Aptio® Automation Basic Operations PEP to Go

SIEMENS Aptio Automation – Basic Operations PEP to Go Answers for life. © Siemens Healthcare 2016 All rights reserved. © Siemens Healthcare 2016 All rights reserved. 04-26-2016 HILS00001664 Global Product Education Effective Date 04/26/2016 Table of Contents 1. Hardware 2. Overview Screen 3. Module and Analyzer Status F1 4. System Preparation 5. Input/Output Module 6. Sample Processing 7. Data Management 8. Quality Control 9. Shutdown and Startup 10.Troubleshooting 11.Daily Maintenance © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education Hardware Standard Components 1. Input/Output Module - provides a single point of sample input and output, barcode and tube type identification 2. Track – controls the motion of sample tubes from input to storage or output 3. Data Management Software – provides workload and sample order management, and instrument operational status monitoring Aptio Automation 4. Connected analyzers © Siemens Healthcare 2016 All rights reserved. Hardware © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education 1 Input/Output Module (IOM) 2 1. IOM robot 2. 12 and 48 position sample racks (48 2 position rack is pictured) 3. IOM lanes – fifteen lanes for 48 position racks and five lanes for 12 position racks 4 4 4. LED indicator bar 5. Safety shield 3 3 13 14 15 6. User interface monitor 5 6 © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education 1 2 Track and Sample Carriers 1. Track Section 2. Track L-Turn Module 3. Track T-Turn Module 4. Track U-Turn Module 3 4 5. Track Head 6. Sample Carriers 5 6 © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education Optional Components 1. Rack Input - loads samples from racks 5 6 2. Bulk Input - loads capped samples without placing in racks 3. Tube Identification – determines sample ID and type 4. Volume Detection – determines serum volume 5. Centrifuge – automates sample separation process 6. Decapper - removes and discards the cap 7. Sealer - places aluminum foil seals on sample tubes 8. Desealer - removes aluminum seals from sample tubes 9. Wide Area Carrier Buffer – collects sample carriers to 7 8 relieve track workload 10.Universal Shaker – mixes samples before analysis 11.Aliquoter - creates secondary tubes 12.Recapper - places caps on secondary tubes 13.Rack Output – unloads samples into racks 14.Storage and Retrieval – stores, retrieves and discards sample tubes © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education Overview Screen Areas of the Screen 4 5 6 1 Overview Utity System Setup Automaten - Se y Search Keyboard Enrico Fermi + A Ë - 1. Multifunctional bar System is in Pause Mode Current State 2 AUTOMATION 1 7 2. Overview bar = 4 5 10 11 12 14 15 16 17 18 19 20 3. IOM Lanes 3 ET 4. Automation menus Track Input/Output / 1 Sealer / 1 Decapper / 1 Aequoter / 1 Rack Output / 1 5. Rapid search bar 8 ACI TOP LAS / 1 Jo Plus / 1 wsnex HST / 1 Liaison / 1 6. Pop up keyboard Do Do 7. Start/Pause/Current State 9 Heb 10 8. Automation modules and analyzers 9. Layout configuration buttons 10.Help 11 11.Lower rollaway panel © Siemens Healthcare 2016 All rights reserved. Overview Screen © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education Automation Button Icons Icon Color Overall Status • Display the name and status of the selected automation system All modules are in Normal status or • Icon is displayed according to the overall Blue Offline (but at least one is not Off-Line) status of the system Do At least one Module is in Full status and Pink its Mode is not Off-line. There are no other Modules in Warning or Error Automation status Yellow At least one Module is in Warning status or in Exercise Mode and its System is in Pause Mode AUTOMATION Mode is not Off-line. There are no other V Modules in Error status Track Input/Output/ 1 Sealer /1 Decapper / 1 Aloqueter / 1 Rack Output / 1 Red At least one Module is in Error or ACL TOP LAS / 1 De tus /1 ex HST /1 Unknown status and its Mode is not Do Do Off-line ----- © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education IOM Bar Icon Color Meaning • If there are multiple IOM’s on the system, they will display in the Overview screen, each with a progressive number 1 Blue Identifies the IOM’s on the system • Select the appropriate IOM to view the corresponding IOM Lane buttons 123 1 Pink The IOM has at least one full rack System se IOMS System is in Pause Mod AUTOMATION 1 2 3 4 5 Stake /1 Decopper /1 Rack Output /'s ACL TOP LAS / 1 ex HST /1 Do Do ----- © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education System States There are two states: Current State Start Pause 1 1. Run – The Track is moving. Select Pause to pause the system Current State 2. Pause – The Track is not moving. Select Start Start Pause to start the system or load a rack of samples 2 into an IOM Input lane - Admin . 