Operator Manual BT 1000 & BT2000 PLUS: P/N: MO04840-02ING
Operator Manual BT 1000 & BT2000 PLUS: P/N: MO04840-02ING
CHAPTER A
1. INTRODUCTION Page: 2
2. BASIC OPERATING PRINCIPLES OF THE ANALYZER Page: 3
3. SYMBOLS: explanation of the used or applied symbols Page: 3
4. BRIEF DESCRIPTION OF THE SYSTEM Page: 9
4.1. Front view of the analyzer Page: 9
4.2. Rear Panel Controls and Connectors Page: 10
4.3. Modules Page: 11
CHAPTER B
1. INSTALLATION Page: 2
1.1. Unpacking the Analyzer Page: 2
1.2. Installation Page: 4
1.3. Starting the instrument Page: 8
1.3.1. Turning on the instrument for the first time Page: 8
1.3.2. Preliminary checks Page: 10
CHAPTER C
1. FUNCTIONS Page: 2
1.1. Description of the Program Menu Page: 2
1.2. Operating Principles Page: 5
1.2.1. Computations Page: 5
1.2.2. Applied mathematical functions Page: 7
1.2.3. Initial computation Page: 9
1.2.4. Optimization techniques for Clinical Chemistry Page: 9
1.2.5. Methods Description Page: 10
1.3. Analyses Programming Page: 15
1.3.1. Creating a New Code Page: 15
1.3.2. Relation Tests Page: 16
1.3.3. Primary Analytical Parameters Page: 17
1.3.4. Check Parameters Page: 24
1.3.5. Secondary Analytical Parameters Page: 25
1.3.6. Automatic re-runs Page: 28
1.4. Controls Page: 29
1.5. Calibrations Page: 30
1.6. Creating Profiles Page: 35
1.7. Creating the Current Analyses’ Tray Page: 36
CHAPTER D
1. PERFORMANCE AND LIMITS Page: 2
CHAPTER F
1. QUALITY CONTROLS Page: 2
1.1. Inserting/modifying controls Page: 2
1.2. Data management Page: 4
1.3. Displaying and processing by lot pairs: Juden graph Page: 6
1.3.1. Westgard Graph Page: 7
1.3.2. Daily Chart Page: 9
1.4. Additional Functions Page: 10
2. POPULATION Page: 11
2.1. Analysis Selection (How to run a Query) Page: 12
2.2. Principal statistics formulas used in Population module Page: 16
2.3. Inserting external analyses Page: 18
2.4. Other menu functions Page: 19
3. PATIENTS’ ARCHIVE Page: 21
3.1. Selection (How to run a Query) Page: 23
3.2. Patients’ report Page: 25
3.3. Printing Reports Page: 27
3.4. Other menu functions Page: 29
CHAPTER G
1. DISPLAYING AND PRINTING RESULTS Page: 2
1.1. Results per Patient Page: 3
1.2. Results per Test Page 7
1.3. Displaying Real-Time data Page: 8
1.4. Reaction graphs Page: 10
1.5. Flags list Page: 12
CHAPTER H
1. ANALYZER TECHNICAL FUNCTIONS Page: 2
1.1. Service Functions Page: 2
1.1.1. Analyzer Utilities Page: 2
1.1.2. Mechanical Calibrations Page: 4
1.2. Diagnostic Functions Page: 6
2. ANALYZER SETUP Page: 9
CHAPTER M
1. WARNINGS AND PRECAUTIONS Page: 2
1.1. Potential risks during operation and maintenance Page: 2
1.2. Warnings and precautions Page: 3
1.3. Waste disposal Page: 6
1.4. Returning the analyzer to the T.A.S. Page: 6
1.4.1. Operating Analyzer Page: 6
1.4.2. Not Operating Analyzer Page: 7
1.5. Analyzer safe disposal Page: 8
1.6. Electric and electronic devices disposal Page: 9
CHAPTER N
1. MAINTENANCE AND CARE Page: 2
1.1. Preventive maintenance and Extra Wash Page: 2
1.2. Replacing tubing and accessories Page: 3
1.2.1. Clinical Chemistry Page: 3
1.2.2. Extra wash cuvettes Page: 5
1.2.3. Photometric lamp Page: 5
1.2.4. Dilutors’ piston o-ring Page: 6
1.3. Cleaning the instrument Page: 7
2. MALFUNCTIONS Page: 8
2.1. Troubleshooting Page: 8
2.2. Screen messages Page: 9
2.2.1. Screen messages - Causes and remedies Page: 9
2.2.2. Messages requiring technical assistance Page: 10
2.2.3. Optical system verification messages Page: 13
CHAPTER O
1. TECHNICAL SPECIFICATONS Page: 2
CHAPTER 1
1. ABBREVIATED OPERATING INSTRUCTIONS Page: 2
1.1. Turning on and preliminary procedures Page: 3
1.2. Inserting Reagents for Clinical Chemistry Page: 6
1.3. Analytical calibrations and Controls Page: 7
1.4. Entering Patients and Work Lists Page: 10
1.5. Running Tests Page: 14
1.6. Displaying and Printing Results Page: 15
1.7. Turning off the analyzer Page: 19
CHAPTER 2
2. WARRANTY CONDITIONS Page: 2
• Notes from the manufacturer Page: 3
• Parts/Instruments Return Authorization Page: 4
CHAPTER 3
3. ORDERING INFORMATION Page: 2
3.1. GENERAL TERMS AND CONDITIONS FOR SALE Page 2
3.2. Consumables for BT2000 PLUS Page: 3
CHAPTER 4
4. SOFTWARE EXTENSION:
Page: 2
Serial communication BT2000 PLUS <-> Host Computer
4.1. General Page: 2
4.2. Patient transmission to BT2000 PLUS Page: 2
4.3. Results reception Page: 3
4.4. Calculation of check-sum Page: 4
4.5. Wiring diagram of interface cable Page: 5
4.6. Variable communication protocol Page: 6
4.7. Serial communication test programs Page: 17
4.7.1. Program Comunica.exe Page: 17
4.7.2. Program BTPLUS.exe Page: 17
CHAPTER 5
5. INSTALLATION OF THE OPERATING SYSTEM Page: 2
5.1. Preliminary Phase Page: 2
5.2. Setup of the Operating System Page: 6
5.3. Completing the installation Page: 12
5.4. Settings of the Operating System Page: 14
5.5. Installation of BT2000 PLUS Program Page: 19
5.6. Upgrading the BT2000 PLUS software Page: 21
CHAPTER 7
7. BIBLIOGRAPHY OF ALLIED SUBJECTS Page: 2
CHAPTER 8
8. LIST OF APPLICABLE METHODOLOGIES Page: 2
The computer box of analyzer BT2000 PLUS and by-products is designed for long-
term security and reliability and is virtually maintenance-free as long as the user
does not install any third-party application programs. If these applications are
installed, then they may damage the operating system registry and may also
cause disastrous consequence for the computer's hard-drive. Biotecnica
Instruments S.p.A. will not be responsible for any damage to the analyzer, its
software and data in the hard-disk in case of improper use of the PC box. This
includes also: installation of external programs, not properly secure net
connections (intranet and internet) and the use of disks without the necessary
verification for viruses presence. Biotecnica Instruments S.p.A. will not be
responsible for any damage caused by non authorized third parties who may open
and alter the PC box configuration.
CHAPTER A
1. INTRODUCTION Page: 2
2. BASIC OPERATING PRINCIPLES OF THE ANALYZER Page: 3
3. SYMBOLS: explanation of the used or applied symbols Page: 3
4. BRIEF DESCRIPTION OF THE SYSTEM Page: 9
4.1. Front view of the analyzer Page: 9
4.2. Rear Panel Controls and Connectors Page: 10
4.3. Modules Page: 11
IMPORTANT NOTICE
The introduction of access passwords has been
rendered mandatory since 2004 for safeguarding
sensitive data (refer to CHAPTER E, paragraph 1.7.).
NOTE:
This manual is valid for both BT1000 and BT
2000PLUS. The following components are not
installed on the BT1000:
a) Reagent refrigerator
b) Barcode
c) Touchscreen
The analytical throughput of BT2000 PLUS is up to 250 tests/h and (up to 200 tests/hour for
BT 1000) for clinical chemistry.
The methods used are: End Point, Fixed Time, Kinetic, Initial-Rate (I.R.), Sample Blank
type A and B, Only Read, End Point 2 points, Sample Blank (A-b), Sample Blank (B-
b),Absolute End Point and End Point Starter. It is possible to store up to 500 different
test codes, plus “Relation Tests” with no limit. In the stored analyses list the operator can
generate customized test codes sequence of reagent plate in use, including the relation
tests.
During analyzer operation, the refrigerated reagents chamber ensures a longer stability of
the products in use.
The positive barcode identification of reagents position, eliminates any possible error during
the positioning of bottles.
It is possible to perform repetitions (“Re-run”) upon operator's request or automatically
(pathological results).
In case of hyperactive results, the test repetition can be performed with automatic dilution of
the sample, as programmed in the parameters page. It is also possible to run tests on
already diluted samples, thanks to the automatic data processing function.
Random positioning of samples and positive barcode identification. The bar-code feature
and the connection to the Host Computer allow the system to be fully automated.
An internal software manages the QUALITY CONTROL (statistics of control sera and
population) and PATIENTS’ ARCHIVE with data display and printouts.
Figure 1
Section I Chapter A System Description Page 2 of 11
2. BASIC OPERATING PRINCIPLES OF THE ANALYZER
The BT2000 PLUS is an automatic analyzer based upon the spectrophotometry principles.
The light absorption laws rule the performance of spectrophotometers.
The amount of light radiation that passes through a homogeneous absorbing medium is
defined as transmittance, T, where:
T = I / I0
I0 = incident light radiation intensity
I = transmitted light radiation intensity
The absorbance, A, (or extinction, E) is defined as:
A = log (1/T) = log I0/I
The Lambert-Beer law states the relation between absorbance, concentration of a
compound absorbing light and sample thickness:
A=εcd
ε = molar extinction coefficient of the compound absorbing light at a certain (λ) wavelength.
c = molar concentration of the compound absorbing light
d = optical path of the radiation into the solution
The absorbing spectrum of a compound is represented by a graph where the absorbed light
(= absorbance) is related with the wavelength. For a colored solution, the graph will show
one or more absorbance peaks. These may be in the visible part of the spectrum (400-700
nm) as in the ultraviolet (200-400 nm) region.
The BT2000 PLUS uses a photometric system specially designed by the R&D Dept. of the
Biotecnica Instruments S.p.A.
A light beam is sent through a cuvette that contains the solution that has to be read. The
exiting light beam is transmitted to a photometer containing 10 interference filters of
different wavelengths. The signal is amplified and then processed by the specific
electronics and by the computer. The program then makes all the necessary calculations
and controls, so that it can finally present the concentration of the compound in the sample
and the any irregularities found in the reaction.
The general principle upon which the photometry in clinical chemistry is based is the
following: the increasing or the decreasing of the color intensity in a specific solution is
proportional to the searched compound concentration. Generally speaking, when a sample
is added to a specific reagent, it starts a reaction carried out by specific enzymes or
substrates. This reaction causes the increasing (or decreasing) of the solution color inside
the cuvette. During the reaction process, the instrument “reads” it by means of its
absorbance. The final data processing is done with reference to a calibration or a
theoretical factor, so as to give at the end the concentration of the compound into the
sample.
5 3
8 9 10
Password (F7)
4 - To Insert/Modify Profiles
6 - To Insert Batch
8 - To Run Controls
9 - Analyzer’s Utilities
10 - Mechanical Calibrations
12 - No Results
13 - Reaction Graphs
Simply positioning the cursor on the icons the “hint” will appear (where available), showing a brief
description of the icon function. This is followed (when available) by the function key between
brackets, which allows for the same function or command as the icon. For example, the hint “Reset
(F5)” means that the function key F5 has the same function of the icon. In the same way, in each
menu are shown (when available) the quick commands (e.g. “Insert Batch” (Ctrl+B) means that the
same function is activated by typing simultaneously on the keyboard the keys “Ctrl” and “B”).
GENERAL ICONS
Reduces the window to the upper bar where the analyzer's name appears.
An icon representing refrigeration system operation has been added to the status bar in the main
menu. The "Refrigerator disabled" state may be necessary if the operator decides not to use the
refrigerator for reactions or after a refrigeration operating error generated by the system.
Catalog number
Manufacturer
Storage temperature
Expiry date
Biological hazard
Risk symbols
Direct current
Alternating current
Equipotentiality
ON (Main supply)
5 1
Fig. 2
Rear Panel
Fig. 3
IMPORTANT NOTICE:
The illustrated connectors on the Computer Box (Fig. 3 & Fig. 4) may not be the exact representation
due to possible design modifications without notice during the life of this manual. For correct
configuration of the computer panel, please check the panel of Computer Box on the analyzer rear
panel.
PHOTOMETER
CUVETTE
H2O WASTE
COMPUTER
MODULES:
SERUM 1 – COMPUTER BOX
REAGENT 2 – READING STATION
3 – POWER SUPPLY
4 – REAGENT MODULE
5 – SERUM MODULE
6 – SAMPLING ARM
Modules Arrangement
Fig. 5
CHAPTER B
1. INSTALLATION Page: 2
1.1. Unpacking the Analyzer Page: 2
1.2. Installation Page: 4
1.3. Starting the instrument Page: 8
1.3.1. Turning on the instrument for the first time Page: 8
1.3.2. Preliminary checks Page: 10
CAUTION
The analyzer is provided with four integral handgrips located on the left and right
sides of the base frame. To lift or move the instrument from one location to another,
always use the handgrips. ATTENTION: two persons are necessary to move the
analyzer.
Arrow Pointing
Upwards
Base
Spring Clip
Figure 1
Qty Description OK
1 ANALYZER
1 USER'S MANUAL
1 INSTALLATION DISK
1 WINDOWS SOFTWARE DISK
1 KEYBOARD DRIVER
1 UPS DRIVER
1 MB DRIVER
1 PRINTER DRIVER
Qty Description OK
1 WASTE PROBE, H2O INTAKE TUBE
1 1 UPS UNIT 1100VA (P/N 330.2132), 1 POWER CORDSET (P/N
330.6391).
1 TRANSPARENT OVERFLOW TUBE 50cm LONG
1 CORDLESS KEYBOARD & MOUSE (P/N 662.2057)
1 PRINTER (P/N 330.2172)
1 SURFACTANT CONC. 2x50 ml (P/N 392)
1 WASHING SOLUTION FOR CUVETTE 1 liter (P/N 393)
1 FUNNEL CAP OPENER, TOOL (90-05201-01)
2 FUSES 250 VOLT, 8A T (P/N 330.6342B)
1 QUARTZ HALOGEN LAMP 12V, 35W, 9° (P/N 330.9321)
1 ANNUAL MAINTENANCE KIT (662.2001)
1 CLEANING TOOL FOR SAMPLING NEEDLE (662.0629A)
2 CUBITAINER 10 LITERS WITH BOX (P/N 662.1010)
1 WASHING PISTON GRIP SLEEVE, TOOL (662.1025)
1,000 TRANSP. SAMPLE CUPS 2ml (667.1040)
50 REAGENT CONTAINER 50 ml (667.1084)
25 REAGENT CONTAINER 20 ml (667.1085)
25 REAGENT CONTAINER 10 ml (667.1086)
2 10 ml TUBES (667.1081)
1.2. INSTALLATION
The analyzer must be placed on a stable vibration-free-surface, level table or cart. It should
be easily accessible to the operator to load samples, consumables, reagents, etc. Ensure
that the table can bear the instrument’s weight (approx 70 Kg) and is large enough for its
dimensions (refer to Chapter M, paragraph 1. “Technical Specifications”). Avoid exposure to
direct light, heat, air streams and draught. The instrument’s left, right and rear sides must
be left free (min. 20 cm from the wall) to ensure the produced heat dispersion and easy
tubes and cables connection. Room temperature must not exceed 32°C. We recommend
placing on the same table the analyzer and its peripherals (max allowed distance: 1.5 m).
The printer can be placed in any location, always taking into consideration the paper feed,
the connections with the instrument and the power supply needs. It is very important to
place the analyzer away from strong electromagnetic fields, such as centrifuges, electric
motors, big refrigerators, X-ray instruments, etc.
The table must be near a wall outlet with earthing and differential switch (life-saving)
The analyzer refrigerator produces water condensation in the reagent chamber. This is
important for cooling the reagents in the bottles. In case of too much condensation, wipe it
off with a clothe without drying it completely (never do this operation with the analyzer on).
The instrument can be leveled by means of the four adjustable feet, to ensure the good
drainage of the condensation.
CAUTION
The analyzer is provided with handgrips located on the left and right sides of the
base frame. To lift or move the instrument from one location to another, always use
the handgrips.
NOTE:
All the components shown in the following figures may undergo modifications over the time.
Therefore, it is recommended to verify them accurately prior to any repair or installation
(refer to eventual specific manuals included).
ELECTRICAL CONNECTIONS
Connect main power cable from the instrument to the UPS and connect the latter to the
main wall outlet (Figure 2). Power circuit should respect current laws and have a good
earth connection.
FUSE
PRINTER POWER
ON-OFF ANALYZER
FROM UPS
Figure 2
CONNECTING MOUSE AND KEYBOARD
Keyboard and mouse are cordless, and work by radio transmission. The receiver with PS/2
adapter should be plugged into the appropriate port on the rear panel.
The receiver has two cables with colored connectors that should be plugged into the
respective ports of the same color. They are generally violet for keyboard and green for
mouse (Figure 3).
