VersaCell® X3 System PEP to Go

SIEMENS VersaCell® X3 System PEP to Go Answers for life. GPE07004.027 Effective date 09/19/2014 Table of Contents 1. Hardware Overview 2. Software Overview 3. Sample Processing 4. Monitoring Samples and Results 5. Shutdown and Startup 6. As Needed Maintenance 7. Troubleshooting 8. Disabling and Enabling Tests 9. IMMULITE® Systems 10.ADVIA Centaur® XP System 11.ADVIA® 1800 System 12.Dimension® Systems 13.Communication Pathway 14.Connection Summary SIEMENS © Siemens AG 2013. All rights reserved. Hardware Overview A. Robotic Arm • Consists of a gripper with o-rings and a barcode reader B. Priority Drawer • Up to 8 sample tubes can be added at one time for prioritized sample delivery A F C. 4 Standard Drawers • Can be unlocked by pushing a button B beneath them • 50 sample tube positions in each drawer C D. Emergency Stop • When pushed, power is disabled to all moving parts of the system while the D system computer remains on E. Panel Covering Computer F. Interface Wheel E • Required to connect the VersaCell® X3 system to an ADVIA® 1800 Chemistry system, ADVIA Centaur® XP Immunoassay system, or Dimension® Integrated Chemistry system Hardware Overview © Siemens AG 2013. All rights reserved. Software Overview Home Screen SIEMENS VersaCell 301 4.0.5.15 A. Instrument icons and statuses Teil Results B. Drawer status Indicators VersaCell • Priority Drawer status indicator displays Centaur - Left RxL - Rear RxL - Right above the 4 standard drawers only if priority drawer is enabled A • Error: sample tube problem • Delayed: connected system problem Running Runnin Running Running • In Process: tube is being processed O Delayed O Precens O Complete 5 A • Complete: all tests on the tube have resulted V • Green Checkmark: all samples have B Error º Error Error Error aspirated Delayed @ Delayed Delayed Delayed C. Help – opens the Operator’s Guide In Process 3) In Process O In Process In Process o Complete Complete 0 Complete Complete D. Change User ID / Sign Off E. VNC ? [ Operator Running 5/6/2013 2:52:44 PM Each button initiates a virtual session for C D E F G H • the designated connected system F. Search G. Run / Stop buttons H. Lock / Unlock Doors • To lock or unlock the main doors and the interface wheel doors Software Overview © Siemens AG 2013. All rights reserved. Sample Processing Running Samples in a Standard Drawer Scan Rack Options 1. Unlock a drawer by pressing one of the Drawer 1 Rack ID green drawer buttons under each drawer. AA070887 • The drawer can be opened once the Start from First Position button light is a steady green. • If it is a flashing light, the drawer is currently in progress and cannot be A B C D E opened until all tubes are returned to the 1 drawer. 2. Load the drawer from positions A1- A10, B1- B10, etc. without leaving spaces. Resume from Last Position 3. Close drawer and allow to lock. The robotic arm reads the rack carrier barcode post and A B displays the Scan Rack Options window. C D E 1 4. Select Start from First Position to begin sample processing. Include tubes with: Barcode Errors Note: Sample Errors When adding samples to a partially filled drawer, Transfer Errors where samples have not been removed, select Resume from Last Position. OK Sample Processing © Siemens AG 2013. All rights reserved. Running Samples in a Priority Drawer 1. Unlock the priority drawer by pressing the green drawer button to the right of the drawer. • The drawer can be opened once the button light is a steady green. 2. Load sample tubes into the drawer. Tubes can be removed or added to any open spot in the priority drawer at any time. 3. Close the drawer and allow it to lock. All 8 positions are re-scanned every time the priority drawer is closed. All 8 positions will also be scanned if you press the green button but never open the drawer. VersaCell X3 Note: VersaCell systems with Expansion Pack do not include the priority drawer. © Siemens AG 2013. All rights reserved. Running with a Sort Drawer SIEMENS VersaCell X01 4.0.5.15 If a Sort drawer is configured, that drawer will Teel Results be labeled “Sort” on the Home screen. Centaur - Left VersaCell RxL - Rear RxL - Right The Sort Drawer Icon displays the following indicators: • Error – turns red when an exception group D (sample errors, barcode errors, duplicate Running Runnin Running Running samples) is sorted Delayed 1) In Process Complete 5 4 • New Work – turns red when a sample has new work orders associated with it after it has been selected for sorting. Tubes with Error Error Error Error O New Work must be returned to their original Delayed Delayed Delayed New Work 10 in Process 20 In Process In Process drawer to complete processing. Group Warning Complete Complete