ELite 3 (Open) - EN - B
ELite 3 (Open) - EN - B
ELite 3 (Open) - EN - B
Hematology Analyzer
USER MANUAL
INS00066
Table of Contents
1. INTRODUCTION.................................................................................................. 5
1.1. Intended Use ................................................................................................. 5
1.2. The Instrument .............................................................................................. 5
1.2.1. Patient Testing ....................................................................................... 6
1.2.2. Reagents ............................................................................................... 7
1.2.3. Technical Operation ............................................................................... 7
1.2.4. Calibration .............................................................................................. 7
1.3. Instrument features ....................................................................................... 8
1.4. Parts of the Analyzer ................................................................................... 11
1.5. The measurement process ......................................................................... 11
1.5.1. Control Panels ..................................................................................... 12
1.5.2. Display ................................................................................................. 12
1.5.3. Touch screen ....................................................................................... 12
1.6. Control Material ........................................................................................... 13
1.7. Accessories ................................................................................................. 13
1.8. Specifications .............................................................................................. 14
2. INSTALLATION ................................................................................................. 15
2.1. General information..................................................................................... 15
2.2. Environmental factors ................................................................................. 15
2.2.1. Electrical requirements ........................................................................ 15
2.2.2. Space requirements ............................................................................. 16
2.2.3. Peripherals ........................................................................................... 16
2.2.4. Reagents and waste handling .............................................................. 17
2.2.5. Maintenance ........................................................................................ 17
2.2.6. Cleaning ............................................................................................... 17
2.2.7. General points...................................................................................... 17
2.3. Unpacking and installation .......................................................................... 18
2.3.1. Turning the Instrument ON, MAIN Menu .............................................. 20
2.3.2. Turning the Instrument OFF ................................................................. 21
2.3.3. Preparing for shipment......................................................................... 21
2.3.4. Handling in Emergency ........................................................................ 22
2.3.5. Warning labels on the analyzer ............................................................ 23
3. MENU SYSTEM ................................................................................................. 24
3.1. General Information .................................................................................... 24
3.1.1. Navigating in the Menu System ........................................................... 24
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Content
3.1.2. Touch screen calibration ...................................................................... 24
3.1.3. Menu structure ..................................................................................... 25
4. OPERATING PRINCIPLES ............................................................................... 27
4.1. Impedance Method ..................................................................................... 27
4.2. Principle of HGB Measurement ................................................................... 27
4.3. Parameters ................................................................................................. 28
4.4. Absolute and Linearity Ranges of Parameters ............................................ 29
5. ROUTINE UTILIZATION and MEASUREMENT ............................................... 30
5.1. Sample handling ......................................................................................... 30
5.2. Sample analysis .......................................................................................... 33
5.2.1. Sample preparation.............................................................................. 33
5.2.2. Running a (new) sample ...................................................................... 33
5.2.3. Results ................................................................................................. 36
5.2.4. Warning flags ....................................................................................... 37
5.2.5. Parameter Limits (Normal ranges) ....................................................... 39
5.2.6. Blank Measurement ............................................................................. 39
5.2.7. Using Pre-diluted Mode ....................................................................... 40
6. DATABASE ....................................................................................................... 41
6.1. Database services....................................................................................... 42
6.2. The Filter / Select function .......................................................................... 43
6.3. Printing records ........................................................................................... 44
6.4. Manage records .......................................................................................... 45
7. MAINTENANCE ................................................................................................. 46
7.1. Cleaning ...................................................................................................... 46
7.2. Calibration ................................................................................................... 47
7.2.1. Calibration with factors ......................................................................... 48
7.2.2. Calibration by measurement ................................................................ 48
7.3. Quality control ............................................................................................. 50
7.3.1. References........................................................................................... 51
7.3.2. Measure ............................................................................................... 51
7.3.3. Diagram ............................................................................................... 51
7.3.4. Database ............................................................................................. 52
8. Diagnostics ....................................................................................................... 53
8.1.1. Device Information ............................................................................... 53
8.1.2. Self Test ............................................................................................... 53
8.2. Reagent status ............................................................................................ 54
8.2.1. How to empty waste container ............................................................. 55
8.2.2. Neutralization of Waste ........................................................................ 55
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Content
9. Settings ............................................................................................................. 56
9.1. Printer settings ............................................................................................ 56
9.2. General settings .......................................................................................... 58
9.3. Measurement .............................................................................................. 58
9.3.1. Unit settings ......................................................................................... 59
9.3.2. Normal ranges ..................................................................................... 59
9.3.3. Profile ................................................................................................... 60
9.3.4. Settings ................................................................................................ 60
9.4. Date and Time ............................................................................................ 61
9.5. Multi user mode........................................................................................... 62
10. PRINTING .......................................................................................................... 65
10.1. Printouts ...................................................................................................... 65
11. Troubleshooting ............................................................................................... 67
11.1. Regular Troubleshooting Procedures.......................................................... 67
11.2. Weekly User Maintenance .......................................................................... 67
11.2.1. Cleaning needle washing head ............................................................ 67
12. Fluidic Schematics........................................................................................... 68
13. Reagent consumption ..................................................................................... 69
14. Appendix A ....................................................................................................... 70
15. Contact .............................................................................................................. 71
16. Appendix- package inserts for reagents and cleaning solutions ................ 72
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1. INTRODUCTION
It implements the so-called Coulter-method for counting cells passing through a small
aperture, and measures the hemoglobin content of red blood cells.
The analyzer features a color graphical LCD display module with touch screen, and
has a separate START button.
The software allows sending results to an external printer (via USB port), or can have
an optional, 58 mm built-in thermal printer module.
