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Hemochron Signature+ Operator Manual

1. n User Note User Note 6 User Note 7 User Note 8 User Note 9 Beset Cancel Save amp Exit 2 Enter a note up to 16 characters for each key Note NOTE NOT USED is displayed on the HEMOCHRON Jr Signature instrument if a note is not entered for that note number 3 Click Save amp Exit to save the specified notes and exit the dialog box Note Reset clears all fields Cancel cancels display of the dialog box without saving the modified notes Saving Modified Configuration Data After configuration data has been modified the data must be saved to a configuration file prior to downloading to instrument s or for future use 1 Click the Save Configuration button 2 The modified configuration may be saved as a new Configuration filename or as a pre existing filename by selecting a filename from the drop down list in Select Existing Configuration File Writing Modified Configuration Data to an Instrument After configuration data have been modified and saved the data from the configuration file or any other saved configuration file can be downloaded to a HEMOCHRON Jr Signature instrument To Write Configuration Data to an Instrument 1 If needed Link the instrument to the PC see page 26 2 Ifneeded Start HEMOCHRON Configuration Manager and select the configuration file that is to be downloaded see page 30 3 Select Clone Signature Instrument The Clear Instrumen
2. TEST Note System verification checks are performed during this process If a fault is encountered the instrument will beep several times and display the error message Refer to the Troubleshooting section for the procedure to resolve an error message 2 After a short interval the instrument will beep once and alternately display Press E QC and EE Start Now 3 Press the Start button on the EQC Cartridge The instrument displays the elapsed time in seconds until the EQC Cartridge simulates an endpoint 4 When the EQC Cartridge simulates an endpoint the instrument beeps twice Final results of the test along with a PASS or FAIL designation are displayed and saved in the database when the cartridge is removed Note If a printer is connected the results are printed when the EQC Cartridge is removed 5 Compare the displayed time with the acceptable range for the EQC Cartridge and remove the EQC Cartridge Repeat the procedure using the other EQC Cartridge 20 QC Using Liquid Quality Control Products 1 Obtain the liquid quality control products Note HEMOCHRON Jr Quality Controls are recommended Refer to the package insert for the liquid quality control products for storage and bandling information 2 Select QC NORMAL or QC ABNORMAL and enter an Operator ID optional for the test Important LQC results will be stored in the patient database if QC NORMAL or Q
3. Limits for Harmonic Current Emissions EN 61000 3 3 Electromagnetic Compatibility Limits Limitation of Voltage Changes Voltage Fluctuations and Flicker in Public Low voltage Supply Systems EN 55011 Industrial Scientific and Medical ISM Radio Frequency Equipment Radio Disturbance Characteristics Limits and Methods of Measurement EN 61326 Electrical Equipment for Measurement Control and Laboratory Use EMC Requirements Directives 89 336 EEC and as amended by 91 263 EEC 92 31 EEC 93 68 EEC 98 13 EC and 98 79 EC All the relevant documentation is kept on file at ITC in Edison NJ 49 This page intentionally left blank 50 INDEX action keys 5 adding a user 42 attention label automatic shutdown battery AT ORAE EE EE EN 48 charging eerte 11 Checkin eaaa 12 life10 low warning eee 12 D M H 10 cable configurations sss 14 charging battery wl commands 6 computer requirements ees 26 configuration date fOrniat ertet 31 date time format sees 32 EQG 10CK 0Ut s cr 31 32 instrument Es Operator ID 32 Operator PIN 32 preparing the instrument 26 30 QC Exceptions eene 35 time format 31 user notes 37 Configuration Manager commands cierto itta 29 loading
4. lt gt QABCDEFGHIJKLMNOP QRSTUVWXYZIN _ abcdefgh ijklmnopgrstuvwxzyt 3 To Enter a Custom Header 1 Press 6 This feature allows creation of a custom header to appear on the top of each printout The default header is ITC 2 Create the custom header using the alphanumeric keypad Press a key once to display the key s numeric value Press the key once more within one second to display the first alpha character mapped to the key Hold down the key to cycle through the assigned numeric and alpha characters at a one second interval Release the key for at least one second when the selected character is displayed The character is saved and the cursor advances to the right Use the CANCEL key as a left arrow key and the ENTER key as a right arrow key 3 When the desired header is displayed press and hold the ENTER key for at least one second to save the header Press and hold the CANCEL key to return to the ENTER HEADER prompt without saving the new header 23 To Print System Information 1 Press 7 to print the system software version system serial number and program parameters To Abort Printing of Results 1 Pressing CANCEL for three seconds will abort data transmission to the printer Any data previously transmitted will complete printing Note If an error is encountered witb tbe lest or tbe sample tbe error message for tbe error will be included on the printout Refer to page 46 for
5. Malfunction in the computer s memory START key was not pressed within 5 minutes after entering ready mode Cuvette cannot be identified by instrument Invalid correlation data entered by Operator Operator attempted to print data when none was stored in database Used cuvette was reinserted into instrument Occurs if cuvette channel is blocked or if sample is added before pump priming sequence is complete Date Time cannot be changed if QC Lockout is required or Date Time function is denied through Configuration Manager Assay performance has been prohibited via Configuration Manager Erasing patient and or QC database is not allowed 47 Contact the Supervisor Repeat test with new cuvette If message persists contact ITC Technical Service Repeat test with new cuvette Repeat test with new cuvette Repeat test with new cuvette If message persists contact ITC Technical Service Repeat test using different AC outlet location Contact ITC Technical Service Remove cuvette and repeat test with new cuvette Remove cuvette and repeat test with new cuvette Re enter information N A Remove cuvette and repeat test with new cuvette Supervisor needs to reconfigure instrument using HCM Supervisor needs to reconfigure instrument using HCM Supervisor needs to reconfigure instrument using HCM Error Message Cause Corrective Action INR 0 8 Test result is outside clinic
6. Select Test Type EGC r QC Normal 3t of QC Tests Failed Reset Range Low ps High 5 QC Abnormal QC Abnormal Required UNCLE Ule ca Reset Range Low 9 High QC Lock Out Control QC Interval 0 1080 Hours fo 0 Days 0 Hours QC Start Time Date 0 01 2000 Hour ng Cancel Save Cancel amp Exit Save amp Exit Select the QC Lock Out Requirements tab if needed Use the drop down arrow to select the test type e g PT or EQC for which QC lockout parameters are to be specified Enter a check mark in the QC Normal Required box to require QC Normal testing to be run at a specified interval Note The number of QC Normal tests that have been run and failed is displayed in the of QC Tests Failed field Click Reset to reset tbe number to zero For all tests except EQC Designate the acceptable range in seconds for normal LQC of the specified test by entering a value in the Low and High fields Enter a check mark in the QC Abnormal Required box to require QC Abnormal testing to be run at a specified interval Note The number of QC Abnormal tests that have been run and failed is displayed in the of QC Tests Failed field Click Reset to reset tbe number to zero For all tests except EQC Designate the acceptable range in seconds for Abnormal LQC of the specified test by entering a value in the Low and High fields If the QC testing displayed on the tab is required Enter the m
7. 1 Select the file from the Select Existing Configuration drop down list 2 Click OK when reading of the configuration data is complete The Configuration Module dialog box is displayed Setting Configuration Options Reading an existing configuration file or reading a configuration file from an instrument will open the Configuration Module dialog box Configuration Module Rev 1 0 Ani xi Configuration Factory Default Serial Lock Out Control Operator Table User Notes View Print Save Clone Exit Configuration Configuration Instrument Buttons on the dialog box allow the supervisor to display and or modify configuration information Button Purpose Instrument Options a General Options 1 Specify when the display panel is illuminated 2 Allow operators to change the date or time 3 Allow operators to erase a database b Operator ID Options c Patient ID Options 4 Specify format for displaying entering and reporting date and time 1 Require entry of an Operator ID OID before a test can be run 2 Require that the supervisor specified OID or Personal Identification Number PIN must be entered by an operator in order to operate the instrument 3 Specify that the OID for the previous test is automatically entered for a specified length of time or until a new OID is entered 1 Specify the number of digits for a Patient ID PID 2 Require entry of a PID before
8. Comment Line 1 0 0 0 0 00 Comment Line 2 tt Comment Line 3 FO Add Save Cancel Delete Exit ajap nj 2 Click Add to display a blank user information form 3 Enter the user name password e mail address and other information Note Entries are not case sensitive 4 Select Yes in the Supervisor field if the user is to have supervisor level access 5 Click Save The new user record is saved 42 Updating a User Record The supervisor can modify or delete a record for an existing user 1 Select Security from the Utilities menu The User Master File Maintenance dialog box is displayed listing information for the first user record in the database Note The record number and total number of records in the database are displayed at the bottom of the dialog box 2 Use the scroll buttons at the bottom of the dialog box to display the record to be updated 3 Update the name password or access level as needed Click Delete to delete the user record Note Entries are not case sensitive The User Name field cannot be changed To change User Name delete the record and add a new record for the new User name 4 Click Save The updates are saved Note Click Exit to return to the main window Important The user name Supervisor cannot be deleted from the database however the password can be changed Setting the Real Time Clock The time clock of the HEMOCHRON Jr Signature instrument must be synch
9. HEMOCHRON Jr Ii eon START key oe MEN 7 o ne e ak Ea T number pad 6 7 option keys woz L gt oz o HEIL LESER action keys i1 ES B3 RIO LEE ER cance 0 m Key Purpose START Start the instrument or turn off instrument Initiate a test after the test cuvette has reached 37 1 0 C and the sample is added NOTE Select a laboratory defined note from nine choices programmed via HEMOCHRON Configuration Manager for entry into the record for the current test ID Enter a Patient ID or Operator ID Qc Specify that the QC sample being run is a normal Level 1 or abnormal Level 2 control For QC Lockouts Display the length of time remaining before Quality Control testing for a particular test must be successfully completed DATABASE Display the number of patient or QC test results that are currently stored in the instrument and the number of additional test results that can be stored Display results of the last 100 patient or QC tests Delete patient or QC records PRINT Print results on an external printer for the last test result patient database quality control database or all test results for a specified patient Test the printer Enter a customized header Print instrument system information 0 zero key When no tests are running and no menu is active Display the main menu 0 through 9 Select a menu option Enter numeric information e g a Patient ID