Complete Group Full • Group Warning – turns yellow when a sort group is 75% full ? Operato Running 5/6/2013 3:03:55 PM • Group Full – turns red when a sort group is full © Siemens AG 2013. All rights reserved. Monitoring Samples and Results Drawer Screen SIEMENS VersaCell X1 4.0.5.15 To access the Drawer screen, select either: Overvine • Samples button on the Command Bar Rack Barcode • A drawer icon on the Home screen Selected Sample AN074729 A6. - There is a tab for each drawer, as well as a tab Started -- - Rescan Resend Requery to view an Overview screen which provides waitkg Empty Punition that status of all tubes on the system. Selected Sample Orders Conglete -- Result - 13 Sample status for each position is indicated by waiting Depty Position Longty Portion color. To obtain additional status information for a specific sample, select the sample’s tube - Started position. - The buttons on the right of the screen: - • Rescan – resets that position to an Mittig Empty Punition Refresh unscanned status (for example, could use if the operator removes a single tube) ? Operator Running 7/23/2013 1:07:20 PM • Resend – sends tube to connected system • Requery – requeries LIS for orders on the selected tube The Refresh button is only for the Selected Sample Orders list. The colors and sample status update automatically. © Siemens AG 2013. All rights reserved. Monitoring Samples and Results Test Results Screen SIEMENS VersaCell X03 4,0.5.15 The Test Results screen allows you to review the status of test orders and results. To access the screen, select the Test Results Pre-defined Filters Date Range From To No Filter Previous 24 Hours 05/05/2013 + 02:11 PM 05/06/2013 - 02:11 PM Go button on the Command Bar. Test Statsa Bhepretation View Details 1000058 Dewring. Michad The buttons on the right of the screen: Rerun Centaur - Let PSA Tratomitten Cestart - Let Clear • View Details – opens Patient Sample Detail Cestair- Loht Transmi Stephenson, Cody screen Requery LIS Asplaster Cestait - Left • Rerun – orders a repeat test 10002:52 1800051 Hardia, Edia • Clear – removes the order and/or result LIS Communication Cestas - Let from the Test Results screen Active Cestair -Lett • Transmit – sends results to LIS for the Tressites Cestasr - Left Refresh selected sample • Requery LIS – requeries the LIS for the ? Lab Manager +(1) Running 5/6/2013 2:11:35 PM selected sample • Active – pauses and reactivates LIS communication • Refresh – updates the screen © Siemens AG 2013. All rights reserved. Searching for Sample Tubes SIEMENS VersaCell X3 4.1 80 Use the Search screen to locate sample tubes on Home Samples Instruments Test Resu Setup Utilities Events or off board the VersaCell® X3 system. Overview Centaur-Left VersaCell ADVIA1800-Back ADVIA1800-Right Search To search for a tube: Sample ID Contains 100 Search 1. At the Status Bar, select the Search icon Sample ID Name PID Status Rack Drawer Position Last Scanned Date View In 1000101 pl, pa 1000101 AA074474 A-1 8/5/2013 9:40:20 AM 2. Select one of the search criterion: Contains, Drawer 1000102 pl, pa 1000102 AA074474 A-Z 8/5/2013 9:40:24 AM 1000103 pl, P AA074474 Starts With, or Ends With 100010 A-3 3/5/2013 9:38:39 AM Patient Details 1000104 1000104 AA074474 A. 8/5/2013 9:39:24 AM 100010 pl, pa 100010 AA074474 A- 8/5/2013 9:39:28 AM 3. Enter one or more of the following data: 1000106 pl, pa 1000106 AA074474 A-6 8/5/2013 9:39:48 AM Sample ID, Patient name, Patient ID 1000108 pl, P 1000108 Complete AA074474 A-1 8/5/2013 9:44:32 AM 1000109 pl, pa 1000109 Complete AA074474 A-2 8/5/2013 9:44:36 AM 1000110 pl, pa 1000110 Complete AA074474 Close A-3 8/5/2013 9:44:41 AM 4. Select Search 0 In Process 13 In Process 0) In Process 0 In Process o Complete Complete 16 Complete Complete To sort the results, select a column heading. ? Operato Running 8/5/2013 10:10:59 AM - To display further information, select the record and select: • Drawer: The Drawer screen displays with the specific sample highlighted • Patient Details: The Patient Sample Detail screen displays © Siemens AG 2013. All rights reserved. Shutdown and Startup Shutdown SIEMENS 1. Verify that all tubes have been returned to the drawers prior to shut down. Green checkmarks in the upper-left corner of the drawer status indicators on the Home screen indicate that all samples have been Sign In aspirated and returned. Sign In As Operator 2. Perform the daily shutdown procedures for User Name the connected instruments, as appropriate. Password See the operator's manuals for the connected instruments to verify the shutdown frequency. Sign In Shutdown 3. Select the green button beneath the standard drawers or to the right of the 8- position priority drawer to unlock the drawer. When the green button light turns solid green, pull the drawer open and ? 