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ADVIA Centaur® XPT System PEP to Go

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SIEMENS - SIEMENS ADVIA Centaur® XPT System PEP to Go Answers for life. GPE03003.065 Effective date 09/04/2014 Table of Contents 1. Hardware Overview 2. Software Overview 3. Loading Supplies and Reagents 4. Sample Processing 5. Monitoring Samples and Results 6. Calibration 7. Quality Control 8. Daily Maintenance 9. Weekly Maintenance 10.Monthly Maintenance ....... 11.As Needed Maintenance 12.Troubleshooting 13.System Restart © Siemens AG 2013. All rights reserved. Hardware Overview A. Sample Tip Loader B. Cuvette Loader C. Sample Entry Queue D. STAT Entry E. Sample Exit Queue A B F. Ancillary Reagent Entry 25 positions in Ancillary Compartment D G. Cleaning Solution and Sample Tip Waste C E K H. System Fluids Acid, Base, and Wash 1 F SIEMENS I. Tip Tray Waste and Cuvette Waste I J. Waste/Water Drawer H G K. Primary Reagent Compartment J 30 positions Hardware Overview © Siemens AG 2013. All rights reserved. Software Overview A. Command Bar SIEMENS Provides access to all system functions and A Ready information required to operate the system B. Workspace Displays a set of tabs or a window containing tasks or information when a Command Bar button is selected C. Status bar Provides access to windows that display information about the entire system B C - Software Overview © Siemens AG 2013. All rights reserved. Software Overview Status Bar SIEMENS A. Online Help Ready B. Sign-In with Operator Name and Password C. Change the System State D. File Explorer E. Remote Connection F. Change the status of the LIS connection G. LAS connection – view status and reset H. Dashboard – quick count of all samples and tests currently managed by the system I. STAT Samples screen J. Find Patient/QC results K. System Status Display L. Turn on/off alarm sounds B D F H J L ? A C E G I K © Siemens AG 2013. All rights reserved. Loading Supplies and Reagents Loading Supplies and Emptying Waste Cuvettes • May be loaded at any time • The cuvette loading bin holds up to 1000 cuvettes (approximately 5 bags) Sample Tips • May be loaded at any time • Each tip tray holds 120 tips. Up to 840 tips can be loaded onto the system Deionized Water Bottle • May be removed from the system at any time The capacity of the water bottle is 10L Base Reagent Acid Reagent • Wash 1 • Option for direct plumbing 1 ,25ºC V41077 V41075 2011-05 2011-05 V41629 Acid, Base, and Wash 1 Bottles 2012-01 • May be replaced at any time • Should be replaced when any of the following conditions exist: They have been on the system for a month The reagent has expired The reagent has insufficient volume Waste Note: • The cuvette waste, tip waste, tip tray waste, and liquid waste may be emptied at any time Replace acid and base bottle at the same time to manage lot numbers and to obtain optimum reagent • After emptying waste, respond appropriately to the popup on the Workspace performance. It is important to place the acid and base Option for liquid waste direct plumbing bottles in the correct positions on the system. • Loading Supplies and © Siemens AG 2013. All rights reserved. Reagents Loading Primary Reagents 1. Mix by hand to resuspend the paramagnetic particles of the Solid Phase reagent • Raise one end of the pack to a 90° angle and return to a horizontal position • Raise the other end of the pack to a 90° angle and return to a horizontal position • Repeat at least 20 times or until the paramagnetic particles are no longer visible on the bottom of the pack ThCG ADVIA Centaur Thes 13 13 2. Load the pack SIEMENS • Open the primary reagent compartment and identify a position for the pack • Pull the reagent holder toward you and load the pack • Push the reagent holder back 10 11 • Close the primary reagent compartment door Note: For optimal throughput, install packs of similar types next to one another. Similar types of reagents are identified by the color on the end of the label. Certain methods require special primary reagent handling. Refer to Instructions for Use for more