Dimension® Xpand® and Xpand® Plus Integrated Chemistry System Overview Online Training

Continue Continue Continue Continue Continue Continue Continue Continue Untitled Scene Master Template HILS2218 | Effective Date: 25 Mar 2022 ? Dimension® Xpand® and Xpand® Plus Integrated Chemistry System Overview Online Training This online training will provide you with the foundation to successfully setup and operate the analyzer. Identify Dimension® System technologies, hardware components and functions 1 Utilize the touchscreen as the communication link between the analyzer and the operator 3 Navigate through the software screens using the system keyboard and proper techniques 2 Welcome System Hardware The Dimension® Xpand® and Xpand® Plus Integrated Chemistry Systems are discrete, microprocessor-controlled, analyzers that measure a variety of analytes. In this section, you will learn about the technologies and associated components, as well as functional areas within the analyzer. ? System Hardware Audio: In the System Hardware section, you will learn about key components, including the sample area, reagent area, and cuvette area. The analyzer also includes the Integrated Multisensor Technology (IMT) system and the Heterogeneous Immunoassay (HM) Module. Please refer to the online training and videos that specifically address these technologies for more information. dimension_xpand_so_olt_1.2.mp3 Sample Area Select the tab arrows to learn more about the Sample Area. Sample Containers Sample Segments Barcode Readers Sample Probe ? The Sample Area is the location for loading and processing samples in the Dimension® System. Sample Area Audio: Sample Area Layer (base layer): All test processing begins in the sample area where the Photometric Sample Probe delivers sample to either a cuvette, HM reaction vessel on the Heterogeneous Module, or IMT port for Integrated Multisensor Technology processing. For more information about sample processing on the Dimension® System, please see the Dimension® Integrated Chemistry System Sample Processing Online Training. Select the tab arrows to learn more about the Sample Area components. dimension_xpand_so_olt_1.3.mp3 Sample Containers Layer: The Dimension® System processes serum, plasma, urine, and cerebrospinal fluids. Use only these sample containers when processing samples: Un-stoppered 5-mL, 7-mL, and 10-mL primary sample tubes, whether barcoded or non-barcoded, Dimension® Sample Cups with lids and Dimension® Small Sample Containers, or SSCs. Hover over the numbers in the image to identify the sample containers. Then select the X in the upper right corner to continue. dimension_xpand_so_olt_1.3a.mp3 Sample Segments Layer: Load sample containers into segments, and if necessary, into an adapter. Segments fit inside the sample wheel and hold all the samples to be processed on the analyzer. The sample wheel holds up to six segments. Each segment holds up to ten samples. Select the X in the upper right corner to continue. dimension_xpand_so_olt_1.3b.mp3 Barcode Readers Layer: The Dimension® System sample area contains both an inner and an outer barcode reader that reads patient data on barcode labels. All barcode labels must be visible through segment openings when barcoded tubes are loading into segments. Hover over the numbers on the image to identify the barcode readers. Then select the X in the upper-right corner to continue. dimension_xpand_so_olt_1.3c.mp3 Sample Probe Layer: The photometric sample probe aspirates patient, QC or calibration samples from sample containers and delivers them to the cuvettes and/or reaction vessels. The probe then delivers bound sample reactants from HM reaction vessels to cuvettes. Next, the photometric sample probe level senses samples in primary tubes and sample cups. Level sensing occurs when the photometric sample probe checks the sample level height in each primary tube to determine if there is sufficient fluid volume to process the tests requested. If the system detects insufficient volume, the Short Sample icon appears on the touchscreen. For more information about the system icons, please see the Operating Conditions Status Area Icons section in this course. Finally, the probe delivers samples to the HM reaction vessel for HM tests. Select the X in the upper right corner to continue. dimension_xpand_so_olt_1.3d.mp3 Sample Probe The photometric sample probe: Delivers samples to cuvettes and HM reaction vessels Delivers bound sample reactants from HM reaction vessels to cuvettes Delivers sample to the IMT port Level senses samples in primary tubes and Sample Cups Select the X in the upper-right corner to continue. ? Barcode Readers The Dimension® System contains: Inner barcode reader Outer barcode reader All barcode labels must be visible through segment openings when loading barcoded tubes into segments. Hover over the numbered markers on the image to identify the barcode readers. Then select the X in the upper-right corner to continue. Inner Barcode Reader Outer Barcode Reader ? Sample Segments Sample containers are loaded into sample segments. Sample segments fit inside the sample wheel and hold all the samples to be processed on the analyzer. The sample wheel holds up to 6 sample segments Each sample segment holds up to 10 samples Adapters are used for 5 and 7 mL tubes and sample cups Select the X in the upper-right corner to continue. ? Sample Containers The Dimension® System processes serum, plasma, urine, and cerebrospinal fluids using sample containers. Hover over the numbered markers on the image to learn more about sample containers on the Dimension® System. Then select the X in the upper-right corner to continue. Sample Cups Dimension® System Sample Cups with lids Un-stoppered 5-mL and 7-mL primary sample tubes-barcoded or non-barcoded Un-stoppered, barcoded, primary sample tubes in a segment: 5-mL primary sample tubes are loaded in a teal adaptor 7-mL primary sample tubes are loaded in a beige adaptor 10-mL primary sample tubes are loaded directly into the segment and do not require an adaptor SSCs Dimension® System Small Sample Containers (SSCs) ? Cuvette Area Chemical reactions occur in cuvettes that are manufactured on board the analyzer. Select the numbered steps below to learn more about cuvette area components. 