Nihon Kohdem
Nihon Kohdem
Nihon Kohdem
MEK- 8222K
AUTOMATED
HEMATOLOGY ANALYZER
MEK-8222
0634-001851B
Model: MEK-8222J/K
Manual code no.: 0634-001851B
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CONTENTS
Contents
GENERAL HANDLING PRECAUTIONS ................................................................................... i
WARRANTY POLICY .............................................................................................................. ii
RESPONSIBILITIES - PROFESSIONAL USERS ................................................................... ii
EMC RELATED CAUTION ...................................................................................................... iii
Conventions Used in this Manual and Instrument ................................................................... v
Warnings, Cautions and Notes ......................................................................................v
Explanations of the Symbols in this Manual and Instrument ........................................ vi
On panel ............................................................................................................. vi
On screen and recorded data ............................................................................ vii
Checking and Cleaning the Sub Baths, Measurement Baths and Sample Cup .................. 7.10
Cleaning the Aperture ......................................................................................................... 7.11
Checking and Cleaning the Waste Cup ............................................................................... 7.13
Checking and Replacing the Pump Tubes ........................................................................... 7.14
Checking and Cleaning the Mixing Unit .............................................................................. 7.16
Checking or Replacing the Pinch Valve Tube ...................................................................... 7.17
Priming after Periodic Maintenance Check, Storage or Transport ....................................... 7.18
Please read these precautions thoroughly before attempting to operate the instrument.
1. To safely and effectively use the instrument, its operation must be fully understood.
3. Before Operation
(1) Check that the instrument is in perfect operating order.
(2) Check that the instrument is grounded properly.
(3) Check that all cords are connected properly.
(4) Pay extra attention when the instrument is in combination with other instruments to avoid misdiagnosis or other
problems.
(5) All circuitry used for direct patient connection must be doubly checked.
(6) Check that battery level is acceptable and battery condition is good when using battery-operated models.
4. During Operation
(1) Both the instrument and the patient must receive continual, careful attention.
(2) Turn power off or remove electrodes and/or transducers when necessary to assure the patient’s safety.
(3) Avoid direct contact between the instrument housing and the patient.
6. The instrument must receive expert, professional attention for maintenance and repairs. When the instrument is not
functioning properly, it should be clearly marked to avoid operation while it is out of order.
10. When the instrument is used with a defibrillator, make sure that the instrument is protected against defibrillator
discharge. If not, remove patient cables and/or transducers from the instrument to avoid possible damage.
WARRANTY POLICY
Nihon Kohden Corporation (NKC) shall warrant its products against all defects in materials and workmanship for one year
from the date of delivery. However, consumable materials such as recording paper, ink, stylus and battery are excluded from
the warranty.
NKC or its authorized agents will repair or replace any products which prove to be defective during the warranty period,
provided these products are used as prescribed by the operating instructions given in the operator’s and service manuals.
No other party is authorized to make any warranty or assume liability for NKC’s products. NKC will not recognize any other
warranty, either implied or in writing. In addition, service, technical modification or any other product change performed by
someone other than NKC or its authorized agents without prior consent of NKC may be cause for voiding this warranty.
Defective products or parts must be returned to NKC or its authorized agents, along with an explanation of the failure.
Shipping costs must be pre-paid.
This warranty does not apply to products that have been modified, disassembled, reinstalled or repaired without Nihon
Kohden approval or which have been subjected to neglect or accident, damage due to accident, fire, lightning, vandalism,
water or other casualty, improper installation or application, or on which the original identification marks have been
removed.
If deviating from the instructions, the professional user does it at the risk and liability of the laboratory and only after
validation by the laboratory. Nihon Kohden has no responsibility over such deviations.
The following describes some common interference sources and remedial actions:
1. Strong electromagnetic interference from a nearby emitter source such as an authorized radio station or
cellular phone:
Install the equipment and/or system at another location if it is interfered with by an emitter source such
as an authorized radio station. Keep the emitter source such as cellular phone away from the equipment
and/or system.
2. Radio-frequency interference from other equipment through the AC power supply of the equipment and/
or system:
Identify the cause of this interference and if possible remove this interference source. If this is not
possible, use a different power supply.
4. Electromagnetic interference with any radio wave receiver such as radio or television:
If the equipment and/or system interferes with any radio wave receiver, locate the equipment and/or
system as far as possible from the radio wave receiver.
If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden Corporation
subsidiary or distributor for additional suggestions.
This equipment complies with International Standard EN55011 (1999) Group 1, Class B. Class B
EQUIPMENT is equipment suitable for use in domestic establishments and in establishments directly
connected to a low voltage power supply network which supplies buildings used for domestic purposes.
The CE mark is a protected conformity mark of the European Community. The products herewith comply
with the requirements of the IVD Directive 98/79/EEC.
Warnings, cautions and notes are used in this manual to alert or signal the reader to specific information.
WARNING
A warning alerts the user to the possible injury or death associated with the use or misuse of the
instrument.
CAUTION
A caution alerts the user to possible injury or problems with the instrument associated with its use or
misuse such as instrument malfunction, instrument failure, damage to the instrument, or damage to other
property.
NOTE
A note provides specific information, in the form of recommendations, prerequirements, alternative methods
or supplemental information.
HEMOLYNAC•3
Main power lamp
(hemolysing reagent)
HEMOLYNAC•3N*
“On” only for part of the equipment
(hemolysing reagent)
HEMOLYNAC•5
“Off” only for part of the equipment
(hemolysing reagent)
Laser ON WASTE
Emergency Fuse
AC power on
Inlet
(Connection to the mains)
ISOTONAC•3
Serial number
(diluent)
The CE mark is a protected
CLEANAC
conformity mark of the European
(detergent)
Community. The products
herewith comply with the
CLEANAC•3
requirements of the IVD Directive
(detergent)
98/79/EEC.
* When using the HEMOLYNAC•3N hemolysing reagent, the HEMO3N label is to be attached over the HEMO3 label.
vi Service Manual MEK-8222
On screen and recorded data
Symbol Description Symbol Description
Beside WBC or RBC measured
value: Sample error Beside HGB measured value: HGB
Beside HGB measured value: Dirty circuit error
measurement baths
Beside WBC measured value: Poor
hemolyzation
Beside HGB measured value: HGB C Beside WBC or PLT measured
value: Platelet coagulation
voltage adjustment error
Introduction
CAUTION
To maintain the instrument in normal condition, the user must perform
the periodic maintenance. Refer to “Maintenance” of the operator’s
manual.
All replaceable parts or units of this instrument and its optional units are clearly
listed with exploded illustration to help you locate the parts quickly.
The maintenance must be periodically performed because the instrument has fluid
paths and precision parts. Accordingly, the user is responsible for performing the
periodic maintenance. The “Maintenance” section in this service manual
describes the maintenance that should be performed by qualified service
personnel. The “Maintenance” section in the operator’s manual describes the
maintenance that can be performed by the user.
NOTE
If the instrument has a problem and there has been no periodic
maintenance, the instrument will usually be normal again by cleaning
the fluid paths or replacing a consumable with a new one.
The information in the operator’s manual is primarily for the user. However, it is
important for service personnel to thoroughly read the operator’s manual and
service manual before starting to troubleshoot, service, maintain or repair this
instrument. This is because service personnel needs to understand the operation
of the instrument in order to effectively use the information in the service manual.
Service Policy
CAUTION
• Be careful not to directly touch any place where blood is or may
spread to.
• Wear rubber gloves to protect yourself from infection before doing
maintenance.
Nihon Kohden Corporation’s basic policy for technical service is to replace faulty
units, printed circuit boards or parts. We do not support component-level repair of
boards and units outside the factory.
NOTE
• When ordering parts or accessories from your nearest Nihon Kohden
Corporation’s distributor, please quote the NK code number and part
name which is listed in this service manual, and the name or model
of the unit in which the required part is located. This will help us to
promptly attend to your needs.
• Always use parts and accessories recommended or supplied by
Nihon Kohden Corporation to assure maximum performance from
your instrument.
Specifications
0 to 299 × 10 /µL
3
NE: Neutrophil count
0 to 299 × 10 /µL
3
LY: Lymphocyte count
0 to 299 × 10 /µL
3
MO: Monocyte count
0 to 299 × 10 /µL
3
EO: Eosinophil count
0 to 299 × 10 /µL
3
BA: Basophil count
0 to 14.9 × 10 /µL within 1.5%CV (5.0 × 10 /µL)
6 6
RBC: Red blood cell count
HGB: Hemoglobin concentration 0 to 29.9 g/dL within 1.5%CV (16 g/dL)
HCT: Hematocrit 0 to 99.9%
MCV: Mean cell volume 20 to 199 fL within 1.0%CV (70 to 120 fL)
MCH: Mean cell hemoglobin 10 to 50 pg
MCHC: Mean cell hemoglobin concentration 10 to 50 g/dL
RDW: Red blood cell distribution width 0 to 50%
0 to 1490 × 10 /µL within 4.0%CV (3.0 × 10 /µL)
3 3
PLT: Platelet count
PCT: Platelet crit 0 to 2.9%
MPV: Mean platelet volume 0 to 20.0 fL
PDW: Platelet distribution width 0 to 50%
Detection Method
Blood cell count: Electrical resistance detection
Hemoglobin: Cyanmethemoglobin optical detection
Hematocrit: Histogram calculation
WBC population: Light scatter by laser
Platelet crit: Histogram calculation
RBC distribution width: Histogram calculation
Platelet distribution width: Histogram calculation
HGB: NCCLS H15-A2 H15-A2: Reference and Selected Procedures for the Quantitative Determination of Hemoglobin in
Blood Second Edition; Approved Standard (1994)
HCT: NCCLS H7-A2 H7-A2: Procedure for Determining Packed Cell Volume by the Microhematocrit Method Second
Edition; Approved Standard (1993)
PLT: Brecher & Cronkite
Interference Substances
WBC: Unlysed red cells
In some rare occasions, the RBC in the blood sample may not completely lyse and these non-lysed RBC
may be detected as WBC and cause increase in WBC count.
Multiple myeloma
The precipitation of proteins in multiple myeloma patients may increase the WBC count.
Leukemia
WBC is fragile in leukemia patient and WBC may be destroyed during measurement. These WBC
fragments may also interfere with WBC differential measurement.
Chemotherapy
Cytotoxic and immunosuppressive drugs cause low WBC count.
Cryoglobulins
Cryoglobulin may be increased in patients who are or have myeloma, cancer, leukemia, macroglobulinemia,
lymphoproliferative disorders, metastatic tumors, autoimmune disorders, infections, anerurism, pregnant,
thromboembolic phenomena, diabetes, etc, which cause increase in WBC, RBC or PLT counts and HGB
concentration. In such cases, warm the blood sample to 37°C in a water bath for 30 minutes and measure
the sample immediately.
RBC: Leukemia
An increase in WBC in leukemia patient causes increase in RBC.
Agglutinated RBC
Agglutinated RBC may decrease RBC count. This can be checked by abnormal MCH and MCHC values
and examination of the stained blood film.
Cold agglutinins
IgM immunoglobulins which are elevated in clod agglutinin disease may decrease RBC and PLT counts and
increase MCV.
HGB: Turbidity of the blood sample
Any physiologic and/or therapeutic factors may increase HGB. In such a case, determine the cause of
turbidity and follow the appropriate method below.
1. Increased WBC
An extreme increase in WBC will cause excessive light scatter. In these cases, measure manually.
Centrifuge the diluted sample and measure the supernatant fluid with a spectrophotometer.
2. Increased lipids
The blood sample may be milky when there is excessive lipid. This may occur with hyperlipidemia,
hyperproteinemia and hyperbilirubinemia. Accurate HGB measurement can be achieved by manual
methods and a plasma blank.
3. Increased turbidity
When RBC are resistant to lysing, turbidity may increase causing increase in HGB. Observe if MCH
and MCHC values are abnormal. HGB result affects MCH and MCHC result.
4. Fetal bloods
The mixing of fetal and maternal blood may increase HGB value.
HCT: Agglutinated RBC
RBC agglutination may cause erroneous HCT and MCV values. Observe if MCH and MCHC values are
abnormal. In such a case, measure manually.
WBC 5 part differential parameters are derived from the WBC count, therefore, the limitations for WBC also affect these
parameters.
LY and LY%: Erythroblasts, certain parasites and RBC that are resistant to lysis may interfere with an accurate LY count.
MO and MO%: Large lymphocytes, atypical lymphocytes, blasts and excessive number of basophils may interfere with
an accurate MO count.
NE and NE%: Excessive eosinophils, metamyelocytes, myelocytes, promyelocytes, blasts and plasma cells may interfere
with an accurate NE count and NE%.
EO and EO%: Abnormal granules may interfere with an accurate EO count.
BA and BA%: Immature cell, metamyelocytes, myelocytes, promyelocytes, blasts and plasma cells may interfere with an
accurate BA count and BA%.
Dilution Ratio
• Venous blood
Sample volume: 55 µL
WBC/HGB: 200:1
RBC/PLT: 40,000:1
• Capillary blood
Sample volume: 10 µL 20 µL
WBC/HGB: 1200:1 600:1
RBC/PLT: 240,000:1 120,000:1
Counting Time
Approximately 45 s/sample, 80 samples/hr
Display
Display: 8.4 inch, TFT type color LCD with touch screen keys
Resolution: 800 × 600 dots
Screen size: approx. 170.4 × 127.8 mm
Display contents: Numerical data, scattergrams, histograms, measuring conditions, alarm message and other messages,
touch screen keys
Data Storage
Numerical data for all counted parameters for up to 400 samples and histograms and scattergrams for up to 60 samples
Environmental Conditions
Storage temperature: −20 to 60°C
Operating temperature: 15 to 30°C
Storage humidity: 10 to 95% (Non-condensing)
Operating humidity: 30 to 85% (Non-condensing)
Storage atmospheric pressure: 70 to 106 kPa
Operating atmospheric pressure: 70 to 106 kPa
Power Requirements
Power requirements: MEK-8222J: 110, 117 or 127 V ±10% AC, 50/60 Hz
MEK-8222K:220, 230 or 240 V ±10% AC, 50/60 Hz
Power consumption: 360 VA
Electromagnetic Compatibility
IEC 61326-1 (1997) Amendment 1 (1998) Amendment 2 (2000)
EN 61326-1 (1997) Amendment 1 (1998)
Safety
Safety standards: IEC 61010-1 2nd Edition (2001)
EN 61010-1 (1993) Amendment 2 (1995)
Panel Descriptions
Front Panel 6 7 8 9 10
11
1
2 12
3 13
14
5
15
16 CAUTION
Do not put your hand in the
rack table during
measurement.
