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NOTE
Declaration:
All contents in this manual were strictly compiled according to related laws and
regulations in China, as well as the specific condition of URIT-2900Vet Plus
Automated Hematology Analyzer, covering all the updated information before
printing. URIT Medical Electronic Co., Ltd. is fully responsible for the revision
and explanation of the manual, and reserves the right to renovate the relevant
contents without separate notification. Some of the demonstration pictures are
for reference and subject to real object if any differences.
URIT warrants the URIT-2900Vet Plus sold by the URIT and its authorized
agents to be free from defects in workmanship and materials during normal
use by the original purchaser. This warranty shall continue for a period of one
year since the date of installation. The instrument life is 10 years.
V
Copyright and Declaration
URIT assumes no liability in the following situations even during the period
warranty:
a) Failure due to abuse the instrument or neglect the maintenance.
b) Use reagents and accessories other than manufactured or
recommended by URIT.
c) Failure due to operation not under the instructions described in the
manual.
d) Replace accessories not specified by URIT, or after maintenance or
repair by a service agent not approved or authorized by URIT.
CAUTION:
THE ANALYZER IS FOR PROFESSIONAL AND PRESCRIPTION USE
ONLY.
Version : 12/2011-1-C1
VI
Guidance
VII
Chapter 1 System Description
1.1 Overview
1.1.1 Function
Figure1-1
1
System Description
1. Status Indicators
Run Indicator (orange): Donates that analyzer is running a sample.
Standby Indicator (green): Donates that analyzer is ready to run a sample.
2. Aspiration Probe
Aspirate samples.
3. RUN Key
Press the RUN key to startup the aspiration probe and then analyze
specimen only when the screens of main menu and Quality Control are
displayed. At other screens, the RUN key is invalid.
4. Recorder
Print the test result.
5. Work Mode Indicators
Light indicator indicates analyzer is in Whole Blood Mode, and dark indicator
is for Pre-diluent Mode.
6. Display:
10.4-inch LCD. The screen is divided into 5 areas as showing in Figure 1-2:
Test Result
Menu
Figure 1-2
Alarm Information
Display the alarm information.
Mode
Display the work Mode: Whole Blood Mode or Pre-diluent Mode.
System Time
Display the system date and time.
Test Result
Display the test result.
Menu
2
System Description
First category menu is displayed across the bottom of the Main Menu Screen
as Figure 1-3:
Figure 1-3
Func: Direct to second category menus.
Info: Direct to next specimen’s information-input window.
Rev: Direct to query stored specimens data.
Histo: Direct to histogram-modification window of the current specimen.
Drain: Dispel the Diluent from the aspiration probe, mainly used for the
pre-dilution of capillary blood.
Trans: Transmit specimen data to the network.
Print: Print the specimen data.
Mute: Mute the alert sound.
Animal: Select the animal type of blood sample.
Exit: Click “Exit”, “Thank you, now turn off power” will appear to instruct
the operator to turn off the power switch on the rear panel.
3
System Description
Figure 1-4
Back: Return to the first category menus.
Maint: Direct to maintain screen to perform operations of flush, prime,
cautery, etc.
Limit: Direct to limit-setting screen to modify the limits of parameters.
Stast: Calculate the workload during a certain time.
QC: Direct to quality-control window to process QC.
Cal: Direct to calibration window to calibrate the analyzer.
Setup: Direct to setup window to reset parameters
Sev: Direct to service window to process self-check and maintenance.
Help: Direct to system help window.
7. Shortcut Key
Figure1-5
Print: Print the test result.
Flush: Flush the WBC and RBC apertures to remove clog.
Mode: Switch between Whole Blood Mode and Pre-diluent Mode.
Prime: Start the prime cycle to rinse the flow system.
Drain: Dispel the Diluent from the aspiration probe, mainly used for the
pre-dilution of capillary blood.
4
System Description
Figure 1-6
5
System Description
11. WASTE
Waste port connects to the waste outlet tube.
12. LYSE
Lyse port connects to the Lyse inlet tube.
13. DILUENT
Diluent port connects to the Diluent inlet tube.
1.2 Parameters
The analyzer automatically anaLyses the sample data, differentiates the white
blood cells into three subpopulations and displays 21 parameters and 3
histograms of WBC, RBC and PLT. Refer to Table 1-1 for details of 21
parameters.
Table 1-1 21 Parameters
Abbreviation Full Name Normal range Unit
WBC White Blood Cell Count 4.0-10.0 109cells/L
LYM% Lymphocyte Percent 20.0-40.0 %
MID% Monocyte Percent 1.0-15.0 %
GRAN% Granulocyte Percent 50.0-70.0 %
LYM# Lymphocyte Count 0.6-4.1 109cells/L
MID# Monocyte Count 0.1-1.8 109cells/L
GRAN# Granulocyte Count 2.0-7.8 109cells/L
RBC Red Blood Cell Count 3.50-5.50 1012cells/L
HGB Hemoglobin Concentration 110-150 g/L(or g/dL)
Hematocrit (relative volume of
HCT 36.0-48.0 %
erythrocytes)
MCV Mean Corpuscular Volume 80.0-99.0 fL
MCH Mean Corpuscular Hemoglobin 26.0-32.0 pg
Mean Corpuscular Hemoglobin
MCHC 320-360 g/L(or g/dL)
Concentration
Red Blood Cell Distribution Width
RDW_CV 11.5-14.5 %
repeat precision
Red Blood Cell Distribution Width
RDW_SD 39.0-46.0 fL
STDEV
PLT Platelet Count 100-300 109cells/L
MPV Mean Platelet Volume 7.4-10.4 fL
PDW Platelet Distribution Width 10.0-14.0 fL
PCT Plateletcrit 0.10-0.28 %
P_LCR Large Platelet Ratio 10-38 %
P_LCC Large Platelet 10-114 109cells/L
6
System Description
1.3 Structure
The flow system is composed of solenoid valves, vacuum pump, plastic tube,
vacuum chamber, dilutor, sample cup and sampler.
Solenoid Valve---These contact two-way or three-way solenoid valves control
the flow of reagent.
Vacuum Pump---Pump the waste generated in the processing out to the
analyzer, and produce negative pressure.
Plastic Tube---Reagent and waste flow in the plastic tube.
Vacuum Chamber---Generate negative pressure and play the role of
temporary waste reservoir. It can also generate positive pressure when
flushing.
Dilutor---provide the required dilution and power sources for count, cleaning
and prime.