50 System is in Pause Mode AUTOMATION 1 = 47 frack Input/Output / 1 Sealer /1 ccapper / 1 lequoter /1 Rack Output / 1 A 4 4 CI TOP LAS /1 Sysmex HST / 1 DO ----- © Siemens Healthcare 2016 All rights reserved. 04-26-2016 Global Product Education Module and Analyzer Status • On-line – The module or analyzer is ready to ADV1800 / 1 process samples Status: Initializeng Error: 304E Analyzer startup in progress • Going Off-line – When the Going Off-line button is selected, the module or analyzer completes processing samples currently inside Status Gates Diagnostics and then passes to Off-line status. New samples are not routed to the module or analyzer On-line Off-line . Reset Going Off-line Recovery Item - Value • Off-line – Samples are not routed to the Room for Empty Carriers 7 Module or analyzer. Samples are not processed Node ID 4 Room for Routine Samples Room for STAT Samples 7 • Standby – New samples are not routed to the module or analyzer. Empty carriers are routed to allow sample tube loading onto the Track Note: Storage and Retrieval Module in Standby Mode will continue disposing and retrieving tubes. © Siemens Healthcare 2016 All rights reserved. Module and 04-26-2016 Analyzer Status Global Product Education Module and Analyzer On-Line Status Icons Icon Status Description • Each button corresponds to a connected module, analyzer or the track On-line Normal status and it is not Off-line • Color and icon of each button corresponds to the current status • Select the icon to switch between On- line/Offline status • Do The module is full • Switching to Off-line status using the icon On-line • Centrifuge module is Off-line with performs the Off-line Without Flush by samples inside default • Analyzer was disabled by the DMS • Select the Module or Analyzer button to perform additional actions or view exceptions On-line • In Warning or Initializing status • In Exercise mode and not Off-line V On-line In Error status and it is not Off-line Note: System must be running to change status. © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education Module and Analyzer Off-line Status Icons Icon Status Description • Each button corresponds to a connected module or analyzer Off-line • Color and icon of each button corresponds Normal status and it is Off-line to the current status. A grey background indicates the module is Off-Line. The icon indicates further information about the status • Off-line Full status and it is Off-line • Select the icon to switch to On-line status, • Centrifuge is Off-line with sample if appropriate tubes in it • Select the module button to perform additional actions or view exceptions Off-line Warning status or in Exercise mode and it is Off-line Off-line In Error status and it is Off-line Note: System must be running to change status. © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education System Preparation Bring a Module/Analyzer On-line Flush Carriers vs. Do Not Flush when bringing Off-line 1. Select the button for the Module/Analyzer in Flush Carriers – The Module is emptied from all carriers Off-line status and sample tubes 2. Select the Status tab, if necessary Do Not Flush – Keeps sample tubes in place until the Module is back On-line. 3. Select On-line Status: On-line Bring a Module/Analyzer Off-line Error: 0 No Error Status Gates Diagnostics 1. Select the button for the Module/Analyzer in On-line status On-line Off-line - Reset |Going Off-line | Reboot Backup | Recovery | Restore 2. Select the Status tab, if necessary Item Value 3. Select Going Off-line or Off-line, as Room for E Flush Carriers Do Not Flush 7 appropriate Node ID 12 Room for F 7 Room for STAT Samples 7 Note: System must be running to change Module or Analyzer status. © Siemens Healthcare 2016 All rights reserved. System Preparation 04-26-2016 Global Product Education Communications Status Connection Description • An overview of the communications Icon status is displayed in the Icon Area. To Status view, select the Drop-down menu arrow in the Icon Area button located in the Multifunctional toolbar Communication enabled, analyzer Green correctly connected and communicating Red The communication with at least • The icon to the far left of the item describes its communication status one instrument is interrupted due to physical connection problems ADV1800-1 .