| User Manual
SYSTEM VERSION
COPYRIGHT
No part of this documentation may be reproduced in any form, nor processed, copied or
distributed by means of electronic systems, without prior permission of Human GmbH in
writing. Since all precautionary measures were taken into account in producing these operating
instructions, the manufacturer accepts no responsibility for any errors or omissions. This
includes any liability for damage that could arise from possible incorrect operation based on this
information. Subject to changes without notice as result of technical development.
TABLE OF CONTENTS
1 SAFETY INSTRUCTIONS 5
1.1 INTRODUCTION 5
1.2 USER WARRANTY 5
1.3 INTENDED USE OF THE INSTRUMENT [IVD] 6
1.4 GENERAL SAFETY WARNINGS 6
1.5 DISPOSAL MANAGEMENT CONCEPT 7
1.6 INSTRUMENT DISINFECTION 7
1.7 WARNING SYMBOLS 8
2 SYSTEM DESCRIPTION 11
2.1 INSTALLATION AND FIRST TIME USE 11
2.1.1 Prior the Installation 11
2.1.2 Performing the Installation 14
2.1.3 First startup 18
2.1.4 Primary Settings 22
2.1.5 How to proceed 25
2.1.6 Accessories 26
2.2 THE HUMACOUNT 5L 26
2.2.1 General Description 26
2.2.2 Technical data 27
2.2.3 Measured Parameters 28
2.2.4 Reagent and Control Materials 30
2.2.5 Measurement Principles 31
2.2.6 Identifying parts of the analyzer 35
2.2.7 Right side Assembly 39
2.3 USER INTERFACE 41
2.3.1 Using the touch screen 41
2.3.2 Using the Start-Button 42
2.3.3 Using external mouse 42
2.3.4 Using external keyboard 42
2.3.5 Using the virtual key-pads 43
2.3.6 Using the GUI 44
2.3.7 The menu System 48
2.3.8 Safety and Access codes 53
3 ROUTINE UTILIZATION 55
3.1 START-UP AND SHUT-DOWN THE HUMACOUNT 5L 56
3.1.1 From power-off to ready to measure 57
3.2 MEASUREMENT 61
3.2.1 Usable samples 61
3.2.2 Sample Types and Modes 63
3.2.3 Sample Identification 64
3.2.4 Result Display 77
3.2.5 Printing Reports 82
3.2.6 The Measurement Process 82
3.3 RESULT INTERPRETATION 83
3.3.1 The result screen 83
3.3.2 Parameter information 84
3.3.3 Scatter Diagrams 85
3.3.4 Warnings 87
3.4 QUALITY CONTROL 91
3.4.1 Set QC Reference 92
3.4.2 QC Measure 93
3.4.3 View QC References 93
3.4.4 View QC Data 93
3.4.5 View QC Diagrams 93
5 MAINTENANCE 125
5.1 OPENING THE FRONT PANEL 125
CONTENTS
6 TROUBLESHOOTING 137
6.1 SOFTWARE ERROR MESSAGES 137
6.1.1 Pneumatic error messages 137
6.1.2 Mechanical Problems 138
6.1.3 Sample Rotor (SR) Failures 139
6.1.4 Needle Mechanics, Vertical Motor (Mvert) Problems 139
6.1.5 Shear Valve (SV) Related Errors 140
6.1.6 Dilutor Errors 140
6.1.7 Priming Problems 140
6.1.8 Electronics Related Problems 141
6.2 MEASUREMENT RESULTS RELATED PROBLEMS 142
6.2.1 Fluctuating PLT background values 142
6.2.2 Long, smeared population 142
6.3 INSTRUMENT DIAGNOSTICS 142
6.3.1 Self Test Of The Analyzer 143
6.3.2 Daily Log 144
6.3.3 Reagent Status 145
6.3.4 Statistics 146
6.3.5 Information 146
7 APPENDIX 147
7.1 REAGENT CONSUMPTION 147
7.2 DISPLAY RANGE 148
7.2.1 Fluidic System 149
7.3 PRINTED REPORT FORMATS 150
7.4 PERFORMANCE DATA 154
7.4.1 Precision 154
7.5 TAB FILE FORMAT 155
SAFETY INSTRUCTIONS 5
1 SAFETY INSTRUCTIONS
1.1 Introduction
This manual is considered as a part of the instrument; it has to be at the
operators hand as well as at the maintenance operators availability. For
accurate installation, use and maintenance, please read the following
instructions carefully. In order to avoid instrument damage or personal
injurycarefully read the GENERAL SAFETY WARNINGS, describing the
suitable operating procedures. In case of breakdowns or any troubles with the
instrument, apply to the local Technical Service.
Make sure to retain packaging material for safe transportation and storage in
the future. In case of inactivity of analyzer or storage, please, drain the reagents
and repackage the HumaCount 5L. Do not expose the HumaCount 5L to direct
sun shine or extreme temperature condition or humidity (>80%)
The analyzer operates with chemically and biologically active reagents.
Direct (skin) contact with these reagents should be avoided. Please read reagent
descriptions carefully for possible emergency actions.
Sharp needle
The sampling needle may cause injury.
warning
Notes:
10
2 SYSTEM DESCRIPTION
The HumaCount 5L is instrument should be allowed to sit for an hour at the correct room temperature
designed for laboratory oper- before use.
ation. Mobile operation is not Reagents should be stored at a temperature range of 15-30C (~59-86 F).
supported. Operate HumaCount The instrument should be placed in a well-ventilated location. The instrument
5L within the ambient should not be placed near potentially interfering devices capable of emitting
temperature range of 15-30C radio frequencies (e.g. radio or television receiver, radars, centrifuge, X-ray
(59-98 F) and maximum relative devices, fans, etc.).
humidity of 80%. The optimum Operation at an altitude over 3000 meters (~9800 ft) is not recommended.
operating temperature is 25C. This instrument is designed to be safe for transient voltages to INSTALLATION
Reagents should be stored CATEGORY II and POLLUTION DEGREE 2.
at a temperature range of Environmental and electrical requirements have been provided to insure the
15-30C. The HumaCount 5L accuracy and precision of the instrument and maintain a high level of
operates properly up to operational safety for lab personnel.
3000 meters above sea-level. Do
not place the reagent containers The image below shows the HumaCount 5L with its optional Auto Sampler unit:
to a higher position than Huma-
Count 5L. This is to avoid uninten-
tional spilling of reagents. The
vertical distance between the
reagent container and Huma-
Count 5L must not be more than
120 centimeter.
FIGURE 1
FIGURE 2
Autosampler
If the optional Autosampler unit also delivered then the delivery should contain
the following items as well:
- The Autosampler unit;
- A sample-tray;
- 10 pieces of sample-racks.
Would any of the above be missing or damaged, please inform your Sales
Representative for further instructions.
Autosampler:
- No visible dents or bumps on the housing of the Autosampler;
- The transparent cover opens and closes smoothly;
- The sample-tray and the racks have no visible damage.
FIGURE 3
At this stage do not perform any other operations, just ensure that the Huma-
Count 5L is operational.
18
Select the main menu then the Diagnostics function. In the Diagnostics menu
choose the Reagent status option.
FIGURE 4
On the Reagent status panel choose the function All and confirm the reagent
replacement.
FIGURE 5
20
If the total volumes dont match with the volumes of reagent containers you use,
then you can adjust the volumes in the Main menu/ Settings/ System menu. See
details in chapter 4.9.
After performing the reagent fill-up procedure the estimated reagent status (4 icons
at the bottom-left corner of the screen) displays full reagent containers and empty
waste container.
In order to fill up the HumaCount 5L with reagents select the Fill function in the
Main menu/ Maintenance menu. After selecting the Fill function, you need to con-
firm the operation.
FIGURE 6
FIGURE 7
As the process starts the Start button on the front cover changes its color to red,
marking that the pneumatics is busy.
Upon completion of the Fill procedure, the analyzer is ready for operation.
Click/ tap on the Reset button. The Autosampler should check the all the
motor movements and move the motors into home position. You should
receive the home message including the software revision number.
(The power-onmessage contains the serial number of the Autosampler.)
Close the panel using the OK button.
See details about the Autosampler operations in chapter 3.2.3.7.
FIGURE 8
22
FIGURE 9
FIGURE 10
Adjust the time if necessary and accept the new value by tapping/ clicking the
"OK button.
See details about date and time in chapter 4.13.
FIGURE 11
24
On the Main menu/ Settings/ Units panel select the printer you want to use
and adjust the printer parameters. To accept the changes you made on any of
the Settings screens, tap/ click the SAVE button. Applying changes can take`
several seconds.
See details about the settings in chapter 4.5.
