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Atellica® CH Analyzer As Needed Maintenance PEP to Go Version 1.25 and Below

PEP to Go is an education resource material designed to support competency mastery on-the-job.

SIEMENS Healthineers Atellica® CH Analyzer As Needed Maintenance PEP to Go 1 Template Effective Date: 05/27/2019 | HOOD05162003010284 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers As Needed Maintenance ➢ Replace Source Lamp ➢ Drain and Fill Reaction Bath ➢ Replace IMT Peristaltic Tubing ➢ Refresh Water Bath Additive ➢ Clean Reagent Loader ➢ Perform Autocheck ➢ Perform IMT Dilution Check ➢ Prime IMT Fluids ➢ Replace Dilution Cuvettes ➢ Perform IMT Advanced Clean ➢ Replace Reaction Cuvettes ➢ Replace A-LYTE® Multisensor ➢ Remove and Reinstall Mixer Impeller ➢ Clean Reagent Loader Barcode Scanner ➢ Replace Dilution, Reaction and Reagent Probes ➢ Replace CH Fan Filters ➢ Replace Reaction Wash Probe 6 ➢ Clean System Fluids Drawer ➢ Replace Triple Wash Probes ➢ Test CH Analyzer Water ➢ Replace Dryer Nozzle ➢ Cleaning CH Analyzer Exterior, Plates, Guard, and Shields ➢ Replace Dryer Nozzle Probes ➢ Clean CH Washer Probes ➢ Perform IMT Routine Clean 2 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing the Source Lamp althineers Atellica Solution Version 1.14.0.2983003 SP00107 1. Enter the system into Diagnostic State: A K System Samples Inventory Calibration Patient Orders Worklist Maintenance Setup Status Logs B Operator Diagnostics About A. Select System at the Command bar C-P1-06 C C.P1-06 P1-060 B. Select Operator Diagnostics Subsystems Diagnostic Name Description 3 Lamp Source Lamp Replacement 4 Replacing Source Lamp 5 Perform C. Select the CH Icon Cuvette Check Lamp Coolant Checking Lamp Coolant IMT D. Select Enter Diagnostics > Yes Probes Fluid 2. Wait for analyzer to enter Diagnostic State Autocheck Mixer 3. Under Subsystems, select Lamp Inspect and Clean 4. Select Source Lamp Replacement 5. Select Perform > Yes D Enter Diagnostics Exit Diagnostics 6. Wait for the analyzer to prepare for maintenance ? LabManager Wednesday, April 19, 2017 12:53:10 PM 7. Open the back cover 8. Lift up and remove bulb access plate. Set the plate aside Note: Do not touch the lamp housing. The lamp housing becomes hot with use and can cause burns. Allow the lamp to cool for approximately 5 minutes before 9. Press the raised power button on the left side to turn off the touching any components. lamp. Allow the lamp to cool off for 5 minutes Note: Do not look directly at the CH UV light in the source lamp assembly or at its reflection from a shiny surface. The UV light can cause eye damage. *This procedure is continued on the next slide. 3 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing the Source Lamp (continued) 10. To disconnect the lamp connection, squeeze the sides and pull apart EP10942852A-12 11. Loosen the thumbscrews. Pull the lamp out and discard per laboratory protocol 12. Insert the replacement lamp into the housing. Line up the pin on the lamp housing with the matching slot on the source lamp base 13. Rotate the lamp into the housing until it slides into place 14. Reconnect the lamp connection and tighten the thumbscrews 15. Turn the lamp on by pressing the raised power button on J9 the left side 16. Reinstall the access plate 17. Close the back cover 18. Select Continue > Close Note: Do not touch the glass portion of the lamp. This can cause damage to the lamp. If the lamp is dirty, clean it using lint-free tissue moistened with ethanol. *This procedure is continued on the next slide. 4 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing the Source Lamp (continued) 19. Select Exit Diagnostics > Yes 20. Mark Replacing the Source Lamp as completed in the EP10942852A-12 Maintenance > Schedule screen 21. After 1 hour, perform CH Autocheck from Operator Diagnostics 22. Perform QC 23. If QC fails, recalibrate the failed assay(s) and repeat QC before processing patient samples J9 Note: The CH analyzer alerts for lamp replacement based on lamp intensity. 5 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing IMT Peristaltic Tubing SIEMENS Healthineers Atellica Solution Version 1.14.0.2983003 SP00107 1. Enter the system into Diagnostic State: A System Sameles Worklist B Inventory Calibration QC Patient Orders Maintenance Setup Status Logs Operator Diagnostics About C A. Select System at the Command bar C-P1-03 C.P1 -03 Subsystems Diagnostic Name Description B. Select Operator Diagnostics Lamp 4 IMT Peristaltic Pump Tubing Replacement Replacing IMT Peristaltic Pump Tubing 5 Perform Cuvette C. Select the CH Icon 3 IMT Probes D. Select Enter Diagnostics > Yes Mixer Other 2. Wait for analyzer to enter Diagnostic State 3. Under Subsystems, select IMT 4. Select IMT Peristaltic Pump Tubing Replacement 5. Select Perform > Yes D Enter Diagnostics Exit Diagnostics 6. Wait for analyzer to prepare for maintenance ? [] LabManager Wednesday, April 19, 2017 12:54:54 PM 7. Open the CH front cover 8. Locate the IMT peristaltic pump 9. Lift the peristaltic pump cover and pull out the tubing from the V channel 10. Unscrew both tubing ends and discard the tubing per laboratory protocol *This procedure is continued on the next slide. 6 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing IMT Peristaltic Tubing (continued) 10. Locate new tubing and connect both ends 11. Hold the tubing while tightening each connection. Both sides click when secure 12. Place the tubing in the V channel of the housing 13. Close the peristaltic pump and CH front covers 14. Select Continue > Close 15. Select Exit Diagnostics > Yes WATSON MARLOW 16. Mark IMT Peristaltic Pump Tubing Replacement as completed in WMA PYN: 110.5X20.854 SIAST/DV OEM-Pump wetipo cum the Maintenance > Schedule screen 17. Perform IMT Calibration Note: The CH Analyzer alerts for the operator or support to replace the IMT peristaltic pump tubing yearly. Maintenance Schedule records and stores this activity. 