Receiver, mouse and keyboard should be already tuned. If not, then observe the following
procedure:
Turn on the analyzer, after program loading (system boot) is finished, press "connect"
button on the receiver, and then press "connect "button" on mouse. Next, press "connect"
button on receiver again and press connect button on keyboard (rear). Refer to Figure 4.
Connect buttons are generally located on the rear and can be pressed with the tip of the
pen or pencil. Test mouse and keyboard and eventually repeat the tuning operation starting
from the receiver. These devices need tuning only once.
Fig. 5
PRINTER:
Refer to Figure 5 for connections.
FLUIDIC CONNECTIONS
The external fluidic manifold (Figure 6) located at the bottom left of the rear panel has three
connectors dedicated to H2O intake, discharge of waste fluids, and a connector for
transparent fluid overflow tube. A transparent tube supplies double distilled water from the
external container. The waste probe tube discharges the analyzer waste (flowing from an
internal vacuum pump) to the external waste container. In addition, the tubes are fitted with
quick-connects having built-in shut-off valves, which in case of disconnection prevents
liquid spillage.
Overflow Tube
Fisher connector
Waste Probe
Waste
Probe H2O Intake
Fig. 6
The transparent tube (double distilled H2O plus Surface Active Agent i.e. tensioactive -
1ml every liter of water, ratio 1/1000) must be connected to the right connector (H2O
Intake). Its other end goes to the external water container. Connect the liquid level detector
cable (Fisher connector) and the drain tube of the waste probe to the middle connector
(Waste Probe). Insert the waste probe in authorized external waste container (Fig. 7).
Fisher Connector
LEVEL SENSOR
RED LED
DVD-ROM
FLOPPY
DISK
POWER BUTTON
COMPUTER
Fig. 8
DESCRIPTIVE TABLE
Wash the cuvettes with the proper solution Daily Before turning off
Extra wash of the cuvettes with acid solution Weekly When turning off
Figure 2
"Run Standards/Controls": Activates the procedure for running standard/controls.
"Export Data": Copies onto a floppy disk or any other desired location, the above-
mentioned parameters. There are two available options: "Back-up" (for exporting all the
analyses) and "Single Test" (exports the single tests).
"Import Data" Copies the above-mentioned parameters from a floppy disk or from any
other location. There are two available options: "Restore" (will import all parameters) and
"Single test" (imports single tests).
NOTE: when a single parameter is imported, it will be placed in the Global list of
analyses. The operator will have then to correctly place it in the Current tray.
Figure 3
Figure 5
1.2.1. COMPUTATIONS
♦ COMPUTING ABSORBANCE ("ABS")
End Point
ABS = Mean value of the last points in reading time- second phase - (max 3)
With subtraction of the Blank reagent.
Kinetics
• Linear regression computation
• ABS = (straight line coefficient) x 60 sec
Fixed Time
ABS = ∆ ABS (last reading in second phase – first reading in second phase)
Initial-Rate
• Linear regression computation
• ABS = Straight line coefficient
In case test is unstable:
• Linear regression computation
• Elimination of 49% of the most distant points from the straight line
• ABS re-computation
Sample-Blank (A)
ABS = Last reading of the second phase – last reading of the first phase x K*
* K = Volumetric factor
ABS = L2 - L1
Sample-Blank A-b
Blank: R1 + R2
1st phase: R1 + Serum
2nd phase: R2
Computation: (Last Reading 2nd phase –Last Reading 1st phase) – blank
Sample-Blank B-b
Blank: R2
1st cuvette: R1 + serum
2nd cuvette: R2 + serum
Computation: (Last Reading 2nd cuvette –Last Reading 1st cuvette) – blank
∑ (T
n
− T )( Li − L)
CC = 1 i
n n
∑ (L
1
i − L) 2
∑ (T
1
i − T )2
where:
n : Number of readings
i : Number of reading (i)
T : Times
L : Readings
♦ Linear Regression
n n
n ∑ ( L ) ∑ (T ) i
2
i
2
∑ (T L ) − n
i i
1
n
1
n
M= 1
n
n 2 (∑ Ti ) 2
∑ (T )
1
i − 1
n
n
⎛ n n
⎞
∑1 Li ⎜⎜ n ∑1 Li ∑ T ⎟⎟ i
− ∑ (Ti Li ) − n 1
n ⎜ 1 n n ⎟
⎜ ⎟
Q= ⎝ ⎠
M
where:
M : Angular coefficient for the line
Q : Final point for the line
X : Point Abscissa
Y : Point Ordinate
♦ Distance between two points
X − x0
Y= ( y1 − y 0 ) + y1
x1 − x0
where:
X : X axis
Y : Y axis
x0 : First Point X Axis
x1 : Second Point X Axis
y0 : First Point Y Axis
y1 : Second Point Y Axis
A2 A3
A1
Fixed Time
In this type of reaction, there is an increase (or decrease) of the absorbance during both
incubation’s and reading’s phases. However, the slope of the line may not be the same during the
two phases. The reaction graph displayed to the user is not always linear, but can also appear as
piecewise linear. This is because the graph is obtained by the union of the read points that may not
be aligned. A regression line is calculated during both incubation’s and reading’s phases. These
provide the user with information about the correct evolution of the reaction. During reading time,
the absorbance delta (∆A) is also computed, which is used for calculating the final concentration for
the analyte in the sample.
It may happen, due to a physical delay, that the instrument does not respect the timing and that
tests are read at a different final time from the one set in the parameters. In this case the analyzer
performs one more reading, traces the regression line between the last two points, moves to the
exact reading time and derives the correct absorbance value from it.
Concentration is calculated by multiplying the absorbance delta (during reading time) by the factor
obtained from the calibration:
Conc. In Sample = Factor x (A3 - A2) (A3 - A2) = ∆A
A1 A2 A3 A1 A2 A3
A1 A2 A3 A1 A2 A3
DELAY TIME INCUBATION READING TIME DELAY TIME INCUBATION READING TIME
TIME TIME
A2
A1
R1+S R2
A1
A2
R1+S R2+S
A1 A2 A3
Only Read
This method is used to read in End Point solely the sample, with a reagent blank. It can be used to
read an already prepared (manually) solution. The factor for the computation can be either derived
from calibration or set by the user:
Conc. in Sample = Factor x final A
The "End Point", "Fixed Time", "Kinetic" and "I.R." methods allow, both with single and double
reagent, the use of a special feature called Serum Starter. Normally, during test runs, the arm
samples single or double reagents plus sample. By using the Serum Starter function, the reagents
are placed into the cuvette first and then the sample is placed separately. In this way, the reagents
can incubate in the cuvette for the programmed time, before the sample is added which starts the
reaction.
S.S. = Serum Starter, Tr = Delay Time for R1 and R2, Ts = Serum Incubation Time, L = Reading
The way the Reagent Blank and the Reaction’s Dynamics are used is tabulated below:
End Point Reagent blank. Final reaction datum detection (at the end of programmed time for
incubation and reading) and concentration’s value computation.
Fixed Time Reagent’s reading check. Data detection during programmed reading time, absorbance
delta determination (∆A) and concentration’s value computation.
Kinetic Reagent’s reading check. Data detection during programmed reading time,
determination of the absorbance delta per minute (∆A/min.), processing of the linear
regression and computation of the concentration's value.
Initial Rate Reagent’s reading check. Data detection during programmed reading time,
determination of the absorbance delta per minute (∆A/min.), processing of the linear
regression and computation of the concentration’s value.
* During "Only Read" (End-Point) analyses, the analyzer uses the reactive just to prepare the
reagent blank. The analysis’ procedure requires then to sample at least 300 µl from the final solution
in the sample cups and pour it into the cuvettes for the reading phase. Only single reagent use is
allowed.
For the "End Point", "Kinetic", "Fixed Time", "Initial-Rate" and "End-Point 2 Point" methods it
is possible to use single and double reagent methodologies. The "Only read" method uses only a
single reagent, and the "Sample Blank" (A) & (B) methods require exclusively double reagent
methodologies.
Figure 6 Figure 7
The analysis programming page can be accessed from the main menu ("Tests") or from
the specific icon that gives direct access (see Chapter A, paragraph 3., icon n°1 in the
Function Icons Bar) (Fig. 6).
To set out new analyses it is necessary first to create the code (this function is enabled only
in the "All Tests") and then to assign the parameters, the standards and the controls
(these are enabled also in the "Current Tray"). To perform any test it is necessary to move
its code from the "All Tests" to the "Current Tray" by using the command "Modify
Current Tray" (Function Icons Bar, icon n°2). Once the Current Tray is created, it will be
possible to assign a position to each reagent bottle.
Figure 8
Once the code has been created for the relation test (as shown in Fig. 8), it is possible to
program its general parameters and the related mathematical function. In the analyses list
click on the code (the check symbol will be displayed), then select "Parameters".
Figure 9
In the parameters window (fig. 9) enter the following information:
"Name": complete test name
"1st Unit": measurement unit. Clicking on the "2nd Unit" it is possible to enter a secondary
unit, with its conversion factor (the analyzer will multiply the 1st unit by the given factor).
"Supplementary Factor": The result of the mathematical function will be multiplied also by
this value. This is simply an additional calculation offered by the analyzer.
"Normal Range": insert the min. and max. values of the normal range for male, female and
child.
"Decimals": it is possible to choose the number of decimals after the point. Leaving the
"Automatic" option the analyzer will follow this principle (floating point):
for values like 0.XXX three decimals
for values up to 9.XX two decimals
for values up to 99.X one decimal
for values over 100 no decimals
To enter the mathematical function select "Function"
Section I Chapter C Functions - Analyses Prog. - Ctrls - Calib. Page 16 of 35
Fig. 10.a Fig. 10.b
A window divided in two parts will be displayed: one for the calculator and one for the
analyses list (current tray), Fig. 10. The mathematical function can be composed of simple
values and operations or can recall sample results acquired by the analyzer (serum and
urine) on other tests (complex function). To enter a simple mathematical function avail
yourself of the calculator. To enter a complex function, select the code of the test to be
inserted into the function. A small field will appear, where it is possible to select between
serum or urine results for that test. Then complete the function with the needed operations.
To create more complex functions (involving more than one test’s result) it is advisable to
use the parenthesis as for all normal mathematical functions. Ex. For the creatinine
clearance with urine/24h = 900ml [(urine CRE x urine ml 24/h)/(serum CRE x 1440)] the
formula would be: ( [CRE&U] * 900) / ([CRE&S] * 1440).
The button "Test Function" (Fig. 10.b) is used for checking the relation test result from the
analyzer, based on values given to the tests involved in the function. This option is useful
for verifying the correct use of values and parenthesis in the formula.
The other options (Figure 9) available are:
"Save": saves and exits from the window.
"Print": prints parameters.
"Cancel": exits without saving.
Note. The relation tests can be inserted into the available analyses’ list for the current tray,
even if they have no determined reagent position (refer to paragraph 1.7. "Modify Current
Tray"). The result for a relation test can be returned only if both the test itself and all the
other analyses involved in the function are present in the current reagent tray.
The first screen shows "Primary Parameters", to display the other screens click on the
corresponding tags.
Figure 11
"Test methodology": In this field the reaction principle used for the test can be specified
(for example: Jaffè, IFCC, etc.). This option is useful when recalling the tests from the
QUALITY CONTROL archive, in accordance with different principles, during the function
"Data Processing".
"Method": This parameter defines the main methodology for the analysis. To program
move the cursor over "6" and select the chosen method. The available methods are
detailed in paragraph 1.2.5. of this chapter.
Figure 12
"Kind of process": defines the kind of test’s calibration: "linear", "with factor" or "with
curve". The following choices are available:
Available Methods (Fig.13)
End Point
Kinetic
Fixed Time
Initial-Rate (I.R.)
Sample Blank type (A)
Sample Blank type (B)
Only Read
End Point 2 Points
Sample Blank (A-b)
Sample Blank (B-b)
End Point Starter
Absolute End Point
Figure 13
Section I Chapter C Functions - Analyses Prog. - Ctrls - Calib. Page 18 of 35
"linear": This function is used for linear reactions, it requires analytical test calibration to
process computing factor.
"with factor": It is used for linear reactions whenever the computing factor is known.
"with curve": Non-linear tests, distinguished by:
Polynomial: It is used for non-linear tests. Here an almost perfect cubic approximation
curve is generated, which lacks infinite approximations on too distant points.
Cubic spline: It is used for non-linear reactions. A cubic interpolation is created for solving
the problems of polynomial curve in some particular cases; the approximation is zero on
the points, not flex point free.
Log-logit 4 and Log-logit 5: It is a logarithmic approximation on four or five points, used
for non-linear tests.
Multi-point: Linear interpolating function for several standard concentrations (max 6). It
mathematically extrapolates data that are out of calibration’s limit.
Minimum squares: Used in non-linear reactions. A minimum squares approximation is
created for solving the problems of polynomial & spline curves in some particular cases
and is flex point free.
Line for two points: Used for linear reactions. It requires analytic calibration of the test.
Processes the passing line for two different concentrations. Represents FACTOR (SLOPE)
and INTERCEPT (SHIFT).
"FILTER": The operator can select the desired filter value for the "1st Filter" and the "2nd
Filter" (reference filter) from the available filter wavelengths: 340, 380, 405, 436, 480, 510,
546, 578, 630, 700 nm (Figures 14 and 15).
For the tests in bichromatism, click on the "1st Filter" and select the desired filter value
from the cascading window and then go to "2nd Filter" and select the desired filter value
from its cascading window (1st position has empty field).
For the tests in monochromatism, select the desired filter value in the "1st Filter"
cascading window. Since the second filter is not used in this test, therefore select the first
position (empty field) in the cascading window of "2nd Filter". In this case the analyzer will
use a "reference filter" only to stabilize the readings.
Figure 14 Figure 15
"Reaction direction": select the kind of absorbance variation to be checked during
reaction. The following choices are available:
(h) "Increasing"
(h) "Decreasing"
(h) "None"
Selecting "None" excludes the possibility of controlling the reaction direction, and in
addition no control is performed on the flags of ABS Limit and out of range reagents. This
function is useful when testing new methods.
Figure 16
"Volume µl": enter the reaction volumes for each reagent expressed in µl selecting the
corresponding tag (Reagent #1 and Reagent #2, see Fig. 16). Always bear in mind that the
minimum volume for the final solution (reagent + sample) is 280 µl, while the maximum allowable
volume is 700 µl.
"Concentrated": this field refers to concentrated reagents. If ready-to-use reagents are used this
option should be disabled. If the program for volume of the "Concentrated" is enabled, then insert
in the "Volume µl" text box, the volume of the concentrated reagent that the analyzer will withdraw
for sampling, select the type of diluent to be used: if double distilled water "Dilution with water" or
dedicated diluent "Dilution with solution". Write in the apposite field "µl Diluent" the volume of
diluent to be added to the concentrated reagent. For example: for a dilution ratio of 1:3 write 100µl
for the concentrated reagent and 200µl for the diluent. The dedicated diluent is considered by the
analyzer as a further reagent and will therefore take a position of its own in the reagents’ tray. If the
diluent is the distilled water, the analyzer will take it from the main reservoir.
"Sample": clicking on the button will open the window where sampling parameters for "Serum" and
"Urine" can be programmed (Fig. 17 and 18). The "Serum" card is displayed first. To move
between the "Serum" and "Urine" cards, click on the desired tag. The user can enter the following
information:
Figure 17 Figure 18
NOTE: for diluting serum samples the analyzer will use the diluent (saline solution) while for
urine samples, the analyzer will use bi-distilled water.
"Times": this command allows setting of incubation and reading times. Move the mouse cursor
over "Times" command and click to confirm; a form appears on a side of the screen with
programmable fields (Fig. 19). The user can then enter the following information:
Figure 19
Figure 20 Figure 21
Select the "Check Parameters" table (Fig. 20 and 21). To set a given parameter, move the cursor
on its corresponding textbox and click to confirm.
The user can enter the following information:
"Reagent limit (mABS)": this parameter indicates the limit absorbance (ABS) value that is
acceptable for the reagent (maximum for increasing reactions, minimum for decreasing ones) and it
is expressed in mABS. If reagent’s absorbance is beyond this limit, the analyzer will check the
results with "O" flag (Reactive out of limit). This parameter allows monitoring reagents quality as
well as checking any variation from the specific techniques. The parameter is identical for the serum
and urine.
Note:
This control has the highest priority on all the other check flags and inhibits the automatic
repetition functions.
"Curve Acceptance (%)": C.C. = Correlation Coefficient. This is only applicable to kinetic type test
(fixed time, kinetic and initial rate). The programmable values range from 0% to 100%. This
parameter is identical for both serum and urine and indicates the acceptability limit for any data
instability that is detected during programmed reading time. If this value is exceeded, the final result
will be checked with a "±" flag (Unstable Sample – C.C.% greater than assigned value).
"Test limit (Conc)": This parameter is used in all methodologies and it allows verification of the
final concentration of the analyses. It represents a threshold value beyond which the analyzer
detects an out-of-linearity condition (hyperactivity). With "Re-run hyperactive" check enabled (refer
to paragraph 1.3.6. "Automatic re-runs"), the analyzer will automatically re-run the test, diluting the
sample as programmed in the serum parameters, in order to bring the reaction into linearity range.
The final result is automatically multiplied by the dilution factor and will be checked with "I" flag (=
Hyperactive Sample – out of Test Limit-).
"Initial ABS (mABS)": This parameter is used only for the methods "Kinetics", "Fixed Time" and
"Initial-Rate". It is expressed in mABS and defines the limit for the total absorbance (reagent +
serum) expected for this test. The first reading of the incubation phase is compared with this value.