2.1.6 ACCESSORIES
TABLE 1 HumaCount 5L Hematology Analyzer 1 16430
User Manual 1 16430/1
Reagent tubing kit 1 16430/21
Diluent tube (green) 1
Diff tube (orange) 1
Lyse tube (yellow) 1
Waste tube (red) 2
Cleaning tube kit 1
Caps for reagent containers
1
(matching connectors colors)
Waste container (20 L) 1
Sample tube for Hard cleaning 1 18999
Power cable 1 16350/304
Sample tube adapter 1 16350/304
Control material
16- and 64-day Levey-Jennings charts, separate QC database
Quality Control
(6 Level)
Pathological (diagnostic) flags
Lab limits (normal ranges)
Flagging Reagents alert (3 measurement prealert-online reagent
replacement)
Instrument alerts, internal buffer for reagents
Calibration Manual and SW supported automatic mode
Languages available English menu and support for other languages
Software upgrade Via USB
Data storage capacity 100.000 records including flags, scatter- and histograms
Data processing VIA C7 1.8 GHz processor
Data store Embedded XP
Display 800 x 600 color graphic LCD, portrait layout
External printing Via USB port, any Windows compatible printer
External keyboard Via PS/2 or USB
Optional Manual bar-code reader via USB
Bar-Code reader
Built-in in the Auto-sampler
Peripheral ports USB (2.0) 4pc., Ethernet, PS/2
Power supply input: 110/230 VAC; 47Hz to 63Hz
Power requirements
Power Consumption: maximum 400 VA
Main fuse F 10A H 250V
Dimension Instrument without any compoments: 54 x 46 x 45 cm
Space required for routine use: 120 x 60 x 100 cm
Packaging: 56 x 52 x 54 cm
Gross weight: 21,5 kg, Net: 21 kg
Operating temperature 15-30 C (59-98 F); Maximum relative humidity 80%
2.2.4.1 Reagents
In order to operate correctly and accurately the following reagents must be used.
All these reagents are manufactured and provided by HUMAN GmbH.
All these reagents are for in vitro use only!
2.2.4.3 HC5L-Lyse
Description Multiple ultra-filtered, particle free reagent so- TABLE 6
lution, containing lysing detergents, stabilizers,
leucoprotective components, special additives
and preservatives.
Application Quantitative and qualitative determination of
RBC, WBC, PLT and HGB concentration.
Appearance Colorless solution, foaming by shaking.
Shelf-life 24 months
Open bottle stability 120 days
Storage Between +15 C and +30C. (~59-86F)
HUMAN GmbH 16430/30, 5 liters
reagent code
Color code Yellow
The product is environmental-friendly, since does not contain azide nor cyanide.
FIGURE 12
Impedance Method
Internal electrode
+ Aperture
Blood cell suspension
External electrode
Each cell passing through the aperture where a constant DC current flows
between the external and internal electrodes causes some change in the
impedance of the conductive blood cell suspension.
These changes are recorded as increases in the voltage between the electrodes.
The number of pulses is proportional to the number of particles. The
intensity of each pulse is proportional to the volume of that particle. The volume
distribution diagrams of the particles are WBC, RBC, and PLT histograms. Pulses
are counted only in channels (in terms of femtoliter, fl), which are between the
lower and upper discriminators.
blank and a bloody measure with and without illumination to reduce the effect
of liquid refraction and disturbing light.
FIGURE 13
FIGURE 14
External structure (and the size of the cell) causes low angle scatter.
Internal complexity causes high angle diffraction. The different angled lights
are captured by optical sensors. Thus the system gets two independent parame-
ters about one cell passing the light beam.
FIGURE 15
The data are plotted in a 2 dimensional coordinate system. Similar cells have
similar scatter characteristics, and the analytical software can separate
differentiate and identify them to provide 4DIFF and BASO scatter diagrams.
FIGURE 16
FIGURE 17
1
1 Touch screen
2 Front panel
3 Sample rotor
4 START button
4
2 3
1. Touch screen
This is the main user interface of HumaCount 5L. User interactions and data
input happen using this screen. The screen is cleanable by a sponge and
ethanol 70%.
2. Front panel
This is the cover of the main fluidic element like shear valve, sampling needle,
syringes. It can be easilIdentifyingy opened if any maintenance is necessary. The
front panel is cleanable by damp sponge and ethanol 70% or antibacterial soap.
3. Sample rotor
The needle takes manual sample from the tube inserted in the sample
holder of the sample rotor. The sample rotor turns into the HumaCount 5L and
cover the sample needle from the unintended touch. The different sample tube
types need different sample holder types for proper sampling. The Sample rotor
is cleanable by damp sponge and ethanol 70% or antibacterial soap.
In case of automated (Autosampler based) measurements the emergency/
urgent samples are processed from the sample-rotor.
36
4. START button
This is easy way to start the manual/ emergency measurement to push the
start button in the front panel. The sample and patient data are settable in the
touch screen. The color of the START button identifies the status of the Huma-
Count 5L. The green color means HumaCount 5L is ready to measure. The red
color means HumaCount 5L is engaged in measurement. The orange color means
HumaCount 5L is in the stand by state or performing automated maintenance
like operations. Clean the START button with a damp cloth and ethanol (70%) or
standard cleaning solution.
1 Stand by button
2 Hardware Key (HK) 3
connector
3 Main board Back
Panel I /O Ports
4 Power connector
5
5 Reagent connector
4 6
6 Power switch
1. Stand by button
This button wakes Rearup the HumaCount 5L main board and power on all the
components inside the HumaCount 5L or stand by the main board and power
Power supply input: off the components after the daily activities.
110/230VAC ; 47Hz to
63Hz Power Consumption: 2. Hardware Key (HK) connector
maximum 400 VA This connector is used to connect the Hardware Keys (HK) in case of locked
reagent system. See details in chapter 4.14.
4. Power connector
The HumaCount 5L should be connected to a safety grounded socket near to the
analyzer by a power cord of the HumaCount 5L. If there is any malfunction or
risk for failure witch effect the soundness of human or risk for electrical sock or
fire, please promptly disconnect the power cord from the socket outlet.
5. Reagent connectors
The color coded inlets provide connection to the reagent system. The connectors
have a safety groove to offer a secure connection with the analyzer.
6. Power switch
This is the main power switch of the HumaCount 5L.
If the power switch is on the HumaCount 5L is in the Stand by state and to be
able to wake up by the Stand by button.
If it is off the HumaCount 5L powered off.
FIGURE 19
Avoid liquids getting on the electrical connectors. The rear panel of the analyzer
should be cleaned with a cloth or sponge with ethanol.
38
FIGURE 20
1
1 Pressure sensor
5
2 Measure buffer small
3 Sheath buffer
4 Lyse-5P
5 Mix, RBC, WBC 6
chambers
6 Valves 1-22
7 Valves 23-44
8 Diluent buffers 7
2 8
1 Aspirating needle
5
2 Horizontal and vertikal
motion unit
3 Washing head
4 Sample rotor
5 Optical head
6 Power supply
1
7 Auto sampler unit
connector
7
40
- Aspirating tip takes blood sample during the normal or emergency sampling
process
- Horizontal and vertical moving unit is positioning and moving the sample
needle
- Washing head cleans the outer surface of the aspirating tip
- Sample rotor holds the blood sample and rotates it into emergency position
- Auto sampler connector is the power and control connector of the auto
sampler
- Optical head contain laser source and detectors optical elements and auto
alignment for the optical measurement
FIGURE 22
1 Shear valve
2 Syringes
3 Aspirating needle
1
4 Sample rotor
3
Although we presume that you have some basic experience about computers
and / or other electronic gadgets, still even the basic issues are described in the
chapters below.
as a tapping tool.
If you find that your tapping actions and the response of the HumaCount 5L
does not match then please re-calibrate the touch-screen before asking for
service/ support. See details in chapter 5.2.3.
42
FIGURE 23
FIGURE 24
FIGURE 25
44
FIGURE 26
FIGURE 27
1 FIGURE 28
By tapping / clicking on the error/ warning icon you can make a short-cut to the
relevant menu where you can fix the problem or get information/ help how to
resolve the problem.
FIGURE 29
FIGURE 30
2.3.6.5 Multi-select
To select multiple rows or data, you will have to enable the multi-select option.
Below the list there can be a Multiselect checkbox. Tap/ click the rectangle
(an X will indicate active state). Now tapping an entry will change its state of
selection.
