Aptio® Automation System Overview Online Training

일일 유지 보수는 decapper, desealer, 냉장 저장 그리고 ADVIA 2120i 모듈에서 수행됩니다. 이 절차를 수행할 때에는 Aptio 자동화 사용자 가이드를 참조하십시오. 생물학적 위험 물질을 처리하기 위해서는 검사실의 운영 절차를 따르십시오. 작업이 완료되면, 각 절차의 완료 사항을 문서화합니다. 일일 유지 보수 로그는 사용자 가이드에서 찾을 수 있습니다. 계속하려면 다음을 선택하세요. Welcome to the Aptio™ Automation System Overview Online Training course. Features of Aptio™ Automation include: Management of sample processing from receipt to storage Consolidation of multiple analytical instruments Sample routing for optimal efficiency and management of workflow   Select Next to continue. Describe the main areas of the user interface Distinguish between the safety labels on the system Identify the system components and their function Upon successful completion of this course, you will be able to: Select Next to continue. ADVIA 2120i 모듈에 사용되는 샘플 랙은 매일 검사하고 청소해야 합니다. 샘플 랙에 튜브 라벨이나 기타 이물질이 있는지, 탭이 부러지지는 않았는지 확인해야 합니다. 바코드는 깨끗해야 하며, 명확히 읽을 수 있어야 합니다. 모든 혈청 잔여물을 제거하기 위해 10 %의 표백제를 적신 보푸라기가 없는 천으로 랙을 닦습니다. 물과 비누로 씻어내고 모든 비누 잔여물을 제거하기 위해 랙을 헹굽니다. 사용하기 전에 완전히 건조시킵니다. 계속하려면 다음을 선택하세요. Congratulations. You have completed the Aptio™ Automation System Overview 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. Identify the system components and their function Standard Components: Input/Output Module- Loads and unloads samples Aptio track - Transports samples in carriers containing an RFID chip Connected Instruments - Multiple occurences of the same type CentraLink Data Management System - Manages patient and QC results Optional Components: Rack Input Module - Sample loading only Bulk Input Module -  Does not require sample racks Decapper Module -  Removes caps, if necessary Centrifuge Module - Spins samples, if necessary Tube Sealer Module - Places aluminum foil seal over tubes Refrigerated Storage Module - Stores, retrieves and discards samples Desealer Module - Removes seals from tubes to analyze further Aliquoter Module - Creates secondary sample tubes  Recapper Module - Caps secondary sample tubes Rack Output Module - Sample unloading only Distinguish between the safety labels on the system Never raise or remove the safety covers during normal operation. Safety Labels: Laser Exposure Potential Biohazard Pinch Hazard Burn Hazard Cut Hazard Do not reach into opening Describe the main areas of the User Interface Key areas of the User Interface software screens include: Navigation Buttons - Access to  main screens Screen Title - Displays name of screen and module status Operating Status - Indicates if system is in Run or Pause mode I/O Lane Status - Displays the status of the 20 lanes Module or Analyzer Status - Displays current status Function Buttons - Related to functions available on each screen Current User and Time - Displays access level of current user Select Next to continue. Las causas de los errores comunes de la conexión con el ADVIA Centaur XP son problemas con el ensayo o con las muestras. Durante la conexión entre los sistemas se pueden producir errores del ensayo causados por problemas con el reactivo primario o auxiliar. Mientras que las causas de las fallas de la muestra implican problemas con la integridad de la misma o que esta sea insuficiente. Cuando los errores de la muestra y del ensayo del el sistema ADVIA Centaur XP se publiquen en el VersaCell X3, resuelva dichos problemas siguiendo los procedimientos estándar. Para ello consulte el curso de capacitación en línea de la solución de problemas y la guía del usuario para obtener más información Seleccione Siguiente para continuar. Aptio™ Automation features the following components: Standard Components: Input/Output Module Track Modules Connected Instruments CentraLink™ Data Management System Optional Components: Rack Input Module Bulk Input Module Decapper Module Centrifuge Module Tube Sealer Module Refrigerated Storage Module Desealer Module Aliquoter Module Recapper Module Rack Output Module  Note: Product availability varies by country.   Select Next to continue. The Standard Curve Parameter Settings screen displays.  The settings that we previously selected on the Standard Curve Analysis setting screen appear below the parameter key.  To order a calibration of the Fibrinogen assay, press the Fbg key.  The dash will turn to a circle indicating that the assay has been selected.  Then, press Return.   The I/O Module components include: IOM robot 15 Lanes for 48 position sample racks 5 Lanes for 12 position sample racks LED indicator bar Safety cover User interface monitor I/O Module Components Learn about the I/O Module components. Slide NumberText BlocksCalloutsAudio ScriptImage File1 I/O Module Robot The features of the IOM Robot are: Loads and unloads sample tubes   Handles capped and uncapped sample tubes   Note: Refer to the Aptio™ Automation Operator's Guide for a list of approved sample types.    