Its internal memory is capable of storing 1000 records with full histograms, and
individual patient data. QC measurements are also stored in separate database. The
software operating the instrument is easy to upgrade using a USB pen-drive. The
instrument allows connecting to a host computer for uploading records stored in the
memory through a USB B (slave) port. Archiving and restoring of records to and from
USB pen-drive is also possible.
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You can print results to an external or to the optional built-in printer. The user can
customize the report format.
HGB hemoglobin
RBC red blood cell count
HCT hematocrit
MCV mean corpuscular volume
MCH mean corpuscular hemoglobin
MCHC mean corpuscular hemoglobin concentration
RDWc v red cell distribution width*
RDWsd red cell distribution width*
* RDW and PDW parameters have two forms of representation: CV and SD.
Both parameters describe the distribution width, but from different aspects.
User can select the units to use for displaying RDW and PDW parameters.
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1.2.2. Reagents
Use only reagents supplied by the manufacturer with the analyzer, otherwise
accuracy cannot be guaranteed. All reagents are stabilized and micro-filtered.
Reagents are environmental friendly, azide-free and do not contain harmful
ingredients. Please refer to the MSDS associated with reagent. Store reagents
between +15 and +30°C. Do not use reagent beyond the expiration date printed on
the container label. Discard opened container after 120 days. Do not use reagent
once frozen. These reagents are ready for use and can be applied straight from the
container; no special reagent preparation is necessary. Leave the reagent at room
temperature for at least 12 hours before using.
For package insert for reagents and cleaning solutions please see Appendix
1.2.4. Calibration
ELite 3 arrives to your laboratory factory-calibrated and ready to use. However,
calibration needs updating whenever you find that the results have slightly changed,
or a different or new control material is used. With each control material you receive
for the instrument, you will find a control sheet listing the parameters the instrument
should match. Perform these calibrations as explained in a later chapter (7.2).
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Color LCD
touchscreen
Built-in
thermal
printer
Sample holder
with
interchangeable
adapters
START button
Status indicator
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Built-in
thermal
printer Power switch
USB A
connectors
USB B
connector
Instrument label
(S/N, manuf.data)
Reagent Lock
connector
Power source
connector
Reagent
connectors External
grounding
connector
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To replace paper in the printer:
The analyzer works with an external power supply. The power supply module has a
so-called auto range input, allowing operation on 230V or 115V power system. The
power supply unit complies CE and UL safety certifications.
The input socket is a standard power cable connection and the output is a DC jack.
CAUTION!
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Lysing reagent is added to the mix dilution held in the WBC chamber for
c. WBC differential analysis. This amount of lysing reagent is patient type
dependent and the operator can change it.
After WBC counting, HGB reading and washing process, 4 ml of diluent is
d. added to the second dilution (using the 25 μl of mix dilution stored in the
needle).
This portion is analyzed for RBC count, PLT count and their parameters.
e.
Another washing process prepares the unit for the next analysis.
f.
Table 1.
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1.5.1. Control Panels
START button
Pressing and releasing the START button triggers an analysis cycle.
Status indicator
A two-color (red/green) LED (light emitting diode) is located above START button.
Its actual color indicates the status of the analyzer.
1.5.2. Display
The display is 320 x 240 dots, high contrast backlit high-color graphic LCD module,
with integrated touch screen.
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1.7. Accessories
Below is a list of accessories shipped with your analyzer.
This list can also be referred as the “E
ELite 3 - pack”
ELite 3 Hematology Analyzer
User's Manual (this booklet)
Reagent Tubing kit (with colored tubes)
Diluent tube (green)
Lyse tube (yellow)
Cleaner tube (blue)
Waste tube (red)
Cleaning Tube Kit.
Caps for reagent containers (matching connector colors).
Waste Container (20 L).
External power supply and power cable.
Sample tube adapters.
Optional: spare thermal roll-paper.
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1.8. Specifications
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2. INSTALLATION
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2.2.2. Space requirements
It is important to install the instrument in a suitable location. A poor location can
adversely affect its performance. Consider the following space requirements:
- Select a location near a power source and close to a suitable drain.
- Place the unit on a clean and level surface.
- Leave at least 0.5m (20in) space on both sides and above the instrument to
access pneumatics and (optional) built in printer. Provide a minimum of 0.2m
(8in) between the rear panel and the wall to allow for heat dissipation and tube
clearance.
- Install the reagents in a suitable place that will make your work easy. The best
place is on the ground, below the supporting desk of the instrument. The
pneumatic system is capable of aspirating reagents from containers being 1m
(3ft) below the reagent inputs. Make sure the reagent tubes are not bent,
broken, twisted or blocked in between the desk the instrument is on and the
wall behind. Such circumstances can result in instrument operation failure.
- DO NOT PLACE the reagents above the instrument, as there can be a risk of
falling and spilling.
WARNING: Install the unit on a table or workbench. If the unit was installed
without a supporting desktop under the unit, there is a possibility
that the analyzer could accidentally fall.
2.2.3. Peripherals
Connect external peripherals only when both the instrument and the peripheral
device are off. Possible peripherals are:
- external printer
- the printer must be recommended by authorized technician
- the printer must be approved and listed
- the printer must have a CE mark
- external keyboard
- the external keyboard must be approved
- the external keyboard must have a USB port or suitable adapter
- link to host computer via USB port
- serial link cable must be approved by technician
- USB B port (linking to host computer) requires a USB A-B cable and
USB driver software (contact service for availability)
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2.2.4. Reagents and waste handling
Handle reagents according to national or international regulations.
