IMM English (Rev K)
IMM English (Rev K)
IMM English (Rev K)
Operator's Manual
April 2004
Document number: 600032
Revision K
Copyright © 1991-2004 by Diagnostic Products Corporation. ALL RIGHTS RESERVED.
Copyright © 1991-2004 by Diagnostic Products Corporation. ALL RIGHTS RESERVED.
This manual, and the software described in this manual, are copyrighted. No part of this manual or the described
software may be copied, reproduced, translated or reduced to any electronic medium or machine-readable form
without the prior written consent of Diagnostic Products Corporation except that you may make one copy of the
program CD solely for back-up purposes.
About this The IMMULITE® Operator’s Manual describes the operation of the
Manual IMMULITE system and its software. It is a reference guide that includes an
overview of the IMMULITE system, installation, and configuration
instructions, and complete operating, maintenance, and troubleshooting
procedures.
Note: Different assay kits are required for each mode. Standard (Non-Turbo)
kits cannot be run while in Turbo mode and Turbo kits cannot be run while
in Standard (Non-Turbo) mode.
Test Process The steps below provide an overview of the testing process. The operator
Overview interface is very simple (steps 1-3). For systematic operational instructions,
see Section 4: Routine Operation.
1. The operator loads the samples in barcoded sample cup holders and
places them onto a Load Platform (see Figure 3).
2. The operator then loads up to five barcoded Test Units after each sample,
in any order, for the tests desired on that sample (see Figure 3).
Note: Additional samples and Test Units can be added at any time, and
STATs can be placed at the beginning of the Load Platform.
5. Depending on the assay type, the Test Units are incubated on the Main
Carousel at 37ºC for either 30 or 60 minutes (either 8 or 16 minutes in
Turbo mode).
6. The Test Units are shuttled to the spin/wash station, where bound and
free label are separated.
7. Substrate is added and the Test Units are transferred to the Luminometer
Chain.
8. A 10-minute incubation (6-minute incubation in Turbo mode) at 37ºC
begins, that causes the signal to reach maximum limits.
9. The photon counts are measured with a photomultiplier tube (PMT).
With respect to the photon counts, IMMULITE employs the following
principles:
Automatic filtration (attenuation) of the light signal increases the
dynamic range of the measuring system 100-fold, enabling accurate
measurements at both extremely high and extremely low
concentrations.
Counts per second (cps) are converted to analyte concentrations
(doses) using stored master curves.
ALARM PA U S E RUN
The IMMULITE Display Panel buttons are explained in the table below:
Button Function
ALARM MUTE Silences the audible alarm.
PAUSE Temporarily stops pipetting and Load Chain
movements only.
Shuts down the IMMULITE when pressed repeatedly.
Note: Using PAUSE to shut down the instrument
ensures all parts are in the home position.
GO Activates the initialization (start-up) procedure and the
accompanying instructional messages appearing on the
Display Panel.
Also activates a reading of the Reagent Wedge
barcodes if the instrument is in pause mode when GO
is pressed.
Kit The IMMULITE Test Kit includes the materials needed to run assays. The
Components components in a kit are listed and described below:
Barcoded Reagent Wedge
Barcoded Test Units
Adjustors
Package insert
Important notices
Barcode information
Adjustors
For most assays, the Adjustor includes two vials, designated LOW and HIGH
that contain different concentrations of analyte. The Adjustor can be in
either liquid or lyophilized form. For more information regarding Adjustors,
see the package insert.
Barcode Information
Barcode information (shown below) is located on the inside flap of each kit.
The kit lot number and component lot numbers are printed on the side of the
box.
Option Description
RUN IMMULITE Downloads the IMMULITE operating software
from the computer to the instrument.
Accesses the Primary Screen that enables the
operator to observe graphically, the current location
of the Test Units.
START TURBO Downloads the TURBO operating software from
the computer to the instrument.
Accesses the Primary Screen that enables the
operator to observe graphically, the current location
of the Test Units.
QUALITY Allows the operator to view statistical data on a group
CONTROL of controls over a period of time. This data is in the
form of a Levy-Jennings plot/graph or in a printed log.
CONFIGURATIONS Includes menu options that allow the operator to:
personalize the header for the software screens
change the assay settings for the reference range
and the units of measure
modify the long report printout
select an alternate printer
turn automatic backup on or off
DIAGNOSTICS Programs used to troubleshoot instrument problems and
perform routine and special maintenance procedures.
BACKUP/RESTORE Allows the operator to back-up all patient, and adjustor
results generated in the past 31 days and quality control
data from the last six months.
LIS PARAMS Allows the operator to configure LIS (Laboratory
Information System) parameters.
TUTORIAL Provides access to an on-line tutorial.
EXIT TO DOS Provides easy access to the DOS command line.
Note: This screen also provides access to the four menu items (listed across
the top). For complete descriptions of these menu items see Section 5: The
Main Menu.
Figure 5
Primary Screen (Standard and Turbo)
Item Description
Reagent Shows a color-coded representation of the reagents available in the Reagent
Carousel Carousel.
The colored circles correspond to the assay's color code, shown in the
REAGENT STATUS display, and the position number on the carousel (1 to
12).
Reagent Status Identifies assays in the Reagent Carousel by color and Test Code.
The number to the left of the Test Code is the number of tests remaining in
that Reagent Wedge. This number will appear after the reagent is accessed
for the first time, and represents an estimate, accurate within about four tests.
Level sensing occurs each time the reagent is pipetted.
The number to the right of the Test Code is the position of the Reagent
Wedge on the carousel.
The letter to the far right (A, B, or C) represents the reagent component.
(See Sequential Assays in the Assay Type Table in Section 9: Assay Types
for more information.)
If any Reagent Wedges are low or empty, a message identifying these
wedges appears under REAGENT STATUS.
Load Chain Colored circles on the Main Carousel represent sample cups and Test Units that
and Main were read by the Barcode Reader.
Carousel
Yellow, numbered circles represent sample cups.
Colored circles following a sample cup identify the assays to be performed
on that specimen.
Colored circles surrounded by a white ring or halo indicate multiple
incubations are required.
Note: If a white ring is not present, the assay is on its last incubation cycle.
Test Unit colors correspond to the Test Codes shown in the Reagent
Carousel.
Note: Solid white circles indicate an error condition pertaining to that Test
Unit. Test Units with mismatched lot numbers or Test Units that were short-
sampled, as well as Test Units with bad barcode reads, appear as white
circles on the Primary screen.
The sample cup holder number appears on the corresponding colored circle
after sample is pipetted.
Output The table below shows the expected output from the IMMULITE System.
Specifications (For a list of all system specifications, see Appendix A: System
Specification Tables.)
Standard Mode:
Item Specification
Throughput Up to 120 tests per hour
Time to First Result 42 minutes for a one-cycle assay or 72 minutes
for a two-cycle assay
Tests per Sample Up to 5 Test Units per sample cup
Turbo Mode:
Item Specification
Throughput Up to 80 tests per hour
Time to First Result <15 minutes for a one-cycle assay or
<22 minutes for a two-cycle assay
Tests per Sample Up to 5 Test Units per sample cup
Note: If you are located outside the United States, contact your National
Distributor.
Placing an To place an order, call DPC or your distributor. DPC’s address and
Order telephone number is listed below:
Upon Upon receipt of the IMMULITE System and the desktop computer, inspect
Receipt of the shipping container. If there is any external damage to the container,
the System notify your shipping department and contact DPC Technical Service.
Choosing a Choose a suitable location for the IMMULITE System in the laboratory,
Location based on the system requirements. The requirements to consider when
choosing a location are listed and described below:
Power
Space
Environmental
Temperature
Power Keep the following power requirements in mind when choosing a location
Requirements for the system:
The power consumption during operation is 700 W for 120 VAC
instruments and 800 W for 220 VAC instruments.
Use a dedicated, grounded power supply line for the IMMULITE System,
printer, and computer.
Each instrument is set at the factory to run on 100 VAC, 110 VAC, 220
VAC, or 240 VAC. The orange label near the power supply (on the right
side of the instrument) shows the required voltage.
Space Keep the following space requirements in mind when choosing a location
Requirements for the system:
The System must be placed on a level surface.
The instrument requires 100 inches (254 cm) of bench space to
accommodate the IMMULITE, computer, and printer.
The bench depth must be at least 21 inches (54 cm).
Any overhead cabinets must be at least 22 inches (56 cm) above the
bench.
The computer can be installed on either side of the IMMULITE System;
however, placing it on the right side is recommended. This will facilitate
easy access to the computer while loading samples.
Environmental The equipment is designed for safe use under the following conditions:
Specifications
Indoor usage
Altitude up to 2,000 meters
Main supply voltage does not exceed +/- 10% of the nominal voltage
Transient overvoltages according to Installation Category II
Pollution Degree 2 in accordance with IEC Standard 664
Updating the The system will arrive with the latest version of the IMMULITE software
Software installed. Diskettes containing software updates or new releases are sent out
periodically. To install new software, follow the instructions accompanying
the diskettes.
