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ADVIA Centaur® XP Immunoassay System Components Online Training

System components includes locating major system components and determining their function to provide the operator the foundation to successfully operate the ADVIA Centaur® XP Immunoassay System. This clinical laboratory training qualifies for continuing education units (CEU).

시작 조건 창에서 시작을 선택하면, STT에서 바코드 모드로 처리된 샘플은 샘플 확인 창을 사용하여 확인할 수 있습니다. 샘플 확인 창은 STT의 바코드 스캔이 완료된 후 표시될 것입니다. 샘플 확인 창에서 바코드가 읽혀졌는지를 확인하고, 해당 샘플에 대하여 작업 오더가 입력 되었는지 확인하고, 샘플의 우선 순위와 컨테이너 크기를 변경할 수 있습니다. 샘플 확인 창은 STT로 부터 바코드 모드로 샘플을 처리했을 때만 나타날 것입니다. 샘플 확인 창의 생성 샘플 필드에 대한 자세한 방법을 보려면 아래 링크를 선택하십시오. Welcome to the ADVIA Centaur® XP Immunoassay System Components Online Training course This System Components course will introduce you to the main components of the ADVIA Centaur® XP System, their locations and their functions.  This information will help you operate the system with maximum efficiency.  It will also help you understand the basic test processing sequence, which is essential for effective troubleshooting. Select Next to review the course objectives. Identify the function of the main system components Identify the location of the main system components After completing this course, you will be able to: Select Next to continue. ADVIA 1800 생화학 시스템 소프트웨어 개요 온라인 교육 코스에 오신 것을 환영합니다. 이 코스는 시스템 소프트웨어에서 이동할 때, 어느 정도의 편안함을 얻는데 도움이 될 것입니다. 이 코스는 소프트웨어, 운영 패널의 기본 탐색, 메뉴 패널, 그리고 온라인 사용자 가이드로의 로그인을 통해 여러분을 안내할 것입니다. 코스 목표를 보기 위해서 다음을 선택하십시오. Congratulations you have completed the ADVIA Centaur® XP Immunoassay System System Components course. Listed below are the key points that have been presented.  Take time to review the material before you proceed to the final quiz.  In this online training course, you have learned to: Identify the location and function of the Main System Components Sample Handling: Routine and STAT samples are loaded into the Inprocess Queue.  The Sample Probe uses disposable tips to aspirate sample from a rack and deliver it to a cuvette in the Incubation Ring.   Reagent Handling: The Ancillary Reagent Compartment contains Ancillary Reagents such as diluents and pretreatments.  The Ancillary Reagent Probe delivers Ancillary Reagent to a cuvette in the Incubation Ring.   Primary Reagent packs are located in the Primary Reagent Compartment.  These packs contain Paramagnetic Particles and Acridinium Ester.  Primary Reagent Probes deliver Primary Reagents to a cuvette in the Incubation Ring.   Wash Station: After incubation, a cuvette travels to the Wash Station where Aspirate Probes remove unbound reagent and protein and wash fluid is delivered.  Acid is dispensed into the cuvette after washing is complete.   Luminometer: In the Luminometer, base is added to the cuvette and the chemiluminescent reading is taken.   Waste containers: The system has a liquid waste bottle and solid waste containers for cuvettes, tips and tip trays.  The status light indicates system warnings and failures: Neutral - No error Yellow - Warning Red - Critical Select Next to continue.     암호 수준이 패널에서 사용 가능한 기능을 제어합니다. 여기서는 여러분이 사용자 수준에서 로그인 할 경우에 사용할 수 있는 것을 볼 것입니다. 메뉴 패널에 대한 자세한 내용은 아래 링크를 선택하십시오. 메뉴 패널을 검토하면서 소프트웨어를 계속 살펴봅시다. 여러분은 데이터를 검토하고 정보를 입력하기 위하여 메뉴 패널을 사용할 수 있습니다. 메뉴 패널에는 다섯 개의 버튼이 있습니다. Request,Reagent,Calibration, QC 그리고 Maintenance입니다. Main System Component Areas include: Sample Loading Area Primary Reagent Compartment Ancillary Reagent Compartment Sample Analysis Area System Fluid Area Waste and Water Drawer Status Light System Component Overview Learn about the main system component areas. Slide NumberText BlocksCalloutsAudio ScriptImage File1The Routine and STAT Sample Loading Area contains: Sample Entry Queue STAT Entry Inprocess Queue Sample Exit Queue   Select Next to continue.Note: If audio does not automatically start, select the play arrow in the top left to begin. Sample loading and unloading is done in the front of the system. This area is where both routine and STAT samples are placed and removed. Routine and STAT sample loading consists of the following areas: The Sample Entry Queue where routine samples are loaded, the STAT Entry where STAT samples are loaded, the Inprocess Queue where samples reside during processing, and the Sample Exit Queue where samples are removed.2Primary Reagent Compartment: