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© 2018 HORIBA, Ltd. All rights reserved.
ABX Pentra C400
© 2018 HORIBA, Ltd. All rights reserved. 2
2018 PC400 App Training V1.21
Application
Training
Application Training
Description &
Specifications
Analytical Flags
ISE Module
© 2018 HORIBA, Ltd. All rights reserved. 3
© 2018 HORIBA, Ltd. All rights reserved.
Description
&
Specification
© 2018 HORIBA, Ltd. All rights reserved. 5
1 Physical specifications
2 Technical specifications
3 Computer specifications
4 Reagent range description
Pentra C400 Presentation
© 2018 HORIBA, Ltd. All rights reserved. 6
ISE Module
Sample Tray
Reagent Tray
Sampling System
Mixing System
Cuvette Changer
© 2018 HORIBA, Ltd. All rights reserved. 7
➢ Bench-top analyzer
➢ Dimensions : 100 x 65 x 57 cm
➢ Weight : 120 kg
➢ Screen: 12 inches
1. Physical Specifications
• External Modules:
- Cooling unit
- Tanks
- Printer
• Options:
-ISE Module
1. Physical Specifications
© 2018 HORIBA, Ltd. All rights reserved. 8
• Analysis method types:
- Spectrophotometry: Colorimetry and Turbidimetry,
- Potentiometry: Direct (Serum or Plasma) and Undirect (Urine)
• On-board Test Capacity: 55 parameters on board
- 52 cassettes positions or 39 tests positions with Reagent racks
- 3 ISE's (Na+, K+, Cl-)
2. Technical Specifications
© 2018 HORIBA, Ltd. All rights reserved. 9
• Throughput:
- Without ISE: up to 300 tests per hour
- With ISE: up to 420 tests per hour
450
400
350
300
250
200
150
100
50
0
© 2018 HORIBA, Ltd. All rights reserved. 10
With ISE
Without ISE
Throughput
0 20 40 60 80 100
% Bi reagent
2. Technical Specifications
• Sample Handling:
✓ Sample Capacity
- 60 samples on board + Continuous loading
- 6 racks with 10 sample positions for primary tubes or cups
✓ Positive Sample Identification
- integrated Barcode Reader and tube presence detector
✓ Sample Needle
- level detection
- shock detection
- clot detection
2. Technical Specifications
© 2018 HORIBA, Ltd. All rights reserved. 11
• Sample Handling:
✓ Sample Specimen
- Serum, Plasma, Urine, CSF, Whole blood, Homogeneous fluids
✓ Sample Volume
- Photometric mode: 2 to 95 µL (380 µL in 4 steps)
- ISE mode : 10µL (Undirect, U.) or 50µL (Direct, S/P)
✓ Automatic Sample Dilution
- from 1/2 to 1/22500
✓ Automatic Post Concentration
- from x2.0 to x10.0
© 2018 HORIBA, Ltd. All rights reserved. 12
2. Technical Specifications
• Calibrator and Control Handling:
✓ Calibrator/Controls Positioning
- Sample Tray or Reagent Tray
✓ Automatic Standard Dilution Series
- Dilution ratio: main direct : 1/2 - 1/150
- Dilution ratio: main Undirect : 1/2 - 1/150 8
© 2018 HORIBA, Ltd. All rights reserved. 13
2. Technical Specifications
• Reagent Handling:
✓ Number of Reagents on-board: 52 positions
- 44 in a closed refrigerated area (2-10°C)
- 8 at room temperature
✓ Positive Reagent Identification
- Integrated barcode reader
✓ Reagent Needle
- Capacitive Level detection
- Preheating
2. Technical Specifications
© 2018 HORIBA, Ltd. All rights reserved. 14
• Reagent Handling:
✓ Reagent Management with Cassettes
- automated Reagent On board stability check plus test
countdown
- unique cassette barcode
- back-up cassette
✓ Reagent Volume
- Minimum : 2µL with Sample needle
15µL with Reagent needle
- Maximum : 600µL
2. Technical Specifications
© 2018 HORIBA, Ltd. All rights reserved. 15
✓ Automatic Cuvette Changer
- Continuous loading and unloading of cuvette segments
- Total capacity : 36 segments (432 cuvettes)
• Reaction Handling :
✓ Reaction Cuvettes
- Disposable acrylic cuvettes
- Cuvette volume : Min 150µl - Max 600µl
2. Technical Specifications
© 2018 HORIBA, Ltd. All rights reserved. 16
• Optical System:
✓ Wavelengths
15 selectables from 340 to 700 nm
✓ Bichromatism Capability
✓ Light Source
Tungsten-halogen lamp
Photometer Reaction Cycle
12 seconds
2. Technical Specifications
© 2018 HORIBA, Ltd. All rights reserved. 17
Computer Hardware and Software
• Software
FULL QC
Validation Station
Logs
Interactive Help
User’s Channels
3. Computer Specifications
© 2018 HORIBA, Ltd. All rights reserved. 18
• A complete range ready to use
• Reagent menu allowing the
flexibility with 75 applications
including:
✓ Enzymes & substrats
✓ Ions & specific proteins as
Ferritin, Transf., Hapto,…
✓ CRP & CRP-HS
✓ HbA1C
✓ …
4. Reagent range description
© 2018 HORIBA, Ltd. All rights reserved. 19
4. Reagent range description
© 2018 HORIBA, Ltd. All rights reserved. 20
Panels example:
• Hepatic: Total Bilirubin, Direct Bilirubin, Transaminase
ASAT & ALAT, ALP & GGT
• Glucidic: Glucose, HbA1c, Fructosamin
• Lipidic panel: Cholesterol, HDL Chol, LDL Chol, Trigly,
Apo A1 & Apo B
• Bone: Calcium, Phosphorus, ALP
• Cardiac: CK, CK-MB ASAT, LDH, Myoglobin, CRP HS
• Renal: Urea (BUN), Creatinine, Uric Acid, Micro Albumin
• …
Reagent range extensions
• DAT & TDM are running on
Pentra C400
14 DATs & 7 TDMs available
• Up to 15 additional User’s
channels
(can be extended to 40 according to
hardware modifications)
With Open cassettes 30/10
(ref A11A01922) and Vials can be used
© 2018 HORIBA, Ltd. All rights reserved. 21
4. Reagent range description
Support
© 2018 HORIBA, Ltd. All rights reserved. 22
• On board Reagent Help
• Website
• International Technical Support
& Etools
(For Distributors and subsidiaries only)
Documentation:
Support
© 2018 HORIBA, Ltd. All rights reserved. 23
• Communication catalogue
• Excel summary file (in Technical Notes)
• Etools Catalogue
(For Distributors and subsidiaries only)
Catalogue information:
Support
© 2018 HORIBA, Ltd. All rights reserved. 24
Danke
Grazie
감사합니다
Obrigado
Σας ευχαριστούμε
谢谢
ありがとうございまし
た
நனற
Cảm ơn
© 2018 HORIBA, Ltd. All rights reserved. 25
Thank you
Dziękuję
धɊवाद
Merci
ขอบคณครบ
Tack ska ni ha
Большое спасибо
Gracias
Performance for Enzymes
Performances
© 2018 HORIBA, Ltd. All rights reserved. 26
Performance for Substrates
Performances
© 2018 HORIBA, Ltd. All rights reserved. 27
Performance for Specific Proteins
Performances
© 2018 HORIBA, Ltd. All rights reserved. 28
ALT GLUP
CHOL CRP
© 2018 HORIBA, Ltd. All rights reserved. 29
Performances
Test Equation
© 2018 HORIBA, Ltd. All rights reserved. 30
r2 correlation coefficient
ALT Y = 1.00 X + 5.00 (U/L) 0.9964
CHOL Y = 0.95 X + 0.04 (mmol/L) 0.993
GLUP Y = 0.98 X + 0.04 (mmol/L) 0.9974
CRP Y = 1.03 X - 0.18 (mg/L) 0.997
Correlation
Passing-Bablock regression
Performances
Reagent Stability and Sample Volume
© 2018 HORIBA, Ltd. All rights reserved. 31
Test Open Stability Sample Volume
ALT 42 Days 20 μL/test
CHOL 48 Days 3 μL/test
GLUP 83 Days 4 μL/test
CRP 64 Days 4 μL/test
Performances
Fast Instrument
• Albumin (BCG)
• Glucose (PAP)
• CRP (Latex turbidimetry)
• Complete BMP Panel
Performances
© 2018 HORIBA, Ltd. All rights reserved. 32
Reagent range extensions
• DAT & TDM are running on Pentra C400
14 DATs validated: Amphetamine, Barbiturate,
Benzodiazepine, Buprenorphine, Cannabinoid, Cocaine,
Ecstasy, Ethyl Alcohol, Methadone , Methadone Metabolite,
Opiate, Oxycodone, Phencyclidine & Propoxyphene
7 TDMs validated: Acetaminophene, Amikacine, Digoxine,
Gentamycine, Tobramycine ,Tricyclique (Antidepressant) &
Vancomycine
• Up to 15 additional User’s channels
(can be extended to 40 according to hardware modifications)
With Open cassettes 30/10 (ref A11A01922) and Vials can be
used
© 2018 HORIBA, Ltd. All rights reserved. 33
Performances
© 2018 HORIBA, Ltd. All rights reserved.