Configuring This section includes instructions for performing the following software
the Software configuration processes:
Setting the facility name
Changing the assay settings
Changing the long report format
Selecting a printer
Changing the default for automatic backup
Setting the Laboratory Information System (LIS) parameters
Every procedure except Setting the LIS Parameters, involves accessing the
Configurations menu from the Start-up menu. Turning the computer on
accesses the Start-up menu.
Figure 6
Start-up Menu
Figure 7
Configurations Menu
Setting the Follow the steps below to set the facility name.
Facility Name
1. From the Configurations menu, select CHANGE NAME and press
[Enter].
The following screen appears:
Figure 8
Figure 9
Changing the Follow the steps below to change the assay settings:
Assay Settings
1. From the Configurations menu, select ASSAY SETTINGS and press
[Enter].
The following screen appears:
Figure 10
2. Type the desired Test Code (for example, T4) and press [Enter].
The current unit of measure for reporting is displayed, along with the
default units and alternate units.
3. Use the right and left arrow keys to select either the default units or the
alternate units and press [Enter].
The following screen now appears, with the current Low Result Limit
and High Result Limit displayed in the top row.
Note: Results are flagged according to the ranges listed in the top row
only.
Figure 12
Changing the The long report format and its content can be changed.
Long Report
Format
Note: Changes to the report format affect only the printed version of the
long report. Changes do not affect the information on the corresponding
screens (the Patient Entry and Patient History screens).
Figure 13
Report Format Screen
Note: The keys listed at the bottom of the screen provide additional
functions (as indicated).
Text fields that are not highlighted on the Report Format Screen can be
moved to a new location by following the steps below:
1. From the Start-up menu, select CONFIGURATIONS and press
[Enter].
2. Select REPORT FORMAT and press [Enter] (see Figure 7).
3. Use the arrow keys to position the cursor on the first letter in the desired
field.
4. Press [Enter].
The field is highlighted, to indicate it can now be moved.
5. Use the arrow keys to move the field to a new location and press
[Enter].
6. Save the changes by pressing [Alt] and [S] simultaneously.
Note: Press the [Alt] and [U] keys to undelete the deleted field.
5. Using the arrow keys, move the field to the new position and press
[Enter].
6. Continue moving fields in this manner.
Figure 14
Printer Selection Screen
Note: Auto-Backup is not the same as Backup. The Backup procedure, that
is not automatic, removes old data and copies information to a diskette.
Setting the LIS If the IMMULITE System is connected to a Laboratory Information System
Parameters (LIS), set the LIS parameters so the LIS can communicate with the
IMMULITE. Before proceeding with the instructions below, determine the
type of LIS communication interface used. Refer to the table below for a
description of each interface.
Figure 15
LIS Parameters Screen
6. In the Enter Header Message Password field, type the Header Message
Password used by the LIS. If the LIS does not use a Header Message
Password, leave this field blank.
7. In the Enter Receiver ID field, type the LIS Sender ID.
8. In the Enter Sender ID field, type the LIS Receiver ID.
Preparing Follow the steps below to prepare reagents for use in the IMMULITE
Reagents System.
1. Remove the kits from the refrigerator. To assure optimal performance,
avoid mixing reagents together.
2. Allow the Test Units to reach room temperature.
CAUTION: Do not open the Test Unit packages until they reach room
temperature. Moisture caused by condensation can compromise the
stability of the Test Units. The Test Units are supplied in re-sealable
bags containing desiccant to maintain the bead quality for the next use.
Seal the bags securely after each use.
Initializing the Leave the System power on at all times, so it is always at operating
Software temperature and ready to use. Initialize the IMMULITE software following
the steps below:
1. Ensure the IMMULITE System power is on.
Figure 16
Start-up Menu
3. Make sure the printer is on-line by checking the ON LINE light on the
printer control panel. If necessary, press the ON LINE button.
4. Make sure there is enough paper in the printer.
After verifying the date and time, the Primary Screen appears on the
monitor (see Figure 5) and the following message appears on the Display
Panel:
DPC IMMULITE
Press GO to start
CAUTION: If the date and time are set earlier than the date and time
of the most recent IMMULITE result, an error message regarding a date
and time conflict appears. Call DPC Technical Service.
Note: This will ensure that sample cups not identified by the Barcode
Reader will not move onto the Main Carousel, causing a jam.
Pull the plastic cap off the new substrate bottle and place the bottle
on the spike upside down, puncturing the rubber stopper. The bottle
should be firmly seated on the spike.
CAUTION: Replace the Test Unit waste container securely so the flow
of Test Units into the container is not inhibited.
13. Ensure that the syringes and lines are free of bubbles. Continue priming
if necessary.
14. Check the end of the Substrate Nozzle for residue that could interfere
with dispensing substrate into the Test Units.
Remove the thumbscrew holding the Substrate Heater and water
nozzle.
Lift the Substrate Heater (vertically) and check for white precipitate
(dried substrate) at the end of the Substrate Heater Nozzle.
CAUTION: To ensure the wires behind the Substrate Heater are not
disconnected, do not pull the Substrate Heater all the way.
15. Inspect the Substrate Reservoir to make sure that it is filled to the fill-
line.
To replenish the reservoir, squeeze the gray Prime button above the
reservoir.
16. Cycle the Substrate Pump five times to ensure air bubbles are removed
from the line. Perform the priming procedure daily to ensure that the
substrate dispenses in a straight stream with no splattering, dripping, or
hanging drops.
Note: The priming buttons for the Substrate and Water Pumps are
clearly marked on the pump case (refer to Figures 19A and 19B).
A. For the Cirrus Substrate Pump (see Figure 19A), press and release
the prime button.
B. For the Linear Actuator Substrate Pump (see Figure 19B), press and
hold the prime button.
17. Cycle the Water Pump five times to ensure air bubbles are removed from
the line. Perform the priming procedure daily to ensure the water
dispenses in a straight fluid stream with no splattering, dripping, or
hanging drops.
A. For the Cirrus Water Pump (see Figure 19A), press and release the
prime button.
B. For the Linear Actuator Water Pump (see Figure 19B), press and
hold the prime button.
18. Press GO on the IMMULITE.
The IMMULITE System now displays the following prompt:
IMMULITE is priming the syringes.
Note: If a new kit lot is being used, refer to Kit Entry in Section 5:
The Main Menu before running this assay.
Load each Reagent Wedge into the Reagent Tray by inserting the tab
at the bottom of the wedge (see Figure 20) into the slot on the outer
rim of the Reagent Tray.
Note: Position the Reagent Wedges between the section guides (see
Figure 22).
Firmly press the front of the Reagent Wedge down into the tray until
it snaps into place (see Figure 21).
Figure 21
Placing a Wedge into the Reagent Carousel Tray
2. Place the Reagent Tray into the Reagent Carousel by positioning the
Reagent Tray so the line on the tray handle is aligned with the line on the
carousel spindle. Press down firmly so the spindle top is flush with the
top of the tray handle.
Note: The Reagent Tray can only be seated on the carousel spindle if
the two lines are properly aligned.
CAUTION: Probe damage will occur if the caps or seals are left on the
Reagent Wedges during operation.
Note: If more than one Reagent Wedge of the same kit lot is placed on
the Reagent Tray, the Reagent Wedge in the highest numbered tray
position is emptied first; therefore, partially used wedges should be
placed in higher numbered positions.
Figure 23
On-board Reagent Status Screen
Note: After the kit information has been entered, the Reagent Carousel
must be re-read to update the on-board reagent status. This can be
accomplished by simply lifting the Reagent Carousel out and then
replacing it, causing the IMMULITE to automatically pause and re-read
the reagents.
Note: The Primary Screen enables the operator to observe, in real-time, the
exact location of the Test Units.
Note: To associate the sample cup holder number with the patient
accession number and/or last name, choose Data Entry and Worklist
Entry from the Primary Screen.
3. Make sure there are no bubbles on the surface of the liquid in the sample
or the Reagent Wedges. Bubbles could cause false level-sensing and a
short sample or reagent draw.
Removing The unused sample can be removed from the Sample Collection Tray at any
Sample Cup time. When the tray is full, the IMMULITE will automatically pause, stop
Holders the Load Chain, and stop pipetting until the tray is emptied.
Note: None of the tests in process will be adversely affected by either the
alarm or the automatic pause.
Performing a To run tests immediately, follow the STAT procedure instructions below:
STAT
Procedure
1. Remove the sample cup holder and the associated Test Units closest to
the first arrow on the left front corner of the Load Platform.
Note: The displaced sample and Test Units can be moved to any
available space on the platform.
2. Place the STAT sample and its Test Units in the space created.
CAUTION: If patient samples are processed without first adjusting the kit,
the results will not be accurate.
Adjustment To adjust a kit, lot-specific Adjustors must be processed (either one Adjustor
Procedure or a pair of Adjustors – depending on the assay). Before running the
Adjustor, the sample must be identified as an Adjustor.
Note: The procedure includes accessing the Patient Entry Screen, where
special records for patients, Adjustors, controls, and verifiers are created.