Select Next to continue. ..   Note: If audio does not automatically start, select the play arrow in the top left to begin.The IOM Robot is responsible for loading and unloading sample tubes. The robot uses grippers to pick and place sample tubes into sample carriers or racks. The I/O Robot grippers are capable of handling both capped and uncapped sample tubes. See the Aptio Automation Operator's Guide for a complete list of approved sample tube types that can be run on the system. Select Next to continue.2 Lanes in the I/O Module Input/Output Module has 15 + 5  Lanes:   Input Lane- samples are placed on the track   Output Lane- sample removed from the track are placed here Examples of input lanes:  Priority (stat)  Routine      Examples of output lanes:  Priority Output (problem samples)  Complete Output  Sorted Output   Note: Refer to the Aptio™ Automation Operators Guide for a description of all lanes types available.      Select Next to continue.  There are 15 plus 5 lanes on the I/O Module worktable. Each lane has a user-designated assignment, which describes the types of samples found in that lane. In general, each lane is defined as to the status of the samples it contains and whether it is a load (input) or unload (output) lane. For example, priority or stat samples will be loaded into a lane designated as Priority input. Select next to continue.3 LED Indicator Bar:  Is positioned over the I/O Module worktable The LED indicator light illuminates to show status Icons display to show lane state   Select Next to continue. The LED bar is positioned over the worktable. Each LED indicator light illuminates with an icon that indicates the status of the lane. Each LED indicator light can be either fixed, flashing or off, which aids in determining the current state of the lane. Select next to continue.4 Safety Cover The IOM cover is located on the front of the I/O Module The IOM cover MUST be closed during normal operation The safety cover has a locking mechanism   Note: Raise the IOM cover only as instructed in the Aptio™ Automation Operator's Guide .     Select Next to continue. . The I/O Module safety cover protects and shields the operator from movement of the IOM Robot. The cover has a safety locking mechanism that holds the cover closed during normal operation. Select next to continue.5 Touchscreen Monitor Navigating through the system software can be done in two ways: Touchscreen Mouse   Select Next to continue. Aptio system operators have the option to use the touchscreen monitor or mouse for software navigation. The Aptio software provides sample management, and system and instrument status monitoring. Select Next to continue.6 Sample Racks Load and unload samples Two sizes 48 or 12 tube Lanes 1-15 hold 48 tube racks Lanes 16-20 hold 12 tube racks When complete, select the X in the upper-right corner to close the window and continue. Sample racks are used to load or unload tubes from the IOM. The racks are identified by a barcode ID and come in two sizes, 12 or 48 tubes. Lanes 1 through 15 on the IO Module accommodate the 48 tube racks and lanes 16 through 20 accommodate the 12 tube racks. When complete, select the X in the upper-right corner to close the window and continue. With high sigma methods, the difference between typical performance and the Total Allowable Error limit is sufficiently large that a simple single rule protocol such as plus or minus 3 SD can readily catch any significant change in method performance before the method exceeds the allowable limit.  In the example shown here, by the time results have shifted enough so that 5% or more exceed the Total Allowable Error limit, the 1-3s QC rule would have easily and consistently detected the change.  This also allows us the benefit of the very low false positive rate associated with 3 SD limits, which will make the QC process more efficient.  On the other hand, a low sigma method does not have the same cushion to work with.  In this case using a 1-3s rule will not be effective because we will have exceeded the error limit well before the 3 SD limit will consistently indicate the change in performance.  In this case a multi-rule protocol will be more effective.  The rules to use will depend on the Sigma Metric.   The Aptio track provides automated delivery of samples to all modules and analytical instruments. The track includes: Linear track Analyzer buffer track Track L-Turn module Track T- Module Track U-Turn module Track Heads Sample carriers or pucks Track Components Learn about the track components. Tab TitleTextLinear Track The Linear track is the main transport system for samples. As they arrive at modules or analyzers, they are diverted for processing.                                                                    