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MEK-6318J/K
0614-004583G
Model: MEK-6318J/K
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CONTENTS
Contents
GENERAL HANDLING PRECAUTIONS ................................................................................... i
WARRANTY POLICY .............................................................................................................. ii
EMC Related Caution ............................................................................................................. iii
Conventions Used in this Manual and Instrument ................................................................... v
Warnings, Cautions and Notes ...................................................................................... v
Explanations of the Symbols in this Manual and Instrument ........................................ vi
Printing Numerical Data for All Samples of a Single Day ................................. 5.9
Transferring Data to a PC or Card Printer ................................................................. 5.10
Transferring Data During Counting .................................................................. 5.11
Transferring Stored Data for Individual Samples ............................................. 5.11
Transferring Stored Data for All Samples of a Single Day .............................. 5.12
Please read these precautions thoroughly before attempting to operate the instrument.
1. To safely and effectively use the instrument, its operation must be fully understood.
3. Before Operation
(1) Check that the instrument is in perfect operating order.
(2) Check that the instrument is grounded properly.
(3) Check that all cords are connected properly.
(4) Pay extra attention when the instrument is in combination with other instruments to avoid misdiagnosis or
other problems.
(5) All circuitry used for direct patient connection must be doubly checked.
(6) Check that battery level is acceptable and battery condition is good when using battery-operated models.
4. During Operation
(1) Both the instrument and the patient must receive continual, careful attention.
(2) Turn power off or remove electrodes and/or transducers when necessary to assure the patient’s safety.
(3) Avoid direct contact between the instrument housing and the patient.
6. The instrument must receive expert, professional attention for maintenance and repairs. When the instrument
is not functioning properly, it should be clearly marked to avoid operation while it is out of order.
10. When the instrument is used with a defibrillator, make sure that the instrument is protected against
defibrillator discharge. If not, remove patient cables and/or transducers from the instrument to avoid
possible damage.
WARRANTY POLICY
Nihon Kohden Corporation (NKC) shall warrant its products against all defects in materials and workmanship for one
year from the date of delivery. However, consumable materials such as recording paper, ink, stylus and battery are
excluded from the warranty.
NKC or its authorized agents will repair or replace any products which prove to be defective during the warranty
period, provided these products are used as prescribed by the operating instructions given in the operator’s and
service manuals.
No other party is authorized to make any warranty or assume liability for NKC’s products. NKC will not recognize
any other warranty, either implied or in writing. In addition, service, technical modification or any other product
change performed by someone other than NKC or its authorized agents without prior consent of NKC may be cause
for voiding this warranty.
Defective products or parts must be returned to NKC or its authorized agents, along with an explanation of the failure.
Shipping costs must be pre-paid.
This warranty does not apply to products that have been modified, disassembled, reinstalled or repaired without Nihon
Kohden approval or which have been subjected to neglect or accident, damage due to accident, fire, lightning,
vandalism, water or other casualty, improper installation or application, or on which the original identification marks
have been removed.
If deviating from the instructions, the professional user does it at the risk and liability of the laboratory and only after
validation by the laboratory. Nihon Kohden has no responsibility over such deviations.
The following describes some common interference sources and remedial actions:
1. Strong electromagnetic interference from a nearby emitter source such as an authorized radio station
or cellular phone:
Install the equipment and/or system at another location if it is interfered with by an emitter source
such as an authorized radio station. Keep the emitter source such as cellular phone away from the
equipment and/or system.
2. Radio-frequency interference from other equipment through the AC power supply of the equipment
and/or system:
Identify the cause of this interference and if possible remove this interference source. If this is not
possible, use a different power supply.
4. Electromagnetic interference with any radio wave receiver such as radio or television:
If the equipment and/or system interferes with any radio wave receiver, locate the equipment and/or
system as far as possible from the radio wave receiver.
If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden
Corporation subsidiary or distributor for additional suggestions.
This equipment complies with International Standard EN55011 (1999) Group 1, Class B. Class B
EQUIPMENT is equipment suitable for use in domestic establishments and in establishments directly
connected to a low voltage power supply network which supplies buildings used for domestic purposes.
The CE mark is a protected conformity mark of the European Community. The products herewith comply
with the requirements of the IVD Directive 98/79/EEC.
Warnings, cautions and notes are used in this manual to alert or signal the reader to specific information.
WARNING
A warning alerts the user to the possible injury or death associated with the use or misuse of the
instrument.
CAUTION
A caution alerts the user to possible injury or problems with the instrument associated with its use or
misuse such as instrument malfunction, instrument failure, damage to the instrument, or damage to other
property.
NOTE
A note provides specific information, in the form of recommendations, prerequirements, alternative
methods or supplemental information.
Hemolynac•3N
Main power lamp
(hemolysing reagent)
AC power off
Reset
(Disconnection from the mains)
AC power on
Clean
(Connection to the mains)
IN VITRO DIAGNOSTIC
Feed IVD MEDICAL DEVICE
* When using the Hemolynac•3N hemolysing reagent, attach the HEMO3N label above the LYSE label.
Symbol Description
Introduction
The instrument automatically performs self-check and cleans the remaining blood
from the sampling nozzle, so it is safe and there is no risk of touching the blood.
To use the instrument safely and effectively and keep it in optimum condition,
please follow the operating and maintenance instructions in this manual.
NOTE
Use only Nihon Kohden parts and accessories to assure maximum
performance from your instrument.
HCT (%)
MCV = × 10
RBC (× 106/µL)
HGB (g/dL)
MCH = × 10
RBC (× 106/µL)
HGB (g/dL)
MCHC = × 100
HCT (%)
Features
• Easy Operation
Once the sample is aspirated through the sampling nozzle, all other operations
are performed automatically, including preparation such as diluting and adding
hemolysing reagent.
The function menu for all operations, such as calibration, changing settings and
data confirmation, is called up by touch keys on the screen.
Panel Description
Front Panel and Keys This instrument uses touch-screen keys in addition to the front panel keys. To
operate a touch screen key, lightly press the center of the key on the screen.
1 10
2
11
3
12
4 13
14
5 15
16
6 17
8 18
9
19
Side Panel
1
2
3
4
5
Combinations of fluid
Cyanide Non-cyanide Hemolynac•3 hemolysing reagent contains cyanogen which
LYSE Hemolynac•3 Hemolynac•3N must be dissolved by sodium hypochlorite in the CLEANAC•3
detergent before draining the waste fluid.
DILUENT ISOTONAC•3 ISOTONAC•3
Hemolynac•3N hemolysing reagent does not contain
DETERGENT CLEANAC•3 CLEANAC cyanogen. Therefore, for daily use, use CLEANAC detergent
when using Hemolynac•3N hemolysing reagent. Use
CLEANAC•3 detergent only when doing procedures in Section
9 “Maintenance”.
Rear Panel
CAUTION
Connect only the specified instruments to the connectors or sockets marked with by following the
specified procedure. Otherwise electrical leakage current may harm the operator.
CAUTION
RS232C • In order to avoid any safety hazard, only connect personal computers which are
1 RS-232C socket approved by IEC 950.
(PORT 1)
• The instrument should only be connected to an external instrument which
complies with the CISPR 11 (1997), Group 1 and Class B standard.
OPTION
2 Optional socket Connects the optional ZK-820V handy bar code reader with the YZ-0313 bar code reader cable.
(PORT 2)
3 Connects the external printer. Contact your Nihon Kohden distributor.
Printer socket
Main power Supplies the power to the instrument when it is turned on. Under normal conditions keep this
4
switch switch turned on.
Contains the time lag fuse (T 1.6 A for 220 to 240 V). To replace the fuse (standard accessory),
contact your Nihon Kohden distributor.
CAUTION
• Fuses cut the power off when an abnormality occurs in the hematology analyzer.
5 Fuse holder
Remove the malfunction before replacing the fuse.
• Before replacing a fuse, turn the power off and disconnect the AC power cord
from the instrument.
• Fuse replacement should be done by a qualified person.
AC SOURCE
6 AC source Connects the AC power cord to supply the AC power to the instrument.
socket
Equipotential
7 Connects the ground lead to the equipotential ground terminal on the wall for earth grounding.
ground terminal
Flowchart of Screens
OTHER screen
CAL HISTORY screen. See "Displaying and Printing Calibration
Data History" in Section 7.
OPER HISTORY screen. See "Displaying Operation History Screen" in Section 9.
CIRCUIT CHECK screen. See "Checking the Circuit" in Section 9.
PRINT DAY screen. See "Printing and Transferring Data" in Section 5.
TRANSFER DAY screen. See "Printing and Transferring Data" in Section 5.
PRIME screen. See "Priming" in Section 9.
DRAIN BATHS screen. See "Draining the Measurement and Sub Baths" in Section 9.
DRAIN ALL screen. See "Draining the Instrument" in Section 9.
MAINTENANCE screen. Refer to the Service Manual.
Installation
WARNING
• Never use this instrument in the presence of any flammable anesthetic
gas, concentrated oxygen or hyperbaric oxygen. Failure to follow this
warning may result in explosion.
• Never use this instrument in a high-pressure oxygen medical care
tank. Failure to follow this warning may cause explosion or fire.
• Do not use this instrument near an ESU. Noise from the ESU may
cause the instrument to malfunction.
• For operator safety, equipotential grounding of all instruments must
be performed. Consult with a qualified biomedical engineer.
CAUTION
• Only use the provided power cord. Using other power cords may
result in electrical shock or other injury to the operator.
• Connect only the specified instruments to the connectors or sockets
marked with by following the specified procedure. Otherwise
electrical leakage current may harm the operator.
• In order to avoid any safety hazard, only connect personal computers
which are approved by IEC 950.
• The instrument should only be connected to an external instrument
which complies with the CISPR 11 (1997), Group 1 and Class B
standard.
Reagents
CAUTION
Use only Nihon Kohden recommended reagents. Otherwise the
measurement result cannot be guaranteed and incorrect reagent
concentration can cause equipment damage.
CLEANAC•3
WARNING
Do not allow CLEANAC•3 detergent to come into contact with acid.
Contact with acids can cause the release of poisonous chlorine gas.
CAUTION
If the CLEANAC•3 detergent contacts the skin or eyes or is swallowed,
wash thoroughly and immediately with water and see a physician.
CLEANAC
CAUTION
If the CLEANAC detergent contacts the skin or eyes or is swallowed,
wash immediately and thoroughly with water.
Hemolynac•3
WARNING
• Do not allow the Hemolynac•3 hemolysing reagent to come into
contact with acid. Contact with acids can cause the release of
poisonous cyanogen gas.
• Do not swallow the Hemolynac•3 hemolysing reagent. If swallowed,
contact your physician immediately.
CAUTION
• Be careful when handling the Hemolynac•3 hemolysing reagent
because it contains potassium cyanide (0.04%).
• If the Hemolynac•3 hemolysing reagent contacts the skin or eyes,
wash thoroughly and immediately with water and see a physician.
• Do not use Hemolynac•3 hemolysing reagent which has been stored
in direct sunlight or opened more than 30 days ago. The hemoglobin
data may be erroneously lowered or the reproducibility may become
poor.
• Read the instructions thoroughly to use the hemolysing reagent.
Hemolynac•3N
CAUTION
If the Hemolynac•3N hemolysing reagent contacts the skin or eyes or is
swallowed, wash thoroughly and immediately with water and see a
physician.
Hematology Control
CAUTION
• Use hematology control which is before the expiration date.
• Do not use hematology control when the top layer is slightly red or
the whole hematology control is red, because the red blood cells in
the control are hemolysed.
• Do not freeze the hematology control because this will hemolyse it.
• Use and store the hematology control with extreme care according to
its instructions.
Measurement
CAUTION
When an alarm occurs, the acquired data may not be correct, especially
when “!” appears. Do not use the alarmed data.
Maintenance
CAUTION
• Be careful not to directly touch any place where blood is or may have
contacted.
• Protect yourself from infection before cleaning and doing
maintenance.
Environmental Requirements
CAUTION
Use this instrument under the following conditions.
Temperature: 10 to 30°C
Humidity: 30 to 90%
Air pressure: 700 to 1060 hPa
When using the instrument at over 1000 m above sea level, set HIGH
ALT on the MEAS MODE screen of the SETTINGS screen to ON. Refer
to Section 3.
• No measurement can be done in dusty areas because the aperture for specimen
aspiration is very fine and can get clogged. Therefore, install the instrument in a
dust-free area.
Hand position
Before connecting the external instrument to the hematology analyzer, make sure
that the power on the instruments are turned off.
For changing the printing and communication format, refer to “Changing Printing
Settings” and “Changing Communication Settings” in Section 3.
WARNING
For operator safety, equipotential grounding of all instruments must be
performed. Consult with a qualified biomedical engineer.
When more than one electrical instrument is used, there may be electrical potential
difference between the instruments. Potential difference between instruments may
cause current to flow to the patient connected to the instruments, resulting in
electrical shock (micro shock).
CAUTION
• Connect only the specified instruments to the connectors or sockets
marked with by following the specified procedure. Otherwise
electrical leakage current may harm the operator.
• In order to avoid any safety hazard, only connect personal computers
which are approved by IEC 60950.
• The hematology analyzer should only be connected to an external
instrument which complies with the CISPR 11 (1997), Group 1 and
Class B standard.
• Before connecting instruments, make sure that the power is turned off.
Otherwise the operator may receive electrical shock.
Connecting a PC A locally purchased PC can be connected to the RS-232C socket on the rear panel.
The measured data can be automatically transferred to the PC after measurement.
CAUTION
• In order to avoid any safety hazard, only connect personal computers
which are approved by IEC 60950.
• The hematology analyzer should only be connected to an external
instrument which complies with the CISPR 11 (1997), Group 1 and
Class B standard.
• Only use the 3-prong power cord for the PC.
Connect the serial cable to the PC and the RS-232C socket on the hematology
analyzer. For changing the transfer and communication format, refer to “Changing
Communication Settings” in Section 3.
Connecting a Printer The following printers can be connected to the printer socket on the hematology
analyzer.
• WA-710V printer
• FUJITSU printer
• SEIKO EPSON VP printer or equivalent
• SEIKO EPSON PM printer or equivalent
• CANON BJ printer or equivalent
On the WA-710V, FUJITSU, EPSON and CANON printers, histograms are printed
with the numeric data. Other data, such as calibration history and gain adjustment
history can also be printed.
Connect the printer cable to the printer and the printer socket on the hematology
analyzer. For changing the printing and communication format, refer to
“Changing Printing Settings” and “Changing Communication Settings” in Section
3.
NOTE
Connect an external printer via bidirectional parallel interface
complying with IEEE1284 standard.
Connecting a Card Printer The WA-450V or WA-460V card printer can be connected to the RS-232C socket
on the hematology analyzer.
On the WA-450V or WA-460V card printer, only the numeric data is printed.
Histograms cannot be printed.
Connect the card printer cable to the card printer and the RS-232C socket on the
hematology analyzer. For changing the printing and communication format, refer
to “Changing Printing Settings” and “Changing Communication Settings” in
Section 3.
Connecting a Handy Bar The optional ZK-820V handy bar code reader (BL-N60NK or equivalent) can be
Code Reader used for reading the bar code label (up to 13 characters) on the sample tube. For
details about the handy bar code reader, refer to the bar code reader manual.
The bar code reader can read the following codes:
• Industrial 2 of 5
• ITF
• JAN/EAN/UPC
• NW-7
• CODE 39
• CODE 93
• CODE 128
Connect the YZ-0313 bar code reader cable to the OPTION socket on the rear panel
and the handy bar code reader.
To set the settings for the handy bar code reader on the hematology analyzer, read
the bar codes attached to the bar code reader manual with the handy bar code
reader within 15 seconds after turning the hematology analyzer power on. After
changing the settings, turn the hematology analyzer power off. For details, refer
to “Using the Optional Handy Bar Code Reader” in Section 3.
Connect the provided power cord to the AC SOURCE socket on the rear panel of
the instrument and plug the cord into a 3-prong AC outlet.
WARNING
For operator safety, equipotential grounding of all instruments must be
performed. Consult with a qualified biomedical engineer.
When more than one electrical instrument is used, there may be electrical potential
difference between the instruments. The potential difference between the
instruments may cause current to flow to the patient connected to the instruments,
resulting in electrical shock (micro shock).
Connecting Tubes
Diluent, Detergent and Use only the following specified reagents with the hematology analyzer.
Hemolysing Reagent
Name Model Supply code Qty
Diluent ISOTONAC•3, MEK-640 T436D 18L
Hemolysing Hemolynac•3, MEK-660 T489 500 mL × 3
reagent Hemolynac•3N, MEK-680 (non-cyanide) T498 500 mL × 3
CLEANAC•3, MEK-620 T438D 5L
Detergent*
CLEANAC, MEK-520 T438 5L
CAUTION
Use only Nihon Kohden recommended reagents. Otherwise the
measurement result cannot be guaranteed and incorrect reagent
concentration can cause equipment damage.
Diluent (ISOTONAC•3)
NOTE
• If the diluent contacts the skin or eyes or is swallowed, wash
immediately and thoroughly with water.
• Use the diluent at room temperature (15 to 30oC).
• If frozen, warm the diluent at room temperature (15 to 30oC) and stir it
sufficiently.
• When the temperature of the diluent decreases to less than 18oC, it
may influence the WBC distribution (LY, LY%, MO, MO%, GR, GR%), but
not influence the WBC count.
Detergent
CLEANAC•3
WARNING
Do not allow CLEANAC•3 detergent to come into contact with acid.
Contact with acids can cause the release of poisonous chlorine gas.
CAUTION
If the CLEANAC•3 detergent contacts the skin or eyes or is swallowed,
wash thoroughly and immediately with water and see a physician.
NOTE
• Store the detergent at room temperature (15 to 30oC).
• If frozen, warm the detergent at room temperature (15 to 30oC) and stir
it sufficiently.
CLEANAC
CAUTION
If the CLEANAC detergent contacts the skin or eyes or is swallowed,
wash immediately and thoroughly with water.
NOTE
• Store the detergent at room temperature (15 to 30oC).
• If frozen, warm the detergent at room temperature (15 to 30oC) and stir
it sufficiently.
Hemolyzing Reagent
Hemolynac•3
WARNING
• Do not allow the Hemolynac•3 hemolysing reagent to come into
contact with acid. Contact with acids can cause the release of
poisonous cyanogen gas.
• Do not swallow the Hemolynac•3 hemolysing reagent. If swallowed,
contact your physician immediately.
CAUTION
• Be careful when handling the Hemolynac•3 hemolysing reagent
because it contains potassium cyanide (0.04%).
• If the Hemolynac•3 hemolysing reagent contacts the skin or eyes,
wash thoroughly and immediately with water and see a physician.