** The communication with at least CENT-XPT Red one instrument is interrupted due to CENTAUR-1 high level communication problems CHEM-XPT IMMULITE-1 Power Off Communication is disabled VISTA-500 © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education Instrument Notifications Notification of exceptions, recent tests Icon Name enabled/disabled and low level reagents are Description displayed in the Icon Area. Select the Drop- down menu arrow in the Icon Area button A new unread Warning Exception relating to located in the Multifunctional toolbar Exception the instrument or sample is present. Select Warning the icon to display the Exceptions list and relevant details A new unread Error Exception relating to the Exception instrument or sample is present. Select the Select the icon to view further details Error icon to display the Exceptions list and relevant details ADV1800-1 V Recent Tests One or more tests have been enabled or Enable/ disabled on the instrument in the last 5 CENT-XPT Disable minutes. Select the icon to acknowledge the event and view details CENTAUR-1 CHEM-XPT Low Level One or more tests have a low level of reagents. Select the icon to investigate IMMULITE-1 further VISTA-500 © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education Notification of Enabled/Disabled Tests Whenever a test is enabled or disabled, the Recent Test Enabling/Disabling Icon notifies the operator that one or more tests has been enabled/disabled on an instrument in the last 5 minutes. V 1.Select the Drop-down menu arrow in the Icon Area to open the window 2.Select the Enabled/Disabled Notification icon for the instrument. Confirm the removal of the icon, if desired. V ADV1800 Enable/Disable icon removal confirmation X CS5100 Confirm the removal of Enable/Disable notification icon for VISTA1? V VISTA1 Yes No 3.The System events window will open with the view filtered for the selected instrument. The tests and instrument are displayed with the event code ENABLE or DISABLE as appropriate System events Description Event Date Warning Code Event Code Sid DISABLE MG/ADV1800 24/03/2016 10:39:26 am Tracking DISABLE DISABLE LDH/ADV1800 24/03/2016 10:39:26 am Tracking DISABLE DISABLE FE/ADV1800 24/03/2016 10:39:26 am Tracking DISABLE © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education How to Manually Enable/Disable Tests 1.Select Setup > Enable/Disable Tests and Instruments. Select an instrument and a map of available tests is displayed 2.By Class tab displays each test for the selected instrument and all instruments where the same tests are configured 3.If the test is checked, the test is enabled; if the test is not checked, it is disabled 4.To enable or disable a test, select the appropriate checkbox. A red triangle indicates changes that have not been saved. select Save to make the changes effective Note: When a test is enabled or disabled, a Recent Test Enabling/Disabling icon is displayed on the Icon Area button Enable/Disable Instrument and Test - Automation by Instrument by Class 2 Instrument Test Code Test Send test code CENT-XPT CENTAUR-1 ADV1800-1 Node:012 CTNI CTN CTNI DIG DIG DIG CENT-XPT Node:0 FOL FOL FOL CENTAUR-1 Node:014 1 FT3 FT3 FT3 CHEM-XPT Node:0 FT4 FT4 FT4 LH LH LH 3 IMMULITE-1 Node:006 PRL PRL PRL VISTA-500 Node:013 T3 T3 T3 T4 T4 T4 VISTA-SIM Node:011 TSH TSH TSH VB12 VB12 VB12 © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education Input/Output Module Icon Description Action Allowed No rack is currently Operator can change the inserted in the lane lane configuration IOM Output Lane Status Lanes 1-15 contain 48 tube racks An empty rack is currently • inserted in the lane • Lanes 16- 20 hold 12 tube racks A rack containing at least The operator can view a list • Lane button displays icons and colors one sample tube but not of samples currently in the depending on the Lane status T full is currently inserted in rack the lane 28888 • Selecting a Lane button when samples are present opens a pop-up with a list of samples The rack currently inserted The operator can view a list currently located in the rack. 1 is full of samples currently in the rack The lane is for long term Using the pop-up storage sorted output and keyboard, the operator can requires a rack ID be enter a rack ID ? manually entered © Siemens Healthcare 2016 All rights reserved. Input/Output © Siemens AG 2013. All rights reserved. 