WARNING! Reagents may cause corrosion and skin irritation. If any of the
liquids leaked onto the cover of analyzer or the furniture, wipe it
off immediately. In case of skin contact, rinse the liquid off with
plenty of water.
Waste generated by the unit is biohazard material. Handling and disposal must
happen according to regulations regarding reagent systems. See Section 7.3.2.
2.2.5. Maintenance
The user should check the following components weekly:
- bottom of washing head for salt build up – should be wiped off with a damp
cloth or wiper
- tubing system – by opening the side door and look for any liquid leakage. If
you experience leakage, contact authorized technician.
WARNING! The power supply unit and internal electronic boards must NOT be
opened or serviced by the user!
2.2.6. Cleaning
Clean the instrument and its power supply – in off state – on the outside only, using a
damp cloth with a soft detergent. DO NOT let liquids get inside these units.
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2. Place the instrument on a firm work surface in the designated work area,
near an appropriate AC electrical outlet. The power outlet connection
MUST be grounded.
NOTE Before making connections: Make sure that all power is in “OFF”
state before connections (printer, external keyboard) are made.
Carefully read all literature accompanying the instrument and its
accessories. Pay particular attention to the operating procedures
for the external printer.
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6. Reagent Containers
All containers should be left open (do not block the small air vent hole on
the special container caps) in order to provide free airflow.
WARNING! Reagents may cause corrosion and skin irritation. If any of liquids
leaked to cover of analyzer or the furniture, wipe it off immediately.
In case of skin contact, rinse the liquid with plenty of water.
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EXIT
SHUT DOWN
Select Shutdown.
Turn off the instrument using the power switch on the rear panel. The ‘OFF’ position
is marked by ‘O’ symbol.
SHUTDOWN
Preparing for shipment (2)
Remove tubing connectors, so the system
can drain itself.
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Next, you should connect the cleaning
tube kit to the reagent inputs, submerging
the free end in a bottle containing at least
100 ml of distilled water.
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Sharp
Sampling needle may
needle
cause injury.
warning
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3. MENU SYSTEM
Navigate in the menu system by simply touching the LCD at the item you want to
open/activate. From any submenu, the Home button will go back to Main menu, while
Back moves one step back in the menu tree.
Tap and gently hold any location on the touch screen. (Make sure not to press it
hard, otherwise you can damage the screen.) After cca 10 seconds, a calibrating
screen appears. Tap the reference points one after another. If you made an error,
you will hear an error beep, and the process restarts.
If the calibration was successful, you will return to the original screen.
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3.1.3. Menu structure
Measure New
Re-run
Blank
Print
Discard
Calibration Factors
Measure
History
Pre-diluted Factors
History
Format
Header
General settings
Measurement Units
Normal ranges
Profile
Settings Result / Calibration
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When you have to enter data, an the on screen keyboard appears on the screen.
It can be a numerical or alphanumeric keyboard, depending on the function.
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4. OPERATING PRINCIPLES
Internal electrode
+ Aperture
Blood cell suspension
External electrode
Each cell passing through the aperture – there is a constant DC current flowing
between the external and internal electrodes – causes some change in the
impedance of the conductive blood cell suspension.
These changes are recorded as increases in the voltage between the electrodes.
The number of pulses is proportional to the number of particles. The intensity of each
pulse is proportional to the volume of that particle. The volume distribution of the cells
are displayed on diagrams: WBC, RBC, and PLT histograms.
All Erba Lachema branded reagents are cyanide free, and thus are environment-
friendly. However, some reagents from other manufacturers may contain cyanide. In
that case, cyanide and any other chemical composition formed using cyanide is
environmentally dangerous. Contact the reagent manufacturer for safety measures.
The manufacturer (Erba Lachema s.r.o.) is not liable for any damage caused by
using cyanide based reagents with any of its analyzers.
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4.3. Parameters
ELite 3 measures and calculates 20 parameters, listed below. For each parameter
we list the name, abbreviation and measurement unit in the first column. Short
description for each parameter is in the second column.
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If a value is over the maximum range of guaranteed linearity, the instrument cannot
measure it and the result will be marked with an E (Error) flag.
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Important! Make sure to fill sample tubes to at least 7-8 mm height with blood
otherwise correct sampling cannot be guaranteed! Observe
marking on sample tube.
There is another possibility that can help the user to help the analyzer get a reliable
sample from the tube: using the needle setting function. This is available in
Measurement Local menu, and controls sampling height of the needle inside the
sample tube. If you have a sample tube with a higher/lower bottom, you can control
the sampling height adjusting this option. This can also help if sample level is too low
within a sampling tube.
Needle offset is displayed in the lower left corner of the measurement screen.
Attention! If you hurt yourself during analysis, biohazard substances can cause infection!
Always take special care to sharp objects and always use rubber gloves!
To initiate analysis:
1. Invert the closed sample tube at least 8 times to achieve a homogenous
sample. Do not shake the sample, because micro-bubbles can form inside
which may cause erroneous sampling!
You have the possibility to use 3 different interchangeable adapters for
different tube types. Tube types are shown in the next pictures:
• Vacutainer tube adapter for 3-5 ml sample tubes
• Micro adapter for micro-tainers
• Control adapter for 2 ml blood control vial
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Vacutainer with sample blood (cap removed) Sample tube with 5 ml control blood
Below you can see 3 types of microtainer tubes used in micro adapter. These are
only examples given by us, you can try to use other type of microtainers as well.
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1. Remove the cap!! It is very important because the tip can not
pierce the cap!
