ADVIA® 2120i Hematology System Scheduled Maintenance Overview Online Training

Welcome to ADVIA® 2120i Hematology System Scheduled Maintenance Overview Online Training course.  The maintenance overview includes information regarding maintenance procedures:   Daily Weekly Bi-Monthly Every Six Months  In addition, the process for creating Service Log entries is covered. Select Next to continue. Locate and utilize the Service Log Locate Maintenance Procedures Perform Bi-Monthly Maintenance Perform Daily Maintenance Perform Every Six-Month Maintenance Perform Weekly Maintenance Upon successful completion of this course, you will be able to: Select Next to continue. Congratulations. You have completed the ADVIA® 2120i Hematology System Scheduled Maintenance Online Training course.  Listed below are the key points that have been presented.  Take time to review the material before you proceed to the final quiz. You have learned how to: Locate the Maintenance Procedures: The Maintenance Procedures are located in the ADVIA® 2120 Hematology System Operator's Guide under Maintaining the Analyzer Overview.  Perform Daily Maintenance Procedures: Start a system wash: To start a System wash, manually select in the ADVIA® 2120i software the Utilities menu, Hydraulic Function tab, System Wash and select the "Start" button. To respond to an Automated Wash you can select Run or Postpone. If you don't respond, the auto wash will start in one minute. Perform Weekly Maintenance Procedures: Perform RBC/baso/Retic flowcell wash: Both flowcells can be selected for clean at once using EZ Kleen. Clean the Shear Valve and Aspiration Pathways: Use the ADVIA® 2120i software in the Exerciser to open the valves to clean the aspiration pathways for CBC, Baso and Retic.​ Inspect and Clean the Centering Collar: Clean the centering collars and bases if there is residue buildup. Inspect the autosampler aspirate assembly area for salt buildup. Clean if necessary. Shut the system down once a week: Shutting the system down once a week will ensure good system performance and can prevent the corruption of the database. Remove the front Shear Valve and soak it in a solution of bleach, then reinstall it: This procedure is also performed before you recalibrate the instrument. Perform Bi-Monthly Maintenance: Inspect the Perox-cap vent hole: Remove the vent tubing and insure the vent hole is clear. Perform Every Six-Month Maintenance:   Clean the Air-Circulation Filter: Remove the Air-Filter from the back of the instrument, wash and replace the filter. Locate and Utilize the Service Log: Using the ADVIA® 2120i software, navigate to the Logs Menu and select Service Log.  The Schedule Log is the first log listed. Select Next to continue.   To maintain the operating efficiency of the system, specific procedures must be performed as specified. Select the link below to learn how to locate the maintenance procedures. Note: You can also refer to the Operator's Guide to obtain additional information about the maintenance procedures.   Locating Maintenance Procedures Learn how to locate the maintenance procedures. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90020762/sim_ADVIA2120i_Maintenance_Procedures_800x600_9/sim_ADVIA2120i_Maintenance_Procedures_800x600_9.swfHTML5 File:/content/generator/Course_90020762/sim_ADVIA2120i_Maintenance_Procedures_800x600_9/index.htmlPDF File: The Schedule Service window provides a concise list of the service that is due and enables you to record the service activities that you performed at specific intervals. It contains: a date when service is due a checkmark when service is due list of procedures due or performed the date of when the service was performed the identifier of who performed the service From the window you can also customize activities that your laboratory chooses to have performed on the analyzer.   Service Log Entries Learn how to Update the Scheduled Service Log Window. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90020762/sim_ADVIA2120i_Maintenance_ServiceLog_800x600_9/sim_ADVIA2120i_Maintenance_ServiceLog_800x600_9.swfHTML5 File:/content/generator/Course_90020762/sim_ADVIA2120i_Maintenance_ServiceLog_800x600_9/index.htmlPDF File: Daily Maintenance is performed after 1000 samples are processed or daily. Daily Maintenance includes: System washes  Auto Wash cycles Learn how to find the Automatic Wash cycles and times. Slide NumberText BlocksCalloutsAudio ScriptImage File1Auto Cycles Setup  The system is set up to automatically perform up to three full system wash cycles, one of which must be a triple wash, that can occur up to four times a day. Under the Daily Wash Schedule, on the screen displayed, you see the scheduled times and the number of wash cycles that will take place for each of those times. Note: Daily wash times are set in chronological sequence. In addition, wash times should not be scheduled for the same time as the Startup time. If samples are running at the time that a wash is scheduled, the system will complete processing the samples and then proceed to perform the wash. Select Next to continue.Note: If audio does not automatically start, select the play arrow in the top left to begin.The ADVIA® 2120i has been customized by Siemens' support based on the requirements of your laboratory. 