RAPIDLab® 1200 Series Blood Gas Systems Troubleshooting Online Training

MM Reading now includes MR general tools that were previously only available in MR workflows. MR Calculation Tools such as Subtraction, Addition, Division, Multiplication and Arithmetic Mean are now accessible in your toolbox or on the lower right corner menu. Further functionalities like Motion Correction, Distortion correction, Image Filter, and calculated ADC and b-values are also available. In addition, the MR Composer tool also is integrated allowing you to do new composing and combining of images. You will learn more about the Subtraction, ADC and b-value calculation as well as the Composing in the upcoming training section. Welcome to the RAPIDLab® 1200 Series Blood Gas Systems Troubleshooting Online Training course. The RAPIDLab 1200 Series is intended for in vitro diagnostic testing of blood gases, electrolytes, total hemoglobin, the corresponding hemoglobin fractions, neonatal bilirubin (nBili), and glucose and lactate, in arterial and venous whole blood samples. In this course you will learn how to troubleshoot different issues by utilizing resources and tools on the RAPIDLab 1200 Series. Select Next to continue.   Describe how to troubleshoot failed patient results Describe how to troubleshoot failed quality control and calibration Describe how to utilize the Diagnostics screen Describe how to utilize the troubleshooting portion of Online Help Identify how to remove obstructions from the sample path Upon completion of this course, you will be able to: Select Next to continue. Diffusion-weighted imaging in MRI is used to evaluate body lesions by displaying the motion of molecules. The Apparent Diffusion Coefficient (ADC) is used to determine the mobility of the molecules in certain tissue types. While normal tissue shows high signal loss, areas with restricted molecular motion, such as high-density tumor tissue, show less signal loss and result in bright areas in the diffusion-weighted images. ADC maps are calculated from diffusion-weighted images and require measurements with various diffusion weightings (b-values).   The higher the b-value, the stronger the diffusion weighting. In MM Reading, b-values can now be calculated on the fly up to the value of 5,000. Automatically, an ADC map is also calculated. Congratulations. You have completed the RAPIDLab® 1200 Series Blood Gas Systems Troubleshooting 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. Describe how to utilize the Diagnostics screen The Diagnostics screen allows the operator to: Print diagnostic reports Perform the Waste Detector Calibration Perform the Screen Calibration Access other diagnostic screens Select Status > Diagnostics. While in the Diagnostics screen, the system cannot perform routine fluidic functions; therefore, when exiting the Diagnostics screen, the system may perform an extended calibration before the system is available.   The Diagnostics reports include: Temperature report Last Cal report Measurement report Voltage and Temperature report Printer report Wavelength Cal report (RAPIDLab 1245 and 1265 systems only) Perform the waste detector calibration for the waste bottle to ensure the waste fluid is properly detected. Calibrate the touchscreen when the screen responds inconsistently to selections. From the Diagnostics screen, you can access additional screens for troubleshooting: Fluidics Functions screen Pumps and Valves screen Cartridges screen Sensors screen CO-ox screen Identify how to remove obstructions from the sample path The clot clearing procedure checks the fluid path components in this sequence: Reagent manifold Preheater Reagent cartridge Fluid path (using a clot-removal line) Describe how to utilize the troubleshooting portion of Online Help Online Help provides quick access to troubleshooting information regarding: System messages - provide a probable cause and corrective action D Codes - flagged by the system with a message, cause and possible solution Describe how to troubleshoot failed quality control and calibration Troubleshooting failed or missed QC analysis includes troubleshooting the: Yellow Parameter Error Purple Parameter Error Ampoule QC Troubleshooting failed calibration includes the utilization and/or interpretation of the: Errors Troubleshooting Checklist Calibration Report to Identify Problems Describe how to troubleshoot failed patient results Symbols can display with a patient result or in place of a patient result to indicate different issues. Select Next to continue.   En las siguientes páginas se describen las mejoras introducidas para cardiovascular. The clot clearing procedure checks the fluid path components in the sequence in which a clot or other obstruction is most likely to occur: Reagent manifold Preheater Reagent cartridge Fluid path (using a clot-removal line) If prompted to check for an obstruction in the sample path by a D39 code, or if you observe an obstruction, perform the clot clearing procedure.  