Introduction to IEEE STANDARDS and its different types.pptx
RAPIDPoint 500 System Service Training Deck.ppt
1. Page 1 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
RAPIDPoint 500 System
Training
Liliana Escobar Diab
Support Engineer
Effective Date: marzo 2015
2. Page 2 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Course Overview
Este curso tiene por objeto definir las diferencias de software y hardware entre los
sistemas de gases RAPIDPoint 405 y el nuevo RAPIDPoint 500.
RAPIDPoint 405 RAPIDPoint 500
3. Page 3 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Product Overview
Installation
Components
Routine Operation
Screen Navigation
Status Screen
Instrument Setup
Recall Screen
Hardware
Routine System Procedures
Network and Connectivity
Patient Sample Analysis
QC Analysis
Calibrations
Troubleshooting
Cartridge Overview
Q&A
Agenda
4. Page 4 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Our Blood Gas History…..
The 60’s
& 70’s
175
165
161
pH
The
80’s
278/270
178/2500 HP85
The 90’s
and to date
Rapidlab 800
Rapidlab
238/248/348
Rapidlab 1200
Rapidpoint 400 Rapidlink &
RapidComm
6. Page 6 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
RAPIDPoint 500 System Intended Use Statement
El sistema de Diagnostico Siemens RAPIDPoint
500 esta diseñado para uso profesional en un
entorno de Cuidado Crítico o de Laboratorio.
Este sistema realiza pruebas de: gases en
sangre, electrolitos , metabolitos,
hemoglobina total y derivados de la
hemoglobina en muestras de sangre total
arterial, venosa y capilar.
Al proporcionar resultados oportunos, el
sistema permite al personal medico tomar
decisiones mas rápidas sobre el tratamiento
del paciente y mejorar la calidad de la
atención del paciente en:
Quirófanos y recuperación critica.
Unidad de cuidados Intensivos.
Salas de Emergencia.
7. Page 7 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
RAPIDPoint 500 Selling Points
• Resultados rápidos y disponibles a través de
un sistema de POC
• Facilidad de uso
• Control de Calidad Automático
• Amplio menú de analitos críticos.
• Soluciones de conectividad Únicos.
• Máximo control del sistema incluyendo
bloqueo.
• Diseñado para ser utilizado en zona cercana
al paciente.
8. Page 8 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
RAPIDPoint 500 Specifications
10. Page 10 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Unparalleled Ease of Use
• Muestreo automático con detección de
coágulos y burbujas.
• Lector de código de barras Integrado
• Pantalla touch screen a color
• Entrenamiento On-line con videos y
audios de ayuda.
• Impresora a bordo y escáner de código
de barras opcional
• Automatic QC
• Conectividad a través RAPIDComm
11. Page 11 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
RAPIDPoint 500 System - Simple to live with!
• Sistemas RAPIDPoint 500 son libres de
mantenimiento completamente.
• Cartuchos de larga duración
• Solo deben mantener en stock 4
números de parte vs. ~30 en los
sistemas tradicionales.
• Ningún procedimiento programado de
limpieza o procedimientos de
mantenimiento de sensores.
12. Page 12 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
RAPIDPoint 500 System
• Sistema basado en Cartuchos
Multiuso.
• Menú
– pH, pCO2, pO2
– Na+
, K+
, Ca++
, Cl-
– Glucosa, Lactato
– tHb, CO-ox & nBili**
• Barcode Scanner Integrado
• CO-oximetria
• Control de Calidad Automático
• Guías en Audio/Video
**Not available for sale in US.
Broad Menu of Analytes
13. Page 13 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Maximum System Control
• Provee seguridad y confiabilidad.
• Analitos seleccionables dependiendo del
muestreo.
• Protección del sistema por password
• Control de seguridad Multi- nivel
• Bloqueo opcional de analitos si falla el control
de calidad.
• Estado remoto de monitoreo y control
Remoto vía RAPIDComm (full remote control)
500
405
14. Page 14 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Connectivity via RAPIDComm version 4.0
Diseñado para el manejo completo de información de pacientes y el
sistema:
• Monitoreo de los analizadores en tiempo real a
través de la red hospitalaria.
• Control centralizado para máxima eficiencia
• Conocimiento de todos los requerimientos
regulatorios.
• Conexión al LIS y HIS.
15. Page 15 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Ventajas
Caracteristicas
Cartuchos de medida sin
mantenimiento.
Exposición por bioseguridad se
reduce
Los cartuchos son remplazados en
sencillos pasos.
Los sistemas usan cartuchos de
medida que contienen todos los
reactivos y sensores y cartuchos de
lavado /desechos que son
reemplazados cuando se llenan.
Los sistemas pueden ser ubicados
en un ambiente con limitaciones de
espacio y pueden ser reubicados
fácilmente.
Los sistemas usan un cartucho
compacto, basado en un diseño sin
botellas de reactivo ni tanques de
gas externos.
Features & Benefits
16. Page 16 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Ventajas
Características
El operador introduce la muestra
consistentemente con el volumen
adecuado, eliminando variabilidad
en los resultados por la técnica de
muestreo.
El sistema automáticamente aspira
las muestras.
El cliente puede maximizar la
cantidad de tiempo con los
pacientes y no con el sistema.
El sistema calibra automáticamente
los sensores de medida.
Features & Benefits
17. Page 17 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Ventajas
Características
El operador puede analizar muestras
y moverse por el software con
facilidad.
Un operador con bajo o cero
conocimiento en manejo de
computadores puede fácilmente
aprender como usar los sistemas.
El sistema presenta la información
esencial de una forma clara,
incluyendo videos y diagramas que
muestran paso a paso las acciones
para tareas clave.
Operador puede ver la información
y seleccionar fácil y rápidamente.
El sistema usa una pantalla touch
screen a color que permite
visualizar claramente.
Features & Benefits
18. Page 18 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Ventajas
Características
No hay perdida de cartuchos a causa de coágulos.
Menos riesgo de exposición por bioseguridad.
Manejo de
Coágulos
No hay tiempo muerto relacionado con
mantenimiento de electrodos , limpieza manual y
automática, o procedimientos o técnicas que
requieran mantenimiento.
