CLINITEK Atlas® Automated Urine Chemistry Analyzer System Overview Online Training

As stated, there are two types (copperand hormone-releasing) and in the USA we see 3 major brands: Mirena, Skyla and ParaGard. Skyla is newest to market (approved Feb 2013).The IUDs are approximately 32 mm width. I’d like you to Note “normal” placement of the paragard in this model. Endometrial cavity varies so much, but scanner often expects to see iud in “text” book type positioning and that’s not always the case.  Welcome to the CLINITEK Atlas® Urine Chemistry Analyzer System Overview Online Training course. Urine is dispensed onto test pads and in the specific gravity well to test chemical and physical properties of urine.    Select Next to continue. Identify and describe the function of the main system components Navigate the system software. Upon successful completion of this course, you will be able to: Select Next to continue. You may see a display image of the volume data set demonstrating the frame you chose with all the frames compiled behind it or you may see a display of the MPR. Multi-planar rendering is the simultaneous display of 3 orthogonal views. Each plane is 90º to each other. A screen shot displaying these 3 views or a screen shot of the volume both constitute 3D imaging. You can appreciate that the volume image inherently has superior contrast resolution because of it’s stacked data set. Congratulations.  You have completed the CLINITEK Atlas System Overview online training course.  Listed below are the key points that have been presented.  Take time to review the material before you proceed to the final quiz.    Identify and state the function of the main system components The exterior components on the CLINITEK Atlas system include the system cover, barcode reader, and  rack handler. On the inside of the system are the reagent compartment, pipette, syringe, lamp, and SG well.  The pipette system hardware includes the pipette and the syringe. Using liquid level sensing, the pipette detects and aspirates urine. Urine is placed on each test pad and in the SG well. The pipette is then rinsed as is the SG well. The reagent roll is stored in the reagent storage module and is transported through the read head using a sprocket drive and a take up reel. The optical system includes a halogen lamp that illuminates a large fiber optic bundle that is divided into 14 smaller bundles. The system also determines specific gravity and clarity in the SG well using LED's and optical sensors. Navigate the system software The CLINITEK Atlas analyzer user interface consists of a display screen, keyboard and soft keys. The display screen contains menus, messages and instructions. Navigate through the software using the keyboard which consists of ten numeric keys, three functions keys and four soft keys. A screen saver may display after sixty minutes of inactivity. Select Next to continue.   A great tool that allows us to see the entire anatomy of the uterus is Multi-slice View. Multi-Slice View is a reliable diagnostic method for detection of congenital uterine anomalies. It enables the analysis of uterine structure such as uterine fundus, septum length, and the shape of the uterine cavity in only one volume scan. Sequential sectional scans in three-dimensional Multi-Slice View mode of the uterus in all three planes can give sufficient information for diagnosis of uterine anomalies. The display image captured for pacs has many options with sizing, slice thickness, and display format. The exterior components on the CLINITEK Atlas system include: System cover Barcode reader  Rack handler The interior system components include: Reagent compartment Pipette Syringe Lamp SG well    Atlas System Overview Learn about the system components.   Select the play arrow to begin video.   When complete, select the X in the upper-right corner to close the window and continue.    Exterior Front View Components Learn about the components in the Front Exterior view. Base ImageHotspotsText BlocksImage File Rack Handler   Front Cover   Display and soft keys Rinse bottle STAT Holder Exterior Rear View Components Learn about the components in the Rear Exterior view. Base ImageHotspotsText BlocksImage File Interface connectors for printer and LIS   Power receptacle for power cord Fuse holder Power switch for main power to the system Serial number of system Program card contains the operating system These are a little more thickened with the left displaying a bit of a curve to the uterine placement. At times, we cannot simultaneously display the fundus, lower uterine segment, and vaginal canal. Depending on the patient symptoms and clinical history it may be necessary to take multiple volume sweeps. The pipette system which includes the pipette and the syringe: Detects and aspirates urine using liquid level sensing Places urine on each test pad and in the SG well  Rinses the pipette Pipette System Components Learn about the Pipette System components. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Syringe   A pump that aspirates the sample from the tube, dispenses urine on each test pad and in the SG well, and rinses the pipette and the SG well.   Select Next to continue.   Note: If audio does not automatically start, select the play arrow in the top left to begin.During sample aspiration the action of the syringe pump aspirates samples from the tube and then dispenses sample on the pads of the test strip and into the SG well. The syringe aspirates and dispenses rinse to clean the pipette and SG well.2 Pipette A hardware component that aspirates and dispenses the sample and hydrates the SG well. Select Next to continue. Through liquid level sensing, samples are drawn into the pipette by the action of the syringe pump. The pipette then directs an aliquot of sample to each test strip pad and then to the SG well. 3 SG Well and Sensor SG Well: The component where the pipette dispenses the sample for the specific gravity and clarity measurements. SG Sensor: Measures the specific gravity and clarity of the urine sample. Select Next to continue.   The SG sensor assembly is located toward the back of the instrument and is used to measure specific gravity and clarity of the urine sample.4 Rinse Well   The component where the pipette dispenses the rinse solution to rinse the pipette.   Select Next to continue.   The rinse well is part of the SG assembly here the pipette is rinsed after each sample, this action cleans the inside and outside of the pipette. The rinse is dispensed through the pipette by the action of the syringe. 