1 1 1 2 2 2 3 3 3 ? Cuvette Area Audio: Base Layer: The Dimension® Xpand® and Xpand® Plus Integrated Chemistry Systems manufacture disposable cuvettes, which are used for the chemical reactions that are read photometrically. Select the numbered steps below to learn about the cuvette area components. dimension_xpand_so_olt_1.4.mp3 Cuvette Manufac Audio: In the cuvette manufacturing area, cuvette film is formed into disposable cuvettes. The cuvette film is pulled from the cuvette film cartridge through the film guides into the cuvette manufacturing area. The cuvette diaphragm and curved locking bar assist with forming the cuvettes. dimension_xpand_so_olt_1.4a.mp3 Cuvette Waste Container Audio: Sealed, used cuvettes are disposed of in the cuvette waste container, which reduces biohazard exposure. dimension_xpand_so_olt_1.4b.mp3 Cuvette Film Cartridge Audio: The cuvette film cartridge supplies the film used to manufacture the cuvettes. One film cartridge can manufacture up to12,000 cuvettes. Select the X in the upper right corner to continue. dimension_xpand_so_olt_1.4c.mp3 Cuvette Film Cartridge 3 The cuvette film cartridge supplies the film used to manufacture cuvettes. One film cartridge can manufacture up to 12,000 cuvettes. Select the X in the upper right corner to continue. The cuvette waste container is a receptacle for sealed, used cuvettes, reducing biohazard exposure. Select the numbered steps below to learn more about cuvette area components. Cuvette Waste Container 2 Cuvette Manufacturing Area Cuvette film is pulled up from the cuvette film cartridge and formed into disposable cuvettes in the cuvette manufacturing area. Select the numbered steps below to learn more about the cuvette area components. 1 ? Reagent Area The Reagent Area stores an inventory of reagents and delivers them when and where they are needed. The Dimension® System reagent area contains two reagent arms (R1 and R2). Each reagent arm has a probe (R1 and R2). Hover over the markers on the image to identify the Reagent Area components. Automatic Flex® Reagent Cartridge Loader Automatic Flex® Reagent Cartridge Loader R1 Arm R1 Arm R2 Arm R2 Arm Flex® Reagent Cartridges Flex® Reagent Cartridges Flex® Reagent Cartridge Instructions for Use Flex® Reagent Cartridge Instructions for Use Reagent Delivery System Reagent Delivery System Reagent Delivery System R2 Arm R1 Arm Reagent Tray (with lid removed) Note: The analyzer should never be run with the reagent tray lid removed. Reagent Area Audio: Reagent Delivery System Audio: The Reagent Area stores reagents, which are delivered when and where they are needed. In the Reagent Area, Flex® reagent cartridges are loaded into the automatic cartridge loader. The system reads the barcode on the cartridge and moves the cartridge into the reagent tray. Key components of the reagent delivery system are the automatic Flex® reagent cartridge loader, the R1 Arm and the R2 Arm. Hover over the markers on the image to view the reagent arms and reagent tray. Then select the tabs to learn more about reagent delivery. dimension_xpand_so_olt_1.5.mp3 Auto Flex Loader Audio: The automatic Flex® reagent cartridge loader loads Flex® reagent cartridges onto the reagent tray after the barcode label has been read by the reagent barcode reader. The active reagent tray can hold up to 44 Flex® reagent cartridges dimension_xpand_so_olt_1.5a.mp3 R1 Arm Audio: The R1 Arm is a stationary arm, only moving in and out and up, and down. The R1 Arm moves from the R1 drain to the Flex® reagent cartridge, where the R1 probe aspirates the reagent and delivers it into a cuvette. The R1 Arm then moves back to the R1 drain for rinsing. Reagent probes are rinsed constantly to prevent crossover contamination and to ensure precision and accuracy. dimension_xpand_so_olt_1.5b.mp3 R2 Arm Audio: The R2 Arm is a rotating arm, moving in and out, up and down, and swinging left and right. The R2 Arm moves from the R2 drain to the Flex® reagent cartridge, where the R2 probe aspirates reagents. The R2 Arm delivers reagents into a cuvette, or reaction vessel then moves back to the R2 drain for rinsing. dimension_xpand_so_olt_1.5c.mp3 Flex® reagent cartridges Audio: Flex® reagent cartridges contain the required reagents in a series of wells, designed to optimize the number of tests performed and minimize waste. Flex® reagent cartridges arrive ready to use, and contain reagents in either tablet or liquid form. They require no preparation, other than tablet hydration, which the analyzer performs automatically on an as-needed basis to maximize reagent longevity and stability. Sample processing can proceed without interruption while the analyzer loads and unloads Flex® reagent cartridges. Flex® reagent cartridges are stable for 6-12 months from the date of manufacture and 30 days unopened on-board the analyzer. Test method, lot number and number of tests available per cartridge are identified via barcodes on each Flex® reagent cartridge. dimension_xpand_so_olt_1.5d.mp3 Flex® Reagent Cartridge Instructions for Use Sheets Audio: Refer to the Instructions for Use (IFU) included with each Flex® reagent cartridge lot for details about test methods and reagents used including: Clinical significance and principles of the test method, reagents included in the cartridge, storage instructions, and cartridge expiration, specimen collection guidelines and effects of interfering substances, such as anticoagulants, hemolysis, or lipemia, test steps and conditions as performed on the Dimension® System, and Calibration parameters, QC guidelines, and precision and detection limit statistics. dimension_xpand_so_olt_1.5e.mp3 Refer to the Instructions for Use (IFU) for each Flex® reagent cartridge lot for details about test methods and reagents used. Flex® Reagent Cartridge Instructions for Use Flex® reagent cartridges are designed to optimize the number of tests performed and minimize waste. Flex® reagent cartridges arrive ready to use Analyzer hydrations occur automatically as needed Sample processing proceeds while the system loads and unloads Flex® reagent cartridges Flex® reagent cartridges are stable for 6-12 months from the date of manufacture and 30 days unopened on board the analyzer Flex® Reagent Cartridges The R2 Arm is a rotating arm, moving in and out, up and down and swinging left and right. The R2 Arm: Moves from the R2 drain to the Flex® reagent cartridge, where the R2 probe aspirates reagents Delivers reagents for HM and Photometric testing into an HM reaction vessel or cuvette Moves back to the R2 drain for rinsing R2 Arm The R1 Arm is a stationary arm, moving in and out and up and down. The R1 Arm: Moves from the drain to the Flex® reagent cartridge, where the R1 probe aspirates the reagent and delivers it into a cuvette Moves back to the R1 drain for rinsing R1 Arm The Automatic Flex® Reagent Cartridge Loader loads Flex® reagent