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    COULTERLH 700 SERIES

    HEMATOLOGY ANALYZER

    with optional

    LH SLIDEMAKER AND LH SLIDESTAINER

    EASY REFERENCE GUIDE

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    Safety NoticeRead all product manuals and consult with Beckman Coulter-trained personnel before attempting to operateinstrument. Do not attempt to perform any procedure before carefully reading all instructions. Always followproduct labeling and manufacturers recommendations. If in doubt as to how to proceed in any situation,contact your Beckman Coulter representative. Beckman Coulter, Inc. urges its customers to comply with allnational health and safety standards such as the use of barrier protection. This may include, but is not limited

    to, protective eyewear, gloves, and suitable laboratory attire when operating or maintaining this or any otherautomated laboratory analyzer.

    Alerts for Warning and CautionThroughout this manual, you will see the appearance of these alerts for Warning and Caution conditions:

    WARNINGWARNING indicates a potentially hazardous situation, which, if not avoided, could result in death or seriousinjury. May be used to indicate the possibility of erroneous data that could result in an incorrect diagnosis.

    CAUTIONCAUTION indicates a potentially hazardous situation, which, if not avoided, may result in minor or moderateinjury. It may also be used to alert against unsafe practices. May be used to indicate the possibility oferroneous data that could result in an incorrect diagnosis.

    Safety Precautions

    WARNINGRisk of operator injury if:

    All doors covers and panels are not closed and secured in place prior to and during instrumentoperation.

    The integrity of safety interlocks and sensors is compromised. Instrument alarms and error messages are not acknowledged and acted upon. You contact moving parts. You mishandle broken parts. Doors, covers and panels are not opened, closed, removed and/or replaced with care. Improper tools are used for troubleshooting.

    To avoid injury: Keep doors, covers and panels closed and secured in place while the instrument is in use. Take full advantage of the safety features of the instrument.

    Acknowledge and act upon instrument alarms and error messages. Keep away from moving parts. Report any broken parts to your Beckman Coulter Representative. Open/remove and close/replace doors, covers and panels with care. Use the proper tools when troubleshooting.

    CAUTIONSystem integrity could be compromised and operational failures could occur if:

    This equipment is used in a manner other than specified. Operate the instrument as instructed inthe product manuals.

    You introduce software that is not authorized by Beckman Coulter into your computer. Onlyoperate your systems software with software authorized by Beckman Coulter.

    You install software that is not an original copyrighted version. Only use software that is anoriginal copyrighted version to prevent virus contamination.

    CAUTIONIf you purchased this product from anyone other than Beckman Coulter or an authorized BeckmanCoulter distributor, and, it is not presently under a Beckman Coulter service maintenance agreement,Beckman Coulter cannot guarantee that the product is fitted with the most current mandatoryengineering revisions or that you will receive the most current information bulletins concerning theproduct. If you purchased this product from a third party and would like further informationconcerning this topic, call your Beckman Coulter Representative.

    This document is not intended to replace the information in your instrument Instructions forUse manual. Information in the Instructions for Use manual supersedes information in anyother manual.

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    TRADEMARKS

    5C, COULTER, COULTER COUNTER, FACULTY, ISOTON, LIN-C, LYSE S, and S-CAL are

    trademarks of Beckman Coulter, Inc.

    All other trademarks, service marks, products or services are trademarks or registered trademarks

    of their respective holders.

    CopyrightBeckman Coulter, Inc. 2007

    All Rights Reserved

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    REVISION STATUS

    Revision AA Initial Issue (October 2009)

    Combine the LH 750 PNA48907and LH 780 PNA36293Easy Reference Guides.

    Software 2D1/2B1 or higher

    2009 Beckman Coulter, Inc.

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    TABLE OF CONTENTS

    Hematopoiesis: The Original Family TreeNormal Histograms LH 780 and LH 750Normal Data Plots (2D and 3D)

    Workstation

    Log Off/Log On LH WorkstationThe Command CenterThe Eight LH Application ButtonsSpecial Help IconsLH SlideStainer IconsLH Workstation (computer) Shutdown

    Daily Functions

    LH 700 SeriesAnalyzer CRT and Numeric KeypadShutdown Cycle SummaryStartup Cycle SummaryRunning Latron SummaryRunning COULTER5Cand Retic-C Cell Controls Summary

    LH SlideMakerSM Keypad Display Map

    Suggested Daily Setup for LH SlideMakerLH SlideStainer

    Suggested Daily Setup for LH SlideMaker with LH SlideStainer

    Calibration

    Reproducibility and Carryover

    Host/LIS Down

    Setting Up the LH WorkstationCreating the ToDo List

    IQAP/eIQAP Information

    General InformationIQAP Download ProcedureHow to Register and Enroll in eIQAP

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    How to Access eIQAPUpload File Messages

    Parts Diagrams

    LH 700 Series

    Diluter Front PanelsDiluter Front Cover (top view)

    LH SlideMakerSample Access and Reservoir ModuleDispense ModuleDispense Probe Mechanism and Rinse BlockSlide Transport Module

    Common Troubleshooting Fixes

    Common Orderable PartsLH 700 SeriesInstrument Power Off/OnLow Vacuum Low MessageLow Vacuum Drifted MessageFluid LeaksLevel Sense MessageBackwash Tank Not Full MessageProbe MessagesRocker Bed Messages

    Aspiration MessagesNo Diff ResultsNo Retic Results

    LH SlideMakerDispense Probe MessagesLow Vacuum 1 or 2 MessagesShuttle or Truck Vacuum Messages

    LH SlideStainerBath Not Draining Messages

    Bath Not Filling MessagesAs Needed Cleaning Procedures

    LH 700 SeriesLH SlideMakerLH SlideStainer

    Optimizing Stain Protocols

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    Hematopoiesis: The Original Family Tree

    Courtesy Johns Hopkins University Press,

    The Johns Hopkins Atlas of Human Functional Anatomy,Leon Schlossberg, illustrator

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    Normal Histograms LH 780

    RBC Histogram

    Platelet Histogram

    WBC Histogram

    Range IndicatorsUpper and lower limitsdefined by the lab or

    can be turned off.

    Normally has two curves.Green curve is the smoothor raw data. Black curve is

    the fitted data.

    Black line indicates the35 fL lower threshold.Area checked for

    presence of interference.

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    Normal Histograms LH 750

    RBC Histogram

    Platelet Histogram

    WBC Histogram

    Normally has two curves.Green curve is the smoothor raw data. Black curve isthe fitted data.

    Black line indicates the

    35 fL lower threshold.Area checked for

    resence of interference.

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    Normal Data Plots

    2D Data Plot (WBC Differential)

    2D Data Plot (WBC Differential) (Lymphs removed)

    Monocytes

    Lymphocytes

    Non-white cells

    Neutrophils

    Eosinophils

    Basophils

    Basophils

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    3D Data Plots (WBC Differential)

    3D Data Plot (WBC Differential) (default view)

    3D Data Plot (WBC Differential) (rotated 90 degrees)

    Point of origin(0, 0, 0) xyzcoordinate

    y-axisVolume

    z-axisConductivity

    x-axis

    Light Scatter

    Point of origin(0, 0, 0) xyzcoordinate

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    2D and 3D Data Plots (Reticulocytes)

    2D Data Plot (Reticulocytes)

    3D Data Plot (Reticulocytes)

    Mature RBCs

    Platelets/Non-red cells

    Reticulocytes

    WBCs

    Point of origin(0, 0, 0) xyzcoordinate

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    Log Off/Log On LH Workstation

    To Log Off the LH Workstation

    Step Action

    1 Select from the Command Center. The Log Off the System windowappears.

    The default selection is Log Off Current User.

