Lab Analyser User Guide
Lab Analyser User Guide
English
TEUS00023-02-ING
August-2006
User Manual
              2
Dear Customer,
Thank you for purchasing our A15 automatic analyser. We are sure that its specifications will make it a valuable instrument
in your laboratory. Although its operation and use is logical and straightforward, using a programme that runs under
Windows, please read this manual carefully. It will help you with both installation and correct programming, use and
maintenance of the instrument, enabling you to get maximum performance from its multiple possibilities.
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User Manual
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                         TABLE OF CONTENTS
Introduction .............................................................................6
1. Description of the instrument ............................................7
     1.1. Components ............................................................................................................... 7
             1.1.1. Operating arm ............................................................................................................................. 7
             1.1.2. Dispensing system ...................................................................................................................... 8
             1.1.3. Reactions rotor and reading ..................................................................................................... 8
     1.2. Working theory ........................................................................................................... 8
     1.3. Start-up ....................................................................................................................... 9
     1.4. Functional specifications .......................................................................................... 9
2. General operation method................................................ 12
     2.1 Program Installation .................................................................................................. 12
     2.2. Operation procedure ................................................................................................ 12
             2.2.1. Introduction ...............................................................................................................................         12
             2.2.2. Start-up procedure, operation and shutdown. ......................................................................                                   13
             2.2.3. Monitor ......................................................................................................................................       14
             2.2.4. Programming ............................................................................................................................             16
             2.2.5. Save/load test file .....................................................................................................................            21
             2.2.6. Preparation of the work session .............................................................................................                        21
             2.2.7. Memorising sessions ...............................................................................................................                  25
             2.2.8. Current results...........................................................................................................................           25
             2.2.9. Current and past alarms ..........................................................................................................                   26
             2.2.10. Past results ..............................................................................................................................         26
             2.2.11. Patient data .............................................................................................................................          27
             2.2.12. Configuration ..........................................................................................................................            28
             2.2.13. About ........................................................................................................................................      29
             2.2.14. Utilities .....................................................................................................................................     30
             2.2.15. Internal quality control ..........................................................................................................                 31
             Buttons .................................................................................................................................................   32
     2.3. Alarms and alerts ...................................................................................................... 33
             Machine alarms and alerts ................................................................................................................ 33
             Work session alarms and alerts ........................................................................................................ 34
3. Calculation and measurement procedures ..................... 35
     3.1. End point................................................................................................................... 36
             3.1.1. Absorbance ............................................................................................................................... 36
             3.1.2. Concentration ........................................................................................................................... 36
             3.1.3. Replicates .................................................................................................................................. 36
     3.2. Bireagent differential ................................................................................................ 37
             3.2.1. Absorbance ............................................................................................................................... 37
             3.2.2. Concentration ........................................................................................................................... 37
             3.2.3. Replicates .................................................................................................................................. 37
     3.3. Fixed time .................................................................................................................. 37
             3.3.1. Absorbance ............................................................................................................................... 37
             3.3.2. Concentration ........................................................................................................................... 38
             3.3.3. Replicates .................................................................................................................................. 38
     3.4. Kinetics ..................................................................................................................... 38
             3.4.1. Variation of the absorbance per unit of time ......................................................................... 38
             3.4.2. Concentration ........................................................................................................................... 39
             3.4.3. Replicates .................................................................................................................................. 39
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User Manual
Introduction
The A15 analyser is an automatic analyser for random
access In Vitro Diagnosis specially designed for performing
biochemical and turbidimetric clinical analyses.The
instrument is controlled on-line in real time from an external
dedicated PC. The analyser performs patient-by-patient
analyses and enables the continual introduction of samples.
The results are shown immediately after each measurement.
The high-speed preparation of the reactions makes it ideal
for medium-capacity automated laboratories. The flexibility
of the samples and reagents racks system enables the
perfect adjustment of the capacity of the analyser to the
specific needs of each laboratory.
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1. Description of the instrument
The A15 analyser prepares the reactions by means of a                 arm to its resting position, he or she must ensure that the
three-axis Cartesian operating arm. This arm supports and             needle is at its highest position. For this, it must be raised
displaces a dispensing needle which pre-thermostatises                completely by pressing the vertical chain of the operating
the preparations at 37º. The dispensing is carried out by             arm upwards as shown in the photograph. The return system
means of a low-maintenance ceramic piston pump. The                   prevents the needle from descending and the user can then
analyser can carry out one preparation every 24 seconds.              move the arm with no danger of damaging the needle or
The preparations are dispensed in a reactions rotor                   injuring him or herself on it. The operating arm only makes
thermostatised at 37ºC. The optical absorbance readings               the preparations if the general cover of the analyser is closed.
are taken directly on this rotor.                                     If the cover is raised while it is functioning, the arm
                                                                      automatically aborts the task in progress and returns to its
                                                                      parked position to avoid injury to the user.
1.1. Components
The A15 analyser is made up of three basic elements: the              1.1.2. Dispensing system
operating arm, the dispensing system and the reading and
reactions rotor.                                                      This system consists of a thermostatised needle, supported
                                                                      and displaced by an operating arm and connected to a
                                                                      dispensing pump. The needle is detachable to enable
1.1.1. Operating arm                                                  cleaning and replacement. The analyser has capacity level
                                                                      detection to control the level of the bottles and tubes and
This is a three-axis XYZ Cartesian mechanism. The X and               prevent the needle from penetrating too far into the
Y axes move the dispensing needle over the analyser                   corresponding liquids, thus minimising contamination. An
horizontally and the Z axis moves it vertically. It is operated       automatic adjustment system informs the user if the needle
by three step-by-step motors. In each 24-second                       is not mounted or if it is too bent. The needle has a
preparation cycle, the operating arm performs the following           thermostatisation system, with PID control, capable of
actions: first of all, it sucks in the reagent from the               thermostatising the preparations at approximately 37º in
corresponding bottle. Next, the needle is washed externally           less than 15 seconds. Dispensing is carried out by means
in the washing station and sucks in the sample from the               of a low maintenance ceramic piston pump driven by a
corresponding tube. It is washed externally again and dis-            step-by-step motor. It is capable of dispensing between 3
penses the sample and the reagent into the reactions rotor.           and 1250 µL. The dispensing system of the analyser uses
Finally, it is exhaustively washed internally and externally          system liquid which the user must prepare by adding 6 ml
before proceeding with the next preparation. The arm has a            of concentrated system liquid supplied with the analyser
system for controlling vertical movement to detect whether            to the corresponding container filled to the top with distilled
or not the needle has collided into anything on descending.           water (approx. 3000 ml). Analyses must never be made
If a collision occurs, as may be the case if, for example, a          using distilled water only in the dispensing system, since
lid has been left on a bottle of reagent, the arm automatically       the analytical performance and the lifetime of the system
restarts, verifies the straightness of the needle and continues       may notably be lowered. The exterior of the needle is kept
working issuing the corresponding alert to the user. A return         constantly clean by means of a washing station, which
system on the vertical axis automatically raises the needle           consists of a font specially designed to clean and dry the
in the case of a power failure, preventing it from descending         needle, integrated in the racks tray. A system of membrane
and colliding with an object at the bottom or with the housing        pumps supplies the font with system liquid and transports
of the instrument. If the user wishes to manually move the            the waste to its container.
                                                                      The A15 analyser has a tray with 4 free positions for racks
                                                                      of reagents or samples. Each reagents rack can carry up
                                                                      to 10 reagents in 20 ml or 50 ml bottles. Each samples
                                                                      rack can contain up to 24 tubes of samples. The samples
                                                                      can be patients, calibrators or controls. The analyser can
                                                                      be configured to work with 13 mm or 15 mm diameter tubes
                                                                      of samples with a length of up to 100 mm or with paediatric
                                                                      wells. Any possible configuration of racks can be mounted
                                                                      from 1 rack of reagents (10 reagents) and 3 racks of samples
                                                                      (72samples) to 3 racks of reagents (30 reagents) and 1
                                                                      rack of samples (24 samples). Bottles of distilled water,
                                                                      saline solution for the automatic pre-dilutions and washing
                                                                      solution must be possitioned in a reagent rack.
