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Rapidlab 1200
Siemens Rapidlab 1200 Manuals
Manuals and User Guides for Siemens Rapidlab 1200. We have
1
Siemens Rapidlab 1200 manual available for free PDF download: Operator's Manual
Siemens Rapidlab 1200 Operator's Manual (448 pages)
Brand:
Siemens
| Category:
Medical Equipment
| Size: 12.89 MB
Table of Contents
Organization
3
Conventions
4
Table of Contents
7
1 System Overview and Intended Use
21
Intended Use
21
Features
21
Hardware Overview
22
User Interface Module
23
Automaticqc Module
24
Automaticqc Cartridge
24
Waste Module
27
Reagent Module
29
Reagent Cartridge
29
Wash Module
33
Wash Cartridge
33
Measurement Module
35
CO-Ox Module
38
Software Overview
39
Rapidlab ® User Interface
39
Viewing the Banner Information
40
Viewing the Display Area
41
Rapidlab Main System Screens
41
Analysis Screen
41
Recall Screen
44
Status Screen
44
Rapidlab 1200 Systems Sample Path
45
System Sample Path
45
CO-Ox Sample Path
46
Rapidlab 1200 Systems Technology
47
Potentiometry
47
Reference Sensor
51
Amperometry
53
Ph and Blood Gases
53
Hydrogen Ion Activity or Ph
53
Carbon Dioxide Tension (Pco 2 )
55
Oxygen Tension (Po 2 )
58
Electrolytes
60
Concentration of Sodium
62
Concentration of Potassium
62
Concentration of Chloride
63
Concentration of Ionized Calcium
64
Metabolites
65
Concentration of Glucose
65
Concentration of Lactate
66
Glucose and Lactate Biosensors
66
Hemoglobin and Its Derivatives
68
Total Hemoglobin
69
Oxyhemoglobin
69
Deoxyhemoglobin
69
Methemoglobin
70
Carboxyhemoglobin
70
Sulfhemoglobin
71
Determination of Hemoglobin Derivatives
71
Parameters
72
Bicarbonate Ion
74
Base Excess
74
Total Carbon Dioxide
75
Hematocrit
75
Patient Temperature Correction
76
Hemoglobin Oxygen Saturation
76
Oxygen Content
76
Oxygen Content of Hemoglobin
77
Oxygen Capacity of Hemoglobin
77
P50
78
Oxygen Saturation (Estimated)
78
Po 2 /F I O 2
79
Calcium Adjustment for Ph
79
Anion Gap
79
Gas Exchange Indices
80
Alveolar-Arterial Oxygen Tension Difference
80
Arterial-Alveolar Oxygen Tension Ratio
80
Respiratory Index
81
Arterial-Venous Oxygen Content Difference
82
Physiologic Shunt
83
References
85
2 Operating the System
89
Using Basic System Functions
89
Starting up the Rapidlab 1200 System
89
Entering Your Password
89
Replacing Supplies
90
Emptying the Waste Bottle
90
Replacing the Wash Cartridge
90
Replacing the Reagent Cartridge
91
Replacing the Automaticqc Cartridge
91
Reinstalling the Automaticqc Cartridge
92
Accessing System Information
93
Accessing Online Help
93
Shutting down the System
94
Collecting Patient Samples
95
Collecting Samples
95
Using Anticoagulants
95
Using Different Sample Sources
96
Handling and Storing Samples
97
Understanding System Limitations
98
Analyzing Samples
99
Analyzing Syringe Samples
99
Analyzing Capillary Samples
100
Analyzing Microsamples
102
Analyzing Ph and Ph, Glu, and Lac Samples
105
Analyzing Thb Samples
106
Using Custom Panels
108
Understanding System Behavior with Custom Panels
109
Entering Patient Sample Data
110
Scanning Barcodes at the Analysis Screen
110
Scanning Technique
110
Entering Patient Demographics
111
Early Demographics Data Entry
112
Using the Save Demographics Option
113
Editing Demographics
113
Using Patient Results
115
Viewing Patient Results
115
Performing a Patient Search
116
Patient Search Guidelines
116
Performing a Patient Search
117
Recalling Patient Sample Results
118
Interpreting the Patient Recall Screen Symbols
118
Printing Reports
119
Procedural Notes for Printing Reports
119
Printing Reports on the Internal Printer
