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Bayer HealthCare Rapidlab 800, Operator'S Manual

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Bayer HealthCare Rapidlab 800 Operator'S Manual Download Page 586

   

         

Line Printer Report A is the default line printer report. It includes the CO-oximeter
values with the oxygen status values. Figure F-6 shows an example of Line Printer
Report A.

          

....................................................................................................

.......................

PATIENT SAMPLE REPORT     APR 12 1994            13:02

                          Hospital Name 

                          Hospital Address Line 1

                          Hospital Address Line 2

                          City, State Zip

Patient ID xxxxxxxxxxx    

Physician ID xxxxxxxxxxx

Location xxx       

Birthdate xxx xx xxxx

Age xxx                

 

Sex x

ACID/BASE 37

°

C         Units   Reference Range   Corrected 38.5

°

C

pH            xx.xxx           (x.xxxx - x.xxxx) xxx.xx

pCO

2

          xxx.xx   mmHg    (xxx.xx - xxx.xx) xxx.xx

pO

2

           xxx.xx   mmHg    (xxxx.x - xxxx.x) xxx.xx

HCO

3

-act      xxx.xx   mmol/L  

HCO

3

-std      xxx.xx   mmol/L  

ctCO

2

         xxx.xx   mmol/L  

BE(B)         xxx.xx   mmol/L  

BE(ecf)       xxx.xx   mmol/L  

OXYGEN STATUS 37

°

C

ctHb          xxx.xx   mmol/L  (xxx.xx - xxx.xx)

Hct           xxx.xx   %

ctO

2

(a)       xxx.xx   mL/dL   (xxx.xx - xxx.xx)

BO

2

           xxx.xx   mL/dL   (xxx.xx - xxx.xx)

pO

2

           xxx.xx   mmHg    (xxx.xx - xxxx.x)

p50           xxx.xx   mmHg    (xxx.xx - xxx.xx)

sO

2

           xxx.xx   %       (xxx.xx - xxx.xx)

FO

2

Hb         xxx.xx   %       (xxx.xx - xxx.xx)

FCOHb         xxx.xx   %       (xxx.xx - xxx.xx)

FMetHb        xxx.xx   %       (xxx.xx - xxx.xx)

FHHb          xxx.xx   %       (xxx.xx - xxx.xx)

OXYGEN STATUS 38.5

°

C

pO

2

(A-a)(T)   xxx.xx   mmHg    (xxx.xx - xxx.xx)

pO

2

(a/A)(T)   xxx.xx   %       (xxx.xx - xxx.xx)

RI(T)         xxx.xx   %       (xxx.xx - xxx.xx)

ELECTROLYTES AND METABOLITES 

Na+           xxx.xx   mmol/L  (xxx.xx - xxxx.x)

K+            xxx.xx   mmol/L  (xxx.xx - xxxx.x)

Ca++          xxx.xx   mmol/L  (xxx.xx - xxxx.x)

Ca++(7.4)     xxx.xx   mmol/L

Cl-           xxx.xx   mmol/L  (xxx.xx - xxxx.x)

AnGap         xxx.xx   mmol/L

Glucose       xxxxxx   mg/dL   (xxxxxx - xxxxxx)

Lactate       xx.xx    mmol/L  ( xx.xx - xx.xx )

ENTERED

Temp          xxx.xx   

°

C

CtHb          xxx.xx   mmol/L

FIO

2

          xxx.xx   %

Flow          xx.xxx   L/min

Resp Rate     xx.xx    b/min

p50           xxxxxx   mmHg

System xxx-xxxx        Analysis Date xxx xx xxxx
System xxx-xxxx        Analysis Time xx:xx
Seq no xxxxx           Draw Date xxx xx xxxx 
Acc no xxxxx           Draw Time xx:xx
Source xxxxx           Operator ID xxxxxxxxxxx

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Temperature
Corrected 
Values

These results
appear when 
an 845, 855, 
or 865 is 
interfaced.

Entered 
Values

Patient and 
Sample Data

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Temperature
Corrected 
Values

CO-ox

840

850

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........................................................................................................

860

Summary of Contents for Rapidlab 800

Page 1: ...2000 Bayer Corporation All rights reserved 115701 Rev C 4 2000...

Page 2: ...re trademarks of Bayer Corporation APV is a servicemark of Bayer Corporation Cidex is a trademark of Johnson Johnson Corporation IBM and AT are trademarks of International Business Machines Corporatio...

Page 3: ...3 20 20 0 20 3 2 2 5 5 3 5 3 5 5 5 5 5 3 5 5 0 0 1 3 5 34 3 5 34 3 5 34 5 34 5 2 3 5 34 3 5 34 5 34 2 5 34 1 5 2 5 34 50 5...

Page 4: ...5 5 0 0 5 5 34 5 34 5 0 5 5 5 0 5 5 5 0 5 5 3 5 2 3 5 3 5 3 5 3 5 0 3 5 0 5 3 5 5 0 0 5 3 5 0 1 5 3 5 0 5 5...

Page 5: ...0 1 02 1 2 8 3 01 2 1 0 1 8 5 1 8 0 1 1 8 5 1 8 601 2 0 1 8 11 1 601 8 1 0 8 1 1 0 8 2 51 3 0 8 3 12 1 8 1 0 8 1 6 21 4 8 5 1 1 2 0 7 0 8 5 1 3 2 0 8 5 0 8 5 1 1 51 3 0 8 5 1 01 0 8 5 1 10 8 5 1 201 1...

Page 6: ...0 0 4 4 3 0 0 4 4 3 0 4 4 3 0 0 4 1 4 4 3 2 4 4 3 4 4 3 4 4 3 4 4 3 2 4 4 3 4 4 3 2 4 4 3 0 4 4 3 2 4 4 3 2 4 4 3 4 4 3 4 4 3 2 4 4 3 4 4 3 4 4 3 2 4 4 3 2 4 4 3 4 4 3 0 4 4 3 1 4 4 3 2 4 4 3 4 4 3 2...

Page 7: ...0 13 2 0 30 9 02 30 9 2 2 12 3 07 02 30 9 4 7 1 02 30 9 0 2 7 3 0 30 9 0 2 3 0 30 9 2 0 2 0 30 9 0 2 2 0 0 0 30 9 0 2 2 0 13 2 0 30 9 5 2 0 2 02 30 9 2 3 0 30 9 2 0 30 9 21 4 1 0 30 9 0 2 1 3 2 0 30...

Page 8: ...8 1 9 5 2 2 9 2 9 8 1 1 2 2 9 2 9 8 1 1 1 1 9 2 9 8 3 1 01 11 9 2 9 8 3 1 01 21 1 3 9 2 9 8 3 1 0 1 02 1 2 9 2 9 8 1 0 2 0 9 2 9 8 3 1 2 12 0 9 2 9 8 1 2 12 0 9 2 9 8 3 9 2 9 8 3 1 11 9 2 9 8 3 1 1 9...

Page 9: ...6 0 6 5 1 6 0 6 5 6 0 6 5 1 1 2 3 6 0 6 5 1 6 0 6 5 1 0 6 0 6 5 1 6 0 6 5 0 6 0 6 5 1 0 6 0 6 5 1 0 6 0 6 5 0 6 0 6 5 1 4 0 6 0 6 5 6 0 6 5 1 0 6 0 6 5 1 0 6 0 6 5 6 0 6 5 0 6 0 6 5 6 0 6 5 4 6 0 6 5...

Page 10: ...13 63 17 0 4536 5 104 31 2 3 0 13 2 3160 2 3 563 0413 10 0 63 17 0 4536 5 104 31 5 3 5 3 10 0 63 17 0 4536 5 104 31 5 23 0 1 5 10 0 63 19 2 0 45 6 0 63 4 100 5 0 5 19 2 5 63 45 0 13 5 10 3 0 13 0 63 5...

Page 11: ...7 1 7 5 4 0 0 7 1 7 5 4 0 0 7 1 7 5 4 0 0 7 1 7 5 4 0 0 7 1 7 5 0 0 7 1 7 5 01 7 1 7 5 01 7 1 7 5 01 7 1 7 5 01 7 1 7 5 00 7 1 7 5 00 7 1 7 5 4 0 0 7 1 7 5 01 0 7 1 7 5 0 0 0 7 1 7 5 0 1 7 1 7 5 0 2 7...

Page 12: ...45 6 0 6 45 6 0 6 45 6 0 6 45 6 0 6 45 6 0 6 45 2 6 0 6 45 2 6 0 6 45 6 0 6 45 3 0 6 0 6 45 0 6 0 6 45 6 0 6 45 1 6 0 6 45 6 0 6 45 6 1 6 0 6 45 6 0 6 45 6 0 6 45 6 0 6 45 6 0 6 45 6 0 6 45 3 6 0 6 4...

Page 13: ......

Page 14: ......

Page 15: ...perform routine maintenance and troubleshooting respiratory therapists who use an 800 system to routinely analyze blood gas samples supervisors who customize their 800 system to meet their laboratory...

Page 16: ...About the System analyze samples QC and calibrators Section 2 Operating the System perform system maintenance Section 3 Maintaining the System identify the appropriate corrective action to resolve ope...

Page 17: ...install the system Appendix H Installation review the analytic principles of the sensors and the calculations performed by the system Appendix I Operating Principles review the technical bulletin abo...

Page 18: ...damage or loss of data Biohazard statements alert you to potentially biohazardous conditions The note symbol is used with important information that requires your attention This symbol indicates that...

Page 19: ...risk of exposure to potential electrical hazards This symbol indicates that the input electricity is alternating current This symbol alerts you to important information about the fuses This symbol id...

Page 20: ......

Page 21: ......

Page 22: ......

Page 23: ...3 3 0 3 3 3 3 1 3 1 3 3 3 3 3 12 3 3 1 1 3 1 3 3 1 3 3 12 3 3 3 1 1 3 1 3 3...

Page 24: ...4 0 0 4 1 0 4 4 4 1 4 4 4 4 4 0 4 0 4 0 4 4 4 0 4 4 2 4 0 2 4 4 0 3 4 0 3 4 4 3 0 3 4 0 0 3 4 0 0 3 4 4 1 34 4...

Page 25: ......

Page 26: ......

Page 27: ...actate pH Na K Ca Cl tHb FO2Hb 845 855 865 pO2 pCO2 pH tHb FO2Hb FHHb FMetHb FCOHb pO2 pCO2 pH Na K Ca Cl tHb FO2Hb FHHb FMetHb FCOHb pO2 pCO2 glucose lactate pH Na K Ca Cl tHb FO2Hb FHHb FMetHb FCOHb...

Page 28: ...bin ctO2 Hb oxygen capacity of hemoglobin O2CAP partial pressure of oxygen at 50 saturation p50 sulfhemoglobin concentrations greater than 1 5 arterial oxygen content ctO2 a venous oxygen content ctO2...

Page 29: ...line assistance using an integrated Help program optional bar coding capabilities for patient ID and accession numbers managing patient results and QC data flags for results that fall outside expected...

Page 30: ...fety automatic reagent path cleaning cycle expanding system capabilities advanced on board data management bidirectional communication with your information systems and Chiron Diagnostics data managem...

Page 31: ...onents of the 800 system The 860 864 and 865 systems have five reagent bottles and the 840 844 845 850 854 and 855 systems have four reagent bottles Screen Keypad Measurement Module Window Sample Entr...

Page 32: ...nt Pump Sample Entry Reagent Bottles Keypad Screen Measurement Module Door Latch Sample Pump Waste Pump Measurement Module Gas Tubing Waste Bottle Measurement Module Door Latch Analyze Key Reagent Man...

Page 33: ...CO ox Pump CO ox Module Sample Chamber Hemolyzer...

Page 34: ...Power Input Fuse Compartment Diskette Eject Button Diskette Drive Air Filter Cover...

Page 35: ...Contrast Knob Lamp Cover Keyboard Port Parallel Port Paper Spool Bar Code Scanner Port Serial Port 3 Serial Port 1 Serial Port 2 Network Port Air Filter Cover Base Model Interface...

Page 36: ...F2 F1 F3 F4 F5 1 2 3 4 5 6 7 8 9 0 Enter Home Help CIBA CORNING Contrast Knob Arrow Keys F keys Help Key Home Key Enter Key Numeric Keys Screen Paper Spool Key Paper Advance Key Printer...

Page 37: ...sis Refer to Appendix I Operating Principles for more information about each sensor Sample Ground Temperature Sensor The sample ground temperature sensor provides an electrical grounding mechanism for...

Page 38: ...Measurement Module Door Measurement Module Door Latch Spring Loaded Latch Measurement Module Door Latch Release Pin Contact Assembly pH Sensor Reference Sensor Spring loaded Latch Measurement Module T...

Page 39: ...omponents spectrophotometrically measure tHb and its derivatives Most of the measurement components are enclosed in the CO ox module The sample chamber is visible when the CO ox cover is raised The la...

Page 40: ...nents direct the fluidic components in response to the user interface and automatic system activities The CO ox module uses the fluidic components of the base model and additional components The sampl...

Page 41: ...865 systems Gas Tubing Reagent Manifold Gas Fittings Reagents The system pumps are the reagent pump the sample pump the waste pump and the CO ox pump if the CO ox module is attached Each pump consist...

Page 42: ...O ox sample chamber sense the presence of a sample in the CO ox module The waste components include the waste bottle and latch the waste outlets the waste outlet cover and the waste detector The waste...

Page 43: ...nd then provides power to the rest of the system Real Time Processor RTP Sends commands to other PC boards to perform system activities the RTP controls the fluidic system acquires data from the measu...

Page 44: ...nt of energy generated by the optics and provides a coarse alignment of the diode array with the polychromator CO ox Measurement Board CMB Provides control signals to and collects and limits the signa...

Page 45: ...hat you use to direct system activities and obtain operating status information F2 F1 F3 F4 F5 1 2 3 4 5 6 7 8 9 0 Enter Home Help CIBA CORNING Contrast Knob Arrow Keys F keys Help Key Home Key Enter...

Page 46: ...the direction of the selected arrow Enter accepts selected options and moves from field to field on the Ready screen it displays the Reagent Levels screen Help Help accesses the Help screen Home Home...

Page 47: ...the labels can vary with each screen You can use an IBM AT compatible 101 key alpha numeric keyboard to operate an 800 system Use the following keys on the keyboard to simulate the system keys on the...

Page 48: ...results to a connected LIS HIS or data management system This key appears on the Results screen only if Auto Send is off Do Not Send prevent the transmission of sample results to a connected LIS HIS o...

Page 49: ...Screen elements are the components on the screen that enable you to interact with the system software...

Page 50: ...a green box with black text turned on and in calibration a yellow box with black text and a slash across the label turned on but out of calibration not visible turned off or not installed The Analyze...

Page 51: ...arrow keys to select the menu option you want If dots appear after the option another menu exists for that option If no dots appear after the option the screen associated with the option appears when...

Page 52: ...0 2 0 9 0 0 9 2 9 0 2 23 9 23 9 2 2 2 9 02 0 21 9 21 3 1 9 0 2 0 1 9 0 2 23 9 0 2 2 1 9 00 2 9 0 2 23 02 9 1 9 22 1 9 2 1 9 2 207 0 2 9 0 2 21 9 2 04 1 9 1 3 1 9 712 23 9 712 2 2 1 9 2 7 9 1 2 2 1 9 3...

Page 53: ...on the numeric keypad you press to use menu codes NOTE During some procedures you may need to move to the Main Menu before you can press the menu code The menu code for these procedures contains the p...

Page 54: ...re you press Help In the Menu mode press Help to display a scroll list of Menu mode topics Menu mode Help consists of an index of topics Each topic describes a menu or menu selection The topics do not...

Page 55: ...the appropriate sample handling documents are in place Use sterile technique at all times to avoid infecting the sample site The following indicate some of the procedural limitations encountered with...

Page 56: ...n analyze samples obtained from the following sources arterial blood Arterial blood is commonly recommended for use in blood gas studies because it accurately reflects acid base physiology and oxygena...

Page 57: ...ed correctly arterial venous mixed venous and capillary blood samples are also suitable for analyte determinations For further information refer to the Bayer Diagnostics brochure Specimen Collection f...

Page 58: ...pping Fill the capillary tubes completely and mix the samples thoroughly Collect venous blood using vacuum tubes containing lithium heparin Fill the tubes completely and mix the sample by gently inver...

Page 59: ...g the sample in contact with the ice water slurry You can store samples in an ice water slurry for up to 2 hours without significant change in values for pH and pCO2 however this will affect the K val...

Page 60: ...le You can autoclave the waste bottle before discarding it but you cannot use it after autoclaving After autoclaving seal the waste bottle with the disposable cap and then discard the waste bottle Dis...

Page 61: ...ing occur Reagents other than those recommended are used Reagents are used after the expiration date on the label Reagents are not used or stored according to Bayer Diagnostics recommendations Standar...

Page 62: ...eaning compound Cleaning Solution 2 cleaning compound Conditioner ammonium bifluoride NH4HF2 CO oximeter Slope dyes and viscosity adjuster Deproteinizer 0 1N hydrochloric acid proteolytic enzyme Mater...

