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RADIOMETER FLEX ABL90 User Manual

RADIOMETER FLEX ABL90
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Operator Training Guide
ABL90 FLEX analyzer
1 of 36EXT-VEND-MAN-0023-1 Owner:Julie Monnox Approved:27 Mar 2019
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RADIOMETER FLEX ABL90 Specifications

General IconGeneral
Analyzer TypeBlood Gas Analyzer
Analysis Time35 seconds
User InterfaceTouch screen
Power Supply100-240 V AC, 50/60 Hz
Parameters MeasuredpH, pCO2, pO2
Sample TypeWhole blood
Sample Volume65 µL
CalibrationAutomatic
ConnectivityUSB, Ethernet
Operating Temperature15-30°C
Operating Humidity20-85% relative humidity, non-condensing

Summary

Operator Training Overview

ABL90 FLEX Analyzer Training Guide

Details the operator training guide as a tool for trainers, including processes, tasks, and hands-on suggestions.

Analyzer Component Identification

Identifying Main Analyzer Parts

Illustrates and describes key parts like touch screen, barcode reader, and sample inlets.

Syringe Sample Preanalytical Errors

Stable Respiratory Condition

Patient state for accurate respiratory condition, rest period, and ventilation settings.

Patient and Sample Identification

Ensures correct patient data, avoids mix-ups, misdiagnosis, and wrong treatment.

Preheparinized Sampler Selection

Recommends dry electrolyte-balanced heparin for anticoagulation and explains its properties.

Syringe Sample Preanalytical Errors Continued

Correct Blood Volume and Mixing

Discusses blood volume, flush solutions, air bubble removal, and manual/integrated mixing.

Timely Sample Analysis

Details how sample metabolism affects PO₂, PCO₂, pH, Ca²⁺, glucose, and lactate.

Syringe Sample Measurement Procedure

Operator and Sample Identification

Covers sharing barcodes, accountability, traceability, and patient record keeping.

Analyzer Ready Mode

Explains the "Ready" mode and the green light indicator for sample measurement.

Syringe Sample Measurement Procedure Continued

Sample Introduction Steps

Details the step-by-step process: LIFT, ALIGN, PUSH, HOLD, REMOVE, CLOSE.

Syringe Sample Measurement Procedure Continued

Patient Information and Result Viewing

Explains mandatory fields, viewing results, critical limits, errors, and reference ranges.

Results Documentation and Log Off

Covers patient results log, reporting, ranges, critical limits, and analyzer log off.

Capillary Sample Preanalytical Errors

Stable Condition and Identification

Covers patient stability and appropriate identification for capillary samples.

Capillary Tube Preparation

Details heparinized tubes, types, correct volume, and avoiding tissue contamination.

Capillary Sample Preanalytical Errors Continued

Air Bubbles, Mixing, and Analysis Timing

Addresses air bubbles, gentle mixing to avoid hemolysis, and timely sample analysis.

Capillary Sample Measurement Procedure

Operator ID and Analyzer Readiness

Covers operator identification, sharing barcodes, and analyzer "Ready" mode status.

Capillary Sample Handling

Describes removing end caps and attaching the clot catcher for capillary samples.

Capillary Sample Measurement Procedure Continued

Capillary Sample Introduction

Details the step-by-step process for introducing capillary samples.

Capillary Sample Measurement Procedure Continued

Patient Data, Results, and Log Off

Explains patient information, viewing results, ranges, critical limits, and analyzer log off.

Analyzer Consumables Overview

Solution Pack and Sensor Cassette Details

Describes the components and features of the solution pack and reference sensor.

Changing Analyzer Consumables

Replacing Thermal Printer Paper

Details steps for replacing thermal printer paper, including screen navigation and physical actions.

Changing Analyzer Consumables Continued

Replacing the Solution Pack

Describes replacing the solution pack, including screen navigation and physical steps.

Changing Analyzer Consumables Continued

Replacing the Sensor Cassette

Details replacing the sensor cassette, including conditioning time and screen guidance.

Analyzer Troubleshooting and Status

Understanding Analyzer Readiness

Explains conditions for readiness, parameter status, traffic lights, and test cycle indicators.

General Information and Compliance

Analyzer Cleaning and Maintenance

Reminds to clean inlet/mixing device and refers to IFU for exterior cleaning.

Compliance and Competency

Covers infection control, blood handling, password expiration, and competency testing.

Support Contact Information

Identifies first points of contact for support, such as Laboratory/POC or Other.

Key Operator Training

Key Operator Training Program

Provides in-depth knowledge on device concepts and specifications for key operators.

Additional Training Resources

Lists other training materials like Blood Gas Handbook and Preanalytics.

Consumable Replacements and Storage

Consumable Storage Guidelines

Specifies storage temperatures for sensor cassette and solution pack, emphasizing stock rotation.

Recommended Replacement Intervals

Provides recommended replacement intervals for consumables and inlet gasket.

Reusing Analyzer Consumables

Sensor Cassette Reuse Conditions

Lists six conditions for reusing a sensor cassette on another analyzer.

Solution Pack Reuse Conditions

Lists three conditions for reusing a Solution Pack on another analyzer.

Analyzer Cleaning Procedures

Inlet Gasket and Exterior Cleaning

Stresses keeping the inlet gasket clean and details exterior cleaning steps.

Disinfection Guidelines

Advises following guidelines for disinfecting and refers to the IFU.

Troubleshooting Guide

When Troubleshooting is Necessary

Explains when troubleshooting is required based on analyzer modes and messages.

Advanced Troubleshooting Procedures

Describes guided troubleshooting procedures, modes, and resolution steps.

Resolving Analyzer Modes

Details steps for exiting Operator Action, Troubleshooting, and Intervention Required modes.

Quality Control and Calibration Overview

Quality Control Management Importance

Emphasizes QC for evaluating analyzer performance and ensuring accurate results.

Built-in QC Measurement Details

Explains the use of QC solutions from the solution pack for built-in QC measurements.

Built-in QC Measurement Frequency

Details the schedule for built-in QC, including hourly frequency and event triggers.

Quality Control and Calibration Details

System Checks and Parameter Calibration

Covers system checks and sensitivity calibration of various parameters like pCO₂, pH, and pO₂.

Calibration After Sensor Cassette Replacement

Explains increased calibration frequency in the 24 hours post-sensor cassette replacement.

Quality Control and Calibration Analysis

Interpreting Calibration Results

Explains how calibration results are marked (bold, light gray) and linked to measurements.

Automated Corrective Actions

Describes automated evaluations, repeated calibrations/QCs, and logging.

Levey-Jennings Plot for QC

Explains the plot for overviewing QC variations and tracking solution pack changes.

Theoretical Aspects of Blood Gas Analysis

General Measuring Principles

Introduces four measuring principles: Potentiometry, Amperometry, Optical pO₂, Spectrophotometry.

Activity Versus Concentration

Explains the relationship between activity, concentration, and the Nernst equation.

Theoretical Aspects of Blood Gas Analysis Continued

Analyzer Construction and Sensors

Describes the general construction and location of sensors within the cassette.

Analyzer Parameters

Measured Parameter Ranges

Guides to finding indication and reportable ranges in the IFU, and defines them.

Limitations of the Measuring System

System Limitations Reference

Refers to the IFU's "Specification" chapter for system limitations.

Analyzer Setup and Management

Operator Management and Access

Explains operator management, anonymous use, and access profiles in IFU.

Setup and Data Backup Procedures

Refers to the IFU's "Setup" chapter for details on analyzer setup and data backup.

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