Clinitek500 User Manual
Clinitek500 User Manual
Clinitek500 User Manual
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©1998 Bayer Corporation
All Rights Reserved
Printed in Ireland
FIRST EDITION
Bayer Corporation
Elkhart, IN 46515 USA
2 INSTALLATION
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.1
Environmental Factors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.1
Unpacking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.1
Instrument Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.2
Interfacing to a Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.5
Interfacing to a Computer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.5
Interfacing to a Bar Code Reader. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.5
Initial Instrument Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.5
4 INSTRUMENT OPERATION
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.1
Getting Ready to Run . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.1
Testing Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.3
Testing Routine Specimens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.4
A. Basic Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.4
B. If IDs are Used in a Loadlist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.6
C. If IDs are Used Without a Loadlist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.7
End-of-Run Reports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.8
Editing Results in the Confirmatory Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.8
Recalling Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.8
Operating Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.9
Section Page
5 CARE OF THE INSTRUMENT
General Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.1
Daily Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.1
Disinfection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.3
Changing the Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.4
6 ACCESSORIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.1
7 MINOR REPAIR
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.1
Printer Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.1
Calibrating the Touch Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.3
Appendix
CPI COMPUTER AND PRINTER INTERFACE
General Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CPI.1
Cable and Pin Specifications — Serial Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CPI.1
Cable and Pin Specifications — Parallel Port. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CPI.1
iv Revised 9/98
Section 1
INTRODUCTION
General Description and The instrument is a reflectance spectrophotometer that
analyzes the color and intensity of the light reflected from
Intended Use the reagent area and reports the results in clinically mean-
ingful units (see Tables 1-1 through 1-3). No calculations
The CLINITEK® 500 Urine Chemistry Analyzer (Figure are required by the user. Calibration is performed auto-
1-1) is a semiautomated, benchtop instrument designed matically each time a Reagent Strip is analyzed.
to “read” Bayer Reagent Strips for Urinalysis. The instru-
ment system includes a program card that contains the
programming necessary for the CLINITEK 500 instrument Components and Mechanical
to read these Reagent Strips. Strips can be laid on the Operation
instrument at any time (if specimen IDs are not used); a
sensor detects the strip’s presence, which activates the Figures 1-2 and 1-3 show the major components of the
strip movement and reading cycle. Communication CLINITEK® 500 instrument. The program card is inserted
between the instrument and the user is through the use into the card receptacle ‹!£. The strips are transported
of a touch screen and interactive software. across the read area ‹@£, where incubation and reading of
the tests occur. All test results are printed by the internal
thermal printer ‹#£ (unless this option has been selected
as “OFF” by the operator). All communications between
the operator and the instrument are made through the
interactive touch display ‹$£. Response keys and dialogue
are displayed on the screen; responses are made by touch-
ing the appropriate key symbol on the screen.
‹$£ ‹#£
Figure 1-1
The fixed platform ‹%£ consists of three sections: the Figure 1-4 shows the rear view of the CLINITEK 500
strip loading station 5a , the incubation/read station 5b , instrument. The line cord is connected into the line cord
and the waste bin 5c . A Reagent Strip is placed onto the receptacle ‹*£. The instrument is turned on by pressing
instrument at the strip loading station. Detection of a strip the power switch ‹(£ to the ON (“—”) position. The inter-
by the strip sensor ‹^£ causes the instrument to begin face connectors ‹)£ are the points at which a computer,
cycling. The strip is moved toward the incubation/read printer, and/or handheld bar code reader may be inter-
station by the push bar ‹&£. The strip is then moved through faced with the instrument. An extra port is available for
the incubation/read station by a series of pins; the pins future use. The instrument is cooled by a fan ‹_£.
move the strip at a rate of about 1⁄2 inch every 7 seconds.
‹_£
‹^£ 5c
‹&£ 5a ‹%£ 5b
{ ‹)£
Figure 1-4
‹*£ ‹(£
Figure 1-3
All programming for the instrument is contained in a
Two readheads, located inside the read area, scan the replaceable program card ‹+£, shown in Figure 1-5. The
length of each Reagent Strip at a specific time in the incu- card is programmed with such information as error
bation cycle. The first readhead reads the reagent areas messages, operating sequence, and the wavelengths
requiring shorter incubation times; the second reads those and algorithms used to convert reflectance into clinically
requiring longer incubation times. The pins continue to meaningful results. It also contains the customized Setup
move the strip along the platform until it drops into the information selected by the user. The card is easily replace-
waste bin. able for future software updates.
Reported Results
Test Abbreviation Units
Normal System Plus System
NEGATIVE 500 NEGATIVE 2⫹
Glucose GLU mg/dL 100 >=1000 TRACE 3⫹
250 1⫹
NEGATIVE MODERATE NEGATIVE 2⫹
Bilirubin BIL
SMALL LARGE 1⫹ 3⫹
NEGATIVE 40 NEGATIVE 2⫹
Ketone KET mg/dL TRACE >=80 TRACE 3⫹
15 1⫹
<=1.005 1.020
Specific Gravity SG 1.010 1.025 No Difference
1.015 >=1.030
NEGATIVE SMALL NEGATIVE 1⫹
Occult Blood BLO TRACE-INTACT MODERATE TRACE-INTACT 2⫹
TRACE-LYSED LARGE TRACE-LYSED 3⫹
5.0 6.5 8.0
pH pH 5.5 7.0 8.5 No Difference
6.0 7.5 >=9.0
NEGATIVE 100 NEGATIVE 2⫹
Protein PRO mg/dL TRACE >=300 TRACE 3⫹
30 1⫹
0.2 4.0
Urobilinogen URO E.U./dL 1.0 >=8.0 No Difference
2.0
Nitrite NIT NEGATIVE POSITIVE No Difference
NEGATIVE MODERATE NEGATIVE 2⫹
Leukocytes LEU TRACE LARGE TRACE 3⫹
SMALL 1⫹
YELLOW GREEN
Color* COL ORANGE BLUE No Difference
RED BROWN
CLEAR TURBID
Clarity† CLA SL CLOUDY OTHER No Difference
(determined visually)
CLOUDY
*Color may be preceded with “LT.” or “DK.” when determined by the instrument. If determined visually, Shaded areas = default abnormal results
* default descriptions can be changed by the user; “OTHER” can also be reported.
† Reported results are default descriptions that can be changed by the user.
Table 1-1
ENGLISH — CONV.
Units — Conventional
Reported Results
Test Abbreviation Units
Normal System Plus System
NEGATIVE 3⫹ NEGATIVE 2⫹
Glucose GLU 1⫹ 4⫹ TRACE 3⫹
2⫹ 1⫹
NEGATIVE 2⫹
Bilirubin BIL No Difference
1⫹ 3⫹
NEGATIVE 3⫹ NEGATIVE 2⫹
Ketone KET 1⫹ 4⫹ TRACE 3⫹
2⫹ 1⫹
<=1.005 1.020
Specific Gravity SG 1.010 1.025 No Difference
1.015 >=1.030
NEGATIVE 1⫹
Occult Blood BLD ⫹Ⲑ⫺ INTACT 2⫹ No Difference
⫹Ⲑ⫺ 3⫹
5.0 6.5 8.0
pH pH 5.5 7.0 8.5 No Difference
6.0 7.5 >=9.0
NEGATIVE 2⫹ NEGATIVE 2⫹
Protein PRO ⫹Ⲑ⫺ 3⫹ TRACE 3⫹
1⫹ 1⫹
3.2 66
Urobilinogen UBG umol/L 16 >=131 No Difference
33
Nitrite NIT NEGATIVE POSITIVE No Difference
NEGATIVE 3⫹ NEGATIVE 2⫹
Leukocytes LEU 1⫹ 4⫹ TRACE 3⫹
2⫹ 1⫹
YELLOW GREEN
Color* COL ORANGE BLUE No Difference
RED BROWN
CLEAR TURBID
Clarity† CLA SL CLOUDY OTHER No Difference
(determined visually)
CLOUDY
*Color may be preceded with “LT.” or “DK.” when determined by the instrument. If determined visually, Shaded areas = default abnormal results
* default descriptions can be changed by the user; “OTHER” can also be reported.
† Reported results are default descriptions that can be changed by the user.
Table 1-2
ENGLISH — NORDIC
Units — Nordic Plus System
Table 1-3
ENGLISH — S.I.
Units — International (S.I.)
INSTALLATION
General Information Unpacking
This section provides detailed installation instructions 1. You should have received two cartons: one carton
for the CLINITEK® 500 Urine Chemistry Analyzer. The contains the CLINITEK® 500 instrument, the fixed plat-
installation steps must be followed correctly to ensure form, and a box of accessory parts; the other (the
proper installation, operation, and service. Read this “Installation Pack”) contains the power cord and oper-
Operating Manual carefully before attempting to operate the ating manual that are appropriate for your country.