CAUTION 1
Do not insert an object, such a
pencil into these holes.
Otherwise the liquid sensor unit 2
may be damaged.
3
4
5
6
7
CAUTION
Always carry the hematology analyzer by more than two people and by
the left and right sides. Never hold it by the front and rear. Otherwise
the front panel may come off and the hematology analyzer may be
dropped, causing injury to the operator and damage to the hematology
analyzer.
Rear Panel
Refer to warnings and cautions in “Connecting an External
Instrument to the Hematology Analyzer” in Section 2.
5
6
Inside Panels
CAUTION
• For WBC 5 part differential measurement, the laser beam is used. Do
not open any part labeled “CAUTION”. The laser can cause burns
and blindness.
• Do not remove the caution labels.
NOTE
• When attaching the filter joint assembly, be careful not to bend or
damage the filter packing at the bottom of the measurement bath.
• When there is a leakage, check that there is no scratch or damage to
the circumference of the filter.
Composition
RK-820V Chassis
Demonstration Guide
Refer to Section 9 for an installation and setup flow chart for a demonstoration of
the MEK-8222J/K hematorogy analyzer.
Instruments with the software version V01-07 require the following ROM
replacement before the software upgrade. Therefore, check the software
version of the instrument. If the software version is not V01-07, go to
“Upgrading the Software with Memory Card”.
CAUTION
Before removing any parts from the instrument, wait 10 minutes after
turning off the instrument and disconnecting the power cord from the
AC outlet.
2. Remove the screws which secure the side covers and top cover to the
instrument chassis. Remove the covers from the instrument.
Top cover
Rear cover
3. Remove the screws which secure the rear cover to the instrument chassis.
Slowly pull the rear cover toward you until the cable connected to the rear
cover backside appears as shown below. Disconnect the cable at the
INTERFACE board which is attached to the rear cover. Completely remove the
rear cover from the instrument.
4. Insert a small flat-blade screwdriver between the ROM and its socket on the
MASTER board as shown below. Carefully lift the ROM with the screwdriver
until the ROM slightly tilts. Take out the screwdriver and insert it into the
opposite side of the IC socket. Continue lifting both sides of the ROM with the
screwdriver until the ROM is removed.
MASTER board
Flat-blade screwdriver
ROM
CAUTION
When you remove the ROM from the IC socket with a sharp edge tool
such as a flat-blade screwdriver, be sure that it does not damage the
printed pattern under the IC socket.
IC socket
Printed pattern
5. Put the new ROM on the IC socket and carefully insert the pins of the new
ROM into the IC socket.
CAUTION
• Before putting the new ROM on the IC socket, check that the ROM
position is the same as the old ROM.
• Do not break or bend a pin of the ROM. The pins must be correctly
inserted into the socket. Otherwise the instrument may not work.
Memory card
Card slot
8. Press the card eject key and remove the memory card from the instrument.
Memory card
Yes
Yes
END
Operating Condition Check The measurement requires the following operating conditions.
If the diluent or hemolysing reagent temperature is lower than 15°C, it will affect the
measurement data of HGB, WBC and WBC 5 part differential parameters or cause the
hemolysing error flag or sample error alarm.
- Check that the blood sample is immediately counted after collection or stored in
Blood Sample Handling
a cool place (at temperatures between 2 and 8°C), such as a refrigerator. If the
Check
blood sample is stored in a refrigerator at temperatures lower than 2°C for a long
time or left more than 12 hours at room temperature after collection, the WBC 5
part differential parameters may be affected.
- If there is a blood sample which causes hemolysing error flag when it is counted
within 30 minutes after collection, check that the blood sample is left at least 30
minutes after collection before counting it.
- When counting a blood sample which is left more than a few minutes after
collection, check that the blood sample is gently shaken again before counting.
- Check that there are no bubbles in the blood sample after shaking it. If the blood
sample is excessively shaken, it causes a lot of bubbles and hemolyzation.
- Check that an aggregated or coagulated blood sample is not counted. Such a blood
sample may damage the hematology analyzer.
- When counting a blood sample which is stored in a refrigerator for more than a
day, check that the sample is warmed to room temperature and gently and
sufficiently shaken for counting.
Capillary Sample Most of the measurement data error in the capillary mode is caused by blood collection
Preparation Check and dilution of the blood sample. Therefore, check the following points. Refer to
“Measuring a Capillary Sample” in Section 5 of the MEK-8222J/K operator’s manual.
- Before using a sahli pipette for capillary blood collection, check that the sahli
pipette is completely cleaned and dried. An optional micro cap is recommended
for capillary blood collection. Refer to “Consumables” in Section 11 of MEK-
8222J/K operator’s manual.
- When putting the capillary blood into a sample cup, check that there are no bubbles
in the sample cup. If the user cannot avoid making bubbles with the sahli pipette,
we recommend the optional micro cap which prevents bubbling.
- Check that the capillary blood in the sample cup is properly aspirated by the
sampling nozzle after gently shaking the sample cup more than 10 times. If a
venous blood is erroneously aspirated, the hematology analyzer can have a
malfunction such as clog in the fluid path or high background noise.
Atypical Blood Samples The following atypical blood samples can affect the specified parameter(s).
WBC:
Excessive WBC
If the white blood cells are too high to count, use the HIGH WBC key in the manual
mode. If the hematology analyzer still displays the OVER message, dilute the blood
sample so that the WBC is within the measurable range.
Nucleated erythrocyte
If there is a nucleus in some of the red blood cells, the nucleated red blood cells are
detected as WBC which increases the WBC count. Subtract the number of nucleated
red blood cells from the total WBC count.
Multiple myeloma
The precipitation of proteins in multiple myeloma patients may increase the WBC
count.
Leukemia
Since WBC in leukemia patients is fragile, some of the WBC may be destroyed during
measurement. It may cause low WBC count. The fragments of the WBC may also
affect the accuracy of the WBC 5 part differential measurement.
Chemotherapy
Cytotoxic or immunosuppressive drugs weaken WBC so that some of the WBC may
be destroyed during measurement. It may cause low WBC count. The fragments of the
WBC may also affect the accuracy of the WBC 5 part differential measurement.
Cryoglobulins
Increase of cryoglobulin may be caused by myeloma, cancer, leukemia,
macroglobulinemia, lymphoproliferative disorders, metastatic tumors, autoimmune
disorders, infections, aneurysm, pregnant, thromboembolic phenomena or diabetes.
The increase of cryoglobulin causes increase in WBC, RBC, PLT counts and HGB
concentration. To remove this effect from the blood sample, warm the blood sample to
37°C in a water bath for 30 minutes and measure the sample immediately.
RBC:
Leukemia
An increase in WBC in leukemia patients causes increase in RBC because the WBC
count is so high that it affects RBC count. If the WBC count is 50 x 103/µL or more,
subtract the WBC count from the RBC count to remove this effect.
Agglutinated RBC
Agglutinated RBC may decrease RBC count. It is found by checking the MCH and
MCHC values because they become abnormal if the low RBC count is caused by
agglutinated RBC. When you gently tilt the blood sample tube and watch the blood on
the tube wall, you can see if the blood is granular. If using the stained blood film and
checking it with a microscope, you can check if the sample has agglutinated RBC.
Cold agglutinins
IgM immunoglobulin increases in cold agglutinin disease patient. The blood sample
of the patient may decrease the RBC and PLT counts and increase the MCV. To remove
this effect from the blood sample, warm the blood sample to 37°C in a water bath and
measure the sample immediately. If the cold agglutinins are too high, the stained blood
film may show that the blood looks coagulated.
Hemolysis
If some of the red blood cells are hemolysed, the blood sample may cause low RBC.
HGB:
Turbidity of the blood sample
Physiologic, therapeutic or disease factors may cause turbidity of the blood sample.
Turbidity affects the HGB concentration. Find the cause of turbidity and follow the
appropriate method for accurate HGB concentration as shown below.
- High WBC
Increase of WBC causes turbidity. It can cause excessive light scatter and incorrect
HGB. Manually measure the HGB. Centrifuge the diluted sample and measure the
supernatant fluid with a spectrophotometer.
- Increase of lipids
The blood sample may be milky when there is excessive lipid. It can be caused by
hyperlipidemia, hyperproteinemia or hyperbilirubinemia. Manually measure the HGB
and use the plasma blank measurement to obtain the accurate HGB.
- Increase of unlysed RBC
When RBC which have resistance to lysing are not lysed by the hemolysing reagent,
turbidity increases. It causes high HGB. Since HGB affects MCH and MCHC, the
MCH and MCHC show abnormal values.
- Fetal blood
The mixing of fetal and maternal blood may increase the HGB.
- Excessive WBC
If there is a blood sample which shows abnormally high WBC, it increases turbidity
and high HGB is shown. The MCH and MCHC are also high.
HCT:
Agglutinated RBC
RBC agglutination may cause erroneous HCT and MCV values. The stained blood
film shows these errors. If the MCH and MCHC values are also abnormal, manually
measure the HCT and MCV.
MCV:
Agglutinated RBC
RBC agglutination may cause erroneous HCT and MCV values. The stained blood
film shows these errors. If the MCH and MCHC values are also abnormal, manually
measure the HCT and MCV.
MCH:
MCH is calculated from HGB and RBC values. Therefore, the abnormal HGB or
RBC affects the MCH.
MCHC:
MCHC is calculated from HGB and HCT values. Therefore, the abnormal HGB or
HCT affects the MCHC.
RDW:
RDW is calculated from RBC value. Therefore, the abnormal RBC affects the RDW.
Agglutinated RBC
Agglutinated RBC may decrease RBC count and erroneous RDW. This can be checked
by abnormal MCH and MCHC values and examination of the stained blood film.
PLT:
Very small fragments
Very small RBC, RBC fragments or WBC fragments can cause the increase of the PLT
count.
Agglutinated RBC
PLT can be involved in the agglutinated RBC. It decreases the PLT count. Abnormal
MCH and MCHC values shows this occurrence. Use the stained blood film to obtain
the PLT.
Chemotherapy
Cytotoxic or immunosuppressive drugs weaken the cells. It can cause low PLT count.
Manually measure the PLT.
Hemolysis
Lyzed specimen contains red blood cell stroma. It can increase the PLT count.
Anticoagulated blood
Blood anticoagulated with acid-citrate-dextrose causes agglutinated PLT. It can decrease
the PLT count.
Agglutinated PLT
Agglutinated PLT decreases the PLT count and increases the WBC count. For such
sample, collect the sample in sodium citrate anticoagulant and measure only PLT. The
PLT must be corrected with the sodium citrate dilution effect to obtain the accurate
PLT.
MPV:
Very large PLT
Large PLT exceeds the PLT threshold and is not counted as PLT. It results in low
MPV.
Agglutinated RBC
PLT can be included in the agglutinated RBC. It results in erroneous MPV. Abnormal
MCH and MCHC values show this occurrence. Use the stained blood film to obtain
the PLT.
Chemotherapy
Cytotoxic or immunosuppressive drugs weaken the cells. It can cause erroneous MPV.
Manually measure the MPV.
NOTE
- Swelling of platelets depends on the storage temperature and elapsed
time after collection.
- Blood samples collected in EDTA can cause unstable MPV.
NOTE
Cell counts for WBC 5 part differential parameters, NE, LY, MO, EO and
BA counts, are calculated from the WBC count (by electrical resistance
detection) and each percentage (by laser beam scatter). Therefore, the
WBC count can affect these parameters.
Checking Particle CV
Measuring Polymer Checking CV of particle measurement is necessary for accurate WBC 5 part
Microsphere Suspensions differential measurement. Check the particle CV after installing the hematology
for Checking CV analyzer or when the scattergrams appear outside their allotted area on the screen.
To check particle CV, measure 7 µm polymer microsphere suspensions.
2. Press the SETTINGS key on the MENU screen to display the SETTINGS
screen.
4. Press the DIFF GAIN key to display the DIFF GAIN (ROUGH) screen.
The ideal peak and current gain values are displayed on the screen.
5. Press the Manual mode key on the front panel to enter manual mode, put the
sampling nozzle into the bottom of the sample tube containing the polymer
microsphere suspensions so that the tip of the sampling nozzle touches the
bottom of the sample tube, and press the Manual count switch. The polymer
microsphere suspensions is aspirated and measurement starts.
The result appears on the screen. Check that the CV of FS and FL are below
7%.
CV values
When the result is not optimum, press the CLEAN FLOW CELLS key to clean
the flow cell unit. After cleaning, measure the polymer microsphere
suspensions again.
When the result is still not optimum, the flow cell unit position must be
adjusted. Refer to the “Adjusting the Flow Cell Unit Position” section.
6. Press the OK key on the screen to return to the SENS & THRESH screen.
Cleaning is automatically performed.
Poor Optical
Reproducibility Problems No Scattergram and Histograms (TOC (Total Optical Count) is 0)
Reason Possible Cause/Criteria Countermeasure
No laser light. The emergency switch* is turned off. Turn on the switch.
The MO-820V Laser Optical Unit
Connect the unit.
connector is disconnected.
MO-820V Laser Optical Unit failure. Replace the unit with a new one. Refer to Section 4.
UT-7146 MASTER board failure. Replace the board with a new one. Refer to Section 4.
Adjust the flow cell unit position. Refer to the
Incorrect flow cell unit position.
“Adjusting the Flow Cell Unit Position” section.
Replace the pinch valve tubes with new ones. Refer
The pinch valve tubes are clogged.
to Section 4.