10. eg PT is inserted to turn on the instrument the following prompts are displayed 1 HEMOCHRON Sig 3 Priming Pump 2 ICs TERRE PT 4 WARMING scrolls right Note The test name for the inserted cuvette is displayed after Test Check the display Jor fault messages while the cuvette is warming Refer to the Troubleshooting section for the procedure to resolve a fault message When the cuvette reaches 37 C 3 1 0 C the instrument will beep and alternately display Add Sample and eee Press Start The sample can now be added After the sample is added press START to run the test RUNNING A TEST Samples are designated as patient samples by default If a control is being run the sample type must be changed from patient sample to QC Normal or QC Abnormal If a patient sample is being run this step is unnecessary Important Failure to select QC Normal or QC Abnormal for a control sample will result in storage of the control results as patient results in the patient database 1 Select QC to display the QC SELECTS menu QC SELECTS Note To enter QC SELECTS a cuvette must be inserted into the instrument 2 Press 1 to designate the sample as a normal control QC Normal Or press 2 to designate the sample as an abnormal control Note Once the QC SELECTS menu is displayed the sample type can be selected by pressing QC repeatedly until
11. for APIT and APIT Citrate or plasma equivalent values and International Normalized Ratio for PT and PT Citrate Press the START key to display the whole blood clotting times for three seconds Celite equivalent values are displayed for ACT and ACT LR 4 Remove the cuvette and discard it Note Results are saved in the database and printed if a printer is connected The date and time of the test the PID OID notes if entered and error message if a fault is detected for the test or sample are printed with the test result 19 QUALITY CONTROL QC The Joint Commission on Accreditation of Healthcare Organizations JCAHO recommends that medical and laboratory instrumentation be enrolled in a quality assurance program adequate in maintaining accurate and reliable performance of the equipment Complete records of such quality control must be kept Routine quality control testing should be part of a comprehensive quality assurance program Quality control testing of the HEMOCHRON Jr Signature consists of the following operations e Testing system performance using Electronic System Verification Cartridges at two levels every eight hours of operation e Testing cuvettes in accordance with the Package Insert for each assay using two levels of liquid controls Self Check The HEMOCHRON Jr Signature instrument performs a self check every time it is activated and a test is performed When a test is initiated by inserting a c
12. instructions on navigation access to commands and Help execution of commands and shortcuts that can be taken The Select Configuration Data dialog box allows configuration data to be displayed from the connected HEMOCHRON Jr Signature instrument or from a different configuration file Note The default HEMOCHRON Jr Signature settings can be loaded by selecting Factory Default for the Select Existing Configuration option These settings can be modified and saved under a different configuration file name The Factory Defaults cannot be overwritten or purged from the database To Display Configuration Data from the Connected Instrument 1 Select Read Configuration From Instrument The name and revision level of the instrument configuration file are displayed in the Read Configuration dialog box Read Configuration From Instrument Serial Number Configuration Revision COM Port im Start Exit Note If necessary designate the COM port by selecting it from the drop down list 30 2 Click Start The connected HEMOCHRON Jr Signature instrument is turned on and displays LinedtoPC 3 Verify that the instrument is linked to the PC see page 26 Note Progress of reading of configuration data is displayed in the status line 4 When reading of configuration data is completed click OK The Configuration Module dialog box is displayed To Display an Existing Configuration File
13. v Ecieen Powel Saved IV Alio IV Allow Patient amp QC Database Erase Time Change Date Format mm dd yyyy C dd mm yyyy Time Format 24Hour C 12 Hour am pm Operator ID Options Not Require Operator ID Valid Operator ID and Valid PIN C Require Operator ID Reuse Operator ID For 0 240 Hours 7 C Require Valid Operator ID From Operator Table C Require Valid PIN Number From Operator Table Patient ID Options Patient ID Length 3 9 Digits 0 if no control o Require Patient ID Reuse Patient ID For 0 240 Hours p Cancel Save amp Exit Instrument General Options 1 Screen Power Saver Click the box to enter a check mark to illuminate the display for five seconds when a cuvette is inserted and results are displayed Leave the check box blank to illuminate the display at all times 2 Allow Clock Date amp Time Change Click the box to enter a check mark to allow the operator to change the date and time on the instrument 3 Allow Patient amp QC Database Erase Click the box to enter a check mark to allow an operator to erase the patient database or the QC database 4 Date Format Select mm dd yyyy to display June 1 2004 as 06 01 2004 Select dd mm yyyy to display June 1 2004 as 01 06 2004 5 Time Format Select 24 Hour to display 7 15 pm as 19 15 Select 12 Hour to display 7 15 pm as 7 15 pm 32 Operator ID Options 1 Not Require Operator ID Valid Operator ID and Valid PIN Se
14. CO Description 4 TOO Description 5 2 Usethe drop down arrow to select the configuration file that is to be purged The information for the configuration file is displayed Note The information is read only and can not be changed by the user 3 Click OK The selected configuration file is purged from the database Rebuilding the Database 1 Select Rebuild Database from the Utilities menu The Rebuild Database dialog box is displayed w Rebuild Database 0 x Rebuild Database Repair and Compress Database 2 Select the operation Compress Database or Repair and Compress Database that is to be performed 3 Click OK The databases are repaired and or compressed 44 Converting the Database 1 Select Convert HCM Data from Ver 1 0 to 1 1 from the Utilities menu The Convert HCM Data from Ver 1 0 to 1 1 dialog box is displayed Convert HCM Data From Ver 1 0 To 1 1 CAProgram FilesXCFG Manager C Program FilesCFG Manager 1 1 Note The source and destination paths are shown These cannot be modified 2 Click OK to start the conversion A progress bar is displayed during the conversion and a message box confirms the data is successfully converted 45 TROUBLESHOOTING Configuration Manager Error Messages Problem Cause Corrective Action CHKSUM error during data Other software applications are Close all applications including transfer open during data transfer anti vir
15. o ole Cod Inactive Test Type Equation 00 v n a g 01 L Jews rm d 04 nu 2E RN E001 0s EE 29 wf o7 C per fem s 08 ni peon 03 zl 09 v LMW o2 zf 10 Iv LM o zf u 4 s 12 Vv n a zd 5 m I o gj 14 r pc 3 e 15 Vv n a s Note Only the Inactive flags can be modified This modification does not affect assay availability on tbe instrument 40 CONFIGURATION MANAGER UTILITIES The HEMOCHRON Configuration Manager Utilities allow supervisors to perform certain functions of the HCM database Function Description System Configuration Security Set Real Time Clock Purge Configuration Data Rebuild Database Convert HCM Data from Ver 1 0 to 1 1 Update institution name address and contact information Enter the PC COM port used or automatically detect it Update or delete HCM user records including user name file password or security level Synchronize the time between an instrument and the PC Remove a configuration file from the database Compress and repair the specified tables Compress reduces the size of database files Repair re indexes each table Converts data from HEMOCHRON Configuration Manager V1 0 to V1 1 Updating Laboratory Information and or PC COM Port Select System Configuration from the Utilities menu The System Configuration dialog box is 1 displayed lolx r Input Institution Information In
16. the desired sample type is displayed or by pressing the numeric key corresponding to the desired sample type The sample type can be designated either before during or after the test is run while the test cuvette is still inserted in the instrument unless QC lockout features are enabled Once QC is selected repressing the QC key will briefly display the QC level and assay being run To exit the QC menu press and hold the CANCEL Key for three seconds Important Once a QC type is selected it cannot be changed Note If any error messages appear on the instrument screen do not change any previous patient QC tags Remove cuvette and repeat test using a new cuvette A numeric Patient ID PID and or Operator ID OID can be entered for each test The IDs will be stored with the results for the test Entry of a PID and or OID is optional unless specified otherwise see the Configuration Manager section on page 26 When entering an optional PID or OID any ID up to nine characters other than 0 zero can be entered 15 To Enter an Optional Patient ID 1 Select ID to display the ID SELECTS menu ID SELECTS Note To enter ID SELECTS a cuvette must be inserted into the instrument Press 1 to enter a numeric PID Type the PID using the numeric keys Press ENTER The entry is confirmed as saved Note The PID can be designated or changed anytime Check the PID by pressing ID and then pressin
17. when it is placed in the test chamber The instrument will sound one short beep when pre warming is complete Automatic Interrupt To ensure accurate test results incubation of a cuvette stops automatically if START is not pressed within five minutes after ADD SAMPLE and PRESS START are displayed Test Termination A test terminates and operation of the test chamber automatically shuts off if clot formation is not detected within a test specific preset maximum time Note Results that are greater than the time noted in the package insert for a test are beyond the sensitivity range of the test They should be repeated immediately and if confirmed reported as greater than the maximum sensitivity range SPECIFICATIONS Specifications for the HEMOCHRON Jr Signature Whole Blood Microcoagulation System are listed below Dimensions and Weight Depth Width Height Weight Performance Test Precision Operation Test Chamber Timing Range Incubation Temperature Incubation Warm Up Time Full Charge Operating Time Battery Life Battery Type Throughput Full Charge Operating Environment AC DC Power Module USA Canada Input Power Output Power Europe Input Power Output Power Japan Input Power Output Power Calibration 9 cm 3 5 in 19 cm 7 5 in 5 cm 2 0 in 0 60 kg 1 3 Ibs x 10 CV 1 0 second to 1005 seconds 37 C 1 0 C 30 seconds to 90 seconds 2 to 3 hours minimum 500 recharges Nickel Metal Hydrid
18. 20 TER 20 21 results management 23 operations On 24 running a test aes Set VICE nemen miei setting inr 12 shutdown automatic instrument specifications AC DC Power Module 10 CLUITEN SIONS ictor 10 performance n 10 WEIL M NN 10 test CUVelles eniin specifying QC lockout sss 35 test termination specimen collection es 19 time and date sse starting a test ld troubleshooting starting instrument 14 terms test running IE ITUR o N 8 Olsen Avenue Edison NJ 08820 USA dad tel 732 548 5700 fax 732 248 1928 ITC Europe Strada Rivoltana 20090 Rodano MI ITALY tel 39 02 9532 0196 fax 39 02 9532 0276 www itcmed com a subsidiary of Thoratec Corporation HJ7006 10 04
