User Manual
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Algeria bioMérieux Algérie EURL Algéria Business Center Les Pins Maritimes - Mohammadia Alger tel. (213) 21 89 14 81 fax (213) 21 89 14 82 Argentina bioMérieux Argentina Av. Congreso 1745 C1428BUE Capital Federal Buenos Aires tel. (54) 11 5555 6800 fax (54) 11 5555 6888 Australia bioMérieux Australia P/L Unit 25 - Parkview Business Centre 1, Maitland Place Baulkham Hills NSW 2153 tel. (61) 2 8852 4700 fax (61) 2 8852 4777 Austria bioMérieux Austria GmbH Eduard-Kittenberger-Gasse 97 Top 3 A-1230 Wien tel. (43) 186 50 650 fax (43) 186 50 661 Belgium bioMérieux Benelux s.a./n.v. Media Square 18–19 Place des Carabiniers Bruxelles 1030 tel. (32) 2 743 01 70 fax (32) 2 733 55 97 Brazil bioMérieux Brasil SA Estrada Do Mapuá 491 Taquara - Jacarepaguá CEP 22710 261 Rio de Janeiro RJ tel. (55) 21 2444 1400 fax (55) 21 2445 6025 Canada bioMérieux Canada, Inc. 7815, Henri-Bourassa West Saint Laurent, QC H4S 1P7 tel. (1) 514 336 7321 fax (1) 514 807 0015 Chile bioMérieux Chile S.A. Seminario 131 Providencia Santiago tel. (56) 2634 20 92 fax (56) 2634 20 93 China bioMérieux China Limited Room 1601-02B & 10 Est Ocean Centre nº 24A Jiang Guo Men Nei Street 100004 Beijing tel. (86) 10 6515 6963 fax (86) 10 6515 6993 bioMérieux China Limited Room 2605, South Tower, World Trade Center 371-375 Huan Shi Dong East Road 510095 Guangzhou tel. (86) 20 8762 7010 fax (86) 20 8762 7015
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Colombia bioMérieux Colombia Ltda Avenida 15 No. 100-43 Piso 2 Bogotá, D.C. tel. (57) 1 520 0080 fax (57) 1 520 0088 (57) 1 520 0831 Czech Republic bioMérieux CZ s.r.o. Business Park Kosice Jinonická 80 158 00 Praha 5 tel. (420) 2 57 290 623 (420) 2 57 290 232 fax (420) 2 57 290 964
Ivory Coast bioMérieux Afrique Occidentale 08 BP 2634 Avenue Joseph Blohorn Abidjan 08 tel. (225) 22 40 93 93/22 40 41 40 fax (225) 22 40 93 94 Japan Sysmex bioMérieux, Ltd. Osaki Central Tower 8F 1-2-2 Osaki Shinagawa-ku Tokyo 141-0032 tel. (81) 3 6834 2666 fax (81) 3 6834 2667
Denmark bioMérieux Danmark Aps Smedeholm 13C 2730 Herlev tel. (45) 70 10 84 00 fax (45) 70 10 84 01
Korea bioMérieux Korea Co., Ltd. 1st & 2nd Floor, Yoosung Building # 830-67 Yeoksam-dong, Kangnam-gu Séoul 135-080 tel. (82) 2 2188 4700 fax (82) 2 547 6263
Finland bioMérieux Suomi Oy Konalantie 47 C FI-00390 Helsinki tel. (358) 9 8545 6000 fax (358) 9 8545 6045
Mexico bioMérieux México SA de CV Chihuahua 88, col. Progreso México 01080, D.F. tel. (52) 55 5481 9550 fax (52) 55 5616 2245
France bioMérieux SA 69280 Marcy l’Etoile tel. (33) (0)4 78 87 20 00 fax (33) (0)4 78 87 20 90 http://www.biomerieux.com
Netherlands (The) bioMérieux Benelux BV Boseind 15 P.O. Box 23 5280 AA Boxtel tel. (31) 411 65 48 88 fax (31) 411 65 48 73
