Innovance Pfa 200 Im 10 en
Innovance Pfa 200 Im 10 en
Innovance Pfa 200 Im 10 en
System
Instruction Manual
We reserve the right to make changes in the course of technical development without previous notice.
Emil-von-Behring-Str. 76
35041 Marburg
Germany
Neither this manual nor any parts of it may be duplicated or transmitted in any way without the written approval
of Siemens Healthcare Diagnostics Products GmbH.
SMN 10484513
Chapter overview
1 Introduction
2 Safe handling
11 Performing maintenance
12 Troubleshooting
13 Appendix
Index
Table of contents
1 Introduction 1-1
6.3 Setting the time and time format (administrators only) 6-3
6.4 Setting the date and date format (administrators only) 6-3
6.5 Setting reference ranges for QC samples and the QC time interval
(administrators only) 6-4
6.6 Setting reference ranges for patient samples (administrators only) 6-5
7.4 Performing a self test and checking for trigger solution dispensing 7-2
12 Troubleshooting 12-1
13 Appendix 13-1
Index IX-1
1 Introduction
1
This manual describes the use of the INNOVANCE® PFA-200* System in
clinical laboratories.
This chapter gives orientation tips for using the instruction manual, and
information about service and warranty.
Example:
Example:
Example:
Bold type Terms used in the software are printed in bold type.
Example:
• Dialog Print
Example:
1 Example:
1.2 Service
Siemens and its representatives are available to repair the system after
installation during customary local office hours. Should you require service
at any other time, contact the Siemens service. You will receive information
about how to reach the Siemens service when the system is installed.
Siemens will inform you about the availability and cost of updates.
1.3 Warranty
The warranty is not valid for damage that occurs as a consequence of non-
observance of the instruction manual.
Limited warranty on wear and tear The warranty is limited for the following wear and tear parts:
parts
• Priming cartridges
• Vacuum cups
• O-rings
• Cleaning pads
• Target paper
• Printer paper
• Fuses
The warranty term for these wear and tear parts is included in your service
contract.
Only original Siemens consumables and spare parts must be used. Order
1
these from your Siemens representative.
2 Safe handling
This chapter describes the intended use of the system and gives general
safety instructions regarding the operation of the system.
2
2.1 Intended use
The system is an analyzer and test cartridge system in which the process
of platelet adhesion and aggregation following a vascular injury is simulated
in vitro. Platelet dysfunction detected by the system may be acquired,
inherited, or induced by platelet inhibiting agents.
The system must be operated only by persons whose skills, knowledge and
practical experience qualify them to do so, and who have been trained in its
operation.
This analyzer has been inspected before shipment for technical safety. In
order to maintain this status and to ensure hazard-free operation, the user
must follow the hazard and safety instructions contained in this instruction
manual.
Operational safety To ensure safe handling of the analyzer, the following instructions on
operational safety must be observed:
Electrical safety To ensure safe handling of the analyzer, and to avoid serious risks such as
electric shock or damage by short-circuit, the following instructions on
electrical safety must be observed:
• Make sure the conditions described in Electrical on page 13-4 are met.
• To minimize the danger of an electric shock, use only sockets with a
ground contact (earth) for connecting to the mains supply.
• Never disconnect the ground contacts. There is a danger of electric
shock when the protective conductor is interrupted inside or outside the
analyzer or the ground contact is disconnected from the line.
• Never remove protective guards or fused components because live
parts could be exposed. Electrical connections (plugs, sockets, etc.)
may be live, that means carry an electric charge. Even when the
analyzer is switched off, some components, for example, capacitors,
can be live as they may still be electrically charged. All live parts are a
potential electric shock source.
• To prevent electric shock, switch off and unplug the analyzer before
replacing fuses.
• Never short-circuit the fuse holder.
• All surfaces (for example, floor, worktop) must be dry when you are
working at the analyzer.
• To prevent electric shock, never place containers with liquid on top of the
analyzer as spilled liquid can come in contact with live parts. If liquid is
spilled in the analyzer, disconnect the mains plug.
• Assess the electromagnetic environment prior to operating the analyzer.
It corresponds to CISPR 11 class A. In the event of radio interference in
domestic settings, measures may be necessary to reduce the
interference. The data cable supplied must be used to ensure that the
relevant provisions are complied with. If other external devices such as
a printer or a network are connected, shielded cables and plugs are
essential.
• Do not operate strong electromagnetic transmitters (for example, mobile
phones, walkie-talkies, door openers) in the vicinity of the analyzer.
Electrical fields may disrupt normal operation of the analyzer.
Mechanical safety To ensure safe handling of the analyzer, the following instructions on
mechanical safety must be observed:
• Keep clear of moving parts when the analyzer is in operation.
• To prevent the analyzer from tilting or canting due to maladjustment, the
worktop must be stable and horizontal. All of the analyzer's feet must be
in full contact with the worktop.
2
• To avoid damaging the piercing needle for the trigger solution bottle,
close the access door to the trigger solution compartment fully before
pushing the lever down.
Precision and accuracy of test To ensure accuracy and precision of test results, perform a self test and
results check for trigger solution dispensing daily.
Solvents • Only use solvents for cleaning and disinfection which have been
authorized by Siemens.
Potentially infectious material The samples and reagents, and all parts which come into contact with them
are potentially infectious. Some reagents can irritate skin and mucous
membranes.
• Avoid contact of the skin and mucosa with samples, reagents and with
parts of the analyzer which have come into contact with this material.
• Wear appropriate gloves and safety glasses. Pay attention to the
manufacturer's information regarding the gloves' compatibility with the
materials and liquids used.
Disposal The test cartridges, consumables and the liquid waste are potentially
infectious material.
• Dispose of the test cartridges as described in the appropriate
instructions for use.
• Dispose of the consumables and liquid waste according to laboratory
standards and national regulations.
2
shift and after each startup, see Chapter 7.4. The results of the self test can
be printed along with the date and time for incorporation into the QC
records, see Chapter 6.9.
WARNING 2
In this section, the nature and source of the hazard are stated.
In this section, potential consequences of not avoiding the hazard are
stated.
• In this section, preventive actions to be taken are listed.
• Further preventive action
• …
2.6 Symbols
Symbol Meaning
Biological risks
The labeled area can come into contact with potentially infectious
material. The safety instructions regarding infectious material must be
observed.
