B. Calibration
B. Calibration
Calibration
Working with calibrators and calibration results
This chapter tells you how to load, set up, request, and analyze results for calibrators.
About calibration
When calibrations are Calibrations are performed at regular intervals (defined in Configuration / Tests /
performed General) to compensate for changes over time in reagents and in the measurement
systems. Calibrations also have to be performed when certain physical events occur.
These include:
o A change in cassette (reagent) lot.
o A change in a defined interval.
Validating calibrations Each new calibration has to be validated either automatically or manually. No further
calibration can be performed until the previous calibration has been validated and the
results have been accepted. If flags are generated, you must determine their cause, and
decide whether to accept or rerun the calibration. If a calibration for a particular test is
not valid, all the results obtained with that test should be checked.
Lot numbers The exact compositions of calibrators and reagents vary between lots. Therefore, it is
important to check the lot numbers each time you replace a cassette or a calibrator. If
you do not update the lot numbers and values recorded on the instrument, erroneous
results can occur.
Calibration modes and Each calibration is assigned to a calibration mode by the manufacturer. Each mode
calculations represents a type of calibration curve and calibration curve parameter. From the
calibration measurements, the system calculates the values of the appropriate
parameters (called curve parameters) based on the calibration mode.
Linear calibrations Tests for most enzymes and substrates have linear calibration curves, which require
only a two-point calibration.
For a linear calibration:
o A two-point calibration is used; one calibrator has a known amount of analyte, the
other is water, which is the zero calibrator.
o There are two curve parameters to be determined, known as F and R0.
o The calibrators are placed next to each other on a sample rack. The calibrator with
the highest concentration must be placed first (lower numerical position) on the
rack.
Non-linear calibrations Tests for most specific proteins, drugs of abuse testing (DAT) and therapeutic drug
monitoring (TDM) have non-linear calibrations.
For a non-linear calibration:
o Between four and six calibration points are used, depending on the calibration
mode.
o There are four (KC, R 0, A, B) or five (KC, R0, A, B, C) curve parameters, depending
on the calibration mode.
o The calibrator is supplied as either a set of bottles or a single bottle from which the
individual calibrators are made up automatically.
With a single calibrator and automatic dilution:
o There is only one calibrator to place on a rack.
o The system automatically makes up different dilutions of the calibrator to produce
the required calibration points.
With a multi-calibrator set:
o Each calibrator has a different concentration of the analyte.
o The calibrators are placed in order on a rack with the calibrator with the highest
concentration in the lowest numerical rack position.
o The software identifies individual calibrators as Std-1 (highest concentration), Std-
2 (next highest concentration) and so on.
o All the calibrators in the set must be placed in adjacent slots on the same rack.
Calibration modes Possible calibration modes are shown in the following table:
Calibrations at a glance
Use the following table to locate specific tasks by work area and tab.
Use the following table to locate specific tasks in the Configuration work area:
Tests
Lot o Specify a calibration lot number, expiry date, and
the assigned values for a selected calibrator and
test.
Calibrators Roche recommends to perform calibrations in
duplicate.
You can check the status of the on-board calibrators, for example, to find out when
they need replacing.
What if?
The calibrator is expired Replace the expired calibrator with one that is not expired.
The calibrator is empty Replace the calibrator. Make sure the lot number is the same as the previous calibrator.
If the calibrator is from a new lot, you need to update the lot number first.
The calibrator is blocked One or more of the calibrators are not available, or the test cassette is empty. Replace
the cassette(s) as required.
The calibrator is not on Load the required calibrator. Make sure the lot number of the calibrator you load is the
board same as that specified in the calibrator detail.
The calibrator definitions The system has detected a calibrator, but the calibrator definition is missing or
are missing incomplete.
Tips
o This function is available from all work areas.
o You can click the Test Calibrations button on the toolbar instead of choosing
Tools > Test Calibrations.
o Place all calibrators on the instrument before you generate and print the list. (The
system updates the calibrator status of onboard calibrators only.)
o Click a column header to sort the list.
o Click Print to print a report with the contents of the Test Calibrations dialog box.
