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    Operators Manual

    List Number 08H56-02

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    CELL-DYN Ruby System Operators Manual i9140559ESeptember 2013

    Revision Status

    Document ControlNumbers

    RevisionDate

    Section(s)Revised

    Pages Revised,Added or Deleted

    LN08H56-01A/

    LN08H56-02

    9212934A (TEXT)

    9159955A (CD ROM)

    May 2006 9140559A

    Revision and Status Log

    Initial release; all sections

    new.

    9140540AForeword

    9140541A

    Master Table of Contents

    9140542A

    List of Figures

    9140543AList of Tables

    9140544ASystem

    Documentation

    9140545A

    Use or Function

    9140546A

    Installation Procedures and

    Special Requirements

    9140547A

    Principles of Operation

    9140548A

    Performance Characteristics

    and Specifications

    9140549A

    Operating Instructions

    9140550A

    Calibration Procedures

    9140551A

    Operational Precautions and

    Limitations

    9140552A

    Hazards

    9140553A

    Service and Maintenance

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    9140554ATroubleshooting and

    Diagnostics

    9140555A

    Quality Control

    9140556A

    Reticulocyte Package

    9140561AAppendices

    9140562AIndex

    LN08H56-03A/

    LN08H56-02B9212934B (TEXT)

    9159955B (CD ROM)

    August

    2006

    9140559B

    Revision and Status Log

    9140540BForeword

    9140541B

    Master Table of Contents

    9140542B

    List of Figures

    9140545B

    Use or Function

    9140549BOperating Instructions

    9140552B

    Hazards

    9140553B

    Service and Maintenance

    9140561BAppendices

    LN08H56-03B/

    LN08H56-02C

    9212934C (TEXT)

    9159955C (CD ROM)

    July 2008 9140559C

    Revision and Status Log

    9140540CForeword

    9140541C

    Master Table of Contents

    9140542C

    List of Figures

    9140543BList of Tables

    Document Control

    Numbers

    Revision

    Date

    Section(s)

    Revised

    Pages Revised,

    Added or Deleted

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    9140544BSystemDocumentation

    9140545C

    Use or Function

    9140546B

    Installation Procedures and

    Special Requirements

    9140547B

    Principles of Operation

    9140548B

    Performance Characteristicsand Specifications

    9140549C

    Operating Instructions

    9140550B

    Calibration Procedures

    9140551B

    Operational Precautions and

    Limitations

    9140552C

    Hazards9140553C

    Service and Maintenance

    9140554B

    Troubleshooting and

    Diagnostics

    9140555B

    Quality Control

    9140556B

    Reticulocyte Package

    9140561CAppendices

    9140562BIndex

    Document Control

    Numbers

    Revision

    Date

    Section(s)

    Revised

    Pages Revised,

    Added or Deleted

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    iv CELL-DYN Ruby System Operators Manual9140559ESeptember 2013

    LN08H56-03D/LN08H56-02E

    9212934D (TEXT)

    9159955F (CD ROM)

    December2008

    9140559DRevision and Status Log

    9140540DForeword

    9140541D

    Master Table of Contents

    9140542D

    List of Figures

    9140543CList of Tables

    9140545DUse or Function

    9140546C

    Installation Procedures and

    Special Requirements

    9140547C

    Principles of Operation

    9140548C

    Performance Characteristics

    and Specifications

    9140549DOperating Instructions

    9140550C

    Calibration Procedures

    9140551C

    Operational Precautions and

    Limitations

    9140552D

    Hazards

    9140553D

    Service and Maintenance9140554C

    Troubleshooting and

    Diagnostics

    9140555C

    Quality Control

    9140556C

    Reticulocyte Package

    Document Control

    Numbers

    Revision

    Date

    Section(s)

    Revised

    Pages Revised,

    Added or Deleted

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    9140561DAppendices

    9140562CIndex

    LN08H56-03F/

    LN08H56-02F

    9212934E (TEXT)

    9159955G (CD ROM)

    September

    2013

    9140559E

    Revision and Status Log

    ALL

    9140540EForeword ALL

    9140541E

    Master Table of Contents

    ALL

    9140542E

    List of Figures

    ALL

    9140543DList of Tables ALL

    9140544CSystem

    Documentation

    ALL

    9140545E

    Use or Function

    ALL

    9140546D

    Installation Procedures and

    Special Requirements

    ALL

    9140547D

    Principles of Operation

    ALL

    9140548D

    Performance Characteristics

    and Specifications

    ALL

    9140549E

    Operating Instructions

    ALL

    9140550D

    Calibration Procedures

    ALL

    9140551D

    Operational Precautions and

    Limitations

    ALL

    9140552E

    Hazards

    ALL

    9140553E

    Service and Maintenance

    ALL

    9140554D

    Troubleshooting and

    Diagnostics

    ALL

    Document ControlNumbers

    RevisionDate

    Section(s)Revised

    Pages Revised,Added or Deleted

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    9140555DQuality Control

    ALL

    9140556D

    Reticulocyte Package

    ALL

    9140561EAppendices ALL

    9140562DIndex ALL

    Document Control

    Numbers

    Revision

    Date

    Section(s)

    Revised

    Pages Revised,

    Added or Deleted

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    Revision Log

    Instructions: Use this log to provide a permanent record to verify that revised chapter(s) and/or page(s) have

    been added to your paper manual.

    1. Record the document control number of the revised section in the first column. You will find the number in

    the footer. Make an entry for each chapter you receive and place the revised section(s) in the manual.

    2. Record the revision date, also found in the footer, in the second column.

    3. Record the current CELL-DYN Ruby software version in the third column.

    4. Write your initials or signature in the fourth column to verify that you have placed the revised page(s) in the

    manual.

    5. Record the date that you added the revised section to the manual in the fifth column.

    Document

    ControlNumber

    RevisionDate

    SoftwareVersion

    Revision

    Incorporatedby

    DateIncorporated

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    NOTES

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    CELL-DYN Ruby System Operators Manual i9140540ESeptember 2013

    Foreword

    Congratulations on becoming the operator of a CELL-DYN Ruby. Your System,which includes state-of-the-art technology, is designed to function consistently and

    dependably from day to day.

    The CELL-DYN Ruby is backed by dedicated professionals who excel in

    engineering, medical technology, training, and service. As part of the customer

    training program, we will teach you to operate, maintain, and troubleshoot your

    System.

    Abbott Laboratories is dedicated to manufacturing the highest quality, most

    reliable instrumentation available. We look forward to serving your needs in any

    way possible.

    Customer ServiceIf you need information or help in diagnosing a problem, technical assistance is

    available by telephone. In the USA, this service is available by calling Abbott

    Diagnostics Customer Service 24 hours a day, seven days a week.

    United States: 1-877-4ABBOTT (1-877-422-2688)

    Canada: 1-800-387-8378

    Outside of USA and Canada: Contact your Country Service and Support

    Representative.

    For correspondence, the address in the USA is:

    Abbott Diagnostics DivisionCustomer Service

    200 Abbott Park Road

    Abbott Park, IL 60064, USA

    Proprietary Statement

    The CELL-DYN Ruby software programs and system documentation are protected

    by copyright (2008 and 2013). All rights are reserved.