Sample Cup---The sensor part of the count; it is the most front-end detection
component of data collection.
Sampler---Control the sample probe to complete sampling, dilution and
cleaning.
FPGA driver board is the control and conversion center of the analyzer; It will
convert the information from the ARM board into the driver order of the bottom
circuit, and send all the physical information collected by circuit to the ARM
board. It controls the following components and their movement:
All the valves open and close, reagent aspiration, rinse and waste
discharge.
Run rolling pump and vacuum pump to offer power to mix reagent,
7
System Description
Figure1-7
8
System Description
It mainly provides DC12V, DC5V voltage to the ARM board, FPGA driver board,
and operating voltage to motor, pump, valve, and recorder.
To provide the analog voltage and DC high voltage to front-end signal panel.
Transform the signals from FPGA board, then drive the valve, motor and pump
to work.
1.3.3 Display
9
System Description
1.4 Accessories
The accessories of the analyzer include power cord, grounding cord, printer
(optional) etc., and printer should be supplied or authorized by manufacturer.
Diluent: 31mL
Detergent: 8mL
Lyse: 0.7mL
NOTE: Reagent consumption is various according to the software version.
1.8 Storage
Analyzer contains a memorizer which can store more than 100,000 samples
data.
1.9 Background
WBC≤0.2×109/L;RBC≤0.02×1012/L;HGB≤1g/L;PLT≤10×109/L.
1.10 Carryover
WBC≤0.5%;RBC≤0.5%;HGB≤0.5%;HCT≤0.5%;PLT≤0.5%.
1.11 Accuracy
10
System Description
1.12 Precision
1.13 Linearity
1) Temperature: -10℃~55℃
2) Relative Humidity: ≤95%RH
3) Barometric: 50kPa~106kPa
1) Temperature: 15℃~35℃
2) Relative Humidity: ≤90%RH
3) Barometric: 60kPa~106kPa
11
System Description
1.17 Reagent
The reagent inlet tubes have a cap attached that minimizes evaporation and
contamination during use. However, reagent quality may deteriorate with time.
Therefore, use all reagents within the dating period.
1.17.1 Diluent
1.17.2 Lyse
Lyse is a new reagent without NaN3 complex and cyanide and meets the
requirements as follows:
1) Dissolve RBC instantly with minimum ground substance complex.
2) Transform membrane of WBC to diffuse cytoplasm.WBC shrinks making
membrane-bound nucleus. As a result, WBC is present in granular shape.
3) Transform the hemoglobin to the hemo-compound which is suiTable for the
measurement in the condition of 540nm wavelength.
4) Avoid scyanide’s serious pollution to human body and environment.
12
System Description
1.17.3 Detergent
13
Chapter 2 Principles of Operation
The principles of electrical impedance method WBC count are based on the
non-conductive nature of the blood cells. When the blood cell particles in the
Diluent through the ruby aperture that the resistance will change, so that the
WBC count and volume can be got.
Analyzer blood cell analyzer uses a single channel to count, that WBC and
RBC count are completed respectively in the same sample cup. Quantitative
samples are diluted by quantitative dilution, Keep part of the blood diluted in
the sample probe. After the blood diluted in the sample cup is damaged by
Lyse, analyzer will run WBC counting.
Figure 2-1
14
Principles of Operation
The outer and inner electrode of the constant current source are located in the
front and back chamber respectively. There is a ruby aperture with 80 μm
diameter between these two chambers. The back chamber is full of some
electric liquid, and the front chamber is full of some dilution.
When a particle passes the ruby aperture, there will be a transitory electrical
pulse between the inner and outer electrodes, since the cell conductivity is
lower than that of dilution. The number of pulses generated is indicative of the
number of particles that traversed the aperture. The amplitude of each pulse is
essentially proportional to the volume of the particle that produced it. A volume
of cells will pass the ruby aperture under the negative pressure to generate a
series of pulse signals. we can obtain a certain volume of total cells number by
pulse amplification, identification, deformation, valve adjustment and A/D
conversion.
There is a histogram which can display the average volume of specific cells
population, cells distribution and abnormal cells.
Add a certain amount of dilution and Lyse into the WBC sample cup. This Lyse
can make the RBC dissolved and WBC dehydrate to be "film covers core." So
that the processed WBC volume is between 35 fL and 45 fL. In the
measurement of WBC, analyzer divide distribution range of WBC volume
(35~450 fL) into 256 channels. Each channel is 1.64 fL. Pulse of each WBC is
saved in corresponding channel according to its volume and then being
processed by a computer to compose a smooth curve so as to get a WBC
volume distribution histogram (Figure 2-2). The ordinate indicates the relative
quantity of WBC (rel.no) and the abscissa indicates the volume of WBC (fL).
Figure 2-2
The size channels are basically divided into three categories by a pre-set
classification program in the analyzer as follows:
15
Principles of Operation
WBC 35—450 fL
RBC 30—110 fL
PLT 2—30 fL
According to the volume, WBCs handled by Lyse can be subdivided into three
Categories: Lymphocyte (LYM), Monocyte (MID) and Granulocyte (GRAN).
LYM 35—98 fL
MID 99—135 fL
GRAN 136—450 fL
RBC test principle is similar to WBC test principle. In the sample cup which is
the same as that of WBC, with the effect of negative pressure, a certain
amount of cells go through ruby aperture (80μm) and produce corresponding
pulse in size. Analyzer can work out total number and average volume of RBC
according to the size and height of pulse. Meanwhile, it can also get a RBC
volume distribution histogram (Figure2-3) according to single measured RBC
volume and the percentage of cells which have the same volume.
Figure 2-3
HCT can be worked out by dividing the product of MCV and RBC by 10.
According to relative algorithm, the instrument can get MCH, MCHC though
RBC, MCV and HGB. Red Cell Distribution Width (RDW) can be Figured out by
detecting RBC number and the difference of RBC size so as to reflect the
heterogeneity of RBC volume. RDW can reflect the degree of RBC size
difference and has clinical significance of anemia diagnosis.
16
Principles of Operation
Platelet (PLT) and RBC are being tested in the same sample cup. The
instrument will count platelet and RBC respectively according to different
threshold (Figure 2-4). Data of platelet are being saved in 64 channels in 2~30
fL interval.
Platelet RBC
Threshold Threshold
Line Line
Platelet RBC
Figure 2-4
PDW can be worked out by computer though histogram. MPV is the arithmetic
mean volume of platelets which are shown by the curve in histogram. MPV of
normal people has a nonlinear negative correlation with platelet number. PCT
is got from MPV and PLT.