119
Printing Reports on the External Printer
120
Using Available Reports
120
Performing a Correlation Study
122
Combining Results for an A-V Study Report
123
Before You Begin
124
Setting up the Data
124
Printing the Arterial-Venous Study Report
125
3 Calibration
127
Understanding Automatic Calibrations
127
Troubleshooting Failed Calibrations
129
Generating Calibration Reports
129
Performing Manual Calibrations
130
Recalling Calibration Results
130
4 Quality Control
131
Performing QC Sample Analysis
131
Using the Required QC Analysis Option
131
Performing Required QC Sample Analysis
131
Procedural Notes for Required QC
132
Using the Automaticqc Analysis Option
133
Performing Automaticqc Sample Analysis
133
Manually Performing Automaticqc Analysis
133
Procedural Notes for Automaticqc Sample Analysis
134
Performing STAT Samples During Automaticqc Analysis
134
Using the Unscheduled QC Option
134
Performing Unscheduled QC Sample Analysis
134
Accessing QC Results
135
Printing or Sending Results
136
Result Flags
136
Recalling QC Results
137
Using the QC List Screen
137
Using the Recall QC Data Search Screen
138
Using the Recall-QC Statistics Screens
139
Viewing the Recall-QC Statistics Screen
139
Using the Recall-Levey-Jennings Screens
141
Viewing the Recall-Levey-Jennings Graph Screen
141
Restoring Parameters
142
5 Maintenance
143
Preparing for Maintenance Procedures
143
Performing Daily Maintenance
144
Checking System Status
144
Cleaning and Disinfecting the Exterior Surfaces
144
Calibrating the Barometric Sensor
145
Performing Twice Weekly Maintenance
145
Analyzing High G/L
145
Performing Weekly Maintenance
146
Deproteinizing the Sample Path
146
Conditioning the Sensors
148
Checking the Level of Fill Solution
149
Performing Every 60 Days Maintenance
151
Replacing the CO-Ox Sample Chamber
151
Checking the Air Filters
151
Performing Quarterly Maintenance
152
Replacing the Pinch Valve Tubing
152
Testing for Leaks
153
Yearly Maintenance
153
Replacing the Measurement Module Tubing
154
Replacing the CO-Ox Module Tubing
155
Replacing the CO-Ox Sample Tubing
156
Replacing the CO-Ox Waste Tubing
157
Replacing the CO-Ox Pump Tubing
158
Completing CO-Ox Maintenance
158
Replacing the Reagent Manifold
159
Completing Reagent Manifold Maintenance
160
Replacing the Automaticqc Manifold
161
Completing Automaticqc Manifold Maintenance
162
Replacing the Air Filters
162
Cleaning Procedures
163
Cleaning and Disinfecting the Screen
163
Cleaning the Sample Path
164
Reinstalling the Reference Sensor and Biosensors
166
Completing the Sample Path Maintenance
166
Cleaning the CO-Ox Roller Cage
167
Cleaning the Roller Cage
168
Reinstalling the Roller Cage
168
Reconnecting the CO-Ox Tubing
169
Cleaning the Waste Assembly
169
Maintaining the Sensors
171
Replacing the Sensors
171
Preparing the Sensors
171
Removing the Sensors
172
Installing the Sensor
173
Verifying Sensor Performance
173
Filling the Sensor
174
Performing Reference Sensor Maintenance
176
Cleaning and Inspecting the Reference Sensor
176
Filling the Reference Sensor Cassette
178
Maintaining the Internal Reference Electrode
181
Performing Measurement Sensor Maintenance
182
Replacing System Components
184
Replacing the Printer Paper
184
Replacing the Sample Port
184
Replacing the CO-Ox Lamp
185
Replacing the CO-Ox Roller Cage
187
Removing the Roller Cage
187
Cleaning the Roller Cage Shaft
188
Installing the New Roller Cage
188
Replacing the System Fuses
189
Relocating the System
191
Shipping or Storing the System
192
Cleaning the Sample Path
192