    The software and manual were developed solely for use with the CELL-DYN Ruby

    and for in vitrodiagnostic applications as specified in the operating instructions.

    The information and related graphics published herein (the Information) are thesole property of Abbott Laboratories. Permission to use the Information is granted,

    provided that:

    the copyright notice appears on all copies;

    use of the Information is for operation of Abbott products by Abbott trained

    personnel or informational use only;

    the information is not modified in any way; and

    no graphics are used separate from accompanying text.

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    Each person assumes full responsibility and all risks arising from use of the

    Information. The Information is presented as isand may include technical

    inaccuracies or typographical errors. Abbott Laboratories reserves the right to

    make additions, deletions, or modifications to the Information at any time withoutany prior notification.

    Patent Statement

    The CELL-DYN Ruby is covered by one or more of the following USA Patents:

    5,017,497; 5,378,633; 5,510,267; 5,733,784. Additional patents may be pending.

    Disclaimers

    All samples (printouts, graphics, displays, screens, etc.) are for information and

    illustration purposes only and shall not be used for clinical or maintenance

    evaluations. Data shown in sample printouts and screens do not reflect actualpatient names or test results. Labels depicted in the manual may appear different

    from actual product labels.

    Abbott Laboratories makes no representations or warranties about the accuracy and

    reliability of the information contained in or printed from the CELL-DYN Ruby

    Operators Manual CD-ROM.

    The information was developed to be used by Abbott Laboratories trained

    personnel, by other persons knowledgeable or experienced with the operation and

    service of the product identified, or under the direct supervision and with

    cooperation from Abbott Laboratories technical sales or service representatives.

    In no event shall Abbott Laboratories or its affiliates be liable for any damages or

    losses incurred in connection with or arising from the use of the information on thismedia by persons not fully trained by Abbott Laboratories. This limitation shall not

    apply to those persons knowledgeable or experienced with the operation and

    service of the product identified, or under the direct supervision and with

    cooperation from Abbott Laboratories technical sales or service representatives.

    No confidential relationship shall be established in the event that any user of the

    Information should make any oral, written or electronic response to Abbott

    Laboratories (such as feedback, questions, comments, suggestions, ideas, etc.).

    Such response and any information submitted therewith shall be considered non-

    confidential, and Abbott shall be free to reproduce, publish, or otherwise use such

    information for any purposes whatsoever including, without limitation, the

    research, development, manufacture, service, use, or sale of products incorporatingsuch information. The sender of any information to Abbott is fully responsible for

    its content, including its truthfulness and accuracy and its non-infringement of any

    other persons proprietary rights.

    Abbott Laboratories is not engaged in rendering medical advice or services.

    Updates to the information may be provided in either paper or electronic format.

    Always refer to the latest documents for the most current information.

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    List numbers are unique identifiers that are used when ordering products. The list

    number and quantity provided in Appendix A:Parts and Accessoriesare intended

    for guidance only and are subject to change. Contact your Abbott representative for

    the most current information regarding list numbers.

    All operating instructions must be followed. In no event shall Abbott be

    responsible for failures, errors, or other liabilities resulting from customers non-

    compliance with the procedures and precautions outlined herein.

    The CELL-DYN Ruby is a Class I Laser Product per IEC 60825-1 (2007). Use of

    controls or adjustments or performances of procedures other than those specified

    may result in hazardous radiation exposure.

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    iv CELL-DYN Ruby System Operators Manual9140540ESeptember 2013

    Warranty Statement for USA Customers Only

    Abbott Laboratories warrants the CELL-DYN Ruby Analyzer, sold by Abbott

    Sales Representatives, to be free of defects in workmanship and materials duringnormal use by the original purchaser. This warranty shall continue for a period of

    one (1) year, commencing twenty-one (21) days from the date of shipment to the

    original purchaser or until title is transferred from the original purchaser,

    whichever occurs first (the Warranty Period).

    If any defects occur during the Warranty Period, contact your Abbott Customer

    Support Center immediately and be prepared to furnish pertinent details

    concerning the defect, the model number, and the serial number.

    Abbotts Warranty coverage limits are as follows:

    1. Abbott Customer Service: 24 hours per day, 7 days per week phone support

    in the United States.

    2. Field Service Representative support: 8:30 A.M. to 5:00 P.M. Monday

    through Friday (excluding all Abbott-observed holidays).

    3. Any on-site service performed at other times and all service required to

    correct defects or malfunctions not covered by this Warranty (as noted in the

    paragraph below) will be billed at Abbotts labor rates then in effect.

    This Warranty does not cover defects or malfunctions which:

    1. Are not reported to Abbott during the Warranty Period and within one week

    of occurrence.

    2. Result from chemical decomposition or corrosion.

    3. Are caused primarily by customer or third party abuse, misuse, or negligence,

    or by failure to comply with any requirement or instruction contained in theapplicable Abbott Operations Manual.

    4. Result from maintenance, repair, or modification performed without Abbotts

    authorization.

    Abbotts liability for all matters arising from the supply, installation, use, repair,

    and maintenance of the Instrument, whether arising under this Warranty or

    otherwise, shall be limited solely to the repair or (at Abbotts sole discretion)

    replacement of the Instrument or of components thereof. In no event shall Abbott

    be liable for injuries sustained by third parties, incidental or consequential

    damages, or lost profits. Replaced parts shall become the property of Abbott

    Laboratories.

    THE FOREGOING IS THE SOLE WARRANTY MADE BY ABBOTT

    LABORATORIES REGARDING THE INSTRUMENT; AND ABBOTT

    SPECIFICALLY DISCLAIMS ALL OTHER WARRANTIES, EXPRESSED

    OR IMPLIED, INCLUDING THE IMPLIED WARRANTIES OF

    MERCHANTABILITY AND OF FITNESS FOR A PARTICULAR

    PURPOSE.

    The CELL-DYN Ruby is manufactured by Abbott Diagnostics Division, Abbott

    Laboratories, Abbott Park, IL 60064, USA. Please direct all inquiries concerning

    information in this manual to the foregoing address.

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    CELL-DYN Ruby System Operators Manual v9140540ESeptember 2013

    Regulatory and Safety Agency Approvals

    Trademark Statements

    CELL-DYN Sapphire, CELL-DYN Ruby, eQC, MAPSS, CELL-DYN and

    CELL-DYN HemCal are trademarks of Abbott Laboratories in various

    jurisdictions.

    All other trademarks are the property of their respective owners.

    All Abbott Laboratories product names and trademarks are owned by or licensed

    to Abbott Laboratories, its subsidiaries or affiliates. No use of any Abbotttrademark, trade name, trade dress, or product name may be made without the prior

    written authorization of Abbott Laboratories, except to identify the product or

    services of Abbott Laboratories. All other trademarks, brands, product names, and

    trade names are the property of their respective companies. All rights reserved.

    Except as permitted above, no license or right, express or implied, is granted to any

    person under any patent, trademark, or other proprietary right of Abbott

    Laboratories.