• Do not use Hemolynac•3 hemolysing reagent which has been stored
in direct sunlight or opened more than 30 days ago. The hemoglobin
data may be erroneously lowered or the reproducibility may become
poor.
• Read the instructions thoroughly to use the hemolysing reagent.
NOTE
If the Hemolynac•3 hemolysing reagent is frozen during shipment or
low temperature storage, background noise may increase. In this case,
leave the hemolysing reagent at 25 to 30oC for 2 days and shake well.
Before use, make sure there are no bubbles in the reagent.
Hemolynac•3N
CAUTION
If the Hemolynac•3N hemolysing reagent contacts the skin or eyes or is
swallowed, wash thoroughly and immediately with water and see a
physician.
NOTE
If the Hemolynac•3N hemolysing reagent is frozen during shipment or
low temperature storage, background noise may increase. In this case,
leave the hemolysing reagent at 25 to 30oC for 2 days and shake well.
Before use, make sure there are no bubbles in the reagent.
Connecting Tubes
CAUTION
• Avoid hemolysing reagent or detergent contact with the skin. If it
contacts the skin or eyes, wash thoroughly with water and see a
physician immediately.
• Use CLEANAC detergent (MEK-520) for daily use when you use
Hemolynac•3N hemolysing reagent (MEK-680). Otherwise, the
hemoglobin concentration may be lower than the real value.
NOTE
• Perform the calibration with calibrator when you change hemolysing
reagent from Hemolynac•3 to Hemolynac•3N. Otherwise, the
hemoglobin concentration may be lower than the real value.
• When using the Hemolynac•3N hemolysing reagent, attach the
HEMO3N label above the LYSE label.
• Do not let dust get in the hemolysing reagent, diluent or detergent.
• When using the diluent container, detergent container and waste
container, follow the instructions on each package.
• Place the diluent and detergent containers at the same level as the
instrument.
• Do not squeeze or bend the tubes. Otherwise the instrument may be
damaged.
• Use the spare tube (standard accessory) and cut it properly when the
length of the tube does not fit.
• Do not use the spare tube (standard accessory) for the detergent
container. Only use the detergent tube, 2114-082383B.
Waste container
Diluent
Hemolysing reagent Detergent
Detergent (CLEANAC)
(CLEANAC 3)
Diluent Tube
1. Connect the connection tube (2114-050872C) to the diluent inlet on the side
panel of the instrument.
2. Attach the other end of the tube to the diluent container cap.
Detergent Tube
NOTE
When using Hemolynac•3
• Use CLEANAC detergent (MEK-520) only when cleaning the fluid path
after installation or before using the instrument after long term
storage. Use CLEANAC•3 detergent (MEK-620) for daily use. The waste
fluid contains cyanogen which must be dissolved with CLEANAC•3
before draining the waste fluid.
1. Connect the detergent tube (2114-082383B) to the detergent inlet on the side
panel of the instrument.
2. Attach the other end of the tube to the detergent container cap.
2. Pass the other end of the tube through the hemolysing reagent cap. Make sure
that the end of the tube touches the bottom of the hemolysing reagent
container.
NOTE
When using the Hemolynac•3N hemolysing reagent, attach the HEMO3N
label above the LYSE label.
2. Attach the other end of the tube to the waste container cap.
Check Before Turning On Check the following items before turning on the power.
the Power Item Check
Accessories and Sufficient diluent, detergent and hemolysing reagent.
consumables
Connection and settings Power cord is connected properly.
Grounding lead is connected properly when
equipotential grounding is required.
Tubes are connected properly.
Diluent, detergent and hemolysing reagent containers
are connected and have no dust in them.
Waste container is in place and empty.
Enough recording paper in the optional printer.
Appearance No scratches, dirt or leakage (especially in the
measurement baths, sub baths and pump tube).
No key or switch is broken.
No damage to the power cord.
Instrument is not in a wet place.
Use after long term Aperture caps are clean.
storage Pump tube is not broken.
Turning On the Power 1. Press the main power switch on the rear panel of the instrument to on. The
main power lamp on the front panel of the instrument lights.
Always leave the main power on except for storage and transportation of the
instrument.
Main power lamp
2. Press the power key on the front panel of the instrument to on. The power
lamp lights. Cleaning of the fluid path, priming and circuit self-check are
automatically performed. When there is no error, the following messages are
displayed on the screen. The screen changes in the following order.
After priming operation is completed, the READY screen appears. The instrument
is ready for counting.
08-DEC-98 10:30
READY
ID 0001
MENU
Check After Turning On the Check the following items after turning on the power to start operating safely and
Power properly. If any problem is detected, take the proper countermeasure according to
Section 8 “Error Messages and Troubleshooting”.
Item Check
Turning on the power There is no fire, smoke or smell.
The instrument is not too hot.
There is no electric shock.
The main power and power lamps light.
No alarm message is displayed on the screen.
Basic operation The messages are displayed properly.
Keys and switches operate properly.
The touch screen keys function properly.
The measured background noise values are proper.
The measured hematology control values are proper.
The printer works properly.
The date and time are correct.
No alarm message is displayed on the screen during
operation.
After long term storage Cleaning operation is performed twice using the
CLEANAC detergent.
NOTE
• The WA-630VK Printer Unit is optional.
• Only use the specified recording paper.
2. Set the recording paper in the magazine tray in the direction as shown.
5. Lift up the recording paper and close the paper magazine cover.
Measuring Background This procedure uses a diluent sample. Background noise increases in the
Noise following cases.
Problem Countermeasure
Old diluent. Germs begin to breed in the Replace diluent.
diluent 6 months after opening.
Dust in the diluent container. Replace diluent.
Extremely high or low diluent Adjust diluent temperature to 15 to
temperature (normal range is 15 to 30°C). 30°C.
The sampling nozzle is clogged and Replace the sampling nozzle with a
bubbles occur in the sub bath. new one.
Sensitivity Threshold
08-DEC-98 10:30 ID 0001 ID
WBC 0.0 L 10 3 / uL
WBC ( 5) RBC 0.0 L 10 6 / uL
( 4) HGB 0.0 L g/dL
HCT 0.0 L %
MCV fL
MCH pg
100 200 300 MCHC g/dL
RBC ( 5) PLT 5L 10 3 / uL Measurement
(AUTO) [%] [ 10 3 / uL ] result
Histograms LY
MO
GR
100 200 EO
PLT ( 5)
RDW %
PCT %
MPV fL
PDW %
2 10 20
MENU ENTER ID
Make sure that the values are less than or equal to the following values.
Disregard the other parameter values because noise does not affect the other
parameters.
If the values are greater than the above values, check the following items and
recount the diluent.
Counting the Hematology For checking accuracy, use a hematology control which has the same conditions as
Control human blood. Confirm that the obtained sample data is within the acceptable
range on the assay sheet attached to the hematology control. For details, refer to
Section 7 “Calibration”.
CAUTION
• Use hematology control which is before the expiration date.
• Do not use hematology control when the top layer is slightly red or
the whole hematology control is red, because the red blood cells in
the control are hemolysed.
• Do not freeze the hematology control because this will hemolyse it.
• Use and store the hematology control with extreme care according to
its instructions.
2. Bring to room temperature by rolling the hematology control vial between the
palms of the hands.
3. Turn the hematology control vial upside down at least 30 times to thoroughly
mix the plasma and red blood cells.
4. Put the sampling nozzle into the bottom of the hematology control vial so that
the tip of the sampling nozzle touches the bottom of the vial.
5. Press the count switch on the front panel of the instrument. The
hematology control is aspirated and counting is performed.
NOTE
• Calibrate the instrument when the obtained sample data is different
from the values described on the assay sheet after recounting. For
details, refer to Section 7 “Calibration”.
• Contact your Nihon Kohden distributor if the calibration coefficient is
over the limit.
General
Assigning an ID to a Sample
All samples must have an ID. Otherwise you cannot identify which samples the
displayed or saved data corresponds to. All saved and displayed data is identified
by an ID number.
After you set an ID, the instrument automatically assigns it to the next counted
sample and increments the ID for each sample after that. Only the last 4 numbers
are incremented.
When the power is turned off, the last 4 numbers are reset to “0001”.
When using the optional ZK-820V handy bar code reader, the bar code label of the
sample can be read by the bar code reader and this code is entered as the sample ID.
For details, refer to the “Using the Optional Handy Bar Code Reader” section.
Displaying the ENTER ID There are three ways to display the ENTER ID screen.
Screen
• Press the ID key on the READY screen.
• Press the ENTER ID key on the MENU screen.
• Press the ENTER ID key on the measurement result screen.
7 8 9
0001
4 5 6
1 2 3
0 . CE
OK ALPHA
7 8 9 3. After the ID is entered, press the OK key on the screen to display the READY
0001
4 5 6 screen.
1 2 3
0 . CE
OK ALPHA
08-DEC-98 10:30 ENTER ID 2. Press the ALPHA key on the ENTER ID screen.
ID [ABCDEFGH:0001]
A B C D E F G
H I J K L M N 3. Press the CE key on the screen to move the cursor to the leftmost place in the
O P Q R S T U input field.
V W X Y Z :
0 1 2 3 4 5 6 ID [ : ]
OK 7 8 9 SPACE CE
cursor NAME NO.
(letters or numbers) (numbers only)
4. Press the desired key to enter a number or letter in the NAME part. Up to 8
characters can be entered.
If you make a mistake entering the ID, either press the CE key to clear all
numbers and letters, or use the ← or → and alphanumeric keys to change one
number/letter.
5. After entering the first 8 characters, enter a colon “:” to move the cursor to the
NO. part.
When less than 8 characters are entered in the NAME part, use the → key to
move the cursor to the place between the NAME part and NO. part and then
enter the colon “:”.
6. Enter 4 numbers in the NO. part. Only the numbers can be entered.
7. After the ID is entered, press the OK key to return to the MENU screen.
Each parameter has a normal range. Values outside the normal range can be
automatically marked with an H (upper limit) or L (lower limit) mark. The upper
and lower limits can be set individually for each parameter.
08-DEC-98 10:30 MENU 1. Press the SETTINGS key on the MENU screen to display the SETTINGS
ENTER ID QC screen.
CALIBRATION SETTINGS
DATA OTHER
EDIT ID
OK
DISPLAY
OK INITIALIZE
3. Press the desired parameter key. Pressing the parameter key moves the cursor
between the lower and upper limits.
4. Enter a value with the numeric keys on the screen. The value appears in the
VALUE box.
The samples can be single or double counted. When single count is selected, the
samples are counted once. When double count is selected, the instrument
automatically counts the sample twice. The mean value of the first and second
counts is displayed on the screen and printed. Refer to “Single and Double
Counting” in Section 4.
08-DEC-98 10:30 MENU 1. Press the SETTINGS key on the MENU screen to display the SETTINGS
ENTER ID QC screen.
CALIBRATION SETTINGS
DATA OTHER
EDIT ID
OK
08-DEC-98 10:30 SETTINGS 2. Press the MEAS MODE key to display the MEAS MODE screen.
NORMAL RANGE SENS & THR
DISPLAY
OK INITIALIZE
08-DEC-98 10:30 MEAS MODE 3. Press the COUNT key to select SINGLE or DOUBLE. Pressing this key moves
the cursor between SINGLE and DOUBLE.
COUNT SINGLE DOUBLE
OK
Select the measuring capillary blood volume. You can also set the hematology
analyzer to measure blood of small amount (10 µL) on this screen.
08-DEC-98 10:30 MENU 1. Press the SETTINGS key on the MENU screen to display the SETTINGS
ENTER ID QC screen.
CALIBRATION SETTINGS
DATA OTHER
EDIT ID
OK
08-DEC-98 10:30 SETTINGS 2. Press the MEAS MODE key to display the MEAS MODE screen.
NORMAL RANGE SENS & THR
DISPLAY
OK INITIALIZE
08-DEC-98 10:30 MEAS MODE 3. Press the CAP VOL key to select the capillary blood volume.
COUNT SINGLE DOUBLE When “10 µL” or “20 µL” is selected, the selected volume of capillary blood
needs to be diluted before measurement.
CAP VOL 10 uL 20 uL VENOUS 10 uL
When “VENOUS 10 µL” is selected, 10 µL blood sample can be measured
without dilution.
HIGH ALT ON OFF
OK
When using the instrument at below 900 hPa air pressure (over 1000 m above sea
level), set the high altitude mode to ON.
DATA OTHER
EDIT ID
OK
08-DEC-98 10:30 SETTINGS 2. Press the MEAS MODE key to display the MEAS MODE screen.
NORMAL RANGE SENS & THR
DISPLAY
OK INITIALIZE
08-DEC-98 10:30 MEAS MODE 3. Press the HIGH ALT key to select ON or OFF. Pressing this key moves the
cursor between ON and OFF.
COUNT SINGLE DOUBLE
OK
The date and time can be set. The built-in backup battery circuit maintains the
date and time when the instrument is turned off.
Ranges you can set for the date and time are as follows.
Day: 1 to 31
Month: 1 to 12
Year: 0 to 99
Hour: 0 to 23
Minute: 0 to 59
DATA OTHER
EDIT ID
OK
08-DEC-98 10:30 SETTINGS 2. Press the DATE & TIME key to display the DATE & TIME screen.
NORMAL RANGE SENS & THR
DISPLAY
OK INITIALIZE
08-DEC-98 10:30 DATE & TIME 3. Press the desired key to move the cursor to that item.
YEAR [ 98 ]
VALUE [ ]
MONTH [ 12 ]
7 8 9
DAY [ 08 ] 4. Enter the correct value with the numeric keys on the screen. The value appears
4 5 6
HOUR [ 10 ] in the VALUE box.
1 2 3
MINUTE [ 30 ]
0 . CE
OK ENTER
5. Press the ENTER key on the screen to register the entered value.
7. Press the OK key to return to the SETTINGS screen. The clock starts
immediately from the new date and time.
Selecting Units
You can select the counting units from JAPAN, USA, SI, SIMOD and MIXED (Refer
to the table in the “Counting Unit Table” section). You can select different units
for different parameters. These units apply to WBC, RBC, PLT and all other
parameters to be counted.
08-DEC-98 10:30 MENU 1. Press the SETTINGS key on the MENU screen to display the SETTINGS
ENTER ID QC screen.
CALIBRATION SETTINGS
DATA OTHER
EDIT ID
OK
DISPLAY
OK INITIALIZE
3. Press the UNIT key to select the unit. Pressing this key moves the cursor
08-DEC-98 10:30 DISPLAY
between the units.
JAPAN USA SI
UNIT
SIMOD MIXED USER
When USER is selected, you can use your own unit settings. To set USER
HIST COUNTED VALUE PERCENTAGE
units, refer to the “Setting the User Units” section.
WBC LINE NO LINE
USER UNIT
OK SET 4. Press the OK key on the screen to return to the SETTINGS screen.
Setting the User Units You can set your own units for each parameter. To display the USER UNIT screen,
USER must be selected for UNIT on the DISPLAY screen.
1. Press the DISPLAY key on the SETTINGS screen to display the DISPLAY
08-DEC-98 10:30 DISPLAY
screen.
JAPAN USA SI
UNIT
SIMOD MIXED USER
USER UNIT
3. Press the SET key under USER UNIT. The USER UNIT screen appears.
OK SET
08-DEC-98 10:30
4. Press the parameter key for the unit you want to change. Pressing this key
USER UNIT
WBC 1 0 2/ u L 1 0 3/ u L 1 0 9/ L moves the cursor between the selectable units.
RBC 1 0 4/ u L 1 0 6/ u L 1 0 12/ L
HGB g/dL g/L mmol / L
PLT 1 0 3/ u L 1 0 4/ u L 1 0 9/ L
RDW % %CV 5. Repeat step 4 to change units for another parameter.
PDW % %CV
Selecting Vertical Axis You can select the type for the vertical axis on the histograms.
Type for the Histogram
COUNTED VALUE: The vertical axis on the graph represents numerical count
values.
PERCENTAGE: The vertical axis on the graph is fixed at 100% full scale
regardless of the total counted value. Therefore, the trend of
particle volume distribution can be easily judged even
though the total counted value is not shown.
1. Press the SETTINGS key on the MENU screen to display the SETTINGS
screen.
08-DEC-98 10:30 DISPLAY 2. Press the DISPLAY key to display the DISPLAY screen.
JAPAN USA SI
UNIT
SIMOD MIXED USER
HIST COUNTED VALUE PERCENTAGE 3. Press the HIST key to select COUNTED VALUE or PERCENTAGE. Pressing
this key moves the cursor between COUNTED VALUE and PERCENTAGE.
WBC LINE NO LINE
USER UNIT
OK SET
4. Press the OK key on the screen to return to the SETTINGS screen.
Differentiating the 3 Kinds You can display lines on the WBC histogram to differentiate 3 kinds of WBC (see
of WBC Histogram “Displaying Histograms for Individual Samples” in Section 5).
1. Press the SETTINGS key on the MENU screen to display the SETTINGS
screen.
08-DEC-98 10:30 DISPLAY 2. Press the DISPLAY key to display the DISPLAY screen.
JAPAN USA SI
UNIT
SIMOD MIXED USER
HIST COUNTED VALUE PERCENTAGE 3. Press the WBC key to select LINE or NO LINE. When LINE is selected, the
vertical lines appear on the WBC histogram.
WBC LINE NO LINE
USER UNIT
OK SET
4. Press the OK key on the screen to return to the SETTINGS screen.
General For measuring non-human blood, the sensitivity and threshold should be changed
to match the characteristics of the blood.
CAUTION
Use only the initial sensitivity or threshold settings for measuring
human blood.
When measuring non-human blood that has small RBC particles (such as MCV
less than 70 fL), set the threshold to AUTO.
Changing Sensitivity and 1. Press the SETTINGS key on the MENU screen to display the SETTINGS
Threshold screen.
08-DEC-98 10:30 MENU
ENTER ID QC
CALIBRATION SETTINGS
DATA OTHER
EDIT ID
OK
08-DEC-98 10:30 SETTINGS 2. Press the SENS & THR key on the SETTINGS screen to display the SENS &
NORMAL RANGE SENS & THR THR screen.
MEAS MODE PRINT SETTINGS
DISPLAY
OK INITIALIZE
08-DEC-98 10:30 SENS & THR 3. Press the parameter key to select a parameter. Pressing the key moves the
WBC SENS [ 5] cursor between SENS and THR.
THR [ 4] VALUE [ ]
RBC SENS [ 5] 7 8 9
THR [ AUTO ]
OK BACK
5. Press the OK key on the SENS & THR screen to return to the SETTINGS
screen.
Determining Optimum This instrument is set for human blood cells. Non-human cells which have a
Sensitivity different particle size from human blood cells require adjustment for the settings.
