Intellectual Property

Tulip Diagnostics Pvt Ltd. (here in after called Tulip) owns the intellectual property rights to
this product and this manual.

Without prior written consent of Tulip, any person or entity is strictly forbidden to use,
disclose or allow others to obtain any information of this manual by any means, and any
content of this manual shall not be photocopied, reproduced or translated into other
languages.

Tulip reserves the right to modify and update this manual without prior notice.

Tulip reserves the right of final interpretation for this manual.

Statement
The current version number of this manual is A/0, released on 2019-08. This manual may be
modified as needed without prior notice.

Tulip shall be liable for product safety, reliability and performance provided that the following
requirements are met:

1） All installation operations, expansions, changes, modifications and repairs of this

product are conducted by Tulip’s representative or person authorized by Tulip.

2） All replaceable parts involved in maintenance of instrument and as well as the

related accessories and comsumables are original or approved by Tulip.

3） Any associated electrical equipment complies with national standards and the
requirements of this manual.

4） This product must be used and operated in accordance with this user’s manual.
Warranty Service
The entire machine is covered by a comprehensive warranty for a full year from the date of
purchase by user. However, damage occurring under the following conditions shall not be
covered by this warranty:

1) Man-made damage or damage caused by improper use.

2) Damage caused by mishandling during shipment.

3) Damage caused by uncontrollable natural factors such as earthquake, fire or war.

4) Environment in which the machine is used does not meet the requirements indicated in
this manual.

5) Damage caused by use of an unspecified power supply or any other abnormality in the
power supply.

6) Damage caused as a result of maintenance performed by personnel not authorized by

Tulip.

7) Malfunction of the instrument whose serial number is not legible.

8) Malfunction not caused by the instrument itself.

In the event you have any inquiries or questions while using the instrument, you can always
contact Tulip.

Customer Service Department

Manufacturer: Tulip Diagnostics Pvt Ltd

Gitanjali, Tulip Block, Dr. Antonio Do Rego Bagh, Alto Santacruz,

Address:
Bambolim Complex Post Office, Goa - 403 202, INDIA.

Website URL: www.tulipgroup.com

E-mail Address: sales@tulipgroup.com

Tel: (0832) 2458546-51

Fax: (0832) 2458544

 This analyzer can only be operated by test professionals, doctors or laboratory
technicians who have been trained by Tulip or its authorized distributors.

 It is important for the hospital or organization that uses this equipment to carry out a
service/maintenance plan. Neglect of this may result in machine breakdown or injury to
the user.

 The analyzer must be operated under the conditions specified in this user’s manual;
otherwise, the analyzer will not work normally and which would damage the analyzer
components and may cause injury to user.

 This user’s manual is written for the following laboratory professionals:

1) Daily system operators

2) Personnel for system maintenance and troubleshooting

3) Learners for system operation

 The instrument must be inspected and maintained regularly to use the instrument
without breakdown.
Introduction
We would like to thank you for purchasing the Tulip’s 3-Diff hematology analyser.

Please read this manual carefully and use the product accordingly. After carefully reading
this manual, store the user’s manual properly so that you can refer to it when necessary.

Prodcut Name: Auto Hematology Analyzer

Model: CounCell 23 Excel

Product Composition: This product primarily comprises the instrument, accessories and
software. The instrument includes a display screen, sampling assembly, fluidic system,
power interface, reagent interface and signal interface

Scope of Product Application: This product is applicable for estimating the parameters of
WBC, RBC, PLT, HGB, etc. (see Section 3.2. Parameters for details) in whole blood,
Prediluted blood and Capillary WB, as well as WBC 3-part differential analysis and WBC
counting

Manufacturer: Tulip Diagnostics Pvt Ltd.

Registered Address: Gitanjali, Tulip Block, Dr. Antonio Do Rego Bagh, Alto Santacruz,
Bambolim Complex Post Office, Goa - 403 202, INDIA.

Date of Manufacture: See the label of the instrument

Manual Preparation Date: Jan 8, 2020

Manual Revision Date:

Item No.: L00.2020010801

21000027

Manual Overview

This chapter explains how to use this operation manual, which is shipped with your auto
hematology analyzer and contains reference information about the analyzer and procedures
for operating, troubleshooting and maintaining the analyzer. Read this manual carefully
before operating your analyzer and operate your analyzer strictly as instructed in this
manual.

The text and figures in this manual takes CounCell 23 Excel as an example.

User’s Manual i
Who Should Read This Manual

This manual contains information written for clinical laboratory professionals or trained
doctors, nurses or laboratory technicians to:

 Learn about hardware and software of the analyzer.

 Set system parameters.

 Perform daily operations.

 Perform system maintenance and troubleshooting.

How to Find Information

This manual contains 11 chapters and 2 appendices. Refer to the table below to find the
information you need.

If you want to… Please refer to…

Know about safety and precautions of the Chapter 1

analyzer
Safety and Precautions

Know about installation requirements of the Chapter 2

analyzer
Installation

Know about the intended use, parameters, Chapter 3

structure, reagents, etc. of the analyzer
System Description

Chapter 4
Know about how the analyzer works
Working Principles
Know about the process of sample collection and
Chapter 5
analysis, and how to use the analyzer to perform
your daily operating tasks Basic Operations

Chapter 6
Review sample results
Reviewing Results
Know about the basic requirements of quality
Chapter 7
control and how to use the quality control
programs provided by the analyzer Quality Control

Know about the basic requirements of calibration Chapter 8

and how to calibrate the analyzer
Calibration

Chapter 9
Know about how to set/adjust system settings
Settings

User’s Manual ii
If you want to… Please refer to…

Chapter 10
Know about how to maintain/service the analyzer
Service

Know about how to solve the problems of the Chapter 11

analyzer
Troubleshooting

Know about the technical specifications of the Appendix A.

analyzer
Specifications

Know about the hazardous substances that may Appendix B.

contain in the analyzer parts
Hazardous Substances

Symbols

You will find the following symbols in this manual:

Symbols Meaning

Alerts the operator to follow the statement below the symbol,

otherwise it may take the risk of potential biohazard.

Alerts the operator to follow the statement below the symbol while
in operation, otherwise it may cause personal injury.

Alerts the operator to follow the statement below the symbol while
in operation, otherwise it may lead to analyzer damage or
unreliable analysis results.

Alerts the operator to follow the statement below the symbol, which
emphasizes the important information or special attention to be
paid while in operation.

You may find the following symbols on the analyzer, reagent, QC or calibrator:

Symbols Meaning

Consult accompanying documents.

User’s Manual iii

 Symbols Meaning

Biohazard

(The background color of this symbol is yellow, the symbol itself and
the outline is black.)

High-voltage warning

Protective earthing

Functional earthing

Alternating current

For in vitro diagnostic use

Product serial number

Metrology certification mark

Date of manufacture

Catalogue number

Manufacturer

User’s Manual iv
 Symbols Meaning

CE marking. The device is fully in conformance with the Directive

98/79/EC on in vitro diagnostic medical devices

Authorized representative in the European Community

The following definition of the WEEE label applies to EU member

states only: The use of this symbol indicates that this product should
not be treated as household waste. By ensuring that this product is
disposed of correctly, you will help prevent bringing potential
negative consequences to the environment and human health. For
more detailed information with regard to returning and recycling this
product, please consult the distributor from whom you purchased
the product.

Batch code

Expiry date

Temperature limitation

Consult the operation manual

This electronic product contains some poisonous and harmful

substances. The environmental protection use period is 20 years,
after this period, it should be put into the recycling system.

Conventions

All illustrations provided in this manual are used for descriptive purposes or as
examples only, not intended to be used for any other purposes. They may not
necessarily reflect setup of the analyzer or data displayed

User’s Manual v
Table of Contents
Introduction .............................................................................................. i
Manual Overview ........................................................................................................... i
Who Should Read This Manual.................................................................................... ii
How to Find Information ............................................................................................... ii
Symbols ....................................................................................................................... iii
Conventions .................................................................................................................. v

Table of Contents ................................................................................... vi

1. Safety and Precautions ................................................................. 1

1.1. Safety ............................................................................................................... 1
1.2. Precautions....................................................................................................... 1

2. Installation...................................................................................... 4
2.1. Introduction ....................................................................................................... 4
2.2. Installation ........................................................................................................ 4
2.3. Checking before Installation ............................................................................. 4
2.4. Installation Requirements ................................................................................. 5
2.4.1. Space Requirements ................................................................................ 5
2.4.2. Power Requirements ................................................................................ 6
2.4.3. Environmental Requirements ................................................................... 6
2.4.4. Moving and Installation Method ................................................................ 7
2.5. Precautions for Use .......................................................................................... 7

3. System Description ....................................................................... 9

3.1. Introduction ....................................................................................................... 9
3.2. Parameters ....................................................................................................... 9
3.3. Product Structure and Components ................................................................ 11
3.3.1. Status Indicator ....................................................................................... 14
3.3.2. Buzzer ..................................................................................................... 15
3.3.3. Power Switch .......................................................................................... 15
3.3.4. Sample Probe ......................................................................................... 15
3.3.5. Aspirate Key ............................................................................................ 16
3.3.6. Touch Screen .......................................................................................... 16
3.3.7. Analyzer Interfaces ................................................................................. 16
3.3.8. Printer ...................................................................................................... 16
3.3.9. External Devices ..................................................................................... 16
3.4. Reagents, Controls and Calibrators ............................................................... 17
3.4.1. Reagents ................................................................................................. 17
3.4.2. Controls and Calibrators ......................................................................... 17

4. Working Principles ...................................................................... 19

4.1. Introduction ..................................................................................................... 19
4.2. Aspiration........................................................................................................ 19

User’s Manual vi
 4.3. Dilution............................................................................................................ 20
4.4. WBC/RBC/PLT Measurement ........................................................................ 21
4.5. HGB Measurement......................................................................................... 24

5. Basic Operations ......................................................................... 25

5.1. Introduction ..................................................................................................... 25
5.2. Initial Checks .................................................................................................. 26
5.3. Startup and Login ........................................................................................... 27
5.4. Daily Quality Control....................................................................................... 29
5.5. Sample Collection and Handling .................................................................... 29
5.5.1. Sample Preparation ................................................................................ 31
5.5.2. Sample Analysis ...................................................................................... 33
5.5.3. Processing Analysis Results ................................................................... 38
5.6. Standby .......................................................................................................... 42
5.7. Shutdown........................................................................................................ 44

6. Reviewing Results ....................................................................... 46

6.1. Introduction ..................................................................................................... 46
6.2. Browsing in the “Review” Mode ..................................................................... 46
6.2.1. Table Area ............................................................................................... 46
6.2.2. Graph Review ......................................................................................... 47
6.2.3. Validate/Cancel Validation (for administrators only) ............................... 48
6.2.4. Delete (for administrators only)............................................................... 49
6.2.5. Edit Information ....................................................................................... 49
6.2.6. Edit Results ............................................................................................. 50
6.2.7. Search ..................................................................................................... 51
6.2.8. Print ......................................................................................................... 51
6.2.9. Transmission ........................................................................................... 52
6.2.10. Export ...................................................................................................... 53

7. Quality Control ............................................................................. 54

7.1. Introduction ..................................................................................................... 54
7.2. L-J QC ............................................................................................................ 56
7.2.1. Editing L-J QC Settings (for administrators only) ................................... 56
7.2.2. Running L-J QC ...................................................................................... 58
7.2.3. Reviewing L-J QC Results ...................................................................... 60
7.3. X-B QC ........................................................................................................... 63
7.3.1. Introduction ............................................................................................. 63
7.3.2. Editing X-B QC Settings (for administrators only) .................................. 64
7.3.3. Running X-B QC ..................................................................................... 67
7.3.4. Reviewing X-B QC Results ..................................................................... 67

8. Calibration .................................................................................... 70
8.1. Introdution....................................................................................................... 70
8.2. When to Calibrate........................................................................................... 71
8.3. How to Calibrate ............................................................................................. 72
8.3.1. Preparing Your Analyzer ......................................................................... 72
8.3.2. Manual Calibration .................................................................................. 73

User’s Manual vii

 8.3.3. Calibration with Calibrator ....................................................................... 75
8.3.4. Calibration with Fresh Blood ................................................................... 78

9. Settings ........................................................................................ 83
9.1. Introduction ..................................................................................................... 83
9.2. Setting Up the Analyzer .................................................................................. 84
9.2.1. System Setup .......................................................................................... 84
9.2.2. User Administration ................................................................................. 92
9.2.3. Parameter Setup ..................................................................................... 95
9.2.4. Maintenance Setup (for administrators only) .......................................... 99
9.2.5. Reagent Setup ...................................................................................... 100
9.2.6. Gain Setup ............................................................................................ 101
9.3. Saving the Settings ...................................................................................... 103

10. Service ........................................................................................ 104

10.1. Introduction ................................................................................................... 104
10.2. Maintaining Your Analyzer ............................................................................ 105
10.2.1. Maintenance.......................................................................................... 105
10.2.2. Cleaning ................................................................................................ 107
10.2.3. Servicing the Fluidics ............................................................................ 108
10.3. Touch Screen Calibration .............................................................................. 111
10.4. Viewing Logs ................................................................................................. 112
10.5. Checking the Analyzer Status ....................................................................... 113
10.5.1. Counter .................................................................................................. 114
10.5.2. Voltage ................................................................................................... 115
10.5.3. Sensor .................................................................................................... 116
10.5.4. Version Info. ........................................................................................... 117
10.6. Instructions for cleaning and packing the instrument which is not in use or
under break down: ......................................................................................................... 117

11. Troubleshooting ........................................................................ 119

11.1. Introduction .................................................................................................... 119
11.2. Error Information and Handling ..................................................................... 119

Appendix A. Specifications ................................................................ 123

A.1. Classification .................................................................................................... 123
A.2. Reagents .......................................................................................................... 123
A.3. Applicable Tubes .............................................................................................. 123
A.4. Parameters ....................................................................................................... 123
A.5. Model Differences ............................................................................................ 125
A.6. Performance Indicators .................................................................................... 125
A.6.1. Display Range ......................................................................................... 125
A.6.2. Background/Blank Count ......................................................................... 125
A.6.3. Linearity Range ....................................................................................... 126
A.6.4 Accuracy ................................................................................................... 126
A.6.5. Carryover ................................................................................................. 127
A.6.6. Reproducibility ......................................................................................... 127
A.7. Input/Output Device ......................................................................................... 127

User’s Manual viii

 A.7.1. External Computer (Optional).................................................................. 127
A.7.2. Mouse (Standard) .................................................................................... 128
A.7.3. External Barcode Scanner (Optional) ..................................................... 128
A.7.4. Printer (Optional) ..................................................................................... 128
A.7.5 Interfaces .................................................................................................. 128
A.8. Fuse ................................................................................................................. 128
A.9. EMC Description .............................................................................................. 128
A.10. Sound Pressure ............................................................................................. 129
A.11. Operating Environment .................................................................................. 129
A.12. Storage and Transportation Environment ...................................................... 129
A.13. Running Environment .................................................................................... 129
A.14. Dimensions and Weight ................................................................................. 130
A.15. Safety Classification ....................................................................................... 130
A.16. Training........................................................................................................... 130

Appendix B. Hazardous Substances ................................................. 131

User’s Manual ix
1. Safety and Precautions
The following are warning symbols used for the analyzers. Ignoring these symbols may
result in death or serious injury. The order in which the symbols are given is in no way
indicative of importance and all symbols are of equal importance.