Analyzer Buffer Track The Analyzer buffer track establishes instrument connection and sample routing to instruments. Samples queue up here while waiting to be analyzed.         Track L-Turn Module  The Track L-Turn Module allows the system to assume an "L" shaped layout.   Track T-Module The Track T-Module is an extension of the Aptio track and allows the sample carriers to change their direction from the main flow to a secondary line. Track U-Turn Module  The Track U-Turn Module provides a short cut for sample tube carrier routing that decreases the time required for the tube to reach the analyzer or module destination. Track Head The Track Head is the end of the track segment and allows the sample carriers to reverse direction to access additional modules and analyzers. When complete, select the X in the upper-right corner to close the window and continue. Sample Carrier Learn about the sample carrier. Functionality of the sample carrier: Samples are placed by robot in pucks on the track Each puck contains unique Radio Frequency ID (RFID) Sample ID (barcode) is paired with RFID of the puck to track sample   When complete, select the X in the upper-right corner to close the window and continue.   The Aptio™ Automation has several modules that can be added to enhance preanalytical and postanalytical processing. These modules are: Rack Input Module Bulk Input Module Centrifuge Decapper Tube Sealer Refrigerated Storage Desealer Aliquoter Recapper Rack Output Module Optional Modules Learn about Optional Modules. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Rack Input Module   Samples are placed in racks Is for sample loading only    Select Next to continue. Note: If audio does not automatically start, select the play arrow in the top left to begin.The Rack Input Module is an additional input location where racks of sample tubes can be loaded onto the track. The robot does not unload any tubes at this module. Select next to continue. 2 Bulk Input Module    Allows loading of samples without placing in racks  Is for unspun capped samples only     Select Next to continue. The bulk input module is an additional input location that allows the operator to load unspun capped samples onto Aptio Automation without placing them in racks. Select next to continue.3 Centrifuge Module   Robot places tubes in bucket inserts Tubes are weighed and balanced Tubes are placed in centrifuge and spun Robot places tubes back onto track for further processing   Select Next to continue.  The Centrifuge Module automates centrifugation. Samples are placed into bucket inserts by the Centrifuge Robot, weighed, balanced and loaded into the centrifuge. After centrifugation is completed, the Centrifuge robot places the sample tube into carriers on the track and they are routed for further processing. Select next to continue.4 Decapper Module   Removes caps from samples Places caps in waste bin   Select Next to continue. The Decapper Module removes and discards the cap of all supported sample tubes. At the decapper, a gripper holds the tube while the cap is removed and discarded into a waste container. Select next to continue.5 Tube Sealer Module    Places an aluminum foil seal over the top  Seals plastic tubes only     Select Next to continue. After the sample has been analyzed, the Tube Sealer places an aluminum foil seal over the top of the decapped plastic sample tubes. Select next to continue.6 Refrigerated Storage Module   Provides refrigerated storage on the track Retrieves samples for reruns and reflex tests Operator may request sample Discards sample automatically   Select Next to continue. The Refrigerated Storage Module is where sealed sample tubes are stored in racks and kept in a refrigerated environment. Samples requiring rerun or reflex testing are automatically retrieved from the module. The operator may also request samples from storage. At the end of the sample stability period, the robot automatically discards the sample. Select next to continue.7 Desealer Module   Automates the removal of the aluminum foil seal.     Select Next to continue. The desealer module automatically removes the aluminum foil seal from the sample tube when further testing is needed. Select next to continue.8 Aliquoter Module   Creates up to four secondary sample tubes from the primary tube Secondary tubes are capped at the Recapper Module    Select Next to continue. The aliquoter module can produce up to four secondary sample tubes from the primary tube provided there is sufficient volume. The parameters are configurable based on the laboratory's needs. Caps are placed on the secondary sample tubes at the Recapper Module. Select Next to continue.9 Recapper Module   Places plastic screw caps on secondary sample tubes Samples are then unloaded, sorted or placed in storage       Select Next to continue. The Recapper Module places plastic screw caps only on the secondary sample tubes produced by the Aliquoter Module. Once capped, secondary tubes may be unloaded at the Input/Output or Rack Output module or placed in the Refrigerated Storage module. Select Next to continue. 