Customer Training Guide
Customer Training Guide
Customer Training Guide
The software and manual were developed solely for use with the Alinity ci-series as specified in the
operating instructions.
The information, documents, and related graphics published herein (the “Information”) are the sole
property of Abbott Laboratories. Permission to use the Information is granted, provided that:
• use of the Information is for operation of ABBOTT products by Abbott trained personnel or
informational use only;
Each person assumes full responsibility and all risks arising from use of the Information herein.
The Information is presented “AS IS” without warranties, either express or implied, and may
include technical inaccuracies or typographical errors. Abbott Laboratories reserves the right to make
additions, deletions, or modifications to the Information at any time without any prior notification.
Portions of the Alinity ci-series software may include open source or third party software as further
explained in the Software License Attributions document, which can be accessed on the Utilities
screen.
Any product information in training materials should be used in conjunction with the latest version
of the Operations Manual, Operations Manual addendum, or Product Information Letter. If
discrepancies in information exist within training materials or any other materials, the latest version
of the Operations Manual, Operations Manual addendum, or Product Information Letter takes
precedence.
The information was developed to be used by Abbott Laboratories trained personnel, by other
persons knowledgeable or experienced with the operation and service of the product identified, under
the direct supervision and with cooperation from Abbott Laboratories technical support or service
representatives.
In no event shall Abbott Laboratories or its affiliates be liable for any damages or losses incurred in
connection with or arising from the use of the information by persons not fully trained by Abbott
Laboratories.
No confidential relationship shall be established in the event that any user of the Information should
make any oral, written or electronic response to Abbott Laboratories (such as feedback, questions,
comments, suggestions, ideas, etc.). Such response and any information submitted therewith shall
be considered non-confidential, and Abbott shall be free to reproduce, publish or otherwise use such
information for any purposes whatsoever including, without limitation, the research, development,
manufacture, service, use, or sale of products incorporating such information. The sender of any
information to Abbott is fully responsible for its content, including its truthfulness and accuracy and
its non-infringement of any other person’s proprietary rights.
The Alinity ci-series of analyzers has a scalable design to provide full integration of multiple clinical
chemistry and immunoassay systems, all of which are controlled by one user-friendly interface.
Overview
How to Use this Guide
To effectively support you, we have provided this training guide to build your expertise and confidence
in using the instrument.
This guide is designed to assist you throughout the training event. It should only be used in
conjunction with the Operations Manual (Help) to record key information and complete training
activities.
Always refer to the Operations Manual (Help) for the most accurate, up-to-date information regarding
the use and function of the instrument.
By design, this guide promotes your active participation throughout the course and reinforces the use
of the Operations Manual (Help).
To get the best training results, follow the direction of your instructor, contribute to discussions, ask
questions, share helpful experiences and insights, and engage fully in hand-on activities.
This guide was created for Alinity ci-series Software version 2.6 There may be some differences in the
available functions on the system depending on the software version. Refer to the Operations Manual
for additional detail.
Learning Formats
Depending on your location, training needs and equipment availability, you may be taking this course:
This guide contains a variety of text, graphics, activities, and checkpoints. Content is presented in a
modular format to allow for maximum flexibility.
Safety
Personal Safety
Follow the safety requirements specific to the location of your training.
Depending on the location of your training, your facilitator may cover safety precautions specific to
the facility (such as emergency exits, location of automated external defibrillator (AED), etc.). You will
be informed regarding any additional safety requirements.
Your facilitator may also cover logistical items like breaks, nearest restrooms and on-site safety
equipment.
Take the appropriate safety precautions needed for your training environment, including (but not
limited to) personal protective equipment (PPE) such as gloves, lab coats and protective eyeware.
Instrument Safety
When working with the Alinity ci-series, there are other safety precautions that must be adhered to for
consistent and accurate operation. The following activities might involve the presence of hazardous
materials or other conditions:
For more information on precautions and hazards, refer to the Alinity ci-series Operations Manual
(Help).
1 Instrument Basics
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Module Topics
Familiarizing yourself with the instrument is essential to ensuring that it performs appropriately.
• Primary components
• System hardware
• System software
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After completing this module, you should be able to perform:
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With the scalable design of the Alinity ci-series family of analyzers, multiple processing modules can
perform all sample-processing activities and can be physically joined to form one workstation or
system. The processing modules determine the system configuration.
Primary Components
View Primary Components
Follow along as your facilitator shows you the Primary components on the Alinity ci-series and
reviews the major functions listed in this training module.
The facilitator will identify and describe the common primary components of the Alinity ci-series,
including the:
· System Control Module (SCM): Provides a common user interface among all Alinity products.
· Reagent and Sample Manager (RSM): Transports reagents, samples, calibrators, and controls
through the Alinity ci-series. Each system has one primary RSM regardless of the type and number
of processing modules.
· The User Interface (UI) computer that provides the software interface to the Alinity ci-series and
provides an interface to a host or middleware computer.
· Hardware and software that operate the RSM.
· The power supply that operates the User Interface (UI) computer and the RSM
• The System Control Module (SCM, front view) exterior is composed of the:
4 Adjustable monitor: Displays the user interface of the Alinity ci-series and accepts on-screen
selections from the operator.
4 Front SCM cover: Provides access to the RSM transport. The front SCM cover is monitored by
a sensor. If the cover is opened when the instrument status of the RSM is Initializing or Running,
the status transitions to Stopped.
4 SCM shelf: Provides a small shelf for the operator and provides access to remove the barcode
scanner.
4 Bar code scanner: Provides a means to scan sample bar codes and supply bar codes.
4 SCM front door: Provides access to the user interface computer and the procedure lock..
· The System Control Module (SCM, rear view) exterior is composed of the:
4 Rear SCM cover: Provides access to the user interface computer power strip.
4 Rear SCM upper access panel: Provides access to the Ethernet switch.
4 Network connectors: Provides connections for external devices, such as the host interface and
Abbottlink
4 SCM main power breaker: Powers on and powers off the SCM power supply
4 Rear SCM lower access panel: Provides access to the power supply and RSM electronics.
· Use the reference below to pull up the graphic in the operations manual to review each hardware
component of the SCM. Reinforce that the SCM supplies power to the SCM and RSM
Network Connectors
Network connectors provide connections from the user interface computer, through the firewall, to
the wide area network (WAN) and to other external devices, such as the host interface, a middleware
computer, and Alinity PRO.
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Adjust the height and angle of the monitor using pivot points on the monitor support arm.
Move the monitor to the right side or the left side of the instrument as needed. The ideal position
depends on the instrument configuration and the location of the operator.
Use the attached handles to rotate the monitor to the rear of the instrument when required.
¥ Refer to Procedure Map: Setup > Adjust the monitor position >Adjust the
monitor position.
Distance Alert
The optional distance alert illuminates one of three colors (red, amber, or green) based on the status
of the workstation.
Color Meaning(s)
Red (Blinking) · The instrument status of one or more processing modules in
the workstation transitions from Running or Processing to
Stopped or Offline without an operator request to transition
the status.
· A critical alert message is generated and is displayed on the
user interface.
Red The instrument status of one or more processing modules in the
workstation is Running, Processing, or Pausing, and one of the
following conditions is present:
Color Meaning(s)
Distance alert off The distance alert is not illuminated when one of the following
conditions is present:
The design of the RSM provides random and continuous access to load and unload sample racks,
calibration and control racks, and reagent cartridges.
One primary RSM transports samples and reagents through an Alinity ci-series regardless of the type
and number of processing modules.
Three status indicators are located above each reagent and sample manager (RSM) position to
indicate the status of sample processing and when racks and cartridges can be accessed.
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Adjust Monitor
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Locate Components
· UI Computer
· Bar code Scanner
· Network Connectors
Review
1. True or False? When adjusting the monitor, you should locate the monitor at a comfortable eye
level.
a. Processing Module
Processing Module
Unless otherwise indicated, processing module is used generically throughout this manual to refer to
both types of modules.
The Alinity c processing module is a fully automated chemistry analyzer allowing random and
continuous access, as well as priority and automated retest processing using photometric and
potentiometric detection technology.
The Alinity c processing module uses photometric detection technology to measure sample
absorbance for the quantification of analyte concentration and uses potentiometric detection
technology to measure the electrical potential in a sample.
In addition, the Alinity c processing module uses an integrated chip technology (ICT) module to
measure potentiometric assays (electrolytes).
The Alinity i processing module is a fully automated immunoassay analyzer allowing random and
continuous access, as well as priority and automated retest processing using chemiluminescent
microparticle immunoassay (CMIA) technology.
CMIA technology is used to determine the presence of antigens, antibodies, and analytes in samples.
· Front processing center cover: Provides access to the components that perform assay-
processing activities.
· Bulk solution door: Provides access to the bulk solution storage area and the pump center.
· Front electronics door: Provides access to the processing module electronics and the procedure
lock.
The Alinity c-series processing module exterior (rear view) is composed of the following:
· Rear processing center cover: Provides access to the components that perform assay-
processing activities.
Section 1 Use or function > Alinity ci-series hardware overview > Primary
components of an Alinity ci-series > Processing module > Processing
Module (Alinity c)
· Pipetting hardware
· Reaction carousel hardware
The interior lights come on at a preset level of intensity. The light intensity may be adjusted through
any of eight levels by pressing and holding either the front light button or the rear light button.
When the light intensity reaches either the lower extreme or upper extreme the light intensity cycle
will reverse. A single press to either the front light button or the rear light button will turn off the
interior light. Closing both the front processing center cover and the rear processing center cover of
a processing module will turn off the interior light. The power is supplied to the interior light by the
system control module so the interior light will work with the processing module power turned off.
Pipettors detect, aspirate, transfer, and dispense samples and reagents into cuvettes. These pipettor
assemblies include a fluid sense and a pressure-monitoring system to help identify aspiration errors.
Three pipettors that have the following functions are located on the system:
1. The sample pipettor (S) detects, aspirates, transfers, and dispenses samples into cuvettes. It also
transfers diluted samples from the cuvette that is used to make the dilution into the cuvette that is
used for the reaction.
2. The reagent 1 pipettor (R1) detects, aspirates, transfers, and dispenses diluents, reagents, and
onboard solutions into cuvettes.
3. The reagent 2 pipettor (R2) detects, aspirates, transfers, and dispenses reagents and onboard
solutions into cuvettes.
Wash Cups
The Alinity c wash cups are active wash stations that use system water to clean the pipettors. The
system has five pipettor wash cups.
1. Sample probe wash cup (SW): Washes the fluid that remains from the probe exterior and
interior between samples to eliminate carryover.
2. Whole blood wash cup (WB): Washes the exterior of the sample probe before a whole blood
sample is dispensed into the cuvette.
3. Reagent 1 pipettor wash cup (R1W): Washes any fluid that remains from the probe exterior
and interior.
4. Reagent 2 pipettor wash cup (R2W): Washes any fluid that remains from the probe exterior
and interior.
5. Laboratory automation system wash cup (LASW): Washes the fluid that remains from the
sample probe exterior and interior after whole blood samples to eliminate carryover. This wash cup is
used only on systems that are connected to a laboratory automation system (LAS).
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The sample wash solution area stores sample onboard wash solutions that are used for the
SmartWash function and maintenance procedures. The area provides space for two sample tubes in a
removable sample wash solution holder.
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The reaction carousel hardware components position the cuvettes for sample and reagent dispense,
mixing, photometric or potentiometric analysis, and cuvette washing.
2. ICT unit: Measures potentiometric assays (sodium, potassium, and chloride) by using integrated
chip technology (ICT).
4. ICT high-concentration waste area: Receives liquid waste from the ICT unit
6. Water bath overflow and waste area: Receives overflow from the water bath, excess water
from the sample pipettor, and liquid waste from the ICT Reference Solution cup
7. Cuvette segments: Hold the cuvettes in the reaction carousel. Each cuvette segment contains
11 cuvettes. The Alinity c processing module contains 17 segments for a total of 187 cuvettes in the
reaction carousel.
8. Reaction carousel: Positions the cuvettes for sample processing. The reaction carousel supports
a variety of assay protocols and has 17 cuvette segments surrounded by a 37°C water bath. The
carousel rotates counterclockwise to position the cuvettes.
9. High-concentration waste pump: Works with the cuvette washer to aspirate waste from the
cuvettes to the optional high-concentration waste bottle or the drain.
4) Pump center
· Bulk solution storage area: Located on the bulk solution door, provides the onboard storage
for replacement bulk solution bottles. Bulk solutions from the replacement bottles fill onboard
bulk solution reservoirs. Each bottle has a unique keyed cap that locks into its appropriate key slot
in a bottle holder. The bulk solution storage area is composed of Alkaline Wash, Acid Wash, ICT
Reference Solution and Bottle release buttons for each bottle.
· Sample and reagent syringes area: Houses the sample and reagent syringes and drives. Each
drive supports a syringe that aspirates and dispenses samples, reagents, and onboard solutions.
· Bulk solution reservoir area: The bulk solution reservoir area provides the onboard storage for
bulk solutions in use during assay processing. When onboard bulk solution reservoirs are empty,
bulk solutions from replacement bottles on the bulk solution door fill the reservoirs without an
interruption in system operation.
· Pump center: Houses the processing module pumps. These pumps provide the pressure that is
needed to aspirate and dispense liquids into the appropriate components in the processing center.
1) Wash solution pump: Delivers diluted Alkaline Wash and Acid Wash solutions to the cuvettes
during daily operation and maintenance procedures.
2) ICT Reference Solution pump: Uses the syringe on the left side of the pump to deliver
ICT Reference Solution into the ICT Reference Solution cup. After the ICT Reference Solution is
measured, the ICT Reference Solution pump uses the syringe on the right side of the pump to drain
the cup.
3) ICT aspiration pump: Uses the syringe on the right side of the pump to deliver samples or ICT
Reference Solution into the ICT module for measurement. After measurement is completed, the ICT
aspiration pump uses the syringe on the left side of the pump to aspirate waste from the ICT high
concentration waste area to the high-concentration waste tubing.
4) ICT aspiration valve: Controls the direction of liquid flow while the ICT aspiration pump
operates.
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Component Definition
____Front processing center cover 1. Provides access to bulk solution storage and
pump center.
____ Bulk solution door 2. Provides access to the module electronics
____ Front electronics door 3. Provides access to the components that
perform assay processing activities.
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Component Definition
___Rear processing center cover 1. Provides access to the water management
unit.
___Rear access panel 2. Provides additional access to processing
center components.
___Rear lower access panel 3. Provides access to the components that
perform assay processing activities.
___Power supply panel 4. Powers on and powers off the power supp
___ Processing module main power 5. Provides access to the processing module
breaker power supply.
The facilitator will identify and describe the components of the Alinity i-series, including the:
Processing Module
The Alinity i-series processing module (front view) exterior is composed of the following doors and
covers:
4 Front processing center cover: Provides access to the components that perform assay-
processing activities.
The Alinity i-series processing module (rear view) exterior is composed of the following doors and
covers:
4 Rear processing center cover: Provides access to the components that perform assay-
processing activities
¥ Note: The rear processing center cover is monitored by one sensor. If the
cover is opened when the instrument status of the processing module is
Initializing, Running, or Processing, the status transitions to Stopped..
· Processing Path
· Pretreatment Path
· Pipetting Hardware
· RV Loader
Processing Path
The process path is a covered, circular path that provides incubation at a controlled temperature,
liquid aspiration, and wash points as necessary for assay processing. The process path advances
reaction vessels (RVs) every 18 seconds and positions them at the designated locations to process the
CMIA reaction.
1. Vortexers (VTXR1, VTXR2, and VTXPT): Mix the reaction mixture to suspend microparticles.
2. Diverters (LD, STD, and WZD): Move RVs in the processing module from one lane of the
process path to a different lane during assay processing.
4 The load diverter (LD) directs RVs from the load lane to the incubation lane.
4 The STAT diverter (STD) directs RVs from the incubation lane to the reaction lane for STAT
assay processing.
4 The wash zone diverter (WZD) directs RVs to one of two lanes. One lane moves RVs through the
wash zone where a wash occurs. The other lane moves RVs to the wash zone bypass lane where a
wash does not occur.
3. Liquid waste arm: Removes the liquid from reaction vessels before the RV unloader discards
them into the solid waste container.
4. Wash zone assemblies (WZ1 and WZ2): Dispense the wash buffer into RVs, and remove and
discard the unbound material from the RV reaction mixture.
5. RV access door (RVA): Provides access to one position on the reaction lane. Use this door only
for diagnostic purposes and confirm that it is closed during system operation.
6. Process path motor (PPM): Rotates the process path disk, which holds the RVs, and advances
the RVs from position to position.
7. Pre-Trigger and Trigger manifold (PTT): First dispenses Pre-Trigger Solution into RVs and
then dispenses Trigger Solution into RVs.
8. Optics: Measures the chemiluminescent emission from RVs and outputs the data that corresponds
to the quantity of emission detected.
9. RV unloader (RVU): Removes used RVs from the process path and discards them into the solid
waste container after assay processing is completed.
RV Wash Process
The wash zone assemblies (WZ1 and WZ2) dispense the wash buffer into reaction vessels (RVs), and
remove and discard the unbound analyte from the reaction mixture in the RVs.
Each wash zone has four positions where the following actions occur:
· At each position, a magnet attracts paramagnetic microparticles to the wall of the RV.
· At position 1, a dispense nozzle dispenses the wash buffer into the RV.
· At position 2 and position 3, a vacuum is applied to the wash zone probes as they move to the
bottom of RVs and aspirate the liquid from RVs. In addition, nozzles dispense the wash buffer into
RVs. Additional wash and aspiration cycles occur at these positions.
· At position 4, a wash zone probe aspirates liquid waste from the RV.
Pretreatment path
The pretreatment path is a covered, circular path that provides incubation at a controlled temperature
for pretreatment assay protocols. The pretreatment path advances reaction vessels (RVs) in two
lockstep durations. It advances RVs at 3 seconds, followed by a 15-second lockstep for a total of two
positions every 18 seconds. RVs are positioned at the designated locations to process a pretreatment
assay protocol. After the pretreatment assay protocol is completed, the sample is transferred to the
process path.
· Pretreatment path motor (pPM): Rotates the pretreatment path disk, which holds the RVs, and
advances the RVs from position to position.
· Pretreatment vortexer (pVTX): Mixes the reaction mixture
· Pretreatment unload diverter (pUD): Unloads RVs used for sample pretreatments and sample
dilutions from the pretreatment path into the solid waste container
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This hardware includes sample and reagent pipettors and sample and reagent wash cups. The
induction heater wash cup is an optional hardware component that can replace the sample wash cup.
One of two configurations will be installed on the system.
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Pipettors detect, aspirate, transfer, and dispense samples and reagents into reaction vessels (RVs).
These pipettor assemblies include a pressure-monitoring system that helps to identify aspiration
errors.
1. Sample pipettor (S): Aspirates and dispenses samples into reaction vessels (RVs)
2. Reagent pipettors (R1 and R2): Aspirate and dispense reagents into RVs
3. Wash cups (R1W, and R2W): Wash any fluid that remains from the interior and exterior
surfaces of probes.
4. Induction heater wash cup (IHW): Washes any fluid that remains from the sample probe
interior, exterior, and tip with wash buffer that is warmed by the heated probe.
RV Loader
The RV loader system (RVL) provides the onboard storage for reaction vessels (RVs) and transports
RVs to the process path and the pretreatment path.
2. Lower hopper and RV orienter: The lower hopper stores a limited amount of RVs. The RV
orienter lifts one RV at a time and places the RV in the linear queue.
4. RV pick and place assembly: Moves RVs one at a time to the process path and the pretreatment
path.
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The bulk solution storage area, which is located on the bulk solution door, provides the onboard
storage for replacement bulk solution bottles. Bulk solutions from the replacement bottles fill onboard
bulk solution reservoirs. Each bottle has a unique keyed cap that locks into its appropriate key slot in
a bottle holder.
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The bulk solution reservoir area, which is located in the supply center, provides the onboard storage
for bulk solutions in use during assay processing. When onboard bulk solution reservoirs are empty,
bulk solutions from replacement bottles on the bulk solution door fill the reservoirs without an
interruption in system operation. Concentrated Wash Buffer from its onboard bulk solution reservoir
is diluted tenfold by the system and is stored in a 4 L diluted wash buffer reservoir located in the back
of the instrument for use during assay processing.
· RV waste chute: Directs the used RVs into the RV waste container. The RV waste container can
be removed during assay processing. When the container is removed, the RV waste chute closes and
holds 50 RVs before the processing module pauses.
· RV waste container: Holds the used RVs.
· RV waste storage tray: Holds the RV waste container.
• Reagent positioner: Positions cartridges and onboard vial racks to load in the reagent carousel or
onto the loading area. When the reagent positioner is in the open position, the cartridge or rack can
be transferred to the loading area. When the reagent positioner is in the closed position, the cartridge
or rack can be transfered to the reagent carousel.
· Reagent transport: Places cartridges and onboard vial racks in the reagent carousel or onto the
reagent positioner.
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The following components are optional for processing modules:
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components
Components Definition
___ Front processing center cover 1. Provides access to the RV hopper to
replenish reaction vessels (RVs).
___ RV hopper cover 2. Provides access to the bulk solution storage
area and the RV waste storage area
___ Bulk solution door 3. Provides access to components that
perform assay-processing activities.
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components
Components Definition
___ Rear processing center cover 1. Provides access to instrument electronics.
___ Rear access panel 2. Provides additional access to processing
center components.
___ Rear electronics panel 3. Powers on and powers off the power
supply.
___ Processing module main power 4. Provides access to the components that
breaker perform assay-processing activities.
___ Rear fluidics panel 5. Provides access to pumps and syringes.
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The Alinity system software has a user interface that is designed to provide access to system
information, software functions, and Help for an active screen. The user interface is a display format
where the operator can select icons, buttons, menu commands, and other screen elements.