5/6/2013 2:38:05 PM remove the tubes. 4. On the Status Bar, select the sign off icon. At the Sign In screen, select Shutdown. A message displays: “Are You Sure You Want to Shut down the System?”. Select Yes. When shut down is complete, the Windows desktop displays. Shutdown and Startup Startup 1. On the Windows desktop, double-select the SIEMENS VersaCell X3 icon to initialize the software. 2. At the Sign In screen, it is optional to enter your User Name. The User Name can be any combination of alpha and numeric characters. You can sign in as Operator or Lab Manager. Each user has different privileges. No password is required for Operator sign in; a password is required for Lab Manager. VersaCell'X3 3. To begin processing sample tubes, select the Run icon. If the system is connected to an interface wheel, the robotic arm will check all 12 positions on the interface wheel when Run is first selected. 4. You may start the VersaCell® X3 system first, or start the connected instruments first. To start and initialize the connected instruments, follow the instructions in the appropriate manual for that system. As Needed Maintenance Replace O-Rings 1. Ensure the robotic arm is facing forward. 2. Select the Stop icon. 3. Select the Unlock Door icon and open the main doors. 4. Replace all four o-rings. There is one o-ring on each of the four "fingers“. a) Carefully cut or pull off each o-ring. b) One at a time, stretch one new o-ring over each "finger". 5. Close the main doors and select the Lock Door icon. 6. Select the Run icon to resume normal operation. As Needed © Siemens AG 2013. All rights reserved. Maintenance Cleaning the Interface Wheel 1. Ensure the system is in Stop mode, and select the Unlock Door icon. 2. Open an accessible interface wheel cover. If connected to an ADVIA ® 1800 system, unscrew the pipette cover, if necessary. 3. Unscrew the wheel knob. 4. Lift the interface wheel straight up to clear the shaft and pull it toward you. CAUTION: Tipping the interface wheel can cause spills and can result in bodily harm. 5. At a proper waste disposal area, dispose of any excess liquid waste. Using a clean dry cloth, wipe the interface wheel. Use a general purpose cleaner or disinfectant if required. 6. Completely dry the interface wheel. 7. Reinstall the interface wheel: a) Align the wheel on the shaft, and spin the wheel so that it drops down on the pin. b) Tighten the wheel knob. c) Replace the pipette cover if appropriate. 8. Close the interface wheel cover. Select the Lock Door icon and then the Run icon. Cleaning the Racks To clean the standard drawer racks: 1. Open the drawers and remove the racks. 2. Decontaminate drawers and racks using surface disinfectant and a damp cloth. To clean the priority drawer rack: 1. Open the priority drawer. 2. Loosen the two thumbscrews on the priority drawer rack. 3. Lift up the priority drawer rack to remove it. 4. Decontaminate the priority drawer and rack using surface disinfectant and a damp cloth. 5. Reinstall the priority drawer rack. 6. Tighten the two thumbscrews. Troubleshooting Assay Errors SIEMENS VerlaCed 301 4.1 80 1. Identify the cause of the assay error. • At the Command Bar, select Instruments, which is flashing. Review the Assay Errors Centaur-Left Instrument Errors area on the Instruments screen. The AnalyzerC uneet could wat der for aple ID 1000115, order D le PSA, due At the Lis, resshre the problems • You can also navigate to the Drawer screen, The intr sample 0 3900115, order D code PSA. The essed Caileste the select the tube with the assay error and look Analyzer Status " provider hitryesist at the sample orders. D Ready Running Pipetter Status Whee l Status 2. Resolve the assay error at the connected Assay Errors instrument (for example, add more inventory). Raagent Fature, Reagent Not Calibrated 3. Select Resolved (if necessary). • The error on the VersaCell ® X3 system may be cleared automatically. • However, in some cases, you must indicate Wheel Resolve on the Instruments screen that error has been resolved: ? Operator Running 8/5/2013 10:14:00 AM o Select the Resolved checkbox for the test(s) for the error you resolved. o Select the Resolved button. Once the assay error is resolved, the VersaCell X3 system will automatically transfer sample tubes to the connected instrument to complete processing. Troubleshooting © Siemens AG 2013. All rights reserved. Sample Errors SIEMENS VersaCell X3 4.1 80 Home Instruments Test Results Setup Utilities Events 1. Identify the tube with the sample error. Overview A Drawer 1 Drawer 2 Drawer 3 Drawer 4 Priorit Scan Rack Options • At the Command Bar, select Samples, which Drawer 3 Rack ID pl