User Manual
DIAcheck Series
               C1 / C2 / C4
For In-Vitro Diagnostic use
Instrumentation and reagents for human coagulation and hemostasis
Copyright © 2020, Dialab GmbH, Austria
User Manual Revision 7
Firmware V01.03.50
Issue Aug-2020
Document No: 26 900 02
                                                                                       Dialab GmbH
Updates
                                User Manual                   Software
                                Version                       Version
                                1                             01.02.42 (first release)
                                2                             01.02.43
                                3 (minor correction on OPM)   01.02.43
                                4                             01.02.44 / 45 / 46
                                4b                            01.02.46 (add new pictures)
                                5                             01.02.47 and 1.02.48
                                6                             01.03.49
                                7                             01.03.50
Copyright                     Copyright © 2020 by Dialab GmbH; Neither the User Manual nor
                              any part thereof may be copied, digitally processed or otherwise
                              transferred without written permission from Dialab GmbH. The
                              software for Dialab GmbH products is the intellectual property of
                              Dialab GmbH, which company retains all rights to usage of the
                              software. The purchaser of a DIAcheck series acquires rights of use
                              for this software
Trademarks                    Other product names used in this User Manual are trademarks of
                              the respective companies.
Manufacturer                  Instrument is produced by
                              Dialab GmbH
                              Hondastrasse OBJ M55, IZ NOE SUED
                              A-2351 Wr. Neudorf
                              Austria
                              Phone:             +43 (0)2236 660910-0
                              Fax:               +43 (0)2236 660910-30
                              Email:             office@dialab.at
                              Internet:          www.dialab.at
Warranty                      The DIAcheck series is warranted for a period of one year after
                              delivery or first installation. It covers any defects in material,
                              functionality or workmanship. The first installation must be
                              registered online to www.dialab-reg.com (see chapter
                              “Registration”) or by scanning the attached QR-Code on the
                              System-ID-Card.
                              The warranty expires in case of failures caused by
                               Accidident, neglect maintenance & serivce, abuse or misuse.
                               Using unauthorized reagents, consumables or spare parts
                               Unauthorized service. Any repair or service must be performed
                                  by authorized persons.
User Manual DIAcheck series                       Rev-7                                     Page 2
                                                                                                                                                Dialab GmbH
1.     Introduction ........................................................................................................................................ 7
     1.1       Symbols ....................................................................................................................................... 7
     1.2       Views of the device ................................................................................................................. 8
     1.3       Consumables / Accessories ................................................................................................. 9
     1.4       Intended use........................................................................................................................... 10
       1.4.1        Compare of DIAcheck series ...................................................................................................... 10
       1.4.2        Test Methods .................................................................................................................................... 12
       1.4.3        Specimen Collection ...................................................................................................................... 12
       1.4.4        Principle of measurment ............................................................................................................. 13
       1.4.5        Clotting method (PT, aPTT,..) .................................................................................................... 14
       1.4.6        Chromogenic Method (Antithrombin): ................................................................................. 14
       1.4.7        ImmunturbidimetriC Method (D-Dimer): ............................................................................ 14
     1.5       Safety information ............................................................................................................... 15
       1.5.1        Safety information for operation ............................................................................................. 15
       1.5.2        Safety information for MATERIALS ........................................................................................ 15
       1.5.3        Safety information regarding risk of health ........................................................................ 16
       1.5.4        Safety information for cleaning, maintenance and servicing ....................................... 17
       1.5.5        Electrical Safety ............................................................................................................................... 18
       1.5.6        Recycling of the instrument ....................................................................................................... 18
2.     Installation of the DIAcheck series .............................................................................................19
     2.1       Scope of delivery................................................................................................................... 19
     2.2       Conditions of operation ..................................................................................................... 20
     2.3       First Installation ................................................................................................................... 21
     2.4       Switching ON and off ........................................................................................................... 22
     2.5       Display PRotection Foil ...................................................................................................... 22
     2.6       External Thermal Printer .................................................................................................. 23
     2.7       External Barcode Scanner ................................................................................................. 23
     2.8       TECAM SMART ....................................................................................................................... 23
     2.9       Registration ............................................................................................................................ 24
User Manual DIAcheck series                                                      Rev-7                                                                   Page 3
                                                                                                                                       Dialab GmbH
3.     Operation of the DIAcheck series ................................................................................................25
     3.1       Homescreen............................................................................................................................ 25
     3.2       Input patient identification .............................................................................................. 26
     3.3       Test selection ......................................................................................................................... 27
     3.4       Measurement ......................................................................................................................... 28
     3.5       System settings...................................................................................................................... 29
     3.6       Test Settings ........................................................................................................................... 32
     3.7       Review results ....................................................................................................................... 34
4.     Basis coagulation tests ..................................................................................................................35
     4.1       Quickguide of PT Determination .................................................................................... 35
     4.2       Quickguide of PT-B Determination................................................................................ 36
     4.3       Quickguide of aPTT Determination ............................................................................... 36
     4.4       QuiCkguide of FIB Determination .................................................................................. 37
5.     Ticket system.....................................................................................................................................38
6.     SERVICE Functions ...........................................................................................................................40
     6.1       System Information ............................................................................................................. 40
     6.2       Optic Check ............................................................................................................................. 41
     6.3       System report ........................................................................................................................ 42
     6.4       Adjust temperature ............................................................................................................. 43
     6.5       Firmware Update.................................................................................................................. 44
     6.6       Overview of Mainboard...................................................................................................... 45
     6.7       Typical Failures..................................................................................................................... 46
7.     Reset to factory default ..................................................................................................................47
8.     Working with TECAM Smart .........................................................................................................48
9.     Cleaning and maintenance ...........................................................................................................49
     9.1       General cleaning information .......................................................................................... 49
     9.1       Cleaning ................................................................................................................................... 49
     9.2       Decontamination .................................................................................................................. 49
     9.3       Regular mainentance .......................................................................................................... 49
User Manual DIAcheck series                                                 Rev-7                                                               Page 4
                                                                                                                                 Dialab GmbH
10. Technical Data ..................................................................................................................................50
User Manual DIAcheck series                                               Rev-7                                                          Page 5
                                                                                                                              Dialab GmbH
List of figures
Figure 1: Top view .............................................................................................................................. 8
Figure 2: Rear view ............................................................................................................................ 8
Figure 3: Side vieW ............................................................................................................................ 8
Figure 4: Determination of turning point in clotting method ............................................................. 14
Figure 5: Standard Delivery package                       (picture will follow) ............................................................. 19
Figure 6: System Information ........................................................................................................... 24
Figure 7: Registration of DIAcheck series ........................................................................................ 24
Figure 8: Homescreen DIAcheck series C4 ..................................................................................... 25
Figure 9: Input Patient ID ................................................................................................................. 26
Figure 10: test selection DIAcheck series C2/C4 ............................................................................. 27
Figure 11: test selection DIAcheck series C1 .................................................................................. 27
Figure 12: Screen during measurement ........................................................................................... 28
Figure 13: Quickmenu DIAcheck series C2/C4 ................................................................................ 29
Figure 14: System settngs DIAcheck series C2/C4 ......................................................................... 31
Figure 15: Test setting 1 ................................................................................................................... 32
Figure 16: Test Setting 2 .................................................................................................................. 33
Figure 17: Review results ................................................................................................................. 34
Figure 18: QC Report ....................................................................................................................... 34
Figure 19: Ticket System, LOGIN .................................................................................................... 38
Figure 20: Ticket System, Voucher .................................................................................................. 38
Figure 21: Ticket System, Input Code .............................................................................................. 39
Figure 22: Ticket System, TECAM SMART ..................................................................................... 39
Figure 23: System Information ......................................................................................................... 40
Figure 24: Optic Check ..................................................................................................................... 41
Figure 25: Screenshot of XFlash tool ............................................................................................... 44
Figure 26: Mainboard ....................................................................................................................... 45
Figure 27: TECAM SMART .............................................................................................................. 48
User Manual DIAcheck series                                             Rev-7                                                         Page 6
                                                                                     Dialab GmbH
    1. INTRODUCTION
      This device left the factory in fault-free condition regarding its safety and engineering
      functionality. To maintain this condition and ensure risk-free operation, the operator
      must comply with the safety warnings and information in this User Manual.
                      Use the DIAcheck series only in compliance with the instructions in this
                      User Manual. Otherwise, the manufacturer shall exclude the liability for any
                      damages to the DIAcheck series, patients or operators.