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User manual
On the left of the analyser are system liquid containers            compensated interferential filter to select the desired
(marked in blue) and waste containers (marked in red).              wavelength and through focalisation lenses. It then passes
The analyser constantly controls the level of these                 through the rotor well and finally reaches the photodiode,
containers and issues the appropriate alerts if the system          where the light signal is turned into an electric signal. A
liquid is nearly empty or if the waste container is full.           sophisticated analogical digital integrator-converter system
                                                                    converts the electric signal into a digital value with which
                                                                    the analyser obtains the absorbance values. The optical
1.1.3. Reactions rotor and reading                                  system continues to work when the general cover of the
The preparations are dispensed in an optical quality                analyser is open, whereby the analyser can continue to
methacrylate reactions rotor thermostatised at 37ºC. The            take readings while the user handles, for example, the
optical absorbance readings are taken directly on this rotor.       sample tubes or the reagent bottles. The rotor cover must
Each reaction can be read for 10 minutes. The readings              be in place for the optical system to work correctly. A de-
are taken as they are programmed in each measurement                tector tells the analyser of the presence of said cover. The
procedure. The reaction wells have been designed to enable          analyser aborts the readings if the user removes the rotor
the mixture of the sample and the reagent during the                cover while the optical system is taking photometric
dispensing. Each rotor has 120 reaction wells. The length           measurements. If the rotor is not covered, the analyser
of the light path is 6 mm. The minimum volume required to           informs the user so that he or she places the rotor cover
take the optical reading is 200 µl. The wells have a maximum        when it sends samples to be analysed. The analyser also
useful capacity of 800 µl. When the reactions rotor is              issues an alert if there is no reactions rotor in it.
completely full, the user must change it for one that is            1.2. Working theory
empty, clean and dry. The reactions rotors may be reused
                                                                    The A15 analyser is an automatic random access analyser
if they are appropriately cleaned immediately after use. The
                                                                    specially designed for performing biochemical clinical
Cleaning the semi-disposable reactions rotor section in the
                                                                    analyses. The analyser performs patient-by-patient
Installation and maintenance manual describes how to
                                                                    analyses and enables the continual introduction of samples.
clean the rotors. The rotors must be rejected if they are
                                                                    The analyser is controlled from a dedicated PC that is
noticeably deteriorated. The user has a test in the computer
                                                                    permanently communicated to the instrument. The
programme, which he or she may use to check the
                                                                    programme, installed on the computer, keeps the user
condition of the rotor. The rotor is driven by a step-by-step
                                                                    constantly informed of the status of the analyser and the
motor with a transmission. A Peltier system with PID con-
                                                                    progress of the analyses. As results are obtained, the
trol thermostatises the rotor at 37ºC.
                                                                    computer shows them to the user immediately.
An optical system integrated in the rotor takes the readings
                                                                     When a Work Session is begun, the analyser proposes
directly on the reaction wells. The light source is a 10 W
                                                                    performing the blanks, calibrators and controls programmed
halogen lamp. The detector is a silicon photodiode. The
                                                                    for the measurement procedures it is to carry out. The user
wavelength is selected by a drum with 9 positions available
                                                                    may choose between performing the blanks and the
for optic filters. The filters are easily changed by the user
                                                                    calibrators or not. If they are not performed, the analyser
from the exterior of the analyser, without the need for
                                                                    uses the last available memorised data. The controls can
disassembling the filter drum. A step-by-step motor
                                                                    also be activated or not. During a session, while the
positions the drum. The optical system is capable of taking
                                                                    analyser is working, the user can introduce new normal or
1 readings per second, with or without a filter change in
                                                                    urgent samples to be analysed. Each time a new sample
between. The light beam of the lamp passes through a
                                                                    is added, the analyser automatically proposes the possible
                                                                    new blanks, calibrators or controls to be performed. A work
                                                                    session can remain open for one or more days. When a
                                                                    session is closed and another new session is opened
                                                                    (Reset Session), the analyser again proposes performing
                                                                    the blanks, calibrators and controls. It is recommended
                                                                    that the session is reset each working day.
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well. The reactions can be biochemical or turbidimetric. In            performing analyses.
both cases, the reaction or the chain of reactions produced
generate substances that attenuate certain wavelengths,              - Shutdown: Transitory status during which the analyser
either by absorption or by dispersion. Comparing the light             appropriately switches off all its elements to maintain
intensity of a certain wavelength that crosses a well when             them in optimum condition for future analysis work. Once
there is a reaction and when there is not a reaction can               finalised, the analyser is in standby mode.
determine the concentration of the corresponding analyte.            - Standby mode: The analyser is in communication with
This comparison is quantified with the physical magnitude              the PC. If the initialisation process has taken place, the
called absorbance. In some cases, the concentration is a               analyser is ready to perform analyses.
direct function of the absorbance, and in other cases, it is
a function of the variation of the absorbance over time,             - Running Mode: The analyser is performing analyses
depending on the analysis mode.                                        (preparations and readings or readings only if there is no
                                                                       preparation pending).
1.3. Start-up                                                        - Sampling stop: The analyser can be taking readings, but
                                                                       the operating arm is parked and the pending reactions
Once the analyser has been installed, it can be started up.            are not prepared. In this status, the user can handle the
The steps to be followed for the first start-up are the same           bottles and containers of the analyser with no risk, in
as those indicated in the Start-up and shutdown procedure              order to, for example, add a new sample.
section for routine start-up. The analyser must be in standby
mode, i.e. plugged into the mains and with the switch in             - Alarm Mode: If during any of the operations, an anomaly
the (I) position. The computer must be started up and the              occurs requiring the intervention of the user and whose
programme launched. From the Monitor screen of the                     correction is essential for the process to continue, the
programme, click on the Warm up button to start                        analyser enters alarm mode and issues the corresponding
initialisation. The analyser automatically carries out all             alert through the PC.
the checks required for correct functioning and continually
informs of its status through this screen. No manual                 - Mains disconnection: Switch (0) (Power Off): The switch
adjustment is necessary. If, for any reason, user intervention         is in the (0) position. The analyser is completely off. It
is necessary, the analyser issues the corresponding alert              can then be disconnected from the mains.
through the computer. Once warm-up has finished, the                 ANALYSIS MODES
analyser is in standby mode, ready for work.
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User manual
- Final point. Monoreagent or bireagent. Monochromatic                 - Access to introduction of new samples at all times.
  or bichromatic.
                                                                       - Interruption and renewal of the preparation of reactions
- Bireagent differential.                                                (Sampling stop / Continue).
- Single calibrator (Single-point calibrator). This can be             - Up to 50 replicates for patient samples. Up to 3 replicates
  specific (for a certain test) or multiple (common for several          for blanks, calibrators and controls.
  tests).
                                                                       - Automatic allocation of blanks and calibrators. Possibility
- Several calibrators (Multipoint calibrator). This can be               of storing the results of blanks and calibrators.
  specific (for a certain test) or multiple (common for several
  tests). Up to 8 points and up to 3 replicated points for             - Partial or total sending of work to the analyser.
  each one. Calculation of the Calibration Curve (spline,
                                                                       - Possibility of introducing patient data while the analyser
  linear regression, quadratic or polygonal regression, with
                                                                         is performing the analyses.
  linear or logarithmic axes).
                                                                       - Automatic selection of the reagents required and
                                                                         indication of the minimum required volumes.
PROGRAMMING
                                                                       - Graphic, automatic or manual allocation of sample and
- Tests: unlimited number, depending on the hard disk                    reagent positions in the racks.
  capacity of the computer. Programmable for 5 sample
                                                                       - Printable summary of positions to enable the positioning
  types: serum, urine, plasma, whole blood.
                                                                         of the samples and the reagents in the racks.
- Test profiles: unlimited number, with an unlimited number
                                                                       - Automatic reordering of the tests of each sample to
  of tests.
                                                                         optimise work and avoid contamination between
- Multiple calibrators: up to 10.                                        programmed tests.
                                                                  10
- Options of the user programme (languages, printing,
  reports).