    2Select to confirm that you want to log off the current user name.

    To Log On to the LH Workstation

    Step Action

    Type your user name or verify the current name displayed.1

    User names are defined by those with Lab Admin (Level 3) access.

    Type your password.

    2 Remember that passwords are case-sensitive.

    If you forget your password, the Lab Admin access can reset it for you.

    3Select at the bottom of the logon screen. The Workstation checks your

    password and starts the LH Workstation.

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    The Command Center

    The Command Center is the green bar located across the bottomof the desktop area.

    When you want to change the area you are viewing, just select anew button from the Command Center. The program automatically

    closes what was open and then opens the new selection.

    There are three exceptions:

    If the Run Configuration screen is open, you exit by selecting

    either (OK, save and close) or the red to cancel any changes

    you made.

    If the Helpscreen is open, you exit by selecting the small x in the upper

    right corner of the Help screen.

    If the History Logsare open, exit by selecting the small x in the upperright corner of the History Logs screen.

    The user currentlylogged on.

    Body Fluid Option

    Eight LHApplication buttons

    Status Indicatorsfor Analyzer orSlideMaker and

    PC

    Barcode entryScanned or Typed

    Predilute Optionwith

    dilution factor entry

    Process TypeUsually has AutoAnalysis selected.

    Default TypeSelects the sample testmode if no barcode or

    Random Access

    Enable/DisableRandom Access

    Traffic-light iconInstrument Status

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    The Eight LH Application Buttons

    Run Configuration

    Takes you to the screen to view/change Print, LIS and LHSlideMaker run choices. Also access to AutoStop choices.

    Patient Results

    Takes you to the screen to view patient results from either theResults/Graphics view or the Database/ToDo view.

    Quality Assurance

    Takes you to the screens associated with various QA data:

    Daily Checks, Quality Control, Extended QC, XB, XM,Reproducibility, Carryover, Calibration.

    Help

    Provides access to an extensive multimedia help system builtinto the software.

    History Logs Viewer

    Provides access to the various electronic logs for review, toadd comments, print or archive.

    System Status

    View current details about the system , such as softwarerevision.

    System Setup

    Provides access to the various setup functions to customizeyour workflow: General Settings, Quality Assurance, Patientetc.

    Log Off (Exit) the System

    Choose between Log off current (default) or Shutdown theWorkstation.

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    Special HELP Icons

    These icons are found within the HELP system on the Workstation.

    Help button on Main Command Centeror a screens tool bar.

    Help Mode(Context Sensitive Help)button.

    In a HELP topic, shows that the topic

    was changed in the current revision ofthe software and HELP.

    Shows that you can find a list of topicsrelatedto the current HELP topic on thescreen.

    Indicates that you can find a sub-procedure with a graphicby clicking onthe Pictureicon.

    Indicates that you can go to a video clipof maintenance or other procedure byclicking on the Projectoricon.

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    COULTER

    LHSlideStainerIcons

    From System Set Up, go to .Select tab.

    Save Protocol

    Saves newly created or modified staining protocol.

    Delete Protocol

    Deletes selected protocol. You cannot delete a protocolwhile it is in use.

    Download SlideStainer Protocol (LabAdmin only)

    Downloads a saved or modifiedstain protocol to theSlideStainer. The icon will only be available when the

    SlideStainer is in Standby mode.New Protocol

    Provides blank Staining Protocol data fields to prepareto set up a new protocol or to modify an existingprotocol.

    Open SlideStainer Arm Dialog Box (LabAdmin only)

    Arm is aligned in response to error situations.

    SlideStainer Status

    Provides information about Serial # and cycle countamong others. Buttons to open and close gripper andreinitialize arm.

    SlideStainer Input Queue Status (LabAdmin only)

    Displays SlideStainer input/output queue configurationfor configuring the parking lot / empty basket areas.

    Drain SlideStainer Reagent Lines

    In preparation for shutting down SlideStainer orpreventing spillage during maintenance procedures.

    Monitor Sensor Status

    To troubleshoot error messages. Also monitor valuesfor temperatures, pressure sensors, and battery VDCinformation.

    Download SlideStainer Software (LabAdmin only)

    To upgrade software or respond to error situations

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    LHWorkstation (computer) Shutdown

    The LH Workstation (computer) should go through this procedure at least once per week.

    You may have to shut down and restart the Workstation in response to certain error

    situations or if the computer doesnt respond. Be sure to read any Help message for error

    recovery carefully for this indication.

    In the event of a communication problem between the Workstation and the LH 780

    Analyzer, you may need to reset the Analyzer using the RESETbutton on the upper right

    corner of the Analyzer cover as well as selecting to shut down and restart the Workstation.

    Step Action

    1Select from the Command Center.

    2 Select Shutdown the Workstation, then Select OK

    The Workstation will save any unsaved data, close all

    applications and display a window notifying you it is shuttingdown the workstation. This may take a minute.

    Next, a window is displayed that states you may now power

    off the workstation.

    3

    Turn off the computer workstation power using the power

    button on the front of the computer tower.

    Always verify that the power actually went off. Sometimes,you need to hold in the button until all power is off.

    4 After one minute, turn the power back on.

    5Log on to the workstation when the Log On window

    reappears.

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    Analyzer CRT and Numeric Keypad

    LH 780

    LCD Display

    Numeric Keypad

    Always return to this

    screen to run theinstrument.

    Use this button toaccess the Main Menu

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    Analyzer CRT and Numeric Keypad

    LH 750

    LCD Display

    Numeric Keypad

    Always return to thisscreen to run the

    instrument.

    Use this button to

    access the Main Menu

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    Shutdown Cycle Summary

    Shutdown (Cleaning Cycle)

    Step Action

    1Verify pneumatics are On. (Look at the Power Supplydisplay. If off, press the key on the Analyzer NumericKeypad.)

    2aIf you have an LH SlideMaker, select Shutdown from theSlideMaker keypad menu. Wait until cycle completesbefore proceeding to next step.

    2b

    When the Analyzer CRT and the LCD display both

    indicate Ready, press the key on the AnalyzerNumeric Keypad. This pulls the enzymatic cleaning agentinto the Diluter.

    Shutdown must be performed once every 24 hoursthat the instrument is in use.

    The cleaning agent must remain in the Diluter for aminimum of 30 minutes.

    Note Cleaning agent removal cycles are performedautomatically at the end of the programmed cleaning

    time. (30 minutes to 24 hours)No Background Checks or Electronic Tests areperformed at this time.

    3 Proceed to Startup Summary

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    Startup Cycle Summary

    Startup (Daily Checks)

    Step Action

    1 Press the key on the Analyzer Numeric Keypad.

    After the cleaning agent removal cycles, this is theonly key you can use.

    The instrument automatically performs the followingchecks:

    Background counts (CBC, DIFF, RETIC)Ramp & Precision electronic checksVarious voltage, pressure and temperature checks

    Note If you have an LH SlideMaker, it will startup automaticallyif it was in Shutdown. If not, run Startup from the SMkeypad.

    2

    Review the Daily Checks results:Look at the Workstation Daily Checks screen(clickon the Command Center, then click from thecommon toolbar) or look at the automatic printout of

    results.If any background or main system checks show FAILthen repeat the required test from the Analyzer CRTscreen:

    Select Main Menu,Analyzer Functions, StartupTests.

    As required select Backgroundor RamporPrecision.

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    Running Latron Summary

    COULTERLATRON Primer and ControlRun this check once every 24 hours.LATRONPrimer and Control - always run as a pair.Always run the Patron Primer first to clean the pathway through the

    flowcell.

    Follow with the Latron Control to check and verify the VCS gains, CVsand laser alignment.