2. Position the sample tube in the sample rotor.
3. Press START key.
The sample rotor will turn the vial into the inside of the instrument and needle draws
sample from the tube. The aspirating needle is retracted, while its outer surface is
automatically rinsed with diluent by needle wash head. This insures the low carry-
over between samples. After a few seconds, the rotor turns out. Now you can remove
the sample tube from the adapter.
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Software allows the user to enter information for every sample. If an external PC
keyboard (via USB) is used, connect it before turning the instrument on.
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MEASURE
New
Sample ID
MEASURE
New
Patient ID
MEASURE
New
Options
A screen appears where offering data
entry for the upcoming sample.
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Pre-diluted mode offers two options: Yes or No. If you set it to Yes, then the
instruments expects a pre-diluted sample (with a ratio of 1:5 – 1 unit of sample and 5
units of isotonic saline solution – the total volume should be minimum 1ml)
WBC only offers two options: Yes or No. If you set it to Yes, then the instrument will
not measure and display RBC and PLT related parameters. You’ll receive a total
WBC count with 3part results and HGB reading (WBC, LYM, MON, GRA, LYM%,
MON%, GRA%, HGB)
Change lyse
Volume of lyse reagent added to MIX dilution controls performance of WBC 3-part
differential. Default lyse setting for each sample type (Human, control, Child, etc.) are
specified by SW. Default lyse quantity can be adjusted in Patient limits menu
(Settings / Measurement Limits)
Select an increased (+0.1, +0.2ml) volume if the separation between lysed RBCs and
WBC populations is poorly differentiated, resulting in increased WBC and LYM
counts. Select a decreased (-0.1, -0.2ml) volume if the WBC histogram seems to be
shrunk to the left, i.e. the different WBC populations are overlapped. This can inhibit
proper separation of WBC populations.
MEASURE
New
Options / Lyse volume
Change lyse
These are the + or – options you can
select from. See above description for
information.
Sampling depth
The analyzer requires a minimum of 2ml of whole blood in the sampling tube. ELite 3
can however be adjusted for low volume samples. This becomes necessary when
there is extremely low volume of sample in the tube.
This option also allows using sampling tubes with an elevated bottom. In this case
you have to set a higher sampling level to avoid the needle hitting the bottom of the
tube.
MEASURE
New
Options / Sampling depth
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When all parameters are set, press the START button to save your settings and start
the measurement.
5.2.3. Results
When analysis is complete, the
following screen is displayed, including
all measured and calculated parameters
as well as the WBC, RBC, and PLT
histograms.
Results, histograms and other data will
be stored automatically in the memory.
To look at histograms in detail, tap the
arrows to see further details.
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Another flagging method is evaluation against the normal ranges. If some of the
parameters is out of range it gets a (-) flag if under the range, or gets (+) if over the
range. (And the given parameter will be highlighted as well.) You can customize
ranges for all kind of patients by setting the corresponding lower and upper ranges. If
you set 0 for a range limit, it will be not verified.
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Settings
Measurement
Normal ranges
The “Human” (profile) button brings up the
profile selection menu
Prev and Next allow browsing among
parameters.
Parameter order: WBC RBC HGB HCT
MCV MCH MCHC PLT PCT MPV PDWs
PDWc RDWs RDWc LYM MID GRA LYM%
MID% GRA%
You can modify normal range of parameters: left column is lower, right column is
upper limit of normal range. Press Accept to accept changes, or Cancel to keep
previous settings and return to the settings menu.
In MEASURE mode press the Blank button. If Blank measurement was not
acceptable, press DISCARD to discard blank result or repeat Blank measurement
until the results are acceptable. The analyzer is ready for sample analysis, and
displays an empty sample measurement screen.
Perform calibration only if all blank values came in the first region (no flags or errors).
If analysis errors occur or blank measurement is too high, an E error flag appears
along with the affected parameter and “---“ is displayed instead of results. In this
situation, perform a cleaning (see Section 7.1.).
Perform an external pre-dilution of the sample using clean isotonic saline solution, or
diluent reagent. Dilute the sample to 1:5 ratio (1 part sample to 5 part diluent), using
a clean sample vial. Mix it well.
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6. DATABASE
Patient results are stored in the memory in chronological order, and can be retrieved
at any time. Data storing capacity is 1000 measurements, including the complete
parameter list, histograms, flags, sample data, and date/time of measurements. If
memory is full, newest (actual) record will overwrite oldest record.
Select Database to access records stored in the memory of the analyzer. The first
screen that appears shows the most recent saved results.
DATABASE
Left and right arrows access remaining, non-
visible parameter results, up and down
arrows scroll among records individually.
Menu key opens up local menu for accessing
further functions (see below).
Each line starts with a checkbox and the Sample ID displayed. A filled checkbox
indicates that a specific record is selected for further operations.
The bottom row of the screen shows the status line. This line provides information
about the number of records stored in the database and the number of records
selected.
As it can be seen on the screen, some buttons are not active (Print, Trends,
Manage). They become active when at least one record is selected.
Detail will open up detailed data (parameters, histograms, flags) of the record at the
top of the list.
Print will send the result to the selected printer (USB or internal)
Filter offers tools to select records from the database. You can select based on
Sample ID, Patient ID, measurement time stamp, sample type.
Trends offers a statistical tool to monitor variation of parameter values. It is an ideal
tool to track variation of parameters of a specific patient with time.
Manage opens up a menu where data can be deleted, archived or transmitted to a
computer.
Exit returns to the main menu.
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DATABASE
Detail
Print sends the record to the printer.
Edit opens up the dialog for data
manipulation of the record
Back returns to the Main menu
DATABASE
Detail
Edit
When looking at record from the database
view, some fields are not editable (Sample
ID, sample type). These can only be set
before running the sample. Patient ID tab
allows entering further data.