Ethernet
The system has an ethernet port.
Serial RS-232
The system has a serial RS-232 port.
USB (universal serial bus)
The system has a USB port.
Symbol Meaning
Do not reuse
2
Use by
Batch code
Catalogue number
Manufacturer
Temperature limitation
Non-sterile
CE mark
Contents
Reconstitution volume
Level
CE conformity The instrument bears a CE mark which certifies that the instrument meets
the essential requirements of the following European directives:
• In Vitro Diagnostic Medical Devices Directive 98/79/EC
• European Battery Directive 2006/66/EC
2
• European Directive on Waste Electrical and Electronic Equipment 2002/
96/EC
• European Directive on Restriction of Hazardous Substances 2002/95/
EC
International standards The instrument has been developed, tested and manufactured in
accordance with IEC61010-1, IEC61010-2-081, IEC61010-2-101,
ISO14971, IEC61326-1, IEC61326-2-6, IEC62304, IEC62366.
Electromagnetic compatibility The instrument has been tested in accordance with IEC61326-1 and
(EMC), radio interference IEC61326-2-6. The instrument corresponds to CISPR 11 class A.
suppression and immunity to
interference
The system owner takes on the obligations arising from the national right to
operate in vitro diagnostic medical devices.
This chapter describes the stages the system goes through, from delivery
to disposal, and the requirements involved for the operator with each stage.
3.1 Delivery
3
3.1.1 Unpacking and checking the delivery
8. Check the content for completeness, see Chapter 3.1.2, and intact
condition.
Note: The following items are required for operation, but not included in
the delivery and must be ordered separately:
• Power Cord (country-specific)
• Dade® PFA Trigger Solution
• PFA Test Cartridges
Instruction manual (as an option) • 1 INNOVANCE PFA-200 System Instruction Manual (language-specific)
3.2 Installation
1. Make sure that the electrical and environmental conditions are met, see
Electrical on page 13-4 and Environmental on page 13-4.
WARNING
2. Make sure that the following requirements for the location of the system
are fulfilled:
• Access to a single power outlet within 150cm
• No direct exposure to sunlight
Load printer paper 3. Load printer paper, see Load printer paper on page 11-8.
Connect external devices 4. If you want to save PDF files with test results, plug the USB flash drive
into a USB port and contact the Siemens service with regard to enabling
the creation of PDF files.
Connect power source 6. Plug the power cord into the back of the analyzer.
9. Log on as administrator, see Chapter 7.3. The preset user accounts and
their passwords are listed in Table 3-1.
Load trigger solution 10. Exercise the trigger solution pump, see Chapter 12.5.2, step 3 to step 7.
11. Load trigger solution, see Chapter 11.3.1 and Chapter 11.3.2.
Configure system 12. Configure the system according to the needs of the laboratory, see
Chapter 6.
Perform self test 13. Perform a self test, see Chapter 7.4. If the self test is passed without any
error, the system has been installed correctly.
3.3 Non-operation
Remove samples and o-ring 1. Remove the samples, see Chapter 8.1.5.
Log off and shut down system 4. Log off, see Chapter 9.1.
Disconnect analyzer 6. Pull out the mains plug from the power outlet.
Store system 9. Make sure that the storage location meets the non-operating storage
conditions, see Environmental on page 13-4.
3.4 Disposal
WARNING
NOTICE
This chapter describes the components of the system and their functions,
and the consumables used on the system.
4.1 Analyzer
The front and top of the analyzer are shown in Figure 4-1.
The carousel is located on the lower front of the analyzer and holds the
cassette containing up to two cartridges for sample testing or system
maintenance.
1 Cartridge
2 Cassette
3 Well for o-ring cleaning pad
4 Carousel
5 Incubation wells
6 Black pads for cartridge type recognition
After placing samples in one or two test cartridges and starting a test, the
carousel rotates clockwise to the inside of the analyzer to identify the
number and type of test cartridges loaded, dispense the trigger solution into
each test cartridge, incubate the samples and then interface with each test
cartridge to perform the test. When testing is complete, the carousel returns
to the outside position to allow removal of the used test cartridges.
1 Access door
2 Trigger solution bottle
3 Lever
The touch screen is located on the upper front of the analyzer and displays
the software user interface.
Screen saver The screen is automatically dimmed after some time of inactivity. The
screen lights up again when it is tapped anywhere.
4.1.4 Printer
A USB port is located on the front of the analyzer, see Figure 4-1. All other
ports, the power switch and the fuse compartment are located on the back
of the analyzer, see Figure 4-4.
1 Power socket
2 Fuse compartment
3 Power switch
4 Ethernet port
5 RS-232 port
6 USB ports
External barcode scanner An external barcode scanner can be connected via the USB ports. The
barcode scanner reads the bar code label placed on the sample tube, the
number is transmitted to the analyzer and is used as the patient ID at the
start of a run. For details, see the instruction manual of the barcode reader.
Laboratory information system A uni-directional LIS can be connected via the serial RS-232 port or the
(LIS) ethernet port. The LIS allows test results to be transmitted from the analyzer
to a host computer.
For details on how to connect the LIS, see Chapter 6.10 and the data
interface manual.
Network (LAN) The analyzer can be connected to a network via the ethernet port.
USB flash drive A USB flash drive can be connected via the USB ports. If enabled by the
Siemens service, the software can generate PDF files of test results that are
saved on the USB flash drive.
4
4.3.1 Cassette
4.3.2 O-ring
O-rings are black rubber rings located in the analyzer. They serve to seal
the test cartridge during measurement.
The o-ring service tool is a plastic compartment with two pits. It is used to
insert the o-ring into the analyzer and to remove it.
Priming cartridges are light blue cups used to prime the system, check the
system for vacuum leaks and check for trigger solution dispensing.
Vacuum cups are small grayish-blue cups which are inserted into the
priming cartridges. They are used to check the system for vacuum leaks
and to check for trigger solution dispensing. Each check requires a new
vacuum cup.
Target papers are small white cardboard pieces showing a target. They can
be used optionally to facilitate the check for trigger solution dispensing.
They are placed on top of the vacuum cups in the priming cartridges. Each
check requires a new target paper.
Cleaning pads are white circular foam sponges. They are used to clean the
4 o-ring in the analyzer. Each cleaning process requires a new cleaning pad.