3
4
© 2018 HORIBA, Ltd. All rights reserved. 34
Software
System configuration
Training Annexe
© 2018 HORIBA, Ltd. All rights reserved. 35
Training Annexe
Software
COMPLETE SOFTWARE
Flexibility:
➢ Id. or pos.: if LIS or not (dedicated, Vet, Industry)
barcode tube or cup position
Easy to use:
➢ Backup: automatic reagent management
automatic recalibration if needed
➢ Create additional automatic filter: for Cal
➢ Automatic maintenance
Quality/traceability :
➢ Automatic data export
© 2018 HORIBA, Ltd. All rights reserved. 36
Training Annexe
Quality/traceability :
➢ Automatic database backup (8 working days max)
➢ Manual database backup (to help for support)
(for sales to follow activity)
Software
COMPLETE SOFTWARE
Flexibility:
➢ Language: English, French, German, Italian, Spanish, Portuguese, Greek
& Polish
© 2018 HORIBA, Ltd. All rights reserved. 37
Training Annexe
Software
COMPLETE SOFTWARE
Easy to use :
➢ Mono or Bi directional : ASTM format
➢ Query and Requery possible
Support :
➢ Integrated technical support/tool
© 2018 HORIBA, Ltd. All rights reserved. 38
Training Annexe
Flexibility:
➢ Printer: Customized printout (Logo, header,…)
➢ Printer installation: Only windows Driver required to get manual or
automatic printout
➢ QC Printout: with precision and/or accuracy curve
Easy to use and Secured :
➢ On board a complete validation station
➢ Westgard rules possible
➢ According LIS or not Set what to Review (Quality flag, Delta check,…)
➢ Automatic rerun out of Critical panic range
➢ Automatic post Dilution or post Concentration
Software
COMPLETE SOFTWARE
© 2018 HORIBA, Ltd. All rights reserved. 39
Training Annexe
Software
COMPLETE SOFTWARE
Easy to use and Flexibility:
➢ Customized Audible alert to be well informed on time
➢ Audible message set up by: type, volume intensity,
language,..
Easy to use and secured:
➢ Maintenance Alert can be set according use
➢ Most of the maintenance in automatic : daily & weekly
© 2018 HORIBA, Ltd. All rights reserved. 40
Training Annexe
© 2018 HORIBA, Ltd. All rights reserved. 41
Quality & Traceability:
➢ Customized by setting the user name and access
➢ Protected instrument use : Automatic logoff after time can be set.
Flexibility:
➢ Up to 15 User’s channel confiration
(can be extended to 40 according to hardware modifications)
➢ Sales Tool : Test Counter
➢ Perishable management: use of expired (reagents, calibrators,…),…
Software
Training Annexe
Application
© 2018 HORIBA, Ltd. All rights reserved. 42
Training Annexe
To create empty new
User’s Channel
(for Admin Level)
To see details or modify
unit, ranges,
Control required,…
To Copy a previous
methodology in a new
User’s Channel
(for Admin Level)
To Update/download
new Horiba’s Channels
© 2018 HORIBA, Ltd. All rights reserved. 43
To Change test order
(printout & Worklist
selection)
Application
Training Annexe
Test name
& code
Reagent
name
Range
(Anteriority
check,
Normal range
and critical
rerun range)
Correlation
(for
standardization)
Unit & decimal
selection
Application
Details 1/4
© 2018 HORIBA, Ltd. All rights reserved. 44
Training Annexe
Application
Details 1/4
Flexibility:
➢ Pretreatment (predilution) ½ up to 1/22 500
➢ Post Dilution / Post Concentration
➢ Unit selection protected (automatic calculation)
➢ Manual validation Possible (for special test independant
than validation station)
➢ Test name according User’s preference
➢ And activate only required test
© 2018 HORIBA, Ltd. All rights reserved. 45
Training Annexe
Security and rules:
➢ Delta Check or anteriority check
➢ Normal or reference range
➢ Critical rerun range (automatic rerun)
Standardization:
Instrument correlation possible
Application
Details 1/4
© 2018 HORIBA, Ltd. All rights reserved. 46
Training Annexe
SAMPLE NEEDLE
REAGENT
NEEDLE
Solution
Sampling Area
Dispensing
Area
Application
Details 2/4
© 2018 HORIBA, Ltd. All rights reserved. 47
Training Annexe
Cleaner before or after R1 R1+S R2
Application
Details 2/4
Sequence & wavelength
15 Wavelengths: mono or bi : 340nm …700nm
© 2018 HORIBA, Ltd. All rights reserved. 48
Training Annexe
Time
In second
Reagent
Needle
dispensing
Cycle time 12 second:
■ Volume flexibility: 2µL up to 95µL for Sample Needle
15 up to 600µL for Reagent Needle
➢ Dispensing flexibility: in any cycle new solution (reagent or sample or diluent)
can be dispensed by Needles
➢ Mixing Speed Flexibility: can be set from 0 up to 100%
Sample Needle dispensing
0
Absorbance
measurement
In Cycle
0
(R1 alone
reading)
12
1
(R1 + S
reading)
24 36 48
2 3 4
Application
Details 2/4
© 2018 HORIBA, Ltd. All rights reserved. 49
Training Annexe
Reagent 1
Reagent 2
Sample Reagent 3
Reagent 4
0 12 24 36 48
Time
In second
Application
Details 2/4
© 2018 HORIBA, Ltd. All rights reserved. 50
Training Annexe
Type: ENDPOINT / KINETIC / KINSEARCH
Reading point : 0 to 99 cycles (12s)
Application
Details 3/4
© 2018 HORIBA, Ltd. All rights reserved. 51
Training Annexe
Application
Details 3/4
Sample Quality:
➢ Sample limit (interferences)
➢ Reaction limit (substrat depletion)
➢ Antigen excess (hook effect or Prozone)
Reaction Quality:
➢ OD deviation check (div_abs)
➢ Reaction direction (Sign)
© 2018 HORIBA, Ltd. All rights reserved. 52
Training Annexe
Flexibility: All standard of Biochemistry from Enzyme to DAT &T
➢ 3 Calibrator predilutionType
(Factor, Main Direct & Main indirect)
➢ Calibration Mode:
Linear: - Factor
- Slope avg
- Linear regression
Non linear: - Linear inter
- Logit/log4
- Logit/log 5
- Exponen 5
Application
Details 4/4
© 2018 HORIBA, Ltd. All rights reserved. 53
Training Annexe
➢ Deviation
➢ Factor Checks:
Calibration & calibrator Quality:
Reagent Quality:
➢ Reagent range & Blank range checks:
© 2018 HORIBA, Ltd. All rights reserved. 54
Application
Details 4/4
Training Annexe
Application
PC400 Ratio
Ratio: set calculation between tests
➢ Flexibility : Used when the PC400 is not connected to a LIS
© 2018 HORIBA, Ltd. All rights reserved. 55
Training Annexe
Application
PC400 Profiles
PROFILES: list of tests pre-programmed in the worklist
➢ Flexibility : Used when the PC400 is not connected to a LIS
© 2018 HORIBA, Ltd. All rights reserved. 56
Training Annexe
Application
PC400 Incompatibility
INCOMPATIBILITY: list of incompatibility test
➢ Security : Used to program a cleaner when it is necessary between 2 tests on
same probe
© 2018 HORIBA, Ltd. All rights reserved. 57
Training Annexe
Application
PC400 Reagent
To change reagent use in Vial
or Cassette
To create new Reagent or Diluent for
User’s channel
Reagent: Select test in cassette or Vial + create new reagent
➢ Flexibility : Reagent format use (small or big consumption)
User’s Channel configuration (Open Channel)
© 2018 HORIBA, Ltd. All rights reserved. 58
© 2018 HORIBA, Ltd. All rights reserved.
