Id Now: Instrument User Manual
Id Now: Instrument User Manual
Id Now: Instrument User Manual
NAT-000
ID NOW Instrument User Manual
™
Initial Admin
Software User Clock
Admin password
Update Login reset
Setup reset
Home
Home
Patient
Language New
Test Login
User
Results
Early
Export
Date Detection,
Logfile
on/off
Transmission Time
Status
Auto-
Logout
Network Setup
Remote Status
Mode
Connectivity Auto-
Sending
QC
Lockout
Lot
Management
Auto Print
Reset to
Factory
Default
*The Connectivity Status options will only appear when the instrument has been configured
by the Admin to specify the port and address of the ASTM LIS, HL7, or POCT server.
4 Setup Menu.......................................................................... 17
4.1 Log In (Admin Access Only)........................................................................ 17
4.2 Users............................................................................................................... 18
4.3 Assay Preferences (Admin Access Only)..................................................20
4.3.1 Sample Type Selection (Admin Access Only).....................................21
4.3.2 Early Detection (Admin Access Only).................................................21
4.4 Patient Details (Admin Access Only)........................................................ 22
4.5 Date (Admin Access Only)......................................................................... 22
4.6 Time (Admin Access Only)......................................................................... 22
4.7 Auto Logout (Admin Access Only)............................................................ 23
4.8 Network (Admin Access Only)................................................................... 23
4.9 Remote Mode (Admin Access Only)......................................................... 24
5 Preferences Menu............................................................... 32
5.1 Language........................................................................................................ 32
5.2 Sound............................................................................................................. 32
5.3 Brightness...................................................................................................... 33
5.4 About ............................................................................................................ 33
5.5 Instrument Information............................................................................... 33
6 Running a Test..................................................................... 34
6.1 User Login..................................................................................................... 34
6.2 Main Menu.................................................................................................... 35
6.3 First Time Use............................................................................................... 35
6.4 Running A Test.............................................................................................. 35
7 Running a QC test.............................................................. 37
7.1 Run QC Test..................................................................................................37
7.2 QC Test Results............................................................................................ 38
13 Symbols............................................................................... 62
14 Ordering and Contact Information...................................64
15 Warranty.............................................................................. 65
aution: Use only the power supply that is provided with the instrument. Use
C
the appropriate power supply for the region. The correct power supply is required
to maintain the safety and electromagnetic compatibility of the system.
aution: The power supply that is provided should only be used with the
C
ID NOW Instrument.
aution: Hot Surfaces. The Sample Receiver holder in this instrument operates
C
at up to 60ºC (140ºF) and may cause contact burns or damage to materials in
contact with this area.
aution: Always operate this instrument on a clean, flat, level and stable surface
C
not in direct sunlight. Do not drop the instrument. Ensure that air flow to the
ventilation openings located on the back and base of the instrument are not
restricted.
aution: Follow proper infection control guidelines for handling all specimens
C
and related items. Properly dispose of all contaminated waste according to
federal, state, and local requirements.
aution: Risk of electrical shock. Do not operate the instrument or the power
C
supply if it has been opened, damaged or exposed to moisture, condensation or
rain.
aution: Only operate the instrument for its intended purpose and in
C
accordance with this user manual and warnings. If the instrument is used in a
manner not specified in the user manual, protection provided by the equipment
will be impaired. This instrument (including power supply) is designed to operate
within the manufacturer’s specifications. Do not exceed the manufacturer
specifications when in use.
aution: Due to the high sensitivity of the assays run on the instrument,
C
contamination of the work area with previous positive samples may cause false
positive results. Handle samples according to standard laboratory practices.
Clean instruments and surrounding surfaces according to instructions provided
in Section 1.6, Maintenance & Cleaning.
aution: Once reacted, the Test Base contains large amounts of amplified
C
sample (Amplicon). Do not disassemble the Test Base and Transfer Cartridge.
