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Dimension® EXL™ 200 Integrated Chemistry System Overview Online Training

Locate major system components and determine their function to provide the operator the foundation to successfully setup and operate the analyzer. Navigate through software screens using touchscreen and keyboard. This clinical laboratory training qualifies for continuing education units (CEU).

Identify Dimension® system technologies, components, and functions Navigate through the software screens using the system keyboard and proper techniques Utilize the touchscreen as the communication link between the instrument and the operator Welcome to the System Overview course for the Dimension® EXL™ 200 System. After completing this course, you will be able to: Select Next to continue. The Dimension® EXL™ 200 Integrated Chemistry System is a discrete, microprocessor-controlled instrument that measures a variety of analytes. In this section, you will learn about the technologies and associated components, as well as functional areas within the instrument. System hardware includes: Integrated Multisensor Technology (IMT) system Heterogeneous Immunoassay Module (HM) LOCI® Technology (Luminescent Oxygen Channeling Immunoassay) Key components of the Dimension® system: Sample area Reagent area Cuvette area Select Next to continue. The sample area is the location for loading and processing samples in the Dimension® system. The photometric sample probe delivers patient or QC samples from sample containers into cuvettes. For HM tests, the photometric sample probe also transfers bound sample reactants from HM reaction vessels into cuvettes. Sample Area Learn about the sample area. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Use Appropriate Sample Containers The Dimension® system processes serum, plasma, urine, and cerebrospinal fluids using sample containers. Unstoppered 5-mL, 7-mL, and 10-mL primary sample tubes (barcoded or non-barcoded) Dimension® system Sample Cups with lids Dimension® system Small Sample Containers (SSCs) Select Next to continue.Note: If audio does not automatically start, select the play arrow in the top left to begin.Select each number to review the corresponding text.CalloutsSample Tubes Sample CupsSSCsThe Dimension® system processes serum, plasma, urine, and cerebrospinal fluids. Use only these sample containers when processing samples: Unstoppered 5-mL, 7-mL, and 10-mL primary sample tubes, whether barcoded or non-barcoded, Dimension Sample Cups with lids and Dimension Small Sample Containers2 Load Sample Containers into Segments Sample containers are loaded into segments. Segments fit inside the sample wheel and hold all the samples to be processed on the instrument. The sample wheel holds up to 6 segments Each segment holds up to 10 samples Adapters are used for 5 mL and 7 mL tubes and sample cups Select Next to continue.Load sample containers into segments, and if necessary, into an adapter. Segments fit inside the sample wheel and hold all the samples to be processed on the instrument. The sample wheel holds up to six segments. Each segment holds up to ten samples.3 Barcode Readers Simplify Data Entry The Dimension® system contains: Inner barcode reader Outer barcode reader All barcode labels must be visible through segment openings when loading barcoded tubes into segments. Select Next to continue. Select each number to review the corresponding text.CalloutsInner Barcode ReaderOuter Barcode ReaderThe Dimension system contains both an inner and an outer barcode reader that reads patient data on barcode labels. All barcode labels must be visible through segment openings when barcoded tubes are loading into segments.4 Sample Probes Go to Work The photometric sample probe: Delivers samples to cuvettes and HM reaction vessels. Delivers bound sample reactants from HM reaction vessels to cuvettes. Aspirates and delivers sample to the IMT port. Level senses samples in primary tubes, sample cups, and SSCs. Delivers samples to reaction vessels for LOCI® tests. Select Next to continue. Level sensing occurs when the photometric sample probe checks the sample level height to determine if there is sufficient fluid volume to process the tests requested. The photometric sample probe aspirates patient or QC samples from sample containers and delivers them to the cuvettes for photometric testing and/or reaction vessels for HM and LOCI® testing. The probe also delivers bound sample reactants from HM reaction vessels to cuvettes and aspirates and delivers samples to the IMT port. Before processing begins, the photometric sample probe level senses samples in primary tubes, sample cups, and SSCs. Level sensing occurs when the photometric sample probe checks the sample level height to determine if there is sufficient fluid volume to process the tests requested. If the system detects insufficient volume, the Short Sample icon appears.5 Congratulations. You now have learned about the sample area.  When complete, select the X in the upper-right corner to close the window and continue. Congratulations. You now have learned about the Sample area. The Dimension® system keyboard appears similar to a standard computer keyboard, yet has special functions to allow you to perform a variety of tasks. These tasks include: Ordering tests using test and panel keys. Accessing help screens and menus. Pausing, resetting, or stopping the instrument. Select Next to continue. Use the Dimension® system touchscreen to perform these tasks: Respond to the Alert keys to address a situation requiring operator attention. Access Help screens and menus. Display the Daily Maintenance Routines screen to perform instrument maintenance or run a System Check. View the Load List screen to load samples into assigned segment positions. Select Next to continue. Patient, QC, and other system printouts output to the thermal printer. A shelf is located on the left side of the instrument that can hold the printer or be folded to storage position, if not used. Select Next to continue. The Integrated Multisensor Technology (IMT) system uses an indirect method to measure the electrolytes Na+, K+, and Cl- in samples. What is an Indirect Measurement? Learn about indirect measurement. The IMT system performs an indirect measurement, prediluting samples 1:10 before analysis. This requires a smaller sample volume to perform the measurement.                                       