UTILITIES
QUALITY CONTROL
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User manual
                                                                  12
  user intervene in the progress of the work session. It                 Once the work session has been prepared from the
  contains the main buttons for controlling the analyser.                corresponding screens and warm-up has finalised, click
- Programming screens: These enable the programming                      the Start button on the vertical bar for the analyser to start
  of tests, profiles, multiple calibrators, multiple controls,           performing the analyses. On beginning the analyses, the
  contaminations and reagent racks.                                      analyser enters running mode. If during the running mode
                                                                         you wish to physically introduce a sample or a reagent in
- Work session preparation screens: These enable the                     the analyser, click on the Sampling Stop button on the
  preparation of the work session and the storage of data                vertical bar menu and the analyser enters running mode
  that may be used in later sessions. Basically, the user                with readings only, without the preparation of samples
  can introduce new samples to be analysed and position                  (Sampling stop). The user can then raise the cover and
  the corresponding samples and reagents in the analyser.                place the sample or reagent in safety. Closing the cover
- Results screens: These make it possible to view the results            and clicking on the Continue button on the same bar, the
  and see and print the reports with the results obtained in             analyser returns to running mode. When the analyser ends
  the current or previous sessions. The reports can be                   the analyses, it automatically returns to standby mode. If
  organised by patients or by tests. It also allows managing             you wish to abort the preparation of new reactions as well
  sample repetitions                                                     as the readings in progress, click on the Abort button
                                                                         located on the same bar. In this case, the analyser requests
- Alarms screens: These give detailed information about                  confirmation and, if the response is affirmative, it aborts
  the alarms and alerts occurring in the current session or              the preparations and readings in progress, and returns to
  in previous sessions and enable the printing out of reports.           standby mode.
- Patient data screen: This enables the introduction and
  modification of the patient data sent to the analyser.                 To switch off the analyser, click on the Shutdown button on
                                                                         the vertical menu bar from standby mode. The programme
- Configuration screens: These make it possible to confi-                asks for confirmation and if the response is affirmative, it
  gure the working mode of the user programme and the                    performs the shutdown sequence and returns to sleeping
  analyser.                                                              mode. The analyser can be left in this status indefinitely.
- Utility screens: These let the user access the different               Power consumption is minimal. The user programme can
  test, preparation and maintenance utilities of the analyser.           be closed and the computer switched off. If you wish to
                                                                         switch off the analyser completely, for example to carry
- Quality control screens: These enable access to the
                                                                         out a maintenance operation or repair a breakdown, the
  internal quality control results of the analyser.
                                                                         switch must be put in the (0) position (Power off) and the
The following sections describe these screens and their                  mains cable unplugged.
functionality in more detail. You can access any of them
                                                                         If during any of the operations, an anomaly occurs requiring
easily from the main menu and specific buttons.
                                                                         the intervention of the user and whose correction is essential
                                                                         for the process to continue, the analyser enters alarm mode
2.2.2. Start-up procedure, operation and shutdown.                       and issues the corresponding alert through the PC. Once
                                                                         the user has solved the problem and has indicated this to
Before starting up the analyser, the user must check that                the analyser, the analyser checks that it has indeed been
the waste container is empty, that the system liquid con-                solved and returns to the previous mode.
tainer is full and that a reactions rotor is correctly installed.
To start up the analyser, the analyser must be in sleeping
mode, i.e. plugged into the mains and with the switch in
the (I) position. Reboot the computer and launch the user                 Statuses of the analyser                 LED
programme. The computer automatically communicates
with the analyser, which changes to standby mode. The                     Sleeping Mode                            Orange
screen that appears when the programme is launched is
the Monitor screen. The programme shows horizontal and                    Warm-up                                  Green
vertical button bars. The horizontal bar enables access to                Shutdown                                 Green
the main functions of the application, whereas the vertical
bar enables the control and functioning of the analyser.                  Standby mode                             Green
Click on the Warm up button on the vertical bar menu to
begin Warming up. The analyser automatically performs                     Running Mode                             Green
all the checks required for its correct functioning and the
                                                                          Running mode with readings only
programme continually informs the user of the status of
                                                                          (Sampling Stop)                          Red
the analyser. No manual adjustment is necessary. If, for
any reason, user intervention is necessary, the analyser                  Alarm Mode                               Flashing red
issues the corresponding alert through the computer. Once
warm-up has finished, the analyser is in standby mode,                    Mains disconnection:
ready for work.                                                           Switch (0) (Power Off):                  Off
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User manual
The three-colour LED indicator (green, orange and red)                  - The status of the cover of the analyser (open or closed)
located on the front right of the analyser indicates the current          and the rotor cover (in position or not in position). The
status of the analyser.                                                   analyser also issues an alert if there is no rotor placed in
                                                                          the analyser.
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Connection: This re-establishes the connection between               Test programming: This enables access to the test
  the computer and the analyser if the analyser has been               programming screen.
  accidentally switched off or the computer has been                 Profile programming: This enables access to the profile
  disconnected (it changes from Sleeping to Standby). If                (group of tests) programming screen.
  the analyser is in sleeping mode and the computer
  programme is launched, the connection is made                      New sample: This enables access to the introduction of
  automatically.                                                       new samples screen.
Warm Up: This initialises the analyser (performs Warming             Position: This enables access to the screen for the
  up and leaves the analyser on standby ready for work).               positioning of reagents and samples in the rack tray.
Start: The analyser begins to perform the programmed                 Monitor: This enables a return to the monitor screen from
   analyses (changes from standby to running).                         any other screen.
Continue: This continues the preparations if they have been          Current results: This enables access to the current results
  stopped by the analyser or by the user. (It changes                  screen. These can be displayed in order of patients or
  from Sampling Stop to Running). It also continues when               tests in real time during the execution of the analyses.
  new samples are added to a finished session. (It changes             It also allows managing sample repetitions
  from Standby to Running).                                          Current alarms: This enables access to the current alarms
Sampling Stop: This enables the interruption of the                    screen which offers more detailed information about the
  preparations without interrupting the readings of the                alerts and alarms that have appeared on the Monitor
  samples in progress and the reception of results from                screen during the current session.
  the analyser (it changes from Running to Sampling                  Utilities: This enables access to the utilities screen.
  Stop).
                                                                     Reset Session: This restarts the work session.
Abort: This aborts the work session, both readings and
  preparations, i.e. it cancels the execution of the analyses
  in progresses (it changes from Running, Sampling Stop              2.2.3.5. Special buttons in monitor screen
  or Standby by Rotor End to Standby and considers the
  session as finished).                                              Preparation table per well: Button to open a window that
New Rotor: This button indicates to the analyser that a                 shows in each rotor well which sample, test and replicate
  new empty rotor has been installed. This is active only               have been prepared.
  when the analyser is on standby. The analyser controls             Printing final reports: This button allows printing each
  the time required for the thermostatisation of the new                patient’s results which are finished before ending the
  rotor, which is approximately 5 minutes. The user can                 whole list. It will only print those finished patients with a
  cancel this waiting time if a previously thermostatised               printer symbol in the printing column.
  to 37ºC rotor is introduced.
                                                                     Legend of icons and monitor colours: This button opens an
New System Liquid Container: This button tells the analyser             extra window that explains what each colour and symbol
  that the system liquid container has been refilled. The               means.
  analyser then automatically supply the dispensing
                                                                     Details: This button allows opening the monitor screen and
  system to prevent the accumulation of air, which is
                                                                        visualizing the programmed tests for each patient. By
  detrimental to the execution of the analyses. It is active
                                                                        pressing again the same button, you can recover the
  when the analyser is on standby, running or sampling
                                                                        previous screen.
  stop mode, but the supply is carried out on standby or
  running only.
Shutdown: It performs the shutdown process of the analyser
  (it changes from standby to sleeping and performs
  shutdown).
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User manual
2.2.4. Programming                                                     Save: Clicking this button after modifications have been
                                                                         made provisionally stores the new parameters.
Various screens enable the programming of the parameters
of tests, profiles, multiple calibrators, multiple controls,           OK: Clicking this button definitively stores all the changes
contaminations and reagent racks. These parameters are                   made in the tests file.
usually constant over long periods of time once the analyser           Cancel: This enables the recovery of the initial tests file,
has been adapted to the needs of the laboratory where it is              without taking into consideration the changes made
being used. Programming requires knowledge of the                        since the tests programming screen was opened.
analyser and the analysis process. It is not possible to
modify any of the programmed parameters while they are                 Programmable parameters
being used in a work session.
                                                                       The parameters programmable for each test are as follows:
2.2.4.1. Test programming                                              General
This screen enables the programming of new tests, the                  - Test name: Test name with up to 16 characters.
querying or modification of parameters of tests that have              - Analysis Mode Final monoreagent point, Final bireagent
already been programmed and the elimination of tests that                point, Bireagent differential, Monoreagent fixed time,
are no longer used. It also enables the ordering of the list of          Bireagent fixed time, Monoreagent kinetics, Bireagent
tests and the printing of their parameters. The default tests            kinetics.
are those pre-programmed by BioSystems to use the line
                                                                       - Sample type: Each test may contain specific parameters
of reagents adapted to the analyser. The total number of
                                                                         for five different sample types: Serum (SER), Urine (URI),
programmable tests is unlimited and depends only on the
                                                                         Cerebrospinal (CSF), Whole blood (WBL) or Plasma
capacity of the computer. The screen is divided into two
                                                                         (PLM) liquid. The Delete Type button can delete all the
parts:
                                                                         data related to a certain sample type of a test.