For counting non-human cells, determine the optimum sensitivity for each particle
according to the following. Then, adjust the threshold.
The following table shows the optimum sensitivity for counting globular particles.
After setting the sensitivity, adjust the threshold to determine the optimum
threshold.
Mean Particle Volume (fL) Particle Volume Range (fL) Optimum Sensitivity
400 200 to 600 1
200 100 to 300 2
130 70 to 200 3
100 50 to 150 4
80 40 to 120 5
70 35 to 100 6
60 30 to 90 7
50 25 to 80 8
45 20 to 70 9
3. Repeat steps 1 and 2 with the same sample until you have enough counted
values to plot a curve with a plateau (flat part of the curve). The optimum
threshold is the center of the plateau.
Optimum threshold
0 Threshold
If the plateau is too short or cannot be obtained, increase sensitivity and repeat this
procedure.
No plateau Plateau is too short
Counted value Counted value
0 0
Threshold Threshold
Setting Items Set the printing format when printing the data with an optional WA-630VK printer
unit, WA-460V card printer, or WA-710V or other external printer connected to the
instrument. The following items can be set.
Printer Setting Default
Item Description
Type Screen Setting
NUMERIC: only numerical data
DATA NUM/HIST: numerical data and NUM/HIST
histogram
ON: External data is printed.
EXT. DATA OFF
WA-630V WA-630V OFF: External data is not printed.
printer SETTING 1 8: Print WBC, RBC, HGB, HCT, MCV, MCH,
unit MCHC, PLT
(installed PARAMETERS 19: Print WBC, RBC, HGB, HCT, MCV, MCH, 19
type) MCHC, PLT, LY, LY%, MO, MO%, GR, GR%, EO,
RDW, PCT, MPV, PDW
WA-630V For each parameter
Print normal range
SETTING ON: Normal range graph is printed. OFF
on/off
2/3 OFF: Normal range graph is not printed.
Select the number of blank lines at the top of the
Space at top of card 05
WA-460V recording card.
WA-460V Select the amount of blank space at the left side of the
card Left margin 00
SETTING recording card.
printer
Line pacing Select the width of the row. 10
Select the printer type from:
MODEL[*1] EPSON-VP
FUJITSU, EPSON-VP, EPSON-PM, CANON-BJ
NUMERIC: only numerical data is automatically
printed after measurement
AUTO PRINT
NUM/HIST: numerical data and histogram are NUM/HIST
[*4]
automatically printed after measurement
OFF: Auto print is not performed.
OTHER DATE&TIME: Print the date and time at the head of
SETTINGS 1 HEADER the data.
DATE&TIME
[*3] TIME: Print the time at the head of the data.
NONE: Keep blank spaces.
8: Print WBC, RBC, HGB, HCT, MCV, MCH,
Other MCHC, PLT
printers PARAMETERS 19: Print WBC, RBC, HGB, HCT, MCV, MCH, 19
MCHC, PLT, LY, LY%, MO, MO%, GR, GR%, EO,
RDW, PCT, MPV, PDW
PAPER WIDE: Normal stock form (continuous forms)
WIDE
[*2] NARROW: Hematology data sheet (continuous type)
1 PAGE DATA [*5] 1 data for 1 page, 2 data for 1 page 1 SAMPLE
OTHER TYPE 1: Normal range settings are printed on the right
SETTINGS 2 part of the recording paper.
NORM RANGE TYPE 2: Normal range settings are printed below the OFF
measured result as bar graphs.
OFF: Normal range settings are not printed.
OTHER LINES/PAGE Select the length of the recording paper from 1 to 255
66
SETTINGS 3 [*2] lines
*1: When using WA-710V printer, select “EPSON-VP” for “MODEL”.
*2: These settings are available only when “FUJITSU” or “EPSON-VP” is selected for “MODEL”.
*3: Available only when “WIDE” is selected for “PAPER”.
*4: When “EPSON-PM” or “CANON-BJ” is selected for “MODEL”, printing is not performed when “NUMERIC” is selected for “AUTO
PRINT”.
*5: Available only when “TYPE 1” or “OFF” is selected for “NORM RANGE”.
3.16 Operator's Manual MEK-6318J/K
3. CHANGING SETTINGS
Changing Settings Settings for the WA-630VK Printer Unit (Internal Printer)
08-DEC-98 10:30 SETTINGS 1. Press the PRINT SETTINGS key on the SETTINGS screen to display the
NORMAL RANGE SENS & THR PRINT SETTINGS screen.
MEAS MODE PRINT SETTINGS
DISPLAY
OK INITIALIZE
08-DEC-98 10:30 PRINT SETTINGS 2. Press the WA-630V key to display the WA-630V SETTING 1 screen.
WA-630V
WA-460V
OTHER
OK
08-DEC-98 10:30 WA-630V SETTING 1 3. Press an item key to change the setting for that item.
EXT.DATA ON OFF
PARAMETERS 8 19
OK SET 2 SET 3
4. To select ON or OFF to print normal range setting for each parameter:
Item key i) Press the SET 2 key to display the WA-630V SETTING 2 screen. Select
ON or OFF to print normal range setting for CBC parameters.
08-DEC-98 10:30 WA-630V SETTING 2
Select ON to print normal range
for each parameter. ii) Press the SET 3 key to display the WA-630V SETTING 3 screen. Select
ON or OFF to print normal range setting for parameters other than CBC
WBC O N O F F RBC O N O F F HGB O N O F F parameters.
HCT O N O F F MCV O N O F F MCH O N O F F
MCHC O N O F F PLT O N O F F
08-DEC-98 10:30 SETTINGS 1. Press the PRINT SETTINGS key on the SETTINGS screen to display the
NORMAL RANGE SENS & THR PRINT SETTINGS screen.
MEAS MODE PRINT SETTINGS
DISPLAY
OK INITIALIZE
WA-460V
OTHER
OK
Item keys
Setting value
08-DEC-98 10:30 WA-460V SETTING 3. Select the item to change and enter the new setting value.
Select: 1. Space at top of card.
2. Left margin. a) Press the item number key for the item to be changed.
3. Line spacing. VALUE [ ]
DEFAULT
b) Enter the value using the numeric keys. The entered value appears in the
1 [ 00 ] 00 7 8 9
VALUE box.
4 5 6
2 [00] 00 c) Press the ENTER key to register the new value.
1 2 3
3 [00] 10
0 . CE
08-DEC-98 10:30 SETTINGS 1. Press the PRINT SETTINGS key on the SETTINGS screen to display the
NORMAL RANGE SENS & THR PRINT SETTINGS screen.
MEAS MODE PRINT SETTINGS
DISPLAY
OK INITIALIZE
08-DEC-98 10:30 PRINT SETTINGS 2. Press the OTHER key to display the OTHER SETTINGS 1 screen.
WA-630V
WA-460V
OTHER
OK
PARAMETERS 8 19
OK
4. Press the SET 2 key to display the OTHER SETTINGS 2 screen.
SET 2 SET 3
08-DEC-98 10:30 OTEHR SETTINGS 2 5. Press an item key to change the setting for that item.
PAPER W ID E NARROW
OK SET 1 SET 3
6. Press the SET 3 key to display the OTHER SETTINGS 3 screen.
When connecting a WA-460V card printer, if necessary, also change the printing
settings on the WA-460V SETTING screen of the PRINT SETTINGS screen. Refer
to the “Changing Printing Settings” section.
An optional ZK-820V handy bar code reader can be connected to the OPTION
socket on the hematology analyzer with a YZ-0313 bar code reader cable. Change
the settings for PORT 2 on the COMM SETTINGS 1 screen. For details, refer to the
“Using the Optional Handy Bar Code Reader” section.
08-DEC-98 10:30 MENU 1. Press the SETTINGS key on the MENU screen to display the SETTINGS
ENTER ID QC screen.
CALIBRATION SETTINGS
DATA OTHER
EDIT ID
OK
08-DEC-98 10:30 SETTINGS 2. Press the COMM SETTINGS key on the SETTINGS screen to display the
NORMAL RANGE SENS & THR COMM SETTINGS 1 screen.
MEAS MODE PRINT SETTINGS
DISPLAY
OK INITIALIZE
08-DEC-98 10:30 COMM SETTINGS 1 • To switch between the COMM SETTINGS 1 and 2 screens, press the SET 1
PORT 1
DATA BITS 7 8 • To switch between the PORT 1 and 2 screens, press the PORT 1 or PORT 2
PARITY EVEN ODD NONE key.
STOP BITS 1 2 For details about settings for using an optional handy bar code reader, refer
to the “Using the Optional Handy Bar Code Reader” section.
OK SET 2 PORT 2
08-DEC-98 10:30 COMM SETTINGS 2 3. Press the item key to change the setting.
PORT 1
PARAMETERS 8 18 19
HISTOGRAM YES NO
OK SET 1 PORT 2
4. Press the OK key to return to the SETTINGS screen.
General The optional ZK-820V handy bar code reader (BL-N60NK or equivalent) can be
used for reading the bar code label (up to 13 characters) on the sample tube. This
data can be used as an ID. For details about the handy bar code reader, refer to the
bar code reader manual.
To set the settings for the handy bar code reader on the hematology analyzer, the
communication settings for PORT 2 must be changed and the bar codes attached to
the bar code reader manual must be read with the handy bar code reader within 15
seconds after turning the hematology analyzer power on.
The power for the handy bar code reader is supplied from the hematology analyzer
when the bar code reader is connected to the hematology analyzer and the
hematology analyzer power is turned on.
The hematology analyzer can only receive the bar code information from the bar
code reader when one of the following four screens are displayed.
• READY
• ENTER ID
• RESULT
• EDIT ID
When the LED on the bar code reader lights with a buzzer sound, it indicates that
the bar code label is read properly by the bar code reader. However, the
hematology analyzer can only receive data from the bar code reader when one of
the above screens are displayed. The hematology analyzer also gives a buzzer
sound when the data from the bar code reader is properly received on the
hematology analyzer. Therefore, turn the LED light and buzzer sound off on the
handy bar code reader so that the operator does not mistake the bar code to be
successfully received by the hematology analyzer when the bar code is read by the
bar code reader but not received by the hematology analyzer.
The bar codes to be used for setting the hematology analyzer are given in the
following procedure, but can also be found in the bar code reader manual with
other bar codes.
Changing Settings 1. Change the communication settings of the PORT 2 screen on the COMM
SETTINGS 1 screen as follows. Refer to the procedure in the previous section
“Changing Communication Settings”.
NOTE
Make sure that the data bits setting is changed to 7 (the default setting
is 8).
2. Turn off the hematology analyzer power by pressing the power key while
+ holding down the reset key. The hematology analyzer power is turned off
without cleaning operation.
3. Read the three bar codes shown at left, from top to bottom within 15 seconds
after turning the hematology analyzer power on. Turn the hematology
analyzer power on by pressing the power key while holding down the reset
key. The power is turned on without cleaning and priming operation.
When the bar codes are read properly, there will be 5 buzzer sounds.
Start Setting
4. Read the two bar codes shown at left to turn the LED light and buzzer sound
off on the bar code reader.
NOTE
LED off
The LED light and buzzer sound on the bar code reader should be
turned off so that the operator does not mistake the bar code as
successfully read when it is not received by the hematology analyzer.
Buzzer off
5. Read the other necessary bar codes in the bar code reader manual.
When using NW-7 bar codes, the bar code shown at left should be read so that
the start and stop characters of the bar code are not sent to the hematology
NW-7 start/stop character not to analyzer.
send
6. Read the bar code shown at left to complete setting changes. There will be 5
buzzer sounds.
End Setting
7. Turn off the hematology analyzer power by pressing the power key while
holding down the reset key. The hematology analyzer power is turned off
without cleaning operation.
Operator's Manual MEK-6318J/K 3.23
3. CHANGING SETTINGS
Initializing Settings
NORMAL RANGE
MEAS MODE
DISPLAY
PRINT SETTINGS
COMM SETTINGS
_ _ _
XB initial value (Refer to “XB (X Batch) Program” in Section 6.)
SENS & THR
08-DEC-98 10:30 MENU 1. Press the SETTINGS key on the MENU screen to display the SETTINGS
ENTER ID QC screen.
CALIBRATION SETTINGS
DATA OTHER
EDIT ID
OK
08-DEC-98 10:30 SETTINGS 2. Press the INITIALIZE key on the SETTINGS screen to display the INITIALIZE
NORMAL RANGE SENS & THR screen.
MEAS MODE PRINT SETTINGS
DISPLAY
OK INITIALIZE
_
XB Initial values MCV: 89.5 fL
MCH: 30.5 pg
MCHC: 33.8 g/dL
General
Single and Double In single counting mode, each sample is counted once.
Counting
In double counting mode, the instrument automatically counts the sample twice
and displays and stores the mean value. Only the mean value is printed, displayed
and stored in memory. If there is a significant deviation between the two counts, a
third counting is automatically performed and the mean of the two closest counts
is used.
When printing histograms of the double counted sample, the first count data is
printed for the WBC and the second count data is printed for the RBC and PLT.
To set the double count, refer to “Selecting Single or Double Sample Counting” in
Section 3.
NO
Deviation between the two sample data?
YES
Third counting
ID Numbers Each sample must have its own ID number. You can set any ID number for any
sample. Refer to “Assigning an ID to a Sample” in Section 3.
Alarms When trouble occurs during counting, alarms such as “CLOG”, “BUBBLE”,
“LEVEL 1”, “NOISE”, “!” are displayed and sounded. If an alarm occurs, remove
the cause. Refer to Section 9 “Error Messages and Troubleshooting”.
CAUTION
When an alarm occurs, the acquired data may not be correct, especially
when “!” appears. Recount the sample.
Displaying H and L Out of When the counted values are outside the normal range, H for above upper limit and
Range Marks L for below the lower limit are automatically marked.
To set the normal range, refer to “Setting Normal Range Upper and Lower Limits”
in Section 3.
OVER Message The OVER message appears when the counted value is outside the measurable
range. Refer to “Specification” in Section 10 for measurable range.
Data Storage The instrument stores all measured and calculated data for the latest 400 samples
and histograms of up to 20 samples. After that, the oldest sample data is deleted
when a new sample is measured.
If you want to save data, use the auto print mode to save data as a printout,
especially the histograms.
_
Quality control data (X and CV) is also stored.
Printing and Transferring The acquired data can be printed and transferred when a printer or personal
Data computer is connected to the instrument. When the auto printing function is set to
on, the data can be automatically printed on the connected printer.
• PLT Count
The PLT count may be decreased because of pseudothrombocytopenia or
unskillful procedure in sampling blood.
WBC (White Blood Cell) The instrument automatically analyzes the WBC 3-part differential histogram by
Distribution Histogram searching for the peaks and valleys of the distribution histogram. The counts and
ratios of lymphocytes, monocytes and granulocytes to the white blood cells can be
obtained.
You can set the instrument to display lines showing the separation of the 3-part
differential. Refer to “Selecting Units and Histogram Display Format” in Section
3.
Lymphocyte distribution
Monocyte Granulocyte distribution
distribution
WBC Histogram and Individual variations in human blood affect counting, such as easily hemolyzed
Screen Code Messages blood, difficult to hemolyze blood, and blood disease. The character of sample
blood also varies depending on elapsed time after collecting the blood and storage
conditions.
When the histogram distributions are abnormal, its data is judged as unreliable,
and a flag (F1, F2, F3, F4 or F5) is displayed on the right side of the obtained data.
When the data analyzed with the distribution histogram cannot be judged, no
obtained data is displayed on the screen.
When these codes appear or no data is displayed on the screen, perform the blood
smear method.
RBC ghosts
Possible causes:
• Poor hemolyzation (blood containing bilirubin plasma and high cholesterol is
not easy to hemolyze.)
• Platelet aggregation
• Many large platelets
Granulocyte distribution
Possible causes:
• Small number of lymphocytes
Lymphocyte distribution
Possible causes:
• The blood was left more than 8 hours after collecting.
• The sample blood was not stored in ideal conditions.
• Poor blood cell membranes.
• Small number of granulocytes.
• Reagents other than ISOTONAC•3 and Hemolynac•3 were used.
Possible causes:
• Reagents other than ISOTONAC•3 and Hemolynac•3 were used.
RBC (Red Blood Cell) Red blood cell distribution width (RDW) is automatically calculated from the
Distribution Histogram RBC distribution histogram.
The RDW indicates the deviation ratio of the red blood cell volumes on the
histogram.
100 200
SD SD
MCV
PLT (Platelet) Distribution The following parameters are automatically calculated from the PLT distribution
Histogram histogram.
10 20
SD SD
MPV
Preparing a Venous Put 2 mL of collected whole blood in a sample container which contains
Sample anticoagulant.
CAUTION
• Use only ethylenediaminetetraacetic acid salt (EDTA) as an
anticoagulant.
• Do not use heparin as an anticoagulant. It affects white blood cell and
platelet measurement.
Gently shake the covered sample container up and down more than 30 times.
CAUTION
Do not stir the sample excessively because it generates unwanted
bubbles and cause hemolyzation.
Measuring a Venous
Sample CAUTION
Do not count aggregated or coagulated blood. Otherwise the instrument
may be damaged.
NOTE
• When measurement cannot be performed properly due to poor
hemolyzation, measure the blood sample at least 30 minutes after
collection.
• Measure blood samples within 8 hours after collection.
• Gently and thoroughly shake the blood again before measurement.
• Blood samples from a neonate or patient with a serious hepatopathy
may show an excessively high WBC count by poor hemolyzation due
to red blood cell membrane resistance. In this case, it may be
necessary to use another counting method.
Capillary blood mode lamp off 1. Check that the instrument is in venous mode (i.e. the capillary blood mode
lamp on the front panel of the instrument is not lit).
2. Confirm the ID number on the READY screen. To change the ID number, refer
to “Assigning an ID to a Sample” in Section 3.
3. Put the sampling nozzle into the bottom of the sample container so that the tip
of the sampling nozzle touches the bottom of the sample container.
Count switch
Sampling nozzle
Do not press the sampling nozzle too hard against the bottom of the sample
container. This decreases the aspirating volume.
4. Press the count switch on the front panel of the instrument. The sample is
aspirated and counting is performed.
08-DEC-98 10:30 The “COUNTING” message is displayed on the screen during counting.
COUNTING
0001
08-DEC-98 10:30 ID 0001 After counting, the result is stored in memory and displayed on the screen with
103 /
WBC ( 5)
WBC
RBC
7.5
5.45 106 /
uL
uL histograms.
( 4) HGB 14.8 g/dL
HCT 46.4 %
MCV 85.1 fL
MCH 27.2 pg
RBC
100 200 300
( 5)
MCHC
PLT
31.9
638
g/dL
103 / uL ↑ on the RBC or PLT histogram indicates the auto RBC threshold setting.