cartridges onto the reagent tray after the barcode label has been read by the reagent barcode reader. The active reagent tray can hold up to 44 Flex® reagent cartridges. Automatic Flex® Reagent Cartridge Loader IMT System The QuikLYTE® Integrated Multisensor Technology (IMT) system uses an indirect method to measure the electrolytes sodium, (Na), potassium (K), and chloride (Cl) in a sample. Hover over the markers on the image to learn more about the system components used to measure electrolytes in the IMT system. QuikLYTE® Integrated Multisensor Measures Na, K, and Cl IMT Rotary Valve Rotates at specific intervals to alternate the flow of air fluids into the IMT system IMT Port The IMT Port is the receptacle where the 1:10 sample dilution is mixed ? IMT System Audio: The Integrated Multisensor Technology, or IMT measures the electrolytes, sodium, potassium, and chloride indirectly by pre-diluting samples 1:10 before analysis. This requires a smaller sample volume to perform the measurement. Not pictured is the Peristaltic Pump located behind the QuikLYTE® Integrated Multisensor. The IMT Peristaltic Pump pulls air and fluids through the IMT System. Hover over the markers on the image to learn more about the IMT System components used to measure electrolytes. dimension_xpand_so_olt_1.6.mp3 Heterogeneous Immunoassay Module (HM) The HM Module processes chromium-based immunoassays for the measurement of specialty analytes of low molecular weight. Hover over the markers on the image to learn more about the key components of the HM Module. Vessel Holder/Vessel Feeder Track Automatically loads reaction vessels into the incubate wheel Incubate Wheel Holds samples that are mixed and incubated with antibody-coated reagents Wash Wheel Holds samples for separation and washing Wash Station Probes Aspirates unbound sample and reactants and dispenses chemistry wash into the reaction vessels ? Heterogeneous Immunoassay Module Audio: The HM Module processes chromium-based immunoassays for the measurement of specialty analytes of low molecular weight, such as Human Chorionic Gonadotropin, HCG. The immunoassay is prepared in the HM area, where it is washed, mixed, and incubated. The photometric sample probe delivers the immunoassay reactants into cuvettes where the test results are read photometrically. Hover over the markers on the image to learn more about the key components of the HM Module. dimension_xpand_so_olt_1.7.mp3 Additional Hardware Select the tab arrows to learn more about additional key components of the Dimension® System hardware. Pump Panel Control Panel Printer Keyboard Touchscreen Monitor ? Additional Hardware Audio: Base Layer: In this section you will learn about the additional hardware components on the Dimension® Xpand® and Xpand® Plus Integrated Chemistry Systems. Select the tab arrows to learn more about each hardware component. dimension_xpand_so_olt_1.8.mp3 Pump Panel Layer: The analyzer uses syringe pumps to control fluid volumes aspirated and delivered by each sample and reagent probe. Each probe on the analyzer has at least one pump associated with it. The pumps located in the Pump Panel are sampler, reagent, IMT sample diluent, and HM Wash pumps. Hover over the numbered markers on the image to identify the syringe volumes. Then select the X in the upper right corner to continue. dimension_xpand_so_olt_1.8a.mp3 Control Panel Layer: The control panel is located behind the front door on the left side of the analyzer. This area houses control and fuse boards, the QCC PowerPak USB port and the main power switch. Select the X in the upper right corner to continue. dimension_xpand_so_olt_1.8b.mp3 Printer Layer: The thermal printer prints patient, QC, and calibration reports as well as other analyzer information. Select the X in the upper right corner to continue. dimension_xpand_so_olt_1.8c.mp3 Keyboard Layer: The analyzer specific keyboard is used to order tests and panels, access Help screens, and Pause, Reset or Stop the instrument in addition to other standard keyboard functions. You will learn more about using the keyboard in the Using the Keyboard section in this online training. Select the X in the upper right corner to continue. dimension_xpand_so_olt_1.8d.mp3 Touchscreen Layer: The touchscreen allows communication with the instrument. The operator selects the alert keys to respond to situations requiring attention. Help screens and menus for maintenance and loading samples can also be displayed using the touchscreen. You will learn more about navigating through the touchscreen in the System Software section of this online training. Select the X in the upper right corner to continue. dimension_xpand_so_olt_1.8e.mp3 Touchscreen Monitor Use the touchscreen to perform tasks such as: Responding to the Alert keys to address a situation requiring operator attention Accessing Help screens and menus Displaying the Daily Maintenance Routines screen to perform maintenance or run a System Check Viewing the Load List screen to load samples into assigned segment positions Select the X in the upper-right corner to continue. ? Keyboard The keyboard is similar to a standard computer keyboard and includes special keys that enable you to: Order tests using test and panel keys Access help screens and menus Pause, reset, or stop the analyzer Select the X in the upper right corner to continue. ? Printer The thermal printer prints patient, QC, and calibration reports as well as other analyzer information. Select the X in the upper right corner to continue. ? Control Panel The Control Panel is located behind the left front door area. It consists of: Control Board Fuse Board QCC PowerPak® USB port Main Power Switch Select the X in the upper right corner to continue. ? Pump Panel The pumps located in the Pump Panel include the sample, reagent, IMT sample diluent, and HM Wash pumps. These pumps have syringes with volume capacities of: 100 µL metering syringe aspirates and delivers sample to cuvettes, and/or HM reaction vessels 500 µL metering syringes aspirate and deliver reagents to cuvettes and/or HM reaction vessels 2500 µL flush syringes rinse sampler, R1, and R2 probe tips with water, while using chemistry wash for HM probes, all to prevent carryover Hover over the numbered markers on the image to identify the syringes. Then select the X in the upper right corner to continue. 