The supplies needed to clear an obstruction or clot are: Clot clearing kit (clot clearing tool and clot-removal line) Plastic syringe - to clear clots from the reagent manifold 5cc Luer lock syringe - to clear clots from the preheater and reagent cartridge Gauze - to catch excess liquid after insertion of water Water (Tap water is sufficient) - to fill the syringe Note: Always wear personal protective equipment, take universal precautions, and discard biohazardous waste according to your facility's protocol. Select Next to continue.   La técnica Simultaneous Multi Slice (SMS) es un método de aceleración que permite adquirir, de forma simultánea, más de un corte en el campo de visión examinado. Gracias a syngo MR XA11A, además de las imágenes EPI (DWI y fMRI), SMS se ha ampliado a Turbo Spin Echo (TSE). Se han desarrollado protocolos SMS TSE para aplicaciones ortopédicas en todas las articulaciones (rodilla, mano, pie, tobillo, cadera). ¿Cuándo debe utilizarse? Si desea acelerar los protocolos TSE: al aumentar el factor SMS, se reduce proporcionalmente el tiempo de adquisición. Como alternativa, la técnica SMS permite cubrir un volumen más grande o adquirir un mayor número de cortes más finos en el mismo volumen, sin aumentar el tiempo de exploración. Las técnicas de aceleración SMS e iPAT pueden combinarse. El protocolo está disponible en el árbol de protocolos de Siemens o en las bibliotecas de las regiones anatómicas. También puede introducir _p2_s2 en el cuadro de diálogo de búsqueda de Dot Cockpit. Consejos de aplicación para SMS TSE Exámenes ortopédicos que precisen un tiempo de adquisición corto, pero que ofrezcan imágenes con buena calidad diagnóstica. Posibles limitaciones: incremento del SAR, reducción de la SNR y artefactos (debido al rendimiento de la reconstrucción).   If clearing a clot from the reagent manifold fails, use this procedure to clear a clot from the preheater. Note: Reagent manifold remains uninstalled from the Clearing A Clot from the Reagent Manifold procedure, and is to be reinstalled during the Clearing A Clot from the Preheater procedure.   Clearing a Clot from the Preheater Learn about clearing a clot from the preheater. Checklist TitleChecklist TypeChecklist ContentOpen CoverHTML   Open the measurement module cover by lifting the 2 latch bottoms on the bottom left and right of the measurement module. Select each checkbox to learn more about clearing a clot from the preheater.  Push LatchHTML   Push the black spring-loaded latch assembly to the right, until the mechanism clicks in place.    Remove pO2 SensorHTML Remove the pO2 sensor by lifting the sensor lip up at the bottom while pressing the top of the sensor inward.  Insert ToolHTML   Insert the clot clearing tool in place of the pO2 sensor. Press the black lever below the black spring-loaded latch assembly to reapply pressure to the sensor assembly.  Fill and Insert SyringeHTML   Fill syringe with water and insert it into the clot clearing tool. Press the syringe plunger while holding gauze against the port at the back of the sample connector, to catch the obstruction and any excess liquid.  Remove SyringeHTML   Remove syringe.  Reinstall Reagent ManifoldHTML   Insert the reagent manifold until it latches into place, using the 2 latches that secure the manifold to the system. Reinsert the reagent manifold tubing, into the fitting that connects to the CO-oximeter pump tubing (RAPIDLab 1245 and 1265 systems). Reinsert the waste tubing into the port on the top, right-side of the reagent manifold. Obstruction or No ObstructionHTML   If an obstruction has been cleared, reinstall the pO2 sensor after removing the syringe and clot clearing tool. If an obstruction has not been cleared, go to the Clearing A Clot From The Reagent Cartridge section of this course. Close the SystemHTML   Reinstall the reagent and wash cartridges. Close the reagent and wash module doors, and the front cover. Select Return to exit Diagnostics mode.  CalibrateHTML   When prompted to calibrate the system, select Yes. When complete, select the X in the upper-right corner to close the window and continue.   GOKnee3Dは、CAIPIRINHA SPACEプロトコルベースで、臨床的に検証されており、簡単な操作で実行できる高分解能での3D膝検査です。目的に合ったコントラスト、各種平面での画像読影を約10分で実行できるようになっています（所要時間はシステム特性に応じて異なります）。高分解能で等方性3D画像を撮像することにより、ダブルオブリークや曲断面も含めたあらゆる平面での画像評価をフレキシブルに行えます。 このプロトコルはSiemensプロトコルツリーに用意されており、次のパスからアクセスできます。 KneeDotEngine > general 3D GOKnee3Dの使用に関するヒント： この検査は、高分解能と最短の撮像時間を組み合わせて検査を実行する場合に適しています。   Use a plastic syringe to clear a clot from the reagent manifold. Clearing a Clot from the Reagent Manifold Learn about clearing a clot from the reagent manifold. Checklist TitleChecklist TypeChecklist ContentLift CoverHTML Lift the front cover of the system. Select each checkbox to learn more about performing this procedure.  Password and DiagnosticsHTML    Enter password, if necessary. Select Status > Diagnostics. Enter password again, if necessary.  Eject Cartridges and Disconnect TubingHTML   At the Diagnostics screen, select Cartridges > Eject Both Cartridges. Remove the reagent and wash cartridges. Disconnect the waste tubing from the port on the top, right side of the reagent manifold.  