    Step Action

    1

    At the Workstation:

    Choose Auto Analysis in the Process Type field on

    the Command Center.

    Open the LATRON folder on the QC screen.

    2At the Analyzer Numeric Keypad, press (Diff &Retic) or (Diff). Then press .

    3

    Press the key on the Analyzer Numeric Keypad to runthe Primer.

    Present the Primer vial to the manual aspiration tip

    and remove when you hear the beep.

    If the results are 500, continue with the Control.

    If the results are > 500, repeat the Primer.

    4

    Press to continue (do not pressthe key again)

    Very gently, invert the Control vial 5-8 times, beingcareful to avoid bubbles or foam.

    Present the Control vial to the manual aspiration tipand remove when you hear the beep.

    If any results are out of range, repeat the Primer, thenrepeat the Control.

    5Press the key twiceto return to READY at the

    Analyzer Numeric Keypad.

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    Running 5C and Retic-C Cell Controls Summary

    COULTER5CCell Control and RETIC-C Cell ControlThe frequency of running these controls depends upon

    regulatory and laboratory policy for quality assuranceprograms.

    Step Action

    1Allow vials to equilibrate at room temperature for 10-15minutes.

    Mix each vial individually, by hand, using the 8 x 8 x 8mixing method as described in the control package insert:

    a)

    Begin with the vial upright between the palms of your

    hands and roll the full length, forward and backwardseight times. (first eight)

    b)Next turn vial upside down between the palms of yourhands and roll the full length, forward and backwardseight times. (second eight)

    2

    c)Next hold vial in one hand and invert eight times. (thirdeight)

    Note

    1

    Perform the above steps twicefor 5C Cell Control vials.

    For RETIC-C Cell Control vials perform the above stepsonce.

    3Visually check each vial after mixing to ensure cells aresuspended. If cells are not suspended, then repeat onemore set.

    4Place the control vials, barcode face up, into a regularcassette and place the cassette into the loading bay.

    5When analysis is complete, remove control vials from the

    cassette and store them in the refrigerator.Note

    2

    The entire process, steps 1-5 must be completed within 30minutes to preserve control stability.

    6Review control results according to your laboratoryspolicy.

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    COULTERLH SlideMaker Keypad Display Map

    MAIN MENU

    ROUTINE FUNCTIONS*

    SERVICE FUNCTIONS

    SPECIAL FUNCTIONS

    RUN MODE

    SPECIAL CYCLES

    MAIN MENU ROUTINE FUNCTIONS*

    PRINTER LABELFUNCTIONS

    Save Printer Label IntensityIncrement Intensity

    Decrement Intensity

    SYSTEM SETTINGSDisplays Software/Hardware Rev

    ROUTINE FLUIDICS*

    PNEUMATIC/POWERSUPPLIES

    Displays Pressures, Vacuums,Voltages

    ADVANCE BASKETManually advance basket oneposition

    UNLOCK CASSETTEManually unlocks slide cassette

    LOCK CASSETTEManually locks slide cassette

    Prime ReagentReservoirs

    Drain

    Run STARTUP*

    Backwash Tubing

    Drain VacAccumulator

    Run SHUTDOWN*

    MAIN MENU SERVICE FUNCTIONSService Use Only needs Service Password

    MAIN MENU SPECIAL FUNCTIONS

    DEFINE SMEAR SPEED

    DRYER TEMP

    DISPLAY TEST

    DRYER FUNCTION TEST

    REBOOT PRINTER

    SENSOR STATUS

    KEYPAD TEST

    MAIN MENU RUN MODE

    VIEW ERROR

    MAIN MENU SPECIAL CYCLESPRINT LABEL

    Prints test Dummy label after replacing Labels or Ribbon

    BLEACH SYSTEM

    The choices in green are your daily functions.

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    LH SlideMaker Suggested Daily Setup

    These checks/setups may be done during the Shutdown

    cycle, or at any time appropriate for your lab.

    LH SlideMaker - only

    Verify that the Slide Cassette is full.

    Check Label and Ribbon supply, replace ifnecessary. (refer to Help)

    Place up to twelve empty slide baskets in thefront and rear tracks. (if no LH SlideStainer)

    Inspect dispense probe and rinse cup and cleanif any traces of blood are seen. (refer to Help)

    Once the system is operating automatically, do not grabslides prematurely, this can cause jams and resets. Letthe SlideMaker do its job.

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    LH SlideMaker With LH SlideStainerSuggested Daily Setup

    These checks/setups may be done during the Shutdown cycle, or

    at any time appropriate for your lab. Depending on workload,SlideStainer baths may need attention more than once a day.

    LH SlideMaker

    Verify that the Slide Cassette is full.

    Check Label and Ribbon supply, replace if necessary.

    Verify there are no more than six slide baskets in theSlideMaker and locate them in the rear track. Thereshould be no baskets in the front track.

    Inspect dispense probe and rinse cup and clean if any

    traces of blood are seen. (refer to Help)

    LH SlideStainer

    Place the SlideStainer in Standby state.

    Place six slide baskets in the Empty Basket area.

    Verify bath reagent container levels. Replace/Refill asnecessary.

    Drain all baths.

    Check Waste Containers. Empty if necessary.(Waste 1 = Aqueous, Waste 2 = Methanol)

    Check the stain baths for excess sediment and cleanwith methanol if necessary.

    Fill all baths (according to your labs protocol)

    Place the SlideStainer in Autostate. Once the majorworkload finishes, empty baskets are stained if left in

    Auto. You may change between Standby and Auto state.

    Once the system is operating automatically, do not grabslides prematurely, this can cause jams and resets. Let theSlideMaker and SlideStainer do their jobs.

    Note: Your Applications Specialist may help you to revise

    these setups to better suit your labs protocols and needs.

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    Calibration Summary

    Note: to be used by Beckman Coulter trained personnel only

    1 Shutdown for 30 minutesto ensure apertures are clean.

    2Check Reagent Levels:

    Diluent (1/2 to 2/3 full)

    CBC Lytic Reagent ( full 1L or 5L)

    3 Run Startup and verify Daily Checks results.

    4 Analyze COULTER5CCell Controls.

    5 Disable Automatic Print on the Run Configuration screen.

    6Prepare one S-CALCalibrator tube according to the packageinsert directions.

    7

    Run S-CAL Calibrator:

    Set up Workstation screen as described in HELP anddelete previous results from the Calibration table.

    Set up S-CAL Calibrator reference values required foryour reagent system.

    Remember to choose the correct S-CAL Calibrator lot #from the box on the left of the Calibration screen.

    At the Analyzer CRT screen, turn Blood Detector ON, setthe # of aspirations/tube to 11, verify Default Type is C.

    8

    After calibration runs are complete, review the calibration dataand transmit new cal factors if necessary:

    Prepare Analyzer to RECEIVE new values:

    From the Analyzer CRT screen, select the following:Main Menu, Analyzer Functions, Calibration,Receive Average Cal Factors.

    SelectAdjust Calibrationbutton on the specific toolbarfrom the Workstation calibration run screen.

    9When finished, be sure to return the Workstation and AnalyzerCRT screen to your labs default settings.

    10If any calibration factor changes were made, rerun 5C Cell controls toverify the calibration.

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    Reproducibility and Carryover Summary

    Note: to be used by Beckman Coulter trained personnel only

    Disable Automatic Print on the Run Configuration screen.

    1Run Reproducibility(Default Type set to C or CD) with the selected normalwhole blood specimen. Refer to HELP for sample requirements.

    aSet up the Workstation screen as described in HELP and deleteprevious results from the table.

    bSet the # aspirations/tube to 1 and cycle a separate sample collectedin a salt of EDTA.

    cUsing 2-6 tubes from the same donor (5 mL EDTA), pool, mix andaliquot the sample into 2-6 clean EDTA tubes.

    d Set the # of aspirations/tube to 5 on the Analyzer CRT screen.

    e Place 2 of the tubes in the same cassette in the right loading bay.

    f After the samples are analyzed, review the results.

