Manual Humacount 5 PDF
Manual Humacount 5 PDF
Manual Humacount 5 PDF
| User Manual
|
Cat.No. 16350/1
Revision List of the Manual
No. DATE / Rev. REVISION DESCRIPTION
1 01/2007-02 First edition
2 02/2009-11 Edited sample tube adapters, new power supply, new peristaltic pump
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1 INTRODUCTION
This manual is considered as a part of the instrument; it has to be at the operator’s hand as well as at
the maintenance operator’s availability. For accurate installation, use and maintenance, please read
the following instructions carefully. In order to avoid instrument or personal damages, carefully 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.
2 USER WARRANTY
HUMAN warrants that instruments sold by one of its authorised representatives shall be free of any
defect in material or workmanship, provided that this warranty shall apply only to defects which
become apparent within one year from the date of delivery of the new instrument to the purchaser.
The HUMAN representative shall replace or repair any defective item at no charge, except for
transportation expenses to the point of repair.
This warranty excludes the HUMAN representative from liability to replace any item considered as
expendable in the course of normal usage, e.g.: lamps, valves, syringes, glassware, fuses, diskettes,
tubing etc.
The HUMAN representative shall be relieved of any liability under this warranty if the product is not
used in accordance with the manufacturer's instructions, altered in any way not specified by HUMAN,
not regularly maintained, used with equipment not approved by HUMAN or used for purposes for
which it was not designed.
HUMAN shall be relieved of any obligation under this warranty, unless a completed installation /
warranty registration form is received by HUMAN within 15 days of installation of this product.
This warranty does not apply to damages incurred in shipment of goods. Any damage so incurred
shall be re-ported to the freight carrier for settlement or claim.
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5 DISPOSAL MANAGEMENT CONCEPT
The currently valid local regulations governing disposal must be observed. It is in the responsibility of
the user to arrange proper disposal of the individual components.
All parts which may comprise potentially infectious materials have to be disinfected by suitable
validated procedures (autoclaving, chemical treatment) prior to disposal. Applicable local regulations
for disposal have to be carefully observed.
The Instruments and electronic accessories (without batteries, power packs etc.) must be disposed
of according to the regulations for the disposal of electronic components.
Batteries, power packs and similar power source have to be dismounted from electric/electronic parts
and disposed off in accordance with applicable local regulations.
6 INSTRUMENT DISINFECTION
Analytical instruments for in vitro diagnostic involve the handling of human samples and controls
which should be considered at least potentially infectious. Therefore every part and accessory of the
respective instrument which may have come into contact with such samples must equally be
considered as potentially infectious.
Before doing any servicing on the instrument it is very important to thoroughly disinfect all possibly
contaminated parts. Before the instrument is removed from the laboratory for disposal or servicing, it
must be decontaminated/disinfected. Decontamination/disinfection should be performed by a
authorised well-trained personnel, observing all necessary safety precautions. Instruments to be
returned have to be accompanied by a disinfection certificate completed by the responsible
laboratory manager. If a disinfection certificate is not supplied, the returning laboratory will be
responsible for charges resulting from non-acceptance of the instrument by the servicing centre, or
from authority’s interventions.
7 NOTICE
Every effort has been made to avoid errors in text and diagrams, however, HUMAN GmbH assumes
no responsibility for any errors which may appear in this publication. It is the policy of HUMAN GmbH
to improve products as new techniques and components become available. HUMAN GmbH therefore
has to reserve the right to change specifications if necessary in the course of such improvements.
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NOTICE
Analytical instruments for in vitro diagnostic application involve the handling of human samples and controls
which should be considered at least potentially infectious. Therefore every part and accessory of the respective
instrument which may have come into contact with such samples must equally be considered as potentially
infectious.
BIOHAZARD
The „BIOHAZARD“ warning label must be affixed to instrument prior to first use with biological material !
Servicing Note:
Before doing any servicing on the instrument it is very important to thoroughly disinfect all possibly contaminated
parts. Before the instrument is removed from the laboratory for disposal or servicing, it must be decontaminated.
Decontamination should be performed by authorised well-trained personnel only, observing all necessary safety
precautions. Instruments to be returned have to be accompanied by a decontamination certificate completed by
the responsible laboratory manager. If a decontamination certificate is not supplied, the returning laboratory will
be responsible for charges resulting from non-acceptance of the instrument by the servicing centre, or from
authority’s interventions.