48
FIGURE 31
FIGURE 32
HumaCount 5L Main Menu
Patient TABLE 8
New: Add a new patient
HumaCount 5L Analyzer
Edit: Modify an individual patients information
Menu Tree
Details: View an individual patients information
See chapter 4.4 for more information about patient data
Exit
Cancel: Cancels shutdown of the HumaCount 5L analyzer
Prepare for shipment: Performs an extensive drain procedure of the Huma-
Count 5L pneumatic system in preparation for shipment or an extended period
of inactivity
Log off: Logs off the current user session
Shutdown: Prepares the HumaCount 5L for a complete shutdown
Settings
Customize
Language: Change the active language
Limit Style: View parameter normal range status in numerical or graphical
format
Sound Volume: Change the volume of the HumaCount 5L built-in speaker
On screen keyboard active: Turn off on-screen virtual keypads for use with an
optional external keyboard
Patients displayed data: Patient identifier visible in the database display
Laboratory: Eight lines of text of lab information be displayed on each printed
page
External devices
Sending port baud rate: Select transmission rate for serial LIS
Automatic LIS: Select whether to automatically transmit results each time a
sample is processed
LIS: Select Ethernet LIS connection
IP: IP address of Ethernet-based LIS host computer listening port
Port: Port number of Ethernet-based LIS host computer listening port
Bidirectional LIS: Selects whether Autosampler information downloads are
allowed
System
52
3 ROUTINE UTILIZATION
In this chapter a typical daily routine is described. Of course your daily routine
can be different than the one described here. This chapter also contains some
trick and trips. We suppose that the laboratory works during office hours only.
Notes:
Blank measurements:
- If you want to check if the reagent-path was not contaminated during
the reagent replacement then run 4-5 blanks before accepting the blank
measurement results. The reagents from the internal reservoirs should be
used before the new reagent reaches the measurement system;
- If you receive the samples in batches and more than 2 hours elapsed
between the last sample of the previous batch and the first sample of the
next batch, then it is a good practice to repeat the blank measurement;
QC:
- Perform the QC measurements according to your local regulations;
- Please monitor the expire date and the stability after first use of the QC
material;
- If there are more hematological instruments in your laboratory then it is also
a good practice to measure the same human sample on all the instruments
56
to compare the instruments. Use more parallels to reduce the effect of the
random error (CV%);
- We suggest to perform a blank measurement before the QC measurements;
Calibration:
- Calibrate the HumaCount 5L if the QC results or the comparing to other
instruments shows permanent error in the measurements;
- If you perform a measurement based calibration then we suggest to perform
a blank measurement before the calibration procedure;
- See chapter 4.2
FIGURE 33
The following sequence of events takes place after enabling the standby switch:
- The internal computer starts up displaying the EPIA logo in a rotated way.
- The embedded Windows XP operating system starts up. As the display
initializes the screen changes color.
- The HumaCount 5L application software starts up displaying the Huma-
Count 5L logo screen. Individual component start up status is displayed in
the bottom right corner of the logo.
- If the multi-user option is enabled then a user ID and password is required.
- The HumaCount 5L main menu is displayed.
- At this point, the HumaCount 5L analyzer user interface is ready to use, but
the analyzer is not yet ready to measure samples. This requires initialization
of the HumaCount 5L pneumatic system. The following functions are availa-
ble at this time:
If the HumaCount 5L was not in use for an extended period of time, the start
up of the pneumatic system components can take significantly longer and re-
quire more blank measurements. To prevent these problems, use the prepare
for shipment process when the HumaCount 5L analyzer will be inactive for an
extended time.
3.2 Measurement
3.2.1.1 Sample-tubes
The HumaCount 5L was used, tested with the following K3-EDTA, 13*75mm Please note that in case of the
sample-tubes: Sarstedt Monovette sample
- Sarstedt Monovette tubes the bottom of the blood-
- Becton, Dickinson (BD) Vacutainer storage and the bottom of the
- Terumo Venosafe sample tube is different because
of the syringe. The sampling
Use sample tubes with K3-EDTA anticoagulant! depth on the HumaCount 5L must
You may use sample tubes from other vendors, but consider the following is- be changed if a Sarstedt Mono-
sues: vette sample-tube is in use. The
- In case of manual measurement check if the new tube-type Autosampler can recognize the
- Mechanically fits (13*75 mm family); Sarstedt Monovette tubes. In
- Can be pierced or use it in open-tube mode; case of manual measurements
- Can be handled by the centralizing mechanics; the tube-type should be adjusted
- It is suggested to contact your sales representative before using the new manually. See chapter 3.2.3.7 for
sample-tube. details.
- In case of automated (Autosampler based) measurements contact your sales
representative before using the new sample-tube! It should be tested if the
Autosampler can reliable recognize the tube-type.
FIGURE 34
FIGURE 35
- Blank mode: No sample need be presented to run a blank. Blank mode checks
that the measuring system is operating correctly and that blank measure-
ment results are acceptable.
- Human blood mode: Choose one of five human blood modes (Human, Male,
Female, Alternate 1 or Alternate 2). Each mode has a unique set of normal
ranges associated with it.
- Control (QC) mode: The hematological parameters of QC materials are
known prior to analysis. Controls are used to check the long term stability of
the HumaCount 5L analyzer.
Calibration with a calibrator material is not one of the HumaCount 5L sample
modes, but a specific procedure that can be accessed from the Calibration icon
on the main menu.
Always ensure the Use only Sarstedt Monovette tube from sample ro-
tor check box in the Main menu/Settings/System panel is checked if
you are manually presenting Sarstedt Monovette tubes in the sam-
ple rotor. Needle damage, tube damage and spilled blood may result
if Sarstedt Monovette tubes are presented and this option is not che-
cked.
Select the Measure quick link at the top left of the screen to initiate a manual
measurement. The new measurement panel opens, giving you have the follow-
ing options:
- Review the results of the previous measurement by using the Last Measu-
re function. This feature can be useful if you were interrupted during the
measurement batch, and you want to double-check which sample is the last
processed sample.
- Define the sample id of the sample to be processed by clicking or tapping on
the Sample ID field:
o You can type it in the Sample ID using the virtual on-screen keypad or
an external keyboard.
o You can use an external (USB) bar-code reader.
o You can use a auto-generated sample ID.
- Activate or deactivate the automatic generation of sample IDs. If the Auto-
increment mode check box is checked, then the HumaCount 5L will add 1 to
the last sample ID if it was fully numeric or offer 0 if the last sample ID had
any non-numeric characters.
- Connect a patient to the sample by clicking/ tapping on the Patient field:
o The name of this field can be Name or ID depending on the Main
Menu Settings/ Customize/Patients displayed data setting.
o If you dont select a patient then the default patient will be used.
o As you select the patient field, the patient menu is displayed. You can
select an existing patient or define a new one. .
- Select the sample mode:
o Blank: a blank measurement will be processed. This is the only option
available if the pneumatic system is not initialized, or the HumaCount
5L was inactive for an extended period of time. After performing and
accepting a blank measurement the other modes will be available.
o Control: a QC sample is expected. QC measurements initiated from this
menu will not be saved into the QC database, and are not part of the QC
procedure. This mode is intended only as a quick system checks. See
chapter 3.4 for more information about the QC process.
o Human blood modes: Human, Male, Female, Baby and Toddler. Select
the mode which has the appropriate normal ranges.
66
- Start the measurement by clicking or tapping the Start button on the screen
or by pressing the physical Start button located on the front panel of the
HumaCount 5L.
FIGURE 36
Manual Measure Panel
After starting the measurement the sample door rotates and takes the sample
tube inside the HumaCount 5L analyzer. This is a key safety feature of the Hu-
maCount 5L and protects the operator from the sample needle during routine
operation. The Start button changes color to red to indicate that the system is
busy processing the sample. The sample is aspirated inside the analyzer and re-
turned to the operator when the sampling process is complete. As soon as the
measurement results are available the result screen is displayed.
FIGURE 37
Result Screen
- The HumaCount 5L analyzer will be ready to take the next sample after it has
finished cleaning and preparing for the next sample. The Start button will
change to green indicating it is ready to start the next sample measurement.
- On the result screen you have the following options:
- You can print the results by clicking/ tapping on the Print quick link at the
top of the screen. Please note that the printing is a feature that is always
available.
- Return to the measurement panel by clicking or tapping the using the Back
button.
- Run the next sample in routine mode by:
o Editing the Next sample ID just below the actual results
o Accepting the auto-generated sample ID
o Starting the next measurement by clicking/ tapping the Start button
on the screen or by pressing the physical Start button on the front
panel of the HumaCount 5L .
o Please note that in this mode the patient and sample mode will be car
ried over from the previous sample unless they are changed.
From the AS panel, you can initiate automated sample measurement in 3 modes:
- Full Scan mode:
o The Autosampler will scan the whole sample tray
o The same sample mode (Human, Male, Female, Baby, Toddler) will be
used for all the samples
o The sample ID is generated from the sample tube barcode (if available)
o It is not possible to assign a patient to automatically processed samples.
The default patient will be used for all samples.
- Free List mode:
o The samples are defined in a list.
o The following parameters can be individually defined per sample:
- Sample ID
- Patient
- Sample mode
o The samples should be placed in the same order in the sample tray as
the samples defined in the list.
o Empty sample positions will be skipped on the sample tray.