(AUTO) [%] [103 / uL]
LY
MO
32.0
6.4
2.4
0.5 Refer to “Changing Sensitivity and Threshold” in Section 3.
GR 61.6 4.6
100 200 EO <0.7
PLT ( 5)
RDW 11.9 %
PCT 0.24 %
MPV
PDW
6.6
15.6
fL
%
• When AUTO PRINT on the OTHER SETTINGS 1 screen of the PRINT SETTINGS
2 10 20
MENU ENTER ID
screen is set to NUMERIC or NUM/HIST, the result is automatically printed on
the connected external printer.
• When the automatic print mode lamp is lit, (i.e. the printer is in auto mode), the
result is automatically printed on the WA-630VK printer unit according to the
setting of the WA-630V SETTING on the PRINT SETTINGS screen. Refer to
“Changing Printing Settings” in Section 3.
You can measure any kind of blood sample of 10 µL. There is no need to dilute the
sample before measurement. You only need to hold the sample cup containing
blood sample to the sampling nozzle and press the count switch. The hematology
analyzer aspirates 10 µL of blood sample and perform measurement. This mode is
useful when measuring a high concentration blood sample.
2. Select “VENOUS 10 µL” for “CAP VOL” on the MEAS MODE screen. Refer to
“Selecting the Capillary Blood Volume” in Section 3.
3. Confirm the ID number on the READY screen. To change the ID number, refer
to “Assigning an ID to a Sample” in Section 3.
5. Tilt a sample cup and put the sampling nozzle into the bottom of the sample
Count switch
container so that the tip of the sampling nozzle touches the bottom of the
Sampling nozzle sample container.
NOTE
Do not press the sampling nozzle too hard against the bottom of the
sample container. This decreases the aspirating volume.
08-DEC-98 10:30 The “COUNTING” message is displayed on the screen during counting.
COUNTING
0001
1. Select the capillary blood volume (10 or 20 µL) on the MEAS MODE screen of
the SETTINGS screen. Refer to “Selecting the Capillary Blood Volume” in
Section 3.
2. Confirm the ID number on the READY screen. To change the ID number, refer
to “Assigning an ID to a Sample” in Section 3.
3. Press the capillary blood mode key on the front panel. Check that the
capillary blood mode lamp is lit and the CAPILLARY BLOOD MODE screen
is displayed.
08-DEC-98 10:30
4. Tilt a sample cup and put the sampling nozzle along the inside of the sample
cup.
5. Press the dispense key on the front panel to dispense about 2 mL diluent
into the sample cup. The screen changes.
08-DEC-98 10:30
Sahli pipette
6. Collect 10 or 20 µL of whole blood with a sahli pipette or micro cap.
Micro cap
7. Put the capillary blood into the sample cup of the dispensed diluent. Be
careful not to create any bubbles.
8. Gently shake the sample cup up and down more than 10 times.
CAUTION
Do not stir the sample excessively because it generates unwanted
bubbles and cause hemolyzation.
NOTE
• To prevent evaporation, put the cap on the sample cup when not
measuring immediately.
• When measuring blood which is left more than 1 minute after
collecting, gently shake the blood again before measurement.
Measuring a Capillary 1. Check that the capillary blood mode lamp is lit.
Sample
2. Put the sampling nozzle into the bottom of the sample cup so that the tip of
the sampling nozzle touches the bottom of the sample cup.
Count switch
Sampling nozzle
Do not press the sampling nozzle too hard against the bottom of the sample
cup. This decreases the aspirating volume.
3. Press the count switch on the front panel. The sample is aspirated and
counting is performed.
08-DEC-98 10:30 The “COUNTING” message is displayed on the screen during counting.
COUNTING
0001
08-DEC-98 10:30 ID
CAPILLARY
0001
20 uL After counting, the result is stored in memory and displayed on the screen with
WBC 7.5 10 3 / uL
6
WBC (
(
5)
4)
RBC
HGB
5.45
14.8
10 / uL
g/dL histograms. At the same time, the measurement mode changes from the
HCT 46.4 %
MCV 85.1 fL
MCH 27.2 pg capillary mode to the venous mode (i.e. the capillary blood mode lamp is off).
100 200 300 MCHC 31.9 g/dL
RBC ( 5) PLT 638 10 3 / uL
(AUTO) [%] [ 10 3 / uL ]
LY 32.0 2.4
MO
GR
6.4
61.6
0.5
4.6 • When AUTO PRINT on the OTHER SETTINGS screen of the PRINT SETTINGS
100 200 EO
PLT ( 5) < 0.7
RDW
PCT
11.9
0.24
%
%
screen is set to NUMERIC or NUM/HIST, the result is automatically printed on
MPV 6.6 fL
2 10 20
PDW 15.6 % the connected external printer.
MENU ENTER ID • When the automatic print mode lamp is lit, (i.e. the printer is in auto mode), the
result is automatically printed on the WA-630VK printer unit according to the
setting of WA-630V SETTING on the PRINT SETTINGS screen. Refer to
“Changing Printing Settings” in Section 3.
Continuous Capillary 1. Press the capillary blood mode key on the front panel. Check that the
Blood Measurement capillary blood mode lamp is lit.
2. Ignore the screen display and put the sampling nozzle into the bottom of the
sample cup so that the tip of the sampling nozzle touches the bottom of the
sample cup.
Do not press the sampling nozzle too hard against the bottom of the sample
cup. This decreases the aspirating volume.
3. Press the count switch on the front panel. The sample is aspirated and
counting is performed.
After counting, the result is stored in memory and displayed on the screen with
histograms.
WARNING
Do not drain the waste fluid without treatment because the waste fluid
contains cyanogen (CN). If for any reason the instrument cannot
automatically treat the waste fluid, put some CLEANAC•3 detergent in
the waste fluid, stir it to completely dissolve the cyanogen, leave it for at
least 30 minutes, then dispose of it.
NOTE
• Use the specified Nihon Kohden CLEANAC•3 detergent for cleaning.
• Before disposing of the treated waste fluid, stir it to completely
dissolve cyanogen, leave it for at least 30 minutes, then dispose of it.
• No need for automatic waste fluid treatment when using
Hemolynac•3N. Hemolynac•3N contains no cyanogen.
If the instrument has an error and cannot aspirate the detergent, the cyanogen in
the waste fluid cannot be dissolved. In this case, the waste fluid is dark brown.
Treat the waste fluid as follows in a well-ventilated place and contact your Nihon
Kohden distributor.
3. Add 4 g of ammonium chloride for each 1 L of the waste fluid to make the pH
value close to 7 and stir it.
Daily Shutdown
To keep the instrument in optimum condition, check and clean it after every use. If
an error is found during check, clean or replace the item.
Turning the Power Off To turn the power off, press the power key on the front panel. The instrument
automatically performs cleaning and then turns the power off.
To turn the main power off, press the main power switch on the rear panel. Check
that the main power lamp on the front panel is off.
Always leave the main power on except for storage and transportation of the
instrument.
General
The instrument stores all measured and calculated data for the latest 400 samples
and histograms of up to 20 samples. These stored data can be printed, transferred
to a personal computer and deleted. The sample ID can be changed.
When the sample has histograms, these histograms can be displayed and printed.
You can display any saved numerical data. Numerical data for up to 400 samples
(100 pages) can be stored in memory. All numerical data is stored in chronological
order as “pages” of four samples each.
Displaying Numerical Data 1. Press the DATA key on the MENU screen to display the DATA screen. The data
08-DEC-98 10:30 MENU for the latest 4 samples (latest page) is displayed.
ENTER ID QC
CALIBRATION SETTINGS
DATA OTHER
EDIT ID
OK
08-DEC-98 10:30
2. Use the BACK and NEXT keys to display the desired data.
ID
0001 0002 0003 0004
WBC 7.5 8.5 5.0 6.4 Press the BACK key to display the previous page.
RBC 5.45 4.38 4.58 4.65
HGB 14.8 12.9 13.8 14.0
HCT
MCV
46.4
85
39.8
91
42.8
93
43.0
92
Press the NEXT key to display the next page.
MCH 27.2 29.5 30.1 30.1
MCHC 31.9 33.4 32.2 32.6
PLT 368 220 157 242
LY% 32.0 50.9 22.7 29.7
MO% 6.4 4.3 5.3 4.3
GR% 61.6 44.8 72.0 66.0
RDW 11.9 11.9 12.8 12.2
PCT 0.24 0.17 0.12 0.20
MPV 6.6 7.9 7.8 8.1
PDW 15.6 15.5 15.9 15.3
PAGE 1/ 8 PRINT HIST 3. Press the OK key to return to the MENU screen.
OK
BACK NEXT TRANS DEL
Displaying Histograms for The histogram display and printing format are set to either numerical or percentage
Individual Samples vertical axis. Lines can also be displayed on the histogram to differentiate the 3
kinds of WBC. Refer to “Selecting the Histogram Display Format” in Section 3.
1. Display the numerical data which has the histograms you want to display on
the DATA screen. Refer to the “Displaying the Numerical Data” section.
08-DEC-98 10:30
ID
2. Press the HIST key.
0001 0002 0003 0004
WBC 7.5 8.5 5.0 6.4
RBC 5.45 4.38 4.58 4.65
HGB 14.8 12.9 13.8 14.0
HCT 46.4 39.8 42.8 43.0
MCV 85 91 93 92
MCH 27.2 29.5 30.1 30.1
MCHC 31.9 33.4 32.2 32.6
PLT 368 220 157 242
LY% 32.0 50.9 22.7 29.7
MO% 6.4 4.3 5.3 4.3
GR% 61.6 44.8 72.0 66.0
RDW 11.9 11.9 12.8 12.2
PCT 0.24 0.17 0.12 0.20
MPV 6.6 7.9 7.8 8.1
PDW 15.6 15.5 15.9 15.3
PAGE 1/ 8 PRINT HIST
OK
BACK NEXT TRANS DEL
08-DEC-98 10:30 3. Press the ID key of the desired sample. The numerical data and WBC, RBC
ID
0001 0002 0003 0004
WBC 7.5 8.5 5.0 6.4
and PLT histograms of the selected sample appear on the screen.
RBC 5.45 4.38 4.58 4.65
HGB 14.8 12.9 13.8 14.0
HCT 46.4 39.8 42.8 43.0
MCV 85 91 93 92
MCH 27.2 29.5 30.1 30.1
MCHC 31.9 33.4 32.2 32.6
PLT 368 220 157 242
LY% 32.0 50.9 22.7 29.7
MO% 6.4 4.3 5.3 4.3
GR% 61.6 44.8 72.0 66.0
RDW 11.9 11.9 12.8 12.2
PCT 0.24 0.17 0.12 0.20
MPV 6.6 7.9 7.8 8.1
PDW 15.6 15.5 15.9 15.3
PAGE 1/ 8
OK Select ID to display one ID.
08-DEC-98 10:30 ID 0001 4. To return to the DATA screen, press the OK key.
WBC 7.5 10 3 / uL
WBC RBC 5.45 10 6 / uL
HGB 14.8 g/dL
HCT 46.4 %
MCV 85.1 fL
MCH 27.2 pg
100 200 300 MCHC 31.9 g/dL
RBC PLT 638 10 3 / uL
[%] [ 10 3 / uL ]
LY 32.0 2.4
MO
GR
6.4
61.6
0.5
4.6 5. To return to the MENU screen, press the OK key on the DATA screen.
100 200 EO <0.7
PLT
RDW 11.9 %
PCT 0.24 %
MPV 6.6 fL
PDW 15.6 %
2 10 20
Deleting Data
This instrument’s memory can store numerical data for up to 400 samples and
histograms for up to 20 samples. When the memory is full and a new data is
acquired, the oldest data is automatically deleted for new data.
Deleting Data for Individual 1. Display the sample data to be deleted on the DATA screen. Refer to the
Samples “Displaying Numerical Data” section.
08-DEC-98 10:30
ID
0001 0002 0003 0004
WBC 7.5 8.5 5.0 6.4
RBC 5.45 4.38 4.58 4.65
HGB 14.8 12.9 13.8 14.0
HCT 46.4 39.8 42.8 43.0
MCV 85 91 93 92
MCH 27.2 29.5 30.1 30.1
MCHC 31.9 33.4 32.2 32.6
PLT 368 220 157 242
LY%
MO%
32.0
6.4
50.9
4.3
22.7
5.3
29.7
4.3
2. Press the DEL key.
GR% 61.6 44.8 72.0 66.0
RDW 11.9 11.9 12.8 12.2
PCT 0.24 0.17 0.12 0.20
MPV 6.6 7.9 7.8 8.1
PDW 15.6 15.5 15.9 15.3
PAGE 1/ 8 PRINT HIST
OK
BACK NEXT TRANS DEL
08-DEC-98 10:30 3. Press the corresponding ID key on the screen to select the sample data. The
ID
WBC
0001
7.5 8.5
0002 0003
5.0
0004
6.4
“Delete data for this ID?” message appears.
RBC 5.45 4.38 4.58 4.65
HGB 14.8 12.9 13.8 14.0
HCT 46.4 39.8 42.8 43.0
MCV 85 91 93 92
MCH 27.2 29.5 30.1 30.1
MCHC 31.9 33.4 32.2 32.6
PLT 368 220 157 242
LY% 32.0 50.9 22.7 29.7
MO% 6.4 4.3 5.3 4.3
GR% 61.6 44.8 72.0 66.0
RDW 11.9 11.9 12.8 12.2
PCT 0.24 0.17 0.12 0.20
MPV 6.6 7.9 7.8 8.1
PDW 15.6 15.5 15.9 15.3
PAGE 1/ 8
OK Select ID to DELETE ALL
delete one ID.
08-DEC-98 10:30
ID
4. Press the YES key to delete the selected sample data. The data is deleted and
0001 0002 0003 0004
WBC
RBC
7.5
5.45
8.5
4.38
5.0
4.58
6.4
4.65 the screen returns to the previous screen.
HGB 14.8 12.9 13.8 14.0
HCT 46.4 39.8 42.8 43.0
MCV 85 91 93 92
MCH 27.2 29.5 30.1 30.1
MCHC 31.9 33.4 32.2 32.6
PLT 368 220 157 242
LY% 32.0 50.9 22.7 29.7
MO% 6.4 4.3 5.3 4.3
GR%
RDW
61.6
11.9
44.8
11.9
72.0
12.8
66.0
12.2
Press the CANCEL key to cancel deleting. The screen returns to the previous
PCT 0.24 0.17 0.12 0.20
MPV
PDW
6.6
15.6
7.9
15.5
7.8
15.9
8.1
15.3
screen.
PAGE 1/ 8
Delete data for YES CANCEL
this ID?
5. After deleting desired data, press the OK key on the screen to return to the
DATA screen.
6. Press the OK key on the DATA screen to return to the MENU screen.
08-DEC-98 10:30 1. Press the DATA key on the MENU screen to display the DATA screen.
ID
0001 0002 0003 0004
WBC 7.5 8.5 5.0 6.4
RBC 5.45 4.38 4.58 4.65
HGB 14.8 12.9 13.8 14.0
HCT 46.4 39.8 42.8 43.0
MCV 85 91 93 92
MCH 27.2 29.5 30.1 30.1
MCHC 31.9 33.4 32.2 32.6
PLT 368 220 157 242
LY% 32.0 50.9 22.7 29.7
MO% 6.4 4.3 5.3 4.3
GR% 61.6 44.8 72.0 66.0
RDW 11.9 11.9 12.8 12.2
PCT
MPV
0.24
6.6
0.17
7.9
0.12
7.8
0.20
8.1
2. Press the DEL key.
PDW 15.6 15.5 15.9 15.3
PAGE 1/ 8 PRINT HIST
OK
BACK NEXT TRANS DEL
08-DEC-98 10:30 3. Press the DELETE ALL key on the screen. The “Delete data for all IDs?”
ID
0001 0002 0003 0004
WBC 7.5 8.5 5.0 6.4 message appears.
RBC 5.45 4.38 4.58 4.65
HGB 14.8 12.9 13.8 14.0
HCT 46.4 39.8 42.8 43.0
MCV 85 91 93 92
MCH 27.2 29.5 30.1 30.1
MCHC 31.9 33.4 32.2 32.6
PLT 368 220 157 242
LY% 32.0 50.9 22.7 29.7
MO% 6.4 4.3 5.3 4.3
GR% 61.6 44.8 72.0 66.0
RDW 11.9 11.9 12.8 12.2
PCT 0.24 0.17 0.12 0.20
MPV 6.6 7.9 7.8 8.1
PDW 15.6 15.5 15.9 15.3
PAGE 1/ 8
OK Select ID to DELETE ALL
delete one ID.
08-DEC-98 10:30 4. Press the YES key to delete all the stored sample data. The data is deleted and
ID
0001 0002 0003 0004
WBC 7.5 8.5 5.0 6.4
the screen returns to the previous screen.
RBC 5.45 4.38 4.58 4.65
HGB 14.8 12.9 13.8 14.0
HCT 46.4 39.8 42.8 43.0
MCV 85 91 93 92
MCH 27.2 29.5 30.1 30.1
MCHC 31.9 33.4 32.2 32.6
PLT 368 220 157 242
LY% 32.0 50.9 22.7 29.7
MO%
GR%
6.4 4.3 5.3 4.3 Press the CANCEL key to cancel deleting. The screen returns to the previous
61.6 44.8 72.0 66.0
RDW 11.9 11.9 12.8 12.2
PCT
MPV
0.24
6.6
0.17
7.9
0.12
7.8
0.20
8.1
screen.
PDW 15.6 15.5 15.9 15.3
PAGE 1/ 8
Delete data for YES CANCEL
all IDs?
6. Press the OK key on the DATA screen to return to the MENU screen.
08-DEC-98 10:30 MENU 1. Press the EDIT ID key on the MENU screen. The numerical data for the latest
ENTER ID QC 4 samples are displayed.
CALIBRATION SETTINGS
DATA OTHER
EDIT ID
OK
08-DEC-98 10:30
ID
0001 0002 0003 0004 To display other data, press the BACK or NEXT key.
WBC 7.5 8.5 5.0 6.4
RBC 5.45 4.38 4.58 4.65
HGB 14.8 12.9 13.8 14.0
HCT 46.4 39.8 42.8 43.0
MCV 85 91 93 92
MCH 27.2 29.5 30.1 30.1
MCHC 31.9 33.4 32.2 32.6
PLT 368 220 157 242
LY% 32.0 50.9 22.7 29.7
MO% 6.4 4.3 5.3 4.3
GR% 61.6 44.8 72.0 66.0
RDW 11.9 11.9 12.8 12.2
PCT 0.24 0.17 0.12 0.20
MPV 6.6 7.9 7.8 8.1
PDW 15.6 15.5 15.9 15.3
PAGE 1/ 8
OK Select ID to
BACK NEXT edit ID.
