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Table of Contents
ABL5 Series ABL700
1.
Introduction
2.
What is what and Menu Functions
3.
Installation and Setup Programs
4.
Sample Measurement
5.
Quality Control
6.
Calibration
7.
Maintenance
8.
Troubleshooting
9.
Sampling Procedures
Blood Gas System
Operator’sManual Manual Operator’s
10. Specifications Ordering information Index
Date of issue
INSTRUMENT PERFORMANCE AND WARRANTY DISCLAIM RADIOMETER cannot provide or verify instrument performance specifications and accept warranty claims if the recommended maintenance procedures are not performed or if accessories other than those recommended by RADIOMETER are used. The instructions given in the Operator’s Manual for the ABL5 must be observed in order to ensure proper instrument performance and maintenance, and to avoid electrical hazards.
ABLTM, QUALICHECKTM, PICOTM, CLINIFILETM, CLINITUBESTM and RADIOMETERTM trademarks of Radiometer Medical ApS, Denmark. QUALICHECK and CLINIFILE are registered in the USA and some other countries. ABL is registered in the USA. © Radiometer Medical ApS, Copenhagen, Denmark, 2005. All Rights Reserved.
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CONTENTS Page Finding the information you need...................................................................................................................................5 Conventions....................................................................................................................................................................5 Typographic conventions ...............................................................................................................................................5 Terms you should know .................................................................................................................................................6 Editing data.....................................................................................................................................................................6 Entering new data ...........................................................................................................................................................6 Deleting data...................................................................................................................................................................6
Chapter 1 - Introduction Names ..........................................................................................................................................................................1.2 Intended use.................................................................................................................................................................1.2 Interfering substances ..................................................................................................................................................1.2 History .........................................................................................................................................................................1.3 Precautions and warnings ............................................................................................................................................1.4
Chapter 2 - System Description 2.1 What is what on the ABL5 Front ....................................................................................................................................................................2.1.2 Thermostatted area ..............................................................................................................................................2.1.3 Rear .....................................................................................................................................................................2.1.4 Gas supply...........................................................................................................................................................2.1.5 Keypad ................................................................................................................................................................2.1.6 Display ................................................................................................................................................................2.1.6 2.2 Menu functions overview Calibration menu .................................................................................................................................................2.2.3 Maintenance menu ..............................................................................................................................................2.2.3 Utilities menu ......................................................................................................................................................2.2.4 System status menu .............................................................................................................................................2.2.4 Print/Send menu ..................................................................................................................................................2.2.5
Chapter 3 - Installation and Setup Programs 3.1 Installation Instrument requirements......................................................................................................................................3.1.2 Setting up the analyzer ........................................................................................................................................3.1.2 Start up of the ABL5 ...........................................................................................................................................3.1.7 Starting analyzer for the 1st time ...................................................................................................................3.1.7 After analyzer was switched off for a longer time.........................................................................................3.1.8 After a short power break .............................................................................................................................3.1.8 Errors in setup data ........................................................................................................................................3.1.8 3.2 Setup programs General information ............................................................................................................................................3.2.2 Program 1: RADIOMETER Setup......................................................................................................................3.2.2 Program 2: Calibration Setup ..............................................................................................................................3.2.3 Program 3: Barometer Adjustment......................................................................................................................3.2.3 Program 4: Derived Parameters ..........................................................................................................................3.2.4 Program 5: Units .................................................................................................................................................3.2.4 Program 6: Time/Date.........................................................................................................................................3.2.5 ABL5, Operator's Manual, Contents
Page Program 7: Auto Print/Send................................................................................................................................ 3.2.5 Program 8: Interface Setup ................................................................................................................................. 3.2.6 Program 9: Gas Percentages .............................................................................................................................. 3.2.7 Program 10: Analyzer ID................................................................................................................................... 3.2.7 Program 11: Miscellaneous ............................................................................................................................... 3.2.8 Default Setup Printout ........................................................................................................................................ 3.2.8
Chapter 4 - Measurements Operating conditions ................................................................................................................................................... 4.2 Sample introduction .................................................................................................................................................... 4.3 Patient identifications.................................................................................................................................................. 4.4 Patient report ............................................................................................................................................................... 4.5 Printing a patient report............................................................................................................................................... 4.6 Sending a patient report ............................................................................................................................................. 4.7 Patient report printout ................................................................................................................................................. 4.7
Chapter 5 - Quality Control General information .................................................................................................................................................... 5.2 QUALICHECK ..................................................................................................................................................... 5.2 Information about the analyzer .............................................................................................................................. 5.2 Measurement frequency......................................................................................................................................... 5.3 Before measurement on control solution ............................................................................................................... 5.3 Transfer into analyzer ................................................................................................................................................. 5.4 QC identification......................................................................................................................................................... 5.4 QC report..................................................................................................................................................................... 5.5 Printing a quality control report .................................................................................................................................. 5.6 Sending a quality control report ................................................................................................................................. 5.6 Example of printout..................................................................................................................................................... 5.6
Chapter 6 - Calibration General information .................................................................................................................................................... 6.2 Example of calibration process ................................................................................................................................... 6.3 Next or pending calibration......................................................................................................................................... 6.4 Interrupted calibration................................................................................................................................................. 6.4 Cal status .................................................................................................................................................................... 6.5 Printing system status.................................................................................................................................................. 6.6 Sending system status ................................................................................................................................................ 6.6 Example of printouts ................................................................................................................................................... 6.6