17
Principles of Operation
In Analyzer, counting system has a high sensitivity of the cell volume. Cells
which are suspended in conducting liquid should avoid physical condense and
adhesion. Control the osmotic pressure of conducting liquid (mainly Diluent)
and keep the structure of cells so as to minimize the volume change. Lyse can
dissolve the RBC membrane fleetly and keep the structure of WBC so that the
instrument can count and classify cells.
18
Principles of Operation
P-LCR
LD ( 12fL ) UD
Figure 2-6
P_LCR indicates the ratio of large platelet (≥12 fL). It is derived from
PLT histogram. See Figure 2-6. LD,UD is the differentiating line of 2~6
fL and 12~30 fL. These two lines are decided by analyzer
automatically. P_LCR is the ratio of particles between 12 fL line and
UD to particles between LD and UD.
P_LCC:Large platelet,it is the particles between 12 fL line and UD.
19
Chapter 3 Installation and Specimen Analysis
Carefully remove the analyzer and accessories from shipping carton, keep the
kit stored for further transport or storage. Check the following:
20
Installation and Specimen Analysis
Be sure that the system is located at the desired site before attempting any
connections. See Table 3-1 for details.
Table 3-1 Power Supply Inspection
Optimal Voltage Voltage Range Frequency
AC220V AC(100—240)V 50/60Hz
Remove the Lyse tube with red faucet from reagent kit and attach it to LYSE
connector on the rear panel, place the other end into the Lyse container. Twist
the cap until secure. Place the container on the same level as the analyzer.
Remove Diluent tube with blue faucet from reagent kit and attach it to
DILUENT connector on rear panel. Place the other end into Diluent container.
Twist cap until secure. Place the container on the same level as the analyzer.
Remove the waste tube with black faucet from reagent kit and attach it to
WASTE connector on the rear panel, connect BNC plug with the socket
marked “SENSOR” on the rear panel. Twist the tube’s cap clockwise onto the
21
Installation and Specimen Analysis
waste container until secure. Place the container on the level at least 50cm
lower than the analyzer.
Remove the Detergent tube with yellow faucet from reagent kit and attach it to
DETERGENT connector on the rear panel. Place the other end into the
Detergent container. Twist the cap until secure. Place the container on the
same level as the analyzer.
Take out the printer from the shipping carton. Inspect the printer carefully
according to its manual and Section 3.1 and perform the following procedures:
1) Find a suiTable location adjacent to the analyzer. Location of at least 30cm
away from analyzer on its right side is recommended.
2) Assemble the printer as directed in the printer manual.
3) Connect the printer and analyzer with printer cable which plug into
PRINTER or USB on rear panel of the analyzer according to the type of
printer.
4) Be sure that the printer power switch is OFF; plug one end of power cord
to power socket.
5) Install printing paper as directed in the manual.
Remove keyboard, mouse and mouse pad from the shipping carton, and insert
the plugs of keyboard and mouse into the two connector of the line, then
connect to the rear panel with PS/2 port. It is recommended to place the
22
Installation and Specimen Analysis
keyboard beneath the display. Please install keyboard and mouse before
starting-up. If not, restart the instrument to make the keyboard and mouse
available.
Make sure the power switch is OFF (O) and the grounding terminal on the rear
panel is well grounded firstly, then connect the analyzer to the main power with
the power cable.
3.8 Startup
Turn on the power switch on the rear panel, then the status indicator on the
front panel will be orange. The analyzer will start self-checking after loading,
and automatically aspirate the Diluent and Lyse reagent, then rinse the tubing.
Main Menu Screen is displayed after self-checking (See Figure 3-1).
Figure 3-1
23
Installation and Specimen Analysis
Background test should be performed after startup and before blood sample
test, operate as follows:
Test procedures in Pre-diluent Blood Mode:
1) Put the clean empty tube under the aspiration probe. At Main Menu
Screen, click “Drain” to dispense the Diluent into the tube.
2) At Main Menu Screen, click “Info”, and then modify ID to 0, click “OK”
back to save it.
Remark: 0 is the specialized ID number for background test. In
blood sample test, the ID number cannot be 0.
3) Put the tube containing Diluent beneath aspiration probe which should
touch the bottom of tube.
4) Press RUN key on the front panel, move away the tube after the beep
sounds. Then the analyzer starts to count and measure automatically.
Test procedures in Whole Blood Mode:
1) Perform the operations in b), then press RUN key, the analyzer starts
to count and measure automatically.
2) Counting time of RBC, WBC will be displayed at the lower right corner
of screen during counting. The analyzer will alarm and display the error
at top left corner if the counting time is too long or too short. Refer to
Chapter 10 for problem correction.
3) The acceptable range of background is listed in Table 3-2.
24
Installation and Specimen Analysis
3.11 Calibration
Capillary blood is usually collected from finger tip. The volume of sample tube
is set to be 20μl.
CAUTION: Never over-press the finger avoiding collecting tissue liquid into
sample tube, tissue liquid will cause error in results.
25
Installation and Specimen Analysis
Whole Blood Mode switch to Pre-diluent Mode: In the screen as Figure 3-1
shows, click the animal icon to switch to Pre-diluent Mode. (Animal
icon is red in Whole Blood Mode)
NOTE: Each animal has its corresponding icon which is similar to the animal
appearance.
Click Info at Main Menu Screen, the Info edit window present (shown in Figure
3-2), input or select data. Click “OK” to save the input data and return to the
main menu. Click “Cancel” to cancel the input data and return to the main
menu.
26
Installation and Specimen Analysis
NOTE: The ID number is set to 0 only under background test. The blood
sample ID CAN NOT be 0.
Figure 3-3
Counting and analysis should be performed within 3~5 minutes after blood
collection.
1) In the screen as Figure 3-3 shows, click “Animal” on the lower right corner
to inter the screen as Figure 3-4 shows:
27
Installation and Specimen Analysis
Figure 3-4
2) Choose the animal type needed and click “OK” for saving. Then click “Back”
to go back to the screen as Figure 3-3 shows. System internal parameter
value will change to meet the requirements of corresponding animal type.
3) There are 2 types of testing mode to choose from.
■ Pre-diluent Mode
1) Present the empty sample tube under the aspiration probe. At Main
Menu Screen, click “Drain”; Diluent will be drained into the tube.
2) Remove the tube, add 20μL of the blood sample to the tube, and gently
shake the tube to make them well mixed.