    Note 1The procedure begins with an N=10. If all parameters pass, you maystop processing. Otherwise, you may need more data. See Note 2below.

    gVerify that the %CV (Coefficient of Variation) does not exceed theestablished limits.

    Note 2

    Reproducibility Limits for CBC

    Parameter %CV

    WBC 1.7

    RBC 0.8

    Hgb 0.8

    MCV 0.8

    Plt 3.3

    MPV 2.2

    If any limit is exceeded, repeat with two more tubes of the prepared sampleblood, until at least 11 but not more than 31 whole blood samples havebeen analyzed. You may stop the analysis at any point between 11 and 31runs if the reproducibility established limits have been met. You may notpick and choose which runs are included. Runs included for theassessment need to be consecutive runs.

    If any instrument results exceed these limits, repeat with another donorsample. If you still have a failure, an instrument problem may exist. Callyour Beckman Coulter Representative. (Note: the above limits are alsoavailable in HELP)

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    2Run Carryover study(Default Type set to C) with the selected bloodsamples and 3 separate diluent tubes.

    aSet up Workstation screen as described in HELP and deleteprevious results from the table.

    b

    Set # aspirations/tube to 1 and turn the Blood Detector OFFat

    theAnalyzer CRT screen.

    c Run the samples and diluent tubes.

    d Check results.

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    What To Do If Your Host/LIS Goes Down

    Setting up the LH Workstation

    1

    At the LH Workstation, from the Command Center, go to:

    (System Set Up)

    (General Settings)

    2 Select Cass/Pos or Sample ID as applicable to your situation:

    aSelect Cass/Pos as the only Positive Identifier if you do not havebar code labels.

    bSelect Sample ID as the only Positive Identifier if you are using bar

    code labels.

    3 Click on (OK) to save.

    4 Go to (Patient Results) (Database / ToDo List)

    5 On the Common Toolbar, select (Add Sample Requests)

    NOTE

    Before adding entries on the ToDo List, do you want to set up theCass/Pos # to Autosequence?This makes preassigning more efficient.

    IfYES, go to step 6.

    If NO, go to Processing Preassigned Samples.6 On the Add Sample Requestswindow, select (AutoSequence)

    NOTESelect HELPfrom the Setting Up AutoSequencingwindow to learn moreabout available options.

    7 Set AutoSequence Control At Test Level.

    8 Select to autosequence only Cass/Pos for the test modes you are running.

    9 Enter the starting Cass/Pos number for each test mode.

    10 Select (OK) to continue.

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    What To Do If Your Host/LIS Goes Down

    Creating the ToDo List

    1On the Add Sample Requestwindow, select Diff (for CBC/Diff), CBC(for CBC only), for example.

    Tubes without bar code labels Tubes with bar code labels

    2

    If you saidYes toAutosequencing of Cass/Pos #,you should see the firstCass/Pos # in the Cass/Posfield.

    2

    Place the cursor in the Sample IDfield.

    3

    If you said No toAutosequencing of Cass/Pos#,type the first Cass/Pos# into theCass/Pos field.

    3

    Use the hand-held bar codescanner to scan the Sample IDin the Sample ID field. Verify IDscanned.

    4 Use the key to move the cursor to the Patient ID field.Patient ID is the unique identifier for each sample. You must assign aPatient IDwhen you create a ToDo List. This can be any number that isunique to the patient, e.g., accession #, Medical Records #, Social Security#.

    5[Optional] You may enter additional demographic information, includingPatient name, Age, Gender, Physician and/or Location.

    6 Select to save an entry and make additional entries on the ToDo List.

    7 After making your final entry, select again.

    8 Select (Close) to exit the Add Sample Requestwindow.

    9Go to the ToDo List CBC/Diff (or other Test Mode) to verify that yourentries are correct.

    NOTEIf the entries are not immediately visible, you may need to double click onthe folder for the appropriate Test Mode to refresh the screen.

    10 Remember to check the following!

    In (Run Configuration)

    Select options according to your lab protocol

    While the Host/LIS is down, you may want to disableit. Remember

    to change your settings when the Host/LIS comes back on-line.Select (SlideMaker) options, if necessary.

    Select (OK) to save.

    NOTE

    It is also possible to print two sample reports during a down time, oneChartable and one Laboratory. Go to System Setup>>General>>ReportingOptions>>Printout Options. Save.Then go to Run Configurationand set print to All Samples. Save.

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    IQAP/eIQAP General Information

    Important Points to Remember When Setting Up eIQAP

    Make note of the following:Instrument IQAP Participant # Serial Number System ID

    Number to Call for Help: 800-526-7694 (USA and Canada)

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    IQAP Download Procedure

    Step Action

    1 Select on the Command Center.

    2 Select to display the CONTROLS window.

    3 Select . An IQAP Disk Storage window appears.

    4Ensure the removable media (formatted CD, flash drive, or floppy disk) isinserted in the appropriate drive or connected to the computer.

    5 Select the lot numbers you want copied to the removable media.

    6 Select to begin copying the control information.

    7 The "Save as" window appears.

    8 Specify the location of your removable media and select "Save".

    9After the download process is complete, retrieve the removable media from theappropriate drive or USB location

    10Use the files downloaded to submit the data through the eIQAP website. Filesmay also be submitted via e-mail or as a last resort mailed to IQAP.

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    How to Register and Enroll in eIQAPYou must be registered on the Beckman Coulter website to gain access to the ElectronicQuality Assurance Programs. In order to access the Hematology eIQAP program, youneed to set up your account (i.e. obtain your instruments IQAP number).

    How to Access eIQAP

    Step Action

    1 Go towww.beckmancoulter.com

    2 Hover over the words Customer Support on the menu bar.

    3 From the drop down box choose QA & Service Programs

    4 Select the link Enroll in IQAP near the middle of the page

    5On the Quality Assurance Programs window there are links to register andenroll.

    NoteIf you already have a login ID and password, proceed to "Enroll in eIQAP".Skip the registration.

    Step Action

    1 Go towww.beckmancoulter.com.

    2 Hover over the words Customer Support on the menu bar.

    3 From the drop-down box choose QA & Service Programs.

    4 Select the link Go to eIQAP near the middle of the page.

    5On the Quality Assurance Programs window, select the link Go to

    Hematology eIQAP..

    6 On the next window enter your Beckman Coulter username and password.

    7On the following page look for Hematology Resources and select eIQAPHelp. This begins a breeze presentation designed to walk you through thefunctionality provided in the Hematology eIQAP application.

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    Upload File Messages

    Message Interpretation

    Upload successful The files have been successfully uploaded.

    ID on diskettedoesnt matchinstruments ID

    The IQAP ID on the diskette, obtained from the instrument setup,does not match the IQAP ID displayed for the selected instrument.

    1. Ensure the data on the diskette is from the selectedinstrument.

    2. Ensure the IQAP ID is entered correctly in the instrumentsetup.

    Not matching serialnumber on diskette

    The diskette serial number, obtained from the instrument setup,

    does not match the serial number displayed for the selectedinstrument.

    1. Ensure the data is from the selected instrument.2. Ensure the serial number is entered correctly in the

    instrument setup.3. Ensure there are no spaces or symbols within the serial

    number.

    Drive not ready or

    unreadable diskette

    The drive cannot access or read the diskette.1. Ensure the diskette is inserted into drive A.

    2. Repeat download and upload process with a new diskette.3. Ensure diskette drive is functional.

    Windows temporaryfolder missing

    The Windows operating system temporary folder is missing.

