Roche cobas b 123 <2> User manual

cobas b 123 POC system

Instructions for Use, Version 13.0

Software version 4.17

cobas b 123 POC system

Roche Diagnostics

2 Instructions for Use · Version 13.0

Publication information

Revision history

Edition notice This publication is intended for operators of the cobas b 123 POC system.

Every effort has been made to ensure that all information contained in this

publication is correct at the time of publishing. However, Roche may need to update

the publication information as output of product surveillance activities, leading to a

new version of this publication.

General attention

To avoid serious or fatal injury, ensure that you are familiar with the system and safety

information before you use the system.

r Pay particular attention to all safety precautions.

r Always follow the instructions in this publication.

r Do not use the instrument in a way that is not described in this publication.

r Store all publications in a safe and easily retrievable place.

Training Do not carry out operation tasks or maintenance actions unless you or your trainer

have received training from a Roche representative. Leave tasks that are not described

in the user documentation to trained Roche Service representatives.

Screenshots The screenshots in this publication have been added exclusively for illustration

purposes. Configurable and variable data, such as tests, results, or path names visible

therein must not be used for laboratory purposes.

Manual Version Software Version Revision date Changes

1.0 November 2009 not delivered

2.0 2.0 November 2010 Launch

2.1 April 2011 FDA submission draft

3.0 2.3 August 2011

4.0  2.4 December 2011

5.0  3.0 July 2012

6.0 4.0 December 2012 internal release - not launched

7.0  4.0 January 2013

8.0 4.1 July 2013

9.0  4.5 April 2014

10.0  4.7 February 2015

10.1  4.8 September 2016 Software update

11.0  4.13 October 2017 Software update

12.0  4.15 February 2019

o Safety messages update

o Data protection (GDPR)

update

o Software updates

13.0  4.17 August 2020

o Hardware update

o Safety message updates

o Added hypodermic needle as

consumable

Table 1 Revision history

Roche Diagnostics

Instructions for Use · Version 13.0 3

cobas b 123 POC system

Warrant y Any customer modification to the system renders the warranty or service agreement

null and void.

For conditions of warranty, contact your local sales representative or refer to your

warranty contract partner.

License information cobas b 123 POC system software is protected by contract, copyright law and

international treaties. cobas b 123 POC system contains a user license between F.

Hoffmann-La Roche Ltd. and a license holder, and only authorized users may access

the software and use it. Unauthorized use and distribution may result in civil and

criminal penalties.

Open Source and Commercial

Software

cobas b 123 POC system may include components or modules of commercial or

open-source software. For further information on the intellectual property and other

warnings, as well as licenses pertaining to the software programs included in the

cobas b 123 POC system, refer to the electronic distribution included with this

product.

This open source and commercial software and the cobas b 123 POC system as a

whole can constitute a device regulated in accordance with applicable law. For more

detailed information, refer to the Instructions for Use and labeling.

Please note that the respective authorization is no longer valid according to the

corresponding legislation should any unauthorized changes be made to the

cobas b 123 POC system.

Trademarks The following trademarks are acknowledged: COBAS, COBAS B, LIFE NEEDS

ANSWERS, AUTOQC, ROCHE MICROSAMPLER and COMBITROL are

trademarks of Roche.

All other trademarks are the property of their respective owners.

Feedback Every effort has been made to ensure that this publication fulfills the intended use. All

feedback on any aspect of this publication is welcome and is considered during

updates. Contact your Roche representative, should you have any such feedback.

Approvals The cobas b 123 POC system meets the requirements laid down in:

Directive 98/79/EC of the European Parliament and of the Council of 27 October

1998 on in vitro diagnostic medical devices.

Directive 2011/65/EU of the European Parliament and of the Council of 8 June 2011

on the restriction of the use of certain hazardous substances in electrical and

electronic equipment.

This instrument complies with the emission and immunity requirements described

in this part of the IEC 61326 series.

Compliance is provided by means of the Declaration of Conformity.

The following marks demonstrate compliance:

For in vitro diagnostic use.

Complies with the provisions of the applicable EU directives.

cobas b 123 POC system

Roche Diagnostics

4 Instructions for Use · Version 13.0

Contact addresses

Manufacturer

Edition

Version 13.0, August 2020

First edition: November 2009

Issued by TÜV SÜD for Canada and the US.

Laboratory Equipment is the product identifier as shown on the

name plate.

