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Portions of the WalkAway Operating System are copyrighted by Mentor Graphics Corporation
(For further information contact your MicroScan Support Representative)
9020-7569, Rev. A
No part of this work covered by the copyrights herein may be reproduced or copied in any form or by any
means—graphic, electronic, or mechanical; including photocopying, recording, typing, or information storage
and retrieval systems—without written permission of the publisher.
Windows, Excel, and Microsoft are registered trademarks of Microsoft Corporation.
Zip is a registered trademark of Iomega Corporation.
Prompt is a trademark of 3M Company.
Beckman Coulter, the stylized logo, and MicroScan, autoSCAN, WalkAway, MICroSTREP plus, RENOK,
Synergies plus, and the LabPro logo are trademarks of Beckman Coulter.
* Japan Only: Synergies plus may be interchangeable with rapID/S plus in the LabPro software and
LabPro Operator’s Guide.
Screen illustrations within this manual are representational only and may not exactly match the software.
Beckman Coulter has validated the provided instructions, reagents, instrument, software and customizable
features for this system to optimize product performance and meet product specifications. User-defined
modifications are not supported by Beckman Coulter as they may affect performance of the system and
test results. It is the responsibility of the user to validate any modifications made to these instructions,
instruments, reagents or software provided by Beckman Coulter.
9020-7569, Rev. A
01/2015
Made in Germany
Made in USA
Beckman Coulter, Inc. Beckman Coulter Eurocenter S.A.
250 S. Kraemer Blvd. 22 rue Juste-Olivier
Brea, CA 92821 USA Case Postale 1044
www.beckmancoulter.com CH-1260 Nyon 1, Switzerland
TEL: +41 (0) 22 365 36 11
Spec: 9900-3929
ii 9020-7569, Rev. A
Warranty statement
The system is covered by and subject to the provisions of the warranty included in your contractual agreement
for the system or its reagents.
The customer is responsible for routine preventative maintenance procedures. Repairs arising from the failure
to perform these maintenance procedures at the indicated time intervals are made at the discretion of
Beckman Coulter, and at the customer’s expense.
Symbol Description
Attention When used alone, the attention label indicates specific instruction affecting
safety in this guide involving the marked areas of the instrument. When used
with another symbol, the attention label points out another instrument warning
label defined in this guide. You should understand that warning before going
into the labeled area of the instrument.
Potential biohazard Indicates an area of the instrument that could have been in contact with
biohazardous materials. Do not handle the contents or touch the area unless
you are properly protected. Refer to your applicable laboratory procedures.
Pinch hazard Indicates an area of the instrument where you can be exposed to moving parts.
Be careful around these parts when performing diagnostic operations, and
when performing maintenance operations with the top cover raised.
Burn hazard Indicates a heated area of the instrument that could burn you. Be sure to power
off the instrument and let these areas cool before touching them or performing
diagnostic and maintenance operations around them.
Static sensitive Indicates potential damage to electronic boards from electrostatic discharge.
Do not touch Indicates an area that may cause physical harm to the user or damage to the
instrument. View as a potential hazard.
Electrical hazard Indicates an area of the instrument that contains high voltage. Do not touch
unless a procedure specifically instructs you to do so.
Authorized Representative
In Vitro Diagnostic Medical Device
Batch Code
Temperature Limitation
CE Mark
Catalogue Number
Half full
Empty
Biohazard
Static sensitive
Pinch hazard
Do not touch
Attention
Electrical hazard
Electrical Disposal
Equipment is subject to European Directive on
Waste Electrical and Electronic Equipment
(WEEE) 2002/96/EC, amended by Directive
2003/108/EC. This symbol indicates separate
collection and return required.
The LabPro Operator’s Guide provides general instruction and reference material for using the LabPro
System. It contains the primary procedures for processing panels, printing and transmitting test results,
retrieving patient data, performing quality control, and maintaining the LabPro database. Instrument
specifications, basic component descriptions, operating instructions, and maintenance procedures are also
provided for both the WalkAway and autoSCAN-4 instruments. General customization, configuration,
and administrative procedures are included in this guide. Installation procedures are provided with the
LabPro software. For additional information, contact your Beckman Coulter Representative or Distributor.
Document Conventions
This guide uses the following general text conventions:
bold type Information that you type, specific keys on the keyboard, and commands or buttons
that you click—for example:
Type ICU and press Enter.
From the Data menu, click Save.
Instrument buttons, the Windows Close button, and buttons inside text boxes—for
example, Lookup and Calendar buttons—are not presented in bold type.
italic type Computer messages displayed in windows and dialog boxes—for example:
When the message Print QC Diagnostics Report? appears, click OK.
Emphasized words and references to outside source material—for example:
Do not touch the lamp surface.
For details, see the Adult Therapy Guide.
The following table identifies how this guide uses notes, cautions, and warnings
Title/Symbol Identifies
Note An important feature or special information. A note may apply only in special cases.
Important An important note in procedures that provides additional information necessary to
complete the task.
Tip A helpful tip to apply a technique to your needs.
CAUTION Critical information you must follow to prevent data loss or damage.
Critical information you must follow to prevent physical harm to you or to hardware
components—for example:
Before removing any component, turn off and unplug the instrument to prevent
WARNING
electrical shock.
Installation Policy
An authorized field service engineer (FSE) will remove the instrument from the package, install the
equipment, and check the WalkAway and/or autoSCAN-4 instrument and the LabPro computing system.
To maintain full warranty, a qualified FSE must be present in the event that laboratory personnel attempt to
remove any component from its shipping container.
If you need to move, uninstall, or ship a WalkAway or autoSCAN-4 instrument, contact your field service
engineer for instructions.
For a description of the warranty policy, see “Limited Warranty.” For instructions on installing LabPro
software updates, see the installation procedures included with the update kit.
Select and clear As it applies to check boxes, click the check box to select or enable the option.
Click the check box again to clear or disable the option.
Box or text box
In boxes without a Lookup button you can type up to the maximum number of
characters allowed.
Lookup button
In boxes with a Lookup button, you can type a code from the associated table, or
click the Lookup button and select an item from the table. If desired, you can
position the pointer in the box and press F3 to access the table instead of clicking
the Lookup button.
Drop-down box
In boxes with an arrow, you can type an entry in the box or click the arrow to
display a list and select an item on the list.
Lookup box
Boxes with a Lookup label are used to quickly find an item in a long table. You
can click a column heading to sort the table by topic and begin typing in the
Lookup box to find a particular item in the selected column.
User-defined and User-defined refers to any customized code and description added to the LabPro
system-defined database. System-defined refers to any item supplied with the LabPro software.
CAUTION
It is highly recommended that you contact the Customer Care Center prior to merging or restoring data.
Incorrect use of these features can compromise your database.
CAUTION
To prevent the possible loss of unsaved data, make sure you close all LabPro windows, exit from the
Command Center, and properly shut down Windows before turning off the LabPro computer.
Enter Times
Depending on customization, you must enter the time in a 12-hour or 24-hour format with or without
a delimiter to separate hours and minutes.
In the Time box, type the time in the specified format.
If you use a 24-hour clock, LabPro displays AM or PM after the time. If you enter the time using a
12-hour clock and the default customization has not been changed, type an a or p after the time to display
AM or PM. For example, to enter 10:30 PM when the format is based on a 12-hour clock with a :
delimiter, type 10:30p. If the format is based on a 24-hour clock without delimiters, type 2230.
Tip: If the default customization setting has not been changed, you can type N to display the current time.
To enter a date
In the Date box, type the date in the specified format, or click the Calendar button and double-click a
date on the calendar to select that date. On the calendar, you can also do any of the following as needed:
To Click this
Today T
Yesterday Y
The main components of the WalkAway System are the WalkAway instrument, the LabPro computer, a report
printer, and a bar code printer. This chapter provides general information about the WalkAway SI instrument
with references to earlier WalkAway-40/96 instrument models. Included are operation and maintenance
procedures, QC diagnostics, and troubleshooting charts for resolving instrument problems. “Appendix A:
WalkAway Instrument Components and Specifications” contains instrument specifications and component
information. For information about the WalkAway plus instrument, see the WalkAway plus Addendum that
was shipped with your instrument.
WARNING
The used panels are a biohazard. Dispose of used panels as indicated in the panel procedure manual. Use
your laboratory’s safe biohazard waste disposal procedures—including any personal protective
equipment—for contact with and disposal of these materials.
Power Switch
The power switch is on the front of the instrument, below the front control panel. The indicator light turns
green when the power switch is on.
Plug in the WalkAway instrument Make sure the instrument has been turned off.
main power cord and associated
Note: Always connect the WalkAway instrument and
equipment
associated equipment to a 3-wire grounded receptacle of
the same voltage and current rating specified on the data
plate on the back of the instrument.
Attempt to open the service hatch Make sure the top of the instrument is clear. Failure to do
so may cause damage to the instrument.
Attempt to close the service hatch Take hold of the service hatch door, using the recessed
handle on the lower-right side of the door. Keep your other
hand clear of the door. Close the door slowly.
Restart the WalkAway instrument Wait at least 10 to 15 seconds. Failure to do so may cause
after shut down startup errors.
Handle any electronic component Shut down the instrument and disconnect the power cord
in the WalkAway instrument from the wall to eliminate the risk of a severe shock and
to protect the system electronics.
Ground yourself by touching something metal in the
WalkAway instrument prior to handling electrical
components.
Shut down the LabPro computer Exit the Command Center and Windows properly to
prevent data corruption.
Continue to work after a power If a power failure occurs, turn off the power switch on the
failure instrument and all LabPro components immediately. After
power is restored, start up the components. If the power
failed for an extended time, let the instrument warm up for
one hour before processing panels.
CAUTION
It is recommended that you let the instrument warm up for at least 1 hour before processing panels.
1. Press the power switch on the front panel of the WalkAway instrument. When power comes on, the power
indicator light turns green.
2. Turn on the LabPro computer and monitor.
When the Windows Desktop appears, click the LabPro Command Center icon on the Desktop. The
Command Center appears.
3. Verify the time displayed on the right of the Windows taskbar is correct. To adjust the time or date,
double-click the time display.
4. Turn on the report printer. For paper loading instructions, see your printer manual.
5. Turn on the bar code printer. For label loading instructions, see your bar code printer manual.
6. Perform the necessary instrument maintenance.
CAUTION
If you are shutting down the WalkAway instrument briefly, wait at least 10 to 15 seconds before starting
up the instrument again.
Daily Maintenance
1 Print WalkAway QC Diagnostics Report.
2 Check instrument temperature.
3 Check water reservoir and fill if necessary.
4 Check reagent levels and replace or refill bottles if necessary.
CAUTION
If your WalkAway instrument has been idle for an extended period—for example, no panels were processed
over the weekend—you must purge the oil line* to ensure that oil is properly dispensed into the first panel.
*Note: The following table summarizes key feature differences between the WalkAway SI and earlier models.
If your WalkAway instrument is not a WalkAway SI or an upgraded model, tasks 9 through 11 and the
preceding CAUTION do not apply.
WARNING
Do not use regular tap water or saline solution to fill the water reservoir.
WARNING
If you open the panel access door and the LED status lights next to the tower slots are flashing at a
very fast rate, the door sensor may have failed to detect that the door is open. Close all instrument
doors, turn off the instrument, wait 30 seconds, and then turn on the instrument again. If the lights are
still flashing when the panel door is open, contact the Customer Care Center.
Important:
If you do not terminate access to the WalkAway instrument before the allotted time expires, the
WalkAway Monitor Access area displays the message ACCESS OVERTIME. Quickly close any opened
instrument doors, and then press the Quick Access button or click Lock Door to terminate access.
If you terminate access without closing all instrument doors, the WalkAway Monitor Access area displays
a message indicating which door must be closed. Quickly close the instrument door, and then press the
Quick Access button or click Lock Door to terminate access
WARNING
Always wear protective eyewear, gloves, and laboratory coat when handling reagents and the reagent
dispense system.
Clean up any reagent spills in accordance with the Material Safety Data Sheets (MSDS) and
local/state/federal waste guidelines.
WARNING
Make sure the reagent-dispense pressure is 0.0 PSI. If the dispense system is pressurized, on the
WalkAway Monitor Maintenance tab, click Depressurize dispense system. If this button is not
available, click Pressurize dispense system, and then click Depressurize dispense system.
2. Open the reagent bottle door and unscrew—counterclockwise—the reagent bottle to be replaced or
refilled.
3. Refill or replace the reagent bottle.
Important: When refilling a bottle, do not fill above the shoulder of the bottle.
4. Clean any residue from the threaded area of the bottle and make sure the area is dry along the top edge.
CAUTION
Bottles installed with wet tops may unscrew partially and cause a loss of dispense pressure.
