82-01.54.455691-1.6 I15 Blood Gas and Chemistry Analysis System User Manual-ES

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文件名称(Document Name):i15 Blood Gas and Chemistry Analysis System


User Manual,英文,EDAN
文件编号(Number):01.54.455691
版本(Version):1.6
产品型号(Product Model):i15
项目编码(Project Code):3300L-1000

签批信息(Signature):

EN 件
作者(Originator) : 龚, 静 (gongjing) 2015-11-12 16:36:34

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审核人(Reviewers) : 谢, 瑛瑛 (xieyingying) 2015-11-13 19:14:35
ID 文
审核人(Reviewers) : 师, 红霞 (shihongxia) 2015-11-16 08:59:47

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审核人(Reviewers) : 李, 国霞 (liguoxia) 2015-11-16 16:10:05
NF 密

批准人(Approvers) : 陈, 沁 (chenqin) 2015-11-16 18:00:02


批准人(Approvers) : 陈, 浩杰 (chenhaojie) 2015-11-16 17:39:48
CO 保

版权©深圳市理邦精密仪器股份有限公司 (Copyright©Edan Instrument,Inc.)



ED 理 AN
ED 理
AN 邦
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NF 密
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About this Manual

P/N: 01.54.455691

MPN: 01.54.455691016

Release Date: Jan., 2015

© Copyright EDAN INSTRUMENTS, INC. 2013-2015. All rights reserved

Statement

This manual will help you to better understand the operation and maintenance of the product. It
is reminded that the product should be used strictly in compliance with this manual. User


operation failing to comply with this manual may result in malfunction or accident for which

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EDAN INSTRUMENTS, INC. (hereinafter called EDAN) can not be held liable.

EDAN owns the copyrights of this manual. Without prior written consent of EDAN, any
materials contained in this manual shall not be photocopied, reproduced or translated into other

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languages.

Materials protected by the copyright law, including but not limited to confidential information
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such as technical information and patent information contained in this manual, shall not be

disclosed to any irrelevant third party.


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The user shall understand that nothing in this manual grants him, expressly or implicitly, any

right or license to use any of the intellectual properties of EDAN.


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EDAN holds the rights to modify, update, and ultimately explain this manual.

Responsibility of the Manufacturer


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EDAN only considers itself responsible for any effect on safety, reliability and performance of
the equipment if:

Assembly operations, extensions, re-adjustments, modifications or repairs are carried out by


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persons authorized by EDAN, and

The electrical installation of the relevant environment complies with national standards, and
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The instrument is used in accordance with the instructions for use.

Upon request, EDAN may provide, with compensation, necessary circuit diagrams, and other

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information to help qualified technicians maintain and repair some parts, which EDAN may
configure as user serviceable.

Terms Used in this Manual

This guide is designed to give key concepts on safety precautions.

WARNING

A WARNING label advises against certain actions or situations that could result in personal
injury or death.

CAUTION


A CAUTION label advises against actions or situations that could damage equipment, produce
inaccurate data, or invalidate a procedure.

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NOTE

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A NOTE provides useful information regarding a function or a procedure.

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i15 Blood Gas and Chemistry Analysis System User Manual Safety Guide

Table of Contents
Chapter 1 Safety Guide ........................................................................................................ 7
1.1 Indications for Use/Intended Use .............................................................................. 7
1.2 Warnings and Cautions.............................................................................................. 7
1.2.1 Safety Warnings ............................................................................................. 7
1.2.2 Safety Cautions ............................................................................................ 11
1.3 Symbols and Definitions ......................................................................................... 12
Chapter 2 System Overview ............................................................................................... 15
2.1 Introduction ............................................................................................................. 15
2.2 System Frame .......................................................................................................... 17


2.3 Analyzer Appearance .............................................................................................. 19

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2.4 System Parts ............................................................................................................ 20

2.4.1 Thermal Printer ............................................................................................ 20
2.4.2 Test Cartridge ............................................................................................... 20

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2.4.3 Power Indicator ............................................................................................ 23

2.4.4 LCD Screen and Touch Screen .................................................................... 23
2.4.5 I/O Ports ....................................................................................................... 23
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2.4.6 On/Off Button .............................................................................................. 24

2.4.7 Calibrant Fluid Pack..................................................................................... 24


2.4.8 Bar Code Scanner ......................................................................................... 26
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2.4.9 Exhaust Fan .................................................................................................. 27


2.4.10 Electronic Simulator................................................................................... 27


2.4.11 Peripherics .................................................................................................. 28
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2.5 Configuration .......................................................................................................... 28


2.5.1 Standard Configuration ................................................................................ 28


2.5.2 Options ......................................................................................................... 29
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Chapter 3 Installation Guide.............................................................................................. 30


3.1 Unpacking Inspection.............................................................................................. 30
3.2 Installation Requirements........................................................................................ 30
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3.2.1 Environmental Requirements ....................................................................... 30


3.2.2 Power Requirements .................................................................................... 31
3.3 Setting Up ............................................................................................................... 31
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3.3.1 Connecting to AC Power .............................................................................. 31


3.3.2 Installing the Battery .................................................................................... 31
3.3.3 Installing the Printer Paper ........................................................................... 33

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i15 Blood Gas and Chemistry Analysis System User Manual Safety Guide

3.3.4 Turning On/Off the Analyzer ....................................................................... 34


3.3.5 User Login and Logout ................................................................................ 35
3.3.6 Setting the Date and Time ............................................................................ 36
3.3.7 Viewing Training Videos .............................................................................. 36
3.3.8 Replacing a Calibrant Fluid Pack ................................................................. 37
3.3.9 DEMO Test .................................................................................................. 41
3.3.10 Connecting Peripherics .............................................................................. 44
Chapter 4 Setup ................................................................................................................... 47
4.1 Getting into the Setup Screen .................................................................................. 47
4.2 System Setup ........................................................................................................... 48
4.2.1 Printer Setup ................................................................................................. 48
4.2.2 Network Setup .............................................................................................. 50


4.2.3 Date & Language Setup ............................................................................... 53
4.2.4 Backlight & Volume Setup ........................................................................... 53

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4.2.5 Diagnostics ................................................................................................... 54

4.2.6 About the Analyzer ....................................................................................... 55
4.3 Test Setup ................................................................................................................ 55

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4.3.1 QC Lockout Setup ........................................................................................ 56

4.3.2 Patient Information Setup ............................................................................ 56
4.3.3 Reference Ranges Setup ............................................................................... 60
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4.3.4 Units Setup ................................................................................................... 61

4.3.5 Correlation Factors Setup............................................................................. 63


4.3.6 Internal Simulator Setup .............................................................................. 63
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4.3.8 Calibration Setup.......................................................................................... 64


Chapter 5 Patient Analyzing .............................................................................................. 65


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5.1 Sample Collection and Preparation ......................................................................... 65


5.1.1 Sample Collection ........................................................................................ 65


5.1.2 Anticoagulants .............................................................................................. 65
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5.1.3 Collection Devices and Volume ................................................................... 66


5.1.4 Notes ............................................................................................................ 66
5.2 Patient Analyzing .................................................................................................... 67
5.2.1 Procedures for Patient Analyzing ................................................................. 67
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5.2.2 Understanding Result Symbols .................................................................... 75


5.3 Patient Sample Database ......................................................................................... 76
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5.3.1 Searching for Patient Sample Data .............................................................. 77


5.3.2 Viewing Details of Patient Sample Data ...................................................... 78
5.3.3 Editing Patient Information Data ................................................................. 79
5.3.4 Exporting/Uploading/Printing Patient Sample Data .................................... 80

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i15 Blood Gas and Chemistry Analysis System User Manual Safety Guide

Chapter 6 Quality Control (QC) Tests .............................................................................. 81


6.1 Control Test ............................................................................................................. 81
6.1.1 Controls ........................................................................................................ 81
6.1.2 Procedures for Control Test.......................................................................... 83
6.1.3 Temperature Correction for pO2 and pCO2 .................................................. 90
6.1.4 Control Database .......................................................................................... 90
6.2 Proficiency Test ....................................................................................................... 94
6.2.1 Procedures for Proficiency Test ................................................................... 94
6.2.2 Proficiency Database .................................................................................. 101
6.3 Calibration Verification Test ................................................................................. 103
6.3.1 Calibration Verification Controls ............................................................... 103
6.3.2 Procedures for Calibration Verification Test .............................................. 104


6.3.3 Calibration Verification Database .............................................................. 112

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6.4 Simulator Test ....................................................................................................... 115

6.4.1 Procedures for External Simulator Test ..................................................... 115
6.4.2 Simulator Database .................................................................................... 117

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Chapter 7 Data Management ........................................................................................... 121

7.1 Introduction ........................................................................................................... 121
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7.2 Databases............................................................................................................... 121

7.2.1 Security Database ....................................................................................... 122


7.2.2 Diagnosis Database .................................................................................... 126
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7.2.3 Events Log Database .................................................................................. 126


7.2.4 Backup ....................................................................................................... 129


Chapter 8 Troubleshooting ............................................................................................... 130
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Chapter 9 Cleaning, Care and Maintenance .................................................................. 134


9.1 Cleaning and Disinfecting the Analyzer ............................................................... 134
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9.1.1 Cleaning and Disinfecting the Exterior Surfaces ....................................... 134


9.1.2 Cleaning and Disinfecting the Screen ........................................................ 135
9.1.3 Cleaning the Printer Head .......................................................................... 137
9.2 Care and Maintenance ........................................................................................... 137
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9.2.1 Recharging and Replacement of Battery.................................................... 137


9.2.2 Printer Paper ............................................................................................... 139
9.2.3 Maintenance of the Analyzer ..................................................................... 139
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Chapter 10 Theory ............................................................................................................ 140


10.1 Measurement Method.......................................................................................... 140

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i15 Blood Gas and Chemistry Analysis System User Manual Safety Guide

10.2 Determination of Test Results ............................................................................. 141


10.2.1 Determination of the Analyte Concentration ........................................... 141
10.2.2 Determination of Cell Concentration ....................................................... 142
10.3 Equations for Calculated Parameters .................................................................. 142
Chapter 11 Parameters ..................................................................................................... 146
11.1 pH ........................................................................................................................ 146
11.1.1 Intended Use ............................................................................................. 146
11.1.2 Traceability ............................................................................................... 146
11.1.3 Temperature Correction ............................................................................ 146
11.1.4 Performance Characteristics ..................................................................... 147
11.1.5 Interfering Substances .............................................................................. 148
11.2 pCO2 .................................................................................................................... 148


11.2.1 Intended Use ............................................................................................. 148

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11.2.2 Traceability ............................................................................................... 149

11.2.3 Temperature Correction ............................................................................ 149
11.2.4 Performance Characteristics ..................................................................... 149

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11.2.5 Interfering Substances .............................................................................. 150

11.3 pO2 ....................................................................................................................... 151
11.3.1 Intended Use ............................................................................................. 151
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11.3.2 Traceability ............................................................................................... 151

11.3.3 Temperature Correction ............................................................................ 151


11.3.4 Performance Characteristics ..................................................................... 151
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11.3.5 Interfering Substances .............................................................................. 153


11.4 Sodium (Na+)....................................................................................................... 153


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11.4.1 Intended Use ............................................................................................. 153


11.4.2 Traceability ............................................................................................... 153


11.4.3 Performance Characteristics ..................................................................... 154
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11.4.4 Interfering Substances .............................................................................. 155


11.5 Potassium (K+) .................................................................................................... 155
11.5.1 Intended Use ............................................................................................. 156
11.5.2 Traceability ............................................................................................... 156
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11.5.3 Performance Characteristics ..................................................................... 156


11.5.4 Interfering Substances .............................................................................. 157
11.6 Ionized Calcium (Ca++) ....................................................................................... 158
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11.6.1 Intended Use ............................................................................................. 158


11.6.2 Traceability ............................................................................................... 158
11.6.3 Performance Characteristics ..................................................................... 158
11.6.4 Interfering Substances .............................................................................. 159

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i15 Blood Gas and Chemistry Analysis System User Manual Safety Guide

11.7 Chloride (Cl-)....................................................................................................... 160


11.7.1 Intended Use ............................................................................................. 160
11.7.2 Traceability ............................................................................................... 160
11.7.3 Performance Characteristics ..................................................................... 160
11.7.4 Interfering Substances .............................................................................. 162
11.8 Hematocrit (Hct) ................................................................................................. 162
11.8.1 Intended Use ............................................................................................. 162
11.8.2 Traceability ............................................................................................... 162
11.8.3 Performance Characteristics ..................................................................... 163
11.8.4 Interfering Substances .............................................................................. 164
11.9 Glucose (Glu) ...................................................................................................... 164
11.9.1 Intended Use ............................................................................................. 164


11.9.2 Traceability ............................................................................................... 164
11.9.3 Performance Characteristics ..................................................................... 165

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11.9.4 Interfering Substances .............................................................................. 166

11.10 Lactate (Lac) ..................................................................................................... 167

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11.10.1 Intended Use ........................................................................................... 167

11.10.2 Traceability ............................................................................................. 167
11.10.3 Performance Characteristics ................................................................... 167
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11.10.4 Interfering Substances ............................................................................ 169

Chapter 12 Warranty and Service ................................................................................... 170


12.1 Warranty .............................................................................................................. 170
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12.2 Contact Information ............................................................................................ 170


Appendix 1 Specifications ................................................................................................ 171


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A1.1 Environment Requirements ................................................................................ 171


A1.2 Analyzer Specifications ...................................................................................... 172


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A1.3 Performance Specifications ................................................................................ 172


A1.4 Printer ................................................................................................................. 172
A1.5 Rechargeable Battery ......................................................................................... 172
A1.6 Safety Specifications .......................................................................................... 173
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Appendix 2 Measurement Ranges ................................................................................... 174


A2.1 Measurement Ranges for Measured Parameters ................................................ 174
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A2.2 Measurement Ranges for Calculated Parameters ............................................... 174


Appendix 3 Reference Ranges.......................................................................................... 176
Appendix 4 EMC Information ......................................................................................... 177

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i15 Blood Gas and Chemistry Analysis System User Manual Safety Guide

Appendix 5 FCC Information .......................................................................................... 180


A5.1 FCC Statement ................................................................................................... 180
A5.2 FCC RF Radiation Exposure Statement ............................................................. 180
Appendix 6 HIS/LIS Interface Guide.............................................................................. 181
A6.1 Principle ............................................................................................................. 181
A6.1.1 Communication Design ........................................................................... 181
A6.1.2 Data Transmission ................................................................................... 181
A6.1.3 HL7 Lower Layer Protocol (MLLP) ....................................................... 182
A6.1.4 Message Encoding Types ........................................................................ 182
A6.2 HL7 Messages .................................................................................................... 183
A6.2.1 Message Syntax ....................................................................................... 183


A6.2.2 Supporting Message Types ...................................................................... 183
A6.2.3 ACK Messages ........................................................................................ 183

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A6.2.4 Report Transmission................................................................................ 184

A6.3 Appendix ............................................................................................................ 185
A6.3.1 Message Segment .................................................................................... 185

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A6.3.2 Examples ......................................................................................... 195

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i15 Blood Gas and Chemistry Analysis System User Manual Safety Guide

Chapter 1 Safety Guide


1.1 Indications for Use/Intended Use

The i15 Blood Gas and Chemistry Analysis System (including Blood Gas and Chemistry
Analyzer, Calibrant Fluid Pack, Test Cartridge) is a portable, automated system that measures pH
and blood gases (PCO2, PO2), electrolytes (Na+, K+, Ca++, Cl-) and hematocrit in whole blood
samples. The system is intended for in-vitro diagnostic use only by trained health care
professionals in a laboratory environment, near patient or point-of-care settings.

1.2 Warnings and Cautions


In order to use the system safely and effectively, and avoid possible dangers caused by improper
operation, please read through the user manual and be sure to be familiar with all functions of the

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system and proper operation procedures before use. Always keep this manual with the analyzer.

Please pay attention to the following warning and caution information.

1.2.1 Safety Warnings


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NOTE:
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The reliability of the analyzer and the safety of operators are considered during product
design and production. The following safety and preventive measures should be carried
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out:

WARNING
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Safety Warnings

1. The analyzer is not intended for treatment.


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2. The analyzer is not intended for home use.

3. Do not use the analyzer if it is damaged or defective.

4. The analyzer should be installed by a qualified service engineer. Do not try to access
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the interior of the analyzer. Only authorized service personnel could remove the
analyzer enclosure.
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5. To avoid electrical shock, never modify the analyzer’s AC power circuits.

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i15 Blood Gas and Chemistry Analysis System User Manual Safety Guide

WARNING

6. The analyzer is intended for use only by trained technologists, nurses, physicians
and therapists. Operators should be familiar with the contents of this user manual
before operation.

7. The results given by the system should be examined based on the overall clinical
condition of the patient, and should not be a substitute for regular checking.

8. To ensure grounding reliability, only connect the system to a hospital-grade power


receptacle.

9. DO not position the analyzer so that it is difficult to disconnect the AC plug.

10. Connect the analyzer to a grounded socket and make certain that the mains supply


meets the requirements specified in the user manual.

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11. Do not exceed the maximum permitted load when using multiple portable
socket-outlets to supply the system.

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12. SHOCK HAZARD - Do not attempt to connect or disconnect a power cord with wet

hands. Make certain that your hands are clean and dry before touching a power cord.
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13. If you have any questions about the power adaptor or the power cord, use the battery

but not the AC power supply. Prior to using AC power supply, inspection of the power
adaptor and the power cord is recommended. If it is necessary, consult EDAN or its
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authorized distributors for service.


14. The analyzer is not waterproof. Do not use it in locations where water or any liquid
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leakage may occur.


15. Do not cast any fluid onto the system surface, as fluid seepage into the electrical
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circuitry may cause excessive leakage current or system failure.

16. Do not spray cleaning fluids on the system, as this may force cleaning fluid into the
system and damage electronic components. It is also possible for solvent fumes to
build up and form flammable gases or damage internal components.
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17. To avoid the possibility of electrostatic shock and damage to the system, avoid using
aerosol spray cleansers on the analyzer screen.
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18. EXPLOSION HAZARD – The analyzer is not suitable for use in the presence of a
flammable anesthetic mixture with oxygen or other flammable compounds.

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i15 Blood Gas and Chemistry Analysis System User Manual Safety Guide

WARNING

19. To avoid electrical shock, never use the system in altitude exceeding 3,000 meters
above sea level.
20. LASER RADIATION – The bar code scanner is a Class 1M laser product. Do not
view directly with optical instruments.
21. Periodically have the safety of the system checked by a qualified service engineer.
22. Only accessories supplied or recommended by the manufacturer should be used.
Otherwise, performance and electric shock protection can not be guaranteed.
23. Blood samples should be collected according to proper medical guidelines which
contains collection details, such as site selection, collection procedures, sample


handling, etc. Sterile techniques should be followed to prevent the site from being

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contaminated. 文
24. Handle blood samples and collection devices with care, and wear approved
protective gloves to avoid direct contact with samples.

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25. To avoid electrical shock and damage to the system, turn off the analyzer and

disconnect the analyzer from the AC power source before cleaning and disinfecting.
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26. To avoid the airinlet and airoutlet of the fan being blocked by foreign matters, check

them regularly. Keep the exhuast opening away from the wall or similar items that can
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block it. Always use the system in a room with good ventilation.

27. To avoid being injured, never touch the stitch of a calibrant fluid pack.
28. To avoid being hurt, never look into the scanner beam light.
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29. The system is for in vitro diagnostic use only.


30. Perform quality control (QC) tests regularly to make certain that the system works
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smoothly.
31. The disposable test cartridges should only be used a single time.
32. Never replace a calibrant fluid pack when the analyzer is off.
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33. A calibrant fluid pack is intended for single use only. If a calibrant fluid pack is
removed from the system, it can not be inserted into the system again.
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34. The sample is contained in the test cartridge, so test cartridges should be
disposed of as biohazardous waste, complying with local regulatory guidelines.

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i15 Blood Gas and Chemistry Analysis System User Manual Safety Guide

WARNING

35. Never use an external electronic simulator under electromagnetic environment,


and never touch it by hand during an external simulator test.

36. Do not use the analyzer after its life cycle, and it should be disposed of according to
local regulations after its life cycle.

Battery Care

37. Improper operation may cause the lithium battery (hereinafter called battery) to be
hot, ignited or explode, and it may lead to the declination of the battery capacity. It is
necessary to read the user manual carefully and pay attention to warning messages.


38. The battery of the same model and specifications provided by the manufacturer

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should be used.

39. Danger of explosion - Do not reverse the anode and the cathode when installing the
battery.

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40. Do not heat or splash the battery or throw it into fire or water.
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41. Do not crack or pick the battery.

42. When there is leakage or a foul smell, stop using the battery immediately. If your skin
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or clothes come into contact with the leakage liquid, cleanse it with clean water at

once. If the leakage liquid splashes into your eyes, do not wipe them. Irrigate them
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with clean water first and seek medical assistance immediately.


43. The analyzer and accessories are to be disposed of according to local regulations
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after their useful lives. Alternatively, they can be returned to the dealer or the
manufacturer for recycling or proper disposal. Batteries are hazardous waste. Do not
dispose of them together with house-hold garbage. At the end of their lives hand the
batteries over to the applicable collection points for the recycling of waste batteries.
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For more detailed information about recycling of this product or the battery, please
contact your local Civic Office, or the shop where you purchased the product.
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44. Remove the battery from the analyzer when the analyzer is not used for a long time.

45. If the battery is stored alone and not used for a long time, we recommend that the
battery should be charged at least once every 6 months to prevent overdischarge.

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i15 Blood Gas and Chemistry Analysis System User Manual Safety Guide

1.2.2 Safety Cautions

CAUTION

1. Do not use the analyzer in a dusty environment with bad ventilation or in the
presence of corrosives.

2. To avoid misdiagnosis, make sure that the time and date of the system are correct.

3. The system is only intended to analyze whole blood samples. Never use it to analyze
serum or plasma.

4. If there are clots or bubbles in the blood sample, discard it and collect samples again.

5. Perform the sample test immediately after its collection to get the most accurate


results. Measure samples for blood gases and Ca++ within 10 minutes, and measure
samples for other analytes within 30 minutes.

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6. Transport, store and use the analyzer, test cartridges, calibrant fluid packs and
quality control (QC) materials according to the user manual.

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7. Never perform any rude operation, such as rudely inserting/removing test

cartridges/calibrant fluid packs.
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8. Only those accessories (such as test cartridges, calibrant fluid packs, quality control

(QC) materials, etc) supplied by EDAN or its authorized distributors should be used.
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9. Connect the analyzer with those peripherics recommended by EDAN.


10. Maintain the system as described in the user manual to avoid potential damage.
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11. Do not clean the analyzer and accessories with abrasive fabric.

12. Do not immerse the analyzer into liquid under any circumstances.
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13. Make sure that there is no intense electromagnetic interference source around the
analyzer, such as radio transmitters, mobile phones etc. Attention: large medical
electrical equipment such as electrosurgical equipment, radiological equipment and
magnetic resonance imaging equipment is likely to bring electromagnetic
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interference.

14. Extreme humidity may affect test results. A relative humidity greater than 80% may
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cause inaccurate results.

15. Use this system at a temperature between 10 °C and 31 °C. Outside this range, the
system may produce inaccurate results.

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i15 Blood Gas and Chemistry Analysis System User Manual Safety Guide

1.3 Symbols and Definitions

The following symbols will appear on the packaging of the system:

No. Symbol Description


1. Caution! Chapter 1.2.1 of this user manual must
be consulted where this symbol is used on the
product in order to find out the nature of the
potential HAZARD and any actions which have
to be taken.
2.
Consult instructions for use

3. Biohazard


(Background colour-yellow; symbol and
outline-black)

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4.
文 Static electricity sensitive

5.
Recycle

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6. The symbol indicates that the device complies


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with the European Council Directive

98/79/EEC concerning medical devices.


7. This device complies with Part 15 of the FCC
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Rules. Operation conditions: (1) this device


may not cause harmful interference, and (2) this


device must accept any interference received,
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including interference that may cause undesired


operation.
8. Conforms to UL Std. 61010-1, IEC Std.
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61010-2-010, 61010-2-081, 61010-2-101


Certified to CSA Std. 61010-1, IEC Std.
61010-2-010, 61010-2-081, 61010-2-101
9.
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On/Off button

10.
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Network port

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i15 Blood Gas and Chemistry Analysis System User Manual Safety Guide

11.
Serial port

12.
USB (Universal Serial Bus) connection

13.
Trademark

14.
Test cartridge insert direction

15.
Calibrant fluid pack chamber door is closed.

16.


Calibrant fluid pack chamber door is open.

17.

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文 In vitro diagnostic device

18. Indicates that the device should be sent to

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special agencies according to local regulations

for separate collection after its useful life.
19. Authorized representative in the European
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Community

20.
Manufacturer
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21.
Date of manufacture
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22.
Temperature limitations
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23.
Do not reuse

24.
Use by
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25.
Contains sufficient for (n) tests
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26.
Control

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i15 Blood Gas and Chemistry Analysis System User Manual Safety Guide

27.
Serial number

28.
Batch code

29. Caution: Federal (U.S.) Law restricts this


device to sale by or on the order of a physician.


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ID

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i15 Blood Gas and Chemistry Analysis System User Manual System Overview

Chapter 2 System Overview


NOTE:

The pictures and interfaces in this manual are for reference only.

2.1 Introduction

The system is for in-vitro analysis of whole blood, designed to deliver quantitative results for a
panel of tests. The product consists of an analyzer incorporating a user interface with a large color
touch screen interfacing to the electronic analyzer. The user interface module contains the
analyzer CPU and all of the required electronic interfaces for external communication and data


storage. The product consists of a single-use cartridge into which the sample is introduced. The
cartridge contains electrochemical sensors which generate signals related to concentration levels

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in the blood. These concentration levels are displayed on the screen of the analyzer, stored in

memory, and can be transmitted by communication link or Wi-Fi to the Data Management

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System (DMS) or HIS/LIS.

The following tables list the parameters that can be determined by the system:
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Measured Parameters:

Symbol Description
ID

pH Negative logarithm of the hydrogen ion concentration


pCO2 Partial pressure of carbon dioxide


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pO2 Partial pressure of oxygen

K+
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Potassium ion concentration

Na+ Sodium ion concentration

Cl- Chloride ion concentration


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Ca++ Concentration of ionized calcium

Hematocrit: the volume occupied by red blood cells in a given volume of whole
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Hct
blood.

Glu Glucose concentration

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i15 Blood Gas and Chemistry Analysis System User Manual System Overview

Lac Lactate concentration

Calculated Parameters:

Symbol Description

cH+ Hydrogen ion concentration

cH+ (T) Hydrogen ion concentration corrected for entered patient temperature

pH (T) pH value corrected for entered patient temperature

pCO2 (T) pCO2 corrected for entered patient temperature


pO2 (T) pO2 corrected for entered patient temperature

AL
HCO3-act Bicarbonate ion concentration

HCO3-std Bicarbonate ion concentration normalized to a pCO2 of 40mmHg

TI

BB (B) Buffer base

BE (B) Base excess (B)


EN

BE (ecf) Base excess (ecf)


ID

ctCO2 Total carbon dioxide


Ca++ (7.4) The ionized calcium concentration of blood normalized to pH 7.4


NF

An approximation of the difference between measured cations and measured


AnGap
anions in the sample
CO

tHb (est) An estimation of the hemoglobin contained in the sample

An estimation of hemoglobin oxygen saturation: a ratio of the amount of


sO2 (est) hemoglobin bound to oxygen to the total amount of hemoglobin able to bind
AN

oxygen

pO2 (A-a) Alveolar-arterial oxygen tension difference


ED

Alveolar-arterial oxygen tension difference corrected for entered patient


pO2 (A-a) (T)
temperature

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i15 Blood Gas and Chemistry Analysis System User Manual System Overview

pO2 (a/A) Arterial-alveolar oxygen tension ratio

pO2 (a/A) (T) Arterial-alveolar oxygen tension ratio corrected for entered patient temperature

Respiratory index: the ratio of the alveolar-arterial blood oxygen-pressure


RI
difference to arterial pO2

Respiratory index: the ratio of the alveolar-arterial blood oxygen-pressure


RI (T) difference to arterial pO2 when both values are corrected for patient
temperature

pO2/FIO2 The ratio of arterial pO2 to the fraction of inspired oxygen

The ratio of arterial pO2 to the fraction of inspired oxygen corrected for the


pO2 (T)/FIO2
entered patient temperature

AL
mOsm Milliosmole

Configuration: main unit, printer, scanner, and simulator.

TI

2.2 System Frame
EN
Blood Gas and Hospital /Laboratory

Chemistry Information System


Data Management
Analyzer (HIS/ LIS)
ID

System (DMS)

 Blood Gas and Chemistry Analyzer


NF

The Blood Gas and Chemistry Analyzer is an electronic instrument which is used to analyze

whole blood samples (measuring blood gases, electrolytes, metabolites, and hematocrit). The
CO

analyzer can:

 Scan bar codes of test cartridges, calibrant fluid packs, controls, calibration verification
controls, patient and operator ID, etc.
AN

 Identify the types of test cartridges.

 Control the flow of fluids.


ED

 Maintain sample temperature at 37 C.

 Measure the ambient barometric pressure and ambient temperature.

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i15 Blood Gas and Chemistry Analysis System User Manual System Overview

 Measure electrical signals generated by chemical sensors and biosensors.

 Analyze and display the concentrations of analytes in whole blood samples.

 Transmit test results to the Data Management System (DMS) or HIS/LIS.

 Store all kinds of test results and data, such as patient sample results, control test results,
proficiency test results, calibration verification test results, simulator test results, etc.