pa pl pa will display a red triangle error icon. AA071088 Rack Barcode 1000127 1000135 AA071088 Aspirated Aspirated Empty Position Empty Position Start from First Position • You can also select the drawer icon with red 1000128 1000136 Aspirated Empty Position Empty Position B D errors. C E pl pa pl pa Resend Requery 1000129 1000170 Aspirated Sample Error Empty Position Empty Position pl pa ders 2. Open the drawer and remove the sample tube. 1000140 Aspirated OCIOOOK Aspirated Empty Position Empty Position Resume from Last Position Result nstrument Resolve the sample issue. pl pa 1000131 1000141 ADVIA1800-Back Sample Error Aspirated Empty Position Empty Position Le Erro B C D 1000132 1000142 3. Reload the tube in a drawer, using one of these Aspirated Aspirated Empty Position Empty Position pl pa pl pa options: 1000133 1000139 Aspirated Sample Error Empty Position mpty Position Include tubes with: Pl pa 1000134 pl pa Barcode Errors 1000162 Place the tube in its original position. On the Aspirated Aspirated Empty Position • Empty Position Sample Errors pl pa pl pa Transfer Errors Scan Rack Options screen, select Resume 1000137 1000163 Aspirated Aspirated Empty Position Empty Position pl pa OK from Last Position with the Sample Errors 1000138 Aspirated Empty Position Empty Position Empty Position Empty Position Refresh checkbox selected. ? Operator Running 8/5/2013 10:47:57 AM - • Place the tube in the next available position in the original drawer. On the Scan Rack Options screen, select Resume from Last Position.* • Place the tube in a different drawer. On the * To clear the error from the original position, open that drawer. On Scan Rack Options screen, select Start from the Drawer screen, select the original position. Select Rescan, and First Position.* close the drawer. Barcode Errors SIEMENS VersaCell X3 4.1 80 Home Samples Instruments Test Resu Setup Utilities 1. Identify the tube with the barcode error. Events Overview Drawer 1 Drawer 2 Drawer 3 Drawer 4 Priority Drawer • At the Command Bar, select Samples, E which will display a red triangle error ack Barcode 1000127 1000135 Selected Sample AA071088 Complete Aspirated Empty Position Empty Position Empty Position icon. Identify and locate the sample tube 1000128 with the error. Complet Empty Position Empty Position Empty Position Rescan Resend Requery You can also select the drawer icon with Aspirated Barcode Error Empty Position Empty Position Empty Position • pl pa pl pa Selected Sample Orders red errors to navigate to a barcode error. 1000130 1000140 Aspirated Aspirated Empty Position Empty Position Empty Position pl pa 1000141 Barcode Error Aspirated Empty Position Empty Position Empty Position pl pa pl pa 2. Remove the sample tube, and reposition or 1000132 1000142 Aspirated Empty Position Empty Position Empty Position replace the barcode label. pl pa 1000133 Aspirated arcode Error Empty Position Empty Position Empty Position No Orders 1000134 400916 Aspirated 1000162 Aspirated Empty Position Empty Position Empty Position 3. Reload the tube in a drawer. pipa pl pa 1000137 1000163 Aspirated Empty Positi Empty Position Empty Position Return the sample tube to its original pl pa • 1000138 Aspirated Empty Position Empty Position Empty Position Empty Position position and close the drawer. At the Scan Refresh Rack Options screen, select Start from ? Operato Running 8/5/2013 10:49:23 AM First Position, or Resume from Last Position with the Barcode Errors checkbox selected. • You can also place the sample tube in a new position. It will be processed like a new sample tube. Transfer Errors SIEMENS VersaCell X3 4.1 80 Home Samples Instruments Test Resu Setup Utilities Events 1. Recognize indications of a Transfer Error: Overview An error report with the message “A robotic Centaur-Left VersaCell ADVIA1800-Back ADVIA1800-Right arm error occurred when moving a tube from the drawer” will display on the screen. VersaCell Error Report Code Date and Time Source Event 2. Select the Unlock Door icon and open the 102015 3/5/2013 11:00 AM VersaCell A robotic arm error occurred when moving a tube from the drawer. Remove the tube, or gently pull the gripper toward you if no tube is present. Load the tube. main doors. Running Running 3. Deflect the gripper. • If there is a tube in the gripper, grasp the sample tube and lift up. There will be a loud release of air as the gripper releases Error the sample tube. Sound On Close 0 Delayed Delayed If there is not a tube in the gripper, the 12 In Process In Process In Process 0 In Process • o Complete Complete Complete Complete O operator should still deflect the gripper and hear the air release. Check the VersaCell® X3 system, interface wheel, ? Operator Error Paused 3/5/2013 11:00:33 AM and connected systems to locate the tube. 4. Close the main doors and select the Lock Door icon. 5. Investigate what created the jam and correct the cause. 