Roche Diagnostics GmbH

Sandhofer Strasse 116

68305 Mannheim

Germany

Made in Switzerland

www.roche.com

Roche Diagnostics

Instructions for Use · Version 13.0 5

cobas b 123 POC system

Table of contents

Publication information 2

Contact addresses 4

Edition 4

Table of contents 5

Intended use 7

Intended user 7

Use environment 7

Symbols and abbreviations 7

What is new in this version 12

Introduction and specifications

1 Safety information

Safety classifications 17

Safety precautions 18

Safety labels on the instrument and

consumables 26

2 General description

System information 29

System components 31

Consumable information 41

3 Specifications

Performance data 55

Sample throughput 79

Sample measurement time 80

Sample volumes 81

Sample types 82

Calibrations 83

Environmental parameters 84

Product data 86

Printer 88

User interface module 89

Barcode scanner 90

Imaging scanner (optional) 92

4 Theoretical foundations

Assigning unit formats to parameters 95

Selecting between pH and H

+

unit formats 96

Parameters and calculations 97

Calibration principle 113

Oximeter module (optional) 114

Reference and critical values 115

Assigning reference and critical ranges 118

Monitoring reference and critical ranges on

measurement reports 121

Assigning a correlation factor to a parameter 122

Operation

5 Installation and put out of operation

Installation 129

Installing the instrument 131

Put out of operation 134

6 Measurement

Preanalytics 139

Interferences 145

Limitations of clinical analysis 152

Configuring measurement input values 154

Configuring the measurement results screen 156

Configuring the parameter selection field 157

Performing a measurement 160

Measurement modes 169

Entering measurement input values 170

Measurement results and reports 173

Measuring database 175

Acid base maps 176

Patient trend diagrams 177

7 Quality control

General QC concept 181

Important information for evaluating QC

results 183

Performing QC measurements 184

QC results and reports 191

QC database 192

Levey-Jennings graphs 193

Performing a proficiency test measurement 194

Configuring the QC scheduler 199

Defining and configuring QC materials 203

Configuring QC rules and consequences 207

Configuring QC settings 209

Evaluating QC measurement results 211

Multirules 212

Removing QC consequences 215

QC troubleshooting 218

Troubleshooting AutoQC module blockages 219

8 Calibration

General information 223

Automatic calibrations 225

User-activated calibrations 228

Calibration database 229

Configuring calibration settings 230

Roche Diagnostics

6 Instructions for Use · Version 13.0

cobas b 123 POC system

9 Calibration verification control

General information 235

Installing AutoCVC Packs 236

Performing an AutoCVC measurement 238

Managing CVC results in the QC database 240

Configuring analytical measurement ranges 241

10 Software functions

General software information 247

Overview tab 251

Description of the screen areas 252

Workplace tab 255

Instrument tab 256

Utilities tab 257

Instrument databases 258

Logging on and off 260

Connecting USB storage devices 261

Configuring system settings 262

Configuring network connection settings 269

Configuring operator settings 278

Changing security levels 282

Performing software and language updates 284

Exporting and importing configuration

settings 285

Audit trail 286

Available printout reports 288

Consumable change

11 Consumable change

Disinfection procedures 299

Disinfecting the instrument 301

Changing consumables 303

Additional information for consumable

changes 307

Troubleshooting

12 Troubleshooting

General information 313

Alarm area and buttons 314

System stops 316

Defects 320

Warnings 321

Information alarms 322

Status messages on the measurement report 323

Calibration and QC troubleshooting for

parameters 324

Performing Sensor Cartridge wetting routines 326

Checking the Fluid Pack valve positions 327

Barcode scanner troubleshooting 328

Creating troubleshooting reports and log files 329

Depot repair 330

Appendix

13 Available accessories and consumables

Available accessories and consumables 335

14 Copyright information

Software license information 341

15 Glossary

Index

Index 349

Roche Diagnostics

Instructions for Use · Version 13.0 7

cobas b 123 POC system

Intended use

The cobas b 123 POC system is a fully automated POC system for in vitro

measurement of pH, blood gases (BG), electrolytes (ISE), hematocrit (Hct),

metabolites (Glu, Lac), total hemoglobin (tHb), hemoglobin derivatives (O

2

Hb,

HHb, COHb, MetHb), oxygen saturation (SO

2

) and neonatal bilirubin (Bili).