    Invalid datacollection software

    Coulter STKS, MAXM, or HMX data was collected with anunacceptable software version.

    1. Reconfigure diskette at the Resources page.2. Repeat download and upload process with newly

    configured diskette.

    Not an IQAPdiskette orincompletedownload

    Diskette is not configured as an IQAP diskette.1. Ensure diskette is from IQAP download.2. Ensure instrument provided a successful download

    message.3. Repeat download and upload process with a new diskette.

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    Message Interpretation

    Incomplete controldata file

    The diskette does not contain a complete control file.1. Ensure instrument provided a successful download

    message.

    2. Repeat download and upload process with a new diskette.

    Failed to uploadIQAP files

    An interruption occurred during the transfer of data through theinternet.

    1. Repeat upload process at a later time using the samediskette.

    Insufficient privilege

    to access filesystem

    Data on the diskette cannot be accessed as the applet certificatethat is required to upload the IQAP files from a diskette was notaccepted.

    1. Logout of eIQAP and out of the Beckman Coulter website.Reenter eIQAP and accept the certificate at the UploadFiles page by selecting either Yes orAlways.

    2. If unable to accept the certificate, enter data manually.

    Drive writeprotected

    Data on the diskette cannot be accessed as the diskette is writeprotected.

    1. Ensure the window in the lower left corner of the diskette isclosed.

    Couldnt create files

    in the floppy, pleasecheck its writableand has xxxx bytesor more free in thefloppy

    The diskette does not have sufficient space to create theIQAPUPLOAD file.

    1. Repeat download and upload process with a new diskette.

    Corrupted IQAP fileon MAXM, STKS, orHmXdiskette

    The file has been corrupted.

    1. Repeat download and upload process with a new diskette.

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    COULT

    ER

    LH700Series

    Dilu

    ter

    Fron

    tPanel

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    COULT

    ER

    LH700Series

    Dilu

    terFron

    tCover

    (topv

    iew

    )

    SAMPLINGSTATION(A)

    RAND

    OMACCESSMODULE(B)

    DIFFMODULE

    (C)

    1

    NeedleAsse

    mbly

    4

    RearBloodDetector(underandbe

    hind)

    16

    FlowCell

    2

    FrontBlood

    Detector

    9

    DiffShe

    arValve(CVL85/126)

    17

    TripleTransdu

    cer

    3

    BloodSamp

    lingValve

    10

    ReticSh

    earValve(CVL87/127)

    18

    DiffMixingCh

    amber

    (VC25)

    5

    NeedleVent

    Chamber

    11

    StainPu

    mp(PM5)

    6

    ManualAspirationTip

    12

    Stained

    BloodShearValve(CVL93

    /128)

    7

    AspirationP

    ump(PM9)

    13

    ReticMixingChamber(VC17)

    8

    ProbeWipe

    Assembly

    14

    StainMixingChamber(VC24)

    15

    Blood/S

    tainAspirationPump(PM11)

    (behind)

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    COULTER

    LHSLIDEMAK

    ER

    SampleAccessandReservoir

    Module

    (undertheDiluterfrontcoverontheleft)

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    COULTER

    LHSLIDEMAK

    ER

    DispenseModule

    (intheLHS

    lideMakeronthefront

    right)

    SOL1

    SOL2

    SOL3

    SOL4

    SOL5

    SOL6

    SOL7

    SOL8

    SOL9

    SOL10

    Dispense2

    Manifold

    card

    Dispense1

    Manifold

    card

    SOL14

    SOL15

    SOL16

    SOL17

    SOL18

    SOL19

    SOL20

    SOL21

    SOL22

    SOL23

    FD5

    VL4B

    FD3VL3B

    VL10

    VL14

    VL15

    VL16

    VL17

    VL18

    VL19

    VL20

    FD

    6

    VL8

    FD8

    DP1

    VL7

    6985076D

    DP2

    VL8

    DP1

    VL6

    NewC

    onfigura

    tion

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    COULTER

    LHSLIDEMAK

    ER

    DispenseProb

    eMechanismandRinseBlock

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    COULTER

    LHSLIDEMAK

    ER

    SlideTransportModule

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    Common Troubleshooting Fixes

    Common Orderable Parts

    FluidicsLow Vacuum Low Message

    Low Vacuum Drifted Message

    Fluid Leaks

    Level Sense Message

    Backwash Tank Not Full Errors

    Mechanical

    Probe Errors

    Aspiration Errors

    Rockerbed Errors

    Results

    No Diff Results

    No Retic Results

    LH SlideMaker

    Dispense Probe Errors

    Vacuum Errors

    LH SlideStainer

    Bath Not Draining Errors

    Bath Not Filling Errors

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    Common Orderable Parts

    Part Number Part Description Quantity P.O.6807145 Needle Pierce Cartridge Assembly 1 Ea Y

    3203015 Tubing, silicone, round, 0.062 id., black stripe 10 Ft. N

    3213135 Tubing, silicone, I-beam, 0.062 id., black stripe 10 Ft. N

    3213163 Tubing, silicone, round, 0.062 id x .047W, brown 10 Ft. N

    3203016 Tubing, silicone, round, 0.079 id, blue stripe 10 Ft. N

    3213137 Tubing, silicone, I-beam, 0.079 id, blue stripe 10 Ft. N

    3213176 Tubing, silicone, round, 0.079 id x .039W, yellow 10 Ft. N

    6706295 Pick-up tubing, universal, 10-20L, Clenz 1 Ea Y

    6706296 Pick-up tubing, for 5L Lyse S-III 1 Ea Y

    6706297 Pick-up tubing, 0.5-1.9L for 1L Lyse S-III and Pak 1 Ea Y

    6805636 Waste line tubing 1 Ea Y

    178453 Diluent pick-up tube with float sensor, 20L 1 Ea Y

    5120248 Tubing, Waste Level Sensor Assembly 1 Ea Y

    1022450 Air Filer (under Power Supply) 1 Ea Y

    1022868 Air Filter (rear cover Analyzer) 1 Ea Y

    2517119 Screw cap for large pick-up tubes 1 Ea N

    2523574 Screw cap for small pick-up tubes 1 Ea N

    6232263 Y connector, .050 id x .130 od 2 Ea N

    6232259 Fitting, hose barb, Y, .093 id x .093 od 2 Ea N

    3202036 Tubing, polyurethane, .082 id x .144 od 14 Ft N

    6855763 Pull apart std. pinch valve, single 2 Ea N

    5415206 Pinch valve removal tool 1 Ea Y

    6605505 Glass slides, 1 gross=2 packages SM 5-10 Gr Y

    2016733 Slide Labels, 1500/roll SM 1 Roll Y

    2016732 SM Printer Ribbon SM 1 Roll Y

    6806470 Slide Cassette SM 1 Ea Y

    6806894 Slide Basket SM 1 Ea Y

    2603047 Air filter SM 1 Ea Y

    1024888 Bath, Liquid ST 1 Ea Y

    6807094 Reagent Rack, round opening (1 gal.) ST 1 Ea Y

    6807093Reagent Rack, 2 rectangular openings(2L)

    ST 1 Ea Y

    1024889 Tray, bath, plastic (holds five baths) ST 1 Ea Y

    1024915 Tray, divider ST 1 Ea Y

    6706296 Tubing, pickup assembly, reagent ST 1 Ea Y

    6806976 Filter, Liquid, Waste / Reagent, w/tubing ST 1 Ea Y

    5120249Pickup tubing, Di water, level senseassy.

