Syva® Viva-ProE™ System: Sample Processing Online Training

Artis systems are equipped with the following safety mechanisms to help prevent unintentional movements and collisions. Emergency stop buttons, when activated, immediately stop system movements and interrupt x-ray release. Dead man's grip ensures that system movement occurs only when the operating element is activated correctly. The collision avoidance computation calculates possible collisions between the stand/C-arm and patient table. Acoustic signals are activated when the system is driven into a zone of possible collisions. Speed reduction of system movements when the system is in a range of an upcoming collision. The Collision sensors stop movements when a collision is detected. Collision sensors are integrated in the flat panel detector (FD), collimator, in the covers of the C-arm and stand, and a sensor is detecting the lift up of the tabletop plate (Siemens Multi-tilt table only). Welcome to the Syva® Viva-ProE™ System Sample Processing online training course. In this training, you will learn about sample processing activities including: Request and process samples Evaluate samples Unload completed samples Perform end of day tasks Select Next to continue. Define the process to unload completed samples Describe how to evaluate sample results List the end of day tasks List the steps to request and process samples Upon successful completion of this course you will be able to: Select Next to continue. Artis systems are equipped with emergency stop buttons and emergency shutdown buttons. In order to interrupt movements and x-ray release in emergency situations, you should press one of the emergency stop buttons. The emergency shutdown button should only be used in extreme situations as it will result in full system interruption and is an uncontrolled process which could result in data loss. Emergency stop buttons are on the front sides of the Table and Pilot control modules. When the emergency stop button is pressed the following system functions are interrupted; System movements are stopped immediately. Fluoroscopy and acquisition are stopped. If the injector is controlled by the system, injections are also stopped. Fluoroscopy and acquisition can be released again without cancelling the emergency stop, but system movements will only be possible after cancelling the emergency stop. To cancel the emergency stop, pull on the button. Please note that you may have additional emergency stop buttons in the control room, please check where they are located.   Congratulations. You have completed the Syva® Viva-ProE™ System Sample Processing 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. List the Steps to Request and Process Samples Prepare the samples General sample preparation - add directly to tube Pediatric sample preparation - add to sample cup and place in silver adapter Immunosuppressive Drug (ISD) samples - perform extraction technique Request samples in the software through the Patients screen Enter sample ID Select sample type Select tests Assign to locations on the Sample Rotor Load prepared samples onto the Sample Rotor in the locations assigned in the software Select Process to begin testing Describe How to Evaluate Sample Results View the status of patient results on the Sample Rotor from the Load Patients screen under the Patients icon Completed samples that are automatically accepted have a check mark Completed samples that require user intervention before accepting will be flagged View / evaluate sample results from the Results icon View detailed information about individual tests processed for that sample Print individual or summary reports Repeat flagged results Accept or Reject flagged results - Administrator function only Define the Process to Unload Samples Unload samples from software using the Unload icon on the Home screen Physically remove and discard the samples from the Sample Rotor List the Steps to Perform End of Day Tasks Access the checklist from the Home screen > End of Day Minimally includes checking/emptying waste and checking/refilling Treated Water Customize checklist to include other tasks - Administrator function only Select Next to continue.   Olá, bem-vindo à parte 5 do curso Otimizando a Qualidade de Imagem de TC, que abordará o tópico de técnicas clínicas.   Requesting and processing samples on the Viva-ProE™ System includes the following steps: Add the samples to a sample tube Perform required pretreatment steps (e.g. extractions for ISD samples) Request patient samples from the Patients icon on the Viva-ProE software Home screen Load the samples into the sample rotor according to the assigned locations in the software Request Samples Learn about how to request samples in the Viva-ProE™ software. Instructions:If media does not automatically start, select the play arrow to begin.Flash File:/content/generator/Course_90010297/sim_ProE_SampleProcessing_HTML_800x450_9/sim_ProE_SampleProcessing_HTML_800x450_9.swfHTML5 File:/content/generator/Course_90010297/sim_ProE_SampleProcessing_HTML_800x450_9/index.htmlPDF File: Run Samples Learn about how to run samples on the Viva-ProE™ System. Checklist TitleChecklist TypeChecklist ContentLabel TubesHTML Label the tubes according to the samples that are being tested. Select each checkbox to learn more about running samples on the Viva-ProE™ System.  Pour SampleHTML Pour the sample in the appropriately labeled tube.   Load Sample RotorHTML Place the tubes in the Sample Rotor according to the assigned locations in the software. Note: If the tubes are barcoded, load the sample tubes in the outer two load positions on the rotor, and ensure that the barcode labels are facing out.  Begin ProcessingHTML On the Load Patients screen, select the Process icon to begin processing the samples. Note: If the samples are barcoded, select the Scan icon first. When barcode scanning is complete, select the Process icon to start the run. When complete, select the X in the upper-right corner to close the window and continue.   