04-26-2016 Module Global Product Education Icon Description IOM Routine Input Lane Icons Routine Input Sample tube will be automatically detected as Prior to loading samples onto the capped or uncapped if the Tube Identification • Module is installed. Otherwise, the sample tube track, ensure all modules and instruments are On-line and ready to is considered capped if a Decapper is installed process samples and centrifuged if no Centrifuge is installed Uncapped Routine Input • Ensure all input racks are placed in the appropriate lane Uncapped sample tubes • Racks in Routine lanes are processed in Centrifuged Routine Input the order in which they are loaded Pre-spun, capped sample tubes Sealed Routine Input Pre-spun sample tubes that require desealing Dynamic Used for Routine Input and then for Incomplete Output © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education IOM Priority Input Lane Icons Icon Description • Samples loaded into Priority lanes are given priority for processing Priority Input • STAT samples should be loaded into Priority input for capped sample tubes Priority lanes Uncapped Priority Input • Routine samples loaded into priority lanes are promoted to STAT status Priority input for uncapped, pre-spun sample tubes Centrifuged Priority Input Priority Input for capped pre-spun sample tubes © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education IOM Sorting Lane Configurations • Samples can be sorted and routed to the Input/Output or Rack Output Module Icon Description Sorted Output • Sorting can be accomplished based on the system configuration with samples For samples with tests configured for sorted to preconfigured locations sorting Generic Sorted Output For sample that have not completed processing and the test is configured to sort to this lane © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education IOM Output Lane Icons Icon • Ensure empty racks are loaded in Description output lanes prior to processing Complete Output For sample that have completed • Sample tubes are returned to the processing if no Storage and Retrieval Priority Output lane if an error Module is available occurs Priority Output For sample tubes in an error condition or requested by the operator Incomplete Output For samples that did not complete their processing © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education Sample Processing Loading Samples into I/O Module A B CD A Two types of racks • 48 position (Lanes 1-15) 1 2 2 • 12 position (Lanes 16- 20) 3 3 To load tubes: 5 5 1. Place the first tube in Column A, Row 1 6 6 7 7 2. Continue to fill that column by placing 8 8 each subsequent sample in the next row 9 of the same column 9 10 10 3. For the 48 tube rack, continue with the 11 11 next column (B,C,D), filling each column before inserting a tube in the next 12 12 column 4. Identify the appropriate lane on the IOM 5. Load the rack Note: Do not skip positions in the rack as this will result in unprocessed samples © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. Sample Processing 04-26-2016 Global Product Education Unloading Sample Tubes from I/O Module 1. Unlock the rack by pushing the corresponding lane button on the LED bar 14 13 2. Grasp the rack handle and gently push the rack inward to release the lock 3. Pull the rack completely out from the lane 4. Use two hands to remove the rack from the OO IOM worktable 5. Reload an empty rack, if needed Note: To review the samples before removing the rack, select the related IOM Lane button in the Overview screen © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education Unloading Sample Tubes Before Processing is Completed Patient list Use the Delivery command to unload sample tubes from the Order: • track before processing has been completed Sid: 2 Lastname: • The sample tube will be delivered to the Priority Output lane Sorting by: unless configured for a Sorted Output lane Order O Sort Ascending O Sort Descending • Do not manually remove sample tubes from the track as this will cause an error To Deliver a sample tube: 1. Select Routine > Validation 2. Enter the SID of the sample to