Access Types
The User Interface allows various login types, it has three types of access levels:
The Log on area is used to enter an operator ID and a four-digit numeric pin to log on to the system.
· The Plus button displays a box that is used to enter the operator ID.
· The + Done button displays the operator ID that was entered.
· Four operator logon buttons display the identification of the last four operators who logged on to the
system. Operators listed can use this option instead of using the Plus button.
The default logon is Admin (system administrator) and the default ADMIN password is 8642.
Log On
• If the appropriate operator logon button is not displayed, perform the following steps:
3. To display the Home screen, tap the four-digit PIN for the operator ID.
The User Interface can be locked when not in use by using the lock button icon located in the screen
header. The system will also automatically lock after 10 minutes of inactivity (default).
When the User Interface is locked, the operator is not logged off. Any samples that are in process will
generate results with the last logged on operator ID until a new operator performs a log on.
The user interface is common among all Alinity systems. There are seven key areas of the User
Interface (UI):
1. Menu bar: Provides navigation elements and status indicators. Each icon on this bar represents
a screen category. When an icon is selected, an associated screen is displayed. The Alert Center at
the top of this bar indicates when alerts and notifications occur on the system and provides access to
details about alerts and notifications.
2. Screen header: Provides the screen title, the system name, the Help button, the Notepad button,
the name of the logged-on operator, the Lock button, the date and time, and the software version.
3. Information area: Provides access to all system information and functions associated with the
selected screen element.
4. Function buttons: Provide access to functions associated with the active screen. Buttons with
blue text are available for use. Buttons with purple text are unavailable for use until a screen element
is selected.
5. Flyout: Provides additional details or additional functions associated with the active screen.
7. Help button: Provides access to the Help for the active screen, a flyout, or a message code.
Menu bar
The menu bar provides navigation elements that are used to display screens, flyouts, and menus.
· Alert Center. Provides the Alert Center button, which displays a flyout of status information, and
provides two types of status indicators for system problems that require attention. Alerts and
notifications will be covered in a later section.
· Icons (including the System button) and navigation elements that provide access to a specific screen
and functions. The menu bar provides these icons:
4 Home
4 Sample Status
4 Orders
4 Results
4 QC
4 CAL
4 Reagents
4 Supplies
4 System button. Displays a menu of commands. System menu commands that are configured as
icons are not displayed on the menu.
§ Cal/QC inventory
§ Procedures Log
§ Abbott Mail
§ Configure
§ System Logs
§ Utilities
§ Operations Manual (Help)
4 Configurable icons
§ Navigation elements that can be configured to provide navigation for common functions.
Some of the System menu commands can be configured for these icons.
-Use or function > Alinity system software overview > Menu bar
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· RSM Image displays the RSM, the RSM name (if configured), and the current status for the RSM.
· Processing module Image Displays the module type, the module name (if configured), the module
number, and the current status of the processing module. A separate image is displayed for each
processing module in the system. The following status updates are displayed on the processing
module image:
4 Instrument status
4 Reagent status
4 Supply status
4 QC status
4 Calibration status
4 Maintenance
4 Tests in Progress
4 Total Samples
4 Sample Status button
4 Exceptions
4 Exceptions button
4 Orders Pending
4 Orders button
&ƵŶĐƟŽŶďƵƩŽŶƐ
· Shutdown
· Start
· Stop
· Pause
· Run
· Text Size
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WƌĂĐƟĐĞůŽŐŐŝŶŐŽŶ
Discussions: Discuss any questions or issues that may arise from the activity.
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WƌĂĐƟĐĞůŽĐŬŝŶŐƚŚĞh ƐĞƌ/ŶƚĞƌĨĂĐĞ;h /Ϳ
The Alinity ci-series Operations Manual (Help) is included in the user interface and is accessed from
the following:
· Menu bar
· Help button
h ƐŝŶŐŽŶůŝŶĞĚŽĐƵŵĞŶƚĂƟŽŶ
The facilitator will identify and describe using the online documentation, including:
-Help on Help > Access the operations manual > Access the operations
manual
To access the Alinity ci-series Operations Manual (Help), perform one of the following procedures:
· On the menu bar, tap System, and then tap Operations Manual (Help).
· Tap the Help button located at the top of an active screen.
The Procedure Map button and the following job-related categories are:
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h ƐŝŶŐƚŚĞŽŶůŝŶĞŽƉĞƌĂƟŽŶƐŵĂŶƵĂů
· On the menu bar, tap System, and then tap Operations Manual (Help) to display the
operations manual.
· From the Contents tab, tap the System documentation book.
· Tap Organization of the operations manual to view the topic and scroll through the description
information.
· In the Related information section, tap Topic Pane.
· In the breadcrumbs, tap System documentation to return to the System documentation topic.
· From the Glossary tab, scroll to and tap menu bar.
· In the Search box, type Hazards and tap the Search icon.
· From the Search tab, flick through the list and tap Safety icons.
· Using the divider handle, drag the divider line between the navigation and topic panes to the right
or left to enlarge or decrease the navigation and topic panes.
· Tap and hold the title bar and drag the Help to a new location.
· From the upper right-hand corner, tap the Close button.
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Using the Procedure Map
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Access Screen Help
On the left hand side of the home screen, press on the Orders icon. Then locate the screen Help
button and access the Alinity ci-series Operations Manual (Help). Note what page the Help opened to.
Review
1. Identify the primary components of the Alinity ci-series: (Select all that apply)
a. Processing Module
b. Reaction Carousel
2. Which module supplies power to the reagent and sample manager (RSM)?
a. Processing Module
c. Alinity c Module
3. The reagent supply center cooled, temperature-controlled storage for reagent cartridges,
maintenance solutions, and frequently used calibrators and controls.
a. True
b. False
4. Select all methodologies used by the Alinity c. (Select all that apply)
a. Photometric
c. Potentiometric
d. ChemiFlex
5. Identify the item, or component, that matches this description- Provides access to the components
that perform assay-processing activities.
7. When you lock the user interface, the operator is automatically logged off.
a. True
b. False
8. Select all the components listed that are part of the Alinity c processing center. (Select all that
apply)
a. Vortexer
b. Cuvette Washer
c. ICT Unit
d. Diverters
f. Mixers
9. Select the methodologies used by the Alinity i. (Select all that apply)
a. CMIA
b. Photometric
c. Potentiometric
d. ISE
10. Select all that components listed that are part of the Alinity i processing center. (Select all that
apply)
a. Vortexer
b. Cuvetter Washer
d. Diverters
g. Reaction Carousel
ƐƟŵĂƚĞĚdŝŵĞ͗
ϭ͘ ϱŚŽƵƌƐ
Module Topics
Familiarizing yourself with the instrument statuses is essential to ensuring that it performs
appropriately.
· System Statuses
· How to change instrument status
· Cycle power
K ďũĞĐƟǀ ĞƐ
After completing this module, you should be able to:
o Cycle power to the processing module and the reagent and sample
manager (RSM)
System Statuses
Instrument status refers to the operational modes of the Alinity ci- series.
The status of both processing modules and the reagent and sample manager (RSM) display on the
Home screen.
There are certain tasks you can and cannot perform based on the current status.
The processing modules and the reagent and sample manager (RSM) have the following instrument
statuses:
Status Description
Offline Indicates when the processing module is not communicating
with the system control module (SCM).
Status Description
c-series
Status Description
RSM
· Initialization after Start or Run is selected:
4 Homes all moving parts
4 Confirms that front processing center covers are closed for
each processing module
4 Confirms that the bar code reader is functioning correctly
4 Homes the sample positioner for each processing module
4 Confirms that racks and cartridges are not located on the
sample positioners or the RSM transport
Warming Indicates when the processing module has completed
initialization but has not reached the required temperature
Status Description
Pausing Indicates when the processing module is not aspirating samples
and is completing assay processing before the module status
transitions to Idle or Stopped.
The progression of instrument statuses from Offline to Running and the approximate duration of each
transition is shown in the tables below.
The timeframe to change from one status to another varies depending on the status type and any
processing currently taking place on the instrument.
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Initiate or resume sample processing is used to process a run after ordering and loading samples or to
resume sample processing after pausing or stopping the processing module or the reagent and sample
manager (RSM).
3. Tap Run.
To cycle power, the specific component must be powered off and then must be powered on after a
certain time period has elapsed.
After the power is on, a start must be performed to transition the instrument status to Idle.
Based on the instrument status of the RSM and the processing module, a pause may be required so
that the following tasks can be performed:
¥ NOTE: The instrument status for each processing module and the RSM
must be one of the required statuses to ensure that sample processing is
not interrupted.
Procedure
There are two procedures to cycle power.
This procedure will cycle power to the system control module (SCM), the RSM, and one or more
processing modules.
Cycle power to the processing module and the reagent and sample
manager (RSM)
This procedure cycles power to the processing module and the RSM without shutting down the
software.
This procedure is used to reestablish communication with the system control module (SCM), to store
configuration information, or to troubleshoot the system
¥ To locate the procedures using the online Procedure Map, Refer to the
following locations:
When the SCM power switch is turned off, the power is turned off to the RSM for each processing
module in a multimodule system and for the SCM bar code scanner.
If only the front power switch of a processing module is off, the reagent carousel power is maintained.
To turn off all power to the processing module, move the main power breaker of the module to the off
position.
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Cycle Power to the System
1. Locate the Cycle Power to the System procedure in the Operations Manual. (Print)
ĐƟǀ ŝƚLJϮ
Start the processing module and the reagent and sample manager
(RSM)
Start the processing module and the reagent and sample manager (RSM).
Review
1. Select all of the statuses in which you can cycle power to the processing module:
a. Stopped
b. Idle
c. Running
d. Maintenance
e. Warming
f. Offline
2. To go from a Stopped Status to an Idle Status, you perform which one of the following functions?
a. Load a Sample
c. Tap Start
d. Tap Pause
e. Tap Run
3. Select the status that matches this description-indicates a temporary status that occurs when Start
or Run on the Home screen is selected.
a. Running
b. Processing
c. Initializing
d. Warming
4. Which one of the following statements is correct when cycling power to the processing module and
the reagent and sample manager (RSM)?
a. The purpose of this procedure does not include storing configuration information
b. Each processing module must remain powered off for a minimum of 8 hours before turning back
on
c. After the power is turned on, the RSM initializes and the instrument statuses transition to Offline
d. The instrument status for the RSM must be one of the required statuses(Offline, Stopped, or Idle)
to ensure that sample processing is not interrupted
5. Select the status that matches this description-Indicates when the processing module has
successfully completed initialization and is ready to accept a run request.
a. Processing
b. Running
c. Offline
d. Idle
ƐƟŵĂƚĞĚdŝŵĞ͗
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Module Topics
Familiarizing yourself with the required consumables, reagents, and accessories is essential to
ensuring the instrument functions and performs appropriately.
· Consumables
· Reagents
· Accessories and supplies
K ďũĞĐƟǀ ĞƐ
After completing this module, you should be able to:
o Define a consumable
Inventory Management
Part of your daily routine involves checking and updating needed supplies for the instrument.
Keeping up with inventory management ensures efficiency and continuous testing. You need to check
your consumables and accessories, and update them in the system on a regular basis.
There needs to be an adequate supply of sample cups or tubes, and you need to have enough racks for
samples. You will also use purchased calibrator and control bottles for testing.
Before performing sample processing, verify that your onboard consumable inventory is adequate.
The required consumables of the ci-series are listed in the boxes below:
Sample cups
Consumables c-series
Bulk Solutions
Bulk solutions are liquid solutions that are provided in large quantities for use during sample
processing.
Each bottle is labeled with the expiration date. Inventory tracking and consumable replacement is
performed from the Supplies Screen.
¥ For specific information about each bulk solution and onboard solution,
see the product documentation.
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A midconcentration standard solution that is aspirated and analyzed by the ICT module before and
after each sample. The solution provides a reference potential that is used in result calculation.
ICT Reference Solution is stored at a temperature of 15°C to 30°C and is stable on the system for 90
days.
K ŶďŽĂƌĚ^ŽůƵƟŽŶƐ
Onboard solutions are detergents that are used to wash sample probes, reagent probes, mixers, and
reaction cuvettes.
The solutions are used by the SmartWash feature during system operation. They may also be used
during some maintenance and diagnostic procedures.
The sample tube is loaded into the sample wash solution holder. It is the operator’s responsibility to
place the tubes in the correct location.
Inventory tracking and consumable replacement is performed from the Supplies Screen.
¥ To locate the procedure using the online Procedure Map refer to the
following location:
ICT Module
The ICT module is an integrated chip that is a component of the ICT unit and contains the sodium
(Na+), potassium (K+), chloride (Cl-), and reference electrodes.
Inventory tracking and consumable replacement is performed from the Supplies Screen. The warranty
for the ICT module is 20,000 samples or 3 months after installation, whichever occurs first.
D ĂŝŶƚĞŶĂŶĐĞ^ŽůƵƟŽŶƐ
The c-series maintenance solutions are liquid solutions that are supplied as a three-component kit
and are used during the automated daily maintenance procedure.
The maintenance solutions are stored at a temperature of 15°C to 30°C and are stable on the system
for 14 days or 12 tests, whichever occurs first.
Use of maintenance solutions will be reviewed in the Daily Maintenance training module.
Consumables i-series
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The Alinity i-series uses three bulk solutions. Each bulk solution bottle is loaded on the bulk solution
door.
Each bottle is labeled with the expiration date. Inventory tracking and consumable replacement is
performed from the Supplies Screen.
WƌĞͲdƌŝŐŐĞƌ^ŽůƵƟŽŶ;ϭ>ďŽƩůĞͿ
A solution that contains 1.32% (W/V) hydrogen peroxide solution that separates the acridinium dye
from the conjugate that is bound to the microparticle complex. This action prepares the acridinium
dye for the addition of Trigger Solution.
Pre-Trigger Solution is sensitive to light, is stored at a temperature of 2°C to 8°C, and is stable on the
system for 16 days.
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A solution that contains 0.35N sodium hydroxide solution that produces the chemiluminescent
reaction that provides the final read.
This solution is stored at a temperature of 2°C to 30°C and is stable on the system for a maximum of
28 days.
Some assays require a shorter onboard stability period. For more information, see the assay
documentation.
ŽŶĐĞŶƚƌĂƚĞĚt ĂƐŚƵīĞƌ;Ϯ>ďŽƩůĞͿ
A solution that contains phosphate-buffered saline and antimicrobial agents.
This solution is diluted tenfold by the system and then is pumped to sample and reagent pipettor
assemblies and to wash zones during assay processing.
This solution is stored at a temperature of 15°C to 30°C and is stable on the system for 30 days.
WƌŽďĞŽŶĚŝƟŽŶŝŶŐ^ŽůƵƟŽŶ
Probe conditioning solution is a solution that contains recalcified human plasma. Some maintenance
procedures require this solution after the sample pipettor probe is cleaned to condition the probe to
prevent the nonspecific binding of analytes in the probe.
This solution is stored at a temperature of 2°C to 8°C and is stable on the system for 52 days or 48
tests, whichever occurs first.
ZĞĂĐƟŽŶs ĞƐƐĞůƐ
Reaction vessels (RVs) are disposable containers in which the CMIA reaction occurs.
The operator can add RVs at any time. Do not overfill the RV hopper.
Inventory tracking and consumable replacement is performed from the Supplies Screen.
¥ To locate the procedure using the online Procedure Map refer to the
following location:
Discard used sample tubes, bottles, and/or cartridges according to the laboratory waste disposal
procedures of the facility.
Supplies Screen
The Supplies Screen can be used to verify the supply and waste inventory before sample processing is
initiated or when a status indicator is displayed.
Use the Supplies Screen to update certain consumables and waste inventory.
Navigate to the Supplies Screen by selecting the Supplies icon on the Menu Bar of the Home page.
The Supplies Status button on the Processing Module Image also navigates to the Supplies screen for
the module selected.
The Module Bar on the Supply Screen is used to select an individual module to view supply status
information.
On the Supplies screen, the operator can view the following information and perform the listed
functions:
Alinity c Alinity i
Percentage of bulk solutions. Percentage of bulk solutions.
Percentage of onboard solutions in sample Status of the reaction vessel (RV) waste.
wash solution area.
Status of RVs.
Status of liquid waste in the high-
concentration waste bottle (if installed). The Operator can update bulk solutions, RV’s and
RV Waste.
Status of ICT module.
The c-series and the i-series calculate the supply volume and the percent-remaining information on
required tests for samples that have been scheduled on the reagent and sample manager.
Status Bar
The Status Bar displays a graphical representation of the status and total remaining supply, available
waste capacity or total remaining supply depending on the supply item.
For c-series Bulk Solutions the statuses are indicated by the following colors:
· Green = OK
· Yellow = Low Level or Overridden
· Red = Empty, Lot Expired
For i-series Bulk Solutions the statuses are indicated by the following colors:
· Green = OK
· Yellow = Low Level or Overridden
· Red = Empty, Lot Expired, Stability Expired
For ICT Module the statuses are indicated by the following colors:
· Green = OK
· Yellow = Overridden, Exceeded
· Red = Lot Expired, Update Required
· Green = OK
· Yellow = Near Capacity
· Red = Full
· Update Supplies
· Green = OK
· Yellow = Low Level
· Red = Empty
Update Supplies
After reviewing the supply status, replace consumable inventory or empty the waste as indicated.
Then update the supply information so the system can accurately track the onboard supply inventory
and/or waste.
ZĞƉůĂĐŝŶŐƵůŬ^ŽůƵƟŽŶƐ
For Bulk solutions that have an onboard stability claim, onboard stability tracking occurs when
the bottle is replaced and is updated. Tracking and replacement is performed from the Supplies
Screen. Use the bar code scanner to scan the bar code on the new bulk solution bottle and the system
automatically updates the bulk solution with the lot number and expiration date of the new bottle.
To achieve the maximum usage of the bulk solution, do not replace the solution until the total percent
of the remaining solution is below the low alert setting.
To replace a new lot number of ICT Reference Solution, the instrument status of the c-series
processing module must be Stopped, Warming, or Idle and the bulk solution reservoir bottle must be
empty. Perform quality control testing before assay processing
¥ NOTE: The instrument will give a message code if the operator attempts
to load a new lot of ICT reference solution and those conditions are not
met.
¥ For the Bulk Solution Replacement Procedure refer to the Alinity ci-
series Operations Manual Section 5 Operating Instructions subsection;
Consumable inventory management.
¥ To locate the procedure using the online Procedure Map refer to the
following location:
-Sample processing>Prepare for operation>Replenish the inventory and
empty the waste>Consumable inventory management>Replace bulk
solutions and update the inventory
ƵůŬ^ŽůƵƟŽŶWĞƌĐĞŶƚĂŐĞ
¥ Note: the percentages apply to all supplies except for i-series Wash Buffer.
That supply involves a dilution being made and percentages include
diluted product in additional reservoir
THEN:
RV Waste
The RV waste container can hold 1000 RVs (5 hours of run time at 200 RVs per hour).
Remove and discard the biohazard bag and its contents according to the laboratory biohazard waste
disposal procedures of the facility.
Once the waste container is removed, the system counts RVs. The waste chute holds 50 RVs before
the system operations is paused. The waste chute total capacity is 208 RVs (30 minutes of run time
when the waste container is removed during assay processing).
The biohazard bag must fit snugly and must be opened fully in the RV waste container so that reaction
vessels can drop freely into the container.
¥ To locate the procedure using the online Procedure Map refer to the
following location:
ĐƟǀ ŝƚLJϭ
Verify the consumable supply and
waste inventory
1. From the Supplies Screen, verify the consumable supply and waste inventory levels for both the c
and i systems.
ĐƟǀ ŝƚLJϮ
Replace required consumables and empty waste
1. Locate the procedure(s) needed to replace any required consumable, or empty waste, in the online
Operations Manual.
Volume graduation marks at 125 µL, 500 µL, and 1400 µL eliminate the need to pipette with
precision.
To facilitate the positive identification of samples, sample cups can be placed in sample tubes that
have bar code labels.
Racks
Racks are accessories that are used on the reagent and sample manager to transport specimens,
calibrators, and controls to the sample pipettor.
1. Vial Rack. Bar-coded for identification with the letter V. Holds six open vials of calibrators or
controls for immediate use. The rack cannot be stored in the reagent carousel.
2. Onboard Vial Rack. Bar-coded for identification with the letter U. Holds six vials of calibrators or
controls. The rack is stored in the reagent carousel.
3. Sample Rack. Bar-coded for identification. Holds six primary tubes, aliquot tubes, or sample cups.
Any combination of tubes and cups can be in used in the rack.
4. Sample gauge: used to verify that the amount of sample in an aliquot tube exceeds 8mm.
Trays
Trays are accessories that are used to hold multiple racks of samples, calibrators, and controls and to
hold reagent cartridges.
Trays of racks and cartridges are loaded on the reagent and sample manager. Each tray holds a
maximum of five racks or cartridges one at a time.
Empty trays may remain on the loading area to create five positions to load racks or cartridges one at
a time.
ĐͲƐĞƌŝĞƐZĞĂŐĞŶƚĂƌƚƌŝĚŐĞǁ ŝƚŚĞŵƉƚLJďŽƩůĞƐ
The c-series Reagent Cartridge, Black (Large), is a single-use cartridge that contains two empty, black
reagent bottles that can be filled with saline, user-defined sample diluents, and user-defined reagents.
There is also an Alinity c-series Reagent Cartridge, Clear (Large), designed so that the liquid level in
the bottle is visible. Additionally, a line to indicate the maximum fill volume was added to each bottle
to help prevent overfilling the cartridge, which could lead to damage of the reagent carousel.
When the bottles are filled and labeled with a one-dimensional (1D) reagent bar code, the cartridge
can be loaded in the reagent carousel.
· The R1 bottle is the larger bottle and has a maximum fill volume of 74 mL.
· The R2 bottle is the smaller bottle and has a maximum fill volume of 47 mL.