- List of tests.                                                       - Units: Units that are used to express all the concentrations
- Information about parameters, grouped together in five                 associated with the test. One of the memorised units
  folders: General, Procedure, Calibration, Controls,                    can be selected or a new one introduced.
  Options.
                                                                       - Turbidimetry test: It shows the program that the
The parameters of a test can be queried by selecting it on               programmed test is a special one. The analyzer makes
the list with a click. If you wish to modify the parameters of           a different cycle with turbidimetry tests.
a test, select it with a double-click or pressing Enter. None          - Reaction type: Increasing or decreasing.
of the programmed parameters of a test can be modified if
it has been programmed in a work session. The list of tests            - Decimals: Number of decimals to be used to express
can be ordered by dragging a test to the new position in                 the concentration in the reports.
the list or alphabetically by clicking on the list header.
Buttons
                                                                        Controls
                                                                        - Number of controls: Number of controls the analyser
                                                                          proposes for each work session (0, 1 or 2).
                                                                        - Rejection criteria: Criteria for rejecting an analytical se-
                                                                          ries (between 0.1 and 4 standard deviations).
                                                                        - Replicates: number of times the control is measured (1,
                                                                          2 or 3). The final result obtained is the average of the
                                                                          replicates performed and accepted.
                                                                        - Control type: Multiple or Specific. If the control is specific,
                                                                          the fields appear for introducing Name, Batch, Maximum
                                                                          Concentration and Minimum Concentration for each of
                                                                          the controls. For multiple controls, this data is introduced
                                                                          on the multiple controls programming screen, which is
Calibration                                                               accessed directly from this screen.
- Calibration type: Factor, Multiple Calibrator or Specific             - Calculation Mode: This indicates the method used for
  Calibrator. If factor is used, its value must be introduced             deciding if a series of results is accepted or rejected. It
  in the corresponding field. If the calibrator is specific, the          can be manual or statistical. In statistical mode, the user
  fields appear to introduce the concentration values,                    must introduce the number of series. The Internal Quality
  depending on the number of calibrators. For multiple                    Control section gives a detailed explanation of its
  calibrators, this data is introduced on the multiple                    functioning.
  calibrators programming screen, which is accessed
  directly from this screen.
                                                                   17
User manual
Options                                                             to it. If you wish to create the same profile for different
- Blank absorbance limit. In kinetic or fixed time tests,           sample types, a profile must be programmed for each
  this limit refers to the initial reading of the programmed        different type. The total number of programmable tests is
  absorbance.                                                       unlimited and depends only on the capacity of the computer.
                                                                    The screen contains:
- Kinetic blank limit.
                                                                    - List of profiles
- Linearity limit.
                                                                    - List of programmed tests
- Detection limit.
                                                                    - List of tests in the selected profile
- Factor limits.
- Reference interval.                                               The parameters of a profile can be queried by selecting it
                                                                    on the list with a click. If you wish to modify the parameters
- Limits of repetition                                              of a profile, select it with a double-click or pressing Enter. It
- White with reagent only                                           is not possible to modify any of the programmed parameters
                                                                    of a profile while they are being used in a work session.
- White with saline solution
                                                                    The list of profiles can be ordered by dragging a profile to
                                                                    the new position in the list or alphabetically by clicking on
                                                                    the list header.
Buttons
                                                               18
2.2.4.3. Programming of Multiple Calibrators
By selecting a calibrator with a click or with the cursor                A multiple control can be used to control more than one
keys, it is possible to query its data and the tests allocated           test. Up to 20 multiple controls can be programmed. The
to it. The allocated tests appear selected on the tests list.            multiple controls programming screen can be accessed
If you wish to modify the parameters of a calibrator, select             only from the tests programming screen, from the Controls
it with a double-click or pressing Enter. The data can be                tab.
modified on the grid itself. It is not possible to modify any
                                                                         The screen contains:
of the programmed data of a calibrator while it is being
used in a work session. The calibrator grid can be ordered               - Control grid
by dragging a calibrator to its new position in the grid. The            - List of tests with multiple control
calibration parameters of a test can be queried by selecting
                                                                         - Information about parameters
it with a click or using the cursor keys. To edit the calibration
parameters of a test, select it with a double click or by                The control grid displays the name of the control and the
pressing Enter.                                                          batch. The list of tests with multiple control shows the
                                                                         programmed tests to be controlled using a multiple con-
                                                                         trol. The display shows the name of the test, the sample
                                                                         type, the name of the allocated control and its batch. To
                                                                         allocate or change the control of a test, click on the name
                                                                         or batch of the control and choose the desired control from
                                                                         the list that drops down on the row corresponding to the
                                                                         test. If a test requires 2 controls (generally 2 levels: high
                                                                         and low), each one must be allocated separately. If a con-
                                                                    19
User manual
trol that has already been allocated to one or more tests is           2.2.4.5 calculated tests
modified, the allocations are deleted. Once a control has
been allocated to a certain test, the user must programme              This screen displays the calculated tests that can be
the test control parameters:                                           performed by the analyser, along with their parameters.
- Concentration data: Allocated values of maximum and                  In order to obtain a calculated test result, the calculations
  minimum control concentration for the test.                          are made using the values for the concentrations of the
                                                                       associated tests.
By selecting a control with a click or with the cursor keys,
it is possible to query its data and the tests allocated to it.        When running a calculated test, the analyser first determi-
The allocated tests appear selected on the tests list. If you          nes the associated test concentrations, then calculates
wish to modify the data of a control, select it with a double-         the result of the operation.
click or pressing Enter. The data can be modified on the
grid itself. It is not possible to modify any of the programmed        This screen displays the following information for each
data of a control while it is being used in a work session.            calculated test:
The control grid can be ordered by dragging a control to its           •The tests used in the operation and the formula applied.
new position in the grid. The control parameters of a test
can be queried by selecting it with a click or using the               • The normal reference ranges
cursor keys. To edit the control parameters of a test, select          • The units for the calculated test
it with a double click or by pressing Enter.
                                                                       • Whether the partial values for the experimental tests are
Buttons                                                                  to be printed in the final report for each patient.
                                                                  20
that is used frequently. The reagent rack programming                 compressed file. It is the program itself the one that
screen contains:                                                      compresses and decompresses the file with no need of
- List or programmed reagent racks                                    the user’s intervention.
- Information about parameters                                        In order to load a new test file, the user has to execute the
                                                                      option Load Test File of the programming menu and then
The parameters interface contains a list with all the reagents        all the tests of the application are automatically replaced.
associated with the tests programmed in the analyser, the
name of the selected rack and an image of this rack showing           This process is only active with the following options:
the real positions of the reagents, their names and volumes.
The bottles on the racks can be added, removed or reordered           - When working without passwords or as Supervisor user.
by dragging them with the mouse. The bottle type (50 or 20
                                                                      - When the analyzer is in SLEEPING or STANDBY state
ml) may be changed using the corresponding button. Its
parameters may be queried by selecting a programmed                   - When there is no working list. If you have a programmed
rack with a click or using the cursor keys. If you wish to              list, make a RESET.
modify a programmed rack, select it with a double-click or
pressing Enter. A programmed rack cannot be modified while
                                                                      2.2.6. Preparation of the work session
it is being used in a work session. The list of programmed
racks can be ordered by dragging a rack to the new position           The Introduction of New Samples and Reagents and
in the list or alphabetically by clicking on the list header.         Samples Positioning screens help the user to prepare the
                                                                      work session conveniently, easily and quickly. Furthermore,
                                                                      it enables the storage of data that can be used in later
                                                                      sessions.
                                                                      The user can select the sample class (normal patient, urgent
                                                                      patient, blank, calibrator or control) and the sample type
                                                                      (serum, urine, cerebrospinal liquid, whole blood or plas-
                                                                      ma). A tree diagram shows all the tests, calculated tests
                                                                      and profiles programmed in the analyser. The user can select
                                                                      or introduce the patient code (alphanumeric). If the patient
Buttons                                                               code introduced does not exist in the current work session,
Various buttons let the user perform the following actions:           the new patient is added together with his or her sample. If
                                                                      the patient already exists, the sample of the patient in
New: Enables the creation of a new programmed rack.                   question is selected and, on the tests tree, the tests
Print: Prints out the data of the selected programmed racks.          previously allocated are selected for possible edition. If the
                                                                      user does not introduce the patient code, the programme
Delete: Deletes the programmed racks selected on the list.
