DXH Series Training Pocket Resources Spiralbook Rev A June2014
DXH Series Training Pocket Resources Spiralbook Rev A June2014
DXH Series Training Pocket Resources Spiralbook Rev A June2014
This document is not intended to replace the information in your Instrument Instructions for
Use Manual (IFU). Information in the Instructions for Use Manual supersedes information in any other manual.
READ ALL PRODUCT MANUALS AND CONSULT WITH BECKMAN COULTER-TRAINED PERSONNEL BEFORE
ATTEMPTING TO OPERATE INSTRUMENT.
BECKMAN COULTER, INC. URGES ITS CUSTOMERS TO COMPLY WITH ALL NATIONAL HEALTH AND SAFETY
STANDARDS SUCH AS THE USE OF BARRIER PROTECTION. THIS MAY INCLUDE, BUT IT IS NOT LIMITED TO,
PROTECTIVE EYEWEAR, GLOVES AND SUITABLE LABORATORY ATTIRE WHEN OPERATING OR
MAINTAINING THIS OR ANY OTHER AUTOMATED LABORATORY EQUIPMENT.
TRADEMARKS
THE BECKMAN COULTER logo, COULTER, DxH, and UniCel are trademarks of
Beckman Coulter; the BECKMAN COULTER logo COULTER, and UniCel are registered
in the USPTO.
All other trademarks, service marks, products or services are trademarks or registered
trademarks of their respective holders.
Made in USA
REVISION STATUS
TROUBLESHOOTING PROCEDURES
STAIN PROTOCOLS
Step Action
1 Select the Log off icon at the top right of the screen.
On the Log On screen, type in the Operator ID, press tab (case sensitive).
2 8
4
1. Status Area 5. System Status Icon
Step Action
6 You may now refer to this topic any time you select Favorites.
The Help screen may be moved and resized to place it in a better position on the
8
screen while you are working.
The font icon at the top of the Help screen allows you to increase or decrease the size
9
of the font used to make it easier to read.
The print icon at the top of Help allows you to print any information that you want from
10
Help. It will print in the font size chosen.
Step Action
Select the System Status icon . This screen gives you an overview of the system.
System
Status
Transport Instrument
Status Status
1
LIS Printer
Status Status
Details
Status
Click on Details Status button, or double click on the instrument silhouette to view
the systems status details.
Date & Time of last Daily Displays the Status of the Unit
Check & Shutdown Cycles
Transfers
Select the Daily Checks button to display the Daily Checks Summary screen with
results of the most recent Daily Checks.
Select Daily Checks from the local navigation bar. A dialog box displays the
2 following: Are you sure you want to start a Daily Checks procedure? Press OK to
continue.
The Daily Checks takes approx 4.5 minutes. For additional reference, refer to Daily
4
Checks Help topic Chapter 3.
Look at the Daily Checks alert status icon. If it is neutral, all is well. If it is red, then
something failed and needs review.
1
When there is any result that fails, you need to acknowledge the value to return the
status color to neutral to be able to run the instrument.
2 Look at each Daily Checks tab, beginning with the Summary tab.
4 Verify your background results when the Daily Checks cycle finishes.
You may view the Daily Checks log entries and any areas that failed within
5
the Daily Checks will be backlit in red and have a Fail status posted.
Step Action
From the Daily Checks screen, select the Shutdown button to display the Manual
1
shutdown dialog box.
Select the Perform Startup After Shutdown check box to automatically begin Daily
3
Checks after shutdown is completed.
Type a number in the Time in Cleaner Hours and Minutes check boxes to determine
the time in cleaner.
4 Note: No other cycles or System Manager actions can be performed until the
Shutdown cycle has completed. Once the Shutdown cycle is complete, a countdown
timer bar appears at the bottom of the Daily checks screen to let you know how much
time remains for the cleaning.
Step Action
The frequency of running controls is dependent upon regulatory and laboratory policy
for quality assurance programs.
Remove control tube(s) from the refrigerator and warm at AMBIENT TEMPERATURE
1
for 10-15 minutes.
4 To put the instrument Online, select the Start button from the upper right.
5 Process all the controls (except Body Fluid) via cassette presentation.
After the cassettes are finished, follow the steps for single-tube presentation to
6
process the Body Fluid controls.
If any of the control runs had out-of-range values, a dialogue box opens with a list of
those controls. If everything was within range, the Quality Control (Data View) screen
opens with the last control that was viewed.
If you want to review a different control or level, use the Select Control button
from the local navigation bar.
