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Immunoassay System
In-Lab Training Manual
___________________________________
Read all product manuals and consult with Beckman Coulter-trained personnel before
attempting to operate the instrument.
Beckman Coulter, Inc. urges its customers and employees to comply with all national
health and safety standards such as the use of barrier protection. This may include,
but is not limited to, protective eyewear, gloves, suitable laboratory attire when
operating or maintaining this or any other automated laboratory equipment.
REVISION STATUS
Based on:
Access 2 Immunoassay System Software version 3.5.0
Access 2 Immunoassay System Instructions for Use C02062AA
Access 2 Immunoassay System Operators Guide C02060AB
Access 2 Immunoassay System Reference Manual C02061AA
TRADEMARKS
Beckman Coulter, the stylized logo, and the Beckman Coulter product and service
marks mentioned herein are trademarks or registered trademarks of Beckman Coulter,
Inc. in the United States and other countries.
Table of Contents
Introduction
Practice
Use the information presented in the following pages to identify the hardware
components on the system.
NOTE: Additional learning materials can be found on the Beckman Coulter website
www.beckmancoulter.com
Location Description
Carousel Module
Main Pipettor
Analytical Module
Fluidics Module
Module and
Hardware Components Included
Functions
Main Pipettor
Sample / Reagent Precision Pump and Valve
Pickup and Pipettor Gantry
2 Delivery to Main Pipettor (Ultra sonic Transducer and Primary
Reaction Vessels Probe)
Obstruction Pressure Monitor
Detection
Luminometer
Analytical Incubator Track and Belt
Reaction Vessel
Wash / Read Carousel
Loading,
3 Wash Arm
Incubation,
Washing, Reading RV Loader (Rake and Shuttle)
and Disposal RV Load Door
RV Waste Bag
System
Status Mode
Light Bar
Following the communication sequence in the table below will insure that the instrument
will update supply levels, track expirations and process samples accurately.
The operator places samples into an appropriate rack. Using the Access 2 software
1 (TELL…WAIT…DO…DONE), the operator loads the sample rack onto the Sample
Carousel.
The operator presses the Run button. The Sample Carousel rotates the rack past
2 the Internal Bar Code Reader and the Cup/Tube Detector while the rack ID is
scanned.
The Cup/Tube Detector determines if a sample is present. The Internal Bar Code
3
Reader scans the sample IDs. Test orders are matched with each rack position.
The sample to be tested (in the Sample Carousel) and the appropriate reagent pack
4 (in the Reagent Carousel) are moved in line with the Main Pipettor Module and the
row of reaction vessels (RVs) in the RV Shuttle.
The Primary Probe is cleaned using the Ultrasonic Transducer and flushed with
5
wash buffer in the Probe Wash Tower.
The Primary Probe moves along the Pipettor Gantry towards the sample and the
6
Ultrasonic Transducer is used for level sensing.
The Primary Probe aspirates the assay-specific sample volume then dispenses the
7 sample aliquot into the first RV in the RV Shuttle. The Primary Probe is cleaned at
the Probe Wash Tower.
The Primary Probe moves to the Reagent Carousel and the Ultrasonic
Transducer is used to re-suspend the paramagnetic particles in the reagent pack.
8 The Primary Probe aspirates reagent and dispenses the reagent into the RV
containing the sample aliquot. The Primary Probe is cleaned at the Probe Wash
Tower.
The Primary Probe moves to the Reagent Carousel to aspirate the second reagent
9 (conjugate) and then dispenses the conjugate into the RV containing the sample and
paramagnetic particles. The RV contents are mixed by the Ultrasonic Transducer.
10 The Primary Probe is cleaned at the Probe Wash Tower.
11 The RV Shuttle transfers the RV into the Incubator Belt.
The RV remains in the Incubator Belt (while the belt moves back and forth) for an
12
assay-specific incubation time during which the antibody-antigen reactions occur.
After the incubation time is complete, the RV is transferred to the Wash/Read
13
Carousel.
Three washing steps (Wash Arm moves up and down as wash buffer dispense is
followed by aspiration in a magnetic field) are performed. These washes remove the
14
unbound material from the RV while retaining material that is bound to the
paramagnetic particles. After the last wash, Substrate is added.
The contents of the RV are incubated while the RV is moved toward the
Luminometer. During this incubation, substrate reacts with alkaline phosphatase
15
bound to the paramagnetic particles to produce light. The Luminometer measures
the light in Relative Light Units (RLUs).
16 The RV is transferred from the Wash/Read Carousel back into the Incubator Belt.
When the RV aligns with the RV Shuttle, the RV is transferred by the RV Shuttle
17
from the Incubator Belt into the RV Waste Bag (by way of the waste chute).
Access 2 Enzyme-Mediated
Chemiluminescence Process
Step Process
Sample and reagent components are aspirated and dispensed by the main
1 pipettor into a reaction vessel (RV). The main pipettor mixes the contents in the
RV.
2 The RV is incubated for the required time for the assay.
Following incubation, the RV is transferred to the wash/read carousel where it is
3
washed three times in a magnetic field to remove unbound material.
The RV is incubated to allow the bound analyte complexes to react with the
5
substrate.
The light generated by the reaction is read by the Luminometer. The RLU
6
reading is converted to analyte concentration using the calibration curve.
Sandwich Assay
Introduction
The software is used by the operator to interact with the analyzer and perform system
operations. Being familiar with the software can assist in understanding and efficiently
operating the system.
Practice
Use the information on the following pages to identify the Common Screen
Elements.
Select Main Menu Function Buttons to navigate and review the screen specific
information displayed there.
Access the Help button to identify the information available on the system.
Select a Show Me Help Link Button to display an illustration contained within a help
procedure.
Use a filter button to increase or reduce the amount of information displayed in the
Test Results screen.
Return to the Main Menu from any other screen by selecting F9 on the keyboard.
System Modes
There are four system modes the current mode is displayed in the upper left corner of
every screen.
NOTE: On Access 2 systems equipped with a status light bar, the light bar color will
change to match the system operating mode background color.
System command buttons are used to run, pause and stop the instrument.
Most of the system status buttons are color coded to alert the operator to a system
condition that requires attention.
Warning Event Log status button. The Event Log status button should
be selected to determine if an event has occurred that requires the
operator’s attention before continuing with operations.
Status Line
This area displays the instrument serial number, software version and the current date
and time. It may also display other information such as what activity the system is
currently performing or a message prompt for the operator.
The ten system status buttons can be viewed at the top of every screen. The buttons
change color to inform the operator of a Caution (Yellow) or Warning (Red) condition
or event. Select each button to view its related supply status.
Quality Control
Changes color (Red) to
Wash Buffer
indicate that QC result(s) have
Changes color (Red) to indicate a
exceeded ranges. Select to
critical low level.
view QC results or to configure
QC.
Event Log
Changes color (Yellow or Red)
Liquid Waste to indicate that a caution or
Changes color (Red) to indicate a warning event has occurred.
critical high level. Select to view informational,
caution and warning events
generated by the system.
The Access 2 system displays a row of eight function buttons across the bottom
of each screen.