    In Vitro Diagnostic Directive 98/79/EC

    Legal Manufacturer Abbott Laboratories

    Abbott Park, IL 60064, USA

    Authorized Representative ABBOTT

    Max-Planck-Ring 265205 Wiesbaden

    Germany

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    Symbols

    The symbols listed below are used in labeling for the CELL-DYN Ruby, including that on the instrument,

    reagents, calibrator, controls, and in this manual.

    Instrument/Power related

    Symbol Definition/Use Symbol Definition/Use

    Alternating Current

    InputPressure 1

    Application Software Pressure 2

    Busy Pressure 3

    Fault Ready

    Filter 1 or 2 Reservoir

    Frequency Revision

    HGB Flow Cell Serial Number

    Line Voltage Set-Up Disk

    Maximum Power Shear Valve

    Mixing ChamberStand By

    Model Number Trap

    OFF Vacuum 1 or 2

    ON Vent

    Operating System Waste

    Peristaltic Pump Waste Sensor

    Power

    AC INPUT PRESS 1

    APPLICATION SOFTWARE PRESS 2

    BUSY PRESS 3

    FAULT READY

    FILTER 1/2 RESERVOIR

    FREQUENCY REV

    HGB

    FLOW CELLSN

    LINE VOLTAGE SET-UP DISK

    MAX POWER SHEAR VALVE

    MIXING

    CHAMBER

    MODEL TRAP

    VAC 1/2

    VENT

    OPERATING SYSTEM WASTE

    PERISTALTIC PUMP WASTE SENSOR

    POWER

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    Reagent related

    Cyanide-Free Hemoglobin/Nuclear Optical Count Lyse Reagent

    Diluent Reagent

    Diluent/Sheath Reagent

    Enzymatic Cleaner Concentrate

    Use by

    Hemoglobin

    Hemoglobin Lyse

    Batch Code

    Red Blood Cell

    Sheath Reagent

    Temperature Limitation (Example shows Store at 28C)

    White Blood Cell

    WBC Lyse Reagent

    CN-FREE HGB/NOC LYSE

    DILUENT

    DILUENT/SHEATH

    ENZYMATIC CLEANER CONCENTRATE

    HGB

    HGB LYSE

    LOT

    RBC

    SHEATH

    8

    WBC

    WBC LYSE

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    Calibrator/Control related

    Assay Value

    Calibrator

    Calibrator

    Control

    Control Assay Files

    Control, Level I, II, or III or Level L, N, or H

    Control, Tri-Level

    Danger: Respiratory Sensitizer

    Mean Range

    Mean Value

    Parameter

    Catalogue number

    Reticulocyte Control

    System

    ASSAY VALUE

    CAL

    CALIBRATOR

    CONTROL

    CONTROL ASSAY FILES

    CONTROL I/II/III or L/N/H

    CONTROL L|N|H

    DANGER: SENSITIZER

    MEAN RANGE

    MEAN VALUE

    PARAMETER

    REF

    RETIC CONTROL

    SYSTEM

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    Miscellaneous

    Authorized Representative in the European Community

    Biological risks

    Caution, consult accompanying documents

    (Note: for Instrument reagents)

    Caution, risk of danger / Caution, consult accompanying documents

    (Note: for Instruments)

    CE-mark

    Consult Instructions for Use

    Date of Manufacture

    In VitroDiagnostic Medical Device

    Catalogue Number

    Separate collection for electrical and electronic equipment waste perDirective 2002/96/EC in the European Union

    Separate Collection of spent batteries per Directive 2006/66/EC in the

    European Union.

    Manufacturer

    EC REP

    IVD

    REF

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    x CELL-DYN Ruby System Operators Manual9140540ESeptember 2013

    Instrument Labeling

    The following labels are affixed to the CELL-DYN Ruby.

    Analyzer Rear Panel

    Figure 1: Class 1 Laser Product Label

    Figure 2: CELL-DYN Ruby US Patent Label

    Figure 3: CE Mark and Legal Manufacturer

    PN 9230702C

    CLASS 1 LASER PRODUCT/Lasergert der Klasse 1/Produit laser de classe 1/Lser declase 1/Prodotto laser di classe 1/Produto laser da classe 1/Klasse 1-laserprodukt/Klass 1 laserprodukt/ 1

    The following U.S. Patents are relevant to the CELL-DYN Ruby or its

    components. There are other such patents and patent applications in theUnited States and worldwide.

    5,017,497 5,378,633 5,510,267 5,733,784

    PN: 9231334A

    9221334A indd 1 6 24 2005 9:16:12 AM

    ABBOTTMax-Planck-Ring 265205 WiesbadenGermany+49-6122-580

    ABBOTT LABORATORIESAbbott Park, IL 60064 USA

    PN 9230751

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    Figure 4: CE Label

    Figure 5: ETL Certification Label

    Analyzer Right Flow Panel

    Figure 6: Analyzer Serial Number Labels

    PN 9231514A

    EC REPABBOTTMax-Planck-Ring 265205 WiesbadenGermany+49-6122-580

    Abbott

    Diagnostics Division

    ABBOTT LABORATORIES

    Diagnostics Division

    Abbott Park, IL 60064 USA

    9221514A indd 1 1 16 2008 12:16:45 PM

    ABBOTT DIAGNOSTICS DIVISIONAbbott Laboratories

    Abbott Park IL, 60064, USA

    DATE OF MANUFACTURE

    REVREF

    SN

    MODEL

    PN 9230308 REV J

    THIS PRODUCT COMPLIES WITH FDAPERFORMANCE STANDARDS FOR LASER

    PRODUCTS EXCEPT FOR DEVIATIONSPURSUANT TO LASER NOTICE NO. 50,

    DATED JULY 26, 2001.

    MODEL

    PN 9230308 REV K

    PRODUCT COMPLIES WITH FDA PERFORMANCESTANDARDS FOR LASER PRODUCTS EXCEPTFOR DEVIATIONS PURSUANT TO LASER NOTICE

    NO. 50, DATED JULY 26, 2001.

    Manufactured for Abbott LaboratoriesAbbott Park, IL 60064 USA

    Product of Singapore

    SN

    REF REV

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    xii CELL-DYN Ruby System Operators Manual9140540ESeptember 2013

    Analyzer Left Flow Panel

    Figure 7: CELL-DYN Ruby Service Technical Service Bulletin Record Label

    Figure 8: Laser Warning Label

    Analyzer Front and Rear

    Figure 9: Biohazard

    CAUTION Class 3B laser light when open. Avoidexposure to beam.VORSICHT Bei offener Abdeckung Laserstrahlung derKlasse 3B. Nicht direkt in den Laserstrahl blicken.ATTENTION Rayon laser de classe 3B si ouvert. Evitertoute exposition au faisceau laser.PRECAUCIN: Haz de lser de clase 3B. Evite laexposicin al lser cuando el analizador est abierto.ATTENZIONE:fascio laser di classe 3B se aperto. Evitarelesposizione al raggio.ATENO Quando aberto, emite luz laser da classe3B. Evitar a exposio ao raio laser.VIGTIGT:Klasse 3B-laserlys ved bning. Undgeksponering for strlen.VIKTIGT:Klass 3B laserljus nr luckan r ppen. Undvikexponering fr strlen. 3 .

    .UPOZORNN:Po oteven krytu nebezpe ozenlaserem tdy 3B. Vyvarujte se kontaktu s paprskem.