7 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Cleaning Reagent Loader 1. Enter the system into Diagnostic State: A. Navigate to System > Operator Diagnostics > CH icon B. Select Enter Diagnostics > Yes 2. Wait for analyzer to enter Diagnostic State 2 3. Select Subsystems > Inspect and Clean 4. Select Clean Reagent Loader 5. Select Perform > Yes 6. Wait for analyzer to prepare for maintenance 7. Open the front cover 8. Wipe the interior of the manual reagent load station with gauze saturated with a 10% bleach solution 9. Wipe the station with the gauze saturated with special reagent water 10. Dry the station with gauze. Close the front cover 11. Select Continue> Close 12. Select Exit Diagnostics > Yes 13. Mark Clean Reagent Loader as completed in the Maintenance > Schedule 8 screen Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Perform IMT Dilution Check 1. Stop the CH Analyzer and unlock the front cover: A. Navigate to the CH Status screen: System > Status > CH icon B. Select the Stop button 4 C. Select the button to unlock the CH front cover 2 2. Lift open the CH front cover 3. Fill a 1 mL tube-top sample cup with 500-750 µL IMT dilution check ➢ The dilution check must be performed within 15 minutes of opening the ampule 4. Place the tube-top sample cup in the dilution check position behind the IMT multisensor 5. Close the cover and select the Resume button on the CH System Status screen Note: The lock glyph indicates whether the cover is locked or 6. On the Command bar, select Maintenance unlocked. When unlocked, the cover automatically re-locks unless the operator opens the cover within 30 seconds. 7. Select IMT > IMT Dilution Check *This procedure is continued on the next slide. 9 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Perform IMT Dilution Check (continued) 8. Select Perform Dilution Check > OK 9. Wait for dilution check to complete 10. Select Apply Correction 12 11. Unlock and open CH front cover 2 12. Remove and dispose of the dilution check sample cup according to laboratory protocol 13. Close the cover and select the Resume button on the CH System Status screen 14. Review the report for acceptance criteria ➢ For more information on reviewing the acceptance criteria and resolving failing IMT dilutions, refer to the Online Help 10 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing Dilution Cuvettes SIEMENS neers Atellica Solution Version 1.14.0.2983003 SP00107 Replace all dilution cuvettes at the same time. A UUU DOL K System Samples Inventory Calibration Patient Orders Worklist Maintenance Setup 1. Enter the system into Diagnostic State: Status B Logs Operator Diagnostics About C-P1-06 C C-P1-06 P1-060 A. Select System at the Command bar Subsystems Diagnostic Name Description Lamp 4 Replacing the Reaction Ring Cuvette Replacing the Reaction Ring Cuvette B. Select Operator Diagnostics 3 5 Cuvette Replacing the Dilution Ring Cuvette Replacing the Dilution Ring Cuvette IMT Emptying the Cuvettes Emptying the Cuvettes C. Select the CH Icon Probes Fluid D. Select Enter Diagnostics > Yes Autocheck Mixer 2. Wait for analyzer to enter Diagnostic State Inspect and Clean 3. Under Subsystems, select Cuvette 4. Select Replacing the Dilution Ring Cuvette 5. Select Perform > Yes D Enter Diagnostics Ext Diagnostics 6. Wait for analyzer to prepare for maintenance ? PEP [ CSE Thursday, June 14, 2018 1:03 PM 7. Open the CH back cover 8. Rotate the dilution ring to access the required dilution cuvette segment. A capital letter identifies each cuvette segment 9. To unlock the segment, turn the thumbscrews and washers one quarter turn clockwise so the locking tabs are at the 12 or 6 *This procedure is continued on the next slide. position and the segment lifts out 11 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing Dilution Cuvettes (continued) 10. To remove the segment, lift up and discard per laboratory protocol 11. Locate and place a new segment on the dilution ring 12. Align the pins to the holes in the segment. Tighten the thumbscrews and washers to lock the segment in place 13. Repeat steps 8-12 to replace all cuvette segments 14. Close the CH back cover 15. Select Continue > Close 16. Select Exit Diagnostics > Yes 17. Mark Replacing the Dilution Ring Cuvette as completed in the Maintenance > Schedule screen 18. Perform Cleaning the CH Cuvettes Note: If you replace both the reaction and dilution cuvettes Note: The CH Analyzer alerts for the operator or support to replace the simultaneously, you need not perform Cleaning the CH Cuvettes (step Dilution Cuvettes every four months. Maintenance Schedule records and 18) because performing CH Weekly Maintenance is a required step for stores this activity. replacing reaction cuvettes (which includes cleaning the cuvettes). 12 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing Reaction Cuvettes SIEMENS Lthineers Atellica Solution Version 1.14.0.2983003 SP00107 Replace all reaction cuvettes at the same time. A 160 A 19 System Samples Inventory Calibration oc Patient Orders Worklist Maintenance Setup 1. Enter the system into Diagnostic State: Status B Logs Operator Diagnostics About 8 C-P1-06 C C-P1-06 P1-060 A. Select System at the Command bar Subsystems Diagnostic Name Description Lamp 4 Replacing the Reaction Ring Cuvette Replacing the Reaction Ring Cuvette B. Select Operator Diagnostics 5 Perform 3 Cuvette Replacing the Dilution Ring Cuvette Replacing the Dilution Ring Cuvette IMT Emptying the Cuvettes Emptying the Cuvettes C. Select the CH Icon Probes Fluid D. Select Enter Diagnostics > Yes Autocheck Mixer 2. Wait for analyzer to enter Diagnostic State Inspect and Clean 3. Under Subsystems, select Cuvette 4. Select Replacing the Reaction Ring Cuvette 5. Select Perform > Yes D Enter Diagnostics Eut Diagnostics 6. Wait for analyzer to prepare for maintenance. Open the CH front ? PEP. BE - CSE Thursday, June 14, 2018 1:03 PM cover 7. Rotate the reaction ring to access the required reaction cuvette segment. A capital letter identifies each cuvette segment 8. To unlock the segment, turn the thumbscrews and washers one quarter turn clockwise so the locking tabs are at the 12 or 6 position *This procedure is continued on the next slide. and the segment lifts out 13 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing Reaction Cuvettes (continued) 9. To remove the segment, lift up and discard per laboratory protocol 10. To prevent bath contamination, place new cuvette segments on a lint-free tissue 11. Locate and place a new segment on the reaction ring 12. Align the pins to the holes in the segment. Tighten the thumbscrews and washers to lock the segment in place 13. Repeat steps 7-12 to replace all cuvette segments 14. Close the CH front cover 15. Select Continue > Close 16. Select Exit Diagnostics > Yes 17. Mark Replacing the Reaction Ring Cuvette as completed in the Maintenance > Schedule screen 18. Perform CH Weekly Maintenance Note: The CH Analyzer alerts for the operator or support to replace the Reaction Cuvettes every four months. Maintenance Schedule records and stores this activity. 