 Animatedly demonstrate the operating process.

 Data Management System (DMS)

DMS refers to a computer which is loaded with the data management system software. With
the DMS, you can:


 Enter test application data.

AL

 Edit patient information, view, check and print test results.

 View, check and print quality control (QC) test results.

TI

 Search for patient test results by patient name, patient ID, date and time, department, etc.
EN
 Calculate the amount of work of a physician, the results for a parameter of a patient

during a period, the test times and the fee of a parameter, and print the statistics results.
ID

 Set the following items: tester, department, sample status, printing, bar code, etc.

 Backup and restore data, view logs.


NF

 View data for instrument diagnosis.


 Import patient information from HIS/LIS, and transmit data to it.


CO

 Manage up to 20 analyzers simultaneously, storing test results transmitted by analyzers.

NOTE:

Sample ID on analyzers connected to the same DMS should be different.


AN

 HIS/LIS
ED

HIS/LIS transmits patient information to the DMS, and receives data from both the analyzer
and the DMS.

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i15 Blood Gas and Chemistry Analysis System User Manual System Overview

2.3 Analyzer Appearance Test


Cartridge
Port

Test
Thermal
Cartridge
Printer
Ejector Cap

LCD
Screen

I/O
Ports


AL
文 Power
Indicator
On/Off
Button

TI

EN
Calibrant

Fluid Pack
Chamber
ID

Lock

Bar Code
Scanner
NF

Exhaust

Fan

Calibrant
CO

Fluid Pack Handle


Ejector

Calibrant
Fluid Pack
AN

Chamber
ED

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i15 Blood Gas and Chemistry Analysis System User Manual System Overview

Battery
Compartment


AL

Figure 2-1 Analyzer Major Components

TI

2.4 System Parts


EN

2.4.1 Thermal Printer


ID

The thermal printer is located at the upper left top of the analyzer. It can print patient sample test

results, quality control (QC) test results, calibration results, etc.


NF

2.4.2 Test Cartridge


Next to the thermal printer is the test cartridge port. A test cartridge is inserted into the analyzer
CO

through the test cartridge port. An indicator is located inside the test cartridge port. If the test
cartridge is inserted properly, the indicator will turn green. If not, the indicator will turn red, and
the system will prompt you. If you want to perform an external electronic simulator test, you also
need to insert the simulator into the test cartridge port.
AN

The unit-use test cartridge is intended to be used together with the analyzer. The fluidic chamber
on the test cartridge is used to hold used calibrants and sample fluids. The sensors on the test
cartridge can generate electrical signals that can be measured by the analyzer. The sample fillport
ED

is used to connect the syringe/capillary tube for automatically aspirating samples. Test cartridges
are available in different configurations concerning the type of parameters reported by them. For
details, please refer to the table below.

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i15 Blood Gas and Chemistry Analysis System User Manual System Overview

Fillport

Fluidic
Chamber

Sensor
Arrays
Electrical
Contacts

Figure 2-2 Test Cartridge


Table 2-1 Test Cartridge Types


Cartridge Measured Parameters
Calculated Parameters

AL
Type
cH+, HCO3-act, HCO3-std, BE(ecf), BE(B), BB(B), ctCO2,
pH, pCO2, pO2, Na+, K+,

sO2(est), Ca++(7.4), AnGap, tHb(est), pO2(A-a), pO2(a/A),
BG10
Cl-, Ca++, Glu, Lac, Hct RI, pO2/FIO2, cH+(T), pH(T), pCO2(T), pO2(T),

TI
pO2(A-a)(T), pO2(a/A)(T), RI(T), pO2(T)/FIO2, mOsm

cH+, HCO3-act, HCO3-std, BE(ecf), BE(B), BB(B), ctCO2,
pH, pCO2, pO2, Na+, K+, sO2(est), Ca++(7.4), AnGap, tHb(est), pO2(A-a), pO2(a/A),
EN
BG9
Cl-, Ca++, Glu, Hct RI, pO2/FIO2, cH+(T), pH(T), pCO2(T), pO2(T),

pO2(A-a)(T), pO2(a/A)(T), RI(T), pO2(T)/FIO2, mOsm


cH+, HCO3-act, HCO3-std, BE(ecf), BE(B), BB(B), ctCO2,
ID

pH, pCO2, pO2, Na+, K+, sO2(est), Ca++(7.4), AnGap, tHb(est), pO2(A-a), pO2(a/A),

BG8
Cl-, Ca++, Hct RI, pO2/FIO2, cH+(T), pH(T), pCO2(T), pO2(T),
pO2(A-a)(T), pO2(a/A)(T), RI(T), pO2(T)/FIO2, mOsm
NF

cH+, HCO3-act, HCO3-std, BE(ecf), BE(B), BB(B), ctCO2,


pH, pCO2, pO2, Lac sO2(est), pO2(A-a), pO2(a/A), RI, pO2/FIO2, cH+(T),
BG4
pH(T), pCO2(T), pO2(T), pO2(A-a)(T), pO2(a/A)(T),
CO

RI(T), pO2(T)/FIO2
cH+, HCO3-act, HCO3-std, BE(ecf), BE(B), BB(B), ctCO2,
sO2(est), pO2(A-a), pO2(a/A), RI, pO2/FIO2, cH+(T),
BG3 pH, pCO2, pO2
pH(T), pCO2(T), pO2(T), pO2(A-a)(T), pO2(a/A)(T),
AN

RI(T), pO2(T)/FIO2

BC4 Na+, K+, Cl-, Ca++, Hct tHb(est), mOsm


ED

Packaging

1. The type of the cartridge is labeled on the test cartridge.

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i15 Blood Gas and Chemistry Analysis System User Manual System Overview

2. Each test cartridge is sealed in a foil pouch containing a strip of desiccant.

3. The bar code on the foil pouch contains information such as the cartridge type, lot number
and expiration date, etc.

4. 25 test cartridges are packaged per box, and 4 boxes are packaged into a shipping carton.

Shipping Control

Test cartridge shipping cartons include one temperature monitor, which turns gray when the
shipping temperature is outside the specified range.

Temperature Monitor


AL

TI

EN
Figure 2-3 Test Cartridge Shipping Carton

The temperature monitor should be checked when test cartridges are received to verify that the
ID

temperature limits were not exceeded during shipment. If the temperature monitor turns gray,

perform control tests (analyze at least two levels of controls in duplicates) with the received test
cartridges. If test cartridges pass the tests, they can be used. If test cartridges fail the tests, do not
NF

use them, and contact EDAN immediately for exchange of the test cartridges.

NOTE:
CO

Never use test cartridges failing control tests.

Storage

Test cartridges room temperature should be stored at 4 – 30 °C (39 – 86°F).


AN

Test cartridges refregirated storage should be stored at 2 - 8°C (35.6-46.4°F) (avoid freezing).
Disposal
ED

The sample is contained in the test cartridge, so test cartridges should be disposed of as
biohazardous waste, complying with local regulatory guidelines.

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i15 Blood Gas and Chemistry Analysis System User Manual System Overview

NOTE:

 If the pouch has been damaged, the test cartridge should not be used.

 Only test cartridges provided by EDAN or its authorized distributors should be used.

 Only test cartridges properly stored should be used.

 Never reuse test cartridges.


 Never touch the fillport or electrical contacts of a test cartridge.
 Use test cartridges before the expiration date as labeled on the package, and use
them immediately after removing them from their pouches.

 Test cartridges should be kept out of direct sunlight and heat.


 The analyzer, test cartridges and the testing environment should be at the same
temperature prior to a test.

AL
 Test cartridges should not be dropped or stressed.

2.4.3 Power Indicator

TI

The power indicator is on the lower left bottom of the analyzer. During the operation you can see
one of the following:
EN

 Green Light: The analyzer is on and the power supply is normal. The analyzer can be
powered either by the rechargeable lithium battery or AC power. Or the system is off and has
ID

been connected to AC power.


 Blinking Yellow Light: The power is supplied by the rechargeable lithium battery and the
NF

battery is low.

 Yellow Light: The rechargeable lithium battery is being charged.


CO

2.4.4 LCD Screen and Touch Screen


The activities of the analyzer are communicated to you through the LCD screen, displaying the
analyzer activities, test results, database information, prompts, etc. You communicate with the
AN

analyzer through the touch screen which allows you to perform tests, make selections, enter data,
and view information, etc.
ED

2.4.5 I/O Ports


On the left side of the analyzer are I/O ports:

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i15 Blood Gas and Chemistry Analysis System User Manual System Overview

USB Interfaces (4): allow you to connect your analyzer with peripherics such
as scanners, printers, etc.

Serial Port: allows engineers from the factory to perform debugging.

Network Port: allows network connection to the DMS or HIS/LIS.

2.4.6 On/Off Button

The On/Off button is on the left side of the analyzer.

2.4.7 Calibrant Fluid Pack


The calibrant fluid pack chamber is on the right side of the analyzer. You can install the calibrant

AL
fluid pack in it for sensor calibration. The calibrant fluid pack ejector beside the door is used to

open the chamber door. On the calibrant fluid pack ejector is a calibrant fluid pack chamber lock
to help users close the calibrant fluid chamber door securely.

TI

A calibrant fluid pack containing calibrant solutions is intended to be used together with the
analyzer to perform one-point sensor calibration. Calibrant fluid packs are available for 100 and
EN
200 sampling operations. Contact EDAN or its authorized distributors to order calibrant fluid

packs for your system.


ID

NF

CO
AN

Figure 2-4 Calibrant Fluid Pack


ED

Packaging

1. The calibrant fluid pack is sealed in a foil pouch filled with protective gases.

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i15 Blood Gas and Chemistry Analysis System User Manual System Overview

2. The bar code on the foil pouch contains information such as the lot number and expiration
date.

3. Each calibrant fluid pack is packaged into a box, and 6 boxes are packaged into a shipping
carton.

Shipping Control

Calibrant fluid pack shipping cartons include one temperature monitor, which turns gray when
the shipping temperature is outside the specified range.


AL
Temperature
文 Monitor

TI

EN
Figure 2-5 Calibrant Fluid Pack Shipping Carton

The temperature monitor should be checked when calibrant fluid packs are received to verify that
the temperature limits were not exceeded during shipment. If the temperature monitor turns gray,
ID

perform control tests (analyze at least two levels of controls in duplicates) with the received
calibrant fluid packs. If calibrant fluid packs pass the tests, they can be used. If calibrant fluid
NF

packs fail the tests, do not use them, and contact EDAN immediately for exchange of the

calibrant fluid packs.


CO

NOTE:

Never use calibrant fluid packs failing control tests.

Storage
AN

Calibrant fluid packs should be stored at 2 – 8 °C (avoid freezing) with the ambient pressure of
65 - 106.6 kPa. A calibrant fluid pack expires 30 days after its installation or after exceeding the
ED

labeled expiration date, whichever comes first. The remaining days and usages are displayed on
the status bar at the bottom of the screen.

Before Use

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i15 Blood Gas and Chemistry Analysis System User Manual System Overview

Calibrant fluid packs should be brought to room temperature before use. Allow at least 24 hours
for a calibrant fluid pack to equilibrate to room temperature.

NOTE:

 If the pouch has been damaged or there is any leakage, the calibrant fluid pack
should not be used.

 Only those calibrant fluid packs provided by EDAN or its authorized distributors
should be used.

 Use a calibrant fluid pack before the expiration date as labeled on the package.

 A calibrant fluid pack is intended for single use only. If a calibrant fluid pack is


removed from the system, it cannot be inserted into the system again.

AL
2.4.8 Bar Code Scanner 文
On the same side as the calibrant fluid pack chamber is the built-in scanner for scanning bar

TI
codes on test cartridges, calibrant fluid packs, controls, calibration verification controls, operator

ID, patient ID, sample ID, etc. The analyzer can also be connected to external scanners as
mentioned in 2.4.11.
EN

Follow the steps below to scan a bar code:


ID

1. Press Scan Barcode or to activate the bar code scanner, and the scanner will emit a red

beam.
NF

2. Align the bar code with the red beam so that the red beam covers the whole bar code.

NOTE:
CO

The distance between the analyzer and the bar code should be 6 – 15 cm.

3. If the bar code is scanned successfully, the analyzer will beep and automatically turn off the
scanner.
AN

4. If the scanned data is valid, the system will display the screen for the next procedure. If the
scanned data is invalid, a message will pop up to prompt you.
ED

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i15 Blood Gas and Chemistry Analysis System User Manual System Overview

CAUTION

1. In order to avoid injury, never look into the red beam.

2. To avoid damage, never scratch the protective glasses of the scanner with hard
objects.

3. To avoid damage and injury, never strike the protective glasses of the scanner.

4. To avoid unsuccessful scanning, clean the scanner with a lint-free cloth when there is
visible dirt.

2.4.9 Exhaust Fan


The exhaust fan is located at the rear of the analyzer to prevent the analyzer from overheating.
When the analyzer temperature is over preset threshold, the fan will be automatically turned on.

AL
NOTE:

 Make sure that the vents of the analyzer are not obstructed to ensure good

TI

ventilation.

 If the exhaust fan does not run properly, please contact EDAN or its authorized
EN
distributors for assistance.

2.4.10 Electronic Simulator


ID

Electronic simulators are quality control devices for checking the analyzer’s ability to take
accurate measurements of voltage, current and conductivity from test cartridges.
NF

Internal Electronic Simulator

Internal electronic simulator is self-contained in the analyzer for automatically conducting


CO

simulator tests at the preset frequency.

External Electronic Simulator

Users can run the external electronic simulator test according to their own needs, and EDAN
AN

recommends that users run it every 24 hours. Each external electronic simulator is packaged
separately. When you have doubt about the reliability of test results, you can run the external
ED

electronic simulator test to help troubleshoot.

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i15 Blood Gas and Chemistry Analysis System User Manual System Overview

Contact pads

Figure 2-4 External Electronic Simulator

If the contact pads have been contaminated, please clean the external electronic simulator.

Follow the steps below to clean the external electronic simulator:


1. Moisten a lint-free cloth with 100% alcohol;

AL
2. Wipe the external electronic simulator with the lint-free cloth.

NOTE:

 Never immerse the simulator into any liquids.

TI

 The cloth should be wet but not dripping.
EN
2.4.11 Peripherics

Only the following external scanners should be connected to the analyzer through USB ports:
ID

Honeywell 1900.

Only the following external printers should be connected to the analyzer through USB ports: HP
NF

LaserJet P401DN, and HP LaserJet P1606DN.


NOTE:
 Only peripherics recommended by EDAN should be connected to the analyzer.
CO

 When connecting a Honeywell 1900 scanner to the analyzer, the scanner should be
set.

2.5 Configuration
AN

2.5.1 Standard Configuration


 1 analyzer
ED

 1 power cable

 1 power adaptor

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i15 Blood Gas and Chemistry Analysis System User Manual System Overview

 12 printer paper

 1 rechargeable lithium battery

 1 screwdriver

 1 user manual

 1 quick reference card

 1 certificate of approval

 1 packing list

2.5.2 Options


 Test cartridges

AL
 Calibrant fluid pack

 External electronic simulator



 Capillary adaptor

TI

 Controls
EN
 Calibration verification controls

 Data management system software


ID

 Honeywell 1900 scanner



NF

CO
AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Installation Guide

Chapter 3 Installation Guide


3.1 Unpacking Inspection

Visually examine the package prior to unpacking. If there are any signs of mishandling or damage,
contact the carrier to claim for damage. After unpacking the device, customers should follow the
PACKING LIST to check the product carefully and to make sure no damage occurred during
transportation. Then, install the device according to the installation requirements and procedures.
If there is any problem, contact the manufacturer or its authorized distributors immediately.

WARNING


DO NOT use the analyzer if it is damaged or defective.

AL
NOTE: 文
Keep the package for future transportation or for storage.

3.2 Installation Requirements


TI

3.2.1 Environmental Requirements


EN

Location is of great importance for the smooth running of your analyzer. Prior to installing the
analyzer, choose a site that meets the following requirements:
ID


Convenient for the analyzer to be connected to a grounded electrical receptacle in case it is


powered by AC power.
NF

 Keep the analyzer away from direct exposure to strong sunlight.


 Ambient Temperature between 10 °C and 31 °C.


CO

 Relative Humidity of 25% - 80% (non-condensing).


 Ambient Pressure within 70 - 106.6 kPa (525 – 800 mmHg).
 Placed onto a clean and flat surface with good ventilation.
AN

 Keep the analyzer away from equipment with strong electric field and strong magnetic field.
 Keep the analyzer away from explosive gases or vapors.
ED

NOTE:
The requirements above also apply when your analyzer is powered by a rechargeable
lithium battery.

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i15 Blood Gas and Chemistry Analysis System User Manual Installation Guide

3.2.2 Power Requirements


The analyzer needs to be connected to a grounded electrical outlet with the voltage between
100±10% VAC - 240±10% VAC and the frequency of 50/60 Hz.

3.3 Setting Up

Now you can prepare your analyzer for operation.

First, please place the analyzer on a secure table surface with environments that meet the
requirements as described in section 3.2.

3.3.1 Connecting to AC Power


1. Insert the power adaptor into the power connector on the analyzer.

AL
2. Plug the power cord into the power adaptor.

3. Plug the power cord into a grounded electrical outlet.

NOTE:

TI

 Make sure the power requirements as described in 3.2.2 are met.
EN
 To avoid the analyzer and other electronic devices being damaged by electrical power

spikes, a surge protector is recommended.


ID

3.3.2 Installing the Battery


WARNING
NF

Switch off the analyzer and unplug it before installing or removing the battery.
CO

If the analyzer is powered by a rechargeable lithium battery, please install the battery first.

 Battery Installation

Follow the steps below to install the battery:


AN

1. Turn off the analyzer, disconnect the power supply, and remove the power adaptor and other
connecting cables.
ED

2. Place the analyzer upside down on a flat surface covered with cloth or another type of
protecting pad.

3. Remove the screws of the battery compartment using a cross-head screw driver, and then

- 31 -
i15 Blood Gas and Chemistry Analysis System User Manual Installation Guide

remove the battery compartment cover.

4. Take the battery out from its package and put it into the compartment. Make sure the battery


connector is on the right and the battery label faces down. Install the battery into the
compartment.

AL

TI

EN

ID

WARNING

Do not touch the battery connector with fingers or metallic materials, to avoid the hazards
NF

posed by the short-circuit to you and the battery.


5. Arrange the battery flat in the compartment, and push the strip at the end of the battery into
CO

the gap.
AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Installation Guide

6. Shut the battery compartment cover and secure it with the screws.

 Battery Removal

Remove the battery in reverse order. You can pull the strip at the end to take the battery out from
the compartment.

NOTE:
 The battery needs to be charged prior to using it.
 Only those batteries supplied by EDAN or its authorized distributors should be used
with the analyzer.

 When the analyzer is powered by the battery and the battery is low, the system will


prompt you to connect the analyzer to an external power outlet. At the same time, the
battery indicator icon on the status bar at the bottom of the screen will also blink.

AL
 The battery will automatically be charged whenever the analyzer is connected to an
electrical outlet.

3.3.3 Installing the Printer Paper
TI

The analyzer utilizes rolled thermal paper with the width of 50 mm. When the printer paper runs
EN
out during the printing or is not loaded, the warning message “No Paper in Printer” will appear

on the screen. Then you should load or replace the printer paper immediately.
ID

 Procedures for Loading Rolled Thermal Paper


1. Open the casing.


NF

2. Gently place the paper in the paper tray with the outside of the paper facing the thermal print

head.
CO
AN
ED

3. Pull about 2 cm of paper out and shut the printer casing.

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i15 Blood Gas and Chemistry Analysis System User Manual Installation Guide

 Procedures for Replacing Rolled Thermal Paper

The procedures for replacing rolled thermal paper is almost the same as loading rolled thermal
paper, except that you need to remove the remained rolled thermal paper prior to step 2.

CAUTION

1. Only use the printer paper provided by EDAN or its authorized distributors, otherwise
the printer may be damaged. This kind of damage is not covered by warranty.
2. Do not touch the thermosensitive print head or the paper sensor by hand, in case
they are damaged by static electricity.

NOTE:


Unless when replacing paper or troubleshooting, do not leave the printer casing open.

AL
3.3.4 Turning On/Off the Analyzer

NOTE:

TI
Make sure that all the cables are securely connected before you turn on the analyzer.

 Turn On the Analyzer
EN

Press the On/Off button on the left side of the analyzer to turn it on.

 Turn Off the Analyzer


ID

1. Press on the bottom left of the screen, the following message will pop up:
NF

CO
AN

Figure 3-1 Turn Off Analyzer


ED

2. Press , and press OK in the pop up dialog box.


NOTE:

Never turn off the system when it is performing tests or printing data.

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i15 Blood Gas and Chemistry Analysis System User Manual Installation Guide

3.3.5 User Login and Logout

 User Login

1. Press the On/Off button on the left hand side of the analyzer to turn it on.

2. Enter the user name and password manually, and press .

To enter the user name with the bar code scanner, press first, and then scan the user
name bar code.


AL

TI

Figure 3-2 Enter User Name and Password


EN
When logging in for the first time, use the user name admin and password 123456. After

entering the system, you can edit your password and add more users by using the procedures
ID

introduced in 7.2.1.5 Changing System Password and 7.2.1.2 Adding an Operator.


 User Logout
NF

1. Press on the bottom left of the screen, the following message will pop up:
CO
AN
ED

Figure 3-3 User Logout

2. Press , and press OK in the pop up dialog box. The system will go to the User

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i15 Blood Gas and Chemistry Analysis System User Manual Installation Guide

Login screen. Enter a user name and password to change users.

NOTE:
Never log out of the system when it is performing tests or printing data.

3.3.6 Setting the Date and Time

1. On the Main screen, press to access the System Setup screen.

2. Press to access the Date & Language Setup screen.


3. Select the desired date and time, and press OK in the pop up dialogue box.
4. Press OK to accept the changes.
5. Press Return to return to the Main screen.


CAUTION

AL

1. Make sure the current date and time of the system are correct, or it may cause
misdiagnosis.

TI

2. Changing date and time directly affects date and time saved with each test data.
EN
3.3.7 Viewing Training Videos

The system has training videos for guiding your operations.


ID

Follow the steps below to view training videos:


1. Press on the bottom right of the screen to access the Help screen.
NF

CO
AN
ED

Figure 3-4 Help Screen

2. Press to view the video for replacing a calibrant fluid pack.

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i15 Blood Gas and Chemistry Analysis System User Manual Installation Guide

3. Press to view the video for analyzing syringe samples.

4. Press to view the video for analyzing ampoule samples.

5. Press to view the video for analyzing capillary samples.

6. Press Return to go back to the Main screen.

3.3.8 Replacing a Calibrant Fluid Pack

WARNING
1. Never replace a calibrant fluid pack when the analyzer is off.


2. A calibrant fluid pack is intended for single use only. If a calibrant fluid pack is

AL
removed from the system, it can not be inserted into the system again.

Follow the steps below to replace a calibrant fluid pack:

TI
1. Examine the expiration date on the package of a calibrant fluid pack to ensure it has not

expired.

2. Remove the calibrant fluid pack from its package, and equilibrate it to room temperature.
EN

The calibrant fluid pack needs to stand at room temperature for at least 24 hours.

3. Wipe any moisture from the foil pouch with a dry clean cloth.
ID

4. On the Main screen, press to go to the System Setup screen.


NF

5. Press . The system will go to the screen below:



CO
AN
ED

Figure 3-5 Open Chamber Door

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i15 Blood Gas and Chemistry Analysis System User Manual Installation Guide

6. Open the foil pouch, and remove the calibrant fluid pack from it.
NOTE:

Avoid tearing the bar code on the foil pouch.

7. Remove the calibrant fluid pack cap, and remove the key by pushing it with your finger in
the direction as shown by the arrow in the picture below.

Key Valve


AL

TI

EN
NOTE:

Avoid pushing the valve when removing the key.


ID

8. Unlock the calibrant fluid pack chamber lock with the key, and then pull the calibrant fluid
pack ejector to open the calibrant fluid pack chamber door.
NF

9. Remove the used calibrant fluid pack from the system. The system will go to the screen for

the next procedure, and the scanner will be turned on automatically.


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AN
ED

Figure 3-6 Remove Old Calibrant Fluid Pack

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i15 Blood Gas and Chemistry Analysis System User Manual Installation Guide

10. Scan the bar code on the new calibrant fluid pack foil pouch with the bar code scanner.

If the bar code is scanned successfully, the system will beep and the scanner will be turned off
automatically. If the scanned data is valid, the system will display the screen for the next
procedure. If the scanned data is invalid, a message will pop up to prompt you.

If the scanner is turned off automatically, press first, and then scan the bar code.


AL

TI

EN
Figure 3-7 Scan Bar Code

11. Insert the new calibrant fluid pack into its chamber, and push it gently to make sure that it
ID

clicks into place. The system will go to the screen for the next procedure.

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AN
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Figure 3-8 Install Calibrant Fluid Pack

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i15 Blood Gas and Chemistry Analysis System User Manual Installation Guide

12. Close the chamber door.

Figure 3-9 Close Chamber Door


13. Lock the calibrant fluid pack chamber lock to close the chamber door securely.

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14. Press OK in the pop up message. The system will then go to the Main screen.

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EN

ID

Figure 3-10 Replacement Success


NF

NOTE:

 Always follow the proper procedures to replace a calibrant fluid pack, or else the
system will not run smoothly, and the following message will pop up:
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AN
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Figure 3-11 Calibrant Fluid Pack Improper Removal

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i15 Blood Gas and Chemistry Analysis System User Manual Installation Guide

 If the bar code is that of a used calibrant fluid pack, the following message will pop up:

Figure 3-12 Calibrant Fluid Pack was Used

 If the bar code is that of an expired calibrant fluid pack, the following message will pop


up:

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TI

EN

ID

Figure 3-13 Calibrant Fluid Pack Expired


3.3.9 DEMO Test


NF

The system can demonstrate the sample testing process and the calibrant fluid pack replacing
process through animation.
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3.3.9.1 DEMO Sample Tests

Follow the steps below to perform a DEMO sample test:


AN

1. Logout of the system. The system will access the User Login screen.
ED

2. Enter demo in both the user name and password fields, and then press . The system
will go to the following screen:

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i15 Blood Gas and Chemistry Analysis System User Manual Installation Guide

Figure 3-14 DEMO Sample Test Screen 1


3. Press Scan Barcode.


4. Press Next.

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TI

EN

ID

Figure 3-15 DEMO Sample Test Screen 2


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5. The system simulates aspirating calibrant.



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AN
ED

Figure 3-16 DEMO Sample Test Screen 3

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i15 Blood Gas and Chemistry Analysis System User Manual Installation Guide

6. The system simulates calibration.


Figure 3-17 DEMO Sample Test Screen 4
7. The system simulates sampling.

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EN

ID

NF

Figure 3-18 DEMO Sample Test Screen 5


8. The system simulates testing.


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Figure 3-19 DEMO Sample Test Screen 6

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i15 Blood Gas and Chemistry Analysis System User Manual Installation Guide

Figure 3-20 DEMO Sample Test Screen 7


9. The system simulates displaying test results.

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TI

EN

ID

Figure 3-21 DEMO Sample Test Screen 8


NF

10. Press Home to return.


11. Follow the steps as described in 3.3.5 to logout of the system.


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3.3.9.2 DEMO Calibrant Fluid Pack Replacing

Follow the steps as described in 3.3.8 to perform a calibrant fluid pack replacing process.
AN

3.3.10 Connecting Peripherics


Connect peripherics with the system through USB ports, and make sure that the system meets the
ED

requirements in IEC60601-1-1.

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i15 Blood Gas and Chemistry Analysis System User Manual Installation Guide

NOTE:

 Only peripherics recommended by EDAN should be connected.

 Make sure that the whole system meets the requirements in IEC60601-1-1.

Follow the steps below to set a Honeywell 1900 scanner:

1. Connect a Honeywell 1900 scanner to the analyzer through a USB port.


2. Hold the scanner with your right hand, and trigger the scanner with your forefinger.
3. Scan the following bar codes in sequence.


AL

TI

EN

ID

NF

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AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Installation Guide

4. Use the scanner to scan the bar code of a test cartridge. If the bar code is successfully
scanned, the scanner is successfully set.


AL

TI

EN

ID

NF

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AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Setup

Chapter 4 Setup
The system can be configured according to your clinical needs. The setup can only be done by
authorized operators. You can perform the following setup with the Setup menu:

 Printer Setup
 Network Setup
 Date & Language Setup
 Backlight & Volume Setup
 QC Lockout Setup
 Patient Information Setup
 Reference Ranges Setup


 Units Setup

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 Correlation Factors Setup 文
 Internal Simulator Setup
 Calibration Setup
NOTE:

TI

 Only administrators, service engineers and engineers from the manufacturer can get
EN
access to this function.

 The system will remember all the changes in setup even after the system is turned
off.
ID

4.1 Getting into the Setup Screen


NF

1. Press the On/Off button on the left hand side of the analyzer to turn it on.

2. Enter the user name and password manually, and press .


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To enter the user name with the bar code scanner, press first, and then scan the user
name bar code.
AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Setup

Figure 4-1 Enter User Name and Password


3. Press on the Main screen, and the system will go to the Setup screen.

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4.2 System Setup

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The system displays the System Setup screen after pressing on the Main screen by default.
If you are now on the Test Setup screen, press System Setup to get to the System Setup screen.
EN

ID

NF

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AN

Figure 4-2 Setup-System Setup Screen

You can perform the following actions:


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4.2.1 Printer Setup


This menu lets you configure the printer that the system uses, what are printed in reports, the

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i15 Blood Gas and Chemistry Analysis System User Manual Setup

number of copies it prints, and the calculated parameters to be printed on the patient report.
NOTE:
The display will always let you view all the available calculated parameters.