If the read value is greater than the parameter, the analyzer will consider that as a possible
interference of serum in the reaction (for example: lipemic serum), thus marking the final result with
"~" flag (= Serum Interference).
"Final ABS (mABS)": this parameter is used only for the methods "Kinetics", "Fixed Time" and
"Initial-Rate". It is the last reading of the reaction expressed in mABS; it indicates the limit (upper
limit for increasing analyses, lower limit for decreasing ones) beyond which the analyzer detects an
out-of-linearity test (hyperactivity). With "Re-run hyperactive" check enabled (refer to paragraph
1.3.6. "Automatic Re-runs"), the analyzer will automatically re-run the test diluting the sample
(refer to Chapter E, paragraph 1.4. "Samples") in order to bring the reaction into linearity range.
The final result is automatically multiplied by the dilution factor and will be checked with "A" flag (=
Hyperactive Sample – out of final ABS Limit-).
Figure 22
After selecting the "Secondary Parameters" (Figure 22) to program click inside the
desired parameter textbox and confirm.
The user can enter the following information:
"1st Unit": Enter the measurement unit in this field. Click on the "2nd Unit" to enable it for the
second unit of measurement. Instantly a new textbox will appear where the operator can type in the
second unit of measurement and the conversion factor between the two units. In case of two units of
measurements, the test value is expressed in two results. In the analytical calibrations the "1st
Unit" of measurement is used.
1St Unit (Urine): by selecting Urine it is possible to enter a specific unit of measurement and then
the conversion factor between the unit of measurement expressed in serum and that expressed in
urine.
N.B.: always remember that the calibrations are made with the parameters assigned to
serum, so this should be taken into account for urine analyses.
"Reagent Blank Timing": This parameter is used for automatic determination of the ABS value for
the reagent. Select, among available choices present in the "Reagent Blank" timing list (see Fig.
22), one of the following:
(h) "Every run": The absorbance determination for the reagent will be performed at every
work start-up.
(h) "Every day": The absorbance determination for the reagent will be performed once a
working day (when the first working list of day is started).
(h) "up Hour": The absorbance determination for the reagent will be performed at the time
intervals as programmed into the "Hour" and "Minute" boxes. For example, setting "02"
hour and "00" minutes, determination will be performed every two hours. To set the value,
press "v" or move the mouse cursor inside the dedicated box and enter directly the value.
"Decimals": If this parameter is used with the "Custom", then it sets the number of decimal places
that should be used to represent numerical results of the tests. Alternatively, if the decimal places
are not programmed "Automatic", then the analyzer automatically sets the number of decimal
places in accordance with "floating point" algorithm.
NOTE: When the following parameters are used at the same time: Instrumental factor and Shift (in
secondary analytical parameters), External dilution factor and Urine 24/h (in the patient’s data), the
calculation made by the analyzer will be as follows:
[(test result x External factor x Instrumental factor) + Shift] x Urine 24/h
ATTENTION: if the calculation of the result (with instrumental factor and shift) gives a value less
than zero, <NC> (not calculable) will be displayed instead of the result and the associated flag will
be M: Error in the parameters (instrumental factor and shift): By opportunely correcting the
instrumental factor and shift parameters and running the calculation again (with the Correction
function chap. G par. 1.1) it is possible to convert the <NC> result to a valid number.
* The factor will be around 0.1, since the exact relation is given by the relation of volumetric factors,
however the relation vol. S / vol. U can be used as a good guideline.
Note:
Reporting the first and second result when automatically re-running pathological and
hyperactive tests: in case of automatic re-run of hyperactive and pathological tests, the analyzer
displays and prints in real time a compressed report. The report shows the results obtained from the
first and second determination naming them first and second result. However, one should bear in
mind that in the patients archive only the second result is stored, the one obtained after the
repetition. If printing is set in real time in "report" format (see Setup Chapter H, par. 2), the printed
result will only be the second one, just like for the patient archives printing.
Figure 23 Figure 24
The first displayed tables are "Level 1" for "Known" and "Unknown" controls. To select
move onto the desired tag title and click to confirm (Fig. 23).
"Known": To program move the cursor over desired boxes and confirm. Enter "Lot name
or number", theoretical value, and low & high limits. Enter "Sample position", already set
to controls in the section "Setup Analyzer" included in the inner ring of samples’ tray.
"Unknown": Enter "Lot name or number" and "Sample position". Reserved positions are
those already set in the program "Setup Analyzer", which are shared with known ones.
"Timed re-run": With this program it is possible to set automatic controls run for a selected
analysis. For each control it is possible to enter the time of automatic execution. Move over
"Timed re-run" field and check the box.
It is possible to enter intervals of days and hours for automatic controls run (Fig. 24):
"upon Date" (daily interval): Select the function and set interval days, then enter test
running time (for example 1 08,30 means every day at 08,30 or in any case at start up).
"upon Hour" (hour interval): Select the function and set the desired interval, hours and
minutes.
Every day or when the preset time expires, the analyzer will automatically alert the user that
there are controls to be run. If reagents and controls are present, then the user can directly
confirm to execute the tests.
"View used positions": This command displays the test disposition.
Figure 25
Figure 26
Reagent ABS: each time a reagent blank is executed for the analysis, the measured value is
updated in this window. If Dynamic blank is enabled (subtraction of the reagent photometric
variation, see par. 1.3.3. Primary Analytical Parameters and following paragraphs) the
measured reagent ABS value is displayed, plus the variation determined during reading of the
blank.
% from last Calibration: parameter which checks the percentage between the executed and
previous calibration. It compares the determined factor with the memorized one. After a variation
above the programmed limit, a warning is given and the previously memorized factor is not
changed.
View used positions: opens a single box to represent the position of tests in relation to the
sample tray.
Enable Auto Adjust: this parameter enables or disables automatic modification of the tests
results if another calibration is executed when running patients. The user must be enabled to the
access level (by password) to modify this parameter.
Last standardization: display box for the date and time of the last test calibration (with positive
result). By double clicking on the box it is possible to view the data of the previous positive
calibration, this can be re-loaded with the Reset command if desired.
Timed re-run: parameter used to program automatic calibration execution. Once the
programmed standardization time has elapsed, the analyzer sends a warning message and if the
reagents and standards are present, calibration can be directly executed. Enter the
standardization time by enabling the check and program the intervals in days and hours:
By Date: select the function for programming the interval days, then indicate the test
execution hour (e.g. 1 08.30 means every day at 8:30 or each time the analyzer is turned on).
By Hour: select the function and program the desired time interval, in hours and minutes.
Print: command for printing the programmed parameters.
Save: command for memorizing and exiting.
Cancel: program for exiting without memorizing changes.
Non Linear analyses require from 3 to 6 standards. If the process type is Multi Point the number to
enter in the Number of Samples box varies from a minimum of 2 to a maximum of 6. In the
analyses with Log logit 4 & 5 curve, programming is the same by the required positions are 4 and
5, respectively.
Select the number of standards to be used to construct the curve. The fields for entering the position
and concentration of the various standards appear automatically. The values in the ABS boxes are
automatically updated during the calibration phase, if known they can be entered by the operator.
Programming is similar to that for analyses with factor, but here automatic standard dilution is also
available.
To use the standard pre-dilution function program the positions of the standards and enter the
calibrator concentration (the most concentrated point of the curve) at the first pre-selected position.
Then click on the Automatic Dilution box. Three new fields will open:
Figure 27
Dilution: sets the dilution relation. The analyzer will automatically calculate and update the scalar
concentrations starting from the highest concentration value already present in the fields.
Place the cup with entire standard on the sample tray in the assigned position, plus a number of
empty cups equal to the subsequent standards. The serial dilutions used to build the curve will be
prepared in these cups.
Dilution with solution: used to select whether to dilute the sample with physiological solution
(located in the specific test tube to the right of the I.S.E. arm) or with bidistilled water taken from the
external tank.
Use Zero Point: used to automatically reset the concentration of the lowest point of the curve to
zero. During the predilution phase of the standards the analyzer will dispense the pre-selected
diluent (physiological or water) in this position.
For all the tests with calibration curve, the analyzer will warn the operator if samples (patients) have
results above or below the calibration curve with a flag (below curve "<" and above curve ">") next
to the result. It is possible to select automatic re-running for samples outside the curve in the control
parameters (see par. 1.3.6 Automatic repetitions). When the absorbance of the least concentrated
point of the calibration curve (or point with 0.0 concentration) is negative, it will be automatically set
to zero, in order to prevent false results, for example concentrations with a minus sign.
It is possible to normalize the memorized calibration curves, using a single calibration point (see
below).
Section I Chapter C Functions - Analyses Prog. - Ctrls - Calib. Page 32 of 35
Normalization procedure for memorized calibration curves
Check Re-calibration on single point to enable. In the Calibration point box enter the number of
the position occupied by the calibrator selected during construction of the previous curve and enter
the new position desired for placing it in the Sample position box. Once reading of the standard
has been completed, the analyzer checks the percentage offset obtained from the memorized
datum, it then reprocesses and mathematically changes the remaining ABS values of the standards
that are already part of the curve thus normalizing the entire calibration.
The fields Reagent mABS, % from last calibration, View used positions, Enable auto adjust,
Last standardization, Timed re-run, Print, Save and Cancel have the same programming and
functions described for linear calibrations.
Use serum Pre-dilution: if in the sample primary parameters (par. 1.3.3.) a pre-dilution ratio has
been set, it is possible to perform the standards pre-dilution with the same ratio as for the sample.
Graph: command for displaying the interpolation graph of the memorized curve. The curve and data
are represented on the graph display page.
Figure 28
Figure 29
Creating a profile: click over "New" button: the "Profile Name" textbox will appear. Enter
the name for the profile and click on "Analyses": this will open a window where it will be
possible to select the analyses for the profile. Click "Save" to store the selected analyses
(Fig. 29). It is possible to enter in the "Code for Bar-Code" field a numerical code. The
analyzer, when reading the bar-code labels of Patients, will recognize it. This code is used
for completely computerized acquisition of the analyses assigned to the patient.
To update an existing profile, select it from the list and click on "Modify", and then proceed
as outlined previously. To delete an existing profile, select its name and press "Erase",
confirmation is requested prior to erasing.
Attention: during the patient acquisition, only the analyses present on the tray are
displayed for each profile.
Figure 30
The function "Create/Modify current reagents' tray" creates the list for the reagents
placed on the tray. It can be accessed from the "Tests" main menu or from the specific
icon that allows direct access.
Into the window (Fig. 30) the "All tests" list ("Available") is displayed and adjacent to it ("In
Tray") the tests for the current tray are listed.
To create the reagents’ tray list, select one or more (CTRL+mouse for multiple selections)
tests from the left window then transfer them with arrow commands " " (move single test or
selection) or " " (move all available tests).
To remove from the current tray list select and transfer codes with commands " " (single or
selection) or " " (all available). Once tests are transferred, the analyzer automatically
assigns the positions and the type of bottles, but the user can modify both according to his
needs.
To modify, select the desired test in "In Tray list" and then move the cursor in "Position #"
textbox. Now enter directly the number or use up/down arrow keys "v" to scroll. Bottle size
can be selected by checking "hLarge" or "hSmall". There is also a field for selecting the
volume of available bottles.
In case of "Double Reagents" or "Concentrated", to be diluted with solution, positions
and bottles’ type are displayed for each product. It is possible to use the same reagent
position for several analyses.
The creation of the current reagents list is automatic when the Bar-Code option is enabled
(refer to Chapter I).
The Relation Tests can be entered in the analyses tray. They are placed at end of the
generated list and no physical position is assigned to them.
"Save": Memorizes data and exits.
"Exit": To leave (exit) the program without saving.
"Print": To print data in the current tray.
NOTE:
This manual is valid for both BT1000 and BT
2000PLUS. The following components are not installed
on the BT1000:
a) Reagent refrigerator
b) Barcode
c) Touchscreen
PERFORMANCE
Operating Mode “Random access”
Methods Tests for Clinical Chemistry and Immune-Chemistry
Test Mode Routine, Batch, Emergencies (STAT), Profiles
Tests on line 48 refrigerated reagents + Relation Tests
Tests in memory 500 single- or double- reagent + unlimited Relation Tests
Test Reruns Automatic or on demand
Calibrations and Controls Automatic or on demand
Automatic Profiles Automatic execution of related profiles or on demand
Measurement Direct reading of 25 cuvettes (made of special optical glass)
Samples Tray Capacity 52 positions for Samples & STATs, 26 for Standards and Controls
Bar code scanner 2 separate scanners for positive identification of samples & reagents
PHOTOMETER
Optical System Solid state photometry, (patented by Biotecnica Instruments S.p.A.)
Detectors 10 silicon photodiodes for UV/Visible +1 reference channel
PRECISION AND ACCURACY
Spectral response: 340, 380, 405, 436, 480, 510, 546 578, 630, 700 nm
Bandwidth: ± 5 nm max
Photometric precision: ± 1% from 0 to 2.000 O.D., ± 2.5% at 2.400 O.D.
Photometric sensitivity: ± 0.001 ABS
Drift: ± 0.005 ABS/h (steady state)
Light path: 7 mm
Light source (Photometer): Reflectorized Halogen dichroic lamp, 12 VDC, 35 Watts
Life hours: Approximately 2000 hours
NOTE: For optimal result the lamp can be used for about 1,500 hours. The long-term use will result in the gradual
deterioration of the UV emission.
VOLUMES
WORKING SOLUTIONS
Clinical Chemistry
Reaction Volume: 280 µl min. to 700 µl max. (double reagent)
Sample Volume: 1 to 100 µl
WASHES VOLUMES
Clinical Chemistry Washes
H2O single wash of cuvette: 5 ml (approximately)
H2O Single wash of Needle: 2 ml (approximately)
Consumption per test: 7 ml (approximately)
Operating Limits
The instrument cannot guarantee the preceding performance specs in the following conditions:
1) Ambient conditions beyond the specified range.
2) Use of non-conformant clinical chemistry products such as washing solution, distilled water, and etc.
3) Maintenance schedule and expiry date ignored.
4) Use of non-original spare parts and consumables.
The manufacturer does not guarantee the correct instrument. Incase of implementation of unanticipated
methodologies. Consult your nearest sales/service office or factory for the use of different methodologies.
Figure 1
This function is accessed either by pressing F10 key or by clicking on the specific icon. It
helps the user to correctly position the reagent bottles, as programmed in the current tray.
The reagent tray is divided into three sectors, identified by the letters A, B and C. Each
sector has 8 positions. The screen displays the representation of 8+8 bottles (Figure 1).
The analysis codes of large bottles are displayed on the lower positions, while the upper
positions indicate the codes used for small bottles including the volume status for the
sample diluent.
The symbols "+" or "XXX<2" can be displayed inside the code boxes (fields). The symbol
"+" indicates that the position is used for many analyses, while the symbol "XXX<2"
indicates the position of second bottle pertaining to the double-reagent analyses.
In the field "SECTOR" the belonging group is shown, and the default choice is "A". To
change group click on the left and right hand buttons
Right-click over analysis code. A combo box asks the user to choose between "Insert
bottle" or "Remove Bottle". After the choice has been made, the analyzer will correctly
position the tray to match with the arrow at the base of the tray itself. The verification of fluid
volume contained in the bottle is associated with the insertion procedure. With the barcode
option enabled, identification is correctly achieved through the automatic scan of the
barcode on the inserted bottle. The same function can be performed on command, by
activating the "Scan bottle" command, near the insertion and removal commands.
NOTE: when using the "Remove" option, no functional control is performed: the
existing volume and test code are not removed.
In case the bar-code on reagents is enabled, when removing a reagent with the
"Remove" function, the analyzer will perform a scan of the position to verify that the
reagent has been removed. When closing the View volumes status window, the
analyzer will perform a second verification scanning and then will move the removed
test code from the on-line tray to the global list.
"Check volumes"
This option checks, on user’s demand, the volume contained in all the bottles that are
placed on the tray. Click with mouse on this command to confirm.
"Scan all bottles"
Enabled only when barcode option is on. It automatically performs the correct identification
of all bottles’ positions. Move cursor to this command and click.
"Print"
Performs a printout of the reagents status, with volumes and positions.
"Volume’s information"
By clicking on the each analysis code, the volume of the reagent contained in the bottle is
displayed as well as the number of tests that can be performed with it (Figure 2). For
various tests in the same position, they will be listed individually. The count of the
executable tests is made by single analysis, as if it was present alone in that given position.
The Real samples field refers to the maximum number of samples which can be executed
for the test when one of the reagents has a lower volume than the other. In this case the
reagent with the lower volume determines the maximum number of samples that can really
be executed.
Figure 2
Figure 3 Figure 4
The "Run Standards" and "Run Controls" functions are available from the "Tests" main
menu or through the specific icons that allow direct access.
The displayed analysis codes belong to the list generated in the "Current tray" list. Only
codes with programming, even if incomplete, are displayed on the controls page. In this
case the un-programmed levels will be displayed, even if not enabled. The entire list of tests
present in the current tray is displayed for the standards (with the exception of relation
tests).
RUNNING STANDARDS
Standards’ calibration can be run either on command or automatically at pre-determined
time intervals (refer to Chapter C, paragraph 1.5. "Calibrations"). Both choices can
coexist. The commands are "Immediate Standards" and "Timed Standards (Fig. 3).