Page 63: ...e slope point two point metabolite calibration Cleaning Solution 1 Cleaning Solution 1 when alternated with Cleaning Solution 2 provides thorough cleaning of the reagent path Cleaning Solution 2 Clean...

Page 64: ...L Zero Store Wash G L Zero upright at 4 to 25 C Discard Wash G L Zero 60 days after opening Cal G L Store Cal G L upright at 4 to 25 C Discard Cal G L 30 days after opening Cleaning Solution 1 Store...

Page 65: ...1 Cleaning Solution 1 is ready to use Invert the bottle several times to mix thoroughly before use Cleaning Solution 2 Cleaning Solution 2 is ready to use Invert the bottle several times to mix thorou...

Page 66: ...observe the following precautions when handling the tanks Secure tanks to a wall a bench or the floor or place them in a tank base support stand Use calibration gases only for the calibration of clini...

Page 67: ...ing measurement to the established calibration curve The 800 system performs calibrations and sample measurements of pH blood gases electrolytes and metabolites at 37 0 0 15 C and hemoglobin and its d...

Page 68: ...the required calibration automatically The system does not accept samples until the required calibration finishes In addition to the regularly scheduled one and two point calibrations the 860 system h...

Page 69: ...s manually from the Analyze mode when the system is not analyzing samples and from the Menu mode You perform calibrations from the Analyze mode by pressing Calibrate You perform calibrations in the Me...

Page 70: ...not in calibration Until a successful calibration completes all subsequent measurements indicate the not in calibration condition on the screen and on the printed reports The system automatically rep...

Page 71: ...You can view print and transmit stored calibration data using the Recall option You cannot edit calibration data You can search for the data by calibration type or calibration date and time...

Page 72: ...s U S federal regulations state that each laboratory must establish QC procedures to document and to evaluate system performance that ensure the accuracy and the reliability of patient results and rep...

Page 73: ...lets you compare your system performance with systems in other laboratories Participation in interlaboratory QC survey and proficiency testing programs can identify systematic errors not detected by...

Page 74: ...ials are not expired or have not deteriorated Visible signs of deterioration include color changes or cloudiness of the reagents or QC materials Ensure that you followed the operating procedures recom...

Page 75: ...ation Sequence numbers run from 100 through 99999 and then repeat If the auto ID option is on the 800 system automatically identifies the QC sample results and selects the appropriate QC file to store...

Page 76: ...er to Archiving QC Data and Viewing Archived QC Data in Section 5 The 800 system provides Levey Jennings charts which are visual representations of QC performance Levey Jennings charts allow rapid det...

Page 77: ...hived QC Data in Section 5 Archiving QC data saves the previous month s QC file results and statistics on a diskette You can use this diskette to retrieve historical QC data which you can view or use...

Page 78: ...l values are not adversely affected when you perform major preventive maintenance or replace critical components on your system when controls reflect unusual trends or are consistently outside your la...

Page 79: ...method Typically linear regression and least squares evaluation are used to compare results The slope and intercept of the regression line can be used to match the results of the new system to an exis...

Page 80: ...gure 1 12 describes the conventions used in the diagrams 7 3 6 8 Wash Clean Cal G L Cal Slope Ambient Air Measurement Module Sample Pump S Sample Port Reagent Pump R CO ox Pump CO Waste Pump W Sample...

Page 81: ...e and sample pumps start and the sample moves to fluid detector FD 1 and 1A The CO ox module pump moves part of the sample to FD5 Cal Slope Ambient Air 1 1a 2 4 3 R S W 7 3 6 8 Wash Clean Cal G L 5 CO...

Page 82: ...easurement is being made The foam wash and vent valves open the reagent pump starts and foam wash moves to the outer sample port The reagent pump stops the waste pump starts and the foam wash is remov...

Page 83: ...the CO ox module is attached wash segments are split at the sample connector so the CO ox sample path is thoroughly cleaned This sequence repeats 11 times to create wash segments that thoroughly clea...

Page 84: ...ple port The reagent pump stops the waste pump starts and the foam wash is emptied from the sample port This sequence repeats four times and is followed by a solid wash segment 7 3 6 8 Wash Clean Cal...

Page 85: ...into the measurement module The reagent pump introduces another solid wash segment into the sample port This sequence repeats 11 times to create wash segments that thoroughly clean the measurement mod...

Page 86: ...he wash valve opens and a wash segment is introduced into the reagent manifold The sample and waste pumps start The wash valve closes The vent valve opens Cal Slope Ambient Air 1 1a 2 4 3 R S W 7 3 6...

Page 87: ...contamination of the sample connector by ambient air Cal Slope Ambient Air 1 1a 2 4 3 R S W 7 3 6 8 Wash Clean 5 CO H SC 4 After the gases are measured the 7 3 valve wash bypass valve and diverter val...

Page 88: ...moves until the trailing edge is at fluid detector 1 The pumps stop and the analytes are measured The CO ox zero calibration is performed Cal Slope Ambient Air 1 1a 2 4 3 R S W 7 3 6 8 Wash Clean 5 CO...

Page 89: ...reagent pump stops the waste pump remains on and the sample pump moves the wash segment from the sample port into the measurement module An air segment follows The wash valve opens and the reagent pum...

Page 90: ...he wash valve opens and a wash segment is introduced into the reagent manifold The sample and waste pumps start The wash valve closes The vent valve opens Cal Slope Ambient Air 1 1a 2 4 3 R S W 7 3 6...

Page 91: ...5 CO H SC 4 The Slope gas valve opens and Slope gas flows into the inner sample port The sample pump aspirates the Slope gas at a controlled rate through the measurement module where pO2 and pCO2 are...

Page 92: ...es toward the sample port When the main segment reaches the sample port the sample pump starts and moves the segment to the measurement module until it is detected by fluid detector 1 and 1A The CO ox...

Page 93: ...to remove any residual 7 3 reagent from the pathways Cal Slope Ambient Air 1 1a 2 4 3 R S W 7 3 6 8 Wash Clean 5 CO H SC 10 The pre segments move through the sample port into the waste Cal Slope Ambie...

Page 94: ...wash The reagent pump starts and moves foam wash to the inner sample port The reagent pump stops the waste pump starts and the foam wash is emptied from the sample port This sequence repeats four tim...

Page 95: ...e reagent pump introduces another solid wash segment into the sample port This sequence repeats 11 times to create wash segments that thoroughly clean the measurement module Cal Slope Ambient Air 1 1a...

Page 96: ......

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Page 99: ...0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0...

Page 100: ......

Page 101: ...to instrument and operator to operator variability The system automatically identifies the sampling device If the system cannot identify the device a message box appears prompting you to select one of...

Page 102: ...ry or hospital information system or a data management system you may see a message box prompting you to begin a patient sample assay The information system can also send a disable sampling order to t...

Page 103: ...our system requires a password to access selected menu options the system prompts you to enter the Menu Options password Arterial samples analyzed for blood gas and CO oximeter values can determine th...

Page 104: ...rs for the sample press Change Parameters to select another panel Refer to Selecting Parameter Panels page 2 29 for more information BIOHAZARD Refer to Appendix A Protecting Yourself from Biohazards f...

Page 105: ...s and then returns to the Ready screen If the system continues to display the Results screen after the wash finishes press to return to the Ready screen If the system determines that there is insuffic...

Page 106: ...erent set of parameters for the sample press Change Parameters to select another panel Refer to Selecting Parameter Panels page 2 29 for more information BIOHAZARD Refer to Appendix A Protecting Yours...

Page 107: ...e has reached point A If not turn the sample pump clockwise to move the leading edge of the sample to point A as shown in Figure 2 4 b Press Point A Sample Pump 3 When prompted remove the sample devic...

Page 108: ...and are continuously updated until analysis is complete The system then displays the final results and prints the report 8 The system performs a wash at the end of analysis and then returns to the Rea...

Page 109: ...he remaining parameters after you move the sample into position Refer to Selecting Parameter Panels page 2 29 for more information NOTE The tHb parameters are not measured when you use the Micro Sampl...

Page 110: ...is If the syringe contains sufficient volume the system analyzes the sample automatically 4 Press The Position Sample Manually message box appears 5 Turn the sample pump clockwise to move the leading...

Page 111: ...sor Sample Pump 10 Press Results appear on the screen and are continuously updated until analysis is complete The system then displays the final results and prints the report 11 The system performs a...

Page 112: ...ompted remove the sample device 6 Type the required information in the Patient Information screen and then press Refer to Entering Patient Sample Data page 2 27 if you need more information to complet...

Page 113: ...hen you select pH only the system measures everything except pCO2 and pO2 On systems with the CO ox module the system measures everything except pCO2 pO2 and tHb parameters BIOHAZARD Refer to Appendix...

Page 114: ...he sample remains in contact with the sample ground temperature sensor 5 Turn the sample pump clockwise until the leading edge of the sample fills the reference sensor as shown in Figure 2 11 Referenc...

Page 115: ...s a wash at the end of analysis and then returns to the Ready screen If the system continues to display the Results screen after the wash finishes press to return to the Ready screen If the system ana...

Page 116: ...he sample press Change Parameters to select another panel Refer to Selecting Parameter Panels page 2 29 for more information BIOHAZARD Refer to Appendix A Protecting Yourself from Biohazards for recom...

Page 117: ...ys the final results and prints the report 6 The system performs a wash at the end of analysis and then returns to the Ready screen If the system continues to display the Results screen after the wash...

Page 118: ...azards for recommended precautions when working with biohazardous materials 1 Prepare the sample and insert the syringe in the sample port as shown in Figure 2 13 Sample Port Expired Gas Sample 2 Pres...

Page 119: ...hen displays the final results and prints the report 8 The system performs a wash at the end of analysis and then returns to the Ready screen If the system continues to display the Results screen afte...

Page 120: ...els page 2 29 for more information BIOHAZARD Refer to Appendix A Protecting Yourself from Biohazards for recommended precautions when working with biohazardous materials 1 Prepare the sample and intro...

Page 121: ...t ID and press you do not want to combine the 270 results with the 800 system results press If the 800 system completes analysis before the 270 CO oximeter completes analysis the Waiting for CO oximet...

Page 122: ...with two different venous samples Samples analyzed for a v studies can produce the following results ctO2 a v ctO2 a v a VO2 DO2 Qsp Qt T The system determines a v study results using the following r...

Page 123: ...ge box appears 5 Select and press The First a v Sample Selected message box appears 6 Press only one sample is found the Patient Data Search Result screen appears Press The Reporting Options message b...

Page 124: ...ars 11 Press to view the a v study results The a v results are not automatically sent to the LIS Select Reporting Options on the patient results screen and then select Send Results to transmit the res...

Page 125: ...t value of arterial NOTE Any field that has a symbol is a required field and must be completed 1 Type the patient ID and press You can enter patient sample data using the keypad an optional keyboard o...

Page 126: ...a sequence number the date and the time of analysis in the status log The system returns to the Ready screen You can search for the sample results by sequence number and analysis time and then enter...

Page 127: ...ed select the parameter panel and press Custom panels are listed as Panels 1 5 and are defined during system setup by the system administrator or authorized personnel specific parameters to analyze a...

Page 128: ...reen the result dashes and arrow appear in red The result is below the measurement range On the screen the result dashes and arrow appear in red The patient sample did not reach endpoint The patient s...

Page 129: ...ial Operator ID 12345678901 Patient ID 12345678901 Sex M Pt Name John Jones Physician ID 12345 Birthdate 05 30 22 Physician Dr Smith Age 70 Location ICU SYRINGE SAMPLE ACID BASE 37 C Units Reference R...

Page 130: ...iewed See Troubleshooting Patient Results in Section 4 SulfHb 1 5 The system detects a sulfhemoglobin concentration greater than 1 5 in a CO ox sample Interfering Substance Glu The system detects the...

Page 131: ...lds were not completed and Auto Send is turned on Insufficient COox Sample Appears when there is not enough sample to fill the CO ox module sample chamber and the analysis cannot be performed Insuffic...

Page 132: ...Sample Temperature Out of Range The measurement module temperature is not in range at the end of measurement sequence __ Sent Appears when you press Send at the end of analysis...

Page 133: ...his day Use this screen to enter the criteria that you want the system to use to search for patient sample data The system locates only the samples that meet all the criteria you specify For example i...

Page 134: ...alysis Time From field and type the end time in the Analysis Time To field by sequence and accession number type the sequence number in the first Sample Sequence Number field 3 Press more than one sam...

Page 135: ...e 2 19 Refer to the following procedures to edit patient data print the report or the log or transmit the report If you press Home while in the Patient Data Search Criteria screen all data is cleared...

Page 136: ...edit fields that are entered by the system such as Analysis Date and Time and Sequence Number 1 Use the procedure described in Recalling Patient Sample Data page 2 35 to locate the sample you want to...

Page 137: ...he sample you want as described in Recalling Patient Sample Data page 2 35 2 Press The Reporting Options message box appears print a sample report a Select Print Report and press b Press Refer to Figu...

Page 138: ...ing with biohazardous materials 1 Press The Sample Type menu appears as shown in Figure 2 22 2 Select and press If you are using Bayer Diagnostics controls you can scan the bar code on the ampule now...

Page 139: ...ss Done Press to assign the results to the file The system then displays the final results and prints the report Continue with step 8 you did not scan the ampule and Auto ID is off the QC File Informa...

Page 140: ...ata the QC Data Mismatch message box appears Press OK to enter the correct data If you scan a bar code other than the QC ampule bar code the Bar Code Not Recognized message box appears Press OK The QC...

Page 141: ...is manual Ensure that you handled and sampled the quality control materials according to the procedures recommended by the manufacturer If required analyze the quality control materials again Use this...

Page 142: ...the results to the correct file 2 Type the Operator ID and press If you want to change text in the QC File Information screen after you press Done press The QC File Information screen reappears Make y...

Page 143: ...screen appears as shown in Figure 2 25 The Analysis Date fields contain the current day s date If you do not complete any other fields the system recalls all QC samples for this day Use this screen to...

Page 144: ...ate to the present date type the start date in the Analysis Date From field and type nothing in the Analysis Date To field for a specific range of dates type the start date in the Analysis Date From f...

Page 145: ...ecord and press to view the previous report that appears on the log Select Search Criteria Screen and press to view the QC Data Search Criteria screen Press to close this message box one sample is fou...

Page 146: ...ress until the status you want appears 3 Press The system displays the QC Data Search Result screen which now contains the changes you made 4 Press to return to the Ready screen If you change the file...

Page 147: ...2345 Analysis Date Apr 12 1994 Expiration Dec 31 1995 Analysis Time 11 42 Results Units Target Range pH 7 613 7 594 7 634 pCO2 21 0 mmHg 19 8 23 8 pO2 148 8 mmHg 142 9 162 9 Na 155 9 mmol L 150 6 160...

Page 148: ...or below the target range or exceeds action range QC sample result is above or below the action range ACCEPTED INTO QC FILE __ Indicates the QC result status accepted and the file number in which the...

Page 149: ...System 850 1001 File 1 QC ID 1234 Level 1 Lot number 93419 Expiration date Jul 12 1995 Month to Date Statistics Apr 1 1994 To Apr 12 1994 Mean SD CV n pH 7 12 0 015 0 2 45 pCO2 80 4 3 1 3 9 48 pO2 49...

Page 150: ...The QC Data Search Criteria screen appears 2 Type only the file number and press The QC Data Search Criteria Log screen appears 3 Select NOTE You can view the previous month s Levey Jennings charts b...

Page 151: ...t Limit 2SD Target Value mean 3SD The Levey Jennings chart for the previous month displays only the data points for QC samples remaining in the file The Levey Jennings chart for the current month disp...

Page 152: ...se to view a Levey Jennings chart the chart that appears is for the file number of the sample that you selected on the log The following symbols appear on Levey Jennings charts The results are accepte...

Page 153: ...s to return to the Ready screen If the Auto Repeat function is on or Flexible Time calibration intervals are selected and a parameter shows excessive drift the system prints a report and repeats the a...

Page 154: ...o not press Home the system automatically returns to the Ready screen after 45 seconds If the Auto Repeat function is turned on or Flexible Time calibration intervals are selected and a parameter show...

Page 155: ...nd press b Select and press The tHb Slope Calibration screen appears as shown in Figure 2 33 2 Enter the slope value for the slope reagent and press The last entered value is displayed To remove this...

Page 156: ...he Wash screen appears The system returns to the Ready screen at the end of the wash The maximum time between tHb slope calibrations is 90 days One day before a tHb slope calibration is scheduled a st...

Page 157: ...1 Access the Barometer Calibration screen from the Menu screen a Select and press b Select and press 2 Type the correct atmospheric pressure and press The acceptable range for atmospheric pressure is...

Page 158: ...nalyze samples until the required calibration completes You cannot defer a one point calibration that is initiated following rapid sampling You can interrupt or defer the one point calibration that oc...

Page 159: ...n Date fields from the earliest date to a specific date leave the Calibration Date From field blank and type the specific date in the Calibration Date To field from a specific date to the present date...

Page 160: ...calibration select the report you want and press The Calibration Data Search Result screen appears as shown in Figure 2 35 print a calibration report a Select the report you want b Press c Press The...