100 µL metering syringe 500 µL metering syringe 2500 µL flush syringe ? Knowledge Check You have just learned about the Dimension® Xpand® and Xpand® Plus Integrated Chemistry Systems hardware. Select Start to test your knowledge of the presented content. Start ? Knowledge Check Select the applicable image. ? Which of the following is the Cuvette Area? Question 1 of 3 Pick One Correct Incorrect This area of the analyzer is the Reagent Area. Incorrect This area of the analyzer is the Sample Area Select the applicable image. Which of the following is the HM Module? Question 2 of 3 ? Pick One Correct Correct This area of the analyzer is the R2 Arm. Incorrect This area of the analyzer is the Reagent Area. Select the applicable image. Which of the following is the IMT System? Question 3 of 3 ? Pick One Correct This is the Sample Probe. Correct Incorrect This area of the analyzer is the HM Module. Knowledge Check Completion Review Retry Retry Continue Continue You have just completed the Knowledge Check. Select Review to assess how your responses compare to the correct answers. Select Retry to test your knowledge again or select Continue to advance through the course. ? Knowledge Check Completion System Software System Software for the Dimension® Xpand® and Xpand® Plus Integrated Chemistry Systems is directed by keyboard and touchscreen interaction. Note: Depending on the version of the software on your analyzer, some screens may appear different, however the functionality remains the same. ? System Software Audio: In the System Software section, you’ll learn more about the keyboard and touchscreen. These components direct the analyzer to perform analyte measurement. dimension_xpand_so_olt_1.14.mp3 Using the Keyboard Special keys on the Dimension® System keyboard include: Test Keys Panel Keys Action Keys Function Keys Help Function Hover over the keyboard sections on the image to learn more about each special key. ? Using the Keyboard Audio: There are several keys which are unique to the keyboard, including the Test, Panel, Action, Function, and Help function. In this section, you will learn how to use the keyboard and keyboard functions to manage the Dimension® System software. Hover over the colored callouts on the image to learn more about each special key. dimension_xpand_so_olt_1.15.mp3 Help Key and Help Key Combinations For Help using the current screen, press the Help key For the Quick Index, go to the Operating Menu, and then press the Help key For Help entering data fields, press Shift+Help. For Help identifying keystroke combinations, press Alt+Help. For Help identifying icons, press Control+Help. Function Keys The Function keys F1 through F8 initiate specific tasks. For example, when using the Enter Sample Data screen, the F1 function key will be used to enter a New Sample, F3 will display the Load list and F8 will select the different fluid type. Action Keys Action keys initiate analyzer commands. Control+Stop: Aborts all tests in progress. Scheduled tests are retained in analyzer memory Stops all analyzer operations Pause: Prevents the photometric sample arm from moving Reset: Clears error messages and initializes system modules Resumes operations after pressing Control+Stop Run: Instructs the analyzer to locate and process any new samples Panel Keys Panel keys are labeled P1 through P10. You can program up to 20 tests per panel key. Test Keys On the system keyboard press Test keys to order tests. Test keys for individual tests are labeled with an abbreviation of the test name. The key test along with test key combinations can be used to order additional tests. Using Keystroke Combinations A combination of keystrokes directs the analyzer to perform various functions. Hover over the colored callouts on the image to learn more about each keystroke combination. ? Using Keystroke Combinations Audio: In this section, you will learn about the combination of keystrokes that direct the analyzer to perform various functions. Hover over the colored callouts on the image to learn about each keystroke combination. dimension_xpand_so_olt_1.16.mp3 Alt+O Advance the paper feed on the system printer. Shift+Right Arrow When entering information in a field, hold down the Shift key, and press the Right Arrow key to move the cursor one space to the right. This does not delete any information in the field. Shift+Left Arrow When entering information in a field, hold down the Shift key, and press the Left Arrow key to move the cursor one space to the left. This does not delete any information in the field. Alt+M Displays the Message Log screen to view an explanation and troubleshooting information for the error message in the Error Message area. Alt+N Displays the System Needs screen. Alt+L Displays the Load List - Short Samples screen. Alt+S Displays the Segment Status screen showing the status of segment positions currently on the analyzer. Backslash Delete the entire entry in a data field. Alt+P Print the entire screen as it appears on the display. Alt+I Displays the Reagent Cartridge Inventory screen. Alt+R Displays the Reagent Manager screen to determine why the Reagent Manager icon appears in the Operating Conditions Status area. Shift+Delete Delete all characters to the right of the cursor in a field. Alt+Help View a list of Alt key combinations and their functions. Shift+Exit Return to the Operating Menu. Control+Stop Stops all operations in progress in a manner that will not damage the analyzer. All tests in progress will be aborted. However, all scheduled tests will be retained in the analyzer. Touchscreen The touchscreen is the communication link between the operator and the analyzer. Each software screen has areas displaying specific information. Main Areas: Instrument Status Segment Status Operating Conditions Error Message Applications Messages Select the colored callouts on the left to learn more about the main areas on the touchscreen. ? Touchscreen Areas Base Layer: In this section, you will learn about the overall areas of the touchscreen where specific types of information appears. There are 6 major areas on the touchscreen. These areas are standard on the various screens that manage the system. Select the colored callouts on the left to learn more about each area on the touchscreen. dimension_rxlmax_so_olt_1.17.mp3 The Message area displays system information, including: Prompts to indicate the system needs additional information and is waiting for response Questions to indicate the system needs additional information before it can proceed due to an incomplete command The system may also inform you of its current task Select the X in the upper right corner to continue. Messages Area The Applications area displays the software screens used to control the tasks that the system is to perform. For