Cobas C 111 Analyzer User Guide Ver4.5
Cobas C 111 Analyzer User Guide Ver4.5
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
3
Publication information
Where to find information The User Assistance contains all information about the
product, including the following:
• Routine operation
• Maintenance
• Safety
• Troubleshooting information
• Software reference
• Configuration information
• Background information
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
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Privacy notice
When you use User Assistance online, viewing events
(topics viewed and searches performed) and IP addresses
are logged.
The data collected is for Roche internal use only and is
never forwarded to third parties. It is anonymized, and
after one year it is automatically deleted.
Viewing events are analyzed to improve User Assistance
content and search functionality. IP addresses are used to
classify regional behavior.
! General attention
To avoid serious or fatal injury, ensure that you are
familiar with the system and safety information before you
use the system.
r Pay particular attention to all safety precautions.
r Always follow the instructions in this publication.
r Do not use the instrument in a way that is not
described in this publication.
r Store all publications in a safe and easily retrievable
place.
! Incident reporting
r Inform your Roche representative and your local
competent authority about any serious incidents
which may occur when using this product.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
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Feedback Every effort has been made to ensure that this publication
fulfills the intended use. All feedback on any aspect of
this publication is welcome and is considered during
updates. Contact your Roche representative, should you
have any such feedback.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
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R
Issued by Underwriters Laboratories, Inc. (UL) for
Canada and the US.
Contact address
www.roche.com/about/business/roche_worldwide.htm
www.dialog.roche.com
For more information, contact your local affiliate or Roche
Service representative.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Table of contents 7
Table of contents
10 Quality control
Quick Guide: Performing QCs 335
QC overview 336
Performing a QC order and handling QC
results 337
QC lot change 363
General QC information 373
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
8 Table of contents
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
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Intended use
Intended use of the Data Protection, Privacy, This compliance guide explains the provisions to help
and Security Guide your laboratory or medical organization as data controller
or processor comply with its requirements while using the
cobas c 111 analyzer. It is intended for those individuals
in your organization, whose responsibility is data
protection.
Intended use of the cobas c 111 analyzer The cobas c 111 analyzer is a continuous random-
access analyzer intended for the in vitro determination of
clinical chemistry parameters in serum, plasma, urine or
whole blood (HbA1c).
• The cobas c 111 analyzer is intended for professional
testing.
• The cobas c 111 analyzer is not intended for near-
patient testing.
Product names Except where the context clearly indicated otherwise, the
following product names and descriptors are used.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
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Abbreviation Definition
AD Amplification and detection
ANSI American National Standards
Institute
CISPR International Special Committee
on Radio Interference
DIL Diluent
DM Data management
DRAM Dynamic random access memory
e.g. Exempli gratia – for example
EMC Electromagnetic compatibility
EN European standard
F Solution 1 factor
i.e. Id est – that is to say
IEC International Electrical
Commission
EU European Union
IT Information Technology
LAN Local Area Network
IVD In vitro diagnostic
IVDR In vitro diagnostics regulation
LED Light-emitting diode
LLD Liquid level detection
n/a Not applicable
p.a. Pro analysi
ROM Read only memory
S Slope in mV/dec
SRAM Static random access memory
TRL Test range low (lower limit of
measuring range)
UL Underwriters Laboratories Inc.
y Abbreviations
Abbreviations for units The following abbreviations for units are used.
Abbreviation Definition
°C Degree centigrade
A Ampère
cm Centimeter
h Hour
Hz Hertz
in Inch
kg Kilogram
kVA Kilo volt-ampere
L Liter
m Meter
MB Megabytes
y Abbreviations for units
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cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
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Abbreviation Definition
min Minutes
mL Milliliter
mm Millimeter
mV Measured voltage in millivolt
nm Nanometer
s Second
V Volt
V AC Volt alternating current
V DC Volt direct current
VA Volt-ampère
W Watt
μL Microliter
μm Micrometer
y Abbreviations for units
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New safety chapter Information for data protection and privacy safety
implemented.
Accessories and consumables Update table for available accessories and consumables.
u List of available accessories and consumables (69)
Touch screen calibration You no longer have to calibrate the touch screen.
u General functions (83)
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cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
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New layout and structure Resulting from customer feedback, we have updated the
layout and the structure of this publication to help you
find information easier and perform tasks quicker.
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Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
System description
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Table of contents
System overview 5
In this chapter 5
System description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
About the cobas c 111 analyzer . . . . . . . . . . . . . . 21
About covers, panels, and service flaps . . . . . . . . 24
About the LEDs and their color indicators . . . . . . 27
About the analyzer main power switch . . . . . . . . . 28
About the open/close cover buttons . . . . . . . . . . . 29
About the user interface . . . . . . . . . . . . . . . . . . . . . 30
Hardware description. . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Analyzer overview. . . . . . . . . . . . . . . . . . . . . . . . . . . 32
About the sample area . . . . . . . . . . . . . . . . . . . . . . 34
Fluid system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
About the fluid system components . . . . . . . . 35
About the probe . . . . . . . . . . . . . . . . . . . . . . . . . 37
About the rinse station. . . . . . . . . . . . . . . . . . . . 38
About the syringe assembly . . . . . . . . . . . . . . . 39
About internal waste tank . . . . . . . . . . . . . . . . . 40
About the external fluid container connectors 41
About the water container. . . . . . . . . . . . . . . . . 42
About the waste container . . . . . . . . . . . . . . . . 43
About the Cleaner bottle . . . . . . . . . . . . . . . . . . 44
Rotor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
About the rotor . . . . . . . . . . . . . . . . . . . . . . . . . . 45
About the reagent disk . . . . . . . . . . . . . . . . . . . 47
About the reagent disk container. . . . . . . . . . . 49
About the reagent cooler. . . . . . . . . . . . . . . . . . 49
About the cuvette ring . . . . . . . . . . . . . . . . . . . . 50
Transfer unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
5 System overview
About the transfer unit. . . . . . . . . . . . . . . . . . . . 51
About the transfer head. . . . . . . . . . . . . . . . . . . 52
About the hand-held barcode reader . . . . . . . . . . 54
About the printer . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
About the absorbance photometer . . . . . . . . . . . . 57
About the absorbance measuring mode. . . . . . . . 58
About the connectors . . . . . . . . . . . . . . . . . . . . . . . 60
About fuses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Technical specifications overview. . . . . . . . . . . . . . 62
Supported material. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Tubes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
About tubes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
List of supported tube types . . . . . . . . . . . . . . . 67
List of allowed cleaning solutions . . . . . . . . . . . . . 68
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cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
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Table of contents
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
System description 21
System description
In this section
About the cobas c 111 analyzer (21)
About covers, panels, and service flaps (24)
About the LEDs and their color indicators (27)
About the analyzer main power switch (28)
About the open/close cover buttons (29)
About the user interface (30)
! WARNING
Insufficient knowledge and skills
As an operator, ensure that you know the relevant safety
precaution guidelines and standards and the information
and procedures contained in these instructions.
r Do not carry out operation and maintenance unless
Roche Diagnostics has trained you to do so.
r Leave maintenance, installation, or service that is not
described to trained Roche Service representatives.
5 System overview
r Carefully follow the procedures specified in the
instructions for operation and maintenance.
r Follow laboratory best practices, especially when you
work with biohazardous material.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
22 System description
Efficient operation
• Cooled, exchangeable reagent disks ensure
economical reagent use; disposable cuvette segments
allow for easy cuvette loading and removal.
Flexible sampling
• 8 on-board sample positions accommodate virtually
any type of sample carrier, and enable continuous
sample placing and removal during operation.
Data management
• Bidirectional RS-232 and USB ports, on-board thermal
printer, and drivers offer the latest in data
management capabilities.
• Fluid system
• Transfer unit
• Sample area
• Reagent storage
Component Function
Analyzer unit Contains the incubators and photometers, used for making measurements; also contains the
analyzer rotor, which moves the cuvettes for pipetting, mixing, and measuring.
Control unit Controls the analyzer functions
Fluid system Moves all the fluids used by the system, including water, samples, reagents, liquid waste, and
Cleaner.
y Components of the analyzer
Roche Diagnostics
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System description 23
Component Function
Transfer unit Pipettes samples, reagents, and other fluids from their containers into cuvettes for mixing so that
measurements can be performed.
Sample area Includes the area for placing different types of tubes.
Reagent storage Refrigerates and stores the reagent sets for testing.
y Components of the analyzer
5 System overview
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24 System description
E
B
C
F
D
G
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System description 25
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26 System description
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
System description 27
An acoustic signal is sounded when the cover is open while the system is in Operating mode. You
can adjust the volume.
Utilities > Configuration > System > Volume
Sample area LED No activities in this area. You can remove sample tubes.
Off
You are expected to place a sample tube.
The transfer head is approaching. Do not place your hand or any object in
Blinking the sample area.
y LEDs and their meaning
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cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
28 System description
u Related topics
• Instrument alarms (203)
• Messages (557)
• About reacting to instrument messages (206)
u Related topics
• Starting up the system (176)
5 System overview
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System description 29
5 System overview
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30 System description
A F
B
C
D
G
E
5 System overview
A The status line displays the system status. E The buttons vary depending on the content of the working
area and the screen position within a series of steps
(wizard).
B Tabs represent the major work areas. F The Help button leads to concise information that is
relevant to the current screen and situation.
C The headline characterizes the content or function of the G The global action buttons represent the functions that are
screen. If the screen is part of a sequence of screens permanently available: Start, Stop, Alarm, Line Feed. The
(wizard), the headline tells you where you are within this color indicators show their status.
sequence.
D The working area displays the main content of the screen.
w Example of a screen
u Related topics
• About the software layout (77)
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Hardware description 31
Hardware description
In this section
Analyzer overview (32)
About the sample area (34)
Fluid system (35)
Rotor (45)
Transfer unit (51)
About the hand-held barcode reader (54)
About the printer (56)
About the absorbance photometer (57)
About the absorbance measuring mode (58)
About the connectors (60)
About fuses (61)
Technical specifications overview (62)
5 System overview
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32 Hardware description
Analyzer overview
The following figure illustrates the main components of
the cobas c 111 analyzer.
A B C D E
F
G
H
Transfer unit Pipettes sample, reagent, and other fluids from their
source to target containers such as cuvettes or the rinse
station.
u Transfer unit (51)
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Hardware description 33
Fluid system (not shown) Transports all fluids around the analyzer, including
sample, reagent, calibrator, control, diluent, cleaner,
system water, and waste.
u Fluid system (35)
Bubble trap Removes possible air bubbles from the system water.
Sample area Eight positions for holding sample tubes. This area is also
used for placing calibrators, controls, and auxiliary fluids.
u About the sample area (34)
Front USB port This port is used for the USB flash drive when backing up
data or loading data on the system.
u About the connectors (60)
5 System overview
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34 Hardware description
A The LED indicates that the transfer head is approaching or that you should place a sample tube.
For all other fluids, you can choose any free position on
the sample area.
u Tubes (65)
5 System overview
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Hardware description 35
Fluid system
In this section
About the fluid system components (35)
About the probe (37)
About the rinse station (38)
About the syringe assembly (39)
About internal waste tank (40)
About the external fluid container connectors (41)
About the water container (42)
About the waste container (43)
About the Cleaner bottle (44)
• System water
• Cleaner
• Activator
• Deproteinizer
• Waste
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36 Hardware description
! CAUTION
Instrument contamination
The internal waste tank overflow may lead to an
instrument contamination. Condensation can build up in
the cooling unit while the system is in Standby mode.
r The internal waste is periodically pumped to the
external waste container in Standby mode.
A B C D E
G H I
w Fluid system
5 System overview
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Hardware description 37
A Fluid sensor
B Probe
5 System overview
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38 Hardware description
A Rinse station
5 System overview
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Hardware description 39
A Syringe
5 System overview
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40 Hardware description
The internal waste tank collects the waste from the rinse
station. It also collects the condensation from the cooling
unit in the rotor.
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Hardware description 41
u Related topics
• Connecting the water container (259)
• Connecting the waste container (262)
• Connecting the cleaner bottle (264)
• Disconnecting external fluid containers (267)
A Water connector
B Cleaner connector with protective sleeve
C Waste connector
5 System overview
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42 Hardware description
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Hardware description 43
5 System overview
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44 Hardware description
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Hardware description 45
Rotor
In this section
About the rotor (45)
About the reagent disk (47)
About the reagent disk container (49)
About the reagent cooler (49)
About the cuvette ring (50)
5 System overview
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
46 Hardware description
C
D
w Rotor elements
Rotational movement
B
5 System overview
A Pipetting positions
B Reagent port
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Hardware description 47
NOTICE
Damage to the reagent disk
The reagent disk is designed to handle reagents while it is
loaded on the analyzer. The cover is equipped with a
locking mechanism.
r Always remove and load reagents while the reagent
disk is on the analyzer and by using the software
supported procedures.
A
A
B
C
D 5 System overview
C
A Reagent disk IDs. There are eight possible IDs. C Identification tabs
B Disk label. The number must correspond to the reagent D The tab has been removed for automatic disk recognition
disk ID.
w Reagent disk ID
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u Related topics
• Preparing a reagent disk (226)
• Loading a reagent disk (230)
• About reagent handling (224)
• Loading reagent sets (233)
• About the reagent disk container (49)
• About the reagent cooler (49)
5 System overview
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Hardware description 49
u Related topics
• About the rotor (45)
• About the reagent disk (47)
A Reagent cooler
w Reagent cooler
5 System overview
u Related topics
• About the rotor (45)
• About the reagent disk (47)
• Cleaning the reagent disk and the sample area (503)
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
50 Hardware description
A B
w Cuvette ring
u Related topics
• Checking the cuvette status (191)
• Exchanging cuvette segments (286)
5 System overview
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cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Hardware description 51
Transfer unit
In this section
About the transfer unit (51)
About the transfer head (52)
Transfer head arrest When the transfer head is obstructed in its horizontal
movement, it immediately stops. All pipetting and
processing actions stop.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
52 Hardware description
D
B
E
C
w Transfer head
u See:
Cleaning the probe manually (499)
Replacing the probe (588)
Liquid level detection A sensor detects when the probe enters a fluid. Based on
this level, the system establishes whether there is enough
fluid to perform the scheduled pipetting action.
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Hardware description 53
5 System overview
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54 Hardware description
! CAUTION
Blindness due to intense barcode reader light
The intense light of a laser or LED barcode reader may
severely damage your eyes or result in exposure to
hazardous radiation. Scanning equipment using LED
technology is covered by the international standard
EN/IEC 60825-1 LED Safety: Class 1.
r Do not stare into the beam of a laser or LED barcode
reader.
r Do not remove the housing from barcode readers.
r Do not perform any maintenance actions on barcode
readers. If you experience problems with the barcode
readers, contact your Roche Service representative.
r Perform only the procedures described in operating
instructions. Performing unauthorized procedures may
result in exposure to hazardous radiation.
A
B
5 System overview
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Hardware description 55
Reagent bottle barcode On the reagent bottles, barcode of the PDF417 format is
used.
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cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
56 Hardware description
q Printout storage
Print on thermal paper fades over time. For long-term
storage, use only copies of printouts.
w Printer
5 System overview
u Related topics
• Printing information (92)
• Checking the system status (193)
• Replacing the printer paper (282)
• Clearing a paper jam (582)
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Hardware description 57
w Photometer unit
Wavelengths for the absorbance photometer For each cuvette, the absorbance photometer measures
light intensity at 12 different wavelengths:
5 System overview
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58 Hardware description
Roche Diagnostics
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Hardware description 59
Calculating the results For the test result calculation, the photometric
measurement raw data are used. During this process,
various checks are performed to ensure that the whole
measuring process was technically correct. If values are
above or below predefined limits, the test result is marked
with a flag.
Sequence of processing For a given sample, the system starts with the test that
requires the longest time for its processing (number of
cycles). This order can be altered manually by defining a
specific process sequence list.
Status of the measuring process At any time of the measuring process, you can check its
status on the screen.
Result data management The system provides storage space for the results of one
working day. For backup purposes, we recommend to
export your results to an external storage device once a
day.
5 System overview
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60 Hardware description
F
A
G
5 System overview
I J K
w Connectors
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Hardware description 61
About fuses
! CAUTION
Electric shock
Removing the covers of electronic equipment can cause
electric shock because there are high-voltage parts
inside.
r Do not attempt to work on any electronic equipment.
r Do not remove any cover of the system except those
covers specified in the instructions.
r Only Roche Service representatives may install,
service, and repair the system.
r Connect the analyzer to grounded power outlets only
(IEC protection class 1). All peripheral devices that are
connected to the cobas c 111 analyzer must comply
with safety standard for information technology
equipment, or with IEC/UL 61010-1 for laboratory use
instruments.
The mains fuses are at the rear of the analyzer, above the
power connector. The internal fuses are on the right side
of the analyzer, at the top of the connector panel.
5 System overview
A Power connector with T6.3 A H 250 V fuse B Low voltage fuses (T3.15 A)
F1: Heating system
F2: Motors, pumps, valves, and fans
F3: Cooling assembly and mainboard
F4: Photometer and display module with touch screen
w Fuses
u See:
Technical specifications overview (62)
Changing the main fuses (584)
Changing the low voltage fuses (586)
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62 Hardware description
Physical dimension
Width 590 mm
Depth 550 mm
Height 480 mm
Weight Approximately 32 kg
y Dimension
Power requirements
Line voltage 100–125 V and 200–240 V
(-15%, +10%)
Line frequency 50 Hz (±5%) and 60 Hz (±5%)
Power consumption 250 VA
Insulation coordination Installation category II
(IEC 61010-1)
Main fuse 5x20 6.3 AT 250 V URL/IEC
Low voltage fuses 5x20 3.15 AT 250 V URL/IEC
Battery Lithium 3.6 V
y Power
Measurement principles
Absorbance photometry Enzymes, substrates
y Measurement principles
Environmental conditions
Temperature Running conditions: 15–32°C
Transport and storage: -20°C to
+60°C
Humidity Running conditions: 30–80% at 15-
32°C, non-condensing.
Transport and storage: 10–95%,
non-condensing
Pollution Degree 2 (IEC 61010-1)
5 System overview
Throughput
Photometric 85 tests/h maximum; 60 tests/h
consolidated (with typical test
panel)
y Throughput
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Hardware description 63
Samples
Sample handling Manually by operator
Time to first result 5–10 min (photometric
measurements)
y Samples
Water purity
Minimum requirements Electrical resistivity >1
[M?*cm @ 25°C]
Electrical conductivity <1
[μS/cm @ 25°C]
Silicate (SiO2) [mg/L] < 0.1
Particulate matter size n.a.
[μm]
Bacteria [CFU/mL] < 1000
y Water purity
Calibrators
Roche calibrators See the Method Sheets of the
reagents.
y Calibrators
Reagent bottles
Reagent bottles 20 mL maximum
Identification Barcode
Barcode 2-D, format PDF417
Number of tests 50–200 tests, depending on the test
y Reagents
Cuvettes
5 System overview
Photometer
Absorbance photometer 20 W photometer lamp
12 wavelengths 340–659 nm
Sensor Photosensitive diode array
y Photometer
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64 Hardware description
Mass storage
External USB flash drive
Internal Flash ROM
y Mass storage
Interfaces
USB1.1/2.0/3.0 For backing up data or loading data
on the system (USB flash drive)
2 x RS232 Host, barcode reader
y Interface
Screen
Color touchscreen 8.0 inches active matrix (WXGA
1024 x 768 pixel)
y Screen
Printer
Internal thermal printer Paper width 112 mm
y Printer
5 System overview
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cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Supported material 65
Supported material
In this section
Tubes (65)
List of allowed cleaning solutions (68)
List of available accessories and consumables (69)
Tubes
In this section
About tubes (65)
List of supported tube types (67)
About tubes
The cobas c 111 analyzer can use both primary and
secondary tubes (cups).
! WARNING
Incorrect results due to insufficient fluid
Insufficient fluid may lead to inaccurate pipetting and so
A Primary tube to incorrect results.
B Micro cup 13/16 used as cup on tube r Always fill the tubes with sufficient fluid that at the
5 System overview
C Standard cup end of the pipetting process at least the dead volume
D False bottom tube of fluid is left.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
66 Supported material
! WARNING
Incorrect results due to inappropriate tube and cup
placement
Inappropriate tube and cup placement may lead to
inaccurate pipetting and so to incorrect results.
r Ensure that the primary tubes are placed centrally and
perfectly vertically in the holders in the sample area
and that they are inserted firmly.
r Ensure that secondary tubes are placed centrally on
the primary tubes and that they rest fully on them.
NOTICE
Probe damage due to not removing primary tube
caps
The probe is not designed to pierce tube caps. It can get
damaged when trying to pierce tube caps.
r Always remove the caps of primary tubes before
placing them on the analyzer.
Dead volume The following table lists a few typical tubes that are
suitable, and it gives the dead volume for each of them.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Supported material 67
Micro-Sample Cup 17 mm x 37 mm 50 μL for 1.5 mL sample volume Cup on tube, then on sample
1.5 mL area
RD Standard False Bottom 13 x 75 mm 75 μL for 2.5 mL sample volume Directly on sample area
Tube
Sample Cup Micro 13/16 50 μL for 1.5 mL sample volume Cup on tube, then on sample
area
y Typical examples of suitable tubes
Cup placement Sample cups and micro cups can be placed on top of
16 x 75 mm tubes.
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cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
68 Supported material
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Supported material 69
Accessories
Product Product name
Image of product
Container 3.2L Waste
Barcode scanner
y Accessories
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
70 Supported material
y Accessories
Consumables
Image of product Product name
Micro Cuvette Segment
y Consumables
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Supported material 71
Auxiliaries
Image of product Product name
Cleaner (c111, Integra)
ISE Deproteinizer, 2 x 11 mL
Activator
y Auxiliaries
5 System overview
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72
5 System overview Supported material
Roche Diagnostics
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73
Table of contents
Software overview 6
In this chapter 6
Overview of the software . . . . . . . . . . . . . . . . . . . . . . . . 75
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
About the software layout . . . . . . . . . . . . . . . . . . . . 77
About wizards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
About screen items . . . . . . . . . . . . . . . . . . . . . . . . . 81
About the button color concept . . . . . . . . . . . . . . . 82
Button overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
About working with the user interface . . . . . . . . . 87
Expanding and collapsing a list . . . . . . . . . . . . . . . 88
About typing text . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Using filters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Printing information . . . . . . . . . . . . . . . . . . . . . . . . . 92
About the Online Help option . . . . . . . . . . . . . . . . . 93
Key panels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Overview tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
About the Overview tab . . . . . . . . . . . . . . . . . . . 96
About the sample overview . . . . . . . . . . . . . . . . 99
About the STAT button. . . . . . . . . . . . . . . . . . . . 101
About the Tests button. . . . . . . . . . . . . . . . . . . . 102
About the Overview tab Prepare wizards . . . . 105
About the Order button . . . . . . . . . . . . . . . . . . . 106
About test, profile, and ratio selection . . . . . . . 107
About the Overview tab End Shift wizards . . . 110
About the reagent disk button . . . . . . . . . . . . . 111
About the ISE unit button . . . . . . . . . . . . . . . . . 112
About the cuvette button. . . . . . . . . . . . . . . . . . 113
6 Software overview
About the System Status button. . . . . . . . . . . . 114
Workplace tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
About the Workplace tab. . . . . . . . . . . . . . . . . . 118
About the Orders button . . . . . . . . . . . . . . . . . . 120
About the QC Status button . . . . . . . . . . . . . . . 122
About the Calibrations button. . . . . . . . . . . . . . 124
About the Loadlist button . . . . . . . . . . . . . . . . . 127
About the Result Review button. . . . . . . . . . . . 128
About the QC History button . . . . . . . . . . . . . . 130
About the Lot Data button. . . . . . . . . . . . . . . . . 134
About the Worklist button . . . . . . . . . . . . . . . . . 136
Utilities tab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137
About the Utilities tab . . . . . . . . . . . . . . . . . . . . 137
About the Configuration button . . . . . . . . . . . . 139
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
74
Table of contents
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Overview of the software 75
Introduction
To operate the cobas c 111 analyzer, you use its
touchscreen. The design and functional concept of the
touchscreen support you in the way you work.
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cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
76 Overview of the software
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Overview of the software 77
F
A
B
C
D G
w Example of a screen
6 Software overview
Status area The text in the Status line provides information on the
status and activities of the analyzer and photometer unit.
Roche Diagnostics
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78 Overview of the software
Status Comment
Standby The user interface and host interfaces
remain active, as do the reagent cooling
unit, fluid system, and the cuvette heating.
Maintenance A maintenance action is being performed.
The system is not available for performing
tests.
Diagnostics A diagnostics action is being performed.