Holds up to 30 ReadyPack Primary Reagent packs Reagents are stored at 4 to 8°C Reagent ReadyPacks can be changed at any time  Select Next to continue.There are two refrigerated reagent areas. The primary reagent compartment is on the left side of the analyzer and can hold up to 30 reagent packs. ReadyPack Primary Reagent packs contain paramagnetic particles and Acridinium Ester. Reagents are stored at 4 to 8 degrees Celsius and can be changed at any time.3Ancillary Reagent Compartment holds: 25 Ancillary Reagent packs Types of Ancillary Reagents: Diluents Special Wash Solutions Pretreatment Solutions  Select Next to continueThe ancillary reagent compartment is located in the front of the instrument, below the sample loading area. The Ancillary Reagent Compartment can hold up to 25 ancillary reagent packs, diluents, Special Wash Solutions, and pretreatment Solutions. Reagents are stored at 4 to 8 degrees Celsius and can be changed at any time.4Sample Analysis Area Components: Sample Probe Ancillary Reagent Probe Primary Reagent Probes Incubation Ring Wash Station Luminometer  Select Next to continue. Sample analysis takes place inside the system, beneath the main top cover. The probes, incubation ring, wash station and luminometer are located here. The Sample probe picks up samples using disposable tips and delivers the samples to cuvettes in the incubation ring. The Ancillary probe delivers ancillary reagents, if required, to the cuvette area. The incubation ring is a circular track that holds cuvetes for sample processing. The Wash Station removes unbound material from cuvettes as they are washed. The Luminometer is where the flash occurs and the reading is taken. The flash occurs and the reading is taken in the Luminometer.5System Fluid Area holds: Acid Reagent Base Reagent  Wash 1   Select Next to continue. System fluids are accessible from the front of the instrument below the ancillary compartment. Acid and Base Reagent is used for the chemiluminescent reaction. The Wash 1 fluid is used to wash cuvettes at the wash station. These fluids can be changed at any time. The onboard stability is one month6Waste and Water Drawer holds: 10L Water bottle 7.5L Liquid waste bottle  Select Next to continue. The deionized water and liquid waste containers are found on the left side of the system. The instrument can be direct plumbed for water and waste. These fluids can be changed at any time.7 Status Light conditions: Neutral = No error Yellow = Warning Red = Critical When complete, select the X in the upper-right corner to close the window and continue.  The Status light is located on the top of the instrument. If the light is off, there are no error or warning conditions on the system. A yellow light indicates that at least one warning condition exists. A red light indicates that at leas one critical condition exists, that may cause the system to stop aspirating or processing samples. QC 창에는 사용할 수있는 많은 기능이 있지만, ADVIA 1800 시스템 소프트웨어의 QC를 검토하는 경우에는 일반적으로 두 가지의 기능만 사용할 것입니다. 여러분은 컨트롤에 의해 Levey Jennings 차트를 보기 위해서 Daily Precision Control 창 및 QC Cumulative 창을 사용할 수 있습니다. 여러분은 세부 컨트롤 결과 정보를 검토할 수 있으며, 작동자 오류로 인해 잘못된 QC 결과를 통계에서 생략할 수 있습니다. 여러분은 설명을 추가할 수 있으며, 이러한 결과를 검사를 위해 검토할 수 있습니다. QC 통계 및 요약 정보는 검토 및 인쇄를 위해서도 이 창에서 사용할 수 있습니다. 오늘날, 많은 검사실은 QC를 검토하기 위해 미들웨어 또는 LIS를 사용합니다. 일일 정밀 컨트롤 및 QC 누적 창에 대한 내용을 보려면 아래 링크를 선택합니다. Consumable Supplies are: Sample Probe Tips Cuvettes Primary Reagents Ancillary Reagents System Fluids Cleaning Solution Deionized Water Consumable Supplies Learn about consumable supplies. Slide NumberText BlocksCalloutsAudio ScriptImage File1Sample Probe Tips: Eliminate carryover One tip per test 120 tips per tray  840 tips can be loaded on the system Can be loaded at any time  Select Next to continue. Note: If audio does not automatically start, select the play arrow in the top left to begin.Disposable sample tips are used to prevent carryover. These tips come packaged in sets of 3 trays with 120 tips in each tray. They are loaded onto the front of the system by opening the top plexiglass cover.2Cuvettes: Packaged in bags of 200 1000 cuvettes can be loaded onto the system Can be loaded at any time  Select Next to continue. Disposable cuvettes are used to perform the test reaction sequence inside the incubation ring and the chemiluminescent reading at the luminometer. These cuvettes are packaged in bags of 200 and are also loaded onto the system from the front into the cuvette loading bin. The bin holds up to 1000 cuvettes at a time. 3Primary Reagents: Chemiluminescent technology uses Acridinium Ester (AE) as the label Paramagnetic particles (PMPs) are used during separation ReadyPacks contain 50, 100 or 200 tests per pack Package label includes: assay name, lot number, expiration date Select Next to continue.  