Selecting a function button performs an action or displays a menu of additional
function buttons.
Function buttons vary from screen to screen, according to the operations you can
perform on each screen.
View sample status or request new tests for calibration, QC, patient,
or maintenance samples.
The Access 2 Immunoassay System has three navigation methods that you can
use in any combination: touch screen, mouse and keyboard.
A tab becomes available when you move past the main menu to
allow for easy movement between screens.
The main menu function buttons can be accessed by the tab when it
appears on the right side of a screen.
Scroll bars appear when there is more information than can be contained in the
viewing pane.
Touch Screen
Use your finger tip to touch the console screen to select the
desired item.
Mouse
Move the cursor to the desired item and select with a left
click.
Keyboard
The keyboard function keys are located at the top of the keyboard and a template
has been applied to simplify identification (P/N 973041).
The following table lists the keyboard equivalents you can use to perform
common actions.
Keyboard
Action
Equivalent
F1 – F8 Perform the indicated function or go to the indicated screen.
F9 Go to the Main Menu.
F10 Check system supplies.
F11 Start sample processing.
F12 Display the Help system.
Esc Go back to the previous screen.
Down
Display a list in the field.
Arrow
Pause Pause the system.
Shift-Pause Stop the system.
Print
Print what is currently displayed on the screen.
Screen
Scroll Lock View the Event Log.
Printing
Access the Help System by selecting the Help Button on the screen or by
selecting F12 Help on the keyboard.
When you select Help from a screen the information displayed is specific to the
screen you are on.
Green Text Links can be selected to link to the topic named in the text.
Select from the Help Window Button Bar to display the entire
contents of the Help System.
The Help System is intended as a reference only. You must return to the User
Interface (UI) to perform any function.
Exit the Help System by selecting the button in the upper right corner of
the help window or selecting any visible portion of the UI beyond the help
window.
The nine Help Link Buttons depicted in the table below indicate links to related
information.
Introduction
Step/action tables are provided for each daily start up task in this chapter. These
step/action tables are available as a quick reference for the daily start up procedures.
Review your instruments’ Instructions for Use for any Notes, Cautions, and Warnings as
well as step-by-step instructions. For complete instructions to the daily start up
procedures, refer to:
Practice
Use the information and step/action tables on the following pages to practice the
daily start up procedures and determine an efficient order based on your laboratory
workflow.
Based on your laboratory workflow, which shift will be in charge of daily
maintenance?
Step Action
1 From the Main Menu screen, select Maintenance Review F6.
Verify that the temperatures in the Zone Temperature fields are within
2 their expected ranges.
Step Action
Mix the contents of the new Wash Buffer Bottle by gently inverting the
1 sealed bottle three or four times.
2 Remove the cap and the inner seal from the new bottle.
Unscrew the wash buffer dispense cap assembly from the empty bottle
4 and screw the dispense cap assembly on the new bottle.
No software interaction is required to empty the liquid waste bottle. Depending on the
system mode, follow the appropriate step/action table below. Your laboratory
procedures will determine how to dispose the contents of the Liquid Waste Bottle.
Step Action
Detach one tubing on the bottle cap by pressing the button on the quick
1
disconnect (see image on following page) while pulling on the tubing.
Make sure that the clean, connected liquid waste bottle is correctly
4
placed into the fluids tray.
5 Dispose of the liquid waste bottle contents. Thoroughly rinse the bottle
and cap with tap water and invert to dry.
6 Document the completion of this task on the Maintenance Log.
Take care to orient the underside of the cap away from you. Liquid waste
CAUTION is continuously expelled while the system is processing samples.
Make sure that the clean, connected liquid waste bottle is correctly
3 placed into the fluids tray.
Dispose of the liquid waste bottle contents. Thoroughly rinse the bottle
4 with tap water and invert to dry.
Substrate should be primed once every 24 hours; by either loading a new bottle or
priming the onboard bottle.
Substrate priming takes approximately eight minutes. During this time the
instrument software cannot be used, however the Help System can be accessed.
Step Action
1 Confirm that the system is in the Ready mode.
Enter the bar code of the new unopened equilibrated substrate bottle by
5
scanning the bottle with the handheld bar code reader.
Unscrew the substrate supply cap from the bottle in use and immediately screw
7 it onto the new bottle. Place the new bottle into the fluids tray. A new bottle of
substrate contains 600 tests.
8 Select Done F1. Select YES F1 to request priming. The system mode screen
will change from Ready to Running while the prime is being performed.
If sufficient volume is available in the onboard bottle, prime the substrate following the
step/action table below.
Step Action
1 Confirm that the system mode is Ready.
4 Select the Substrate box. Leave the default setting of 4 priming cycles.
Select Start Priming F2. 32 tests are used when priming through the
5
fluidics.
When the priming cycles have been completed, select OK F1 and then
6
Done F8 to return to the Main Menu.
NOTE: There are two configurations (A or B) of the substrate location in the fluids tray.
Open the Supplies Door and then open the RV Load Door (see diagram
5
on the next page).
Remove the RV Cartridge cover and lift the RVs and attached spine
6
from the cartridge case. Load into the RV Supply Area.
Release the cartridge spine from the RVs by pressing down firmly on
7 the RV Load Door. Open the RV Load Door and remove the empty
spine to prevent possible damage to the RV rake.
NOTE Only load full cartridges. Fill in any missing RVs noted when spine is
removed.
8 Close the RV Load Door, close the Supplies Door and select Done F1.
Waste RVs are collected on the system in a waste bag. Follow the step/action table
below to change the RV waste bag through the software.
Step Action
1 Confirm that the system mode is Ready OR Paused OR Running.
Unfold a new waste bag, grasp its sides, and pull open gently to expand
5
it.
Remove the RV in the exit position of the waste chute to ensure that it
7
does not get pushed back into the system.
Place the new bag into position by sliding the plastic collar on the bag
8 into the slot on the waste chute. Press down firmly to be sure that the
collar is completely seated.
Seal the used waste bag with the tape provided. Discard the used
9
biohazardous waste bag according to lab policy.
Close the Supplies Door. Select Done F1. Supplies screen RV Waste
10
count will update to 300 spaces available.
From the Ready mode, the system will not start sample processing
NOTE
without a waste bag in place.
IF THEN
The reagent pack is Gently invert the pack to remove any paramagnetic
new (un-punctured) particles from the underside of the pack seal before
50 tests loading.
Reagent Inventory
The Access 2 system keeps an inventory of all on-board and off-board reagent packs
using bar coded information from the reagent pack bar code and also tracks non-bar
coded information generated by the system regarding the pack status.
Bar Coded: Pack Name, Lot Number, Serial Number and Lot Expiration Date.
Non Bar Coded: Number of Tests, Number of Days Open, Pack Expiration, Calibration
Expiration, Slot Position and Instrument.
Available Actions
From the Supplies screen, select Reagent Inventory F7 to view information
for individual reagent packs.
Step Action
1 From the Main Menu select Supplies F3.
Select Load Reagent Pack F1. If the system is running, it will pause to
2
allow for reagent pack loading.