1.1         SYMBOLS
          The following standard symbols are used in this manual:
                Symbol            Meaning              Explanation
                   Courier        Info                 Key on keypad
                     CAPS         Info                 Screen message.
                                  Read                 Indicates important information and tips.
                                                       Describes reaction of DIAcheck series to
                                 Info
                                                       operator input.
                                                       Risk of possible health damage or
                                  Warning              considerable damage to equipment, if
                                                       warning is not heeded.
                                                       Potential risk to operating personnel or
                                  Danger
                                                       equipment due to electric shock.
                                                       Equipment can be potentially infectious
                                  Biohazard
                                                       due to the samples and reagents used.
                                  Laser Radiation      Avoid direct eye exposure
User Manual DIAcheck series                         Rev-7                                   Page 7
                                                                                     Dialab GmbH
   1.2            VIEWS OF THE DEVICE
                                                Home Screen (f.e. DIAcheck C4)
                                                Coloured Touch Display
                                                Complete area is prewarmed to 37°C
                                                1 x Reagent position Ø24mm
                                                1 x Reagent position Ø22mm
                                                1 x Reagent position Ø22mm, stirred
                                                2 x Reagent positions Ø13mm
                                                20 x Cuvette incubation positions
                                                4 x Cuvette measurement positions
                                                      (depend on C1/C2/C3 version)
FIGURE 1: TOP VIEW
                                                5V:                 Power in (+ 5Vdc)
                                                PC:                 USB: LIS or PC (USB)
                                                SERVICE:            Software update (USB)
                                                PRINTER:            Serial printer (RS232)
                                                BARCODE:            Handheld barcode scanner
                                                                    (RS232)
FIGURE 2: REAR VIEW
FIGURE 3: SIDE VIEW
User Manual DIAcheck series             Rev-7                                                Page 8
                                                                               Dialab GmbH
1.3         CONSUMABLES / ACCESSORIES
                   Cuvettes, P=500
                   with Voucher-Identification code (VID)
                   Stirring magnets, P=4
                   Required to mix PT reagent
                   Reagent container  22,5mm, P=100
                   Reagent tubes  11mm, P=100
                   Micro tubes, safe-lock, with cap  11mm, P=100
                   Reagent adapter, a 24,2mm - i 22,5mm
                   Helps to place vials with different sizes
                   Display protection foil Set
                   (Protection foil, Clean tissues, Remover)
                   TECAM Smart Software
                   Patient management, Reagent Calibration management, Monitoring, Research,
                   Statistics, Mirror print function, LIS communication (ASTM-1394)
                   Thermal printer, 57mm, wide range: 100-240Vac
                   Thermal paper, 57mm, P=5
                   Scanner CCD (1D, 2D)
                   Read 1D or QR code for Patient-ID, Reagent Info, Tickets
User Manual DIAcheck series                        Rev-7                             Page 9
                                                                                            Dialab GmbH
1.4           INTENDED USE
                     The DIAcheck series is designed to carry out coagulometric tests such as PT, PTT,
                     TT, fibrinogen, single factor tests, chromogenic and immunoturbidimetric tests
                     (for instance Antithrombin, D-dimer etc.) on human citrated plasma. The
                     instrument has to be used for the expected purposes and in perfect technical
                     condition, by qualified personnel, in working conditions and maintenance
                     operations as described in this document. It is designed for laboratory use or
                     clinical environment and trained users. It is not intended for home use.
1.4.1          COMPARE OF DIACHECK SERIES
The DIAcheck series include three different versions called C1, C2, C4
                                       C1                      C2                     C4
   DIAcheck series
   Family
   Reagent and Optic
                                                        prewarmed to 37°C
   block
   Cuvette prewarm                     10x                     20x                    20x
   Reagent prewarm,
                                       1x                      1x                      1x
   24mm
   Reagent prewarm,
                                       2x                      2x                      2x
   22mm
   Microtubes prewarm                  2x                      2x                      2x
   Reagent stirrer                     No                      1x                      1x
   Printer, RS232                                              Yes
   Barcode Scanner,
                                         Yes, external or integrated 1D Barcode scanner
   RS232
   LIS, USB                                                    Yes
   Firmware Update, USB                                        Yes
         Measurement
   Optic channels                                  1                     2                  4
                                                 620nm                405nm            405nm
   Optic wavelength
                                                  (RED)                (UV)             (UV)
   Cuvette, total volume                      Single, 75µL       Single, 75µL       Single, 75µL
   Global Clotting Assays                    PT+aPTT+Fib+TT    PT+aPTT+Fib+TT      PT+aPTT+Fib+TT
                                                                     All factors     All factors
   Special Clotting Assays                        No
                                                                       PS, LA           PS,LA
User Manual DIAcheck series                            Rev-7                                       Page 10
                                                                               Dialab GmbH
   Chromogenic Assays                            -           AT, PC,HEP   AT, PC,HEP
                                                              D-Dimer      D-Dimer
   Latex enhanced Assays                      D-Dimer
                                                              Free PS      Free PS
   Whole Blood Testing                     Yes (PT INR+%)       No           No
Software features
Reagent Dual LOT
                                                No             Yes          Yes
manage two different lots for each test
Test Calibration
LOT, expiry and upto 5 points for each         Yes             Yes          Yes
test
Reagent Barcode
Input LOT+Expiry or Positive LOT               Yes             Yes          Yes
detection
Patient Barcode
Input patient ID by barcode scanner            Yes             Yes          Yes
upto 16char
System Barcode
Input voucher tickets by barcode
                                               Yes             Yes          Yes
scanner directly from display of smart
device
Result Database
                                               Yes             Yes          Yes
save recent 180 results onboard
Double Determination
Run patient twice and display mean              No             Yes          Yes
value
Stopwatch function
                                                1x              2x           4x
count up or down incubation time
Result Identification
                                               Yes             Yes          Yes
Patient ID or sample ID or Auto ID
Real Time Clock                                Yes             Yes          Yes
Change language
                                               Yes             Yes          Yes
EN, ESP, ITA, FR, DE - further on option
Start test at reagent addition
                                               Yes             Yes          Yes
No expensive starter pipette required
Visualize Reaction Curve
                                               Yes             Yes          Yes
Tecmoni Software required
Link to LIS over USB or network/ASTM
                                               Yes             Yes          Yes
TECAM SMART Software required
User Manual DIAcheck series                          Rev-7                             Page 11
                                                                                    Dialab GmbH
1.4.2           TEST METHODS
                 Following test are provided to detect of the human coagulation system, which can
                 be bleeding or thrombosis and the monitoring of anti-coagulation drugs like
                 Heparin or Marcumar.
                                                                        DIAcheck series
      Test        Name                        Specimen Method
                                                                    C1       C2         C4
      PTB         Prothrombin Time            blood     clot        Yes      No         No
      PT          Prothrombin Time            plasma    clot        Yes      Yes        Yes
                  Activated       Partial
      APTT                                    plasma    clot        Yes      Yes       Yes
                  Prothrombin Time
      FIB         Fibrinogen                  plasma    clot        Yes      Yes       Yes
      TT          Thrombin Time               plasma    clot        Yes      Yes       Yes
      AT          Antithrombin                plasma    chromogen   No       Yes       Yes
      DD          D-Dimer                     plasma    immuno      Yes      Yes       Yes
                  Factors II, V, VII, VIII,
      Factors                                 plasma    clot        No       Yes       Yes
                  IX, X, XI, XII
      HEP         Heparin (anti Xa)           plasma    chromogen   No       Yes       Yes
      PC          Protein C                   plasma    chromogen   No       Yes       Yes
      PS          Protein S                   plasma    clot        No       Yes       Yes
      PSF         Free Protein-S              plasma    immuno      No       Yes       Yes
      LA-S        Lupus Screen                plasma    clot        No       Yes       Yes
      LA-C        Lupus Confirm               plasma    clot        No       Yes       Yes
1.4.3           SPECIMEN COLLECTION
                  Type:                        Human citrated plasma
                  Collection:                  Veinvein puncture, 1:10 mixed sodium citrate 3.2%
                                               (0.105M)
                  Centrifugation:              10min at 1500g
                  Storage:                     Max 4h after collection at room temperature
                  Bilirubin:                   < 50mg/dl
                  Hemoglobin:                  < 9000mg/l
                  Triglyceride:                < 2500g/l
                  Intended specimen for PTB for C1 only:
                  Type: Capillary blood from puncture of finger or citrated whole blood
                      In case of differences to the boxinserts of the reagent, always follow the
                      instructions on the box insert.