CLINITEK 500 instrument. Follow all instructions carefully. Carefully remove the contents of each carton. Inspect
The CLINITEK 500 is a precision instrument and must the shipping cartons, accessory box, and instrument
be handled accordingly. Rough handling or dropping of for visible signs of damage. If damage to the instru-
the instrument will disturb internal calibrated optics and ment exists, immediately file a complaint with the
electronics and/or cause other damage. Always handle carrier.
the instrument with care. 2. The following items, shown in Figure 2-1, should be
included with the instrument (all but the fixed plat-
form are found in the accessory box):
Environmental Factors
As with all sensitive electronic instruments, prolonged ‹&£ ‹*£ ‹!£
exposure to excessive humidity and temperature should
be avoided. Temperature should be held relatively con-
stant to obtain the highest degree of operating stability.
The ambient temperature range for operating the instru-
ment is 18°C to 30°C (64°F to 86°F); the optimum
temperature range is 22°C to 26°C (72°F to 79°F). At
temperatures under 22°C, urobilinogen and leukocyte
results may be decreased, and at temperatures above
26°C, increased. The ambient operating humidity range
is 20% to 85% relative humidity.
Place the instrument where it will not be subjected to
extreme temperature variations. Avoid proximity to open
windows, direct sunlight, ovens, hot plates, open burn-
ers, radiators, and dry ice baths. Do not place it on the
same bench as a source of vibration, such as a centrifuge.
‹^£ ‹%£ ‹$£ ‹#£ ‹@£
The CLINITEK 500 instrument should not be used in an
explosive atmosphere.
Figure 2-1
2. The following items should be packed in the 5. If you have not already done so, insert the pages of
Installation Pack: your Operating Manual into the binder.
2. ‹&£ Operating manual: Binder and manual pages
(Manual pages may be supplied separately by your Bayer rep-
resentative. Depending on the language of the operating
manual you have received, there may also be a Warranty
Instrument Setup
Registration Card and/or a Customer Information Card.)
1. Plug the instrument line cord into the instrument and
2. ‹*£ Power cord
into an appropriate grounded AC electrical outlet.
2. Make sure all these items have been included with
2. Locate the bar-coded serial number, which is found
your instrument, and keep them for future use.
inside the instrument near the front left corner (Figure
3. After the instrument has been unpacked, place it on a 2-3). Write the installation date and serial number in
firm, level work surface in the designated work area. the spaces provided in the “Preservice Checklist” in
The instrument should appear level, both side to side Section 8 and on the Manufacturer’s Warranty Page
and front to back. The back and sides of the instru- that is found at the end of this manual (contact your
ment should be at least 3 inches from an adjacent wall Bayer representative for your warranty information if
or instrument. this page is not included in your manual).
3. NOTE: Retain the CLINITEK 500 shipping carton and
packing for at least several weeks. If the instrument
ever needs to be shipped, the shipping carton will
afford the best protection against damage.
4. Locate the piece of foam packing that is under the read
area cover. Gently pull down and forward on the foam
to remove it (Figure 2-2).
Figure 2-3
Figure 2-5
6. Hold the push bar by its flattened end and, with this
Figure 2-4 end slightly upward, insert the peg on the other end
of the bar into the hole in the pusher mechanism
2. c. Gently push the table in as far as it will go. It must (Figure 2-6). Lower the push bar into place.
be pushed past a detent in order to be correctly in
position.
5. Next, install the fixed platform. (The holddown should
already be installed onto the platform. If it is not, or
is loose, refer to Section 5, “Daily Cleaning,” Step
10-a, for directions on installing the holddown.) Align
the two grooves on the bottom of the platform with
the arms extending from the instrument, as shown in
Figure 2-5. (The ledges on the left and right sides of
the holddown align just outside the read area cover,
and the top edge of the platform aligns just under the
cover.) Gently push the platform in as far as it will go.
(It must be pushed past a slight detent to be correctly
positioned.)
5.
Figure 2-6
Figure 2-8
Figure 2-9
2. The display changes to the Ready/Run screen, which 3. Completely immerse a Bayer Reagent Strip into a neg-
is the starting point for testing and selecting the ative control urine, such as CHEK-STIX® Negative
options that will customize the instrument to meet Control Strips solution. Immediately remove the strip.
your laboratory’s needs. The screen also shows the While removing, slowly run the edge of the entire length
name of the Bayer Reagent Strip for Urinalysis that is of the Reagent Strip against the side of the tube to
programmed for use on the instrument. remove excess urine. Do not blot the edge of the strip
2. The Ready/Run screen will be displayed in the against a paper towel, as doing so may affect test results.
selected language as, for example: 4. Place the Reagent Strip, with reagent areas up, onto
the strip loading station. The push bar should begin
Use MULTISTIX 10 SG.
moving almost immediately, pushing the strip into the
Place strip. read area, and the keys shown on the display will be
shown as dimmed (partially lit) symbols.
5. After the strip has been read, the test results will be
ID: printed by the internal printer. The instrument should
produce a result for each reagent area that is within
SEQ #: 00001 the limits given in the package insert for the control
urine.
Color-(not reported)
6. If the instrument does not perform as expected, or if
Clarity-(not reported)
the printed results do not agree with the expected val-
ues, refer to Section 8, TROUBLESHOOTING AND
Menu Tech ID: SERVICE.
09-05-98 10:32 AM 7. Before beginning normal instrument use, carefully
review the following sections to become familiar with
2. Verify that the Reagent Strip name being displayed the instrument software, operating techniques, and
agrees with the strip to be used. Use of any other strip cleaning requirements:
will cause erroneous results. If the strip names do
7. Section 3 SELECTING YOUR OPTIONS
not agree, the selected strip must be changed before
7. Section 4 INSTRUMENT OPERATION
beginning testing. The strip is selected through the
7. Section 5 CARE OF THE INSTRUMENT
Setup Routine, described in Section 3.
8. With satisfactory completion of the initial instrument
check, the CLINITEK 500 Analyzer is ready for rou-
tine testing. Enter the Setup Routine and follow the
displayed prompts to customize the software for
your laboratory. Refer to Section 3 for complete
information.
Move Up displays the previous stored result or In addition to the function keys, three different types of
entry in descending order (lower sequence num- keys will be displayed in order to assist the operator in
Move ber). Move Up 10 displays the record stored selecting the desired option in various menus. If the key is
Up
ten positions lower than the currently displayed displayed as a fully lit symbol, the key can be touched
record; if there are fewer than ten lower-num- to select the option or cycle through the list of options.
bered results, the oldest stored result or entry is If the key is displayed as a dimmed symbol, the option is
Move not available for selection.
Up 10 displayed.
Move Down displays the next stored result or Touching an action key selects the option
entry in ascending order (higher sequence num- described next to the key. The display always
Action
Move ber). Move Down 10 displays the record stored Key changes to another screen, either to start the
Down
ten positions higher than the currently displayed selected routine or to display an appropriate
record; if there are fewer than ten higher-num- screen that defines how the selected option will
bered results, the most recently stored result or work.
Move
Down 10 entry is displayed.
The cycle key is used when several options are
available. Each time the key is touched, a dif-
Cycle
Plus increases the displayed number by 1 each Key ferent option is displayed for selection. When
time the key is touched. the desired option is displayed, the selection is
Plus complete.
Minus decreases the displayed number by 1 each Selection keys are used to select or reject the use
time the key is touched. of an option. If a check mark ( ) appears in the
Minus Selection key symbol, the option is selected (turned on);
Key
if the key symbol is empty, the option is not
Changes the display to the full alphabet to allow selected (turned off ).
entry of alphabetic characters in, for example, a
Alphabet specimen ID, Tech ID, or control lot number.
Setup Routine
Allows a single record or all records shown on
the screen to be deleted. A second screen is The Setup Routine should be entered when the instru-
Delete always displayed, from which you can select how ment is initially installed to select the various param-
many records are to be deleted (one or all) or to eters desired by your laboratory. Thereafter, this routine
confirm that all records are to be deleted. will probably be entered infrequently. Several of the
options can be accessed freely; for example, the date and
Allows one or more records from a displayed list time can be changed through this routine, the com-
to be printed. puter port turned on or off, and the printer selected.
Print Access to additional options can be protected through the
use of a password.
Set options.
Date: 09-05-98
Tech ID:
Time: 10:34 AM
Controls
Print
Printer
Memory
Touch the key symbol that appears next to the option you
want to change. Each option is described below.