Chapter 7 - Maintenance General information ................................................................................................................................................. 7.1.2 7.1 Maintenance programs Rinse program..................................................................................................................................................... 7.1.4 Cleansing program.............................................................................................................................................. 7.1.4 Protein removal program .................................................................................................................................... 7.1.5 Hold analyzer program ....................................................................................................................................... 7.1.6 Refill program..................................................................................................................................................... 7.1.8 LS Adjustment program...................................................................................................................................... 7.1.8 1.2
ABL5, Operator's Manual, Contents
Page 7.2 Maintenance procedures General information ............................................................................................................................................7.2.2 Maintenance procedures performed in Hold..................................................................................................7.2.2 Maintenance procedure performed in Ready mode .......................................................................................7.2.2 Remembraning or replacement of electrodes ......................................................................................................7.2.2 Replacement of solutions ....................................................................................................................................7.2.5 Replacement of pump tubing ..............................................................................................................................7.2.5 Replacement of premixed gas cylinders.............................................................................................................7.2.5 Cleaning/replacing the inlet.................................................................................................................................7.2.6 Replacement of waste container..........................................................................................................................7.2.6 Replacement of thermal paper.............................................................................................................................7.2.7 Cleaning the measuring chambers.......................................................................................................................7.2.8 Cleaning the analyzer ..........................................................................................................................................7.2.8 7.3 ABL5 Shut-down Temporary shut-down of the ABL5 ....................................................................................................................7.3.2 Standby mode ................................................................................................................................................7.3.2 Locked mode..................................................................................................................................................7.3.2 Long-term storage of the ABL5 ..........................................................................................................................7.3.3 Maintenance check-list........................................................................................................................................7.3.4
Chapter 8 - Troubleshooting General information.....................................................................................................................................................8.2 System status ...............................................................................................................................................................8.2 Key to record codes .....................................................................................................................................................8.3 General record .............................................................................................................................................................8.4 Measurement record ....................................................................................................................................................8.6 Calibration record ........................................................................................................................................................8.8 Internal error message ...............................................................................................................................................8.10
Chapter 9 - Sampling Procedures Causes of errors in preanalytical phase........................................................................................................................9.2 Preparation prior to arterial/venous sampling..............................................................................................................9.4 Preparation prior to capillary sampling .......................................................................................................................9.6 Sampling devices.........................................................................................................................................................9.7 Storage and preparation prior to analysis ....................................................................................................................9.8 Sampling procedures .................................................................................................................................................9.11 References .................................................................................................................................................................9.13
Chapter 10 - Specifications and Ordering Information 10.1 Specifications ...............................................................................................................................................10.1.2 10.2 Ordering information Accessories Supplied .....................................................................................................................................10.2.2 Accessories Available ....................................................................................................................................10.2.4 Index Date of Issue
ABL5, Operator's Manual, Contents
1.3
FINDING THE INFORMATION YOU NEED With the ABL5 you receive two manuals: Operator's Manual
is intended for everyday use. It contains all the procedures from the installation of the instrument to its use, maintenance and troubleshooting. Sampling, ordering information and specifications are also included. The date of issue, edition, and the code number are found on the last page. Labels of the displayed softkeys are given in bold italics (e.g. Menu, Utilities, etc.) and the keys on the keypad are capitalized (e.g. ENTER, BACKSPACE, etc.).
Reference Manual
contains all the background information about the instrument: from the principles of operation to the description of parameters, solutions, and specific performance characteristics. The manuals include the key-word index. The date of issue, edition, and the code number are found on the last page of each manual.
Short-form instructions are intended as a prompt for quick reference on some of the measurement and maintenance procedures. Table of contents
covers each books.
Key-word index
covers each book.
Literature references
are written in brackets. An example: (Ref. 1, page 22), i.e. the reference is found on page 22 in Reference 1. In sections where there are references, a bibliography list can be found at the end of the section.
References to other sections
PRECAUTIONS and WARNINGS
a typical reference to another section in one of the two handbooks looks like this: For further information please refer to Section 7: MAINTENANCE.
of chapter 1: INTRODUCTION contains definitions and a complete list of all warnings, cautions and importants used throughout the Operator's Manual.
CONVENTIONS Typographic conventions WARNING, CAUTION IMPORTANT, and NOTE written in italics indicating that the information is vital and should be read before performing the related procedures. Program softkeys
written in parenthesis, e.g., (Change), denote softkey labels that are not shown on sample displays. For example: When keying in quality control identifications, a Change softkey appears in the Type and Level data lines, but it is not displayed initially.
Parameter symbols
generally follow the guidelines described in chapter 3: PARAMETERS in the Reference Manual. Please note that the symbols do not always correspond exactly to what you see on the display and on printouts. The limitations of the LCD means that we cannot follow the above guidelines precisely for the displayed parameter symbols. The symbols used on the display and on printouts are identical.
1.4
ABL5, Operator's Manual, Contents
Terms you should know Time-out
is a time limit for operator actions. When the time limit for a given operator action is exceeded, the ABL5 automatically takes action.
Default setting
is a setting that RADIOMETER perceives as a standard, e.g. "Not specified" is the default setting for blood sample type.
Input data
is the one keyed in or selected with the Change softkey.
Data line
refers to the part of a line where input data is keyed in and displayed.
Original report
refers to the first Patient or Quality control report that is displayed after a measurement.
Recalculated report
(described in the Sample measurements and Quality control chapters) is a report in which the input data were changed and the results recalculated.
EDITING DATA Data editing follows the same rules no matter where in the menu you are working. The rules are as follows:
Entering new data Numerical keys
are used: 1. to key in numerical data 2. to open menus 3. to start programs If the keyed-in numerical data is invalid, the default is inserted in the data line. When you want to enter, e.g., 36.0 °C as patient temperature, you need only key in 36. If more numerical characters are keyed in than a data line can hold, the cursor will remain standing after the last valid character. If you try to key in characters when the cursor is in this position they will not be inserted. Use the BACKSPACE key to go back and edit the entry or press ENTER to confirm the entry as displayed.
Change softkey
is used to change a setting.
ENTER key
is used to confirm each numerical entry. When the cursor is positioned in a line where the Change softkey is active, ENTER is used to move to the next line - not for confirming the displayed setting. If the cursor is positioned in the last data line on a display, ENTER is used to move the cursor to the first line.
Deleting data BACKSPACE key
is used to delete the numerical character to the left of the cursor. Pressing BACKSPACE when the cursor is placed in the beginning of the data line has no effect.
Overwriting
If the cursor is placed in the beginning of a data line with numerical data, simply overwrite by entering new numerical data.
ABL5, Operator's Manual, Contents
1.5
CHAPTER 1 INTRODUCTION
Contents: Names Intended use Interfering substances History Precautions and warnings
ABL5, Operator's Manual, Introduction
NAMES Proprietary name
ABLTM5 Blood Gas System.
Common name
Blood gases and blood pH test system.
INTENDED USE The ABL5 is designed and intended for use on human blood in laboratory areas. Measuring capabilities
in Blood mode, the ABL5 measures the following parameters on 85 µL whole blood samples: • pH • carbon dioxide tension (pCO2) • oxygen tension (pO2) Eight derived parameters are available. In addition pH can be measured on 35 µL of blood in Blood, pH only mode. Patient reports list patient data and measurement results. Quality control is performed on the control solutions in QC mode. Quality control reports list input data and measurement results. The ABL5 can store the latest patient and quality control report. Calibrations are performed automatically on two calibrating solutions and two premixed gases. Cal 1 is performed every ½ hour and Cal 2 every 4 hours. Cal 1 can also be selected to be performed after each measurement. Rinse is performed automatically after every analysis or calibration. The operator is guided through user programs by menus and softkeys on the LCD display and keypad.