    PN 9230701F

    PN 9231477A

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    CELL-DYN Ruby System Operators Manual Master Table of Contents-19140541ESeptember 2013

    Master Table of Contents

    Master Table of Contents

    Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i

    Customer Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i

    Proprietary Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i

    Patent Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ii

    Disclaimers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ii

    Warranty Statement for USA Customers Only. . . . . . . . . . . . . . . . . . iv

    Regulatory and Safety Agency Approvals . . . . . . . . . . . . . . . . . . . . . . v

    Trademark Statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v

    Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vi

    Instrument Labeling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x

    Analyzer Rear Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xAnalyzer Right Flow Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi

    Analyzer Left Flow Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xii

    Analyzer Front and Rear. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xii

    System Documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

    Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

    Organization of the online HTML Operators Manual. . . . . . . . . . . . . 2

    Conventions for the online HTML Operators Manual . . . . . . . . . . . . 5

    Access to the online HTML Operators Manual from

    the system software. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

    Printed documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

    Access to the PDF Operators Manual from

    a stand-alone computer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

    Use or Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

    Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

    Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

    Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

    Specimen Processing Sequence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

    Specimen Loading and Presentation. . . . . . . . . . . . . . . . . . . . . . 1-5

    Specimen Identification and Test Selection . . . . . . . . . . . . . . . . . . . 1-5Test Selections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6

    System Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7

    Analyzer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7

    Analyzer Front . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8

    Analyzer Right Side . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10

    Analyzer Left Side . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11

    Analyzer Sample Processing Area . . . . . . . . . . . . . . . . . . . . . . . . . 1-11

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    Analyzer Flow Panels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

    Analyzer Internal Assemblies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-17

    Analyzer Rear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-19

    Data Module Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-22Flat Panel Display with Touch Screen . . . . . . . . . . . . . . . . . . . . . . 1-24

    Keyboard. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-25

    Mouse Input Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-27

    Hand-Held Bar Code Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-28

    Printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-29

    System Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-31

    Analyzer Operating Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-31

    Data Station Operating Software . . . . . . . . . . . . . . . . . . . . . . . . . . 1-31

    Screen Navigation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-32

    Screen Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-32Title Bar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-33

    Menu Bar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-33

    Tool Bar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-35

    Status Bar and System Messages Region . . . . . . . . . . . . . . . . . 1-38

    NOTE Region (Next Open Tube Entry) . . . . . . . . . . . . . . . . . . 1-40

    Function Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-42

    CELL-DYN Ruby Reagents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-43

    CELL-DYN Diluent/Sheath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-43

    CELL-DYN CN-Free HGB/NOC Lyse . . . . . . . . . . . . . . . . . . . . . 1-43

    CELL-DYN WBC Lyse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-44

    CELL-DYN Reticulocyte Reagent . . . . . . . . . . . . . . . . . . . . . . . . . 1-44

    Controls, Calibrator, and Standard Reference Particles . . . . . . . . . . . . . . . 1-45

    Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-45

    Calibrators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-45

    Standard Reference Particles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-45

    Installation Procedures and Special Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

    Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

    Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

    Site Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

    Clearance Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

    Power Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

    Waste Disposal Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4

    Unpacking and Inspection Guidelines . . . . . . . . . . . . . . . . . . . . . . . 2-4

    System Connection and Start Up Guidelines . . . . . . . . . . . . . . . . . . 2-5

    System Relocation and Shipping Guidelines . . . . . . . . . . . . . . . . . . 2-5

    System Customization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7

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    Setup Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7

    Patient Sample Setup... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

    Patient Sample Setup, Limits Tab View. . . . . . . . . . . . . . . . . . 2-10

    Demographics Tab View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11Customize Limit Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11

    Demographic Tab View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-21

    Unit Sets Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-23

    Unit Format Selections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-23

    Customize Run View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-24

    Chartable Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-25

    Lab Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-27

    Graphs Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-29

    Customize Data View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-30

    Datalog, QC View, and Groups View . . . . . . . . . . . . . . . . . . . 2-30Customize Moving Average View . . . . . . . . . . . . . . . . . . . . . . . 2-32

    Customize Printed Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-33

    Customize Report Header. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-34

    Auto Print Chartable Page Report . . . . . . . . . . . . . . . . . . . . . . 2-35

    Other Printed Report Options . . . . . . . . . . . . . . . . . . . . . . . . . . 2-36

    QCID Setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-37

    Moving Average Acceptance Setup... . . . . . . . . . . . . . . . . . . . . . . 2-37

    Administrative Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-37

    Operators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-38

    User Interface Preferences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-50

    Tool Tip Display Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-51

    QCID Daily Cleanup Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-51

    Date/Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-52

    Instrument ID Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-54

    Bar Code Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-56

    Orders Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-58

    Automatic Order Cleanup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-58

    No Bar Code Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-59

    LIS Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-61

    LIS Configuration Tab View . . . . . . . . . . . . . . . . . . . . . . . . . . 2-64

    LIS Tests Tab View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-65QC Download ID File Setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-65

    Flag Setting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-66

    Logs Auto Backup Setup... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-67

    Rule Setup... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-68

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    Principles of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1

    Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1

    Sample Aspiration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1Sample Analysis Cycle Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

    Sample Aspiration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

    Sample Segments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

    RBC/PLT Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

    Hemoglobin Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

    WBC Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

    Results Displayed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6

    Instrument Flushed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6

    Instrument Rinsed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6

    Flow Cytometry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7

    Introduction to Flow Cytometry . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7Detection with the Optical Bench. . . . . . . . . . . . . . . . . . . . . . . . 3-8

    Optical Flow Cell . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9

    WBC Measurement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10

    Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10

    WBC Reagent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11

    WBC Differential . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11

    Mononuclear-Polymorphonuclear Separation . . . . . . . . . . . . . 3-12

    Neutrophil-Eosinophil Separation . . . . . . . . . . . . . . . . . . . . . . 3-13

    Mononuclear Separation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14

    Other Scatterplots . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-15Nuclear Optical Count (NOC) . . . . . . . . . . . . . . . . . . . . . . . . . 3-15

    Resistant RBC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16

    WBC Histograms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-17

    NWBC-LYM-MONO Histogram. . . . . . . . . . . . . . . . . . . . . . . 3-17

    MONO-POLY Histogram. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-17

    NOC Histogram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-17

    WBC Parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18

    WBC Flagging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19

    RBC/PLT Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19

    Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19

    RBC Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20

    RBC Count . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20

    MCV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20

    HCT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-21

    MCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-21

    MCHC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-21

    RDW. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-21

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    Nominal Aspiration Volume. . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

    Recommended Anticoagulants . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

    Specimen Tube Dimensions (Closed Mode) . . . . . . . . . . . . . . . 4-5

    Recommended Specimen Collection Tubes (Closed Mode) . . . 4-6Recommended Volume Requirements in Specimen

    Collection Tube. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6

    Bar Code Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7

    Specification for Bar Code Symbols, Bar Code Labels,

    and their Placement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7

    Performance Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11

    Background. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11

    Carryover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11

    CBC Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12

    Imprecision (Reproducibility). . . . . . . . . . . . . . . . . . . . . . . . . . 4-13Analytical Measurement Range (AMR). . . . . . . . . . . . . . . . . . 4-14