19. 5 rsen 26 menus 29 starting 227 configuration options e 31 connecting COMPUTER sinnon rtr 13 printer 13 custom header 23 cuvette hti cuvette validation sss 21 database ITO S ere eee e 25 OPE ALON cnet 24 definitions deleting a user sse 39 43 description features ccce UR IRI X TTA 8 OVerV eW E 4 disallowed assay 34 display panel 6 EOCos o mh uM ass ass CMM 33 erase patient database 24 25 erase QC database sss 24 errOr messages eecsseesssseessseeessecssseeesseecssneeens 46 51 Teat res cce A 8 ID entering operator ID wo 16 entering operator PIN 17 entering patient anal entering patient ID 16 intended use 2 interface cable 13 interface options 32 keypad 22d 5 limitations eee 22 liquid controls e 21 lockout instrument 9 QC parameters 433 maintenance eseseeeeenennen 48 materials Optional 5o provided ausit required H MEDUSA ueste ett note adding 18 operating precautions occas 22 operator ID entering iz M an patient ID entering 16 21 PC requirements se 26 PIN Enterin ceci S 17 DI eCAUtiOnis oes 22 prewarm eeeeeeeeeeeeeeeeetetetntentntn entren 9 Quality Control electronic 20 instrument performance 1
20. C ABNORMAL is not selected for the test 3 Obtain a cuvette for the test to be validated and insert it into the instrument 4 When ADD SAMPLE and PRESS START are displayed add the appropriate liquid control sample and run the test in the same manner as for a patient sample Note If any error messages appear on the instrument screen do not change any previous patient QC tags Remove cuvette and repeat test using a new cuvette QC of Cuvettes Cuvette validation is carried out using the appropriate HEMOCHRON Quality Control Product kit and the test procedure provided Acceptable performance ranges for the HEMOCHRON Jr cuvettes are included with each HEMOCHRON QC product kit The cause of out of range results is likely attributable to test technique control material cuvette and or the instrument Additional Method to Verify Instrument Temperature A Quality Control temperature evaluation of the HEMOCHRON Jr Signature instrument is performed automatically each time a test is run see the Self Check section on page 20 However for purposes of your QC program it may be preferred to additionally perform a temperature QC evaluation using the ITC Temperature Verification Cartridge to verify that a temperature of 37 C 1 0 C is maintained The Temperature Verification Cartridge can be obtained from ITC Checking QC Intervals If EQC tests and or LQC tests are required to be run at specified intervals the amount of time remaining before
21. D is displayed when the battery is completely discharged and cannot be used to run additional tests The AC DC Power Module must be used for additional tests until the battery is recharged Checking the Battery 1 Press START to turn on the instrument 2 Press 0 zero to display the main menu MAIN MENU 3 Press 1 The battery status is displayed BAT OK 9 0V Note Battery status is displayed as OK LOW or Weak 4 Press CANCEL to return to normal operation Setting the System Time and Date The time and date a test is run is saved with the test results The system time and date can be reset by the operator unless the system is in a lockout condition or the time and date are permanently locked see the Configuration Manager section on page 26 Note Ifthe unit has been off for an extended period of time or the battery is very weak the operator will be prompted to enter or verify that the time and date are correct To Set the System Time 1 Press START to turn on the instrument 2 Press 0 zero to display the main menu MAIN MENU 3 Press 2 to display the time TIME 18 26 4 Enter the new time using the numeric keys Note Use the 24 hour format i e enter 15 30 for 3 30 pm The leading zero is required for single digit times i e enter 06 30 for 6 30 am 5 Press ENTER DATA STORED is displayed and the entry is saved 6 Press CANCEL to return to normal operation To Set
22. HEMOCHRONS Jr Signature C Whole Blood Microcoagulation System Operator s Manual English TABLE OF CONTENTS INTENDED USE ju eode ded crate 2 SUMMARY AND EXPLANATION nes 2 PRINCIPLES OF OPERATION sscsssssssssssesssssseescssssesesssseees 3 DESCRIPTION etait laute ed boue n LM Eu E 4 ATTENTION LABEL incierto nttescati tete detained 9 SPECIFICATIONS Os cte ob dede 10 PREPARING THE INSTRUMENT e 11 STARTING THE INSTRUMENT nes 14 RUNNING A TEST nnani aa s tomb cue hs 15 QUALITY CONTROL GC eee au iaa taedis 20 OPERATING PRECAUTIONS nes 22 LIMITATIONS aedi estt ti m T 22 RESULTS MANAGEMENT nnn 23 CONFIGURATION MANAGER nees 26 MASTER FILE MAINTENANCE ees 39 CONFIGURATION MANAGER UTILITIES 41 TROUBLESHOOTING 2 hase Goch Ee utenti 46 SERVICE AND MAINTENANCE ccssssssssssssssesssssseeeseseeees 48 SAFETY STANDARD Say covets stupet LEE 49 IDE tee e LR M LEM EE 51 This manual is published by International Technidyne Corporation ITC for use with the HEMOCHRON Jr Signature Whole Blood Microcoagulation System Questions or comments regarding the contents of this manual can be directed to the address at the back of this manual or to your ITC representative HEMOCHRON is a registered trademark of ITC ReportMaker and idms are trademarks of ITC Celite is registered trademark of Celite Corporation Mi
23. IR GND 5EE tmw 5 GND GND 5EE RHWW5 GND 6EHE HHHG DSR 6ENE HEH6 DSR 7NENI HEN 7 RTS 7HEER NENS CTS 8EN EEs CTS 8EE 8R 7 RTS HO RI Emo RI Connecting the instrument to the Seiko Connecting the instrument to any personal DPU 414 printer with a DB9S connector computer with a DB9P connector STARTING THE INSTRUMENT Start the instrument by pressing and holding down the START key or by inserting a cuvette Note Insert the cuvette with the label facing up Push the cuvette all the way in until it stops Allow cuvettes to reach room temperature 15 to 30 C before opening the pouch This may take up to 60 minutes Consult the cuvette package insert for additional information concerning cuvette storage and handling The prompts that are displayed after the instrument is started depend upon whether the START key or a cuvette is used and whether or not lockouts are enabled see the Configuration Manager section on page 26 Press START Insert Cuvette HEMOCHRON HEMOCHRON SIG is Displayed SIG is Displayed Y Insert and Cuvette are Displayed v Test Name is Displayed Insert Cuvette Lockout Prompts are Displayed No Satisfy Requirements v Initialization Prompts j Displayed Press START to Run Test 14 When a test cuvette
24. Manager Software The Setup program creates HEMOCHRON Configuration Manager working directories It copies programs and configuration files to the working directories and adds the HEMOCHRON Configuration Manager ITC HCM program icon to the desktop 1 Start Microsoft Windows 2 Insert the HEMOCHRON Configuration Manager installation CD ROM in the CD drive 3 Follow the instructions on the screen Note The System Configuration dialog box page 41 is displayed for entry of institution information and the PC COM port that is being used You will also be prompted to specify a Solder for the installation and to specify a folder for the program icon 4 A message will be displayed when the software is successfully loaded After the message is displayed remove the CD from the computer 5 Shut down and restart the computer if prompted to do so Linking a HEMOCHRON Jr Signature Instrument The HEMOCHRON Jr Signature instrument that is being configured must be linked to HEMOCHRON Configuration Manager 1 Connect the HEMOCHRON Jr Signature instrument to the personal computer on which HEMOCHRON Configuration Manager is installed Note Refer to page 13 for connection details A computer interface cable is included with the instrument and CD or a separate PCKIT Personal Computer Interface Cable can be obtained from ITC Alternatively the cable can be prepared as outlined on page 13 2 Start Configuration Manager software see page 27 3 I
25. Operator ID PIN Operator ID PIN Operator ID PIN Status NoDID PIN Required C Require Valid Operator ID L OH L ae Valid dm Ee Pas Basti Enter a numeric ID for each operator The ID can be any number up to 9 digits other than zero 0 Enter a numeric PIN for each operator The PIN can be any number up to 9 digits other than zero 0 Note A unique PIN can be assigned for each authorized operator or a single OID and PIN can be used to allow operation by any operator that enters the correct code The Status box will display the OID PIN requirements set under Instrument Options These options are all mutually exclusive Click Save amp Exit to save changes to the Operator Table and exit the dialog box Note Cancel removes the dialog box without saving changes Reset clears all information from the Operator Table 36 Specifying User Notes Up to nine customized notes can be entered into the User Notes menu of an instrument Up to two of these notes can be selected and appended to a test record by the operator when the test is run 1 Select User Notes from the Configuration Module screen to display the User Notes dialog box Each field is labeled with the instrument key for that note on the User Notes menu ITIN NN lm Configuration Factory Default Rev 1 0 Serial User Note 1 i User Note 2 qr 31 User Note 3 1L User Note 4 qr
26. Patient Tests After EQC LQC Lock Out Reset r Failure Limit mm EQC Failure Limit 0 9 2 4 LOC Failure Limit 0 9 Save Cancel amp Exit Save amp Exit 911 Limit 1 Enter the maximum number of patient tests the 911 Limit from 0 to 240 tests that can be run after the specified EQC LQC lockout interval has been reached When the 911 limit is reached the instrument cannot be used until reset through Configuration Manager Note The number of patient tests that have already been run against the current 911 override limit is displayed when read from an instrument Click Reset to reset the number to zero Failure Limit 1 EQC Failure Limit Enter the maximum number of times that a failed EQC test can be rerun before the system will lock from 0 to 9 tests 2 LQC Failure Limit Enter the maximum number of times that a failed LQC test can be rerun before the system will lock from 0 to 9 tests Note A failure limit of zero 0 will disable the instrument if QC fails Saving the Options 1 Click Save to save the QC Exceptions parameters Note Cancel clears all fields without saving any parameters Save amp Exit saves the EQC LQC lockout parameters and closes the dialog box Note The number of patient tests that have already been run against the current 911 override limit is not automatically reset when QC is successfully run Click Reset see above to reset the number to zero 35 To Unlock an Instrument that has Reac
27. QC must be run on each test can be checked To Check QC Intervals Note If a cuvette is not inserted in the instrument pressing QC will immediately display QC Status 1 With a cuvette inserted press QC to display the QC SELECTS menu QC SELECTS 2 Press 4 The time before QC must be run on the first test e g APTT is displayed APTT N gt 1 day 3 Press QC to display the time remaining for each of the other tests 21 OPERATING PRECAUTIONS The AC DC Power Module should be plugged into a standard AC outlet to charge the instrument when it is not in use DO NOT remove the AC DC Power Module from the instrument by pulling on the cord Although the AC DC Power Module can be left plugged into an AC outlet when the instrument is unplugged it is recommended that the AC DC Power Module be unplugged from the AC outlet when it is not being used to charge the instrument DO NOT use cuvettes that are past their marked expiration date or which have been improperly stored DO NOT force a cuvette into the instrument If resistance to insertion is encountered gently remove the cuvette and examine the cuvette slot Remove any obstruction before attempting further use of the instrument see Service and Maintenance on page 48 DO NOT use excessive force in pressing the instrument keys DO NOT expose the instrument to extreme temperatures above 37 C DO NOT drop the instrument The HEMOCHRON Jr Signature instrumen