In the case of a positive sample this could lead to amplicon leakage and potential
false positive ID NOW test results.
This document describes the setup, configuration and operation of the ID NOW
Instrument, which utilizes isothermal nucleic acid technology for the qualitative
detection of a range of infectious diseases. It is intended to aid in the diagnosis of
these diseases.
The reaction tubes in the Test Base contain the reagents required for amplification of
the target nucleic acid and an internal control. ID NOW utilizes a pair of templates
(similar to primers) for the specific amplification of the target nucleic acid and
a fluorescently-labeled molecular beacon designed to specifically identify the
amplified targets.
To perform the assay, the Sample Receiver and Test Base are inserted into the
ID NOW Instrument. The sample is added to the Sample Receiver and transferred
via the Transfer Cartridge to the Test Base, initiating target amplification. Heating,
rotation and detection is provided by the instrument, with results automatically
reported.
Additional assay specific information and work flows are detailed in the respective
product inserts.
Weight 3.0 kg
Indoor Use
15ºC to 30ºC (50ºF to 86ºF)
Operating
10% to 80% RH (non-condensing)
Environment
0m (1.01 bar) to 2000m (0.763 bar)
IP20
1.4 Unpacking
Unpack the ID NOW Instrument and place on a clean, flat, level and stable surface
within reach of an electrical outlet. The ID NOW Instrument has a carrying handle
located on the back of the instrument for transport purposes. Use the carrying
handle when removing the instrument from the box and when transporting short
distances. Place instrument in a location where the air vents located in the back of
the instrument will not be blocked. Avoid placing the instrument in direct sunlight.
Inspect for any obvious signs of damage. Report any damage immediately
to Abbott. Allow the instrument to equilibrate to room temperature for at least
30 minutes.
Abbott recommends that the exterior instrument surfaces and the surfaces visible
under the open lid be cleaned daily. Clean surrounding bench area. Clean instrument
and surrounding areas immediately after possible patient sample contamination.
1.7 Components
The following items are supplied with the ID NOW Instrument:
Lid
LCD Color
Display Screen
Test Base
Holder
Sample Receiver
Holder
Audio
Speaker
Power
Connection
Power
Button Ethernet
Connection
USB Connection x 2
State Indication
Slow flash Starting up/ heaters not at temperature
3.5 Navigation
Preferences Up & Down Arrows:
Language English Enable navigation to scroll through
Sound Enabled menus and increase/decrease
Brightness 50% setting values.
About Home:
Select Home at any time to return
Example of Navigation Bar to the Home screen.
Q W E R T Y U I O P 1 2 3 4 5 6 7 8 9 0
A S D F G H J K L / : ; ( ) $ & @ “
# Z X C V B N M # + = . , ? ! ‘
123 ABC
The Onscreen QWERTY Keyboard & Numeric Keypad enable user input into the
ID NOW Instrument. Press ‘123’ or ‘ABC’ to swap between text and number entry.
Note: Barcode input will operate at any time in these screens and can add text as if
entered via the onscreen keypad.
Note: If Chinese language is selected, the Pinyin keyboard will be available. If Japanese
is selected, Romaji will be available.
After power-up, the Create Admin Password screen will be displayed. The Admin
user must type in their chosen password and press .
Passwords are case-sensitive and must be alphanumeric. The password cannot
contain spaces. Passwords must be 2-20 characters.
The instrument will ask for confirmation of the password. If password is correct,
press to advance to the next screen. If password is incorrect, press Cancel to
return to the Create Admin Password screen.
Rescue Password The Admin can set a rescue password in case the
Would you like to define a Rescue
original is lost or forgotten.
Password that can restore access
if the Admin password is lost?
No Yes
Recovery Key Use keyboard to enter the rescue password and reset
Please refer to user manual.
password.
Recovery Key:
If rescue password is lost, an error screen will indicate
####-####-#### 'Password Not Recognized'. Admin can choose 'Reset'
and a Recovery Key will be automatically generated by
the instrument.