Analytical and
quality flag
© 2018 HORIBA, Ltd. All rights reserved. 60
Kinetic analytical flags
© 2018 HORIBA, Ltd. All rights reserved. 61
Δ OD
3.0 for 340 nm
3.5 for others
HIGH_ABS
=> CALCHHK_ERROR
=> CTRL_ERROR
=>RERUN PATIENT SAMPLE
Time
© 2018 HORIBA, Ltd. All rights reserved. 62
Kinetic analytical flags
OD
SAMPLE_LIMIT
Reading Time
© 2018 HORIBA, Ltd. All rights reserved. 63
Sample
limit => RESULT FLAGGED
(icteric, hemolytic, lipemic plasma)
Time
Kinetic analytical flags
OD
Normal case
High Absorbance
Low Absorbance
High
Reagent Range
Low
Abnormal value
==> Reagent Pb
(expired, oxidation, ...)
© 2018 HORIBA, Ltd. All rights reserved. 64
Time
Reag_range
Kinetic analytical flags
OD
High Absorbance
Low Absorbance
High
Normal case
Reagent Range
© 2018 HORIBA, Ltd. All rights reserved. 65
Low
Time
BLK_RANGE
Kinetic analytical flags
OD
High
(Abs)
Normal case
Blank Range Low
( Abs)
Low
(Abs)
Blank Range High
( Abs)
© 2018 HORIBA, Ltd. All rights reserved. 66
Time
BLK_RANGE
Kinetic analytical flags
OD
© 2018 HORIBA, Ltd. All rights reserved. 67
REACT_LIMIT
Reading Time
Reaction
limit
=> RERUN PATIENT SAMPLE
=> CALCHHK_ERROR
=> CTRL_ERROR
Time
Kinetic analytical flags
NORMAL CASE
© 2018 HORIBA, Ltd. All rights reserved. 68
SIGN
(direction pb)
=> CALCHHK_ERROR
=> CTRL_ERROR
=> RESULT FLAGGED
Time
OD
Kinetic analytical flags
OD
HIGH ACTIVITY
Reac_limit + sign
Reading Time
Reaction
limit
=> RERUN PATIENT (if post dilution)
=> CALCHHK_ERROR
=> CTRL_ERROR
SIGN CASE
© 2018 HORIBA, Ltd. All rights reserved. 69
REACT_LIMIT
Time
Kinetic analytical flags
Kinetic analytical flags
Div_ABS f
© 2018 HORIBA, Ltd. All rights reserved. 70
=> CALCHHK_FLAG
=> CTRL_ERROR
=> RERUN PATIENT (if post dilution)
Kinetic analytical flags
Div_ABS i
© 2018 HORIBA, Ltd. All rights reserved. 71
=> CALCHHK_FLAG
=> CTRL_ERROR
=> RERUN PATIENT (if post dilution)
Kinetic analytical flags
© 2018 HORIBA, Ltd. All rights reserved. 72
Div_ABS i
=> CALCHHK_FLAG
=> CTRL_ERROR
=> RERUN PATIENT (if post dilution)
Kinetic analytical flags
Div_ABS
© 2018 HORIBA, Ltd. All rights reserved. 73
=> CALCHHK_FLAG
=> CTRL_ERROR
=> RERUN PATIENT (if post dilution)
Calibration Flags
© 2018 HORIBA, Ltd. All rights reserved. 74
DEVIATION
(dev. for replicates)
ΔOD
[Concentration ]
or activity
Calibration curve
Calibrant
conc.
Duplicate of normal case
Duplicate of abnormal case
too many difference
> of the expected %
Mean
Calibration flags
© 2018 HORIBA, Ltd. All rights reserved. 75
DEVIATION
(dev. for concentration)
The deviation represents the difference
between theoretical and calculated concentration
Δ OD
[Concentration ]
or activity
Calibration curve
Calculated
Concentration
© 2018 HORIBA, Ltd. All rights reserved. 76
Theorical
Concentration
Calibration flags
FACTOR RANGE
Δ OD
[Concentration ]
or activity
Calibration curve
Calibrant
conc.
FACTOR FLAG
Mean
FACTOR FLAG
© 2018 HORIBA, Ltd. All rights reserved. 77
Calibration flags
DEVIATION
(dev. for replicates)
OD
[Concentration ]
or activity
Calibration curve
Duplicate of normal case
Duplicate of abnormal case
too many difference
> of the expected %
Mean
Calibrant
conc.
Calibration flags
=> CALCHK_FLAG
Div-abs Dev
Blank
FACTOR FLAG
OD
Calibration flags
© 2018 HORIBA, Ltd. All rights reserved. 78
=> CALCHK_ERROR
Non
linear
© 2018 HORIBA, Ltd. All rights reserved. 79
Calibration flags
Result analytical flags
© 2018 HORIBA, Ltd. All rights reserved. 80
OD
© 2018 HORIBA, Ltd. All rights reserved. 81
Result analytical flags
Result analytical flags
AG_Excess
OD
© 2018 HORIBA, Ltd. All rights reserved. 82
For linear calibration
ΔOD
Low linear. High linear.
Linearity_high (post dil.)
=> CTRL_ERROR
=> RERUN PATIENT
Linearity_Low (post conc.)
[Concentration ]
or activity
Linearity
© 2018 HORIBA, Ltd. All rights reserved. 83
Result analytical flags
Low linear.
High linear.
Linearity_Low (post conc.)
Low Cal.
value
High Cal.
value
Linearity_high (post dil.)
=> CTRL_ERROR
=> RERUN PATIENT
For non-linear calibration or linear regression
ΔOD
[Concentration ]
or activity
Result analytical flags
© 2018 HORIBA, Ltd. All rights reserved. 84
Δ OD
Low Cal.
value
High Cal.
value
© 2018 HORIBA, Ltd. All rights reserved. 85
=> RESULT NOT DISPLAYED
(post dil)
CALC_RANG_LOW
CALC_RANG_HIGH
[Concentration ]
or activity
Result analytical flags
Δ OD
Low Cal.
value
High Cal.