Select the X in the upper-right corner to close the window and continue. IMT port Photometric sample probe   Major IMT Components Learn about the major IMT components. Key components used to measure electrolytes in the IMT system include the following: The QuikLYTE® Integrated Multisensor measures Na+, K+, and Cl-. The IMT peristaltic pump pulls air and fluids through the IMT system. The IMT rotary valve rotates at specific intervals to alternate the flow of air and fluids into the IMT system. You will learn more about the IMT system in the Assay Measurement IMT training course. When complete, select the X in the upper-right corner to close the window and continue. IMT peristaltic pump IMT rotary valve QuikLYTE® Integrated Multisensor QuikLYTE® Integrated Multisensor without cover   The HM module uses the principle of heterogeneous immunoassay to measure specialty analytes, such as HCG and MMB. Incubation, washing, and mixing of the immunoassay takes place in the HM module. Photometric sample probe delivers immunoassay reactants into cuvettes where test results are read photometrically. HM Components Learn about the HM components. Key components of the HM module include the following: The vessel holder and vessel feeder track automatically load reaction vessels into the incubate wheel. The incubate wheel holds samples that are mixed and incubated with antibody-coated reagents. The wash wheel holds samples for separation and washing. The wash station probes aspirate unbound sample and reactants and dispense chemistry wash into the reaction vessels. Select the X in the upper-right corner to close the window and continue. Vessel holder  Incubate wheel Wash wheel Wash station probes   LOCI® Technology (Luminescent Oxygen Channeling Immunoassay) performs high-sensitivity and rapid homogeneous immunoassay testing. LOCI® Components Learn about LOCI® components Key components of the LOCI® module include the following: The vessel feeder loads the vessels onto the incubation wheel. The LOCI® arm moves the reaction vessels from the incubation wheel to the LOCI® reader and chamber and disposes the vessels. The LOCI® Chamber is the location of assay measurement taken by the LOCI® Reader. When complete, select the X in the upper-right corner to close the window and continue.                                                                          Vessel feeder LOCI® Arm LOCI® Chamber LOCI® Reader The reagent area stores an inventory of reagents and delivers them when and where they are needed. In the reagent area, Flex® cartridges are loaded into the automatic cartridge loader. The system reads the barcode on the cartridge and moves the cartridge into the reagent tray. The Dimension® System contains 2 reagent arms (R1 and R2).  Each reagent arm has a probe (R1 probe and R2 probe). Both probes aspirate reagent from a Flex® cartridge and deliver it into the cuvette. The R2 probe also hydrates Flex® cartridges. Reagent Area Learn about the reagent area. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Reagent Delivery System Key components of the reagent delivery system consist of the following: The automatic Flex® reagent cartridge loader The R1 arm The R2 arm Select Next to continue.Note: If audio does not automatically start, select the play arrow in the top left to begin.Select each number to review the corresponding text.CalloutsAutomatic Flex® Cartridge Track Loader R1 ArmR2 ArmThe key components of the Reagent Delivery System are the automatic Flex® cartridge loader, the R1 arm, and the R2 arm.2 The automatic Flex®cartridge loader loads Flex® reagent cartridges onto the reagent tray after the barcode label has been read by the barcode reader. The active reagent tray can hold up to 44 Flex® cartridges. Select Next to continue. The automatic Flex® cartridge loader loads Flex reagent cartridges onto the reagent tray after the barcode label has been read by the bar code reader. The active reagent tray can hold up to 44 Flex cartridges.3 The R1 arm is a stationary arm, moving in and out and up and down. The R1 arm: Moves from the drain to the Flex® cartridge, where the R1 probe aspirates the reagent and delivers it into a cuvette. Moves back to the drain for rinsing. Select Next to continue.Reagent probes are rinsed to prevent crossover contamination and to ensure precision and accuracy.The R1 arm is a stationary arm, only moving in and out, and up and down. The R1 arm moves from the drain to the Flex® cartridge, and the R1 probe aspirates the reagent and delivers it into a cuvette. The R1 arm then moves back to the drain. Reagent probes are rinsed constantly to prevent crossover contamination, to ensure precision and accuracy.4 The R2 arm is a moving arm, moving in and out, up and down, and swinging left and right. The R2 arm: Moves from the drain to the Flex® cartridge where the R2 probe aspirates reagents. Delivers reagents for HM, Photometric and LOCI®  tests. Moves back to the drain for rinsing. Select Next to continue.The R2 arm is a moving arm, moving in and out, up and