Controls
Controls are available as single-constituent and multi-constituent controls. Single-constituent
controls as assay-specific samples that contain known concentrations of an analyte. Multi-constituent
controls are samples the contain multiple analytes. Some controls can be stored for use in the reagent
carousel.
To identify the controls that are required for an assay, see the assay documentation.
Calibrators
A variety of single-constituent and multi-constituent calibrators are used on the Alinity c-series.
Some calibrators can be stored in the reagent carousel. To identify the calibrators that are required for
an assay, see the assay documentation.
The replacement cap seals the vial to prevent leakage when the vial is removed from the system and is
stored in an external refrigerator.
Reagents
Reagent kits are one or more cartridges that contain all the necessary reagent components for an
Alinity ci-series assay.
Abbott prepackaged reagent cartridges contain a two-dimensional bar code. Each bar code includes
the following information:
· Reagent identifier
· Reagent serial number
· Test size (number of tests for each cartridge)
· Expiration date
· Onboard stability time
· Master calibration information for assays that use the 2-point adjustment calibration method (only
for Alinity i-series)
Reagent Cartridge
Alinity i reagent cartridge: Provides the necessary components for an Alinity ci-series
chemiluminescent microparticle immunoassay assay. Each reagent bottle in the reagent cartridge
contains an integrated septum unless otherwise indicated in the assay documentation.
Alinity c reagent cartridge: Provides the necessary components for an Alinity ci-series
photometric or potentiometric assay.
Alinity Reagent Replacement Cap: Seals a reagent cartridge to prevent reagent leakage when the
cartridge is removed from the system and is stored in an external refrigerator.
Reagent cartridges can be stored on the system according to the assay-specific instructions.
Reagent cartridges are loaded into the reagent carousel. Reagent carousel inventory management
includes procedures to prepare and unload reagent carousel inventory items.
Prepare Reagents
¥ Note: Reagent handling instructions and mixing instructions should be
reviewed in the assay documentation prior to performing the assay.
· ALL i-series reagents must be mixed upon receipt into the laboratory. After mixing, reagents must
be stored for at least 1 hour prior to use to allow bubbles to dissipate. Some reagents require a
longer time for bubbles to dissipate, review specific package inserts for specifics.
· Mixing prior to loading a c or i-series reagent cartridge onto the RSM varies per assay, see product
specific documentation.
· Mixing instruction graphics are located on the reagent kit box and detailed instructions are provided
in the assay documentation.
· Verify that the reagent cartridges are within the expiration dates on the cartridge labels.
¥ For instructions for reagent handling and use, see the assay
documentation.
¥ For instructions to prepare reagent cartridges for use refer to the Alinity
ci-series Operations Manual Section 5 Operating Instructions subsection;
Reagent and sample management
¥ To locate the procedure using the online Procedure Map refer to the
following location:
Load Reagents
Load status information is used to determine the status of the loading and unloading of cartridges and
racks and to determine if loading problems or unloading problems have occurred.
Trays can be loaded in routine positions or priority positions on the reagent and sample manager
(RSM). Empty trays may remain on the loading area to create five positions to load racks or cartridges
one at a time.
The RSM status must be in Running for the cartridges to load into the reagent carousel. Confirm the
status indicator above the bay position is displaying the proper status for loading.
· Routine loading: status indicator is not illuminated, which indicates that the position is available
· Priority loading: status indicators above the bay positions to load are blue, which indicates that the
positions are available.
If the position on the RSM does not contain a tray, load the cartridge into a tray and slide the tray into
the RSM.
Hold the cartridge handle, and slide the cartridge into a routine position or a priority position on the
RSM until a green status indicator illuminates.
Some assays require two reagent cartridges. These reagent cartridges are indicated with 1/2 and 2/2
on them. Both reagent cartridges must be loaded, but they do not need to be inserted into adjacent
positions. After the reagent cartridges are loaded on the RSM and the bar code reader scans the bar
code label, the system software links the two reagent cartridges as a set.
For products that have an onboard stability claim, onboard stability tracking occurs after the cartridge
is scanned by the bar code reader.
There may also be times when the operator wants to initiate a cartridge unload request such as; to put
the reagent back in storage (if not being used) or to conduct troubleshooting steps.
This procedure is performed from the Current tab of the Reagent screen or Reagent status
screen. First confirm that the carousel item to unload is not required for tests that are in process and
that the RSM status is Running.
After the cartridge is unloaded from the reagent carousel and is removed from the RSM, the timer for
onboard stability tracking stops
¥ To locate the procedure using the online Procedure Map refer to the
following location:
Reagent Screen
The operator can easily view the status of reagents on board the system.
The Reagent status button on the Processing Module Image on the Home screen will indicate if a
supply is low.
Selecting the Reagent status button, will navigate to Current tab on the Reagent screen for the
module selected.
Selecting the Reagents icon in the Menu Bar will navigate to Current tab on the Reagent screen
view all.
From the Reagents screen the operator can view information for cartridges and racks that are loaded
in the reagent carousel. This includes information for reagent carousel inventory items such as:
· an estimated amount of tests that remains calibration status for the assay that uses the reagent
cartridge
· lot number
· expiration date
· number of onboard stability days that remain for items that have an onboard stability claim
Current Tab
The Current tab of the Reagent screen displays:
· A list of cartridges and racks that are currently loaded on the system for all modules.
· A graphical representation of the reagent carousel for individual modules that indicates the position
and status of the cartridges and racks.
Reagent Screen: screen depiction may vary depending on instrument configuration and software
version
· Reagents.
· Onboard solutions.
· Diluents.
· Maintenance solutions.
· Calibrators.
· Controls.
The status of reagents and racks in the reagent carousel positions is indicated by the colors described
in the table below:
Historical Tab
The Historical tab displays a list of cartridges and racks that are currently loaded on the system and
were previously loaded on the system.
ĂƌƚƌŝĚŐĞ^ƚĂƚƵƐ/ŶĨŽƌŵĂƟŽŶ
Cartridge status information is used to determine the status of each reagent carousel inventory item
and to determine if any problems with onboard inventory items have occurred.
· BC Fail.
· Undefined.
· Load Error.
· Incomplete.
· No assay.
· Empty.
· LLS Error.
· Expired.
· Disabled.
· Low Alert.
· Overridden.
· Mixing (i-series).
· OK.
Load Statuses
Load status information is used to determine the status of the loading and unloading of cartridges and
racks and to determine if loading problems or unloading problems have occurred.
· Unload error.
· Load Error.
· Scheduled unload.
· Scheduled load.
· Partially unloaded
· Scanning.
· Unloading.
· Loading.
· Blank.
· Processing.
ĐƟǀ ŝƚLJϯ
Verify reagent inventory
1. From the Reagent Screen, verify the reagent levels for both the c and i systems.
2. Select an assay and record the number of tests available for each reagent cartridge onboard.
ĐƟǀ ŝƚLJϰ
Load reagent
ĐƟǀ ŝƚLJϱ
Unload reagent
2. Select a reagent cartridge and unload the reagent cartridge from the reagent carousel.
3. Unload the reagent from the reagent and sample manager and store the reagents.
ĐƟǀ ŝƚLJϲ
View or Print Assay Insert
This activity requires that the system is connected to AbbottLink. If the system is not connected to
AbbottLink, the activity cannot be performed.
Review
1. Select all of the following that are bulk solutions used on an Alinity c Processing Module. (Select all
that apply)
a. Detergent A
b. Acid Wash
c. Trigger Solution
d. Alkaline Wash
2. What size tube does the sample onboard wash solutions use?
a. 16mm x 100mm
b. 3mm x 20mm
c. 30mm x 120mm
3.Reaction Vessels (RVs) can be added at any time as long as the inventory allows.
a. True
b. False
4. Select all of the following scenarios that alert you when you need to replace and update the bulk
solution inventory. (Select all that apply)
a. When the bottle has reached the onboard stability expiration date
b. When a bottle is empty and the total percentage of the remaining solution is below the low alert
setting
5. Select all of the following items that a reagent carousel inventory may include: (Select all that apply)
a. Reagents
b. Bulk solutions
c. Onboard solutions
d. Calibrators
e. Controls
6.Which one of the following functions can the operator perform on the Reagents screen?
a. Replenish RVs
7. Empty trays may remain on the loading area to create five positions to load racks or cartridges one
at a time.
a. True
b. False
8. When replacing the sample onboard wash solutions, it is the operator responsibility to place the
tubes in the correct location.
a. True
b. False
9. Which of the following functions can the operator perform on the Supplies screen? (Select all that
apply)
d. Replenish RVs
10. Select all of the following that are bulk solutions used on an Alinity i Processing Module. (Select all
that apply)
a. Detergent A
b. Trigger Solution
c. Pre-Trigger Solution
d. Alkaline Wash
e. Acid Wash
ƐƟŵĂƚĞĚdŝŵĞ͗
ϯ ϬŵŝŶƵƚĞƐ
Module Topics
Familiarizing yourself with the instrument is essential to ensuring that it performs appropriately.
4-1 Alinity ci -series Global Customer Training | Internal Use Only | ADD-00066223
Reagent and Sample Manager
K ďũĞĐƟǀ ĞƐ
After completing this module, you should be able to:
Z^D &ƵŶĐƟŽŶƐ
The reagent and sample manager (RSM) is a transport system used to load calibrators, controls,
specimens, reagents, and onboard solutions. The design of the RSM provides random and continuous
access to load and unload sample racks, calibration and control racks, and reagent cartridges.
One primary RSM transports samples and reagents through an Alinity ci-series regardless of the type
and number of processing modules.
· Lifts racks and cartridges from the loading area and moves them past the bar code reader
· Positions racks and cartridges for the bar code reader to identify samples, reagents, and solutions
· Moves racks and cartridges to the appropriate processing module or returns them to the loading
area
1. Sample positioner: Positions racks at the sample aspiration position. Each module has two sample
positioners. A rack exchange occurs between the loading area and one sample positioner while the
other sample positioner positions samples for aspiration.
2. RSM bar code reader: An imaging camera that reads bar code labels on samples, racks, and
cartridges.
3. RSM transport: Transports racks and cartridges from the loading area to be read by the bar code
reader and to be placed on the module-specific sample positioner or reagent positioner.
4. Loading area: Positions racks and cartridges for loading and unloading.
Loading Area
The loading area holds racks and cartridges for routine and priority processing. Each processing
module includes one loading area.
Status Indicators
Three status indicators (blue, green, and amber) are located above each reagent and sample manager
(RSM) position to indicate the status of sample processing and when racks and cartridges can be
accessed.
Indicator
Description
Condition
Indicators Off No rack or cartridge is inserted in the position. [1]
Green (Steady) The rack or cartridge is inserted but is not in process. The rack
or cartridge can be accessed. [2]
Amber (Steady) The rack or cartridge is in process. The rack or cartridge cannot
be accessed. [4]
Green (Blinking) Processing is completed. The rack or cartridge can be accessed.
Amber (Blinking) Unloading of a cartridge or vial rack is in process. The position is
reserved and is unavailable to load a rack or cartridge.
Amber and Green A bar code scan error or other error occurred. The rack or
(Alternating) cartridge can be accessed
Indicator
Description
Condition
Blue The RSM position is designated as a priority position. [3]
WƌŝŽƌŝƚLJƵƩŽŶ
Located on the left side of the loading area of a processing module is the priority button.
ƌĞĂƚĞĂdĞŵƉŽƌĂƌLJWƌŝŽƌŝƚLJWŽƐŝƟŽŶ
2. Insert a rack, cartridge, or tray into any position on the loading area of the specific processing
module.
· If a rack is inserted into a position, the system designates the position as a priority position.
· If a tray is inserted into a position, all positions of the tray are designated as priority positions.
· When the rack is removed, the blue status indicator for the priority position is not illuminated.
¥ NOTE: After the priority button is pressed, the rack, cartridge, or tray
must be inserted into a position within 10 seconds. To deactivate the RSM
priority button before the time-out expires, press the priority button again
Review
1. Select the status indicators that allow the operator to access the rack or cartridge. (Select all that
apply)
b. Amber
c. Green Blinking
d. Green Steady
2. Identify the RSM Indicator Status that matches the following status definition-The rack or cartridge
is inserted, but processing has not begun. The rack or cartridge can be accessed.
a. Indicators Off
b. Blue
d. Green (steady)
e. Green (blinking)
3. Identify the item, or component, that matches this description-A position on the RSM designated
with a blue status indicator. Racks or cartridges inserted in this position are processed before other
positions.
a. Bay
b. Tray
c. Priority Button
d. Priority Position
ƐƟŵĂƚĞĚdŝŵĞ͗
ϭŚŽƵƌ
Module Topics
A thorough maintenance program minimizes downtime, maintains records for inspection and
accreditation, and maintains system performance to provide optimal test results. This module
describes what happens during Daily Maintenance, why it is so important to the operation of your
instrument and how to perform the procedure.
K ďũĞĐƟǀ ĞƐ
After completing this module, you should be able to:
· Minimizes downtime.
· Maintains records for inspection and accreditation.
· Maintains system performance to provide optimal test results
ĞƐĐƌŝƉƟŽŶ
Maintenance procedures are grouped first by module type and then by category. The type of module
determines the categories and procedures that are available.
To view or perform a maintenance procedure begin by selecting the Procedures icon in the Menu
Bar.
· If Procedures is not an icon on the menu bar, tap System, and then tap Procedures.
Procedures Screen
The Procedures screen displays maintenance and diagnostic procedures that can be performed. On
the Procedures screen, tap a Module button.
The Maintenance tab displays maintenance procedures that can be performed for a selected
module. Each maintenance category is represented by a tab on the right side of the Maintenance tab
of the Procedures screen.
A trained operator can perform the following functions on the Procedures screen:
After initiating a maintenance or diagnostic procedure, follow step-by-step instructions through the
procedure to completion.
Procedure Key
A procedure key is provided for use with a maintenance procedure, a diagnostic procedure, or a
component replacement procedure.
Setting information can be found on the Procedure Details flyout for each procedure.
There is a procedure key on the Alinity c processing module, the Alinity i processing module, and the
system control module (SCM).
When the key is positioned at the black dot it is OFF. When the key is positioned at the white dot it is
ON.
Setting Description
Required On The procedure key must be in the On position to perform the
procedure.
Optional On The procedure does not require the covers to be opened. If the
cover is not open, the procedure key can be in the Off position. If
the covers are opened for observations, the key must be in the On
position.
Off The procedure key is not required to perform the procedure.
The covers can be opened without affecting the progress of the
procedure.
Maintenance Help
The online Operations Manual (Help) contains a general procedure on how to perform all
maintenance and diagnostic procedures.
Some procedures have pictures and videos to use as aids to perform the procedure. The Show Video
button and the Show Picture button are displayed when pictures and videos are available.
Supplies
ĐͲƐĞƌŝĞƐD ĂŝŶƚĞŶĂŶĐĞ^ŽůƵƟŽŶƐ
The Alinity c-series maintenance solutions are supplied as a three component kit.
The large bottle of the maintenance cartridge is filled with Water Bath Additive, an antimicrobial
solution used to reduce microbial contamination in the water bath. During maintenance, the solution
is dispensed into the water bath.
The small bottle is empty and is reserved for prepared Cleaning Solution.
The Cleaning Solution is supplied as a lyophilized material with a diluent. The reconstituted cleaning
solution is added to the small bottle of the maintenance cartridge.
During daily maintenance, the cleaning solution is used to clean the sample and reagent probes,
mixers, ICT Probe, and ICT Module.
ŝͲƐĞƌŝĞƐWƌŽďĞŽŶĚŝƟŽŶŝŶŐ^ŽůƵƟŽŶ
Probe conditioning solution is a solution that contains recalcified human plasma. This solution
conditions the probe to prevent the nonspecific binding of analytes in the probe.
Tasks
The c-series Daily maintenance procedure completes the following tasks:
· Flushes the water lines of the sample, the reagent, and the cuvette washer.
· Exchanges the water in the water bath.
· Adds Water Bath Additive to the water bath.
· Washes the ICT module with ICT Reference Solution and Cleaning Solution.
· Drains and fills the ICT Reference Solution cup.
· Washes the sample and reagent probes and the mixers with Acid Probe Wash and Detergent A.
· Cleans the sample probe, the R2 probe, and the mixers with Cleaning Solution.
· Cleans the sample probe exterior (only for whole blood).
Procedure Overview
Specific instrument statuses are required to perform maintenance. These statuses are defined in the
maintenance procedure.
The procedure key setting for daily maintenance on the c-series is Required On.
The procedure key setting for daily maintenance on the i-series is Optional On.
The Probe conditioning solution (i-series) and c-series Maintenance Solution must be loaded into
the reagent carousel before starting the daily maintenance procedures. This is done by loading the
cartridges into the RSM while the RSM is in a Running status.
To start Daily Maintenance, on the right side of the Procedures screen, tap either the To Do tab or the
Daily tab. Under Procedure, tap the Daily Maintenance procedure.
· Tapping Quit at the first screen to exit the procedure will not change the module status to Stopped.
· Tapping Quit on any other screen will stop the module.
To perform the procedure, tap the Proceed user input button and follow the instructions in the
instructions box.
· An operator can leave a maintenance or diagnostic procedure while it is running to perform other
activities in the software. Tap any icon on the menu bar to leave the procedure.
· To return to a procedure, tap on the In Process tab, tap on the procedure in process and then tap
continue.
¥ To locate the procedure using the online Procedure Map refer to the
following location:
D ĂŝŶƚĞŶĂŶĐĞĂŶĚ ŝĂŐŶŽƐƟĐ
Procedures Statuses
Maintenance and diagnostic procedure status refers to the completion status of a procedure.
Status Description
Scheduled A maintenance procedure is scheduled for a future date.
Pending A maintenance procedure is scheduled for the current date.
Completed The procedure is completed. For procedures that produce results
with pass-or-fail criteria, all results passed.
User Canceled Quit is selected before the procedure is completed.
Failed The procedure generated an error or a failed result.
Blank The procedure has not been performed.
Running The procedure is in process.
Waiting user The procedure in process requires an operator response.
response
Not performed The maintenance procedure was not performed on the date due.
ĐƟǀ ŝƚLJϭ
Perform Daily Maintenance
If you are in a multi-day classroom environment, you will complete this task at the start of each day
Review
1. Select all of the valid Alinity ci-series maintenance completion statuses: (Select all that apply)
a. Scheduled
c. Failed
d. Drying
2. To view or perform a maintenance procedure begin by selecting the ____in the Menu Bar.
a. Maintenance icon
b. Procedures icon
c. Orders icon
d. System Button
3. Only scheduled maintenance procedures can be displayed and performed from the procedures
screen.
a. True
b. False
4. Identify all of the benefits of a thorough service, maintenance, and diagnostic program. (Select all
that apply)
c. Minimizes downtime
5. Daily maintenance procedures are required on the c-series and i-series processing modules.
a. True
b. False
6. When the procedure key on the Alinity c processing module, the Alinity i processing module, and
the system control module (SCM) is positioned at the black dot is ON.
a. True
b. False
ƐƟŵĂƚĞĚdŝŵĞ͗
ϭ͘ ϱŚŽƵƌƐ
Module Topics
The Alinity ci-series offers highly automated calibration management. In this module, you will
explore:
· Calibration Guidelines
· Processing Calibration Samples
· Calibration Statuses
· Calibration Results
K ďũĞĐƟǀ ĞƐ
After completing this module, you should be able to:
o Fail a calibration
o Prepare and load vials into vial racks for immediate use
ĂůŝďƌĂƟŽŶƐ
Calibration is the process used to analyze calibrators of a known concentration, to record system
response values, and to plot measured values against the known concentration.
The Alinity ci-series has guidelines for when a mandatory assay calibration and optional assay
calibration should be performed
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K ƉƟŽŶĂůĂƐƐĂLJĐĂůŝďƌĂƟŽŶŵĂLJŶĞĞĚƚŽďĞƉĞƌĨŽƌŵĞĚǁ ŚĞŶ͗
For specific information about quality control, see the manufacturer’s documentation.
Before performing sample processing for the first time, calibrate all assays.
A variety of single-constituent and multi-constituent calibrators are used on the Alinity ci-series.
Include Alinity i Processing Module single-constituent calibrators that are used in the calibration of
i-series assays.
Include single-constituent and multi-constituent calibrators that are used in the calibration of c-series
photometric assays.
ZĞĐŽŵŵĞŶĚĞĚWƌĂĐƟĐĞ
Many inspection agencies require calibration at regular intervals, which may be met by regular
replacement of expired reagents. Most laboratories have requirements in addition to these
regulations. Talk to your Abbott technical representative for assistance.
ĂůŝďƌĂƟŽŶdLJƉĞƐ
Calibration types and methods define the system-specific processes that are used to create a
calibration curve or determine a cutoff value.
For information about calibration types and methods for an assay, see the assay documentation.
c-series
The type and method of calibration are defined in each assay parameter file.
The photometric calibration methods on the Alinity c-series use measured absorbance values to plot a
calibration curve or to determine a cutoff value.
· Full calibration
· Adjustment calibration
The potentiometric calibration method is used to calculate results for the ICT assays of sodium (Na+),
potassium (K+), and chloride (Cl-).
i-series
The type and method of calibration are defined in each assay parameter file and are specific to the
assay.
ĂůŝďƌĂƟŽŶ^ĂŵƉůĞWƌŽĐĞƐƐŝŶŐ
When multiple reagent lots for an assay are loaded on the system and before the sampling process for
a calibration order begins, the system determines which lots to calibrate by using:
· The system calibrates all reagent lots loaded on the system when no reagent lots for the assay have a
calibration status of Active or Pending QC.
· The system calibrates all reagent lots loaded on the system when all reagent lots for the assay have a
calibration status of Active or Pending QC.
· The system calibrates only the reagent lots loaded on the system that do not have a calibration
status of Active or Pending QC, when some reagent lots for the assay have a calibration status of
Active or Pending QC and some do not.
The Module option is available only for multimodule systems that have more than one module of the
same type.