The system is not available for performing
tests.
Operating Processing is in progress.
Power Up After switching on, the system performs
initialization and functional test.
Power Down Regular shutdown is in progress.
Stopped Processing has stopped. User intervention
is required to allow the system to resume
regular operation.
E-Stopped A status indicating that the system has
performed an emergency stop (E.Stop). This
status could be due to hardware failure or
because any of the safety devices have
requested an emergency stop.
y System statuses
Tabs Represent the major work areas. You can switch to any of
them any time.
Global action button area Represent the functions that are permanently available:
• Start
• Stop
• Alarm
• Line Feed
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Overview of the software 79
About wizards
If not all steps of a task can be performed from one
screen, the workflow is realized as a sequence of screens,
a so-called wizard.
When intervention is required On the screen, there are several methods of telling when
your intervention is required:
• Buttons and texts are color coded.
Color Meaning
Everything is fine.
With most tasks that involve more than one step, such as
exchanging reagent or other fluid bottles, the wizards
support you.
Prepare wizard The Prepare wizard guides you through the tasks that
must be performed at the beginning of a shift. When this
wizard is done, the system is ready for processing orders.
End Shift wizard The End Shift wizard guides you through the tasks that
must be performed at the end of the day. If you have to
hand over or to prepare the analyzer to another operator,
you can also use this wizard.
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cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
80 Overview of the software
Roche Diagnostics
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Overview of the software 81
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
82 Overview of the software
u Related topics
• About the LEDs and their color indicators (27)
• Checking the status of the external fluid
containers (198)
• Checking the system status (193)
• Checking the cuvette status (191)
• Checking the reagent status (189)
• Checking the maintenance status (201)
• About the instrument alarm monitor (203)
6 Software overview
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Overview of the software 83
Button overview
The following tables list the buttons used in cobas c 111
screens and describe their use. The buttons are grouped
according to the kind of function they represent.
General functions
Icon Use
Choose the help button to display information
that is relevant to the current screen and
situation.
Start processing orders
Paper feed
Interactive functions
Icon Use
Add or define an item
y Interactive buttons
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
84 Overview of the software
Icon Use
Export data
Import data
Perform default QC
y Interactive buttons
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Overview of the software 85
Navigation functions
Icon Use
Move up one line
o Select the previous line
y Navigation buttons
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
86 Overview of the software
Icon Use
Move selected element to the list on the right
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Overview of the software 87
A B C
Scrolling
y Scroll buttons
u Related topics
6 Software overview
• Button overview (83)
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
88 Overview of the software
r To expand a list
1
1 Choose a list item marked with button.
r To collapse a list
1
1 Choose a list item marked with button.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Overview of the software 89
Alphanumeric keyboards
y Alphanumeric keyboard
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
90 Overview of the software
Numeric keyboard
y Numeric keyboard
6 Software overview
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Overview of the software 91
Using filters
In many lists, you can apply a filter, that is, you can select
predefined criteria for generating a selection of entries.
r To use filters
1 Display a list.
1
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
92 Overview of the software
Printing information
On many panels, you can print the contents of the
working area on the built-in printer. In many cases, a
panel is first displayed for selecting the kind of data you
want to print.
q Printout storage
Print on thermal paper fades over time. For long-term
storage, store only copies of printouts.
r To print information
printed.
u Related topics
• About the printer (56)
• Replacing the printer paper (282)
• Clearing a paper jam (582)
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Overview of the software 93
A Help button
w Main screen
6 Software overview
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cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
94 Overview of the software
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 95
Key panels
6 Software overview
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
96 Key panels
Overview tab
In this section
About the Overview tab (96)
About the sample overview (99)
About the STAT button (101)
About the Tests button (102)
About the Overview tab Prepare wizards (105)
About the Order button (106)
About test, profile, and ratio selection (107)
About the Overview tab End Shift wizards (110)
About the reagent disk button (111)
About the ISE unit button (112)
About the cuvette button (113)
About the System Status button (114)
C
6 Software overview
w Overview tab
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 97
End Shift Perform the necessary tasks when ending the shift.
Color Meaning
The reagents are OK.
Color Meaning
More than 15 cuvettes are available.
System Status The System Status button displays both the icon and the
color of one of the buttons of the underlying system
status screen
u About the System Status button (114)
Status area The text in the Status line provides information on the
status and activities of the analyzer and photometer unit.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
98 Key panels
Status Comment
Standby The user interface and host interfaces
remain active, as do the reagent cooling
unit, fluid system, and the cuvette heating.
Maintenance A maintenance action is being performed.
The system is not available for performing
tests.
Diagnostics A diagnostics action is being performed.
The system is not available for performing
tests.
Operating Processing is in progress.
Power Up After switching on, the system performs
initialization and functional test.
Power Down Regular shutdown is in progress.
Stopped Processing has stopped. User intervention
is required to allow the system to resume
regular operation.
E-Stopped A status indicating that the system has
performed an emergency stop (E.Stop). This
status could be due to hardware failure or
because any of the safety devices have
requested an emergency stop.
y System statuses
Icon Meaning
Analyzer (main cover)
Maintenance
Printer
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 99
B
C
All tests are pipetted. You can remove the sample tube, the
The number below the sample tube button indicates the time to completion disappears when
estimated time to completion. you do so. 6 Software overview
All tests are completed but not yet accepted. Validate the results.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
100 Key panels
Tests are ordered. Processing has not yet started. You can cancel ordered tests or add
additional tests to the sample order.
Tests are ordered, processing has started. You cannot cancel ordered tests. You
The number below the sample tube button indicates the can add additional tests to the sample
estimated time to completion. order.
The sample is identified, but no tests were ordered yet. This mode should be a temporary
status. No action is required.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 101
B C
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
102 Key panels
B
C
6 Software overview
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 103
Button Meaning
Display a list of all defined tests,
together with information on their
status.
Handle the reagent disk that is on
board.
Test status detail information For detailed test status information, choose the test
button in the Test Status panel.
Button Meaning
Print the test status information.
6 Software overview
Displays detailed bottle set information
o Lots No.
o Serial numbers
o Assigned calibrators
o Assigned QC materials
o Assigned diluent
y Test detail status buttons
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
104 Key panels
Tests on disk <X> Total number of tests that are currently available.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 105
u Related topics
• Quick Guide: Prepare wizard (168)
6 Software overview
Roche Diagnostics
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106 Key panels
B C
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 107
A B
A Easy mode test-board, all tests fit on 1 screen. C Tabs marked with an asterisk contain selected tests.
B Full mode test-board. The tests are grouped in tabs.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
108 Key panels
Button Meaning
Test is chosen for measurement
Test status detail information For detailed test status information, choose the test
button in the Test Status panel.
Button Meaning
Print the test status information.
Tests on disk <X> Total number of tests that are currently available.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 109
Tests ready to run Number of tests that could be performed. Summary of all
disks known to the system.
6 Software overview
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
110 Key panels
The End Shift wizard guides you through the tasks that
must be performed at the end of the day. If you have to
hand over or to prepare the analyzer to another operator,
you can also use this wizard.
u Related topics
• Quick Guide: End Shift wizard (457)
6 Software overview
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 111
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
112 Key panels
u Related topics
• Checking the reagent status (189)
A ISE status
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 113
u Related topics
• Checking the cuvette status (191)
• About cuvettes (284)
• Exchanging cuvette segments (286)
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
114 Key panels
A Module buttons
Analyzer status
6 Software overview
Color Meaning
Analyzer ready for use, no action required.
y Analyzer status
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 115
Color Meaning
Temperature is in specified range, no action
required.
The temperature is outside the acceptable range.
y Temperature status
Color Meaning
The fan is running, no action required.
6 Software overview
External fluid container status
Water container
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
116 Key panels
Color Meaning
No action is required.
Waste container
Color Meaning
No action is required.
Cleaner bottle
Color Meaning
No action is required.
Maintenance status
Color Meaning
No action is required.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 117
Printer status
Color Meaning
Printer is ready for use
u Related topics
• About the LEDs and their color indicators (27)
• About the button color concept (82)
6 Software overview
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
118 Key panels
Workplace tab
In this section
About the Workplace tab (118)
About the Orders button (120)
About the QC Status button (122)
About the Calibrations button (124)
About the Loadlist button (127)
About the Result Review button (128)
About the QC History button (130)
About the Lot Data button (134)
About the Worklist button (136)
w Workplace tab
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 119
Lot Data Define and change calibration and QC material lot data
by reading barcodes or typing the values.
Loadlist List of tests that have been ordered and that are ready to
be performed.
6 Software overview
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
120 Key panels
St Status column
St Meaning St Meaning
A Accepted B All blocked
C Created D Deleted
F All calculated N No test order
O Order timeout P All pipetted
R Ready S Some blocked
T Rerun timeout U Unknown
6 Software overview
Action buttons
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 121
6 Software overview
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
122 Key panels
S QC status column
• !: The result has not been accepted yet.
• I: The result was ignored.
• @: The result has not been transmitted yet.
Action buttons
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 123
Create QC order.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
124 Key panels
A
B
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 125
L Lot calibration
S Set calibration
Status column The date indicates when the calibration results were
accepted.
• If flags were generated for the calibration result, the
flag with the highest priority is displayed.
• In all other cases, the calibration order status is
displayed.
Action buttons
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
126 Key panels
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 127
A B
Action button
6 Software overview
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
128 Key panels
A
B
y Line color
S Status column
6 Software overview
Action buttons
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 129
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
130 Key panels
A
B
The list contains for any test and QC material, the latest
QC result. The entries are grouped first by test name, then
by QC material.
Action buttons
Print QC results.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 131
Delete QC result.
Choose one of the following options:
o List: Delete all QC results in the list. If a filter is
applied, the deletion contains only QC results that
fulfill the filter criterion. The filter criterion is part of
the button name.
o Older than Previous Month
o Selected [X]
6 Software overview
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
132 Key panels
A B C
D
E
F
H
I
J
Action buttons
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 133
A B C
q The results are sorted chronologically, relevant
events (QC lot change, reagent set change, QC target
value change) precede the results.
A Date of QC measurement
B Result or event
C Flag (if generated)
Month button The results of the month that is indicated on the button
are displayed in the graph.
6 Software overview
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
134 Key panels
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 135
Material list The content of this list depends on the selected lot type.
The following screen is an example of calibrator lot data.
A B C
Action buttons
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
136 Key panels
A B
Fluid types You can load the following fluid types on the analyzer.
• A: Activator
• C: Calibrator
• D: Diluent
• P: ISE Deproteinizer
• Q: Control
• S: Sample
• U: Unknown
Action button
6 Software overview
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 137
Utilities tab
In this section
About the Utilities tab (137)
About the Configuration button (139)
About the application-related functions button (140)
About the Laboratory Parameters button (141)
About the Host Codes button (143)
About the Process Sequence button (144)
About the Extra Wash Cycles button (145)
About the Reagent Mixing button (146)
About the Inventory button (147)
About the Users button (149)
About the Maintenance button (151)
About the Diagnostics button (152)
About the Import button (154)
About the Export button (155)
6 Software overview
w Utilities tab
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
138 Key panels
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 139
A B
Action buttons
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
140 Key panels
A Application-related functions
Host Codes Display, export, and import the mapping table for test IDs
of the cobas c 111 analyzer and the host.
> EWC/Mixing.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 141
A Expand/collapse functions
Action buttons
6 Software overview
Print the application list.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
142 Key panels
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 143
Action buttons
Use the same test IDs for the cobas c 111 analyzer and
the host.
6 Software overview
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
144 Key panels
Action buttons
From the Priority list, move all tests to the Default list.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 145
A Expand/collapse functions
Action buttons
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
146 Key panels
Action buttons
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 147
Action buttons
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
148 Key panels
q Before you can delete a bottle set from the list, you
must remove it from the disk
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 149
Action buttons
6 Software overview
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
150 Key panels
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 151
A B
Interpreting the maintenance action color Maintenance actions listed according to its priority:
Red > yellow > green, and then according to the due
date.
Color Meaning
The defined maintenance interval has expired.
Perform this maintenance action now.
This maintenance action should be performed on
the next major maintenance day.
6 Software overview
No action is required.
Action button
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
152 Key panels
Action buttons
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 153
6 Software overview
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
154 Key panels
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Key panels 155
Log Files Export the system messages, alarm logs, and possibly
trace logs.
6 Software overview
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
156 Key panels
A B
Sampling stop The system finishes the current pipetting action, but does
not start a new one.
Stop printing Stop the current printing task. It may take a few moments
before printing actually stops.
Shutdown Shut down the cobas c 111 software and the operating
system. This option is active in Standby mode only.
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Key panels 157
6 Software overview
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158
6 Software overview Key panels
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Operation
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Table of contents
Before operation 7
In this chapter 7
Quick Guide: Daily operations . . . . . . . . . . . . . . . . . . . 163
Quick Guide: Prepare wizard . . . . . . . . . . . . . . . . . . . . 168
About preparing the system . . . . . . . . . . . . . . . . . . . . . 171
Checklist: Before operation. . . . . . . . . . . . . . . . . . . . . . 173
Starting up and shutting down the system . . . . . . . . . 176
Starting up the system . . . . . . . . . . . . . . . . . . . . . . . 176
Logging on to the system . . . . . . . . . . . . . . . . . . . . 178
Starting a run . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180
Stopping and restarting a run. . . . . . . . . . . . . . . . . 181
Logging off from the system . . . . . . . . . . . . . . . . . . 183
Shutting down the system and switching off the
analyzer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184
Checking supplies, water, and waste . . . . . . . . . . . . . . 186
Starting the Prepare wizard. . . . . . . . . . . . . . . . . . . 186
Checking the reagent status . . . . . . . . . . . . . . . . . . 189
Checking the cuvette status . . . . . . . . . . . . . . . . . . 191
Checking the system status . . . . . . . . . . . . . . . . . . 193
Checking containers and maintenance status . . . 198
Checking the status of the external fluid
containers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198
Checking the maintenance status . . . . . . . . . . 201
Instrument alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203
About the instrument alarm monitor . . . . . . . . . . . 203
About reacting to instrument messages . . . . . . . . 206
About dealing with exceptional situations . . . . . . 208
7 Before operation
Confirming instrument alarm messages . . . . . . . . 210
Printing instrument alarm messages . . . . . . . . . . . 213
Exporting the instrument alarm message log file. 215
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Table of contents
7 Before operation
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Quick Guide: Daily operations 163
7 Before operation
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164 Quick Guide: Daily operations
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Quick Guide: Daily operations 165
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166 Quick Guide: Daily operations
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Quick Guide: Daily operations 167
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168 Quick Guide: Prepare wizard
2 Check the status of the external 1. Refill the water container, if necessary, and confirm
containers. by pressing the Water button. (If you refill the
water, empty the waste as well.)
2. Empty the waste container, if necessary, and
confirm by pressing the Waste button.
3. Replace the cleaner bottle, if necessary, and
confirm by pressing the cleaner button.
4. To proceed to the next step in the Prepare wizard,
choose the button.
4 Prepare the reagent disk. 1. If the reagent disk was stored outside of the
instrument in a refrigerator, choose
the button.
2. Open the main cover.
3. Place the disc on the instrument. Make sure that
the arrow indicators on the disc cover are in the
front.
4. Close the main cover.
7 Before operation
y Prepare wizard
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Quick Guide: Prepare wizard 169
7 Before operation
y Prepare wizard
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170 Quick Guide: Prepare wizard
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About preparing the system 171
Daily operation introduction Daily operation includes the routine tasks that are
required to prepare and monitor the system, and to
analyze samples.
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172 About preparing the system
q Skipping a step
You may skip a step. Before you do so, remind yourself of
the consequences. In many cases, skipping a step simply
means postponing the task to a more convenient time.
Skipping a step could prevent the system from
performing an analysis. For example, if you chose not to
replace a reagent that is low, a test that uses this reagent
may not have enough reagent.
Lot handling Both the lot data and its handling depend on what item
the lot refers to:
• Calibrator lot
• QC lot
• Reagent lot
• Diluent lot
u Related topics
• Checklist: Before operation (173)
• Quick Guide: Prepare wizard (168)
7 Before operation
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Checklist: Before operation 173
7 Before operation
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174 Checklist: Before operation
Steps Action
1 Start up the system 1. Press the main toggle switch down to position I.
When the Overview tab is displayed, the system is ready
to log on.
2 Log on the system 1. On the Overview tab, choose the Log On button.
2. Log on the system with your personal account.
Use the keyboard to type in your user name and password.
3 Check instrument alarms 1. On the Global button panel, choose the button.
2. On the Alarm panel, solve all instrument issues.
If necessary, restart the system.
4 Check the status of the 1. On the Overview tab, choose the system status button.
external fluid containers 2. On the System Status panel, choose the button.
If necessary, replace fluids.
To confirm the replacement, choose the corresponding
container button.
5 Check the printer paper 1. On the Overview tab, choose the system status button.
status 2. On the System Status panel, choose the button.
If necessary, replace the printer paper roll.
7 Before operation
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Checklist: Before operation 175
Steps Action
6 Check the cuvette status 1. On the Overview tab, choose the button.
2. On the Cuvettes panel, replace cuvette segments if
necessary.
To replace a cuvette segment, choose the segment button
and confirm its replacement.
7 Check the reagent status 1. On the Overview tab, choose the button.
2. On the Disk <X> panel, load or replace required reagent
kits if necessary.
8 Check maintenance status 1. On the Overview tab, choose the system status button.
2. On the System Status panel, choose the button.
3. On the Maintenance panel, perform all maintenance
actions that are in due status.
u Related topics
• Starting up the system (176)
• Logging on to the system (178)
• Instrument alarms (203)
• Refilling the water container (270)
• Emptying the waste container (274)
• Replacing the cleaner bottle (278)
• Replacing the printer paper (282)
7 Before operation
• Exchanging cuvette segments (286)
• Preparing a reagent disk (226)
• Loading a reagent disk (230)
• Loading reagent sets (233)
• Performing maintenance actions (484)
• Messages (557)
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176 Starting up and shutting down the system
n Approximately 5 minutes
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Starting up and shutting down the system 177
A 1
1 Press the analyzer power toggle switch down to the I
position.
f The system performs internal checks and routines.
f The startup phase may take a few minutes. During
this time, a splash screen is displayed.
u Related topics
• Logging on to the system (178)
7 Before operation
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178 Starting up and shutting down the system
1
1 On the Overview tab, choose the Log On button.
2
2 On the Username panel, use characters of the
alphanumeric keyboard (upper and lower case) to
7 Before operation
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Starting up and shutting down the system 179
4
4 On the Password for <X> panel, use characters of
the alphanumeric keyboard (upper and lower case) to
type in your personal password.
7 Before operation
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180 Starting up and shutting down the system
Starting a run
Choose the Start button to initiate processing or restart
schedule processing.
r To start a run
1
1 On the global action button area, choose
the button.
f The system checks whether there are enough
cuvettes and whether all required reagents are on
the reagent disk.
f If a prerequisite is not fulfilled, a message panel
informs you of what is missing.
dialog screen.
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Starting up and shutting down the system 181
Option Action
Abort When the system is in Operating
status: Stop immediately all processing
activities.
Pipettings that were not finished are
considered not pipetted.
Measurements that have not yielded a
valid result are considered not
measured.
Recover When the system is in Standby status
or Stopped status: Initialize all systems
and modules that are currently not
ready.
Sampling Stop Finish the current pipetting action, but
do not start a new one.
You can restart processing by choosing
the button on the global action
button area
Stop Printing Stop the current printing task. It may
take a few moments before printing
actually stops.
Shutdown Shut down the cobas c 111 software
and the operating system.
This option can only be performed in
Standby status.
Restart Shut down the cobas c 111 software
and automatically restart it.
This option is available in Standby
status only.
It is used in cases where a
configuration change requires
restarting the software for it to become
effective.
7 Before operation
y Stop panel options
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182 Starting up and shutting down the system
r To stop a run
1
1 On the global action button area, choose
the button.
2
2 On the Stop panel, choose one of the following
options, depending on the system status and the
requested action:
• Abort
• Recover
• Sampling Stop
• Stop Printing
• Shutdown
• Restart
7 Before operation
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Starting up and shutting down the system 183
q Automatic logoff
You can configure the system to log off the user after a
configurable period of inactivity
Utilities > Configuration > System > Auto Log-off
option is On
1
1 On the overview tab, choose the Log On button that
displays your user name.
f The Log On button is reset to its origin status.
7 Before operation
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184 Starting up and shutting down the system
n Approximately 2 minutes
1
1 On the global action button area, choose
the button.
7 Before operation
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Starting up and shutting down the system 185
2
2 On the Stop panel, choose the Shutdown
button.
• Wait until the screen is black.
A 3
3 Press the analyzer power toggle switch down to the O
position.
7 Before operation
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186 Checking supplies, water, and waste
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
7 Before operation
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Checking supplies, water, and waste 187
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
immediately with soap and water and apply a
disinfectant.
Consult a physician.
! CAUTION
Infectious waste
Contact with liquid waste may result in infection. All
materials and mechanical components associated with
the waste system are potentially biohazardous.
r Wear appropriate personal protective equipment. Take
extra care when working with lab gloves. They can
easily be pierced or cut, leading to infection.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If waste comes into contact with your skin, wash the
affected area immediately with soap and water and
apply a disinfectant.
Consult a physician.
c
7 Before operation
Daily
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188 Checking supplies, water, and waste
1
1 Choose Overview > Prepare
u Related topics
• Quick Guide: Prepare wizard (168)
• Refilling the water container (270)
• Emptying the waste container (274)
• Replacing the cleaner bottle (278)
• Performing maintenance actions (484)
• Loading reagent sets (233)
• Exchanging cuvette segments (286)
• Performing reagent mixing via Prepare wizard (240)
• Performing calibrations (296)
7 Before operation
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Checking supplies, water, and waste 189
1
1 On the Overview tab, choose the button.
7 Before operation
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190 Checking supplies, water, and waste
2
2 On the Disk <X> panel, choose the test button for
A
which you want to see more detailed status
information.
3
3 Choose the button.
u Related topics
• Preparing a reagent disk (226)
• Loading a reagent disk (230)
• Loading reagent sets (233)
• Unloading reagent sets (244)
7 Before operation
A Status description
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Checking supplies, water, and waste 191
Up to 2 cuvette segments are free to be used. Replace the used cuvette segments as soon as
possible.
All cuvette segments are used. Replace the cuvette segments.
1
1 On the Overview tab, check the button color.
• To refresh the cuvette status, choose
the button.
7 Before operation
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192 Checking supplies, water, and waste
2
2 For detailed information, choose the button.
I The number in the button indicates how many
cuvettes are free to be used.
u Related topics
• Exchanging cuvette segments (286)
7 Before operation
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Checking supplies, water, and waste 193
! WARNING
Operator infection and injury
Contact with system mechanisms (for example, transfer
head) or with the system chassis or covers may result in
personal injury and infection.
r Whenever possible, keep the cover and flaps of the
analyzer closed.
r Always ensure that the system is off or in
Maintenance status before you work with an opened
cover (for example, for cleaning or maintenance).
r Do not open the cover or flaps while the system is
performing maintenance.
r Pay attention to the covers during automatic
movement, check for obstructions and keep out of
reach.
r Do not touch any parts of the system other than those
parts that are specified.
r Never reach into the analyzer while parts are moving.
r Carefully observe all instructions given in this
publication.
! CAUTION
Moving parts
Contact with moving parts may result in personal injury.
r Keep the cover and flaps closed and in place while the
system is operating.
r Always ensure that the system is off or in
7 Before operation
Maintenance status before you work with an opened
cover (for example, for cleaning or maintenance).
r Do not touch any parts of the system except those
parts specified. Keep away from moving parts during
operation.
r During operation and maintenance, carefully follow
the instructions.
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194 Checking supplies, water, and waste
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
immediately with soap and water and apply a
disinfectant.
Consult a physician.
! CAUTION
Infectious waste
Contact with liquid waste may result in infection. All
materials and mechanical components associated with
the waste system are potentially biohazardous.
r Wear appropriate personal protective equipment. Take
extra care when working with lab gloves. They can
easily be pierced or cut, leading to infection.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If waste comes into contact with your skin, wash the
affected area immediately with soap and water and
apply a disinfectant.
Consult a physician.
7 Before operation
Analyzer status
A development channel application is run without Check the extra wash cycles definitions.
using extra wash cycles.
The main cover is open. On the System Status panel of the instrument, check
the text about the status of the main cover.
y Analyzer status
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Checking supplies, water, and waste 195
The temperature is outside the acceptable range. On the System Status panel, check the text about the
temperature.
y Temperature status
The fan is not running. On the System Status panel, check the text about the
fan status.
y Display module fan status
1. Water container
The water container was last filled up more than 1 day You should check the water level and refill if
ago. necessary.