Touch the Setup key from the Option Menu to enter the
Setup Routine. 1. Date:
NOTE: If a change is made to any of several Setup options, 1. a. When the Date key is touched, the display changes
all results and loadlisted ID numbers stored in mem- to show the current date and a numeric keypad by
ory will be deleted when the change is made. A warning which the date can be changed; for example:
screen will be displayed first, and you will be given the
option of not making the change to the Setup option, sav-
Enter Month:
ing the stored results and numbers. Be sure all patient and 0
Ù9-05-98
control results have been printed and/or transferred and
that a loadlist is not stored in memory before making the
changes.
1. b. Enter the correct date by touching the proper numer- 3. Computer port:
ic keys, or touch the arrow keys to move the 3. Touch the Computer port cycle key to change the selec-
cursor to the digit that needs to be changed and tion between OFF and ON. Depending upon the selec-
enter the correct number. The message will change tion made, results can be transferred to a computer.
as you move from one part of the date to the next, The specifications for the computer port are selected
showing the prompt, for example, “Enter day,” then later in the Setup Routine.
“Enter year.” Be sure to enter the leading “0” 4. Printer:
where needed. 4. a. Touch the Printer key symbol to change several
1. c. When the date has been entered, touch . A mes- printer options:
sage will be displayed if an invalid date is entered; 4. a. iii. Internal: The internal printer can be used to print
be sure the date has been entered in the order patient results, with several options for the for-
shown on the prompts. If the date is valid, the dis- mat, or it can be turned off. Touch the Internal
play returns to the first Setup menu. cycle key to select the desired option of OFF or
2. Time: ON, with 2, 6, or 12 blank lines between patient
2. a. When the Time key is touched, the display changes result sets.
to show the current time (in the selected format) 4. a. iii. NOTE: There are always two blank lines between
and the numeric keypad by which the time can be control result sets.
changed, similar to that displayed for changing the
date. 4. a. iii. Custom header: A header is printed at the end
of each printed report obtained through the inter-
2. b. Enter the appropriate digits by touching the prop- nal printer when “12 blank lines between patient
er numeric keys and/or touch the arrow keys to result sets” is selected. The default header is
move the cursor to the appropriate digit that needs “MICROSCOPICS”; this can be customized, if
to be changed. The message will change as you desired, or changed to contain all blanks if you
move from one part of the time to the next, show- do not want a header at all.
ing the prompts “Enter hour” and “Enter minutes.”
Be sure to enter the leading “0” where needed. 4. a. iii. When the Custom header option key is
touched, an alphabetic keyboard is displayed,
2. c. If the time format is “12 Hour,” touch the AM/PM from which up to 24 letters and spaces can be
cycle key to change from AM to PM or vice-versa. entered. Touch when the entry is correct to
(If the time format is “24 Hour,” the AM/PM cycle store it in memory and return the display to the
key is not active.) Printer Option menu.
2. d. When the time has been entered, touch . A mes-
sage will be displayed if an invalid time is entered.
If the time is valid, the display returns to the first
Setup menu.
the display shows the lowest positive level for the first
four tests selected in the previous screen (Tests to Color choices
report).
2. NOTE: Nitrite is not listed, since it has only one posi- Clarity choices
tive level.
2. a. Touch the cycle key for the test you want to change, Use default COL/CLA
repeating until the desired level is displayed. during run-ON
3. Clarity choices:
3. If clarity is selected as a reported result (Step E-1), you
can specify up to five options from which to select the Flags for microscopics
specimen clarity. As with Color choices previously, any
of the default options can be removed from the report-
ing list and the name of each option can be customized.
1. Positive levels for COL/CLA:
3. a. The first three choices are shown initially (CLEAR,
1. If either color or clarity was selected as a test to be
SL CLOUDY, and CLOUDY); the second screen dis-
reported, the first result that is considered to be pos-
plays two additional options (TURBID and OTHER).
itive can be selected. As with the chemistry tests, these
Remove or add options, or change their descrip-
levels are used by the Analyzer to determine which
tions, as needed, on each of the two screens, in the
specimens meet the criteria for the confirmatory and
same manner as in Step F-2 previously.
microscopic reports, and all positive results are marked
3. b. Touch as needed to return to the previous option with an asterisk (*) in the displayed and printed report
menu. and in the data transferred to a host computer. When
the selection key is touched, the display shows the first
level that is considered to be positive.
1. a. Touch the appropriate cycle key until the display 3. Flags for microscopics:
shows the first level you want to have marked as 3. As with the confirmatory report, up to five tests can
positive. All results later in the list are also called be selected for the microscopics report. This report
positive. If you have not changed or removed any can be used to list those specimens that may require
of the descriptions (Step F-2), the options are: a microscopic examination. Select the tests for the
report in the same manner as for the confirmatory
Color: Clarity: report, then touch to return to the previous option
YELLOW GREEN CLEAR TURBID menu.
ORANGE BLUE SL CLOUDY OTHER
RED BROWN CLOUDY H. Setup Menu #7
*OTHER When all options have been selected on the sixth menu,
*If visually determined touch to progress to the next menu in the Setup
Routine. The menu is displayed as, for example:
1. b. Touch when both selections have been made
to return to the previous option menu. Set options.
2. Flags for confirmatory tests:
2. Up to five tests (of those to be reported) can be select-
ed for the confirmatory report. If a specimen has a pos-
Edit flagged results-OFF
itive result for any of the tests selected, the record will
be flagged and can be recalled as part of a confirma-
tory report. Further testing can then be performed on
these specimens and the results of the confirmatory Enter sample IDs-OFF
testing entered into the record, if desired.
2. a. When the action key is touched, the display will
show a list of all tests that are to be reported. Touch
Tech ID-OFF
the selection box next to the tests you want to
include in the confirmatory report; a check mark
will appear in the box. To remove a selection, touch
the box again and the box will become blank. 1. Edit flagged results:
2. b. Touch when the selections have been made to 1. Results that have been flagged as positive and select-
return to the previous option menu. ed for the confirmatory report can be edited (for exam-
ple, if confirmatory testing has been performed). Touch
the cycle key to turn the option ON or OFF, as desired.
CCS ON ON
CT200⫹ OFF OFF
CT200
1. b. The output format you select will depend upon 2. a. Label: The Handheld Reader can accept any of four
whether you already have a software interface pro- different bar code formats. The format being used
gram that allows the transfer of results from either can be selected using the Label cycle key, or you
a CLINITEK® 200+ or a CLINITEK® 200 Urine can allow the reader to automatically determine the
Chemistry Analyzer to a host computer or LIMS. format type. The label options are: Auto detect; Code
When one of these formats is selected (“CT200+” 39; I-2 of 5 (Interleaved 2 of 5); Codabar; and Code
or “CT200”), the data from the CLINITEK 500 128.
instrument will be transmitted in the same format 2. a. NOTE: Select “Auto detect” only if more than one
as that sent by the selected instrument (the print- format is used; faster and more consistent read-
ed results, however, do not mimic the selected ings will occur if the specific format being used is
instrument). selected.
1. b. Alternatively, results can be transmitted in the 2. b. Test bar code: The bar code label being used
CLINITEK 500 format by selecting “CCS.” The should be tested to ensure that the information can
parameters for this format are included in the doc- be read. After touching the Test bar code key,
ument “CLINITEK Communication Specification,” you will be instructed to “Scan bar code
available from your Bayer representative or office. label. Verify that information on screen
1. b. If either CT200+ or CT200 is selected as the out- is correct.” Scan a label that is representative
put format, the use of checksum and handshake of the quality and size being used and for which
must also be specified (refer to your computer you know the results that should be obtained. The
specification for the requirements). It is also strong- results of the test will be displayed on the screen;
ly suggested that you check the selections made compare the displayed result with the known value
on your CLINITEK 200+ or CLINITEK 200 instru- of the label and use this information to determine
ment and enter the parameters identically in the if any characters need to be deleted. Return to the
CLINITEK 500 Analyzer (e.g., ID/color/clarity ON previous menu when finished.
or OFF). This will help ensure that the data is trans- 2. b. NOTE: You may want to test more than one label,
ferred in the same format as your software pro- especially if they are printed from different sources.
gram currently is written to accept. If you use more than one format, test at least one
1. c. Select the correct parameters for all options, then label in each format. Refer to Appendix BCR that
touch as needed to return to the previous Setup accompanies the Handheld Reader for complete
menu. information.