3 WAIT until the screen displays the Load Reagent Pack window.
Slide the carousel door to the left to open it. Open the reagent carousel
4
door.
Gently invert unpunctured reagent packs several times prior to
NOTES loading.
Do not invert punctured reagent packs, as contents may leak.
5 Scan the reagent pack bar code (see diagram on next page).
If the bar code will not scan, enter the characters above the pack bar
NOTE
code into the Bar Code field.
Close the reagent carousel door. Slide the carousel door to the right to
6
close it.
7 Select Done F1.
Use this step/action table to load multiple reagent packs on systems equipped with an
internal reagent bar code reader (available on systems with serial numbers ≥ 570000)
and the internal bar code reader is enabled.
NOTE: Access 2 systems with an internal reagent bar code reader are able to perform
a reagent inventory remap by selecting Remap F3 on the Supplies screen. The system
will scan all reagent slots in the event that a pack was incorrectly loaded.
Step Action
1 From the Main Menu select Supplies F3.
Select Load Reagent Pack F1. If the system is running, it will pause to
2
allow for reagent pack loading.
3 WAIT until the screen displays the Load Reagent Pack window.
Slide the carousel door to the left to open it. Open the reagent carousel
4
door.
Insert the reagent pack into the empty slot directly under the reagent
carousel door. Angle the narrow end of the reagent pack down into the slot
5
and, while pressing forward towards the carousel center, lower the reagent
pack into place.
6 To load additional reagent packs, select Next F2.
The carousel will move an empty slot into position under the reagent
carousel door. Allow the carousel to come to a complete stop, and then
7
insert the reagent pack into the slot. If you wish to load another reagent
pack select Next F2 to continue loading.
When you have added the last reagent pack, select Done F1, the system
8
will perform a scan and add the reagent packs to the reagent inventory.
Reagent packs with unreadable bar codes will scan as ????.
NOTES These packs will need to be unloaded and reloaded using the external
bar code reader or by manually keying in the bar code information.
9 If your system is paused select Run to resume processing.
Step Action
On the Supplies screen select the button of the reagent you want to
1
unload.
Slide the carousel door to the left to open it. Open the reagent carousel
4
door.
Remove the pack from the slot directly under the reagent carousel door
5 by first pressing forwards towards the carousel center and then angling
the wider end of the pack up and out.
Close the reagent carousel door. Slide the carousel door to the right to
6
close it.
Step Action
1 From the Main Menu screen, select Configure F8, then PC Admin F7.
Document the completion of a successful system backup on the
2
Maintenance Log.
Step Action
1 From the Main Menu screen, select Configure F8, then PC Admin F7.
2 Select Scheduled Backup. Enter your system password. Select OK F1.
The Scheduled Backup window will be displayed. Select Enable
3
Automatic Backup.
Select Daily Backup to schedule the system to backup every day at the
4
time specified in the Start Time drop-down list.
Select Weekly Backup to schedule the system to backup to run weekly on
5
the day selected in the Day drop-down list.
6 Select OK F1 to save selections and exit.
The backup needs to launch in the Ready mode and will then run in the
background, allowing other operations to be performed.
NOTES If the most recent backup has failed, select PC Admin [F7] and run an
Immediate Backup [F2].
The default password (case sensitive) is Access2Admin.
Step Action
1 Confirm that the system is in the Ready OR Not Ready mode.
2 Open the front panel of the instrument.
3 Locate the Substrate, Dispense and Aspirate probes (see diagram below).
Do not bend probes or damage the fragile probe tips.
To avoid contamination, use a new swab for each type of probe.
NOTES
Do not wipe the tip of the probe. Fibers on or inside of the probes can clog the
probes or valves in the fluidics module.
Gently wipe the exteriors of the three dispense probes located at positions 1, 3
4 and 5 on the wash arm, with a new fiber-free polyester swab moistened with wash
buffer or deionized water.
Gently wipe the exteriors of the three aspirate probes located at positions 2, 4
5 and 6 on the wash arm, with a new fiber-free polyester swab moistened with wash
buffer or deionized water.
Gently wipe the exterior of the substrate probe located at position 7 on the wash
6 arm, with a new fiber-free polyester swab moistened with wash buffer or
deionized water.
7 Close the front panel of the instrument.
8 Document completion of this task on the Maintenance Log.
Step Action
From the Sample Manager screen, enter the sample rack ID number into the
1 Rack ID field and press Enter. The rack will be displayed on the Off Board
list.
A 400 series rack and 2.0 mL cups must be used for the Daily Clean System
NOTE
Routine.
Pipette 2.0 mL of Contrad 70 cleaning solution into the sample cup in position
5
1.
7 Pipette 2.0 mL of Wash Buffer (or deionized water) into the sample cup in
position 3.
NOTE To avoid QNS (Quantity Not Sufficient) errors, fill cups 1, 2 and 3 to the
specified volumes.
8 Select Load Rack F1.
While the Daily Clean rack is processing other racks may be programmed, but
NOTE not loaded until the Utility Assay in Progress message is flashing in System
Mode.
Step Action
From the Sample Manager screen, enter the sample rack ID number into the
1 Rack ID field and press Enter. The rack will be displayed on the Off Board
list.
A 400 series rack and 2.0 mL sample cups must be used for the Special
NOTE
Clean Routine.
2 Select Maintenance Request F4.
3 Select the Special Clean option. Select OK F1.
4 Place 2.0 mL sample cups in rack positions 1 through 6.
Pipette 2.0 mL of Contrad 70 cleaning solution into the sample cup in position
5
1.
Pipette 2.0 mL of a 1/5 dilution of Citranox cleaning solution (1 part Citranox
6
and 4 parts deionized water) into the sample cup in position 2.
Pipette 2.0 mL of Wash Buffer (or deionized water) into the sample cup in
7
position 3.
Pipette 2.0 mL of 70% Alcohol (Ethanol or Methanol diluted 7/10 in wash
8
buffer) into each of the sample cups in positions 4, 5 and 6.
To avoid QNS (Quantity Not Sufficient) errors, fill cups 1 through 6 to the
NOTE
specified volumes.
9 Select Load Rack F1.
10 WAIT until the screen displays the Load Rack window.
11 Load the rack and select Done F1. Select Run.
While the rack is processing other racks may be programmed but not loaded
NOTE
until the Utility Assay in Progress message is flashing in System Mode.
12 Document the completion of this task on the Maintenance Log.
Step Action
1 From the Main Menu select Sample Manager F1 screen.
Enter the sample rack ID into the Rack ID field and press Enter. The
2
rack will be displayed on the Off Board list.
Use a 2500 series rack and 0.5 mL cups to minimize waste of the
NOTE
calibrator material.
Select the appropriate calibrator set (assay and calibrator lot number)
4
from the displayed list of configured calibrators. Select OK F1.
9 Load the rack and select Done F1. Select the Run button.
Step Action
From the Main Menu, select Sample Manager F1, enter the sample rack ID
1 into the Rack ID field and press Enter. The rack will be displayed on the Off
Board list.
3 Select the check boxes for configured QC levels desired, select OK F1.
Select the rack position for the first QC sample, then select Show Test Menu
4 F3 to display all enabled tests. Select all assays to be run on this QC sample.
Repeat for next QC sample position.