Requirements to the Operator
The analyzer should be used by personnel who have received special education and training with regard to procedures utilizing in vitro diagnostic medical devices.
INTERFERING SUBSTANCES Nitrous oxide or halothane
Lipid therapy
1.2
used as anaesthetic may give unreliable pO2 values due to the influence of these anaesthetic gases on the pO2 electrode. No substances in normal blood will interfere with pH and pCO2 measurements. Patients who have received lipid therapy will have an abnormally high blood lipid content which causes some interference in pH measurements. Samples from such patients should be labelled so that these contaminants can be taken into account in the interpretation of the results. After measurement on blood from a patient who has received lipid therapy within the previous 6 hours or has been given protamine sulphate, clean your analyzer as described in Section MAINTENANCE.
ABL5, Operator's Manual, Introduction
HISTORY Founded in 1935, RadiometerTM was initially involved in the developing of analytical and teletechnical measuring instruments. The company entered the medical instrumentation market in 1959 with a revolutionary new instrument for measuring pH in blood, developed in cooperation with professor Poul Astrup. Radiometer Medical has since become a recognized world leader in developing and manufacturing pH and blood gas analyzers in association with leading physiologists around the world. Production of the Acid-Base Laboratories (ABL) series started in 1973 with the ABL1, the first computer-controlled automatic pH/blood gas instrument. Successive refinements have been incorporated into each new member of the series, now renowned for its accuracy and reliability. The ABL500 was introduced in 1989 and has become the state of art in blood gas instrumentation. The ABL50 maintains the operating simplicity, reliability, accuracy, and user safety of the ABL500 series; it has a keypad with a liquid crystal display to provide communication between the operator and the analyzer. The ABL5 is the latest in the ABL family and adds streamline design and mobility though it is less sophisticated.
ABL5, Operator's Manual, Introduction
1.3
PRECAUTIONS AND WARNINGS Throughout the Manuals, the various procedures may contain operational precautions and/or warnings. WARNING
indicates operating practices which, if not taken into account, may result in personal injury.
CAUTION
gives information on operating practices which, if not taken into account, may result in damage to the equipment.
IMPORTANT
gives information on operating practices which, if not taken into account, may result in unreliable test results.
NOTE
gives practical information. All WARNING, CAUTION and IMPORTANT notices are listed below.
WARNING notices • Line fuses - Fire Hazard. For continued protection, replace only with the same type and rating. • An inverted instrument status field (light letters on a dark background) indicates that a service setting has been changed to non-default. Contact your service engineer if the field is inverted as the stated specifications do not apply in this mode. • Avoid direct contact with blood-contaminated parts. Use approved rubber gloves to avoid infection. • Do not hold a full reusable waste container by the lid when transporting it for waste disposal. • Blood sampling should be performed by authorized personnel only. Always handle blood samples and collection devices with care. Use approved rubber gloves to avoid direct contact between operator and sample. Sterile technique is required at all times to avoid infection of the collection site. CAUTION notices • Changing from 100/120 V to 230/240 V requires replacement of the line fuses to the proper type and rating. • Use S5332 Cleaning Solution only for the Cleansing program to avoid instrument damage. • Remembrane the reference electrode monthly to prevent its damage. • Dry the contacts of the reference, pH, pCO2 and pO2 electrodes before mounting them in the ABL5, using a dry cloth or tissue. • Thermal paper is highly sensitive to direct sunlight, water, high temperature and humidity, alcoholic and organic solvents, PVC-containing materials, direct contact with freshly developed diazo copy sheets, extensive pressure and scratching. For storage use folders and cases made of polyethylene, polypropylene, polyester, etc. IMPORTANT notices
1.4
• To obtain reliable measurements, the front cover should remain mounted at all times. • To obtain reliable measurements, avoid electrical noise and for operator protection, the ABL5 should be properly grounded. • When the measuring chamber has been filled, check it once visually for air bubbles. If any air bubbles are observed, disregard the results and repeat the measurement. • Follow the maintenance check-list to ensure proper functioning of the analyzer. If the analyzer is to be kept on standby for more than 1 day, perform the Cleansing program before entering the Standby mode (maximum one Cleansing per day).
ABL5, Operator's Manual, Introduction
CHAPTER 2 SYSTEM DESCRIPTION
Contents: 2.1 What is what on the ABL5
2.2 The menu functions overview
Front
Calibration menu
Thermostatted area
Maintenance menu
Rear
Utilities menu
Gas supply
System status menu
Keypad and display
Print/Send menu
ABL5, Operator's Manual, System Description
10
11
9
12
8
13
7 6 5
14
15
1
2
3
4
2.1 WHAT IS WHAT ON THE ABL5 FRONT 1.
Rinse Solution
S4930, (marked blue) for rinsing the liquid transport system after measurement, calibration, or any other program. Contains preplaced enzyme.
2.
Calibrating Solution 1
S1545 Calibrating Solution 1 (marked red) for 1-point calibration of the pH electrode.
3.
Calibrating Solution 2
S1555 Calibrating Solution 2 (marked green) for 2-point calibration of the pH electrode.
4.
Waste container
(marked yellow) disposable, for waste collection.
5.
Window
for observing the samples in the measuring chambers. Is lit during all liquid transport.
6.
Inlet
for aspirating a sample from a capillary, syringe or a test tube. Should be lifted to indicated position (symbols on the front cover) before introducing a sample.
7.
Front cover
for keeping the measuring chamber at a temperature of 37 °C ± 0.2 °C; is held in place with the magnets.
8.
Aspirate button
for aspirating a sample from a capillary, syringe or a test tube.
9.
Keypad
see description on page 2.1.6.
10. Printer
for printing out all measurement and calibration results.
11. Short-form Instructions
for quick reference to measurements, maintenance and menu functions of the analyzer.
12. Display
see description on page 2.1.6.
13. Softkeys
see description on page 2.1.6.
14. Inlet nipple
for transporting solutions from the containers to the wet section.
15. Holders
for solution and waste containers.
2.1.2
ABL5, Operator's Manual, System Description
22 23
21
24 25
16
17 18
19 20
THERMOSTATTED AREA 16. Measuring chamber unit
contains measuring chambers for the reference, pH, pCO2and pO2 electrodes.
17. E115 Reference electrode has white color code. 18. G707 pH electrode
has blue color code.
19. E808 pCO2 electrode
has green color code.
20. E909 pO2 electrode
has red color code.
21. Preheater
for heating the sample before it reaches the measuring chamber.