Page 161: ...libration Data Search Result screen print the calibration report a Press b Press The calibration report prints as shown in Figure 2 36 transmit the results to an LIS or a data management system a Pres...

Page 162: ...mol L Glucose 180 180 0 mg dL Lactate 0 00 0 02 0 mmol L Atmospheric pressure appears on all systems 840 850 860 840 850 860 7 Press when you finish more than one report is found the Done Options mess...

Page 163: ...Drift __ Sensor drift is beyond predefined limits during a one point or a two point calibration D5 No Endpoint __ Calibration did not reach endpoint D3 Slope Error __ Sensor slope is beyond predefined...

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Page 173: ...ppear at the top of the scroll list 2 Use the arrow keys to highlight the task you want to record as completed 3 Press Task Done The Maintenance Task Done dialog box appears 4 Enter your operator ID a...

Page 174: ...ear at the top of the report The Due field displays the date on which the task is due next The Date Time Done field displays the date and time the maintenance task was last recorded as complete If a t...

Page 175: ...3 Maintenance Log and press Enter The Maintenance Log screen appears as shown in Figure 3 2 2 Use the arrow keys to scroll through the task list 3 Press Previous Month to view tasks completed in the...

Page 176: ...f household bleach NOTE Dilute household bleach 5 25 sodium hypochlorite 1 10 with reagent quality water reagent quality water44 lint free tissues or swabs BIOHAZARD Refer to Appendix A Protecting You...

Page 177: ...3 96 b Clean the roller cage and the roller cage shaft with a 10 solution of household bleach c Rinse with reagent quality water and dry thoroughly d Reinstall the roller cage Wear safety glasses glo...

Page 178: ...ature screen from the Menu screen a Select 3 Troubleshooting and press Enter b Select 2 Temp pAtm and press Enter 2 Press Start Test 3 Press Stop Test 4 Check the screen to verify that the sample temp...

Page 179: ...e to your laboratory s barometer reading correct press Done incorrect a Type the correct atmospheric pressure and press Enter b Press Done to save the new atmospheric pressure and return to the Ready...

Page 180: ...ule aspiration adapter 1 Perform a successful two point calibration 2 Prepare the High G L ampule and insert an aspiration adapter into the sample port and into the ampule 3 Press Analyze 4 When promp...

Page 181: ...t blank sensors TB4 1 Prepare the deproteinizer as directed on the package 2 Access the Deproteinize screen from the Menu screen a Select 2 Maintenance and press Enter b Select 1 Deproteinize and pres...

Page 182: ...on the biosensors with the contacts in the measurement module You can slide the remaining sensors to the right to create more space you want to condition the sensors press Yes The Conditioning screen...

Page 183: ...st blank sensors c Go to step 3 3 Draw the conditioner solution into a syringe 4 Insert the syringe into the sample port 5 Press Analyze 6 When prompted remove the syringe 7 Wait 10 minutes for the co...

Page 184: ...The main tank pressure must be higher than 300 psi The second stage pressure must be 3 to 5 psi 1 Check the main tank and second stage pressure for each gas tank by looking at pressure gauges on the g...

Page 185: ...on of the fill solution in the pO2 and pCO2 sensors is normal NOTE The glucose and lactate biosensors do not require fill solution BIOHAZARD Refer to Appendix A Protecting Yourself from Biohazards for...

Page 186: ...the pH K Cl and Ca sensors are almost full with only a bubble at the top and that the Na sensor is completely full If any sensor is not properly filled replace the fill solution as described in Filli...

Page 187: ...h C1 is on your system replace it with C2 C2 is on your system replace it with C1 Wear safety glasses gloves and a laboratory coat when handling the reagents 1 At the Ready screen press Enter The Reag...

Page 188: ...n the reagent fitting 7 Press Reset Levels The Reset Levels screen appears 8 Select C1 C2 and press Done Use this procedure to discard and replace the 7 3 CO ox Zero and Cal G L reagents if they are o...

Page 189: ...A prime sequence starts followed by a wash sequence When the wash sequence finishes the Ready screen appears 9 Perform a two point calibration a Press Calibrate b Select Two point and press Enter c P...

Page 190: ...ned and installed on the system for 60 days Materials required 6 838 Buffer Wash G L Zero Wear safety glasses gloves and a laboratory coat when handling the reagents 1 At the Ready screen press Enter...

Page 191: ...alibration after changing the reagents to ensure that the reagents are acceptable and the system is functioning properly You can analyze quality control materials with the new reagents and compare the...

Page 192: ...tubing according to your laboratory s biohazard protocol 7 Orient the new sample tubing as shown in the diagram on the system 8 Connect the new sample tubing to the sample probe 9 Place the sample tu...

Page 193: ...tubing connector on the measurement module 12 Press Continue A wash sequence starts When the wash sequence sequence finishes a message box appears prompting you to perform a two point calibration 13 P...

Page 194: ...iameter clot removal line bubble trap seal if necessary BIOHAZARD Refer to Appendix A Protecting Yourself from Biohazards for recommended precautions when working with biohazardous materials 1 Stop th...

Page 195: ...mber Gasket Support Gasket Mounting Pin Holes Inlet Outlet CAUTION Do not touch the optical zone front or back area enclosed by the gasket of the sample chamber with your fingers Optical Zone Areas Sa...

Page 196: ...reagent quality water d Blot both sides dry with lint free tissue 10 Clean the metal plate a Wipe both sides of the plate with a lint free tissue soaked in cleaning solution b Wipe both sides with a...

Page 197: ...is 13 Reinstall the metal plate into the sapphire window by aligning onto the mounting pins 14 Reinstall the sample chamber a Connect the bubble trap to the sample chamber inlet port b Align the mount...

Page 198: ...precautions when working with biohazardous materials 1 Stop the system from the Menu screen a Select 2 Maintenance and press Enter b Select 7 Stop System and press Enter 2 Disassemble the hemolyzer as...

Page 199: ...ting pin Make sure the anvil is seated on the pin and does not rotate The anvil spring does rotate c Reconnect the sample tubing to the anvil d Reinstall the anvil cap to secure the anvil Listen for a...

Page 200: ...er day If your laboratory analyzes more than 30 samples per day perform this maintenance more frequently Materials required air filter 1 Push the air filter cover down until it snaps out and then pull...

Page 201: ...s required CO ox air filter 1 Push the air filter cover up until it snaps out and then pull the cover away from the system as shown in Figure 3 18 2 Remove the old air filter and discard it 3 Press th...

Page 202: ...example information identified for an 860 also applies to an 865 1 Cut a piece of measurement module tubing to the appropriate length as shown in Figure 3 19 840 15 2 cm 6 inches 850 12 cm 4 75 inches...

Page 203: ...ng loaded latch f Connect the right end of the tubing to the connector at position 3 g Press the tubing into the tubing groove h Continue with step 7 6 Replace the measurement module tubing a Remove t...

Page 204: ...measurement module door 8 Press Continue A wash sequence starts When the wash sequence finishes a message box appears prompting you to perform a two point calibration 9 Press Yes to perform a two poin...

Page 205: ...nect both pieces of tubing from the anvil c Remove the tubing guide on FD5 and gently pull the tubing through FD5 toward the sample connector d Disconnect the CO ox sample tubing from the sample conne...

Page 206: ...g through the hole in the FD5 housing d Thread the replacement tubing through the hole in the FD5 housing e Connect the replacement tubing to the inlet on the reagent manifold f Connect the other end...

Page 207: ...ing replace the tubing for all the pumps Replacing the tubing on only one or two pumps can affect pump calibration and cause incorrect flow rates Materials required sample pump tubing assembly waste p...

Page 208: ...s from the CO ox pump as shown in Figure 3 24 3 Replace the reagent pump tubing as shown in Figure 3 23 a Select the replacement tubing that has the tubing collar b Grasp the left tubing cuff and pull...

Page 209: ...e clockwise to gently work the new tubing between the platen and roller cage i Place the right tubing cuff under the right side of the platen 4 Connect the pump tubing sample pump tubing connect tubin...

Page 210: ...g Place the tubing around the outside of the rollers h Hold the right tubing cuff below the right side of the platen and turn the roller cage clockwise to gently work both pieces of the new tubing be...

Page 211: ...t 3 Troubleshooting and press Enter b Select 1 Fluidics System and press Enter c Select 2 Pump Flow Rate and press Enter d Press Calibrate Pump e Press Exit Test when the Pump calibration complete mes...

Page 212: ...day perform this maintenance more frequently Materials required reagent manifold vent filter 1 Remove the old reagent manifold vent filter from the reagent manifold vent inlet and discard it 2 Insert...

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Page 215: ...ix A Protecting Yourself from Biohazards for recommended precautions when working with biohazardous materials Wear safety glasses gloves and a laboratory coat when performing this procedure 1 Press an...

Page 216: ...lets as shown in Figure 3 28 a Grasp the waste outlet cover and pull it off b Wipe the outlets with a lint free tissue dampened with a 10 solution of household bleach c Clean the waste outlet cover wi...

Page 217: ...ress Enter b Select 7 Stop System and press Enter 2 Push up the latches on the measurement module door and lift the door 3 Push the spring loaded latch to the right as shown in Figure 3 29 CAUTION Do...

Page 218: ...arge static buildup 10 Reinstall the sensor a Gently align the top of the reference sensor with the sensor contact b Snap the sensor down into place c Press the tab on the spring loaded latch to relea...

Page 219: ...or 3 Push the spring loaded latch to the right as shown in Figure 3 31 CAUTION Do not remove or return the sensors to the measurement module without first discharging static buildup Touch the inner su...

Page 220: ...o release the latch 8 Close the measurement module door 9 Press Continue A wash sequence starts When the wash sequence finishes a message box appears prompting you to perform a two point calibration 1...

Page 221: ...nded precautions when working with biohazardous materials 1 Stop the system from the Menu screen a Select 2 Maintenance and press Enter b Select 7 Stop System and press Enter 2 Disconnect the pump tub...

Page 222: ...solution c Clean the roller cage shaft with a lint free tissue moistened with the bleach solution d Rinse the rollers the cage and the shaft with reagent water e Dry the roller cage thoroughly f Ensu...

Page 223: ...10 with reagent quality water reagent water lint free swabs 1 Stop the system from the Menu screen a Select 2 Maintenance and press Enter b Select 7 Stop System and press Enter 2 Remove the required...

Page 224: ...remove and clean other reagent fittings as required 11 Press Continue A wash sequence starts When the wash sequence finishes a message box appears prompting you to perform a two point calibration 12...

Page 225: ...nter b Select 7 Stop System and press Enter 2 Pull off the sample door as shown in Figure 3 35 3 Grasp the tab on the retainer ring and firmly pull the tab toward you to rotate the ring 4 Grasp the sa...

Page 226: ...paper from the printer c Remove the paper roll and set it aside 2 Cut a piece of standard copier paper in half lengthwise to make a strip of paper 10 8 cm 4 25 inches wide 3 Moisten the center of the...

Page 227: ...glutaraldehyde solution to discourage microbial growth in the sample path CAUTION Do not use alcohol to perform this procedure Alcohol can damage the sensors When handling glutaraldehyde follow approp...

Page 228: ...inish Press Cancel if you want to stop cleaning The cleaning cycle finishes The system performs an extended wash sequence The Calibrate System message box appears at the end of the wash sequence 5 Pre...

Page 229: ...levels of quality control material to verify sensor performance 10 Empty and clean the waste bottle waste outlets and waste outlet cover as described in Emptying the Waste Bottle page 3 45 Materials r...

Page 230: ...actate sensors TB4 c Go to step 2 Do not expose the reference sensor to bleach Replace the reference sensor with the test blank reference sensor TB5 Do not substitute a new reference sensor 2 Replace...

Page 231: ...the module frame to discharge static buildup NOTE As you install the sensors ensure that the sensors are in the correct location Visually verify that you align the contacts on the sensors with the con...

Page 232: ...creen a Select 2 Maintenance and press Enter b Select 8 Wash and press Enter 2 Press Home to return to the Ready screen 1 Access the Prime screen from the Menu screen a Select 2 Maintenance and press...

Page 233: ...screen a Select 2 Maintenance and press Enter b Select 7 Stop System and press Enter 2 Perform the required maintenance task 3 Press Continue A wash sequence starts When the wash sequence finishes a...

Page 234: ...nd press Enter 2 Press Print Statistics to print a workload statistics report The workload statistics report is shown in Figure 3 36 WORKLOAD STATISTICS REPORT Apr 12 1994 11 42 System 850 1001 Total...

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Page 237: ...the cap that contains the reagent septum Removing the cap damages the integrity of the reagent septum 4 Remove the plug from the cap of the new reagent bottle 5 Insert the new reagent bottle into pos...

Page 238: ...aper in the printer Use the paper advance key to feed the paper through the printer 1 Stop the system from the Menu screen a Select 2 Maintenance and press Enter b Select 7 Stop System and press Enter...

Page 239: ...r e Push down the printer lever Pull up the paper firmly as you close the cover to ensure that the paper does not jam under the cover f Close the printer cover g Press the paper advance key to ensure...

Page 240: ...tations away from you You can fold the end of the paper 1 3 cm 0 5 inch and place it into the slot Press the paper advance key if there is not enough paper c Lower the paper spool until it snaps into...

Page 241: ...turn the sensors to the measurement module without first discharging static buildup Touch the inner surface of the module frame to discharge static buildup 2 Remove the reference sensor as shown in Fi...

Page 242: ...rvoir to the fill line as shown in Figure 3 42 CAUTION Do not overtighten the reservoir cap Overtightening can deform the gasket and cause leaks 5 Reinstall the reservoir cap and hand tighten 6 Contin...

Page 243: ...the inner surface of the module frame to discharge static buildup 2 Remove the reference sensor as shown in Figure 3 43 a Push up the latches on the measurement module door and lift the door b Push th...

Page 244: ...fragile and is easily damaged 4 Install the internal electrode in the sensor a Use the hex tool to remove the internal electrode from its container b Insert the internal electrode into the electrode...

Page 245: ...with the hex tool and set it aside as shown in Figure 3 45 b Partially fill the KCl reservoir as shown in Figure 3 46 c Tap the front face of the sensor with your knuckle to release any bubbles d Gra...

Page 246: ...ce and press Enter b Select 7 Stop System and press Enter CAUTION Do not remove or return the sensors to the measurement module without first discharging static buildup Touch the inner surface of the...

Page 247: ...n the new cassette a Insert the tip of the KCl fill solution container into the electrode compartment as shown in Figure 3 48 b Slowly fill the electrode compartment by gently squeezing the container...

Page 248: ...your knuckle to release any bubbles d Gradually fill the KCl reservoir with KCl fill solution up to the fill line Do not overtighten the reservoir cap Overtightening can deform the gasket and cause le...

Page 249: ...remove or return the sensors to the measurement module without first discharging static buildup Touch the inner surface of the module frame to discharge static buildup 2 Remove the reference sensor as...

Page 250: ...Fill the electrode compartment in the new cassette as shown in Figure 3 53 a Insert the tip of the KCl fill solution container into the electrode compartment in the cassette b Partially fill the elect...

Page 251: ...the internal electrode into the compartment and screw it into place with the hex tool ensuring that you do not cross thread the electrode 10 Fill the KCl reservoir in the sensor a Remove the reservoi...

Page 252: ...ge 3 89 Use this procedure to fill any measurement sensors that do not have sufficient fill solution Refer to Table 3 1 to determine the appropriate fill solution to use Materials required appropriate...

Page 253: ...ce and press Enter b Select 7 Stop System and press Enter CAUTION Do not remove or return the sensors to the measurement module without first discharging static buildup Touch the inner surface of the...

Page 254: ...l solution remaining in the sensor NOTE Refer to Table 3 1 to determine the appropriate fill solution to use 5 Rinse the electrode compartment with 3 drops of the appropriate sensor fill solution and...

Page 255: ...refer to Replacing the Glucose and Lactate Biosensors page 3 86 Materials required appropriate sensor BIOHAZARD Refer to Appendix A Protecting Yourself from Biohazards for recommended precautions whe...

Page 256: ...p and out of the measurement module d Discard the sensor 3 Perform the appropriate action the chloride sensor go to step 4 other measurement sensors or the sample ground temperature sensor go to step...

Page 257: ...own into place c Press the tab on the spring loaded latch down to release the latch d Verify that the sensors are installed from left to right in the following order in the measurement module pO2 pCO2...

Page 258: ...of the sensor rises to 37 C gas is driven from the solution causing bubbles Remove any bubbles present Materials required glucose biosensor lactate biosensor BIOHAZARD Refer to Appendix A Protecting Y...

Page 259: ...urement module d Discard the biosensor 3 Remove the new biosensor from the foil package 4 Ensure that the O ring is in place on the biosensor CAUTION Do not remove or return the sensors to the measure...

Page 260: ...Lac 6 Close the measurement module door 7 Press Continue A wash sequence starts When the wash sequence finishes a message box appears prompting you to perform a two point calibration 8 Press Yes to p...

