn meter off to exit this function.
7. Deleting Test Results
Test results could be deleted by follow­ing two methods: deleting the recent results by CLE or deleting all results by CLA.
User could turn the meter off to stop deleting test results before MEM displays. Step 1: Lift the strip holder, turn the meter on. Wait until the meter displays the Lot Co­de, time and date. Step 2: Press SET key twice, CLE displays. Delete the recent results: Step 3: Continue pressing SET key till CLE flashes. Release SET key, the last result will display. To delete this result, keep hold­ing SET key and the result will flash and then be deleted.
Delete all results:
Step4: Press SET key one more time, CLA will display. Hold pressing SET key, CLA flashes, Release SET key, ALL will display.
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Continue pressing SET key, all the results will be changed into MEM ---.
After completing all steps, turn off the meter and cover the strip holder.
Note:If you want to exit CLE witho- ut deleting test results, you can shut off the meter directly.
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Chapter 7: Operation
1. Turn the meter on
Press the Power switch key to turn th- e meter on. The meter automatically monit­ors its internal circuitry and components du­ring a brief self-check. The meter is ready when the test strip prompts, Lot Code and time/date are displayed.
Note: To conserve the battery, the met­er will automatically shut off after 2 minutes of inactivity. If this happens, turn the meter on again.
2. Input Lot Code of the Test Strip
Input the lot code as follows:
1) Press the Power switch to turn the met­er OFF.
2) Insert the code card correctly into the C- ode slot. Press the Power switch to turn the meter ON, the meter will read the code card automatically and display the code on
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the screen. The meter will automatically turn OFF.
3) Remove the code card. Turn the meter ON again. Please verify the displayed code is match the code printed in the label of container which the test strips will be taken from.
3. Prepare for a Finger stick
Make sure the patient’s hand is warm and relaxed. Massage the patient’s middle or ring finger from the knuckle up to the tip to stimulate blood flow. Clean the sample area with alcohol and wipe dry with a sterile gauze pad.
4. Prepare the Test Strip
Take a test strip from its container. Ex­amine the test strip. Do not use if there are tears, wrinkles or debris. Do not touch the test spot membrane. Reseal remaining test strips in the original container.
5. Insert the Test Strip
Insert the test strip into the strip holder
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with the notched end in first and the hole fa­cing up. The notched end on the top of the strip should no longer be visible when the test strip is inserted correctly and fully.
6. Prepare the Meter for Sample Applica-
tion
The meter will automatically perform a background blank reading. It will display a flashing prompt to indicate that it is ready to test a sample. The meter will allow 2 minut­es for application of the blood sample.
7. Perform a Finger stick
Incise the underside of the fingertip. A­void “Milking”. Apply light pressure to obtain one drop of blood.
8. Apply Blood Sample to the Test Strip
Immediately apply a drop of blood to the test strip by touching the hanging blood drop to the test spot, ensure the blood drop is large enough to completely cover the test spot. A capillary transfer pipe may also be used to transfer the blood sample from the
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finger to the test strip.
Note: This product is used for test- ing human blood, user must prevent again­st possible blood infection.
l A drop of blood (refer to the instru-
ction of Strips for detail)
l Do not use strip to touch blood, test strip must be fixed on the meter. Apply only the hanging blood to the test spot.
l Do not touch directly the test spot membrane by finger.
l Do not apply superfluous blood; the volume just covering the spot complete­ly is enough.
l Do not apply blood on the spot ob- taining blood repetitiously. Each strip is us­ed for one test.
9. Read Result
The blood sample will spread and the meter will automatically begin the test. Dur­ing the test, do not disturb or move the met-
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er or strip, even press any key of meter.
The test result will be displayed in less than 30 seconds.
After the test is completed, remove the test strip and check whether the test strip s­pot is covered by blood sample completely or not. Otherwise, the test result is not acc­urate, please test again.
After the test is finished, the meter will automatically shut off after 2 minutes of ina­ctivity, or can be turned off by pressing the Power switch key. The test result will be stored automatically with its date and time.
10. Disposal
The waste should be disposed strictly according to reference requirement of local Medical Sanitary Management Department. Do not throw it optionally.
