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Cng ty TNHH
Cng ty TNHH
SYSMEX Vit Nam
SYSMEX Vit Nam Date: 2017.05.23
10:10:30 +07'00'
My Xt Nghim Huyt Hc T ng
XN-1000/2000
Hng Dn S Dng
1.4 Ha cht
C 13 loi ha cht c s dng cho my huyt hc XN-1000
CBC+DIFF+RET
Tn ha cht CBC
+ WPC + PLT-F
start-up * shutdown auto rinse *
M t hng ha cht.
M hng Tn ha cht ng gi VT
CELLPACK DCL Thng
ZPPCT661628 (1 x 20L)
SULFOLYSER Chai
BJ350971 (2 x 1.5L)
LYSERCELL WNR Chai
AN577063 (2 x 4L)
FLOUROCELL WNR Chai
CP066715 (2 x 82ml)
LYSERCELL WDF Chai
AW993605 (2 x 4L)
Ha cht ra
CF579595 CELLCLEAN AUTO (20 x 4ml) Hp
2.2 M MY
Khi ng IPU, my tnh s t ng ng nhp vo phn mm XN
G tn ng nhp v mt khu
2.3 CHY QC
My huyt hc XN-1000 hin th QC trn biu X-Bar v biu
Levey Jenning.
Nn chy QC du ngy, trc khi tin hnh o mu, sau 8 gi vn
hnh, sau khi thay th ha cht v cc ph kin, sau khi thc hin bo
tr, v nht l khi c nghi ng v chnh xc ca kt qu o mu
bnh.
7. Nu kt qu khng b bo li (kt qu
ngoi gii hn s c t ) thi
chn [Accept] xc nhn kt qu
chy QC. Cancel hy b kt qu
QC.
2.3.2 Chy QC ch t ng
1. Ly QC ra khi kho lu tr v t nhit phng khong 15 pht
QC c n nh trc khi chy.
2. t cc l QCs c barcode vo khay cha mu.
3. t khay cha mu c cc l QCs vo khu vc ti mu, my s t ng
c barcode v tin hnh chy QC, sau a kt qu vo biu .
2.4 NG K V CHY MU
2.4.1 Chun b mu
Ly mu vo ng EDTA theo th tch ghi trn ng.
3. Nhn OK.
[Continuous Registration] : Khi chc nng ny c bt, mu s
c ng k t 1-10. Sau khi han tt th hp thai [Regist Oder] s
hin th tip theo.
Validate V Mu c xc nhn
Sample I - Initial T ng
information M - Manual ng k bng tay
A - Auto incremented T dng tng dn
B - Barcode C barcode
C - Host computer C kt ni mng
Analysis WB : Wholeblood Mu ton phn
mode LW : Low WBC Wbc thp
PD : Pre dilution Pha long
BF : Body Fluid Dch c th
P/N D : DIFF Bt thng v cc thnh
M : Morphology phn t bo
C : Couting Bt thng v hnh thi
Bt thng v s lng
Action Check Kim tra
Review Xem li kt qu khi cn
Error Function Li c barcode
Result Li ht mu, thiu mu.
Printed D : Data printer In d liu
G : Graphic printer In hnh nh, biu
H : Host Kt ni mng
2.5.5 Lu tr kt qu
Lu tr theo ng dn t chn.
2.5.6 Phc hi kt qu
Mn hnh Browser
Mn hnh Browser c th m theo nhiu cch khc nhau:
* Nu c
Item Hin th cc thng s phn tch
Unit n v
K hiu Ngha
* Kt qu thiu tin cy
-------
Kt qu khng th xut do li phn tch
Analyis ipossible
++++
Vt qu gii hn hin th
Out of Range
(Blank) Khng c ng k
(* Nu c)
C bo
C BO BT THNG ABNORMAL FLAGGING
WBC BCH CU
RBC- HNG CU
Microcytosis Hng cu nh
Macrocytosis Hng cu ln
Anemia Thiu mu
PLT- TIU CU
WBC BCH CU
RBC- HNG CU
RBC
Nghi ng c ngng kt hng cu
Agglutination?
Turbidity/HGB
Nghi ng HGB b nh hng bi mu c c cao
Interf?
Iron
Nghi ng thiu mu thiu st
Deficiency?