There is no water left. (A fluid sensor detected that You must refill the water now. No new tests can be
there is no water coming from the water container.) processed, started tests may have to be restarted after
refill.
y Water container status
7 Before operation
2. Waste container
The waste container was last emptied more than 1 day You should check the waste level and empty if
ago. necessary.
y Waste container status
3. Cleaner bottle
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196 Checking supplies, water, and waste
The cleaner level is down to 10% or lower. See the % Replace the cleaner bottle as soon as possible.
indication.
A fluid sensor detected that there is no cleaner in the You must replace the cleaner bottle now. No new tests
analyzer tubing. can be processed, started tests may have to be
restarted after replacing the bottle.
y Cleaner bottle status
Maintenance status
There is a maintenance action that should be Perform the maintenance action as soon as possible
performed on the next major maintenance day.
The defined maintenance interval of a maintenance To ensure a proper system behavior, you must perform
action is expired. all maintenance actions in due status.
y Maintenance button status
Printer status
Printing is not possible, check cause: On the System Status panel, check the text about the
o No printer paper available printer status.
o Printer paper jam
o Hardware error
y Printer status
c Daily
7 Before operation
n Approximately 3 minutes
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Checking supplies, water, and waste 197
1
1 On the Overview tab, choose the button.
I If a maintenance action is due, the system status
displays the maintenance icon.
2
2 On the System Status panel, check the different
modules.
• If necessary, start required actions.
u Related topics
• Refilling the water container (270)
• Emptying the waste container (274)
• Replacing the cleaner bottle (278)
• Performing maintenance actions (484)
• Replacing the printer paper (282)
• Clearing a paper jam (582)
7 Before operation
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198 Checking supplies, water, and waste
A B C
A Cleaner bottle
B Water container (white)
C Waste container (yellow)
necessary.
There is no water left. (A fluid sensor detected that
there is no water coming from the water container.)
You must refill the water now. No new tests can be
processed, started tests may have to be restarted
after refill.
y Water container status
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Checking supplies, water, and waste 199
1
1 On the Overview tab, choose the system status
button.
I If a maintenance action is due status, the external
bottle status button is hidden.
7 Before operation
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200 Checking supplies, water, and waste
2
2 On the System Status panel, choose the button.
I The button color indicates the status.
f If the button is orange, the time on the button
indicates how long the task is overdue.
u Related topics
• Refilling the water container (270)
• Emptying the waste container (274)
• Replacing the cleaner bottle (278)
7 Before operation
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Checking supplies, water, and waste 201
Interpreting the maintenance action color Maintenance actions listed according to its priority:
Color Meaning
No action is required.
1
1 On the Overview tab, check the system status button.
7 Before operation
I If a maintenance action is due, the system status
button displays the icon. If in the System
Status panel the maintenance button is green, no
further action is required.
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202 Checking supplies, water, and waste
2
2 To execute a chosen maintenance action, choose
the button.
u Related topics
• List of maintenance intervals (479)
• Performing maintenance actions (484)
• Maintenance actions (487)
7 Before operation
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Instrument alarms 203
Instrument alarms
In this section
About the instrument alarm monitor (203)
About reacting to instrument messages (206)
About dealing with exceptional situations (208)
Confirming instrument alarm messages (210)
Printing instrument alarm messages (213)
Exporting the instrument alarm message log file (215)
7 Before operation
A Alarm button
w Main screen
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204 Instrument alarms
Alarm types and levels Alarms are classified into different types and levels:
• Flags refer to irregular measuring results or
conditions.
• Instrument alarms refer to irregular analyzer
conditions.
NOTICE
Timing error
When the alarm message results from a timing error.
r All tests run or results obtained after the time of the
error time stamp should be retested.
An acoustic signal informs you of the fact that all tests are
finished and the system has changed to Standby status.
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Instrument alarms 205
System messages
A
B D
A Total number of messages in the list. D Displays the previous alarm message.
B Alarm ID (Instrument alarm) with time stamp. E Problem description and short remedy suggestion.
C Alarm Detail button F Displays the next alarm message.
w Alarm message
Alarm message capacity The alarm list can contain up to 250 messages. When this
number is reached, the oldest message is automatically
deleted when a new one is generated.
u Related topics
• Confirming instrument alarm messages (210)
• Printing instrument alarm messages (213)
• Exporting the instrument alarm message log file (215)
7 Before operation
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206 Instrument alarms
Providing information to service Whenever you are asked to provide alarm information to a
representatives Roche Service representative, provide the error codes
shown in the message.
104000551
• Alarms that contain an error code of the format
aa.bb.cc.ddd, for example, 12.12.35.191
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Instrument alarms 207
7 Before operation
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208 Instrument alarms
reagent disk.
2. Insert the reagent disk in the cooler.
u Realigning the reagent disk (592)
y Dealing with exceptional situations
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Instrument alarms 209
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210 Instrument alarms
In relation to the alarm level, you must first fix the reason
of failure before you are able to run the analyzer.
Color Meaning
There are no unconfirmed alarm messages.
No color,
Off
There is at least one unconfirmed alarm
Yellow message. You must deal with it as soon as
possible.
There is at least one unconfirmed alarm
Red message. You must deal with it immediately,
processing may not be able to continue unless
you do so.
Note: When the alarm message results from a
timing error, all tests run or results obtained
after the time of the error time stamp should be
retested.
y Alarm button color
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Instrument alarms 211
5
5 To display more detailed information, choose
the button.
I If this button is not available, there is no additional
information.
7 Before operation
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212 Instrument alarms
u Related topics
• About the instrument alarm monitor (203)
• Printing instrument alarm messages (213)
• Exporting the instrument alarm message log file (215)
7 Before operation
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Instrument alarms 213
q Printout storage
Print on thermal paper fades over time. For long-term
storage, store only copies of printouts.
7 Before operation
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214 Instrument alarms
u Related topics
• About the instrument alarm monitor (203)
• Confirming instrument alarm messages (210)
• Exporting the instrument alarm message log file (215)
7 Before operation
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Instrument alarms 215
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216 Instrument alarms
u Related topics
• About the instrument alarm monitor (203)
• Confirming instrument alarm messages (210)
• Printing instrument alarm messages (213)
7 Before operation
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217
Table of contents
In this chapter 8
Overview of the reagents and consumables. . . . . . . . 219
Reagent handling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221
About reagents and diluents. . . . . . . . . . . . . . . . . . 221
About reagent handling. . . . . . . . . . . . . . . . . . . . . . 224
Preparing a reagent disk . . . . . . . . . . . . . . . . . . . . . 226
Loading a reagent disk . . . . . . . . . . . . . . . . . . . . . . 230
Loading reagent sets . . . . . . . . . . . . . . . . . . . . . . . . 233
Reagent mixing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 240
Performing reagent mixing via Prepare wizard 240
Performing reagent mixing . . . . . . . . . . . . . . . . 242
Unloading reagent sets . . . . . . . . . . . . . . . . . . . . . . 244
Removing the reagent disk . . . . . . . . . . . . . . . . . . . 247
Monitoring reagent status. . . . . . . . . . . . . . . . . . . . . . . 250
Checking the reagent inventory . . . . . . . . . . . . . . . 250
Checking the reagent set status. . . . . . . . . . . . . . . 253
Viewing reagent-related information and lot data 257
Managing supplies and waste . . . . . . . . . . . . . . . . . . . 259
Connecting the water container . . . . . . . . . . . . . . . 259
Connecting the waste container. . . . . . . . . . . . . . . 262
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
218
Table of contents
8 Reagents and consumables
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Overview of the reagents and consumables 219
A B
F G
Fluid containers The following table shows which container is used for
which fluid and where it is used on the analyzer:
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
220 Overview of the reagents and consumables
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Reagent handling 221
Reagent handling
In this section
About reagents and diluents (221)
About reagent handling (224)
Preparing a reagent disk (226)
Loading a reagent disk (230)
Loading reagent sets (233)
Reagent mixing (240)
Unloading reagent sets (244)
Removing the reagent disk (247)
A B C
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
222 Reagent handling
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Reagent handling 223
Volume detection
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
224 Reagent handling
Reagent lot q When replacing a reagent set, try to use the same
reagent lot as the old one. If you work with the calibration
sequence Each Lot and Interval mode, you can avoid
calibrating the reagent set.
Reagent bottle barcode Scanning the reagent bottle barcode is the only way of
identifying a reagent, diluent, and cleaner bottle.
If there are not enough free positions for all bottles of the
8 Reagents and consumables
Time limit for placing reagent bottles The system assumes that you place the bottle that you
scanned.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Reagent handling 225
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
226 Reagent handling
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
8 Reagents and consumables
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Reagent handling 227
! CAUTION
Moving parts
Contact with moving parts may result in personal injury.
r Keep the cover and flaps closed and in place while the
system is operating.
r Always ensure that the system is off or in
Maintenance status before you work with an opened
cover (for example, for cleaning or maintenance).
r Do not touch any parts of the system except those
parts specified. Keep away from moving parts during
operation.
r During operation and maintenance, carefully follow
the instructions.
NOTICE
Damage to the reagent disk
The reagent disk is designed to handle reagents while it is
loaded on the analyzer. The cover is equipped with a
locking mechanism.
r Always remove and load reagents while the reagent
disk is on the analyzer and by using the software
supported procedures.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
228 Reagent handling
1
1 Print the number on a label and stick the label on the
disk.
I You can choose a number from 1 through 8.
2
2 To break off the ID tab, use pliers.
I Break off the tab that is located below the same
number as the one printed on the label. Only
reagent disks with one removed tab can be used.
A Reagent disks with more than one removed tab
cannot be used on the system.
C
B
8 Reagents and consumables
A Reagent disk ID
B The tab has been removed for automatic disk
recognition
C Identification tabs
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Reagent handling 229
3
3 On the Overview tab, choose the button.
4
4 On the Disk panel, choose the button.
I The value next to the button indicates the number
of empty positions on the reagent disk. A message
screen informs you to insert the reagent disk.
u Related topics
• Loading a reagent disk (230)
• Checking the reagent status (189)
• About reagent handling (224)
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
230 Reagent handling
! WARNING
Operator infection and injury
Contact with system mechanisms (for example, transfer
head) or with the system chassis or covers may result in
personal injury and infection.
r Whenever possible, keep the cover and flaps of the
analyzer closed.
r Always ensure that the system is off or in
Maintenance status before you work with an opened
cover (for example, for cleaning or maintenance).
r Do not open the cover or flaps while the system is
performing maintenance.
r Pay attention to the covers during automatic
movement, check for obstructions and keep out of
reach.
r Do not touch any parts of the system other than those
parts that are specified.
r Never reach into the analyzer while parts are moving.
r Carefully observe all instructions given in this
publication.
8 Reagents and consumables
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
immediately with soap and water and apply a
disinfectant.
Consult a physician.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Reagent handling 231
! CAUTION
Spillage through tipping reagent disk
If the reagent disk container is not placed on an even
horizontal surface, it can slip off or tip over.
r When storing the reagent disk container, make sure to
place it on a firm, even, horizontal surface that is easily
accessible.
r When handling the reagent disk, make sure not to tilt
it.
n Approximately 1 minute
2
2 On the Overview tab, choose the button.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
232 Reagent handling
3
3 On the disk overview panel, choose the button.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Reagent handling 233
! WARNING
Incorrect results due to impurities and carryover
Traces of analytes or reagents may be carried over one
test to the next when reusing bottle caps.
r Do not remove reagent bottles that are not empty with
the purpose of loading them again later.
! WARNING
Incorrect results due to inappropriate reagent
handling
Removing and loading reagents while the reagent disk is
outside the analyzer may lead to inconsistencies between
the recorded and the physically loaded reagents. This
reagent handling may lead to incorrect results.
r Always remove and load reagents while the reagent
disk is on the analyzer and by using the software
supported procedures.
! WARNING
Incorrect results due to not placing the identified
reagent
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
234 Reagent handling
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! WARNING
Incorrect results due to reagent dilution through
condensation
In ambient conditions of high temperature and humidity,
condensation can build up inside the reagent bottles. This
condensation water leads to dilution of the reagent.
r In such conditions and when not performing tests,
remove the reagent disk from the analyzer. Place the
reagent disk in the reagent disk container. Close the
container with its lid and place it in a refrigerator.
8 Reagents and consumables
! CAUTION
Incorrect results due to condensation in the reagent
cooler
In ambient conditions of high temperature and humidity,
condensation can build up in the reagent cooler. Water
can spill on the analyzer unit and get into the cuvettes
when removing the reagent disk.
r In ambient conditions of high temperature and
humidity, wipe up the condensation water in the
reagent cooler periodically.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Reagent handling 235
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
immediately with soap and water and apply a
disinfectant.
Consult a physician.
! CAUTION
Moving parts
Contact with moving parts may result in personal injury.
r Keep the cover and flaps closed and in place while the
system is operating.
r Always ensure that the system is off or in
Maintenance status before you work with an opened
cover (for example, for cleaning or maintenance).
r Do not touch any parts of the system except those
parts specified. Keep away from moving parts during
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
236 Reagent handling
! CAUTION
Blindness due to intense barcode reader light
The intense light of a laser or LED barcode reader may
severely damage your eyes or result in exposure to
hazardous radiation. Scanning equipment using LED
technology is covered by the international standard
EN/IEC 60825-1 LED Safety: Class 1.
r Do not stare into the beam of a laser or LED barcode
reader.
r Do not remove the housing from barcode readers.
r Do not perform any maintenance actions on barcode
readers. If you experience problems with the barcode
readers, contact your Roche Service representative.
r Perform only the procedures described in operating
instructions. Performing unauthorized procedures may
result in exposure to hazardous radiation.
! CAUTION
Loss of sight
The intense light of the LEDs may severely damage you
eyes. Scanning equipment using LED technology is
covered by the international standard EN/IEC 60825-1
LED Safety: Class 1.
r Do not stare into the LEDs.
! CAUTION
Spilled liquid
8 Reagents and consumables
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Reagent handling 237
Reagent lot q When replacing a reagent set, try to use the same
reagent lot as the old one. If you work with the calibration
sequence Each Lot and Interval mode, you can avoid
calibrating the reagent set.
Diluent and cleaner bottles An extra diluent or cleaner bottle is considered one set.
Extra cleaners and diluents are handled in the same type
of bottles that are used for reagents. Their handling works
the same way. In the following, the process is described
for reagents.
Reagent bottle barcode Scanning the reagent bottle barcode is the only way of
identifying a reagent, diluent, and cleaner bottle.
If there are not enough free positions for all bottles of the
set, a message informs you.
Time limit for placing reagent bottles The system assumes that you place the bottle that you
scanned.
c When necessary
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
238 Reagent handling
1
1 Choose Overview > Tests
2
2 On the Test status panel, obtain the reagent sets you
want to load.
4
4 On the Disk panel, check the number to the left of
the button.
I The value indicates the number of free positions
on the reagent disk. If this number is smaller than
the number of bottles in the reagent set you want
to add, you must remove another reagent set first.
For the number of bottles in a reagent set, refer to
the respective Method Sheet.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Reagent handling 239
8
8 Scan the barcode of the first reagent bottle of the
reagent set.
• Hold the hand-held barcode reader at a distance
of approximately 20 cm (8 in) from the barcode.
• Pull the trigger on the hand-held barcode reader
and point the red light just outside the barcode.
• Move the light slowly across the barcode.
I Wait until you hear a beep.
10
10 Remove the cap from the reagent bottle and place it in
the reagent bay.
• To confirm the bottle placement, choose
the button.
13
13 On the test detail panel, the status description points
to the action you must take. If you just inserted a
reagent set, you may have to perform the initial
calibration and QC.
u Related topics
• About the Tests button (102)
• About the Inventory button (147)
• Checking the reagent inventory (250)
• Checking the reagent set status (253)
• Unloading reagent sets (244)
A Status description
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
240 Reagent handling
Reagent mixing
In this section
Performing reagent mixing via Prepare wizard (240)
Performing reagent mixing (242)
c When necessary
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Reagent handling 241
1
1 On the Overview tab, choose the Prepare button.
I Perform the actions described on the panels.
3
3 On the Select Mixing panel, choose one of the
following options:
• For individual reagent set mixing, select the check
box of the corresponding reagent set.
• To perform reagent mixing for all reagent set with
an expired mixing interval, choose the button.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
242 Reagent handling
c When necessary
1
1 On the Overview tab, choose the button.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Reagent handling 243
2
2 On the Disk <X> panel, choose the reagent set you
ant to mix.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
244 Reagent handling
! WARNING
Incorrect results due to inappropriate reagent
handling
Removing and loading reagents while the reagent disk is
outside the analyzer may lead to inconsistencies between
the recorded and the physically loaded reagents. This
reagent handling may lead to incorrect results.
r Always remove and load reagents while the reagent
disk is on the analyzer and by using the software
supported procedures.
! CAUTION
Moving parts
Contact with moving parts may result in personal injury.
r Keep the cover and flaps closed and in place while the
system is operating.
r Always ensure that the system is off or in
Maintenance status before you work with an opened
cover (for example, for cleaning or maintenance).
r Do not touch any parts of the system except those
parts specified. Keep away from moving parts during
operation.
r During operation and maintenance, carefully follow
the instructions.
8 Reagents and consumables
c When necessary
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Reagent handling 245
1
1 On the Overview tab, choose the button.
2
2 On the Disk panel, choose the test button of which
you want to remove the reagent set.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
246 Reagent handling
5
5 Open the main cover and remove the bottle.
• To confirm the removal, choose the button.
I The system does not check whether you have
removed the bottle.
u Related topics
• About the Tests button (102)
• About the Inventory button (147)
• Checking the reagent inventory (250)
• Checking the reagent set status (253)
• Loading reagent sets (233)
8 Reagents and consumables
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Reagent handling 247
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! WARNING
Operator infection and injury
Contact with system mechanisms (for example, transfer
head) or with the system chassis or covers may result in
personal injury and infection.
r Whenever possible, keep the cover and flaps of the
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
248 Reagent handling
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
immediately with soap and water and apply a
disinfectant.
Consult a physician.
! CAUTION
Spillage through tipping reagent disk
If the reagent disk container is not placed on an even
horizontal surface, it can slip off or tip over.
r When storing the reagent disk container, make sure to
place it on a firm, even, horizontal surface that is easily
accessible.
r When handling the reagent disk, make sure not to tilt
it.
8 Reagents and consumables
n Approximately 1 minute
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Reagent handling 249
1
1 Choose Overview >
2
2 On the Disk <x> panel, choose the button.
f A message panel informs you to remove the
reagent disk.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
250 Monitoring reagent status
Diluent and cleaner bottles An extra diluent or cleaner bottle is considered one set.
Extra cleaners and diluents are handled in the same type
of bottles that are used for reagents. Their handling works
the same way. In the following, the process is described
for reagents.
Bottle Set panel On the Bottle sets panel, all bottle sets that are defined
on any of the disks used on this cobas c 111 analyzer are
displayed. The list includes reagent sets that were
removed from the disk, as long as they were not empty or
their expiry date has not passed yet.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Monitoring reagent status 251
1
1 Choose Utilities > Inventory
2
2 On the Bottle Set panel, check the reagent status.
A B
• For detailed test status information, choose the test
in the table and choose the button.
C
8 Reagents and consumables
A Number of tests left
B ID of reagent disk on which the set is defined
C R: indicates that the set was removed from the
disk.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
252 Monitoring reagent status
3
3 On the test panel, check the reagent set status
• To check required materials, choose
the button.
4
4 In the Related Information panel, check the required
materials.
I To print the list, choose the button.
Underneath the Bottle Set information, the date
and time is displayed when the bottle set was
placed first on the instrument and the onboard
stability started.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Monitoring reagent status 253
Diluent and cleaner bottles An extra diluent or cleaner bottle is considered one set.
Extra cleaners and diluents are handled in the same type
of bottles that are used for reagents. Their handling works
the same way. In the following, the process is described
for reagents.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
254 Monitoring reagent status
1
1 On the Overview tab, choose the button.
8 Reagents and consumables
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Monitoring reagent status 255
2
2 On the Disk <X> panel, check the colors of the
reagent sets.
• For detail reagent set information, choose the
reagent button.
A B
3
3 On the test panel, check the reagent set status
• To check required materials, choose
the button.
A Status description
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
256 Monitoring reagent status
4
4 In the Related Information panel, check the required
materials.
I To print the list, choose the button.
Underneath the Bottle Set information, the date
and time is displayed when the bottle set was
placed first on the instrument and the onboard
stability started.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Monitoring reagent status 257
1
1 On the Overview tab, choose the button.
2
2 On the Disk <X> panel, choose the reagent set
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
258 Monitoring reagent status
3
3 On the test panel, the status and further information of
the currently loaded reagent bottle set are displayed.
• Choose the button.
4
4 On the Related Information panel, all to the reagent
set related fluids with their lot numbers are displayed.
I Underneath the Bottle Set information, the date
and time is displayed when the bottle set was
placed first on the instrument and the onboard
stability started.
u Related topics
• Checking the reagent inventory (250)
• Checking the reagent set status (253)
8 Reagents and consumables
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Managing supplies and waste 259
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
260 Managing supplies and waste
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
immediately with soap and water and apply a
disinfectant.
Consult a physician.
1
1 Place the white full water container on the rack.
I Always use purified water
A Water container
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Managing supplies and waste 261
2
2 Connect the water tubing to the connector on the
analyzer by pushing the plug firmly in the socket.
A Water connector
3
3 Insert the white tubing adapter in the water container
and push it down firmly.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
262 Managing supplies and waste
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
8 Reagents and consumables
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Managing supplies and waste 263
1
1 Place the yellow empty waste container on the rack.
A Waste container
2
2 Connect the waste tubing to the connector on the
analyzer by pushing the plug firmly in the socket.
A Waste connector
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
264 Managing supplies and waste
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
8 Reagents and consumables
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Managing supplies and waste 265
1
1 Place the cleaner bottle on the rack.
A Cleaner bottle
3
3 Push the protective sleeve firmly on its base on the
analyzer
A
8 Reagents and consumables
A Protective sleeve
4
4 Screw the cleaner tubing to the connector on the
analyzer.
I Do not fasten the screw too tight.
A Cleaner connector
Roche Diagnostics
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266 Managing supplies and waste
5
5 Insert the red tubing adapter in the cleaner bottle and
push it down firmly.
8 Reagents and consumables
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Managing supplies and waste 267
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
Roche Diagnostics
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268 Managing supplies and waste
2
2 Press down the release clamp on the connecting
socket.
2
2 Press down the release clamp on the connecting
socket.
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Managing supplies and waste 269
2
2 Pull out the protective sleeve.
4
4 Turn the connecting screw counterclockwise until the
connector is released.
Roche Diagnostics
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270 Managing supplies and waste
Roche Diagnostics
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! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
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1
1 On the Overview tab, choose the button.
I If a maintenance action is due status,
the button is hidden.
2
2 On the System Status panel, choose the button.
I The button color indicates the status.
f If the button is yellow, the time on the button
indicates how long the task is overdue.
8 Reagents and consumables
3
3 Remove the tubing adapter from the white water
container.
• Place the tubing adapter on a clean surface.
4 WARNING!
Danger of poor measurement quality due to
inadequate water quality
4 Refill the bottle with purified water.
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6
6 On the Check Bottles panel, choose the Water
button.
f The button changes to green and full.
u Related topics
• Checking the status of the external fluid
containers (198)
• Emptying the waste container (274)
• Replacing the cleaner bottle (278)
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! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
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! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
immediately with soap and water and apply a
disinfectant.
Consult a physician.
! CAUTION
Infectious waste
Contact with liquid waste may result in infection. All
materials and mechanical components associated with
the waste system are potentially biohazardous.
r Wear appropriate personal protective equipment. Take
extra care when working with lab gloves. They can
easily be pierced or cut, leading to infection.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
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1
1 On the Overview tab, choose the button.
I If a maintenance action is due status,
the button is hidden.
2
2 On the System Status panel, choose the button.
I The button color indicates the status.
f If the button is yellow, the time on the button
indicates how long the task is overdue.
8 Reagents and consumables
3
3 Remove the tubing adapter from the yellow waste
container.
• Insert the tubing adapter in the spare waste
container.
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9
9 On the Check Bottles panel, choose the Waste
button.
f The button changes to green and empty.
u Related topics
• Checking the status of the external fluid
containers (198)
• Refilling the water container (270)
• Replacing the cleaner bottle (278)
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A Cleaner bottle
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
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! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
immediately with soap and water and apply a
disinfectant.
Consult a physician.