Germany bioMérieux Deutschland GmbH Weberstrasse 8 D 72622 Nürtingen tel. (49) 7022 30070 fax (49) 7022 36110 Greece bioMérieux Hellas S.A. Papanikoli 70 15232 Halandri Athens tel. (30) 2 10 81 72 400 fax (30) 2 10 68 00 880 Hungary bioMérieux Hungária Kft. Fóto út. 56 (5. emelet) H-1047 Budapest tel. (36) 1 231 3050 fax (36) 1 231 3059 India bioMérieux India Pvt. Ltd A-32, Mohan Co-Operative Ind. Estate New Delhi 110 024 tel. (91) 11 42 09 88 00 fax (91) 11 24 64 88 30 Indonesia Representation Office bioMérieux Indonesia Enseval Building Kawasan Industri Pulo Gadung Jl. Pulo - Lentut No. 10 Jakarta Timur 13920 tel. (62) 21 461 51 11 fax (62) 21 460 41 07 Italy bioMérieux Italia S.p.A. Via Fiume Bianco, 56 00144 Roma tel. (39) 06 523 081 fax (39) 06 523 08240
New Zealand bioMérieux New Zealand Ltd. C/- Logical Freight Solutions 12C Rennie Drive, Airport Oaks Auckland tel. (64) 9 918 6354 fax (64) 9 918 6355 Norway bioMérieux Norge AS Økernveien 145 N-0513, Oslo tel. (47) 23 37 55 50 fax (47) 23 37 55 51 Philippines (The) Representation Office bioMérieux Philippines 11th floor, Pearlbank Centre 146 Valero Street, Salcedo Village 1227 Makati City tel. (632) 817 7741 fax (632) 812 0896 Poland bioMérieux Polska Sp. Z.o.o. Ul. Zeromskiego 17 01-882 Warsaw tel. (48) 22 569 85 00 fax (48) 22 569 85 54 Portugal bioMérieux Portugal, Lda. Av. 25 de Abril de 1974, nº 23-3º 2795-197 LINDA-A-VELHA tel. (351) 21 415 23 50 fax (351) 21 418 32 67 Russia o.o.o. bioMérieux Derbenevskaya ul. 20, str. 11 115 114 Moscow tel. (7) 495 221 10 79 fax (7) 495 221 10 79
Manual Name 702383-1 REV nn/nnnn
Singapore bioMérieux Singaporete. Ltd. 11 Biopolis Way, Helios, Block 11 #10-03 Singapore 138667 tel. (65) 6513 9554 fax (65) 6478 9501 South Africa bioMérieux South Africa Pty 7 Malibongwe Drive Randburg 2125 tel. (27) 11 801 91 10 fax (27) 11 791 24 19 Spain bioMérieux España S.A. Manual Tovar, 45–47 28034 Madrid tel. (34) 91 358 11 42 fax (34) 91 358 06 29 Sweden bioMérieux Sverige AB Hantverksvägen 15 436 33 Askim tel. (46) 31 68 84 90 fax (46) 31 68 48 48
Manual Name 702383-1 REV nn/nnnn
Switzerland bioMérieux Suisse s.a. 51, avenue Blanc Case postale 2150 1211 Genève 2 tel. (41) 22 906 57 60 fax (41) 22 906 57 42 Taiwan Representation Office bioMérieux China Limited Taiwan Branch RM 608, No. 6-3 Ching Cheng Street Taipei 105 tel. (886) 2 2545 2250 fax (886) 2 2545 0959 Thailand bioMérieux Thailand Ltd 3195/9 Vibulthani Tower, 4th Floor Rama IV Road, Klongton, Klongtoey Bangkok 10110 tel. (66) 2 661 56 44 fax (66) 2 661 56 45
Turkey bioMérieux Diagnostik A.S. Değirmen Sok. Nida Plaza Kat:6 34742 Kozyataği-Istanbul tel. (90) 216 444 00 83 fax (90) 216 373 16 63 United Kingdom bioMérieux UK Ltd Grafton Way, Basingstoke Hampshire RG22 6HY tel. (44) 1256 461881 fax (44) 1256 816863 USA bioMérieux, Inc. 100 Rodolphe Street Durham NC 27712 tel. (1) 919 620 2000 Vietnam Representation Office bioMérieux Vietnam Room 4A, 4th Floor Green House Building 62A Pham Ngoc Thach Street, Ward 6 District 3 Ho Chi Minh City tel. (84) 88 209 906 fax (84) 88 209 905
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This product and its documentation complies with the In Vitro Diagnostic Medical Device Directive 98/79/EC.