be unloaded, select Search Complete 3. In the Patient Details screen, select all relevant tests Delivery 4 Error 4. Select the Command button > Select the Delivery icon Keep 5. Once delivered, remove the rack containing the sample from Dispose the IOM × Remove 6. When ready to resume processing on the track, load the Rerun Add Test Command + Save sample into the appropriate Input lane © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education Data Management Icon Test Status Description Test and Priority Status Icons Requested: Order for the test has been received by DMS. Sample has not yet been loaded onto automation • Every test must pass through different operation statuses before completing analysis. The current status is identified by an Received: The tube has been received by automation but icon in the Status column of the Patient the sample has not been sent to the Analyzer Details screen Pending: The tube has been sent to the Analyzer. The presence of a green background indicates the tube has • Each sample has a priority status displayed in been sampled the Stat column of the Patient Details screen Hold: The test is completed but is not validated. Test may be manually validated or rerun Routine Validated: The test was validated by the operator and the Urgent results are ready to send to the Host Final: The validated result has been sent to the Host × Cancelled: The test will not be performed © Siemens Healthcare 2016 All rights reserved. Data Management © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education Requested Test Status Life Cycle and Manual Actions • Tests with Hold status can be manually Received validated or rerun • Tests with Validated status can be rerun or sent to the Host Pending FOX < • Tests with Cancelled status can be reordered by selecting Add Test Hold Rerun Validated Rerun Final © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education Commands Icon Command Description Commands are actions the operator may Complete: Changes the “to do” tests on the sample tube request for a sample tube. To access to complete. The command can be performed on Commands: individual tests as well 9 Delivery: Marks the sample tube with message SC001 and • Use the Quick Search feature in the Multifunctional toolbar. Apply filters to sends the tube to Priority Output or a Sorted Output lane display the sample or patient. Select the sample, then choose the appropriate Keep: Instead of discarding the tube after the storage time has expired, the sample tube is sent to a Long Term Command icon Storage Output Sorted lane Resend to Automation: Changes the status of selected • Select Routine > Validation. Apply filters, test to Received and resends the order to the Automation select Search. In the Patient Details System screen, select the Command button. Choose the appropriate Command icon Error: Marks the sample tube with the message SC00C and sends the tube to an Automatic Deliver Sorted Output lane Dispose: The Storage and Retrieval Module will immediately dispose the sample tube Note: When Delivery is requested, samples will be × Remove : Removes the sample tube from the database (as if the sample tube has never been loaded on the delivered to the Priority Output lane if a Sorted Automation system) Output lane has not been configured. © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education Sample Search - Quick Search Automation Orde v Search Keyboard Sid 1. In the Rapid Search Bar, select the search criteria and enter Order it into the field. Select Search Lastname 2. DMS will return matching results. Refine your search until you Patient ID view what is needed 3. Select the sample to view further details 4. Select the appropriate Command icon to perform actions Sid 1015821 Search Sid Status P. Location Birth date Lastname Firstname Patient ID 8460 14/07/1957 Aarón Kaufmann 8460 8075 R IOM-1 031770-00-07-23 01/12/1954 Abdón More 8075 8109 R IOM-1 031765-00-05-04 28/05/1975 Abdón Centurión 8109 5077 R IOM-1 044690-00-08-08 18/09/1981 Abraham Taylor 5077 8078 R IOM-1 031770-00-07-07 13/01/1960 Abraham Jackson 8078 8112 R IOM-1 031765-00-05-06 09/08/1966 Abraham Hoover 8112 8136 R IOM-1 031768-00-07-04 31/10/1969 Abraham Rosevelt 8136 8142 RIOM-1 031765-00-05-15 07/04/1931 Abraham Truman 8142 © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education Sample Search using Filters (for Samples not in Historic Archive) Routine > Validation