3) Present the well-mixed sample under the aspiration probe; make sure
the probe touches the tube bottom slightly.
4) Press RUN key on the front panel and remove the sample after
hearing beep sound.
5) The results will be available after the analysis is performed.
28
Installation and Specimen Analysis
2) Press RUN key and remove the sample after hearing beep sound.
3) Results will be available after the analysis is performed.
The test results and histograms of WBC, RBC and PLT will be displayed at
Main Menu Screen after counting and analysis (see Figure 3-1).
If Auto Print is ON (set in “system setting” interface), the test results will be
printed out automatically.
If problems like clogs or bubbles occur during the counting and analysis
procedures, the analyzer will alarm and give indication at the top left corner of
the screen. The test results are invalid. Refer to Chapter 10 for solution.
There are two kinds of alarms: parameter alarm and histogram alarm.
1. ”H” or “L” present on the right side of the parameter means the result is
out of the range of reference value.
2. “***” means the result is invalid or out of display range.
If the WBC Histogram is abnormal, R1, R2, R3, R4, RM will be displayed on
the right side of the histogram.
29
Installation and Specimen Analysis
right side.
Analyzer offers recorder and printer which are optional according to customer
needs. After blood sample analysis completed, if Auto Print is ON, test report
will be printed automatically by recorder or printer; if the Auto Trans is ON, test
results will be transmitted to network automatically.
The recorder, printer, transmit and test reports are set up at Settings. Refer to
30
Installation and Specimen Analysis
If the auto-classification of floating limit for WBC, RBC and PLT do not reach
clinical or laboratory requirements on special samples, manual classification is
feasible.
CAUTION: Unnecessary or incorrect manual classification will cause
unreliable test results.
Figure 3-5
31
Installation and Specimen Analysis
Figure 3-6
3.18 Shutoff
Shutoff procedure is performed after daily operation and before turning the
analyzer off. Daily maintenance and tubing-clean avoid protein aggregation
during non-working and keep system clean.
Figure 3-7
If turn off the instrument, click “Yes”. After finishing the maintenance,
cleaning and shutoff procedures, “Thank you, now turn off power” will
appear to instruct the operator to turn off the power switch on the rear
panel.
2) Tidy the work platform and dispose waste.
3) Click “No” if the operator does not want to shutoff the analyzer.
32
Installation and Specimen Analysis
Figure 3-8
At Main Menu Screen, click “Func.” and then click “Rev” to enter Query screen.
Data of today will be displayed in the list box as Figure 3-8 shows.
33
Installation and Specimen Analysis
If the sample quantity reaches a certain amount and takes up a large save
space, operator can delete the data termly if necessary. Data deletion is
divided into “Del.” and “DelAll”.
1) Delete All
Click “DelAll”, a dialog box as Figure 3-9 will present, input password 9999 to
delete all data.
Figure 3-10
Click “Cancel” to back to Main Menu Screen (See Figure 3-3). Click “OK” to
display a confirm dialog box (See Figure 3-10), select “No” to cancel the
deletion, select “Yes” to delete all data.
2) Delete
In the interface as shown in Figure 3-8, select the data and then click “Del.”,
the dialog box as Figure 3-11 will display.
Figure 3-11
Select “Yes” to delete the data. Select “No” to cancel the deletion.
NOTE: Be aware that the data once being deleted, it can NOT be recovered,
34
Installation and Specimen Analysis
Figure 3-12
a) At “From” and “To”, select starting date and ending date in pop-up
calendar, then press “OK”.
b) Select one statistic type on left side of the Workload Statistics screen,
and then display all items in the middle list box.
c) Select statistic item (or multi-select), click “Stast”, then the desired
data will be displayed in list on right.
d) Choose one sender, and click “Print”, then all the items will be print.
e) Click “Back” to return to Main Menu Screen.
35
Installation and Specimen Analysis
After data review from condition query, click one result, the result will be
selected and turn blue as Figure 3-13. Click it again to deselect it.
After selecting one sample result as preceding method, press F9 to enter the
CV data screen like as Figure 3-14.
“Mean” indicates the parameter average value of selected sample. “CV”
indicates the Coefficient of Variance of corresponding parameter.
NOTE: The system can only calculate CV automatically when more than one
sample result are being selected.
NOTE: If only one sample result is being selected, the “Mean” indicates the
sample result itself.
36
Installation and Specimen Analysis
37
Installation and Specimen Analysis
38
Installation and Specimen Analysis
Left: Click “Left”, then the chart pole will shift one grid to the left. See
Figure3-17.
Right: Click “Right”, then the chart pole will shift one grid to the right. See
Figure 3-18.
39
Chapter 4 System Setting
Figure 4-1
40
System Setting
Pre-diluent close: If Pre-diluent Mode is left unused for a long time, operator
could choose to close Pre-diluent Mode in System Setting screen under the
Whole Blood Mode. Then system will fix on Whole Blood Mode and cannot
switch to Pre-diluent Mode.
Figure 4-2
In transfer setting as Figure 4-2, operator can setup the port number, baud rate,
data bit, stop bit and parity bit of the communication port. The communication
parameters are set before delivery. User should not modify them, otherwise
the data cannot be transmitted.
Auto-tran: the test results will be transmitted from the communication port
automatically.
Trans. Mode: hexadecimal and HL7 is available.
41
System Setting
Figure 4-3
In Print Setting as Figure 4-3, operator can select printer type, print format,
auto print, and input hospital name in “print title” or “record title”.
Printer type: Recorder, USB port PCL printer, parallel port stylus printer.
Print format: Vertical record with histogram and without reference value,
vertical record without histogram and without reference. Operator can only
select the print format which is available in recorder. if choose external printer,
there are 2 print types to choose from: print with histogram and print without
histogram.
Auto print:if select "on", the results will be printed by the printer or recorder; if
select "off", the results will not be printed.
42
System Setting
Figure 4-4
In Reference Value Setting as Figure 4-4, operator can setup the unit of WBC,
RBC, PLT, HGB and MCHC, as well as the language and order of the
reference value.
User can select Chinese or English in system language. After that user must
restart the instrument to change the system language.
User can select the reference language which is the language on the screen.
User can select the order for the reference value: low to high, high to low and
none.
43
System Setting
Figure 4-5
In Time Setting as Figure 4-5, there are three formats of date: YYYY-MM-DD,
MM-DD-YYYY, and DD-MM-YYYY. Y indicates Year, M indicates Month, D
indicates Day. The selected date format will be displayed.