The lifetime of the printer paper allows for storing printed results and results
of self tests for 5 years.
The USB flash drive can be used to save PDF files with test results. The
function needs to be enabled by the Siemens service.
4.3.10 Stylus
The stylus can be used to facilitate selecting software functions on the touch
screen.
This chapter describes the structure and the general operation of the
software.
5.1 Overview
2 2 5
7 5
1 Menu bar
2 Menu bar, scrolling arrows
3 Software functions
4 Status bar
5 Status bar, date and time
6 Status bar, status messages
7 Status bar, status symbol
Menu bar with scrolling arrows The software functions are grouped in 8 menus. The menu bar shows 3
menu names at a time. You can browse through all available menu names
using the blue scrolling arrows, see Table 5-4. To display a menu, tap its
name.
Software functions This area shows the software functions available in the menu. Operating the
software functions is described in the respective procedures.
Status bar, status symbol In the status bar, on the left, a green, yellow or red symbol indicates the
status of the system. The status symbols are explained in Table 5-1.
Symbol Explanation
System is running without any problems
Status bar, status messages In the middle, green, yellow and red status messages may be displayed.
Examples are shown in Table 5-2. The colors of the status messages
correspond to the colors of the status symbol, see Table 5-1. You can get
information on most status messages by tapping them. For detailed
information on errors, see Chapter 12.
Status bar, date and time On the right, the date and time are displayed.
During a test, information is displayed in the menu Run, see Figure 5-2.
5
7
4
3 5
2
8
1 Next possible user action (start, stop or clear test) or wait status (three dots)
2 Logged on user
3 Displayed cartridge position is shown in blue, inactive cartridge position in gray
4 Active sample type (patient or QC)
5 Sample ID (entered by the user or assigned by the software)
6 Patient information (optional)
7 Results as available in the course of the test, see Chapter 5.3
8 Individual phases of the test with their status, status symbols are explained in Table 5-1
Examples for the display of results in the menu Run are shown in Figure 5-3
and Figure 5-4.
1 2 3 4
6
5
1 Cartridge position
2 Detected cartridge type
3 Measured closure time
5 4 Reference range flag L (below reference range) or H (above reference
range)
5 Error code
6 Additional error information for some errors, see also Chapter 12.13.1
Figure 5-3 Example for the display of results for a single test
For a duplicate test without errors, mean and CV% are calculated and
displayed.
Figure 5-4 Example for the display of results for a duplicate test
5.4 Keyboards
To enter text, for example, sample IDs or patient information, the software
displays either a numeric or an alphanumeric keyboard.
1 2
7 6 5 4 3
The special keys on the numeric keyboard are explained Figure 5-6.
1 2
5
3
In the menu bar, scrolling arrows are used to file through the available
menus. The different scrolling arrows are explained in Table 5-4.
In lists, scrolling arrows are used to file through the available list items. The
scrolling arrows are explained in Table 5-5.
Line up
Line down
5
Page down
The software has 4 different access levels and corresponding user groups
that determine the available user rights, see Table 5-6.
Software updates are performed via a USB flash drive. Instructions on how
to perform an update are distributed with the corresponding USB flash
drive.
In the dialog Language, you can choose from the following languages:
• English
• French
• German
• Italian
• Spanish
5. Tap Group until the required user group is displayed. Tapping this
button changes between the available user groups. The user group
determines the available access rights, see Chapter 5.6.
7. Tap the keys required. If you do not want to set a password, skip this
step.
Edit existing user accounts To edit existing user accounts, proceed as follows:
6. Tap Group until the required user group is displayed. Tapping this
button changes between the available user groups. The user group
determines the available access rights, see Chapter 5.6.
8. Tap the keys required. If you do not want to set a password, skip this
step.
1. Tap the arrow buttons to select the user account. The user account
which is currently logged cannot be deleted.
2. Tap the required time format. p The active format is displayed in blue,
the inactive format in gray.
4. Tap the keys required. Even if the time format is set to 12-hour, you must
6
enter the hour in 24-hour format. This is how the software recognizes if
the hour is AM or PM.
9. Tap Save. p The time and the time format are set.
11. Tap the required date format. The abbreviations are explained in
Table 6-1. p The active format is displayed in blue, the inactive formats
in gray.
6 31
mm Month in 2 digits 02
12
yyyy Year in 4 digits 2010
12. Tap Save. p The date and the date format are set.
6.5 Setting reference ranges for QC samples and the QC time interval (administrators
only)
When the QC time interval has expired after the last QC sample has been
To set the reference ranges for QC samples and the QC time interval,
proceed as follows:
12. Tap the keys required to set the QC time interval in hours. If you do not
want to be reminded, tap 0 (zero).
In the dialog Sample ID entry method, you can choose between two ways
to ensure the assignment of sample IDs. When no sample ID has been
entered by the user and a test is started, the software can either:
• Request the user to enter a sample ID (Required)
• Assign a sample ID automatically (Automatic)
Automatically assigned sample IDs are created using the position of the
sample and the date and time when the measurement starts. The sample
ID format is:
6 Pyyyymmdd_hhm2m2ss
Abbreviation Meaning
P Position of the sample in the cassette
yyyy Year in 4 digits
mm Month in 2 digits
dd Day in 2 digits
hh Hours in 2 digits and in 24-hour format
m2m2 Minutes in 2 digits
ss Seconds in 2 digits
A20100217_230529
B20101103_074708
In the dialog Sounds/Audio, you can set a tone to sound when an error
occurs and when a key is tapped. The error tone will sound periodically until
any button is tapped.
3. Tap the keys required. To disable the error sound, tap 0 (zero).
5. To test the set volume, tap Test on the right. p The alarm tone sounds. 6
Set key sound To set the key sound:
7. Tap the keys required. To disable the key sound, tap 0 (zero).
8. To test the set volume, tap Test on the right. p The key tone sounds.
3. Tap the keys required. You can set numbers between 2 and 22.
Set if results of self tests are To set if the results of self tests are printed or not:
printed or not
5. Tap Self Test. p If printing is active, Self Test is displayed in blue,
otherwise in gray.
6. Tap Save. p The number of trailing lines and the setting for printing the
results of self tests are set.
If the system is connected to a LIS, you can set the LIS type in the dialog
LIS Setup. For details regarding the connection of the LIS, see the data
interface manual.
1. In the menu Configure, tap LIS Setup. p The dialog LIS Setup is
displayed.