- Selected Samples mode:
o A sample can be defined for each position on the sample tray.
o Only defined samples positions on the sample tray will be processed.
Additional samples will be skipped and missing samples will be marked
for later review.
o The following parameters can be defined per sample:
- Sample ID
- Patient
- Sample mode
Samples are automatically scanned and processed in the following order:
- Rack order starting with rack A to rack J
o Rack A is the rack nearest to the front panel of the HumaCount 5L
o Rack J is the rack nearest to the back panel of the HumaCount 5L
- Sample order for each rack starting with sample 1 to sample 10
o Sample 1 is the sample closest to the HumaCount 5L
o Sample 10 is the sample closest to rounded edge of the Autosampler
cover
- Sample A1 is the first sample processed and sample J10 is the last.
FIGURE 39
Full Scan Automatic
Processing Mode
FIGURE 40
Full Scan Mode Tray
View Progress
70
After starting the automated measurement in Full Scan mode, the Autosampler
will scan all the sample positions on the tray. Any rows with missing racks will
be skipped. The Autosampler can detect the tube type and whether the tube has
a cap. Sample tubes will be skipped if it has no cap or the Autosampler cannot
determine the tube type.
The Autosampler then mixes the sample tube and reads the barcode label if one
is used. The sample tube is then moved to the aspiration position where the
sample is aspirated and measurement is performed. The aspiration and mea-
surement process is the same in automatic mode as in manual mode.
The sample tray progress can be followed in the tray view or the list view. The
results for completed samples can be reviewed by clicking or tapping on a com-
pleted sample.
The patient ID is not editable in the Full Scan mode as it is automatically set to
the default patient. The sample ID is not editable as it is read from the barcode
label. If the barcode label is missing or not readable, the HumaCount 5L analyzer
assigns a default value and allows manual entry of the sample ID.
FIGURE 41
Full Scan Mode Tray
and List Views
The Autosampler allows the addition of sample tubes to a Full Scan process
already in progress. To add more sample tubes, perform the following steps:
- Click or tap the Stop button. The HumaCount 5L will prompt you to wait
until the current sample is completed.
- Acknowledge the message by clicking or tapping the OK button.
- Insert the new samples into a rack.
- Open the cover of the Autosampler.
- Place the new samples behind the last measured sample.
- Close the Autosampler cover.
- Swap between the tray and list views by using the View list and View tray
functions
- Start the automated measurement by clicking or tapping on the Start but-
ton on the GUI or by pressing the physical Start button
FIGURE 43
Preparing a Free List
As with the Full Scan mode, the Autosampler will scan all the sample positions
on the tray and rows with missing racks will be skipped. The Autosampler will
only process tube types it recognizes with caps attached. The automated mi-
xing, aspiration, and analysis process is the same as the Full Scan Mode, and the
progress can be followed in tray or list view.
The main difference between the Free List mode and the Full Scan mode is that
the Free List mode identifies samples by matching them sequentially to the list,
and comparing their measurement results to the normal range associated with
the sample mode selected for that sample.
FIGURE 44
Free List Mode Progress:
List View
FIGURE 45
List Mode Progress: Tray
View
Sample barcode labels are read and compared with the sample ID that was pre-
viously entered into the free list before starting automatic processing. If the two
do not match, the barcode part of the tray view sample icon changes to red.
If the automated interrupted for any reason, it can be restarted it by clicking
or tapping on the Start button on the screen or by pressing the physical Start
button.
74
. FIGURE 46
Selected Sample
Mode Panel
FIGURE 47
Control The Autosampler
with Info Panel
During the reset cycle the Autosampler moves the Autosampler components
to their home position. The mixing stations moves to an upright position, the
active rack moves back on to the sample tray, and the entire tray moves to its
home position.
FIGURE 48
and Magnified
Scatter Plot
FIGURE 49
The other flags are displayed in the bottom-left screen of the result panel. To get
more information about the flags assigned to the measurement results click/
tap the question mark in the left bottom corner of the result area.
The following flags can be assigned to the measurement results in addition to
the dispersional data alerts.
E - EO - NEU alert
Q - MON - LYM alert
A - 4 Diff Alarm
G - Immature Granulocyte?
L - Large Blast?
TABLE 9
Morphological flag Morphological flags are raised when the presence of
morphologically abnormal cell types such as immature
Morphological Flags
granulocytes are suspected.
Flag Meaning
Leukopenia WBC --
Neutropenia NEU --
Neutrocytosis NEU ++
Lymphopenia LYM --
Lymphocytosis LYM ++
Monocytosis MON ++
Eosinophilia EOS ++
Basophilia BASO ++
Thrombocytopenia PLT --
LYSE2
HGB and 5 population measurements. Lysing
procedures are performed to separate white blood
OPTICAL cells.
MEASUREMENT
RBC and PLT, and total WBC are measured with
4DIFF
impedance technology through 70 and 80m
OPTICAL
MEASUREMENT apertures, respectively. Two portions of the sam-
ple are used for determining five sub-populations
BASO
of WBC in two independent measurements.
Sample results are displayed on the screen as the
process is nearing completion.
.
FIGURE 51
HumaCount 5L
Result Screen
Each row shows the parameter name, value, flags (normal range, linearity range,
and high blank), units, and normal range. The units area displays the differential
percentage for the five leukocyte subpopulations (NEU, LYM, MON, EO, BAS).
Parameter names are listed with their standard abbreviation. Parameter va-
lues are always displayed according to their selected unit. In case of error duri-
ng sample evaluation, the software will display E or ---" signs to indicate the
problems. Parameter values falling within the normal range are un-flagged and
displayed with black text. Parameter values falling above the normal range are
marked with a + and displayed with red text, and values falling below the nor-
mal range are marked with a -, and displayed in blue text.
Normal range information can also be conveyed graphically as well as numeri-
cally. This setting can be changed in the Main menu/Settings/Customize panel.
FIGURE 53
Graphical Normal
Range Display
Normal Normal range flags are raised when a particular parameter is TABLE 11
range flags above or below the normal range, which is defined for the pati-
Normal Range Flags
ent profile currently in effect.
Flag Meaning Hierarchy Color Code
Parameter is under
- Lowest Blue
normal range
Parameter is under the half of
-- Low Blue
the low limit of normal range
Linearity Linearity range flags are raised when a particular parameter is TABLE 12
range Flag above or below the linearity range of the device.
Linearity Range Flags
Flag Meaning Hierarchy Color Code
The related parameter is out of
* the linearity range
High N/A
High blank A high blank flag is raised when the blank measurement result FIGURE 54
Flag of the particular parameter was higher than the blank limit.
High Blank Flag
Flag Meaning Hierarchy Color Code
The blank value of the related
! primary parameter is high
Middle N/A
FIGURE 55
Result Screen Neutrophils
(Magenta)
Scatter Diagrams
Eosinophils
(Orange)
Non-Basophil WBCs
(Blue)
Monocytes
Artifact (Green)
(Black) Basophils
(Magenta)
Lymphocytes (Blue)
FIGURE 56
Result Screen
Histograms
PLT/RBC
Discriminator
PLT RBC
Both the RBC and PLT histograms can be zoomed. Discriminators (thresholds)
are displayed with red color. Platelets are located on the leftmost part of the RBC
histogram to the left of the red discriminator. The PLT histogram is a magnified
version of this region.
3.3.4 WARNINGS
The warnings area of the result screen shows flags and messages related to the
evaluation of the sample. Clicking or tapping the question mark icon on the left
side of the warnings section of the results screen displays a detailed warnings
panel. Click or tap OK to close the detailed warnings panel.
FIGURE 57
Warnings Section of
Results Screen
Warning Warning flags are raised when the analyzer detects a problem in the analysis process that may
flags cause incorrect or suspect results or the parameters in the valid blank measurement was too high.
C WBC clogging Drift in the probe voltage of the Check the reagent connections.
WBC capillary. The two main Perform a cleaning procedure!
reasons for this drift are the See chapter: 5.
misconnected reagent and the Please repeat the measurement.
clogging of the capillary.
c RBC/PLT clogging Drift in the probe voltage of the Check the reagent connections.
RBC capillary. The two main rea- Perform a cleaning procedure!
sons for this drift are the miscon- See chapter: 5.
nected reagent and the clogging Please repeat the measurement.
of the capillary.
D MON - NEU alert The MON and NEU populations If other parameters predict a normal sam-
are not clearly distinguishable ple then perform a cleaning procedure and
on the scatter-gram. repeat the measurement.
If MON, MON%, NEU, NEU% results reported
then treat them as reduced reliability. If not
all the parameters reported or the sample
is predicted as pathological then perform a
manual count on a stained smear.