example, the Enter Sample Data screen is used to enter patient sample information and test orders. Select the X in the upper right corner to continue. Applications Area The Error Message area displays messages indicating that a system malfunction needs to be resolved. Select Alt+M for troubleshooting steps to resolve the error. Select Reset to clear the error message and resume system processing. Select the X in the upper right corner to continue. Error Message Area Icons displayed in the Operating Conditions Status Area alert you to the status and operating conditions of instrument components such as heating and cooling systems, short samples, or system needs. You will learn more about the various icons later in the Operating Conditions Status Area Icons section in this online training. Select the X in the upper right corner to continue. Operating Conditions Area The sample wheel holds up to six segments. The Segment Status Area indicates the status of the six segment positions during the last instrument scan. Select the marker on the image to learn about the Segment Status Area. Then select the X in the upper right corner to continue. Segment Status Area Segment Box Segment boxes with letters indicate that the analyzer has scanned the sample wheel and identified that lettered segment in that segment position. Green background color: indicates that all work has been completed and no work is required for this segment. It can be removed and replaced with another segment. Red background color: analyzer is processing work on this segment. Failure to follow these items will affect reported results and may damage the analyzer. Do not remove the segment or reposition it to another segment location on the sample wheel Do not remove any sample container in this segment or reposition it onto another position in the segment. Do not remove sample fluid from any sample container in this segment Segment boxes with dashes in them indicate that the analyzer has scanned the sample wheel and did not identify a lettered segment in that segment position The Instrument Status area indicates the status of the main instrument and specific instrument components: Processing Status-indicates analyzer status and displays instrument modes Photometric Sampler Status-indicates the status of the photometric sampler arm. View this area to determine if it is safe to add or remove samples in the area IMT System Status-indicates the status of the IMT system or its components Select the markers on the image to learn about each instrument status. Then select the X in the upper right corner to continue. Instrument Status Area Processing Status Standby-system is ready for processing Initializing-system is starting up. You cannot process samples or access the sample wheel until the system has finished initializing Processing-system is either processing samples, the IMT system is being calibrated or photometric calibrations or reagent hydrations are being performed System Prep-instrument is in system preparation mode Can’t Process-system is unable to process samples Diagnostics-diagnostic software is being used. You cannot process samples. The instrument must be in “Standby” to access the Diagnostic software Photometric Sampler Status Sampler Idle-you may remove or add samples Sampler Busy-system is using one or both of the sample handlers or the sample wheel Waiting-the Pause key was pressed while samples were processing. The system is waiting for an appropriate place and time to stop the photometric and IMT sampler systems Waiting…60-instrument is 60 seconds from pausing. This will count down the number of seconds until the analyzer is paused (”Waiting 59”…, “Waiting 58,” etc.) Samplers Off-appears when the Pause key has been pressed. The system has stopped the photometric and IMT sampler systems. These systems will not move until the Pause key is pressed again Moving Wheel-analyzer is within five seconds of accessing samples in the sample area. You must not add samples to the sample area. A red light on the instrument frame in front of the sample area also lights when this status appears IMT System Status IMT OK-IMT system is turned on and is calibrated. You can process IMT tests IMT Paused-all activity in the IMT system has been paused. The IMT system will not move, prime or calibrate unless the operator exits the screen or presses a function key on the screen IMT Calibrating-IMT system is running a calibration. IMT tests can be scheduled and will be run when this changes to “IMT OK” Na, K, CL-one or more of the individual sensors failed calibration. The color indicates the status of each: Green-calibrated Yellow-operator has overridden the IMT Method Red-not calibrated IMT Not Calib-IMT system is not calibrated and no IMT tests can be processed until it is calibrated IMT Not Config-IMT system has not been configured. You cannot process IMT tests Operating Conditions Status Area Icons When an icon appears in the Operating Conditions Status Area, select the Control+Help key combination and then use the right arrow key to move the indicator to the icon. Hover over the colored callouts on the left to learn more about the Operating Conditions Status Area Icons. ? Operating Conditions Status Area Icons The Operating Conditions Status Area Icons indicate the operating conditions status of various systems and consumables on the analyzer. These icons will only appear when their systems or consumables are not within normal operating levels or require replacement shortly. When these icons appear, select the Control+Help key combination to determine the meaning of the icon. Select the colored callouts on the left to learn more about the Operating Conditions Status Area Icons. dimension_xpand_so_olt_1.18.mp3 Alarm Sounding OFF Icon The alarm has been turned off by the operator. If an error condition occurs, the alarm will not sound; however, a message indicating the reason for the alarm will appear in the error message area. Alarm Sounding ON Icon The alarm is sounding. A message will appear in the error message area indicating the reason for the alarm. Check Needs Icon If the red Check Needs icon appears, the system has found needs that require operator attention before samples can be processed. Select Alt+N to access the System Needs screen and determine the required needs. See “Responding to System Needs” in Module 2: Using in the Operator’s Guide. Needs Check Icon The yellow Needs Check icon appears when the system is checking itself for any needs to process the Load List. Short Sample Icon One or more sample containers in the