1. Access the Patient Entry screen from the Primary Screen by selecting
Data Entry and Patient Entry. The following screen appears:
2. With the cursor in the Sample Cup # field, type # for an Adjustor.
Note: The #, $ and &, symbols are displayed at the bottom of the
screen as a reminder (# signifies an Adjustor, $ signifies a control, and
& signifies calibration verification material)
3. Type the number of the sample cup holder to be used for the Adjustor
(immediately following the # sign) and press [Enter].
5. For each Adjustor level, repeat this process with a different sample cup
holder number.
Running Adjustors
1. Place the sample cup into the previously identified sample cup holder.
2. Dispense the appropriate amount of Adjustor material into the sample
cup.
3. Place the sample cup holder onto the Load Platform, and place four Test
Units in the positions immediately following the sample cup (see Figure
25).
Figure 25
Processing Adjustors in Quadruplicate
4. Press GO.
The IMMULITE system prints an adjustment report after the Adjustors
have been read by the photomultiplier tube (PMT). A slope and
intercept is calculated for the kit being adjusted (see Section 8: Data
Reduction and the Chemiluminescent Reaction for further
information). Depending on the assay, the accompanying printout shows
either a slope and intercept (for a quantitative assay) or an
Adjustment Successful message (for a qualitative assay). The
test type, kit lot, slope, and intercept are displayed in the error log when
the adjustment is completed.
In addition, adjustment status can be viewed by selecting Data Entry
and Kit Entry. Press the [Page Down] key to view the current kits.
*******************************Adjustor******************************
Sample Cup# 8
Test Code TSH
Kit Lot# 262
Adjustor Lot# 12
Adjustor Cps 44089
Level Low
TSH 34,738 Cps R 93 T67 11/06/03 1:04:25 PM
TSH 32,935 Cps R 93 T67 11/06/03 1:04:56 PM
TSH 34,577 Cps R 93 T67 11/06/03 1:05:27 PM
TSH 36,068 Cps R 93 T67 11/06/03 1:05:58 PM
*******************************Adjustor******************************
Sample Cup# 9
Test Code TSH
Kit Lot# 262
Adjustor Lot# 12
Adjustor Cps 12076630
Level High
TSH 11,216,643 Cps R 93 T67 11/06/03 1:06:28 PM
TSH 10,486,215 Cps R 93 T67 11/06/03 1:06:57 PM
TSH 11,137,495 Cps R 93 T67 11/06/03 1:07:28 PM
TSH 11,083,253 Cps R 93 T67 11/06/03 1:08:00 PM
TSH Kit Lot 262 Slope = 1.0992314 Intercept = 6078.127
*******************************Adjustor******************************
Sample Cup# 58
Test Code HBS
Kit Lot# 144
Adjustor Lot# 10
Adjustor Cps 27000
Level Low
HBS 29445 Cps R 93 T5 11/13/03 12:55:51 PM
HBS 28004 Cps R 93 T5 11/13/03 12:56:22 PM
HBS 24926 Cps R 93 T5 11/13/03 12:56:53 PM
HBS 24101 Cps R 93 T5 11/13/03 12:57:23 PM
Identifying Controls must be identified in the Patient Entry Screen with a sample cup
Controls holder number before the sample cup holder enters the IMMULITE
Barcode Reader.
Figure 28
2. With the cursor in the Sample Cup # field, type a $ sign (to signify a
control) followed by the sample cup holder number and press [Enter].
Figure 29
Control Entry Screen
Figure 30
Verifier Entry Screen
To Print: Press:
The Worklist or LIS Data Management Screen [F3]
Any IMMULITE software screen (with the exception of [F10]
the Primary Screen).
Any DOS screens [Print Screen]
AutoPAUSE The AutoPAUSE (automatic pause) mode is initiated for the following
Mode reasons:
The Reagent Carousel tray was removed without pressing PAUSE.
The Sample Collection Tray is full or has been removed.
A reagent is empty and another Reagent Wedge is not available on the
Reagent Carousel.
The Test Unit and Reagent Wedge lots are mismatched (see Section 11:
Troubleshooting for more information).
Test Unit and Reagent Wedge lot numbers do not match the components
of a recognized kit lot.
An instrument error occurred, which inhibits normal operation, and the
system is unable to correct the error (i.e. a sequential assay component is
missing) See Section 11: Troubleshooting for more information.
Any time AutoPAUSE is initiated, an error message appears. Under certain
circumstances, there is also an alarm, which can be silenced by pressing
ALARM MUTE.
AutoSTOP The instrument automatically switches to STOP mode after ten minutes if
Mode all three of the following statements are true:
no new samples have entered the system
the system is empty
the system is not in pause mode
The Load Chain, pipetting action, Incubation Carousel, and Luminometer
chain will stop. The following message appears on the Display Panel:
DPC IMMULITE
Press GO to start.
Note: It is not necessary to log off the system to re-start since the
IMMULITE is still on.
CAUTION: Do not turn off the computer before logging off or the
software and database will be damaged.
If this occurs, follow the instructions under Running FIXIT in Section
11: Troubleshooting. The FIXIT program will delete any records
without answers.
Backing up the The Backup function creates a backup copy of the databases so the most
System recent data can be restored in the event of a serious error. The backup saves
patient, control, and Adjustor results for the past thirty-one days, quality
control data from the past six months, and all control definitions.
The IMMULITE software should be backed up every day. Dedicate two,
3.5-inch diskettes for backup, alternating the diskettes daily. By alternating
diskettes, the previous day’s data is available if the diskette with the most
current data is damaged.
More than one diskette may be needed for daily backup. If this is the case,
more than the two diskettes (recommended previously) will be needed. For
example, if the backup requires two diskettes, dedicate four diskettes so they
can be alternated daily.
Cleaning the Follow the instructions below to clean the Probe. A Probe Cleaning Kit is
Probe required to complete these instructions.
1. Pipette 2 mL Probe Cleaning Solution into a reusable plastic Probe
Cleaning Wedge.
2. Place the Probe Cleaning Wedge into position number 1 on the Reagent
Carousel.
3. From the Start-up menu, select Diagnostics and Diagnostics and press
[Enter].
4. Use the arrow keys to select the PROBWASH program and press
[Enter].
5. When the loading is complete, press [Enter] again.
6. Press GO (on the IMMULITE) when instructed to do so. The procedure
takes about 10 minutes. When this procedure is complete, the probe
centers over the Home Well. The message Press Go to run PROBE
ANGLE test appears on the Display Panel.
7. Press GO (on the IMMULITE) to continue. Water is dispensed through
the probe. Observe that the water dispenses in a straight stream and no
splashing occurs. The probe may need to be replaced if splashing is
observed or the water is dispensing at an angle. (Refer to Changing the
Pipetting Probe in Section 6: Routine Maintenance for instructions).
8. Simultaneously press ALARM MUTE and GO to end the process. DPC
IMMULITE Idle Select RUN IMMULITE to begin appears
on the Display Panel.
Removing and Remove or empty the test supplies according to the instructions below:
Emptying Test
Supplies
1. Empty the Solid Waste container.
2. Empty the Liquid Waste container.
3. Empty the Sample Collection Tray.
4. Remove the Reagent Carousel Tray. Remove the Reagent Wedges and
proceed as follows:
Wipe off any excess reagent that has accumulated around the
Reagent Wedge opening using a dry, lint-free tissue. Excess reagent
around the Wedge opening can prevent the cap from seating
properly.
Set the Wedge on a hard surface, such as a countertop, and apply
uniform pressure across the entire cap until it is felt to “snap” or
“click” into place.
If the cap cannot be “snapped” shut, cover the opening securely with
Parafilm or similar material to prevent evaporation.
Refrigerate the reagents at 2-8° C.
5. Replace the Reagent Tray.
Control Results This option provides an overview of the statistical data for a selected group
of controls over a defined period of time.
The Levey-Jennings plot provides:
A record of the observed doses (concentration results) for all selected
controls run during the specified time period
A statistical summary
3. Type the Beginning date for the time interval to cover in the calculation,
pressing [Enter] after the month, day, and year have been entered.
A prompt appears for the Ending date.
4. Type the Ending date, pressing [Enter] after the entire date has been
entered.
Figure 31
Control QC screen Showing Controls Defined for the Assay
Select: To:
[1] plot with the observed 2SD limits
[2] plot with user-defined limits
Note: Prompts appear for the Low and High
Limits (for the control). Type the limits, pressing
[Enter] after each field.
A plot of all control results for the selected time interval
appears.
The upper and lower lines represent either observed
2SD limits or user-defined limits.
The center line represents the mean of the data
generated.
On the screen, each control is color-coded and identified
using the legend (at the top of the screen). There is no
comparable way to distinguish controls on the printout.
Note: If a data point falls above or below the limits of the
graph, an upward or downward pointing symbol
(∧, ∨) appears. An “E” designates any excluded points.
Press [F10] to print.
Note: The keyboard is disabled while printing the plot
and the associated numerical data, which takes up to two
minutes.
