CLINITEK Advantus® Urine Chemistry Analyzer Maintenance Online Training

Describe the as needed maintenance tasks Identify the daily maintenance tasks Upon successful completion of this course, you will be able to: Para a configuração, as amostras de plasma rico em plaquetas (ou PRP) e de plasma pobre em plaquetas (ou PPP) são colocadas em suportes diferentes. Os suportes de amostras devem ser configurados como suporte de PRP e suporte de PPP. Estão disponíveis seis cores para os diferentes modelos de suportes de amostras. Após as amostras terem sido devidamente recolhidas e preparadas para os testes e os reagentes preparados, pode dar início ao processamento das amostras no analisador. A maior automatização das etapas de processamento das amostras não só liberta o técnico para realizar outras tarefas essenciais, mas também aumenta a padronização das análises Daily cleaning tasks on the CLINITEK Advantus® Analyzer include:     Removing Cleaning Reinstalling    Exterior √     Display Screen   √     Push Bar √ √ √   Fixed Platform √ √ √   Holding Plate √ √ √   Moving Table √ √ √   Waste Bin Liner √   √ Daily Cleaning Tasks Learn about performing daily cleaning tasks. Checklist TitleChecklist TypeChecklist ContentTurn Analyzer OffHTML   Ensure the run is complete and the analyzer is at the Ready/Run screen, prior to performing maintenance Turn the power to the analyzer OFF Caution: Do not use any type of solvent, oil, grease, or silicone spray on any part of the analyzer. Harsh chemicals can damage the platform components. Clean the ExteriorHTML Clean the display screen once a day if it is used to enter ID, color, or clarity during the run using the following steps: Ensure the analyzer is OFF Clean the exterior of the analyzer using a damp cloth and a mild detergent Clean the display screen, with a soft, nonabrasive cloth dampened with a mild detergent Note: Do not use bleach to clean the display. Do not spray or pour the mild detergent directly on the screen. Remove and Clean the Push BarHTML Remove the push bar: Tilt the bar slightly upwards Pull the bar straight out Clean the push bar: Clean the push bar with warm water and a mild detergent Rinse thoroughly and dry with a paper towel or soft cloth Remove and Clean the Fixed PlatformHTML Remove the fixed platform: Remove the waste bin container Discard the used urine strips into an appropriate container Remove the fixed platform by pulling the entire assembly towards you Clean the fixed platform: Clean the fixed platform with warm water and a mild detergent Rinse thoroughly and dry with a paper towel or soft cloth Allow the calibration bars to air dry Inspect the calibration bars for scratches, marks or discoloration ​Discard the platform and replace with a new one if the bars cannot be cleaned Note: Avoid wiping across the 2 white calibration bars. Use a cotton-tipped swab, wetted with plain water, to clean the bars. Cleaning solution can damage the calibration bars. Remove and Clean the Holddown PlateHTML Remove the holddown plate from the fixed platform: Press upwards on the tab at the back of the plate Pull the other end from its retaining hole Note: You must remove the holddown plate for proper cleaning.   Clean the holddown plate: Using warm water and a mild detergent, wipe the holddown plate clean with a damp cloth If the holddown plate is extremely dirty, soak it in warm water and mild detergent to loosen the dried residue ​Rinse and dry with a paper towel or soft cloth Note: Do not use any type of solvent to clean the analyzer. Harsh chemicals can damage the platform components. Remove and Clean the Moving TableHTML Remove the moving table: Pull the moving table towards you Clean the moving table: Clean the moving table with warm water and a mild detergent Rinse thoroughly and dry with a paper towel or soft cloth Use care when drying around the pins   Reinstalling Cleaned Parts Learn about reinstalling the cleaned parts. Checklist TitleChecklist TypeChecklist ContentReinstall the Moving TableHTML Reinstall the moving table: Hold the table with the small rectangular tab facing to the back Align the 2 grooves on the bottom of the table with the edges of the platform on which the table rests Gently push the table in until you hear the tab latch into the hold position Check that the table is secure Reinstall the Holddown PlateHTML Reinstall