1.1. Safety

High Temperature

（1） Before replacing the lamp, turn off the power switch and wait at
least 30 minutes until the lamp has cooled down.

（2） Contact with the print head or metal objects around the print head
may cause burns.

Bodily Injury

（1） Keep away from the sharp parts of the analyzer, such as sample
probe tip, in case of body injury.

（2） Do not touch the moving parts, such as sample probe when the
analyzer is running.

Glare

Do not look directly into any beams to prevent possible damage to your eyes.

Electric Shock

（1） Front, side and back covers must not be opened when the power is
on, except by authorized service personnel.

（2） Do not splash liquid on the analyzer’s countertop. In case liquid

gets into the analyzer, turn of the power and contact Tulip or its
local distributors immediately.

（3） Keep away from the inside of computer and printer in case of high
voltage.

1.2. Precautions

Intended Use

（1） The analyzer is designed for detecting the parameters of WBC,

RBC, HGB, etc. (see Section 3.2. Parameters for details) in whole
blood and Capillary WB, as well as WBC 3-part differential analysis

User Manual 1
 and WBC counting. Please consult Tulip first if you want to use
the system for other purposes.

（2） To draw a clinical conclusion, please also refer to the patient’s

clinical symptoms and other test results.

Operator

The analyzer can only be operated by personnel who have trained and
authorized by Tulip or its local distributors.

Actions taken in case of failure

If the instrument has dangerous failure, such as fire, odor, smoke, etc.,
anyone can directly disconnect the power of the instrument or the main
power and contact Tulip immediately.

Operating Environment

（1） Please install and operate the analyzer in an environment specified

by this manual. Installing and operating the analyzer in other
environment may lead to unreliable results and even analyzer
damage.

（2） If the operating environment of the analyzer needs to be modified,

please contact Tulip or the authorized Tulip distributor for you
region.

Electromagnetic Interference

（1） The analyzer is susceptible to electromagnetic interference during

operation which may affect test results and lead to operational
errors. Please do not use devices that emit electromagnetic
radiation, such as electric drills, mobile phones or interphones
while the analyzer is running

（2） The analyzer will emit electromagnetic radiation during operation.

Do not install or use electromagnetically-sensitive devices near the
analyzer.

Improper Grounding

（1） The power supply must be properly grounded, or there is a risk of

electric shock.

（2） Ground impedance must be less than 0.1Ω. Poor grounding can
cause instability in test results and electrical leakage from the
enclosure, producing an electric shock hazard.

User Manual 2
 Liquid Leakage

（1） Check the pipe joints for possible leakage before conducting tests.
Liquid leakage can cause inaccurate aspiration and discharge
volume.

（2） Do not place reagents and samples on the analyzer bench to avoid
liquid spillage or leakage.

Probe blockage

Carefully check reagents and samples and make sure they do not contain
insoluble floating substance such as cellulose and protein fibrin in case the
probes may be blocked.

Water Quality

Water quality should meet Class 2 national standards for laboratory water,
otherwise damage to valve and pump as well as difficulty in cleaning can be
resulted.

Device Connection

（1） For a device not permanently connected, please do not place it at a

location that is hard to disconnect.

（2） For all the external switches or breakers and external over-current
protection device, it is recommended to place them near the
analyzer.

（3） Devices connected with the network port of the analyzer should
conform to the requirements of National Standards GB4793 of
China as well as IEC60950.

Analysis Parameters

Perform calibration for different batches of reagents. Incorrect analysis

parameters can lead to wrong test results. Please consult Tulip or your
reagent supplier for more information.

Treating Waste

Waste materials are subjected to contamination regulations. Disposing off

the waste must be done in accordance with your local or national guidelines
for waste disposal.

User Manual 3
2. Installation

2.1. Introduction

 Installation of CounCell 23 Excel by unauthorized or untrained person may cause

personal injury or damage to your analyzer. Do install your analyzer by Tulip-authorized
person only.

 The installation, authorization, upgrade and modification of the analyzer software must
be performed by Tulip-authorized personnel only.

The analyzer is tested and packed with care before it is shipped from the factory. Inspect the
carton carefully when you receive your analyzer. If any sign of damage is found, contact
Tulip customer sercive department or your local distributor immediately.

2.2. Installation

The analyzer should only be installed by Tulip’s representative or person authorized by Tulip.
Users should provide appropriate environment and space for the installation. When the
analyzer needs to be relocated, please contact Tulip or Tulip-authorized distributor. When
you receive your analyzer, immediately notify Tulip or its authorized local distributor.

2.3. Checking before Installation

Inspection for Damage

All the analyzers have been inspected strictly by Tulip before packing and shipping. When
you receive your analyzer, before opening the packaging, perform a thorough inspection
and note whether there is any of the following damage:

（1） Up-side-down or distortion of the packaging.

（2） Obvious water marks on the packaging.

（3） Obvious signs of being striked on the packaging.

（4） Packaging shows signs of having been opened previously.

If you notice any of the above instances of damage, please immediately notify Tulip or
Tulip-authorized local distributor.

User Manual 4
If the outer packaging is intact, unpack it in the presence of Tulip staff and/or authorized
distributor personnel, and conduct the following inspection:

（1） Check all the parts against the packing list contained inside the packaging.

（2） Check the surface of all the parts for any crack, strike or distortion.

If you notice any shipment damage or missing part, notify Tulip or Tulip-authorized local
distributor immediately.

Packing List
Check all the parts according to the packing list contained inside the packaging. If you notice
any missing part, notify Tulip or its authorized local distributor immediately.

2.4. Installation Requirements

2.4.1. Space Requirements

Inspect the site for proper space allocation. In addition to the space required for the analyzer
itself, arrange for:

 proper height to place the analyzer;

 at least 100cm between the left and right side door of the analyzer and the walls, which is
the preferred access to perform service procedures;

 at least 50cm behind the analyzer for cabling and ventilation.

 There should be enough room to accommodate the reagents and waste containers.

 The diluent container shall be put within 1.0m under the analyzer, lyse containers are
placed inside the analyzer.

 The countertop (or the floor) where the analyzer is placed shall be able to withstand at
least 40kg of weight.

User Manual 5
2.4.2. Power Requirements
Table 2-1 Power specification

Voltage Input power Frequency

Analyzer 100-240V～ 160VA 50/60Hz

 Make sure the analyzer is properly grounded.

 Before turning on the analyzer, make sure the input voltage meets the requirements.

 Using pinboard may bring the electrical interference and the analysis results may be
unreliable. Please place the analyzer near the electrical outlet to avoid using the
pinboard.

 Please use the original power cable shipped with the analyzer. Using other power cable
may damage the analyzer or cause unreliable analysis results.

2.4.3. Environmental Requirements

1) Operating temperature range: 10℃-35℃

2) Relative humidity: ≤ 70%

3) Atmospheric pressure: 70.0kPa-106.0kPa

 The environment shall be free from possible dust, mechanical vibrations, loud noises,
and electrical interference.

 It is advised to evaluate the electromagnetic environment prior to operation of this

analyzer.

 Keep the analyzer away from strong sources of electromagnetic interference, as these
may interfere with the proper operation.

 Do not place the analyzer near brush-type motors, flickering fluorescent lights, and

User Manual 6
 electrical contacts that regularly open and close.

 Do not place the analyzer in direct sunlight or in front of a source of heat or wind.

 The environment shall be ventilated.

 Place the analyzer on a horizontal flat surface.

 Connect only to a properly earth grounded outlet.

 Only use this analyzer indoors.

2.4.4. Moving and Installation Method

Moving and installation of the analyzer shall be conducted by person authorized by Tulip. Do
not move or install your analyzer without the presence of Tulip-authorized personnel or local
distributor.

 Installation by personnel not authorized or trained by Tulip may cause personal injury or
it may damage your analyzer. Do install your analyzer in the presence of Tulip’s
representative or person authorized by Tulip only.

 Before the analyzer is shipped out, the sample probe is fixed by a cable tie to avoid any
possible damage to the sample probe during transportation. Remove the cable tie
before using the analyzer.

2.5. Precautions for Use

1. The analyzer performance may be declined if it has been placed in environment of high
dustiness.

2. The surface of the analyzer shall be cleaned and sterilized regularly with alcohol (75%).

3. The aspirate key of the analyzer (see Figure 3-1 Front view of the analyzer) shall be
wiped with alcohol (75%) regularly.

4. Sample collection and preparation must be done following standard procedures.

5. If any of the pipes or fluidic components is worn out, stop using the analyzer and contact
Tulip customer service department immediately for inspection or replacement.

User Manual 7
6. Check and make sure the pipes of reagents, including diluent, lyse and waste, are not
pressed or bent.

7. You must only use the Tulip-specified reagents, otherwise the analyzer may be damaged
or provide unreliable results.

8. Strictly monitor the expiry dates and open-container stability days of all the reagents.
Avoid using expired reagents.

User Manual 8
3. System Description

3.1. Introduction

This chapter introduces the parameters, major components, interfaces, buttons, menu’s,
software help system, operation information and reagent system of Auto Hematology
Analyzer.

3.2. Parameters

In Normal, L-WBC/PLT (where L-PLT and L-WBC modes are only available in whole blood
mode and Capillary WB mode), the corresponding parameters are detailed in the following
table:

Table 3-1 Parameters

Parameter
Name Abbreviation Normal L-WBC/PLT
Group

White Blood Cell

WBC √ √
count

Lymphocytes
Lym% √ √
percentage

Intermediate cell
Mid% √ √
percentage

Neutrophilic
granulocyte Gran%
WBC group √ √
percentage
(7)

Lymphocytes
Lym# √ √
count

Intermediate cell
Mid# √ √
count

Neutrophilic
granulocyte Gran# √ √
count

User Manual 9
 Parameter
Name Abbreviation Normal L-WBC/PLT
Group

RBC group Red Blood Cell count RBC √ √

(8)
Hemoglobin
HGB √ √
Concentration

Mean Corpuscular
MCV √ √
Volume

Mean Corpuscular
MCH √ √
Hemoglobin

Mean Corpuscular
Hemoglobin MCHC √ √
Concentration

Red Blood Cell

Distribution Width -
RDW-CV √ √
Coefficient of
Variation

Red Blood Cell

Distribution Width - RDW-SD √ √
Standard Deviation

Hematocrit HCT √ √

Platelet count PLT √ √

Mean Platelet Volume MPV √ √

Platelet Distribution
PDW √ √
Width
PLT group
(6) Plateletcrit PCT √ √

Platelet larger cell

P-LCC √ √
count

Platelet larger cell

P-LCR √ √
ratio

User Manual 10
  Histograms

Table 3-2 Histograms

Name Abbreviation

White Blood Cell Histogram WBC Histogram

Red Blood Cell Histogram RBC Histogram

Platelet Histogram PLT Histogram

3.3. Product Structure and Components

The analyzer mainly consists of a host and accessories. The host comprises the analysis
module, information management module and result output module.

Figure 3-1 Front view of the analyzer

1. Touch screen 2. Sample probe 3. Aspirate key (with status indicator)

User Manual 11
 Figure 3-2 Back view of the analyzer

1. Network port 2. USB port 3. Power input socket

4. Waste sensor socket 5. Diluent inlet 6. Waste outlet
7. Earthing connection

Figure 3-3 Top view of the analyzer

1.Recorder

User Manual 12
 Figure 3-4 Left view of the analyzer (removing the left side door and sheet metal)

1. Control board 2. Reagent bottle

Figure 3-5 Right view of the analyzer (removing the right side sheet metal)

1. Liquid valve 2. Pump 3. Isolation room

4. Liquid valve 5. Sampling assembly 6. Measurement component
7. Door with lock

User Manual 13
3.3.1. Status Indicator
The status indicator is collected in the aspirate key, located at the front and bottom right of
the main unit. It indicates the ready, running, error and standby status of the analyzer.

The indicator illuminates in 3 colors to indicate the current status of the analyzer. Its
flickering interval is 3 seconds. See the following table:

Table 3-4 Indicator and analyzer status

Indicator Analyzer status Remark

Solid green Ready Ready to sequence actions

Flickering green Running Sequence actions in progress

An error has occurred, and the analyzer is

Solid red Error
not running

Flickering red Running with error The analyzer is running with error

No error, but fluidic Initializing (not involving sequence actions)

Solid yellow
actions are not allowed in startup process, standby status

Flickering Entering/exiting
Entering/exiting standby status
yellow standby status

User Manual 14
3.3.2. Buzzer
The buzzer indicates errors of the analyzer. When you click the touch screen or the error is
cleared, the alarming sound of the buzzer can be cleared.

Table 3-5 Buzzer and analyzer status

When… How… Remark

The startup process

1 short completes and the
The startup process completes
beep analyzer ready to run
analysis.

2 short
Open vial sample aspiration finishes /
beeps

Press the aspirate key at the analysis screens

(including sample analysis, QC, calibration, When dialog box message
1 long
reproducibility, carryover, background, aging, is given, the buzzer may
beep
optical gain calibration screens) when analysis not beep.
cannot be started.

Long
Tap the touch screen to
Error beeps at
turn off the buzzer.
intervals

1 short The analyzer enters ready

The analyzer enters ready status
beep status from other status.

If error occurs during the

When the analyzer screen turns black and the
Turn off shutdown process, please
message “Please power off the analyzer”
the buzzer turn off the buzzer when
appears
the screen turns black.

3.3.3. Power Switch

The power switch is on the back of the analyzer. It is used to turn the analyzer on and off.

Do not turn on/off the switch repeatedly in a short time to avoid damaging the analyzer.

3.3.4. Sample Probe

The sample probe is on the front of the analyzer. It is used to aspirate blood sample.