Ordering QC does not automatically order specific assays.
NOTES Change Reagent Lot will allow you to select a specific reagent lot to QC
when multiple lots are onboard.
Place the filled QC sample containers into the rack positions that correspond
5
to the positions on the load list displayed on the screen.
8 Load the rack and select Done F1. Select the Run button.
From the Main Menu select Quality Control F4 to review, setup and print QC
9
results.
Introduction
In this chapter you will identify the racks and validated sample containers that are
available on the Immunoassay system. The racks and containers that you use in your
lab are setup by your Applications Specialist during installation. To reduce the risk of
system errors and provide accurate test results it is important to use the appropriate
racks and validated containers when processing samples on the system.
Proper sample collection and handling provides the instrument with a quality specimen
for analysis. Refer to the manufacturer’s sample collection container Instructions for
Use when preparing specimens for analysis.
Practice
Proper rack selection based on the containers used in your lab.
Processing samples with bar codes and LIS programming.
Processing and programming samples without LIS programming.
Calculate the minimum volume needed for a short sample and determine the most
efficient rack and container to process it.
NOTE: How reruns, add-ons and reprints are handled will depend on how your
laboratory’s LIS and/or middleware are configured. Options shown here are at the
analyzer level.
Example: Minimum sample volume required for a CK-MB assay calibration using a 0.5
mL sample cup.
55 uL x 2 + 80 uL = 190 uL
55 uL
+
25 uL
+ x 1 + 150 uL = 240 uL
10 uL
=
90 uL
Rack
Rack Rack
Sample Container Bar Code Dead Volume
Icon Type
Series
16 mm
16 x 75 mm tube 1000 to 1099 700 µL
elevated
Rack
Rack Rack Dead
Sample Container Bar Code
Icon Type Volume
Series
2 mL Sample Cup
(P/N 81902 or 13 mm 400 to 499 150 µL
652730)
3 mL Sample Cup
(P/N 81914) 13 or
500 to 599 150 µL
Caps 16 mm
(P/N 81922A)
1 mL Insert Cup
(P/N 81915) 13 mm 700 to 799 300 µL
in 13 x 75 tube
1 mL Insert Cup
(P/N 81915) 13 mm 600 to 699 400 µL
in 13 x 100 tube
2 mL Insert Cup
(P/N 81917) 16 mm 200 to 299 400 µL
in 16 x 100 tube
Autoaliquot tube
13 mm 1600 to 1699 400 µL
(P/N 2910034)
Step Action
Remove the caps from the sample containers and place them in the
1
appropriate rack designated for the container size.
Verify the container bar code is visible through the slot in the rack and the
2
container is completely seated into the bottom of the rack.
3 From the Main Menu select Sample Manager F1.
Select Load a rack F1. Wait for the Load Rack window. If the system is
4 processing samples, it enters the Paused mode. The system will present a
rack loading location.
Open the sample carousel door, pick up the rack by the top handle and place
5 it onto the sample carousel (refer to image below) and select Done F1.
Continue loading racks until all racks loaded.
Verify there are no red tube icons. Red tube icons indicate a sample tube
NOTE
read error (see Chapter 8: Resolving Sample Errors in this manual).
When all racks are loaded select the Run button to initiate sample
6
processing. Verify the system mode changes from Ready to Running.
Step Action
Remove the caps from the sample containers and place them in the
1
appropriate rack designated for the container size.
2 Verify the container is completely seated into the bottom of the rack.
From the Main Menu select Sample Manager F1. Select a rack button from
2 the off board list, key in or scan in the rack ID number into the Rack ID field
and press Enter.
3 Select Test Request F3 to display the Test Requests screen.
In the Sample ID field, enter the sample ID and press Enter. If needed enter
4
the Patient ID, Dilution Factor, Sample Type, STAT or Comment.
To order tests, select Show Test Menu F3. From the menu (see image
5
below), select desired test(s) to be run on the sample.
Tests can be run in replicates by selecting the desired test button multiple
times.
NOTES
Incorrectly selected tests or undesired replicates can be deleted by
highlighting the test and selecting the Remove button.
Select Load Rack F1. Wait for the Load Rack window. If the system is
6 processing samples, it enters the Paused mode. The system will present a
rack loading location. Load the rack and select Done F1.
Verify there are no red tube icons. Red tube icons indicate a sample tube
NOTE
read error (see Resolving Sample Errors section in this manual).
When all racks are loaded select the Run button to initiate sample
7
processing. Verify the system mode changes from Ready to Running.
NOTE: Your Test Menu will display the assays you have enabled to run on your
system.
From the Test Requests screen, type in the first sample ID and press Enter.
Select More Options F8. Select the desired option(s) and Turn On.
Options can be used singly or simultaneously for programming racks.
Options will stay enabled until turned off or the rack is loaded.
Auto Sample ID simplifies test request entry when not using bar
coded sample ID’s and sample numbers are consecutive.
Auto Sample
ID
Example: If the first sample ID is Sample A1, the next will be
Sample A2 and so on.
Batch Request simplifies test request entry when the same test(s)
are being ordered on subsequent samples.
Batch Request
Example: If the first sample has Test X ordered, after the next
sample ID is entered Test X will be ordered automatically.
Step Action
1 From the Main Menu, select Test Results F2.
On the Test Results screen, select the specific test to be rerun (option use
2
Find F2 to locate specific test).
3 Select Rerun Test F3. The system displays a message.
4 Select OK F1 to complete the request and exit the window.
Place sample into a rack. Select Load a Rack F1. Select Done F1 and then
5
Run.
Follow the step/action table below to add on new test(s) to a sample previously
processed on the system.
Step Action
From the Main Menu select Sample Manager F1. Select a rack button from
1 the off board list, key in or scan in the rack ID number into the Rack ID field
and press Enter.
2 Select Test Request F3 to display the Test Requests screen.
In the Sample ID field, enter the sample ID and press Enter. The previously
3
entered information will populate the field.
To add on tests, select Show Test Menu F3. From the menu select desired
4
test(s) to be run on the sample.
Place sample into a rack. Select Load a Rack F1. Select Done F1 and then
5
Run.
Introduction
The Access 2 creates and stores data for every test sample the system runs. Test
samples include: patient samples, quality control samples and calibration sample sets
as well as some maintenance samples. In this chapter you will learn how to search,
review and print test sample data.
It is important to review the results for calibration and QC before processing samples.
Patient samples should be reviewed for any flags before releasing results.
Calibrator setup.
Reviewing calibration status.
Setting up quality controls.
Reviewing QC charts and data.
Reviewing patient results.
Printing test result reports.
Applying filters to define the displayed patient data.
The system can be setup to automatically print calibration and patient results. You can
also print or reprint reports as needed.
NOTE: Where you review and manage QC and patient test results will be determined
by your laboratory policies and procedures.
______________________________________________________________________
Practice
Configure a calibrator.
Use the information presented in the following pages to navigate to the Calibration
Data screen to review and print a calibration report.
Setup a quality control.
Review Quality Control data and print a Quality Control report.