Press [Esc] to quit or [Enter] to plot a new graph.
print data Select [2].
used to
The mean and 1SD range for each control specified is
generate the
automatically printed.
graph
3. Enter the Start Date and Start Time of the data points to be excluded.
Note: Start Time refers to when the records were opened (i.e. when
the Test Units were read by the Barcode Reader, not when the results
were generated).
Note: The record remains selected when the cursor is moved to another
line.
The next time a Levey-Jennings plot for the control is generated (see
Plotting Control Results on page 4-41) an “E” appears on the screen
for every result excluded. (The printout uses the word “EXCLUDED” as
Patient Results This option allows the operator to view patient data for a selected assay (Test
Code) over a defined period of time. The screen displays a plot of the results
for all patient assays over the requested time period, and lines representing
the mean and either 2SD or the user-defined limits. Long-term population
trends can be observed and the laboratory result range can be evaluated.
After a routine backup, results from the past six months remain available for
plotting patient Quality Control data.
3. Type the Beginning date for the time interval to cover in the calculation,
pressing [Enter] after the month, day, and year have been entered.
A prompt appears for the Ending date.
4. Type the Ending date, pressing [Enter] after the entire date has been
entered.
The following prompt appears:
Select: To:
[1] plot with the observed 2SD limits
[2] plot with user-defined limits
Note: Prompts appear for the Low and High
Limits (for the patient). Type the limits,
pressing [Enter] after each field.
A plot of all patient results for the selected time interval
appears.
The upper and lower lines represent either observed
2SD limits or user-defined limits.
The center line represents the mean of the data
generated.
Note: If a data point falls above or below the limits of
the graph, an upward or downward pointing symbol
(∧, ∨) appears. An “E”designates any excluded points.
Press [F10] to print.
Note: The keyboard is disabled while printing the
plot and the associated numerical data, which takes
up to two minutes.
3. Enter the Start Date and Start Time of the data points to be excluded.
Note: Start Time refers to when the records were opened (i.e. when
the Test Units were read by the Barcode Reader, not when the results
were generated).
Note: The record remains selected when the cursor is moved to another
line.
Overview The Primary Screen enables the operator to observe graphically, in real-time,
the exact location of the Test Units at any particular moment.
The Primary Screen also provides access to the Main Menu, which includes
four menu options, listed across the top of the screen:
Data Entry
System Status
History Review
Log Off
These options access the IMMULITE data management tools.
Figure 32
Main Menu
To access one of these options, use the arrow keys to select the desired item
and press [Enter]. Press [Esc] to return to the Primary Screen.
Note: A sample can be re-run by making a new record in the Worklist Entry
Screen.
Figure 33
Worklist Entry Screen
2. Type each sample cup holder number, accession number, and/or patient
last name, pressing [Enter] after each entry.
As each sample is entered, it appears at the bottom of the list.
Note: The laser scanner can also be used to enter sample cup holder
numbers and barcoded patient accession numbers. Point the scanner
towards the barcode (approximately 4-6 inches or 10-15 cm away) so the
red light beam scans the barcode. Depending on the scanner, either:
3. Use [PgUp] and [PgDn] to page through the sample list quickly.
Press:
[F1] to toggle Skip Last Name on and off.
When Skip Last Name is on, this field is skipped automatically.
[F2] to toggle Auto Sample Numbering on and off.
Turn Auto Sample Numbering off when a sample cup holder
number is missing from the sequence. Enter the desired sample cup
holder number and patient information and toggle Auto Sample
Numbering back on to re-start the sequencing.
Turn Auto Sample Numbering on to generate subsequent numbers
sequentially after entering the starting sample cup holder number.
[F3] to print the entire worklist
4. Press [Esc] to return to the Primary screen.
Note: The most recent record created for the sample cup holder number is
shown.
Note: The sample cup holder number cannot be changed after the Barcode
Reader has read it. Once all Test Units associated with a sample cup pass the
PMT, none of the data in the record can be edited since the record is now
closed.
Note: Before entering the dilution factor, make and load the diluted sample
on the IMMULITE.
Figure 34
Worklist Entry Screen showing dilution factor field
3. Type the accession number or the patient data, pressing [Enter] when
finished.
The patient result is automatically corrected for the dilution factor. Both
the patient records and the printout will reflect the corrected value.
Patient Entry This menu option is used to add patient demographic information associated
with a particular sample cup, view sample results and sample status, and
identify a sample cup as an Adjustor, control, or verifier.
Note: Samples entered in the Worklist Entry Screen can also be accessed
from the Patient Entry screen.
1. To access the Patient Entry Screen, select Data Entry and Patient
Entry.
The following screen appears.
Figure 35
Sample Cup Entry Screen
Figure 36
Kit Information Screen
Notes: When entering a third kit lot, a prompt appears asking the
operator to select a kit lot to replace (since two kit lots are already
entered for the Test Code).
If the operator tries to re-enter barcodes for a kit lot already residing in
the IMMULITE database, a message appears indicating the kit lot is
active. The operator is asked if he or she wants to Overwrite the
current kit or Abort. Overwrite replaces all current kit information
(including the adjustment data), with information from the kit box
barcode label. In most cases, Abort will be selected, so nothing is
modified. (Pressing [Esc] also exits without changing the kit
information.)
When all barcodes have been entered, the following information appears:
Kit and component lots
Test Code
Note: Two different kit lots for the same Test Code can be run, but matching
components must be available.
For example, if Lot 1 Reagent Wedges work only with Lot 1 Test Units, but
Lot 2 Test Units are accidentally loaded, an error message will appear
regarding the mismatch and the instrument will automatically go into pause
mode along with an audible Instrument alarm.
The IMMULITE also goes into pause mode if there is no Reagent Wedge
available when a Test Unit is read at the Barcode Reader or when it gets onto
the carousel to be pipetted. The error message explains the cause of the
error.
Control Entry This option allows the operator to enter information regarding the controls
used in the lab. This control information is used for future Levey-Jennings
plots. Control information (which includes background information and
expected ranges for the controls) only needs to be entered initially.
Figure 37
Control Entry Screen
2. Either:
Select one of the controls listed to edit existing control information
Or:
Select Enter New to enter a new control
3. Type the new control definitions (or modify the current definitions) for
each of the following, pressing [Enter] after each field:
control name
expiration date
control source
lot number
4. Type the Test Code, and press [Enter].
Note: To change the units of measure used for reporting results from
the default units to the alternate units, choose CONFIGURATIONS
and ASSAY SETTINGS from the Start-up menu.
These limits flag results outside the given range. They can be edited at
any time to more closely correspond to the range limits established in
your laboratory. An example of a Control Entry screen showing all the
control definition prompts appears below:
Figure 38
Control Entry screen showing control definitions
Figure 39
LIS Data Management Screen
2. Use the arrow keys to select the sample where the numbering process
should begin.
Note: Pressing the [F4] or [F5] keys again will untag the results.
Note: Once sent, the results are deleted from the LIS Data Management
Screen; however, they still appear in the Patient Entry and Patient
Review screens.
3. Select the appropriate number and the list will automatically print.
Note: The result will remain on both the Patient Entry and Patient
Review screens.
Reagent Status Reagent Status allows the operator to review the status of all reagents
currently on-board the IMMULITE. To review the reagent status:
Select System Status and Reagent Status.
The following screen appears, which displays:
component lot numbers for the kits
the reagents’ position on the Reagent Carousel
the kit adjustment status
the kit expiration date
Figure 40
Reagent Status Screen
A kit's adjustment status is indicated by the number of days since the last
adjustment was performed for that kit lot. If an adjustment is overdue, a
warning message displays.
In the example above, it has been 31 days since the last adjustment. The
adjustment period for FSH is 28 days; therefore, this kit is overdue for
re-adjustment by 3 days.
Temps/Dark This option allows the operator to view the current temperature readings for
Counts certain areas of the System and the last dark count taken by the PMT.
Temps/Dark Counts also displays observed temperatures (averaged over
the past five minutes) and acceptable temperature ranges. To display
temperature information:
1. Select System Status and Temps/Dark Counts.
The screen displays the following information (see Figure 41):
latest temperatures for each area of the instrument
the normal temperature range
the average over the last ten minutes
the latest counts per second (cps) measured during the last session
Figure 41
Temperature Information Screen
Note: During start-up, if the operator pressed [Enter] when asked whether
to print long or short reports, the system defaults to the long report format.
Figure 42
Report Selection Screen
2. Select the desired report option by pressing [1], [2], [3], [4] or [5].
The available report formats are described below.
Short Reports
Multiple test results for each sample are printed on the same page. The Short
Report includes:
sample cup holder number
patient accession number
last name
run date
the Test Code (abbreviated assay name)
Note: Remember that these flags, which are typically used to select
patient results falling outside a reference range, can be edited from the
Start-up menu by selecting CONFIGURATIONS and ASSAY
SETTINGS.
Figure 43
Short Report
Sample Cup # 64
Dilution Factor x 1
Accession # 9311180825
Patient Name Smith J
Run Date 01/18/2001
T4 5.1 ug/dL R 7 T 15 39,911,096 4:06:15 PM
TSH 1.5 mIU/L R 8 T 8 150,032 4:36:15 PM
Note: Error reports are also printed when the error occurs.