No requiere calibraciones ni controles de calidad
adicionales posteriores a una rutina de
mantenimiento.
Libre de
Mantenimiento
Features & Benefits
19. Page 19 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Ventajas
Características
Requisitos reglamentarios
Proporciona un medio para adminsitrar de forma remota
los sitemas desde una ubicacion central
Información fácil de
comprender y
manejo de la
información vía
RAPIDComm
Minimiza el tiempo lejos del paciente.
Incrementa el rendimiento durante procesamientos con
cargas de alto volumen.
Resultados rápidos
500 = ~60 sec.
405 = ~60 sec.
Features & Benefits
20. Page 20 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Mas de una muestra
Proporciona un mayor conocimiento clínico
Amplio menú
Ventajas
Características
Asegura la integridad del sistema
Elimina el tiempo gastado en el manejo manual del
material de control.
Reduce el tiempo muerto
Control de calidad
automático
Features & Benefits
21. Page 21 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Q&A
23. Page 23 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Inspect the box for shipping damage
Installation
24. Page 24 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Open the box and remove the accessories pack
Installation
25. Page 25 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Grasp the instrument by the handle. While tilting the box toward you, lift the
instrument out. Remove the packing material and plastic bag.
Installation
26. Page 26 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Ubique el sistema sobre un meson u otra
superficie a nivel donde vaya a ser instalado.
Remueva las cintas blancas del analizador.
• Pantalla (4 lugares)
• Puerta (2 lugares)
• Tapa del filtro
Remueva el plastico de burbujas detras del display
Instale un rollo de papel en la impresora.
Installation
27. Page 27 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Connect barcode scanner, RJ-45 network cable, and power cord and
turn on the power switch.
Installation
28. Page 28 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Durante la inicialización, cuando la pantalla de Siemens que se muestra
arriba aparezca, toque la pantalla una vez para iniciar la calibración de
emergencia de la pantalla ( cuando la barra de tareas haya progresado
al rededor de 1 cm de la barra).
Installation
29. Page 29 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
• When the screen calibration screen is displayed, touch the targets when they
appear. Note:These targets only stay on screen for ~12 seconds so you must
be available when they appear.
Installation
30. Page 30 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
When prompted to replace the Measurement Cartridge, touch Cancel.
Installation
31. Page 31 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Press system Info to check the software version and serial number
Installation
32. Page 32 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
When prompted to replace the Measurement Cartridge, touch Cancel.
Installation
33. Page 33 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen
Touch Setup and set the options to the customer’s preferences.
34. Page 34 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Create a Setup Disk by touching Secured Options then Save Setup.
Installation
35. Page 35 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Return to the Status screen and replace the
Measurement Cartridge by touching Replace.
Installation
36. Page 36 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
The system door will open and the
cartridge replacement video will begin to play.
Installation
37. Page 37 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Install a new Measurement Cartridge.
Installation
38. Page 38 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Install a new Wash / Waste Cartridge.
Installation
39. Page 39 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Close the system door.
Installation
40. Page 40 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
The video will stop and the system will begin a cartridge initialization.
~25 minutes for a RAPIDPoint 500.
Installation
41. Page 41 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Completing the Installation
• Corra los tres niveles de Rapid QC y
verifique que todos los resultados de los
parametros caigan en los rangos de
inserto.
• Corra CV si es requerido.
• Complete el reporte de condiciones del
sistema.
42. Page 42 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Q&A
44. Page 44 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Active Matrix Display Colour Touch-screen
Component Identification
45. Page 45 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
AQC Cartridge
System Door
Component Identification
Integrated Bar
Code Reader
46. Page 46 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Built in Roll
Printer
Paper
Advance
Knob
Component Identification
47. Page 47 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Measurement
Cartridge
Wash/Waste
Cartridge
Measurement Cartridge
Release Lever
Component Identification
AQC
Cartridge
48. Page 48 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
USB Ports
Carrying
Handle
Component Identification
49. Page 49 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Screen Tilt/
Release Lever
Printer Paper
Cradle
Component Identification
50. Page 50 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
AC Power
Connection
Power
Switch
RJ-45 Ethernet
Network Port
RS-232
Serial Port
Barcode Scanner Port
Component Identification
51. Page 51 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Air Filter (black)
Part Number - SMN 10322638
Lamp
Part Number - SMN 10310472
Component Identification
52. Page 52 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Q&A
54. Page 54 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Ease of Use - User Interface
Sample Type
Test Parameters
Customizable
Panels
System Icons
55. Page 55 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
1 Scan barcode
2 Insert sample
3 Press Start
Ease of Use - User Interface
56. Page 56 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Ease of Use - User Interface
57. Page 57 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Ease of Use - User Interface
58. Page 58 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Ease of Use - User Interface
59. Page 59 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Results still in ~60 seconds
Ease of Use - User Interface
60. Page 60 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Results still in ~60 seconds
Ease of Use - User Interface
69. Page 69 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Access to Status
Touch Here
to Access the
Status Screen
70. Page 70 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen
71. Page 71 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen
Información del cartucho
Analizadas - numero de muestras y QC los cuales han sido analizados utilizando los
cartuchos actuales.
Días restantes – numero de días que le quedan a cada cartucho a bordo.
Fecha y hora de expiración – Expiración estimada, basada en:
28 días desde la fecha/hora de instalación del cartucho de medida.
10 días desde la fecha/hora de instalación del cartucho de lavado/desecho.
28 días desde la fecha/hora de instalación del cartucho de AQC.
Registro de Eventos
Permite ver los mensajes o eventos actuales del sistema.
72. Page 72 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen
Reemplazar.
Luego de la expiración de un cartucho, toque Reemplazar para inicializar las
secuencias de retiro e instalación.
73. Page 73 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen > Replace Cartridges
74. Page 74 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen > Replace Cartridges
75. Page 75 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Replacing the Measurement Cartridge
76. Page 76 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
• En la pantalla de Status, toque el icono cartucho de medida y luego toque
reemplazar.
• La puerta se abrirá y el video comenzara a correr.