5. Clean the bottle adapter threads and O-ring using a wet (water) swab, and dry them thoroughly. Use care
not to bend the tubing.
O-ring
Adapter threads
6. Tighten the new bottle onto the adapter using the two-finger rule—that is, apply moderate pressure with
thumb and forefinger only.
WARNING
The reagent must be attached to the correctly labeled adapter. Do not over-tighten bottles. Over-
tightening reagent bottles can compress bottle seals and damage reagent manifolds.
4. Keep the reagent dispense door open and continue to the next procedure for replacing the reagent waste
bag.
WARNING
Wear a laboratory coat, gloves, and protective eye wear to remove the reagent waste bag. Though not a
biologic hazard, the contents of this bag are caustic and must be disposed of according to local
regulations.
1. After you clean the waste funnel, examine the waste bag.
2. Dispose of the bag when the fluid level reaches the Max Fill line. Do not let it overfill.
3. Install a new reagent waste bag if necessary.
4. Keep the reagent dispense door open and continue to the next procedure for maintaining the oil dispense
system.
If you are finished with maintenance, replace the reagent dispense compartment cover if applicable.
Close the reagent dispense door and press the Quick Access button or, on the WalkAway Monitor,
click Lock Door to lock the door and terminate access.
CAUTION
Before closing the reagent dispense door, make sure to replace the reagent dispense compartment
cover. Without this cover, excessive light will enter the instrument, interfering with the fluorometer.
Make sure to replace the reagent dispense compartment cover. Without this cover, excessive light will
enter the instrument, interfering with the fluorometer.
Add Oil
WARNING
Clean up any oil spills with absorbent material and dispose of in accordance with the Material Safety Data
Sheet (MSDS) and local/state/federal waste guidelines.
CAUTION
If your WalkAway instrument has been idle for an extended period—for example, no panels were processed
over the weekend—you must purge the oil line to ensure that oil is properly dispensed into the first panel.
Reference Disk
Fluorometer
Photodiode Shield
Tip: If your lab does not process fluorogenic panels in the WalkAway instrument, you can disable the
fluorometer. Disabling the fluorometer eliminates the need to perform daily maintenance on the reference disk
and fluorometer shield.
WARNING
Before you open the service hatch, make sure the top of the instrument is clear. Failure to do so may
cause damage to the WalkAway instrument.
5. Close the service hatch, and continue to the next procedure to clean the reference disk.
Tip: If all the towers are not routinely used to process panels, you can permanently remove one tower to
facilitate cleaning the shields and reference disk. Then, after maintenance access is granted, press the
Tower Rotation Forward or Tower Rotation Reverse button on the front control panel to position the
empty carousel slot behind the panel access door.
Cleaning the reference disk between readings may affect results. If possible, clean the reference disk after
the panels are completed or before the initial read.
1. After removing the front tower, make sure all instrument doors are closed.
Reference disk
4. Clean only the top of the disk using a cotton-tipped applicator wrapped in lens paper and dipped in lens
cleaner. Lightly rub the surface of the disk in a circular motion.
5. Immediately dry the disk surface using a dry cotton-tipped applicator wrapped in lens paper.
CAUTION
Do not use alcohol to clean the reference disk. Do not allow lens cleaner to dry on the disk. Always
wipe the disk surface dry.
6. Close the service hatch. Continue to the next procedure to clean the fluorometer shield.
If you are finished with maintenance, replace the front tower, close the service hatch, and press the
Quick Access button or, on the WalkAway Monitor, click Lock Door to lock the doors and terminate
access.
CAUTION
Do not use alcohol to clean the fluorometer shield. Do not allow lens cleaner to dry on the shield.
Always wipe the shield surface dry.
Make sure you reinstall the fluorometer shield correctly or the instrument will misread fluorescent
panels.
7. Replace the fluorometer shield in its original position and make sure it clicks into place.
8. Keep the service hatch open and continue to the next procedure to check and clean the photodiode shield.
If you are finished with maintenance, replace the front tower, close the service hatch, and press the
Quick Access button or, on the WalkAway Monitor, click Lock Door to lock the doors and terminate
access.
CAUTION
Cleaning the photodiode shield between readings may affect results. If possible, clean the photodiode
shield after the panels are completed or before the initial read. Handle the shield only by the edges.
1. With the front tower removed, make sure all instrument doors are closed.
2. On the WalkAway Monitor Maintenance tab, click Position instrument for shield cleaning. When the
doors unlock, open the service hatch.
3. Locate the photodiode shield. This acrylic plate is located beneath the photodiodes.
If you are performing a daily check of the shield, you can visually inspect the shield without
removing it. To remove lint or dust, wipe the lower surface using dry lens paper or lint-free tissue.
If you are performing a daily check of the diffuser plate, you can visually inspect the plate without
removing it. To remove lint or dust, wipe the surface using dry lens paper or lint-free tissue.
If you are performing a weekly check of the diffuser plate, remove the plate for cleaning as explained
in the following steps.
4. Slide the plate forward until it releases from the block.
5. Clean the plate using lens paper. If more extensive cleaning is required, also use a lens cleaner, a mild
solution of non-abrasive soap and water, or alcohol.
6. Make sure the plate is completely dry.
7. With the frosted side down and the label inscription facing up, place the diffuser plate back into the
instrument. The labeled side must face the front of the instrument and extend beyond the read station.
2. Examine the filter for discoloration by holding the filter in front of a light.
If the filter is dirty—that is, not transparent—clean it using hot water and mild detergent. Force the
water through the filter in the opposite direction that air flows across the filter when it is installed.
Check the airflow indicator arrows on the sides of the filter for the direction of airflow. Pat the filter
dry.
After the filter has dried thoroughly, insert it in its original position. The airflow arrows around the
perimeter of the filter must point toward the instrument.
If the filter appears clogged, order a new filter and then replace the old filter.
3. Replace the filter cover.
The panel access door If the problem persists, call the Customer Care
sensor has failed. Center.
The main components of the autoSCAN-4 System are the autoSCAN-4 instrument, the LabPro computer, and
a report printer. This chapter contains basic information about the autoSCAN-4 instrument, operation and
maintenance procedures, and troubleshooting charts for resolving instrument problems. “Appendix B:
autoSCAN-4 Instrument Components and Specifications” contains instrument specifications and component
information.
The used panels are a biohazard. Dispose of used panels as indicated in the panel procedure manual. Use
your laboratory’s safe biohazard waste disposal procedures—including any personal protective
equipment—for contact with and disposal of these materials.
Read button
Scanning indicator
Lamp
Fuse
RS232 cable
(connects to the
LabPro computer)
Power cord (connects
to the appliance
coupler)
WARNING
The power cord is connected at the appliance coupler as depicted in the previous illustration.
CAUTION
If you are shutting down the autoSCAN-4 instrument briefly, wait at least 10 to 15 seconds before
starting up the instrument again.
Run QC Diagnostics
QC diagnostics is a series of internal hardware and electronics tests designed to confirm that the autoSCAN-4
instrument is functioning properly. QC diagnostics and calibration must be successfully performed before you
can process panels in the autoSCAN-4 instrument. LabPro requires QC diagnostics to be run at least once a
day and if a communication failure or instrument malfunction occurs.
1. Make sure the instrument has warmed up for at least one hour, and you have performed the necessary
maintenance.
3. Remove the two metal diffuser clips—note the exact location of the clips as they must be reinstalled in
the same location relative to the panel block.
Important: The right and left clips are different and cannot be used interchangeably. Set them aside in
left and right positions.
4. Slide the diffuser plate out from under the panel block.
If necessary, give the plate a slight push from behind the panel block to slide the plate out from the front.
Diffuser plate
Straight end
Hooked end
CAUTION
Make sure that the diffuser clips are in the correct positions. Drawer and aperture plate motion must be
unobstructed for proper panel readings.
4. Clean the photodiode shield with a 70 percent isopropyl alcohol and water solution or with soap and
water. Use a lint-free lens tissue to wipe off the plate. Dry completely to prevent water spots.
If the plate is scratched, stained, or broken, replace it with a new one.
Important: Before installing a new photodiode shield, be sure to remove the plastic film on both sides.
The film was used to prevent damage while shipping the shield.
5. Insert the shield into the slots directly under the photodiode board, being careful to handle the shield only
by its edges to avoid leaving fingerprints on the surface.
Tip: You can wear non-powdered gloves to prevent fingerprints.
6. Slide the shield back until it is flush with the front of the shield block.
WARNING
WARNING
After shutting down the instrument, wait at least 10 seconds before unplugging the power cord (step 2)
to prevent damage to system electronics.
2. At the instrument back panel, unplug the power cord from the instrument and the outlet.
Lamp
5. Find the slot approximately 1/16 inch below the fuse holder. Insert a flat-head screwdriver vertically into
this slot and slide the fuse holder toward you. Remove the fuse from the holder and replace it with the
same type and rating as the old fuse (2A/250V).
If your instrument was built before 1993, unscrew—counterclockwise—the black, cylindrical fuse
holder.
6. To reinstall the fuse holder, push it back into the fuse receptacle.
If your instrument was built before 1993, push the holder into the fuse receptacle, using the
screwdriver, while turning the holder clockwise. Make sure to tighten the fuse holder completely.
7. Reconnect the power cord at the rear of the instrument, plug in the other end of the power cord to an
outlet, and start up the instrument.
WARNING
The tungsten halogen lamp is extremely hot. The lamp reflector reaches 250 F. Leave the instrument on
for 10 minutes without performing a read function to let the fan cool the lamp. Then shut down the
instrument and let the lamp cool completely before you attempt to remove it.
WARNING
After shutting down the instrument, wait at least 10 seconds before unplugging the power cord
(step 2) to prevent damage to system electronics.
4. Push down the lamp ejector bar located on the right side of the lamp. This action loosens the lamp.
5. Hold the lamp at its base and pull it from the fixture.
6. Push the lamp ejector bar back into its original position.
CAUTION
The lamp should be replaced at least once per year. Do not touch the surface of the new lamp. Fingerprints
or any foreign substances on the lamp surface may cause a hot spot to develop at that location, resulting in
the lamp’s premature aging and failure.
1. Confirm that the new lamp is the correct type and rating: 85W tungsten halogen projector lamp.
2. While holding the new lamp at its base, push it gently but firmly into the light fixture until the lamp is in
place.
3. Close the lamp door and lock the door with the screwdriver.
Important: It is recommended that you create a new water blank file after replacing the lamp. For
instructions, see “Appendix E: Creating a New Water Blank File.”
(Filters 1-6 are The diffuser plate is dirty Clean or replace the diffuser plate and recalibrate
underlined on or scratched. the instrument.
Calibration Report.)
LabPro is typically customized and configured during system setup. This chapter describes some
customization that you may need to complete or modify after the initial LabPro system setup.
CAUTION
Be certain that you want to disable the WalkAway fluorometer. If the fluorometer is disabled, you will be
unable to process Rapid or Synergies plus panels, or the panels will be Aborted–Unrecognized. To
make the fluorometer available again requires assistance from a field service engineer.
8. In the Reagent Auto-Purge area, select the check boxes of the reagents used at your site.
Important: Clear a check box only if you do not use that reagent at your site.
9. Click the Bar Code Printer arrow and then click the name of the default bar code printer.
The bar code printer may be listed as Generic/Text Printer or Bar Code Printer. If the bar code printer
name does not appear on this list, contact the Customer Care Center.
10. When you have finished setting up the WalkAway instrument configuration, click OK on the WalkAway
Configuration dialog box and respond to any confirmation messages.
Print a report each time the WalkAway instrument completes a panel Panel Completion
Print reports at specific times Appointment Time
4. In the Report Type box, click the Report Type arrow and then click a report to select it.
If you select a custom Chartable Report, Long Format Patient Report, or Short Format Patient Report
type, LabPro prints the reports sequentially by specimen number. If you select an Appointment Time
report trigger, you can change the sort order by clicking the Primary Sort Order arrow and/or the
Secondary Sort Order arrow and then clicking any item.
5. If you selected Appointment Time as the report trigger, in the Time box, type the time you want reports
to print and press Enter. Repeat this step to enter additional times.
Note: Type times in HourHourMinuteMinute 24 hour format—for example, type 0700 for 7:00 A.M. or
2230p for 10:30 P.M.
Important: If LabPro is already customized to backup the database or transmit data at a specified time,
do not select a conflicting or overlapping appointment time for automated report printing.
6. In the Selection Criteria for Panels in the WalkAway area, click one or more of the available check
boxes.