2View Customization The customization setup for your analyzer can be viewed by: Selecting the Customize tab from the upper toolbar Selecting the System Setup Menu   Select Next to continue. Users can view the customization that was setup by selecting the Customize tab in the upper toolbar, and then selecting the Analyzer Setup Menu.3Auto Cycles To view the Customization information, Auto Cycles is selected. Select Next to continue.Additional options appear. Since we are talking about automatic wash cycle customization, Auto Cycles is chosen. 4Auto Cycles Setup Screen You can view the Daily Wash Schedule from the Auto Cycles Setup screen. The schedule displays the times when the washes will be performed.  For this example the instrument will perform a scheduled wash at midnight, 7:00 AM, 11:00 AM and 5:00 PM automatically every day unless you decide to cancel a scheduled wash.   Select Next to continue. .Users can view the system wash schedule from the Auto Cycles Setup screen.5System Wash As seen in the first slide, the Number of Cycles displays the number of washes that will automatically be performed. The shift that processes the highest workload should have three wash cycles performed.  Each wash cycle is 6.5 minutes in duration. Select Next to continue.From the Number of Cycles, users can determine the number of washes that will be performed automatically, during the associated time, as specifically customized. 6Automated Wash If an Automated System Wash cycle is about to start a dialog box will be on the screen advising that the cycle will begin in one minute. This allows you the opportunity to have the wash begin immediately or postpone it if necessary. Select Next to continue.If an automated System Wash cycle is about to start a dialog box will be on the screen advising that the cycle will begin in one minute. This allows you the opportunity to have the wash begin immediately or postpone it if necessary. 7No Response to Dialogue Box If you do not respond to the dialog box, the scheduled wash cycle will start in one minute.  Select Next to continue.If you do not respond to the dialog box, the scheduled wash cycle will start in one(1) minute.8Run the Automatic Wash If you select Run on the dialog box, the instrument will begin to perform the scheduled System Wash. Select Next to continue.If you select "Run" on the dialogue box, the instrument will begin to perform the scheduled system wash.9Postpone the Automatic Wash If you select Postpone the instrument will postpone the scheduled System Wash and another Automatic Cycle popup message will appear later reminding you that a wash cycle will occur.  You will again have the opportunity to begin the cycle immediately or postpone it.When complete, select the X in the upper-right corner to close the window and continue.If you select Postpone, the instrument will postpone the scheduled System Wash and another Automatic Cycle popup message will appear later reminding you that a wash cycle will occur. You will again have the opportunity to begin the cycle immediately or postpone it. System Wash Learn how to perform a Manual System wash. Checklist TitleChecklist TypeChecklist ContentUtilities MenuHTML   This first step to perform the Manual Wash process is to select the Utilities Menu. Select each checkbox to learn more about the manual system wash.  Hydraulic FunctionHTML Select Hydraulic Function for a manual wash.  System WashHTML Select System Wash from the options listed.  Select Number of CyclesHTML Select Number of Cycles for the manual wash that you want to occur.  Start the ProcessHTML Select the Start button to start the procedure.  Cancel the System WashHTML Select the Cancel button if you need to stop the washes when multiple washes have been selected.  The system will stop at the end of the current cycle.  When complete, select the X in the upper-right corner to close the window and continue. The weekly maintenance is performed after 2000 samples are processed or once a week. It should also be done before a calibration is performed.  Weekly maintenance includes: Perform an RBC/baso/retic flowcell wash Clean the shear valve and aspiration pathways in the UFC Inspect the centering collars and clean if necessary Turn off the system  Clean the shear valve     Perform the system wash procedure at the end of each shift or work period after 2000 samples are processed or once a week as part of the weekly maintenance. Flowcell Wash Learn about Flowcell washes. Checklist TitleChecklist TypeChecklist ContentUtilities MenuHTML To navigate to the Flowcell Wash select the Utilities menu.  Select each checkbox to learn more about Flowcell Washes.  Hydraulic Function (Tab)HTML Select Hydraulic Function from the drop down Menu.   