• Remueva el cartucho de lavado/desechos y descártelo.
• Levante la palanca hasta que el cartucho de medida sea expulsado.
• Alinee las guías de los lados de el cartucho de medida con las guías del
sistema.
• Posicione el cartucho en el sistema empujando el cartucho firmemente hasta
que se escuche que el cartucho caso en el sitio.
• Baje la palanca.
• Inserte un nuevo cartucho de lavado /desecho y cierre la puerta.
• El CARTUCHO DE MEDIDA NO PUEDE VOLVER A SER RE INSTALADO
NI REUBICADO.
Replacing the Measurement Cartridge
77. Page 77 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen > Replace Cartridges
78. Page 78 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Replacing the Waste/Wash Cartridge
79. Page 79 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
• En la pantalla de Status, toque el icono del cartucho lavado/desechos y toque
reemplazar.
• La puerta se abrirá y el video empezara a correr.
• Remueva el cartucho de lavado /desecho y descártelo.
• Instale un nuevo cartucho de lavado /desecho en el sistema, empújelo firmemente
hasta que el cartucho rompa y quede en el lugar.
• Cierre la puerta del sistema.
• El cartucho de lavado /desecho no puede ser reinstalado una vez se ha
puesto en el sistema, ya que tiene un dispositivo de bloqueo que no
permite reinstalarlo una vez haya sido usado.
Replacing the Waste/Wash Cartridge
80. Page 80 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen > Replace Cartridges
81. Page 81 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Replacing the AQC Cartridge
82. Page 82 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Replacing the AQC Cartridge
• En la pantalla de Status, toque el icono de AQC y toque reemplazar.
• Presione y deslice el conector del cartucho AQC hacia la derecha y espere a que el
cartucho AQC sea expulsado del sistema.
• Remueva el cartucho de AQC y descártelo.
• Remueva la tarjeta amarilla que esta debajo de la tapa color gris del nuevo cartucho.
• Presione firmemente la pieza gris del AQC con el fin de perforar las bolsas que
contienen el material de control.
• Coloque el cartucho en el sistema y presione firmemente deslizándolo hacia atrás
hasta que se escuche que el cartucho quedo en el lugar.
• Deslice el conector del cartucho AQC hacia la izquierda para cerrarlo.
• Una pantalla de espera aparece en la pantalla mientras el sistema prepara el
cartucho.
• El cartucho de AQC puede ser reubicado en el mismo sistema hasta 6 horas
después que haya sido removido.
83. Page 83 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen > Replace Port
Permite al operador reemplazar el puerto de muestras.
84. Page 84 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen > Replace Sample Port
85. Page 85 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen > Shutdown
Forma correcta de apagar el sistema ya que cierra el sistema operativo e indica al
usuario el momento de apagar el interruptor del equipo.
86. Page 86 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen > Shutdown Screen
87. Page 87 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen > Shutdown Screen
88. Page 88 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen > Clean Screen
Touch to disable the touch screen for 20 seconds to clean.
89. Page 89 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen > Clean Screen
20 Seconds to clean the screen with lint free cloth and 0.5% sodium
hypochlorite solution
90. Page 90 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen > Calibrate
Permite al operador iniciar manualmente una calibración de un punto, dos puntos, o
una calibración completa de dos puntos.
El icono de calibración en la pantalla del sistema cambia por Reiniciar Cartucho si algún
parámetro falla durante la inicialización o instalación de un nuevo cartucho.
91. Page 91 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen > Calibrate
Solo operadores con nivel 1 o 2 de seguridad pueden tener acceso a la calibración del sistema
92. Page 92 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen > Calibrate
93. Page 93 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen > System Info..
94. Page 94 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen > System Info
Permite ver el numero de teléfono de servicio, el ID del sistema, versión del Software,
contaje de ciclos y seriales de los cartuchos instalados actualmente.
95. Page 95 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen
Acceso a las opciones de configuración del
sistema.
96. Page 96 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Q&A
98. Page 98 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Touch Here to Access
the Instrument Setup
Status Screen
99. Page 99 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status > Setup > QC
100. Page 100 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status > Setup > QC > QC Options
101. Page 101 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > QC > QC Options
Unscheduled
Required QC
Automatic QC (Repeat)
QC Syringe
QC Range Methodology
102. Page 102 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status > Setup > QC
103. Page 103 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
RAPIDPoint 500 Setup > QC >
QC Options > Required QC Schedule
Setup Schedule – selecciona días, horas y niveles a ser corridos con un nuevo cartucho de
medida.
105. Page 105 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
RAPIDPoint 500 Setup > QC >
QC Options > Required QC Schedule
Setup Schedule – selecciona días, horas y niveles a ser corridos
106. Page 106 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
RAPIDPoint 500 Setup > QC >
QC Options > Required QC Schedule
New M-Cart Setup. Puede programar para que el sistema automáticamente corra los
controles de calidad cuando un nuevo cartucho de medida ha sido instalado en el sistema.
107. Page 107 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status > Setup > QC
114. Page 114 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
RAPIDPoint 500 Setup > QC >
QC Options > Required QC Schedule
New M-Cart Setup. Usted puede programas el nivel que desee correr cuando se isntale un
nuevo cartucho de medida en el sistema.
115. Page 115 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status > Setup > QC
120. Page 120 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Sample
121. Page 121 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Sample
122. Page 122 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Sample
123. Page 123 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Sample > Patient Ranges
Ingrese los rangos para los resultados de pacientes.
124. Page 124 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Sample
125. Page 125 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Sample > Patient Demographics
Selecciones los demográficos para paciente, puede activar
la rápida identificación de la muestra.
126. Page 126 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Sample
127. Page 127 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Sample > Sample Demographics - Screen 1
Seleccione los demográficos de la muestra.
129. Page 129 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Sample
130. Page 130 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Sample > Parameter Selection
Permite al operador seleccionar parámetros de medida para ser medidos en la
pantalla de proceso.
Paneles personalizados , permite configurar hasta 6 paneles.
Un panel puede ser seleccionado como predeterminado.