RAPIDLab 1245 and 1265 Systems OnlyHTML   For the RAPIDLab 1245 and 1265 Systems only, disconnect the reagent manifold tubing from the fitting that connects the reagent manifold tubing to the CO-oximeter pump tubing.  Detach and Remove Reagent ManifoldHTML   Detach the reagent manifold from the system by pushing down the 2 latches that are located in the holes in the manifold, at the same time you push up on the two latches that are located at the bottom of the manifold. Pull the reagent manifold out slightly, then straight down, to avoid the sample connector. Place manifold on a stable, flat surface. Fill SyringeHTML Fill the syringe with water and place it against the sensor waste port.  Insert Water and RepeatHTML   Press the plunger gently to insert the water into the sensor waste port, while holding gauze against the end of the tubing that is connected to the sensor waste exit port to catch the obstruction and any excess liquid. Repeat the procedure on the sample port. Insert water into the port while holding the gauze against the end of the tubing that is connected to the sample port exit. RAPIDLab 1245 and 1265 Systems OnlyHTML   For the RAPIDLab 1245 and 1265 Systems only, repeat the procedure on the CO-oximeter waste port. Fill the syringe and insert the water into the CO-oximeter waste port, while holding gauze against the end of the tubing that is connected to the CO-oximeter waste exit port, to catch the obstruction and any excess liquid.  Obstruction Versus No ObstructionHTML   If there are no obstructions in the reagent manifold, proceed to Clearing A Clot From The Preheater section of this course. If water inserted into a port flushes cleanly through the corresponding exit port then there is no obstruction. If you cleared an obstruction from the reagent manifold, reinstall the reagent manifold. If you are unable to clear the obstruction, perform a clot clearing procedure using a clot-removal line, as described in Removing Clots Using the Clot-Removal Line in this course. Reinstall Reagent ManifoldHTML   Reinstall the reagent manifold if a clot or other obstruction has been cleared. Insert the manifold until it latches into place, using the latches that secure the manifold to the system. Reinsert the reagent manifold tubing into the fitting that connects to the CO-oximeter pump tubing (RAPIDLab 1245 and 1265 systems). Reinsert the waste tubing into the port on the top, right-side of the reagent manifold. Close System and CalibrateHTML   Reinstall the cartridges. Close the reagent and wash module doors. Close the front cover, and select Return twice to exit Diagnostics mode. When prompted to calibrate the system, select Yes. When complete, select the X in the upper-right corner to close the window and continue. CAIPIRINHAは、画質を犠牲にすることなく、高アクセラレーション係数の使用を可能にし、撮像時間を短縮するアクセラレーション手法です。信号対ノイズ比（SNR）は最大18%向上します。  CAIPI SPACEを使用することで、このアクセラレーション手法の対象がさらにSPACEプロトコルにまで広がり、臨床用途をさらに拡大することができます。 CAIPI SPACE（T2強調脂肪サチュレーション、PD強調）のシーケンスは、GOKnee3Dプロトコルに加え、整形外科の臨床評価用として事前設定されているその他のプロトコル（手/手首、股関節、足/足首）でも使用できます。 CAIPI SPACEの使用例を見るには、下のポップアップをクリックしてください。   If clearing the clot from the preheater fails, use this procedure to clear the clot from the reagent cartridge.   Clearing a Clot from the Reagent Cartridge Learn about clearing a clot from the reagent cartridge. Checklist TitleChecklist TypeChecklist ContentReinstall CartridgesHTML   Continue from the Clearing A Clot From The Preheater procedure, and reinstall the reagent and wash cartridges. Close the reagent and wash module doors. Select Return. Select each checkbox to learn more about clearing a clot from the reagent cartridge.  Reagent Sample PortHTML Ensure that the reagent sample port is in position 2. Select Pumps and Valves. Select R Valve > Start > Change. The character 2 should display on the screen.  Fill and Insert SyringeHTML   Fill the syringe with water. Insert the syringe into the clot clearing tool, which is still in place of the pO2 sensor. Press the syringe plunger gently into the clot clearing tool, while holding gauze against the sample port of the reagent cartridge, to catch the obstruction and any excess liquid.  Remove SyringeHTML   Remove the syringe. If obstruction is cleared, it is expelled through the sample port on the reagent cartridge.  Reinstall pO2 SensorHTML Push the black spring enclosure assembly to the right, until the mechanism clicks in place. Remove the clot clearing tool. Reinstall the pO2 sensor. Press the black spring enclosure assembly lever to reapply pressure to the sensor assembly.  Close CoversHTML   Close the measurement module cover and the front cover. Select Stop.  CalibrateHTML   Select Return twice to exit Diagnostics mode. When prompted to calibrate the system, select Yes.  Replace Sample PortHTML Select Status > Maintenance > Replace Sample Port. Select Continue and follow the instructions in the video.  