2. Bar code reader options: 2. c. Leading char. to ignore: The Handheld Reader can
2. An optional Handheld Bar Code Reader is available for read a bar code that contains up to 30 characters;
use with the CLINITEK 500 Analyzer. This reader can however, a maximum of 13 characters can be dis-
be used to scan barcoded identification labels on each played, stored, and transmitted by the Analyzer.
specimen cup or tube, rather than entering the speci- All characters in excess of 13 must be ignored (up
men ID manually. The Analyzer software must be con- to a maximum of 18). Characters can be ignored
figured to the appropriate parameters for the barcoded as leading characters (at the beginning of the bar
labels being used. Touching the Bar code reader code), trailing characters (at the end), or a combi-
options key will change the display to a new menu. nation of both. If you need to ignore any leading
characters, touch the cycle key until the desired
number is displayed (“0” to “9”).
2. b. iii. Obtain a loopback connector, either by making previous menu. If there are numerous faulty pixels,
your own or by ordering from Bayer Instrument or if they are located in critical areas, the display
Service (see Section 9, “Replacement Parts”). may need to be replaced.
The connector is a serial 25-pin male connec- 2. f. Printer: The internal and/or 80-column external
tor on which pins 2 and 3 are connected and printer can be tested to ensure that all characters
pins 4 and 5 are connected. are being printed correctly. Ensure that the exter-
2. b. iii. Touch the Serial port action key to display the nal printer is turned on (if one is being used). Touch
test screen. As instructed on the screen, plug the Printer key and follow the directions on the
the loopback connector into the serial port on screen. Examine the printout for its readability. The
the back of the instrument (labeled ), then display automatically returns to the previous menu.
touch to begin the test. The test will con-
tinue until you exit the screen (by touching ). 3. When all tests have been completed, touch to return
2. c. Touch screen: This test may be used to determine to any previous Setup menu, or touch to return to
if the touch screen is functioning properly. When the Ready/Run screen.
the Touch screen key is touched, a screen is dis-
played that is filled with small boxes. As each box
is touched, a check mark ( ) should appear (it
When Setup is Complete
disappears when touched again). Touch the center When you have finished selecting the setup parame-
of each box, saving the key for last. ters, touch to return the display to the Ready/Run
2. d. Bar code reader: This test is identical to the Test screen. It is suggested that you print a copy of the setup
bar code option described in Step I-2-b so you can report to verify your selections and to retain in your files.
test your reader without exiting the hardware test Touch Menu from the Ready/Run screen, then touch Print.
screen. If your Handheld Reader is not reading your From the Print menu that is displayed, select the option
labels, you should test labels of a known quality to Setup report. (If printing from the internal printer, make
determine whether the problem lies with the labels a photocopy of the report, since the thermal print may
you are using or with the Handheld Reader itself. fade over time.)
The package containing your Handheld Reader NOTE: You must have selected “ON” for the internal print-
includes two sheets of barcoded labels that have er and/or “ON, 80 column” for the external printer in order
been printed to the minimum specifications of the to access the Print key. Refer to Step A-4 previously to
bar code reader. If these labels cannot be read, the select one of these printers, if needed.
problem is probably with your reader. If they read The setup parameters are stored both in the CLINITEK
properly, the labels you are using may not be 500 Analyzer and in the program card. If a new program
acceptable. Scan the desired label and compare card is installed, you can select to use your current setup
the displayed result with the known value of the configuration from the Analyzer memory. Conversely, if
label. Return to the previous menu when finished. you receive a new CLINITEK 500 Analyzer, but have
2. e. Display: The display can be tested to ensure that retained your old program card, you can select to use your
all pixels (the lighted elements on the display) are current setup configuration from the program card. If both
being lit and turned off appropriately. When the the Analyzer and the program card are new, you can use
Display key is touched, the entire screen will be lit the printout obtained previously to reselect the desired
for several seconds, then be blank. This series will parameters.
be repeated twice more before returning to the
INSTRUMENT OPERATION
General Information If you need to access any of the menu items shown on
the display, this must be done before a run is started.
Following initial installation (Section 2) and selection During a run, most of the key symbols are dimmed, which
of your setup options (Section 3), the CLINITEK® 500 means the options are not available. The key (Stop
Urine Chemistry Analyzer is ready for routine operation. Run) is always available during a run and, depending on
Carefully read this section before beginning any testing. the Setup options selected, the Color and/or Clarity keys
may be available.
CAUTION: Do not use anything pointed or hard to make
selections on the touch screen. If a key is displayed as a fully lit symbol, that option is
available for selection. Touching the specified key sym-
bol causes the following actions:
Getting Ready to Run ID: allows specimen identification numbers to be entered.
If ID numbers have been entered into a loadlist, the
The CLINITEK 500 instrument is designed to be left number of the next specimen in the list is displayed.
on at all times (except during cleaning procedures). The number is updated each time a strip is moved to
Either the screen saver display or the Ready/Run screen the read area.
will be displayed whenever the instrument is not in use.
(If the screen saver is being displayed, simply touch the SEQ #: allows the sequence number to be changed. The
screen anywhere to return to the Ready/Run screen.) For number being displayed represents the sequential
example: number that will be assigned to the next specimen.
The number increments each time a strip is moved to
the read area.
Use MULTISTIX 10 SG.
Place strip. Color: displays the next option in the series of color selec-
tions that can be made for visually determined color
results. If color was previously entered through the
ID: loadlist, that entry is displayed for the next specimen
to be tested; otherwise, either the default description
SEQ #: 00001
is displayed or the display is blank until the cycle key
is touched, depending upon the selection made in
Color-YELLOW
Section 3, Step F-4. (If color is determined by the
Clarity-CLEAR
instrument or is not being reported, the display shows
“(by Analyzer)” or “(not reported),” respectively.)
Menu Clarity: displays the next option in the series of clarity
Tech ID: 118
09-05-98 10:32 AM selections that can be made. Otherwise, the displays
are the same as for the Color key, except that clarity
cannot be determined by the instrument.
If IDs are not being used and color/clarity results are
displayed (if being reported), the instrument is ready to Menu: takes you to the Option Menu, from which sever-
use immediately and enters the Run mode as soon as a al additional options can be quickly selected or changed
strip is detected on the platform. Whenever the push bar prior to beginning a run.
is positioned at the left side of the loading station, the
instrument is ready to accept placement of a strip; how-
ever, if the bar is positioned to the right, the instrument
is not ready and any strip placed on the platform will be
ignored.
(Stop Run): cancels the run in progress (available 4. Change the “Tech ID” (technician identification) if
only during the Run mode). needed:
(Help): displays additional information about the 4. NOTE: If the “Tech ID” key is dimmed, the option can
Ready/Run screen. be changed to ON as directed in Section 3, Step H-3.
Before starting each run, perform the following steps: 4. a. Touch the Menu key symbol to display the Option
Menu; for example:
1. Check that the name of the Reagent Strip being dis-
played corresponds to the name of the Bayer Reagent Set options.
Strip for Urinalysis that is to be used for routine urin-
alysis. Use of any Reagent Strip other than the one
listed will cause erroneous results. If the names do
not agree, select the correct strip name through the Tech ID: 118
Setup Routine, as directed in Section 3, Step C-2.
Controls
1. IMPORTANT: The CLINITEK 500 Analyzer has been
optimized for use with Bayer Brand Reagent Strips. Setup
The performance characteristics may not be valid for
any other brand of strips, the use of which may cause Print
erroneous results. Bayer Corporation does not war-
rant use of the CLINITEK 500 Analyzer with any Memory
reagent strip other than Bayer Brand Reagent Strips.
2. Inspect the strip loading station and push bar for
cleanliness and correct positioning. If contaminants 4. b. Touch the Tech ID key. A numeric keyboard will be
are present, remove the push bar, platform, and mov- displayed.
ing table, and clean as described in Section 5, “Daily 4. c. Enter the identification of up to 13 digits. The key-
Cleaning.” board also includes the key, which allows
3. The “SEQ #” (sequence number) increments with each alphabetic characters to be entered. Touch
strip that is placed onto the instrument. Change the from the alphabetic screen to return to the
starting number if desired: numeric keyboard, then touch to store the Tech
3. a. Touch the key symbol next to the word SEQ #. The ID and return to the Option Menu screen.
display will change to a numeric keyboard, from 5. If you want to print the ID list (if a loadlist exists in
which the new number can be entered. memory), confirmation of the last calibration, or a
3. b. Enter the desired number. The number can be reset report of the setup parameters, touch the Print key
to “00001” by touching the special key labeled with from the Option Menu and select the desired option.
that number. If an error is made, or if you only need Touch to return to the Option Menu.
to change one or two digits, touch the appropriate 6. If you want to run controls before starting the run,
key ( or ) to move the cursor to the digit to touch the Controls key from the Option Menu and pro-
be changed and enter the correct number. ceed as directed next.
3. c. When the correct number has been entered, touch
to enter the number into memory.