22. Amplifier housing
for the electrode. Establishes the contact between the cordless electrode and the electrode amplifier when the electrode is mounted in the measuring chamber. Press the amplifier housing down and pull the metal tag outward to lift the amplifier housing off an electrode in order to perform maintenance.
23. Pump
for transporting all liquids and gases to and from the measuring chambers.
24. Exhaust
compensates for pressure differences during sample or liquid transport.
25. Fluid dosing unit
for transport of all solutions and gases to and from the measuring chamber.
ABL5, Operator's Manual, System Description
2.1.3
26 35 34 33
27 28 29
32 31 30
REAR 26. Memory card connector
for service purposes.
27. Line voltage selector with line fuses for setting the ABL5 to one of the following line voltages: 100 V, 120 V, 230 V or 240 V. CAUTION: Changing from 100/120 V to 230/240 V requires replacement of the line fuses to the proper type and rating. Line fuses: slow-blow (Littelfuse or Wickmann) 230/240 V: 0.4 A. 100/120 V: 0.8 A. WARNING: Fire hazard. For continued protection, replace only with the same type and rating. 28. Power switch
for switching the ABL5 on (position I) or off (position 0).
29. Power socket
In USA: If the system is used on 100/120 V supply, use Radiometer line cord (code 615-403) with parallel blade attachment plug. If used on 230/240 V supply, use Radiometer line cord (615-405) with tandem blade attachment plug.
30. Ground terminal
to ground the system via this jack if it was not not grounded via the power cord. IMPORTANT: To obtain reliable measurements, avoid electrical noise and for operator's protection, the analyzer must always be properly grounded.
31. LOW GAS nozzle
provides supply of gas mixture with 5.6 % CO2 from the cylinder .
32. HIGH GAS nozzle
provides supply of gas mixture with 11.2 % CO2 from the cylinder.
33. Port 1
for connecting an external ticket printer.
34. Port 2
reserved for future use.
35. Port 3
for connecting the ABL5 to a computer if the RSI5 interface (optional) is installed.
2.1.4
ABL5, Operator's Manual, System Description
36
36
37
43
38
29
42
40
41
GAS SUPPLY 36. Main valve 37. D731 regulator with manometer
for opening and closing gas supply to the reduction valve. (reduction valve) - marked "Gas 1", for gas mixture with 5.6 % CO2 (low CO2) to provide supply of the gas mixture from the cylinder at a constant pressure to the gas module on the ABL5. The manometer indicates the gas pressure in the cylinder (the needle should be in the green area). The regulator is fastened on the cylinder with the wing screw. Gas mixture is supplied through a rubber tubing.
38. Holder
for cylinders with premixed gas mixtures; the holder is assembled with screws
39. Gas cylinder
volume 2.5 L. Contains gas mixture with 5.6 % CO2.
40. Tubing
for transporting gas mixture with 5.6 % CO2 to the ABL5 via inlet 30.
41. Tubing
for transporting gas mixture with 11.2 % CO2 to the ABL5 via inlet 31.
42. Gas cylinder
volume 2.5 L. Contains gas mixture with 11.2 % CO2.
43. D732 regulator with manometer
(reduction valve) - marked "Gas 2", for gas mixture with 11.2 % CO2 (high CO2) to provide supply of the gas mixture from the cylinder at a constant pressure to the gas module on the ABL5. The manometer indicates the gas pressure in the cylinder (the needle should be in the green area). The regulator is fastened on the cylinder with the wing screw. Gas mixture is supplied through a rubber tubing.
ABL5, Operator's Manual, System Description
2.1.5
KEYPAD
44
45
46
47
44. Numerical keys
from 0 to 9; for keying in the numerical input data (patient ID, operator ID, etc).
45. Decimal point key
for keying in the decimal point, ":" or "/" depending on the program, e.g. it is used as a decimal point when entering numbers.
46. BACKSPACE key
for deleting the last written symbol; is similar to the backspace function on a typewriter.
47. ENTER key
for confirming the keyed-in numerical data and for moving cursor to the next data line.
48. Paper feed button
for feeding paper out of the printer.
48
DISPLAY Instrument status field
indicates • instrument status for the system (measurement, calibration, etc) in double size type • time.
WARNING:
An inverted instrument status field (light letters on a dark background) indicates that a service setting has been changed to non-default. Contact your service engineer if the field is inverted as the stated specifications do not apply in this mode.
System status field
displays flashing "?" in case of general or calibration records.
Data field
can contain up to 8 lines of information, e.g. operator instructions during sample introduction, results, and the like. When the information fills more than 8 lines, the “hidden” part can be displayed by pressing the Page softkey.
Instrument status field
쑼 씱 System status field
씱 Data field
씱 Softkey label field
2.1.6
ABL5, Operator's Manual, System Description
Softkey label field
contains 2 labels, each displayed as a block of 8 characters; shows the available functions at any moment of the instrument activity. Inactive keys are not labelled. To differentiate between the softkeys and the keypad keys, the former are written in italics and bold (see below), the latter are written in capitals (ENTER, BACKSPACE) throughout this Operator's Manual.
Softkey Menu
displays the main menu: Calibration, Maintenance, Utilities, System status, and Print/Send.
NOTE:
The display of a new analyzer is covered with protecting film. Remove the film, if desired.
ABL5, Operator's Manual, System Description
2.1.7
2.1.8
ABL5, Operator's Manual, System Description
2.2 MENU FUNCTIONS OVERVIEW
ABL5, Operator's Manual, System Description
ABL5 MENU
1. Calibration
1. Cal 1 2. Cal 2
Menu softkey Calibration
Maintenance
Utilities System status Print/Send
2.2.2
2. Maintenance
1. Rinse 2. Cleansing 3. Protein removal 4. Hold analyzer 5. Refill 6. LS adjustment
3.Utilities
1. Standby 2. Setup
4. System status
1. Records 2. Cal status
1. - R- setup 2. Calibration setup 3. Baro adjustment 4. Derived param. 5. Units 6. Time/Date 7. Auto print/send 8. Interface setup 9. Gas percentages 10. Analyzer ID 11. Miscellaneous
5. Print/Send
1. Print report 2. Print syst. status 3. Print setup 4. Send report 5. Send syst. status
is always available in the Ready mode or whenever the Main menu: Calibration, Maintenance, Utilities, System status, Print/Send is accessible. Each of these menus is briefly described below: menu includes: • Cal 1 (calls an unscheduled 1-point pH, pCO2, and pO2 calibration). • Cal 2 (calls an unscheduled 2-point pH, pCO2, and pO2 calibration). menu includes: • Rinse program. Automatic rinse is performed after each measurement, calibration, etc. • Cleansing program. • Protein removal program. • Hold analyzer program used for carrying out the maintenance procedures listed in the maintenance check-list. When restarted, the ABL5 returns to the Ready mode after an automatic restart sequence has been completed . • Refill program used for refilling the tubings with solutions after their replacement and for flushing gas tubings after replacement of the gas cylinder(s). • LS adjustment program used for the adjustment of the liquid sensor. menu includes: • Standby mode used for temporary shut-down of the ABL5. • Setup programs used for selecting a pattern for all actions of the ABL5. menu includes: • Records (general, from last measurement, and from last calibration) • Calibration status menu includes: • Print report on the built-in printer. • Print system status on the built-in printer. • Print setup on the built-in printer. • Send report to the connected computer. • Send system status to the connected computer.