User Manual DIAcheck series                            Rev-7                              Page 12
                                                                                        Dialab GmbH
1.4.4          PRINCIPLE OF MEASURMENT
        The detection of plasma clotting is based on a photometric principle. No mechanical aids
        like mixing bars are required. Blood plasma is filled into a cuvette. Special reagents are
        added, which initiate the blood coagulation. The cuvette is transmitted by ultra violet light
        during the coagulation process. When the sample starts to clot a change of light absorbance
        is measured. The time from measurement start to change of light (turning point) is called
        clotting time and expressed in seconds [s].
        The conversion of coagulation time into a specific test unit is one using a linear, hyperbolic,
        semi-logarithmic or double-logarithmic interpolation of the stored calibration points. The
        current mathematical model is printed out in "TEST SETUP." Values outside the calibration
        range are calculated by extrapolation and flagged as " * ".
                  Unit             Info           Decimal          Maximum
                                                  places           value
                  s                seconds        1                -
                  %                activity       1                250.0
                  U                units          0                29999
                  INR              Int. ratio     2                99.00
                  R                ratio          2                99.00
                  NR               polish ratio   0                250
                  mg/dl                           0                999
                  g/l                             2                99
                  IE/ml            Int. Units     2                99
                  mg/l                            2                999
                  µg/ml                           3                9.000
                  ng/ml                           0                27500
                  µg/l                            0                27500
                  IU/mL            Int. Units     2                99.00
                 R        = clotting time / normal time
                 NR       = 100 *(normal time/clotting time)
                 INR      = Ratio ISI (International Normal Ratio)
                 IU/mL    = IE/mL = International Units (1.00 IU/mL = 100 % activity)
User Manual DIAcheck series                        Rev-7                                    Page 13
                                                                                        Dialab GmbH
1.4.5          CLOTTING METHOD (PT, APTT,..)
                   FIGURE 4: DETERMINATION OF TURNING POINT IN CLOTTING METHOD
                   The final reaction in the coagulation cascade is the transformation of fibrinogen
                   into fibrin catalyzed by thrombin. Fibrin formation results in clouding (higher
                   turbidimetric level) in the sample, which is measured by the photometer and
                   stored as the extinction. The result in seconds is the time from the start of the
                   reaction to the time of half rate of change (halfpoint).
1.4.6          CHROMOGENIC METHOD (ANTITHROMBIN):
                 The change of optical signal is not caused by clot reaction, but by the release of
                 color particles (pNA) which causes a yellow color. The change of color is measured
                 at 405nm and expressed as “dE/60sec” and proportional to the concentration or
                 activity of analyte.
1.4.7          IMMUNTURBIDIMETRIC METHOD (D-DIMER):
                 The change of light is caused by Antigen – Antibody reactions, which scatter the
                 light. The antibodies are linked to latex particles to amplify the optical reaction. The
                 change of light is proportional to the concentration of antigen like D-Dimer and
                 expressed as dE/120sec
User Manual DIAcheck series                        Rev-7                                      Page 14
                                                                                     Dialab GmbH
1.5         SAFETY INFORMATION
1.5.1          SAFETY INFORMATION FOR OPERATION
                      Use only the cleaning and rinsing liquids approved by the manufacturer. Failure
                      to do so could result in faulty measurements or malfunctions of the DIAcheck
                      series. Prevent reagents from leaking into the Analyzer. Failure to do so may
                      result in damage to the instrument and result in expensive maintenance work!
                      Carry out control measurements at regular intervals to ensure that the analyzer
                      continues to function faultlessly.
                      If the instrument is used in a manner not specified by the manufacturer, the
                      protection impairment could be affected!
                     Please read the Operation manual in its entirety prior to operation, in order to
                     ensure a high level of performance and to avoid errors by user.
1.5.2          SAFETY INFORMATION FOR MATERIALS
                         Use only Dialab approved and labeled material like cuvettes, spare parts or
                         reagents for which the instrument is intended and validated for.
                         Consumables like cuvettes or yellow tips are intended as single-use items.
                         Multiple use may result in false results due to contamination. Follow the
                         instructions on the reagent package circulars. Incorrect handling may result
                         in falsified results.
                         Do not use materials after their date of expiry. Especially expired IVD
                         reagents may cause false results.
                         Check correct function of manual pipette every year to ensure accurate
                         results.
User Manual DIAcheck series                       Rev-7                                    Page 15
                                                                                       Dialab GmbH
1.5.3          SAFETY INFORMATION REGARDING RISK OF HEALTH
                      Bleeding or Thrombosis
                      Diagnosis and medication of human coagulation system based on false
                      results may lead to critical bleeding or thrombosis. For risk reduction it is
                      essential to follow the hints below.
                      Regarding risks:
                      Caused by faulty condition of the instrument, reagent or calibration data:
                      Perform a quality control before running a series of patient samples or after
                      reconstitution of a vial or after test calibration to eliminate failure of
                      theinstrument, reagent or calibration data.
                      Caused by imprecise pipet:
                      Validate your pipette every year and label it with the last date of validation.
                      Caused by false assignment of target values:
                      Run interlaboratory quality control standards.
                      Caused by purified water:
                      Use only high purified water to reconstitute controls or reagents. Check
                      visualy that the water is free of any particles.
                      Caused by expired reagent:
                      Do not use IVD reagents or other materials after their expiry date.
                     Infectious Material
                     Consider all surfaces and materials which might be in contact with plasma or
                     other biological liquid as potentially contaminated with infectious material.
                      Avoid contact:
                     Wear medical infection grade protective gloves for all works involving
                     potential contact with infectious material and use each pair of gloves only.
                     Use a hand disinfectant product, e.g. Sterillium®, to disinfect your hands after
                     completion of the work.
                      Dispose:
                     Dispose infectious materials, such as cuvette waste and liquid waste, in
                     compliance with your local regulations governing for infectious materials.
                     Hygienic conditions:
                     Validate your hygienic management system according to German GLP federal
                     bureau for good laboratory practice or similar quality standard. Any waste
                     material must be considered as potentially infectious. Direct contact must be
                     avoided. Protective gloves during operation, service or cleaning are required.
User Manual DIAcheck series                        Rev-7                                     Page 16
                                                                                      Dialab GmbH
1.5.4          SAFETY INFORMATION FOR CLEANING, MAINTENANCE AND SERVICING
                      Authorized service only!
                      Carry out only the measures listed in this operator’s manual for maintenance,
                      repair and replacement. Improper manipulation of the device will void the
                      manufacturer's liability obligations and may make service calls necessary,
                      including payments which are not covered by warranty. Only the authorized
                      Customer Service may carry out servicing. Only original replacement parts
                      may be used. Before doing any servicing on the instrument, it is very
                      important to thoroughly disinfect all possibly contaminated parts.
                      Cleaning and decontamination
                      Before the instrument is removed from the laboratory for disposal or
                      servicing, it must be decontaminated. The procedure is described in chapter
                      “Cleaning and maintenance” and should be performed by authorised well-
                      trained personnel only, observing all necessary safety precautions
                      Cleaning certificate required!
                      Instruments to be returned have to be accompanied by a decontamination
                      certificate issued by the responsible laboratory manager. If a
                      decontamination certificate is not supplied, the returning laboratory will be
                      responsible for charges resulting from non-acceptance of the instrument by
                      the service centre, or from authority’s interventions.
                     Regard all surfaces and materials which might be in contact with plasma or
                     other biological liquid as potentially contaminated with infectious material.
                     Avoid any direct contact with decontaminants or disinfections.
User Manual DIAcheck series                        Rev-7                                   Page 17
                                                                                      Dialab GmbH
1.5.5          ELECTRICAL SAFETY
                     Precautions:
                      Avoid spilling liquids into system. In case of spilled liquids disconnect the
                        system from power, then clean and dry all contaminated parts.
                      Remove the power cord before opening the instrument.
                      Do not touch any electronic parts during operation.
                      Do not operate system without proper connection to grounding.
                      Never intentionally interrupt protective ground contacts.
                      Never remove housing elements, protective covers or secured structural
                        elements, since doing so could expose parts carrying electric current.
                      Make sure surfaces such as the floor and workbench are not moist while
                        operating the device.