value
=> RESULT NOT DISPLAYED
(post dil)
TEST_RANG_LOW
TEST_RANG_HIGH
[Concentration ]
or activity
© 2018 HORIBA, Ltd. All rights reserved. 86
Result analytical flags
CONF. RANGE HIGH
CONF. RANGE LOW
[Concentration ]
or activity
High value
© 2018 HORIBA, Ltd. All rights reserved. 87
Target
Low value
+
+ +
+
+
+
+
+ + + +
+
+
TIME
(TEST , DAY , MONTH)
Result analytical flags
REF_RANGE_LOW
REF_RANGE_HIGH
© 2018 HORIBA, Ltd. All rights reserved. 88
Signal
(ΔOD)
[Concentration ]
or activity
Calibration curve
Low range High range
Normal range
FOR
PATIENT
Result analytical flags
Analytical Flags Priority
■HIGH_ABS
■SAMPLE_LIMIT
■REAG_RANGE_HIGH / LOW
■NON_LIN
■HIGH_ACTIV
■REAC_LIMIT
■NOISE
■AG_EXCESS
■BLK_RANGE
■SIGN
■DIV_ABS, DIV_ABSi, DIV_ABSf
■TEST_RANGE_HIGH / LOW
■RESULT_CALC_ERR
■DEVIATION
■LINEARITY_HIGH / LOW
■CONF_RANGE_HIGH / LOW, CONF_RANGE_HIGH_W/LOW_W,
CONF_RANGE_HIGH_W1-6 /LOW_W1-6, WESTGARD_RULE_4-6
■CRITICAL_RANGE_HIGH / LOW
■REF_RANGE_HIGH / LOW
■CALC_RANGE_HIGH / LOW
© 2018 HORIBA, Ltd. All rights reserved. 89
QUALITY Flags
© 2018 HORIBA, Ltd. All rights reserved. 90
QUALITY Flags
© 2018 HORIBA, Ltd. All rights reserved. 91
R CAL_CONV Result converted using the CONV fonction are flagged with R
C CAL_ERROR If calibration is flagged with CALCHCK_FLAG and validate
manually, all following result are flagged with « C »
Q CTRL_ERROR If a default ctr is flagged and manually validated,all
foolowing results are flagged with « Q »
KE CAL_EXPIRED If the current calibration used is expired, the calibration is
flagged with « KE »and all following results are flagged with
« C »
CE CALIBRATOR_EXPIRED If the calibrator used is expired, the calibrationis flagged with
« CE » and all following results are flagged with « C »
QE CTRL_EXPIRED If the control used is expired, the control is flagged with
« QE », in case of default control flagged « QE », all following
result will be flagged « Q »
SE SOL_EXPIRED If the solution (reagent or diluent or cleaner) uesd is expired
,the result (cal, ctr, patient)is flagged « SE
I INCOMPATIBILITY If two incompatibles test samplings are performed after the
other without the programmed cleaning the second test
result is flaggedwith « I »
END
© 2018 HORIBA, Ltd. All rights reserved. 92
Danke
Grazie
감사합니다
Obrigado
Σας ευχαριστούμε
谢谢
ありがとうございまし
た
நனற
Cảm ơn
© 2018 HORIBA, Ltd. All rights reserved. 93
Thank you
Dziękuję
धɊवाद
Merci
ขอบคณครบ
Tack ska ni ha
Большое спасибо
Gracias
© 2018 HORIBA, Ltd. All rights reserved.
9
4
© 2018 HORIBA, Ltd. All rights reserved. 94
© 2018 HORIBA, Ltd. All rights reserved.
ISE MODULE
PRESENTATION
© 2018 HORIBA, Ltd. All rights reserved. 96
Potentiometry
Voltage measurement between a selective
electrode and a reference electrode.
The intensity is proportional to the selected
ion (by the selective electrode : Na, K, Cl,...).
© 2018 HORIBA, Ltd. All rights reserved. 97
Technique
Potentiometry
Technique
© 2018 HORIBA, Ltd. All rights reserved. 98
Technique
© 2018 HORIBA, Ltd. All rights reserved. 99
VOLTMETER
Technique
© 2018 HORIBA, Ltd. All rights reserved. 100
 Serum or plasma : sampling 60µl, use only 50µl.
 Urine : Sampling 20 µl, use 10µl + 60 µl of STD1
(We mix with the movement inside the tubing).
Fluidic diagram
© 2018 HORIBA, Ltd. All rights reserved. 101
C
A
L
I
B
R
A
T
I
O
N
S
T
w
o
p
o
n
s
c
a
i
b
r
a
i
o
n
:
t
l
t
i
The slope is set by SDT1 and SDT2 to determine the patient
concentration.
The calibration is done automaticaly every two hours , also during
initialisation.
© 2018 HORIBA, Ltd. All rights reserved. 102
O
n
e
p
o
i
n
t
c
a
l
i
b
r
a
t
i
o
n
:
Every 15 minutes a single point calibration
performed to check the intercept using SDT1.
is automaticaly
Calibration
CALIBRATION SLOPE
Calibration
© 2018 HORIBA, Ltd. All rights reserved. 103
R
E
A
G
E
N
T
S
 Standard 1 : Calibration (1pt & 2 pt), dilution and rinse
 Standard 2 : Calibration (2pt)
 Référence : Liquid used to close the mesure circuit.
 Reagents and electrodes are differents than which used on the
Yumizen C1200 ISE .
© 2018 HORIBA, Ltd. All rights reserved. 104
Reagent
N
O
R
M
A
L
S
V
A
L
U
E
S
N
a
+
:
N
o
r
m
a
s
v
a
u
e
s
1
3
0
t
o
1
5
0
m
m
o
/
l
l
l
l
K
+
: Normals values 3,5 to 5 mmol/l
C
l
-
: Normals values 95-107mmol/l
Patients
© 2018 HORIBA, Ltd. All rights reserved. 105
Software (Customer services screen)
© 2018 HORIBA, Ltd. All rights reserved. 106
Customer maintenance
■ ISE Activation (« conditionning ») :
• Daily (at the beginning of the day),
• Use serum or plasma.
■ ISE Cleaning :
• Replace Cl- electrode by dummy electrode (A11A01851).
• Use Deproteinizer CP (A11A01754).
• Clean Cl- electrode with thread (XEA935AS),
• Weekly
■ ISE Etching :
• Weekly (at the end of the day),
• Daily if more than 20 samples per day,
• Use Etching CP (A11A01769).
(Activation after cleaning maintenance)
© 2018 HORIBA, Ltd. All rights reserved. 107
C
U
S
T
O
M
E
R
M
A
I
N
T
E
N
A
N
C
E
© 2018 HORIBA, Ltd. All rights reserved. 108
 - 20 tests / day : Deprot and Etching 1 time/ week
 + 20 tests / day : Etching 1 time / day and Deprot + Etching 1 time/ week
 Activation (Serum/Plasma) : Every day, after each maintenance and when the
electrode have been changed
 Deprot CP & Etching CP : cleaning solutions for electrodes
D
E
P
R
O
T
t
r
e
a
t
m
e
n
t
w
t
h
A
B
X
P
e
n
t
r
a
D
u
m
m
y
-
E
e
e
c
t
r
o
d
e
(
R
e
.
A
1
1
A
0
1
8
5
1
)
i
n
f
l
i
C
h
o
r
d
e
p
a
c
e
l
i
l
See User Manual
Maintenance
L
I
F
E
S
P
A
N
O
F
E
L
E
C
T
R
O
D
E
S
 REF : 12 months
 Potassium : 6 months
 Chlore : 4 months
 Sodium : 12 months
© 2018 HORIBA, Ltd. All rights reserved. 109
Electrode
ISE MODULE
© 2018 HORIBA, Ltd. All rights reserved. 110
SOFTWARE
PRESENTATION
Main menu
Ready
To Use
In progress
(calibrations,
measurement,…)
Error on ISE
mecanical, fluidic,..)
=> Order Global
Initialization
Module not
initialised
(
Need Calibration :
-
-
© 2018 HORIBA, Ltd. All rights reserved. 111
Ise setting
Error on ISE
…
Module not
initialised
© 2018 HORIBA, Ltd. All rights reserved. 112
Ise service
Error on ISE
- RTU
- Calibration OK
© 2018 HORIBA, Ltd. All rights reserved. 113
ISE CALIBRATION
- RTU
- Calibration OK
Need Calibration :
Calibration Error
After a cleaning step
-
-
© 2018 HORIBA, Ltd. All rights reserved. 114
ISE CALIBRATION SETTING
© 2018 HORIBA, Ltd. All rights reserved. 115
ISE CLEANING
RTU
Calibration OK
Calibration
error
© 2018 HORIBA, Ltd. All rights reserved. 116
ISE CLEANING
© 2018 HORIBA, Ltd. All rights reserved. 117
Danke
Grazie
감사합니다
Obrigado
Σας ευχαριστούμε
谢谢
ありがとうございまし
た
நனற
Cảm ơn
© 2018 HORIBA, Ltd. All rights reserved. 118
Thank you
Dziękuję
धɊवाद
Merci
ขอบคณครบ
Tack ska ni ha
Большое спасибо
Gracias
© 2018 HORIBA, Ltd. All rights reserved. 119
© 2018 HORIBA, Ltd. All rights reserved. 119

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Pc 400 Application _Ashraful (1).pptx

  • 1. © 2018 HORIBA, Ltd. All rights reserved.