MP-821V Sample Pump Unit failure. Replace the unit with a new one. Refer to Section 4.
No sample flow into
MP-822V Sheath Pump Unit failure. Replace the unit with a new one. Refer to Section 4.
the flow cell.
MC-821V Flow Cytometry Piping Unit
Contact your Nihon Kohden distributor.
failure.
UT-7146 MASTER board failure. Replace the board with a new one. Refer to Section 4.
Set FS THR to 10 on the DIFF GAIN (FINE) screen.
The FS THR setting of the diff gain is
No waveform is Refer to “Adjusting Gain for WBC 5 Part Differential
inappropriate.
detected. Measurement” in Section 3 of the operator’s manual.
UT-7146 MASTER board failure. Replace the board with a new one. Refer to Section 4.
*Located near the laser switch on the chassis. Refer to Section 8 “Replaceable Parts List” pages 8.6 and 8.7. When this emergency switch
is turned on, the LED of the switch is lit. Without removing the top cover, you can turn on the switch using a thin stick such as a tooth pick
through the ventilation grille.
CV of FS or FL is Above 7%
Reason Possible Cause/Criteria Countermeasure
Adjust the flow cell unit position. Refer to the
The flow cell unit position is inappropriate.
“Adjusting the Flow Cell Unit Position” section.
Replace the polymer microsphere suspensions with
The quality of the polymer microsphere suspensions is poor.
the new one.
Inside of the flow cell unit is dirty.
Clean the flow cell unit. Refer to “Cleaning the Flow
Air bubbles on the inside wall of the flow Cell” in Section 10 of the operator’s manual.
cell.
The flow of the
The MP-822V Sheath Pump Unit failure. Replace the unit with a new one. Refer to Section 4.
sample is unstable.
The flow cell unit is clogged. Contact your Nihon Kohden distributor.
The MC-821V Flow Cytometry Piping
Contact your Nihon Kohden distributor.
Unit failure.
The outside of the flow cell unit is dirty. Contact your Nihon Kohden distributor.
The light scatter is
The flow cell unit is damaged. Replace the flow cell unit with a new one.
unstable.
The MO-820V Laser Optical Unit failure. Replace the unit with a new one.
Adjusting the Flow Cell Adjust the flow cell unit position when the CV of FS or FL is still above 7% after
Unit Position cleaning the flow cell unit.
1. Remove the flow cell unit window cover on the right side panel by removing
two screws.
2. Loosen the screw fastening the flow cell unit adjustment screw with the thick
hex wrench. Turn the screw counterclockwise.
Flow cell unit adjustment screw 3. Insert the thin hex wrench into the flow cell adjustment screw.
5. When the measurement is started, turn the flow cell adjustment screw about 2
or 3° and press the CLEAR key on the screen to redraw the histograms.
If the histograms are narrower than before, turn the flow cell adjustment screw
in the same direction.
If the histograms are wider than before, turn the flow cell adjustment screw in
the opposite direction.
Repeat drawing the histograms, adjusting the flow cell unit and redrawing the
histograms until you obtain the optimum result (narrowest histograms width).
6. When adjusting the flow cell unit position is complete, fasten the flow cell unit
adjustment screw with the thick hex wrench. Turn the screw clockwise.
7. Measure polymer microsphere suspensions again and check that the CV values
are below 7%.
8. Replace the flow cell unit window and press the OK key on the screen.
Cleaning is automatically performed.
Measurement
Count the diluent in closed mode and manual mode.
In Closed Mode
1. Press the Eject key on the front panel. The rack table slides out.
3. Press the Start key on the front panel to count the empty samples.
In Manual Mode
1. Press the Manual mode key on the front panel. The sampling nozzle is
lowered.
2. Press the Manual count switch to count the diluent. There is no need to
aspirate the diluent from the sampling nozzle.
Results
The result is displayed on the screen after measurement. Make sure that the values
are less than or equal to the following values.
WBC: 0.2 (×103/µL)
RBC: 0.05 (×106/µL)
HGB: 0.1 (g/dL)
PLT: 10 (×103/µL)
TOC: 100 (count)
(TOC: total optical count. This parameter only appears in a background noise
measurement.)
Disregard the other parameter values because noise does not affect the other
parameters.
The CV values of the 10 measurements of the same type of blood are used for
checking the reproducibility. The MEK-3DN hematology control, MEK-5DN
hematology control or human blood of a healthy person which is within 8 hours
after collection can be used. If the CV values are out of the specified range, the
hematology analyzer does not operate normally. When the reproducibility is poor,
refer to the “Poor Reproducibility Problems” section and solve the problems.
About CV Values The reproducibility is checked using the CV values. The CV value is acquired by
dividing the standard deviation by the average value. When the CV value is large,
it indicates that the measurement data variability is large (i.e. reproducibility is
poor).
Example
Measured Value Acquired CV Standard CV
Parameters
(average) (%) (%)
WBC 6.8 1.3 2.0
NE% 5.0
LY% 5.0
MO% 12.0
EO% 20.0
BA% 30.0
RBC 4.43 0.8 1.5
HGB 13.0 0.7 1.5
MCV 91.0 0.4 1.0
PLT 242 3.2 4.0
In the above example, the RBC measured value is 4.43 and the acquired CV is
0.8%. 0.8% of 4.43 is 0.035, 4.43 ± 0.035 is 4.465 and 4.395. Therefore, the CV
of 0.8% indicates that in 6 of 10 measurements, the acquired value is between
4.395 and 4.465.
Reference
The CV of a Sample of Low Measured Values (Low Concentration)
On the hematology analyzer, the blood cells passing through the apertures are
counted. The reproducibility depends on the number of counted cells. When this
number increases, the reproducibility is improved. Therefore, if the number of
counted cells is small (a sample with low concentration is measured), the variation
increases. For example, the CV is within 4% when counting 300,000 PLT, but the
CV increases to over 4% when counting 100,000 PLT. This is a common feature
for any hematology analyzer.
Checking Procedure 1. Select “FACTORY” as the operator on the OPERATORS & PASSWORDS
screen.
2. Measure 10 samples.
Poor Reproducibility If the reproducibility check result is poor, find the cause and countermeasure from
Problems the following tables.
Deterioration of reagents
Replace the reagents with the new ones and handle them as indicated on their
manual. Avoid direct sunlight and use the reagents in appropriate condition.
Deterioration of reagents
Replace the reagents with the new ones and handle them as indicated on their
manual. Avoid direct sunlight and use the reagents in appropriate condition.
Dilution error
Possible Cause/Criteria Countermeasure
MS-820V Closed Sampler Unit failure. Replace the unit with a new one.
MS-821V Open Sample Unit failure. Replace the unit with a new one.
MP-820V Complex Pump Unit failure. Replace the unit with a new one.
Checking Accuracy
Before checking accuracy, measure a MEK-5D hematology control with the same
procedure described in the “Checking the Reproducibility” section. Confirm that
the obtained sample data is within the acceptable range on the assay sheet attached
to the hematology control. If the data is outside this range or on the borderline,
calibrate the hematology analyzer with the following procedure.
Changing the Operator to Select “FACTORY” as the operator on the OPERATORS & PASSWORDS screen.
“FACTORY”
1. Press MENU key → SETTINGS key → OPERATORS & PASSWORDS key.
Calibration Procedure The CBC parameters (WBC, RBC, HGB, MCV, PLT, RDW and MPV) are
calibrated using the MEK-3DN hematology control as a calibrator. This calibrator
can be used when it is within 3 days after opening, stored at 2 to 8°C and handled
appropriately according to its manual.
1. Set the sample tube containing the MEK-3DN calibrator in rack position no. 1.
4. Calibrate the new calibration coefficient for each parameter from the mean
value according to the equation below.
6. On the CALIBRATION screen, press the WBC key to calibrate WBC, press the
RBC to calibrate RBC parameters and press the PLT to calibrate the PLT
parameters.
7. Use the arrow keys to move the cursor to the calibration coefficient box of the
parameter you want to calibrate.
8. Use the numerical keys on the screen to enter the new calibration coefficient
you calculated in step 4. Press the Enter key to register the value.
10. Set the sample tube containing the MEK-3DN calibrator in rack position no. 1
and measure it 10 times.
If the parameters are not within the range on the assay sheet, calibrate the CBC
parameters again.
Service Manual MEK-8222 2.25
2. TROUBLESHOOTING
Checking Scattergram
Checking Scattergram
Procedure WARNING
Always wear rubber gloves to protect yourself from infection when
handling and measuring blood samples.
2. Set them in the sample rack and measure them in closed mode.
• Blasts
• Immature Granulocyte
• Left Shift
• Atypical Lymphocytes
Flags appear in this area
5. Enter the sequence number of the data measured in step 2 in the NEW
SAMPLE SEQ# box and press the LOAD NEW SCATTERGRAM key to
display the scattergram of the selected data.
• The scattergrams are oval in shape and are not touching the division line.
• The scattergrams are displayed in the MO, LY and NE area on the left
scattergram.
• There are not many scattergrams displayed in the upper area on the center
and right scattergrams.
• In the MO PEAK table and on the ACTUAL PEAK LIST screen, the
AVERAGE ACTUAL PEAK and IDEAL PEAK values are the same. To
display the ACTUAL PEAK LIST screen, press the LIST key on the DIFF
GAIN (FINE) screen.
Each MO PEAK target value and optimum range in parentheses are shown
below.
MO FS PEAK: 189 (186 to 192)
MO FL PEAK: 49 (47 to 51)
MO SD PEAK: 23 (21 to 23)
NE
MO PEAK table
MO
LY
No scattergrams
No laser light. The emergency switch* is turned off. Turn on the switch.
The MO-820V Laser Optical Unit
Connect the unit.
connector is disconnected.
MO-820V Laser Optical Unit failure. Replace the unit with a new one. Refer to Section 4.
UT-7146 MASTER board failure. Replace the board with a new one. Refer to Section 4.
Adjust the flow cell unit position. Refer to the
Incorrect flow cell unit position.
“Adjusting the Flow Cell Unit Position” section.
Replace the pinch valve tubes with new ones. Refer
The pinch valve tubes are clogged.
to Section 4.
MP-821V Sample Pump Unit failure. Replace the unit with a new one. Refer to Section 4.
No sample flow into
MP-822V Sheath Pump Unit failure. Replace the unit with a new one. Refer to Section 4.
the flow cell.
MC-821V Flow Cytometry Piping Unit
Contact your Nihon Kohden distributor.
failure.
UT-7146 MASTER board failure. Replace the board with a new one. Refer to Section 4.
Set FS THR to 10 on the DIFF GAIN (FINE) screen.
The FS THR setting of the diff gain is
No waveform is Refer to “Adjusting Gain for WBC 5 Part Differential
inappropriate.
detected. Measurement” in Section 3 of the operator’s manual.
UT-7146 MASTER board failure. Replace the board with a new one. Refer to Section 4.
*Located near the laser switch on the chassis. Refer to Section 8 “Replaceable Parts List” pages 8.6 and 8.7. When this emergency switch
is turned on, the LED of the switch is lit. Without removing the top cover, you can turn on the switch using a thin stick such as a tooth pick
through the ventilation grille.
Atypical Ly appears
Reason Possible Cause/Criteria Countermeasure
Specific characteristics of the
There is no problem on the hematology analyzer.
Specific characteristics of the sample.
sample. More than 12 hours elapsed There is no problem on the hematology analyzer.
after sample collection Measure the sample within 12 hours after collection.
FS gain is low and LY and MO Adjust gain. Refer to the “Checking Scattergram
Fine gain must be adjusted.
scattergrams overlap. Procedure” section.
FS gain is high and LY and ghosts Adjust gain. Refer to the “Checking Scattergram
Fine gain must be adjusted.
overlap. Procedure” section.
Adjust gain. Refer to the “Measuring Polymer
CV of scattergram is out of range. Gain must be adjusted.
Micosphere Suspensions for Checking CV” section.
The environment temperature The environment temperature must be within 15 to
Too many ghosts.
is out of range. 30°C.
No laser light. The emergency switch* is turned off. Turn on the switch.
MO-820V Laser Optical Unit connector is
Connect the unit.
disconnected.
MO-820V Laser Optical Unit failure. Replace the unit with a new one. Refer to Section 4.
UT-7146 MASTER board failure. Replace the board with a new one. Refer to Section 4.
*Located near the laser switch on the chassis. Refer to Section 8 “Replaceable Parts List” pages 8.6 and 8.7. When this emergency switch
is turned on, the LED of the switch is lit. Without removing the top cover, you can turn on the switch using a thin stick such as a tooth pick
through the ventilation grille.
CV of scattergram is Gain must be adjusted using polymer Adjust gain. Refer to the “Measuring Polymer
out of range. microsphere suspensions. Microsphere Suspensions for Checking CV” section.
Maintenance Information When the following messages appears on the screen, press the specified key on the
USER MAINTENANCE screen and follow the procedure in the operator’s manual.
The flags are displayed when the measurement result is below or above the
threshold for each parameter. When these flags are displayed, the sample should be
checked by counting under microscope. When this measurement result does not
match with the result from the hematology analyzer measurement, and when the
same flags often appears on the hematology analyzer, adjustment on the
hematology analyzer may not be correct or the hematology analyzer may be
damaged. This section describes the possible causes and countermeasures for each
flags.
Left Shift
Left Shift appears at the division line between MO and NE on the left scattergram.
Reason Possible Cause/Criteria Countermeasure
There are many band cells in
Check the sample by counting under microscope.
Specific characteristics of the the sample.
sample. More than 12 hours elapsed There is no problem on the hematology analyzer.
after sample collection Measure the sample within 12 hours after collection.
FL gain is not appropriate and
Adjust gain. Refer to the “Checking Scattergram
MO and NE scattergrams are Fine gain must be adjusted.
Procedure” section.
cross talking
CV of scattergram is out of range Adjust gain. Refer to the “Measuring Polymer
and many scatters appear in the Gain must be adjusted. Microsphere Suspensions for Checking CV”
Left Shift area. section.