2
This opens a control tree that you can expand to choose the various controls and
levels for review. Highlight the control you wish to view and select OK.
Select the View Graph button from the local navigation bar. This allows
4
review of the Levey-Jennings graphs.
Select the “Reviewed By” area under the column to review controls. In your lab, follow
7
your laboratory’s protocols for reviweing control results.
Step Action
The hand-held Bar-Code scanner allows you to automatically upload DxH Supply
1 information from the Setup Supplies dialog box.
Select the Supplies icon from the Alert Status Icons.
With the Setup Supplies dialog box open, scan the bar-codes on the Beckman
3
Coulter reagent container and hit Enter. The supply information is updated.
You can configure the system to run with one diluent container, or two (dual) diluent
containers. The system will automatically switch between two containers if so
configured.
You may select either the Single Container or Dual Container option from the
2
Diluent drop-down list.
The Configure Low Level option allows you to set a warning level to alert you when
1 a supply is running low based on the remaining percentage of that supply.
Select the Supplies icon > Configure Low Level.
Note: When the low level is triggered Supplies Alert Status Icon turns yellow. If both
supplies are out, the icon is red.
3 Select OK.
You may view the status of the SPM in the System Status Screen or the Details
1 Status Screen.
Place the SPM online to run samples by pressing the start button .
Place the cassettes into the input buffer to the right of the SPM. The SPM
automatically begins cycling the cassettes.
Step Action
4 Verify the Specimen Identifier and Test request. Follow the prompts on the screen.
2. Press Edit Order button. 2. The Dialog Box comes up Test Order not Found
“Default Test Order Assigned”. Select OK.
NOTE Before you can start or restart the calibration process, the SPM must be offline.
Select Calibration Setup on the CBC Calibration Screen to display the CBC
Calibration Setup dialog box.
The screen will have the results of the last calibration run that was performed. You
2
will be prompted by a dialog box which states: Existing Data will be deleted.
Select OK to continue.
Select OK.
Select New Control From Bar Code and use the handheld bar-code scanner to
scan the 2D bar code on the product insert or enter/select the following
information:
6
Lot#
Expiration Date
Reference Values
Additional Information
When To Calibrate and When To Verify
When to Calibrate
You should calibrate your instrument:
At installation.
After replacement of any component that involves dilution
characteristics (such as the BSV) or the primary measurements
(such as the apertures).
When advised to do so by your Beckman Coulter
Representative.
If you fail verify calibration procedure.
When to Verify
You should verify the calibration of your instrument:
As dictated by your laboratory procedures, local or national
regulations.
When controls begin to show evidence of unusual trends.
When controls exceed the manufacture’s defined acceptable
limits.
If the average ambient room temperature changes more than
10F or 12F from the calibrating temperature.
Manifold Probe
Waste
Line
Hamilton
Syringe
BSV
Aspiration
Probe BSV
Drip Tray
Rear
Blood
Detector
Behind the Sample Aspiration Mode (SAM)
Bleach
Vacuum
Port
Regulator
Vacuum Vacuum
Regulator Regulator
Fitting #2 Fitting #1
BECKMAN COULTER, INC. URGES ITS CUSTOMERS TO COMPLY WITH ALL NATIONAL HEALTH AND SAFETY STANDARDS SUCH
AS THE USE OF BARRIER PROTECTION. THIS MAY INCLUDE, BUT IT IS NOT LIMITED TO, PROTECTIVE EYEWEAR, GLOVES AND
SUITABLE LABORATORY ATTIRE WHEN OPERATING OR MAINTAINING THIS OR ANY OTHER AUTOMATED LABORATORY
ANALYZER.
Right
Left
Cradle
Cradle
FMI
Pumps
Sheath
Regulator
VCSn
Waste
Chamber
Sample
Regulator
Sample
Tank
Sheath
Tank
Solenoids
25 psi
Chamber
RBC
Bath
WBC
Count
Chamber
Hemoglobin
Lamp
RBC
Hemoglobin Count
Cuvette Chamber
WBC
Bath
Foam
Trap
Flow Cell
MONOS NEUTS
EOS
LYMPHS
BA
NON-WHITE CELLS
WBC’S
PLT/DEBRIS
WBC MATURE RBC’S
RETICS
NRBC
PLT/DEBRIS
RBC Fragments / DI RBC / Elevated RDW DI RBCs, RBC Frags, Elevated RDW
Lymphs Normal
Mononuclear Granulocytes
Left Shift
1
3 1 MO Blasts
4 2 NE Blasts
3 Immature Granulocytes
4 Band Neutrophils
5
5 LY Blasts
6 Variant Lymphocytes
6
7 Small Lymphs / Low Opacity
7 8 Non-White Cells
8
Event Log
All subcategories (System Status, Supplies, QC, QA, XB/XM, Patients, General)
Max of 5000 events, No limit on time, all instruments.