  • 2. ABX Pentra C400 © 2018 HORIBA, Ltd. All rights reserved. 2 2018 PC400 App Training V1.21 Application Training
  • 3. Application Training Description & Specifications Analytical Flags ISE Module © 2018 HORIBA, Ltd. All rights reserved. 3
  • 4. © 2018 HORIBA, Ltd. All rights reserved.
  • 5. Description & Specification © 2018 HORIBA, Ltd. All rights reserved. 5
  • 6. 1 Physical specifications 2 Technical specifications 3 Computer specifications 4 Reagent range description Pentra C400 Presentation © 2018 HORIBA, Ltd. All rights reserved. 6
  • 7. ISE Module Sample Tray Reagent Tray Sampling System Mixing System Cuvette Changer © 2018 HORIBA, Ltd. All rights reserved. 7 ➢ Bench-top analyzer ➢ Dimensions : 100 x 65 x 57 cm ➢ Weight : 120 kg ➢ Screen: 12 inches 1. Physical Specifications
  • 8. • External Modules: - Cooling unit - Tanks - Printer • Options: -ISE Module 1. Physical Specifications © 2018 HORIBA, Ltd. All rights reserved. 8
  • 9. • Analysis method types: - Spectrophotometry: Colorimetry and Turbidimetry, - Potentiometry: Direct (Serum or Plasma) and Undirect (Urine) • On-board Test Capacity: 55 parameters on board - 52 cassettes positions or 39 tests positions with Reagent racks - 3 ISE's (Na+, K+, Cl-) 2. Technical Specifications © 2018 HORIBA, Ltd. All rights reserved. 9
  • 10. • Throughput: - Without ISE: up to 300 tests per hour - With ISE: up to 420 tests per hour 450 400 350 300 250 200 150 100 50 0 © 2018 HORIBA, Ltd. All rights reserved. 10 With ISE Without ISE Throughput 0 20 40 60 80 100 % Bi reagent 2. Technical Specifications
  • 11. • Sample Handling: ✓ Sample Capacity - 60 samples on board + Continuous loading - 6 racks with 10 sample positions for primary tubes or cups ✓ Positive Sample Identification - integrated Barcode Reader and tube presence detector ✓ Sample Needle - level detection - shock detection - clot detection 2. Technical Specifications © 2018 HORIBA, Ltd. All rights reserved. 11
  • 12. • Sample Handling: ✓ Sample Specimen - Serum, Plasma, Urine, CSF, Whole blood, Homogeneous fluids ✓ Sample Volume - Photometric mode: 2 to 95 µL (380 µL in 4 steps) - ISE mode : 10µL (Undirect, U.) or 50µL (Direct, S/P) ✓ Automatic Sample Dilution - from 1/2 to 1/22500 ✓ Automatic Post Concentration - from x2.0 to x10.0 © 2018 HORIBA, Ltd. All rights reserved. 12 2. Technical Specifications
  • 13. • Calibrator and Control Handling: ✓ Calibrator/Controls Positioning - Sample Tray or Reagent Tray ✓ Automatic Standard Dilution Series - Dilution ratio: main direct : 1/2 - 1/150 - Dilution ratio: main Undirect : 1/2 - 1/150 8 © 2018 HORIBA, Ltd. All rights reserved. 13 2. Technical Specifications
  • 14. • Reagent Handling: ✓ Number of Reagents on-board: 52 positions - 44 in a closed refrigerated area (2-10°C) - 8 at room temperature ✓ Positive Reagent Identification - Integrated barcode reader ✓ Reagent Needle - Capacitive Level detection - Preheating 2. Technical Specifications © 2018 HORIBA, Ltd. All rights reserved. 14
  • 15. • Reagent Handling: ✓ Reagent Management with Cassettes - automated Reagent On board stability check plus test countdown - unique cassette barcode - back-up cassette ✓ Reagent Volume - Minimum : 2µL with Sample needle 15µL with Reagent needle - Maximum : 600µL 2. Technical Specifications © 2018 HORIBA, Ltd. All rights reserved. 15
  • 16. ✓ Automatic Cuvette Changer - Continuous loading and unloading of cuvette segments - Total capacity : 36 segments (432 cuvettes) • Reaction Handling : ✓ Reaction Cuvettes - Disposable acrylic cuvettes - Cuvette volume : Min 150µl - Max 600µl 2. Technical Specifications © 2018 HORIBA, Ltd. All rights reserved. 16
  • 17. • Optical System: ✓ Wavelengths 15 selectables from 340 to 700 nm ✓ Bichromatism Capability ✓ Light Source Tungsten-halogen lamp Photometer Reaction Cycle 12 seconds 2. Technical Specifications © 2018 HORIBA, Ltd. All rights reserved. 17
  • 18. Computer Hardware and Software • Software FULL QC Validation Station Logs Interactive Help User’s Channels 3. Computer Specifications © 2018 HORIBA, Ltd. All rights reserved. 18
  • 19. • A complete range ready to use • Reagent menu allowing the flexibility with 75 applications including: ✓ Enzymes & substrats ✓ Ions & specific proteins as Ferritin, Transf., Hapto,… ✓ CRP & CRP-HS ✓ HbA1C ✓ … 4. Reagent range description © 2018 HORIBA, Ltd. All rights reserved. 19
  • 20. 4. Reagent range description © 2018 HORIBA, Ltd. All rights reserved. 20 Panels example: • Hepatic: Total Bilirubin, Direct Bilirubin, Transaminase ASAT & ALAT, ALP & GGT • Glucidic: Glucose, HbA1c, Fructosamin • Lipidic panel: Cholesterol, HDL Chol, LDL Chol, Trigly, Apo A1 & Apo B • Bone: Calcium, Phosphorus, ALP • Cardiac: CK, CK-MB ASAT, LDH, Myoglobin, CRP HS • Renal: Urea (BUN), Creatinine, Uric Acid, Micro Albumin • …
  • 21. Reagent range extensions • DAT & TDM are running on Pentra C400 14 DATs & 7 TDMs available • Up to 15 additional User’s channels (can be extended to 40 according to hardware modifications) With Open cassettes 30/10 (ref A11A01922) and Vials can be used © 2018 HORIBA, Ltd. All rights reserved. 21 4. Reagent range description
  • 22. Support © 2018 HORIBA, Ltd. All rights reserved. 22
  • 23. • On board Reagent Help • Website • International Technical Support & Etools (For Distributors and subsidiaries only) Documentation: Support © 2018 HORIBA, Ltd. All rights reserved. 23
  • 24. • Communication catalogue • Excel summary file (in Technical Notes) • Etools Catalogue (For Distributors and subsidiaries only) Catalogue information: Support © 2018 HORIBA, Ltd. All rights reserved. 24
  • 25. Danke Grazie 감사합니다 Obrigado Σας ευχαριστούμε 谢谢 ありがとうございまし た நனற Cảm ơn © 2018 HORIBA, Ltd. All rights reserved. 25 Thank you Dziękuję धɊवाद Merci ขอบคณครบ Tack ska ni ha Большое спасибо Gracias
  • 26. Performance for Enzymes Performances © 2018 HORIBA, Ltd. All rights reserved. 26
  • 27. Performance for Substrates Performances © 2018 HORIBA, Ltd. All rights reserved. 27
  • 28. Performance for Specific Proteins Performances © 2018 HORIBA, Ltd. All rights reserved. 28
  • 29. ALT GLUP CHOL CRP © 2018 HORIBA, Ltd. All rights reserved. 29 Performances
  • 30. Test Equation © 2018 HORIBA, Ltd. All rights reserved. 30 r2 correlation coefficient ALT Y = 1.00 X + 5.00 (U/L) 0.9964 CHOL Y = 0.95 X + 0.04 (mmol/L) 0.993 GLUP Y = 0.98 X + 0.04 (mmol/L) 0.9974 CRP Y = 1.03 X - 0.18 (mg/L) 0.997 Correlation Passing-Bablock regression Performances
  • 31. Reagent Stability and Sample Volume © 2018 HORIBA, Ltd. All rights reserved. 31 Test Open Stability Sample Volume ALT 42 Days 20 μL/test CHOL 48 Days 3 μL/test GLUP 83 Days 4 μL/test CRP 64 Days 4 μL/test Performances
  • 32. Fast Instrument • Albumin (BCG) • Glucose (PAP) • CRP (Latex turbidimetry) • Complete BMP Panel Performances © 2018 HORIBA, Ltd. All rights reserved. 32
  • 33. Reagent range extensions • DAT & TDM are running on Pentra C400 14 DATs validated: Amphetamine, Barbiturate, Benzodiazepine, Buprenorphine, Cannabinoid, Cocaine, Ecstasy, Ethyl Alcohol, Methadone , Methadone Metabolite, Opiate, Oxycodone, Phencyclidine & Propoxyphene 7 TDMs validated: Acetaminophene, Amikacine, Digoxine, Gentamycine, Tobramycine ,Tricyclique (Antidepressant) & Vancomycine • Up to 15 additional User’s channels (can be extended to 40 according to hardware modifications) With Open cassettes 30/10 (ref A11A01922) and Vials can be used © 2018 HORIBA, Ltd. All rights reserved. 33 Performances