1. Press to access the Printer Setup screen.

2. There are two tabs: Basic and Calculated Parameter Output.

 Basic Setup
1) Press Basic Setup to go to the Basic Setup Screen.


AL

TI

EN
Figure 4-3 Printer – Basic Setup Screen

2) On the Basic Setup screen, you can:


ID

 Select whether to print patient information. The mark √ will appear if Patient Info is

selected, and the default is to print patient information.


NF

 Select whether to print reference ranges. The mark √ will appear if Reference Ranges

is selected, and the default is to not print them. If Reference Ranges is selected, the
CO

reference ranges will be contained in the patient sample report, and the acceptable
ranges will be contained in the quality control (QC) test report.

 Select the printer to be used. There are two options: Thermo Printer and USB Printer.
The default is Thermo Printer.
AN

 Select whether to turn on Auto Print. The mark √ will appear if Auto Print is turned
on, and the default is to turn on Auto Print.
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 Select the number of copies. There are two options: 1 and 2. The default is 1.

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i15 Blood Gas and Chemistry Analysis System User Manual Setup

Note:

Calibration Results can’t be selected and the default is not to print them.

3) Press OK to accept the changes, and the system will return to the System Setup screen.

 Calculated Parameter Output Setup


1) Press Calc Para Output to access the Calculated Parameter Output Setup screen.


AL

TI

Figure 4-4 Printer – Calculated Parameter Output Setup Screen


EN

2) Select the desired parameters. √ indicates the parameter is selected.

NOTE:
ID

 Select All to select all the parameters on the screen.

 For calculated parameters not available on the test cartridge, the system will
NF

not print out them, even though they are selected.


3) Press OK to accept the changes, and the system will return to the System Setup screen.
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4.2.2 Network Setup


This menu allows you to configure the communication methods, transmitting methods, and the
manner that the analyzer is connected to the network.
AN

Follow the directions below to configure the network:


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1. Press to access the Network Setup screen.


2. There are three tabs: Communication, Local IP, and WIFI.
 Network Setup

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i15 Blood Gas and Chemistry Analysis System User Manual Setup

1) Press Communication to go to the Communication Setup screen.

Figure 4-5 Network – Communication Setup Screen

2) On the Communication Setup screen, you can:


 Select the communication protocols. There are two options: POCT 1-A and

AL
HL7×2.4. The default is POCT 1-A.

 Select whether to transmit patient sample results automatically. There are two
options: On and Off. If your selection is On, patient sample results will be

TI
transmitted automatically after each measurement. The default is On.

 Select the communication methods. There are two options: Network and WIFI.
EN
The default is Network.

 Enter the IP address of the DMS or HIS/LIS to which your analyzer is


connected.
ID

3) Press OK to accept the changes, and the system will return to the System Setup

screen.
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 Local IP Setup

1) Press Local IP to access the Network-Local IP Setup screen.


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AN
ED

Figure 4-6 Network – Local IP Setup Screen

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i15 Blood Gas and Chemistry Analysis System User Manual Setup

2) Select the way that the analyzer is connected to the network. There are two options:
DHCP (dynamic host configuration protocol) and Static IP addresses. The Default is
DHCP. If the latter one is selected, the following information should be entered: IP
address, the default gateway, and the network mask.
NOTE:
 The static IP address should be in the same area network with the IP address
of the DMS or HIS/LIS.
 IP addresses for analyzers connected to the same DMS or HIS/LIS should be
different.
 Only when both the DMS or HIS/LIS and the analyzer have been connected
to network successfully can the analyzer transmit data to the DMS or


HIS/LIS.
3) Press OK to accept the changes, and the system will return to the System Setup

AL
screen.

 WIFI Connection
1) Press WIFI to access the WIFI Setup screen.

TI

EN

ID

NF

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Figure 4-7 Network - WIFI Setup Screen


2) Press Search WIFI, the system will automatically search networks and display them.
If the system displays Lock for the network password, it is necessary to enter its
password to connect the system to it.
AN

3) Press the network you want to connect, and press Connect WIFI.
NOTE:
The selected network should be in the same area network with that of the DMS or
ED

HIS/LIS.
4) Press Return, and the system will return to the System Setup screen.

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i15 Blood Gas and Chemistry Analysis System User Manual Setup

4.2.3 Date & Language Setup


With this menu you can set the time and date, the date format, and the language the analyzer uses
for displays and printouts.

Follow the instructions below to set the date and language:

1. Press to go to the Date & Language Setup screen.


AL

TI

EN
Figure 4-8 Date & Language Setup Screen

2. On the Date & Language Setup screen, you can:


ID

 Change the time and date of the system.


 Select the date format. There are three formats: MM-DD-YYYY, YYYY-MM-DD and
NF

DD-MM-YYYY. The default is YYYY-MM-DD.


 Select the language for displays and printouts. The default language is English.
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3. Press OK to accept the changes, and the system will return to the System Setup screen.

4.2.4 Backlight & Volume Setup


This menu allows you to define the idle time after which the backlight will be automatically
AN

turned off, the brightness of the backlight, the key tones and the volume.

1. Press to go to the Backlight & Volume Setup screen.


ED

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i15 Blood Gas and Chemistry Analysis System User Manual Setup

Figure 4-9 Backlight & Volume Setup Screen


2. On the Backlight Setup screen, you can:

AL
 Adjust the brightness of the backlight with the slider.

 Select the idle time after which the backlight will be automatically turned off. The
options are: never, 10 seconds, 1 minute, 3 minutes and 5 minutes. The default setting is

TI

1 minute.
NOTE:
EN
The system will enter standby mode after the backlight is turned off. Press the LCD

screen to resume normal operation mode.


ID

 Set the key tones. There are two options: On and Off. If On is selected, and the volume is

not mute, the system will beep after each effective press.
NF

 Select the volume of the system. There are four options: High, Medium, Low and Mute.

The default is Medium.


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3. Press OK to accept the changes, and the system will return to the System Setup screen.

4.2.5 Diagnostics
This menu lets you diagnose some modules of the analyzer to check its operation. It helps to
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troubleshoot.
NOTE:
ED

Only service engineers and engineers from the manufacturer can perform this action.

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i15 Blood Gas and Chemistry Analysis System User Manual Setup

4.2.6 About the Analyzer


The system contains information about your analyzer which makes it convenient for you to know
more about your analyzer and call for technical assistance if necessary.

1. Press to go to the About screen.


AL

TI
Figure 4-10 About Screen

2. View the information on the screen.
EN
3. If necessary, press to update the software version.

4. Press Return to get access to the System Setup screen.

4.3 Test Setup


ID

Press Test Setup on the Setup screen to access the Test Setup screen, and then you can perform
NF

the following operations:



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AN
ED

Figure 4-11 Setup – Test Setup Screen

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i15 Blood Gas and Chemistry Analysis System User Manual Setup

4.3.1 QC Lockout Setup


This menu allows you to configure QC lockout. If QC lockout function is enabled, the system
will not report test results for those parameters that have failed quality control (QC) tests, and the
results for these parameters will be flagged with xxx. If QC lockout function is disabled, the
system will report test results for those parameters that have failed quality control (QC) tests, and
the test results for these parameters will be flagged with ***. The default setting is enabling QC
Lockout function.

Follow the procedures below to set QC Lockout:

1. Press to go to the QC Lockout Setup screen.


AL

TI

EN

ID

Figure 4-12 QC Lockout Setup Screen


NF

2. Select whether to enable QC Lockout function. √ will appear if QC Lockout function is


enabled.
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3. Press OK to accept the changes, and the system will return to the Test Setup screen.

4.3.2 Patient Information Setup


This menu allows you to select which parameters will be displayed on the Edit Patient
AN

Information screen during each patient sample test. The default displayed parameters are patient
ID, temperature, FIO2 and operator ID. The table below lists the parameters for patient
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information.

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i15 Blood Gas and Chemistry Analysis System User Manual Setup

Table 4-1 Patient Information

Parameter Range Resolution Unit


Patient ID 1 - 16 digits N/A N/A
Operator ID 1 - 16 digits N/A N/A
Sample ID 1 - 16 digits N/A N/A
14.0 – 44.0 0.1 °C
Temperature
57.2 – 111.2 0.1 ℉
Sex Male, Female, / N/A N/A
1.0 – 26.0 0.1 g/dL
tHb (Total
10 - 260 1 mg/dL
hemoglobin)
0.6 – 16.1 0.1 mmol/L
0.15 - 1.00 0.01 x.xx
FIO2
15 - 100 1 %


MCHC (Mean
29.0 - 37.0 0.1 g/dL
corpuscular

AL
hemoglobin
concentration)

290 - 370 1 g/L
RQ (respiratory
0.70 - 2.00 0.01 x.xx
quotient)

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Hemoglobin
Adult, Children, Newborn N/A N/A
type
EN
LR/RR/LB/RB/LF/RF/Cord/Scalp/LHF/

RHF/LH/RH/AIC, PA Catheter,
CPB or Other, where:
ID

LR=Left Radial

RR= Right Radial


LB= Left Brachial
NF

RB= Right Brachial


LF= Left Femoral


Puncture site RF= Right Femoral N/A N/A
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LHF= Left Hand Finger


RHF= Right Hand Finger
LH= Left Heel
RH= Right Heel
AIC= Arterial Indwelling Catheter
AN

CPB= Cardiopulmonary Bypass


PA Catheter= PA Catheter
Other= Other
ED

Bypass Pump Off / Pump On N/A N/A


Rm air, Mask, T-P, NC, Vent, Bag, Hood or
O2 mode Other, where: N/A N/A
Rm Air=Room Air

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i15 Blood Gas and Chemistry Analysis System User Manual Setup

Mask= Mask
T-P= T-Piece
NC= Nasal Cannula
Vent= Ventilator
Bag= Bag (manual resuscitation)
Hood= Hood
Other= Other
I/E Ratio 0.2 - 9.9/0.2 - 9.9 0.1 x.xx
No, SIMV, PSV, PCV, CMV/AC, CPAP,
PCIVR, or BIPAP, where:
No= None
SIMV= Synchronized Intermittent Mandatory
Ventilation
PSV= Pressure Support Ventilation


Vent mode N/A N/A
PCV= Pressure Control Ventilation
CMV/AC= Controlled Mechanical Ventilation/

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Assist Control

CPAP= Continuous Positive Airway Pressure
PCIVR= Pressure Control Inverse Ratio

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BIPAP= Bi-Level Positive Airway Pressure

Pplat (Plateau
0 - 100 1 cmH2O
Pressure)
EN
MVol (Minute
0 - 120 1 Lpm

Volume)
PIP (Peak
ID

Inspiratory 0 - 140 1 cmH2O


Pressure)
Liter Flow 0 - 300 1 Lpm
NF

TVol (Tidal
0 - 4000 1 mL/kg

Volume)
PS (Pressure
0 - 99.9 0.1 cmH2O
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Support)
PEEP (Positive
End Expiratory 0 - 50 1 cmH2O
Pressure)
Rate 0 - 155 1 Bpm
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CPAP
(Continuous
0 - 50 1 cmH2O
Positive Airway
ED

Pressure)
Bi-Level
0.2 - 9.9/0.2 - 9.9 0.1 x.xx
Pressure

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i15 Blood Gas and Chemistry Analysis System User Manual Setup

NOTE:
 There is no barometric pressure item in patient information. If the barometric
pressure sensor malfunctions, the system will not report results for the parameters
related to oxygen.
 The selected items will be printed out in patient sample reports if Patient Info is
selected in section 4.2.1 Printer Setup.
Follow the instructions below to select which patient information is required:

1. Press to get access to the Patient Information Setup screen.


2. Press Patient Info 1, and select the desired parameters. √ indicates the parameter is selected.


AL

TI

EN

Figure 4-13 Patient Information 1 Screen


ID

3. Press Patient Info 2, and select the desired parameters. √ indicates the parameter is selected.

NF

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AN

Figure 4-14 Patient Information 2 Screen


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NOTE:

Select All to select all the parameters on each screen.

4. Press OK to accept the changes, and the system will return to the Test Setup screen.

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i15 Blood Gas and Chemistry Analysis System User Manual Setup

4.3.3 Reference Ranges Setup


With this menu you can set the reference range for each measured parameter. There are three
options: Arterial, Venous, and Other. The default is Arterial. A result that is out of the reference
range will be flagged with an up/down arrow. Reference ranges are factory set to be the
measurement ranges for each measured parameter. Values outside reference ranges are not
flagged with an up/down arrow. Therefore reference ranges must be set according to internal
procedures at your individual institution. Because reference ranges may vary with demographic
factors such as age, gender and heritage, it is recommended that reference ranges be set according
to the population being tested.

Follow the instructions below to set the reference ranges:


1. Press to access the Reference Ranges Setup screen.

AL

TI

EN

ID

NF

Figure 4-15 Reference Ranges Setup Screen


2. Select the desired reference range, and edit the limits for those parameters you want to
CO

change.
3. Press OK to accept the changes, and the system will return to the Test Setup screen.
NOTE:
 If unacceptable values are entered, the system will display the correct range.
AN

 The limits entered will be saved in the system even after the system is shut down.
 If arterial blood/capillary blood is selected, the screen of Reference Ranges Setup will
ED

display arterial blood reference ranges automatically. If venous blood is selected, the screen
of Reference Ranges Setup will display venous blood reference ranges automatically. If

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i15 Blood Gas and Chemistry Analysis System User Manual Setup

mixed venous blood/CPB/aqueous solution is selected, the screen of Reference Ranges Setup
will display others reference ranges automatically

4.3.4 Units Setup


This function allows you to select the units for measured parameters, calculated parameters and
parameters of patient information.
Table 4-2 Units for Parameters
Parameter Default Unit Alternate Units
Ca++ mmol/L mg/dL
pCO2 mmHg kPa
pO2 mmHg kPa
Glu mmol/L mg/dL


Lac mmol/L mg/dL
Hct % x.xx

AL
Cre μmol/L
文 mg/dL
BUN mmol/L mg/dL
tHb(est) g/dL g/L,mmol/L

TI
sO2(est) % x.xx

pO2(A-a) mmHg kPa
pO2(a/A) x.xx %
EN
RI x.xx %

pO2/FIO2 mmHg mmHg/%, kPa, kPa/%


Ca++(7.4) mmol/L mg/dL
ID

pCO2(T) mmHg kPa


pO2(T) mmHg kPa


pO2(A-a)(T) mmHg kPa
NF

pO2(a/A)(T) x.xx %

RI(T) x.xx %
pO2(T)/FIO2 mmHg mmHg/%, kPa, kPa/%
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Temperature °C ℉
FIO2 x.xx %
tHb g/dL g/L, mmol/L
MCHC g/dL g/L
Baro/Partial Pressure mmHg kPa
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ED

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i15 Blood Gas and Chemistry Analysis System User Manual Setup

Follow the directions below to select the desired units for the parameters:

1. Press to get access to the Units Setup screen.


2. Press Units 1, and select the desired units for the parameters whose units you want to
change.


AL

TI

Figure 4-16 Units Setup 1 Screen
EN
3. Press Units 2, and select the desired units for the parameters whose units you want to

change.
ID

NF

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AN

Figure 4-17 Units Setup 2 Screen

4. Press OK to accept the changes, and the system will return to the Test Setup screen.
ED

NOTE:
The results stored in the system are automatically converted to match new units.

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i15 Blood Gas and Chemistry Analysis System User Manual Setup

4.3.5 Correlation Factors Setup

NOTE:
Only service engineers and engineers from the manufacturer can perform this action.

4.3.6 Internal Simulator Setup


This menu allows you to set whether to run the internal simulator test, and set the time at which
the system performs the test every day.

1. Press to access the Internal Simulator Setup screen.


AL

TI

EN

ID

Figure 4-19 Internal Simulator Setup Screen


2. Select whether to run the internal simulator test. The mark √ will appear if Internal Simulator
is selected, and the default is to select it.
NF

3. If the Internal Simulator is selected, enter the time at which the system performs the test. The
default is 01:00:00.
CO

2. Press OK to accept the changes, and the system will return to the Test Setup screen.
AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Setup

4.3.8 Calibration Setup


NOTE:

If one or more of the selected parameters fail calibration tests, the test will halt.

1. Press to go to the Calibration Setup screen.


AL

TI

Figure 4-20 Calibration Setup Screen
EN
2. Select the desired parameters. √ indicates the parameter is selected. Select All if you want to

select all the parameters on the screen.


ID

3. Press OK to accept the changes, and the system will return to the Test Setup screen.

NF

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AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Patient Analyzing

Chapter 5 Patient Analyzing


NOTE:

Take safety measures when working with biological samples, such as wearing
approved gloves, etc.

5.1 Sample Collection and Preparation

5.1.1 Sample Collection


Blood samples should be collected according to proper medical guidelines containing collection
details, such as site selection, collection procedures, sampling devices, sample handling, etc.


Sterile techniques should be followed to prevent the site from being contaminated.

AL
WARNING

Handle blood samples and collection devices with care, and wear approved protective

TI
gloves to avoid direct contact with samples.

NOTE:
 Only fresh whole blood samples are recommended for use.
EN
 When taken for electrolyte analysis, venous samples should not be collected from a

central venous catheter containing silver sulfadiazine or chlorhexidine, because they


ID

have a great influence on sodium levels.


 Samples should be collected by trained professionals.


 For mixed venous samples, the system reports only pO2 result.
NF

5.1.2 Anticoagulants
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Only those sample devices containing the proper amount of calcium-titrated (balanced) heparin or
lithium heparin as the anticoagulant should be used to collect whole blood samples. If
calcium-titrated (balanced) heparin is used as an anticoagulant, the minimum heparin-to-blood
ratio should be 2.3 units of heparin per 1.0mL of blood sample. If a sample is analyzed for
AN

ionized calcium, the maximum heparin-to-blood ratio should be 15 units of heparin per 1.0mL of
blood sample; if not, the maximum heparin-to-blood ratio should be 50 units of heparin per
1.0mL of blood sample.
ED

CAUTION

If there are clots in the blood sample, discard it and collect samples again.

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i15 Blood Gas and Chemistry Analysis System User Manual Patient Analyzing

NOTE:

Don’t use the following anticoagulants: EDTA, citrate, and oxalate, because they have a
great influence on test results for pH and electrolytes.

5.1.3 Collection Devices and Volume


Samples can be introduced into the system with the following devices: syringes and capillary
tubes. It is recommended that VITREX® Blood Gas Capillary Tubes with a minimum volume,
filled of 175 μL (Article Number: 182413) or 220 μL (Article Number: 182313) should be used.

NOTE:

 The system uses 140 μL samples for analysis, and make sure it can aspirate enough


sample.

AL
 The minimum fill volume for a 1 mL syringe is 500 μL.

 The minimum fill volume for a 2 mL syringe is 800 μL.

 The minimum fill volume for a 5 mL syringe is 1.5 mL.

TI

 Dislodge bubbles from the syringe, and cover it as soon as the sample is collected.
EN
Cork should never be used to cover the syringe.

 A capillary tube should be filled to capacity and covered securely. Cork or clay should
ID

never be used to cover the capillary tube.


5.1.4 Notes
NF

Follow the notes below to ensure that test results are accurate:

1. Cover the sample device immediately after collection to prevent it from being
CO

contaminated by air.

2. Mix blood samples thoroughly prior to sample introduction.

3. Make sure there are no clots in blood samples, or else the results will be inaccurate.
AN

4. Perform the sample test immediately after its collection to get the most accurate
results. Measure samples for blood gases and Ca++ within 10 minutes, and measure
ED

samples for other analytes within 30 minutes.

5. Used sample devices are biohazardous waste, and should be handled abiding by
local regulatory guidelines.

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i15 Blood Gas and Chemistry Analysis System User Manual Patient Analyzing

5.2 Patient Analyzing

NOTE:

Ensure that the displayed date and time are correct before each sample test, because
they are part of the patient sample data. Contact the administrator if the date and/or time
are incorrect.

5.2.1 Procedures for Patient Analyzing


1. Press the On/Off button on the left hand side of the analyzer to turn it on.

2. Enter the user name and password manually, and then press .


To enter the user name with the bar code scanner, press first, and then scan the user

AL
name bar code.

TI

EN

ID

NF

CO

Figure 5-1 Enter User Name and Password

3. Press the button for the blood sample type on the Main screen. √ will appear if the button is
selected. The default type is Arterial.
AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Patient Analyzing


Figure 5-2 the Main Screen

CAUTION

AL

Make sure that the selected sample type button is consistent with the blood sample, or
the result may be inaccurate.

TI

4. Press Scan Barcode, and scan the bar code on a new cartridge foil pouch.
EN
If the bar code is scanned successfully, the system will beep and the scanner will be

automatically turned off. If the scanned data is valid, the system will display the screen for
the next procedure. If the scanned data is invalid, a message will pop up to prompt you.
ID

5. Open the foil pouch and remove the cartridge from it.
NF

NOTE:

 Avoid tearing the bar code on the foil pouch.


CO

 For sample introduction with a capillary tube, insert a capillary adaptor into the fillport
after removing the cartridge.

6. Roll the syringe or capillary tube between palms and gently invert it end over end for several
AN

times to mix the sample completely.


ED

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i15 Blood Gas and Chemistry Analysis System User Manual Patient Analyzing

Figure 5-3 Mix Sample and Insert Cartridge


NOTE:


 To avoid inaccurate test results, mix the sample thoroughly prior to sample

AL
introduction. 文
 To avoid inaccurate test results, make sure there are no trapped bubbles or clots in
the sample.

TI

7. Insert the syringe or capillary tube into the fillport of the cartridge.
EN
NOTE:

 When using a syringe, discard the first 2 drops of blood sample first, then remove the
ID

needle from it, and finally insert it into the fillport.


 When using a capillary tube, insert the capillary tube into the adaptor till the tube
reaches the interface between the adaptor and the cartridge.
NF

8. Gently insert the cartridge into the cartridge port, and carefully press down to ensure it clicks
into place.
CO

For a valid cartridge, the indicator in the cartridge port will turn green, and the system will
automatically aspirate calibrant. For an invalid cartridge, the indicator will turn red, the
cartridge will be ejected and a message will pop up to prompt you.
AN

NOTE:

 Never inject the sample. It will be aspirated automatically.


ED

 The cartridge can not be removed from the analyzer until the measurement is
complete.

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i15 Blood Gas and Chemistry Analysis System User Manual Patient Analyzing

9. Enter patient information. The screen displayed depends on the selection in section 4.3.2
Patient Information Setup. The screen for the default patient information setup is shown
below:


AL
Figure 5-4 Enter Patient Data

NOTE:

TI
 It is not necessary to enter all the above parameters. You can press OK at any time.

 If no parameters are selected in section 4.3.2 Patient Information Setup, the system
EN
will go to the Aspirating Calibrant screen when the test cartridge is properly inserted.

 The system can not go back to the screen for entering patient information after you
ID

press OK, and patient information has to be edited in the patient sample database.

10. Press OK. The system will go to the following screens:


NF

a). If the system is aspirating calibrant, the system will go to the following screen:

CO
AN
ED

Figure 5-5 Aspirating Calibrant…

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i15 Blood Gas and Chemistry Analysis System User Manual Patient Analyzing

b). If the system is calibrating sensors, the system will go to the screen below:

Figure 5-6 Calibration in Progress


c). If the system is sampling, the system will go to the screen below:

AL

TI

EN

ID

Figure 5-7 Sampling…


NF

d). If the system is analyzing patient samples, the system will go to the screen below:

CO
AN
ED

Figure 5-8 Measurement in Progress

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i15 Blood Gas and Chemistry Analysis System User Manual Patient Analyzing

e). If the test is complete, the system will go to the screen below:

Figure 5-9 Sample Results


NOTE:

AL
 Upon the completion of the test, the indicator in the cartridge port will be off, the

message “Please Remove Cartridge” will be displayed on the status bar at the

TI
bottom of the screen, and the cartridge will be ejected.

 If the screen has not been touched for 10 seconds after the test is complete, the test
EN
results will be displayed automatically even if you do not press OK.

 If patient temperature is entered, the test results will be displayed both at 37°C and at
the patient’s temperature.
ID

 If Auto Transmit is turned on in section 4.2.2 Network Setup, patient sample results
will be transmitted to the DMS automatically.
NF

 If Auto Print is selected in section 4.2.1 Printer Setup, patient sample results will be
printed automatically. If it is not selected, press Print to print the test results.
CO

11. View the test results. The system displays the results for measured parameters by default.

Press Calculated to view the results for calculated parameters.


AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Patient Analyzing


Figure 5-10 Calculated Parameters

Press Calibration to view the calibration results.

AL

TI

EN

ID

NF

Figure 5-11 Calibration Parameters


CO

Symbols such as > may appear on the Results screen, refer to section 5.2.2 Understanding Result
Symbols to understand their meanings.

WARNING
AN

Never make treatment decisions according to test results containing symbols as


described in section 5.2.2 Understanding Result Symbols.
ED

12. Remove the test cartridge from the system immediately.

13. Press Home to return to the Main screen.

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i15 Blood Gas and Chemistry Analysis System User Manual Patient Analyzing

The contents of a patient sample report depend on the type of the test cartridge you have used, the
options selected in section 4.2.1 Printer Setup and section 4.3.2 Patient Information Setup, and
the errors and alarms the system detects during the measurement. The table below is an example
of a patient sample report:

EDAN i15
System ID M13704860027
Report Type Patient Sample
Sample Type Arterial
Print Time 2016-01-21 17:26:36
Test Time 2016-11-03 00:02:13
PatientID
Operator ID edan


Patient Information

AL
Sample ID
Temperature 37.00
文 ℃
Sex

TI
tHb 30.00 g/dL

FIO2 20.00 x.xx
RQ xxx
EN
Hb type

Puncture site
Bypass
ID

O2 mode

I/E Ratio
Vent mode
NF

......

Blood Gas Values


pH > 8.000
CO

pCO2 < 10.0 mmHg


pO2 145 mmHg

Oximetry Values
Hct 15 %
AN

sO2(est),r 100 *** %


tHb(est),r 5.3 g/dL
ED

Electrolyte Values
Na+ 160 *** mmol/L

K+ 4.7 *** mmol/L

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i15 Blood Gas and Chemistry Analysis System User Manual Patient Analyzing

Ca++ 1.35 *** mmol/L


Ca++(7.4),r …… mmol/L
Cl- 100 *** mmol/L

Acid-Base Status
HCO3-act,r 30.6 *** mmol/L
HCO3-std,r 40 *** mmol/L
BE(ecf),r 18.5 *** mmol/L
BE(B),r 16.4 *** mmol/L
BB(B),r 60.3 *** mmol/L
ctCO2,r 31 *** mmol/L
AnGap,r 34 *** mmol/L
cH+,r < *** mmol/L
mOsm,r 315.4 *** mmol/L


pO2/FIO2,r …… mmHg
RI,r 0.00 ***

AL
pO2(A-a),r 0 *** mmHg
pO2(a/A),r 1.00
文 ***

Reference Ranges

TI

pH 7.35 7.45
pCO2 35 45 mmHg
EN
pO2 80 100 mmHg

Na+ 138 146 mmol/L


K+ 3.5 4.9 mmol/L
ID

Ca++ 1.12 1.32 mmol/L


Cl- 98 109 mmol/L


GLu 3.9 5.8 mmol/L
NF

Lac 0.36 1.7 mmol/L


Hct 35 51 %
CO

Notes
,r calculated values
*** out control/unlock
...... invalid values
> >measured range
AN

< <measured range


ED

5.2.2 Understanding Result Symbols


The following table shows the symbols that may appear on the screen:

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i15 Blood Gas and Chemistry Analysis System User Manual Patient Analyzing

Symbol Description
> or < The result is above or below the measurement range.
↑ or ↓ The result is above or below the reference range.
--- The measured parameter fails calibration.
The measured parameter fails quality control (QC) tests, and QC lockout function is
xxx
enabled in Setup.

The measured parameter fails quality control (QC) tests, and QC lockout function is
disabled in Setup.
*** The result for the calculated parameter is valid, but the measured parameter used to
determine this calculated parameter fails quality control (QC) tests, and QC lockout
function is disabled in Setup.
…… The result for the measured parameter is invalid.


NOTE:

 Invalid test result for a calculated parameter will not be displayed on the screen.

AL

 Valid test result for a calculated parameter will not be displayed on the screen, if the
measured parameter used to determine the result fails quality control (QC) tests, and
QC lockout function is enabled in Setup.

TI

5.3 Patient Sample Database


EN

The patient sample database displays patient sample data for the most recent month by default,
ID

and it can store up to 10000 data entries. The system displays 50 pieces of data on every page.

Press Prev. and Next to page through the screens of the displayed data entries. When 80% of the
space is occupied, the system will prompt you to export the stored data to a removable disk (such
NF

as a USB drive). If data is not exported, the system will continue to save new data. When the

database is full, the system will always prompt you to export data. If data is still not exported, the
CO

system will automatically delete the oldest one to accommodate a new one. The following
operations can be performed in the patient sample database: transmitting patient sample data to
the Data Management System (DMS) or HIS/LIS through Wi-Fi or the network, exporting patient
sample data to a removable disk (such as a USB drive), viewing the details of patient sample data,
AN

editing patient information, searching for and printing patient sample data, etc.

NOTE:
ED

 Only patient information data can be edited.

 Test results for calculated parameters may be changed due to the alteration of patient

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i15 Blood Gas and Chemistry Analysis System User Manual Patient Analyzing

information data.

On the Database screen, press to access the Patient Sample Database screen.