HUMAN
Gesellschaft für Biochemica und Diagnostica mbH
| Max-Planck-Ring 21 · 65205 Wiesbaden · Germany
| Tel.: +49 61 22/99 88-0 · Fax: +49 61 22/99 88-100
| e-Mail: human@human.de · www.human.de
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Contents
1 INTRODUCTION 3
1.1 Intended Use 3
1.2 General Description 3
1.2.1 The Instrument 3
1.2.2 Patient Testing 3
1.2.3 Reagents 5
1.2.4 Stability 5
1.2.5 Precautions and Notes 6
1.2.6 Technical Operation 6
1.2.7 Calibration and Quality Control 6
1.3 Instrument Features 7
1.4 Parts of the Analyzer 9
1.4.1 Function of the Fluidics 9
1.4.2 Control Panels 9
1.4.3 Display 10
1.4.4 Keyboard 10
1.5 Control Material 11
1.6 Accessories 12
1.7 Specifications 13
2 INSTALLATION 14
2.1 General Information 14
2.2 Environmental Factors 14
2.3 Unpacking and Installation 14
2.3.1 Turning the Instrument ON 16
2.3.2 Turning the Instrument OFF 16
2.3.3 Preparing for Shipment 17
2.3.4 Emergency Handling 17
3 MENU SYSTEM 18
3.1 General Information 18
3.1.1 Navigating in the Menu System 18
3.1.2 Menu Structure 20
4 OPERATING PRINCIPLES 21
4.1 Impedance Method 21
4.2 Principle of HGB Measurement 21
4.3 Parameters 22
4.4 Absolute and Linearity Ranges of Measured Parameters 22
5 5 ROUTINE USE and MEASUREMENT 23
5.1 Measuring Process 23
5.1.1 Sample Handling 23
5.2 Sample Analysis 25
5.2.1 Sample Preparation 25
5.2.2 Modifying Lyse Quantity 25
5.2.3 Sample Information 25
5.2.4 Results 26
5.3 Measure 28
5.3.1 Measure Local Menu 28
6 DATABASE 30
7 UTILITIES 33
7.1 Maintenance 33
7.1.1 Regular Maintenance Jobs 33
7.1.2 Cleaning 33
7.1.3 Priming 33
7.1.4 Draining Chambers 34
7.1.5 Reagent status 34
7.1.6 Empty Waste Container 34
7.1.7 Weekly Maintenance 35
7.2 Calibration 37
7.2.1 Factorial Calibration 37
7.2.2 Automatic Calibration by Measurement 38
7.2.3 View Calibrations 39
7.3 Quality Control 40
7.3.1 QC Database 41
7.4 Diagnostics 42
7.4.1 Device Statistics 42
7.4.2 Self Test 43
7.5 Settings 44
7.5.1 Printer Settings 44
7.5.2 Customise 48
7.5.3 Date and Time 51
7.5.4 Fluid Sensors 51
7.6 Software Update 52
8 PRINTING 52
8.1 Printouts 52
9 Fluidic Schematics 54
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1 INTRODUCTION
1.1 Intended Use
The HumaCount 5 hematology analyzer is a fully automated cell counter designed for in vitro diagnostic use.
The instrument was developed for use in hospitals and small- to medium-sized labs.
The analyzer features a graphical LCD display module and a foil keypad with 24 keys, including 6 software buttons
(with icons) and 6 function keys (above LCD) in addition to a START button.
The instrument allows results to be sent to an external printer (parallel port or USB port), or to be printed on the
optional built-in printer module.
Its internal memory is capable of storing up to 5000 (standard 1000) records with full histograms and individual
patient data. QC measurements can also be performed and stored. The operating system software is easy to
upgrade using a standard 3.5” floppy diskette or a commercially available USB pen drive. The instrument can be
connected to a host computer via the RS-232 serial port to upload records stored in the memory, and also enables
the operator to archive and restore records to and from floppy diskette or USB pen drive.
If the equipment is used in a manner not specified by the manufacturer, the protection provided by the equipment
may be impaired. Misuse of the equipment or use for other than its intended purpose will invalidate the
conditions of the warranty. The accuracy and precision may also be impaired.
Results can be printed on the optional internal or external printer. The print-out format can be customised by the
user.
The HumaCount 5 determines 22 hematology parameters including a five-part WBC differential. The instrument
requires 90 μl of the whole blood sample either from open or from closed primary blood sampling tube:
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1.2.3 Reagents
Only genuine reagents from HUMAN GmbH should be used with the analyzer; otherwise accuracy cannot be
guaranteed.
- Sodium Chloride 3
- Sodium Sulphate 8
- Sodium Phosphate 5
- Proteolytic Enzyme 8
- Preservative 1
(all concentrations in grams per litre)
1.2.4 Stability
The reagents are stable up to the expiry date on the label when stored at 15...35°C and protected from light (i.e.
stored in a dark place).
Once opened and installed on the instrument the reagents are stable for 60 days at 15...35°C. Instability due to
contamination is usually indicated by cloudiness or a colour change. In this case the reagent should be replaced at
once.
- Perform a Blank Measurement if the instrument is left idle for a long time.
- Enter the sample and/ or patient data.
- Insert the sample into sample holder for analysis.
- Print results either one-by-one, or by selecting records from the database.
- Perform simple weekly maintenance, as described later in this manual.
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1.3 Instrument Features
Figures 1 and 2 show the front and rear view of the HUMACOUNT 5hematology analyzer.
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4
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3
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1. Floppy disk drive (older instruments only) and optional CD ROM drive
2. OK key
3. Numerical keypad
4. Function keys
5. Graphic liquid crystal display
6. HELP key
7. Measure function key
8. Database function key
9. Utilities menu key
10. Printing function key
11. Exit menu key
12. Cursor control keys
13. Status indicator
14. START key
15. Sample rotor
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Figure 3 shows the open built-in printer loaded with a roll of thermal paper inside.
To open the lid, press the button indicated in the picture. Drop in a roll of thermal printer paper and close the lid so
that the end of the paper passes between the black paper guide and the printer mechanics.
The built-in printer can be selected for report generation in “Printer Settings” menu (see chapter 7.5.1).