28. TT Citrate results are displayed as plasma equivalent PE values and PT and PT Citrate results are displayed as the International Normalized Ratios INR and PE values ACT and ACT LR results are displayed as Celite ACT equivalent time The results will remain on the display while the cuvette remains in the instrument The result can be automatically printed along with the time and date the test was run the Patient ID Operator ID and other information if entered The result is also saved in an internal database Up to 400 patient test results and 400 quality control test results can be stored on the instrument for later printing or downloading Individual HEMOCHRON Jr Signature instruments can be customized so that designated quality control tests must be performed whenever a specified period of time has elapsed The instruments can also be configured so that only authorized operators can operate the system and or operators cannot perform certain functions such as deleting test results from the instrument database These and other configuration options are entered using HEMOCHRON Configuration Manager Software on a personal computer Definitions and Terms The following acronyms and abbreviations are used in this manual instrument screens and printouts ACT Activated Clotting Time APTT Activated Partial Thromboplastin Time DB Database EQC Electronic System Verification Cartridge EQC idms Integrated Data Management System INR Int
29. a test can be run 3 Specify that the PID for the previous test is automatically entered for a specified length of time or until a new PID is entered 31 Button Purpose Lock Out Control a QC Lockout Specify whether normal and or abnormal electronic quality control EQC testing must be run after a specified time interval has elapsed 2 For each test type specify whether normal and or abnormal liquid quality control LQC testing must be run after a specified time interval has elapsed 3 Prohibit specific test s from being performed on the instrument b QC Exceptions If EQC and or LQC testing must be run after a specified interval specify the number of additional tests that can be run the 911 exceptions after the time interval has elapsed 2 Specify the number of EQC or LQC test failures that are allowed before the instrument is locked and must be reset by the supervisor Operator Table 1 Specify an OID and or PIN for an operator User Notes 1 Specify user selectable notes that can be entered at the time of a test Specifying Instrument Options Instrument options specify how the instrument communicates with the operator 1 Select Instrument Options from the Configuration Module screen to display the Instrument Options dialog box Information concerning the configuration file is displayed ioii Configuration Factory Default Rev 1 0 Serial 1t General Options For Instrument
30. al Repeat test with new cuvette INR 10 0 range APTT lt 20 Out of Range Lo Test result is outside clinical Repeat test with new cuvette range Sample has clotted prematurely or did not mix correctly in cuvette Bubbles may be present Out of Range Hi Test result is outside clinical Repeat test with new cuvette range Check Time Date Low Battery or RTC has lost its Enter or Verify Time amp Date Time Date Tracking Charge Battery Dark Photo Fault Hardware malfunction Contact ITC Technical Service SERVICE AND MAINTENANCE Routine Maintenance Inspect and clean the cuvette opening as required Remove residual dried blood or other foreign matter using water moistened cotton swabs Remove any residual water with dry cotton swabs If a disinfectant is needed use a 0 5 solution of sodium hypochlorite or a 10 dilution of household bleach in water Wipe instrument with a water dampened cloth to remove residual bleach from the plastic surfaces Apply solution to clean and disinfect areas contaminated with blood DO NOT use solvents or strong cleaning solutions as they may damage the instrument s plastic components Routine maintenance other than cleaning normally is not required Service The HEMOCHRON Jr Signature instrument is almost completely self monitoring It monitors internal circuitry and reports problems to the display screen automatically Malfunctions are indicated by error messages detailed in the section T
31. an Operator ID a time or a date CANCEL Cancel an operation and return to the previous state ENTER Accept a numeric entry e g a Patient ID an Operator ID a time or a date Display Panel The instrument communicates with the operator by means of the display panel For example ADD SAMPLE and PRESS START are alternately displayed after a test cuvette reaches 37 1 0 C Add Sample The display is illuminated to enhance visibility in low light conditions To conserve power during battery operation the display is not illuminated when the test well is empty or when a test is running The display is momentarily illuminated after a key is pressed or when results of a completed test are displayed While a test is running the display can be momentarily illuminated by pressing the CANCEL or ENTER key or any numeric key Menus The action keys display the various commands for operating and configuring the system Display a menu by pressing the corresponding action key For example press the PRINT key to display the print menu title PRINT MENU Display each command on a menu by pressing the action key again or the zero key For example if the PRINT menu is displayed press the PRINT key or 0 repeatedly to scroll through the commands on the PRINT menu 1 Print Last 3 Print QC DB 6 Enter Header 2 Print PAT DB 4 Print by PID 7 Print System 5 Print Check Execute a
32. atient data to your PC without ITC data management software contact ITC Technical Service for instructions 25 CONFIGURATION MANAGER HEMOCHRON Configuration Manager HCM software V1 1 or higher allows the supervisor to configure HEMOCHRON Jr Signature instruments so they meet the needs of the laboratory The configuration is performed on a personal computer that is connected to the instrument by means of a computer interface cable Refer to the online Help in HCM software for additional information Personal Computer Requirements A personal computer with installed HEMOCHRON Configuration Manager software is required for configuring a HEMOCHRON Jr Signature Instructions for connecting the personal computer to the instrument are provided on page 11 The personal computer must meet the following minimum requirements e For Microsoft Win98 WinME A Pentium 100 MHz or higher microprocessor and a minimum of 64 megabytes MB of random access memory RAM e For Microsoft WinNT 4 0 Win2000 or WinXP A Pentium II 400 MHz or higher microprocessor and a minimum of 128 megabytes MB of random access memory RAM e Ifyou are running Windows 2000 or Windows XP you must have System Administrator or Power User security privileges Hard disk with at least 50 MB of free space VGA 800x600 or higher resolution supported by Microsoft Windows One RS 232 serial port for connecting to an instrument CD ROM drive Loading Configuration
33. ature Verification Cartridge TQC 1 Operator s Manual 1 HEMOCHRON Configuration Manager CD 1 Materials Required But Not Provided Article Quantity HEMOCHRON Jr Test Cuvettes As Needed HEMOCHRON Jr Quality Control Products As Needed Optional Materials Article Quantity HEMOCHRON Jr PKIT Printer Kit 1 HEMOCHRON Jr PCKIT Personal Computer Interface Cable 1 HEMOCHRON Jr CBL SIG Serial Printer Interface Cable 1 HEMOCHRON ReportMaker 4 0 or higher CD Data Management Software 1 idms v7 1 or higher Integrated Data Management System 1 Note The AC DC Power Module that is provided is the one that is appropriate for the country to which tbe HEMOCHRON Jr Signature instrument is being shipped An AC power cord is not provided with the European AC DC Power Module ITC Part No HJ7436 Charging the Battery The battery of the system should be charged before the system is used 1 Plug the AC DC Power Module into an electrical service outlet Caution Ensure that the input voltage requirements of the AC DC Power Module match the voltage used in the laboratory Connect the AC DC Power Module cord to the power connector on the side of the instrument Allow the battery to charge for at least 16 hours Note The AC DC Power Module can remain connected all the time 11 Battery Warning The message CHARGE BATTERY is displayed intermittently when the remaining battery power is below a predetermined level The message BATTERY DEA
34. aximum length of time the QC Interval from 0 to 1080 hours that can elapse before the QC testing must be successfully run Note The interval time resets upon successful completion of QC If the QC testing displayed on the tab is required Enter the date and time when the required QC testing displayed on the tab must be run for the first time If a start date and time are not entered the QC testing will be required immediately after Configuration is downloaded to an instrument Note Subsequent dates and times will be determined automatically from the QC interval Repeat steps 3 through 9 as needed for additional QC testing Click Save to save the QC lockout parameters for each test type individually Note Click Cancel to clear the fields without saving the modified parameters Save amp Exit saves the EQC LQC lockout parameters and closes the dialog box To disable a particular assay from being run enter a check mark in the QC Normal or Abnormal Required box and then enter 0 for the QC Interval The message DISALLOWED ASSAY REMOVE CUVETTE displays when a cuvette for that test is inserted 34 To Specify QC Exceptions 1 Select Lock Out Control from the Configuration Module screen The EQC LQC Lockout dialog box is displayed 2 Select the QC Exceptions tab QC Lock Out Requirements Configuration Factory Default Rev fio Serial 911 Limit Maximum Patient Tests Allowed After EQC LQC Lock Qut 0 240 0 of Used
35. command by pressing the ENTER key while the command is displayed or by pressing the numeric key for that option when the menu is displayed For example press 3 while PRINT MENU or any command on the PRINT menu is displayed to print the QC database Printing QC DB The commands displayed after successive keystrokes on each action key are summarized below Menu Action Key Commands Note NOTE First Enter Notez Successive Predefined Notes 1 through 9 ID SELECTS ID First ID SELECTS Successive Enter PID 2 Enter OID QC SELECTS QC First QC SELECTS Successive 1 QC Normal 2 QC Abnormal 3 Patient Result 4 QC Status DB SELECTS DATA First DB SELECTS BASE Successive 1 Pat DB Totals 2 QC DB Totals 3 Pat DB Erase 4 QC DB Erase 5 Display Pat DB 6 Display QC DB Menu Action Key Commands PRINT MENU PRINT First PRINT MENU Successive 1 Print Last 2 Print Pat DB 3 Print QC DB 4 Print by PID 5 Print Check 6 Enter Header 7 Print System MAIN MENU 0 Zero First MAIN MENU Successive 1 Power Level 2 System Time 3 System Date 4 Shutdown 5 System Info Instrument Shutdown To shutdown the HEMOCHRON Jr Signature press 0 zero to display the main menu and then press 4 Or press and hold down the START key for four seconds If not in use the instrument will automatically shutdown after five minutes Test Cuvettes Tests are performed with single use disp
36. crosoft and Windows are registered trademarks of Microsoft Corporation 2000 2001 2002 2003 2004 This document is the copyright of ITC and must not be copied or reproduced in any form without prior consent ITC reserves the right to make technical improvements to this equipment and documentation without prior notice as part of a continuous program of product development INTENDED USE The HEMOCHRON Jr Signature Whole Blood Microcoagulation System is a battery operated hand held instrument that performs individual point of care coagulation tests on fresh or citrated whole blood These tests include Activated Clotting Time ACT and ACT LR Activated Partial Thromboplastin Time APTT and APTT Citrate and Prothrombin Time PT and PT Citrate The system is intended to be used with test cuvettes that are available from ITC Data management capabilities are included with the instrument These capabilities include storage of up to 400 patient results and 400 quality control results designation of quality control levels tagging of test results with date and time entry of Patient ID and or Operator ID and printing of results HEMOCHRON Configuration Manager software is included This software allows the user to connect a personal computer to an instrument and perform system configuration functions using the fast and convenient Microsoft Windows user interface ITC data management software programs provided separately allow the us