In addition, the cobas b 123 POC system calculates derived parameters.

It is dedicated for use in a Point-of-Care environment and laboratory.

The integrated AutoQC module and the oximeter module are available as an option.

Intended user

Users of the cobas b 123 POC system are trained professionals in the laboratory and

trained healthcare professionals in a point-of-care environment.

Use environment

The cobas b 123 POC system is intended to be operated in point-of-care settings and

hospital laboratories.

Symbols and abbreviations

Product names Except where the context clearly indicates otherwise, the following product names

and abbreviations are used.

Symbols used in the publication

Product name Descriptor

cobas b 123 POC system system

cobas b 123 Fluid Pack Fluid Pack

cobas b 123 Sensor Cartridge Sensor Cartridge

cobas b 123 AutoQC Pack AutoQC Pack

cobas b 123 AutoCVC Pack AutoCVC Pack

cobas b 123 Printer Paper printer paper

Table 2 Product names

Symbol Explanation

o List item

r Start of a task

s End of a task

u Related topics containing further information

q Tip. Extra information on correct use or useful hints.

Table 3 Symbols used in the publication

cobas b 123 POC system

Roche Diagnostics

8 Instructions for Use · Version 13.0

Symbols used on the instrument

Symbols used on consumables

Symbol Description

Catalog number

Serial number

Global Trade Item Number

Manufacturer

Date of manufacture

Direct current

Caution

Biohazard

Table 4 Symbols used on the instrument

Symbol Description

Catalog number

Batch code

Global Trade Item Number

Use by date

Temperature limitation

Table 5 Symbols used on consumables

Roche Diagnostics

Instructions for Use · Version 13.0 9

cobas b 123 POC system

Do not use if package is damaged

Consumable contents

Control material

Fragile handle with care

Store upright

Do not reuse

Manufacturer

Sterilized using irradiation

Sterilized using ethylene oxide

Sufficient for <n> tests

Operator’s manual/operating instructions

Caution, consult accompanying documents

Handle with care

Software symbol for the Fluid Pack

Symbol Description

Table 5 Symbols used on consumables

cobas b 123 POC system

Roche Diagnostics

10 Instructions for Use · Version 13.0

Abbreviations

Software symbol for the AutoQC Pack

Software symbol for the Sensor Cartridge

Biohazard

Symbol Description

Table 5 Symbols used on consumables

Abbreviation Definition

1P 1-point calibration

2P 2-point calibration

AMR Analytical measurement range

A

rate

Assisted breathing rate

ASTM American Society for Testing and Material

AutoQC Automatic Quality Control

BG Blood gas

Bili Bilirubin

BSA Bovine serum albumin

Ca

2+

Ionized calcium

CCD Charge coupled device

CE Conformité Européenne

CF Compact flash

Cl

-

Chloride

CLIA Clinical Laboratory Improvement Amendments

CLSI Clinical and Laboratory Standards Institute

COHb Carboxyhemoglobin

COOX Co-oximetry

CPAP Continuous positive airway pressure

CSV Comma-separated values

CVC Calibration verification control

DHCP Dynamic host configuration protocol

DIN German national organization for standardization

DNS Domain name server

e.g. for example

EC European community

EN European standard

EQA External Quality Assurance

Glu Glucose

H

+

Hydrogen ion concentration

Hb Hemoglobin

Hct Hematocrit

Table 6 Abbreviations

Roche Diagnostics

Instructions for Use · Version 13.0 11

cobas b 123 POC system

HHb Deoxyhemoglobin

i.e. that is to say

IEC International Electrotechnical Commission

ISE Ion-selective electrode

ISO International Organization for Standardization

IT Information technology

IVD In vitro diagnostic

K

+

Potassium

Lac Lactate

LCD Liquid crystal display

LED Light-emitting diode

LIS Laboratory Information System

MAP Mean airway pressure

MCHC Mean corpuscular hemoglobin concentration

MCT Medium chain triglycerides

MetHb Methemoglobin

mm millimeter

MSDS Material safety data sheet

MV Mean value

Na

+

Sodium

NIST National Institute of Standards and Technology

O

2

Hb Oxyhemoglobin

PCO

2

Partial pressure of carbon dioxide

PEEP Positive end-expiratory pressure

PIP Peak inspiratory pressure

PO

2

Partial pressure of oxygen

POC Point-of-care

POCT1-A Connectivity standard for point of care devices

QC Quality control

RAM Random access memory

RECAL Recalibration

RQ Respiratory quotient

SD Standard deviation

SD card Secure digital memory card

SIM Sample input module

SO

2

Oxygen saturation

S

rate

Spontaneous breathing rate

STDBY Standby

Te Expiratory time

tHb Total hemoglobin

Ti Inspiratory time

Abbreviation Definition

Table 6 Abbreviations

cobas b 123 POC system

Roche Diagnostics

12 Instructions for Use · Version 13.0

What is new in this version

o Updates for new hardware version

o Updated safety messages

o Added Hypodermic needle as consumable

o Editorial updates.

