TEMIS Chemistry Analyzer User's Manual V1.1e
TEMIS Chemistry Analyzer User's Manual V1.1e
Chemistry Analyzer
User’s Manual
Rev: 1.1e
CONTENT
1.1 INSTALLATION...................................................................................................................8
1.1.1 Unpacking.................................................................................................................8
1.1.2 Instruments location..................................................................................................8
1.1.3 Power requirements..................................................................................................9
1.1.4 Connect the instrument to AC power........................................................................9
1.1.5 Paper Installation.....................................................................................................9
1.1.6 Flow cell and cuvette system...................................................................................10
1.2 SYSTEM OVERVIEW.........................................................................................................10
1.2.1 Front View...............................................................................................................10
1.2.2 Rear view.................................................................................................................11
1.2.3 Flow cell and cuvette..............................................................................................12
1.2.4 Lamp and sipper pump............................................................................................12
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3.1 GENERAL.............................................................................................................................23
3.2 PROGRAM CALIBRATION......................................................................................................23
3.3 PERFORM LINEAR TESTS.....................................................................................................23
3.4 PERFORM THE CALIBRATION OF NON LINEAR TESTS.........................................................24
3.5 LIST CALIBRATION...............................................................................................................25
CHAPTER 4 CONTROL.........................................................................................................26
4.1 GENERAL.............................................................................................................................26
4.2 PROGRAM CONTROLS..........................................................................................................26
4.3 MEASUREMENT OF CONTROLS............................................................................................26
4.4 LIST CONTROLS...................................................................................................................27
CHAPTER 5 REPORT...............................................................................................................29
5.1 SUMMARY.............................................................................................................................29
5.2 PRINT BY PATIENT................................................................................................................29
5.3 PRINT BY TEST.....................................................................................................................32
5.4 PRINT HISTORY RECORDS....................................................................................................32
CHAPTER 8 MAINTENANCE...............................................................................................34
8.1 GENERAL.............................................................................................................................34
8.2 CLEANING THE OUTSIDE......................................................................................................34
8.3 CLEAN PROCEDURE FOR THE FLOW CELL..........................................................................34
8.3.1 Washing when Changing tests........................................................................................34
8.3.2 Washing twice a day.......................................................................................................34
8.3.3 Closing the system by the closing procedure..................................................................34
8.4 REPLACEMENT THE LAMP...................................................................................................35
8.5 REPLACEMENT OF THE INTERNAL TUBING..........................................................................35
8.6 REPLACEMENT THE FUSE....................................................................................................35
8.7 TROUBLE SHOOTING............................................................................................................35
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This symbol means that the labeled item is hot while the
instrument is in use. Don’t touch the labeled item as you
could be scalded.
The symbol is labeled on the lamp support of optic system.
This means that the labeled item could lead to personal injury
and/or damage to the analyzer.
The symbol is labeled beside the power outlet and some
external interface.
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General
Before you start installing and working with the analyzer, you should read the safety
precautions and regulations shown in this chapter.
Operator Qualification
Please note that the operation with Semi-auto Chemistry Analyzer should be carried out
only by the doctor or clinical inspector who has undergone necessary training provided
by the sales agent.
To install, maintain and repair the instrument, a service technician has to be trained on
the instrument by the manufacturer or their representative. A service technician is also
expected to be familiar with the normal operation of the instrument as described in the
User’s manual and the special operations as described in the service manual.
Electrical
To prevent the risk of electrical shock and/or damage to the instrument Operator should
not open the white cover of the instrument. Only authorized personnel, for example,
service technicians, may open the instrument to perform maintenance or repair.
Touching the main board when the power is on may cause severe injury or death. Any
problem, please ask for helps from your supplier.
Mechanical
There is no risk presented by the mechanical parts of the instrument when the instrument
is closed. If the covers of the instruments are removed, mechanical parts could cause
personal injury or the instrument may be damaged if the following advice is not being
considered: DO NOT wear loose garments or jewellery that could catch in mechanisms.
DO NOT put your fingers/hands into the pathway or any part while the analyzer is in
operation. DO NOT attempt mechanical repair unless the instrument is not in operation or
OFF.
Lamp
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The source lamp becomes extremely hot during operation; never touch the lamp when it
is on! Look directly into the light path of the lamp may cause eyes damage, too.
If the lamp needs to be changed, always switch off the lamp by switching off the
instrument and then wait until the lamp has cooled down.
Chemical
The operator is responsible for taking all necessary precautions against hazards
associated with the use of clinical laboratory chemicals. Specific recommendations for
each reagent used with the analyzer are normally found on the manufacturer’s package
inserts or the on the product information sheets for each chemical. Wipe up any reagent
spillage on the instrument immediately.