37. d followed by the PIN prompt Operation of the instrument will not continue until an acceptable PIN is entered 17 Prompts for Mandatory QC Tests Electronic quality control EQC tests and or liquid quality control LQC tests can also be required to be run at specified intervals see the Configuration Manager section on page 26 When it is time for a required QC test to be run the required QC test must be successfully completed before the specific patient test s can be run If EQC is required no patient tests can be run until successful completion of EQC Note A specified limited number of additional tests 911 exceptions can be run after a mandatory QC interval bas been reached Consult tbe Configuration Manager section for details To Run a Mandatory QC Test 1 The prompt for the required QC test is automatically displayed 1 QN 2 QA 2 Enter mandatory ID or PIN information if prompted If acceptable information is entered operation of the instrument continues Priming Pump 3 Run the QC test according to the displayed prompts If the results for the QC test are acceptable affected patient tests can now be run Adding a Note Up to two operator selectable notes can be added to the record for each test and will be printed with the final record The notes are selected from a menu of nine available notes Note Consult tbe Configuration Manager section for tbe procedure to add a new user selectable note t
38. e 49 test cycles at 150 sec per test 17 test cycles gt 500 sec per test 15 C to 30 C 120 VAC 60 Hz 35 VA 9 0 VDC 1 38 Amps maximum 230 VAC 50 Hz 30 VA 9 0 VDC 1 15 Amps maximum 100 VAC 50 60 Hz 40 VA 9 0 VDC 1 3 Amps maximum The Signature instrument is calibrated at the manufacturer facility to test and verify all functions The instrument is also self calibrating as all instrument functions are continuously monitored and verified by the instrument software when a test is performed The instrument does not require additional calibration by the user 10 PREPARING THE INSTRUMENT Unpacking and Inspection Note Inspect each component for damage when unpacking If damage is observed contact your shipper or service representative immediately Remove any protective packaging that may be present around the instrument Examine the packaging material to be sure that the power supply connecting cables or other components have been removed The materials that are provided are listed below Note Do not discard the packaging material Materials Provided Article Quantity HEMOCHRON Jr Signature Microcoagulation Instrument 1 PC Cable ITC Part No HJ7405 see Connecting a Computer or 1 Printer on the following page AC DC Power Module see note below 1 USA Canada ITC Part No HJ7353 Europe ITC Part No HJ7436 Japan ITC Part No HJ7409 Electronic System Verification Cartridges EQC 2 Temper
39. efault entry for the current test Note The PID will be entered by default for the specified length of time The default PID can be changed if needed If 0 is entered the PID will not be reused Saving the Options 1 Click Save amp Exit to save the specified options and cancel display of the dialog box Note Cancel clears all fields without saving any parameters Specifying QC Lockout Parameters QC lockout parameters specify the maximum length of time that can elapse before liquid quality control LQC or electronic quality control EQC must be successfully run When the lockout interval has elapsed and the test cuvette is inserted into the instrument the user will be prompted to perform the appropriate QC If 911 Limits are enabled the user will be offered the choice to run a patient test If this option is selected the instrument displays the number from 0 to 240 of remaining tests that can be run the 911 override before QC must be performed see To Specify QC Exceptions on page 35 Separate requirements can be specified for the frequency at which EQC and LQC for various tests must be run at normal and abnormal levels 33 To Specify Lockout Parameters 1 10 11 12 Select Lock Out Control from the Configuration Module screen The EQC LQC Lockout dialog box is displayed EQC LQC Lockout QC Lock Out Requirements i QC Exceptions Configuration Factory Default Rev 1 0 Serial r Test Type
40. er to connect a personal computer to an instrument and perform various data management and data reporting functions Refer to the operating instructions for these programs for information on use in conjunction with the HEMOCHRON Jr Signature For in vitro Diagnostic Use SUMMARY AND EXPLANATION Events that lead to formation of a blood clot are simplified in coagulation theory into two interactive coagulation cascades that are referred to as the intrinsic and the extrinsic pathways The clotting factors involved in these pathways are numbered I through V and VII through XIII The intrinsic pathway begins with the contact activation of factor XII and through the interaction of several coagulation factors results in the conversion of soluble fibrinogen to insoluble fibrin strands The extrinsic pathway is initiated through the interaction of tissue factor with factor VII Platelets essential co factors in this reaction provide the platelet phospholipid PF3 surface on which coagulation reactions occur Heparin is used to maintain hemostasis during cardiac surgery and percutaneous coronary interventional PCI procedures However its administration can pose significant risk to the patient since individual patients can vary as much as twelve fold in heparin sensitivity Overdosing heparin can result in dangerous bleeding and underdosing heparin can lead to thrombosis Therefore monitoring heparin therapy is vital in guarding against these undesi
41. ernational Normalized Ratio LQC Liquid Quality Control OID Operator Identification Number PID Patient Identification Number PIN Operator Personal Identification Number POCC Point of Care Coordinator PT Prothrombin Time QC Quality Control TQC Temperature Verification Cartridge DESCRIPTION The HEMOCHRON Jr Signature instrument is a hand held device It contains a test chamber which warms a test cuvette to the required temperature and it performs all operations to measure the clotting time of a whole blood sample after it is placed in the test cuvette and the test is started by the operator Operator instructions are shown on the display panel and the operator enters commands and information using the keypad When the test is completed the results are shown on the display panel and stored in system memory for printing or downloading QM display panel g S SS gs gt os SA Sy m MEL keypad b A e t e 4 e N Sow test chamber SS Keypad The front panel contains a keypad with various action keys as well as a number pad The operator uses the keypad to select a command or enter information Action keys display a menu of commands according to the label on the key For example the PRINT key displays printing commands Number pad or option keys are used to enter numerals for IDs or selection of commands Note The 0 zero key is used as both a numeral key and an action key
42. error messages their cause and their resolution Other Database Operations Results of the last 100 tests can be reviewed for both patient and QC results The total number of test results that are currently stored and the total number of additional test results that can be stored can be displayed Finally the results in either the patient database or the quality control database can be erased to make room for additional test results CAUTION Results from the oldest test are overwritten if a test is run when the database is full Therefore it is important to periodically check print archive and erase the database contents To Perform Other Database Operations 1 Press DATABASE to display the DATABASE menu DB SELECTS Then perform one of the following procedures To Display Total Tests and Remaining Tests in the Database 1 Press 1 The total number of stored patient records and the number of records that can still be added to the patient database are displayed 41 Tests 359 Left Or press 2 The total number of stored QC records and the number of records that can still be added to the QC database are displayed 12 Tests 388 Left To Delete All Results from a Database 1 Press 3 to erase the patient database Or press 4 to erase the QC database 2 Theinstrument displays a prompt to confirm deletion of the database Sure 1 YES 2 NO 3 Press 1 to confirm deletion COMPLETED is displayed f
43. f necessary designate the PC COM port to use 26 Starting Configuration Manager 1 Select the ITC CM program icon The Startup window is displayed Configuration Manager 215 x EXIT PROGRAM PROGRAM 2 When HEMOCHRON Configuration Manager software is run for the first time instructions are displayed to logon using the default user name and password Click Start Program to start the Configuration Manager Use user name supervisor and password supervisor for initial logon to the Configuration Manager Under Utilities menu click on Security to change supervisor password and add new users a Click OK and then click Start Program The Logon dialog box is displayed with the default user name supervisor and password supervisor Logon Type your password to login to Configuration Manager Username Ok Password p ER b Click OK The System Configuration dialog box is displayed w System Configuration Eek r Input Institution Information Institution Name Address1 Address2 City State Zip Code Phone Number Extension Fax Number Select COM Port COM Port 1 8 1 Detect COM Port 27 Enter information about your institution and COM port used if needed then click OK The User Master File Maintenance dialog box is displayed User Master File Maintenance Edit User Name Full Name supervisor Department Initial Passwo
44. g 1 to display the entered value If a PID is not entered for a test the PID is stored as 0 zero in the database To Enter an Optional Operator ID 1 Select ID to display the ID SELECTS menu ID SELECTS Press 2 enter a numeric ID Type the OID using the numeric keys Press ENTER The entry is confirmed as saved Note The OID can be designated or changed anytime Check the OID by pressing ID and then pressing 2 to display the entered value If an OID is not entered for a test the OID is stored as 0 zero in the database 16 Entering a Mandatory PID OID and or PIN Entry of a Patient ID PID Operator ID OID and or Operator Personal Identification Number PIN can be required for completion of a test see the Configuration Manager section on page 26 If entry of one or more of these IDs is required appropriate prompts for entry of PID OID and or PIN are automatically displayed To Enter a Mandatory Patient ID 1 The PID prompt is automatically displayed Note When PID is displayed pressing the QC button will allow a QC test to be performed without fulfilling the PID requirement Type the PID using the numeric keys Press ENTER If an acceptable PID is entered operation of the instrument continues Priming Pump Note An acceptable PID is any number other than zero 0 The number of digits to be entered for PID from 3 to 9 or 0 for any number of digits u