Paperguide
Thermalpaper
Lid-opener Button
Printer mechanics
(inside)
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The analyzer works with an external power supply. The next figure shows the power supply unit generating 12VDC.
The power supply module has a so-called auto range input, allowing operation on 230V or 115V power system. The
power supply complies CE and UL safety certifications.
Table 1.
Dilution rates in HumaCount 5: Measurement time:
Primary dilution 1:160 WBC / EOS / BAS counts 5 seconds
RBC dilution 1:32000 HGB measurement 2 seconds
WBC dilution 1:200 RBC/PLT count 8 seconds
EOS, BAS dilution 1:160
Status indicator
A three-colour LED is located near the START button.
Its current colour indicates the status of the analyzer.
1.4.3 Display
The display is a high contrast, CCFL backlit graphic LCD (Liquid Crystal Display) module with a resolution of
240 x 128 dpi.
1.4.4 Keyboard
The foil keypad consists of the following (shown in Figure 1):
- Numeric keys for entering numerical data and selecting menu items
- Function keys for specific functions. These functions are menu dependent and are indicated by icons
appearing above the keys
- Hardware function keys (short-cut keys) for easier navigation among menus
- Cursor control keys ↑ and ↓ for moving among database items, ← and →, for moving among parameter
columns or menu levels
- START key for initiating an analysis cycle
- OK key for confirming data
- Del key for deleting characters
- Help key for HELP function
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Function keys
Below you will find all the possible icons and functions assigned to the so-called soft-keys (function keys)
Function key Action triggered
Exit from current menu or action
Confirm error
Set Limits
Stop the running process
Show data in table format
Set needle sampling position.
Below you will find all the possible icons and functions assigned to the so-called hardware function buttons
Function key Action triggered
Information
Measuring process
Database
Utilities menu
Printing function
Exit menu
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1.7 Specifications
Sample volume: 90 μl whole blood
Aperture diameter: 80 μm (RBC) 100 μm (WBC,EOS,BAS)
Measured Parameters: 22: WBC, LYM, MON, EOS, BAS, NEU, LYM%, MON%, EOS%, BAS%, NEU%, HGB, MCH,
MCHC, HCT, RBC, MCV, PLT, MPV, PCT, RDWc, PDWc
Throughput: 24 tests/hour in 5-part mode
(33 tests/hour in 3-part mode)
Characteristics: Accuracy max deviance Reproducibility Carry over between Test range
from expected (CV) samples
Sampling method: Closed tube system, with automatic sample rotor and cap piercing
Sample types: Human (general), Male, Female, Baby, Toddler, Child
Fault statistics: RBC/WBC clogging < 1% of analyses (normal use)
Cleaning procedure: High-voltage aperture burst, high-pressure back-flush, chemical cleaning of aperture
using Cleaner
Quality control: 6 levels, including: mean, ± range, SD and CV for all measured and calculated
parameters, 16- and 64-day Levey-Jennings charts, separate QC database
Calibration: Automatic, based on 1 or 3 measurements, or manual calibration of WBC, EOS, BAS,
HGB, RBC, PLT, MCV, RDW, MPV, monitoring of calibration factors by calibration
events
Multi-user feature: 3-level multi-user operation with selective privilege levels, user identification with ID
and password
User interface: Easy-to-use, menu-driven user interface with 6 software buttons (with icons), 6
hardware function buttons (above LCD), cursor and numeric keys
Languages available: English
Data storing capacity: up to 5000 results, including histograms (standard 1000)
Host computer interface: Serial (RS-232) computer link
Data back-up Interface: 3.5” floppy disk or USB pen drive
Software upgrade: 3.5” floppy disk or USB pen drive
Printer interface: Centronics (parallel) or USB
Built-in printer: “Easy Paper Operation” built-in printer module
Display: high contrast, CCFL backlit graphic LCD with a resolution of 240 x 128 dpi.
Keypad: 29 foil keys + START button
External keyboard: Standard PS/2-compatible keyboard
Power supply: Auto-range, external 12VDC, 6A power module
Power supply (input): 100-120V/200-240V, 50-60Hz, 10W stand by, 80W max.
Operating temperature: 15-35ºC
Dimension (WxDxH): 320 x 260 x 365 mm
Net weight: 15 kg
The HumaCount 5 hematology analyzer is a precision instrument, and must be handled accordingly. Dropping or
other improper handling of the instrument will disturb calibrated mechanism and electronic components and/or
cause other damage.
Always handle the instrument with care.
The HumaCount 5 external power supply must be plugged into a grounded AC outlet. Do not plug the instrument
into electrical outlets on the same circuit as devices that operate intermittently and/or use large amounts of
electrical current, such as air conditioners, refrigerators, compressors, etc. It is not advisable to use extension cords,
especially multiple-outlet extensions. If you are located in an area that experiences excessive power fluctuations or
are using a generator, connect the instrument to a surge protector (filtered surge protector preferred).
The HumaCount 5 should be installed on a flat, level surface with adequate room for the reagents, the optional
keyboard and printer. The back of the instrument should be at least 15 cm from adjacent walls or other equipment
to allow sufficient airflow and ventilation.
The HumaCount 5 uses external reagent containers. Care should be taken so that the table holding the instrument
is not pushed against the wall, which could pinch the tubes between the instrument and reagent containers.