Review patient results and print a report.
Apply a filter to the Test Results screen.
Step Action
1 From the Main menu, select Calibration F5 to display the Calibration screen.
2 Select Calibrator Setup F5, and then select Add Calibrator F1.
Use the handheld bar code reader to scan the bar code ID’s listed on the
3
calibrator card.
For quantitative multi-level calibrators, you must enter the bar code for
each level in the Bar Code field. The system then displays the level
information in the table.
For qualitative multi-level calibrators, the system populates the calibrator
NOTES levels, stated concentrations and units automatically in the table.
Some calibrators are used to calibrate more than one assay. A separate
calibration card is used for each assay.
If you scan an expired calibrator, the system displays a warning message.
If you cannot scan the bar code ID on the calibration card, you can type
the characters printed underneath the bar code in the Bar Code field.
4 Verify the information you entered is correct and select OK F1.
Step Action
1 From the Main Menu, select Calibration F5.
On the Calibration screen (see image below) select a button for the assay
2
reagent lot you want to review.
Select Review Data F2. The Calibration Data screen (see image on next
3 page) will display the current active calibration curve for the assay you
selected.
You have the option of viewing or printing the previous active calibration or
NOTE the last run calibration by selecting Select Curve F1 and then Previous
Active F2 or Last Run F3.
4 Select Print F7 to print the calibration report.
It is recommended to have the calibration reports set to automatically print
when complete.
From the Main Menu select Configure F8.
NOTE
Select System Setup F1, select Reports Setup F7, and in the Auto
Print section select Calibration Report.
Select OK F1 to save and exit.
NOTE: Not all fields are covered in the table below. See section 6.2 in the Access 2
Operator’s Guide for a complete listing of all Calibration Data screen fields and
descriptions.
NOTE: See the Add a Control window on the next page for reference.
Step Action
From the Main Menu, select Quality Control F4 to display the Quality
1
Control screen, then select QC Setup F4.
Select Add a Control F1. The Add Control window (shown on the next
2
page) is displayed.
3 In the Control field enter a unique quality control name.
4 In the Lot Number field enter a unique quality control lot number.
5 In the Expiration field enter the expiration date of the quality control.
6 In the Sample Type field select a sample type from the drop down list.
In the Test Name field select a test name from the drop down list of tests
7
enabled on the system.
In the Mean field enter the expected mean value you have calculated for the
8
test.
9 In the SD field enter the expected SD you have calculated for the test.
10 In the Unit field the selected test reporting unit s are displayed.
In the Westgard QC Rules boxes select the rule(s) you want to apply to each
11
of the test results.
12 Selecting OK F1 will save and exit the Add a Control window.
13 Clear Row F3 will clear entries made on the currently highlighted selection.
Cancel F8 will exit the Add a Control window without saving any changes or
14
entries made.
15 Selecting Help F12 will open the Add a Quality Control procedure.
To get to the Quality Control screen from the Main Menu, select Quality Control F4
or select the QC status button from any screen.
Westgard Rules
Rule Interpretation
The system marks a data point if it is more than 2 SD from the
1 - 2s
mean.
The system marks a data point if two consecutive points of a given
2 - 2s quality control are more than 2 SD from the mean. The system only
marks the second point.
The system marks a data point if it is more than 3 SD from the
1 - 3s
mean.
The system marks a data point if four consecutive points of a given
4 - 1s quality control are more than 1 SD from the mean in the same
direction. The system only marks the fourth point.
The system marks a point if ten consecutive points of a given
10x control are on the same side of the mean. The system only marks
the tenth point.
NOTE: Not all fields are covered in the table below. See section 7.2 in the Access 2
Operator’s Guide for a complete description of all QC Chart and Data Screen fields.
Function
Key
Description
Filter Displays a list of available filters, sort order and ascending options. Filters
F1 can be selected, created, deleted and edited here.
Find Use to search filtered results for a specific test result. Search by Sample
F2 ID, Rack ID, Patient ID or Test Name.
Rerun
Test Use to rerun the currently selected test(s).
F3
Select to view information about a specific sample.
Information includes:
Patient ID and demographics.
Sample ID.
Sample
Sample Type.
Details
Dilution.
F4
Test Name.
Reference Range.
Result, Comments.
Flags.
Send to
LIS Use to manually send selected results to LIS.
F5
Copy to
Disk Use to copy selected test results to a disk or USB flash drive.
F6
Print Use to print selected test results as Completed Samples, Sample, Test
F7 and Patient reports.
More
Use to change or reorganize the columns displayed on the Test Results
Options
Screen.
F8
Format Description
Prints test results on a landscape page, when there are enough results
to fill a page or when the run is complete. Calibration and maintenance
routine results are not included in this report.
Continuous To setup the automatic print option:
Sample
Report
From the Main Menu select Configure F8.
Select System Setup F1, then Reports Setup F7.
Fill in the header information fields and select the Auto Print option.
Select OK F1 to save and exit.
Prints test result information associated with a particular sample.
Format Description
Prints test result information associated with a particular patient,
identified by the patient ID.
Step Action
1 From the Main Menu select Test Results F2.
In the Test Results screen select Filter F1 and the Filter window (see
2
diagram below) will open.
Select a Filter from the list showing the system-defined filters and any
3
custom filters that have been created.
Select the radio buttons for the desired 1st and 2nd Sort Order. You may
organize the sorts as Ascending by selecting the appropriate box, below
4
the sort order or leaving the boxes unselected will organize the data in a
descending order.
5 Select OK F1 and the filter will be applied to the test result data.
If you select a filter that has a date and time parameter you will be prompted
NOTE to select a date and time range in the Specify a Date Range box, then
select OK F1 to apply the filter.
For optimal performance, the Access 2 system requires routine maintenance. Routine
maintenance includes: Daily Maintenance (covered in Chapter 3: Daily Start Up),
Weekly Maintenance, system verification and the Utility Assay.
Review the system IFU or quick Reference Guide for Warnings, Cautions, Important,
Notes, and Tip alerts as well as step-by-step instructions.
______________________________________________________________________
Practice
Weekly Maintenance tasks.
Verify your system performance by running System Check.
Document your actions on the Maintenance Log.
Step Action
1 Moisten a clean lint-free cloth with deionized water.
Deionized water is the recommended cleanser for the exterior surfaces of
NOTE
the instrument.
2 Wipe the exterior of the instrument with the moistened cloth.
3 Document completion of this task on the Maintenance Log.
Signs of deterioration include (but are not limited to) discoloration, cracking,
crazing (spider web like cracking) and bulging.
Inspect the color of the liquid waste bottle. Observe if the color has changed
from opaque white (new bottles) to yellow, orange or pink (deteriorated bottles).
If you observe a change in color, replace the bottle.
Inspect the area of the bottle that is nearest the handle and along all seams of
the bottle for cracking or crazing (spider web cracking), which are signs of
deterioration. If you observe cracking or crazing, replace the bottle.
Inspect the waste bottle for bulges. NOTE: If you detect any bulges, contact
Technical Support to discuss the inspection findings and any further action.
NOTES:
The entire waste filter assembly must be replaced if liquid is present.