3. Tap Save.
2. Tap Yes. p The green printer icon is displayed in the status bar. The
configuration settings are printed.
This chapter describes how to prepare the system before performing the
analysis. For collection and handling of the blood samples, see the
instructions for use.
1. Take the test cartridges out of the refrigerator to let them warm up to
room temperature. This will take at least 15min.
1. Set the power switch on the back of the analyzer to position I. p The
analyzer initializes and checks critical functions for correct operation.
The software starts and displays the menu Maintenance. In the status
bar, the yellow status message [IH] indicates that the incubation system
Note: When starting the analyzer from cold, it takes at least 15min to
reach the operating temperature.
7.3 Logging on
5. Tap the enter key. p The user is logged on. The user ID is displayed
above User ID.
You must now perform a self test and check for trigger solution dispensing.
7.4 Performing a self test and checking for trigger solution dispensing
7
You will need:
• 2 new grayish-blue vacuum cups
• 2 blue priming cartridges
• New cleaning pad (circular foam sponge)
• Bottle of isopropanol
• Tweezers
• Optional: new target paper
Perform self test 1. When starting the analyzer from cold: Wait until the yellow status
message [IH] in the status bar disappears. The analyzer has then
reached operating temperature.
6. Optional: Place a new target paper on top of the vacuum cup in position
B.
7. Tap Continue. p The self test starts. The current status is displayed.
10. With a gloved index finger, tap gently on the cleaning pad 2 to 3 times to
help distribute the isopropanol.
Check trigger solution 16. Remove the cassette carefully from the carousel.
dispensing
17. Visually check the trigger solution dispensing in position B, see
Table 7-1.
Check if the trigger solution is dispensed in the Check if the trigger solution is dispensed on the raised
target circle and touches the black dot in the center platform of the vacuum cup. The size and exact centering
of the target. The size and exact centering of the of the drop is not critical. If there is a drop visible on the
drop is not critical. platform, the trigger solution dispensing is adequate.
If the drop does not touch the center of the target, If there is no drop visible on the platform, contact the
contact the Siemens service. Siemens service.
19. Remove the vacuum cup and, if applicable, the target paper from both
priming cartridges with a gloved index finger.
20. Discard the vacuum cups and, if applicable, the target paper in a
suitable biohazard waste container.
Add trigger test to maintenance If the trigger solution has been dispensed correctly:
history
23. In the menu Help, tap History. p The maintenance history is displayed
on the left.
24. Tap Add Event. p The dialog Add Event - History is displayed.
27. Tap Yes. p The trigger test is added to the maintenance history.
If the self test is passed without any error, you can now perform tests.
If the self test fails with the error message VL200 (vacuum test fail):
7 • Clean the o-ring manually, see Chapter 11.4.2 to Chapter 11.4.4
• Repeat the self test, it is not sufficient to perform a leak test
Note: You can only run duplicate tests if you enter the sample IDs
manually.
Patient data If you want to enter patient data, proceed with the following steps.
8. If you want to enter the patient name, tap the keys required, otherwise
skip this step.
10. If you want to enter the patient name, tap the keys required, otherwise
skip this step.
To enter the sample information for a duplicate test or two different test
types with the same sample ID manually, proceed as follows:
Patient data for position A If you want to enter patient data, proceed with the following steps, otherwise
go to step 12.
8. If you want to enter the patient name, tap the keys required, otherwise
skip this step.
10. If you want to enter the patient location, tap the keys required, otherwise
skip this step.
Sample ID and patient data for 12. Tap B . p The dialog Position B is displayed.
position B
Note: If you do not enter a sample ID for position B, but load a cartridge
in position B, the software will assign the sample ID automatically and
run the test.
13. Tap Yes. p B is displayed in blue. The sample ID and the patient data
are set for position B.
To enter the sample information for two tests (same test type or different
ones) with two different sample IDs manually, proceed as follows:
Sample ID for position A 1. In the menu Run, tap Sample ID. p A keyboard is displayed.
Patient data for position A If you want to enter patient data for position A, proceed with the following
steps, otherwise go to step 12.
8. If you want to enter the patient name, tap the keys required, otherwise
skip this step.
10. If you want to enter the patient location, tap the keys required, otherwise
8
skip this step.
Sample ID and patient data for 12. Tap B. p The dialog Position B is displayed.
position B
Note: If you do not enter a sample ID for position B, but load a cartridge
in position B, the software will assign the sample ID automatically and
run the test.
15. If you want to enter patient data, repeat step 5 to step 11 for position B.
1. Peel off and discard the top foil seal of the test cartridge, see Figure 8-1.
Figure 8-1 Peeling off the top foil seal of a test cartridge
3. When running duplicates or two tests: Snap a second test cartridge into
position B (right position).
Note: When testing two different patient samples, note their respective
position in the cassette (A or B).
WARNING
5. Holding the cassette with the test cartridges on a flat surface, pipette
800µL of sample into the sample reservoir opening of the test
cartridges, see Figure 8-2. Dispense slowly along one of the inside
corners.
Note: To minimize the risk of trapping an air bubble, place the tip of the
pipette against one of the inside corners of the opening while slowly
pipetting in the sample.
6. Place the cassette with the test cartridges into the incubation wells of the
carousel so that the cassette is flush to the carousel surface. Do not
apply pressure to the sample reservoir openings. 8
8.1.3 Running tests
Start test 1. Tap Start . p Start changes to Stop. The tests start and can
take up to 9min for a single test or 14min for two tests. Status messages,
errors and results are displayed, see Chapter 5.2. When the test is
finished, Stop changes to … (3 dots). The results and errors associated
with the test are stored and printed. If a LIS is connected, the results and
errors are transmitted to the LIS. … (3 dots) change to Clear.
Clear test 2. Tap Clear . p Information related to the test is cleared from
the display. Clear changes to Start.
Clear test 3. Tap Clear. p Information related to the test is cleared from the display.
Clear changes to Start. If QC samples have been measured, the
sample type changes from QC to Patient and the button Cartridge Lot
changes to Patient.
WARNING
8 Infection by infectious samples
Death or serious illness may result
• Avoid contact with samples.
• Wear appropriate protective equipment.
• Handle the samples in accordance with good laboratory practices.
3. Hold the cassette in one hand and gently pull the bottom of the test
cartridge toward you until it unsnaps.