7. Click Add. LabPro adds the configuration to the Scheduled Reports grid at the bottom of the dialog box.
Defining Orders
Orders are a convenient way of selecting tests (specimen tests, panels, and offline tests) typically used at your
site. Instead of entering various test information and combinations of tests each time you add a specimen or
isolate, you can select orders to enter specimen and isolate test details via the Patient Order Entry window.
LabPro provides a panel test group for every MicroScan panel in the system. For most laboratories, isolate
orders contain one panel test group but you can combine an MIC and an ID panel test group into a simple
order. You can also include offline tests in isolate orders if the offline tests have been added to LabPro.
Important—Japan Only: If LabPro is connected to a laboratory information system, LIS orders must match
LabPro orders exactly. Before adding orders to LabPro, print a list of LIS orders and the associated test
groups. Then, duplicate each LIS order exactly in LabPro. For example, if the LIS order ID is 12 and includes
a Pos Combo 12 test group, add a corresponding LabPro order entering 12 as the order code and Pos
Combo 12 as the test group.
The same basic Rules dialog box is used to add drug test suppression rules, patient queries, and QC queries.
All Rules dialog boxes feature the same three primary areas: Parameters, Rules, and Conditions.
Note: The LabPro AlertEX System uses a modified version of the Rules dialog box to analyze microbial
identification and antimicrobial susceptibility tests or other parameters against a series of rules. Instructions
for defining AlertEX System rules are not provided in this guide but may be referenced in the LabPro AlertEX
System Guide.
Drug test suppression rules suppress selected drugs and results from printing on Chartable Reports.
Suppressed drugs are also flagged on the Short Format Report and in other areas of LabPro.
Query rules are used to select specific information for printed reports and exported files and for working with
Patient Review and Edit. Selected parameters and conditions instruct LabPro to search for specific
information while filtering out other data.
You can use the same basic steps described in the following procedure to add drug test suppression rules,
patient queries, and QC queries. Depending on how you want LabPro to initiate a search, a cell can contain
one or more parameters.
Note: During set up, before adding drug test suppression rules, you may want to customize the formulary to
prevent non-formulary drugs from printing under any circumstances.
1. Choose one of the following actions:
To add Do this
Patient or QC query On the Command Center, click Print Reports. On the Print Reports window,
rules click the Patient or QC tab.
In the Search Type area click Patient (or QC) Query Rules. Click the Patient
(or QC) Query Rules Lookup button, and the Patient (or QC) Query Rules
window appears.
Drug test suppression On the Command Center, click Utilities. On the Utilities window, double-click
rules Customization, Drug Reporting, and Drug Test Suppression Rules. Enter
the password, if requested.
2. On the Patient (or QC) Query Rules or Drug Test Suppression Rules window, click Add. The appropriate
Rules – Add dialog box appears.
Today T
Yesterday Y
Add or change the Code Type a new code and/or description, or select and modify an existing
and/or Description code and/or description.
Add a new parameter Click and drag a parameter to a blank cell, an existing cell, or to the
open area below the last cell. If the Rules area becomes full, click Add
on the toolbar to add a blank cell.
Add or change a condition for In the Rules area, click the parameter in the cell to select it. Add or
an existing parameter change the conditions in the Conditions area—for example, click a
Lookup button and select items from a table, select a test and result,
select an antimicrobic and interpretation, and so on.
Delete a condition for an In the Rules area, click the parameter in the cell to select it. In the
existing parameter Conditions area, right-click the item in the Selected List and then click
Delete.
Tip: In the Rules area, you can also right-click a cell and select an item from the shortcut menu to Add,
Clear or Delete a cell or Delete, Copy, Cut or Paste parameters. (You cannot delete the Drug Test or
Alert Comments cell.)
4. When finished adding information or making changes, click Find and select a report format to check a
query, or click Save to store the query or rule.
5. On the Patient (or QC) Query Rules or Drug Test Suppression Rules window, click Close.
6. On the Utilities window or Patient Reports window, click Close.
To resize sections
You can resize sections individually or change the width and height of selected sections.
Important: When you add a new section, sample data appears in the area where LabPro data will be printed,
to indicate the maximum number of characters LabPro allows in the database for this information. For
example, if you add a Specimen section, you might see 20 characters after the Specimen label. If you
change the width of that section and only 10 numbers display, an ellipsis (…) appears after the 10th number.
The ellipsis warns you that only the first 10 characters of the specimen number will print on the report. If the
specimens processed in your laboratory never exceed 10 characters, this is not a problem. However, if you
frequently have specimens with more than 10 characters, you must adjust the width appropriately to prevent
these specimen numbers from being cut off on printed reports.
Important: You cannot move or resize a locked section. To unlock one or more sections, select the sections
and click Unlock selected sections, or right-click any selected section and click Unlock Selected on the
shortcut menu.
To Do this
Resize one section Click the section to select it. Point to a sizing handle and drag the
pointer until the section is the size you want.
Click on a blank space to cancel the selection.
Change the height or width of selected Choose one of the following actions to select multiple sections:
sections
Press Shift and click each section you want to change.
Position the pointer on a blank space, hold the left mouse
button, and drag the pointer to select sections.
Click inside the Width or Height box, edit the width or height, and
press Tab.
Click on a blank space to cancel the selection.
Change the height or width of one or Choose one of the following actions to select multiple sections:
more sections to match the height or
width of a selected section Press Shift and click each section you want to change.
Position the pointer in a blank space, hold the left mouse
button, and drag the pointer to select sections.
Press Shift and click the section with the height or width you want to
duplicate. Sizing handles appear as red boxes on the border of this
section.
Click Make same width or Make same height.
Click on a blank area to cancel the selection.
To Do this
Find and select a specific section Click Display all report sections. On the Report Sections window,
click the section, and then click Select on Editor. Small red boxes
appear on the border of the selected section.
Move one section Drag the section to the new position.
Move multiple sections Select the sections. Drag the selection to the new position.
Important: If you cannot find a section after moving or realigning it, the section may be hidden under another
section. Click Display all report sections. On the Report Sections window, click the section to select it, and
then click Select on Editor. Small red boxes appear on the border of the selected section.
2. Click Preview Sample Report to see a sample of the printed report.
To Do this
Show or hide a label or header on Select or clear the Show or Visible box associated with the label or
printed reports header.
Print a label, header, or the associated Select the Bold or Underline check box associated with the label,
LabPro data in bold or underlined type header, or value.
Change a label or header name In the Label box or column, type a new label.
Change the width of a section or data In the Label Width or Width box or column, edit the width. The
element within a section change appears in the Section Preview area when you exit from the
box or column.
Change the position of a label in relation In a section with one label, click the Alignment arrow associated
to the corresponding LabPro value with the label, and then select an option.
Change the position of a label and In a section with one label, click the Section Alignment arrow and
LabPro value within a section select an option.
or
In a section with many columns or data elements, click a row in the
Alignment column, click the drop-down arrow, and select an option.
Select border and shading options In areas with border and shading options, click the drop-down
arrows and select options.
or
In sections with many columns or data elements, click on a row in
the Borders column, click the drop-down arrow, and select an
option.
Change the characters (---) printed In the Blank Value or Blank Result Text box, type new characters.
when no LabPro data exists
Print a section on the first page of the Select the Display on first page only check box.
report only
Note: When you select this option, the section prints on the first
page only, but the space designated for the section remains on
subsequent pages of the report. However, you can set Align options
for other report sections that instruct LabPro to move those sections
into the blank space at print time. For additional information, see
“Select a Section Style.”
Hide a section when no LabPro data Select Hide field if no data exists.
exists for that section
Note: When you select this option, the section label does not print
on the report when no data exists, but the space designated for the
section remains. However, you can set Align options for other report
sections that instruct LabPro to move those sections into the blank
space at print time. For additional information, see “Select a Section
Style.”
Specify the text you want to see if there On the Isolate Results tab, in the lower-left corner, change the text
are no isolate results when LabPro in the No Data Label box.
prints the report
Change the label for non-MicroScan On the Isolate Results tab, in the lower-left corner, change the text
(offline) tests and predicted in the Offline Tests Label box and/or the Predicted Interpretations
interpretations Label box.
Select the data format for specific data Click the drop-down box associated with the data element type and
element types. For example, print select a format.
Codes (not Descriptions) for
Mnemonic data elements or
On the Table Data, Data Options tab, click a row in the Data
Format column, click the drop-down arrow, and select a format.
Note: Boolean data element types display LabPro results in a
positive/negative format such as Yes/No, True/False or +/-. For
example, Nosocomial and Excluded from Epi are Boolean data
element types.
Reposition data elements or columns Click the data element or column name to select it.
within a section
On the right side of the table, click the Move data item up or Move
data item down arrow.
or
On the Table Data, Data Options tab, select element or column in
the Show box. Click Move Selected Elements to Top to move all
selected columns to the top of the list.
Expand a column so the combination of Select the Stretch box associated with the column.
columns fits the section width
Note: The column expands at print time when extra space exists
after LabPro fills the section with data. With the exception of Free
Text and Comments, you can only stretch one column.
Important: If you cannot find a section after selecting format and section options, the section may be
hidden under another section. Click Display all report sections. On the Report Sections window, click the
section to select it, and then click Select on Editor. Small red boxes appear on the border of the selected
section.
LabPro includes an interface program that allows you to transmit patient, specimen, and isolate information
between the LabPro computer and other healthcare systems—for example, laboratory information systems
(LIS), pharmLINK systems, or Surveillance Data Link Network (SDLN) products. If the other healthcare
system is a bidirectional LIS, you can transmit patient demographics and specimen information to LabPro and
use that data to order and/or process panels. When LabPro test results are available, you can transmit the
results to the LIS.
This chapter describes how to:
Enable Auto-Monitor so LabPro is always ready to receive transmissions from the LIS.
or
Configure Auto-Request to send requests for data to the LIS at scheduled times.
Configure Auto-Transmit to transmit selected data from LabPro to the LIS at scheduled times.
Manually send a request for data to the LIS.
Manually transmit selected data to the LIS.
View the Interface Queue and Auto-Request and Auto-Transmit schedules.
Print the Interface Log, configure Auto-Delete, and suppress Code Not Found errors.
Troubleshoot interface problems.
Resolve data transmission problems.
Interface cross-reference tips, drug test codes, test group codes, and technical specifications are available in
the LabPro Interface Implementation Guide on the Beckman Coulter website.
View Log View, print, and manually delete the Interface Log.
Auto-Communication Configure LabPro to automatically send requests for data and transmit results to
the LIS by configuring the Auto-Request and Auto-Transmit features.
Transmit Patient Data Manually transmit patient data to another healthcare system.
Transmit Custom Data Transmit custom tables to another healthcare system.
Request Data Manually send a request for data to an LIS.
View Queue Display activities for all active devices.
Stop Transmission Stop a transmission on a device that is currently sending data.
Enable Auto-Monitor Enable/disable Auto-Monitor. When enabled, the device monitors the line for
incoming transmissions.
Japan Only: Auto-Monitor must be enabled to request or receive data.
Print Configuration Print the configuration report for the selected device or all devices.
Print preview View the configuration report for the selected device.
A transmission error occurred. When this icon appears, print or view the Interface
Log. To resolve errors, see “Suppress Code Not Found Errors on the Interface
Log.”
Configure Auto-Request
Some laboratory information systems require a request for data from LabPro before the LIS can transmit
patient orders to the LabPro computer. For these systems, you can either manually send a request for data
each time you want to download LIS patient and specimen data, or you can enable Auto-Request so LabPro
automatically requests orders from the LIS at specified times. LabPro does not specify to the LIS what type of
specimen or isolate data to send.
Important: The Request Data option only applies to specific laboratory information systems.
1. On the Command Center click Interface.
2. On the Interface Monitor, click a device.
3. On the Device menu, click Auto-Communication. The Configure Automatic Transmit/Request dialog
box appears.
4. Select the Enable Auto-Request check box, or clear the check box to disable Auto-Request.
Note: When Auto-Request is disabled, the selected configuration is retained but ignored.
5. In the Time box, type the time to send a request for data and press Enter. Repeat this step for additional
times.
6. Click OK.
Stop a Transmission
You may need to stop a transmission when a problem exists on the receiving system. You can stop a
transmission without causing errors in the LabPro interface, but errors may occur in the receiving system.
1. On the Command Center click Interface.
2. On the Interface Monitor, click the appropriate device.
3. Right-click the device and click Stop Transmission on the shortcut menu.
4. When the message Stop transmission? appears, click Yes. LabPro stops the transmission and sets the
device status to Idle.
Configure Auto-Delete
Unless you change the Auto-Delete configuration, LabPro retains Interface Log entries for one day and
deletes the entries when the LabPro database is backed up. You can change the Auto-Delete configuration to
retain Interface Log entries for up to 7 days.