down, and swinging left and right. The R2 arm moves from the drain to the Flex® cartridge, where the R2 probe aspirates reagents. The R2 arm delivers them into a cuvette, or reaction vessel, for HM and LOCI® tests, then moves back to the drain.5 About Flex® Reagent Cartridges Flex® reagent cartridges make the Dimension® system a true “walk away” instrument. The required reagents are designed to optimize the number of tests performed and minimize waste. Flex® reagent cartridges arrive ready to use. Instrument hydrations occur automatically, as needed. Sample processing proceeds while the system loads and unloads Flex® cartridges. Flex® cartridges are stable for 6 to 12 months from the date of manufacture, or a minimum of 30 days onboard the instrument. Select Next to continue.Slide QuestionAnswer TextWhat do barcodes on Flex®  reagent cartridges identify?Test method, lot number, and number of tests performed per cartridge.Flex® reagent cartridges make the Dimension® System a true "walk away" instrument. The reagents required are contained in a series of wells in the Flex® reagent cartridge, which is designed to optimize the number of tests performed and minimize waste. Other features and benefits of Flex® reagent cartridges include the following: Flex® reagent cartridges arrive ready to use. The reagents within a Flex® cartridge exist in either tablet or liquid form. They require no preparation, other than tablet hydration, which the instrument performs automatically on an as-needed basis to maximize longevity and stability. Sample processing can proceed without interruption while the system loads and unloads Flex® cartridges. Flex® cartridges are stable for 6-12 months from the date of manufacture or 30 days on board the instrument. From bar codes on each Flex® cartridge, the Dimension® System identifies the test method, lot number, and number of tests performed per cartridge. The Dimension® System software tracks reagent inventory issues via an alert to add reagent cartridges for requested tests, or if test methods need to be calibrated.6 Flex® Reagent Cartridge Instructions for Use Sheets Refer to the Instructions for Use (IFU) for each Flex® reagent cartridge lot for details about test methods and reagents used including the following: Intended use and principles of the test method Reagents specifications Specimen collection guidelines and effects of interfering substances Test steps and conditions Calibration parameters, QC guidelines, and precision and detection limit statistics Select Next to continue.Refer to the Instructions for Use (IFU) included with each Flex® reagent cartridge lot for details about test methods and reagents used including the following: Clinical significance and principles of the test method. Reagents included in the cartridge, storage instructions, and cartridge expiration. Specimen collection guidelines and effects of interfering substances, such as anticoagulants, hemolysis, or lipemia. Test steps and conditions as performed on the Dimension® System. Calibration parameters, QC guidelines, and precision and detection limit statistics7 Congratulations. You now are familiar with the reagent area.  When complete, select the X in the upper-right corner to close the window and continue.Congratulations. You now are familiar with the reagent area. Chemical reactions occur in cuvettes that are manufactured on board the Dimension® EXL™ 200 Integrated Chemistry System. Cuvette Manufacturing Area Learn about the cuvette manufacturing area. Cuvettes are made in the cuvette manufacturing area, located to the right of the automatic Flex® cartridge loader. Key components of the cuvette manufacturing area include the following: Cuvette film is pulled through the film guides into the cuvette manufacturing area. The cuvette diaphragm assists in the formation of cuvettes. The curved locking bar holds the cuvette manufacturing assembly arm in place. Select the X in the upper-right corner to close the window and continue.  Cuvette manufacturing area Cuvette diaphragm Curved locking bar Cuvette manufacturing assembly arm   Cuvette Area Components Learn about the cuvette area components. Checklist TitleChecklist TypeChecklist ContentCuvette Area ComponentsHTML Key components of the cuvette area and their functions include: Cuvette manufacturing area Cuvette waste container Cuvette film cartridge Select each checkbox to learn more about the Cuvette Area components.Cuvette Manufacturing AreaHTML  Cuvette film is pulled up from the cuvette film cartridge and formed into disposable cuvettes in the cuvette manufacturing area.Cuvette Waste ContainerHTML  The cuvette waste container is a receptacle for sealed, used cuvettes reducing biohazard exposure.Cuvette Film CartridgeHTML  The cuvette film cartridge supplies the film used to manufacture cuvettes. 1 film cartridge can manufacture 12,000 cuvettes. Select the X in the upper-right corner to close the window and continue. The Dimension® EXL™ 200 Integrated Chemistry System uses syringe pumps to control fluid volumes aspirated and delivered by sample and reagent probes. Each probe in the Dimension® system has a pump associated with it. The pumps located in the pump panel of the Dimension® system are sampler, reagent, IMT sample diluent, and HM wash pumps.   Sample, Reagent, and HM Pumps Learn about sample, reagent, and HM pumps. The sample, reagent, IMT sample diluent, and HM wash pumps in the pump panel have syringes with volume capacities of: 100 µL metering syringe aspirates and delivers sample to cuvettes, the IMT sample port and/or HM reaction vessels. 