Long Reports
A full page is devoted to each sample (see Figure 44). The Long Report
format includes:
the items listed above for the Short Report
a personalized heading
patient demographics
assay range types
GENERAL HOSPITAL
Comments
Enter the Start Date and Start Time for the desired results.
Notes: This option cannot be selected while the system is processing Test
Units.
Start Time refers to when the records were opened (read by the Barcode
Reader). It does not refer to when the results were generated.
Individual screens, as well as patient records, displayed on the Primary
screen can be printed at any time by pressing [F10].
Note: Export is not a menu option. You must exit the IMMULITE software
to run this program.
4. At the Enter the starting date prompt, type the starting date (the year
must be four digits) for generating the data or press [Enter] to accept the
default start-date.
Note: Information for the past 31 days can be generated. You can
generate either a single day or several days at once.
Note: The test time is the time the sample cup was read at the Barcode
Reader or entered into the worklist, not the time the Test Unit was
measured by the PMT.
6. At the Enter the starting time prompt, type the starting time for
generating the data or press [Enter] to accept the default start-time.
7. At the Enter the ending time prompt, type the ending time or press
[Enter] to accept the default.
8. At the Enter the test type prompt, type the Test Code or press [Enter]
to accept the default (which is all test types).
9. Results for controls, Adjustors, and patients can be printed together or
separately. Select either:
1 - Control
2 - Adjustors
3 - Patients
4 – All
The following screen appears, giving the option to print, display, or put
the data on disk:
View Error Log This option is a valuable diagnostic aid for reviewing any errors that
occurred during the current operating session. Errors appear on the screen
and are printed at the time they occur (even if report printing has been turned
off).
Figure 45
Error Log Screen
3. Press [Page Up] or [Page Down] to view the errors for the desired date
or press [Ctrl] [Page Down] to view the most recent entry.
Note: To unmark the area, press [F4] again. Continue viewing errors
by pressing [Page Up] or [Page Down].
Patient Review Patient Review allows the operator to review all patient data generated for
the past month.
To access the Patient Review Screen, follow the steps below:
1. Select History Review and Patient Review.
The following screen appears:
Figure 47
Patient Review Screen (with blank fields)
At first, the fields are empty. A search can be performed using any of
these fields:
Sample Cup #
Accession #
Last Name
The search is the quickest using Accession # or Last Name; however,
only use these fields if the information was entered and associated with a
sample cup holder number through the Worklist or Patient Entry screens
when the sample was tested.
2. Use [PgDn] and [PgUp] to scroll through the records, looking for the
date and time of analysis and the desired record.
3. Search for a patient by placing the cursor in one of the search fields,
Sample Cup #, Accession #, or Last Name.
4. Type the appropriate information, and press [F1] to search.
When test results for that patient are found, the results will appear. (An
example is shown on the next page.)
Figure 49
Adjustor Display Screen
2. Use [PgDn] and [PgUp] to browse through the Adjustor records or press
[Ctrl] [End] to view the most recent entry.
Figure 50
Control Display Screen
2. Use [PgDn] and [PgUp] to browse through each control record or press
[Ctrl] [End] to view the most recent entry.
To log off the system, select Log Off and Log Off System.
If tests are in progress when Log Off is selected, the following message
appears:
There are tubes on the system. Log Off anyway?
Y/N.
Introduction This section describes the daily, weekly, monthly, and semi-annual
maintenance requirements and procedures. This section also includes as-
needed maintenance. The operator can find Maintenance Records in
Appendix D, which can be copied and used to track IMMULITE
maintenance.
CAUTION: Do not remove the front, side, or top panels of the Instrument.
Due to the risk of electrical shock, these panels are only to be removed by a
Field Service Engineer. There are no user serviceable parts in these areas.
Daily Instructions
Maintenance
Check printer Ensure there is enough paper in the printer for the entire run.
paper Refill if necessary.
CAUTION: PC Communication errors can occur when the
printer runs out of paper.
Check the 2-liter Note: Approximate water usage = 3 mL per Test Unit. Water
water container can be refilled during a run without compromising IMMULITE
(blue cap) operation.
If the water is low or empty . . .
Remove the cap from the 2-liter water bottle.
CAUTION: Do not touch the submerged portion of the
tubing or the End of Line Filters. If the IMMULITE is in
operation, do not lift the tubing completely out of water.
Holding the cap to one side, with the tubing still inside the
container, refill the water container with distilled water only.
Ensure the End of Line Filters are in place.
Re-tighten the cap and ensure the blue fitting on top of the
cap is tight.
Note: See Appendix C: Operational Precautions for more
information.
Check 1-liter Note: Approximate wash solution usage = 1 mL per Test Unit.
probe wash Probe wash can be refilled during a run without compromising
container IMMULITE operation.
(yellow cap)
If the probe wash is low or empty . . .
Using a clean, 1-liter bottle, dilute the Probe Wash
concentrate by adding 900 mL of distilled water to one
bottle of probe wash concentrate (catalog #LPWS2). Swirl
gently to mix. Do not touch the submerged portion of the
tubing or the End of Line Filter.
Remove the cap from the empty wash container, hold the
cap to one side, and pour in the fresh wash solution. Ensure
the End of Line Filters are in place.
Re-tighten the cap and ensure the yellow fitting on top of the
cap is tight.
Every Two Cleaning the water bottle helps to prevent the growth of algae or bacteria.
Weeks These procedures should be performed every two weeks. However, spills
should be cleaned immediately.
Cleaning Water To prevent the growth of algae or bacteria, rinse the water bottle and cap
Bottle with 70% isopropyl alcohol and rinse thoroughly with distilled water. After
replacing the bottle, ensure the blue cap and line connect to the (blue) water
bottle.
Cleaning Probe To prevent the growth of algae or bacteria, clean the probe wash bottle and
Wash Bottle cap with 70% isopropyl alcohol followed by distilled water. After replacing
the bottle, ensure the yellow cap and line connect to the (yellow) probe
wash bottle.
Replacing End- Using a lint-free tissue, replace the End-of-Line Filters on the probe wash
of-Line Filters and distilled water filters. Ensure that the new filters are snug but not too
tight.
Cleaning Load If necessary, decontaminate these areas using Surface Disinfectant and a
Platform, damp cloth. The Surface Disinfectant is available from DPC (Catalog
Sample Number: IG20).
Collection Tray,
and Sample
Pipetting Area
CAUTION: Do not use bleach solutions on IMMULITE surfaces.
CAUTION: The O-ring may stick to the bottom of the vial support
assembly. If this occurs, be sure to remove it. (Normally, it rests on the
spike tip.) Do not use metal tools. Metal interferes with substrate
activity. Instead, use plastic tools to remove the O-ring.
Note: Keep the tip guard on and do not touch the tip of the spike, since
this could cause contamination.
7. Reseat the spike in the manifold block by positioning the air filter arm of
the spike into the cutout in the manifold block.
8. Remove the tip guard and place a new O-ring on the spike tip.
9. Reposition the vial support, aligning the screw holes.
10. Re-tighten the screws.
11. Replace the substrate bottle.
10. Rinse the syringe barrel with distilled water and re-assemble the syringe.
11. Re-tighten the syringe evenly into the microvalve by turning
counterclockwise until it is finger-tight.
12. Press GO (on the IMMULITE) to move the syringes to the home
position.
Testing the Upon installation of the IMMULITE Analyzer, the laboratory-distilled water
Water Supply supply will be tested for alkaline phosphatase contamination. Contamination
can affect the IMMULITE’s performance by altering the matrix during the
immunological reaction, or by increasing the post-wash counts per second
(cps). It is recommended that the water supply be tested at least once a
month or whenever contamination is suspected.
Room temperature distilled water must be used in the IMMULITE water
reservoir. The water test procedure involves using two IMMULITE
diagnostic programs:
WATERTST
WATERTPM
WATERTST
The WATERTST diagnostic program tests the water from any source. Water
should be tested before priming water from a new source through the
IMMULITE system or when contamination of the water source is suspected.
The procedure may also detect any contamination present in the water bottle.
1. Ensure the printer is on-line.
2. Prime the Substrate Nozzle using the SOLE2S diagnostic program, to
ensure that it is dispensing properly.
WATERTPM
The WATERTPM diagnostic program tests the water dispensed from the
probe and the Wash/Spin Station. Use this procedure when contamination
within the system is suspected (after ruling out contamination from both the
source water and the water bottle).
1. Ensure that the printer is on-line.
2. Prime the Substrate Nozzle using the SOLE2S diagnostic program and
the Water Nozzle using the SOLE1W diagnostic program, to ensure that
they are dispensing properly.
Note: The first result is for the water from the probe, the second is for
the water from the Wash/Spin station, and the third is for the Test Unit
containing substrate.
13. Type start and press [Enter] to return to the IMMULITE Start-up
menu.
14. Refer to Acceptance Criteria to determine the outcome of this test.
Acceptance Criteria
The criteria for acceptable water tests are listed below.