6. Select the Run icon to resume normal operation. © Siemens AG 2013. All rights reserved. Recovering from E-Stop 1. Pull out the E-Stop button. • After the operator hits the E-Stop button, wait at least one minute before pulling out the E-Stop button to recover the VersaCell® X3 system. 2. Select the Run icon. • Select the Run icon to allow the robotic arm to home itself. When the homing is complete, the system will be in Stop mode. 3. Select the Run icon again. • Select the Run icon a second time to put the system into Run mode and continue processing tubes. © Siemens AG 2013. All rights reserved. Disabling and Enabling Tests There is an option in the software that allows SIEMENS 1 VersaCell X3 4.1 you to temporarily disable a test. 80 Home Samples Instruments Test Results Setup Utilities Events VersaCell Instrument LIS Drawers Panels Sorting Test Routing est Enable 2 Enable / Disable Tests To enable or disable a test: Test Code Centaur-Left ADVIA 1800 - Back ALB 1. Select the Setup icon from the top Command ALPAMP Bar. ALT AMYLAS 3 2. Select the Test Enable tab. BNP 0 CA_2 3. Select the checkbox for any test you want to CHOL 2 CKNAC enable. Deselect the checkbox for any test CL COZ_ you want to disable. CREA CRP 4. Select Save. D-HDL DLOL KK KK KK KK KK KK ECRE_2 KK KK KK KK KK KKKK i FER Any user can enable or disable a test. The 4 Save Cancel system must be in Stop mode. ? Siemens 1 Locked 8/5/2013 8:21:11 AM Disabling and © Siemens AG 2013. All rights reserved. Enabling Tests IMMULITE® Systems Startup • On the IMMULITE system screen, a “Received Reinitialize 1” message indicates that communication has been established with the VersaCell® X3 system. • On the VersaCell X3 system screen, the IMMULITE system status remains “Not Connected” until the IMMULITE software is initialized and the prompt to delete the worklist is answered. Reflexive Tests • The VersaCell X3 system receives the reflexive test orders, retrieves the sample tube and resends it to the instrument. The test orders and results appear on the VersaCell X3 screens. Tests Manually Ordered on the IMMULITE Systems: • The VersaCell X3 system receives the reflexive test orders, retrieves the sample tube and resends it to the instrument. The test orders and results appear on the VersaCell X3 screens. IMMULITE Systems ADVIA Centaur® XP System Startup • When the first sample is sent from the VersaCell® X3 system to the interface wheel, the ADVIA Centaur XP system will automatically do a prime before the first sample is pipetted. • On the VersaCell X3 system software, the ADVIA Centaur XP system status will be "Running" if the system is ready to start processing. Reflexive Tests • The VersaCell X3 system automatically resends sample tubes to an ADVIA Centaur XP system when the instrument generates a repeat or reflex test order. • After the VersaCell X3 system resends the sample tube to the instrument, a system-generated order is created with Resend as the test code to indicate a pending resend request. This order is automatically cleared once the resend request has been honored. • Once the test has completed, the results for the repeat/reflex tests will be displayed. The Test Results screen does not display interim information for the sample after it has been resent and before it results. Tests Manually Ordered on the Centaur XP System: • If the tube is placed on the VersaCell X3 system, the Resend button on the Drawer screen must be used to send the tube to the connected instrument. The test orders do not display on the VersaCell X3 system software until the test results. • Calibrators and quality controls must be loaded directly on the ADVIA Centaur XP system. ADVIA Centaur XP © Siemens AG 2013. All rights reserved. System ADVIA® 1800 System Startup • On the VersaCell® X3 system Home screen, the ADVIA 1800 system status remains "Not Connected" until the software is started and the Outside Analyze Start option is selected. Reflexive Tests • The ADVIA 1800 Chemistry system will run repeat and reflex testing on the original aliquot for all samples except for electrolytes. • Electrolyte samples are pipetted exclusively from primary tubes. If a repeat or reflex test is ordered for an electrolyte on a tube on the VersaCell X3 system, the operator can use the Resend button on the Drawer screen to have the robotic arm has to bring the tube back to the interface wheel. • Once the test has completed, the results for the repeat/reflex tests will be sent to the VersaCell X3 system. The Test Results screen does not display interim information