• At the start of the day’s run; 2. c. Touch when you are ready to test the control.
• When using a new bottle of Reagent Strips; 3. The display will prompt “Place strip.” Completely
• When changing instrument operators; immerse all reagent areas of the Bayer Reagent Strip
• Whenever test results are in doubt. in the CHEK-STIX solution. Immediately remove the
CHEK-STIX® Positive and Negative Control Strips for Reagent Strip. While removing, slowly run the edge
Urinalysis are available for use on the CLINITEK 500 of the entire length of the Reagent Strip against the
Analyzer. The solutions prepared using the Control Strips side of the container to remove excess CHEK-STIX
provide positive, negative, or defined reactions when used solution.
with Bayer Reagent Strips for Urinalysis. Alternatively, a 4. Place the reagent strip, with reagent areas up, onto
urine specimen from a normal, healthy individual can be the strip supports of the strip loading station, to the
used as a negative specimen. Additional information on right of the small embossed arrow ( ) (Figure 4-1).
CHEK-STIX Positive and Negative Control Strips can be
found in Section 6 of this manual and in the package insert
for the Control Strips.
To test control specimens, proceed as follows:
1. Prepare the appropriate CHEK-STIX solution(s) by fol-
lowing the directions found in the package insert or
on the bottle label.
1. NOTE: Use freshly prepared CHEK-STIX solution only.
See the package insert or bottle label for stability
information.
2. Touch the Menu key symbol from the Ready/ Run
screen, then touch the Controls key (if not already
done). The display will change to a numeric keyboard,
from which the lot identification of the controls can
be entered, the sequential number reset, and the con-
Figure 4-1
trol run started.
4. NOTE: Be sure the Reagent Strip is lying parallel to 8. d. Deterioration of the CHEK-STIX Control Strips.
the surface of the platform. The end of the strip should Obtain a fresh bottle of CHEK-STIX Control Strips
be against the rear wall of the platform and should not and prepare a fresh CHEK-STIX solution, then
be touching the bottom of the strip loading station. repeat the control procedure. If the solution from
Improper placement may cause the instrument to the fresh control strip fails to give results within
jam or the strip to be incorrectly aligned under the the expected values, proceed to Step e.
readheads. 8. e. CLINITEK 500 instrument malfunction. Perform an
5. Repeat Steps 2-b through 4 for each additional Initial Instrument Check procedure (see Section 2).
control. If the Initial Instrument Check or the control pro-
6. The strip(s) will automatically be advanced along the cedure cannot be successfully completed and an
strip loading station, under the readheads for read- instrument malfunction or reagent strip problem
ing, then into the waste bin. The results will then be is suspected, see Section 8, TROUBLESHOOTING
printed (unless all printers have been turned OFF AND SERVICE, or contact the Customer Service
through the Setup Routine) and stored in memory. Department for assistance.
7. After all controls have been run, press (after the
symbol is displayed again) to exit the control screen. Testing Routine Specimens
8. The CHEK-STIX solution should produce the values A. Basic Operation
stated in the CHEK-STIX package insert. If the control
The steps described in this section are the same regard-
results fall outside of these values, the following
less of whether you are running with or without the use
sources of error may have occurred:
of ID numbers. Read this section completely to under-
8. a. Improper technique or instrument setup. Check stand how the instrument operates during the Run Mode.
that the Reagent Strip being used corresponds to
1. If clarity is being reported and/or color being entered
the Reagent Strip name given on the Ready/Run
by the technician, select the color and/or clarity
screen. Carefully repeat the control procedure as
description for each specimen. Touch the cycle key(s)
described above.
as needed until the appropriate description is being
8. b. Deterioration of the Reagent Strip test areas due displayed. (Alternatively, enter the color and clarity by
to exposure to light, ambient moisture or heat. scanning the appropriate barcoded symbols provid-
Obtain a fresh bottle of the Bayer Reagent Strips ed with the Handheld Bar Code Reader.) This should
being used and repeat the control procedure. If be done before continuing to the next step; however,
fresh Reagent Strips fail to give results within the you can change the description up to the point at
expected values, proceed to Step c. which the strip is moved.
8. c. Deterioration of the CHEK-STIX solution. Prepare
a fresh CHEK-STIX solution and repeat the control
procedure. If fresh solution fails to give results
within the expected values, proceed to Step d.
7. If a problem occurs that requires the run to be stopped 2. Enter the ID for the first specimen. If alphabetic char-
before completion of all readings, touch the key acters are needed, touch the key to display the
(Stop Run) symbol in the upper right corner. You will alphabetic keyboard (touch to return to the numer-
be given the option of cancelling the entire run or can- ic keyboard). Alternatively, scan the ID number from
celling only the last strip that was placed on the plat- a barcoded label using the Handheld Bar Code Reader.
form. If the entire run is cancelled, all strips on the 2. NOTE: Do NOT touch from the ID entry screen
platform will be moved immediately to the waste bin. until after the color and clarity have been entered.
No results will be reported (and no SEQ # assigned)
for any strip that had not been read at both readheads 3. Enter the color and clarity descriptions, if desired, by
prior to pressing ; the specimens for those strips touching the Color and/or Clarity key symbols as
must be retested. If only the last strip is cancelled, the needed to display the correct description. If “Use
run will continue and a new strip can be tested, using default COL/CLA during run” was set to ON, the default
the same SEQ #. values of “YELLOW” and “CLEAR” will be displayed;
if it was set to OFF, the descriptions for both will be
blank until the key is touched. Alternatively, scan the
B. If IDs are Used in a Loadlist: appropriate color and clarity bar codes, using the
Specimen IDs can be entered as a loadlist before start- Handheld Reader and the special color/clarity bar code
ing the run, as described below. sheet provided with the Reader.
1. Touch the ID key from the Ready/Run screen to enter 4. Touch to enter the number, color, and clarity into
the number for the first specimen. The ID entry screen memory. (A warning tone will sound if an entry is
is displayed as, for example: missing.) The number to the left of the ID will incre-
ment to indicate the loadlist order of the next ID to be
Enter IDs, COL, CLA:
entered; the number in the lower right corner of the
1______________ display will also increment to show the total number
Color- of IDs in the loadlist.
YELLOW
5. Repeat Steps 2 to 4 above for each specimen.
Clarity-
CLEAR 5. NOTE: Duplicate ID numbers ARE allowed by the
system.
6. To review, change, or delete a loadlisted number or
color/clarity description that has already been entered,
use the and keys to display the desired num-
ber, using the loadlist order number to help you locate
the proper location:
6. NOTE: The ID number cannot be changed or deleted
Total: 0 during the Run mode. All changes must be made
through this screen while the instrument is in the
1. The ID number can be entered using the numeric key- Ready mode.
board. If color is being entered by the technician and/or
clarity is being reported, these must be entered at the
same time. They can then be edited while running the
specimens, immediately prior to dipping each Reagent
Strip.
End-of-Run Reports 3. Repeat Steps 1 and 2 above for each desired record.
When all editing is complete, touch to exit the
If you marked any analytes to be flagged for confir- Confirmatory Report. Once you leave the Edit routine,
matory and/or microscopic tests (in the Setup Routine), you will not be able to edit the run any further.
one or two end-of-run reports may be displayed when 4. After both the Confirmatory and Microscopic Report
the run is completed. The Confirmatory and/or Micro- screens have been exited, results for the records
scopic Report screens will show the SEQ # and ID of the included in the Confirmatory Report are sent to the
record, plus the abbreviation for each analyte that was printer and/or computer (all other records are printed/
positive and marked for flagging. Up to five records may transmitted as soon as they are available).
be displayed on one screen; additional records can be
viewed by touching the and keys. If there are
records in both the Confirmatory and Microscopic Recalling Results
Reports, the Confirmatory Report will be displayed first.
If results are to be edited, this must be done before exit- Up to 500 patient records and 200 control records are
ing the Confirmatory Report (see “Editing Results” next). stored in memory. If you want to recall one or more
You can print a report by touching . Then touch records, proceed as follows:
when you are ready to exit the report screen. 1. Touch Menu to display the Option Menu, then touch
NOTE: A third report will be displayed if there are any Memory.
records for which an error was reported for one or more 2. You can choose to recall all patient records, all con-
analytes. This report will be displayed last, and any spec- trol records, or the last batch of patient records. The
imens listed should be retested. number of records in memory are both shown next
to the first two options. Touch the desired option.