Removing the Cartridges
192
Cleaning and Drying the Tubing
193
Flushing the Tubing for the Rcx Reagent
193
Flushing the Upper Connector
194
Flushing the Lower Connector
195
Flushing the Tubing for the Samples
196
Flushing the Tubing for the Measurement Module
197
Flushing the Tubing for the Measurement Module Waste
198
Flushing the Tubing for the Automaticqc Module
199
Flushing the Reagent Manifold Tubing
200
Flushing the CO-Ox Pump Tubing
201
Removing and Storing the Sensors
202
Removing Peripherals and Disinfecting the Exterior Surfaces
202
Shutting down and Packing the System
202
Scheduling Maintenance Activities
203
Performing Scheduled Maintenance Tasks
203
Maintenance Task Grace Period
204
Marking Maintenance Tasks Complete
204
Undoing the Completed Marker
204
Viewing Maintenance Task Details
205
Change System Time for Daylight Saving Time
205
6 Troubleshooting
207
Troubleshooting Failed or Missed QC Analysis
207
Troubleshooting the Yellow Parameter Error
207
Troubleshooting the Purple Parameter Error
209
Troubleshooting the Ampule QC
209
Troubleshooting Failed Calibrations
210
Troubleshooting Checklist for Failed Calibration
210
Using the Calibration Report to Identify Problems
211
Troubleshooting Patient Results
212
Troubleshooting Unavailable Buttons
213
Troubleshooting Measurement Module Lights
214
Troubleshooting Barcode Problems
214
Barcode Quality
214
Resetting the Barcode Scanner
215
Troubleshooting Internal Printer Problems
217
Troubleshooting Touchscreen Problems
217
Solving Communication Problems
218
Clearing the Clot from the Reagent Manifold
219
Clearing the Clot from the Preheater
223
Clearing the Clot from the Reagent Cartridge
228
Removing Clots Using the Clot-Removal Line
230
Inspecting the Sample Path
230
Reinstalling the Sensors
236
Completing the Inspection Procedure
236
Removing Obstructions from the CO-Ox Sample Path
237
Using Diagnostics
239
Copying Diagnostic Data
240
Using the Diagnostics Screen
240
Performing Tests and Printing Diagnostic Reports
240
Performing the Waste Detector Calibration
241
Calibrating the Touchscreen
241
Using the Fluidic Functions Screen
242
Performing the Reagent Flow Tests
242
Priming the AQC Cartridge
243
Performing the Leak Test
243
Using the Pumps and Valves Screen
244
Performing the Sample Pump and Wash Pump Tests
245
Performing the R Cartridge Valve Test
246
Performing the AQC Valve Test
247
Performing the Measurement Module Pinch Valve Test
247
Performing the CO-Ox Pump Test
248
Using the Cartridges Screen
248
Ejecting the Wash or Reagent Cartridge
249
Ejecting the Automaticqc Cartridge
249
Using the Sensors Screen
250
Using the CO-Ox Screen
251
Performing the Lamp Calibration Test
251
Performing the Wavelength Cal Test
252
Performing the CO-Ox Sample Chamber Test
252
Performing the Lamp On/Off Test
253
D Codes
253
D2 Codes
254
D2 Excessive Drift: Po Pco
254
D2 Excessive Drift: Na + K + Ca ++ Cl
255
D2 Excessive Drift: Glu Lac
256
D2 Excessive Drift: Thb
256
D3 Codes
257
D3 Slope Error: Po 2 Pco
257
D3 Slope Error: Ph Na K Ca Cl¯ Ref
257
D3 Slope Error: Glu Lac
258
D3 Slope Error: Thb
258
D4 Codes
259
D4 Offset Error: Po 2 Pco
259
D4 Offset Error: Ph Na K Ca Cl
259
D4 Offset Error: Glu Lac
260
D5 Codes
260
D5 no Endpoint: Ca
260
D5 no Endpoint: Glu Lac
261
D6 Codes
262
D6 Excessive Noise: Po 2 Pco
262
D6 Excessive Noise: Ph Na K Ca Cl
263
D6 Excessive Noise: Glu Lac
263
D8 Po R Cartridge Error
264
D14 no Sample Detected at FD2
264
D19 Fluid Detector Error: 1, 2, 3
264
D8–D22 Codes
264
D20 Pressure Signal out of Range
265
D21 Processing Error