Cancel OK
# Z X C V B N M
123
Self Test
Self Test The instrument will now run a Self Test before
Running self test,
proceeding to the Home screen.
please wait ...
The selected option will apply to all Users with the exception of the Admin, who
will always be required to use a password when logging on as ‘Admin’.
If the system is changed from User ID & Password to User ID Only, existing
passwords are retained in the event the Admin selects User ID & Password in the
future.
If the system is changed from User ID Only to User ID & Password, user
passwords are set to ‘password’ as a default, if a password has not been set
previously for the user. The Admin can change each User’s password individually,
as needed.
ID NOW Instrument User Manual 17
4.2 Users
Home>Setup>Users
Users Users
ADMIN CINDY
Export Users
The User Menu allows the Admin to add, delete and edit the list of instrument
users.
123
Note: A unique User ID is required for each user. If a duplicate User ID is entered, the
instrument will prompt to use a different ID. All users may change their own password.
Edit User
Delete
OK
123
Enter New Password Note: If the Admin user has been selected, neither the
password nor the delete button will be displayed on this
Q W E R T Y U I O P
screen.
A S D F G H J K L Press to return to the previous screen.
# Z X C V B N M
123
Exported 12 users.
OK
Import Users
Imported 8 users.
OK
ID NOW Assay 2 Enabled The Admin can select the desired assay from the
Swab
OK
Choose Select per Test if the instrument is intended to run both Swabs and VTM
samples. Users will be required to select the appropriate Sample Type each time
they run a test.
Press OK to save the settings and return to the Setup Menu.
OK
Gateway 100.100.100.100
The default is DHCP. To switch to static IP, an IP
address, Subnet Mask, Gateway, or DNS Address
DNS Address 100.100.100.100
must be entered manually using Edit Addresses
Cancel OK
screen. The details will show on right of screen, if
IP Address set.
10.0.1.121 Press to save the settings and return to the
1 2 3 4 5 6 7 8 9 0 Setup Menu.
/ : ; ( ) $ & @ “
# + = . , ? ! ‘
ABC
Cancel
Home>Setup>Connectivity
Connectivity The Connectivity Menu allows the Admin to
configure, edit, or control sending messages to a
ASTM LIS Laboratory Information System or the Point of
HL7
Care Data Management system via the Ethernet
POCT-1A
network connection. Choose either ASTM LIS,
HL7, or POCT and press OK to select.
OK
Connectivity
Setup
/ : ; ( ) $ & @ “
# + = . , ? ! ‘
ABC
51122
1 2 3 4 5 6 7 8 9 0
/ : ; ( ) $ & @ “
# + = . , ? ! ‘
ABC
Cancel OK
OK
Lot Management
# + = . , ? ! ‘
ABC
Frequency 100
Cancel OK
When the QC Lockout function is enabled (warn or lockout) the user will be
prompted to run QC negative and positive controls before a patient test can be
run. Alternatively, the user can change to a different lot (which has had a valid QC
negative and positive control associated with it.)
Run QC Test Both QC negative and QC positive tests must
Positive QC Test
generate valid results before the instrument can run
Negative QC Test
a patient test. Select Run QC Test and follow the
steps in Section 7.
QC Lockout
Lot Management
A S D F G H J K L
# Z X C V B N M
Cancel 123 OK
OK
OK
Cancel OK
Caution: This will delete all users, patient test results, and QC results
from the instrument. It is recommended that any desired data be
exported before performing this function.
5.1 Language
Home>Preferences>Language
Language Warning Warning
Deutsch
Cancel OK OK
5.2 Sound
Home>Preferences>Sound
Sound The Instrument uses sound for the following
Keyboard Clicks On
functions:
Alerts On
• A click whenever the touch screen
is used.