Audit Logs
Audit Log: Max of 30,000 events, 731 days, all instruments.
Maintenance Logs
All subcategories (Maintenance, Service): Max of 5000 events, No limit on time, per
instrument.
Specimen Preparation
The aspiration pump activates and aspirates 165 µL of sample (Cassette or
Single Tube Presentation). After the probe is removed from the specimen tube a
second pull of the aspiration pump draws the blood through the BSV pathway,
verifying a proper aspiration at the blood detectors.
WBC Dilution
~6.0 mL of DxH diluent
~28 µL of sample 1.251 Final dilution
~1.08 mL of DxH Cell Lyse
RBC Dilution
~10.0 mL of DxH diluent
~1.6 µL of sample 1.6250 Final dilution
Note: Probe discards ~4.0 µL of sample between each dispense in the AMTC.
Beckman Coulter recommends that a diluent be run as a Body Fluid sample prior to
analysis of Body Fluid specimens. Backgrounds within specifications can influence the
reported results on the samples with low abnormal or normal values. Beckman Coulter
recommends that each laboratory establish criteria for evaluation of the impact on the
background on the reported results.
Table 1.14 Background - Body Fluids*
Synovial Fluid
The inability to collect synovial fluid specimens in the normal, nondiseased population
limits the ability to determine reference ranges. Literature suggests the following normal
reference ranges.
Overview
The following types of sample can be analyzed on the SPM.
DAILY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Perform Shutdown
Perform Daily Checks - Verify that all results are
within limits
Process Controls
As Needed
Clean (Bleach) the Apertures
Clean the Aspiration Probe
Clean the BSV Externally
Clean the Pneumatic Supply Module Fan Filter
Clean the STM
Clean the Air Mix Temperature Control (AMTC)
Module
Clean the Vacuum Trap
Clean the Optical Sensors
Clean the Handheld Bar-Code Scanner
Tech Initials
UUNICEL
® DXH SERIES COULTER
® CELLULAR ANALYSIS SYSTEM
NICEL DXH 600 COULTER CELLULAR ANALYSIS SYSTEM
Achieved? Trainee Trainer
Task Resource How Measured? N/A Date
Y N Initial Initial
IDENTIFY POTENTIAL
HAZARDS AND SAFETY
FEATURES
Review MSDS www.beckmancoulter.co Direct Observation
m Test
MSDS manual in lab Other __________
Recognize Hazard Symbols System HELP Direct Observation
Test
Other __________
IDENTIFY AND BRIEFLY Training Manual Direct Observation
EXPLAIN FUNCTION OF System HELP Test
ANALYZER COMPONENTS Other __________
OVERVIEW OF SCREENS Training Manual
AND SOFTWARE System HELP
Identify System Manager Direct Observation
Icons and Screens Test
Other __________
Use System HELP Direct Observation
Test
Other __________
MANAGE REAGENTS AND Training Manual
CONSUMABLES System HELP
Setup new lot number for Direct Observation
Latron CP-X, 6C, Retic-X Test
and Body Fluid Controls Other __________
Replace reagent container Direct Observation
Test
Other __________
DAILY CHECKS AND Training Manual
SHUTDOWN PROCEDURES System HELP
Perform a Daily Checks Cycle Direct Observation
& Review the Results Test
Other __________
UUNICEL
® DXH SERIES COULTER
® CELLULAR ANALYSIS SYSTEM
NICEL DXH 600 COULTER CELLULAR ANALYSIS SYSTEM
Achieved? Trainee Trainer
Task Resource How Measured? N/A Date
Y N Initial Initial
Perform a Shutdown
Direct Observation
Test
Other __________
UUNICEL
® DXH SERIES COULTER
® CELLULAR ANALYSIS SYSTEM
NICEL DXH 600 COULTER CELLULAR ANALYSIS SYSTEM
Achieved? Trainee Trainer
Task Resource How Measured? N/A Date
Y N Initial Initial
with barcode ID and without Other __________
Retrieve Patient Results
Direct Observation
Test
Other __________
UUNICEL
® DXH SERIES COULTER
® CELLULAR ANALYSIS SYSTEM
NICEL DXH 600 COULTER CELLULAR ANALYSIS SYSTEM
Achieved? Trainee Trainer
Task Resource How Measured? N/A Date
Y N Initial Initial
Other __________
Clean the Optical Sensors Direct Observation
Test
Other __________
Clean the Cassettes
Direct Observation
Test
Other __________
Replace the Aspiration Probe Direct Observation
Test
Other __________
Replace Reagent Containers Direct Observation
Test
Other __________
Replace Waste Containers Direct Observation
Test
Other __________
Replace the Pneumatic Direct Observation
Supply Module (PSM) Test
Other __________
Replace the Hand-held Direct Observation
Bar-Code Scanner Test
Other __________
RESOURCES IFU
Direct Observation
System HELP
Test
Training Material
Other __________
Laboratory Protocol
Cellular inter: Pattern consistent with NRBC detection during a CBC only cycle. This
Cellular Interference Suspect message is not associated with a Review (R) flag.