Filter by specific criteria such as 1 Instrument 2 Ward 3 Properties 4 Status and 5 Date. Select 6 Search to display the Patient Details screen. Select 7 Snapshot to display a list of samples. Filter Tube Properties 3 Instrument 1 Ward 2 Manage ADV1800-1 ICU Status: Any status CENT-XPT Seal: Any status CENTAUR-1 Cap: Any status CHEM-XPT ER Cap Type: IMMULITE-1 VISTA-500 Error Code: VISTA-SIM Panel Test Tube Type: Any Location Status: Any Node: Any Type: Rack V Property 3 Status 4 Patient list ID: Floor: Stat Order Status: Requested Order: Lane: Rerun Tube Status: Any status V Sid: Unsolicited Test Status: Position: Pending Lastname: <> <> <> < Overdue Sampling: 5 Sorting by: Order All V Last Update -Date Checked-in by: Sort Ascending Sort Descending O Order Date Result Date Draw Date Disposal Date Site code: From date: 05/10/2015 Queried by: O Lost Tubes Exclude Invalid SIDs To date: 12/10/2015 Test Code: Include Disposed Samples P. Location: Material: Search 6 Clear Filter 7 Snapsh © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education Patient Details screen Select Routine > Validation. Apply filter criteria as needed. Select Search 1. Patient ID – Unique code to identify the patient 2. Order number – Received from the Host 3. Status – Patient status 4. Departments – Tests can be grouped based on Laboratory Departments 5. Sample ID – Select the SID or the right roll away panel to view more details 6. Material – Sample type (ex. serum, plasma, urine) 7. Priority Status –Routine or Urgent 1 2 3 PID Firstname Lastname Order Sex Age Ward Code Order Date Sta ... Note 5091 Perez Absalon 5091 F 92 22/08/1999. 12 .. 4 All Department Elettrophoresis ChromatogramHA ChromatogramVar 6 7 Urine Re ... Sid 5 Automation c ... Draw date Mate ... Stat P. Location P. Rack Sta ... Tra ... Comment Autom ... Automation error Site code 5091 03/12/2015 09:34:04 ... S * (IOM-1) 031774 00 06 .. Test Name Result R ... Previous Range value S ... A | H Flag Result date H Result H Date % ID Units 1 Autom W FT4 0.56 0.56 W 10:55:09 am CENTAUR-1 ng/dL TSH 0.02 0.02 W 10:55:53 am CENTAUR-1 UlU/mL FT3 0.90 0.90 DOW 10:55:39 am CENTAUR-1 pg/ml LH 0.72 0.72 10:55:24 am CENTAUR-1 mlU/mL Continued on next page © Siemens Healthcare 2016 All rights reserved. 04-26-2016 Global Product Education Patient Details screen (continued) Select Routine > Validation. Apply filter criteria as needed. Select Search 1. Position of Tube on Automation – Name of module is displayed. If in parentheses, this is the last location before removing from automation 2. Position of Tube on Rack – Rack ID and position in the rack 3. Status – Status of the tube 4. Trace – To view the history of messages and events concerning the tube, select the icon 5. Test Name column 6. Result column 7. Previous Result column – Previous results are highlighted in orange PID Firstname Lastname Order Sex Age Ward Code Order Date Sta ... Note 5091 Perez Absalon 5091 F 92 22/08/1999.12 ... All Department Elettrophoresis ChromatogramHA ChromatogramVar HematologyDXH 1 2 3 4 Re ... Sid Automation c ... Draw date Mate ... Stat P. Location P. Rack Sta ... | Tra ... Comment Autom ... Automation error Site code 5091 03/12/2015 09:34:04 ... S ( IOM-1) 031774 00 06 .. Test Name 5 Result 6 R ... Previous 7 Range value S ... A | H Flag Result date H Result H Date % ID Units 1 Autom W FT4 0.56 0.56 M ) W 10:55:09 am CENTAUR-1 ng/dL TSH 0.02 0.02 W 10:55:53 am CENTAUR-1 UlU/mL FT3 0.90 0.90 DOW 10:55:39 am CENTAUR-1 pg/mL LH 0.72 0.72 10:55:24 am CENTAUR-1 mlU/mL Continued on next page © Siemens Healthcare 2016 All rights reserved. 04-26-2016 Global Product Education Patient Details screen (continued) Select Routine > Validation. Apply filter criteria as needed. 1. Test Names 2. Results 3. Rerun icon – select to request a rerun 4. Previous results – Value of the previous result, highlighted in orange. Double click on the previous result to display all available results. It is possible to choose an alternative result to be moved to the Result column, replacing the current result 5. Range value – if configured, the normal reference value is shown. If the value is outside the range, the reference value is shown in purple 6. Status - Test status PID Firstname Lastname Order Sex Age Ward Code Order Date Sta ... Note 5091 Perez Absalon 5091 F 92 22/08/1999.12 ... All Department Elettrophoresis ChromatogramHA ChromatogramVar HematologyDXH Urine Re ... Sid Automation c ... Draw date Mate ... Stat P. Location P. Rack Sta ... |Tra ... Comment Autom ... Automation error Site code 5091 03/12/2015 09:34:04 ... S ( IOM-1) 031774 00 06 .. Test Name Result R ... Previous Range value S ... A | H Flag Result date H Result H Date % ID Units 1 Autom W FT4 0.56 0.56 ) W 10:55:09 am CENTAUR-1 ng/dL TSH 1 0.02 2 0.02 4 5 / W 10:55:53 am CENTAUR-1 UlU/mL FT3 0.90 0.90 W 10:55:39 am CENTAUR-1 pg/mL LH 0.72 0.72 10:55:24 am CENTAUR-1 mlU/mL 3 6 Continued on next page © Siemens Healthcare 2016 All rights reserved. 