total lab automation · 2018-05-30 · vitros® automation solutions ... proactive maintenance....

Unrestricted © Siemens Healthcare GmbH, 2016

Vlassis Vlazakis, May 2018

Total Lab Automation

Presenter

Presentation Notes

2016-05-04 Author / Department HC XXUnrestricted © Siemens Healthcare GmbH, 2016

What is Total Lab Automation ?

• TLA refers to automation of all laboratory

testing processes that occur from the time

of sample receipt by the laboratory to

archiving of the sample post analysis via

robotics. In addition to sample analysis,

TLA includes the pre-analytical and the

post-analytical testing phase, using track

systems

• The concept of TLA was developed in the

early 1980s by Dr Masahide Sasaki at the

Kochi Medical School Laboratory (Japan).

He designed the first continuously moving

conveyer belt/track system for the

delivery of samples to interfaced

analyzers.

• Presented in 1989 AACC Annual meeting


TLA ingredients

• 1. Specimen input area

• 2. Bar code reading stations

• 3. Transport system

• 4. A high-level device to sort or route specimens

• 5. Automated centrifuge

• 6. Level detection and evaluation of specimen adequacy

(specimen integrity)

• 7. Decapper station

• 8. Recapper station

• 9. Aliquotter

• 10. Interface to automated analyzers

• 11. Sorter

• 12. Take-out stations

• 13. Storage and retrieval system


More TLA ingredients – Data flow

• 14. Middleware – LIS interface

• 15. Expert System - IT

• 16. Process Manager - IT

• 17. Inventory Manager - IT


Lab considerations & criteria to go for TLA

• 3.800 TLA Systems installed globally (CAP Today

report) excl. Hematology

• Daily volumes from 1.000 tubes/day up to app. 25.000

tubes/day on one track

• High test volume, overall cost pressure, improve TAT,

lack of qualified personnel, quality requirements, lab

& hospital consolidations, processes standardization,

error reduction ….

• Closed vs. Open TLA system - Back-up solution

• Reagent rental contract vs. Track purchasing - ROI ?

Presenter

Presentation Notes

PROPOSED TALK TRACK Roche focusses on two areas: Testing efficiency and Medical Value. To enforce testing efficiency we offer personalized and scalable solutions, suitable for each lab size. With the market leading reliability we ensure peace of mind for the lab manager and staff. And overall our solutions are integrated and easy-to-implement. On the medical value side we strive for a broad and innovative test menu and for best-in-class assay performance. In addition we support new indications for existing assays to lay the foundation for a broader use. Both areas are integrated and controlled by comprehensive IT solutions. I will now go into a bit more detail to explain what is behind the points I have described. KEY POINTS Roche focusses on testing efficiency and medical value Both combined empower lab for better clinical decision making


Why is TLA needed - Advantages of TLA

Presenter

Presentation Notes

PROPOSED TALK TRACK Roche focusses on two areas: Testing efficiency and Medical Value. To enforce testing efficiency we offer personalized and scalable solutions, suitable for each lab size. With the market leading reliability we ensure peace of mind for the lab manager and staff. And overall our solutions are integrated and easy-to-implement. On the medical value side we strive for a broad and innovative test menu and for best-in-class assay performance. In addition we support new indications for existing assays to lay the foundation for a broader use. Both areas are integrated and controlled by comprehensive IT solutions. I will now go into a bit more detail to explain what is behind the points I have described. KEY POINTS Roche focusses on testing efficiency and medical value Both combined empower lab for better clinical decision making


Map lab’s sample & data workflow – What to keep in mind


Benefits for all stakeholders - Employee engagement – Change management


Workflow Consultant required for Workflow Assessment

• Goals : What needs to be accomplished ? KPIs

• Current state analysis: How is your lab working

today?

• Conclusions: Identifying problems and

recommending holistic solutions for an

improved future state


Workflow Consultant recommendations

• Pre-analytical processes

• Analytical systems

• Post-analytical processes

• Floorplan design(s)


Main TLA vendors GLP Systems – Sysmex partner

ARUP Automation


“Powerful sample flow efficiency with Roche Personalized Lab Automation”


“ACCELERATOR a3600 SCALABLE AND CONFIGURABLE SOLUTIONS”


“Aptio Automation Advance your laboratory’s productivity”


“Power Express Laboratory Automation SystemWorkflow without the work”


VITROS® Automation Solutions“Run your lab – your way”


Middlewares - Process Managers – Inventory Managers

Unrestricted © Siemens Healthcare Diagnostics Inc., 2018

Labs need Seamless

Integration

HOOD05162002718279

Presenter

Presentation Notes

Let’s talk about the last area of synergy: seamless integration.


TLA trends set new criteria

• Open Connectivity for 3rd parties

• Risk sharing business models – Services/Education

• Multidiscipline connectivity & expandability

• Advanced IT solutions/mobile apps

• Artificial Intelligence to reduce downtime



Advanced IT Solutions - AIProactive maintenanceSelf recovery – Remote supportMonitoring lab KPIsOn-line educationOn-line upgrades

Multidiscipline connectivity One TLA connecting most disciplinesEconomies of scale Optimizing workflow & TATPersonnel shortagesMove staff to higher duties

Open Connectivity for 3rd parties & expandability Customers demand freedom of analyzer choiceVendors assay performance variesGrow the solution with the lab



• Huge freezers for sample storage & retrieval

• Gamma rays for HILs – volume check ?

• New ways of sample transport / input (e.g

TEMPUS 600)

• RFIDs for sample/carrier identification

• CLSI has 13 standards for Automation -

updated since 2000. The Clinical and Laboratory Standards Institute

(CLSI) promotes the development and use of voluntary laboratory consensus standards

and guidelines within the health care community.

2016-05-04 Author / Department HC XXUnrestricted © Siemens Healthcare GmbH, 2016 23

Aristotle, philosopher & scientist (384-322 BC)Greatest mind of all times, founder of formal logicPlato’s student, teacher of Alexander the Great


References

1. Clinical Chemistry 63:6 , 1074-1082 (2017) Nonanalytic Laboratory Automation : A Quarter

Century of Progress (Hawker Charles)

2. Automation in the Clinical Laboratory (Hawker Charles. et al)

https://www.researchgate.net/publication/314089643_Automation_in_the_Clinical_Laboratory

3. Clinical Chemistry 64:62, 259-264 (2018) Challenges and Opportunities in Implementing TLA

(Genzen J.R moderator – Expert panel)

4. Medical Laboratory Observer, Oct 2017.The role of lab automation in reducing diagnostic

errors (Tieman Brad, MBA)

5. CLSI Standards https://clsi.org/standards/products/automation-and-informatics/documents/

6. CAP Today 2016:30 28-48, Lab Automation systems & workcells (product guide)

7. https://www.glp-systems.com/

8. https://www.aruplab.com/testing/automation

9. https://www.tempus600.com/one-touch-system/one-touch-handling

https://www.researchgate.net/publication/314089643_Automation_in_the_Clinical_Laboratory

https://clsi.org/standards/products/automation-and-informatics/documents/

https://www.glp-systems.com/

https://www.aruplab.com/testing/automation

https://www.tempus600.com/one-touch-system/one-touch-handling


Contact

Vlassis VlazakisCAI PM

HC WEA GRE LDAgisilaou str. 6-8, 151 23Maroussi,Athens, GREECE

M +30 6949 989910E [email protected]

total lab automation · 2018-05-30 · vitros® automation solutions ... proactive maintenance....

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