ABL5, Operator's Manual, System Description
CALIBRATION MENU In the Calibration menu you can call the following calibrations by presssing 1 or 2 on the numerical keypad: Cal 1
starts 1-point calibration of the pH, pCO2 and pO2 electrodes. Scheduled Cal 1 is performed every 30 minutes. Cal 1 can also be selected after each measurement in Setup program 2.
Cal 2
starts 2-point calibration of the pH, pCO2 and pO2 electrodes. Scheduled Cal 2 is performed every 4 hours.
To interrupt
a calibration, press the Interrupt softkey. After a rinse the analyzer is ready for a stat analysis.
“?”
will appear in the instrument status field if the analyzer detects an error.
Exit softkey
leaves the Calibration menu and enters the Main menu. For detailed description of calibrations, please refer to chapter 6: CALIBRATION.
MAINTENANCE MENU In the Maintenance menu you can call or start: Rinse
by pressing 1 on the keypad (an automatic rinse follows each measurement or calibration).
Cleansing
by pressing 2 on the keypad. Then you aspirate the Cleaning Solution in order to clean the liquid transport system of any lipid deposits, and close the inlet. The program cannot be interrupted.
Protein removal
by pressing 3 on the keypad. Then you aspirate the Hypochlorite Solution in order to clean the liquid transport system of any protein deposits, and close the inlet. The program cannot be interrupted.
Hold analyzer
(mode) by pressing 4 on the keypad. This mode is used for carrying out maintenance procedures. When the maintenance actions are completed, you press the Restart softkey to exit the Hold mode.
Refill
by pressing 5 on the keypad. Refilling of the tubings with solutions and flushing gas lines after replacement of the solutions or gas cylinders will then start. The program is also performed every time the analyzer has been switched on and cannot be interrupted.
LS adjustment
by pressing 6 on the keypad. Adjustment of the liquid sensor which is located in the wet section will then start. The program is also performed every time the analyzer has been switched on and after each Cleansing program and cannot be interrupted.
Exit softkey
leaves the Maintenance menu and enters the Main menu. Detailed description of the maintenance programs is given in section 7.1 of chapter 7: MAINTENANCE.
ABL5, Operator's Manual, System Description
2.2.3
UTILITIES MENU Utilities menu includes: Standby mode
used for temporary shut-down of the analyzer to keep electrodes conditioned and to reduce solution consumption. Press 1 on the keypad to enter the standby mode.For detailed description of the Standby mode, please refer to section 7.3 in chapter 7: MAINTENANCE.
Setup programs
used for selecting the pattern of all the actions of the analyzer: from automatic procedures to available derived parameters. Press 2 on the keypad to enter the list of the Setup programs. For detailed description of the Setup programs, please refer to section 3.2 in chapter 3: INSTALLATION.
Exit softkey
leaves the Utilities menu and enters the Main menu.
SYSTEM STATUS MENU The System status includes: Records
• General record (refers to errors caused by incorrect operator action, e.g. inlet flap is left open after introducing a sample). • Measurement record (refers to monitoring of the electrodes during measurement). • Calibration record (refers to monitoring of the electrodes during calibration). For detailed information please refer to chapter 8: TROUBLESHOOTING.
Cal status
contains calibration status for the electrodes. It is always accessible. For detailed description please refer to chapter 6: CALIBRATION.
Exit softkey
leaves the System status menu and enters the Main menu. For detailed description of System status and operator action for each error, please refer to chapter 8: TROUBLESHOOTING.
2.2.4
ABL5, Operator's Manual, System Description
PRINT/SEND MENU In the Print/Send menu you can: Print Report
by pressing 1 on the keypad to start a printout of a patient or quality control report.
Print Syst. Status
by pressing 2 on the keypad to start a printout of system status: records and calibration status.
Print Setup
by pressing 3 on the keypad to start a printout of setup: all settings selected in the Setup programs.
Send Report
by pressing 4 on the keypad to start sending a patient or quality control report.
Send Syst. Status
by pressing 5 on the keypad to send system status to a connected computer.
Keys 1, 4
will be inactive if no measurement has been made.
Keys 1, 2, 3
will be inactive in case of printer error (e.g. no paper in the printer).
Keys 4, 5
will be inactive if no computer is connected to the analyzer.
Exit softkey
leaves the Print/Send menu and enters the Main menu. For detailed description of print and send functions, please refer to chapter 4: MEASUREMENTS, chapter 5: QUALITY CONTROL, and chapter 6: CALIBRATION.
ABL5, Operator's Manual, System Description
2.2.5
2.2.6
ABL5, Operator's Manual, System Description
CHAPTER 3 INSTALLATION AND SETUP PROGRAMS
Contents: 3.1 Installation
Derived parameters
Instrument Requirements
Units
Setting up the analyzer
Time/Date
Start up of the analyzer
Print/Send Interface Setup
3.2 Setup programs
Gas percentages
Radiometer setup
Analyzer ID
Calibration setup
Miscellaneous
Barometer adjustment
Default setup printout
ABL5, Operator's Manual, Installation
3.1 INSTALLATION INSTRUMENT REQUIREMENTS Ambient temperature
must be between 15 °C and 32 °C (59 and 89.6 °F). The analyzer must not operate at temperatures below or above the indicated range.
Start-up time
approximately 20 minutes from cold condition to Ready.
Power
100/120/240 V ± 10 %; 230 V + 6 %/-15 %. Set to 120 V when 115 V is available. Set to 230 V when 220 V is available. 50 or 60 Hz ±5 %. 60 VA. Installation category II. Leakage current less than 0.5 mA.
Before transport
the analyzer must be emptied of all solutions as described in section 7.3, chapter 7: MAINTENANCE.