User Manual 15
3.3.5. Aspirate Key
The aspirate key is located behind the sample probe. Press it to start analysis, dispense
diluent or exit from standby mode.

3.3.6. Touch Screen

The touch screen is on the front of the analyzer. You can use it to perform interface
operations and complete the display of information.

3.3.7. Analyzer Interfaces

 Power interface
Used to plug in the power cable connected to the network power supply.

 Reagent/Waste outlet
Used to connect with reagents or waste container via the reagent cap assembly.

 USB/Network port
The USB port and network port are on the back of the analyzer. They can be used to
connect the keyboard, printer, etc., and to transmit data.

3.3.8. Printer
The printer is located on the top of the analyzer for printing reports and other information
displayed on the screen.

3.3.9. External Devices

 External Printer (optional)
The printer is connected to the USB port on the back of the analyzer for printing reports and
other on-screen displays.

The supported external printer models are: HP Color LaserJet Pro M252n, HP LaserJet Pro
P1108, HP LaserJet P3015.

 Keyboard(optional)
The keyboard can be connected to the analyzer via the USB port on the back of the
analyzer.

 Mouse (optional)
The mouse can be connected to the analyzer via the USB port on the back of the analyzer.

User Manual 16
3.4. Reagents, Controls and Calibrators

As the analyzer, reagents (diluent, lyse and probe cleanser), controls, and calibrators are
components of a system. Performance of the system depends on the combined
performance of all components. Only Tulip-specified reagents (see Appendix A
Specifications), which are formulated specifically for the fluidic system of your analyzer in
order to provide optimal system performance, should be used. Do not use the analyzer with
reagents from multiple suppliers. Otherwise, the analyzer may not meet the performance
specified in this manual and it will provide unreliable results. All references related to
reagents in this manual refer to the reagents specifically formulated for this analyzer.

Each reagent package must be examined before use. Product integrity may be
compromised in packages that have been damaged. Inspect the package for signs of
leakage or moisture. If there is evidence of leakage or improper handling, do not use the
reagent.

 Store and use the reagents as instructed in instructions for use of the reagents.

 When you have changed the diluent or lyse, implement a background test to see if the
results meet the background requirement.

 Do monitor to the expiry dates and open-container stability days of all the reagents.
Avoid using expired reagents.

3.4.1. Reagents
 Diluent
It is used to dilute blood samples and provide a stable environment for counting and sizing
blood cells.

 Lyse
It is used to lyse red blood cells, count and differentiate WBCs, and determine the HGB.

 Probe cleanser
It is used to clean the analyzer regularly.

3.4.2. Controls and Calibrators

The controls and calibrators are used to verify accurate operation of and calibrate the
analyzer.

The controls are commercially prepared whole-blood products used to verify that the
analyzer is functioning properly. They are available in low, normal, and high levels. Daily use
of all levels verifies the operation of the analyzer and ensures that reliable results are

User Manual 17
obtained. The calibrators are commercially prepared whole-blood products used to calibrate
the analyzer. Store and use the controls and calibrators as instructed by their instructions for
use.

User Manual 18
4. Working Principles

4.1. Introduction

The measurement methods used in this analyzer are: The Electrical Impedance method is
used for measuring the WBC, RBC and PLT count; The Colorimetric method is used for
estimating the HGB count. And other parameter results are obtained via machines
algorithm’s calaculation.

4.2. Aspiration

If you want to analyze a whole blood sample in the open vial sampling mode, the analyzer
will aspirate 9μL (Normal mode, L-PLT and L-WBC, L-WBC/PLT) of the sample from the vial.

If you want to analyze a sample in Prediluted mode, you should first manually dilute the
sample (20μL of capillary sample needs to be diluted by 1000μL of diluent, dilution ratio:
1:51) and then present the pre-diluted sample to the analyzer, which will aspirate 320μL of
the sample.

User Manual 19
4.3. Dilution

The aspirated sample will quickly and precisely be diluted in WBC bath and then segmented
into two portions. One of these two portions will then be diluted again and processed by
different reagents. After this, they are ready for analysis.

This analyzer can process two types of blood samples - whole blood samples and prediluted
samples.

Whole Blood Mode

Venous
blood/Capillary
blood sample 9ul

WBC bath Diluent

Aspirate sample
Sample

LH lyse WBC bath Diluent RBC bath

WBC sample
RBC sample dilution
dilution ratio
sample 1:18645.7
1:286

WBC bath RBC bath

WBC/HGB count RBC/PLT count

User Manual 20
Prediluted Mode

Capillary blood sample 20μL

Diluent 1000μL

Sample 1020μL
dilution ratio 1:51

Outside the machine

Inside the machine

Aspirate sample

WBC bath Diluent

Aspirate sample
Sample

LH lyse WBC bath Diluent RBC bath

WBC sample RBC sample

WBC bath RBC bath

WBC/HGB count RBC/PLT count

4.4. WBC/RBC/PLT Measurement

Electrical Impedance Method

WBC’s/RBC’s/PLT's are counted and sized by the electrical impedance method. The blood
sample enters the WBC detection unit, and the RBC/PLT detection sample enters the RBC
detection unit after being diluted twice. The detection unit has a small opening called a
detection aperture. There is a pair of positive and negative electrodes on both sides of the
small hole to connect the constant current power supply. This method is based on the
measurement of changes in electrical resistance produced by a particle, which in this case
is a blood cell, suspended in a conductive diluent as it passes through an aperture of known
dimensions. A pair of electrodes is submerged in the liquid on both sides of the aperture to
create an electrical pathway. As each particle passes through the aperture, a transitory
change in the resistance between the electrodes is produced. This change produces a

User Manual 21
measurable electrical pulse. The number of pulses generated represents the number of
particles that passed through the aperture. The amplitude of each pulse is proportional to
the volume of each particle.

Figure 4-2 Electrical Impedance Method

Each pulse is amplified and compared to the internal reference voltage channel, which only
accepts the pulses of certain amplitude. The analyzer presents the cell histogram, whose
x-coordinate represents the cell volume (fL) and y-coordinate represents the number of the
cells.

Derivation of RBC-Related Parameters

 RBC

RBC (1012/L) is the number of erythrocytes measured directly by counting the erythrocytes
passing through the aperture.

 MCV

Based on the RBC histogram, this analyzer calculates the mean cell volume (MCV) and
expresses the result in fL.

 HCT, MCH, and MCHC

This analyzer calculates the HCT (%), MCH (pg) and MCHC (g/L) as follows:

RBC×MCV
HCT =
10

HGB
MCH =
RBC

User Manual 22
 HGB
MCHC = HCT
× 100

Where the RBC is expressed in 1012/L, MCV in fL and HGB in g/L.

 RDW-CV

Based on the RBC histogram, this analyzer calculates the CV (Coefficient of Variation) of the
erythrocyte distribution width, which is expressed in %.

 RDW-SD

Based on the standard deviation of erythrocyte size distribution, this analyzer calculates the
RDW-SD, its unit is fL.

Derivation of PLT-Related Parameters

 PLT

PLT (109/L) is measured directly by counting the platelets passing through the aperture.

 MPV

Based on the PLT histogram, this analyzer calculates the mean platelet volume (MPV, fL).

 PDW

Platelet distribution width (PDW) is the geometric standard deviation (GSD) of the platelet
size distribution. Each PDW result is derived from the platelet histogram data and is
reported as 10(GSD).

 PCT

This analyzer calculates the PCT as follows and expresses it in %.

PLT×MPV
PCT =
10000
Where the PLT is expressed in 109/L and the MPV in fL.

User Manual 23
4.5. HGB Measurement

Colorimetric Method

The WBC/HGB dilution is delivered to the HGB bath where it is bubble mixed with a certain
amount of lyse, which converts hemoglobin to a hemoglobin complex that is measurable at
530nm. An LED is mounted on one side of the bath and emits a beam of monochromatic
light, whose central wavelength is 530nm. The light passes through the sample and is then
measured by an optical sensor that is mounted on the opposite side. The signal is then
amplified and the voltage is measured and compared to the blank reference reading
(readings taken when there is only diluent in the bath), and the HGB is measured and
calculated in the analyzer automatically.

HGB

The HGB is calculated per the following equation and expressed in g/L.

HGB (g/L) = Constant x Log10 (Blank Photocurrent/Sample Photocurrent)

User Manual 24
5. Basic Operations

5.1. Introduction

This chapter provides step-by-step procedures for operating your analyzer on a daily basis.
The operation process of sample analysis in different working modes is described in detail.

All samples, controls, calibrators, reagents, wastes and areas contacted them are potentially
biohazardous. Wear proper personal protective equipment (e.g. gloves, lab coat, etc.) and
follow safe laboratory procedures when handling them and contacted areas in laboratory.

 Do not touch the patients’ sample blood directly.

 Be sure to dispose of reagents, waste, samples, consumables, etc. according to

government regulations.

 The reagents are irritating to eyes, skin and mucosa. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures when
handling them and the contacted areas in the laboratory.

 If reagents accidentally spill on your skin or into your eyes, rinse the area with plenty of
clean water and seek medical attention immediately.

 Keep your clothes, hairs and hands away from the moving parts to avoid injury.

 The sample probe tip is sharp and may contain biohazardous materials. Exercise
caution to avoid contact with the probe when working around it.

User Manual 25
Do not reuse disposable products such as collection tubes, test tubes, capillary tubes and
so on.

 Use the reagents specified by the Tulip only. Store and use the reagents as instructed
in instructions for use of the reagents.

 Check if the reagent tubes are properly connected before using the analyzer.

 Use clean EDTAK2 or EDTAK3 anticoagulant collection tubes, fused silica glass/plastic
test tubes, centrifugal tubes and borosilicate glass capillary tubes.

 Use the vacuated collection tubes recommended in Appendix A.

 Use the Tulip-specified disposable products including vacuatain blood collection tube,
anticoagulant collection tubes and capillary tubes etc.

5.2. Initial Checks

Perform the following checks before turning on the analyzer.

 Checking the waste container

Check and make sure the waste container is not full.

 Checking reagents

Check to see if the reagents are expired or frozen. Reagents must be equilibrated for 24
hours before use.

 Checking tubing and power connections

Check and make sure the reagents, waste and pneumatic unit tubes are properly connected
and not bent.

Check and make sure the power cable of the analyzer is properly plugged into the power
outlet.

 Checking the printer (optional)

Check and make sure enough printer paper is installed. Check and make sure the power
cable of the printer is properly plugged into power outlet, and the printer is properly
connected to the analyzer.

User Manual 26
5.3. Startup and Login

Start up the analyzer:

1. Change the power switch at the backside to ON position (“I”) will power on the
instrument.

2. The indicator light turns on.

3. The analyzer will perform self-test, initialization and liquid path maintenance.

 Time needed for initializing the fluidic system depends on how was the analyzer
previously shut down.

 Background check is the measurement of particle and electric interference by the

analyzer.

 If the results of the first background check do not meet the requirement, the analyzer
will perform background check again.

 The sample ID of background check results is “background”.

 The error message “Background abnormal” will be given when the background results
are out of range.

4. Enter the current user name and the password respectively into the “User Name” box
and the “Password” box.

User Manual 27
 If the software is not initailized successfully after being launched for several times,
contact Tulip customer service department or the authorized distributors.

 After starting the analyzer, check if the date/time is correct.

 The default user name for administrator is “Admin”, the password is 123456.

 The user name and password may be consisted of 1-12 letters, and the password
cannot be null.

5. Click “Login” to enter the system.

 If error occurs during the startup process (e.g., background check fails), the analyzer
will report the error. See Chapter 11 Troubleshooting for the solution.

 See Appendix A Specifications for the background range of each parameter.

 The system opens different function for the user according to the user level. The user

User Manual 28
 level depends on the user name and the password when the user logs in.

 If user switching is necessary, click the “Logout” icon on the system menu. Enter the
desired user name and the password into the pop-up dialog box and click the “OK”
button to log in.

 Running sample with the background abnormal error present will lead to unreliable
results.

5.4. Daily Quality Control

Perform daily quality control before running any samples. See Chapter 7 Quality Control for
details.

5.5. Sample Collection and Handling

All the samples, controls, calibrators, reagents, wastes and areas contacted them are
potentially biohazardous. Wear proper personal protective equipment (e.g. gloves, lab coat,
etc.) and follow safe laboratory procedures when handling them and the contacted areas in
the laboratory.

The sample probe is sharp and potentially biohazardous. Do not contact the sample probe
during operations.

Do not reuse disposable products such as collection tubes, test tubes, capillary tubes and
so on.

User Manual 29
Make sure the probe tip does not contact the sample tube to avoid potential spillage.

1) Whole blood samples

2) Capillary whole blood samples

5.5.1 Sample Preparation
3) Pre-diluted samples

4) Low level samples

1)Entering sample information

2) Selecting mode

5.5.2 Sample Analysis

3) Aspirating sample

4)Removing the sample

5) Auto analysis and

result reporting
1) Save the results

2) Print or transmit to LIS

5.5.3 Processing analysis results
3) Parameter flags

4) Flag info.

User Manual 30
5.5.1. Sample Preparation
The analyzer can run 3 types of samples: whole blood samples, capillary whole blood
samples, and prediluted samples.

 Prepare samples following the recommend procedure of the manufacturer.

 All samples shall be mixed as shown in the following figure.

1) Whole blood samples

1. Use clean EDTAK2 or EDTAK3 anticoagulant collection tubes to collect venous blood
samples.

2. Mix the sample according to your laboratory’s protocol.

Do collect at least 1mL of blood to ensure the accuracy of the results.

2) Capillary whole blood samples

Use tubes to collect capillary whole blood samples.

User Manual 31
Be sure to collect at least 120μL of capillary whole blood to ensure the accuracy of the
results.

Be sure to run the capillary whole blood samples within 3 minutes to 2 hours after being
collected.

3) Pre-diluted samples

1. Click the diluent dispensing icon, the following dialog box pops up.

2. Present a clean tube to the sample probe, press the aspirate key to dispense diluents
(1000μL). The dispensing progress bar will be displayed on the screen.

3. To continue with diluent dispensing, repeat the step 1-2.

4. Add 20μL of venous blood or capillary blood to the diluent, close the tube cap and mix it
properly according to your laboratory’s protocol.

5. Click “Cancel” after preparing all the samples, the analyzer will clean the sample probe
automatically.

 You can also use pipette to aspirate 1000μL of diluent.

 Be sure to keep dust from the prepared diluent.

 After mixing the capillary sample with the diluent, be sure to wait 3 minutes and then

User Manual 32
 remix before running the sample.

 Be sure to run the pre-diluted samples within 30 minutes after the mixing.