    ST 1 Ea Y

    A35473 Accuvette (200/bx) 1 Bx Y

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    Instrument Power Off/On

    Power Off

    Step Action

    1 Press on the Analyzer Control keypad.

    2 Turn off the main breaker switch on the left side of the Power Supply.

    WARNINGRisk of personal injury. A shock hazard exists if the power cord isconnected. Unplug the primary power cord before performing theseprocedures.

    3Disconnect the primary power cord at the source (not at the powersupply).

    Power On

    Step Action

    1 Reconnect primary power cord.

    2 Turn on the main breaker switch on the left side of the Power Supply

    3 Press on the Analyzer Control keypad.

    LH SlideMaker

    There is a power button on the front of the LH SlideMaker to turn poweroff and on. If required by a procedure, there is a Main Power switch onthe rear of the SlideMaker.

    LH SlideStainer

    There is a power button on the left side of the LH SlideStainer to turnpower on and off. If required by a procedure, there is a Main Powerswitch on the rear of the SlideStainer.

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    Low Vacuum Low MessageWhenever performing any troubleshooting procedures, always wear all required personal protectiveequipment.

    Low

    VacuumLow?

    Start Yes

    1. Empty/Clean jar**.

    2. Ensure float is down.

    3. Reattach jar without

    cross-threading.

    Verify Low Vacuum

    reading is 6.000 .010using F92.

    Adjust if necessary.

    Is Vac Trap

    Full?

    Call BCI

    Yes

    YesNo

    No

    Done

    Yes

    Look at your

    Vacuum Isolator

    Chambers (VICs)

    Yes

    No

    No

    Are one or both

    of the VICs full

    of liquid?

    No

    Yes

    Yes

    Are one or both

    VICs cracked?

    Call BCI

    Did VICs

    drain?

    Drain the VICs.

    Press F05, then

    16,

    then Enter

    Press Stop

    three times.

    Verify Low Vacuum

    reading is 6.000 .010

    using F92.

    Adjust if necessary.

    Are all lines

    connected to top

    of VICs?

    Are there

    holes in any of

    the lines?

    Reconnect

    Replace the

    tubing.

    No

    Verify Low Vacuum

    reading is 6.000 .010

    using F92.

    Adjust if necessary.

    Yes Yes

    **Power Off instrument

    before performing

    procedure.

    Follow HELP.

    Able toadjust?

    Verify.

    Run aspecimen

    Verify Low Vacuum

    reading is 6.000 .010

    using F92.

    Adjust if necessary.

    YesAble to

    adjust?

    Flush Low Vac Line

    (see attached

    procedure)

    Able to

    adjust?

    Done

    No

    No

    No

    Resolved?

    Yes

    No

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    Check the Vacuum Overflow Tank (VC22). If

    over half full stop and call BCI. If empty or less

    than half full, proceed to next step.

    Remove the right side panel.

    Open the lower door.

    Remove the clear plastic shield.

    Locate the low vacuum tubing connected to the

    area labeled COUNT VACUUM on the right rear

    panel. Disconnect the smaller tubing from the

    front of the fitting.

    Dip the disconnected end of the tubing into a

    container with no more than 20 mL of DI water

    until it is all aspirated.

    Leave the tubing disconnected for ten (10)

    minutes while it draws air to dry the vacuum line.

    Reconnect the tubing, replace the plastic shield,

    close the door and replace the right side panel.

    Locate the Vacuum Overflow Tank (VC22) and

    disconnect the float sensor connector, P-13/J-

    13.

    Press STOP on the keypad and allow VC22 todrain.

    Once VC22 is empty, reconnect P-13/J-13. (If

    alarm is triggered, VACUUM OVERFLOW

    TANK STILL FULL press ALARM RESET on

    the keypad and disregard error message.)

    Flush Low Vacuum Line

    Return toLow Vac Low

    flowchart

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    Low Vacuum Drifted MessageWhenever performing any troubleshooting procedures, always wear all required personal protectiveequipment.

    Low

    VacuumDrifted?

    No

    Yes

    Wont adjust?Sluggish adjustment?

    Drifting?

    Yes

    Yes

    Yes

    All Pass &Message gone?

    PerformStartup

    Start

    Verify Low Vacuumreading is 6.000 .010

    using F92.Adjust if necessary.

    Perform F92.Verify low vac

    reading 6.000 .010

    Call BCIDone

    Check all count tubings. Verifytubing not cut through pinch

    valves. Verify RBC sweepflowtubings secure.

    Call BCI

    Found issue withtubing?

    Yes

    Able toadjust?

    Flush Low Vac Line(see attached

    procedure)

    Repair andreplace tubing.

    Able to adjust?Verify Low Vacuum

    reading is 6.000 .010using F92.

    Adjust if necessary.

    No

    No No

    PerformReset

    Messagereoccurs?

    Yes

    No

    Yes

    RunSpecimen

    No

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    Check the Vacuum Overflow Tank (VC22). If

    over half full stop and call BCI. If empty or less

    than half full, proceed to next step.

    Remove the right side panel.

    Open the lower door.

    Remove the clear plastic shield.

    Locate the low vacuum tubing connected to the

    area labeled COUNT VACUUM on the right rearpanel. Disconnect the smaller tubing from the

    front of the fitting.

    Dip the disconnected end of the tubing into a

    container with no more than 20 mL of DI water

    until it is all aspirated.

    Leave the tubing disconnected for ten (10)

    minutes while it draws air to dry the vacuum line.

    Reconnect the tubing, replace the plastic shield,

    close the door and replace the right side panel.

    Locate the Vacuum Overflow Tank (VC22) and

    disconnect the float sensor connector, P-13/J-13.

    Press STOP on the keypad and allow VC22 to

    drain.

    Once VC22 is empty, reconnect P-13/J-13. (If

    alarm is triggered, VACUUM OVERFLOW

    TANK STILL FULL press ALARM RESET on

    the keypad and disregard error message.)

    Flush Low Vacuum Line

    Return to

    Low Vac Drifted

    flowchart

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    Fluid LeaksReview information in HELP and in the TS3-Replacing Components Module.Whenever performing any troubleshooting procedures, always wear all required personal protectiveequipment.

    I-beamtubing leak?

    Round, red stripe

    silicon in Random

    Access Module?

    Other

    tubing leak?

    **Find correct

    replacementI-beam tubing with

    same color stripe.

    Cut new piece

    of tubing tosame length as

    original.

    Disconnect leakytubing* and pull

    out of pinch valve.

    Thread new piece

    of tubing carefully

    through tracks in

    pinch valve.

    Yes

    Yes

    No

    **Find correct

    replacement

    tubing with same color

    stripe or part number.

    Carefully

    reconnect the

    two ends.

    Start

    Done

    Cut new piece

    of tubing to

    same length as

    original.

    Disconnect leaky

    tubing*.

    Carefully connect

    new tubingDone

    No

    **Find correct

    replacement

    tubing with same

    color stripe.

    Cut new piece

    of tubing to

    same length as

    original.

    Yes

    No

    Disconnect leaky

    tubing*.

    Carefully connect

    new tubingDone

    Carefully thread

    new tubing

    through blue

    spacer sleeve

    (Fig. 1)

    **Power Off instrument

    before performing

    procedure.

    Follow HELP.

    Fig. 1

    *Be sure to mark

    the exact places

    where tubing is

    removed.

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    Level Sense MessageWhenever performing any troubleshooting procedures, always wear all required personal protectiveequipment.

    Start

    Done

    Call BCI

    Is

    container

    empty?

    Yes

    Change container

    and update

    reagent log.

    No

    Verify all tubing

    connections from

    reagent toinstrument.

    If diluent, check float

    sensor in container

    and sensorconnection (Fig. 1).

    Any tubing

    disconnected/

    pinched?