Temporary shut-down
is used during shorter periods of non-use: weekends or holidays. The Standby mode provides proper conditioning of the electrodes and periodical calibration - see section 7.3 in chapter 7: MAINTENANCE.
SETTING UP THE ANALYZER The inserts enclosed with the various accessories and the Short-form Instruction will aid you in setting up the analyzer.
How to condition electrodes pH and pCO2 electrodes
Conditioning of these electrodes takes about 25 hours. • Unpack the electrodes and pour 20 drops of the S53516 Electrode Cleaner into the vial supplied with each electrode box.
• Place electrodes into the vials for 1 hour. • Empty and rinse the vials with distilled water. Fill them one third with distilled water. • Remove the pCO2 electrode from its protecting jacket. • Rinse the pH and pCO2 electrodes with plenty of distilled water, and place them into the vials for 24 hours. • Remove the electrodes from the vials and shake them to remove the drops of water. • pH electrode - mount it in the ABL5.
3.1.2
ABL5, Operator's Manual, Installation
pO2 electrode
Conditioning of this electrode takes 1 hour. • Unpack the electrodes and pour 20 drops of the S53516 Electrode Cleaner into the vial supplied with the electrode box.
• Soak the electrode with its protecting jacket in the vial for 1 hour. • Remove the protecting jacket and rinse the pO2 electrode with plenty of distilled water. Shake the electrode to remove drops of water.
How to membrane electrodes Use: • D115 Membrane Box for the reference electrode • D888 Membrane Box for the pCO2 electrode • D999 Membrane Box for the pO2 electrode. Before membraning the E115 Reference electrode: • Unpack a reference electrode. Membrane the electrodes as follows: • Turn the lid of the Membrane Box to a sealed electrode jacket and pull the cover foil upward to remove it. • Press the electrode firmly into the jacket until a click is heard. Reference electrode:
The jacket of the reference electrode is closed with a protecting film. Press the electrode through the film.
• Remove the electrode from the Membrane Box. Reference electrode:
Rinse the reference electrode with distilled water and dry with lintfree tissue before mounting it in the analyzer.
NOTE: An air bubble can be trapped between the pCO2 or pO2 electrode tip and the membrane. If so, press the tabs on the electrode jacket and move the electrode slightly up and down in the electrolyte to remove any air bubbles. Then press the electrode firmly into the electrode jacket.
How to mount electrodes Dry
CAUTION: Dry the electrode contact before mounting the electrode in the ABL5, using a dry cloth or tissue.
Press the amplifier housing down, pull the metal tag outward, and lift the amplifier housing.
ABL5, Operator's Manual, Installation
3.1.3
Place the electrode in the measuring chamber. Close the amplifier housing to fasten the electrode in the measuring chamber.
How to mount the following items: Pump tubing Fit the tubing connectors in the slots. Place the pump tubing over the pump rollers. Do not force the pump tubing into position. The tubings will be drawn in automatically when the pumps begins to rotate during the Start up program.
Inlet Place the inlet in the opening on the right of the measuring chamber.
Prism for observing the measuring chamber Slide the prism, with its broader side which has two round marks, in the clamp.
Front cover Place the front cover over the magnets. IMPORTANT:
To obtain reliable measurements, the front cover should remain mounted at all times.
Waste container (D155 Disposable and D156 Reusable) Lift the inlet. Slide the waste container into position, and lower the inlet.
S4930 Rinse Solution • Press the black piston on the container fully in.
3.1.4
ABL5, Operator's Manual, Installation
• To dissolve the enzyme, shake the container vigorously upside down for at least 20 seconds. Wait 1 minute and then shake the container for another 20 seconds.
All Solutions The following solutions should be installed on the ABL5: • S4930 Rinse Solution • S1545 Calibration Solution 1 • S1555 Calibration Solution 2. Press the container firmly onto the inlet nipple until it sits firmly in position.
How to provide gas supply Assemble the holder for gas cylinders: • Place the two parts of the holder as mirror reflection of each other. For larger gas cylinders place two supplied plastic blocks between the two parts of the holder. • Fasten each side with a screw. • Place the assembled holder on the floor or behind the analyzer. • Place the cylinders in the holder. • Mount the washer (code 836-121) onto the inner side of the D731 regulator for Gas1, and mount the regulator on the cylinder with 5.61 % CO2. • Mount the washer (code 836-121) onto the inner side of the D732 regulator for Gas 2, and mount the regulator on the cylinder with 11.22 % CO2.
High
Low
• Connect the rubber tubings to the regulators and the HIGH (from 11.22 % CO2 cylinder) and LOW (from 5.61 % CO2 cylinder) nozzles in the rear panel of the ABL5 (see section 2.1, page 2.1.4). • Turn the main valves on the cylinders counterclockwise with the spanner (code 920-606). Check that the gauge needles are in the green area (the pressure can reach 165 bar at elevated ambient temperatures).
Line voltage and grounding Check position
of the line voltage selector (on the rear panel). If incorrect, turn the voltage selector to the required position. CAUTION: Changing from 100/120 V to 230/240 V requires replacement of the line fuses to the proper type and rating. In USA:
If the analyzer is used on 100/120 V supply, use Radiometer line cord (code 615-403) with parallel attachment plug. If used on a 230/240 V supply, use Radiometer line cord with tandem blade attachment plug (code 615-405).
ABL5, Operator's Manual, Installation
3.1.5
Ground analyzer
either via the power cord or the jack (pos. 29, page 2.1.4) on the rear panel. IMPORTANT: To obtain reliable measurements, to avoid electrical noise and for operator protection, it is essential that the analyzer is properly grounded.
Press
POWER button located on the rear panel of the analyzer.
How to place thermal paper in the printer Remove the cover. • Tear off and discard the first 25 cm of paper from a paper roll and trim the edge with scissors.
• Place the paper roll in the printer so that the paper unreels from below. The thermosensitive side is the glossy outer side. When scratched with a nail, it shows color marks. • Feed the paper through the paper guide channel and the gap between the drive roller and the printer head. The paper will be fed into the printer automatically as soon as the sensor detects the paper edge. • Place the roll in the holder.
• Slip the paper through the slit in the cover and place the cover on the printer. CAUTION: Thermal paper is highly sensitive to direct sunlight, water, high temperature and humidity, alcoholic and organic solvents, PVC-containing materials, direct contact with freshly developed diazo copy sheets, extensive pressure and scratching. For storage use folders and cases made of polyethylene, polypropylene, polyester.
3.1.6
ABL5, Operator's Manual, Installation
START UP OF THE ABL5 The ABL5 performs a start up program whenever it has been switched on.