 Be sure to mix any sample that has been prepared for a while before running it. Do not
mix the samples with massive force using swirl mixer.

 Be sure to evaluate pre-diluted stability based on your laboratory’s sample population

and sample collection techniques or methods.

4) Low level samples

Low level samples include L-WBC samples and L-PLT samples.

The measurement principle of Smart Counting Mode is to obtain more data for internal
processing by increasing the sample volume. Use a larger amount of data to ensure
measurement accuracy for low level samples.

When the WBC or PLT value is below the reference range, the user can selectively use the
Smart Counting Mode.

When the instrument has a “Leucocytopenia” or “Thrombocytopenia” Flag alarm, select the
Smart Counting Mode and re-measure the sample.

 Use Smart Counting Mode to avoid the WBC or RBC concentration of the sample
exceeds the normal reference range, otherwise the risk of plugging will increase.

5.5.2. Sample Analysis

Click “Sample Analysis” to enter the sample analysis screen. Click “Mode” button to select
“Whole Blood”, “Capillary WB”, “Predilute” and “Smart Counting Mode” (include “L-WBC”,
“L-PLT” or “L-WBC/PLT” mode).

1) Entering sample information

The analyzer provides two ways for you to enter sample information: entering sample ID
only and entering all sample information.

If you want to enter sample information after analysis, you may skip this chapter, and enter
sample information at the result review screen (see Chapter 6 Reviewing Results). You may
first set up the way to enter sample information at the “Setup → System Setup → Auxiliary
Setup” screen as instructed in Chapter 9 Settings, then you may enter sample information at
the sample analysis screen.

 Entering all information

When the way to enter patient demographic information is set to “Enter all information”, click
“Next Sample” at the sample analysis screen, the following dialog box will display.

User Manual 33
You may enter complete information of the next sample into the dialog box. The “Ref. group”
will be selected by the system.

a) Entering the sample ID

Enter the sample ID in the “Sample ID” box.

b) Entering the medical record number

Enter the medical record number in the “Patient ID” box.

c) Entering the patient name

Enter the patient name into the “Name” box.

d) Selecting patient gender

Select patient gender from the “Gender” pull-down list. There are two options: “Male” and
“Female”.

e) Entering the date of birth

Enter the patient’s date of birth into the “Date of Birth” box. Its format must be the same with
the system date format.

f) Entering the patient’s age

The analyzer provides four ways for you to enter the patient’s age - in years, in months, in
days and in hours. The first way is designed for the adult or pediatric patients no younger
than one year; the second for the infant patients one month to two years; the third for the
neonatal no older than one month, and the fourth for the neonatal no older than 48 hours.
You may choose one of the four ways to enter the patient age.

User Manual 34
 If the patient’s date of birth is entered, his/her age will be calculated automatically, and
the age field will gray out and cannot be edited.

 If the entered date of birth is later than the current system, then it is considered invalid.

g) Entering the patient type

Select patient type from the “Patient Type” pull-down list.

h) Entering the department name

Enter the name of the department into the “Department” box or select it from the
“Department” pull-down list (when there are previously saved records in the list). The saved
contents will be added in the pull-down list automatically.

i) Entering the bed number

Enter the number of the patient’s bed into the “Bed No.” box.

j) Entering the draw time

Enter the time when the sample is collected into the “Draw Time” box.

k) Entering the delivery time

Enter the delivery time of analysis into the “Delivery Time” box.

l) Entering the clinician

To enter the name of the person who sent the sample for analysis, enter the name into the
“Clinician” box or select the desired name from the “Clinician” pull-down list (if there are
previously saved names in the list). The saved contents will be added in the pull-down list
automatically.

m) Entering comments

Enter comments in the “Comments” box.

n) OK

When you have finished entering the work list information, click the “OK” button to save the
changes and return to the sample analysis screen.

o) Cancel

If you do not want to save the entered work list information, click the “Cancel” button to
return to the sample analysis screen without saving the changes.

User Manual 35
 Entering sample ID only

When the way to enter patient demographic information is set to “Enter sample ID only”,
click “Next Sample” at the sample analysis screen, the following dialog box will display.

Enter the sample ID in the “Sample ID” box. Click “OK” to save the ID and close the dialog
box, the ID will be displayed on the screen as the next sample ID.

2) Selecting mode

Make sure the analyzer indicator is solid green. Select “Whole Blood”, “Capillary WB”,
“Predilute” and “Smart Counting Mode” (include “L-WBC”, “L-PLT” or “L-WBC/PLT” mode).
based on your needs on the mode selection screen. The selected mode will be displayed at
the bottom of the screen.

3) Aspirating sample

Put the sample over the sample probe. Press the aspirate key to start the analysis.

4) Removing the sample

The sample probe will automatically aspirate sample. When you hear the beep sound, you
should remove the sample vial.

User Manual 36
5) Auto analysis and result reporting

The analyzer will automatically run the sample. When the analysis is finished, the results will
be displayed on the screen.

 During the analysis, if errors like clog occur, the analyzer will automatically display
results of related parameters as invalid, and alarm information will show on the error
information area. See Chapter 11 Troubleshooting for the way to remove errors.

User Manual 37
5.5.3. Processing Analysis Results
1) Saving analysis results automatically

The analyzer automatically saves sample results. When the maximum number of results
that can be saved has been reached, the newest result will overwrite the oldest.

2) Printing and Transmission to LIS

If “Auto print after sample analysis” function is enabled, the analyzer will print reports
automatically; and if “Auto communicate” function is enabled, the analysis results, sample
and patient information will be transmitted to LIS automatically.

3) Parameter flags

See the following section for details about parameter flags.

 If the parameter is followed by a “H” or “L”, it means the analysis result has exceeded
the upper or lower limit of the reference range (See section 9.2.3. Parameter Setup >
Reference Range Setup).

 If the parameter is followed by an “R”, it means the analysis result is questionable.

 If you see “*****”, as opposed to the result, it means the result is invalid; if you see
“+++++”, as opposed to the result, it means the result is out of the display range (See
Table 5-1 Display range for details).

Parameter Display Range

WBC, Gran#, Mid#, Lym# 0.00～999.99×109/L
Gran%,Mid%, Lym% 0.0～99.9%
RBC 0.00～18.00×1012/L
HGB 0～300g/L
HCT 0.0～80.0%
MCV 0.0～250.0fL
MCH 0.0～999.9pg
MCHC 0～9999g/L
RDW-SD 0.0～999.9fL
RDW-CV 0.0～99.9%
PLT 0～9999×109/L
PDW 0.0～99.9
MPV 0.0～99.9fL
PCT 0.0～0.999%
P-LCC 0～9999×109/L
P-LCR 0.0～99.9%

User Manual 38
4) Flags of abnormal blood cell differential or morphology

The following table lists all flags and their indications.

Flag Type Flag Meaning Judgment criterion

Abnormally low
WBCs or WBC<1×109/L and RBC>1×1012/L and
WBC Abnormal
incorrect PLT>25×109/L and HGB>28g/L
classification

Under the condition of WBC<1×109/L or

RBC<0.9×1012/L or PLT<25×109/L or
HGB<28 g/L, three cases are removed:

1. Remove the normal sample situation:

There may be a three parameters are greater than the
background corresponding value;
Aspiration or blank
abnormality or a 2. Removal of normal background:
abn.
sample WBC<0.5×109/L, RBC<0.2×1012/L,
abnormality PLT<10 ×109/L and HGB<1g/L

3. Remove the normal condition of one

channel of WBC and RBC:
WBC>1×109/L and HGB>28 g/L, or
RBC>0.9×109/L and PLT>25×109/L
WBC Flag
R1, R2, R3, R4 or RM alarm

R1 alarm: there are very normally

distributed cells in the area near dividing
line 1;

R2 alarm: the proportion of cells

distributed in the area near the dividing
line 2 exceeds the threshold;
There may be a R3 alarm: the proportion of cells
WBC histogram
classification distributed in the area near the dividing
abn.
abnormality line 3 exceeds the threshold;

R4 alarm: the proportion of cells whose

volume exceeds dividing line 4 exceeds
threshold;

Rm alarm: R alarm on two or more WBC

histogram distributions.

Among them, the dividing line 1 is the

first dividing line from the left of the WBC

User Manual 39
 histogram, and the other dividing lines
are deduced by analogy.

WBC count is
Leucocytopenia 1×109/L≤WBC < 2.50×109/L
significantly lower

WBC count is
Leucocytosis significantly WBC > 18.00×109/L
higher

Granulocyte
Granulocytopenia count is Gran# < 1.00×109/L
significantly lower

Granulocyte
count is
Granulocytosis Gran# > 11.00×109/L
significantly
higher

Lymphocytes are
Lymphocytopenia Lym# < 0.80×109/L
significantly lower

Lymphocytes are
Lymphocytosis significantly Lym# > 4.00×109/L
higher

Intermediate cell
count is
MID increase Mid# > 2.4×109/L
significantly
higher

At the same time meet:

1×109/L ≤WBC < 4.0×109/L

WBC, RBC and
Pancytopenia
PLT decrease
0.9×1012/L ≤RBC < 3.5×1012/L

25×109/L ≤PLT < 100×109/L

User Manual 40
 Possible
presence of
microcytes, The distribution of RBC histogram is
macrocytes, abnormal. The kurtosis of the RBC
RBC Histogram
anisocytosis, histogram exceeds the threshold, or the
Abn.
RBC deviation of the RBC histogram exceeds
agglutination and the threshold.
dimorphic
histogram

When the number of RBC agglutination

exceeds the threshold (0.04), and the
algorithmic computation exceeds the
RBC RBC threshold (the algorithmic computation is
agglutination? agglutination calculated by considering the
agglutination number and percentage),
the analyzer will then give the RBC
agglutination flag.

Multiple peaks
Bimodality appear in the RBC histogram has two or more peaks
RBC Flag RBC histogram

HGB abnormal or MCHC> 380g/L

RBC
HGB agglutination, or
Abn./Interfere? interference may or HGB interference calculation
exist (e.g., WBC parameters are beyond a certain range
high)

Microcytosis MCV low MCV < 70fL

Macrocytosis MCV high MCV > 110fL

Anemia Anemia RBC>0.9×1012/L and HGB<90g/L

Erythrocytosis RBC high RBC > 6.5×1012/L

There may be
abnormalities
PLT Histogram such as small PLT histogram PLT/RBC boundary is
Abn. RBCs, RBC unclear to a certain extent
debris, giant
PLTs, and PLT

User Manual 41
 aggregation.

Comprehensive judgment of the degree

PLT agglutination? PLT agglutination of aggregation of RDW-CV, MCV and
MCHC histograms

Thrombocytopenia PLT low 25×109/L≤PLT < 60×109/L

PLT Flag
Thrombocytosis PLT high PLT> 600×109/L

5.6. Standby

When the time for which the analyzer is free from fluidic operations reaches that you have
set at the “Setup” screen of the analyzer (default setting is 10 minutes), a dialog box will pop
up, prompting “Entering standby status…”.

And the analyzer will prompt you to backup data.

After entering standby status, the message “Standby. Press the aspirate key to exit.” will be
displayed at the bottom left of the screen.

 The analyzer will not enter standby status from the Status screen.
 If it is time for auto-standby and the analyzer is reporting error, then the error must be
resolved first.
 During this condition, you can still perform any other operations (e.g., printing and
transmission) other than fluidic operations.
 Refer to Section 9.2.4 Maintenance Setup for how to edit waiting time before entering
standby mode.

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 Under standby mode, if there are unfinished printing or communication tasks, the
analyzer will go on processing them.

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Aspirate key

Press the aspirate key to exit the standby status.

After exiting the standby status, the dialog box above will close automatically.

 When exiting from the standby status, the analyzer will perform different maintenance
operations based on the time consumed entering standby status.
 If error occurs when the analyzer is exiting from the standby status, see Chapter 11
Troubleshooting for solutions.
 After exiting the standby status, the analyzer will resume its original status. The
Analysis icon will turn into solid green. And the analyzer indicator will also turn into solid
green.

5.7. Shutdown

Do not start up the analyzer immediately after it is shut down. Wait for at least 30 seconds.

To ensure stable analyzer performance and accurate analysis results, be sure to perform
the shutdown procedure to shut down the analyzer after it has been running continuously for
24 hours.

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Perform the shutdown procedure to shut down the analyzer daily.

1. Click the shutdown button on the menu and the following shutdown dialog box will
display.

2. Click “OK”.

3. When dialog box prompting probe cleanser maintenance displays, place probe
cleanser to the sample probe and press aspirate key. The probe will aspirate probe cleanser
automatically.

4. After shutting down finishes, the message “Please turn off the power of the analyzer!”
will be displayed. Press the Power switch on back of the instrument to power off.

Dispose off the remaining reagents, waste, samples, consumables, etc. according to local
government regulations.

 Do not disconnect power during the shutdown process.

 If error that will affect shutdown occurs during the showdown process, the analyzer will
resume to its original status and report the error. See Chapter 11 Troubleshooting for
solutions.

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6. Reviewing Results

6.1. Introduction

The analyzer automatically saves analysis results. You can review all the analysis results
and histograms either in table or graph mode.

6.2. Browsing in the “Review” Mode

Operators can review, validate, search, edit and export saved results on the “Review”
screen. Click “Review” to enter the following screen.

6.2.1. Table Area

The table area lists all analyzed samples, including basic sample information like sample ID,
sample status and so on.

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The table area displays the latest sample results at the top.

6.2.2. Graph Review

Click “Graph Review” button on the review menu to view the analysis results of samples.

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6.2.3. Validate/Cancel Validation (for administrators only)
 Validate sample data

Select one or more sample records on the review menu, click “Validate”, the sample status
of the record will be marked with “Validated”.

 Cancel Validation

Select one or more validated sample records at the review menu, click “Cancel Validation”,
the “Validated” will disappear.

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6.2.4. Delete (for administrators only)
1. Select the sample record to be deleted in the table area.

2. Click “Delete”, the following dialog box will display.

3. Click “Yes” to delete the record, and the dialog box will be closed.

6.2.5. Edit Information

Click the desired sample result and it will be highlighted. Click the “Edit Info” button and the
following dialog box will display.

You may edit the sample and patient information, and click “OK” to save the change. The
information on the review menu will be refreshed.

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6.2.6. Edit Results
Click the desired sample result and it will be highlighted. Click the “Edit Result” button and
the following dialog box will display.

Modify the results and click “OK” to save the changes. The information on the graph review
menu will be refreshed.

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6.2.7. Search
1. Click “Search”, the following dialog box will display.