131. Page 131 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Sample
132. Page 132 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Sample
133. Page 133 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Sample
134. Page 134 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Sample > Sample Type
Seleccione el tipo de muestra por defecto.
135. Page 135 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Parameters
136. Page 136 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup >Parameters > Parameters On/Off Screen 1
Seleccione los parámetros a ser reportados por el sistema.
137. Page 137 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup >Parameters > Parameters On/Off Screen 2
138. Page 138 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup >Parameters > Parameters On/Off Screen 3
139. Page 139 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Parameters
140. Page 140 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Parameters > Parameter Units Screen 1
Seleccione las unidades de medida de los parámetros.
141. Page 141 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Parameters > Parameter Units Screen 2
142. Page 142 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Parameters
143. Page 143 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Parameters > Demographic Units screen 2
144. Page 144 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Parameters
145. Page 145 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Parameters > Values
Ingrese el valor de la presión atmosférica.
146. Page 146 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > System Options
147. Page 147 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > System Options
148. Page 148 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > System Options > Country Options
Seleccione el lenguaje del sistema y el formato de la fecha.
149. Page 149 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > System Options
150. Page 150 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > System Options > Date & Time
Ajuste la fecha y hora del sistema.
151. Page 151 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > System Options
152. Page 152 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > System Options > Sound
Ajuste el volumen del sistema y el volumen del sonido de video.
153. Page 153 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > System Options
154. Page 154 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Display Options
Ajuste el birllo de la pantalla.
155. Page 155 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > System Options
156. Page 156 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > System Options > Other Options
Ingrese el nombre del sistema , teléfono de contacto para asistencia, y
encienda el aviso de calibración pendiente.
157. Page 157 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Printer & Devices
158. Page 158 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Printer & Devices
159. Page 159 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Printer & Devices > Printer Options
Active o desactive la impresora, seleccione las características de impresión.
160. Page 160 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Printer & Devices
161. Page 161 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Printer & Devices> Bar Code Setup
Active o desactive el lector de código de barras y seleccione el formato de ID del paciente
162. Page 162 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup> Printer & Devices >Patient ID Bar Code
163. Page 163 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Printer & Devices >Accession No. Bar Code
164. Page 164 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Printer & Devices >Password Bar Code
165. Page 165 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Printer & Devices
166. Page 166 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Printer & Devices > Communications
Configure las comunicaciones.
167. Page 167 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Printer & Devices >Configure RS-232
168. Page 168 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Printer & Devices
169. Page 169 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Printer & Devices > Network Setup
Configure las opciones de red.
170. Page 170 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Printer & Devices > Printer Options
171. Page 171 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Printer & Devices
172. Page 172 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Printer & Devices > Email Setup
Configure la funcionalidad de envío automático de Email.
173. Page 173 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Printer & Devices
174. Page 174 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Printer & Devices > Remote Viewer
Configure la funcionalidad de acceso remoto.
175. Page 175 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Secured Options
176. Page 176 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Secured Options
177. Page 177 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Secured Options >System Access
Define las restricciones de acceso a las opciones del sistema- No restringido, limitado y restringido.
Acceso Restringido: todos los operadores deben ingresar un password
para usar el sistema.
Acceso limitado: Todos los operadores pueden realizar tareas de
rutina, como analizar muestras y reemplazar cartuchos sin ingresar un
password.
Acceso no Restringido: Todos los operadores pueden realizar tareas de
rutina sin entrar un password, y todos los operadores pueden acceder
a las opciones de configuración.
178. Page 178 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Secured Options
179. Page 179 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Secured Options >Operator Security
Define la ID del operador, el password tienen 4 niveles de acceso.
NB: Dos operadores IDs o dos passwords pueden ser idénticos.
180. Page 180 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Secured Options >System Access
181. Page 181 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Secured Options >System Access
182. Page 182 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Secured Options >System Access
183. Page 183 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Secured Options
184. Page 184 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Secured Options >Analysis Options
Seleccione Editar Demográficos, Salvar Demográficos, Mostrar resultados con marca ?, Lista
de pacientes y Rangos analíticos.
185. Page 185 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Secured Options
186. Page 186 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Secured Options >Interference Correction
Seleccione la opción de corrección de muestra venosa mixta. Se activa solo para reportar PO2 y tHB .
187. Page 187 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Secured Options
188. Page 188 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Secured Options >Screen Calibration
Calibre el touch screen
189. Page 189 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Secured Options
190. Page 190 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Salvar la configuracion en una usb.
Secured Options > Save Setup
191. Page 191 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Secured Options
192. Page 192 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Secured Options > Restore Setup
Restaura los datos de calibracion desde una USB
193. Page 193 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Secured Options
194. Page 194 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Secured Options > Software Installation
Instala una nueva versión de software del sistema.
195. Page 195 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Secured Options > Software Installation
196. Page 196 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Secured Options > Software Installation
197. Page 197 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Setup > Secured Options
198. Page 198 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Secured Options > Correlation Coefficients
Ajusta los valores de pendiente y offset
199. Page 199 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Q&A
201. Page 201 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Status Screen
202. Page 202 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen
203. Page 203 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen> Patients
Muestra un archivo que almacena hasta 250 muestras de paciente que han sido corridas.
204. Page 204 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen> Patients
205. Page 205 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen> Patients
206. Page 206 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen> Patients
207. Page 207 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen
208. Page 208 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen
209. Page 209 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen> QC
Muestra un archivo que contiene los últimos 250 QC resultados que hayan sido corridos.
210. Page 210 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen> QC
211. Page 211 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen
212. Page 212 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen
213. Page 213 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen
214. Page 214 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen
215. Page 215 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen> Calibrations
Muestra y grafica la fecha y hora de las ultimas 250 calibraciones realizadas.
216. Page 216 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen
217. Page 217 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen> Events Log
Muestra un archivo que contiene los ultimos 250 eventos que han ocurrido en el sistema.
218. Page 218 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen
219. Page 219 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen> Sample Totals
Muestra el total de muestras procesadas por cada analito.
220. Page 220 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen> Sample Totals
221. Page 221 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
No es informacion para el cliente.