                                                                      adds the patient sample with a correlative numeric identifier.
Save: Clicking this button after modifications have been              If several normal or urgent samples are to be introduced
  made provisionally stores the programmed rack.                      with the same tests to be carried out, the desired number
OK: Clicking this button definitively stores all the changes          must be introduced in the Number of Patient Samples field
  made in the programmed racks file.                                  and the programme automatically adds all the samples,
                                                                      allocating them a correlative patient code. By default, the
Cancel: This enables the recovery of the initial programmed
                                                                      Number of Patient Samples is 1. The maximum value is
  racks file, without taking into consideration the changes
                                                                      120. If the user has got a code bar reader, he can use such
  made since the racks programming screen was opened.
                                                                      reader to insert the patient code. Place the cursor in the
                                                                      box of the patient code and read the code to be inserted
2.2.5. Save/load test file                                            with the reader.
The user can save the test programming in an external file,           The list of New Samples shows all the samples introduced,
he has only to execute the option Save Test File of the               grouped together by classes, which the user can then send
programming menu. This option saves all the test data in a            to the analyser. The list of Sent Samples shows those the
                                                                      user has sent to the analyser, also grouped together by
                                                                 21
User manual
classes. To introduce a new sample into the list of new               only. The associated and activated blanks, calibrators and
samples, proceed as follows:                                          controls are sent automatically. By clicking on the Position
1. Select the sample class                                            button, with no previous selection, all the introduced and
                                                                      activated samples of the corresponding grid are sent.
2. Select the sample type                                             Clicking the Delete button deletes the samples or the tests
3. If desired, introduce the patient code.                            of a sample that have been selected.
4. Select the profiles, tests and calculated tests to be              The Sent Samples grids enable the query of the samples
   performed.                                                         sent to the analyser and the tests to be performed on each
5. Add the sample to the list of samples by clicking on the           sample, but they do not allow modifications or the resending
   Add (Arrow >) button.                                              of samples to the analyser.
If you wish to introduce a certain number of samples n with           The Reset Session button on the horizontal bar restarts
the same set of tests to be performed, proceed as follows:            the work session and deletes all the sample lists.
1. Select the sample class
2. Select the sample type
3. Select the profiles and tests to be performed.
4. Introduce the number of samples n
5. Add the sample to the list of samples by clicking on the
   Add (Arrow >) button.
Lists of samples
                                                                 22
following is a brief description of the functionality of each        2.2.6.2. Positioning of samples and reagents
one.
                                                                     This screen contains a tree diagram showing all the
Add sample (Arrow >): This dumps the information of the              elements to be positioned, an image of the analyser tray
  interface to introduce sample data in the corresponding            indicating the current programmed distribution of the racks
  new samples grid.                                                  and an enlarged image of the racks showing the details of
Edit patient (Arrow <): This enables the edition of a patient        all the elements in the selected rack.
   sample or of several of the same type, of the new
                                                                     Tree diagram of elements to be positioned
                                                                23
User manual
the rack programming screen or racks previously saved                 Position Reagents Automatically: The programme places
from the positioning screen itself.                                     the reagents from the tree that are not yet positioned
                                                                        (black colour) in the free positions on the reagent racks
The screen displays an enlarged view of the rack selected               on the tray. If required, it allocates new reagent racks
on the tray, enabling easy manipulation of its content. The             to the free positions on the tray and fills the positions. A
selected elements can be unloaded from the rack or the                  maximum of 3 reagent racks is permitted. If there are
rack can be completely emptied. It is possible to change                elements on the racks that are not required for the current
the position of any element by dragging it to a free position           work session, the programme alerts the user to remove
on the enlarged image of the rack. The volume of a bottle of            them. If there is no room for all the reagents, the user is
reagents can also be changed by double-clicking on it.                  also alerted.
When any change is made, the programme checks if all
the required volume of said reagent is in position and alerts         Position Samples Automatically: The programme places
the user if it is not.                                                  the samples from the tree that are not yet positioned
                                                                        (black colour) in the free positions on the samples racks
The positioning of the reagents and the samples on the                  on the tray. If required, it allocates new samples racks
racks can be carried out automatically or manually. Two                 to the free positions on the tray and fills the positions. A
buttons make it possible to automatically position the                  maximum of 3 samples racks is permitted. If there are
reagents or the samples, respectively. With automatic                   elements on the racks that are not required for the current
positioning, the programme allocates the rack types that                work session, the programme alerts the user to remove
are required. If the user wishes to position the elements               them. If there is no room for all the samples, the user is
manually, he or she must choose the required rack types                 also alerted. If different types of sample racks are used
and place the elements by dragging them with the mouse                  in one session, the user must manually reposition each
from the tree to a free position in the corresponding enlarged          sample on the corresponding rack in accord with the
                                                                        tube type used, since the analyser does not have
                                                                        information about the tube type used for each sample.
                                                                      Remove: This removes the selected elements from the
                                                                        enlarged rack. If no selection has been made, all the
                                                                        elements are removed from the rack. It is also possible
                                                                        to remove the selected elements using the delete button.
                                                                      Save Rack: This saves the enlarged rack (reagents or
                                                                        samples) for later use.
                                                                      Summary of positions: This enables easy verification of all
                                                                        the allocated positions. The user accesses a screen
                                                                        showing the current distribution of the racks tray in text
                                                                        mode, indicating the content of each position rack by
                                                                        rack. This information may be printed out.
                                                                      OK: By clicking OK, the programme checks that all the
                                                                        required elements are in position and requests
                                                                        confirmation from the user to save the information as
                                                                        definitive. When all the elements have not been
rack. It is possible to position individual bottles of reagent          positioned, an auxiliary alerts screen opens. If the
or all the required reagent in one bottle. If a sample is               analyser is ready for work, the Start button of the verti-
dragged and it has programmed pre-dilutions, the pre-dilution           cal buttons bar is enabled and the user can press it for
tubes required are also dragged. If you wish to use different           the analyser to start the analyses. The programme
sample rack types in one session, the user must manually                automatically changes to the Monitor screen, from which
position each sample in the corresponding rack in accord                the execution of the work session can be supervised.
with the type of tube used.
                                                                         When the analyser is carrying out the analyses, the
Once all the elements have been positioned on the screen                 user can press the Sampling Stop button on the vertical
and physically in the analyser, the user can begin the                   button bar to introduce new elements into the analyser
analyses.                                                                physically. Once the positions have been programmed
                                                                         on the Positions screen, by clicking OK, the programme
Buttons                                                                  checks that all the new required elements are in position
                                                                         and requests confirmation from the user to save the
Various buttons, some of which have already been                         information as definitive. The Continue button on the
mentioned, let the user perform different actions. The                   vertical bar is enabled and when the user presses it,
following is a brief description of the functionality of each            the programme changes to the Monitor screen and the
one.                                                                     analyser continues the pending analyses and the new
                                                                         ones that have been sent.
                                                                 24
Cancel: This exits the screen without updating any of the            - In order to edit the factor: double click its cell, insert a
  changes made and keeps the previous distribution.                      new value and accept by pressing Enter. This action
Alerts: This button appears when there are elements not                  recalculates all the affected Concentration results. It
   positioned in the prepared work session and it informs                also changes the test programming and becomes
   the user of everything that cannot be analysed. When                  programmed with factor
   nothing is in position, the Start button is not enabled.          - In order to recover the factor experimental value: click any
                                                                         cell crossed at the average or replicate level. This action
2.2.7 Memorising sessions                                                recalculates all the affected Concentration results.
                                                                25
User manual
   - If the patient concentration is lower than the detection          implemented solution, the date of the solution and the
        limit, the sample is repeated with the increased Fac-          personnel implicated. If so desired, the corrected alarms
        tor of postdilution.                                           can be eliminated. The lists can be ordered according to
   - If the patient concentration is within the Rank of                the field type, date or name. Problem solution reports can
       repetition, the sample is repeated with the same                be printed with the selected alarms. The Alarms and alerts
       relation of sample-reagent.                                     section of this manual lists the main alarms and alerts the
                                                                       analyser can display and which require user intervention.
   - If the absorbances of the kinetic in blanks, calibrators,
         controls and samples are not linear, it is repeated           2.2.10. Past results
         with the same relation of sample-reagent volumes.