Atypical Lymphocytes
Atypical Lymphocytes appear in the LY area on the left scattergram.
Reason Possible Cause/Criteria Countermeasure
Atypical lymphocytes in the
Check the sample by counting under microscope.
Specific characteristics of the sample.
sample. More than 12 hours elapsed There is no problem on the hematology analyzer.
after sample collection Measure the sample within 12 hours after collection.
FS gain is low and LY and MO Adjust gain. Refer to the “Checking Scattergram
Fine gain must be adjusted.
scattergrams are cross talking Procedure” section.
FS gain is high and LY and ghosts Adjust gain. Refer to the “Checking Scattergram
Fine gain must be adjusted.
are cross talking Procedure” section.
Adjust gain. Refer to the “Measuring Polymer
CV of scattergram is out of range. Gain must be adjusted.
Microsphere Suspensions for Checking CV” section.
The environment temperature The environment temperature must be within 15 to
Too many ghosts.
is out of range. 30°C.
When Neutrophilia
Neutropenia
Lymphocytosis
Lymphopenia
Monocytosis
Eosinophilia
Basophilia appears
When Leukocytosis
Leukopenia
Erythrocytosis
Anemia
Anisocytosis
Microcytosis
Macrocytosis
Hypochromia
Thrombocytosis
Thrombocytopenia occurs
MEASURE WBC
Measures WBC without diluting operation.
MEASURE RBC
Measures RBC without diluting operation.
CIRCUIT CHECK
Checks circuit.
PRIME BATHS
Primes WBC and RBC baths.
NOTE
Fluid in the baths must be drained before priming. Otherwise there
may be spillage.
UNIT PRIME
Primes the MC-820V CBC Measuring Unit and electrodes behind the aperture caps
with diluent for adjusting electrode voltage of the CBC measuring unit.
NOTE
Before priming the unit, the WBC and RBC measurement baths must
be primed with diluent. Otherwise, air enters through the apertures
and diluent cannot be filled up in the unit.
UNIT CLEAN
Primes the MC-820V CBC Measuring Unit and electrodes behind the aperture caps
with CLEANAC detergent for removing air bubbles in the CBC measuring unit.
NOTE
• Before priming the unit, the WBC and RBC measurement baths must
be primed with diluent. Otherwise, air enters through the apertures
and detergent cannot be filled up in the unit.
• After doing UNIT CLEAN, prime the unit with diluent by doing UNIT
PRIME.
DRAIN BATHS
Drains diluent from the WBC and RBC baths.
REMOVE FLOWCELLS
Drains fluid from the MF-820V Flow Cell Unit. Use this function when replacing
the flow cell unit.
SAMPLE UNIT
MAINTENANCE Screen
MS-820V
For checking the MS-820V Closed Sampler Unit operation.
MS-821V
For checking the MS-821V Open Sampler Unit operation.
MS-822V
For checking the MS-822V Table Unit operation and bar code reader operation.
CLEANING NEEDLE
Cleans the cap pierce nozzle.
PUMP UNIT
MAINTENANCE Screen
NOTE
Remove the pump tubes before performing these operations.
Otherwise, waste fluid enters the hematology analyzer during the
reverse operation.
MP-820V
For checking the MP-820V Complex Pump Unit operation.
MANUAL MODE ON: Moves the MS-821V Open Sampler Unit to the
sample aspirating position.
DILUTER INITIAL: Initializes the diluter of the complex pump unit.
DILUTER ASPIRATE: The diluter unit of the complex pump unit
performs the aspirating operation.
DILUTER DISPENSE: The diluter unit of the complex pump unit
performs the dispensing operation.
NOTE
Diluent is dispensed in this operation.
Therefore, before doing this operation,
press the MANUAL MODE ON key to
MP-821V
For checking the MP-821V Sample Pump Unit operation.
NOTE
Before doing the following operations, check the fluid path with the
Hydraulic System Diagram in Section 1. If there is any mistake in the
operation, fluid may get anywhere in the hematology analyzer and
damage the hematology analyzer.
MP-520V RBC STOP, MP-520V WBC STOP, MP-520V 5DIFF STOP keys in
the PUMP CHECK area
These keys checks the clockwise (drainage), counterclockwise operation of the
pump units. Every time the key is pressed, the key changes from STOP → FRONT
→ REVERSE → STOP.
NOTE
Do not keep these keys to ON. Otherwise, the electromagnetic valves
may heat up.
CONTINUOUS
MEASUREMENT Screen
RACK 1, 2 40 SAMPLES
Measures the samples set at the rack position no. 1 and 2 repeatedly for 40 times.
The sample at no.1 is repeatedly measured 10 times, then the same sample is
repeatedly measured 10 times again. Then the sample at no. 2 is repeatedly
measured 10 times and then again 10 times.
MONITOR Screen
SENSOR MONITOR
Displays the following values at real time.
• Manometer voltage of the MC-820V CBC Measuring Unit, electrode voltage and
HGB sensor voltage
• Voltages of the 4-way liquid sensor, liquid tank sensor and sheath tank sensor
• First sheath pressure and second sheath pressure
• Temperatures of the warmer unit and inside chassis
• Calibration switch settings of the MP-820V Complex Pump Unit and MC-820V
CBC Measuring Unit
For changing the above items and normal ranges, refer to “Adjusting Sensor” in
the Section 6 “Adjustment”.
SCI MONITOR
Displays the history of internal communication between the UT-7146 MASTER
board, UT-7147 SLAVE CBC board and UT-7148 SLAVE MS board.
10 DATA X-CV Screen Displays the measured result, average value and CV value of the latest 10 samples.
INITIALIZATION MENU
Screen
The following settings can be initialized and data can be deleted on this screen.
• INITIALIZE CALIBRATION
Initializes the calibration coefficients and deletes calibration history data.
• INITIALIZE DIFF GAIN
Initializes the gain settings for WBC 5 part differential parameters and deletes
gain adjustment history.
• INITIALIZE ALL DATA
Deletes measured data, work list data, X-R data, X-R initial value, X-R limits and
XB initial value.
• INITIALIZE SETTINGS
Initializes the ID, normal range, recount range, measurement mode, display
format, CBC sensitivity & threshold and their history, MEK-5D sensitivity and
threshold, output format, operator registration, bar code setting and automatic
cleaning time settings. The gain adjustment settings for WBC 5 part differentials
and date and time settings are not initialized.
• OPERATION HISTORY
Deletes operation history.
• ADVANCED SETTINGS
Initializes the ADVANCED SETTINGS, FLAGS SETTINGS, and
MAINTENANCE ALARM settings.
• FACTORY SETTINGS
Initializes all above settings and deletes all data.
ADVANCED SETTINGS
Screen
Special settings which cannot be set on the SETTINGS screen can be set on this
screen.
• MEASUREMENT MODE
Settings concerning sample measurement can be set.
• UNIT SETTING
Movement settings for each unit can be set.
• SCREEN SETTINGS
Display and communication format can be set.
• FLAGS SETTINGS
Threshold for displaying flags can be set.
• MAINTENANCE ALARM
The number of sample counting can be set for displaying prompts for doing
maintenance on the USER MAINTENANCE screen.
MEASUREMENT MODE
MEK-5D hematology control. The setting returns to OFF when the hematology
analyzer power is turned off and on again. When measuring human blood, this
setting must be set to OFF. Otherwise, the result is not accurate.
• CONTINUE MANUAL MODE: default setting ON
When set to ON, the Manual Mode key only needs to be pressed once and the
samples are measured in manual mode until the CANCEL key on the READY
(MANUAL) screen is pressed. When the manual mode measurement is
cancelled, the cleaning is performed automatically. When set to OFF, cleaning is
performed after every manual mode measurement and the measurement mode
changes to closed mode.
UNIT SETTINGS
The sample tube type and mixing interval for continuous measurement can be set.
SCREEN SETTINGS
_
• XD•CV LIMIT: default setting ON
When set to ON, the measured data which are out of normal range, alarmed data
_
or data with flags are not used in CV calculation in the XD•CV program. When
set to OFF, all measured data are used in the calculation. This setting returns to
ON when the hematology analyzer power is turned off and on again.
• OVERWRITE WORK LIST: default setting NO
When set to NO, the dialog box asking if you want to overwrite the work list data
when the hematology analyzer receives a new work list data. When set to YES,
the work list data is overwritten with the new data without asking.
• RS-232C PC OUTPUT MODE: default setting MEK-8222
Select the RS-232C output format. When PC is selected for OUTPUT TO on the
RS-232C setting on the OUTPUT FORMAT screen, select the number of ID
digits and number of parameters.
FLAGS SETTINGS
Sets the thresholds for displaying flags. There are three screens for flags settings.
When changing settings, consult the physician or lab technician.
To change the setting, select the parameter with the arrow keys, enter the desired
value with the numeric keys and press the Enter key to register the value.
• WBC FLAGS 1
Thresholds for flags for high or low WBC can be set.
• WBC FLAGS 2
Thresholds for abnormal cell detecting flags are set. DO NOT CHANGE THE
SETTINGS ON THIS SCREEN. The settings on this screen is automatically set
according to the sensitivity & threshold setting and gain adjustment.
MAINTENANCE ALARM
Sets the interval (the number of counts) for displaying prompts for performing user
maintenance. In the COUNTS column, the number of counts made since the last
maintenance is indicated. In the LIMITS column, you set the number of counts for
displaying the prompts. When changing settings, consult the physician or lab
technician.
Select the item to be changed with the arrow keys, enter the number using the
numeric keys and press the Enter key to register the value.
Press the RESET TARGET COUNTS key to set the number in the COUNTS
column to 0.
Press the DEFAULT SETTINGS to initialize the LIMIT settings.
To use S-Monovette or KABE sample tubes, the following prodedure is required for
use of another position sensor (photo-interruptor).
1. Remove the closed sampler unit. Refer to “Removing the Closed Sampler Unit”
in Section 4 “Disassembly and Assembly”.
3. Select “KABE & MONOBETTE” at the SELECT TEST TUBE on the UNIT
SETTINGS screen. Refer to page 2.59 “UNIT SETTINGS” section.
1. Remove the 2 screws which secure the mixing unit cover to the closed sampler
unit. Remove the mixing unit cover from the closed sampler unit.
2. Remove the 2 screws which secure the roller head to the rotating shaft. Remove
the roller head from the shaft.
3. Attach the Monovette roller head to the shaft with the 2 screws.
When the optional ZK-821V bar code reader is installed in the hematology analyzer
and using S-Monovette or HEMOGARD sample tubes is required, perform the
following procedure.
1. Remove the 2 screws which secure the sample tube roller to the rotating shaft of
the bar code reader. Remove the roller from the shaft.
2. Turn the roller upside down and put the roller back on the shaft. Fasten the roller
to the shaft with the 2 screws.
<Sample tube roller position for standard sample tubes> <Sample tube roller position for S-Monovette or
HEMOGARD sample tube>
Optional Racks for S- When using the S-Monovette sample tubes, the optional YZ-0251 Monovette rack is
Monovette and KABE required.
sample tubes
When using the KABE sample tubes, the optional YZ-0250 Kabe rack is required.
Table Unit
The table unit moves a sample tube set in the rack to the stirring position or
blood aspiration position using x-axis and y-axis drive motors.
Display Unit
The display unit displays the numeric and graphic data and operation keys on
the color LCD screen. This unit controls the LED indicators for the status of
the switches on the front panel.
MASTER Board
The MASTER board controls the operations for the measurement with flow
cytometry method and performs the data processing for the user interface as
shown below.
- Control of the electromagnetic valves and motors
- Amplification and count of the pulses obtained from the scattered light
- LCD control
- USB control
- Memory card control
SLAVE MS Board
The SLAVE MS board controls sample transportation, stirring and dispensing such
as control of the electromagnetic valves and motors.
The procedures in this section tell how to remove, replace and install major
components in the instrument.
CAUTIONS
• Before connecting or disconnecting any cables, turn off the
instrument and unplug the AC power cord from the instrument.
• Fuses cut off the power when an abnormality occurs in the
instrument. Eliminate the malfunction before replacing the fuse.
Use the correct fuse only. The fuse rating is shown on the holder.
• Removal and replacement of any component in the instrument
should be done by qualified service personnel.
• Use only parts recommended by Nihon Kohden to assure maximum
performance from your instrument.
NOTE
Black screw
Black screws are used to fasten the individual units to the chassis of
the instrument to enable the quick removal and replacement of
these units. However, to fasten the pump unit to the chassis, normal
screws are used.
• There are 2 types of spring tube joints, white (inlet side) and black
(outlet side). Each tube joint and its corresponding port in the
instrument are marked with the same color or number to ensure
matching.
Board and Unit Location The following diagrams show the location of the boards and units in the
instrument.
B
D
E C
1000
1400 1300
600 400
800
Index NK Code No. Description 1800
1100
900
1200
1500
900
Removing the Front, Right Side, Left Side, Top and Rear Covers
2. Turn the laser key counterclockwise. The laser key is in the laser switch
on the upper right side panel of the hematology analyzer. Remove the
laser key from the laser switch as shown below.
3. Remove the 2 screws which secure the front cover to the hematology
analyzer at the right and left sides as shown below.
Push the front cover inward at the right and left sides and pull the front
cover toward you to remove it.
4. Remove the 4 screws which secure the right side cover to the hematology
analyzer. Slide the right side cover rearward until the hooks of the cover
are unhooked.
5. Remove the 4 screws which secure the left side cover to the hematology
analyzer. Remove the left side cover from the hematology analyzer.
6. Remove the 3 screws which secure the top cover to the hematology
analyzer. Slide the top cover rearward until the hooks of the cover are
unhooked and pull the cover upward.
7. Remove the 12 screws which secure the rear cover to the hematology
analyzer. Hold the rear cover and slowly separate the rear cover from the
hematology analyzer until you disconnect the cable connected to the
INTERFACE board on the rear cover. Remove the rear cover from the
hematology analyzer completely.
After performing the “Removing the Front, Right Side, Left Side, Top and Rear
Covers” section, perform the following procedure.