The resetting of the data format will change the display format of data on blood
cell analysis interface.
User can change year, month, day and time on this interface.
User can check the software version, FPGA version, kernel version and library
version. If there are problems, the user can provide this information to
manufacturer service engineers as Figure 4-6.
44
System Setting
Figure 4-6
NOTE: Above system settings have been set up before delivery. User does not
need to reset them generally. If needed, all the operations should under the
guidance of manufacturer engineer.
45
Chapter 5 Quality Control
In order to maintain the analyzer precision and eliminate system errors, it’s
necessary to perform quality control. Analyzer offers four quality control
options: L-J QC, X-B QC, X-R QC and X QC. In following conditions, perform
quality control using manufacturer recommended control materials.
After daily start-up procedures completed
The reagent lot number changed
After calibration
After maintenance, or component replacement
In accordance with the laboratory or clinical QC protocol
In suspicion of parameter value
(1) L-J QC
L-J QC (Levey-Jennings graph) is a simple and visual QC method with which
operator can draw QC value directly on graph after get the Mean, SD and CV.
Mean, SD and CV are derived from following formulas:
n
X i
Mean i 1
46
Quality Control
SD
( X i Mean) 2
n 1
SD
CV % 100
Mean
(2) X-R QC
In X-R QC method, X indicates mean value, R indicates range of value. X
graph is mainly used to judge that if the mean value falls in required level. R
graph is mainly used to judge that if the range of value falls in required level.
(3) X QC
X QC is the variation of X-R QC; they have the same basic principle. The
difference is that the control dot in X graph indicates the mean value of two
values other than one value. On this foundation, calculate the Mean, SD and
CV.
(4) X-B QC
X-B QC is a moving average method which is first promoted in 1970s’. It’s
based on the principle that, RBC count is varied due to the concentration of
dilution, human blood pathology and technical factor, but the hemoglobin
content in specific unit is hardly interfered by those preceding factors.
According to this characteristic, quality control the samples by surveying the
value of MCV, MCH, and MCHC.
5.2 QC Operation
Click “QC” in Main Menu Screen, dialog box like Figure 5-1 will present.
47
Quality Control
Analyzer offers four quality control options: L-J QC, X-B QC, X-R QC and X
QC.
5.2.2 L-J QC
Select L-J QC Mode and click “OK” to enter corresponding screen like Figure
5-2.
5.2.2.1 QC Edit
In L-J QC screen click “Edit”, enter QC Edit screen as Figure 5-3. There are 3
different groups of control and each group has 3 (low, normal and high) levels.
Input control lot No., expiry date, assay and limit according to the control
instruction.
NOTE: The limit should not be more than 40% of assay, or the limit cannot be
saved in database.
NOTE: The expiry date format should be MM-DD-YYYY.
48
Quality Control
5.2.2.2 QC Run
49
Quality Control
In L-J QC screen, there are low, normal and high graphs. If select group 1 and
level low to run a control sample, the control dot will present in low 1 graph.
The other selection will present in corresponding graph.
There are function buttons at the bottom of L-J QC screen. Click “Group” to
change the group. Click “Param” to change current displayed parameter, for
instance, WBC changes to RBC. Click “Level” to shift the classification line in
the same group. Click “Left” or “Right” to shift the classification line in same QC
graph. Click “Print” to print the current data.
50
Quality Control
QC graph instruction:
1. Graph abscissa indicates Q display 31 dots.
2. Every parameter graph’s upper transverse line means assay plus limit.
3. Every parameter graph’s lower transverse line means assay subtract
limit.
4. The 3 values on the left side of parameter graph mean:
upper limit —— assay plus limit
middle line —— assay
lower limit —— assay subtract limit
If the control dot falls in the area between upper and lower lines of the
corresponding graph, it means the dot under control range; if it’s out of the
above area, the dot is not under control range.
(2) QC Data
In Figure 5-2, click “Data”, operator can review 12 parameters QC data as
Figure 5-5.
51
Quality Control
5.2.3 X QC
5.2.3.1 X QC Edit
Select X QC Mode in Figure 5-1 and click “OK” to enter corresponding screen.
Click “Edit”, enter X QC Edit screen as Figure 5-6.
NOTE: The limit should not be more than 40% of assay, or the limit cannot be
saved in database.
5.2.3.2 X QC Run
52
Quality Control
X QC needs control material. If run a background QC, the system will alarm
QC result is invalid.
5.2.3.3 X QC Review
53
Quality Control
54
Quality Control
55
Quality Control
5.2.4 X-R QC
56
Quality Control
In X-R QC screen, there are X graph and R graph. X graph displays the mean
value dot while the R graph displays the range dot.
There are function buttons at the bottom of X-R QC screen. Click “Group” to
change the group. Click “Param” to change current displayed parameter, for
instance, WBC changes to RBC. Click “Level” to shift the classification line
between the X and R graphs. Click “Left” or “Right” to shift the classification
line in X or R graph. Click “Print” to print the current data.
X graph instruction:
1. Graph abscissa indicates QC run times, ordinate indicates QC result.
2. Every parameter graph may display 31 dots.
3. Every parameter graph’s middle transverse line indicates X, mean
value of QC results.
4. Every parameter graph’s upper transverse line means X upper limit=X
+A×R.
5. Every parameter graph’s lower transverse line means X lower limit=X
57
Quality Control
-A×R.
6. The 3 values on the left side of parameter graph mean:
upper limit —— X upper limit=X+A×R
middle line —— X
lower limit —— X lower limit=X-A×R
R graph instruction:
1. Graph abscissa indicates QC run times, ordinate indicates QC result.
2. Every parameter graph may display 31 dots.
3. Every parameter graph’s middle transverse line indicates R, mean
value of QC result range.
4. Every parameter graph’s upper transverse line means R upper limit=
B×R.
5. Every parameter graph’s lower transverse line means R lower limit=C
×R.
6. The 3 values on the left side of parameter graph mean:
upper limit —— R upper limit=B×R
middle line —— R
lower limit —— R lower limit=C×R
If the control dot falls in the area between upper and lower lines of the
corresponding graph, it means the dot under control range; if it’s out of the
above area, the dot is not under control range.
(2) QC Data
In Figure 5-11, click “Data”, operator can review 12 parameters QC data as
Figure 5-12.
On this screen, click “Group” to change group, click “Left” or “Right” to view
next page. Operator could review 31 items data at most. Click “DelAll” to delete
all the data.
X-R QC data screen can only display three controls result, and each one
contains mean and range. The first two lists on this screen are total mean and
average range. See Figure 5-12.