    No

    Yes

    Reconnect/

    straightentubing

    Reagent/

    Level out

    message

    Press Startup

    and observe.

    Level out

    message?No Yes

    **Look at reservoirsin back of unit.

    (Open door on right

    side, back)

    Check the I-beam

    tubing fromreservoir thru

    pinch valve. (Fig. 2)

    YesReplace I-

    beam tubing**

    No

    Any bubbles

    or leaks?

    NoYes

    Reconnect or

    replace leakytubing

    Problem

    continues?

    Yes

    No Done

    **Power Off instrument

    before performing

    procedure.

    Follow HELP.

    Perform F16 to

    Prime Diluent.

    Did system

    prime diluent?

    Replace

    Diluent pickup

    tube.

    No

    Verify.

    Run a

    specimen.

    Yes

    Level out

    message?

    Yes

    Press Startup

    and observe.

    No

    ReticClear

    ReticStain

    PackPrsrv

    PackLyse Cleaner

    Fig. 2

    CBCLyse

    Fig. 2

    Sensor Connector

    Fig. 1

    Is I-beam

    tubing

    crimped?

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    Backwash Tank Not Full MessageWhenever performing any troubleshooting procedures, always wear all required personal protective

    equipment.

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    Ensure all materials are on hand including a 20 mL

    syringe with a piece of yellow-striped tubing (5-inch)

    attached to the tip and some distilled water.

    Remove the left diluter panel by lifting up and out on

    the panel.

    Locate VL-107A, the white pinch valve located

    above the Backwash Tank. The top fitting above VL-

    107A is a feed-through fitting marked FF-5.

    Disconnect the I-beam tubing from FF-5.Fill the syringe with distilled water and attach the

    syringe tubing to FF-5.

    Vacuum draws the water out of the syringe. If

    needed, you may push on the plunger if the water

    does not pull on its own.

    The water fills the Vacuum Overflow Tank (VC 22)

    Use enough water so that VC 22 is half full.

    Disconnect the syringe tubing and reconnect the I-

    beam tubing to FF-5.

    Press the Reset button on the Analyzer. VC 22

    drains.Perform Diluter Function F-30 to activate the

    Backwash Tank Check to confirm resolution.

    Run a blood sample to verify Instrument

    performance.

    Flush Backwash Tank Vacuum Supply Line

    Return to

    Backwash Tank

    Not Full flowchart

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    Probe MessagesWhenever performing any troubleshooting procedures, always wear all required personal protectiveequipment.

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    Rocker Bed MessagesWhenever performing any troubleshooting procedures, always wear all required personal protectiveequipment.

    Start

    Done

    Call BCI

    Any physical

    obstruction?

    Message:Bed not Forward

    Bed not BackwardBed not Level

    F95 release

    all solenoids

    Manually rockthe bed to seeif there is any

    physicalobstruction.

    Remove it/Fix it

    Yes

    Clean

    sensors withcanned air.

    No

    Locate the

    sensors at the

    right side of the

    rocker bed (seeFig. 1 & 2)

    Message

    gone?

    Yes

    No

    Start

    Message:

    Bed Not

    Advanced

    Place a sample

    cassette with tubes

    on the bed and

    slide under tubedetector.

    Any

    obstruction?Call BCIYes

    Perform the As-needed

    Rocker Belt Procedure

    Wipe belt with moistgauze (DI water) top andbottom. Pull belt from right

    to left to clean all.Dry thoroughly, top and

    bottom.

    No

    Use F96 toverify beltmovement.

    MovementOK?

    Done

    Call BCI

    Yes

    No

    Fig. 1 Top view

    Fig. 2 Side view

    Flag in

    sensorBed Not

    Backward

    Bed Not

    Level

    Bed NotForward

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    Aspiration MessagesWhenever performing any troubleshooting procedures, always wear all required personal protectiveequipment.

    Start

    Done

    Call BCI

    Aspiration

    message and

    alarm received

    Check theHelp

    information for the

    particular aspiration

    message (N, B, P, C)

    received

    Is the message

    occurring on more

    than one sample?

    Check the sample tube

    for correct blood

    volume (at least 1mL of

    properly collected

    blood)

    No

    Clean and

    exercise shear

    valve 85/126

    Yes

    Perform the as needed Clean Shear

    Valves Procedure

    1. Locate shear valve 85/126.

    2. While watching the ceramic in the left

    side, activate Sol 126. Observe the space

    created between the ceramic and the

    metal.

    3. Clean this space with DI water and dry

    with lint-free tissues.

    4. Press Stop three times to exit the

    solenoid function.

    5. Rerun sample(s).

    Check the

    sample tube

    for clots.

    Check if Hgb

    result

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    Read all the instructions before beginning the procedure.

    Needed:

    COULTER cleaning agent

    10-mL syringe (PN 2523145)

    5 (12.7 cm) yellow-striped tubing (PN 3213176)

    Cassette

    Three (3) previously analyzed samples

    1. Ensure that all safety precautions are followed while servicing BCI equipment. This

    includes (but is not limited to) using proper lab protocol, identifying potential blood borne

    pathogen exposure, using personal protective equipment, and properly disposing of parts.

    2. Power off the instrument and power supply.

    3. Push the aspiration tip for the manual mode all the way back in.

    4. Fill syringe with 4 mL COULTER cleaning agent (more than 4 mL will result in spillage).

    5. Connect 5 (12.7 cm) yellow-striped tubing to syringe.6. Remove tubing at fitting FF160 (refer to FIGURE 1). FF160 is located approximately five

    inches (12.7 cm) to the left of the blood sampling valve and five inches (12.7 cm) from the

    front of the diluter.

    7. Connect yellow-striped tubing from syringe to fitting FF160.

    8. Inject the COULTER cleaning agent into FF160. The fluid will fill needle bellows (rubber

    sleeve surrounding the needle) pressure should be minimal.

    9. Exercise the syringe (push plunger back and forth) to ensure that pathway is clean.

    10. Remove yellow-striped tubing from FF160 and reattach brown-striped tubing from VL-9B

    to fitting FF160.

    11. Power up system.

    12. Perform Start-up.

    13. Run bloods to verify problem resolution.

    Flush Aspiration Pathway Between the Needle and Aspirate Pump

    Return to Aspiration

    Messages Flowchart

    Fig. 1

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    No Diff ResultsWhenever performing any troubleshooting procedures, always wear all required personal protectiveequipment.

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    No Retic ResultsWhenever performing any troubleshooting procedures, always wear all required personal protectiveequipment.

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    Dispense Probe MessagesOn LH SlideMaker

    Use the diagrams for Dispense Probe Mechanism and Slide Transport Mechanismon pages 34 and 35 of this guide to help locate the sensors.

    Whenever performing any troubleshooting procedures, always wear all required personal protectiveequipment.

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    Low Vacuum 1 or 2Messages on LH SlideMaker

    Whenever performing any troubleshooting procedures, always wear all required personal protectiveequipment.

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    Shuttle or Truck VacuumMessages on LH SlideMaker

    Whenever performing any troubleshooting procedures, always wear all required personal protectiveequipment.

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    Bath Not Draining MessagesOn LH SlideStainer

    Whenever performing any troubleshooting procedures, always wear all required personal protectiveequipment.

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    Bath Not Filling MessagesOn LH SlideStainer

    Whenever performing any troubleshooting procedures, always wear all required personal protectiveequipment.