E EO - NEU alert The EO and NEU populations are If other parameters predict a normal sam-
not clearly distinguishable on the ple then perform a cleaning procedure and
scatter-gram. repeat the measurement.
If EO, EO%, NEU, NEU% results reported then
treat them as reduced reliability. If not all
the parameters reported or the sample is
predicted as pathological then perform a
manual count on a stained smear.
F Differential blank More than 100 cells detected Check cleanliness of the reagents and the
high during the 4Diff-blank HumaCount 5L. Perform flow cell cleaning of
procedure. the HumaCount 5L.
Repeat blank measurement. Treat 4 Diff
results as reduced reliability.
f Baso blank high More than 100 cells detected Check cleanliness of the reagents and the
during the Baso-blank HumaCount 5L . Perform flow cell cleaning
procedure. of the HumaCount 5L.
Repeat blank measurement.
Treat BASO result as reduced reliability.
H HGB blank high Last accepted blank result: Check cleanliness of the reagents and the
HGB 10 g/l HumaCount 5L . Perform cleaning of the
HumaCount 5L.
Repeat blank measurement.
Treat HGB result as reduced reliability.
I PLT URI The PLT-RBC gap is not clearly Check the sample quality. Repeat the sam-
detectable on the PLT-RBC histo- ple. If the problem persists then perform a
gram: small MCV, fractured manual count on a stained smear.
RBC-s, aggregated PLT-s (cold
blood), side-effect of blood-
transfusion.
M Out of RBC linearity The RBC coincidence is over the Check the sample homogeneity. Repeat the
range limit: too high RBC count. sample with manual pre-dilution.
m Close to RBC l The RBC coincidence is close Treat RBC result as reduced reliability.
inearity range to the limit: too high RBC count. Check the sample homogeneity. Repeat the
sample with manual pre-dilution.
O High linearity range If any of RBC,PLT or WBC results Perform manual pre-dilution of sample and
limit exceeded are higher than high linearity re-measure it.
range limits.
o Low linearity range If any of RBC,PLT or WBC results Non
limit exceeded are lower than Low linearity
range limits.
p PLT blank high Last accepted blank result: Check cleanliness of the reagents and the
PLT 15 * 103 cells/l HumaCount 5L . Perform cleaning of the Hu-
maCount 5L. Repeat blank measurement.
Treat PLT result as reduced reliability.
Q MON - LYM alert The MON and LYM populations If other parameters predict a normal sam-
are not clearly distinguishable ple then perform a cleaning procedure and
on the scatter-gram. repeat the measurement.
If MON, MON%, LYM, LYM% results reported
then treat them as reduced reliability. If not
all the parameters reported or the sample
is predicted as pathological then perform a
manual count on a stained smear.
S WBC measurement The distribution of the RBC Perform cleaning of the HumaCount 5L.
statistics warning detection changes in time. Check the homogeneity, the temperature
It points to clogging, non- and the coagulation of the sample.
homogeneous sample, cold Repeat the sample.
sample, partial coagulation
of the sample.
s RBC measurement The distribution of the RBC Perform cleaning of the HumaCount 5L.
statistics warning detection changes in time. It Check the homogeneity, the temperature
points to clogging, non- and the coagulation of the sample.
homogeneous sample, Repeat the sample.
cold sample, partial coa-
gulation of the sample.
T Blood detector error Blood Detector malfunction Check BD and its connection to the LSDACQ
received signals are all zeros card. Check sampling tube connection to BD.
or not received signals)
90
u Baso high The number of the BASO Repeat the measurement or perform a ma-
population is high or there are nual count on a stained smear.
lyse-resistant cells in the sample.
V WBC vacuum There is a (partial) clogging or Perform cleaning of the HumaCount 5 L.
warning leakage in the RBC part of mea- Perform a self-test.
surement system. A faulty/ If vacuum problems persist then call for
worn-out pump can create service.
vacuum errors as well.
v RBC vacuum There is a (partial) clogging or Check sample volume in sample vial. Check
warning leakage in the RBC part of mea- sampling process. Re-run sample.
surement system. A faulty/
worn-out pump can create
vacuum errors as well.
W Sampling warning Blood Detector detected a sample Check sample volume in sample vial. Check
volume that was too small. sampling process. Re-run sample.
X Differential error Not enough cells detected Perform a flow cell cleaning procedure!
during the 4DIFF WBC Repeat the measurement. If the problem
differentiating. persists then ask for service.
x Baso error Not enough cells detected If the total-WBC count is below
during the Baso WBC 2 * 103 cells/l then perform a manual
differentiating. count on a stained smear.
Perform a flow cell cleaning procedure!
Repeat the measurement. If the problem
persists then ask for service.
Y Differential percen- Algorithm error while distingu- Repeat the measurement. If the problem
tage error ishing the WBC-s in the BASO persists on a given sample then perform a
procedure. manual count on a stained smear.
y Baso percentage Algorithm error while distingu- Repeat the measurement. If the problem
error ishing the WBC-s in the BASO persists on a given sample then perform a
procedure. manual count on a stained smear.
Z WBC noise high During WBC count there is too Perform Clean process. Perform Hard Clean
much (more than 10% of the process.
total) detected pulse on the first
10 channel of the 255 channel
full range. This may be caused by
lyse resistant RBC, electronic
noise, contaminated WBC cham-
ber or contaminated reagents.
FIGURE 58
QC Panel
92
FIGURE 59
Set QC Reference Panel
The QC name is the name that will be displayed for selecting the control to
associate with a QC measurement. Enter the identifying information, and the
target values and tolerance ranges for any parameters that are to be controlled
with the HumaCount 5L QC system. To exclude a parameter from the QC pro-
cedure, leave its target value and tolerance range field empty. Press the Save
reference button after data entry is completed.
Tapping the Load QC reference button will allow filling QC material data elec-
tronically using a file provided by the manufacturer of the analyzer. A dialog
will open. Browse to the correct folder, and select the file by tapping the check-
box in front of the filename.
The file contains information for all three levels of the control material (Low,
Normal and High). All three levels will be loaded into the system and will be-
come selectable in the QC menu.
FIGURE 60
3.4.2 QC MEASURE
To run a QC measurement , please ensure that a valid blank measurement has
been run and accepted. Associate the QC measurement to the correct control
material lot by select the matching QC name in the selector below the QC mea-
sure button on the QC panel. Place the control material sample tube in the sam-
ple rotor and click or tap QC measure.
The QC measurement results will be added to the QC database and associated
with matching QC material lot.
FIGURE 61
View QC Diagrams Panel
Means, standard deviations (StDev) and coefficients of variation (CVar) are cal-
culated based on the QC analyses. The dotted lines delineate acceptable ranges
on Levey-Jennings charts. Use the selector control at the top of the panel to view
graphical control information for other lots of control materials.
FIGURE 62
At the end of the shutdown procedure the built-in PC is powered off. It is not
necessary to switch-off the analyzer however it is good practice to switch of the
analyzer at the end of the shutdown procedure if the equipment is not used for
a longer period of time (over night - week-end).
If the HumaCount 5L is not used for a significant period of time or the Huma-
Count 5L is transported to a new location then the preparing for shipment
procedure should be performed instead the simple shutdown procedure.
Immediate shut-down
The immediate shut-down can be initiated by pressing the stand-by
The procedures mentioned in button. (The same button which is used to start-up the HumaCount 5L. See
this chapter can damage the chapter 2.2.6.2.) After pressing the stand-by button the upper software part of the
HumaCount 5L or loss/ damage of HumaCount 5L and the Windows XP operating system shuts down and the
data/files can occur. Use these built-in PC powered off.
procedures in case of emergency
only! Possible side-effects:
- The pneumatics gets into an undefined state. the next pneumatics
initialization will take longer time and consumes more reagent;
- The last settings, measurement results are not saved.
Immediate switch-off
In case of direct danger (like there is a fire in the laboratory) you can directly
power-off the HumaCount 5L using the Power switch (See chapter 2.2.6.2) or
any other emergency device installed at your site.
If you want to perform the preparing for shipment procedure then use the Main
menu/ Exit/ Prepare for shipment function!
FIGURE 64
FIGURE 65
- The reagents can spill out if the HumaCount 5L is tilted and the spilled rea-
gents can occur corrosion, electric short circuit etc;
- The reagents can flow out from the HumaCount 5L if the reagent intakes are
disconnected;
- The water can evaporate, and the reagents will be more concentrated:
- The high concentration chemicals can damage the pneumatics (tubes,
valves, syringes) of the HumaCount 5L;
- If the concentration is high enough then the crystallization process
starts and solids crystals form inside the pneumatics. These crystals can
occur high blank and can damage the moving parts (syringes, shear -
valve, valves etc);
- Finally the reagents can totally dry into the pneumatics. The solidified
chemicals block the tubes, valves etc. likely a service action is required to
restore the HumaCount 5L into operational status.