08-DEC-98 10:30 EDIT ID 2. Press the ID key for the ID you want to change. The EDIT ID screen appears.
ID [ABCDEFGH:0001]
A B C D E F G
H I J K L M N
O P Q R S T U
V W X Y Z : 3. Press the ← or → key on the screen to move the cursor to the desired digit in
0 1 2 3 4 5 6 the input field.
OK 7 8 9 SPACE CE
Press the desired alphanumeric key. Numbers and letters can be entered for
any digit.
Press the CE key to delete all characters and move the cursor to the leftmost
position.
4. Press the OK key on the EDIT ID screen to return to the MENU screen.
The data can be printed on the following printers and transferred to a personal
computer.
The numerical data and histograms can be transferred to the personal computer.
When printing on the card printer, data is sent from the instrument to the card
printer through RS-232C. Printing data on the card printer uses the TRANS key on
the screen and data is sent according to the settings on the COMM SETTINGS
screen. To print on the card printer, refer to the “Transferring Data to a PC or Card
Printer” section.
Change the necessary settings for printing and transferring data on the PRINT
SETTINGS and COMM SETTINGS screens of the SETTINGS screen. Refer to
Section 3.
Automatic Printing and When auto print is selected, the data is automatically printed on the connected
Transferring Data after external printer after every measurement. Refer to “Changing Printing Settings” in
Measurement Section 3.
When using the WA-630VK printer unit, refer to the “Printing on the WA-630VK
Printer Unit” section.
Printing on the WA-630VK Data is printed on the WA-630VK printer unit according to the setting of WA-630V
Printer Unit SETTING on the PRINT SETTINGS screen of the SETTINGS screen. To change
the setting, refer to “Changing Printing Settings” in Section 3.
Even when in auto mode, printing can be performed whenever the print key on
the front panel is pressed.
To feed the paper, press the feed key on the front panel of the instrument.
Manual Printing
When you do not want to print data after every measurement, do the following
procedure.
Off
1. Check that the auto print lamp on the front panel of the instrument is not lit. If
lit, press the auto print key to turn it off.
2. Press the print key on the front panel of the instrument when you want to
print. The data displayed on the screen is printed.
Printing Stored Data The stored numerical data and histograms can be printed on the DATA screen.
When printing on a card printer, refer to the “Transferring Data to a PC or Card
Printer” section.
08-DEC-98 10:30
ID
0001 0002 0003 0004
1. Press the DATA key on the MENU screen to display the DATA screen.
WBC 7.5 8.5 5.0 6.4
RBC 5.45 4.38 4.58 4.65
HGB 14.8 12.9 13.8 14.0
HCT 46.4 39.8 42.8 43.0
MCV 85 91 93 92
MCH 27.2 29.5 30.1 30.1
MCHC 31.9 33.4 32.2 32.6
PLT
LY%
368
32.0
220
50.9
157
22.7
242
29.7
2. Display the samples you want to print using the BACK and NEXT keys.
MO% 6.4 4.3 5.3 4.3
GR% 61.6 44.8 72.0 66.0
RDW 11.9 11.9 12.8 12.2
PCT 0.24 0.17 0.12 0.20
MPV 6.6 7.9 7.8 8.1
PDW 15.6 15.5 15.9 15.3
PAGE 1/ 8 PRINT HIST
OK 3. Press the PRINT key on the DATA screen. The displayed data is printed on the
BACK NEXT TRANS DEL
connected printer.
5.8 Operator's Manual MEK-6318J/K
5. HANDLING DATA
When using the WA-630VK printer unit, data can also be printed by pressing
the print key on the front panel.
4. To return to the MENU screen, press the OK key on the DATA screen.
When the sample is double counted, the first WBC counting result and the second
counting result of the RBC and PLT are printed.
NOTE
Histograms cannot be printed on the card printers.
When using the WA-630VK printer unit, data can also be printed by pressing
the print key on the front panel. Data is printed according to the WA-630V
SETTING setting on the PRINT SETTINGS screen of the SETTINGS screen.
Refer to “Changing Printing Settings” in Section 3.
To print on the card printer, refer to the “Transferring Stored Data for All Samples
of a Single Day” section.
08-DEC-98 10:30 MENU 1. Before printing, make sure there is enough recording paper.
ENTER ID QC
CALIBRATION SETTINGS
DATA OTHER
2. Press the OTHER key on the MENU screen to display the OTHER screen.
EDIT ID
OK
08-DEC-98 10:30 OTHER 3. Press the PRINT DAY key to display the PRINT DAY screen. The last five
CAL HISTORY TRANSFER DAY
dates and the number of samples for each day are displayed.
OPER HISTORY PRIME
OK MAINTENANCE
CANCEL
08-DEC-98 10:30 PRINT DAY 5. Select the printer you want to print from.
EXT PRINTER: EPSON-VP or EPSON-PM
04-DEC-98
ROLL PRINTER: WA-630VK Printer Unit
6. Press the CANCEL key on the PRINT DAY screen to return to the OTHER
screen.
CANCEL
Transferring Data to a PC Numerical data with or without histograms can be transferred to a personal
or Card Printer computer. Only numerical data can be transferred and printed on the card printer.
You can transfer data during counting or transfer stored data. You can transfer data
for individual samples or data for all samples in a single day.
The single day function is only available for the most recent 5 days (including
today). In the single day function, histograms cannot be transferred.
CAUTION
To transfer data, the communication format between the instrument and
personal computer must match. Set the communication format of this
instrument to that of the personal computer or card printer before
transferring data.
08-DEC-98 10:30 2. Use the BACK or NEXT key to display numerical data to be transferred.
ID
0001 0002 0003 0004
WBC 7.5 8.5 5.0 6.4
RBC 5.45 4.38 4.58 4.65
HGB
HCT
14.8
46.4
12.9
39.8
13.8
42.8
14.0
43.0 NOTE
MCV 85 91 93 92
MCH 27.2 29.5 30.1 30.1
MCHC 31.9 33.4 32.2 32.6 If HISTOGRAM is set to “NO” on the COMM SETTINGS 2 screen,
PLT 368 220 157 242
LY% 32.0 50.9 22.7 29.7
MO%
GR%
6.4 4.3 5.3 4.3 pressing an ID key with a “*” mark in step 4 does not transfer the
61.6 44.8 72.0 66.0
RDW 11.9 11.9 12.8 12.2
PCT
MPV
0.24
6.6
0.17
7.9
0.12
7.8
0.20
8.1
histograms.
PDW 15.6 15.5 15.9 15.3
PAGE 1/ 8 PRINT HIST
OK
BACK NEXT TRANS DEL
08-DEC-98 10:30 4. Press the ID key of the data you want to transfer.
ID
0001 0002 0003 0004
WBC 7.5 8.5 5.0 6.4
RBC 5.45 4.38 4.58 4.65
HGB 14.8 12.9 13.8 14.0
HCT 46.4 39.8 42.8 43.0 After the data transfer is complete, other numerical data can be transferred by
MCV 85 91 93 92
MCH 27.2 29.5 30.1 30.1
MCHC 31.9 33.4 32.2 32.6 pressing the corresponding ID key.
PLT 368 220 157 242
LY% 32.0 50.9 22.7 29.7
MO% 6.4 4.3 5.3 4.3
GR% 61.6 44.8 72.0 66.0
RDW 11.9 11.9 12.8 12.2
PCT 0.24 0.17 0.12 0.20
MPV 6.6 7.9 7.8 8.1
PDW 15.6 15.5 15.9 15.3
PAGE 1/ 8
5. After transferring all desired data, press the OK key on the screen to return to
OK Select ID to transfer one ID. the DATA screen.
08-DEC-98 10:30 MENU Transferring Stored Data for All Samples of a Single Day
ENTER ID QC 1. Press the OTHER key on the MENU screen to display the OTHER screen.
CALIBRATION SETTINGS
DATA OTHER
EDIT ID
OK
08-DEC-98 10:30 OTHER 2. Press the TRANSFER DAY key on the OTHER screen. The TRANSFER DAY
CAL HISTORY TRANSFER DAY screen appears.
OPER HISTORY PRIME
OK MAINTENANCE
08-DEC-98 10:30 TRANSFER DAY 3. Press a date key on the screen. All the data for that day is transferred to the
04-DEC-98 NUMBER OF SAMPLES 12
personal computer or card printer.
05-DEC-98 NUMBER OF SAMPLES 14
4. After transferring all desired data, press the CANCEL key on the TRANSFER
CANCEL DAY screen to return to the OTHER screen.
General
Quality control refers to the precision, accuracy and reproducibility in the system.
Usually graphs are plotted with values calculated from the sample data to
statistically manage the quality control in the system. The instrument provides
three programs for quality control.
_
• X-R
_
• XB
_
• XD•CV
These programs automatically calculate the plotting data from the sample data.
The data can be displayed and printed as a table to plot the obtained data for each
parameter for quality control.
_
X-R Program
_
General Overview of X-R Program and Quality Control Procedure
_ _
The X-R program calculates and displays the daily X (mean values of the first and
second counting of the same hematology control sample) and R (difference
between the values of the first and second counting of the same hematology
_ _ _ _
control sample). The X-R program also calculates X and R (averaged X and R for a
number of days). You can use the data from this program to plot the obtained data
for each parameter for quality control. The data for the last 14 days is stored in
memory.
Every day the instrument is used, count the hematology control “n” times per day
(n≥ 2). Continue the counting for k days (10 to 14 days).
The instrument automatically calculates the daily mean and difference and the
averaged mean and difference for k days.
CAUTION
• Perform the quality control measurement at a fixed time every day.
• Count the hematology control every day with two pairs of samples
which have no difference in stirring, hemolysing and temperature.
• Store hematology control in optimum conditions. If the storage
conditions of the hematology control are not optimum,
hemolyzation or expansion of the blood cells will occur and
_
abnormal data will be frequently obtained on the X and R graphs.
• Do not use hematology control after the expiration date. If you use
_
hematology control after the expiration date, the obtained X and R
graphs are not reliable.
_ _
Calculation of X and R
X R
X= R= k
k
_
Calculation of Upper and Lower Limits of X and R
The upper and lower limits for quality control are statistically calculated as
follows.
If the hematology control is counted n (≥2) times every day, the upper and lower
_
limits of X are as follows.
_
Relation between n and d2 (for X) or d2 and d3 (for R)
n d2 1/d2 d3
2 1.128 0.8862 0.853
3 1.693 0.5908 0.888
4 2.059 0.4857 0.880
5 2.326 0.4299 0.864
6 2.534 0.3946 0.848
7 2.704 0.3698 0.833
8 2.847 0.3512 0.820
9 2.970 0.3367 0.808
10 3.078 0.3249 0.797
Obtained Data
Day X R
First Second
1 4.82 4.76 4.79 0.06
2 4.79 4.80 4.80 0.01
3 4.80 4.85 4.83 0.05
4 4.71 4.77 4.74 0.06
5 4.80 4.89 4.85 0.09
6 4.82 4.83 4.83 0.01
7 4.77 4.74 4.76 0.03
8 4.77 4.80 4.79 0.03
9 4.68 4.74 4.71 0.06
10 4.91 4.92 4.92 0.01
11 4.73 4.77 4.75 0.04
12 4.79 4.80 4.80 0.01
13 4.77 4.73 4.75 0.04
14 4.77 4.82 4.80 0.05
X = 4.794 R = 0.0393
n = 2, d2 = 1.128, d3 = 0.853
_
X graph:
Upper limit of X
4.868
Lower limit of X
4.720
R graph:
Upper limit of R
3.27 0.0393
0.129
4.90
Upper limit of X
Lower limit of X
4.70
0.10
_
• The X plot goes to the plus side or minus side.
_
X Graph:
• Diluent, hemolysing reagent or hematology control chemically degraded or past
the expiration date. This can be caused by change of environmental conditions
such as humidity or room temperature or unsuitable storage conditions.
• Composition difference between different production lots of hematology
control.
• Instrument trouble.
6.6 Operator's Manual MEK-6318J/K
6. QUALITY CONTROL
R Graph:
• Insufficient hematology control stirring.
• Temperature variation of diluent.
• Dirty fluid path such as aperture, manometer, measurement baths or sub baths.
• Instrument trouble such as dilution ratio error or circuit error.
CAUTION
• Perform the quality control measurement at a fixed time every day.
• Count the hematology control every day with two pairs of samples
which have no difference in stirring, hemolysing and temperature.
• Store hematology control in optimum conditions. If the storage
conditions of the hematology control are not optimum,
hemolyzation or expansion of the blood cells will occur and
_
abnormal data will be frequently obtained on the X and R graphs.
• Do not use hematology control after the expiration date. If you use
_
hematology control after the expiration date, the obtained X and R
graphs are not reliable.
08-DEC-98 10:30 MENU 1. Press the QC key on the MENU screen to display the QC screen.
ENTER ID QC
CALIBRATION SETTINGS
DATA OTHER
EDIT ID
OK
_ _
2. Press the X-R key on the QC screen to display the X-R screen.
_
08-DEC-98 10:30 X R
After counting, the X and R data appear on the screen.
Count hematology control twice.
WBC
FIRST
7.3
SECOND
7.2
X
7.3
R
0.1
_
RBC
HGB
4.49
13.5
4.47
13.5
4.46
13.5
0.02
0.0
To print the displayed X-R data, press the PRINT key.
HCT 40.9 40.5 40.7 0.4
MCV 91 91 91 0
MCH
MCHC
30.1
33.0
30.2
33.3
30.2
33.2
0.1
0.3 _
PLT
LY%
253
30.0
252
31.0
253
30.5 1.0
1 To display or print the history of X-R data, refer to the “Displaying and
MO% 2.2 2.3 2.3 0.1 _
GR%
RDW
67.8
12.5
66.7
12.5
67.2
12.5
1.1
0.0 Printing the Stored X-R Data” section.
PCT 0.15 0.14 0.15 0.01
MPV 5.9 5.8 5.9 0.1
PDW 16.7 16.6 16.7 0.1
OK PRINT HISTORY
_
4. Press the OK key on the X-R screen to return to the QC screen.
_ _
Displaying
_ and Printing You can display and print 3 days of X-R data. The last 14 days of X-R data is saved
Stored X-R Data in memory.
_
To print the stored X-R data, WIDE must be selected for PAPER on the PRINT
SETTINGS screen of the SETTINGS screen.
_
NOTE
The stored X-R data cannot be printed on the WA-630VK printer unit.
_
08-DEC-98 10:30 X R 1. Press the QC key on the MENU screen, then press the X-R key on the QC
Count hematology control twice. _
FIRST SECOND X R screen to display the X-R screen.
WBC 7.3 7.2 7.3 0.1
RBC 4.49 4.47 4.46 0.02
HGB 13.5 13.5 13.5 0.0
HCT 40.9 40.5 40.7 0.4
MCV 91 91 91 0
MCH 30.1 30.2 30.2 0.1
MCHC 33.0 33.3 33.2 0.3
PLT 253 252 253 1
LY% 30.0 31.0 30.5 1.0
MO% 2.2 2.3 2.3 0.1
GR% 67.8 66.7 67.2 1.1
RDW 12.5 12.5 12.5 0.0
PCT
MPV
0.15
5.9
0.14
5.8
0.15
5.9
0.01
0.1
_
PDW 16.7 16.6 16.7 0.1 2. Press the HISTORY key on the X-R screen. The latest 3 data is displayed. Use
OK PRINT HISTORY the BACK and NEXT keys to display the desired data.
_ _
08-DEC-98 10:30 X R To print the displayed 3 day’s X-R data, press the PRINT key on the X-R
DATE
X-R X
98/12/06
R
98/12/07
X R X
98/12/08
R
screen.
WBC 7.4 0.2 7.2 0.1 7.3 0.2
RBC 4.47 0.02 4.46 0.03 4.42 0.02
HGB 13.6 0.1 13.2 0.2 13.4 0.1
HCT 38.9 0.1 40.1 0.1 38.7 0.3
MCV 87 1 89 2 87 1
MCH
MCHC
30.2
34.5
0.1
0.3
30.5
35.2
0.4
0.2
30.8
35.8
0.2
0.4
_
PLT 247 2 245 4 242 3 3. Press the OK key on the X-R screen to return to the QC screen.
LY% 28.0 0.8 27.2 0.4 28.5 0.6
MO% 3.2 0.3 3.1 0.3 3.4 0.2
GR% 68.8 0.9 69.7 0.6 68.1 0.5
08-DEC-98 10:30 X R 2. Press the HISTORY key. The latest 3 data is displayed.
Count hematology control twice.
FIRST SECOND X R
WBC 7.3 7.2 7.3 0.1
RBC 4.49 4.47 4.46 0.02
HGB 13.5 13.5 13.5 0.0
HCT 40.9 40.5 40.7 0.4
MCV 91 91 91 0
MCH 30.1 30.2 30.2 0.1
MCHC 33.0 33.3 33.2 0.3
PLT 253 252 253 1
LY% 30.0 31.0 30.5 1.0
MO% 2.2 2.3 2.3 0.1
GR% 67.8 66.7 67.2 1.1
RDW 12.5 12.5 12.5 0.0
PCT 0.15 0.14 0.15 0.01
MPV 5.9 5.8 5.9 0.1
PDW 16.7 16.6 16.7 0.1
OK PRINT HISTORY
08-DEC-98 10:30 X R Use the BACK and NEXT keys to display the desired data.
DATE 98/12/06 98/12/07 98/12/08
X-R X R X R X R
WBC 7.4 0.2 7.2 0.1 7.3 0.2
RBC 4.47 0.02 4.46 0.03 4.42 0.02
HGB 13.6 0.1 13.2 0.2 13.4 0.1
HCT 38.9 0.1 40.1 0.1 38.7 0.3
MCV 87 1 89 2 87 1
MCH 30.2 0.1 30.5 0.4 30.8 0.2
MCHC 34.5 0.3 35.2 0.2 35.8 0.4
PLT 247 2 245 4 242 3
LY%
MO%
28.0
3.2
0.8
0.3
27.2
3.1
0.4
0.3
28.5
3.4
0.6
0.2
_
GR% 68.8 0.9 69.7 0.6 68.1 0.5 3. Press the DEL key on the X-R screen. The “Delete all data?” message appears.
_
08-DEC-98 10:30 X R 4. Press the YES key to delete all stored X-R data. Data is deleted and the screen
DATE 98/12/06 98/12/07 98/12/08
X-R X R X R X R returns to the previous screen.