2. Enter search conditions into the edit boxes or select them from the pull-down lists.

3. Click “OK” to start search, the results will be displayed in the table area.

6.2.8. Print
Print reports according to the default report template.

Select sample records to be printed, and then click “Print” to print them. In the review
interface, a “Printed” sign will be applied to each printed sample in the sample status sector.

In the sample status sector, “Validated” sign is prior to “Printed” sign.

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6.2.9. Transmission
 Transmit selected data

1. Select samples to be transmitted at the review menu.

2. Click “Comm.”, the following dialog box will display.

3. Click the “Selected” radio button.

4. Click “OK” to start transmitting specified results to the data management software.

 Transmit all data

1. Click the “All records” radio button in the above dialog box.

2. Click “OK” to start transmitting all results to the data management software.

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6.2.10. Export
1. Click “Export”, the following dialog box will display.

2. Select “Selected” or “All records” in the “Export Range” area.

3. Check the type of information to be exported in the “All the content” area.

After the “Export succeeded.” dialog box is displayed, close the dialog box and click the icon

. The icon color becomes gray and then the USB is removed. Otherwise, the exported

data is lost or the USB is damaged.

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7. Quality Control

7.1. Introduction

Quality Control (QC) consists of strategies and procedures that measure the precision and
stability of the analyzer. The results imply the reliability of the sample results.

QC involves measuring materials with known, stable characteristics at frequent intervals.

Analysis of the results with statistical methods allows the inference that sample results are
reliable. Tulip recommends you run the QC program daily with normal level controls.

A new lot of controls should be analyzed in parallel with the current lot prior to their
expiration dates. This may be accomplished by running the new lot of controls twice a day
for five days using any empty QC files. The QC files calculate the mean, standard deviation
and coefficient of variation for each selected parameter. The instrument-calculated means of
these ten runs should be within the expected ranges published by the manufacturer.

This analyzer provides 2 QC programs: L-J QC and X-B QC.

All the samples, controls, calibrators, reagents, wastes and areas contacted them are
potentially biohazardous. Wear proper personal protective equipment (e.g. gloves, lab coat,
etc.) and follow safe laboratory procedures when handling them and the contacted areas in
the laboratory.

 Keep your clothes, hairs and hands away from the moving parts to avoid injury.

 The sample may spill from the uncapped collection tubes and cause biohazard.
Exercise caution to the uncapped collection tubes.

 The reagents are irritating to eyes, skin and mucosa. Wear proper personal protective
equipment (e.g. gloves, lab coat, etc.) and follow safe laboratory procedures when
handling them and the contacted areas in the laboratory.

 If reagents accidentally spill on your skin or in your eyes, rinse the area with plenty of
clean water and consult doctor immediately.

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 Running QC sample with error present will lead to unreliable results. If errors are
reported during QC analysis, remove the errors first and then continue with the
analysis.

 Do not reuse disposable products such as collection tubes, test tubes, capillary tubes
and so on.

 Sample agglutination may result in inaccurate analysis results. Check the control
samples to see if there is any agglutination, if yes, process the samples according to
your laboratory’s protocols.

 Use the controls and reagents specified by Tulip only. Store and use the controls and
reagents as instructed by their instructions for use.

 Refer to the instructions for use of the control for its use and storage.

 Mix any control or sample properly before running it.

 Use the Tulip-specified disposable products including blood collection tube,

anticoagulant collection tubes and capillary tubes etc.

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7.2. L-J QC

7.2.1. Editing L-J QC Settings (for administrators only)

Before running a new lot of controls, you must set up a QC file for each lot of controls.

1. Click the menu option “QC” > “L-J QC” > “Setup”.

Enter the L-J QC setup screen.

Manual entry
You may set up the QC information by manual entry.

1) Enter the L-J QC setup screen.

2) Click “Add”, or select a QC file without QC results, and then click “Edit”.

3) Enter the lot No. of the controls in the edit box manually.

The option to fill lot No. must not be left empty and up to 16 digits can be entered. You can
enter characters, numbers, letters and special characters.

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4) Select the control level.

5) Enter the expiry date of the respective control lot.

6) Select the QC mode.

7) Enter the target and limits in the edit boxes according to the package insert of the lot of
controls.

8) Click other icons to switch screen and save the QC information.

Setting limits
You can adjust the format of limits according to the following procedure:

1) Click “Set Limits”.

2) Click “By SD” to display the limits in the form of absolute value, or click “By CV” to
display the limits in the form of percentage.

3) Click “OK” button to save the settings.

Import File
The user can complete the setting of the QC information through the file import in the QC file.

1) Download the QC target value file of the corresponding lot and level from the specified
official website: LJSetup.csv, place the file in the root directory of the USB flash drive,
and then insert the USB port on the instrument side;

2) Enter the L-J QC Setup interface.

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3) Click the “Import File” button to open the import window, select the file and press
the [OK] button. The Target, Limit, Level, Lot No, Exp.Date and other information in
the quality control file will be imported into the current QC setup file.

Keep consistent with the current language. For example, Chinese must import the QC file whose
content is Chinese, and English must import the QC file whose content is English.

7.2.2. Running L-J QC

You can select one of the two ways below to run controls:

 Run controls under the “QC” screen.

 Put controls together with normal samples, and run the controls under the sample
analysis screen.

Run controls under the “QC” screen

After editing the QC information, you can start QC analysis by one of the following ways
according to the selected QC mode.

1) Whole Blood

2) Prediluted

When switching mode from “Prediluted” to “Whole Blood”, a progress bar will be displayed
while the analyzer runs mode switching sequence.

1、 Click the menu option “QC” > “L-J QC” > “Count” to enter the QC count screen.

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2、 Prepare the control as instructed by the instructions for use of the controls.

 Be sure that the level of the control to be run is the same with the current QC file, and
the control is not expired.

 The expiration date of expired controls is displayed in red.

3、 Run QC analysis:

1) Make sure the analysis mode is “Whole Blood” or “Pre-diluted” and the indicator of
the analyzer is green.

2) Shake the sample vial as instructed in the instructions for use of the control to mix
the sample thoroughly.

3) Present the control sample to the sample probe. Press the aspirate key to start QC
analysis.

4) When you hear the beep, remove the control.

4、 When analysis finishes, the QC results will be displayed in the current screen and
results will be be saved in the QC file automatically.

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Up to 100 QC results can be saved in each QC file.

5、 Do the above procedures to continue running QC analysis if necessary.

7.2.3. Reviewing L-J QC Results

After QC analysis, you can review the QC results in the following ways:

1) QC Graph

2) QC Table

L-J QC graph review

1、 Click “QC Graph” button on the L-J QC screen to enter the L-J QC graph screen.

1. You can click the arrow buttons on the right of the graph to browse graphs of the
parameters. You can click the arrow buttons under the graph to browse all the QC
results.

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If parameter targets/limits of the QC files with QC results are modified and saved, and the
targets/limits of other parameters change accordingly, those changed data will be
highlighted in yellow.

Print

Click the “Print” icon in the status bar to print information of the current QC file and the QC
graph of all parameters.

The green vertical line and values of the corresponding QC points will not be printed.

L-J QC table review

1、 Click “QC Table” button on the L-J QC screen to enter the L-J QC table screen.

1) You can click the arrow buttons on the right of the table to browse all QC records. You

User Manual 61
 can click the arrow buttons under the table to browse all the parameter results.

If parameter targets/limits of the QC files with QC results are modified and saved, and the
targets/limits of other parameters change accordingly, those changed data will be
highlighted in yellow.

Print

You can click the “Print” icon in the status bar to print the QC table.

Delete (for administrators only)

1) Click “Delete”, the following dialog box will display.

2) Click “Yes” to delete the selected records.

The operation will be recorded in the system log.

Transmission

To transmit QC data to external data management software or HIS/LIS/HIS, do as follows:

1) Click “Comm.”, the following dialog box will display.

2) Select to transmit “Selected” or “All” records.

3) Click “OK” to start transmitting specified results to the data management software.

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 If auto-communication is enabled and a sample is run during the transmission of the QC
data, then only when the QC data transmission finished will the auto-communication of
the sample result start.

 The QC data saved in the process of transmission will not be transmitted.

Export

To export QC information and results of the current QC file, do as follows:

1) Insert an USB and then click “Export”.

2) The system will detect the USB and export data automatically.

3) The prompt “Export succeeded.” will display.

7.3. X-B QC

7.3.1. Introduction
The X-B analysis is a weighted moving average analysis that uses values obtained from
patient samples. It uses the 3 red cell indices, MCV, MCH and MCHC to indicate the
hematology instrument performance.

It is recommended the X-B analysis be activated when the sample volume of your laboratory
is greater than 100 samples per day. Effective use of X-B requires randomization of samples
and a normal cross section of patients to prevent skewing of indices. It observes the trend of
QC results in the reference range formed by the specified target and limits.

The analyzer implements X-B QC on the 3 parameters: MCV, MCH and MCHC, each group
of samples for X-B analysis consists of 20-200 sample results obtained from normal analysis
of both whole blood and pre-diluted modes. The analyzer can save up to 500 X-B QC results.
When the saved QC results have reached the maximum number, the newest result will
overwrite the oldest.

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7.3.2. Editing X-B QC Settings (for administrators only)
1. Click the menu option “QC” > “X-B QC” > “Setup”.

2. Enter the X-B QC setup screen.

At the X-B QC setting screen, you may activate/deactivate X-B QC, set target/limits, and
configure the sample validity setup.

Editing X-B QC settings

1) In the “Samples/Batch” edit box, you may enter the amount of samples [within the range
20(default) to 200] to be included in calculating for an X-B QC point.

2) Activate/deactivate X-B QC. If X-B QC is activated, the samples meeting validity

requirements will be included in X-B QC.

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Setting target/limits
Before the X-B QC analysis, you shall set up the target and limit for each parameter on the
X-B QC setup screen.

The units of target/limit of all parameters are the same as those in the parameter unit setup
screen.

1) In the “Target/Limit” area of the X-B QC setup screen, specify the targets and limits in
the “Target/Limit” table by entering manually.

 Do not leave any of the targets and limits for the QC parameters blank.

 When used for the first time, the default setting will provide the initial values for the
targets and limits of all QC parameters.

2) Click other icons to switch screen and save the settings.

Setting sample validity

In X-B QC, sample results conforming to any of the following conditions will be considered
as invalid and cannot be used in the QC calculation.

a) Sample results exceeding the linearity range;

b) Background results;

c) Sample results not conforming to the “Sample Validity Setup”;

d) QC data for QC mode other than X-B (e.g. L-J);

e) Calibration data;

f) Results generated while there are errors which could affect the accuracy of the results
(e.g. insufficient aspiration volume or clogging).

“Sample Validity Setup” is to set up the ranges of valid RBC, MCV, MCH and MCHC results.
Only when the results of all these four parameters are within the specified ranges, the
sample results can be used for X-B QC calculation. Do as follows to set the sample validity:

1) Select “On” to activate X-B QC. On the “Sample Validity Setup” of the X-B QC setup
screen, set the upper and lower limits of the 4 parameters in the sample validity setup
area. The default validity range of each parameter is shown in the following figure.

User Manual 65
2) Click “Yes” to save the setup.

 In the sample validity setup, the upper limit shall be no smaller than the lower limit.
Otherwise, there will be prompted message asking you to revise.

 The valid ranges of the RBC parameters are their linearity ranges; the valid ranges of
other parameters are their display ranges.

 All the entries shall be numbers with only one decimal point. The length of the number
entered cannot be longer than the length of the text box.

 Once the validity range is changed, the previous results will not be used in the QC
calculation as valid results. For example, if 20 valid samples are needed for the X-B QC
calculation, when you change the validity range after 10 groups of valid sample results
have been acquired, these 10 groups of results will be discarded, and only valid sample
results generated afterwards will be used in the QC calculation.

 The units of lower and upper limits of all parameters are the same as those in the
parameter unit setup screen. See section 9.2.3 Parameter Setup - Parameter Unit
Setup.

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Setting limits
You can adjust the format of limits according to the following procedure:

1) Click “Set Limits”.

2) Click “By SD” to display the limits in the form of absolute value, or click “By CV” to
display the limits in the form of percentage.

3) Click “OK” button to save the settings.

Restore defaults
If you want to restore the default targets and limits of the parameter, click “Defaults”. The
default values of the target and limits of each parameter are as follows:

Parameter Target Limits (#)

MCV 89.5 2.7
MCH 30.5 0.9
MCHC 340 10

7.3.3. Running X-B QC

After editing X-B QC settings, the system will start X-B QC run automatically.

After every 20-200 results (determined by the setting) are obtained, the system will perform
the X-B calculation once automatically. You can review the result in X-B QC graph or X-B
QC table.

7.3.4. Reviewing X-B QC Results

After QC analysis, you can review the QC results in the following ways:

1) QC Graph

2) QC Table

X-B QC graph review

1. Click the menu option “QC” > “X-B QC” > “QC Graph”, the following screen will display.

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2. Select QC file No., the information of the file and the QC graph will be displayed on the
screen.

3. You can click the arrow buttons under the graph to browse all the QC results.

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X-B QC table review
1. On the X-B QC graph screen, click “QC Table” button to enter the X-B QC table screen.

2. You can click the arrow buttons on the right of the graph to browse all QC records.

The delete, print and export operations can all be performed same as stated in the
L-J QC table review section.

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8. Calibration

8.1. Introdution

Calibration is a procedure to standardize the analyzer by determining its deviation under

certain specified conditions. In order to get accurate sample analysis results, you should
calibrate the analyzer according to the procedure below when necessary.

There are three calibration programs available on this analyzer: manual calibration, auto
calibration using calibrators and auto calibration using fresh blood samples.

The parameters like WBC, RBC, HGB, MCV and PLT can be calibrated by the calibration
programs.

All the samples, controls, calibrators, reagents, wastes and areas contacted them are
potentially biohazardous. Wear proper personal protective equipment (e.g. gloves, lab coat,
etc.) and follow safe laboratory procedures when handling them and the contacted areas in
the laboratory.

 Wear proper personal protective equipment (e.g. gloves, lab coat, etc.) and follow safe
laboratory procedures when handling sample/ reagent/ waste and the contacted areas
in the laboratory.

 If reagents accidentally spill on your skin or in your eyes, rinse the area with plenty of
clean water and seek medical attention immediately.

 Keep your clothes, hairs and hands away from the moving parts to avoid injury.

 Be sure to dispose off remaining reagents, waste, samples, consumables, etc.

according to local government regulations.

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Do not reuse disposable products such as collection tubes, test tubes, capillary tubes and
so on.