500 µL metering syringes aspirate and deliver reagents to cuvettes and/or HM reaction vessels and IMT sample diluent to the IMT port. 2,500 µL flush syringes rinse sampler, R1, and R2 probe tips with water, while using chemistry wash for HM probes, all to prevent carryover. Select the X in the upper-right corner to close the window and continue.  100 µL metering syringe 500 µL metering syringe 2,500 µL flush syringe   System software for the Dimension® EXL™ 200 system is directed by keyboard and touchscreen interaction. Select Next to continue. The Dimension® system keyboard appears similar to a standard computer keyboard, but has special keys to perform a variety of tasks. Dimension® System Keyboard Learn about the keyboard. Base ImageHotspotsText BlocksImage File Enter Key Select the Enter key to store data entered in the current field, or to activate a command. Alt Key, Shift Key, Control Key Select the Alt, Shift, or Control keys in combination with other keys to navigate to other screens, perform routine tasks, or access specific help. Test Keys Select Test keys to order tests for patient and QC samples. Panel Keys Program up to 20 individual tests on each Panel key. P1 through P10 test keys are the Panel keys. Action Keys Select Action keys to initiate instrument commands, such as Pause, Reset, or Stop the instrument or Run samples. Arrrow Keys Select the Arrow keys to move the cursor up, down, left, or right. Function Keys Select Function keys to initiate a particular function that appears at the bottom of the current screen. Alarm Key Select the Alarm key to turn off the audible alarm. Once the alarm has been turned off, select the Alarm key again to enable the alarm. Exit Key Select the Exit key to leave the current screen and return to the previous screen. Help Key Select the Help key to receive information about the current screen. For additional information, select the Help key in combination with other keys. For example, if the cursor is positioned in a data entry field, press Shift/Help to get information about acceptable entries for that field. Special keys on the Dimension® system keyboard include: Test keys Action keys Function keys Help function Keyboard and Keystroke Functions Learn about the keys and functions of the keyboard. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Using the Test Keys On the system keyboard press Test keys to order tests. Test keys for individual tests are labeled with an abbreviation of the test name. Panel keys are labeled P1 through P10. You can program up to 20 tests per panel key. Select Next to continue. Example: How to select tests (outlined test key)   TSHL Press Alt/Test key to select the TSHL test UCFP Press Ctrl/Test key to select the UCFP test ACP Press Shift/Test key to select the ACP test ALB Press the Test key to select the ALB test Select each number to review the corresponding text.Note: If audio does not automatically start, select the play arrow in the top left to begin.CalloutsTest KeysPanel KeysOn the system keyboard press Test keys to order tests. Test keys for individual tests are labeled with an abbreviation of the test name. Additional tests may be shown on overlays at the top or bottom of the test key. To order an individual test, press a Test key or a keystroke combination as described in the onscreen example. Panel keys are labeled P1 through P10 and can be programmed with up to 20 tests per panel key.2 Using Action Keys Action keys initiate instrument commands. Control/Stop: Aborts all tests in progress. Scheduled tests are retained in instrument memory. Stops all instrument operations. Pause: Prevents the photometric sample arm from moving. Reset:  Clears error messages and initializes system modules. Resumes operations after pressing Control/Stop. Run: Instructs the instrument to locate and process any new samples. Select Next to continue. Note: The Run key on the touch screen and F4 from the Load List perform the same action.Select each number to review the corresponding text.CalloutsControl/StopPauseResetRunPress the Action keys on the system keyboard to initiate instrument commands. The Control/Stop keystroke combination aborts all tests in progress; however, all scheduled tests are retained in instrument memory. All instrument operations are stopped in a manner that does not damage the instrument. Pausing the instrument prevents the photometric sample arm from moving. Press Pause again to restart the sampler system. Press Reset to perform the following actions: Clear error messages from the Error Message area of the computer interface; Initialize system modules not currently in use so that the instrument can process test requests that use those modules and Resume operations after pressing Control/Stop. Press Run to instruct the instrument to locate and process any new samples. The F4 function key on the Loadlist screen and the Run key on the touchscreen perform the same actions.3 Using the Function Keys The Function keys F1 through F8 initiate specific tasks. For example, when using the Enter Sample Data screen, the F1 function key will be used to enter a new sample, F3 will display the Load List, and F8 will select the different fluid type. Select Next to continue.   Select each number to review the corresponding text.CalloutsF1 F3F8The Function keys F1 through F8 initiate specific tasks related to the displayed screen. The function that a key performs varies according to the screen being viewed. 