ZĞĂŐĞŶƚ^ĞůĞĐƟŽŶK ƉƟŽŶŝƐƵƚŽ
If the Reagent Selection option is Auto, then for all modules with an instrument status of Running or
Processing at the time the calibrator samples are scanned:
· The system calibrates all reagent lots loaded on the system when no reagent lots for the assay have a
calibration status of Active or Pending QC.
· The system calibrates all reagent lots loaded on the system when all reagent lots for the assay have a
calibration status of Active or Pending QC.
· The system calibrates only the reagent lots loaded on the system that do not have a calibration
status of Active or Pending QC, when some reagent lots for the assay have a calibration status of
Active or Pending QC and some do not.
ĂůŝďƌĂƟŽŶ^ƚĂƚƵƐ
After calibrators are processed, the system verifies the results by comparing them to the calibration
parameters and calibration validity checks that are specific to an assay.
An assay calibration run must pass calibration verification before the system stores the calibration.
Unless otherwise indicated, calibration statuses are displayed on the Current tab and the Historical
tab of the Calibration Status screen. The calibration status can also be viewed from the Home
Screen.
· Green calibration is OK
· Yellow calibration will expire in one hour
· Red calibration is expired
The CAL icon in the Menu Bar also alerts the operator to certain calibrator statuses:
· An amber badge is displayed on the CAL icon when a calibration is within 1 hour of expiration.
· A red badge is displayed on the CAL icon when a calibration has expired or failed.
The table below displays the calibration statuses in the order in which they sort. The system displays
Status Description
Failed One of the following occurred:
· A calibration has not been run for the reagent lot, or the
reagent lot and cartridge combination, that is loaded on the
system.
· One or more c-series assay parameters were edited.
· The c-series parameter that designates whether to calibrate an
assay by lot or cartridge was edited.
· One or more calibrator concentration values were edited.
s ŝĞǁ ĂƐƐĂLJĐĂůŝďƌĂƟŽŶƐƚĂƚƵƐ
To determine the calibration status for the day, you must use the View the assay calibration status
procedure.
4 The Current tab of the Calibration Status screen displays the calibration data for all modules.
¥ To locate the procedure using the online Procedure Map to refer to the
following location:
ĂůŝďƌĂƟŽŶ^ƚĂƚƵƐ^ĐƌĞĞŶ
On the Calibration Status screen, the operator can view a list of the calibration statuses for assays
and reagent lots that are loaded on the system.
The Current tab displays the current calibration information for reagents loaded on the system
based on the last reagent scan.
The Historical tab displays all calibration information on the system for up to 3 months.
ĂůŝďƌĂƟŽŶ^ƚĂƚƵƐ ĞƚĂŝůƐƐĐƌĞĞŶ
From the Current tab, use the Details function button to navigate to the Details screen for the
selected items on the current screen.
The Calibration Status Details screen displays the details of the assay, reagent, and calibrator
information that are used to generate a calibration.
On the Calibration Status Details screen, the operator can view the following information:
· This procedure fails a calibration that has a status of Active or Pending QC, and prevents subsequent
result generation from the calibration for existing control and patient orders.
· The operator can only fail a calibration curve from the following statuses:
4 Processing module: Stopped, Warming, or Idle
4 Reagent and sample manager: Stopped or Idle
ĐƟǀ ŝƚLJϭ
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1. View the assay calibration status for each reagent on the system.
ĐƟǀ ŝƚLJϮ
s ŝĞǁ ĐĂůŝďƌĂƟŽŶĚĞƚĂŝůƐŝŶƚŚĞĂůŝďƌĂƟŽŶ^ƚĂƚƵƐ ĞƚĂŝůƐƐĐƌĞĞŶ
1. From the Calibration Status screen, access the Calibration Status Details screen for a c-series assay
calibration.
2. From the Calibration Status screen, access the Calibration Status Details screen for an i-series assay
calibration.
ĐƟǀ ŝƚLJϯ
&ĂŝůĂĂůŝďƌĂƟŽŶƵƌǀ Ğ
1. Locate the procedure(s) needed to fail the calibration curve in the online Operations Manual.
ĂůŝďƌĂƟŽŶK ƌĚĞƌƐ
Order requests for specimens, calibrator samples, and quality control samples can be created
automatically or manually by an operator.
Calibrators come in vials and can be placed in a vial rack without an order.
If you have calibrators stored in the reagent carousel in an onboard vial rack and want to run the
calibration before a calibration is required, a manual order must be created.
ƵƚŽŵĂƚĞĚĂůŝďƌĂƟŽŶK ƌĚĞƌŝŶŐ
Automated calibration ordering is available by configuring the system parameters of the Alinity ci-
series.
· When a bar code label from an onboard vial rack or a vial rack is scanned
· When the system software periodically evaluates the calibrator vials that are stored in onboard vial
racks in the reagent carousel (c- series only)
On multimodule systems, automated calibration orders are evaluated on all processing modules on
which the analyte can be run.
D ĂŶƵĂůĂůŝďƌĂƟŽŶK ƌĚĞƌƐ
Orders Screen
The Orders screen can be accessed by tapping the Orders icon on the Menu Bar.
On the Orders screen, the operator can view specimen, control, calibration, and rerun orders. The
operator can perform the following functions:
· Rerun tab
· Specimen tab
· Control tab
· Calibrator tab
The Details Function button navigates to the Details screen for the selected items on the current
screen.
On the Order Details screen, the operator can view the details for a specimen test order, a control test
order, or a calibrator test order.
The operator can add a comment to a specimen test order, a control test order, or an individual
calibrator test order.
To create a Calibration Order on the Create Order screen, begin by tapping the Calibration tab.
Then enter the required information as directed in the Operations Manual.
ƌĞĂƚĞĂůŝďƌĂƟŽŶK ƌĚĞƌ
· ORDERS Icon
· CREATE ORDER
OR
¥ NOTE: The Create Order icon is a configurable icon on the menu bar.
¥ To locate the procedure using the online Procedure Map refer to the
following location:
Verify that the calibrators are within the expiration dates on the vial labels. Do not use calibrators
that are expired.
Inspect each vial for bubbles. Remove bubbles with a clean applicator stick before performing sample
processing. Use a new applicator stick for each vial to prevent cross contamination.
Place each opened vial in the white vial rack with standoffs so that the vial bar code is visible in the
rack window and the bar code fills the width of the window.
2. Tap Run.
3. Prior to loading racks onto the RSM, verify the processing module(s) are in a Running or
Processing status.
Verify RSM Status Indicators indicate that the position is available. Hold the rack handle, and slide
the rack into a routine position or a priority position on the RSM until a green status indicator
illuminates.
If the position on the RSM does not contain a tray, load the rack into a tray and slide the tray into the
RSM. When loading racks onto a tray, ensure the rack is flush against the back of the tray.
In-use stability tracking occurs after the vial is scanned by the RSM bar code reader. After the vial is
removed from the reagent and sample manager, the timer for in-use stability tracking stops. For vials
that are stored on the system, the timer for in-use stability tracking stops when the vials are returned
to the reagent carousel
¥ To Prepare and load vial racks for immediate use, refer to the Alinity ci-
series Operations Manual Section 5 Operating Instructions subsection;
Reagent and sample management
¥ To locate the procedure using the online Procedure Map refer to the
following location:
ĐƟǀ ŝƚLJϰ
ƌĞĂƚĞĂŵĂŶƵĂůĐĂůŝďƌĂƟŽŶŽƌĚĞƌĨŽƌĐĂůŝďƌĂƚŽƌƐƐƚŽƌĞĚŽŶďŽĂƌĚ
the system
1. Locate the procedure(s) needed to create a manual calibration order, in the online Operations
Manual or other available reference material.
2. Create a manual calibration order for an assay that has calibrators stored onboard the system.
· If calibrators are not stored onboard the system you cannot perform this activity.
· Your facilitator will identify the assay to calibrate.
ĐƟǀ ŝƚLJϰ
ƌĞĂƚĞŵĂŶƵĂůĐĂůŝďƌĂƟŽŶŽƌĚĞƌ;ƐͿ
1. Create manual calibration order(s) for assay(s) that do not have calibrators stored onboard the
system.
4 All assays with a calibration that is going to expire, select any other assay with reagent onboard,
or assay(s) identified by facilitator.
ĐƟǀ ŝƚLJϱ
Prepare and load vials into vial racks
for immediate use
1. Load vials into vial racks for immediate use for all assays with a calibration that is going to expire,
or select any other assay with reagent onboard.
ĐƟǀ ŝƚLJϱ
Unload vials from the reagent and sample manager (RSM)
1. After the calibration(s) from activity 5 are complete, unload vials from the reagent and sample
manager (RSM).
4 Confirm that the RSM status indicator is illuminated and blinking green, a steady green, or
alternating green and amber before unloading.
ĂůŝďƌĂƟŽŶZĞƐƵůƚƐĂŶĚZĞƌƵŶƐ
Once calibration sample processing completes, review the calibration results and any alerts to
determine the status of the calibration.
· View calibration details and calibration graphs for the c-series only from the Calibration Status
Details screen.
&ĂŝůĞĚĂůŝďƌĂƟŽŶƵƌǀ Ğ
If the results of a calibration fall outside the specified range for the assay, the status of the new
calibration is Failed.
If the assay has an existing calibration, the calibration is not replaced. The previous calibration
remains active and the system software calculates patient and control test results from the existing
active calibration.
Review the Calibration Status Details screen to try and determine the cause of the failure.
ĐƟǀ ŝƚLJϲ
s ŝĞǁ ĐĂůŝďƌĂƟŽŶƌĞƐƵůƚƐ
1. View the calibration results from the calibrations generated in the previous activity in the
Calibration Status screen.
ĂůŝďƌĂƟŽŶ, ŝƐƚŽƌLJĂŶĚƌĐŚŝǀ Ğ
ĂůŝďƌĂƟŽŶ, ŝƐƚŽƌLJdĂď
On the Calibration Status screen, the Historical tab displays all calibration information on the
system for up to 3 months.
Inactive Status calibration curves are displayed only on the Historical tab of the Calibration Status
screen.
ƌĐŚŝǀ ĞĂůŝďƌĂƟŽŶƐ
The Alinity ci-series has a procedure to archive active and inactive calibrations, controls, or specimen
results to a USB flash drive.
The results are archived in an Excel file format and can be imported into a spreadsheet. The archived
results cannot be viewed on the Alinity ci-series.
The USB is inserted into a USB port located behind the system control module (SCM) front door.
For calibration results the procedure is performed from the Historical tab of the Calibration
Status screen
· All items: This option archives all calibrations within a defined date range.
· Incremental: This option archives all calibrations that do not have a status of Archived within a
defined date range.
· Selected items: This option is available only if calibrations were selected.
· Only Archive: This option saves archived calibrations to a USB flash drive.
· Archive & Delete: This option deletes inactive calibrations after all the selected calibrations have
been archived to a USB flash drive
Review
1. Select all of the following functions the operator can perform on the Calibration Status screen.
(Select all that apply)
a. Fail a calibration
c. Calculate slope
e. A list of cartridges and racks that are currently loaded on the system
2. The first step in creating a manual calibration order is tapping CAL on the Menu Bar.
a. True
b. False
3. Calibration is the process used to analyze calibrations of a known concentration, to record system
response values, and to plot measured values against the known concentration.
a. True
b. False
4. Select all of the following steps to begin creating a calibration order: (select all that apply)
c. Tap Done
5. After an assay is installed that requires a calibration, an active calibration must be generated.
a. True
b. False
6. Select all of the following scenarios whereby mandatory calibration must be performed. (Select all
that apply)
a. Documentation that accompanies a new version of an existing assay file states that a calibration is
required
b. Assay documentation states that a calibration is required when a reagent cartridge is changed
7. The potentiometric calibration method is used to calculate results for the ICT assays of
sodium(Na+), potassium (K+), and chloride (Cl-).
a. True
b. False
b. Slope calculation
c. Logit-4
d. Full calibration
a. Stored active calibrations are not deleted when the corresponding assay file is deleted
b. A calibration that is specific to a processing module is stored as the active calibration for the
reagent lot
c. The system does not use the active calibration as the default calibration for the onboard reagent lot
10. Select all of the scenarios that may occur when you encounter a Failed calibration status: (select all
that apply)
11. Select all of the following instrument statuses where you can fail a calibration: (Select all that
apply)
a. Warming
b. Idle
c. Stopped
d. Running
12. Which one of the following details can you view on the Calibration Status Details screen?
a. Slope calculation
b. Assay inserts
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Module Topics
The Alinity ci-series offers highly automated quality control management.
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After completing this module, you should be able to:
Controls can be stored onboard, in vials for immediate use, or run using sample cups.
QC Processing
When the option to disable a reagent upon control failure is configured to On, and a control failure
occurs on one or more reagent cartridges, the failure prevents use of the cartridge.
When multiple reagent cartridges for an assay are loaded on the system and before the sampling
process for a control order begins, the system determines whether controls are run for an assay for
each reagent lot or each reagent cartridge based on a system configuration parameter and the Reagent
Selection options (module, auto, select cartridge) that are chosen for the order.
· If quality control is run for each reagent cartridge and any control level fails, the individual reagent
cartridge is disabled.
· If quality control is run for each reagent lot and a tested control level fails, all reagent cartridges for
that lot are disabled, including any cartridges that are subsequently loaded on the system.
The system automatically enables the reagent cartridge or the reagent lot after the failed QC result is
rerun and the result is within acceptable limits.
When a control fails, a CNTL flag will be assigned to all subsequent results. The CNTL flag indicates
the result was calculated after the quality control failed. The flag is displayed on subsequent results
until the failed quality control (QC) result is rerun for the same control name and control level and
the result is within acceptable limits. When out-of-range QC results are deleted, the CNTL flag is not
removed from specimen results.
The three items that help make sure quality results and optimal system performance are achieved are:
1. Carefully follow all directions in the Operations Manual (Help) and the reagent manufacturer’s
assay documentation.
Control Orders
Order requests for specimens, calibrator samples, and quality control samples can be created
automatically or manually by an operator.
Automated control ordering is the process that the system uses to order quality control tests
automatically. The control SID is associated with a predefined test list. Automated control orders are
created in the following ways:
· When a control sample bar code label from an onboard vial rack, a vial rack, or a sample rack is
scanned
· When the system software periodically evaluates the control vials that are stored in onboard vial
racks in the reagent carousel
· When the configured time interval or test interval is exceeded.
The Orders screen can be access by tapping the Orders icon on the Menu Bar.
On the Orders screen, the operator can view specimen, control, calibration, and rerun orders. The
operator can create a new control order, add a comment to an order and delete orders.
The Details Function button navigates to the Details screen for the selected items on the current
screen. On the Order Details screen, the operator can view the details for the control test order.
To create a QC Order on the Create Order screen, begin by tapping the Control tab. Then enter the
required information as directed in the Operations Manual.
· ORDERS Icon
· CREATE ORDER
OR
¥ NOTE: The Create Order icon is a configurable icon on the menu bar.
The system automatically defaults to the next level of that control product.
¥ For the Procedure to create a control order refer to the Alinity ci-series
Operations Manual Section 5 Operating Instructions subsection:
Specimen, calibration, and control orders>Orders Screen>Create Order
screen.
¥ To locate the procedure using the online Procedure Map refer to the
following location:
Verify that the controls are within the expiration dates on the vial labels. Do not use controls that are
expired.
Inspect each vial for bubbles. Remove bubbles with a clean applicator stick before performing sample
processing. Use a new applicator stick for each vial to prevent cross contamination.
Place each opened vial in the yellow vial rack with standoffs so that the vial bar code is visible in the
rack window and the bar code fills the width of the window.
2. Tap Run
3. Prior to loading racks onto the RSM, verify the processing module(s) are in a Running or
Processing status.
Verify RSM Status Indicators indicate that the position is available. Hold the rack handle, and slide
the rack into a routine position or a priority position on the RSM until a green status indicator
illuminates.
If the position on the RSM does not contain a tray, load the rack into a tray and slide the tray into the
RSM.
When the control vial is scanned by the RSM bar code reader,
· The Alinity ci-series tracks and maintains a record of the control lot number, vial serial number and
expiration date.
· Onboard stability tracking occurs. In-use stability tracking occurs when the calibrator is not in
refrigerated storage while on the system.
4 To ensure correct tracking status, do not move the vials to a processing module that is controlled
by a different system control module.
· The vial is assigned to the onboard vial rack and should not be removed until the control vial is
empty or expired
¥ To Prepare and load vial racks for onboard storage, refer to the
Alinity ci-series Operations Manual Section 5 Operating Instructions
subsection: Reagent and sample management, reagent carousel inventory
management, reagents screen, Prepare and load vials into vial racks for
onboard storage
¥ To locate the procedure using the online Procedure Map refer to the
following location:
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Prepare and load vials into vial racks for onboard use
1. Load control vials into vial racks for onboard use. Your facilitator will identify controls to load
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Create control order(s) for controls stored onboard the system
1. Locate the procedure(s) needed to create a manual control order, in the online Operations Manual
or other available reference material.
2. Create a control order(s) for assay(s) that have controls stored onboard the system.
4 as applicable, run controls on assay(s) calibrated in prior module, or your facilitator will identify
assay(s)
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Create control order(s)
1. Create control order(s) for assay(s) that do not have controls stored onboard the system.
4 as applicable, run controls on assay(s) calibrated in prior module, or your facilitator will identify
assay(s).
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Load controls into sample racks
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Unload vials from the reagent and sample manager (RSM)
1. After the controls(s) are complete, unload vials from the reagent and sample manager (RSM).
Review QC Results
Once QC sample processing completes, the operator can review results and flags to determine if QC is
in range or needs to be rerun.
The system evaluates quality control (QC) results by assay for each control lot.
Quality control issues must be evaluated and resolved before specimens are tested.
Results Screen
From the Results screen the operator can view:
The Results screen can be accessed by tapping the Results menu icon or on the Home screen,
tapping the Result button next to Pending Results.
· Unreleased tab
· Specimen tab
· Control tab
· Exception tab
The Exception tab of the Results screen can be directly accessed by tapping the Exceptions button on
the Home screen.
The Details Function button navigates to the Results Details screen for the selected items on the
current screen.
On the Result Details screen, the operator can view the following information:
Using the Rerun Options flyout, the operator can order a rerun on a control test. The rerun tests that
are scheduled can be viewed on the Sample Status screen or the Orders screen.
QC Result Flags
When a QC result has a flag, the information is displayed in red text on the Results screen. Result flag
information is used to provide additional information about a result and to indicate that the result
may need to be reviewed. One or more result flags are displayed if they are applicable to a QC result.
Release QC Results
QC Results can be manually released from the Results screen.
To release results,
· In the list, tap one or more tests to release (or tap Select All).
· Tap Release
Archive QC Results
The Alinity ci-series has a procedure to archive controls, calibrations and specimen results to a USB
flash drive.
The results are archived in an Excel file format and can be imported into a spreadsheet. The archived
results cannot be viewed on the Alinity ci-series.
The USB is inserted into a USB port located behind the system control module (SCM) front door.
The archiving procedure for released samples or controls is performed from the Results screen
The Archive Options and Modes are the same as those previously presented in the Calibration
Training Module
¥ To perform actions from the Results screen refer to the Alinity ci-series
Operations Manual Section 5 Operating Instructions subsection; Results
Screen
¥ To locate the procedure using the online Procedure Map refer to the
following locations:
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View QC results in the Results screen
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2. If no flags were produced, review the Operations Manual (Help) and list the control flags.
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screen
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Release a QC result from the Results screen
1. From the Results screen or the Sample Status screen, release all QC specimen results.
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Archive QC results
Review
1. The yellow onboard vial rack with standoffs should be used to load vials for onboard storage.
a. True
b. False
2. Select all of the following guidelines to help ensure quality results and maintain optimal system
performance. (Select all that apply)
b. QC issues do not have to be evaluated and resolved before specimens are tested
c. Carefully follow all directions in the operations manual and the reagent manufacturer’s assay
documentation
a. Tap the correct number of replicates for each dilution if the default number of replicates for one or
more dilutions is correct.
b. Load controls that are designated as STAT to be processed as STAT controls at a later time
d. For bar-coded samples, write down the rack ID and the position number
a. True
b. False
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Module Topics
Sample processing includes procedures used to prepare samples, initiate processing, unload samples,
and manage results.
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After completing this module, you should be able to:
o Load and unload samples from the reagent and sample manager
(RSM)
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Patient sample orders is the task you will perform most often on the Alinity ci-series even if it is an
automated process using a connected LIS. You should be familiar with the process for manually
ordering patient sample runs as a backup method.
You will use the Order screen to run all types of patient sample orders.
Automated specimen ordering is available by using host computer downloads, host order queries, or
the retest option of the Alinity ci-series.
Manual Ordering
The Create Order icon on the menu bar is a configurable icon and is an alternate way to navigate to
the Create Order screen.
OR, from the Orders screen use the Create Order Function button to navigate to the Create
Order screen.
From the Orders screen, the operator can view specimen, control, calibration, and rerun orders. The
operator can create a new specimen order, add a comment to an order, order a dilution, add replicates
and delete orders.
From the Specimen tab on the Create Order screen, the operator can create a single specimen
order when the Single Specimen option in the Order Type area is selected.
The Single Specimen option orders one or more tests as a single sample. It is the default.
Enter the required information as directed in the Operations Manual. If bar-coded samples are used
the rack ID and position number are not required.
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Not all assays support manual dilutions. Assays that do not support manual dilution are displayed as
unavailable when a manual dilution is selected.
From the Specimen tab on the Create Order screen, the operator can create a bar-coded batch
order when the Bar-Coded Batch option in the Order Type area is selected.
The Bar-Coded Batch option orders the same tests for multiple bar-coded specimens.
· When running bar-coded batch do not load calibrators, do not leave empty spaces in the sample
rack and do not add a test to an order within a batch.