! CAUTION
Infectious waste
Contact with liquid waste may result in infection. All
materials and mechanical components associated with
the waste system are potentially biohazardous.
r Wear appropriate personal protective equipment. Take
extra care when working with lab gloves. They can
easily be pierced or cut, leading to infection.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
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1
1 On the Overview tab, choose the button.
I If a maintenance action is due status,
the button is hidden.
2
2 On the System Status panel, choose the button.
I The button color indicates the status.
f If the button is yellow, the percentage on the
button indicates the residual of cleaner in the
bottle.
8 Reagents and consumables
3
3 Remove the tubing adapter from the cleaner bottle.
• Place the tubing adapter on a clean noncorrosive
surface.
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8
8 On the Check Bottles panel, choose the Cleaner
button.
f The button changes to green and fill level of
100 %.
u Related topics
• Checking the status of the external fluid
containers (198)
• Refilling the water container (270)
• Emptying the waste container (274)
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282 Managing supplies and waste
q Printout storage
Print on thermal paper fades over time. For long-term
storage, store only copies of printouts.
n Approximately 1 minute
1
1 Open the printer panel.
I Make sure that you press down the release button
(A) firmly before you pull the panel. The panel
should open without resistance.
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5
5 Place the new roll on the holder.
I Make sure that the paper unrolls at the top and
towards you.
6
6 Insert the paper in the slot in the printer panel and pull
some through.
u Related topics
• Clearing a paper jam (582)
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About cuvettes
All photometric tests are performed in transparent
containers called cuvettes. The cuvettes are placed in a
cuvette segment, disposable, and made of high optical
quality acrylic.
! WARNING
Incorrect results due to scratched or soiled cuvettes
Scratches and impurities on the cuvettes distort the
measurements.
r Do not touch the cuvettes and make sure that they do
not touch other items when handling them.
Cuvette
Cuvette segment
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u Related topics
• Checking the cuvette status (191)
• Exchanging cuvette segments (286)
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Cuvette exchange screen You can reach the cuvette segment exchange screen
8 Reagents and consumables
! CAUTION
Moving parts
Contact with moving parts may result in personal injury.
r Keep the cover and flaps closed and in place while the
system is operating.
r Always ensure that the system is off or in
Maintenance status before you work with an opened
cover (for example, for cleaning or maintenance).
r Do not touch any parts of the system except those
parts specified. Keep away from moving parts during
operation.
r During operation and maintenance, carefully follow
the instructions.
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! CAUTION
Infectious waste
Contact with liquid waste may result in infection. All
materials and mechanical components associated with
the waste system are potentially biohazardous.
r Wear appropriate personal protective equipment. Take
extra care when working with lab gloves. They can
easily be pierced or cut, leading to infection.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If waste comes into contact with your skin, wash the
affected area immediately with soap and water and
apply a disinfectant.
Consult a physician.
n Approximately 2 minutes
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288 Managing supplies and waste
2
2 On the Cuvettes panel, choose the cuvette segment
button for which you want to exchange the cuvette
segment.
I The number in the button indicates how many
cuvettes are free to be used.
5
5 WARNING!
Incorrect results due to scratched or soiled cuvettes.
5 Do one of the following actions:
• Remove the cuvette segment.
• Exchange the cuvette segment.
• Load a cuvette segment.
6
6 Confirm your action with the corresponding button:
• For removing, choose the button.
• For exchanging or loading, choose the button.
8 Reagents and consumables
u Related topics
• Checking the cuvette status (191)
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Table of contents
Calibration 9
In this chapter 9
Quick Guide: Performing calibrations . . . . . . . . . . . . . 291
Calibration overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . 292
Performing calibration and handling calibration
results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 295
About calibration procedures . . . . . . . . . . . . . . . . . 295
Performing calibrations . . . . . . . . . . . . . . . . . . . . . . 296
Deleting ordered calibrations . . . . . . . . . . . . . . . . . 300
Validating calibration results . . . . . . . . . . . . . . . . . . 302
About calibration result validation . . . . . . . . . . 302
Validating calibration results . . . . . . . . . . . . . . . 304
Viewing the lot data and related information
for calibrations . . . . . . . . . . . . . . . . . . . . . . . . . . 307
Deleting calibration results . . . . . . . . . . . . . . . . . . . 309
About calibration result storage . . . . . . . . . . . . . . . 311
Calibrator lot change . . . . . . . . . . . . . . . . . . . . . . . . . . . 312
Adding a calibrator lot via barcode reader . . . . . . 312
Adding a calibrator lot manually . . . . . . . . . . . . . . 315
Assigning tests to a calibrator lot manually . . . . . 319
Viewing calibrator target values . . . . . . . . . . . . . . . 322
Replacing the current lot calibration . . . . . . . . . . . 324
General calibration information . . . . . . . . . . . . . . . . . . 328
About calibration types . . . . . . . . . . . . . . . . . . . . . . 328
About calibration sequence . . . . . . . . . . . . . . . . . . 330
9 Calibration
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Table of contents
9 Calibration
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Quick Guide: Performing calibrations 291
3. Place calibrator tubes on the 1. If necessary, check and print the placement list.
sample area 2. Prepare and place calibrator tubes according to the
placement list.
3. Choose the button.
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292 Calibration overview
Calibration overview
Definition Calibration establishes the relationship between
analytical instrument values and known analyte values.
Calibrator status If you perform the Prepare wizard, all tests whose
calibration is due or is due within the forecast period are
automatically selected by default. To cancel these
selections, choose the button, or the button, or
a test button.
9 Calibration
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Calibration overview 293
Calibrator cup placement A panel displays all required calibrators and its position
on the sample area.
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294 Calibration overview
A B C
D
E
F
G
H
I
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Icon Meaning
Calibrating all reagent sets that need
calibrating
y Calibration selections
Typically you would set this period to fit your shift, for
example 8 hours. This time would enable you to prepare
the analyzer before the work shift starts and so avoid
having to interrupt sample processing for performing
calibrations.
u Related topics
• Performing calibrations (296)
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Performing calibrations
In the preparing phase, the system checks for all
calibrations that are due.
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! WARNING
Incorrect results due to inappropriate tube and cup
placement
Inappropriate tube and cup placement may lead to
inaccurate pipetting and so to incorrect results.
r Ensure that the primary tubes are placed centrally and
perfectly vertically in the holders in the sample area
and that they are inserted firmly.
r Ensure that secondary tubes are placed centrally on
the primary tubes and that they rest fully on them.
WARNING
9 Calibration
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! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
immediately with soap and water and apply a
disinfectant.
Consult a physician.
c Daily
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298 Performing calibration and handling calibration results
r To perform calibrations
1
1 Choose Workplace > Calibrations
f The calibration panel displays all tests and their
currently valid calibration.
f The Current option is used as default filter.
2
2 On the Calibrations [Current] panel, choose
the button.
3
3 On the Select Cal panel, choose one of the following
options:
• Individual calibration: Select the check box of the
corresponding test.
• All due calibration: Choose the button.
• All forecast calibrations: Choose the button.
I If you use the Prepare wizard, all tests whose
9 Calibration
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5
5 Place calibrator cups on their assigned positions.
I If there are not enough free positions, occupied
positions are suggested, the system first uses the
free positions. For these orders, you would have to
replace the currently loaded tubes with calibrator
tubes. With absorbance tests that require several
calibrators, the calibrators are placed according to
their concentration, starting with the highest
concentration.
u Related topics
• About the Calibrations button (124)
• Quick Guide: Prepare wizard (168)
• Starting a run (180)
• Quick Guide: Performing calibrations (291)
• Calibration overview (292)
• About calibration procedures (295)
• Adding a calibrator lot manually (315)
• About calibration result validation (302)
• Validating calibration results (304)
9 Calibration
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c When necessary
n Approximately 1 minute
1
1 Choose Workplace > Calibrations
9 Calibration
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2
2 On the Calibrations panel, choose the calibration
order you want to delete.
I If a filter option is active, the filter name is attached
to the panel title. For example, Calibrations
[Current] option.
4
4 On the Delete Calibration panel, choose
the button.
f The processing activities for this order are stopped.
Measurements that have not yielded a valid result
are considered not measured.
9 Calibration
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Calibration results with flags If flags are generated, you must determine their cause.
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u Related topics
• Validating calibration results (304)
9 Calibration
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304 Performing calibration and handling calibration results
! WARNING
Incorrect results when using old calibration results
Calibrations are performed to compensate for changes
over time in reagents and in the measurement systems.
Failing to perform calibrations when they are due may
lead to incorrect results.
r Roche recommend performing a QC measurement
before you continue working with the old calibration
results.
r In the application definitions, choose the On option
for the QC After Cal parameter.
Utilities > Applications > Laboratory Parameters
> Control > QC After Cal
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Performing calibration and handling calibration results 305
1
1 Choose Workplace > Calibrations
2
2 On the Calibrations [Current] panel, choose the test
for which you want to validate the calibration result.
• Choose the button.
3
3 On the Detail panel, choose the button.
9 Calibration
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306 Performing calibration and handling calibration results
4
4 On the Edit panel, choose one of the following
options:
• Accept Set
• Accept Lot: This button is only active if for the
calibration sequence the Each Lot and Interval
option is defined and no flags were generated for
the result.
• Repeat: Perform the calibration again.
• Use Old: Discard the new calibration result, reset
the calibration due date, and to continue using the
old calibration results.
I If you choose an accepted calibration result, the
Use Old option is available. When you choose the
Use Old option, a copy of the old calibration result
is made and a new entry is displayed in the
calibration results list. The intervals are reset as if a
new calibration result were generated.
u Related topics
• About the Calibrations button (124)
• Quick Guide: Performing calibrations (291)
• About calibration types (328)
• About calibration result validation (302)
9 Calibration
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1
1 Choose Workplace > Calibrations
2
2 On the Calibrations panel, choose the calibration for
which you want to see the data.
• Choose the button.
9 Calibration
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308 Performing calibration and handling calibration results
3
3 On the Detail panel, the status and further
information of the calibration result are displayed.
• Choose the button.
4
4 On the Related Information panel, all to the
calibration result related fluids with their lot numbers
are displayed.
9 Calibration
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c Daily
n Approximately 2 minutes
1
1 Choose Workplace > Calibrations
9 Calibration
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310 Performing calibration and handling calibration results
2
2 On the Calibrations panel, choose the calibration you
want to delete.
I If a filter option is active, the deletion includes only
the calibration results that fulfill the filter criterion.
The filter criterion is part of the panel name.
3
3 On the Delete Calibration panel, choose
the button.
f The calibration order and the calibration results
are deleted. You cannot retrieve them any more
from the system.
u Related topics
• Cleaning up the database (475)
9 Calibration
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9 Calibration
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312 Calibrator lot change
! CAUTION
Blindness due to intense barcode reader light
The intense light of a laser or LED barcode reader may
severely damage your eyes or result in exposure to
hazardous radiation. Scanning equipment using LED
technology is covered by the international standard
EN/IEC 60825-1 LED Safety: Class 1.
r Do not stare into the beam of a laser or LED barcode
reader.
r Do not remove the housing from barcode readers.
r Do not perform any maintenance actions on barcode
readers. If you experience problems with the barcode
readers, contact your Roche Service representative.
r Perform only the procedures described in operating
instructions. Performing unauthorized procedures may
result in exposure to hazardous radiation.
c When necessary
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Calibrator lot change 313
1
1 Choose Workplace > Lot Data
2
2 On the Lot Data panel, choose the Calibrators
button.
3
3 On the Calibrators panel, choose the button.
f A message panel informs you to read the calibrator
barcode sheet with the hand-held barcode reader.
9 Calibration
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314 Calibrator lot change
4
4 Read the calibrator barcode sheet with the hand-held
barcode reader.
f An acoustic signal confirms you about the barcode
reading success.
f The Calibrators panel is displayed with the added
calibrator lot selected.
9 Calibration
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Calibrator lot change 315
c When necessary
n Approximately 5 minutes
1
1 Choose Workplace > Lot Data
9 Calibration
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316 Calibrator lot change
3
3 On the Calibrators panel, choose the button.
4
4 On the Add Lot panel, choose the button.
9 Calibration
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Calibrator lot change 317
5
5 On the Name panel, use the keyboard to enter the
calibrator short name into the text field.
I You can enter up to 10 alphanumeric characters.
7
7 On the Material Code panel, enter the calibration
code into the text field.
I Ensure that the calibration code corresponds with
the unit displayed near the text field.
You can enter up to 3 digits.
9
9 On the Lot ID panel, enter the lot number of the
corresponding calibrator into the text field.
I You can enter up to 9 alphanumeric characters.
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318 Calibrator lot change
11
11 On the Expiration Date panel, enter the expiry date
into the text field in the format displayed near the text
field.
13
13 On the No. of Calibrators panel, enter the number of
single standard levels that belong to the calibrator.
I You can assign maximum 6 single standards that
belong to one calibrator definition.
The number you save defines the number of
calibrator cups you must place on the sample area.
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Calibrator lot change 319
c When necessary
n Approximately 5 minutes
9 Calibration
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320 Calibrator lot change
1
1 Choose Workplace > Lot Data
2
2 On the Lot Data panel, choose the Calibrators
button.
3
3 On the Calibrators panel, choose the calibrator
definition to which you want to assign the test.
• Choose the button to expand the calibrator
item.
• Choose the *Add new test* option.
9 Calibration
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Calibrator lot change 321
4
4 On the Test panel, choose the test button for which
you want to assign the calibrator data.
6
6 On the 1 panel, enter the target value for the
calibration standard with the highest concentration.
I Ensure that the values you enter correspond with
the target values given in the calibrator Value
Sheet for the corresponding test and unit.
10
10 On the Last Is Water panel, choose one of the
following options:
• Off: A separate tube filled with calibrator 2 must be
placed on the sample area for calibrations.
• On: The analyzer use system water as calibrator 2
for the calibration. No standard tube placement is
required.
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322 Calibrator lot change
1
1 Choose Workplace > Lot Data
2
2 On the Lot Data panel, choose the Calibrators
option.
9 Calibration
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Calibrator lot change 323
3
3 On the Clibrators panel, choose the calibrator for
which you want to see the lot data.
• Choose the button.
4
4 On the expanded calibrator item, choose the test for
which you want to see the lot data.
• Choose the button.
5
5 On the expanded test item, the assigned calibrator lot
data with the corresponding units are displayed.
I Calibrators that were defined or changed manually
are marked with an asterisk.
u Related topics
• About the Lot Data button (134)
9 Calibration
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324 Calibrator lot change
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! WARNING
Incorrect results due to inappropriate tube and cup
placement
Inappropriate tube and cup placement may lead to
inaccurate pipetting and so to incorrect results.
r Ensure that the primary tubes are placed centrally and
perfectly vertically in the holders in the sample area
and that they are inserted firmly.
r Ensure that secondary tubes are placed centrally on
the primary tubes and that they rest fully on them.
9 Calibration
! WARNING
Incorrect results due to not placing the identified
reagent
The system assumes that the operator places the reagent
that was identified.
r Failing to do so might lead to wrong results.
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Calibrator lot change 325
! CAUTION
Moving parts
Contact with moving parts may result in personal injury.
r Keep the cover and flaps closed and in place while the
system is operating.
r Always ensure that the system is off or in
Maintenance status before you work with an opened
cover (for example, for cleaning or maintenance).
r Do not touch any parts of the system except those
parts specified. Keep away from moving parts during
operation.
r During operation and maintenance, carefully follow
the instructions.
! CAUTION
Blindness due to intense barcode reader light
The intense light of a laser or LED barcode reader may
severely damage your eyes or result in exposure to
hazardous radiation. Scanning equipment using LED
technology is covered by the international standard
EN/IEC 60825-1 LED Safety: Class 1.
r Do not stare into the beam of a laser or LED barcode
reader.
r Do not remove the housing from barcode readers.
r Do not perform any maintenance actions on barcode
readers. If you experience problems with the barcode
readers, contact your Roche Service representative.
r Perform only the procedures described in operating
instructions. Performing unauthorized procedures may
result in exposure to hazardous radiation.
c When necessary
n Approximately 10 minutes
m Reagent set
m Calibrator
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326 Calibrator lot change
1
1 Choose Workplace > Calibrations
2
2 On the Calibrations panel, choose the calibration you
want to replace.
I If a filter option is active, the filter name is attached
to the title of the panel. For example, the
Calibrations [Current] option.
4
4 On the Delete panel, choose the button.
f The reagent set has no valid calibration. You
cannot process any sample orders for this test.
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Calibrator lot change 327
5
5 Remove the corresponding reagent set from the
reagent disk.
• On the Overview panel, choose the button.
• On the Disk <X> panel, choose the reagent set
you want to remove from the reagent disk.
• On the test panel, choose the button.
• Wait until the green LED is on.
• Open the main cover.
• A message panel informs you to remove the
reagent set from the reagent disk.
6
6 Load a new reagent set for the corresponding test.
• On the Disk <X> panel, choose the button.
• A message panel informs you to scan the bottle
barcode with the hand-held barcode reader.
• Wail until the green LED is on.
• Remove the bottle cap and place the reagent
bottle into the reagent disk.
• Confirm the loading with the button.
• Repeat the loading steps until all bottles of the
reagent set are loaded.
• Close the main cover.
7
7 Choose Workplace > Calibrations
lot calibration.
• Choose the button.
• Place the calibrator on its assigned position.
• Confirm the placement with the button.
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328 General calibration information
Set calibration Set calibration results are valid for the calibrated reagent
bottle set only. They can be generated from any reagent
set.
Lot calibration
Lot calibration results are valid for the reagent set they
were calibrated with and for all reagent sets of the same
lot. Lot calibrations are generated by calibrating the first
reagent set of a new lot. There can only be one accepted
lot calibration result for the reagents of a given lot.
Lot calibration requirements Place a reagent set of a new lot on the system and start
the calibration. If QC results suggest that a new
calibration is required, recalibrate the reagent set within
the first 24 hours of placing the set on the system. Within
this period, any valid calibration result can be used as a
lot calibration. When this period has elapsed, you can no
longer change the lot calibration results.
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General calibration information 329
Assumptions:
• Sequence: Each Lot and Interval.
• Interval: 5 days.
0
1
1
2
2 3 4
3
5 6 7 8
4
9
days Place reagent set 2 Lot: 123456 (same lot)
RS = Reagent set
Calibration required! Calibration within 24 hours = Lot
calibration (if not flagged)
4. Reagent set 2 empty
Place reagent set 3 Lot: 123456 (same lot)
No calibration required, inherit (= copy) lot-
calibration values from reagent set 2
RS1 RS3
1 2 3
0 1 2 3 4 5 6 7 8 9
days
2. 5-day interval reached
RS = Reagent set
Recalibration required for reagent set 1 = Set cal
3. Reagent set 1 empty
Place reagent set 2 Lot: 123456 (same lot)
No calibration required, inherit (= copy) lot-
calibration values from reagent set 1
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330 General calibration information
w Calibration definition
9 Calibration
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General calibration information 331
No Interval Perform calibration whenever you think fit. Use this value
if you are sure that the reagent is stable until it is empty
and you replace it with a new one. Calibration is due
whenever a new reagent set is loaded on the analyzer.
Interval Only Perform calibration only when the interval has expired.
Each Lot and Interval Perform calibration whenever the fist reagent of a new lot
is loaded and then each time the interval has expired.
Each Set and Interval Perform calibration whenever a new reagent is loaded
and when the interval has expired.
9 Calibration
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9 Calibration General calibration information
Roche Diagnostics
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333
Table of contents
Quality control 10
In this chapter 10
Quick Guide: Performing QCs. . . . . . . . . . . . . . . . . . . . 335
QC overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 336
Performing a QC order and handling QC results . . . . 337
Performing a QC order. . . . . . . . . . . . . . . . . . . . . . . 337
Performing default QC . . . . . . . . . . . . . . . . . . . . 337
Performing interval QC. . . . . . . . . . . . . . . . . . . . 342
Validating QC results . . . . . . . . . . . . . . . . . . . . . . . . 346
About QC result validation . . . . . . . . . . . . . . . . 346
Viewing QC target values . . . . . . . . . . . . . . . . . 349
Validating QC results . . . . . . . . . . . . . . . . . . . . . 351
Interpreting the QC history . . . . . . . . . . . . . . . . 354
Viewing the lot data and related information
for QC results . . . . . . . . . . . . . . . . . . . . . . . . . . . 357
Deleting QC results . . . . . . . . . . . . . . . . . . . . . . . . . 359
QC lot change . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 363
Adding a QC lot via barcode reader . . . . . . . . . . . 363
Adding a QC lot manually . . . . . . . . . . . . . . . . . . . . 366
Assigning tests to a QC lot manually. . . . . . . . . . . 370
General QC information. . . . . . . . . . . . . . . . . . . . . . . . . 373
About QC types. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 373
About QC procedures . . . . . . . . . . . . . . . . . . . . . . . 375
10 Quality control
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334
Table of contents
10 Quality control
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Quick Guide: Performing QCs 335
10 Quality control
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
336 QC overview
QC overview
QC is performed at regular intervals to check the integrity
of the whole measuring system. For each test, up to 3
controls are defined. The results are compared against
predefined ranges or values and then interpreted
accordingly.
QC definition
Roche Diagnostics
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Performing a QC order and handling QC results 337
Performing a QC order
In this section
Performing default QC (337)
Performing interval QC (342)
Performing default QC
Performing default QC follows a streamlined procedure
whereby QC orders are automatically defined as soon as
you identify a QC material.
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
10 Quality control
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
338 Performing a QC order and handling QC results
! WARNING
Incorrect results due to inappropriate tube and cup
placement
Inappropriate tube and cup placement may lead to
inaccurate pipetting and so to incorrect results.
r Ensure that the primary tubes are placed centrally and
perfectly vertically in the holders in the sample area
and that they are inserted firmly.
r Ensure that secondary tubes are placed centrally on
the primary tubes and that they rest fully on them.
! WARNING
Operator infection and injury
Contact with system mechanisms (for example, transfer
head) or with the system chassis or covers may result in
personal injury and infection.
r Whenever possible, keep the cover and flaps of the
analyzer closed.
r Always ensure that the system is off or in
Maintenance status before you work with an opened
cover (for example, for cleaning or maintenance).
r Do not open the cover or flaps while the system is
performing maintenance.
r Pay attention to the covers during automatic
movement, check for obstructions and keep out of
reach.
r Do not touch any parts of the system other than those
parts that are specified.
r Never reach into the analyzer while parts are moving.
r Carefully observe all instructions given in this
publication.
10 Quality control
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cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Performing a QC order and handling QC results 339
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
immediately with soap and water and apply a
disinfectant.
Consult a physician.
c Daily
n Approximately 5 minutes
mode.
m You must be logged on with appropriate access
rights.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
340 Performing a QC order and handling QC results
r To perform default QC
1
1 Choose Overview > Order
2
2 On the Identify Sample panel, choose
the button.
3
3 On the QC Placement panel, choose a QC material
button.
I A button for each required QC material is
displayed.
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Performing a QC order and handling QC results 341
4
4 Repeat step 3 until all QC materials are placed on the
sample area.
f All QC material buttons are inactive.
u Related topics
• Starting a run (180)
• Quick Guide: Performing QCs (335)
• QC overview (336)
• About QC types (373)
• About QC procedures (375)
• Performing interval QC (342)
• About QC result validation (346)
10 Quality control
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
342 Performing a QC order and handling QC results
Performing interval QC
A QC order is defined for all tests for which the defined
interval is expired and the test is active on the system.
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! WARNING
Incorrect results due to inappropriate tube and cup
placement
Inappropriate tube and cup placement may lead to
inaccurate pipetting and so to incorrect results.
r Ensure that the primary tubes are placed centrally and
perfectly vertically in the holders in the sample area
and that they are inserted firmly.
r Ensure that secondary tubes are placed centrally on
the primary tubes and that they rest fully on them.
10 Quality control
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Performing a QC order and handling QC results 343
! WARNING
Operator infection and injury
Contact with system mechanisms (for example, transfer
head) or with the system chassis or covers may result in
personal injury and infection.
r Whenever possible, keep the cover and flaps of the
analyzer closed.
r Always ensure that the system is off or in
Maintenance status before you work with an opened
cover (for example, for cleaning or maintenance).
r Do not open the cover or flaps while the system is
performing maintenance.
r Pay attention to the covers during automatic
movement, check for obstructions and keep out of
reach.
r Do not touch any parts of the system other than those
parts that are specified.
r Never reach into the analyzer while parts are moving.
r Carefully observe all instructions given in this
publication.
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
10 Quality control
c Daily
Roche Diagnostics
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344 Performing a QC order and handling QC results
n Approximately 5 minutes
r To perform interval QC
1
1 Choose Overview > Order
2
2 On the Identify Sample panel, choose
the button.