DATABASE
Detail
PID
This option allows editing patient
information. When you push the ACCEPT
button, your changes will be saved.
The Sample ID tab returns to the Sample ID
screen (above).
Patient ID can be 32 characters long and the name of the patient can hold 40
characters.
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DATABASE
Detail
UP / DN Arrows
Te database record view allows browsing in
the database, and you can also look at
histograms and various diagnostic
parameters of the sample.
Histograms
The arrows in the sample data field (indicated with BLUE marks) allow browsing in
the database. Tapping them brings up the next or the previous record in the
database.
The arrows marked with GREEN color allow looking at various panels of the result.
NOTE There is an AND relation between the fields. If you fill in more than
one field, then you can narrow the search: e.g. measured between
2009/08/10 and 2009/09/20 AND having a sample ID “1221”
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NOTE Do not remove the USB memory device as long as its status LED
is blinking, because it can cause data loss on the memory device.
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7. MAINTENANCE
In the Maintenance menu you can initiate procedures, for cleaning, calibration or
specific performance analysis.
Maintenance
7.1. Cleaning
Cleaning functions allow cleaning of fluidics to reduce blank value by removing
contamination from tubing, chamber and valves.
Maintenance
Cleaning
Cleaning starts a washing cycle using the system cleaner reagent connected to the
analyzer. This action is recommended if clogging problems are experienced (C or Q
error flag), or the blank is high.
Hard cleaning initiates a process that uses a light solution of Erba Hypocleaner CC,
and washes the sampling needle and related tubing with it. The instrument will ask
for the cleaning solution in a sampling tube.
Drain chamber will empty the measurement chamber. You can use this option to
manually add cleaning solution to the chamber when necessary (extreme
contamination in the chamber).
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7.2. Calibration
The analyzer stability can be monitored with Erba Hematology Control - control
blood. Performing QC determinations regularly verifies continued optimal
performance.
It is recommended to do calibration in the following cases:
1. At analyzer installation, before beginning the analyses.
2. After replacing any component, related to the process of dilution or
measurement.
3. When quality control measurements show any systematic error (bias) or they
are outside predefined limits.
4. At regular time intervals (determined by the lab itself).
5. If you want to use the instrument in Pre-diluted mode (separate pre-diluted
calibration factors are available).
Maintenance
Calibration
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As the next step, target values from the assay sheet of the calibrator or control must
be entered before measurement.
Maintenance
Calibration / Measurement
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Target values for calibrated parameters can be set within the following ranges:
Parameter Low limit High limit
WBC 1.0 30.0
RBC 1.00 8.00
HGB g/l 30 300
MCV 50 120
RDW CV 10 50
PLT 30 800
MPV 5 15
PDW CV 5 50
HCT 0.1 0.6
PCT 0 2
Calibration runs are saved automatically. If you find that a result should not be used,
use the Discard button to delete the measurement so that it is not used for
calibration.
Maintenance
Calibration / Measurement / Result
You can compare target and measured values, observe CV and see how the
calibration factor would change.
Maintenance
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Calibration / History
Maintenance
Quality control
Maintenance
Diagnostics / QC1
Control material is a defined and controlled quality prepared (almost artificial) blood
product. It has conserved and treated blood cells inside which allows this material to
be stable for a much longer time than normal blood would be.
The “Measure” option will become active only if there are reference values entered
for the actual QC Lot.
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7.3.1. References
To be able to run specific samples, and to see stability or variation of parameters, it is
necessary to define a reference material for the software. This is going to be the
basis for Quality Control. The idea is to enter these so-called expected or target
values, and save everyday repeated runs of the same material in a separate
database so that these values can be compared to the reference data.
Reference values arrive with the control material. The manufacturer recommends
using Erba Hematology Control with the analyzer.
The assay value sheet contains all necessary parameters for the control material.
Maintenance
Quality control / Reference
Enter the values as defined on the assay value sheet of the control material.
In case you want to omit the trend analysis of a parameters, define 0 (zero) as target
and range values.
7.3.2. Measure
This option puts you to the measurement screen and sets up the parameters for
Control Blood measurement. Put the sample in the sample holder and press the
START button. When analysis is complete, you will have to accept the results.
Maintenance
Quality control / Measure
7.3.3. Diagram
QC Diagram displays the trends of parameters with respect to time. The screen will
show two parameters at a time.
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Maintenance
Quality control / Diagram
7.3.4. Database
This option displays the contents of the QC database. You can browse in this view
just like in the regular database view. Functions (selection, browsing, details, printing)
are the same as well.
Maintenance
Quality control / Database
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8. Diagnostics
Diagnostics menu allows access to system information and hardware check-up.
Maintenance
Diagnostics
Maintenance
Diagnostics / Device Information
The various system parameters can be seen
on the screen.
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DIAGNOSTICS
SELF TEST
The analyzer lists and checks subsystems.
When tests are finished, display shows a
summary of the results. Various system
parameters can be seen on the screen.
Press START to run Self test again.
Press BACK to go back to previous menu.
If Waste is high, it should be disposed of properly (see next section for instructions).
MAINTENANCE
REAGENT STATUS
Volume
Set the volume of the containers used.
Values in ml. If volume of a reagent is set to 0
(zero), software will not keep track of
consumption.
.
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9. Settings
Selecting Settings accesses various lists of options
Settings
Settings
Printer settings / Device
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Settings
Printer / Device / Mode
SETTINGS
Printer settings / Format
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Export format: The following settings are available (See Appendix A for details):
• Simple text
• Extended text
• Advances text
Press Accept to approve changes made.