the hold down plate: Position the holddown plate with the arrow side facing up and the arrow pointing to the back Place the pin on the front of the holddown plate into the hole at the front of the fixed platform Align the tab at the back of the holddown plate with the slot at the back of the platform Snap the holddown plate into place. Listen for a loud click, indicating proper installation Ensure the white calibration bars are visible Reinstall the Fixed PlatformHTML Reinstall the fixed platform: Align the 2 grooves on the bottom of the fixed platform with the arms extending forward from the analyzer The flanges on the sides of the holddown plate align just outside the read area cover. The top edge of the platform aligns just under the cover Gently push the platform in as far as possible ​Push past the ridge to correctly position the platform Note: Do not force the platform. Ensure that the moving table is correctly positioned before you attempt to reinstall the fixed platform. If you force the platform, you may damage the moving table or fixed platform. Reinstall the Push BarHTML Reinstall the push bar: Hold the push bar at the indented end With the end slightly upward, insert the peg on the other end of the bar into the hold in the pusher mechanism Lower the push bar into place Replace Waste Bin LinerHTML Install a new waste bin liner: Place a new liner into the waste bin Power analyzer ONHTML Turn the analyzer power ON. O princípio fundamental subjacente ao teste de agregação de plaquetas baseia-se na agregometria por transmissão de luz (ou LTA), que é utilizada há mais de cinquenta anos e que tem sido considerada o método de referência para testes.  O princípio é bastante simples; à medida que as plaquetas se agregam, a luz transmitida através da amostra do paciente aumenta. Como o plasma de cada paciente é ligeiramente diferente, o plasma pobre em plaquetas (PPP), do sangue de cada paciente, é utilizado para definir um valor de referência de 100% de transmissão de luz.  As amostras pobres em plaquetas com relativamente poucas ou nenhumas plaquetas permitem que a quantidade máxima de luz passe através da amostra. Em contrapartida, antes da adição de reagentes, neste caso, agonistas, a amostra de plasma rico em plaquetas (PRP) tem plaquetas em suspensão. Como se vê luz na amostra, ela dissipa-se e não passa. Assim, a amostra rica em plaquetas é usada para definir o valor de referência de transmissão de 0%. O teste de agregação de plaquetas mede a capacidade de vários agonistas plaquetários, como o ADP, o colagénio, a epinefrina, o ácido araquidónico (pronounced: a-rack-ee-donic) e a ristocetine (pronounced: risto-see-tin), para induzir a ativação in vitro, bem como a ativação plaqueta-plaqueta.  Uma vez que os agonistas são adicionados à amostra de PRP, as plaquetas ficam ativadas e começam a juntar-se ou agregar.  Os agregados de plaquetas começam a depositar-se e progressivamente vão deixando passar mais luz através da amostra.  Esta alteração na densidade ótica ou na transmissão de luz ao longo do tempo é avaliada à medida que a amostra de PRP numa cuvete é agitada de forma constante a 37 graus Celsius. A quantidade e a taxa de aumento da transmissão de luz são diretamente proporcionais à reatividade das plaquetas aos vários agonistas. Estas alterações na transmissão da luz são registadas como uma curva de reação em função do tempo. A percentagem máxima da taxa de agregação é calculada pela fórmula aqui apresentada, em que a variação máxima da absorvância da luz resulta da reação da agregação de plaquetas induzida pela adição de reagentes agonistas à amostra de PRP. Congratulations.  You have completed the CLINITEK Advantus® Urine Chemistry Analyzer Maintenance Online Training course.  Listed below are the key points that have been presented.  Take time to review the material before you proceed to the final quiz. Identify the daily maintenance tasks    Daily cleaning tasks on the CLINITEK Advantus Analyzer include:                           Cleaning Steps Solution Type Notes  Display Screen Ensure the analyzer is OFF Clean the exterior of the analyzer using a damp cloth and a mild detergent Clean the display screen, with a soft, nonabrasive cloth dampened with a mild detergent Damp cloth and a mild detergent.  