1. In the menu Run, tap Sample Type. p The sample type changes from
Patient to QC.The button Patient changes to Cartridge Lot.
6. Tap Cartridge Lot. p The dialog Cartridge Lot is displayed, listing the
cartridge lots which have already been entered for previous
measurements. If the QC time interval has expired for a specific test
type, the symbol is displayed.
Select cartridge lot for position A If the cartridge lot has already been entered for a previous measurement,
proceed with the next step, otherwise go to step 9.
Sample ID and cartridge lot for If you want to run a second QC sample, proceed with the next step,
position B otherwise go to step 14.
12. Tap B. p The sample type changes back from QC to Patient. The
button Cartridge Lot changes back to Patient.
Current test To display the dialog Results for the current test, proceed as follows:
Most recent tests To display the dialog Results for one of the most recent tests, proceed as
follows:
Older tests To display the dialog Results for older tests, you can search by date, parts
of test types and:
• For patient samples: by any part of sample ID, patient ID or patient name
• For QC samples: by any part of sample ID or lot number
To search by test type, sample ID, patient ID, patient name or lot number,
proceed with the next step. To search only by date, go to step 6.
4. For patient samples, tap the keys required for any part of a sample ID,
patient ID, patient name or test type except Col. For QC samples, tap
the keys required for any part of sample ID, lot number or test type
except Col. Capitalization is irrelevant. Examples are shown in
Table 8-1.
To search from a start date in the past, proceed with the next step. To search
from the current date, go to step 9.
7. Tap the keys required. The date format must correspond to the date
shown at the bottom right in the status bar, using dots instead of slashes.
Example:
8
Date shown in the status bar: 2010/05/02
Note: If an incorrect date has been entered, the software inserts the
current date.
11. Tap Select. p The detail dialog for the test is displayed.
1. Tap Print. p The result and errors associated with the test are
reprinted.
To save a PDF file of the results to a plugged in USB flash drive (if enabled
by the Siemens service):
1. Tap Create PDF. p The PDF file is saved to a plugged in USB flash
drive.
Note: Always follow your laboratory’s procedures for the proper storage
and retention of printed and electronic test results and patient data.
The PDF file names are created using the sample ID, and the date and time
when the PDF file is created. The format of the file names is:
S_yyyymmddhhm2m2ss
Abbreviation Meaning
S Sample ID
yyyy Year in 4 digits
mm Month in 2 digits
dd Day in 2 digits
8 hh
m2m2
Hours in 2 digits and in 24-hour format
Minutes in 2 digits
ss Seconds in 2 digits
A20100217_230529_20100217231529
23.abc_20101103074708
Print test list You can print a list of tests which were found using the search function. To
do this:
1. Generate the test list using the search function, see Older tests on
page 8-8, step 1 to step 9.
2. In the dialog Search: Patient or Search: QC, tap Print. p The green
printer icon is displayed in the status bar. The test list is printed.
In the menu QC, you can display QC charts. You can search for QC charts
by test type and by date.
A QC chart shows:
In the diagram:
• All QC results with a non-zero closure time
• The set reference range for QC samples in green
QC chart last shown To display the QC chart last shown, proceed as follows:
1. Display the menu QC. p The QC chart last shown is displayed. On the
right, above Cartridge Lot, the test type and the lot number are
displayed.
QC chart for most recently To display a QC chart for the most recently measured QC samples, proceed
measured QC samples as follows:
1. In the menu QC, tap Cartridge Lot. p The dialog Cartridge Lot is
displayed, showing at the top the cartridge lots for which the last QC
8
samples have been measured.
QC chart for previously measured To display a QC chart for previously measured QC samples, you can search
QC samples by test type and date. To do this, proceed as follows:
1. In the menu QC, tap Search. p The dialog Search - Cartridge Lot is
displayed.
2. Tap Match until the required test type is displayed. Tapping this button
changes between the available test types and an empty button. If the
button is empty, all test types are searched for.
To search from a start date in the past, proceed with the next step. To search
from the current date, go to step 6.
4. Tap the keys required. The date format must correspond to the date
shown at the bottom right in the status bar, using dots instead of slashes.
Example:
Note: If an incorrect date has been entered, the software inserts the
current date.
Zoom in on QC chart To evaluate the data in the QC chart, you can zoom in on the y-axis which
displays the closure time.
8 step.
3. To revert to the original size, tap the QC chart a third time. p The y-axis
reverts to the original size.
This chapter describes how to shut down the analyzer after performing the
analysis.
1. In the menu Run or Configure, tap User ID. p The dialog User ID is
displayed.
Shut down software 1. In the menu Shutdown, tap Shutdown. p The dialog System
Shutdown is displayed. 9
2. Tap Yes. p The dialog System Shutdown is displayed, asking if you
want to lock the carousel.
Switch off analyzer 4. Set the power switch on the back of the analyzer to position O.
NOTICE
NOTICE
WARNING
To clean the touch screen, lightly wipe it using a soft cloth moistened with
isopropanol or ethanol. Dry remaining liquid with a soft cloth, preferably a
microfiber cloth.
To clean all other surfaces, wipe them using a cloth moistened with a
commercial disinfectant, for example, Mikrozid. To remove blood stains, use
a cloth moistened with water. Keep the black pads for cartridge type
recognition clean. They are located on the surface of the carousel
underneath the cassette.
The analyzer and used parts (for example, the cassette) must be disinfected
daily at the end of the shift.
WARNING
Remove samples 1. As debris buildup typically occurs on the areas around the test
cartridges, remove the samples, see Chapter 8.1.5.
Disconnect analyzer 2. Set the power switch on the back of the analyzer to position O.
Disinfect touch screen 4. Apply a special screen disinfectant, for example, Kleinmann Data Flash
1722 to the touch screen and allow the disinfectant to sit for 1min.
10 5. Dry remaining liquid with a soft cloth, preferably a microfiber cloth.
Disinfect all other surfaces 6. Apply a commercial disinfectant solution, for example Mikrozid, on
areas where there is visible contamination with blood, blood products or
other body fluids.
8. Apply disinfectant solution on the area again and allow it to sit for 20min.
9. Apply disinfectant solution to all external surfaces and allow it to sit for
20min, then rinse with distilled or deionized water.
10. Discard the used paper towels or other wiping material in a suitable
biohazard waste container.