Once a year the entire waste filter bottle assembly should be replaced.
Step Action
Unscrew the waste filter bottle from the top of the waste bottle filter
1
assembly.
The filter is a biohazard. It has sharp edges and is made of fiberglass.
WARNING
Do not touch any portion of the filter. Do not place hand into the bottle.
Immediately place the filter into a clean, dry spare bottle and screw on the
2
top of the waste bottle filter assembly.
Decontaminate and dispose of the bottle contents according to your
3
laboratory procedures.
Rinse the dirty bottle twice with tap water and allow the bottle to air dry for
4
future use. Dirty bottles may also be autoclaved.
5 Document completion of this task on the Maintenance Log.
Step Action
1 Confirm that the system is in the Ready OR Not Ready mode.
2 Open the front panel of the instrument.
3 Visually inspect the primary probe for damage.
If the primary probe is bent or damaged, call Technical Support for
NOTE
assistance.
Inspect the upper portion (see diagram below) of the primary probe for
4 crystalline buildup. If any buildup is present carefully wipe the upper
portion with an alcohol pad or lint free cloth dampened with alcohol.
Do not wipe the tip of the probe. Fibers on or in the probe tip can clog the
CAUTION
probe or pump valve.
5 Close the front panel of the instrument.
6 Document completion of this task on the Maintenance Log.
Step Action
1 Confirm that the system is in the Ready OR Not Ready mode.
Turn the instrument off by pressing the lower portion of the black power
2 switch on the lower right side of the instrument to the off position.
Open the front panel. The aspirate probes are at positions 2, 4 and 6 on the
3 wash arm (see top figure on the next page).
The top cover may also be opened to allow for more light into the interior of
NOTE the instrument.
Gently grasp a black aspirate probe retainer above the wash arm. Gently
4 pushdown on the retainer, then rotate it 1/4 turn counterclockwise.
While holding the probe by the black probe retainer, lift up to remove the
5 probe from the wash arm. Be careful not to bend the probe.
Handle probes with care. The probes are fragile and will not function
NOTE correctly if bent.
At the barbed fitting, grasp and pull the aspirate probe tubing until it
6 separates from the fitting (see bottom figure on the next page). Set the
probe aside for cleaning.
Install a clean aspirate probe. Push the aspirate probe tubing onto the
7 barbed fitting of a clean aspirate probe, being careful not to damage the
barbed fitting or probe assembly.
Confirm that the tubing is pushed all the way on to the barbed fitting
collar.
NOTES
Route the tubing under both the clear, rigid pipettor tubing and the wiring
located to the left of the pipettor gantry.
From the top of the wash arm, carefully route the clean probe down through
8 the opening in the wash arm. Rotate the black probe retainer until the two
tabs engage the slots in the wash arm.
While holding the probe by the black probe retainer, gently push down on
the retainer and then turn it 1/4 turn clockwise. Lift gently on the probe
9 tubing to be sure the probe moves up and down and is securely locked into
place on the wash arm.
10 Repeat steps 4 through 9 to install the other two clean aspirate probes.
11 Close the front panel and top cover of the instrument.
12 Turn the instrument on by pressing the upper part of the power switch to on.
13 Document completion of this task on the Maintenance Log.
Step Action
Dip the aspirate probe brush in the undiluted Contrad 70 cleaning solution.
Carefully insert the aspirate probe brush into the bottom end of the aspirate
2
probe and push it in until the brush tip protrudes slightly from the other end
of the probe.
Do not scrub the brush in and out, the interior of the probe may become
NOTE
scored by this action.
Remove the brush. Repeat steps 2 through 3 several times on the same
3 probe, or until no orange residue is visible on the brush after removing it
from the probe.
Repeat steps 2 and 3 for the other two aspirate probes using the same
4
aspirate probe brush.
Step Action
Using the beaker of Contrad 70 from the pre-cleaning step, fill the syringe
1 with Contrad 70
Attach the syringe fitting assembly on to the syringe (see diagram below).
2 Push the plastic barbed fitting of the aspirate probe into the open end of the
tubing on the syringe fitting assembly.
Empty the syringe, forcing the solution through the probe and back into the
3 beaker.
Flush the probe again by drawing the Contrad 70 cleaning solution into the
4 syringe through the aspirate probe and then emptying the syringe through
the probe into the beaker.
5 Remove the probe from the syringe fitting assembly tubing and set aside.
6 Repeat steps 1 through 5 on the remaining two aspirate probes.
Step Action
1 Fill a beaker with approximately 50 mL of distilled water.
2 Draw distilled water from the beaker into the syringe.
3 Attach the probe tubing at the barb to the syringe fitting assembly.
4 Empty the syringe, forcing the distilled water into a sink or waste container.
5 Rinse the probe three more times by repeating steps 2 through 4.
6 Remove the aspirate probe tubing from the syringe fitting.
7 Carefully wipe the exterior of the probe with an alcohol pad.
Position the probe upright on absorbent lint free paper for about 10 minutes
8
to allow for any residual fluid to drain.
9 Repeat steps 2 through 7 for the remaining two aspirate probes.
Store the cleaned aspirate probes in your CARE kit for the next weekly
10
maintenance.
NOTE: For more detailed information about System Check see sections 3.5 and 5.11
of the Access 2 Reference Manual.
Step Action
1 Select a 400 series rack for 2.0 mL cups.
From the Main Menu select Sample Manager F1 and enter the rack ID
2
number.
3 In the Off Board rack select Maintenance Request F4.
4 Select the System Check box and select All from the list. Select OK F1.
5 Place empty 2.0 mL cups in positions 7, 8, 9 and 10.
6 In cup 7 pipette 2.0 mL of undiluted System Check Solution.
NOTE Sample cup 7 should be full, but not higher than the top of the cup.
7 In cup 8 pipette at least 1.0 mL of wash buffer.
8 Leave cup 9 empty.
9 In cup 10 pipette 1.0 mL of 1:501 diluted System Check Solution.
10 Select Load Rack F1. Wait for the Load Rack window.
11 Load the rack and select Done F1.
12 Select Run.
When performing weekly maintenance, you can select the Daily Clean
NOTE System or Special Clean option to combine the routines. Fill the indicated
cups with the appropriate cleaning solutions.
Step Action
1 From the Main Menu, select Maintenance Review F6.
Select System Checks F2. The most recent System Check will be
2
indicated by the blue cursor on the System Checks screen.
3 Select System Check Data F2 to display the System Check Data screen.
Select the System Check result you want to view or print. The default
4
selection displayed will be the most recent System Check run.
5 Select Print F7 to print the System Check report.
6 Review the report for Pass or Fail of System Check tests.
If all tests Pass, record the results of the System Check routine in the
7
appropriate section of the Maintenance Log.
If any tests Fail, repeat the entire routine with all fresh solutions.
Troubleshoot any repeat failures before using the system to process
8
samples (see Troubleshooting System Check Failures in Chapter 8 of
this manual).
Introduction
It is recommended to keep a troubleshooting log for your instrument. The log may
consist of printed Event Log pages, screen printouts, test result reports or notes from
consultation with Field Service and Technical Support. A Troubleshooting Log form is
provided in the appendix of the Access 2 Reference Manual (A-9).