    Comparability (Correlation) . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15

    References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-17

    Operating Instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1

    Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1

    System Priming, Interruption, and Standby . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

    System Priming, Interruption, and Standby . . . . . . . . . . . . . . . . . . . 5-3

    Power On and Power Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

    System Priming. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8

    Interruption Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9

    Procedural Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9

    Standby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10

    The To Standby Task Button . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10

    Setup Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11

    Setup Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11

    Specimen Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13

    Specimen Analysis Tasks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13

    Preparing to Run Specimens. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14

    Preparing to Run Specimens. . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14

    Operator ID. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15Signing On and Off. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15

    Running Background Counts . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15

    Preparing and Handling Specimens . . . . . . . . . . . . . . . . . . . . . . . . 5-16

    Anticoagulant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-16

    Specimen Stability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17

    Specimen Collection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17

    Interfering Substances. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17

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    Specimen Mixing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17

    Running Specimens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18

    Specimen Identification Methods . . . . . . . . . . . . . . . . . . . . . . . 5-18

    Introduction to the Orders View . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-20Default Patient Test Selection Processing Conditions . . . . . . . 5-21

    Pending Orders (Match Specimen ID or Match Rxx Tyy). . . . 5-22

    Pending Order Entries from the LIS. . . . . . . . . . . . . . . . . . . . . 5-22

    Processing with the Orders View . . . . . . . . . . . . . . . . . . . . . . . 5-22

    Create Manual Orders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-25

    Printing a Pending Orders Log . . . . . . . . . . . . . . . . . . . . . . . . . 5-27

    Orders Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-28

    Open Mode Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-30

    Closed Mode Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-31

    Post-Analysis Processing Datalog View . . . . . . . . . . . . . . . . . . . . . . . . . 5-33Alerts and Indicators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-33

    Out of Range. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-33

    System Messages and Fault Conditions . . . . . . . . . . . . . . . . . . 5-33

    Run View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-34

    Chartable Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-35

    Lab Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-35

    Graphs Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-36

    Datalog View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-36

    Backing up and Restoring System Data . . . . . . . . . . . . . . . . . . 5-40

    Creating an Electronic Monthly Archive on the

    CELL-DYN Ruby. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-43

    Advanced Data Management Groups View . . . . . . . . . . . . . . . . . . . . . . 5-47

    Creating Orders From the Group View . . . . . . . . . . . . . . . . . . . . . 5-48

    Deleting Records From the Group View . . . . . . . . . . . . . . . . . . . . 5-48

    Advanced Data Management Rules Based Annotations . . . . . . . . . . . . . 5-51

    Creating Rules and Annotations . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-53

    Creating Rules. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-53

    Creating Annotations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-53

    Procedure: Creating Annotations . . . . . . . . . . . . . . . . . . . . . . . 5-59

    Enabling/Disabling Rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-60

    Rule Validation (within software) . . . . . . . . . . . . . . . . . . . . . . . . . 5-66Evaluating Rules During Run Time . . . . . . . . . . . . . . . . . . . . . . . . 5-70

    Displaying Annotations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-71

    Printing the Rules Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-74

    Printing a Group of Specimens with Annotations . . . . . . . . . . 5-75

    Importing /Exporting Rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-76

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    Calibration Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1

    Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1

    When to Calibrate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3Calibration Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5

    General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5

    Auto-Calibration Wizard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5

    Calibration Bias Wizard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5

    Manual Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5

    Calibration Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6

    Calibrating with Commercial Calibrator . . . . . . . . . . . . . . . . . . 6-6

    Calibrating with Assayed Whole Blood . . . . . . . . . . . . . . . . . . . 6-6

    Recommendations and Requirements for

    Whole Blood Specimens. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7

    Recommendations for Reference Methodologies. . . . . . . . . . . . 6-7Requirements for Obtaining Whole Blood Reference Values . . 6-8

    Pre-Calibration Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11

    Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11

    Pre-Calibration Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11

    Pre-Calibration Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12

    CELL-DYN Ruby Pre-Calibration Procedures Checklist . . . . . . . 6-13

    Calibration Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-15

    Calibration Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17

    Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17

    Last Auto-Calibration Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17Quick Precision Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-18

    Calibration Log. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-20

    Auto-Calibration Wizard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-22

    Manual Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-22

    Calibration Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-25

    Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-25

    Auto-Calibration Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-25

    Auto-Calibration Wizard - Open . . . . . . . . . . . . . . . . . . . . . . . . . . 6-26

    Using Commercial Calibrator. . . . . . . . . . . . . . . . . . . . . . . . . . 6-26

    Running the Open/Closed Mode Bias Check . . . . . . . . . . . . . . . . . 6-42

    Whole Blood Auto-Calibration Wizard - Open Mode . . . . . . . . . . 6-45

    Using Whole Blood . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-45

    Running the Open/Closed Mode Bias Check . . . . . . . . . . . . . . . . . 6-61

    Running the Calibration Bias Wizard. . . . . . . . . . . . . . . . . . . . . . . 6-65

    Manual Calibration Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-72

    Manual Calibration Dialog Box . . . . . . . . . . . . . . . . . . . . . . . . 6-72

    Manual Calibration Primary Mode - Open. . . . . . . . . . . . . . . . 6-73

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    Post-Calibration Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-77

    Backing Up Calibration Factors . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-77

    General Concepts and Guidelines. . . . . . . . . . . . . . . . . . . . . . . 6-77

    Backup Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-77Manual Calibration Worksheets . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-80

    Worksheet 1 Open Mode Calibration - New Factors . . . . . 6-81

    Worksheet 2 Open Mode Factor % Difference . . . . . . . . . . 6-82

    Worksheet 3 Open Mode Calibration Range Criteria . . . . . 6-83

    Worksheet 4 Calibration Verification . . . . . . . . . . . . . . . . . 6-84

    References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-85

    Operational Precautions and Limitations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1

    Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1

    General Requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2Precautions and Requirements for System Operation . . . . . . . . . . . 7-3

    Precautions Before Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3

    Precautions During Operation . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4

    Requirements for Handling Specimens . . . . . . . . . . . . . . . . . . . . . . 7-6

    Interfering Substances and Conditions . . . . . . . . . . . . . . . . . . . . . . . 7-8

    Limitations of Result Interpretation . . . . . . . . . . . . . . . . . . . . . . . . . 7-8

    Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-9

    Hazards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1

    Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1Operator Responsibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2

    Laser Caution Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3

    Hazard Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

    Biological and Chemical Hazards. . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

    Biological Hazards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

    Chemical Hazards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7

    Spill Clean-Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7

    Waste Handling and Disposal. . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7

    Disposing of Batteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-8

    Decontamination Procedure Requirements . . . . . . . . . . . . . . . . 8-8

    Electrical Hazards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-8

    Mechanical Hazards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10

    Physical Hazards. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12

    References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-13

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    Quality Control. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-1

    Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-1

    When to Run QC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-2QC Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-3

    Control Material . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-3

    Quality Control Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5

    Guidelines for Running Controls . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5

    Control Material Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5

    Assay Verification Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-6

    Establishing the Mean. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-7

    Quality Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-9

    QC View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-9

    Program Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-10

    QCID Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-10Quality Control Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-13