The QC data would be updated after running two new controls.
58
Quality Control
5.2.5 X-B QC
X-B QC Edit is different to others, with which the system only edits three
parameters: MCV, MCH, and MCHC.
Select X-B QC in Figure 5-1 and click “OK” to enter the X-B QC screen, then
click “Edit” to enter X-B QC Edit screen as Figure 5-13.
On the bottom of this Edit screen, click “Del.” to delete current assay and limit;
click “OK” to save them; click “Back” to exit.
NOTE: The limit should not be more than 40% of assay, or the limit cannot be
saved in database.
59
Quality Control
Click “Run” on the X-B QC screen to enter the X-B QC Run screen as Figure
5-14. The “X-B QC Run” is selected to make the subsequent QC is X-B or not.
“Swatch number” is used to select the quantity of each group of samples. For
example, if the “X-B QC Run” is ON and “Swatch number” is 20, the
subsequent 20 controls count will be X-B QC counts.
60
Quality Control
61
Quality Control
QC Graph instruction:
1. Graph abscissa indicates QC run times, ordinate indicates QC result.
2. Every parameter graph may display 31 dots.
3. Every parameter graph’s upper transverse line means assay plus limit.
4. Every parameter graph’s lower transverse line means assay subtract
limit.
5. The 3 values on the left side of parameter graph mean:
upper limit —— assay plus limit
middle line —— assay
lower limit —— assay subtract limit
If the control dot falls in the area between upper and lower lines of the
corresponding graph, it means the dot under control range; if it’s out of the
above area, the dot is not under control range.
62
Quality Control
The QC data would be updated and added after running a new control.
63
Chapter 6 Calibration
To ensure the analyzer’s precision and obtain reliable test results, the
parameters (WBC, RBC, PLT, HGB, and MCV) should be calibrated in the
following situations:
1) Working environment changes greatly.
2) One or multiple parameters’ test results are moving.
3) Any major component that could affect the measurement is replaced.
4) Requirement of the clinic or the laboratory.
5) Reagent has been replaced.
6) Analyzer presents deviation when running quality control.
MCV, HCT are relative parameters to each other, thus one can be obtained
from given value of the other. Only MCV will be calibrated by the analyzer.
Usually the manufacturer will give the reference value for MCV, HCT at the
same time.
CAUTION: Consider all clinical specimens, controls and calibrators etc that
contain human blood or serum as potentially infectious. Wear lab coats, gloves
and safety glasses and follow required laboratorial or clinical procedures when
handling these materials.
CAUTION: Only calibrators recommended by manufacturer can be used to
accomplish the calibration.
CAUTION: Follow the recommendations provided by manufacturer to store the
calibrators.
CAUTION: Check if the container is broken or cracked before using the
calibrator.
CAUTION: Make sure the calibrators are brought to room temperature and
well mixed slowly before use.
CAUTION: Make sure the calibrators are within the expiry date.
CAUTION: Make sure the analyzer has no problem before calibration.
CAUTION: Never apply the test data to laboratory or clinic use unless all
parameters are accurately calibrated.
64
Calibration
65
Calibration
NOTE: After confirming the Mode, all test should be done in the same Mode.
NOTE: If any malfunction occurs during measurement, the test results are
invalid. Repeat the measurement after troubleshooting.
At Main Menu Screen, click “Cal” to enter System Calibration screen as Figure
6-1.
Figure 6-1
Choose “manual Mode”, click “OK” to enter manual calibration interface. See
Figure 6-2.
Input assay and values, then click the New Cal button, the system will
calculate the new calibrated value automatically and the date will update
simultaneously.
66
Calibration
Figure 6-2
Click “OK” to save the new calibration values and a dialog box as Figure 6-3
shows will pop up.
Click “Print” to print the new calibration values.
Click “Back” to exit the System Cal.
Figure 6-3
Click "NO" to save the new calibration values.
Click "YES" to save the new calibration value and a dialog box as Figure
6-4 shows will pop up. Choose the animal group needed to be assigned
values.
67
Calibration
Figure 6-4
The counting principle of new calibration value:
Mean value=(value1+value2+value3+value4)/ 4
New calibration value=(assay/mean value) ×former calibration value
If the new calibration value<70%, consider it equals to 70%; if the new
calibration value>130%, consider it equals to 130%
NOTE: The calibration coefficient is allowed in the range of 70%~130%, if
the test values exceed the limit; the maximum value in the limit range
should be selected as new coefficient for calibration.
NOTE: The analyzer can calibrate a certain parameter of WBC, RBC,
HGB, MCV, MPV, RDW_CV, RDW_SD, PLT and PDW. Also it can
calibrate all the parameters.
CAUTION: If any malfunction occurs during measurement, the test results
are invalid. Repeat the measurement after troubleshooting.
At Main Menu Screen, click “Cal.” to enter System Calibration screen, Choose
“Automatic Mode”, click “OK” to enter automatic calibration interface. See
Figure 6-5.
68
Calibration
The analyzer cannot count or display the test value in this condition:
1. Press RUN key after 5 counts, the analyzer will prompt that there is no
space to process calibration count.
2. If the precision of test result is abnormal, the instrument will prompt “data is
abnormal, please re-counting”. After each counting, instrument will
calculate a new calibration value according to reference value and test
result and update the calibration date.
Click “Print” to print the new calibration values.
The counting principle of Automatic Mode is the same as the Manual Mode.
NOTE: Click “OK” after counting and the system will save the values. Click
“Back” without clicking “OK”, the value will not be saved.
69
Chapter 7 Parameter Limit
At Limit Setting screen, operator may input proper parameter limits or use the
default limits. Default limits are different depending on the animal group. Figure
7-1 depicts the Pig group limits. Grey input box indicates the parameter cannot
be provided by analyzer due to the particularity of blood sample.
70
Parameter Limit
Click “Def.”, the system prompts the operator whether to recover all the default
limits. Select ‘Yes” to recover all groups of parameter to default limits; select
“No” to quit the operation. See Figure 7-2.
Click “OK” in Limit Setting to save the current default limits which will be
displayed when operator enter Limit Setting screen again.
7.3 Print
Click “Print”, then the system will print out limits of all groups in list form
automatically.
71
Chapter 8 Maintenance
Routine care and regular maintenance are essential to keep the best status
and precision, to minimize system problems, as well as to prolong the life span.
Procedures and instructions for preventive maintenance are discussed in this
chapter. More information is available at manufacturer Customer Support
Centre.