  • 34. © 2018 HORIBA, Ltd. All rights reserved. 3 4 © 2018 HORIBA, Ltd. All rights reserved. 34
  • 35. Software System configuration Training Annexe © 2018 HORIBA, Ltd. All rights reserved. 35
  • 36. Training Annexe Software COMPLETE SOFTWARE Flexibility: ➢ Id. or pos.: if LIS or not (dedicated, Vet, Industry) barcode tube or cup position Easy to use: ➢ Backup: automatic reagent management automatic recalibration if needed ➢ Create additional automatic filter: for Cal ➢ Automatic maintenance Quality/traceability : ➢ Automatic data export © 2018 HORIBA, Ltd. All rights reserved. 36
  • 37. Training Annexe Quality/traceability : ➢ Automatic database backup (8 working days max) ➢ Manual database backup (to help for support) (for sales to follow activity) Software COMPLETE SOFTWARE Flexibility: ➢ Language: English, French, German, Italian, Spanish, Portuguese, Greek & Polish © 2018 HORIBA, Ltd. All rights reserved. 37
  • 38. Training Annexe Software COMPLETE SOFTWARE Easy to use : ➢ Mono or Bi directional : ASTM format ➢ Query and Requery possible Support : ➢ Integrated technical support/tool © 2018 HORIBA, Ltd. All rights reserved. 38
  • 39. Training Annexe Flexibility: ➢ Printer: Customized printout (Logo, header,…) ➢ Printer installation: Only windows Driver required to get manual or automatic printout ➢ QC Printout: with precision and/or accuracy curve Easy to use and Secured : ➢ On board a complete validation station ➢ Westgard rules possible ➢ According LIS or not Set what to Review (Quality flag, Delta check,…) ➢ Automatic rerun out of Critical panic range ➢ Automatic post Dilution or post Concentration Software COMPLETE SOFTWARE © 2018 HORIBA, Ltd. All rights reserved. 39
  • 40. Training Annexe Software COMPLETE SOFTWARE Easy to use and Flexibility: ➢ Customized Audible alert to be well informed on time ➢ Audible message set up by: type, volume intensity, language,.. Easy to use and secured: ➢ Maintenance Alert can be set according use ➢ Most of the maintenance in automatic : daily & weekly © 2018 HORIBA, Ltd. All rights reserved. 40
  • 41. Training Annexe © 2018 HORIBA, Ltd. All rights reserved. 41 Quality & Traceability: ➢ Customized by setting the user name and access ➢ Protected instrument use : Automatic logoff after time can be set. Flexibility: ➢ Up to 15 User’s channel confiration (can be extended to 40 according to hardware modifications) ➢ Sales Tool : Test Counter ➢ Perishable management: use of expired (reagents, calibrators,…),… Software
  • 42. Training Annexe Application © 2018 HORIBA, Ltd. All rights reserved. 42
  • 43. Training Annexe To create empty new User’s Channel (for Admin Level) To see details or modify unit, ranges, Control required,… To Copy a previous methodology in a new User’s Channel (for Admin Level) To Update/download new Horiba’s Channels © 2018 HORIBA, Ltd. All rights reserved. 43 To Change test order (printout & Worklist selection) Application
  • 44. Training Annexe Test name & code Reagent name Range (Anteriority check, Normal range and critical rerun range) Correlation (for standardization) Unit & decimal selection Application Details 1/4 © 2018 HORIBA, Ltd. All rights reserved. 44
  • 45. Training Annexe Application Details 1/4 Flexibility: ➢ Pretreatment (predilution) ½ up to 1/22 500 ➢ Post Dilution / Post Concentration ➢ Unit selection protected (automatic calculation) ➢ Manual validation Possible (for special test independant than validation station) ➢ Test name according User’s preference ➢ And activate only required test © 2018 HORIBA, Ltd. All rights reserved. 45
  • 46. Training Annexe Security and rules: ➢ Delta Check or anteriority check ➢ Normal or reference range ➢ Critical rerun range (automatic rerun) Standardization: Instrument correlation possible Application Details 1/4 © 2018 HORIBA, Ltd. All rights reserved. 46
  • 47. Training Annexe SAMPLE NEEDLE REAGENT NEEDLE Solution Sampling Area Dispensing Area Application Details 2/4 © 2018 HORIBA, Ltd. All rights reserved. 47
  • 48. Training Annexe Cleaner before or after R1 R1+S R2 Application Details 2/4 Sequence & wavelength 15 Wavelengths: mono or bi : 340nm …700nm © 2018 HORIBA, Ltd. All rights reserved. 48
  • 49. Training Annexe Time In second Reagent Needle dispensing Cycle time 12 second: ■ Volume flexibility: 2µL up to 95µL for Sample Needle 15 up to 600µL for Reagent Needle ➢ Dispensing flexibility: in any cycle new solution (reagent or sample or diluent) can be dispensed by Needles ➢ Mixing Speed Flexibility: can be set from 0 up to 100% Sample Needle dispensing 0 Absorbance measurement In Cycle 0 (R1 alone reading) 12 1 (R1 + S reading) 24 36 48 2 3 4 Application Details 2/4 © 2018 HORIBA, Ltd. All rights reserved. 49
  • 50. Training Annexe Reagent 1 Reagent 2 Sample Reagent 3 Reagent 4 0 12 24 36 48 Time In second Application Details 2/4 © 2018 HORIBA, Ltd. All rights reserved. 50
  • 51. Training Annexe Type: ENDPOINT / KINETIC / KINSEARCH Reading point : 0 to 99 cycles (12s) Application Details 3/4 © 2018 HORIBA, Ltd. All rights reserved. 51
  • 52. Training Annexe Application Details 3/4 Sample Quality: ➢ Sample limit (interferences) ➢ Reaction limit (substrat depletion) ➢ Antigen excess (hook effect or Prozone) Reaction Quality: ➢ OD deviation check (div_abs) ➢ Reaction direction (Sign) © 2018 HORIBA, Ltd. All rights reserved. 52
  • 53. Training Annexe Flexibility: All standard of Biochemistry from Enzyme to DAT &T ➢ 3 Calibrator predilutionType (Factor, Main Direct & Main indirect) ➢ Calibration Mode: Linear: - Factor - Slope avg - Linear regression Non linear: - Linear inter - Logit/log4 - Logit/log 5 - Exponen 5 Application Details 4/4 © 2018 HORIBA, Ltd. All rights reserved. 53
  • 54. Training Annexe ➢ Deviation ➢ Factor Checks: Calibration & calibrator Quality: Reagent Quality: ➢ Reagent range & Blank range checks: © 2018 HORIBA, Ltd. All rights reserved. 54 Application Details 4/4
  • 55. Training Annexe Application PC400 Ratio Ratio: set calculation between tests ➢ Flexibility : Used when the PC400 is not connected to a LIS © 2018 HORIBA, Ltd. All rights reserved. 55
  • 56. Training Annexe Application PC400 Profiles PROFILES: list of tests pre-programmed in the worklist ➢ Flexibility : Used when the PC400 is not connected to a LIS © 2018 HORIBA, Ltd. All rights reserved. 56
  • 57. Training Annexe Application PC400 Incompatibility INCOMPATIBILITY: list of incompatibility test ➢ Security : Used to program a cleaner when it is necessary between 2 tests on same probe © 2018 HORIBA, Ltd. All rights reserved. 57
  • 58. Training Annexe Application PC400 Reagent To change reagent use in Vial or Cassette To create new Reagent or Diluent for User’s channel Reagent: Select test in cassette or Vial + create new reagent ➢ Flexibility : Reagent format use (small or big consumption) User’s Channel configuration (Open Channel) © 2018 HORIBA, Ltd. All rights reserved. 58
  • 59. © 2018 HORIBA, Ltd. All rights reserved.