10 Quality control
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Performing a QC order and handling QC results 345
3
3 On the Select QC panel, choose the button.
f All tests which have the QC status due are
selected.
This selection also applies to controls with the QC
after Cal option active.
f To choose an individual test, select the check box
of the test button.
5
5 On the QC Placement panel, choose a QC material
button.
I A button for each required QC material is
displayed.
f A message panel informs you to place the chosen
QC material tube on the sample area within 10
seconds.
f The system registers the position and defines a QC
order for each test that has this QC material
defined as its default QC material.
6
6 Repeat step 3 until all QC materials are placed on the
sample area.
f All QC material buttons are inactive.
u Related topics
• Starting a run (180)
• Quick Guide: Performing QCs (335)
• QC overview (336)
• About QC types (373)
• About QC procedures (375)
• Performing default QC (337)
• About QC result validation (346)
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
346 Performing a QC order and handling QC results
Validating QC results
In this section
About QC result validation (346)
Viewing QC target values (349)
Validating QC results (351)
Interpreting the QC history (354)
Viewing the lot data and related information for QC
results (357)
QC results with flags If flags are generated, you must determine their cause
and decide whether to accept the result or to ignore it.
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Performing a QC order and handling QC results 347
QC Status panel
A Status
!: The test has not been accepted yet
I: The result was ignored
@: The result has not been transmitted yet
B Test short name
C QC name
D Result, if no flag was generated.
The flag with the highest priority is displayed.
Order status, if the control measurement has not
been performed yet.
10 Quality control
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348 Performing a QC order and handling QC results
u Related topics
• Validating QC results (351)
Roche Diagnostics
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Performing a QC order and handling QC results 349
1
1 Choose Workplace > Lot Data
2
2 On the Lot Data panel, choose the Controls option.
10 Quality control
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350 Performing a QC order and handling QC results
3
3 On the Controls panel, choose the QC material for
which you want to see the lot data.
• Choose the button.
4
4 On the expanded QC material item, choose the test for
which you want to see the lot data.
• Choose the button.
5
5 On the expanded test item, the assigned target value,
SD range, and the corresponding unit are displayed.
I QC materials that were defined or changed
manually are marked with an asterisk.
u Related topics
10 Quality control
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Performing a QC order and handling QC results 351
Validating QC results
The system only uses QC results when you have accepted
them.
r To validate QC results
1
1 Choose Workplace > QC Status
2
2 On the QC Status panel, choose the test for which
you want to validate the QC result.
• Choose the button.
10 Quality control
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352 Performing a QC order and handling QC results
3
3 On the Detail panel, check the reason of failure.
I If the QC result is outside the defined range,
perform the QC again. If the results are still outside
the range, check for other causes. If all fails,
perform a calibration.
5
5 On the QC Status panel, choose the test for which
you want to validate the QC result.
• Choose the button.
6
6 On the Edit panel, choose one of the following
options:
• Accept
• Ignore: Exclude the QC result from further QC
result calculations such as QC history statistics.
When ignoring a QC result, the due status does not
10 Quality control
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Performing a QC order and handling QC results 353
u Related topics
• About the QC Status button (122)
• Quick Guide: Performing QCs (335)
• Performing default QC (337)
• About QC types (373)
• About QC result validation (346)
10 Quality control
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354 Performing a QC order and handling QC results
Roche Diagnostics
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Performing a QC order and handling QC results 355
1
1 Choose Workplace > QC History
2
2 On the QC History panel, choose the test for which
A B C you want to display the QC results.
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356 Performing a QC order and handling QC results
4
4 On the test panel, choose the time button for which
you want to display the QC results.
• Current calender month
• Previous calender month
• Before the previous calender month
5
5 To display the QC results in a table, choose
the button.
6
6 On the List panel, choose the button.
f The results are sorted chronologically.
f An overview is followed by statistical data for all
stored results and for the results of the current
month.
f If a QC target value change took place, only the
10 Quality control
u Related topics
• About the QC History button (130)
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Performing a QC order and handling QC results 357
1
1 Choose Workplace > QC Status
2
2 On the QC Status panel, choose the QC result for
which you want to see the data.
• Choose the button.
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358 Performing a QC order and handling QC results
3
3 On the Detail panel, the status and further
information of the QC result are displayed.
• Choose the button.
4
4 On the Related Information panel, all to the QC
result related fluids with their lot numbers are
displayed.
I The date and time below the bottle set information
refer to the moment the software registered the
loaded reagent set.
10 Quality control
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Performing a QC order and handling QC results 359
Deleting QC results
Accepted QC results are deleted from the QC Status
panel as part of the daily end of shift activities.
c Daily
n Approximately 2 minutes
10 Quality control
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360 Performing a QC order and handling QC results
1
1 Choose Workplace > QC Status
2
2 On the QC Status panel, choose the QC result you
want to delete.
• Choose the button.
3
3 On the Delete panel, choose one of the following
options:
• To delete all QC results, choose the All option.
10 Quality control
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Performing a QC order and handling QC results 361
1
1 Choose Workplace > QC History
2
2 On the QC History panel, choose the QC result you
want to delete.
I If a filter option is active, the deletion includes only
the QC results that fulfill the filter criterion. The
filter criterion is part of the panel name.
4
4 On the Delete panel, choose one of the following
options:
10 Quality control
• To delete all QC results from the list, choose the
List option.
If a filter option is active, the deletion includes only
the QC results that fulfill the filter criterion. The
filter criterion is part of the button name.
• To delete all QC results that were generated before
the first day of the previous month, choose the
Older than Previous Month option.
• To delete all QC results of the chosen QC material,
choose the Selected button.
I In the Selected button, the application short name
AFOS and the QC material name PCCC2 is
displayed.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
362 Performing a QC order and handling QC results
u Related topics
• Cleaning up the database (475)
10 Quality control
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cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
QC lot change 363
QC lot change
In this section
Adding a QC lot via barcode reader (363)
Adding a QC lot manually (366)
Assigning tests to a QC lot manually (370)
! CAUTION
Blindness due to intense barcode reader light
The intense light of a laser or LED barcode reader may
severely damage your eyes or result in exposure to
hazardous radiation. Scanning equipment using LED
technology is covered by the international standard
EN/IEC 60825-1 LED Safety: Class 1.
r Do not stare into the beam of a laser or LED barcode
reader.
r Do not remove the housing from barcode readers.
r Do not perform any maintenance actions on barcode
readers. If you experience problems with the barcode
readers, contact your Roche Service representative.
r Perform only the procedures described in operating
instructions. Performing unauthorized procedures may
result in exposure to hazardous radiation.
the application.
To assign the QC material code to an application, choose
Utilities > Applications > Laboratory Parameters >
choose the corresponding application > Control
c When necessary
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
364 QC lot change
1
1 Choose Workplace > Lot Data
2
2 On the Lot Data panel, choose the Controls button.
10 Quality control
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QC lot change 365
3
3 On the Controls panel, choose the button.
f A message panel informs you to read the QC
barcode sheet with the hand-held barcode reader.
4
4 Read the QC barcode sheet with the hand-held
barcode reader.
f An acoustic signal confirms you about the barcode
reading success.
f The Controls panel is displayed with the added
QC lot selected.
f For the particular QC material, all QC values are
loaded for all installed tests.
10 Quality control
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366 QC lot change
c When necessary
n Approximately 5 minutes
1
1 Choose Workplace > Lot Data
10 Quality control
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QC lot change 367
2
2 On the Lot Data panel, choose the Controls button.
3
3 On the Controls panel, choose the button.
4
4 On the Add Lot panel, choose the button.
10 Quality control
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368 QC lot change
5
5 On the Name panel, use the keyboard to enter the QC
material short name into the text field.
I You can enter up to 10 alphanumeric characters.
7
7 On the Material Code panel, enter the QC material
code number into the text field.
I The test-specific Method Sheet provides the QC
material code numbers.
You can enter up to 3 digits.
9
9 On the Lot ID panel, enter the lot number of the
corresponding QC material into the text field.
I You can enter up to 9 alphanumeric characters.
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QC lot change 369
11
11 On the Expiration Date panel, enter the expiry date
into the text field in the format displayed near the text
field.
10 Quality control
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370 QC lot change
c When necessary
n Approximately 5 minutes
1
1 Choose Workplace > Lot Data
10 Quality control
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QC lot change 371
2
2 On the Lot Data panel, choose the Controls button.
3
3 On the Controls panel, choose the QC material to
which you want to assign the test.
• Choose the button to expand the QC material
item.
• Choose the *Add new test* option.
• Choose the button.
4
4 On the Test panel, choose the test you want to assign
to the QC material.
I If you want to assign more than one test to a QC
material, you must repeat the assignment for each
single test.
10 Quality control
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372 QC lot change
6
6 On the Mean Concentration panel, enter the target
value of the test. The value is given in the lot-specific
QC Value Sheet for the corresponding test and unit.
I Ensure that the value you enter corresponds with
the test unit that is displayed near the text field.
8
8 On the Standard Deviation panel, enter the value for
the 1s range. The value is given in the lot-specific QC
Value Sheet for the corresponding test and unit.
I Ensure that the value you enter corresponds with
the test unit that is displayed near the text field.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
General QC information 373
General QC information
In this section
About QC types (373)
About QC procedures (375)
About QC types
B
10 Quality control
w QC definition
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
374 General QC information
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
General QC information 375
About QC procedures
To perform a QC measurement, following methods are
provided:
Icon Meaning
Perform default QC measurement for all
reagent sets that must be checked.
y QC selections
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
376 General QC information
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
377
Table of contents
In this chapter 11
Quick Guide: Ordering and analyzing samples . . . . . 379
About sample tube handling . . . . . . . . . . . . . . . . . . . . 381
Defining a sample order . . . . . . . . . . . . . . . . . . . . . . . . 384
About sample order handling . . . . . . . . . . . . . . . . . 384
Defining a routine order manually . . . . . . . . . . . . . 389
Defining STAT orders manually. . . . . . . . . . . . . . . . 395
Defining a routine order via host . . . . . . . . . . . . . . 401
Adding tests to an order . . . . . . . . . . . . . . . . . . . . . . . . 407
Adding tests to an on-board sample . . . . . . . . . . . 407
Adding tests to an order which is not on-board
anymore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410
Monitoring the analysis progress. . . . . . . . . . . . . . . . . 412
Test result validation. . . . . . . . . . . . . . . . . . . . . . . . . . . . 415
About test result handling. . . . . . . . . . . . . . . . . . . . 415
About test result validation . . . . . . . . . . . . . . . . . . . 417
Validating test results for on-board samples . . . . 419
Validating test results for samples which are not
on-board anymore . . . . . . . . . . . . . . . . . . . . . . . . . . 422
Viewing test result related information and lot
data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 428
Repeating tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 430
Repeating tests for on-board samples. . . . . . . 430
Repeating a test for a sample which is not
on-board anymore . . . . . . . . . . . . . . . . . . . . . . . 432 11 Orders and results
Rerunning tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 435
Rerunning tests for on-board samples . . . . . . 435
Rerunning a test for a sample which is not
on-board anymore . . . . . . . . . . . . . . . . . . . . . . . 437
Accepting test results . . . . . . . . . . . . . . . . . . . . . . . 440
Accepting test results for on-board samples . 440
Accepting a test result . . . . . . . . . . . . . . . . . . . . 442
Printing sample results . . . . . . . . . . . . . . . . . . . . . . . . . 445
Retransmitting test results to the host. . . . . . . . . . . . . 447
Deleting sample orders . . . . . . . . . . . . . . . . . . . . . . . . . 450
Deleting test results . . . . . . . . . . . . . . . . . . . . . . . . . . . . 452
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
378
Table of contents
11 Orders and results
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Quick Guide: Ordering and analyzing samples 379
2. Select the check box of the 1. To select a test panel, choose a tab (if necessary).
tests, ratios, or profiles. 2. To choose an active test, ratio, or profile, select the
item check box.
This step is not required if the To cancel a selection, clear the item check box
workflow setting working mode 3. Choose the button.
is host. Utilities
> Configuration > Workflow.
3. Place sample tubes on the Place the sample on any free position on the sample
sample area area.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
380 Quick Guide: Ordering and analyzing samples
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
About sample tube handling 381
Sample types The cobas c 111 analyzer can process the following
sample fluids:
• Serum
• Plasma
• Urine
• Whole blood for HbA1c
! WARNING
Contaminated samples
Insoluble contaminants, bubbles, or films in samples may
cause clogging or pipetting volume shortage, leading to
incorrect results.
r Make sure that the samples contain no insoluble
contaminants, such as fibrin or dust.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
382 About sample tube handling
! CAUTION
Foam, clots, films, or bubbles
Incorrect results may occur due to foam, fibrin clots, films,
or bubbles in reagents or samples.
r Ensure good sample preparation and reagent
handling techniques to avoid the formation of foam,
clots, and bubbles in all reagents, samples, and
controls.
u Tubes (65)
Sample tubes The cobas c 111 analyzer can use the following tubes:
• Primary
• Secondary (cups)
NOTICE
Probe damage due to not removing primary tube
caps
The probe is not designed to pierce tube caps. It can get
damaged when trying to pierce tube caps.
r Always remove the caps of primary tubes before
placing them on the analyzer.
u Tubes (65)
Sample barcode You can use sample tubes with or without barcode.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
About sample tube handling 383
Removing sample tubes You can remove sample tubes as soon as pipetting is
complete.
u Related topics
• About the sample overview (99) 11 Orders and results
• About the Orders button (120)
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
384 Defining a sample order
Order mode The order mode reflects how you organize the tests on
the test selection screen.
Easy mode
• If the reagents fit on 1 or 2 reagent disks and you work
with one test panel on the screen.
• You can assign up to 30 tests and profiles on this
panel.
Full mode
• If reagents are placed across several reagent disks.
• The cobas c 111 can handle up to 8 reagent disks.
• If you predominantly work with specific groups of
tests, for example for emergency parameters or for
diabetes testing.
• You can assign up to 25 tests and profiles to each tab.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Defining a sample order 385
Sample barcode You can use sample tubes with or without barcode.
Patient demographics The cobas c 111 software does not support the handling
of patient demographic data.
q Secure storage
Transmitted or exported backups, or archived data must
be stored securely.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
386 Defining a sample order
STAT orders STAT (short turnaround time) orders are handled in the
same way as routine orders. The tests of a STAT order are
processed next, irrespective of the scheduling of routine
order tests.
Defining orders There must be at least one free sample tube position
when defining an order. The software guides you when
ordering the tests and placing the samples.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Defining a sample order 387
u See:
Adding tests to an on-board sample (407)
Adding tests to an order which is not on-board
anymore (410)
Deleting orders At the end of a shift, you should delete all orders that are
defined on the system. This deletion is to free storage
space for the next shift. Deleting the orders is a part of
the End Shift wizard.
u See:
Deleting sample orders (450)
Deleting test results (452)
Controlling the run Controlling the execution of test runs is done via the
global action buttons.
Tube placement To place sample tubes on the sample area, follow the
software instructions.
Removing sample tubes You can remove sample tubes as soon as pipetting is
complete.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
388 Defining a sample order
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Defining a sample order 389
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! WARNING
Contaminated samples
Insoluble contaminants, bubbles, or films in samples may
cause clogging or pipetting volume shortage, leading to
incorrect results.
r Make sure that the samples contain no insoluble
contaminants, such as fibrin or dust.
! WARNING
Incorrect results due to insufficient fluid
Insufficient fluid may lead to inaccurate pipetting and so 11 Orders and results
to incorrect results.
r Always fill the tubes with sufficient fluid that at the
end of the pipetting process at least the dead volume
of fluid is left.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
390 Defining a sample order
! WARNING
Incorrect results due to inappropriate tube and cup
placement
Inappropriate tube and cup placement may lead to
inaccurate pipetting and so to incorrect results.
r Ensure that the primary tubes are placed centrally and
perfectly vertically in the holders in the sample area
and that they are inserted firmly.
r Ensure that secondary tubes are placed centrally on
the primary tubes and that they rest fully on them.
! WARNING
Incorrect results due to not placing the identified
sample
The system assumes that the operator places the sample
that was identified. Failing to do so might lead to wrong
results.
r Always place the sample tube when ordered.
NOTICE
Probe damage due to not removing primary tube
caps
The probe is not designed to pierce tube caps. It can get
damaged when trying to pierce tube caps.
r Always remove the caps of primary tubes before
placing them on the analyzer.
! CAUTION
Blindness due to intense barcode reader light
The intense light of a laser or LED barcode reader may
severely damage your eyes or result in exposure to
11 Orders and results
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Defining a sample order 391
! CAUTION
Loss of sight
The intense light of the LEDs may severely damage you
eyes. Scanning equipment using LED technology is
covered by the international standard EN/IEC 60825-1
LED Safety: Class 1.
r Do not stare into the LEDs.
! CAUTION
Spilled liquid
Any liquid spilled on the system may result in malfunction
or damage.
r Place samples, reagents, or any other liquid only at the
intended positions.
Do not place samples, reagents, or any other liquid on
the covers or other surfaces of the system.
r When you remove or replace consumables, do not
spill any liquid on the system.
r If liquid does spill on the system, wipe it up
immediately and follow the applicable
decontamination procedure. Wear appropriate
personal protective equipment.
Dispose of waste according to the local regulations.
r Make sure that you do not tilt the bottle or sample
tube when scanning its barcode.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
392 Defining a sample order
n Approximately 1 minute
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Defining a sample order 393
1
1 Choose Overview > Order
2
2 On the Identify Sample panel, choose one of the
following options:
• Hold the hand-held barcode reader at a distance
of approximately 20 cm (8 in) from the barcode.
- Pull the trigger on the hand-held barcode reader
and point the red light just outside the barcode.
- Move the light slowly across the barcode.
- Wait until you hear a beep.
- Release the trigger of the hand-held barcode
reader.
• Choose the button to entry the sample order
ID manually.
I Do not tilt the sample tube while reading its
barcode.
3
3 On the Select Tests panel, select the check box near
the tests to assign the test to the sample order. 11 Orders and results
I You can select 1 or several tests, profiles, and
ratios. You can select items from more than one
tab. Tabs with selected items are marked with an
asterisk (*).
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
394 Defining a sample order
5
5 A message panel informs you to place the sample on
the analyzer.
I Wait for the Sample Area LED to turn green. Make
sure to keep clear of the sample area while the
LED is yellow and blinking.
6
6 Place the sample on any free position on the sample
area within 10 seconds.
u Related topics
• Starting a run (180)
11 Orders and results
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Defining a sample order 395
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! WARNING
Contaminated samples
Insoluble contaminants, bubbles, or films in samples may
cause clogging or pipetting volume shortage, leading to
incorrect results.
r Make sure that the samples contain no insoluble
contaminants, such as fibrin or dust.
! WARNING
Incorrect results due to insufficient fluid
11 Orders and results
Insufficient fluid may lead to inaccurate pipetting and so
to incorrect results.
r Always fill the tubes with sufficient fluid that at the
end of the pipetting process at least the dead volume
of fluid is left.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
396 Defining a sample order
! WARNING
Incorrect results due to inappropriate tube and cup
placement
Inappropriate tube and cup placement may lead to
inaccurate pipetting and so to incorrect results.
r Ensure that the primary tubes are placed centrally and
perfectly vertically in the holders in the sample area
and that they are inserted firmly.
r Ensure that secondary tubes are placed centrally on
the primary tubes and that they rest fully on them.
! WARNING
Incorrect results due to not placing the identified
sample
The system assumes that the operator places the sample
that was identified. Failing to do so might lead to wrong
results.
r Always place the sample tube when ordered.
NOTICE
Probe damage due to not removing primary tube
caps
The probe is not designed to pierce tube caps. It can get
damaged when trying to pierce tube caps.
r Always remove the caps of primary tubes before
placing them on the analyzer.
! CAUTION
Blindness due to intense barcode reader light
The intense light of a laser or LED barcode reader may
severely damage your eyes or result in exposure to
11 Orders and results
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Defining a sample order 397
! CAUTION
Loss of sight
The intense light of the LEDs may severely damage you
eyes. Scanning equipment using LED technology is
covered by the international standard EN/IEC 60825-1
LED Safety: Class 1.
r Do not stare into the LEDs.
! CAUTION
Spilled liquid
Any liquid spilled on the system may result in malfunction
or damage.
r Place samples, reagents, or any other liquid only at the
intended positions.
Do not place samples, reagents, or any other liquid on
the covers or other surfaces of the system.
r When you remove or replace consumables, do not
spill any liquid on the system.
r If liquid does spill on the system, wipe it up
immediately and follow the applicable
decontamination procedure. Wear appropriate
personal protective equipment.
Dispose of waste according to the local regulations.
r Make sure that you do not tilt the bottle or sample
tube when scanning its barcode.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
398 Defining a sample order
n Approximately 1 minute
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Defining a sample order 399
1
1 Choose Overview > STAT
2
2 On the Identify Sample panel, choose one of the
following options:
• Hold the hand-held barcode reader at a distance
of approximately 20 cm (8 in) from the barcode.
- Pull the trigger on the hand-held barcode reader
and point the red light just outside the barcode.
- Move the light slowly across the barcode.
- Wait until you hear a beep.
- Release the trigger of the hand-held barcode
reader.
• Choose the button to entry the sample order
ID manually.
I Do not tilt the sample tube while reading its
barcode.
3
3 On the Select Tests panel, select the check box near
the tests to assign the test to the sample order. 11 Orders and results
I You can select 1 or several tests, profiles, and
ratios. You can select items from more than one
tab. Tabs with selected items are marked with an
asterisk (*).
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
400 Defining a sample order
5
5 A message panel informs you to place the sample on
the analyzer.
I Wait for the Sample Area LED to turn green. Make
sure to keep clear of the sample area while the
LED is yellow and blinking.
6
6 Place the sample on any free position on the sample
area within 10 seconds.
I On the Overview tab, STAT orders are marked
with a wider border for the sample button.
u Related topics
• Starting a run (180)
11 Orders and results
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Defining a sample order 401
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! WARNING
Contaminated samples
Insoluble contaminants, bubbles, or films in samples may
cause clogging or pipetting volume shortage, leading to
incorrect results.
r Make sure that the samples contain no insoluble
contaminants, such as fibrin or dust.
! WARNING
Incorrect results due to insufficient fluid 11 Orders and results
Insufficient fluid may lead to inaccurate pipetting and so
to incorrect results.
r Always fill the tubes with sufficient fluid that at the
end of the pipetting process at least the dead volume
of fluid is left.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
402 Defining a sample order
! WARNING
Incorrect results due to inappropriate tube and cup
placement
Inappropriate tube and cup placement may lead to
inaccurate pipetting and so to incorrect results.
r Ensure that the primary tubes are placed centrally and
perfectly vertically in the holders in the sample area
and that they are inserted firmly.
r Ensure that secondary tubes are placed centrally on
the primary tubes and that they rest fully on them.
! WARNING
Incorrect results due to not placing the identified
sample
The system assumes that the operator places the sample
that was identified. Failing to do so might lead to wrong
results.
r Always place the sample tube when ordered.
NOTICE
Probe damage due to not removing primary tube
caps
The probe is not designed to pierce tube caps. It can get
damaged when trying to pierce tube caps.
r Always remove the caps of primary tubes before
placing them on the analyzer.
! CAUTION
Blindness due to intense barcode reader light
The intense light of a laser or LED barcode reader may
severely damage your eyes or result in exposure to
11 Orders and results
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Defining a sample order 403
! CAUTION
Loss of sight
The intense light of the LEDs may severely damage you
eyes. Scanning equipment using LED technology is
covered by the international standard EN/IEC 60825-1
LED Safety: Class 1.
r Do not stare into the LEDs.
! CAUTION
Spilled liquid
Any liquid spilled on the system may result in malfunction
or damage.
r Place samples, reagents, or any other liquid only at the
intended positions.
Do not place samples, reagents, or any other liquid on
the covers or other surfaces of the system.
r When you remove or replace consumables, do not
spill any liquid on the system.
r If liquid does spill on the system, wipe it up
immediately and follow the applicable
decontamination procedure. Wear appropriate
personal protective equipment.
Dispose of waste according to the local regulations.
r Make sure that you do not tilt the bottle or sample
tube when scanning its barcode.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
404 Defining a sample order
n Approximately 1 minute
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Defining a sample order 405
1
1 Choose Overview > Order
2
2 On the Identify Sample panel, choose one of the
following options:
• Hold the hand-held barcode reader at a distance
of approximately 20 cm (8 in) from the barcode.
- Pull the trigger on the hand-held barcode reader
and point the red light just outside the barcode.
- Move the light slowly across the barcode.
- Wait until you hear a beep.
- Release the trigger of the hand-held barcode
reader.
• Choose the button to entry the sample order
ID manually.
I Do not tilt the sample tube while reading its
barcode.