details. © Siemens AG 2013. All rights reserved. Removing Primary Reagents SIEMENS 1 Ready 1. At the Command Bar, select Reagents 2. The first tab is Primary Reagent 2 Suma Compartment Compartiment 3 Stea 3. Select the reagent pack Enpty Postions 4 - Occupied Potions 4. Select Remove INCO 5. After the system verifies the pack is no Reagent Pack Detal longer in use, the Safe to Unload indicator 14 17 Dile Catrame displays next to the pack 113:47100100001 21 21 Tet - Expired ? ? Note: Do not remove a primary pack when the system is in process if the LED on the primary reagent door is green. © Siemens AG 2013. All rights reserved. Loading Ancillary Reagents 1. Gently invert ancillary reagent packs several times while minimizing foaming 2. Place the reagent pack in the ancillary reagent entry with the barcoded side facing outward 3. An LED under the ancillary reagent entry turns green to indicate that the pack is loading 4. The system moves the pack into the ancillary entaur reagent compartment © Siemens AG 2013. All rights reserved. Removing Ancillary Reagents SIEMENS 1 1. At the Command Bar, select Reagents Ready Argets 2. Select the Ancillary Reagent 2 Compartment tab Compartment stea 3. Select the ancillary pack Enphy Postors 4 4. Select Remove 3 5. The system ejects the pack into the ancillary Reagent Pack Detal reagent entry Ancilary jaagt fume TUTOR 6. An LED next to the ancillary reagent entry 1214 turns orange to indicate that the pack is 5 000 mg System exiting the system Tes 45 1570 ? Sprm Son © Siemens AG 2013. All rights reserved. Sample Processing Manually Ordering Patients By SID SIEMENS 1 1. At the command bar, select Orders Ready 2. The first tab is Create Patient Orders 2 Estela Potest Order Sangle information 3. Enter the Sample Identification Number Palet Demographics 3 Patent Mama P (SID) and then select the Enter key on the 4 Specimen Pruathy keyboard to activate the test menu Location Marais Dilution - Patent C Tes Selections 4. In the Sample Information area, select a Select Test Specimen Type and other sample 5 Tests information, as needed ATPO 5. In the Tests area, select one or more tests. Cael COR Test profiles and dilution profiles can also ELF FT4 CENT be selected Test Prolles 6. Select the Save button Dlution Profiles ? 6 Swe ? © Siemens AG 2013. All rights reserved. Sample Processing Entering SID for Non-Barcoded Samples SIEMENS 1 Inprocess For samples onboard the system with test orders: 2 1. At the command bar, select Samples 2. The first tab is InProcess Queue Een Fat boyOma 3. Select the rack that contains the Enter Barcode X unidentified sample tube RxkO 5 4. On the Rack and Tube diagram, select the Type unidentified sample tube 4 6 5. Select Enter Barcode 6. Select the type of sample 7 7. Enter the barcode for the sample in the 3 8 Sample ID text box 8. Select the OK button ? - Sprint Some © Siemens AG 2013. All rights reserved. Processing STATs SIEMENS Ready There are three options for processing STAT patient samples: Cetete Patient Ondere 1. LIS – STAT orders received from the LIS are Sangle information Q Patent Mama given priority over routine samples Specimen Prathy 3 2. STAT Entry – load racks in the STAT entry that Location Marais Dilution - Patent C require processing before racks in the sample Tes Selections Select Test entry queue Tests 3. Create Patient Orders Screen – select the ATPO STAT priority when ordering the sample Cael COR CIA ELF FT4 CENT Test Prolles Dlution Profiles ? ? © Siemens AG 2013. All rights reserved. Ordering Dilutions and Replicates SIEMENS 1 Inprocess 1. At the command bar, select Orders 2. The first tab is Create Patient Orders 2 Sangle information Pilert Demographics 3. Enter the SID and then select the Enter key lange D 3 on the keyboard 4 Pilorty Sex first 5 Location 4. In the Sample Information area, select a Patent C fest Selechons -- - Specimen Type and other sample Seed Te n 8 information, as needed 6 Tests 7 CU FTA 5. For a Manual Dilution (prepared on the bench): In the Manual Dilution field, enter HET PIP the manual dilution factor PRICE TACG Tesk Profies 6. In the Tests area, select