Editing Results in the Confirmatory Report 3. The first (earliest) record of the selected group will be
displayed. The date and time the record was stored is
If you perform confirmatory testing on any of the spec- shown, along with the technician ID (if available), SEQ
imens and want to edit the reported results, this is done #, and ID for the record. All results are then listed;
from the Confirmatory Report screen. You must first have positive results (as defined through the Setup Routine)
specified one or more tests for the Confirmatory Report are flagged with an asterisk (*) and edited results with
and have selected ON for the “Edit flagged results” option an exclamation (!).
in the Setup Routine (Section 3, Steps G-2 and H-1).
4. Locate the first record you want to review using the
1. While the Confirmatory Report is being displayed, use movement keys shown on the display. The next lower-
the and keys to move the highlighting to the or higher-numbered record in memory is recalled
desired record, then touch to select the record. when the and keys are used; the record 10
2. The results obtained for the flagged (positive) tests lower or higher is recalled when the and keys
will be displayed. Touch the cycle key next to the test are used.
name to change the displayed result to the next option
of the available reported results. Once the cycle key
is touched, the result for that test will be printed and
transmitted with an exclamation point (!), even if the
result is reset to its original value. Touch when
editing is complete for that record to return to the
Confirmatory Report.
Daily Cleaning
The fixed platform, moving table, reagent strip hold-
down plate, and push bar should all be cleaned at least
once each day, as directed in the following steps. If the
display screen is used to enter ID, color, or clarity during
the run, it should be cleaned once each day also.
1. With the instrument at the Ready/Run screen (and the
run completed), turn the Analyzer off.
Figure 5-2
2. Remove the push bar by tilting it slightly upwards and
pulling straight out (Figure 5-1). 4. Remove the moving table in the same manner (Figure
5-3).
Figure 5-1
Figure 5-3
5. Remove the holddown plate from the fixed platform 7. Rinse each piece thoroughly and dry with a paper
by pressing up against the tab at the back of the plate towel or soft cloth. Allow the calibration bars on the
(Figure 5-4). Then pull the other end from its retain- platform to air dry.
ing hole. 7. NOTE: After cleaning, inspect the calibration bars for
scratches, marks, or discoloration. If the bars can-
not be cleaned, the platform must be replaced (see
Section 9, “Replacement Parts”).
8. If you want to disinfect the parts, do that now,
as instructed in “Disinfection,” found later in this
section.
9. Reinstall the moving table as follows:
9. a. Hold the table with the small square tab facing to
the back.
9. b. Align the two grooves on the bottom of the table
with the edges of the platform on which the table
rests.
9. c. Gently push the table in as far as it will go. It must
be pushed past a detent in order to be correctly
Figure 5-4 in position.
10. Reinstall the holddown and fixed platform:
6. Clean each piece (push bar, platform, holddown, and
table) with warm water and mild soap. Do not use any 10. a. Position the holddown with the arrow side facing
type of solvent. When cleaning the platform, avoid up and the arrow pointing to the back. Place the
wiping across the two white calibration bars; use a pin on the front of the holddown into the hole at
cotton-tipped swab, wetted with plain water, to clean the front of the fixed platform. Then align the tab
the bars. at the back of the holddown with the slot at the
back of the platform and snap the holddown into
6. NOTE: If the holddown and/or push bar are extremely
place. Make sure the white calibration bars are
dirty, they may need to be soaked in order to loosen
visible.
the dried residue. An extra moving table, holddown,
and push bar are supplied with your instrument so you
can reassemble your instrument while the original
pieces are soaking.
13. Turn the instrument power on. 4. Dry each piece with a paper towel or soft cloth, using
care when drying around the pins on the moving table.
Allow the white calibration bars on the platform to air
Disinfection dry.
5. Reinstall the pieces as directed in “Daily Cleaning,”
To disinfect the push bar, holddown, platform, table Steps 9 to 11.
and display screen, perform the following steps:
IMPORTANT: Refer to the labeling accompanying the dis-
infection products for complete instructions on their use.
1. Remove, clean, and dry the push bar, fixed platform,
holddown, and moving table as directed in “Daily
Cleaning,” Steps 1 to 7.
6. Disinfect the display screen, if needed, using either 3. If there is paper remaining on the roll, lift up the roll
Cidex or Theracide solution (or their equivalent) only; and tear the paper between the roll and the printer.
do NOT use bleach. Wipe the solution on the screen Then gently pull the paper through the printer in its
using a soft, nonabrasive cloth and allow to remain normal direction of travel or rotate the wheel on the
for 10 minutes. Do NOT spray or pour the disinfec- right side to advance the paper. Otherwise, remove
tant directly onto the screen. Rinse using a clean, soft the empty core.
cloth dampened with water, then dry. 4. Obtain a new roll of paper (Product No. 5773); unroll
NOTE: Repeated or prolonged soaks over a long period several inches and trim the end into a long “V”. Hold
of time with glutaraldehyde solutions may cause a slight the roll just above the printer, with the paper unrolling
fading or discoloration of the platform and table, and a from underneath. Feed the end of the paper under the
cloudy appearance to the push bar; however, these roller, then rotate the paper advance wheel in a clock-
changes will not affect performance. wise direction (toward the back) until several inches
of paper are exposed above the printer (Figure 5-6).
Figure 5-6
Figure 5-5
ACCESSORIES
CHEK-STIX® Positive and Negative The Control Strips are available as a Combo Pak, which
contains one bottle each of the Positive Control Strips
Control Strips for Urinalysis and Negative Control Strips (25 strips/bottle). The Positive
Combo Pak (Product Number 1364) Control Strips are also available as a separate product
Positive Control Strips (Product Number 1360) (one bottle of 25 strips).
CHEK-STIX® Positive and Negative Control Strips for
Urinalysis (Figure 6-1) provide a performance check for
the CLINITEK® 500 Instrument/Reagent Strip System. CLINITEK® Handheld Bar Code
CHEK-STIX Control Strips provide confidence that the Reader (Product Number 6471)
Reagent Strips are reacting and being read properly. The CLINITEK® Handheld Bar Code Reader (Figure
Errors resulting from user technique can also be detected. 6-2) can be connected to the RJ45 interface port on the
CLINITEK 500 instrument. The Handheld Reader can be
used to enter the identification numbers from barcoded
labels, rather than manually entering each number before
the specimen is tested. Color and clarity can also be
scanned from special bar codes that are included with
the Handheld Reader.
Figure 6-1
MINOR REPAIR
General Information
The CLINITEK® 500 Urine Chemistry Analyzer is a self-
contained instrument that requires very little maintenance.
With proper care and use, the instrument should oper-
ate reliably with a minimum of operator attention. The
only minor repair that can be performed is the replace-
ment of the printer, should this ever become necessary.
In addition, the touch screen can be recalibrated, if
needed. This section is provided as an aid in performing
these procedures; for any other repairs, refer to Section
8, TROUBLESHOOTING AND SERVICE, for instructions
on obtaining service for your instrument.
Tools Required: 3. Remove the roll of paper from the printer by tearing
None the paper between the roll and the printer, then gen-
Parts Required: tly pulling the paper through the printer in its normal
Printer (Part No. 40451012) direction of travel.
4. To remove the printer:
Procedure:
4. a. Carefully remove the clear plastic shield that is
1. WARNING: TURN THE INSTRUMENT OFF AND adhered to the front of the printer. Be careful not
REMOVE THE AC ELECTRICAL CORD FROM THE to tear the adhesive pads.
OUTLET.
4. b. The printer hooks under a ledge at the front and
2. Remove the cover on the internal printer by pressing snaps into position at the rear with a small lever
in on the lever on the back of the printer cover and (Figure 7-2). Press out on the lever and lift up on
lifting up on the cover (Figure 7-1). the printer. Raise the module out of its cavity by
lifting up and back.
Figure 7-2
‹!£ ‹@£
Figure 7-3
touch Menu, then Print, then Setup report) or by the screen, directly on top of the “X”. Repeat when
performing several Reagent Strip tests. (If you had the prompt changes to “Touch the bottom right
turned the internal printer off prior to replacement corner.” When the touch screen has been recali-
of the module, be sure to turn it back on through brated, the display will automatically continue in the
the Setup Routine.) normal sequence of screens.
5. f. NOTE: If “Printer Error” is displayed when
attempting to print, check for a tight and proper
connection of the interface cable.
If an error number is displayed that requires the instru- Our Customer Service Department is available to help
ment to be turned off, all samples that were in process you. Before calling, please complete the “Preservice
when the error occurred will need to be retested. The nor- Checklist” later in this section (you may want to make a
mal end-of-run reports will be displayed when the instru- photocopy of the checklist first). This information will
ment is turned back on for samples that had been help the Customer Service Representative to identify the
processed prior to the error. probable cause of the problem.