PLT- TIU CU
3.2.2 Temperature
Errors
RH thermistor/temp.
FCM react. chamber i cho nhit n nh hoc Nhit tng ng ca cc
temp. nm trong gii hn cho php ( n v phn ng ngoi gii
FCM detector temp. ti a 30 pht). hn cho php.
FCM sheath temp. Nu sau 30 pht vn bo li
FCM react. chamber >>>lin h vi Sysmex.
thermistor
APD thermistor
FCM detector therm.
FCM sheath therm.
Env.Temp. therm.
3.2.3 Aspiration
Errors
CELLPACK DFL
CELLPACK DCL Kim tra li ng ng v ng ng dn t thng ha
SULFOLYSER chn [Execute] mi li ha cht b nghn hoc c bt
Lysercell WNR cht kh.
Lysercell WDF R r t ng ng.
FCM sheath
RBC sheath fluid
Fluorocell WNR ng np ha cht nhum. Np y ha cht nhum m
Fluorocell WDF
Fluorocell WPC
Fluorocell RET
Fluorocell PLT
3.2.4 Reagents
Replacement
CELLPACK DCL
SULFOLYSER Kim tra li ng ng v ng ng dn t thng ha
Lysercell WNR chn [Execute] mi li ha cht b nghn hoc c bt
Lysercell WDF cht kh.
Lysercell WPC R r t ng ng.
CELLPACK DFL
CELLPACK DST
Fluorocell WNR ng np ha cht nhum. Np y ha cht nhum m
Fluorocell WDF
Fluorocell WPC Ht ha cht.
Fluorocell RET Kim tra li ng ng v mi Cc ng ng b nghn
Fluorocell PLT li ha cht. hoc r r.
3.2.7 Sampler
Operation Error
HGB error Thc hin Auto Rinse Gi tr HGB sau khi chy
background nm ngoi gii
hn cho php.
C bt kh trong ng ng
o HGB
ng ng o RBC b tc
RBC detector clog Loi b tc nghn ng ng. nghn do cc ng hoc c
Bubbles in RBC detector cuy hin bt kh trong
ng ng.
Li trong qu trnh o mu.
Sn lng laser vt qu
Cn thay mi laser. mc cho php.
Laser output error
Thay l QC mi v nhp mi
Control has expired. gi tr l QC . QC ht hn s dng.
4.2.1 nc thi
3. y nh np b phn o
v ko ra ngoi theo
hng mi tn.
4. Vn v ly np bung
m ra ngoi theo hng
mi tn.
4.2.4 Loi b bt kh
1. Trn thanh Menu, nhn chn Maintenance.
2. Chn [Remove Air Bubbles]. Ca s xut hin v qu trnh y kh s c
tin hnh. Sau khi hon tt, ca s s t ng ng li.
3. nc ng li trong bung.
4. Tho g phao v t vo bung by kh.
5. nh bung by kh nn vo v tr c, quay
n ngc chiu vi hng mi tn bc 2.
4.3 THAY TH
2. Chn [Execute].
4.3.2 Mi ha cht
1.Trong Maintenance menu, nhn chn
[Reagent Replenishment]. Hp thoi s
xut hin.
5.1 WBC
5.2 RBC
5.3 HBG
Trng hp h thng s bo gi nng HGB cao:
Tng bch cu (> 100,000/uL)
Lipemia ( M mu)
(Lipemia lm tng nng HGB do c ca huyt thanh. Khi c
nh hng n gi tr HGB, h thng s bo li H&H check Fail.
Protein bt thng
5.4 HCT
5.4.1 Trng hp h thng s bo gi gi tr HCT thp:
Ngng kt lnh
Hng cu kch thc nh
Hng cu b phn mnh
5.4.2 Trng hp h thng s bo gi gi tr HCT cao:
Tng bch cu (>100,000/uL)
Tiu ng mc nghim trng
Sherocytosis ( chng tng hng cu hnh cu)
Ure mu.
5.5 PLT
5.6 RET
Trng hp h thng s bo gi s lng hng cu li cao:
Ngng kt lnh
Tiu cu khng l
Tiu cu kt cm
Bch cu phn mnh
Th Howell-Jolly
Malaria (vi trng st rt)