Liability Disclaimer bioMérieux, Inc. makes no express or implied warranty regarding this manual, its quality, performance, or appropriate use regarding any type of specific procedure. Furthermore, this manual may be modified by bioMérieux without notice and without implying any obligation or liability on the part of the company.
Intellectual Property bioMérieux and the blue logo, BacT/ALERT, BacT/LINK and MB/BacT are used, pending, and/ or registered trademarks of bioMérieux in the USA and other countries. CLSI is a registered trademark of Clinical and Laboratory Standards Institute, Inc. PSC and Quickscan are registered trademarks of PSC, Inc. Zip is a registered trademark of Iomega Corporation. © 2011 bioMérieux, Inc. All rights reserved. No part of this publication may be reproduced, transmitted, transcribed, stored in a retrieval system, or translated into any language (human or computer) in any form, or by any means whatsoever, without the prior express written permission of bioMérieux, Inc.
Warranty bioMérieux, Inc., (“Seller”) warrants the BacT/ALERT® instrument (the “Instrument”) to the original purchaser for a period of one (1) year after date of installation against defects in material and workmanship and defects arising from failure to conform to specifications applicable on the date of installation. Seller further agrees to correct, either by repair, or, at its election, by replacement, any such defect found on examination to have occurred, under normal use and service, during such one-year period, provided Seller is promptly notified in writing upon discovery of such defect. Seller shall not be liable under this Warranty for any defect arising from abuse of the system, failure to operate and maintain the system in accordance with the documentation included with the Instrument, including repair service, alteration or modification of the system by any person other than service personnel of bioMérieux, Inc., or use of modified, changed, or previously used disposables. The warranty of Seller set forth above and the obligations and liabilities of Seller thereunder are exclusive and in lieu of all other remedies or warranties, express or implied, arising by law or otherwise, with respect to the system delivered hereunder (including without limitation any obligation of Seller with respect to merchantability, fitness for particular purpose and non-infringement). In no event shall Seller be liable for incidental or consequential damages, however arising and whether or not occasioned by Seller’s negligence. This Warranty shall not be extended or altered except by written instrument signed by Seller. All of the product elements in the Seller’s Instrument and the total Instrument are warranted to be new or equivalent to new for the full product warranty period of one year. Disposables and replacement items with a normal life expectancy of less than one (1) year, such as batteries and bulbs, are excluded from this warranty.
STANDARD SYMBOLS The following table presents symbols that may appear in the instructions for use or on the instrument, package inserts, or packaging. CE-Marking of Conformity
Consult Instructions for Use
Use by
Manufacturer
Date of manufacture
Contains sufficient for <n> tests
Keep dry
Fragile, handle with care
Caution, consult accompanying documents
Biological risks
Electric shock warning
Radiation warning
MANUAL NAME 702382-1EN1 REV NN/NNNN
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Standard Symbols
Potential pinch-point warning
Laser
Temperature limitation
Upper limit of temperature
Lower limit of temperature
In Vitro Diagnostic Medical Device
Batch code
Authorized Representative in the European Community
Catalog number Serial Number Do not reuse
Recyclable
Separate collection for waste electrical and electronic equipment
Very toxic
Corrosive
Sodium azide
Irritant
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MANUAL NAME 702382-1EN1 REV NN/NNNN
Standard Symbols
Positive control
Negative control
Keep away from sunlight
Protect from light
This way up
Do not stack