- Different kind of micro-organisms can grow in the pneumatics systems. The
presence of these creatures can lead to high blank results.
98
Required tools:
- Preparing for shipment tube set
- Distilled water.
After selecting Preparing for shipment the system will prepare itself for the drai-
ning process.
The instrument will ask you to disconnect the reagents from the back, except
the waste!
The system will drain all inner reagent buffers through the instrument.
FIGURE 66
The instrument will ask you to connect distilled water to the reagent inputs.
FIGURE 67
Use the special reagent tubing with 3 connectors at the end for this process.
The system will perform priming and full rinsing of the tubing system. The
procedure takes approximately 7 minutes. Do not turn the analyzer off during
this process.
The instrument will ask you to disconnect the reagents from the back, except
the waste!
FIGURE 68
FIGURE 69
Tap/ Click the OK button, wait until the Windows XP exits and power off the
instrument.
Small droplets of liquid can remain in the tubing system after the preparing
for shipment process, and these droplets will not cause malfunction during
transportation or the following start up procedure.
100
4 DATABASE FUNCTIONS
The HumaCount 5L database stores all measured data including sample results,
QC, and patient data. Each sample result stored includes the complete parame-
ter list, histograms, flags, and identifying data. The HumaCount 5L has a data
capacity of up to 100,000 total records.
To activate Database panel, clicking or tapping the Database quick link on the
top of the screen will take you to the database view from any screen.
FIGURE 70
Accessing the Database
The database can be accessed at any time, even when processing samples in the
background. You can return to the measurement panel anytime to view ongoing
sample measurements.
are available for selected database records. Selected records can be printed,
sent to an LIS and exported into a tab file. Various sort options are provided for
quickly finding results. Database records can be exported for storage and back-
up. Exported database information can be later imported for review.
Imported records do not become part of your HumaCount 5L analyzers databa-
se. They are only imported for viewing, but can be sorted, selected, and mana-
ged the same way as with regular data the stored inside the HumaCount 5L ana-
lyzer database. The HumaCount 5L database displays two numerical counters
separated by a slash under the left side of the database table. The left number is
the number of selected rows, and the right number is the total number of rows
in the database.
1. The scrollbar: tapping, holding and moving the scrollbar labeled 1 with the
tip of your finger on the touch screen display will quickly scroll informati-
on in the vertical direction. Clicking and dragging with an optional external
mouse will achieve the same effect.
2. Tapping or clicking the buttons labeled 2 will advance the display by one
line or one column.
3. Tapping or clicking the buttons labeled 3 will advance the display by one
page of information at one time.
4. Tapping or clicking the buttons labeled 4 will advance the display to the
first or last item in the list.
FIGURE 71
Scrolling and Selecting
4 3 2 2 3 4
previous selections remain selected unless you click or tap it again to de-select
it. Un-checking the Multiselect check box will de-select all selected records.
FIGURE 72
Multiselect and
Multiple Selection
Multiple selections are useful for viewing, managing and quickly viewing stati-
stics of only a few selected records.
4.1.1.5 Statistics
After selecting a group of records, click or tap the Statistics button on the da-
tabase panel to view the coefficients of variation (CV) associated with each of
the 24 parameters. This function is useful to quickly measure the imprecision of
multiple runs of the same sample.
FIGURE 73
Manage Records
Panel
All data manipulation actions that change the data stored in the Huma-
Count 5L database are logged in the HumaCount 5L log. If the multi-user mode
is enabled, the name of the operator logged on at the time the data manipulati-
on occurs will also be stored in the log.
4.1.1.7 Select By
Click or tap the Select by button on the Manage Records panel to display the
Select by panel. The Select by panel allows you to select a group of records with
dates and Result IDs that match criteria entered into the panel.
FIGURE 74
Select By Panel
The Select by panel provides various ways to select records. Only one of the four
selection methods can be chosen.
106
Clicking or tapping the Run select will create a multiple selection of all data-
base records that match the criteria (if any). The Cancel button returns to the
database view and the current selection is not changed.
4.1.1.8 Importing
Clicking or tapping the Import button displays a blank, modified version of the
database panel.
FIGURE 75
Database Importing
Panel
4.1.1.9 Export
The database export panel allows you to select a directory location to store re-
cords in a selection for backup or reference purposes. To back up all records in
the database, first use the select by function to select all records in the database
and export them using the export function.
Clicking or tapping the Export button displays the database export panel.
FIGURE 76
Directory Panel for Data
Storage
Introduce a USB storage device (USB hard drive, memory stick, etc.) into an
available USB port on the back panel of the HumaCount 5L analyzer. Select the
directory to store the exported data and press the Ok button to start the export.
The file format of exported data is an internal format, and can only be read and
interpreted by the HumaCount 5L analyzer using the Import function. Each da-
tabase record is stored as an individual file with a .rp extension.
The filename created by the Save tab file function is generated automatically in
the following format: TAB_YYYYMMDDHHMMSS.txt with the year, month, day,
hour, minute, and second of the time when the operation started.
To archive database data using this function, insert a USB data storage device to
one of the USB inputs on the back panel of the HumaCount 5L analyzer. Select
the file location of your USB data storage device and click or tap the OK button
to begin the export.
See chapter 7.5 for detailed information on the format of the tab separated text
file.
4.1.1.13 Delete
The Delete function is used to delete records from a selection permanently from
the HumaCount 5L analyzer database. To permanently delete records, select a
group of records and click or tap the Delete button on the Manage records pa-
nel.
To prevent accidental deletion of data, the HumaCount 5L requests the same
confirmation password used in the save raw data function. After entering the
correct password and clicking or tapping the Ok button, the records will be per-
manently deleted.
The password to allow deleting records is: 555.
4.2 Calibration
The HumaCount 5L analyzer must be calibrated in order to provide correct, reli-
able results. Calibration should be done at the following times:
- At initial installation
- After replacing any component critical to the dilution or measurement pro-
cess
- Any time quality control shows a systematic error or is outside predefined
limits
- At periodic time intervals determined by laboratory regulations
The HumaCount 5L analyzer calibration process consists of running a commer-
cial calibrator material or a human whole blood sample with known parameter
values multiple times. The known parameter values and the average values of
multiple runs are used to calculate calibration factors. The new calibration fac-
tors take effect once they are accepted by the operator.
If you are using a human whole blood as a calibrator, the calibration target va-
lues must be measured on a reference analyzer according to applicable regulati-
ons, standards, or laboratory procedures.
An automated calibration procedure is provided that guides the operator
through the calibration process and performs the calibration factor calculation.
Calibration factors can also be modified directly without running a calibration
procedure. Only the primary measured parameters are calibrated: WBC, RBC,
PLT, HGB, MCV, MPV, and RDWcv.
To view the calibration functions of the HumaCount 5L analyzer, select the Cali-
bration icon on the main menu to display the calibration panel. The Calibration
panel displays an option to calibrate the HumaCount 5L analyzer or to view prior
calibrations.
FIGURE 77
Calibrate Options
110
FIGURE 78
Calibration Panel and
Calibration Run
Result Panel
The limits of the calibration target values are linked to the normal range of the
Human sample mode.
- Enter the calibration target values provided with your commercial calibrator
material or the previously determined parameter values for human blood
calibration.
- Click or tap the Next button to begin the calibration process.
- The analyzer displays a blank result screen and begins sample measurement
of the calibration material. Wait for the screen to be populated with results
when sample measurement is complete.
- Click or tap the Accept button if the measurement run is acceptable.
- Click or tap the Start next button to begin the next calibration run. Selec-
ting Start next without accepting a calibration run discards the run. Selec-
ting Abort will abort the entire calibration procedure and discards all cali-
bration results.
- The calibration procedure ends when three or seven accepted calibration
runs are completed. The calibration factors are calculated and presented in
the calibrator factor. The previous calibration factors and the coefficient of
variation (CV) of the sample runs for each parameter are also displayed.
- Select Accept to replace the current calibration factors with the accepted
factors. Selecting Discard eliminates the entire calibration process.
FIGURE 79
Calibrate Factor Panel
The automatic calibration process can be skipped by selecting the Manual cali-
bration mode on the calibration panel and clicking or tapping the Next button
proceeds directly to the calibration factor panel for manual entry of calibration
values. Manually entered calibration values can be accepted in the same way as
calculated factors from calibrator sample runs, and are treated by the Huma-
Count 5L in the same way.
112
FIGURE 80
View Calibration Panel
To delete a calibration, click or tap the Delete button. The system will ask you
for a confirmation password to avoid accidental deletion of calibration data. The
confirmation password is set at the factory to 555, and can be changed by your
Human GmbH certified service engineer.
4.4 Patients
The HumaCount 5L analyzer allows the operator to define and store patients in
the patient database during manual measurement. Patients can also be prede-
fined while creating a list for one of the automatic processing modes.