current Load List does not have enough sample volume to run all its requested tests. Select Alt+L to view a list of these short samples. See “Resolving a Short Sample Detected” procedure in Module 2: Using in the Operator’s Guide. Printer Icon This icon appears with one of four possible words: OFF–the printer power switch is off OUT–the printer is out of paper LINE–the printer is off-line. Press the Select button on the printer to put the printer back on-line ERR–there is a communication problem between the PC and the printer Reagent Manager Icon The system has a problem with adding or removing reagent cartridges, or a reagent cartridge has been added to the reagent tray which would force calibration of a third lot. Press the Alt+R key combination to see why this icon is blinking and to remove the icon from the screen. Cuvette Film Cartridge Icon This is the number of cuvettes remaining in the cuvette film cartridge. Replacement of the cuvette film cartridge will be required shortly. Aliquot Wheel Icon This is the number of aliquot wheel positions remaining. The aliquot wheel will need to be replaced shortly. HM Vessel Feeder Empty Icon The HM reaction vessel sensor located near the top of the reaction vessel feeder chute is not detecting a reaction vessel. Add reaction vessels to the reaction vessel holder or check for a reaction vessel jam in the vessel transfer system. UPS Icon-Uninterruptible Power Source Icon A red “ON” inside this icon indicates that power to the instrument has just been interrupted and the UPS is in use. An intermittent alarm will also sound. This will change to the word “LOW” when the instrument is preparing to shut down before the UPS loses all power. The UPS will be recharged whenever normal electric power is restored. If “LOW” appears continuously while the instrument is connected to its wall outlet, call the Remote Services Center. HM Cold Icon The HM heating system temperature is below the acceptable range for processing. The HM will stop processing and no results for the current test will be calculated. HM Hot Icon The HM heating system temperature is above the acceptable range for processing. The HM will stop processing and no results for the current test will be calculated. Cuvette Cold Icon The cuvette heating system temperature may be below the acceptable range for processing. The system will stop processing and no results for the current test will be calculated. Cuvette Hot Icon The cuvette heating system temperature may be above the acceptable range for processing. The system will stop processing and no results for the current test will be calculated. Refrigerator Cold Icon The temperature of the Dimension® reagent cooling system may be below specified limits. Refrigerator Hot Icon Refrigerator Hot: The temperature of the Dimension® System reagent cooling system may be above specified limits. Touchscreen Keys There are 3 types of keys on the touchscreen: Function Keys Alert Keys Additional Touchscreen Keys Hover over the markers to identify the key locations. Then select the tabs on the left to learn more about each type of key. Function Keys Function Keys Alert Keys Alert Keys Additional Keys Additional Keys Overview Overview Function Keys Alert Keys Additional Touchscreen Keys: Exit, Enter Additional Touchscreen Keys: Run, Home, Sample Status, Change Operator, Help, Arrow Keys Overview ? Touchscreen Keys Base Layer: There are three types of keys on the touchscreen. Hover over the markers on the screen to review the key locations. Then select the tabs to learn about each type of key. dimension_xpand_so_olt_1.19.mp3 Function Keys Layer: The function keys located at the bottom of the screen correspond to the function keys on the keyboard. As each new screen appears the titles of the function keys will change. Select the markers to learn more about the F1, F3 and F8 Function keys. Refer to the Dimension® System Operators Guide for more information about the available function keys on each screen. dimension_xpand_so_olt_1.19a.mp3 Alert Keys Layer: The 5 Alert keys located on the left side of the touchscreen change color to alert if a situation needs attention.  When the Alert key changes from gray to yellow or red, select the key to display the reason for the alert. Select the markers next to each key to learn about the Alert keys. dimension_xpand_so_olt_1.19b.mp3 Additional Keys: Additional keys are available on the touchscreen to help you navigate through the software. Select the markers to learn about the Additional Touchscreen keys. dimension_xpand_so_olt_1.19c.mp3 ? Touchscreen Keys There are 3 types of keys on the touchscreen: Function Keys Alert Keys Additional Touchscreen Keys Select the markers and then the tabs on the left to learn more about each type of key. Function Keys Function Keys Alert Keys Alert Keys Additional Keys Additional Keys Overview Overview Alert Keys Additional Keys: Exit, Enter Additional Keys: Run, Home, Sample Status, Change Operator, Help, Arrow Keys Overview Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Additional Keys Overview Overview Use the Additional Touchscreen keys to navigate the software screens. Note: Depending on the version of software on your analyzer, some screens may appear different, however the functionality remains the same. Select the markers to learn about Additional Touchscreen keys. Exit Closes the active screen and returns to the previously displayed screen Enter Saves data in an entry field Run The analyzer looks for and processes new samples. Equivalent to the keyboard Run key and to the F4: RUN key on the Load List Screen Home Closes the active screen and returns to the Operating Menu. Equivalent to selecting the Shift+Exit keystroke combination on the keyboard Arrow Keys Moves the cursor from field to field on the active screen in the Applications Area. Equivalent to the arrow keys on the keyboard Sample Status Allows you to view the status of samples currently being processed Change Operator/Shutdown Allows you to change the operator or shut down the analyzer Help Provides instructions about the screen/fields displayed in the Applications Area. Equivalent to the keyboard Help key Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Alert Keys Overview Overview Alert keys change color to alert if a situation needs your attention. If inactive, the Alert keys are gray. If an Alert key color changes to yellow or red, select the key to display the reason for the alert. Note: Depending on the version of software on your instrument, some screens may appear different, however the functionality