2. CAUTION! Prior to initial operation, allow the instrument to reach room temperature (approx. 2 hours). Rapid
temperature changes in an operational unit can lead to water condensation, damaging electronic parts.
3. Place the instrument on a firm work surface in the designated work area, near an appropriate AC electrical
outlet. The connection MUST be grounded.
NOTE
Before making connections: Be certain that all power is switched to “OFF” before connections (printer, external
keyboard) are made. Carefully read all literature accompanying the instrument and its accessories. Pay
particular attention to the operating instructions for the external printer.
5. Host Computer
The instrument has a built-in serial port that allows connection to a host computer. Results, including
histograms, may be exported. Serial I/O settings can be found in Settings.
6. Power supply
Connect the power supply to the instrument. Attach the power cord connector to the external power supply of
the HumaCount 5 and plug the other end into a properly grounded AC outlet.
Please do not switch on the instrument before connecting the external power supply to the instrument and to
the AC outlet, and before connecting an external printer or a keyboard to the instrument.
7. Reagent Containers
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Place the reagent containers near the instrument in an accessible location. Do not place the containers in a
position higher than that of the HumaCount 5, because if a tube were to come loose from its connector the
fluids would spill out. Use the supplied connecting tubes and special bottle caps. Be sure that the colour on
each tube, cap and connector in the back of the instrument match. You can, for example, place the reagent
containers below the table where the HumaCount 5 is installed, as the instrument has sufficient power to draw
the liquids from a lower location.
All containers should be left open (do not block the small air vent hole on the special container caps) in order to
provide free airflow.
(For connections, see Figure 5.)
Diluent
Lyse
Cleaner EOS
Waste BAS
B E
LYSE Cleaner A O
Diluent solution Waste container S S
8. Sample adapter
There is one adapter supplied in the HumaCount 5 basic pack. Others are available on request.
Figure 6. Sample tube adapter– supporting BD Vacutainers and Sarsted Monovette (3.5ml)
In some cases, a priming cycle is necessary prior to sample introduction. The instrument will perform the cycle
automatically if the fluid sensors are on (default setting) and additional liquid aspiration is required. A priming
cycle should be run:
- after installation
- after an extended period of disuse
- after replacement of any component related to the Fluidic System
EXIT
SHUTDOWN (1)
The software will prompt you for confirmation. The analyzer will perform a priming cycle, filling the chamber to
avoid dust collection and salt build-up. The screen will prompt the user again to power off accompanied by a
continuous beep.
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2.3.3 Preparing for Shipment
The second item in the Exit (Shutdown) menu should be used when the instrument is to be shipped or left unused
for a longer time. The instrument will ask you to utilise the cleaning tube kit and 100ml of distilled water.
Follow the instructions appearing on the display.
! Message 5002/19300 Next, you should connect the cleaning tube kit to the reagent
inputs, submerging the free end in a bottle containing at least
Connect min 100 ml distilled water to reagent 100 ml of distilled water.
inputs using cleaning tube kit.
The analyzer will flush any remaining reagents from the system
into the waste container.
! Message 5003/19300 Next, the analyzer asks you to remove the cleaning tube kit.
Remove cleaning tube kit. Keep reagent inputs When finished, the analyzer prompts you to power off the
free. system. Remove the waste connector after shutting down.
This integrated software controls instrument operations, including the calculation and evaluation of measured
data, displaying results and information screens, storage and recalling of data.
a. Most important are the 5 function keys above the LCD screen with which you can navigate among the main
functions of the instrument ( , , , , )
These keys are short cut keys, so by pressing any of them you can select one of the main functions, no matter
which other submenu you are in.
If a keyboard is connected to the instrument you can use Function keys F7 to F12 on the keyboard as well (you
will find the corresponding key under Menu Structure).
Arrow
b. You can select the desired item with the Ç and È keys and press the OK key to enter or activate the
highlighted item.
Within a submenu, you can press the function key (if shown) to return to the previous menu level.
This method is suggested while learning instrument operation.
c. Pressing the numeric key corresponding to the desired menu item allows selection and confirmation of an item
without the need to additionally press the OK key.
Pressing the 0 (zero) key has the same effect as the function key.
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d. You can also move among the different menu levels using the ← and → keys. These have the same effect as OK
and , respectively.
If selection of a menu item opens up a submenu, that item is indicated with a f symbol at the end of the menu
line.
Some results can be displayed in table format. The following keys may be used for browsing the database:
3.= page up
9" page down
1↑ jump to top of list
7↓ jump to bottom of list
Several menus have items with boxes in front of the text. These indicate two-state options. The selected state is
indicated by a filled box, the deselected state is indicated by an empty box. Selecting the item toggles its state.
Other items have circles in front of the text. These are called “radio buttons”.
They are divided into groups separated by horizontal lines.
Only one item from such a group can be selected at one time, indicated by a filled circle in front of the selected
item. Selecting an item from the group will move the filled circle in front of this item, emptying the circle by the
item selected previously.
Printer settings
Customize General settings
Date and time Units
Fluid sensors Laboratory
User modes
Single-user mode
Multi-user mode
Add new user *
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4 OPERATING PRINCIPLES
4.1 Impedance Method
The volumetric impedance method (a.k.a. Coulter method) counts and sizes cells by detecting and measuring
changes in electrical impedance when a particle in a conductive liquid passes through a small aperture.