                                                                       The Past results screen displays the results obtained in all
2.2.9. Current and past alarms                                         the work sessions prior to the current session and prints
                                                                       out reports with said results. The results can be organised
The Monitor also displays information about the alarms or              by patients or by tests. It is also possible to make reports
alerts that may appear throughout the work session in the              of patients per session or with all sessions. Reports by
shape of identifying icons, together with a brief informative          tests can be made only by previous selection of a specific
text. By clicking on the corresponding button, the user can            session. The Delete button deletes all the data of the
access the Current alarms screen, which offers more                    selected work session.
detailed information about the problems and their possible
solution. The alarms and alerts occur when certain detectors           The screen contains:
or sensors are triggered in the analyser or when the analyser          - List of completed session dates
detects anomalous functioning. When necessary, the                     - List of elements: patients or tests
analyser acts to avoid continuing working in unsafe
conditions and notifies the computer. The alarms screen                - Interface of patient or test data selected on the list
displays a list with all the alarms and alerts generated by            - Interface of patient or test results selected on the list
the analyser in the current session. It is also possible to
access the Past alarms and alerts, which contains a list
                                                                       List of elements
with the alarms and alerts generated during previous work
sessions. For each alarm or alert, the following can be                This list contains all the elements of the selected sessions.
displayed:                                                             In the past results by patient, the list shows the patient
- Type of alarm or alert                                               code and the patient names introduced, corresponding to
                                                                       the selected session or to all the sessions. In the past
- Date of alarm                                                        results by test, the list contains the name of the tests
- Brief definition of the alarm (name)                                 performed in the specific selected session. This list enables
- Detailed description                                                 the selection of elements for query, deletion or printing out
                                                                       the associated data by means of the corresponding buttons.
- Proposed solution                                                    The list can be ordered alphabetically by clicking on the
- Observations (lets the user introduce information: applied           title. In the past results by patient, the Allocate button
  solution, date of solution, implicated personnel…)                   enables the allocation to the selected patient previously
                                                                  26
enables the printing or exportation to file of a report with         contains: patient code, result value, units, date and time of
the data and results of the selected elements. The                   the result and observations. By clicking on the
programme always displays a preview of the report.                   corresponding column, the results can be ordered by
                                                                     session date, by test or by patient name.
Data Interface
                                                                     General buttons
In the past results by patient, the data interface contains
the following patient information: name of the selected              The past results screen contains two general buttons:
patient, sex, date of birth, person who has requested the            Delete: This deletes completed past sessions.
analysis and a field for comments. A button enables access
to the Patient Data screen, where the data can be                    OK: This saves the changes made to patient data and to
introduced or modified. In the past records by test, the               the results and exits the screen.
data interface contains the absorbance of the blank and              Cancel: This exits the screen without saving the changes
the calibrator or calibrators used in the selected session,            made.
the date the blanks and calibrators were performed and the
reference range of the test.                                         2.2.11. Patient data
Results Interface                                                    This screen enables the introduction and modification of
                                                                     the data of patients who are analysed frequently. This data
This interface shows the results of the element selected
                                                                     is not necessary for the performance of analyses and can
on the list, whether it is a patient or a test. Each grid re-
                                                                     be introduced once the analyser is running. This screen
cord of results by patient contains: name of the test and
                                                                     can be accessed directly from the Introduction of New
sample type on which it has been carried out, value of the
                                                                     Samples or Past Results screen by patients using the
result, units, reference range programmed in the test
                                                                     Patient Data button or from the Past results menu. It also
(optional), date and time of the result and observation about
                                                                     enables the allocation of previously introduced data to a
the result obtained. Each grid record of results by test
                                                                     patient. This screen contains a list of patients and a patient
                                                                     data interface.
List of patients
                                                                     This list contains the code and the name and surnames of
                                                                     all the patients with allocated data. To query patient data,
                                                                     the user must select it on the list. The list can be ordered
                                                                     alphabetically by title. To edit the data of a patient, double
                                                                     click on the patient on the list. The New button enables the
                                                                     introduction of new patient data. The Delete button deletes
                                                                     the data of the selected patient. The Print button prints out
                                                                     the data of the selected patient.
                                                                27
User manual
Patient data interface                                              The user must replace the system liquid container with the
                                                                    washing solution container (supplied with the analyser,
The data interface shows the code of the selected patient,          bottle with the green dot), when required to do so by the
his or her name and surnames, sex, date of birth, the person        analyser, during warm-up (initial wash) or during shut-down
who has requested the analysis and a field for introducing          (final wash). Once the wash has been performed, the
comments. The user can consult current data, modify them            analyser asks the user to replace the container with system
or introduce new data.                                              liquid (only in the initial wash) and automatically performs
                                                                    a wash and rinse of the dispensing system with system
General buttons                                                     liquid. With the initial wash, the system is ready for working
                                                                    in optimum conditions during the entire working day, offering
The patient data screen contains two general buttons:               maximum performance. In the final wash, the dispensing
                                                                    circuit is left full of washing solution until the next warm-up
Save: Saves all the changes made to the data.
                                                                    is performed, in order to condition the dispensing circuit
Cancel: Recovers all previous data without saving any               during the rest period of the analyser.
  change.
                                                                    When the analyser cannot avoid contamination between
2.2.12. Configuration                                               incompatible tests by reordering the tests of each patient,
                                                                    it automatically performs and intermediary special washing
These screens enable the user to configure the running              cycle. The user can choose to perform these special washes
mode of the analyser and the user programme. The different          with system liquid or with washing solution. If the second
parameters can be configured from four dedicated screens:           option is chosen, a 50 ml bottle of washing solution must
- A15 analyser                                                      be placed in the analyser.
- Languages
- Configuration of the serial port
- Header of results reports
Washes
- Initial, final and special washes between incompatible
  tests
Session
- Carrying out of automatic repetitions                             Carrying out of repetitions
- Calibrators and blanks in paediatric racks                        This option allows to activate or to deactivate all the
- Automatic printing of patient reports                             automatic repetitions.
- Export session when reset is selected                             Separate Calibrators and Controls in Paediatric Racks
- Used sample tube
                                                                    In the A15 Configuration–Session screen, you can select
Analyser                                                            the option: “Calibrators and Controls with paediatric racks”.
- Container level control scales                                    This option is intended for the Automatic positioning of
- Cover detection                                                   samples. When pressing the button Place Samples
                                                                    Automatically of the “Positioning of Samples and Reagents”
- Configuration of the filter drum
                                                                    screen, the samples of Calibrator and Control type are
                                                                    placed in paediatric racks and the patient samples in the
Initial, final and special washes between                           type of rack selected in the A15- Configuration-Session
incompatible tests                                                  screen.
The analyser automatically performs a wash with washing
solution during the warm-up and during the shut-down.
                                                               28
Automatic printing of patient information                            alarms appears: lack of reagent, lack of sample, waste
                                                                     bottles full, system liquid bottles empty, etc., together with
This option allows activating and deactivating the automatic         the corresponding icon. Said acoustic signal sounds until
printing by patient during a current session without waiting         the user stops it by pressing the end alarm button or any of
for the list to finish.                                              the star, sampling&stop, continue, new rotor buttons.
Export session when reset is selected
This operation permits automatic activation or deactivation          Configuration of the filter wheel
of results export file generation when reset is selected.            This screen enables the modification of the analyser filter
                                                                     wheel. To access this screen, the work session must be
Used sample tube                                                     restarted. The wheel has 10 positions. Position 0 must
                                                                     always contain a covered filter so that the analyser can
This enables the selection from a dropdown list of the type
                                                                     perform the darkness adjustment. Positions 1 to 9 can be
of sample tube to be used in the work session. To access
                                                                     used for optical filters. All the positions of the wheel must
this list, the work session must be restarted. The possible
                                                                     be occupied for it to work correctly. The positions that do
types are: 15 mm diameter tube with a maximum height of
                                                                     not contain an optical filter must be occupied by a covered
100 mm, 13 mm diameter tube with a maximum height of
                                                                     filter. The analyser includes as standard 8 optical filters in
100 mm and a 13 mm diameter well.
                                                                     positions 1 to 8 and two covered filters in positions 0 and
                                                                     9. If one of the filters is to be changed, select the desired
Container level control scales
                                                                     position of the wheel and press the Change Filter button.