4 Using the Help Keys For Help using the current screen, press the Help key. For the Quick Index, go to the Operating Menu, and then press the Help key. For Help entering data fields, press Shift+Help. For Help identifying keystroke combinations, press Alt+Help. For Help identifying icons, press Control+Help. Select Next to continue.Select each number to review the corresponding text.CalloutsHelp KeyShift/HelpAlt/HelpControl/HelpIf you need Help using the current screen or its function keys, press the Help key. For Help entering data fields on the visible screen, use the arrow keys to move the cursor to a data field, and press the Shift/Help keystroke combination. For Help identifying icons in the Operating Conditions Status area, press the Control/Help keystroke combination. A list of tables displays the icons for all areas on the operting screen. For a list of Help topics available in the Dimension® system, go to the Operating Menu and press the Help key. The Quick Index will appear, displaying a list of various system tasks to help you solve a problem. The Quick Index also displays navigation steps to find the appropriate application screen to perform each task.5 Congratulations. You have learned how to use the keyboard and the keyboard functions to manage the Dimension® system software. When complete, select the X in the upper-right corner to close the window and continue.Congratulations. You have learned how to use the Keyboard and the Keyboard Functions to manage the Dimension® system software. A typical laboratory workflow analytical process can be separated into three phases: preanalytics, analytics and post-analytics. The preanalytic phase includes all the steps needed to get the specimen or tube to the actual testing phase. Some of these steps include identifying the sample, centrifugation, de-capping, and routing the sample to the appropriate next location. Next is the analytic phase, where the specimen tube is delivered to analyzers for testing, the specimen is sampled, and the test is performed. And finally in the post-analytic phase the tubes are sorted, sealed, stored and disposed of if appropriate. Select Next to continue. A combination of keystrokes directs the Dimension® system to perform various functions. Dimension® System keyboard Learn more about keystroke combinations. Base ImageHotspotsText BlocksImage File Press Control/Stop to stop all operations in progress in a manner that will not damage the instrument. All tests in progress will be aborted. However, all scheduled tests will be retained in instrument memory. To resume operations, press the Reset key. Press the Backslash key to delete the entire entry in a data field. When entering information in a field, hold down the Shift key and press the right or left arrow key to move the cursor 1 space to the left or right. This does not delete any information in the field. When entering information in a field, hold down the Shift key and press the right or left arrow key to move the cursor one space to the left or right. This does not delete any information in the field. Press Alt/R to determine why the Reagent Manager icon appears in the Operating Conditions Status area. Press Alt/S to go to the Segment Status screen to view the status of segment positions currently on the instrument (On Board Segments view) or all segments on or off the instrument (All Segments view). Press Alt/I to go to the Reagent Cartridge Inventory screen. Press Alt/O to advance the paper feed on the system printer. Press Alt/P to print the entire screen as it appears on the display. Press Alt/L to go to the Load List – Short Samples screen. Note: To display the Load List for All and New Samples views, press F2: Next Status. Press Alt/N to go to the System Needs screen. Press Alt/M to view an explanation and troubleshooting information for the error message in the Error Message area. Press Shift/Exit to return to the Operating Menu. Press Alt/Help to view a list of Alt key combinations and their functions. Press Shift/Delete to delete all characters to the right of the cursor in a field. The new user interface for the Stratus CS 200 system was designed to be functionally equivalent to the legacy system. It provides simpler and intuitive navigation as well as fast access to the Patient mode.  Select the links on this page to learn about the software updates. The Dimension® system touchscreen is the communication link between the operator and the instrument. Each software screen has areas displaying specific information. After exploring the touchscreen, view the icons available on the Dimension® system. Touchscreen Learn about the touchscreen. Slide NumberText BlocksCalloutsAudio ScriptImage File1 In this section you will be introduced to the various touchscreen software screens of the Dimension® EXL™ 200 system. Select Next to continue. Note: If audio does not automatically start, select the play arrow in the top left to begin. In this section, you will be introduced to the various Touchscreens of the Dimension® EXL™ system.2 For each screen, there are: 6 Main Areas: Instrument Status Segment Status Operating Conditions Error Message Applications Messages 3 Types of Keys: Function Keys Alert Keys Navigation Keys  Select Next to continue.  Select each number to review the corresponding text.CalloutsInstrument Status AreaSegment Status AreaOperating Condition Status AreaError Message AreaApplications AreaMessage AreaFunction KeysAlert KeysThere are 6 major areas and 3 types of keys on the Dimension System touchscreen. These areas are standard on the various screens that manage the system. The areas which provide information about the system are: the Instrument Status Area, Segment Status Area, Operating Conditions Status Area, Error Message Area, Applications Area, and Message Area. The keys used to manage the information and navigate through the software are: Function Keys, Alert Keys and Navigation Keys. 3 Instrument Status Area The Instrument Status area on the system touch screen indicates the status of the main instrument and specific instrument components. Select Next to continue.  