1. Remove the 7 screws (as shown in third figure) which secure the display
unit to the chassis at the right side, left side and top of the display unit.
Slightly push the display unit rearward and unhook its inside hook. Pull
the bottom of the display unit upward as shown in first figure and you can
see the 2 cables with the 3 ferrite cores connected to the display unit as
shown in second figure.
2. Remove the 3 ferrite cores and disconnect the 2 cables from the display
unit. Remove the display unit from the hematology analyzer.
After performing the “Removing the Front, Right Side, Left Side, Top and Rear
Covers” section, perform the following procedure.
1. At the MASTER board, disconnect the cable of the laser optical unit as
shown below.
2. At the flow cytometry piping unit, counterclockwise turn the tube joint (as
shown below) which connects the tube to the top of the laser optical unit.
Unfasten the tube from the two tube ties as shown below.
3. At the flow cytometry piping unit, counterclockwise turn the 2 tube joints
which connect each yellow tube to the lower part of the laser optical unit.
4. At the bottom of the laser optical unit, disconnect the transparent tube
which connects to the flow cytometry piping unit as shown below.
5. Remove the 2 spacers and 2 nuts which secure the laser optical unit to the
chassis. Remove the laser optical unit from the hematology analyzer as
shown below.
MASTER board
Tube tie
CAUTION
Since the flow cell unit projects from the bottom of the laser optical
unit, be careful when removing or attaching the laser optical unit.
After performing the “Removing the Laser Optical Unit” section, perform the
following procedure.
1. Remove the 4 screws (as shown below) which secure the cover to the base
of the laser optical unit. Remove the cover from the laser optical unit.
2. Remove the screw (as shown below) which secures the flow cell unit to the
laser optical unit. Remove the flow cell unit from the laser optical unit.
After performing the “Removing the Display Unit” section, perform the
following procedure.
1. At the upper part of the closed sampler unit, turn the 4 tube joints
counterclockwise as shown in the second figure.
2. At the lower part of the closed sampler unit, turn the tube joint
counterclockwise as shown in the second figure.
DRIVER3 board
4. Remove the sample rack from the hematology analyzer as shown below.
5. Remove the 4 screws (as shown below) which secure the closed sampler
unit to the chassis. Remove the closed sampler unit from the hematology
analyzer.
Sample rack
After performing the “Removing the Display Unit” section, perform the
following procedure.
1. At the upper part of the closed sampler unit, turn the tube joint
counterclockwise as shown below.
2. At the lower part of the rinse unit of the open sampler unit, turn the 2 tube
joints counterclockwise as shown below.
3. At the DRIVER4 board, disconnect the 2 cables (as shown below) which
connect to the open sampler unit.
4. Remove the 3 screws (as shown below) which secure the open sampler unit
to the chassis. Remove the open sampler unit from the hematology
analyzer.
DRIVER4 board
2. Remove the 2 screws which secure the front cover to the hematology
analyzer at the right and left sides. Push the front cover inward at the right
and left sides and pull the front cover toward you to remove it.
4. Remove the 3 screws which secure the table unit to the chassis. Slide the
table unit toward you until the cables behind the table unit can be
disconnected.
CAUTION
Strongly pulling the table unit can damage the cables or DRIVER5
board.
5. At the DRIVER5 board of the table unit, disconnect the 2 cables as shown
below.
NOTE
If it is hard to disconnect the cables from the DRIVER5 board,
remove the right side cover from the hematology analyzer so that
you can easily disconnect the cable by using your hand.
Sample rack
DRIVER5 board
2. Remove the 2 screws which secure the front cover to the hematology
analyzer at the right and left sides. Push the front cover inward at the right
and left sides and pull the front cover toward you to remove it.
3. Remove the 4 screws which secure the left side cover to the hematology
analyzer. Remove the left side cover from the hematology analyzer.
4. Remove the screw (as shown below) which secures the measurement bath
cover for WBC to the CBC measuring unit. Remove the measurement bath
cover from the CBC measuring unit. The sample cup which is attached to
the front of the WBC measurement bath appears.
5. Push the lower part of the sample cup leftward and pull the sample cup
downward. At the chassis, turn the tube joint counterclockwise (as shown
above) which connects the tube to the upper part of the sample cup.
7. At the DRIVER2 board, disconnect the 2 cables (as shown below) which
connect to the CBC measuring unit.
9. Remove the 2 screws which secure the CBC measuring unit to the chassis.
Pull the CBC measuring unit and sub baths toward you and remove the
CBC measuring unit and sub baths from the hematology analyzer.
DRIVER2 board
After performing the “Removing the CBC Measuring Unit” section, perform
the following procedure.
1. At the DRIVER4 board, disconnect the 2 cables (as shown below) which
connect to the sub bath unit. Unfasten the each cable from the cable tie.
2. Remove the 2 screws (as shown below) which secure the sub bath unit to
the chassis. Remove the sub bath unit from the hematology analyzer.
DRIVER4 board
2. Remove the 2 screws which secure the front cover to the hematology
analyzer at the right and left sides. Push the front cover inward at the right
and left sides and pull the front cover toward you to remove it.
3. Remove the 4 screws which secure the left side cover to the hematology
analyzer. Remove the left side cover from the hematology analyzer.
4. At the DRIVER2 board, disconnect the 2 cables (as shown below) which
connect to each pump unit. Unfasten each cable from the cable tie.
6. Remove the 3 screws (as shown below) which secure the pump unit to the
chassis. Remove the pump unit from the hematology analyzer.
DRIVER2 board
Removing the Pump Unit from the Right Side of the Closed
Sampler Unit
After performing the “Removing the Closed Sampler Unit” section, perform
the following procedure.
1. At the DRIVER1 board, disconnect the cable (as shown below) which
connects to the pump unit. Unfasten the cable from the cable tie.
2. At the pump unit, turn the 2 tube joints counterclockwise as shown below.
3. Remove the 3 screws (as shown below) which secure the pump unit to the
chassis. Remove the pump unit from the hematology analyzer.
DRIVER1 board
After performing the “Removing the Front, Right Side, Left Side, Top and Rear
Covers” section, perform the following procedure.
1. At the upper part of the closed sampler unit, turn the tube joint
counterclockwise (as shown below) which connects to the complex pump
unit. At the upper part of the warmer unit, turn the 2 tube joints
counterclockwise (as shown below) which connect to the complex pump
unit. At the upper part of the center piping unit, turn the 5 tube
jointscounterclockwise (as shown below) which connect to the complex
pump unit.
2. At the DRIVER4 board, disconnect the 2 cables (as shown below) which
connect to the complex pump unit.
3. Remove the 2 screws (as shown below) which secure the complex pump
unit to the chassis. Remove the complex pump unit from the hematology
analyzer.
Warmer unit
DRIVER4 board
2. Remove the 2 screws which secure the front cover to the hematology
analyzer at the right and left sides. Push the front cover inward at the right
and left sides and pull the front cover toward you to remove it.
3. Remove the 4 screws which secure the right side cover to the hematology
analyzer. Slide the right side cover rearward until the hooks of the cover
are unhooked.
4. At the sample pump unit, turn the 2 tube joints counterclockwise as shown
below.
5. At the DRIVER1 board, disconnect the 2 cables (as shown below) which
connect to the sample pump unit.
NOTE
If it is hard to disconnect the cable from the DRIVER1 board, remove
the top cover from the hematology analyzer so that you can easily
disconnect the cable by using your hand.
6. Remove the 2 screws (as shown below) which secure the sample pump unit
to the chassis. Remove the sample pump unit from the hematology
analyzer.
DRIVER1 board
2. Remove the 2 screws which secure the front cover to the hematology
analyzer at the right and left sides. Push the front cover inward at the right
and left sides and pull the front cover toward you to remove it.
3. Remove the 4 screws which secure the right side cover to the hematology
analyzer. Slide the right side cover rearward until the hooks of the cover
are unhooked.
4. At the sheath pump unit, turn the 3 tube joints counterclockwise as shown
below. Unfasten the tubes from the tube tie.
5. At the SHEATH CONTROL board of the sheath pump unit, disconnect the
cable as shown below.
6. Remove the 2 screws (as shown below) which secure the sheath pump unit
to the chassis. Remove the sheath pump unit from the hematology
analyzer.
After performing the “Removing the Display Unit” section, perform the
following procedure.
1. At the upper part of the 4-channel liquid sensor unit, turn the 4 tube joints
counterclockwise as shown below.
2. At the chassis, turn the 4 tube joints counterclockwise (as shown below)
which connect to the lower part of the 4-channel liquid sensor unit.
NOTE
Do not remove the four tube joints at the lower part of the 4-channel
liquid sensor unit.
3. At the 4WAY LIQUID SENSOR board of the 4-channel liquid sensor unit,
disconnect the 4 cables as shown below.
4. Remove the 2 screws (as shown below) which secure the 4-channel liquid
sensor unit to the chassis. Remove the 4-channel liquid sensor unit from
the hematology analyzer.
After performing the “Removing the Front, Right Side, Left Side, Top and Rear
Covers” section, perform the following procedure.
1. At the POWER board, disconnect the 2 cables (as shown below) which
connect to the power supply unit.
2. Remove the 2 screws (as shown below) which secure the power supply unit
to the chassis. Remove the power supply unit from the hematology
analyzer.
POWER board
After performing the “Removing the Front, Right Side, Left Side, Top and Rear
Covers” section, perform the following procedure.
1. At the SLAVE CBC board, disconnect all the cables as shown below.
2. Remove the 6 screws (as shown below) which secure the SLAVE CBC
board to the chassis. Remove the SLAVE CBC board from the hematology
analyzer.
After performing the “Removing the Front, Right Side, Left Side, Top and Rear
Covers” section, perform the following procedure.
2. Remove the 6 screws (as shown below) which secure the SLAVE MS board
to the chassis. Remove the SLAVE MS board from the hematology
analyzer.
After performing the “Removing the Front, Right Side, Left Side, Top and Rear
Covers” section, perform the following procedure.
2. Remove the 6 screws (as shown below) which secure the MASTER board
to the chassis. Remove the MASTER board from the hematology analyzer.
After performing the “Removing the Front, Right Side, Left Side, Top and Rear
Covers” section, perform the following procedure.
2. Remove the 4 screws (as shown below) which secure the POWER board to
the chassis. Remove the POWER board from the hematology analyzer.
After performing the “Removing the Closed Sampler Unit” section, perform
the following procedure.
2. Remove the 4 screws (as shown below) which secure the DRIVER1 board
to the flow cytometry piping unit. Remove the DRIVER1 board from the
hematology analyzer.
2. Remove the 2 screws which secure the front cover to the hematology
analyzer at the right and left sides. Push the front cover inward at the right
and left sides and pull the front cover toward you to remove it.
3. Remove the 4 screws which secure the left side cover to the hematology
analyzer. Remove the left side cover from the hematology analyzer.
5. Remove the 4 screws (as shown below) which secure the DRIVER2 board
to the chassis. Remove the DRIVER2 board from the hematology analyzer.
After performing the “Removing the Closed Sampler Unit” section, perform
the following procedure.
2. Remove the 6 screws (as shown below) which secure the DRIVER3 board
to the closed sampler unit. Remove the DRIVER3 board from the closed
sampler unit.
After performing the “Removing the Front, Right Side, Left Side, Top and Rear
Covers” section, perform the following procedure.
2. Remove the 6 screws (as shown below) which secure the DRIVER4 board
to the chassis. Remove the DRIVER4 board from the hematology analyzer.
After performing the “Removing the Table Unit” section, perform the
following procedure.
2. Remove the 4 screws (as shown below) which secure the DRIVER5 board to
the table unit. Remove the DRIVER5 board from the table unit.
After performing the “Removing the Front, Right Side, Left Side, Top and Rear
Covers” section, perform the following procedure.
1. At the INTERFACE board attached to the rear cover, disconnect the cable
as shown below.
2. Remove the 5 screws (as shown below) which secure the INTERFACE
board to the rear cover. Remove the INTERFACE board from the rear
cover.
CAUTION
Connect only the specified instruments to the connectors or sockets
marked with by following the specified procedure. Otherwise
electrical leakage current may harm the operator.
ZK-820V Socket
USB Socket
• When a blood sample collected from a healthy person is counted, the scattergram
shows that the 5 parts of WBC are not clearly separated.
• When the 7 µm polymer microsphere suspensions are counted in the Particle
Measurement mode, one of the CV values of FS and FL stays in the
following percentage.
CV of FS: Higher than 7%
CV of FL: Higher than 7%
Adjust the flow cell position (rough adjustment of the gain for WBC 5 part
differential measurement) by measuring 7 µm polymer microsphere
suspensions. The DIFF GAIN screen can only be entered when the type of
operator is lab technician or manufacturer.
CAUTION
• Do not swallow the polymer microsphere suspensions. If
swallowed, contact your physician immediately.
• Avoid contact with the mouth and eyes. If the polymer microsphere
suspensions contacts the mouth or eyes, wash thoroughly and
immediately with water, and contact your physician immediately.
1. Remove the flow cell unit window cover on the right side panel by
removing two screws.
2. Loosen the screw fastening the flow cell unit adjustment screw with the
thick hex wrench. Turn the screw counterclockwise.
3. Insert the thin hex wrench into the flow cell adjustment screw.
Flow cell unit adjustment screw
5. Press the SETTINGS key on the MENU screen to display the SETTINGS
screen.
7. Press the DIFF GAIN key to display the DIFF GAIN (ROUGH) screen.
The ideal peak and current gain values are displayed on the screen.
8. Press the Manual mode key on the front panel to enter manual mode, put
the sampling nozzle into the bottom of the sample tube containing the
polymer microsphere suspensions so that the tip of the sampling nozzle
touches the bottom of the sample tube, and press the Manual count switch.
The polymer microsphere suspensions is aspirated and measurement starts.
The result appears on the screen. When the CV of FS and FL are below 7%,
go to step 10.
When the result is not optimum, press the CLEAN FLOW CELLS key to clean
the flow cell unit. After cleaning, measure the polymer microsphere
suspensions again.