                      Check electrical equipement regulary. Defective leads or socket must be
                        replaced without delay.
                     Connection to power:
                      Instrument is in compliance with IEC 61010-1 / 61010-2 and classified as
                        portable instrument, class II. It does not require a safety connection to
                        electrical earth.
                      Make sure the operating voltage setting is correct before connecting the
                        device to the power mains. Read chapter “installation” about electrical
                        conditions.
                      The power cord always has to be easily accessible during normal
                        operation.
                     EMC Statement:
                     The DIAcheck series it suitable for use in domestic and industrial
                     establishments. It was tested according to standards IEC 61326-1:2013 and
                     IEC 61326-2-6:2013, It is in compliance with the requirements
                     Emission: EN 55011, Class B, Group1
                     Immunity: EN 6100-4 -2,3,4,5,6,8
                     The maximum length of cables to external devices like printer, barcode or LIS
                     must be less than 3m to keep compliance with EMC
1.5.6          RECYCLING OF THE INSTRUMENT
                     The system must be decontaminated before being transported to an authorized
                     disposer for electrical waste.
                     The instrument must be recycled as required by guideline WEEE (2002/96/EG).
User Manual DIAcheck series                        Rev-7                                    Page 18
                                                                                      Dialab GmbH
2.     INSTALLATION OF THE DIACHECK SERIES
     2.1            SCOPE OF DELIVERY
           Contents of standard delivery package:
                  1 Pc             DIAcheck instrument
                  1 Pc             Power Supply
                  2x100 Pcs        Single cuvettes
                  5 Pcs            Reagent container, Ø22,5mm
                  5 Pcs            Reagent tubes, Ø11mm
                  1 Pc             Operation Manual (not on picture below)
                  1 Pc             Display protection foil
                  1 Pc             System ID-Card
               FIGURE 5: STANDARD DELIVERY PACKAGE            (PICTURE WILL FOLLOW)
     Optional available:
                  External Thermal Printer (RS232)
                  External Barcode scanner (RS232)
                  Printer cable
                  TECAM Smart Software
User Manual DIAcheck series                           Rev-7                               Page 19
                                                                                   Dialab GmbH
2.2         CONDITIONS OF OPERATION
                 Ambient conditions:
                  Operating Temperature             15°C to 30 °C
                  Humidity                          < 70% rel. humidity
                  Elevation above NN sea level      < 3,000m
                  Free of dust                      Grade 2
                  Impact resistance                 According to IEC/EN 61010-1, 8.2.2
                  Not allowed                       Vibrations, direct sun light and direct exposure
                                                    to air condition.
                 Electrical conditions:
                         100-240 VAC, 47 - 63Hz, no earthing required (Class-2)
                 Electrostatic Discharge (ESD):
                         No special requirements for ESD protection (shoes etc.)
                 Storage conditions:
                        0 - 50°C, max. 12 months in original package.
                 Transport conditions:
                        No special conditions required. The general regulations for transport can
                        be used.
                 Hygienic conditions:
                        Validate your hygienic management system according to international
                        applied Good Laboratory Practice (GLP) or similar quality standard. Any
                        waste material must be considered as potentially infectious. Direct contact
                        must be avoided. Protective gloves during operation, service or cleaning
                        are required.
                 Device environment:
                        No special requirements. Instruments is suitable for or use in domestic and
                        industrial establishments.
User Manual DIAcheck series                      Rev-7                                    Page 20
                                                                                     Dialab GmbH
   2.3            FIRST INSTALLATION
          Inspect the packaging of the DIAcheck series and accessories for any visible external
          damage. If the packaging is damaged, contact the transport company so that any damage
          to the device or accessories can be assessed.
          The instrument is ready to use and don’t need a specific procedure.
          First installation procedure:
          1. Unpack and place instrument in conformity with conditions of operation (see previous
              chapter).
          2. Install assessory (Protection foil, printer, barcode, Tecam – see next chapters)
          3. Plug in power 5V.
          4. Wait until green Status (approx. 15 min). The instrument is now ready to use.
          5. Register instrument online for start of warranty period.
          6. Activate 500 cuvettes (see chapter-5 “ticket system”).
                      Keep the original packaging material for purposes of later transport
                         maximum length of cables to external devices like printer, barcode or LIS
                         must be less than 3m to keep compliance with EMC
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                                                                                        Dialab GmbH
2.4         SWITCHING ON AND OFF
          Switching on
          Connect with power supply
          Important Information:
          The instrument requires about 15 minutes to heat up the optic block to 37°C. Afterwards
          it is ready for measurement, indicated by a green dot in the top right corner of the display.
          If the status symbol does not turn green, even after wating for 25 minutes, press the status
          symbol to see the device status to identify the problem.
          Switching off
          The device supports no power switch. It must be disconnected from power. To do this,
          unplug the power adapter from the socket on the device first and then disconnect the
          power supply.
          Standby
          The system switches to standby after 2 minutes of idle operation. In standby mode, the
          display brightness is reduced to save display life time and reduce power consumption. The
          next touch anywhere on the display disables the standby mode.
          Sleep
          Open menu and touch the “sleep” button:
          The menu bar is displayed on top of screen and only available, if no measurement is
          ongoing. The power consumption during sleep is 0,2W.
          Wakeup
          To wake the device up from sleep, touch the display.
            The system can be disconnected under any operation situations. There is no risk of
            system damage
   2.5            DISPLAY PROTECTION FOIL
         Requirements:
                Type:             Touchseinsitive Protection foil, clean tissue wet and dry, Peel-off-
                                  plate
                 Size:            same as Display (4,3”)
         Installation:
                  Ready to fix on display, as described in the Inlay
                  (clean display with clean tissues wet and dry and fix protection foil carefully)
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                                                                                       Dialab GmbH
   2.6            EXTERNAL THERMAL PRINTER
         Requirements:
                Type:             Serial RS232 Printer
                Power:            external supply, 24V 1.5A
                Cable:            2 x Sub D9, female, straight, max length 3m
                Interface:        RS232, 9600 Baud, 8, 1, No
         Installation:
                  The printer is ready to plug in. No settings are required.
                     Do not plug power supply of printer (24V) to DIAcheck series. It will destroy the
                     instrument! Double check before you plug-in.
   2.7            EXTERNAL BARCODE SCANNER
         Requirements:
                Type:             Serial handheld scanner
                Power:            5V DC over cable, PIN-9
                Cable:            Included to scanner
                Interface:        RS232 9600 Baud, 8, 1, No
                Setting:          no handshake or protocol. Barcode must be finished with carriage
                                  return.
         Installation:
                  The scanner is ready to plug in. no settings are required.
   2.8            TECAM SMART
         Requirements:
                License:          TECAM SMART fingerprint and activation code.
                Cable:            USB, type A to B, max 3m
                Interface:        USB
                Setting:          no handshake or protocol. Barcode must be finished with carriage
                                  return.
         Installation:
                  a) Disconnect the device from PC.
                  b) Run setup.exe.
                  c) Confirm when asked to install DIAcheck series driver.
                  d) Connect device with PC.
                  e) Start TECAM
          Further information available in chapter “8” or online help file of TECAM.
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                                                                                   Dialab GmbH
   2.9            REGISTRATION
         The instrument must be registered online for warranty or service issues
         1) Open weblink www.dialab-reg.com              or scan QR Code on System-ID-Card
                                                         with mobile device (tablet/phone)
         2) Enter SIN + PIN of device
             Both can be seen on instrument license plate (Type label) or during startup or on info
             screen (touch green or red LED on home screen)
               DIAcheck C4
               Version: V01.03.49
               www.dialab-reg.com
               SIN: 03040 01234
               PIN: 12345 67890
               Det=241
             FIGURE 6: SYSTEM INFORMATION
             FIGURE 7: REGISTRATION OF DIACHECK SERIES
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                                                                                               Dialab GmbH
3.       OPERATION OF THE DIACHECK SERIES
     3.1          HOMESCREEN
After boot or home button following screen is displayed
FIGURE 8: HOMESCREEN DIACHECK SERIES C4
   UI Element                 Element Name           Use Function
  (1)                         Date & Time            Edit date
  (2)                         Current test           Change test
  (3)                         Stopwatch              Start/Reset stopwatch or countdown
  (4)                         Menu or Home           Open menu or return to main
  (5)                         Status Dot             Show device status/Open system information
  (6)                         Multistart             Activate all channels
                              Optic-Button           Channel-1 is idle. Touch to enter new PID and activate
                              Active                 Channel is active. Touch or add reagent to start
  (7)
                              Blinking orange        Ongoing measurement. Touch to stop measurement
                              Current result         Touch to enter new PID
Other functionality:
[LIS]                         Visible, if connected with LIS
Green LED                     System is ready for measurement
Red LED                       Indicate system problems. No measurement is possible.