"Immediate Standards": Once the button is clicked a list of codes appears, select the
desired tests and run by pressing "Run". With "Select All" or "Deselect All" commands, it
is possible to select or deselect the whole list. A message will ask the user whether the
calibration standards are already present in the tray or not. If the samples are already
present, click "Yes" and calibration procedure will automatically start. Otherwise, if
calibration samples aren’t already placed on the tray, click "No"; in this case a procedure will
guide the user through samples’ insertion. By clicking over sample’s position, the tray moves
itself to accommodate cup’s insertion. Once the necessary cups have been inserted, it is
possible to run the calibration.
"Timed Standards": Only the codes with programmed times are enabled. After selection of tests,
the calibrations can be run. In this case, the interval of the automatic calibration starts when tests
are run. In case the calibrations aren’t run, then the time count of calibration’s interval starts from
the moment the selection was made. Once the automatic calibration time has elapsed a message
appears on the screen asking the operator if the tests need to be run. If the standards and reagents
are on the tray answer yes. At this point the automatic calibration time restarts.
If the message is not answered or a negative answer is given, the calibration time count starts
again. The previous calibration remains in the memory. If the timing expires while the analyzer is in
standby, it will be automatically moved 10 minutes forward.
Figure 5
NOTE:
Point the cursor on the desired option and click to confirm.
Duplicate Patient
Figure 6A
Figure 6
"Group": Select the group (Man, Woman, Child) for correct reference with normal values
range.
"Type": It is default set to "Serum". The sample type (Serum or Urines) is selected here. If
"Urine" is selected, then the volume of diuresis (in the 24h) is requested. This is required
for processing data acquired with automatic calculation on 24 hours. If this processing is not
required then leave the value at zero "0".
"Assigned Group" ("Routine" or "CTRL Routine"): The default setting is "Routine". It is
used for selecting the category (Patient or Control Serum) during sample programming.
Selecting "CTRL Routine" the type ("Known" or "Unknown") and levels (Level 1, 2, 3)
must be specified.
Section I Chapter E Operating Procedure Page 7 of 19
NOTE:
With this type of acquisition, the controls belonging to the stored Q.C. will use the
positions assigned to routine patients, not the dedicated ones.
"Position": Displays the first free position from the available positions. To modify this field
use horizontal arrows "⇐ ⇒" or type in the desired position. Do not modify to accept.
"Code": It is the identification number assigned by the user to the patient. The user can
also enter the code of a patient saved in the work list, even if in execution. In this case, a
message asks the user to confirm patient’s data cloning. In case of affirmative response, all
the data relevant to the patient is instantly displayed and is linked to the current position.
The cloning of a patient’s code allows the user to obtain one report in case different
samples are used. If this option is not used, then separate reports are obtained.
"Duplicate patient": By clicking on the icon, it is possible to create a worklist with the same
profile (Autobatch) or else a list with sequential codes. When the patients are entered
using the duplication method, their codes may be assigned by the analyzer, or it may be a
progressive number. In the case of progressive number, the operator must enter the first
code to be used.
"Surname", "Name": Enter patient’s personal data.
"Draw Date": System date is automatically displayed. To modify, move mouse cursor on
textbox, click and edit.
"Note": Additional information to be added to the report.
"External Dilution Factor": By default set to "1". It allows analysis determination on
externally diluted samples. Enter in this field the external dilution factor ratio used in sample
preparation. Final result is multiplied by the inserted ratio.
CAUTION!
IN THIS CASE THE PRE AND POST DILUTION FACTORS OF TEST PARAMETERS
WILL NOT BE TAKEN INTO CONSIDERATION.
NOTE:
If a hyper-activity parameter value is surpassed (indicated by an appropriate flag)
during determinations of externally diluted samples, the "Automatic Re-run" is not
performed.
"Test": Generates the Analysis List. Select each analysis to be performed on the sample.
"Profile": The stored "Profiles" list (Fig. 7) is displayed through this command (refer to
Chapter. C, paragraph 1.6. "Creating Profiles"). Two acquisition modes are available. The
first one requires a double-click on profile’s name. The second mode, after choosing the
profile with one click, requires confirmation by activating "Select".
The analyses programmed in this way can be modified. To add or remove tests, it is
necessary to enter in the screen "Select tests" and confirm by clicking on the textboxes.
With "Deselect", it is possible to delete an already selected profile.
Figure 7
"Delete": Cancels the programmed patient or the analyses of an already programmed (and
saved) patient. Confirmation is requested.
"Save": Saves patient’s data and the associated analyses. With this command test
execution is delayed.
NOTE:
In the routine programming, it is possible to acquire a greater number of patients
than the available number of positions in samples’ tray. All the patients acquired with
no associated position are saved and displayed in the extra patients list and can be
transferred to the main list on user’s demand (refer to paragraph 1.5. "Work Lists").
"Run": This command immediately starts the execution of the programmed patient. The
sample plate adjusts itself to match the position assigned to the patient, and a blinking red
LED indicates the position for inserting cup or primary tube. If patient code is missing or no
analyses have been selected then this command cannot be activated.
Figure 8
New Entry/Controls:
Once the icon "Controls" is selected, the list of control positions is displayed (Fig. 9).
Controls acquisition frame is displayed by activating "New Entry" command or with aclick
on a given position. A window identical to the one displayed in "Routine" appears but
without the patient fields. Bear in mind that the tray positions reserved for controls are the
ones assigned in the "Analyzer Setup" (Chapter H, paragraph 2.). An appropriate screen
message alerts the user when a wrong position number is entered. Patients acquired as
"Controls" can be saved as described in "Routine", and are executed afterwards. All the
acquired controls without assigned position are saved and displayed in the temporary list
"Extra Patients (Control)", from where they can be transferred on user’s demand (refer to
paragraph 1.5. "Work Lists").
Figure 9
ATTENTION: when programming a batch, it is necessary to be sure that all the selected
positions are free and not already programmed in the routine work-list. When "Run" is
selected, the analyzer will ask confirm that the positions are free.
"Are you sure that the selected positions are all available?"
Answering "Yes", the batch will be run, answering "No", the run will be aborted in order to
allow the operator to verify if the positions in the routine work-list are available or not.
If the operator runs a batch in which some of the selected positions are not available, the
analyzer will skip on those positions and will keep the already programmed patients (in the
same status these were before running the batch). The positions of the batch that have
been skipped will not be considered at all, as if these were not programmed from the
beginning.
Figure 10
Figure 11
The Work Lists can be accessed through the menu "Patients" → "Insert Routine/STAT" or
directly using its proper icon. The screen displays the "Current Tray (Routine)" in the center
and the "Extra Patients (Routine)" on the right. During the working phase, it may be useful
to display also the "Re-run" worklist.
Click on the "Routine", "STAT", "Control" and "Standard" buttons to view the
corresponding work lists. For "Control" and "STAT", as for the patients, the screen displays
the "Current Tray (Routine)"list and the "Extra Patients (Routine)" list. It is possible to run
controls and calibrators even during the determination of patients. Thework-lists show the
position number and test code: the samples being run are marked in red, the free positions
in green, the samples which are programmed but in Stand By are marked in blue. If there is
a lack of serum or reagent in the Performed Patients List they are marked in yellow. The
patient codes have Italics characters for cloned samples and are underlined for
determinations and repetitions. The characters are yellow for data being processed. The
samples located in the Extra Patients List are graphically indicated in blue.
Work Lists are used to display the entered patients’ codes or to verify the samples’ state on
the tray (Fig. 11)
"Scan tray": Allows positive identification and saves present samples on the tray. It is
subdivided into the following two functions:
"All": The tray performs a rotation scan to make a positive identification, and saves
all the samples (codes) in the sera tray.
"Single Position": Allows positive identification and saving of only one single code.
The analyzer requests the desired position and the tray accordingly positions itself
for sample’s insertion. Makes one rotation for reading the present code.
"Scan tray and run": Performs reading rotation as before, but runs the tests immediately.
NOTE:
In patients’ bar-code printing protocols it is possible to add "Profile Number", which
provides total automation in patient acquisition (refer to Chapter C, paragraph 1.6.
"Creating Profiles" and Chapter I, paragraph 1. "Bar-code and related functions").
During bar-code reading, the analyzer provides a list of likely errors that occurred. In
this case the reading can be repeated by re-activating the command.
NOTE:
Confirmation is requested in all the patients’ work lists, to perform Codes Transfer
Commands. The analyzer verifies the availability of positions in the samples tray list
and eventually prompts the user about the impossibility to complete the task.
"Standards List":
Activation of "Standard" button displays a list (Fig. 13) of Calibrator Positions "Current
Tray (Standards)". This list is in a read-only format.
Figure 13
Figure 14
♦ "Run All Pending Patients":
A sole command for running the already acquired patients and the partially processed
patients (because of an interruption during tests execution). The analyzer will continue to
process suspended patients. Confirmation is required.
♦ "Repetition for Analyses":
This command re-runs test for samples. First the selection of the desired analyses codes is
required and then the confirmation. The analyzer automatically searches for the samples
which had already undergone determination of selected analytes, and performs the newly
assigned work list and then updates patient reports with new data obtained from the
repetition.
♦ "RS 232":
This function is used for transferring data from the analyzer to the host computer. Data
transfer can be automatic if enabled in the Setup. If it is not enabled, then the data transfer
occurs on user’s request through the command "Accept Result to be sent". Confirmation
is required. The function "Delete Result to be sent" allows deletion of the data to be sent
to the host computer; confirmation is required (see also Chapter H, paragraph 2. "Analyzer
Setup").
♦ "Clear Patients’ List":
This command allows deletion of the previously acquired patients list. Confirmation is
required. It deletes the whole list.
The analyzer provides two other modes for interrupting its operation:
1) "SLEEP-MODE"
This mode can be manually activated, or it starts automatically when the instrument is left
inactive for more than 30 minutes. The Sleep-Mode automatically performs the wash and
fill up of the cuvettes with bi-distilled water and remains idle (waiting for user’s commands
for immediate operation).
2) "LOG-OFF"
The "Log-Off" mode represents a partial turning off of the analyzer. It disables some
devices: halogen lamp of the photometer, cuvettes thermostat and drive motors. This mode
is used for energy saving.
The Log-Off mode is utilized for programming automatic turning on at a desired date and
time. The instrument will remain in a stand-by condition and it will automatically turn on 30
minutes before the programmed time. The turning on in anticipation allows the analyzer to
reach steady state thus allowing immediate operation at the programmed time.
To exit ahead of time from a suspended activity, press a key on the keyboard and press the
Exit button on the window that appears. However, in this case it is necessary to wait for the
devices to become operational.
NOTE
It is not advisable to keep the analyzer "ON" for more than one month as this may
cause problems with Windows internal counters.
CAUTION!
If the "SHUT DOWN" procedure has not been observed, then do not ever stop the
analyzer by turning off the main switch. This may cause irreparable loss of data in
the archives and damages to the operative program.
To comply with the European law on privacy (processing of sensitive data) enacted with
Italian Legislative Decree no. 196 of 30/6/2003 passwords have been implemented for the
analyzer. This makes it possible to keep a record of the activity of each authorized operator.
When the analyzer is installed or first used, the Administrator or lab manager must assign
each operator with a Username and password combination, associated with his own access
level to the program.
The first window that appears is dedicated to the Administrator (a manager who takes care
of archiving as well as password management of the users who have access to the
analyzer).
The Administrator needs to enter the following in the Username field: ADMIN
The Administrator needs to enter the following in the Password field: Administrator
Figure 15
After pressing the Logon button, a window will open where the Administrator enters his new
personal password.
Figure 16
The Administrator password does not have an expiration date, while those assigned to
operators need to be renewed every three months.
Figure 17
Each level allows access to normal analyzer operations (acquisition and running of patient
lists, Calibrations, Q.C. program and Population, etc.) plus some specific functions that
would otherwise not be available. Access to the patient archive is allowed by putting a
check in the specific box.
Level 0: Normal user
Level 1: Correction of results with standard
Correction of results with factor
Changing of results in patient archive
Standard: Auto Adjust
Standard: Calculation (calculation of the factor for manually entered abs)
Level 2: Changing of clinical chemical parameters
Changing of relation test parameters
Importing of parameters with "Restore" function
Importing of parameters with "Single test" function
Level 3: User with access to instrument diagnostics
NOTE: the users password MUST be at least of eight characters. It is advisable to use
alpha-numeric passwords. Avoid using 8-times repeated characters such as
YYYYYYYY or 33333333.
It is advisable to test the password every time a new password is programmed.
CHAPTER F
1. QUALITY CONTROLS Page: 2
1.1. Inserting/modifying controls Page: 2
1.2. Data management Page: 4
1.3. Displaying and processing by lot pairs: Juden graph Page: 6
1.3.1. Westgard Graph Page: 7
1.3.2. Daily Chart Page: 9
1.4. Additional Functions Page: 10
2. POPULATION Page: 11
2.1. Analysis Selection (How to run a Query) Page: 12
2.2. Principal statistics formulas used in Population module Page: 16
2.3. Inserting external analyses Page: 18
2.4. Other menu functions Page: 19
3. PATIENTS’ ARCHIVE Page: 21
3.1. Selection (How to run a Query) Page: 23
3.2. Patient’s report Page: 25
3.3. Printing Reports Page: 27
3.4. Other menu functions Page: 29
This is an external program used to enter, change and process quality controls. The
program can process data from the analyzer (controls run in routine or dedicated positions)
and from other instruments (with the Insert / Modify Data function).
NB: due to the large dimensions that the archive can reach, it is advisable to run a
backup at regular intervals, even monthly.
It is advisable to use the “Export Data” function in the FILE menu to export the
archive in CSV or Fixed length format (see par 2.4 OTHER MENU FUNCTIONS).
Once the archive is saved into a different location, please delete the internal archive
to avoid the archive itself to crash.
Figure 1
Figure 2
Figure 3
To obtain data processing it is necessary to provide the analyzer will all the information
related to the control: Analysis, Lot, Method, Control type – Known/Unknown – and
Level.
If the All option is left in the Lot and Method fields, the search will be done for all the lots
and all the methods relative to the test selected in the Analyses field. In this condition the
Range and Westgard Decision values will not be displayed (fig. 3a).
Figure 3a
Make all the selections necessary for processing the data, then press the Search button.
The results will be displayed as shown in figure 3. The data are ordered by date and time.
Out of range controls are indicated with an asterisk.
To delete a record, it must be first selected with the left mouse button, then it can be deleted
by pressing the right mouse button. This is possible only if the search is Daily and not Total.
When the search is run on unknown controls the range and Westgard classes are not
displayed.
Deleting data: see fig. 3 and 3a. After having performed a daily query, it is possible to
delete one or more control values. To delete a control, first highlight it, then right click on it
and confirm.
Figure 4
By clicking over a value plotted on the graph, the information relating the pair of values will
be displayed.
The "Westgard graph" provides a global vision of a given lot by plotting data on a diagram
having the origin at "0" line representing the actual mean (not the theoretical value) of the
same lot and as division values such as Mean±1S ±4S (see Westgard table in Figure 5). All
data within the given range will be displayed with a green triangle while the out of range
data will be plotted using red squares.
Figure 5
By clicking the mouse over a given value in the graph, its information will be displayed (fig.
6). Click on the “Print” button to print the graph.
Figure 6
Class C (2-2S): Two consecutive results exceed mean by 2S in the same direction.
Class D (R-4S): Difference between two consecutive results is higher than 4S and at
least one result exceeds mean by +/- 2S.
Class E (4-1S): Four consecutive results exceed mean by more than 1S in the same
direction and at least one result exceeds mean by +/-2S.
Class F (10x): Ten consecutive results are all in the same direction of the mean value
and at least one result exceeds the mean by +/- 2S.
Classes are controlled from F to A. The classes are mutually exclusive, that is, if a given
value is mapped to one class then it can't be part of another class.
Example:
2 E classes means that 5 consecutive results exceed Mean by more than 1S in the same
direction and at least one result exceeds mean by +/-2S; alternatively two groups of 4
consecutive results exceed the mean by more than 1S in the same direction and at least
one result exceeds mean by +/-2S.
Figure 7
By clicking the mouse over a given value in the graphic, its information will be displayed.
Click “Print” to print the graph.
Figure 8
Figure 9 Figure 10
The FUNCTIONS menu contains the following:
“Export Data”: Saves memorized quality controls by selecting a particular "Method”,
“Analyses”, “Lot”, and “Date”. If "All" is selected in the above-mentioned fields then all
controls will be memorized. Refer to Figure 10. It is also possible to export the QC data in
CSV (comma separated values) or Fixed length formats, compatible both with Word or
Excel kind applicatives.
NOTE: the use of this function is very important to have constantly updated archives
in a hard disk different from the analyzer’s.
Once the *.csv or *.txt file has been created, it can be opened with Excel or Word.
First open the appropriate program (both programs will open both kind of files, but
the easier way is to use Excel for *.csv and Word for *.txt files). Then select “Open
file” and in the “open” window, select in the field “File of type”: “all files - *.*”. Click
twice on the file you want to open.
“Import Data”: Overwrites the actual stored data with the imported data. CAUTION: It is
not possible to restore overwritten data.
“Delete Data”: it is possible to delete records in the archive by “Date”, “Method”,
“Analyses”, “Lot” or erase the whole archive (Figure 9). CAUTION: It is not possible to
restore deleted data in the previous "Delete Data" command.
- Reindex Data-Base: function used to reorder the Quality Controls archive.
- Close: closes the Q.C. program.
The DATA menu contains the functions explained in the paragraphs above.
Figure 11
The PREFERENCE menu (fig. 11) contains the following:
External archive: used to view and print the quality controls memorized on the hard disk or
on a floppy disk. A window opens where the position for opening the archive can be
selected.
Printer Setup: used to set up the printer (heading, footnotes, etc.)