Clot Clearing FailsHTML   If the reagent manifold, preheater, and reagent cartridge clot clearing procedures fail to locate the obstruction, use the clot-removal line. When complete, select the X in the upper-right corner to close the window and continue.   PCASL（Pseudo Continuous Arterial Spin Labeling）は、定量的パフュージョンイメージングで使用するASL手法として新たに導入されたものです。PCASLでのラベリングは、（疑似連続的に）パルストレインを使用してイメージングボリュームに隣接する近位で実行されるため、信号損失が最小限に抑えられます。これは、周期的なサチュレーションパルスによって動脈血のラベリングが実行されるパルスASLとは異なります。 PCASLの利点は PCASLでは、同じ時間でより高いパフュージョン信号、より高い均一性が達成されるため、PASLと比較してより薄く数の多いスライスでより大きなボリュームをカバーすることが可能になること、PCASLはパラレルイメージングと組み合わせて使用でき、より高速での画像撮像が可能になることが挙げられます。 この機能へのアクセス Siemensプロトコルに新たに導入されたPCASLプロトコル（2Dおよび3D）を使用するには、Head > library > perfusion からアクセスするか、DotCockpitの検索ダイアログで「PCASL」と入力します。 PCASLに関する詳細情報については、下のポップアップをご覧ください。 If the clot clearing procedures fails to remove the obstruction, follow this procedure using the clot-removal line. Removing Clots Using the Clot-Removal Line Learn about removing clots using the clot-removal line. Checklist TitleChecklist TypeChecklist ContentEject Both CartridgesHTML   Select Status > Diagnostics > Cartridges > Eject Both Cartridges. Remove both cartridges and leave door open. Select each checkbox to learn more about removing clots using the clot-removal line.  Reagent ManifoldHTML   To remove obstructions from the sample tubing in the reagent manifold, push the clot-removal line through the fluid connector on the reagent manifold.  PreheaterHTML   Remove the pO2 and pCO2 sensors. Push a clot-removal line through the preheater from right to left, opposite to the direction of sample flow, until you see the clot-removal line at the sample connector.  Inspect pO2 and pCO2 SensorsHTML Inspect the pO2 and pCO2 sensors for obstructions. If an obstruction is detected in either of these sensors, fill a syringe with water. Place the syringe against the sample path and inject water through the sample path of the sensor.  RAPIDLab 1240 and 1245 Systems OnlyHTML   On the RAPIDLab 1240 and 1245 Systems only, for the sample ground/temperature sensor, pH sensor and reference sensors, push the clot-removal line through the sample path to remove obstructions. If the obstruction is not removed, use a syringe filled with water and inject the water through the sample path.  RAPIDLab 1260 and 1265 Systems OnlyHTML On the RAPIDLab 1260 and 1265 Systems only, remove and inspect the electrolyte and glucose and lactate sensors. Fill a syringe with water and inject the syringe through the sample path. If the obstruction is not removed from the Na+ sensor, push the clot-removal line through the sample path to remove the obstruction. Caution: Do not push the clot-removal line through the Ca++, Cl-, K+, Glu, and Lac sensors. Remove Obstructions Through LatchHTML Grasp the tab on the reference sensor and pull it up and out of the measurement module. Disconnect the pinch valve tubing from the spring-loaded latch. Push a clot-removal line through the latch. Remove Obstructions From Waste PathHTML   Disconnect the tubing from the reagent manifold. Push the clot-removal line through the fluid connector on the reagent manifold until the clot-removal line appears again.  Reinstall Sensors and Close DoorHTML   Dry each sensor and ensure the O-rings are in place. Reinstall each sensor. Press the tab on the spring-loaded latch to release the latch. Close the measurement module door.  Connect TubingHTML Connect the pinch valve tubing to the latch and the pressure detector bubbler. Connect the waste tubing to the reagent manifold.  Reinstall Cartridges and Close DoorsHTML   Reinstall the cartridges and close the reagent and wash doors.  RCx, Wash and CalibrateHTML   Select Return to return to the Diagnostics screen. Then select Fluidic Functions > RCx. Look at the sample path for obstructions and flow problems. Select Wash Cycle, then select Return to return to the Diagnostics screen. To return to the Analysis screen, select the Analysis button. When prompted to calibrate the system, select Yes. Quality ControlHTML   Analyze a minimum of 2 levels of quality control material to verify sensor performance. When complete, select the X in the upper-right corner to close the window and continue.   CS Cardiac Cine Retrogated bietet folgende Protokolle: CS 2-Shot-Protokoll mit Retrogating zur Verwendung für: rhythmische Patienten, Erfassung des gesamten Herzzyklus   CS 2-Shot-Protokoll mit Retrogating mit Arrhythmie-Erkennung zur Verwendung für: leicht arrhythmische Patienten, verlängerte Akquisitionszeit   CS 8-Shot-Protokoll mit Retrogating  zur Verwendung für: kooperative rhythmische Patienten; einzigartige zeitliche und räumliche Auflösung   Hinweis: Eine Änderung der Anzahl der Schüsse wirkt sich direkt auf die verwendete zeitliche Auflösung auf. Rechts sehen Sie ein Videobeispiel für Aufnahmen im 2- und 3-Kammerblick mit CS Cardiac Cine Retrogated. Um das Video zu vergrößern, klicken Sie auf den Pfeil rechts neben der Abspielleiste. Um mehr über CS Cardiac Cine Retrogated zu erfahren, sehen Sie sich das Popup unten an. Troubleshooting failed or missed QC analysis includes troubleshooting the: Yellow Parameter Error Purple Parameter Error Ampoule QC Troubleshooting failed calibration includes the utilization and/or interpretation of the: Errors Troubleshooting Checklist Calibration Report to Identify Problems Trobleshooting Failed or Missed QC Learn about troubleshooting failed or missed QC. Slide NumberText BlocksCalloutsAudio ScriptImage File1The Yellow Parameter Error:   Error: The parameter is yellow with a line through it, and QC is displayed in the lower left corner of the parameter.   