Preventive maintenance should be performed daily, weekly and monthly.
Pertinent maintenance is also included in this Chapter according to actual
requirement.
WARNING: Analyzer failure will occur unless a normative maintenance
criterion is performed strictly.
WARNING: Perform individual protection before instrument maintenance, such
as wear glove, respirator, lab coat etc.
72
Maintenance
Figure 8-1
Clean the smudge on the surface of analyzer, especially the spilt blood on the
aspiration probe and surrounding, to remove the protein buildup or debris and
reduce the possibility of a blockage. Wipe the outside of the probe and
surrounding with gauze soaked by litmusless Detergent before cleaning other
parts.
CAUTION: Never use corrosive acids, alkali or volatile organic solvent (such
as acetone, aether and chloroforms) to wipe the outside of the analyzer, but
only litmusless Detergent.
73
Maintenance
1) Turn off the power according to the operation manual, and disconnect the
power cord.
2) Open the right side door; cover the sample cups with clean paper avoiding
contamination.
3) Clean up the greasy dirt on the X and Y leaders of the sampling organ,
leaders and motor axis of dilution unit with clean cotton or tissue.
4) Cut the grease with scissors and apply evenly appropriate amount grease
on the leaders and axis. Get rid of the redundant grease caused by grease
accumulation with cotton swab.
5) Take off the paper and close the right side door. Power on the analyzer and
run two background tests. End the maintenance procedures.
NOTE:
Ensure the power of host is off before monthly maintenance,
Do not try to move the sampling organ manually.
Ensure there is no residual cotton or other foreign materials on the leaders
and motor axis.
If there is crystal on the dilution unit or any other question, please contact
with manufacturer Customer Support Centre.
74
Maintenance
At Main Menu Screen select “Func”, then select “Maint” to enter the screen like
Figure 8-2.
75
Maintenance
Flush Aperture may prevent and remove aperture clogs associating with
Cauterize Aperture. The procedures as follows:
1. Select “Flush Aperture” in Maintain screen.
2. The analyzer starts to perform the function and display the progress
bar at the bottom of the screen.
3. The operation is completed and back to the Maintain screen.
This operation will drain Diluent out of sample cups. The procedures as
follows:
1. Select “Drain Cups” in Maintain screen.
2. The analyzer starts to perform the function and display the progress
bar at the bottom of the screen.
3. The operation is completed and back to the Maintain screen.
This operation may rinse the aperture to prevent blockage if the counting time
is too long. The procedures as follows:
1. Select “Rinse Cups” in Maintain screen.
2. The analyzer starts to perform the function and display the progress
bar at the bottom of the screen.
3. The operation is completed and back to the Maintain screen.
76
Maintenance
CAUTION: Consider all clinical specimens, controls and calibrators etc. that
contain human blood or serum as potentially infectious. Wear lab coats, gloves
and safety glasses and follow required laboratorial or clinical procedures when
handling these materials.
CAUTION: Consider the probe Detergent is corrosive, operator should wear
lab coats, gloves, and follow required laboratory or clinical procedures.
Probe Detergent is a kind of alkalescence Detergent. Performance of Prime
Fluidics is to rinse the WBC and RBC cups, and related tubing with probe
Detergent. If the analyzer is non-turnoff, perform Tubing Clean every three
days. If the analyzer is turnoff the power daily, perform Prime Fluidics every
week.
The procedures as follows:
1. Place the probe Detergent under the aspiration probe, making the
probe be able to aspirate the Detergent. Select “Prime Fluidics” at
Maintain screen.
2. Remove the Detergent after the probe retracted back. The analyzer
starts to perform the function and display the progress bar at the
bottom of the screen, the progress will take approximately nine
minutes.
3. The operation is completed and back to the Maintain screen.
CAUTION: Consider all clinical specimens, controls and calibrators etc. that
contain human blood or serum as potentially infectious. Wear lab coats, gloves
and safety glasses and follow required laboratorial or clinical procedures when
handling these materials.
NOTE: Keep the Lyse still for a certain time to ensure it stable.
NOTE: After replacement of Diluent, Detergent or Lyse, perform background
test to make sure the background values are in acceptable range.
77
Maintenance
CAUTION: Consider all clinical specimens, controls and calibrators etc. that
contain human blood or serum as potentially infectious. Wear lab coats, gloves
and safety glasses and follow required laboratorial or clinical procedures when
handling these materials.
NOTE: Keep the Diluent still for a certain time to ensure it stable.
NOTE: After replacement of Diluent, Detergent or Lyse, perform background
test to make sure the background values in acceptable range.
CAUTION: Consider all specimens, controls and calibrators etc. that contain
human blood or serum as potentially infectious. Wear lab coats, gloves and
safety glasses and follow required laboratorial or clinical procedures when
handling these materials.
NOTE: Keep the Detergent still for a certain time to ensure it stable.
NOTE: After replacement of Diluent, Detergent or Lyse, perform background
test to make sure the background values in acceptable range.
78
Maintenance
This operation may rinse the associated fluidics. The procedures as follows:
1. Select “Rinse Fluidics” in Maintain screen.
2. The analyzer starts to perform the function and display the progress
bar at the bottom of the screen.
3. The operation is completed and back to the Maintain screen.
Perform this function before shipping or leave unused for a long time. Refer to
the 8.5 section for details. The procedures as follows:
1. Select “Prepare Shipping” in Maintain screen.
2. The analyzer starts to perform the function and display the progress
bar at the bottom of the screen.
3. The operation is completed and back to the Maintain screen.
If the analyzer is leaved unused for three months or before shipping, maintain
the analyzer as following:
a) Take out the Diluent inlet tube connecting with Diluent port on the rear
panel from container, discharge the Diluent remained in tube.
b) Take out the Lyse inlet tube connecting with Lyse port on the rear
panel from container, discharge the Lyse remained in tube.
c) Take out the Detergent inlet tube connecting with Detergent port on
the rear panel from container, discharge the Detergent remained in
tube.
d) Keep the remaining reagents in their containers and store them
according to the instructions. Operator should establish and conform
79
Maintenance
Figure 8-3
i) After completed, take out the Diluent, Lyse and Detergent tubes from
distilled water and click “Prepare Shipping” again to drain the reagent
in tubes.
j) At Main Menu Screen, click “Exit”, “Thank you, now turn off power”
will appear to instruct the operator to turn off the power switch on the
rear panel.
k) Pull out outlet tubes from the rear panel, clean it with distilled water
and save it with plastic bag after dry by airing.
l) Cover the connectors of DILUENT, LYSE, DETERGENT and WASTE
80
Maintenance
on the rear panel with caps which taken out at initial installation
m) Disconnect the power cord of analyzer and save it in plastic bag.