1. On the Command Center, click Interface.
2. On the Log menu, click Configure Auto-Delete.
3. On the Configure Auto-Delete dialog box, type the number of days you want to retain Interface Log
entries.
4. Click OK.
Code Information
There are two ways to find a code transmitted to LabPro from the LIS:
If the code is not in the LabPro customization table or is not cross-referenced to a LabPro code, a Code
not found error appears on the Interface Log with the code that caused the error.
Look in the Interface Log for the appropriate record that has the code—messages received from the LIS
are underlined. To determine which record and field contain the desired code, compare the record in the
Interface Log with the record attributes in the LabPro Interface Implementation Guide.
You can enter the code in the appropriate LabPro customization table, or cross-reference the code in the
LabPro interface or the LIS.
Another example of a Patient Record shows the field delimiter as (<HT>) and no string delimiters:
Important: When configuring the interface, select the same delimiters as the other healthcare computer
system. Do not use the Header (H) Record to determine the field and string delimiters.
Japan Only:
Record Type Field Dates
Test Order Record (O) 7 Request/Ordered Date
8 Specimen Collection Date
Patient Identifying Record (P) 8 Date of Birth
When merging databases, if you do not select Exclude Interface data, LabPro:
Overwrites the interface configuration settings in your current database with the interface configuration
settings from your backup. This includes all device configuration and auto-communication settings. (The
Interface Log and the Interface Log configuration settings from your current database are retained.)
Sets all the Transmitted Flags in your current database to No. This may cause data that was previously
transmitted to be transmitted again.
Note: Interface cross-reference tips, drug test codes, test group codes, and technical specifications are
available in the LabPro Interface Implementation Guide on the Beckman Coulter website.
The device has a filter defined. Check the filter rule criteria:
The View Filter button is accessible on
the Manual Transmit and Configure
Automatic Transmit/Request dialog
boxes.
A system message appears in the
Interface Log if a filter was applied to
the data prior to transmission.
Data was not in search criteria Use a different data selection option.
range.
Specific search criteria not Data was already transmitted. Use a different data selection option.
finding any specimens Data is inactive. Select Retransmit data previously
sent.
Select Individual specimens with
isolates.
The device filter is screening Check the filter rule criteria:
the data.
The View Filter button is accessible on
the Manual Transmit and Configure
Automatic Transmit/Request dialog
boxes.
A system message appears in the
Interface Log if a filter was applied to
the data prior to transmission.
The protocol settings are not Check the protocol setting; make sure they
correct. match on both systems.
The LIS expects leading zeros Contact your LIS vendor.
for the isolate or specimen If the LIS expects a leading zero on single
numbers. digit isolate numbers, on the Data
Formatting tab, select Isolate Number in
the Transmit with Leading Zeros area.
LabPro interface or the other Codes do not match between Check the Interface Log for errors.
healthcare computer system systems. Change codes on either LabPro or other
did not accept the data healthcare computer system or establish a
element. cross-reference.
Isolates or specimens not Auto-Monitor is not enabled for Make sure Auto-Monitor is enabled for the
displayed in Patient Order the device. device. If not, enable Auto-Monitor and re-
Entry or WalkAway Bar Codes transmit orders.
window after a download from
the LIS.
Errors occurred in Check the Interface Log for any errors.
transmission.
The field and string delimiters Check the field and string delimiter
are not configured correctly. configurations.
Panels are not configured as Check the WalkAway Panel Configuration
WalkAway panels in LabPro. in LabPro.
LabPro is only sending [STX] Usually indicates that the Switch to a valid port.
when transmitting to another interrupts are blown on the
healthcare computer system. COM port.
Test Group does not appear The LIS is transmitting the Change the test group codes in your LIS
or wrong test group appears in wrong test group code to or cross-reference the test group codes in
LabPro. LabPro. LabPro.
Patient Name/Demographics The LIS is transmitting different Some multi-site laboratory information
not correct in LabPro for a patients with same ID number. systems allow duplicate patient ID
specific ID #. Patient ID numbers must be numbers but an additional identifier is
unique in LabPro. used to ensure uniqueness. The LIS is not
sending this identifier. Check with your LIS
vendor.
LabPro is not sending Patient A filter is configured for the Click Find before transmitting data. The
Data (specific patients). device. Search Results box displays all data to
be transmitted. Check the filter criteria:
A filter is configured for the
device and a record has a The View Filter button is accessible on
blank field that is required for the Manual Transmit and Configure
the filter. Automatic Transmit/Request dialog
boxes.
A system message appears in the
Interface Log if a filter was applied to
the data prior to transmission.
Edit the device filter.
Enter appropriate data on specimen
record then retransmit that specimen
number.
LabPro not sending all data Record or field is suppressed. Check Data Suppressions.
for certain patients.
LabPro did not send Interpretation has been cross- Delete the cross-reference.
interpretations. referenced to “Blank”.
When using Individual Specimen does not have an Use another option to transmit data.
Specimen with Isolates to isolate.
transmit data, a specimen Specimen was previously Select Retransmit data previously sent.
number does not display in transmitted.
the Search Results list.
Interpretations not appearing Inappropriate drug/bug Check Patient Review and Edit to see if
in receiving system. combination. interpretation was generated for the drug
test. Consult the LabPro Therapy Guide
for further information.
Interpretations are suppressed Interpretation is cross-referenced to a
in the interface. blank.
Check the Data Suppressions tab in the
Message Layer.
Check with the LIS vendor.
MIC values are suppressed Receiving system may need the MIC
from transmitting. values for calculating interpretations. Make
sure the MIC values for Breakpoint or
standard panels are not suppressed.
Non-reportable drugs are If selected, all drugs suppressed by
suppressed. LabPro, either through Formulary or drug
suppression rules are not transmitted.
Synergy Drug Records not Synergy Drug Records are Check that gentamicin or synergies are
transmitted or stored in the suppressed. not suppressed in LabPro.
receiving system. Check to make sure synergy drug records
are not suppressed in Data Suppressions.
Confirm synergy drugs are defined in the
LIS.
The incorrect checksum type was Verify that the LabPro checksum
selected during interface type is the same as the sending
configuration or no checksum was system.
received.
Bad Date Format LabPro received a date that is In the message layer on the Data
unrecognizable. Formatting tab, change format to
The date format is set incorrectly. match the other healthcare computer
system.
A future date was received; LabPro Check with the LIS concerning
does not accept dates in the future. sending future dates.
Birth dates are sent using a 2-digit Check if the LIS sends DOB flag or if
year, and the LIS does not send the possible, change format to a 4-digit
DOB flag. year.
Bad Specimen # format The specimen # contains illegal Check the specimen number in the
characters. LIS.
The specimen # exceeds 20 Check the tagging configuration.
characters. Tagging may cause the specimen #
to exceed 20 characters.
Bad Time format <time> The time format received does not Change the time format to match
agree with the configured time receiving system.
format.
The time format is configured
incorrectly.
Break Interrupt Received This error occurs when the interface
program is attempting to receive
information and:
Data link and/or physical layer Check the physical and data link
configuration is incorrect. layer configurations.
The transmission line (cable or Check the cable and connections.
connectors) is faulty.
The sending system is rebooting.
Depending on your system configuration, LabPro either receives patient orders from a laboratory information
system (LIS) or you must enter patient orders directly in LabPro. The following illustration shows the patient
order process.
Use Worklists
The Worklist area of the Patient Order Entry window allows you to display and work with a specific set of
specimens. You can either display all specimens received from an LIS without isolates or test groups, or run a
patient query to select only those specimens defined by the query. LabPro refreshes or updates the worklist
each time you open the Patient Order Entry window. LabPro does not automatically refresh the worklist when
the window is open, but you can manually refresh the data or rerun a query at any time. LabPro removes a
specimen from the worklist when: you add an isolate or test group and save the data; you select a specimen on
the worklist and use the Remove command; or the specimen is finalized.
Add a new isolate and order See “To add new isolates and test groups.”
tests
Add a specimen test See “To add specimen tests and observations.”
Save the specimen and clear Click Save.
the Patient Order Entry
window
Clear the Patient Order Entry Click Clear on the toolbar, and then click Clear Specimen. On the
window without saving the confirmation message, click No.
specimen and patient data
Add results for a Free Text Type results in the Results box.
type specimen test
Click Final in the Status area to finalize the specimen test. All specimen
tests must have a Final status before the specimen can be finalized.
Add observations and Press Insert to add the first row.
quantitations for a Code
In the Observation column, type a code—or, press F3 or click the
type specimen test
Lookup button and select a code from the table. Press Enter to move to
the Quantitation column.
Note: You can press Tab to move from column to column, but Lookup
buttons do not display. To display a Lookup button, press Enter while
positioned in a cell, or click inside the cell.
In the Quantitation column, type a code—or, press F3 or click the
Lookup button and select a code from the table. Press Enter.
In the Result Date column, type a date, or click the Lookup button and
select a date from the calendar. Press Enter.
Note: Press Insert to add a row above a selected row, or press Ctrl +
Insert to add a row after the last row.
To finalize a specimen test, click Final in the Status area. Specimen
tests must have a Final status before the specimen can be finalized.
To delete an item of information, right-click the item to select it, and
click Delete on the shortcut menu. On the confirmation dialog box, click
OK.
5. When finished, click OK to return to the Specimen Tests tab.
The specimen number Select the existing number, and then type the new number, or use basic text
editing functions.
The patient ID See “Edit a Patient ID.”
Most text boxes Type the new code and press Enter, or click the Lookup button and select a
code from the table.
To delete information, position the pointer in the box and press Delete—or if
necessary, select the information and then press Delete.
Dates and times Type a date or time in the specified format. For details, see “Enter Dates” or
“Enter Times.”
Free text Use basic text editing functions to modify text. To edit extensive text, click the
Editor button on the right side of the Free Text box.
Comments Click the Button on the right side of the Comments box to display the Selected
Comments dialog box.
Click the first blank line to add a new comment, or click an existing comment to
change a comment. Then, type a valid comment code and press Enter, or click
the Lookup button and select a code from the Comments table. To delete a
comment from the Selected Comments dialog box, click the comment to select
it, and then click Remove. When all edits are complete, click OK.
3. To recall an isolate, on the Isolate Tests tab, double-click the isolate in the isolates and test groups list.
Do any of the following to edit isolate and test group information.
To Do this
Edit the isolate Select the entry in the Isolate box, and type the new number or letter.
number
Order additional tests In the Order box, type a code—or click the Lookup button and double-click an
for the isolate order in the Orders table.
Note: You cannot change a test group that has already been accepted for an
isolate. Instead, delete the test group and then add the new one.
Change the organism, In the appropriate box, type a new code and press Enter—or click the Lookup
family, additional test button and then double-click an item in the table. To delete information, select
result, or isolate tech the text in a box and press Delete.
Add or change free Edit the same as patient and specimen free text and comments.
text or comments
Accept the isolate Click Accept Isolate—or click Clear Isolate, and click No on the confirmation
changes or cancel the dialog box. If necessary, repeat step 3 to change data for another isolate.
changes
Edit free text results Use basic text processing features. Right-click in the Results box to display a
shortcut menu.
Edit observations, Type a code or date in the column—or, press F3 or click the Lookup button to
quantitations, and result display a table or calendar, and then select a code or date. Press Enter to move
dates to the next column.
Note: You can press Tab to move from column to column, but Lookup buttons
do not display. If you prefer to use the Tab key, press Enter while positioned in
a cell or click inside a cell to display the Lookup button.
To add a row above the pointer position, press Insert. To add a row after the
last row, press Ctrl + Insert.
To delete a specimen test result, right-click the row, and click Delete on the
shortcut menu. On the confirmation dialog box, click OK.
Change the specimen In the Status area, click Final or Preliminary.
test status
Note: All specimen tests must have a Final status before the specimen can be
finalized. If you change the status for a specimen test from Final to Preliminary,
LabPro automatically sets the specimen status to Preliminary.
Return to the Click OK. If applicable, repeat step 4 to edit another specimen test.
Specimen Tests tab
5. Click Save to save the specimen and clear the window—or, to clear the window without saving the
changes, click Clear Specimen. When the confirmation message appears, click No.
If you changed an item of patient or specimen information that may be used in a drug suppression or
AlertEX System rule, LabPro reprocesses the isolate results for this specimen when you click Save.
Reprocessing the results clears all manually entered interpretations and reapplies drug test
suppression and AlertEX System rules. Use the Patient Review and Edit feature to review the
reprocessed results.
If you changed an item of patient information that might cause a drug suppression or AlertEX System
rule to be applied to—or removed from—other specimens belonging to the same patient, the
Modified Patient dialog box appears.