Starting analyzer for the 1st time Start up
lasts approximately 20 minutes in order to warm up the electrodes, and includes the following programs: • Power on • LS adjustment • Refill • Start up calibration (Cal 2). The Menu softkey becomes available during LS adjustement program. You can enter the Utilities, System status, and Print/Send menus. The Calibration and Maintenance menus are not available during start up.
Do the following: • Enter barometer reading
• Press Menu→3 (Utilities) →2 (Setup) →3 (Barometer adjustment program). • Key in the barometer reading from the external barometer. confirm with the ENTER key. Press the Exit softkey to exit to the list of the Setup programs.
• Enter gas percentages
• Press Page→ 9 (Gas percentages program). • Key in gas percentages for the two gas mixtures. Confirm each entry with the ENTER key - see the limits described on page 3.2.7.
• Program your analyzer
• Press Menu→3 (Utilities)→2 (Setup) - see description of Setup programs in section 3.2. • Make a printout of all settings in the Setup programs by pressing the Print setup report softkey.
• Wait for Start up calibration to complete
A Start up calibration is a 2-point calibration which cannot be interrupted (the Interrupt softkey is not available). Start up calibration is performed and accepted when: • TEMP ERROR disappears; • entered barometer reading and gas percentages are valid.
ABL5, Operator's Manual, Installation
3.1.7
In Ready mode
Perform quality control - see chapter 5: QUALITY CONTROL. Then the analyzer is ready for measurements.
Softkey
Menu enters the main menu.
After analyzer was switched off for a longer time When switched on, the following internal data is restored: • User Setup data (selected in the setup programs) • System Setup data (Service programs and the background data) • gas percentages • barometer offset • sample # • calibration #. The analyzer performs the start up with the following programs: • Power on • LS adjustment • Refill After 15 minutes, when the TEMP ERROR disappears, the Start up calibration is performed.
After a short power break When switched on, the analyzer stores the internal data listed above and performs the Power on, LS adjustment, and Refill programs. The Start up calibration is performed immediately after TEMP ERROR disappears.
Errors in setup data In case of errors in setup data, registered after the analyzer was switched on, the following screen will be displayed. Follow the instruction on the screen. The Continue softkey, when pressed, changes all the settings to the Radiometer default setup. Do the following
3.1.8
• perform programming of the analyzer (see section 3.2 in this chapter). • wait for the analyzer to perform the Start up calibration. • perform quality control when the analyzer is in Ready mode.
ABL5, Operator's Manual, Installation
3.2 SETUP PROGRAMS
ABL5, Operator's Manual, Installation
GENERAL INFORMATION To enter Setup programs
press Menu →3 (Utilities menu) →2 (Setup programs).
List of Setup programs
is on two pages. Press numbers from 1 to 6 on the keypad to select a setup program on page 1. Press Page and numbers from 7 to 11 on the keypad to select a setup program on page 2 of the list.
Page
softkey displays pages of the list of the setup programs.
Exit
softkey confirms settings in a setup program and exits to the Utilities menu.
Make a printout
of your setup report and keep it as documentation: press Menu→5 (Print/Send menu) →3 (Print setup).
Numerical keys
on the keypad are used to key in new data.
ENTER key
on the keypad is used to confirm each entry and/or to move to the next line.
PROGRAM 1: RADIOMETER SETUP This program allows you to change to Radiometer default values. Softkeys
Yes
changes setup settings to the Radiometer default settings.
Exit
returns to the list of the Setup programs without changing the settings.
Settings for gas percentages and barometer adjustment - if entered before - are kept intact.
3.2.2
ABL5, Operator's Manual, Installation
PROGRAM 2: CALIBRATION SETUP This program allows you to select: • 1-point calibration to be performed after each measurement • a delay for automatic salibrations. 1. Press the Change softeky to change the setting: Procedure Yes = Cal 1 is performed after each measurement; No (default) = Cal 1 is not performed after each measurement. 2. Key in the desired delay in minutes from 0 (default) to 59. Press ENTER to confirm. (The Change softkey is not available here.) confirms the setting and return to the list of the Setup programs. Calibration intervals for Cal 2 performed every 4 hours and Cal 1 every 30 minutes cannot be changed.
Softkey
Exit
NOTES:
Delay is useful if there are several analyzers in the same laboratory. To avoid a situation when all the analyzers are running automatic calibrations simultaneously, different delays can be selected. Thus at least one analyzer will be ready for measurements at any time.
PROGRAM 3: BAROMETER ADJUSTMENT This program allows you to adjust built-in barometer to the reading from your external barometer. This should be done once a month.
When you enter the program for the 1st time: 1. Key in the reading of the external barometer under the "Adjusted to" line: range: 450 - 800 mmHg or 60.0 - 106.7 kPa. Confirm with ENTER. Maximum accepted difference between the "Measured baro press" and "Adjusted to" readings is: ±100 mmHg or ±13.3 kPa. If the keyed-in reading is outside the allowed range and confirmed with ENTER, it will not be accepted. The dots will be displayed instead.
Procedure
2. Press the Exit softkey to return to the list of the Setup programs.
When you enter the program once a month: Procedure
1. Check that the difference between the "Adjusted to" reading and the external barometer reading is less than 5 mmHg or 0.7 kPa. If not so: •
recheck the external barometer reading;
ABL5, Operator's Manual, Installation
3.2.3
•
Procedure (cont.)
if the required adjustment is still > 5 mmHg (0.7 kPa), please refer to chapter 8: TROUBLESHOOTING.
2. Key in the reading of the external barometer under the "Adjusted to" line and confirm with ENTER.If the keyed-in reading is outside the allowed range and confirmed with ENTER, it will not be accepted. The previously entered value will be restored. 3. Press the Exit softkey to return to the list of the Setup programs.
PROGRAM 4: DERIVED PARAMETERS This program allows you to select 6 parameters for the patient report as there is space for six parameters on the screen. The following 8 derived parameters are available in this program: HCO3- , SBC, tCO2, ABE, SBE, sO2, AaDpO2, tO2, none. To select parameters proceed as follows (the default screen is shown): Procedure
1. Select the desired derived parameter with the Change softkey on data line 1. The list of parameters will be scrolled. Press ENTER to move to the next line. 2. Repeat step 1 for other data lines. Press ENTER to move to the next line. 3. Press the Exit softkey to confirm all the settings and to return to the list of the Setup programs.
