Roche COBAS INTEGRA 400 plus Reference guide

Type
Reference guide

Roche COBAS INTEGRA 400 plus is a versatile analyzer designed for clinical chemistry testing. It features automated sample handling, onboard reagent cooling, and continuous loading, enabling efficient workflow and STAT sample processing. With its comprehensive test menu and optional modules for specific assays, it offers flexibility for various laboratory needs. The user-friendly interface and comprehensive QC functions ensure reliable results and simplified operation.

Roche COBAS INTEGRA 400 plus is a versatile analyzer designed for clinical chemistry testing. It features automated sample handling, onboard reagent cooling, and continuous loading, enabling efficient workflow and STAT sample processing. With its comprehensive test menu and optional modules for specific assays, it offers flexibility for various laboratory needs. The user-friendly interface and comprehensive QC functions ensure reliable results and simplified operation.

Daily start-up
1
Log on and check Memo Pad
Shift + F3
2
Check Begin of Day report
File > Print Report > Begin of Day
3
Load diluents and ISE solutions
(if not yet on board)
4
Load and mix cassettes
(if not yet on board or mixing is required)
Status > Cassettes
5
Check resources
• Check cuvettes, waste, cleaner, printer paper
6
Perform service actions
Service > Due
7
Load and run required calibrators and
controls
End of day
1
Remove sample racks
2
Delete results and orders
Results / Orders
Tools > Purge Orders
Tools > Purge Results
Do not delete results of the day if you archive the
results on the system
3
Complete remaining service actions
Service > Due
4
Log off
Shift + F3
Daily routine Without sample barcode
Without host
1
Create orders
Orders > Sample
• Add patient ID and demographics
• Add order ID and demographics
• Select tests and save the order
• Conrmrackpositions
2
Load samples on board
File > Print Report > Loadlist
3
Start processing and check Worklist tab
Orders > Worklist
• Check folders Blocked and Not On Board
4
Validate results
Results > Validate
• Rerun or repeat a test
• Review test result details
• Accept result
5
Print Final Report
File > Print Report > Final Report
Daily routine With sample barcode
Without host
1
Load samples on board
File > Print Report > Loadlist
2
Create orders
Orders > Sample
• Add patient ID and demographics
• Select order ID from the list and add order
demographics
• Select tests and click Save
3
Conrm orders
File > Print Report > Worklist
4
Start processing and check Worklist tab
Orders > Worklist
• Check folders Blocked, Not On Board, and
Without Orders
5
Validate results
Results > Validate
• Rerun or repeat a test
• Review test result details
• Accept result
6
Print Final Report
File > Print Report > Final Report
Daily routine With sample barcode
With host
1
Load samples on board
2
Start processing
3
Monitor scheduled orders
Orders > Worklist
• Check folders Blocked and Not On Board
4
Validate results (when working without
automatic result handling)
Results > Validate
• Rerun or repeat a test
• Review test result details
• Accept result
Flags Blocked items
To check the cause of blocked items
1. Click Orders on the navigation bar.
2. Click the Worklist tab.
3. Select an order in the Blocked folder on the left.
Detailed information of the selected order is
displayed in the samples and tests list on the right.
4. Select the Blocked Status Text and press F1 to get
help on a blocked item.
Help
To display context Help
Press F1 or click Help to open the context Help.
C Repeat calibration.
P 1. Review results.
2. Repeat calibration if necessary.
Q 1. Repeat quality control.
2. Repeat test if necessary.
R Refertotheagaccompanying
theRag.
> Result is from a rerun. No action
is required.
v Result obtained from diluted
sample. No action required.
^ Result obtained from concentrated
sample. No action required.
>RR
<RR
Outside reference range. No action
required.
ACC RNG Repeat the quality control. Use
fresh control material.
Precision-QC
Flags
If the control has failed, repeat the
quality control. Use fresh control
material.
<REAG RNG
>REAG RNG
1. Check the calibration curve and
expiry date.
2. Rerun the calibration with fresh
calibrator.
3. Iftheagreoccurs,replacethe
cassette.
OUT OF RNG 1. Check the calibration curve.
2. Repeat the calibration with a
fresh calibrator.
3. Iftheagreoccurs,replacethe
cassette.
<TEST RNG
>TEST RNG
• Rerun sample with
postconcentration if <TEST
RNGasdenedinConguration
>Denitions>Tests>
Laboratory.
• Rerun sample with postdilution
if >TEST RNG.
<Critical
Range
>Critical
Range
Follow laboratory procedure for
critical value reporting.
NON MONO • Rerun calibration with fresh
calibrators.
• Check sequence and placement
of calibrators on rack.
CURVE DIR Change the order of your cups and
rerun your calibration.
AIR FLUID
AIR ISECAL
ISE UNSTAB
NO FLUID
NO ISECAL
OUT OF RNG
SEG FLUID
SEG ISECAL
SOL1 F DEV
ISEags
ForinformationaboutISEags,
see Chapter ISE ags and
troubleshooting in the Operator’s
Manual
Quick Reference Card · Version 2.0
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Roche COBAS INTEGRA 400 plus Reference guide

Type
Reference guide

Roche COBAS INTEGRA 400 plus is a versatile analyzer designed for clinical chemistry testing. It features automated sample handling, onboard reagent cooling, and continuous loading, enabling efficient workflow and STAT sample processing. With its comprehensive test menu and optional modules for specific assays, it offers flexibility for various laboratory needs. The user-friendly interface and comprehensive QC functions ensure reliable results and simplified operation.

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