Page 261: ...that the vent hole in the reservoir cap is free of KCl crystals 3 Replace any O ring that is worn or damaged 4 Verify that the O rings are in place NOTE The reference sensor has an O ring on both sid...

Page 262: ...Use a suitable hand truck to move tanks Never tamper with safety devices in regulators or tanks Use these gases for the calibration of clinical and research instrumentation only Do not dispense these...

Page 263: ...me in contact with the gas stream Gas under pressure can cause bodily injury and property damage f To avoid injury or damage position the valve outlet so that it is facing away from your face body and...

Page 264: ...dition and in place on the regulator as shown in Figure 3 62 e Attach the gas regulator to the gas tank by aligning the regulator nipple with the valve outlet and ensure that the dowel pins on the reg...

Page 265: ...7 Press Continue A wash sequence starts When the wash sequence finishes a message box appears prompting you to perform a two point calibration 8 Check the gas flow rate from the Menu screen a Select...

Page 266: ...QC results after the system is recalibrated If you do not install Bayer Diagnostics Cal Gas or Slope Gas tanks ensure that you define the calibration gas values for the gases used during calibration...

Page 267: ...ress Continue A wash sequence starts When the wash sequence finishes a message box appears prompting you to perform a two point calibration 13 Press No 14 Check the gas flow rate from the Menu screen...

Page 268: ...ls 1 Stop the system from the Menu screen a Select 2 Maintenance and press Enter b Select 7 Stop System and press Enter 2 Disconnect the pump tubing from the reagent manifold NOTE Do not stretch the t...

Page 269: ...n the shaft until the roller cage stops 9 Press the roller cage down until the cage snaps into place 10 Reinstall the tubing as described in Replacing the Pump Tubing page 3 39 11 Press Continue A was...

Page 270: ...irmly pull the tab toward you to rotate the ring 4 Grasp the sample port and attached drip tray and pull it off the mount as shown in Figure 3 66 NOTE Ensure that the three O rings are in place 5 Inst...

Page 271: ...ss Enter 2 Remove the old probe a Disconnect the sample tubing from the connector on the measurement module b Disconnect the sample tubing from the bracket on the probe mount c Rotate the sample tubin...

Page 272: ...cket on the probe mount e Connect the sample tubing to the sample tubing connector on the measurement module 4 Press Continue A wash sequence starts When the wash sequence finishes a message box appea...

Page 273: ...scard the capillary seal according to your laboratory protocol 4 Install the new capillary seal a Hold the seal at the top angle it toward the right and push it into the opening in the sample port b I...

Page 274: ...ou do not adhere to the time intervals you can damage the system 2 Wait until prompted and then disconnect the power cord from the power source 3 Disconnect the power cord from the side panel of the s...

Page 275: ...form a two point calibration 15 Press No 16 Verify the system component temperatures from the Menu screen a Select 3 Troubleshooting and press Enter b Select 2 Temp pAtm and press Enter c Press Start...

Page 276: ...ve the old lamp from the lamp housing and discard it 6 Place a new lamp in the housing aligning the lamp with the guide pin 7 Pinch the ends of the clamp together and replace it in the bracket 8 Insta...

Page 277: ...fuses for the voltage you use 100 120V 4A Slo Blo 5 x 20 mm 220 240V 2A Slo Blo 5 x 20 mm To prevent electrical shock or damage to the system remove power from your system before performing this proce...

Page 278: ...the fuse holders from the compartment 7 Remove the old fuses and install new fuses with the correct rating Refer to Table 3 2 to identify the correct fuse 8 Slide the fuse holders into the fuse compar...

Page 279: ...atures from the Menu screen a Select 3 Troubleshooting and press Enter b Select 2 Temp pAtm and press Enter c Press Start Test d Verify that the system components warm up e Press Stop Test f If the te...

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Page 287: ...ontributed to an existing system problem 1 Access the Status Event Log from the Menu screen a Select 4 Data Recall and press Enter b Select 5 Status Event Log and press Enter The Message Date fields c...

Page 288: ...o indicate that there are more messages which can be viewed in the status log Auto Clean Pending in __ Min Appears 5 minutes before an Auto Clean sequence is due and counts down until the sequence sta...

Page 289: ...stem Messages page 4 115 Excessive Bubbles in COox Zero Appears when the system detects a non continuous fluid 7 3 buffer in the sample chamber and cannot perform the zero See Troubleshooting System M...

Page 290: ...page 4 118 Insufficient COox Sample Appears when there is not enough sample to fill the CO ox sample chamber so the measurement cannot be completed See Troubleshooting System Messages page 4 117 Insu...

Page 291: ...Sample Temperature Out of Range Appears when the measurement block temperature is not in range at the end of measurement sequence See Troubleshooting System Messages page 4 120 __ Sent Appears when y...

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Page 295: ...es in the status area When the system displays a D code the View Status F key appears on the screen The Not Ready screen appears if the D code prevents the system from being ready Press View Status to...

Page 296: ...mple Path in Section 3 Check for cracks or leaks in the sample tubing If necessary replace the sample tubing as described in Replacing the Sample Tubing in Section 3 Check for leaks or crimps in the g...

Page 297: ...heck the solution level in the affected measurement sensor and look for bubbles If the solution level is low refill the sensor as described in Filling the Measurement Sensors in Section 3 Check the so...

Page 298: ...alve to verify that the valve is working by performing the Valves test as described on page 4 62 Replace the affected sensor as described in Replacing the Measurement or Sample Ground Temperature Sens...

Page 299: ...is closed as described in Removing and Checking the Sensors on page 4 65 Check the biosensor contacts and measurement block for salt buildup Check behind the biosensor for fluid leaks that can come fr...

Page 300: ...libration Deproteinize the sample path as described in Deproteinizing the Sample Path in Section 3 Repeat the tHb slope calibration Check that the sample chamber is tightly in place Refer to Cleaning...

Page 301: ...the Sample Tubing in Section 3 Check for leaks or crimps in the gas tubing If necessary replace the gas tubing as described in Replacing the Gas Tubing in Section 3 Check the gas flow rate and valve...

Page 302: ...itioning the Sensors in Section 3 Check the solution level in the affected measurement sensor and look for bubbles The pH K Ca and Cl sensors should be nearly full The Na sensor should be full If the...

Page 303: ...he O rings are in place and the spring loaded latch is closed as described in Removing and Checking the Sensors on page 4 65 Check the biosensor contacts and measurement block for salt buildup Check b...

Page 304: ...the calibration Ensure the slope reagent is appropriate for the instrument Check that the sample chamber is tightly in place The tab on the cams should be vertical Repeat the tHb slope calibration Ch...

Page 305: ...gas tanks as described in Replacing the Gas Tanks in Section 3 Check for leaks or crimps in the gas tubing If necessary replace the gas tubing as described in Replacing the Gas Tubing in Section 3 Ch...

Page 306: ...rs in Section 3 If K or Ca have a D4 Offset Error replace the fill solution even if the fluid levels are sufficient If more than two sensors have the D4 Offset Error check the solution level in the re...

Page 307: ...Checking the Sensors on page 4 65 Check the expiration dates and the levels of the reagents Ensure that the reagent bottles are installed properly and in the correct location If reagents have expired...

Page 308: ...sensor Ensure measurement module door was not opened during measurement If door was opened repeat the sample analysis Perform a gas two point calibration Deproteinize the sample path as described in D...

Page 309: ...evel in the reference sensor and look for salt in the vent hole bubbles in the sensor or leaks If the solution level is low or salt bubbles or leaks are present clean and refill the reference sensor a...

Page 310: ...a metabolite two point calibration Perform the Measurement Test for the affected biosensor as described in Measurement Test page 4 70 If the glucose or lactate biosensors have been on the system less...

Page 311: ...sample door is open or closed Check that your hand does not prevent the door from closing Check that the door is installed correctly Perform the Sample Entry Test as described on page 4 67 If the D c...

Page 312: ...s at sample port Check for cracks or leaks in the sample tubing If necessary replace the sample tubing as described in Replacing the Sample Tubing in Section 3 Check the measurement module for leaks C...

Page 313: ...rve the sample path for obstructions 2 If you see obstructions continue with the solutions to remove obstructions Check the measurement module for obstructions and remove them as described in Removing...

Page 314: ...orrectly as described in Removing and Checking the Sensors on page 4 65 If you see obstructions remove them as described in Removing Obstructions from the Measurement Module page 4 82 Perform the Flui...

Page 315: ...lifiers FD3 FD4 Perform a wash Observe the fluid as it moves through the system for sufficient wash flow wash segments and no leaks at the sample port Perform the Fluid Detector Test as described on p...

Page 316: ...the sample tubing that goes through FD5 for cracks leaks and discoloration If you see cracks or leaks replace the tubing as described in Replacing the CO ox Sample Tubing in Section 3 Perform the Flui...

Page 317: ...ct the CO ox sample path as described in Disconnecting the CO ox Sample Path page 4 92 You can continue to analyze samples on the base model Check that the communications cable connecting the CO ox mo...

Page 318: ...10 kPa and that the reading is stable 5 Compare the atmospheric pressure displayed to the barometer in your laboratory to verify its accuracy 6 Press 7 Press Exit Test If the reading is stable but doe...

Page 319: ...ate and level Ensure that the reagent bottle is installed properly and in the correct location If the C1 C2 has expired is low or is incorrectly installed replace it Prime the system Perform the Fluid...

Page 320: ...d latch is closed as described as described in Removing and Checking the Sensors on page 4 65 Check the expiration dates and the levels of the reagents Ensure that the reagent bottles are installed pr...

Page 321: ...Obstructions from the Sample Entry Components page 4 79 Check the measurement module for leaks Check that the sensors are installed in the correct order and are aligned the O rings are in place and th...

Page 322: ...e capillary seal as described in Removing Obstructions from the Sample Entry Components page 4 79 2 Clean the sample probe with a lint free tissue moistened with a 10 solution of household bleach and...

Page 323: ...tart it as described in Shutting Down and Restarting the System in Section 5 6 or 7 shut down and restart the system as described in Shutting Down and Restarting the System in Section 5 10 check the t...

Page 324: ...erature sensor is installed correctly If the sensor is not correctly installed remove and install it as described in Cleaning the Sample Ground Temperature Sensor in Section 3 Check that the location...

Page 325: ...reagents Ensure that the reagent bottles are installed properly and in the correct location If reagents are low or are incorrectly installed replace the affected reagents and perform a two point calib...

Page 326: ...reagents Ensure that the reagent bottles are installed properly and in the correct location If reagents are low or are incorrectly installed replace the affected reagents and perform a two point calib...

Page 327: ...t for the port where the error occurred as described in External Loopback Test page 4 75 If the External Loopback Test fails and the cable is firmly connected to the port replace the interface cable P...

Page 328: ...s described in Cleaning the Sample Chamber It is not necessary to remove or replace the sample chamber gasket 3 Perform a pH Lytes one point calibration Perform CO ox Optics test Clean the sample cham...

Page 329: ...r leaks Replace the tubing if necessary as described in Replacing the CO ox Sample Tubing in Section 3 If you move the tubing or unfasten the FD5 tube locking mechanism you must perform a manual wash...

Page 330: ...e CO ox sample path for leaks or cracks If you find cracks or leaks replace the tubing as described in Replacing the CO ox Sample Tubing in Section 3 Check the CO ox sample path for obstructions If yo...

Page 331: ...ox Optics Test page 4 75 Remove the lamp cover from the CO ox module and visually verify that the lamp is on If the lamp is not on replace it as described in Replacing the CO ox Lamp in Section 3 Visu...

Page 332: ...and press Enter 3 Press Yes 4 Wait at least 1 minute and then disconnect the power cord from the power source 5 Wait at least 10 seconds and then connect the power cord to the power source 4 7 9 12 s...

Page 333: ...nly at power up initialization The DAC value 016FH is loaded A dark measurement is initiated the DAC is loaded with 05D0H and another dark measurement is taken The difference in ADC counts between the...

Page 334: ...ng is to be 3 0V 3 and 3 0V 3 respectively 10 testing occurs at start up and during the CO ox pump MIT Pump MIT selects CO ox This test checks for current flow through the windings A failure indicates...

Page 335: ...ically clears the D77 condition If the problem has not been corrected the system displays the D77 condition code again Check that the ambient temperature of the laboratory is between 15 and 32 C Perfo...

Page 336: ...uctions from the CO ox Sample Path page 4 87 Check the CO ox sample tubing for leaks or cracks If you find cracks or leaks replace the tubing as described in Replacing the CO ox Sample Tubing in Secti...

Page 337: ...Perform the Pump Functions Test as described in Pump Functions Test page 4 58 If the D code reappears contact your Service Representative...

Page 338: ...ample Tubing in Section 3 Check that the gaskets in the CO ox sample chamber and hemolyzer are seated correctly If necessary reinstall either gasket as described in Cleaning the CO ox Sample Chamber o...

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Page 341: ...s slope gas glu lac and diverter Gas Flow Rates Tests the ability of the Cal Gas and Slope Gas valves to control the flow of gases Fluid Detector Tests the ability of the fluid detectors to detect the...

Page 342: ...rement module 1 Access the Fluidics Functions Test screen from the Menu screen a Select 3 Troubleshooting and press Enter b Select 1 Fluidics System and press Enter c Select 1 Fluidics Functions and p...

Page 343: ...ure to test the flow rate of the reagent pump and to calibrate the reagent pump if necessary 1 Access the Pump Flow Rate Test from the Menu screen a Select 3 Troubleshooting and press Enter b Select 1...

Page 344: ...he reagent sample waste and CO ox pumps The flow rate is the amount of fluid the pumps can pump in a specified time Materials required for the manual pump flow rate test stopwatch 10 mL graduated cyli...

Page 345: ...action measure the flow rate of the reagent sample or waste pump continue with step 4 return to the Menu screen continue with step 11 4 Install the test tubing on the reagent sample or waste pump as s...

Page 346: ...to left position 4 b and to the outlet tubing connected to right position 4 test the waste pump a to the pump inlet tubing connected to left position 5 b and to the outlet tubing connected to right p...

Page 347: ...exactly 1 minute d Press Stop Test e Compare the volume of collected fluid to the expected ranges reagent 1 51 1 85 mL min 5 94 7 26 mL min sample 1 51 1 85 mL min 5 94 7 26 mL min waste 1 51 1 85 mL...

Page 348: ...e waste tubing connector on the pump 13 Perform the appropriate action measure the flow rate of a different pump repeat steps 4 through 9 return to the Menu screen a Press Exit Test The Menu screen ap...

Page 349: ...or Slope Gas valves refer to Checking the Gas Flow page 4 64 1 Access the Valves Test from the Menu screen a Select 3 Troubleshooting and press Enter b Select 1 Fluidics System and press Enter c Selec...

Page 350: ...dure Sample Port Aspiration Adapter Water Steady Stream of Bubbles 1 Fill a small container with reagent water 2 Access the Valves Test from the Menu screen a Select 3 Troubleshooting and press Enter...

Page 351: ...Troubleshooting menu and enter the Main menu the system performs a wash 1 Stop the system from the Menu screen a Select 2 Maintenance and press Enter b Select 7 Stop System and press Enter CAUTION Tou...

Page 352: ...t 1 Fluidics System and press Enter c Select 5 Fluid Detector and press Enter The Fluid Detector Test screen appears as shown in Figure 4 8 2 Test the fluid detectors with clear fluid and air a Select...

Page 353: ...t to test the fluid detectors with another type of fluid 6 Press Exit Test 7 Press Exit Menu Use this procedure to test the ability of the system to move the sample door and the sample probe identify...

Page 354: ...pulled back into the sample port when prompted c Press Start Test d Remove the sample device when prompted e Check the screen to verify that the system correctly identifies the size and the type of th...

Page 355: ...us area This test also displays the temperature readings for the measurement module the sample path the measurement module window the preheater and the barometric pressure NOTE The 37 C temperature se...

Page 356: ...electronics You can print stored signals from the last successful two point calibration test the sensor circuit without a sensor and with a test blank sensor 1 Access the Measurement Test from the Men...

Page 357: ...mV 25 to 90 42 5 to 68 5 mV Dec pO2 0 300 to 0 360 nA 5 to 90 0 002 to 0 020 nA mmHg Na 35 2 to 141 0 mV 15 to 90 42 5 to 68 5 mV Dec K 41 8 to 146 6 mV 15 to 90 42 5 to 68 5 mV Dec Ca 34 7 to 137 1 m...

Page 358: ...ppropriate sensors a Open the measurement module door b If you are testing a pH or ISE sensor circuit remove the reference sensor c Remove the measurement sensor d Close the measurement module door 3...

Page 359: ...ement module door b Perform the appropriate action pO2 or pCO2 sensor circuit TB1 test blank sensor pH or Na sensor circuit TB2 test blank sensor K Ca or Cl sensor circuit TB3 test blank sensor Glu bi...

Page 360: ...ic buildup before removing or returning sensors 6 Reinstall the sensors a Open the measurement module door b Remove the test blank sensor c Reinstall the measurement sensor If you want to test another...

Page 361: ...test passed The system requires a one point calibration to zero the CO ox module when the lamp test is complete The message Calibration Overdue COox Zero is displayed when the test is run The integrat...