14 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Removing and Reinstalling the CH Mixer Impellers SIEMENS Healthineers Atellica® Solution Version 1.14.0.2951003 SP00107 1. Enter the system into Diagnostic State: A System Samples Calibration Patient Orders Worklist Maintenance Setup B Status Logs Operator Diagnostics About A. Select System at the Command bar ATELLICA C ATELICA ATELLICA B. Select Operator Diagnostics Subsystems Diagnostic Name Description Lamp Replacing the Dilution Mixer Impeller Replacing the Dilution Mixer Impeller 5 4 Perform C. Select the CH Icon Cuvette Replacing the Sample Mixer Impeller Replacing Sample Mixer Impeller IMT Replacing the Reagent Mixer Impeller Replacing Reagent Mixer Impeller D. Select Enter Diagnostics > Yes Probes Fluid 2. Wait for analyzer to enter Diagnostic State Autocheck Mixer 3 3. Under Subsystems, select Mixer Inspect and Clean 4. Select one of the following: Replacing the Dilution Mixer Impeller, Replacing the Sample Mixer Impeller, or Replacing the Reagent Mixer Impeller D Entor Diagnostics Bat Diagnostics 5. Select Perform > Yes ? PEP LabManager Wednesday, July 18, 2018 1:26:02 PM 6. Wait for analyzer to prepare for maintenance 7. Open the CH front cover 8. Locate the appropriate mixer 9. Pull the impeller down into the drain until it releases from the mixer and pull out of the drain. The impeller is magnetically attached to the mixer. Discard per laboratory protocol *This procedure is continued on the next slide. 15 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Removing and Reinstalling the CH Mixer Impellers (continued) 10. Locate and reinsert a replacement impeller 11. Close the front cover 12. Select Continue > Close 13. Select Exit Diagnostics > Yes 14. Mark the appropriate mixer replacement as completed in the Maintenance > Schedule screen 16 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing CH Probes SIEMENS Healthineers Atellica® Solution Version 1.14.0.2983003 SP00107 1. Enter the system into Diagnostic State: A System Samples Inventory Calibration Qc Patient Orders Worklist Maintenance Setup B Status Logs Operator Diagnostics About A. Select System at the Command bar CM00110 C CM00110 CM00113 00109 1A00104 B. Select Operator Diagnostics Subsystems Diagnostic Name Description Lamp Replacing the Sample Probe Replacing the Sample Probe Perform C. Select the CH Icon 4 5 Cuvette Replacing the Dilution Probe Replacing the Dilution Probe IMT Replacing the Reagent Probe 1 Replacing the Reagent Probe 1 D. Select Enter Diagnostics > Yes 3 Probes Replacing the Reagent Probe 2 Replacing the Reagent Probe 2 2. Wait for analyzer to enter Diagnostic State Fluid Replacing the Reaction Wash Probe 1 Replacing the Reaction Wash Probe 1 Autocheck Replacing the Reaction Wash Probe 2 Replacing the Reaction Wash Probe 2 3. Under Subsystems, select Probes Mixer Replacing the Reaction Wash Probe 3 Replacing the Reaction Wash Probe 3 Inspect and Clean Replacing the Reaction Wash Probe 4 Replacing the Reaction Wash Probe 4 4. Select Replacing the Sample Probe, Dilution Probe, or Replacing the Reaction Wash Probe 5 Replacing the Reaction Wash Probe 5 Reagent Probe 1 or 2 Replacing the Reaction Wash Probe 6 Replacing the Reaction Wash Probe 6 Replacing the Dilution Wash Probe 1 Replacing the Dilution Wash Probe 1 5. Select Perform > Yes Replacing the Dilution Wash Probe 2 Replacing the Dilution Wash Probe 2 6. Wait for analyzer to prepare for maintenance D Enter Diagnostics Exit Diagnostics ? CSE Wednesday, June 13, 2018 11:18:33 AM 7. Open the CH front or back cover 8. To remove the cap at the top of the probe, unscrew the cap counterclockwise Note: Do not touch the probe tip when working with the probes. The probe tip is sharp and can cause bodily harm. Touching the probes can cause contamination. 9. Grasp the probe and push up 10. Remove the probe and discard per laboratory protocol *This procedure is continued on the next slide. 17 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing CH Probes (continued) 11. Locate a replacement probe and carefully guide it into the arm ➢ Ensure the number of stripes on the probe match the number on the original probe. These stripes are located one third the distance from the cap at the top of the probe. The sample and dilution probes have 1 stripe. The reagent probes have 3 stripes 12. Reinstall the cap covering the probe 13. Close the front or back cover 14. Select Continue > Close 15. Select Exit Diagnostics > Yes 16. Mark the appropriate probe replacement as completed in the Maintenance > Schedule screen 17. Perform CH Autocheck in Operator Diagnostics. Wait for autocheck to complete before analyzing samples 18 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing Reaction Wash Probe 6 SIEMENS Atellica® Solution Version 1.14.0.2983003 Healthineers SP00107 1. Enter the system into Diagnostic State: A System Samples Invworory KK Calibration Patient Orders Worklist Maintenance Setup Status Logs B Operator Diagnostics About A. Select System at the Command bar CM00110 C CM00110 CM00113 00109 1A00104 B. Select Operator Diagnostics Subsystems Diagnostic Name Description Lamp Replacing the Sample Probe Replacing the Sample Probe Select the CH Icon 5 Perform C. Cuvette Replacing the Dilution Probe Replacing the Dilution Probe IMT Replacing the Reagent Probe 1 Replacing the Reagent Probe 1 D. Select Enter Diagnostics > Yes Probes 3 Replacing the Reagent Probe 2 Replacing the Reagent Probe 2 2. Wait for the analyzer to enter Diagnostic State Fluid Replacing the Reaction Wash Probe 1 Replacing the Reaction Wash