Sample Preparation Learn about sample preparation procedures. Tab TitleTextGeneral SamplePreparation For patient samples with sufficient quantity, add them directly to a standard tube. Ensure that there is enough sample so that the minimum dead volume remaining in the tube after sampling is >350 µL.   If the sample is barcoded, ensure that the label is properly affixed to the tube:  Label should be vertically oriented so that the barcode bars are horizontal Affix the label so that the barcode and the minimum "quiet" zone (space on the tube without the label) is 14 mm below the top of the tube, excluding the cap Affix the label so that the barcode and the minimum "quiet" zone is no lower than 20 mm from the bottom of the sample tube. The entire label should be visible to the barcode reader when the tube is loaded into the Sample Rotor Do not wrap the label horizontally around the tube The label should not touch the tube closure, have any creases or be otherwise damaged so that it is unreadable Do not place tape over the label  SamplePreparation For pediatric samples, use a sample cup with a silver sample cup adapter.  Transfer the sample into the sample cup  Insert the sample cup into the silver adapter Place the adapter with sample cup into the assigned location on the Sample Rotor  Cyclosporine Pretreatment Notes:  This procedure can also be used for the Cyclosporine Assay Extended Range Equilibrate calibrators, control and samples to room temperature (18-25°C) Mix whole blood calibrators, controls and patient samples gently - do not vortex Do not pretreat more than 30 samples at one time Process: Label one micro centrifuge tube for each calibrator, control and sample to be pretreated Transfer 200 µL of each into a labeled tube using a positive displacement pipette Add 600 µL of Emit® Cyclosporine Sample Pretreatment Reagent to each tube using a positive displacement pipette or an Eppendorf Repeater equipped with a 5ml Combitip, or equivalent Immediately cap each tube Vortex each micro centrifuge tube for at least 10 seconds, until it is completely homogeneous Incubate the contents at room temperature (18-25°C) for at least 2 minutes after the last sample is mixed Centrifuge the samples for at least 2 minutes in a micro centrifuge (g force x minutes > 25,000 g-min) so that a well-defined pellet and clear supernatant is visible Decant the supernatant into a polypropylene tube The samples are ready to be analyzed and should be run within 30 minutes Note: For patient samples with low volume, extract using 100 µL of sample and 300 µL of pretreatment reagent. Decant the supernatant directly into a sample cup placed in an adapter. Place on the analyzer at the beginning of the run.   Tacrolimus andSirolimus Pretreatment Notes:  Mix whole blood calibrators, controls and patient samples gently - do not vortex Do not pretreat more than 30 samples at one time Process: Label one micro centrifuge tube for each calibrator, control and sample to be pretreated Transfer 400 µL of each into the labeled tube using a positive displacement pipette Add 400 µL of methanol to each tube Add 100 µL of Sample Pretreatment (cupric sulfate) to each tube Immediately cap each tube Vortex each micro centrifuge tube for at least 10 seconds, until it is completely homogeneous Incubate the contents at room temperature (18-25°C) for at least 1 minute after the last sample is mixed Centrifuge the samples for at least 2 minutes in a micro centrifuge (g force x minutes > 25,000 g-min) so that a well-defined pellet and clear supernatant is visible Decant the supernatant into a polypropylene tube The samples are ready to be analyzed and should be run within 30 minutes Note: For patient samples with low volume, extract using 200 µL of sample, 200 µL of methanol and 50 µL of pretreatment reagent. Decant the supernatant directly into a sample cup placed in an adapter. Place on the analyzer at the beginning of the run. When complete, select the X in the upper-right corner to close the window and continue.   Completed samples can be viewed and evaluated from the Results screen on the Viva-ProE™ software: View detailed information Search for patient results Evaluate Samples Learn about evaluating and searching for patient results on the Viva-ProE™ System. Checklist TitleChecklist TypeChecklist ContentStatus: Completed SamplesHTML The status of the patient samples in the Sample Rotor can be viewed from Load Patients screen. From the Home screen, select the Patients icon to view the status of the samples in the Sample Rotor. All completed samples without flags will have a check mark in the location where they are loaded on the rotor. These results will automatically be accepted by the system. Select each checkbox to learn more about evaluating patient results on the Viva-ProE™ system.  Status: Flagged SamplesHTML Any completed samples with processing issues will have a flag in the location where they are loaded on the Sample Rotor. These results will require user intervention and will not automatically be accepted by the system.  Results ScreenHTML To view patient sample results, from the software Home screen, select the Results icon.  View Current ResultsHTML On the Results screen, select the Patients radio button to view all loaded and recent patient results and then select the desired sample that you want to view test results for.  Search for ResultsHTML On the Results screen, select the Search radio button to search for sample results.  Review ResultsHTML Select the white triangle icon next to the specific test results to view detailed information about that test.   ReportsHTML For samples that require no further action from the user, the individual reports will automatically print and the results will automatically transmit via the LIS. From the Results screen, you can also print individual reports by selecting the Print icon, or you can print a summary report by selecting the Summary Report icon.  