Cellular inter: Poor separation between a WBC population and interference. WBC
correction was performed as a best estimation, and the WBC was flagged with R.
Data Fusion saw NRBC and corrected the WBC count. The “R” flag means review the
results. CBC only was ordered or run.
A CBC was only ordered. No NRBC % results or NRBC Suspect Message obtained.
Cellular Inter: Pattern consistent with NRBC detection during a CBC only cycle. This
Cellular Interference Suspect message is not associated with a Review (R) flag.
Cellular Inter: Poor separation between a WBC population and interference. WBC
correction was performed as a best estimation, and the WBC was flagged with R.
Data Fusion saw NRBC and corrected the WBC count. The “R” flag means review the
results.
A CBC was only ordered. No NRBC % results or NRBC Suspect Message obtained.
Why do I have both Cellular inter Messages? (Suspect and System)
Pattern consistent with NRBC detection during a CBC only cycle.
Poor separation between a WBC population and interference.
Yellow results means: Outside of Action Limits Low or High.
Red results means: Outside of critical limits.
Cellular Inter: Pattern consistent with NRBC detection during a CBC only cycle. This
Cellular Interference Suspect message is not associated with a Review (R) flag.
Data Fusion saw NRBC cells but no correction of the WBC count. Why????
WBC was not corrected because the NRBC cells were less than 35 fL in size.
Cellular Inter: Pattern consistent with NRBC detection during a CBC only cycle. This
Cellular Interference Suspect message is not associated with a Review (R) flag.
Data Fusion saw NRBC cells and corrected the WBC count. Why????
WBC was corrected because the NRBC cells were greater than 35 fL in size.
Variant Ly
Cellular Inter: Poor separation between a WBC population and interference. WBC
correction was performed as a best estimation, and the WBC was flagged with R.
Data Fusion saw NRBC and corrected the WBC count. The “R” flag means review the
results.
CDR will report NRBC % if enable. That is why no Cellular inter (Suspect Message)
obtained.
Data Fusion saw NRBC and corrected the WBC count. The “R” flag means review the
results.
WBC was corrected but no Cellular Interference flag was posted. Why????
The DxH 800 technologies: Data Fusion, Watershed, Templating Matching, Shape
Signature. An exact match may give you a message, but may not flag the result with an
“R “because it is confident of the correction.
1 3
1: Exception Status
2: Diff Count / Time
3. Flagging Sensitivity
1 3
1: Exception Status
2: Diff Count / Time
3. Flagging Sensitivity
Grasp the front of the STM on both sides; then lift and pull towards you as if opening a
4 drawer.
5 Examine the drip trays behind the mixer and behind the pending buffer.
Use a lint-free tissue dampened with DI water to clean the inside of the STM and drip
6
trays, wiping up any spills or buildup.
7 Dry the inside of the STM by wiping with a dry lint-free tissue.
Locate the optical sensor. Three are located at the input buffer and two at the output
3
buffer. Remember to clean the sensor located at the end of the output buffer.
5 Dampen a piece of lint-free tissue with DI water and wipe down the outside of the BSV.
6 Wipe out the drip tray under the BSV with a lint-free tissue dampened with DI water.
2 Unscrew the power / communications cable from the Pneumatic Supply Module (PSM)
Using a flathead screwdriver or your hand, loosen the thumbscrews that secure the
4 filter retaining plate and remove the filter from the PSM.
5 Wash the filter with soap and water, rinse and let it dry completely.
Return the clean air filter and retaining plate to their original location and fasten the
6
thumbscrews to secure the filter.