AUSTRALIA FINLAND
Bayer Australia Ltd. Bayer Oy
Healthcare Division Diagnostics
875 Pacific Highway Suomalaistentie 7
Pymble NSW 2073 02270 Espoo
Telephone: 02 93916400 Telephone: 09-887 887
BELGIUM GREECE
Bayer—Diagnostics Division Bayer Hellas AG
Zaventemsesteenweg, 97 BG Diagnostics
B-1831 Diegem 54A, Akakion St.
Tel.: 02/725.18.80 151 25 Amaroussion
CANADA Athens
Bayer Inc. Tel.: 1-6883700
Healthcare Division HUNGARY
77 Belfield Road Bayer Hungaria Kft.
Toronto, Ontario M9W 1G6 Palya utca 4-6
Telephone: 416-248-0771 H-1012 Budapest
Telephone: 1-800-268-7200 Tel.: 01-212 1540
CENTRAL EASTERN EUROPE Fax: 01-212 1575
Bayer Diagnostics GmbH INDIA
–MOE– Bayer Diagnostics India Limited
Weissenseestrasse 101 589, Sayajipura
D-81539 Munich, Germany Ajwa Road
Tel.: 49-89-69927 191 Baroda 390 019
Fax: 49-89-69927 248 Gujarat
CZECH REPUBLIC Tel.: 265 462720
Bayer s.r.o. ITALY
Diagnostics Division Bayer S.p.A.
Litvinovska 609/3 Divisione Diagnostici
CZ-190 00 PRAHA 9-Prosek Via Grosio 10/4
Tel.: 02-66101-111 20151 Milano
Fax: 02-66101 199 Tel.: 02-3978.3956
DENMARK KOREA
Bayer A/S Bayer-Sankyo Co., Ltd.
Diagnostics c/o Hanil Pharmaceutical Ind.
Norgaardsvej 32 656-408 Sungsu 1 KA 2-Dong
DK-2800 Lyngby Sungdong-Ku
Telephone: 45 23 50 00 Seoul
EASTERN MEDITERRANEAN, MIDDLE EAST, AFRICA Tel.: 2 4609 600
Please contact your local distributor or:
Bayer
Export Division, E.M.M.E.A.
13, rue Jean Jaurès
92807 Puteaux Cedex
France
Tel.: 33.01.49 06 85 00
TROUBLESHOOTING CHART
SYMPTOM POSSIBLE CAUSE REMEDY
Display is blank. 1. No power. 1. Listen for the fan; if it is not running, turn the instru-
ment power off. Check that the power cord is firmly
plugged into the instrument and into a live AC elec-
trical outlet. Then turn the power back on.
2. Improperly inserted program card. 2. Turn the instrument power off, then remove the pro-
gram card and reinsert it firmly, making sure that
the label is facing forward, with the arrows pointing
in and up. When properly inserted, the edge of the
card will be flush with the instrument case. Turn the
power back on.
3. Defective program card or defective 3. Contact your Bayer Customer Service office.
3. system electronics.
Push bar does not 1. Other strips are being moved along the 1. Allow up to 7 seconds to elapse prior to movement
move to the right after 1. the platform. 1. of the push bar. The time lapse depends upon
a strip is placed onto 1. the timing cycle for movement of the strips
the platform. 1. across the platform.
2. Strip detector problem. 2. From the Ready/Run screen (and with the run com-
2. pleted), turn the instrument power off, wait several
seconds, then turn it back on. If the problem contin-
ues, contact your Bayer Customer Service office.
Push bar does not A very dark urine is being tested; the Presence of the strip will be verified at the first
move back to the left strip detector is unable to verify the readhead, requiring an additional 3 cycles
after moving a strip presence of the strip until it reaches (21 seconds). The push bar should then move back
(other than at the end the first readhead. to the left. Continue testing in the normal manner.
of a loadlisted run or
while waiting for
entry of an ID).
Push bar moves to 1. The strip detector was accidentally 1. The push bar will move back to the left after
the right when it 1. triggered by a hand, sleeve, or 1. 3 cycles (21 seconds); continue testing in the
shouldn’t (a strip 1. other foreign object. 1. normal manner. Be sure you do not place your
has not been placed 1. hand or other objects on the platform, as these
on the platform). 1. can be mistaken for a Reagent Strip.
2. Strip detector problem. 2. From the Ready/Run screen (with the run completed
and the strip loading station clear of all strips and
foreign objects), turn the instrument power off, wait
several seconds, then turn it back on to recalibrate
the strip detector. If the problem continues, contact
your Bayer Customer Service office.
Test results are not 1. Internal printer is set to OFF. 1. Set the internal printer to ON through the Setup
being printed by the 1. Routine (see Section 3, Step A-4).
internal printer. 2. No paper installed in printer. 2. Install a new roll of paper as instructed in Section 5,
“Periodic Maintenance.”
3. Loose electrical connection to the 3. Carefully remove and reinstall the interface cable
3. printer. 3. to the printer (see Section 7, “Printer Replacement,”
Steps 4 and 5).
4. Defective printer. 4. Run the Printer test (see Section 3, Step J-2f).
Contact your Bayer Customer Service office if it
doesn’t print correctly.
Touch screen does 1. Screen needs to be recalibrated. 1. Recalibrate as instructed in Section 7, “Calibrating
not respond correctly. 1. the Touch Screen.”
2. Defective screen. 2. Contact your Bayer Customer Service office.
Error 01 Instrument optical error. Turn the instrument power off, wait
Error 02 several seconds, then turn it back on.
Error 03
Error 04
Error 05
Error 06-2 A Reagent Strip that had been detected Touch to cancel the run and return to the
at the first readhead was not detected Ready/Run screen, then turn off the instrument
at the second readhead. power. Remove the fixed platform to locate the strip
(see Section 5, “Daily Cleaning”). Check the pins on
the moving table to ensure that none are bent or
broken, then perform the “Daily Cleaning” procedure in
Section 5. Check your printout of results, or the Results
Error Report displayed at the end of the run, to deter-
mine the specimen(s) for which there are no results;
retest those specimens.
Error 07-1 A Reagent Strip either is not fully If the error is because of an upside-down strip, remove
wetted or is upside-down on the and clean the push bar, fixed platform, and holddown
platform. (see Section 5, “Daily Cleaning”). Then check your
printout of results, or the Results Error Report
displayed at the end of the run, to determine the
specimen(s) for which there are no results. Retest the
appropriate specimen, ensuring that the strip is dipped
completely into the specimen and is placed onto the
platform with the pads facing up.
Error 08-n A Reagent Strip has become Check your printout of results, or the Results Error
Error 09-n misaligned during processing. Report displayed at the end of the run, to determine the
specimen(s) for which there are no results. Retest
those specimens, ensuring that the end of the strip is
placed against the rear wall of the platform (with Error
08-1) and not touching the bottom of the strip loading
station. If the error repeats, remove and clean the mov-
ing table, fixed platform, push bar, and holddown (see
Section 5, “Daily Cleaning”). Check the moving table to
ensure that no pins are bent or broken, then reinstall
the parts.
Error 10-n Instrument optical error. Turn the instrument power off, then remove and clean
the fixed platform, taking care to carefully clean the
calibration bars (see Section 5, “Daily Cleaning”). Check
your printout of results, or the Results Error Report dis-
played at the end of the run, to determine the speci-
men(s) for which there are no results; retest those
specimens.
Error 21 Internal memory error. Turn the instrument power off, wait several seconds,
then turn it back on.
Error 23 1. Moving table is misaligned. Turn the instrument power off. Remove the push bar,
fixed platform, and moving table (you may have to pull
firmly to remove). Turn the power back on, allow the
system to reinitialize and the table mechanism to move
to its lowest position (another error will be displayed),
then turn off again. Reinstall the moving table (ensuring
it is pushed in completely), fixed platform, and push
bar, as directed in Section 5, “Daily Cleaning.” Turn the
power on again.
2. Instrument mechanical error. Contact your Bayer Customer Service office.
Error 24 1. Fixed platform or push bar is 1. Turn the instrument power off. Inspect the
Error 25 1. misaligned. 1. instrument for any obvious signs of misalignment
1. or incorrect installation of the push bar, fixed plat-
form, or holddown. Remove and reinstall, if needed,
as directed in Section 5, “Daily Cleaning.” Turn the
power back on.
2. Instrument mechanical error. 2. Contact your Bayer Customer Service office.
Error 26 Fixed platform is missing or not installed Install the table and platform, if missing (see Section 5,
properly. “Daily Cleaning”). If already installed, carefully push in
on the sides of the platform to make sure it is fully
engaged. If the error continues, remove and reinstall
the platform, as instructed in Section 5.