Probable Causes: The parameter has failed QC because the sensor has drifted since the last automatic calibration Errors occurred during storage or handling of the control material Parameter failed AutomaticQC analysis because the sensor or the cartridge is not working correctly The target ranges for one or more parameters are too narrow Corrective Action: Refer to the RAPIDLab® 1200 Operators Guide under the Troubleshooting: Troubleshooting Failed or Missed QC Analysis for Corrective Action information.   Select Next to continue. Note: If audio does not automatically start, select the play arrow in the top left to begin.When a parameter is yellow with a line through it, and the QC icon is displayed in the lower left corner, your system is flagging the yellow parameter error. In this case, it's possible the sensor has drifted since the last automatic calibration, or errors have occurred during storage or handling of the control material. With AutomaticQC, the sensor or cartridge may not be working correctly. The target ranges for one of more parameters also could be too narrow. Refer to the Operators Guide under Troubleshooting Failed or Missed QC analysis for Corrective Action information. Select next to continue. 2 The Purple Parameter Error:   Error:   The parameter is purple with a line through it and QC is displayed in the lower left corner of the parameter.   Probable Cause:   Required QC analysis was not performed when scheduled.   Corrective Action:   Refer to the RAPIDLab 1200 Operators Guide under Troubleshooting: Troubleshooting Failed or Missed QC Analysis for Corrective Action information.     Select Next to continue. When a parameter is purple with a line through it and the QC! icon is displayed in the lower left corner, the system is flagging the purple parameter error. This error can occur if Required QC analysis was not performed when scheduled. Refer to the Operators Guide under Troubleshooting Failed or Missed QC Analysis for Corrective Action information. Select next to continue. 3Ampoule QC: Recommendations to help resolve issues with failed ampoule QC: Perform only one QC analysis for each ampoule. Performance claims are based on one QC analysis per ampoule Always use the Quick adaptor when analyzing QC samples Analyze the QC material immediately after opening the ampoule. Prolonged contact with the atmosphere affects pH, pCO2 and pO2 results Ensure that the correct target ranges are defined in Setup Store QC material at a constant temperature Do not handle ampoules excessively. Variation in results may occur due to changes in temperature Do not use expired QC materials Do not analyze QC materials that contain bubbles Use the correct level of QC material that is scheduled for analysis When complete, select the X in the upper-right corner to close the window and continue.  There are several recommendations to help resolve issues with failed ampoule QC. After reviewing these recommendations, select the X in the upper-right corner to close the window and continue. Troubleshooting Failed Calibrations Learn about troubleshooting failed calibrations. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Failed Calibration Error # 1:   The parameter has a single line through it.   Probable Causes Corrective Action The parameter failed calibration. For recommendations to resolve failed calibrations, refer to Troubleshooting Checklist for Failed Calibration, in the Operators Guide.   View the events log to determine the event causing the parameter to fail and follow the appropriate corrective action for that event. The parameter was turned off in Setup and then turned on again. Perform a 2-point calibration to make the parameter available again.   Select Next to continue. Note: If audio does not automatically start, select the play arrow in the top left to begin.When a parameter has a single line through it, the system is alerting the operator of a failed calibration error. This error indicates that the parameter failed calibration or the parameter was turned off in Setup, and then turned on again. For corrective action if the parameter has failed, refer to Troubleshooting Checklist for Failed Calibration in the Operator Guide and view the events log to determine the event causing the failure. To correct the issue of the parameter being turned off and turned back on, perform a 2-point calibration to make the parameter available again. Select next to continue. 