4
4 A message panel informs you to place the sample on
the analyzer.
11 Orders and results
I Wait for the Sample Area LED to turn green. Make
sure to keep clear of the sample area while the
LED is yellow and blinking.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
406 Defining a sample order
5
5 Place the sample on any free position on the sample
area within 10 seconds.
f All required tests are downloaded from the host to
the sample order placed on the analyzer.
u Related topics
• Starting a run (180)
11 Orders and results
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Adding tests to an order 407
! WARNING
Incorrect results due to insufficient fluid
Insufficient fluid may lead to inaccurate pipetting and so
to incorrect results.
r Always fill the tubes with sufficient fluid that at the
end of the pipetting process at least the dead volume
of fluid is left.
c When necessary
11 Orders and results
n Approximately 2 minutes
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
408 Adding tests to an order
1
1 On the Overview tab, choose the sample you want to
modify.
2
2 On the Tube Status panel for position <X>, choose
the button.
3
3 On the Select Tests panel, select the check box in
the test button for the test you want to add to the
11 Orders and results
sample order.
• Confirm your changes with the button.
I As long as the sample order is not processed, you
can delete test assignments. Therefore clear the
check box in the test button.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Adding tests to an order 409
4
4 On the Confirmation panel, choose the button.
f Your selection is added to the test order.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
410 Adding tests to an order
! WARNING
Incorrect results due to insufficient fluid
Insufficient fluid may lead to inaccurate pipetting and so
to incorrect results.
r Always fill the tubes with sufficient fluid that at the
end of the pipetting process at least the dead volume
of fluid is left.
c When necessary
n Approximately 2 minutes
rights.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Adding tests to an order 411
1
1 Choose Workplace > Orders
2
2 On the Orders panel, choose the sample order you
want to modify.
• Choose the button.
3
3 On the Select Tests panel, select the check box in 11 Orders and results
the test button for the test you want to add to the
sample order.
• Confirm your changes with the button.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
412 Monitoring the analysis progress
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! WARNING
Incorrect results due to declining sample quality
Evaporation of sample fluid may lead to incorrect results.
In ambient temperatures of more than 25°C, be sure to
start processing immediately after placing the sample and
defining the order.
r When processing of the order is finished, remove the
11 Orders and results
! WARNING
Incorrect results due to insufficient fluid
Insufficient fluid may lead to inaccurate pipetting and so
to incorrect results.
r Always fill the tubes with sufficient fluid that at the
end of the pipetting process at least the dead volume
of fluid is left.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Monitoring the analysis progress 413
! WARNING
Incorrect results due to inappropriate tube and cup
placement
Inappropriate tube and cup placement may lead to
inaccurate pipetting and so to incorrect results.
r Ensure that the primary tubes are placed centrally and
perfectly vertically in the holders in the sample area
and that they are inserted firmly.
r Ensure that secondary tubes are placed centrally on
the primary tubes and that they rest fully on them.
! WARNING
Incorrect results due to not placing the identified
sample
The system assumes that the operator places the sample
that was identified. Failing to do so might lead to wrong
results.
r Always place the sample tube when ordered.
NOTICE
Probe damage due to not removing primary tube
caps
The probe is not designed to pierce tube caps. It can get
damaged when trying to pierce tube caps.
r Always remove the caps of primary tubes before
placing them on the analyzer.
n Approximately 3 minutes
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
414 Monitoring the analysis progress
1
1 On the Overview tab, check the sample tube buttons.
2
2 For detailed information, choose the sample tube
button.
• Take appropriate action.
I After deleting a running test from an order, unused
cuvettes are released again for future use.
u Related topics
• About the Overview tab (96)
• About the sample overview (99)
• About flags (560)
• Reviewing flags (562)
• List of flags (565)
• About reacting to instrument messages (206)
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Test result validation 415
Printing results You can print all or selected results on the built-in printer.
11 Orders and results
q Printout storage
Print on thermal paper fades over time. For long-term
storage, store only copies of printouts.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
416 Test result validation
Ratio results You can manually define ratios. Ratio results are handled
like any other sample result, with the exception that the
operator cannot accept these results. If all their
constituent results are accepted, the ratio result is
automatically accepted.
Repeating and rerunning tests If a test result is marked with a flag, you may decide to
run a test again.
• Repeat: Perform the same test
• Rerun: Perform the test with a different predefined
dilution
Storing results The cobas c 111 analyzer is designed to hold the sample
results of one day’s analyzing. We recommend that you
back up data regularly to an external medium.
• Backing up results is a part of the End Shift wizard.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Test result validation 417
q Printout storage
Print on thermal paper fades over time. For long-term
storage, store only copies of printouts.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
418 Test result validation
TRL check If TRL Check is active, the test result might be displayed
for example as <0.5, and the <Test Rng flag is added.
This flag means that the measured value is below the
defined TRL value.
u Related topics
• Repeating tests (430)
• Rerunning tests (435)
• Accepting test results (440)
11 Orders and results
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Test result validation 419
! WARNING
Incorrect results due to insufficient fluid
Insufficient fluid may lead to inaccurate pipetting and so
to incorrect results.
r Always fill the tubes with sufficient fluid that at the
end of the pipetting process at least the dead volume
of fluid is left.
u Tubes (65)
Test result status • !: The result has not been accepted yet.
• @: The result has not been transmitted yet.
• ->-: Repeated
• -v-: Rerun with dilution
c When necessary
n Approximately 1 minute
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
420 Test result validation
1
1 On the Overview tab, choose the sample button.
2
2 On the sample order detail panel, check all test results
that are not automatically validated.
• On not automatically validated test results, choose
the button.
11 Orders and results
3
3 On the Edit panel, choose one of the following
options:
• Accept: Accept test result even a flag was
generated.
• Repeat: Reperform the test with identical
conditions.
• Rerun <X>: Reperform the test using a
predefined dilution.
• Retransmit: Send the test result to the host.
I The Retransmit option is only available when the
Host Server configuration is ON.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Test result validation 421
u Related topics
• Flags (560)
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
422 Test result validation
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! WARNING
Contaminated samples
Insoluble contaminants, bubbles, or films in samples may
cause clogging or pipetting volume shortage, leading to
incorrect results.
r Make sure that the samples contain no insoluble
contaminants, such as fibrin or dust.
11 Orders and results
! WARNING
Incorrect results due to insufficient fluid
Insufficient fluid may lead to inaccurate pipetting and so
to incorrect results.
r Always fill the tubes with sufficient fluid that at the
end of the pipetting process at least the dead volume
of fluid is left.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Test result validation 423
! WARNING
Incorrect results due to inappropriate tube and cup
placement
Inappropriate tube and cup placement may lead to
inaccurate pipetting and so to incorrect results.
r Ensure that the primary tubes are placed centrally and
perfectly vertically in the holders in the sample area
and that they are inserted firmly.
r Ensure that secondary tubes are placed centrally on
the primary tubes and that they rest fully on them.
! WARNING
Incorrect results due to not placing the identified
sample
The system assumes that the operator places the sample
that was identified. Failing to do so might lead to wrong
results.
r Always place the sample tube when ordered.
NOTICE
Probe damage due to not removing primary tube
caps
The probe is not designed to pierce tube caps. It can get
damaged when trying to pierce tube caps.
r Always remove the caps of primary tubes before
placing them on the analyzer.
! CAUTION
Blindness due to intense barcode reader light
The intense light of a laser or LED barcode reader may
severely damage your eyes or result in exposure to 11 Orders and results
hazardous radiation. Scanning equipment using LED
technology is covered by the international standard
EN/IEC 60825-1 LED Safety: Class 1.
r Do not stare into the beam of a laser or LED barcode
reader.
r Do not remove the housing from barcode readers.
r Do not perform any maintenance actions on barcode
readers. If you experience problems with the barcode
readers, contact your Roche Service representative.
r Perform only the procedures described in operating
instructions. Performing unauthorized procedures may
result in exposure to hazardous radiation.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
424 Test result validation
! CAUTION
Loss of sight
The intense light of the LEDs may severely damage you
eyes. Scanning equipment using LED technology is
covered by the international standard EN/IEC 60825-1
LED Safety: Class 1.
r Do not stare into the LEDs.
! CAUTION
Spilled liquid
Any liquid spilled on the system may result in malfunction
or damage.
r Place samples, reagents, or any other liquid only at the
intended positions.
Do not place samples, reagents, or any other liquid on
the covers or other surfaces of the system.
r When you remove or replace consumables, do not
spill any liquid on the system.
r If liquid does spill on the system, wipe it up
immediately and follow the applicable
decontamination procedure. Wear appropriate
personal protective equipment.
Dispose of waste according to the local regulations.
r Make sure that you do not tilt the bottle or sample
tube when scanning its barcode.
u Tubes (65)
Test result status • !: The result has not been accepted yet.
• @: The result has not been transmitted yet.
• ->-: Repeated
• -v-: Rerun with dilution
System configurations • You can configure the system to accept test results
11 Orders and results
If the flags are assessed on the host system, the flags can
be ignored on the system.
c When necessary
n Approximately 1 minute
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Test result validation 425
1
1 Choose Workplace > Result Review
2
2 On the Result Review panel, choose the test result
you want to validate.
• Choose the button.
I If the TRL Check option is active, the test result
might be displayed for example as <0.5, and the
<Test Rng flag is added. This flag means that the
measured value is below the defined test reference
limit value.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
426 Test result validation
3
3 On the Edit panel, choose one of the following
options:
• Accept: Accept test result even a flag was
generated.
• Repeat: Reperform the test with identical
conditions.
• Rerun <X>: Reperform the test using a
predefined dilution.
• Retransmit: Send the test result to the host.
I The Retransmit option is only available when the
Host Server configuration is ON.
5
5 On the Identify Sample panel, choose one of the
following options:
• Hold the hand-held barcode reader at a distance
of approximately 20 cm (8 in) from the barcode.
- Pull the trigger on the hand-held barcode reader
and point the red light just outside the barcode.
- Move the light slowly across the barcode.
- Wait until you hear a beep.
- Release the trigger of the hand-held barcode
reader.
• Choose the button to entry the sample order
ID manually.
I Do not tilt the sample tube while reading its
barcode.
6
6 A message panel informs you to place the sample on
the analyzer.
I Wait for the Sample Area LED to turn green. Make
11 Orders and results
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Test result validation 427
7
7 Place the sample on any free position on the sample
area within 10 seconds.
u Related topics
• Flags (560)
• Repeating tests (430)
• Rerunning tests (435)
• Accepting test results (440)
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
428 Test result validation
1
1 Choose Workplace > Result Review
2
2 On the Result Review panel, choose the test result
for which you want to see the data.
• Choose the button.
I If the TRL Check option is active, the test result
might be displayed for example as <0.5, and the
<Test Rng data alarm is added. This data alarm
11 Orders and results
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Test result validation 429
3
3 On the Detail panel, the status and further
information of the test result are displayed.
• Choose the button.
4
4 On the Related Information panel, all to the test
result related fluids with their lot numbers are
displayed.
I Underneath the Bottle Set information, the date
and time is displayed when the bottle set was
placed first on the instrument.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
430 Test result validation
Repeating tests
In this section
Repeating tests for on-board samples (430)
Repeating a test for a sample which is not on-board
anymore (432)
! WARNING
Incorrect results due to insufficient fluid
Insufficient fluid may lead to inaccurate pipetting and so
to incorrect results.
r Always fill the tubes with sufficient fluid that at the
end of the pipetting process at least the dead volume
of fluid is left.
u Tubes (65)
c When necessary
n Approximately 1 minute
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Test result validation 431
1
1 On the Overview tab, choose the sample button.
2
2 On the sample order detail panel, choose the test you
want to repeat.
• Choose the button.
3
3 On the Edit panel, choose the Repeat (1:1) option.
f The Edit panel is closed and the sample order 11 Orders and results
detail panel is displayed.
f The test result for a repeated test is marked with a
->- sign.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
432 Test result validation
! WARNING
Incorrect results due to insufficient fluid
Insufficient fluid may lead to inaccurate pipetting and so
to incorrect results.
r Always fill the tubes with sufficient fluid that at the
end of the pipetting process at least the dead volume
of fluid is left.
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
11 Orders and results
! CAUTION
Moving parts
Contact with moving parts may result in personal injury.
r Keep the cover and flaps closed and in place while the
system is operating.
r Always ensure that the system is off or in
Maintenance status before you work with an opened
cover (for example, for cleaning or maintenance).
r Do not touch any parts of the system except those
parts specified. Keep away from moving parts during
operation.
r During operation and maintenance, carefully follow
the instructions.
u Tubes (65)
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Test result validation 433
c When necessary
n Approximately 1 minute
1
1 On the Workplace tab, choose the Result Review
button.
2
2 On the Result Review panel, choose the test you
want to repeat. 11 Orders and results
• Choose the button.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
434 Test result validation
3
3 On the Edit panel, choose the Repeat (1:1) option.
f The Edit panel is closed and the Result Review
panel is displayed.
4
4 On the Overview tab, choose the Order button,
5
5 On the Identify Sample panel, read the sample ID
barcode with the hand-held barcode reader, or type in
the sample ID manually from the sample you want to
repeat.
11 Orders and results
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Test result validation 435
Rerunning tests
In this section
Rerunning tests for on-board samples (435)
Rerunning a test for a sample which is not on-board
anymore (437)
! WARNING
Incorrect results due to insufficient fluid
Insufficient fluid may lead to inaccurate pipetting and so
to incorrect results.
r Always fill the tubes with sufficient fluid that at the
end of the pipetting process at least the dead volume
of fluid is left.
u Tubes (65)
c When necessary
n Approximately 1 minute
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
436 Test result validation
1
1 On the Overview tab, choose the sample button.
2
2 On the sample order detail panel, choose the test you
want to rerun.
• Choose the button.
3
3 On the Edit panel, choose the Rerun (1:x) option.
I The dilution factor is part of the test definition and
11 Orders and results
cannot be changed.
f The Edit panel is closed and the sample order
detail panel is displayed.
f The test result for rerun test is marked with a -v-
sign.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Test result validation 437
! WARNING
Incorrect results due to insufficient fluid
Insufficient fluid may lead to inaccurate pipetting and so
to incorrect results.
r Always fill the tubes with sufficient fluid that at the
end of the pipetting process at least the dead volume
of fluid is left.
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
u Tubes (65)
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
438 Test result validation
c When necessary
n Approximately 1 minute
1
1 On the Workplace tab, choose the Result Review
button.
2
2 On the Result Review panel, choose the test you
11 Orders and results
want to rerun.
• Choose the button.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Test result validation 439
3
3 On the Edit panel, choose the Rerun (1:x) option.
I The dilution factor is part of the test definition and
cannot be changed.
f The Edit panel is closed and the Result Review
panel is displayed.
4
4 On the Overview tab, choose the Order button,
5
5 On the Identify Sample panel, read the sample ID
barcode with the hand-held barcode reader, or type in
the sample ID manually from the sample you want to
rerun. 11 Orders and results
• Place the sample tube on the sample area.
I The rerun test order is automatically assigned.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
440 Test result validation
! WARNING
Incorrect results due to insufficient fluid
Insufficient fluid may lead to inaccurate pipetting and so
to incorrect results.
r Always fill the tubes with sufficient fluid that at the
end of the pipetting process at least the dead volume
of fluid is left.
u Tubes (65)
Automatic acceptance The system can automatically accept a test results that
are not marked with flags. In addition, it can be set up to
accept results with flags that are marked in an editable
flag list that should be ignored.
c When necessary
11 Orders and results
n Approximately 1 minute
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Test result validation 441
1
1 On the Overview tab, choose the sample button.
2
2 On the sample order detail panel, choose the test you
want to accept.
• Choose the button.
3
3 On the Edit panel, choose the Accept option. 11 Orders and results
f The Edit panel is closed and the sample order
detail panel is displayed.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
442 Test result validation
! WARNING
Incorrect results due to insufficient fluid
Insufficient fluid may lead to inaccurate pipetting and so
to incorrect results.
r Always fill the tubes with sufficient fluid that at the
end of the pipetting process at least the dead volume
of fluid is left.
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! CAUTION
Moving parts
11 Orders and results
u Tubes (65)
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Test result validation 443
Automatic acceptance The system can automatically accept results that are not
marked with flags. In addition, it can be set up to accept
results with flags that are marked in an editable flag list
that should be ignored.
c When necessary
n Approximately 1 minute
1
1 On the Workplace tab, choose the Result Review
button.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
444 Test result validation
2
2 On the Result Review panel, choose the test you
want to accept.
• Choose the button.
3
3 On the Edit panel, choose the Accept option.
f The Edit panel is closed and the Result Review
panel is displayed.
11 Orders and results
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Printing sample results 445
Automatic printing You can set up the system to print sample results as soon
as all test results of an order are accepted
q Printout storage
Print on thermal paper fades over time. For long-term
storage, store only copies of printouts.
1
1 On the Workplace tab, choose one of the following
options:
• To print all test results of an order, choose the
Orders button.
• To print an individual test result of an order,
choose the Result Review button.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
446 Printing sample results
2
2 On the Orders panel, choose the sample you want to
print.
4
4 On the Print panel, choose one of the following
options:
• To print all sample orders of the Orders panel,
choose the List button. If a filter is applied, the list
contains only the items that fulfill the filter
criterion. The filter criterion would be part of the
button name.
• To print the chosen sample order only, choose the
Detail of Order [xy] button. For repeated or rerun
tests, all test results of this order are printed,
including those test results that were accepted
earlier.
I To terminate the printing task, choose on the
global action button area the button. On the
Stop panel, choose the Stop printing button.
11 Orders and results
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Retransmitting test results to the host 447
1
1 Choose Workplace > Result Review
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
448 Retransmitting test results to the host
2
2 On the Result Review panel, choose the button.
3
3 On the Filter panel, choose the Not Sent to Host
button.
• Choose the button.
f The Result Review panel is displayed and only
test results are included that fulfill the filter criteria.
4
4 On the Result Review panel, choose the test result
you want to retransmit to the host.
I To retransmit a test result, the test result must be
11 Orders and results
accepted.
Active filter options are announced in the panel
name.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Retransmitting test results to the host 449
6
6 On the Edit panel, choose the Retransmit button.
f The Result Review panel is displayed.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
450 Deleting sample orders
c When necessary
n Approximately 1 minute
1
1 Choose Workplace > Orders
11 Orders and results
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Deleting sample orders 451
2
2 On the Orders panel, choose one of the following
options:
• To delete an individual sample order, choose the
sample order from the list.
• To delete a group of sample orders, use the filter
options.
• To delete all sample order, you can choose any
sample order on the Orders panel.
3
3 On the Orders panel, choose the button.
4
4 On the Delete panel, choose one of the following
options:
• To delete an individual sample order, choose the
Selected [Order ID] button. 11 Orders and results
• To delete a group of sample orders, choose the
List button.
I If a filter is used, the List button includes the filter
criterion. For example, List [Not Finished].
If no filter is used, all sample orders are deleted.
u Related topics
• Cleaning up the database (475)
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
452 Deleting test results
c When necessary
n Approximately 1 minute
1
1 Choose Workplace > Result Review
11 Orders and results
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Deleting test results 453
2
2 On the Result Review panel, choose one of the
following options:
• To delete an individual test result, choose the test
result from the list.
• To delete a group of test results, use the filter
options.
• To delete all test results, you can choose any
sample order on the Result Review panel.
3
3 On the Result Review panel, choose the button.
4
4 On the Delete panel, choose one of the following
options:
• To delete an individual test result, choose the
Detail of Order [Order ID Test name] button. 11 Orders and results
• To delete a group of test results, choose the List
button.
I If a filter is used, the List button includes the filter
criterion. For example, List [Not Today].
If no filter is used, all test results are deleted.
u Related topics
• Cleaning up the database (475)
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
454
11 Orders and results Deleting test results
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
455
Table of contents
After operation 12
In this chapter 12
Quick Guide: End Shift wizard . . . . . . . . . . . . . . . . . . . 457
Checking for unfinished orders . . . . . . . . . . . . . . . . . . 460
Checking for not accepted test results . . . . . . . . . . . . 463
Starting the End Shift wizard . . . . . . . . . . . . . . . . . . . . 466
Performing the daily backup. . . . . . . . . . . . . . . . . . . . . 469
Exporting full results data . . . . . . . . . . . . . . . . . . . . . . . 472
Cleaning up the database . . . . . . . . . . . . . . . . . . . . . . . 475
12 After operation
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
456
Table of contents
12 After operation
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Quick Guide: End Shift wizard 457
2. Start the End Shift wizard 1. On the Overview tab, choose the End Shift
button.
12 After operation
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
458 Quick Guide: End Shift wizard
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Quick Guide: End Shift wizard 459
12 After operation
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
460 Checking for unfinished orders
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
12 After operation
c Daily
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Checking for unfinished orders 461
1
1 Choose Workplace > Orders
2
2 On the Orders panel, choose the button.
12 After operation
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
462 Checking for unfinished orders
3
3 On the Filter panel, choose the Not Finished button.
• Confirm with the button.
4
4 On the filtered Orders panel, check for each order the
reason.
• Do whatever is necessary to finish the orders.
12 After operation
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Checking for not accepted test results 463
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
immediately with soap and water and apply a
disinfectant.
Consult a physician.
c Daily
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
464 Checking for not accepted test results
1
1 Choose Workplace > Result Review
2
2 On the Result Review panel, choose the button.
3
3 On the Filter panel, choose the Not Accepted
button.
• Confirm with the button.
12 After operation
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Checking for not accepted test results 465
4
4 On the filtered Result Review [Not Accepted]
panel, select a test result and choose the button.
5
5 On the Edit panel, choose one of the following options
to validate the test result:
• Repeat
• Accept
• Rerun: The dilution factor is test-specific and
cannot be modified.
• Do whatever is necessary to finish the orders.
u Related topics
• Accepting test results (440)
• Repeating tests (430)
• Rerunning tests (435)
12 After operation
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
466 Starting the End Shift wizard
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
12 After operation
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Starting the End Shift wizard 467
! CAUTION
Infectious waste
Contact with liquid waste may result in infection. All
materials and mechanical components associated with
the waste system are potentially biohazardous.
r Wear appropriate personal protective equipment. Take
extra care when working with lab gloves. They can
easily be pierced or cut, leading to infection.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If waste comes into contact with your skin, wash the
affected area immediately with soap and water and
apply a disinfectant.
Consult a physician.
c Daily
1
1 Choose Overview > End Shift
12 After operation
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
468 Starting the End Shift wizard
u Related topics
• Quick Guide: End Shift wizard (457)
• Performing the daily backup (469)
• Exporting full results data (472)
• Cleaning up the database (475)
• Performing maintenance actions (484)
• Exchanging cuvette segments (286)
• Removing the reagent disk (247)
• Refilling the water container (270)
• Emptying the waste container (274)
• Replacing the cleaner bottle (278)
• Logging off from the system (183)
12 After operation
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Performing the daily backup 469
! CAUTION
Data loss or unavailability of the system due to
malicious software or unauthorized system access
Malicious software or unauthorized system access can
result in data loss or system unavailability. To avoid
infection by malicious software or the unauthorized
access and misuse of the system, the following
recommendations are essential:
r Do not install and/or execute any other software on
the system.
r Make sure other computers and services on the
network (for example, the LIS) are properly secured
and protected against malicious software and
unauthorized access.
r Customers are responsible for the security of their
local area network, especially in protecting it against
malicious software and attacks. This protection might
include measures, such as a firewall, to separate the
device from uncontrolled networks. Ensure that the
connected network is free of malicious code.
r Restrict physical access to the system and all attached
IT infrastructure (computer, cables, network
equipment, etc.).
12 After operation
c Daily
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
470 Performing the daily backup
1
1 Choose End Shift > Backup
• On the Backup panel, choose the button.
f A message panel informs you to insert the USB
flash drive.
2
2 Insert the USB flash drive into the USB port at the
front of the system.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Performing the daily backup 471
4
4 Choose a folder, and confirm with the button.
f The data are copied to the USB flash drive.
f The exported database files have the following
name format:
dba_yyyymmddhhmmss.tgz.
12 After operation
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
472 Exporting full results data
! CAUTION
Data loss or unavailability of the system due to
malicious software or unauthorized system access
Malicious software or unauthorized system access can
result in data loss or system unavailability. To avoid
infection by malicious software or the unauthorized
access and misuse of the system, the following
recommendations are essential:
r Do not install and/or execute any other software on
the system.
r Make sure other computers and services on the
network (for example, the LIS) are properly secured
and protected against malicious software and
unauthorized access.
r Customers are responsible for the security of their
local area network, especially in protecting it against
malicious software and attacks. This protection might
include measures, such as a firewall, to separate the
device from uncontrolled networks. Ensure that the
connected network is free of malicious code.