11 Performing maintenance
When certain actions are due, the software displays a maintenance icon in
the status bar. The maintenance icons are explained in Table 11-2.
1. Pull the lever above the access door of the trigger solution compartment
all the way up. p The access door opens.
2. Remove the trigger solution bottle. It is normal for some residual solution
to remain in the bottle.
3. Verify that the trigger solution in the new bottle is not turbid and no
particulate matter is present.
NOTICE
Damage to the piercing needle when access door is not fully closed
11 The piercing needle for the trigger bottle may become distorted or break
• Close the access door fully before pushing the lever down.
10. Tap Yes. p The trigger solution level is set to 100.0%. The level is
displayed above Trigger Solution.
Priming clears the system of any bubbles trapped when changing the
trigger solution bottle or caused by the outgassing of the trigger solution.
6. Tap Continue.
Remove trigger solution bottle 1. Pull the lever above the access door of the trigger solution compartment
all the way up. p The access door opens.
Purge system 4. In the menu Maintenance, tap Trigger Solution. p The dialog Trigger
Solution is displayed.
9. Tap Continue.
11.4 O-ring
5. With a gloved index finger, tap gently on the cleaning pad 2 to 3 times to
help distribute the isopropanol.
7. Using tweezers, remove the cleaning pad from the carousel well.
If the cleaning pad is dirty, you must now clean the o-ring manually and, if
required, change it, see Chapter 11.4.2 to Chapter 11.4.4.
3. Place the o-ring service tool into the incubation wells of the carousel so
that the cassette is flush with the carousel surface.
6. Tap Continue.
7. Invert the o-ring service tool and tap it against the palm of your gloved
hand to remove the o-ring.
You must now clean the o-ring manually and inspect it, see Chapter 11.4.3. 11
WARNING
2. Visually inspect the o-ring for debris or unusual wear and tear such as
cracks.
4. If the o-ring is intact: Shake excess distilled or deionized water off and
dry the o-ring with a lint-free cloth.
You must now install a clean or new o-ring, see Chapter 11.4.4.
11
11.4.4 Installing the o-ring
6. Place the o-ring service tool into the incubation wells of the carousel so
that the cassette is flush with the carousel surface.
8. Tap Continue.
To verify that the system has no vacuum leak, you must now perform a leak
test, see Chapter 11.5.
5. Tap Continue. p The system is tested for vacuum leaks. The current
status is displayed. When the test is finished, a corresponding message
is displayed.
6. Tap Continue.
9. Remove the vacuum cup from the priming cartridge with a gloved index
finger.
11.6 Printer
Load printer paper 1. Open the printer door at the top of the analyzer.
11
2. Remove the empty paper roll.
3. Load the paper roll between the mounting tabs in the door with the loose
paper end on the bottom.
11
6. Thread in the paper end below the black roll and pull the paper through
the top.
11
Figure 11-5 Threading the paper into the printer
8. Thread the paper end through the slot in the printer door.
11
Most recent maintenance events To display the most recent maintenance events, proceed as follows:
3. Tap Select. p The detail dialog for the maintenance event is displayed,
showing the maintenance event code at the top right, a detailed
description in the middle and the user ID at the bottom.
Older maintenance events To display older maintenance events, you can search by date and by any
part of a maintenance event code. To do this:
To search by any part of a maintenance event code, proceed with the next
step. To search only by date, go to step 6.
11 4. Tap the keys required for any part of a maintenance event code.
Capitalization is irrelevant. Examples are shown in Table 11-3.
To search from a start date in the past, proceed with the next step. To search
from the current date, go to step 9.
7. Tap the keys required. The date format must correspond to the date
shown at the bottom right in the status bar, using dots instead of slashes.
Example:
Note: If an incorrect date has been entered, the software inserts the
current date.
11. Tap Select. p The detail dialog for the maintenance event is displayed,
showing the maintenance event code at the top right, a detailed
description in the middle and the user ID at the bottom.
You can print a list of maintenance events which were found using the
search function. To do this, proceed as follows:
1. Generate the maintenance event list using the search function, see
Older maintenance events on page 11-12, step 1 to step 9.
2. In the dialog Search: History, tap Print. p The green printer icon is
displayed in the status bar. The maintenance events are printed.
11
11.9 Manually adding maintenance events
You must manually enter certain maintenance actions which the software
cannot detect. To do this, proceed as follows:
12 Troubleshooting
Errors are displayed in the middle of the status bar as red symbols showing
the error code.
Current errors To display and get help on a current error, proceed as follows:
2. Tap the corresponding red status message in the status bar. p The
detail dialog for the error is displayed, showing the error code at the top
right, a detailed description in the middle and the user ID at the bottom.
3. Tap Help. p Instead of the error, help instructions to remedy the error
are displayed.
Most recent errors To display the most recent errors and get help on them, proceed as follows:
1. In the menu Help, tap Errors. p The error list is displayed on the left.
3. Tap Select. p The detail dialog for the error is displayed, showing the
error code at the top right, a detailed description in the middle and the
user ID at the bottom.
4. Tap Help. p Instead of the error, help instructions to remedy the error
are displayed.
Older errors To display older errors, you can search by date and by any part of an error
12
code. To do this, proceed as follows:
1. In the menu Help, tap Errors. p The error list is displayed on the left.
To search by any part of an error code, proceed with the next step. To
search only by date, go to step 6.
4. Tap the keys required for any part of an error code. Capitalization is
irrelevant. Examples are shown in Table 12-1.
To search from a start date in the past, proceed with the next step. To search
from the current date, go to step 9.
7. Tap the keys required. The date format must correspond to the date
shown at the bottom right in the status bar, using dots instead of slashes.
Example:
Note: If an incorrect date has been entered, the software inserts the
current date.
12 11. Tap Select. p The detail dialog for the error is displayed, showing the
error code at the top right, a detailed description in the middle and the
user ID at the bottom.
12. Tap Help. p Instead of the error, help instructions to remedy the error
are displayed.
You can print a list of errors which were found using the search function. To
do this, proceed as follows:
1. Generate the error list using the search function, see Older errors on
page 12-1, step 1 to step 9.
2. In the dialog Search: Errors, tap Print. p The green printer icon is
displayed in the status bar. The errors are printed.
12
12.5 Trigger system
5. Optional: Place a new target paper on top of the vacuum cup in each
position A and B.