Page 362: ...800 system and the external device a Remove the cable from the port on the external device b Attach the loopback connector to the end of the cable 4 Press Start Test 5 Check the screen for the message...

Page 363: ...o test the ability of the bar code scanner to read a test pattern 1 Access the Bar Code Scanner Test from the Menu screen a Select 3 Troubleshooting and press Enter b Select 6 Barcode Scanner and pres...

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Page 367: ...with biohazardous materials 2 Remove obstructions from the sample entry area a Place a gauze pad in front of the sample port b Turn the sample pump counterclockwise until the obstruction is ejected o...

Page 368: ...structions d Push a 0 558 mm 0 022 inch diameter clot removal line through the capillary seal against the direction of sample flow e Install a new capillary seal if you cannot remove the obstruction o...

Page 369: ...nto the mount matching the tab on the sample port to the notch in the retainer ring b Grasp the tab on the retainer ring and turn the retainer ring away from you to lock it in place c Replace the samp...

Page 370: ...s to the measurement module without first discharging static buildup Touch the inner surface of the module frame to discharge static buildup 3 Inspect the pO2 and pCO2 gas sensors for obstructions To...

Page 371: ...structions a Remove the sensors one at a time and inspect the sample path for obstructions b Cut a piece of tubing or use a capillary adapter and place the tubing on the tip of the syringe c Push a 0...

Page 372: ...on is not removed fill the syringe with fresh wash reagent and inject the wash reagent into the sensor sample path to remove obstructions As you install the biosensors ensure that the biosensors are i...

Page 373: ...are in place 7 Remove obstructions from the path through the latch as shown in Figure 4 19 Do not remove or return the sensors to the measurement module without first discharging static buildup Touch...

Page 374: ...ce 8 Press the release tab to close the spring loaded latch 9 Ensure that the sensors are aligned correctly 10 Close the measurement module door 11 Press Continue A wash sequence starts When the wash...

Page 375: ...or air into the CO ox sample tubing Using a needle may damage the CO ox sample tubing 1 Stop the system from the Menu screen a Select 2 Maintenance and press Enter b Select 7 Stop System and press Ent...

Page 376: ...ing from the inlet on the reagent manifold and manually turn the CO ox pump counterclockwise to remove the obstruction NOTE If air does not remove the obstruction place the waste tubing into a beaker...

Page 377: ...om the Measurement Module for instructions d Reinstall the sample connector e Reconnect the tubing 4 Inspect the hemolyzer for obstructions a Remove the anvil cap on the hemolyzer by turning it a quar...

Page 378: ...tubing from the inlet on the reagent manifold f Manually turn the CO ox pump counterclockwise to remove the obstruction from the sample tubing NOTE If air does not remove the obstruction from the samp...

Page 379: ...mber c Push a 0 016 inch diameter clot removal line into the metal tubing of the outlet port of the bubble trap NOTE If the clot removal line does not remove the obstruction flush the bubble trap by i...

Page 380: ...eters and press Enter c Move to the CO oximetry frame d Select the tHb parameter and press Enter This turns all CO ox parameters off e Press Next Screen to access the second screen of parameters f Pre...

Page 381: ...6 Reinstall the screw 7 Reconnect the base model sample tubing 8 Press OK To reconnect the CO ox sample path turn the CO ox parameters on invert the sample connector The instructions in the procedure...

Page 382: ...he following results reagents sensors and CO ox bar codes electronics roll printer probe pumps thermal control system messages If the problem remains after you perform the suggested solutions contact...

Page 383: ...as described in Pump Functions Test page 4 58 or or The result is above up arrow or below down arrow the established control range 1 Verify that the control is prepared handled mixed and sampled corre...

Page 384: ...heck reagent and instrument reporting categories for transcription or setup errors 6 Verify that the controls are not outdated or deteriorated Use controls only within their expiration date 7 Verify t...

Page 385: ...agents are installed in the correct positions on the manifold 6 Perform a wash 7 Perform a successful two point calibration 8 Retest the sample and verify the results is printed next to the result on...

Page 386: ...tain whether a value outside the range is likely 2 Check for sample movement during measurement 3 Check the fluid in the sample path for bubbles 4 Perform a wash 5 Ensure that you use the correct samp...

Page 387: ...sample type the patient sample or the system NOTE When analyzed as a patient sample aqueous materials with dyes cause the If Blood Question Data message to appear 1 Ensure that you analyzed a patient...

Page 388: ...erform a tHb slope calibration d Analyze the sample again e If the message reappears go to step 6 4 Review the last calibration 5 Obtain and analyze a new sample from the patient 6 If the message reap...

Page 389: ...rt 1 Ensure that the sample probe is installed correctly 2 Check that the O rings are installed on the sample port and are not deteriorated Fluid is leaking in the measurement module 1 Verify that all...

Page 390: ...5 Inspect the sample path in the measurement module for obstructions and leaks 6 Verify that all sensor O rings and sensors are correctly aligned with the sample path and that the O rings are not dete...

Page 391: ...correctly 9 Clean the roller cage and shaft and replace the pump tubing if required No waste is flowing out of the waste outlets into the waste bottle 1 Check for obstructions in the sample entry com...

Page 392: ...that all sensor O rings and sensors are correctly aligned with the sample path and that the O rings are not deteriorated NOTE The reference sensor has two O rings 7 Test the sample pump flow rate as...

Page 393: ...Section 1 2 Check for obstructions in the sample entry components as described in Removing Obstructions from the Sample Entry Components page 4 79 3 Check for obstructions in the measurement module a...

Page 394: ...Check the fill solution level in the sensors and empty and refill if required 5 Initiate the Auto Clean sequence 6 Perform two successful two point calibrations 7 Run controls and verify the results T...

Page 395: ...ors for leaks and replace if required 5 Ensure the seal is in place between the gas tank and regulator 6 If the leak is between the gas tank and regulator tighten the yoke screw or replace the plastic...

Page 396: ...sor Refer to the appropriate procedure in Section 3 More than two sensors have a D4 Offset Error 1 If the pH or ISE sensors show offset errors check the reference sensor for the correct solution level...

Page 397: ...ppear on screen when you scan with the bar code scanner Incorrect symbology selected in system setup incorrect or defaced bar code labels or faulty bar code scanner cable or port incorrect field in fo...

Page 398: ...d Appendix D Interfacing to External Devices 2 Check the cable connections at both ends 3 Check the cable for crimps or deterioration 4 Connect the external device LIS or HIS to another port as descri...

Page 399: ...Clean the roll printer as described in Cleaning the Roll Printer in Section 3 3 Repeat the Roll Printer Test 4 Replace the roll of printer paper as described in Replacing the Printer Paper in Section...

Page 400: ...t module temperature warning message The measurement module is outside the 37 00 0 15 C range The system can accept sample analysis 1 Ensure that the measurement module door is closed 2 Perform the Te...

Page 401: ...ly 6 Verify that the location of the system meets the specifications for ambient operating temperatures as described in Appendix H Installation 7 Check the air filter to ensure that the air vent is no...

Page 402: ...gned correctly with the sample path 4 Check the sample probe and the sample tubing for damage or incorrect installation 5 Verify that the reagent and sample pumps are operating correctly and test the...

Page 403: ...tructions from the CO ox Sample Path in Section 4 5 Check for clots in the hemolyzer See Cleaning the Hemolyzer in Section 3 6 Clean the sample chamber as described in Cleaning the Sample Chamber in S...

Page 404: ...with the sample type the patient sample or the system NOTE When analyzed as a patient sample aqueous materials with dyes cause the If Blood Question Data message to appear 1 Ensure that you analyzed a...

Page 405: ...the message reappears contact your Service Representative Insufficient COox Sample The CO ox sample chamber does not detect the sample during the predefined time limit The CO ox measurement cannot be...

Page 406: ...ate result on reports 1 Check the sample source and determine whether the presence of an interfering substance is likely See Appendix E Performance Characteristics for a list of interfering substances...

Page 407: ...ensure that the air vent is not obstructed and that the filter is clean See Replacing the Air Filter in Section 3 8 Verify that the fan is operating Meas Module Temperature Warning The measurement mod...

Page 408: ...the message appears repeatedly with capillary samples replace the capillary seal Sample Temperature Out of Range The measurement module block temperature is not in range at the end of the measurement...

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Page 411: ...3 0 5 2 3 5 5 0 5 0 5 3 5 5 0 5 5 5 5 5 0 5 0 5 2 5 2 5 0 0 1 2 5 5 0 5 0 5 0 5 4 5 0 0 5 3 1 5 0 0 5 5 0 2 5 5 0 5...

Page 412: ...7 0 2 5 1 7 2 23 7 2 32 2 11 2 7 2 32 2 2 13 21 7 2 32 2 0 1 11 13 21 7 0 2 23 02 7 0 2 21 7 0 2 1 3 1 7 2 0 2 0 3 6 32 2 2 7 0 4 2 7 5 0 4 2 7 612 2 7 12 0 612 2 7 12 25 0 7 6 1 7 0 2 7 2 612 2 6 7...

Page 413: ...Data select fields to appear on the screen and in the printed reports Operating Setup and Report Formats select units of measure for parameter results Operating Setup and Units Defaults select names f...

Page 414: ...ce and System Information view system serial number ID install date software version and phone number for technical assistance Service and System Information You use the following keys while performin...

Page 415: ...n Cancel discontinue the setup procedure Enter accept data you type in fields and selections you make on screens Enter also lets you move forward through fields Enter is located on the keypad Home ret...

Page 416: ...n contain 16 fields The default for each field is On which means that all fields appear on the Patient Information screen You can choose to have a field not appear on the form by turning the field off...

Page 417: ...per minute of the patient p50 partial pressure of oxygen at which hemoglobin is 50 saturated Sex gender of the patient Birthdate date patient was born Physician ID number used to identify the physicia...

Page 418: ...does not appear on the Patient Information screen make a field a required field a Move to the Required check box for the field you want b Press Enter The check box becomes dark which indicates the fie...

Page 419: ...f is evaluated during quality control testing 1 Access the Select Custom Panels screen from the Menu screen a Select 6 System Setup and press Enter b Select 4 Panels and press Enter c Select 2 Custom...

Page 420: ...s for Analysis page 5 12 NOTE Default panels are used in patient sample analysis only All parameters are evaluated during quality control analysis 840 All Parameters pH pO2 pCO2 844 All Parameters pH...

Page 421: ...H Na K Ca Cl glucose lactate pH Ca 864 All Parameters pH Blood gas CO ox pH lytes metabolites pH Ca pH Blood gas lytes metabolites pH pO2 pCO2 Na K Ca Cl glucose lactate tHb FO2Hb pH pO2 pCO2 tHb FO2H...

Page 422: ...rs you want the system to analyze If you select a parameter to be off the system does not measure or calculate results during analysis and the parameter name does not appear on the Results screen or t...

Page 423: ...peat steps a and b for each parameter you want to change 3 Press Done 4 You can define another setup function or press Exit Menu to return to the Ready screen When you select a measured parameter to b...

Page 424: ...lues and press Enter The Units and Values screen appears as shown in Figure 5 6 2 Select the measurement units a Move to the frame that contains the measurement unit you want to change b Select the un...

Page 425: ...these values for certain calculations Table 5 5 lists the default values and valid ranges for ctHb O2 binding factor p50 and ctO2 a v ctHb 2 0 25 0 20 250 1 2 15 5 15 0 g dL g L mmol L p50 0 0 100 0...

Page 426: ...ng all the fields the Incomplete Data Entry message box appears Press OK and complete the required fields If you type an invalid value in a field and press Done the Invalid Entry message box appears P...

Page 427: ...etup function or press Exit Menu to return to the Ready screen Use this procedure to define the reference and action ranges for each parameter The system uses reference ranges to determine if a result...

Page 428: ...860 Cl mmol L 98 106 40 160 850 860 Glucose mg dL 66 93 10 999 860 Lactate mmol L 0 5 2 0 0 0 30 0 860 Tietz NW ed Fundamentals of Clinical Chemistry 3rd ed Philadelphia WB Saunders 1987 864 891 Weisb...

Page 429: ...ess Enter c Select 1 Ref Action Ranges and press Enter The Reference and Action Ranges screen appears as shown in Figure 5 9 2 Move to the field that you want to change 3 Type the new value and press...

Page 430: ...matically at the end of analysis The default is 1 Entry values are 1 3 NOTE This option is available only when the roll printer is selected Auto Print Lets you control whether the system prints a repo...

Page 431: ...appears prompting you to set up another report want to select options for another report Yes The Printing Options screen reappears Repeat steps 2 thru 5 to select options for another report do not wan...

Page 432: ...f each report You need an alphanumeric keyboard to type the information The 800 systems provide a variety of printed report formats Refer to Appendix F Printed Reports for an example of each report fo...

Page 433: ...report a Select the report type you want b Press Print Report Format A copy of the report format prints on the printer you selected create information lines for a report a Press Enter Header The Ente...

Page 434: ...inting Options and press Enter The Printing Options screen appears as shown in Figure 5 12 2 Move to the Roll Printer frame 3 Select On or Off and press Enter 4 Press Done The next Printing Options sc...

Page 435: ...e Printing Options screen appears as shown in Figure 5 13 2 Move to the Paper Spool frame 3 Select On or Off and press Enter 4 Press Done The next Printing Options screen appears 5 Press Done again 6...

Page 436: ...you can password protect the Operating Setup menu Operators must then enter the menu options password to access the Operating Setup menu They can still access other menu functions without a password R...

Page 437: ...g maintenance tasks the Maintenance Task Done dialog box The operator ID also prints on the patient sample QC sample and maintenance log reports If you want to protect access to sample analysis select...

Page 438: ...action define a new operator password a Type the ID in the Operator ID field and press Enter b Type the password in the Operator Password field and press Enter edit a password or ID retype the ID in t...

Page 439: ...and can be used to access sample analysis Define a menu options password only if you want to password protect access to menu functions Refer to Selecting Password Protection page 5 26 to select menu o...

Page 440: ...same password for the supervisor and menu passwords or create a different password for each c Type the password in the Menu Password field and press Enter d Type the same password in the Menu Passwor...

Page 441: ...e date that appears on reports and on the screen uses three letters for the month for example 24 Jun 1994 YY MM DD 94 06 24 NOTE The date that appears on reports and on the screen is completely numeri...

Page 442: ...If you press Done before completing all required fields the Incomplete Data Entry message box appears Press OK and complete the required fields If you type an invalid value in a field and press Done...

Page 443: ...etup and press Enter b Press 5 Systems Options and press Enter The System Options screen appears as shown in Figure 5 18 2 Move to the Auto Clean Time field 3 Type the hour and minutes in the format H...

Page 444: ...the start date 3 Take the appropriate action keep the existing maintenance schedule go to step 10 change the frequency of a maintenance task go to step 4 4 Select Edit Frequency 5 Use the arrow keys...

Page 445: ...e 5 20 2 Highlight the Patient Sample Limit field 3 Type a number from 100 to 5000 The default is 1500 Set the limit slightly higher than the usual number of samples stored on the system before your s...

Page 446: ...een from the Menu screen a Press 6 System Setup and press Enter b Press 5 Systems Options and press Enter The System Options screen appears as shown in Figure 5 21 2 Move to the Beeper Volume frame 3...

Page 447: ...fault value is Yes No The operator moves capillary samples to the measurement module by turning the sample pump 1 Access the System Options screen from the Menu screen a Press 6 System Setup and press...

Page 448: ...s to an LIS or data management system The default setting is On Off Results are not automatically transmitted The operator must press to transmit results or press to prevent transmission of results 1...

Page 449: ...lue is high Low pH 0 01 H nmol L 1 pCO2 mmHg kPa 1 0 1 pO2 mmHg kPa 1 0 1 High pH 0 001 H nmol L 0 1 pCO2 mmHg kPa 0 1 0 01 pO2 mmHg kPa 0 1 0 01 1 Access the System Options screen from the Menu scree...

Page 450: ...tem processes patient sample results when a sensor is out of calibration When the system detects a sensor that has excessive calibration drift it cannot analyze samples until the drift is corrected By...

Page 451: ...25 2 Move to the Report with Cal Drift frame 3 Select Yes or No and press Enter 4 Press Done Yes A password message appears prompting you to enter the menu password and an operator ID a Type the menu...

Page 452: ...ibes the slope and offset correlation values Slope 1 0 Slope of the line for the method you want the 800 system to match Offset 0 0 Difference between the 800 system value and the method you want to m...

Page 453: ...parameter 3 Press Done when you finish 4 Define another setup function or press Exit Menu to return to the Ready screen If you press Done before completing all the fields the Incomplete Data Entry mes...

Page 454: ...setup parameter or value The report is a record of your setup definitions which can be used later when you want to make another change 1 Access the Print Setup Report screen from the Menu screen a Se...

Page 455: ...or the last 150 QC samples cumulative statistics such as the mean standard deviation and coefficient of variation total number of samples When you create a new QC setup file you enter the information...