Ingrese usando el Service Password, XXXXX52637, donde XXXXX son los 5
digitos del serial del instrumento. – ESTE PASSWORD NUNGA DEBE SER DADO A
LOS CLIENTES.
Recall Screen > Sample Totals > Service Data
FTP Server - Enter IP address of
RAPIDComm with dedicated line for data
collection
222. Page 222 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen> Sample Totals
223. Page 223 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen > Sample Totals > Diagnostics
No es para los usuarios.
Ingrese usando el Service Password
FS diagnósticos pueden ser realizados acá.
224. Page 224 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Troubleshooting > Simulator
Measurement Test
Nota: El sistema es probado 3 veces y por cada canal que es seleccionado por un
switch de posición en la parte frontal del cartucho simulador de sensores. El
sistema debe ser probado rotando el switch para seleccionar las posiciones HI,
Norm y LOW.
Instale el cartucho simulador de sensores.
Low
Coloque el Cartucho de simulación en LOW.
Presiones los resultados serán impresos.
Verifique los datos y asegúrese que el numero serial del cartucho de simulación
este impreso.
Fíjese en la impresión en la columna ‘L’ Chequee los valores actuales para toda
la columna:
‘0’ = Pass
‘F’ = Fail
Para los canales 6 & 7 chequee si los valores están dentro de los limites que
se encuentran en la tabla. Rechace si cualquier unidad esta por fuera de los
rangos.
225. Page 225 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Troubleshooting > Simulator
Test de medicion
Normal
Posicione el Cartucho de simulación de sensores en Norm.
Presione e los resultados serán impresos.
Fíjese en la impresión en la columna ‘N’ Chequee los valores actuales para toda la
columna:
‘0’ = Pass
‘F’ = Fail
Para los canales 6 & 7 chequee si los valores esta en los limites de la tabla.
Rechace si cualquier unidad esta por fuera de los rangos.
226. Page 226 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Troubleshooting > Simulator
test de medicion
High
Posicione el cartucho de simulación de sensores en la posición High.
Presione los resultados serán impresos.
Fíjese en la impresión en la columna ‘H’ Chequee que los valores actuales para
toda la columna:
‘0’ = Pass
‘F’ = Fail
Para los canales 6 & 7 chequee que los valores estén en los rangos de la tabla.
Rechace si alguna unidad esta fuera del rango.
227. Page 227 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Troubleshooting > Simulator
Diagnostic
Measurement
Test Printout
Name Mux channel
-LOW
limit
+LOW
limit
-MED
limit
+MED
limit
-HIGH
limit
+HIGH
limit
1 GND 1 -0.25 0.25 -0.25 0.25 -0.25 0.25
2 PO2 2 -25.00 25.00 790.00 970.00 2900.00 3600.00
3 HCO3 3 -1382.00 -968.00 -119.00 347.00 1145.00 1662.00
4 GLUA 4 -50.00 50.00 -460.00 -340.00 -3700.00 -3000.00
5 GLUB 5 -50.00 50.00 -460.00 -340.00 -3700.00 -3000.00
6 LACA 6 -50.00 50.00 -345.00 -255.00 -2750.00 -2250.00
7 LACB 7 -50.00 50.00 -345.00 -255.00 -2750.00 -2250.00
8 PH1 8 -1229.00 -809.00 -246.00 214.00 732.00 1232.00
9 K 9 -787.00 -349.00 39.00 511.00 870.00 1376.00
10 CL 10 -79.00 388.00 422.00 910.00 924.00 1432.00
11 NA 11 -649.00 -200.00 132.00 608.00 904.00 1411.00
12 CA 12 -173.00 291.00 594.00 1089.00 1051.00 1882.00
13 REF 13 -200.00 200.00 -200.00 200.00 -200.00 200.00
14 DAC 14 0.00 0.00 0.00 0.00 0.00 0.00
15 PH2 15 -1382.00 -968.00 -119.00 347.00 1145.00 1662.00
16 MG 16 NA NA NA NA NA NA
17 17 0.00 0.00 0.00 0.00 0.00 0.00
18 FD1 FD1 -350.00 650.00 750.00 1818.00 1850.00 3148.00
19 FD2 FD2 -350.00 650.00 750.00 1818.00 1850.00 3148.00
20 PRE NA NA NA NA NA NA
21 BLK NA NA NA NA NA NA
22 SAMP NA NA NA NA NA NA
228. Page 228 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen > Sample Totals > Diagnostics
229. Page 229 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Troubleshooting > Valve Alignment
230. Page 230 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Troubleshooting > Valve Alignment
•Asegúrese que la herramienta de alineación de la válvula este asegurada
sobre la base con el tornillo.
•Asegúrese que el tornillo manual este ajustado usando un
destornillador plano.
•Verifique que el indicador de la válvula marque cero ( 0 ±
0.0005)
•Si la lectura de la válvula esta fuera de lo especificado,
suelte el tornillo y ajuste el dial en cero.
•Re-Ajuste el tornillo . Asegúrese que la medida continua en
cero ± 0.0005
•Repita el proceso (para verificar repetibilidad.
•Asegúrese que la medición sea repetible cero ± 0.0005.
231. Page 231 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
M Valve Test
Instale la herramienta de alineación de la válvula en la interface del
cartucho del sistema.
Presione el embolo para ver que no golpee con la válvula M cundo este
ajustada.
Asegúrese que la herramienta de ajuste este asegurada.
Verifique que la herramienta esta ajustada usando un destornillador .Sea
cuidadoso de no apretar demasiado porque puede dañar el tornillo.
Presione
Presione la válvula se mover a la primera posición.
Presione la válvula se moverá a la posición 2
Verifique que la medición este 0 + 5.
Continúe, presionando hasta que la válvula retorne a la posición
2.
Confirme que la lectura se mantenga en 0 + 5.
Presione espere a que el contador baje.
Regrese a la pantalla de diagnósticos.
Remueva la herramienta de alineación de la interface del cartucho.
Regrese la herramienta a su base.
Troubleshooting > Valve Alignment
232. Page 232 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen > Sample Totals > Diagnostics
233. Page 233 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Troubleshooting > Temperature
Heater Test
Ingrese al modo de diagnósticos.