PROGRAM 5: UNITS This program allows you to select or change the units for measured, derived and input parameters. Procedure
1. Select units with the Change softkey. Press ENTER to move to the next line. pH
"-" (default) or nmol/L. pH changes to H+ if nmol/L was selected. Pressures mmHg (default) or kPa for the following parameters: pCO2 , pO2 , AaDpO2 and barometric pressure. Temp °C (default) or °F. tHb g/dL (default), g/L, or mmol/L. FIO2, sO2 % (default) or fraction. tCO2 , tO2 Vol % (default), mmol/L, or mL/dL.
2. Press the Exit softkey to confirm the settings and return to the list of the Setup programs. Units for HCO-3 , SBC, ABE, and SBC are mmol/L in both conventional and SI units and are not included in the list.
3.2.4
ABL5, Operator's Manual, Installation
PROGRAM 6: TIME/DATE This program allows you: • to reset the clock if inaccurate, change to summer/winter time, or reset the date for leap years; • to select the date format. Procedure
1. Key in time: HH.MM. 24-hour clock indication is used, e.g. 8.11 a.m. should be entered as 8.11, and 8.11 p.m. as 20.11. The decimal point is displayed as a colon (:). Press ENTER. 2. Key in date: DD.MM.YY (default). Press ENTER. 3. Press the Page softkey to select the date format. 4. Select the date format with the Change softeky: • DD.MM.YY (default) • YY.MM.DD, or • MM.DD.YY. 5. Press the Exit softkey to return to the previous screen. Press the softkey again to return to the list of the Setup programs.
PROGRAM 7: AUTO PRINT/SEND This program allows you to select automatic print/send of patient and quality control reports by an external printer/computer. Procedure
1. Select automatic printing of data: Yes (default) or No, with the Change softkey. Press ENTER to move to the next line. 2. Select automatic sending of data: Yes (default) or No, with the Change softkey. 3. Press the Exit softkey to confirm the settings and return to the list of the Setup programs.
NOTES:
If Auto print is selected as "No", every printout should be requested by the operator. If Print cal is selected as "No", only patient and quality control reports will be printed out automatically. U.S. customers: To meet CLIA requirements, all patient and quality control reports must be saved for 2 years as a hard copy or in computer logs.
ABL5, Operator's Manual, Installation
3.2.5
PROGRAM 8: INTERFACE SETUP This program allows you to select device and communication protocol when interfacing the analyzer with other instruments: 1. Port 1 None (default) or ticket printer. 2. Port 2 "-" (reserved for future use). 3. Port 3 None (default), computer or "-". NOTE: "None" or "computer" is available only when RSI5 is installed for port 3. 1. Select the devices with the Change softkey. Press Procedure ENTER to move to the next line. 2. Enter each available port by pressing the numerical key on the keypad. 3. Select the settings for ports 1 and 3. NOTE:
If the RSI5 is installed, the settings for port 3 can only be viewed.
4. Press the Exit softkey to confirm all settings and return to the list of the Setup programs.
Port 1 and 3 setups
3.2.6
Protocol
For Port 1: Xon/Xoff (standard communication protocol); or None (default). For Port 3: ASTM ENQ/ACK (Standard protocol from ASTM (American Society for Testing and Materials, subcommittee E-31.14); Xon/Xoff (standard communication protocol); or None (default)
Handshake
Yes = for use of DTR/DSR and RTS/CTS instructions; No = no hardware handshake - default
Baud rate
For Port 1: 300, 600, 1200, 2400 (default), 4800, 9600, or 19200. For Port 3: 300, 600, 1200, 2400 (default), 4800, 9600.
Databits
7 (default) or 8
Parity
Even (default), odd, none.
Stopbits
2 (default) or 1.
ABL5, Operator's Manual, Installation
PROGRAM 9: GAS PERCENTAGES This program allows you to enter or change percentages of the gas mixtures (CO2 and O2 contents) used for calibration of the pCO2 and pO2 electrodes. 1. Key in CO2 and O2 percentages for both gas mixProcedure tures within the following allowed limits: Gas 1: 5.31 - 5.91 % CO2 19.16 - 20.36 % O2 Gas 2: 10.62 - 11.82 % CO2 0 % - 0.04 % O2. 2. Confirm each entry with ENTER. 3. Press the Exit softkey to return to the list of the Setup programs.
PROGRAM 10: ANALYZER ID The program allows you: • to select, change, or delete the analyzer ID. If entered, the analyzer ID will be printed out by the printer or registered by a computer, • to view the software versions. Procedure
1. Enter the analyzer ID (up to 10 numeric characters). Confirm with ENTER. To delete entered Analyzer ID: • use the BACKSPACE key to delete the character to the left of the cursor. • overwrite the old ID if the cursor is placed at the beginning of the data line.
Softkeys
2. Press the Page softkey to view the software versions of your analyzer. returns to the analyzer ID screen. Page Exit
returns you to the previous screen and then to the list of the Setup programs.
ABL5, Operator's Manual, Installation
3.2.7
PROGRAM 11: MISCELLANEOUS This program allows you to select: • sample type which appears as default on the patient ID screen • measurement mode which appears as default after the inlet has been opened. Procedure
1. Press the Change softkey to select the sample type: • Not specified (default) • Arterial • Venous • Mixed venous • Capillary. 2. Press the ENTER softkey to move to the next line. 3. Press the Change softkey to select the measuring mode: • Blood (default) • Blood, pH only 4. Press the Exit softkey to return to the list of the Setup programs.
3.2.8
ABL5, Operator's Manual, Installation
DEFAULT SETUP PRINTOUT
ABL5, Operator's Manual, Installation
3.2.9
3.2.10
ABL5, Operator's Manual, Installation
CHAPTER 4 MEASUREMENTS
Contents: Operating conditions Sample introduction Patient ID Patient report Printing a patient report Sending a patient report Patient report printouts
ABL5, Operator's Manual, Measurements
OPERATING CONDITIONS Sample volume Sample handling time
required for each analysis: 85 µL in Blood mode; 35 µL in Blood, pH only mode. (typical) from the Aspirate button activated to results displayed: 60 sec in Blood mode; 45 sec in Blood, pH only mode.
Samples per hour
30.
Temperature
at which all measurements are performed is 37.0±0.2 °C.
Measurement mode
Blood (default); Blood, pH only; or QC is selected when the inlet is opened.
Inlet position
• is slanted at an angle for aspirating samples from a syringe or test tube; • is horizontal for aspirating samples from a capillary, using an adaptor.
Time-out
The time-out conditions are designed to protect the analyzer and the sample. The time-out conditions for the three situations and their consequences are described below: Inlet closed immediately (