ADVIA Centaur XP primary reagents come packaged in ReadyPacks containing 50, 100 or 200 tests per pack. Packs are labeled with the assay name, lot number and expiration date on the front of the ReadyPack. A barcode label on the back of the pack includes the same information.4 Ancillary Reagents include: Diluents Special Wash Solutions Pretreatment Solutions There are 25 positions in the Ancillary Reagent Compartment.  Select Next to continue.     Ancillary reagent packs contain diluents, special wash solutions and pre-treatment solutions. They are also packaged in ready-to-use barcode labeled ReadyPacks. Ancillary reagent packs are loaded from the front of the system onto the ancillary queue that places them in a 25 position refrigerated Ancillary reagent compartment.5System Fluids include: Acid reagent Base reagent Wash 1 Cleaning solution Select Next to continue. System fluids and cleaning solution are located at the front of the system below the ancillary reagent loading area. System fluids include acid and base reagent and Wash 1 fluid. These fluids have reservoirs located below the bottles that allow replacement of the bottles while the system is processing samples. Located behind a door to the right of the system fluids area is cleaning solution that is used for the automated daily cleaning procedure.6Deionized Water: Rinses the Primary, Ancillary and Aspirate Probes Used to wash the cuvettes at the Wash Station When complete, select the X in the upper-right corner to close the window and continue.The deionized water bottle is located on the left side of the instrument. The water reservoir is located behind the bottle and allows replacement of water while the system is in process. Deionized water is used to rinse the primary reagent, ancillary reagent and aspirate probes. It is also used to wash some cuvettes at the wash station. RAPIDComm® allows for specifying how patient results are processed. The Sample Validation Setup screen provides options for managing rules that determine how the program responds to results, the selection of the laboratory or hospital information system that receives patient results and also for the generation of accession numbers when RAPIDComm® is not connected to a system that will generate accession numbers.  System Functions: System Status Notification Reagent Handling Sample Aspiration Test Analysis Waste Handling Select Next to continue. Solid Waste Containers Sample Tip Waste Bin Cuvette Waste Bin Used sample tip and waste cover area Waste Containers Learn about solid waste containers Slide NumberText BlocksCalloutsAudio ScriptImage File1The Sample Tip Waste Bin: Collects used sample tips Monitored by a sensor to alert the operator when the bin needs to be emptied Select Next to continue.    Note: If audio does not automatically start, select the play arrow in the top left to begin.The sample tip waste bin is located in the front of the system below the cleaning solution and collects used sample tips. This bin is monitored by a sensor that alerts the operator with a software message when the bin needs emptying.2Cuvette Waste Bin: Collects used cuvettes Monitored by a sensor that alerts the operator with a software message when the bin needs to be emptied  Select Next to continue.  The cuvette waste bin is located at the front left of the analyzer. This bin is also monitored by the system.3Sample Tip Tray Waste: Collects up to 8 used sample tip trays and covers  Software indicates when the waste is 80% full When complete, select the X in the upper-right corner to close the window and continue.Above the cuvette waste bin, there is an area that collects used sample tip trays and covers. Sample Handling components: Sample Rack Routine and STAT sample entry Sample Probe Exit Queue Aspirating Samples: Sample probe uses disposable tips Sample is aspirated from tube in Inprocess Queue Sample is delivered to cuvette in Incubation Ring Sample Racks Learn about sample rack handling Base ImageHotspotsText BlocksImage FileRacks are placed onto the sample entry queue. Up to 21 racks can reside on this queue.Before the samples are loaded onto the system for processing, they are placed into a sample rack which holds up to five primary tubes or samples cups. STAT racks can also be loaded anytime by using the STAT entry slot.Racks are shuttled back into the inprocess queue for processing and then shuttled forward to the sample exit queue.  