Tip
You can also click Place Items in the toolbar and then select the rack.
A B
Tip
During operation, missing calibrators are also listed in the Blocked folder on the
Worklist tab of the Orders work area.
There are two ways of loading calibrators, depending on whether the calibrator tube
has a barcode or not.
Tips
o When you load a multi-calibrator set:
O All calibrators must have the same barcode.
O Contact Roche for barcode specifications.
O The calibrators must be placed consecutively on the rack, in descending
concentration order.
Start by placing the most concentrated solution in the available rack position
with the lowest number.
o The barcode reader identifies each calibrator as the rack is loaded. You do not need
to use either the Reserve Positions function or the Place Items dialog box (if you
are using barcodes).
o Use slot I, if available, for calibrators. This slot is in the cassette area, which is
cooled. Alternatively, you can use any available slot because the system identifies
the rack and its contents as it is loaded.
8 Drag and drop the calibrator(s) into position on the Rack graphic.
A Calibrator to place, requires one tube. The number in parentheses shows the number of tubes
required on the rack for this calibrator or calibrator set.
B Click here to choose the rack number and name of rack type.
C The rack is represented as a graphic, and the tubes that have reserved positions on the rack are
listed.
9 Click Save.
10 Click Close.
11 Insert the sample rack.
Tips
o Step 8 - For a multi-calibrator set, the system automatically reserves the required
number of positions, in the correct order. You cannot reserve positions for the
calibrators if there are not enough positions (without gaps) available.
o Step 8 - The Move calibrators icon (that is displayed when you drag calibrators into
position) shows the number of calibrators being moved.
o Click Clear to remove all the assignments from the rack.
o You can also use the Place Items dialog box to assign positions.
Requesting calibrations
Most calibrations are scheduled to run automatically, but you may need to request a
calibration:
o If you start a new calibrator lot.
o If you change the test definition.
o If more than one cassette for the test are currently on board.
o If control measurements are outside the specified range.
Recommendations
o You should run any related control measurements after a calibration. If the
calibration and control are not flagged, you can accept the calibration, provided
this is not configured to be done automatically anyway.
o You should not accept a flagged calibration without further investigation.
a To request a calibration
4 Click Save.
A
B
C
G
D
E
A You can select a test or profile for the calibration request by typing its name or number here.
B In the Configuration work area, tests can be assigned to groups. This feature can be used to reduce the
number of tests displayed at one time in this tab. Select another group if you don’t see the required test.
C Click profile buttons to request calibrations for all tests in the profile.
D Click test buttons to request a calibration for the test.
E Calibration already requested for this test.
F If you select a calibrator here, only the tests that are associated with the calibrator are displayed.
G The Calibrator/Test Summary lists all current requests for calibrations.
H Click Save to save the calibration request.
Tips
o Only calibrators with current requests are displayed.
o A full calibration means that all the calibrators defined for the test (up to a
maximum of six) must be run. The calibrators must be placed in consecutive
positions on the same rack.
o Manual requests do not reset the automatic intervals until the calibration is
accepted.
o For an ISE Multi-test, selecting a calibration for any ISE test performs the
calibration for all electrodes. No additional ISE tests are run until the calibration is
accepted.
o You cannot delete calibrations that are running.
Postponing a calibration
When the system requests a calibration, you can overrule this request by postponing
the calibration.
You can postpone a calibration by moving the due date or event for the calibration.
The period by which you can postpone a calibration depends on the way the
calibration interval is defined for the test:
Interval Interval
The COBAS INTEGRA 400 plus system is delivered with predefined calibration intervals for each
test. The calibration intervals are carefully defined to guarantee reagent performance within the
set on-board stability and shelf life of the reagents.
Roche does not recommend to change these default calibration intervals. Any change may alter
the reagent performance and, as a result, may lead to erroneous results.