45. ger needle if a syringe is used for blood collection If a sample is expelled through the same needle do it slowly to prevent hemolysis Consult the cuvette package insert for additional information concerning specimen collection and storage Starting the Test After initialization is completed the instrument beeps once signaling the instrument is ready for the sample ADD SAMPLE and PRESS START are displayed and the blood sample can be placed into the cuvette and the test started Note START TIMED OUT is displayed if the test is not started within five minutes If this occurs repeat the test using a new cuvette 1 Place a drop of blood into the sample well of the cuvette Ec lower wall sample well erus overflow area Note Fill the sample well from the bottom up Add enough blood so that the lower wall of the center sample well is completely filled If the meniscus of the blood sample extends above the lower wall push the excess blood into the overflow area A transfer needle can be used to transfer blood 2 Press the START key The elapsed time in seconds is displayed until the sample clots Note SAMPLE TOO SMALL SAMPLE TOO LARGE or SAMPLE NOT SEEN is displayed if an incorrect amount of sample was added Repeat the test using a new cuvette 3 When a clot is detected the instrument beeps once Final results of the test are calculated and displayed Note The whole blood clotting times are converted to plasma equivalent values
46. hed QC Failure Limit or the 911 Limit Note The HEMOCHRON Jr Signature must be connected to the Configuration Manager and the instrument configuration information read by clicking on Read Configuration from Instrument 1 Select Lock Out Control from the Configuration Module screen The EQC LQC Lockout dialog box is displayed Use the drop down arrow to select the test e g PT or EQC for which QC failed The failed QC Normal and QC Abnormal tests are displayed in the of QC Tests Failed fields Click Reset for QC Normal or QC Abnormal to reset the number of failed QC tests to zero for that level Select the QC Exceptions tab and click Reset to reset the number of used patient tests after EQC LQC Lock Out Click Save amp Exit The Configuration Module dialog box is displayed see page 31 Note The reset configuration must be downloaded to the instrument for these changes to take effect Specifying Operator IDs and or Personal Identification Numbers The Operator Table allows the supervisor to specify an Operator ID OID and or Personal Identification Numbers PINs for each operator or a group of operators The supervisor can then specify whether entry of a specified OID or PIN is required before the instrument can be operated 1 Select Operator Table from the Configuration Module screen The Operator Table dialog box is displayed ini xi Configuration Factory Default Rev ho o Serial Operator ID PIN
47. if desired The Date Manufactured is read from the instrument Note Entries are not case sensitive 4 Click Save The new instrument record is saved Updating an Instrument Record The supervisor can modify or delete a record for an existing instrument 1 Select Serial Number from the Master File Maintenance menu The Serial Number Master File Maintenance dialog box is displayed listing information for the first instrument record in the database Note The record number and total number of records in the database are displayed at the bottom of tbe dialog box 2 Use the scroll buttons at the bottom of the dialog box to display the record to be updated 3 Update the information as needed Click Delete to delete the instrument record Note Entries are not case sensitive The Serial Number field and Date Manufactured field cannot be changed To change the serial number delete the record and add a new record for the new serial number 4 Click Save The updates are saved Note Click Exit to return to the main window 39 Setting Test Type List The list of test types can be set in Configuration Manager for display reports or selection Select Test Type from the Master File Maintenance menu to display a dialog box for viewing the Test Type Maintenance records for resident tests These records show the hole code used to identify each test on the instrument and the correlation equation used for that test fa Test TypeMaintenance
48. ing XON XOFF 3 wire software protocol For additional information on printer configuration contact ITC Technical Service at 800 631 5945 or 732 548 5700 or by e mail at techservices itcmed com 2 Connect one end of the cable to the connector port on the side of the instrument 3 Connect the other end of the printer cable to the printer To Connect a Personal Computer 1 Obtain a computer interface cable Note The computer interface cable is included with the instrument A replacement PCKIT Personal Computer Interface Cable can be obtained from ITC or a cable can be prepared as outlined below Contact ITC Technical Service for instructions on setting up the personal computer 2 Connect one end of the cable to the connector port on the side of the instrument 3 Connect the other end of the cable to an unused serial communication port on the computer Preparing a Printer or Computer Interface Cable Cabling and connectors can be purchased locally at an electronics store Use a 6 wire or 8 wire RJ45 to RJ45 modular straight through connecting cable no longer than 25 feet plus an RJ45 to DB9 adapter Numbering of the pins on the RJ45 connectors is shown below 13 The cable configurations used for connecting a serial printer or a computer are shown below Signature DB9P Signature DB9S 1NE E DCD 1mm E DCD RX 2E E Tx RX 28EN BGM I 3 RX TX 3 Em3 RX TX 3 EEE TX 4 HEW4 DIR 4HHE 4 D
49. lect if entry of an Operator ID OID or PIN is not required when running a test 2 Require Operator ID Select to require entry of an OID when running a test 3 Require Valid Operator ID from Operator Table Select to allow operation of the instrument only after an authorized OID is entered 4 Require Valid PIN Number from Operator Table Select to allow operation of the instrument only after an authorized Operator PIN is entered All PIN numbers must have a corresponding Operator ID in the Operator Table Note Only one of the alternatives listed in steps 1 through 4 can be selected Authorized OIDs and or PINs are entered in the Operator Table Both OID and PIN should be unique for each authorized operator or group in the Operator Table see page 36 5 Reuse Operator ID Enter a value from 1 to 240 hours to allow the instrument to use the OID from the previous test as the default entry for the current test Note The OID will be entered by default for the specified length of time The default OID can be changed if needed If 0 is entered the OID will not be reused Patient ID Options 1 Require Patient ID Click Yes to require entry of a PID when running a patient test 2 Patient ID Length Select the number of digits from 3 to 9 or 0 for any number of digits up to 9 that must be entered for a patient ID 3 Reuse Patient ID Enter a value from 1 to 240 hours to allow the instrument to use the PID from the previous test as the d
50. mation about the sample if desired After the cuvette has warmed to 37 C 1 0 C the instrument beeps signaling the operator that a blood sample can be added to the cuvette and the test started The operator then places a drop of blood in the sample well of the cuvette and presses the START key The instrument measures the required volume of blood and automatically moves it into the cuvette test channel where it is mixed with reagents The remainder of the blood sample not needed for testing is automatically drawn out of the sample well and into an enclosed waste channel on the cuvette After mixing with the reagent the sample is moved back and forth at a predetermined rate within the test channel and monitored for clot formation The test channel is maintained at 37 C 1 0 C during the test The rate of movement of the sample is monitored by a series of LED optical detectors that are aligned with the test channel When the blood clots the flow of the blood sample within the test channel is impeded reducing its rate of flow between the optical detectors This reduction in flow below a predetermined value signals to the instrument that a clot has formed The instrument also emits an audible beep when clot formation occurs indicating the end of the test An internal timer measures the elapsed time between the start of the test and the clot formation During the test the whole blood clotting time in seconds is displayed APTT and AP
51. nal computer e stored results can be searched by Patient ID e instrument self checks are automatically performed e Electronic Quality Control EQC cuvettes are used to check instrument operation at two levels e a Temperature Verification cuvette can be additionally used to check test chamber temperature e the display is illuminated for viewing in low light e theuser is alerted when the battery is low e an optional printer can be connected e the system can be customized using a personal computer and HEMOCHRON Configuration Manager software e User Notes can be entered to add additional information to the test results e Patient QC test reports can be created using a personal computer and ITC data management software programs ATTENTION LABEL An attention label on the rear of the HEMOCHRON Jr Signature instrument alerts users to accompanying documentation Before using the HEMOCHRON Jr Sgnature instrument it is essential that the contents of this Operator s Manual are read and understood by the operator T Handle and open the container with care Instrument Lockouts The instrument can be configured to allow use only by authorized operators and or to allow use only if specified QC has been performed If one or more of these lockouts is enabled processing of the lockout s occurs before any other instrument functions Prewarming If the lockout checks are passed a cuvette is automatically prewarmed to 37 C 1 0 C
52. ng Lists specified OIDs and PINs QC Lock Out Control Listing Lists selections for EQC LQC Lock Out User Notes Listing Lists the user notes that have been defined Audit Trail Report Lists the changes made to configuration data files The report can be sorted by date or user name To Prepare a Specific Configuration Report 1 Select Reports in the Configuration Manager main menu 2 Select the desired report type from the Reports menu The specified information is displayed 3 Click Print to print the report 38 MASTER FILE MAINTENANCE The Master File Maintenance function of HEMOCHRON Configuration Manager allows the following e Serial Number Master File Add modify or delete a record for a HEMOCHRON Jr Signature instrument e Test Type Display test name records Adding an Instrument The supervisor can add a new instrument to the table of instrument serial numbers and unit locations 1 Select Serial Number from the Master File Maintenance menu The Serial Number Master File Maintenance dialog box is displayed is Serial Number Master File Maintenance X Edit 1 Browse Listing Serial Number Unit Location Date Manufactured Comment Line 1 Comment Line 2 Comment Line 3 Comment Line 4 Comment Line 5 Comment Line 6 Add Save Cancel Delete Exit M 4 Record 1 of 5 n 2 Click Add to display a blank information form 3 Enterthe serial number unit location and comment
53. o the Note Table 1 Press NOTE Enter Note Type the number 1 through 9 corresponding to the note that is to be entered or press the NOTE key repeatedly until the desired note is displayed For example USER TRAINING Note NOTE NOT USED is displayed if a note is not defined for that note number Press ENTER The number for the selected note is displayed Enter Note 6 0 Note The number corresponding to the first note is displayed before the comma The 0 zero character after the comma indicates that a second note has not yet been defined If needed Type the numeral corresponding to a second note and press ENTER The number for the second note is displayed Enter Note 2 6 Note If a third note is entered the first note Note 6 in this example is cancelled Currently entered notes can be cancelled by entering 0 zero for both notes Press CANCEL to return to normal operation 18 Specimen Collection Collect blood specimens according to NCCLS document H21 2 entitled Collection Transport and Processing of Blood Specimens for Coagulation Testing and General Performance of Coagulation Assays Important Collect blood specimens in a manner that prevents contamination with tissue thromboplastin indwelling intravenous L V solutions or alcohol cleansing solution Discard samples that are not properly collected or contain visible clots or debris Use a 23 gauge or lar