Presione los resultados serán impresos.
Verifique que el campo 2 esta en : MAIN.
Asegúrese que el campo 3 es mayor a 300
NOTE:Desde el arranque (frio), la temperatura deberá estabilizarse por 25 minutos.
Desde un inicio a temperatura, la temperatura deberá estabilizarse durante 15
minutos antes de que el test sea iniciado. Luego de este tiempo presione
TEMPERATURE. El STEADY conteo, campo 3, deberá estar por encima de 300
antes de chequear las lecturas. Es aceptable tener que repetir la medición para
asegurarse que el campo 3 es mayor a 300.
234. Page 234 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Troubleshooting > Temperature
Field Description Lower Limit Upper limit
1 NA NA NA
2 MAIN (If COV printed – close the door) MAIN MAIN
3 Steady State control 300 NA
4 DAC MAIN BLOCK NA NA
5 BLOCK TEMP 37.4 39.6
6 DAC Setting for Pre-Heater NA 700
7 PREHEATER 37.0 38.5
8 SAMPLE TEMP 36.85 37.15
9 CO-ox Sample Temp 36.65 37.35
Compare the temperatures with the following table.
235. Page 235 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen > Sample Totals > Diagnostics
236. Page 236 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Troubleshooting > Wavelength
Wavelength
Desde la pantalla de diagnósticos presione.
Asegúrese de lo siguiente:
Que el campo 1 es mayor a 1000
Que el campo 5 es menor que ± 1.0
Que el campo 6 es menor de 50000
Que el reporte de impresión reporte PASS
FIEL
D
Description Low
er
Limit
Upper
Limit
1 Mean Peak Counts (Average of Multiple Scans) 1000 NA
2 Standard Deviation of Peak Counts NA NA
3 Centroid Measured from Instrument on-board Neon NA NA
4 Centroid Stored from Factory Alignment Polychromator NA NA
5 Measured Wavelength shift in Pixels fields 3 - 4 -1.0 1.0
6 CMB Integration Time from last Zero Calibration NA 50000
7 Polychromator Serial Number NA NA
237. Page 237 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen
238. Page 238 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Software
239. Page 239 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen
240. Page 240 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Software
Copia 3 meses de datos de diagnostico a una USB. Envíe por Email a
siemens para un M-Cart. Remplazo y troubleshooting.
241. Page 241 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen
242. Page 242 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Software
3 Types of Sensor Data
Type 1 – Gives Sensor Performance Data
Type 2 – Gives CO-Ox Performance Data
Type 0 – Gives Software Performance Data
243. Page 243 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Recall Screen
244. Page 244 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Q&A
246. Page 246 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Enhanced
Communication
Options
Fast Time to
Patient Results
Extended Test Menu to
Include: Lactate &
Neonatal Total Bilirubin
Integrated Barcode
Reader
RAPIDComm and LIS
Connectivity Options
Proven AQC
Application
247. Page 247 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Ease of Use – Integrated Barcode Reader
248. Page 248 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Provides Positive Identification
Offers Multiple Configurations
Easily Accessible
Ensures Data Integrity
Meets Hospitals Needs Now and the Future
Offers Convenience
Ease of Use – Integrated Barcode Reader
249. Page 249 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
2D
1D
Positive Patient ID
Positive Operator ID
2D - Enhanced Information Possibilities
Compatible with common formats
Ease of Use – Integrated Barcode Reader
250. Page 250 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Hardware
On Board Barcode Scanner
251. Page 251 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Hardware
Remove the Allen hinge pin securing the front door at the bottom, and remove the front door.
Lay the door on its front side
252. Page 252 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Hardware
Remove the 4 screws securing the barcode reader housing. The end of the housing arm
hooks onto a rib on the door
253. Page 253 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Hardware
Gently disconnect the flex cable from the barcode reader interface board, then remove the 2
screws securing the barcode reader interface board to its housing and disconnect the USB
cable from the interface board.
254. Page 254 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Hardware
Remove the 2 screws securing the cartridge interface assembly and pull it slightly forward.
255. Page 255 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Hardware
Note the routing of the BCR cable through the notch in the Cartridge Interface Assembly.
256. Page 256 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Hardware
USB Board with On-Board Barcode Scanner
connected
257. Page 257 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Hardware
3 Available USB Ports
258. Page 258 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Hardware
Remove the rear cover and power supply module
Remove the 2 screws securing the USB board.
259. Page 259 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Hardware
Replacing the Printer
Rotate the paper cover down.2. Loosen the one captive screw at the top of the printer cover,
and rotate the printer cover down.
260. Page 260 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Hardware
Loosen 2 captive printer screws at the top of the printer.
261. Page 261 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Hardware
Remove 2 screws at the bottom
Use a flat-bladed screwdriver to pry off the paper advance knob
Disconnect the printer ribbon cable and remove the printer.
262. Page 262 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Hardware
Main Board Assembly
(New to RP500)
263. Page 263 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Hardware
Display Connection to Main Board
264. Page 264 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Hardware
New Style Hard Drive
(RP500 Only)
265. Page 265 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Hardware
266. Page 266 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Q&A
268. Page 268 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
• Reemplace el Wash/Waste Cartridge
• Reemplace el Measurement Cartridge
• Reemplace el Automatic QC Cartridge
• Reemplace el Sample Port
• Limpie y desinfecte la pantalla.
• Limpiar y desinfectar las superficies exteriores
• Vacíe el recipiente de ampolletas.
• Reemplace el papel de la impresora.
• Reemplace los filtros de aire.
Routine System Procedures
269. Page 269 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Cleaning & Disinfecting the Screen
and Exterior Surfaces
• Humedezca un limpión que no suelte hilos con Solución de hipoclorito de sodio al
0.5%
• Escoja el icono Clean Screen de la pantalla de Status.
• Mientras se limpia la pantalla son mostrados (20 segundos), Limpie la pantalla con el
limpión húmedo y séquela.
• Limpie la superficie exterior del sistema con un limpión húmedo y seque las superficies.
270. Page 270 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Emptying the Ampule Breaker
• Remueva el contenedor de ampolletas
del sistema.