UIM User interface module

USB Universal Serial Bus

VT Tidal volume

Abbreviation Definition

Table 6 Abbreviations

Introduction and specifications

1 Safety information ........................................................................................................................... 15

2 General description.......................................................................................................................... 27

3 Specifications .................................................................................................................................... 51

4 Theoretical foundations ................................................................................................................... 93

Roche Diagnostics

Instructions for Use · Version 13.0 15

cobas b 123 POC system 1 Safety information

Table of contents

Safety information 1

The chapter provides information about the safe operation of the system.

In this chapter

Chapter

1

Safety classifications.............................................................................................................17

Safety precautions.................................................................................................................18

Operator qualification...................................................................................................18

Safe and proper use of the system................................................................................18

Installation and deinstallation......................................................................................19

Operating conditions.....................................................................................................19

Electrical safety...............................................................................................................20

Biohazardous materials .................................................................................................20

Mechanical safety...........................................................................................................21

Consumables...................................................................................................................21

Reagents and working solutions...................................................................................22

Incorrect results..............................................................................................................23

Software and data security............................................................................................24

Instrument damage........................................................................................................25

Safety labels on the instrument and consumables ...........................................................26

Roche Diagnostics

16 Instructions for Use · Version 13.0

1 Safety information cobas b 123 POC system

Table of contents

Roche Diagnostics

Instructions for Use · Version 13.0 17

cobas b 123 POC system 1 Safety information

Safety classifications

This section explains how precautionary information is presented in this manual.

The safety precautions and important user notes are classified according to the ANSI

Z535.6 Standard. Familiarize yourself with the following meanings and icons:

Safety alert

The safety alert symbol is used to alert you to potential physical injury hazards. Obey all

safety messages that follow this symbol to avoid possible damage to the system, injury, or

death.

These symbols and signal words are used for specific hazards:

WARNING

r ... indicates a hazardous situation that, if not avoided, could result in death or serious

injury.

CAUTION

r ... indicates a hazardous situation that, if not avoided, could result in minor or moderate

injury.

NOTICE

r ... indicates a hazardous situation that, if not avoided, may result in damage to the

instrument.

Protective gloves and goggles, suitable protective clothing, and if necessary, mouth

protection has to be worn.

Important information that is not safety relevant is indicated with the following

symbol:

q

Tip

... indicates additional information on correct use or useful tips.

Roche Diagnostics

18 Instructions for Use · Version 13.0

1 Safety information cobas b 123 POC system

Safety precautions

CAUTION

To avoid serious or fatal injury, read and comply with the following safety

precautions.

Operator qualification

Insufficient knowledge and skills As an operator, ensure that you know the relevant safety precaution guidelines and

standards and the information and procedures contained in these instructions.

o Do not carry out operation and maintenance unless a Roche representative has

trained you or your trainer to do so.

o Leave maintenance, installation, or service that is not described to trained Roche

Service representatives.

o Carefully follow the procedures specified in the instructions for operation and

maintenance.

o Follow standard laboratory practices, especially when you work with

biohazardous material.

Safe and proper use of the system

WARNING

Personal injury and infection due to sharps, rough edges, and/or moving parts

r Good Laboratory Practice can reduce the risk of injury. Be aware of your laboratory

environment, well-prepared, and follow the instructions for use. Some areas of the

instrument may have sharps, rough edges, and/or moving parts. Wear personal

protective equipment to minimize the risk of injury from bodily contact with such parts,

especially in less accessible areas, or while cleaning the instrument. Your personal

protective equipment should be appropriate to the degree and type of potential hazard,

e.g. suitable lab gloves, eye protection, lab coat, and footwear.