AL

Figure 5-12 Patient Sample Database Screen

5.3.1 Searching for Patient Sample Data


TI

1. On the Patient Sample Database screen, press Search.


EN

2. Enter the search conditions, and press OK.


ID

NF

CO
AN

Figure 5-13 Enter Search Conditions


ED

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i15 Blood Gas and Chemistry Analysis System User Manual Patient Analyzing

3. The system automatically begins the search and displays the results.


AL
Figure 5-14 Search Results

4. Press Return to go back to the Patient Sample Database screen.

5.3.2 Viewing Details of Patient Sample Data

TI

1. Press the patient sample data you want to view.
EN
2. Press Details. The system displays the details of measured parameters by default.

ID

NF

CO
AN

Figure 5-15 Details of Measured Parameters


ED

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i15 Blood Gas and Chemistry Analysis System User Manual Patient Analyzing

3. Press Calculated to view the details of calculated parameters.


Figure 5-16 Details of Calculated Parameters

AL
4. Press Patient Info to view the details of patient information.

TI

EN

ID

NF

CO

Figure 5-17 Details of Patient Information

5. Press Return to go back to the Patient Sample Database screen.

5.3.3 Editing Patient Information Data


AN

1. Select the desired patient sample data, and then press Edit.

2. Edit the patient information data. The following screen will be displayed for the default
ED

patient information setup:

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i15 Blood Gas and Chemistry Analysis System User Manual Patient Analyzing


Figure 5-18 Edit Patient Data
NOTE:

AL
The screen displayed depends on the selection in section 4.3.2 Patient Information
Setup.

3. Press OK to save the changes, and the system will return to the Patient Sample Database

TI

screen.

5.3.4 Exporting/Uploading/Printing Patient Sample Data


EN

1. Open the patient sample database.


ID

2. Select the desired patient sample data.


To Do this
NF

Export Insert a removable disk into the analyzer, and then press Export.

Upload Press Upload.


CO

Print Press Print.

NOTE:

If no patient sample data is selected before pressing Export/Upload/Print, all of the data
AN

stored in the patient sample database will be exported/uploaded/printed.


ED

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

Chapter 6 Quality Control (QC) Tests


Quality Control (QC) tests could ensure the normal operation of the system and the reliability of
test results. Policies related to the measurement of QC samples are at the discretion of your
individual institution. It is recommended to perform QC tests in the following situations:
 You are using the system for the first time.

 You wish to verify the performance of newly received test cartridges.

 You wish to verify the storage condition of test cartridges.

 You wish to verify the performance of the system.


You doubt test results.

AL

TI

EN

ID

Figure 6-1 Quality Control Screen


NF

6.1 Control Test



CO

Control tests are intended to verify the efficient performance of the system. To verify the
performance of each lot of newly received test cartridges, analyze at least two levels of controls
in duplicate using a verified analyzer.

6.1.1 Controls
AN

Controls are intended for use to monitor test cartridge performance at multiple points within the
clinical range. Controls used are EDAN Blood Gas and Electrolyte Controls and EDAN
ED

Hematocrit Controls. RNA Medical® QC823 Blood Gas●Electrolyte●Metabolite●BUN Controls


and RNA Medical® QC900 Hematocrit Controls can also be used on the i15 Blood Gas and
Chemistry Analysis System. The concentrations of reactive ingredients in various levels of

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

controls are known. Controls contain no human or biological materials. Acceptable ranges for
controls specific to the i15 Blood Gas and Chemistry Analysis System are programmed in the bar
code on the user manual for controls provided by EDAN.

Packaging

1. EDAN Blood Gas and Electrolyte Controls are contained in 2.5mL glass ampoules, and
EDAN Hematocrit Controls are contained in 1.7mL glass ampoules.

2. The controls package contains information such as the control name, level, lot number and
expiration date, etc.

Storage


Store controls according to the controls user manual.

AL
Before Use 文
Controls should be equilibrated to room temperature before use. If oxygen is to be measured, the
ampoule needs to stand at room temperature for at least 4 hours. If not, the ampoule needs to

TI

stand at room temperature for 30 minutes.

Immediately before use, mix controls completely by shaking the ampoule gently, and always hold
EN
an ampoule at tip and at bottom with forefinger and thumb to minimize increasing controls

temperature. Tap the tip of the ampoule carefully with your fingernail to remove any solution.
ID

NOTE:

 Store and use controls according to the user manual, and use them before the
NF

expiration date as labeled on the package.


 Only controls provided by EDAN or its authorized distributors should be used.


CO

 Avoid contaminating controls.

 For test cartridges with pH, pCO2, pO2, Ca++ sensors, a new ampoule and syringe or
capillary tube should be used for each test. For test cartridges without pH, pCO2, pO2,
AN

Ca++ sensors, the remaining solution can still be used if the ampoule is opened within
10 minutes.
ED

 The test results should fall within the acceptable ranges programmed in the bar code
on the user manual for controls provided by EDAN.

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

6.1.2 Procedures for Control Test


Follow the steps below to perform a control test:

1. Examine the package label of controls to ensure they have not expired.

2. Remove an ampoule from the box of controls and equilibrate it to room temperature.

If oxygen is to be measured, the ampoule needs to stand at room temperature for at least 4
hours. If not, the ampoule needs to stand at room temperature for 30 minutes.

3. Press the On/Off button on the left hand side of the analyzer to turn it on.

4. Enter the user name and password manually, and then press .


To enter the user name with the bar code scanner, press first, and then scan the user

AL
name bar code.

TI

EN

ID

NF

CO

Figure 6-2 Enter User Name and Password

5. On the Main screen, press to go to the Quality Control screen.

6. Select the desired control type.


AN

Press to perform a control test for blood gases and blood chemistries.
ED

Press to perform a control test for Hct.

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

7. Press Scan Barcode, and scan the bar code on a new cartridge foil pouch.

If the bar code is scanned successfully, the system will beep and the scanner will be
automatically turned off. If the scanned data is valid, the system will display the screen for
the next procedure. If the scanned data is invalid, a message will pop up to prompt you.


AL

Figure 6-3 Scan Bar Code

TI

8. Open the foil pouch and remove the cartridge from it.
EN
NOTE:

 Avoid tearing the bar code on the foil pouch.


ID

 For sample introduction with a capillary tube or an ampoule, insert a capillary


adaptor/ampoule adaptor into the fillport after removing the cartridge.


NF

 When inserting an ampoule adaptor into the fillport of a test cartridge, make sure the

indent of the adaptor is on the upside as shown in the picture below:


CO
AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

9. Press Scan Barcode, and scan the bar code on the controls user manual.

If the bar code is scanned successfully, the system will beep and the scanner will be
automatically turned off. If the scanned data is valid, the system will display the screen for
the next procedure. If the scanned data is invalid, a message will pop up to prompt you.


AL

Figure 6-4 Scan Bar Code
NOTE:

TI

Keep the controls user manual for a future control test use.
EN
10. Mix the controls completely by shaking the ampoule gently, and then tap the tip of the

ampoule carefully with your fingernail to remove any solution.


ID

NF

CO
AN

Figure 6-5 Mix Controls and Insert Cartridge


ED

NOTE:

Avoid heating the ampoule with your hands when shaking the ampoule.

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

11. Open the ampoule by snapping off the top and immediately transfer control solution by
slowly drawing an appropriate amount of solution with a syringe or capillary tube from the
bottom of the ampoule.

NOTE:

 When using an ampoule for sample introduction, you need not transfer control
solution. Insert the ampoule into the adaptor after opening it, and directly go to step
13.

 Take protective measures when opening the ampoule, such as using gloves, tissue,
etc.


12. Insert the syringe or capillary tube into the fillport of the cartridge.

NOTE:

AL

 When using a syringe, discard the first 2 drops of solution first, then remove the
needle from it, and finally insert it into the fillport.

TI

 When using a capillary tube, directly insert the capillary tube into the adaptor till the
tube reaches the interface between the adaptor and the cartridge.
EN

 To avoid inaccurate test results, make sure there are no bubbles in the sample. If
bubbles continually exist, use a new ampoule and syringe or capillary tube to collect
ID

samples again.

13. Gently insert the cartridge into the cartridge port, and carefully press down to ensure that it
NF

clicks into place.


For a valid cartridge, the indicator in the cartridge port will turn green, and the system will
CO

automatically aspirate calibrant. For an invalid cartridge, the indicator will turn red, the
cartridge will be ejected and a message will pop up to prompt you.

NOTE:
AN

 The cartridge can not be removed from the analyzer until the measurement is
complete.
ED

 Never inject the sample. It will be aspirated automatically.

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

14. The system automatically aspirates calibrant.


Figure 6-6 Aspirating Calibrant…
15. The system automatically performs calibration.

AL

TI

EN

ID

Figure 6-7 Calibration in Progress


NF

16. The system automatically aspirates samples when calibration is complete.



CO
AN
ED

Figure 6-8 Sampling…

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

17. The system automatically analyzes the sample upon the completion of sampling.

Figure 6-9 Measurement in Progress


18. The system automatically displays the test results upon the completion of the test.

AL

TI

EN

ID

NF

Figure 6-10 Control Test Results


19. View the results.


CO

NOTE:

 The system will indicate whether the results are within or outside the acceptable
ranges with Under Control/Out of Control.
AN

 If a parameter fails calibration, the system will not be able to determine whether it is
under control, and will display Calibration Failure to prompt you.
ED

 The system will not report the result for a parameter failing the control test in the
patient sample analysis, if QC Lockout function is enabled in Setup. To report the
result for the parameter, repeat the control test till the parameter passes it.

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

 If the results are outside the acceptable ranges, check the following items first, and
then perform another test.

 Refer to the user manual to confirm that the test procedures are correct.

 Test cartridges and controls are stored properly and have not expired.

 The system passes the electronic simulator test.

If all the above items are verified, but the results are still outside the acceptable
ranges, please stop using the system and contact EDAN or its authorized distributors
for assistance.

20. Remove the test cartridge from the system immediately.


21. Press Print to print the results.

AL
22. Press Home to return to the Main screen.

The contents of a control test report depend on the type of controls you have used, the type of the

TI
test cartridge you have used,the options selected in section 4.2.1 Printer Setup and the errors and

alarms the system detects during the analysis. Here is an example of a control test report.
EN
Control Test Report

EDAN i15
ID

System ID 201303200023

Report Type Control Test


Print Time 2012-03-20 15:20:00
NF

Test Time 2012-03-20 15:00:00


Operator ID 55555
Lot Number 21209
CO

Control Results
pH 7.161
pCO2 68.2 mmHg
AN

pO2 66.0 mmHg


+
Na 114.8 mmol/L
+
K 6.90 mmol/L
++
Ca 1.52 mmol/L
ED

-
Cl 77 mmol/L
Glu 4.33 mmol/L
Lac 0.69 mmol/L

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

pH Under Control
pCO2 Under Control
pO2 Under Control
Na+ Under Control
K+ Under Control
Ca++ Under Control
Cl- Under Control
Glu Under Control
Lac Under Control

Control Ranges
pH [7.111 - 7.211]
pCO2 [60.2 – 76.2] mmHg


pO2 [51.0 – 81.0] mmHg
+
Na [109.8 – 119.8] mmol/L

AL
+
K [1.44 - 2.44] mmol/L
Ca ++
[1.32 – 1.72]

mmol/L
-
Cl [72 – 82] mmol/L
Glu [3.43 - 5.23] mmol/L

TI

Lac [0.19 – 1.19] mmol/L
EN
6.1.3 Temperature Correction for pO2 and pCO2

It is known that pO2 and pCO2 results are inversely affected by ambient temperature. You can
adjust the acceptable ranges to account for ambient temperature effects using the table below. For
ID

example, if your laboratory typically operates at 24 – 26 C and the pCO2 range for level 1 is 60.2

– 76.2 mmHg, the range can be adjusted by substracting 0.74 mmHg to upper and lower limits:
Adjusted range = (60.2 – 76.2) mmHg – 0.74 = 59.46 – 75.46 mmHg.
NF

mmHg Level 10 - 12 C 13 - 15C 15 - 17C 18 - 20C 21 - 23C 24 - 26C 27 - 28C 29 - 31C


pO2 1 3.37 2.53 1.69 0.84 0.00 -0.84 -1.69 -2.53


pCO2 1 2.94 2.21 1.47 0.74 0.00 -0.74 -1.47 -2.21
pO2 2 6.92 5.19 3.46 1.73 0.00 -1.73 -3.46 -5.19
CO

pCO2 2 1.47 1.10 0.74 0.37 0.00 -0.37 -0.73 -1.10


pO2 3 10.48 7.86 5.24 2.62 0.00 -2.62 -5.24 -7.86

kPa Level 10 - 12 C 13 - 15C 15 - 17C 18 - 20C 21 - 23C 24 - 26C 27 - 28C 29 - 31C


AN

pO2 1 0.45 0.34 0.22 0.11 0.00 -0.11 -0.22 -0.34


pCO2 1 0.39 0.29 0.20 0.10 0.00 -0.10 -0.20 -0.29
pO2 2 0.92 0.69 0.46 0.23 0.00 -0.23 -0.46 -0.69
pCO2 2 0.20 0.15 0.10 0.05 0.00 -0.05 -0.10 -0.15
pO2 3 1.40 1.05 0.70 0.35 0.00 -0.35 -0.70 -1.05
ED

6.1.4 Control Database


The control database displays control test data for the most recent month by default, and it can

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

hold up to 1000 data entries. The system displays 50 data entries on every page. Press Prev. and
Next to page through the screens of the displayed data entries. When 80% of the space is
occupied, the system will prompt you to export the stored data to a removable disk (such as a
USB drive). If data is not exported, the system will continue to save new data. When the database
is full, the system will always prompt you to export the stored data. If data is still not exported,
the system will automatically delete the oldest one to accommodate a new one. The following
operations can be performed in the control database: transmitting control test data to the Data
Management System (DMS) or HIS/LIS through Wi-Fi or the network, exporting control test data
to a removable disk (such as a USB drive), viewing the details of control test data, searching for
and printing control test data, etc.


On the Database screen, press to get to the Control Database screen.

AL

TI

EN

ID

Figure 6-11 Control Database Screen


NF

CO
AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

6.1.4.1 Searching for Control Test Data

1. On the Control Database screen, press Search.

2. Enter the search conditions, and press OK.


AL

TI

Figure 6-12 Enter Search Conditions

3. The system automatically begins the search and displays the results.
EN

ID

NF

CO
AN

Figure 6-13 Search Results

4. Press Return to go back to the Control Database screen.


ED

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

6.1.4.2 Viewing Details of Control Test Data

1. Press the control test data you want to view.

2. Press Details. The system displays the details:


AL

TI
Figure 6-14 Details of Control Test Results

3. View the details.
EN

4. Press Return to go back to the Control Database screen.


ID

6.1.4.3 Exporting/Uploading/Printing Control Test Data


1. Open the control database.


NF

2. Select the desired control test data.

To Do this
CO

Export Insert a removable disk into the analyzer, and then press Export.

Upload Press Upload.


AN

Print Press Print.

NOTE:
ED

If no control test data is selected before pressing Export/Upload/Print, all of the data
stored in the control database will be exported/uploaded/printed.

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

6.2 Proficiency Test

Proficiency tests are also called external quality control tests. In proficiency tests, the analysis of
unknown samples from external quality control providers can reflect the accuracy of the system.

6.2.1 Procedures for Proficiency Test


Follow the directions below to perform a proficiency test:

1. Examine the package label of proficiency samples to ensure they have not expired.

2. Remove an ampoule from the box and equilibrate it to room temperature.

If oxygen is to be measured, the ampoule needs to stand at room temperature for at least 4


hours. If not, the ampoule needs to stand at room temperature for 30 minutes.

AL
3. Press the On/Off button on the left hand side of the analyzer to turn it on.

4. Enter the user name and password manually, and then press .

TI

To enter the user name with the bar code scanner, press first, and then scan the user
EN
name bar code.

ID

NF

CO
AN

Figure 6-15 Enter User Name and Password


ED

5. On the Main screen, press to go to the Quality Control screen, and then press .

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

6. Press Scan Barcode, and scan the bar code on a new cartridge foil pouch.

If the bar code is scanned successfully, the system will beep and the scanner will be
automatically turned off. If the scanned data is valid, the system will display the screen for
the next procedure. If the scanned data is invalid, a message will pop up to prompt you.


AL

Figure 6-16 Scan Bar Code

TI

7. Open the foil pouch and remove the cartridge from it.
EN

NOTE:

 Avoid tearing the bar code on the foil pouch.


ID

 For sample introduction with a capillary tube or an ampoule, please insert a capillary
adaptor/ampoule adaptor into the fillport after removing the cartridge.
NF

 When inserting an ampoule adaptor into the fillport of a test cartridge, make sure the
indent of the adaptor is on the upside as shown in the picture below:
CO
AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

8. Enter the lot number of the proficiency sample, and then press Enter.

To enter the lot number information with the bar code scanner, press first, and then scan
the bar code.


AL

TI
Figure 6-17 Enter Information

NOTE:

Only lot number information within 1-16 digits is acceptable.


EN

9. Mix the proficiency sample completely by shaking the ampoule gently, and then tap the tip of
the ampoule carefully with your fingernail to remove any solution.
ID

NF

CO
AN
ED

Figure 6-18 Mix Proficiency Sample and Insert Cartridge


NOTE:

Avoid heating the ampoule with your hands when shaking the ampoule.

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

10. Open the ampoule by snapping off the top and immediately transfer proficiency solution by
slowly drawing an appropriate amount of solution with a syringe or capillary tube from the
bottom of the ampoule.

NOTE:

 When using an ampoule, you need not transfer the proficiency solution. Insert the
ampoule into the adaptor after opening it, and directly go to step 12.

 Take protective measures when opening the ampoule, such as using gloves, tissue,
etc.

11. Insert the syringe or capillary tube into the fillport of the cartridge.


NOTE:

AL
 When using a syringe, discard the first 2 drops of solution first, then remove the

needle from it, and finally insert it into the fillport.

TI
 When using a capillary tube, directly insert the capillary tube into the adaptor till the

tube reaches the interface between the adaptor and the cartridge.

 To avoid inaccurate test results, make sure there are no bubbles in the sample. If
EN

bubbles continually exist, use a new ampoule and syringe or capillary tube to collect
samples again.
ID

12. Gently insert the cartridge into the cartridge port, and carefully press down to ensure that it
clicks into place.
NF

For a valid cartridge, the indicator in the cartridge port will turn green, and the system will

automatically aspirate calibrant. For an invalid cartridge, the indicator will turn red, the
CO

cartridge will be ejected and a message will pop up to prompt you.

NOTE:

 The cartridge can not be removed from the analyzer until the measurement is
AN

complete.

 Never inject the sample. It will be aspirated automatically.


ED

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

13. The system automatically aspirates calibrant.

Figure 6-19 Aspirating Calibrant…


14. The system automatically performs calibration.

AL

TI

EN

ID

Figure 6-20 Calibration in Progress


NF

15. The system automatically aspirates samples when calibration is complete.



CO
AN
ED

Figure 6-21 Sampling…

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

16. The system automatically analyzes the sample upon the completion of sampling.


Figure 6-22 Measurement in Progress

AL
17. The system automatically displays the test results upon the completion of the test.

TI

EN

ID

NF

Figure 6-23 Proficiency Test Results


18. View the results.


CO

19. Remove the test cartridge from the system immediately.

20. Press Print to print the results.

21. Press Home to return to the Main screen.


AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

Here is an example of a proficiency test report.


Proficiency Test Report
EDAN i15

System ID 201303200023
Report Type Proficiency Test
Print Time 2012-03-20 15:20:00
Test Time 2012-03-20 15:10:00
Operator ID 55555
Lot Number 21209

Proficiency Results
pH 7.4


pCO2 40 mmHg
pO2 90 mmHg

AL

TI

EN

ID

NF

CO
AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

6.2.2 Proficiency Database


The proficiency database displays all the proficiency test data by default, and it can store up to
1000 data entries. The system displays 50 data entries on every page. Press Prev. and Next to
page through the screens of the displayed data entries. The following operations can be
performed in the proficiency database: transmitting proficiency test data to the Data Management
System (DMS) or HIS/LIS through Wi-Fi or the network, exporting proficiency test data to a
removable disk (such as a USB drive), viewing the details of proficiency test data, searching for
and printing proficiency test data, etc.

On the Database screen, press to get access to the Proficiency Database screen.


AL

TI

EN

Figure 6-24 Proficiency Database Screen


ID

6.2.2.1 Searching for Proficiency Test Data


NF

1. On the Proficiency Database screen, press Search.


2. Enter the search conditions, and press OK.


CO
AN
ED

Figure 6-25 Enter Search Conditions

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

3. The system automatically begins the search and displays the results.


Figure 6-26 Search Results

AL

4. Press Return to go back to the Proficiency Database screen.

6.2.2.2 Viewing Details of Proficiency Test Data

TI

1. Press the proficiency test data you want to view.


EN

2. Press Details. The system displays the details:


ID

NF

CO
AN

Figure 6-27 Details of Proficiency Test Results


ED

3. View the details.

4. Press Return to go back to the Proficiency Database screen.

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

6.2.2.3 Exporting/Uploading/Printing Proficiency Test Data

1. Open the proficiency database.

2. Select the desired proficiency test data.

To Do this

Export Insert a removable disk into the analyzer, and then press Export.

Upload Press Upload.

Print Press Print.


NOTE:
If no proficiency test data is selected before pressing Export/Upload/Print, all of the data

AL
stored in the proficiency database will be exported/uploaded/printed.

6.3 Calibration Verification Test

TI

Calibration verification tests are intended to verify the accuracy of results over the entire
measurement range of a test.
EN

6.3.1 Calibration Verification Controls


ID

Calibration verification controls are intended for use to confirm the lineary of the i15 Blood Gas
and Chemistry Analysis System. Calibration verification controls used are RNA Medical®

CVC123 Calibration Verification Controls and RNA Medical® CVC9005 Hematocrit Calibration
NF

Verification Controls. The concentrations of reactive ingredients in various levels of calibration


verification controls are known. Calibration verification controls do not contain human or
CO

biological materials. Acceptable ranges for calibration verification controls specific to the i15
Blood Gas and Chemistry Analysis System are programmed in the bar code on the user manual
for calibration verification controls provided by EDAN.
Packaging
AN

1. RNA Medical® CVC123 Calibration Verification Controls are contained in 2.5mL glass
ampoules, and RNA Medical® CVC9005 Hematocrit Calibration Verification Controls are
ED

contained in 1.7mL glass ampoules.

2. The calibration verification controls package contains information such as the calibration
verification control name, level, lot number and expiration date, etc.

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

Storage

Store calibration verification controls according to the calibration verification controls user
manual.

Before Use

Calibration verification controls should be equilibrated to room temperature before use. If oxygen
is to be measured, the ampoule needs to stand at room temperature for at least 4 hours. If not, the
ampoule needs to stand at room temperature for 30 minutes.

Immediately before use, mix calibration verification controls completely by shaking the ampoule
gently, and always hold an ampoule at tip and at bottom with forefinger and thumb to minimize
increasing calibration verification controls temperature. Tap the tip of the ampoule carefully with


your fingernail to remove any solution.

AL
NOTE:

 Store and use calibration verification controls according to the user manual, and use
them before the expiration date as labeled on the package.

TI

 Only calibration verification controls provided by EDAN or its authorized distributors
EN
should be used.

 Avoid contaminating calibration verification controls.


ID

 For test cartridges with pH, pCO2, pO2, Ca++ sensors, a new ampoule and syringe or

capillary tube should be used for each test. For test cartridges without pH, pCO2, pO2,
Ca++ sensors, the remaining solution can still be used if the ampoule is opened within
NF

10 minutes.

 The test results should fall within the acceptable ranges programmed in the bar code
CO

on the user manual for calibration verification controls provided by EDAN.

6.3.2 Procedures for Calibration Verification Test


Follow the steps below to perform a calibration verification test:
AN

1. Examine the package label of calibration verification controls to ensure they have not
expired.
ED

2. Remove an ampoule from the box of calibration verification controls and equilibrate it to
room temperature.

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

If oxygen is to be measured, the ampoule needs to stand at room temperature for at least 4
hours. If not, the ampoule needs to stand at room temperature for 30 minutes.

3. Press the On/Off button on the left hand side of the analyzer to turn it on.

4. Enter the user name and password manually, and then press .

To enter the user name with the bar code scanner, press first, and then scan the user
name bar code.


AL

TI

EN

Figure 6-28 Enter User Name and Password


ID

5. On the Main screen, press to go to the Quality Control screen.


NF

6. Select the desired calibration verification type.



CO

Press to perform a calibration verification test for blood gases and blood chemistries.

Press to perform a calibration verification test for Hct.

7. Press Scan Barcode, and scan the bar code on a new cartridge foil pouch.
AN

If the bar code is scanned successfully, the system will beep and the scanner will be
automatically turned off. If the scanned data is valid, the system will display the screen for
ED

the next procedure. If the scanned data is invalid, a message will pop up to prompt you.

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests


Figure 6-29 Scan Bar Code
8. Open the foil pouch and remove the cartridge from it.

AL
NOTE:

 Avoid tearing the bar code on the foil pouch.

TI
 For sample introduction with a capillary tube or an ampoule, insert a capillary

adaptor/ampoule adaptor into the fillport after removing the cartridge.
EN
 When inserting an ampoule adaptor into the fillport of a test cartridge, make sure the

indent of the adaptor is on the upside as shown in the picture below:


ID

NF

CO
AN

9. Press Scan Barcode, and scan the bar code on the calibration verification controls user
manual.
ED

If the bar code is scanned successfully, the system will beep and the scanner will be
automatically turned off. If the scanned data is valid, the system will display the screen for
the next procedure. If the scanned data is invalid, a message will pop up to prompt you.

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

Figure 6-30 Scan Bar Code


NOTE:

AL
Keep the calibration verification controls user manual for a future calibration verification
test use.

TI
10. Mix the calibration verification controls completely by shaking the ampoule gently, and then

tap the tip of the ampoule carefully with your fingernail to remove any solution.
EN

ID

NF

CO

Figure 6-31 Mix Calibration Verification Controls and Insert Cartridge


AN

NOTE:

Avoid heating the ampoule with your hands when shaking the ampoule.
ED

11. Open the ampoule by snapping off the top and immediately transfer calibration verification
control solution by slowly drawing an appropriate amount of solution with a syringe or
capillary tube from the bottom of the ampoule.

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

NOTE:

 When using an ampoule for sample introduction, you need not transfer calibration
verification control solution. Insert the ampoule into the adaptor after opening it, and
directly go to step 13.

 Take protective measures when opening the ampoule, such as using gloves, tissue,
etc.

12. Insert the syringe or capillary tube into the fillport of the cartridge.

NOTE:

 When using a syringe, discard the first 2 drops of solution first, then remove the


needle from it, and finally insert it into the fillport.

AL
 When using a capillary tube, directly insert the capillary tube into the adaptor till the

tube reaches the interface between the adaptor and the cartridge.

TI
 To avoid inaccurate test results, make sure there are no bubbles in the sample. If

bubbles continually exist, use a new ampoule and syringe or capillary tube to collect
samples again.
EN

13. Gently insert the cartridge into the cartridge port, and carefully press down to ensure that it
clicks into place.
ID

For a valid cartridge, the indicator in the cartridge port will turn green, and the system will
automatically aspirate calibrant. For an invalid cartridge, the indicator will turn red, the
NF

cartridge will be ejected and a message will pop up to prompt you.


NOTE:
CO

 The cartridge can not be removed from the analyzer until the measurement is
complete.

 Never inject the sample. It will be aspirated automatically.


AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

14. The system automatically aspirates calibrant.


Figure 6-32 Aspirating Calibrant…
15. The system automatically performs calibration.

AL

TI

EN

ID

NF

Figure 6-33 Calibration in Progress


16. The system automatically aspirates samples when calibration is complete.


CO
AN
ED

Figure 6-34 Sampling…

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

17. The system automatically analyzes the sample upon the completion of sampling.

Figure 6-35 Measurement in Progress


18. The system automatically displays the test results upon the completion of the test.

AL

TI

EN

ID

NF

Figure 6-36 Calibration Verification Test Results


19. View the results.


CO

NOTE:

 The system will indicate whether the results are within or outside the acceptable
ranges with Under Control/Out of Control.
AN

 If a parameter fails calibration, the system will not be able to determine whether it is
under control, and will display Calibration Failure to prompt you.
ED

 The system will not report the result for a parameter failing the calibration verification
test in the patient sample analysis, if QC Lockout function is enabled in Setup. To
report the result for the parameter, repeat the calibration verification test till the

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

parameter passes it.

 If the results are outside the acceptable ranges, check the following items first, and
then perform another test.

 Refer to the user manual to confirm that the test procedures are correct.

 Test cartridges and calibration verification controls are stored properly and have
not expired.

 The system passes the electronic simulator test.

If all the above items are verified, but the results are still outside the acceptable
ranges, please stop using the system and contact EDAN or its authorized distributors


for assistance.

AL
20. Remove the test cartridge from the system immediately.