9. Turn the flow cell adjustment screw about 2 or 3° and press the CLEAR
key to redraw the histograms.
If the histograms are narrower than before, turn the flow cell adjustment
screw in the same direction.
If the histograms are wider than before, turn the flow cell adjustment screw
in the opposite direction.
11. Press the AUTO GAIN key to change the current gain to the target gain.
Before performing this adjustment, check that the CV values of FS and FL meet the
following conditions by measuring the 7 µm polymer microsphere suspensions.
FS ≤ 7%
FL ≤ 7%
Refer to “Adjusting the Flow Cell Position”.
1. Press the ADJUST GAIN (FINE) key to display the DIFF GAIN (FINE)
screen.
3. Set the 10 human blood samples which were prepared in step 4 in the rack
and measure them. Make sure that “CBC + Diff” is selected in the
“PARAMETERS” box on the READY screen.
6. When the scattergrams are oval in shape and are not touching the division
line, press the ADD TO LIST key to register the data in the ACTUAL PEAK
LIST. It does not matter if the scattergrams are not within their allotted
area.
Check Points • Check that the WBC distribution is in the square ABED
and does not cover the lines AB, BE, ED and DA.
• Check that the WBC distribution is in the square
BCHG and does not cover the lines BC, CH, HG and GB.
• Check that the WBC distribution is in the square DEGF
and does not cover the lines DE, EG, GF and FD.
• Check that the WBC distribution is in the square IJML
and does not cover the lines IJ, JM, ML and LI.
• Check that the WBC distribution is in the triangle OPR
and does not cover the lines OP, PR and RO.
When the scattergrams are not optimum, do not register the data
in the gain list.
Press the AUTO GAIN key to change the current gain to the target gain.
8. Press the REFRESH key to draw scattergrams with the gain entered in the
EDIT GAIN boxes.
9. Press the ADD TO LIST key to register the data in the ACTUAL PEAK
LIST.
10. When the gain is adjusted, go to the READY screen and measure human
blood sample to check that the scattergrams are optimum and no flags are
displayed.
Adjusting Sensors
SENSOR MONITOR screen The SENSOR MONITOR screen displays the real-time outputs of the sensors in
the instrument. The displayed output values tell you whether the sensor is
functioning correctly, out of adjustment, or faulty.
CBC Manometer The output voltages from the sensors attached to the two manometers in the
CBC measuring unit are displayed.
1. WBC UP: Output voltage of the sensor located at the upper position of the
WBC manometer
2. WBC LOW: Output voltage of the sensor located at the lower position of
the WBC manometer
3. RBC UP: Output voltage of the sensor located at the upper position of the
RBC manometer
4. RBC LOW: Output voltage of the sensor located at the lower position of
the RBC manometer
RBC manometer
WBC manometer
VR2
VR4
CBC Electrode The differential voltages between the two electrodes are displayed.
The normal range of the differential voltage of these electrodes is 18.3 V±0.3
V.
ON: Output voltage from the sensor in the HGB measuring block of the CBC
measuring unit when the LED is lit.
The HGB SENSOR ON voltage must be in the range of 3.0 V±0.3 V.
OFF: Output voltage from the sensor in the HGB measuring block of the CBC
measuring unit when the LED is not lit.
4. Adjust the HGB sensor output control VR until the HGB SENSOR ON
value shows 3.0±0.1 V when the WBC measurement bath is filled with
diluent.
Calibration Switch The correction factors of the CBC measuring unit and complex pump unit are
displayed.
MP-820V: Correction factor which is set by the rotary switches of the complex
pump unit.
MC-820V WBC: Correction factor which is set by the rotary switches of the
WBC measuring block of the CBC measuring unit.
MC-820V RBC: Correction factor which is set by the rotary switches of the
RBC measuring block of the CBC measuring unit.
MP-820V
Rotary switches
MC-820V
Rotary switches
Rotary switches
Liquid Sensor The output voltage from each liquid sensor is displayed.
JQ-823V
JQ-822V
MP-822V
DETERGENT sensor
Output control 1
HEMOLYNAC 3 sensor
Output control 2
HEMOLYNAC 5 sensor
Output control 3
Output control 4
Pressure Sensor The pressure values detected by the pressure sensors in the sheath pump unit are
displayed.
1st PRESSURE: Pressure detected by the first pressure sensor on the UT-
7158 SHEATH CONTROL board in the MP-822V sheath pump unit.
2nd PRESSURE: Pressure detected by the second pressure sensor on the
SHEATH CONTROL board in the sheath pump unit.
MP-822V
The normal range of the first pressure sensor: 130 to 160 kPa
The normal range of the second pressure sensor: 80 to 120 kPa
Temperature Sensor The temperature values from the temperature sensors in the ZY-820V warmer
unit are displayed.
DIP switch
1. Press the Manual mode key while pressing the reset key.
The TOUCH SCREEN CALIBRATION screen appears.
reset key
Manual mode key
2. Touch the cross-point of the + mark at the upper left corner of the LCD.
Immediately after touching the touch point, the instrument generates a pip
tone and the + mark moves to the upper center point of the LCD.
3. Touch the cross-point of the + mark of the LCD whenever the mark moves
to a different position.
4. In the last touch the cross-point of the + mark at the lower right corner of
the LCD. The screen changes to the READY screen which shows you that
the touch screen calibration is completed.
Last point
YZ-0296 Consumable Replacement Parts List in Periodic Maintenance Check .............. 7.1
Procedure before Checking, Cleaning or Replacing a Periodic Replacement Part in the
Hematology Analyzer ........................................................................................................ 7.2
Checking, Cleaning or Replacing the Rinse Unit, Sampling Nozzle and Cap Pierce Nozzle
for Closed Mode ................................................................................................................ 7.4
Checking or Replacing the Manual Sampling Nozzle ....................................................... 7.6
Checking and Cleaning the Manual Rinse Unit ................................................................. 7.7
Checking and Cleaning or Replacing Filters ..................................................................... 7.9
Checking and Cleaning the Sub Baths, Measurement Baths and Sample Cup ..............7.10
Cleaning the Aperture ...................................................................................................... 7.11
Checking and Cleaning the Waste Cup ............................................................................ 7.13
Checking and Replacing the Pump Tubes ........................................................................ 7.14
Checking and Cleaning the Mixing Unit ........................................................................... 7.16
Checking or Replacing the Pinch Valve Tube ................................................................... 7.17
Priming after Periodic Maintenance Check, Storage or Transport .................................. 7.18
Qty.
Description NK code
(per instrument)
Cap pierce nozzle set, 2 pcs./set YZ-0262 1 pc.
O-ring for cap pierce nozzle 315366 1 pc.
O-ring for closed mode sampling nozzle 295538 1 pc.
O-ring for manual mode sampling nozzle 315366 1 pc.
Pinch valve tube set, 2 tubes/set (one is 5.5 cm long and the YZ-0282 2 tubes
other is 6.0 cm)
Hemoglobin filter set, 10 pcs./set T802 3 pcs.
Filter packing for measurement bath and air trap 2114-082062B 2 pcs.
Filter packing for waste cup 2114-080153A 1 pc.
Pump tube 2114-080599A 3 tubes
O-ring (white) for WBC aperture cap 553198 1 pc.
O-ring (red) for RBC aperture cap 553233 1 pc.
O-ring (black) for WBC and RBC aperture caps 556827 2 pcs.
1. On the READY screen, touch the MENU key. The MENU screen appears.
3. Touch the DRAIN ALL key on the screen. Drain all fluid from the
hematology analyzer according to the instruction on the screen.
4. When the completion message appears on the screen, touch the USER
MAINTENANCE key on the screen. The USER MAINTENANCE screen
appears.
5. Touch the CAP PIERCE NEEDLE key on the screen. Follow the
instructions on the screen to move the cap pierce nozzle to the specified
position for the maintenance check.
6. When the completion message appears on the screen, press the reset key
on the front panel.
Reset key
7. Touch the MANUAL SAMPLING NOZZLE key on the screen. Follow the
instructions on the screen to move the manual sampling nozzle to the
specified position for the maintenance check.
8. When the completion message appears on the screen, set the main power
switch on the rear panel to off.
9. Remove the 2 screws which secure the front cover to the hematology
analyzer at the right and left sides. Remove the front cover by pushing the
front cover inward at the right and left sides.
10. Remove the 4 screws which secure the right side panel to the hematology
analyzer. Remove the right side panel from the hematology analyzer.
WARNING
The sampling nozzle and cap pierce nozzle are sharp and sample
blood may have contacted them. Be careful not to prick yourself
with the sampling nozzle or cap pierce nozzle.
1. Pull out the two black plastic pins and remove the transparent cover from
the mixing unit case.
Transparent cover
2. Remove the fitting nut (white) under the rinse unit by turning the fitting
nut as shown below.
Rinse unit
Fitting nut
O-ring
NOTE
• Do not lose the black O-ring attached to the rinse unit.
4. Remove the tube joint from the sampling nozzle and remove the sampling
nozzle by turning and pulling it up as shown below.
Tube joint
Sampling nozzle
5. Remove the 3 screws which secure the rinse unit to the sampler unit.
Remove the tube joint from the rinse unit and remove the rinse unit
sampler unit. If the rinse unit has any damage, replace it with a new one.
Rinse unit
Tube Joint
NOTE
Do not lose the sample tube guide and O-ring of the rinse unit.
6. Soak the rinse unit, fitting nut, sampling nozzle guide and O-ring in
CLEANAC•3 detergent for about 10 minutes.
7. Remove blood from inside the rinse unit and fitting nut with a cotton swab
moistened with CLEANAC•3 detergent.
8. Rinse the rinse unit, fitting nut, sampling nozzle guide and O-ring with
water and dry them.
9. Put the O-ring and sampling nozzle guide back to the rinse unit and attach
the rinse unit to the sampler unit with the 3 screws.
10. Put the sampling nozzle back to the original position. If the sampling
nozzle has any damage, replace it with a new one (YZ-0261: 2 pcs./set).
11. Put the cap pierce nozzle back to the original position and fasten the cap
pierce nozzle with the fitting nut. If the cap pierce nozzle has any damage,
replace it with a new one (YZ-0262: 2 pcs./set).
WARNING
The sampling nozzle is sharp and sample blood may have contacted
it. Be careful not to pick yourself with the sampling nozzle.
1. If the sampling nozzle needs to be replaced with a new one, remove the
tube joint and the screw which secures the sampling nozzle to the sampler
unit.
CAUTION
Since the screw can be easily dropped inside the hematology
analyzer, carefully remove the screw.
Screw
Tube joint
2. Turn the sampling nozzle 90o as shown below and remove it by pulling it
up.
Sampling nozzle
3. Insert the new sampling nozzle (YZ-0193: 2pcs./set) into the sampling
nozzle guide, attach the tube joint and fasten the nozzle with the screw.
Make sure that the tube is arranged under the tube guide.
Sampling nozzle guide
Tube guide
Check and clean the manual rinse unit every 1000 sample counts.
1. Turn the rinse unit cap as shown below and remove it.
Remove the two tube joints from the rinse unit so that the rinse unit is
removed. Be careful not to lose the O-ring and spacer from the rinse unit.
Rinse unit
2. Remove the O-ring and spacer from the rinse unit. To remove the O-ring,
insert a cotton swab into the rinse unit from the bottom and push out the O-
ring. Spacer
O-ring
3. Soak the rinse unit, rinse unit cap, O-ring and spacer in CLEANAC•3
detergent for about 10 minutes.
4. Remove blood from inside the rinse unit and rinse unit cap with a cotton
swab moistened with CLEANAC•3 detergent.
5. Rinse the rinse unit, rinse unit cap, O-ring and spacer with water and dry
them.
6. Remove blood or salt from the area on the sampling nozzle indicated by
the arrow on the left with a gauze or cotton swab moistened with
CLEANAC•3 detergent.
Sampling nozzle
Check and clean the filters every 1000 sample counts. Replace them when
they are clogged or dirty.
1. Turn the 3 tube joints which have the filter counterclockwise until the tube
joints are removed.
2. Remove the filter from each tube. Use tweezers to remove any dust from
the filter. Rinse the filter with tap water to clean it. If it is still dirty,
replace it with a new one.
Filter
3. Put the tube joints back to the original positions by tightly turning the tube
joints clockwise, so that the filter is held in position.
NOTE
• When attaching the tube joint, be careful not to bend or damage the
filter packing at the bottom of the measurement bath, air trap and
waste cup.
• Be careful that there are two different size filter packings. The filter
packing for waste cup is different from the filter packing for
measurement bath and air trap.
• When there is a leakage and there is no scratch or damage to the
circumference of the filter, reattach the tube joint carefully.
Clean the measurement baths, sub baths and sample cup when there is any
dried blood or dust on them. You can check the measurement and sub baths
without removing them.
NOTE
Be careful not to damage the sub baths and measurement baths.
The baths are made of special plastic.
Sub baths 1. Check the WBC and RBC sub baths, measurement baths and sample cup. If
any baths or cups have any dried blood or dust, remove and clean them
according to the following procedure.
Tube joints on the
measurement baths
Remove the measurement bath covers by removing each screw.
Measurement baths
Remove the tube joint of the sample cup and remove the sample cup by
pushing it to the left.
Tube joint
Measurement
bath covers 2. Remove the tube joint from each measurement bath as shown below.
Sample cup
CAUTION
Do not lose the filter packing at the bottom of the measurement
bath.
3. Remove dried blood from inside the baths and cups with tweezers.
4. If dried blood remains inside the baths or cups, soak the baths and cups in
CLEANAC•3 detergent for about 10 minutes.
5. Rinse the baths and cups with water. After the baths and cups are dried,
return each bath and each cup to its original position and tighten the
screws. Make sure that the baths are attached firmly, especially the sub
baths.
7.10 Service Manual MEK-8222
7. MAINTENANCE
For daily cleaning of the aperture, press the Clean key on the front panel.
CAUTION
Be careful not to damage the sub bath and the measurement bath
when removing the aperture cap. The baths are made of special
plastic.