for the sample before it results. The VersaCell X3 system sends the results to the LIS. Tests Manually Ordered on the ADVIA 1800 System: • If the tube is placed on the VersaCell X3 system, the Resend button on the Drawer screen must be used to send the tube to the connected instrument. The test orders do not display on the VersaCell X3 software until the test results. • Calibrators and quality controls must be loaded directly on the ADVIA 1800 system. ADVIA 1800 System © Siemens AG 2013. All rights reserved. Dimension® Systems Startup • The Dimension system instrument status on the VersaCell® X3 system should display “Running”, unless there is an error. • It is not required to shutdown the Dimension systems as part of the VersaCell X3 system shutdown procedure, but an error message DMW/HOST Communication Problem will display. When the VersaCell X3 system is back online, press Reset to clear the message on the Dimension systems. Reflexive Tests • If samples are loaded by the STM, with automatic reflex testing defined in the Dimension system, the reflex test will run from the aliquot sample. • If the sample is loaded manually on the Dimension system, the reflex test will be run from the tube or cup. • The Dimension system will never request the sample tube from the VersaCell X3 system. • The reflex test orders generated by the Dimension system will only display on the VersaCell X3 system after the test orders result and the results are sent to the VersaCell X3 system. • Errors generated by the Dimension system for reflex tests will not be indicated on the VersaCell X3 system as this information is not sent to the VersaCell X3 system from the Dimension system. © Siemens AG 2013. All rights reserved. Dimension Systems Panic Repeats Ordered on the Dimension® Systems • Automatic Repeat for Panics is defined in the Dimension system software. • When the first panic result is completed, the repeated result will be performed from the aliquot sample if the tube was delivered to the Dimension by the STM probe. • A result is not sent to the VersaCell® X3 system until the repeat test is finished. The LIS screen displays both results. To Order Re-Runs or Add a Test to the Dimension Systems • Ordering Re-runs or Adding a Test cannot be done from the aliquot. It is not allowed. The message says Cannot EDIT/RERUN STM aliquoted samples. • In order to rerun or add a test, the tube must be removed from the VersaCell X3 system drawer and manually loaded on the Dimension system. • If a new test is added through the LIS or Middleware, the VersaCell X3 system will send the tube back for testing as long as it is still in the Input/Output drawer and the barcode is rescanned. To rescan the tube, open and then close the drawer and select Start from First Position or load the tube into a different drawer. • To most efficiently order the re-run, display the Enter Data screen on the Dimension system and change the Sample Container Mode to Bar Code Tube. Then type or scan the barcode number and order the repeat test(s). Load the tube and press RUN on the Dimension system. © Siemens AG 2013. All rights reserved. Tests Manually Ordered on the Dimension® Systems • Patient Samples: The tube must be manually loaded on the Dimension system. The tube cannot be loaded on the VersaCell® X3 system. Results will be sent when they are complete. • Calibrators and Quality Controls: All calibrations and quality controls are ordered and loaded on the Dimension system. For instruments with QCC PowerPak software, barcoded tubes assigned to QC Panels are loaded directly onto an instrument segment. © Siemens AG 2013. All rights reserved. STM Processing Status The current processing status of the STM appears in the instrument status area of the Dimension® system screen. Instrument Status Area STM Standby Dimension® 1 2 Photometric IMT STM Status Date and Processing Sampler Time STM Status Meaning STM Standby The STM is available to receive STM work STM Processing The STM is currently transferring samples STM Needs The Dimension system will not accept any STM work until STM needs are resolved STM Pausing The STM will complete the current sample transfer and will pause when the carriage returns to home position STM Paused The Dimension system will not accept any STM work STM Error The Dimension system will not accept any STM work until the STM error is resolved © Siemens AG 2013. All rights reserved. Segment Status Area k 1 a 2 - 3 d b 5 A 6 • An STM segment appears with a lower case letter. • STM segment status boxes can appear in three background colors: red, green and yellow. o Red and green have the same meaning as primary sample tube/sample cup segments. o Yellow indicates that the STM segment has unused