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2/20/2013 1 Southeast User Group Meeting March 5, 2013 DSM – Will Gilliland FSR – Roger Herzog Sysmex Service Tips and Tricks

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Page 1: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

1

Southeast User Group Meeting

March 5, 2013

DSM – Will Gilliland

FSR – Roger Herzog

Sysmex Service

Tips and Tricks

Page 2: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

2

Session Goal

• To provide an overview of SNCS features

• To provide the Sysmex Hematology customer with information and troubleshooting tips for some morecommon issues with table top instruments

Copyright © 2013 by Sysmex America, Inc. All rights reserved..

Session Objectives

At the end of this session the operator will:• Have a better understanding of the normal operation

of the X-series analyzers.

• Understand some of the causes for common error messages.

• Be able to troubleshoot and resolve some of the common errors.

• Be familiar with SNCS functionality

Copyright © 2013 by Sysmex America, Inc. All rights reserved..

Page 3: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

3

SNCS

Copyright © 2013 by Sysmex America, Inc. All rights reserved..

Windows Desktop

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Page 4: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

4

Launch SNCS Status Tool

Copyright © 2013 by Sysmex America, Inc. All rights reserved..

SNCS Status Tool

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Page 5: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

5

Launch SNCS Remote Session

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Remote Session Password Window

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Page 6: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

6

XE-Series

Copyright © 2013 by Sysmex America, Inc. All rights reserved..

X-Series

• Overall Uptime for X-Series is >95%

• In the event you have an issue, here are common solutions that you can try before calling TAC.

Copyright © 2013 by Sysmex America, Inc. All rights reserved..

Page 7: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

7

XE-Series

• WBC or NRBC QC Shift– Possible Cause: Insufficient reagent/sample

delivered to reaction chamber due to partial hydraulic obstruction

– Possible Solution: Clean SRV and while SRV is disassembled flush tubing from reaction chamber to SRV and verify fluid stream is clean.

– Flush tubing and port above reaction chamber into reaction chamber

Copyright © 2013 by Sysmex America, Inc. All rights reserved..

XE-Series

• WBC or NRBC QC shift

• Reaction Chamber– Barb Needs a Diamond Ring

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Page 8: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

8

XE-Series

• WBC or NRBC QC shift

• SRV Structure

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XE-Series

• NRBC, DIFF or RET QC shift– Possible Cause: Insufficient draining of

reaction chambers thus next sample being diluted out

– Possible Solution: Clean partially occluded t-fittings below master valves 37-40

– Dye port clogged

Copyright © 2013 by Sysmex America, Inc. All rights reserved..

Page 9: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

9

XE-Series

• NRBC, DIFF or RET QC shift

• T-Fitting location

To waste chamber 1

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XE-2100 Example

XE-Series

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Page 10: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

10

XE-5000 Example

XE-Series

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XE-Series

• IMI Count too long/short– Possible Cause: Plugged aperture or

insufficient vacuum

– Possible Solution: Brush aperture as described in the operator’s manual or flush vacuum system from bellow unit to pneumatic unit vacuum trap

Copyright © 2013 by Sysmex America, Inc. All rights reserved..

Page 11: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

11

XE-Series

• Flushing vacuum system– Remove clear plastic cover over the copper

colored bellows unit where vacuum adjustments are made without removing the lower white plastic base.

– Squirt approximately 5-10 ml of DI H2O into hole on top of copper colored bellows unit followed by 5-10 ml of methanol.

– Re-assemble bellows unit and adjust vacuum.

– Drain pneumatic unit vacuum trap.

Copyright © 2013 by Sysmex America, Inc. All rights reserved..

XE-Series

• Flushing Vacuum System

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Page 12: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

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XE-Series

• IMI Bkgd errors and/or excessive false positive PLT Clumps? Flags

• Possible causes: Air bubbles from poor quick connect connection or possible contamination of reagent or analyzer SIM hydraulics

Copyright © 2013 by Sysmex America, Inc. All rights reserved..

XE-Series

• IMI Bkgd errors and/or excessive false positive PLT Clumps? Flags• Possible solutions:

• Re-seat SIM quick connect connection to eliminate air bubbles

• Perform SIM reagent extended reagent replenish sequence to replace reagent in reagent chamber with reagent from cubitainer, may need to be done multiple times.