Practice
Step Action
1 From the Main Menu, select Maintenance Review F6.
The Utility Assay is enabled if function key F6 reads Disable Utility
2
Assay.
It is recommended that this idle time Utility Assay be enabled for
optimal performance of your system.
NOTES
The Utility Assay uses three RVs, three RV Waste Bag spaces and
three tests of substrate for every four hours the system is idle.
Step Action
1 From the Main Menu select Maintenance Review F6.
2 Select Run Utility Assay F5, then select Yes F1.
The Utility Assay will launch and the system mode will change from
3
Ready to Running.
Step Action
Resolve sample tube read errors by selecting the rack containing a red tube
1
icon.
In the Test Requests screen look for errors in the Status field for the
3 sample that is indicated by the red tube icon. The specific error will be
shown in red font.
Select Get/Edit Rack F1. The rack will return to the loading position,
4
allowing errors to be corrected while the rack is on board.
Make the necessary corrections. Once corrections have been made, select
5
Done F1.
The rack will be rescanned by the system. Verify the red tube icon turns
6
blue indicating the sample tube read error has been resolved.
Step Action
2 Select the caution or warning event you want to get information for.
If multiple causes for the event are listed, the most common cause will
be at the top of the list.
NOTES Start your troubleshooting with the most likely cause.
If the most common cause does not resolve the problem, move to the
next most common cause.
Select the green Help link text to get to the detailed troubleshooting
4
instructions.
Help is not available for all events and may require you to contact
NOTE
Technical Support for assistance.
Step Action
1 From the Main Menu, select Maintenance Review F6.
2 Select System Checks F2.
3 Select System Check Data F2 to display the System Checks Data screen.
4 Select Help to display the System Check Data screen topics.
Select the green System Check Routine Expected Results link to open
5
the System Check Routine Expected Results window.
Find the green link System Check Troubleshooting topic and select it.
6
Help for specific types of System Check test failures will be shown.
There are four System Check Troubleshooting tables:
Step Action
8 Select the green Show me link next to the icon to open the table.
A table will open with two columns: Symptoms and Possible Causes with
9
links to corrective actions.
10 Find the Symptom that most closely relates to the failure.
Possible Causes are listed from the most common at the top and move
11
downwards to less common causes.
12 Follow the Corrective Action instructions to resolve the problem.
13 Run the System Check routine to confirm resolution of the problem.
If the problem is not resolved, follow the instructions for the next most
14 common Possible Cause and rerun the System Check routine to check for
resolution of the problem.
Continue following the above steps until the system passes all System
15
Check tests and is verified for use.
NOTE Some Corrective Action items will direct you to Contact Technical Support.
Step Action
Highlight the caution message for the failed assay calibration and select the
2
Troubleshoot F2 function key.
3 The Calibration failed for assay XXX Help window will open.
First is the Reason Code for the failure, located below the status field on
the calibration report.
The second is the general perception of the calibration assay’s precision
NOTES as represented by the %CV’s.
Use your lab protocol for determining if the precision is generally good or
generally poor.
The Assay Protocol File (APF) contains all of the parameters used to
determine pass or fail of an assay calibration, this information is not
available for review.
Match the failed assay calibration Reason Code and Precision to the
6
descriptions in the Symptoms column of the table.
Read across to the Possible Causes to find the Corrective Action needed
7 to resolve the failed assay calibration. The most common causes of failure
will be listed first.
Select the green link for the failure and follow the Help instructions to correct
8
the problem and run a new calibration.
To get to the Quality Control screen from the Main Menu, select Quality Control F4
or select the QC status button from any screen.
Confirm that there were no Yellow or Red system events that occurred during
the time the QC was processing, by reviewing the Event Log.
o If any system events are found, correct these prior to troubleshooting the
failed QC result(s).
If there are no Yellow or Red events in the Event Log and maintenance was
performed correctly then troubleshoot the failed QC material.
NOTE: More Quality Control troubleshooting help can be found in section 7.5
Establishing QC Ranges in the Access 2 Operator’s Guide and Table A-18 in the
Access 2 Reference Manual.
If something occurs while a sample is running, the system associates a flag to the test
result.
Use the Sample Details window to read the flag description associated with a result.
Select Troubleshoot F2 to find troubleshooting information about the flag.
There are two types of test result flags.
Select the green flag and the flag description and corrective action will be displayed.
o Example: Review the Event Log and troubleshoot according to the error events
with a similar date and time to this event.
NOTE: The system may print the same flag twice on a sample report. Ignore the duplicate flag.
Some flags may require corrective action before a result can be reported.
o Example: EXS (substrate is expired) would require changing the substrate and
repeating the test.
o Example: RFX (reflex test result) is a valid result and no corrective action is
necessary.
If you have questions about the result, or if the problem persists, contact Technical
Support.
Calibration Expired Critical Range High Critical Range Low Expired Substrate
Gray Zone Result Reagent Lot LIS Range High LIS Range Low
Expired
Reagent Pack Quality Control Quality Control Lot Reflex Test Result
Expired Failure Expired
NOTE: Additional information and corrective actions can be found in the Access 2 IFU in the
Troubleshooting section and in Tables A - 20 and A - 21 of the Access 2 Reference Manual.
Introduction
This chapter identifies and describes resources available to assist you with the
operation and maintenance of your Access 2 Immunoassay System.
Applications Specialist:
Provides installation support.
Your applications specialist is ___________________________
(Name)
Access 2 Assay Reagent and Calibrator Instructions for Use can be found using
the following pathway from the website:
Access 2 Safety Data Sheets (SDS/MSDS) can be found using the following
pathway from the website:
On Demand
Access 2 Overview
Instructor Led
Access 2 Basic Operations Class: Course description
The competency exercise should be completed by the end of the in-lab training session.
All materials supplied with the Access 2 Immunoassay System or used during training
may be used to complete this exercise. The exercise is a combination of performing
learned skills and knowledge review.
1. Match each hardware component listed below with its component function:
C
Process Sample Racks
Analytical Module and Reagent Pack
Storage
D
Sample / Reagent Pickup
Fluidics Module and Delivery to
Reaction Vessels
2. Use the following words: Wait / Run / Done / Tell / Do, to fill in the blanks on how
to communicate with the Access 2:
________ the Access 2 what you want to do by selecting a function button or key.
__________ until the Access 2 says it is ready, a pop-up window will indicate that
the system is ready. ________ the task as directed.
Press _______ to let the Access 2 know you are finished. If appropriate, press
________ to initiate system action.
T or F Statement
T F You can only use the mouse to navigate the system software.
4. Use the Help onboard your Access 2 system to identify the name of each System
Status Button and the potential colors it may turn to alert the user of a condition
requiring attention: N = neutral, Y = yellow, R = red.
