epoc® Blood Analysis System Basic Troubleshooting Job Aid

Basic Troubleshooting Instructions epoc® Blood Analysis System This job aid provides information on how to diagnose and correct basic epoc® Blood Analysis System operating issues. 1. Out- of- Range Results on the Test Card for Liquid Quality Control or Calibration Verification :  From the epoc Host disconnect the Reader, then reconnect. If the wireless connection is successful AND electronic QC passes, verify the following below and then repeat the test: A. Use of correct control or Calibration Verification Value Assignment Datasheet (VAD). B. Use by Date of Controls has not been exceeded. C. The controls have been handled correctly. D. Test Cards and controls have been stored correctly.  If the repeat results are in range, the cards are acceptable for use. If the results are still out of range despite meeting the above criteria, repeat the test using a new box of control solutions and/or Test Cards. Contact technical services if controls or Test Cards continue to fall outside of specified ranges. epoc® System Value Assignment Datasheet LOT 183-B742 SIEMENS Sensor Configuration 31.n (epoc18172.eVAD) REF 183.000.005 Eurotrol'™ Calibration Verification Fluids, n = 1 Healthineers 2018-10-31 CV1:183-1-B738 CV2:183-2-B738 CV3:183-3-B738 CV4:183-4-B738 CV5:183-5-B738 x R, n =1 × R, n = 1 X R, n = 1 X × R, n = 1 x R, n = 1 PH 6.973 6.913 7.033 7.335 7.275 - 7.395 7.572 7.512 7.632 6.641 6.581 6.701 7.887 7.827 7.947 pCO2 mmHg 77.7 68.4 87.0 41.3 33.8 48.8 24.0 16.5 31.5 138.7 113.7 - 163.7 15.5 8.0 23.0 kPa 10.36 9.12 11.60 5.51 4.51 6.51 3.20 2.20 4.20 18.49 15.16 21.82 2.07 1.07 3.07 pO2 mmHg 62.0 46.2 77.8 101.0 85.2 - 116.8 195.0 165,7 - 224.3 29.4 13.6 45.2 615.6 492.5 - 738.7 kPa 8.26 6.15 10.37 13.47 11.36 15.58 26.00 22.10 - 29.90 3.92 1.81 6.03 82.06 65.65 - 98.47 Na+ mmoV/L mEg/L 111 105 117 141 135 147 167 160 174 80 74 86 191 184 198 K+ mmol/L mEq/L 2.1 2.5 3.6 4.4 6.1 5.5 o.r 7.9 7.3 8.5 12.5 11.8 13.2 mmol/L 1.56 1.44 1.68 1.19 1.10 1.28 0.67 0.60 0.74 3.92 3.48 4.36 0.30 0,23 0.37 Ca++ mg/dL 6.2 5.7 6.7 4.8 4.4 5.2 2.7 2.4 3.0 15.7 13.9 17.5 1.2 0.9 1.5 mEq/L 3.1 2.9 3.3 2.4 2.2 2.6 1.3 1.2 14 7.8 6.9 8.7 0.6 0.5 0.7 CI- mmol/L mEg/L 78 73 83 99 92 106 124 116 132 59 55 63 138 124 152 mg/dl 30 21 39 102 87 117 257 200 314 15 6 24 682 532 832 Glucose mmol/L 1.6 1.1 2.1 5.6 4.B 6.4 14.1 11.0 17.2 0.8 0.3 1.3 37.5 29.3 45.7 g/L 0.30 0.21 0,39 1.02 0,87 1.17 2.57 2.00 3,14 0.15 0.06 0.24 6.82 5.32 8.32 mmol/L 0.79 0.49 1.09 2.67 2.07 3.27 6.01 4.66 7.38 0.45 0.15 0.75 17.77 11.91 - 23.63 Lactate mg/dl 7.1 4.4 9.8 24.0 18.6 29:4 54.2 42.0 66.4 1.4 6.8 160.1 107.3 - 212.9 g/L 0.07 0.04 0.10 0.24 0.19 0.29 0.54 0.42 0.66 0.04 0.01 0.07 1.60 1.07 2.13 Creatinine mg/dL 0.91 0.46 1.36 2.19 1.70 2.68 4.37 3.40 5.34 0.43 0.00 0.88 14.65 9.81 . 19.49 umol/L 80 40 120 194 151 237 386 300 472 38 O 78 1295 868 1722 Effective Date: 09/07/2018 | HOOD05162002934779 SIEMENS Healthineers siemens.com/healthineers Job Aid | epoc Basic Troubleshooting Effective Date: 09/07/2018 | HOOD05162002934779 epoc Host 01-Jan-17 08:34 epoc Host all 11-Jun-18 22:19 X Lot # CV1:183-1-B428 10 Electronic QC records shown. 