Select AnalyzerHTML Select Analyzer button.  Select Flowcell WashHTML Select Flowcell Wash in the Hydraulic Functions box.   Select which Flowcell to WashHTML Select the Flowcell you want to wash by selecting an option in the Flowcell Options area.  The options are:  Perox Flowcell RBC/baso/Retic Flowcell Both Note:  Siemens has changed the procedure to clean flowcells and now states that flowcells should be washed separately.  Refer to Customer Bulletin 10810501-01 Rev A, 2012-01. Use EZ WashHTML Hold a container of solution under the open-tube sampler probe.   Note:  If cleaning the Perox Flowcell, use EZ Wash. If cleaning the RBC/baso/Retic Flowcell, use 25% diluted bleach.      Select StartHTML Select Start to begin the Flowcell wash.   Complete StatusHTML Continue to immerse the probe in the solution until you hear a beep and the wash block starts to move down, which takes approximately one minute and 40 seconds.  After you hear the beep carefully remove the container. The wash block will drop to clean the sample probe when the Flowcell wash is complete. You can select Cancel to stop the Flowcell wash if needed. It will stop at the end of the current cycle. When complete, select the X in the upper-right corner to close the window and continue. Clean the shear valve and aspiration pathways in the UFC after 2000 samples are processed or once a week as part of the weekly maintenance.     Cleaning the Shear Valve and Aspiration Pathways Learn how to clean the Shear Valve and aspiration pathways in the UFC. Checklist TitleChecklist TypeChecklist ContentSelect MenusHTML Clean the shear valve and aspiration pathways in the UFC following the steps below: Select Utilities Menu Select Exerciser tab Select Analyzer Exerciser Select Analyzer button Select each checkbox to learn more about cleaning the shear valve and aspiration pathways in the UFC. Syringe Pumps ButtonHTML Select Syringe Pumps button on the left. This procedure is performed using the Manual Open-Tube Sampler. If the arrow on the image of the valve under Selector Valve does not point to Open, as is shown in the screen displayed, select the image and wait one to two seconds. If the value does not change to Open, select it again. Do this until the arrow points to Open.  Upon entering the Exerciser, the system mode changes to Aspiration Paused and will remain in that mode while in the Exerciser.   Valves ButtonHTML Select the Valves button on the left.  The valves may be open or closed when you enter the Exerciser because it displays the valves based on the last cycle that was performed. Notice that all valves on this slide except for V1 and V72 are “Closed”. That means that fluid will only flow through valve 1 and 72. Take note of how V1 and V72 appear versus the other valves. They display with a solid horizontal black line, which indicates that they are open.   When cleaning the various sample selectivity pathways, specific valves have to be open while the rest of them are in a closed position. The steps below this step demonstrate the processes to clean specific pathways. Retic PathwayHTML During sample aspiration for a selectivity including Retic analysis, valves 1, 47, and 74 are open. To ensure that the Retic pathway is cleaned, only valves V1, V47, and V74 should be in the open position.    Use Bleach for CleaningHTML To clean the Retic pathways: Hold a beaker of regular strength household bleach under the open-tube sample probe until 5 mL is aspirated Repeat this step with D.I. Water Note: The aspirate switch does not need to be pressed.  CBC PathwayHTML During sample aspiration for CBC selectivity analysis valves 1, 47, and 72 are open. For cleaning of the CBC pathway, ensure that only these valves open. Because valve 74 was open during the Retic pathway cleaning, it must now be closed and since 72 was closed, it has to be opened as displayed in this image.      Use Bleach for CleaningHTML To clean the CBC pathways: Hold a beaker of regular strength household bleach under the open-tube sample probe until 5 mL is aspirated Repeat this step with D.I. Water  CBC/Diff PathwayHTML During the CBC/Diff sample selectivity analysis valves 1, 47, and 73 are open and only these valves should remain open during the cleaning of the CBC/Diff pathways. Because we previously cleaned the CBC selectivity pathway we need to close V72 and open V73 as displayed on the screen.    Use Bleach for CleaningHTML To clean the CBC/Diff aspiration pathways: Hold a beaker of regular strength household bleach under the open-tube sample probe until 5 mL is aspirated  Repeat this step with D.I. Water  Complete StatusHTML The cleaning of the pathways is complete. To exit the Exerciser, select the Analyzer Status tab. The system will perform a hydraulics reset and then it will return to a Ready to Run mode. When complete, select the X in the upper-right corner to close the window and continue.   Inspect the centering collars and clean if necessary after 2000 samples are processed or once a week as part of the weekly maintenance.     