Page 456: ...and press Enter b Select 1 QC Setup and press Enter c Select 1 QC Files and press Enter 2 Select the file number you want to create and press Enter You cannot select File 13 as a QC file 3 Press Done...

Page 457: ...ional bar code scanner scan the target range bar code for each parameter from QC Expected Values If you scan the wrong bar code a message appears prompting you to scan the correct parameter bar code P...

Page 458: ...een Cancel The cursor returns to the last field you completed If you press Done before you complete both the low and high fields for a parameter a message appears telling you the empty field is an inv...

Page 459: ...kette before performing this procedure Refer to Archiving QC Data page 5 68 for more information When you change QC lots replace the information shown in Table 5 18 with the data from the new QC mater...

Page 460: ...appears prompting you to delete the current QC file setup data You must delete the current QC file data when you change lots Otherwise the QC file will contain data from the old and the new lots chang...

Page 461: ...xisting QC file ranges move to the field requiring change press Clear Entry and type the new data Press Enter after you complete each field editing all of the existing QC file ranges press the Erase A...

Page 462: ...urns to the last field you completed If you press Menu before you press Done in the QC File Setup screen a message appears prompting you to save your changes save the changes Yes The Menu screen appea...

Page 463: ...s disabled or not in calibration Auto ID does not work Off The operator assigns the QC sample results to the appropriate file The default value is Off 1 Access the Global QC Settings screen from the M...

Page 464: ...to have results automatically sent to an LIS or data management system On The system automatically accepts QC results and when Auto Send is on sends the results to an LIS or data management system Of...

Page 465: ...ly transmits QC results to an LIS or data management system The default setting is On Off Results are not automatically transmitted The operator must press Send to transmit results or press Do Not Sen...

Page 466: ...TUP File 1 QC ID 473842 Level 2 Lot number 41561 Expiration date Dec 30 95 MEAN TARGET RANGE ACTION RANGE pH 7 419 7 399 7 439 7 389 7 449 pCO2 43 4 38 4 48 4 35 9 50 9 pO2 103 1 96 1 110 1 92 6 113 6...

Page 467: ...If drift exceeds the acceptable limits the results are flagged on the screen and on the report and are reported in the status log The drift limits defined in Table 5 22 are for cal points only The dri...

Page 468: ...the drift limit the range is plus or minus 2 from the expected value 3 Type the new drift limit and press Enter 4 Repeat steps 2 and 3 for each parameter for which you want to enter or change the dri...

Page 469: ...t 6 Calibration Setup and press Enter c Select 3 Gas Values and press Enter The Calibration Gas Values screen appears as shown in Figure 5 36 2 Move the cursor to the field that you want to change 3 T...

Page 470: ...libration to avoid excessive drift in subsequent calibrations Flexible Time schedules the one and two point calibrations and lets you define a minimum time interval for one point calibrations Auto Rep...

Page 471: ...propriate field b Type the amount of time you want between calibrations and press Enter Auto Repeat a Move to the Auto Repeat frame b Select On and press Enter to automatically repeat calibrations Sel...

Page 472: ...on system Table 5 25 lists the ports you can use with each device Serial port 1 the ticket printer Serial port 2 and 3 the 270 CO oximeter and an LIS or data management system Parallel port other prin...

Page 473: ...Code Options screen appears Select the appropriate symbology Select if Code 128 is the only symbology you require Then press Symbology 128 is always enabled when you install the bar code scanner You c...

Page 474: ...nd the LIS HIS or data management system baud rate speed at which data is sent or received when devices are communicating through a serial channel parity method used to detect errors during transmissi...

Page 475: ...nction or press Exit Menu to return to the Ready screen want to return to the last field edited Cancel When the system establishes the connection to an external device the Device Connected to Port __...

Page 476: ...pes of system and service information such as the system model number the serial number and the service contact You can view the system information but you cannot change any of the information Refer t...

Page 477: ...tilities functions Backup copy system files from the hard disk to diskettes that you can use to restore files or to copy troubleshooting trace log information for service representatives if required A...

Page 478: ...ress Enter If you archive before you analyze the first QC sample of the current month you can print statistical summary reports of the previous month s QC data before you archive 2 Perform one of the...

Page 479: ...een appears If you insert a diskette that already contains data a message box appears indicating that the system will overwrite the data currently on the diskette you want to overwrite the data Contin...

Page 480: ...kette drive and press Continue The system reads the diskette When the system is ready a message appears containing archive diskette information 3 Press Continue 4 Remove the diskette when the system p...

Page 481: ...ppears QC Sample Report a Select Print QC Sample Report and press Enter b Press OK QC Statistical Summary a Select Print Statistical Summary and press Enter b Press OK 10 When you finish viewing archi...

Page 482: ...rol data calibration diagnostic and maintenance data setup data workload statistics and cycle counts Establish a backup schedule that meets your laboratory s data requirements The frequency with which...

Page 483: ...tte message box appears while the system performs the backup 5 Complete the backing up process a message appears prompting you to insert a new diskette a Remove the diskette from the diskette drive b...

Page 484: ...a formatted diskette and press Continue Use this procedure to copy data from your backup diskettes to the system hard disk CAUTION When you restore data from a backup diskette the restore process repl...

Page 485: ...ystem A message appears on the screen and on the roll printer directing you to wait before you disconnect the power 7 Wait at least 1 minute 8 Disconnect the power cord from the power supply 9 Restart...

Page 486: ...s before installing new software Refer to the procedure Backing Up System Data page 5 72 1 Access the Install Software screen from the Menu screen a Select 7 System Utilities and press Enter b Select...

Page 487: ...rs The system identifies the diskette and displays the Install Identification message box Do not remove the diskette 5 Press Continue to proceed using the diskette the system just read The system copi...

Page 488: ...system reads the last program diskette it is likely that at least one of the program diskettes was not installed Cancel the installation and start the procedure again When the system finishes the sof...

Page 489: ...ains installed CAUTION Occasionally the system may shut down if you cancel the installation If this happens follow the instructions given in the Caution statement in step 7 and then continue through s...

Page 490: ...3 Type the search criteria and press after you complete each field Press Done when you finish The Copying Files screen appears with the Begin Copying Files dialog box 4 Insert a clean formatted diske...

Page 491: ...he contents of the column These headings list patient demographics or parameter names as found on an 800 system The copied file includes all headings even if there are no patient results in the column...

Page 492: ...les detected in blood gas and CO ox sample 5 Bubbles detected in blood gas sample 6 Bubbles detected in CO ox sample Blank No exceptions 1 Entered value 2 Sensor has a drift D2 error 3 Interference de...

Page 493: ...educes reagent consumption by turning off automatic calibrations While in standby the system performs the scheduled auto clean and purges the sensors on a regular basis 1 Access the Set Standby screen...

Page 494: ...s the required calibrations and returns to the Ready screen If you turn off the power while the system is in standby the system returns to standby when you turn on the power If the system is scheduled...

Page 495: ...ystem message indicates that the system has successfully completed the shutdown procedures Unplugging the system before this message appears can damage the system 3 When you see this message disconnec...

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Page 497: ......

Page 498: ......

Page 499: ...04 7 00 26 04 321 0 301 7 2 021 7 1 1 20 22 612 1 7 6 0 2 0 1 2 7 3 0 21 6 7 00 26 5 31 1 7 2 2 1 6 0 12 1 0 00 26 7 3 1 11 0 1 7 2 2 7 5 2 0 7 2 2 2 2 0 2 0 7 2 2 0 0 7 2 2 6 0 12 1 2 2 612 7 2 2 0 2...

Page 500: ...4 6 5 0 0 0 6 1 0 1 0 6 0 0 0 1 0 6 0 6 2 5 3 0 4 6 6 4 1 0 0 6 6 4 1 0 1 0 6 0 6 2 5 3 0 6 0 0 6 0 0 6 0 0 6 0 0 6 0 0 6 0 0 6 0 0 6 0 0 6 0 0 6 0 0 6 0 0 0 6 00 0 6 4 0 1 0 0 6 1 6 0 6 4 1 6 100 3...

Page 501: ...0 2 3 0 0 1 7 2 0 1 0 7 0 0 5 0 7 0 1 5 0 7 0 0 0 5 7 0 0 7 0 5 7 7 5 0 2 05 7 7 4 7 7 45 7 7 0 50 7 0 0 1 7 1 7 0 0 0 1 7 0 1 7 0 0 7 7 0 0 6 1 7 1 7 0 0 7 0 0 1 7 0 0 0 0 7 1 0 0 7 0 2 0 2 7 0 7 45...

Page 502: ...1 5 0 0 0 5 0 5 3 5 34 01 0 0 0 5 34 01 0 5 34 0 0 0 0 5 34 0 0 5 34 04 5 5 0 3 0 5 0 0 5 0 0 01 0 5 3 5 1 1 0 0 5 5 0 5 1 52 01 5 0 34 0 0 5 1 34 0 0 5 0 5 1 34 0 0 5 52 30 0 3 5 34 1 0 0 5 34 2 4 5...

Page 503: ...r sources of contamination when handling potentially infectious agents are as follows needlesticks hand to mouth contact hand to eye contact direct contact with superficial cuts open wounds and other...

Page 504: ...ith 15 v v bleach Do not eat drink smoke or apply cosmetics while in the laboratory Do not mouth pipet any liquid including water Do not place tools or any other items in your mouth Do not use the bio...

Page 505: ...es Argentina 54 11 4 762 7000 Bayer S A Produtos Diagn sticos Rua Domingos Jorge 1100 04779 900 S o Paulo SP Brazil 55 11 5694 5574 Bayer Australia Limited Diagnostics Business Group 2 Keith Campbell...

Page 506: ...No 615 Col del Valle Delegaci n Benito Ju rez M xico D F C P 03100 525 7283301 Bayer Hellas S A Akakion 54A Marousi Athens 151 25 Greece 01 68 83 648 Bayer B V Division Diagnostics Energieweg 1 3641 R...

Page 507: ...Bayer House Strawberry Hill Newbury RG14 1JA United Kingdom 44 0 1635 563000 Qu mica Farmac utica Bayer S A Divisi n Diagn sticos Calabria 268 08029 Barcelona Espa a 34 93 495 65 00 Bayer Corporation...

Page 508: ...iate Agreement Addendum must indicate the term in months for additional service coverage The customer may obtain warranty service for systems during normal business hours by contacting the Bayer Diagn...

Page 509: ...of system During the warranty period Bayer Diagnostics reserves the right to change the design or construction of specific models of systems without incurring any obligation to make such changes avail...

Page 510: ...days of shipment to the customer s facility unless otherwise specified 4 The customer has not performed appropriate customer maintenance procedures as outlined in the system operator s manual 5 The s...

Page 511: ...warranties express or implied accompanying either the leasing of the equipment or its sale to the customer at the expiration or termination of this agreement In addition the warranties of merchantabil...

Page 512: ...anual Rapidlab 800 Interface Specification 106363 Brochure Specimen Collection for Critical Blood Analyte Testing 673709000 Printer Paper 473385000 Buffer 7 382 7 3 CO ox Zero Buffer 473386000 Buffer...

Page 513: ...r Code Scanner LS4004 110889 Bar Code Scanner LS4004 110890 Cable Bar Code Scanner LS4004 858086001 Cable Bar Code Scanner LS2020 673715000 Air Dust Filter 673712000 Capillary Seal 013896701 Sample Do...

Page 514: ...ensor 476246000 pO2 Ready Sensor 476270000 Potassium Ready Sensor 476266000 Sodium Ready Sensor 476268000 Calcium Ready Sensor 476279000 Chloride Ready Sensor 476378000 Glucose Ready Sensor 476379000...

Page 515: ...over 477833000 Analysis Report Ticket 477434000 Cal Calibration Gas 5 CO2 12 O2 477438000 Slope Calibration Gas 10 CO2 823736001 Gas Tank Seal 478740000 Sample Ground Temperature Sensor 013662001 Wast...

Page 516: ...050 CO ox Lamp 570018 CO ox O ring Gasket Kit for hemolyzer and sample chamber 673700000 Clot Removal Kit tubing diameter 0 022mm 570049 Sample Chamber 106371 Bubble Trap Kit 015552701 CO ox Spares Ki...

Page 517: ...ory Workers from Instrument Biohazards and Infectious Disease Transmitted by Blood Body Fluids and Tissue Approved Guideline NCCLS Document M29 A Vol 17 No 20 Dec 1997 8 National Committee for Clinica...

Page 518: ...ne 3rd ed Chicago Year Book Medical Publishers 1978 273 281 22 National Committee for Clinical Laboratory Standards Definitions of Quantities and Conventions Related to Blood pH and Gas Analysis Appro...

Page 519: ...gy 6th ed St Louis CV Mosby 1982 388 392 39 National Committee for Clinical Laboratory Standards Fractional Oxyhemoglobin Oxygen Content and Saturation and Related Quantities in Blood Terminology Meas...

Page 520: ...Chicago Year Book Medical Publishers 1989 140 50 Malley W Clinical blood gases application and noninvasive alternatives Philadelphia WB Saunders 1990 97 98 51 Shapiro BA Harrison RA Cane RD Kozlowski...

Page 521: ...r code scanner Bayer Diagnostics data management system line printer laboratory information system LIS hospital information system HIS Figure D 1 identifies the various ports available on the 800 syst...

Page 522: ...igure D 1 4 Connect the 25 pin connector to port 1 2 or 3 on the 270 5 Tighten the hold down screws on the connectors 6 Restore power to the 800 system and to the 270 7 Refer to Configuring for Extern...

Page 523: ...anual to specify whether the 270 automatically sends results as soon as they are available or whether the operator can select the results to transmit Use this procedure to connect an 800 system to the...

Page 524: ...bar code scanner cable To prevent electrical shock and damage to either system disconnect the 800 system from the AC power source before installing the bar code scanner Refer to Shutting Down and Res...

Page 525: ...ring for External Devices in Section 5 to configure the 800 system for the data management system Use this procedure to connect an 800 system to a line printer Materials Required printer to 800 system...

Page 526: ...efore installing the cable Refer to Shutting Down and Restarting the System in Section 5 for the procedure to disconnect the 800 system 1 Contact your LIS or HIS system manager to determine the approp...

Page 527: ...ation about the 800 series systems system specifications limitations reference methods 840 system performance characteristics 850 system performance characteristics 860 system performance characterist...

Page 528: ...4V 50 60Hz ambient operating barometric pressure 400 825 mmHg 53 0 110 0 kPa system dimensions base model height 50 8 cm 20 inches width 55 9 cm 22 inches depth 48 3 cm 19 inches weight 29 5 kg 65 lbs...

Page 529: ...0 800 0 0 106 67 0 1 0 01 1 0 1 pAtm mmHg kPa 400 825 53 3 110 0 1 0 1 1 0 1 Table E 3 lists the units reporting ranges and display resolutions for the electrolyte parameters measured or calculated b...

Page 530: ...or calculated from a sample analyzed on the 800 system and a connected CO oximeter p50 mmHg kPa 15 0 75 0 2 00 10 00 0 1 0 01 ctO2 mL dL mL L mmol L 0 40 0 0 400 0 17 8 0 1 1 0 1 ctO2 a mL dL mL L mm...

Page 531: ...0 1 DO2 mL min L min mmol mi n 0 3500 0 00 3 50 0 156 2 1 0 01 0 1 Table E 5 lists the units reporting ranges and display resolutions for parameters measured by the 800 system CO ox module tHb g dL 2...

Page 532: ...g 15 0 75 0 0 1 kPa 2 00 10 00 0 01 ctO2 Hb mL dL mL L mmol L 0 40 0 0 400 0 17 8 0 1 1 0 1 Table E 6 lists the units reporting ranges and display resolutions for the temperature corrected and respira...

Page 533: ...Qt T decimal fraction 0 100 0 00 1 00 1 0 01 Qsp Qt est T decimal fraction 0 100 0 00 1 00 1 0 01 Table E 7 lists the units reporting ranges and display resolutions for the metabolic parameters calcu...

Page 534: ...0 0 43 9 50 0 111 0 0 1 0 1 FIO2 decimal fraction 15 0 100 0 0 150 1 000 0 1 0 001 ctHb g dL g L mmol L 2 0 27 0 20 270 1 3 16 8 0 1 1 0 1 OBF 1 35 1 40 0 01 Flow L min 0 00 99 99 0 01 Resp Rate b min...

Page 535: ...d samples are tonometered with 95 N2 and 5 CO2 FCOHb Gas Chromatography for COHb 15 and Ishizawa method using a Cary 4 Spectrophotometer for COHb 15 FMetHb Modified Evelyn Malloy37 method utilizing a...

Page 536: ...any of these situations occur Reagents other than those recommended are used Expiration dates of reagents have been exceeded Reagents are not used according to Bayer Diagnostics recommendations Standa...

Page 537: ...y control QC materials and calibration verification materials CVM were analyzed on the 840 systems The results are presented here Precision on aqueous quality control materials was estimated using thr...

Page 538: ...n For testing syringe capillary microsyringe and microcapillary modes blood was collected in heparinized vacuum tubes It was tonometered at 37 0 C to each of three levels to prepare samples for pH ana...