1. For all water tests, the cps for each Test Unit should be in the range of
4,500 – 9,000 cps.
If the cps are . . . It is possible that . . .
< 4,500 the substrate volume was insufficient
> 9,000 alkaline phosphatase contamination is possible
Figure 52
Sample of Acceptable Water Test (WATERTST)
Figure 53
Sample of Acceptable Water Test (WATERTPM)
Caution: Do not use the water container for this procedure. Rather, use
another clean container.
7. Place the water lines into the clean container with the fresh probe wash
solution.
8. From the Start-up menu, choose DIAGNOSTICS and press [Enter].
9. Select DIAGNOSTICS from the next menu and press [Enter].
10. Using the arrow keys to select DECON and press [Enter] to download
the file.
11. When the download is complete, press [Enter].
12. Press GO on the IMMULITE display panel when prompted.
13. Run the program for five minutes to ensure the probe wash has
thoroughly penetrated the system.
14. Press ALARM MUTE and GO simultaneously to stop the DECON
program.
15. Allow the system to sit for fifteen minutes. During this time, continue
with steps 16 and 17.
16. Place 100mL of 70% isopropyl alcohol into the original water container.
Place the water lines into the original water container and tighten the
cap. Shake well to ensure the alcohol contacts all surfaces in the
container, including the cap.
17. Discard the alcohol and rinse the water container and cap with distilled
water at least five times (with the cap on) to ensure all surfaces have
been thoroughly rinsed.
18. Install new water End-of Line filters.
Note: Un-powdered gloves must be worn when handling the new filters
since direct contact with the skin may contaminate the filters.
Note: Prior to filling the container, the water must be tested using the
WATERTST diagnostic program.
20. Using a sterile cotton swab moistened with 70% isopropyl alcohol, wipe
the accessible surface of the wash station to help remove any growth.
21. After 15 minutes, run the DECON1 diagnostic program with fresh
distilled water. Prior to running the DECON1 program, ensure at least
300 mL of reconstituted Probe Wash is available in the Probe Wash
bottle and the Probe Wash bottle is connected to the Probe Wash line.
Changing the Follow the instructions below to change the large syringe tip:
Large Syringe
Tip
1. From the Start-up menu, select DIAGNOSTICS and press [Enter].
2. Select DIAGNOSTICS again and press [Enter].
3. Use the arrow keys to select the SCHANGE program and press [Enter].
4. After the file has downloaded, press [Enter].
5. Remove the Sample Collection Tray.
6. Loosen the thumbscrew beneath the Large Syringe.
7. Press GO (on the IMMULITE display panel) when instructed to do so.
The syringes will move approximately halfway down and stop.
8. Unscrew the syringe from the luer lock valve, and withdraw the plunger
from the syringe barrel.
9. Remove the large syringe tip by:
Carefully slice the tip with a laboratory knife to expose the metal tip
of the plunger, remove the remainder of the tip and the O-ring
located inside the tip.
10. Replace the O-ring.
11. Place a lint-free wipe on a flat surface. Press a new Teflon tip onto the
syringe plunger by pressing it onto the lint-free wipe. Ensure that the tip
is seated evenly on the plunger by carefully applying even pressure to
the tip.
12. Wet the large syringe tip with probe wash.
13. Rinse the syringe plunger with distilled water and re-assemble the
syringe.
Note: Priming coats the internal surface of the syringe barrel with
Teflon, which is necessary to assure precision.
Note: Always prime the syringes with liquid in the syringes. Priming a
dry syringe damages the Teflon tip.
Cleaning Follow the instructions below to clean the Sample Barcode Drive Wheel
Barcode Drive O-ring:
Wheel O-ring
1. From the Start-up menu, select DIAGNOSTICS and press [Enter].
2. Select DIAGNOSTICS again and press [Enter].
2. Use the arrow keys to select the BCODEON program and press [Enter].
3. After the file downloads, press [Enter] again.
4. Press GO (on the IMMULITE) to start the program.
5. Dampen a lint-free tissue or a cotton swab with distilled water, and hold
it gently against the rotating orange O-ring on the sample cup holder/
Test Unit barcode drive wheel for two to three full revolutions.
6. Press ALARM MUTE and GO (on the IMMULITE) simultaneously to
stop the program.
7. Press [Esc] to return to the Start-up menu.
8. Select RUN IMMULITE or START TURBO to resume normal
operation.
1. Disconnect the Teflon fitting for the probe tubing at the circular T-
junction.
2. Un-screw the ferrule located on top of the probe block (see Figure 54)
and remove the probe.
3. Insert the probe vertically down through the block and the support arm.
Note: Care must be taken not to damage the tip when inserting it
through the bottom hole in the probe block.
4. Carefully thread the probe tubing through the notch in the black vanity
panel. Allow only enough tubing in front of the vanity panel to reach all
pipetting positions without stretching. The remainder of the tubing
should hang behind the vanity panel. Place the brown O-ring on the
probe tubing directly behind the notch. This ensures that the proper
amount of tubing stays in front of and behind the vanity panel.
5. Finger-tighten the ferrule located on top of the probe block (see Figure
54).
6. Connect the Teflon fitting for the probe tubing at the circular T-junction.
Replacing Fuses The fuses are located on the right side of the Analyzer, near the power
connection socket (see Figure 4 in Section 1: Introduction).
SE
F4 - F5
FU S E
E FU
F1 FU S
SE
FU S E
E FU
F2 FU S
SE
FU S E
E FU
F3
FU S
Note: When installing a fuse, press on the black fuse cover and turn
clockwise. Make sure the fuse cover is secure.
4. For the main (F4) fuse in 110 VAC units, gently pry the fuse out of the
holder and replace it with a 6-amp time-delay fuse.
Note: In 220 VAC units, there are two fuses (F4 and F5). Both of these
are 4-amp fuses.
Figure 55
Diagnostic Files Screen
Note: If the first program is not cleared before loading another, the
following message appears:
IMMULITE cannot communicate ...
Programs can be downloaded when a blank screen or the following
message appears:
DPC IMMULITE IDLE
Select RUN IMMULITE to begin.
Running PC Some diagnostic programs require that certain information be displayed (i.e.
results from the Barcode Reader) using the PC program. To run the PC
program, follow the steps below:
1. After the diagnostic program begins running (after pressing GO on the
IMMULITE), press [Esc].
2. From the Start-up menu, select EXIT TO DOS.
3. Type pc and press [Enter].
4. Respond to the questions displayed by pressing [Enter] three times.
5. When the message appears, choose [Y] for yes:
Cannot communicate with the IMMULITE.
Continue running? Y/N
6. To exit, select Log Off and Log Off System.
Other
Module Program Function Auto Program
Stop Required
Load Platform BCODE Carries Test Units into the Barcode Reader to No PC
be read one time each, and then into the
sample tray for retrieval.
Notes: The Test Units are processed at a rate
of approximately one every 2 seconds.
BCODEON Turns the barcode motor on and off by No None
pressing GO.
BCODESPD Displays, in milliseconds, the Test Unit No None
Barcode Reader motor speed after a Test Unit
is placed on the Load Platform and the
directions on the IMMULITE Display Panel
are followed.
BCODETST Advances the Test Unit or sample cups from No PC
the Load Platform to the Barcode Reader and
reads each one 25 times.
LCHAIN Indexes the Load Chain one position every No None
second.
Reagent LEVCRASH Repeatedly level-senses sample in each Yes None
Carousel and sampling position and if a probe crash occurs,
Pipettor stops the test completely and displays “Test
Failed”.
LEVFALSE Repeatedly level-senses at empty reagent and Yes None
sample positions and if a false trigger is
encountered, displays “Test Failed”.
LEVSENSR Moves the X pipettor to the reagent. No None
Repeatedly level-senses.
Displays the number of steps left before
reaching maximum travel.
DECON1 Rinses water through the fluidics system after Yes None
the mechanisms are decontaminated with
probe wash (10X dilution).
Note: The program automatically stops once
260 mL of water passes through the syringes
and 50 mL of water is drawn through the
water solenoid. The program requires at least
300 mL of reconstituted Probe Wash in the
Probe Wash Bottle and the Probe Wash Bottle
must be connected to the Probe Wash line
prior to running.
EMPTYTUB Advances Test Units from the Load Chain No None
through the entire system.
Introduction This section explains the theory behind the IMMULITE system operation.
Note: To view the dark counts, select System Status and Temps/Dark
Counts.
Calibration The IMMULITE and its stable reagent system make it unnecessary to run a
Overview standard curve every day. The specific IMMULITE features which make
running a daily standard curve unnecessary include:
Reproducible pipetting
Precise timing
Controlled temperature environment
Extended reagent stability
Instead, analyte concentration is determined by a stored master curve. This
kind of standard curve is generated by the manufacturer for each lot of
reagents and provided as a “master curve.” Adjustors are then used to
correlate the counts per second (cps) of the customer’s instrument to the cps
of the instrument used by the manufacturer to generate the master curve.