21. Press Print to print the results.

22. Press Home to return to the Main screen.

TI

The contents of a calibration verification test report depend on the type of calibration verification
EN
controls you have used, the type of the test cartridge you have used,the options selected in

section 4.2.1 Printer Setup, and the errors and alarms the system detects during the analysis. Here
is an example of a calibration verification test report.
ID

Calibration Verification Test Report


NF

EDAN i15

System ID 201303200023
CO

Report Type Cal Ver Test


Print Time 2012-03-20 15:20:00
Test Time 2012-03-20 15:00:00
Operator ID 55555
Lot Number 21209
AN

Cal Ver Results


pH 7.161
ED

pCO2 68.2 mmHg


pO2 66.0 mmHg
+
Na 114.8 mmol/L
+
K 6.90 mmol/L

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

Ca++ 1.52 mmol/L


Cl- 77 mmol/L

pH Under Control
pCO2 Under Control
pO2 Under Control
Na+ Under Control
K+ Under Control
Ca++ Under Control
Cl- Under Control

Cal Ver Ranges


pH [7.111 - 7.211]
pCO2 [60.2 – 76.2] mmHg


pO2 [51.0 – 81.0] mmHg
+
Na [109.8 – 119.8] mmol/L

AL
+
K [1.44 - 2.44] mmol/L
Ca ++
[1.32 – 1.72]

mmol/L
-
Cl [72 – 82] mmol/L

TI

6.3.3 Calibration Verification Database
The calibration verification database displays calibration verification test data for the most recent
EN

month by default, and it can hold up to 1000 data entries. The system displays 50 data entries on
every page. Press Prev. and Next to page through the screens of the displayed data entries. When
ID

80% of the space is occupied, the system will prompt you to export the stored data to a removable

disk (such as a USB drive). If data is not exported, the system will continue to save new data.
When the database is full, the system will always prompt you to export the stored data. If data is
NF

still not exported, the system will automatically delete the oldest one to accommodate a new one.
The following operations can be performed in the calibration verification database: transmitting
CO

calibration verification test data to the Data Management System (DMS) or HIS/LIS through
Wi-Fi or the network, exporting calibration verification test data to a removable disk (such as a
USB drive), viewing the details of calibration verification test data, searching for and printing
calibration verification test data, etc.
AN

On the Database screen, press to get to the Calibration Verification Database screen.
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests


Figure 6-37 Calibration Verification Database Screen

AL
6.3.3.1 Searching for Calibration Verification Test Data

1. On the Calibration Verification Database screen, press Search.

TI

2. Enter the search conditions, and press OK.
EN

ID

NF

CO

Figure 6-38 Enter Search Conditions


AN

3. The system automatically begins the search and displays the results.
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests


Figure 6-39 Search Results

4. Press Return to go back to the Calibration Verification Database screen.

AL

6.3.3.2 Viewing Details of Calibration Verification Test Data

TI

1. Press the calibration verification test data you want to view.

2. Press Details. The system displays the details:


EN

ID

NF

CO
AN

Figure 6-40 Details of Calibration Verification Test Results

3. View the details.


ED

4. Press Return to go back to the Calibration Verification Database screen.

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

6.3.3.3 Exporting/Uploading/Printing Calibration Verification Test Data

1. Open the calibration verification database.

2. Select the desired calibration verification test data.

To Do this

Export Insert a removable disk into the analyzer, and then press Export.

Upload Press Upload.

Print Press Print.


NOTE:
If no calibration verification test data is selected before pressing Export/Upload/Print, all

AL
data stored in the calibration verification database will be exported/uploaded/printed.

6.4 Simulator Test

TI

6.4.1 Procedures for External Simulator Test
EN
Follow the procedures below to perform an external simulator test:

1. Press the On/Off button on the left hand side of the analyzer to turn it on.
ID

2. Enter the user name and password manually, and then press .
NF

To scan the bar code of the user name, press first, and then scan the bar code.

CO
AN
ED

Figure 6-41 Enter User Name and Password

3. On the Main screen, press to go to the Quality Control screen, and then press .

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

4. Gently insert the external electronic simulator into the cartridge port, and press down to
ensure it clicks into place. If the electronic simulator is inserted properly, the system will
automatically perform a simulator test.


AL

Figure 6-42 Insert External Simulator

NOTE:

TI

 Avoid touching the contact pads.
EN

 Never touch the simulator after inserting it into the system.

5. The system automatically starts to perform an external simulator test.


ID

NF

CO
AN
ED

Figure 6-43 Measurement in Progress

6. The system automatically displays the test result upon the completion of the test.

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

Figure 6-44 External Simulator Test Result

7. View the result.


NOTE:

AL

 Upon the completion of the test, the message “Please Remove Cartridge” will be
displayed on the status bar at the bottom of the screen, and the simulator will be
ejected.

TI

 If the system passes the external simulator test, it can be used to analyze samples.
EN
 If the system fails the external simulator test, perform the test again or try another

simulator. If it passes the test, it can be used to analyze samples. If it fails again,
ID

contact EDAN or its authorized distributors for assistance.


8. Press Home to go to the Main screen.


NF

9. Remove the external simulator from the system, and put it back.

NOTE:
CO

Never remove the external simulator until the test is complete.

6.4.2 Simulator Database


The simulator database displays all of the simulator test data by default, and it can store up to
AN

2000 data entries. The system displays 50 data entries on every page. Press Prev. and Next to
page through the screens of the displayed data entries. When 80% of the space is occupied, the
ED

system will prompt you to export the stored data to a removable disk (such as a USB drive). If
data is not exported, the system will continue to save new data. When the database is full, the
system will always prompt you to export data. If data is still not exported, the system will

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

automatically delete the oldest one to accommodate a new one. The following operations can be
performed in the simulator database: transmitting simulator test data to the Data Management
System (DMS) or HIS/LIS through Wi-Fi or the network, exporting simulator test data to a
removable disk (such as a USB drive), searching for and printing simulator test data, etc.

On the Database screen, press to get access to the Simulator Database screen.


AL

TI

Figure 6-45 Simulator Database Screen
EN
6.4.2.1 Searching for Simulator Test Data

ID

1. On the Simulator Database screen, press Search.


2. Enter the search conditions, and press OK.


NF

CO
AN
ED

Figure 6-46 Enter Search Conditions

3. The system automatically begins the search and displays the results.

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests


Figure 6-47 Search Results

4. Press Return to go back to the Simulator Database screen.

AL

6.4.2.2 Exporting/Uploading/Printing Simulator Test Data

TI

1. Open the simulator test database.

2. Select the desired simulator test data.


EN

To Do this
ID

Export Insert a removable disk into the analyzer, and then press Export.

Upload Press Upload.


NF

Print Press Print.


NOTE:
CO

If no simulator test data is selected before pressing Export/Upload/Print, all of the data
stored in the simulator database will be exported/uploaded/printed.
AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Quality Control (QC) Tests

Here are examples of simulator test reports:

External Simulator Test Report

EDAN i15

System ID 201303200023
Report Type External Simulator
Print Time 2012-03-20 15:20:00
Test Time 2012-03-20 15:20:00
Operator ID admin
Simulator Pass
Internal Simulator Test Report


EDAN i15

AL
System ID 201303200023
Report Type Internal Simulator
Print Time 2012-03-20 15:20:00

Test Time 2012-03-20 15:20:00
Operator ID admin

TI

Simulator Pass
EN

ID

NF

CO
AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Data Management

Chapter 7 Data Management


7.1 Introduction

The system has powerful data management ability. It can logically manage the results for
different tests and transmit them to the DMS or HIS/LIS.

There are two ways of transmitting data:

 With a removable disk such as a USB drive

 Through LAN/WLAN


NOTE:

The transmitted data can only be opened by the DMS.

AL
On the Main screen, press

to get access to the Database screen.

TI

EN

ID

NF

CO

Figure 7-1 Database Screen

7.2 Databases
AN

The following databases have been described in the previous chapters: Patient Sample Database,
Control Database, Proficiency Database, Calibration Verification Database, Simulator Database.
In this part, the databases below will be described: Security Database, Diagnosis Database,
ED

Events Log Database and Backup.

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i15 Blood Gas and Chemistry Analysis System User Manual Data Management

7.2.1 Security Database

NOTE:

Only administrators can get access to the security database.

The security database displays all the security data by default, and it can store up to 100 data
entries. The system displays 50 data entries on every page. Press Prev. and Next to page through
the screens of the displayed data entries. The following operations can be performed in the
security database: deleting security data, searching for operators, adding and editing security data,
etc.

On the Database screen, press to get access to the Security Database screen.


AL

TI

EN

ID

Figure 7-2 Security Database Screen


NF

Operators are divided into four levels according to their access rights: operators, administrators,

service engineers and engineers from the manufacturer. If an operator cannot access a function,
CO

the following message will appear:


AN
ED

Figure 7-3 No Access Rights

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i15 Blood Gas and Chemistry Analysis System User Manual Data Management

7.2.1.1 Searching for an Operator

1. On the Security Database screen, press Search.

2. Enter the operator ID, and press OK.


AL

TI
Figure 7-4 Enter Search Conditions

3. The system automatically begins the search and displays the results.
EN

ID

NF

CO

Figure 7-5 Search Results


AN

4. Press Return to go back to the Security Database screen.


ED

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i15 Blood Gas and Chemistry Analysis System User Manual Data Management

7.2.1.2 Adding an Operator

1. On the Security Database screen, press Add.

2. Enter the operator ID, password and re-enter the same password.


AL

TI
Figure 7-6 Add Operator

3. Press OK to save the changes, and press OK in the pop up dialog box. The system will
go to the Security Database screen.
EN

NOTE:

 The operator ID is case sensitive, and should be 1 - 16 characters long (including


ID

both letters and numbers). "admin/demo/service/edan", or upper and lower case


combinations of these words are not permitted.
NF

 The password is case sensitive, and should be 4 - 16 characters long (including both

letters and numbers).


CO

7.2.1.3 Changing Operator Password

1. Select the operator data you want to edit.


AN

2. Press Edit.

3. Enter the password, and re-enter the same password.


ED

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i15 Blood Gas and Chemistry Analysis System User Manual Data Management


Figure 7-7 Change Operator Password

4. Press OK to save the changes, and press OK in the pop up dialog box. The system will

AL
go to the Security Database screen.

NOTE:

TI

The password is case sensitive, and should be 4 - 16 characters long (including both
letters and numbers).
EN

7.2.1.4 Deleting Security Data


ID

1. Select the desired security data.


2. Press Delete, and press OK in the pop up message.


NF

NOTE:

If no security data is selected before pressing Delete, all of the data stored in the security
CO

database will be deleted.

7.2.1.5 Changing System Password


AN

1. Press Administrator on the Security Database screen.

2. Press Edit.
ED

3. Enter the current system password, enter the new system password and re-enter the same
password.

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i15 Blood Gas and Chemistry Analysis System User Manual Data Management

Figure 7-8 Change System Password

4. Press OK to accept the changes, and press OK in the pop up dialog box. The system will


go to the User Login screen.

AL
NOTE: 文
 The default factory system password is 123456.

TI
 Only administrators can change the system password (Even engineers from the

manufacturer can not change it, although they can retrieve the password to the
default factory setting).
EN

7.2.2 Diagnosis Database


The diagnosis database displays diagnosis data for the most recent month by default, and it can
ID

store up to 10000 data entries. The following operations can be performed in the diagnosis
database: exporting diagnosis data to a removable disk (such as a USB drive), viewing the details
NF

of diagnosis data, searching for and printing diagnosis data, etc.


NOTE:
CO

Only service engineers and engineers from the manufacturer can get access to the
diagnosis database.

7.2.3 Events Log Database


AN

The events log database records the following information: User Login and Logout, changing
time and date, changing slopes and offsets, changing patient information, deleting data stored in
databases, replacing a calibrant fluid pack. It can store up to 10000 data entries. The system
ED

displays 50 data entries on every page. Press Prev. and Next to page through the screens of the
displayed data entries. You can export, search for and print the events with the events log
database.

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i15 Blood Gas and Chemistry Analysis System User Manual Data Management

On the Database screen, press to get access to the Events Log Database screen.


AL
Figure 7-9 Events Log Database Screen

7.2.3.1 Searching for Events Data

TI

1. On the Events Log Database screen, press Search.
EN
2. Enter the search conditions, and press OK.

ID

NF

CO
AN

Figure 7-10 Enter Search Conditions


ED

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i15 Blood Gas and Chemistry Analysis System User Manual Data Management

3. The system automatically begins the search and displays the results.


Figure 7-11 Search Results

AL
4. Press Return to go back to the Events Log Database screen.

7.2.3.2 Exporting/Printing Events Data

TI

1. Open the events log database.
EN
2. Select the desired event data.

To Do this
ID

Export Insert a removable disk into the analyzer, and then press Export.

Print Press Print.


NF

NOTE:
If no event data is selected before pressing Export/Print, all of the data stored in the
CO

events log database will be exported/printed.


Here is an example of an event log report:

EDAN i15
AN

System ID 201303200023
Report Type Events Log Report
Print Time 2012-03-20 15:20:00
Log Time 2012-03-20 15:20:00
ED

Operator ID 1111

Operation Change date and time

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i15 Blood Gas and Chemistry Analysis System User Manual Data Management

7.2.4 Backup
With this function, all of the stored data in the following databases can be backed up: Patient
Sample Database, Control Database, Proficiency Database, Calibration Verification Database,
and Simulator Database.

Follow the steps below to backup data:

1. On the Database screen, press to access the Backup screen.


AL

TI

EN

Figure 7-12 Backup Screen


ID

2. Select the database you want to backup. √ indicates the database is selected.

3. Press OK, and press OK in the pop up dialog box, the system will backup all of the data
NF

stored in the database.


4. Press OK in the pop up dialog box to delete all of the data in the backup database.
CO

CAUTION

Deleting data in the backup database is permanent. Deleted data can not be recovered
after deletion.
AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Troubleshooting

Chapter 8 Troubleshooting
The following table lists some problems you may encounter to assist in troubleshooting.

Table 9-1 Troubleshooting Examples

Item Problem Solution

If the system is running smoothly, remove


A test cartridge will not be ejected the test cartridge ejector cap, pull the middle
1
automatically when a test is complete. hole with a pointed object, and remove the
test cartridge from the system immediately.
Remove the test cartridge ejector cap, pull


A test cartridge is inserted into the system the middle hole with a pointed object, and
2
prior to a test. remove the test cartridge from the system

AL
文 immediately.
Remove the test cartridge ejector cap, pull
A simulator will not be ejected automatically
3 the middle hole with a pointed object, and

TI
when a simulator test is complete.
remove the simulator from the system.

Connect the system to AC power, and turn
on the system. After about 1 minute, the test
EN
cartridge will be ejected automatically. If it

A test cartridge can not be removed because


4 is not ejected automatically, remove the test
of power interruption during operation.
cartridge ejector cap, pull the middle hole
ID

with a pointed object, and remove the test


cartridge from the system immeidately.


Reboot the system. After about 1 minute,
NF

the test cartridge will be ejected


A test cartridge can not be ejected because automatically. If it is not ejected


5 the system malfunctions, for example, the automatically, remove the test cartridge
CO

system is dead. ejector cap, pull the middle hole with a


pointed object, and remove the test cartridge
from the system immediately.
Perform an electronic simulator test to
AN

confirm that the system is working


smoothly. If the system passes the simulator
The prompt “Cartridge is not Qualified”
6 test, perform sample tests with new test
appears.
ED

cartridges. If the problem continues after


several attempts, please contact EDAN or
its authorized distributors for assistance.

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i15 Blood Gas and Chemistry Analysis System User Manual Troubleshooting

Perform the test again with a new test


The prompt “POGO_PIN does Not Contact cartridge. If the prompt appears again,
7
Well” appears. please contact EDAN or its authorized
distributors for assistance.
Verify that the current date is correct. If the
prompt appears again, check that the test
8 The prompt “Cartridge Expired” appears.
cartridge has not expired. If it has expired,
use a new test cartridge that has not expired.
Perform the test again with a new test
The prompt “Calibrant is Not Aspirated cartridge. If the prompt appears again,
9
Properly” appears. please contact EDAN or its authorized
distributors for assistance.
Perform the test again with a new test


The prompt “Air is Not Aspirated Properly” cartridge. If the prompt appears again,
10
appears. please contact EDAN or its authorized

AL
distributors for assistance.
文 Check that there are no clots in the blood
The prompt “Sample Error. Maybe Clots are

TI
11 sample. If there are clots, discard it and
Detected in Sample” appears.
collect samples again.

Verify that a simulator is inserted during a
EN
12 The prompt “Insertion Error” appears. simulator test and a test cartridge is inserted

during a sample test.


Verify that the current date is correct. If the
ID

The prompt “Calibrant Pack Expired, prompt appears again, check that the

13 Confirm Date Setup and Calibrant Pack’s calibrant fluid pack has not expired. If it has
Expiration Date” appears. expired, replace the calibrant fluid pack
NF

following the user manual instructions.


The calibrant fluid pack has expired.


14 The prompt “Remaining Days: 0” appears. Replace the calibrant fluid pack following
CO

the user manual instructions.


The calibrant fluid pack has been depleted.
The prompt “Calibrant Pack Depleted”
15 Replace the calibrant fluid pack following
appears.
the user manual instructions.
AN

The date is earlier than the manufacture date


16 The prompt “Current Date Error” appears. of the calibrant fluid pack. Ensure that the
current date is correct.
ED

The prompt “Calibrant Pack Improper The calibrant fluid pack is removed from
17 Removal. Please Replace Calibrant Pack” the system improperly. Replace the calibrant
appears. fluid pack following the user manual

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i15 Blood Gas and Chemistry Analysis System User Manual Troubleshooting

instructions.

The prompt “Barcode Cannot be Identified” Ensure that the bar code is that of a calibrant
18
appears. fluid pack.

Ensure that the bar code is that of a new


The prompt “Calibrant Pack Can’t be Used,
19 calibrant fluid pack and that the new
Please Scan Again” appears.
calibrant fluid pack has not expired.
Ensure that the calibrant fluid pack chamber
The calibrant fluid pack chamber door can
20 lock has been unlocked before opening the
not be opened.
door.
Check that the calibrant fluid pack or test
The system fails to scan the calibrant fluid
21 cartridge bar code is not destroyed, and scan
pack or test cartridge bar code.


it again.
Open the printer casing, adjust the paper

AL
22 Paper does not run from the paper tray. position carefully, and close the printer
文 casing. Press Print to print a record.
If a jam occurs for the first time, it might be

TI
caused by an inappropriate placement of the

paper. In this case, open the paper casing,
remove the paper from the paper tray,
EN
remove the paper with rumples, put the

23 Paper-jam appears.
paper in the paper tray again, adjust the
position of the paper carefully and close the
ID

casing. If the problem continues, please


contact EDAN or its authorized distributors


for assistance.
NF

Check whether there is paper in the paper


tray. If it has been depleted, load paper


24 The prompt “No Paper in Printer” appears. again, and shut the printer casing. If the
CO

problem continues, please contact EDAN or


its authorized distributors for assistance.

There is no sound after you successfully


25 Check the volume setup.
press the touch screen.
AN

Ensure that the intensity of the network


The system can not be connected to a
26 signal is strong and that the network setup is
network through Wi-Fi.
ED

correct.

The system can not communicate with the Ensure that the network or Wi-Fi is
27
DMS. successfully connected, and that the IP

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i15 Blood Gas and Chemistry Analysis System User Manual Troubleshooting

address of the DMS is correct.

Clean and disinfect the screen following the


28 Fluids have been spilled on the screen.
user manual instructions.

Check the scanner type. If it is the type


recommended by EDAN, remove the
29 The USB scanner does not work smoothly.
scanner from the system, and insert it again.
Set the scanner, and scan a bar code again.
For an operator, contact the administrator
for assistance. For an administrator, contact
30 Forget the user name or password.
EDAN or its authorized distributors for
assistance.


Install the lithium battery following the user
manual instructions. Connect the system to

AL
AC power. The system will be charged
31 The lithium battery can not be charged.
文 automatically. If it still can not be charged,
please contact EDAN or its authorized

TI
distributors for assistance.

Move the analyzer horizontally, and clear
the fluids. Remove the calibrant fluid pack
EN
There are fluids flowing from the bottom of from the analyzer and check whether it is
32

the analyzer. damaged. If it is not damaged, perform a


simulator test and a control test to ensure the
ID

proper performance of the system.


Check that the ambient temperature is


within 10 – 31 C, and that the air vents are
The prompt “Ambient Temperature Out of
NF

33 not obstructed. Reboot the system. If the


Range” appears.

problem continues, please contact EDAN or


its authorized distributors for assistance.
CO

Please contact EDAN or its authorized


34 The prompt “Heating Abnormally” appears.
distributors for assistance.

The prompt “Abnormal Cam Location” Please contact EDAN or its authorized
35
appears. distributors for assistance.
AN

The date setup can not be saved after you Please contact EDAN or its authorized
36
shut down the system. distributors for assistance.
ED

Please contact EDAN or its authorized


37 The system makes abnormal sounds.
distributors for assistance.

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i15 Blood Gas and Chemistry Analysis System User Manual Cleaning, Care and Maintenance

Chapter 9 Cleaning, Care and Maintenance


The system needs little care and maintenance. Clean and maintain it periodically to ensure its
optimum performance.

9.1 Cleaning and Disinfecting the Analyzer

Follow proper safety procedures and take protective measures such as wearing approved
gloves when cleaning and disinfecting the system.

NOTE:

 Follow the instructions in this manual when cleaning and disinfecting the system.


 Inside the test cartridge port should never be cleaned.

AL
 A test cartridge and a calibrant fluid pack should never be cleaned.

9.1.1 Cleaning and Disinfecting the Exterior Surfaces

TI

Clean and disinfect the exterior surfaces to remove dust, splatters, etc. Policies regarding the
cleaning and disinfecting intervals are at the discretion of your individual institution.
EN
Following the procedures below to clean and disinfect the exterior surfaces:

1. Turn off the analyzer.


ID

2. Disconnect the power cord and the power adaptor.


Disconnect the connecting cables if the system is connected to other pieces of equipment.
NF

3. Dampen a lint-free cloth with detergents or disinfectants.


If Ethanol or Isopropanol is used for both cleaning and disinfecting, then a new cloth is required
CO

to be used for the disinfection step.

NOTE:

The cloth should be wet but not dripping.


AN

4. Clean the exterior surfaces with the wet cloth.

5. Clean the surfaces with the wet cloth to disinfect them after the surfaces are completely dry.
ED

NOTE:

 Clean the surfaces prior to disinfecting them.

 Make sure the surfaces are thoroughly dry before disinfecting them.

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i15 Blood Gas and Chemistry Analysis System User Manual Cleaning, Care and Maintenance

6. When the surfaces are thoroughly dry, reconnect the power cord, power adaptor and other
connecting cables.

NOTE:

The validated detergents for cleaning the system are:

 Mild near neutral detergent

 Ethanol (75%)

 Isopropanol (70%)

The validated disinfectants for cleaning the system are:

 Ethanol (75%)


 Isopropanol (70%)

AL
9.1.2 Cleaning and Disinfecting the Screen 文
Clean and disinfect the screen to remove dust, splatters, etc. Policies regarding the cleaning and

TI
disinfecting intervals are at the discretion of your individual institution. Follow the steps below to

clean and disinfect the screen:
EN
1. Dampen a lint-free cloth with detergents or disinfectants.

NOTE:
ID

The cloth should be wet but not dripping.


2. On the Main screen, press to go to the Setup screen.


NF

3. Press on the System Setup screen.


CO

4. Select the desired time period during which the system will have no response when you
touch the screen. There are four options: 30 seconds, 1 minute, 2 minutes and 5 minutes. The
default is 30 seconds.
AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Cleaning, Care and Maintenance

Figure 9-1 Select Clean Time


5. Press Clean Screen. The system will display the screen below:

AL

TI

EN

ID

NF

Figure 9-2 Remaining Time

6. Clean the screen with the lint-free cloth.


CO

7. Repeat steps 4-6 to disinfect the screen with the lint-free cloth after the screen is thoroughly
dry.

NOTE:
AN

 Clean the screen prior to disinfecting it.

 Make sure that the screen is thoroughly dry before disinfecting it.
ED

8. Press Return twice to return to the Main screen.

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i15 Blood Gas and Chemistry Analysis System User Manual Cleaning, Care and Maintenance

9.1.3 Cleaning the Printer Head


Dirty and soiled thermal printer heads will decrease the printing definition, so printer heads
should be cleaned at least once a month.

Open the printer casing and remove the printer paper. Clean the printer head gently with a clean
soft cloth dampened in 75% alcohol. For stubborn stains, soak the stain with a little alcohol first
and wipe it off with a clean soft cloth. After air drying, load the printer paper and shut the printer
casing.

CAUTION

1. Prevent the detergent from seeping into the system while cleaning. Do not immerse


the analyzer in liquid under any circumstances.

AL
2. Do not clean the system with abrasive fabric.

9.2 Care and Maintenance

TI

9.2.1 Recharging and Replacement of Battery
 Capacity Identification
EN

Current capacity of the rechargeable battery can be identified according to the battery
symbol on the status bar at the bottom of the LCD screen:
ID

: Full capacity.
NF

Capacity is not full.


CO

: Capacity is limited, and recharging should be taken into account.

: Capacity is low, the battery should be recharged soon.


AN

: Capacity is empty. The battery should be recharged immediately.

NOTE:
ED

 If the system is powered only by AC power, the symbol for the adaptor will
appear on the status bar at the bottom of the screen.

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i15 Blood Gas and Chemistry Analysis System User Manual Cleaning, Care and Maintenance

 If the analyzer is powered only by the battery, one of the symbols above will appear
on the status bar at the bottom of the screen.

 If the analyzer is powered by both the battery and AC power, and the battery is not

being charged, the symbol will appear on the status bar at the bottom of the
screen.

 Recharging

The analyzer is equipped with a recharge control circuit together with a rechargeable lithium
battery. When the analyzer is connected to the mains supply, the battery will be recharged
automatically. Because of the capacity consumption during storage and transport, the battery


capacity will not be full when it is used for the first time. Battery recharging should be
considered before the first use.

AL
NOTE:

If the battery has not been used for more than two months, it should be recharged before
use.

TI

 Replacement
EN

When the useful life of the battery is over, or there is a foul smell or leakage, please contact
EDAN or its authorized distributors for replacement.
ID

WARNING
1. Only the battery of the same model and specifications provided by EDAN should be
NF

used.

2. Danger of explosion - Do not reverse the anode and the cathode when installing the
CO

battery.

3. Remove the battery from the system if it is not used for a long time.

4. If the battery is stored alone and not used for a long time, it is recommended that the
AN

battery should be charged at least once every 6 months to prevent overdischarge.

5. When the battery’s useful life is over, contact EDAN or the local distributor for
ED

disposal or dispose of the battery according to local regulations.

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i15 Blood Gas and Chemistry Analysis System User Manual Cleaning, Care and Maintenance

9.2.2 Printer Paper

CAUTION

Only use the printer paper provided by EDAN or its authorized distributors, otherwise the
printer may be damaged. This kind of damage is not covered by warranty.

Storage Requirements:

 Do not put the printer paper under fluorescence for a long time.

 Printer paper should be stored in a dry, dark and cool area, avoiding excessive temperature,
humidity and sunshine.


 Make sure there is no polyvinyl chloride or other chemicals in the storage environment,
which will lead to color change of the paper.

AL

9.2.3 Maintenance of the Analyzer

TI

The following safety checks should be performed at least once every 24 months by a qualified
person who has adequate training, knowledge, and practical experience to perform these tests.
EN

a) Inspect the analyzer and accessories for mechanical and functional damage.
ID

b) Inspect the safety related labels for legibility.


c) Verify the analyzer functions properly as described in the instructions for use.
NF

If the analyzer is not functioning properly or fails any of the above tests, it has to be repaired.

WARNING
CO

Failure on the part of the responsible individual institution employing this equipment to
implement a satisfactory maintenance schedule may cause undue equipment failures.

Analyzer:
AN

 Avoid excessive temperatures, sunshine, humidity or dirt.


ED

Avoid shaking the analyzer violently when moving it to another place.

 Prevent any liquid from seeping into the analyzer.

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i15 Blood Gas and Chemistry Analysis System User Manual Theory

Chapter 10 Theory
The system utilizes potentiometry and amperometry to determine the concentrations of blood gases
and blood chemistries, and utilizes conductivity to determine the concentration of Hct. Many
parameters can also be calculated such as cH+, HCO3-act, HCO3-std, BE(ecf), BE(B), BB(B), and
so on.

10.1 Measurement Method

Methods

Measurements are performed on undiluted specimens. Undiluted methods are also called direct


methods, whereas methods that dilute the sample are called indirect methods.

AL
For electrolytes, direct methods measure the free ion concentration of analyte (apparent or free

ion activity) per unit volume of plasma water, and indirect methods measure the concentration of
analyte per unit volume of plasma. It is known that the direct method gives the clinically

TI
significant result for electrolytes. When there is disagreement between the methods, such as when

the patient has abnormal total protein or lipid levels, it results from interference on the indirect
EN
method. At normal levels of protein and lipids the systematic offset between methods is often

corrected for in commercial direct measuring instruments so that the normal ranges for all
instruments are in agreement. Sensors have been calibrated in the manufacture so that normal
ID

ranges are in agreement with indirect reference methods at normal levels of total protein and

lipids.
NF

Direct measurement of hematocrit by the conductometric technique gives a result related to the

non-conducting excluded volume fraction of the sample. Red blood cell volume is the
predominant component of the nonconducting volume, but proteins, lipids, and white blood cells
CO

also contribute. Elevated hematocrit readings are expected at abnormally elevated levels of these
components. Decreased hematocrit readings are expected at abnormally low levels of protein,
such as found in hemodiluted samples taken from cardiopulmonary bypass. Osmotic imbalance
AN

causes a discrepancy between direct (conductometric, spun) and indirect (Coulter) measurements
because of variation in the meancell volume.
ED

Sensors

Sensor refers to the electrode embedded in test cartridges. There are three different types of
sensors:

- 140 -
i15 Blood Gas and Chemistry Analysis System User Manual Theory

 Potentiometric Sensor

 Amperometric Sensor

 Conductometric Sensor

Potentiometry: A potential is recorded using a voltmeter, which relates to the concentration of


the sample. A reference electrode is used to provide a stable, fixed potential against which other
potential differences can be measured. This measurement technique is used for pH, pCO2 and
electrolytes.
Amperometry: The magnitude of an electrical flow of current is proportional to the
concentration of the substance being oxidized or reduced at an electrode. This measurement
technique is used for pO2, glucose and lactic acid.