Press Cancel to go back to previous menu keeping the old settings.
9.3. Measurement
This section groups measurement related
options and settings.
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Settings
Measurement
Normal ranges
The “Human” (profile) button brings up the
profile selection menu
Prev and Next allow browsing among
parameters.
Parameter order: WBC RBC HGB HCT
MCV MCH MCHC PLT PCT MPV PDWs
PDWc RDWs RDWc LYM MON GRA
LYM% MON% GRA%
You can modify normal range of parameters: left column is lower, right column is
upper limit of normal range. Press Accept to accept changes, or Cancel to keep
previous settings and return to the settings menu.
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9.3.3. Profile
Settings
Measurement
Profile
9.3.4. Settings
Settings
Measurement / Settings/Result
Auto print will print the report automatically
when the results are displayed
Auto send will automatically transmit
results if a PC is connected
Barcode allows setting scanned data to be
entered as Sample ID or Patient ID
Accept saves changes made
Cancel returns to previous menu discarding
changes made
Settings
Measurement / Settings/Calibration
Mode allows choosing between HCT/PCT
or MCV/MPV based calibration
Accept saves changes made
Cancel returns to previous menu discarding
changes made
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The analyzer has a built-in battery responsible for running the built-in clock when the
unit is powered off. If the analyzer asks for date and time setting after power on, then
this battery is having problems. To resolve the problem, contact Service.
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Exit
Exit
User Management
Users can be added (Add New User) or edited (Edit / View User). Adding a user
allows filling in the below parameters. Password must be defined on “Advanced Info”
tab. Monogram will be displayed on the login screen.
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Calibration Factors
Measure
History
Pre-diluted Factors
History
Quality control (forbidden)
Reagent status
(Settings forbidden)
Exit
User Management
Auto Login Set
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Login screen (with Auto Login Off)
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10. PRINTING
This chapter covers information on making printed reports on measured samples.
10.1. Printouts
When required, the following items can be sent to an external printer or to the built-in
printer by selecting Print option.
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Database Table Printout
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11. Troubleshooting
Washing head
Measuring
chambers
Measuring
apertures
1. Exit Measure menu. Open the side door after the needle has stopped moving.
2. Gently rub the lower surface of the washing head with a damp cloth or wiper to
remove the salt build-up.
3. Close the side door.
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14. Appendix A
To save in text format (tab separated values) use the Export function in Database menu. To
process the results in Microsoft Excel import the text files into Excel worksheets.
Note: The text format files do not contain all the information available in binary format files.
A. Simple text
<SAMPLEID>HT<DATE>HT<TIME>HT<WBC>HT<RBC>HT<HGB>HT<HCT>HT<MCV>HT<MCH>HT
<MCHC>HT<PLT>HT<PCT>HT<MPV>HT<PDWc>HT<RDWc>HT<LYM>HT<MON>HT<GRA>HT<LYM%>
HT<MON%>HT<GRA%>
Note: The parameters are in the units according to the current settings.
B. Extended text
<SAMPLEID>HT<DATE>HT<TIME>HT<WBC>HT<RBC>HT<HGB>HT<HCT>HT<MCV>HT<MCH>HT
<MCHC>HT<PLT>HT<PCT>HT<MPV>HT<PDWc>HT<RDWc>HT<LYM>HT<MON>HT<GRA>HT<LYM%>
HT<MON%>HT<GRA%>HT<Type>HT<WARNING>HT<RBC probe min>HT<RBC probe max>HT
<WBC probe min>HT<WBC probe max>HT<Lyse>
C. Advanced text
<SAMPLEID>HT<DATE>HT<TIME>HT<WBC>HT<RBC>HT<HGB>HT<HCT>HT<MCV>HT<MCH>HT
<MCHC>HT<PLT>HT<PCT>HT<MPV>HT<PDWc>HT<RDWc>HT<LYM>HT<MON>HT<GRA>HT<LYM%>
HT<MON%>HT<GRA%>HT<Type>HT<WARNING>HT<RBC probe min>HT<RBC probe max>HT
<WBC probe min>HT<WBC probe max>HT<Lyse>HT<WBC Histogram>HT<WBC Marker 1>HT
<WBC Marker 2>HT<WBC Marker 3>HT<RBC Histogram>HT<RBC Marker 1>
where
- WBC ill. RBC histogram 256 pieces numbers between 0 and 255 separated by HT
character
- <WBC marker 1> WBC low marker
- <WBC marker 2> LYM-MON marker
- <WBC marker 3> MON-GRA marker
- <RBC marker 1> PLT-RBC marker
- The marker value is a number between 0..255 gives the index of the related value in the
WBC/RBC histogram data set.
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15. Contact
For customer and technical support:
Manufacturer:
Erba Lachema s.r.o.,
Karásek 2219/1d, 621 00 Brno
Czech Republic
Tel: +420 517 077 111
e-mail: diagnostics@erbamannheim.com
Website : https://www.erbamannheim.com/en/product-support/
Contact your local technical support: (Print this page and write or paste contact
information for easy access)
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Revision 3.0
Date of Revision 07/2017
HEMA/PI/14/17/B
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Hematology reagents
Erba Diluent-Diff
IVD
Diluent for automated analyzers
REAGENT REPLACEMENT
Name Cat. No. Package volume - Person installing the reagent must be a trained laboratory
Erba Diluent-Diff HEM00004 20 L professional.
- Remove the inlet cap from the reagent container to be repla-
For in vitro diagnostic use only
ced. Connect the reagent inlet to the new reagent container.