N Y R
N Y R
N Y R
N Y R
N Y R
N Y R
N Y R
N Y R
N Y R
N Y R
6. Which button do you select to display specific information about the screen you are
on or to navigate to lists of related topics? ________.
a. Help
b. Event Log
7. Selecting the ________ ________ system status button will display information
about samples for which the system cannot schedule tests.
a. Work Pending
b. Supplies Required
8. The screen specific function buttons correspond to the keyboard ________ keys.
a. Number
b. Function
c. Letter
10. The ________ Help Link button can be selected to display a graphic illustration.
a. Camera
b. Magnifying Glass
11. Place a D in each box for all of the daily maintenance tasks in the table below:
12. Where should you go to view the system temperatures? Circle the correct answer.
Supplies F3
Diagnostics F7
Maintenance Review F6
Sample Manager F1
14. TRUE or FALSE? Daily or Special Clean routines must be run in a 400 series rack
in 2.0 mL cups.
15. A newly loaded bottle of substrate has ________ tests available and expires after
________ days onboard the system.
a. 500 / 20
b. 600 / 14
16. TRUE or FALSE? One Texwipe swab can be used to clean all of the probes on the
wash arm.
17. If you run the ________ assay you should process a Special Clean routine at the
end of the day or if the system will not process samples for 8 hours or more.
a. Vitamin D
b. Vitamin B12
18. TRUE or FALSE? The Reagent Inventory gives detailed pack information
regarding pack status such as pack expiration and calibration expiration.
19. How many tests are available in a new (un-punctured) pack? _________.
a. 50
b. 25
c. 75
20. TRUE or FALSE? If crystalline deposits are found when inspecting the fluidics
module you should contact Technical Support for assistance.
22. Match the sample container size with the correct rack series that should be used to
process samples:
B
16 x 100 mm tube
400 to 499
1 mL insert in a C
13 x 75 mm tube 1300 to 1399
D
13 x 100 mm tube
2500 to 2599
E
2.0 mL cup
700 to 799
F
13 x 75 mm tube
1400 to 1499
23. TRUE or FALSE? If you have samples that have bar codes and host programming
in your laboratory information system, the tests will automatically be ordered when
the sample bar code is read.
24. Use the sample pick up volumes given for each assay to calculate the minimum
sample volume required to process one level of quality control for CK-MB (55 uL),
HCG5 (25 uL) and Ferritin (10 uL) using a 0.5 mL cup ________.
25. When you select Done F1 after loading a rack you must also select _________ to
start sample processing.
a. Stop
b. Pause
c. Run
26. Place a W in each box for all of the weekly maintenance tasks in the table below:
28. The system power must be ________ when replacing the aspirate probes.
a. On
b. Off
29. List the three steps involved in cleaning the aspirate probes:
__________________________
__________________________
__________________________
30. Following weekly maintenance you should run the ________ ________ routine to
verify system performance.
a. System Check
b. Carry Over
31. TRUE or FALSE? The utility assay should be enabled on your system for optimal
system performance.
32. Practice and review any additional tasks from the In-Lab Training Manual required of
your role and responsibilities in your lab.
33. You have completed the competency check. Have your trainer compare the
answers of your completed competency check with the Reference Key and review
any questions you might have.
CONGRATULATIONS!
________________________________________ __________________
Beckman Coulter Representative Date
Analyzer Overview
1. Match each hardware component listed below with its component function:
C
Process Sample Racks
Analytical Module B and Reagent Pack
Storage
D
Sample / Reagent Pickup
Fluidics Module A and Delivery to
Reaction Vessels
Tell the Access 2 what you want to do by selecting a function button or key.
Wait until the Access 2 says it is ready, a pop-up window will indicate that the
system is ready.
Do the task as directed.
Press Done to let the Access 2 know you are finished. If appropriate, press Run to
initiate system action.
3. Circle T for true statements and F for false statements in the table below:
T or F Statement
T F You can only use the mouse to navigate the system software.
4. Identify the name of each System Status Button and the potential colors it may turn
to alert the user of a condition requiring attention: N = neutral, Y = yellow, R = red.
WASH BUFFER R
LIQUID WASTE R
SUBSTRATE Y R
REACTION
Y R
VESSELS
RV WASTE BAG Y R
QUALITY
R
CONTROL
EVENT LOG Y R
WORK PENDING Y
SUPPLIES
Y
REQUIRED
HELP N
6. Which button do you select to display specific information about the screen you are
on or to navigate to lists of related topics? ________.
c. Help
d. Event Log
7. Selecting the ________ ________ system status button will display information
about samples for which the system cannot schedule tests.
c. Work Pending
d. Supplies Required
8. The screen specific function buttons correspond to the keyboard ________ keys.
d. Number
e. Function
f. Letter
10. The ________ Help Link button can be selected to display a graphic illustration.
c. Camera
d. Magnifying Glass
11. Place a D in each box for all of the daily maintenance tasks in the table below:
12. Where should you go to view the system temperatures? Circle the correct answer.
Supplies
Diagnostics
Maintenance Review
Sample Manager
14. TRUE or FALSE? Daily or Special Clean routines must be run in a 400 series rack
in 2.0 mL cups.
15. A newly loaded bottle of substrate has 600 tests available and expires after 14 days
onboard the system.
a. 500 / 20
b. 600 / 14
16. TRUE or FALSE? One Texwipe swab can be used to clean all of the probes on the
wash arm.
17. If you run the VITAMIN B 12 assay you should process a Special Clean routine at
the end of the day or if the system will not process samples for 8 hours or more.
a. Vitamin D
b. Vitamin B12
18. TRUE or FALSE? The Reagent Inventory gives detailed pack information
regarding pack status such as pack expiration and calibration expiration.
a. 50
b. 25
c. 75
20. TRUE or FALSE? If crystalline deposits are found when inspecting the fluidic
module you should contact Technical Support for assistance.
22. Match the sample container size with the correct rack series that should be used to
process samples:
B
16 x 100 mm tube A
400 to 499
1 mL insert in a C
E
13 x 75 mm tube 1300 to 1399
D
13 x 100 mm tube F
2500 to 2599
E
2.0 mL cup B
700 to 799
F
13 x 75 mm tube C
1400 to 1499
23. TRUE or FALSE? If you have samples that have bar codes and host programming
in your laboratory information system, the tests will automatically be ordered when
the sample bar code is read.
24. Use the sample pick up volumes given for each assay to calculate the minimum
sample volume required to process one level of quality control for CK-MB, HCG5
and Ferritin assays using a 0.5 mL cup 170 uL.
25. When you select Done F1 after loading a rack you must also select Run to start
sample processing.
a. Stop
b. Pause
c. Run
26. Place a W in each box for all of the weekly maintenance tasks in the table below:
28. The system power must be OFF when replacing the aspirate probes.
a. On
b. Off
29. List the three steps involved in cleaning the aspirate probes:
PRE-CLEANING
CLEANING
RINSING
30. Following weekly maintenance you should run the SYSTEM CHECK routine to
verify system performance.
a. System Check
b. Carry Over
31. TRUE or FALSE? The utility assay should be enabled on your system for optimal
system performance.
32. Practice and review any additional tasks from the In-Lab Training Manual required of
your role and responsibilities in your lab.
33. You have completed the competency check. Have your trainer compare the
answers of your completed competency check with the Reference Key and review
any questions you might have.