01-Jan-17 08:27:09 Reader Date & Time Flag Gases+ Chem+ Meta+ 04456 11-Jun-18 01:05:11 Passed 7.887 04456 11-Jun-18 00:58:40 Passed PH pCO2 3.6 mmHg 04456 24-May-18 14:26:42 Passed pO2 187.6 mmHg 04456 24-May-18 11:44:27 Passed cHCO3- 6.9 mmol/L 04456 24-May-18 10:14:49 Passed BE(ecf) -10.0 mmol/L 04456 24-May-18 10:09:06 Passed cSO2 99.9 % 04456 22-May-18 10:41:55 Passed 04456 22-May-18 10:31:46 Passed 04456 15-Nov-17 15:57:48 Passed epoc Readers Rdr3610 (03610) Electronic QC Tools View Help Tools View Help 2. Failed Reader Electronic QC:  If a Reader fails electronic QC, first confirm the failure. Close the screen by selecting the red X at the top right of the screen, turn the Reader off, then on and try to connect the Reader again. If the Reader connects successfully, therefore passing electronic QC, it is acceptable for use. If the problem is not resolved after restarting the Reader, contact Technical Services. epoc Host 26-Jun-18 epoc Host 26-Jun-18 K- X X Pat ID |123 Reader SN 03610 26-Jun-18 00:33:18 Date / Time 26-Jun-18 10:30:13 Blood BGEM Pass / Fail Fail Calibration 160s Operator 1111 Battery level 27.70 Ambient Temp. 22.43 C Electronic QC failure. Ambient Press. 757.39 mmHg Turn Reader OFF and ON, Electronic QC Result FF and reconnect. Error Code 3 epoc Readers Rdr3610 (03610) Electronic QC 03610 Tools View Help Tools View Help Siemens Healthineers Services Page 2 of 4 Job Aid | epoc Basic Troubleshooting Effective Date: 09/07/2018 | HOOD05162002934779 3. Failed Reader Thermal QA:  Perform Reader Thermal QA only after the Reader has remained in the same location and temperature with no airflow for a minimum of 2 hours.  The Reader must remain “OFF” for at least 30 minutes prior to Thermal QA because heating from circuits inside the Reader will cause temperature variations.  If a Reader fails Thermal QA, this may indicate that 3 temperature sensors inside the Reader are not at the same temperature. This can occur is the Reader is not fully equilibrated to the environment after being turned “OFF.”  Turn the Reader “ON.” Repeat Thermal QA one time. The Reader is acceptable for use if Thermal QA passes on the second attempt. If Thermal QA fails a second time, first contact your system administrator for assistance, then Technical Services. epoc Host 26-Jun-18 00:33 epoc Host 26-Jun-18 00:46 X X Pat ID 123 Reader SN 00444 26-Jun-18 00:33:18 Date / Time 02-Jan-17 14:51:04 Blood BGEM Pass / Fail Fail Calibration 160s Operator administrator Battery level 100.00 iQC Failure: Thermal check Ambient Press. 759.05 mmHg Ambient Temp. 79.02 F Use another reader. Bottom heater 80.09 F Top heater 79.15 F epoc Readers Rdr3610 (03610) Thermal QA 00444 Tools View Help Tools View Help Siemens Healthineers Services Page 3 of 4 Job Aid | epoc Basic Troubleshooting Effective Date: 09/07/2018 | HOOD05162002934779 Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (herein- after collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH 2018 ………………………………………………………… Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018