the test 7. For a System Performed Dilution (performed Dibuon Prafies by the system using an onboard diluent): Under the Dilution heading, select the appropriate dilution factor 9 8. If needed, select the number of replicates and reagent pack information. If there are ? multiple reagent lots onboard, the reagent lot can be selected 9. Select the Save button © Siemens AG 2013. All rights reserved. Ordering Batches SIEMENS AMA0 1 1. At the command bar, select Orders Lil Inprocess 2 8 2. Select the Create Batch Orders tab View Podey Onders Conel Bich Orders Sarple information 3. Enter a starting rack number and an 3 Starting Rock Enong Rack Specimen ending rack number Sargle Commenty 4 5 4. Select a specimen type Comment Commence Test Selection 5. Enter a manual dilution factor and Select Tes comments if applicable 6 Teer 6. Select the tests to run. The system AFP DG performs the selected tests on all samples ON COR DG loaded in the starting rack, ending rack Test Profile and all racks in between 7. Select the Save button Dayton Profiles 8. To view the status of the batch order, select the View Batch Orders tab 7 She ?) ) - © Siemens AG 2013. All rights reserved. Monitoring Samples and Results View Pending Orders screen SIEMENS To access, select Orders from the Command Ti • Bar, and then select the View Pending Orders tab 1 - • Used to view QC and patient test orders that 2 have not yet started processing • Options are available to: 1. Edit orders - ...... 2. Delete orders 3. Query LIS 3 - -- Monitoring Samples and Results Test Results Overview screen SIEMENS Inprocess • To access, select Test Results from the Ti 8 . Command Bar, and then select the Overview 5747 Sangles tab SO Page 1 of t. Total tests: 23 • Used to view test orders and results Predefined Filters Sefi/'+ Saepiel Orders Createt or Updated Today • Options are available to: 1. Post an order to the Watch List screen – - 1 used to selectively monitor certain test orders 2. Repeat a test * Cont Range, Aiutarepeut 3. Transmit results to the LIS 1 1014 2 4. Export data > Conc Range, Autorepest 5. Print reports 3 * Conc Range, Autorepeut . Cont Rat 4 5 Export ? Dashboard screen SIEMENS Inprocess • To access, select the Dashboard icon from Cabraber the Status Bar at the bottom of the screen STAT Sangles • Used to post a quick view of samples and Dashboard Fiel a Pag Patient and QC tests by their current state Barce Sufit. Irprocess The system updates the counters for the Sample • samples and the tests in real time until the sample or test is deleted or moved to Pending ties Historical --- • Selecting one or more counter on either tab launches the Test Results Dashboard tab. 4 The counters selected will be highlighted El Competed / Transmitted 2 Expet PIM ? Calibration Reviewing Calibration Status SIEMENS 1 1. At the Command Bar, select Reagents Ready 2. Select the Status tab Primary fagget 2 3. Review the calibration status and expiration 3 date for the onboard reagents Primary Compartment Primary Cu 10001710000100% Primary DA 210 Coment Peleary F14 Expired -10000 4/11/2014 85415/1990000 Cateet Porary Te Cenest Cebrosa Pinary TACG THCG 214-90 -0 100 Testa 214 00 Cereet Ancilary Compartment 10.000 L 0961254-4800009 1474 25.000 HL 18/7/2016 Andlang ISTOR 1714 5.000 mL. 0000 00000000 Haaaa Dely Areags ? Spons Stme Note: Calibration status can also be viewed on the Calibration Summary screen. Select Calibration from the Command Bar, and then select the Calibration Summary tab. Calibration © Siemens AG 2013. All rights reserved. Scanning Master Curve Test Definition (MC DEF) Cards 1. Locate the MC DEF card in the primary reagent box. Select the ADVIA Centaur® side of the card 2. Scan the first 2D barcode on the MC DEF card by placing the card on the barcode reader platform to the right of the touchscreen. Pass the card under the scanner until the blue light points at the center of the 2D barcode. The scanner beeps once and the green light on the scanner flashes once after successfully reading the first 2D barcode 3. Scan the second 2D barcode. The scanner beeps twice and the green light on the