Conductivity: The specific impedance of a sample as measured by two conducting electrodes

AL
held at a constant voltage is directly proportional to the conductive properties of the sample. This

technique is used for Hct.

TI
10.2 Determination of Test Results

10.2.1 Determination of the Analyte Concentration
EN
The concentration of the analyte is determined with the potentiometric and amperometric sensors.

For both sensors, the analyte concentration is calculated using:


ID

 The known analyte concentration of calibrant solution;


 The measured voltage or current of the calibrant solution.


NF

 The measured voltage or current of the sample.


For potentiometric sensors, the analyte activity in the sample is calculated from the Nerst
CO

equation:

Esample – Ecalibrant = S log (αsample/αcalibrant)

Where E denotes the potential, α denotes the activity of an ion, and S denotes the slope of the
AN

sensor.
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Theory

10.2.2 Determination of Cell Concentration

Hct

In whole blood, the cellular constituents, red and white blood cells and platelets do not conduct
electricity, while plasma does. For a sample whose electrolyte concentration is given, the more
cells, the less conductivity. The total cell concentration of the whole blood is determined from:

 The known value of the electrolyte concentration in the calibrant.

 The measured electrolyte concentration of the sample.

 The measured conductivity signal generated by the calibrant.

 The measured conductivity signal generated by the sample.


CPB

AL

When samples with abnormally low protein levels are tested, the system need to use the CPB
compensation algorithm. The CPB compensation algorithm is specially intended for use when

TI
samples are taken from patients on cardiopulmonary bypass. It also applies to the adult whose

protein levels are abnormally low.
EN
10.3 Equations for Calculated Parameters

cH+
ID

Hydrogen ion concentration


NF

cH+ = 10 (9 – pH) [nmol/L]


HCO3-act
CO

Bicarbonate ion concentration

HCO3-act = 0.0307 × pCO2 × 10(pH - 6.105) [mmol/L]

HCO3-std
AN

Bicarbonate ion concentration normalized to a pCO2 40 mmHg

HCO3-std = 24.5 + 0.9 × A + [(A - 2.9)2 × (2.65 + 0.31 × tHb (est))] / 1000 [mmol/L]
ED

Where A = BE (B) – [0.2 × tHb (est) × (100 - sO2 (est))] / 100, tHb (est) can be entered by users,
and the default value for tHb (est) is 15 g/dL.

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i15 Blood Gas and Chemistry Analysis System User Manual Theory

BE (ecf)

Base excess (ecf)

BE (ecf) = HCO3-act - 24.8 + (16.2 × (pH - 7.40)) [mmol/L]

BE (B)

Base excess (B)

BE (B) = (1 - 0.014 × tHb (est)) × [HCO3-act - 24.8 + (1.43 × tHb (est) + 7.7) × (pH - 7.40)]
[mmol/L]

Where tHb (est) can be entered by users, and the default value for tHb (est) is 15g/dL.


BB (B)

AL
Buffer Base 文
BB (B) = BE (B) + 41.7 + 0.42 × tHb (est) [mmol/L]

TI
Where tHb (est) can be entered by users, and the default value for tHb (est) is 15 g/dL.

ctCO2
EN
Total carbon dioxide

ctCO2 = HCO3-act + 0.0307 × pCO2 [mmol/L]


ID

Ca++ (7.4)

The ionized calcium concentration of blood normalized to pH 7.4


NF

Ca++ (7.4) = Ca++ × 10 [0.178 ×(pH - 7.40)] [mmol/L]


CO

AnGap

An approximation of the difference between measured cations and measured anions in the sample

AnGap = (Na+ + K+) - (Cl- + HCO3-act) [mmol/L]


AN

tHb (est)

An estimation of the hemoglobin contained in the sample


ED

tHb (est) = MCHC × Hct / 100 [g/dL]

Where MCHC is the mean corpuscular hemoglobin concentration, and can be entered by users.

- 143 -
i15 Blood Gas and Chemistry Analysis System User Manual Theory

The default value for MCHC is 34 g/dL. The unit for Hct is %PCV.

sO2 (est)

An estimation of hemoglobin oxygen saturation: a ratio of hemoglobin bound to oxygen to the


total amount of hemoglobin able to bind oxygen

pO2    pO2
*3 *

sO 2 (est )   100
pO2    pO2  
*3 *

[%]

pO2 (A-a)

Alveolar-arterial oxygen tension difference


pO2 (A-a) = pO2 (A) - pO2 (a) [mmHg]

AL
pO2 (a/A) 文
Arterial-alveolar oxygen tension ratio

pO2 (a/A) = pO2 (a) / pO2 (A) [mmHg]

TI

RI
EN
Respiratory index: the ratio of the alveolar-arterial blood oxygen-pressure difference to arterial

pO2
ID

RI = pO2 (A-a) / pO2 (a)


pO2 / FIO2
NF

The ratio of arterial pO2 to the fraction of inspired oxygen


pO2 / FIO2 = pO2 / FIO2 [mmHg]


CO

pH (T)

pH value corrected for entered patient temperature


AN

pH (T) = pH – [0.0147 + 0.0065 × (pH – 7.4)] (T – 37)

cH+ (T)
ED

Hydrogen ion concentration corrected for entered patient temperature

cH+ (T) = 10 (9 – pH (T)) [nmol/L]

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i15 Blood Gas and Chemistry Analysis System User Manual Theory

pCO2 (T)

pCO2 corrected for entered patient temperature

pCO2 (T) = pCO2 × 100.019(T - 37) [mmHg]

pO2 (T)

pO2 corrected for entered patient temperature

[mmHg]


pO2 (A-a) (T)

Alveolar-arterial oxygen tension difference corrected for entered patient temperature

AL

pO2 (A-a) (T) = pO2 (A) (T) - pO2 (a) (T) [mmHg]

TI
pO2 (a/A) (T)

Arterial-alveolar oxygen tension ratio corrected for entered patient temperature
EN
pO2 (a/A) (T) = pO2 (a) (T) / pO2 (A) (T) [mmHg]

RI (T)
ID

Respiratory index: the ratio of the alveolar-arterial blood oxygen-pressure difference to arterial

pO2 when both values are corrected for patient temperature


NF

RI (T) = pO2 (A-a) (T) / pO2 (a) (T)


pO2 (T)/FIO2
CO

The ratio of arterial pO2 to the fraction of inspired oxygen corrected for the entered patient
temperature

pO2 (T) / FIO2 = pO2 (T) / FIO2 [mmHg]


AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Parameters

Chapter 11 Parameters
11.1 pH

pH reflecting the acid-base status of a patient is the negative logarithm of the hydrogen ion
concentration.

pH is measured by potentiometry with a pH selective membrane electrode. The concentration of


hydrogen ions is determined by the measured potential through the Nernst equation.

If test results are inconsistent with the clinical assessment, the sample should be analyzed again
with a new test cartridge.


11.1.1 Intended Use

AL
The pH test is intended for the quantification of pH in arterial, venous, or capillary whole blood
samples.

pH is an important clinical indicator to assess the acid-base imbalance caused by pathologic

TI

conditions, such as ventilatory dysfunction and renal inadequency. The reasons for abnormal
blood pH values are:
EN
 primary bicarbonate deficit - metabolic acidosis

 primary bicarbonate excess - metabolic alkalosis


ID

 primary hypoventilation - respiratory acidosis


NF

primary hyperventilation - respiratory alkalosis


11.1.2 Traceability
CO

pH values assigned to calibrant, controls and calibration verification controls are traceable to
NIST standards.

11.1.3 Temperature Correction


AN

pH is a temperature dependent quantity which is measured at 37 °C on the system. The pH value


can be corrected to the patient’s temperature other than 37 °C. Patient temperature can be entered
on the Enter Patient Information screen during each patient sample test.
ED

The pH at the patient’s temperature is calculated as follows:

pH (T) = pH – [0.0147 + 0.0065(pH – 7.4)] (T – 37)

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i15 Blood Gas and Chemistry Analysis System User Manual Parameters

11.1.4 Performance Characteristics


Experiments are designed according to the following CLSI guidelines: CLSI EP6-A for linearity
studies, CLSI EP9-A2 for method comparison studies, and CLSI EP7-A2 for interference studies.
Typical performance data presented below were obtained by technologists, nurses, physicians and
therapists trained in the use of the system and the comparative method.
Repeatability on RNA Medical® QC823 Blood Gas●Electrolyte●Metabolite●BUN Controls was
estimated using one lot of test cartridges, and 20 replicates of each control level were
successively analyzed on one i15 Blood Gas and Chemistry Analysis System.
In the repeatability data table below, SD refers to the standard deviation.

Controls Mean SD


Level 1 7.161 0.0061

AL
Level 2 7.401 0.0104

Level 3 7.565 0.0074

TI
Precision and recovery on whole blood samples was estimated using multiple whole blood

samples with pH values spanning the measurement range. In the table below, Swr refers to within
EN
run standard deviation.

Parameter N Expected Observed Swr Bias %Recovery


ID

9 7.085 7.110 0.021 0.025 100.4%


9 7.325 7.357 0.020 0.032 100.4%


NF

pH

9 7.581 7.559 0.011 -0.022 99.7%


CO

9 7.656 7.673 0.010 0.017 100.2%

Linearity was estimated using reference materials and reference methods. Three replicates of
each level of materials were analyzed in parallel on the i15 Blood Gas and Chemistry Analysis
System and the Rapidpoint 400 system. Reference materials used were RNA Medical® CVC123
AN

Calibration Verification Controls. In the table below, Sy.x refers to the standard error of estimate.

Correlation
ED

Parameter N Slope Intercept Sy.x Range


Coefficient

pH 15 0.98 0.12 0.99996 0.00397 6.715 – 7.768

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i15 Blood Gas and Chemistry Analysis System User Manual Parameters

In the comparison study, samples were analyzed in parallel on the i15 Blood Gas and Chemistry
Analysis System and the Rapidpoint 400 system. Two replicates of each sample were analyzed
on each system.

Correlation
Parameter N Slope Intercept Sy.x Range
Coefficient

pH 215 1.0259 -0.1934 0.9919 0.0126 7.137 – 7.720

11.1.5 Interfering Substances


Aqueous sample was spiked by addition of a potentially interfering substance to the following
test concentration to test for interferences. Twelve replicates of both the spiked sample and the


unspiked sample were tested on two i15 Blood Gas and Chemistry Analysis Systems with one lot
of test cartridges. The interference was computed using the difference between the mean of the

AL
spiked sample and the unspiked sample.

The following substances were tested and found not to be clinically significant for the pH

TI
measurement: 24 mmol/L Hydroxyurea, 1.0 mmol/L Magnesium, 20 mmol/L Lactate, 4.00

mmol/L Salicylate, 37.5 mmol/L Bromide, and 20 mmol/L β -hydroxybutyrate.
EN
NOTE:

It is possible that there are other substances interfering with the pH measurement.
ID

11.2 pCO2
NF

pCO2, the partial pressure of carbon dioxide, is measured by potentiometry. pCO2 is determined

by the measured potential through the Nernst equation.


CO

If test results are inconsistent with the clinical assessment, the sample should be analyzed again
with a new test cartridge.

11.2.1 Intended Use


AN

The pCO2 test is intended for the quantification of pCO2 in arterial, venous, or capillary whole
blood samples.
ED

pCO2 is an important indicator to reflect respiratory acid-base balance. If pCO2 is above the
normal range, it is termed respiratory acidosis. If pCO2 is below the normal range, it is termed
respiratory alkalosis. Metabolic factors can also cause pCO2 increase/decrease: metabolic

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i15 Blood Gas and Chemistry Analysis System User Manual Parameters

acidosis leads to decreased pCO2, and metabolic alkalosis leads to increased pCO2. pCO2 along
with pH is a more persuasive tool to assess acid-base balance.

11.2.2 Traceability
pCO2 values assigned to calibrant, controls, and calibration verification controls are traceable to
NIST standards.

11.2.3 Temperature Correction


pCO2 is a temperature dependent quantity which is measured at 37 °C on the system. The pCO2
value can be corrected to the patient’s temperature other than 37 °C. Patient temperature can be
entered on the Enter Patient Information screen during each patient sample test.


The pCO2 at the patient’s temperature is calculated as follows:

AL
pCO2 (T) = pCO2 × 100.019(T - 37) 文
11.2.4 Performance Characteristics

TI
Experiments are designed according to the following CLSI guidelines: CLSI EP6-A for linearity

studies, CLSI EP9-A2 for method comparison studies, and CLSI EP7-A2 for interference studies.
EN
Typical performance data presented below were obtained by technologists, nurses, physicians and

therapists trained in the use of the system and the comparative method.

Repeatability on RNA Medical® QC823 Blood Gas●Electrolyte●Metabolite●BUN Controls was


ID

estimated using one lot of test cartridges, and 20 replicates of each level were successively
analyzed on one i15 Blood Gas and Chemistry Analysis System.
NF

In the repeatability data table below, SD refers to the standard deviation.


Controls Mean SD
CO

Level 1 68.63 2.650

Level 2 43.97 1.368


AN

Level 3 24.41 1.886

Precision and recovery on whole blood samples was estimated using multiple whole blood
ED

samples with pCO2 values spanning the measurement range. In the table below, Swr refers to
within run standard deviation.

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i15 Blood Gas and Chemistry Analysis System User Manual Parameters

Parameter N Expected Observed Swr Bias %Recovery

9 123.2 124.9 4.5 1.7 101.4%

9 42.8 42.5 1.2 -0.3 99.3%


pCO2
9 21.3 20.1 1.5 -1.2 94.4%

9 10.6 10.0 1.1 -0.6 94.3%

Linearity was estimated using reference materials and reference methods. Three replicates of
each level of materials were analyzed in parallel on the i15 Blood Gas and Chemistry Analysis
System and the Rapidpoint 400 system. Reference materials used were RNA Medical® CVC123
Calibration Verification Controls. In the table below, Sy.x refers to the standard error of estimate.


Correlation
Parameter N Slope Intercept Sy.x Range

AL
Coefficient

pCO2 15 1.00 0.22


文 0.99998 0.215 17.8 – 84.0

TI
In the comparison study, samples were analyzed in parallel on the i15 Blood Gas and Chemistry

Analysis System and the Rapidpoint 400 system. Two replicates of each sample were analyzed
EN
on each system.

Correlation
Parameter N Slope Intercept Sy.x Range
ID

Coefficient

pCO2 215 0.9394 1.4498 0.9868 1.5950 11.5 – 73.8


NF

11.2.5 Interfering Substances


Aqueous sample was spiked by addition of a potentially interfering substance to the following
CO

test concentration to test for interferences. Twelve replicates of both the spiked sample and the
unspiked sample were tested on two i15 Blood Gas and Chemistry Analysis Systems with one lot
of test cartridges. The interference was computed using the difference between the mean of the
AN

spiked sample and the unspiked sample.


The following substances were tested and found not to be clinically significant for the pCO2
measurement: 24 mmol/L hydroxyurea, 1.0 mmol/L magnesium, 20 mmol/L lactate, 4.00
ED

mmol/L Salicylate, 37.5 mmol/L bromide, and 20 mmol/L β -hydroxybutyrate.


NOTE:

It is possible that there are other substances interfering with the pCO2 measurement.

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i15 Blood Gas and Chemistry Analysis System User Manual Parameters

11.3 pO2

pO2, the partial pressure of oxygen, is measured by amperometry. The oxygen reduction current
is proportional to the dissolved oxygen concentration.

If test results are inconsistent with the clinical assessment, the sample should be analyzed again
with a new test cartridge.

11.3.1 Intended Use


The pO2 test is intended for the quantification of pO2 in arterial, venous, or capillary whole blood
samples.


The pO2 value of arterial blood is important in assesing the efficiency of pulmonary gas
exchange.

AL
11.3.2 Traceability

pO2 values assigned to calibrant, controls, and calibration verification controls are traceable to
NIST standards.

TI

11.3.3 Temperature Correction


EN

pO2 is a temperature dependent quantity which is measured at 37 °C on the system. The pO2
value can be corrected to the patient’s temperature other than 37 °C. Patient temperature can be
ID

entered on the Enter Patient Information screen during each patient sample test.

The pO2 at the patient’s temperature is calculated as follows:


NF

CO

11.3.4 Performance Characteristics


Experiments are designed according to the following CLSI guidelines: CLSI EP6-A for linearity
AN

studies, CLSI EP9-A2 for method comparison studies, and CLSI EP7-A2 for interference studies.
Typical performance data presented below were obtained by technologists, nurses, physicians and
ED

therapists trained in the use of the system and the comparative method.

Repeatability on RNA Medical® QC823 Blood Gas●Electrolyte●Metabolite●BUN Controls was


estimated using one lot of test cartridges, and 20 replicates of each level were successively

- 151 -
i15 Blood Gas and Chemistry Analysis System User Manual Parameters

analyzed on one i15 Blood Gas and Chemistry Analysis System.

In the repeatability data table below, SD refers to the standard deviation.

Controls Mean SD

Level 1 65.3 2.95

Level 2 103.0 3.02

Level 3 150.8 4.189

Precision and recovery on whole blood samples was estimated using multiple whole blood
samples with pO2 values spanning the measurement range. In the table below, Swr refers to
within run standard deviation.


Parameter N Expected Observed Swr Bias %Recovery

AL
9 21.4

21.7 1.3 0.3 101.4%

TI
9 149.7 151.6 3.7 1.9 101.3%
pO2

9 271.8 270.8 8.0 -1.0 99.6%
EN
9 422.2 421.7 18.7 -0.5 99.9%

Linearity was estimated using reference materials and reference methods. Three replicates of
ID

each level of materials were analyzed in parallel on the i15 Blood Gas and Chemistry Analysis

System and the Rapidpoint 400 system. Reference materials used were RNA Medical® CVC123
Calibration Verification Controls. In the table below, Sy.x refers to the standard error of estimate.
NF

Correlation
Parameter N Slope Intercept Sy.x Range
Coefficient
CO

pO2 15 0.92 4.51 0.99989 2.58604 39.6 – 448.2

In the comparison study, samples were analyzed in parallel on the i15 Blood Gas and Chemistry
Analysis System and the Rapidpoint 400 system. Two replicates of each sample were analyzed
AN

on each system.

Correlation
ED

Parameter N Slope Intercept Sy.x Range


Coefficient

pO2 215 0.9811 1.3173 0.9986 2.0303 20.4 – 191.0

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i15 Blood Gas and Chemistry Analysis System User Manual Parameters

11.3.5 Interfering Substances


Aqueous sample was spiked by addition of a potentially interfering substance to the following
test concentration to test for interferences. Twelve replicates of both the spiked sample and the
unspiked sample were tested on two i15 Blood Gas and Chemistry Analysis Systems with one lot
of test cartridges. The interference was computed using the difference between the mean of the
spiked sample and the unspiked sample.

The following substances were tested and found not to be clinically significant for the pO2
measurement: 24 mmol/L hydroxyurea, 1.0 mmol/L magnesium, 20 mmol/L lactate, 4.00
mmol/L Salicylate, 37.5 mmol/L bromide, and 20 mmol/L β -hydroxybutyrate.

NOTE:


It is possible that there are other substances interfering with the pO2 measurement.

AL
11.4 Sodium (Na+)

TI
Sodium is measured by potentiometry with an ion-selective electrode. The concentration of

sodium ions is determined by the measured potential through the Nernst equation. The system
uses a direct (undiluted) method to measure sodium and the obtained values may differ from
EN
those obtained by an indirect (diluted) method.

If test results are inconsistent with the clinical assessment, the sample should be analyzed again
ID

with a new test cartridge.


11.4.1 Intended Use


NF

The sodium test is intended for the quantification of sodium in arterial, venous, or capillary whole
blood samples.
CO

Sodium is the major cation in the extracellular space in the body. It plays an important part in
maintaining osmotic pressure and acid-base balance.

Monitoring blood sodium level is important in the diagnosis or monitoring of diseases involving
AN

electrolyte imbalance and all disturbances of the water balance, heart and kidney insufficiencies,
and so on.
ED

11.4.2 Traceability
Sodium ion concentration values assigned to calibrant, controls, and calibration verification
controls are traceable to NIST standards.

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i15 Blood Gas and Chemistry Analysis System User Manual Parameters

11.4.3 Performance Characteristics


Experiments are designed according to the following CLSI guidelines: CLSI EP6-A for linearity
studies, CLSI EP9-A2 for method comparison studies, and CLSI EP7-A2 for interference studies.
Typical performance data presented below were obtained by technologists, nurses, physicians and
therapists trained in the use of the system and the comparative method.

Repeatability on RNA Medical® QC823 Blood Gas●Electrolyte●Metabolite●BUN Controls was


estimated using one lot of test cartridges, and 20 replicates of each level were successively
analyzed on one i15 Blood Gas and Chemistry Analysis System.

In the repeatability data table below, SD refers to the standard deviation.


Controls Mean SD

Level 1 114.6 0.83

AL
Level 2
文 140.1 0.83

TI
Level 3 168.7 0.92

Precision and recovery on whole blood samples was estimated using multiple whole blood
EN
samples with Na+ values spanning the measurement range. In the table below, Swr refers to

within run standard deviation.


Parameter N Expected Observed Swr Bias %Recovery
ID

9 111.2 111.7 0.7 0.5 100.4%

Na+
NF

9 140.5 140.8 1.6 0.3 100.2%


9 166.0 167.3 3.1 1.3 100.8%


CO

Linearity was estimated using reference materials and reference methods. Three replicates of
each level of materials were analyzed in parallel on the i15 Blood Gas and Chemistry Analysis
System and the Rapidpoint 400 system. Reference materials used were RNA Medical® CVC123
Calibration Verification Controls. In the table below, Sy.x refers to the standard error of estimate.
AN

Correlation
Parameter N Slope Intercept Sy.x Range
Coefficient
ED

Na+ 15 0.98 1.30 0.99999 0.1924 102.6 – 180.3

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i15 Blood Gas and Chemistry Analysis System User Manual Parameters

In the comparison study, samples were analyzed in parallel on the i15 Blood Gas and Chemistry
Analysis System and the Rapidpoint 400 system. Two replicates of each sample were analyzed
on each system.

Correlation
Parameter N Slope Intercept Sy.x Range
Coefficient

Na+ 215 0.9813 2.3952 0.9961 1.1661 102.3 – 164.9

11.4.4 Interfering Substances


Aqueous sample was spiked by addition of a potentially interfering substance to the following
test concentration to test for interferences. Twelve replicates of both the spiked sample and the


unspiked sample were tested on two i15 Blood Gas and Chemistry Analysis Systems with one lot
of test cartridges. The interference was computed using the difference between the mean of the

AL
spiked sample and the unspiked sample.

The substances that interfere with the Na+ measurement are listed below:

TI

37.5 mmol/L bromide will increase Na+ results by 5.5 mmol/L.

The following substances were tested and found not to be clinically significant for the Na+
EN

measurement: 24 mmol/L hydroxyurea, 1.0 mmol/L magnesium, 20 mmol/L lactate, 4.00


mmol/L Salicylate, 12.5 mmol/L bromide, and 20 mmol/L β -hydroxybutyrate.
ID

NOTE:

It is possible that there are other substances interfering with the Na+ measurement.
NF

11.5 Potassium (K+)


CO

Potassium is measured by potentiometry with an ion-selective electrode. The concentration of


potassium ions is determined by the measured potential through the Nernst equation. The system
uses a direct (undiluted) method to measure potassium and the obtained values may differ from
AN

those obtained by an indirect (diluted) method.

If test results are inconsistent with the clinical assessment, the sample should be analyzed again
with a new test cartridge.
ED

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i15 Blood Gas and Chemistry Analysis System User Manual Parameters

11.5.1 Intended Use


The potassium test is intended for the quantification of potassium in arterial, venous, or capillary
whole blood samples.

Potassium is the most abundant cation in the intracellular fluid, and plays an important role in
nerve conduction and muscle function. It also helps maintain acid-base balance and osmotic
pressure.

Potassium value is important for patients who are undergoing infusion therapies, who are
experiencing heart insufficiency, and so on.

11.5.2 Traceability


Potassium ion concentration values assigned to calibrant, controls, and calibration verification
controls are traceable to NIST standards.

AL
11.5.3 Performance Characteristics

TI
Experiments are designed according to the following CLSI guidelines: CLSI EP6-A for linearity

studies, CLSI EP9-A2 for method comparison studies, and CLSI EP7-A2 for interference studies.
Typical performance data presented below were obtained by technologists, nurses, physicians and
EN
therapists trained in the use of the system and the comparative method.

Repeatability on RNA Medical® QC823 Blood Gas●Electrolyte●Metabolite●BUN Controls was


ID

estimated using one lot of test cartridges, and 20 replicates of each level were successively

analyzed on one i15 Blood Gas and Chemistry Analysis System.


NF

In the repeatability data table below, SD refers to the standard deviation.


Controls Mean SD
CO

Level 1 1.92 0.014

Level 2 4.51 0.041

Level 3 6.70 0.047


AN

Precision and recovery on whole blood samples was estimated using multiple whole blood
samples with K+ values spanning the measurement range. In the table below, Swr refers to within
ED

run standard deviation.

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i15 Blood Gas and Chemistry Analysis System User Manual Parameters

Parameter N Expected Observed Swr Bias %Recovery

9 3.40 3.35 0.04 -0.05 98.5%

K+ 9 4.00 4.01 0.03 0.01 100.3%

9 9.37 9.36 0.20 -0.01 99.9%

Linearity was estimated using reference materials and reference methods. Three replicates of
each level of materials were analyzed in parallel on the i15 Blood Gas and Chemistry Analysis
System and the Rapidpoint 400 system. Reference materials used were RNA Medical® CVC123
Calibration Verification Controls. In the table below, Sy.x refers to the standard error of estimate.
Correlation
Parameter N Slope Intercept Sy.x Range


Coefficient

K+ 1.82 – 12.09

AL
15 1.0 -0.04 文 0.99997 0.03787

In the comparison study, samples were analyzed in parallel on the i15 Blood Gas and Chemistry
Analysis System and the Rapidpoint 400 system. Two replicates of each sample were analyzed

TI

on each system.

Correlation
EN
Parameter N Slope Intercept Sy.x Range
Coefficient

K+ 215 1.0068 -0.0409 0.9983 0.0594 2.55 – 6.70


ID

11.5.4 Interfering Substances


NF

Aqueous sample was spiked by addition of a potentially interfering substance to the following

test concentration to test for interferences. Twelve replicates of both the spiked sample and the
CO

unspiked sample were tested on two i15 Blood Gas and Chemistry Analysis Systems with one lot
of test cartridges. The interference was computed using the difference between the mean of the
spiked sample and the unspiked sample.

The following substances were tested and found not to be clinically significant for the K+
AN

measurement: 24 mmol/L hydroxyurea, 1.0 mmol/L magnesium, 20 mmol/L lactate, 4.00


mmol/L Salicylate, 37.5 mmol/L bromide, and 20 mmol/L β -hydroxybutyrate.
ED

NOTE:

It is possible that there are other substances interfering with the K+ measurement.

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i15 Blood Gas and Chemistry Analysis System User Manual Parameters

11.6 Ionized Calcium (Ca++)

Ionized calcium (Ca++) is measured by potentiometry with an ion-selective electrode. The


concentration of ionized calcium is determined by the measured potential through the Nernst
equation.
If test results are inconsistent with the clinical assessment, the sample should be analyzed again
with a new test cartridge.

11.6.1 Intended Use


The ionized calcium test is intended for the quantification of ionized calcium in arterial, venous,
or capillary whole blood samples.


Ca++, the physiologically active form of calcium, plays an important role in muscle contraction,
transmission of nerve impulses, and cardiac functions.

AL
For patients who are in critical care situations, especially those who need to receive large

amounts of blood, the Ca++ level should be monitored closely.

11.6.2 Traceability

TI

Ionized calcium concentration values assigned to calibrant, controls, and calibration verification
EN
controls are traceable to NIST standards.

11.6.3 Performance Characteristics


ID

Experiments are designed according to the following CLSI guidelines: CLSI EP6-A for linearity

studies, CLSI EP9-A2 for method comparison studies, and CLSI EP7-A2 for interference studies.
NF

Typical performance data presented below were obtained by technologists, nurses, physicians and

therapists trained in the use of the system and the comparative method.
Repeatability on RNA Medical® QC823 Blood Gas●Electrolyte●Metabolite●BUN Controls was
CO

estimated using one lot of test cartridges, and 20 replicates of each level were successively
analyzed on one i15 Blood Gas and Chemistry Analysis System.
In the repeatability data table below, SD refers to the standard deviation.
AN

Controls Mean SD

Level 1 1.47 0.029


ED

Level 2 1.16 0.026

Level 3 0.46 0.009

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i15 Blood Gas and Chemistry Analysis System User Manual Parameters

Precision and recovery on whole blood samples was estimated using multiple whole blood
samples with Ca++ values spanning the measurement range. In the table below, Swr refers to
within run standard deviation.
Parameter N Expected Observed Swr Bias %Recovery

9 1.05 1.05 0.03 0.00 100.0%

Ca++ 9 1.21 1.20 0.01 -0.01 99.2%

9 2.68 2.68 0.07 0.00 100.0%

Linearity was estimated using reference materials and reference methods. Three replicates of
each level of materials were analyzed in parallel on the i15 Blood Gas and Chemistry Analysis


System and the Rapidpoint 400 system. Reference materials used were RNA Medical® CVC123
Calibration Verification Controls. In the table below, Sy.x refers to the standard error of estimate.