• If issue persists, the cubitainer may be the problem.

• If fresh reagent doesn’t resolve issue, analyzer SIM hydraulics may need decontaminated.

Copyright © 2013 by Sysmex America, Inc. All rights reserved..

Page 13: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

13

XE-Series

• SIM Reagent Cubitainer Quick Connect

• Customer Bulletin 61-1080 on Customer Resource Center

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XE-Series

• SIM Quick Connect

• O-ring importance

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Page 14: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

14

XE-Series

• SIM Quick Connect

• Cleanliness

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XE-Series

• SIM Quick Connect

• Handling

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Page 15: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

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XE-Series

IMI Transducer DetailCopyright © 2013 by Sysmex America, Inc. All

rights reserved..

XE-Series

• MCV shift or trend high or low• Possible Cause: 0.03 Mpa pressure mis-adjusted

• Possible solution: Adjust 0.03 Mpa pressure– 0.03 Mpa pressure range is 0.270-0.0330 Mpa

– Increasing the pressure will decrease the MCV

– Decreasing the pressure will increase the MCV

– Affect is minimal but may help, approximately 0.5-1.5 flwithin that pressure range.

Copyright © 2013 by Sysmex America, Inc. All rights reserved..

Page 16: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

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XE-Series

• WC-2 not draining errors:• Possible Cause: MV 43 partially occluded.

• Possible Solution: Through Maintenance program drain waste chambers 3 times. Best done if side panel is open and chamber can be seen– Fill chamber with Clorox through open port on top

of waste chamber 2.

– Perform another waste chamber drain sequence to get bleach in and through MV 43.

– Let soak awhile and perform drain waste sequence again.Copyright © 2013 by Sysmex America, Inc. All

rights reserved..

XE-Series

• Waste Chamber 2 Not Draining

To top of MV43

To bottom of WC-2

To top of WC-1

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Page 17: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

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Questions?

Copyright © 2013 by Sysmex America, Inc. All rights reserved..

XT-Series

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Page 18: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

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XT Series

• Waste chamber 2 not draining errors.– MV18 clogged.

– Flush tube from WC2 to MV18.

– Manual waste drain.

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XT-Series

MV 18

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Page 19: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

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XT-Series

• Waste Chamber 1 drain errors.– Back pressure from waste tubing

– Nipple clogged

– Replace drain tubing from back of instrument to drain

– Fluid connector clogged

– Excessive build up in waste chamber 1

Copyright © 2013 by Sysmex America, Inc. All rights reserved..

XT-Series

Pinch Valve for WC1 DrainCopyright © 2013 by Sysmex America, Inc. All

rights reserved..

Page 20: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

20

XT-Series

• Reaction unit overflows/shift on QC– Fluid in tray under manual pipette

– Reaction unit drain port clogged

– MV16 2, 3, 4 fittings clogged

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XT-Series

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Page 21: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

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XT-Series

Copyright © 2013 by Sysmex America, Inc. All rights reserved..

Questions?

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Page 22: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

22

XS-Series

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XS-Series

• WBC QC shift/abnormal scatter grams– Clean reaction unit with bleach

– Filter 13 clogged

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Page 23: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

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XS-Series

Reaction Unit Detail

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• RBC/HGB mixing chamber errors– Filter 13 clogged

– Cleaned chamber with bleach and perform drain function

XS-Series

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Page 24: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

24

XS-Series

RBC Mixing Unit Detail

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XS-Series

• Leaving fluid on caps of tubes– Piercer rinse cup is likely clogged

– Remove, clean rinse cup with 10% bleach, and re-install

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Page 25: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

25

XS-Series

Piercer Rinse Cup Detail

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XS-Series

• Pressure / Vacuum Issues– Pressure or vacuum is not stable

– Cannot be adjusted within acceptable range

– QC shifts or other data errors

– Replacement of pneumatic pump may be indicated

Copyright © 2013 by Sysmex America, Inc. All rights reserved..

Page 26: Southeast User Group Meeting - WebEdCafe.com Service Tips and ... Session Goal • To provide an overview of SNCS features • To provide the Sysmex Hematology ... described in the

2/20/2013

26

Removing top cover

Removing air pump

XS-Series

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Sysmex Service Tips

• Questions…

• Comments…

Copyright © 2013 by Sysmex America, Inc. All rights reserved..