Probe 1 Autocheck Replacing the Reaction Wash Probe 2 Replacing the Reaction Wash Probe 2 3. Under Subsystems, select Probes Mixer Replacing the Reaction Wash Probe 3 Replacing the Reaction Wash Probe 3 Inspect and Clean Replacing the Reaction Wash Probe 4 Replacing the Reaction Wash Probe 4 4. Select Replacing the Reaction Wash Probe 6 Replacing the Reaction Wash Probe 5 Replacing the Reaction Wash Probe 5 4 Replacing the Reaction Wash Probe 6 Replacing the Reaction Wash Probe 6 5. Select Perform > Yes Replacing the Dilution Wash Probe 1 Replacing the Dilution Wash Probe 1 6. Wait for analyzer to prepare for maintenance Replacing the Dilution Wash Probe 2 Replacing the Dilution Wash Probe 2 D Entor Diagnostics Exit Diagnostics 7. Open the CH back cover ? PEP. CSE Wednesday, June 13, 2018 11:18:33 AM 8. To protect the cuvettes from debris, cover them with a paper towel 9. Locate Reaction Wash Probe 6 which is located at the next to the dryer nozzle probe located on the left end *This procedure is continued on the next slide. of the wash probe housing 10. Squeeze the probe clip and pull the probe out 19 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing Reaction Wash Probe 6 (continued) 11. Disconnect the tubing from the probe and dispose of the probe per laboratory protocol 12. Locate a new single wash probe and connect the tubing on the probe 13. Reinsert the probe into position until it clicks 14. Close the back cover 15. Select Continue > Close APPT77 16. Select Exit Diagnostics > Yes 17. Mark Replacing the Reaction Wash Probe 6 as completed in the Maintenance > Schedule screen 18. Perform CH Autocheck in Operator Diagnostics. Wait for autocheck to complete before analyzing samples 20 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing Triple Wash Probes SIEMENS Healthineers Atellica Solution Version 1.14.0.2983003 SP00107 1. Enter the system into Diagnostic State: A System Samples Inventory Calibration Oc Patient Orders Worklist Maintenance Setup Status Logs Select System at the Command bar B Operator Diagnostics About A. CH C CH B. Select Operator Diagnostics Subsystems Diagnostic Name Description Lamp Replacing the Reagent Probe 1 Replacing the Reagent Probe 1 5 Select the CH Icon Perform C. Cuvette Replacing the Reagent Probe 2 Replacing the Reagent Probe 2 D. Select Enter Diagnostics > Yes IMT Replacing the Reaction Wash Probe 1 Replacing the Reaction Wash Probe 1 3 Probes Replacing the Reaction Wash Probe 2 Replacing the Reaction Wash Probe 2 2. Wait for analyzer to enter Diagnostic State Fluid Replacing the Reaction Wash Probe 3 Replacing the Reaction Wash Probe 3 Mixer Replacing the Reaction Wash Probe 4 Replacing the Reaction Wash Probe 4 3. Under Subsystems, select Probes Inspect and Clean Replacing the Reaction Wash Probe 5 Replacing the Reaction Wash Probe 5 4 Replacing the Reaction Wash Probe 6 Replacing the Reaction Wash Probe 6 4. Select Replacing the Dilution Wash Probe 1, 2, 3 or Replacing the Dilution Wash Probe 1 Replacing the Dilution Wash Probe 1 Replacing the Reaction Wash Probe 1-5 Replacing the Dilution Wash Probe 2 Replacing the Dilution Wash Probe 2 Replacing the Dilution Wash Probe 3 Replacing the Dilution Wash Probe 3 5. Select Perform > Yes Replacing the Reaction Wash Probe Dryer Replacing the Reaction Wash Probe Dryer 6. Wait for analyzer to prepare for maintenance. Open the D Enter Diagnostics Exit Diagnostics CH back cover ? PEP LabManager Thursday, March 15, 2018 2:28:34 PM 7. To protect the cuvettes from debris, cover them with a paper towel Note: Do not touch the probe tip when working with the probes. The probe tip is sharp 8. Locate the appropriate triple wash probe and can cause bodily harm. Touching the probes can cause contamination. 9. Squeeze the probe clip and pull the probe out 21 *This procedure is continued on the next slide. Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing Triple Wash Probes (continued) 10. Disconnect the 3 tubes from the probe and dispose of the probe per laboratory protocol A. Unscrew the plastic tube fitting for the D probe counterclockwise to disconnect the tubing from the probe B. Pull off the probe tubing from probes A and S C. Place tubing on a paper towel 11. Locate a new triple wash probe and connect the 3 tubings to the probe 12. Reinsert the probe into position until it clicks 13. Close the back cover 14. Select Continue > Close 15. Select Exit Diagnostics > Yes 16. Mark the appropriate wash probe replacement as completed in the Maintenance > Schedule screen 17. Perform CH Autocheck in Operator Diagnostics. Wait for autocheck to complete before analyzing samples 22 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing Dryer Nozzle SIEMENS Atellica Solution Version 1.14.0.2983003 SP00107 A 1. Enter the system into Diagnostic State: System Samples Inventory Calibration Patient Orders Worklist Maintenance Setup Status Logs B Operator Diagnostics About A. Select System at the Command bar C-P1-06 C C-P1-06 P1-060 Subsystems Diagnostic Name Description B. Select Operator Diagnostics Lamp Replacing the Reaction Wash Probe 2 Replacing the Reaction Wash Probe 2 5 Pestotmn C. Select the CH Icon Cuvette Replacing the Reaction Wash Probe 3 Replacing the Reaction Wash Probe 3 IMT Replacing the Reaction Wash Probe 4 Replacing the Reaction Wash Probe 4 D. Select Enter Diagnostics > Yes Probes 3 Replacing the Reaction Wash Probe 5 Replacing the Reaction Wash Probe 5 Fluid Replacing the Reaction Wash Probe 6 Replacing the Reaction Wash Probe 6 2. Wait for analyzer to enter Diagnostic State Autocheck Replacing the Dilution Wash Probe 1 Replacing the Dilution Wash Probe 1 Mixer Replacing the Dilution Wash Probe 2 Replacing the Dilution Wash Probe 2 3. Under Subsystems, select Probes Inspect and Clean Replacing the Dilution Wash Probe 3 Replacing the Dilution Wash Probe 3 Replacing the Reaction Wash Probe Dryer Replacing the Reaction Wash Probe Dryer 4. Select Replacing the Dilution Reaction Wash Dryer Nozzle or Replacing the Dilution Wash Probe Dryer Replacing the Dilution Wash Probe Dryer 1 Replacing the Reaction Wash Dryer Nozzle 4 Replacing the Reaction Wash Dryer Nozzle Replacing the Reaction Wash Dryer Nozzle Replacing the Dilution Wash Dryer Nozzle Replacing the Dilution Wash Dryer Nozzle 5. Select Perform > Yes D Enter Diagnostics Et Diagnostics 6. Wait for analyzer to prepare for maintenance ? PEP CSE Thursday, June 14, 2018 1:04 PM 7. Open the CH back cover 8. To protect the cuvettes from debris, cover them with a paper towel 9. Turn the thumbscrew counterclockwise to loosen the probe housing assembly *This procedure is continued on the next slide. 