Humidity limitation
Fuse Direct current Alternating current Both direct and alternating current Three-phase alternating current
Earth (ground) terminal
Protective conductor terminal
Frame or chassis terminal
Equipotentiality
ON (supply)
MANUAL NAME 702382-1EN1 REV NN/NNNN
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Standard Symbols
OFF (supply)
ON (only for a component of the system equipment)
OFF (only for a component of the system equipment)
Equipment protected throughout by double insulation or reinforced insulation (Equivalent to Class II of IEC 536)
Potential tip over/crush hazard
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MANUAL NAME 702382-1EN1 REV NN/NNNN
Table of Contents How To Use This Manual ... 1-1 Intended Audience...1-1 Specimen/Sample...1-1 Purpose of the BacT/ALERT® 3D System...1-1 Additional Supplies...1-2 Purpose of This Manual...1-2 Manual Organization...1-3 Chapter Organization...1-4 Finding Topics...1-4 Typographic and Usage Conventions...1-4 Name and Titles...1-4 Press...1-5 Procedural Steps...1-5 References...1-5 Select...1-5 User Input...1-5 Warnings, Cautions, and Information...1-6
System Overview... 2-1 Introduction...2-1 Hardware Configuration...2-1 Software Configuration Options...2-1 21 CFR Part 11 and HIPAA...2-2 Theory Of Operation...2-2 Principle of Detection... 2-2
Electrical Warnings...2-3 Electrical Grounding...2-5 Electrical and Electronic Recycling...2-6 Fuse Replacement...2-6 BacT/ALERT® 3D Hardware...2-6 Mycobacteria Drawers (Clinical Use)...2-6 Controller Module...2-7 Operator Panel... 2-7 Barcode Reader Aperture... 2-7 Backup Drive... 2-8 Keyboard Drawer... 2-8 Quick Reference Card... 2-8 Keyboard... 2-8 Accessing the Controller Module Keyboard... 2-8 Printer Port... 2-10 Audible Alarm Speaker... 2-10 External Speaker Port... 2-10 411205
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Power Connector... 2-10 Power Switch... 2-10 Display Switch Assembly... 2-11 CPU 1 Port... 2-11 CPU 2 Port... 2-11 Module Ports (6)... 2-11 Monitor Port... 2-11 Modem Port... 2-11 LIS Port (Diagnostic Port)... 2-11 COMM Port... 2-11
Controller Module Specifications... 2-11 Electrical Power Services Requirements... 2-11 Power Consumed in Watts... 2-11 Heat Dissipated... 2-11 Sound Emission... 2-11 Instrument Dimensions... 2-11
Controller Module Environmental Requirements... 2-12 Operating Temperature Range... 2-12 Storage Temperature Range... 2-12 Operating Humidity Range... 2-12 Storage Humidity Range... 2-12 Maximum Operating and Storage Altitude... 2-12 Pollution degree 2 in accordance with IEC 664... 2-12 Overvoltage Category II per IEC 664... 2-12
Combination Module... 2-13 Operator Panel... 2-14 Barcode Reader... 2-14 Keyboard... 2-14 UPS... 2-14 Backup Drive... 2-14 Drawer... 2-15 Rack... 2-15 Cell... 2-15 Cell Indicator Lamp/Cell Indicator Light... 2-15 Cell Flag... 2-15 Thermometer (Not Shown)... 2-15 Drawer Indicator Light - Yellow... 2-15 Drawer Indicator Light - Green... 2-16 Printer Port... 2-16 External Speaker Port... 2-16 Power Connector... 2-16 Power Switch... 2-16 Display Switch Assembly... 2-16 CPU 1 Port... 2-16 CPU 2 Port... 2-16 Module Port (3)... 2-16 Modem Port... 2-16 LIS Port... 2-16 Barcode Scanner Port... 2-16 Keyboard Port... 2-16 Monitor Port... 2-16
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COMM Port... 2-17
Combination Module Specifications...2-17 Electrical Power Services Requirements... 2-17 Power Consumed in Watts... 2-17 Heat Dissipated... 2-17 Combination Module Dimensions... 2-17 Sound Emission... 2-17
Combination Module Environmental Requirements...2-17 Operating Temperature Range... 2-17 Storage Temperature Range... 2-17 Operating Humidity Range... 2-17 Storage Humidity Range... 2-17 Maximum Operating and Storage Altitude... 2-17 Pollution degree 2 in accordance with IEC 664 (Clinical Use)... 2-18 Overvoltage Category II per IEC 664 (Clinical Use)... 2-18
Incubation Module...2-18 Drawer... 2-18 Rack... 2-18 Cell... 2-18 Cell Indicator Lamp/Cell Indicator Light... 2-18 Cell Flag... 2-19 Drawer Indicator Light - Yellow... 2-19 Drawer Indicator Light - Green... 2-19 Controller Module Port... 2-19 Power Connector... 2-20 Power Switch... 2-20