After performing the procedure in “Checking and Cleaning the Sub Baths,
Measurement Baths and Sample Cup” section, perform the following
procedure.
1. Place a cloth or tissue paper under your hand and remove the aperture cap by
pulling it towards you.
NOTE
If it is hard to remove the aperture cap, swing it right and left and pull
it toward you.
2. Carefully rinse the aperture cap. Remove all dirt, especially from the inside.
NOTE
Be careful not to press the syringe with too much force. Too much
force may damage the aperture.
CAUTION
Handle the aperture with care. It may be damaged if a sharp object
is used to clean it.
4. Rinse the aperture caps with running water and return them to the original
positions.
• There are two different aperture caps which depend on the WBC and RBC
measurement. Be careful not to attach the aperture caps to the wrong
positions.
Attach the WBC aperture cap (white O-ring) to the white side.
Attach the RBC aperture cap (red O-ring) to the red side.
• Check that the red or white O-ring is at the front.
5. Return each bath to its original position and tighten the screws.
Furthermore push in the center of the sub baths. Make sure that the baths
are attached firmly, especially the sub baths.
7. Attach each measurement bath cover to the original position with the
screw.
Clean the waste cup when there is any dried blood or dust on it.
1. Check the waste cup. If the waste cup has any dried blood or dust, remove
and clean it according to the following procedures.
Waste cup
Screws
Tube joint
2. Remove the tube joint from the waste cup and remove the waste cup by
removing the two screws.
3. Remove dried blood from inside the waste cup with tweezers.
4. If dried blood ramains inside the waste cup, soak the cup in CLEANAC•3
detergent for about 10 minutes.
5. Rinse the cup with water. After the cup is dried, return the cup to its
original position and tighten the screws.
1. Check the pump tubes for leaks. There are three pump tubes. If you find
leakage, replace the pump tube with a new one according to the following
procedure.
2. Pull out the white tube joint from the tube holder, pull out the pump tube
from the tube guide by turning the pump rotator counterclockwise and
pull out the black tube joint from the tube holder.
Pump rotator
White tube joint
3. Remove the white and black tube joints and replace the pump tube with a
new one.
4. Put the white tube joint back to the original position, push the pump tube
into the tube guide by turning the rotator counterclockwise and put the
black tube joint to the original position. Make sure that the black parts of
the tube are held properly by the tube holders.
Tube holder
Black part
of the tube
Tube guide
Black part of
the tube
NOTE
• Do not damage the pump tube with the tube guide.
• Turn the rotator counterclockwise to put the pump tube into the
tube guide. Otherwise, the pump tube can be disconnected from the
black part of the tube by the applied positive pressure.
• Put back the pump tube properly. If the pump tube has slack, it will
be damaged by the tube guide.
• Make sure that the black parts of the tube are held properly by the
tube holders. Otherwise the pump tube will be scraped by the pump
rotator and the life of the pump tube will be shortened.
1. Clean the mixing unit with a cotton swab moistened with water.
2. Remove dried blood around the mixing unit with a cotton swab moistened
with water.
NO NC
2. Check that the pinch valve tube is not collapsed and has no fluid leak.
3. Replace the pinch valve tube with a new one if it is collapsed or leaks.
Refer to “Consumable Replacement Parts List in Periodic Maintenance
Check”.
CAUTION
• When attaching the pinch valve tube to the pinch valve, set the tube
to the “NC” side as shown above.
• Do not twist the pinch valve tube when attaching it to the pinch
valve.
• There are two different length pinch valve tubes. Make sure that one
is 55 mm long and the other is 60 mm long.
General
Unit Location
1000
1400 1300
600 400
800
1800
1100
900
1200
1500
900
Board Location
B
D
E C
Exploded View-1
MEK-8222
A
G
F
C
16
B
2000
E
D
1600
Exploded View-2
Exploded View-3
Introduction
This section provides an installation and setup flow chart for a demonstration of the
MEK-8222J/K hematology analyzer.
Demonstration Outline Take the following steps to install and set up the hematology analyzer for
demonstration.
If the data obtained in the measurement using human blood samples in this
procedure differs from the data obtained using other instruments or at other test
facilities, use the average values of data obtained by the MEK-8222J/K
hematology analyzer and other means for the calibration coefficient.
Required Items for Make sure that you have the following items necessary for the demonstration.
Demonstration These are provided with the hematology analyzer. The number in the parentheses
indicates the necessary quantity.
Cleanac tube assy (2) 18 L cap (3) Hemolynac3 cap (2) Hemolynac3 tube assy (1)
Hex wrench, thin (1) Hex wrench, thick (1) Screwdriver (1) Manuals (1 set)
• Waste container and tube assembly. The optional YZ-0248 waste container kit is
available from Nihon Kohden.
• Diluent ISOTONAC•3, MEK-640
• Detergent CLEANAC, MEK-520
• Detergent CLEANAC•3, MEK-620
• Hemolysing reagent HEMOLYNAC•3, MEK-660, or HEMOLYNAC•3N, MEK-
680
• Hemolysing reagent HEMOLYNAC•5, MEK-910
• 7 µm polymer microsphere suspensions, YZ-0194 (supply code no. T905)
• Hematology control, MEK-3DN
• Hematology control, MEK-5DN/H/L
• Sample tubes
• Wiping cloth (tissue papers)
• Rubber or latex gloves
• Distilled water
• Cleaning bottle kit, YZ-0252
• Fixing tape for sample unit and rack table
• 20 blood samples from different healthy people
Installation Flowchart 1. Connect the diluent, detergent, hemolysing reagent and waste containers to the
hematology analyzer.
3. Turn the laser switch on the right side panel to on for WBC 5 part differential
measurement.
Connecting Tubes Connect the following reagent bottles and waste container.
• Waste container (the optional YZ-0248 waste container kit is used in this
description)
• Diluent ISOTONAC•3
• Detergent CLEANAC•3
• Detergent CLEANAC
• Hemolysing reagent HEMOLYNAC•3 or HEMOLYNAC•3N
• Hemolysing reagent HEMOLYNAC•5
Tubes and caps necessary for connecting the reagents and container and the inlets
and outlets to which these reagents and container are to be connected are indicated
in the following illustration and table. For details, refer to the operator’s manual.
CAUTION
Avoid reagents or waste fluid contact with the skin. If it contacts the
skin or eyes or is swallowed, wash thoroughly with water and see a
physician immediately.
NOTE
• Be careful not to let dust get in the hemolysing reagent, diluent or
detergent.
• When using the diluent container, detergent container or waste
container, follow the instructions on each package.
• Place the diluent and detergent containers at the same level as the
hematology analyzer.
• Do not squeeze or bend the tubes. Otherwise the hematology
analyzer may be damaged.
• If necessary, cut the tube to an appropriate length if it does not fit.
• Only use the specified detergent tubes for the detergent.
Connect the provided power cord to the AC SOURCE socket on the rear panel and
plug the cord into a 3-prong AC outlet.
Equipotential Grounding
WARNING
For operator safety, equipotential grounding of all instruments must be
performed. Consult with a qualified biomedical engineer.
When more than one electrical instrument is used, there may be electrical potential
difference between the instruments. The potential difference between the
instruments may cause current to flow to the patient connected to the instruments,
resulting in electrical shock (micro shock).
Turning the Laser Switch 1. Remove the laser key from the right side panel.
On
2. Insert the laser key into the laser switch on the right side panel.
NOTE
When the laser switch is off, the "Laser switch off" message is
displayed when the power is turned on. When the measurement is
performed with the laser switch turned off, CBC can be measured but
there is no WBC 5 part differential scattergram and data.
Turning On the Power 1. Press the main power switch on the rear panel of the hematology analyzer to
on. The main power lamp on the front panel lights.
Always leave the main power on except for storage and transportation of the
hematology analyzer.
2. Press the power key on the front panel to on. The power lamp lights. Cleaning
of the fluid path, priming and circuit self-check are automatically performed.
When the laser switch on the right side panel is turned on, the laser lamp also
lights.
NOTE
When the power is turned on soon after it is turned off, the screen
does not appear. If this happens, turn the power off, wait a few minutes
and turn the power on again.
Setting the Date and Time After turning the hematology analyzer power on, check that the date and time
displayed at the upper right of the screen is correct.
Date and time
To change the date and time:
1. Display the DATE & TIME screen.
Press MENU key → SETTINGS key → DATE & TIME key.
2. Select the date display format by pressing the desired format key in the "DATE
FORMAT" box.
ii) Enter the correct value with the numeric keys on the screen and press the
Enter key on the screen to register the entered value.
4. Press the OK key to return to the SETTINGS screen. The clock starts
immediately from the new date and time.
Priming the Fluid Path The fluid path inside the hematology analyzer must be cleaned and primed before
performing measurements. Otherwise, a clog or noise alarm may occur during
measurement or the background noise may increase. Always prime the fluid path
when using the hematology analyzer after long term storage.
2. Press the "YES" key to prime the hematology analyzer. Priming is performed
for about 20 minutes.
Flowchart 1. Adjust the gain for WBC 5 part differential parameters in rough mode using
polymer microsphere suspensions.
2. Measure background noise for WBC, RBC, HGB, PLT and TOC parameters.
3. Adjust the gain for WBC 5 part differential parameters in fine mode using 10
venous blood samples from different healthy people within 8 hours after
collection.
4. Check the actual peak list for all 10 samples to see if the gain is adjusted
correctly. Make sure that the average peak of MO is optimum.
Reference: Principle of The hematology analyzer uses the light scatter technique to differentiate WBC into
Differentiating WBC neutrophil, lymphocyte, monocyte, eosinophil and basophil counts.
The diluted blood sample is injected into the flow cell. Blood cells pass through
the sensing zone one by one. A laser beam through the sensing zone is scattered by
the passing cells and the scattered light is detected. The angle and intensity of
scattered light indicates the volume and characteristics of the cell. From this, WBC
is differentiated into 5 parts.
From the forward small angle scatter, the size of the cell is detected.
From the forward large angle scatter, the complexity of the cell is detected.
From the side scatter, the granularity of the cell is detected.
Size (FS)
Diluent Diluent
Sample
Adjusting Gain in Rough Adjust the gain for WBC 5 part differential parameters roughly by measuring 7 µm
Mode polymer microsphere suspensions (YZ-0194, supply code no. T905). When the
result is not optimum, the flow cell unit position must be adjusted.
2. Press the Manual mode key on the front panel to enter manual mode.
3. Put the sampling nozzle into the bottom of the sample tube containing the
Sampling nozzle polymer microsphere suspensions so that the tip of the sampling nozzle
Manual count switch
touches the bottom of the sample tube, and press the Manual count switch.
The polymer microsphere suspensions is aspirated and measurement starts.
When the CV of FS and FL are above 7%, press the CLEAN FLOW CELL key
on the screen to clean the flow cell unit. After cleaning, measure the polymer
microsphere suspensions again. When the CV of FS and FL are still above 7%,
the flow cell unit must be adjusted. Do the procedure in the “Adjusting the
Flow Cell Unit Position” section.
When the FS PEAK and FL PEAK values are not optimum, press the AUTO
GAIN key to change the current gain to the target gain.
When neither CV nor PEAK values are optimum, first adjust the flow cell unit
position, then adjust gain.
1. Remove the flow cell unit window cover on the right side panel by removing
two screws.
2. Loosen the hex screw fastening the flow cell unit adjustment screw with the
thick hex wrench. Turn the hex screw counterclockwise.
Flow cell unit adjustment screw 3. Insert the thin hex wrench into the flow cell adjustment screw.
If the histograms are narrower than before, turn the flow cell adjustment screw
in the same direction.
If the histograms are wider than before, turn the flow cell adjustment screw in
the opposite direction.
Repeat pressing the CLEAR key to draw histograms, adjusting flow cell unit
and redrawing histograms until you obtain the narrowest histograms. The
histograms must be cleared each time by pressing the CLEAR key. Otherwise
the previous histograms remain on the screen and the flow cell unit cannot be
adjusted properly.
6. When you have obtained the narrowest histograms, remove the thin hex wrench
from the flow cell unit adjustment screw. Be careful not to move the flow cell
unit adjustment screw.
7. Fasten the flow cell unit adjustment screw with the thick hex wrench. Turn the
screw clockwise (the screw which was loosened in step 2).
8. Measure the polymer microsphere suspensions and check the CV and PEAK
values. When the CV is still above 7%, repeat the procedure.
9. When the result is optimum, close the flow cell unit window cover with the
screws which were removed in step 1.
10. Press the OK key on the screen to return to the SENSITIVITY THRESHOLD
screen. Cleaning is automatically performed.
Measuring Background To measure the background noise, the diluent is counted in closed mode.
Noise
1. Press the Eject key on the front panel. The rack table slides out.
3. Press the Start key on the front panel to count the empty samples.
The result is displayed on the screen after measurement. Make sure that the
values are less than or equal to the following values.
Disregard the other parameter values because noise does not affect the other
parameters.
If the values are greater than the above values, check the following items, press
the Clean key to clean the fluid path and recount the diluent.
• The diluent is clean.
• No bubbles in the diluent.
• The apertures and aperture tubes are clean.
• The aperture is firmly attached.
• The measurement baths and sample cup are clean.
Adjusting Gain in Fine Adjust the gain for WBC 5 part differential parameters in fine mode using 10
Mode venous blood samples from different healthy people within 8 hours after collection.
WARNING
Always wear rubber gloves to protect yourself from infection when
handling and measuring blood samples.
1. Set the 10 human blood samples of different healthy people within 8 hours
after collection in the sample rack and measure them. Make sure that the
“CBC + Diff” is selected in the “PARAMETERS” box on the READY screen.
The sequence number displayed on the screen (NEW SAMPLE SEQ#) is of the
latest measurement. When the scattergrams of this sequence number are
drawn, the previous number appears in the SEQ# box. You can select any
sequence number in ENABLE SEQ# by using the numeric keys on the screen.
4. When the scattergrams are optimum, press the ADD TO LIST key to register
the data in the ACTUAL PEAK LIST. It does not matter if the scattergrams are
not within their allotted area.