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. EOS
and BAS solutions (treated with the respective reagent) and their separate histograms are analyzed.
Pulses are counted only in channels (in terms of femtolitre, fl), which are between the lower and upper
discriminators.
Note:
The above-mentioned measuring method is used to determine the HGB concentration. The HGB concentration can
be measured using cyanide-free lysing reagents as well. In this case the effect is the same but the lyse used is an
environmental-friendly reagent.
Beyond this linearity range, the instrument is able to display results, but the accuracy defined in the specifications
is not guaranteed.
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If the value is over the maximum range of guaranteed linearity, the instrument cannot measure it and the result
will be marked with an E (Error) flag.
To measure a sample the parameters of which exceed the maximum value indicated in the table below, pre-
dilution is recommended. See section 5.3.1.2.1 of this manual.
Important!
Sample tubes must be filled to at least the 7-8 mm mark with blood; otherwise correct sampling is not
guaranteed! Most sampling tubes are marked with the minimum and maximum sampling volumes (blood level).
Biohazard! Protect yourself! Blood is a potentially infectious substance! Always use protective rubber gloves!
Closed vacutainer with sample blood Sample tube with 5 ml control blood
Please wipe the mouth of the tube. If bubbles have
formed at the mouth, the instrument can be soiled
with blood when they burst, causing measurement
errors with subsequent samples.
Figure 8. Sample tubes used in tube adapter
The sample rotor turns, moving the sample inside the instrument and the needle draws 90 μl of sample from the
tube. The aspirating needle is retracted, while its outer surface is automatically rinsed with diluent. This ensures
low carry-over between samples. After a few seconds the rotor turns again, returning the sample tube, but the
needle remains inside the instrument. The sample tube can now be removed from the adapter of the sample rotor.
#1 #2 #3 #4 Standard
#6
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5.2 Sample Analysis
5.2.1 Sample Preparation
Use K3-EDTA anti-coagulated fresh whole blood as the sample. Prior to sampling, mix the sample gently by
inverting it 11 times. Do not shake as this could damage the blood cells.
An additional option to modify the lyse quantity by ± 0.1 ml or ± 0.2 ml is available during analysis (but this only
functions for the current sample being run). Press ↑ to increase the lyse quantity (+0.1/0.2 ml) if the separation
between lysed RBCs and WBC populations is poorly differentiated resulting in increased WBC and LYM counts.
Press ↓ to decrease the lyse amount (-0.1/0.2 ml) if the WBC histogram seems to be skewed to the left, i.e. the
different WBC populations are overlapped. This can inhibit proper separation of WBC populations.
If this function is selected, the L+/L-(for 0.1 ml) or L++/L--(for 0.2 ml) can be seen in the top-left corner during
analysis (see the screen below).
The two important parameters influencing lysing are reaction time and lyse quantity.
You cannot change the lysing reaction time, as it is adjusted to correspond to the lyse reagent.
Type the name, using up to 32 alphanumeric characters, (“A-Z”, “0-9”, space, point and parentheses). Use arrow
keys to move among characters and the backspace key for deletions. Press Enter to accept data, cancel with Esc or
, confirm with . The keypad can also be used to enter patient information just as on a mobile phone;
keys are pressed until the desired letter (printed on the key) appears in the given field.
IMPORTANT:
IF A CONTROL IS MEASURED IN NORMAL SAMPLE MODE
ONE MUST SELECT PATIENT TYPE “CONTROL”
- If analysis errors occur or the blank measurement value is too high, the E error flag will appear next to the
erroneous parameter and no results will be displayed for it; instead --- will appear.
- If there are warnings, a ∗ flag will appear preceding the result.
Any warning flags are displayed in the last line of the first result screen.
Note:
If the WBC count is below the low limit of 0.5 NO results for the different WBC groups will be displayed. Such
sample must be checked by microscope.
In the following table the warning flags are summarised including an explanation of the possible causes and
suggestions to solve the problem:
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5.2.4.2 Warning flags in lowercase refer to RBC or PLT problems:
Warning flags can be grouped according to measurement conditions and according to the problems relating to the
blood sample.
Measurement conditions: when the flags are related to clogging (c, C), or probable hemolysing problems (E, b, B, p)
and pressure problems (Fatal pressure error), repeat the measurement.
The asterisk flag (*) next to a parameter indicates some uncertainty about the evaluation of that parameter. The
reasons can be: a high PLT blank (PLT value will be marked), a case of indefinite discriminator setting (default
location must be used, related parameters will be marked), etc.
Another flagging method is evaluation against the normal ranges. If a parameter is out of range, it receives a (-)
flag if under the range or a (+) if over the range, and the parameter is inverted on the result screen. You can
customise ranges for all types of patients by setting the corresponding lower and upper ranges. 0 (zero) value for
range limit indicates no verification is needed.
On the first limit settings screen , the software allows you to change the amount of lyse added. The instrument
permits a range of 0.3 ml to 1.2 ml.
Optimal quantities are strongly influenced by the chemical composition and behaviour of the lysing reagent. The
quantity of the lyse reagent can also be modified before each analysis by • 0.1/0.2 ml without having to change the
value in this sub-menu.