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    As Needed Cleaning Procedures

    LH 700 Series

    Air FiltersAspiration Probe Wipe

    BSV Drip Plate

    BSV Outside

    Clogged Flow Cell

    Needle Assembly

    Rocker Bed Belt

    Stripper Plate

    Shear Valves

    LH SlideMaker

    Air filter

    Blood Spills and Broken Slides

    Catch Tray

    Dispense Probe and Rinse Cup

    Priming/Backwashing

    Flushing the SlideMaker

    LH SlideStainer

    Basket Holders

    Basket Tray (s)

    Bath Liquid Level Sensor

    Bath Tray

    Bath Tray Overflow Sensor

    Drain and Fill Tubes

    Dryer and Adjacent PlateHolding Position Tray

    Plastic Baths

    Tubing Tray

    Flushing Stain Baths and Tubing

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    LH SlideMaker

    As Needed Cleaning Procedures

    To access the following cleaning procedures in HELP:

    select Contents>LH SlideMaker>Cleaning Procedures

    COMPONENT PROCEDURE TITLE

    Air filter Cleaning and Replacing Air Filter (SlideMaker)

    Blood Spills and Broken Slides Cleaning Blood Spills and Broken Slides

    Catch Tray Cleaning a Catch Tray

    Dispense Probe and Rinse Cup Cleaning the Dispense Probe and Rinse Cup

    Priming/Backwashing Priming/Backwashing SlideMaker

    Flushing the SlideMaker Flushing the SlideMaker (Bleach System)

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    LH SlideStainerAs Needed Cleaning Procedures

    To access the following cleaning procedures in HELP:

    select Contents>LH SlideStainer>Cleaning Procedures.

    COMPONENT PROCEDURE TITLE

    Basket Holders Basket Holders

    Basket Tray Basket Tray

    Bath Liquid Level Sensor Bath Liquid Level Sensor

    Bath Tray Bath Tray

    Bath Tray Overflow Sensor Bath Tray Overflow Sensor

    Drain and Fill Tubes Drain and Fill Tubes

    Dryer and Adjacent Plate Dryer and Adjacent Plate

    Holding Position Tray Holding Position Tray

    Plastic Baths Plastic Baths

    Tubing Tray Tubing Tray

    Flushing Stain Baths and Tubing Flushing Stain Baths and Tubing

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    Optimiz

    ingStainProtoc

    ols

    OverallStainQuality

    BeckmanCoulterhasdevelopedBCITruColorreagentsa

    nddefaultprotocolsforuseonthe

    LHSlideStainer.TheBeckmanCo

    ulterdefault

    protocolsaretoapredefinedcolorationspecification(Seeta

    blesonnextpage).Sincecoloratio

    nissubjective,optimizationofthe

    protocolsand/or

    reagentsmaybenecessa

    rytomeetyourindividualcoloratio

    ncriteria.Ensurethatboththemethanolandwateryouusemeetthe

    specifications

    detailedinyoursystems

    onlineHelp.

    Typicaltimeadjustm

    entsincrements

    Stain30seconds

    Buffer1minute

    Coloration(red/blu

    e)isprimarilycontrolledbythepHofthebuffer.

    Stainintensityanddifferentialstainingcharacteristicscanarecontrolled

    by:

    thelengthofstaining

    times(longer=moreintense)

    decreasingthebuffer

    strength

    concentrationofstain

    inbuffer(morestain=darker,moreintense)

    Symptom

    Ca

    use

    Action

    Bu

    ffertooacidic

    a)Adjustwithalkalinesolutionuntilyouachievethedesiredcolor.

    b)

    Trya

    bufferwithahigherpH.

    Excessivewashing

    a)Shortenrinsetime(Bath5)untilyouachievethedesiredcolor.

    b)AdjustfrequencyofBath5drainandfilluntilyouachievethedesiredcolor.

    All

    reagentstooold

    Drainand

    fillallbaths.

    Staintimetooshort

    Prolongstainingtimeuntilyouachievethedesiredcolor.

    Toored

    Bu

    ffertimetoolong

    Shortenb

    uffertimeuntilyouachievethedes

    iredcolor.

    Bu

    ffertooalkaline

    a)Adjustwithacidsolutionuntilyouachieve

    thedesiredcolor.

    b)TryabufferwithalowerpH.

    Ins

    ufficientwashing

    Lengthen

    rinsetimeuntilyouachievethedesiredcolor.

    Staintimetoolong

    Decrease

    staintimeuntilyouachievethede

    siredcolor.

    Tooblue

    Bu

    ffertimetooshort

    Lengthen

    buffertimeuntilyouachievethedesiredcolor.

    Staintimetoolong

    Shortenstaintimeuntilyouachievethedesiredcolor.

    Toodark

    Bu

    ffertimetoolong

    Shortenb

    uffertimeuntilyouachievethedes

    iredcolor.

    Rinsetimetoolong

    Decrease

    rinsetimeuntilyouachievethede

    siredcolor.

    Po

    orqualityrinsewater

    a)Changewater.

    b)Verifyw

    atermeetsspecificationsofType

    IINCCLSwater

    Staintimetooshort

    Increasestaintimeuntilyouachievethedes

    iredcolor

    Toolight

    Bu

    ffertimetooshort

    Increasebuffertimeuntilyouachievethede

    siredcolor

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    Bu

    ffertooconcentrated

    Dilutebuffersolutionwithdeionizedordistilledwateruntilyouachievethedesiredcolor

    Ca

    use

    Action

    Waterhascontaminated

    the

    methanol

    a)Drain/F

    illthemethanolbath.

    b)Dipem

    ptybasketinmethanolpriortore-e

    ntryintosystem.

    Staintooold

    Drain/fillS

    tainandStain/Bufferbaths.

    Excessstainleftonslide

    Addquick

    rinsesteptoprotocol(primarilyforWGandMGG).SeehelptopicQuickRinse

    Method.

    StainorStain/buffertoo

    od

    Drain/Fillallbaths.

    Rnse(Bath5)dirty

    a)Drain/F

    illBath5.

    b)Increas

    efrequencyofBath5drain/fill.

    c)AddQu

    ickRinsesteptoprotocol(primarilyforWGorMGG).SeehelptopicQuickRinse

    Method

    .

    Stainbathsdirty(Stain

    andStain/Buffer)

    PerformtheBathFlushingProcedure.

    Bo

    odsmearmorethan

    2h

    oursoldpriortofixing

    Makenew

    bloodsmear.

    res

    entthestaincharacteristicsaga

    instwhichtheBeckmanCoulter

    andBCIdefaultprotocolswereeva

    luated.

    Refer

    ence

    ogy,

    9th

    edition,

    Vol.1,page23.

    olume12,

    Number1.

    ReferenceLeukocyteDifferentialCount(Proportional)andEvaluatio

    nof

    Man

    ualofPeripheralCellMorphology,OConno

    r,BarbaraH.,

    1984,page1618.Copiedfrom:PN

    4276448D

    (November2003)

    ColoringofRomanowskyStains

    Structure

    Cell

    Color

    Nuclei

    All

    Purple

    Erythrocyte

    Pink

    Lymphocyte

    Blue

    Monocyte

    Grayblue

    Neutrophil

    Pink

    Metamyelocyte

    Pink

    Myelocyte

    Pink

    Cytoplasm

    Promyelocyte

    Blue

    Granules

    Basophil

    Purple,

    black

    Eosinophil

    Orange

    Neutrophil

    Purple

    Platelet

    Purple

    HumanBloodCellInclusions

    Description

    Ce

    ll

    Color

    S

    picule-likeformation

    Myeloblas

    t

    Pink

    S

    mallspots

    Redblood

    cells

    Purple

    Inclusions

    Redblood

    cells

    Purple/blue

    M

    ediumsizedspot

    Redblood

    cells

    Purple

    T

    hreadlikefilaments

    Redblood

    cells

    Purple

    S

    mallgranules

    Redblood

    cells

    Purple

    C

    oarseGranules

    WBC

    DarkPurple

    S

    pots

    WBC

    Sky-Blue