Process Flagged ResultsHTML For flagged results, you can Repeat the test either with or without manual dilution of the sample or you can Accept or Reject the results from the icons located on the Results screen. Note: Only users with Supervisor or Administrator access can Accept or Reject patient results.  When complete, select the X in the upper-right corner to close the window and continue.   Atellica Inventory Manager manages inventory from receipt to consumption. When an order is checked in, the items in that order are added to the inventory tracked in the web application. Items may come already pre-labeled. RFID labels are placed on each unlabeled item containing a unique identifier for that item.  When the item's RFID label is detected by an antenna, the item is marked as being consumed and is decremented from inventory. Physical inventory checks may be performed, as needed. When inventory levels have met the reorder criteria, an order can be generated which includes all products that need to be reordered. Select the link below to learn about inventory management.   To unload samples from the Viva-ProE™ System: Unload through the software Physically remove from the Sample Rotor Note: Always wear the appropriate Personal Protective Equipment (PPE) when handing biohazardous materials. Follow your laboratory guidelines for proper treatment and disposal of biohazardous waste. Unload Samples Learn about how to unload samples from the Viva-ProE System. Unload samples in the software: Home screen > Unload icon Select desired sample and select Unload (remove one sample) Select Unload All (remove all samples) Unload samples from the Sample Rotor Remove samples from the rotor Dispose of properly per laboratory procedures for biohazardous waste When complete, select the X in the upper-right corner to close the window and continue.   The Atellica Inventory Manager software allows the user to view events, manage inventory, export inventory and order data reports, create and check in orders and configure ordering criteria to meet the laboratory's needs. There are four areas of the Home screen. The Command bar is at the top of the Home screen. Select each icon to access events, inventory, reports, orders, and configuration criteria. The Online help may be accessed by selecting the "Help" icon, which resembles a question mark. Select the links below to learn about the software features. At the end of each day, you must complete the designated end of day tasks. The list of tasks can be accessed from the End of Day icon on the Home screen. End of Day Tasks Learn about the End of Day tasks. Slide NumberText BlocksCalloutsAudio ScriptImage File1 End of Day icon   From the Home screen, select the End of Day icon.   Select Next to continue.  Note: If audio does not start automatically, select the play arrow in the top left to begin.To access the list of tasks required for the end of day, select the End of Day icon from the home screen on the Viva ProE software. Select next to continue.2 End of Day Checklist Displays all required tasks Minimally includes: Checking and/or emptying the waste containers Checking and/or refilling the treated water container Customize to include any other tasks that may be required at the end of the day Note: Customization of this checklist can only be done by a user with Administrator access to the system. Select Next to continue.  The End of Day checklist will display all of the activities required as part of this procedure. The checklist will minimally include checking and/or emptying the waste containers and checking and/or refilling the treated water container. This list can be customized to add other items that may be required at the end of the day per your laboratory practices. Customization of this checklist can only be done by a user with administrator access to the system. Select next to continue.3 Check/Empty Waste Containers   Note: Follow this process for both Treated and Concentrated Waste Open the waste container cabinet door Remove the waste container cap Slide the container out of the system Empty the waste contents Return the container to the system Secure the cap back onto the bottle Close the cabinet door Warning: System waste is considered a potential biohazard. Follow standard laboratory operating procedures for handling and disposal of biohazardous materials. To empty the waste, first open the waste container door. Remove the waste container cap then carefully slide the full container out of the system. Empty the waste contents following standard laboratory practices for biohazard disposal and then return the container to the system and replace the cap onto the bottle. Close the cabinet door when you are finished. Follow this same process for the concentrated waste container. Select Next to continue 4 Fill Treated Water Open the Treated Water container cabinet door Remove the container cap and attached filter  Slide the container out of the system Replace with a new container filled with 12.5 mL System Solution and 5 L of distilled or purified water Place the new container to the system Insert the filter into the bottle and secure the cap in place Close the cabinet door When complete select the X in the upper-right corner to close the window and continue. To fill the treated water container, first open the container cabinet door. Remove the container cap and attached filter then carefully slide the container out of the system. Replace with a new container filled with 12.5 ml of system solution and 5 liters of distilled or purified water. Place the new container on the system and replace the cap and filter onto the bottle. Close the cabinet door when you are finished. When complete, select the X in the upper right corner to close the window and continue.