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Atellica® Solution Small Sample Management Job Aid

This job aid provides instructions on small sample management on the Atellica® Solution.

Unrestricted Management Job Aid Small Sample Atellica® Solution Healthineers SIEMENS 12:47 Leah T. EM Col. 11/18/14 11:38 01492317 0162637 14 11:38 en Kyle M Cot: 11/18/14 08:17 05628473 2317 bah T. Template Effective Date: 27 May 2019 | HOOD05162003010284 Effective Date: 30-APR-2021| HOOD05162003186619 Unrestricted © Siemens Healthineers, 2021 Atellica® Solution SIEMENS Healthineers : Small Sample Management Options for handling small samples on the Atellica Solution: • Transfer sample into a Tube Top Sample Cup (TTSC) • The system can aspirate directly from the capillary tube • If using capillary tubes, volume checks help to protect the CH probe from going into the gel NOTE: Refer to Online Help for information about which types of tubes are supported in a Laboratory Automation Systems (LAS) configuration. 2 Effective Date: 30-APR-2021| HOOD05162003186619 Unrestricted © Siemens Healthineers, 2021 Atellica® Solution SIEMENS Healthineers .. Small Sample Management Tube Top Sample Cups (TTSC) Two types of TTSC are available: • Large (2 mL) green • To be used for 16 mm diameter tubes • Small (1 mL) blue • To be used for smaller 12-13 mm diameter tubes CENT CENT Information on sample volume requirements: Sample Container Type Sample (Test) Tip Prime Unusable Volume Volume Volume IM Atellica TTSC (1mL or 2mL) ≤ 50µL 10µL 50µL IM Atellica TTSC (1mL or 2 mL) > 50µL 15µL 50µL CH Atellica TTSC, Blue 1mL n/a included 10µL CH Atellica TTSC, Green 2mL n/a included 25µL NOTE: Only use the use the correct diameter TTSC in the correct diameter NOTE: Refer to Online Help for more information on calculating sample volume requirements. tube to avoid sample handling and aspiration errors. NOTE: The TTSC should not be filled too high or splashing can occur. 3 Effective Date: 30-APR-2021| HOOD05162003186619 Unrestricted © Siemens Healthineers, 2021 Atellica® Solution SIEMENS Healthineers .. Small Sample Management Capillary Tube Capillary Tubes Blue Capillary Tube Holder The capillary tube must be placed in a capillary tube holder. Two types of capillary tube holders are available: • Green False-Bottom Capillary Tube Holder: for false-bottom capillary collection containers • Blue Capillary Tube Holder: for plain conical-bottom capillary collection containers NOTE: Patient barcodes must go on the outside of the holder. The holders are single use only and not reusable. NOTE: Refer to Online Help for a list of approved capillary tubes. Green False-Bottom Capillary Tube Holder Capillary Tube Adaptor from Tube Manufacturer 4 Effective Date: 30-APR-2021| HOOD05162003186619 Unrestricted © Siemens Healthineers, 2021 Atellica® Solution SIEMENS Healthineers .. Small Sample Management Capillary Tube Holders: Sample Volume Check Prerequisites and Workflow Prerequisites IM Analyzer Capillary tube is on Emergency Sample Capillary Tube is placed CH test orders installed approved list Loader is not used in correct holder require <100 µL IM IM: SH: Output Aspirations Rack SH: IM: CH Required Physical CH: SH: Output Volume Volume Aspirations Rack Check Check Orders Workflow by Test SH: IM: IM and Required IM: Physical CH: SH: Output CH Volume Aspirations Volume Aspirations Rack Check Check NOTE: The Physical Volume Check performed at the IM Analyzer is optional and can be turned off in the Setup screens. *See the next slide for more detailed information on the volume checks Effective Date: 30-APR-2021| HOOD05162003186619 Unrestricted © Siemens Healthineers, 2021 5 Atellica® Solution SIEMENS Healthineers .. Small Sample Management Capillary Tube Holders: Two Types of Volume Checks – Required Volume and Physical Volume • The maximum volume for CH test orders in a capillary holder is 100 µL • This is the maximum volume the IM Analyzer can reliably pipette / verify • IMT requires 25 µL plus one aliquot of 50 µL = about 15 general chemistry assays can be performed from 100 µL • The Required Volume Check is performed once the sample barcode is read and test orders are downloaded. If the volume required to perform the CH tests is determined to be >100 µL, none of the CH tests ordered will be performed. • The CH tests orders will show a status of insufficient sample in the Worklist screen • The Sample List screen displays a Status of “Insufficient Sample for the order” • The Physical Volume Check is performed at the IM. It aspirates 100 µL + 16 µL (tip prime volume), then dispenses back into the sample container. A cuvette is not used or assigned • Tip prime volume of 16 µL is consumed during the physical volume check • All IM tests that are ordered on the capillary tube will be aspirated before the volume check for the CH tests will be performed • Note: This includes aspiration retry attempts if configured 6 Effective Date: 30-APR-2021| HOOD05162003186619 Unrestricted © Siemens Healthineers, 2021 Atellica® Solution SIEMENS Healthineers .. Small Sample Management Example workflow for an acceptable sample in a capillary holder on the Atellica Solution with a Sample Handler module 1. Patient sample with CH tests is introduced to the SH via a Capillary tube holder 2. Sample is identified by the system (barcode read at the TCS) and test orders are received for the SID 3. CH test orders are determined to require <100 µL of sample volume 4. Tube is routed to the IM module for required volume check 5. Sufficient volume is determined and the tube is routed to the CH module for aspiration 6. Sample status in the Sample List screen is In Process 7. Test orders in the Worklist screen show In Process with time to completion 7 Effective Date: 30-APR-2021| HOOD05162003186619 Unrestricted © Siemens Healthineers, 2021 Atellica® Solution SIEMENS Healthineers .. Small Sample Management Example workflow for a problematic sample in a capillary tube on the Atellica Solution with a Sample Handler module 1. Patient sample with CH tests is introduced to the SH via a Capillary tube holder 2. Sample is identified by the system (barcode read at the TCS) and test orders are received for the SID 3. Tube is returned to the Sample Handler rack 4. Sample status in the Sample List screen is ‘Insufficient sample for order xxxx’ 5. CH test orders in the Worklist screen show a status of ‘Insufficient Sample’ 6. CH test orders are determined to require <100 µl of sample volume to process 7. Visual inspection of the capillary sample indicates a sufficient amount of sample for the tests that are ordered 8. Sample can be transferred to an appropriate TTSC with the same SID on the barcode and loaded on the SH 9. Sample List screen will update to show the new Sample Attribute as a Tube Top Cup with no error status 10. Worklist screen will update once the sample is aspirated to show the test orders as in process 8 Effective Date: 30-APR-2021| HOOD05162003186619 Unrestricted © Siemens Healthineers, 2021 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 may vary from country to country and is subject to varying regulatory requirements. Please contact your local representative for availability. Copyright © Siemens Healthcare GmbH 2021 Global Siemens Healthineers Headquarters Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84 0 siemens.com/healthineers Effective Date: 30-APR-2021| HOOD05162003186619 9 Unrestricted © Siemens Healthineers, 2021