2 Failed Calibration Error # 2:   The parameter has 2 crossed lines through it.     Probable Cause Corrective Action The parameter failed calibration and is unlikely to become available with further calibrations. View the events log to determine the event causing the parameter to fail and follow the appropriate corrective action for that event.     Select Next to continue.    A parameter with 2 crossed lines through it indicates the parameter failed calibration and is unlikely to become available with further calibrations. View the events log to determine the event causing the failure and follow the appropriate corrective action for that event. Select next to continue. 3 Troubleshooting Checklist for Failed Calibration: If D codes also exist for reagent problems such as D23, correct these problems first Deproteinize the sample path if not done within the last week If the sensor was newly installed or if maintenance was recently performed, allow sufficient time for the sensor to equilibrate. Perform additional calibrations For pH, Na+, K+, Ca++, and Cl- sensors, if more than 2 sensors have excessive drift, check the solution level in the reference sensor and look for salt in the vent hole, bubbles in the sensor, or leaks Check the solution level in the affected sensor and remove bubbles. The K+, Ca++, and Cl- sensors should be nearly full. The pH and Na+ sensors should be completely full without any bubbles Check the sensor contacts and measurement block for salt buildup Check behind the sensors for fluid leaks that can come from the reference sensor   Select Next to continue. The troubleshooting checklist includes items related to D codes, weekly maintenance tasks, sensor maintenance, fill solution levels and leaks. After reviewing the list, select next to continue. 4 The Calibration Report:   The full calibration report*, if needed for troubleshooting, shows the measurement and drift values. The RAPIDLab® 1200 Series uses a 2-point calibration curve: Cal Point and Slope Point. The values in the "Meas" column represent the actual measured value of the current calibration The values in the "Drift" column represent the difference between the measured value from the current calibration and the value assigned to the analyte during the manufacture of the cartridge If the system cannot report a value during a calibration, the result is blank on the report and the D code explanation prints at the bottom of the report The symbols that display with calibration results on the printed report are: ↑ - When result is above the drift limit ↓ - When result is below the drift limit *The image on this page does not represent a full calibration report because it can only be viewed by printing the report. When complete, select the X in the upper-right corner to close the window and continue.  A full calibration report shows the measurement and drift values based on a 2-point calibration curve, which includes a Cal point and Slope point. The values in the Measurement column represent the actual measured value of the current calibration. The values in the Drift column represent the difference between the measured value from the current calibration and the value assigned to the analyte during the manufacture of the cartridge. If the system can't report a value during a calibration, the result is blank on the report and the D code explanation prints at the bottom of the report. An up or down arrow displays with the calibration results when the result is above or below the drift limit. When complete, close the X in the upper-right corner to exit and continue. Symbols can display with a patient result or in place of a patient result to indicate different issues. Troubleshooting Patient Results Learn about the different result symbols, causes and corrective action. Slide NumberText BlocksCalloutsAudio ScriptImage File1 Symbols -----↑ or -----↓:        Probable Cause Corrective Action The result for the patient is above (-----↑) or below (-----↓) the reporting range for the parameter.  Analyze the sample again, ensuring that the sample has no bubbles.   Analyze QC samples and verify that the QC results are within the target ranges.   Note: The system displays these symbols in place of a result.      Select Next to continue. Note: If audio does not automatically start, select the play arrow in the top left to begin.The symbols shown here, which display in place of a patient result, indicate that the patient result is either above or below the reporting range for that specific parameter. To correct this issue, analyze the sample again, ensuring that there are no bubbles. If this fails to correct the issue, analyze QC and verify that the results are within the target ranges. Select next to continue. 2 Symbol -----?:    Probable Causes Corrective Action The system detected an atypical response when measuring the parameter. Analyze the sample again to verify the result. The sensor does not reach a stable reading within the predefined time limit. For information about D5 No Endpoint, refer to the D Codes section of the Operators Guide or to the Online Help. The sensor signal has excessive noise. For information about D6 Excessive Noise, refer to the D Codes section of the Operators Guide or to the Online Help.   