Incubation Module Specifications...2-20 Electrical Power Services Requirements... 2-20 Power Consumed in Watts... 2-20 Heat Dissipated... 2-20 Instrument Dimensions... 2-20 Sound Emission... 2-20
Incubation Module Environmental Requirements...2-20 Operating Temperature Range... 2-20 Storage Temperature Range... 2-20 Operating Humidity Range... 2-20 Storage Humidity Range... 2-20 Maximum Operating and Storage Altitude... 2-20
Instrument Installation and Setup (Clinical Use)...2-21 Instrument Installation and Setup (Industry Use)...2-21 BacT/ALERT® 3D Software...2-21 Operator Panel Screens...2-21 Common Screen Elements...2-22 Icon... 2-22 Button... 2-22 Common System Buttons... 2-23 Scroll Button... 2-23 Slidebar Switch... 2-23 Anchor Display/Scroll Buttons... 2-24
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Text Entry Field... 2-24
Basic Functions (Clinical Use)...3-1 Introduction... 3-1 Monitoring the System... 3-2 Main Screen Introduction... 3-2 Background Color... 3-2 Instrument Icon... 3-2 Bottle Count Table... 3-3
Viewing Faults... 3-4 Viewing the Cell Status Screen... 3-4 Understanding the View Cell Status Screen Display... 3-5
Text/Data Entry... 3-7 Common Text Fields and Field Limit... 3-7 Using the Barcode Scanner to Enter Data... 3-7 Manually Entering Text into a Data Entry Field (Keyboard)... 3-8 Loading Bottles... 3-8 Loading Bottles... 3-8 Changing the Maximum Test Time - Individual Bottles... 3-11 Handling Anonymous Bottles... 3-12 Unloading Bottles... 3-13 Unloading Identified Bottles... 3-13 Unloading Anonymous Bottles... 3-14 Handling Unconfirmed Positive Bottles (False Positives)... 3-16 Accessing the Setup Screen Function Buttons... 3-17 Accessing the Setup Screen... 3-17 Inactivity Timeout for all Setup Screens... 3-18
Setup Screen Function Buttons... 3-18 Viewing and Printing... 3-19 Introduction... 3-19 Viewing Bottle Data... 3-19 Viewing/Printing Reports... 3-20 Viewing/Printing Graphs... 3-20 Using the Print Screen Function... 3-20
Viewing, Printing, and Exporting Test Data... 3-20 Viewing and Printing Bottle Graphs... 3-26 Display Bottle Readings... 3-28 Sending/Requesting LIS Information... 3-32 Sending Results to the LIS... 3-32 Requesting Information from the LIS... 3-32
Basic Functions (Industry Use) ...4-1 Introduction... 4-1
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Monitoring the System...4-1 Main Screen Introduction...4-1 Background Color... 4-2 Instrument Icon... 4-2 Bottle Count Table... 4-3
Viewing Faults...4-4 Viewing the Cell Status Screen...4-4 Understanding the View Cell Status Screen Display... 4-5
Text/Data Entry...4-7 Common Text Fields and Field Limits...4-7 Using the Barcode Scanner to Enter Data...4-7 Manually Entering Text into a Data Entry Field (Keyboard)...4-8 Loading Bottles...4-8 Loading Bottles...4-8 Changing the Maximum Test Time - Individual Bottles...4-11 Handling Anonymous Bottles...4-11 Unloading Bottles...4-11 Unloading Identified Bottles...4-12 Unloading Anonymous Bottles...4-13 Handling Unconfirmed Positive Bottles (False Positives)...4-15 Accessing the Setup Screen Function Buttons...4-16 Accessing the Setup Screen...4-16 Inactivity Timeout for all Setup Screens... 4-17
Setup Screen Function Buttons...4-17 Viewing and Printing...4-19 Introduction...4-19 Viewing Bottle Data... 4-19 Viewing/Printing Reports... 4-19 Viewing/Printing Graphs... 4-19 Using the Print Screen Function... 4-19
Viewing, Printing, and Exporting Test Data...4-20 Viewing and Printing Bottle Graphs...4-25 Display Bottle Readings...4-27 Sending/Requesting LIS Information...4-31 Sending Results to the LIS...4-31 Requesting Information from the LIS...4-31
Editing Test Data (Clinical Use) ... 5-1 Viewing/Editing Bottle Data...5-1 Introduction...5-1 Selecting Bottles Using the Edit Cell Contents Button...5-1 Selecting Bottles Using the Select Bottle to Edit/Graph Button...5-2 Editing Bottle Details Using the Edit Bottle Detail Screen...5-3 411205