scanner flashes twice after successfully reading the second 2D barcode 4. Scan the third and fourth 2D barcodes if included on the MCDEF card. The scanner beeps 3 times and 4 times after successfully reading the third and fourth 2D barcodes Note: 5. Select Save in the confirmation window to save The MC DEF cards must be scanned with the master curve and test definition and close the every new lot of reagent. The MC DEF cards window can only be scanned when the system is in the Ready state. Scanning Calibrator Definition Cards SIEMENS 2 Ready 90 1. Locate the Calibrator Definition card in the - calibrator kit. It is labeled ADVIA Centaur® 3 Assigned Value Card and has a purple bar at Add Calibrator Definition x the top Caibrator filme Chectur 2. At the Command Bar, select Calibration CALE Exprator R 4/30/2014 3. Select the Calibrator Definitions tab Test Beata Tes 4. Select the Add Calibrator Definition button Ce Code 5. Scan all of the barcodes on the Calibrator 2.4300 11.5006 Definition card from top to bottom 6. Select the Save button T4 21.0000 4.0000 ATPO 00000 CATH Note: The Calibrator Definition cards must be scanned with every new lot of calibrator. 6 12 The Calibrator Definition cards can be scanned 4 while the system is In Process. ? - Manually Ordering Calibrations SIEMENS 1 Ready 1. At the Command Bar, select Calibration Caibacione go 2 2. Select the Calibration Order tab Text Fragen Lat 3. Select a test to calibrate 3 Search Test 4 5 4. Select a reagent lot - Lit CATH CALE 5. Select a calibrator lot COR 6. Select the Save button V POP PRICE Summary Lut Matty.e - - CALB ? 6 ? Reviewing Calibration Data SIEMENS 1 Ready 1. At the Command Bar, select Calibration 80 2 2. Select the Calibration Results Overview tab Fut u Pop 3. Review the Result column for each 3 calibration test Cont CHO Mitatol • A Valid calibration indicates that the Mitanal Cvol Calibration Evaluation Criteria have 4 passed 2/19/2014 Hitstel • An Invalid calibration indicates that one CATS 2:28/2014 Historiesi of the criteria did not pass and further 2/01/201 investigation will be required Inst integrity.System Low 2/21/2014 ver 4. To view more information on an Invalid calibration, select the test and then select Matartal Mitstal the Calibration Data button 2/12/2014 Historical 000000000000OOOO Export ? Accepting a Calibration SIEMENS Ready Required when the calibration status is Ti • "Pending Accept" status on the Calibration Results Overview screen Calibration Data "Pending Accept" calibrations are outside of Citizton • Nt CALD observed ranges but within defined ranges • Observed ranges: After 4 calibrations of the Che same reagent lot and calibrator lot combination, the system calculates observed ranges 310154 552:18 AM Entation Ranges Caltratar Target Values and Observed Resh • Defined ranges: The values for Slope, Ratio, Rape Tipe Low Cal Deviation and High Cal Deviation entered from the MC DEF card Ratio To accept, select the Accept button on the Dediation 18.2 • Calibration Data screen • After accepting, the calibration status changes to "Valid Operator Accepted" ? ------ Quality Control SIEMENS 1 Ready 2 Adding a QC Definition 1. At the Command Bar, select QC Ftw. Carteal Nute 2. Select the QC Definitions tab 296/2014 3. Select the Add QC Definition button. The Add New QC 206/2014 4/18/2014 Definition screen displays 4718/2014 4/16/2014 4. Enter the appropriate information in the Control Details area CONTROUPLUSHOND 2026/2015 CONTROLPLUSPOUR 5. Select a test CONTROLPLUS NOIR 6. Enter the expected values – mean and 2SD or low and high 00000000000000 range SIEMEN 7. Add additional tests as needed Ready ocon 8. Select the Save button Add New OC Definden ? 3 Contal Detal 4 Control Lot 4/30/2015 Editing a QC Definition 5 6 To edit an existing QC definition, CAN on the QC Definition screen, select the QC definition to edit COR and then select the Edit/View V button. Make the necessary edits and select the Save button. 