To print the information on the Modified Patient dialog box, click Print. When the Print dialog
box appears, click OK. To return to the Patient Order Entry window, click Continue. LabPro
saves the changes you made on the Patient Order Entry window and clears the window.
To review each specimen, recalculate drug suppressions, and if applicable, reapply Alert System
rules, see “Retrieving Stored Specimens.”
This chapter describes how to process panels in a WalkAway or autoSCAN-4 instrument and how to read a
panel manually. Instructions for resolving panel processing alerts and exception messages are provided at the
end of this chapter.
LIS
Yes
Enter patient or
Non- Print bar code
Start LIS
QC orders
labels
into LabPro
WalkAway scans
bar codes
No
Yes Yes
Print reports
Any
LabPro stores and/or transmit
exceptions? No
panel results panel results
to LIS
Yes
Abandon,
Resolve Acceptable
No delete, or End
exceptions results?
reorder panel
Yes
Print reports
Save and store
and/or transmit
results in
panel results
LabPro
to LIS
Sort the panels differently Click the Specimen/Lot #, Panel Type, or Print Date column heading
to select the sort order, or right-click anywhere in the list and then click
Sort on the shortcut menu. Patient panels always appear before QC
panels.
Print an alignment bar code Click Align.
label
The bar code printer prints one bar code label. If necessary, adjust the
bar code labels in the printer and print another alignment label until the
bar code is aligned on the label.
3. Reprint bar code labels as needed.
To reprint Do this
One bar code label Click the appropriate panel to select it, and then click Print.
Multiple bar code labels Press Ctrl, click each panel, and then click Print.
Bar code labels for all Right-click anywhere in the list, click Select All, and then click Print.
panels on the Reprint
Bar Codes dialog box
4. When finished, click Close to return to the WalkAway Bar Codes window.
Note: LabPro removes a panel from the Reprint Bar Codes dialog box when the WalkAway instrument
identifies and begins processing the panel or if the panel is abandoned.
CAUTION
Do not extend the bar code label beyond the top edge of the panel. If any part of the label extends over
the top of the panel, the WalkAway instrument may jam.
WARNING
If you open the panel access door and the LED status lights next to the tower slots are flashing at a very
fast rate, the door sensor may have failed to detect that the door is open.
Close the door, turn off the instrument, wait 30 seconds, and then turn on the instrument again. If the
lights are still flashing, call the Customer Care Center.
CAUTION
Make sure the lid drops into place. A panel jam will occur if the lid is not properly seated in the tower
slot.
8. Repeat this procedure for each panel to be loaded into a WalkAway instrument. You may have to open
and close the panel access door and rotate the towers several times.
9. When you are finished loading panels, close and lock the door to terminate access.
To lock the instrument doors, you may either press the Quick Access button on the instrument control
panel or click Lock Door on the WalkAway Monitor.
Important:
If you do not terminate access to the WalkAway instrument before the allotted time expires, the
WalkAway Monitor displays the message ACCESS OVERTIME in the Access area. Quickly close
any opened instrument doors, and then press the Quick Access button or click Lock Door to
terminate access.
If you terminate access without closing all instrument doors, the WalkAway Monitor displays a
message in the Access area indicating which door must be closed. Quickly close the instrument
door, and then press the Quick Access button or click Lock Door to terminate access.
If Then
A panel was not loaded into a WalkAway 1. Close the Unread Panels dialog box.
instrument, and the interval between panel
2. Load the panel into a WalkAway instrument.
setup and the start of incubation has not
exceeded the following guidelines: 3. Terminate access to the instrument.
Rapid and Synergies plus panels—15 Note: If you decide to read the panel manually or in an
minutes autoSCAN-4 instrument, LabPro abandons the panel
Dried Overnight panels—one hour from WalkAway processing and removes it from the
Unread Panels dialog box.
New Exceptions Exist Click the Exception Status tab to review the exceptions and clear this error
and Reported message. Depending on the type of exception, resolve the exception immediately
Interpretation or after panel processing is completed. For additional information, see “Resolve
Changed messages WalkAway Panel Processing Exceptions.”
Unreviewed Critical Double-click the panel slot on the WalkAway Status tab and review the critical
Alerts Exist messages alert message on the Results Summary and Edit dialog box. For additional
information, see “To remove the unreviewed symbols for critical alert
messages.”
Time-Critical Double-click the panel slot on the WalkAway Status tab and resolve the Very
Exceptions Exist Rare Biotype, Low Probability ID, or Indole Required exception on the Results
messages Summary and Edit dialog box. For details, see “Resolving Panel Processing
Alerts and Exception Messages.”
Communications Note the numeric value contained in the error message. Make sure that the
Failure messages instrument and the power are turned on, and check the GPIB cable connection
on the back of the instrument. The numeric values are defined as follows:
1 Send timeout
2 Received timeout
3 Send garbled
4 Received garbled
5 DLE timeout
6 GPIB mismatch
7 GPIB not found
WARNING
If you open the panel access door and the LED status lights next to the tower slots are flashing at a
very fast rate, the door sensor may have failed to detect that the door is open.
Close the door, turn off the instrument, wait 30 seconds, and then turn the instrument on again. If the
lights are still flashing, call the Customer Care Center.
Tip: You can move a panel in process to another slot in the same tower or a different tower—for
example, you may want a tower to contain only panels still being processed. It is recommended that you
move the panel before terminating instrument access.
If you remove the panel from a tower slot and do not replace it before terminating access and before the
bar code scan begins, LabPro displays a Panel missing exception. You can resolve the exception by
placing the panel into any tower slot at that time.
3. Carefully and evenly grasp the panel and panel cover from a tower slot with a blinking red light.
4. Gently pull the panel and lid toward you until they are completely removed from the tower slot.
5. Repeat this procedure for each panel to be unloaded from the instrument. You may have to open and close
the panel access door and rotate the towers several times.
6. When you are finished unloading panels, close and lock the door to terminate access.
To lock the instrument doors, you may either press the Quick Access button on the front control panel or
click Lock Door on the WalkAway Monitor, regardless of the method that you used to open the doors.
Note: Quick Access is not available while the WalkAway instrument scans bar code labels.
Important:
If you do not terminate access to the WalkAway instrument before the allotted time expires, the
WalkAway Monitor displays the message ACCESS OVERTIME in the Access area. Quickly close
any opened instrument doors, and then press the Quick Access button or click Lock Door to
terminate access.
If you terminate access without closing all instrument doors, the WalkAway Monitor displays a
message in the Access area indicating which door must be closed. Quickly close the instrument
door, and then press the Quick Access button or click Lock Door to terminate access.
Aborted–Available Data Can you read the panel manually or in an autoSCAN-4 instrument?
Has the panel incubated too long to accurately read the MICs and
all biochemicals? For example, the MICs have incubated longer
than 24 hours.
Edit the panel data, review On the Exception Status, Load Status, or WalkAway Status tab,
alert messages and comments, double-click the panel to display the available data on the Results (or
or save the panel results QC Results) Summary and Edit dialog box. For details, see Chapter 8.
Reorder, delete or abandon a On the Load Status or Exception Status tab, right-click the panel and
panel click Reorder, Delete, or Abandon on the shortcut menu. When the
confirmation box appears, click OK.
Important: The following exceptions require immediate attention. For details, see “Resolving Panel
Processing Alerts and Exception Messages.”
Duplicate panel record (aborted)
Oil dispense failed
Panel missing
Panel pickup failed (aborted)
Reported Interpretation Changed
Unrecognized (aborted)
Unreviewed Critical Alert messages. For details, see the following procedure.
Time-Critical Exceptions—Low probability ID, Very Rare Biotype, and Indole Required (Synergies
plus clinical panels only)
16–20 hours Read the antimicrobial wells and certain growth/no growth ID Hold Read
biochemicals on a Dried Overnight Combo or ID only panel
because:
Biochemical reactions are not ready to read and reagents
have not been added.
Panel incubation must continue after this instrument read.
CAUTION
If the panel does not fit properly on the block, do not force it. Instead, read the panel visually and enter
the results manually.
If you used this LabPro stores this information Complete the following steps
processing option
Add an MIC for each antimicrobial Double-click the last well that shows visible growth or
single-click the well that represents the MIC.
Report an MIC value greater than the Double-click the well with the highest antimicrobial
highest antimicrobial concentration concentration.
Report an MIC as less than or equal to the Click the well with the lowest antimicrobial concentration
lowest antimicrobial concentration to show no growth.
Include or exclude an antimicrobic MIC Right-click a well in the series, and then click Toggle N/R
from patient and epidemiology reports for Selected MIC. Red hatch marks indicate the
antimicrobic will not be reported.
9. Review the panel to be sure all MIC results have been added. Antimicrobial wells without results are
gray.
10. Click Process test group data to calculate the results.
If a biochemical well appears with a yellow background, the result is atypical with a negative
reaction. If the well has a yellow background and a black dot, the result is atypical with a positive
reaction.
11. Review and edit the panel results as described in Chapter 8.
Organism required When an MIC only panel On the Results Summary and Edit dialog box,
was ordered, the isolate enter an organism—or select an organism from the
organism was not Organism table—and then click Save.
entered. An isolate
organism is required to
determine drug
interpretations and store
panel results.
Out of control The actual test results for On the QC Results Summary and Edit dialog box,
a QC strain did not match review the panel results. Enter text as needed to
the expected values. document corrective actions, and then click Save.
Overtime (aborted) The instrument did not For Dried Overnight or Rapid Chromogenic ID
read the panel within the panels, you can do any of the following:
allotted time due to, for
If results are available or stored, review, edit, and
example, a power failure,
save the results on the Results Summary and
jam, or failure to end
Edit dialog box.
instrument access.
Abandon the panel and read the panel manually
or in an autoSCAN-4 instrument.
Reorder or delete the panel on the Exception
Status tab.
Note: Aborted Rapid Chromogenic ID panels should
be read as close to 4 hours as possible, if
processing manually or in an autoSCAN-4
instrument.
For Rapid Fluorogenic panels, you can do any of the
following:
Review and save any available results on the
Results Summary and Edit dialog box.
Reorder or delete the panel on the Exception
Status tab.
(continued)
Invalid OF/B The OF/B well is yellow. Inspect the panel to determine the OF/G reaction.
(WalkAway Only)
On the Results (or QC Results) Summary and Edit
dialog box, edit the panel results, click Process test
group data, and then save the results or reorder or
delete the panel test group.
Invalid control well Insufficient light was Dried Overnight Panels Only
transmitted through the
Inspect the control well. If the well is grossly
control well.
contaminated, you can delete or reorder the panel.
If you choose to save the results after reviewing or
editing them, on the Results (or QC Results)
Summary and Edit dialog box, click Save.
The control well value Rapid Fluorogenic Panels Only
was out of range on a
On the Results (or QC Results) Summary and Edit
Rapid Combo or MIC
dialog box, the organism ID is valid, if available. The
panel.
MIC values are not valid and display as N/R.
If not already stored, you can save the organism ID.
You can also reorder or delete the panel test group.
Check the storage conditions for the Rapid panels and
broths. (continued)
The Results Summary and Edit dialog box displays automatically after a successful panel read in an
autoSCAN-4 instrument. This dialog box allows you to review and edit the autoSCAN-4 instrument results
before storing them in the LabPro database.
Unlike the autoSCAN-4 instrument, the panel results from a panel read in a WalkAway instrument are
automatically stored in the LabPro database when no exceptions exist. Therefore, when processing panels in a
WalkAway instrument, you will most often use the Results Summary and Edit dialog box to resolve
exceptions that prevent the WalkAway instrument from storing results in the LabPro database.
You can also display the Results Summary and Edit dialog box from the Patient Order Entry window to
manually enter panel results.
Japan Only: If LabPro is customized to report JSC breakpoints and you entered a disease state as part of
the patient order, breakpoints based on the disease state appear in the JSC - IV, PO, IM column.
Interpretations
Interpretation Description
N/R An N/R interpretation has been entered for an offline test.
In very rare cases, the antimicrobic dilution scheme on a panel does not allow for a
definitive interpretation.
S Sensitive
I Intermediate
R Resistant
EBL? Suspected extended-spectrum beta-lactamase producing organism.
ESBL Confirmed extended-spectrum beta-lactamase producing organism.
3. To view the antimicrobial results and biochemical reactions, click the Panel tab.
4. Use the following charts to interpret the results on the Panel tab.
Antimicrobial Results
If an antimicrobial well has… It means...
A black dot on a white Growth was detected in the well.
background
A white background Growth was not detected in the well.