 Use the Tulip-specified disposable products including blood collection tube,

anticoagulant coated collection tubes and capillary tubes etc.

 Calibration procedures can only be performed by users of the administrator-level.

 Use the calibrators and reagents specified by Tulip only. Store and use the calibrators
and reagents as instructed in instructions for use document.

 The analyzer identifies a sample as a calibration sample only if the analysis is started in
the “Calibration” screen.

 Calculation of reproducibility is included in the calibration procedure.

8.2. When to Calibrate

The analyzer is calibrated at the factory just before shipment. It is electronically stable and
does not require frequent recalibration if you operate and maintain it as instructed by this
manual. You only need to recalibrate this analyzer if:

1) you are going to use this analyzer for the first time (usually done by a Tulip-authorized
representative when installing the analyzer).

2) an analytical component has been changed.

3) you are going to re-use the analyzer after a long-term storage.

4) the quality control results indicate there may be a problem.

5) use environment changes significantly.

All of the measured parameters must be calibrated before readings of the analyzer can be
used as valid analysis results.

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 8.3. How to Calibrate

8.3.1. Preparing Your Analyzer

Do the following pre-calibration procedures before starting the calibration process. If
problems are detected during these checks, do not attempt to calibrate the analyzer. If
necessary, contact Tulip customer service department or your local distributor for
assistance.

1. Check and make sure enough reagents are available for the calibration. You need to
start over the calibration if the reagents run out during the process.

2. Check the background (for calibration right after startup) or blank count results. If the
analyzer alarms for abnormal background results, see Chapter 11 Troubleshooting for
solutions. (See Appendix A Specifications for the background range.)

3. Run a vial of normal control consecutively for 5 times under Whole Blood. Enter the
review menu to check the reproducibility of the results and make sure they meet the
following requirements.

Whole Blood Prediluted

Reproducibility Reproducibility
Parameter Range
（CV/ absolute （CV/ absolute
deviation d） deviation d）

WBC 4.0×109/L～15.0×109/L ≤2.0% ≤4.0％

3.50×1012/L～6.00×
RBC ≤1.9% ≤3.0%
1012/L

HGB 110 g/L～180 g/L ≤1.5% ≤3.0%

MCV 80 fL～110 fL ≤1.0% ≤3.0%

100×109/L～149×109/L ≤5.0% ≤10.0%

PLT
150×109/L～500×109/L ≤4.0% ≤8.0%

Note: Absolute deviation d = measurement value – measurement average

4. It is recommended that you create a log table for your analyzer. This log table should
contain all necessary information that is pertinent to your analyzer. Suggested items that
you may want to include in the log table are: calibration date, supplier of calibrator, lot
number, expected results and limits, and result of background check.

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 Use the collection tubes recommended in the Appendix.

 If fresh blood sample is used for reproducibility test, make sure the sample volume is
enough to support the test.

8.3.2. Manual Calibration

Click the menu option “Calibration” > “Manual” to enter the following screen.

If you log in at the operator access level, you can only view the calibration factors. To
perform calibration, please log out and then log in at the administrator access level.

Do as follows to calibrate the analyzer.

1. At the “Manual” calibration screen, check the calibration factors and calculate the new
factors according to the following equation:

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 old factor × reference value
New factor =
calculated mean value

For example: Suppose the WBC reference value of a calibrator is 8.4, and the current
calibration factor of the whole blood mode is 98.90%.

Run the calibrator under the whole blood mode for 11 consecutive times and take the WBC
results of the 2nd to 11th runs to calculate: 8.1, 8.0, 8.1, 8.1, 8.3, 8.3, 8.2, 8.0, 8.1, 8.3. The
obtained CV is 1.5% and the mean value is 8.16, which meet the requirements.

The new calibration factor is obtained:

98.90% × 8.4
New factor = = 101.81%
8.16

The calculated calibration factors shall be between 75.00% ~ 125.00%. In case of an invalid
calibration factor, try to find out the reason (e.g. calibration material not thoroughly mixed,
misoperation, etc.). Then recalibrate the analyzer and recalculate the calibration factors.

2. Enter the new calibration factors into the factor cell of the parameter that requires
calibration.

3. When you switch screen after entering the new calibration factor, a prompt will display.

If the entered calibration factors are valid, a dialog box will pop up asking you to save the
new factor when you are exiting the screen. And the calibration date of the corresponding
parameter changes to the current system date.

If the entered calibration factors are invalid, a dialog box will pop up prompting “Invalid entry”
when you are switching to another screen. The new calibration factor will not be saved, and
the calibration date will not be refreshed.

Other operations
Print

Click “Print” to print the current calibration factor.

If the calibration factors are invalid, you will not be able to print them and the dialog box
“New calibration factor is invalid.” will be displayed.

If the calibration factors are valid but not saved, a dialog box will display asking you to save
the factors. Click “Yes” to save and print the factors. Or click “No” to cancel the operation

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without saving or printing them.

8.3.3. Calibration with Calibrator

Click the menu option “Calibration” > “Calibrator” to enter the following screen.

 The calibration with calibrator can be performed under Whole Blood mode.

 Only Tulip-specified calibrators shall be used. Tulip will not be responsible for any
erroneous result caused by using calibrators which are not specified by Tulip.

 See the instruction for use of the calibrators for the lot No., expiry date and the target.

 The out-of-range CV% does not influence the display of calibration factors.

Do as follows to calibrate the analyzer with calibrators.

1. Check the mode on the analyzer screen.

2. Enter the lot No. of the calibrator into the “Lot No.” box.

3. Enter the “Exp. Date”. The entered expiration date should be either the expiration date
printed on the labeling or the open-container expiration date, whichever is earlier. The
open-container expiration date is calculated as follows: the date that container is opened

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 + the open-container stability days.

4. Enter the targets into the “Target” cells.

5. Prepare the calibrator as instructed in instructions for use of the calibrators.

6. Press the aspirate key to start calibration.

7. After the analysis, the analyzer will have different responses to different analysis results.

 When the current running is done, if there is a parameter whose calibration data is out
of its linearity range but still within the display range, then the calibration data will be
displayed in the list and a message box will also pop up.

Click “OK” to close the message box, and the data will be deleted from the table without
saving automatically.

 When the running is done, if there is a parameter whose calibration data is out of the
display range, then the non-numeric parameter values “***” will be displayed in the list
and a message box will pop up.

Click “OK” to close the message box, and the data will be deleted from the table without
saving automatically.

 The valid results within the linearity range will be displayed directly.

Valid calibration results will be marked with “√” per the default setting, and will be taken to
calculate calibration factors.

8. If the calibration factors have not been calculated but you switch to another screen, then

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 a message box will pop up.

Click “Yes” to switch to another screen while discarding the calibration data and closing the
message box. The original calibration factors remain.

9. When calibration count has been performed to a sample for n times (n≥5), the analyzer
will calculate the Mean, CV% and calibration factors of all the calibration data marked
with “√” (calibration data of the first run is not marked with “√”, so it is not included in the
calculation).

You can select several data to calculate the calibration factors, but only after at least 5
groups of the data are marked with “√” can you get the calibration factors. The calibration
factors will be refreshed whenever you select “√” or deselect “√”.

When the amount of valid calibration data in the list reaches 10, a message box “Calibration
is completed.” will pop up. Then, if you press the aspirate key again, the analyzer will beep
without starting analysis.

10. There may be two cases when you are switching to another screen:

If the calibration factors of any parameter is out of the range of 75%-125% or the CV% of
any parameter exceeds the reproducibility range, then the calculated calibration factors of
all parameters will not be saved and a message box will also pop up.

Click “Yes” to close the dialog box and switch to another screen. The calibration factors and
dates of all parameters will not be changed.

If the calculated calibration factors of all parameter are within the range of 75%-125% and
the CV% of all parameter are also within the reproducibility range, then a message box
“Save new calibration factor?” will pop up. Click “Yes” to save the new calibration factors

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while closing the message box and switching to another screen.

Other operations
Print

If the calibration factors are invalid, click “Print”, the dialog box “New calibration factor is
invalid.” will display.

If the calibration factors are valid but not saved, click “Print”, a dialog box “Save new
calibration factor?” will display asking you to save the factors. Click “Yes” to close the dialog
box, save and print the calibration results. Or click “No” to cancel the operation without
saving or printing them.

8.3.4. Calibration with Fresh Blood

Click the menu option “Calibration” > “Fresh Blood” to enter the following screen.

Do as follows to calibrate the analyzer with fresh blood.

1、 Prepare 3 to 5 normal fresh blood samples as instructed by 5.5.1 Sample Preparation.

2、 Run each of the prepared samples on the reference instrument (or by the reference
method) five times at least. Calculate the mean values and use them as the targets. Or
perform measurement and calculation according to the reference method and take the
calculated data as the targets.

3、 Select mode for fresh blood calibration, which will be Whole Blood.

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4、 Select the ID of current sample from the pull-down box “Current Sample ID”.

5、 Enter the targets into the “Target” cells.

6、 Prepare fresh blood sample.

7、 Press the aspirate key to start calibration.

8、 After the analysis, the analyzer will have different responses to different analysis
results.

 If the results are out of the linearity range but still within the display range, a dialog box
will pop up when the results are displayed in the table.

Click “OK” to close the message box, and the data will be deleted from the table without
saving automatically.

 If the results are out of the display range, the non-numeric parameter values “***” are
obtained and a dialog box will pop up.

Click “OK” to close the message box, and the data will be deleted from the table without
saving automatically.

 The valid results within the linearity range will be displayed directly.

Valid calibration results will be marked with “√” per the default setting, and will be taken to
calculate calibration factors.

9、 When calibration count has been performed to a sample for n times (n≥5), the
analyzer will calculate the Mean, CV% and calibration factors of all the calibration

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 data marked with “√” automatically.

You can select several data to calculate the calibration factors, but only after at least 5
groups of the data are marked with “√” can you get the calibration factors. The calibration
factors will be refreshed whenever you select “√” or deselect “√”.

When the amount of valid calibration data in the list reaches 10, a message box will pop up
when you start calibration again.

10、 Select other calibration sample ID from the “Current Sample ID” pull-down box
and analyze other samples according to Step 7-9 above to obtain the calibration
factors of all samples.

11、 There may be several cases when switching to another blood sample:

 If the calibration factors of the blood sample are invalid or the CV% of any
parameter exceeds the reproducibility range, a dialog box will pop up when
switching to another blood sample.

Click “Yes” to empty the entered target of the current sample, all the calibration data
obtained and each calculated value including calibration factors, then close the dialog box
and switch to another blood sample.

 If the calibration factors have not been calculated, a dialog box will pop up.

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Click “Yes” to empty the entered target of the current sample and all the calibration data
obtained, then close the dialog box and switch to another blood sample.

 If the calibration factors of the sample are valid and the CV% of all the parameters
do not exceed the reproducibility range, you can switch to another blood sample
directly.

12、 After calibration factors of at least 3 fresh blood samples are obtained, click
the “Calculate” button to enter the screen of calibration calculation.

Select or deselect the calibration factors of a blood sample for the calculation of the mean
calibration factors by clicking the check boxes before the calibration factors.

 When 3 or more groups of calibration factors are checked, CV% will be re-calculated
automatically base on the checked calibration factors.

 When 3 or more groups of calibration factors are checked, the mean calibration factor
will be re-calculated automatically base on the checked calibration factors. The mean
calibration factors are regarded as invalid if the deviation of absolute value between the
calibration factors included in calculating the mean and the original calibration factors
reaches or exceeds 5%.

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13、 If the mean calibration factors have not been calculated, when you exit the
fresh blood screen or switch to another calibration mode, a dialog box will pop up.

Click “Yes” to discard the calibration data, close the dialog box, and switch to another screen
or calibration mode. The original calibration factors and date remain the same.

14、 If the calculated mean calibration factors are valid, when exiting the fresh
blood calibration screen or switching to another calibration mode, a dialog box will
pop up.

Click “Yes” to save the current mean calibration factors. Then, you can switch to
another screen or calibration mode. Click “No” to close the dialog box and switch to
another screen or calibration mode without saving the mean calibration factors and all
the calibration data.

Other operations
Print

If the mean calibration factors are invalid, click “Print”, the dialog box “Calibration factor is
invalid.” will display.

If the mean calibration factors are valid, you can click “Print” to print the calibration factors of
a group (or more) of blood samples in table form, no matter whether they are selected (“√”)
or not. The results obtained in the calibration process and the mean calibration factors can
also be printed.

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9. Settings

9.1. Introduction

The analyzer is a small foot print laboratory instrument that can be installed easily in your
laboratory. You can use the “Setup” menu to customize the software options as introduced in
this chapter.

For the security of the settings and data, two access levels are provided to the operator of
the analyzer. The administrator access level provides the operator with access to more
functions or settings, some of which can be configured to be accessible to operators.

See the following figure for the setup menu.

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9.2. Setting Up the Analyzer

9.2.1. System Setup

 Date/Time Setup
Click “Setup” > “System Setup” > “Date/Time Setup” in the menu to enter the following
screen. You can set up the date, time and date format of the analyzer on the screen.

 Print Setup
Click “Setup” > “System Setup” > “Print Setup” in the menu to enter the following screen.
You can set up the following contents:

1. Print Setup

2. Print Content

3. Auto Print

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1. Print Setup

Printer Color

When the print device is selected as the printer, the print color is activated, and the printer
color used by the instrument can be selected. The options are black and white and colours.

Special note: Only the printer selects color for the color printer, and the histogram can print
the color, otherwise it is still black and white.

Paper Type

When the print device is a printer, the paper type is activated to set the paper type used for
the report printing.

Parameters Language

Click the pull-down list to select the parameters language of the reports.

Copies

Enter the number of copies to be printed for each report into the edit box “Copies”.

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Title Distance

The "Title Distance" option is visible when the paper type is selected as "A4" or "Letter". You
can set the distance between the report title and the top margin.

Report Title

Report Template

2. Print Content

You can choose to select the functions based on your needs by clicking on the check boxes.

3. Auto Print

You can choose to disable auto print or set up printing conditions.

 Communication
Click “Setup” > “System Setup” > “Communication” in the menu to enter the following screen.
You can set up the following contents:

1. Network Device

2. Communication Protocol

3. Transmission Mode

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1. Network Device

Click the pull-down lists to select wired and wireless device.

Wired

Wired refers to the setting of the universal connection network cable. When wired, you can
set the IP address, subnet mask, and so on.

Wireless

Wireless refers to the setting when connecting a wireless network card. When wireless is
selected, wireless WIFI can be set.