WBC 7.4 0.2 7.2 0.1 7.3 0.2
RBC 4.47 0.02 4.46 0.03 4.42 0.02
HGB 13.6 0.1 13.2 0.2 13.4 0.1
HCT 38.9 0.1 40.1 0.1 38.7 0.3
MCV 87 1 89 2 87 1
MCH 30.2 0.1 30.5 0.4 30.8 0.2
MCHC 34.5 0.3 35.2 0.2 35.8 0.4
PLT
LY%
247
28.0
2
0.8
245
27.2
4
0.4
242
28.5
3
0.6
To cancel deleting, press the CANCEL key. The screen returns to the previous
MO% 3.2 0.3 3.1 0.3 3.4 0.2
GR% 68.8 0.9 69.7 0.6 68.1 0.5 screen.
Delete all data?
YES CANCEL
_
5. Press the OK key on the X-R screen to return to the QC screen.
_ _
XB (X Batch) Program
General _
Overview of XB
20 sample data each of daily sample data are grouped into a batch and averaged.
_
With the mean XB values, the precision in the system can be managed due to the
extremely small physiological variation in red blood cell constants of MCV, MCH
_
and MCHC. The XB values are hardly affected by differences between samples so
they faithfully reflect the precision in the system.
_ _
You can also use the XD•CV program in conjunction with the XB program. (Refer to
_
the “XD•CV Program” section.)
_
Calculation of XB
This instrument automatically divides the daily sample data into batches of 20
samples each.
Daily sample
_
For each batch of 20 samples, the XB value is automatically calculated by the
following equation.
2
X (B, i) = X (B, i 1) + SGN [F] (F/N)
_ _
The XB value of the previous batch is required to calculate XB of the present batch.
_
There are two methods of obtaining the initial XB value of the batch before Batch
1.
1) Use the past obtained value for the same facility.
2) The simple method is to substitute the mean values of MCV, MCH and MCHC
_
for each initial XB value of the batch before Batch 1.
NOTE_ _
If the mean value is used as the initial XB value, the XB value to be
obtained gradually comes closer to a real or true value as the samples
increase in number.
_
After about 100 samples are counted, the reliability of the XB value is
ensured.
Usually, the mean values are somewhere near these values:
MCV : 89.5 MCH : 30.5 MCHC : 33.8
6.10 Operator's Manual MEK-6318J/K
6. QUALITY CONTROL
_
Plot the XB values displayed on the screen.
Management Initial
limit value value
_
The average of XB is used as the initial value. The initial value will also be
determined by the facility or examination room staff.
The management limit value should be determined by the facility or examination
room staff. (For example, ±3% of the initial value.)
_
This instrument provides continuous XB management of up to 20 batches (400
samples). When the number of samples reaches 400 and the table becomes full, do
the follow procedures.
_
1) Use each XB data in the last batch as the initial value.
_
2) Change each initial value on the plotted graph to the mean XB. (The plotted
graph is updated every 20 batches.)
3) Delete all the stored data to prevent data interference between the new and
previous graphs. Refer to the “Deleting All Data” procedure in Section 5.
CAUTION
• This procedure deletes all stored data.
_
• Each XB is calculated from all the samples that have RBC count
µL or more. Therefore, data of hematology control should be
500,000/µ
deleted beforehand.
NOTE
• When each mean value of MCV, MCH and MCHC is used as the initial
_ _
value of XB, there is no reliability in the plotted graph until the XB
value comes closer to the true value and becomes stable.
_
• The management data for calibration and X-R data are excluded from
the calculation.
_
NOTE
The XB data cannot be printed on the WA-630VK printer unit.
08-DEC-98 10:30 MENU 1. Press the QC key on the MENU screen to display the QC screen.
ENTER ID QC
CALIBRATION SETTINGS
DATA OTHER
EDIT ID
OK
_ _
08-DEC-98 10:30 QC 2. Press the XB key on the QC screen to display the XB screen.
X-R
XB
XD CV
OK
08-DEC-98 10:30 XB *: Current memory location of the first sample in each batch.
n
1-1
20
6-2
20
11-3
20
17-2
20
The first number is the page number, and the second number is
MCV 89.2 91.8 91.3 90.9
MCH
MCHC
29.6
33.2
30.4
32.8
30.1
31.8
30.3
32.7
the location on the page. For example, “6-2” indicates that
MEAN
the second sample in a batch is the second sample on page 6.
n
MCV
MCH
See Section 5 to display a sample in memory.
MCHC
n: Number of samples in each batch
PAGE 1/2 _
OK NEXT IN ITIAL
Mean column: Averaged XB for parameter (MCV/MCH/MCHC) and total
PRINT
number of samples
_
To display other stored XB data, press the NEXT key.
To print the displayed data (maximum of 10 data), press the PRINT key.
_
3. Press the OK key on the XB screen to return to the QC screen.
08-DEC-98 10:30 XB 1. Press the QC key on the MENU screen to display the QC screen, then press the
_ _
1-1 6-2 11-3 17-2
XB key on the QC screen to display the XB screen.
n 20 20 20 20
MCV 89.2 91.8 91.3 90.9
MCH
MCHC
29.6
33.2
30.4
32.8
30.1
31.8
30.3
32.7
_
When the table on the XB screen becomes full, perform the following
MEAN
n
MCV
operations and update the plotted graph every 20 batches.
MCH
MCHC
_
P A GE 1/2 1) Enter each XB value in the last batch as the initial value according to step
OK NEXT IN ITIA L PRINT
3 below.
_
2) Change the initial value on each plotted graph to the mean XB value.
3) Delete all the stored sample data. Refer to “Deleting All Data” in Section
5.
_
2. Press the INITIAL key on the XB screen.
08-DEC-98 10:30 XB
3. Enter the initial values for each parameter.
Select item and enter
the initial value. VALUE [ ]
i) Press the MCV, MCH or MCHC key to select the parameter.
MCV [ 89.0 ] 7 8 9
MCH [ 30.5 ] 4 5 6 ii) Enter the value with the numeric keys on the screen.
MCHC [ 33.8 ] 1 2 3
0 . CE iii) Press the ENTER key on the screen to register the value.
OK ENTER
_
4. After setting the values, press the OK key to return to the XB screen.
_
5. Press the OK key on the XB screen to return to the QC screen.
_
XD•CV Program
General This program automatically calculates the following values from the daily sample
of the last 3 days data within the normal range for each parameter.
_ _
XD: X Daily mean value of daily sample data
CV: Coefficient of Variation (%)
Standard deviation
CV = 100 (%)
XD
2
(X X)
Standard deviation =
N 1
X = average
X = measured value
N = measured times
_
Uses of the XD•CV Program
_
• To determine the mean values of MCV, MCH and MCHC for the XB program
_
Use the total average of XD values obtained in facilities as the mean value of the
_
MCV/MCH/MCHC parameter for the XB “initial value”. This program provides
precision management including variation for the facility or medical subject
_
upon starting the XB program.
_
NOTE
The stored XD•CV data cannot be printed on the WA-630VK printer unit.
08-DEC-98 10:30 MENU 1. Press the QC key on the MENU screen to display the QC screen.
ENTER ID QC
CALIBRATION SETTINGS
DATA OTHER
EDIT ID
OK
_ _
08-DEC-98 10:30 QC 2. Press the XD•CV key on the QC screen to display the XD•CV screen.
X-R
XB
XD CV
OK
General
When the instrument electrically measures data, the calibration coefficient is used
in converting the data to the measured values to make the measured values as close
as possible to the real values.
Calibration can be performed for the following parameters in venous blood mode
and capillary blood mode individually.
• WBC
• RBC
• HGB
• HCT
• MCV
• PLT
• LY%
• MO%
• RDW
• MPV
• Precise Method
In the precise method, the calibrator is counted 3 times in double counting mode
and the average value and assay sheet value are used for calculating the new
calibration coefficient.
• Simple Method
In the simple method, the calibrator is counted 3 times in double counting mode
and the acquired data and assay sheet value are used. There is no calculation
involved.
NOTE
• Do not use MEK-5DN hematology control as a calibrator.
• Calibrator MEK-3DN is for accuracy control of hematology analyzer
refined from normal human blood. Treat and store the calibrator
properly following the instruction described in the assay sheet
because the calibrator contains living cells.
• Perform the calibration again if there is a difference with the reference
method. Calculate the new calibration coefficient for each parameter
from the mean value of measured data.
Calibration ID
A 4-digit calibration ID (CAL ID), can be assigned to the calibration data. The
CAL ID does not automatically increment. You must change the CAL ID before
performing calibration.
To set the CAL ID, press the ID key on the CAL screen and enter the number with
the numeric keys.
CAUTION
• Use calibrator which is before the expiration date.
• Do not use calibrator when the top layer is slightly red or the whole
calibrator is red, because the red blood cells in the calibrator are
hemolysed.
• Do not freeze the calibrator because this will hemolyse it.
• Use and store the calibrator with extreme care according to its
instructions.
Make sure that the CALIBRATION screen is displayed when counting the
calibrator for calibration.
4. Calculate the new calibration coefficient for each parameter from the mean
value according to the equation below.
Calibrator assay value
New Calibration Coefficient = Previous Calibration Coefficient ×
Mean measured value
08-DEC-98 10:30
5. Press the CALIBRATION key on the CAL result screen. The CAL (NORMAL)
CAL (NORMAL)
WBC [ 7.3 ] [ 1025 ] ID [ 0001 ] screen appears. The latest measured values and previous calibration
RBC [ 4.47 ] [ 1060 ] VALUE [ ] coefficient are displayed.
HGB [ 13.6 ] [ 960 ]
7 8 9
HCT [ 38.9 ] [ 1050 ]
MCV [ 87.0 ] 4 5 6 NOTE
MCH 30.4 1 2 3 Write down the current settings before changing them.
MCHC 35.0
0 . CE
PLT [ 253 ] [ 1130 ]
OK NEXT CAP
ENTER When the CAL (CAPILLARY) screen is displayed, press the NORM key to
display the CAL (NORMAL) screen.
Measured Calibration
value coefficient 6. Select the parameter you want to calibrate by pressing the parameter key on
column column the screen. Pressing the parameter key moves the cursor between the measured
value and the calibration coefficient.
08-DEC-98 10:30 CAL (NORMAL) 7. Use the numerical keys on the screen to enter the new calibration coefficient
WBC [ 7.3 ] [ 1025 ] ID [ 0001 ]
you calculated in step 4.
RBC [ 4.47 ] [ 1060 ] VALUE [ ]
HGB [ 13.6 ] [ 960 ]
7 8 9
HCT [ 38.9 ] [ 1050 ] The setting range for calibration coefficient is from 100 to 2000.
MCV [ 87.0 ] 4 5 6
MCH 30.4 1 2 3
MCHC 35.0
If you make a mistake entering numerical data, press the CE key on the screen
0 . CE
PLT [ 253 ] [ 1130 ] to delete the mistake.
ENTER
OK NEXT CAP
10. Press the OK key on the CAL (NORMAL) screen to return to the MENU screen.
Simple Method
08-DEC-98 10:30 CAL (NORMAL) 1. Press the CALIBRATION key on the MENU screen to display the CAL
[ 7.3 ] [ 1025 ] [ 0001 ]
WBC ID (NORMAL) screen.
RBC [ 4.47 ] [ 1060 ] VALUE [ ]
HGB [ 13.6 ] [ 960 ]
7 8 9 2. Count the calibrator 3 times in double counting mode by following the
HCT [ 38.9 ] [ 1050 ]
MCV [ 87.0 ] 4 5 6 procedure in “Counting the Hematology Control” in Section 2.
MCH 30.4 1 2 3
MCHC 35.0
0 . CE
PLT [ 253 ] [ 1130 ]
ENTER
OK NEXT CAP
MENU CALIBRATION
08-DEC-98 10:30 CAL (NORMAL) 4. Press the CALIBRATION key on the CAL result screen. The CAL (NORMAL)
WBC [ 7.3 ] [ 1025 ] ID [ 0001 ]
screen appears. The latest measured values and previous calibration
RBC [ 4.47 ] [ 1060 ] VALUE [ ]
HGB [ 13.6 ] [ 960 ]
coefficient are displayed.
7 8 9
HCT [ 38.9 ] [ 1050 ]
MCV [ 87.0 ] 4 5 6
NOTE
MCH 30.4 1 2 3
MCHC 35.0
Write down the current settings before changing them.
0 . CE
PLT [ 253 ] [ 1130 ]
ENTER
OK NEXT CAP When the CAL (CAPILLARY) screen is displayed, press the NORM key to
display the CAL (NORMAL) screen.
5. Select the parameter you want to calibrate by pressing the parameter key on
the screen. The cursor appears in the measured value column (left) on the
screen.
6. Change the measured value to the assay value on the assay sheet with the
numerical keys on the screen. The calibration coefficient automatically
changes.
7. Repeat steps 5 and 6 to change the calibration coefficient for other parameters.
8. Press the OK key on the CAL (NORMAL) screen to return to the MENU screen.
Calibration in Capillary When calibration is performed in venous blood mode, the new calibration
Blood Mode coefficient is applied to the capillary blood mode. However, because the capillary
blood samples are diluted manually, the obtained data may differ from the data
obtained in the venous blood mode. In such a case, perform calibration in
capillary blood mode.
The relationship between the calibration coefficient in capillary blood mode and
the measured value is shown in the equation below.
08-DEC-98 10:30 CAL (CAPILLARY) Calibration procedure is exactly the same as in venous blood mode, except for the
WBC [ 7.3 ] [ 1025 ] ID [ 0001 ]
RBC [ 4.47 ] [ 1060 ] VALUE [ ]
mode in which you count the calibrator and the screen where you change the
HGB [ 13.6 ] [ 960 ] calibration coefficient. Count the calibrator in the capillary blood mode and
7 8 9
HCT [ 38.9 ] [ 1050 ] change the calibration coefficient for the capillary mode on the CAL
MCV [ 87.0 ] 4 5 6
30.4
(CAPILLARY) screen.
MCH 1 2 3
MCHC 35.0
0 . CE
PLT [ 253 ] [ 1130 ] To count the calibrator in the capillary blood mode, refer to “Measuring a
ENTER
OK NEXT NORM
Capillary Sample” in Section 4 and “Counting the Hematology Control” in
Section 2.
To display the CAL (CAPILLARY) screen, press the CAP key on the CAL (NORM)
screen.
General When calibrating with human blood, use both of the following two measurement
methods.
1. Measurement with the instrument
2. Measurement with a spectrophotometer and microhematocrit centrifuge
Calculate the HGB/HCT value with these methods and then calculate the
calibration coefficient.
NOTE
The accuracy in the measurement with the spectrophotometer and
microhematocrit centrifuge depends on the processes, i.e. sampling,
diluting and stirring. Perform the processes carefully.
Measurement with the 1. Prepare 10 venous blood samples from a healthy person.
Instrument
2. Count each sample in double counting mode.
HGB Measurement with a 1. Prepare the diluent with hemolysing reagent specified by International
Spectrophotometer Committee for Standardization in Hematology (ICSH).
2. Make a pair of two 200:1 diluted samples from each sample prepared in step 1
in the “Measurement with the Instrument” section.
4. Measure the optical density (OD) value of pair of each diluted samples with
the spectrophotometer.
6. Multiply each mean value by 29.3 to obtain the HGB value in the manual
measurement.
64458: Molecular weight of HGB
64458 200
29.3 =
44 1000 1 10 200: Dilution ratio
44: Optical density coefficient in mm mol
1000: from mg to g
1: Cell thickness (cm)
10: from g/L to g/dL
Operator's Manual MEK-6318J/K 7.7
7. CALIBRATION
HCT Measurement with a 1. Aspirate the whole blood sample into two-thirds of the capillary tube.
Microhematocrit
Centrifuge 2. Wipe away any blood from the outside of the tube with paper or gauze.
3. Seal the ends of the tubes (blood aspiration side) with putty.
B
HCT= 100 (%)
A
Determining the HGB and 1. Fill in each blank in the following table to obtain the HCT calibration
HCT Calibration Coefficient coefficient.
NOTE
Whenever calibrating the HGB/HCT, write down the current calibration
coefficient on the table because the coefficient shows the variation of
the precision in the instrument.
1
2
3
4
5
6
7
8
9
10
Mean among the 8 data excluding the highest one data and
(%)
lowest one data (A)
Current calibration coefficient (B)
Revised calibration coefficient (C)
C = B × (1− A )
100
08-DEC-98 10:30 CAL (NORMAL) i) Press the CALIBRATION key on the MENU screen to display the CAL
WBC [ 7.3 ] [ 1025 ] ID [ 0001 ] (NORMAL) screen.
RBC [ 4.47 ] [ 1060 ] VALUE [ ]
HGB [ 13.6 ] [ 960 ]
NOTE
7 8 9 Write down the current settings before changing them.
HCT [ 38.9 ] [ 1050 ]
MCV [ 87.0 ] 4 5 6
MCH 30.4 1 2 3 ii) Select the parameter you want to calibrate by pressing the parameter key
MCHC 35.0
0 . CE on the screen. Pressing the parameter key moves the cursor between the
PLT [ 253 ] [ 1130 ]
ENTER measured value and the calibration coefficient.
OK NEXT CAP
iii) Use the numerical keys on the screen to enter the new calibration
coefficient in the VALUE box.
iv) Press the ENTER key on the screen to register the value.
Hemoglobin Conversion The instrument displays the obtained data for hemoglobin in g/dL. To convert the
Table (g/dL ↔ %SAHLI) data to %SAHLI units, use the following table.