• Tones will sound to indicate when the
Volume level: 80 instrument warm up routine is complete,
OK when the transfer cartridge is recognized, and
when the test is complete, as well as for alerts
and warnings.
Keyboard clicks and alert sounds can be turned on or off by using the touch
screen. Volume can be increased or decreased using the up and down arrows.
Press OK to save the settings and return to the Preferences Menu.
5.4 About
Home>Preferences>About
About this Device Information about the instrument is
displayed here.
Press Info to display further instrument
Serial No. CB8EC413
Software © 2013-2019 Axxin, used under license.
2018-2019 Abbott. All rights reserved. All trademarks
information.
referenced are trademarks of either the Abbott group of
companies or their respective owners.
Back Info
A S D F G H J K L
# Z X C V B N M
123
Self Test:
Self Test The instrument will run a Self Test before
Running self test,
proceeding to the Home screen.
please wait ...
Both QC negative and QC positive tests must generate valid results before the
instrument can run a patient test. Select Run QC Test and follow the steps in
Section 7.
Run Test Select the desired test from the list of assays
ID NOW Assay
available. Refer to Running a Test in the assay
specific ID NOW product insert for further details.
Cancel OK
It is essential that the on-screen prompts are followed throughout the testing
process. See specific test product inserts for further information.
36 ID NOW Instrument User Manual
7 RUNNING a QC TEST
ID NOW test kits contain Positive and Negative External Controls. When an assay
or the instrument is used for the first time, or when the software is upgraded, the
User is required to run both a positive and a negative successful QC test before
patient testing is allowed. See specific test product inserts for further information
regarding QC test frequencies. Further controls may be tested in order to conform
with local, state and/or federal regulations, accrediting groups, or the lab’s standard
Quality Control procedures.
OK
ID NOW
Abbott also recommends that only the Universal Printer be used with the
ID NOW Instrument.
Note: Data printed will vary depending on selections in Setup>Patient Details.
Home>Review Memory
Review Memory Navigate through the instrument memory by
Patient Test Results
viewing a list of Patient Tests or QC Tests.
QC Test Results
Search Results
Export Results
Back
Patient Test Results 4 of 10 A list of all stored Patient Test Results will be
Patient9 RSV displayed, showing the first 8 characters of the
27/Sep/2018 07:28
Patient8 Influenza A & B Patient ID. Use the up and down arrows to scroll
26/Sep/2018 07:28
Patient7
Strep A through the list, and the touch screen to select and
25/Sep/2018 07:28
Flu A: Negative
Flu B: Positive
Test Results
10AX425
When Connectivity has been configured, the
1/Jan/2013
11:22am
connectivity status of each result is displayed on the
User ID: Abbottuser1 Procedural
Control Valid Test Results screen:
Flu A: Negative
• Not Sent
Flu B: Positive
• Queued for sending (as Not Sent, but
Back Actions Auto-Sending is enabled, which will
eventually send the record)
• Connecting…
• Sending…
• Failed to send
• Failed to send, retrying…
• Sent (followed by the send date and time)
No Results Saved
Patient Test Results This screen will be displayed if the instrument has
No results saved.
not yet been used for patient testing or following
export and deletion of all results.
OK
Send Result
Cancel
Back
Negative Influenza A & B the up and down arrows to scroll through the list,
14/Nov/2012 6:23pm
Negative
Strep A and the touch screen to select and view a particular
14/Nov/2012 11:13am
123
Patient Test Results 4 of 10 For example: Searching for the text “Jan” will return
Patient9 RSV any test results where the Patient ID contains
27/Sep/2018 07:28
Patient8 Influenza A & B the text “Jan”, and also any test results that were
26/Sep/2018 07:28
Patient7
Strep A obtained during the month of January.
25/Sep/2018 07:28
Patient6 RSV
24/Sep/2018 07:28
A list of results matching the search criteria will be displayed and results may be
selected and viewed.
Cancel OK
OK
Update Sequence:
Step 1: Prior to software update, export test results and users stored on the
instrument.