23 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing Dryer Nozzle (continued) 10. Lift the probe housing up and turn it over to access the dryer nozzle probe 11. Locate the appropriate dryer nozzle probe 12. With 1 hand, grasp the probe by the end with the tubing. With the other hand, turn the nozzle clockwise or counterclockwise and pull out to remove. Dispose of the nozzle per laboratory protocol 13. Locate the new dryer nozzle. Insert the nozzle onto the probe until it clicks 14. Place the probe housing onto the analyzer 15. Tighten the thumbscrew clockwise 16. Close the back cover 17. Select Continue > Close 18. Select Exit Diagnostics > Yes 19. Mark the appropriate dryer nozzle as completed in the Maintenance > Schedule screen 20. Perform CH Autocheck in Operator Diagnostics. Wait for autocheck to complete before analyzing samples 24 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing Dryer Nozzle Probes SIEMENS Healthineers Atellica Solution Version 1.14.0.2983003 SP00107 1. Enter the system into Diagnostic State: A System Samples Inventory Calibration Patient Orders Worklist Maintenance Setup Status Logs Operator Diagnostics About A. Select System at the Command bar B C-P1-06 C P1-060 B. Select Operator Diagnostics Subsystems Diagnostic Name Description Lamp Replacing the Reaction Wash Probe 2 Replacing the Reaction Wash Probe 2 5 Perform C. Select the CH Icon Cuvette Replacing the Reaction Wash Probe 3 Replacing the Reaction Wash Probe 3 IMT Replacing the Reaction Wash Probe 4 Replacing the Reaction Wash Probe 4 D. Select Enter Diagnostics > Yes Probes 3 Replacing the Reaction Wash Probe 5 Replacing the Reaction Wash Probe 5 Fluid Replacing the Reaction Wash Probe 6 Replacing the Reaction Wash Probe 6 2. Wait for analyzer to enter Diagnostic State Autocheck Replacing the Dilution Wash Probe 1 Replacing the Dilution Wash Probe 1 Mixer Replacing the Dilution Wash Probe 2 Replacing the Dilution Wash Probe 2 3. Under Subsystems, select Probes Inspect and Clean Replacing the Dilution Wash Probe 3 Replacing the Dilution Wash Probe 3 4. Select Replacing the Reaction Wash Probe Dryer or Replacing Replacing the Reaction Wash Probe Dryer Replacing the Reaction Wash Probe Dryer 4 Replacing the Dilution Wash Probe Dryer Replacing the Dilution Wash Probe Dryer 1 the Dilution Wash Probe Dryer Replacing the Reaction Wash Dryer Nozzle Replacing the Reaction Wash Dryer Nozzle Replacing the Dilution Wash Dryer Nozzle Replacing the Dilution Wash Dryer Nozzle 5. Select Perform > Yes D Enter Diagnostics Eut Diagnostics 6. Wait for analyzer to prepare for maintenance and then open the ? PEP +0 cs Thursday, June 14, 2018 1:04 PM CH back cover 7. To protect the cuvettes from debris, cover them with a paper Note: Do not touch the probe tip when working with the probes. The probe tip is sharp towel and can cause bodily harm. Touching the probes can cause contamination. 8. Turn the thumbscrew counterclockwise to loosen the probe housing assembly Lift the probe housing up and turn it over to access the dryer *This procedure is continued on the next slide. 9. 25 nozzle probe Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing Dryer Nozzle Probes (continued) 10. Locate the appropriate dryer nozzle probe and disconnect the tubing 11. Pull the lever back to release the probe from the probe housing. The probe releases with a loose spring. Ensure the spring does not drop inside the analyzer. Dispose of the probe, spring and nozzle per laboratory protocol 12. Locate a new nozzle, probe and spring. Insert the spring onto the probe 13. Insert the nozzle onto the probe until it clicks 14. Insert the probe into the probe housing until it clicks 15. Connect the tubing 5-6 mm onto the probe 16. Turn the probe housing with dryer nozzle facing down and reinsert it onto the analyzer 17. Tighten the thumbscrew clockwise 18. Close the back cover 19. Select Continue > Close, and then select Exit Diagnostics > Yes 20. Mark the appropriate dryer nozzle probe replacement as completed in the Maintenance > Schedule screen 21. Perform CH Autocheck in Operator Diagnostics. Wait for autocheck to complete before analyzing samples 26 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Performing IMT Routine Clean Healthineers Atellica Solution Version 1.14.0.2983003 SP00107 1. At the Command bar, select Maintenance 1 System Samples Inventory Calibration Patient Orders Worklist Maintenance Setup 2. Select the IMT tab Schedule Report Log 2 IMT Data Restore Software Updates Copy Configuration CH 3. Select IMT Clean and Prime CH 3 IMT Clean and Prime IMT Details IMT Messages IMT Status IMT Calibration completed 1. Select the appropriate IMT function. Prime IMT 4. Select IMT Routine Clean IMT Dilution Check MT Calibration 2. Select Prime fluids one at a time by selecting a fluid. 4 IMT Routine Clean Last Performed 06/20/2018 9:01:08 PM Next Scheduled 06/21/2018 1:01:08 AM Operation Status ➢ An IMT Calibration automatically begins when the IMT IMT Advanced Clean A-LYTE Multisensor Routine Clean completes Prime All Date Last Replaced 05/29/2018 1:41:45 PM Tests on Chip 0 Prime Standard A 5. Wait for the calibration to complete Routine Clean Prime Standard B Last Performed 06/20/2018 2:05:54 AM Advanced Clean Prime Salt Bridge Prime IMT Diluent Last Performed Not Performed Days to next clean Maximum Serum or Plasma samples processed 0 Limit Average Fluid Delta Not Available Minimum = 0.0 mv Sample Port Drain Time Not Performed Maximum = 1.7 seconds Cancel CD ? PEP )LabManager 9x Thursday, June 28, 2018 12:36:26 PM 27 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Draining and Filling Reaction Bath SIEMENS Healthineers Atellica Solution Version 1.14.0.2983003 SP00107 The CH Analyzer automatically drains and fills the reaction ring Samples 2 System Inventory Calibration Patient Orders Maintenance Setup bath. The analyzer performs this activity in the daily and weekly Schedule 3 port Log IMT Data Restore Software Updates Copy Configuration CH maintenance activities. The Maintenance Schedule records and Filter Module: C-P1-05 Frequency: All Time: All Performed By: All Module C-P1-05 stores this activity. 