Do not use bleach to clean the display. Do not pour the mild detergentdirectly on the screen. Push Bar Clean the push bar with warm water and a mild detergent Rinse thoroughly and dry with a paper towel or soft cloth Damp cloth and a mild detergent. Fixed Platform Clean the fixed platform with warm water and a mild detergent Rinse thoroughly and dry with a paper towel or soft cloth Allow the calibration bars to air dry Inspect the calibration bars for scratches, marks or discoloration. Discard the platform and replace with a new one if the bars cannot be cleaned Warm water and a mild detergent. Avoid wiping across the 2 white calibration bars. Use a cotton-tipped swab, wetted with plain water, to clean the bars. Cleaning solution can damage the calibration bars.  Holding Plate Using warm water and a mild detergent, wipe the holddown plate clean with a damp cloth If the holddown plate is extremely dirty, soak it in warm water and mild detergent to loosen the dried residue Rinse and dry with a paper towel or soft cloth Warm water and a mild detergent.  Do not use any type of solvent to clean the analyzer. Harsh chemicals can damage the platform components.  Moving Table Clean the moving table with warm water and a mild detergent Rinse thoroughly and dry with a paper towel or soft cloth. Use care when drying around the pins Warm water and a mild detergent.  Use care when drying around the pins.   Waste Bin Liner Remove the waste bin liner Replace with a new waste bin liner     Describe the as needed maintenance tasks    As needed maintenance tasks on the CLINITEK Advantus® Analyzer include: Replacing the printer paper Lubricating the push bar slide and shaft Performing a decontamination Replacing the printer Calibrating the touch screen     Clean and lubricate the push bar slide and shaft Turn the analyzer OFF Disconnect the power cord Remove the push bar, the fixed platform, the holddown plate, and the moving table Clean the right side of the push bar shaft using ethanol or isopropyl alcohol on a cotton tipped applicator Move the slide arm to the right to access the left side of the shaft. Clean the left side of the shaft Using a cotton tipped applicator, apply a thin film of Lubriplate lubricant to both sides of the push bar shaft Do not apply too much or too little lubrication, as this may cause the push bar to move erratically Move the slide arm several times to spread the lubrication Reinstall the pieces Reconnect the power cord. Turn the analyzer ON    Replacing the printer paper steps include: Lift the cover Remove the paper roll Remove the remaining paper Replace the paper roll Feed/set the paper Replace the cover   Benvenuti al corso di Online Atellica COAG - test di aggregazione piastrinica.  Sebbene il test di aggregazione piastrinica sia noto da qualche tempo, si tratta principalmente di un processo con un impiego elevato di manodopera senza la standardizzazione necessaria per fornire risultati coerenti. La disponibilità del test di aggregazione piastrinica sugli analizzatori Atellica COAG 360,  automatizza molto del lavoro manuale sinora necessario per eseguire i test, consentendo non solo di ridurre il numero di passaggi coinvolti, ma anche le competenze necessarie. Ciò implica un processo automatizzato dei test che libera il personale tecnico consentendogli di eseguire altre attività, e di ottenere una maggiore standardizzazione operativa, fornendo al laboratorio uniformità e qualità continuative nella cura del paziente. Welcome to the CLINITEK Advantus® Urine Chemistry Analyzer Maintenance Online Training course.   This online training course will cover: Daily maintenance tasks As needed maintenance tasks   As needed maintenance tasks on the CLINITEK Advantus® Analyzer include: Replacing the printer paper Lubricating the push bar slide and shaft Performing a decontamination Replacing the printer Calibrating the touch screen Lubricating the Push Bar Learn about how to clean and lubricate the push bar slide and shaft. Clean and Lubricate the Push Bar Slide and Shaft When the push bar chatters or moves in a jerky motion. If you see an increase in skewed strip errors, caused by the vibration of the push bar movement. Turn the analyzer OFF. Disconnect the power cord. Remove the push bar, the fixed platform, the holddown plate, and the moving table. Clean the right side of the push bar shaft using ethanol or isopropyl alcohol on a cotton tipped applicator. Move