Master Curve IMMULITE master curves for each lot of reagents are generated on a single
Generation instrument by running numerous replicates of each standard, using a set of
standards spanning the range of the assay. The number of standards varies
with the analyte and ranges from six for Total T4 (range 1-24 µg/dL) to
fifteen for TSH (range 0.002 - 75 µIU/mL). The standard replicates are
collected in multiple runs (in random order) over several days. Replicates of
a low and high Adjustor are included in every run.
IMMULITE uses the well-established four-parameter logistic approach to
calculate the standard master curve. A computer algorithm fits the best curve
to the data using accepted curve-fitting procedures. IMMULITE uses two
different forms of the equation:
A competitive assay equation
An immunometric (sandwich) assay equation
These equations are shown and described below.
The stored master curve is an equation of the line which best fits the master
curve data. The form of the equation is constant and is permanently stored in
the software assay information.
Two-Point To calculate the dose of unknowns directly from the stored master curve, the
Adjustment signal (cps) on a laboratory instrument must match the signal of the master
curve instrument. Because no two photomultiplier tubes (PMT) give exactly
the same level of cps for the same photon input, the signal of each laboratory
instrument must be adjusted to equal that of the master curve instrument
using the two-point adjustment process.
If a full standard curve were run on both the master curve and the customer
instruments, the plot of the cps (master instrument vs. customer instrument)
would be a straight line. For example, possible data for an assay with six
standards is shown in the table below.
Figure 56
cps graph (Master Instrument vs. Customer Instrument)
30,000
(F)
MASTER INSTRUMENT CPS
25,000
20,000
(thousands)
15,000
(E)
10,000
(D)
5,000
(C)
0
0 5,000 10,000 15,000 20,000
CUSTOMER INSTRUMENT CPS (thousands)
Judging The guidelines described below should be used to help interpret whether an
Adjustment adjustment is successful. The guidelines are listed in order of importance.
Validity
1. Controls run immediately following an adjustment
2. The slope of an adjustment
3. The intercept of an adjustment
Note: When fewer than ten adjustments have been run a mean can still be
calculated using the total completed. This mean should be regarded as
preliminary and must be recalculated when at least ten adjustments are
actually completed.
A In this example the slope is 1.2 or 0.75; the adjustment is likely valid.
Verify that the quality control sample results are close to the expected
mean.
B In this example, the slope is 1.3 or 0.6; the adjustment may still be
valid depending on several factors. If the QC results are close to the
expected mean and the slope for the assay has historically been near
the limit of the slope range, the adjustment is likely valid.
C In this example, a slope less than 0.5 or above 2.0 indicates a problem
and the adjustment is not valid.
Intercept of Adjustment:
Immunometric
Competitive assays use the
assays use the low adjustor CPS
P1 value value
Generally the absolute value of the intercept falls below the low Adjustor cps
of the master curve x 30%.
The low Adjustor cps refers to the Adjustor cps information found on the Kit
Entry screen or the adjustment printout. Do not refer to the observed cps
measured for the low adjustor.
For example:
cps of low Adjustor = 84,356
Acceptable intercept: 84,356 x 0.30 = 25,307
Note: Curve parameter 2 is used for the following three assays: Digoxin,
Phenobarbital, and Unconjugated Estriol. Interpretation of validity remains
the same regardless of which curve parameter is used to determine the
intercept limit.
For example,
P1 = 61,500,000
Acceptable intercept: 61,500,000 x .02 = 1,230,000
Slopes of Readjustment
Slopes of readjustments should fall within 10% of the previous adjustment.
Intercepts of Readjustments
The intercepts of readjustments should be judged according to the same
guidelines discussed previously.
Master Cutoff In qualitative assays, the results are classified as non-reactive or reactive,
Generation or indeterminate. The results in such assays are calculated by comparing
for Qualita- the signal obtained for a patient sample, to a cut-off signal.
tive Assays
For sandwich assays:
If patient cps > cutoff, the result is reactive
If patient cps < cutoff, the result is non-reactive
For competitive assays:
If patient cps < cutoff, the result is reactive
If patient cps > cutoff, the result is non-reactive
Where an indeterminate region is defined, it is usually a percentage above
and below the cutoff. For example:
If the percentage = 10% cutoff, then . . .
0.9 x cutoff < Indeterminate < 1.1 x cut-off
Measuring the The cutoff for an assay is usually measured in one of two ways:
Cutoff for an
Assay
Several hundred patients, both reactive and non-reactive whose clinical
status has been established by another method, are assayed on the
IMMULITE. A cutoff is determined statistically. If the cutoff level is set
too low, many truly non-reactive samples will read reactive (poor
specificity). If the cutoff level is too high, many truly reactive patients
will be non-reactive (poor sensitivity). A cutoff is calculated which
achieves the optimal sensitivity and specificity.
Figure 58
IMMULITE Enzyme-Amplified Luminescence
Signal (CPS)
Time
1
*LUMIGEN® PPD: 4-methoxy-4-(3-phosphatephenyl)-spiro-(1,2-dioxetane-3,2´-adamantane). LUMIGEN® is a
registered trademark of LUMIGEN, Inc., Southfield, MI.
Figure 59
The IMMULITE Chemiluminescent Substrate
O O
OCH3
DIOXETANE PHOSPHATE
(STABLE)
OPO3
O O
OCH3
UNSTABLE DIOXETANE
OCH3
O
O
LIGHT (hv)
Introduction This section covers the different assay types and how they effect
IMMULITE operation.
Starting the The tutorial can be accessed from either the Start-up menu or the DOS
Tutorial prompt.
From the DOS prompt, type “tutorme” and press [Enter].
From the Start-up menu, select Tutorial.
Navigating The tutorial allows the operator to access information using either the
mouse or the keyboard. When the operator moves the pointer and clicks on
an area of interest, the system presents more information on that subject.
Mouse
To use the mouse, move the mouse to point to the item of interest and click
on the item by pressing one of the mouse buttons.
Keyboard
The cursor (or pointer) can also be moved using the arrow keys. After
moving the cursor, select the item by pressing either the Insert or the Delete
key.
Instrument After selecting Instrument, a photo view of the IMMULITE appears, with
the lid raised and all the working components labeled. If the operator
selects an individual part or module, an explanation of its function displays.
Pointing to and clicking on the boxes contained in the explanation allows
the operator to access more information, including troubleshooting and
maintenance assistance.
Each instrument module screen displays a photo view of the instrument along
with a circled, close-up view of the selected module. The primary module
parts are identified. Some module screens include animation to illustrate
module functions.
A general description of an instrument module contains “hot” buttons that
connect with other module descriptions. A larger photo view or drawing
may also be selected. The operator may return to the Instrument Menu or the
Main Menu by clicking on that option.
Checklist The Checklist selection accesses the steps required to run the IMMULITE
during an average day, including start-up, running, and shutdown activities.
The operator may select the overview or more detailed information on each
topic.
Index The Index provides a listing, by category, of all topics contained in the
IMMULITE On-Line Reference Software.
For information regarding a specific topic or question, select Index and click
on the desired topic.
Exit This option is used to exit the On-Line Tutorial. For instructions, see
Exiting the Tutorial on page 10-2.
Overview This section is designed to help the operator diagnose and fix
problems. It is organized into three categories:
Problems and Solutions
Error Messages and Solutions
Fixing or Restoring a Database
Instrument The table below shows causes and solutions for various instrument
Problems problems.
Miscellaneous The table below shows causes and solutions for miscellaneous problems.
Problems
Substrate Heater Substrate Heater did not reach Call DPC Technical Service.
failure operating temp (37° C) in allowed
time.
Substrate Low Level of substrate in reservoir has Replace the substrate bottle
dropped below fill-line. and squeeze the gray button
on the substrate reservoir to
fill the reservoir to the fill-
line.
If problem persists, contact
DPC Technical Service.
Syringe A [B] Error A movement error in the large Check to see if a test result
Corrected syringe (A) or the small syringe was affected. An affected
Note: The error message (B) was detected. The message Test Unit will appear as a
reads A or B. will appear on the IMMULITE white circle on the Home
Display Panel if the IMMULITE screen.
was able to correct itself.
If there are affected Test
Units and/or the error was
not correctable, call DPC
Technical Service.
Note: If the error is not correctable,
the Instrument automatically shuts
down the front-end and the Front
End Shut Down error will
occur.
Test Unit lots do The Test Units being used do not Re-run the Adjustors using the
not match kit. match the kit to be adjusted. correct Test Units.
Adjust aborted
Warning: Part B A sequential assay Reagent Wedge Replace the missing part B reagent
reagent missing. is missing. and press GO to read the reagents.
Hit PAUSE to ignore
or GO to read
reags.
CAUTION: The Restore function will delete all data generated since the last
backup.
Restoring a If FIXIT does not correct the problem, follow the steps below to restore the
Lost or database when it is damaged or lost:
Damaged
Database
1. From the Start-up menu, select BACKUP/RESTORE and press
[Enter].
2. Select RESTORE DATA BASE and press [Enter].
The following message appears:
4. Place the disk (containing the database archive) into the disk drive and
press any key to continue.
The following message appears:
Output The Output Specification Tables below list the output to be expected from
the IMMULITE system.