4 Module Activity Scheduled Sun-14 Mon-15 Tue-16 Wed-17 Thu-18 Fri-19 Sa 6 Perform. Frequency All 81-05 Cleaning the System Fluids Drawer / As Needed Mark as Completed To perform Draining and Filling the Reaction Bath manually: Time All C-P1-05 C.P1-05 Cleaning the Washer Probes As Needed -- Performed By All 5 C-P1-05 Not Perform ... C.P1-05 Draining and Filling the Reaction Ring Bath As Needed Search Text Enter the activity name C-P1-05 Procedure Details C-P1-05 Refreshing the Water Bath Additive Ph As Needed -- 1. Ensure analyzer is in Ready, Processing or Standby state Scheduled by Operator C-P1-05 C-P1-05 Replacing Reagent Mixer Impeller As Needed Edit View -- Scheduled Automatically C-P1-0 CP1-0 Replacing Sample Mixer Impeller -- Delete 2. Select the Maintenance tab on the Command bar / As Needed Scheduled by Service C-P1-05 C-P1-0 Replacing the Dilution Mixer Impeller As Needed -- A Failed 3. Select Schedule C-P1-0 Overdue -P1-05 Replacing the Dilution Probe As Needed -- -- X Inprocess C-P1-05 C-P1-05 Replacing the Dilution Wash Dryer Nozzle As Needed -- 4. Select the CH Module from the drop-down menu v Completed C-P1-05 C-P1-05 Replacing the Dilution Wash Probe 1 Why As Needed -- :30 X Not Performed 5. Select Draining and Filling the Reaction Ring Bath As Needed With Comments Replacing the Dilution Wash Probe 2 30 C-P1-05 CP1-05 -- 6. Select Perform > Yes View Activities Replacing the Dilution Wash Probe 3 As Needed C-P1-05 C.P1-05 Replacing the Dilution Wash Probe Dryer 1 As Needed 7. Wait for the process to complete Add Activity ... Set Warning ... ? PEP LabManager Wednesday, October 17, 2018 10:29 AM 8. Check the Water Bath Additive and replace if necessary Note: The WBA is loaded and unloaded onto the system the same as all other reagents. The WBA will automatically be kicked off of the system when the Onboard Stability and/or expiration date passes. 28 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Refreshing Water Bath Additive SIEMENS Healthineers Atellica® Solution Version 1.14.0.2983003 SP00107 3 The CH Analyzer automatically refreshes the water bath System Samples nventory Calibration Qc Patient Orders Worklist Maintenance Setup 4 Schedule Report Log IMT Data Restore Software Updates Copy Configuration additive (WBA). The analyzer performs this activity in Filter Yx Module: C-P1-03 Frequency: All Time: All Performed By: All the daily and weekly CH Analyzer maintenance 5 Module C-P1-03 7 Module Activity Scheduled Mon-17 Tue-18 Wed-19 Thu-20 Fri-21 Sat-22 Sun-23 Perform activities. Frequency All C-21-08 -P1-03 Reaction Wash Probe 2 As Needed Mark as Completed Time All -P1-03 -P1-03 Reaction Wash Probe 3 As Needed -- To manually refresh the water bath additive: Not Perform ... Performed By All :P1-03 :-P1-03 Reaction Wash Probe 4 As Needed -- Procedure Details Search Text To search for an activity, en -P1-03 1. Ensure analyzer is in Ready, Processing or Standby C-P1-03 Reaction Wash Probe 5 As Needed -- Edit/View ... Scheduled by Operator -P1-03 Reaction Wash Probe 6 As Needed state Scheduled Automatically C-P1-03 Delete ¿ Scheduled by Service -P1-03 Reaction Washer Probe Dryer 1 As Needed -- -P1-03 A. On the Command bar, select System > Status -P1-03 Reagent Mixer 1 As Needed Failed C-P1-03 Overdue -P1-03 Reagent Mixer 2 As Needed B. Review the status of the CH analyzer Inprocess C-P1-03 Reagent Probe 1 As Needed -- -- Completed -P1-03 -P1-03 Reagent Probe 2 As Needed 2. Ensure the Water Bath Additive (WBA) is onboard x Not Performed 6 ;-P1-03 C-P1-03 With Comments Refreshing Reaction Bath Additive As Needed K by viewing Inventory > Reagent Overview -P1-03 -P1-03 SampleProbe1 As Needed -- 3. On the Command bar, select Maintenance Add Activity ... Set Warning. ? LabManager Thursday, April 20, 2017 9:33:17 AM 4. Select the Schedule tab 5. In Module, select CH from the drop-down menu Note: The WBA is loaded and unloaded onto the system the same as all other reagents. The WBA 6. Select the Refreshing Water Bath Additive will automatically be kicked off of the system when the Onboard Stability and/or expiration date checkbox passes. 7. Select Perform > Yes 29 8. Wait for the process to complete Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Performing CH Autocheck SIEMENS Atellica® Solution Version 1.14.0.2974006 P-P1-03 1. Ensure analyzer is in Diagnostic State: A K System Samples Inventor Calibration Qc Patient Orders Worklist Maintenance Setup Status Logs B Operator Diagnostics About A. Select System at the Command bar C-P1-06 C C-P1-06 P1-060 B. Select Operator Diagnostics Subsystems Diagnostic Name Description Lamp Autocheck 4 CH Autocheck 5 Perform C. Select the CH Icon Cuvette 2 IMT D. Select Enter Diagnostics > Yes Probes Fluid 2. Wait for analyzer to enter Diagnostic State 3 Autocheck 3. Under Subsystems, select Autocheck Mixer Inspect and Clean 4. Under Diagnostic Name, select Autocheck 5. Select Perform > Yes 6. Wait for Autocheck to complete which takes approximately 11 minutes D Enter Diagnostics Ext Diagnostics ? PEPE ] CSE OS Monday, June 04, 2018 2:30 PM 7. Select Exit Diagnostics > Yes 30 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Priming IMT Fluids Healthineers Atellica Solution Version 1.14.0.2983003 SP00107 1 1. At the Command bar, select Maintenance System Samples Inventory Calibration Qc Patient Orders Worklist Maintenance Setup Schedule Report Log 2 IMT Data Restore Software Updates Copy Configuration 2. Select the IMT tab CH 3 CH 3. Select IMT Clean and Prime IMT Clean and Prime IMT Details IMT Messages IMT Status IMT Calibration completed 1. Select the appropriate IMT function. 