Error 27 Holddown is improperly installed or Touch if necessary to cancel the run. Remove the
missing, or is dirty. fixed platform as instructed in Section 5, “Daily
Cleaning.” Install the holddown if missing, or clean it if
it appears dirty. Reinstall the holddown, ensuring it is
properly installed, then replace the platform onto the
instrument. (If the holddown appears damaged or dis-
colored, replace with a new holddown.) Check your
printout of results, or the Results Error Report dis-
played at the end of the run, to determine the speci-
men(s) for which there are no results; retest those
specimens.
Error 28 A Reagent Strip that was detected as If a strip was never placed or was removed after
being placed on the platform was not being placed: Check your printout of results, or the
detected at the first readhead. Results Error Report displayed at the end of the run, to
determine if a result set is missing and, if so, retest the
specimen. Be sure you do not place your hand or other
objects on the strip loading station, as these can be
mistaken for a Reagent Strip. If the error occurs repeat-
edly, turn the instrument power off, wait several seconds,
then turn it back on to recalibrate the strip sensor.
If a strip was present: Remove and clean the moving
table, fixed platform, and holddown (see Section 5,
“Daily Cleaning”).
Error 29 Calibration bar error. Turn the instrument power off, then remove the fixed
platform (see Section 5, “Daily Cleaning”) and inspect
the calibration bars for damage or misalignment. Clean
the platform and calibration bars and reinstall the plat-
form. Turn the power back on.
Error 30 Instrument mechanical error. Contact your Bayer Customer Service office.
Error 31
Error 34
Error 50 Printer Error Check that your external printer is turned on and is on-
line. Verify that both ends of the interface cable are
securely connected and check that your printer has
paper.
Error 51 Control results memory (51) or sample Nearly 200 control result sets or nearly 500 patient
Error 52 results memory (52) is almost full. result sets have been stored in memory without being
transferred to a computer. Check that your computer is
turned on, that the interface cable is securely connected
at both ends, and that the setup parameters for the
computer interface are correct. Transfer at least some
of the records. If unable to transfer records, contact
your Bayer Customer Service office.
Error 53 Control results memory (53) or Two hundred control result sets or 500 patient result
Error 54 sample results memory (54) is sets have been stored in memory without being
completely full. sent to a computer. No additional testing can occur
until at least some of the records are transmitted. Check
that your computer is turned on, that the interface cable
is securely connected at both ends, and that the setup
parameters for the computer interface are correct.
Error 55 System was unable to store Setup After clearing the error screen, print both setup
changes to the Program Card; configurations, if desired, to determine which you
default values have been stored want to use, then select that option. (The Analyzer
instead. Displayed when Analyzer memory will usually contain the latest Setup changes.)
is first turned on. If the error repeats the next time the instrument is
turned on, contact your Bayer Customer Service office.
Error 56 System error. Turn the instrument power off, wait several seconds,
then turn it back on. If the error repeats, contact your
Bayer Customer Service office.
YES NO YES NO
01. Does the fan come on when the instrument 06. • Are the Bayer Reagent Strips within their
is turned on? expiration dating?
01. • If NO, is the instrument firmly plugged 06. • Is the bottle of Control Strips within its
into a live AC electrical outlet and into expiration dating and is the Control
the instrument? Solution within its use life (8 hours)?
02. Is the appropriate sequence of screens 06. • Is the instrument in the proper operating
displayed when the instrument is first environment and location? (See Section 2.)
turned on? (See Section 2 for a description 06.
of the screens.) 06. • Is the fixed platform clean? (See Section 5.)
02. • If NO, is the Program Card firmly in place 07. What is the software revision level being
and properly oriented? (See Section 2, used? (Turn the Analyzer off, wait about
“Instrument Setup,” Step 5.) 15 seconds, then turn it back on; the
software version is displayed after the
03. Is the touch screen operating properly? initialization screen.) ________
03. If NO: 08. Are any error messages or warnings being
03. • Have you performed the Touch Screen displayed?
Test? (See Section 3, Step J-3c.) 08. • If so, what are they? (List the error description
03. • Have you recalibrated the touch screen? and any numbers that are displayed.)
(See Section 7.) 08. ________________________________________________
04. Does the instrument proceed properly while 08. ________________________________________________
analyzing Reagent Strips? 09. Have you performed the appropriate steps
05. Is the printer functioning properly (i.e., suggested on the display for the error being
are the appropriate messages and displayed?
patient results being printed)? If an external device is being used:
05. If NO: 10. Is the printer and/or host computer/LIMS
05. • Is the internal or an external printer connected and turned on?
turned ON? (See Section 3, Step A-4.)
11. Have the correct parameters for transmission
05. • been selected (through the Setup menus)?
05. • Is there paper in the printer?
05. • Have you performed the printer test? 12. Is the external printer properly printing the
05. • (See Section 3, Step J-2f.) test results?
06. Are reasonable results being displayed/printed 13. Is the computer receiving the proper data
for the controls and patient samples? (e.g., do the results correspond with the screen
display)?
06. If NO:
06. • Does the name of the Bayer Reagent Strip
displayed on the Ready/Run screen agree
with the strip being used?
The cable normally used to interface with the CLINITEK 2. CLINITEK® Form Printer — a special format of data is
500 instrument is a Null modem cable. This cable cross- generated for this form printer when the External Printer
es pins 2 and 3, 4 and 5, and 6 and 20; pins 1 and 7 are option is set to “ON, Form” in the Setup Routine
straight through. Refer to Table CPI-1 for definitions of (Section 3, Step A-4a-iii). The Form Printer includes
the pin assignments and hardware handshaking. an interface cable to connect the printer to the
CLINITEK 500 instrument.
Hardware Handshaking:
RXD Receive Data This input receives control characters for software handshaking and data for IDs.
TXD Transmit Data This output sends test data, control characters, and instrument information.
DTR Data Terminal Ready This signal is on whenever the instrument I/O is configured for a computer and the
instrument is on.
DSR Data Set Ready The computer must raise this line whenever it is ready to receive data. If not supplied
by the computer, pin 6 must be jumpered to pin 20.
RTS Request To Send This output line, when high, indicates to the computer that it may send data.
CTS Clear To Send This input is checked before sending each character and, if high, the next character
is sent. If not supplied by the computer, pin 5 must be jumpered to pin 20.
The following signal lines are NOT implemented:
DCD Data Carrier Detect Pin 8
RNG Ring Indicator Pin 22
Table CPI-1
NOTES:
1. STROBE-L (Data Strobe): “-L” indicates active low signal.
2. SIG GND (Signal Ground): Pins 19 through 25 are also connected to the signal ground.
Table CPI-2
MANUFACTURER’S WARRANTY
(U.S. Customers Only)
Bayer Corporation (“Bayer”) warrants to the original 3. Bayer reserves the right to make changes in design
purchaser that this instrument will be free from defects of this instrument without obligation to incorpo-
in materials and workmanship for a period of one year rate such changes into previously manufactured
from the later of the date of original purchase or instal- instruments.
lation (except as noted below). During the stated one-year
period, Bayer shall replace with a reconditioned unit or, at Disclaimer of Warranties
its option, repair at no charge a unit that is found to be THIS WARRANTY IS EXPRESSLY MADE IN LIEU OF
defective. ANY AND ALL OTHER WARRANTIES EXPRESS OR
This warranty is subject to the following exceptions IMPLIED (EITHER IN FACT OR BY OPERATION OF LAW)
and limitations: INCLUDING THE WARRANTIES OF MERCHANTABILITY
1. A 90-day warranty only will be extended for con- AND FITNESS FOR USE WHICH ARE EXPRESSLY
sumable parts and/or accessories. EXCLUDED, AND IS THE ONLY WARRANTY GIVEN BY
BAYER.
2. This warranty is limited to repair or replacement
due to defects in parts or workmanship. Parts
required which were not defective shall be replaced
Limitations of Liability
at additional cost, and Bayer shall not be required IN NO EVENT SHALL BAYER BE LIABLE FOR INDI-
to make any repairs or replace any parts which are RECT, SPECIAL OR CONSEQUENTIAL DAMAGES, EVEN IF
necessitated by abuse, accidents, alteration, mis- BAYER HAS BEEN ADVISED OF THE POSSIBILITY OF
use, neglect, maintenance by other than Bayer, or SUCH DAMAGES.
failure to operate the instrument in accordance with For warranty service, purchaser must contact the
instructions. Further, Bayer assumes no liability for Customer Service Department of Bayer Corporation by
malfunction or damage to Bayer instruments caused calling toll free 1-800-348-8100, for assistance and/or
by the use of reagents other than reagents manu- instructions for obtaining repair of this instrument.
factured or recommended by Bayer.
Revised 9/98