CTRL/HELP accesses the screen providing details about the instrument status. Scroll through the screen to view these boxes.Select each number to review the corresponding text.CalloutsProcessing StatusPhotometric Sampler StatusIMT System StatusDate and TimeThe Instrument Status area on the system touchscreen indicates the status of the main instrument and specific instrument components. There are four boxes on the screen that provide details about the instrument. Let us take a look at the first three boxes, as they have specific details available for viewing. 4 Processing Status The Processing Status box on the touchscreen monitor indicates the status of the instrument and displays instrument modes. Select Next to continue.  Select each number to review the corresponding text.CalloutsCan't ProcessDiagnosticsInitializingProcessingSystem PrepStandbyThe Processing Status box on the touchscreen monitor indicates the status of the instrument and displays instrument modes.5 Photometric Sampler Status The Photometric Sampler Status box indicates the status of the photometric sampler arm. View this area to determine if it is safe to add or remove samples in the sample area. Select Next to continue.  Select each number to review the corresponding text. CalloutsMoving Wheel...Segment in UseWaiting...Waiting...60Samplers OffSamplers IdleThe Photometric Sampler Status box indicates the status of the photometric sampler arm. View this area to determine if it is safe to add or remove samples in the sample area.6 IMT System Status The IMT System Status box indicates the status of the IMT system or its components. Select Next to continue.  Select each number to review the corresponding text.CalloutsIMT Not CalibNa K ClIMT CalibratingIMT Not ConfigIMT PausedIMT OKThe IMT System Status box indicates the status of the IMT system, or its components, and displays the IMT sampler modes on the screen.7 Identifying Segment Status The sample wheel holds up to 6 segments. The Segment Status area symbols indicate the status of the 6 segment positions during the last instrument scan. Select Next to continue.  The Dimension® System sample wheel can hold up to six segments. On the Operating Menu, the Segment Status area symbols indicate the status of the six segment positions during the last instrument scan. 8 Segment Status The Segment Status Box provides details on the status of each segment position. Select Next to continue.  CTRL/HELP accesses the details about the screen. Scroll through the screen to view these boxes.The Segment Status Box provides details on the status of each segment position.9 Operating Conditions Status Icons displayed in the Operating Conditions Status area alert you to the status and operating conditions of instrument components. Select Next to continue.  The Operating Menu displays icons in the Operating Conditions Status area alert you to the status and operating conditions of instrument components, such as heating and cooling systems, short samples, or system needs.10 Error Message The Error Message area displays messages indicating that a system malfunction needs to be resolved.  Select Alt/M for troubleshooting steps to resolve the error. Select Reset to clear the error message and resume system processing.  Select Next to continue. The Error Message area displays messages indicating that a system malfunction needs to be resolved. Select Reset to clear the error message from the screen and resume system processing. Select Alt/M to access help to resolve the problem from the Dimension® system database.11 Applications Area The Applications area displays the software screens used to control the tasks that the system is to perform. Select Next to continue.  The Applications area displays the software screens used to control the tasks Dimension® System is to perform. Reading these details, you will notice the Screen title appears on the first line. Text fields appear in blue. You cannot edit the text fields. You can edit the data fields that appear in white. 12 Message Area The Message area displays system information, prompts for a response, or requests for additional information. Select Next to continue.  The Message area displays system information, prompts for a response, or requests for additional information. Prompts will appear to indicate the system needs additional information and is waiting for response. Questions appear when the system needs additional information before it can proceed because it received an incomplete command or the system may also inform you of its current task. 13 Congratulations. You have just learned to identify the touchscreen software screen areas.  Select Next to continue.  When complete, select the X in the upper-right corner to close the window and continue.Congratulations. You’ve just learned to identify the areas of the Touchscreen Software Screens of the Dimension EXL. Next you will learn about the keys that allow you to navigate through the software Identifying Icons Learn about the Operating Conditions Status area icons. Base ImageHotspotsText BlocksImage File Check Needs The system has found needs that require operator attention before it can process certain samples on the Load List. Press Alt/N to go to the System Needs screen to view which needs are required.     Needs Check  The system is checking for any need required to process samples on the Load List.  Alarm System The alarm has been turned off by the operator. If an error occurs, the alarm will not sound; however, a message indicating the reason for the alarm will appear in the Error Message area.  Alarm System The alarm is sounding. A message will appear in the Error Message area, indicating the reason for the alarm.   Cuvette Film Cartridge The number of cuvettes remaining in the cuvette film cartridge displays in the icon, which appears when it is almost time to replace the cartridge.  