% % % % % % % %
g/dL g/dL g/dL g/dL g/dL g/dL g/dL g/dL
SAHLI SAHLI SAHLI SAHLI SAHLI SAHLI SAHLI SAHLI
5.0 31.3 7.0 43.8 9.0 56.3 11.0 68.8 13.0 81.3 15.0 93.8 17.0 106.3 19.0 118.8
5.1 31.9 7.1 44.4 9.1 56.9 11.1 69.4 13.1 81.9 15.1 94.4 17.1 106.9 19.1 119.4
5.2 32.5 7.2 45.0 9.2 57.5 11.2 70.0 13.2 82.5 15.2 95.0 17.2 107.5 19.2 120.0
5.3 33.1 7.3 45.6 9.3 58.1 11.3 70.6 13.3 83.1 15.3 95.6 17.3 108.1 19.3 120.6
5.4 33.8 7.4 46.3 9.4 58.8 11.4 71.3 13.4 83.8 15.4 96.3 17.4 108.8 19.4 121.3
5.5 34.4 7.5 46.9 9.5 59.4 11.5 71.9 13.5 84.4 15.5 96.9 17.5 109.4 19.5 121.9
5.6 35.0 7.6 47.5 9.6 60.0 11.6 72.5 13.6 85.0 15.6 97.5 17.6 110.0 19.6 122.5
5.7 35.6 7.7 48.1 9.7 60.6 11.7 73.1 13.7 85.6 15.7 98.1 17.7 110.6 19.7 123.1
5.8 36.3 7.8 48.8 9.8 61.3 11.8 73.8 13.8 86.3 15.8 98.8 17.8 111.3 19.8 123.8
5.9 36.9 7.9 49.4 9.9 61.9 11.9 74.4 13.9 86.9 15.9 99.4 17.9 111.9 19.9 124.4
6.0 37.5 8.0 50.0 10.0 62.5 12.0 75.0 14.0 87.5 16.0 100.0 18.0 112.5 20.0 125.0
6.1 38.1 8.1 50.6 10.1 63.1 12.1 75.6 14.1 88.1 16.1 100.6 18.1 113.1 20.1 125.6
6.2 38.8 8.2 51.3 10.2 63.8 12.2 76.3 14.2 88.8 16.2 101.3 18.2 113.8 20.2 126.3
6.3 39.4 8.3 51.9 10.3 64.4 12.3 76.9 14.3 89.4 16.3 101.9 18.3 114.4 20.3 126.9
6.4 40.0 8.4 52.5 10.4 65.0 12.4 77.5 14.4 90.0 16.4 102.5 18.4 115.0 20.4 127.5
6.5 40.6 8.5 53.1 10.5 65.6 12.5 78.1 14.5 90.6 16.5 103.1 18.5 115.6 20.5 128.1
6.6 41.3 8.6 53.8 10.6 66.3 12.6 78.8 14.6 91.3 16.6 103.8 18.6 116.3 20.6 128.8
6.7 41.9 8.7 54.4 10.7 66.9 12.7 79.4 14.7 91.9 16.7 104.4 18.7 116.9 20.7 129.4
6.8 42.5 8.8 55.0 10.8 67.5 12.8 80.0 14.8 92.5 16.8 105.0 18.8 117.5 20.8 130.0
6.9 43.1 8.9 55.6 10.9 68.1 12.9 80.6 14.9 93.1 16.9 105.6 18.9 118.1 20.9 130.6
The current and previous calibration status and calibration coefficients can be
displayed and printed.
The calibration data can only be printed on the external printer. (Cannot be
printed on the WA-630VK printer unit or card printers.)
If you start using a different hematology control, delete all the previous data on
the CAL HISTORY screen.
Displaying Calibration Data 1. Press the OTHER key on the MENU screen to display the OTHER screen.
History
08-DEC-98 10:30 MENU
ENTER ID QC
CALIBRATION SETTINGS
DATA OTHER
EDIT ID
OK
08-DEC-98 10:30 OTHER 2. Press the CAL HISTORY key on the OTHER screen to display the NORM CAL
CAL HISTORY TRANSFER DAY HISTORY screen.
OPER HISTORY PRIME
OK MAINTENANCE
To return to the NORM CAL HISTORY screen, press the NORM key on the
CAP CAL HISTORY screen.
OK CAP PRINT DELETE
ID: CAL ID
3. Press the OK key on the CAL HISTORY screen to return to the OTHER screen.
4. Press the OK key on the OTHER screen to return to the MENU screen.
Printing Calibration Data To print the calibration data history, WIDE must be selected for PAPER on the
History PRINT SETTINGS screen of the SETTINGS screen.
NOTE
The calibration data history cannot be printed on the WA-630VK printer
unit.
08-DEC-98 10:30 NORM CAL HISTORY 1. Display the CAL HISTORY screen by following the procedure in the
DATE ID WBC RBC HGB HCT PLT
98/02/11
98/05/12
0001
0002
1023
1031
1065
1063
972
977
1031
1026
966
972 “Displaying Calibration Data History” section.
98/08/10 0003 1019 1058 983 1029 981
98/11/13 0003 1025 1070 975 1035 978
2. Press the PRINT key on the CAL HISTORY screen to print the calibration
history displayed on the screen.
OK CAP PRINT DELETE
Deleting Calibration Data 1. Display the CAL HISTORY screen by following the procedure in the
History “Displaying Calibration Data History” section.
YES CANCEL
General
If a problem occurs, the built-in error detection function displays an error message
with an alarm sound. The tables in the next section show the types of error
messages, their causes and their countermeasures. Use them when an error message
appears.
CAUTION
When an alarm occurs, the acquired data may not be correct, especially
when “!” appears. Do not use the alarmed data.
If the instrument detects an error, the error message appears on the screen with an
alarm sound as shown below.
08-DEC-98 10:30
A:001 NO DILUENT
MENU
MENU ENTER ID
When there is a system error, the following messages are displayed. Refer to the
Service Manual.
* Cross-contamination: A small amount of sample from a previous counting is left in the fluid path and mixes with the next
aspirated sample. This causes an error.
Periodic Check
The electrical circuits can be checked daily with this check function.
NOTE
An error in the fluid path or manometer cannot be detected by this
function.
08-DEC-98 10:30 MENU 1. Press the OTHER key on the MENU screen to display the OTHER screen.
ENTER ID QC
CALIBRATION SETTINGS
DATA OTHER
EDIT ID
OK
08-DEC-98 10:30 OTHER 2. Press the CIRCUIT CHECK key on the OTHER screen.
CAL HISTORY TRANSFER DAY
OK MAINTENANCE
08-DEC-98 10:30
After checking, the result appears on the screen.
CIRCUIT CHECK
3
WBC 8 .0 OK 1 0 / uL
WBC ( 5) RBC 1 .6 0 OK 1 0 6 / uL
( 4) HGB 3 .0 0 OK V
HCT
MCV
%
1 0 7 OK fL <Normal range>
MCH pg
MCHC g /d L
RBC
100 200 300
( 5) PLT 1 6 0 OK 1 0 3 / uL WBC: 8.0 (±5%)
(AUTO) [%] [103 / uL]
LY
MO
RBC: 1.60 (±5%)
GR
PLT
100 200
( 5)
EO
RDW %
HGB: 1.5 to 4.5 V
PCT %
MPV
PDW
fL
%
MCV: 107 (±15%)
2 10 20
OK HGB 0 .0 0 OK V
PLT: 160 (±5%)
HGB (OFF): below 0.5 V
For HGB, if the result is outside the normal range, the above circuit check
should be performed again after cleaning the WBC measurement bath. If the
check result subsequently goes out of the normal range, contact your Nihon
Kohden distributor.
3. Press the OK key on the CIRCUIT CHECK screen to return to the OTHER
screen.
4. Press the OK key on the OTHER screen to return to the MENU screen.
Disposing of Waste
Battery Lifetime
A small built-in battery backs up any stored data and setting conditions.
Generally, the life of the built-in battery is about 6 years, but it may change
depending on operating conditions. Refer to the Service Manual to replace the
battery with a new one.
CAUTION
The battery should be replaced by qualified personnel.
NOTE
It is recommended to keep the calibration history.
If the message does not appear, the battery can still be used.
After replacing the battery, initialize the settings, calibrate the instrument and the
touch screen function, and check the date and time settings.
Do either of the following to turn the instrument power off before disinfecting or
cleaning the instrument.
ON
• Press the main power switch on the rear panel. Check that the main power lamp
OFF on the front panel is off.
• Press the power key on the front panel while pressing the reset key. Check
+ that the power lamp on the front panel is off. (The main power lamp is still lit.)
CAUTION
• Be careful not to directly touch any place where blood is or may have
contacted.
• Protect yourself from infection before cleaning and doing
maintenance.
Disinfecting NOTE
When using the CLEANAC•3 detergent in disinfection, wipe the
instrument thoroughly with a cloth moistened with water just after
disinfection.
Cleaning
CAUTION
Never use organic solvents such as thinner or acetone because they
damage the enclosure of the instrument.
NOTE
When wiping the instrument with a cloth moistened with water, wring
out the cloth to prevent water from entering the instrument.
2. Wipe off the dirt with a soft cloth moistened with the neutral diluted detergent.
CAUTION
• Be careful not to directly touch any place where blood is or may have
contacted.
• Protect yourself from infection before cleaning and doing
maintenance.
NOTE
When using Hemolynac•3N hemolysing reagent, make sure to clean the
sub baths and measurement baths at the specified schedule because
CLEANAC (MEK-520), which is used as a detergent for Hemolynac•3N,
has low cleansing effect. Otherwise, reproducibility of the hemoglobin
concentration may be lower than the real value.
Maintenance Cleaning
1. Press the Dispense key while pressing the Reset key on the front panel. The
MAINTENANCE CLEANING screen is displayed.
+
- MAINTENANCE CLEANING -
Start Cleaning?
(Cleaning takes about 20 minutes.)
YES NO
2. Make sure that the CLEANAC•3 detergent is connected to the detergent inlet
on the right panel and press the YES key to start cleaning the inside of the
hematology analyzer.
The “Cleaning” message is displayed on the screen during cleaning and then,
the “PRIMING” message is displayed on the screen during priming.
08-DEC-98 10:30
READY
ID 0001
MENU
General You can display the total operating time, total number of counts, and number of
counts that the filter and pump tube have been used. The first number after
FILTER RESET and TUBE RESET shows the number of sample counts each item
has been used for. The second number shows the sample count number when you
should replace the item (filters 1000, pump tube 3000).
When the filters and pump tube (consumables) are used more than the prescribed
number of sample counts, the following messages appear on the READY screen.
08-DEC-98 10:30
READY
ID 0001
MENU
Check filters.
Replace pump tube.
When the message appears, replace the filters or pump tube. After replacing the
item, reset the count on the OPER HISTORY screen.
Displaying the OPER 1. Press the OTHER key on the MENU screen to display the OTHER screen.
HISTORY Screen
08-DEC-98 10:30 MENU
ENTER ID QC
CALIBRATION SETTINGS
DATA OTHER
EDIT ID
OK
08-DEC-98 10:30 OTHER 2. Press the OPER HISTORY key on the OTHER screen.
CAL HISTORY TRANSFER DAY The total operating time and number of counts times appear on the OPER
OPER HISTORY PRIME
HISTORY screen.
OK MAINTENANCE
08-DEC-98 10:30 OPER HISTORY 3. Press the OK key to return to the OTHER screen.
TOTAL HOURS 306
TOTAL COUNTS 2604
Version
OK 01-01
Resetting the Counts After replacing the filters and/or pump tube, reset the counts.
08-DEC-98 10:30 OPER HISTORY 1. Display the OPER HISTORY screen by following the procedure in the
TOTAL HOURS 306 “Displaying the OPER HISTORY Screen” section.
TOTAL COUNTS 2604
TUBE RESET 176/ 3000 COUNTS 2. Press the FILTER RESET key to reset the filter counts.
Press the TUBE RESET key to reset the pump tube counts.
Version
OK 01-01
3. Press the OK key on the OPER HISTORY screen to return to the OTHER
screen.
4. Press the OK key on the OTHER screen to return to the MENU screen.
Before Maintenance
Before doing any maintenance inside the instrument, drain the baths as described
in the following procedure.
NOTE
CLEANAC detergent (MEK-520) contains no sodium hypochlorite. Use
CLEANAC•3 detergent for cleaning the fluid path before maintenance
because CLEANAC detergent has low cleansing effect.
08-DEC-98 10:30 MENU 2. Press the OTHER key on the MENU screen to display the OTHER screen.
ENTER ID QC
CALIBRATION SETTINGS
DATA OTHER
EDIT ID
OK
08-DEC-98 10:30 OTHER 3. Press the DRAIN BATHS key on the OTHER screen to drain the measurement
CAL HISTORY TRANSFER DAY baths and sub baths.
OPER HISTORY PRIME
4. When draining is complete, press the main power switch on the rear panel to
ON
turn the power off. The power lamp and main power lamp turn off.
OFF
The power can also be turned off by pressing the power key while pressing the
reset key. The power lamp on the front panel turns off but the main power
lamp is still on.
+
Check and clean the filters every week or every 300 sample counts. Replace them
every 1000 sample counts.
1. Press the clean key on the front panel to clean the fluid path.
NOTE
Make sure that CLEANAC•3 detergent is connected to the detergent inlet.
08-DEC-98 10:30 OTHER 2. Press the OTHER key on the MENU screen, then press the DRAIN BATHS
CAL HISTORY TRANSFER DAY key on the OTHER screen to drain the measurement baths and sub baths.
OPER HISTORY PRIME
ON
3. When draining is complete, press the main power switch on the rear panel to
turn the power off. The power lamp and main power lamp are off.
OFF
The power can also be turned off by pressing the power key while pressing
the reset key. The power lamp on the front panel is off. (The main
+ power lamp is still on.)
4. Remove the two screws on the right side of the front cover.
6. Remove the two filter joint assemblies by turning the tube connectors
counterclockwise.
Filter
7. Remove the filter from each assembly. Use tweezers to remove any dust from
the filter. Rinse the filter with tap water to clean it. If it is still dirty, replace it
with a new one.
Filter
8. Reattach the filter joint assembly by turning the tube connector clockwise, so
that the filter is held in position.
NOTE
• When attaching the filter joint assembly, be careful not to bend or
damage the filter packing S at the bottom of the measurement bath.
• When there is a leakage, check that there is no scratch or damage to
the circumference of the filter.
9. Close the front cover and fasten it with the two screws which were removed in
step 4.
NOTE
When using Hemolynac•3N hemolysing reagent, change the detergent
to CLEANAC (MEK-520) before turning the power on. Press the Clean
key on the front panel after turning the power on.
08-DEC-98 10:30 OPER HISTORY 11. Reset the filter count on the OPER HISTORY screen. Refer to the
TOTAL HOURS 306 “Resetting the Counts” section.
TOTAL COUNTS 2604
Version
OK 01-01
Clean the measurement baths and sub baths every month or every 1000 sample
counts, or when there is any dried blood or dust on them. You can check the
baths without removing them.
NOTE
Be careful not to damage the sub baths and measurement baths. The
baths are made of special plastic.
1. Press the clean key on the front panel to clean the fluid path.
NOTE
Make sure that CLEANAC•3 detergent is connected to the detergent inlet.
08-DEC-98 10:30 OTHER 2. Press the OTHER key on the MENU screen, then press the DRAIN BATHS
CAL HISTORY TRANSFER DAY key on the OTHER screen to drain the measurement baths and sub baths.
ON 3. When draining is complete, press the main power switch on the rear panel to
OFF
turn the power off. The power lamp and main power lamp are off.
The power can also be turned off by pressing the power key while pressing the
reset key. The power lamp on the front panel is off. (The main power lamp
+ is still on.)
4. Remove the two screws on the right side of the front cover.
Sub baths 6. Check the WBC and RBC sub baths and measurement baths. If any baths have
any dried blood or dust, remove and clean them according to the following
procedures.
Measurement
baths
8. Loosen the screws fastening the WBC or RBC measurement baths. (The
screws cannot be removed.)
HGB cover
9. Remove the WBC and RBC measurement baths and the WBC and RBC sub
baths by pulling them toward you.
10. Remove dried blood from inside the baths with tweezers.
11. If dried blood remains inside the baths, soak the baths in CLEANAC•3
detergent for about 10 minutes.
Measurement
bath screws
12. Rinse the baths with water. After the baths are dried, return each bath to its
original position and tighten the screws. Make sure that the baths are attached
firmly, especially the sub baths.
13. Close the front cover and fasten it with the two screws which were removed in
step 4.
Check and clean the rinse unit and sampling nozzles every month or every 1000
sample counts.
1. Press the clean key on the front panel to clean the fluid path.
NOTE
Make sure that CLEANAC•3 detergent is connected to the detergent inlet.
ON 3. When draining is complete, press the main power switch on the rear panel to
OFF turn the power off. The power lamp and main power lamp are off.
The power can also be turned off by pressing the power key while pressing the
reset key. The power lamp on the front panel is off. (The main power lamp
+ is still on.)
4. Remove the two screws on the right side of the front cover.
8. Remove the O-ring and spacer from the rinse unit. To remove the
Rinse unit cap
O-ring, insert a cotton swab into the rinse unit from the bottom
and push out the O-ring.
Spacer
O-ring
Joint assemblies
Rinse unit holder
Rinse unit
9. Soak the rinse unit, rinse unit cap, O-ring and spacer in
CLEANAC•3 detergent for about 10 minutes.
10. Remove blood from inside the rinse unit and rinse unit cap with
a cotton swab moistened with CLEANAC•3 detergent.
11. Rinse the rinse unit, rinse unit cap, O-ring and spacer with water
and dry them.
12. Remove blood or salt from the area on the sampling nozzle
indicated by the arrow on the left with a gauze or cotton swab
Sampling nozzles moistened with CLEANAC•3 detergent.
13. Return the rinse unit, rinse unit cap, O-ring and spacer to their
original positions.
14. Close the front cover and fasten it with the two screws which
were removed in step 4.
Check the pump tube for leakage every day. Replace the pump tube every 3000
samples or 4 months, whichever comes first.
1. Press the clean key on the front panel to clean the fluid path.
NOTE
Make sure that CLEANAC•3 detergent is connected to the detergent inlet.
08-DEC-98 10:30 OTHER 2. Press the OTHER key on the MENU screen, then press the DRAIN BATHS key
CAL HISTORY TRANSFER DAY on the OTHER screen to drain the measurement baths and sub baths.
OPER HISTORY PRIME
ON 3. When draining is complete, press the main power switch on the rear panel to
OFF turn the power off. The power lamp and main power lamp are off.
The power can also be turned off by pressing the power key while pressing the
reset key. The power lamp on the front panel is off. (The main power lamp
+ is still on.)
4. Remove the two screws on the right side of the front cover.
6. Check for leaks. If you find leakage, replace the pump tube with a new one
according to the following procedure.
Pump tube
Black tube joint 7. Pull out the white tube joint from the tube holder, pull out the tube from the
Tube holder tube guide by turning the pump rotator counterclockwise and pull out the
Tube guide black tube joint from the tube holder.
Pump rotator
White tube joint
8. Remove the white and black tube joints and replace the pump tube assy with a
new one.
Tube holder 9. Put the white tube joint back to the original position, push the pump tube into
the tube guide by turning the rotator counterclockwise and put the black tube
joint to the original position. Make sure that the black parts of the tube are
Black part
of the tube held properly by the tube holders.
Tube guide
NOTE
• Do not damage the pump tube with the tube guide.
• Do not turn the rotator clockwise to put the pump tube into the tube
guide. Otherwise, the pump tube is disconnected from the black tube
joint by the applied positive pressure.
• Put back the pump tube properly. If the pump tube has slack, the
Black part of pump tube will be damaged by the tube guide.
the tube • Make sure that the black parts of the tube are held properly by the
tube holders. Otherwise the pump tube will be scraped by the pump
rotator and the life of the pump tube will be shortened.