Page 539: ...48 7 238 100 1 pH Only 15 0 004 7 235 7 235 100 0 2 Syringe 12 0 003 7 427 7 420 100 1 Capillary 14 0 003 7 429 7 423 100 1 Microcapillary 12 0 004 7 380 7 374 100 1 Microsyringe 15 0 002 7 400 7 397...

Page 540: ...21 4 100 2 Microsyringe 24 0 15 21 6 21 4 101 2 Expired Gas 24 0 14 21 6 21 4 100 7 3 Syringe 24 0 22 35 8 35 7 100 4 Capillary 18 0 53 35 3 35 7 98 8 Microcapillary 23 0 77 36 2 35 7 101 3 Microsyrin...

Page 541: ...lary 24 1 15 29 0 28 5 101 7 Microsyringe 24 0 17 28 6 28 5 100 3 Expired Gas 24 0 15 28 2 28 5 98 8 2 Syringe 24 0 19 50 0 49 9 100 3 Capillary 18 0 23 50 5 49 9 101 2 Microcapillary 24 0 71 49 0 49...

Page 542: ...101 4 Microsyringe 24 0 80 150 6 149 7 100 6 Expired Gas 24 0 25 150 4 149 7 100 5 5 Syringe 24 1 20 377 9 377 9 100 0 Capillary 18 2 40 379 0 377 9 100 3 Microcapillary 24 4 08 380 7 377 9 100 7 Micr...

Page 543: ...with your 850 system Quality control materials and calibration verification materials were analyzed on the 850 systems The results are presented here Precision on aqueous quality control materials was...

Page 544: ...n run standard deviation TotSD total standard deviation Precision on aqueous calibration verification materials was estimated using four 850 systems As many as seven runs per instrument were made over...

Page 545: ...vels to prepare samples for pH analysis and five levels to prepare samples for pCO2 and pO2 analysis Blood was spiked diluted to each of three levels to prepare samples for sodium potassium calcium an...

Page 546: ...002 7 229 7 225 100 1 pH Lytes 18 0 003 7 220 7 218 100 0 2 Syringe 24 0 001 7 399 7 405 99 9 Capillary 24 0 002 7 397 7 393 100 1 Microcapillary 24 0 003 7 402 7 396 100 1 Microsyringe 24 0 002 7 38...

Page 547: ...7 21 4 96 9 Microsyringe 18 0 42 21 3 21 4 99 4 Expired Gas 18 0 77 21 0 21 4 98 3 3 Syringe 18 0 43 35 1 35 7 98 2 Capillary 24 0 25 36 4 35 7 102 0 Microcapillary 18 0 50 34 5 35 7 96 6 Microsyringe...

Page 548: ...illary 18 0 35 29 0 28 5 101 8 Microsyringe 18 0 25 28 5 28 5 100 2 Expired Gas 18 0 16 27 9 28 5 98 0 2 Syringe 24 0 22 50 5 49 9 101 2 Capillary 18 0 34 49 2 49 9 98 6 Microcapillary 24 0 41 49 4 49...

Page 549: ...7 100 2 Microsyringe 18 0 62 149 4 149 7 99 8 Expired Gas 18 0 31 149 5 149 7 99 8 5 Syringe 21 1 40 377 4 377 9 99 9 Capillary 21 2 41 377 5 377 9 99 9 Microcapillary 18 5 50 378 9 377 9 100 3 Micros...

Page 550: ...e 24 0 49 150 9 151 0 99 9 Capillary 24 0 46 150 9 151 2 99 8 Microcapillary 24 0 80 151 2 151 1 100 0 Microsyringe 24 0 49 151 0 151 3 99 8 pH Lytes 24 0 75 151 3 151 6 99 7 3 Syringe 24 0 39 174 2 1...

Page 551: ...ge 24 0 020 3 49 3 51 99 5 Capillary 24 0 034 4 14 4 14 100 0 Microcapillary 24 0 037 3 81 3 78 100 7 Microsyringe 24 0 016 3 81 3 82 99 7 pH Lytes 24 0 013 3 74 3 74 100 2 3 Syringe 24 0 109 7 21 7 2...

Page 552: ...ge 21 0 012 1 87 1 84 102 0 Capillary 24 0 017 1 85 1 82 101 8 Microcapillary 24 0 010 1 65 1 65 99 7 Microsyringe 21 0 008 1 66 1 58 104 8 pH Lytes 18 0 023 1 64 1 57 104 5 3 Syringe 21 0 028 2 48 2...

Page 553: ...Syringe 24 0 7 117 116 100 5 Capillary 24 0 3 117 116 100 5 Microcapillary 24 1 1 117 116 100 8 Microsyringe 24 0 6 116 116 100 4 pH Lytes 24 1 4 118 119 99 6 3 Syringe 24 0 5 140 141 99 9 Capillary 2...

Page 554: ...erfering substance up to the test concentration shown in the following two tables The interference was calculated by comparing the spiked sample to an unspiked sample immediately preceding it To evalu...

Page 555: ...se concentrations therapeutic levels of dopamine do not interfere with the glucose measurement The following anticoagulants were found not to interfere with glucose recovery at the indicated concentra...

Page 556: ...with the glucose measurement Sodium Fluoride 1000 mg dL each 25 mg dL 1 4 mmol L Acetominophen 2 mg dL 7 mg dL 0 4 mmol L Sodium Fluoride Potassium Oxalate 1000 mg dL each 25 mg dL 1 4 mmol L Increase...

Page 557: ...te recovery in heparinized blood The following table lists substances that were found not to interfere with the lactate measurement At the concentrations listed these compounds produced less than 0 3...

Page 558: ...g dL Theophylline 9 mg dL Penicillamine 25 mg dL Isoniazid 2 mg dL Uric Acid 10 mg dL The following anticoagulants were found not to interfere with lactate recovery at the indicated concentrations but...

Page 559: ...period Two replicates of each control level were analyzed in each run For glucose precision on aqueous calibration verification materials was estimated using fifteen 860 systems Data from seven to si...

Page 560: ...21 0 50 3 236 151 3 0 40 0 77 K 1 387 2 68 0 014 0 020 2 316 5 04 0 014 0 022 3 236 7 34 0 033 0 050 Cl 1 387 119 5 0 57 1 14 2 316 100 0 0 34 0 74 3 236 77 6 0 41 0 57 Ca 1 386 1 47 0 006 0 011 2 31...

Page 561: ...marizes the results of the 860 system precision for CVM levels 1 and 4 pH 1 565 6 782 0 002 0 004 4 551 7 830 0 007 0 009 pCO2 1 575 107 6 1 48 3 11 4 548 13 0 0 37 0 74 pO2 1 563 26 0 1 63 2 02 4 539...

Page 562: ...e expired gas mode 10 mL of tonometry gas were drawn into a 12 mL syringe and aspirated into the 860 system for analysis Multiple runs were made using five levels of expired gas on four 860 systems Th...

Page 563: ...Microsyringe 24 0 10 14 2 14 3 99 5 Expired Gas 18 0 09 14 7 14 3 102 9 2 Syringe 24 0 12 21 8 21 4 101 7 Capillary 24 0 19 21 6 21 4 100 9 Microcapillary 24 0 33 21 6 21 4 101 2 Microsyringe 24 0 28...

Page 564: ...yringe 24 1 46 71 0 71 3 99 5 Expired Gas 24 0 24 70 5 71 3 98 8 WRSD within run standard deviation 1 Syringe 24 0 21 28 5 28 5 99 9 Capillary 24 0 25 28 5 28 5 100 1 Microcapillary 24 0 44 28 6 28 5...

Page 565: ...150 1 149 7 100 2 Microsyringe 24 0 95 150 6 149 7 100 6 Expired Gas 24 0 19 150 0 149 7 100 2 5 Syringe 24 1 52 378 8 377 9 100 2 Capillary 24 1 55 378 7 377 9 100 2 Microcapillary 24 4 69 378 9 377...

Page 566: ...36 0 98 147 1 147 4 99 9 Microsyringe 33 0 58 148 3 148 4 99 9 pH Lyte 24 0 57 148 4 148 6 99 9 171 5 Syringe 24 0 38 172 1 171 6 100 3 Capillary 24 1 25 171 6 171 2 100 2 Microcapillary 36 2 44 171...

Page 567: ...ge 48 0 028 3 75 3 73 100 6 Capillary 48 0 027 3 72 3 69 100 7 Microcapillary 48 0 027 3 63 3 66 99 3 Microsyringe 48 0 038 3 78 3 78 100 2 pH Lyte 48 0 022 3 54 3 51 100 9 3 Syringe 24 0 142 8 47 8 5...

Page 568: ...ringe 48 0 014 1 67 1 65 100 8 Capillary 44 0 011 1 66 1 65 100 5 Microcapillary 48 0 026 1 67 1 65 100 9 Microsyringe 48 0 014 1 67 1 67 100 4 pH Lyte 48 0 022 1 66 1 66 100 1 2 38 Syringe 48 0 036 2...

Page 569: ...7 Syringe 24 0 6 116 117 98 9 Capillary 24 1 0 118 118 100 3 Microcapillary 36 1 0 117 116 100 2 Microsyringe 36 1 2 116 117 99 4 pH Lyte 24 0 6 117 117 99 5 142 Syringe 24 1 2 141 142 99 8 Capillary...

Page 570: ...ary 36 2 5 79 79 99 8 Microsyringe 45 1 9 84 82 102 3 pH Lyte 24 1 1 81 80 101 1 207 Syringe 33 3 5 205 205 100 4 Capillary 33 2 9 206 203 101 5 Microcapillary 36 3 9 206 205 100 8 Microsyringe 45 3 8...

Page 571: ...ringe 36 0 046 2 83 2 89 98 1 Capillary 36 0 074 2 67 2 80 95 4 Microcapillary 36 0 145 2 69 2 73 98 6 Microsyringe 35 0 057 2 70 2 84 95 1 pH Lyte 36 0 066 2 73 2 79 98 0 3 94 Syringe 18 0 019 3 80 3...

Page 572: ...m temperature about 23 C You should determine your own performance characteristics in your laboratory with your 800 system To test for interferences blood was spiked with an interfering substance up t...

Page 573: ...lipid Bilirubin Fetal Hemoglobin 20 mg dL at 21 Table E 42 lists substances that showed interference using the criteria stated in Table E 40 Evans Blue at 5 mg L O2Hb MetHb 2 1 1 4 Methylene Blue at 2...

Page 574: ...ere Precision on aqueous quality control materials was estimated using four 800 systems One run per instrument was made over a eight day period Three replicates of each control level were analyzed in...

Page 575: ...llary modes blood was collected in heparinized vacuum tubes It was tonometered at 37 C and or adjusted chemically Three levels of tHb were prepared by separating the red cells from the plasma and reco...

Page 576: ...0 00 0 22 0 05 WRSD within run standard deviation 1 0 1 tHb Capillary 68 15 18 0 36 0 35 Syringe 66 15 00 0 31 0 11 FO2Hb Capillary 68 92 31 0 09 0 25 Syringe 66 92 27 0 23 0 29 FCOHb Capillary 68 4 5...

Page 577: ...Capillary 72 90 03 0 73 0 24 Syringe 68 92 31 1 21 0 64 FCOHb Capillary 72 6 56 0 53 0 16 Syringe 68 4 48 0 95 0 72 FMetHb Capillary 72 3 41 0 08 0 21 Syringe 68 3 21 0 01 0 20 FHHb Capillary 72 0 00...

Page 578: ......

Page 579: ...s examples of the patient sample reports that you can print on the 800 system roll printer The examples include all possible parameters patient sample data fields temperature corrected values entered...

Page 580: ...C ctHb xxx xx mmol L xx xxx xxxx x Hct xxx xx ctO2 a xxx xx mL dL xxx xx xxxx x BO2 xxx xx mL dL xxx xx xxxx x pO2 xxx xx mmHg p50 xxxx x mmHg sO2 xxx xx xxx xx xxxx x FO2Hb xxx xx xxx xx xxxx x FCOHb...

Page 581: ...t xxx xx mmol L HCO3 std xxx xx mmol L ctCO2 xxx xx mmol L BE B xxx xx mmol L BE ecf xxx xx mmol L OXYGEN STATUS 37 C Corrected 38 5 C ctHb xxx xx g dL Hct xxx xx ctO2 a xxx xx mL dL BO2 xxx xx mL dL...

Page 582: ...C Corrected 38 5 C pCO2 xxx xx xxx xx mmHg pO2 xxx xx xxx xx mmHg ACID BASE 37 C Corrected 38 5 C pH xx xxx xxx xx HCO3 act xxx xx mmol L HCO3 std xxx xx mmol L ctCO2 xxx xx mmol L BE B xxx xx mmol L...

Page 583: ...n ID xxxxxxxxxxxx Age xxx Location xxx SYRINGE SAMPLE ACID BASE 37 C Corrected 38 5 C pH xxx xx xxx xx pCO2 xxx xx xxx xx pO2 xxx xx xxx xx HCO3 act xxx xx HCO3 std xxx xx ctCO2 xxx xx BE B xxx xx BE...

Page 584: ...pH xx xxx xxx xx nmol L pCO2 xxx xx xxx xx mmHg pO2 xxx xx xxx xx mmHg ACID BASE 37 C Corrected 38 5 C HCO3 act xxx xx mmol L HCO3 std xxx xx mmol L ctCO2 xxx xx mmol L BE B xxx xx mmol L BE ecf xxx...

Page 585: ...nt sample data fields temperature corrected values entered values and CO oximeter values for 800 systems The examples include the following reports Line Printer Report A Line Printer Report B Line Pri...

Page 586: ...xxxx x p50 xxx xx mmHg xxx xx xxx xx sO2 xxx xx xxx xx xxx xx FO2Hb xxx xx xxx xx xxx xx FCOHb xxx xx xxx xx xxx xx FMetHb xxx xx xxx xx xxx xx FHHb xxx xx xxx xx xxx xx OXYGEN STATUS 38 5 C pO2 A a...

Page 587: ...etHb xxx xx xxx xx xxxx x FHHb xxx xx xxx xx xxxx x OXYGEN STATUS 37 C OXYGEN STATUS 38 5 C ctO2 a xxx xx mL dL xxx xx xxx xx BO2 xxx xx mL dL xxx xx xxx xx pO2 xxx xx mmHg xxx xx xxx xx xxx xx p50 xx...

Page 588: ...COHb xxx xx FMetHb xxx xx FHHb xxx xx OXYGEN STATUS 37 C OXYGEN STATUS 38 5 C ctO2 a xxx xx mL dL BO2 xxx xx mL dL pO2 xxx xx mmHg xxx xx xxx xx xxx xx p50 xxx xx mmHg pO2 A a T mmHg xxx xx pO2 a A T...

Page 589: ...you do not complete a field on the Patient Information Screen the field does not appear on the ticket printer Refer to Defining the Printer Report Format in Section 5 for information about how to sel...

Page 590: ...BE B xxxxx mmol L BE ecf xxxxx mmol L OXYGEN STATUS 37 C CORRECTED 38 5 C ctHb xxxxx mmol L Hct xxxxx ctO2 a xxxxx mL dL BO2 xxxxx p50 xxxxx sO2 xxxxx mL dL FO2Hb xxxxx FCOHb xxxxx FMetHb xxxxx FHHb x...

Page 591: ...n from the Menu screen a Select 5 Operating Setup and press Enter b Select 8 Correlation and press Enter The Correlation Coefficients screen appears 2 Ensure that the slope values are set to 1 000 and...

Page 592: ...ation y mx b where m is the slope and b is the offset The calculation must be made in the manner described The calculation of a correction equation is the mathematical inverse of the traditional corre...

Page 593: ...1 for the system specifications ambient operating temperature 15 32 C ambient operating relative humidity 5 85 non condensing power rating 400VA maximum voltage requirements 100V 120V 85V to 132V 50...

Page 594: ...the installation tray and check the contents against the printed list included in the box 9 Open the system a Turn the fasteners one half turn to the left with a Phillips screwdriver b Lift the top o...

Page 595: ...oor using a small flat blade screwdriver and continue with step e your system has a voltage bobbin continue with step a a Take the voltage bobbin from the customizing box and the fuse kit from the ins...

Page 596: ...Notch Voltage Selection Bobbin Window Voltage Bobbin 100 VAC 120 VAC e Check the system fuses f Pull one of the fuse holders out of the fuse compartment as shown in Figure H 3 Fuse Fuse Holder Fuse co...

Page 597: ...Insert the power cord into the power input connector on the right side panel 16 Rotate the system so that the front panel faces you 17 Adjust the Display assembly a Remove the packing material from th...

Page 598: ...gas tanks with the regulator nipple engaging the opening in the tank valve g Attach and tighten the yoke screws firmly h Attach and tighten the tubing adapter fittings into each needle valve Ensure t...

Page 599: ...eft to the right or behind the system n To prevent restrictions in the tubing and uneven gas flow secure the slope and cal gas tubing so that the tubing does not cross under the system o Reinstall the...

Page 600: ...e electrode compartment with 4M KCl solution and tap to remove bubbles b Continue to fill the internal reference sensor compartment until the 4M KCl fill solution flows into the reservoir c Use the he...