Place the analyzer and components in plastic bags into the shipping
carton.
81
Chapter 9 Service
This chapter introduces the Service function, with which operator may check
the system status, valve and motor status, etc. More information is available at
manufacturer Customer Support Centre.
CAUTION: Incorrect maintenance may lead to analyzer function impaired.
Please maintain the analyzer according to this manual.
NOTE: If there is any problems which cannot be find an answer in the manual,
please contact the manufacturer Customer Support Centre.
Click “Func” at Main Menu Screen, select “Sev”, input “2006” in the pop-up
dialog box to enter the System Check screen.
The System Status Check screen presents the current status information like
temperature, vacuum etc.. See Figure 9-1.
82
Service
NOTE: At System Status Check screen, operator may view the value of
temperature, vacuum, etc. but cannot modify these values.
Click “Back” to return to the Main Menu Screen.
At Valve Check screen (see Figure 9-2), the operator can check if the valves in
normal condition.
At Motor Check screen, the operator can check if the motors in normal
condition. At the screen, click motor icon, the corresponding result will be
displayed, and the corresponding motor sound can be heard.
Click “P1” to test the vacuum pump, at the moment, the vacuum pump is
draining the waste.
Click "Back" to return to the main interface of the system. As shown in
Figure9-3.
83
Service
Click “Func” at Main Menu Screen, select “Sev”, input “6666” in the pop-up
dialog box to enter the System Log screen as Figure 9-4.
84
Service
Select Date on System Log screen, then click “Rev” the results will be
displayed in the list box. As shown in Figure 9-5.
On System Log screen, cancel Date option and select intended Event in
dropdown options, click “Rev”, results will be displayed in list as Figure 9-6.
85
Service
After data and event query, the analyzer can do the following operations:
1. The total and current number of page of the system log will be
automatically displayed on the list box.
2. When there are too many queries, press “Pgprv” and “Pgnex” buttons, that
the system will automatically jump to the previous or next page and the
results will be displayed too.
3. Select a record, then press "Del.", that this record will be deleted.
4. Press "Del_All", all the records will be deleted.
5. Click ”Back" to return to the main interface of the system.
Click ”Func" at Main Menu Screen, select "Sev", input “1999” in the pop-up
dialog box to enter the System Adjust screen. As shown in Figure 9-7.
On the system calibration screen, user can adjust the parameters of the
motors and the count time of white blood and red blood cells. Each animal has
individual parameter value of blood. Animal group indicates current animal
86
Service
species. Click the motor item needed, analyzer will check its operation with the
setting value in right edit box
Set the values of the motors and the count time, then clik "OK", a dialog box as
Figure 9-8 shows will pop up.
Figure 9-8
Click "NO" to save the setting value and exit Calibration screen.
Click "YES", a dialog box as Figure 9-9 shows will pop up.
Figure 9-9
Operator is able to select one or more animal species that needed. Click "OK",
the values that user set will be saved in database. Analyzer will run according
to these values.
87
Service
Click "Gain Adjust" to enter the gain adjust screen. As shown in Figure 9-10.
NOTE : Users can not arbitrarily change the gain, or may cause abnormal data.
If needed, it must be adjusted by the manufacturer engineers or under the
guidance of manufacturer engineers.
88
Chapter 10 Troubleshooting
1. Problem Identification
2. Problem Isolation
3. Corrective Action
Step 1: Problem Identification means not only identifying what is wrong but
also what is right. The investigation should identify the problem area and
eliminate areas that are right. Once done, the trouble shooting process moves
quickly to next step.
Step 2: Problem Isolation means further classifying the problem. Analyzer
problems are generally divided into three categories:
89
Troubleshooting
10.3 Troubleshooting
Familiar problems and corrective actions are listed as follows. If the problems
can not be corrected, or technical assistance is needed, please contact with
manufacturer Customer Support Centre.
90
Troubleshooting
91
Troubleshooting
92
Troubleshooting
93
Troubleshooting
94
Chapter 11 Precautions, Limitations and Hazards
Improper operation will never attain optimal performance; even cause damage
to the operator or others. To avoid the damage and get a successful
measurement, a criterion should be designed to perfect the service conditions.
11.1 Limitations
95
Precautions, Limitations and Hazards
96
Precautions, Limitations and Hazards
CAUTION: Reagent will freeze when it is below 0℃, for which the reagent can
not be used.
CAUTION: Keep the reagents away from direct sunlight to avoid evaporation
and contamination. Seal the cap of the container. Minimize the diameter of the
hole to avoid evaporation and contamination.
97
Appendix A: Instrument Specifications
Appearance Specifications
Display: 10.4-inch LCD with a resolution of 640 × 480
Language: English/Simplified Chinese
Parameter: 21 parameters and 3 histograms
Indicator: Status Indicators/Work Mode Indicators
System Alert: Alert message/Alert beep
Ports: Power Receptacle
Printer Ports
RS-232 Port
PS/2 Port
USB Ports
Recorder Specifications
Recorder Width: 48mm
Paper width: 57.5mm
Paper Roll Diameter: 53mm
Print Speed: 25mm/S
Sample Volume
Whole Blood Mode: Whole Blood 10μL
Pre-diluent Mode: Capillary Blood 20μL
97
Accuracy
Table A-1 Accuracy Specifications
Parameter Acceptable Limits(%)
WBC ≤±2.0%
RBC ≤±1.5%
HGB ≤±1.5%
MCV ≤±0.5%
HCT ≤±1.0%
PLT ≤±4.0%
Precision
Table A-2 Precision Specifications
Parameter Acceptable Limits(CV/%) Precision Range
WBC ≤2.0% 4.0×109/L ~ 15.0×109/L
RBC ≤1.5% 3.00×1012/L ~6.00×1012/L
HGB ≤1.5% 100 g/L ~180g/L
HCT ≤1.0% 35%~50%
MCV ≤0.5% 76fL ~110fL
PLT ≤4.0% 100×109/L ~500×109/L
Linearity
98
Appendix B: Instrument Icons and Symbols
Caution
Biohazard
Equipotentiality
Protective Grounding
Serial Number
Manufacturer
Metrology Certification
99
Appendix C: Toxic and Hazardous
Substances or Elements
100