    Using QC View. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-14

    Main QC View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-14

    Scrolling Through the QC View. . . . . . . . . . . . . . . . . . . . . . . 11-15

    View QC Spec . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-20

    QCID L-J Plots . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-22

    QCID Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-23

    Download QCID Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-27

    View QC Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-28

    Moving Average View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-34Moving Average Levey Jennings View. . . . . . . . . . . . . . . . . . . 11-36

    Quality Control Software Setup . . . . . . . . . . . . . . . . . . . . . . . . . . 11-39

    QCID File Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-39

    QC Download ID Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-59

    Moving Average Acceptance Setup . . . . . . . . . . . . . . . . . . . . 11-60

    Performing a QC Run . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-64

    Rejecting/Accepting Specimens . . . . . . . . . . . . . . . . . . . . . . . 11-64

    Edit QC Specimens. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-65

    Moving QCID Specimen Runs from One QCID File to Another 11-67

    Evaluating and Investigating Commercial and Patient Control Results. . 11-69

    Analyzing QCID File Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-71

    Levey-Jennings Graphs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-71

    Westgard Rule Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-72

    Westgard Rules for the CELL-DYN Ruby. . . . . . . . . . . . . . . . . . 11-72

    Rule Violations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-73

    Moving Average Programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-75

    Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-75

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    How Moving Average Programs Work . . . . . . . . . . . . . . . . . . . . 11-75

    Principles of Moving Average Analysis. . . . . . . . . . . . . . . . . . . . 11-76

    Guidelines for Setting Up X-B Moving Average

    Program Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-76Establishing the Target Value. . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-77

    Guidelines for Interpreting X-B Moving Average

    Program Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-78

    Guidelines for Setting Up and Interpreting Other Moving Average

    Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-79

    Moving Average Program Operation . . . . . . . . . . . . . . . . . . . . . . 11-81

    Data Collection Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-81

    Investigating Moving Average Data Problems. . . . . . . . . . . . . . . 11-82

    Investigating One Batch Out. . . . . . . . . . . . . . . . . . . . . . . . . . 11-82

    Investigating Two Batches Out. . . . . . . . . . . . . . . . . . . . . . . . 11-82Printing Moving Average Programs Information. . . . . . . . . . . . . 11-82

    Customizing Moving Average Programs . . . . . . . . . . . . . . . . . . . 11-83

    References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-85

    Reticulocyte Package . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-1

    Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-1

    Principles of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-3

    Setup Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-7

    RETIC Test Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-9

    Enabling Reticulocyte Processing . . . . . . . . . . . . . . . . . . . . . . . . 12-10

    Disable Reticulocyte Processing. . . . . . . . . . . . . . . . . . . . . . . . . . 12-10

    Routine Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-11

    Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-11

    Reticulocyte Specimens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-11

    Specimen Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-12

    Interfering Substances. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-14

    Specimen Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-15

    Running Specimens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-15

    Quality Control Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-21

    Control Material . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-22

    Mixing and Handling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-23Maintenance and Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-25

    Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-25

    General Guidelines for Reticulocyte Troubleshooting. . . . . . 12-25

    Operational Messages and Data Flagging . . . . . . . . . . . . . . . . . . 12-26

    Dispersional Data Alerts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-26

    References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-29

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    CELL-DYN Ruby System Operators Manual Master Table of Contents-139140541ESeptember 2013

    Master Table of Contents

    Appendix A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

    Appendix B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1

    Appendix B Reference. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1

    Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Index-1

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    CELL-DYN Ruby System Operators Manual List of Tables-19140543DSeptember 2013

    List of Tables

    List of Tables

    Use or FunctionTable 1.1 Status Indicator LEDs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9

    Table 1.2 Reagent Inlet Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-20

    Table 1.3 Keyboard Keys and Their Functions on the CELL-DYN Ruby. . . 1-26

    Table 1.4 Mouse Actions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-27

    Table 1.5 Printing Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-29

    Table 1.6 Menu Bar Commands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-33

    Table 1.7 Tool Bar Button Navigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-35

    Table 1.8 Status Bar Function Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-40

    Table 1.9 Tab Descriptions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-42

    Installation Procedures and Special Requirements

    Table 2.1 Customizable Menu Items . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7

    Table 2.2 Limit Set Default Descriptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12

    Table 2.3 To Change the User Field . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-22

    Table 2.4 To Select the Default Patient Test Selection . . . . . . . . . . . . . . . . . 2-22

    Table 2.5 Procedure to Change the Unit Sets Selection . . . . . . . . . . . . . . . . . 2-23

    Table 2.6 Procedure to Customize Parameter Set - Chartable Page . . . . . . . . 2-25

    Table 2.7 Customize the Run View - Lab Page . . . . . . . . . . . . . . . . . . . . . . . 2-27

    Table 2.8 Procedure to Customize the Run View - Graphs Page . . . . . . . . . . 2-29

    Table 2.9 Procedure to Customize Tab Titles and Column Headingsin Data View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-31

    Table 2.10 Procedure to Add/Delete Tab Pages in Data View. . . . . . . . . . . . . 2-32

    Table 2.11 To Customize the Printed Report Header . . . . . . . . . . . . . . . . . . . . 2-34

    Table 2.12 Procedure to Auto Print Chartable Page Report . . . . . . . . . . . . . . . 2-35

    Table 2.13 Procedure to Print Using Other Printed Report Options. . . . . . . . . 2-36

    Table 2.14 Operator ID and Access Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-38

    Table 2.15 Procedure to Add an Operator . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-40

    Table 2.16 Add Operator Dialog Box. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-41

    Table 2.17 Procedure to Remove an Operator . . . . . . . . . . . . . . . . . . . . . . . . . 2-42

    Table 2.18 Procedure to Edit Operator Information . . . . . . . . . . . . . . . . . . . . . 2-43Table 2.19 Edit Operator Dialog Box. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-44

    Table 2.20 Procedure for Editing Permission Access Rights for Laboratory

    Levels I and II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-46

    Table 2.21 Procedure for Setting Up Second Sign Ons . . . . . . . . . . . . . . . . . . 2-48

    Table 2.22 Changing the Tool Tip Display Time. . . . . . . . . . . . . . . . . . . . . . . 2-51

    Table 2.23 Procedure to Set Up Bar Code Including Symbology Setups . . . . 2-56

    Table 2.24 Procedure to Change Automatic Order Cleanup . . . . . . . . . . . . . . 2-59

    http://-/?-http://-/?-http://-/?-http://-/?-
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    List of Tables-2 CELL-DYN Ruby System Operators Manual9140543DSeptember 2013

    List of Tables

    Table 2.25 Procedure to Change Use Rack and Tube Matching . . . . . . . . . . . 2-60

    Table 2.26 Setting Up Auto-Transmission and Manual Transmission. . . . . . . 2-62

    Table 2.27 Flag Setting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-66

    Table 2.28 Logs Auto Backup Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-67

    Principles of Operation

    Table 3.1 5-Part Differential . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-25

    Table 3.2 5-Part Differential Plus Additional Parameters . . . . . . . . . . . . . . . 3-25

    Table 3.3 Parameter Flagging Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-29

    Table 3.4 Parameters Marked With an Asterisk (*) . . . . . . . . . . . . . . . . . . . . 3-30