· If a test is added to an order that is part of a batch order, the additional test is processed instead of
the batch tests. Separately order the additional test and load the sample after batch processing is
completed.
In the Sample Data area, enter or scan the starting and ending sample IDs (SIDs) for the batch.
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The Assay Options flyout is used to define the number of replicates and Dilution Protocol.
Replicates
For i-series assays, do not order more than 10 tests for
each sample that is loaded in sample cups.
Dilutions
Not all assays support automatic dilutions.
For dilution information, see the assay documentation.
Adding a test to the order is the same as creating a new order using the same SID.
To delete a test, the test status must be Pending or In Process. One or more tests can be deleted from
the Orders Screen by tapping Delete and responding OK to the confirmation message.
Comments
In the Comments box, additional information that is associated with the sample can be entered by the
operator. Comments are displayed and are printed with each test that is ordered for the sample.
The Order List Report lists the minimum sample volume information for each sample. The sample
volume information should be utilized to verify adequate volume is present in sample cups and tubes
for testing.
From the Orders screen select the All Orders tab. Select the function button Print to display the
Print Flyout.
· Select PRINT
From Create Orders Screen:
· Select ORDER LIST REPORT
· Select SPECIMEN Tab · Select Print Location
· Order Type: · Type # copies
4 Default Single Specimen · PRINT
4 Bar-coded Batch
· At Sample Data Type:
4 SID (Sample ID)
4 Rack and Position
§ Optional with barcoded samples
· Select Assays/Panels
· Comments -optional
· Patient Details-optional
· Assay Options edit optional:
4 Dilutions Protocol
4 # Replicates
4 DONE
· Select:
4 ADD ORDER
¥ To locate the procedure using the online Procedure Map refer to the
following location:
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Preparing the Alinity ci-series before processing specimens will help you maximize the workflow in
your laboratory. This includes performing the following:
¥ To locate the procedures using the online Procedure Map refer to the
following locations:
Before loading samples into the sample rack, become familiar with sample bar code label
requirements and sample specifications and requirements
¥ Note: For Sample racks with bar code IDs that begin with letters A
through C, 16mm tubes cannot be used.
Refer to the assay documentation to determine the minimum sample volume that is required in the
sample cup or tube for the tests to be processed
Aliquot tubes, primary tubes, or sample cups that contain samples (specimens, calibrators, or
controls) can be loaded into sample racks.
Use the sample gauge to verify sample volume in an aliquot tube is adequate.
1. Load aliquot tube into sample rack so sample volume is visible in sample rack window.
2. Verify the amount of sample in the aliquot tube exceeds the 88mm sample gauge line.
¥ IMPORTANT: Do not use the sample gauge to verify aliquot tube volumes
for c-series whole blood applications.
For primary tubes, the minimum sample volume must not be less than 8mm above the separation
point (clot, gel separator, or plasma or red cell interface) to prevent contamination of the sample
during aspiration.
Ensure the sample bar code label is correctly affixed to sample tube.
Use the sample cup volume graduation marks to verify that the sample volume present in a sample
cup is adequate as listed on the Order list report.
To ensure accurate liquid level detection, do not fill sample cups above the 1400 ul graduation mark.
The Alinity ci-series requires a minimum of 150 ul for routine testing of controls and specimens. This
recommendation supports onboard sample storage for 3 hours under average laboratory conditions
without observable concentration effects because of sample evaporation.
The reliability of assay results cannot be guaranteed if an adequate sample volume is not used.
Sample volume requirements depend on the sample vessel type, the onboard sample storage
conditions, and the ordered assays.
Ensure sample volume is adequate so that retesting can be performed if the samples are loaded
on the reagent and sample manager (RSM) and the RSM is configured to reposition the samples
automatically for retesting.
Load the sample into the sample rack so that a sample bar code, if used, is visible in the sample rack
window and the bar code fills the width of the window.
If loading non-bar-coded samples, print the Order List Report to ensure that each sample is loaded in
the correct rack and position.
2. Tap Run.
3. Prior to loading racks onto the RSM, verify the processing module(s) are in a Running or
Processing status.
Verify RSM Status Indicators indicate that the position is available. Hold the rack handle, and slide
the rack into a routine position or a priority position on the RSM until a green status indicator
illuminates.
If the position on the RSM does not contain a tray, load the rack into a tray and slide the tray into the
RSM. When loading racks onto a tray, ensure the rack is flush against the back of the tray.
On a multimodule system, samples are routed to the first available processing module. If multiple
processing modules are available, the system first routes the samples to the numbered module that
has the lowest number.
Before unloading samples confirm that the status indicator is illuminated and blinking green, a steady
green, or alternating green and amber on the reagent and sample manager (RSM)
¥ To locate the procedure using the online Procedure Map to refer to the
following location:
Order Status
The Alinity ci-series system shows various statuses and codes for both the entire order, as well as
individual samples.
Test Statuses
Test status information is used to determine the progress of an ordered test or to manage specimen
and control results.
The system tracks the test statuses for each ordered or completed test.
For a batch order, the sample labeled with the starting SID of the batch
order was scanned by the RSM bar code reader, and the batch order is in
process.
Exception The test order failed and a test result was not generated.
Processing Codes
One or more processing codes are displayed if the codes are applicable to an ordered test or test
results.
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1. Locate the procedure(s) needed to create a single specimen order, in the online Operations Manual.
2. Order patient samples using data in table below or samples that have been provided to you by your
instructor based on assays loaded on your instrument.
PID 12345
DOB 8/30/2000
004 TP, Trig, BhCG June Bug
Lipemic
Icteric
010 B-hCG, TSH, GluC, Trig L. M. Jake 2 replicates of Trig
DOB 3/27/2002
012 GluC, CreaC, BhCG Betty Bug Manual 1:2 dilution for
GluC only
Review the results of the sample test and, if your facilitator instructs you to, release the results, then
view on the Stored Results screen.
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1. Locate the procedure(s) needed to create a bar- coded batch specimen order, in the online
Operations Manual.
2. Then create a bar-coded batch specimen order . Your facilitator will define what assays to use
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1. Locate the procedure(s) needed to Print Order in the online Operations Manual.
Sample Status
Access the Sample Status screen by tapping the Sample Status menu icon on the Home screen, or
tap the Sample Status button next to Total samples.
On the Sample Status screen, the operator can view the following information:
The Release function button is used to Release the selected test results or exceptions.
· Test results remain on the Sample Status screen until all results for the specimen or control are
released.
· Test exceptions that have not been rerun or released for transmission remain on the screen.
· Rerun or released test exceptions remain on the Sample Status screen until all results are
transmitted.
The Status/Result section displays the current status (Pending, Scheduled, Running, In Process,
Exceptions, or Complete) of specimen orders, control orders, and calibration orders or displays
specimen results and control results
You can access the Exception tab of the Results screen by tapping the Exceptions button on the Home
screen.
Test results can be found from the Sample Status screen or the Results screen.
· Unreleased tab
· Specimen tab
· Control tab
· Exception tab
On the Result Details screen, the operator can view the following information:
The operator can add a comment to a result or an exception. Comments are displayed and printed
with the result or exception. In addition, comments for samples and tests are displayed if comments
were entered.
Using the Rerun Options flyout, the operator can order a rerun test. Rerun request can be made from
either the Sample Status screen or the Results screen
Review ReRuns
Where do Results for Reruns Show Up?
Result Flags
Flags provide additional information about a result and indicate that you may need to review the
result. All results with flags display in red.
Flag Description
EXP* The result was measured using an expired reagent, supply or onboard
solution.
EXPC* The result was calculated using an expired calibration curve or expired
calibrators.
A#1* A#2* The result was calculated by using the only reading (or only two readings
(c-series) for A2#), of all the readings in the main or flex reading window, that has
measured absorbance within the defined absorbance range.
The result was calculated by using the only reading (or only two readings
for A2#), of all the readings in the main or flex reading window, that has
measured absorbance within the defined absorbance range.
This condition can occur when the result concentration is high or the
sample is lipemic.
CNTL* The result was calculated after the quality control failed.
The flag is displayed on subsequent results until the failed quality control
(QC) result is rerun for the same control name and control level and the
result is within acceptable limits. When the control material cannot be
repeated to obtain an acceptable value, the procedure to clear a control
failure must be performed.
PSHH* (c-series Result may be affected by ICT sample measured immediately prior. The
ICT assays) sample must be rerun to verify that no affects have occurred.
Flag Description
LL or HH The result is outside the defined extreme range.
CORR* The result was produced by using a correlation version of the assay
*These flags are carried over from a constituent assay result to a calculated assay result.
Transmission Status
Transmission status information is used to determine the progress of a result transmission to the
host. The transmission status is displayed on the Result Details flyout.
Delete a Result
To delete released specimens, released controls, or exceptions, tap the appropriate tab on the Results
screen.
4 In the list on the tab, tap one or more results or exceptions (or tap Select All).
4 Tap Delete.
4 When a confirmation message is displayed, tap Yes.
Saline is configured as a reference photometric assay that the system uses to estimate the indices for a
sample.
Analysis of the three indices requires one additional cuvette for each sample
To order Sample Interference Indices select H, I, and L assays. You may order one or more of the
indices. You do not need to order the HILref assay. The system uses this assay file to calculate results.
If you order only the HILref assay, you will not get any H, I, or L results.
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An exception occurs when a test fails to complete.
The Exception tab on the Results screen displays rerun and unreleased test exceptions and test
exceptions that have been released manually or automatically for transmission.
A test exception remains on the Exception tab until the exception is deleted by an operator or is
deleted automatically after 24 hours based on the completion time of the exception.
Exceptions use the same patient result flags as original orders and rerun tests.
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The Message Code displays the numeric message code for the exception and the message text that
describes the error.
Use the available function buttons to print, access details, rerun, release, transmit or delete selected
items.
Any order can go to exceptions, but you can only rerun control and patient exceptions. Calibrator
exceptions must be deleted and reordered.
Stored Results
Once patient results are released, they are moved to the Specimen tab on the Results screen.
As with other screens the operator can search for, access details, transmit, delete, print, and/or
archive a released result.
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As previously presented in the Calibration and Control Training Modules. The Alinity ci-series has a
procedure to archive controls, calibrations and specimen results to a USB flash drive.
The archiving procedure for released samples or controls is performed from the Results screen by
accessing the Archive flyout.
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1. Access the Sample Status Screen, and view the results previously generated.
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Results screen
4. Find a result in the Result Status screen and delete the result.
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· If an exception was generated, find the exception and rerun the exception.
· If an exception was not generated, rerun any specimen as an automated dilution.
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Archiving
Review
1. Select all of the following tasks you should perform when preparing for operation. (Select all that
apply)
The test has been ordered and the sample has been scanned by the RSM bar code reader, but
instrument has not aspirated the sample.
a. Scheduled
b. Pending
c. In Process
d. Exception
e. Running
3. View the assay calibration status before sample processing is initiated or when a calibration status
indicator is displayed.
a. True
b. False
a. R
b. *
c. D
d. M
e. B
5. You can release a specimen result or a control result from either the Sample Status screen or the
Results screen.
a. True
b. False
6. Select all the correct sample barcode guidelines. (Refer to the Operations Manual to answer this
question)(Select all that apply)
b. Printer must have a minimum resolution of 300 dots per inch (DPI)
d. For sample bar code length, a 512 mm label fits a 75 mm sample tube and a 2 mm label fits a 100
mm sample tube.
7. To delete a sample result or an exception, begin by clicking ORDERS on the menu bar.
a. True
b. False
8. From which of the following screens can you add a comment to an order? (Select all that apply)
a. Orders
b. Sample Status
c. Results
d. Exceptions
9. Select all of the following dependencies for sample volume requirements: (Select all that apply)
a. Pipettor
10. On the Sample Status screen, the operator can view unreleased calibration and control results.
a. True
b. False
11. For i-series assays, no more that 10 tests for each sample that is loaded in sample cups should be
ordered.
a. True
b. False
Answer: a
12. For c-series ICT assays, no more than 15 tests for each sample that is loaded in sample cups or
tubes should be ordered.
a. True
b. False
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Module Topics
An Alinity ci-series System uses various detection technologies to measure analyte concentrations in
samples.
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After completing this module, you should be able to:
A beam of light is passed through a sample and the intensity of light that reaches a detector is
measured.
Beer’s Law establishes the mathematical relationship between the absorbance of the solution and the
concentration of the analyte.
The absorbance of the solution changes as the reaction progresses. Measurements occur either when
all the reactant is depleted and the reaction is stable (end-point assays) or when the reactant reaches a
stable rate (rate assays).
The c-series uses an optical measurement to obtain absorbance readings and then converts them to
assay-specific analyte concentration units or assay-specific qualitative interpretations.
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Potentiometric technology measures the electrical potential in a sample.
The c-series uses an integrated chip technology (ICT) module to measure potentiometric assays
(electrolytes).
The ICT module contains the following electrodes: Sodium (Na+), Potassium (K+), and Chloride (Cl-).
· ICT Reference Solution (once before and after each serum sample and twice before and after each
urine sample) to provide a reference potential that is used to calculate results.
· Samples (patient, quality control, and calibrator) to obtain readings that are used to calculate
results.
For each sample, the system compares millivolt readings from the sample to millivolt readings from
the ICT Reference Solution that is analyzed immediately after the sample. The difference in the
millivolt readings is used to calculate assay results.
Many kinds of assay-processing activities occur between sample aspiration and final result reporting.
Components that are located around the reaction carousel perform these activities.
The movement of the reaction carousel, the timing of these movements, and the position of the
components cause each reaction activity to occur at a specified time and location.
As each rotation occurs, the cuvettes pass the photometric position where the lamp is located, and the
photometer measures the absorbance of each cuvette.
Activities occur at specified times and locations. The maximum reaction time is 10 minutes.
· The cuvette is cleaned with Alkaline Wash, Acid Wash, and purified water.
· Then, the cuvette washer dispenses purified water into the cuvette for the water blank
· Measurement, which ensures cuvette integrity.
· Finally, the cuvette washer aspirates the water and dries the cuvette.
Some assay protocols also use the following activities:
If onboard dilution is required, the sample pipettor aspirates the diluted sample and dispenses
the sample into the new cuvette that is located at position 1.
If a second reagent is required for the reaction, reagent 2 pipettor dispenses the second
reagent, then the mixer 2 mixes the second reagent with the sample and reagent mixture.
For an ICT sample, the ICT probe aspirates the diluted sample into the ICT unit.
1. At position 1, the sample pipettor aspirates sample and then dispenses the sample into a cuvette.
2. At position 2, the reagent 1 pipettor aspirates reagent and then dispenses the reagent into the
cuvette.
3. At position 3, mixer 1 mixes the sample and the reagent.
4. At positions 4 through 153, the reaction mixture incubates, and the photometer measures the
absorbance each time that the cuvette passes the photometric position.
5. At positions 154 through 182, the cuvette washer aspirates the reaction mixer to waste and cleans
the cuvette with Alkaline Wash, Acid Wash, and purified water. Then, the cuvette washer dispenses
purified water into the cuvette for the water blank measurement, which ensures cuvette integrity.
Finally, the cuvette washer aspirates the water and dries the cuvette.
1. At position 1, the sample pipettor aspirates sample and then dispenses the sample into a cuvette.
2. At position 2, the reagent 1 pipettor aspirates reagent and then dispenses the reagent into the
cuvette.
3. At position 3, mixer 1 mixes the sample and the reagent.
4. At positions 4 through 74, the reaction mixture incubates, and the photometer measures the
absorbance each time that the cuvette passes the photometric position.
5. At position 75, the reagent 2 pipettor aspirates the reagent and then dispenses the second reagent
into the cuvette.
6. At position 76, mixer 2 mixes the second reagent with the sample and reagent mixture.
7. At positions 77 through 153, the reaction mixture incubates, and the photometer measures the
absorbance each time that the cuvette passes the photometric position.
8. At positions 154 through 182, the cuvette washer aspirates the reaction mixer to waste and cleans
the cuvette with Alkaline Wash, Acid Wash, and purified water. Then, the cuvette washer dispenses
purified water into the cuvette for the water blank measurement, which ensures cuvette integrity.
Finally, the cuvette washer aspirates the water and dries the cuvette.
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1. At position 1, the sample pipettor aspirates sample and then dispenses the sample into a cuvette.
2. At position 2, the reagent 1 pipettor aspirates reagent and then dispenses the reagent into the
cuvette.
3. At position 3, mixer 1 mixes the sample and the reagent.
4. At position 5, the sample pipettor aspirates the diluted sample and then dispenses the diluted
sample into a new cuvette. Then, the system processes the diluted sample according to the one-
reagent or two-reagent protocol as appropriate.
1. At position 1, the sample pipettor aspirates sample and then dispenses the sample into a cuvette.
2. At position 2, the reagent 1 pipettor aspirates reagent and then dispenses the reagent into the
cuvette.
3. At position 3, mixer 1 mixes the sample and the reagent.
4. At position 5, the sample pipettor aspirates the pretreated sample and then dispenses the
pretreated sample into a new cuvette. Then, the system processes the pretreated sample according to
the one-reagent or two-reagent protocol as appropriate.
· This option is available only when the assay parameters are installed from an assay file that is
provided by Abbott Laboratories.
· The two assays must be ordered at the same time when calibrations, specimens, and controls are
processed.
· Each assay generates its own calibration, control results, and specimen results.
· Information from the General tab of the Assay Parameters screen can be used to determine if an
assay is a primary or a secondary assay.
SmartWash feature
SmartWash is a c-series feature that provides an additional wash process (when needed) for reagent
probes, sample probes, and cuvettes.
The SmartWash feature is used during assay processing to reduce interference (carryover) between
specific assay combinations.
The configuration of SmartWash parameters for Abbott reagents is determined by reagent carryover
studies which identify assay pairs that do not meet the reagent carryover criteria.
· Configure the assay combination as a SmartWash pair to reduce reagent carryover between assays
known to demonstrate it.
· To minimize the consecutive measurement of assays configured as SmartWash pairs, the c-series
uses the optimum sampling sequence feature, which automatically changes the sampling sequence.
¥ For videos associated withe the processes below, see the Alinity ci-series
Operations manual Section 3 Principles of Operation>Principles of
Operation (c-series)>Potentiometric method (c-series)>ICT measurement>
ICT Reference Solution Sample Delivery and Processing.
During ICT Reference Solution delivery and processing, the ICT Reference Solution cup is filled with
the ICT Reference Solution, which is analyzed, and then the waste is removed:
The ICT reference solution cup is filled with ICT Reference Solution
1. The syringe on the left side of the ICT Reference Solution pump moves the ICT Reference Solution
from the bottle, through the warming ring, and into the ICT Reference Solution cup.
2. The ICT unit moves down to position the ICT probe in the ICT Reference Solution cup.
4. The ICT module measures the ICT Reference Solution. The system converts the measurements into
millivolt readings that are used for reference when sample result concentrations are calculated.
Waste is Removed.
5. The syringe on the right side of the ICT aspiration pump moves the ICT Reference Solution from
the ICT module to the high- concentration waste compartment.
6. The syringe on the left side of the ICT aspiration pump moves the liquid waste from the high-
concentration waste compartment.
7. The syringe on the left side of the ICT aspiration pump moves the liquid waste to the high
concentration waste tubing.
8. The syringe on the right side of the ICT Reference Solution pump moves the remaining ICT
Reference Solution from the ICT Reference Solution cup.
9. The syringe on the right side of the ICT Reference Solution pump moves the solution to the low-
concentration waste compartment in the water bath overflow and waste area.
10. Gravity causes the liquid waste to drain from the low- concentration waste compartment in the
water bath overflow and waste area to the low-concentration waste tubing.
During ICT sample delivery and processing, the sample and the ICT Sample Diluent are dispensed,
the sample is analyzed, and then the waste is removed:
2. Reagent pipettor 1 dispenses 69 µL of ICT Sample Diluent (ICTD5) and 276 µL of water into the
cuvette.
4. The reaction carousel continues to rotate until the cuvette aligns with the ICT unit. The cuvette
alignment occurs after 37 reaction carousel movements.
5. The ICT unit moves out and down to position the ICT probe in the cuvette.
6. The syringe on the right side of the ICT aspiration pump aspirates the sample from the cuvette into
the ICT module.
7. The ICT module measures the sample. The system converts the measurements into millivolt
readings that are used to calculate sample result concentrations.
Waste is removed.
1. The syringe on the right side of the ICT aspiration pump moves the sample from the ICT module to
the high-concentration waste compartment.
2. The syringe on the left side of the ICT aspiration pump aspirates the liquid waste from the high-
concentration waste compartment.
3. The syringe on the left side of the ICT aspiration pump moves the liquid waste to the high-
concentration waste tubing
¥ Note: It is normal for bubbles to appear in the right syringe of the ICT
reference solution pump and the left syringe of the ICT aspiration pump..
1. At position 1, the sample pipettor aspirates sample and then dispenses the sample into a cuvette.
2. At position 2, the reagent 1 pipettor aspirates ICT sample diluent and then dispenses the ICT
sample diluent into the cuvette.
3. At position 3, mixer 1 mixes the sample and the ICT sample diluent.
4. At position 40, the ICT probe aspirates the diluted sample, and then the ICT module analyzes the
diluted sample.
¥ Note: The ICT module analyzes the ICT Reference Solution once before
and after each serum sample to provide a referent potential that is used to
calculate results.
5. At positions 154 through 182, the cuvette washer aspirates the reaction mixture to waste and cleans
the cuvette with Alkaline Wash, Acid Wash, and purified water. Then, the cuvette washer dispenses
purified water into the cuvette for the water blank measurement, which ensures cuvette integrity.
Finally, the cuvette washer aspirates the purified water and dries the cuvette.
Basics of Chemiluminescence
Chemiluminescent microparticle immunoassay (CMIA) is a detection technology used to measure
analyte concentration.
The CMIA technology detects the presence of antigens, antibodies, and analytes in patient samples.