Figure 12
The Population module manages and displays graphs as well as data, and computes
statistics on data of all the analyses performed by the instrument.
N.B.: due to the large dimensions that the archive can reach, it is advisable to run a
backup at regular intervals, even monthly. It is advisable to use the “Export Data”
function in the FILE menu to export the archive in CSV or Fixed length format (see
par 2.4 OTHER MENU FUNCTIONS). Once the archive is saved into a different
location, please delete the internal archive to avoid the archive itself to crash.
The main functions are:
Display and data acquisition from updated analyses file.
Update internal archives.
Generate dynamic query that allows to sort and display data by analysis, analytical
method, results’ range, group, type and date.
Statistical operations: display number of run tests, mean calculation, standard deviation,
variation & correlation coefficients, variance, deviance, angular coefficient and known
term of the minimum square line.
Display data graphs: Trender (data with fitting line), L. Jennings, histograms with base
zero and statistical (mean value represents the base).
Printout of total and partial data, graphs, and statistics.
Figure 13
To perform any query it is necessary to select an analysis from the “Select Analysis” list
(Fig. 13). Once selected all existing methods associated to the analysis (“Select Method”)
are displayed. It is possible to select among the available methods by clicking on the check
box. One can simultaneously enable the search for one or more groups "Group" (Man,
Woman, Child) or Test Type (Serum, Urine, Relation). Moreover it is possible to limit
search within two dates (Date range) or according to a given data range (Results range).
Once the all query criteria have been selected, press the Search button to display the data
and statistics referred to it (Fig. 14). This page shows the statistical processing for the
query. They are also present on the pages for graphic processing (Diagrams)
Figure 14
The query data can be printed (Print Preview) in three different formats:
- Only values
- Only statistics
- Values and statistics
Once the selection is made the print preview page opens. To print, press the printer icon.
Figure 15
By clicking on one of the keys related to diagrams it is possible to view one of the graphs
listed below.
Figure 16
By clicking on “Data Sequence” (Fig.16) key, the data sequence is displayed.
Figure 17
By clicking on Trender button, data sequence is displayed together with its related minimum
square line (Fig. 17); in the lower part of the graph the equation for the line is shown.
L. Jennings Graph
Figure 18
By clicking on "L. Jennings" button, L. Jennings graph is displayed for the selected data
(Fig. 18).
Figure 19
Figure 20
By clicking on Statistic Histogram button, the histogram for the selected data with respect
to the mean value is displayed. (Fig. 20).
♦ Mean:
♦ Standard Deviation:
SD: is a quantity that measures the spread of data across its mean value. If data is mostly
located near the mean SD assumes a small value, otherwise a large value indicates large
data spread.
n
DS =
Σ (Xi – X)
i=1
2
n-1
♦ Variation coefficient:
CV%: is computed as the ratio between mean square error and arithmetic mean. CV% is a
relative quantity and independent from the measurement unit used.
DS*100
CV=
X
Σ XY-nΣxΣy
a=
Σ X2 - n(ΣX)2
b= ΣY-aΣx
♦ Correlation Coefficient:
Σ[(Y-Y)*(X-X)]
CC =
Σ(X-X)*(Y-Y)
♦ Variance:
[ X* X]
ΣΧ2 - Σ nΣ
V=
n-1
♦ Deviance:
2
(Σ X)
D =Σ X2 - n
The median for N even elements, is the { X(N/2) +X[(N+2)/2] }/2 element.
Ex.: be given the following 8 elements set
1, 2, 12, 24, 26, 45, 45, 46
{X[4]+X[5]}/2 = (24+26)/2 = 25
median is 25.
By comparing the median and the arithmatical mean, one can assume the existence of a
measurement error or an asymmetry in the distribution function, in case these two
quantities differ greatly.
Figure 21
It is possible to store in the analyzer’s memory results of other analyses not performed by
the analyzer. These data will be saved into the archive and it will be possible to display
statistics as well as analyses results.
The input screen (Fig. 21) shows the following fields:
“Analysis Name”, “Analytical Method”, “Result”, “Date”, “Group” and “Test Type”.
To insert a series of consecutive values for the new analysis, the results field should be
programmed last. Then enter the results by pressing “Enter” on the keyboard (or the
Accept button) to confirm each value.
By pressing the Exit key the external analysis insertion window closes and the entered data
become available for statistical processing.
Data entry is case sensitive, meaning that an analysis name written in capital letters (YOU)
is different from the one written in lower case letters (you) and is different from the one
written with initial upper case letter (You).
Figure 22
FILE MENU
Backup: creates a backup copy of the executed query. The backup
copy can be saved on a floppy disk or the hard disk.
Restore Backup: used to restore the backup copy to its original
position.
Export Data: this function allows exporting data in CSV (comma
separated values) or Fixed length formats, compatible both with Word
or Excel kind applicatives.
UTILITY MENU
Insert new Record: see the paragraph above (par. 2.3
and fig. 21)
Setup: opens the printer setup window (see also Ch. H
Analyzer Setup, par. 2)
Format floppy disk: used to format a floppy disk.
Report with grayed lines: used to select whether to
print the reports in “easy reading” format. Easy reading
printing contains light gray lines alternated with lines
the color of the paper.
DELETING MENU
Delete Record(s) selected: it is possible to highlight several values in a query by holding
down the CTRL key while selecting various results
with the mouse cursor. These values can be
deleted with this command.
Delete analysis data: deletes all the data related
to the selected analysis and executed query.
Selected analysis data that is not part of the query
will be preserved.
Delete all archives: completely deletes the population archives.
The following window will appear. Select the file date you wish
to restore and click on the Restore button. Pay careful attention:
overwritten data can not be restored.
Figure 23
Its main features are:
Figure 24
To run a query it is possible to specify various query criteria (Fig. 24) such as:
♦ Tests date range;
♦ Analysis code range;
♦ Name;
♦ Surname;
♦ Arrangement by code, surname, test date.
“Select all” is displayed by default in the fields. In this case, by pressing the Search button
all the data present in the archive will be displayed.
Patients will be ordered by Test Date as long as the operator does not want to order by
Code or Surname.
Choose code
It is possible to enter the information regarding the search range for desired analyses codes
by clicking on the icon (hand) next to "Choose Codes". The search is case sensitive,
meaning that the system distinguishes the capital letters (Upper case letters) from the small
letters (lower case letters).
Clicking on the button "Accept" will save the values entered in the editing fields "Insert Initial
Code" and "Insert Final Code". Pressing of "Cancel" will cancel the operation of the codes
selection.
Choose Name/Surname
Click on the “hand” icon corresponding to "Choose Name" or "Choose Surname" to open
the "Name Selection" window for searching by name or surname. Write name or surname in
the dedicated field and click “Accept” to save the search or click "Cancel" to abort the
operation. The search is case sensitive.
Once the search criteria have been fixed, click on Search button. The patients’ data page
will be displayed as in fig. 24.
Figure 25
View Analyses: this can also be accessed with a double click and is used to display the
information related to the selected patient (Fig. 26)
Info Record: displays the position of the selected record inside the executed query.
Quick Print: immediately prints the report for the selected patient.
View Analyses
Figure 26
With the keys Previous and Next it is possible to scroll the entire patients list.
Send to RS232: sends the results to the Host Computer (when enabled)
Print Preview: opens the print preview of the patient’s report.
In addition to the list of "Analysis" of selected code, the following informations are displayed:
name, surname, test date, group, measurement unit, flags (an asterix identifies tests with
flags; see flag page below), Min - Max range, and notes.
Figure 27
N.B.: the possibility of accessing the Patients’ Archive module and modifying the
analysis values is controlled by password and thus only accessible to authorized
personnel.
See also Chapter E, Paragraph 1.7 Access Password.
Figure 28
Section I Chapter F Q.C. - Population - Patient's Archive Page 26 of 29
3.3. PRINTING REPORTS
The Print All button in figure 24 is used for quick access to a print window with some
options.
Figure 29
In this kind of printout, all patient data are shown, followed by the analyses list with
analytical method, result (with flags) and normal range.
Figure 30
There is another type of printing by test option in the main window of the Patient Archive
(Fig. 24):
Test Report: from here it is possible to select one of the available tests and to print the
corresponding results (Fig. 31 and 32)
Figure 31
Figure 32
Section I Chapter F Q.C. - Population - Patient's Archive Page 28 of 29
3.4. OTHER MENU FUNCTIONS
FILE
Load Date and Code: used to load the date for the test
execution dates and patients codes so that they are
available in the query criteria “scroll-box” (par. 3.1.).
Export Data: has the same function as in the Population
archive: see par 2.4 OTHER MENU FUNCTIONS
Exit: is used to close the Patients Archive program.
UTILITY
SetUp: opens the printer setup.
Backup: creates a backup copy of the selected search,
without deleting files from the HD. To create the backup it is
necessary to first perform a search, then select a location
for the backup files.
View External Archive: click on this button, select the
location where the backup files are and then press the
search button to view data.
View Internal Archive: press this button to go back to the
internal archive after having viewed an external backup file.
Format Floppy: it is used to format a floppy disk.
Report with grayed lines: used to select whether to print
the reports in “easy reading” format. Easy reading printing
contains light gray lines alternated with lines the color of the
paper.
DELETE
Delete Records Selected: Allows deletion of only the
randomly selected records.
Delete All Search: it deletes the whole performed search.
Delete All Archive: it deletes the whole archive.
SEND TO RS232
Send Records Selected: sends randomly selected records
to the host computer.
Send All Search: sends the whole performed search to the
host computer.
CHAPTER G
1. DISPLAYING AND PRINTING RESULTS Page: 2
1.1. Results per Patient Page: 3
1.2. Results per Test Page 7
1.3. Displaying Real-Time data Page: 8
1.4. Reaction graphs Page: 10
1.5. Flags list Page: 12
Figure 1
By clicking on the icon for View results for sample the operator has the possibility of
viewing the results by sample or by test (Fig. 2).
Figure. 2
In the first case the patient data are displayed together with all the analyses run on that
sample. In the second case the results of performed tests are displayed, grouped by
analysis.
Figure 3
The "Patient’s" data display page is shown in Figure 3. It can be accessed through
the specific icon (Fig. 1).
In this area information related to calibrations is represented, like the values of calculated
factors or any types of errors that occurred during execution.
If there is no data the page appears blank. A color code makes it possible to quickly identify
the information:
- red text: presence of flags in at least one test of the sample
- blue text: controls
- green text: calibrations
- black text: no anomaly in the test or the entire sample
It is a brief representation of data and allows visualization of results of patient in execution
as the tasks for the single patients are completed.
Once the results are archived, the information present in this page will no longer be
available.
The following information are displayed for each sample:
a) Sample Position (#XX) Progressive number from 01 to 52 for Routine and STAT.
Progressive number from 01 to 26 for STD and CTRL.
d) Sample Type The relationship of Sample to one of the groups: Routine, STAT,
CTRL or STD is indicated between brackets.
INFO FLAGS
In both types of result displays (per patient and in real time) an Info Flags button is
available on the upper right.
It provides access to a page where the flags are listed, with a short explanation of the
meaning of each one (Fig. 4).
PRINT: Print command. It allows two options: Normal print-out (will print the pages as they
are displayed i.e. samples will be printed sequentially) or Printout for sample (will print one
single patient for each page). However, this is not a print-out in report format.
Figure 5
A print preview will be displayed (Fig. 5) where it is possible to select which and how many
pages to print.
Section I Chapter G Displaying and Printing Results Page 5 of 12
SORT: Data sorting command. This function is enabled only at the end of working session.
The real-time data are displayed in random order as the analyzer returns them. The "Sort"
command allows sorting based in the following criteria, in this order: date, time, position on
the tray. The controls are placed last and the calibrations first.
ADJUST: Data re-reprocessing command. This function is enabled only at the end of
working sessions. For patients re-run manually only the last result will be recalculated. The
correction is made starting with the absorbance memorized for the single test.
Two types of data re-processing are possible. The first allows
application of a percentage correction in increase or decrease.
The second uses the last valid calibration as reference.
Figure 6
In the correction With standard the analyzer runs the recalculation starting from the
absorbance memorized for the test, thus the various analytical parameters and the last
valid calibration are taken into consideration. In this case, if the instrumental factor and shift
have been set in the analytical parameters, they will be used in calculating the new value.
N.B.: If a recalculation result returns a value of 1,000,000 or higher, <NC>, not calculable
will be shown instead of the result. If the returned result is negative, the M flag will be
assigned: error in the parameters (instrumental factor and shift).
NB: In the correction With standard, Relation Tests results will not be recalculated.
The E flag (recalculated value) will be assigned to all tests that undergo recalculation.
Use of the correction functions is only for operators authorized with a specific password
(see chap. E, par. 1.7 Access Password).
ARCHIVE DATA saves all the data present on the page on the hard disk. After archiving,
the data will be available, based on type, in the three external programs: Quality Control,
Population and Patient archive. Archive data also includes the deletion of the data from the
visualization pages (per patients and in real time) as well as reaction graphs. Therefore, it is
a good idea to print any pertinent graphs before archiving data.
DELETE RESULTS deletes all the data from the visualization pages (per patients and in
real time) as well as the page of reaction graphs. The data cannot be recovered.
EXIT: closes the page and returns to the main program, without modifying the data.
Figure 7
After the termination of programmed task, the results can be viewed per Test. The test
Results display page is shown in Figure 7.
The following information is displayed for each single test:
a) Code and test name: The displayed code is the same read on the list of tests,
while the full name between parenthesis is the one
assigned by the operator in the analytical parameters
(chap. C, par. 1.3.3.).
b) Sample Position (# XX): Progressive number from 01 to 52 for Routine and STAT.
Progressive number from 01 to 26 for STD and CTRL.
c) Sample Code: For patients (Routine and STAT) it is assigned during
check-in.
For STD and Batch it is assigned automatically.
d) Results: The results of test attributed to patients are represented
with:
- result
- unit of measurement
- absorbance read (between parenthesis)
- range of normal values
- any flag (between brackets – see also par. 1.5)
PRINT: used to print the contents of the window. This is not a print-out in “report” format. A
print preview will be displayed (Fig. 6) where it is possible to select which and how many
pages to print.
EXIT: closes the page and returns to the main program, without modifying the data.
From the visualization pages mentioned in this chapter it is not possible to obtain print-outs
for patients in report format. For more information on these type of print-outs, see chap. F
par. 1.6 and chap. H, par. 2.).
Figure 8
This page can be accessed through the specific icon (fig. 1). The data shown (Figure 8)
refer to the results obtained by the analyzer in real time, i.e. as the tests are completed. For
this reason the results of tests with a shorter incubation and reading time may appear first
even if they belong to later patients. The results are not sorted in any way, not per patient,
not for type of test. When no data is present this page is empty.
The data display is synthetic.
Graphs are divided into two parts by two dashed orthogonal axes. On the left part there is
the incubation time graph, while on the right there is the reading time graph (Fig. 9).
On the right of the window, there are two frames containing the information concerning the
absorbance determined during the two phases (incubation and reading times), Each
division in the Time axis is approx 10secs.
Figure 9
N.B.: The absorbance values read per single point in each phase
are shown at the bottom, under the graph. This data can be exported into a file by pressing
the Export Values button.
Note:
During report printing from patients’ archive, all flags are replaced by the generic
symbol (asterisk).
In the patients archive active flags will be highlighted in red and will have the check in the
corresponding box.
CHAPTER H
1. ANALYZER TECHNICAL FUNCTIONS Page: 2
1.1. Service Functions Page: 2
1.1.1. Analyzer Utilities Page: 2
1.1.2. Mechanical Calibrations Page: 4
1.2. Diagnostic Functions Page: 6
2. ANALYZER SETUP Page: 9
The commands are available in the form of buttons. To access a function just push a
button.
The Exit button on both pages closes the window and saves any settings.
The Analyzer Utilities include items (FCC Calculation, Lamp Setup, Temperature Test and
Empty Fluidics) normally dedicated to technical assistance personnel. These functions
should not be used unless they have been suggested by qualified personnel. Just like for
the other parts of the program or analyzer, these functions must be used according to the
intended use established by the manufacturer, failure to do so will result in warranty
invalidation.
Figure 1
To activate any of the following commands click on the corresponding button (Figure 1):
Wash with water: washes, with the washing solution (bidistilled water and surface active
agent) the cuvettes and leaves them filled with water. This function is recommended when
a work session has ended and the analyzer is not going to be used again immediately.
However, after 20 minutes of inactivity, the analyzer goes into standby and automatically
washes the cuvettes.
NOTE: if one of the analyzer functions is active, remember not to make modifications in the
Setup program. This will cause a reset of the analyzer thus terminating the activated
function.
Figure 2
The Calibrations menu is subdivided into two columns: Clinical Chemistry Arm and Tray
as shown in Figure 2. The following commands are available:
Figure 3
Show F.C.C.: It shows the optical correction factor calculated for all the reading cuvettes.
For each cuvette, the mABS and the F.C.C. values (Figure 4) are reported. It also indicates
the cuvettes with correction factor exceeding the preset limits (± 3%). It is possible to print
this page.
Figure 4
Figure 5
Show Diagnostic: it shows the status of the various parts of the system that should be
replaced regularly. This page shows the consumable parts, life cycles, remaining cycles
and the possible replacement date (Figure 6). When at the analyzer start up, the message
There are the following obligations in diagnostic, appears, it means that the indicated
item has to be replaced or an action has to be undertaken. In the Show Diagnostic page
there will be one or more red lines corresponding to the parts needing replacement (refer to
Chapter N). Once the required maintenance has been performed, reset the internal
counters of the analyzer, by clicking on the single voice described in the table on the right
side.