4 Prime IMT IMT Dilution Check IMT Calibration 2. Select Prime fluids one at a time by selecting a fluid. IMT Routine Clean 4. Select Prime IMT Last Performed 06/20/2018 9:01:08 PM Next Scheduled 06/21/2018 1:01:08 AM Operation Status IMT Advanced Clean 5. Select Prime All or the individual IMT fluid A-LYTE Multisensor Prime All Date Last Replaced 05/29/2018 1:41:45 PM 6. Wait for the prime to complete Tests on Chip 0 Prime Standard A Routine Clean 5 Prime Standard B 7. Navigate to the CH Status screen: System > Status > Last Performed 06/20/2018 2:05:54 AM Advanced Clean Prime Salt Bridge CH icon Prime IMT Diluent Last Performed Not Performed 8. Select the Resume button Days to next clean Maximum Serum or Plasma samples processed Limit O Average Fluid Delta Not Available Minimum = 0.0 mv Sample Port Drain Time Not Performed Maximum = 1.7 seconds Cancel ? PEP LabManager Thursday, June 28, 2018 12:36:26 PM 31 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Performing IMT Advanced Clean Healthingers Atellica Solution Version 1.14.0.2983003 SP00107 160 An alert generates for the operator to perform the IMT System Samples Inventory Calibration QC Patient Orders Worklist 1 Maintenance Setup Schedule Report Log 2 IMT Data Restore Software Updates Copy Configuration Advanced Clean after the analyzer processes 5000 IMT CH samples or every 30 days, whichever comes first. CH 3 IMT Clean and Prime IMT Details IMT Messages IMT Status IMT Calibration completed 1. Select the appropriate IMT function. Prime IMT After the analyzer completes the IMT Advanced Clean, IMT Dilution Check MT Calibration 2. Select Prime fluids one at a time by selecting a fluid. IMT Routine Clean the operator must replace the A-LYTE multisensor. Last Performed 06/20/2018 9:01:08 PM Next Scheduled 06/21/2018 1:01:08 AM Operation Status 4 IMT Advanced Clean A-LYTE Multisensor 1. At the Command bar, select Maintenance Prime All Date Last Replaced 05/29/2018 1:41:45 PM Tests on Chip 0 Prime Standard A 2. Select the IMT tab Routine Clean Prime Standard B Last Performed 06/20/2018 2:05:54 AM 3. Select IMT Clean and Prime Advanced Clean Prime Salt Bridge Prime IMT Diluent 4. Select IMT Advanced Clean Last Performed Not Performed Days to next clean Maximum O Serum or Plasma samples processed Limit O 5. Select OK to acknowledge that multisensor must be Average Fluid Delta Not Available Minimum = 0.0 mv Sample Port Drain Time Not Performed Maximum = 1.7 seconds replaced after IMT Advanced Clean completes Cance 6. Wait 14 minutes for advanced clean to complete ? PEP LabManager Thursday, June 28, 2018 12:36:26 PM connect 7. Replace the current A-LYTE® multisensor Note: Do not perform an IMT Advanced Clean after replacing the A-LYTE multisensor. Performing the IMT Advanced Clean on the current multisensor renders it unusable. Perform the IMT Advanced Clean on the current multisensor prior to replacement. 32 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing A-LYTE® Multisensor Replace the A-LYTE multisensor after 5000 samples or 14 days. Replace IMT Supplies X 1. Ensure the analyzer is in Ready, Processing or Standby state: The IMT Advanced Clean maintenance procedure is due. A. On the Command bar, select System > Status B. Review the status of the CH analyzer To begin the Advanced Clean before replacing the A-LYTE mulitsensor, select Perform IMT Advanced Clean. 2. To pause the IMT in preparation to replace the A-LYTE multisensor: • For a Sample Handler configuration: To replace IMT supplies directly without performing the IMT Advanced Clean, select Replace IMT Supplies. A. Select IMT Supplies on the module display B. If a window displays with options to either perform IMT Advanced To exit, select Cancel. Clean or replace IMT supplies (see image on the right), it means that an IMT Advanced Clean is required before the next multisensor Perform IMT Advanced Clean Replace IMT Supplies Cancel replacement. Continue with these steps: 1) Select Perform IMT Advanced Clean and wait for the IMT Advanced Clean to complete 2) Select IMT Supplies then Pause IMT and wait for this process Note: Do not perform an IMT Advanced Clean after replacing the A-LYTE to complete multisensor. Performing the IMT Advanced Clean on the current multisensor renders it unusable. Perform the IMT Advanced Clean on the current 3) Select A-LYTE Multisensor multisensor prior to replacement. *This procedure is continued on the next slide. 33 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing A-LYTE® Multisensor (continued) • For a Direct Load configuration: Replace IMT Supplies X A. On the Command bar, select Inventory > Supplies Overview The IMT Advanced Clean maintenance procedure is due. B. Select Replace IMT Supplies C. If a window displays with options to either perform IMT Advanced To begin the Advanced Clean before replacing the A-LYTE mulitsensor, select Perform IMT Advanced Clean. Clean or replace IMT supplies (see image on the right), it means that an IMT Advanced Clean is required before the next multisensor replacement. Continue with these steps: To replace IMT supplies directly without performing the IMT Advanced Clean, select Replace IMT Supplies. 1) Select Perform IMT Advanced Clean and wait for the IMT Advanced Clean to complete To exit, select Cancel. 2) On the Command bar, select Inventory > Supplies Overview > Perform IMT Advanced Clean Replace IMT Supplies Cancel Replace IMT Supplies and wait for the analyzer to pause *This procedure is continued on the next slide. 34 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing A-LYTE® Multisensor (continued) 3. Open the IMT fluids lid 4. To scan a new A-LYTE multisensor: • For a Sample Handler configuration, use the module display • For a Direct Load configuration, use the handheld barcode reader 5. Ensure the Lot, Sequence, and Expiration display correctly 6. Remove the A-LYTE multisensor. To release the multisensor, pull down the sensor access latch. Discard per laboratory protocol 7. Insert a new multisensor with label facing forward 8. Push up the latch and close the IMT fluids lid 9. Perform 1 of the following, as appropriate: • From the module display (Sample Handler configuration), select OK • From the primary display (Direct Load configuration), select Save 10. The IMT will automatically prime, condition, and calibrate. Wait for the processes to complete 35 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Cleaning the Reagent Loader Barcode Scanner 1. Stop the CH Analyzer and unlock the back cover: A. Navigate to the CH Status screen: System > Status > CH icon B. Select the Stop button C. Select the button to unlock the CH back cover 2. Lift open the CH back cover 3. Locate the reagent loader barcode scanner on the front side of the puncture device 4. Wipe the exterior and lens of the reagent barcode scanner with dry gauze 5. Close the CH back cover 6. Start the CH analyzer by selecting the Resume icon on the CH System Status screen Note: The lock glyph indicates whether the cover is locked or unlocked. When unlocked, the cover automatically re-locks unless the operator opens the cover within 30 seconds. 