• Vacíe el contenedor de ampolletas en
un sitio adecuado.(guardián)
• Si es necesario , limpie el interior del
contenedor de ampolletas con una
solución blanqueadora al 10%
• Reinstale el contenedor de ampolleta
271. Page 271 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Replacing the Printer Paper
272. Page 272 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Replacing the Air Filter
•Hale el seguro del filtro del aire del
sistema.
•Remueva el filtro de aire
•Instale un nuevo filtro de aire.
•Reinstale el seguro del filtro del aire al
sistema.
273. Page 273 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Q&A
275. Page 275 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
RAPIDComm Information Management System
276. Page 276 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
RAPIDSystems Product Portfolio
277. Page 277 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Connectivity Real Time View
278. Page 278 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Compatible with all current Siemens Diagnostics Critical Care Systems
Remote monitoring and control functions
Built on Standard Technology
Microsoft® XP Operating System
Microsoft® SQL Server Database
Key Features
279. Page 279 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Management
Provides powerful management tools to improve laboratory operations and
lower costs.
Clinical
Provides clinicians with critical care results, associated reference ranges,
hospital and patient demographics, a clinical interpretation of results, and the
last four patient samples from the database -- All in a single concise report.
Regulatory
All Quality Control, Maintenance, and Calibration records are stored and
readily accessible for inspection purposes. The program also schedules
maintenance, monitors compliance, and logs activity.
User
Intuitive point-and-click design, and online training module for easy operation.
Key Benefits
280. Page 280 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Q&A
282. Page 282 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Collecting Patient Samples > Fill Volumes
Sample Type
Collection
Collection
Device
Minimum Fill
Volume
Preparation
Arterial blood, venous
blood, or mixed venous
blood
syringe
• Expel air from the syringe and cap it
immediately after obtaining the sample
1 mL 200 μL
3 mL 800 μL • Do not use cork to cap the syringe
5 mL 1.5 mL
• Mix the sample thoroughly by rolling the
syringe between your palms and gently
inverting it several times.
capillary blood capillary tube 100 μL
• Fill the tube completely and cap it
securely
• Do not use clay or cork to cap the tube
• Do not use capillary tubes containing
mixing fleas
283. Page 283 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Analyzing Patient Samples
•Mezcle la muestra.
•Seleccione el tipo de muestra a analizar
en el sistema.
•Inserte la jeringa o capilar en el puerto
de muestra y seleccione Start.
•Remueva la muestra del dispositivo
cundo se le indique y seleccione continuar.
(botón a la derecha de la pantalla).
•Ingrese los demográficos del paciente o
use la ID del paciente (host Query) y
luego seleccione Continuar.
•View results.
284. Page 284 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Sample Analysis
Syringe, Capillary, Venous
285. Page 285 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Sample Analysis
Syringe, Capillary, Venous
286. Page 286 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Sample Analysis
Syringe, Capillary, Venous
287. Page 287 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Mixed Venous Sample Analysis
288. Page 288 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Sample Analysis > Remove Sample Device
289. Page 289 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Sample Analysis > Enter Demographics
290. Page 290 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Sample Analysis > Keyboard
291. Page 291 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Sample Analysis > Analyzing
292. Page 292 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Sample Analysis > Results
293. Page 293 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Q&A
295. Page 295 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
RapidQC Complete
An aqueous control for pH/blood gas, electrolyte,
CO-oximetry, and metabolite analysis
• Storage
• 24 months from date of manufacture, at room temperature
• Catalog Numbers
• Level 130ampules x 2.5mL/box SMN 10309925
• Level 230ampules x 2.5mL/box SMN 10309926
• Level 330ampules x 2.5mL/box SMN 10309927
296. Page 296 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
•Touch the button on Analysis Screen.
•Scan the barcode on the QC ampule.
•Open the ampule and attach the Quick adapter
•Insert the Quick adapter with attached ampule into the sample port and touch
Continue.
•Remove when prompted and touch Continue.
•View results.
•Parameters that fail Required QC will not be available for sample analysis.
Analyzing Required QC Samples
297. Page 297 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Analyzing Required QC Samples
298. Page 298 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Analyzing Required QC Samples > Failed
299. Page 299 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Analyzing Unscheduled QC
•Touch the QC ampule Button on the Analysis Screen
•Scan the barcode on the QC ampule
•Open the ampule and attach the Quick adapter
•Insert the Quick adapter with attached ampule into the sample port and touch Analyze
•Remove when prompted and touch Continue
•View results
•Parameters that fail Unscheduled QC will be available for sample analysis
300. Page 300 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Analyzing Unscheduled QC
301. Page 301 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Analyzing Unscheduled QC
302. Page 302 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Analyzing Unscheduled QC
303. Page 303 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Analyzing Unscheduled AQC
Touch the AQC Button on the Analysis Screen
Touch Analyze
Touch the level(s) to be run and touch Start
View results
Parameters that fail AQC will not be available for sample analysis
304. Page 304 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Analyzing Unscheduled AQC
305. Page 305 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Analyzing Unscheduled AQC
306. Page 306 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Analyzing Unscheduled AQC
307. Page 307 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Analyzing Unscheduled AQC
309. Page 309 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
One Point Calibration
• Occurs every 30 minutes
• 2 minutes to complete
• pH, pO2, pCO2, Na+, K+, Cl-, Ca++, and Glu.
• The system measures the 200 Cal calibrator on all sensors and adjusts for
cal. drift of all analytes.
Calibrations
310. Page 310 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Two Point Calibration
• Occurs every 2 hours
• 3 minutes 45 seconds to complete
• pH, pO2, pCO2, Na+, K+, Cl-, Ca++, Glu, and CO-ox Zero
• The system measures a combination of two calibrators, 200 Cal and Zero Cal,
and adjusts for cal. and slope drifts of all analytes.
• If the zero calibration for the CO-ox exceeds drift limits, CO-ox zero occurs
during the 1 pt. Cal until the drift error is cleared.
Calibrations
311. Page 311 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Full Two Point Calibration
• Occurs every 8 hours
• 5 minutes 30 seconds to complete
• All functions of a One and Two Point Cal and CO-ox Slope.