37.0°C                        Temperature on reagent block.
Grayed buttons                Use function is not possible during measurement.
Reduced brightness            Screensaver mode. Touch to reactivate.
Long touch                    Repeat current function
Green                         Green = Ready to measure, no problems
Yellow                        Yellow = Ready to measure, minor problems
Red                           Red = Not ready to measure, major problems
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                                                                                  Dialab GmbH
3.2         INPUT PATIENT IDENTIFICATION
Call:   Homescreen/Optic button
FIGURE 9: INPUT PATIENT ID
  Button                      UI Element   Use Function
  Numeric keys                0-9, C, X    Change or delete PID.
                                           Increment PID. Use long touch feature
  Increment                   -1 / +1
                                           for easy change.
                                           Enable very high detection sensitivity. Useful for high
  Hi-Sense                    Hi-Sense
                                           diluted or lipemic samples or "+++" results.
  Additional:
  Long touch                  -            Press button > 2sec.
  Sample barcode              -            Set PID to barcode
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                                                                                    Dialab GmbH
   3.3            TEST SELECTION
Call:    Homescreen/Test button
FIGURE 10: TEST SELECTION DIACHECK SERIES C2/C4
FIGURE 11: TEST SELECTION DIACHECK SERIES C1
  Button                      UI Element      Use Function
                              PT – F12        Select test.
  Test keys
                              >> <<           Change test table
                                              Activate two LOTs per test (not available
  On / Off                    On / Off
                                              for DIAcheck C1).
  LOT 1/2                     LOT 1 / LOT 2   Load calibration of LOT 1 or LOT 2 from memory.
  OK                          < OK            Confirm test for current channel.
  All                         All             Confirm test for all channels.
  Settings                    Settings >      Change test calibration.
  Print                       Print           Print current test testup.
   Scan    reagent                            Select current test and lot.
                              -
   barcode                                    A long beep indicates an invalid barcode or LOT.
                          Test Information    Calibration data of current lot and test.
   SETUP PT
                          Box                 Red values indicate invalid data.
About reagent barcode:
The barcode on reagent label can used to switch to correct Test and LOT. Before use of barcode,
the test LOT + Calibration must be entered in calibration menu (see chapter test setting)
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                                                                              Dialab GmbH
3.4         MEASUREMENT
FIGURE 12: SCREEN DURING MEASUREMENT
  Button (7) during measurment
  PID                                  Patient identification number (max 16 numbers).
  Result                               PT = 12.5s, 115% 0,91 INR.
                                       +++ = no clot reaction detected within runtime.
  Flag                                 f = very low fibrinogen (weak clot).
                                       F = very high fibrinogen (strong clot).
                                       * = Result is out of calibration.
                                       X = double value deviate more than 15%.
  Err                                  T = temperatue not 36 - 38°C.
                                       E = reagent expired.
                                       S = light intensity too low.
                                       Current optical absorbance. A change of
  mOD
                                       value > 50mOD indicates an ongoing clot reaction.
  Timer                                Current time of measurement.
  Grey blinking                        Optic is ready for start of measurement
  Green blinking                       Measurement is started,
                                       but cuvette can be mixed or touched.
  Orange blinking                      Stop mixing and don’t touch cuvette anymore
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                                                                                       Dialab GmbH
   3.5            SYSTEM SETTINGS
            Menu and functions depend on instrument version C1 or C2/C4 !
Call:     Homescreen/Menu button
FIGURE 13: QUICKMENU DIACHECK SERIES C2/C4
  Button                      UI Element        Use Function
                               Toggle    Auto
   Auto PID                                     Enable/Disable the Auto PID feature.
                               PID
   Double                      Toggle Double
                                                Enable/Disable Double determination.
   determination               determination
                               Toggle
   Countown                                     Switch between Stopwatch and Countdown mode.
                               Countdown
   Results                     Results Button   Open the result history.
   Setup                       Setup Button     Open the system setup.
                               StandBy          Put the device into sleep mode.
                               OK / Home
   OK /                                         Return to the home screen.
                               Button
Auto PID:
Using the Auto PID mode enables the user to let the device choose a consecutively numbered ID
for every measurement. By setting the ID manually you set the start ID. Every new channel
activation automatically sets the ID to the next higher number.
            Auto PID mode must be enabled to use the Multistart feature!
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                                                                                Dialab GmbH
Double determination:
When using double determination mode, the channels 1 / 2 (DIAcheck C2) respectively channels 1
/ 2 and 3 / 4 (DIAcheck C4) are combined to perform a test using the same ID twice. Both results
are combined by calculating the mean value.
Countdown:
Use the stopwatches in countdown mode. The period of countdown is defined by incubation time
of test (see “test settings”). When Countdown mode is enabled, the stopwatches count down give
alarm 5sec before zero.
Results:
Pressing the Results button opens the result history screen.
Setup:
Pressing the Setup button opens the system settings.
Pressing the Sleep Button sends the device into the sleep mode. To wake the device up, touch
anywhere on the screen.
OK Button /       :
Pressing the OK or Home Button returns to the home screen.
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                                                                                  Dialab GmbH
Call:    Homescreen / Menu / Setup
FIGURE 14: SYSTEM SETTNGS DIACHECK SERIES C2/C4
  Setting/Buttons                   Use Function
  Date                            Set system date, use long touch on “<” “>” to scroll
                                  through the values faster.
                                  Short touch on date change the format (EU / US)
                                  Long touch on date reset to defaut date
  Time                            Set the system clock. Long Touch the time to reset to
                                  default.
  Language                        Select the system language DE/EN/ESP/ITA/FR/RO/PL/..
                                  EN,   English,        FI,   Suomi,
                                  DE,   Deutsch,        HR,   Hrvatski,
                                  ESP, Espanol,         LV,   Latviesu,
                                  ITA, Italian,         LT,   Lietuviu,
                                  FR,   Francais,       PT,   Portugues,
                                  RO,   Romana,         SE,   Svenska,
                                  PL,   Polski,         SK,   Slovensky,
                                  DA,   Dansk,          SI,   Slovenscina,
                                  NL,   Nederlands,     CS,   Cestina,
                                  SR    Srpski          HU,   Magyar,
  Mixer                           Some reagents like PT sediment and need to be stirred
  (not visible for DIAcheck C1)   Select here the mixer intensity (Low/Normal/High).
                                  Insert vial and magnetic stirbar into middle position.
                                  Change speed until stirbar ensures proper mixing.
  Temp                            Correct the actual current temperature of the reagent
                                  block. Long touch the temperature value will reset to
                                  default. Detailed information can be read in chapter
                                  “Adjust temperature”.
  OK /                            Return to the home screen.
  Info                            Open system information.
  < / >                           In or decrement value. Use long touch to scroll
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                                                                                            Dialab GmbH
3.6          TEST SETTINGS
Call:     Homescreen / Test button / Settings
FIGURE 15: TEST SETTING 1
 Setting/Buttons          UI Element            Use Function
 LOT                      LOT Number field      Press the LOT text field to enter or change LOT number.
 Expiry                   Expiry date field     Press the expiry date value to select the field
 Units                    Result Units field    Press the unit values to select the field.
 Incubation               Incubation time       Press the incubation value to select the field.
                          field
 Stop                     Stop time field       Press the stop time value to select the field.
 In/Decrement             + or -                Change the value of the selected field.
 Numeric keys             0 – 9 and C           Keys for LOT entry. C=Clear
 OK                       < OK                  Save settings and exit screen.
 ESC                      ESC                   Exit to test selection without saving.
                                                Open advanced test settings. Only visible for administrator
 Admin                    Admin
                                                user.
 Settings                 Settings >            Open test calibration settings (Screen test settings 2)
 Barcode:                 LOT barcode entry     Scan reagent barcode to input LOT and expiry.
LOT:
Enter the LOT of the used reagent for the selected test. If dual LOT is used, use the test selection
screen to choose LOT 1 or LOT 2. Both LOT numbers have individual test settings.