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Edit Bottle ID Field... 5-4 View Accession Number Field... 5-4 View Hospital ID Field... 5-4 View Patient First Name Field... 5-4 View Patient Last Name Field... 5-5 Edit Load Status Slidebar Switch... 5-5 Edit Maximum Test Time Scroll Buttons... 5-5 Edit Bottle Type Scroll Button... 5-5 View Cell Location Icon... 5-5 View First Loaded Time Icon... 5-6 View Last Unloaded Time Icon... 5-6 View Time of Last Bottle Reading Icon... 5-6 View Test Time Icon... 5-6 View Test Result Icon... 5-6 Edit Test Result Button... 5-6 Graph Bottle Readings Button... 5-7 View Algorithm/Polynomial Icon... 5-7 View How Determined/Positivity Index Icon... 5-8
Editing Data Relationships... 5-9 Introduction... 5-9 Initiating the Edit Data Relationships Function... 5-9 Editing Bottle ID to Accession Number Relationships... 5-11 Attaching Bottle IDs without an Accession Number to an Accession Number... 5-11 Moving a Bottle ID Association from one Accession Number to Another... 5-12
Editing Accession Number to Hospital ID Relationships... 5-13 Attaching Accession Numbers without a Hospital ID to a Hospital ID... 5-13 Moving an Accession Number Association from one Hospital ID to Another... 5-13
Editing Hospital ID to Patient Name Relationships... 5-14
Editing Test Data (Industry Use)...6-1 Viewing/Editing Bottle Data... 6-1 Introduction... 6-1 Selecting Bottles Using the Edit Cell Contents Button... 6-1 Selecting Bottles Using the Select Bottle to Edit/Graph Button... 6-2 Editing Bottle Details Using the Edit Bottle Detail Screen... 6-3 Edit Bottle ID Field... 6-4 View Sample ID Field... 6-4 View User Defined 1... 6-4 View User Defined 2... 6-4 View User Defined 3... 6-4 Edit Load Status Slidebar Switch... 6-5 Edit Maximum Test Time Scroll Buttons... 6-5 Edit Bottle Type Scroll Button... 6-5 View Cell Location Icon... 6-5 View First Loaded Time Icon... 6-6 View Last Unloaded Time Icon... 6-6 View Time of Last Bottle Reading Icon... 6-6 View Test Time Icon... 6-6 View Test Result Icon... 6-6 vi
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Edit Test Result Button... 6-6 Graph Bottle Readings Button... 6-7 View Algorithm/Polynomial Icon... 6-7 View How Determined/Positivity Index Icon... 6-8
Editing Data Relationships...6-9 Introduction...6-9 Initiating the Edit Data Relationships Function...6-9 Editing Bottle ID to Sample ID Relationships...6-10 Attaching Bottle IDs without a Sample ID to a Sample ID... 6-10 Moving a Bottle ID Association from one Sample ID to Another... 6-11
Editing Sample ID to User Defined 3 Relationships...6-12 Attaching Sample IDs without a User Defined 3 to a User Defined 3... 6-12 Moving a Sample ID Association from One User Defined 3 to Another... 6-12
Editing User Defined 3 to User Defined 1/User Defined 2 Relationships...6-13
Software Configuration... 7-1 Setting the Maximum Test Time...7-1 Setting the Audible Alarms...7-2 Priority of Alarms...7-3 Terminating an Instrument Alarm...7-3 Changing the System Password...7-4 Initiating Manual Backup...7-5 Configuring Report Screens...7-7 Introduction...7-7 Entering Report Labels...7-7 Configuring Report Contents...7-10 Load Report Configuration Screen (Clinical Use)... 7-12 Status Report Configuration Screen (Clinical Use)... 7-13 Unload Report Configuration Screen (Clinical Use)... 7-14 Load Report Configuration Screen (Industry Use)... 7-15 Status Report Configuration Screen (Industry Use)... 7-16 Unload Report Configuration Screen (Industry Use)... 7-17
Viewing and Printing Calibration Data...7-17 Viewing and Printing Calibration History...7-19
System Maintenance... 8-1 Hardware Maintenance...8-1 Preventative Maintenance...8-1 Safety Precautions and Procedures...8-1 General Precautions... 8-2 Spill Cleanup... 8-2 Disinfection Procedure for Spills Onto the Instrument (Clinical Use)... 8-3 Disinfection Procedure for Spills Onto the Instrument (Industry Use)... 8-3 Disinfection Procedure for Spills Within the Instrument... 8-3
Using the Keyboard in Place of the Operator Panel...8-6