Figure 6
Based on how the analyzer is used, the cycles may come to an end before the dates or vice
versa. However, the maintenance requested by the analyzer should be carried out, even if
the actual workload has been light. This guarantees perfect operation of the analyzer. If the
analyzer has not been used for some time, it is advisable to replace the tube kits and
possibly the seals, since they can deteriorate even if not used.
ATTENTION: the maintenance page shown in figure 6 is only an example. Check the
consumable parts mentioned above, the cycles and replacement dates on the
analyzer. Bear in mind that the replacement dates indicated on the maintenance page
are a guideline as they are calculated on an average work day that may not reflect the
needs of each lab.
Section I Chapter H Analyzer Technical Functions/Setup Page 7 of 14
General Diagnostic: This function is reserved for the Technical Assistance personnel for
diagnosing problems that cause analyzer malfunction. There is free access to most of this
program. However, the use of this program without the proper supervision of approved
technical personnel, is under user's responsibility. Therefore it is highly recommended that
the operator is assisted by the specialized technical personnel when using this program.
This page verifies the operation of the following devices and the operating phases:
1) Photometer stability and operation.
2) Hydraulic functions: sampling, washing, and emptying of cuvettes.
3) Barcode operation and programming.
4) Stress program.
LANGUAGE: on this page (Figure 7) it is possible to select the language (for example
English or Italian) from those available).
Figure 7
If there are no languages on the list they need to be installed. To view all the available
languages, insert the installation disk of the operating program in the CD reader, then press
the Browse the Folder button and browse the disk contents until finding the Language
folder and click on OK (fig. 7a).
Figure 7a
Figure 8
Icons: It enables or disables the displaying of the icons on top of the screen.
Navigation Bar: It enables or disables the displaying of the navigation bar on the left side
of the screen.
Voice: it enables or disables vocal function (vocal messages). By clicking on the icon a
mask appears for selecting and controlling the audio (reproduction speed and volume).
Use European Menu: If disabled, it changes the menu bar as well as the operating
functions from European mode to the ones exclusively dedicated to USA mode.
NOTE: The USA operating modes are not outlined in the present manual.
Print-out real time results with color: When enabled, the real time print-out will be in
colors, otherwise it will be in black and white. Bear in mind that in this way, the identification
at glance of results associated to flags in printouts is lost, as they are normally printed in
red.
Print-out real time results with final report: When enabled, it provides test results per
patient in real time print-out in report format. However, remember that if it is necessary to
execute a re-run, a new print-out would be obtained. This option may be costly in terms of
paper and may cause confusion as there may be several reports printed for the same
sample.
Archive the results with <NC> instead of the value: used to archive all the results,
including those marked as not calculable in the Patient Archive. If this is not enabled, the
results marked with <NC> will not be archived and they will be left on the work list to allow
for re-running them (see Ch. G, par. 1. and Ch. F, par. 3.2.)
Add to extra patient list: during the patient programming phase in Routine, it is possible to
have the analyzer memorize the patients directly on the extra patients list, instead of the
normal work list (see Ch. E, par. 1.5. Work lists). This option is divided into: If not empty
and In any case. In the first case, the patients are saved in the additional list only if it
contains at least one other patient. In any case: the patients are saved directly on the extra
patients list.
N.B.: The patients are transferred to the extra patients list only if the acquisition is via the
New Entry button, and not by clicking directly on a free position on the sample tray (see
Ch. E, par. 1.4.).
This option may be useful in cases where all patients are being programmed, before
actually receiving the samples. As the samples are received the patients are moved from
the extra patients list to the routine list and the work is started.
Figure 9
BAR-CODE: Enables bar-code scanning option (Figure 10). Confirm Present to enable it
or Not Present to disable it. With bar-code enabled, further options are: On Samples and
On Reagents (or just one of the two).
Figure 10
Setup Bar-code on Samples: This function customizes the contents of the patient code
reported on the bar-coded label.
Dimension Sample Code: This field is used to define the number of characters dedicated
to the patient code. If set to zero, the code length is variable (codes with a number of
characters between 1 and 13 are accepted automatically). If as an example 10 is entered,
then the patient code must have ten characters.
Use a digit for Serum/Urine: If enabled it is possible to use one character to automatically
identify the type of sample (Serum/Urine) undergoing test.
Use one or two digits for profile number: When enabled it is possible to use one or two
characters to identify automatically the profile number assigned during profiles
programming (refer to Chapter C, paragraph 1.6., Creating Profiles).
Figure 11
Check Present to enable or Not Present to disable. Once the serial port is enabled, the
Parameters functions with the fields COM Number, Baud-Rate, and Hand-Shake are
enabled too.
COM Number: Sets the serial port number (for example COM 1, COM 2 etc.)
Baud-Rate: Sets data transmission speed between the analyzer and the host computer.
Click u to view all the possible transmission speeds. To select, click on the desired value.
Hand-Shake: Enables Data Flow Control to be used during data transmission. Click u to
view the available options. To select, click on the desired option.
Protocol: it is possible to use the internal communication protocol or a variable protocol.
When choosing the variable protocol, it will be possible to set the protocol options by
clicking on the dedicated icon. Only expert operators should set the variable protocol (see
Chapter 4, Section II, paragraph 4.2).
All results must be sent automatically (without validation): When this option is enabled,
all results from the analyzer are sent automatically and immediately to the host computer. If
the option is not enabled, then the operator decides when to send the data (see Chapter C,
paragraph 1.1. Description of the program Menu). Analyzer will display the following
options for sending patients to the host computer: accept results to be sent or delete results
to be sent (see Chapter. E, paragraph 1.5. WORK LISTS).
Send the results with <NC> instead of the value: by selecting this option the non-
calculable results will also be sent to the Host Computer, if the option is not enabled the
<NC> results will not be sent to the Host Computer and will be deleted. In this case the
<NC> results that are not archived and are on the work lists can be run again by the
analyzer and if there are valid results, they will then be sent to the Host computer.
Figure 12
• Room Temperature
• 30°C
• 32°C
• 37°C
By selecting Room temperature bear in mind that when this is very high the temperature of
the solution in the cuvettes will be high as well. The same thing is true even if the selected
temperature is 37°C, but the room temperature is 40°C, for example. The heating elements
of the cuvette tray are able to heat but not cool if the room temperature is higher than the
programmed temperature.
Enable Reagent Refrigerator: If not selected, it excludes the reagent refrigeration.
SAMPLES’ TRAY: Customizes samples’ tray (Figure 13). Here it is possible to change the
number of positions dedicated to the samples of Routine, STAT, Standards and Controls.
Figure 13
Routine and STAT positions are included in the two outermost rings with progressive
numeration from 1 to 52. Standard and Controls positions are in the innermost rings with
progressive numeration from 1 to 26. It is not possible to exclude one typology to
advantage of the other one. The minimum number of assignable positions is 1 for the
Routine, STAT and Standards; and 3 for the controls.
PASSWORDS: on this page (Figure 14) it is possible to insert new passwords instead of
the internal system ones. It is not advisable to change these passwords, since if they are
forgotten or lost it will no longer be possible to access the system.
Figure 14
ATTENTION: when writing any of the passwords in one of the three appropriate field, it is
necessary to confirm it by pressing Enter. This will also enable the following writing field. If
the procedure is correct, the analyzer will display a message confirming that the password
has been changed.
CHAPTER I
1. BARCODE AND RELATED FUNCTIONS Page: 2
2. USING THE BARCODE Page: 2
2.1. Barcode on Samples Page: 2
2.2. Reagent Barcode Page: 5
NOTE:
This manual is valid for both BT1000 and BT
2000PLUS. The following components are not
installed on the BT1000:
a) Reagent refrigerator
b) Barcode
c) Touchscreen
EXAMPLE 1
Patient ID# of digits: 10 With one digit for serum or urine: no With two digits for profile: no
1234567890
PRINTED CODE: 1234567890 TOTAL 10 CHARACTERS
EXAMPLE 2
Patient ID# of digits: 10 With one digit for serum or urine: yes With two digits for profile: no
1234567890 1
PRINTED CODE: 12345678901 TOTAL 11 CHARACTERS
EXAMPLE 3
Patient ID# of digits: 10 With one digit for serum or urine: yes With two digits for profile: yes
1234567890 1 99
PRINTED CODE: 1234567890199 TOTAL 13 CHARACTERS
If in the Setup the number of digits for the patient ID is set to 15 and the printed code is of
10 characters, the analyzer will consider as ID# the 10 printed numbers.
If in the Setup the number of digits for the patient ID is set to 13 and the printed code is of
10 characters, the analyzer will consider as ID# the 10 printed numbers.
If in the Setup the number of digits for the patient ID is set to 13 (serum/urine digit and
profile number are active) and the printed code is of 13 characters, the analyzer will not
consider the digits for serum/urine and for profile number as it is expecting the patient ID to
be of 13 digits. The patient ID always has the priority on the following numbers.
EAN13
If the bar-code used is an EAN13, the sample bar-code can be programmed as follows.
NOTE: with the EAN13 there are some limitations: the first number must not be 0; the
actual number of digits is 12 as the last digit is the checksum X (automatically created).
EXAMPLE 1
Patient ID# of digits: 12 With one digit for serum or urine: no With two digits for profile: no
123456789012
PRINTED CODE: 123456789012X TOTAL 13 CHARACTERS
EXAMPLE 2
Patient ID# of digits: 11 With one digit for serum or urine: yes With two digits for profile: no
12345678901 0
PRINTED CODE: 12345678901X TOTAL 13 CHARACTERS
EXAMPLE 3
Patient ID# of digits: 9 With one digit for serum or urine: yes With two digits for profile: yes
123456789 1 99
PRINTED CODE: 123456789199X TOTAL 13 CHARACTERS
Other codes can be programmed upon request. They are available in blocks of six and are
uploaded by floppy disk.
Some of these codes available upon request include:
2/5 INTERLEAVED, CODE 39, CODE 39 FULL ASCII, CODABAR, CODE 128, EAN 128,
CODE 93, PLESSEY, PHARMACODE, ALL EAN/UPC, EAN 13, EAN 8, UPC A, UPC E,
EAN 13 ADDON 2, EAN 8 ADDON 2, UPC A ADDON 2, UPC E ADDON 2, EAN 13
ADDON 5, EAN 8 ADDON 5, UPC A ADDON 5, UPC E ADDON 5, EAN/UPC w/o ADDON,
EAN/UPC ADDON 2, EAN/UPC ADDON 5, EAN/UPC ADDON N
“Check volumes”
This command allows measurement of the volume of the reagent bottles (refer to Chapter
E, paragraph 1.2. “Reagents: insertion and removal”). With reagent barcode enabled, it
is also possible to check the actual position of all the bottles in tray.
At the end of the reagent scanning, the analyzer sorts codes disposition and provides a list
of all the errors found during reading phase. In case of detected anomalies, the procedure
can be repeated once the problems have been solved. Every time a new reagent bottle is
inserted, the analyzer will read the inserted codes.
When removing a reagent with the "Remove" function, the analyzer will perform a scan of
the position to verify that the reagent has been removed. When closing the View volumes
status window, the analyzer will perform a second verification scanning and then will move
the removed test code from the on-line tray to the global list (see also Cap. E, page 3).
CHAPTER M
1. WARNINGS AND PRECAUTIONS Page: 2
1.1. Potential risks during operation and maintenance Page: 2
1.2. Warnings and precautions Page: 3
1.3. Waste disposal Page: 6
1.4. Returning the analyzer to the T.A.S. Page: 6
1.4.1. Operating Analyzer Page: 6
1.4.2. Not Operating Analyzer Page: 7
1.5. Analyzer safe disposal Page: 8
1.6. Electric and electronic devices disposal Page: 9
The computer box of analyzer BT2000 PLUS and by-products is designed for long-term
security and reliability and is virtually maintenance-free as long as the user does not
install any third-party application programs. If these applications are installed, then they
may damage the operating system registry and may also cause disastrous consequence
for the computer's hard-drive. Biotecnica Instruments S.p.A. will not be responsible for
any damage to the analyzer, its software and data in the hard-disk in case of improper
use of the PC box. This includes also: installation of external programs, not properly
secure net connections (intranet and internet) and the use of disks without the necessary
verification for viruses presence. Biotecnica Instruments S.p.A. will not be responsible for
any damage caused by non authorized third parties who may open and alter the PC box
configuration.
USE
Although the BT2000 PLUS analyzer system uses high performance components, which
provide a high degree of safety, it is essential that the user takes the usual precautions to
safeguard himself and to ensure a safe working environment.
Biotecnica Instruments S.p.A. only guarantees the workmanship and materials of its
products. It is the duty of the user to take care of safe operation and no amount of
warnings can take place of such care.
As regards the moving parts in the analyzer, these have been appropriately protected to
avoid any potential risks to the user, and for proper instrument operation and safety.
However, it is highly recommended to exercise extreme care during analyzer operation
and especially when working close to the devices.
To avoid accidental contamination, use suitable guards and/or personal protection, such
as overall and gloves. When handling reagents, it is advisable to observe good
laboratory practice (GLP) rules.
Chemicals, serum samples and reagents must be handled with extreme caution. Patient
samples may be biologically hazardous. The reagents or any other substances that may
enter in contact with samples should be treated in the same way as samples themselves.
The materials of human origin, such as control sera, are tested for the detection of
HbsAg, anti-HCV anti-HIV-1 anti-HIV–2 antibodies. Even if the result is negative, as
no known analytical method can exclude any infection’s risk with certainty
therefore these materials must be considered as potentially infective and thus
must be handled with extreme caution. The reagents and any other substance
entering in contact with samples must be treated in the same way. The reagents must be
manipulated (before, during and after the use) by qualified personnel familiar with their
characteristics in order to safeguard the user as well as the quality of the reagent itself.
MAINTENANCE
• It is of extreme importance that the instrument is fully turned off and the power cord
unplugged from the wall outlet to safely perform any maintenance or service
procedure.
• During maintenance procedures (see "Chapter L, “Maintenance“), the safety and
warning precautions must be observed as outlined in the preceding paragraph.
• The exterior of the analyzer casing may be cleaned periodically to remove dust
grease and other contamination. It is not necessary to clean the inside. Use soft cloth
dampened with a mild solution of detergent with water.
• The owner shall be responsible for maintenance of the analyzer. Wear or damage
caused by lack of normal maintenance or by misuse of the analyzer shall not be
considered as defective workmanship and material.
NOTE:
a) The careful observation of the proceeding warnings should result in a long and
satisfactory performance. If the above-mentioned notices are not fully observed, then any
form of warranty is no longer valid and Biotecnica Instruments S.p.A. will not be
responsible for any subsequent damage or loss. (see Section II, 2 “Warranty
Conditions”).
b) The information in this manual is based upon the hardware and software currently in use.
Biotecnica Instruments S.p.A. reserves the right to make software and hardware changes
or improvements for product enhancement without notice and without imposing any
obligation upon itself to install these changes or improvements on its products
previously manufactured.
If the analyzer is going to be returned to the Distributor, make sure all the removal parts of
the system are bagged and separated after decontamination so that they can be disposed
of as special waste.
Editor’s note: The picture is only for the purposes of example: see the printed version in the Italian
Official Gazette no. 175 of 29-7-2005
7. Legislative Decree 151/05 includes a list of fines for illegal disposal of WEEE.
NOTE:
The manufacturer shall not be held liable for any failure to comply with
regulations regarded to delivery of the instrument to third parties. Check the
pertinent lists at specialized waster disposal centers.
CHAPTER N
1. MAINTENANCE AND CARE Page: 2
1.1. Preventive maintenance and Extra Wash Page: 2
1.2. Replacing tubing and accessories Page: 3
1.2.1. Clinical Chemistry Page: 3
1.2.2. Extra wash cuvettes Page: 5
1.2.3. Photometric lamp Page: 5
1.2.4. Dilutors’ piston o-ring Page: 6
1.3. Cleaning the instrument Page: 7
2. MALFUNCTIONS Page: 8
2.1. Troubleshooting Page: 8
2.2. Screen messages Page: 9
2.2.1. Screen messages - Causes and remedies Page: 9
2.2.2. Messages requiring technical assistance Page: 10
2.2.3. Optical system verification messages Page: 13
Exercise extreme care to ensure that the system is regularly provided with proper maintenance
and care to avoid any problems and malfunctions, which can potentially generate erroneous
results. This will give longest life at lowest overall cost.
The maintenance is normally performed at regular intervals or whenever the operating
conditions dictate it. The analyzer stores the number of run tests and a built-in maintenance
software automatically alerts the operator through on-screen messages whenever any part
needs attention or replacement. Failure to follow proper maintenance and replacement
procedures may result in system malfunction.
The software programmed maintenance does not exonerate the user from neglecting any
unexpected problems.
For the reasons just mentioned, we recommend that the operator follows the suggestions below:
The following simple steps serve as practical guidelines in establishing your care and
maintenance program:
1) Replace the worn out component soon after the on-screen message from the maintenance
software has been displayed (Figure 1 “Show Diagnostic”). To access this function refer to
chapter H.
2) Any consumable part showing signs of wear or damage should be immediately replaced,
even if the appropriate on-screen message is not already displayed.
3) Use only original Biotecnica parts. Do not replace defective parts with non-original parts as
this will cause malfunctioning of the analyzer. In case of any doubt, contact the Biotecnica
Instruments S.p.A. or nearest service center.
4) Use only bi-distilled water for the washes performed during working phases.
5) Use only Biotecnica Instruments S.p.A. approved wash solution for the routine washing
procedures and at the end of working session.