    Table 3.5 Parameters with Suppressed Results. . . . . . . . . . . . . . . . . . . . . . . . 3-31

    Table 3.6 Patient Specimen Type + CBC Test Selection . . . . . . . . . . . . . . . . 3-34

    Table 3.7 Patient Specimen Type + CBC+RRBC Test Selection . . . . . . . . . 3-37

    Table 3.8 Patient Specimen Type + CBC+NOC Test Selection. . . . . . . . . . . 3-38

    Performance Characteristics and Specifications

    Table 4.1 CELL-DYN Ruby Physical Specifications. . . . . . . . . . . . . . . . . . . . 4-3

    Table 4.2 CELL-DYN Ruby Power Specifications . . . . . . . . . . . . . . . . . . . . . 4-3

    Table 4.3 CELL-DYN Ruby Fuse Specifications. . . . . . . . . . . . . . . . . . . . . . . 4-3

    Table 4.4 Clearance Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4

    Table 4.5 Clearance Requirements for Service Access . . . . . . . . . . . . . . . . . . 4-4

    Table 4.6 Recommended Collection Tube Dimensions for use in Closed mode. 4-5

    Table 4.7 Recommended Specimen Collection Tubes for use in Closed Mode 4-6

    Table 4.8 Characteristics of the Bar Code Symbologies Supported by theCELL-DYN Ruby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8

    Table 4.9 Background Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11

    Table 4.10 Carryover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12

    Table 4.11 Reticulocyte Carryover. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12

    Table 4.12 Fresh Blood Imprecision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13

    Table 4.13 Analytical Measurement Range . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-14

    Table 4.14 Comparability (Correlation) of CBC and Differential to

    CELL-DYN Sapphire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15

    Table 4.15 Comparability (Correlation) of WBC Differential to Microscopy . 4-16

    Operating Instructions

    Table 5.1 Procedure to Power-up the Instrument When the System Main Power

    Switch is in ON Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4

    Table 5.2 Procedure to Power-up the Instrument When the System Main Power

    Switch is in OFF Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5

    Table 5.3 Procedure to Power Off and Reboot the System . . . . . . . . . . . . . . . 5-6

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    List of Tables-4 CELL-DYN Ruby System Operators Manual9140543DSeptember 2013

    List of Tables

    Table 6.21 Buttons Welcome to the CELL-DYN Auto-Calibration Wizard

    Dialog Box. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-46

    Table 6.22 Buttons Pre-Calibration Maintenance Check Status Dialog Box6-47

    Table 6.23 Buttons Pre-Calibration Reagent/Waste Dialog Box. . . . . . . . . 6-48

    Table 6.24 Buttons Pre-Calibration Precision Check Status Dialog Box . . 6-49

    Table 6.25 Buttons Pre-Calibration Background Check Status Dialog Box 6-52

    Table 6.26 Buttons Calibration Setup Dialog Box . . . . . . . . . . . . . . . . . . . 6-53

    Table 6.27 Buttons Calibration Setup - Reference Values for Whole Blood

    Dialog Box. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-54

    Table 6.28 Buttons Auto-Calibration Data View Dialog Box. . . . . . . . . . . 6-56

    Table 6.29 Fields Post-Calibration New Factors Dialog Box . . . . . . . . . . . 6-58

    Table 6.30 Buttons Post-Calibration New Factors Dialog Box. . . . . . . . . . 6-58

    Table 6.31 When to Select Apply New Factor for Acceptance . . . . . . . . . . . . 6-59

    Operational Precautions and Limitations

    Table 7.1 Recommended Collection Tube Dimensions for Use in Closed Mode 7-6

    Hazards

    Table 8.1 Safety Icons and Descriptions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2

    Table 8.2 Hazard Symbol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

    Service and Maintenance

    Table 9.1 Scheduled Service and Maintenance Procedures . . . . . . . . . . . . . . . 9-4

    Table 9.2 As-Needed Service and Maintenance Procedures . . . . . . . . . . . . . . 9-4Table 9.3 Nonscheduled Service and Maintenance Procedures . . . . . . . . . . . . 9-4

    Table 9.4 Special Protocols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-7

    Quality Control

    Table 11.1 Screen Navigation Bar and Buttons . . . . . . . . . . . . . . . . . . . . . . . 11-16

    Table 11.2 QC View Function Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-17

    Table 11.3 Function Keys View QC Spec. . . . . . . . . . . . . . . . . . . . . . . . . 11-20

    Table 11.4 Function Keys QCID File Levey-Jennings View . . . . . . . . . . 11-22

    Table 11.5 Function Keys QCID Data Dialog Box . . . . . . . . . . . . . . . . . . 11-24

    Table 11.6 Field QC Download Dialog Box . . . . . . . . . . . . . . . . . . . . . . . 11-28Table 11.7 Buttons QC Download Dialog Box . . . . . . . . . . . . . . . . . . . . . 11-28

    Table 11.8 Fields QCID Setup: View, Control Data Dialog Box . . . . . . . 11-30

    Table 11.9 Fields QCID Setup: View, QC Limits Dialog Box . . . . . . . . . 11-30

    Table 11.10 Fields QCID Setup: View, Westgard Dialog Box. . . . . . . . . . 11-31

    Table 11.11 Buttons QCID Setup: View, Control Data Dialog Box. . . . . . 11-31

    Table 11.12 Function Keys QC Moving Average View . . . . . . . . . . . . . . . 11-35

    Table 11.13 Function Keys-Levey Jennings View. . . . . . . . . . . . . . . . . . . . . . 11-36

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    List of Tables-6 CELL-DYN Ruby System Operators Manual9140543DSeptember 2013

    List of Tables

    Parts and Accessories

    Table A.1 CELL-DYN Ruby Hardware List Numbers. . . . . . . . . . . . . . . . . . . A-1

    Table A.2 CELL-DYN Ruby Accessories Kit (List Number 09H04-01) . . . . . A-2Table A.3 CELL-DYN Ruby Optional Accessories . . . . . . . . . . . . . . . . . . . . . A-3

    Table A.4 CELL-DYN Ruby Support Documentation List Numbers. . . . . . . . A-4

    Table A.5 CELL-DYN Calibrator and Controls for use on CELL-DYN Ruby A-4

    Table A.6 CELL-DYN Reagents for use on CELL-DYN Ruby. . . . . . . . . . . . A-5

    Potential Causes of Spurious Results

    Table B.1 Potential Causes of Spurious Results with Automated

    Cell Counters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1

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    CELL-DYN Ruby System Operators Manual 39140544CSeptember 2013

    Section 3 Principles

    of Operation

    Refer to this section for an explanation of:

    Scientific and technical principles

    Types of system measurements

    Data analysis and parameter reporting conventions

    System Initiated Messages (SIMs) and Data Flags

    Section 4PerformanceCharacteristics and

    Specifications

    Refer to this section for details such as:

    Dimensions of the instrument

    Power requirements

    Environmental specifications

    Operational specifications

    Bar Code specifications

    Performance specifications and performance characteristics

    Section 5 OperatingInstructions

    Use this section to learn how to perform:

    Various tasks related to routine system operation

    System customization

    Background counts

    Basic and advanced patient data management including reviewing,printing, and transmitting to Laboratory Information Systems