Note You can use a fabric-tipped applicator to clean the top of the AMTC.
Carefully use the tip of the applicator stick to wipe debris away from the port on the
AMTC.
Note It is important to avoid getting debris in the holes at the top of the AMTC during this
procedure.
3 From the System Manager, select Menu > Diagnostics > Dx Tools.
6 Select Start. The system places the SAM in safe mode and drains the baths.
Note that a dialog box displays the Time Elapsed as the aperture bleaching takes
place.
10
Note: A maximum of 15 minutes of aperture bleaching is suggested.
Select: OK to end the bleaching and continue with the procedure.
14 Select Finish.
Run Shutdown.
Note: Do not select the Perform Startup (Daily Checks) after Shutdown check box on
15
the Manual Shutdown dialog box.
Refer to the Remove Cleaner section in CHAPTER 8, Shutdown for instructions.
Select Cancel from the local navigation bar when you see the timing bar at the lower
16
right-hand side of the screen start to count down.
Holding the top of the vacuum trap with one hand, use the other hand to unscrew the
3
vacuum trap jar.
Empty the vacuum trap jar according to your local environmental regulations and your
4 laboratory’s procedures.
5 Rinse the vacuum trap jar with water, and then shake out the excess water.
Dampen a lint-free tissue with DI water and wipe down the black center post inside the
7
vacuum trap assembly. Spin the center post to wipe down the entire surface.
Beckman Coulter recommends that you do the Dispense Diluent procedure after
Note
cleaning the aspiration probe to verify the integrity of the aspiration path.
If necessary, press (F10) Access System Monitor to view the Probe Waste Vacuum
4 sensor’s state on the System Monitor screen.
Perform the Dispense Diluent procedure. Refer to the Dispense Diluent Procedure
5
(Menu > Diagnostics > Dx Tools > Maintenance tab)
ZAP Apertures
Step Action
This procedure applies voltage across RBC and WBC apertures to remove protein
buildup.
The system:
Note
Drains and rinses the baths.
Applies the ZAP voltage across the apertures multiple times.
Monitors and displays the ZAP voltages on the System Monitor screen.
Press (F10) Access System Monitor and select Volt/Temp to view the Zap Aperture
4 voltages sensor status on the System Monitor.
5 Select Finish.
The Flush Flow Cell procedure is used to clear blockage or flush debris from the flow
cell. The flow cell comprises an upper and lower chamber connected by an aperture.
Four procedures are available:
The Flush Flow Cell procedure flushes both chambers and flushes the aperture
to clear blockage.
The Flush Lower Flow Cell procedure flushes the lower chamber only.
Note The Flush Upper Flow Cell procedure flushes the upper chamber only.
The Flush Flow Cell with Cleaner procedure flushes both chambers with
cleaner. Then, a timer lets you leave the cleaner in the flow cell from 0 - 30
minutes. After the allowed time has elapsed, the system removes the cleaner
from the flow cell and cleans all the areas contacted by the cleaner.
If the remove cleaner operation is not successful, the system will not allow any other
operation except remove cleaner.
5 Select Finish.
The Cycle DV procedure verifies the DV motor, clutch, and optical sensors. The
system:
Rotates the DV to the right and then to the left 10 times, without moving any
Note liquids.
Monitors the DV home and DV segment sensors.
Displays the sensors’ state on the System Monitor screen.
Press (F10) Access System Monitor and select SAM to view the sensors’s status on
4 the System Monitor SAM/ Blood Transport panel.
5 Select Finish.
2 Turn the PSM over so the bottom of the PSM is facing up.
On the bottom of the PSM, use a Phillips screw driver to remove the four Phillips-head
screws located inside the four socket-head screws, then use the enclosed nut driver to
remove the four socket head screws.
The PSM ships with feet that are intended for floor cabinet use only. If the DxH is
installed on a bench top or non BCI cabinet, the PSM will be placed on the floor or a
shelf; you must remove the feet and replace them with the optional feet which are
required to support the full weight of the PSM.
When returning a defective pneumatic supply includes the unused feet and provided
5 tool. Please replace the four socket head screws and Phillips-head screws on the
pneumatic supply.
3
2
2. System Manager
2
1 3
5
10
9 6
8 7
1. Front Cover
2
2. Input/Output (I/O) Drawer
Open/Close Button 3
3. I/O Drawer 4
4. Transport Shield
1. Front Cover
1 7
2. Slide Stack
2
3.Transport Shield 6
4. Floor Stand 3
5
5. Slide Printer Cover
6. Cartridge Cover
4
7. Upper Right-Side Cover
1
9
2
3
4 10
5 6
7 11
8
12
Select the System Status icon . Look at the SMS screen to give you an overview
1
of basic information about the instrument.