12 After operation
c Daily
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Exporting full results data 473
1
1 Choose End Shift > Export
• On the Export panel, choose the button.
f A message panel informs you to insert the USB
flash drive.
2
2 Insert the USB flash drive into the USB port at the
front of the system.
12 After operation
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
474 Exporting full results data
4
4 Choose a folder and confirm with the button.
f The data are copied to the USB flash drive.
f The panel for exporting data is displayed.
12 After operation
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Cleaning up the database 475
c Daily
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
476 Cleaning up the database
1
1 Choose End Shift > Clean Up
• On the Clean Up panel, choose the button.
2
2 On the Delete Results panel, choose the button.
I The following results are deleted:
f Accepted test results
f QC results that were accepted are deleted from the
QC Status panel. They remain in the QC History
panel.
f QC results that were generated before the first day
of the previous month, are deleted from the QC
History panel.
f Obsolete calibration results, provided there are
more than 5 obsolete calibration results for the
same test. If the empty reagent set was removed or
if the reagent set was removed more than 30 days
ago, calibration results become obsolete.
u Related topics
• Deleting sample orders (450)
• Deleting test results (452)
• Deleting QC results (359)
12 After operation
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
477
Table of contents
Maintenance 13
In this chapter 13
List of maintenance intervals . . . . . . . . . . . . . . . . . . . . 479
About periodic maintenance actions. . . . . . . . . . . . . . 480
About the maintenance action status . . . . . . . . . . . . . 482
Performing maintenance actions . . . . . . . . . . . . . . . . . 484
Maintenance actions . . . . . . . . . . . . . . . . . . . . . . . . . . . 487
Clean . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 487
Cleaning the rotor and heating channel . . . . . 487
Cleaning up the database . . . . . . . . . . . . . . . . . 495
Cleaning the touchscreen . . . . . . . . . . . . . . . . . 497
Cleaning the probe manually . . . . . . . . . . . . . . 499
Cleaning the reagent disk and the sample
area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 503
Cleaning the water and waste containers . . . . 508
Cleaning and disinfecting the housing . . . . . . 513
Miscellaneous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 517
Priming the fluid system . . . . . . . . . . . . . . . . . . 517
Performing an Abs. Air/Water calibration . . . . 520
Removing condensation water from the
reagent cooler . . . . . . . . . . . . . . . . . . . . . . . . . . . 523
Adjusting the touchscreen . . . . . . . . . . . . . . . . 526
Deproteinizing the probe. . . . . . . . . . . . . . . . . . 528
Performing the daily prepare actions. . . . . . . . 531
Contacting your Roche Service representative 534
Initializing degasser fluid sensor . . . . . . . . . . . 536
Recovering the database . . . . . . . . . . . . . . . . . . 540
Replace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 542
Replacing the water inlet filter . . . . . . . . . . . . . 542
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
478
Table of contents
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
List of maintenance intervals 479
Ensuring smooth operation Performing all due maintenance actions during the daily
Prepare or End Shift phase. This action ensures that
routine operation does not have to be interrupted for
performing maintenance actions.
Interval Procedure
None u Priming the fluid system (517)
u Cleaning the rotor and heating channel (487)
u Cleaning up the database (495)
u Removing condensation water from the reagent
cooler (523)
u Adjusting the touchscreen (526)
u Cleaning the touchscreen (497)
u Recovering the database (540)
None (Initiated by other maintenance action) u Performing an Abs. Air/Water calibration (520)
Daily u Deproteinizing the probe (528)
u Performing the daily prepare actions (531)
Weekly u Cleaning the probe manually (499)
13 Maintenance
Monthly u Cleaning the reagent disk and the sample area (503)
Three-monthly u Cleaning the water and waste containers (508)
u Replacing the water inlet filter (542)
Six-monthly u Cleaning and disinfecting the housing (513)
u Replacing the photometer lamp (546)
Yearly u Contacting your Roche Service representative (534)
u Initializing degasser fluid sensor (536)
y Intervals of maintenance actions
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
480 About periodic maintenance actions
! WARNING
Risk of personal injury or contamination of the
instrument
The material used for cleaning might bring you or the
instrument in contact with hazardous chemicals.
r Dispose of the cloths used for cleaning according to
local regulations.
r Change lab gloves after each cleaning step and
dispose of them according to local regulations.
NOTICE
Risk of instrument damage due to spilled liquid or
unsuitable material
Unsuitable liquids, or liquid spilled on the system may
result in malfunction or damage.
r Do not use technical or denatured ethanol for
preparation of the cleaning solution.
r Moisten the lint-free cloths outside the system and
wipe the surfaces and parts as described in these
procedures.
r Take care when applying liquid to the lint-free cloth.
The cloth should be damp, but not saturated to
prevent drops of liquid from falling onto the system.
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
About periodic maintenance actions 481
Ensuring smooth operation Performing all due maintenance actions during the daily
prepare or end shift phase. This behavior ensures that
routine operation does not have to be interrupted for
performing maintenance actions.
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
482 About the maintenance action status
A B
A Maintenance action name. C Use the scroll bar to display the maintenance actions that
B Due dates, in ascending order. are currently hidden.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
About the maintenance action status 483
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
484 Performing maintenance actions
! WARNING
Incorrect results or processing stops due to
skipping maintenance actions
Not performing maintenance actions that are due may
lead to situations where the system cannot continue
processing orders, or it may lead to incorrect results.
r If possible, perform the maintenance actions when
they are due.
! WARNING
Incorrect results or processing stops due to
incomplete maintenance actions
You can cancel a maintenance action by choosing
the button at the end of a step. Cancel a
maintenance action may lead to unexpected errors.
If you cancel a maintenance action that was due, its
status remains due, and you must fully reperform the
action later.
r If possible, complete a maintenance action without
interrupting it.
r If you must interrupt the maintenance action, wait
until you see confirmation on screen that the current
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Performing maintenance actions 485
Preparing the maintenance actions The maintenance actions are sorted according to the date
by when they should be performed. Use these dates for
planning the maintenance actions, for example for
ordering the required materials.
1
1 Choose Utilities > Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
486 Performing maintenance actions
u Related topics
• List of maintenance intervals (479)
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 487
Maintenance actions
In this section
Clean (487)
Miscellaneous (517)
Replace (542)
Clean
In this section
Cleaning the rotor and heating channel (487)
Cleaning up the database (495)
Cleaning the touchscreen (497)
Cleaning the probe manually (499)
Cleaning the reagent disk and the sample area (503)
Cleaning the water and waste containers (508)
Cleaning and disinfecting the housing (513)
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
488 Maintenance actions
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
immediately with soap and water and apply a
disinfectant.
Consult a physician.
c When necessary
n Approximately 15 minutes
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 489
1
1 Choose Overview > >
f A message panel informs you to remove the
reagent disk.
3
3 Remove the reagent disk.
6
6 Choose Overview >
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
490 Maintenance actions
8
8 Choose a cuvette segment button.
• Remove the cuvette segment.
• Choose the button.
I Repeat step 8 until all cuvette segments are
removed from the cuvette ring.
2
2 Open and remove the main cover and left service flap.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 491
5
5 Remove the sample tray.
9
9 Perform the following actions for each of the 2 rotor
A BC D
bearings to the right (D):
• Loosen slightly 1 of the fixation screws.
• Unscrew completely the other screw.
• Pull away from the rotor the bearing.
I Use a screw driver to loosen the screws, if
necessary.
A Spring-loaded rotor bearing 11 Move away the spring-loaded bearing (A) from the
B Retention pin of motor rotor with 1 hand.
C Rotor motor • Lift the rotor with the other hand.
D Fixed rotor bearings
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
492 Maintenance actions
1
1 Rinse the cuvette ring (A) under running water.
I Do not use any cloth to clean or dry the rotor.
Drying with a cloth could leave dust and lint on the
photometer inspection holes and so prevent
proper measurement.
A
2 Leave the rotor to dry.
1
1 Clean the heating channel (B) with a lint-free cloth or
a cloth moistened with ethanol p.a.
I Make sure not to touch the photometer lens (A).
A Photometer lens
B Heating channel
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 493
8
8 Install the sample tray.
I Make sure to align the guides with the pins.
2
2 Log on to the system.
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
494 Maintenance actions
3
3 To insert the reagent disk, choose
Overview > > .
u Related topics
• Preparing a reagent disk (226)
• Loading a reagent disk (230)
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 495
c When necessary
n Approximately 10 minutes
1
1 Choose Utilities > Maintenance
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
496 Maintenance actions
4
4 Choose the button.
f A message panel informs you when the
maintenance action is complete.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 497
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
13 Maintenance
c When necessary
n Approximately 3 minutes
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
498 Maintenance actions
1
1 Pour or spray some alcoholic solution on a lint-free
cloth.
u Related topics
• Adjusting the touchscreen (526)
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 499
! WARNING
Sharp objects
Contact with probes may result in infection.
r When cleaning near the probes, take care not to
puncture yourself.
r Wear appropriate personal protective equipment. Take
extra care when working with lab gloves. They can
easily be pierced or cut, leading to infection.
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! WARNING
Incorrect results due to build-up of contaminants
During use, contaminants may adhere to the probe. As a
result, traces of analytes or reagents may be carried over
13 Maintenance
to the next.
r Make sure to perform the probe maintenance actions
as soon as they are due in order to prevent potentially
false results.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
500 Maintenance actions
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
immediately with soap and water and apply a
disinfectant.
Consult a physician.
NOTICE
Probe damage and analyzer malfunction due to
inappropriate probe handling
Applying unilateral side pressure on the probe can lead to
its deformation and so to analyzer malfunction.
r Make sure to apply equal pressure on both sides and
to move exactly in the direction of the probe when
wiping it.
c Weekly
n Approximately 1 minute
m Lint-free cloths
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 501
1
1 Choose Utilities > Maintenance
5
5 WARNING! Sharp objects
When cleaning near the probes, take care not to
puncture yourself.
5 Remove the probe with its holder.
13 Maintenance
A Release button
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
502 Maintenance actions
7
7 NOTICE Probe damage and analyzer malfunction due
to inappropriate probe handling
Applying unilateral side pressure on the probe can
lead to its deformation and so to analyzer malfunction.
7 Wipe the side of the probe holder that faces the liquid
level detection contact.
I Use a tissue moistened with 70% ethanol p.a.
11
11 Choose the button.
f The system automatically initializes the transfer
head and performs the Prime Fluid System
maintenance action.
f A message panel informs you when the
maintenance action is complete.
12
12 Choose the button.
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 503
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
504 Maintenance actions
! CAUTION
Moving parts
Contact with moving parts may result in personal injury.
r Keep the cover and flaps closed and in place while the
system is operating.
r Always ensure that the system is off or in
Maintenance status before you work with an opened
cover (for example, for cleaning or maintenance).
r Do not touch any parts of the system except those
parts specified. Keep away from moving parts during
operation.
r During operation and maintenance, carefully follow
the instructions.
c Monthly
n Approximately 10 minutes
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 505
1
1 Choose the Utilities > Maintenance button.
2
2 From the maintenance list, choose the Clean
Reagent Disk action.
4
4 On the maintenance definition panel, choose
the button.
• A detail maintenance definition panel is displayed.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
506 Maintenance actions
2
2 Lift the sample tray from its fixture.
5
5 Reinsert the sample tray by pressing the sample tray
down firmly.
I Make sure to align the guides with the pins.
7
7 Choose the button to confirm that you have
performed the maintenance action.
f The system initializes automatically.
f A message panel informs you when the
maintenance action is complete.
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 507
8
8 Choose the button.
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
508 Maintenance actions
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 509
! CAUTION
Infectious waste
Contact with liquid waste may result in infection. All
materials and mechanical components associated with
the waste system are potentially biohazardous.
r Wear appropriate personal protective equipment. Take
extra care when working with lab gloves. They can
easily be pierced or cut, leading to infection.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If waste comes into contact with your skin, wash the
affected area immediately with soap and water and
apply a disinfectant.
Consult a physician.
c Three-monthly
n Approximately 10 minutes
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
510 Maintenance actions
1
1 Choose Utilities > Maintenance
4
4 On the maintenance definition panel, choose
the button.
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 511
5
5 Lift the tubing adapter from the white water container.
• Place the tubing adapter on a clean surface.
2
2 Remove the tubing adapter from the yellow waste
container and insert it in the spare container.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
512 Maintenance actions
12
12 Choose the button.
f The maintenance action Prime Fluid System is
automatically performed.
f A message panel informs you when the
maintenance action is complete.
13
13 Choose the button.
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 513
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
514 Maintenance actions
c Six-monthly
n Approximately 10 minutes
1
1 Make sure that the system is in switched off.
3
3 Open the main cover.
• Open the right service flap.
• Wipe all the inside of the main cover and right
service flap with alcoholic cleansing tissues.
• Close the right service flap.
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 515
5
5 Open the main cover.
• Open the left service flap.
• Wipe all the inside of the left service flap with
alcoholic cleansing tissues.
• Close the left service flap.
• Close the main cover.
7
7 Remove the transfer head cover.
I Press the release buttons on both sides and lift.
9
9 Remove the left and right side panels.
• Wipe the panels with alcoholic cleansing tissues.
• Reinstall the left and right side panels.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
516 Maintenance actions
14
14 On the maintenance definition panel, choose
the button.
f A detailed maintenance definition screen is
displayed.
15
15 To confirm the maintenance action as performed,
choose the button.
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 517
Miscellaneous
In this section
Priming the fluid system (517)
Performing an Abs. Air/Water calibration (520)
Removing condensation water from the reagent
cooler (523)
Adjusting the touchscreen (526)
Deproteinizing the probe (528)
Performing the daily prepare actions (531)
Contacting your Roche Service representative (534)
Initializing degasser fluid sensor (536)
Recovering the database (540)
c When necessary
n Approximately 2 minutes
13 Maintenance
d m Purified water
m System cleaner
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
518 Maintenance actions
1
1 On the Overview tab, choose the button.
2
2 On the System Status panel, choose the button.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 519
6
6 On the Maintenance panel, choose the Prime Fluid
System action.
8
8 On the Prime Fluid System panel, choose
the button.
f A message panel informs you when the
maintenance action is complete.
9
9 Choose the button.
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
520 Maintenance actions
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! CAUTION
Moving parts
Contact with moving parts may result in personal injury.
r Keep the cover and flaps closed and in place while the
system is operating.
r Always ensure that the system is off or in
Maintenance status before you work with an opened
cover (for example, for cleaning or maintenance).
r Do not touch any parts of the system except those
parts specified. Keep away from moving parts during
operation.
r During operation and maintenance, carefully follow
13 Maintenance
the instructions.
c When necessary
n Approximately 5 minutes
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 521
1
1 Choose Utilities > Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
522 Maintenance actions
6
6 If there is a cuvette segment in the cuvette ring
position 1, remove it and check whether there are
used cuvettes.
I If all cuvettes of this segment are empty, you can
reinsert it. Otherwise place a new cuvette segment
on the cuvette ring.
8
8 If there is a cuvette segment in the cuvette ring
position 2, remove it and check whether there are
used cuvettes.
I If all cuvettes of this segment are empty, you can
reinsert it. Otherwise place a new cuvette segment
on the cuvette ring.
11
11 On the Abs. Air/Water Calibration panel, scroll
down and check the Outlier statistics.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 523
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
immediately with soap and water and apply a
13 Maintenance
disinfectant.
Consult a physician.
c When necessary
n Approximately 5 minutes
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
524 Maintenance actions
1
1 On the Overview tab, choose the button.
2
2 On the Disk <X> panel, choose the button.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 525
4
4 Remove the reagent disk.
I Be sure not to tilt it and place it on an even
surface.
5
5 To remove the water from the reagent cooler, wipe the
inside of the reagent cooler with a lint-free cloth or
paper to remove the water.
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
526 Maintenance actions
c When necessary
n Approximately 3 minutes
1
1 In the global action button area, double-click
the button.
f A blank panel with a red cross is displayed.
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 527
2
2 On the adjusting panel, choose exactly in the center of
the red cross.
I When you have touched it properly, the cross
disappears and the next cross turns red.
4
4 To confirm the touchscreen calibration, choose
the button.
I If you are unable to choose the button, you
must switch off the instrument directly using the
green mains button. Restart the instrument
afterwards.
5
5 Restart the system.
• Choose the button.
• Choose the Restart option.
f The system shuts down and automatically restarts.
u Related topics
• Cleaning the touchscreen (497)
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
528 Maintenance actions
! WARNING
Incorrect results due to build-up of contaminants
During use, contaminants may adhere to the probe. As a
result, traces of analytes or reagents may be carried over
to the next.
r Make sure to perform the probe maintenance actions
as soon as they are due in order to prevent potentially
false results.
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
immediately with soap and water and apply a
disinfectant.
Consult a physician.
c Daily
13 Maintenance
n Approximately 5 minutes
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 529
2
2 Choose Utilities > Maintenance
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
530 Maintenance actions
5
5 On the maintenance definition panel, choose
the button.
6
6 Place cups on their assigned positions.
8
8 Choose the button.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 531
! WARNING
Incorrect results due to build-up of contaminants
During use, contaminants may adhere to the probe. As a
result, traces of analytes or reagents may be carried over
to the next.
r Make sure to perform the probe maintenance actions
as soon as they are due in order to prevent potentially
false results.
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
immediately with soap and water and apply a
13 Maintenance
disinfectant.
Consult a physician.
c Daily
n Approximately 30 minutes
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
532 Maintenance actions
2
2 Choose Utilities > Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 533
5
5 On the maintenance definition panel, choose
the button.
8
8 Choose the button.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
534 Maintenance actions
c Yearly
n Approximately 2 minutes
1
1 Choose Utilities > Maintenance
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 535
4
4 On the maintenance definition panel, choose
the button.
f An instructions screen is displayed.
6
6 Choose the button.
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
536 Maintenance actions
c Yearly
n Approximately 5 minutes
1
1 Choose Utilities > Maintenance
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 537
4
4 On the maintenance definition panel, choose
the button.
5
5 Check whether the tube connecting the external water
container with the analyzer is full of water or contains
air bubbles.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
538 Maintenance actions
7
7 Lift the tubing adapter from the white water container.
• Place the tubing adapter on a clean surface.
I Make sure the filter (A) is not obstructed and air
can get to it.
8
8 Choose the button.
f The system aspirates air through the tubing
adapter and initializes the fluid sensor.
f When initialization is complete, a message informs
you about the next step.
10
10 Choose the button.
f The fluid system is primed.
f A message panel informs you when the
maintenance action is complete.
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 539
11
11 Choose the button.
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
540 Maintenance actions
Typical symptoms: At the end of a run, the result is not stored in the
database.
Error messages 13002 and 13003.
c When necessary
1
1 Choose Utilities > Maintenance
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 541
3
3 On the Recover Database panel, choose
the button.
4
4 On the task information panel, choose
the button.
f The system recovers the software database and
restarts.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
542 Maintenance actions
Replace
In this section
Replacing the water inlet filter (542)
Replacing the photometer lamp (546)
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
immediately with soap and water and apply a
disinfectant.
Consult a physician.
13 Maintenance
c Three-monthly
n Approximately 10 minutes
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 543
1
1 Choose Utilities > Maintenance
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
544 Maintenance actions
4
4 On the maintenance definition panel, choose
the button.
6
6 Replace the water inlet filter.
A B C
• To remove the retaining ring, pull it by its tab away
from the filter casing (A, D, E).
• Remove the filter (B)
• Place a new filter (B)
• Place the retaining ring.
• Press it firmly on the filter casing by placing your
thumb across it an applying equal pressure all
D
around.
E
7 Reinsert the tubing adapter into the water container.
A Removing the retaining ring • Press the tubing adapter down firmly.
B Filter
C Filter casing
D Retaining ring
E Tab on retaining ring
8
8 On the maintenance detail panel, choose
the button.
f The maintenance action Prime Fluid System is
automatically performed.
f A message panel informs you when the
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 545
9
9 Choose the button.
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
546 Maintenance actions
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! WARNING
Incorrect results through soiled lamp
Touching the lamp with bare fingers reduces the life of
the bulb and may affect the consistency of measurements
made with the absorbance photometer.
r Hold the lamp assembly by its screw.
13 Maintenance
! CAUTION
Hot surfaces inside
Contact with the hot absorbance photometer lamp may
cause burns.
r Avoid contact with hot surfaces inside the analyzer.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 547
! CAUTION
Skin inflammation or injury
Direct contact with reagents, detergents, cleaning
solutions, or other working solutions may cause skin
irritation, inflammation, or burns.
r When you handle reagents, exercise the precautions
required for handling laboratory reagents.
r Wear appropriate personal protective equipment.
r Observe the instructions given in the Method Sheet
for the test.
r Observe the information given in Safety Data Sheets
(available for Roche Diagnostics reagents and
cleaning solutions).
r If reagents or other cleaning solutions come into
contact with your skin, wash the affected area
immediately with soap and water and apply a
disinfectant.
Consult a physician.
! CAUTION
Moving parts
Contact with moving parts may result in personal injury.
r Keep the cover and flaps closed and in place while the
system is operating.
r Always ensure that the system is off or in
Maintenance status before you work with an opened
cover (for example, for cleaning or maintenance).
r Do not touch any parts of the system except those
parts specified. Keep away from moving parts during
operation.
r During operation and maintenance, carefully follow
the instructions.
c Six-monthly
13 Maintenance
n Approximately 20 minutes
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
548 Maintenance actions
1
1 Choose Utilities > Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 549
4
4 On the maintenance definition panel, choose
the button.
f The system switches off the lamp, and the transfer
head moves to the home position.
6
6 Remove the sample tray by lifting it.
7
7 CAUTION!
Direct contact with hot parts may result in injury.
A
7 Unplug the power connector (A).
• Lift the photometer lamp housing cover (C).
• To remove the lamp assembly, unscrew (B).
B
13 Maintenance
A Power connector
B Assembly screw
C Cover
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
550 Maintenance actions
8
8 WARNING!
Incorrect results through soiled lamp
8 Insert the new lamp assembly.
• Hold the assembly by the screw and fit the lamp
socket in the guides.
• Fasten the screw of the lamp assembly.
• Close the photometer lamp housing cover.
• Plug the power connector into its socket.
9
9 Reinsert the sample tray.
11
11 Choose the button.
f The system automatically initializes the analyzer.
f A message informs you when the maintenance
action is complete.
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Maintenance actions 551
12
12 Choose the button.
u Related topics
• Performing an Abs. Air/Water calibration (520)
13 Maintenance
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
552
13 Maintenance Maintenance actions
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
555
Table of contents
Troubleshooting 14
In this chapter 14
Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 557
About messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . 557
About the message panel . . . . . . . . . . . . . . . . . . . . 558
About acoustic signals. . . . . . . . . . . . . . . . . . . . . . . 559
Flags . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 560
About flags . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 560
Reviewing flags. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 562
List of flags . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 565
>. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 565
V...................................... 566
Ag Excess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 566
? Cal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 567
Cal Error . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 567
Calc Error . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 567
Curv Dir . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 568
Ep Unstab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 568
High Abs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 569
High Act . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 569
< Kin Read . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 570
Low Act . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 571
Non Linear. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 572
Non Mono . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 572
Out of Rng . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 573
? QC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 574
R 1(2.5s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 574
R 1(3s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 574
>R 2(2s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 575
14 Troubleshooting
<R 2(2s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 575
>Reag Rng . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 576
<Reag Rng . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 576
> Repl Dev . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 577
> RR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 577
< RR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 577
> Std Dev . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 578
> Test Rng . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 578
< Test Rng . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 578
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 579
About troubleshooting . . . . . . . . . . . . . . . . . . . . . . . 579
Troubleshooting actions. . . . . . . . . . . . . . . . . . . . . . 582
Clearing a paper jam . . . . . . . . . . . . . . . . . . . . . 582
Changing the main fuses. . . . . . . . . . . . . . . . . . 584
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
556
Table of contents
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Messages 557
Messages
In this section
About messages (557)
About the message panel (558)
About acoustic signals (559)
About messages
The system performs numerous checks. When a certain
event has occurred or when an irregularity is detected, a
message is generated. Messages are displayed in 2 ways:
• Immediate feedback on user actions is displayed in a
pop-up message screen.
• Information concerning a problem that occurred
during operation is reported as alarm messages in the
alarm monitor.
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
558 Messages
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Messages 559
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
560 Flags
Flags
In this section
About flags (560)
Reviewing flags (562)
List of flags (565)
About flags
If during processing certain technical checks were not
passed or if the result exceeds or does not reach
predefined limits, flags are automatically generated.