Standard Mode:
Item Specification
Throughput Up to 120 tests per hour
Time to First Result 42 minutes for a one-cycle assay or 72 minutes
for a two-cycle assay
Tests per Sample Up to 5 Test Units per sample cup
Turbo Mode:
Item Specification
Throughput Up to 80 tests per hour
Time to First Result <15 minutes for a one-cycle assay or
<22 minutes for a two-cycle assay
Tests per Sample Up to 5 Test Units per sample cup
Item Specification
Signal Detection Method Photon-counting photomultiplier
tube
Wavelength of Emitted Light 425 to 500 nm
External Computer Industry Standard Personal
Computer
Hardware Weight
IMMULITE System 240 pounds / 109 kg
Computer 64 pounds / 29 kg
Printer 11 pounds / 5 kg
Uninterruptible Power Supply (optional) 69 pounds / 31 kg
Fluid Usage The fluid specifications are listed in the table below:
Approx. Number
Volume Used Volume of Full of Tests Per Full
Fluid Per Test Container Container†
Water∗ 4.1 mL 2000 mL 500
Probe Wash‡ 1.0 mL 1000 mL 1000
Substrate 0.2 mL 105 mL 500
†Number of Tests Per Full Container may vary depending upon amount of priming performed.
∗Volume Used Per Test is based upon a 1-cycle assay. Add 3.4 mL for a 2-cycle (sequential)
assay.
‡Volume Used Per Test is based upon a 1- cycle assay. Add 1 mL for a 2-cycle (sequential)
assay.
declare under sole responsibility that the following equipment to which this declaration relates, meets the essential
health and safety requirements and is in conformity with the relevant sections of applicable EC standards and other
normative documents. If changes are made to the product which is covered by this declaration of conformity, the
declaration of conformity is no longer valid.
Model: IMMULITE
National and other IEC 1010-1, IEC 801-2,3,4, IEC 1000-4-2, IEC 1000-4-4,
standards and technical ENV50140, ISO 9001:1994 (BS EN ISO 9001:1994),
specifications: 21CFR, Part 820 FDA cGMP, EN46001: 1996;
ISO 13485: 1996; UL 1262, Laboratory Equipment
employed to hold the documentation and evaluate the safety issues of this equipment.
Date/Signature of manufacturer
or responsible party: ______________________________________________________
Date/Signature of EU representative
or responsible party: ______________________________________________________
Package The table below lists the items included in the IMMULITE package:
Contents
Installation Items:
Description Quantity
IMMULITE System 1
Computer 1
Monitor 1
Keyboard 1
Keyboard Drawer 1
Printer and Printer Cable 1
Printer Paper 1
Printer Stand 1
IMMULITE / Computer Interface Cord 1
Power Cords 3
Fuses 4
25 Micron Filters 10
Tygon Tubing 5 feet
Male Elbow (½” X ¼”) 1
Uninterruptible Power Supply (UPS) - optional 1
Sample Collection Tray 1
Reagent Carousel Tray 1
Barcode Laser Scanner and Holster 1
Fan Filter 1
IMMULITE Software Disk 1
Database Backup Disk 1
On-line Reference Software and Manual 1
IMMULITE Installation Notes 1
Warranty Card 1
Choosing a Choose a suitable location for the IMMULITE System in the laboratory,
Location based on the system requirements. The requirements to consider when
choosing a location are listed and described below:
Power
Space
Environmental
Temperature
Power Keep the following power requirements in mind when choosing a location
Requirements for the system:
The power consumption during operation is 700 W for 120 VAC
instruments and 800 W for 220 VAC instruments.
Use a dedicated, grounded power supply line for the IMMULITE System,
printer, and computer.
Each instrument is set at the factory to run on 100 VAC, 110 VAC, 220
VAC or 240 VAC power supply. The orange label near the power supply
(on the right side of the instrument) shows the required voltage.
Environmental The equipment is designed for safe use under the following conditions:
Specifications
Indoor usage
Altitude up to 2,000 meters
Main supply voltage does not exceed +/- 10% of the nominal voltage
Transient over voltages according to Installation Category II
Pollution Degree 2 in accordance with IEC Standard 664
Water Quality Distilled or de-ionized water of consistent quality is required. Water
Specifications used should meet NCCLS Type 1 reagent water standards at the time of
preparation. Prior to using any water, it should be tested for alkaline
phosphatase contamination (see Water Testing procedure on page 6-12
of the IMMULITE Operator’s Manual). IMMULITE systems are
sensitive to the presence of alkaline phosphatase resulting from microbial
contamination of the water or containers used.
Properly maintained commercial water treatment systems commonly used in
laboratories generally produce reagent water that meets the requirements of
Type 1 water standards at the time of preparation.
Precautions Operational precautions are included throughout this manual. The table
Table below provides a comprehensive list of all the precautions to take for
optimal IMMULITE operation.
Category Precaution
Electrical For reliable performance, the IMMULITE must be on a dedicated 110v
electrical line.
Printer The printer must be attached to the IMMULITE computer and be on-
line during IMMULITE operation.
Note: A pink error box appears on the computer screen when there are
any problems associated with the printer.
Cover The cover keeps the temperature inside the instrument stable. Exercise
the following precautions:
Do not run the IMMULITE with the top cover open.
Do not open the top cover while the IMMULITE is operating.
Reagent Carousel Lid Always press PAUSE before opening the Reagent Carousel lid.
Note: If the Reagent Carousel lid is opened while the IMMULITE is
pipetting, it may create interference that causes the front-end to shut
down. Although the tests in progress will continue, new tests will not
be processed.
Loading Do not load one sample cup holder after another onto the Load Platform.
Note: Each sample cup holder must be followed by a minimum of one
and a maximum of five Test Units.
Fluid Levels Monitor the available volumes of water, probe wash solution, and
substrate. Running out of water or probe wash during operation could
cause loss of the entire run. Refer to the Fluid Usage Table in Appendix
A page A-2.
Substrate Reservoir Do not over-prime the substrate reservoir past the fill-line.
Note: At the fill-line, the reservoir contains 7 mL of substrate. When
the substrate bottle first empties, there is enough substrate in the system
for 35 more tests (or 17 more minutes of continuous testing). An alarm
and an error message indicate the reservoir level has reached 5 mL.
(See the Substrate Low error message.)
Symbol Definition
Do not re-use
Batch code
Catalog number
Serial number
Sterile
Sterilized using aseptic processing techniques
Sterilized using radiation
Sterilized using ethylene oxide
Biological risk
Non-sterile
Do not re-sterilize
Keep dry
Minimum temperature
Temperature range
Maximum temperature
Control
Negative control
Positive control
Manufacture Date
Manufactured by
Introduction This section includes the IMMULITE Operator's Quick Reference Card and
the following worksheets:
Adjustment Log
Daily, Weekly and As Needed Maintenance Record
Monthly and Semi-annual Maintenance Record
These items can be copied and used as needed.
Entering Patients
IMMULITE® SYSTEM
Serial Number:
Date Test Kit Lot Slope Intercept Calculated Controls Adj. Tech
Intercept Verified
Serial #_______________
Monthly Maintenance List JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
Clean probe wash bottle (check line
destinations)
Operator Initials:
Supervisor Initials:
Semi-annual maintenance:
For the year beginning ___________, ______ to the year ending___________,______
month year month year
Customer Information:
Name of Company: _______________________________________________________________________
Full Official Address: _____________________________________________________________________
Telephone Number: _____________________________ Extension: _______________________________
Contact: ______________________________________ Position Held: ____________________________
Signed: _______________________________________ Date: ___________________________________
LIMITED WARRANTY. DPC warrants that the Software will substantially conform to specifications and to the
documentation, provided that it is used on the computer hardware and with the operating system for which it is
designed. DPC also warrants the disks on which the Software is recorded to be free from defects in material and
workmanship under normal use for a period of ninety (90) days from the date of purchase.
DPC Warrants that the items delivered hereunder are of good material and workmanship, and are free from defects
in design and manufacture. DPC’s responsibility is limited to repairing or replacing any item or part, for a period of
one (1) year after delivery to the original purchaser. Defects caused by improper operating conditions, misuse,
negligence, or alteration of the product void this warranty. DPC shall not be liable for any direct, indirect,
incidental, or consequential damages arising out of possession or use of the items. Racks and Consumables, are not
covered by this Warranty.
CUSTOMER REMEDIES. DPC’s entire liability and your exclusive remedy shall be replacement of the Software
that does not meet DPC’s Limited Warranty and which is returned to DPC. The Limited Warranty is void if failure
of the Software has resulted from accident, abuse, or misapplication.
NO OTHER WARRANTIES. Because software is inherently complex and may not be completely free of errors,
you are advised to verify your work. The software and related documentation are provided “as is”. DPC disclaims
all other warranties, either express or implied, including but not limited to implied warranties of merchantability and
fitness for a particular purpose, with respect to the software and the accompanying written materials. DPC shall not
be liable for any direct, indirect, incidental, or consequential damages arising out of possession or use of this
product.
WARSOFT-B