8 Quality Control © Siemens AG 2013. All rights reserved. Manually Ordering QC SIEMENS 1 Ready 1. At the Command Bar, select Orders go 2 2. Select the QC Orders tab 3 Porty 3. Select a priority Racine STAT 4. In the Tests area, select one or more tests 4 Control Materiaes 6 5 5. To order a QC profile, select the Select 7 Profiles button and then select the desired V profile 6. In the Control Materials area, select each control material to include in this order Dider RxCk D. 8 7. Select the Add button CONTROLPLUSI.E Primary CONTROLPLUS! .. 2 8. In the Orders area, select or enter the order CONTROLPLUS!_ THES and test information as needed by selecting the Details/Summary button 9. Select the Save button 9 DiM ? Printing QC Data SIEMENS 1 Ready 1. At the Command Bar, select QC 2 2. Select the QC Statistics tab 3 3. Select either the Review or Analysis tab 4. Select Reports --- - 1.72-41 Control 4.72-43 247-41 541-11 3.47 1.505-19 4 ? Exporting QC Data SIEMENS 1 Ready 1. At the Command Bar, select QC go 2. Select the QC Statistics tab 2 3 3. Select the Tools tab 4 4. Select the Export tab No Sne filter applet 5. Select the data to export, the time filter, and the file type 5 6. Select Export 6 12 ? Spons Stre © Siemens AG 2013. All rights reserved. Daily Maintenance Daily Cleaning Procedure SIEMENS ADAt A Ready go 1. Check/replenish cleaning solution (7 day Calboeien onboard stability) Schedule Add 1 container of ADVIA Centaur® C • Cleaning Solution Concentrate to the cleaning solution bottle Date and Time Ditiber Archieing and Deletion Start Agbomaticaly Dally at 7:00:00 AM 3/7/3814 7:00:08 AM Fill the cleaning solution bottle to the Ontibase Badug Start Automaticily • Daly at 12:30:00 AM neck with DI water Date and Thee B Start Autonuticaly • Place the bottle onto the system Daly at 2:00:00 AM 3/1/0014 2:00:00 AM 2. Check/replenish cuvettes Chris Mater Contener Mondey at 7:00:00 AM Enpty Matw Ing Monday at 7:00:00 AM 3. Check/replenish the water bottle Monday at 7:00:00 AM 4. Check/empty the liquid waste bottle Orm Exterior al Recibiry Probe Fourth friday of the month gragradi4 7:00:00 am 5. Check/empty the cuvette waste bin Date and Time Curs Exterior of Asplite Frobes Forth fildry of the month 3ray 2014 7:00-80 AA 6. Start the Daily Cleaning Procedure: Date and Time Cheat Exterior of Resgut Probes ? Abe Acity- A. Select Maintenance on the Command Bar ? B. Select Daily Maintenance on the Schedule tab C. Select Perform Daily Maintenance © Siemens AG 2013. All rights reserved. Weekly Maintenance Cleaning the Water Bottle 1. Remove the cap and empty any water from the water bottle 2. Pour approximately 1L of cleaning solution into the water bottle 3. Place the cap on the bottle and close tightly 4. Swirl the solution around the inside of the bottle a few times 5. Press some gauze over the holes in the top of the bottle 6. Invert the bottle, swirl the solution a few times and then return the bottle to the upright position 7. Soak the bottle in the upright position for 5 minutes 8. Repeat steps 5 and 6 9. Swirl the solution again and then empty the bottle Note: 10.Rinse the inside of the bottle including the This procedure is not required if the system is tubing at least 5 times with fresh reagent water direct plumbed for water. 11.Invert the bottle to dry Weekly Maintenance Emptying the Water Trap 1. Ensure that the system is in one of the following states: • Ready • Warming Up • Diagnostic • Mechanics Off • Check Status 2. Pull out the waste and water drawer to access the water trap 3. Unscrew and remove the water trap. The liquid in the water trap is waste condensation 4. Remove any liquid from the water trap 5. Ensure that the float ball moves freely in the water trap. Ensure that the inner seal of the lid is not missing or damaged 6. Tightly install the water trap 7. Close the waste and water drawer Monthly Maintenance Cleaning the Primary Reagent Probes 1. Turn the system mechanics off, and then use the key to unlock the top cover. Lift open the cover and the reagent probes cover 2. To clean the primary reagent probes, push the reagent probe assemblies toward the incubation ring by pushing the motors 3. Wipe each probe with lint-free tissue with cleaning solution, followed by thoroughly rinsing each probe