Biohazardous Materials
As with all vitro diagnostic equipment, patient samples and serum-based quality control
(QC) products that are assayed on this system, as well as all waste from the waste
container, should be treated as the potentially biohazardous. All materials and
mechanical components associated with the sampling and waste system should be
handled according to your facility’s biohazard procedure. Use the personal protective
equipment recommended by your facility when handling any of these components.
Detailed recommendations:
- Samples
Treat all samples as potentially biological pollutions and infectious. If any sample is spit
on the instrument, utilize the correct personal protective equipment (PPE- gloves, lab
coat, etc..), wipe it up immediately and clean the contaminated with a disinfectant.
Avoid direct contact with waste solution and/or solid waste. Both should be handled as
potentially biohazardous.
Dispose of waste solution and/or solid waste according to the relevant governmental
regulations.
Consult the reagent manufacturer for information on the concentrations of heavy metals
and other toxic constituents in each reagent.
- Biohazardous parts
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Avoid direct contact with the sipper tubing and all parts of the sample flow path. Treat
these areas as potentially biohazardous and /or infectious
- Reagents
Avoid direct body-contact with reagents. Direct body-contact may result in irritation or
damage to your skin. Refer to the manufacturer’s reagent kit box and package inserts, or
product information sheets for specific instructions.
Avoid direct body-contact with cleaning solution. Direct body-contact amy result in skin
irritation or damage. Refer to the manufacturer’s kit box and package inserts, or product
information sheets for specific instructions.
ATTENTION! Cautions
Additional Precautions
- Flammables
For proper use of the instrument, measure control samples and monitor the instrument
during the operation.
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Make sure that the sample/reagent mixture does not contain any blood clots, dust or
other insoluble contaminants. If insoluble contaminants are contained in the sample,
correct measuring values may not be obtained.
- Application
The instrument is designed for clinical chemistry test analysis using water-soluble
samples and reagents.
Please note that other types of analysis may not be applicable to the instrument.
During operation and maintenance of the instrument, proceed according to the instructors
and do not touch any parts of the instrument other than those specified.
Never leave a Reagents/sample mixture in the flowcell for longer than necessary. Always
clean the flowcell after a batch of measurement and keep the flowcell filled with distilled
water when not in use.
Avoid touching the mechanism, such as the sipper mechanism inside the instrument,
while the instrument is operating. This may cause operation stop or damage the
instrument.
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1.1 Installation
1.1.1 Unpacking
Carefully unpack the instrument, removing it from its plastic bag. Keep the
boxes and packaging material until being assured that nothing is missing, that
the unit has no (internal) transport damage and are working properly.
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a.c.110V~220V
50/60 Hz
80VA
Plug the power cord into the instrument. Plug the power cord into an AC
electrical wall outlet.
ATTENTION! Cautions
AC power outlet must be connected to ground.
Shut (Power) off the power if smog, special smell or special
sounds from the inside of the instrument, and contact your
supplier.
Hold the connector when you pull off the power cord. Never
pull the cord directly.
Remove the paper cover by pulling up at the top end of the cover.
Unroll about 10 inches of paper and place the roll on the table behind the
instrument.
Feed a cleanly cut edge of the paper from the back into the printer.
A ragged edge or wrinkled paper will be difficult to load and could cause a
paper jam.
Feed just over 1 inch of paper in and then press the feed paper key
several times to feed over 3 inches of paper. Drop the roll of paper into
the printer paper well in back.
Feed the paper through the paper slot of the cover, and then close the
cover.
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Figure 1.1
Remove flow cell cover
Insert the flow cell or cuvette into the flow cell holder
Make sure the surface with characters of the flow cell is faced to user.
Note!
Keep the surface of the flow cell or cuvette clean. Don’t touch it by
fingers.
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Figure 1.2
Figure 1.4
1) Power switch
2) Fuse
3) AC power connector
4) Fan
5) Pump
6) Drain port
7) RS-232 port
8) SD card
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9) USB port
10) Brightness
11) Lan port
1.2.3 Flow cell and cuvette
The following sketches will help you locate and identify the flow cell parts.
Figure 1.5
Figure 1.6
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ATTENTION! Cautions
The source lamp becomes extremely hot during operation; never touch the
lamp when it is on! Look directly into the light path of the lamp may
cause eyes damage, too. If the lamp needs to be changed, always
switch off the lamp by switching off the instrument and then wait until
the lamp has cooled down.