Short Sample One or more samples in the current Load List have insufficient volume to run all requested tests. Press Alt/L for the Load List - Short Samples screen to view the list of short samples.  Cuvette Temperature The cuvette heating system temperature is below the acceptable range for processing. The system will stop processing and no results for the current test will be calculated.  Cuvette Temperature The cuvette heating system temperature is above the acceptable range for processing. The system will stop processing and no results for the current test will be calculated.  Reagent Temperature The reagent cooling system temperature is above acceptable range for processing. If the RMS system is installed, this icon will indicate the specific area that is above specified limits.  Reagent Temperature The reagent cooling system temperature is below specified limits. If the RMS system is installed, this icon could indicate the RMS reagent tray and hydration station temperatures are also below specified limits.   LOCI® Module Temperature The LOCI® module heating system temperature is below the acceptable range for processing. The system will stop processing and no results for the current test will be calculated.  LOCI® Module Temperature The LOCI® module cooling system temperature is above acceptable range for processing.  The system will stop processing and no results for the current test will be calculated.  UPS UPS is in use due to power interruption. ON appears in the icon as UPS is used for operation.  Reagent Manager The appearance of this icon could indicate several situations: The system has a problem loading or removing reagent cartridges. The number of empty slots in the reagent tray is 5 or fewer. A reagent cartridge has been placed in the reagent tray that will force calibration of a third lot. Press Alt+R to determine why this icon appears, and to remove the icon from the screen.  Printer The printer is in one of two conditions, indicated by the word in the icon: OFF (printer power switch is off) Power or Data cable is disconnected ERR (communications problem between the PC and the printer) Out of paper Cover open Paper jam  HM Vessel Feeder The HM reaction vessel sensor is not detecting a reaction vessel. Add reaction vessels to the reaction vessel holder, or check for a reaction vessel jam in the vessel transfer system.  Function keys allow screen specific tasks to be performed. The function key text changes from screen to screen because different screens perform different tasks. To operate a function key, press the corresponding function key, F1 through F8 on the touchscreen or keyboard. The function keys shown here appear on the Operating Menu screen: To enter patient information and orders, select F1: ENTER DATA. To view test results, select F3: TEST RESULTS. To monitor segments while processing, select F8: SEGMENT STATUS. Select Next to continue. Congratulations. You have completed the Dimension® EXL™ 200 Integrated Chemistry System 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. You have learned how to: Identify Dimension®system technologies The Dimension® EXL™ 200 Integrated Chemistry System acts as a single workstation made up of the Integrated Multisensor Technology (IMT) system, Heterogeneous Immunoassay Module (HM), and  LOCI® technology (Luminescent Oxygen Channeling Immunoassay), as well as photometric methods.   Identify key components of the Dimension® system Key Dimension® system components include the IMT module and HM module. Key areas include the sample area, cuvette area, and the reagent area. Other important components include the sample and reagent probes, syringe pumps, system control boards, fuse boards, computer, power switch, and uninterruptible power supply (UPS).    Identify general functions of the Dimension® system modules and key components The IMT module measures the sodium, potassium, and chloride electrolytes.  The HM and LOCI® modules perform immunoassays to measure specialty analytes.   Load samples for processing into the sample area The Dimension® system can process serum, plasma, urine, and cerebrospinal fluids. The instrument can also handle a variety of tubes, containers, and sample volumes. Samples can also be barcoded or non-barcoded. Chemical reactions occur in disposable cuvettes that are manufactured onboard the instrument. Syringe pumps control fluid volumes aspirated and delivered by sample and reagent probes. The cuvette film cartridge supplies the film to manufacture the cuvettes. The reagent area keeps an inventory of reagents and delivers them when they are needed.    Identify key areas and functions of the system keyboard The Dimension® system keyboard is like many other computer keyboards, except that it has Test and Panel keys to order tests; Action keys to initiate instrument commands, such as Pause, Reset, Stop, or Run; and Function keys to initiate a task indicated by the F1 though F8 keys at the bottom of the current screen. The keyboard also has an Alarm key to turn off or on the audible alarm, a Help key to get information when and where you need it, an Enter key to enter data or activate a command, and an Exit key to leave the current screen and return to the previous screen. Press the Arrow keys to move the cursor on the monitor up, down, left, or right as you enter data in data fields. You can also press the Alt key, Shift key, or Control key in combination with other keys (keystroke combinations) to quickly navigate to other screens, perform routine tasks, or get specific help. For example, press Alt+M to view explanations about error messages that appear on the system monitor.   