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5.3.1.1 Repeat Last Measurement
- Once daily, before sample analysis (this is done automatically before the first analysis in the menu MEASURE).
- After any reagent change (activated manually from the MEASURE/ MEASURE BLANK menu).
- After the replacement of any hardware component that is closely related to the measuring process (aspiration,
dilution, counting, rinsing).
Accepted blank values are essential for proper calibration and quality control measurement. For this reason, no
calibration or QC measurement can be performed without accepted blank values.
Quality control measurement and calibration can be performed only if all blank values are in the first region
(receiving no flags or errors).
Example: if 20μl capillary tubes are used for blood collection, add 100μl of pure diluent to create a proper
predilution.
6 DATABASE
Patient results are stored in the memory in chronological order and can be retrieved at any time. Data storage
capacity is 1,000 measurements, including the complete parameter list, histograms, flags, sample data, and
date/time of measurements.
DATABASE
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From database table screen, WBC, RBC and PLT histograms can be displayed by pressing . By pressing the
key, an additional panel with more parameters can be viewed. While in graph view, use ↑ and ↓ keys to
jump to the previous or next record, respectively.
Data backup and monitoring can be performed in this submenu. Before menu selection, insert a 3.5” floppy disk
into the drive located on the lower front panel of the analyzer. An empty floppy disk can store the results of 700
samples.
DATABASE
BACKUP ONE DAY (6)
Specify the day whose records you wish to back up to a
floppy disk.
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7 UTILITIES
7.1 Maintenance
By selecting item (1) of the UTILITIES you can access the MAINTENANCE menu.
MAINTENANCE (1)
Select the required submenu.
7.1.2 Cleaning
7.1.3 Priming
Waste contains poisonous substances (because of possible cyanide content) and substances of human origin, a
potential biohazard. These substances represent a potential danger to environment. For this reason, safe
handling of the waste liquid is very important.
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7.1.7 Weekly Maintenance
Weekly maintenance should be performed before turning on the power switch.
Microdilutor
Chambers:
WBC BAS RBC WBC
RBC EOS EOS
MIX MIX BAS Reagent
grounding
Valve block
Reagent sensors
Dilutor
Peristaltic pump
Reagent
connectors
Valve block
The pump installed in the instrument is maintenance free. However, would you experience leakage from the pump,
or vacuum error, you may replace the tube used.
Remove the tubes from the pump by opening the screw connectors.
Push in the two sides of the pump cassette.
Pull the cassette off the pump.
Pushing aside the two tubes, bend the tube out of the pump.
Using a standard screwdriver, ease the tube on the plastic connector, and pull the tube off.
Repeat the same procedure on the other end of the tube.
Now you can pull the plastic holders off the tube. Retain all parts except the old tube.
Using the new pump tube, slide the two grey plastic parts onto the new tube. Make sure they are aligned as shown
on figure 1. Insert the 2 white plastic connectors into the ends of the tube. The new set must look like the tube on
figure 1.
Put the tube back into the pump mechanics, and drive the grey plastic parts into their seats as figure 2 indicates.
(view from the “top” of the pump)
Slide the cassette housing back. There are pins on the cassette, make sure to drive them in their paths.
36
7.2 Calibration
Calibration is the procedure used to standardise the instrument by applying the necessary correction factors.
CAUTION!
A new calibration will invalidate previous factors. Old values cannot be retrieved, but can be viewed in VIEW
CALIBRATIONS menu.
UTILITIES
CALIBRATION (2)
CALIBRATE (1) (factorial)
Enter previously calculated factors using numerical
keys; confirm with the OK key.
UTILITIES
CALIBRATION (2)
CALIBRATE (1) (automatic)
Set the target values of the control material using the
numerical keys. Use the OK key to accept a value.
Specify 0 as target value for parameters that should be
omitted from calibration.
After setting values, press to confirm and start
calibration measurements.
Target values for calibrated parameters can be set within the following ranges:
38
7.2.3 View Calibrations
From the Calibration menu you can view previous calibration factors. The instrument logs all calibration events and
displays them in the following format.
Calibration Settings
When CALIBRATION SETTINGS is selected, the following screen appears:
UTILITIES
CALIBRATION (2)
CALIBRATION SETTINGS (3)
Items 1-2 select between parameters
Items 3-5 select among calibration modes.
Item 6: select calibration of prediluted mode.
To perform factorial calibration, enter reference parameters (MCV and MPV or HCT and PCT), and choose item 3,
Factorial Calibration. In this case, the user must have performed the necessary number of measurements with the
control material, based on which an average value can be calculated. This average value is used for fine-tuning the
calibration parameters.
NOTE:
Target values of the control material should be set only once, at the beginning of the QC measurements. Resetting
parameters deletes previous QC results at the current level.
CAUTION!
Any change in the QC material setting deletes previous QC results. It is strongly recommended to print results prior
to changes.
UTILITIES
QUALITY CONTROL (3)
SET QC LEVEL (5)
Select the level you wish to use.
The active level is displayed in the top right corner of
QC-related screens.
UTILITIES
QUALITY CONTROL (3)
SET QC REFERENCE (1)
Both target values and acceptable ranges can be
specified. Only parameters displayed on these screens
are utilised. Modify displayed values using the
numerical keyboard. The OK key accepts data. Use the
page down function key to view additional parameters.