  • 60. Analytical and quality flag © 2018 HORIBA, Ltd. All rights reserved. 60
  • 61. Kinetic analytical flags © 2018 HORIBA, Ltd. All rights reserved. 61
  • 62. Δ OD 3.0 for 340 nm 3.5 for others HIGH_ABS => CALCHHK_ERROR => CTRL_ERROR =>RERUN PATIENT SAMPLE Time © 2018 HORIBA, Ltd. All rights reserved. 62 Kinetic analytical flags
  • 63. OD SAMPLE_LIMIT Reading Time © 2018 HORIBA, Ltd. All rights reserved. 63 Sample limit => RESULT FLAGGED (icteric, hemolytic, lipemic plasma) Time Kinetic analytical flags
  • 64. OD Normal case High Absorbance Low Absorbance High Reagent Range Low Abnormal value ==> Reagent Pb (expired, oxidation, ...) © 2018 HORIBA, Ltd. All rights reserved. 64 Time Reag_range Kinetic analytical flags
  • 65. OD High Absorbance Low Absorbance High Normal case Reagent Range © 2018 HORIBA, Ltd. All rights reserved. 65 Low Time BLK_RANGE Kinetic analytical flags
  • 66. OD High (Abs) Normal case Blank Range Low ( Abs) Low (Abs) Blank Range High ( Abs) © 2018 HORIBA, Ltd. All rights reserved. 66 Time BLK_RANGE Kinetic analytical flags
  • 67. OD © 2018 HORIBA, Ltd. All rights reserved. 67 REACT_LIMIT Reading Time Reaction limit => RERUN PATIENT SAMPLE => CALCHHK_ERROR => CTRL_ERROR Time Kinetic analytical flags
  • 68. NORMAL CASE © 2018 HORIBA, Ltd. All rights reserved. 68 SIGN (direction pb) => CALCHHK_ERROR => CTRL_ERROR => RESULT FLAGGED Time OD Kinetic analytical flags
  • 69. OD HIGH ACTIVITY Reac_limit + sign Reading Time Reaction limit => RERUN PATIENT (if post dilution) => CALCHHK_ERROR => CTRL_ERROR SIGN CASE © 2018 HORIBA, Ltd. All rights reserved. 69 REACT_LIMIT Time Kinetic analytical flags
  • 70. Kinetic analytical flags Div_ABS f © 2018 HORIBA, Ltd. All rights reserved. 70 => CALCHHK_FLAG => CTRL_ERROR => RERUN PATIENT (if post dilution)
  • 71. Kinetic analytical flags Div_ABS i © 2018 HORIBA, Ltd. All rights reserved. 71 => CALCHHK_FLAG => CTRL_ERROR => RERUN PATIENT (if post dilution)
  • 72. Kinetic analytical flags © 2018 HORIBA, Ltd. All rights reserved. 72 Div_ABS i => CALCHHK_FLAG => CTRL_ERROR => RERUN PATIENT (if post dilution)
  • 73. Kinetic analytical flags Div_ABS © 2018 HORIBA, Ltd. All rights reserved. 73 => CALCHHK_FLAG => CTRL_ERROR => RERUN PATIENT (if post dilution)
  • 74. Calibration Flags © 2018 HORIBA, Ltd. All rights reserved. 74
  • 75. DEVIATION (dev. for replicates) ΔOD [Concentration ] or activity Calibration curve Calibrant conc. Duplicate of normal case Duplicate of abnormal case too many difference > of the expected % Mean Calibration flags © 2018 HORIBA, Ltd. All rights reserved. 75
  • 76. DEVIATION (dev. for concentration) The deviation represents the difference between theoretical and calculated concentration Δ OD [Concentration ] or activity Calibration curve Calculated Concentration © 2018 HORIBA, Ltd. All rights reserved. 76 Theorical Concentration Calibration flags
  • 77. FACTOR RANGE Δ OD [Concentration ] or activity Calibration curve Calibrant conc. FACTOR FLAG Mean FACTOR FLAG © 2018 HORIBA, Ltd. All rights reserved. 77 Calibration flags
  • 78. DEVIATION (dev. for replicates) OD [Concentration ] or activity Calibration curve Duplicate of normal case Duplicate of abnormal case too many difference > of the expected % Mean Calibrant conc. Calibration flags => CALCHK_FLAG Div-abs Dev Blank FACTOR FLAG OD Calibration flags © 2018 HORIBA, Ltd. All rights reserved. 78
  • 79. => CALCHK_ERROR Non linear © 2018 HORIBA, Ltd. All rights reserved. 79 Calibration flags
  • 80. Result analytical flags © 2018 HORIBA, Ltd. All rights reserved. 80
  • 81. OD © 2018 HORIBA, Ltd. All rights reserved. 81 Result analytical flags
  • 82. Result analytical flags AG_Excess OD © 2018 HORIBA, Ltd. All rights reserved. 82
  • 83. For linear calibration ΔOD Low linear. High linear. Linearity_high (post dil.) => CTRL_ERROR => RERUN PATIENT Linearity_Low (post conc.) [Concentration ] or activity Linearity © 2018 HORIBA, Ltd. All rights reserved. 83 Result analytical flags
  • 84. Low linear. High linear. Linearity_Low (post conc.) Low Cal. value High Cal. value Linearity_high (post dil.) => CTRL_ERROR => RERUN PATIENT For non-linear calibration or linear regression ΔOD [Concentration ] or activity Result analytical flags © 2018 HORIBA, Ltd. All rights reserved. 84
  • 85. Δ OD Low Cal. value High Cal. value © 2018 HORIBA, Ltd. All rights reserved. 85 => RESULT NOT DISPLAYED (post dil) CALC_RANG_LOW CALC_RANG_HIGH [Concentration ] or activity Result analytical flags
  • 86. Δ OD Low Cal. value High Cal. value => RESULT NOT DISPLAYED (post dil) TEST_RANG_LOW TEST_RANG_HIGH [Concentration ] or activity © 2018 HORIBA, Ltd. All rights reserved. 86 Result analytical flags
  • 87. CONF. RANGE HIGH CONF. RANGE LOW [Concentration ] or activity High value © 2018 HORIBA, Ltd. All rights reserved. 87 Target Low value + + + + + + + + + + + + + TIME (TEST , DAY , MONTH) Result analytical flags
  • 88. REF_RANGE_LOW REF_RANGE_HIGH © 2018 HORIBA, Ltd. All rights reserved. 88 Signal (ΔOD) [Concentration ] or activity Calibration curve Low range High range Normal range FOR PATIENT Result analytical flags
  • 89. Analytical Flags Priority ■HIGH_ABS ■SAMPLE_LIMIT ■REAG_RANGE_HIGH / LOW ■NON_LIN ■HIGH_ACTIV ■REAC_LIMIT ■NOISE ■AG_EXCESS ■BLK_RANGE ■SIGN ■DIV_ABS, DIV_ABSi, DIV_ABSf ■TEST_RANGE_HIGH / LOW ■RESULT_CALC_ERR ■DEVIATION ■LINEARITY_HIGH / LOW ■CONF_RANGE_HIGH / LOW, CONF_RANGE_HIGH_W/LOW_W, CONF_RANGE_HIGH_W1-6 /LOW_W1-6, WESTGARD_RULE_4-6 ■CRITICAL_RANGE_HIGH / LOW ■REF_RANGE_HIGH / LOW ■CALC_RANGE_HIGH / LOW © 2018 HORIBA, Ltd. All rights reserved. 89
  • 90. QUALITY Flags © 2018 HORIBA, Ltd. All rights reserved. 90