aliquot positions available on it. Do not remove STM segments that are red or yellow. © Siemens AG 2013. All rights reserved. Aliquot Segments Screen Help Standby Sampler Idle IMT OK STM Standby 06/28/10 13:30 • The Aliquot segments screen displays the status of the aliquot segments currently on IFbACE Run OFF the sample wheel and the count or status of the STM components. Home ALIQUOT SEGMENTS STM State: READY Backlog: • Navigate to the Aliquot Segments screen STM Aliquota: 126 Pipette tips: 234 Tips to Waste Full: 1148 from the Operating Menu by pressing F8: STAT Status 1 Segment Status or from any screen by pressing Alt/S. The F2: function key will Sample Alert 2 alternate between SEE STM and SEE ONBOARD. Supplies 3 • The information on this screen includes: QC Alert o STM State o STM backlog time o The number of unused aliquot positions Calib Alert 5 available o The number of pipette tips available Exit 6 o The number of pipette tips remaining until the tip waste container is full o The current status of each aliquot Enter position F1: F2: SEE ONBOARD F3: DELETE SEG F4: F5: F6: F7: F8: DEL. RECORDS Note: Use the Help key to explain the meaning of each aliquot position status. © Siemens AG 2013. All rights reserved. Loading Aliquot Segments The aliquot segment can be replaced when the segment status box is green indicating that all positions have been used. 1. Press the Pause key on the system keyboard to stop the movement of the sample wheel and wait for the Photometric aliquot segments. Sampler Status to display the “Samplers Off” status. After this the sample wheel can be moved manually to remove WARNING: Never remove an aliquot segment that has a red segment status box on the screen. This segment is currently being used to process a sample. Removing this aliquot segment may result in erroneous patient results. 2. Remove the used aliquot segment from its base (leave the segment base in place on the sample wheel). Place a lid on the used aliquot segment to keep fluids from splashing out of the segment and then discard the aliquot segment. 3. Place a new, unused aliquot segment on the base. Ensure that the aliquot segment is fully seated in the segment base. WARNING: Never place a previously used or partially used aliquot segment onto the sample wheel. This will cause erroneous patient results. 4. Repeat Step 2 and Step 3 to replace other segments as required. 5. When all aliquot segments are replaced, press the Pause key. 6. Press the Run key and the following steps will automatically occur: a) The system will scan the sample wheel. b) The Aliquot Segment screen and Segment Status box on the screen will update. c) The replaced aliquot segments will appear with green + symbols in all positions. © Siemens AG 2013. All rights reserved. Loading Pipette Tips The tip feeder must be loaded when the Pipette Tips field on the Aliquot Segments screen is zero, as the STM will stop transferring samples and the “STM Needs” message appears. 1. Raise the tip feeder cover and wait for the tip tray to move the tip racks to the front of the feeder. 2. Remove empty pipette tip racks and dispose with other laboratory hazardous waste. 3. Place the new rack(s) onto the tip tray and close the tip feeder cover. 4. The system automatically inventories the number of tips in both racks of the tip tray. The total number of inventoried tips appears in the Pipette Tips field at the top of the Aliquot Segments screen. The total number includes the tips in the trays plus one on the STM probe. © Siemens AG 2013. All rights reserved. Emptying the Tip Waste Container The tip waste container must be emptied when the Tips to Waste Full field on the Aliquot Segment screen is zero, as the STM stops transferring samples and the “STM Needs” message appears. This container however, can be emptied at any time. Removing the waste container automatically pauses the system. 1. Open the STM cabinet door and remove and empty the tip waste container. 2. Place a biohazard bag liner inside the empty container and place the container back in the cabinet and close the STM cabinet door. 3. Navigate to F4: System Prep and then press F6: Sys Counters to access the System Counters screen. Move the cursor to the STM Tip Waste field. 4. Press the Enter key to change the NO to a YES and then press F1: Store Changes. 