265
D22 Barometric Pressure Error
265
D23 Codes
266
D23 Reagent Flow Error: 2, 10
266
D23 Reagent Flow Error: 3, 11
266
D23 Reagent Flow Error: 4, 12
267
D23 Reagent Flow Error: 5, 13
267
D23 Reagent Flow Error: 6
268
D23 Reagent Flow Error: 7, 8
268
D23 Reagent Flow Error: 14
269
D24 Codes
269
D24 AQC Material Error: 1, 2, 3
269
D32 Codes
269
D32 AQC Cartridge Valve Error: 1
269
D32 AQC Cartridge Valve Error: 2
270
D33 Codes
270
D33 R Cartridge Valve Error
270
D34 Codes
270
D34 Waste Detector Cal Error: 1
270
D34 Waste Detector Cal Error: 2, 3
270
D35 Codes
271
D35 Electronics Error: 1-3, 7-12
271
D35 Electronics Error: 4
271
D35 Electronics Error: 13
271
D36 Codes
271
D36 Cartridge Loading Error
271
D37 Codes
272
D37 Cartridge Eject Error: 1
272
D37 Cartridge Eject Error: 2, 3
272
D38-D60 Codes
272
D38 Temp Error: 1-12
272
D39 Obstruction
273
D40 W Cartridge Prime Error: 1, 2
273
D41 AQC Cartridge Prime Error: 1, 2, 3
274
D42 R Cartridge Prime Error: 1, 2
274
D50 Glucose Sensor Error
275
D51 Lactate Sensor Error
276
D60 Communications Error: 1, 2
276
D70 Codes
276
D70 Optics Error: 2
276
D70 Optics Error: 3, 4, 7
276
D70 Optics Error: 9
277
D70 Optics Error: 11, 12
277
D71-D77 Codes
277
D71 no Sample Detected at FD3
277
D73 CO-Ox Chamber Position Error
278
D75 Lamp Failure
278
D76 CO-Ox Electronics Error: 1-10
278
D77 CO-Ox Temp Error: 1, 2, 3, 4
278
D78 Codes
279
D78 no Reagent Detected at CO-Ox: 1
279
D78 no Reagent Detected at CO-Ox: 2, 3
279
D78 no Reagent Detected at CO-Ox: 4
280
Viewing System Messages
280
7 File Management
291
File Names and Formats
291
Copying Data Files
292
Copying Patient, QC, or Calibration Data Files
293
Copying Diagnostic Data
293
Viewing the Sample Totals
294
8 System Configuration
295
Using the Setup Menu
295
Setting up QC
296
Setting up QC Options
296
Entering Customized QC Range Limits
297
Setting up Required QC
297
Setting up Required QC Ranges
298
Editing Required QC Ranges
299
Setting up Automaticqc Schedule
299
Setting up Automaticqc Ranges
300
Setting up High G/L QC Options
300
Setting up Sample Information
301
Defining Patient Ranges
301
Using Default Ranges
301
Setting up Patient Demographics or Sample Demographics
303
Using Patient and Sample Demographics
303
Defining Patient Demographics
304
Defining Sample Demographics
304
Setting up Parameter Selection at Analysis
304
Enabling Parameter Selection at Analysis
305
Defining Custom Panels
305
Setting up Sample Types
307
Setting up Parameters
307
Using the Parameters On/Off Screen
307
Specific Parameter Guidelines
308
Setting Parameters on or off
309
Setting up Parameter Units
309
Setting up Demographic Units
309
Default and Alternate Units of Measure
310
Required Parameters and Sample Demographics
311
Setting up Values
313
Setting up System Options
313
Setting up Country Options
313
Selecting a Language
314
Selecting the Date Format
314
Setting up the Date and Time
314
Setting up the Sound
315
Setting up Other Options
315
Setting up Printer and Devices Options
316
Selecting Printer Options
316
Setting up Barcode Options
317
Selecting the Barcode Only Option for Patient ID Entry
319
Setting up the Barcode Scanner
319
Connecting the Barcode Scanner
320
Setting up Communications
320
Defining Send System Data Option
320
Connecting to a Rapidlink ® or Rapidcomm ® System
321
Connecting to a Complenet ® Network Connection
322
Entering IP Addresses
323
Using DHCP
324
Selecting So2 as a Measured or Calculated Value for LIS Transmission (LIS Only)
324
Connecting to a Laboratory Information System
324