AL
Correlation
Parameter N Slope Intercept
文 Coefficient
Sy.x Range

Ca++ 15 0.98 0.37 0.99998

TI 0.00972 0.15 – 3.74



In the comparison study, samples were analyzed in parallel on the i15 Blood Gas and Chemistry
EN
Analysis System and the Rapidpoint 400 system. Two replicates of each sample were analyzed

on each system.
ID

Correlation
Parameter N Slope Intercept Sy.x Range

Coefficient
NF

Ca++ 215 0.9987 0.0019 0.9910 0.0265 0.61 – 1.73


11.6.4 Interfering Substances


CO

Aqueous sample was spiked by addition of a potentially interfering substance to the following
test concentration to test for interferences. Twelve replicates of both the spiked sample and the
unspiked sample were tested on two i15 Blood Gas and Chemistry Analysis Systems with one lot
AN

of test cartridges. The interference was computed using the difference between the mean of the
spiked sample and the unspiked sample.
ED

The substances that interfere with the Ca++ measurement are listed below:

 12.5 mmol/L bromide will increase Ca++ results by 0.07 mmol/L.

 37.5 mmol/L bromide will increase Ca++ results by 0.17 mmol/L.

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i15 Blood Gas and Chemistry Analysis System User Manual Parameters

The following substances were tested and found not to be clinically significant for the Ca++
measurement: 24 mmol/L hydroxyurea, 1.0 mmol/L magnesium, 20 mmol/L lactate, 4.00
mmol/L Salicylate, and 20 mmol/L β -hydroxybutyrate.

NOTE:

It is possible that there are other substances interfering with the Ca++ measurement.

11.7 Chloride (Cl-)

Chloride is measured by potentiometry with an ion-selective electrode. The concentration of


chloride ions is determined by the measured potential through the Nernst equation. The system
uses a direct (undiluted) method to measure chloride, and the obtained values may differ from


those obtained by an indirect (diluted) method.

AL
If test results are inconsistent with the clinical assessment, the sample should be analyzed again
with a new test cartridge.

11.7.1 Intended Use

TI

The chloride test is intended for the quantification of chloride in arterial, venous, or capillary
EN
whole blood samples.

Cl-, the major anion in the extracellular space in the body, plays a role in the regulation of the
ID

acid-base balance, and regulates osmotic pressure together with Na+.


Monitoring Cl- value is vital for patients who suffer from hypertension, cardiac distress, etc.
NF

11.7.2 Traceability

Chloride ion concentration values assigned to calibrant, controls, and calibration verification
CO

controls are traceable to NIST standards.

11.7.3 Performance Characteristics


Experiments are designed according to the following CLSI guidelines: CLSI EP6-A for linearity
AN

studies, CLSI EP9-A2 for method comparison studies, and CLSI EP7-A2 for interference studies.
Typical performance data presented below were obtained by technologists, nurses, physicians and
therapists trained in the use of the system and the comparative method.
ED

Repeatability on RNA Medical® QC823 Blood Gas●Electrolyte●Metabolite●BUN Controls was


estimated using one lot of test cartridges, and 20 replicates of each level were successively

- 160 -
i15 Blood Gas and Chemistry Analysis System User Manual Parameters

analyzed on one i15 Blood Gas and Chemistry Analysis System.

In the repeatability data table below, SD refers to the standard deviation.

Controls Mean SD

Level 1 78.8 0.62

Level 2 96.7 0.84

Level 3 127.1 0.76

Precision and recovery on whole blood samples was estimated using multiple whole blood
samples with Cl- values spanning the measurement range. In the table below, Swr refers to within
run standard deviation.


Parameter N Expected Observed Swr Bias %Recovery

AL
9 80.0

80.0 0.3 0.0 100.0%

TI
Cl- 9 106.5 106.6 1.3 0.1 100.1%

9 133.0 133.0 1.8 0.0 100.0%
EN
Linearity was estimated using reference materials and reference methods. Three replicates of

each level of materials were analyzed in parallel on the i15 Blood Gas and Chemistry Analysis
System and the Rapidpoint 400 system. Reference materials used were RNA Medical® CVC123
ID

Calibration Verification Controls. In the table below, Sy.x refers to the standard error of estimate.

Correlation
NF

Parameter N Slope Intercept Sy.x Range


Coefficient

Cl- 15 0.98 0.37 0.99998 0.2404 72 - 146


CO

In the comparison study, samples were analyzed in parallel on the i15 Blood Gas and Chemistry
Analysis System and the Rapidpoint 400 system. Two replicates of each sample were analyzed
on each system.
AN

Correlation
Parameter N Slope Intercept Sy.x Range
Coefficient
ED

Cl- 215 0.9955 0.2967 0.9961 0.9802 77 - 132

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i15 Blood Gas and Chemistry Analysis System User Manual Parameters

11.7.4 Interfering Substances


Aqueous sample was spiked by addition of a potentially interfering substance to the following
test concentration to test for interferences. Twelve replicates of both the spiked sample and the
unspiked sample were tested on two i15 Blood Gas and Chemistry Analysis Systems with one lot
of test cartridges. The interference was computed using the difference between the mean of the
spiked sample and the unspiked sample.

The substances interfering with the Cl- measurement are listed below:

 12.5 mmol/L bromide will increase Cl- results by 15.5 mmol/L.

 4.00 mmol/L Salicylate will increase Cl- results by 15.0 mmol/L.


The following substances were tested and found not to be clinically significant for the Cl-
measurement: 24 mmol/L hydroxyurea, 1.0 mmol/L magnesium, 20 mmol/L lactate, and 20

AL
mmol/L β -hydroxybutyrate.

NOTE:

TI

It is possible that there are other substances interfering with the Cl- measurement.
EN
11.8 Hematocrit (Hct)

Hematocrit is a measurement of the volume occupied by red blood cells in whole blood samples.
ID

Hematocrit is determined by conductometry with two gold electrodes. The conductance of the

blood sample is inversely related to the hematocrit value.


NF

If test results are inconsistent with the clinical assessment, the sample should be analyzed again

with a new test cartridge.


CO

11.8.1 Intended Use


The hematocrit test is intended for the quantification of hematocrit in arterial, venous, or capillary
whole blood samples.
AN

Hematocrit is a useful indicator for assessing states of blood volume, such as anemia and
erythrocytosis.
ED

11.8.2 Traceability
Hematocrit values assigned to controls and calibration verification controls are traceable to the
standard method: CLSI H7-A3 procedure for measuring packed cell volume by the

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i15 Blood Gas and Chemistry Analysis System User Manual Parameters

microhematocrit method.

11.8.3 Performance Characteristics


Experiments are designed according to the following CLSI guidelines: CLSI EP6-A for linearity
studies, CLSI EP9-A2 for method comparison studies, and CLSI EP7-A2 for interference studies.
Typical performance data presented below were obtained by technologists, nurses, physicians and
therapists trained in the use of the system and the comparative method.

Repeatability on RNA Medical® QC900 Hematocrit Controls was estimated using one lot of test
cartridges, and 20 replicates of each level were successively analyzed on one i15 Blood Gas and
Chemistry Analysis System.


In the repeatability data table below, SD refers to the standard deviation.

Controls Mean SD

AL
Low
文 20.3 0.93

TI
High 49.7 0.47

Precision and recovery on whole blood samples was estimated using multiple whole blood
EN
samples with Hct values spanning the measurement range. In the table below, Swr refers to

within run standard deviation.


ID

Parameter N Expected Observed Swr Bias %Recovery


9 25.5 26.2 0.5 0.7 102.7%


NF

Hct 9 44.0 44.6 0.9 0.6 101.4%


9 64.0 62.5 1.5 -1.5 97.7%


CO

Linearity was estimated using reference materials and reference methods. Three replicates of
each level of materials were analyzed in parallel on the i15 Blood Gas and Chemistry Analysis
System and the Rapidpoint 400 system. Reference materials used were RNA Medical® CVC 9005
AN

Hematocrit Calibration Verification Controls. In the table below, Sy.x refers to the standard error of
estimate.

Correlation
ED

Parameter N Slope Intercept Sy.x Range


Coefficient

Hct 15 0.99 0.56 0.99988 0.34811 15.0 – 62.0

- 163 -
i15 Blood Gas and Chemistry Analysis System User Manual Parameters

In the comparison study, samples were analyzed in parallel on the i15 Blood Gas and Chemistry
Analysis System and the Rapidpoint 400 system. Two replicates of each sample were analyzed
on each system.

Correlation
Parameter N Slope Intercept Sy.x Range
Coefficient

Hct 215 0.9729 1.0199 0.9932 0.7518 23 - 53

11.8.4 Interfering Substances


The substances interfering with the hematocrit measurement are listed below:

 A significant increase in white blood cell count may increase the hematocrit results.


 An increase in total protein level will increase the hematocrit results.

AL

 Abnormally high lipids may increase the hematocrit results.

 Factors interfering with sodium results will also interfering with hematocrit results.

TI

NOTE:
EN
It is possible that there are other substances interfering with the hematocrit

measurement.
ID

11.9 Glucose (Glu)


Glu, the concentration of Glucose, is measured by amperometry. It is the key molecule of


NF

carbonhydrate metabolism.

If test results are inconsistent with the clinical assessment, the sample should be analyzed again
CO

with a new test cartridge.

11.9.1 Intended Use


The Glucose test is intended for use by trained medical professionals as an in vitro diagnostic
AN

device for the quantitative testing of samples of arterial, venous or capillary whole blood in the
laboratory or at the point of care in hospitals, nursing homes or other clinical care institutions.
Glucose measurements are used in the diagnosis and treatment of carbohydrate metabolism
ED

disorders including diabetes mellitus, idiopathic hypoglycemia and of pancreatic islet cell tumors.

11.9.2 Traceability
Glucose values assigned to calibrant, controls, and calibration verification controls are traceable

- 164 -
i15 Blood Gas and Chemistry Analysis System User Manual Parameters

to NIST standards.

11.9.3 Performance Characteristics


Experiments are designed according to the following CLSI guidelines: CLSI EP6-A for linearity
studies, CLSI EP9-A2 for method comparison studies, and CLSI EP7-A2 for interference studies.
Typical performance data presented below were obtained by technologists, nurses, physicians and
therapists trained in the use of the system and the comparative method.
Repeatability on RNA Medical® QC823 Blood Gas●Electrolyte●Metabolite●BUN Controls was
estimated using one lot of test cartridges, and 20 replicates of each level were successively
analyzed on one i15 Blood Gas and Chemistry Analysis System.
In the repeatability data table below, SD refers to the standard deviation.


Controls Mean SD

Level 1 4.42 0.059

AL
Level 2
文 10.95 0.167

TI
Level 3 16.38 0.197

Precision and recovery on whole blood samples was estimated using multiple whole blood
EN
samples with Glu values spanning the measurement range. In the table below, Swr refers to

within run standard deviation.


Parameter N Expected Observed Swr Bias %Recovery
ID

9 2.4 2.28 0.13 -0.12 95.1%


NF

Glu 9 6.1 6.22 0.23 0.12 102.0%


9 17.4 17.22 0.62 -0.18 99.0%


CO

Linearity was estimated using reference materials and reference methods. Three replicates of
each level of materials were analyzed in parallel on the i15 Blood Gas and Chemistry Analysis
System and the iSTAT1 system. Reference materials used were RNA Medical® CVC123
Calibration Verification Controls. In the table below, Sy.x refers to the standard error of estimate.
AN

Correlation
Parameter N Slope Intercept Sy.x Range
Coefficient
ED

Glu 15 0.9534 0.3101 0.9996 0.3417 0.5 – 39.5

In the comparison study, samples were analyzed in parallel on the i15 Blood Gas and Chemistry

- 165 -
i15 Blood Gas and Chemistry Analysis System User Manual Parameters

Analysis System and the iSTAT1 system. Two replicates of each sample were analyzed on each
system.

Correlation
Parameter N Slope Intercept Sy.x Range
Coefficient

Glu 207 0.9949 0.0810 0.9952 0.7873 1.3 – 37.70

11.9.4 Interfering Substances


The following substances were tested and the results are listed below:
Parameter Interfering Interfering Clinical 13100201 13100301 13100401 Conclusion
Substances Substances Significant Interference Interference Interference


Concentration Level Value Value Value
Requirement

AL
dmax
Ascorbic acid 3 mg/dL
文 0.09 0.13 0.2 Meet with the
requirements
Salicylic acid 50 mg/dL 0.04

TI 0.04 0.08 Meet with the



requirements
Acetamidophenol 20 mg/dL 0.21 0.21 8.50% Meet with the
EN
requirements

Hydroxyurea 100 umol/L 0.2 6.30% 6.30% Meet with the


requirements
ID

Sodium bromide 37.5 mmol/L 0.18 0.23 7.60% Meet with the

requirements
Ethanol 6.40% 0.1 0.04 Meet with the
NF

10 mg/dL
absolute requirements

±10% or
Glu Acetoxybenzoic 50 mg/dL 0.19 0.03 0.05 Meet with the
0.33 mmol/L
acid requirements
CO

Dopamine 0.1 mg/dL 0.05 0.05 0.08 Meet with the


requirements
Dobutamine 10 mg/dL 0.08 0.17 0.14 Meet with the
requirements
AN

Heparin sodium 90 U/mL 0.03 0.25 0.12 Meet with the


requirements
Pralidoxime 128 μg / mL 0.28 0.27 0.04 Meet with the
ED

iodide requirements
Sodium 24 mg/dL 7.60% 0.03 0.28 Meet with the
sulfocyanate requirements
Uric acid 12 mg/dL 0.11 0.01 0.06 Meet with the

- 166 -
i15 Blood Gas and Chemistry Analysis System User Manual Parameters

requirements
Hydroxybutyric 16 mmol/L 0.24 0.16 7.20% Meet with the
acid requirements
Acetoxyacetic 10 mmol/L 0.17 0.2 0.3 Meet with the
acid requirements
Ibuprofen 40 mg/dL 0.01 0.07 0.09 Meet with the
requirements
Levodopa 7 mg/dL 0.08 0.29 6.60% Meet with the
requirements
Creatinine 5 mg/dL 0.07 0.01 0.09 Meet with the
requirements

11.10 Lactate (Lac)


Lac, the concentration of Lactate, is measured by amperometry. It is the product from cell

AL
anaerobic respiration.

If test results are inconsistent with the clinical assessment, the sample should be analyzed again
with a new test cartridge.

TI

11.10.1 Intended Use
EN

The Lactate test is intended for use by trained medical professionals as an in vitro diagnostic
device for the quantitative testing of samples of arterial, venous or capillary whole blood in the
ID

laboratory or at the point of care in hospitals, nursing homes or other clinical care institutions.

Lactate measurements are used to evaluate the acid-base status and are used in the diagnosis and
treatment of lactic acidosis (abnormally high acidity of the blood).
NF

11.10.2 Traceability
CO

Certified standard reference material for lactate is not available at present. Lactate values
assigned to controls and calibration verification materials are traceable to a working calibrator
prepared from L (+) Lactic acid from Sigma-Aldrich Co., Item Number 46937(1),>99% purity.

11.10.3 Performance Characteristics


AN

Experiments are designed according to the following CLSI guidelines: CLSI EP6-A for linearity
studies, CLSI EP9-A2 for method comparison studies, and CLSI EP7-A2 for interference studies.
ED

Typical performance data presented below were obtained by technologists, nurses, physicians and
therapists trained in the use of the system and the comparative method.

- 167 -
i15 Blood Gas and Chemistry Analysis System User Manual Parameters

Repeatability on RNA Medical® QC823 Blood Gas●Electrolyte●Metabolite●BUN Controls was


estimated using one lot of test cartridges, and 20 replicates of each level were successively
analyzed on one i15 Blood Gas and Chemistry Analysis System.

In the repeatability data table below, SD refers to the standard deviation.


Controls Mean SD

Level 1 0.69 0.058

Level 2 2.66 0.038

Level 3 7.18 0.125


Precision and recovery on whole blood samples was estimated using multiple whole blood
samples with Lac values spanning the measurement range. In the table below, Swr refers to

AL
within run standard deviation.
Parameter N Expected

Observed Swr Bias %Recovery

9 1.85 1.80 0.19

TI -0.05 97.35%

Lac 9 4.8 4.74 0.25 -0.06 98.81%
EN
9

8.3 8.27 0.33 -0.03 99.65%

Linearity was estimated using reference materials and reference methods. Three replicates of
ID

each level of materials were analyzed in parallel on the i15 Blood Gas and Chemistry Analysis

System and the iSTAT1 system. Reference materials used were RNA Medical® CVC123
NF

Calibration Verification Controls. In the table below, Sy.x refers to the standard error of estimate.

Correlation
Parameter N Slope Intercept Sy.x Range
Coefficient
CO

Lac 15 0.9946 0.0717 0.9998 0.1263 0.2 – 20.6

In the comparison study, samples were analyzed in parallel on the i15 Blood Gas and Chemistry
Analysis System and the iSTAT1 system. Two replicates of each sample were analyzed on each
AN

system.

Correlation
ED

Parameter N Slope Intercept Sy.x Range


Coefficient

Lac 207 0.9775 0.0328 0.9900 0.6107 0.55 – 19.06

- 168 -
i15 Blood Gas and Chemistry Analysis System User Manual Parameters

11.10.4 Interfering Substances


The following substances were tested and the results are listed below:
Parameter Interfering Interfering Clinical 13100201 13100301 13100401 Conclusion
Substances Substances Significant Interference Interference Interference
Concentration Level Value Value Value
Requirement
dmax
Ascorbic acid 3 mg/dL 0.1 0.08 0.04 Meet with
the
requirements
Salicylic acid 50 mg/dL 0.19 0.14 0.13 Meet with


the
requirements

AL
Acetamidophenol 20 mg/dL 文 0.2 0.34 0.31 Meet with
the
requirements

TI
Hydroxyurea 100 umol/L 0.25 0.27 0.1 Meet with

the
±12% or 0.6 requirements
Lac
EN
Sodium bromide 37.5 mmol/L mmol/L 0.12 0.09 0.08 Meet with
the

requirements
ID

L-Cysteine 0.1 mmol/L 0.11 0.19 0.02 Meet with


the

requirements
Acetamidophenol 10 mmol/L 0.06 0.04 0.09 Meet with
NF

the

requirements
Acetaldehyde 0.6 mg/dL 0.19 0.18 0.07 Meet with
CO

the
requirements
AN
ED

- 169 -
i15 Blood Gas and Chemistry Analysis System User Manual Warranty and Service

Chapter 12 Warranty and Service


12.1 Warranty

EDAN warrants that EDAN’s products meet the labeled specifications of the products and
will be free from defects in materials and workmanship that occur within the warranty
period.

The warranty is void in cases of:

a) Damage caused by mishandling during shipping.

b) Subsequent damage caused by improper use or maintenance.


c) Damage caused by alteration or repair by anyone not authorized by EDAN.

AL
d) Damage caused by accidents.

e) Replacement or removal of serial number label and manufacture label.

TI

If a product covered by this warranty is determined to be defective because of defective
materials, components, or workmanship, and the warranty claim is made within the warranty
EN
period, EDAN will, at its discretion, repair or replace the defective part (s) free of charge.

EDAN will not provide a substitute product for use when the defective product is being
ID

repaired.

12.2 Contact Information


NF

If you have any question about maintenance, technical specifications or malfunctions of


devices, contact your local distributor.
CO

Alternatively, you can send an email to EDAN service department at: [email protected].
AN
ED

- 170 -
i15 Blood Gas and Chemistry Analysis System User Manual Specifications

Appendix 1 Specifications
A1.1 Environment Requirements
Temperature 10 – 31 °C

Humidity 25% - 80% (non-condensing)


Usage
Ambient 70 - 106.6 kPa
Blood Gas
Pressure (525 – 800 mmHg)
and
Chemistry Temperature -20 – 60 °C
Analyzer
Transport and Humidity 25% - 93% (non-condensing)
Storage
Ambient 40 - 106.6 kPa


Pressure (300 – 800 mmHg)

AL
Temperature
文 10 – 31 °C

Humidity 25% - 80% (non-condensing)


Usage

TI
Ambient 70 - 106.6 kPa
Pressure

(525 – 800 mmHg)
Temperature -10 – 37 °C
EN
Humidity ≤ 93% (non-condensing)

Test
Transport
Cartridge
Ambient 40 - 106.6 kPa
ID

Pressure (300 – 800 mmHg)


Temperature 4 – 30 °C
NF

Humidity ≤ 93% (non-condensing)


Storage

Ambient 40 - 106.6 kPa


Pressure (300 – 800 mmHg)
CO

Temperature 10 – 31 °C

Humidity 25% - 80% (non-condensing)


Usage
Ambient 70 - 106.6 kPa
AN

Pressure (525 – 800 mmHg)


Calibrant
Fluid Pack Temperature 2 – 8 °C (avoid freezing)
ED

Transport and Humidity ≤ 93% (non-condensing)


Storage
Ambient 65 - 106.6 kPa
Pressure (489 – 800 mmHg)

- 171 -
i15 Blood Gas and Chemistry Analysis System User Manual Specifications

A1.2 Analyzer Specifications

Size 315*238*153mm (length ×width ×height)

Weight 3.8 Kg (rechargeable battery included, adaptor not included)


LCD Screen 7 inch, 800*480, Color TFT

Power Supply Input 100V - 240V~


Input Current 1.2 A - 0.5 A

Power Frequency 50 Hz/60 Hz

Rechargeable Battery 14.8 VDC/4200 mAh or 5000mAh


Main Unit Input 19 VDC, 3.5 A

USB Interface 4 USB Interfaces

AL
Serial Port DB9

Bar Code Scanner embedded

A1.3 Performance Specifications


TI

EN
Sample Volume 140 uL

Test Time It takes no more than 70s from sampling to display of test results.
ID

A1.4 Printer

Printer Built-in thermal printer, thermal printer paper


NF

Paper Width 48 mm

A1.5 Rechargeable Battery


CO

Type Rechargeable lithium battery


When the battery is fully charged, the system can analyze and print
Working Time
50 samples.
AN

Necessary Charge time No more than 8 hours

Rated Capacity 4200 mAh or 5000mAh


ED

Rated voltage 14.8 V


Charge Mode Constant voltage/current

- 172 -
i15 Blood Gas and Chemistry Analysis System User Manual Specifications

Charge Current (standard) 0.2C5A

Charge Temperature 0 °C - +50 °C (+32 °F - +122 °F)

Operating Temperature -20 °C - +60 °C (-4 °F - +140 °F)


Short Term (within 1 month): -20 °C - +60 °C (-4 ºF - +140 ºF)
Middle Term (within 3 months): -20 °C - +45 °C (-4 ºF - +113 ºF)
Storage
Long Term (within 1 year): -20 °C - +20 °C (-4 ºF - +68 ºF)
During storage, recharge the battery at least every six months.
Cycle Life ≥300 times

A1.6 Safety Specifications

EN 61010-1: 2001, EN 61010-2-101: 2002,


Comply with
EN 61326-1: 2006, EN 61326-2-6: 2006
The system meets the requirements of IEC 61010-1: 2001 at 5 –

AL
Safety temperature
40 °C, but it cannot work at the temperature greater than 31 °C.

Maximum relative humidity 80% for temperatures up to 31 °C
Safety humidity range
decreasing linearly to 50% relative humidity at 40 °C.

TI

Pollution degree 2
Degree of protection against
Ordinary equipment (Sealed equipment without water proof)
EN
harmful ingress of water

Degree of safety in presence


Equipment not suitable for use in presence of flammable gases
of flammable gases
ID

EMC CISPR 11 Group 1, Class A

Mode of operation Continuous (Indoor use only)


NF

CO
AN
ED

- 173 -
i15 Blood Gas and Chemistry Analysis System User Manual Measurement Ranges

Appendix 2 Measurement Ranges


A2.1 Measurement Ranges for Measured Parameters

Parameter Measurement Range


pH 6.5~ 8.0
pO2 10mmHg ~ 700mmHg
pCO2 10.0mmHg ~ 150.0mmHg
K+ 2.0mmol/L ~ 9.0mmol/L
Na+ 100mmol/L ~ 180mmol/L
Cl- 65mmol/L ~ 140mmol/L
Ca++ 0.25mmol/L ~ 2.50mmol/L
Glu 10%PCV ~ 75%PCV


Lac 1.1mmol/L ~ 38.9mmol/L

AL
Hct 文 0.30mmol/L ~ 20.00mmol/L

A2.2 Measurement Ranges for Calculated Parameters

Parameter Measurement Range

TI Unit

tHb(est) 2.9 ~ 27.7 g/dL
ctCO2 1 ~ 100 mmol/L
EN
cH+ 10.0 ~ 316.2 nmol/L

HCO3-act 1.0 ~ 99.9 mmol/L


HCO3-std 1.0 ~ 99.9 mmol/L
ID

BE(ecf) (-38.0) ~ (+38.0) mmol/L


BE(B) (-38.0) ~ (+38.0) mmol/L


BB(B) 4.9 ~ 91.3 mmol/L
NF

sO2(est) 1 ~ 100 %

pO2 (A-a) 0 ~ 733 mmHg


pO2 (a/A) 0.00 ~ 1.00
CO

RI 0 ~ 73.30
pO2/FIO2 10 ~ 3333 mmHg
Ca++(7.4) 0.23 ~ 2.71 mmol/L
AnGap (-137) ~ (+123) mmol/L
cH+ (T) 10.0 ~ 316.2 nmol/L
AN

pH(T) 6.5 ~ 8.0


pCO2(T) 10.0 ~ 150.0 mmHg
pO2(T) 10 ~ 700 mmHg
ED

pO2(A-a)(T) 0 ~ 733 mmHg


pO2(a/A)(T) 0.00 ~ 1.00
RI(T) 0 ~ 73.30

- 174 -
i15 Blood Gas and Chemistry Analysis System User Manual Measurement Ranges

pO2(T)/FIO2 10 ~ 3333 mmHg


mOsm 200.9 ~ 449.4 mOsm/L


AL

TI

EN

ID

NF

CO
AN
ED

- 175 -
i15 Blood Gas and Chemistry Analysis System User Manual Reference Ranges

Appendix 3 Reference Ranges


NOTE:

Because reference ranges may vary with demographic factors such as age, gender and
heritage, it is recommended that the individual institutions should establish their own
reference ranges according to the population being tested. The following reference
ranges are for reference only.

Reference Range
Parameter
Arterial Venous
pH 7.35 - 7.45 7.31 - 7.41
pO2(mmHg) 80 - 105 35 - 40


pCO2(mmHg) 35 - 45 41 - 51
Na+(mmol/L) 138 - 146 138 - 146

AL
K+(mmol/L) 3.5 - 4.9 3.5 - 4.9
Cl-(mmol/L)

98 - 109 98 - 109
Ca++(mmol/L) 1.12 - 1.32 1.12 - 1.32
Glu 3.3 – 5.6

TI 3.3 – 5.6

Lac 0.50 – 1.60 0.50 – 2.20
Hct (%) 38 - 51 38 - 51
EN

ID

NF

CO
AN
ED

- 176 -
i15 Blood Gas and Chemistry Analysis System User Manual EMC Information

Appendix 4 EMC Information


NOTE:

 The system complies with the emission and immunity requirements of IEC61326.

 The system has been designed and tested to CISPR 11 Class A. In a domestic
environment it may cause radio interference, in which case, you may need to take
measures to mitigate the interference.

 The electromagnetic environment should be evaluated prior to operation of the


system.

 Do not use the system in close proximity to sources of strong electromagnetic


radiation (e.g. unshielded intentional RF sources), as these may interfere with the

AL
proper operation.

Guidance and manufacture’s declaration - electromagnetic emissions-

TI
for all EQUIPMENT and SYSTEMS

Guidance and manufacture’s declaration – electromagnetic emission
EN
The system is intended for use in the electromagnetic environment specified below. The user of

the system should ensure that it is used in such an environment.


Emission test Compliance Electromagnetic environment – guidance
ID

The system uses RF energy only for its internal


RF emissions function. Therefore, its RF emissions are very low and
NF

Group 1
CISPR 11 are not likely to cause any interference to nearby

electronic equipment.
CO

RF emissions
Class A
CISPR 11

Harmonic
The system is suitable for use in all establishments
AN

emissions Class A
other than domestic and those directly connected to the
IEC 61000-3-2
public low-voltage power supply network that supplies
buildings used for domestic purposes.
Voltage
ED

fluctuations/ flicker
Complies
emissions
IEC 61000-3-3

- 177 -
i15 Blood Gas and Chemistry Analysis System User Manual EMC Information

Guidance and manufacture’s declaration - electromagnetic immunity -


for all EQUIPMENT and SYSTEMS

Guidance and manufacture’s declaration – electromagnetic immunity


The system is intended for use in the electromagnetic environment specified below. The customer
or the user of the system should ensure that it is used in such an environment.
IEC 61326 Electromagnetic
Immunity test Compliance level
test level environment -guidance
Electrostatic ±4 kV contact ±4 kV contact Floors should be wood,
discharge (ESD) ±8 kV air ±8 kV air concrete or ceramic tile.
IEC 61000-4-2 If floor is covered with
synthetic material, the
relative humidity should
be at least 30%.