Select the Patients icon on the main menu to display the Patients panel.
FIGURE 81
Patients Panel
The Patients panel displays patient information in the familiar table format of
the HumaCount 5L analyzer database, and operates the same way as the data-
base panel. Use the New function to define new patients, and Edit to change
existing patient information. Details displays patient data in a read-only mode.
The Patient panel can also be accessed by clicking or tapping the Name or Pa-
tient ID field in the Measurement panel. Two additional function buttons are
available if the Patient panel is accessed from the Measurement panel.
The Select ID function associates the currently selected patient to the sample
measurement and returns to the Measurement panel. The Cancel function re-
turns to the measurement panel without selecting any patient to associate to
the sample measurement.
You can select either Name or Patient ID to be displayed as the patient identifier
in the Measurement panel by changing the settings in the Patients displayed
data in the Main Menu/Settings/Customize panel.
114
FIGURE 82
Edit Patient Panel
The Save function saves any changes made. To discard any changes made, sim-
ply click or tap the Back button.
4.5 Settings
The HumaCount 5L analyzer can be tailored to your laboratorys needs by chan-
ging the settings. Click or tap the Settings icon on the main menu to access the
Settings panel.
.
FIGURE 83
Settings Panel
FIGURE 84
Customize Settings Panel
FIGURE 85
External Devices
Settings Panel
to prepare for overnight standby. If this time is set to zero, the analyzer will
never enter the standby state automatically.
- Offline rinsing frequency this defines the time period between automatic
fluidic operations to ensure that fresh reagents are available in critical pneu-
matic components so that the analyzer can quickly return to the ready state
from standby. If this time is set to zero, the analyzer will never perform au-
tomatic fluidic operations while in the standby state, but may increase the
amount of time needed to return to the ready state from standby.
- Screen saver this defines the time period of inactivity before the analyzer
automatically starts the screen saver. Entering a time of zero prevents the
analyzer from every starting the screen saver.
- Special flags (G, A) Checking the check box disables the generation, storage,
LIS transmission and display of the G and A flags on the screen, printout.
FIGURE 86
System Settings Panel
4.10 Units
The Units panel allows the user to choose which units are displayed for certain
parameters.
The following options are available on the Units panel:
- HGB unit choose g/dL or g/L to change the displayed units for the HGB and
MCHC parameters.
- Count unit Choose cells/L or cells/L to change the displayed units for the
parameters in the table below.
FIGURE 87
Units Settings Panel
- Items in queue indicates how many printouts are currently waiting in the
printer queue.
- Cancel all jobs Click or tap this button to cancel printing and clear all items
waiting in the printer queue.
- Printout format select Default, Wide names, or User printout formats.
- Automatic print check this check box to print every sample or control as it
is run.
- Abort press this button to abort automatic print.
- Logo visible check this box to print the Human logo on every printed report.
FIGURE 88
Printer Settings Panel
FIGURE 89
Profile Limits Settings Panel
FIGURE 90
User Settings Panel
122
Users with Administrator privileges can have access all over the system. Only an
administrator user can grant or revoke administrator rights.
Regular users have limited access to the system. A regular user is
- allowed to modify Settings / Customize only (language, skin, sound volume)
- allowed to run and monitor QC measurements, but cannot define QC target
values
- not allowed to perform Calibration
FIGURE 91
Time/Date Settings
The HumaCount 5L analyzer does not support automatic time zone or daylight
savings time changes. Please change the time and date manually as needed.
Each HC5L-LYSE reagent bottle comes with a reagent key. The key is in a pla-
stic bag glued to the tear-open flap of the cardboard box container. Each key
contains license for 800 measurements.
With active reagent lock there is an administrative limit of measurements
run on the HumaCount 5L.
The HumaCount 5L keeps track of the number of measurements performed. FIGURE 92
If the limit is reached, then the HumaCount 5L will first warn the user about Reagent key inside the Lyse
the fact, then it will refuse to perform further measurements. cardboard box
The analyzer decreases the number of available measurements with each
sample run, even Blank, Calibration and QC measurements. When the coun-
ter decreases below 50, and any sample run is started, the user will receive a
warning message about this counter decreasing. When the number availa-
ble reaches zero, the analyzer will not run more samples.
To increase the number of remaining measurements, you have to upload
measurement licenses from the hardware-key to the HumaCount 5L . The
uploading can be initiated during Lyse reagent level reset.
The hardware-key is similar to a USB memory device but it is not a real USB
memory device. Do not insert it into a USB connector. (The hardware key will FIGURE 93
not harm USB ports, however it cant be predicted how the USB drivers react Reagent Lock socket
if a hardware-key is connected as USB device).
FIGURE 94
When reinstalling side panels, always make sure to re-tighten the thumb screws.
Shear valve: this is a key component and is responsible for correct sampling and
diluting procedures.
Wash head: key component in keeping the sampling needle clean and thus en-
suring reliable piercing and sampling procedures
FIGURE 96
Cleaning
Shear valve cleaning: drains the shear valve to let the user open and clean the
ceramic valve.
Clean: cleans the system with external cleaning reagent introduced through re-
agent inlets
Drain buffers
Internal Diluent reservoir; Flow cell
Can also drain internal chambers individually, or all buffers together.
Empty chamber
Drains chambers individually, or all chambers together.
Prime - Primes reagents individually, or all reagents together.
Fill
Initial filling of the system with liquids. This must be performed PRIOR to first
use of the instrument after installation.
128
Touch-screen
Touch-screen calibration. The software will instruct you to tap specific areas of
the display. This is going to help calibrate the touch sensitive surface.
The parts which should be disassembled / re-assembled are fixed with so called
thumb-screws. No screwdriver or other similar tool required to tighten these
screws. Go to the Maintenance menu, and select Shear Valve Clean function to
initiate the procedure.
FIGURE 97
The HumaCount 5L asks for confirmation to start the procedure. After clicking/
tapping the OK button the HumaCount 5L empties the shear-valve and the
connecting tubes. Some liquid can remain inside the tubes and inside the shear-
valve.
As the preparations completed the HumaCount 5L displays the following mes-
sage:
FIGURE 98
FIGURE 99
FIGURE 100
130
3. Slide down the upper disk of the shear valve. Due to the extremely smooth
surface of the ceramic discs it is not possible to simply lift up the upper part.
If the shear-valve was not in use over a few days, then apply a few drops of
water to the contact of the upper and lower disks.
FIGURE 101
4. Clean the connecting surfaces of the disks of the shear-valve, the housing of
the valve, the tube connections. Remove any salt-built-ups. Use the tweezers
to push-in the dampened and the dry cloths. You may apply a few drops of
water to soften-up the contaminations. You may use a tooth-pick to remove
salt-crystals from narrow places. Do not use any sharp/ metal / hard object
which can scratch the surface of the shear-valve.
Clean the surrounding and the housing/ mounting of the shear-valve as well
if necessary. Pay attention to clean the aligning surface.
Be sure that no lint/ fibers remain on the connection surfaces of the ceramic
disks..
FIGURE 102
5. After cleaning the shear-valve, the housing and surrounding area, put the
disks together.
6. Put the axis screw into the upper disk. Gently press and rotate the axis
screw until it sinks into the upper disk until the shoulder.
7. Firmly push down the axis screw against the spring and start to screw it in.
Before fastening tight the axis screw, be sure that the grooves on the disks
positioned similar to the position on the picture.
Fasten the axis screw hand-tight. (You will clearly feel if you reached the
end of the screw.) The spring adjusts the compressing force; you cant block
the movement of the shear-valve by over tightening the axis screw.
8. Clean the surrounding of the shear-valve again. You can let the salt crystals
and other small parts to fall down. Sweep any particles at the bottom of the
HumaCount 5L though the ventilation holes. Remove the gloves. Close the
front door. Click/ tap the OK button: this informs the HumaCount 5L that
you completed the operation.
Procedure for instruments from serial number 520024
1. Open the front cover, and secure it with the latch and locate the shear valve.
2. Unscrew and remove the Axis screw. Clean the Axis screw by using water
and wipe it dry.
FIGURE 103
3. Slide off the upper disk of the shear valve. Due to the ex tremely smooth
surface of the ceramic discs it is not possible to simply lift away the upper
part. If the shear-valve was not in use for a few days, then apply a few drops
of water to the contact of the upper and lower disks. With time the salt will
get dissolved and the upper disk gets released.
FIGURE 104
132
4. Clean the connecting surfaces of the disks of the shear-valve, the housing of
the valve, the tube connections. Remove any salt-built-ups. Use the tweezers
to push-in the dampened and the dry cloths. You may apply a few drops of
water to soften-up the contaminations. You may use a tooth-pick to remove
salt-crystals from narrow places. Do not use any sharp/ metal / hard object
which can scratch the surface of the shear-valve.