2. Communication Protocol

Click the “IP Address”, “Subnet Mask”, “Default Gateway”, LIS IP address and LIS port edit
boxes to enter the contents.

Communication Protocol

Click the “Comm. Protocol” pull-down list to select the communication protocol.

ACK Synchronous Transmission

Click on the “ACK Synchronous Transmission” check box to activate the function.

When the function is activated, ACK timeout is 10 seconds by default. You can re-enter the
ACK timeout in the edit box.

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3. Transmission Mode

You can choose to select the functions based on your needs by clicking on the check boxes.

1) Auto retransmit

2) Auto Communicate

3) Auto Fetch Info from LIS

4) Transmit as Print Bitmap Data

Transmission mode of histogram

Click the pull-down lists to select the transmission modes of histogram and scattergram.

1) Not to be transmitted

2) Bitmap

3) Data

 Department/Clinician Setup
Click “Setup” > “System Setup” > “Department/Clinician Setup” in the menu to enter the
following screen. This function allows you to set up department/clician information for the
contents in sample information setup screens.

 Lab Info Setup

Click “Setup” > “System Setup” > “Lab Info Setup” in the menu to enter the following screen.
Opeators may enter, save and view lab information. Click on the edit boxes to enter the

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information as required.

 The analyzer SN cannot be edited.

 The installation date is the date the analyzer is installed by default. It can be edited, but
cannot be later than the current system date.

 Auxiliary Setup
Click “Setup” > “System Setup” > “Auxiliary Setup” in the menu to enter the following screen.
You can set up the following contents:

1. Setting of the next sample

2. Setting of the first sample after startup

3. Other setup

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1. Setting of the next sample

1) Select sample ID input method

Click the pull-down list to select the way to enter the next sample ID.

 Auto Increase

 Manual Entry

2) Not counted as an auto increase character

Operators can set up the number of characters in the sample ID that will not be auto
increased.

When “Auto Increase” is selected as the way to enter the next sample ID, this edit box will
be activated.

Enter a number n into the edit box. The first n characters in the sample ID will not be auto
increased.

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2. Setting of the first sample after startup

Operators can customize the first sample ID after startup by entering it into the edit box. Or
select to run the suspended sample after restart.

3. Other setup

1) Radio buttons

Select “On” or “Close” to activate or deactivate the functions.

2) Flags

Operators may set up the suspect flag by entering a character into the edit box, or selecting
a letter from the pull-down list (the default character is “R”).

Operators may set up the high/low flag by entering two characters into the edit boxes, or
selecting two letters from the pull-down lists (the default character of high flag is “H”, and
that of low flag is “L”).

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9.2.2. User Administration
Click “Setup” > “User Administration” in the menu to enter the following screen.

1. Modify password

You can modify your own password.

1) Select the current user, and then click “Modify Password”, the following dialog box will
display.

2) Enter the required information in the edit boxes.

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3) Click “OK” to save the change and close the dialog box.

The password cannot be null, and 12 characters can be entered at most.

2. Creat new user

1) Click “Add”, the following dialog box will display.

2) Enter the “User Name”, “Name” and “Password” information.

3) Select user group of the user:

 Normal user

 Administrator

4) Click “OK” to save the change and close the dialog box.

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 The user name cannot be null, and 12 characters can be entered at most.

 The name cannot be null, and 20 characters can be entered at most.

 The password cannot be null, and 12 characters can be entered at most.

3. Delete user

Select a user and then click “Delete” to delete it.

The current login user cannot be deleted.

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9.2.3. Parameter Setup
 Parameter Unit Setup
 Click “Setup” > “Parameter Setup” > “Parameter Unit Setup” in the menu to enter the
following screen. You can set up parameter unit on this screen.

Select unit system

Click the “Unit System” pull-down list to select the unit system.

The units displayed will be different when different unit system is selected.

 Reference Range Setup

Click “Setup” > “Parameter Setup” > “Ref. Range Setup” in the menu to enter the following
screen.

5 factory reference groups and 5 customized reference groups are provided for your choice.
Each laboratory shall select a proper reference range of its own based on its patient
demographics. The reference range differs among races, genders, ages and geographic
locations.

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1. Customizing reference groups

Select a reference group and click “Add” or “Edit” to enter the reference group setup screen.
You can set up the name, lower and upper limits of age and parameter range.

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Click the “Defaults” button, the reference ranges of the selected factory reference group can
be restored to the default settings.

 The name of the reference group cannot be null.

 The names of the customized reference groups shall not repeat the names of the 5
default groups, and they shall not repeat each other either.

2. Setting as default reference group

Select a reference group and then click “Defaults” to set it as default reference group.

 The name, lower and upper limits of age and gender of the factory reference groups
cannot be modified.

 The input range of age is [0,999].

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3. Modify reference range

To modify the reference range of a reference group, select the group from the reference
group list on the left, and then click the cells of upper and lower limits in the table and
re-enter the values.

To restore the reference ranges to default, click the “Defaults” button on the bottom right of
the screen.

Select “Match customized ref. group”, when the age ranges of the customized reference
group and the default reference group contradicts with each other, the customized reference
group will be matched first on the sample analysis and review menu.

 Microscopic Parameter Setup

Click “Setup” > “Parameter Setup” > “Microscopic Para. Setup” in the menu to enter the
following screen. You may modify microscopic parameter related settings.

1. Add new parameter

Click the “Add” button to add a new row in the table, and then you can enter the name of the
parameter in the row.

2. Delete

Select a row in the table, click the “Delete” button to delete the parameter.

3. Edit parameter name

Click a parameter name in the table to edit the name.

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 You can add up to 40 microscopic parameters.

 The reconfigured setup will not be applied to sample records which already have
microscopic results saved, but only applied to sample records with unsaved
microscopic results and records attained after the new setup is applied.

9.2.4. Maintenance Setup (for administrators only)

Click “Setup” > “Maintenance Setup” in the menu to enter the following screen. You can set
up the following contents:

1. Auto-Standby

Click the text box “Auto-Standby Waiting Time” and enter the waiting time before entering
the auto-standby status. The range allowed is 10-120 minutes, and the default setting is 10
minutes.

2. Probe Cleanser Maintenance

Click the first text box in the “Probe Cleanser Maintenance” area to enter the time to start
time-based probe cleanser maintenance. Click the second text box to enter a time in the text
box. Then when the operator cancels the time-based maintenance, a reminder dialog box

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will pop up after the defined minutes.

9.2.5. Reagent Setup

Click “Setup” > “Reagent Setup” in the menu to enter the following screen.

This function may also be used to refill reagent inside the fluidic system when a new
container of reagent is loaded.

 The reagents must be kept still for at least a day after long-term transportation.

 When you have changed the diluent or lyse, run a background test to see if the results
meet the requirement.

You should replace reagents when:

1) the reagent ran out and a new container of reagent is installed.

2) the reagent in the tubing is contaminated.

3) there are bubbles in the tubing.

You can replace the following reagents in the fluidics:

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1) Diluent

2) lyse

3) the reagent ran out and a new container of reagent is installed.

Do as follows to replace the reagents.

1. Click the reagent you want to replace, and then click “Setup”.

2. In the setup interface, press the [Read] button and place the reagent card on the read
card area. If the reagent card is read successfully, it will prompt “XXX Setup succeeded!”,
and the prompt box “Replacing is required after loading, please verify the connnected
reagent and click [OK] to start." for requesting reagent perfusion will pop up. Press [OK]
to perform the replacement.

3. Press the [Replace] button on the reagent management screen to start the reagent
change. The progress bar will be displayed in the window information area.

 Please keep the diluent container away from severe shock or crashing against other
object. Otherwise, it may result in wrong alarm.

 When replacing diluent container, insert the diluent cap assembly into the container and
tighten the cap. Otherwise, it may result in wrong alarm.

9.2.6. Gain Setup

Click “Setup” > “Gain Setup” in the menu to enter the following screen. Gain setup function
allows you to adjust the digital potentiometers. The operation shall not be performed
frequently.

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1. RBC gain

Click the RBC “Set Value” cell, and enter the new value of RBC gain.

2. HGB gain

The purpose of adjusting HGB gain is to change HGB background voltage.

Click the HGB “Set Value” cell, and enter the new value of HGB gain.

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9.3. Saving the Settings

To save the modified settings, you may switch to another screen, the following dialog box
will display.

Click “Yes” to save the settings and switch to the corresponding screen. Click “No” to switch
to the corresponding screen without saving the settings.

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10. Service

10.1. Introduction
Preventive and corrective maintenance procedures are required to keep the analyzer in a
good operating condition. This analyzer provides multiple functions for maintenance
purpose.

This chapter introduces how to use the provided functions to maintain and troubleshoot your
analyzer.

All the analyzer components and surfaces are potentially infectious, take proper protective
measures for operation or maintenance.

 Wear proper personal protective equipment (e.g. gloves, lab coat, etc.) and follow safe
laboratory procedures when handling them and the contacted areas in the laboratory.

 If reagents accidentally spill on your skin or in your eyes, rinse it with plenty of clean
water and seek doctor immediately.

 Improper maintenance may damage the analyzer. Operators must follow the instruction
of this manual to perform maintenance operations.

 For any questions, contact Tulip customer service department.

 Only Tulip-supplied parts can be used for maintenance. For any questions, contact
Tulip customer service department.

 Avoid contact with the sample probe when performing maintenance.

The following table lists the tools that may be used in maintenance.

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 No. Tools

1 Cross-headed screwdriver

2 Slotted head screwdriver

3 Medical gloves

4 Alcohol

10.2. Maintaining Your Analyzer

Maintenance options of the analyzer includes: maintenance, cleaning and fluidics
maintenance.

10.2.1. Maintenance
Click “Service” > “Maintenance”, and select the “Maintenance” tab to enter the following
screen.

1. Unclog aperture

Unclogging includes zapping, flushing and cleaning of WBC bath and RBC bath. When clog
error is reported, you should unclog the aperture.

The unclogging procedures are:

1. Click the “Unclog aperture” button to start unclogging.

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2. When the progress ends, a message will display indicating “Maintaining finished!”.

3. Do the above procedures to continue unclogging aperture if necessary. If the error

persists, perform probe cleanser maintenance of the related channels.

 Probe cleanser maintenance

You should perform the probe cleanser soaking procedure when:

 background results are out of range, QC results abnormal or when other maintenance
operations fail to solve the clog error.

 the analyzer shuts down due to abnormal power break-off, probe cleanser maintenance
must be performed after it is started up again.

The probe cleanser maintenance procedures are:

1) Click “Overall Soak” button, the following dialog box will display.

2) Click “Yes”, the analyzer starts to prepare for the maintenance.

3) When the preparation is done, the following dialog box will display.

4) After aspirating probe cleanser, the analyzer performs probe cleanser soaking
automatically, and a progress bar will display indicating the progress.

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5) When the progress ends, the following dialog box will display, click “OK” to close the
dialog box.

10.2.2. Cleaning
You should clean the following components when:

 WBC and (or) HGB background results exceed their limits, perform WBC bath cleaning.
If WBC bath cleaning does not solve the problem, perform WBC probe cleanser
maintenance.

 sample probe gets dirty, perform sample probe cleaning.

Click “Service” > “Maintenance”, and select the “Clean” tab to enter the following screen.

You may perform cleaning operation to the following components:

 Fluidics

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  Sample probe

 Counting chamber

The cleaning procedures are:

1、 Click the button of the component you want to clean. The message “Cleaning in
process. Please wait...” will display.

2、 When the progress ends, a message will display indicating “Cleaning finished!”.

3、 Clean other components according to the above procedures if needed.

10.2.3. Servicing the Fluidics

Click “Service” > “Maintenance”, and select the “Fluidics” tab to enter the following screen.

1. Pack up

If the analyzer is not to be used for over 2 weeks, you should perform this procedure.

Do as follows to pack up:

1) Click “Pack up”, the dialog box “Start pack-up?” will pop up.

2) Click “Yes” to perform the pack up procedure. The following dialog box will be displayed.

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3) Take out the tubes as instructed and then click “OK” to drain the fluidics.

4) The following dialog box will be displayed after draining the fluidics.

5) Put the tubes into distilled water as instructed, and click “OK” to start priming.

6) When the priming progress ends, the following dialog box will be displayed.

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7) Take out the tubes as instructed and then click “OK” to drain the fluidics again.

8) When the pack-up is finished, shut down the analyzer as prompted.

This software can still be used after the pack up.

2. Reset

When major components of the analyzer have been replaced, or the fluidic system has been
serviced, you must reset the fluidics.

Do as instructed below:

1) Click “Reset”, a dialog box will pop up asking you to confirm the operation.

2) Click “OK” to start initialization, the message “Resetting fluidics. Please wait...” will be
displayed.

3) When the progress ends, a dialog box will display indicating “Resetting fluidics
finished!”.

4) Do the above procedures to continue resetting fluidics if necessary.

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 10.3. Touch Screen Calibration
Click “Maintenance” > “Touch Screen Calibration” in the menu to enter the following screen.

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 10.4. Viewing Logs
Click “Maintenance” > “Log” in the menu to enter the following screen.

You may view the error information, parameter modification information and records of daily
operation in the log.

The “Log” screen records all activities of the analyzer. It contributes significantly to searching
for operation history and troubleshooting the analyzer.

 The oldest record will be overwritten automatically when number of log records reaches
the utmost.

 Records of two years can be stored at most.

Exporting logs

1) Click “Export”, the following dialog box will display.

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2) Select the range of the logs that you want to export.

3) Click “OK” to close the dialog box and export the logs.

10.5. Checking the Analyzer Status

If the status is outside normal range, it will be highlighted with red background.

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10.5.1. Counter
The counter counts the running times of the analyzer and the occurrence times of some
major parameters.

1. Viewing details

You may click the “Details......” buttons following “Sample runs”, “QC runs” or “Calibration
runs” to view the related details.

2. Print

Click the “Print” icon to print all information on the screen.

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10.5.2. Voltage
Click “Status” > “Voltage” in the menu to enter the following screen. You can check the
current voltage information on this interface.

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10.5.3. Sensor
Click “Status” > “Sensor” in the menu to enter the following screen. You may check the
sensor status of the analyzer.

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10.5.4. Version Info.
Click “Status” > “Version Info.” in the menu to enter the following screen.You may view the
current version information of the analyzer.

10.6. Instructions for cleaning and packing the

instrument which is not in use or under break down:
Provide the responsible person with instructions to clean and pack the instrument which is
not in use or under break down and risks involved in transportation or disposal. The
instructions should contain the requirements to minimize the biohazard:

1) Blood samples, reagents or other liquids are deemed to be infectious. If a small amount
of liquid is spattered onto the instrument surface, use a cotton ball dipped with “75%
alcohol” to wipe it away, otherwise, contact with the surface may lead to infection and
other biohazard; if a large amount of liquids splashed and penetrated into the instrument,
stop using it and pull out the power cord plug, then contact Tulip or your local distributor.