Printer Status:
LIS Status: Status displays Auto Print
Green = LIS Interface ON Disabled, if Disable All Auto
Gray = LIS Interface OFF Printed Reports is selected from
Print >Print Printer Setup
Click on the Details Status button or double click on the instrument picture
2
on the screen.
If the date and time are a neutral color, all is OK. If they are red, there is a problem.
Look at the Maker and Stainer status for Active, Inactive, or Disabled state.
3
This is where you view the status of the maker and stainer.
Transport Status may be Online, if processing samples. Offline, for special cycles and
procedures. Diagnostics or Standby, for certain diagnostic tests. Stopped, when
4 system is commanded by the operator to stop the process, or Disconnected, when the
system is powered off.
When the system displays: You have requested to perform Daily Checks.
Look at the Daily Checks alert status icon . If it is neutral, all is well. If it is red, then
1 something failed and needs review. You can view the daily checks result information for
the Summary, SMS, and Supplies.
The Daily Checks must pass or be reviewed in order to run specimens. If Daily Checks
passes, the Review button is disabled.
Note
Select the Review button from the local navigation bar to clear any system failures and
2
to return to neutral.
3 Select the View Log button to review the Daily Checks tab of the History Log.
When you click “Review” for failed results, you are acknowledging the failure and the
Note need to repeat the Daily Checks. Be sure to document per your regulatory
requirements. You could add a comment in the History Log.
A dialogue window appears asking: Are you sure you want to acknowledge the
6
Daily Checks failure? Press OK to continue.
From the Daily Checks screen, select Auto Configuration>Configure Daily Checks to
display the Auto Daily Checks Configuration dialog box.
2
1
Select Enable Automatic Daily Checks to enable running daily checks automatically
on your system. Follow the steps to enable/configure automatic Daily Checks.
You may, select the radio button Perform daily checks after shutdown from the set-
3
up screen.
If you selected Perform daily checks after shutdown, select OK to save your
selection
4 or
If you selected Perform daily checks at a specified time, select a time and a day, and
select OK to save your selection.
1 Select the View Log button from the Local Navigation Bar.
Once highlighted in blue, select the Details button below to view all tabs of those
results. Select View Log to return to the log or the large back arrow on the upper left to
go back one screen.
With any date highlighted, select the Comments button below to add a comment.
Once saved, you will see a yellow, page icon appear to let you know there is a comment
there. You may go back to a comment to edit it as well.
Printing/Auto-Printing
Step Action
You may manually print individual results by selecting the print icon from the utility area
1
at the upper right .
On the daily checks screen, you may print the Daily Checks Auto Report.
If you are on Daily Checks: View Log>Log Type>Data Summary Logs, you may print:
Entire log, All filtered, or Selected entries by clicking the print icon from the utility
area at the upper right.
4 To do this, return to the Daily Checks screen by selecting the Daily Checks icon.
Select the Auto Report button from the Local Navigation bar. This opens the Daily
Checks Auto Report window.
5
You may select to print automatically by checking the Enable auto report generation
box.
Place the instrument online. The instrument will automatically begin cycling the
1
cassettes.
Place the cassettes into the input buffer and slide the cassette forward until the
green light is on.
Place the specimen in the grooved area in front of the barcode reader
or
Enter the Sample ID manually
(You may use alpha or numeric characters)
3 or
Use the bar-code scanner to scan the label. Your handheld bar-code scanner is a
camera that takes a picture of the bar-code.
Note: Move the label closer if the bar-code scanner does not read the information.
Once the bar-code is read, you will hear a beep.
4 Press Enter.
Place the tube in the correct cradle position. The left (lavender) position adapts to
both open and closed vial tubes from 12 to 13 mm in diameter. The right (green)
5 position holds microtainer tubes. The cradle retracts and the instrument processes
the specimen. When the instrument is ready to process the next specimen, the
system sends the cradle back out again.
Select the Exit button on the Single-Tube Station dialog box to exit from the
6
Single-Tube Station when sample processing is complete.
Select the Slides tab, Pending for the Filter Name, and Add Order button from
the local navigation bar
2 or
Select the Slides tab and select the Add Order button from the local navigation
bar.