with lint-free tissue with reagent water 4. Reinstall the reagent probes cover, close the top cover, and turn the system mechanics back on Monthly © Siemens AG 2013. All rights reserved. Maintenance Cleaning the Ancillary Probe and Aspirate Probes 1. Turn the system mechanics off, and then use the key to unlock the top cover. Lift open the top cover 2. To clean the ancillary reagent probe, move the inprocess queue to the right and then pull the probe toward you by holding the top of the probe assembly 3. Clean the probe using a gentle downward motion with lint-free tissue with cleaning solution, followed by thoroughly rinsing the probe with lint-free tissue with reagent water 4. Clean the exterior of the aspirate probes with a lint-free tissue dampened with cleaning solution, followed by rinsing the exterior of the probes with DI water and a lint-free tissue 5. Close the top cover and turn the system mechanics back on Cleaning the Air Filter 1. Remove the air filter by lifting the cover up and then pulling the cover out of the bracket 2. Remove the old filter and then install the spare, dry air filter 3. Put the cover back onto the system by pushing in and down at the same time 4. Rinse the old air filter with water and then allow it to thoroughly dry As Needed Maintenance Cleaning the Reagent Probe Shutter 1. Turn the system mechanics off, and then use the key to unlock the top cover. Lift open the cover and the reagent probes cover 2. Remove the primary reagent packs and refrigerate them 3. Push the reagent probe assemblies toward the incubation ring by pushing the motors 4. Remove the reagent probe shutter by lifting the shutter drive arm up and off the shutter drive and sliding the shutter to the left. Lift the shutter out of the system 5. Wipe the shutter with lint-free tissue with cleaning solution, then rinse with water and thoroughly dry 6. Wipe the surface under the shutter with lint- free tissue with cleaning solution, then rinse with water and thoroughly dry 7. Install the shutter by sliding it to the right until the screw slots are under the screws. Place the shutter arm down on the shutter drive 8. Replace the reagent probes cover, close the top cover, and turn the system mechanics on As Needed Maintenance Cleaning the Probe Rinse Stations 1. Turn the system mechanics off, and then use the key to unlock the top cover. Lift open the cover and the reagent probes cover 2. Push the reagent, ancillary, and sample probe assemblies toward the incubation ring by pushing the motors 3. Use a transfer pipette to add ~1mL of cleaning solution to each rinse station, then swirl with small maintenance brush. Remove the cleaning solution with a transfer pipette 4. Clean the rinse station with lint-free tissue with cleaning solution, and then rinse the rinse station with lint-free tissue with reagent water 5. Reinstall the reagent probes cover, close the top cover, and turn the system mechanics back on Cleaning the Primary Reagent Compartment 1. Turn the system mechanics off, and then use the key to unlock the top cover. Lift open the cover and the reagent probes cover 2. Remove the primary reagent packs from the system and refrigerate them 3. Wipe excess water from the primary reagent compartment, and then wipe the surfaces of the compartment with lint-free tissue with water 4. If reagent has spilled onto the reagent pack holders, wipe them with lint-free tissue with water 5. Dry the primary reagent compartment 6. Reinstall the reagent probes cover, close the top cover, and turn the system mechanics back on Cleaning the Cuvette Waste Chute 1. Open the cuvette waste area door, and remove empty sample tip trays and covers from the tip tray bin 2. Lift the tip tray bin up and then out of the system. 