A red background in each well The instrument detected a well with no growth followed by growth in a
in an antimicrobial series well with a higher concentration of the antimicrobic. The panel has
skipped wells.
If you change the MIC, the
background color remains red.
Red hatch marks through the The antimicrobial is set to N/R—not reported—by the operator. The
box surrounding all drug MIC values and interpretations will not print on patient reports or
concentrations of an be included in certain epidemiology reports.
antimicrobial
A gray background The panel has an MIC Hold or 24 Hour Hold status and the well has not
been read by the instrument.
If you are entering results manually, the result has not been entered.
Tip: To display the Panel Edit Legend, press F5 or right-click anywhere on the panel picture and click
Legend.
5. Check the Alerts area of the Results Summary and Edit dialog box for messages or exceptions that
require your intervention.
If a + appears before an alert message, click the + to display alert comments. To view the AlertEX
System rule, right click the alert and click View Rule in the popup box.
To view all alert/exception messages and resolution comments for this isolate, click Record Alert
Resolutions. For details, see “Add Alert Resolution Comments and View the Isolate Alert History.”
6. Click Save or Save and Print CPSR to store panel results without making any changes, or choose one of
the following actions.
To Do this
Change an MIC Double-click the last well that shows visible growth or single-
click the well that represents the MIC.
Report an MIC value greater than the Double-click the well with the highest antimicrobial
highest antimicrobial concentration concentration. LabPro adds a growth indicator (a black dot) to
all wells in that antimicrobial series.
Report an MIC as less than or equal to Click the well with the lowest antimicrobial concentration to
the lowest antimicrobial concentration show no growth. LabPro removes the growth indicator from all
wells in that antimicrobial series.
Exclude or Include an antimicrobic Right-click any well in the antimicrobial series and click
MIC from patient and epidemiology Toggle N/R for Selected MIC. Red hatch marks on all wells in
reports the series indicate the MIC will not be reported.
Note: You can view any available MICs from the original reads in Patient Review and Edit.
3. Click Process test group data to recalculate the interpretations.
Note: When you edit an MIC result in an antimicrobial series that has one or more skipped wells, the
exception Skipped wells is not cleared until you save the results.
Important: When a panel has a 24 Hour Hold status, the instrument does not read all of the antimicrobial
wells at the 16/18-hour read. The results for these unread wells are not determined until the 24-hour read.
You can manually enter MIC values for the unread antimicrobials prior to the 24-hour read but, if you do,
LabPro displays a confirmation message indicating that the 24-hour hold will be cancelled. If the panel is
processing in a WalkAway instrument, the panel is abandoned.
2. Click Process test group data to recalculate the organism and/or antimicrobial susceptibilities.
Add Alert Resolution Comments and View the Isolate Alert History
You can use the Alert Resolution dialog box to add comments and free text explaining how you resolve any
or all alert/exception messages. The Alert History area of the Alert Resolution dialog box includes all
alert/exception messages generated for an isolate. Informational messages—such as 24 Hour Incubation
Required, Possible Overtime, and Confirm Results—are not shown or retained
1. On the Results Summary and Edit dialog box, click Record Alert Resolution on the toolbar.
The Alert Resolution dialog box displays past and current alerts and exception messages for the isolate.
Messages display in priority sequence—not in the order of occurrence.
On the WalkAway Monitor On the Load Status or Exception Status tab, right-click the panel and
click Abandon on the shortcut menu. When the confirmation dialog box
appears, click OK.
On the Results Summary If necessary, on the WalkAway Status, Load Status or Exception
and Edit dialog box Status tab, double-click a panel to display the Results Summary and
Edit dialog box. Click Abandon and then click OK on the confirmation
dialog box.
Delete a panel on the On the Load Status or Exception Status tab, right-click the panel and
WalkAway Monitor click Delete on the shortcut menu. When the confirmation box appears,
click OK.
Delete a panel or isolate on If necessary, on the WalkAway Status, Load Status or Exception
the Results Summary and Status tab, double-click a panel to display the Results Summary and
Edit dialog box Edit dialog box. Complete steps 2 and 3.
2. On the Results Summary and Edit dialog box, click Delete.
The Delete Isolate/Test Group dialog box appears.
3. Choose one of the following actions.
To delete the panel, the results from the current read and any stored results, click Delete Test Group.
LabPro deletes all references to the test group except the alert history, if applicable.
Japan Only: If LabPro is interfaced with another information system, do not delete test groups;
delete isolates only.
To delete the isolate and all associated panel and offline test groups and results, click Delete Isolate.
LabPro deletes the isolate from the database and removes all references to the isolate.
If a WalkAway instrument is currently processing one or more panels for the isolate, LabPro abandons the
selected panel or all panels for the isolate.
CAUTION
When retesting QC panels, do not routinely use the Reorder command. Reorder deletes all stored panel
data, including your documentation of the original out–of-control results and any corrective action entered.
Instead, using QC Order Entry, select the QC strain to be retested from the specific QC strain list.
On the WalkAway Monitor On the Load Status or Exception Status tab, right-click the panel and
click Reorder on the shortcut menu. When the confirmation dialog box
appears, click OK.
On the Results Summary If necessary, on the WalkAway Status, Load Status or Exception
and Edit dialog box Status tab, double-click a panel to display the Results Summary and
Edit dialog box. Click Reorder test group and then click OK on the
confirmation dialog box.
This chapter describes how to print instrument, panel, patient and epidemiology reports. To print quality
control reports, see “Performing Quality Control.”
Comprehensive Panel Status The CPSR contains results obtained directly from the WalkAway instrument
Report (CPSR) and any patient panel results stored in the LabPro database for a single
panel. Use the Results Summary and Edit dialog box to print a CPSR for
one panel. Use the WalkAway Monitor to print reports for all panels in the
WalkAway instrument, all panels with alerts or exceptions, or all panels on
the Troubleshooting window.
Preliminary Panel Data You can print a Preliminary Panel Data Report for any patient panel
Report processing in a WalkAway instrument that has available data or is listed on
the Exception Status tab.
Preliminary Panel Data Reports are not Chartable Reports, but rather printed
copies of partial panel results. It must be emphasized that the information
contained on these reports is preliminary and subject to change. All drugs
have not been completed and all potential alert rules and drug suppressions
may not have been applied.
Panel Alert Report You can print a Panel Alert Report for patient panels that have alerts,
exceptions, or certain hold messages. Panel Alert Reports include current
panel alerts and exceptions as well as an alert history for the isolate.
Raw and Processed Panel The Customer Care Center may ask you to print one or both of these reports
Data Reports to troubleshoot problems with biochemical and MIC misreads.
To print a CPSR or Raw or Processed Panel Data Report using the Troubleshoot
command
1. On the WalkAway Monitor, click Troubleshoot.
2. On the WalkAway Troubleshooting window, click the panel to select it.
To print reports for multiple panels, press Ctrl while selecting panels.
3. Click Print.
4. On the Print dialog box, click Comprehensive Panel Status Report, Raw Panel Data Report, or
Processed Panel Data Report, and then click Print.
5. On the Windows Print dialog box, click OK.
Print Reports from the Results Summary and Edit Dialog Box
Use the following procedures to print Raw Panel Data, Processed Panel Data, Comprehensive Panel Status,
Panel Alert, and Preliminary Panel Data reports for the panel displayed. You can also view and print a list of
probable organisms, additional tests, footnotes, and special characteristics.
2. To print a different report, in the Reports Types area, click a report type.
3. In the Report Options area, click a standard or custom report format.
4. If you selected Chartable Reports, Lab Reports, or Short Format Reports in step 2, complete the
following actions, as applicable.
Click the Primary Sort Order arrow and select an option. If desired, click the Secondary Sort Order
arrow and select an option.
To include any isolates previously printed on the same Chartable Report or Lab Report, select the
Include specimens already printed check box.
5. In the Search Type area, click one of the options.
LabPro displays the required search criteria for that option at the right of the Search Type area.
Search type Search criteria
6. Enter the specific search criteria for the selected search type.
If a search option requires dates, you can click the From and To Calendar buttons and then double-
click the desired dates. To specify a single date instead of a range, type the From date only. Press
Enter.
If search criteria can be selected from a table, you can click the Lookup button and double-click an
entry to select it. Press Enter.
To select a status, click the Complete, No Data, ID Hold, MIC Hold, ID/24 Hour Hold, 24 Hour
Hold, or Preliminary check box. Press Enter—or, add a date range and then press Enter.
After you add the search criteria and press Enter, your selections appear in the Selected List.
Note: To delete any entry in the Selected List, right-click the entry and then click Delete on the shortcut
menu.
CAUTION
To avoid merging duplicate records that should not be overwritten by information on the destination
computer, make sure:
The customization in both databases is identical.
Both databases include the same name and detailed information for each patient ID.
The specimen number and collect date combinations in each database are unique.
CAUTION
If you back up a database while WalkAway panels are still processing, exception and alert
messages and unstored test results will be lost when you merge databases.
CAUTION
It is strongly recommended that you also back up the destination computer prior to merging
databases. If necessary, you can use the backup to restore the original settings on the destination
computer.
Close all opened LabPro windows and dialog boxes. On the Command Center, click Exit LabPro
System.
2. If you are merging a backup file from an external storage device—for example, a CD or flash drive—
insert the device into the appropriate drive.
3. On the Windows Taskbar, click Start, point to Programs, point to MicroScan LabPro, and then click
Merge. The LabPro Merge window appears.
4. Click the LabPro backup Lookup button, navigate to the proper location, and then double-click the
backup file to select it.
5. In the Log comment box, type the text you want to appear at the top of the Merge Log, if any.
6. Use the following selections when merging databases for epidemiology:
After patient and specimen data are stored in the LabPro database, you can review, edit, and finalize the
stored data. Results for panels still processing in the WalkAway instrument may not be available in Review
and Edit but may be available from the WalkAway Monitor. You can look for active or inactive specimens
using a search type—for example, Collect Date or Patient—or you can use a patient query to perform
sophisticated searches.
Review and edit the specimen In the Search Results list, double-click the specimen. The Patient
data resulting from your Review and Edit window appears. See “Reviewing and Editing Stored
search Specimen Data.”
Apply the current list of drug Select one or more specimens from the Search Results list, right-click
suppressions and AlertEX the specimen, and click Reprocess on the shortcut menu. When the
System rules to all isolates for confirmation dialog box appears, click OK to clear all User
the selected specimens interpretations and reprocess the results, or click Cancel to exit without
reprocessing the results.
CAUTION
After recalculating suppressions and rules it may be necessary to send a
corrected report to the physician if new suppression or AlertEX System
rules have been applied to past stored patient data.
Print a report of specimen data Select one or more specimens from the Search Results list, click Print,
and click a standard or custom report format. On the Windows Print
dialog box, click OK.
Clear all search criteria, Click Clear.
Selected List entries, and
search results
To view isolate details and the associated panel and offline test groups, click the isolate on the Isolate
Tests tab. Details and test groups display on the Isolate Details tab. To view test results, click the
Antimicrobic Results tab. If necessary, refer to the following result guidelines.
The Antimicrobic Results tab displays MIC values and interpretations for all antimicrobics for the
selected isolate. Results include panel and offline tests. Test results may include standard LabPro
System interpretations, Expert interpretations generated by the AlertEX System, and Final
interpretations.
Japan Only: If LabPro is customized to report JSC breakpoints, and you entered a disease state as
part of the patient order, breakpoints based on the disease state appear in the JSC - IV, PO, IM
column.
Note:
The symbol Ø next to an antimicrobial indicates that LabPro is customized to suppress the
antimicrobial drug from appearing on patient reports.
The symbol ** indicates an offline test.
The notation N/R indicates the antimicrobic is not reported or the result is pending panel
completion.
The notation N/R [MIC value] indicates the antimicrobic was manually set not to report. LabPro
retains the MIC value.
An interpretation prefixed by a caret (^)—for example, ^ R—depicts a panel interpretation that
changed after it was transmitted to an LIS or printed on a Chartable Report.
S* indicates the interpretation is predicted to be susceptible based on other panel results, or the
interpretation was changed by a user or changed based on an AlertEX System rule.
R* indicates the interpretation is predicted to be resistant based on other panel results; the
interpretation has been forced to resistant—regardless of the MIC value—because the organism
Display AlertEX System messages Click Process. AlertEX System messages display again if the
conditions that caused the original messages to display on the
Results Summary and Edit dialog box still exist.
View the AlertEX System rule that On the Isolate Tests tab, in the ID Origin column, right-click
changed an organism identification the rule code, and click View Origin Rule on the shortcut menu.
View the AlertEX System rule that On the Antimicrobic Results tab, in the Origin column, right-
changed a System interpretation click the rule code, and then click View Origin Rule on the
shortcut menu. If this column is locked, click Unlock Final
Column and enter the password.