Step 2: Turn the instrument off by pressing and holding the power button for 3
seconds or longer.
Step 3: Attach USB Flash Memory Drive with the required software update
(provided by Abbott) to the instrument via the USB port located on the
side of the instrument.
Step 4: Power up the ID NOW Instrument by pressing and holding the power
button. The instrument will automatically display the start-up status bar.
Follow the on-screen instructions to initiate the software update.
Cancel OK
Step 6: When complete, the instrument will advance to the Login screen.
(Note: Due to a firmware update, the instrument may reboot on its own.
Repeat Step 5 if this occurs.)
Prior to running an assay with the new software for the first time, the user is
required to run a positive and negative successful QC test before patient testing is
allowed. See Section 6.
If expected QC results are not obtained or you are unable to complete the software
update, please contact Abbott Technical Support.
Note: Only one USB drive may be present during the software update process.
Refer to Universal Printer User Manual for more information. Abbott recommends
using the Universal Printer with the ID NOW Instrument.
Refer to the Barcode Scanner User Manual for more information. Only use the
Barcode Scanner provided by Abbott with the ID NOW Instrument.
Abbott recommends using the ID NOW USB Drive with the ID NOW Instrument.
Alternatively, other commercially available USB Flash Memory Drives can be used.
The USB must meet the following requirements:
• Formatted for FAT32, min 512 MB with only 1 partition.
• The USB Flash Memory Drive does not perform CD-ROM emulation.
• The USB Flash Memory Drive does not require proprietary software loaded to run it.
12.1 Errors
[Note: These are arranged in order of the time they may appear in
the process]
Example Screen:
Error
Invalid Password
Must be 2 to 20 characters.
OK
Error: QC Incomplete
For assays configured with QC Lockout set to Warn or Lockout, this Error will
appear when a new patient test is attempted with a lot that does not have a valid
QC Positive and Negative result.
Action: Select OK to stop the patient test and proceed to conduct a QC run for
the lot OR the user must use a different lot of consumables for the run.
Example Screen:
Warning
Memory Is Full
OK
Hot Surface
Biological Hazard
Serial Number
EC REP
Manufacturer
This device complies with part 15 of the FCC Rules. Operation is subject to the
following two conditions: (1) This device may not cause harmful interference, and (2)
this device must accept any interference received, including interference that may
cause undesired operation.
Technical Support
Advice Line
Further information can be obtained from your distributor, or by contacting
Technical Support on:
USA
+1 855 731 2288 [email protected]
Asia Pacific
+61 7 3363 7711 [email protected]
Canada
+1 800 818 8335 [email protected]
Latin America
+57 (1) 4824033 [email protected]
WARNING: Failure to comply with the User Manual could lead to inaccurate results.
Limited Warranty
Manufacturer guarantees to the original purchaser of the Instrument that
the Instrument is free from material defects for two years from the date of
purchase. This warranty does not guarantee the uninterrupted operation of the
Instrument. Manufacturer's only liability and Purchaser's exclusive remedy under
this warranty is that during the warranty period Manufacturer shall replace or
repair, at no charge, and at the Manufacturer's sole discretion, any Instrument
with a defective component. MANUFACTURER MAKES NO OTHER
WARRANTIES AND EXPRESSLY EXCLUDES ANY IMPLIED WARRANTY
OF MERCHANTABILITY, NONINFRINGEMENT OR FITNESS FOR A
PARTICULAR USE.
There are no user-serviceable parts in the Instrument. Tampering with any portion
of the Instrument, abusing the Instrument or using the Instrument in a manner
inconsistent with its User Manual will void this warranty. This warranty does not
apply to any component that is damaged by improper storage in environmental
conditions outside the recommended range, accident, or that is subject to alteration,
misuse, tampering or abuse. Purchaser must file a warranty claim in writing and
within the applicable warranty period to the Manufacturer.
IVD