10. Close the front cover and fasten it with the two screws which were removed in
step 4.
NOTE
When using Hemolynac•3N hemolysing reagent, change the detergent
to CLEANAC (MEK-520) before turning the power on. Press the Clean
key on the front panel after turning the power on.
08-DEC-98 10:30 OPER HISTORY 12. Reset the pump tube count on the OPER HISTORY screen. Refer to the
TOTAL HOURS 306 “Resetting the Counts” section.
TOTAL COUNTS 2604
Version
OK 01-01
For daily cleaning of the aperture caps, press the clean key on the front panel.
However, if the CLOG or LEVEL 3 message appears frequently or background
noise is high, clean the aperture by the following procedures.
CAUTION
Be careful not to damage the sub bath and the measurement bath when
removing the aperture. The baths are made of special plastic.
1. Press the clean key on the front panel to clean the fluid
path.
NOTE
Make sure that CLEANAC•3 detergent is connected to
the detergent inlet.
Hemolysing
reagent inlet Diluent inlet
2. Remove the diluent tube from the diluent inlet and
Detergent inlet hemolysing reagent tube from the hemolysing reagent inlet
on the side panel of the instrument.
Waste
Do not disconnect the waste fluid tube from the waste outlet.
container
Waste outlet
CAUTION
Hemolysing reagent Make sure that the tubes are correctly connected. Fluid
comes out from the detergent inlet.
OK MAINTENANCE
08-DEC-98 10:30 DRAIN ALL 5. Press the YES key to drain the instrument.
1 Remove detergent tube from detergent To cancel, press the CANCEL key.
container and insert in waste
container.
2 Disconnect diluent and hemolysing
reagent tubes from inlets.
Do not disconnect tube from waste When draining and priming is finished, the “Press the
outlet.
3 Drain the fluid path? CLEAN key” message appears.
YES CANCEL
6. Ignore the screen message and press the MENU key and then press the OTHER
key on the MENU screen to display the OTHER screen.
CAUTION
Do not press the clean key. Otherwise the instrument will be filled
with fluid.
08-DEC-98 10:30 OTHER 7. Press the DRAIN BATHS key on the OTHER screen. The sampling nozzle
CAL HISTORY TRANSFER DAY goes up.
OPER HISTORY PRIME
ON 8. When draining is complete, press the main power switch on the rear panel to
OFF
turn the power off. The power lamp and main power lamp are off.
The power can also be turned off by pressing the power key while pressing the
reset key. The power lamp on the front panel is off. (The main power lamp
+ is still on.)
9. Remove the two screws on the right side of the front cover.
Sub baths
Measurement
baths 11. WBC baths only:
Remove the HGB cover by removing the screw.
HGB cover
12. Loosen the screws fastening the WBC or RBC measurement baths. (The
screws cannot be removed.)
13. Remove the WBC and RBC measurement baths and the WBC and RBC sub
baths by pulling them toward you.
Measurement
bath screws
14. Place a cloth or tissue paper under your hand and remove the aperture cap by
pulling it towards you.
15. Carefully rinse the aperture cap. Remove all dirt, especially from the inside.
Syringe 16. Insert a syringe of CLEANAC•3 or 10:1 diluted sodium hypochlorite detergent
Concave into the aperture cap. Aspirate and dispense the detergent by pressing the
syringe’s plunger up and down (shown at left) to remove the dust around the
aperture cap.
The condition of the aperture cap can be checked with a 100× microscope.
CAUTION
Handle the aperture cap with care. It may be damaged if a sharp object
is used to clean it.
17. Rinse the aperture caps with running water and return
them to the original positions.
Red mark White mark
• There are separate aperture caps for WBC and RBC. Be
careful not to attach the aperture caps to the wrong
positions.
Attach the WBC aperture cap (white O-ring) to the
white side.
Attach the RBC aperture cap (red O-ring) to the red
side.
• Check that the red or white O-ring is at the front.
Black O-ring
Black O-ring
Red O-ring
White O-ring
18. Place the measurement baths and sub baths in their
original positions.
19. Close the front cover and fasten it with the two screws
which were removed in step 9.
1. Press the clean key on the front panel to clean the fluid path.
NOTE
Make sure that CLEANAC•3 detergent is connected to the detergent inlet.
08-DEC-98 10:30 OTHER 2. Press the OTHER key on the MENU screen, then press the DRAIN BATHS key
CAL HISTORY TRANSFER DAY on the OTHER screen to drain the measurement baths and sub baths.
ON 3. When draining is complete, press the main power switch on the rear panel to
turn the power off. The power lamp and main power lamp are off.
OFF
The power can also be turned off by pressing the power key while pressing the
reset key. The power lamp on the front panel is off. (The main power lamp
+ is still on.)
4. Remove the two screws on the right side of the front cover.
NOTE
Do not lose the screws and sampling nozzle holder.
White joint
Looked from above 9. Turn the sampling nozzle 90° counterclockwise and
remove it by pulling it up.
10. Attach the new sampling nozzle to the joint and put it
back to the original position.
For the WBC sampling nozzle, attach the white joint and
insert the sampling nozzle through the sampling nozzle
Sampling nozzles guide.
For the RBC sampling nozzle, attach the black joint and
make sure that the sampling nozzle holder is attached.
Black joint
White joint
Chip plate
Black label
Black joint
Check that the tubes do not wrap over each other and are
Tubes tucked under tucked under the tube guides.
the tube guide
11. Close the front cover and fasten it with the two screws
which were removed in step 4.
NOTE
When using Hemolynac•3N hemolysing reagent,
change the detergent to CLEANAC (MEK-520) before
turning the power on. Press the Clean key on the front
panel after turning the power on.
Calibrate the touch screen when the pressed position and operating position do not
match.
1. Press the capillary mode key on the front panel while pressing the reset
key. The TOUCH SCREEN CALIBRATION screen appears.
+
NOTE
• Do not use any sharp object when pressing the mark. Use your finger.
• Do not hold your finger on the key. Remove your finger immediately
after pressing.
Press the exact center of the "+" mark Press the exact center of the "+" mark
in the lower right corner. in the upper left corner.
1. Remove the two screws on the right side of the front cover.
Paper lever
paper 5. Press down the paper lever back to its original position.
roller
6. Close the front cover and fasten it with the two screws which were
removed in step 1.
Priming
08-DEC-98 10:30 OTHER To fill the fluid path inside the instrument with diluent when doing maintenance,
CAL HISTORY TRANSFER DAY press the PRIME key on the OTHER screen.
OPER HISTORY PRIME
PRIMING
Please wait.
After the priming is completed, the screen returns to the READY screen.
08-DEC-98 10:30 OTHER To drain the used diluent from the measurement and sub baths when doing
CAL HISTORY TRANSFER DAY maintenance, press the DRAIN BATHS key on the OTHER screen.
OPER HISTORY PRIME
OK MAINTENANCE
08-DEC-98 10:30
DRAINING
Please wait.
After draining is completed, the “Press the CLEAN key” messages appears.
08-DEC-98 10:30
MENU
CAUTION
Do not press the clean key. Otherwise the instrument will be filled
with fluid.
To drain the used diluent and waste fluid from the instrument for maintenance and
storage, use the DRAIN ALL function.
Hemolysing
reagent inlet Diluent inlet 1. Remove the diluent tube from the diluent inlet and
Detergent inlet
hemolysing reagent tube from the hemolysing reagent
inlet on the side panel.
Waste outlet
08-DEC-98 10:30 OTHER 3. Press the DRAIN ALL key on the OTHER screen.
CAL HISTORY TRANSFER DAY
OPER HISTORY PRIME Check that the tubes are connected correctly.
OK MAINTENANCE
08-DEC-98 10:30 DRAIN ALL 4. Press the YES key to drain the instrument.
1 Remove detergent tube from detergent
container and insert in waste To cancel, press the CANCEL key.
container.
2 Disconnect diluent and hemolysing
reagent tubes from inlets.
Do not disconnect tube from waste When draining and priming is finished, the “Press the
outlet.
3 Drain the fluid path? CLEAN key” message appears.
YES CANCEL
CAUTION
Do not press the clean key. Otherwise the
instrument will be filled with fluid.
Preparing the Instrument In long term instrument storage, if diluent is left inside the instrument, the inside
for Long Term Storage and of the instrument will become dirty because of dried diluent crystal or other dust.
Transport As a result, background noise will also be increased.
Before transporting or storing the instrument for more than 2 weeks, clean it using
the following procedures. Clean the inside of the instrument only with distilled
water.
1. Remove the diluent tube from the diluent inlet on the side panel.
Distilled water
4. Connect one end of the spare tube (standard accessory) to the
detergent inlet and put the other end of the tube into the distilled
water.
6. Press the clean key on the front panel to clean the inside of
the instrument. Repeat this procedure more than twice.
8. Remove the detergent tube from the distilled water and insert the
tube in the waste container. Do not disconnect the tube from the
waste container.
CAUTION
Make sure that the tubes are correctly connected. The
fluid comes out from the detergent inlet.
OPER HISTORY PRIME 9. Press the DRAIN ALL key on the OTHER screen to display the
CIRCUIT CHECK DRAIN BATHS DRAIN ALL screen.
OK MAINTENANCE
08-DEC-98 10:30 DRAIN ALL 10. Press the YES key to drain the instrument.
1 Remove detergent tube from detergent
container and insert in waste To cancel, press the CANCEL key.
container.
2 Disconnect diluent and hemolysing
reagent tubes from inlets.
Do not disconnect tube from waste
outlet.
When draining and priming is finished, the “Press the CLEAN key” message
3 Drain the fluid path?
appears.
YES CANCEL
CAUTION
Do not press the clean key. Otherwise the instrument will be filled
with fluid.
11. Ignore the screen message and do either of the following to turn the power off.
ON
OFF
• Press the main power switch on the rear panel to turn the power off. The
power lamp and main power lamp are off.
+ • Press the power key while pressing the reset key. The power lamp on the
front panel is off. (The main power lamp is still on.)
1. Set up the instrument and turn the power on. Refer to Section 2.
2. Clean the aperture by following the procedure in the “Checking and Cleaning
the Aperture” section.
3. Use the CLEANAC (MEK-520) for the detergent and clean the fluid path by
pressing the clean key on the front panel. Perform cleaning at least twice.
Preparing the Instrument 1. Press the DRAIN BATHS key on the OTHER screen.
for Short Term Transport
OK MAINTENANCE
2. Press the main power switch on the rear panel to turn the power off.
Decontamination Protocol
CAUTION
During this procedure normal precautions regarding the handling of
biologically hazardous material must be observed.
Requirements
Do the following.
• Replacing Filters
• Cleaning the Sub Baths and Measurement Baths
• Cleaning Rinsing Unit
Certification of Decontamination
This instrument
Type: MEK-
Serial Number:
Laboratory Supervisor
Name:
Signature:
Certification of Decontamination
This instrument
Type: MEK-
Serial Number:
Laboratory Supervisor
Name:
Signature:
Clock Accuracy
At the storage temperature of between −20 and +60°C, the accuracy of the clock IC
of the hematology analyzer is about –7 minutes to +52 seconds per month.
Check that the time on the screen is correct at the start of every day.
To change the time setting, refer to “Setting the Date and Time” in Section 3.
Nihon Kohden Corporation (NKC) shall stock repair parts (parts necessary to
maintain the performance of the instrument) for a period of 7 years from the date of
delivery. In that period NKC or its authorized agents will repair the instrument.
This period may be shorter than 7 years if the board or part necessary for the faulty
section is not available.
Operation Theory
A threshold circuit eliminates signals caused by electrical noise, dust, debris and
particles which are smaller or larger than blood cells.
To find the peak values, the signals are sent to the A/D converter. The acquired
data is stored in memory for each individual peak value. The data is corrected by
the CPU and displayed on the LCD.
Constant
current circuit
Electrodes
Electrolytic solution
Aperture
The number of signals for each size cell is stored in memory as a histogram.
Counted cells of RBC and PLT can have overlap sizes so the CPU can discriminate
the count for each type of cell. See the “Red Blood Cell and Platelet Counting”
section.
The 3 types of counted white blood cells have overlapping sizes so the CPU uses
the histogram to discriminate the 3 white blood cell populations.
Sometimes two or more cells pass through the aperture at the same time. This is
called coincidence. When the sample solution is sufficiently diluted and mixed,
this can be statistically predicted to a high degree of accuracy. The software
contains a coincidence correction table to compensate for this.
Normal blood shows a clear separation between the PLT volume range and RBC
volume range (Fig. A) so an accurate PLT count is easily acquired. However, when
abnormal blood such as microcytic blood is counted (Figs. B and C), the
separation is unclear. In these cases, for accurate PLT counting, the CPU
determines the PLT and RBC distribution pattern, and sets the upper threshold
(PLT HI) to the lowest count.
Count
Count
amplitude amplitude
PLT RBC (volume) PLT RBC
(volume)
PLT RBC PLT RBC
volume range volume range volume range volume range
Fig. A Fig. B
Count
Macro platelet
PLT HI*
PLT LO*: Lower threshold
PLT LO*
PLT HI*: Upper threshold
PLT RBC amplitude
(volume)
PLT RBC
volume range volume range
Fig. C
Principle of Hydraulic For accurate counting of the blood cells in a diluent solution, a constant volume of
Operation solution must be aspirated through the aperture. The manometer controls this
volume by measuring diluent level by an optical sensor and aspirating the diluent
by the rotary pump.
The priming of diluent and cleaning with detergent are also performed by the
electromagnetic valves.
The CPU controls the electromagnetic valves, pump rotations and rotation
direction. If an air bubble enters the manometer, the CPU generates an alarm sound
and displays an error message on the LCD.
Optical sensor
Aperture
y
@@
;;
;@yy
@@
;;
y;@yy
Diluent, detergent
Waste chamber
Waste
Rotary pump
The amplified signals from the sample and diluent are required for measuring the
hemoglobin concentration. The sample data is sent to the CPU, followed by the
diluent data. The CPU converts the ratio of these data to logarithmic data,
multiplies it by the calibration coefficient and displays the result on the LCD.
After calculation, the sample and diluent are drained from the instrument. The
sample is a highly concentrated protein solution. If the sample is left in the
measurement baths for a long time, the measurement baths gradually become dirty.
To prevent this problem, the measurement baths are automatically cleaned by
dispensing the diluent after each measurement.
Hemolysing reagent
CPU
Constant voltage
power source Preamplifier
A/D converter
Waste chamber
Absorbance
(0.D)
0.5
Cyanmet-
hemoglobin
Oxidized hemoglobin
Sample data can be transferred to the optional card printer or a personal computer
via the RS-232C socket on the rear panel of the instrument. One sample data can
be transferred each time the counting is complete.
CAUTION
• Connect only the specified instruments to the connectors or sockets
marked with by following the specified procedure. Otherwise
electrical leakage current may harm the operator.
• In order to avoid any safety hazard, only connect personal computers
which are approved by IEC 60950.
For details about the RS-232C data transfer and format, refer to the Technical
Reference Manual of Data Communication Protocol. To obtain this manual, you
must sign the license agreement.
Keys Operation
reset + power key ON The power turns on without priming operation.
reset + power key OFF The power turns off without cleaning operation.
reset + count Circuit check starts and displays the HGB voltage value.
reset + clean Priming operation starts.
reset + clean + power key ON Initializes the settings.
Print or not to print the measurement history after
reset + print
measurement data printing.
reset + capillary blood mode Displays the TOUCH SCREEN CALIBRATION screen.
feed + power key ON Test printing on the WA-630VK printer unit.
Interference Substances
WBC 3 part differential parameters are derived from the WBC count, therefore, the limitations for WBC also affect these
parameters.
LY and LY%: NRBC, certain parasites and RBC that are resistant to lysis may interfere with an accurate LY count. Error
factors of WBC count apply to LY count.
MO and MO%: Large lymphocytes, atypical lymphocytes, blasts and excessive number of basophils may interfere with an
accurate MO count.
GR and GR%: Excessive eosinophils, metamyelocytes, myelocytes, promyelocytes, blasts and plasma cells may interfere
with an accurate GR count and GR%.
Specifications
Specifications were determined using hematology control blood (MEK-3DN), counted 10 times consecutively.
Detection Method
Blood cell count: Electrical resistance detection
Hemoglobin: Cyanmethemoglobin optical detection
Hematocrit: Histogram calculation
WBC population: Histogram calculation
Platelet crit: Histogram calculation
RBC distribution width: Histogram calculation
Platelet distribution width: Histogram calculation
Dilution Ratio
• Venous blood
Sample volume: 30 µL
WBC/HGB: 200:1
RBC/PLT: 40,000:1
• Capillary blood
Sample volume: 10 µL 20 µL
WBC/HGB: 1200:1 600:1
RBC/PLT: 240,000:1 120,000:1
Counting Time
Approximately 60 s/sample
Display
Display: LCD 320 x 240 dots with backlight and touch screen keys
Screen size: approx. 86 × 115 mm
Display contents: Numerical data, histograms, measuring conditions, alarm message and other messages, touch screen keys
Data Storage
Numerical data for all counted parameters for up to 400 samples and histograms for up to 20 samples
Environmental Conditions
Storage temperature: −20 to 60°C
Operating temperature: 10 to 30°C
Storage humidity: 15 to 90% (Non-condensing)
Operating humidity: 30 to 90% (Non-condensing)
Storage atmospheric pressure: 700 to 1060 hPa
Operating atmospheric pressure: 700 to 1060 hPa
Operating altitude: less than 3000 m
Power Requirements
Power requirements: MEK-6318J: 110 to 127 V ±10% AC, 50/60 Hz
MEK-6318K: 220 to 240 V ±10% AC, 50/60 Hz
Power consumption: 190 VA
Electromagnetic Compatibility
IEC 61326-1 (1997) Amendment 1 (1998) Amendment 2 (2000)
EN 61326-1 (1997) Amendment 1 (1998)
Safety
Safety standards: IEC 61010-1 2nd Edition (2001)
EN 61010-1 2nd Edition (2001)
WA-710V Printer
Printing method: Impact dot matrix
Printing speed: 1 to 1.5 lines/s
Printing data: Numerical data and histograms
Recording paper: Hematology data sheet, C975 and C962
Standard Accessories
1 2 3 4
5 6 7, 8 9
10 11 12 13
14 15 16 17
18 19 20 21
22
Consumables
NOTE
When ordering the following options/consumables, specify the supply code. When the supply code is not
provided with the options or consumables, specify the model or code number.
1 2 3 4
5 6 7 8
9 10 HEM
11
ATO
LOG
Y
C-975
C-962
1 2 3
Options