Edit isolate, panel test group, patient, See the appropriate procedures later in this section.
and/or specimen data
Review the alert history for this isolate Click Record Alert Resolution. For detailed information, see
or add alert resolution comments and “Add Alert Resolution Comments and View the Isolate Alert
free text History.”
Reorder a test group On the Isolates Details tab, right-click the panel test group, and
then click Reorder Test Group. When the confirmation dialog
box appears, click OK.
LabPro reorders the test group and sets the status to Ordered
(WalkAway panels) or No Data (non-WalkAway panels).
Note: If you reorder a panel that is processing in a WalkAway
instrument, LabPro abandons that panel from WalkAway
processing and adds the new panel to the WalkAway Bar Codes
window. LabPro retains any alert history for the isolate.
Delete a specimen, isolate, or test Click Delete, and then click Delete Specimen, Delete Isolate,
group or Delete Test Group, respectively. When the confirmation
dialog box appears, click OK. If you delete a test group, LabPro
retains the alert history for the isolate.
Japan Only: If LabPro is interfaced with another information
system, do not delete test groups; delete isolates only.
Close the Patient Review and Edit Click the Close button to return to the Patient Review and Edit –
window Search window.
Tip: To delete or finalize a test group, you can also right-click a test group on the Isolate Details tab,
and then click Delete Test Group or Finalize Test Group, respectively, on the shortcut menu.
To delete or finalize an isolate, you can right-click an isolate on the Isolate Tests tab, and then click
Delete Isolate or Finalize Isolate on the shortcut menu.
Edit isolate antimicrobic results, panel See the appropriate procedures later in this section.
test group results, and/or patient and
specimen demographics
Finalize the data See “Finalize a Specimen, Specimen Test, Isolate, or Test
Group.”
Save your changes and exit Click Save.
Review the alert history and view/edit Select an isolate and click Record Alert Resolution. For
alert resolution comments detailed information, see “Add Alert Resolution Comments and
View the Isolate Alert History.”
Close the Patient Review and Edit Click the Close button.
window
Edit panel test group results and/or See the appropriate procedures in this section.
patient and specimen demographics
Finalize the data See “Finalize a Specimen, Specimen Test, Isolate, or Test
Group.”
Save your changes and exit Click Save.
Review the alert history Select an isolate and click Record Alert Resolution. For
and view/edit alert resolution detailed information, see “Add Alert Resolution Comments and
comments View the Isolate Alert History.”
Close the Patient Review Click the Close button.
and Edit window
Edit patient and specimen See the next procedure in this section.
demographics
Save your changes and exit Click Save.
Close the Patient Review and Edit Click the Close button to return to the Patient Review and Edit –
window Search window.
Edit free text Use basic text editing features. Right-click in the free text area to display a
shortcut menu.
Edit observations, Type a code or date in the column—or, press F3 or click the Lookup button to
quantitations, and display a table or calendar, and then select a code or date. Press Enter to move
result dates to the next column.
Note: You can press Tab to move from column to column, but Lookup buttons
do not display. If you prefer to use the Tab key, press Enter while positioned in
a cell or click inside a cell to display the Lookup button.
To add a row above the pointer position, press Insert. To add a row after the
last row, press Ctrl + Insert.
To delete a specimen test result, right-click the row, and click Delete on the
shortcut menu. On the confirmation dialog box, click OK.
3. To change a Final or Preliminary specimen test status or delete a specimen test, right-click the specimen
test and select Toggle Specimen Test Status or Delete Specimen Test on the shortcut menu.
4. To save your changes and exit, click Save.
When you exit from the Patient Demographics dialog box, LabPro reprocesses the results for all isolates
associated with the specimen and reapplies drug test suppression and AlertEX System rules. Manually
entered interpretations (that is, results in the Final column with a User Origin) are cleared when results are
reprocessed.
1. On the Patient Review and Edit window, click Patient Demographics. When the warning message
displays, click OK to continue.
2. On the Patient Demographics window, choose one of the following actions:
To edit the Patient ID for the subject specimen only, on the Data menu, click Clear Patient. In the
Patient ID box, type the new patient ID and press Enter—or click the Lookup button and select the
patient ID from the Patients table.
Note: When you click Clear Patient, LabPro clears the existing patient ID number and all patient-
related boxes. You must enter a patient ID number in the Patient ID box to continue editing or to
close the Patient Demographics window.
To edit the patient ID for all specimens associated with that patient ID, click Change Patient ID.
When the Change Patient ID dialog box appears, type the new patient ID, and then click OK.
3. Click Close. LabPro reprocesses the edited data and displays it on the Patient Review and Edit dialog box.
Edit other specimen or isolate Enter the new information in an available box, or click the associated
data Lookup button, if any, and select the information from the table.
Finalize the data See “Finalize a Specimen, Specimen Test, Isolate, or Test Group.”
Save your changes and exit Click Save.
Close the Patient Review and Click the Close button.
Edit dialog box
Note: On the Patient Review and Edit window, if you click Save and you previously edited information
on the Patient Demographics window that may be used in a drug suppression or AlertEX System rule, the
Modified Patient dialog box displays. This dialog box shows how many other specimens may be affected
by the change to patient demographics. To print a list of these specimens, click Print. To recalculate drug
suppressions and interpretations for any or all of the specimens, return to the Patient Review and Edit –
Search window. Find the specimens, select the appropriate specimens in the Search Results list, and
choose Reprocess on the Data menu.
Each time you receive a new panel shipment, it is recommended that you run quality control tests prior to
using the panels for patient testing. After running the initial quality control tests, you may also need to
periodically test antimicrobials on the panels. For additional quality control and testing frequency guidelines,
see the CLSI Performance Standards for Antimicrobial Susceptibility Testing and the MicroScan Panel
Procedural Manuals.
When testing panels for quality control, most laboratories use the strains of bacteria or yeasts with known
performance characteristics recommended by MicroScan. QC strains and setup procedures are provided in the
MicroScan Panel Procedural Manuals for the panel types used in your laboratory. Preparation and
maintenance procedures for QC organisms are described in the Quality Control Organism document
packaged with the organism.
The following illustration depicts a common workflow for processing QC panels.
WalkAway WalkAway
Bar Codes Monitor
Receive new lot
window
or panel
shipment
QC Order
Click autoSCAN-4 window
or Manual Read. Print Reports
Yes QC Tab
Manual Read AS-4 Read
Print QC Panel
reports.
QC Results
QC Results Read panel in
Summary and
Summary the autoSCAN-4
Edit window
and Edit instrument
window
View QC panel results.
Enter panel results Resolve out-of-control
for a visual read. results.
Process panel If necessary, enter corrective
results. action.
Order QC strains so you can test panels See “Add QC Organism Strains to an Existing QC
Order.”
Save the QC lot data Click Save.
Clear the QC Order Entry window without Click Clear. On the confirmation message, click No.
saving the order
Tip: If you want to change a panel type, do so before saving the lot demographics. Otherwise, you must
delete the QC order, and then create a new QC order with the correct panel type.
Edit a lot number Position the pointer in the Lot # box and type the new number.
Edit the received date Position the pointer in the Received Date box and type a new date—or
click the Calendar button and double-click a day on the calendar.
Delete an isolate order Right-click the isolate in the QC/Isolate Order list, and then click
Delete Isolate on the shortcut menu. On the confirmation message,
click OK.
Delete the entire QC Order Click Delete on the toolbar and then click Delete Lot. On the
confirmation message, click OK.
3. Click Save to store changes.
Enter a corrective action In the Corrective Action box, type any text. To enter extensive text,
click the Editor button.
Save QC panel results Click Save to store the results.
Display the reagents used On the Data menu, click Reagent Lots.
during panel processing
Edit the results—or reorder, Follow the same procedures used for patient panels.
delete, or abandon the panel.
Note: If you need to edit the QC strain, save the panel results and then
edit the strain using the QC Review and Edit window.
Print a QC Report See “ Printing QC Reports.”
CAUTION
When retesting QC panels, do not routinely use the Reorder test group command. Reorder test group
deletes all stored panel data, including documentation of the original out–of-control results and any
corrective actions. Instead, using QC Order Entry, select the QC strain to be retested from the
specific QC strain list.
Review and edit the data Double-click an isolate. See “Reviewing and Editing Stored QC Data.”
resulting from your search
Print a QC Panel Report Click one isolate to select it or press Ctrl and click multiple isolates.
Click Print.
Note: To select all isolates in the list, right-click anywhere in the list and
click Select All on the shortcut menu.
Delete a lot number In the Search Results list, right-click the lot number, and then click
Delete Lot on the shortcut menu.
Clear all search criteria, Click Clear.
Selected List entries, and
search results
Edit the data See the appropriate procedures later in this section.
Delete an isolate Click Delete Isolate. When the confirmation dialog box appears, click OK.
Reorder a panel Click Reorder. When the confirmation dialog box appears, click OK.
LabPro reorders the panel and sets the status to Ordered (WalkAway panels) or
No Data (non-WalkAway panels). If you reorder a panel that is processing in a
WalkAway instrument, LabPro also abandons the original panel.
CAUTION
When retesting QC panels, do not routinely use the Reorder command. Reorder
deletes all stored panel data, including documentation of the original out-of-
control results and any corrective action. Instead, using QC Order Entry, add the
specific QC strain to be retested to the isolate list.
Close the QC Review Click the Close button. LabPro returns to the QC Review and Edit – Search
and Edit window window.
Lot # Select the lot number and then type the new lot number. LabPro assigns the new
number to all isolates in the lot.
Received Date Type the date and press Enter, or click the Calendar button and double-click the
desired date on the calendar.
QC Strain Click the QC Strain Lookup button to access the QC Strains table and double-
click an entry to select it. If applicable, LabPro re-evaluates the biochemical and
antimicrobic results for the new organism and indicates any out-of-control
values with a Ø symbol.
Note: If the panel type is a Rapid Positive MIC or Combo, you can edit the
organism only within the same family.
Corrective Action Type the desired information.
Biochemical and Do one of the following:
Antimicrobic Results
In the Biochemical or Antimicrobic list, select the result and type a new
valid result in the appropriate Tested cell—or position the pointer in the
Tested cell, click the arrow, and then click one of the options. If an
antimicrobic is used for biochemical and drug testing, you can only edit the
result in the Antimicrobic list.
or
Click Panel Editor. When the Panel Editor dialog box appears, click the
appropriate wells on the panel graphic, and then click OK. LabPro processes
the changes and displays them on the QC Review and Edit window. You
cannot edit Rapid Fluorogenic panel results or the biochemical results for
Synergies plus panels. The Panel Editor dialog box is not available if the
panel status is Ordered, Barcoded, or No Data.
When all edits are complete, click OK. If Processing Required appears on the
QC Review and Edit window, click Process Data. LabPro recalculates the
results and displays new out-of-control values, as applicable.
Printing QC Reports
The QC Panel Report documents that quality control testing was performed on each lot of MicroScan panels.
The report includes the lot number, panel type and received date; that is, the date when the QC panel lot was
received in the lab. All available ID and MIC quality control panel results print regardless of the test battery
selected (ID or MIC quality control) in QC Order Entry.
When a QC panel is processed, LabPro compares QC test results with the expected ranges to identify out-of-
control values. Any biochemical or MIC value that does not match the expected value or that does not fall
within the expected range for a specific QC organism strain is marked on the report. Corrective actions, if any
are also printed. The QC Panel Report also includes the reagent lot numbers stored in the database at the time
the QC panels were read. Before using a reagent from a new lot number, be sure to update the reagent lot
numbers in LabPro as described later in this section.
Follow quality control guidelines as directed by the agency regulating or inspecting your laboratory.
Note: You may find it necessary to review stored quality control data to uncover past incidences of out-of-
control QC testing. You can then determine if the current QC problem is part of a pattern or just an isolated
occurrence. By designing an appropriate QC query and displaying the query results in a QC Query Summary
Report, you can easily and efficiently search through large amounts of data to uncover evidence of ongoing
QC issues.
1. Click Print Reports on the Command Center and the Print Reports window appears.
2. Click the QC tab.
3. The QC Panel Report is selected by default. If desired, click QC Query Summary Report.
If available, you can select the Include QC Isolates already printed check box to include any
isolates previously printed on a QC Panel Report.
4. In the Search Type area, click a search type.
5. Enter the search criteria for the selected search type.
If a search option requires dates, you can click the From and To Calendar buttons and double-click
the desired dates. To specify a single date instead of a range, enter the From date only. Press Enter.
For details on From and To date codes, see “Enter Dates.”