36 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Replacing the CH Fan Filter The CH Analyzer has 1 filter located inside the left front door and 2 filters on the back left and center panels. 1. Grasp the top of the fan filter and pull it up and out of the slot 2. Locate and insert a new filter with the plastic grid facing away from the panel or door 37 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Cleaning System Fluids Drawer 1. Enter the system into Diagnostic State: A. Navigate to System > Operator Diagnostics > CH Icon B. Select Enter Diagnostics > Yes 2. Wait for analyzer to enter Diagnostic State 3. Under Subsystems, select Inspect and Clean 4. Select Cleaning the System Fluids Drawer > Perform > Yes 5. Wait for the analyzer to prepare for maintenance 6. Locate and open the system fluid drawer Doc 7. Tighten the cap on the system fluid containers 8. Remove the system fluid containers 9. Carefully wipe down the system fluid drawer with lint-free tissues or gauze saturated with special reagent water 10. Replace the system fluid containers Note: Do not touch the cannulas in the keyed areas at the bottom of the system fluids drawer. The cannulas can puncture skin. *This procedure is continued on the next slide. 38 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Cleaning System Fluids Drawer (continued) 11. To prevent a vacuum from forming inside the container that could cause the analyzer to stop processing, vent the container. To vent the container, squeeze and twist the cap counterclockwise to pass the first designated stop. Then no longer squeeze, but twist the cap until it reaches the next designated stop 12. Close the drawer 13. Select Continue > Close 14. Select Exit Diagnostics > Yes 15. Mark the procedure as completed in the Maintenance > Schedule screen 39 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Testing CH Analyzer Water 1. Open the right front door 2. Locate the water bottle and unscrew the lid 3. Using a sterile pipette or syringe, pull out a 25-50 mL sample of water 4. Follow laboratory protocol and test sample for microbes Note: If the bacteria count is >50 CFU/mL, contact the local technical support provider to disinfect the water system. 40 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Cleaning CH Analyzer Exterior, Plates, Guard, and Shields SIEMENS Healthineers Atellica Solution Version 1.14.0.2983003 SP00107 1. Unlock and open the CH analyzer front and back covers: System A Samples Inventory Calibration ac Patient Orders Worklist Maintenance Setup Status Logs Operator Diagnostics About A. On the Command bar, select System > Status System VMM SH CH B IM B. Select the CH Analyzer Standby Off Standby Off C. Select the stop or pause button Alert Category Time Capabilities D. Select the appropriate button in the software to unlock the front or the back cover E. Lift open the front and back covers Cor C PCC 2. Clean the following components with lint-free tissues or G gauze saturated with a 10% bleach solution: Front Cover D Back Cover ➢ Exterior covers ➢ System fluids tray ? PEP LabManager OXS Tuesday, July 10, 2018 11:27:30 AM ➢ Manual reagent load station ➢ System plates, guard, and shields Note: The lock glyph indicates whether the cover is locked or unlocked. When unlocked, the cover automatically re-locks unless the operator opens the cover within 30 seconds. *This procedure is continued on the next slide. 41 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Cleaning CH Analyzer Exterior And Plates (continued) 3. Rinse the components with lint-free tissues or gauze saturated with special reagent water 4. Dry the components with lint-free tissues or gauze 5. Close the CH front and back covers 6. Start the CH by selecting the Resume icon on the CH System Status screen Note: Do not touch the cannulas in the keyed areas at the bottom of the system fluids drawer. The cannulas can puncture skin. 42 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 Atellica® CH Analyzer SIEMENS As Needed Maintenance Healthineers Cleaning CH Washer Probes 1. Enter the system into Diagnostic State: A. Navigate to the CH Status screen: System > Operator Diagnostics > CH icon B. Select Enter Diagnostics > Yes 2. Wait for analyzer to enter diagnostic state 3. Under Subsystems, select Inspect and Clean 4. Select Cleaning the Washer Probes > Perform > Yes 5. Wait for analyzer to prepare for maintenance. Lift open the CH back cover 6. To protect the cuvettes from debris, cover with paper towel 7. Wipe the wash probes with a lint-free tissue dampened with special reagent water 8. Remove the paper towel over the cuvettes 9. Close the CH back cover 10. Select Continue > Close 11. Select Exit Diagnostics > Yes 12. Mark Cleaning the Washer Probes as completed in the Maintenance > Schedule screen 43 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020 SIEMENS Healthineers Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Atellica, and all associated marks are trademarks of Siemens Healthcare Diagnostics Inc. or its affiliates. All other trademarks and brands are the property of their respective owners. Product availability varies by country and is subject to varying regulatory requirements. Please contact your local representative for availability. Copyright © Siemens Healthcare GmbH 2020 Global Siemens Healthineers Headquarters Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84 0 siemens.com/healthineers 44 Effective Date: 24-SEP-2020 | HOOD05162003126734 Unrestricted © Siemens Healthcare GmbH, 2020