remains the same. Select the markers below to learn more about Alert keys. STAT Status Select to show STAT requests that are in process and the time until the result will be available as well as completed STATs and STATs requested but not yet begun Sample Alert Select to show the rerun status of sample requests which encountered exceptions while processing Supplies Select to display the Reagent Cartridge Alerts screen, to show Flex® reagent cartridge lots that are nearing the depletion threshold as defined by the lab. Warnings inform you to load Flex® reagent cartridges for specific methods QC Alert Select to display the QC Tests Out of Range screen, to show the method, QC level, and high or low status of results   Calib Alert Select to display the Calibration Alert screen, showing onboard methods/lots and the calibration expiration Function Keys Function keys allow screen specific tasks to be performed. The function key text changes from screen to screen because different screens perform different tasks. To operate a function key, select the corresponding function key, F1 through F8 on the touchscreen or keyboard. Select the markers below to learn more about Function keys. Overview Overview F1: ENTER DATA Select to enter patient information and orders F3: TEST RESULTS Select to view test results F8: SEGMENT STATUS Select to monitor segments while processing Knowledge Check You have just learned about the Dimension® Xpand® and Xpand® Plus Integrated Chemistry Systems software. Select Start to test your knowledge of the presented content. Start ? Knowledge Check Select the applicable image. Which key or keystroke combination would you select to display to view troubleshooting information for an error message in the Error Message area? Question 1 of 3 ? Pick One Incorrect This key does not display error message help. Incorrect This keystroke combination does not display error message help. Correct Instrument Status Segment Status Applications Function Keys Which touchscreen area provides information about the Processing Area Status, Photometric Sample Status and the IMT Status? Question 2 of 3 Select the best answer. ? Multiple Choice Question Incorrect The Function Keys do not provide information about these status areas. Incorrect The Applications Area does not provide information about these status areas. Incorrect The Segment Status Area does not provide information about these status areas. Correct STAT Status Sample Alert QC Alert Supplies Which Alert Key would inform you to load Flex® reagent cartridges for specific methods? Question 3 of 3 Select the best answer. ? Multiple Choice Question Incorrect The QC Alert Key does not inform you to load Flex® reagent cartridges for specific methods. Incorrect The Sample Alert Key does not inform you to load Flex® reagent cartridges for specific methods. Incorrect The STAT Status Key does not inform you to load Flex® reagent cartridges for specific methods. Incorrect Knowledge Check Completion Review Retry Retry Continue Continue You have just completed the Knowledge Check. Select Review to assess how your responses compare to the correct answers. Select Retry to test your knowledge again or select Continue to advance through the course. ? Knowledge Check Completion Utilize the touchscreen as the communication link between the instrument and the operator Navigate through the software screens using the system keyboard and proper techniques Identify Dimension® System technologies, hardware components and functions Course Review Congratulations. You have completed the Dimension® Xpand® and Xpand® Plus Integrated Chemistry System Overview course. Select the objectives listed below to review the material before proceeding to the final assessment. 1 1 1 2 2 2 3 3 3 ? Course Review Utilize the touchscreen as the communication link between the analyzer and the operator The touchscreen acts as the communication link between you and the analyzer and includes several important areas. Instrument Status area-indicates the overall system status as well as specific components Segment Status area-displays symbols that indicate the status of samples in sample wheel segments Operating Conditions Status area-displays icons that usually indicate if a component is not within normal operating levels or will soon require replacement Error Message area-displays system messages indicating that a system malfunction needs to be resolved Message area-displays messages to prompt you for a response, including system needs and questions to indicate the system needs additional information before it can proceed due to an incomplete command Applications area-displays software screens used to control the tasks the system is to perform The touchscreen keys include: Function Keys-allow screen specific tasks to be performed. The function key text changes from screen to screen because different screens perform different tasks Alert Keys-change color to alert if a situation needs your attention. If inactive, the Alert keys are gray. If an Alert key color changes to yellow or red, select the key to display the reason for the alert Additional Touchscreen Keys-navigate the software screens. They include Exit, Enter, Run, Home, Sample Status, Change Operator/Shutdown, Help and Arrow keys In addition to the touchscreen, the analyzer keyboard includes unique keys and keystroke combinations that allow you to perform many of the same functions as the touchscreen keys Select the X in the upper right corner to continue. ? Navigate through the software screens using the system keyboard and proper techniques ? Identify key areas and functions of the system keyboard The Dimension® System keyboard is like many other computer keyboards, except that it has Test and Panel keys to order tests; Action keys to initiate instrument commands, such as Pause, Reset, Stop, or Run; and Function keys to initiate a task indicated by the F1 through F8 keys at the bottom of the screen. The keyboard also has an Alarm key to turn off or on the audible alarm, a Help key to get information when and where you need it, an Enter key to enter data or activate a command, and an Exit key to leave the current screen and return to the previous screen. Select the Arrow keys to move the cursor on the monitor up, down, left, or right as you enter data in data fields. You can also select the Alt key, Shift key, or Control key in combination with other keys-keystroke combinations to quickly navigate to other screens, perform routine tasks, or get specific help. For example, press Alt+M to view explanations about error messages that