6) During routine maintenance, exercise extreme caution to avoid any contamination. When
replacing tubing, needle, or handling waste container etc. accidental contact with potentially
contaminating liquid is possible. For individual safety, use suitable protective garments, such
as overalls and gloves (refer to Chapter K, paragraph 1.1. “Potential risks during use and
maintenance”).
Note: the reading cuvettes are also part of the reading station, but they do not need to be
replaced unless it is impossible to wash them correctly or they break. If they need to be
replaced contact the Technical Assistance Service.
1 3
6
Figure 2
Figure 3
Figure 4
Figure 5
Code Description
Dilutor piston o-ring kit
11-05283-01
(contains what is necessary for one dilutor)
2.1. TROUBLESHOOTING
The risk of encountering system malfunctions is very low if the routine care and
maintenance procedure (outlined in the previous chapter) and the instructions in the
operating manual are strictly observed. Refer to the troubleshooting guide below and the
subsequent text regarding symptoms and corrective actions.
IMPORTANT NOTICE:
The above-mentioned messages are only a partial representation of all the possible
warnings that the analyzer may output to the user. In case of any messages that are
not covered here or are not clear, please contact Technical Assistance Dept. at
Biotecnica Instruments S.p.A.
NOTE:
This manual is valid for both BT1000 and BT
2000PLUS. The following components are not installed
on the BT1000:
a) Reagent refrigerator
b) Barcode
c) Touchscreen
NOTE:
Specifications are subject to change without notice
DIMENSIONS AND WEIGHT NOTE: weight and dimensions shown are approximate
Instrument: Kg 85 (188 lb)
Packaged Instrument: Kg 105 (232 lb)
Accessories: Kg 25 (55 lb)
Packaged Accessories: Kg 45 (99 lb)
Instrument’s Dimensions: L = 78 cm (31") D = 58 cm (23") H = 68 cm (27")
Packaged Instrument’s Dimensions: L = 120 cm (47") D = 72 cm (29") H = 97 cm (38")
Packaged Accessories’ Dimensions: L = 70 cm (28") D = 70 cm (28") H = 55 cm (22")
PHOTOMETER
WASH VOLUMES
Clinical Chemistry Washes:
H2O Single Wash of Cuvette: 5 ml (approximately)
H2O Single Wash of Needle: 2 ml (approximately)
Consumption per test: 7 ml (approximately)
DATA MANAGEMENT
Computer > Pentium M > 1.6 GHz or more, IBM compatible
DVD/CD Rom Player > 16X
Hard disk >40 Gb
Floppy Disk Drive: 1,44 Mb
Monitor: LCD Display Module TFT 12” with integrated touchscreen
Interface: Serial Ports RS232C + USB PORTS
Printer: Ink-jet Color IBM compatible or other
Mouse & keyboard: Cordless, IBM compatible
External Modem: Optional
Error Messages: Visible (Vocal optional)
Software: Microsoft Windows 2000® PRO (Licensed)
NOTE:
1 As regards the technical specifications for the system "instrumentation + reagent" used in the applications
of kit, these are the responsibility of kit’s manufacturer and will be stated in the applications (refer to the
instructions accompanying the kits).
2 The analyzer BT PLUS does not require (after sales) any routine electrical or mechanical readjustments.
There are mechanical and electronic adjustments performed by the manufacturer (Biotecnica Instruments
S.p.A.) during assembly and quality controls. These adjustments may be performed again in case required
by a particular technical service and in any case are at the discretion of the authorized technical personnel
only. However, It is highly recommended to check the system periodically to prevent any faults or
malfunction of the analyzer.
FOREWORD
This quick guide gives a global view of the system operation by outlining
the sequence of fundamental operating phases. It is highly
recommended to carefully read the whole manual in order to have a
deeper knowledge of each argument.
The computer box of analyzer BT2000 PLUS and by-products is designed for long-term
security and reliability and is virtually maintenance-free as long as the user does not install
any third-party application programs. If these applications are installed, then they may
damage the operating system registry and may also cause disastrous consequence for the
computer's hard-drive. Biotecnica Instruments S.p.A. will not be responsible for any
damage to the analyzer, its software and data in the hard-disk in case of improper use of
the PC box. This includes also: installation of external programs, not properly secure net
connections (intranet and internet) and the use of disks without the necessary verification
for viruses presence. Biotecnica Instruments S.p.A. will not be responsible for any damage
caused by non authorized third parties who may open and alter the PC box configuration.
The BT2000 PLUS is an automatic analyzer for clinical chemistry and immunochemistry analyses.
The analyzer can be divided into the following two distinct operative parts:
a) Sampling Unit: It prepares for tests the samples and single or double reagent.
b) Reading Unit: Cuvette plate with integral automatic washing system.
SYMBOLS
As the BT2000 PLUS analyzer software runs under Windows, it uses the same philosophy with
windows, icons, quick commands, function keys and curtain-shaped menus.
Every window has its own icons and specific menus that will be described hereafter. The full
meaning of each command will be explained in the corresponding chapters.
At the start-up the program will display the following main window:
1
2
5 3
8 9 10
DVD-ROM
FLOPPY
DISK
POWER BUTTON
COMPUTER
Fig. 1
5) Verify the presence of the washing liquid (at least for the daily needs). It consists of bi-distilled
H2O plus surfactant (1ml/l of water - ratio 1/1000).
6) Verify that waste liquid containers are empty or at least have the capacity to contain the quantity
of liquid produced during the working day.
NOTE:
It is important to observe steps 5) and 6) to ensure a continuous operation of the analyzer without
interruptions.
Fig. 2
Password (F7)
4 - To Insert/Modify Profiles
6 - To Insert Batch
8 - To Run Controls
9 - Analyzer’s Utilities
10 - Mechanical Calibrations
12 - No Results
13 - Reaction Graphs
Simply positioning the cursor on the icons the “hint” will appear (where available), showing a brief
description of the icon function. This is followed (when available) by the function key between
brackets, which allows for the same function or command as the icon. For example, the hint “Reset
(F5)” means that the function key F5 has the same function of the icon. In the same way, in each
menu are shown (when available) the quick commands (e.g. “Insert Batch” (Ctrl+B) means that the
same function is activated by typing simultaneously on the keyboard the keys “Ctrl” and “B”).
GENERAL ICONS
Reduces the window to the upper bar where the analyzer's name appears.
An icon representing refrigeration system operation has been added to the status bar in the main
menu. The "Refrigerator disabled" state may be necessary if the operator decides not to use the
refrigerator for reactions or after a refrigeration operating error generated by the system.
Figure 3
This function is accessed either by pressing F10 key or by clicking on the specific icon. It
helps the user to correctly position the reagent bottles, as programmed in the current tray.
The reagent tray is divided into three sectors, identified by the letters A, B and C. Each
sector has 8 positions. The screen displays the representation of 8+8 bottles (Figure 3).
The analysis codes of large bottles are displayed on the lower positions, while the upper
positions indicate the codes used for small bottles including the volume status for the
sample diluent.
Insert / remove reagent: to insert or remove the reagent bottles
Right-click over analysis code. A combo box asks the user to choose between "Insert
bottle" or "Remove Bottle". After the choice has been made, the analyzer will correctly
position the tray to match with the arrow at the base of the tray itself. The verification of fluid
volume contained in the bottle is associated with the insertion procedure. With the barcode
option enabled, identification is correctly achieved through the automatic scan of the
barcode on the inserted bottle. The same function can be performed on command, by
activating the “Scan bottle” command, near the insertion and removal commands.
NOTE: when using the “Remove” option, no functional control is performed: the
existing volume and test code are not removed.
Fig. 4 Fig. 5
Figure 6
Calibration parameters
“Max Var. (%)” (Maximum percentage variation): This
parameter is for verifying percentage variation. It
represents the acceptable difference between the ABS
values calculated for the different calibration points, in
case more calibrators are used or repetitions are
performed on a single title. When an out-of-limit variation
occurs, a message informs the user and the calibration
will not be stored (the previous positive calibration will
remain in memory).
Figure 7
Section II Chapter 1 Abbreviated Operating Instructions Page 7 of 19
“Reagent mABS”: It is a read-only field and it is updated every time the blank reagent is
performed.
“% from last calibration”: It is a percentage check made between current and previous calibration.
It compares the newly determined ABS with already stored data. If the programmed limit is
surpassed, then a message informs the user and the previous positive calibration will remain intact
in memory.
“Last Standardization”: This field displays date and time for the last stored positive calibration. By
double-clicking over the date textbox it is possible to display the previous calibration parameters.
“Save”: This command saves data and then closes the window.
Non Linear analyses: These tests require from 3 to 6 standards. Enter the number of standards to
be used in the “Number of Samples” field. Enter the actual positions (“Pos.”) on the tray for each
standard and then the related concentrations (“Conc.”). The values are automatically updated
during calibration into the “ABS” boxes.
To use standards pre-dilution function, enable the “Automatic Dilution”. It is then possible to
select whether dilution must be performed with water or physiological solution (“Dilution with
solution”). In the “Dilution” field enter the required dilution ratio. If automatic dilution is not
required, then appropriate concentration of the corresponding standard must be entered in the each
concentration field.
“Graph”: This command displays the graph of the stored interpolation curve. In the graphic display
page, data and curve are displayed together and can be printed.
Figure 8
Enable with check “Re-calibrating on single point”, then enter in the “Calibration point”, the
position number (corresponding to the “Number” field) occupied by the desired calibrator during the
plotting of previous curve. Then enter in the “Sample position”, the position on the tray where it
should be placed. After determination, the analyzer calculates the percentage offset for the current
result from the stored value, then reprocesses and mathematically updates the remaining ABS
values of standards already pertaining to the curve, thus normalizing the whole calibration.
Figure 9 Figure 10
“Known”: Enter lot name or number, mean value, and min & max limits. Enter tray’s position,
already set to controls in the section “Setup Analyzer” included in the inner ring of samples’ tray.
“Unknown”: Enter lot name or number and tray’s positions. Reserved positions are those already
set in the program “Setup Analyzer”, which are shared with known ones.
Figure 11 Figure 12
Figure 13
“STAT”: Displays STAT (Single Test in Actual Time, i.e. urgent positions) positions.
“New Entry”: Displays window for entering data of Routine, STAT and Control samples.
“Extra Patients”: Displays the list of patients with no assigned position. Patients selected in the
work-list may be moved here (“Options” menu, “Send to extra patients” command) and then back.
Figure 14
After the selection of "Routine" followed by confirmation through command "New Entry", the
patients acquisition frame is displayed (Figure 14). The programmed patient can be executed
immediately or saved for later use. The programming fields and the functions are outlined below:
“Code”: It is the identification number assigned by the user to the patient. It is possible to assign an
already given code thus creating a clone of the patient. The cloning of a patient's code allows the
user to obtain one report in case different samples are used. If this option is not used, then separate
reports are obtained.
It is also possible to create multiple duplicates of the same patient, where the codes will be
automatically assigned and identified by the name “Autobatch”. These will have individual reports.
“Surname”, “Name”: Enter patient’s personal data.
“Date”: enter the test date.
“Notes”: enter additional notes.
“External Dilution Factor”: By default set to “1”. It allows analysis determination on externally
diluted samples. Enter in this field the external dilution factor ratio used in sample preparation. Final
result is multiplied by the inserted external dilution factor.
“Group”: Select the group (Man, Woman, Child) for correct reference with normal values range.
“Type”: It is default set to “Serum”. The sample type (Serum or Urines) is selected here. If “Urine”
is selected, then the volume of diuresis is requested.
“Assigned Group” (“Routine” or “CTRL Routine”): The default setting is “Routine”. It is used
for selecting the category (Patient or Control Serum) during sample programming. Selecting “CTRL
Routine” the type (“Known” or “Unknown”) and levels (Level 1, 2, 3) must be specified.
Figure 15
Batch Entry: Click test code, then click each desired position (selected positions are highlighted in
red). Finally click on the checkbox by the code to activate the programmed batch. Select the “Run”
button to perform the patients. Refer to Figure 15.
Figure 16
Work Lists (Figure 16) are used to display the patient codes or to verify the status of the samples in
the tray together with the situation of Routines, STAT, Controls and Calibrators. The Work Lists can
be accessed through the menu "Patients" → "Insert Routine/STAT" or using its direct access icon.
The screen displays the “Current Tray (Routine)” in the center and the “Extra Patients (Routine)”
on the right. During the working phase, the "Re-run" is also shown.
Click on the STAT, Controls and Standard buttons to view their worklists. For each the
Current Tray and the Extra Patients lists will be displayed. It is possible to perform patients
while running calibrations.
Figure 17 Figure 18
“Options”:
The “Options” menu is available in the "Current Tray" (Routine, STAT and Controls). It displays the
following commands:
Figure 19
The "Patient’s" data display page is shown in Figure 19. It can be accessed through the
specific icon (shown on the right). It is a brief representation of data and allows
visualization of results of patient in execution as the tasks for the single patients are
completed. Once the results are archived, the information present in this page will no longer be
available.
In this area information related to calibrations is represented, such as the values of calculated
factors or any types of errors that occurred during execution.
If there is no data the page appears blank. A color code makes it possible to quickly identify the
information:
- red text: presence of flags in at least one test of the sample
- blue text: controls
- green text: calibrations
- black text: no anomaly in the test or the entire sample
The following information is displayed for each sample:
a) Sample Position (#XX) Progressive number from 01 to 52 for Routine and STAT.
Progressive number from 01 to 26 for STD and CTRL.
d) Sample Type The relationship of Sample to one of the groups: Routine, STAT, CTRL
or STD is indicated between brackets.
“Print”: Print command. If enabled, it prints the entire contents of the data display page. However,
this is not a print-out in report format.
“Sort”: Data sorting command. This function is enabled only at the end of working session. The
real-time data are displayed in test execution order. The "Sort" command allows sorting based in the
following criteria, in this order: date, time, position on tray. The controls are places last and the
calibrations first.
“Adjust”: Data re-reprocessing command. This function is enabled only at the end of working
sessions. For patients re-run manually only the last result will be recalculated. The correction is
made starting with the absorbance memorized for the single test.
After confirming the command and selection of the desired analysis, two data re-processing modes
are available. The first mode allows a positive or negative percentage correction and the second
mode uses the latest valid calibration
“Archive Data”: This command saves data into the patients archive.
“Delete Results”: deletes all the data from the visualization pages (per patients and in real time) as
well as the page of reaction graphs.
“Exit”: Exits from data display page.
INFO FLAGS
In both types of result displays (per patient and in real time) an Info Flags button is available on the
upper right.
It provides access to a page where the flags are located, with a short explanation of the meaning of
each one.
Figure 20
After the termination of programmed task, the results can be viewed per "Test". The test Results
display page is shown in Figure 20. Test results with flags are highlighted in red.
The following information is displayed for each single test:
a) Code and test name: The displayed code is the same read on the list of tests, while
the full name between parentheses is the one assigned by the
operator in the analytical parameters (chap. C, par. 1.3.3.).
b) Sample Position (# XX): Progressive number from 01 to 52 for Routine and STAT.
Progressive number from 01 to 26 for STD and CTRL.
c) Sample Code: For patients (Routine and STAT) it is assigned during check-in.
For STD and Batch it is assigned automatically.
d) Results: The results of test attributed to patients are represented with:
- result
- unit of measurement
- absorbance read (between parenthesis)
- range of normal values
- any flags (between brackets)
Figure 21
The data shown refer to the results obtained by the analyzer in real time (fig. 21), i.e. as the tests
are completed. The results are not sorted in any way, not per patient, not for type of test.
The data display is synthetic. The results of tests associated to flags are shown in red.
Once the results are archived, the information present in this page will no longer be available.
1) “SLEEP-MODE”
This mode can be manually activated, or it starts automatically when the instrument is left inactive
for more than 30 minutes. The Sleep-Mode automatically performs the wash and fill up of the
cuvettes with bi-distilled water and remains idle (waiting for user’s commands for immediate
operation).
2) “LOG-OFF”
The "Log-Off" mode represents a partial turning off of the analyzer. It disables some devices:
halogen lamp of the photometer, cuvettes thermostat and drive motors. This mode is used for
energy saving.
The Log-Off mode is utilized for programming automatic turning on at a desired date and time. The
instrument will remain in a stand-by condition and it will automatically turn on 30 minutes before the
programmed time. The turning on in anticipation (30 minutes before the programmed time) allows
the analyzer to reach steady state thus allowing immediate operation at the programmed time.
To exit ahead of time from a suspended activity, press a key on the keyboard and press the Exit
button on the window that appears. However, in this case it is necessary to wait for the devices to
become operational (around 20 minutes).
CAUTION!
a) Do not ever stop the analyzer by turning off the main switch prior to performing
the correct "SHUT DOWN" procedure.
b) Improper shutdown may cause loss of data and programs and will necessitate
reinstallation of the operating software.
CHAPTER 2
2. WARRANTY CONDITIONS Page: 2
• Notes from the manufacturer Page: 3
• Parts / Instruments Return Authorization Page: 4
Mod.05-35a-ing Rev. 1
Parts / Instruments Return Authorization
DATE: ______/______/____
From:
To: Technical Assistance – Export Manager
Client information
Instrument model: Serial number:
Defective part
Part description:
Request for:
Repair Exchange Quotation Urgent
Name: Signature:
WARRANTY EXCTRACT: Biotecnica Instruments S.p.A. warrants its instruments to be free from defective parts and
workmanship for a period of one (1) year from the date of purchase. Liability under this warranty is expressly limited to
repair or replacement of defective parts at the option of Biotecnica Instruments S.p.A. This warranty does not cover the
results of misuse, accident or abuse of any parts of its instruments which have been repaired, tampered with or altered by
anyone other than personnel authorized by Biotecnica Instruments S.p.A. This warranty does not apply to fluid handling
devices, consumables or reagents.