Preconditions The following conditions must be met before you can postpone a calibration:
o A patient order exists for the test.
o An automatic calibration for the test is due now (the calibration interval has run
out).
o The test is blocked.
a To postpone a calibration
Tips
o In the Calibrator/Test Summary group, you can also choose Edit > Postpone
Calibration instead of right-clicking the selection.
o You cannot postpone a calibration in advance. This function is only available while
a test is due for calibration.
o You can postpone a calibration more than once.
o Sample and control results calculated with postponed calibrations are marked with
“p”.
o Tests with postponed calibrations are listed in the BOD report.
o The fact that a calibration was postponed is recorded in the View Message dialog
box (Messages > New Messages).
o If you select a calibrator in the Calibrator/Test Summary group instead of a test,
the Postpone Calibration option is only available if the calibration can be
postponed for all tests using this calibrator.
B D
A From the list, select whether you want to display all results (All) or only the unaccepted results
(Unaccepted).
B The selected calibration.
C To resize the columns, position your cursor here and click and drag the divider. Move the divider to the
right to reveal the sample type column.
D These calibration points are flagged. Double-click for more information.
(The paper clip at the beginning of the line indicates that a comment has been entered in the Details
dialog box.)
Tips
o To view additional details about the calibration, double-click a calibration line.
o Check to see if the flagged result occurs in more than one replicate.
o For a flagged calibration, select the calibration, then perform these steps:
O Follow the recommended action for each flag.
O Check the assigned lot number of the calibrator against the actual lot number
on the package insert. If these are different, rerun the calibration with the
correct calibrator lot.
O Check the curve parameters against those of existing accepted calibrations for
the same test.
O To check individual calibration points, double-click one of the calibration lines
to open the Detail dialog.
o Press F1 to display Help for this tab.
Recommendations
o You should run the control measurements after a calibration. If the calibration and
controls are not flagged, you can accept the calibration, provided this is not
configured to be done automatically anyway.
o You should not accept a flagged calibration without further investigation.
The Calibration tab in the Results work area shows the calibration history of each test.
A calibration history lists the date and time, the curve parameters, and cassette lot
numbers for the previous and current calibrations of a particular test.
Use the calibration history to review trends (for example, to see if the instrument is
running properly) or to examine a specific calibration in detail. You can display the
calibration curve and raw data for each calibration, provided these results have not
been deleted.
A
C
B
A Test name.
B This calibration is not accepted (dashed line instead of the date).
C Shows when the next calibration is due.
Tips
o Double-click a calibrator line to display the Calibration Detail dialog box.
o Double-click a test in the By Test list to show the Test Status dialog box.
o A paper clip at the beginning of a calibration line indicates a comment in the detail
dialog box.
o Scroll to the right to display lot numbers of the calibrator and reagent.
o A horizontal dotted line shows a lot change of a calibrator.
o Press F1 to display Help for this tab.
B D
C F
G
A The cassette and calibrator names and their respective lot numbers.
B Recommended user actions based on the flags generated.
C Calibration curve parameters according to the calibration mode.
D Graph of the calibration.
Double-click the graph to expand it.
Drag the cursor along the line to see rate values for each point.
E Calibrator (standard) for which values are listed.
F Mean values for the selected calibrator.
G Replicate values. Select the appropriate check box.
Buttons
A E
F
B
C
D G
A The cassette and calibrator names and their respective lot numbers.
B The calibration standard to which this data applies.
C Select a replicate.
D Measurement details. The parameters used and the calculation are test dependent.
E Click the Raw Data tab to review the numerical raw data vs. cycle number for this calibration.
F Test name.
G Kinetic of the reaction; graph of the raw data over time.
Double-click the graph to expand it.
Drag the cursor along the line to see rate values for each point.
Setting up calibrators
Information about a calibrator for a test is stored in the test and calibrator definitions,
which you can access through the Configuration work area.
Tips
o The system must be in Standby or Sleeping mode.
o You must have the required user access level to perform this procedure.
o Results obtained using calibration curves on the basis of the previous lot values of
this calibrator are not changed.
o Std-1 is the standard with the highest concentration.
o When updating the lot number for the ISE solutions, enter both the lot number
and expiry date of Solution 1. You can enter only one lot definition for all three
solutions.