Page 601: ...e sensor body with 3 drops of the Na K Cl Ca fill solution and empty e Slowly add the fill solution until the sensor is almost full f Screw the internal electrode into place g Tap the sensor with your...

Page 602: ...the small tubing to position 2 33 Install the sample pump and waste pump tubing a Disconnect the right side of the sample pump tubing b Place the tubing over the top of the roller cage c Hold the righ...

Page 603: ...atch the movement of wash solution to verify that the wash reagent flows through the system during the wash sequence that automatically follows the prime sequence 38 Verify the gas flow rates for cal...

Page 604: ...s in Section 3 CAUTION Do not remove or return the sensors to the measurement module without first discharging static buildup Touch the inner surface of the module frame to discharge static buildup 43...

Page 605: ...tative Unauthorized use of these procedures can void the warranty or service contract For detailed information about the software refer to Learning About the System in Section 1 and Operating the Syst...

Page 606: ...800 CO ox module 3 Open the box Cut the tape along the edge of the top flap Open the flaps 4 Remove the product inserts Unpacking Instructions Ship Damage Instructions Contact Bayer Diagnostics Repre...

Page 607: ...g you to wait before you disconnect the power Do not unplug the system until the following message appears on the screen synching disks done This is an operating system message indicating that the sys...

Page 608: ...he edge of the work surface to access the front plug 4 Remove the two plugs mounted to the right side wall of the base model hydraulic wall a Push on the plug stems that protrude from the interior of...

Page 609: ...ted in the groove located under the chassis shelf of the 800 base model Ensure that the two bosses on the CO ox module are seated in the two receptacles of the base model and that the screws are align...

Page 610: ...strument label 1 Access the preheater on the measurement module and disconnect the sample tubing 2 Remove the sample connector a Remove the screw located in the front of the preheater block that attac...

Page 611: ...pin on the spindle arm bracket while pushing the cover all the way to the left b Bend the tab on the cover or pivot it to allow the tab to slide over the pivot pin 1 Locate the groove on the left side...

Page 612: ...nd set up your system Refer to System Administration in Section 5 for more information about setting up the system 10 Initiate a two point calibration from the Menu screen a Select 1 Calibration and p...

Page 613: ...rs to the measurement module without first discharging static buildup Touch the inner surface of the module frame to discharge static buildup 1 Take the appropriate action 840 or 850 Go to step 2 860...

Page 614: ...een a Select 2 Maintenance and press Enter b Select 2 Condition and press Enter Wear safety glasses gloves and a laboratory coat when handling the reagents 5 To clean the sample pathway a Insert an as...

Page 615: ...t 10 Press Exit Test 11 Empty rinse and fill the four reagent bottles with reagent water 12 Install the reagent bottles containing reagent water in place on the system 13 Perform a Prime sequence as d...

Page 616: ...he sample port the drip tray and the mount with reagent water Ensure that the three O rings are in place 7 Reinstall the sample port matching the tab on the sample port to the notch in the retainer ri...

Page 617: ...over as described in Emptying the Waste Bottle in Section 3 5 Remove the printer paper Refer to Replacing the Printer Paper in Section 3 6 Tape the printer cover in place 1 Shut down the system from t...

Page 618: ...clockwise b Disconnect the gas regulators from the gas tanks by unscrewing the yoke screws c Verify that the gas tank seals are in place on the regulators d Remove the gas tanks to a well ventilated o...

Page 619: ...ose of the tanks according to your laboratory protocol Bayer Diagnostics recommends that you remove the valve stems before disposal 2 Pack the 800 system in the original shipping carton If the origina...

Page 620: ......

Page 621: ...specific substance The transducer mechanism converts the potential generated by the molecular recognition mechanism to an electrical signal In the 800 systems this is accomplished through potentiomet...

Page 622: ...loped by the electrochemical cell is determined by calculating the difference in potential between the measuring electrode and the reference electrode Ecell Emeas Eref Elj where Ecell electrochemical...

Page 623: ...on The membrane separates an inner reference element which is immersed in a fixed electrolyte solution from the sample During analysis a membrane potential develops as a result of the interaction of t...

Page 624: ...potential K a constant from various sources such as the liquid junction R gas constant T absolute temperature Z ionic charge F Faraday s constant ai activity of the ion in the sample This equation st...

Page 625: ...solution controlling the ionic strength of calibrating solutions to 160 mmol kg sets the activity coefficients of ionic species in the calibrating solutions equal to those of blood plasma water at sam...

Page 626: ...solution and the sample The membrane completes the conductive path to the sample from the fixed half cell potential that is required for the measurement The Ag wire conducts the half cell potential of...

Page 627: ...sample comes in contact with the two electrodes a known voltage is applied between the anode and the cathode The analyte to be measured is either an oxidizable or reducible species If the analyte is...

Page 628: ...1909 Sorenson13 converted the numbers mathematically to simplify their use and described the notation pH pH log 10 cH where H is the molar concentration of hydrogen ions Using this formula a hydrogen...

Page 629: ...ane that is highly sensitive and specific for hydrogen ions separates the sample from the solution Silver Silver Chloride Wire Buffer Solution Sample Path As the sample comes in contact with the membr...

Page 630: ...e is proportional to the content of dissolved CO2 HCO3 the value for pCO2 can be used along with pH not only to calculate HCO3 but also to aid in the differentiation of acid base abnormalities The mea...

Page 631: ...auses a change in the hydrogen ion activity CO2 H2O HCO3 H The internal pH electrode detects the change in hydrogen concentration occurring in the chloride bicarbonate solution and generates a half ce...

Page 632: ...measurement of pO2 is significant in evaluating the degree of hypoxemia a deficiency of O2 in arterial blood present in a patient The laboratory reference value for pO2 is usually 95 mmHg 12 7 kPa fo...

Page 633: ...f oxygen in the electrolyte solution is determined 16 The 850 and 860 systems analyze blood samples for sodium Na potassium K chloride Cl and calcium Ca in addition to pH and the blood gases These sys...

Page 634: ...e potassium sensor The potassium sensor membrane is designed as a charge separator As shown in Figure I 9 the positively charged potassium ions selectively interact with the membrane when the sample i...

Page 635: ...omplete electrochemical cell The sensor contains a silver silver chloride wire surrounded by an electrolyte solution that has a fixed concentration of sodium and chloride ions The membrane a specially...

Page 636: ...n electrolyte solution that has a fixed concentration of potassium ions The membrane which consists of the ionophore valinomycin immobilized in a plasticized PVC polyvinyl chloride matrix separates th...

Page 637: ...erence sensor The final measured potential is directly proportional to the chloride ion concentration in the sample The potential developed by the electrochemical cell varies with the ion activity in...

Page 638: ...surrounded by an electrolyte solution that has a fixed concentration of calcium ions A membrane consisting of an ionophore imbedded in a polyvinyl chloride membrane separates the electrolyte solution...

Page 639: ...Glycolysis is the term commonly used to describe the conversion of glucose to lactic acid Under normal circumstances glycolysis occurs during muscle contraction where the rate of metabolism outpaces...

Page 640: ...removed from the total differential measurement A microporous cover membrane separates the electrodes from the sample Sample Path Counter Electrode Glucose Measuring Electrode Reference Electrode Inte...

Page 641: ...rmine the concentration of total hemoglobin hemoglobin derivatives and dyshemoglobins in whole blood The presence of dyshemoglobins and toxins changes the oxygen binding capacity of hemoglobin and the...

Page 642: ...nsport and in the evaluation of anemia The total hemoglobin reference range for a normal adult population is 12 0 to 18 0 g dL Total hemoglobin in the CO ox module is determined using the following eq...

Page 643: ...b ctHb 100 Carboxyhemoglobin COHb is hemoglobin covalently bound to carbon monoxide Hemoglobin has over 200 times greater affinity for carbon monoxide than for oxygen Hemoglobin bound to carbon monoxi...

Page 644: ...on or substance at a specific wavelength and C is the concentration of the substance These equations are based on the work of VanAssendelft33 34 and Benesch Benesch and Yung 35 The 800 systems CO oxim...

Page 645: ...is warmed to 37 C and then measured The sample chamber also acts a fluid detector sensing when sufficient sample reaches the chamber for measurement This section describes the specific reported parame...

Page 646: ...gin In metabolic acidosis HCO3 levels decrease causing an increase in H which leads to a decrease in pH Conversely in metabolic alkalosis HCO3 levels increase causing a decrease in H which leads to an...

Page 647: ...ting on all patient reports The calculations for both versions of base excess are derived from the following relationships which are based on the NCCLS recommendations 22 The base excess of extracellu...

Page 648: ...e value obtained is equivalent to fractional oxyhemoglobin 26 Hemoglobin oxygen saturation sO is a ratio of the amount of hemoglobin bound to oxygen to the total amount of hemoglobin able to bind oxyg...

Page 649: ...8 The oxygen content of hemoglobin with hemoglobin oxygen saturation and oxygen capacity is a useful parameter for determining the amount of oxygen in the blood that is actually available to the tissu...

Page 650: ...n the range of 1 30 to 1 40 specified in the CO ox module setup Half saturation of hemoglobin by oxygen p50 indicates the partial pressure of oxygen when oxygen has saturated 50 of the available hemog...

Page 651: ...g equation is used ctCO2 cHCO3 0 0307 pCO2 Hematocrit Hct is the ratio of the volume of packed red blood cells to the volume of whole blood 53 Hematocrit with other parameters such as total hemoglobin...

Page 652: ...at the bedside However they do not have a high level of correlation with the actual measurement of arterial and mixed venous blood and should be used with discretion A more reliable method is the Qs...

Page 653: ...on that remains relatively stable when FIO2 changes It is useful in predicting oxygen tension in alveolar gas The following equation29 is used pO2 a A T pO2 a T pO2 A T where pO2 a T is the temperatur...

Page 654: ...y approximate the balance of these unmeasured ions An anion gap result is of twofold value in a clinical laboratory Primarily abnormal anion gap results indicate electrolyte imbalance or other conditi...

Page 655: ...e oxygen content of venous blood ctO2 v is a determination of the total oxygen carried by the venous blood including the oxygen bound to hemoglobin and the oxygen dissolved in plasma and in the fluid...

Page 656: ...en uptake is a determination of the volume of oxygen consumed by the body per minute 48 The system determines the oxygen consumption rate as follows VO2 ctO2 a v Qt 10 Oxygen delivery DO2 which is als...

Page 657: ...the physiologic shunt The best alternative method for reflecting changes in the physiologic shunt is the estimated shunt Qsp Qt est T value which is applicable to most hypoxemic patients with cardiov...

Page 658: ...135 0 148 0 mmol L K 3 50 5 30 mmol L Ca 1 13 1 32 mmol L Cl 98 106 mmol L Glucose 66 8 93 2 mg dL 3 7 5 2 mmol L Lactate 0 5 2 0 mmol L Tietz NW ed Fundamentals of clinical chemistry 3rd ed Philadelp...

Page 659: ...ce Checklist charts for you to record maintenance activities performed on the 800 system Make photocopies of these charts as necessary and record your maintenance activities according to the maintenan...

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Page 667: ...sistor 25 C Maximum silicate mg L 0 05 0 1 1 0 Particulate matter m smaller than 0 22 m not applicable not applicable water is passed through a 0 22 m filter Organic compounds pretreat with activated...

Page 668: ...methods 1 Figure 1 Water Purification System Maintaining your Purification System Efficient operation and regularly sched uled maintenance of your water purifi cation system is the key to optimizing t...

Page 669: ...ocument C3 A2 2 Tietz Norbert W Fundamentals of clinical chemistry 3rd ed Philadelphia W B Saunders Company 1987 1010 p 3 Kaplan Lawrence A Pesce Amadeo J Clinical Chemistry theory analysis and correl...

Page 670: ...yer Diagnostics Limited Hong Kong Bayer Diagnostics India Limited Gujarat India Bayer S P A Divisione Diagnostici 20151 Milan Italy Bayer Diagnostics Korea Ltd Seoul Korea Bayer de M xico S A de C V D...

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Page 673: ...stems or methods before you report patient results Analyze The key that begins sample analysis Analyze mode The normal operating state in which you can analyze patient and QC samples and perform calib...

Page 674: ...system that includes the measurement module fluidic components and reagents For example the base model for an 865 is an 860 biosensor A device that utilizes an active biomolecule such as an enzyme to...

Page 675: ...ioner A solution used during the conditioning procedure that cleans and conditions the sensors CO oximeter CO ox A device that spectrophotometrically measures the absorption of whole blood at several...

Page 676: ...rded QC data into an active file or update the statistics You can retrieve the discarded data using the Data Recall function if the data was accidentally discarded Also called File 14 diskette A 3 5 i...

Page 677: ...rough F5 located below the screen that are associated with the labels displayed on the bottom line of the screen The key functions can change as you move from screen to screen flag A symbol that appea...

Page 678: ...highlight bar The area of the screen that appears in reverse video to indicate the selected choice in a scroll list or menu HIS Hospital information system A computer system that is used for data man...

Page 679: ...esses the Calibration Troubleshooting Maintenance Data Recall Operating Setup System Setup System Utilities and Service Setup menus Menu screen The screen that appears when you are in Menu mode From t...

Page 680: ...ey that tightens the printer paper on the spool Parameter Names The Operating Setup menu option that lets you select the chemical symbols to identify parameters Parameters The System Setup menu option...

Page 681: ...Operating Setup menu option that lets you select a report type turn on automatic printing enter the number of copies to be printed and select a printer Purge A function that moves solutions through t...

Page 682: ...t sample or calibration result is outside the expected range reference range A range of values with upper and lower limits that the system uses to evaluate patient sample results The reference range r...

Page 683: ...s used for serial ports to connect printers and other devices to the system sample connector The component that splits the sample path to allow a sample to go to both the measurement module and the CO...

Page 684: ...theoretical value for a calibration solenoid valve The component associated with opening and closing the path within the fluidic system to control the passage of fluids and gases Standby The System Ut...

Page 685: ...d a barometer test Troubleshooting The Menu screen option that lets you access diagnostic tests Units Values The Operating Setup menu option that lets you select measurement units that the system uses...

Page 686: ...unction For example during sample analysis the system displays a data entry form you use to enter patient demographic data and when analysis is finished it displays results Workload Stats The Data Rec...

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Page 689: ...Additional Messages message 4 6 air filter removing illustration 3 32 replacing 3 32 replacing CO ox 3 33 alveolar oxygen tension I 32 alveolar arterial oxygen tension difference I 33 Analyze key 1 24...

Page 690: ...e 1 46 barometer 1 47 2 59 drift limits 1 48 5 57 valid entry ranges 5 57 frequency 5 60 glucose biosensor 1 46 interrupting 2 60 manually initiated 1 47 one point 1 45 1 64 to 1 74 options 5 57 to 5...

Page 691: ...9 to 4 54 D3 Slope Error Lac 4 19 D3 Slope Error pH Na K Ca Cl 4 18 to 4 54 D3 Slope Error pO2 pCO2 4 17 to 4 54 D3 Slope Error tHb 4 20 D4 Offset Error Glu 4 23 to 4 54 D4 Offset Error Lac 4 23 D4 Of...

Page 692: ...o 4 115 Excessive Bubbles in CO ox Sample message 2 33 4 7 Excessive Bubbles in CO ox Zero message 4 7 Excessive Bubbles in tHb Slope 4 115 Excessive Bubbles in tHb Slope message 4 7 Excessive Scatter...

Page 693: ...5 32 limitations on blood gas analysis 1 33 line printer configuring an 800 system for 5 62 connecting to an 800 system D 5 examples of printed reports F 7 LIS canceling an assay order 2 4 communicat...

Page 694: ...9 measuring pH I 8 measuring pO2 I 11 other reported parameters I 25 potentiometry I 1 to I 38 operator password default 5 28 operator passwords defining 5 27 to 5 29 Operator Passwords Screen 5 28 ot...

Page 695: ...31 symbols 2 30 screen 2 30 transmitting to an LIS HIS or data management system 5 38 troubleshooting 4 97 patient temperature correction I 32 pCO2 measuring I 9 sensor I 11 performance 840 data E 11...

Page 696: ...bration verification 1 56 how often to run 1 51 materials 1 50 options 5 45 to 5 56 statistics 1 51 to 1 52 reagent delivery components illustration 1 19 reagent fittings cleaning 3 53 to 3 54 removin...

Page 697: ...1 27 illustration 1 9 1 23 message box 1 27 option button 1 27 scroll list 1 27 sensor icons 1 27 1 28 text field 1 27 timing bar 1 27 Select Custom Panels screen 5 9 to 5 19 Select Default Panel scr...

Page 698: ...alyzed 5 12 password protection 5 26 to 5 27 operator passwords 5 27 to 5 29 Patient Information form 5 6 to 5 8 printer report format 5 22 printing options 5 20 to 5 21 reference and action ranges 5...

Page 699: ...e thermal control 4 112 tubercle bacillus A 1 two point calibration report example 2 64 Unexpected Device Detected message 4 9 Units and Values form screen 5 16 Units and Values screen 5 14 user inter...

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