On the Add Order screen, enter the specimen ID manually or by using the bar-
code scanner.
4 Select the desired radio buttons for Make, or Make and Stain.
Select the number of slides to be made, and/or made and staining using +/-
5
buttons or editing the default value of 1.
If desired, select the Patient button and Add Patient from the local navigation bar
6
to add patient demographics.
Select Basket Management from the local navigation bar to view the Basket
Management screen. On this screen, you can manage baskets or get basket
information anywhere in the Stainer module and Basket Transport Module.
Select Basket Details from the local navigation bar to display the Basket Details
dialog box containing specific patient information for the slides in the selected
location.
Step Action
Select the Details Status from the local navigation bar on the DxH Slidemaker
2
Stainer Status screen or double click on the instrument icon.
Select Basket Management from the local navigation bar to view the Basket
Management screen.
Select Advance Basket from the local navigation bar to display the Basket Details
dialog box.
5 Note:
The baskets/slides may be wet if you select Advance Basket before the pre-stain
drying cycle is complete.
On the DxH Solutions dialog box, select OK to forward the basket to the I/O
drawer.
6
Step Action
Select Basket Management from the local navigation bar to view the Basket
Management screen.
Select Stain Next from the local navigation bar to display the Stain Next dialog
box.
Step Action
Select Basket Management from the local navigation bar to view the Basket
Management screen.
Select Cancel Staining from the local navigation bar to display the Cancel
Staining dialog box.
Risk of personal injury and contamination. The processing areas may contain prepared smears
and/or broken glass with biohazardous material. Handle with care and avoid skin contact.
Risk of personal injury and contamination. The instrument could continue to move or could have
delayed movement. Wait a few seconds to ensure that all movement has ended before pulling
the I/O drawer.
Step Action
Press the round lighted button to access the input/output (I/O) drawer.
Once the drawer has stopped moving (it may take a few seconds), pull the handle
towards you until it clicks.
Push the handle toward the instrument until it stops. The drawer will automatically
return to its position inside the instrument.
Risk of personal injury and contamination. The processing areas could contain prepared smears
and/or broken glass with biohazardous material. Handle with care and avoid skin contact.
Some samples may require manual staining, such as small blood draws (pediatric)
taken with microcollection devices.
Follow these steps to manually stain a sample.
Step Action
Fill in an empty basket with slides ready to stain (painted end on top so as not to
stain the sample information).
Place the basket back in the I/O drawer in any open/empty position from 1 to 6.
Risk of injury and biohazardous contamination. Clean up any broken glass or blood spill as
quickly as possible. Handle with care. Avoid skin puncture. Dispose of all contaminated
disposable cleaning materials and broken slides in accordance with your local regulations and
acceptable laboratory practices.
Risk of contamination. The prepared smears contain biohazardous materials. Handle with care
and avoid skin contact.
Follow these steps to make slides that do not require staining:
Step Action
Select Make Slide on the Default Test Order for the applicable cassette or single-
tube presentation
or
1
Add or edit a test from the Worklist Pending tab
or
Load samples for the processing of downloaded Test Orders from the LIS.
Step Action
From the Daily Checks screen, select the Shutdown button to display the Manual
1
shutdown dialog box.
Select the Perform Daily Checks After Shutdown check box to automatically begin
3
Daily Checks after shutdown is completed.
Type a number in the Time in Cleaner Hours and Minutes check boxes to determine
the time in cleaner.
4 Note: No other cycles or System Manager actions can be performed until the
Shutdown cycle has completed. Once the Shutdown cycle is complete, a countdown
timer bar appears at the bottom of the Daily checks screen to let you know how much
time remains for the cleaning.
Step Action
On the Supplies screen, select the Setup button from the local navigation bar.
On the Setup Supplies dialog box, scan or manually enter the bar codes into Bar Code
fields 1 and 2, and select OK.
3
Note: The fields on the Supplies screen are automatically populated from the bar code
information. The percent (%) remaining of each supply appears on the bottle graphics.
From the Supply drop-down list, choose Diluent 1 or Diluent 2 to be replaced and
select OK.
4
After entering the information, the system fills in the reagent type, lot number, and
other information on the left side under Supply Information Preview.
1 Select or Menu>Supplies
From either the Slidemaker or Stainer tab, select the Config Low Level button from
the local navigation bar on the Supplies screen.
2
Note: You must configure the low-level notification for reagents for both the Slidemaker
and Stainer tabs.
On the Configure Low Level Condition screen, select a low-level percentage from the
3
drop-down box (default is 10%).