Setting 0.0 disables QC for the parameter.
NOTE:
Quality control measurements can only be made after an optimal blank measurement result has been accepted
(all parameters are in the 1st range).
When quality control measurements are made in 5-part mode no % results will be shown.
40
UTILITIES
QUALITY CONTROL (3)
QC MEASURE (2)
After selecting the target values (or targeted level), use
the above menu to perform a QC analysis.
The result screen displays Quality Control as ID.
NOTE!
A result will only be accepted and saved if it is confirmed with the key.
7.3.1 QC Database
The database of measured and stored QC results can be displayed at any time in table or graphic (Levey-Jennings)
formats. The QC measurement results will have sequential ID numbers.
UTILITIES
QUALITY CONTROL (3)
VIEW TABLE OF QC
MEASURE (3)
Move the selection bar over entries with
the ↑ and ↓ keys. Move among parameters with Å and
Æ keys.
CAUTION!
Any change in the QC-material settings is followed by deletion of the QC database. It is strongly recommended to
print the database before making modifications.
UTILITIES
QUALITY CONTROL (3)
VIEW QC DIAGRAM (4)
Means, standard deviations (StDev) and coefficients of
variation (CVar) are calculated based on the QC
analyses. The dotted lines delineate acceptable ranges
on Levey-Jennings charts.
You can look at Quality Control information and results in table format as well. To access this format, select item 3,
view table of QC measures.
UTILITIES
DIAGNOSTICS (4)
This is the diagnostics menu.
Select the desired item.
UTILITIES
DIAGNOSTICS (4)
DEVICE INFORMATION (1)
Here, device-specific information can be retrieved.
Model name, serial number, software version and the
date of the compilation of the software are available.
UTILITIES
DIAGNOSTICS (4)
STATISTICS (2)
This menu includes important information about
analyses previously performed, the total number of
analyses and any clogging or errors that have occurred.
42
7.4.2 Self Test
The Self test is a procedure to verify proper operation of essential components of the instrument.
The Self test should be performed:
- At installation.
- After replacing any component.
- After extended time out of use.
The automatic Self test procedure can be initiated from the DIAGNOSTICS menu. During the test progress is
displayed. The components that have passed the test are marked “OK”.
Any printer compatible with the above listed modes (printer languages) can be connected to the instrument.
To set up the instrument for your printer, go to the “Utilities/Printer/Printer Settings” menu. Select from the
options using the up and down arrow keys within the text fields, and fill in the numerical fields using the number
keys.
44
The general characteristics of the printable area of printer paper are below:
The paper is defined by its size:
Paper width
It can be a standard size (A4, Letter) or
any custom-sized paper (specify the
Top margin Physical margins actual size).
Printers cannot print on the whole
Result surface of the paper. The blank area is
Left margin
Printout format can be specified as one of the following (availability depends on the printer driver’s allowable
paper size):
Table format defines what a table printout will look like. You can select normal or narrow view. A normal table is as
wide as the paper, narrow format has grouped parameters.
(name) (size)
A4 21 x 29.7 (cm)
Legal 8 x 14 (in)
Letter 8 x 11 (in)
Executive 18.42 x 26.67 (cm)
Rollpaper .. x NA
Custom user x user
Paper sizes and margin positions can be defined freely (custom size).
Printing Mode changes printout sizes. Choose the one matching your needs. The available modes depend on the
selected printer type. Possible options are:
Mini, Small, Normal, Enhanced and Large for vertical printout resolution
Wide and Narrow for horizontal resolution
Fast mode is optional, it usually indicates ink-saving printout.
Recommended mode is Normal.
One result per page– if enabled– starts each printout on a separate sheet, if disabled then it will print as many
records on a page as possible (small printout size combined with disabled “One result per page” may give e.g. 3
small reports on one sheet.)
Vertical spacing will determine how much space should be left between two reports printed on the same sheet
(One result per page must be OFF for this option to take effect)
Limits format defines what the ranges should look like on the printout.
You can have range (limit) printing disabled, displayed with numbers or as graphical symbols.
46
The third page of printer settings contains further
options to adjust printouts.
If Print flags is set to Yes, any measured value out of the reference range or error that occurs during analysis will be
shown on the printout.
If Print warning flags is enabled, any flags appearing on the result screen will be included on the printout.
Clogging report prints diagnostic numbers on how a measurement with a possible clog was handled. It should be
enabled when instrument starts giving repeated clogging errors.
IMPORTANT! When changing printer types the following items should always be set:
7.5.2 Customise
SETTINGS (5)
CUSTOMISE (2)
This is a collection of settings influencing instrument
operation and customisation.
SETTINGS (5)
CUSTOMISE (2)
GENERAL SETTINGS (1)
This is a collection of settings influencing instrument
operation and customisation.
7.5.2.2 Units
SETTINGS (5)
CUSTOMISE (2)
UNITS (2)
Units can be set in a sequential order. The arrow on the
right indicates that there are more options for the entry.
Select among options using the Ç and È keys. When
done, press OK to open the next parameter. When the last
entry is set, pressing confirms the data and returns
the display to the Settings menu.
48
7.5.2.3 Laboratory
This menu allows laboratory information to be entered.