3. Remove the cuvette waste chute by releasing it from the magnetic fitting. Slightly rotate the cuvette waste chute, then pull it out and down 4. Clean the cuvette waste chute with the large maintenance brush and cleaning solution, and then rinse the chute with DI water CIL 000 22 10703897 5. Dry the inside of the chute with paper towels 6. Install the cuvette waste chute by place the locator pins at the bottom of the chute in the reservoir. Lift the top of the chute until it attaches to the magnetic fitting 7. Install the sample tip tray bin. Install the cuvette waste bin and close the door Cleaning the Sample Tip Waste Tube 1. Turn the system mechanics off, and then use the key to unlock the top cover. Lift open the cover, and push the sample and ancillary probes back toward the incubation ring 2. Loosen the knurled knob on the sample tip remover, and lift the sample tip remover and sample tip waste tube out of the system 3. Unscrew the sample tip waste tube from the sample tip remover 4. Soak the sample tip remover and sample tip waste tube in cleaning solution for 5 minutes 5. Clean the inside of the sample tip waste tube with cleaning solution and the large maintenance brush 6. Rinse the sample tip remover and sample tip waste tube with water, and then dry thoroughly 7. Connect the sample tip remover to the sample tip waste tube 8. With the slot on the sample tip remover facing away from you, place the bottom of the sample tip waste tube into the opening below the sample probe. Align the 2 holes on the right side with the locator pins on the mounting block. Turn the knurled knob until the sample tip remover is secure 9. Close the top cover, and turn the system mechanics back on Cleaning the Sample Tip Waste Chute 1. Turn the system mechanics off, and then open the sample tip waste area door and remove the sample tip waste bin 2. Pull out the drawer and lift the lid to the cleaning solution. Ensure the lid remains in the upright position. Wipe the cleaning solution tubing with fresh lint-free tissue to remove excess cleaning solution. Remove the cleaning solution bottle 3. Remove the sample tip waste chute 4. Soak the sample tip waste chute in cleaning solution for 5 minutes 5. While the sample tip waste chute is soaking, wipe the sample tip waste reservoir with lint-free tissue with cleaning solution, and then wipe the reservoir with lint-free tissue with water. Dry the sample tip waste reservoir with lint-free tissue 6. When the sample tip waste chute has finished soaking, clean the chute with the large maintenance brush, and then rinse with water and thoroughly dry the chute 7. Install the sample tip waste chute onto the system with the bottom of the chute in the reservoir 8. Install the cleaning solution bottle and the sample tip waste bin. Close the sample tip waste area door, and turn the system mechanics back on Cleaning the Covers, Keyboard, and Mouse Cleaning the Sample Barcode Scanner 1. Carefully clean the following components with lint- 1. Turn the system mechanics off free tissue with cleaning solution: 2. Access the scanner by reaching your hand over and • Sample entry queue behind the housing • Exterior covers • Sample exit queue 3. Carefully wipe the scanner with an alcohol prep pad • Ancillary entry 4. Turn the system mechanics back on • Stat entry • Keyboard • Mouse • System fluids tray • Tray under the system fluids reservoirs 2. Rinse the components with lint-free tissue with water 3. Dry the components thoroughly Troubleshooting Clearing Cuvette Obstructions 1. Access the Operator Event Log by selecting Events at the Command Bar. Any of these events may lead to checking the orientation and vertical chutes for cuvette jams: • Cuvette pusher is offline • Cuvette bin is empty (provided the cuvette bin isn't actually empty) 2. Turn the system mechanics off, and then use the key to unlock the top cover. Lift open the cover 3. Observe the cuvette loading bin. Verify that it is not empty 4. Remove any obstructions from the orientation chute 5. Check the vertical chute: • Unscrew the vertical chute captive screw and remove the window • Remove any obstructions • Reinstall the vertical chute window 6. Turn the system mechanics on Troubleshooting © Siemens AG 2013. All rights reserved. Clearing Preheater Jams 1. Access the Operator Event Log by selecting Events at the Command Bar. Any of these events may lead to checking the preheater for cuvette jams: • Cuvette pusher is offline • Ring Loader