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UPS On/Off Button Location... 8-7 Controller Module... 8-7 Combination Module... 8-8
Controller/Combination Module Reboot/Shutdown (BacT/ALERT® 3D Select and SelectLink)... 8-8 Shutdown Method 1... 8-8 Shutdown Method 2... 8-8 Shutdown Method 3... 8-9 Shutdown Method 4... 8-10
Controller or Combination Module Startup... 8-10 Full System Shutdown (BacT/ALERT® 3D Signature)... 8-10 Full System Startup (BacT/ALERT® 3D Signature)... 8-10 Set Up an External Monitor... 8-11 Restore Internal Monitor Settings... 8-11 Software Maintenance... 8-12 Restarting an Incubation Module or the Combination Module Drawers... 8-12 Setting and Formatting the System Date and Time... 8-13 Enabling and Disabling Modules, Drawers, Racks, and Cells... 8-14 Relocating Bottles... 8-16
Adjusting an Incubation or Combination Module’s Temperature... 8-17 Checking an Incubation or Combination Module’s Temperature... 8-17 Setting the Optimal Temperature for an Incubation or Combination Module... 8-19 Calibrating an Incubation or Combination Module’s Temperature... 8-20
Calibrating an Instrument Cell... 8-20 Locating a Cell Which Failed Calibration... 8-20 Viewing a Cell’s Readings and/or Calibrating a Cell... 8-20
Viewing Incubation Module Information... 8-23
System Troubleshooting ...9-1 Introduction... 9-1 Fault Codes... 9-1 Instrument Fault Codes... 9-1 Instrument Status Codes... 9-14 Operator Error Codes... 9-16 Bottle Problems... 9-25 User Output Device Problems... 9-26
21 CFR Part 11 Mode ...10-1 Log In/Out of System - 21 CFR Part 11 Mode... 10-1 Logging In for the First Time... 10-1 Logging In... 10-3 Inactivity Timeout... 10-4 Login Errors... 10-5 Change Password... 10-5
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Change Password Errors...10-6 Logging Out...10-8 Configuring Users - 21 CFR Part 11 Mode...10-8 Adding a User...10-9 Deleting a User...10-9 Deleting More Than One User... 10-10
Clearing a User Password...10-10 Clearing More Than One User Password... 10-11
Audit Trail...10-11 Accessing the Audit Trail...10-13
Mycobacterial Testing (Clinical Use)... 11-1 System Description...11-1 Intended Use...11-1 Overview...11-1 BacT/ALERT® 3D Instrument...11-2 Circulation Fan... 11-2 Rocker Clamp... 11-2 Installation Procedures and Special Requirements... 11-2 Barcodes... 11-3 Load Bottles... 11-3 Unload Positives and Negatives... 11-3 Set Maximum Test Time... 11-3 Positive Detection Algorithm... 11-3 Bottle Status... 11-3
System Startup...11-4 General Information...11-4 MB Drawer Configuration... 11-4 Limitations of the Test... 11-4 Service and Maintenance... 11-4
Theory of Operation...11-5 Principle of Detection... 11-5
Safety Features...11-6 General Precautions... 11-6 Spill Cleanup... 11-6 Disinfection Procedure for Spills Within/Onto the Instrument... 11-6 Remove Drawer... 11-7
Device Comparison for Recovery of Mycobacteria...11-7
International Character Entry...A-1 International Character Entry... A-1 Clinical Use... A-2 Industry Use... A-2
Entering International Characters... A-2
Bottle Quality Control ...B-1 411205
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BacT/ALERT® Culture Bottles... B-1 Introduction... B-1 Flip Cap... B-1 Stopper/Seal... B-1 Bottle... B-2 Volume Designations (Clinical Use)... B-2 Volume Designations (Industry Use)... B-2 Barcode... B-2 Sensor... B-2 Limitations of the Test... B-2 Clinical Use...B-3 Industry Use...B-3
Quality Control of Growth Performance... B-3 Blood Culture Bottles (SA, SN, FA, FN, PF, FA Plus, PF Plus, and FN Plus)... B-3 Mycobacteria Culture Bottles (MB and MP)... B-4 Culture Bottles (iAST, iNST, and iLYM)... B-4
Best Practices ... C-1 Best Practices for Preventing False Positives... C-1 Preventing False Positives - User... C-1 High Amount of White Blood Cells (Clinical Use)... C-1 Blood (or Sample) Volume too High... C-1 Large Bottle Loading and Unloading Events... C-2 Temperature Changes in the Environment... C-2 Bottle Not Completely Loaded into the Cell... C-3