Clean the Centering Collars Learn how to clean the Centering Collars.   Inspect the centering collars and clean if necessary. Turn off the system and clean the shear valve after 2000 samples are processed or once a week as part of the weekly maintenance. Select this link to learn how to turn off the system.     Clean the Shear Valve Learn how to clean the Shear Valve. Checklist TitleChecklist TypeChecklist ContentOverviewHTML Clean the Shear Valve faces before recalibrating the system. Note: For safety reasons, power off the analyzer prior to starting this procedure. High-volume laboratories or laboratories that handle dialysis samples or overly viscous blood, such as aged samples, may need to clean the Shear Valve faces more often than weekly. Place paper towels directly under the Shear Valve to prevent fluid from dripping down into the instrument. Select each checkbox to learn more about cleaning the Shear Valve. Remove Nut and SpringHTML Remove the knurled nut by turning it counterclockwise. Then remove the compression spring.  Remove RotorHTML To remove the rotor, hold the Shear Valve with one hand and use the other hand to rotate the rotor until it can be pulled forward and off the shaft.  Remove Shear FaceHTML To remove the front shear face, gently rotate the front face until it is loosened, then pull forward and remove it.  Soak the Shear FaceHTML Clean the shear face once it is removed following the steps below: Place the front shear face in a beaker of household bleach Soak for 10 minutes Rinse thoroughly with water  Rinse the Rear Shear FaceHTML Rinse the rear shear face using a wash bottle filled with water.  Use paper towels to catch the dripping water. Do not dry the rear shear face; it should remain wet.  Install Shear FaceHTML Shake off any excess water from the front face and then install it on the shaft by aligning the black line on the front face with the black line and on the rear face. The smaller loops should be at the 9 and 11 o'clock positions and the larger loop should be at the 5 o'clock position.  Install RotorHTML Install the rotor by inserting the drive pin into the hole on the right side of the front face.   Replace Spring and NutHTML Replace the spring and the knurled nut.   Tighten the NutHTML Hand-tighten the nut.  Check Analyzer PerformanceHTML Perform the steps below to check the analyzer performance: Check saline backgrounds to ensure they are within range Run a whole blood primer Run Controls Refer to the Operator's Guide for details on how to perform the above process. When complete, select the X in the upper-right corner to close the window and continue.    Bi-Monthly Maintenance is performed every two months or after 16,000 samples.  It includes: Inspecting the Perox-cap vent hole for buildup   Inspect the Perox-cap vent hole for buildup Learn how to Inspect the Perox-cap vent hole. Checklist TitleChecklist TypeChecklist ContentLocate Perox-capHTML Locate the Perox-cap on the Perox chamber which is mounted on the UFC. Select each checkbox to learn more about inspecting and cleaning the Perox-cap vent hole.  Disconnect Overflow TubeHTML Disconnect the overflow tube from the Perox vent.  Remove Perox-capHTML Remove Perox-cap from Perox chamber.   Inspect Perox-capHTML Look at the inside of the cap and look through the vent opening.  Make sure that the cap and the vent are clean, dry, and free of buildup.   Clean Perox-cap ventHTML If necessary, clean the cap and the vent opening.  Replace Perox-capHTML Replace the cap and reconnect the overflow tube.  When complete, select the X in the upper-right corner to close the window and continue.   The following items have to be performed every six months: Clean the Air Circulation Filter Clean the air-Circulation filter Learn how to clean the Air Circulation Filter. Checklist TitleChecklist TypeChecklist ContentRemove FilterHTML Remove the filter from the back of the instrument by sliding it to the right, and out of its frame. Select each checkbox to learn more about cleaning the Air Circulation Filter.  Tap FilterHTML Remove excess dust or lint from the filter by tapping it against a clean, hard surface or by vacuuming it.   Flush FilterHTML Flush the filter with a strong stream of water, first on one surface then on the other surface.   Wash FilterHTML If the filter remains dirty, swish it around in a container filled with warm water and mild detergent.   Rinse and DryHTML Rinse the filter with clean water, then allow the filter to air dry.  Replace FilterHTML Replace the filter by sliding it back into its frame. When complete, select the X in the upper-right corner to close the window and continue.    Please note that the learning material is for training purposes only! Any material used in this training will not be updated on a regular basis and may not necessarily reflect the latest version of the software available at the time of the training. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH 2019 Please proceed to taking the course assessment.