  • 91. QUALITY Flags © 2018 HORIBA, Ltd. All rights reserved. 91 R CAL_CONV Result converted using the CONV fonction are flagged with R C CAL_ERROR If calibration is flagged with CALCHCK_FLAG and validate manually, all following result are flagged with « C » Q CTRL_ERROR If a default ctr is flagged and manually validated,all foolowing results are flagged with « Q » KE CAL_EXPIRED If the current calibration used is expired, the calibration is flagged with « KE »and all following results are flagged with « C » CE CALIBRATOR_EXPIRED If the calibrator used is expired, the calibrationis flagged with « CE » and all following results are flagged with « C » QE CTRL_EXPIRED If the control used is expired, the control is flagged with « QE », in case of default control flagged « QE », all following result will be flagged « Q » SE SOL_EXPIRED If the solution (reagent or diluent or cleaner) uesd is expired ,the result (cal, ctr, patient)is flagged « SE I INCOMPATIBILITY If two incompatibles test samplings are performed after the other without the programmed cleaning the second test result is flaggedwith « I »
  • 92. END © 2018 HORIBA, Ltd. All rights reserved. 92
  • 93. Danke Grazie 감사합니다 Obrigado Σας ευχαριστούμε 谢谢 ありがとうございまし た நனற Cảm ơn © 2018 HORIBA, Ltd. All rights reserved. 93 Thank you Dziękuję धɊवाद Merci ขอบคณครบ Tack ska ni ha Большое спасибо Gracias
  • 94. © 2018 HORIBA, Ltd. All rights reserved. 9 4 © 2018 HORIBA, Ltd. All rights reserved. 94
  • 95. © 2018 HORIBA, Ltd. All rights reserved.
  • 96. ISE MODULE PRESENTATION © 2018 HORIBA, Ltd. All rights reserved. 96
  • 97. Potentiometry Voltage measurement between a selective electrode and a reference electrode. The intensity is proportional to the selected ion (by the selective electrode : Na, K, Cl,...). © 2018 HORIBA, Ltd. All rights reserved. 97 Technique
  • 98. Potentiometry Technique © 2018 HORIBA, Ltd. All rights reserved. 98
  • 99. Technique © 2018 HORIBA, Ltd. All rights reserved. 99
  • 100. VOLTMETER Technique © 2018 HORIBA, Ltd. All rights reserved. 100
  • 101.  Serum or plasma : sampling 60µl, use only 50µl.  Urine : Sampling 20 µl, use 10µl + 60 µl of STD1 (We mix with the movement inside the tubing). Fluidic diagram © 2018 HORIBA, Ltd. All rights reserved. 101
  • 102. C A L I B R A T I O N S T w o p o n s c a i b r a i o n : t l t i The slope is set by SDT1 and SDT2 to determine the patient concentration. The calibration is done automaticaly every two hours , also during initialisation. © 2018 HORIBA, Ltd. All rights reserved. 102 O n e p o i n t c a l i b r a t i o n : Every 15 minutes a single point calibration performed to check the intercept using SDT1. is automaticaly Calibration
  • 103. CALIBRATION SLOPE Calibration © 2018 HORIBA, Ltd. All rights reserved. 103
  • 104. R E A G E N T S  Standard 1 : Calibration (1pt & 2 pt), dilution and rinse  Standard 2 : Calibration (2pt)  Référence : Liquid used to close the mesure circuit.  Reagents and electrodes are differents than which used on the Yumizen C1200 ISE . © 2018 HORIBA, Ltd. All rights reserved. 104 Reagent
  • 105. N O R M A L S V A L U E S N a + : N o r m a s v a u e s 1 3 0 t o 1 5 0 m m o / l l l l K + : Normals values 3,5 to 5 mmol/l C l - : Normals values 95-107mmol/l Patients © 2018 HORIBA, Ltd. All rights reserved. 105
  • 106. Software (Customer services screen) © 2018 HORIBA, Ltd. All rights reserved. 106
  • 107. Customer maintenance ■ ISE Activation (« conditionning ») : • Daily (at the beginning of the day), • Use serum or plasma. ■ ISE Cleaning : • Replace Cl- electrode by dummy electrode (A11A01851). • Use Deproteinizer CP (A11A01754). • Clean Cl- electrode with thread (XEA935AS), • Weekly ■ ISE Etching : • Weekly (at the end of the day), • Daily if more than 20 samples per day, • Use Etching CP (A11A01769). (Activation after cleaning maintenance) © 2018 HORIBA, Ltd. All rights reserved. 107
  • 108. C U S T O M E R M A I N T E N A N C E © 2018 HORIBA, Ltd. All rights reserved. 108  - 20 tests / day : Deprot and Etching 1 time/ week  + 20 tests / day : Etching 1 time / day and Deprot + Etching 1 time/ week  Activation (Serum/Plasma) : Every day, after each maintenance and when the electrode have been changed  Deprot CP & Etching CP : cleaning solutions for electrodes D E P R O T t r e a t m e n t w t h A B X P e n t r a D u m m y - E e e c t r o d e ( R e . A 1 1 A 0 1 8 5 1 ) i n f l i C h o r d e p a c e l i l See User Manual Maintenance
  • 109. L I F E S P A N O F E L E C T R O D E S  REF : 12 months  Potassium : 6 months  Chlore : 4 months  Sodium : 12 months © 2018 HORIBA, Ltd. All rights reserved. 109 Electrode
  • 110. ISE MODULE © 2018 HORIBA, Ltd. All rights reserved. 110 SOFTWARE PRESENTATION
  • 111. Main menu Ready To Use In progress (calibrations, measurement,…) Error on ISE mecanical, fluidic,..) => Order Global Initialization Module not initialised ( Need Calibration : - - © 2018 HORIBA, Ltd. All rights reserved. 111
  • 112. Ise setting Error on ISE … Module not initialised © 2018 HORIBA, Ltd. All rights reserved. 112
  • 113. Ise service Error on ISE - RTU - Calibration OK © 2018 HORIBA, Ltd. All rights reserved. 113
  • 114. ISE CALIBRATION - RTU - Calibration OK Need Calibration : Calibration Error After a cleaning step - - © 2018 HORIBA, Ltd. All rights reserved. 114
  • 115. ISE CALIBRATION SETTING © 2018 HORIBA, Ltd. All rights reserved. 115
  • 116. ISE CLEANING RTU Calibration OK Calibration error © 2018 HORIBA, Ltd. All rights reserved. 116
  • 117. ISE CLEANING © 2018 HORIBA, Ltd. All rights reserved. 117
  • 118. Danke Grazie 감사합니다 Obrigado Σας ευχαριστούμε 谢谢 ありがとうございまし た நனற Cảm ơn © 2018 HORIBA, Ltd. All rights reserved. 118 Thank you Dziękuję धɊवाद Merci ขอบคณครบ Tack ska ni ha Большое спасибо Gracias
  • 119. © 2018 HORIBA, Ltd. All rights reserved. 119 © 2018 HORIBA, Ltd. All rights reserved. 119