2) For any carry, transfer, presentation, lending, maintenance, etc., thoroughly disinfect the
instrument surface to minimize the biohazard. Once the instrument gets any collision or
falls off, no matter if there’s any obvious surface or internal damage, stop using it
immediately and contact Tulip or your local distributor.

3) If the instrument breaks down after the warranty period, ask Tulip service engineer,
hospital equipment department engineer or other authorized maintenance engineer to

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 repair it. Otherwise it may lead to risks such as electric shock. It is suggested to get in
contact with Tulip before the maintenance.

4) It is recommended to stop using the instrument when it reaches the retirement period, or
continue the use based on an overall inspection and maintenance of Tulip.

5) Only personnel trained and authorized by Tulip or its distributors can use this instrument,
otherwise it may damage the protection provided by the instrument or greatly affect the
test results.

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11. Troubleshooting

11.1. Introduction
This chapter contains information that is helpful in locating and correcting problems that may
occur during operation of your analyzer.

This chapter is not a complete service manual and is limited to problems that are readily
diagnosed and/or corrected by the user of the analyzer.

11.2. Error Information and Handling

During the operation, if error(s) is detected, the analyzer will beep and display the
corresponding error message in the error information area at the bottom right of the screen.
Meanwhile, the indicator will turn red. According to the severity of the errors, the colors of
error messages are red, orange, blue and green.

 Red: fatal error. When this kind of error occurs, the analyzer will stop running
immediately, and any further operation is prohibited.

 Orange: error that stops operation. When this kind of error occurs, the analyzer will stop
running immediately.

 Blue: error that restricts certain operations. When this kind of error occurs, the analyzer
can still continue with the current operation, but any other operations related to the error
will be restricted.

 Green: Prompt level. When this kind of error occurs, the analyzer can still continue with
the current operation, and any other operations will not be restricted.

The following figure is the error information dialog box.

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The name and troubleshooting method of the errors are displayed. Names of the errors are
displayed by the order of their occurrence.

You may click to select the error, and view its troubleshooting information in the error help
box. The troubleshooting information of the first error is displayed by default. Please follow
the error help to resolve the error by sequence.

The following functions are provided:

1. Remove error

Click the “Remove Error” button to clear all the errors that can be removed automatically.
For the errors that cannot be removed automatically, follow the troubleshooting method to
solve them.

2. Close the error information dialog box

Click “Close” to close the dialog box, but the errors will still be displayed in the error
information area on the screen. Click the error information area again, the dialog box will be
displayed.

The possible error(s) and the corresponding troubleshooting information are listed below:

Error Name Actions

1. Click “Remove Error” to see if the error can be removed.

Driver board
2. If the error still exists, contact our customer service
communication error
department.

1. Set the time in the “Date/Time Setup” interface.

Clock error 2. If the error still exists, contact our customer service
department.

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 Error Name Actions

1. Replace the diluent.

2. Click “Remove Error”, and enter the new barcode of the
No diluent diluent into the reagent setup dialog box.
3. If the error still exists after replacing the diluent, contact
our customer service department.

1. Replace the lyse.

2. Click “Remove Error”, and enter the new barcode of the
No lyse lyse into the reagent setup dialog box.
3. If the error still exists after replacing the lyse, contact
our customer service department.

1. Replace the diluent.

2. Click “Remove Error”, and enter the new barcode of the
Diluent is insufficient diluent into the reagent setup dialog box.
3. If the error still exists after replacing the diluent, contact
our customer service department.

1. Replace the lyse.

2. Click “Remove Error”, and enter the new barcode of the
Lyse is insufficient lyse into the reagent setup dialog box.
3. If the error still exists after replacing the lyse, contact
our customer service department.

1. Replace diluent within the validity period.

2. Click “Remove Error”, and enter the new barcode of the
Diluent expired diluent into the reagent setup dialog box.
3. If the error still exists after replacing the diluent, contact
our customer service department.

1. Replace lyse within the validity period.

2. Click “Remove Error”, and enter the new barcode of the
Lyse expired lyse into the reagent setup dialog box.
3. If the error still exists after replacing the lyse, contact
our customer service department.

1. Empty the waste container or use a new waste

container.
Waste full 2. Click “Remove Error” to see if the error can be removed.
3. If the error still exists, contact our customer service
department.

Syringe module error 1. Click “Remove Error” to see if the error can be removed.

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 Error Name Actions
2. If the error still exists, contact our customer service
department.

1. Click “Remove Error” to see if the error can be removed.

Sample probe horizontal
2. If the error still exists, contact our customer service
motor action error
department.

1. Click “Remove Error” to see if the error can be removed.

Sample probe vertical
2. If the error still exists, contact our customer service
motor action error
department.

1. Click “Remove Error” to see if the error can be removed.

Instrument startup
2. If the error still exists, contact our customer service
unfinished
department.

1. It is recommended to carry out the background test

several times and then carry out the sample test after
the background test passed.
2. If the background test is still not passed, it is
Background abnormal
recommended to perform the probe cleanser
maintenance before test again.
3. If the error still exists, contact our customer service
department.

1. Click “Remove Error” to see if the error can be removed.

Exiting standby mode
2. If the error still exists, contact our customer service
failed
department.

1. Click “Remove Error” to see if the error can be removed.

HGB blank voltage
2. If the error still exists, contact our customer service
abnormal
department.

1. Click “Remove Error” to see if the error can be removed.

WBC clogging 2. If the error still exists, contact our customer service
department.

1. Click “Remove Error” to see if the error can be removed.

RBC clogging 2. If the error still exists, contact our customer service
department.

User Manual 122

Appendix A. Specifications

A.1. Classification

According to the 98/79/EC, the analyzer belongs to in vitro diagnostic medical device. It was
classified into Others device, not in annex II and not for self-testing, not for performance
evaluation.

A.2. Reagents

Diluent Diluent
Lyse Lyse
/ Probe cleanser

A.3. Applicable Tubes

The following tubes can be used:

1) Ф12~15×75mm collection tube (without cap) for whole blood mode.

2) Ф11×40mm (1.5ml centrifugal tube) and 0.5ml centrifugal tube for predilute and
capillary whole blood mode.

3) Ф10.7×42mm small closed anticoagulated tube (without cap), 0.5ml, can be used with
cap opened, for capillary whole blood mode.

A.4. Parameters

Parameter
Name Abbreviation Default Unit
Group

White Blood Cell count WBC 9

10 /L

Lymphocytes percentage Lym% %

WBC group Intermediate cell percentage Mid% %

(7)
Neutrophilic granulocyte
Gran% %
percentage

Lymphocytes count Lym# 9

10 /L

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 Parameter
Name Abbreviation Default Unit
Group

Intermediate cell count Mid# 9

10 /L

Neutrophilic granulocyte count Gran# 9

10 /L

12
RBC group Red Blood Cell count RBC 10 /L
(8)
Hemoglobin Concentration HGB g/L

Mean Corpuscular Volume MCV fL

Mean Corpuscular Hemoglobin MCH pg

Mean Corpuscular Hemoglobin

MCHC g/L
Concentration

Red Blood Cell Distribution Width -

RDW-CV %
Coefficient of Variation

Red Blood Cell Distribution Width -

RDW-SD fL
Standard Deviation

Hematocrit HCT %

9
Platelet count PLT 10 /L

Mean Platelet Volume MPV fL

Platelet Distribution Width PDW None

PLT group
(6)
Plateletcrit PCT %

Platelet larger cell count P-LCR %

9
Platelet larger cell ratio P-LCC 10 /L

White Blood Cell Histogram WBCHistogram /

Histogram Red Blood Cell Histogram RBCHistogram /

Platelet Histogram PLT Histogram /

User Manual 124

A.5. Model Differences

Model KT-60 KT-62

Throughput ≥60 samples/hour ≥60 samples/hour

Screen size 10.4 inch 10.4 inch

Memory 600000 500000

A.6. Performance Indicators

A.6.1. Display Range

Parameter Display Range
WBC 0.00×109/L～999.99×109/L
RBC 0.00×1012/L～18.00×1012/L
HGB 0g/L～300g/L
PLT 0×109/L～9999×109/L
HCT 0%～80%

A.6.2. Background/Blank Count

Parameter Background/Blank Count Requirements
WBC ≤0.20×109/L
RBC ≤0.02×1012/L
HGB ≤1g/L
PLT ≤10×109/L
HCT ≤0.5%

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A.6.3. Linearity Range

Deviation Deviation Linear

Para
Linearity Range Range (Whole Range correlation
meter
Blood) (Prediluted) coefficient r

0.0×109/L～10.0×109/L ≤±0.30×109/L ≤±0.50×109/L

WBC ≥0.990
10.1×109/L～300.0×109/L ≤±5% ≤±5%

0.00×1012/L～1.00×1012/L ≤±0.05×1012/L ≤±0.05×1012/L

RBC ≥0.990
1.01×1012/L～8.00×1012/L ≤±5% ≤±5%

0g/L～70g/L ≤±2g/L ≤±2g/L

HGB ≥0.990
71g/L～250g/L ≤±2% ≤±3%

0×109/L～100×109/L ≤±10×109/L ≤±10×109/L

PLT ≥0.990
101×109/L～5000×109/L ≤±10% ≤±10%

A.6.4 Accuracy
Deviation
Deviation
Range
Parameter Range Range
(Whole
(Prediluted)
Blood)

WBC 3.5×109/L～9.5×109/L ≤±6% ≤±10%

RBC 3.80×1012/L～5.80×1012/L ≤±5% ≤±6%

HGB 115 g/L～175g/L ≤±5% ≤±6%

PLT 125×109/L～350×109/L ≤±12% ≤±15%

35%～50%（HCT）or
HCT/MCV ≤±5% ≤±6%
82fL～100fL（MCV）

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A.6.5. Carryover
Parameter Carryover
WBC ≤0.5%
RBC ≤0.5%
HGB ≤0.6%
PLT ≤1.0%

A.6.6. Reproducibility
Whole Blood Prediluted Sample
Reproducibility Reproducibility
Parameter Detection Range
(CV/absolute (CV/absolute
deviation d) deviation d)

WBC 3.5×109/L～15.0×109/L ≤2.0% ≤4.0%

RBC 3.50×1012/L～6.00×1012/L ≤1.9% ≤2.0%

HGB 110g/L～180g/L ≤1.9% ≤2.0%

MCV 80fL～110fL ≤1.0% ≤3.0%

100×109/L～149×109/L ≤6.0% ≤8.0%

PLT
150×109/L～500×109/L ≤4.0% ≤8.0%

A.7. Input/Output Device

Use only the specified devices.

If the analyzer is to be connected with LIS, the PC must be configured with dual network
cards.

A.7.1. External Computer (Optional)

Recommended PC configurations: CPU Intel® 1.6GHz and above

RAM: 1G or above

Hard disk: 160GB or above

User Manual 127

Recommended resolution of the display: 1280*1024 (standard), 1680*1050 (wide screen)
Operating system: Microsoft Windows 7 or above, with DVD-ROM.

A.7.2. Mouse (Standard)

A.7.3. External Barcode Scanner (Optional)
A.7.4. Printer (Optional)
A.7.5 Interfaces
4 USB ports

1 network port, compatible with TCP / IP protocol

A.8. Fuse

Be sure to use the specified fuse only.

A.9. EMC Description

 Do not use this device in close proximity to sources of strong electromagnetic radiation
(e.g. unshielded intentional RF sources), as these may interfere with the proper
operation.

 This equipment complies with the emission and immunity requirements of the EN
61326-1:2013 and EN 61326-2-6:2013.

 This equipment has been designed and tested to CISPR 11 Class A. In a domestic
environment it may cause radio interference, in which case, you may need to take
measures to mitigate the interference.

 It is the manufacturer’s responsibility to provide equipment electromagnetic

compatibility information to the customer or user.

 It is the user’s responsibility to ensure that a compatible electromagnetic environment

for the equipment can be maintained in order that the device will perform as intended.

User Manual 128

A.10. Sound Pressure

Maximal sound: 65 dBA

Be sure to use and store the analyzer in the specified environment.

A.11. Operating Environment

 Optimal operating temperature: 10℃～35℃

 Optimal operating humidity: ≤70%

 Atmospheric pressure: 70kPa～106kPa

A.12. Storage and Transportation Environment

 Ambient temperature: -20℃～55℃

 Relative humidity: 10%～90%

 Atmospheric pressure: 50kPa～106kPa

A.13. Running Environment

 Ambient temperature: 10℃～40℃

 Relative humidity: 10%～90%

 Atmospheric pressure: 70kPa～106kPa

User Manual 129

A.14. Dimensions and Weight

Width(mm)≤280mm
Dimensions Height (mm)≤400mm（with foot）
Depth (mm)≤430 mm
Weight 17.5Kg

A.15. Safety Classification

Overvoltage category: II

Pollution degree: 2

A.16. Training

To ensure that users can properly use the analyzer and that the device will perform optimally,
Tulip will send an internal dedicated service engineer or a Tulip designated distributor to the
user to assist with the training.

User Manual 130

Appendix B. Hazardous Substances

Hazardous substances
Parts name
Pb Hg Cd Cr(VI) PBB PBDE

Host shell ○ ○ ○ ○ ○ ○

(1)
Host PCBA × ○ ○ ○ ○ ○

Host sheet metal parts ○ ○ ○ ○ ○ ○

Host machining part ○ ○ ○ ○ ○ ○

Host
Host plastic pieces ○ ○ ○ ○ ○ ○

Host metal pieces ○ ○ ○ ○ ○ ○

Host connection cable ○ ○ ○ ○ ○ ○

Host fluid path components ○ ○ ○ ○ ○ ○

Labels ○ ○ ○ ○ ○ ○

Accessories Cap assembly ○ ○ ○ ○ ○ ○

Maintenance tools ○ ○ ○ ○ ○ ○

Package Packaging materials ○ ○ ○ ○ ○ ○

○: means the content of the hazardous substance in all homogeneous materials of the part
is in the limited requirement according to the standard of SJ/T 11363-2006.
(1): some parts of the circuit board used lead solder during processing.
Notice: the product marked with “×” is because there has no other technologies or parts to
be replaced at present stage, under normal use conditions, leak and mutation will not occur
in 5 years, and it will not cause environment pollution or harm to people and property.

User Manual 131

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