Select Next to continue. The symbol shown here may indicate a few different things such as: The system detected an atypical response when measuring the parameter, the sensor didn't reach a stable reading within the predefined time limit, or the sensor signal has excessive noise. To correct for the atypical response, analyze the sample again to verify the result. To correct for the unstable reading of the sensor, refer to the D Codes section of the Operators guide for information about D5 No Endpoint. To correct for the signal's excess noise, refer to the D Codes section of the Operators Guide for information about D6 Excessive Noise. Select next to continue. 3 Symbol #:   Probable Cause  Corrective Action  The sample contains substances that may interfere with glucose or lactate measurement.  Check the sample source and result, and ascertain whether the presence of an interfering substance is likely.    For more information about interfering substances, refer to Interfering Testing in the Operators Guide    Repeated, unexpected occurrences of this message many indicate sensor failure. Replace the sensor.    Note: This symbol displays next to results on the screen and on printed reports. The system displays the Interfering Substances message in the event log and on printed reports.      Select Next to continue. The number or pound symbol displays next to patient results on the screen, and on the printed reports. The probable cause is that the sample contains substances that may interfere with the glucose or lactate measurement. Check the sample source and result to ascertain whether the presence of an interfering substance is likely. For more information about interfering substances, refer to Interfering Testing in the Operators Guide. The interfering substances message also is displayed in the event log and on printed reports. Repeated, unexpected occurrences of this message may indicate sensor failure, and require sensor replacement. Select next to continue. 4 Missing Results:   Probable Causes Corrective Action The parameter was turned off at the Analysis screen. Verify that the parameter is turned on in Setup and analyze the sample again. The parameter was turned off in Setup. Ensure that the parameter is turned on in System Setup. When complete, select the X in the upper-right corner to close the window and continue.  Missing patient results indicate that either a parameter was turned off at the Analysis screen or in Setup. Verify that the parameter is turned on in Setup, and analyze the sample again. When complete, select the X in the upper-right corner to close the window and continue. Auf den folgenden Seiten erfahren Sie mehr zu den Verbesserungen im kardiovaskulären Bereich. Online Help provides quick access to troubleshooting information regarding: System messages D Codes (Diagnostic Codes) Select Next to continue. The RAPIDLab® 1200 Series provides assistance with identifying and resolving hardware issues by flagging Diagnostic codes (D codes) that include messages, causes, and possible solutions. Some of the D codes contain a qualifier after the message, which indicates a specific condition related to the D code. This qualifier can be alpha or numeric. Examples include: D2 Excessive Drift: pO2  -  pO2 is the qualifier Indicates pO2 sensor has excessive drift D35 Electronics Error: 7  -  7 is the qualifier Indicates an error has occurred in the electronics components 7 is important information for the Service Representative if service is needed Select Next to continue. System messages display in the Events log at the Status screen or in the Recall menu. To quickly access a list of these messages in alphabetical order, select the Help button. For each message, a probable cause and corrective action is provided: Message Probable Cause Corrective Action CO-ox Sample Chamber Not Detected The CO-ox sample chamber has exceeded its shelf life or operating life Replace the CO-ox sample chamber Select Next to continue. Si se dispone de varios hallazgos CAD para un estudio, inicialmente se selecciona el hallazgo CAD más reciente.  Es posible conmutar entre todos los hallazgos CAD disponibles. En la superposición se visualiza el número total de informes CAD disponibles, por ejemplo 1 de 2.   Pulse Ctrl + R para visualizar el siguiente SR CAD disponible de cada estudio.    Se conmuta del hallazgo CAD más reciente al más antiguo.. The Diagnostics screen allows the operator to: Print diagnostic reports Perform the Waste Detector Calibration Perform the Screen Calibration Access other diagnostic screens Select Status > Diagnostics. Enter password, if necessary. The operator is required to have level 1 or 2 security access to utilize the diagnostics applications. Refer to Setting Secured Options under the System Configuration section of the RAPIDLab® 1200 Systems Operators Guide for information on setting up operator security levels. Note: While the Diagnostics screen or subscreens are displayed, the system cannot perform routine fluidic activities. When exiting the Diagnostics screen, the system may perform an extended calibration before the system is available for use. Select Next to continue.   