is offline 2. Turn the system mechanics off, and then use the key to unlock the top cover. Lift open the cover Is and the reagent probes cover 3. Loosen the thumbscrew on the preheater cover and remove the preheater cover 4. Remove any jammed cuvettes. Ensure that there are 14 cuvettes in the preheater and that the cuvettes do not overlap 5. Replace the preheater cover and tighten the thumbscrew 6. Replace the reagent probes cover, close the top cover, and turn the system mechanics on Resolving Reagent Probe Errors 1. Access the Operator Event Log by selecting Events at the Command Bar. Any of these events may lead to troubleshooting reagent errors: • Reagent Probe Volume Check Failure • Reagent Probe Vertical Move Error 2. Check the reagent pack for proper placement and volume. The reagent pack that is affected will be displayed in the event message 3. If necessary, continue by removing the pack and checking the probe puncture point. If the point is × near the edge of the pack opening, you may need to replace the reagent probe 4. If the reagent pack placement and puncture point ThCG are not the issue, perform a dispense test in Diagnostic Tools. If the stream of water is not straight and steady, you may need to replace the reagent probe Replacing Reagent Probes 1. Turn the system mechanics off, and then use the key to unlock the top cover. Lift open the cover and the reagent probes cover 2. Lift off the reagent probe tubing 3. Use pliers to loosen the reagent probe sleeve 4. Turn the sleeve clockwise, then pull the probe and the sleeve down into the rinse station. Remove the probe and sleeve from the system 5. Place a new reagent probe in the sleeve 6. Lift the probe up into the heater coil and turn it counter clockwise. Tighten the sleeve one quarter turn with pliers 7. Connect the tubing to the top of the probe 8. Replace the reagent probes cover, close the top cover, and turn the system mechanics on Replacing Aspirate Probes 1. Turn the system mechanics off, and then use the key to unlock the top cover. Lift open the cover 2. Move the inprocess queue to the right 3. Locate the probe that will be replaced and lower the adjacent probe to improve access 4. Disconnect the tubing on the probe being replaced. If the grounded aspirate probe is being replaced, carefully remove the grounding wire from the probe 5. Push the probe pin down and turn counter clockwise to release the spring-loaded probe 6. Remove and discard the aspirate probe 7. Push the new probe down into the probe guide and turn the pin clockwise to secure the spring-loaded probe 8. Connect the probe tubing. If the grounded aspirate probe is being replace, connect the grounding wire 9. Raise the adjacent probe back up 10.Close the top cover, and turn the system mechanics on System Restart Restarting the System 1. At the Status Bar on the bottom of the screen, select System State 2. Select Turn System Off 3. Wait while the system powers down 4. Turn the main power switch off, wait 30 seconds, and then turn the main power switch back on 5. When the software has restarted, sign into the system 0 6. Turn the mechanics on 7. Wait until the system state is ready, and then return to normal operation © Siemens AG 2013. All rights reserved. System Restart Note: This document is for supplemental use only, and not meant to be used in place of primary technical materials. © 2014 Siemens Healthcare Diagnostics Inc. All rights reserved. This guide and the software described within, are copyrighted. No part of this may be copied, reproduced, translated, or reduced to any electronic medium or machine-readable form without the prior written consent of Siemens Healthcare Diagnostics. All trademarks are the property of their respective owners. Global Siemens Headquarters Global Siemens Healthcare Headquarters Global Division Siemens AG Siemens AG Siemens Healthcare Diagnostics Inc. Wittelsbacherplatz 2 Healthcare Sector 511 Benedict Avenue 80333 Muenchen Henkestrasse 127 Tarrytown, NY 10591-5005 Germany 91052 Erlangen USA Germany www.siemens.com/diagnostics

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