Display priority If flags were generated, the flag with the highest priority
is displayed. For ratio results, the flag with the highest
14 Troubleshooting
Flags and instrument error messages If a flag appears in consecutive measurements, it may
trigger an instrument error message. Each flag has its
own counter. If one measurement does not generate the
flag, the counter is reset to 0.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Flags 561
Flags and recommended actions With each flag description, the recommended actions are
given.
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
562 Flags
Reviewing flags
If a result violates technical checks, exceeds, or does not
reach predefined limits, a flag is automatically generated
with the result.
r To review flags
1
1 To list a specific type of results, choose the
corresponding button:
• Test result: Workplace > Result Review
• QC result: Workplace > QC Status
• Calibration result: Workplace > Calibrations
f A screen is displayed that lists the selected type of
14 Troubleshooting
results.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Flags 563
2
2 Choose the result with the flag.
3
3 To display all flags that were generated for this result,
choose the button.
I The flags are sorted according to their priority.
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
564 Flags
1
1 On the Overview tab, choose the tube button for
which you want to review the flag.
2
2 On the Tube Status panel, choose the result with the
flag.
u Related topics
• List of flags (565)
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Flags 565
List of flags
This section lists the general flags and provides
information on each of the flags.
In this section
> (565)
V (566)
Ag Excess (566)
? Cal (567)
Cal Error (567)
Calc Error (567)
Curv Dir (568)
Ep Unstab (568)
High Abs (569)
High Act (569)
< Kin Read (570)
Low Act (571)
Non Linear (572)
Non Mono (572)
Out of Rng (573)
? QC (574)
R 1(2.5s) (574)
R 1(3s) (574)
>R 2(2s) (575)
<R 2(2s) (575)
>Reag Rng (576)
<Reag Rng (576)
> Repl Dev (577)
> RR (577)
< RR (577)
> Std Dev (578)
> Test Rng (578)
< Test Rng (578)
14 Troubleshooting
>
Meaning Result generated by reperforming the test with the same
running parameters (repeated).
Priority 32
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
566 Flags
V
Meaning A rerun result with diluted sample.
Priority 33
Ag Excess
Meaning Antigen excess
Possible cause The sample contains an excess antigen and a valid result
cannot be calculated.
Message code 6
Priority 19
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Flags 567
? Cal
Meaning A result where its calibration is marked with a flag.
Priority 29
Cal Error
Meaning No valid calibration data available.
Recommended actions 1. Check the calibration flags and deal with the
calibration first.
Message code 43
Priority 24
Calc Error
Meaning Calculation error
14 Troubleshooting
Slope or nonlinear standard curve cannot be calculated
due to a calibration error.
Message code 16
Priority 13
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
568 Flags
Curv Dir
Meaning Curve direction
The direction of the calibration curve is incorrect or not as
expected.
Message code 14
Priority 10
Ep Unstab
Meaning End point unstable
QCs
1. If only one QC is marked with a flag, repeat with fresh
QC material.
2. If more than one QC and sample result are marked
with flags, replace the reagent set.
Tests
14 Troubleshooting
1. Rerun diluted.
2. If only one sample result is marked with a flag, repeat
with fresh sample.
3. If more than one sample results are marked with flags
or repeated results, replace the reagent set.
4. If a serum protein test result is marked with a flag,
repeat with dilution.
Message code 9
Priority 8
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Flags 569
High Abs
Meaning Excessive absorbance
QCs
1. If a single QC is marked with a flag, rerun with a fresh
QC material.
2. If more than one QC results are marked with flags,
perform a calibration.
Tests
1. If a single sample result is marked with a flag, rerun
with dilution.
2. If the problem persists, replace the reagent set.
Message code 5
Priority 1
High Act
Meaning High activity
QCs
1. Check QC result.
2. Repeat with fresh QC material
Tests
1. Rerun with dilution.
Message code 56
Priority 9
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
570 Flags
QCs
1. Perform Utilities > Export > Full Results
2. Check reaction plot
3. Repeat with fresh QC material
Tests
1. Perform Utilities > Export > Full Results
2. Check reaction plot
3. Rerun with dilution if necessary.
Message code 11
Priority 11
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Flags 571
Low Act
Meaning Low activity
Possible cause This check is used to identify 0 pipetting for samples and
reagents.
• The absorbance change during measurement is below
the accepted limit, i.e. the reaction has taken off too
slowly. Possibility of substrate exhaustion.
• The absorbance change during the measurement is
lower than the defined limit.
QCs
1. Check the QC result.
2. Repeat with fresh QC material.
Tests
1. Perform Utilities > Export > Full Results
2. Check the reaction plot
3. If the flag is for one sample: Check the sample tube or
cup to ensure there is sufficient sample and that there
are no bubbles, foam, or fibrin clots which could
interfere with normal pipetting.
Message code 56
Priority 9
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
572 Flags
Non Linear
Meaning Abnormal linearity
Possible cause The slope changes between the first and last parts of the
reaction curve.
QCs
1. Perform Utilities > Export > Full Results
2. Check reaction plot
3. Repeat with fresh QC material.
Tests
1. Perform Utilities > Export > Full Results
2. Check reaction plot
3. Rerun with dilution if necessary.
Message code 11
Priority 11
Non Mono
Meaning Curve not monotonic
No calibration curve could be calculated because the
rates of the calibrators were non-monotonic.
Message code 80
Priority 14
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Flags 573
Out of Rng
Meaning Curve out of range
The calibration curve is outside the acceptable/
programmed range.
Message code 84
Priority 16
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
574 Flags
? QC
Meaning A result where the QC result is marked with a flag.
Possible cause The last QC result before this measurement was marked
with a flag. The dependency is derived from the time
sequence.
Priority 30
R 1(2.5s)
Meaning One QC result is above 2.5 standard deviation or below -
2.5 standard deviation.
Message code 36
Priority 28
R 1(3s)
Meaning One QC result is above 3 standard deviation or below -3
standard deviation.
14 Troubleshooting
Message code 35
Priority 27
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Flags 575
>R 2(2s)
Meaning Two sequential QC results are above the 2 standard
deviation.
Message code 29
Priority 26
<R 2(2s)
Meaning Two sequential QC results are below the -2 standard
deviation.
Message code 29
Priority 26
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
576 Flags
>Reag Rng
Meaning Absorbance above defined reagent range.
Message code 12
Priority 7
<Reag Rng
Meaning Absorbance below defined reagent range.
Message code 12
Priority 7
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Flags 577
Recommended actions 1. Check the calibrators for air bubbles and repeat the
calibration.
2. If the flag reappears, repeat with fresh calibrators.
3. Check the probe
4. Check the fluid system
Message code 13
Priority 12
> RR
Meaning Above reference range
Message code 40
Priority 22
< RR 14 Troubleshooting
Meaning Below reference range
Message code 41
Priority 23
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
578 Flags
Possible cause A point in the calibration fell outside the defined limits.
Message code 17
Priority 17
Possible cause The result is higher than the upper limit for the test.
Recommended actions 1. Rerun the test using the recommended dilution factor
and check the test result.
Message code 26
Priority 20
Possible cause The result is lower than the lowest limit for the test.
Recommended actions 1. Report the test result as less than the limit of detection
of the test.
14 Troubleshooting
Message code 27
Priority 21
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Troubleshooting 579
Troubleshooting
In this section
About troubleshooting (579)
Troubleshooting actions (582)
About troubleshooting
Troubleshooting the analyzer includes addressing an
observable problem or a message generated by the
analyzer.
Information about the status of the system The system performs numerous checks. When a certain
event has occurred or when an irregularity is detected, a
message is generated. Messages are displayed in 2 ways:
• Immediate feedback on user actions is displayed in a
pop-up message screen.
u Messages (557)
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
580 Troubleshooting
Using the logs The logs contain a summary of the analyzer notification or
event messages. Use the logs to look for trends and help
diagnose problems.
u Exporting the instrument alarm message log file (215)
Precautions when troubleshooting When working with any covers of the analyzer open, be
aware of the following safety issues:
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! WARNING
Electric shock
Removing the covers of electronic equipment can cause
electric shock because there are high-voltage parts
inside.
r Do not attempt to work on any electronic equipment.
r Do not remove any cover of the system except those
covers specified in the instructions.
r Only Roche Service representatives may install,
service, and repair the system.
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Troubleshooting 581
! WARNING
Sharp objects
Contact with probes may result in infection.
r When cleaning near the probes, take care not to
puncture yourself.
r Wear appropriate personal protective equipment. Take
extra care when working with lab gloves. They can
easily be pierced or cut, leading to infection.
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
582 Troubleshooting
Troubleshooting actions
In this section
Clearing a paper jam (582)
Changing the main fuses (584)
Changing the low voltage fuses (586)
Replacing the probe (588)
Realigning the reagent disk (592)
Exporting diagnostics panels to USB flash drive (593)
n Approximately 3 minutes
2
2 Open the printer panel.
I Press down the release button firmly before you
pull the panel. The panel should open without
resistance.
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Troubleshooting 583
6
6 Insert the paper in the slot in the printer panel and pull
some through.
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
584 Troubleshooting
NOTICE
Damage to the system due to use of wrong fuses
Improper use may result in damage to the system.
r Always replace fuses with new ones of the same type
and specifications.
4
4 Disconnect the mains cable from the analyzer.
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Troubleshooting 585
5
5 To disengage the clips on both sides of the fuse box
cover, using a screwdriver.
6
6 Remove the holder.
7
7 Remove the 2 fuses from the holder.
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
586 Troubleshooting
NOTICE
Damage to the system due to use of wrong fuses
Improper use may result in damage to the system.
r Always replace fuses with new ones of the same type
and specifications.
4
4 Disconnect the mains cable from the analyzer.
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Troubleshooting 587
5
5 Remove the fuse indicated in the alarm message. You
can also identify the affected fuse by checking the
LED array next to the fuses. If a fuse does not function
correctly, the associated LED does not light up.
I Insert the screwdriver in the slot and turn
anticlockwise until the holder disengages.
6
6 Remove the holder with the fuse.
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
588 Troubleshooting
! WARNING
Infectious samples
Contact with samples containing material of human origin
may result in infection. All materials and mechanical
components associated with samples containing material
of human origin are potentially biohazardous.
r Follow laboratory best practices, especially when
working with biohazardous material.
r Keep all covers closed while the system is operating.
r Wear appropriate personal protective equipment.
r If any biohazardous material is spilled, wipe it up
immediately and apply a disinfectant.
r If sample or waste comes into contact with your skin,
wash the affected area immediately with soap and
water and apply a disinfectant.
Consult a physician.
! WARNING
Operator infection and injury
Contact with system mechanisms (for example, transfer
head) or with the system chassis or covers may result in
personal injury and infection.
r Whenever possible, keep the cover and flaps of the
analyzer closed.
r Always ensure that the system is off or in
Maintenance status before you work with an opened
cover (for example, for cleaning or maintenance).
r Do not open the cover or flaps while the system is
performing maintenance.
r Pay attention to the covers during automatic
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Troubleshooting 589
! WARNING
Sharp objects
Contact with probes may result in infection.
r When cleaning near the probes, take care not to
puncture yourself.
r Wear appropriate personal protective equipment. Take
extra care when working with lab gloves. They can
easily be pierced or cut, leading to infection.
n Approximately 15 minutes
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
590 Troubleshooting
4
4 Remove the sensor tubing adapter (A).
A
5 Remove the probe holder (D) from the carriage.
• Press the release button on the side of the probe
holder carriage and lift the probe holder with the
probe.
B
6 Unscrew the probe from its holder (C) and remove it
C from it.
9 Lift the tubing and wait until all fluid has run into the
glass beaker.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Troubleshooting 591
8
8 Log on and perform the Deproteinize Probe
maintenance action.
u Related topics
• Deproteinizing the probe (528)
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
592 Troubleshooting
! CAUTION
Reagent carryover
Spillage through tipping reagent disk may lead to wrong
test results.
r When handling the reagent disk, make sure not to tilt
it.
n Approximately 2 minutes
1
1 Insert your fingers in the holes in the reagent disk
cover and lift the reagent disk.
3
3 Turn the reagent disk until the arrows of the reagent
disk and the cover face each other.
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Troubleshooting 593
1
1 Choose the Utilities > Diagnostics button.
2
2 On the Diagnostics panel, choose a module from the
14 Troubleshooting
list.
• Choose the button.
f All module-related actions are displayed.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
594 Troubleshooting
3
3 From the module-related action list, choose the action
you want to perform.
• Choose the button.
4
4 On the message panel, choose the button.
5
5 On the Print panel, choose the Send to File button.
f A message panel informs you to insert the USB
flash drive.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Troubleshooting 595
8
8 Choose the folder you want to export the data to.
14 Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
596
14 Troubleshooting Troubleshooting
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Glossary
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Glossary 599
2-dimensional barcode - calibration type
Glossary 15
This glossary is a compendium in which to look up the assay
meaning of technical terms used with the
1. A specific test.
cobas c 111 analyzer.
2. The process of measuring a substance.
2-dimensional barcode A type of barcode on backup The saving of data onto supplementary
reagent bottles, calibrators, and control barcode storage media such as disks or tape. If such data is
sheets. These matrix barcodes, which use PDF417 required again but is no longer available from the main
symbology, contain more information than traditional storage (analyzer hard disk), it can be restored from a
linear barcodes. backup copy.
absorbance photometer A device used to make barcode A numeric or alphanumeric code used on
absorbance photometry measurements. It consists of a sample tubes and reagent bottles to identify the
halogen light source, optical groupings, a samples and reagents. Different barcode standards
monochromator (diffraction grating), a preamplifier, are available. See also barcode type.
filters, and a diode array. See also photometer.
barcode scan The process of reading barcode
accuracy The absolute deviation of a result from a information into the memory of an analyzer.
pre-defined target value in percent or absolute units.
barcode scanner The device that reads the code
Activator Serum used to coat tubing and the sample from sample or reagent barcode labels.
probe after cleaning procedures. (The cobas c 111
barcode transfer sheet (BTS) A sheet bearing a
Activator is based on human sample material. For
barcode that encodes test-related (or calibrator or
further details refer to the Activator package insert.)
control) information for an analytical instrument.
alarm A visual or audible operator notification of any
barcode type Typical sample barcode types used in
analyzer irregularity.
the IVD industry are Code39, NW7 (Codabar), ITF, and
Alarm button A button used to display the alarm Code 128.
messages.
biohazardous A classification used to identify
alarm level A level that identifies the source and material that poses a health threat, for example
severity of a problem. There are two levels: warning, something contaminated with biological material.
and alarm.
button A button is found on a screen or pop-up
alarm message A message that reports a analyzer window. It can be touched either to initiate an action
irregularity. It can be viewed in the alarm monitor or to move to a different screen.
screen. See Alarm button.
calculated result A test result calculated from
aliquot Portion of sample material pipetted into any different individual analytical methods with a given
secondary cup. formula such as ratio A/B.
alphanumeric sorting The listing of information, in a calibration The set of operations that establish,
printout or on a screen, in a predefined order by letters under specified conditions, the relationship between
or numbers. values indicated by the analytical instrument and the
analyte The constituent in the sample that is to be corresponding known values of an analyte.
determined. calibration interval A specified interval at which an
analytical instrument A device or a combination of assay should be calibrated. Typically found on reagent
Glossary
package inserts.
devices used to carry out an analytical process.
analyzer unit Central analyzing unit including calibration type Describes the event that triggers
cooling assembly, heating channel, rotor and the calibration, for example lot change, and interval
expiration.
insulation. Does not include the photometer unit.
application Chemistry and method to determine a
parameter. See also test.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
600 Glossary
calibrator - expected range
control name The name of a control material, for disposable Typically a plastic tip, vessel, or cuvette
example PreciControl Universal. that is discarded after a single use.
CPU The Central Processing Unit of the analyzer or dynamic range The reportable range of an assay.
computer. This range extends from the lower detection limit to
the limit of linearity.
CSF Abbreviation for cerebral spinal fluid. A sample
Glossary
type for clinical analysis. E-stopped A status indicating that the analyzer has
performed an emergency stop. This could be due to
cup See sample cup. hardware failure or because any of the safety devices
cup-on-tube The placement of a smaller secondary have requested an emergency stop.
sample container (for example a Hitachi Cup) on top expected range The predefined range of test result
of a primary sample tube. values expected for a defined group of healthy
patients or materials. Also known as normal range or
reference range.
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Glossary 601
expected value - minimum sample volume
expected value A value for a test result that can be liquid level detection A check for the availability of
considered as a normal result. sufficient liquid in a container.
expiration date Also called the expiry date. The end liquid level detection (LLD) The ability of an
of a period until which Roche Diagnostics guarantees analytical instrument to sense liquid by using the
product claims for its reagents, calibrators, and probe.
controls.
log file A set of data, typically stored in the control
extended dynamic range The measuring range for unit, that traces analyzer-related or operator-related
an assay at its highest dilution. activities such as maintenance.
filter A process that sorts data for viewing, log off The procedure of terminating access to the
documenting, or printing according to predefined analyzer software. Also known as log out or logoff. The
criteria reverse procedure is known as log on or log in.
flag An identifier used to call an operator's attention Log off button A button used to terminate access to
to a result. the analyzer software. See also log off.
global action button See global button. log on The procedure of gaining access to the
analyzer software by entering a user name and, if
global button A button that allows access to the
required, a password. Also known as log in or logon.
global software screens and that can be used at any
The reverse procedure is known as log off or log out.
time. For example, <Start>, <Stop>, or <Alarm>.
Log on button A button used to gain access to the
home position The position to which a certain part
analyzer software. See also log on.
of the analyzer returns on reset. The start position of a
mechanism. lot calibration A mandatory calibration when a new
lot of reagents is introduced to an analytical
host communication Data exchange with a clinical
instrument.
laboratory information system (LIS).
maintenance action A maintenance procedure
host computer
performed by the analyzer or the operator; and that
1. A computer used for overall management and must be performed on a regular basis (for example
control of the computer network. daily, weekly, or monthly) to secure reliable operation
2. A clinical laboratory computer that stores and of the analyzer.
processes patient requests and results. A host is
maintenance procedure See maintenance action.
able to communicate with analytical instruments.
host interface protocol A technical description that manual dilution An off-system, pre-analytical step
defines data transfer between a host computer and an performed by laboratory staff to reduce the analyte
analytical system. concentration in a sample.
Initialization Also known as Initializing. The mean The sum of values divided by the number of
operational mode of an analyzer that occurs values.
immediately after power on and during which the measure point Time at which absorbance reading is
analyzer prepares itself for operation. taken and used to calculate results.
installing applications Process of making the measuring range See reportable range.
application available for testing, as opposed to
importing the application data, which just saves the message In computing, a defined set of
alphanumeric data that transfers information from
data on the analyzer.
computer to computer or from an analytical instrument
interval QC A streamlined process of performing (all) to the operator.
Glossary
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
602 Glossary
monochromatic - reagent bottle
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Glossary 603
reagent disk - TDM
reagent disk The removable device into which the sampling stop An alarm level that indicates a
reagent bottles are placed. problem with the sampling system.See also S.Stop.
reagent disk position One of the multiple positions scan See barcode scan.
on the reagent disk.
scroll The action of moving through text or graphics
reagent port Section of the analyzer unit where (up, down, left, or right) to see parts of the file or list
reagent bottles are inserted and removed. that cannot fit on the screen.
reference range See expected range. scroll arrow An arrow on either end of a scroll bar
that you use to scroll through the contents of the
repeat The performance of the same test on a sample
screen or list box.
again with identical dilution.
scroll bar A bar that appears at the bottom or right
reportable range The range of results that can be
edge of a screen whose contents are not entirely
reported for the assay. It stretches from the lower
visible.
detection limit to the high end of the calibration curve.
SD Abbreviation for standard deviation.
request See order.
secondary tube A sample container of variable size
rerun The performance of the same test on a sample
into which aliquots are transferred.
again with a different dilution.
shutdown The process of powering off an analyzer.
result The value reported by an analytical device
during or after the assay of a sample or control. software A computer-operated program that
processes data in a defined manner. Software is
ROM Abbreviation for read-only memory.
usually intellectual property of the software supplier or
Semiconductor memory devices used in computers.
its licensee.
ROM content remains when a computer is switched
off. specimen Generic term for a calibrator, control and
sample.
rotor Assembly consisting of cuvette ring and plastic
frame. standard Traceable reference material used to create
the master calibration curve.
sample area Area on the instrument where sample
tubes are placed. standard deviation A statistic used as a measure of
the dispersion or variation in a distribution of data.
sample cup A small container that is used for
samples and also for calibrator and control material. A Start button A button used to start the analyzer
sample cup can be placed either directly on the (Operating mode) and begin the pipetting of samples,
sample area, or on sample tubes. Compared to a measurement, and the result calculation process.
sample tube, a sample cup allows the use of smaller
STAT Abbreviation for Short Turn Around Time.
liquid volumes and so reduces the dead volume.
Terminology used by the medical clinical professionals
sample ID A set of alphanumeric data that to prioritize the processing of a sample in a laboratory.
unmistakably identifies a particular sample within a
status A general term used to refer to the current
whole organization, for example the hospital. It is used
status of the analyzer. Explicit terminology may be
on barcodes and is the unique identifier used to
used to address sub-parts of the analyzer status (such
communicate with a laboratory information system.
as analyzer status and printer status).
sample splitting The act of making one or more
Stop button A button used to display options for
aliquots from a primary or secondary specimen.
different kinds of processing stop.
sample tube A glass or plastic container for liquid
SW Abbreviation for software.
Glossary
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
604 Glossary
test - worklist
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Index 605
Index
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
606 Index
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Index 607
E G
Import
F – panel, 154
Initialize
Features of the system, 21
Index
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
608 Index
– version 4.5, 12
M
Maintenance
O
– color of entries, 482
Obsolete calibration, 124
– concept, 480
Online Help
– panel, 151
– concept, 93
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Index 609
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
610 Index
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Index 611
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
612 Index
Syringe, 39 – numbers, 90
System – password, 179
– log off, 183 – special characters, 90
– log on, 178 – text, 89
– overview, 21 – user name, 178
– preparation overview, 171
– status, 193
– status panel, 197
U
Unfinished
T – orders, 167, 383, 388, 460
– tasks, 457
Tab User interface
– overview, 96 – introduction, 75
– utilities, 137 – overview, 77
– workplace, 118 Users
Technical specifications, 62 – panel, 149
Test Utilities tab, 137
– accept result, 440 – application-related function button, 140
– define routine order, 389 – configuration button, 139
– define STAT order, 395 – diagnostics button, 152
– delete results, 452 – export button, 155
– download routine order from host, 401 – extra wash cycles button, 145
– modify sample order, 407 – host codes button, 143
– monitor analysis progress, 412 – import button, 154
– print results, 445 – inventory button, 147
– repeat, 430 – laboratory parameters button, 141
– rerun, 435 – maintenance button, 151
– retransmit result to host, 447 – process sequence button, 144
– selection panel, 107 – reagent mixing button, 146
– status panel, 99, 102, 103, 107, 108 – users button, 149
– validate test result, 415
Text typing, 89
Throughput specifications, 62
V
Time to finish order, 99, 100
Validate
Trademarks, 5
– calibration result overview, 302
Transfer
– calibration results, 304
– head, 51, 52
– QC result overview, 346
– unit, 51
– QC results, 351
TRL check, 418
– test result overview, 417
Troubleshooting
– test results, 419
– alarm monitor, 203
View
– change low voltage fuses, 586
– calibration related information and lot data, 307
– change the main fuses, 584
– calibrator target values, 322
– clear a paper jam, 582
– flag detail information, 562
– deal with exceptional situations, 208
– QC related information and lot data, 357
– export screen to USB flash drive, 593
– QC target values, 349
– flag concept, 560
– reagent related information and lot data, 257
– flag list, 565
– test result related information and lot data, 428
– react to messages, 206
– realign reagent disk, 592
– replace probe, 588 W
Index
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
Index 613
– empty, 274
– external fluid containers, 267
– internal tank, 40
Water
– check status, 198
– clean, 508
– connect container, 259
– container, 42
– external fluid containers, 267
– purity specifications, 63
– refill, 270
– replace inlet filter, 542
Wavelenghts absorbance photometer, 57
Wizard
– analyzing samples quick guide, 379
– end shift, 79
– end shift quick guide, 457
– navigation, 85
– overview, 76, 79
– prepare, 79
– prepare quick guide, 168
– start end shift, 466
– start prepare, 186
Worklist panel, 136
Workplace tab, 118
– calibrations button, 124
– loadlist button, 127
– lot data button, 134
– orders button, 120
– QC history button, 130
– QC history detail button, 131
– QC status button, 122
– result review button, 128
– worklist button, 136
Index
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5
614
Index Index
Roche Diagnostics
cobas c 111 analyzer · 4.3 or higher · User Guide · 4.5