Sample Aspiration Learn about sample aspiration   Select the play arrow to begin the video. When complete, select the X in the upper-right corner to close the window and continue. Primary Reagent Handling: Primary Reagent Probes deliver PMPs and AE into a cuvette Probes are washed with water after each delivery Ancillary Reagent Handling: Ancillary Reagent Probe delivers diluents, pretreatments and special washes into a cuvette Probe is washed with water after each dispense Primary Reagent Handling Learn about primary reagent handling   Select the play arrow to begin the video. When complete, select the X in the upper-right corner to close the window and continue. Ancillary Reagent Handling Learn about ancillary reagent handling   Select the play arrow to begin the video. When complete, select the X in the upper-right corner to close the window and continue. Test Analysis Components Incubation Ring Wash Station Luminometer Test Analysis Components and Functions Learn about test analysis components and their functions. Slide NumberText BlocksCalloutsAudio ScriptImage File1Incubation Ring Advances at 15 second intervals Heated to 37 degrees Celsius  Select Next to continue. Note: If audio does not automatically start, select the play arrow in the top left to begin.The incubation ring is a circular insulated track that incubates and advances cuvettes at 15 second intervals. Temperature is maintained at 37 degrees Celsius or 98.6 degrees Fahrenheit. Incubation time depends upon the specific test analysis protocol.2Wash Station PMPs are pulled to the side of cuvette by magnets Aspirate probe removes unbound reagent and proteins Wash fluid dispensed to wash PMPs Acid is dispensed  Select Next to continue.  After the reaction time is complete, the incubation ring moves the cuvette to the wash station. Here the paramagnetic particles are pulled to the side of the cuvette by magnets positioned along the ring. An aspirate probe draws unbound reagent and proteins out of the cuvette. Then, the wash station dispenses wash fluid into the cuvette to wash the PMPs. This ensures that all unbound material is removed. After the cuvette is washed, acid is dispensed into the cuvette by the acid probe.3Luminometer Elevator Base Reagent dispensed Waste Probe removes liquid waste Ejector Rod pushes the cuvette to the waste bin  When complete, select the X in the upper-right corner to close the window and continue.   Then the cuvette is then delivered to the luminometer. An elevator lifts the cuvette from the incubation ring into the luminometer where base reagent is added and the chemiluminescent reading is taken. Liquid is then aspirated out of the cuvette by the waste probe and the empty cuvette is pushed out to the waste bin by the ejector rod. Cuvette Pathway Learn about the path of a cuvette through the instrument. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Cuvette pathway to the preheater: Cuvette Loading Bin Conveyor Orientation Chute Vertical Chute Preheater Select Next to continue. Select each number to review the corresponding text.Note: If audio does not automatically start, select the play arrow in the top left to begin.CalloutsCuvette Loading BinConveyorOrientation ChuteVertical ChutePreheaterThe system takes the cuvettes from the bin via the conveyor. At the top of the conveyor, cuvettes are positioned upright in the orientation chute. Once a cuvette reaches the end of the orientation chute, it drops down the vertical chute into the preheater. 2Cuvette pathway to the incubation ring: Preheater Cuvette Pusher Ring Loader Incubation RingWhen complete, select the X in the upper-right corner to close the window and continue.CalloutsPreheater Ring LoaderIncubation RingCuvette Pusher - not visible from this angle Cuvettes are moved through the preheater by the cuvette pusher and enter the incubation ring at the ring loader position.