Setting up Auto Send Options
326
Setting up Remote Viewing (Rapidcomm Only)
326
Setting up Secured Options
329
Setting up System Access
329
Setting up Operator Security Levels
329
Defining Operator Ids and Passwords
331
Setting up Analysis Options
332
Selecting the Save Demographics Option
332
Selecting Demographics Editing
333
Displaying Question Result
333
Flagging Microsample Results
334
Defining Analytical Range Limits
334
Setting up Calibrations
335
Setting up the Calibration Interval
335
Selecting the Calibration Pending Message
335
Saving and Restoring System Setup Data
335
Installing New System Software
336
Setting up Correlation Coefficients
338
Setting up Maintenance Functions
338
Setting up a Maintenance Schedule
338
Importing and Exporting Maintenance Activities
340
Appendix A: Safety Instructions
341
Protecting Yourself from Biohazards
341
References
342
Protecting Yourself from Barcode Scanner Lasers
343
Protecting Yourself from Electrical Hazards
343
Appendix B: Service, Ordering, and Warranty
345
Authorized Representative
345
Limited Instrument Warranty and Service Delivery Policy
345
Warranty Period
345
Additional Service Period
346
Service During Normal Hours
346
Extent of a Service Call
346
Service Outside Normal Hours
346
Replacement of Parts
347
Design Changes and Retrofitting of Instruments
347
Key Operator Designation
347
OSHA Requirements (US Only
347
Warranty and Service Exclusions
348
Copyright Information
349
GNU General Public License V.2
349
Baptize V1.0
350
BDM Download
351
Zip and Unzip
352
Contacts
353
Authorized Representative
353
Addresses
353
Appendix C: System Fluids
355
Recommended Fill Volumes
355
Rapidlab 1200 Cartridges
356
Appendix D: Supplies
357
Appendix E: System Specifications
361
Viewing Parameter Measurements
361
Understanding System Limitations
365
Interference Testing
366
Interference Testing for Rapidlab 1200 Sensors
366
Interference Testing for Rapidlab 1200 CO-Oximetry
369
Interference Testing Results for Thb, FO
370
Fmethb, and Fhhb
370
Hb, Fcohb
370
Irenat (Sodium Perchlorate) Interference When Measuring Ionized Calcium
370
Ethylene Glycol Interference When Measuring Lactate
371
And Glucose
371
Performance Characteristics
371
Rapidlab 1240 System Performance Characteristics
371
Precision on Controls
371
Recovery and Precision of Blood Gases in Human Whole Blood
372
Method Comparison with Human Whole Blood Samples
377
Rapidlab 1245 System Performance Characteristics
378
Precision on Controls
378
Recovery and Precision of Blood Gases in Human Whole Blood
380
Recovery and Precision of Hemoglobin Fractions in Human Whole Blood
385
Method Comparison with Human Whole Blood Samples
388
Rapidlab 1260 System Performance Characteristics
390
Precision on Controls
390
Recovery and Precision in Human Whole Blood
393
Method Comparison with Human Whole Blood Samples
406
Rapidlab 1265 System Performance Characteristics
409
Precision on Controls
409
Recovery and Precision of Blood Gases, Electrolytes, and Metabolites in Human Whole Blood
412
Recovery and Precision of Hemoglobin Fractions in Human
426
Whole Blood
426
Method Comparison with Human Whole Blood Samples
428
Reference Methods
432
Calibrator Traceability
433
References
433
Appendix F: Symbols
435
Appendix G: Glossary
437
Appendix H: Rapidlab 1200 System Maintenance Checklist
439
Daily Maintenance
439
Twice Weekly Maintenance
439
Weekly Maintenance
439
Every 60 Days Maintenance
440
Quarterly Maintenance
440
Yearly Maintenance
440
As Required Maintenance
440
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