5 Rinse Bottle  The rinse bottle stores enough rinse solution for one reagent roll. When complete, select the X in the upper-right corner to close the window and continue.The rinse solution is prepared and stored in the rinse bottle and used to clean the pipette and SG well. The same solution is used to rehydrate the SG well on a timed basis. The IUD here is clearly displaced. The reagent transport includes the following components: Reagent strips Reagent storage module Readhead Sprockets Take up reel Reagent Transport Components Learn about the Reagent Transport components. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Reagent Storage Module   The humidity controlled reagent storage module houses the reagent roll. The strips are used in the analysis of color, pH, protein, blood, leukocyte esterase, nitrite, glucose, ketone, bilirubin, and urobilinogen.   Select Next to continue.   Note: If audio does not automatically start, select the play arrow in the top left to begin.The reagent storage module stores the unused reagent strips in a moisture free compartment. 2 Take Up Shaft The reagent roll is transported by the action of the: Tension Sprocket Stationary Rod Sleeve Take Up Reel When complete, select the X in the upper-right corner to close the window and continue. The tension sprocket, stationary rod sleeve, and take up reel aid in the reagent transport. After passing through the read head the used strips move to the take up reel. The sprocket and pins maintain the sample position and reagent roll tension. Here we see a right fundal intraendometrial fibroid and then we see one displacing the endometrial cavity. The optical system includes a halogen lamp that illuminates a large fiber optic bundle which is divided into 14 smaller bundles. The system also determines specific gravity and clarity in the SG well using LED's and optical sensors.   Optical System Components Learn about the optical system. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Lamp  The lamp illuminates the test strips through fiber optic bundles.   Select Next to continue. Note: If audio does not automatically start, select the play arrow in the top left to begin. The halogen lamp is located in the upper left hand corner of the system. Light is transmitted through a filter and then through a set of fiber optic bundles to the read head.2 Read head Assembly Two sets of fiber optic bundles are attached to the read head. The reagent strip pads, with the exception of the color pad, is impregnated with chemicals for the determination of a particular analyte.   Select Next to continue.  The Read head Assembly consists of two sets of fiber optic bundles that are attached to the read head. One set directs light to the reagent pads and the other set transmits the reflected light off the reagent pad to the rotary receiver where wavelengths of light are converted to clinically meaningful results.3 Rotary Receiver The rotary receiver, located behind the panel, consists of a number of different filters or wavelengths. The concentration of each analyte is measured by the color change developed when a urine sample is deposited on a porous pad containing dry reagent. The light intensity that is reflected at one or more specific wavelengths from the surface of the reagent pad is converted into clinically meaningful results. Select Next to continue.  The concentration of each analyte is measured by the color change developed when a urine sample is deposited on a porous pad containing dry reagent. The light intensity that is reflected at one or more specific wavelengths from the surface of the reagent pad is converted into clinically meaningful results. This is called reflectance spectrophotometry.4 SG Well In the SG well there is an omega shaped sensor and LED for measuring specific gravity. There is also another LED and sensor for analyzing clarity. When complete, select the X in the upper-right corner to close the window and continue.Housed in the SG well is an omega shaped sensor powered by an LED source light for measuring specific gravity. A second LED and optical sensor are used for analyzing clarity. There are several publications that indicate uterine anomalies happen in 1:200 women. Some lean toward lower numbers stating that women without fertility issues or symptoms may not have been taken into consideration for such a high number. There are 7 types classified by the American Fertility Society: Type I ‒ Hypoplasia and agenesis Type II ‒ Unicornuate Type III ‒ Didelphys Type IV ‒ Bicornuate Type V ‒ Septate Type VI ‒ Arcuate Type VII ‒ Diethylstilbestrol drug related Types and subtypes described here are from the american fertility society. The type “list” can vary by the lists owner….meaning that type II is not universally accepted as Unicornuate, but unicornuate is universally accepted as a type. Communication between the operator and the instrument is made through the: Keyboard Soft keys Twelve line display Display Screen Components Learn about the Display screen. Base ImageHotspotsText BlocksImage File 1. Twelve line display 2. Soft keys3. Backup4. Standby5. Enter6. Numeric keys Navigating the Software Learn about navigating the software. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Ready for Testing   The Ready for Testing screen displays: Status of system and reagents Date and time Access to soft key options   Select Next to continue. Select each number to review the corresponding textNote: If audio does not automatically start, select the play arrow in the top left to begin.CalloutsKeyboard12 line displayCommunication between the operator and the instrument are made through the keyboard and the twelve line display. All instructions, menus and messages are shown on the display. The Ready for Testing screen displays the status of the system and reagents, the date and time, and access to soft key options. This is also the screen that must be displayed when starting a sample run on the track. The Analyze soft key is used to start a control run or a calibration. The Status key provides more information about the status of the system including the number of samples stored in the database. The Main Menu provides access to sample results, maintenance procedures and software customization. Select Next to take a closer look at the Main Menu.2 Main Menu   The Main Menu includes:  Recall/Delete Results  Set Sequence Number  Set Date / Time  Load / Unload Reagents  Prime Pump  Clean SG Well  Set Tone Volume  Set Up Analyzer  Analyzer Diagnostics   When complete, select the X in the upper-right corner to close the window and continue.  The main menu displays nine items all of which are accessed by selecting the numerical soft key associated with the item. When opening the software screens for Set Up Analyzer or Analyzer Diagnostics, the code 2633 is needed to gain further access to these screens. Follow the prompts or make selections as each item is selected. Use the Backup key to return to the previous screen. The Enter key is used to save an entry, for example, when entering a lot number select Enter to store the lot number information in memory.