04-26-2016 Global Product Education Patient Details screen (continued) There are three connections for each test 1. Automation (A) Icon 2. Instrument (I) Operation Icon Description 3. Host (H) The operation has not been carried out (order not sent to Automation, order Each displays an Operation icon not sent to instrument, results not sent to Host All Department Elettrophoresis ChromatogramHA ChromatogramVar HematologyDXH Urine The operation is in progress (order Draw date P. Rack being sent to Automation, order being Re ... Sid Automation c ... Mate ... Stat P. Location sent to Instrument, results being sent 5091 03/12/2015 09:34:04 ... S to Host Test Name Result R ... Previous Range value 5 ... AI H Flag LH Operation completed (order sent to FT4 Automation, order sent to Instrument, TSH results send to Host FT3 Continued on next page © Siemens Healthcare 2016 All rights reserved. 04-26-2016 Global Product Education Patient Details Screen (continued) Navigation and Validation Bar Located on the lower part of the screen 8. Command – select Command from pop-up window 9. Save – makes effective the actions in the History queue 1. Navigation area 10. History - queue of non-immediate actions. Actions are 2. Refresh the screen applied only after selecting the Save button 3. Quick search 11. Validate and Save- validates all Held tests if no test is 4. Validate or Hold selected tests selected 5. Cancel test 12. Send to Host- resends results for selected test to host 6. Rerun Resend to Automation – changes the status of the 7. Add test – can also use this to reopen a test to Received and resends the order to automation cancelled test Complete Delivery Error Keep Dispose Hold X Remove Send to Host 14 4 |Page 1 of 1 V Validate X Cancel Rerun Add Test |Command + Save History OF Validate and save Resend To Automation 1 2 3 4 5 6 7 8 9 10 11 12 © Siemens Healthcare 2016 All rights reserved. 04-26-2016 Global Product Education Quality Control Monitor Quality Control QC Results: VISTA - GLU/1 Status: Rejected Validated Warned . TheoriShow ValuesInterpolate Levels « 1. Select Utility > Quality Control > Quality L1 (25) L1 (25) Mean: 95.0000 Mean: 85.0000 Control VISTA Instrument: VISTA Instrument VISTA2 35D: 102.5/87.5 35D: 92.5/77.5 25D: 100/90 25D: 90/80 CV: 2.632 CV: 2.941 2. Select a combination of a Test Name, Level 110 and Control VISTA2 40 3. Select QC Results button from the Control 10 square to view results 100 4. Select QC Display button to view the graph 45 in full screen view. Select the Esc key to exit the full screen view 80 01-02 602 02:02 0302 0402 0502 0602 07-02 0802 0802 1002 11-02 12-02 1302 1402 1502 17-02 1802 1802 2002 21-02 2202 2302 2402 2502 Date © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. Quality Control 04-26-2016 Global Product Education Quality Control Icons • QC may be processed according to Westgard rules QC Icons Description • Westgard rules can be associated with alerts with increasing attention levels QC results are within the limits and do not • To view QC with Warning or Rejected status, select breach any rule (Validated) the Drop-down menu arrow in the Icon Area button located in the Multifunctional toolbar QC results breach one or more rules with an intermediate attention level (Warning) • Select the QC icon to view further details QC results breach one or more rules with a ADV1800-1 high attention level (Rejected) CENT-XPT CENTAUR-1 CHEM-XPT IMMULITE-1 VISTA-500 © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education Shutdown and Startup Controlled Power Shutdown The following steps are a guideline. Follow the Shutdown and Startup instructions for your laboratory’s specific configuration ............. ............. ................ ........... ............. ............. 1. Remove all samples from the system. If necessary ................ ................ purge the samples by selecting Automation > .............. System > Utilities tab > Purge ........... ... ................ ......... 2. Remove samples from the Centrifuge Module, if present 3. Ensure all modules and analyzers are not in error HDD status PESET 4. Remove all racks from the IOM lanes 5. Close the application by selecting Automation > System > Utilities tab > Shutdown 6. If IOM UPS is present, turn it off and then turn off E.T.N .130 the Main Power Switch 7. If only external UPS is present, turn off the Main Power Switch 6 Refer to the Aptio® Automation Operations Manual when performing this procedure. Observe all warnings and cautions. © Siemens Healthcare 2016 All rights reserved. Shutdown and © Siemens AG 2013. All rights reserved. 04-26-2016 Startup Global Product Education Controlled Power Startup The following steps are a guideline. Follow the Shutdown and Startup instructions for your laboratory’s specific configuration 1. Wait at least one minute after a shutdown before powering up. Turn on .. the Main Power switch if it was turned off during shutdown 2. If the IOM UPS only is present, press the LG IOM UPS power button. When the self- test LED indicator turns green, proceed to the next step - o 3 3. Press and hold the automation computer button, then release 4. After the software is loaded, the system is in Pause. Login and select Start to run E:TON 9130 the system Refer to the Aptio Automation Operations Manual when performing this procedure. Observe all warnings and cautions. © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education Troubleshooting Error Recovery 1. From the Overview screen select the Module or Analyzer button with the Exception 2. In the Status tab, select the Error message 3. Review the Error recovery instructions. Select Start Recovery Start recovery 4. Follow the guided error recovery steps. Select the options that are most appropriate 5. If the recovery is successfully executed, the error is automatically reset 6. If the guided recovery does not solve the error condition, perform the recovery again. If the error persists, contact your local Siemens support Error (06C1) - Bucket Insert in Wrong Position A Bucket Insert is detected in the Temporary position while not expected there. 1.1 Access the [Diagnostics - Centrifuge, Balance and Bucket] Screen. 1.2 Set the Centrifuge Module . 1.3 Press the function button and select . 1.4 Access the Centrifuge Module and open the Safety Shield. 1.5 Place the Bucket Insert present in the Temporary position into the empty position in Output or in Input area or in the Centrifuge Rotor. 1.6 Close the Safety Shield. © Siemens Healthcare 2016 All rights reserved. Troubleshooting 04-26-2016 Global Product Education Samples in Priority Output 1. Select the Priority Output lane button 88888 H 88888 2. A Snapshot list of the sample tubes in the rack is displayed. Note the SID and error 3. Select Automation > Exceptions 2 4. Highlight the Exception for the sample tube in Priority Output. Select Explain 5. Follow guided step-by-step recovery Explain 6. Select the options that are most appropriate 7. If the issue has been resolved, reload the sample tube Step-by-step recovery procedure - Possible Causes The Barcode Label appears mispositioned, dirty, or 2 The Barcode Label does not appear mispositioned, damaged. dirty, or damaged, but is printed with symbology that is not allowed on the Automation System. 3 The Barcode Label does not appear mispositioned, dirty, or damaged, and is printed with a symbology 4 A Rack is involved in the error and not a Sample Tube. enabled on the Automation System. © Siemens Healthcare 2016 All rights reserved. © Siemens AG 2013. All rights reserved. 04-26-2016 Global Product Education Daily Maintenance Empty the waste and replace the biohazard bag for the following modules: 1. Decapper 2. Desealer 1 3. Storage and Retrieval 4. Aliquoter Refer to the Aptio Automation Operations Manual when performing this procedure. Observe all A warnings and cautions. 4 4 Supplies needed: Biohazard bags 0.1% sodium hypochlorite © Siemens Healthcare 2016 All rights reserved. Daily Maintenance Daily Maintenance 04-26-2016 Global Product Education Note: This document is for supplemental use only, and not meant to be used in place of primary technical materials. 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 © Siemens Healthcare 2016 All rights reserved. 04-26-2016 Global Product Education