10 Rack Output Module   Unloads sample tubes from the track into racks Samples can be sorted or removed for storage When complete, select the X in the upper-right corner to close the window and continue.   The Rack Output Module Is similar to the Rack Input Module in appearance but its purpose is to unload samples only. Samples are removed from the track and loaded into racks of 48 tubes each. They can either be sorted for further testing or removed for storage. When complete, select the X in the upper-right corner to close the window and continue. Safety: Safety covers must remain in place during normal operations If removal is necessary, refer to Aptio™ Automation Operator's Guide for the procedure The following labels are affixed to the system to alert the operator of safety considerations: Laser Exposure Potential Biohazard Pinch Hazard Burn Hazard Cut Hazard Do not reach into opening   Safety Labels Learn about the safety labels. Tab TitleTextLaser Laser Exposure Indicates an area of the system where you can be exposed to direct laser emissions.  The barcode readers emit laser light.  To avoid damage to your eyes, never look directly at the laser beam.    Biohazard Potential Biohazard Indicates an area where the operator may be exposed to infectious material.  Do not handle the contents or touch the area unless you are properly protected.  Pinch Pinch Hazard Indicates an area where there is a pinch hazard when opening or closing mechanical parts.  Be careful when performing diagnostic and maintenance operations with the safety shield raised or covers removed.  Burn Burn Hazard Indicates a heated area of the system that could burn you.  The optional Tube Sealer Module has a potential burn hazard.  Cut Cut Hazard Indicates an area where you can be exposed to sharp parts.  Avoid contact. .    Do Not Reach into Opening Do not reach into the opening. There is the potential for serious injury. When complete, select the X in the upper-right corner to close the window and continue.     The main screen of the User Interface is the Overview screen. The Overview screen includes: Operating status Module and analyzer Status Input/Output Module lane status Navigation buttons Select Next to continue.   User Interface Screens Learn about the key areas of the User Interface screens. Base ImageHotspotsText BlocksImage File Navigation Buttons The Navigation Buttons are used to navigate through the main screens and are displayed on the left side of each screen.   Screen Title The Screen Title contains the name of the screen and information about the module status.  The current diagnostics command also appears in this area when a Status and Diagnostics screen appears. Operating Status The Operating Status indicates whether the system is in Run or Pause mode. Right Arrow - Indicates the system is in Run mode. Vertical Bars - Indicates the system is in Pause mode. Input/Output Lane Status The status of the twenty I/O Lanes is indicated here.  The state of each lane is indicated by the color of the lane button and icon displayed above each button. .  Module or Analyzer Status Indicators Each button corresponds to a connected analyzer or module.  The color of each button corresponds to the module status.   Function Buttons These buttons are related to the functions available in each specific screen.  When a button is selected, the corresponding function is activated, or a pop-up window appears to allow more detailed information about the command to be selected. Current User and Time Displays the access level of the current user and system time. Connected instruments: Perform test analysis on samples Networked to LIS through CentraLink  Some examples are:  Dimension Vista® 1500 Intelligent Lab System  ADVIA® 1800 Clinical Chemistry System  ADVIA® 2400 Clinical Chemistry System  ADVIA Centaur® XP Immunoassay System  IMMULITE® 2000 XPi Immunoassay System   Note: Product availability varies by country. For a list of all connected instruments refer to your Siemens Healthcare Diagnostics representative. Select Next to continue. Features of the CentraLink™ Data Management System include : Workflow Optimization Centralized data management and Quality Control Rule based autovalidation and rerun requests Sample tracking Select Next to continue.