54. of warming on external power or for up to 150 seconds on battery Incubator exceeded 38 C for 2 5 seconds Light path between LED and detectors is blocked Sample has moved outside of testing area in cuvette The QC failure limit has been exceeded 46 message persists contact ITC Technical Service Repeat test then charge battery If message persists contact ITC Technical Service Repeat test with new cuvette If message persists contact ITC Technical Service Repeat test with new cuvette If message persists contact ITC Technical Service Contact ITC Technical Service Remove the cuvette Contact the supervisor Error Message Cause Corrective Action MACHINE LOCKED CALL SUPERVISOR Sample Not Seen Cuvette Removed Sample Too Large Sample Too Small Premature Sample HARDWARE FAULT MEMORY FAULT START Timed Out COD Invalid code No Data Stored Use new cuvette Access Denied Disallowed Assay Cannot erase DB The EQC failure limit has been exceeded Sample has not reached front detector in specified time period Cuvette was prematurely removed from instrument while testing in progress Excess or insufficient sample Sample was detected at front detector before specified time period May occur if sample is added before pump priming sequence is complete Electrical disturbance This may be caused by equipment or devices such as centrifuges etc
55. or two seconds Note Press 2 or CANCEL to cancel erasing of tbe database To Review Results of the Patient Database 1 Press 5 The first line of the results for the most current test record is displayed 01 PAT ACT LR 2 Toreview each additional line of the results press 0 or 8 to scroll up or down through the record 3 To scroll through additional test records press ENTER for the next record or CANCEL for the previous record 24 To Review Results of the QC Database 1 Press 6 The first line of the results for the most current test record is displayed 01 QCN EQC 2 Toreview each additional line of the results press 0 or 8 to scroll up or down through the record 3 To scroll through additional test records press ENTER for the next record or CANCEL for the previous record To Exit Database Operations 1 Press and hold CANCEL for two seconds Acronyms for Error Messages The following table lists the acronyms for Error Messages when viewing stored Patient or QC records Acronym Description Display Message ORH Out of Range High Out of Range Hi ORL Out of Range Low Out of Range Lo SNS Sample Not Seen Sample Not Seen STS Sample Too Small Sample Too Small STL Sample Too Large Sample Too Large TTO Temp Timeout Heater Too Cool TTH Temp Too High Heater Too Hot SPF Sample Position Fault Sample Pos Fault Downloading QC Patient Data to Your PC For information on downloading QC P
56. osable HEMOCHRON Jr test cuvettes Each test cuvette contains a label a sample well a test channel containing reagents an enclosed waste reservoir and optical detection windows y label AS test channel E sample well detection overflow area window The cuvette label is human and instrument readable The current test is automatically read by the instrument and displayed for confirmation when the operator inserts the cuvette into the test chamber After the cuvette has warmed to 37 1 0 C ADD SAMPLE and PRESS START are displayed by the instrument alerting the operator to place a drop of blood in the sample well and begin the test by pressing the START key Note Refer to the package insert accompanying the HEMOCHRON Jr test cuvettes for storage and handling instructions Features The HEMOCHRON Jr Sgnature has a number of performance and convenience features These are summarized below e the system is portable for bedside use e fresh whole blood or citrated whole blood can be used assay dependent e only one drop of blood is required e results are available in minutes e results are displayed appropriately as whole blood plasma equivalent Celite equivalent seconds or INR e test type is automatically read from the cuvette e test results are automatically stamped with date and time e results from 400 patient tests and 400 QC tests can be stored e stored results can be printed and or downloaded to a perso
57. p to 9 may be designated via Configuration Manager Selecting 3 to 9 digits requires that the operator enter exactly that length Check the PID by pressing ID and then pressing 1 to display the entered value To Enter a Mandatory Operator ID 1 4 The OID prompt is automatically displayed Type the OID using the numeric keys Press ENTER If an acceptable OID is entered operation of the instrument continues Priming Pump Note If entry of any OID is specified an acceptable OID is any number up to 9 digits other than zero 0 If entry of a valid OID is specified an acceptable OID is any number contained in the Operator Table see page 36 Check the OID by pressing ID and then pressing 2 to display the entered value If an unacceptable OID is entered ID IS NOT VALID is displayed followed by the OID prompt Operation of the instrument will not continue until an acceptable OID is entered To Enter a Mandatory Operator PIN 1 The PIN prompt is automatically displayed Type the Operator PIN using the numeric keys Note The Operator PIN will be displayed as on the display panel The corresponding OID will be stored and printed with results Press ENTER If an acceptable PIN is entered operation of the instrument continues Priming Pump Note An acceptable PIN is any number contained in the Operator Table If an unacceptable PIN is entered ID IS NOT VALID is displaye
58. rable side effects Activated Clotting Time ACT and ACT LR Activated Partial Thromboplastin Time APTT and APTT Citrate and Prothrombin Time PT and PT Citrate tests are general coagulation screening tests that are used to measure the functionality of the blood coagulation cascade The ACT test is the method of choice for monitoring heparin therapy during cardiac surgery and PCI Fresh whole blood is added to an activator Celite silica kaolin or glass particles and then timed for the formation of a clot The type of activator used will affect the degree of prolongation of the ACT to a given heparin dose The HEMOCHRON Jr ACT test uses a mixture of silica kaolin and phospholipids as an activator to create a rapid and highly sensitive alternative to existing ACT tests This test demonstrates linearity at heparin concentrations ranging from 1 0 to 6 0 units of heparin per mL of blood and it is not affected by high dose aprotinin therapy The HEMOCHRON Jr ACT LR test uses a Celite activator due to its excellent heparin sensitivity The test demonstrates linearity at heparin concentrations up to 2 5 units of heparin per mL of blood The test is not intended for use with aprotinin therapy The HEMOCHRON Jr APTT test measures the intrinsic coagulation pathway and involves all coagulation factors except factors VII and III tissue factor The APTT test improves the PTT test through use of a contact activating substance which standardize
59. rd supervisor Supervisor G Yes E Mail Comment Line 1 Comment Line 2 Comment Line 3 adejeexiis gt d To change the default user name and password click Add and enter a new user name and password being sure that the Yes button is selected for Supervisor access Click Save then select the previous record containing the default user name and password and click Delete Note The default user name and password should be changed as shown above All commands are accessible to anyone until then e Click Exit A prompt to import data from an earlier version of HEMOCHRON Configuration Manager software is displayed Upgrade Data Import If you have a previous version of this software it is recommended that you import your existing data at this time After import you will still be able to use the previous version the old data is not altered If you do not have a previous version of this software please click No Proceed with conversion f Click Yes or No as appropriate Thereafter click Start Program to display the Logon dialog box Type your password to login to Configuration Manager Username BS P d Passwori Beye Enter your user name and password 28 Menus Menus for HEMOCHRON Configuration Manager functions are displayed at the top of the main window eter anager Main Menu The use of each menu is described below Menu Purpose Configuration Display
60. ronized with that of the HEMOCHRON Configuration Manager PC so that correct starting times are used for system lockouts 1 Connect the instrument to the PC see page 26 2 Start HEMOCHRON Configuration Manager see page 27 3 Select Real Time Clock from the Utilities menu The Set Real Time Clock RTC dialog box is displayed i Set Real Time Clock RTC m ni x Instrument Serial Number SP000202 Date Manufactured r Real Time Clock RTC Real Time Clock ATC Date 12 2001 Real Time Clock RTC Time 160300 Real Time Clock RTC Weekday Monday jo Note The Instrument information is read only and cannot be changed by the user 4 Setthe Real Time Clock date and time using the up and down arrow keys 5 The day of the week in the Real Time Clock Weekday field changes when the date is entered 6 Click OK to synchronize the clocks EE kk 43 Purging Configuration Data An existing configuration file can be removed from the Configuration Manager database A record of the file removal is maintained in the audit trail 1 Select Purge Configuration Data from the Utilities menu The Purge Configuration Data dialog box is displayed i Purge Configuration Data O x Select Existing Configuration File Configuration Revision NNNM Configuration Revision Revision Date 11 11 2001 Revision Time 10 59 Description 1 Description 2 Description 3
61. roubleshooting Battery Care To optimize battery life it is recommended that the HEMOCHRON Jr Signature instrument be run on its battery during the day It can be plugged into a standard AC outlet overnight to allow the batteries to recharge The life of the nickel metal hydride battery is optimized when the battery is exercised in this manner A fully charged battery will operate as defined in the Operation specifications section on page 10 When the batteries are drained to the point that valid testing cannot be performed the instrument will display CHARGE BATTERY see Troubleshooting At this point the instrument must be plugged in for operation and recharging Once plugged into an AC outlet the instrument can be used immediately Instrument Disposal If disposal is necessary follow local regulations for disposal of electronic devices 48 SAFETY STANDARDS The HEMOCHRON Jr Signature instrument complies with the following safety standard requirements and directives CSA C22 2 601 1 Medical Electrical Equipment General Requirements for Safety EN 60601 1 IEC 60601 1 UL 60601 1 Medical Electrical Equipment General Requirements for Safety EN 60601 1 2 IEC 60601 1 2 Medical Electrical Equipment Part 1 2 General Requirements for Safety Collateral Standard Electromagnetic Compatibility Requirements and Tests EN 61000 3 2 Electromagnetic Compatibility Limits