Le damos la bienvenida a la formación en línea delta de syngo.via MG Mama VB40. En esta formación conocerá: los hallazgos CAD de MG Mama, los hallazgos y marcas CAD de tomosíntesis de MG Mama y el sistema de apoyo interactivo a la toma de decisiones   que están disponibles en la versión VB40 del software syngo.via.   There are several reports available to print for diagnostic purposes. These reports include: Temperature report Last Cal report Measurement report Voltage and Temperature report Printer report Wavelength Cal report (RAPIDLab 1245® and 1265® systems only) Diagnostic Report Types Learn about printing each report type. Tab TitleTextTemperature Report From the Diagnostics screen, select Temperature. This report provides you with the temperature for different system components and the current pAtm. It also includes the system ID and the date and time of the report.   Last Cal Report From the Diagnostics screen, select Sensors > Last Cal. This report provides the data for each sensor from the last 2-point or full calibration.   Measurement Report From the Diagnostics screen, select Sensors > Measurement. This report provides one snapshot of the measurement readings for all sensors.   Voltage and Temperature Report From the Diagnostics screen, select Voltage and Temperatures. This report provides the voltage and temperatures.   Printer Report From the Diagnostics screen, select Printer. This report provides all printable characters providing the system ID, the date and time of the report, and the printer data.   Wavelength Cal Report From the Diagnostics screen, select CO-ox > Wavelength Cal. This applies only to the RAPIDLab 1245 and 1265 systems. When complete, select the X in the upper-right corner to close the window and continue.   Los hallazgos del sistema de apoyo a la toma de decisiones también se pueden corresponder con los hallazgos de las diferentes vistas de la misma lateralidad.   Si un hallazgo contiene una correlación de ese tipo con otro hallazgo, el sistema navegará automáticamente y mostrará el corte o la imagen donde se muestra el hallazgo en cuestión.   Perform the waste detector calibration for the waste bottle to ensure the waste fluid is properly detected. Waste Detector Calibration Learn about calibrating the waste detector. Checklist TitleChecklist TypeChecklist ContentWaste DetectorHTML   From the Diagnostics screen, select Waste Detector. Then select Continue. Select each checkbox to learn more about calibrating the waste detector.  Remove BottleHTML Remove and empty the waste bottle, and set it aside. Select Continue, and wait while the system calibrates without the bottle.  Fill BottleHTML   Fill the waste bottle with tap water to the Max line.  Reinstall BottleHTML   Reinstall the waste bottle. Wait while the system calibrates with the full bottle.  Remove BottleHTML   Remove and empty the waste bottle.  Reinstall Empty BottleHTML   Reinstall the empty bottle.  Select ReturnHTML   Select Return to go back to the Status screen. The system performs a wash. When complete, select the X in the upper-right corner to close the window and continue.   Click the tabs below to view the steps required for inserting a new column. Calibrate the touchscreen when the screen responds inconsistently to selections. For example, a calibration is needed when you have to select to the left or the right of an item in order to select it. Calibrating the Touchscreen Learn more about calibrating the screen. Calibrating the Screen: From the Diagnostics screen, select Screen Calibration The screen displays buttons. If you decide not to calibrate the touchscreen, do not touch the screen. The system will return to the Diagnostics menu after 30 seconds Select the button. The button changes position on the screen. Continue selecting the button until the system returns to the Diagnostics screen Select Return to go back to the Status screen Note: Do not select the button more than once each time it appears, or select any other part of the screen. If you do select the button more than once each time or select any other part of the screen, the screen will become inoperable.   When complete, select the X in the upper-right corner to close the window and continue. From the Diagnostics screen, you can access additional screens for troubleshooting: Fluidics Functions screen Pumps and Valves screen Cartridges screen Sensors screen CO-ox screen Refer to the Troubleshooting section of the RAPIDLab® 1200 Series Operators Guide for further information on performing the procedures located within each of these different screens. Select Next to continue.