Check Points
• On the left scattergram (FL-FS scattergram), the NE, LY and MO
scattergrams are oval in shape.
• The NE, LY and MO scattergrams are separate from each other.
• The NE, LY and MO scattergrams appear in their correct position in relation
to each other.
If there are too many scattergrams displayed in the upper area on the
scattergrams, the sample may be immature granulocytes or blasts.
When the scattergrams are not optimum, do not register the data in the gain list.
Draw scattergrams of all samples you measured in step 1. You must have at
least one data which has been added to the ACTUAL PEAK LIST.
Scattergrams which cannot be used for automatic gain adjustment 1 (FS GAIN
too high)
In this case, adjust the gain in rough mode again.
5. When the AVERAGE ACTUAL PEAK and the IDEAL PEAK in the MO
PEAK table at the upper right screen differ, the gain must be adjusted. Press
the AUTO GAIN key on the DIFF GAIN (FINE) screen to change the
CURRENT GAIN to that of the TARGET GAIN.
MO PEAK table
When the gain is changed, the measured data which were used in the gain
adjustment can no longer be used and their SEQ# are deleted from the
ENABLE SEQ#. When continuing gain adjustment, count the human blood
samples again.
6. Press the REFRESH key to draw scattergrams with the gain entered in the
EDIT GAIN boxes and the CURRENT GAIN values which appeared when the
DIFF GAIN (FINE) screen was first displayed.
NOTE
The CURRENT GAIN values used in this step are not the values now
displayed but the values which appeared when the DIFF GAIN (FINE)
screen was first displayed.
Checking the Gain 1. Set the 10 human blood samples of different healthy people within 8 hours
Adjustment after collection in the sample rack and measure them. Make sure that “CBC +
Diff” is selected in the “PARAMETERS” box on the READY screen.
5. When the scattergrams and MO PEAK values are optimum, the gain is adjusted
correctly. If not, adjust the gain again in fine mode. When the sample used in
the adjustment is not human blood or when the gain needs to be changed
greatly, gain may not be adjusted in a single adjustment.
2. Perform the calibration for CBC parameters (WBC, RBC, HGB, HCT, PLT,
RDW, MPV) using MEK-3DN hematology control as a calibrator. This
calibration is performed on the SERVICE MAINTENANCE screen.
3. Check that the calibration coefficients for WBC 5 part differential parameters
(LY%, MO%, EO%, BA%) are 1,000 on the CALIBRATION screen. In the
gain adjustment performed in the previous section, WBC 5 part differential
parameters are already accurately calibrated. Therefore, you only need to check
the calibration coefficient.
Changing the Operator To prevent measuring with wrong measurement conditions, there are screens or
functions that can only be entered or changed by an operator who is given the
authority and password. There are three levels for the authority.
MANUFACTURER: For servicing the hematology analyzer. Can enter any screen
and change any settings. The status bar on the screen is
displayed in orange.
LAB TECHNICIAN: For changing settings. Can enter any screen and change any
settings except for the SERVICE MAINTENANCE screen.
The status bar on the screen is displayed in blue.
OTHER: Can change some settings, but mostly can only perform
measurement and view the data and settings. The status bar
on the screen is displayed in blue with a lock.
2. Select FACTORY and press the SELECT OPERATOR key. The password
window is displayed.
Password window
3. Enter the password “4321” using the numeric keys and press the Enter key.
The CURRENT OPERATOR changes to FACTORY.
Calibrating CBC Calibrate the CBC parameters (WBC, RBC, HGB, HCT, PLT, RDW and MPV)
Parameters using MEK-3DN hematology control as a calibrator. This calibrator can be used
when it is within 3 days after opening, stored at 2 to 8°C and handled appropriately
according to its manual. For higher accuracy, use the calibrator soon after its
opening.
1. Set a sample tube containing MEK-3DN calibrator in rack position no. 1 of the
sample rack.
Mean value
5. Calculate the new calibration coefficient for each parameter form the mean
value according to the equation below.
2) Use the arrow keys to move the cursor to the calibration coefficient box of
the parameter you want to calibrate.
3) Use the numerical keys on the screen to enter the new calibration
coefficient you calculated in step 5. Press the Enter key to register the
value.
4) Repeat this step to change the calibration coefficient for other parameters.
For calibrating HCT, enter the new calibration coefficient you calculated in
step 5 for MCV in the HCT box.
9. Count the calibrator which is set in position no. 1 of the rack 10 times
continuously on the CONTINUOUS MEASUREMENT screen (refer to steps 1
to 3).
10. Display the 10 DATA X-CV screen and check that the average value is the
same as the value on the assay sheet provided with the calibrator.
Checking the Calibration Check that the calibration coefficients for WBC 5 part differential parameters
Coefficients for WBC 5 Part (LY%, MO%, EO%, BA%) are 1,000 on the CALIBRATION screen. In the gain
Differential Parameters adjustment performed in the previous section, WBC 5 part differential parameters
are already accurately calibrated. Therefore, you only need to check the calibration
coefficient.
2. Check that the calibration coefficients for LY%, MO%, EO% and BA% are
1000.
If not, enter 1000 in the calibration coefficient boxes using the arrow keys,
numeric keys and Enter key on the screen.
2. Select MEK-F and press the SELECT OPERATOR key. The password window
is displayed.
3. Enter the password “8222” using the numeric keys and press the Enter key.
The CURRENT OPERATOR changes back to MEK-F.
Check the following data to confirm that the gain is adjusted and calibration is
performed properly.
_
a) Measure the MEK-5DN/L/H hematology control using the X-R quality control
program in order to check that the obtained data falls within the acceptable
range on the assay sheet attached to the hematology control.
b) Count 20 venous blood samples from different healthy people within 8 hours
after collection and make sure that there is no flag such as “Left Shift”,
“Blasts”, “Immature Granulocyte”, or “Atypical Lymphocytes” displayed.
_
Check with MEK-5D Measure the MEK-5DN/L/H hematology control using the X-R quality control
Hematology Control program in order to check that the obtained data falls within the acceptable range
on the assay sheet attached to the hematology control.
_ _
2. Press the X-R (NORMAL) key to display the X-R (NORMAL) screen.
3. Set the sample tube containing the MEK-5DN hematology control in rack
position no. 1 and press the Start key on the front panel to count the
hematology control. The hematology control is measured twice.
_
After measurement, the X and R data appear on the screen.
_
4. Measure the MEK-5DH hematology control on the X-R (HIGH) screen and the
_
MEK-5DL hematology control on the X-R (LOW) screen.
5. Check that the measured data is in the acceptable range on the assay sheet
provided with the hematology control.
When the CBC parameters are outside the range, calibrate the CBC parameters.
When the WBC 5 part differential parameters are outside the range, adjust the
gain in fine mode.
Check with Venous Blood Count 20 venous blood samples from different healthy people within 8 hours after
Samples of a Healthy collection and make sure that there is no flag such as “Left Shift”, “Blasts”,
Person “Immature Granulocyte”, or “Atypical Lymphocytes” displayed.
If the data obtained in the measurement using human blood samples in this
procedure differs from the data obtained using other instruments or at other test
facilities, use the average values of data obtained by the MEK-8222J/K hematology
analyzer and other means for the calibration coefficient.
WARNING
Always wear rubber gloves to protect yourself from infection when
handling and measuring blood samples.
1. Set 20 human blood samples from different healthy people within 8 hours after
collection in the sample rack and measure them in closed mode. Make sure
that the “CBC + Diff” is selected in the “PARAMETERS” box on the READY
screen.
2. Check that the following flags are not displayed on the result.
• Blasts
• Immature Granulocyte
• Left Shift
• Atypical Lymphocytes
Interference Substances
WBC 5 part differential parameters are derived from the WBC count, therefore, the limitations for WBC also affect these
parameters.
NE and NE%: Excessive eosinophils, metamyelocytes, myelocytes, promyelocytes, blasts and plasma cells may interfere
with an accurate NE count and NE%.
LY and LY%: Erythroblasts, certain parasites and RBC that are resistant to lysis may interfere with an accurate LY count.
MO and MO%: Large lymphocytes, atypical lymphocytes, blasts and excessive number of basophils may interfere with an
accurate MO count.
EO and EO%: Abnormal granules may interfere with an accurate EO count.
BA and BA%: Immature cell, metamyelocytes, myelocytes, promyelocytes, blasts and plasma cells may interfere with an
accurate BA count and BA%.
WARNING
This procedure must be performed to safely store and transport the
hematology analyzer. There are many expensive units installed in the
hematology analyzer. If there is any malfunction caused from not
doing this procedure, the expense necessary for performing
maintenance for that damage will be charged to you.
If diluent is left inside the hematology analyzer, the inside of the hematology
analyzer will become dirty because of dried diluent crystal or other dust. As a
result, background noise will be increased.
1. Press the Clean key on the front panel to clean the fluid path.
2. Remove the diluent tubes from the ISO3 inlets, the hemolysing reagent tubes
from the HEMO3 (or HEMO3N) and HEMO5 inlets, and the detergent tube
from the CLN3 inlet on the right side panel. Remove the detergent tube from
the CLEANAC container and put this detergent tube into the waste container.
Do not disconnect the waste fluid tubes from the waste outlets or the detergent
tube from the CLN inlet.
CAUTION
Make sure that the tubes are correctly connected.
4. Press the DRAIN ALL key on the OTHER OPERATIONS screen. Check that
the tubes are connected correctly and press the YES key to drain all fluid from
the hematology analyzer.
5. Connect the spare tubes to the ISO3, HEMO3, HEMO 5, CLN and CLN3 inlets
and put the other end of the tubes into the distilled water. (The optional YZ-
0252 Cleaning bottle kit is available for easy setup.)
8. Press the main power switch on the rear panel to turn the power off. The power
lamp and main power lamp are off.
NOTE
Do not turn the hematology analyzer power off by pressing the power
switch on the front panel. If the power switch is pressed, cleaning is
automatically performed and diluent will be filled in the fluid path.
10. Pull the front cover toward you. When removing the
cover, push in the sides of the front cover.
11. The cap pierce nozzle for closed mode is inside the waste
cup. Push down the plate as far as it goes and fasten it to
the waste cup with tape.
12. Fasten the sample rack to the table unit with tape.
Plate
13. Reattach the front cover and fasten it with the two screws
which were removed in step 9.
Sample rack
Reference
Waste cup The sampling nozzle for manual mode and cap pierce nozzle
for closed mode are moved to their position for transport after
the DRAIN ALL operation. To move the nozzles to their
transporting position without doing the DRAIN ALL
operation, do the following steps.
1. Change the operator to FACTORY (MANUFACTURER).
2. Press MENU key → OTHER OPERATIONS key →
SERVICE MAINTENANCE key → SAMPLE UNIT
MAINTENANCE key → TRANSPORT POSITION key.
3. Change the operator back to MEK-F.
When using the optional ZK-821V/VG bar code reader, the bar code reading can be
checked. To do this, the operator must be MANUFACTURER.
Checking the Bar Code 1. Set an empty sample tube with a bar code label in position no. 1 on the rack.
Reader Function
2. Display the MS-822V MAINTENANCE screen.
Press MENU key → OTHER OPERATIONS key → SERVICE
MAINTENANCE key → SAMPLE UNIT MAINTENANCE key → MS-822V
key.
3. Press the BAR CODE TEST key. The bar code reader reads the bar code of the
sample tube and the reading result is displayed on the screen.
When the bar code reader cannot read the bar code or there is no bar code label
attached to the sample tube, the “NO BAR CODE” message appears on the
screen.
When the sample tube with the bar code label is in another location in the
sample rack, the rack location can be incremented every time the BAR CODE
TEST key is pressed.
When the bar code cannot be read, the angle of the bar code reader position may
need to be adjusted. Do the following procedure. Also, refer to the “Using Bar
Bar code reader
Codes” section.
1. Set the sample tube with the bar code label in the rack position no. 1. Put the
sample tube so that the bar code label is facing toward you.
3. Loosen the screw of the bar code reader and adjust the angle of the bar code
reader so that the reading ratio becomes 100.
Using Bar Codes A bar code consists of narrow bars (NB), wide bars (WB), narrow spaces (NS) and
wide spaces (WS). The width of the WB and WS depends on the width of the NB.
NB
WB The ratio between NB and WB is NB:WB = NS:WS = 1:2 to 1.3. Usually, it is
1:2.5.
For the bar code to be read properly by the bar code reader, attach the bar code
label to the sample tube checking the following points.
WS
• The bar code length must be within 60 mm.
NS • NB must be wider than 0.125 mm.
• The left and right margins must be larger than 10 times that of NB.
Within 10 degrees • Attach the bar code label so that the bottom of the label is within 10 mm from the
bottom of the sample tube.
• Attach the bar code label so that it is not more than 10 degrees from vertical as
shown at left.
bar code length
margin margin
Within 10 mm
NOTE
• An ID may not be read properly by the bar code reader due to poor
printing quality of the label or the label is torn or detached. In such a
case, the ID is automatically assigned by the hematology analyzer.
For such a sample, edit the ID on the EDIT ID screen of the DATA
screen after measurement. Be careful not to mix up such samples.
• When using the ITF bar code type, IDs may be frequently misread by
the bar code reader when compared to the other types of bar codes,
especially when the printing quality of the label is poor. An ID may
be entered even for a sample without a bar code label. Therefore, be
careful not to mix up samples when using ITF bar codes.
An ID of up to 13 digits can be entered. If the bar code has more than 13 digits,
the extra digits are deleted.
If the bar code cannot be read properly by the bar code reader, check the following
points.
• Bar code is dirty or damaged
• Margin on the bar code is too small
• Bar code print is faint
• Bar code is printed in silver or is covered by laminate film
• The printing quality of the bar code is poor (The printing quality is poor
especially when printed on a dot printer or ink jet printer. When printing on such
a printer, NB must be as wide as possible. If the bar code type is JAN or
CODE128, code may not be read properly.)
• The appropriate bar code type or check digit type is not set on the BAR CODE
screen.