5. Answer the prompt that appears by typing a “y”. The Cycles column changes to zero and the Last Replaced column changes to the current date and time. © Siemens AG 2013. All rights reserved. Resolving STM Error Messages • If an error message appears on the Dimension screen, press the Alt/M key combination to see specified information about the error. • If Alt/M does not display troubleshooting help for the STM error message, refer to the Dimension system STM Operator’s Guide. • For information regarding messages not included in the Operator’s Guide, contact the Technical Solutions Center. © Siemens AG 2013. All rights reserved. STM Sample Aspiration Problem • These error messages appear because pressure data that is monitored during and after aspiration detected an abnormal condition. This can be caused by the STM aspirated air or the STM tip is leaking or plugged. • When the STM posts these errors, the tube is returned to the VersaCell® X3 system and is marked as a sample error. • Investigate and resolve the cause of the problem. Error Message Probable Causes STM Aspirated Air (782) • Crimped tubing • Bubbles or foam on top of sample STM Tip Leaking (780) • Misalignment of STM pipette tip to tip tray • Leak in tubing • STM Air Pump syringe tip defective • Defective pipette tip STM Tip Plugged (781) • Poor quality sample (clot) • Crimped tubing • Pipette tip entered the gel or separator area of sample (insufficient sample) • Pipette tip aspirated a clot or fibrin from tube (poor sample quality) • Defective pipette tip © Siemens AG 2013. All rights reserved. STM Probe Found No Sample During Level Sense (788) • This error message appears when the STM probe does not detect fluid in the sample tube within the full vertical travel of the probe. The sample tube is returned to the VersaCell® X3 system and will display a sample error. Possible Cause To Resolve the Error: Press reset Insufficient sample in the • If the error does not reappear on the next sample, the most tube likely cause was the tube had an insufficient volume of sample • Retrieve the sample. If more sample is available, add more sample and reload on the VersaCell X3 system. If no more sample is available, load directly on to the Dimension system in a sample cup Faulty level sense • The error appears on the next sample and there is sufficient sample • Access the STM Fluidics system from the back of the STM and check all air tubing connections on the STM air pump, pressure PCB, board and the STM carriage/probe. • Ensure the P30 connector is secure on the level detect PCB (near the STM pump) • If all tubing and cable connections are secure and the error reappears, call TSC No sample tube present • Observe transfer of samples from the VersaCell X3 system to the Dimension system and STM aspiration • If no sample tube is present when the STM probe aspirates, call TSC © Siemens AG 2013. All rights reserved. Communication Pathway 1. Sample tube is scanned on VersaCell® X3 system. 2. VersaCell X3 system queries the LIS for test orders. 3. Test orders are received by VersaCell X3 system and displayed on the Test Results screen. 4. Test orders are sent to the connected instrument. 5. The sample tube is sent to the connected instrument and is pipetted. 6. The same tube is returned to the VersaCell X3 system. 7. When the test completes, the result is sent to the VersaCell X3 system. 8. The VersaCell X3 system sends the result to the LIS. Communication © Siemens AG 2013. All rights reserved. Pathway Connection Summary IMMULITE® DIMENSION® ADVIA CENTAUR® XP ADVIA® 1800 Reflex Tests / AutoDilutions / Panic Repeats ordered by Yes – VersaCell® X3 connected system system sends tube Run on aliquot Yes – VersaCell X3 system sends tube Run on DTT Re-runs or manual tests ordered by operator on Yes – VersaCell X3 system sends tube Front-Load RESEND button RESEND button instrument LIS add-on or reflex test YES – YES – YES – YES – Must rescan Must rescan Must rescan Must rescan Front load whole HIV tests – must Front load whole Special Tests blood methods and urine drugs have open bracket blood methods and of abuse to process urine drugs of abuse Calibrators / QC / Microsamples Recommend Recommend Recommend Recommend Front-Load Front-Load Front-Load Front-Load Connection Summary © Siemens AG 2013. All rights reserved. Note: This document is for supplemental use only, and not meant to be used in place of primary technical materials. © 2014 Siemens Healthcare Diagnostics Inc. All rights reserved. This guide and the software described within, are copyrighted. No part of this may be copied, reproduced, translated, or reduced to any electronic medium or machine-readable form without the prior written consent of Siemens Healthcare Diagnostics. All trademarks are the property of their respective owners. Global Siemens Headquarters Global Siemens Healthcare Headquarters Global Division Siemens AG Siemens AG Siemens Healthcare Diagnostics Inc. Wittelsbacherplatz 2 Healthcare Sector 511 Benedict Avenue 80333 Muenchen Henkestrasse 127 Tarrytown, NY 10591-5005 Germany 91052 Erlangen USA Germany www.siemens.com/diagnostics