It enables the deactivation of the functioning of the scales         The analyser automatically positions the wheel filter
the analyser uses to control the level of the waste and              appropriately so that the user can change the filter through
                                                                     the window of the optical system. Next, if it is different,
                                                                     introduce the wavelength of the new filter that has been
                                                                     installed. If the filter is covered, the value 0 must be
                                                                     introduced. The programme requests confirmation to know
                                                                     if the filter in the analyser has been physically changed. If
                                                                     it has, the programme resets certain reference values used
                                                                     to issue alerts and alarms from the optical system.
2.2.12.2. Languages
                                                                29
User manual
2.2.14. Utilities
                                                                30
the analyser, empty it and dry it completely before using it           liquid. It is possible to supply the dispensing system, the
for analyses.                                                          washing system or both at the same time. To supply the
                                                                       dispensing system, the operating arm moves to the washing
                                                                       station. It is possible to choose the number of supply cycles
2.2.14.3. Disassembly of the dispensing needle                         to be performed. When the system liquid container is filled
On clicking on the Disassemble Needle button, the                      during a work session, the fluid system can be supplied by
operating arm positions itself over the rack tray. The                 clicking directly on the New System Liquid Container button
programme alerts the user to remove any object positioned              on the vertical button bar.
under the arm. On clicking OK, the needle descends and
the user can remove it to work with it or change it. To remove         2.2.14.6. Cleaning of the dispensing system
the needle, unscrew it by holding the top fitting. If, while
handling the needle, the carriage rises due to the pressure            By clicking on the Wash button, with the main cover closed,
                                                                       the analyser washes the dispensing system internally and
                                                                       externally. To perform this operation, the operating arm is
                                                                       moved to the washing station. The user can choose to
                                                                       perform the wash with system liquid or with washing solution.
                                                                       In the case of the latter, the analyser asks the user to
                                                                       position the washing solution container, supplied with the
                                                                       analyser, marked in green, in the system liquid position.
                                                                       Once the wash has been performed, the analyser asks
                                                                       him or her to replace the system liquid container and
                                                                       performs a rinse with the system liquid.
                                                                       When the user fits a new lamp, this utility must be used to
                                                                       notify the analyser that the lamp has been changed and
                                                                       optimise the luminosity of the photometric system. The
                                                                       programme requests confirmation to know whether or not
                                                                       the lamp of the analyser has been physically changed. If it
made by the user, press the Lower Needle button for the
needle to descend once again. Once the needle has been
reassembled on the analyser, press the OK button for the
needle to rise. It performs the self-centring test and the
arm finally returns to its parked position. These operations
must be done with utmost care since they are carried out
with the analyser cover open and the needle may be
contaminated. Laboratory gloves must always be used.
Bear in mind that the next time you produce a base line, a             To access this utility, the work session must be restarted.
log will be generated; to do this it will produce 3 consecutive        The lamp must be changed with the analyser in sleeping
base lines. It will take a few minutes longer than normal to           mode. If the analyser is on standby mode, the programme
produce these 3 base lines.                                            shuts it down automatically. The lamp must never be
                                                                       touched with fingers. Once the new lamp has been installed
                                                                       and the covers of the optics and the rotor have been closed,
2.2.14.5. Fluid system supply                                          the instructions given by the programme must be followed.
                                                                       The programme starts up the analyser, checks the light
On clicking the Supply button, with the main cover closed,
the analyser fills the fluid system conduits with system
                                                                  31
User manual
intensity of the optical system, shuts down the analyser                   multiple controls programming, for multiple controls. The
and then requests the user to remove the lamp holder again                 average value and the standard deviation are calculated,
and replace it again turning it 180º on the axis of the lamp.              respectively, as Xm = (Cmin+Cmax) / 2 and s = (Cmax-Cmin) /
The programme forces waiting periods to prevent the lamp                    (2k).
holder from getting too hot. If the temperature of the lamp
holder is still high, handle it with pincers. The programme
starts up the analyser again, measures the light intensity
of the optical system again, compares the light intensity in
both possible positions and chooses the greatest luminosity.
If it is the current position, it tells the user that the test is
complete. If the best position were the previous one, the
programme shuts down the analyser and asks the user to
remove the lamp holder and replace it, turning it 180º on
the axis of the lamp, returning the lamp to its initial position.
2.2.15. Internal quality control
· In manual mode, the series of results is accepted if the               · 13s: The result obtained on one of the controls exceeds
  results of the controls are between the values of Minimum                the limits of the interval Xm ± 3s.
  (Cmin) and Maximum (Cmax) Concentration, respectively.                 · 22s: The results obtained on two controls exceed, in the
  These values are programmed by the user on the test                      same way, the limits of the interval Xm ± 2s. This can be
  programming screen, for the specific controls, or on the                 the two controls of one series or one single control on
                                                                    32
  two consecutive series.                                              New sheet: Enables the creation of a new sheet when the
· R4s: The difference between the results of two controls of             30 series of the current sheet are exceeded. If a new
  one series or of one control on two consecutive series is              sheet is not created, the following series overwrite the
                                                                         oldest series. A new sheet is automatically created when
                                                                         a test parameter is changed.
                                                                  33
User manual
                                                                34
3. Calculation and measurement procedures
This chapter describes the different analysis modes of the                 are indicated. The analysis modes are the same for blanks,
analyser and the calculations made to obtain the analytical                calibrators, controls and samples of patients. The controls
results, i.e. the concentration values of the different analytes           are treated in the same way as the patient samples in all
of the samples. In each case, the different formulas used                  the calculations.
                                                                      35
User manual
The absorbance can be measured at one or two                             Up to 50 replicates can be programmed for each sample
wavelengths. In the case of bichromatic readings, the                    and up to 3 for each blank, calibrator or control.
difference between the absorbance at the main wavelength
and the absorbance at the reference wavelength is taken                  3.1.3.1. Blank
as the absorbance value.
                                                                         The average of the absorbance values measured is taken
           Amuestra=[Asample]λmain-[Asample]λrefefence                   as the absorbance of the blank.
           Acalibrator=[Acalibrator]λmain-[Acalibrator]λreference                                                  nblank
                                                                                                                   ΣA
                                                                                                        1                    i
                                                                                       Ablank=
           Ablank=[Ablank]λmain-[Ablank]λreference                                                    nblank
                                                                                                                              blank
i=1
                                                                                                                   ΣA
3.1.2.1. Factor                                                                                        1                     i
                                                                                      Acalibrator=                            calibrator
The concentration is calculated using a programmed fac-                                              ncalibrador
                                                                                                                   i=1
tor with the formula
                                                                         3.1.3.3. Sample
               Csample=TR·F·(Asample-Ablank)
                                                                         The average values calculated for the absorbance of the
                                                                         blank and the calibrator or calibrators are used in the
3.1.2.2. Single calibrator                                               calculations set forth in the previous section to obtain the
If a single point calibrator is used, the concentration is               concentration of each replicate of the sample. The average
calculated with the formula                                              value of the calculated concentrations is taken as the
                                                                         concentration of the sample.
                                                                    36
                                        n sample                           3.2.2.3. Several calibrators
                                        Σ
                             1
               Csample=                        Cisample
                            nsample                                        If a multipoint calibrator is used, the concentration is
                                        i=1                                calculated using a calibration function or curve. This curve
                                                                           is obtained from the programmed concentration values of
3.2. Bireagent differential                                                the calibrators and the absorbance values measured for
                                                                           each one with regard to the base line Acalibrator, using an
                                                                           interpolation method (polygonal or spline) or a regression
3.2.1. Absorbance                                                          method (linear or quadratic) and linear or logarithmic axes,
The analyser dispenses reagent 1 and the sample in cycle                   in accord with how it is programmed fro each test. With
1. In a later cycle, it measures the absorbance of the                     this curve, the analyser calculates the concentration of the
mixture on a base line of distilled water. later, it dispenses             sample in accord with its absorbance with regard to the
reagent 2 in the same well and then measures the                           base line
absorbance of the reaction in a later cycle, in accord with
how it is programmed in the test. The absorbances are                                          Csample=Func[Asample]
measured at one single wavelength. For each test, a blank
is prepared using distilled water instead of the sample or                 3.2.3. Replicates
with reagents only. The absorbances of said blank, with
the first reagent and with both reagents, are also measured                Up to 50 replicates can be programmed for each sample
on the base line of distilled water. The calibration can be                and up to 3 for each blank, calibrator or control.
based on the use of multiple or specific calibrators (one or
several), or on a programmed factor. The difference between
                                                                           3.2.3.1. Blank
the absorbance measured with the two reagents and the
absorbance measured with the first reagent only is taken                   The average of the absorbance values measured is taken
as the absorbance value.                                                   as the absorbance of the blank.