Figure 1.7
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Figure 1.8
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2.1 Powering on
Turn the instrument on using the power switch on the rear panel. The screen will
display the following:
The instrument will be waiting the lamp stable in 2 minutes. Then the screen will
display as following:
Screen 2.2
Raise a test tube of distilled water up to the aspiration flow cell sample tube and
press the “Sample Button”. After you hear the control unit valve cycle, remove the
tube. The Semi-auto chemistry analyzer will now read and save the absorbance
reading for water for all seven filters in the machine. If the absorbance reading is too
high or too low, the following screen will displayed
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Screen 2.3
Select “No”, the system will ignore the deviation above and move to test menu.
Select “Yes”, and raise the test tube of water up to the aspiration tube, and press
Rinse to rinse the flow cell. After a few seconds, press Rinse again to stop the rinse,
and then press the “Sample Button”. If the above screen still displayed, contact the
supplier.
2.2 Basic operating
2.2.1 Mouse
The instrument has a serial port mouse for PC (USB interface)
2.2.2 Keyboard
Connect the ext. Keyboard to the instrument when the analyzer powered off.
You can use the keyboard just like to operating a PC keyboard.
2.2.3 Soft-keyboard
Use mouse to click the icon (soft-key) to pop a soft-keyboard, (Screen 2.5 Soft
keyboard) and click the icon again, the soft-keyboard will be close
After the instrument initialization, the screen will display the following:
Click “System”,
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The test result can be transferred to Desktop PC through standard RS232 Cable; the
serial port of PC should be set as following:
19200 baud, Even Parity, 8 bit of data and 1 bit of stop
Details of Protocol please see Appendix II.
THE INSTRUMENT has a built-in menu of 130 assays. 47 assays of most commonly
applied data reduction formulae are pre-programmed.
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1) Click the button which will be modified, such as “UA”, The screen will
display the following:
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Select “Control” for programming control. The follow window will appear:
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measurement done with the second wavelength filters. This can be done
when you select a sub-wavelength in “Parameter change” menu. It was
described in 2.4.1.
c) Endpoint determinations against a standard Curve
d) Endpoint determinations against a Multi-standard Curve
This is a normal endpoint determination, in which linearity may not be
perfect throughout the whole range that is interest. As a result it is
calibration curve (a number of standards) instead of a single standard.
e) Kinetic
Kinetic determinations are tests whose enzyme activity is measured
continuously over a certain period of time and finally referred to 1 minute.
f) Twopoint
After a pre-defined incubation time, two absorbance readings are taken at
different and programmed time interval. From the delta absorbance
between the two measurements the final result is calculated. Each of the
measurements taken is a mean of a large number of readings taken in
quick succession.
2.4.7 Return
Select “Exit” to go back to the “Setting” menu.
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2.5.2 Perform
Following the instructions displayed on the “instruction window”.
Screen 2.17
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3.1 General
Certain tests require calibration by one or more Standards. Calibration results are
stored in the flash memory of the analyzer and can be used again for future
measurement.
Calibration can be programmed and subsequently done for different measurement
mode: Endpoint or Twopoint. For Endpoint, the calibration could be with/without
Reagent Blank and/or Sample Blank. For Twopoint, the calibration could only be with
or without Reagent Blank.
The calibration by standard should be performed depending on the stability of the
reagents, batch of the reagent, and type of test. The previous calibration data in the
flash memory will be overwritten by the new ones.
3 procedures should be performed for the calibration by standard:
Program calibrations
Measurement of calibrations
List calibrations
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The calibration can be run at any time during a test run, after the test has been
selected. Select “Calibration” in menu of “test procedure”:
1) Instruction window will appear: Aspirating Standard “#”
Hold the standard sample “#” under the sample tube and press Sample key.
The programmed volume will be aspirated and measured. The process and
result of the measurement will be displayed.
2) Instruction window: Aspirating Standard “#”, Repeat #
Follow the instruction on the “instruction window”.
Screen 3.1
3) The result will be displayed on the result window, and the standard curve will be
displayed in same time. User can save and print the result
The calibration can be run at any time during a test run, after the test has been
selected. Select “Cal.” in menu of “test procedure”:
1) Instruction window will appear: Aspirating Standard “#”
Hold the standard sample “#” under the sample tube and press Sample key.
The programmed volume will be aspirated and measured. The process and
result of the measurement will be displayed.
2) Instruction window: Aspirating Standard “#”, Repeat #
Follow the instruction on the “instruction window”.
3) The result will be displayed on the result window, and the standard curve will be
displayed in same time. User can save and print the result.
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Screen 3.2
Screen 3.3
1) Print the result by selecting the “Print”.
2) Select “Exit” to go back to the above menu.