Expiry:
Enter the expiry date of the reagent for the selected test (and LOT).
Units:
Select the units used for the test results. The available unit is predefined for each test.
Incubation
Required waiting time until adding final reagent and start measurement. The time is used for
countdown.
Stop:
Some samples do not clot. Afer stop time instrument breask measurement and report “+++” (no
clot detect)
User Manual DIAcheck series                         Rev-7                                         Page 32
                                                                                       Dialab GmbH
Call:   Homescreen / Test button / Settings / Settings
FIGURE 16: TEST SETTING 2
 Setting/Buttons          UI Element          Use Function
 Calibration curve
                          Value fields        Press a calibration value to select the field.
 values
 Increment                                    Change values in small or big steps.
                          +, -, ++, --
 Decrement                                    Use long touch to repeat change
 Double/Half              0.5x 2x             Half or duplicate values
 Delete                   DEL                 Delete the selected value.
 Reset                    Reset               Reset all values to default.
 Calibrators              CAL                 Shift all calibration points according to serial dilution
                                              (1:1 1:2 1:4 …)
 OK                       < OK                Save settings and exit screen.
 ESC                      ESC                 Exit screen without saving.
Calibration curve:
Input of Calibration points. Minimum 2 points, maximum 5 points.
Normal:
Reference value for normal clotting time like for PT (MNPT). Only shown, if unit is selected.
ISI:
International sensititivity index of PT reagent. Value is stated on reagent label.
R²:
Linearity of calibration depending on mathematic
R²<0.5            not linear           Y=LIN              linear interpolation
R²<0.9            moderate linear      Y=1/X              reciprocal linear interpolation
R²>0.9            high linear          Y=logXY            double logarithm interpolation
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                                                                                               Dialab GmbH
3.7           REVIEW RESULTS
      The device holds automatically the recent 100 results into EEPROM memory. The most recent
      result is shown first. If the result history exceeds the memory, then the oldest measurement
      result is overwritten.
      Call:       Homescreen / Menu / Results
              FIGURE 17: REVIEW RESULTS
 Setting/Buttons                             Use Function
 < >                                         Scroll the results.
 Filter (on,off)                             Scroll only current PID+Test
 Print                                       Print the shown result.
 QC                                          Print & display max. 14 values of current PID+Test
                                             including mean and C.V. value.
                                                QC REPORT
                                                26.09.2019
                                                System:                   DIAcheck C4
                                                SIN :                     01040 01234
                                                Test:                     FIB
                                                PID:                      20190929
                                                --------------------------------------------
FIGURE 18: QC REPORT                            1            16.8s        159 mg/dl
                                                2            17.1s        154 mg/dl
                                                3            16.9s        157 mg/dl
                                                4            16.2s        166 mg/dl
                                                5            16.5s        163 mg/dl
                                                6            16.4s        164 mg/dl
                                                7            16.1s        168 mg/dl
                                                --------------------------------------------
                                                -
                                                Mean: 16.6s               162 mg/dl
                                                C.V. :       2.1%         2.9%
 Reset                                       Reset the result view to most recent result.
 DEL                                         Delete current result
 ESC                                         Exit screen.
User Manual DIAcheck series                       Rev-7                                            Page 34
                                                                                                   Dialab GmbH
4.     BASIS COAGULATION TESTS
           This section describes only rudimental how to run basic clotting tests on DIAcheck series.
           Correct procedure may be different for specific reagents. Read and follow always the
           procedure in boxinsert of reagent kit.
4.1         QUICKGUIDE OF PT DETERMINATION
       How to run a PT measurement:
          1. Switch on instrument and wait for green state (~ 15min until 37°C).
          2. Reconstitute PT reagent and wait 30-60 min before next step.
          3. Place PT vial into reagent block + stirring bar and let incubate for at least 5min.
          4. Change test of channel 1 to “PT” by pressing on the current test.
          5. Place empty cuvette into optic.
          6. Pipet 25µL of sample into cuvette.
          7. Press “00:00” to start the stopwatch and wait 120 seconds.
          8. Press “OPTIC-1” and enter a PID or scan a sample barcode.
          9. Add 50µL PT reagent, when “Active” is blinking. The measurement will start
              automatically when adding the reagent.
          10. Wait for result or touch optic button to abort.
           Multi-Activation (not for DIAcheck C1)
           1. Open menu and set Auto PID = On.
           2. Place empty cuvettes into each channel and pipet 25µL of sample to each cuvette.
           3. Press button multistart.
           4. Add 50µl PT in to each cuvette from left to right.
       How to calibrate a PT
          1. Reconstitute calibrator and wait 15-30min before continue with next step
          2. Calibrators
                The target value of calibrator is state at certificate. I assume 100% as example
                IBS, Owrens or NaCl2 solution can be used as sample diluent
              a. 100%: Pipet 100µl calibrator into empty tube
              b. 50%: Pipet 100µL 100% calibrator + 100µL diluent into empty tube
              c. 25%: Pipet 100µL 50% calibrator + 100µL diluent into empty tube
              d. 12.5%: Pipet 100µL 25% calibrator + 100µL diluent into empty tube
           3. Run all 4 calibrators like patients and write down the clotting time
                (double determination is recommended)
           4. Enter PT settings and enter
              a. correct LOT, Exp (read Barcode of vial label)
              b. set UNITS to “INR + %”
              c. Input Normal Time (=100% result) + ISI (see vial)
              d. Input % calibration
User Manual DIAcheck series                               Rev-7                                        Page 35
                                                                                                   Dialab GmbH
4.2         QUICKGUIDE OF PT-B DETERMINATION
       How to run a PT-B measurement from finger blood:
          1. Switch on instrument and wait for green state (~ 15min until 37°C).
          2. Change test to “PTB” by pressing on the current test.
          3. Reconstitute PT-B with component-1 (Diluent) and wait 30-60 min before next step.
          4. Add component-2 (CaCl2) to PT-B and wait again for 30-60 min before next step.
          5. Place empty cuvette into optic or pre-incubation.
          6. Pipet 150µL of PT-B into cuvette. The cuvette must be used within the next 10min.
          7. Close PT-B vial and store in the refrigerator until next use. The reagent is stable for
              30 days.
          8. Press “OPTIC-1” and enter a PID or scan a sample barcode.
          9. When “active” is blinking, pierce the finger and pipet 15µL capillary blood from finger
              into cuvette.
          10. Measurement should start. It is important to mix in the cuvette. For this lower the
              pipet into cuvette and pump 10-15x up and down. Stop mixing latest when
              countdown is zero.
       How to calibrate a PTB
          1. Reconstitute calibrator with 1.7mL and wait 15-30min
          2. Calibrators
                The target value of calibrator is state at certificate. I assume 100% as example
                IBS, Owrens or NaCL solution can be used as sample diluent
              a. 100%: Pipet 100µl calibrator into empty tube
              b. 25%: Pipet 100µL 100% calibrator + 500µL diluent into empty tube
           3. Run all calibrators like patients and write or print the clotting time
           4. Enter PTB settings and enter
              a. correct LOT, Exp
              b. set UNITS to “INR + %”
              c. Input Normal Time (=100% result) + ISI (see vial)
              d. Input % calibration
4.3         QUICKGUIDE OF APTT DETERMINATION
       How to run an aPTT measurement:
          1. Switch on instrument and wait for green state (~ 15min until 37°C).
          2. Change test to “APTT” by pressing on the current test.
          3. Place CaCl into instrument let incubate for at least 5min.
          4. Place empty cuvette into optic or pre-incubation.
          5. Pipet 25µL of sample into cuvette.
          6. Pipet 25µL of cold aPTT reagent into cuvette.
          7. Press “00:00” to start the stopwatch and wait 180 - 300 seconds.
          8. Short before end of incubation press “OPTIC-1” and enter a PID or scan a sample
              barcode.
          11. Add 25µL CaCl, when “Active” is blinking. The measurement will start automatically.
          12. Wait for result or touch optic button to abort.
User Manual DIAcheck series                               Rev-7                                        Page 36
                                                                                                       Dialab GmbH
4.4         QUICKGUIDE OF FIB DETERMINATION
       How to run a FIB measurement:
          1. Switch on instrument and wait for green state (~ 15min until 37°C).
          2. Change test to “FIB” by pressing on the current test.
          3. Reconstitute FIB reagent and wait 30-60 min before next step.
          4. Place FIB vial not into reagent block. Room temperature is ok.
          5. Place empty cuvette into optic.
          6. Pipet 10µL of sample into cuvette.
          7. Pipet 90µL of IBS buffer into cuvette.
          8. Press “00:00” to start the stopwatch and wait 120 seconds.
          9. Press “OPTIC-1” and enter a PID or scan a sample barcode.
          10. Add 50µL FIB reagent, when “Active” is blinking. The measurement will start
              automatically when adding the reagent.