Products returned to Biotecnica Instruments S.p.A. for repair or replacement shall be sent with transportation prepaid.
If found not to be defective under the terms of warranty, a charge will be made for repair or replacement and freight costs
will be at customer’s expense.
CHAPTER 3
3. ORDERING INFORMATION Page: 2
3.1. GENERAL TERMS AND CONDITIONS FOR SALE Page 2
3.2. Consumables for BT2000 PLUS Page: 3
For additional information please visit our website at the following URL:
www.biotecnica.it
Important Notice:
Any modification to the Variable Serial Protocol is restricted to qualified personnel only. The
Biotecnica Instruments S.p.A. guaranties the correct performance of the internal serial
protocol. The responsibility for any malfunction arising out of any modifications to the
scripts of the Variable Serial Protocol rests with the customer.
WARNING
This information regards the setting up of the barcode for sample tubes identification. The
reading of the sample barcode label has the same progression as patient code.
For example: Once a patient code of 15 characters has been entered, then a code of 8
characters followed by 7 empty spaces to reach the 15 characters is sent.
The code read on the barcode label must have the same sequence 8 + 7 for correct detection.
4.1. GENERAL
The analyzer BT2000 PLUS allows bi-directional communication through RS 232C serial
connection with any host computer.
The particular feature of the dialog is that it is always the host computer, which initiates the
communication for either transmitting patient list or for receiving the results.
To initiate any communication the host computer will have to send to analyzer the character
STX (0x02) and expect the character ACK (0x06) as a response. At this point the host
computer will send data to the analyzer and terminate the communication by sending the
character EOT (0x04).
It is important to remember that any communication is followed by a response from the
analyzer.
It must be noted that if the parameter to be transmitted is shorter in length than the length
requirement of the communication protocol than a space must be added before or after. For
example the analysis have length 4, therefore to send a code GLY one must add a space
after to reach the length of 4 characters.
If the communication is successful then the analyzer responds with character "Y" followed
by a byte, which identifies the position where patient has been inserted. In case the
communication was unsuccessful, then the analyzer responds with "N" followed by a byte
identifying the type of error. The possible errors generated by the analyzer in response to
the invalid insertion of patient are as follows:
For example to send a patient with code 000000000000001, serum type and with analysis
GLY, BUN and CHO onto the STATS list, then one must send the following sequence of
characters (excluding initial sequence STX<->ACK):
Where:
The following is an example of eventual response to the data sent in "Sending a patient to
BT2000 PLUS ":
BT2000 PLUS
BT2000 PLUS
Introduction
The variable serial protocol has been designed to provide the user with possibility to
personalize the transmitted and received data from the analyzer.
The user can transmit or receive in addition to preset data (patient code, analysis code,
results etc.), also the simple text strings and/or characters in order to meet the personal
requirements.
Not only the user can decide to send or receive numerical information (for example number
of tests) not as single byte but as a preset numerical string or vice versa.
For example the user can decide to receive something like:
"Initiate analysis data"
<Analysis data true and typical>
"End analysis data"
Where the phrases "Initiate analysis data" and "End analysis data" do not refer to any
preset data by the analyzer but serve only for monitoring communication process (can be
useful for inserting specific markers on those programs which obtain information from text
files).
It is obvious that the protocol of initiation and end of communication, the commands for the
request of report, and the analyzer responses in case of error or success remain identical to
the usual preset serial communication.
NOTE:
a) If a check-sum is omitted in a communication then the analyzer will not control it.
b) The following numbers have been used to represent the error codes relevant to
sending a patient to the analyzer as regards the parameters not part of the
standard serial communication:
0x0F Data (constant) sent to a TAG #Char, #String or #Stringn does not fall within the
possible values range
0x10 Data (variable) sent to a TAG #Char, #String or #Stringn is not valid
0x11 An analysis variable is outside the SET BEGIN/END relative to the analysis
An editor for writing, modifications, saving and compiling of one or more scripts is
accessible inside the program (setup function). In any case it is possible to write a script
with any text editor (DOS or Windows) like Notepad of Windows or the EDITOR of the DOS.
It is not possible to import documents written with UNIX as the characters used for going to
the next line are different from the ones used by the DOS or Windows.
CAUTION!
If one wants to use the script stored in a removable disk (for example floppy disk)
then it will be necessary to copy it on the hard disk.
TYPE OF DATA
Character: Identifies a single character, can pass as printable character (enclosed between single
apostrophes), as decimal ASCII value (followed by symbol $) or else hexadecimal ASCII
value (followed by 0x).
If for example we want to identify the character A (decimal value 65 or
hexadecimal value 41) then we can write 'A', $65 or 0x41.
String: Identifies a sequence of printable characters enclosed in single apostrophes, for example:
'this is a string'.
Comment: Identifies a portion of test (preceded by a character ; which will not be compiled but will
serve as note only for the programmer.
Variables: These are particular sequence of characters preceded by the symbol #, which will be
used by the program for storing internal information (patient code, analysis name and
etc.), refer to "TABLE 1 - TRANSMISSION/RECEPTION".
There are also variables for direct uses, which allow for identification of
any character below ASCII 32 (space) to facilitate the writing of the script
(for example, one can use the variable #EOT to identify the character $4),
see "TABLE 2 - INTERNAL VARIABLES".
Syntax:
String <string>I<Terminator>
Where
<String> Transmit/receive string
<Terminator> End character
Note:
It is not possible to use the variables like parameter <Terminator>
Example:
String ‘Hello Word’|$0
String ‘My String’|’@’
String #Variable1|0x10
Syntax:
Stringn <String>|<Length>
Where
<String> Transmit/receive string
<Length> String length
Note:
If the length of the text strings is less than the data length then a series of spaces will
be added on the right to reach the data preset length. In case the text string is longer
than the data length then the string end will be cut off to match the data length.
If the length of the numerical values is less than the data length then a series of
characters '0' will be added to the left to reach the preset data dimension. In case the
length of the numerical values string is longer than the data length then the string will
be truncated to match the data length.
Example:
Stringn ‘Hello Word’|$40
Stringn #Variable1|0x10
Syntax:
Char <Character>
Example:
Char ‘H’
Char $20
Char 0x10
Char #STX
Set: Identifies the beginning and the end of the group of repetitive commands
Syntax
Note:
Actually the ANALYSESDATA is the unique SET present, which identifies the
analysis in transmission/reception.
Only one command SET BEGIN and one command SET END can be present in a
script.
A script must always contain the command SET.
The variable PATIENTNUMBERTEST must be present before the command SET.
The following variables are used for the transmission of a report from analyzer to the host
computer:
Variable Usage Type of valid data
PATIENTCODE Patient Code String
PATIENTNAME Patient Name String
PATIENTSURNAME Patient Surname String
PATIENTGROUP Group (1) String Character
PATIENTLISTTYPE List (2) String Character
PATIENTTYPE Method Type (3) String Character
PATIENTNOTE Descriptive Note String
PATIENTNUMBERTEST Number of Results String Character
CHECKSUM Check-Sum String Character
ANALYSESCODE Analysis Code String
ANALYSENAME Analysis name String
ANALYSESTYPE Analysis Type (4) String Character
ANALYSESCONCENTRATION1 1st Concentration String
ANALYSESCONCENTRATION2 2nd Concentration String
ANALYSESFLAGS1 Flag 1st Result String
ANALYSESFLAGS2 Flag 2nd Result String
ANALYSESMINVALUE Minimum Value String
ANALYSESMAXVALUE Maximum Value String
ANALYSESUM1 1st Unit of Measurement String
ANALYSESUM2 2nd unit of measurement String
ANALYSESUMFACTOR Unit Factor String
ANALYSES2RESULT Does the 2nd result exists? (5) String Character
ANALYSESSERUMTYPE Method Type (3) String Character
ANALYSESURINE24H Urine in 24/h String
(1)
Identifies Male, Female or Child (Select one of these):
‘M’ : Male
‘F’ : Female
‘C’ : Child
(2)
Identifies Routine or STAT (Select one of these):
‘R’ : Routine
‘S’ : STAT
Transmitting patient from archive will always have identifier of Routine.
(3)
Identifies Serum or Urine (Select one of these):
‘S’ : Serum
‘U’ : Urine
(4)
Identifies Clinical Chemistry, or Relation Analysis (Select one of these):
‘C’ : Clinical Chemistry
‘R’ : Relation Analysis
(5)
Identifies if the 2nd result exists or not (Select one of these):
‘Y’ : 2nd result exists
‘N’ : 2nd result does not exist
• If only the final result is desired then always refer to variables pertaining to 2nd result.
• In case of the absence of 2nd result then its variables will have the same values of the 1st result.
The following variables are used for reception of a patient by the analyzer:
Variable Usage Type of valid data
PATIENTCODE Patient Code String
PATIENTNAME Patient Name String
PATIENTSURNAME Patient Surname String
PATIENTLISTTYPE List (1) String Character
PATIENTGROUP Group (2) String Character
PATIENTTYPE Method Type (3) String Character
PATIENTURINE24H Urine in 24/h String
PATIENTNOTE Descriptive Note String
PATIENTISCONTROL If the patient is a control (4) String Character
PATIENTCONTROLKNOK If it is a known control (5) String Character
PATIENTCONTROLLEVEL Control Level (6) String Character
PATIENTCLONE If it is a clone (7) String Character
PATIENTCUPPOSITION Vial (Cup) position String Character
PATIENTNUMBERTEST Number of test String Character
CHECKSUM Check-Sum String Character
ANALYSESCODE Analysis Code String
(1)
Identifies Routine or STAT (Select only one of these):
$0 : Routine
$1 : STAT
‘0’ : Routine
‘1’ : STAT
‘R’ : Routine
‘S’ : STAT
‘ROUTINE’ : Routine
‘STAT’ : STAT
(2)
Identifies Male, Female or Child (Select only one of these):
$0 : Male
$1 : Female
$2 : Child
‘0’ : Male
‘1’ : Female
‘2’ : Child
‘M’ : Male
‘F’ : Female
‘C’ : Child
‘MAN’ : Male
‘FEMALE’ : Female
‘CHILD’ : Child
(3)
Identifies Serum or Urine (Select only one of these):
$0 : SERUM
$1 : URINE
‘0’ : SERUM
‘1’ : URINE
‘S’ : SERUM
‘U’ : URINE
‘SERUM’ : SERUM
‘URINE’ : URINE
$0 : Sample
$1 : Control
‘0’ : Sample
‘1’ : Control
‘N’ : Sample
‘Y’ : Control
‘S’ : Sample
‘C’ : Control
‘NO’ : Sample
‘YES’ : Control
‘SAMPLE’ : Sample
‘CONTROL’ : Control
(5)
Identifies a Known or Unknown Control (Select only one of these):
$0 : Unknown
$1 : Known
‘0’ : Unknown
‘1’ : Known
‘N’ : Unknown
‘Y’ : Known
‘U’ : Unknown
‘K’ : Known
‘NO’ : Unknown
‘YES’ : Known
‘UNKNOW’ : Unknown
‘KNOW’ : Known
(6)
Identifies Control Level (Select only one of these):
$1 : Level 1
$2 : Level 2
$3 : Level 3
‘1’ : Level 1
‘2’ : Level 2
‘3’ : Level 3
‘L’ : Level 1
‘N’ : Level 2
‘A’ : Level 3
‘LOW’ : Level 1
‘NORMAL’ : Level 2
‘ABNORMAL’ : Level 3
(7)
Identifies if it is a Clone (Select only one of these):
$0 : Normal
$1 : Clone
‘0’ : Normal
‘1’ : Clone
‘N’ : Normal
‘Y’ : Clone
‘NOCLONE’ : Normal
‘CLONE’ : Clone
The examples outlined here are the transformation in script of the standard routine of the
patient reception by the analyzer.
Stringn #PatientCode|$15
Char #PatientListType
Char #PatientType
Char #PatientClone
Stringn #PatientCupPosition|$2
Stringn #PatientNumberTest|$2
Set #BeginAnalysesData
Stringn #AnalysesCode|$4
Set #EndAnalysesData
Stringn #CheckSum|$3
Stringn #PatientCode|$15
Patient Code of fixed length equal to 15 characters
Char #PatientListType
Type of list (Routine/STAT) as single character
Char #PatientType
Serum type (Serum/Urine) as single character
Char #PatientClone
Identifies if the patient is or is not a clone (single character)
Stringn #PatientCupPosition|$2
Position of serum cup (string of fixed length equal to 2 characters)
Stringn #PatientNumberTest|$2
Number of tests to be executed (string of fixed length equal to 2 characters)
Set #BeginAnalysesData
Beginning of analysis codes
Stringn #AnalysesCode|$4
An analysis code of fixed length equal to 4 characters. It must be entered for each type of test
as per qty indicated in the #PatientNumberTest.
Set #EndAnalysesData
End of analysis codes
Stringn #CheckSum|$3
Check-Sum (transferred as a string of fixed length equal to 3 characters)
Stringn #PatientCode|$15
Char #PatientType
stringn #PatientNumberTest|$3
Set #BeginAnalysesData
Stringn #AnalysesCode|$04
Stringn #AnalysesConcentration2|$7
Set #EndAnalysesData
Stringn #CheckSum|$3
Stringn #PatientCode|$15
Patient Code of fixed length equal to 15 characters
Char #PatientType
Serum type (Serum/Urine) as single character
stringn #PatientNumberTest|$3
Number of results to be sent (a string of fixed length equal to 3 characters)
Set #BeginAnalysesData
Beginning of zone repeated for the number of results to be sent (see #PatientNumberTest)
Stringn #AnalysesCode|$04
An analysis code of fixed length equal to 4 characters
Stringn #AnalysesConcentration2|$7
Concentration referred to the analysis code as per #AnalysesCode (a string of fixed length
equal to 7 characters)
Set #EndAnalysesData
End of zone repeated for the number of results to be sent
Stringn #CheckSum|$3
Check-Sum (transferred as a string of fixed length equal to 3 characters)
Baude-Rate....................... 9600
Stop-Bits........................... 1
Parity................................. None
Hand-shake...................... Hardware
IMPORTANT NOTICE: These two programs are in the installation disk under Utility folder.
CHAPTER 5
5. INSTALLATION OF THE OPERATING SYSTEM Page: 2
5.1. Preliminary Phase Page: 2
5.2. Setup of the Operating System Page: 6
5.3. Completing the installation Page: 12
5.4. Settings of the Operating System Page: 14
5.5. Installation of BT2000 PLUS Program Page: 19
5.6. Upgrading the BT2000 PLUS software Page: 22
Now the Setup formats the hard disk and this phase may last for a few minutes:
At the end of preceding phase the system will restart (DO NOT REMOVE CD-ROM FROM
CD-ROM DRIVE).
CAUTION
DO NOT INTERRUPT THIS OPERATION!!!
In the field “Administrator Password” type “ENZO” and rewrite it in the field “Confirm
Password”.
Do not change the default parameters and click “NEXT” in both the screens.
Open Control Panel: Click “Start”, point to “Settings”, and click “Control Panel”.
Select “Settings”:
Go to “Screen Saver”:
Click “OK”.
If one desires to select a background picture go to "Background" page.
Select the desired background picture and set “Stretch” in the "Picture Display".
Click “OK”.
The Operating System is now configured correctly and one may proceed to the installation
of the drivers of the peripheral devices (e.g. Additional Serial port, Touchscreen, and
printer).
CAUTION:
The supplementary drivers must be installed prior to installation of the BT3000 PLUS operating
program in the system.
Click “NEXT”.
Here the operator will manually select the Com port used for communication (normally "Com4"
is utilized).
Select Com4 and click “Accept”. Now the installation of operating programs begins.
CAUTION:
DO NOT INTERRUPT THE ONGOING INSTALLATION, UNLESS FOR SERIOUS REASONS.
CHAPTER 6
6. TECHNICAL ASSISTANCE Page: 2
In case of need for the Technical Assistance Service, before calling Biotecnica, please
make sure that the following information are available:
- analyzer model
- serial number
- program code (at the center of the main screen)
- analyzer configuration (printable from the External programs menu, with third level
password)
For operative and applications problems, make sure all possible information is available (in
addition to the above mentioned), such as:
Please do not return any equipment orpart of the systemto Biotecnica before
discussing your problem with an authorized technical assistance representative or
Biotecnica own technical assistance. The Technical Assistance Service at
Biotecnica Instruments S.p.A. will provide a Return Authorization Number for the
Parts/Instruments Return Authorization module available in Section II, chapter 2.
à www.biotecnica.it
Section II Chapter 6 Technical Assistance Page 2 of 2
OPERATOR MANUAL
BT1000 & BT2000 PLUS
CHAPTER 7
7. BIBLIOGRAPHY OF ALLIED SUBJECTS Page: 2
NOTE:
The following bibliography is given to supplement this manual,
whose scope as an operator manual permits only the mention or
brief explanation of some subjects.
♦ Burtis C.A., Ashwood E.R.: “Tietz Textbook of Clinical Chemistry” IInd Ed. W.B.
Saunders Company, 1994
♦ Press W.H., Flannery B.P., Teukolsky S.A., Vetterling W.T.: “Numerical Recipes” -
The Art Of Scientific Computing -, Cambridge Univ. Press, 1986
♦ EN 591 (1994): In vitro diagnostic systems – Requirements for user manuals for in
vitro diagnostic instruments for professional use (ital. UNI 96)