Preventing False Positives - Instrument... C-3 Cell Noise... C-3 High Initial Value Readings... C-4 False Positive MP Process Bottles Flagged by Delta Algorithm (Clinical Use)... C-5
Glossary... D-1
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How To Use This Manual
Intended Audience The BacT/ALERT® 3D system and this manual are intended for laboratory use by trained, professional, clinical and industry users. Most material in the manual applies to both sets of users. If any information in the manual is intended for clinical use only or industry use only, it is marked Clinical Use or Industry Use.
Specimen/Sample In this manual, you will find references to both “specimen” and “sample.” “Specimen” refers to Clinical Use, and “sample” refers to Industry Use.
Purpose of the BacT/ALERT® 3D System The BacT/ALERT® 3D Microbial Detection System is a totally automated test system capable of incubating, agitating, and continuously monitoring aerobic and anaerobic media inoculated with: • patient specimens suspected of having bacteremia, fungemia, and/or mycobacteremia (Clinical Use), or • samples to be monitored for bacterial or fungal contamination (Industry Use). CAUTION: bioMérieux shall not be liable as to any defect (including, but not limited to, incorrect results that may affect patient outcomes) arising from the following conditions: • Abuse of the instrument. • Failure to operate and maintain the instrument in accordance with the User Manual. • Operation of the instrument by a person who has not been trained in its operation by bioMérieux. • Repair, service, alteration or modification of the instrument by any person other than service personnel of bioMérieux. • Modification, change or reuse of the disposables supplied by bioMérieux for use in the instrument. • Use of disposables (bottles) other than those supplied by bioMérieux.
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BacT/ALERT® 3D User Manual
Additional Supplies
CAUTION: This BacT/ALERT® 3D User Manual is only intended for use with B.40 Software or higher. The software version B.40 (or higher) is displayed at the bottom of the instrument icon on the Main screen. CAUTION: All figures depicting operator screens are examples only. Actual screens may differ to the extent they are affected by the actual data entered by the operator, or actual data transmitted to the instrument over the DBMS or LIS interface, or actual data generated by the instrument. CAUTION: Regarding section "Entering Report Labels," the user is solely responsible for the choice of customized report label text and for validating that the intended label text appears in all associated reports. bioMérieux shall not be liable for any consequences resulting from misinterpretation of customized report labels. CAUTION: (Industry Use) The BacT/ALERT® system is marketed for use in the detection of microorganisms in blood and other normally sterile body fluids, and in the detection of microorganisms in other sample matrices and for additional specific indications for use, as specified in the package inserts, user manuals, and labeling of the specific components of the BacT/ALERT® system. Customers who use the BacT/ALERT® system in testing of sample types or for indications other than those described in the applicable package inserts and user manuals do so at their own risk. Performance characteristics for the BacT/ALERT® system for any use outside the labeling, package insert, or user manual have not been established.
Additional Supplies Contact bioMérieux or your local vendor for laboratory supplies and accessories.
Purpose of This Manual This manual focuses on the BacT/ALERT® 3D software application and how you use it in your workflow. It contains step-by-step procedures for using your BacT/ALERT® 3D system. By using these procedures, you can perform all the functions required to operate your system, including: • accessing the BacT/ALERT® 3D software • system monitoring • entering data (where applicable) • loading and unloading bottles
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How To Use This Manual
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