INTENDED USE - Be sure that the colour on each tube, reagent container
Erba Diluent-Diff is a buffered, stabilized and micro-filtered label and connector in the back of the instrument match.
electrolyte solution for automated dilution of human blood - Avoid any dust or microbial contamination of the tubing
samples, quantitative and qualitative determination of ery- and reagents.
throcytes (RBC), leucocytes (WBC) and the leucocyte sub- - Prime thoroughly the new reagent and measure backgrounds
populations, thrombocytes (PLT) and measurement of he- according to the instrument’s User Manual.
moglobin (HGB) concentration on hematology analyzers. - When installing a new lot of reagent, recalibrate the instru-
Erba Diluent-Diff should be used with only Erba Lachema ment as specified in your User Manual.
reagents. Erroneous results may be obtained if the reagent
REAGENT STORAGE, STABILITY AND DISPOSAL
is applied with third party reagents.
- Store Erba Diluent-Diff diluent between +15 and +30°C.
Please refer to the instrument’s User Manual for further in-
- The shelf life of the Erba Diluent-Diff diluent is 36 months
formation.
from date of manufacture, if stored at the prescribed tempe-
INGREDIENTS rature range.
Sodium chloride < 1.5 % - Do not use reagent beyond the expiration date printed on
Buffers < 1.0 % the container label.
Preservative < 0.5 % - Discard opened container after 120 days.
Stabilizers < 0.5 % - Do not use reagent once frozen.
in ion-free water - Dispose of waste product, unused product and contamina-
ted packaging in compliance with local regulations.
HANDLING PRECAUTIONS
- Erba Diluent-Diff is environmental friendly, azide-free rea-
gent; does not contain harmful ingredients.
- Avoid contact with eyes, skin and clothing.
- In case of eye or skin contact flush eyes with copious
amounts of water for several minutes or wash skin area
with water.
- Keep the reagent container closed when not in use.
- Wear laboratory gloves when handling the reagent.
- All body fluid samples should be considered potentially
infectious materials. Treat all blood and other potentially in-
fectious materials with appropriate precautions. Use gloves,
masks and gowns if blood exposure is anticipated.
- Use Good Laboratory Practices (GLP) when handling the
reagents.
SPECIMEN COLLECTION AND PREPARATION
Erba Diluent-Diff is intended for use with blood specimens
collected by vein puncture in EDTA anticoagulant. Specimens
for hematological analysis may be stored for up to 8 hours at
(+15 to +30) ºC or up to 24 hours after collection when refri-
gerated (+2 to +8) ºC.
REAGENT PREPARATION
- This reagent is ready for use and can be applied straight from
the container; no special reagent preparation is necessary.
- Leave the reagent at room temperature for at least 12 hours.
USED SYMBOLS
i
50003763
Erba Lyse-Diff
Lysing reagent for automated analyzers
IVD REAGENT PREPARATION
- This reagent is ready for use and can be applied straight
Name Cat. No. Package volume from the container; no special reagent preparation is necessary.
Erba Lyse-Diff HEM00007 (opened) 1 L - Leave the reagent at room temperature for at least 12 hours.
Erba Lyse-Diff HEM00008 (closed) 1L
REAGENT REPLACEMENT
For in vitro diagnostic use only - Person installing the reagent must be a trained laboratory
INTENDED USE professional.
Erba Lyse-Diff lysing reagent is a stabilized and micro-fil- - Remove the inlet cap from the reagent container to be repla-
tered lysing agent for stromatolysis of erythtrocytes (RBC), ced. Connect the reagent inlet to the new reagent container.
for quantitative determination of leukocytes (WBC), leukocyte - Be sure that the colour on each tube, reagent container
three-part differentiation (LYM, MID, GRAN) and hemoglobin label and connector in the back of the instrument match.
(HGB) concentration measurement in human blood on hema- - Avoid any dust or microbial contamination of the tubing
tology analyzer. and reagents. Do not pour and mix the remains of a reagent
Erba Lyse-Diff lysing reagent should be used with only Erba from a container into other one.
Lachema reagents. Erroneous results may be obtained if the - Prime thoroughly the new reagent and measure backgrounds
reagent is applied with third party reagents. according to the instrument’s User Manual.
Please refer to the instrument’s User Manual for further in- - When installing a new lot of reagent, recalibrate the instru-
formation. ment as specified in your User Manual.
USED SYMBOLS
REF Catalogue Number Manufacturer i See Instruction for Use Lot Number CE Mark -
50003764
50004171
Erba Cleaner
IVD
Cleaning solution for automated analyzers REAGENT PREPARATION
Name Cat. No. Package volume - This reagent is ready for use and can be applied straight from
the container; no special reagent preparation is necessary.
Erba Cleaner HEM00001 1L
- Leave the reagent at room temperature for at least 12 hours.
For in vitro diagnostic use only
REAGENT REPLACEMENT
INTENDED USE - Person installing the reagent must be a trained laboratory
Erba Cleaner is a stabilized and micro-filtered detergent so- professional.
lution for regular automated cleaning, rinsing and washing - Remove the inlet cap from the reagent container to be repla-
of hematology analyzers’ capillaries, tubing and chambers, ced. Connect the reagent inlet to the new reagent container.
removing blood component precipitates and lipoprotein de- - Be sure that the colour on each tube, reagent container
posits on Erba Lachema hematology analyzers. label and connector in the back of the instrument match.