Clean the surrounding and the housing/ mounting of the shear-valve as
well if necessary. Pay attention to clean the aligning surface.
Be sure that no lint/ fibers remain on the connection surfaces of the ceramic
disks.
FIGURE 105
5. After cleaning the shear-valve, the housing and surrounding area, put the
disks together.
6. Put the axis screw into the upper disk. There is a spring applied to the axis
screw. This will guarantee the necessary closing force for the two disks.
Gently press and rotate the axis screw clockwise until it clicks into the lo-
wer part. Twist the axis screw until it stops. The mechanical design of the
screw prevents over-tightening.
7. Clean the surrounding of the shear-valve again. You can let the salt crystals
and other small parts fall down. Sweep any particles at the bottom of the
HumaCount 5L though the ventilation holes. Remove the gloves. Close the
front door. Click/ tap the OK button: this informs the HumaCount 5L that
you completed the operation.
FIGURE 106
The HumaCount 5L will check the movement and end-positions of the shear-
valve
The wash head should be twisted off from the needle, and pulled off down-
wards. Use a soft cloth dampened with water to clean the bottom of the wash FIGURE 107
head. FIGURE 108
Push the wash head onto the needle. Push it up as much as you can (taking care
of the sharp needle) and lock it back by twisting it on the holding rods.
Replace the side cover and close the front panel.
FIGURE 111
6 TROUBLESHOOTING
Your HumaCount 5L software is equipped with all the functions to keep the ana-
lyzer in good working conditions. Despite careful planning and SW features, the
analyzer can still encounter problems where user interaction is required or the
user needs to be informed of situations when further help is required.
These are called error messages. Error messages can be further classified. Your
analyzer will provide all details to identify the error however most of the times
these errors will be composed of numerical codes. These are important for the
service personnel they can interpret the messages and take necessary actions.
Would you receive error messages with codes, please write them down. If pos-
sible, describe with a few words what you were doing before the error came up.
This is important so that your service engineer can help you when necessary.
The software memorizes every error, but it cannot describe the operation you
performed.
When an error comes up, the software will most of the times try to offer solu-
tions, or will try to resolve the problem and retry the current operation. If this
recovery process fails, or the problem keeps coming back, please contact your
service engineer.
Low level error messages provide status information about data acquisition sy-
stem and pneumatic system. Each Error message includes the affected part and
the area of the equipment. Check this area and part to find any irregularities like
clogging, mechanical problems, blocked elements. Try to repeat the operation.
The system will try to recover from the failure. Would it not go away, please
contact your service personnel.
FIGURE 112
With the OK button, you can return to the current operation and retry the actual
process.
You can also tap on the Details button and there you will be able to get further
informaion abou the error. It will describe additional conditions of the failure.
The numbers in the second row are important for the service personnel.
FIGURE 113
6.1.3.3 The SR Does Not Turn Into The Analyzer Even With Open Front Panel
- check the washing head for contamination (blood and salt)
6.1.5.3 SV Leakage
- the upper disc is not sitting well on the lower disc
- open, and reseat the upper disc
- there must not be any opening left between the closing screw and the upper
disc
FIGURE 114
6.1.8.4 The Cursor Seems To Be Moving With Good Ratios, But In A Smaller
Area
- try to calibrate the touch screen. (Use a mouse to access the functions)
- If the problem persists, contact service
FIGURE 115
FIGURE 116
FIGURE 117
By using the Load last selftest function you can check the results of the previ-
ous self-test sequence.
Self test checks parameters for the ranges defined below:
Null pressures
Pump status
Sheath -20 - 20mBar
Pump1 1-1
Capillary -20 - 20mBar
Pump2 11
Chamber -20 - 20mBar
Noise/Pulse
HGB head
pls/5sec 0 - 2000 pulses
HGB Dark 0 - 3000 pulses
20000pls 19990 - 20050
HGB light 3000 - 60000 pulses
pulses
TCU temperature Laser parameters
Actual Reference +- 0.2 C Reference +-10%
Sink 0 - 55C Laser power 32.0 128.0
Laser DC level HGB head
Laser off 0 - 0.05mV HGB Dark 0 - 3000 pulses
Laser on 0.10 - 0.45mV HGB light 3000 - 60000 pulses
Electrode
Reagent lock
Voltage 45 - 55V
Status: UNLOCKED / LOCKED / NA
Current 620 680A
Available measurements: none
Offset -3.0 - 1mV
Battery /Power supply Temperature
Battery voltage 2.7 - 3.3V WBC pre-heater: none (LSDACQ v3.0),
+12V 11.4 - 12.6V 34.0 -38.0 (LSDACQ v3.1)
-12V -12.6 - -11.4V LSDACQ: none
If any of the values falls outside the above limits, the SW is going to list the er-
rors on the self test report screen.
FIGURE 118
FIGURE 119
146
6.3.4 STATISTICS
This menu item will display number of measurements and number of possible
failure events experienced during operation. Statistical data can be reset by a
certified service engineer only.
FIGURE 120
Statistics display
6.3.5 INFORMATION
This menu item displays instrument specific data (serial numbers, SW versions).
These data are important for maintenance purposes. Your service engineer will
ask for these before a service visit.
FIGURE 121
Statistics display
7 APPENDIX
TABLE 18
Parameter Range Selectable Dimensions
WBC 1.00 99.99 * 103 / l cells/l, cells/l
RBC 0.00 9.99 * 106 / l cells/l, cells/l
HGB 0 300 g/l g/dl, g/l, mmol/l
HCT 0 100% percentage, absolute
PLT 0 9999 * 10 / l cells/l, cells/l
NEU% 0 -100%
LYM% 0 -100%
MON% 0 -100%
EOS% 0 -100%
BAS% 0 -5%
NEU 0.00 99.99*103 / l
LYM 0.00 99.99*103 / l
MON 0.00 99.99*103 / l
EOS 0.00 99.99*103 / l
BAS 0.00 4.99*103 / l
FIGURE 123
FIGURE 124
152
FIGURE 125
FIGURE 126
154
7.4.1 PRECISION
TABLE 19
Parameters CV Range
WBC CV 3% 4.7 * 103 / l WBC 38 * 103 / l
All 5 part parameters (NEU, LYM, MON, EOS, BAS
abs and %) at 4.7 * 103 / l WBC 38 * 103 / l
NEU% CV 5% 87.4% NEU% 47%
LYM% CV 8% 35.6 % LYM% 15%
MON% CV 20% 16.3% MON% 5.3%
EOS% CV 25% 11% EOS% 1.5%
BAS% CV 40% 2.4 % BAS% 1%
NEU CV 5% NEU% 30%
LYM CV 8% LYM% 15%
MON CV 20% MON% 5%
EOS CV 25% EOS% 1.5%
BAS CV 40% BAS% 1%
RBC CV 1.5% 2.5 * 106 / l RBC 5.44 * 106 / l
HGB CV 1.5% 78.5 g/l HGB 184 g/l
HCT CV 2% 20-49 HCT%
MCV CV 1% 65 fl MCV 105 fl
PLT CV 5% 100 * 103 / l PLT 492 * 103 / l
MPV CV 5% 5.6 fl MPV 11.3 fl
TABLE 20
Accuracy Experienced coefficient Range
against Reference
(Cell-Dyn 3700)
Note 1: the 5part
WBC r = 1.00 0.5*103 / l WBC 56.3*103/l
WBC is not reportable
RBC r = 0.99 2.2 *106 / l RBC 6.3 * 106/l
if the total WBC count is
HGB r = 0.99 68.8 g/l HGB 173 g/l
below 1 *103 / l. (the
HCT r = 0.99 19.5% HCT% 52.6%
quantation error grows PLT r = 0.98 12.5 *103 / l PLT 699*103/l
to high.) NEU% r = 0.99 5.8% NEU% 94.6%
LYM% r = 0.99 2.5% LYM% 79.5%
MON% r = 0.90 1.1% MON% 28.1%
EOS% r = 0.95 0.0% EOS% 23.6%
BAS% r = 0.55 0.1% BAS% 4.2%
The header line contains the same column names you can see in the analyzer
database.
Data values are saved as they are stored in the analyzer database, alphanumeri-
cal or numerical. Decimal separator is defined by the actual operating language
of the software.
HC5L-Diluent
Isotonic solution, used to dilute whole blood and quantitative and qualitative
determination of RBC, WBC, PLT and HGB concentration
HC5L-Lyse
Reagent for stromatolysis of RBC and quantitative determination of WBC
5-part differentiation (LYM, MON, NEU, EOS, BAS) and HGB concentration
measurement.
HC5L-Diff
Quantitative determination of WBC, leukocyte five-part differentiation
(LYM, MON, NEU, EOS, BAS) and HGB concentration.
CD-Diff
For Quality Control
158