This information will be printed in the header of reports printed by the instrument.
SETTINGS (4)
CUSTOMISE (2)
LABORATORY (5)
HUMACOUNT 5
A maximum of 40 characters can be entered in each line.
The user can enter this data by either using an external
standard PC keyboard (US-layout) connected to the
instrument, by scrolling to each letter using the Ç and È
keys, or by using the keypad to enter text similar to the
keypad of a mobile phone. Move among characters using
the Å and Æ keys.
CAUTION:
Multi-user mode has both advantages and disadvantages. As it is a security option, maximum care should be
taken when using it. It is based on operator ID’s and passwords. If any operator should forget the password
corresponding to the ID, a user with supervisor rights would be required for changing or re-enabling the user’s
password for the instrument.
There MUST always be a user with supervisor rights!
Should the user with supervisor rights forget the password for his/her ID, only an authorised HUMAN service
technician can re-enable supervisor access and change the password.
The multi-user mode allows identification of operators through their personal settings, or profiles. It also restricts
users to certain software functions.
With the HUMACOUNT 5, the term ‘multi-user’ means storing profiles for different users, but does not mean
allowing more than one user to be logged in simultaneously.
- An operator at Basic level can perform analyses and enter patient data prior to the measurement process.
- Advanced users, in addition to Basic level functions, can modify instrument software settings, perform
calibration and quality controls, and modify patient data when browsing the database.
- A Supervisor has the ability to do all of the above, and to modify user access or passwords.
With multi-user mode enabled, users with different access levels will have different abilities within the menu
system.
Some items will not be accessible for them.
In the name field, a user name of 32 characters can be specified. You can use either the keypad, or the external PC-
keyboard.
When the name is entered, the level should be defined as Supervisor, Advanced or Basic.
The default setting for Active is Yes. Change this option if you want to disable a user.
The last data to enter is the password, a maximum of 8 alphanumeric characters.
50
In multi-user mode the shut down menu is changed;
the logout menu point appears.
SHUT DOWN (1)
SETTINGS (5)
DATE AND TIME (2)
By selecting item 1, the date and time setting mode
(next screen) is accessed. Items 2…4 and 5…6 are radio
buttons; only one can be selected.
SETTINGS (5)
DATE AND TIME (2)
SET DATE AND TIME (1)
Enter the date and time using the numeric keys. Date
format can be set in the previous menu. Confirm them
by pressing the button.
SETTINGS (5)
FLUID SENSORS (4)
Using the OK key can toggle the state of each sensor. In
the figure, the lyse sensor is disabled.
Item 3 sets the fluid sensors automatically.
At the next start-up, the instrument will run the new software version.
8 PRINTING
This chapter covers information on making reports on measured samples.
8.1 Printouts
When required, the following items can be sent to an external printer or to the (optional) built-in printer by
the format of a typical patient results printout is shown in Figure 16. (the appropriate printout format can be
selected in UTILITIES/SETTINGS/PRINTER SETTINGS).
52
Full printout format with histograms:
HUMACOUNT 5
Header
Report info Sample and
measurement info
Histograms
Limits, graphical
Location of the results
within the limits.
Location of
warning flags
(not displayed here)
On the left side of the printout the reference ranges (limits) are in normal mode (indicated by numbers) while on
the right side of the printout the reference ranges (limits) are in graphical mode, flags and warning flags are not
enabled. The printing modes of these parameters can be selected in the PRINTER SETTINGS submenu.
In graphical mode the normal range of each parameter is indicated with a rectangle. The left side of the rectangle
shows the lower level and the right side shows the upper level. The value in the normal range is indicated with a
marker.
If normal ranges are set, flags are enabled, and patient values are over or under the limits specified, the result out
of the range is marked with an +/- mark near the value and the rectangle is compressed because of lack of space
and the high/low value is indicated outside of the rectangle on the right/left side.
IMPORTANT!
- The lifetime of the built-in printer printout (thermal rollpaper) is 1 year
- Do not expose the printout to heat
- Copy the printout to normal paper
BASO
3
EO V19
Dilu
1
1
MIXING HEAD
2
V20
M4
V8 DilNeedle LDB
Micro V7
1
2 1
V6 DilWash
2
3
V18
V21Eo V17
1 2
3 LDD
V22
2 1 1 3
2 V12
1 2
3 3 V9LyseWbc LDL V10 3 M1
Pressure
1 2
DILUENT
1
Meter
P Hor
M2
3
V5
2
V11 2 1
2
EO
3
BASO
Baso Dil Eo Lyse Puffer
1
HGB V4
M3 M6
100 80 T.
BASO WBC
EO RBC
MIX MIX
BASO
LYSE V16
2 1
3 V3 M5
V14
2
2
3
3
EO V1 V2
1
1
2 1
3
V15
Pump
1 2
LDx Liquid Detector 2-way Valve 3-way Valve
WASTE Closed = Off 3 1-3 = Off
M1 Stepper Motor Open = On 2-3 = On
54
HUMAN
Gesellschaft für Biochemica und Diagnostica mbH
| Max-Planck-Ring 21 · 65205 Wiesbaden · Germany
| Tel.: +49 61 22/99 88-0 · Fax: +49 61 22/99 88-100
| e-Mail: human@human.de · www.human.de