11. Reportable range
The reportable range for hemoglobin is from 4.0 g/dL to 24.0 g/dL. Results under 4. 0g/dL or over 24.0 g/dL will display as “Lo”
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or “Hi” respectively to indicate the result out of range.
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Chapter 8: Trouble-shooting
Troublecode& phenomenon
Possible Cause Correction
Hardware or software error
Turn off and on again. If the error still exists, please contact the local distributor.
E0, E1
Meter used in bright sunlig­ht
Bright sunlight disturbs optical system of meter. Used it in room-light or shade. Turn off and on again. Repeat test with new test strip.
E2
Temperature out of Range
Allow meter to adjust to temperature declared in the Manual and wait un­til it shake down. Turn off and on again. Repe­at test with new test strip.
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Removing the strip with sa­mple before t­esting
Do not remove test strip till finishing the test. Turn off and on again. Repeat test with new
test strip. Insufficient Sample Volume
Remove the test strip
and shut off. Turn on
and repeat test with new
strip. Confirm the blood
is sufficient. Strip is damaged
Remove the test strip
and shut off. Turn on
and repeat test with new
strip. Confirm there are
not tears, wrinkles or
debris. Incorrect
blood sample
Do not use other blood
sample, such as plasma.
Repeat test with the
correct blood sample:
fresh or EDTA-anticoa-
gulated whole blood.
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Damaged Strip Inserted
Remove the test strip
and shut off. Turn on
and repeat test with new
strip. Confirm there are
no tears, wrinkles or
debris. Optical detec­tor needs cle­aning
Remove strip holder
and clean lenses follo-
wing the direction. Optical detec­tor does not read the back­ground blank
Before finishing the ba-
ckground blank reading,
do not apply blood sam-
ple. Do it until displayi-
ng a flashing prompt.
E4
Optical detec­tor is clogged
Check the Optical dete-
ctor, whether it is cove-
red by blood or others,
if yes, remove the strip
holder and clean it. Ref-
er to the Manual.
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Used strip Inserted
Remove the test strip
and shut off. Turn on
and repeat test with new
strip. Inserted strip error
Review the instruction
of Insert Strip. Remove
the test strip and shut
off. Turn on and repeat
test with new strip. Set strip holder error
Remove strip holder
and reset. Push it to the
end. Do not use if it is
loose or skew. Replace
battery
Replace battery referri-
ng to the Manual. Immediately sh-
ut off once turn on or during the operation proce­ss
Move the stri­p during the test
The meter will turn off
automatically in 4 seco-
nds if the strip is move-
d. Repeat test with new
strip.
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Chapter 9: Maintenance
1. Routine maintenance and cleaning
The cleaning must be done after appl­ying superfluous blood sample every time. Hold the bottom of meter with left hand and lift holder, then the strip holder could be re­moved and cleaned. Wipe away the rest blood or dirt left on the holder or meter usi­ng gauze with disinfectant (diluenting 10% home bleacher, about 0.6% hypochlorite).
If there is superfluous blood on the op­tical detector, clean it by cotton sticker with little detergent. Wipe the strip holder and optical detector completely by cotton cloth without hemp. Avoid any liquid permeating the meter anytime.
Do not polish the surface of optical det­ector with any polished or corrosive deterg­ent to avoid the damage of meter and optic-
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al detector. After cleaning, put the strip hol­der and display in a level, and press arc se­gment, the holder could be set back.
2. Battery replacement
Open the battery cover, take the batte­ry out of gap, replace two new CR2032 bat­tery, cathode is facing down, insert it into battery container, and press it down, close the cover.
Chapter 10: Meaning of Markings
In vitro diagnostic medical device Caution! Refer to accompanying
documents
Biological Hazard
Serial number
Direct current
Use CR2032 as power supply
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Manufacturer
Authorized representative in the
European Community
Recovery
Protect from heat and radioactive
sources
This product fulfils the requirements of
Directive 98/79/EC on in vitro iagnostic medical devices
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Supplied by:
URIT Medical Electronic Co., Ltd.
Ver No: 07/2010-5
Wellkang Ltd t/a Wellkang Tech Consulting Suite B, 29 Harley Street, LONDON W1G 9QR, UK
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