If search criteria can be selected from a table, click the Lookup button, and then double-click an item
to select it. Press Enter.
To select a status, click the Complete, No Data, ID Hold, MIC Hold, ID/24 Hour Hold, or 24 Hour
Hold checkbox. Press Enter—or, add a date range and then press Enter.
Your selections appear in the Selected List.
Note: To delete any entry in the Selected List, right-click the entry and then click Delete on the shortcut
menu.
6. Click Print or Print Preview to view a QC Query Summary Report.
If you clicked Print, on the Print dialog box, select any options and click OK.
If you clicked Print Preview click Print to print the QC Query Summary report or click Close.
To update reagent lot numbers for manual and autoSCAN-4 panel processing
Use the following procedure to update lot numbers before you begin using reagents from a new reagent lot to
process a panel manually or in an autoSCAN-4 instrument.
1. On the Command Center, click QC Order Entry.
2. On the Read menu, click autoSCAN-4/Manual Reagent Lot Numbers.
3. Position the pointer in the appropriate reagent box and type the new lot number. Repeat this step to add or
edit additional reagent lot numbers.
4. Click OK to save the new reagent numbers and return to the QC Order Entry window.
It is important to perform daily backups of the database, which includes all patient and quality control records
and all LabPro and interface customization data. You can use the data from your last backup to restore
information to the LabPro database in case you experience a catastrophic hardware failure.
Many laboratories customize LabPro to automatically back up the database at a time when LabPro is not
busy—for example, very early in the morning before personnel arrive. If scheduled backup is disabled, you
must use the procedure in this section to back up manually.
CAUTION
Make sure you have the correct backup disk or device to prevent overwriting an archived file with the
same name.
CAUTION
If you back up to your C: drive and have a hardware failure, you could lose the entire database
copy and remain unable to recover the data. A CD-RW drive or an external device is strongly
recommended for daily backups.
CAUTION
Make sure you have the correct backup disk or device to prevent overwriting an archived file with the same
name.
CAUTION
Do NOT start any software programs or shut down your computer while optimizing LabPro databases.
5. When the progress indicator shows Progress 100%, the databases have been optimized. Click Close.
6. Double-click the Command Center icon on your desktop to restart LabPro.
This appendix includes component information and technical specifications for the WalkAway instrument.
Optical Systems
The WalkAway instrument uses two optical systems under computer control to detect bacterial growth in the
wells of MicroScan panels. For MICs, the intensity of light transmitted through each well is inversely
proportional to the concentration of bacteria in that well. Additionally, under the fluorometric system, the
intensity of the fluorescence in each well is proportional to the concentration of bacteria in that well. Selected
wells also contain biochemical substrates that exhibit a color change or fluorescence in the presence of certain
bacteria.
A colorimetric or fluorometric measurement yields information about the solution in the well. The optical
information generates a corresponding electrical signal (voltage) which is then converted to computer-
compatible (digital) form and stored in computer memory. The digital information is used by the central
processing unit (CPU) control circuitry.
After the entire panel has been optically read and the values stored, each test well reading is compared with a
threshold value. The threshold is a fixed number that represents a certain percentage of relative absorbance or
fluorescence corresponding to clinically significant growth. In this way, the MIC or qualitative susceptibility
of each antimicrobic is determined.
The computer also processes this data to provide information for use as a reference by the physician when
determining patient therapy.
For identification, the electrical signals corresponding to light intensity passing through, or fluorescence from,
each biochemical well are converted to a series of digital values indicating that a change did or did not occur.
These values are also stored in computer memory and compared to the fixed data. Based on the results—
either positive or negative—from each of the biochemical wells, the computer calculates a biotype number
that reflects these results and identifies the unknown organism.
Fluorometric System
The fluorometric system is capable of scanning the 96 wells of a panel and providing a quantitative measure
of the amount of fluorescence in each well. The system consists of a tungsten-halogen lamp, a 365nm-
excitation filter, an optical system to focus the excitation and emission, a 450nm-emission filter, and a
photomultiplier tube. The photomultiplier tube generates an electrical signal that is proportional to the
emission, which is converted to digital information for processing by the CPU.
Grabber Assembly
The grabber assembly, located in the center of the read head assembly, consists of a drive motor, drive belt,
lead screw, grabber plate, opto sensor, and related hardware. The grabber assembly positions panels at the
colorimetric or fluorometric read station or under the reagent dispense head, depending on the operation being
performed.
Internal Computer
The WalkAway instrument contains an internal computer that consists of a master central processing unit
(CPU), CPU support, and random access memory (RAM). The master CPU controls the environment and
scheduling, CPU support controls the motor functions, and the instrument hard drive stores raw panel data.
LabPro also stores the panel data for raw and processed panel data reports.
Physical
Dimensions WalkAway-40 SI
Dimensions: 29" H 38" W 29" D
Weight: 375 lbs.
WalkAway-96 SI
Dimensions: 37" H 38" W 29" D
Weight: 400 lbs.
Color Two-tone gray with green trim
Communications Protocol IEEE 488/1978
Interface Connector Parallel Interface Connector
GPIB conforming to IEEE-488/1978 and ANSI MC1.1 (with capabilities
of SH1, AH1, T6, L4, SR1, RL0, DC0, DT0, E2, C0).
or
Serial Interface Connector (2)
Daisy chained RS 232. “In” port toward computer, “out” port away from
computer.
Overcurrent Protection
250 volt 10A type F (100/120V)/5A 250 volt type F (220/240V) fuse
and internal fusing
Light Source
Tungsten-Halogen Lamp, 20 watt, 11.75 volts (WalkAway-40/96)
Tungsten-Halogen Lamp, TL 2 1/2, 15 watt, 9.75 volts
Performance
Panel Capacity for 40 MicroScan panels with 96 wells each of any type compatible with the
WalkAway-40 SI incubator environment—up to 8 panel towers with 5 panels each.
Panel Capacity for 96 MicroScan panels with 96 wells each of any type compatible with the
WalkAway-96 SI incubator environment—up to 8 panel towers with 12 panels each.
This appendix includes component information and technical specifications for the autoSCAN-4 instrument.
Photodiode board
The photodiode board—also called the photo board—converts light energy emitted from each panel well to a
usable electrical signal. The board contains 98 photodiodes (transducers)—96 over the panel wells and two
for reference. Each photodiode measures the transmitted light and generates a current proportional to the light
intensity emitted from each of the fiber optic cables below the well.
Other Components
Diffuser plate
The diffuser plate is a glass shield, frosted on one side that diffuses the light intensity in the optical path. It is
located directly under the panel block.
Photodiode shield
The plastic photodiode shield, located directly under the photodiode board, protects the photodiodes from
caustic reagent fumes.
Fan
The fan, located at the rear of the instrument, cools the lamp, mirror, and various electronic components in the
instrument.
Electronics
CAUTION
For instruments with serial numbers less than 6500 that must utilize a 230 VAC power source, the
instrument power supply must be reconfigured. With this modification, the acceptable range in which the
instrument will operate is 207 VAC to 253 VAC.
The line frequency supplied to the reader must be a constant periodic signal (no fluctuations), but may be in
the range of 47 Hz (Hertz) to 440 Hz.
Physical
Dimensions Width 19 inches, Height 10 inches, Depth 23 inches.
Weight 40 lbs.
Power Cord Length 6' 5"
Cable to Computer Length 8' 5"
Digital Interface RS-232C (9600 Baud)
AC Power Plug Type 5-15P
Power
WARNING
The user is hereby informed that if the equipment is used in a manner not specified by the manufacturer,
the protection provided by the equipment may be impaired.
This appendix describes what to do if you suspect that the WalkAway or autoSCAN-4 instrument is
contaminated.
WARNING
Before proceeding with the decontamination process, exit from LabPro, and turn off and unplug the
WalkAway or autoSCAN-4 instrument. The presence of hazardous voltages makes these precautionary
steps necessary to reduce the risk of electrical shock.
WARNING
Wear protective laboratory coat, gloves, and eyewear while performing the decontamination procedure.
You can decontaminate WalkAway and autoSCAN-4 instruments by wiping the surfaces with 70% isopropyl
alcohol. Use of amphyl, chlorine bleach, or other alcohol types can damage certain components of the
system—for example, the optical system—and should not be used. After cleaning the inside of the system
with any chemical, it should be allowed to air dry with the service hatch or lid open and the instrument
powered off for a period of time to prevent fumes from being trapped inside the instrument.
WARNING
The materials used to wipe the instrument are a biohazard. Use your laboratory’s safe biohazard waste
disposal procedures for contact with and disposal of these materials.
Water blank calibration is performed on each autoSCAN-4 instrument before shipping. If any major
component in the optical path—such as the halogen lamp—must be replaced, or if the drawer must be
realigned, it is recommended that you create a new water blank file and a backup copy of the new file.
Before beginning, be sure to have the following supplies on hand:
An autoSCAN-4 Water Blank Panel Kit (Part No. 3280-1160) consisting of 12 panels with different mold
types
RENOK Rehydrator/Inoculator
10 tubes of inoculum water with PLURONIC (Part No. B1015-7) or 10 bottles of Prompt Inoculum
System-D (Part No. B1026-10D)
10 dried panel inoculators (Part No. B1013-4)
LabPro software includes two different sets of rules for screen and confirmation testing for ESBL producing
organisms on Dried Overnight Gram-Negative and Synergies plus panels; however, the software features and
reports generated share the same functions.
If the ESBL screen is enabled and the panel being tested contains ESBL confirmation antimicrobial
agents, the ESBL confirmation rules take precedence. (A negative ESBL confirmation test takes
precedence over a suspected ESBL screen test).
ESBL interpretations, if enabled, take precedence over inducible beta-lactamase (IB) interpretations.
THEN The results do not store or transmit. The organism appears on the WalkAway System exception list as a
Suspected ESBL. Non-WalkAway System users are prompted when the panel is read. The user selects
Positive (ESBL Scenario), Negative (normal SIR rules apply), or Suspected ESBL (EBL? Scenario).
Phenotypic confirmation of ESBL presence requires an alternate method other than the use of MicroScan
panels with single screening antibiotics, e.g. the MicroScan ESBL plus ESBL Confirmation Panel.
(continued)
THEN ESBL-a and ESBL-b results do not store or transmit. Beta-lactam drugs will receive standard SIR
interpretations until ESBL-a and ESBL-b are read and processed. The organism appears on the
WalkAway System exception list as a Suspected ESBL. The user selects Positive (ESBL Scenario),
Negative (normal SIR rules apply), or Suspected ESBL (EBL? Scenario). Phenotypic confirmation of
ESBL presence requires an alternate method other than the use of MicroScan panels with single screening
antibiotics, e.g. the MicroScan ESBL plus ESBL Confirmation Panel.
* Refer to panel procedural manuals for additional information regarding ESBL-producing organisms.
1
For E. coli, K. oxytoca, K. pneumoniae: Panels containing a dilution of 4 g/ml cefpodoxime will follow ESBL
rules based on NCCLS (CLSI) M100-S15. Panels with dilutions of 1 g/ml or 1-2 g/ ml cefpodoxime will
follow NCCLS (CLSI) M100-S9. For P. mirabilis, panels with dilutions of 1 g/ml or 1-2 g/ ml cefpodoxime
will follow NCCLS (CLSI) M100-S15; some panels may utilize cefpodoxime at 4 g/ml for the screen.
ESBL Confirmation
The following table provides a condensed version of software rules for ESBL confirmation.
AND Dried Overnight Gram-Negative Panels and Synergies plus Gram Negative Panels
AND Identification = one of the following: E. coli, K. oxytoca, K. pneumoniae, Proteus mirabilis.*
AND One of the following MIC conditions applies:
MIC for Cefotaxme/ K. Clavulanate is >= 3 doubling dilutions less than the MIC for
Ceftotaxime OR
MIC for Ceftazidime/ K. Clavulanate is >= 3 doubling dilutions less than the MIC for
Ceftazidime OR
Note: For all MIC conditions, the software must be able to determine 3 doubling dilutions for the
organism to be confirmed as an ESBL. For example, if the MIC for Caz is >128 and the MIC
for Caz/CA is >32, the difference between MICs cannot be determined and the software will not
confirm this organism as an ESBL. If the panel contains nonsequential doubling dilutions (e.g.
Caz dilutions are 1,4,8, 16, >16) and the software cannot determine a 3 doubling dilution
difference, the software will not confirm this organism as an ESBL, and reports the result as
negative.
THEN The organism is considered a confirmed ESBL (Positive) and the ESBL scenario applies.
Non-WalkAway System users are prompted when the panel is read.
* Refer to panel procedural manuals for additional information regarding ESBL-producing organisms.