appear on the system monitor. Select the X in the upper right corner to continue. Identify Dimension® System technologies, hardware components and functions System Technologies The Dimension® Xpand® and Xpand® Plus Integrated Chemistry Systems act as a single workstation made up of the Integrated Multisensor Technology (IMT) system, Heterogeneous Immunoassay Module (HM), as well as photometric methods. Key Components Key system components include the IMT module and HM module. Key areas include the sample area, cuvette area, and the reagent area. Other important components include the sample and reagent probes, system panels, printer, keyboard, and touchscreen monitor. General Functions The IMT module measures the Sodium, Potassium, and Chloride electrolytes. The HM module performs immunoassays to measure specialty analytes. The Dimension® System can process serum, plasma, urine, and cerebrospinal fluids. The analyzer can also handle a variety of tubes, containers, and sample volumes. Samples can also be barcoded or non-barcoded. Chemical reactions occur in disposable cuvettes that are manufactured onboard the analyzer. Syringe pumps control fluid volumes aspirated and delivered by sample and reagent probes. The cuvette film cartridge supplies the film to manufacture the cuvettes. The reagent area keeps an inventory of reagents and delivers them when they are needed. Select the X in the upper right corner to continue. ? Disclaimer ? Disclaimer Assessment This assessment will test your retention of the presented content. A passing score of 80% or higher is required to complete the course and earn your certificate. You may repeat the assessment as many times as needed. Start ? Assessment Electrolytes, such as Na, K, and Cl Special analytes Chemistry tests, such as BUN and Glucose All photometric methods on the menu HM uses the principle of heterogeneous immunoassay to measure which tests? Question 1 of 10 Select the best answer. ? Multiple Choice Question Incorrect Incorrect Incorrect Correct Run+Help Alt+H Shift+Help Help Which key do you select to get information about a screen that is displayed? Question 2 of 10 Select the best answer. ? Multiple Choice Question Correct Incorrect Run+Help does not initiate a function on the keyboard or touchscreen. Incorrect Shift+Help does not initiate a function on the keyboard or touchscreen. Incorrect Alt+H does not initiate a function on the keyboard or touchscreen. Probe Level Sensing Heterogenous Immunoassay Module (HM) Integrated Multisensor Technology (IMT) Photometric Testing Which technology is used to measure electrolytes? Question 3 of 10 Select the best answer. ? Multiple Choice Question Incorrect Incorrect Incorrect Correct Prediluting samples 1:10 before analysis Diluting samples in the cuvette for photometric measurement Incubating samples before analysis Washing and separating to isolate analyte before measurement How does the IMT system perform an indirect measurement? Question 4 of 10 Select the best answer. ? Multiple Choice Question Incorrect Incorrect Incorrect Correct 1,000 1,200 10,000 12,000 How many cuvettes can one film cartridge manufacture? Question 5 of 10 Select the best answer. ? Multiple Choice Question Incorrect Correct Incorrect Incorrect R1 Reagent Probe R2 Reagent Probe HM Wash Probe Photometric Sample Probe Which probe hydrates reagent cartridges and delivers reagents for HM and Photometric tests? Question 6 of 10 Select the best answer. ? Multiple Choice Question Incorrect Correct Incorrect Incorrect Alt+I Alt+M Alt+O Alt+N Which keys do you select to go to the Reagent Cartridge Inventory screen? Question 7 of 10 Select the best answer. ? Multiple Choice Question Incorrect Correct Incorrect Incorrect Resetting the System Processing Samples Pausing and Resuming system operations Stops all instrument operations in progress Control+Stop on the system keyboard initiates which instrument command? Question 8 of 10 Select the best answer. ? Multiple Choice Question Incorrect Correct Incorrect Incorrect Access patient results View processing time Manually enter sample data View and update reagent inventory Which of the following can be performed on the Enter Data screen? Question 9 of 10 Select the best answer. ? Multiple Choice Question Incorrect Control+Exit Shift+Exit Alt+H Control+Delete Which key or keystroke combination would you select to return to the Operating Menu? Question 10 of 10 Select the best answer. ? Multiple Choice Question Incorrect Correct Incorrect Incorrect Review Review Retry Assessment Results %Quiz2.ScorePercent%% %Quiz2.PassPercent%% Continue YOUR SCORE: PASSING SCORE: ? Assessment Results You did not pass the course. Take time to review the assessment then select Retry to continue. Congratulations. You passed the course. Exit To access your Certificate of Completion, select the Certificates tab from the learning activity overview page. You can also access the certificate from your PEPconnect transcript. ? Dimension® Xpand® and Xpand® Plus Integrated Chemistry System Overview Online Training Completion details, certificates tab Navigation Help Select the icon above to open the table of contents. Click Next to continue. Next Welcome Slide The timeline displays the slide progression. Slide the orange bar backwards to rewind the timeline. Click Next to continue. Next Tmeline Select the CC icon to display closed captioning (subtitles). Click Next to continue. Next Caption Icon Select the buttons to learn more about a topic. Be sure to review all topics before navigating to the next slide. Click Next to continue. Next Tab Arrow Slide Select the X to close the pop-up. Click Next to continue. Next Layer Slide Some images may have a magnifier icon. Select the image to see an enlarged view. Select it again to return to the normal view. Click Next to continue. Next Zoom Slide Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Videos should default to the optimal resolution. However, to change the video resolution select the gear icon. Click Next to continue. Next Video Slide Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide Question Bank 1 HOOD05162003327577 | Effective Date: 26 Jan 2023 1.1 Welcome 1.2 System Hardware 1.3 Sample Area 1.4 Cuvette Area 1.5 Reagent Area 1.6 IMT System 1.7 Heterogeneous Immunoassay Module 1.8 Additional Hardware 1.9 Knowledge Check 1.14 System Software 1.15 Using the Keyboard 1.16 Using Keystroke Combinations 1.17 Touchscreen Areas 1.18 Operating Conditions Status Area Icons 1.19 Touchscreen Keys 1.20 Knowledge Check 1.25 Course Review 1.26 Disclaimer 1.27 Assessment