WARNING

Missing personal protective equipment

Working without personal protective equipment means danger to life or health. Using the

instrument in a way that is not described by the manufacturer can impair the protection

provided.

r Wear appropriate personal protective equipment, such as:

o Lab gloves

o Lab coat

o Eye protection

o Face shield if there is a chance of splashing or splattering

System not used for an extended

period

o If the system will not be used for more than 24 hours, put the system out of

operation.

o Remove and refrigerate any remaining reagents.

o For further information, call your Roche Service representative.

Non-approved parts Use of non-approved parts or devices may result in malfunction of the system and

may render the warranty null and void.

o Use only parts and devices approved by Roche Diagnostics.

Roche Diagnostics

Instructions for Use · Version 13.0 19

cobas b 123 POC system 1 Safety information

Safety precautions

Installation and deinstallation

Transport Risk of personal injury when lifting. The cobas b 123 POC system, without

consumables in the bottle compartment and AutoQC materials in the AutoQC

module, weighs approximately 20 kg.

o Perform the put out of operation procedure before moving the system.

u Put out of operation (p. 134)

o Do not attempt to relocate or transport the system without the assistance of

another individual.

o Do not attempt to lift the system with a Fluid Pack and AutoQC Pack in the

system. In addition, make sure that before lifting, there are no other objects

attached to the system.

o Lift the system only from its designated holding points.

u Holding points (p. 87)

Errors in installation Only trained Roche Service representatives may install the system.

o Leave installation that is not described to trained Roche Service representatives.

Disposal A biohazardous system may lead to infection.

o Treat the system as biohazardous waste. Decontamination (the combination of

processes including cleaning, disinfection, and/or sterilization) is required before

reuse, recycling, or disposal of the system.

o Dispose of the system according to the local regulations. For more information,

contact your Roche service representative.

Operating conditions

NOTICE

Unsuitable operating conditions

Operation outside of the specified ranges may lead to incorrect results or malfunction of

the system.

r Use the system indoors only, and avoid heat and humidity outside of the specified

range.

r Make sure that the system’s ventilation openings always remain unobstructed.

r Keep the analyzer away from all sources of liquids, such as sinks and wash basins.

r Keep the operating instructions undamaged and available for use. Operating

instructions have to be easily accessible for all users.

Electromagnetic interference Strong electromagnetic fields (originating from unshielded radio-frequency sources)

can interfere with proper operation and may lead to malfunction of the system and

incorrect results.

o Do not use this system near sources of strong electromagnetic fields because these

fields can interfere with its proper operation.

o Evaluate the electromagnetic environment before you operate the system.

o Take measures to mitigate the interference.

Roche Diagnostics

20 Instructions for Use · Version 13.0

1 Safety information cobas b 123 POC system

Safety precautions

Electrical safety

CAUTION

Electrical shock

Removing the covers of electronic equipment can cause electric shock because there are

high-voltage parts inside.

r Do not attempt to work in any electronic equipment.

r Do not remove any cover of the system except those covers specified in the

instructions.

r Only Roche Service representatives may install, service, and repair the system

Electrical specifications Comply with the following electrical specifications when operating the

cobas b 123 POC system:

o The power cable has to be connected into a grounded power socket. If you

connect the instrument to an extension cable, the extension cable has to be

connected into a grounded power socket.

o The power cable has to conform to country-specific requirements. Contact your

Roche Service representative for more information.

o Only use electrical accessories, such as power cables, provided by Roche. Do not

alter any electrical equipment on the instrument, or any electrical accessories that

accompany the system.

Biohazardous materials

Infectious samples Contact with samples containing material of human origin may result in infection.

All materials and mechanical components associated with samples containing

material of human origin are potentially biohazardous.

o Follow standard laboratory practices, especially when working with biohazardous

material.

o Keep all covers closed while the system is operating.

o Follow the instructions in this manual when performing procedures with the top

cover of the system removed.

o Wear appropriate personal protective equipment.

o If any biohazardous material is spilled, wipe it up immediately and apply a

disinfectant.

o If sample or waste comes into contact with your skin, wash the affected area

immediately with soap and water and apply a disinfectant. Consult a physician.

Sharp objects Contact with probes or needles may result in infection.

o When you wipe probes or needles, use several layers of gauze and wipe from the

top down.

o Take care not to puncture yourself.

o Wear appropriate personal protective equipment. Take extra care when working

with lab gloves, which can easily be pierced or cut, leading to infection.

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