The following reactants are the necessary reactants for CMIA detection technology:
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A CMIA reaction sequence is the order of interactions between the analyte in the sample and the
reactants. The sequence is specific to the assay protocol.
1. The sample and the paramagnetic microparticles coated with capture molecules are dispensed into
the reaction vessel (RV). The vortexer mixes the reaction mixture.
2. The reaction mixture incubates. The analyte in the sample binds to the capture molecules on the
paramagnetic microparticles and forms an immune complex.
3. A magnet attracts the paramagnetic microparticles (which are bound to the specific analyte) to a
wall of the RV. The wash zone assembly washes the reaction mixture to remove unbound materials.
Additional assay processing can now occur.
4. The pipettor dispenses a chemiluminescent, acridinium- labeled conjugate into the RV. The
conjugate binds to the immune complex to complete the reaction mixture. The vortexer mixes the
reaction mixture. The reaction mixture incubates.
5. The wash zone assembly washes the reaction mixture to remove unbound materials.
6. The Pre-Trigger Solution nozzle dispenses the Pre-Trigger Solution (hydrogen peroxide) into the
reaction mixture. The vortexer mixes the reaction mixture. The Pre-Trigger Solution:
· Creates an acidic environment to prevent the early release of energy (light emission helps to prevent
any clumping in microparticles
· Separates the acridinium dye from the conjugate that is bound to the microparticle complex. This
action prepares the acridinium dye for the next step.
7. The Trigger Solution nozzle dispenses the Trigger Solution (sodium hydroxide) into the reaction
mixture. The Trigger Solution creates an alkaline environment that, with the exposure to peroxide in
the Pre-Trigger Solution, causes the acridinium dye to undergo an-oxidative reaction. The oxidative
reaction causes a chemiluminescent reaction to occur. N-methylacridone forms and releases energy
(light emission) as N-methylacridone returns to its ground state.
The CMIA optical system measures the chemiluminescent emission (activated read) over a predefined
time period to determine a result.
¥ For video associated with information above, see the Alinity ci-series
Operations Manual, Section 3 Principles of Operation>Principles of
Operation (i-series)>CMIA method (i-series)>CMIA technology and
reaction sequence.
The following are the assay protocols or assay-processing methods on the instrument.
Many kinds of assay-processing activities occur between sample aspiration and final result reporting.
Movements of the process path, the timing of these movements, and positions of components cause
each reaction activity to occur at a specified time and location.
The steps in the table below describe the general assay processing activities and the CMIA reaction
that occurs in an i-series. These steps are not specific to a particular assay protocol.
1. The sample and the paramagnetic microparticles coated with capture molecules are dispensed into
the reaction vessel (RV). The vortexer mixes the reaction mixture.
2. The reaction mixture incubates. The analyte in the sample binds to the capture molecules on the
paramagnetic microparticles and forms an immune complex
3. A magnet attracts the paramagnetic microparticles (which are bound to the specific analyte) to a
wall of the RV. The wash zone assembly washes the reaction mixture to remove unbound materials.
Additional assay processing can now occur.
4. The pipettor dispenses a chemiluminescent, acridinium-labeled conjugate into the RV. The
conjugate binds to the immune complex to complete the reaction mixture. The vortexer mixes the
reaction mixture. The reaction mixture incubates.
5. The wash zone assembly washes the reaction mixture to remove unbound materials.
6. The Pre-Trigger Solution nozzle dispenses the Pre-Trigger Solution (hydrogen peroxide) into the
reaction mixture. The vortexer mixes the reaction mixture. The Pre-Trigger Solution:
· Creates an acidic environment to prevent the early release of energy (light emission).
· Helps to prevent any clumping in microparticles.
· Separates the acridinium dye from the conjugate that is bound to the microparticle complex. This
action prepares the acridinium dye for the next step.
8. The Trigger Solution nozzle dispenses the Trigger Solution (sodium hydroxide) into the reaction
mixture. The Trigger Solution creates an alkaline environment that, with the exposure to peroxide in
the Pre-Trigger Solution, causes the acridinium dye to undergo an oxidative reaction. The oxidative
reaction causes a chemiluminescent reaction to occur. Nmethylacridone forms and releases energy
(light emission) as N-methylacridone returns to its ground state.
9. The CMIA optical system measures the chemiluminescent emission (activated read) over a
RV Wash Process
The wash zone assemblies (WZ1 and WZ2) dispense the wash buffer into reaction vessels (RVs), and
remove and discard the unbound analyte from the reaction mixture in the RVs.
Each wash zone has four positions where the following actions occur:
· At each position, a magnet attracts paramagnetic microparticles to the wall of the RV.
· At position 1, a dispense nozzle dispenses the wash buffer into the RV.
· At position 2 and position 3, a vacuum is applied to the wash zone probes as they move to the
bottom of RVs and aspirate the liquid from RVs. In addition, nozzles dispense the wash buffer into
RVs. Additional wash and aspiration cycles occur at these positions.
· At position 4, a wash zone probe aspirates liquid waste from the RV
Review
1. Select all of the following reactants and analytes that are necessary for chemiluminescent
microparticle immunoassay (CMIA) detection technology: (select all that apply)
a. Trigger Solution
b. Paramagnetic microparticles coated with capture molecules (antigen, antibodies, or viral particles)
that are specific for the analyte being measured
c. Pre-Trigger Solution
e. Acridinium-labeled conjugate
f. Alkaline Wash
2. The CMIA optical system measures the sample absorbance for the quantification of analyte
concentration.
a. True
b. False
3. The sample interference indices protocol could be used if a sample was hemolyzed.
a. True
b. False
4. Select all of the electrolytes measured by the integrated chip technology (ICT): (Select all that
apply)
a. Magnesium (Mg)
c. Chloride (Cl-)
d. Sodium (Na+)
e. Potassium (K+)
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Module Topics
Quality control analysis is the process by which quality control (QC) data is monitored. QC data
includes both unreleased and released control results.
· Levey-Jennings graphs
· Westgard rules
· Control range tracking
· QC data summaries
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After completing this module, you should be able to:
Analyze QC Data
The Alinity ci-series monitors QC data through:
· The Alinity ci-series compares a completed control result against the expected mean and standard
deviation for the control level.
· Previous results, released and unreleased, for the same assay and module are considered in the
analysis. Control results that are marked as excluded are not considered.
· All Westgard rules that are enabled for the assay are evaluated.
Control Screen
Under the Configure screen, Assay tab, the Quality Control screen can be used by a supervisor
log on or higher to configure, import, edit and delete multi-constituent and single-constituent
controls. Operators can view quality control settings.
Control expected mean and SD values must be entered to enable utilization of quality control reports,
Levey-Jennings graphs, and quality control summary data.
Use of the Quality Control screen and control configuration options will be covered in more detail in
the Configuration Options module.
Westgard Rules
When Westgard rules are configured, the operator can view the Westgard rule settings for each assay
installed on the system on the Westgard screen.
Westgard rules that are configured as a failure are evaluated first, and then the rules that are
configured as a warning are evaluated. The default settings are:
Only Westgard rules that are configured with failure criteria produce a CNTL flag for a specimen
result.
The following are the Westgard rules used by the Alinity ci-series:
· 1-2s
· 1-3s
· 2-2s 1R 1M
· 2-2s 1R xM
· 2-2s xR 1M R-4s
· 4-1s 1M
· 4-1s xM
· 10-1M
· 10-x xM
The quality control summary data is not displayed if the values for expected mean and expected
standard deviation (1 SD) are not defined for the control.
To display the QC summary data for one module, tap a Module button. Module 6 displays the quality
control summary data for calculated assays.
An assay control level that has a control failure is displayed in red text on the Quality Control
Summary screen
A control failure can occur as the result of a value that exceeds a control range or a Westgard rule
failure.
Tap the assay control level that has a control failure. In the Clear Control Failure flyout, the operator
can clear a control failure by tapping Clear Control Failure.
A comment is required when a control failure is cleared. When you enter a comment, Informational
message code 1171 is generated in the System Logs. The comment is included in the message text.
After the control failure is cleared, the text of the assay control level is displayed in black
¥ To locate the procedure using the online Procedure Map refer to the
following locations:
· View a maximum of six Levey-Jennings graphs and the statistical data for the same control name
and lot number for a specific processing module.
· View the Levey-Jennings graphs for the same assay, control name, and lot number for a maximum
of four processing modules of the same type in a multimodule system.
· Change the criteria for a Levey-Jennings graph and its data.
· Include or exclude points from a Levey-Jennings graph.
· Print a Levey-Jennings report.
The previous selections for module, assay, control name, lot number, control level, and date range are
displayed on the Quality Control Summary screen.
To create a Levey-Jennings Graph begin by tapping a Module button to display the QC summary
data for one module, tap module 6 to display the QC summary data for calculated assays.
· The default Date Range is composed of the last 31 days, including the current date.
· To edit type a value in the Date Range box and type a value in the To box.
· Tap Update.
In the list of QC summary data, tap a maximum of six assay control levels for the same assay, control
name, and lot number. Then Tap Graph.
On the Levey-Jennings (Graph) screen, tap a comparison type in the Comparison Type drop-down
list. There are four choices:
2. Manufacture: compares the expected mean and expected SD to the manufacturer’s mean and SD
that are configured for the control.
3. Module Cumulative: compares the expected mean and expected SD to the cumulative mean and
cumulative SD of the selected module.
4. System Cumulative: compares the expected mean and expected SD to the cumulative mean and
cumulative SD of all modules in a multimodule system.
The Points Details screen is accessed by tapping a point on the created Levey-Jennings graph.
After a point is included or excluded, the system software recalculates the cumulative mean, SD, and
sample size for the quality control (QC) data. Excluded points are not included in the recalculation.
The system software does not recalculate the Westgard data if more than 5000 QC data points are
pending an adjustment
¥ To locate the procedure using the online Procedure Map ref to the
following locations:
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Levey-Jennings point
1. Select a control and view a Levey-Jennings graph. Record the control and the date range
selected.
2. Using the Levey-Jennings graph created, identify a point and record its value.
3. Record the date and time the control point was run.
5. Using the selected control point, add a comment. Record the comment and verify that the
comment appears with the point.
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Clear a Control Failure
1. If there is a control that is out of range or failed a Westgard rule, clear the control flag from patient
results.
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View the quality control (QC) summary data
1. Select a different control and view the summary date. Record the control and the date range
selected
Review
1. QC data includes both unreleased and released control results.
a. True
b. False
2. When Westgard rules are configured, upon completion of the control the system compares a control
results against the expected mean and standard deviation for the control level.
a. True
b. False
3. Control results for an assay are evaluated at completion against all Westgard rules that are enabled
for the assay.
a. True
b. False
4. Select all of the following functions the operator can perform on the Levey-Jennings graph screen:
(Select all that apply)
b. View a maximum of six Levey-Jennings graphs and the statistical data for the same control name
and lot number for a specific processing module.
d. View the Levey-Jennings graphs for the same assay, control name, and lot number for a maximum
of four processing modules of the same type in a multimodule system.
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Module Topics
A thorough maintenance program minimizes downtime, maintains records for inspection and
accreditation, and maintains system performance to provide optimal test results. This module will
provide you with basic knowledge about performing maintenance.
· Maintenance suggestions
· Maintenance tab
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After completing this module, you should be able to:
Maintenance
The system software provides a user-friendly interface to perform and track maintenance and
diagnostic activities.
The Procedures screen displays maintenance and diagnostic procedures that can be performed.
· The Maintenance tab includes scheduled procedures to perform and as-needed cleaning
procedures to perform.
· The Diagnostics tab includes procedures that can be used to confirm the status of assemblies and
mechanisms to help identify and resolve operational problems
Each maintenance category is represented by a tab on the right side of the Maintenance tab of the
Procedures screen.
After initiating a procedure, follow step-by- step instructions through the procedure to completion.
Procedures may have pictures and videos associated with them to assist, it is important to always also
read the steps of the procedure before hitting proceed to go to the next steps.
The online log indicates the date and time that the procedure is completed. The performance of the
procedure is tracked in the online log.
Review the procedure key setting. The key setting for each procedure can be found in the Procedure
Details flyout.
The operator should be familiar with the names and locations of hardware components that
are replaced or cleaned during weekly, monthly, triannual, quarterly, semiyearly or as needed
maintenance.
Weekly Maintenance
The following are the required Weekly Maintenance procedures for both instruments:
c-series
· Clean cuvettes with Detergent A
4 Automated procedure. Takes 30 minutes to complete.
i-series
· Manual Pipettor Probe Cleaning
4 All three pipettors are cleaned with purified water and a lint free cloth to remove salt buildup.
· Manual Wash Zone Probe Cleaning
4 All three probes on wash zone 1 and wash zone 2 are cleaned to remove salt buildup. Clean each
wash zone manifold where the probe enters the manifold.
· Manual Wash Cup Cleaning
4 The baffle will fit into the wash cup either way, it is very important to place it into the cup the
correct way with the tab towards the valves and away from the pipettor.
Monthly Maintenance
Below are required Monthly Maintenance procedures.
c-series
4 Clean ICT Drain Tip
i-series
There are seven total 1 mL syringes. All 7 syringes must be replaced during routine quarterly
maintenance if the system is configured to use the ICT module system. It if is not configured to use the
ICT Module, only the three wash solution 1 mL syringes are changed.
There are 3 total ICT Check Valves in the pump center on the ICT reference solution pump and ICT
aspiration pump. Both ICT reference solution pump check Valves must be checked during routine
quarterly maintenance. The check valve on the ICT aspiration pump must be replaced.
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Waste Sensor
· This procedure is required only if the high-concentration waste bottle is installed.
Quarterly Maintenance
Below are required Quarterly Maintenance procedures
c-series
5. Sample Syringe
6. Reagent 1 Syringe
7. Reagent 2 Syringe
¥ Note: These procedures might be best to be done with two people so that
one person can read the instructions on the screen, while the other person
sits in front of the syringes and performs the steps.
This maintenance procedure replaces the sample syringe O-ring and sample syringe seal tips 1 and 2.
This procedure involves four major steps:
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· There are two wash solution syringes located behind the 1mL syringes on the Wash Solution Pump.
The quarterly maintenance procedure replaces wash solution syringes O-ring and seal tips 1 and 2
· This procedure involves six major steps:
¥ NOTE: When you remove these tubings, you may want to use tape to label
them Left, Middle, Right so that it is easier when you put the syringes
back in place.
Change Lamp
· Wear gloves when performing this procedure. Residual oil from an ungloved hand on the glass
surface of the lamp shortens the lamp life.
· Be careful when removing the lamp it will be hot.
· The lamp requires a 30 minute warm-up period after replacement before any assay processing can
be performed.
· Perform quality control testing before assay processing
· If tubing discoloration or obstruction is found, As-Needed procedure 5901 Clean Wash Cups
(c-series) is required to be performed. This procedure instructs on decontamination of the wash
cups.
i-series
Semiyearly Maintenance
The following are the required Semiyearly procedures.
c-series
i-series
Air Filter Cleaning Rotating between two sets of air filters is recommended because the filters must be
dry when they are reinstalled.
¥ To locate the procedures using the online Procedure Map refer to the
following locations:
ĐƟǀ ŝƚLJϭ
Perform the i-series Weekly Maintenance
1. Perform all Weekly Maintenance procedures using the video in the procedure as a guide.
ĐƟǀ ŝƚLJϮ
Perform the c-series Monthly
Maintenance procedure
1. Perform the c-series Monthly Maintenance using the video in the procedure as a guide.
ĐƟǀ ŝƚLJϯ
Perform c-series Quarterly
Maintenance procedures
1. Perform the Quarterly Maintenance procedures identified by your facilitator using the instructions
and videos in the procedures as a guide.
o 5808 Inspect Wash Cup Tubing: Inspect the wash cup tubing for any
discoloration or obstructions.
ĐƟǀ ŝƚLJϰ
Perform the c-series Weekly
Maintenance procedure
ĐƟǀ ŝƚLJϱ
Perform the c-series Triannual
Maintenance procedure
o 5834 Check and Change ICT Check Valves (c-series). Replace one ICT
check valve.
ĐƟǀ ŝƚLJϲ
Perform the i-series Semiyearly Maintenance procedure
As-Needed Maintenance
There is another category of maintenance called As-Needed Maintenance. These are a wide range of
established maintenance procedures that you may need to perform for troubleshooting purposes or in
response to an operating error.
The operator can perform as-needed maintenance procedures for the c-series processing module
to clean cuvettes and module-specific reagent and sample manager (RSM) mechanisms when
messages codes and observed problems associated with the cuvettes and the module specific RSM are
diagnosed.
The operator can perform as-needed maintenance procedures for the i- series processing module
to clean and decontaminate the processing module or module-specific reagent and sample manager
(RSM) mechanisms after a spill has occurred or when message codes and observed problems
associated with the processing module or the module-specific RSM are diagnosed.
c-series
· Clean Wash Cups
· Clean Sample and Reagent Probes
· Clean Mixers
· Clean Cuvette Washer Nozzles
· Wash Cuvettes
· Manual RSM Loading Area and Positioners Cleaning
i-series
Manual RSM Loading Area and Positioner Cleaning
The operator can perform the as- needed maintenance procedure for the reagent and sample manager
(RSM) to clean RSM mechanisms after a spill has occurred or when message codes and observed
problems associated with the RSM are diagnosed.
¥ NOTE: The as-needed maintenance procedure for the reagent and sample
manager (RSM) contains instructions for how to clean the RSM barcode
reader if errors are occurring.
RSM
· Manual RSM Transport Cleaning
Unscheduled Cleaning
Some system components may need to be cleaned or decontaminated because of normal use from
daily system operations or because of spills.
The system stores data for a maximum of 2 years. The operator can perform the following functions:
· Approve a log.
· Print a log.
· Add a comment to a procedure.
Maintenance Tab
The Maintenance Tab displays the maintenance logs.
The following table explains the descriptive elements of the maintenance logs:
Element Description
Gray box Indicates that the procedure has a status of Scheduled, Pending,
Canceled, Not Performed, or Failed. If the procedure is performed
multiple times on the same day, the status of the last performed
procedure is displayed.
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The Diagnostics Tab displays the diagnostic logs.
The following table explains the descriptive elements of the diagnostic logs:
Element Description
Gray box Indicates procedures that did not complete successfully. If the procedure
is performed multiple times on the same day, the status of the last
performed procedure is displayed.
Add Comment
4 If Procedures is not an icon on the menu bar, tap System, and then tap Procedures
4. In the Activity Month area, tap the Right Arrow and Left Arrow buttons to display the needed
month.
4 If the procedure is not displayed on the screen, flick up and down to view more procedures.
6. To display the procedure in the Details for Log flyout, tap a date for the procedure.
7. If the procedure was performed multiple times on that date, tap Next or Previous to display the
details for each time that the procedure was performed.
9. To save the comment and return to the Log screen, tap Done.
4 To discard the comment and return to the Log screen, tap Cancel.
If a completed procedure icon has * in it, that means a comment was entered for that instance.
Once a new month starts, the Maintenance Log for the previous month is available for approval ---
you cannot approve a current or future month.
Comments may still be made after the log is approved, but will reflect the date and time of the original
approval.
¥ To locate the procedures using the online Procedure Map refer to the
following locations:
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Add Comment to Maintenance Procedure
1. Add a comment to an c-series Monthly Maintenance procedure once it has been performed.
2. Add a comment to an i-series Weekly Maintenance procedure once it has been performed
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Review the Maintenance Log
2. If a previous month’s log has not been approved, approve the log
Review
1. The Maintenance tab includes scheduled and As-Needed Maintenance cleaning procedures to
perform.
a. True
b. False
2. In which one of the following time frames do you approve a Maintenance Log?
a. Annually
b. Weekly
c. Monthly
d. Daily
3. What screen does the operator access to view scheduled and in process maintenance?
a. Supplies
b. System
c. Alert Center
d. Procedure
Module Topics
Operational problems with the instrument are characterized by symptoms. Troubleshooting tools,
references, and suggested techniques help to trace and resolve the symptom to one or more root
causes.
· System troubleshooting
· System diagnostics
· Miscellaneous corrective action procedures
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After completing this module, you should be able to:
o Describe what the operator can view and perform on the System
Logs screen
-Section 10 Troubleshooting
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To identify and resolve operational problems, become thoroughly familiar with normal system
operation.
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The following troubleshooting model describes a five-step approach to defining symptoms, identifying
root causes, and implementing solutions.
To troubleshoot the system, include considerations that are appropriate to the laboratory
environment.
To properly analyze and resolve a problem, investigate what is incorrect and observe what is correct.
Symptoms help to identify the problem area and to eliminate areas that operate correctly.
· Message codes
· Observed problems such as a noise, a fluid leak, a monitor that flickers, or a trend in controls
· System
· Reagents
· Operator
· Environmental
Based on the probable causes that are identified, devise a plan that first addresses the most likely
cause and then progresses to the least likely cause.
Address one probable cause at a time to isolate the resolution, and then apply the resolution to a
specific problem.
Utilize the System Help, Alinity ci-series Operations Manual and product documentation such as
reagent and consumable information.
If symptoms continue to occur, perform the steps to resolve the next most likely problem. Repeat this
process until the problem is resolved.
Alert Center
The Alert Center button is located in the upper left corner of the Home Screen.
Status indicators called badges are displayed on icons to notify the operator when a specific system
problem requires attention:
Red triangle (alert): indicates system problems that require immediate attention.
Amber circle (notification): indicates system problems that require attention that is not immediate.
Pressing the Alert Center button displays the Alert Center flyout that contains alert and notification
messages for system problems that require attention.
· View the last 25 alerts and notifications. After 25 are reached, the message codes are first-in, first
out.
· View the probable cause and corrective action for a message.
· Clear all messages.
· Delete a single message.
Messages are sorted based on newest to oldest. There are three tabs in the Alert Center flyout:
¥ NOTE: Critical messages (which are generated via a pop-up) are not
stored in the Alert center flyout. When a critical message is acknowledged,
it goes into the System Logs.