2 Choose File > Barcode from the menu bar or click from the toolbar.
The Barcode dialog box is displayed.
3 Run the barcode pen over the first barcode line of the calibrator information sheet.
After reading the first line of barcode, the information is displayed on the Barcode
dialog box.
Correctly read lines are represented by green boxes, lines with reading errors by red
boxes and a message on the Line Status box of the Barcode dialog box.
o Using the barcode pen, re-read the barcode lines that are represented by a red
box in the Line Status group of the Barcode dialog box.
o Click Reset to delete all lines and restart the whole reading process.
6 When all lines are read correctly (all boxes are green), the Barcode dialog box
closes automatically, and a message is displayed, informing you of the successful
conclusion of the reading process.
Tips
o To read and edit the read lot information, use Configuration / Calibrators / Lot or
Configuration / Controls / Lot.
o Make sure Caps Lock on your keyboard is switched off.
o If you work with laboratory units other than the Roche standard units, the values
read from the barcode sheet are automatically converted to your laboratory units,
provided you specified the Lab Unit Factor (Configuration / Tests / Laboratory).
The COBAS INTEGRA 400 plus system is delivered with predefined calibration intervals for each
test. The calibration intervals are carefully defined to guarantee reagent performance within the
set on-board stability and shelf life of the reagents.
Roche does not recommend to change these default calibration intervals. Any change may alter
the reagent performance and, as a result, may lead to erroneous results.
C
D
A Selected test.
B Sample type.
C Calibrator used.
D If you select Duplicate or Triplicate, a mean value is calculated for each standard.
E Specify the interval type if necessary, and change the number of days.
Tips
o Change the Sample Type only if necessary.
o Use the calibrators recommended by Roche. If you change the calibrator, you have
to perform a new calibration.
o The system must be in Standby or Sleeping mode.
o You must have the required user access level to perform this procedure.
o You cannot modify a calibration interval if there is one or more unaccepted
calibration curve for this calibrator or if there are unaccepted sample and QC
results obtained on the basis of this calibrator.
o The options for specifying a calibration interval are:
None: No calibration interval.
Interval: Calibration at time interval only.
Cass-Lot & Interval: Calibrate at each new cassette lot or specified interval,
whichever comes sooner.
Cassette & Interval: Calibrate at each new cassette or specified interval, whichever
comes sooner.
4 Click Browse and choose the drive and directory where the required calibrator
definition is located. By default, the C:\Roche\Instrument\TAS path is selected.
Alternatively, type the complete path.
5 Click OK.
The Load Calibrator Definitions dialog box is displayed.
Tips
o You may be asked to update calibrator definitions from the Test Application
Software (TAS) from time to time.
o Update the assigned values for a new calibrator lot from the data given on the
package insert.
Tip
If you decide not to delete a selected calibrator after pressing the Delete key, you can
click No or Cancel in the Confirm Delete dialog box.
Preconditions
o You have sufficient user access privileges.
o The system is in Standby or Sleeping mode.
o The rack containing the calibrator is not on board.
o There are no calibration results that were obtained on the basis of this calibrator.
o The calibrator is no longer assigned to a test. You first need to assign a new
calibrator to the test (Configuration / Tests / General). Assigning a new calibrator,
automatically deletes calibration results that were obtained on the basis of the
previous calibrator.
Tips
o Step 5 - Type the ID in the format 97-nnnn-n, where n is a number between 0
and 9.
o Step 7 through 9 - You can define the lot number later, if required. (See "Specifying
values for a new calibrator lot" on page B-164.)
o Step 10 - When you click Save, an empty Test list is displayed. Tests are listed here
once you have assigned the non-Roche calibrator to tests.
Tip
Repeat this procedure for all tests that use the non-Roche calibrator.
Tips
o Step 2 - Tests to which you have assigned the non-Roche calibrator are now
displayed in the Test list.
o Repeat this procedure for all the tests in the Test list.