Electrical fast ±1 kV for power ±1 kV for power supply Mains power quality
transient/burst IEC supply lines lines should be that of a typical

AL
61000-4-4 commercial or hospital
文 environment.
Surge ±1 kV line to line ±1 kV line to line Mains power quality
IEC 61000-4-5 ±2 kV line to ground

TI
±2 kV line to ground should be that of a typical

commercial or hospital
environment.
EN
Power frequency 3 A/m 3 A/m Power frequency

(50 Hz/60 Hz) magnetic fields should be


magnetic field at levels characteristic of
ID

IEC 61000-4-8 a typical location in a


typical commercial or

hospital environment.
Voltage dips, short 0% UT (100% dip in 0% UT (100% dip in Mains power quality
NF

interruptions and UT) for 1 cycle UT) for 1 cycle should be that of a typical

voltage variations commercial or hospital


on power supply 40% UT (60% dip in 40% UT (60% dip in environment. If the user
CO

input lines UT) for 5/6 cycles UT) for 5/6 cycles of the system requires
IEC 61000-4-11 continuous operation
70% UT (30% dip in 70% UT (30% dip in during power mains
UT) for 25/30 cycles UT) for 25/30 cycles interruptions, it is
recommended that the
AN

<5% UT (>95% dip in <5% UT (>95% dip in system be powered from


UT) for 250/300 cycles UT) for 250/300 cycles an uninterruptible power
supply or a battery.
ED

- 178 -
i15 Blood Gas and Chemistry Analysis System User Manual EMC Information

Field strengths from


fixed RF transmitters, as
determined by an
electromagnetic site
a
Conducted RF IEC 3 Vrms 3 Vrms survey, should be less
61000-4-6 150 kHz to 80 MHz than the compliance level
in each frequency range.b
Interference may occur in
3 V/m the vicinity of equipment
Radiated RF 80 MHz to 2.0 GHz marked with the
IEC 61000-4-3 3 V/m following symbol:


NOTE 1 UT is the a.c. mains voltage prior to application of the test level.

AL
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected
by absorption and reflection from structures, objects and people.

NOTE 3: Over the frequency range 150kHz to 80 MHz, field strengths should be less than 3 V/m.
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless)

TI
telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast

can not be predicted theoretically with accuracy. To assess the electromagnetic environment due to
fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field
EN
strength in the location in which the system is used exceeds the applicable RF compliance level

above, the system should be observed to verify normal operation. If abnormal performance is
observed, additional measures may be necessary, such as reorienting or relocating the system.
ID

NF

CO
AN
ED

- 179 -
i15 Blood Gas and Chemistry Analysis System User Manual FCC Information

Appendix 5 FCC Information


A5.1 FCC Statement
This equipment has been tested and found to comply with the limits for a Class B digital device,
pursuant to part 15 of FCC Rules. These limits are designed to provide reasonable protection
against harmful interference in a residential installation. This equipment generates and can radiate
radio frequency energy and, if not installed and used in accordance with the instructions, may
cause harmful interference to radio communications. However, there is no guarantee that
interference will not occur in a particular installation. If this equipment does cause harmful
interference to radio or television reception, which can be determined by turning the equipment


off and on, the user is encouraged to try to correct the interference by one or more of the
following measures:

AL
 Reorient or relocate the receiving antenna.

 Increase the separation between the equipment and receiver.

TI

 Connect the equipment into an outlet on a circuit different from that to which the receiver is
connected.
EN
 Consult the dealer or an experienced radio/TV technician for help.

This device complies with Part 15 of FCC Rules.


ID

Operation is subject to the following two conditions:

This device may not cause harmful interference, and this device must accept any interference
NF

received, including interference that may cause undesired operation.

NOTE:
CO

The manufacturer is not responsible for any radio or TV interference caused by


unauthorized modifications to this equipment. Such modifications could void the user’s
authority to operate this equipment.
AN

A5.2 FCC RF Radiation Exposure Statement


ED

This equipment complies with FCC RF radiation exposure limits set forth for an uncontrolled
environment. This equipment should be installed and operated with a minimum distance of 20
centimeters between the radiator and your body.

- 180 -
i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide

Appendix 6 HIS/LIS Interface Guide


NOTE:

When connecting the i15 system to HIS/LIS, please set the TCP/IP port of HIS/LIS to
8000.

A6.1 Principle

A6.1.1 Communication Design

HL7 messages can be transmitted via network or serial port, and the i15 system ustilises network


to transmit them. EDAN HL7 protocol defines that the network connection uses C/S mode. The
i15 system transmits data to HIS/LIS.

AL
The i15 system and HIS/LIS should be in the same local area network to exchange data. The i15

system converts data to HL7 messages, and transmits them to HIS/LIS. HIS/LIS also transmits

TI
HL7 messages to the i15 system.

EN

ID

NF

Figure A6-1 System Design


CO

A6.1.2 Data Transmission

The i15 system transmits ORU messages only in the unsolicited transmission mode, and
receives acknowledgements from HIS/LIS. If HIS/LIS engineers require the i15 system should
AN

handle the acknowledgements, it will also transmit response messages.


ED

- 181 -
i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide


Figure A6-2 Data Transmission

A6.1.3 HL7 Lower Layer Protocol (MLLP)

AL

To label the edges of HL7 messages, HL7 lower layer protocol is utilized.

The format is shown below:

TI

0x0B HL7 Message 0x1C 0x0D
EN
Figure A6-3 HL7 Message Diagram

 If messages begin with ASCII<VT> characters, hexadecimal is represented as 0x0B.


ID

 If messages end with ASCII<FS> and <CR>, hexadecimal is represented as 0x1C and 0x0D.

NOTE:
NF

Only when the service application transmits original HL7 data should there be start characters

and end characters. If the service application selects XML format, the diagram above is not
CO

applicable. There are only HL7 messages, and they are encoded into XML format.

A6.1.4 Message Encoding Types

The i15 system utilizes UTF8 to encode and decode messages. If HIS/LIS does not utilize UTF8,
AN

it should add UTF8.


ED

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i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide

A6.2 HL7 Messages

A6.2.1 Message Syntax

For details about HL7 message syntax, please refer to HL7 Standards.

Each HL7 message consists of some segments, and segments are ended with <CR>.

Each segment consists of a three-character segment name and variable numbers of data fields.
Data fields consist of components and subcomponents. Separators are defined in the MSH
segment.

For example:

MSH|^~\&|||||||ORU^R01|0001|P|2.4


The five separators behind MSH are used to separate fields, components and subcomponents.

AL
Although they can be any non-text character, the following characters are recommended in HL7

Standards:

Character Definition

TI

| Field separator
^ Component separator
EN
& Subcomponent separator
~ Repetition separator

\ Escape character
ID

Message Rules: [ ] represents the segment can be selected.


{ } represents that the segment can be repeated 0, once, or many times.


NF

A6.2.2 Supporting Message Types


The following message types are supported:


CO

Patient Results / QC Results: ORU^R01.

A6.2.3 ACK Messages


AN

The structure of acknowledgement meassages is as follows:

MSH Message Header


ED

MSA Message Acknowledgement

Where the MSA segment contains a confirmation code and message control ID. If it is an error,

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i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide

there will be an error string.

MSH|^~\&|EDAN|i15|LIS||20130929174802||ACK^R01|1|P|2.4||||0|| UNICODE UTF-8|||

MSA|AA|1|Message accepted

A6.2.4 Report Transmission

A6.2.4.1 ORU^R01 Messages

Patient results and QC results are transmitted to HIS/LIS in the form of ORU^R01 messages.

The rules for ORU^R01 messages are as follows: "MSH {[PID [PD1] <NK1> <NTE> [PV1
[PV2]]] {[ORC] OBR <NTE> [CTD] {[OBX] <NTE>} <FT1> <CTI>}} [DSC]". Where, PID


segment is for patient information. OBR contains sample ID and the time when OBX data are

AL
generated. OBX segment depicts the parameter values at OBR.

A6.2.4.2 Patient Results

TI

Patient results contain the following information:


EN
Item Information (Test Time, Item Name)

 Sample Information (Sample ID, Sample Type, Operator ID)


ID

 Patient Information

 Test Results
NF

The transmission structure of patient results is as follows:


ORU Observational Results (Unsolicited) Description


CO

MSH Message Header (Item Name, Message Date)

PID Patient Information (Patient ID, Sex)

OBR Observation Report (Sample ID, Sample Type, Operator ID)


AN

{OBX} Test Results (Test Date, Patient Information, Measured Results, Calculated Results,
Calibration Results)
ED

A6.2.4.3 QC Results

QC results contain the following information:


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i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide

 Item Information (Current Date, Item Name)

 QC Related Information (Test Date, QC Name, QC Type, Lot Number, Level, Operator ID)

 Test Results (Parameter Name, Value, Unit, Status (Under Control, Out of Control,
Calibration Failure), Reference Range, Calibration Result)

The transmission structure of QC results is as follows:

ORU Observational Results (Unsolicited) Description

MSH Message Header (Item Name, Test Date)

OBR QC Results (QC Name, QC Type, Lot Number, Level, Operator ID)

OBX Test Results (QC Results)


A6.3 Appendix

AL
A6.3.1 Message Segment

TI

A6.3.1.1 MSH
EN
For example: MSH|^~\&|EDAN|i15|LIS||20130929174802||ORU^R01|1|P|2.4||||0|| UNICODE

UTF-8|||
ID

The following fields of the MSH Segment are utilized:


No. Length Type Field Name Description


It contains segment ID and
NF

the first field separator. It


1. Field Separator 1 defines field separators of


the remaining parts of a
CO

message.
It contains component
separators, repetition
separators, escape
2. 4 ST Encoding Characters
characters, and
AN

subcomponent separators
(^~\&).
3. 180 HD Sending Application It is Edan by default.
ED

4. 180 HD Sending Facility Product Model


5. 180 HD Receiving Application It is HIS/ LIS by default.
6. 180 HD Receiving Facility Not Present
7. 26 TS Date/Time of Message It is the UTC time of the
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i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide

system.
8. 40 ST Security Not Present, Retain
For example, ORU^R01.
ORU^R01 messages are
mainly used to transmit test
9. 13 CM_MSG_TYPE Message Type results in HL7. The i15
system uses them to
transmit patient results/ QC
results to HIS/LIS.
It identifies a message. The
10. 20 ST Message Control ID i15 system number
messages from 1.
11. 3 PT Processing ID It is P (Product).
HL7 Protocol Version: 2.4
12. 60 VID Version ID


(Default Setting)
13. 15 NM Sequence Number Not Present, Retain

AL
14. 180 ST Continuation Pointer
文 Not Present, Retain
Accept Acknowledgment
15. 2 ID Not Present, Retain
Type

TI
The i15 system uses it as
result type:

Application Acknowledgment 0- Patient Result;
16. 2 ID
Type 1- Control Result;
EN
2- Calibration Verification

Result.
17. 3 ID Country Code Not Present, Retain
ID

It is UNICODE UTF-8 by
18. 16 ID Character Set

default.
Principal Language Of
19. 250 CE Not Present, Retain
NF

Message

Alternate Character Set


20. 20 ID Not Present, Retain
Handling Scheme
CO

21. 10 ID Conformance Statement ID Not Present, Retain

Remarks: this segment appears in all the messages. The 3rd and 4th fields are made by the HIS/LIS
developer. The 5th field should be EDAN, the 6th field should be i15, the 10th and 16th fields
should be integer, and other fields should be strings.
AN

A6.3.1.2 OBR (Patient Sample)


ED

OBR segments are used to transmit clinical order information about test reports.

For patient results data (when MSH-16 is 0), Test Time, Sample ID, and Sample Type should be
transmitted.
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i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide

For example: OBR|||20131009001|EDAN^i15|||20131001093000||||||||Artrial|opr001

The following fields are used:

No. Length Type Field Name Description


1 4 SI Set ID-OBR Not Present
2 22 EI Placer Order Not Present
Number
3 22 EI Filler Order The i15 system uses it as sample
Number ID.
4 250 CE Universal Service Manufacturer ^ Model:
ID EDAN^i15
5 2 ID Priority Not Present, Retain.
6 26 TS Requested Not Present, Retain.
Date/Time


7 26 TS Observation The i15 uses it as test time.

AL
Date/Time
8 26 TS Observation End Not Present, Retain
文 Date/Time
9 20 CQ Collection Volume Not Present, Retain
10 250 XCN Collector Identifier

TI Not Present, Retain



11 1 ID Specimen Action Not Present, Retain
Code
EN
12 250 CE Danger Code Not Present, Retain

13 300 ST Relevant Clinical Not Present


Info.
ID

14 26 TS Specimen Rcvd Not Present, Retain.


Date/Time
15 300 CM_SPECIMEN_SO Specimen Source The i15 system uses it as sample
NF

URCE type. There are six sample


types: Arterial, Venous, Mixed


Venous, Capillary, Aqueous,
CO

CPB.
16 250 XCN Ordering Provider The i15 system uses it as
operator ID.
17 250 XTN Order Call Back Not Present
Phone Num
AN

18 60 ST Placers Field Not Present


Number1
19 60 ST Placers Field Not Present, Retain
Number2
ED

20 60 ST Fillers Field Not Present, Retain


Number1
21 60 ST Fillers Field Not Present, Retain

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i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide

Number2
22 26 TS Results Rpt/Status Not Present, Retain
Chg-dt
23 40 CM_CHARGE_PRA Charge to Practice Not Present, Retain
CTICE
24 10 ID Diagnostic Serv Not Present, Retain
Sect ID
25 1 ID Result Status Not Present, Retain
26 400 CM_PARENT_RES Linked Results Not Present, Retain
ULT
27 200 TQ Quantity/Timing Not Present, Retain
28 250 XCN Result Copies to Not Present, Retain
29 200 CM_PARENT_ORD Parent Accession# Not Present, Retain
ER


30 20 ID Transportation Not Present, Retain
Mode

AL
31 250 CE 文Reason for Study Not Present, Retain
32 200 CM_RESULT_PERS Principal Result Not Present, Retain
ON Interpreter

TI
33 200 CM_RESULT_PERS Assistant Result Not Present, Retain
ON Interpreter

34 200 CM_RESULT_PERS Technician Not Present, Retain
ON
EN
35 200 CM_RESULT_PERS Transcriptionist Not Present, Retain

ON
36 26 TS Scheduled Not Present, Retain
ID

Date/Time

37 4 NM Number of Sample Not Present, Retain


Containers
NF

38 60 CE Transport Logistics Not Present, Retain


of Collected
Sample
CO

39 250 CE Collector’s Not Present, Retain


Comment
40 250 CE Transport Not Present, Retain
Arrangement
Responsibility
AN

41 30 ID Transport Arranged Not Present, Retain


42 1 ID Escort Required Not Present, Retain
43 250 CE Planned Patient Not Present, Retain
ED

Transport
Comment
44 250 CE Ordering Facility Not Present, Retain
Name

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i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide

45 250 CE Ordering Facility Not Present, Retain


Address
46 250 CE Ordering Facility Not Present, Retain
Phone Number
47 250 CE Ordering Provider Not Present, Retain
Address

Remarks: this message segment is contained in ORU^R01 messages only. The 1st, 3rd, 37th fields
should be integer, the 9th field should be floating-point, and other fields should be strings.

A6.3.1.3 OBR (QC)

For QC results (when MSH-16 is 1 or 2), QC Name, QC Type, Lot Number, Level, and Operator
ID should be transmitted.


For example:

AL

OBR||2|Calver|EDAN^i15|||2013100109300000||||||CommonQC|21219||opr001

OBR||2|LiquidCtl|EDAN^i15|||2013100109300000||||||CommonQC|21219||opr001

TI

The following fields are used:
EN
No. Length Type Field Name Description
1 4 SI Set ID-OBR Not Present

2 22 EI Placer Order The i15 system uses it as QC


Number level: 1, 2, 3, 4, 5; Low, High.
ID

3 22 EI Filler Order The i15 system uses it as QC


Number name. Control: Control


Calibration Verification: Calver
NF

4 250 CE Universal Service Manufacturer ^ Model:


ID EDAN^i15
5 2 ID Priority Not Present, Retain
CO

6 26 TS Requested Not Present, Retain


Date/Time
7 26 TS Observation The i15 system uses it as QC test
Date/Time time.
8 26 TS Observation End Not Present, Retain
AN

Date/Time
9 20 CQ Collection Not Present, Retain
Volume
ED

10 250 XCN Collector Not Present, Retain


Identifier
11 1 ID Specimen Action Not Present
Code
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i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide

12 250 CE Danger Code Not Present


13 300 ST Relevant Clinical The i15 system uses it as QC type.
Info. Hct: HctQc
Blood Gas and Electrolyte: BGQc
14 26 TS Specimen Rcvd QC Solution Lot Number
Date/Time
15 300 CM_SPECIMEN_SO Specimen Source Not Present
URCE
16 250 XCN Ordering The i15 system uses it as operator
Provider ID
17 250 XTN Order Call Back Not Present
Phone Num
18 60 ST Placers Field Not Present
Number 1


19 60 ST Placers Field Not Present
Number 2

AL
20 60 ST Fillers Field
文 Not Present
Number 1
21 60 ST Fillers Field Not Present

TI
Number 2
22 26 TS Results Not Present

Rpt/Status Chg-dt
23 40 CM_CHARGE_PRAC Charge to Not Present, Retain
EN
TICE Practice

24 10 ID Diagnostic Serv Not Present, Retain


Sect ID
ID

25 1 ID Result Status Not Present


26 400 CM_PARENT_RESU Linked Results Not Present, Retain


LT
NF

27 200 TQ Quantity/Timing Not Present, Retain


28 250 XCN Result Copies to Not Present, Retain


29 200 CM_PARENT_ORDE Parent Not Present, Retain
CO

R Accession#
30 20 ID Transportation Not Present, Retain
Mode
31 250 CE Reason for Study Not Present, Retain
32 200 CM_RESULT_PERSO Principal Result Not Present, Retain
AN

N Interpreter
33 200 CM_RESULT_PERSO Assistant Result Not Present, Retain
N Interpreter
ED

34 200 CM_RESULT_PERSO Technician Not Present, Retain


N
35 200 CM_RESULT_PERSO Transcriptionist Not Present, Retain
N

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i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide

36 26 TS Scheduled Not Present, Retain


Date/Time
37 4 NM Number of Not Present, Retain
Sample
Containers
38 60 CE Transport Not Present, Retain
Logistics of
Collected Sample
39 250 CE Collector’s Not Present, Retain
Comment
40 250 CE Transport Not Present, Retain
Arrangement
Responsibility
41 30 ID Transport Not Present, Retain


Arranged
42 1 ID Escort Required Not Present, Retain

AL
43 250 CE 文Planned Patient Not Present, Retain
Transport
Comment
44 250 CE Ordering Facility Not Present, Retain
Name

TI

45 250 CE Ordering Facility Not Present, Retain
Address
EN
46 250 CE Ordering Facility Not Present, Retain

Phone Number
47 250 CE Ordering Not Present, Retain
ID

Provider Address

Remarks: This message segment is contained in ORU^R01 messages only. The 1st, 11th, and 37th
NF

fields should be integer, and other fields should be strings.


A6.3.1.4 OBX
CO

OBX are mainly used to transmit test information in report messages.

Patient results:
AN

Patient Information (Patient ID, Temperature, Sex, etc.)

Test Results
ED

For example:

Patient Results:

OBX|1|NM|0|pH|121|mmHg|-9^300|N||||||20131001093000||opr001
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i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide

OBX|2|ST|2|O2MODE|RoomAir|||||||||20131001093000||opr001

QC Results:

Test Results (Parameter Name, Value, Unit, Status (Under Control, Out of Control, Calibration
Failure), Reference Range, Calibration Result)

OBX|1|NM|1|pH|121|mmHg|-9^300||||||undercontrol|20131001093000||opr001

No. Length Type Field Name Description


1 4 SI Set ID-OBX It determines different
OBX segments.
2 2 ID Value Type It is used as result type.
NM (numeric) is used for
quantitative items, and ST


(string) is used for
qualitative items.

AL
3 250 CE Observation Identifier
文 The i15 system uses it as
item ID. Measured
Parameter: 0; Calculated
Parameter: 1; Patient

TI Information: 2.

4 20 ST Observation Sub-ID The i15 system uses it as
item name, such as pH,
EN
Na+, Ca++.

5 65536 WILDCARD Observation Value The i15 system uses it as


test value, such as 134, ???
ID

6 250 CE Units Parameter unit, such as


mmol/L, mmHg.
7 60 ST Reference Range The normal range for a
NF

parameter, such as 39^45.


8 5 IS Abnormal Flags Descriptions for the test


result: L – Low; H – High;
CO

N - Normal;
***: Out of control, and
QC-Lockout disabled;
↓: Lower than reference
range;
↑: Higher than reference
AN

range.
9 5 NM Probability Not Present
10 2 ID Nature of Abnormal Test Not Present
ED

11 1 ID Observe Result Status Not Present


12 26 TS Date Last Obs Normal Not Present, Retain
Values

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i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide

13 20 ST User Defined Access Calibration Results:


Checks Pass, Fail;
QC Results: Under Control
,Out of Control,
Calibration Failure
14 26 TS Date/Time of the The i15 system uses it as
Observation test time.
15 250 CE Producer's ID Not Present, Retain
16 250 XCN Responsible Observer The i15 system uses it as
operator ID.
17 250 CE Observation Method Not Present, Retain
18 22 EI Equipment Instance Not Present, Retain
Identifier
19 26 TS Date/Time of the Analysis Not Present, Retain


Remarks: This message segment is contained in ORU^R01 messages only. The 1st, 3rd, and 9th
fields should be integer, the 5th and 13th fields should be floating-point, and other fields should be

AL
strings.

TI
A6.3.1.5 PID

PID segment is mainly used to build patient information. It is used in patient results only to
EN
transmit patient ID and sex. For example: PID|||PatientID|||||M.

The following fields are used:


ID

No. Length Type Field Name Description


1 4 SI Set ID-Patient ID Not Present


2 20 CX Patient ID(External ID) Not Present
NF

3 250 CX Patient Identifier List Patient ID, required.


4 20 CX Alternate Patient ID Not Present


5 250 XPN Patient Name Not Present
CO

6 250 XPN Mother's Maiden Name Not Present


7 26 TS Date/Time of Birth Not Present
8 1 IS Sex Male: M; Femail: F; Other: O;
Unknown: U.
9 250 XPN Patient Alias Not Present
AN

10 250 CE Race Not Present, Retain


11 250 XAD Patient Address Not Present
12 4 IS County Code Not Present
ED

13 250 XTN Phone Number-Home Not Present


14 250 XTN Phone Number-Business Not Present, Retain
15 250 CE Language-Patient Not Present, Retain
16 250 CE Marital Status Not Present, Retain
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i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide

17 250 CE Religion Not Present


18 250 CX Patient Account Number Not Present
19 16 ST SSN Number-Patient Not Present
20 25 DLN Drivers License Number- Patient Not Present
21 250 CX Mother's Identifie Not Present
22 250 CE Ethnic Group Not Present
23 250 ST Birth Place Not Present
24 1 ID Multiple Birth Indicator Not Present, Retain
25 2 NM Birth Order Not Present, Retain
26 250 CE Citizenship Not Present
27 250 CE Veterans Military Status Not Present, Retain
28 250 CE Nationality Not Present
29 26 TS Patient Death Date and Time Not Present
30 1 ID Patient Death Indicator Not Present


31 1 ID Identity Unknown Indicator Not Present
32 20 IS Identity Reliability Code Not Present

AL
33 26 TS Last Update Date/Time
34 40 HD

Last Update Facility
35 250 CE Species Code Not Present

TI
36 250 CE Breed Code Not Present

37 80 ST Strain
38 250 CE Production Class Code
EN
Remarks: This message segment is contained in ORU^R01 messages only. The 1st and 9th fields

should be integer, the 24th and 30th fields should be bool data, and other fields should be strings.
ID

A6.3.1.6 MSA

NF

No. Length Type Field Name Description


1 2 ID Acknowledgement Code AA: Accept;

AE: Error;
AR: Reject.
CO

2 20 ST Message Control ID It is the same as the MSH-10 of the


sending facility.
3 80 ST Text Message A text log for an error or reject. It
corresponds to the 6th field, and it is
AN

used to log error.


4 15 NM Expected Sequence Retain
Number
5 1 ID Delayed Ack Type Retain
ED

6 250 CE Error Condition Retain

Remarks: This message segment can be contained in ACK^R01, QCK^Q02, and ACK^Q03
messages.
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i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide

A6.3.2 Examples

A6.3.2.1 Patient Results

Patient Results:


AL

TI
Figure A6-4 Patient Results

Measured Results:
EN

ID

NF

CO

Figure A6-5 Measured Results


AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide

Calculated Results:


Figure A6-6 Calculated Results

Patient Information:

AL

TI

EN

ID

NF

Figure A6-7 Patient Information

HL Data:
CO

MSH|^~\&|EDAN|i15|LIS||20131213162551||ORU^R01||P|2.4||||0||UNICODE UTF-8||||

PID|||1|||||U|||||||||||||||||||||||||||||||

OBR|||20131117002|EDAN^i15|||20131117043117||||||||CPB|edan||||||||||||||||||||||||||||||||
AN

OBX|0|ST|0|pH|---||6.500^8.000||||||Fail|20131117043117||edan||||
ED

OBX|1|ST|0|pO2|24.3|kPa|1.3^93.3|***|||||Pass|20131117043117||edan||||

OBX|2|ST|0|pCO2|???|kPa|1.33^20.00||||||Pass|20131117043117||edan||||

OBX|3|ST|0|Na|>|mmol/L|100^180|180|||||Pass|20131117043117||edan||||
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i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide

OBX|4|ST|0|K|8.2|mmol/L|2.0^9.0|***|||||Pass|20131117043117||edan||||

OBX|5|ST|0|Ca|0.58|mmol/L|0.25^2.50||||||Pass|20131117043117||edan||||

OBX|6|ST|0|Cl|>|mmol/L|65^140|140|||||Pass|20131117043117||edan||||

OBX|7|ST|0|Hct|24|%|10^75|***|||||Pass|20131117043117||edan||||

OBX|8|ST|1|tHbest|10|g/dL|3.4^25.5|||||||20131117043117||edan||||

OBX|9|ST|1|cH|120.5|nmol/L|10.0^316.2|||||||20131117043117||edan||||

OBX|10|ST|1|HCO3act10.1mmol/L|1.0^99.9|||||||20131117043117||edan||||

OBX|11|ST|1|HCO3std|12.3|mmol/L|1.0^99.9|||||||20131117043117||edan||||


OBX|12|ST|1|BEecf|???|mmol/L|-30.0^30.0|||||||20131117043117||edan||||

OBX|13|ST|1|BEB|6.3|mmol/L|-30.0^30.0|||||||20131117043117||edan||||

AL

OBX|14|ST|1|BBB|???|mmol/L|13.1^82.4|||||||20131117043117||edan||||

TI
OBX|15|ST|1|ctCO2|???|mmol/L|1^100|||||||20131117043117||edan||||

OBX|16|ST|2|HbType|Adult|||||||||20131117043117||edan||||
EN
OBX|17|ST|2|PunctureSite|LR|||||||||20131117043117||edan||||

OBX|18|ST|2|VentMode|None|||||||||20131117043117||edan||||
ID

OBX|19|ST|2|O2Mode|Room Air|||||||||20131117043117||edan||||

OBX|20|ST|2|Bypass|Pump Off|||||||||20131117043117||edan||||
NF

Data Field Definition Analysis


MSH Analysis:
CO
AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide

PID Analysis:

OBR Analysis:


OBX Analysis:

AL

TI

EN

ID

OBX Analysis:
NF

CO
AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide

A6.3.2.2 Control Results (BG)

Control Data:


AL

Figure A6-8 Control Data

Control Test Results:

TI

EN

ID

NF

CO

Figure A6-9 Control Test Results

HL7 Data:
MSH|^~\&|EDAN|i15|LIS||20131213162901||ORU^R01||P|2.4||||1||UNICODE UTF-8||||
AN

PID|||||||||||||||||||||||||||||||||||||||

OBR||1|Control|EDAN^i15|||20131117040651||||||BGQc|00000000||edan||||||||||||||||||||||||||||||||
ED

OBX|0|ST|0|pH|---||7.120^7.201||||||CaliFail|20131117040651||edan||||

OBX|1|ST|0|pO2|12.7|kPa|7.4^10.1||||||OutControl|20131117040651||edan||||

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i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide

OBX|2|ST|0|pCO2|7.31|kPa|8.02^10.16||||||OutControl|20131117040651||edan||||

OBX|3|ST|0|Na|131|mmol/L|111^119||||||OutControl|20131117040651||edan||||

OBX|4|ST|0|K|3.4|mmol/L|1.4^2.4||||||OutControl|20131117040651||edan||||

OBX|5|ST|0|Ca|1.29|mmol/L|1.27^1.77||||||UnderControl|20131117040651||edan||||

OBX|6|ST|0|Cl|???|mmol/L|73^81||||||OutControl|20131117040651||edan||||

Data Field Definition Analysis

MSH Analysis:


AL
OBR Analysis:

TI

EN

ID

OBX Analysis:

NF

CO
AN
ED

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i15 Blood Gas and Chemistry Analysis System User Manual HIS/LIS Interface Guide

A6.3.2.3 Calibration Verification Results (Hct)

Calibration Verification Data:


AL

Figure A6-10 Calibration Verification Data

TI
Calibration Verification Test Results:

EN

ID

NF

CO

Figure A6-11 Calibration Verification Test Results

HL7 Data:

MSH|^~\&|EDAN|i15|LIS||20131213163038||ORU^R01||P|2.4||||2||UNICODE UTF-8||||
AN

PID|||||||||||||||||||||||||||||||||||||||
ED

OBR||2|CalVer|EDAN^i15|||20131117041311||||||HctQc|00000000||edan||||||||||||||||||||||||||||||||

OBX|0|ST|0|Hct|6|%|17^23||||||OutControl|20131117041311||edan||||

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ED 理
AN 邦
CO 保
NF 密
ID 文
EN 件
TI
AL

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