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? Message displays Help from the operations manual for the selected message code. This displays
the probable cause and corrective action from operations manual for the selected message. Probable
causes are listed from most likely to least likely in occurrence.
? displays Help from the operations manual for the active screen, flyout, or message code.
· Clear All messages: Select the Clear All function button. A message requesting confirmation to clear
all messages in the Alert Center is displayed.
· To delete a single message: Tap the message to delete, and then tap the Close button in the upper-
right corner of the message box.
¥ To Access the Alert Center Flyout refer to the Alinity ci-series Operations
Manual Section 10 Troubleshooting
¥ To locate the procedures using the online Procedure Map refer to the
following locations:
Probable causes and associated corrective actions are provided for each Message Code in the Alinity
ci-series Operations Manual.
Corrective actions may involve hazardous activity. Follow directions and safety information provided
in the Alinity ci-series Operations Manual.
¥ If the corrective actions for a Message Code do not resolve the problem,
contact the local representative or find country-specific contact
information at www.corelaboratory.abbott.
System Logs
The System Logs screen contains the following tabs:
Tab Description
All messages A record of all system messages that can be used to troubleshoot
problems associated with system performance and results
reporting.
Alerts and A record of alerts, critical and noncritical messages.
notifications
Informational A record of informational messages.
Inventory A record of supply-related messages.
User access A record of new users that have been created, edits to user data,
and logon and logoff events.
Configuration A record of changes to configuration.
Interfaces A record of host interface communication messages.
Abbott Mail A record of Abbott Mail activities and status messages.
· Assay File
· Assay Insert
· System Update
· Calibrator Data
The operator can perform the following functions on the System Logs screen:
· Print a log.
· Search for specific log data.
· Message Help.
Message codes can be filtered by message types and message categories by selecting the appropriate
tab.
Cleared messages from the Alert Center are retained in system logs.
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View a Message Code
2. Then view and list the probable cause and steps to correct the problem.
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Use Alert Center to view Message Code
2. Then view and list the probable cause and steps to correct the problem.
Observed Problems
Observed problems provide information about problems that may occur on the system and provide
corrective actions that help to resolve the problems.
· Processing Module
· Sample Results
· User Interface (UI) computer
· Printer
Emergency Shutdown
To perform an Emergency Shutdown, power off the processing module and reagent and sample
manager using the main power breaker at the rear of the instrument.
To remove all power to one or more of the processing modules and the reagent and sample manager,
unplug the power connector from the power supply for each processing module and the SCM.
¥ To locate the procedures using the online Procedure Map refer to the
following locations:
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View an observed problem
1. Using the Operations manual (Help), view an observed problem and list the probable cause and
steps to correct the problem.
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A thorough diagnostics program gives the operator the tools to identify and resolve operational
problems and verify that a problem has been resolved.
· Identify a problem.
· Help resolve the problem.
· Verify that the problem has been resolved.
· During component replacement, verify the component has been replaced correctly.
To view or perform a diagnostic procedure begin by selecting the Procedures icon in the Menu Bar.
· If Procedures is not an icon on the menu bar, tap System, and then tap Procedures.
The Procedures screen displays maintenance and diagnostic procedures that can be performed. On
the Procedures screen, tap on the Diagnostics tab, then tap a Module button.
Diagnostic procedures are grouped first by module type and then by category. The type of module
determines the categories and procedures that are available. Each category is represented by a tab on
the right side of the Diagnostics tab of the Procedures screen.
The All tab displays all procedures for the selected module. Each additional tab represents a
functional subsection of the system.
· Optics
· Pipettors
· Fluids-wash
· Temperature
· RV loader (i-series)
· Process path (i-series)
· Sample management
· Reagent management
· Module
· Utilities
· Reaction mechanisms (c-series)
· ICT (c-series)
Maintenance and diagnostic procedure status refers to the completion status of a procedure and were
reviewed in Training Module 5 Daily Maintenance.
Common diagnostics procedures might include pipettor calibrations (sample and reagent for both
c-series and i-series) and RSM calibration (can be used if the RSM is giving pick errors and seems not
to be aligned).
¥ To locate the procedures using the online Procedure Map refer to the
following locations:
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ĐƟǀ ŝƚLJϱ
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Instructor Demonstration
The facilitator will review miscellaneous corrective action
procedures, including:
Racks may have to be manually removed from the sample positioners in the following situations:
· Power to the processing module or the reagent and sample manager (RSM) is interrupted.
· An error has caused the instrument status of the processing module or the RSM to transition
unexpectedly to Stopped.
· A maintenance procedure or a diagnostic procedure has caused the instrument status of the
processing module or the RSM to transition unexpectedly to Stopped.
¥ To locate the procedures using the online Procedure Map to refer to the
following locations:
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1. Locate the procedure in the Operations Manual and then perform Remove racks from the sample
positioners.
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1. Locate the procedure in the Operations Manual and then perform Empty a bulk solution reservoir
(c- series).
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1. Locate the procedure in the Operations Manual and then perform Empty a bulk solution reservoir
(i- series)
Review
1. To access Diagnostic procedures, you must first tap the Alert Center.
a. True
b. False
2. Select all of the following that can indicate a system problem. (Select all that apply)
b. Trend in controls
c. Message codes
d. Flickering Monitor
3. The Alert Center flyout displays alert and notification messages for system problems that require
attention.
a. True
b. False
4. If an emergency situation occurs, locate the main power breaker on the rear of the system control
module (SCM) and all processing modules and switch them to the OFF/ON position.
a. True
b. False
5. Which one of the following steps do you complete first when emptying the bulk solution reservoir
(c-series)?
d. Open the bulk solution door and pull out the reservoir tray.
6. Which one of the following actions do you take to delete a single message from the Alert Center?
c. Tap the message to delete, and then tap the Close button in the upper-right corner of the message
box.
7. Select all of the following situations that prompt you to remove sample and vial racks from the
inner and outer sample positioners: (select all that apply)
a. A maintenance procedure or a diagnostic procedure has caused the instrument status of the
processing module or the RSM to transition unexpectedly to Stopped
b. Power to the processing module or the reagent and sample manager (RSM) is interrupted
c. An error has caused the instrument status of the processing module or the RSM to transition
unexpectedly to Stopped
d. An error has caused the instrument status of the RSM to transition to Paused
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Module Topics
System components may need to be replaced due to normal wear from daily operations or
troubleshooting.
K ďũĞĐƟǀ ĞƐ
After completing this module, you should be able to:
Component Replacement
Component replacement involves three key tasks:
The operator can find component replacement instructions in the online Operations Manual. The
procedure will inform if the procedure key is required to be in the On position.
When replacing components, the following general safety precautions should be observed:
· Replaced components and materials used during component replacement (for example, absorbent
towels or tissues) should be disposed of in accordance with the waste disposal procedures in your
laboratory.
· When drips or leaks occur, clean up the liquid and decontaminate the surface if necessary.
Always observe all warnings and cautions in the operations manual associated with the particular
component being replaced.
Following component replacement procedures, always review the operations manual for verification
procedures that must be performed after component replacement. It is also advisable to run Quality
Control as recommended to verify the system performance prior to reporting sample results.
Replace c-series
System Components
Replacing components due to normal wear from daily operations helps maintain system performance
to provide optimal test results.
Certain c-system processing center components may need to be replaced because of normal wear from
daily system operation:
ZĞĐŽŵŵĞŶĚĂƟŽŶƐĂŶĚE ŽƚĞƐ͗
· When removing the sample probe:
4 Loosen (but do not remove) the probe screw and the screw securing the sample probe ground
wire.
4 Be careful not to flare or stretch the sample probe tubing when installing the new sample probe.
4 Tubing needs to fit firmly on the sample probe, but must not be pushed past the bend of the
probe so that the tubing does not become too loose.
4 If the tubing is loose or if the probe has been replaced several times by using the same tubing,
replacing the sample probe tubing is recommended.
4 Ensure the sample pipettor cover is not pinching the sample probe tubing and is secured
completely for correct level sensing. In order to seat the probe cover correctly, follow the
operations manual instructions to align the back of the probe cover vertically and then lower
down into place.
4 Recording and tracking the date of the sample probe installation is recommended to ensure that
the sample probe is not used for longer than the following intervals:
§ Six months for systems that use whole blood assays
§ One year for systems that do not use whole blood assay
- TIP: Your laboratory might want to create a user-defined maintenance procedure to
track this on the Alinity system software. Creating user-defined maintenance procedures
will be covered in Configuration.
- It is important to follow the operations manual instructions to calibrate the pipettor after
probe replacements
· When removing the cuvette dryer tip:
4 Wear gloves when replacing the cuvette dry tip to prevent residual oil from adhering to tip. The
oil interferes with the appropriate drying function of the cuvette dry tip.
4 Position the bottom of the cuvette dry tip 61 mm ± 0.5 mm from the underside of the cuvette
washer assembly. There is a groove on the metal portion of the cuvette dryer tip to help align this
properly.
· When the ICT module is replaced, the c-series processing module Supply status screen tracks
and maintains a record of the serial number, expiration date, the warranty sample count, and the
warranty days on the system. The warranty for the ICT module is 20,000 samples or 3 months after
installation, whichever occurs first.
· Certain c-series supply and pump center components may need to be replaced because of normal
wear from daily system operation:
¥ NOTE: Removal and replacement of the syringes and check valves listed
above was covered in training module 11: Additional Maintenance,
Scheduled Maintenance, c-series triannual and quarterly maintenance.
¥ To locate the procedures using the online Procedure Map refer to the
following locations:
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Replace c-series components
4 Sample probe
4 Mixer
4 ICT module or ICT probe
Replace i-series
System Components
Replacing components due to normal wear from daily operations helps maintain system performance
to provide optimal test results.
Certain i-series processing center components may need to be replaced because of normal wear from
daily system operation:
Certain supply center components may need to be replaced because of normal wear from daily system
operation:
Certain optional components may need to be replaced because of normal wear from daily system
operation:
ZĞĐŽŵŵĞŶĚĂƟŽŶƐĂŶĚE ŽƚĞƐ
When replacing the process path light cover:
¥ Note: There are two different styles of light cover, one piece and two
piece. Follow the instructions in the operations manual for correct
placement. Confirm that no tubing is pinched or removed when cover
replacement occurs.
· Before disconnecting the black wash zone monitor housing from the blue probe housing, invert the
probe block assembly so the wash zone probes are facing down. If separated with the probes facing
up, the probes may fall out of the assembly.
· Align the L-shaped cutout of the wash zone monitor housing (black) with the L-shaped cutout of
the probe housing. Guide the wash zone probes into the probe channel in the wash zone monitor
housing.
The level sensors tubing connection is specific to the procedure. Follow the instructions exactly for the
correct orientation.
· Remove Level Sensor for Pre- Trigger Solution, Trigger Solution, or Concentrated Wash Buffer
· Replace Level Sensor for Pre- Trigger Solution, Trigger Solution, or Concentrated Wash Buffer
When replacing the diluted wash buffer level sensor the lock ring release tool is required to remove
the tubing.
¥ To locate the procedures using the online Procedure Map refer to the
following locations:
ĐƟǀ ŝƚLJϮ
Replace i-series components
Review
1. The c-series processing module tracks and maintains a record of the serial number, the expiration
date, the warranty sample count, and the warranty days for the ICT module on the system.
a. True
b. False
2. Select all of the correct time intervals for the sample probe usage following replacement: (Select all
that apply)
a. One day
b. One year for systems not generating results for whole blood assays
b. Six months for systems generating results for whole blood assays
d. Three years
3. Select the materials required to replace the cuvette dry tip (c-series):
a. Gloves
b. Metric ruler
c. Cotton swabs
d. Bleach
4. Select all of the following cautionary statements you need to keep in mind when replacing wash
zone probes (i-series): (Select all that apply)
a. Hot Surface. This activity or area may expose you to hot surfaces.
b. Probe Stick Hazard. This activity or area may expose you to probes
c. Moving Parts. This activity or area may expose you to moving parts
d. Biological RISKS. This activity or area may expose you to potentially infectious material.
5. In order to verify the new sample or reagent pipettor probe (i-series), you need to perform a
pipettor probe calibration.
a. True
b. False
6. After replacing the bulk solution level sensor (i-series), you must perform the Fluidics-Wash
diagnostic procedure 1200 Flush and Prime Fluidics (i-series) for the appropriate bulk solution to
remove any air that may be present in the bulk solution lines.
a. True
b. False
7. Component replacement involves three key tasks: removal of the old component, installation of the
new component, and verification of the new component.
a. True
b. False
8. Select all of the following precautions when working with tubing: (Select all that apply)
e. The tubing needs to fit firmly on probe (do not push past bend of sample probe)
9. Which one of the following verifications do you need to perform after a component replacement
procedure:
a. Daily maintenance
b. Quality control testing to verify the system performance before reporting sample results
d. Replenish RVs
10. Select all of the following cautionary statements you need to remember when performing any
c-series or i-series component replacement procedures: (Select all that apply)
a. CAUTION: Possibility of electric shock. This activity or area may expose you to potentially
infectious material
b. CAUTION: Biological RISKS. This activity or area may expose you to potentially infectious material
c. CAUTION: Hot Surface. This activity or area may expose you to hot surfaces
d. CAUTION. Moving Parts. This activity or area may expose you to moving parts
e. CAUTION. Probe Stick Hazard. This activity or area may expose you to probes
f. CAUTION. Chemical Hazard. This activity or area exposes you to a chemical hazard
ƐƟŵĂƚĞĚdŝŵĞ͗
ϯ ŚŽƵƌƐ
Module Topics
For optimal system performance, the Alinity ci-series should be configured to meet your individual
laboratory requirements. This training module will focus on common configuration procedures.
· System Configuration
K ďũĞĐƟǀ ĞƐ
After completing this module, you should be able to perform configuration tasks
from the:
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Configuration settings define the information that the Alinity ci-series needs to meet laboratory
specific requirements. System configuration is performed after system installation. The system can be
reconfigured at any time if necessary.
1) General tab.
2) Computer tab.
3) Assay tab.
4) Maintenance and Diagnostics tab.
Configuration
Follow along as your facilitator reviews the commonly used
configuration screens listed in this training module and
demonstrates how to perform common configurations.
General Tab
Screens that can be accessed from the General tab are:
1. Users.
2. User Profile.
3. Modules.
4. Printers.
5. Bar Codes.
7. Reports.
8. Abbott Mail.
Unless otherwise specified, System administrator access is needed to perform the configuration. The
operator can view the settings
¥ To locate the procedures using the online Procedure Map refer to the
following locations:
Users screen
The Users screen is used to:
· An operator ID and a PIN must be created for an operator to log on to the system software and use
the system.
· The PIN requirement for general operator logon can be disabled
¥ NOTE: Once a new user is created they can be put as a status of inactive,
but cannot be deleted from the system.
Edit users
On the Edit User screen, the system administrator can edit an existing user profile. In the Status
area of the Edit User screen, an existing user can be Inactivated or Activated.
System administrators can change their personal user PINs and the user PINs of other users.
Import/Export
A user file can be imported from a USB flash drive or exported for use on a different system.
· Configure a personal display theme. This allows the user to change the menu bar to either a light
gray or dark gray, depending upon their preference.
· Change a personal user PIN.
From the User Profile screen general operators can change their personal user PINs but cannot
change the user PINs of other users.
Modules screen
The Modules screen is used to configure module settings for i-series module, c-series module and the
reagent and sample manager (RSM). The configuration settings are:
· Module name.
· Number of assigned reagent carousel positions for onboard calibrators and controls.
· Location and number of priority sections.
· Specific parameters for each processing module and the RSM.
The supervisor can edit the quality control shift start time.
Printers screen
The printers screen is used to:
After the new printer is added, the printer must be verified before it is available to print a report or
document.
To Verify a Printer:
5. Under Report Selection in the Printer Verification flyout, tap Printer Verification Report.
6. Tap Print.
7. Compare the printed report to the report that is displayed in the Printer Verification flyout.
¥ Note: The printed report and the displayed report must contain the same
information. Be sure that the two reports do not contain truncations,
missing or cutoff boarders, or any loss of information. If the two reports
do not contain the same information, the printer is not verified.
¥ Note: To adjust the size of the text in the displayed report, tap the Text
Size button.
8. Tap Done.
4 Tap Yes if the printed report and the displayed report are identical.
4 Tap No if the printed report and the displayed report are not identical.
· Reagent low alert settings for individual reagents, onboard solutions, and bulk solutions
· Reagent expiration and stability override
· Run controls by reagent lot or reagent kit
· Run calibrators by reagent lot or reagent kit
· Define which module in a multimodule system uses Detergent B (c- series)
· Print 1D Bar codes for user defined reagents and diluents
For more information, including the procedure to print a 1D reagent bar code report, refer to the
Alinity ci-series Operations Manual Section 5 Operating Instructions, subsection Reagent and sample
management, Print a 1D reagent bar code report (c-series).
When labels are printed the system software provides the following Avery label templates:
4 5520
4 L4773
4 L7060
· Orientation: With the handle of the reagent cartridge facing to the right side of the cartridge,
the label can be affixed to the R1 reagent bottle. The R1 reagent bottle is the larger bottle and is
positioned leftmost in the cartridge. The printed bars of the label must be vertically oriented.
· Placement: The top edge of the label must be aligned with the cartridge transport tab. The left
edge of the label must be aligned with the left edge of the R1 reagent bottle.
· Vertical angle: The vertical angle of the label must be +/- 5 degrees. When the label is not as
vertically straight as possible, the bar code reader may not locate the required quiet zones and the
start and stop characters.
Digit 1 to 6
¥ Note: The reagent name (digits 1 to 6) of the 1D reagent bar code label
must be identified to the name of the corresponding user-defined reagent
Digit 7 to 10
· Serial number: A four-digit numeric entry identifies the unique serial number of the reagent
cartridge.
¥ Note: Each cartridge in one lot of reagent must have a unique numeric
identifier.
Digit 11 to 15
· Lot number: A five-digit alphanumeric entry identifies the unique lot number of the reagent
cartridge.
¥ Note: The system software creates lot and serial number data for reagent
cartridge from digits 1 through 6 of the reagent name, digits 11 through
13 of the reagent lot number, and digits 7 through 10 of the reagent serial
number. In the system software, alpha characters that are used in lot
numbers are not case sensitive.
Digit 16
· Expiration year: The one-digit entry identifies the year that the reagent expires.
· Range 0-9
· The selection represents the last digit of the year. The range is then interpreted as 1 year before
the selection and 8 years in the future. For example, if the current year is 2003, the following
information is applicable:
4 A bar code entry of 3 represents an expiration year of 2003.
4 A bar code entry of 2 represents an expiration year of 2002
4 A bar code entry of 1 represents an expiration year of 2011.
Digit 17 to 18
· Expiration week: The two-digit numeric entry identifies the day of the week the reagent expires.
· Range 00-52
· Examples:
4 00-Expires at the end of the 7th day of the year
4 01-Expires at the end of the 14th day of the year
4 51-Expires at the end of the 354th day of the year
4 52-Expires at the end of the last day of the year
The R1 bottle can have a maximum volume of 74ml and the R2 47ml. This is critical because liquid
level sensing does not occur until after the reagent carousel has rotated. This rotation occurs very
quickly and if reagents are overfilled, spillage can occur and lead to damage of the reagent carousel.
¥ For further information on fill volumes based on cartridge type and item
type, see the Alinity ci-series Operations Manual Section 5 Operating
Instructions; Prepare sample diluents and user-defined reagents (c-series)
Reports screen
The reports screen is used to configure settings and options for automatically generated reports.
The operator can view settings and can configure print screen output options.
The print screen output option determines if a print screen goes to a printer or to a USB when you tap
the blue Abbott A in the upper right hand corner of the screen.
The system administrator can configure a facility name to display on each report.
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On the Abbott Mail screen, the operator can view the Abbott Mail download options.
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a. True
b. False
2. What are the four options that can be automatically down-loaded for Abbottlink (if standalone IA
will only be three)?
a. Modules, Module 1
b. Modules, Module 2
c. Modules, Module 0
4. Once you create a new user, you can delete that user profile at a later time.
a. True
b. False
5. Where is the print screen output destination changed AND what does the print screen output
destination mean?
a. Printers: destination for a screen shot when the blue Abbott A in the header of a screen is used
c. Reports: destination for a screen shot when the blue Abbott A in the header of a screen is used
6. After you install a new printer, you must manually verify that printer or it will not show as available
when trying to print.
a. True
b. False
a. Interleaved 2 of 5
b. Code 128
c. Code 39
d. Codabar
8. What are the steps to print a 1D barcode for a reagent or diluent (clinical chemistry only)?
b. Abbott Mail
c. Users
d. Modules
c. Tech ID
11. What is the maximum number of positions that can be configured for each module to store
onboard QC/Cal racks?
a. One
b. Two
c. Four
d. Three
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Create Alinity c-series Diluent 1D Bar code
4 Saline
4 Lot# 12345
4 Expiration 12/24/2020 S
4 Starting Serial Number = 1234
4 Number of Labels = 10
4 Highlight Report Selection (Bar code Paper Format) = 1D 5520
6. Select Print.
4 The bar codes will print and are able to be placed on reagent cartridges as needed.
Computer Tab
There are several screens that can be accessed from the Computer tab including:
1. General Settings.
2. Audio Settings.
3. Host Setup.
4. HL7 Communication.
5. ASTM Communication.
6. LAS Communication.
7. Shortcuts.
8. Automatic Backup.
9. Alinity PRO.
10. AbbottLink.
Unless otherwise specified, System administrator access is needed to perform the configuration.
The operator can view the settings.
¥ To locate the procedure using the online Procedure Map refer to the
following locations:
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The General settings screen is used to:
After changing the Date/Time Zone or the System Language, the UI computer shuts down and
restarts.
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The supervisor can use the Audio Settings screen to configure audio settings for the system:
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The HL7 Communication screen is used to configure the host communications settings for the system.