7. Tap Continue.
9. Check the trigger solution dispensing in position A and B, see Table 7-1.
11. Remove the vacuum cup and, if applicable, the target paper from both
priming cartridges with a gloved index finger.
Remove trigger solution bottle 1. Pull the lever above the access door of the trigger solution compartment
all the way up. p The access door opens.
Exercise trigger solution pump 3. In the menu Maintenance, tap Trigger Solution. p The dialog Trigger
Solution is displayed.
7. Tap Start. p The trigger solution pump performs 300 pump cycles. The
current cycle is displayed in status bar.
You can stop the test at any time. To do this, tap Stop.
You can stop the exercise at any time. To do this, tap Stop.
3. Tap Start. p The vacuum chuck is moved 10 times up and down. The
current cycle is displayed in the status bar.
You can stop the exercise at any time. To do this, tap Stop.
12.7 Carousel
3. Tap Start. p The carousel rotates 10 times to the test position and back
12 to the load position. The current cycle is displayed in the status bar.
You can stop the exercise at any time. To do this, tap Stop.
4. Tap Continue.
4. Tap Continue.
2. Tap LCD Test. p The test starts, showing the whole screen in different
colors.
3. Check if the screen shows only one color at a time. p When the test is
finished, the screen reverts to the last display.
2. Tap Printer Test. p The green printer icon is displayed in the status
bar. A test printout is printed.
To view the last type code reading and to read the type code of cartridges
positioned in the system, proceed as follows:
1. In the menu Maintenance, tap Type Code Sensor. p The dialog Type
Code Sensor is displayed, showing the last type code reading.
2. To read the type code only for one position, tap A or B. p Positions
which are read are displayed in blue, positions which are not read in
gray.
3. Tap Scan. p The type codes are read 10 times and the display is
updated correspondingly.
You can stop reading the type codes at any time. To do this, tap Scan.
Disconnect analyzer 1. Set the power switch on the back of the analyzer to position O.
12 2. Unplug the power cord from the back of the analyzer.
WARNING
Install fuses 3. Using 2 small screw drivers, pry open the fuse compartment on the back
of the analyzer, see Figure 12-1.
NOTICE
8. Put the fuse holder back into the fuse compartment. Push in all the way.
The following section lists the most common errors, the circumstances in
which they occur and how to proceed afterwards.
Explanation The system has detected an initial air leak in the vacuum system. This
condition is detected only at the beginning of a test.
Solutions and comments • Verify that the sample was added to the test cartridge.
• Perform a self test without the cleaning pad to test the vacuum system
and the trigger system, see Chapter 7.4.
12
Explanation The system has detected a sudden stoppage of blood flow at the start of a
test. See the instructions for use, section Limitations of Procedure, for
further information.
Causes The system failed to establish the initial blood flow rate specifications after
the first 30s of testing and aborts the run. This condition may be caused by:
• Microthrombin in the sample, or particulates introduced into the sample
or test cartridge from the environment
• Defective test cartridge
Solutions and comments • Verify that the sample does not contain clots or aggregates. If no
aggregates are visible, repeat once to rule out a defective cartridge.
• A sample that results in repeated flow obstruction may have resulted
from problems during blood collection. Recollect the blood sample and
repeat the test.
• If the problems persist, contact the Siemens service.
Test result The result is reported at the time the flow obstruction occurs, for example,
>93 s No Closure Flow Obstruction
Explanation The system has detected a sudden stoppage of blood flow during a test run.
See the instructions for use, section Limitations of Procedure, for further
information.
Causes The system detected a flow obstruction after the initial blood flow rate
specifications have been established. This condition may be caused by: 12
• Capillary or the test cartridge membrane aperture is suddenly plugged
by micro aggregates that may form during the test or by particulates
introduced into the sample or test cartridge from the environment
• Defective test cartridge
Solutions and comments • Verify that the sample does not contain clots or aggregates. If no
aggregates are visible, repeat once to rule out a defective cartridge.
• A sample that results in repeated flow obstruction may have resulted
from problems during blood collection. Recollect the blood sample and
repeat the test.
• If the problems persist, contact the Siemens service.
Test result The result is reported at the time the error occurs, for example,
>287 s No Closure Sample Depleted
Explanation The system has detected air being drawn subsequent to the first 30s of
testing. This condition is detected whenever the test runs out of sample and
closure of the aperture has not occurred.
Solutions and comments • Verify that 800µL was added to the cartridge. Rerun the sample using
900µL.
• Verify that the sample hematocrit is within normal range. See the
instructions for use, section Limitations of Procedure, for further
information. An abnormal hematocrit may impair platelet function and
result in prolongation of the closure time. Platelet dysfunction in
combination with a low hematocrit will often induce this type of error.
Samples from patients treated with platelet antagonist drugs may exhibit
characteristics that cause this type of error. Adding additional specimen
(up to 900µL) could eliminate the insufficient sample message, but a
combination of low hematocrit and platelet dysfunction will most likely
result in a closure time >300s.
• The test cartridge cup serves as the receptacle where blood is collected
after it passes through the membrane aperture. During a test, the
vacuum chuck interfaces with the cup and comes in close proximity to
blood. Air that is drawn into the cup whenever an insufficient sample
occurs can cause blood to foam and contaminate either the vacuum
chuck or o-ring. To avoid potential contamination, it is recommended to
clean the o-ring in the analyzer, see Chapter 11.4.1.
Result interpretation A sample depleted message that occurs at a time that is greater than the
upper limit of the reference range may indicate abnormal platelet function
12 due to the reasons stated above. In such cases this result may be reported
as the time in which the test ended, >xxxs, with a statement qualifying the
properties of the sample (that is, abnormal hematocrit and/or low platelet
count) and suspicion of platelet dysfunction.
Test result The result is reported at the time the error occurs, for example,
>287 s No Closure Maximum Syringe Travel
Explanation The system has stopped the current test because the syringe has reached
the end of its travel prior to maximum test time.
Causes • Syringe piston moved too far too quickly as a result of low sample
viscosity
• Sufficient sample in the test cartridge, but closure did not occur due to
platelet dysfunction and/or low viscosity (low hematocrit, high
sedimentation rate)
• Defective test cartridge caused a small vacuum leak
• Dirt or debris on the vacuum seal between the system and the test
cartridge caused a small vacuum leak
• System malfunction caused a small vacuum leak
Solutions and Comments • To rule out vacuum leaks, perform a leak test, see Chapter 11.5.