Identify key areas and functions of the touchscreen The touchscreen acts as the communication link between you and the instrument and includes several important areas. The Instrument Status area indicates the status of the main instrument as well as specific instrument components, the Operating Conditions Status area displays icons that usually indicate if an instrument component is not within normal operating levels or will soon require replacement, the Error Message area displays system error messages, the Segment Status area displays symbols that indicate the status of samples in sample wheel segments, the Message area displays messages to prompt you for a response, and the Applications area displays software screens. The touchscreen monitor also displays Alert keys that change color to alert you to situations needing your attention, as well as Navigation keys to move through the software screens. Select Next to continue.     The Control Panel is located behind the left front door area. It consists of the System Control Board, the Fuse Board, the computer's hard drive and CD-ROM, QCC PowerPak USB port, and the main power switch. Control Board Fuse Board QCC PowerPak® USB Port Main power switch Hard drive and CD-ROM Select Next to continue. The Dimension® EXL™ 200 Integrated Chemistry System has the ability to check for clots during sample aspiration. Clot check is performed on every sample. Clot check is performed during sample aspiration. No effect on turnaround time, time to result, or throughput. Functions with CSF, serum, plasma, whole blood, urine, and QC sample types. Important components of the clot check are: IMT Port Clot Check Transducer Board Clot Check Sample Tubing Clot Check Bypass Sample Tubing New Status Icons Clot Check Components Learn about clot check components and functions. Checklist TitleChecklist TypeChecklist ContentIMT PortHTML The clot check feature adds a new IMT port that includes a clot check drain. After the system detects a clotted sample, the contents of the aspirated sample are not returned to the sample container. The remaining sample is dispensed into the IMT clot check drain during the clot check recovery sequence.Clot Check Transducer BoardHTML The clot check pressure transducer board is mounted underneath the sample wheel hub. To access the board, open the 2 doors on the front of the instrument. Open the latch on the pump panel.Clot Check Sample TubingHTML Clot check sample tubing consists of two pieces of sample tubing. The top piece of tubing is installed from the 100 µL syringe and is labeled "To Pump" on the clot check pressure transducer board. The bottom piece of tubing is installed from the sample probe and is labeled "To Sample Arm" on the clot check pressure transducer board.Clot Check Bypass Sample TubingHTML Clot check bypass sample tubing consists of a single piece of sample tubing. If the clot check feature is not functioning properly, the clot check function can be temporarily deconfigured. The clot check bypass sample tubing must be installed to continue processing samples.New Status IconsHTML 2 new icons have been added to the Operating Conditions Status area. The red icon indicates that a clot check error has ocurred. It shares the same location as the printer icon. If the printer icon and the clot check icon need to be displayed at the same time, the screen will flash from one icon to the other. The yellow icon indicates that the clot check feature is turned off. It shares the same location as the printer icon. If the printer icon and the clot check icon need to be displayed at the same time, the screen will flash from one icon to the other. When complete, select the X in the upper-right corner to close the window and continue. The 5 Alert keys change color to alert if a situation needs your attention. If inactive, the Alert keys are gray. If an Alert key color changes to yellow or red on the touchscreen, press the associated key to display the reason for the alert.     Alert Keys Learn about the 5 Alert Keys. Tab TitleTextSTAT StatusPress to display the STAT Status screen to show the STAT requests that are in process and the time until the result will be available as well as completed STATs and STATs requested, but not yet begun.   Sample AlertPress to display the Sample Alert screen, to show the rerun status of sample requests which encountered exceptions while processing.   SuppliesPress to display the Reagent Cartridge Alerts screen, to show Flex® reagent cartridge lots that are nearing the depletion threshold as defined by the lab. Warnings inform you to load Flex® cartridges for specific methods.      QC AlertPress to display the QC Tests Out of Range screen, to show the method, QC level, and high or low status of results.  Calib AlertPress to display the Calibration Alert screen, showing onboard methods/lots and the calibration expiration. When complete, select the X in the upper-right corner to close the window and continue. Use the additional touchscreen keys to navigate the software screens. Refer to the table below to learn more about these keys.   Additional Touchscreen Keys Learn about the Additional Touchscreen Keys Tab TitleTextHelp KeyProvides instructions about the screen/fields displayed in the Applications Area. Equivalent to the keyboard Help key.RunThe instrument looks for and processes new samples. Equivalent to the keyboard Run key and to the F4: RUN key on the Load List screen.HomeCloses the active screen and returns to the Operating Menu. Equivalent to pressing the Shift/Exit keystroke combination on the keyboard.ExitCloses the active screen and returns to the previously displayed screen. Equivalent to the Exit key on the keyboard.EnterSaves data in an entry field. Equivalent to the Enter key on the keyboard.