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The ASTM Communication screen displays a single TCP/IP communication channel to send
and receive messages to and from an ASTM host. The screen is used to open a connection to the
configured port and IP address for the ASTM host channel when the proper conditions are met.
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The LAS Communication screen displays LAS settings for the system.
On the LAS Communication screen, the operator can view the following information:
The LAS Communication screen displays the laboratory automation system (LAS) settings for the
system.
Shortcuts
The system administrator can configure two shortcuts as icons on the menu bar.
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On the Automatic Backup screen, the operator can enable system automatic backups.
When the Automatically Perform Backup check box is selected, seven daily automatic backups and
four weekly automatic backups are saved on the hard drive and/or a USB flash drive.
The system administrator can enable or disable the automatic backup and can configure the
automatic backup options.
Alinity PRO is discussed more in Abbott Tools and Resources Training Module.
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AbbottLink is a data-sharing software application between the laboratory instrumentation and the
Abbott internal systems for the transfer of instrument data, Abbott Mail documentation, and system
updates.
On the AbbottLink screen, the operator can view the AbbottLink settings.
Distance Alert
On the Distance Alert screen, the system administrator can perform the following functions:
4 Exceptions
4 Quality Control
4 Calibration
4 Reagents
4 Supplies
4 Procedures
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1. You can enable the distance alert to change color if an exception is generated.
a. True
b. False
2. Where can the requirement for a general operator log-on to require a PIN be disabled?
a. One
b. Two
c. Three
d. Four
4. If you have not configured the ASTM or HL7 settings, they will not be active options on the host
setup screen.
a. True
b. False
5. What are the three different audio alerts that can be configured?
7. What happens if the instrument is not in the correct status to perform an automatic backup?
b. Nothing
8. Where can Disable Sample Processing When Maintenance Is Overdue be turned on?
Assay Tab
Screens that can be accessed from the Assay tab:
1. Assay Parameters.
2. Calibrator Set.
3. Install/Uninstall Assays.
4. Import/Export Assays
6. Panel Definition.
7. Cal/QC Ordering.
8. Quality Control.
9. Westgard.
Unless otherwise specified, System administrator access is needed to perform the configuration.
The operator can view the settings
¥ To locate the procedures using the online Procedure Map refer to the
following locations:
Assay Parameters
The Assay Parameters screen is used to:
Calibrator Set
The Calibrator Set screen is used by the supervisor and system administrator to:
· Manually create new calibrator master lot or import calibrator data to create new calibrator lot.
· Edit calibrator data.
· Delete calibrator lots.
Create a new calibrator master lot for an existing calibrator set by scanning the bar code on the
calibrator carton.
· The system automatically creates a new calibrator master lot with the master lot number and
expiration date from the bar code on the calibrator carton.
· The first configured master lot number is designated automatically as the default master lot number.
· The default master lot number can be changed when the instrument status is Running or Processing
if no orders are pending for the calibrator set.
· The data must be defined for all assays and all levels of the default master lot.
The assay names and assay numbers for the data in the file and for the corresponding system assays
are displayed with an import status. Data for all calibrator levels is imported for assays that have a
status of OK.
No data is imported for assays that have a status of No Assay or Previously Defined. These statuses are
displayed in red text.
· The first configured master lot number is designated automatically as the default lot number.
· The default master lot number can be changed when the instrument status is Running or Processing
if no orders are pending for the calibrator set and the calibrator set is not loaded in the reagent
carousel.
· For all assays and all levels of the default master lot number, the data must be defined.
· Imported calibrator data is retained on the system for a time period of 6 months past the calibrator
expiration date. After the time period has elapsed, the system automatically deletes the imported
calibrator data.
· Calibrator data files that are imported from a USB flash drive are saved to an internal storage
location on the system. To reinstall the calibrator data files on a future date, tap the Hard Drive
button.
· Install assays.
· Uninstall assays.
· Delete assays on the hard drive.
The assay file may be requested from Abbott Mail if the system is connected to AbbottLink. For
systems not connected to AbbottLink the assay file can be found on www.corelaboratory.abbott and
saved to a USB flash drive.
The system administrator can import assay files to an Alinity ci-series by using a c-series
processing module.
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The Panels Definition screen is used to:
· Whether the control expiration date must be entered before an order is created.
If a control product has separate c-series and i-series data files, both data files must be imported on
the Alinity ci-series.
· The assay names and assay numbers for the data in the file and for the corresponding system assays
that are displayed with an import status.
· Data for all quality control levels are imported for assays that have a status of OK.
· No data is imported for assays with the following statuses:
4 No Assay.
4 Previously Defined.
4 Units Mismatch.
4 Version Mismatch.
The first configured lot number is designated automatically as the default lot number for control
orders.
The assays that are disabled for a control level are not run when the control level is ordered.
· All assays for each control level are enabled when a new control is imported.
· Disabled and enabled assay statuses are retained when a new control lot number is created for the
control.
Westgard screen
The Westgard screen displays the Westgard rule configuration settings for the assays installed on the
system.
The supervisor or system administrator can configure Westgard rule settings for each assay
installed on the system.
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Install an assay file
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provided by instructor)
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1. All assays including i-series (with the exception of enzymes), require an active calibrator set.
a. True
b. False
2. What is the definition of onboard stability and in-use stability for control or calibrator vials? (Select
all that apply)
a. In-use stability tracks the time the vials are being mixed
b. Onboard stability tracks the time when the vials are stored in the reagent carousel
c. In-use stability tracks the time those vials are outside of the reagent carousel and being sampled
d. Onboard stability is the time vials are open on the counter top
3. Panels can be defined for which three order screens? (Select all that apply)
a. Specimen
b. Control
c. Calibrator
d. Assay Parameters
e. Reagents
4. If the setting for an Automated control that is stored onboard is turned on, which field must have a
value entered into it?
a. Default Dilution
b. On-board stability
c. Expected Mean
a. Quality Control
a. True
b. False
7. Where are the two locations that a list of installed assays (Assay information report) be printed?
(Select all that apply)
8. Results units are changed via a drop-down box and if changed, linearity and QC values will be
changed as well.
a. True
b. False
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There are two screens that can be accessed from the Maintenance & Diagnostics tab:
1. Install/Uninstall M&Ds.
2. User-Defined Maintenance.
Unless otherwise specified, System administrator access is needed to perform the configuration.
The operator can view the settings.
The Available Files tab displays all procedure files that are available for installation on the system or
on a USB flash drive.
The Create/Edit tab displays the user-defined procedures that are editable and allows the operator
to create new user-defined procedures.
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Create a user-defined maintenance procedure
Review
1. Eight daily automatic backups and four weekly automatic backups can be saved on the hard drive
and/or a USB flash drive.
a. True
b. False
a. You need to review the specific information for each assay before installation. Assays may have
specific installation requirements.
b. Assay files that are installed from a USB flash drive are deleted and cannot be recovered.
c. You do not need to refer to the assay-specific installation information for specific calibration and
quality control requirements.
3. You create a new calibrator master lot for an existing calibrator set by scanning the bar code on the
calibrator carton.
a. True
b. False
4. Which of the following tasks are performed from the General Tab on the Configuration screen?
(Select all that apply)
a. Add a printer
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Module Topics
Utilities provide tools that the Alinity system software can use to help meet the needs of the
laboratory.
· Utilities screen
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After completing this module, you should be able to perform tasks from the:
o Backup/Restore screen
o Troubleshooting screen
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The Utilities screen can be accessed from the System button on the Home screen.
Backup/Restore
· Perform a backup.
· Copy a backup to a USB flash drive.
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Current Firmware
View the current firmware for i-series processing module, reagent and sample manager, and pressure
monitor board for the c-series processing module when requested by an Abbott Laboratories
representative.
Licenses
A total of three manual backups can be saved on the hard drive. The fourth time you create a backup,
the system removes the backup with the oldest date and replaces it with the new backup.
In the Backup flyout, the operator can enter a comment and save a backup on the hard drive. You can
also save a backup on the hard drive and a copy of the backup on a USB flash drive.
The USB flash drive should have a minimum of 2GB of space. Do not use a USB flash drive that is
software encrypted with password protection.
The Copy Backup flyout displays the drive and folders that are used to save a backup copy. It is used
to copy a backup from the system to a USB flash drive.
The Instrument status can be any status except Processing and Pausing to perform the manual backup
procedure.
· System calibration data (for example, robotics data and optics data)
· User-defined maintenance procedures
· The system database, which includes the following items:
4 System configuration settings (for example, host settings, report settings, system serial number,
and system name)
4 Reagent cartridge test counts
4 Assay configuration settings
4 Assay calibration data
4 Control configuration
4 Control results Specimen results
4 Installed maintenance and diagnostic procedures and the maintenance and diagnostic procedure
history
4 Supply data
4 Assay inserts
4 Abbott Mail items
Occasional software and hardware updates may be received that need to be installed manually.
The System Updates screen displays system updates that are available for installation, system
updates that are installed, and system updates that have been declined.
Status Description
Available The software installer for a system update is available to download.
Download A request to download the system software installer is in process.
Requested
Download Failed An error occurred and the request was not completed.
Ready to Install The system software installer is present and is ready to install.
Install in Progress The installation is in process.
Install Failed An error occurred and the installation was not completed.
Pending The installation of the system update was successful, but a manual
Validation verification by the operator is required.
Applied The installation of the system update is completed.
Manually Applied The system update was completed after a manual verification or by an
Abbott Laboratories representative.
Superseded The system update was superseded by a different system update.
Ignored The system update was declined and was not installed.
Function buttons include import, print, download, install, decline, and add a comment.
The system administrator can install some technical service bulletins (TSBs). The Abbott Laboratories
representative will install other TSBs. All TSBs are tracked on the System Updates screen.
3. On the Available Files tab of the System Updates screen, tap a technical service bulletin (TSB)
number in the TSB list
4. Tap Print.
5. Under Report Selection in the Print flyout, tap System Update Letter.
8. To increase or decrease the font size in the document, use the Zoom tool bar.
9. To resize the document to fit the window width or to resize the document to fit one full page in the
window, use the Fit tool bar.
10. To find a word or phrase in the document, use the Find tool bar.
On the System Update Import screen, the operator can import a translated version of the
operations manual.
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To access the Troubleshooting screen,
On the Troubleshooting screen, the operator can retrieve system log packages that can be used for
troubleshooting by an Abbott Laboratories representative.
All troubleshooting packages can be retrieved when the instrument status is Idle.
Troubleshooting package information contains system logs and data that is used by an Abbott
Laboratories representative to troubleshoot instrument and assay issues.
Troubleshooting
Description
Package
Core Operational Includes core operational data (for example, result data, calibration data,
Data and instrument operational data) that is located in the operational data
recorder (ODR) of the instrument.
Instrument Logs Includes instrument logs.
External Includes all communication logs with external systems (for example, HL7
Communication Logs and ASTM host communication logs).
¥ To locate the procedures using the online Procedure Map refer to the
following locations:
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Perform a manual backup
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2. Identify the function that the operator can perform on this screen.
Review
1. Select the tasks that can be performed on the Utilities screen.
a. Backup/Restore
b. Log on
c. System Updates
d. Troubleshooting
e. Maintenance
2. The Copy Backup flyout allows you to enter a comment for a backup.
a. True
b. False
3. Which one of the following statements is true for the system software update installation.
b. The operator access level for this procedure is not necessarily dependent on the system update
being performed.
c. You need to download the software installer for a system update (or a previous software installer
download that failed) before you can begin installation.
a. True
b. False
5. Select all of the files that are collected in the Core Operational Data troubleshooting package.
(Select all that apply)
c. Result data
d. Calibration data
6. Before you install a system software update, you need to download the system update software.
a. True
b. False
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Module Topics
Familiarize yourself with the features of Alinity ci-series. In this module, you will explore:
· Abbott Mail
· AbbottLink
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After completing this module, you should be able to:
o Describe and perform tasks from the Abbott Mail Inbox screen
Abbott Mail is only available with systems connected to AbbottLink. Contact your Abbott
Representative for more information or have your system connected to AbbottLink.
In the AbbottLink Connection Status flyout (accessed from the AbbottLink button on the System
Status bar), the operator can view the status of the AbbottLink connection and can restart AbbottLink.
The AbbottMail Box can be access from the Systems button on the Home screen.
On the Abbott Mail Inbox screen, the operator can view Abbott Mail items and Abbott Mail
documentation.
There are five functions the system administrator can perform are:
The Abbott Mail inbox screen has the following tabs which also displays if the mail is new or is an
update and if it has been previously viewed.
· All tab
· Assay Files tab
· Assay Inserts tab
· System Updates tab
· Calibrator Data tab
On the Manual File Request screen, the operator can view manual requests for assay files and clinical
chemistry assay calibrator data.
The screen displays one pending request and the last five completed requests.
The system administrator can use an AbbottLink connection to request manually the assay files to
send to the system software.
Access the Manual File Request screen by selecting the Request (All tab), Request Assay (Assay
inserts tab), or Request Calibrator (Calibrator data tab) function button.
Only one active request, regardless of the Abbott Mail type, can be performed at a time.
¥ To locate the procedures using the online Procedure Map refer to the
following locations:
Why Register?
Gain access to technical information for Abbott Diagnostics products, personalized support, and
other useful tools available only to customers.
Registration is easy!
Provide your name, e-mail address and an instrument serial number to complete the process and
activate your account.
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Manually request assay files
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Manually request calibrator data files
Alinity PRO
Alinity PRO is a data-sharing software application between Alinity systems and the Alinity PRO
computer. The Alinity PRO software maximizes the potential of your Alinity systems to enhance
operational productivity throughout your network, allowing for easier and consolidated system
monitoring.
Proactively identify key activities from a consolidated checklist across your Alinity ci-series and
Alinity s systems to minimize interruptions. Alinity PRO allows you to view upcoming tasks required
to keep Alinity systems operating, such as those related to inventory, maintenance and calibration.
On the Alinity PRO screen, the operator can view the Alinity PRO settings.
Review
1. Select the tasks an administrator can perform on the Abbott Mail Inbox screen: (select all that
apply)
2. When manually requesting calibrator data files, multiple active requests can be performed at a
time.
a. True
b. False
3. Select the following tasks an administrator can perform on the Manual File Request screen. (Select
all that apply)
a. True
b. False
3. Run QC:
4 Alert Center
4 Operations Manual
4 Facilitator
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Your facilitator may have you use any of the patient information tables contained in this appendix to
practice manual patient run activities during your training.
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SID Assays Patient Details Assay Options
404 Ima Chem6, Trig, Cowgirl
Fertility
PID: 333-22-4444
345 Crea, AST, Trig, Honey Bee
TP, Estradiol
ER Room 1
653 ICT, Glu, TP, Daffy Dill
B-hCG
313 AST, TSH Herb Garden TSH 1:5 auto dilution
654 Trig, GluC, H, I, Jean Poole
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After daily startup, updating supplies and Daily Maintenance, run QC for IA Plus and Chem.
DOB = 03/17/60
120 TSH, Glu, AST, Zuma, Monte
TP, Alb
PID: A456
130 TSH, Estradiol, Monk, Chip
Chem6
PID: NUTS
140 B-hCG, TP, Alb, Pease, Warren
Trig
PID: 1998
Icteric
150 Estradiol, TSH, Mander, Jerry 5 replicates on TSH
Glu, Trig
PID: ABCD
160 B-hCG, Liver, Ringing, Isabelle Lipemic B-hCG (1:15 dilution and
TP undiluted)
170 TSH, Fertility, Evore, Herb Crea 1:2 dilution
Crea
PID: 5557777
180 HIV Ag/Ab, Fish, Golda
TSH, Glu, TP,
Alb
190 TSH, ICT, AST Lergy, Al
200 Estradiol, Geste, Shirley U.
Chem6, TP, Alb
PID: 6945320
Hemolyzed
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1. Calibrate, as required.
PID: 707341
DOB =03/17/60
300 B-hCG, Estradiol, Chem6, Martha May 2 replicates of Estradiol
TP, Alb Williams
PID: A456
500 Estradiol, ICT, Crea, Urea, Bob Smith 1:5 dilution on Glu
Glu, Trig
PID: 303030
700 HIV Ag/Ab, TSH, HIL James Kent
Panel, Chem6
Icteric
900 B-hCG, Glu, TP, Alb Wilma Jackson B-hCG 1:15 dilution
Flanagan
Lipemic
111 B-hCG, TSH, Urea, Crea Heidi Schultz B-hCG manual dilution 1:2, no
Phocas
180 HIV, ICT, Crea, Urea, H, Basil Moore
Hemolyzed
210 Estradiol, HIV Ag/Ab, TSH Cecilia Lewis
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Job Aid
Take appropriate safety precautions as described in the Alinity ci-series Operations Manual prior to
performing any procedures.
Daily Maintenance
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From HOME Screen Select:
· ORDERS Icon
· CREATE ORDER
OR
NOTE: The Create Order icon is a configurable icon on the menu bar.
· ORDERS Icon
· CREATE ORDER
OR
NOTE: The Create Order icon is a configurable icon on the menu bar.
The system automatically defaults to the next level of that control product.
· ORDERS Icon
· CREATE ORDER
OR
NOTE: The Create Order icon is a configurable icon on the menu bar.
· Select:
4 ADD ORDER
Use this guide to help you prepare to train basic operations of the Alinity ci-series.
To View Report:
· Select PRINT
· Select ORDER LIST
· REPORT
· DONE
To Print Report:
· Select PRINT
· Select ORDER LIST
· REPORT
· Select Print Location
· Type # copies
· PRINT
¥ Note: The steps above were created for Alinity ci-series Software version
2.6 Operations steps may vary depending on software version used. Please
refer to the current Alinity ci-series Operations Manual for additional
detail.
Use this guide to help you prepare to train basic operations of the Alinity ci-series.
In the guide you will find Tips and Techniques for Effective Training as well as exercises and
checklists to ensure your trainee(s) feel comfortable operating the instrument and software.
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The goal of the training session is to provide a secondary operators with the basic knowledge needed
to operate the Alinity ci-series and make decisions independently.
Before hosting a session, check that you have a paper copy of the Alinity ci-series Training Checklist to
use along with this guide.
If you do not have a paper copy of the Training Checklist, you can get one on www.corelaboratory.
abbott or from your Abbott Representative. This form provides the written confirmation of training
that is necessary for issuance of Continuing Education credits, where available/ applicable.
A basic operator is anyone who will run the Alinity ci-series and make
decisions independently.
The Key Operator/ Admin Operator is the primary Alinity ci-series user,
the lab or department supervisor, or an Abbott employee. This person is
responsible for training basic operators and completing all tasks listed on
the training checklist(s) and teaching them to others.
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The Key Operator / Trainer is responsible for being able to complete all tasks on the Training
Checklist and train them to others.
The Key Operator is also responsible for obtaining a paper copy of the Checklist, filling it out, and
submitting to Abbott on behalf of his/her trainees in order to obtain continuing education credits (as
applicable) for the workshop session.
· Lead the trainee(s) by asking questions, demonstrating how, and conducting reviews
· Provide feedback
· Provide required materials such as controls, calibrators, and reagents
· Fill out the paper copy of the appropriate Training Checklist as documentation of completed
training.
This form is for the trainer to do a self-assessment for the training activity. Check the items you
think you have accomplished.
· I have directed the trainee to the tools and resources (i.e. Ops Manual).
· I have taught the trainee how to use the resources.
· I have provided enough opportunities for hands-on experience.
· I have answered all the questions from the trainee.
· From my trainee’s feedback, I am confident that he/she can operate the instrument.
1. Tell the trainee why they need to perform a procedure and when to perform it.
2. Show the trainee the result of a successful procedure on the computer screen and instrument.
3. Inform your trainee of common errors when performing the procedure and how to avoid or remedy
those errors.
7. Introduce the function of block areas first, then the details you would like to highlight for each
functional block area. Be brief and clear.
8. Direct the trainee to the resources they can use such as the Operations Manual and this online
training guide.
9. Ask the trainee if he/she has any questions, and provide answers.
10. Learn the instrument by doing. Always ask your trainee to perform the procedure after you
demonstrate it.
Understanding how adults learn will help you provide effective and efficient transfer of knowledge
and skills.
Check your knowledge of adult education / learning processes via taking the assessment below.
Learning to use the operations manual helps to save time, avert trouble, and confidently operate the
system.
The online documentation is designed to provide the fastest, easiest, and most accurate resource for
your informational needs. The online operations manual includes complete instructions for using and
maintaining an Alinity ci-series System.
The Alinity ci-series Operations Manual should be utilized as a resource during training. Before you
conduct training familiarize yourself with the general navigational features of the online manual as
described within this section of the Trainer’s Guide.
To access the Operations manual (Help), perform one of the following procedures:
· On the menu bar, tap System, and then tap Operations Manual (Help).
· Tap the Help button located at the top of an active screen.
Procedure Map
The procedure map is an image map that displays categories of laboratory-related activities and
provides links to lists of tasks and procedures. It is used to quickly access step-by-step instructions to
help perform primary laboratory procedures.
Task lists are topics that are accessed from the procedure map. Each topic contains an expandable list
of tasks that are related to a procedure map category or a laboratory-related activity. Each task has a
list of links to related procedures.
4. In the list of search results on the Search tab, tap a topic title.
In the topic pane, each word of the search term is highlighted in the topic because each word of the
search term is treated individually. If only one word of a search term is in a topic, the topic is included
in the search results.
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This training activity should be used in conjunction with the Alinity ci-series Operations Manual. Also
be sure to download a paper copy of the checklist by visiting your Customer Portal / Other Reference
Documents / Training Checklists. After signing off your trainee, fill out the bottom portion and return
to Abbott for issuance of Continuing Education (CE) credits (US only).
· Maintenance Log
· Assay Parameter File for any assay
· Configuration screen, Assay Tab to enter a new lot of QC
· Online System Operations Manual
· System Backup screen