          11. Wait for result or touch optic button to abort.
       How to calibrate a FIB
          1. Reconstitute calibrator and wait 15-30min before continue with next step
          2. Calibrators
                The target value of calibrator is state at certificate. I assume 300mg/dL as example
                a.   600mg/dL:       Pipet 50µl calibrator + 200µL IBS buffer into empty tube
                b.   300mg/dL:       Pipet 50µl calibrator + 4500µL IBS buffer into empty tube
                c.   150mg/dL:       Pipet 50µl calibrator + 950µL IBS buffer into empty tube
                d.   75mg/dL:        Pipet 50µl calibrator + 1950µL IBS buffer into empty tube
           3. Run all 4 calibrators
              a. Add 50µL of calibrator into cuvette
              b. Add 25µL of FIB reagent to start measurement. Write clotting times to paper or
                 print,
           4. Enter FIB settings and enter
              a. correct LOT, Exp
              b. set UNITS to “mg/dL”
              c. Input mg/dl calibration
User Manual DIAcheck series                               Rev-7                                            Page 37
                                                                                 Dialab GmbH
5.     TICKET SYSTEM
     1) Login to ticket system
        webpage: www.dialab-reg.com
                                 DIAcheck C4
                                 Version: V01.03.49
                                 www.dialab-reg.com
                                 SIN: 03040 01234
                                 PIN: 12345 67890
                                 Det=241
     Enter SIN and PIN of instrument! This information can be found on instrument license plate
     (Type label) or on info screen.
     FIGURE 19: TICKET SYSTEM, LOGIN
     2) Input Voucher
         Enter VIN and PIN               Voucher is inside of        Transfer Ticket code
         of voucher                      cuvette box                 to instrument
     FIGURE 20: TICKET SYSTEM, VOUCHER
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                                                                                     Dialab GmbH
    3) Transfer ticket code to instrument
        Open info screen (touch blinking RED LED) and then “Remaining tests=0”. The code can be
        transfered by manual input, barcode scanner or TECAM SMART software.
    FIGURE 21: TICKET SYSTEM, INPUT CODE
    4) Using TECAM SMART software
        FIGURE 22: TICKET SYSTEM, TECAM SMART
             a) Use your mobile device and scan QR code or
                “Get ticket”, if TECAM is connected to internet
             b) Follow dialogue according to chapter (1)
             c) Copy Paste the code and “send” to instrument
User Manual DIAcheck series                       Rev-7                                    Page 39
                                                                                          Dialab GmbH
6.      SERVICE FUNCTIONS
           Only for authorized and trained persons. Unqualified modifications can cause troubles
           and misfunction of the system!
6.1         SYSTEM INFORMATION
Call:    Homescreen / green or red LED
     DIAcheck C4
     Version: V01.03.49
     www.dialab-reg.com
     SIN: 03040 01234
     PIN: 12345 67890
     Det=241
FIGURE 23: SYSTEM INFORMATION
  UI Element          Element Name           Use Function
  (1)                 -                      System version information
  (2)                 OK                     Return to homescreen
                                             Number of activates cuvettes.
  (3)                 Remaining tests
                                             Touch to activate new cuvettes
  (4)                 Print                  Print out of system information
  (5)                 ERR message            Show current error
  (6)                 Optik                  Check optic system
  (7)                 -                      System error information
System information
Version of software, URL link to register or ticket system, system ident number (SIN), product ident number
(PIN). SIN+PIN is required for login to ticket system.
Remaining tests=0:
Latest at zero the system will stop operation and require to activate new cuvettes.
YELLOW warnings
Minor problems
   Reagent expired                  Check expiry date of test
   Remaining tests < 100            Activate cuvettes soon
RED warnings
System is not ready to measure
   COMM= communication to LIS               SWCORE = software memory overflow
   EEPROM= EEPROM/memory error              SENSOR = temperature sensor
   TEMP= temperature not 36-38°C            BATTERY = CR2032 on mainboard below 3V
   OPTIC= optical system out of range
User Manual DIAcheck series                           Rev-7                                     Page 40
                                                                                  Dialab GmbH
6.2         OPTIC CHECK
Call:   Homescreen / green or red LED / Optic
FIGURE 24: OPTIC CHECK
  Button                      Caption       Use Function
  (1)-(4)                     OPTIC xx      Reset QC value
  (5)                         I=mA          Display and change intensity of LED
  (6)                         OK            Return to homescreen
  (7)                         MAX           Set all LED to max. intensity (42mA)
  (8)                         Print         Print system report (see next chapter)
  (9)                         +/-           Change temperature
  (10)                        Reset         Reset all channels and re-calibrate optic
 Informations on screen                  Fault condition       Troubleshoot
 LO    optic signal, when LED is off     > 2900                Replace optic board
 HI    optic signal, when LED is on      < 25000               Remove cuvette and touch "RESET"
 QC noise of optic signal                > 30                  Touch button "OPTIC"
 mA power of LED (intensity)             not [3 - 12mA}        Remove cuvette and touch "RESET"
 TMP temperature in °C                   not [36.0 - 38.0°C]   wait 15min
 REF signal of temperature sensor        not [48000 - 52000]   adjust temperatur or replace sensor
User Manual DIAcheck series                     Rev-7                                   Page 41
                                                                                   Dialab GmbH
6.3          SYSTEM REPORT
Call:    Homescreen / green or red LED / Print
 SYSTEM REPORT
 22.08.2017                                       Date of report
 System:             DIAcheck                     name of system
 Version:            V1.03.49                     software version
 SIN :               03040 01234                  system ident number
 PIN:                12345 67890                  product ident number
 TEMP:               37.0°C                       temperature of optic and digital value
                     50981 (target=50992)         of thermosensor
 Optic:                                           Optical values
 Lo         Hi        mA         Qc               Lo=     LED off
 ---------------------------------------------    Hi=     LED on
 1:2698 28822 5                  6         OK     mA= LED power
 2:2698 29822 6                  3         OK     Qc=     noise of optic
 3:2698 30822 7                  1         OK     OK=     no fault
 4:2698 29822 6                  0         OK     !!=     fault condition
 PT=       123                                    count of performed tests
 aPTT=     102
 FIB=      100
 DD=       0
 AT=       0
 TOTAL 325
Fault condition are described in chapter “optic check”
User Manual DIAcheck series                      Rev-7                                     Page 42
                                                                                   Dialab GmbH
6.4         ADJUST TEMPERATURE
Call:   Homescreen / Menu / Temperature
    1. Switch on device and wait approx. 15min until system show 37°C on screen.
    2. Fill a reagent tube/vial with 2 ml water and place it in a reagent position. Place a digital
       thermometer in the reagent tube and let warm-up for approx. 10 min.
    3. Press menu
       Change current system temperature to value of thermometer. Wait 10min and repeat
       procedure.
        Typical problems:
          Malfunction / Error          Possible cause                Measures
          System heat not up to 37°C   Sensor calibration is out of Reset to factory default as
                                       range                        described in chapter “Hidden
                                                                    Function”
          System show 0.00°C           Sensor is out of range        Ambient temperature must
                                                                     be 0 – 45°C.
                                       Sensor or optic LED board is Replace LED board.
                                       defect
User Manual DIAcheck series                     Rev-7                                    Page 43
                                                                                 Dialab GmbH
6.5         FIRMWARE UPDATE
           Only for authorized and trained persons. Sudden interruption of power or data
           communication during update procedure will cause device not to boot anymore. In this
           case, the instrument can be restored only by JTAG interface.
    1. Download flashdisk.exe from manufacturer website. Contact local distributor to
       receive correct URL address.