the slide arm to the right to access the left side of the shaft. Clean the left side of the shaft. Using a cotton tipped applicator, apply a thin film of Lubriplate lubricant to both sides of the push bar shaft. Do not apply too much or too little lubrication, as this may cause the push bar to move erratically. Move the slide arm several times to spread the lubrication. Reinstall the pieces. Reconnect the power cord. Turn the analyzer ON. When complete, select the X in the upper-right corner to close the window and continue. Replacing the Printer Paper Learn about how to change the printer paper. Checklist TitleChecklist TypeChecklist ContentLift the CoverHTML Remove the Printer Cover: Ensure the analyzer is at the Ready/Run screen Press the tab on the back of the printer cover Lift the cover off Remove the Paper RollHTML Remove the Printer Roll:  Lift up the roll Tear the paper between the roll and the printer Remove the core and remaining paper on the roll Note: Be careful when touching the printer. It may be hot. Remove Remaining PaperHTML Remove any Remaining Paper: Locate the printer paper release lever This lever is colored green and is located on the right of the printer when looking from the front of the analyzer Push down the back of the lever to unlock the roller Pinch and lift the front of the lever to raise the paper guide Carefully pull paper through the printer in its normal direction of travel Replace Paper RollHTML Replace the Paper Roll: Obtain a new paper roll Unroll sufficient amount of paper to feed into the printer Hold the roll just above the printer, with the paper unrolling from underneath Push the paper gently under the roller at the back of the printer ​Note:​The printer automatically pulls the paper into the printer and behind the paper guide on top of the printer. Feed/Load the PaperHTML Set the Paper Roll: Load the paper roll into position behind the printer If necessary, feed more paper through the printer cover Carefully pull a sufficient amount og paper through the printer to enable you to feed it through the printer cover Ensure the edges of the paper are aligned with the edges of the printer Return the printer paper release lever to its locked position by pressing firmly down on the front of the lever Replace the CoverHTML Replace the Printer Cover:  Place the front tabs of the cover into their slots Feed the end of the paper through the opening in the cover Snap the cover into place As Needed Maintenance Tasks Learn about additional as needed maintenance tasks. Tab TitleTextPerforming a Decontamination Refer to the operator's manual for detailed instructions to disinfect the push bar, the holddown plate, the fixed platform, the moving table, and the display screen. Perform the Daily Cleaning Prepare the disinfectant solution Household bleach (5% sodium hypochlorite) - full strength or dilute as much as 1:20 dilution(Cidex and Theracide) Immerse the pieces in the solution for no longer than 10 minutes Rinse each piece thoroughly Dry each piece with a paper towel or soft cloth Use care when drying around the pins on the moving table Allow the calibration bars on the platform to air dry Reinstall the pieces Disinfect the display screen, if needed Use either Cidex or Theracide solution, or their equivalents, only Replacing the Printer Refer to the operator's manual for detailed instructions to replace the internal printer. Disconnect the analyzer from the power source Remove the cover on the internal printer Remove the paper roll Remove the printer Install the new printer Turn the analyzer power on Note: Be careful when touching the printer. It may be hot.  Do not touch the printer without observing precautions for handling electrostatic sensitive devices. A risk of electrostatic discharge to the analyzer exists when touching the printer. Calibrating the Touch Screen Calibrate the touch screen if it does not respond correctly when a key is touched: Turn analyzer power off Wait several seconds Turn analyzer power on When the title screen displays, touch the screen anywhere The display prompts Touch the top left corner and an X displays in the corner Touch the screen at the center of the X Repeat when the prompt changes to Touch the bottom right corner When the touch screen is calibrated, the display automatically continues in the normal sequence of screens.