                                                                                                                     n blank
                                                                                                                      ΣA
            Asample=[Asample]R1+R2-[Asample]R1                                                            1                        i
                                                                                         Ablank=                                    blank
            Acalibrator=[Acalibrator] R1+R2
                                              -[Acalibrator]   R1                                       nblank
                                                                                                                      i=1
                                                                           3.2.3.2. Calibrator
                              R1+R2                R1
            Ablank=[Ablank]           -[Ablank]
                                                                           The average of the absorbance values measured is taken
                                                                           as the absorbance of the calibrator.
3.2.2. Concentration
                                                                                                                     ΣA
concentration in the sample can be calculated.                                                           1                     i
                                                                                        Acalibrator=                            calibrator
                                                                                                       ncalibrator
                                                                                                                     i=1
3.2.2.1. Factor                                                            3.2.3.3. Sample
The concentration is calculated using a programmed fac-                    The average values calculated for the absorbance of the
tor with the formula                                                       blank and the calibrator or calibrators are used in the
                                                                           calculations set forth in the previous section to obtain the
                 Csample=TR·F·(Asample-Ablank)                             concentration of each replicate of the sample. The average
                                                                           value of the calculated concentrations is taken as the
3.2.2.2. Single calibrator                                                 concentration of the sample.
                                                                                                                     nsample
                                                                                                                     ΣC
If a single point calibrator is used, the concentration is                                                1                        i
calculated with the formula                                                             Csample=                                    sample
                                                                                                        nsample
                                                                                                                     i=1
                          Asample-Ablank
           Csample=                                     Ccalibrator
                         Acalibrator-Ablank                                3.3. Fixed time
Considering that TR2=1, this formula is equivalent to the
previous one with a factor                                                 3.3.1. Absorbance
                                                                      37
User manual
use of multiple or specific calibrators (one or several), or on         is obtained from the programmed concentration values of
a programmed factor. For each test, a blank is prepared                 the calibrators and the absorbance values measured for
using distilled water instead of the sample or with reagent             each one with regard to the base line Acalibrator, using an
only. The absorbances of this blank at the two specific                 interpolation method (polygonal or spline) or a regression
times are also measured on the base line of distilled water.            method (linear or quadratic) and linear or logarithmic axes,
                                                                        in accord with how it is programmed fro each test. With
                                                                        this curve, the analyser calculates the concentration of the
3.3.1.1. Monoreagent / Bireagent                                        sample in accord with its absorbance with regard to the
The procedure is different for the tests using one or two               base line
reagents. For the monoreagents, the analyser dispenses                                        Csample=Func[Asample]
the reagent and the sample in cycle 1 and measures the                  3.3.3. Replicates
absorbance of the reaction in two later cycles, at the
moments in time T1 and T2, in accord with how it is                     Up to 50 replicates can be programmed for each sample
programmed in the test. For bireagents, the analyser dis-               and up to 3 for each blank, calibrator or control.
penses reagent 1 and the sample in cycle 1. In a later
cycle, it dispenses reagent 2 in the same well and then
measures the absorbances of the reaction at the moments                 3.3.3.1. Blank
in time T1 and T2, in accord with how it is programmed in
                                                                        The average of the absorbance values measured is taken
the test. The difference between the absorbance measured
                                                                        as the absorbance of the blank.
at time T1 and the absorbance measured at time T2 is
taken as the absorbance value.                                                                                      n blank
                                                                                                                    ΣA
                                                                                                        1                        i
                                                                                       Ablank=                                    blank
                                 T2
            Asample=[Asample] -[Asample]       T1                                                      nblank
                                                                                                                    i=1
            Acalibrator=[Acalibrator]T2-[Acalibrator]T1
                                                                        3.3.3.2. Calibrator
            Ablank=[Ablank]T2-[Ablank]T1
                                                                        The average of the absorbance values measured is taken
                                                                        as the absorbance of the calibrator.
3.3.2. Concentration
                                                                                                                   ncalibrator
                                                                                                                   ΣA
Based on the absorbance value obtained, the analytical                                                 1                      i
concentration in the sample can be calculated.                                        Acalibrator=                             calibrator
                                                                                                     ncalibrator
                                                                                                                   i=1
                                                                                                                   ΣC
If a single point calibrator is used, the concentration is                                            1                       i
calculated with the formula                                                          Csample=                                  sample
                                                                                                     nsample
                                                                                                                   i=1
                           Asample-Ablank
           Csample=                                  Ccalibrator
                         Acalibrator-Ablank                             3.4. Kinetics
Considering that TR2=1, this formula is equivalent to the
previous one with a factor                                              3.4.1. Variation of the absorbance per unit of time
                                 Ccalibrator                            The kinetic mode is used to measure the catalytic activity
                  F=TR·                                                 of an enzyme. The absorbance of the reaction on a base
                             Acalibrator-Ablank
                                                                        line of distilled water is measured periodically during several
                                                                        cycles, between the times Ti and Tf programmed in the
                                                                        test. The readings are taken at one single wavelength.
3.3.2.3. Several calibrators
                                                                        Based on these absorbance measurements, the analyser
If a multipoint calibrator is used, the concentration is                calculates the variation of the absorbance of the reaction
calculated using a calibration function or curve. This curve            per unit of time. The calibration can be based on the use of
                                                                   38
multiple or specific calibrators (one or several), or on a                          Considering that , this formula is equivalent to the previous
programmed factor. For each test, a blank is prepared using                         one with a factor
distilled water instead of the sample or with reagent only.                                                        Ccalibrator
The absorbances of this blank are also measured on the                                   Csample=TR
base line of distilled water.                                                                                ∆A                            ∆A
3.4.1.1. Monoreagent / Bireagent                                                                             ∆t                            ∆t
                                                                                                                   calibrator                              blank
The procedure is different for the tests using one or two                           3.4.2.3. Several calibrators
reagents. For the monoreagents, the analyser dispenses
                                                                                    If a multipoint calibrator is used, the concentration is
the reagent and the sample in cycle 1 and measures the
                                                                                    calculated using a calibration function or curve. This curve
absorbance of the reaction in several later cycles, between
                                                                                    is obtained from the programmed concentration values of
the times Ti (start) and Tf (end), in accord with how it is
                                                                                    the calibrators and the absorbance gradient values measured
programmed in the test. For bireagents, the analyser dis-
                                                                                    for each one with regard to the base line ,
penses reagent 1 and the sample in cycle 1. In a later
cycle, it dispenses reagent 2 in the same well and then                               ∆A                using an interpolation method (polygonal or
measures the absorbances of the reaction at the moments                               ∆t               spline) or a regression method (linear or
                                                                                           calibrator
in several later cycles, between the times Ti and Tf, in                                               quadratic) and linear or logarithmic axes, in
accord with how it is programmed in the test.                                       accord with how it is programmed fro each test. With this
                                                                                    curve, the analyser calculates the concentration of the
3.4.1.2. Checking linearity
                                                                                    sample in accord with the absorbance gradient with regard
Catalytic activity is measured by the speed of the reaction,                        to the base line
which is proportional to the gradient of the absorbance-                                                              ∆A
time curve. This ∆A/∆t gradient is calculated using the li-
                                                                                                      Csample=Func  [ ∆t                       ]
                                                                                                                                     sample
near method over the set of absorbances measured between
the times Ti and Tf. The most common units for measuring                            3.4.3. Replicates
the gradient are ∆A/min. Depending on the test, the period
of measurements can be different. In general, for the more                          Up to 50 replicates can be programmed for each sample
common tests, around 13 readings are taken at regular 15-                           and up to 3 for each blank, calibrator or control.
second intervals. The analyser automatically calculates the
best line of regression by the squared minimums method
                                                                                    3.4.3.1. Blank
and checks the linearity of the measurements base don
the correlation quotient. If the linearity is low, the analyser                     The average of the absorbance gradient values measured
issues the corresponding alert together with the result of                          is taken as the absorbance gradient of the blank.
the test.
                                                                                                                                n blank
                                                                                                                                Σ
                                                                                               ∆A                   1                              i
3.4.2. Concentration                                                                                         =                            ∆A
                                                                                               ∆t                  nblank                 ∆t
                                                                                                     blank                      i=1
Based on the absorbance gradient obtained, the analytical                                                                                          blank
                                                                                                                                 ΣC
               ∆t                          ∆t                                                                        1                     i
                                                                                                     Csample=                               sample
                     calibrator                 blank
                                                                                                                   nsample
                                                                                                                                 i=1
39