    Section 6 CalibrationProcedures

    Use this section to learn:

    When to calibrate

    Pre-Calibration procedures

    Calibration procedures

    Post-Calibration procedures

    Section 7 OperationalPrecautions andLimitations

    Refer to this section to understand the precautions, limitations, andrequirements associated with:

    System operation

    Handling consumables

    Handling specimens

    Identifying substances and conditions

    Interpreting results

    Section 8 Hazards Refer to this section for important hazard and safety information, such as: Safety icons, laser caution labels, and hazard symbols

    Biological, chemical, electrical, mechanical, and physical hazards

    Section 9 Service and

    Maintenance

    Refer to this section for:

    Descriptions of all maintenance procedures

    Recommended schedules for service and maintenance

    Instructions for performing scheduled and as-needed maintenanceprocedures

    Step-by-step instructions for replacing components

    Table 1: Online Operators Manual Organization (Continued)

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    CELL-DYN Ruby System Operators Manual 79140544CSeptember 2013

    Table 4: Online HTML Operators Manual Search Navigation

    Actions Steps Reference

    Using thetable ofcontents

    1. Select the Contents tab on thenavigation pane to provide a visual tableof contents of the operators manual(See graphic to the right).

    2. Select the box icons and page icons toview subsections.

    NOTE: The box icons expand andcollapse correspondingsubsections as they are selected.

    3. Click on the desired topic to select thattopic. The topic page displays in thetopic pane (right side of window).

    Scrollingthrough thecontent

    1. Select the Contents tab on thenavigation pane (see graphic to theright), and then select a topic title. Thetopic content displays in the topic pane.

    2. Drag the scroll bar on the right side ofthe topical pane to display subsequentcontent within the section.

    3. Repeat step 2 as often as desired.

    Pagingbetweensections

    1. Select the Contents tab on thenavigation pane and select a topic title.The desired topic then displays in thetopic pane.

    2. Select a left or right section arrow(located in the upper right-hand corner ofthe topic pane) to move betweensections of the manual (see graphic tothe right).

    NOTE: Section arrows are also

    visible at the bottom of the topicpane when viewing the end of asection.

    2

    1

    1A

    1

    2

    1

    12

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    Using theindex

    1. Select the Index tab on the navigationpane (see graphic to the right).

    2. Type in a keyword to find all referencesto the keyword within the manual. Or,click on any topic in the Index.

    The topic content displays in the topic pane.

    Using theSearchbutton

    1. Select the Search button (see graphic tothe right).

    2. Type a keyword (or phrase) in the fieldindicated and select List Topics

    3. Review the topics displayed in theresults pane and double-click on a topicfor further review. This topic is thendisplayed in the topic pane.

    4. To search for new content, type anotherkeyword (or phrase) in the field indicatedand select List Topics.

    Table 4: Online HTML Operators Manual Search Navigation (Continued)

    Actions Steps Reference

    1

    2

    1

    2

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    CELL-DYN Ruby System Operators Manual 99140544CSeptember 2013

    Printed documentation

    The printed version of the CELL-DYN Ruby Operators Manual contains complete

    instructions for using and maintaining the CELL-DYN Ruby system. You will findit a valuable aid and an essential reference as you learn to use the system.

    Printed documentationtopics include:

    Organization of the printed operators manual

    Conventions for the printed documentation

    Organization of the printed operators manual

    The printed CELL-DYN Ruby Operators Manual provides the following tools to

    help you access desired information:

    Tabs

    Primary tabs mark the start of each section. Subtabs mark the start of subsections

    within certain sections.

    Tables of Contents

    The Master Table of Contents at the beginning of the manual lists each section and

    its subsections. Section tables of contents are located immediately behind primary

    tabs in all major sections.

    The printed CELL-DYN Ruby Operators Manual is organized as follows:

    Table 5: Online Operators Manual Organization

    Revision Status andLog

    Refer to this section for the Revision Status and History of theCELL-DYN Ruby Operators Manual.

    Foreword Refer to this section for important information such as: Customer Service Contact Information

    Proprietary and Patent Statements

    Disclaimers

    Warranty details

    Trademark statements

    Key to symbols and instrument labeling

    Master Table of

    Contents

    Refer to the Table of Contents for a list of all:

    Sections Subsections

    List of Figures

    List of Tables

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    System

    Documentation

    Refer to this section for:

    Information on content organization

    Organization of the online HTML Operators Manual

    Conventions for the online HTML Operators Manual

    Access to the online HTML Operators Manual from the system software

    Access to the online PDF Operators Manual for a stand-alone computer

    Section 1 Use orFunction

    Refer to this section for a brief description of the CELL-DYN Ruby, such as:

    Intended use

    Specimen processing sequence

    Main hardware components

    Basic features of the system software

    Reagents, Controls, Calibrator, and Standard Reference Particles

    Section 2 InstallationProcedures andSpecial Requirements

    Refer to this section for:

    Information on site requirements for installation

    System installation and start-up guidelines

    System software customization and procedural guidelines

    System relocation and shipping guidelines

    Section 3 Principlesof Operation

    Refer to this section for an explanation of:

    Scientific and technical principles

    Types of system measurements

    Data analysis and parameter reporting conventions

    System Initiated Messages (SIMs) and Data Flags

    Section 4PerformanceCharacteristics andSpecifications

    Refer to this section for details such as:

    Dimensions of the instrument

    Power requirements

    Environmental specifications

    Operational specifications

    Bar Code specifications

    Performance specifications and performance characteristics

    Section 5 OperatingInstructions

    Use this section to learn how to perform:

    Various tasks related to routine system operation

    System customization

    Background counts Basic and advanced patient data management including reviewing,

    printing, and transmitting to Laboratory Information Systems

    Section 6 CalibrationProcedures

    Use this section to learn:

    When to calibrate

    Pre-Calibration procedures

    Calibration procedures

    Post-Calibration procedures

    Table 5: Online Operators Manual Organization (Continued)

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    Section 7 Operational

    Precautions andLimitations

    Refer to this section to understand the precautions, limitations, andrequirements associated with:

    System operation

    Handling consumables

    Handling specimens

    Identifying substances and conditions

    Interpreting results

    Section 8 Hazards Refer to this section for important hazard and safety information, such as: Safety icons, laser caution labels, and hazard symbols

    Biological, chemical, electrical, mechanical, and physical hazards

    Section 9 Service andMaintenance

    Refer to this section for:

    Descriptions of all maintenance procedures

    Recommended schedules for service and maintenance

    Instructions for performing scheduled and as-needed maintenanceprocedures

    Step-by-step instructions for replacing components

    Section 10Troubleshooting andDiagnostics

    Refer to this section for:

    Troubleshooting basics and procedures

    Information on probable causes and corrective actions for observedproblems, System Initiated Messages (SIMs), and Data-Related problems

    Section 11 QualityControl

    Refer to this section for:

    Internal and external quality control programs

    Principles and procedures for running quality control using commercialcontrol material and whole blood patient controls

    Procedures to customize system quality control files

    Quality control data management

    Section 12

    Reticulocyte Package

    This section is a self-contained module that describes how the Reticulo