    2. Flashdisk.exe is a selfrunning Winzip archive. A double click will start the update
       dialogue. Some antivirus software may block selfrunning archiv. In this case extract
       the file to your desktop and execute “Flash.exe”
          Flash 1.04
           DIAcheck Update: Firmware Version 01.03.49
                         Turn on your DIAcheck device
           Software Changes
           -----------------------
           Release 1.03.49
           21.3.2019
        FIGURE 25: SCREENSHOT OF XFLASH TOOL
    3. Confirm “Start Update”
    4. Remove USB cable from instrument and confirm
    5. Connect USB cable to instrument USB “Service” (=second USB port from left)
         Flash will now identify the instrument and display “CONTINUE”. Abort Flash, if no
         instrument is found and install device driver “FT232.exe” manually. The file is
         included in the flashdisk archive.
    6. Confirm “Start Update”. After this command the firmware will be transmitted to
       instrument. There is no way to interrupt. After around 120s the update will be
       finished.
    7. Remove power and afterward USB cable from service port. Now connect power to
       instrument. It should boot and show correct firmware version.
User Manual DIAcheck series                             Rev-7                         Page 44
                                                                                    Dialab GmbH
6.6         OVERVIEW OF MAINBOARD
FIGURE 26: MAINBOARD
Testpin Function:
        TP1 = Systick Interval, must toogle each 1ms
        TP2 = indicate reading of SD24
        TP3 = draw homescreen
        TP4 = Write to EEprom
        TP5 = Read from to EEprom
        Other = not used
Status LED:
        green, permanent       = everything OK
        red, permanent         = EEPROM error             defect optic unit and/or mainboard
        green, blink           = Battery < 3.0V           battery expired
        red, blink             = Temp sensor              Optic not connected
User Manual DIAcheck series                       Rev-7                                  Page 45
                                                                                          Dialab GmbH
6.7           TYPICAL FAILURES
Malfunction / Error      Possible cause               Measures             By
System not ready         different                    Open system info and User
                                                      check red errors
Remaining tests = 0      No cuvette activated         Create a ticket      User
ERR=Comm                 Mainboard defect             replacement                Authorized
                                                                                 service
ERR=SWCORE               Software failure or bug      Update firmware            User
ERR=Sensor               Temp sensor defect           Replacement of optic       Authorized
                                                                                 service
ERR=Temp                 Temperature out of 36- Wait 15min                       User
                         38°C
ERR=Optic                Optic channel blocked or Remove cuvette from Authorized
                         LED defect               optic or clean optic or service
                                                  replace optic
ERR=Battery              Battery low power        Replacement             Authorized
                                                                          service
False results            Possible cause                      Measures
                         True, patient anti coagulated       Remove cuvette and check
                         or bleeding                         with needle for clot
                                                             Check reagent with eyes for
                                                             flakes or clots. Run control
                         Reagent defect
No or false clot                                             plasma to verify. Prepare new
detected                                                     vial. Check diluent/water
                         Instrument missed clot              Increase MAX time
                         Low fibrinogen or optical
                                                             Repeat but activate hi-sense
                         interference (lipemic,
                                                             option
                         bilirubin, haemolytic)
False result (INR, %,                                        Check calibration data and
                         Method not correct calibrated
mg/dl, ...)                                                  correct LOT
User Manual DIAcheck series                          Rev-7                                    Page 46
                                                                                   Dialab GmbH
7.     RESET TO FACTORY DEFAULT
System factory reset procedure:
WELCOME SCREEN +                                 FACTORY DEFAULT
       How to reset to factory default:
       1.     Press 3sec to spinner during boot up
       2.     Select “OK” Switch on device and switch to home screen
       3.     Confirm the reset
         Date, temperature and test calibration must be adjusted after a factory reset!!
       Default values:
           Temperature sensor = 51000
           Mixer = 1;
           Language = EN;
           Double determination = OFF;
           Auto PID = ON;
           Countdown = OFF;
           All results stored on board are deleted
           All test calibration data are reset to default
Test calibration:
       How to reset to factory input a PT calibration:
       1.     Switch on device and switch to home screen
       2.     Touch any test button
       3.     Change test to “PT” and touch “Setup” or scan barcode of PT vial
       4.     Enter LOT, expiry and select Units to “% + INR”
User Manual DIAcheck series                      Rev-7                                      Page 47
                                                                                              Dialab GmbH
8.     WORKING WITH TECAM S MART
         Detailed information about installation and operation be be read in the online
          manual of TECAM. This is just a quick overview.
TECAM software is a small local LIS and combines laboratory data management, quality control and
research purpose in one. It connects the DIAcheck to the “big” LIS and and manange results in an
own local database. Flexible filters allow QC with Levey-Jennings graph and Westgard analysis. Each
result can be traced back to reagent lot and calibration.
 Features                       Smart
 Receive result from analyser   The results can be reported and managed in a local database
 Receive calibration curve
                                Visualize and manage calibration data for all reagents and LOT.
 from analyser
                                Visualize the optical reaction for research, result verification or failure
 Receive reaction curve
                                anaylsis
 Patient information            Connect Patient-ID with name and other information.
                                Talk to LIS with ASTM-1394 standard protocol
 LIS communication              Receive from LIS: Patient information
                                Send to LIS: Results
                                Power filters allow quality evey-Jennings graph and Westgard analysis for
 Statistical analyze (QC)
                                controls as well as for patients
                                This is a powerful research tool to visualize raaction curve in real time. It is
 integrated TECMONI
                                a great tool for reagent development or adapting nee tests to instrument
 Mirror print                   Instead of expensive portable thermo printer, use TECAM as printer
                                Activation of cuvette in its easiest way. Connect to ticket system, receive
 Ticket system
                                ticket and send to instrument
FIGURE 27: TECAM SMART
User Manual DIAcheck series                          Rev-7                                           Page 48
                                                                                      Dialab GmbH
9.     CLEANING AND MAINTENANCE
9.1           GENERAL CLEANING INFORMATION
             Clean with a lint free cotton cloth or stick
             Never pure any liquid into optic, working area or touch display
             Keep the device free of dust and moisture.
             If the device is soiled with liquids, remove the soiling with an absorbent cloth.
             If a liquid has accidentally been spilt or pipetted into a measurement channel, remove
              power immediately and clean the measurement channel with pipette and a lint-free
              cloth. Check the function of the optics in the menu SERVICE
                     Regard all surfaces and materials, which might be in contact with plasma or
                     other biological liquid as potentially contaminated with infectious material.
                     Avoid any direct contact with decontaminants or disinfections.
9.1           CLEANING
           Use microfiber tissue only and no liquid to clean the screen
           Clean and wipe up all spills around the working area with 5-10% diluted bleach
            detergent or water.
9.2           DECONTAMINATION
           Use 30% diluted bleach and commercial disinfectant (e.g. Bacillol®AF)
           Decontaminate working area. Don’t apply liquid on display.
9.3           REGULAR MAINENTANCE
           No maintenance required
User Manual DIAcheck series                       Rev-7                                   Page 49
                                                                               Dialab GmbH
10. TECHNICAL DATA
          Analyzer
          Display                             capacitive touch sensitive TFT 4.3’’ 480x272
          Measurement system                  1-4 independent measurement channels
                                              wavelength of LED 405 nm
          Cuvette                             single channel cuvette for optical detection
          Positions (prewarmed)               5 reagent positions at 36.5 – 37.5 °C
                                              20 cuvette positions at 36.5 – 37.5°C
          Reaction volumes                    Minimum total volume is 75 µl
          Power supply
          Nominal Input Voltage               100 – 240VAC, 47-63Hz
          Maximal Input Current               0.7A rms
          Output Power                        5V DC, 5A
          Batterie (mainboard)                Lithium CR2032 3V
          Power consumption                   max. = 14W sleep < 0.5W
          Dimensions
          Size (W x D x H)                    225 x 150 x 90 mm
          Weight                              1.04 kg (without power supply)
          Ambient conditions
          See chapter “Installation”
          Noise output
          Operating noise                     max. 50 dBA
          Interfaces
          RS232 (Barcode)                     Sub-D9, female; 9600 Baud/8/1/N; Pin-9
                                              powered with 5V DC.         For external
                                              handheld barcode scanner, serial printers
          RS232 (Printer)                     Sub-D9 female; 9600 Baud/8/1/N; For
                                              serial printers
          USB (Service, Firmware Update)      Type-B, female, 115200 Baud/8/1/N
          USB (LIS)                           Type-B, female, 115200 Baud/8/1/N; For
                                              LIS communication
          Typical performance data
          Test                CV.              Range
          PT                  <3%              0-30 INR
          APTT               <3%               15 – 420s
          FIB                <7%               50-999mg/dL
User Manual DIAcheck series                Rev-7                                   Page 50