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Chapter 4 Control
4.1 General
The control program gives the possibility of storage and statistical evaluation of
controls measured on the instrument.
For all 130 tests programmed in the unit, 2 controls can be defined. The result of
controls for 130 tests of 365 days could be stored automatically. 3 operating should
be performed for the controls:
Program controls
Measurement of controls
List statistics
Screen 4.1
1) Choice “1” if only measuring 1 control, and choice “2” if 2 controls will be
measured. Select “OK” to confirm the choice.
2) Instruction window will display: Aspirating Control “#”
Hold the control requested by analyzer under the sample tube and press
Sample key. The programmed volume will be aspirated and measured. The
process and result of the measurement will be displayed.
3) The result will be added to the statistical memories automatically. The
evaluation of control results can be accessed through the main menu and
described in 4.4.
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Select “Control” in main menu, to list the statistics of controls. The list screen will be
displayed:
Screen 4.2
1) Select test and month, Click “OK”.
2) The statistic of the controls will be displayed on the screen:
Screen 4.3
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Chapter 5 Report
5.1 Summary
In this part, three report styles are provided: “By patient”, “By test” and “History”, you can
select one style from three according your requirement.
Screen 5.1
5.2 Print by patient
In the state of Screen 5.1, select “By patient”, a new window will be open.
Screen 5.2
Operation guide:
1. Update patient information
Select one patient, the correspondent line is activated. Input name, department, age and
sex, click “Update”, then the patient information is change into what you have input.
2. Add a patient
If you want to add one or more new patients, you can click “Add” after the patient
information has been input. Each new patient will have a different patient NO. If you want
to test the patient’s sample, just change the present sample NO into the patient NO.
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2 TIBC
Electrolytes: If this mode is selected, 11 items are included.
1 K
2 Na
3 Cl
4 Ca
5 Mg
6 P
7 Cu
8 Zn
9 GLU
10 AMS
11 LPS
Click “Print”, the report will be printed. If some item in the mode hasn’t been tested, there
will have no correspondent data in the report.
Screen 5.3
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Edit: In the window of “By patient”, select one patient line, and then click “setting”.
In the “Item edit” window, input no-chemistry item result, this item will be printed in
General mode report.
In the state of Screen 5.1, click “History”, a new window will be open.
Screen 5.4
THE INSTRUMENT can store 3500 pieces of records at most. In the new window, drag
the scroll bar, you can see all test results of history.
During the operation of print, delete and data transfer, click "Select all" check box, you
can do the operation on all records. Input the order number of patient, you can do the
operation on selected records.
Patient No. can input as following:
1. 3,6
2. 1-5
3. 1-4,5-6
4. 3,4,5-7
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At the end of the working, you must perform the Closing procedure by selecting
“Power off” in the “Main menu”.
1) The system will store the parameters and the results of tests.
2) The screen will display “aspirating distilled water”.
3) Place a container of distilled water under the tube. Press Aspiration key ,
Rinse will take few minutes
4) The screen will display “ Please switch off the instrument”
5) Turn off the power.
ATTENTION! Cautions
Never power off the system without performing the closing procedure.
It will cause that lost of the data and influence the measurement.
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Chapter 8 Maintenance
8.1 General
The THE INSTRUMENT is a Clinical Semi-auto Chemistry Analyzer, which requires
only a minimum amount of maintenance.
Some general maintenance is necessary to keep the instrument in a optimal
condition.
ATTENTION! Cautions
Do not use any type solvent, oil, grease, silicone spray, or
lubrication on the instrument.
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ATTENTION! Cautions
Never leave Sample/Regent inside the flow cell for a long period of
time.
ATTENTION! Cautions
Never mount fuse of wrong rating!
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Net Weight: 8 kg
Dimension: 350mm(L)×330mm(W)×165mm(H)
Interference filters: 340nm, 405nm, 500nm, 546nm, 578nm, 620nm, and 670nm
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2. Message format
The initial parameter must be the capital letter “R”, each line consists of 12 data in
following order:
Parameter Possible values Space mark
Initial parameter “R” ,
Patient name Character or NULL ,
Department Character or NULL ,
Sex Character or NULL ,
“0” = Male
“1” = Female
Patient No. Character ,
Result Character ,
Checksum Character
3. Send over
THE INSTRUMENT sends a character string “TRANSFER FINISH”, when the task
has been completed.
Example:
R, Biachi, 0, 43, 1, TP, 136.00, g/L, 0794
R, Rossi, 1, 40, 2, TP, 147.00, g/L, 0765
R, Tony, 0, 6, 3, TP, 35.00, g/L, 069d
TRANSFER FINISH
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