• If the zero calibration for the CO-ox exceeds drift limits, CO-ox zero occurs
during the 1 pt. Cal until the drift error is cleared.
Calibrations
312. Page 312 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Interruptible Calibrations
Touch the STAT button to abort the calibration. The system immediately
performs a wash cycle.
313. Page 313 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Interruptible Calibrations
System will decide if it’s quicker to stop the calibration
and wash or finish the calibration.
314. Page 314 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
The dialogue box will NOT contain a STAT button next to the
countdown clock.
Un-Interruptible Calibrations
315. Page 315 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Cartridge Initialization Timeline
Calibration # Sequence Time elapse
(min)
Time since last
cal (min)
Interruptible /
Uninterruptible
1 Full Two Point - - Uninterruptible
2 Two Point - - Uninterruptible
3 Full Two Point 20 Uninterruptible
4 Two Point 44 20 Uninterruptible
5 One Point 66 20 Interruptible
6 One Point 88 20 Interruptible
7 One Point 110 20 Interruptible
8 Two Point 133 20 Uninterruptible
9 One Point 155 20 Interruptible
10 One Point 177 20 Interruptible
11 One Point 200 20 Interruptible
12 Full Two Point 225 20 Uninterruptible
316. Page 316 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
The initialization and retrospective calibration (Retrocal) period is not complete until either
7.5 hours have passed or all of the following are true:
• Two scheduled calibrations have occurred after cal #12
• Both calibrations passed the first time with no need to repeat
• No samples were run between the two scheduled calibrations
So the Retrospective calibration period can be between 3.5 hours and 7.5 hours depending
upon system performance
Cartridge Initialization Timeline
317. Page 317 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Retrospective Calibration Sample
During the initialization period, if a patient sample is run the following
happens:
• The sample is analyzed
• The system washes out the sample with 200 cal and loads 200 cal over
the sensors
• The system performs a one point calibration
• Sample results are adjusted based on the calibration drift
The system will also perform this sequence under certain conditions like
detection of interfering substances.
318. Page 318 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Normal Sample
If a patient sample is run outside of the retrocal period the following
happens:
Loads patient sample
Performs electronic measurement of sample
Calculates patient data and sends it to UIP
Runs normal wash The sample is analyzed
320. Page 320 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Troubleshooting > D Codes
D2 - Excessive Drift
• System will recalibrate 2X
• Options are to manually initiate a cal, wait for the next cal, or remove M/C
D3 - Slope Error
• System will recalibrate 2X
• Options are to manually initiate a cal , wait for the next cal, or remove M/C
D4 - Offset Drift
• System will recalibrate 2X
• Options are to manually initiate a cal , wait for the next cal, or remove M/C
321. Page 321 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
D21 - Processing Error
• Reboot
D23:2 or 10 - No Wash detected at FD1 or FD2, respectively
• System will reload the Wash up to 2 more times
• If error not cleared, system prompts for W/W replace
D23:3 or 11 - No 200 Cal detected at FD1 or FD2, respectively
• System will reload the 200 Cal up to 2 more times
• If error not cleared, system prompts for M/C replace
Troubleshooting > D Codes
322. Page 322 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
D23:4 or 12 - No Zero Cal detected at FD1 or FD2, respectively
• System will reload the Zero Cal up to 2 more times
• If error not cleared, system prompts for M/C replace
D23:5 or 13 - No RCx detected at FD1 or FD2, respectively
• System will reload the RCx up to 2 more times
• If error not cleared, system prompts for M/C replace
Troubleshooting > D Codes
323. Page 323 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
D23:7 or 8 - No Wash segment detected at either FD1 or FD2
• Repeat Wash up to 2 more times
• If error does not clear, system prompts for W/W replace
D23:9 - No foam Wash detected at FD1
• System initiates aggressive wash to clear clot and checks FD1 up to 2 more times
• If error does not clear after 3rd try, system prompts for sample port replacement
• Error common on new M/C - with more blood less common
Troubleshooting > D Codes
324. Page 324 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
D33:1 Valve Error
• System must be restarted to clear
D35 - Electronics Error
• System must be restarted to clear
• D35:14 Door Error - check for something blocking the door
D38 - Temperature Error
• Qualifiers 1, 2, 3, 6, & 12 - Fatal error
• Qualifiers 4 & 5 - Non-fatal
• System may clear error and will need to be restarted
• Check temperature of environment
• Qualifier 3 & 6 out of box - leave system running for 1 hour and then restart -
error may clear
Troubleshooting > D Codes
325. Page 325 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
D39 - Obstruction
• System prompts for sample port change
Troubleshooting > D Codes
326. Page 326 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
D40 - Wash not Detected
• Detected during the prime of a W/W cartridge
• Prompts for W/W change up to 2X
• If error not cleared after 3rd attempt, system prompts for M/C replace
D60 - Communication Error
• Check cable connections
• Check IP addresses
Troubleshooting > D Codes
327. Page 327 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Bubble in Sample
• Will prompt for sample port change
Insufficient Sample
• Will prompt for sample port change
Refer to “System Messages” in the Troubleshooting and Calibrations section of the Service
Manual for a complete list of all Diagnostic Codes and Corrective Actions
Troubleshooting > Error Messages
329. Page 329 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Extensive Menu
Full Complement of Tests in a Single
Cartridge
Long Measurement Cartridge Use Life
Fully Customizable Patient Panels
Lactate and Neonatal Total Bilirubin
Total Bilirubin
Methodology Spectrophotometric
Lactate
Methodology Lactate Oxidase
330. Page 330 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Selection of reagents
AQC
zero
RCX
200
cal
wash
Foam
wash
Syringe
Cap
Vent
331. Page 331 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Bag Contents – M-Cart and Wash
332. Page 332 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Bag Contents - AQC
333. Page 333 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Calibration Points
334. Page 334 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
335. Page 335 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Inside The Sensor Module
Sample
Serpentine flow
preheater sensors Ref
336. Page 336 Siemens Healthcare Diagnostics
Siemens Confidential – Internal Use Only
Q&A