Erba Cleaner should be used with only Erba Lachema rea- - Avoid any dust or microbial contamination of the tubing
gents. Erroneous results may be obtained if the reagent and reagents.
is applied with third party reagents. - Prime thoroughly the new reagent and measure bac-
Please refer to the instrument’s User Manual for further in- kgrounds according to the instrument’s User Manual.
formation. - When installing a new lot of reagent, recalibrate the instru-
INGREDIENTS ment as specified in your User Manual.
Detergents < 1.0 % REAGENT STORAGE, STABILITY AND DISPOSAL
Buffers < 1.0 % - Store Erba Cleaner reagent between +15 and +30°C.
Preservative < 0.5 % - The shelf life of the Erba Cleaner is 48 months from date of
Stabilizers < 0.5 % manufacture, if stored at the prescribed temperature range.
in ion-free water - Do not use reagent beyond the expiration date printed on
HANDLING PRECAUTIONS the container label.
- Erba Cleaner is environmental friendly, azide-free reagent; - Discard opened container after 120 days.
does not contain harmful ingredients. - Do not use reagent once frozen.
- Avoid contact with eyes, skin and clothing. - Dispose of waste product, unused product and contamina-
- In case of eye or skin contact flush eyes with copious ted packaging in compliance with local regulations.
amounts of water for several minutes or wash skin area with
water.
- Keep the reagent container closed when not in use.
- Wear laboratory gloves when handling the reagent.
- All body fluid samples should be considered potentially
infectious materials. Treat all blood and other potentially in-
fectious materials with appropriate precautions. Use gloves,
masks and gowns if blood exposure is anticipated.
- Use Good Laboratory Practices (GLP) when handling the
reagents.
SPECIMEN COLLECTION AND PREPARATION
Erba Cleaner reagent is intended for use with blood speci-
mens collected by vein puncture in EDTA anticoagulant.
Specimens for hematological analysis may be stored for up
to 8 hours at (+15 to +30) ºC or up to 24 hours after collection
when refrigerated (+2 to +8) ºC.
Please refer to the instrument’s User Manual for further
details.
USED SYMBOLS
REF Catalogue Number Manufacturer i See Instruction for Use Lot Number CE Mark -
50003767
Erba Clenz EN
Name Cat. No. Package volume REAGENT STORAGE, STABILITY AND DISPOSAL
Erba Clenz HEM00017 1L Store Erba Clenz enzymatic cleaner reagent between 15 – 30°C.
The shelf life of Erba Clenz is 24 months from the date of manufacture, if
For in vitro diagnostic use only stored at the prescribed temperature range.
Do not use reagent beyond the expiration date printed on the container label.
INTENDED USE Discard opened container after 120 days.
Erba Clenz enzymatic cleaner reagent is a stabilized and micro-filtered Do not use reagent once frozen.
proteolytic enzyme solution for regular automated cleaning, rinsing and Dispose of waste product, unused product and contaminated packaging in
washing of hematology analyzers capillaries, tubing and chambers, re- compliance with local regulations.
moving blood component precipitates and lipoprotein deposits on ELite
hematology analyzers.
Erba Clenz enzymatic cleaner reagent should be used only with Erba
reagents. Erroneous results may be obtained if the reagent is applied
with third party reagents. Please refer to the instrument User Manual for
further information.
INGREDIENTS
Sodium chloride < 1.0%
Proteolytic enzymes < 1.0%
Preservative < 0.5%
Stabilizers < 2.0%
In ion-free water
HANDLING PRECAUTIONS
- Erba Clenz enzymatic cleaner is environmental friendly, azide-free rea-
gent, does not contain harmful ingredients.
- Avoid contact with eye, skin and clothing.
- In case of eye or skin contact flush eyes with copious amounts of water
for several minutes or wash skin area with water.
- Keep the reagent container closed when not in use.
- Wear laboratory gloves when handling the reagent.
- All body fluid samples should be considered potentially infectious materials.
Treat all blood and other potentially infectious materials with appropriate pre-
cautions. Use gloves, masks and gowns if blood exposure is anticipated.
- Use Good laboratory Practices (GPL) when handling the reagents.
REAGENT PREPARATION
- This reagent is ready for use and can be applied straight from the con-
tainer, no special reagent preparation is necessary.
- Leave the reagent at room temperature for at least 12 hours.
REAGENT REPLACEMENT
- Person installing the reagent must be a trained laboratory professional.
- Remove the inlet cap from the reagent container to be replaced. Con-
nect the reagent inlet to the new reagent container.
- Be sure that the color on each tube, reagent container label and con-
nector in the back of instrument match.
- Avoid any dust or microbial contamination of the tubing and reagents.
Do not pour and mix the remains of a reagent from a container into other
one.
- Prime thoroughly the new reagent and measure backgrounds accor-
ding to the instrument User Manual.
- When installing a new lot of reagent, recalibrate the instrument as
specified in your User Manual.
USED SYMBOLS
REF Catalogue Number Manufacturer i See Instruction for Use Lot Number CE Mark -
Device comply with
50004375
Erba Hypoclean EN
Warning
Hazard statement:
H315 Causes skin irritation.
H319 Causes serious eye irritation.
EUH031 Contact with acids liberates toxic gas.
Precautionary statement:
P280 Wear protective gloves/protective clothing/eye protection.
P302+P352 IF ON SKIN: Wash with plenty of water.
P305+P351+P338 IF IN EYES: Rinse cautiously with water for several mi-
nutes. Remove contact lenses, if present and easy to do. Continue rinsing.
USED SYMBOLS
i CE Mark -
50004376
REF Catalogue Number Manufacturer See Instruction for Use Lot Number
Device comply with
the Directive 98/79/EC
Storage Temperature Expiry date IVD In vitro Diagnostics CONT Content