• If the leak test fails, cleaning or replacing the o-ring may correct the
vacuum leak. Remove the o-ring, clean it manually and inspect it,
reinstall the clean o-ring or replace it, see Chapter 11.4.2 to
Chapter 11.4.4. Rerun the leak test, see Chapter 11.5.
• If the leak test is passed, the system is in control. Verify the sample
hematocrit before performing a second test. If the hematocrit is
abnormal, the sample may have low viscosity which may induce platelet
dysfunction. See the instructions for use, section Limitations of
Procedure, for further information. An abnormal hematocrit may impair
platelet function and result in prolongation of the closure time. Platelet
dysfunction in combination with low hematocrit will often induce this type
of error. Samples from patients treated with platelet GPIIb/IIIa
antagonist drugs may exhibit characteristics that may induce this type of
error. Adding additional specimen (up to 900µL) could eliminate
maximum syringe travel, but will most likely result in a closure time
>300s. If the repeat result confirms the abnormality, platelet dysfunction
may be suspected possibly due to abnormal hemodynamic properties of
the sample and/or anti-platelet agents.
12
• If the problem persists, contact the Siemens service.
Result interpretation A maximum syringe travel message that occurs at a time that is greater than
the upper limit of the reference range may indicate abnormal platelet
function. The result may be reported as >xxxs only if the time lies above
the reference range. The report should include a statement qualifying the
abnormal qualities of the sample and suspicion of platelet dysfunction.
Explanation The sample did not achieve closure of the aperture within the maximum
time for a test (>300s, not including the incubation period).
Solutions and comments If an NC is obtained with a normal donor QC sample or the result does not
agree with the patient’s clinical history, a possible vacuum leak may be
suspected.
• To rule out vacuum leaks, perform a leak test, see Chapter 11.5.
• If the leak test fails, cleaning or replacing the o-ring may correct the
vacuum leak. Remove the o-ring, clean it manually and inspect it,
reinstall the clean o-ring or replace it, see Chapter 11.4.2 to
Chapter 11.4.4. Rerun the leak test.
• If the leak test is passed, a defective test cartridge may have caused the
vacuum leak. Rerun the sample with new cartridge to verify the result. If
the second test confirms the error, then most likely this is an abnormal
sample.
• If the problem persists, contact the Siemens service.
12
12
13 Appendix
This chapter describes the principle of operation of the system, lists the
evaluation formulae used, and the technical specifications.
Principle of platelet function The INNOVANCE PFA-200 system is an analyzer and test cartridge system
analysis in which the process of platelet adhesion and aggregation following a
vascular injury is simulated in vitro. Platelet dysfunction detected by the
system may be acquired, inherited, or induced by platelet inhibiting agents.
System functional operation The system allows for rapid evaluation of platelet function on small samples
of anti-coagulated whole blood based on work by Kratzer and Born1. The
single use test cartridge consists of a number of integrated parts including
a capillary, a sample reservoir and a biochemically active membrane with a
central aperture, see Figure 13-1. Anti-coagulated whole blood is aspirated
from the sample reservoir through the capillary and the aperture, so that
platelets are exposed to high shear flow conditions.
13
1
Kratzer, MAA: Born, GVR: Simulation of Primary Hemostasis in Vitro. Haemostasis
(1985) 5, 357-362.
2
Born, GVR: Aggregation of blood platelets by adenosine diphosphate and its
reversal. Nature 194:927, 1962.
4
7
6
5
1 Trigger solution
2 Pressure transducer
3 Microprocessor
4 Syringe
5 Test cartridge, capillary
6 Test cartridge, sample reservoir
7 Test cartridge, membrane
13
13.2.1 Mean and coefficient of variation (CV%) for the display of duplicate test results
For the display of duplicate test results, the mean and CV% are calculated
as follows:
CT ( A ) + CT ( B )
Mean = -----------------------------------------
2
CT ( A ) – CT ( B )
CV% = ----------------------------------------- ⋅ 100%
CT ( A ) + CT ( B )
with:
For the display in QC charts, the mean, CV% and the standard deviation are
calculated for each cartridge lot as follows:
∑ CT ( i )
i=1
Mean = CT = -----------------------
n
n
1
∑ [ CT ( i ) – CT ]
2
Standard deviation = s = ------------ ⋅
n–1
i=1
s
CV% = -------- ⋅ 100%
CT
with:
Physical
Electrical
Environmental
General
Installation category ΙΙ
Incubation well temperature 37.9°C ± 1°C
Incubation well warm-up time Maximum 15min
(room to operating temperature)
Incubation time 3.0min
13 Cassette capacity 2 test cartridges
Maximum sample volume 1000µL
Vacuum set point 40mBar
Sound pressure level 1 47dB(A)
1
During sound pressure level measurement, the system was operated as in normal
use with all accessories connected. The sound pressure level was measured from
a distance of 1m from the surface of the system and a height of 1.6m from the floor
or access platform. The measurement was performed using an A-weighted sound
pressure level meter. The ambient noise was measured as 42dB(A).
Printer
Software
13
13
B D
black pads for cartridge type recognition 4-2 date and time, display 5-1
C delivery 3-1
error 12-1 G
maintenance history 11-12
QC chart 8-11 gloves 2-3
results 5-4
disposal H
system 3-4
test cartridges, consumables, liquid waste 2-3 H flag 6-4, 6-5
E
I
electrical safety 2-2
M O
prime 11-3
platelet dysfunction
Q
excess of maximum time 12-14
insufficient sample 12-12
QC chart
maximum syringe travel 12-13
display 8-11
principle of analysis 13-1
zoom in 8-12
ports 4-4
QC interval 6-4
ethernet 4-4
QC samples 2-4
RS-232 4-4
measure 8-7
USB 4-1, 4-4
set reference range 6-4
power
quality control (QC) 2-4
outlet 3-2
socket 4-4
switch 4-4
R
precision and accuracy of test results 2-3
radio interference 2-2
prepare test cartridges 7-1
test 5-3
cancel 8-6
vacuum chuck
exercise 12-6
reset 12-5
vibrations 3-2
volume
error 6-7
key 6-7
warranty 1-2
workspace 13-4
If you obtain an addendum to the instruction manual, file it after this page.