You may set the low-level warning from 5% to 15%. When this occurs, the Supplies
Note
Alert Status Icon is yellow. If a supply is out, the icon is red.
On the Supplies screen, select the Setup button from the local navigation bar.
Scan or manually enter the barcodes, into Bar Code fields 1 and 2, and select OK.
4 On the Supply field, choose the reagent to be replaced from the drop-down list.
On the displayed message, select OK to verify that the reagent has been replaced
5 or
Select Cancel to go back to the previous screen.
Select Details from the local navigation bar to display information for each supply.
Note: Slidestainer Supplies Details indicates the supplies required for the active
staining protocol set for the instrument.
Risk of injury and biohazardous contamination. Handle slides with care to avoid skin puncture.
Clean up any broken glass or blood spill as quickly as possible. Dispose of all contaminated
disposable cleaning materials and broken slides in accordance with your local regulations and
acceptable laboratory practices.
NOTE: There are 2 sensors on the slide chute. One of the sensors, checks the slide inventory below ½
(approx 75 slides). When this happens the Supplies Icon will be in Yellow. The other sensor will stop the
Slidemaker Stainer. This will occur when there are 12 slides left in the chute. The Supplies Icon will be in
red.
Step Action
Remove slides from the box handling them by the painted end.
Load the slides into the slide chute with the painted side up and to the right.
Note: You can load up to 172 slides. Be aware that slides exposed to high humidity
may stick together.
Step Action
On the Disable Module dialog box, select the checkbox and select OK to disable
4
the stainer.
Step Action
On the Disable Module dialog box, deselect the check box and select OK to enable
4
the stainer.
Step Action
On the Disable Module dialog box, select the check box and select OK to disable
4
the maker.
Step Action
On the Disable Module dialog box, deselect the check box and select OK to enable
4
the maker.
5 Select OK.
On the Configure Auto Stop Settings dialog box, select from the following options:
Blood Dispense
Detector Probe
Hemasphere
Aspiration
Probe
Slide
Chute
Printer
Bar Code
Ribbon
Reader
Printer
Head
Stain
Drawer
I/O
Drawer Smear
Shuttle
Output
Buffer
Mix Stations
Input
Single Tube Bar Code Buffer
Presentation Reader
Printer
Basket Ribbon
Elevator
Rear
Basket Print
Elevator Head
Front
Print
Shuttle
Ribbon
Drive Motor
Smear
Shuttle
Motor
Slide Printer
Printer
Print Ribbon
Head
Ribbon
Print Drive Motor
Shuttle
(I/O)
Drawer
Dispense
Probe
Aspiration
Probe
Overflow
Chamber
Output
Buffer
Blood
Detector
Lee Valve
Aspiration
Probe
Dispense
Probe
Fill Probe
Bar Code
Reader Over Flow
Sensor
Drain
Probe
(Tube)
Stain
Drawer
Bath
Bath Tray
Access
Handle
To view the Basket Management information, the operator selects Basket Management from the local navigation bar. On this screen,
you can manage baskets or get basket information anywhere in the Stainer module and I/O drawer.
An example of this is the Basket that has been selected by the operator on this screen capture. When a basket is selected, it will have a
lime green halo around it. The operator may refer to the Basket Data box, where the following information may be found.
Type = Make and Stain or Stain Only.
State = refers to what is happening to the slide at this moment.
Priority = Routine, STAT, ASAP.
Duration Time = based on the stain protocol settings, refers to how long the slide is programmed to be in that specific location. (ie:
staining bath, elevator, dryer). In this example, its is Bath 2.
Elapsed Time = refers to the amount of time the slide has already been in that specific location.
Remaining Time = refers to the amount of time remaining in that location. (ie: staining bath, elevator, dryer)
ETC = refers to Estimated Time to Complete
Rev. A (June 2014) 105 of 118
Beckman Coulter Professional Development
Loading/Removing Baskets
Input/Output (I/O) Drawer
Step Action
Go to www.beckmancoulter.com.
1
If promted click on Americas, then click on the United States
Click on Hematology.
When you open the file to the product you will find 4 tabs:
Tools& Aids = This tab provides you with the training materials used for Customer
Operator Training.
On Demand = This tab provides you with different training solutions offering 24/7
6 access. (You must create an account to receive PACE and or a Florida CE Broker
certificates).
Webinars& Conferences = This tab provides web based learning conferences and
Virtual Symposia.
Instructor Lead = This tab provides information regarding the training curriculum.