62. s activation of Factor XII to provide a more precise and sensitive assay for low level heparin monitoring The HEMOCHRON Jr APTT test is formulated to provide optimal heparin sensitivity at heparin concentrations up to 1 5 units of heparin per mL of blood The HEMOCHRON Jr APTT Citrate test performs the same measurement as the APTT test using a citrated whole blood sample The HEMOCHRON Jr PT test measures the extrinsic coagulation pathway and is sensitive to coagulation factors VII X V II and fibrinogen PT results may be abnormal in patients with liver disease or Vitamin K deficiency The test is widely used to monitor oral anticoagulant therapy The PT test is a unitized test system utilizing a highly sensitive thromboplastin for improved specificity and sensitivity The HEMOCHRON Jr PT Citrate test performs the same measurement as the PT test using a citrated whole blood sample PRINCIPLES OF OPERATION The HEMOCHRON Jr Signature Whole Blood Microcoagulation System provides many features for ease of use and reliability including a patented clot detection system a data storage module interfaces for a laboratory computer and or printer and a streamlined user interface panel The system measures whole blood clotting times using HEMOCHRON Jr disposable single use cuvettes Each cuvette contains all of the reagents necessary for a specified test The operator inserts a cuvette for the test into the instrument and then enters infor
63. stitution Name ACME Laboratory Address1 osmhSwee o Address2 City Main State Ny Zip Code 10365 Phone Number 800 5551212 Extension 212 Fax Number annss51213 r Select COM Port COM Port 1 8 fi x Detect COM Port Note The System Configuration dialog box is automatically displayed for entry of information during installation of HEMOCHRON Configuration Manager Software page 26 Enter the institution name address and or contact information Click Detect COM Port to automatically detect the PC COM port that is being used Alternately click the drop down arrow in the COM Port box and select the number of the COM port used Click OK The information is saved 41 Adding a User The supervisor can add a new user to the table of operators of HEMOCHRON Configuration Manager The new user will be assigned a password and access level Note Any user can perform all operations until at least one user with an access level of Supervisor is defined Once a supervisor is defined only the supervisor can create and edit any files in Configuration Manager All other users will only be allowed to view and print 1 Select Security from the Utilities menu The User Master File Maintenance dialog box is displayed Js User Master File Maintenance Edit Browse Listing User Name supervisor Full Name Jupervisor Department O O y O Initial be Password supervisor Supervisor Yes C No E Mail EE
64. t Counts dialog box is displayed X Clear Instrument Counts d 10 xj Clear Instrument Counts Note This allows confirmation tbat failure counts and 911 use counts will be reset on cloning If a box is left blank the corresponding count will not be reset 4 Click OK to continue 5 The Write Configuration dialog box is displayed Serial Number Configuration Revision COM Port Click Start Progress information is displayed in the status line 7 When writing of configuration data is completed click Exit Printing Instrument Configuration Data All of the configuration parameters for an individual instrument or configuration file can be printed 1 Ifneeded Link the instrument to the PC see page 26 2 If needed Start HEMOCHRON Configuration Manager and select the configuration file that is to be downloaded see page 30 or click on Read Configuration From Instrument 3 The Configuration Module dialog box is displayed 4 Select View Print Configuration The configuration report is displayed Click Print using the printer icon Displaying and Printing Specific Configuration Reports Several types of configuration reports can be displayed and printed The reports provide an audit trail for specific information from all configuration files or for all instruments stored in the database Specific Report Description Instrument Options Listing Lists the instrument options Operator Table Listi
65. t should only be used by healthcare professionals trained and certified in the use of the system and operated in accordance with facility policies and procedures All biohazard safety guidelines pertaining to the handling and disposal of human blood should be strictly adhered to when collecting and handing blood specimens and when operating the HEMOCHRON Jr Signature Microcoagulation instrument Used HEMOCHRON Jr test cuvettes should be considered as potentially infectious They should be handled according to individual institutional policies concerning the disposal of potentially infectious materials HEMOCHRON Jr Signature test results should always be scrutinized in light of a specific patient s condition or anticoagulant therapy Any test results exhibiting inconsistency with the patient s clinical status should be repeated or supplemented with additional diagnostic tests Samples with a hematocrit less than 20 or greater than 55 are not recommended due to an optical density outside the detection level of the HEMOCHRON Jr Signature Microcoagulation instrument CAUTION Verify that any third party connectivity software to be used is compatible with the software version of the HEMOCHRON Signature instrument in use Transferred data will be lost if third party connectivity software is used with non compatible versions of HEMOCHRON Signature software LIMITATIONS Test results of the HEMOCHRON Jr Signature Microcoagulation instr
66. the Configuration Module dialog box This dialog box allows the operator to set the various configuration options see page 31 Reports Display and print listings of configuration parameters instruments and operators see page 38 Master File Maintenance Display modify add and delete instrument information Set test type list in Configuration Manager Utilities Rebuild and compress the database Purge selected records Set up system time check Display modify add and delete operator information Convert HEMOCHRON Configuration Manager software V1 0 data to V1 1 Exit Log off and or exit the system Help Display the version number of HEMOCHRON Configuration Manager software that is installed Access Help 29 Selecting a Configuration File Select Configuration in the Configuration Manager main menu The Read Configuration Data dialog box is displayed amp Read Configuration Data Jor Select Configuration Configuration Revision Select Existing Configuration Factory Default Rev 1 0 or Read Configuration From Instrument Configuration Factory Default Revision Rev 1 0 Revision Date Rone COS Revision Time io lS Description 1 Description 2 Description 4 Description 3 Description 5 Note HEMOCHRON Configuration Manager uses a Microsoft Windows user interface Software features are intuitive and easy to learn Refer to Windows documentation for
67. the System Date 1 Press START to turn on the instrument 2 Press 0 zero to display the main menu MAIN MENU 3 Press 3 to display the date DATE 4 Typethe new date using the numeric keys Note Use the European i e DD MM YYYY or the US i e MM DD YYYY date format The leading zero is required for single digit dates i e enter 06 01 2004 for June 1 2004 5 Press ENTER DATA STORED is displayed and the entry is saved 6 Press CANCEL to return to normal operation Note The main menu cannot be accessed if a cuvette or EQC TQC cartridge is in the test well If a cuvette or EQC TQC cartridge is used to turn on the instrument it must be removed to access the main menu 12 Connecting a Computer or Printer An IBM compatible laboratory computer or a serial printer Seiko DPU 414 is recommended can be used with the system The connector port for these devices is located at the side of the instrument connector port for AC DC power module connector port for computer or printer To Connect a Printer 1 Obtain a printer interface cable Note The printer interface cable is included with the optional HEMOCHRON Jr PKIT Printer Kit only A separate CBL SIG Serial Printer Interface Cable can be obtained from ITC or a cable can be prepared as outlined below If a printer is connected the serial printer communication parameters must be set to 9600 baud with no parity 8 data bits and 1 stopbit us
68. ument are affected by poor technique during blood collection and delivery to the sample well The accuracy of the test is largely dependent upon the quality of the blood specimen including the blood sample collection and the transfer of blood to the test cuvette Refer to the individual assay package insert for specific limitations 22 RESULTS MANAGEMENT Up to 400 patient test results and 400 quality control test results can be stored in the instrument In addition to test results the date and time of each test PID and OID are also stored Note PID and or OID are stored as 0 zero if a value is not entered when the test is run A PID is not required for any QC test To Print Results 1 Press PRINT to display the PRINT menu PRINT Then perform one of the following procedures To Print Results of the Last Test 1 Press 1 Results of the last test are printed To Print All Results in a Database 1 Press 2 to print all of the results in the patient database Or press 3 to print all of the results in the QC database To Print All Results for a Patient 1 Press 4 to enter a PID 2 Typethe PID using the numeric keys 3 Press ENTER All results for the specified patient are printed To Check Printer Function 1 Press 5 to output an ASCII character set to an attached printer to verify that the printer port functions properly HEMOCHRON Signature Print Test 173 96 amp 012345678 9
69. us programs during Communication error Initialization error No COM Port Text crowded Overlapping on screen Instrument Error Messages Incorrect cable is used or cable is not completely connected No COM Port available Older computer graphics card communications Ensure proper cable is being used Check cable connections Use HCM to detect available COM Port Does not affect program Printouts will be correct The error messages that may be displayed while operating the HEMOCHRON Jr Signature instrument are listed below The probable cause and corrective action are shown for each message Some messages designate a test or sample fault This message is included in the printed results for the affected sample A list of these messages can be found in Acronyms for Error Messages on page 25 If needed contact ITC Technical Service by phone at 1 732 548 5700 by FAX at 1 732 548 9824 or by e mail at techservice itcmed com Error Message Cause Corrective Action RTC FAULT Can not communicate with Contact ITC Technical Service external Real Time Clock CHARGE BATTERY Battery power depleted below Connect to AC DC Power predetermined level Module and charge battery for 16 hours BATTERY DEAD Battery is discharged Charge battery for 16 hours If Heater Too Cool Heater Too Hot Detector blocked Sample Pos Fault ASSAY LOCKED CALL SUPERVISOR Incubator remained below 36 C after 90 seconds
70. uvette system checks are automatically performed and include e Verification of adequate battery power to complete a full test e Verification of the test type on the screen display to insure that the LEDs used for identifying the test are functioning properly e Verification that the cuvette temperature is warmed to 37 1 0 C If this temperature is not achieved or is exceeded an appropriate error message will be displayed and testing is prohibited e Verification that the sample is present and is of sufficient size to run test This insures that the pumps and sample sensing LEDs are functioning properly and that the cuvette is adequately sealed If these instrument and sample parameters are not appropriate the test is terminated and an error message displayed e Verification that the internal timers function correctly for each test If the system timer and assay timer disagree a real time clock error message is displayed and the test result is not reported QC of Instrument Performance The instrument should be tested at two levels once every eight hours of operation Electronic quality control cartridges EQC Cartridges can be used to provide a two level electronic verification of instrument performance or liquid quality control products can be used QC Using EQC Cartridges 1 Insert the corresponding EQC Cartridge into the instrument Enter an Operator ID optional for the test The instrument will beep once and display E QC

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